Hospital

HEREFORD REGIONAL MEDICAL CENTER

Hereford, TX · CCN 450155 · Rates published

6,176 distinct procedures filed

16 distinct payers

53,235 rate rows

2026-07-31 last MRF observed

Data quality

47,804 of 53,235 rate rows are consumer-grade (89.8%)

5,431 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	5,411
placeholder amount (≤ $0.02) — excluded from medians	20

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://dschd.org/wp-content/uploads/2024/12/75-6001297_Hereford_Regional_Medical_Center_standardcharges.csv
Found on page	https://dschd.org/price-transparency/
Discovered via	Discovered by HANK
Last fetch	success · 2026-08-03
Content fingerprint	0c5c729d107accf4… · 391,572 bytes · first seen 2026-05-08

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
48449993 OTHER	Alteplase 100 Mg IV Inj [hrmc]	7	$19,881.49	$19,881.49	$19,881.49	nat. median $19,881 1.0× median
49194538 OTHER	29889 Arthroscopically Aided Posterior Cruiate Ligament Repair	7	$18,517.85	$18,517.85	$18,517.85	nat. median $18,518 1.0× median
49194535 OTHER	27443 Arthroplasty, Femoral Condyles Or Tibial Plateau(s), Knee; W Debridement &…	7	$18,517.85	$18,517.85	$18,517.85	nat. median $18,518 1.0× median
47786474 OTHER	27758 Open Trtmnt Of Tibial Shaft Fracture, W Plate/screws, W Or Without Cerclage	7	$18,517.08	$18,517.08	$18,517.08	nat. median $18,517 1.0× median
47782497 OTHER	23615 Open Treatment Of Proximal Humeral Fracture, Includes Internal Fixation, W…	7	$18,517.08	$18,517.08	$18,517.08	nat. median $18,517 1.0× median
48615154 OTHER	58573 Tlh Uterus Greater Then 250g	7	$15,007.88	$15,007.88	$15,007.88	nat. median $15,008 1.0× median
47922132 OTHER	58571-80 Tlh W/t/o 250 G Or Less	7	$15,000.12	$15,000.12	$15,000.12	nat. median $15,000 1.0× median
50824417 OTHER	Alteplase 50 Mg Pow [hrmc]	7	$12,276.51	$12,276.51	$12,276.51	nat. median $12,277 1.0× median
47816880 OTHER	Osteotomy, With Or Without Lengthening, Shortening Or Angular Correction, Metata…	7	$11,861.38	$11,861.38	$11,861.38	nat. median $11,861 1.0× median
47784234 OTHER	24341 Repair, Tendon Or Muscle, Upper Arm Or Elbow, Each Tendon Or Muscle, Prima…	7	$11,590.12	$11,590.12	$11,590.12	nat. median $11,590 1.0× median
51418996 OTHER	Hallux Rigidus Correction W Cheilectomy Debride & Cap Release 1st Metatarsophala…	7	$11,510.30	$11,510.30	$11,510.30	nat. median $11,510 1.0× median
47784268 OTHER	24685 Open Trtmnt Of Ulnar Fracture, Proximal End, Incld Internal Fixation	7	$10,967.02	$10,967.02	$10,967.02	nat. median $10,967 1.0× median
51143769 OTHER	49596 Repair Of Anterior Abdominal Hernia, Initial, > 10 Cm, Incarcerated Or Str…	7	$10,850.00	$10,850.00	$10,850.00	nat. median $10,850 1.0× median
51143765 OTHER	49592 Repair Of Anterior Abdominal Hernia, Initial, Less Than 3cm, Incarcerated…	7	$10,523.26	$10,523.26	$10,523.26	nat. median $10,523 1.0× median
47786476 OTHER	27766 Open Trtmnt Of Medial Melleolus Fracture, Incld Internal Fixation	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47851121 OTHER	24342 Reinsertion Of Ruptured Biceps Or Triceps Tendon, Distal, With Or Without…	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
8429010 OTHER	Open Tx Distal Intraarticular	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47796523 OTHER	29888 Arthroscopically Aided Anterior Cruiate Ligament Repair	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47922307 OTHER	27524-80 Open Treatment Of Patellar Fracture	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47782488 OTHER	23515 Open Treatment Of Clavicular Fracture, Includes Internal Fixation, When Pe…	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
8816965 OTHER	Open Trtmt Of Proximal Fibula Or Shaft Fx, With Or Without Inter Or Ext Fixation Charg…	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47796507 OTHER	29828 Arthroscopy Biceps Tenodesis	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
49194529 OTHER	27769 Open Trtmnt Of Posterior Melleolus Fracture, Incld Internal Fixation	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47786481 OTHER	27792 Open Trtmnt Of Distal Fibular Fracture, Incld Internal Fixation	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
10681568 OTHER	Open Treatment Of Greater Humeral Tuberosity Fraction, Including Internal Fixati…	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47784307 OTHER	25607 Open Treatment Of Distal Radial Extra-articular Fracture Or Epiphyseal Sep…	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47786483 OTHER	27814 Open Trtmnt Of Bimmaleolar Ankle Fracture And Medial Malleoli	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47782492 OTHER	23550 Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47796506 OTHER	29827 Arthroscop Rotator Cuff Repr	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47786487 OTHER	27822 Open Trtmnt Of Trimalleolar Ankle Fracture, Incld Internal Fixatoin, Media…	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47784308 OTHER	25609 Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Sep…	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
47786488 OTHER	27823 Open Trtmnt Of Trimalleolar Ankle Fracture, Incld Internal Fixatoin, Media…	7	$10,112.98	$10,112.98	$10,112.98	nat. median $10,113 1.0× median
3728620 OTHER	Shoulder Arthroscopy/surgery W/repair Of Slap Lesion	7	$10,104.76	$10,104.76	$10,104.76	nat. median $10,105 1.0× median
38165239 OTHER	49651 Laparoscopy, Surgical; Repair Recurrent Inguinal Hernia	7	$10,099.02	$10,099.02	$10,099.02	nat. median $10,099 1.0× median
51097423 OTHER	49616 Repair Of Anterior Abdominal Hernia (s) Recurrent 3 Cm To 10 Cm Incarcerat…	7	$10,099.02	$10,099.02	$10,099.02	nat. median $10,099 1.0× median
51097417 OTHER	49594 Repair Of Anterior Abdominal Hernia (s) Initial 3 Cm To 10 Cm Incarcerated…	7	$9,976.81	$9,976.81	$9,976.81	nat. median $9,977 1.0× median
51069763 OTHER	49650 - Laparoscopy, Surgical; Repair Initial Inguinal Hernia	7	$9,069.83	$9,069.83	$9,069.83	nat. median $9,070 1.0× median
47922467 OTHER	49322-80 Laparoscopy, Surgical; With Aspiration Of Cavity Or Cyst (single Or Mul…	7	$8,904.75	$8,904.75	$8,904.75	nat. median $8,905 1.0× median
49831520 OTHER	58353 Endometrial Abltj Thermal Without Hysteroscopic Guid	7	$8,246.77	$8,246.77	$8,246.77	nat. median $8,247 1.0× median
47922126 OTHER	58662-80 Laparoscopy Surgical With Fulguration/Excsicion Lesions Charge	7	$8,132.39	$8,132.39	$8,132.39	nat. median $8,132 1.0× median
48961335 OTHER	58563 Hysteroscopy, Surgical; Endometrial Ablation	7	$7,994.12	$7,994.12	$7,994.12	nat. median $7,994 1.0× median
49875626 OTHER	58561 Hysteroscopy Removal Leiomyomata	7	$7,994.12	$7,994.12	$7,994.12	nat. median $7,994 1.0× median
51062894 OTHER	19301 Mastectomy, Partial (eg, Lumpectomy, Tylectomy, Quadrantectomy, Segmentect…	7	$7,740.70	$7,740.70	$7,740.70	nat. median $7,741 1.0× median
50714990 OTHER	15734 - Musc Myocutaneous/fasciocutaneous Flap Trunk	7	$6,968.02	$6,968.02	$6,968.02	nat. median $6,968 1.0× median
753594 OTHER	Xr Cholangiography Exist Cath S&i	7	$6,852.55	$6,852.55	$6,852.55	nat. median $6,853 1.0× median
51130270 OTHER	49591 Rpr Aa Hernia 1st < 3 Cm Reducible-henr	7	$6,779.94	$6,779.94	$6,779.94	nat. median $6,780 1.0× median
48580498 OTHER	26952 Amp F/th 1/2 Jt/phalanx W/neurect Local Flap TechFee	7	$6,732.86	$6,732.86	$6,732.86	nat. median $6,733 1.0× median
8816950 OTHER	Amputation, Finger Or Thumb, Primary Or Secondary, Any Joint Or Phalanx, Single,…	7	$6,732.86	$6,732.86	$6,732.86	nat. median $6,733 1.0× median
51053504 OTHER	38531 Biopsy Or Excision Of Lymph Node(s); Open Inguinofemoral Node(s)	7	$6,320.12	$6,320.12	$6,320.12	nat. median $6,320 1.0× median
48609616 OTHER	26951 Amp F/th 1/2 Jt/phalanx W/neurect W/dir Clsr TechFee	7	$6,314.32	$6,314.32	$6,314.32	nat. median $6,314 1.0× median

Other procedures at this hospital

Browse this hospital's 6,176 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

48449993	OTHER	Alteplase 100 Mg IV Inj [hrmc]	7	7	$25,653.53	—	$19,881.49	$19,881.49	$19,881.49	2026-05-22
49194535	OTHER	27443 Arthroplasty, Femoral Condyles Or Tibial Plateau(s), Knee; W Debridement &…	7	7	$23,894.00	—	$18,517.85	$18,517.85	$18,517.85	2026-05-22
49194538	OTHER	29889 Arthroscopically Aided Posterior Cruiate Ligament Repair	7	7	$23,894.00	—	$18,517.85	$18,517.85	$18,517.85	2026-05-22
47782497	OTHER	23615 Open Treatment Of Proximal Humeral Fracture, Includes Internal Fixation, W…	7	7	$23,893.00	—	$18,517.08	$18,517.08	$18,517.08	2026-05-22
47786474	OTHER	27758 Open Trtmnt Of Tibial Shaft Fracture, W Plate/screws, W Or Without Cerclage	7	7	$23,893.00	—	$18,517.08	$18,517.08	$18,517.08	2026-05-22
48615154	OTHER	58573 Tlh Uterus Greater Then 250g	7	7	$19,365.00	—	$15,007.88	$15,007.88	$15,007.88	2026-05-22
47922132	OTHER	58571-80 Tlh W/t/o 250 G Or Less	7	7	$19,355.00	—	$15,000.12	$15,000.12	$15,000.12	2026-05-22
50824417	OTHER	Alteplase 50 Mg Pow [hrmc]	7	7	$15,840.66	—	$12,276.51	$12,276.51	$12,276.51	2026-05-22
47816880	OTHER	Osteotomy, With Or Without Lengthening, Shortening Or Angular Correction, Metata…	7	7	$15,305.00	—	$11,861.38	$11,861.38	$11,861.38	2026-05-22
47784234	OTHER	24341 Repair, Tendon Or Muscle, Upper Arm Or Elbow, Each Tendon Or Muscle, Prima…	7	7	$14,955.00	—	$11,590.12	$11,590.12	$11,590.12	2026-05-22
51418996	OTHER	Hallux Rigidus Correction W Cheilectomy Debride & Cap Release 1st Metatarsophala…	7	7	$14,852.00	—	$11,510.30	$11,510.30	$11,510.30	2026-05-22
47784268	OTHER	24685 Open Trtmnt Of Ulnar Fracture, Proximal End, Incld Internal Fixation	7	7	$14,151.00	—	$10,967.02	$10,967.02	$10,967.02	2026-05-22
51143769	OTHER	49596 Repair Of Anterior Abdominal Hernia, Initial, > 10 Cm, Incarcerated Or Str…	7	7	$14,000.00	—	$10,850.00	$10,850.00	$10,850.00	2026-05-22
51143765	OTHER	49592 Repair Of Anterior Abdominal Hernia, Initial, Less Than 3cm, Incarcerated …	7	7	$13,578.40	—	$10,523.26	$10,523.26	$10,523.26	2026-05-22
49194529	OTHER	27769 Open Trtmnt Of Posterior Melleolus Fracture, Incld Internal Fixation	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47786476	OTHER	27766 Open Trtmnt Of Medial Melleolus Fracture, Incld Internal Fixation	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47796523	OTHER	29888 Arthroscopically Aided Anterior Cruiate Ligament Repair	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47782488	OTHER	23515 Open Treatment Of Clavicular Fracture, Includes Internal Fixation, When Pe…	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47784307	OTHER	25607 Open Treatment Of Distal Radial Extra-articular Fracture Or Epiphyseal Sep…	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
8816965	OTHER	Open Trtmt Of Proximal Fibula Or Shaft Fx, With Or Without Inter Or Ext Fixation Charg…	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47786488	OTHER	27823 Open Trtmnt Of Trimalleolar Ankle Fracture, Incld Internal Fixatoin, Media…	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47796506	OTHER	29827 Arthroscop Rotator Cuff Repr	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47786487	OTHER	27822 Open Trtmnt Of Trimalleolar Ankle Fracture, Incld Internal Fixatoin, Media…	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47796507	OTHER	29828 Arthroscopy Biceps Tenodesis	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47786483	OTHER	27814 Open Trtmnt Of Bimmaleolar Ankle Fracture And Medial Malleoli	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47786481	OTHER	27792 Open Trtmnt Of Distal Fibular Fracture, Incld Internal Fixation	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47784308	OTHER	25609 Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Sep…	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47851121	OTHER	24342 Reinsertion Of Ruptured Biceps Or Triceps Tendon, Distal, With Or Without …	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
10681568	OTHER	Open Treatment Of Greater Humeral Tuberosity Fraction, Including Internal Fixati…	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47922307	OTHER	27524-80 Open Treatment Of Patellar Fracture	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
47782492	OTHER	23550 Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
8429010	OTHER	Open Tx Distal Intraarticular	7	7	$13,049.00	—	$10,112.98	$10,112.98	$10,112.98	2026-05-22
3728620	OTHER	Shoulder Arthroscopy/surgery W/repair Of Slap Lesion	7	7	$13,038.40	—	$10,104.76	$10,104.76	$10,104.76	2026-05-22
38165239	OTHER	49651 Laparoscopy, Surgical; Repair Recurrent Inguinal Hernia	7	7	$13,031.00	—	$10,099.02	$10,099.02	$10,099.02	2026-05-22
51097423	OTHER	49616 Repair Of Anterior Abdominal Hernia (s) Recurrent 3 Cm To 10 Cm Incarcerat…	7	7	$13,031.00	—	$10,099.02	$10,099.02	$10,099.02	2026-05-22
51097417	OTHER	49594 Repair Of Anterior Abdominal Hernia (s) Initial 3 Cm To 10 Cm Incarcerated…	7	7	$12,873.30	—	$9,976.81	$9,976.81	$9,976.81	2026-05-22
51069763	OTHER	49650 - Laparoscopy, Surgical; Repair Initial Inguinal Hernia	7	7	$11,703.00	—	$9,069.83	$9,069.83	$9,069.83	2026-05-22
47922467	OTHER	49322-80 Laparoscopy, Surgical; With Aspiration Of Cavity Or Cyst (single Or Mul…	7	7	$11,490.00	—	$8,904.75	$8,904.75	$8,904.75	2026-05-22
49831520	OTHER	58353 Endometrial Abltj Thermal Without Hysteroscopic Guid	7	7	$10,641.00	—	$8,246.77	$8,246.77	$8,246.77	2026-05-22
47922126	OTHER	58662-80 Laparoscopy Surgical With Fulguration/Excsicion Lesions Charge	7	7	$10,493.40	—	$8,132.39	$8,132.39	$8,132.39	2026-05-22
48961335	OTHER	58563 Hysteroscopy, Surgical; Endometrial Ablation	7	7	$10,315.00	—	$7,994.12	$7,994.12	$7,994.12	2026-05-22
49875626	OTHER	58561 Hysteroscopy Removal Leiomyomata	7	7	$10,315.00	—	$7,994.12	$7,994.12	$7,994.12	2026-05-22
51062894	OTHER	19301 Mastectomy, Partial (eg, Lumpectomy, Tylectomy, Quadrantectomy, Segmentect…	7	7	$9,988.00	—	$7,740.70	$7,740.70	$7,740.70	2026-05-22
50714990	OTHER	15734 - Musc Myocutaneous/fasciocutaneous Flap Trunk	7	7	$8,991.00	—	$6,968.02	$6,968.02	$6,968.02	2026-05-22
753594	OTHER	Xr Cholangiography Exist Cath S&i	7	7	$8,842.00	—	$6,852.55	$6,852.55	$6,852.55	2026-05-22
51130270	OTHER	49591 Rpr Aa Hernia 1st < 3 Cm Reducible-henr	7	7	$8,748.30	—	$6,779.94	$6,779.94	$6,779.94	2026-05-22
48580498	OTHER	26952 Amp F/th 1/2 Jt/phalanx W/neurect Local Flap TechFee	7	7	$8,687.56	—	$6,732.86	$6,732.86	$6,732.86	2026-05-22
8816950	OTHER	Amputation, Finger Or Thumb, Primary Or Secondary, Any Joint Or Phalanx, Single,…	7	7	$8,687.56	—	$6,732.86	$6,732.86	$6,732.86	2026-05-22
51053504	OTHER	38531 Biopsy Or Excision Of Lymph Node(s); Open Inguinofemoral Node(s)	7	7	$8,155.00	—	$6,320.12	$6,320.12	$6,320.12	2026-05-22
48609616	OTHER	26951 Amp F/th 1/2 Jt/phalanx W/neurect W/dir Clsr TechFee	7	7	$8,147.52	—	$6,314.32	$6,314.32	$6,314.32	2026-05-22
1349624	OTHER	Amputation, Finger Or Thumb, Primary Or Secondary, Any Joint Or Phalanx, Single,…	7	7	$8,147.52	—	$6,314.32	$6,314.32	$6,314.32	2026-05-22
50861357	OTHER	Biopsy Breast Open Incisional	7	7	$8,063.00	—	$6,248.82	$6,248.82	$6,248.82	2026-05-22
47922449	OTHER	49521-as Repair Recurrent Inguinal Hernia, Any Age; Incarcerated Or Strangulated	7	7	$7,953.00	—	$6,163.57	$6,163.57	$6,163.57	2026-05-22
47810686	OTHER	Management Of Liver Hemorrhage, Exploration Of Hepatic Wound	7	7	$7,532.00	—	$5,837.30	$5,837.30	$5,837.30	2026-05-22
51567054	OTHER	Excision Of Spermatic Cord (separate Procedure)	7	7	$7,458.00	—	$5,779.95	$5,779.95	$5,779.95	2026-05-22
51265596	OTHER	Sphincterotomy Anal Division Of Sphincter Spx	7	7	$7,414.00	—	$5,745.85	$5,745.85	$5,745.85	2026-05-22
48581030	OTHER	G0390 Trauma Respons W/hosp Criti TechFee	7	7	$7,340.88	—	$5,689.19	$5,689.19	$5,689.19	2026-05-22
48498481	OTHER	49525 Rpr Ingun Hernia Sliding Any Age	7	7	$7,278.00	—	$5,640.45	$5,640.45	$5,640.45	2026-05-22
50454530	OTHER	28270 Capsulotomy; Metatarsophalangeal Joint, With Or Without Tenorrhaphyk Each …	7	7	$7,231.00	—	$5,604.02	$5,604.02	$5,604.02	2026-05-22
50454529	OTHER	28285 Corretion Hammertoe	7	7	$7,231.00	—	$5,604.02	$5,604.02	$5,604.02	2026-05-22
48498380	OTHER	28825 Amputation Toe Interphalangeal Joint	7	7	$7,231.00	—	$5,604.02	$5,604.02	$5,604.02	2026-05-22
48856585	OTHER	63688 Revise Remove Implnt Spinal Neurostim Gen	7	7	$7,198.00	—	$5,578.45	$5,578.45	$5,578.45	2026-05-22
47795132	OTHER	28296 Correction Of Bunion	7	7	$7,144.50	—	$5,536.99	$5,536.99	$5,536.99	2026-05-22
48449430	OTHER	Antivenin (Crotalidae) Polyvalent Inj Sol [hrmc]	7	7	$6,984.57	—	$5,413.04	$5,413.04	$5,413.04	2026-05-22
48580635	OTHER	35206 Repair Blood Vessel Direct Upper Extremity TechFee	7	7	$6,929.00	—	$5,369.98	$5,369.98	$5,369.98	2026-05-22
47922561	OTHER	47563-80 Laparoscopy, Surgical; Cholecystectomy With Cholangiography	7	7	$6,925.64	—	$5,367.37	$5,367.37	$5,367.37	2026-05-22
47922127	OTHER	58661-80 Laparoscopy, Surgical; With Removal Of Adnexal Structures	7	7	$6,925.64	—	$5,367.37	$5,367.37	$5,367.37	2026-05-22
47922521	OTHER	49320-80 Laparoscopy, Abdomen, Peritoneum, & Omentum, Diag,with Without Collect Of Spe…	7	7	$6,925.64	—	$5,367.37	$5,367.37	$5,367.37	2026-05-22
47922562	OTHER	47562-as Laparoscopy, Surgical; Cholecystectomy	7	7	$6,925.64	—	$5,367.37	$5,367.37	$5,367.37	2026-05-22
49457162	OTHER	28289 Hallux Rigidus W/cheilectomy 1st Mp Jt Without Implt	7	7	$6,925.00	—	$5,366.88	$5,366.88	$5,366.88	2026-05-22
51138868	OTHER	28008 Fasciotomy Foot&/toe	7	7	$6,925.00	—	$5,366.88	$5,366.88	$5,366.88	2026-05-22
47786569	OTHER	28122 Partial Exc Of Tarsal Or Metatarsal Bone, Except Talus Or Calcaneus	7	7	$6,925.00	—	$5,366.88	$5,366.88	$5,366.88	2026-05-22
49985032	OTHER	35207 Rep Blood Vessel Direct; Hand Finger	7	7	$6,689.00	—	$5,183.98	$5,183.98	$5,183.98	2026-05-22
50642144	OTHER	28292 Correction, Hallux Valgus (bunionectomy) With Sesamoidectomy, When Perfor…	7	7	$6,684.00	—	$5,180.10	$5,180.10	$5,180.10	2026-05-22
48251416	OTHER	29884 Arthroscopy Knee W Lysis Of Adhesions	7	7	$6,613.00	—	$5,125.07	$5,125.07	$5,125.07	2026-05-22
48261848	OTHER	26546 Repair Nonunion Hand	7	7	$6,613.00	—	$5,125.07	$5,125.07	$5,125.07	2026-05-22
49457163	OTHER	56440 Marsupialization Bartholins Gland Cyst	7	7	$6,579.00	—	$5,098.73	$5,098.73	$5,098.73	2026-05-22
50663250	OTHER	57522 Conization Of Cervix Sn	7	7	$6,559.00	—	$5,083.23	$5,083.23	$5,083.23	2026-05-22
48985527	OTHER	23125 Claviculectomy; Total	7	7	$6,559.00	—	$5,083.23	$5,083.23	$5,083.23	2026-05-22
48943812	OTHER	29822 Shoulder Arthroscopy Debridement Limited	7	7	$6,559.00	—	$5,083.23	$5,083.23	$5,083.23	2026-05-22
36523660	OTHER	Arthroscopy, Shoulder, Surgical; Capsulorrhaphy	7	7	$6,513.00	—	$5,047.57	$5,047.57	$5,047.57	2026-05-22
51022445	OTHER	28288 Ostectomy Partial Exostectomy Or Condylectomy Metatarsal Head Ea Metatarsa…	7	7	$6,495.00	—	$5,033.62	$5,033.62	$5,033.62	2026-05-22
48821844	OTHER	31525 Laryngoscopy W/wo Tracheoscopy Dx Except Newborn TechFee	7	7	$6,442.14	—	$4,992.66	$4,992.66	$4,992.66	2026-05-22
48990891	OTHER	31525 Laryngoscopy Direct; Diagnostic, Except Newborn	7	7	$6,442.14	—	$4,992.66	$4,992.66	$4,992.66	2026-05-22
48965415	OTHER	47554 Biliary Endoscopy, Percutaneous Via T-tube Or Other Tract; With Removal Of…	7	7	$6,296.04	—	$4,879.43	$4,879.43	$4,879.43	2026-05-22
49028829	OTHER	58670 Laparoscopy, Surgical; With Fulguration Of Oviducts (with Or Without Trans…	7	7	$6,296.04	—	$4,879.43	$4,879.43	$4,879.43	2026-05-22
47922117	OTHER	59150-80 Laparoscopic Treatment Of Ectopic Pregnancy; Without Salpingectomy And/…	7	7	$6,296.04	—	$4,879.43	$4,879.43	$4,879.43	2026-05-22
47922116	OTHER	59151-80 Laparoscopic Treatment Of Ectopic Pregnancy; With Salpingectomy And/or…	7	7	$6,296.04	—	$4,879.43	$4,879.43	$4,879.43	2026-05-22
47922464	OTHER	49329-80 Unlisted Laparoscopy Procedure, Abdomen, Peritoneum And Omentum	7	7	$6,296.04	—	$4,879.43	$4,879.43	$4,879.43	2026-05-22
49028830	OTHER	58671 Laparoscopy, Surgical; With Occlusion Of Oviducts By Device (eg, Band, Cli…	7	7	$6,296.04	—	$4,879.43	$4,879.43	$4,879.43	2026-05-22
47922499	OTHER	44970-80 Laparoscopy, Surgical, Appendectomy	7	7	$6,296.04	—	$4,879.43	$4,879.43	$4,879.43	2026-05-22
47796520	OTHER	29882 Knee Arthroscopy/surgery W Meniscus Repair	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
25278579	OTHER	28090 Excision Lesion, Tendon, Tendon Sheath Or Capsule (cyst Or Ganglion) Foot	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47784429	OTHER	26410 Repair, Extensor Tendon, Hand, Primary Or Secondary; Without Free Graft, Each …	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
4780901	OTHER	Open Tx Of Distal Phalangeal Fx, Finger Or Thumb, W/Wo Int Fix	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
48834077	OTHER	25447 Arthroplasty Interposition I	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47796517	OTHER	29877 Knee Arthroscopy/surgery, Drilling	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
41521659	OTHER	26756 Percutaneous Skeletal Fixation Of Distal Phalangeal Fracture Finger Or Thu…	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47784280	OTHER	25112 Exc Of Ganglion, Wrist; Recurrent	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47796515	OTHER	29874 Knee Arthroscopy/surgery Removal Of Foreign Body	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47784495	OTHER	26706 Percutaneous Skeletal Fixation Of Metacarpophalangeal Dislocation, Single,…	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47796518	OTHER	29879 Knee Abrasion Arthroscopy/surgery	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47784498	OTHER	26735 Open Trtmnt Of Phalangeal Shaft Fracture, Each	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47784497	OTHER	26727 Percutaneous Skeletal Fixation Of Unstable Phalangeal Shaft Fracture, Each	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47796519	OTHER	29880 Knee Arthroscopy/surgery W Meniscectomy	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47784491	OTHER	26676 Percutaneous Skeletal Fixation Of Carpometacarpal Dislocation, Other Than …	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
8816949	OTHER	Open Trtmt Of Interphalangeal Joint Dislocation, With Or Without Inter Or Ext Fixation…	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
49505933	OTHER	Arthroscopy Knee W Menisectomy Medial Or Lateral	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47784453	OTHER	26650 Percutaneous Skeletal Fixation Of Carpometacarpal Fracture Dislocation, Th…	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47796514	OTHER	29873 Knee Arthroscopy/surgery W Later Release	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
47784504	OTHER	26776 Percutaneous Skeletal Fixation Of Interphalangeal Joint Disloaction, Singl…	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
8816947	OTHER	Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone	7	7	$6,094.00	—	$4,722.85	$4,722.85	$4,722.85	2026-05-22
50571867	OTHER	43632 Gastrectomy Partial Distal W Gastrojejunostomy	7	7	$6,000.00	—	$4,650.00	$4,650.00	$4,650.00	2026-05-22
48498350	OTHER	21933 Exc Tumor Soft Tiss Back/flank Subfascial 5 Cm/>	7	7	$5,946.00	—	$4,608.15	$4,608.15	$4,608.15	2026-05-22
1479669	OTHER	Incision And Drainage Of Hematoma, Seroma Or Fluid Collection	7	7	$5,944.35	—	$4,606.88	$4,606.88	$4,606.88	2026-05-22
48567627	OTHER	10140 I&d Hematoma Seroma/fluid Collection TechFee	7	7	$5,944.35	—	$4,606.88	$4,606.88	$4,606.88	2026-05-22
51809080	OTHER	Critical Care W Ventilation Management	7	7	$5,939.00	—	$4,602.73	$4,602.73	$4,602.73	2026-05-22
47782397	OTHER	20680 Removal Of Support Implant; Deep	7	7	$5,907.00	—	$4,577.93	$4,577.93	$4,577.93	2026-05-22
50131278	OTHER	Hysteroscopy W Removal Impacted Foreign Body	7	7	$5,904.00	—	$4,575.60	$4,575.60	$4,575.60	2026-05-22
41521662	OTHER	58120 Dilation And Curettage, Diagnostic &/or Therapeutic (nonobstetrical)	7	7	$5,904.00	—	$4,575.60	$4,575.60	$4,575.60	2026-05-22
50045647	OTHER	Hysteroscopy W Biopsy Endometrium &/or Polypectomy W/wo D&c	7	7	$5,904.00	—	$4,575.60	$4,575.60	$4,575.60	2026-05-22
48615152	OTHER	59820 Surgical Tx Of Missed Abortion	7	7	$5,904.00	—	$4,575.60	$4,575.60	$4,575.60	2026-05-22
49915474	OTHER	24071 Ex Tumor Soft Tissue Upper Arm Or Elbow Subq 3cm Or >	7	7	$5,812.00	—	$4,504.30	$4,504.30	$4,504.30	2026-05-22
48695162	OTHER	21552 Exc, Tumor, Soft Tissue Neck Or Anterior Thorax Subq; 3cm Or Greater	7	7	$5,801.00	—	$4,495.77	$4,495.77	$4,495.77	2026-05-22
47922122	OTHER	58925-80 Ovarian Cystectomy, Unilateral Or Bilateral	7	7	$5,713.86	—	$4,428.24	$4,428.24	$4,428.24	2026-05-22
49590230	OTHER	59160 Curettage Postpartum	7	7	$5,682.00	—	$4,403.55	$4,403.55	$4,403.55	2026-05-22
49276058	OTHER	Unlisted Procedure Maternity Care & Del	7	7	$5,682.00	—	$4,403.55	$4,403.55	$4,403.55	2026-05-22
48695183	OTHER	59414 Delivery Of Placenta, Seperate Procedure	7	7	$5,680.00	—	$4,402.00	$4,402.00	$4,402.00	2026-05-22
49018041	OTHER	59414 Delivery Of Placenta Charge	7	7	$5,680.00	—	$4,402.00	$4,402.00	$4,402.00	2026-05-22
1407617	OTHER	Choledochoduodenostomy	7	7	$5,475.00	—	$4,243.12	$4,243.12	$4,243.12	2026-05-22
47782392	OTHER	20525 Removal Of Foreign Body In Muscle Or Tendon Sheath; Deep Or Complicated	7	7	$5,370.00	—	$4,161.75	$4,161.75	$4,161.75	2026-05-22
51408891	OTHER	Compression 4 Hole T-plate	7	7	$5,250.00	—	$4,068.75	$4,068.75	$4,068.75	2026-05-22
47922210	OTHER	51860-as Cystorrhaphy, Suture Of Bladder Wound, Injury Or Rupture; Simple	7	7	$5,223.81	—	$4,048.45	$4,048.45	$4,048.45	2026-05-22
47922414	OTHER	44150-as Colectomy, Total, Abdominal, Without Proctectomy; With Ileostomy Or Ile…	7	7	$5,141.40	—	$3,984.59	$3,984.59	$3,984.59	2026-05-22
48498507	OTHER	43800 Pyloroplasty.	7	7	$5,010.00	—	$3,882.75	$3,882.75	$3,882.75	2026-05-22
51516131	OTHER	Removal Fb Intraocular Anterior Chamber Eye Or Lens	7	7	$4,986.00	—	$3,864.15	$3,864.15	$3,864.15	2026-05-22
49808795	OTHER	2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Rt 186mm	7	7	$4,983.00	—	$3,861.82	$3,861.82	$3,861.82	2026-05-22
47922172	OTHER	58150-as Total Abd. Hysterectomy, With Or Without Removal Of Tube(s) Or Ovary(s) Charg…	7	7	$4,900.00	—	$3,797.50	$3,797.50	$3,797.50	2026-05-22
47922416	OTHER	44160-as Colectomy, Partial, With Removal Of Terminal Ileum With Ileocolostomy	7	7	$4,859.00	—	$3,765.72	$3,765.72	$3,765.72	2026-05-22
49759106	OTHER	44603- Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticu…	7	7	$4,825.00	—	$3,739.38	$3,739.38	$3,739.38	2026-05-22
49745548	OTHER	57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	7	7	$4,814.00	—	$3,730.85	$3,730.85	$3,730.85	2026-05-22
48658292	OTHER	44143 Colectomy, Partial, With End Colostomy And Closure Of Distal Segment	7	7	$4,750.00	—	$3,681.25	$3,681.25	$3,681.25	2026-05-22
47922456	OTHER	49507-as Repair Initial Inguinal Hernia, Age 5 Years Or Over; Incarcerated Or St…	7	7	$4,721.53	—	$3,659.18	$3,659.18	$3,659.18	2026-05-22
47922459	OTHER	49505-as Prp I/hern Init Reduc >5 Yr	7	7	$4,721.53	—	$3,659.18	$3,659.18	$3,659.18	2026-05-22
49808793	OTHER	2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Rt 145mm	7	7	$4,710.00	—	$3,650.25	$3,650.25	$3,650.25	2026-05-22
49808794	OTHER	2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Lt 145mm	7	7	$4,710.00	—	$3,650.25	$3,650.25	$3,650.25	2026-05-22
51157543	OTHER	Ventralight Mesh 10x13	7	7	$4,667.00	—	$3,616.93	$3,616.93	$3,616.93	2026-05-22
44474127	OTHER	Critical Care Fct Charge	7	7	$4,597.29	—	$3,562.90	$3,562.90	$3,562.90	2026-05-22
47922424	OTHER	44204-80 Laparoscopy, Surgical; Colectomy, Partial, With Anastomosis	7	7	$4,552.90	—	$3,528.50	$3,528.50	$3,528.50	2026-05-22
49808786	OTHER	2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Rt 105mm	7	7	$4,491.00	—	$3,480.53	$3,480.53	$3,480.53	2026-05-22
49808791	OTHER	2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Rt 109mm	7	7	$4,491.00	—	$3,480.53	$3,480.53	$3,480.53	2026-05-22
49808787	OTHER	2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Lt 105mm	7	7	$4,491.00	—	$3,480.53	$3,480.53	$3,480.53	2026-05-22
49808792	OTHER	2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Lt 109mm	7	7	$4,491.00	—	$3,480.53	$3,480.53	$3,480.53	2026-05-22
47824872	OTHER	11404 Excision Benign Lesion 3.1-4.0cm	7	7	$4,490.06	—	$3,479.80	$3,479.80	$3,479.80	2026-05-22
48498079	OTHER	11404 Excision, Benign Lesion Including Margins, Trunk, Arms Or Legs; Excised Di…	7	7	$4,490.06	—	$3,479.80	$3,479.80	$3,479.80	2026-05-22
10747172	OTHER	Colectomy, Partial; With Resection, With Colostomy Or Ileostomy And Creation Of …	7	7	$4,453.00	—	$3,451.07	$3,451.07	$3,451.07	2026-05-22
50335244	OTHER	51040 Cystostomy/cystotomy W Drainage	7	7	$4,452.00	—	$3,450.30	$3,450.30	$3,450.30	2026-05-22
48498417	OTHER	43501 Gastrotomy W/suture Repair Bleeding Ulcer	7	7	$4,350.00	—	$3,371.25	$3,371.25	$3,371.25	2026-05-22
48580661	OTHER	36556 Insj Non-tunneled Central Venous Cath Age 5 Yr/> TechFee	7	7	$4,347.09	—	$3,368.99	$3,368.99	$3,368.99	2026-05-22
40964907	OTHER	36556 Insertion Of Non-tunneled Centrally Inserted Central Venous Catheter; Age …	7	7	$4,347.09	—	$3,368.99	$3,368.99	$3,368.99	2026-05-22
48878346	OTHER	36556 Insert Non Tunnel Cv Cath 5yrs/ > Charge	7	7	$4,347.09	—	$3,368.99	$3,368.99	$3,368.99	2026-05-22
47922454	OTHER	49520-as Repair Recurrent Inguinal Hernia, Any Age; Reducible	7	7	$4,292.30	—	$3,326.53	$3,326.53	$3,326.53	2026-05-22
47922489	OTHER	44950-as Appendectomy	7	7	$4,292.30	—	$3,326.53	$3,326.53	$3,326.53	2026-05-22
49846502	OTHER	Surgimesh Xb Ventral 15cm X 22cm	7	7	$4,275.00	—	$3,313.12	$3,313.12	$3,313.12	2026-05-22
50404369	OTHER	Surgimesh Xb Barrel	7	7	$4,275.00	—	$3,313.12	$3,313.12	$3,313.12	2026-05-22
47922112	OTHER	59514-as Cesarean Delivery Only;	7	7	$4,261.25	—	$3,302.47	$3,302.47	$3,302.47	2026-05-22
50475165	OTHER	47350 Management Of Liver Hemorrhage	7	7	$4,250.00	—	$3,293.75	$3,293.75	$3,293.75	2026-05-22
49849108	OTHER	I&d Epidiymis Testes &/or Scrotal Space Abscess Or Hematoma	7	7	$4,239.00	—	$3,285.22	$3,285.22	$3,285.22	2026-05-22
47922552	OTHER	47610-80 Cholecystectomy With Exploration Of Common Duct;	7	7	$4,210.80	—	$3,263.37	$3,263.37	$3,263.37	2026-05-22
50861342	OTHER	Pleural Drainage Percutaneous W Insertion Indwelling Cath Wo Imaging	7	7	$4,148.00	—	$3,214.70	$3,214.70	$3,214.70	2026-05-22
50556318	OTHER	Application Skin Graft Trunk Arms Legs Up To 100 Sqcm; 1st 25 Sqcm	7	7	$4,057.00	—	$3,144.18	$3,144.18	$3,144.18	2026-05-22
48315632	OTHER	63661 Removal Of Spinal Neurostimulator Electrode Percutaneous Array(s), Includi…	7	7	$4,026.00	—	$3,120.15	$3,120.15	$3,120.15	2026-05-22
49811439	OTHER	43840- Gastrorrhaphy, Suture Of Perforated Duodenal Or Gastric Ulcer, Wound, Or …	7	7	$4,025.00	—	$3,119.38	$3,119.38	$3,119.38	2026-05-22
48498440	OTHER	44310 Ileostomy/jejunostomy Non-tube	7	7	$4,000.00	—	$3,100.00	$3,100.00	$3,100.00	2026-05-22
1349614	OTHER	Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated	7	7	$3,921.00	—	$3,038.78	$3,038.78	$3,038.78	2026-05-22
49028822	OTHER	26455 Tenotomy, Flexor, Finger, Open, Each Tendon	7	7	$3,919.00	—	$3,037.22	$3,037.22	$3,037.22	2026-05-22
48580957	OTHER	64450 Injection Anes Other Peripheral Nerve/branch TechFee	7	7	$3,917.85	—	$3,036.34	$3,036.34	$3,036.34	2026-05-22
3726708	OTHER	Revise Ulnar Nerve At Elbow	7	7	$3,907.00	—	$3,027.93	$3,027.93	$3,027.93	2026-05-22
48834079	OTHER	64721 Neuroplasty Transposition Nrv Carpl	7	7	$3,907.00	—	$3,027.93	$3,027.93	$3,027.93	2026-05-22
47782304	OTHER	15851 Removal Of Sutures Under Anesthesia Other Surgeon	7	7	$3,873.00	—	$3,001.57	$3,001.57	$3,001.57	2026-05-22
48658304	OTHER	46260 Hemorrhoidectomy, Internal And External, 2 Or More Columns/groups.	7	7	$3,850.00	—	$2,983.75	$2,983.75	$2,983.75	2026-05-22
8817040	OTHER	Arthroscopy, Shoulder, Surgical; Decompression Of Subacromial Space With Partial…	7	7	$3,850.00	—	$2,983.75	$2,983.75	$2,983.75	2026-05-22
47922554	OTHER	47605-80 Cholecystectomy; With Cholangiography	7	7	$3,828.00	—	$2,966.70	$2,966.70	$2,966.70	2026-05-22
48498495	OTHER	54520 Orchiectomy Simple Scrotal/inguinal Approach	7	7	$3,812.24	—	$2,954.49	$2,954.49	$2,954.49	2026-05-22
49744489	OTHER	59150 Laparoscopic Treatment Of Ectopic Pregnancy; Without Salpingectomy And/or …	7	7	$3,810.00	—	$2,952.75	$2,952.75	$2,952.75	2026-05-22
48580663	OTHER	36569 Insj Prph Cvc Without Subq Port/pmp Age 5 Yr/> TechFee	7	7	$3,799.02	—	$2,944.24	$2,944.24	$2,944.24	2026-05-22
48878347	OTHER	36569 Insert Picc Wo Port 5yrs/> Charge	7	7	$3,799.02	—	$2,944.24	$2,944.24	$2,944.24	2026-05-22
48498423	OTHER	43870 Closure Gastrostomy Surg	7	7	$3,764.46	—	$2,917.45	$2,917.45	$2,917.45	2026-05-22
27140583	OTHER	15120 Split, Thickness, Autograft, Face, Scalp, Eyelids, Mouth, Neck, Ears, Orbi…	7	7	$3,755.45	—	$2,910.47	$2,910.47	$2,910.47	2026-05-22
48498391	OTHER	35840 Expl Po Hemrrg Thrombosis/infctj Abd	7	7	$3,750.00	—	$2,906.25	$2,906.25	$2,906.25	2026-05-22
47922278	OTHER	19120-50 Removal Of Breast Lesion	7	7	$3,747.63	—	$2,904.41	$2,904.41	$2,904.41	2026-05-22
8835254	OTHER	Biopsy Or Excision Of Lymph Node(S); Open, Superficial	7	7	$3,747.63	—	$2,904.41	$2,904.41	$2,904.41	2026-05-22
47782347	OTHER	19300 Masectomy For Gynecomastia	7	7	$3,747.63	—	$2,904.41	$2,904.41	$2,904.41	2026-05-22
51412722	OTHER	Ventralight 8x10	7	7	$3,726.00	—	$2,887.65	$2,887.65	$2,887.65	2026-05-22
48498377	OTHER	28126 Resection Partial/complete Phalangeal Base Each	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
47796497	OTHER	28810 Amputation Toe & Metatarsal	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
11881116	OTHER	Excision, Prepatellar Bursa	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
8428980	OTHER	Drainage Of Forearm Lesion	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
3726677	OTHER	Resect Talus/calcaneus Tum	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
3726640	OTHER	Remove Femur Lesion/bursa	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
48821842	OTHER	25606 Perq Skel Fixj Distal Radial Fx/epiphysl Sep TechFee	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
48580475	OTHER	26418 Repair Extensor Tendon Finger Without Graft Each TechFee	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
47795137	OTHER	28315 Removal Of Sesamoid Bone	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
47784433	OTHER	26433 Repair Of Extensor Tendon, Distal Insertion, Primary Or Secondary; Without Gra…	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
47796496	OTHER	28805 Amputation Thru Metatarsal	7	7	$3,655.97	—	$2,833.38	$2,833.38	$2,833.38	2026-05-22
752993	OTHER	CT Angio Lower Extremity Bilat	7	7	$3,653.30	—	$2,831.31	$2,831.31	$2,831.31	2026-05-22
50463879	OTHER	CT Angio Lower Extremity Bilat Double Contrast	7	7	$3,653.30	—	$2,831.31	$2,831.31	$2,831.31	2026-05-22
51351206	OTHER	Braca Panel (Braca 1 And 2) Rl	7	7	$3,650.00	—	$2,828.75	$2,828.75	$2,828.75	2026-05-22
48567719	OTHER	13101 Repair Complex Trunk 2.6-7.5 Cm TechFee	7	7	$3,625.95	—	$2,810.11	$2,810.11	$2,810.11	2026-05-22
47922399	OTHER	44130-as Bowel To Bowel Fusion	7	7	$3,619.00	—	$2,804.72	$2,804.72	$2,804.72	2026-05-22
50658781	OTHER	21931 Exc Back Les Sc 3 Cm/> Sn	7	7	$3,593.00	—	$2,784.57	$2,784.57	$2,784.57	2026-05-22
47970590	OTHER	32554 Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Withou…	7	7	$3,570.06	—	$2,766.80	$2,766.80	$2,766.80	2026-05-22
48580614	OTHER	32554 Thoracentesis Needle/cath Pleura Without Imaging TechFee	7	7	$3,570.06	—	$2,766.80	$2,766.80	$2,766.80	2026-05-22
49391502	OTHER	43251 Egd Removal Tumor/Polyp/Lesion By Snare	7	7	$3,569.00	—	$2,765.97	$2,765.97	$2,765.97	2026-05-22
48440219	OTHER	28272 Capsulotomy; Interphalangeal Joint, Each Joint, (separate Procedure)	7	7	$3,557.00	—	$2,756.68	$2,756.68	$2,756.68	2026-05-22
931623	OTHER	MRI Face Neck Orbit With + Without Contrast	7	7	$3,555.26	—	$2,755.32	$2,755.32	$2,755.32	2026-05-22
48449947	OTHER	Zoledronic Acid 5 Mg/100 Ml IV Sol [hrmc]	7	7	$3,547.08	—	$2,748.99	$2,748.99	$2,748.99	2026-05-22
8835230	OTHER	Insertion Of A Tunneled Centrally Inserted Central Vad With Subcutaneous Port, A…	7	7	$3,539.40	—	$2,743.03	$2,743.03	$2,743.03	2026-05-22
50300965	OTHER	MRI Mrcp With + Without Contrast	7	7	$3,516.15	—	$2,725.02	$2,725.02	$2,725.02	2026-05-22
48580457	OTHER	25505 Closed Tx Radial Shaft Fracture W/manipulation TechFee	7	7	$3,481.00	—	$2,697.78	$2,697.78	$2,697.78	2026-05-22
49581507	OTHER	Closed Trt Talus Fx W Manipulation	7	7	$3,475.00	—	$2,693.12	$2,693.12	$2,693.12	2026-05-22
48567757	OTHER	20103 Exploration Penetrating Wound Spx Extremity TechFee	7	7	$3,469.00	—	$2,688.47	$2,688.47	$2,688.47	2026-05-22
1353673	OTHER	Excisn, Benign Lesion Margin, Except Skin Tag , Scalp, Neck, Hands, Ft, Genitali…	7	7	$3,469.00	—	$2,688.47	$2,688.47	$2,688.47	2026-05-22
51212463	OTHER	58140 Myomectomy, Ex Fibroid Tumor(s) 1-4 Tot Wt 250gm Or < Abd Approach	7	7	$3,450.00	—	$2,673.75	$2,673.75	$2,673.75	2026-05-22
50431871	OTHER	Trauma Team, Activation Wo Critical Care	7	7	$3,441.00	—	$2,666.78	$2,666.78	$2,666.78	2026-05-22
48961316	OTHER	21550 Biopsy Soft Tissue Neck/ Thorax	7	7	$3,439.00	—	$2,665.22	$2,665.22	$2,665.22	2026-05-22
48498402	OTHER	38300 DRG Lymph Node Absc/lymphadenitis Smpl	7	7	$3,439.00	—	$2,665.22	$2,665.22	$2,665.22	2026-05-22
48580436	OTHER	23655 Clsd Tx Shoulder Dislc W/manipulation Req Anes TechFee	7	7	$3,439.00	—	$2,665.22	$2,665.22	$2,665.22	2026-05-22
51331044	OTHER	Microarray Chromosomal Analysis Rl	7	7	$3,417.00	—	$2,648.18	$2,648.18	$2,648.18	2026-05-22
47922171	OTHER	58180-80 Supracervical Abdominal Hysterectomy, With Without Removal Of Tube(s), With W/o…	7	7	$3,404.00	—	$2,638.10	$2,638.10	$2,638.10	2026-05-22
48580601	OTHER	31603 Tracheostomy Emergency Procedure Transtracheal TechFee	7	7	$3,382.00	—	$2,621.05	$2,621.05	$2,621.05	2026-05-22
47784430	OTHER	26418 Repair, Extensor Tendon, Finger, Primary Or Secondary, Without Free Graft, Eac…	7	7	$3,375.00	—	$2,615.62	$2,615.62	$2,615.62	2026-05-22
47780846	OTHER	11044 Debridement; Skin, Subcutaneous Tissue, Muscle, Bone, 20sq Cm/<	7	7	$3,371.00	—	$2,612.53	$2,612.53	$2,612.53	2026-05-22
48498378	OTHER	28192 Removal Foreign Body Foot Deep	7	7	$3,370.00	—	$2,611.75	$2,611.75	$2,611.75	2026-05-22
48567729	OTHER	13152 Repair Complex Eyelid/nose/ear/lip 2.6-7.5 Cm TechFee	7	7	$3,369.96	—	$2,611.72	$2,611.72	$2,611.72	2026-05-22
50363712	OTHER	21555 Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous, Les…	7	7	$3,367.00	—	$2,609.43	$2,609.43	$2,609.43	2026-05-22
47782469	OTHER	23071 Exc, Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; 3 Cm Or Greater	7	7	$3,367.00	—	$2,609.43	$2,609.43	$2,609.43	2026-05-22
44455048	OTHER	Excision Or Curettage Of Bone Cyst Or Benign Tumor, Tibia Or Fibula (hch)	7	7	$3,330.00	—	$2,580.75	$2,580.75	$2,580.75	2026-05-22
51173356	OTHER	Hydroxocobalamin 5 G Pow [hrmc]	7	7	$3,322.80	—	$2,575.17	$2,575.17	$2,575.17	2026-05-22
44474126	OTHER	99285 Level 5 Fct Charge	7	7	$3,315.21	—	$2,569.29	$2,569.29	$2,569.29	2026-05-22
2764712	OTHER	99285 ER - Pro Fee Level 5 Charge	7	7	$3,315.21	—	$2,569.29	$2,569.29	$2,569.29	2026-05-22
51671124	OTHER	I&d Thyroglossal Duct Cyst Infected	7	7	$3,263.00	—	$2,528.82	$2,528.82	$2,528.82	2026-05-22
48821840	OTHER	21320 Closed Treatment Nasal Fracture W/stabilization TechFee	7	7	$3,259.14	—	$2,525.84	$2,525.84	$2,525.84	2026-05-22
10747217	OTHER	Ligation Of Internal Hemorrhoids; Single Procedure	7	7	$3,249.90	—	$2,518.68	$2,518.68	$2,518.68	2026-05-22
48498456	OTHER	46200 Excision Single External Papilla Or Tag Anus	7	7	$3,249.90	—	$2,518.68	$2,518.68	$2,518.68	2026-05-22
47817049	OTHER	Proctosigmoidoscopy, Rigid; With Removal Of Foreign Body	7	7	$3,249.90	—	$2,518.68	$2,518.68	$2,518.68	2026-05-22
3726621	OTHER	Remove Int/ext Hem 1 Group	7	7	$3,249.90	—	$2,518.68	$2,518.68	$2,518.68	2026-05-22
3726619	OTHER	Remove Anal Fist Subq	7	7	$3,249.90	—	$2,518.68	$2,518.68	$2,518.68	2026-05-22
49028824	OTHER	46261 Hemorrhoidectomy, Internal And External, 2 Or More Columns/groups; With Fi…	7	7	$3,249.90	—	$2,518.68	$2,518.68	$2,518.68	2026-05-22
48658295	OTHER	46060 Incision And Drainage Of Ischiorectal Or Intramural Abscess, With Fistulec…	7	7	$3,249.90	—	$2,518.68	$2,518.68	$2,518.68	2026-05-22
48498458	OTHER	46257 Hemorrhoid Ntrnl & Xtrnl 1 Column W/fissurecto	7	7	$3,249.90	—	$2,518.68	$2,518.68	$2,518.68	2026-05-22
48695167	OTHER	46020 Placement Of Seton	7	7	$3,249.90	—	$2,518.68	$2,518.68	$2,518.68	2026-05-22
47780845	OTHER	11012 Debridement;skin, Muscle, Bone	7	7	$3,222.00	—	$2,497.05	$2,497.05	$2,497.05	2026-05-22
47922327	OTHER	22903-as Excision Tumor Soft Tissue Abdomin >3cm	7	7	$3,222.00	—	$2,497.05	$2,497.05	$2,497.05	2026-05-22
48252024	OTHER	10180 Incision And Drainage, Complex, Postoperative Wound Infection	7	7	$3,222.00	—	$2,497.05	$2,497.05	$2,497.05	2026-05-22
1353675	OTHER	Excisn, Benign Lesion Mrgs, Except Skin Tag , Scalp Neck Hands Ft Genitalia Diam…	7	7	$3,222.00	—	$2,497.05	$2,497.05	$2,497.05	2026-05-22
47784556	OTHER	27301 I&d, Deep Abscess, Bursa, Hematoma, Thigh/knee Region	7	7	$3,222.00	—	$2,497.05	$2,497.05	$2,497.05	2026-05-22
47784518	OTHER	27043 Exc, Tumor, Pelvis, 3cm/>	7	7	$3,222.00	—	$2,497.05	$2,497.05	$2,497.05	2026-05-22
10746892	OTHER	Excision Of Pilonidal Cyst Or Sinus; Extensive	7	7	$3,222.00	—	$2,497.05	$2,497.05	$2,497.05	2026-05-22
47780961	OTHER	11450 Exc Skin, Subcutaneous Tissue For Hidradenitis,axillary; Simple Or Interme…	7	7	$3,222.00	—	$2,497.05	$2,497.05	$2,497.05	2026-05-22
10758956	OTHER	Excision Tumor Thigh Knee 3cm Or >	7	7	$3,222.00	—	$2,497.05	$2,497.05	$2,497.05	2026-05-22
10746891	OTHER	Excision Of Pilonidal Cyst Or Sinus; Simple	7	7	$3,222.00	—	$2,497.05	$2,497.05	$2,497.05	2026-05-22
51173357	OTHER	Abdominal Paracentesis W Imaging Guidance	7	7	$3,218.70	—	$2,494.49	$2,494.49	$2,494.49	2026-05-22
48580892	OTHER	49083 Abdom Paracentesis Dx/ther W/imaging Guidance TechFee	7	7	$3,218.70	—	$2,494.49	$2,494.49	$2,494.49	2026-05-22
50300968	OTHER	MRI Mrcp With Contrast	7	7	$3,196.50	—	$2,477.29	$2,477.29	$2,477.29	2026-05-22
49084395	OTHER	31625 Bronchoscopy With Biopsy	7	7	$3,174.00	—	$2,459.85	$2,459.85	$2,459.85	2026-05-22
48498491	OTHER	49905 Omental Flap Intra-abdominal	7	7	$3,150.00	—	$2,441.25	$2,441.25	$2,441.25	2026-05-22
47922123	OTHER	58805-80 Drainage Of Ovarian Cyst(s), Abdominal	7	7	$3,126.89	—	$2,423.34	$2,423.34	$2,423.34	2026-05-22
49028831	OTHER	59812 Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically	7	7	$3,126.89	—	$2,423.34	$2,423.34	$2,423.34	2026-05-22
49028827	OTHER	56740 Remove Vagina Gland Lesion	7	7	$3,126.89	—	$2,423.34	$2,423.34	$2,423.34	2026-05-22
48258018	OTHER	58600 Ligation Or Transection Of Fallopian Tube(s), Abdominal Or Vaginal Approac…	7	7	$3,126.89	—	$2,423.34	$2,423.34	$2,423.34	2026-05-22
47809007	OTHER	Occlude Fallopian Tube(s)	7	7	$3,126.89	—	$2,423.34	$2,423.34	$2,423.34	2026-05-22
49025218	OTHER	95811 Pss W 4/> P W Cpap/bipap Charge	7	7	$3,100.00	—	$2,402.50	$2,402.50	$2,402.50	2026-05-22
40964890	OTHER	20670 Removal Of Implant; Superficial (eg, Buried Wire, Pin Or Rod) (separate Pr…	7	7	$3,091.00	—	$2,395.53	$2,395.53	$2,395.53	2026-05-22
49194531	OTHER	26320 Removal Of Implant From Finger Or Hand	7	7	$3,091.00	—	$2,395.53	$2,395.53	$2,395.53	2026-05-22
47786397	OTHER	27570 Manipulation Of Knee Joint Under General Anesthesia	7	7	$3,043.00	—	$2,358.32	$2,358.32	$2,358.32	2026-05-22
3726699	OTHER	Incise Finger Tendon Sheath	7	7	$3,043.00	—	$2,358.32	$2,358.32	$2,358.32	2026-05-22
1353732	OTHER	Excision Of Lesion Tendon Sheath Or Joint Capsule (eg, Cyst, Mucous Cyst, Gangli…	7	7	$3,043.00	—	$2,358.32	$2,358.32	$2,358.32	2026-05-22
8428978	OTHER	Incision Of Tendon Sheath	7	7	$3,043.00	—	$2,358.32	$2,358.32	$2,358.32	2026-05-22
10746949	OTHER	Manipulation, Hip Joint, Requiring General Anesthesia	7	7	$3,042.50	—	$2,357.94	$2,357.94	$2,357.94	2026-05-22
49374788	OTHER	25565 Fx Clsd Trt Radial & Ulnar Shaft W Manipulation	7	7	$3,042.25	—	$2,357.74	$2,357.74	$2,357.74	2026-05-22
49794749	OTHER	Closed Trt Radial & Ulna Shaft Fx W Manipulation	7	7	$3,042.25	—	$2,357.74	$2,357.74	$2,357.74	2026-05-22
48580529	OTHER	27752 Cltx Tibial Shaft Fx W/manj W/wo Skel Tracj TechFee	7	7	$3,042.00	—	$2,357.55	$2,357.55	$2,357.55	2026-05-22
50206096	OTHER	Zoledronic Acid 5 Mg/100 Ml Sol	7	7	$3,013.26	—	$2,335.28	$2,335.28	$2,335.28	2026-05-22
10747227	OTHER	Reopening Of Recent Laparotomy	7	7	$3,000.00	—	$2,325.00	$2,325.00	$2,325.00	2026-05-22
47786398	OTHER	27590 Amputation, Thigh, Through Femur, Any Level	7	7	$3,000.00	—	$2,325.00	$2,325.00	$2,325.00	2026-05-22
47922402	OTHER	44140-80 Colectomy, Partial; With Anastomosis	7	7	$3,000.00	—	$2,325.00	$2,325.00	$2,325.00	2026-05-22
47922396	OTHER	44120-as Enterectomy, Resection Of Small Intestine; Single Resection And Anastom…	7	7	$3,000.00	—	$2,325.00	$2,325.00	$2,325.00	2026-05-22
48567691	OTHER	12035 Repair Intermediate S/a/t/e 12.6-20.0cm TechFee	7	7	$2,940.32	—	$2,278.74	$2,278.74	$2,278.74	2026-05-22
1361696	OTHER	Layer Closure Of Wounds Of Scalp, Axillae, Trunk, Extremities(Exclude Hands/Feet…	7	7	$2,940.32	—	$2,278.74	$2,278.74	$2,278.74	2026-05-22
50300972	OTHER	MRI Mrcp Without Contrast	7	7	$2,934.39	—	$2,274.15	$2,274.15	$2,274.15	2026-05-22
48273228	OTHER	92960 Cardioversion Charge	7	7	$2,934.31	—	$2,274.09	$2,274.09	$2,274.09	2026-05-22
48537917	OTHER	92960 Cardioversion Elective Arrhythmia External TechFee	7	7	$2,934.31	—	$2,274.09	$2,274.09	$2,274.09	2026-05-22
10747060	OTHER	Operative Upper Gi Endoscopy; Control Bleeding	7	7	$2,928.00	—	$2,269.20	$2,269.20	$2,269.20	2026-05-22
51311846	OTHER	Bme Speed (tm) Implant Kit 9x7mm	7	7	$2,928.00	—	$2,269.20	$2,269.20	$2,269.20	2026-05-22
48609614	OTHER	11403 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm/< TechFee	7	7	$2,894.78	—	$2,243.45	$2,243.45	$2,243.45	2026-05-22
47922384	OTHER	44005-80 Enterolysis (freeing Of Intestinal Adhesion) (separate Procedure)	7	7	$2,878.70	—	$2,230.99	$2,230.99	$2,230.99	2026-05-22
47784512	OTHER	26910 Amputation, Metacarpal, W Finger Or Thumb	7	7	$2,871.00	—	$2,225.03	$2,225.03	$2,225.03	2026-05-22
51157542	OTHER	Ventralight Mesh 7x9	7	7	$2,851.00	—	$2,209.53	$2,209.53	$2,209.53	2026-05-22
722	OTHER	Vag Del Prev C-sect Delv	18	9	$2,605.74	$2,345.17	$1,824.02	$4,828.00	$2,712.26	2026-07-31

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