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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

BELLVILLE MEDICAL CENTER

Bellville, TX · CCN 450253 · Rates published

2,838 distinct procedures filed
13 distinct payers
95,674 rate rows
2026-07-31 last MRF observed
Data quality

95,442 of 95,674 rate rows are consumer-grade (99.8%)

232 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
placeholder amount (≤ $0.02) — excluded from medians 181
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 32
per-diem day rate — not a per-procedure price 18
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/shared/static/3mydfralbd8qx0h8vqu7j9wbf4ps63x7.csv
Found on page https://midcoasthealthsystem.org/pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint ce0da0ce3617d45d… · 4,220,112 bytes · first seen 2026-05-18

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
63685
CPT 		Insert/replace Ns Generat 13 $500.00 $71,404.00 $25,273.98 nat. median
$21,025
1.2× median
33264
CPT 		Removal Implant Defibrillator Pulse Gene 13 $1,475.00 $80,512.80 $25,004.78 nat. median
$31,464
0.8× median
33249
CPT 		Cardioverter-defibrillator Lead Placemen 13 $675.00 $84,480.00 $24,821.79 nat. median
$31,420
0.8× median
54405
CPT 		Insertion Penile Prosthesis 13 $7,095.00 $46,308.00 $20,259.75 nat. median
$18,432
1.1× median
54410
CPT 		Remove/replace Penile Prosthesis 13 $7,095.00 $46,160.00 $20,195.00 nat. median
$17,815
1.1× median
33263
CPT 		Removal Implantable Defibrillator Pulse 13 $1,475.00 $24,984.00 $19,112.53 nat. median
$23,228
0.8× median
64590
CPT 		Insert/replace Neurostimu 13 $500.00 $39,919.20 $18,989.47 nat. median
$17,900
1.1× median
53445
CPT 		Insertion Urethra/bladder Neck Sphincter 13 $1,475.00 $46,280.00 $16,731.14 nat. median
$16,059
1.0× median
27447
CPT 		Arthroscopy Total Knee 13 $5,506.00 $32,000.00 $14,000.00 nat. median
$12,699
1.1× median
23472
CPT 		Arthroplasty Total Shoulder Lt 13 $2,171.06 $42,620.00 $13,992.24 nat. median
$16,588
0.8× median
33229
CPT 		Removal Perm Pacemaker Pulse Generator 13 $1,475.00 $44,666.40 $12,857.15 nat. median
$18,565
0.7× median
64575
CPT 		Open Implant Ns Electrode Peripheral Ner 13 $1,475.00 $29,390.22 $11,344.43 nat. median
$11,895
1.0× median
43280
CPT 		Laparoscopy Esphagogastri 13 $2,479.00 $15,692.42 $9,807.76 nat. median
$10,017
1.0× median
28737
CPT 		Arthrodesis Midtarsal T 13 $900.00 $15,223.00 $9,737.93 nat. median
$11,343
0.9× median
28730
CPT 		Arthrodesis 13 $725.00 $15,223.00 $9,587.80 nat. median
$10,457
0.9× median
27870
CPT 		Arthrodesis, Ankle, Open 13 $725.00 $26,400.00 $9,293.53 nat. median
$10,771
0.9× median
27130
CPT 		Arthroplasty, Prosthetic Replace Rt 13 $2,023.78 $30,160.00 $9,238.05 nat. median
$13,040
0.7× median
23615
CPT 		Open Trmt Humeral Fx W/internal Fixation 13 $725.00 $26,722.40 $8,862.74 nat. median
$11,071
0.8× median
27827
CPT 		Open Trmt Tibia Orif 13 $675.00 $26,400.00 $8,750.14 nat. median
$11,070
0.8× median
20692
CPT 		Application Unilaterl External Fixation 13 $675.00 $26,400.00 $8,186.63 nat. median
$8,448
1.0× median
51860
CPT 		Cystorrhaphy 13 $1,132.00 $11,497.00 $7,889.54 nat. median
$7,891
1.0× median
33208
CPT 		Insertion Permanent Pacemaker 13 $900.00 $26,083.20 $7,632.78 nat. median
$11,703
0.7× median
33228
CPT 		Removal Permanent Pacemaker Pulse Genera 13 $1,475.00 $20,240.00 $7,459.91 nat. median
$11,423
0.7× median
27244
CPT 		Open Trmt Femoral Fx W/fi 13 $1,835.67 $20,896.00 $7,313.60 nat. median
$4,779
1.5× median
57285
CPT 		Paravaginal Defect Repair 13 $2,076.00 $11,519.68 $7,199.80 nat. median
$7,357
1.0× median
33285
CPT 		Insertion Cardiac Rhythm Monitor 13 $1,475.00 $20,240.00 $6,898.31 nat. median
$8,877
0.8× median
28210
CPT 		Repair Ext Tendon Foot 13 $675.00 $12,178.40 $6,816.33 nat. median
$6,872
1.0× median
44950
CPT 		Appendectomy 13 $1,588.00 $9,004.00 $6,343.32 nat. median
$6,003
1.1× median
49652
CPT 		**laparoscopic Hernia Repai 13 $1,100.00 $17,262.40 $6,041.84 nat. median
$5,168
1.2× median
49654
CPT 		**laparoscopy Incisional H 13 $1,100.00 $17,262.40 $6,041.84 nat. median
$4,921
1.2× median
49653
CPT 		**laparoscopy Hernia Repair 13 $1,100.00 $17,262.40 $6,041.84 nat. median
$5,374
1.1× median
33216
CPT 		Insertion Pacemaker/defibrillator 13 $900.00 $19,560.00 $5,640.16 nat. median
$8,504
0.7× median
21385
CPT 		Open Trmt Fx Orbit Blowou 13 $2,076.00 $12,344.80 $5,579.71 nat. median
$6,252
0.9× median
33233
CPT 		Removal Permanent Pacemaker 13 $400.00 $19,600.00 $5,576.69 nat. median
$8,071
0.7× median
44180
CPT 		Laparoscopy Surgical ENT 13 $2,479.00 $8,820.00 $5,497.59 nat. median
$5,888
0.9× median
44186
CPT 		Laparoscopy Jejunostomy 13 $2,479.00 $8,820.00 $5,497.59 nat. median
$6,057
0.9× median
55559
CPT 		Laparoscopy Spermatic Co 13 $400.00 $8,796.14 $5,497.59 nat. median
$6,664
0.8× median
47379
CPT 		Laparoscopic Procedure L 13 $400.00 $8,796.14 $5,497.59 nat. median
$6,343
0.9× median
49659
CPT 		Laparoscopy Procedure 13 $400.00 $8,796.14 $5,497.59 nat. median
$6,549
0.8× median
44970
CPT 		Laparoscopy Appendectomy 13 $2,479.00 $8,796.14 $5,497.59 nat. median
$5,994
0.9× median
47579
CPT 		Unlisted Lap Proc Biliar 13 $400.00 $8,796.14 $5,497.59 nat. median
$6,485
0.8× median
49329
CPT 		Laparoscopy Unlisted 13 $400.00 $9,504.00 $5,497.59 nat. median
$6,376
0.9× median
64581
CPT 		Inc Implant Of Neurostimu 13 $400.00 $12,344.80 $5,356.46 nat. median
$6,805
0.8× median
37191
CPT 		Insertion Vena Cava Filter 13 $2,479.00 $12,144.00 $5,313.00 nat. median
$6,251
0.8× median
52284
CPT 		Cystourethroscopy W/dilation 13 $2,471.16 $11,840.00 $5,180.00 nat. median
$5,386
1.0× median
20900
CPT 		Bone Graft, Any Area 13 $675.00 $15,048.00 $5,077.91 nat. median
$6,176
0.8× median
64561
CPT 		Implant Neurostimulator E 13 $675.00 $12,344.80 $5,037.27 nat. median
$6,632
0.8× median
63650
CPT 		Percutaneous Implant Ns E 13 $500.00 $15,167.20 $4,948.60 nat. median
$7,255
0.7× median
28297
CPT 		Hallux Valgus Correction 13 $675.00 $8,970.27 $4,899.62 nat. median
$7,413
0.7× median
23440
CPT 		Resection Biceps Tendon Lt 13 $725.00 $16,360.00 $4,872.64 nat. median
$6,623
0.7× median

Other procedures at this hospital

Browse this hospital's 2,838 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
             
33249 CPT Cardioverter-defibrillator Lead Placemen 24 13 $105,600.00 $105,600.00 $675.00 $84,480.00 $24,821.79 2026-07-31
33264 CPT Removal Implant Defibrillator Pulse Gene 24 13 $100,641.00 $100,641.00 $1,475.00 $80,512.80 $25,004.78 2026-07-31
63685 CPT Insert/replace Ns Generat 24 13 $89,255.00 $89,255.00 $500.00 $71,404.00 $25,273.98 2026-07-31
54405 CPT Insertion Penile Prosthesis 24 13 $57,885.00 $57,885.00 $7,095.00 $46,308.00 $20,259.75 2026-07-31
53445 CPT Insertion Urethra/bladder Neck Sphincter 24 13 $57,850.00 $57,850.00 $1,475.00 $46,280.00 $16,731.14 2026-07-31
54410 CPT Remove/replace Penile Prosthesis 24 13 $57,700.00 $57,700.00 $7,095.00 $46,160.00 $20,195.00 2026-07-31
33229 CPT Removal Perm Pacemaker Pulse Generator 24 13 $55,833.00 $55,833.00 $1,475.00 $44,666.40 $12,857.15 2026-07-31
23472 CPT Arthroplasty Total Shoulder Lt 48 13 $53,275.00 $53,275.00 $2,171.06 $42,620.00 $13,992.24 2026-07-31
64590 CPT Insert/replace Neurostimu 24 13 $49,899.00 $49,899.00 $500.00 $39,919.20 $18,989.47 2026-07-31
27447 CPT Arthroscopy Total Knee 24 13 $40,000.00 $40,000.00 $5,506.00 $32,000.00 $14,000.00 2026-07-31
27130 CPT Arthroplasty, Prosthetic Replace Rt 24 13 $37,700.00 $37,700.00 $2,023.78 $30,160.00 $9,238.05 2026-07-31
64575 CPT Open Implant Ns Electrode Peripheral Ner 24 13 $35,860.00 $35,860.00 $1,475.00 $29,390.22 $11,344.43 2026-07-31
23615 CPT Open Trmt Humeral Fx W/internal Fixation 24 13 $33,403.00 $33,403.00 $725.00 $26,722.40 $8,862.74 2026-07-31
27870 CPT Arthrodesis, Ankle, Open 24 13 $33,000.00 $33,000.00 $725.00 $26,400.00 $9,293.53 2026-07-31
27827 CPT Open Trmt Tibia Orif 24 13 $33,000.00 $33,000.00 $675.00 $26,400.00 $8,750.14 2026-07-31
20692 CPT Application Unilaterl External Fixation 24 13 $33,000.00 $33,000.00 $675.00 $26,400.00 $8,186.63 2026-07-31
33208 CPT Insertion Permanent Pacemaker 24 13 $32,604.00 $32,604.00 $900.00 $26,083.20 $7,632.78 2026-07-31
58670 CPT Laparoscopy W/fulguratio 24 13 $27,918.00 $27,918.00 $725.00 $22,334.40 $2,705.46 2026-07-31
27244 CPT Open Trmt Femoral Fx W/fi 24 13 $26,120.00 $26,120.00 $1,835.67 $20,896.00 $7,313.60 2026-07-31
50081 CPT Percutaneous Nephro/pyelo Lt 48 13 $25,675.00 $25,675.00 $1,475.00 $20,540.00 $4,545.51 2026-07-31
33228 CPT Removal Permanent Pacemaker Pulse Genera 24 13 $25,300.00 $25,300.00 $1,475.00 $20,240.00 $7,459.91 2026-07-31
33285 CPT Insertion Cardiac Rhythm Monitor 24 13 $25,300.00 $25,300.00 $1,475.00 $20,240.00 $6,898.31 2026-07-31
33263 CPT Removal Implantable Defibrillator Pulse 24 13 $24,984.00 $24,984.00 $1,475.00 $24,984.00 $19,112.53 2026-07-31
33233 CPT Removal Permanent Pacemaker 24 13 $24,500.00 $24,500.00 $400.00 $19,600.00 $5,576.69 2026-07-31
33216 CPT Insertion Pacemaker/defibrillator 24 13 $24,450.00 $24,450.00 $900.00 $19,560.00 $5,640.16 2026-07-31
58552 CPT Laparoscopy W Vag Hystere 24 13 $22,990.00 $22,990.00 $1,475.00 $18,392.00 $4,540.64 2026-07-31
58554 CPT Laparoscopy W/vag Hystere 24 13 $22,990.00 $22,990.00 $1,475.00 $18,392.00 $4,540.64 2026-07-31
49652 CPT **laparoscopic Hernia Repai 24 13 $21,578.00 $21,578.00 $1,100.00 $17,262.40 $6,041.84 2026-07-31
49653 CPT **laparoscopy Hernia Repair 24 13 $21,578.00 $21,578.00 $1,100.00 $17,262.40 $6,041.84 2026-07-31
49654 CPT **laparoscopy Incisional H 24 13 $21,578.00 $21,578.00 $1,100.00 $17,262.40 $6,041.84 2026-07-31
23440 CPT Resection Biceps Tendon Lt 48 13 $20,450.00 $20,450.00 $725.00 $16,360.00 $4,872.64 2026-07-31
63663 CPT Revision Neurostimulator Electrode 24 13 $19,984.00 $19,984.00 $900.00 $15,987.20 $4,861.09 2026-07-31
24341 CPT Repair Tendon Muscle Humerus/elbow 24 13 $19,842.00 $19,842.00 $675.00 $15,873.60 $3,392.92 2026-07-31
29888 CPT Arthroscopicall Aided Anterior Cruciate 24 13 $19,800.00 $19,800.00 $675.00 $15,840.00 $4,497.04 2026-07-31
23630 CPT Open Trmt Greater Humeral Tuberosity Fx 26 13 $19,800.00 $19,800.00 $900.00 $15,840.00 $4,247.76 2026-07-31
27784 CPT Open Tmt Proximal Fibula W Int Fixation 24 13 $19,690.00 $19,690.00 $675.00 $15,752.00 $3,392.92 2026-07-31
20690 CPT Application Unilateral External Fixation 24 13 $19,250.00 $19,250.00 $500.00 $15,400.00 $4,633.03 2026-07-31
28755 CPT Arthrodesis Great Toe 24 13 $19,200.00 $19,200.00 $725.00 $15,360.00 $3,392.92 2026-07-31
29807 CPT Arthroscopy Shoulder Rpr Slap Lesion Rt 24 13 $19,200.00 $19,200.00 $675.00 $15,360.00 $3,392.92 2026-07-31
63650 CPT Percutaneous Implant Ns E 24 13 $18,959.00 $18,959.00 $500.00 $15,167.20 $4,948.60 2026-07-31
20900 CPT Bone Graft, Any Area 24 13 $18,810.00 $18,810.00 $675.00 $15,048.00 $5,077.91 2026-07-31
27726 CPT Repair Of Fibula Nonunion 24 13 $18,810.00 $18,810.00 $1,475.00 $15,048.00 $4,574.26 2026-07-31
25400 CPT Repair Of Radius/ulna Nonunion 24 13 $18,810.00 $18,810.00 $675.00 $15,048.00 $4,521.74 2026-07-31
28415 CPT Open Trmt Calcaneal Fx 24 13 $18,810.00 $18,810.00 $675.00 $15,048.00 $4,477.16 2026-07-31
24685 CPT Open Tmt Ulnar Fx 24 13 $18,810.00 $18,810.00 $675.00 $15,048.00 $4,319.88 2026-07-31
29827 CPT Arthroscopy Shoulder With Rotator Cuff 24 13 $18,810.00 $18,810.00 $675.00 $15,048.00 $3,392.92 2026-07-31
28485 CPT Open Trmt Metatarsal Fx With Int Fixatio 24 13 $18,800.00 $18,800.00 $725.00 $15,040.00 $4,384.04 2026-07-31
29828 CPT Arthroscopy Shoulder, Biceps Tenodesis 24 13 $18,800.00 $18,800.00 $1,475.00 $15,040.00 $3,392.92 2026-07-31
27524 CPT Open Trmt Patellar Fx W Int Fixation 24 13 $18,700.00 $18,700.00 $675.00 $14,960.00 $3,392.92 2026-07-31
23660 CPT Open Trmt Shoulder Dislocation 24 13 $18,480.00 $18,480.00 $675.00 $14,784.00 $3,392.92 2026-07-31
25608 CPT Open Trmt Distal Radius Orif 24 13 $17,600.00 $17,600.00 $900.00 $14,080.00 $4,597.82 2026-07-31
23410 CPT Repair Ruptured Cuff 24 13 $17,232.00 $17,232.00 $900.00 $13,785.60 $3,392.92 2026-07-31
44206 CPT Laparoscopy Colectomy With 24 13 $17,042.00 $17,042.00 $385.00 $13,633.60 $4,771.76 2026-07-31
25607 CPT Fx Care Distal Radius Ope 24 13 $16,246.00 $16,246.00 $900.00 $12,996.80 $4,549.27 2026-07-31
58542 CPT Laparoscopy Supracervical 24 13 $15,983.00 $15,983.00 $1,475.00 $12,786.40 $4,540.64 2026-07-31
49655 CPT **laparoscopy Inc Hernia St 24 13 $15,983.00 $15,983.00 $1,100.00 $12,786.40 $4,475.24 2026-07-31
43280 CPT Laparoscopy Esphagogastri 24 13 $15,982.00 $15,982.00 $2,479.00 $15,692.42 $9,807.76 2026-07-31
58541 CPT Laparoscopy Supracervical 24 13 $15,982.00 $15,982.00 $1,475.00 $12,785.60 $4,540.64 2026-07-31
21385 CPT Open Trmt Fx Orbit Blowou 24 13 $15,431.00 $15,431.00 $2,076.00 $12,344.80 $5,579.71 2026-07-31
64581 CPT Inc Implant Of Neurostimu 24 13 $15,431.00 $15,431.00 $400.00 $12,344.80 $5,356.46 2026-07-31
64561 CPT Implant Neurostimulator E 24 13 $15,431.00 $15,431.00 $675.00 $12,344.80 $5,037.27 2026-07-31
69637 CPT Tympanoplasty W/ossicular 24 13 $15,431.00 $15,431.00 $1,300.00 $12,344.80 $2,760.82 2026-07-31
69662 CPT Revision Stapedectomy 24 13 $15,431.00 $15,431.00 $900.00 $12,344.80 $2,760.82 2026-07-31
36566 CPT Insertion Tunneled Central Cvp 24 13 $15,419.00 $15,419.00 $675.00 $12,335.20 $2,903.10 2026-07-31
52355 CPT Cystouret W/exc Tumor 24 13 $15,250.00 $15,250.00 $500.00 $12,200.00 $2,471.16 2026-07-31
28103 CPT Exc/curettage Bone Cyst W 24 13 $15,224.00 $15,224.00 $675.00 $12,179.20 $4,654.04 2026-07-31
28238 CPT Kidner Procedure 24 13 $15,224.00 $15,224.00 $675.00 $12,179.20 $3,392.92 2026-07-31
28737 CPT Arthrodesis Midtarsal T 24 13 $15,223.00 $15,223.00 $900.00 $15,223.00 $9,737.93 2026-07-31
28730 CPT Arthrodesis 24 13 $15,223.00 $15,223.00 $725.00 $15,223.00 $9,587.80 2026-07-31
28210 CPT Repair Ext Tendon Foot 24 13 $15,223.00 $15,223.00 $675.00 $12,178.40 $6,816.33 2026-07-31
37191 CPT Insertion Vena Cava Filter 24 13 $15,180.00 $15,180.00 $2,479.00 $12,144.00 $5,313.00 2026-07-31
51992 CPT Laparoscopy Surgical Sling 24 13 $15,180.00 $15,180.00 $900.00 $12,144.00 $3,664.88 2026-07-31
58671 CPT Laparoscopy With Occlusion Of Oviducts 24 13 $15,180.00 $15,180.00 $725.00 $12,144.00 $2,705.46 2026-07-31
47563 CPT Lap Cholecystectomy W/cho 24 13 $15,166.00 $15,166.00 $1,100.00 $12,132.80 $2,705.46 2026-07-31
53410 CPT Urethroplasty Anterior 24 13 $15,000.00 $15,000.00 $500.00 $12,000.00 $2,471.16 2026-07-31
55180 CPT Scrotoplasty Complicated 24 13 $15,000.00 $15,000.00 $500.00 $12,000.00 $2,471.16 2026-07-31
52284 CPT Cystourethroscopy W/dilation 24 13 $14,800.00 $14,800.00 $2,471.16 $11,840.00 $5,180.00 2026-07-31
52354 CPT Cystourethroscopy W/ureteroscopy 24 13 $14,800.00 $14,800.00 $725.00 $11,840.00 $2,471.16 2026-07-31
52353 CPT Cystourethroscopy W/ureteroscopy 24 13 $14,800.00 $14,800.00 $725.00 $11,840.00 $2,471.16 2026-07-31
52325 CPT Cystourethroscopy Left 48 13 $14,800.00 $14,800.00 $725.00 $11,840.00 $2,471.16 2026-07-31
51050 CPT Cystolithotomy, Cystotomy W/rem Calculus 24 13 $14,136.00 $14,136.00 $725.00 $11,308.80 $2,471.16 2026-07-31
52630 CPT Transurethral Resection W/control Bleed 24 13 $14,125.00 $14,125.00 $500.00 $11,300.00 $2,471.16 2026-07-31
52305 CPT Cystourethroscopy W/inc/resection 24 13 $14,125.00 $14,125.00 $500.00 $11,300.00 $2,471.16 2026-07-31
52601 CPT Turp W/control Postop Bleed 24 13 $14,100.00 $14,100.00 $725.00 $11,280.00 $2,471.16 2026-07-31
52240 CPT Cystourethroscopy W/fulg 24 13 $14,100.00 $14,100.00 $675.00 $11,280.00 $2,471.16 2026-07-31
52356 CPT Cysto/uretero W/lith Lt 48 13 $14,100.00 $14,100.00 $1,475.00 $11,280.00 $2,471.16 2026-07-31
57265 CPT Anteroposterior Colporrhaphy W Enterocel 24 13 $14,097.00 $14,097.00 $1,300.00 $11,277.60 $2,135.57 2026-07-31
58150 CPT Tah With Bil Salpingo-oopho 24 13 $14,080.00 $14,080.00 $1,496.13 $11,264.00 $3,942.40 2026-07-31
49650 CPT Lap Rpr Ing (bilateral) 48 13 $13,782.00 $13,782.00 $725.00 $13,231.20 $2,705.46 2026-07-31
58350 CPT Chromotubation Of Oviduct 24 13 $13,640.00 $13,640.00 $1,588.00 $10,912.00 $4,095.45 2026-07-31
58262 CPT Vaginal Hysterectomy 24 13 $13,615.00 $13,615.00 $1,475.00 $10,892.00 $2,135.57 2026-07-31
J3101 HCPCS Tenecteplase 50mg Vial 24 13 $13,552.25 $13,552.25 $153.11 $10,841.80 $4,743.29 2026-07-31
57555 CPT Exc Cervical Stump Vag Approach 24 13 $13,510.00 $13,510.00 $1,588.00 $10,808.00 $4,739.10 2026-07-31
52648 CPT Laser Vaporization Prosta 24 13 $13,268.00 $13,268.00 $725.00 $10,614.40 $2,471.16 2026-07-31
58925 CPT Ovarian Cystectomy Uni Or Bil 24 13 $13,200.00 $13,200.00 $1,588.00 $10,560.00 $4,739.10 2026-07-31
58353 CPT Endometrial Ablation, Thermal Wo Hystero 24 13 $13,200.00 $13,200.00 $400.00 $10,560.00 $4,739.10 2026-07-31
47562 CPT Laparoscopic Cholecystect 24 13 $12,800.00 $12,800.00 $1,100.00 $10,240.00 $2,705.46 2026-07-31
57240 CPT Anterior Colporrhaphy 24 13 $12,540.00 $12,540.00 $900.00 $10,032.00 $2,135.57 2026-07-31
38570 CPT Laparoscopy W/biopsy Lymp 24 13 $12,467.00 $12,467.00 $725.00 $9,973.60 $2,705.46 2026-07-31
24800 CPT Arthrodesis Elbow Joint 24 13 $12,408.00 $12,408.00 $725.00 $9,926.40 $3,392.92 2026-07-31
93458 CPT Cath Plmt With Left Heart Catheterization 24 13 $12,375.00 $12,375.00 $2,076.00 $9,900.00 $4,051.58 2026-07-31
93456 CPT Cath Plmt With Right Heart Catheterization 24 13 $12,375.00 $12,375.00 $1,632.45 $9,900.00 $3,331.75 2026-07-31
93460 CPT Cath Plmt With Rt&lt Heart Catheterization 24 13 $12,375.00 $12,375.00 $1,632.45 $9,900.00 $3,331.75 2026-07-31
93452 CPT Left Heart Catheterization 34 13 $12,375.00 $12,375.00 $2,076.00 $9,900.00 $3,115.00 2026-07-31
60280 CPT Exc Thyroglossal Duct Cys 24 13 $12,365.00 $12,365.00 $725.00 $9,892.00 $2,705.46 2026-07-31
60220 CPT Total Thyroid Lobectomy 24 13 $12,365.00 $12,365.00 $500.00 $9,892.00 $2,705.46 2026-07-31
38740 CPT Axillary Lymphadenectomy 24 13 $12,365.00 $12,365.00 $500.00 $9,892.00 $2,705.46 2026-07-31
27814 CPT Orif Tib/fib/patella 24 13 $12,332.00 $12,332.00 $675.00 $9,865.60 $4,382.90 2026-07-31
J2406 HCPCS Oritavancin 1200mg Vial (kimyrsa) 24 13 $12,307.00 $12,307.00 $40.92 $9,845.60 $4,307.45 2026-07-31
42825 CPT Tonsillectomy Under Age 1 24 13 $12,302.00 $12,302.00 $500.00 $9,841.60 $2,760.82 2026-07-31
60225 CPT Total Thyroid Lobectomy 24 13 $12,210.00 $12,210.00 $675.00 $9,768.00 $2,705.46 2026-07-31
19307 CPT Mastectomy Modified Radi 24 13 $12,104.00 $12,104.00 $2,076.00 $9,683.20 $4,146.98 2026-07-31
19302 CPT Mastectomy Partial W/lym 24 13 $12,104.00 $12,104.00 $1,300.00 $9,683.20 $2,535.97 2026-07-31
75625 CPT Aortography Abdominal By Serialography 24 13 $12,040.00 $12,040.00 $125.00 $9,632.00 $3,753.50 2026-07-31
51500 CPT Exc Urachal Cyst 24 13 $11,914.00 $11,914.00 $725.00 $9,531.20 $2,705.46 2026-07-31
49329 CPT Laparoscopy Unlisted 24 13 $11,880.00 $11,880.00 $400.00 $9,504.00 $5,497.59 2026-07-31
49320 CPT Laparoscopy 24 13 $11,880.00 $11,880.00 $675.00 $9,504.00 $2,705.46 2026-07-31
49505 CPT Bil Inguinal Hernia Repai 48 13 $11,707.00 $11,707.00 $725.00 $12,487.20 $1,621.81 2026-07-31
57285 CPT Paravaginal Defect Repair 24 13 $11,606.00 $11,606.00 $2,076.00 $11,519.68 $7,199.80 2026-07-31
57284 CPT Paravaginal Defect Repair 24 13 $11,606.00 $11,606.00 $2,076.00 $9,284.80 $4,739.10 2026-07-31
57282 CPT Colpopexy Vaginal 24 13 $11,606.00 $11,606.00 $2,076.00 $10,059.78 $4,062.10 2026-07-31
57280 CPT Colpopexy Abdominal 24 13 $11,606.00 $11,606.00 $1,132.00 $9,284.80 $3,249.68 2026-07-31
57288 CPT Sling Operation/stress In 24 13 $11,606.00 $11,606.00 $1,475.00 $9,284.80 $2,750.64 2026-07-31
58563 CPT Hysteroscopy W/endometria 24 13 $11,606.00 $11,606.00 $725.00 $9,284.80 $2,135.57 2026-07-31
58260 CPT Vaginal Hysterectomy 24 13 $11,606.00 $11,606.00 $1,475.00 $9,284.80 $2,135.57 2026-07-31
57260 CPT Anteroposterior Colporrha 24 13 $11,606.00 $11,606.00 $900.00 $9,284.80 $2,135.57 2026-07-31
57250 CPT Posterior Colporrhaphy 24 13 $11,606.00 $11,606.00 $900.00 $9,284.80 $2,135.57 2026-07-31
51860 CPT Cystorrhaphy 24 13 $11,497.00 $11,497.00 $1,132.00 $11,497.00 $7,889.54 2026-07-31
54415 CPT Removal Penis Prosthesis 24 13 $11,326.00 $11,326.00 $1,475.00 $9,060.80 $1,626.11 2026-07-31
44186 CPT Laparoscopy Jejunostomy 24 13 $11,025.00 $11,025.00 $2,479.00 $8,820.00 $5,497.59 2026-07-31
44180 CPT Laparoscopy Surgical ENT 24 13 $11,025.00 $11,025.00 $2,479.00 $8,820.00 $5,497.59 2026-07-31
47564 CPT Laparoscopic Cholecystect 24 13 $11,025.00 $11,025.00 $1,100.00 $8,820.00 $4,540.64 2026-07-31
58570 CPT Laparoscopy W/tah Uterus> 24 13 $11,025.00 $11,025.00 $1,475.00 $11,025.00 $4,540.64 2026-07-31
58662 CPT Laparoscopy W/fulguration 24 13 $11,025.00 $11,025.00 $900.00 $8,820.00 $2,705.46 2026-07-31
58661 CPT Laparoscopy W/remov Tubes 24 13 $11,025.00 $11,025.00 $900.00 $8,820.00 $2,705.46 2026-07-31
58660 CPT Laparoscopy W/lysis Adhes 24 13 $11,025.00 $11,025.00 $900.00 $8,820.00 $2,705.46 2026-07-31
49651 CPT Lap Repair Rec Inguinal 24 13 $11,025.00 $11,025.00 $1,300.00 $8,820.00 $2,705.46 2026-07-31
72285 CPT Discography Cerv/thor Sup 24 13 $10,992.00 $10,992.00 $1,839.63 $8,793.60 $3,847.20 2026-07-31
27650 CPT Repair Ruptured Tendon 24 13 $10,989.00 $10,989.00 $675.00 $8,791.20 $3,392.92 2026-07-31
23412 CPT Repair Musculotendinous C 24 13 $10,976.00 $10,976.00 $1,300.00 $8,970.27 $3,392.92 2026-07-31
23420 CPT Reconstruction Rotator Cu 24 13 $10,976.00 $10,976.00 $1,300.00 $8,970.27 $3,392.92 2026-07-31
69501 CPT Transmastoid Antrotomy 24 13 $10,890.00 $10,890.00 $1,300.00 $8,712.00 $2,760.82 2026-07-31
31200 CPT Ethmoidectomy Intranasal 24 13 $10,890.00 $10,890.00 $500.00 $8,712.00 $2,760.82 2026-07-31
69641 CPT Tympanoplasty W/mastoidec 24 13 $10,890.00 $10,890.00 $1,300.00 $8,712.00 $2,760.82 2026-07-31
69645 CPT Tympanoplasty W/mastoidec 24 13 $10,890.00 $10,890.00 $1,300.00 $8,712.00 $2,760.82 2026-07-31
69505 CPT Mastoidectomy Modified Ra 24 13 $10,890.00 $10,890.00 $1,300.00 $8,712.00 $2,760.82 2026-07-31
31032 CPT Sinusotomy Maxillary Ra 24 13 $10,890.00 $10,890.00 $725.00 $8,712.00 $2,760.82 2026-07-31
69604 CPT Revision Mastoidectomy 24 13 $10,890.00 $10,890.00 $1,300.00 $8,712.00 $2,760.82 2026-07-31
69310 CPT Reconstruction Ext Audito 24 13 $10,890.00 $10,890.00 $675.00 $8,712.00 $2,760.82 2026-07-31
42440 CPT Exc Submandibular/maxilla 24 13 $10,890.00 $10,890.00 $675.00 $8,712.00 $2,760.82 2026-07-31
69635 CPT Tympanoplasty W/antrotomy 24 13 $10,890.00 $10,890.00 $1,300.00 $8,712.00 $2,760.82 2026-07-31
69511 CPT Mastoidectomy Radical 24 13 $10,890.00 $10,890.00 $1,300.00 $8,712.00 $2,760.82 2026-07-31
69603 CPT Revision Mastoidectomy 24 13 $10,890.00 $10,890.00 $1,300.00 $8,712.00 $2,760.82 2026-07-31
69660 CPT Stapedectomy/stapedotomy 24 13 $10,890.00 $10,890.00 $900.00 $8,712.00 $2,760.82 2026-07-31
31030 CPT Sinusotomy Maxillary Ra 24 13 $10,890.00 $10,890.00 $675.00 $8,712.00 $2,760.82 2026-07-31
69631 CPT Tympanoplasty Without Mastoid 24 13 $10,890.00 $10,890.00 $900.00 $8,712.00 $2,760.82 2026-07-31
60260 CPT Thyroidectomy Removal Th 24 13 $10,880.00 $10,880.00 $2,076.00 $8,704.00 $3,808.00 2026-07-31
42450 CPT Exc Sublingual Gland 24 13 $10,880.00 $10,880.00 $500.00 $8,704.00 $2,760.82 2026-07-31
30580 CPT Rpr Fistula Oromaxillary 24 13 $10,880.00 $10,880.00 $725.00 $8,704.00 $2,760.82 2026-07-31
15769 CPT Grafting Autologous Soft Tissue 24 13 $10,790.00 $10,790.00 $1,588.00 $8,632.00 $3,377.07 2026-07-31
44970 CPT Laparoscopy Appendectomy 24 13 $10,749.00 $10,749.00 $2,479.00 $8,796.14 $5,497.59 2026-07-31
J2760 HCPCS Phentolamine 5mg/2ml Vial (regitine) 24 13 $10,710.00 $10,710.00 $446.80 $8,568.00 $3,748.50 2026-07-31
49593 CPT Repair Of Anterior Abdominal Hernia 24 13 $10,625.00 $10,625.00 $1,621.81 $8,500.00 $3,718.75 2026-07-31
28297 CPT Hallux Valgus Correction 24 13 $10,540.00 $10,540.00 $675.00 $8,970.27 $4,899.62 2026-07-31
28291 CPT Hallux Valgus Correction 24 13 $10,540.00 $10,540.00 $1,475.00 $8,970.27 $4,644.95 2026-07-31
49615 CPT Repair Anterior Abdominal Hernia Reducib 24 13 $10,500.00 $10,500.00 $1,621.81 $8,400.00 $3,675.00 2026-07-31
33241 CPT Removal Implantable Defibrillator 24 13 $10,400.00 $10,400.00 $675.00 $8,320.00 $2,037.07 2026-07-31
33244 CPT Removal Electrode By Transvenous Extract 34 13 $10,320.00 $10,320.00 $1,588.00 $8,256.00 $3,741.62 2026-07-31
33220 CPT Repair Transvenous Electrodes 24 13 $10,320.00 $10,320.00 $675.00 $8,256.00 $2,660.08 2026-07-31
33235 CPT Rem Transvenous Pacemaker 24 13 $10,320.00 $10,320.00 $400.00 $8,256.00 $2,037.07 2026-07-31
52402 CPT Cystourethroscopy W/turp/inc Ejac Ducts 24 13 $10,000.00 $10,000.00 $1,132.00 $8,000.00 $3,050.89 2026-07-31
52300 CPT Cystourethroscopy W/resection/fulguratio 24 13 $10,000.00 $10,000.00 $500.00 $8,000.00 $1,626.11 2026-07-31
54505 CPT Biopsy Testis Incisional 24 13 $10,000.00 $10,000.00 $400.00 $8,000.00 $1,626.11 2026-07-31
52345 CPT Cystourethroscopy W Ureteroscopy 24 13 $10,000.00 $10,000.00 $675.00 $8,000.00 $1,626.11 2026-07-31
52342 CPT Cystourethroscopy W/tmt Upj Stricture Lt 48 13 $10,000.00 $10,000.00 $675.00 $8,000.00 $1,626.11 2026-07-31
55706 CPT Biopsy Prostate Needle 26 13 $10,000.00 $10,000.00 $400.00 $8,000.00 $1,626.11 2026-07-31
52344 CPT Cystourethroscopy W/ureteroscopy 24 13 $10,000.00 $10,000.00 $675.00 $8,000.00 $1,626.11 2026-07-31
52001 CPT Cystourethroscopy W/irritation Amp 24 13 $10,000.00 $10,000.00 $500.00 $8,000.00 $1,626.11 2026-07-31
54600 CPT Reduction Torsion Testis 24 13 $10,000.00 $10,000.00 $725.00 $8,000.00 $1,626.11 2026-07-31
51715 CPT Endoscopic Inj Implant 24 13 $9,965.00 $9,965.00 $500.00 $7,972.00 $2,248.20 2026-07-31
54406 CPT Removal Penile Prosthesis 24 13 $9,965.00 $9,965.00 $1,475.00 $7,972.00 $1,626.11 2026-07-31
55530 CPT Exc Varicocele/ligation 24 13 $9,965.00 $9,965.00 $725.00 $7,972.00 $1,626.11 2026-07-31
54530 CPT Orchiectomy Radical Tumor 24 13 $9,900.00 $9,900.00 $725.00 $7,920.00 $1,621.81 2026-07-31
54640 CPT Orchiectomy Inguinal/scrotal Lt 48 13 $9,900.00 $9,900.00 $725.00 $7,920.00 $1,621.81 2026-07-31
55041 CPT Excision Hydrocele Bilateral 24 13 $9,900.00 $9,900.00 $900.00 $7,920.00 $1,621.81 2026-07-31
49591 CPT Repair Anterior Abdominal Hernia 24 13 $9,750.00 $9,750.00 $1,621.81 $7,800.00 $3,412.50 2026-07-31
64595 CPT Revision/removal Peripheral Or Gastric N 24 13 $9,741.00 $9,741.00 $400.00 $7,792.80 $1,898.16 2026-07-31
64585 CPT Rev/rem Peripheral Neurostimulator 24 13 $9,727.00 $9,727.00 $400.00 $7,781.60 $1,898.16 2026-07-31
49585 CPT **umbilical Hernia Repair 24 13 $9,726.00 $9,726.00 $725.00 $7,780.80 $2,723.28 2026-07-31
50590 CPT Lithotripsy, Lt 48 13 $9,700.00 $9,700.00 $2,716.00 $7,760.00 $3,395.00 2026-07-31
52224 CPT Cystourethroscopy W/fulguration 24 13 $9,700.00 $9,700.00 $500.00 $7,760.00 $1,626.11 2026-07-31
54522 CPT Orchiectomy, Lt Partial 48 13 $9,700.00 $9,700.00 $675.00 $7,760.00 $1,626.11 2026-07-31
52500 CPT Transurethral Electrosurgical Resection 24 13 $9,700.00 $9,700.00 $675.00 $7,760.00 $1,626.11 2026-07-31
55175 CPT Scrotoplasty Simple 24 13 $9,700.00 $9,700.00 $400.00 $7,760.00 $1,626.11 2026-07-31
52318 CPT Litholapaxy Crushing Of Calculus Complic 24 13 $9,658.00 $9,658.00 $500.00 $7,726.40 $1,626.11 2026-07-31
54324 CPT Distal Hypospadias Repair W/urethroplast 24 13 $9,650.00 $9,650.00 $675.00 $7,720.00 $1,626.11 2026-07-31
52235 CPT Cystourethroscopy, W/fulguration/resecti 24 13 $9,615.00 $9,615.00 $675.00 $7,692.00 $1,626.11 2026-07-31
52640 CPT Turp Postop Bladder Neck Contracture 24 13 $9,615.00 $9,615.00 $500.00 $7,692.00 $1,626.11 2026-07-31
52214 CPT Cystourethroscopy W/ful Trigone/bladder/ 24 13 $9,615.00 $9,615.00 $500.00 $7,692.00 $1,626.11 2026-07-31
53275 CPT Excision/fulguration Urethral Prolapse 24 13 $9,615.00 $9,615.00 $500.00 $7,692.00 $1,626.11 2026-07-31
63688 CPT Revision Of Implanted Neurostimulator 24 13 $9,503.00 $9,503.00 $400.00 $7,602.40 $1,898.16 2026-07-31
93454 CPT Catheter Placement For Coronary Angiogra 24 13 $9,460.00 $9,460.00 $1,632.45 $7,568.00 $2,961.46 2026-07-31
93459 CPT Catheter Placement Coronary Angio 24 13 $9,405.00 $9,405.00 $1,632.45 $7,524.00 $2,951.84 2026-07-31
36254 CPT Catheter Placement For Coronary Angiogra 24 13 $9,147.00 $9,147.00 $1,588.00 $7,317.60 $3,201.45 2026-07-31
67036 CPT Vitrectomy Mechanical 24 13 $9,108.00 $9,108.00 $725.00 $7,286.40 $2,045.03 2026-07-31
44950 CPT Appendectomy 24 13 $9,004.00 $9,004.00 $1,588.00 $9,004.00 $6,343.32 2026-07-31
31255 CPT Endoscopy W/ethmoidectomy 24 13 $8,956.00 $8,956.00 $900.00 $7,782.67 $2,301.07 2026-07-31
31276 CPT Sinus Endoscopy With Expl 24 13 $8,956.00 $8,956.00 $675.00 $7,782.67 $2,301.07 2026-07-31
31287 CPT Nasal/sinus Endoscopy W/s 24 13 $8,956.00 $8,956.00 $675.00 $7,782.67 $2,301.07 2026-07-31
15273 CPT Skin Sub Graft T/arm/leg Child 24 13 $8,945.00 $8,945.00 $1,475.00 $7,156.00 $3,418.26 2026-07-31
49521 CPT Repair Recurrent Ing Hern 24 13 $8,824.00 $8,824.00 $900.00 $7,059.20 $3,722.39 2026-07-31
55559 CPT Laparoscopy Spermatic Co 24 13 $8,800.00 $8,800.00 $400.00 $8,796.14 $5,497.59 2026-07-31
49659 CPT Laparoscopy Procedure 24 13 $8,800.00 $8,800.00 $400.00 $8,796.14 $5,497.59 2026-07-31
47379 CPT Laparoscopic Procedure L 24 13 $8,800.00 $8,800.00 $400.00 $8,796.14 $5,497.59 2026-07-31
36578 CPT Replacement Catheter Central Venous Devi 24 13 $8,800.00 $8,800.00 $500.00 $7,040.00 $1,984.13 2026-07-31
47579 CPT Unlisted Lap Proc Biliar 26 13 $8,798.00 $8,798.00 $400.00 $8,796.14 $5,497.59 2026-07-31
49322 CPT Laparoscopy W/aspiration 24 13 $8,798.00 $8,798.00 $725.00 $7,181.89 $2,705.46 2026-07-31
49321 CPT Laparoscopy Surgical Abdo 24 13 $8,798.00 $8,798.00 $725.00 $7,181.89 $2,705.46 2026-07-31
19303 CPT Mastectomy Simple 24 13 $8,789.00 $8,789.00 $725.00 $7,699.01 $2,535.97 2026-07-31
36221 CPT Nonselective Catheter Placement Thoracic 24 13 $8,690.00 $8,690.00 $425.00 $6,952.00 $3,041.50 2026-07-31
26727 CPT Percutaneous Fixation Phalangeal Fractur 24 13 $8,657.00 $8,657.00 $425.00 $6,925.60 $3,084.03 2026-07-31
27536 CPT Open Tmt Tibial Fx W Or Wo Internal Fix 24 13 $8,657.00 $8,657.00 $1,773.13 $6,925.60 $2,423.96 2026-07-31
37212 CPT Transcatheter Therapy 24 13 $8,600.00 $8,600.00 $400.00 $6,880.00 $1,963.15 2026-07-31
J1162 HCPCS Digoxin Immune Fab 40mg Vial (digifab) 24 13 $8,520.25 $8,520.25 $2,982.09 $6,816.20 $4,518.78 2026-07-31
37785 CPT Ligation Varicose Vein 24 13 $8,400.00 $8,400.00 $675.00 $6,720.00 $3,037.01 2026-07-31
52317 CPT Litholapaxy 24 13 $8,393.00 $8,393.00 $400.00 $6,714.40 $1,626.11 2026-07-31
43870 CPT Closure Of Gastrostomy 24 13 $8,283.00 $8,283.00 $400.00 $6,626.40 $1,799.09 2026-07-31
59812 CPT Treatment Incomplete Abortion 24 13 $8,085.00 $8,085.00 $500.00 $6,468.00 $2,978.77 2026-07-31
31254 CPT Sinus Endoscopy W/ethmoid 24 13 $7,917.00 $7,917.00 $675.00 $7,782.67 $2,301.07 2026-07-31
52332 CPT Cystourethroscopy W/insert Stent Rt 72 13 $7,810.00 $7,810.00 $500.00 $16,000.00 $1,626.11 2026-07-31
28299 CPT Hallux Valgus By Dbl Oste 24 13 $7,808.00 $7,808.00 $900.00 $6,930.43 $4,331.52 2026-07-31
28298 CPT Hallux Valgus Correct (ak 24 13 $7,808.00 $7,808.00 $675.00 $7,808.00 $4,292.62 2026-07-31
49566 CPT **repair Incisional/ventral 24 13 $7,805.00 $7,805.00 $900.00 $7,181.89 $2,185.40 2026-07-31
49570 CPT **repair Epigastric Hernia 24 13 $7,805.00 $7,805.00 $725.00 $6,244.00 $2,185.40 2026-07-31
49560 CPT **repair Incision/ventral H 24 13 $7,805.00 $7,805.00 $725.00 $6,244.00 $2,185.40 2026-07-31
49561 CPT **repair Inc/ventral Hernia 24 13 $7,805.00 $7,805.00 $725.00 $6,244.00 $2,185.40 2026-07-31
49565 CPT **repair Incisional/ventral 24 13 $7,805.00 $7,805.00 $725.00 $7,181.89 $2,185.40 2026-07-31
49587 CPT **repair Umbilical Hernia W 24 13 $7,805.00 $7,805.00 $725.00 $6,244.00 $2,185.40 2026-07-31
49525 CPT Repair Sliding Inguinal H 24 13 $7,805.00 $7,805.00 $725.00 $6,244.00 $1,621.81 2026-07-31
49553 CPT Femoral Herniorrhaphy Un 24 13 $7,805.00 $7,805.00 $725.00 $6,244.00 $1,621.81 2026-07-31
55040 CPT Exc Of Hydrocele Unilate 24 13 $7,805.00 $7,805.00 $675.00 $6,244.00 $1,621.81 2026-07-31
49520 CPT Repair Recurrent Inguinal 24 13 $7,805.00 $7,805.00 $1,300.00 $6,244.00 $1,621.81 2026-07-31
58562 CPT Hysteroscopy Surgical W/removal Of Fb 24 13 $7,791.00 $7,791.00 $400.00 $6,232.80 $2,978.77 2026-07-31
44213 CPT Laparoscopy W/partial Co 24 13 $7,762.00 $7,762.00 $282.69 $6,209.60 $2,173.36 2026-07-31
36571 CPT Insertion Cvp 38 13 $7,745.00 $7,745.00 $675.00 $6,196.00 $2,756.91 2026-07-31
42820 CPT T & A Under Age 12 24 13 $7,666.00 $7,666.00 $500.00 $6,942.06 $2,760.82 2026-07-31
27695 CPT Repair Disrupted Ligament 24 13 $7,590.00 $7,590.00 $500.00 $7,590.00 $4,438.84 2026-07-31
46947 CPT Hemorrhoidopexy By Stapli 24 13 $7,587.00 $7,587.00 $1,349.06 $6,069.60 $2,406.97 2026-07-31
35860 CPT Exploration Postop Hemorr 24 13 $7,293.00 $7,293.00 $1,588.00 $5,834.40 $3,037.01 2026-07-31
35206 CPT Ligation Of Vein Upper L 24 13 $7,293.00 $7,293.00 $1,588.00 $5,834.40 $3,037.01 2026-07-31
38747 CPT Abdominal Lymphadenectomy 24 13 $7,277.00 $7,277.00 $385.00 $5,821.60 $2,037.56 2026-07-31
57522 CPT Conization Cervix 24 13 $6,882.00 $6,882.00 $500.00 $5,505.60 $1,586.25 2026-07-31
58555 CPT Hysteroscopy Diagnostic 24 13 $6,881.00 $6,881.00 $400.00 $5,504.80 $1,586.25 2026-07-31
36262 CPT Removal Of Implanted Pump 24 13 $6,844.00 $6,844.00 $400.00 $5,475.20 $2,037.07 2026-07-31
15120 CPT Split-thickness Autograft 24 13 $6,712.00 $6,712.00 $500.00 $5,369.60 $1,861.02 2026-07-31
75710 CPT Xr Angiography Extremity Unilateral 24 13 $6,622.00 $6,622.00 $125.00 $6,622.00 $3,753.50 2026-07-31
36581 CPT Replacement Venous Cath 24 13 $6,523.00 $6,523.00 $500.00 $5,218.40 $1,942.81 2026-07-31
55500 CPT Exc Hydrocele Spermatic C 24 13 $6,521.00 $6,521.00 $675.00 $5,216.80 $1,626.11 2026-07-31
54520 CPT Orchiectomy Simiple 24 13 $6,520.00 $6,520.00 $675.00 $5,216.00 $1,626.11 2026-07-31
43260 CPT Cholangiopancreatography 24 13 $6,442.00 $6,442.00 $500.00 $5,838.34 $3,648.96 2026-07-31
44140 CPT Colectomy Partial W/anas 24 13 $6,157.00 $6,157.00 $385.00 $4,925.60 $2,081.87 2026-07-31
31267 CPT Nasal Endoscopy 24 13 $5,864.00 $5,864.00 $675.00 $5,864.00 $2,301.07 2026-07-31
54001 CPT Slitting Prepuce Except Nb 38 13 $5,775.00 $5,775.00 $500.00 $4,620.00 $1,714.22 2026-07-31
J0630 HCPCS Calcitonin 400unit/2ml Inj (miacalcin) 24 13 $5,754.50 $5,754.50 $1,069.50 $4,603.60 $2,014.08 2026-07-31
31600 CPT Tracheostomy Planned 24 13 $5,676.00 $5,676.00 $1,132.00 $4,908.19 $3,067.62 2026-07-31
69120 CPT Exc External Ear Complet 24 13 $5,676.00 $5,676.00 $500.00 $5,676.00 $2,760.82 2026-07-31
54700 CPT I & D 38 13 $5,670.00 $5,670.00 $500.00 $4,536.00 $1,714.22 2026-07-31
44202 CPT Laparoscopy Enterectomy 24 13 $5,660.00 $5,660.00 $1,584.80 $4,528.00 $1,981.00 2026-07-31
44204 CPT Laparoscopy Colectomy Pa 24 13 $5,660.00 $5,660.00 $1,584.80 $4,528.00 $1,981.00 2026-07-31
43830 CPT Gastrostomy Open Without Tub 24 13 $5,584.00 $5,584.00 $1,132.00 $4,467.20 $1,954.40 2026-07-31
58120 CPT Dilation & Curettage 24 13 $5,386.00 $5,386.00 $500.00 $4,308.80 $1,586.25 2026-07-31
47554 CPT Biliary Endoscopy W/stone 24 13 $5,349.00 $5,349.00 $675.00 $5,349.00 $4,540.64 2026-07-31
54620 CPT Fixation Testis 24 13 $5,287.00 $5,287.00 $675.00 $4,314.82 $1,626.11 2026-07-31
54512 CPT Exc Parenchymal Lesion Te 24 13 $5,287.00 $5,287.00 $500.00 $4,229.60 $1,626.11 2026-07-31
55520 CPT Exc Lesion Of Spermatic C 24 13 $5,287.00 $5,287.00 $725.00 $4,314.82 $1,626.11 2026-07-31
54830 CPT Exc Lesion Of Epididymis 24 13 $5,287.00 $5,287.00 $675.00 $4,229.60 $1,626.11 2026-07-31
15002 CPT Wound Prep Trk/arm/leg 38 13 $5,176.00 $5,176.00 $500.00 $4,140.80 $1,625.54 2026-07-31
64636 CPT Destruction Nerve Additio 71 13 $5,170.00 $5,170.00 $196.00 $8,252.80 $1,809.50 2026-07-31
46910 CPT Destruction Of Anal Lesion Electrodesicc 24 13 $5,108.00 $5,108.00 $135.91 $4,086.40 $1,737.53 2026-07-31
28310 CPT Osteotomy Proximal Phala 24 13 $5,086.00 $5,086.00 $675.00 $5,086.00 $4,150.59 2026-07-31
G0278 HCPCS Angiography 24 13 $5,000.00 $5,000.00 $1,400.00 $4,000.00 $1,750.00 2026-07-31
28805 CPT Amputation Through Foot 24 13 $4,950.00 $4,950.00 $1,132.00 $4,934.45 $3,084.03 2026-07-31
C5273 HCPCS App Skin Graft Greater 100 Sq Trunk 24 13 $4,870.00 $4,870.00 $1,704.50 $3,896.00 $1,737.53 2026-07-31
25609 CPT Fx Care Forearm/wrist Int. Fix 3 Or More 24 13 $4,840.00 $4,840.00 $900.00 $4,840.00 $4,840.00 2026-07-31
3507016 LOCAL Golimumab 50mg/4ml 24 13 $4,807.19 $4,807.19 $1,346.01 $3,845.75 $1,682.52 2026-07-31
44143 CPT Colectomy Partial 24 13 $4,561.00 $4,561.00 $385.00 $3,648.80 $1,596.35 2026-07-31
44144 CPT Colectomy Partial W/rese 24 13 $4,561.00 $4,561.00 $385.00 $3,648.80 $1,596.35 2026-07-31
44141 CPT Colectomy Partial With C 24 13 $4,561.00 $4,561.00 $385.00 $3,648.80 $1,596.35 2026-07-31
59409 CPT Pf-vaginal Delivery Only 48 13 $4,555.00 $4,555.00 $618.94 $5,114.40 $2,237.55 2026-07-31
27792 CPT Fx Care Distal Fib W/without 65 13 $4,224.00 $4,224.00 $225.68 $9,865.60 $2,112.00 2026-07-31
15750 CPT Flap Neurovascular Pedic 24 13 $4,106.00 $4,106.00 $500.00 $4,106.00 $1,861.02 2026-07-31
15135 CPT Dermal Autograft 24 13 $4,106.00 $4,106.00 $500.00 $4,106.00 $1,861.02 2026-07-31
15572 CPT Formation Of Direct Pedic 24 13 $4,105.00 $4,105.00 $500.00 $4,105.00 $1,861.02 2026-07-31
21337 CPT Closed Trmt Nasal Septal 38 13 $3,693.00 $3,693.00 $500.00 $6,006.40 $2,179.63 2026-07-31
49507 CPT Repair Ing Strangulated Hernia 24 13 $3,485.00 $3,485.00 $725.00 $3,485.00 $1,621.81 2026-07-31
36252 CPT Selective Cath Placement 24 13 $3,300.00 $3,300.00 $1,155.00 $3,300.00 $3,037.01 2026-07-31
38300 CPT Drainage Lymph Node Lesio 24 13 $3,263.00 $3,263.00 $400.00 $2,707.35 $2,072.01 2026-07-31
27766 CPT Fx-care Medial Malleolus Fx, W/int. Fixa 40 13 $3,080.00 $3,080.00 $675.00 $15,752.00 $3,080.00 2026-07-31
26951 CPT Pf- Amputation, Any Finger/thumb, Single 40 13 $3,058.00 $3,058.00 $500.00 $6,952.00 $2,438.34 2026-07-31
81455 CPT Next Generation Sequencing Panel 24 13 $2,352.00 $2,352.00 $12.42 $2,352.00 $2,352.00 2026-07-31
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