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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

BROWNFIELD REGIONAL MEDICAL CENTER

Brownfield, TX · CCN 450399 · Rates published

2,757 distinct procedures filed
4 distinct payers
16,236 rate rows
2025-05-28 last MRF observed · ⚠ 17 mo old
Data quality

16,236 of 16,236 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/KBH1622057832/machine-readable/751227032_brownfield-regional-medical-center_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/brownfield-rmc
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-25
Content fingerprint 1bf88dafc224e706… · 2,988,206 bytes · first seen 2026-07-31

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
58552
CPT 		Surg Lap Vag Hyster Uterus 250g Or < W/r 4 $9,540.00 $15,250.00 $11,934.50 nat. median
$10,168
1.2× median
58553
CPT 		Surg Lap Vag Hyster Uterus > 250g 4 $9,540.00 $15,250.00 $11,934.50 nat. median
$10,218
1.2× median
58544
CPT 		Surg Lap Supra Cerv Hyster Uterus > 250g 4 $9,540.00 $15,250.00 $11,934.50 nat. median
$10,442
1.1× median
58572
CPT 		Surg Lap Total Hyster Uterus > 250g 4 $9,540.00 $15,250.00 $11,934.50 nat. median
$10,125
1.2× median
58573
CPT 		Surg Lap Total Hyster Uterus > 250g W/re 4 $9,540.00 $15,250.00 $11,934.50 nat. median
$10,411
1.1× median
58571
CPT 		Surg Lap Total Hyster Uterus 250g Or < 4 $9,540.00 $15,250.00 $11,934.50 nat. median
$10,013
1.2× median
58570
CPT 		Surg Lap Total Hyster Uterus 250g Or < 4 $9,540.00 $15,250.00 $11,934.50 nat. median
$9,932
1.2× median
58554
CPT 		Surg Lap Vag Hyster Uterus >250g W/rem T 4 $9,540.00 $15,250.00 $11,934.50 nat. median
$9,620
1.2× median
58542
CPT 		Surg Lap Supra Cerv Hyster Uterus 250g O 4 $9,540.00 $15,250.00 $11,934.50 nat. median
$9,795
1.2× median
58543
CPT 		Surg Lap Supra Cerv Hyster Uterus > 250g 4 $9,540.00 $15,250.00 $11,934.50 nat. median
$10,218
1.2× median
38573
CPT 		Lap Surg With Bilat Total Pelvic Lymphad 4 $9,540.00 $14,622.00 $11,669.00 nat. median
$10,473
1.1× median
38572
CPT 		Lap Surg With Bilat Total Pelvic Lymphad 4 $9,540.00 $14,622.00 $11,669.00 nat. median
$9,599
1.2× median
58285
CPT 		Vag Hyster Radical (Schauta Type) 2 $9,398.00 $11,112.00 $10,255.00 nat. median
$3,740
outlier · 2.7×
58290
CPT 		Vag Hysterectomy Uterus > 250g 4 $7,004.00 $12,497.00 $9,312.00 nat. median
$7,168
1.3× median
58292
CPT 		Vag Hyster Uterus > 250g Without Rem Of Tube 4 $7,004.00 $12,497.00 $9,312.00 nat. median
$7,010
1.3× median
58541
CPT 		Surg Lap Supra Cerv Hyster, Uterus 250g 4 $7,657.00 $10,971.00 $9,296.50 nat. median
$10,218
0.9× median
58275
CPT 		Vag Hyster W/total/partial Vaginectomy 2 $8,458.00 $10,001.00 $9,229.50 nat. median
$4,250
outlier · 2.2×
58152
CPT 		Tot Abd W/without Rem Of Tubes/ovaries W/col 2 $7,518.00 $8,889.00 $8,203.50 nat. median
$3,740
outlier · 2.2×
58150
CPT 		Tot Abd W/without Rem Of Tubes/ovaries W/col 2 $7,518.00 $8,889.00 $8,203.50 nat. median
$3,499
outlier · 2.3×
58180
CPT 		Sub-tot Abd W/without Rem Of Tubes/ovaries 2 $7,518.00 $8,889.00 $8,203.50 nat. median
$3,970
outlier · 2.1×
58280
CPT 		Vag Hyster W/total/partial Vaginectomy W 2 $7,518.00 $8,889.00 $8,203.50 nat. median
$4,320
1.9× median
47610
CPT 		Cholecystectomy With Exploration Of Comm 2 $7,106.00 $8,401.00 $7,753.50 nat. median
$3,792
outlier · 2.0×
47600
CPT 		Cholecystectomy 2 $7,106.00 $8,401.00 $7,753.50 nat. median
$3,682
outlier · 2.1×
47620
CPT 		Cholecystectomy With Exploration Of Comm 2 $7,106.00 $8,401.00 $7,753.50 nat. median
$4,575
1.7× median
47605
CPT 		Cholecystectomy; With Cholangiography 2 $7,106.00 $8,401.00 $7,753.50 nat. median
$3,950
2.0× median
47612
CPT 		Cholecystectomy With Exploration Of Comm 2 $7,106.00 $8,401.00 $7,753.50 nat. median
$3,921
2.0× median
47562
CPT 		Removal Of Gallbladder Using An Endoscope 4 $5,348.00 $8,996.00 $7,357.00 nat. median
$6,043
1.2× median
58671
CPT 		Lap Surg W/0cclusion Of Oviducts 4 $5,348.00 $9,772.00 $7,207.50 nat. median
$5,708
1.3× median
49320
CPT 		Dx Lap Abd/peritoneum/omentum 4 $5,348.00 $9,772.00 $7,207.50 nat. median
$6,026
1.2× median
49594
CPT 		Rep Anterior Abdl Hernias 3 To 10 Cm 4 $5,348.00 $9,696.00 $7,175.50 nat. median
$6,255
1.1× median
58662
CPT 		Lap Surg Ful/exc Of Lesion Ovary Pelvis 4 $5,348.00 $9,335.00 $7,022.50 nat. median
$6,306
1.1× median
58661
CPT 		Lap Surg Rem Adnexal Structures 4 $5,348.00 $9,335.00 $7,022.50 nat. median
$5,852
1.2× median
59151
CPT 		Lap Tx Ectopic Preg W/salpingectomy 4 $5,348.00 $9,053.00 $6,903.50 nat. median
$6,218
1.1× median
58550
CPT 		Surg Lap Vag Hyster Uterus 250g Or < 4 $5,348.00 $9,053.00 $6,903.50 nat. median
$6,246
1.1× median
59120
CPT 		Surg Treatment Of Ectopic Preg With Salp 2 $6,265.00 $7,408.00 $6,836.50 nat. median
$2,550
outlier · 2.7×
21030
CPT 		Exc Of B9 Tumr/cyst Of Maxilla Or Zygoma 4 $5,428.00 $8,430.00 $6,686.00 nat. median
$5,402
1.2× median
21048
CPT 		Exc Of B9 Tumr/cyst Of Maxilla; Requirin 4 $5,428.00 $8,430.00 $6,686.00 nat. median
$5,865
1.1× median
21046
CPT 		Exc Of B9 Tumr/cyst Of Mandible; Requiri 4 $5,428.00 $8,430.00 $6,686.00 nat. median
$5,766
1.2× median
49650
CPT 		Lap Surg; Repair Initial Inguinal Hernia 4 $5,348.00 $8,401.00 $6,628.00 nat. median
$5,726
1.2× median
49491
CPT 		Rep, Init Inguinal Hernia, Pt Infant, Pe 4 $5,348.00 $8,401.00 $6,628.00 nat. median
$5,772
1.1× median
47563
CPT 		Lap Surg; Cholecystectomy With Cholangio 4 $5,348.00 $8,401.00 $6,628.00 nat. median
$6,246
1.1× median
49651
CPT 		Lap Surg; Repair Recurrent Inguinal Hern 4 $5,348.00 $8,401.00 $6,628.00 nat. median
$6,367
1.0× median
58670
CPT 		Laparoscopy Fulg. Oviducts 4 $5,348.00 $8,243.00 $6,561.00 nat. median
$6,176
1.1× median
44950
CPT 		Appendectomy 4 $4,988.00 $8,064.00 $6,455.00 nat. median
$5,001
1.3× median
57268
CPT 		Repair Enterocele, Vaginal 4 $4,610.00 $8,622.00 $6,296.50 nat. median
$4,520
1.4× median
49521
CPT 		Rep, Recurrent Inguinal Hernia, Any Age; 4 $4,571.00 $8,064.00 $6,208.00 nat. median
$6,223
1.0× median
49500
CPT 		Rep, Init Inguinal Hernia, 6 Mo- <5yo, W 4 $4,571.00 $8,064.00 $6,208.00 nat. median
$5,714
1.1× median
58270
CPT 		Vag Hyster Uterus 250g Or< W/rep Enteroc 4 $4,610.00 $8,127.00 $6,087.00 nat. median
$5,227
1.2× median
58559
CPT 		Hysteroscopy, Lysis Of Iu Adhesions 4 $4,610.00 $8,127.00 $6,087.00 nat. median
$5,043
1.2× median
58262
CPT 		Vag Hyster Uterus 250g Or< Without Rem Of Tu 4 $4,610.00 $8,127.00 $6,087.00 nat. median
$5,192
1.2× median

Other procedures at this hospital

Browse this hospital's 2,757 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
58553 CPT Surg Lap Vag Hyster Uterus > 250g 8 4 $18,373.00 $18,373.00 $9,540.00 $15,250.00 $11,934.50 2025-05-28
58554 CPT Surg Lap Vag Hyster Uterus >250g W/rem T 8 4 $18,373.00 $18,373.00 $9,540.00 $15,250.00 $11,934.50 2025-05-28
58543 CPT Surg Lap Supra Cerv Hyster Uterus > 250g 8 4 $18,373.00 $18,373.00 $9,540.00 $15,250.00 $11,934.50 2025-05-28
58552 CPT Surg Lap Vag Hyster Uterus 250g Or < W/r 8 4 $18,373.00 $18,373.00 $9,540.00 $15,250.00 $11,934.50 2025-05-28
58571 CPT Surg Lap Total Hyster Uterus 250g Or < 8 4 $18,373.00 $18,373.00 $9,540.00 $15,250.00 $11,934.50 2025-05-28
58572 CPT Surg Lap Total Hyster Uterus > 250g 8 4 $18,373.00 $18,373.00 $9,540.00 $15,250.00 $11,934.50 2025-05-28
58570 CPT Surg Lap Total Hyster Uterus 250g Or < 8 4 $18,373.00 $18,373.00 $9,540.00 $15,250.00 $11,934.50 2025-05-28
58573 CPT Surg Lap Total Hyster Uterus > 250g W/re 8 4 $18,373.00 $18,373.00 $9,540.00 $15,250.00 $11,934.50 2025-05-28
58542 CPT Surg Lap Supra Cerv Hyster Uterus 250g O 8 4 $18,373.00 $18,373.00 $9,540.00 $15,250.00 $11,934.50 2025-05-28
58544 CPT Surg Lap Supra Cerv Hyster Uterus > 250g 8 4 $18,373.00 $18,373.00 $9,540.00 $15,250.00 $11,934.50 2025-05-28
38572 CPT Lap Surg With Bilat Total Pelvic Lymphad 8 4 $17,617.00 $17,617.00 $9,540.00 $14,622.00 $11,669.00 2025-05-28
38573 CPT Lap Surg With Bilat Total Pelvic Lymphad 8 4 $17,617.00 $17,617.00 $9,540.00 $14,622.00 $11,669.00 2025-05-28
58285 CPT Vag Hyster Radical (Schauta Type) 4 2 $13,388.00 $13,388.00 $9,398.00 $11,112.00 $10,255.00 2025-05-28
58290 CPT Vag Hysterectomy Uterus > 250g 8 4 $15,057.00 $15,057.00 $7,004.00 $12,497.00 $9,312.00 2025-05-28
58292 CPT Vag Hyster Uterus > 250g Without Rem Of Tube 8 4 $15,057.00 $15,057.00 $7,004.00 $12,497.00 $9,312.00 2025-05-28
58541 CPT Surg Lap Supra Cerv Hyster, Uterus 250g 8 4 $10,907.00 $10,907.00 $7,657.00 $10,971.00 $9,296.50 2025-05-28
58275 CPT Vag Hyster W/total/partial Vaginectomy 4 2 $12,049.00 $12,049.00 $8,458.00 $10,001.00 $9,229.50 2025-05-28
58280 CPT Vag Hyster W/total/partial Vaginectomy W 4 2 $10,710.00 $10,710.00 $7,518.00 $8,889.00 $8,203.50 2025-05-28
58150 CPT Tot Abd W/without Rem Of Tubes/ovaries W/col 4 2 $10,710.00 $10,710.00 $7,518.00 $8,889.00 $8,203.50 2025-05-28
58152 CPT Tot Abd W/without Rem Of Tubes/ovaries W/col 4 2 $10,710.00 $10,710.00 $7,518.00 $8,889.00 $8,203.50 2025-05-28
58180 CPT Sub-tot Abd W/without Rem Of Tubes/ovaries 4 2 $10,710.00 $10,710.00 $7,518.00 $8,889.00 $8,203.50 2025-05-28
47610 CPT Cholecystectomy With Exploration Of Comm 4 2 $10,122.00 $10,122.00 $7,106.00 $8,401.00 $7,753.50 2025-05-28
47605 CPT Cholecystectomy; With Cholangiography 4 2 $10,122.00 $10,122.00 $7,106.00 $8,401.00 $7,753.50 2025-05-28
47612 CPT Cholecystectomy With Exploration Of Comm 4 2 $10,122.00 $10,122.00 $7,106.00 $8,401.00 $7,753.50 2025-05-28
47620 CPT Cholecystectomy With Exploration Of Comm 4 2 $10,122.00 $10,122.00 $7,106.00 $8,401.00 $7,753.50 2025-05-28
47600 CPT Cholecystectomy 4 2 $10,122.00 $10,122.00 $7,106.00 $8,401.00 $7,753.50 2025-05-28
47562 CPT Removal Of Gallbladder Using An Endoscope 12 4 $10,838.00 $10,838.00 $5,348.00 $8,996.00 $7,357.00 2025-05-28
49320 CPT Dx Lap Abd/peritoneum/omentum 8 4 $11,774.00 $11,774.00 $5,348.00 $9,772.00 $7,207.50 2025-05-28
58671 CPT Lap Surg W/0cclusion Of Oviducts 8 4 $11,774.00 $11,774.00 $5,348.00 $9,772.00 $7,207.50 2025-05-28
49594 CPT Rep Anterior Abdl Hernias 3 To 10 Cm 8 4 $11,682.00 $11,682.00 $5,348.00 $9,696.00 $7,175.50 2025-05-28
58661 CPT Lap Surg Rem Adnexal Structures 8 4 $11,247.00 $11,247.00 $5,348.00 $9,335.00 $7,022.50 2025-05-28
58662 CPT Lap Surg Ful/exc Of Lesion Ovary Pelvis 8 4 $11,247.00 $11,247.00 $5,348.00 $9,335.00 $7,022.50 2025-05-28
58550 CPT Surg Lap Vag Hyster Uterus 250g Or < 8 4 $10,907.00 $10,907.00 $5,348.00 $9,053.00 $6,903.50 2025-05-28
59151 CPT Lap Tx Ectopic Preg W/salpingectomy 8 4 $10,907.00 $10,907.00 $5,348.00 $9,053.00 $6,903.50 2025-05-28
59120 CPT Surg Treatment Of Ectopic Preg With Salp 4 2 $8,925.00 $8,925.00 $6,265.00 $7,408.00 $6,836.50 2025-05-28
21030 CPT Exc Of B9 Tumr/cyst Of Maxilla Or Zygoma 8 4 $10,157.00 $10,157.00 $5,428.00 $8,430.00 $6,686.00 2025-05-28
21048 CPT Exc Of B9 Tumr/cyst Of Maxilla; Requirin 8 4 $10,157.00 $10,157.00 $5,428.00 $8,430.00 $6,686.00 2025-05-28
21046 CPT Exc Of B9 Tumr/cyst Of Mandible; Requiri 8 4 $10,157.00 $10,157.00 $5,428.00 $8,430.00 $6,686.00 2025-05-28
47563 CPT Lap Surg; Cholecystectomy With Cholangio 8 4 $10,122.00 $10,122.00 $5,348.00 $8,401.00 $6,628.00 2025-05-28
49651 CPT Lap Surg; Repair Recurrent Inguinal Hern 8 4 $10,122.00 $10,122.00 $5,348.00 $8,401.00 $6,628.00 2025-05-28
49650 CPT Lap Surg; Repair Initial Inguinal Hernia 8 4 $10,122.00 $10,122.00 $5,348.00 $8,401.00 $6,628.00 2025-05-28
49491 CPT Rep, Init Inguinal Hernia, Pt Infant, Pe 8 4 $10,122.00 $10,122.00 $5,348.00 $8,401.00 $6,628.00 2025-05-28
58670 CPT Laparoscopy Fulg. Oviducts 8 4 $9,931.00 $9,931.00 $5,348.00 $8,243.00 $6,561.00 2025-05-28
44950 CPT Appendectomy 8 4 $7,106.00 $7,106.00 $4,988.00 $8,064.00 $6,455.00 2025-05-28
57268 CPT Repair Enterocele, Vaginal 8 4 $10,388.00 $10,388.00 $4,610.00 $8,622.00 $6,296.50 2025-05-28
49521 CPT Rep, Recurrent Inguinal Hernia, Any Age; 8 4 $6,511.00 $6,511.00 $4,571.00 $8,064.00 $6,208.00 2025-05-28
49500 CPT Rep, Init Inguinal Hernia, 6 Mo- <5yo, W 8 4 $6,511.00 $6,511.00 $4,571.00 $8,064.00 $6,208.00 2025-05-28
58260 CPT Vag Hysterectomy Uterus 250g Or< 8 4 $9,791.00 $9,791.00 $4,610.00 $8,127.00 $6,087.00 2025-05-28
58353 CPT Endometrial Ablation Thermal Without Hystero 8 4 $9,791.00 $9,791.00 $4,610.00 $8,127.00 $6,087.00 2025-05-28
58559 CPT Hysteroscopy, Lysis Of Iu Adhesions 8 4 $9,791.00 $9,791.00 $4,610.00 $8,127.00 $6,087.00 2025-05-28
58563 CPT Hysteroscopy, Endometrial Ablations 8 4 $9,791.00 $9,791.00 $4,610.00 $8,127.00 $6,087.00 2025-05-28
58262 CPT Vag Hyster Uterus 250g Or< Without Rem Of Tu 8 4 $9,791.00 $9,791.00 $4,610.00 $8,127.00 $6,087.00 2025-05-28
58263 CPT Vag Hyster Uterus 250g Or< Without Rem Of Tu 8 4 $9,791.00 $9,791.00 $4,610.00 $8,127.00 $6,087.00 2025-05-28
58291 CPT Vag Hysterectomy Uterus > 250g W/rem Tub 8 4 $9,791.00 $9,791.00 $4,610.00 $8,127.00 $6,087.00 2025-05-28
58270 CPT Vag Hyster Uterus 250g Or< W/rep Enteroc 8 4 $9,791.00 $9,791.00 $4,610.00 $8,127.00 $6,087.00 2025-05-28
58294 CPT Vag Hyster Uterus > 250g W/rep Enterocel 8 4 $9,791.00 $9,791.00 $4,610.00 $8,127.00 $6,087.00 2025-05-28
58925 CPT Ovarian Cystectomy Unilat/bilat 8 4 $9,460.00 $9,460.00 $4,610.00 $7,852.00 $5,971.00 2025-05-28
49580 CPT Repr Umb Hernia <5yo Reducible 4 2 $7,673.00 $7,673.00 $5,386.00 $6,369.00 $5,877.50 2025-05-28
49560 CPT Repair Initial Incis/ventral Hernia/redu 4 2 $7,673.00 $7,673.00 $5,386.00 $6,369.00 $5,877.50 2025-05-28
58605 CPT Ligat/trans Fall Tubes Postpar Uni/bilat 8 2 $7,414.00 $7,414.00 $5,078.00 $6,304.00 $5,667.50 2025-05-28
49585 CPT Repair Umb Hernia 5 Yo Or > Reducible 8 2 $7,092.00 $7,092.00 $4,571.00 $6,369.00 $5,395.00 2025-05-28
58611 CPT Ligat/trans Fall Tubes At Time Of C/sect 4 2 $6,607.00 $6,607.00 $4,638.00 $5,484.00 $5,061.00 2025-05-28
49611 CPT Rep Of Omphalocele (Gross Type Operation 4 2 $6,511.00 $6,511.00 $4,571.00 $5,404.00 $4,987.50 2025-05-28
49587 CPT Repair Umb Hernia Incar/strangul >5y/o 4 2 $6,511.00 $6,511.00 $4,571.00 $5,404.00 $4,987.50 2025-05-28
49606 CPT Rep Of Large Omphalocele Or Gastroschisi 4 2 $6,511.00 $6,511.00 $4,571.00 $5,404.00 $4,987.50 2025-05-28
49610 CPT Rep Of Omphalocele (Gross Type Operation 4 2 $6,511.00 $6,511.00 $4,571.00 $5,404.00 $4,987.50 2025-05-28
49605 CPT Rep Of Large Omphalocele Or Gastroschisi 4 2 $6,511.00 $6,511.00 $4,571.00 $5,404.00 $4,987.50 2025-05-28
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 12 4 $7,673.00 $7,673.00 $3,206.00 $6,369.00 $4,978.50 2025-05-28
57020 CPT Colpocentesis 8 4 $5,860.00 $5,860.00 $4,114.00 $5,301.00 $4,737.00 2025-05-28
36561 CPT Insrt Tun Cent Ins Ctr Vad W/subq Prt Rt 12 4 $6,734.00 $6,734.00 $2,954.00 $5,589.00 $4,614.50 2025-05-28
65290 CPT Repair Wound Extraocular Mus-rt 8 4 $6,888.00 $6,888.00 $3,583.00 $5,717.00 $4,478.00 2025-05-28
49568 CPT Implant Mesh For Incis/vent Hernia Repr 4 2 $5,674.00 $5,674.00 $3,983.00 $4,709.00 $4,346.00 2025-05-28
25260 CPT Rpr Flex Tndn Forarm/wrst Pri/sgl/ea-51 8 4 $7,462.00 $7,462.00 $3,000.00 $6,193.00 $4,344.00 2025-05-28
38530 CPT Bx Or Exc Of Lymph Node(s); Open, Intern 8 4 $6,344.00 $6,344.00 $3,533.00 $5,266.00 $4,258.00 2025-05-28
38500 CPT Bx Or Exc Of Lymph Node(s); Open, Superf 8 4 $6,344.00 $6,344.00 $3,533.00 $5,266.00 $4,258.00 2025-05-28
38520 CPT Bx Or Exc Of Lymph Node(s); Open, Deep C 8 4 $6,344.00 $6,344.00 $3,533.00 $5,266.00 $4,258.00 2025-05-28
38525 CPT Bx Or Exc Of Lymph Node(s); Open, Deep A 8 4 $6,344.00 $6,344.00 $3,533.00 $5,266.00 $4,258.00 2025-05-28
38510 CPT Bx Or Exc Of Lymph Node(s); Open, Deep C 8 4 $6,344.00 $6,344.00 $3,533.00 $5,266.00 $4,258.00 2025-05-28
38531 CPT Bx Or Exc Of Bx Or Exc Of Lymph Node(s) 8 4 $6,344.00 $6,344.00 $3,533.00 $5,266.00 $4,258.00 2025-05-28
46707 CPT Repair Of Anorectal Fistula With Plug 8 4 $7,832.00 $7,832.00 $2,602.00 $6,501.00 $4,245.50 2025-05-28
19120 CPT Removal Of One Or More Breast Growth, Open Procedure 8 4 $6,216.00 $6,216.00 $3,533.00 $5,159.00 $4,213.50 2025-05-28
19101 CPT Bx Breast, Open Incisional On Left 8 4 $6,216.00 $6,216.00 $3,533.00 $5,159.00 $4,213.50 2025-05-28
49507 CPT Rep, Init Inguinal Hernia, Age 5 Years O 8 4 $6,511.00 $6,511.00 $3,206.00 $5,404.00 $4,129.00 2025-05-28
47532 CPT Injection Procedure For Cholangiography, 8 4 $6,511.00 $6,511.00 $3,206.00 $5,404.00 $4,129.00 2025-05-28
49492 CPT Rep, Init Inguinal Hernia, Pt Infant, Pe 8 4 $6,511.00 $6,511.00 $3,206.00 $5,404.00 $4,129.00 2025-05-28
49600 CPT Rep Of Small Omphalocele, With Primary C 8 4 $6,511.00 $6,511.00 $3,206.00 $5,404.00 $4,129.00 2025-05-28
49555 CPT Rep, Recurrent Femoral Hernia; Reducible 8 4 $6,511.00 $6,511.00 $3,206.00 $5,404.00 $4,129.00 2025-05-28
49501 CPT Rep, Init Inguinal Hernia, 6 Mo- <5yo, W 8 4 $6,511.00 $6,511.00 $3,206.00 $5,404.00 $4,129.00 2025-05-28
49495 CPT Rep, Init Inguinal Hernia, Ft Infant < 6 8 4 $6,511.00 $6,511.00 $3,206.00 $5,404.00 $4,129.00 2025-05-28
49525 CPT Rep, Inguinal Hernia, Sliding, Any Age 8 4 $6,511.00 $6,511.00 $3,206.00 $5,404.00 $4,129.00 2025-05-28
49496 CPT Rep, Init Inguinal Hernia, Ft Infant < 6 8 4 $6,511.00 $6,511.00 $3,206.00 $5,404.00 $4,129.00 2025-05-28
52001 CPT Cystourethroscopy W/irrig W/evac Clots 8 4 $6,311.00 $6,311.00 $3,231.00 $5,238.00 $4,073.00 2025-05-28
36571 CPT Insertion Venous Cath <5 8 4 $6,734.00 $6,734.00 $2,954.00 $5,589.00 $4,062.00 2025-05-28
100430 CDM Dilatation/curettage Diag Or Therapeu 4 2 $5,294.00 $5,294.00 $3,716.00 $4,394.00 $4,055.00 2025-05-28
58548 CPT Lap Surg With Radical Hysterectomy With Bila 4 2 $5,231.00 $5,231.00 $3,672.00 $4,342.00 $4,007.00 2025-05-28
58943 CPT Oophorectomy For Rem Strcutures For Mali 4 2 $5,231.00 $5,231.00 $3,672.00 $4,342.00 $4,007.00 2025-05-28
58210 CPT Radical Abd Hysterectomy, W/bilateral To 4 2 $5,231.00 $5,231.00 $3,672.00 $4,342.00 $4,007.00 2025-05-28
58200 CPT Tot Abd Hysterectomy, With Partial Vaginec 4 2 $5,231.00 $5,231.00 $3,672.00 $4,342.00 $4,007.00 2025-05-28
28200 CPT Rpr Tend Flexor Ft Prim Ea Tendon-rt 8 4 $6,053.00 $6,053.00 $3,000.00 $5,024.00 $3,849.50 2025-05-28
26951 CPT Amp Fng/thb Any Jt Inc Neur W/dir Clo-fa 8 4 $6,053.00 $6,053.00 $3,000.00 $5,024.00 $3,849.50 2025-05-28
26765 CPT Open Tx Dist Phal Fx W/wo Fixation-f8 8 4 $6,053.00 $6,053.00 $3,000.00 $5,024.00 $3,849.50 2025-05-28
26952 CPT Amp Fing/th Any Jt/phal Sngl W Flaps-f7 8 4 $6,053.00 $6,053.00 $3,000.00 $5,024.00 $3,849.50 2025-05-28
26607 CPT Clo Tx Metac Fx W Mani/ext Fix Ea Rt 5th 8 4 $6,053.00 $6,053.00 $3,000.00 $5,024.00 $3,849.50 2025-05-28
26580 CPT Repair Cleft Hand Lt 8 4 $6,053.00 $6,053.00 $3,000.00 $5,024.00 $3,849.50 2025-05-28
58558 CPT Hysteroscopy, W/bx Endometrium/polypecto 12 4 $5,603.00 $5,603.00 $2,898.00 $4,650.00 $3,824.50 2025-05-28
11426 CPT Exc Ben Les Sclp Nck Hnd Ft >4.0 Cm Lt 12 4 $5,493.00 $5,493.00 $2,634.00 $4,559.00 $3,764.50 2025-05-28
21040 CPT Exc Of B9 Tumr/cyst Of Maxilla Or Zygoma 8 4 $5,485.00 $5,485.00 $2,984.00 $4,553.00 $3,641.00 2025-05-28
J0840 HCPCS Crofab Up To 1gm Injection 12 4 $5,871.00 $5,871.00 $1,950.00 $4,873.00 $3,639.00 2025-05-28
58562 CPT Hysteroscopy With Removal Of Impacted Fb 8 4 $5,603.00 $5,603.00 $2,898.00 $4,650.00 $3,632.50 2025-05-28
58555 CPT Hysteroscopy, Diagnostic 8 4 $5,603.00 $5,603.00 $2,898.00 $4,650.00 $3,632.50 2025-05-28
11771 CPT Exc Pilonidal Cyst, Sinus(extensive) 12 4 $5,493.00 $5,493.00 $2,634.00 $4,559.00 $3,632.50 2025-05-28
57135 CPT Vaginal Cyst Excision 8 4 $5,601.00 $5,601.00 $2,898.00 $4,649.00 $3,632.00 2025-05-28
57105 CPT Biopsy Vaginal Mucosa W Sutures 8 4 $5,601.00 $5,601.00 $2,898.00 $4,649.00 $3,632.00 2025-05-28
57522 CPT Leep 8 4 $5,581.00 $5,581.00 $2,898.00 $4,632.00 $3,625.00 2025-05-28
57400 CPT Dilation Of Vagina W/anes (Not Local) 8 4 $5,559.00 $5,559.00 $2,898.00 $4,614.00 $3,617.00 2025-05-28
56700 CPT Partial Hymenectomy/revise Hymenal Ring 8 4 $5,559.00 $5,559.00 $2,898.00 $4,614.00 $3,617.00 2025-05-28
59820 CPT Tx Missed Abort Completed Surg 1st Trime 8 4 $5,559.00 $5,559.00 $2,898.00 $4,614.00 $3,617.00 2025-05-28
57000 CPT Colpotomy With Exploration 8 4 $5,559.00 $5,559.00 $2,898.00 $4,614.00 $3,617.00 2025-05-28
59412 CPT Cephalic Version 8 4 $5,559.00 $5,559.00 $2,898.00 $4,614.00 $3,617.00 2025-05-28
41110 CPT Excision Lesion Of Tongue No Closure 8 4 $5,396.00 $5,396.00 $2,984.00 $4,479.00 $3,610.00 2025-05-28
42808 CPT Excision Lesion Of Pharynx, Any Method 8 4 $5,396.00 $5,396.00 $2,984.00 $4,479.00 $3,610.00 2025-05-28
41112 CPT Exc Lesion Of Tounge With Clsr Ant Two T 8 4 $5,396.00 $5,396.00 $2,984.00 $4,479.00 $3,610.00 2025-05-28
57460 CPT Colposcopy Cervix With Loop Electrode Bx 8 4 $5,294.00 $5,294.00 $2,898.00 $4,394.00 $3,524.00 2025-05-28
59160 CPT Curettage, Postpartum 8 4 $5,294.00 $5,294.00 $2,898.00 $4,394.00 $3,524.00 2025-05-28
59821 CPT Tx Of Missed Abort Compl Surg 2nd Trimes 8 4 $5,294.00 $5,294.00 $2,898.00 $4,394.00 $3,524.00 2025-05-28
57061 CPT Destruction Lesion Vagina, Simple 8 4 $5,294.00 $5,294.00 $2,898.00 $4,394.00 $3,524.00 2025-05-28
59812 CPT D&c After Del/ab Any Trimester Comp Surg 8 4 $5,294.00 $5,294.00 $2,898.00 $4,394.00 $3,524.00 2025-05-28
58600 CPT Ligat/transec Fall Tubes Unilat/bilat 8 4 $5,294.00 $5,294.00 $2,898.00 $4,394.00 $3,524.00 2025-05-28
59320 CPT Cerclage Of Cervix During Preg; Vaginal 8 4 $5,294.00 $5,294.00 $2,898.00 $4,394.00 $3,524.00 2025-05-28
57461 CPT Colposcopy W/loop Elect Coniz Cervix 8 4 $5,294.00 $5,294.00 $2,898.00 $4,394.00 $3,524.00 2025-05-28
57410 CPT Pelvic Exam Under Anes (Not Local)-59 8 4 $5,294.00 $5,294.00 $2,898.00 $4,394.00 $3,524.00 2025-05-28
59414 CPT Delivery Placenta (Separate Procedure) 8 4 $5,294.00 $5,294.00 $2,898.00 $4,394.00 $3,524.00 2025-05-28
57109 CPT Radical Vaginectomy With Bilat Tot Pelvic 8 4 $5,231.00 $5,231.00 $2,898.00 $4,342.00 $3,502.00 2025-05-28
58805 CPT I&d Ovar Cyst Uni/bilat Abd Apprch 59 8 4 $5,177.00 $5,177.00 $2,898.00 $4,297.00 $3,483.00 2025-05-28
56440 CPT Marsupialization Bartholin's Gland Cyst 8 4 $5,177.00 $5,177.00 $2,898.00 $4,297.00 $3,483.00 2025-05-28
59409 CPT Vaginal Delivery Only 8 4 $5,177.00 $5,177.00 $2,898.00 $4,297.00 $3,483.00 2025-05-28
59612 CPT Vaginal Delivery After Cesarean Birth 8 4 $5,177.00 $5,177.00 $2,898.00 $4,297.00 $3,483.00 2025-05-28
46922 CPT Destruc Lesion Anus/simple 8 4 $5,568.00 $5,568.00 $2,602.00 $4,621.00 $3,451.00 2025-05-28
11646 CPT Exc Malig Les Face/ear/nose>4cm Diam 8 4 $5,335.00 $5,335.00 $2,634.00 $4,428.00 $3,387.00 2025-05-28
21552 CPT Exc Tumr Sft Tissue Neck Less Than 3cm 8 4 $5,335.00 $5,335.00 $2,634.00 $4,428.00 $3,387.00 2025-05-28
20525 CPT Remv Fb Muscl/tendon Sheath;deep/comp 8 4 $5,232.00 $5,232.00 $2,634.00 $4,343.00 $3,351.00 2025-05-28
202043 CDM Ehlers Danlos Panel 4 2 $4,326.00 $4,326.00 $3,037.00 $3,591.00 $3,314.00 2025-05-28
46260 CPT Hemorrhoidectomy, Internal And External, 8 4 $4,909.00 $4,909.00 $2,602.00 $4,074.00 $3,219.50 2025-05-28
46257 CPT Hemorrhoidectomy, Internal And External, 8 4 $4,909.00 $4,909.00 $2,602.00 $4,074.00 $3,219.50 2025-05-28
46258 CPT Hemorrhoidectomy, Internal And External, 8 4 $4,909.00 $4,909.00 $2,602.00 $4,074.00 $3,219.50 2025-05-28
46945 CPT Hemorrhoidectomy, Internal, By Ligation 8 4 $4,909.00 $4,909.00 $2,602.00 $4,074.00 $3,219.50 2025-05-28
46946 CPT Hemorrhoidectomy, Internal, By Ligation 8 4 $4,909.00 $4,909.00 $2,602.00 $4,074.00 $3,219.50 2025-05-28
46261 CPT Hemorrhoidectomy, Internal And External, 8 4 $4,909.00 $4,909.00 $2,602.00 $4,074.00 $3,219.50 2025-05-28
46262 CPT Hemorrhoidectomy, Internal And External, 8 4 $4,909.00 $4,909.00 $2,602.00 $4,074.00 $3,219.50 2025-05-28
46250 CPT Hemorrhoidectomy, External, 2 Or More Co 8 4 $4,909.00 $4,909.00 $2,602.00 $4,074.00 $3,219.50 2025-05-28
46255 CPT Hemorrhoidectomy, Internal And External, 8 4 $4,909.00 $4,909.00 $2,602.00 $4,074.00 $3,219.50 2025-05-28
11446 CPT Exc B9 Les Face/ear/nose>4cm Diam 8 4 $4,856.00 $4,856.00 $2,634.00 $4,030.00 $3,219.00 2025-05-28
11770 CPT Excision Pilonidal Cyst Or Sinus; Simple 8 4 $4,856.00 $4,856.00 $2,634.00 $4,030.00 $3,219.00 2025-05-28
11772 CPT Exc Of Pilonidal Cyst Or Sinus; Complica 8 4 $4,856.00 $4,856.00 $2,634.00 $4,030.00 $3,219.00 2025-05-28
56515 CPT Destruction Lesion Vulva /Extensive 8 4 $6,217.00 $6,217.00 $1,690.00 $5,160.00 $3,154.00 2025-05-28
20822 CPT Replantation Digit/complete Amput-f1 8 4 $6,338.00 $6,338.00 $1,490.00 $5,261.00 $3,081.00 2025-05-28
65235 CPT Removal Fb Intraoc Ant Chmbr/lens-lt 8 4 $5,026.00 $5,026.00 $2,160.00 $4,172.00 $3,006.00 2025-05-28
26418 CPT Repair Extensor Tend Finger No Graft-f1 8 4 $6,053.00 $6,053.00 $1,490.00 $5,024.00 $2,981.00 2025-05-28
26410 CPT Repr Ext Tendon Hnd Prim/sec Wo Gft Ea T 8 4 $6,053.00 $6,053.00 $1,490.00 $5,024.00 $2,981.00 2025-05-28
55250 CPT Vasectomy Uni/bilat W/postop Semen Exam 8 4 $5,197.00 $5,197.00 $1,888.00 $4,314.00 $2,909.50 2025-05-28
66999 CPT Unlisted Proc Ant Segment Eye Left 8 4 $4,529.00 $4,529.00 $2,160.00 $3,759.00 $2,831.50 2025-05-28
57220 CPT Plastic Op Urethral Sphincter Vag 8 4 $1,200.00 $1,200.00 $842.00 $5,301.00 $2,803.00 2025-05-28
41850 CPT Destruct Lesion Dentoalveolar Structures 8 4 $5,581.00 $5,581.00 $1,413.00 $4,632.00 $2,771.50 2025-05-28
21931 CPT Exc Tumor Back/flank/subq 3cm Or > 8 4 $5,232.00 $5,232.00 $1,503.00 $4,343.00 $2,700.50 2025-05-28
36573 CPT Dilation Cervical Canal, Insturmental 12 4 $6,337.00 $6,337.00 $1,484.00 $5,260.00 $2,589.00 2025-05-28
49002 CPT Reopening Of Recent Laparotomy 4 2 $3,312.00 $3,312.00 $2,325.00 $2,749.00 $2,537.00 2025-05-28
25111 CPT Excision Ganglion Wrist/primary, On Left 8 4 $4,763.00 $4,763.00 $1,490.00 $3,953.00 $2,528.50 2025-05-28
54150 CPT Circ W/clamp/device W/reg Block(any Age) 8 4 $4,082.00 $4,082.00 $1,888.00 $3,388.00 $2,518.50 2025-05-28
54161 CPT Circumcision Surg Excision Not Newborn 8 4 $4,082.00 $4,082.00 $1,888.00 $3,388.00 $2,518.50 2025-05-28
19020 CPT Mastotomy W Expl Or I&d Deep 8 4 $4,691.00 $4,691.00 $1,503.00 $3,894.00 $2,510.50 2025-05-28
36556 CPT Insert Non-tunneled Cnt Ven Cath >5yo-rt 8 4 $2,419.00 $2,419.00 $1,698.00 $3,397.00 $2,481.00 2025-05-28
36555 CPT Insert Cent Ven Cath Non-tunn <5yo Lt 8 4 $2,419.00 $2,419.00 $1,698.00 $3,397.00 $2,481.00 2025-05-28
560121 CDM Novasure Device With Measuring Tool 4 2 $3,213.00 $3,213.00 $2,256.00 $2,667.00 $2,461.50 2025-05-28
20102 CPT Explore Penetrating Wound Abd/flank/back 8 4 $4,238.00 $4,238.00 $1,690.00 $3,518.00 $2,459.50 2025-05-28
37618 CPT Ligation, Major Artery Extremity 4 2 $3,200.00 $3,200.00 $2,246.00 $2,656.00 $2,451.00 2025-05-28
31530 CPT Laryngoscopy Direct Oper W/fb Removal 8 4 $4,201.00 $4,201.00 $1,573.00 $3,487.00 $2,379.00 2025-05-28
59620 CPT C/sect After Vbac Attempt After Prev C/s 4 2 $2,982.00 $2,982.00 $2,093.00 $2,475.00 $2,284.00 2025-05-28
59514 CPT Cesarean Delivery Only 4 2 $2,982.00 $2,982.00 $2,093.00 $2,475.00 $2,284.00 2025-05-28
56501 CPT Destruction Lesion Vulva, Simple 8 4 $3,692.00 $3,692.00 $1,690.00 $3,064.00 $2,268.00 2025-05-28
54060 CPT Destruc Les Penis, Simple; Surg Excision 8 4 $3,693.00 $3,693.00 $1,690.00 $3,065.00 $2,268.00 2025-05-28
27825 CPT Clo Tx Fx Dist Tib W/wo Anes W Manip Lt 8 4 $3,951.00 $3,951.00 $1,490.00 $3,279.00 $2,243.50 2025-05-28
11644 CPT Exc Malig Les Face/eyelid/ear 3.1-4.0cm 8 4 $3,847.00 $3,847.00 $1,503.00 $3,193.00 $2,214.50 2025-05-28
28192 CPT Removal Foreign Body Foot, Deep-rt 8 4 $3,847.00 $3,847.00 $1,503.00 $3,193.00 $2,214.50 2025-05-28
11606 CPT Exc Malig Les Trunk/arms/legs >4.0 Cm-rt 8 4 $3,847.00 $3,847.00 $1,503.00 $3,193.00 $2,214.50 2025-05-28
23075 CPT Exc Soft Tissue Tumor/shoulder/subq 8 4 $3,847.00 $3,847.00 $1,503.00 $3,193.00 $2,214.50 2025-05-28
11424 CPT Exc Benign Les Sclp/nk/hand/ft 3.1-4.0cm 8 4 $3,847.00 $3,847.00 $1,503.00 $3,193.00 $2,214.50 2025-05-28
11423 CPT Exc Ben Les Sclp/nck/hnd/gen 2.1-3.0 Cm 8 4 $3,847.00 $3,847.00 $1,503.00 $3,193.00 $2,214.50 2025-05-28
37609 CPT Ligation/biopsy Temporal Artery-rt 8 4 $3,847.00 $3,847.00 $1,503.00 $3,193.00 $2,214.50 2025-05-28
10121 CPT Incs & Remv Fb Subq Tiss; Complicated 8 4 $3,847.00 $3,847.00 $1,503.00 $3,193.00 $2,214.50 2025-05-28
11406 CPT Exc Benig Les Trunk/arm/leg Diam >4cm 12 4 $3,847.00 $3,847.00 $1,503.00 $3,193.00 $2,201.50 2025-05-28
11404 CPT Removal Ben Skin Les 3.1-4.0 Cm 12 4 $3,847.00 $3,847.00 $1,503.00 $3,193.00 $2,201.50 2025-05-28
43270 CPT Egd W/ablat Les Not Amen To Caut/snare 8 4 $3,314.00 $3,314.00 $1,764.00 $2,751.00 $2,177.00 2025-05-28
43250 CPT Egd W Remov Polyp/les Hot Bx/bip Caut-59 8 4 $3,314.00 $3,314.00 $1,764.00 $2,751.00 $2,177.00 2025-05-28
43249 CPT Egd With Dilation Of Esophagus 8 4 $3,314.00 $3,314.00 $1,764.00 $2,751.00 $2,177.00 2025-05-28
43215 CPT Esophagoscopy W/removal Foreign Body 8 4 $3,314.00 $3,314.00 $1,764.00 $2,751.00 $2,177.00 2025-05-28
43251 CPT Egd W/remov Les Snare 8 4 $3,314.00 $3,314.00 $1,764.00 $2,751.00 $2,177.00 2025-05-28
43246 CPT Egd W Peg Tube Placement 8 4 $3,314.00 $3,314.00 $1,764.00 $2,751.00 $2,177.00 2025-05-28
32556 CPT Thoracent W/insrt Tube W/wo H2o Seal-bil 8 4 $3,314.00 $3,314.00 $1,764.00 $2,751.00 $2,177.00 2025-05-28
27327 CPT Exc Tmr Sft Tissue Thigh Knee Less 3cm 8 4 $3,729.00 $3,729.00 $1,503.00 $3,095.00 $2,173.00 2025-05-28
46040 CPT I&d Ischiorec/perirec Abscess 8 4 $4,208.00 $4,208.00 $1,094.00 $3,493.00 $2,106.00 2025-05-28
26160 CPT Exc Les Tend Sh/jt Caps Hand/fing Lt 3rd 8 4 $3,523.00 $3,523.00 $1,490.00 $2,924.00 $2,093.00 2025-05-28
21315 CPT Clo Tx Nasal Bone Fx; Wo Stabilization 8 4 $3,633.00 $3,633.00 $1,413.00 $3,015.00 $2,087.50 2025-05-28
27842 CPT Clo Tx Ankle Dislo W/anes Lt 8 4 $3,465.00 $3,465.00 $1,490.00 $2,876.00 $2,072.50 2025-05-28
24605 CPT Clo Tx Elbow Dislo W/anes Lt 8 4 $3,465.00 $3,465.00 $1,490.00 $2,876.00 $2,072.50 2025-05-28
23655 CPT Clo Tx Should Dislo W/manip W/anes Left 8 4 $3,300.00 $3,300.00 $1,490.00 $2,739.00 $2,015.00 2025-05-28
11643 CPT Exc Malig Les Face/ear/etc. 2.1-3.0 Cm 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
11623 CPT Exc Malig Les Sclp/nck/hnds/ft 2.1-3.0cm 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
11620 CPT Exc Malig Les Sclp/nck 0.5cm Or Less 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
55100 CPT I&d Scrotum/tunica Vaginalis 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
26011 CPT Drainage Fing Abs Complic-bilat 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
11444 CPT Exc Ben Les Fac/ear/eyelid 3.1-4.0cm 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
11443 CPT Exc B9 Les Face/ear 2.1-3 Cm 2nd Proced 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
11422 CPT Exc Ben Les Sclp Nck Hnd Ft Gen 1.1-2-f7 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
38221 CPT Bone Marrow;biopsy, Needle/trocar Left 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
10140 CPT I&d Hematoma/seroma Or Fluid Collection 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
11420 CPT Exc B9 Les Sclp/nck 0.5cm Or < 2nd Proc 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
20520 CPT Remv Fb Muscl/tendon Sheath;simple 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
19100 CPT Biopsy Breast Percut Needle Core Left 8 4 $3,069.00 $3,069.00 $1,503.00 $2,547.00 $1,941.00 2025-05-28
27818 CPT Clo Tx Trimalleolar Ankle Fx W Manip-lt 8 4 $3,022.00 $3,022.00 $1,490.00 $2,508.00 $1,917.00 2025-05-28
27810 CPT Clo Tx Bimalleolar Ankle Fx W Manip-rt 8 4 $3,022.00 $3,022.00 $1,490.00 $2,508.00 $1,917.00 2025-05-28
26742 CPT Clo Tx Artic Fx Mcp/ip Jt W/manip-f4 8 4 $3,022.00 $3,022.00 $1,490.00 $2,508.00 $1,917.00 2025-05-28
25605 CPT Clo Tx Dist Rad Fx W/manip-lt 8 4 $3,022.00 $3,022.00 $1,490.00 $2,508.00 $1,917.00 2025-05-28
25565 CPT Clo Tx Of Rad/uln Shaft Fx W/manip-bilat 8 4 $3,022.00 $3,022.00 $1,490.00 $2,508.00 $1,917.00 2025-05-28
25505 CPT Clo Tx Radial Shft Fx W/manip-lt 8 4 $3,022.00 $3,022.00 $1,490.00 $2,508.00 $1,917.00 2025-05-28
23505 CPT Clo Tx Clav Fx W Manip 8 4 $3,022.00 $3,022.00 $1,490.00 $2,508.00 $1,917.00 2025-05-28
58700 CPT Salpingectomy Unilateral/bilateral 4 2 $2,495.00 $2,495.00 $1,751.00 $2,071.00 $1,911.00 2025-05-28
38505 CPT Bx Or Exc Of Lymph Node(s); By Needle, S 8 4 $2,874.00 $2,874.00 $1,503.00 $2,385.00 $1,873.00 2025-05-28
30110 CPT Excison Nasal Polyp, Simple, Right 8 4 $3,018.00 $3,018.00 $1,413.00 $2,505.00 $1,872.00 2025-05-28
J0630 HCPCS Calcitonin Salmon Im/sq Inj, Up To 400iu 12 4 $5,636.00 $5,636.00 $1,070.00 $4,678.00 $1,797.00 2025-05-28
54160 CPT Circ Surg Excision Newborn 8 4 $4,082.00 $4,082.00 $633.00 $3,388.00 $1,797.00 2025-05-28
130583 CDM Decontamination Level Iii 4 2 $2,337.00 $2,337.00 $1,641.00 $1,940.00 $1,790.50 2025-05-28
20103 CPT Explor Penetrating Wnd, Ext Lt 8 4 $2,483.00 $2,483.00 $1,503.00 $2,061.00 $1,735.50 2025-05-28
41010 CPT Incision Of Lingual Frenum 8 4 $2,579.00 $2,579.00 $1,413.00 $2,141.00 $1,717.50 2025-05-28
41115 CPT Excision Of Lingual Frenum 8 4 $2,579.00 $2,579.00 $1,413.00 $2,141.00 $1,717.50 2025-05-28
36569 CPT Ins Picc Line Without Port Or Guide 5y/o + 8 4 $2,419.00 $2,419.00 $1,484.00 $2,008.00 $1,702.50 2025-05-28
120031 CDM Anes Px Esoph Thy Lrnx Trch Lym Nck >1yr 8 4 $722.00 $722.00 $472.00 $3,220.00 $1,699.50 2025-05-28
120014 CDM Anesthesia For Access To Venous Circulat 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120022 CDM Anes For Proc Low Ant Abd Wall 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120030 CDM Anes For Circumcision 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120018 CDM Anesthesia Ventral/incis Hernia Uppr Abd 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120012 CDM Anes For Integ Ext/ant Trnk/perineal 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120015 CDM Anes For Access To Cntrl Venous Circula 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120006 CDM Anesthesia For D&c/leep 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120007 CDM Anesthesia For Lap Chole 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120008 CDM Anesthesia For Hernia Repair Lower Abd 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120011 CDM Anesthesia Appy/intraperitoneal/low Abd 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120019 CDM Anes For I&d Abscess/cyst, Simpl/single 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120003 CDM Anesthesia For Egd 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120016 CDM Anes For Anorectal Procedures 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120028 CDM Anes For Unilat/bil Vasectomy 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120029 CDM Anes For Intraoral Procedures Incl Bx 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120001 CDM Anesthesia For Btl 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120036 CDM Anesthesia For Ear Procedures 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120027 CDM Anesthesia For Frenulotomy (Oral Proced) 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
120002 CDM Anesthesia For Colonoscopy 8 4 $720.00 $720.00 $471.00 $3,220.00 $1,699.00 2025-05-28
23330 CPT Removal Foreign Body Shoulder Subq-lt 8 4 $2,370.00 $2,370.00 $1,503.00 $1,967.00 $1,696.00 2025-05-28
120032 CDM Anes For Nose Procedure 8 4 $655.00 $655.00 $428.00 $3,220.00 $1,672.00 2025-05-28
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 16 4 $2,382.00 $2,382.00 $1,094.00 $2,025.00 $1,672.00 2025-05-28
120033 CDM Anes For Nose Procedure 8 4 $655.00 $655.00 $428.00 $3,220.00 $1,672.00 2025-05-28
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 12 4 $2,440.00 $2,440.00 $1,094.00 $2,025.00 $1,651.50 2025-05-28
71555 CPT MRA Chest Worwo Cont 4 2 $2,151.00 $465.00 78% off $1,510.00 $1,785.00 $1,647.50 2025-05-28
74185 CPT MRA Abd Worwo Cont 4 2 $2,151.00 $465.00 78% off $1,510.00 $1,785.00 $1,647.50 2025-05-28
72198 CPT MRA Pelvis Worwo Cont 4 2 $2,151.00 $465.00 78% off $1,510.00 $1,785.00 $1,647.50 2025-05-28
73725 CPT MRA Lower Ext Worwo Cont Lt 4 2 $2,151.00 $465.00 78% off $1,510.00 $1,785.00 $1,647.50 2025-05-28
45384 CPT Colonoscopy W/rem Hot Bx/cautery 12 4 $2,379.00 $2,379.00 $1,094.00 $1,975.00 $1,630.00 2025-05-28
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 12 4 $2,379.00 $2,379.00 $847.00 $1,975.00 $1,630.00 2025-05-28
G0390 HCPCS Trauma Team Activation 8 4 $2,550.00 $2,550.00 $1,269.00 $2,117.00 $1,624.50 2025-05-28
110102 CDM Recovery Room 8 4 $520.00 $520.00 $340.00 $3,220.00 $1,616.00 2025-05-28
J7298 HCPCS Mirena IUD 4 2 $2,082.00 $2,082.00 $1,462.00 $1,728.00 $1,595.00 2025-05-28
13100 CPT Repr Compl Trunk;1.1-2.5 8 4 $3,543.00 $3,543.00 $582.00 $2,941.00 $1,578.00 2025-05-28
503516 CDM Sandoglobulin (Ig) IV 12gm 4 2 $2,051.00 $2,051.00 $1,440.00 $1,702.00 $1,571.00 2025-05-28
510954 CDM Tysabrl 300 Mg/15 Ml Vial (Sdv) 4 2 $2,042.00 $2,042.00 $1,433.00 $1,695.00 $1,564.00 2025-05-28
100568 CDM Surgical Procedure Room 8 4 $364.00 $364.00 $238.00 $3,220.00 $1,551.00 2025-05-28
120034 CDM Anes For Arm/hand Cast App Or Repair 8 4 $355.00 $355.00 $232.00 $3,220.00 $1,547.50 2025-05-28
110106 CDM Recovery Room Each Addl Hour 8 4 $344.00 $344.00 $225.00 $3,220.00 $1,543.00 2025-05-28
43247 CPT Egd With Fb Removal 8 4 $2,869.00 $2,869.00 $840.00 $2,381.00 $1,490.00 2025-05-28
45379 CPT Colonoscopy W/rem Foreign Body 2nd Proce 8 4 $2,379.00 $2,379.00 $1,094.00 $1,975.00 $1,464.00 2025-05-28
45338 CPT Sigmoidoscopy Flex; Remv Lesion W/snare 8 4 $2,373.00 $2,373.00 $1,094.00 $1,970.00 $1,462.00 2025-05-28
45332 CPT Sigmoidoscopy W/fb Removal 8 4 $2,373.00 $2,373.00 $1,094.00 $1,970.00 $1,462.00 2025-05-28
33016 CPT Pericardiocentesis;int 8 4 $1,699.00 $1,699.00 $1,193.00 $1,707.00 $1,447.00 2025-05-28
32551 CPT Tube Thoracostomy W/wo H2o Seal-bil 8 4 $1,699.00 $1,699.00 $1,193.00 $1,707.00 $1,447.00 2025-05-28
90937 CPT Hemodialysis I/p W/multi Evals 4 2 $1,875.00 $1,875.00 $1,316.00 $1,556.00 $1,436.00 2025-05-28
J3489 HCPCS Reclast Ivpb : 5 Mg / 100 Ml 4 2 $1,864.00 $1,864.00 $1,309.00 $1,547.00 $1,428.00 2025-05-28
62322 CPT Injection(s) Of Therapeutic Substance 14 4 $2,023.00 $2,023.00 $845.00 $1,679.00 $1,420.00 2025-05-28
15999 CPT Unlisted Procedure, Exc Pressure Ulcer 8 4 $2,976.00 $2,976.00 $652.00 $2,470.00 $1,419.50 2025-05-28
45915 CPT Fecal Disimpaction 8 4 $2,249.00 $2,249.00 $1,094.00 $1,867.00 $1,418.50 2025-05-28
45388 CPT Colonoscopy Flex/dx Abl Les Not Hot Bx 8 4 $2,178.00 $2,178.00 $1,094.00 $1,808.00 $1,393.50 2025-05-28
70552 CPT MRI Brain W Contrast 8 4 $3,361.00 $450.00 87% off $356.00 $2,790.00 $1,384.50 2025-05-28
46320 CPT Excision Of Thrombosed Hemorrhoid, Exter 8 4 $2,103.00 $2,103.00 $1,094.00 $1,745.00 $1,367.00 2025-05-28
62273 CPT Inj Epi Blood/clot Patch 10 4 $1,928.00 $1,928.00 $641.00 $1,600.00 $1,353.00 2025-05-28
37799 CPT Unlisted Proced Vascular Surg-lt 8 4 $2,899.00 $2,899.00 $582.00 $2,406.00 $1,352.50 2025-05-28
Q0138 HCPCS Feraheme 510mg Vial 4 2 $1,748.00 $1,748.00 $1,227.00 $1,451.00 $1,339.00 2025-05-28
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 12 4 $2,138.00 $2,138.00 $840.00 $1,775.00 $1,330.50 2025-05-28
49083 CPT Excised Malignancy Over 4cm 12 4 $5,493.00 $5,493.00 $840.00 $4,559.00 $1,330.50 2025-05-28
72156 CPT MRI Spine Cervical W&wo Contrast 8 4 $3,123.00 $465.00 85% off $356.00 $2,592.00 $1,301.00 2025-05-28
72157 CPT MRI Spine Thoracic W&wo Cont 8 4 $3,123.00 $465.00 85% off $356.00 $2,592.00 $1,301.00 2025-05-28
72158 CPT MRI Spine Lumbar W&wo Contrast 8 4 $3,123.00 $465.00 85% off $356.00 $2,592.00 $1,301.00 2025-05-28
73223 CPT MRI Ue Any Jt W & Wo Lt 8 4 $3,123.00 $465.00 85% off $356.00 $2,592.00 $1,301.00 2025-05-28
73720 CPT MRI Le Other Than Jt W&wo Lt 8 4 $3,123.00 $465.00 85% off $356.00 $2,592.00 $1,301.00 2025-05-28
70543 CPT MRI Orbit Face & Neck W&wo Cont 8 4 $3,123.00 $465.00 85% off $356.00 $2,592.00 $1,301.00 2025-05-28
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