Price Transparencybeta Hospital negotiated rates

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

GLEN ROSE MEDICAL CENTER

Glen Rose, TX · CCN 450451 · Rates published

Your selected procedure

You selected 29806 (CPT)

Arthro Shldr Surg Capsulo

This hospital’s price: $14,940 across 8 payers · range $4,467-$21,027

Source: https://secure.claraprice.net/price-transparency/NUH2773072790/machine-readable/463085950_glen-rose-medical-center_standardcharges.json · observed 2026-08-21

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

10,743 distinct procedures filed
9 distinct payers
114,320 rate rows
2026-08-21 last MRF observed
Data quality

111,939 of 114,320 rate rows are consumer-grade (97.9%)

2,381 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,622
exceeds 10× this hospital's gross charge — excluded from medians 759
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/NUH2773072790/machine-readable/463085950_glen-rose-medical-center_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/glen-rose
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-02
Content fingerprint 65bf5fbf9ba0f25d… · 29,481,017 bytes · first seen 2026-11-02

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
7141001454
CDM 		Assist Plus Covid-19 Quidel Ki 8 $42,800.00 $101,650.00 $72,225.00 nat. median
$72,225
1.0× median
63685
CPT 		Ins/rep Spinal Neurostim 8 $4,467.00 $98,819.00 $70,213.50 nat. median
$20,965
outlier · 3.3×
7283000421
CDM 		Eterna System 4 $54,249.00 $79,287.00 $63,847.00 nat. median
$63,847
1.0× median
27279
CPT 		Arthro Sacro Jt Perq/min Nvas 8 $4,467.00 $71,979.00 $51,143.00 nat. median
$17,268
outlier · 3.0×
7141000817
CDM 		Gliderite Core Equpment 15 4 $42,736.00 $62,460.00 $50,296.50 nat. median
$50,296
1.0× median
64590
CPT 		Ins/plce Perip/gast Neuro Rep 8 $4,467.00 $68,739.00 $48,841.00 nat. median
$17,808
outlier · 2.7×
63655
CPT 		Lam For Implant Neuro Elec 8 $4,467.00 $68,510.00 $48,678.00 nat. median
$18,044
outlier · 2.7×
44150
CPT 		Colectomy Total Abdo Without Proc 8 $4,467.00 $66,426.00 $47,197.00 nat. median
$3,310
outlier · 14.3×
64575
CPT 		Opn Impl Neuro Elec Arr Per Nv 8 $4,467.00 $64,706.00 $45,975.50 nat. median
$11,792
outlier · 3.9×
22612
CPT 		Arthrodesis Sin Intrsp; Lumbar 8 $4,467.00 $60,449.00 $42,950.50 nat. median
$15,174
outlier · 2.8×
22633
CPT 		Surgery To Join 2(+)back Bones 8 $4,467.00 $60,449.00 $42,950.50 nat. median
$17,346
outlier · 2.5×
CP17876789777203992
CDM 		Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 4 $28,322.00 $41,394.00 $33,333.00 nat. median
$33,333
1.0× median
7141003647
CDM 		Interstim Neurostimulator 3058 8 $19,217.00 $45,641.00 $32,429.00 nat. median
$32,429
1.0× median
7283000295
CDM 		Ps Kit Itotal Identityleft 4 $26,429.00 $38,627.00 $31,105.00 nat. median
$31,105
1.0× median
27447
CPT 		Total Knee Replacmnt 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$12,793
outlier · 2.3×
23472
CPT 		Reconstruct Shldr Tot Ip Only 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$16,538
1.8× median
24430
CPT 		Rpr Non/malunion Humerous 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,462
outlier · 2.6×
24515
CPT 		Opn Tx Hum Shaft Fx W Pl8/scr 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,429
outlier · 2.6×
27428
CPT 		Ligam Recon Knee Intr-artclr 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,552
outlier · 2.5×
28737
CPT 		Arthro W/ten Midtar Tar Nav 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,219
outlier · 2.6×
27446
CPT 		Artho Knee Cond&plat Md/lt Com 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$12,374
outlier · 2.4×
27759
CPT 		Tx Tib Shaft Fx W Imed Implant 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$10,481
outlier · 2.8×
24516
CPT 		Tx Humeral Shaft Fx W/imp 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,327
outlier · 2.6×
28730
CPT 		Arthrd Midtarsl/tar Mult 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$10,797
outlier · 2.7×
24666
CPT 		Opn Tx Radial Head/neck Frac 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$10,720
outlier · 2.7×
28735
CPT 		Arthrd Midtarsl/tar Mult W/ost 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,242
outlier · 2.6×
24579
CPT 		Opn Tx Humeral Condyl Fx 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$10,929
outlier · 2.7×
27429
CPT 		Intr&extr-artclr Lig Rcns 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,150
outlier · 2.6×
23470
CPT 		Arthroplasty Glenohumeral 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$12,347
outlier · 2.4×
27870
CPT 		Arthrodesis Ankle 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$10,862
outlier · 2.7×
23615
CPT 		Orif Proximal Humeral Fx 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,327
outlier · 2.6×
29867
CPT 		Arthro Knee Ostechnd Allograft 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$12,101
outlier · 2.4×
28715
CPT 		Triple Arthrodesis 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,408
outlier · 2.6×
28725
CPT 		Subtalar Fusion 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$10,483
outlier · 2.8×
24586
CPT 		Opn Tx Periart Fx/disloc Elbow 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,037
outlier · 2.7×
27415
CPT 		Osteochon Allograft Knee 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$11,663
outlier · 2.5×
27827
CPT 		Opn Tx Fx Wt Bear Dis Tib 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$10,692
outlier · 2.8×
20692
CPT 		Apply Bone Fixation Devic 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$8,342
outlier · 3.5×
27130
CPT 		Total Hip Replacement 8 $4,467.00 $41,394.00 $29,411.50 nat. median
$13,117
outlier · 2.2×
7141001096
CDM 		Leg Press Md-s70 Pecan Pt 8 $16,940.00 $40,233.00 $28,587.00 nat. median
$28,587
1.0× median
60212
CPT 		Prtl Thy Lob W/cont Stot Lobec 8 $4,467.00 $39,942.00 $28,380.00 nat. median
$6,037
outlier · 4.7×
43450
CPT 		Dil Esoph Unguided Snd/bougie 8 $4,467.00 $39,942.00 $28,380.00 nat. median
$1,070
outlier · 26.5×
7283000322
CDM 		Vangaurd Ti Fem Ps 67.5mm Lt 4 $23,369.00 $34,154.00 $27,503.50 nat. median
$27,504
1.0× median
7141006753
CDM 		Ps Kit Itotal Identityleft 8 $16,264.00 $38,627.00 $27,445.50 nat. median
$27,446
1.0× median
7141005037
CDM 		Stem Humeral Trab Metal Should 8 $15,800.00 $37,525.00 $26,662.50 nat. median
$26,662
1.0× median
7141005055
CDM 		Tm Primary Stem 11mm Standard 8 $15,062.00 $35,772.00 $25,417.50 nat. median
$25,418
1.0× median
33208
CPT 		Dual Chamber Pacemaker Insert 8 $4,467.00 $34,906.00 $24,801.50 nat. median
$11,884
outlier · 2.1×
33228
CPT 		Rm Prm Pm Pls Gen W/rep Dl Chm 8 $4,467.00 $34,906.00 $24,801.50 nat. median
$11,462
outlier · 2.2×
7141001194
CDM 		Interlaminar Fusion Device 8 $14,552.00 $34,561.00 $24,556.50 nat. median
$24,556
1.0× median
7141005025
CDM 		Primary Stem 12mm Standard 8 $14,482.00 $34,395.00 $24,438.50 nat. median
$24,438
1.0× median

Other procedures at this hospital

Browse this hospital's 10,743 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
             
7141001454 CDM Assist Plus Covid-19 Quidel Ki 14 8 $107,000.00 $107,000.00 $42,800.00 $101,650.00 $72,225.00 2026-08-21
63685 CPT Ins/rep Spinal Neurostim 14 8 $104,020.00 $104,020.00 $4,467.00 $98,819.00 $70,213.50 2026-08-21
7283000421 CDM Eterna System 6 4 $83,460.00 $83,460.00 $54,249.00 $79,287.00 $63,847.00 2026-08-21
27279 CPT Arthro Sacro Jt Perq/min Nvas 14 8 $75,767.00 $75,767.00 $4,467.00 $71,979.00 $51,143.00 2026-08-21
7141000817 CDM Gliderite Core Equpment 15 6 4 $65,747.00 $65,747.00 $42,736.00 $62,460.00 $50,296.50 2026-08-21
64590 CPT Ins/plce Perip/gast Neuro Rep 14 8 $72,357.00 $72,357.00 $4,467.00 $68,739.00 $48,841.00 2026-08-21
63655 CPT Lam For Implant Neuro Elec 14 8 $72,116.00 $72,116.00 $4,467.00 $68,510.00 $48,678.00 2026-08-21
44150 CPT Colectomy Total Abdo Without Proc 14 8 $69,922.00 $69,922.00 $4,467.00 $66,426.00 $47,197.00 2026-08-21
64575 CPT Opn Impl Neuro Elec Arr Per Nv 14 8 $68,112.00 $68,112.00 $4,467.00 $64,706.00 $45,975.50 2026-08-21
22612 CPT Arthrodesis Sin Intrsp; Lumbar 14 8 $63,630.00 $63,630.00 $4,467.00 $60,449.00 $42,950.50 2026-08-21
22633 CPT Surgery To Join 2(+)back Bones 14 8 $63,630.00 $63,630.00 $4,467.00 $60,449.00 $42,950.50 2026-08-21
CP17876789777203992 CDM Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 6 4 $43,573.00 $43,573.00 $28,322.00 $41,394.00 $33,333.00 2026-08-21
7141003647 CDM Interstim Neurostimulator 3058 14 8 $48,043.00 $48,043.00 $19,217.00 $45,641.00 $32,429.00 2026-08-21
7283000295 CDM Ps Kit Itotal Identityleft 6 4 $40,660.00 $40,660.00 $26,429.00 $38,627.00 $31,105.00 2026-08-21
27447 CPT Total Knee Replacmnt 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
23472 CPT Reconstruct Shldr Tot Ip Only 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
24430 CPT Rpr Non/malunion Humerous 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
24515 CPT Opn Tx Hum Shaft Fx W Pl8/scr 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
27428 CPT Ligam Recon Knee Intr-artclr 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
28737 CPT Arthro W/ten Midtar Tar Nav 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
27446 CPT Artho Knee Cond&plat Md/lt Com 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
27759 CPT Tx Tib Shaft Fx W Imed Implant 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
24516 CPT Tx Humeral Shaft Fx W/imp 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
28730 CPT Arthrd Midtarsl/tar Mult 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
24666 CPT Opn Tx Radial Head/neck Frac 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
28735 CPT Arthrd Midtarsl/tar Mult W/ost 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
24579 CPT Opn Tx Humeral Condyl Fx 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
27429 CPT Intr&extr-artclr Lig Rcns 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
23470 CPT Arthroplasty Glenohumeral 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
27870 CPT Arthrodesis Ankle 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
23615 CPT Orif Proximal Humeral Fx 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
29867 CPT Arthro Knee Ostechnd Allograft 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
28715 CPT Triple Arthrodesis 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
28725 CPT Subtalar Fusion 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
24586 CPT Opn Tx Periart Fx/disloc Elbow 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
27415 CPT Osteochon Allograft Knee 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
27827 CPT Opn Tx Fx Wt Bear Dis Tib 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
20692 CPT Apply Bone Fixation Devic 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
27130 CPT Total Hip Replacement 14 8 $43,573.00 $43,573.00 $4,467.00 $41,394.00 $29,411.50 2026-08-21
7141001096 CDM Leg Press Md-s70 Pecan Pt 14 8 $42,351.00 $42,351.00 $16,940.00 $40,233.00 $28,587.00 2026-08-21
60212 CPT Prtl Thy Lob W/cont Stot Lobec 14 8 $42,044.00 $42,044.00 $4,467.00 $39,942.00 $28,380.00 2026-08-21
43450 CPT Dil Esoph Unguided Snd/bougie 14 8 $42,044.00 $42,044.00 $4,467.00 $39,942.00 $28,380.00 2026-08-21
7283000322 CDM Vangaurd Ti Fem Ps 67.5mm Lt 6 4 $35,952.00 $35,952.00 $23,369.00 $34,154.00 $27,503.50 2026-08-21
7141006753 CDM Ps Kit Itotal Identityleft 14 8 $40,660.00 $40,660.00 $16,264.00 $38,627.00 $27,445.50 2026-08-21
7141005037 CDM Stem Humeral Trab Metal Should 14 8 $39,500.00 $39,500.00 $15,800.00 $37,525.00 $26,662.50 2026-08-21
7141005055 CDM Tm Primary Stem 11mm Standard 14 8 $37,655.00 $37,655.00 $15,062.00 $35,772.00 $25,417.50 2026-08-21
33208 CPT Dual Chamber Pacemaker Insert 14 8 $36,743.00 $36,743.00 $4,467.00 $34,906.00 $24,801.50 2026-08-21
33228 CPT Rm Prm Pm Pls Gen W/rep Dl Chm 14 8 $36,743.00 $36,743.00 $4,467.00 $34,906.00 $24,801.50 2026-08-21
7141001194 CDM Interlaminar Fusion Device 14 8 $36,380.00 $36,380.00 $14,552.00 $34,561.00 $24,556.50 2026-08-21
7141005025 CDM Primary Stem 12mm Standard 14 8 $36,205.00 $36,205.00 $14,482.00 $34,395.00 $24,438.50 2026-08-21
58544 CPT Lap Hysterectomy, Uterus >250g 14 8 $36,023.00 $36,023.00 $4,467.00 $34,222.00 $24,315.50 2026-08-21
7283000766 CDM Femoral Cemented Tc3 96-0089/9 6 4 $30,341.00 $30,341.00 $19,722.00 $28,824.00 $23,211.00 2026-08-21
7283000829 CDM Femoral Stem 12/14 Taper Sz 13 6 4 $30,220.00 $30,220.00 $19,643.00 $28,709.00 $23,118.50 2026-08-21
7141004839 CDM Entellus Nasal Dilator Loprofi 14 8 $32,100.00 $32,100.00 $12,840.00 $30,495.00 $21,667.50 2026-08-21
19325 CPT Breast Augment W/implant 14 8 $31,508.00 $31,508.00 $4,467.00 $29,933.00 $21,268.00 2026-08-21
58571 CPT Lap Tot Hyst <250g W/tb/ov Rem 14 8 $31,474.00 $31,474.00 $4,467.00 $29,900.00 $21,245.00 2026-08-21
58573 CPT Lap Tot Hyst W/t/o Ut>250g 14 8 $31,474.00 $31,474.00 $4,467.00 $29,900.00 $21,245.00 2026-08-21
58570 CPT Lap Total Hyst 250g Or Less 14 8 $31,474.00 $31,474.00 $4,467.00 $29,900.00 $21,245.00 2026-08-21
58572 CPT Lap Tot Hyst Uterus>250g 14 8 $31,474.00 $31,474.00 $4,467.00 $29,900.00 $21,245.00 2026-08-21
38571 CPT Laparoscopy Lymphadenectomy 14 8 $31,474.00 $31,474.00 $4,467.00 $29,900.00 $21,245.00 2026-08-21
57425 CPT Laparo Copopexy (Vag Susp) 14 8 $31,474.00 $31,474.00 $4,467.00 $29,900.00 $21,245.00 2026-08-21
58552 CPT Laps Vag Hys 250g/< W Remv T&o 14 8 $31,474.00 $31,474.00 $4,467.00 $29,900.00 $21,245.00 2026-08-21
58554 CPT Laps Vag Hys>250g W Remv T&o 14 8 $31,474.00 $31,474.00 $4,467.00 $29,900.00 $21,245.00 2026-08-21
55866 CPT Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 14 8 $31,474.00 $31,474.00 $4,467.00 $29,900.00 $21,245.00 2026-08-21
58546 CPT Laps Myo Exc 5+ Myomas >250g 14 8 $31,442.00 $31,442.00 $4,467.00 $29,870.00 $21,223.00 2026-08-21
58542 CPT Lsh W/t/o Ut 250 G Or Less 14 8 $31,442.00 $31,442.00 $4,467.00 $29,870.00 $21,223.00 2026-08-21
7141001109 CDM Treadmill Sportsart Medical T6 14 8 $30,367.00 $30,367.00 $12,147.00 $28,849.00 $20,498.00 2026-08-21
7141004892 CDM Primary Stem 14mm Standard 14 8 $30,220.00 $30,220.00 $12,088.00 $28,709.00 $20,398.50 2026-08-21
50080 CPT Removal Kidney Stone 14 8 $29,164.00 $29,164.00 $4,467.00 $27,706.00 $19,686.00 2026-08-21
33285 CPT Ins Subq Cardiac Rhythm Moni 14 8 $28,830.00 $28,830.00 $4,467.00 $27,389.00 $19,460.50 2026-08-21
7141004487 CDM Conical Proximal Body Tensile 14 8 $28,719.00 $28,719.00 $11,488.00 $27,283.00 $19,385.00 2026-08-21
7141005063 CDM Pacemaker Accolade 14 8 $28,462.00 $28,462.00 $11,385.00 $27,039.00 $19,211.50 2026-08-21
7141004624 CDM Global Cap Head Duofix 56x18 14 8 $28,043.00 $28,043.00 $11,217.00 $26,641.00 $18,929.00 2026-08-21
7283000875 CDM Femoral Stem 12/14 Taper Summi 6 4 $23,688.00 $23,688.00 $15,397.00 $22,504.00 $18,121.00 2026-08-21
7141004809 CDM Pacemaker Adapta Addr01 14 8 $26,378.00 $26,378.00 $10,551.00 $25,059.00 $17,805.50 2026-08-21
7141005767 CDM Fridge/ 72 Pnt Glass Doors 155 14 8 $26,197.00 $26,197.00 $10,479.00 $24,887.00 $17,683.00 2026-08-21
7141001107 CDM Scifit Stepone W/premium Steat 14 8 $25,659.00 $25,659.00 $10,264.00 $24,376.00 $17,319.50 2026-08-21
27652 CPT Achilles Tendon Repair 14 8 $25,650.00 $25,650.00 $4,467.00 $24,368.00 $17,314.00 2026-08-21
7283000940 CDM Implant Desara Sling 6 4 $22,449.00 $22,449.00 $14,592.00 $21,327.00 $17,173.50 2026-08-21
7141004787 CDM Pacemaker Dual Chamber A2dr01 14 8 $24,814.00 $24,814.00 $9,926.00 $23,573.00 $16,749.50 2026-08-21
7141005599 CDM Uretero-renoscope 14 8 $24,807.00 $24,807.00 $9,923.00 $23,567.00 $16,745.00 2026-08-21
7141004419 CDM Taperlock Microp Fmrl 13.5mm/1 14 8 $24,777.00 $24,777.00 $9,911.00 $23,538.00 $16,724.50 2026-08-21
7283000899 CDM Femoral Posterior Stabilized S 6 4 $21,828.00 $21,828.00 $14,188.00 $20,737.00 $16,698.00 2026-08-21
7283000873 CDM Femoral Posterior Stabilized S 6 4 $21,828.00 $21,828.00 $14,188.00 $20,737.00 $16,698.00 2026-08-21
7283000909 CDM Femoral Posterior Stabilized S 6 4 $21,828.00 $21,828.00 $14,188.00 $20,737.00 $16,698.00 2026-08-21
7283000853 CDM Femoral Cruciate Retain Cement 6 4 $21,828.00 $21,828.00 $14,188.00 $20,737.00 $16,698.00 2026-08-21
7283000856 CDM Femoral Posterior Stabilized N 6 4 $21,828.00 $21,828.00 $14,188.00 $20,737.00 $16,698.00 2026-08-21
7283000914 CDM Femoral Posteriorstabilizedsz8 6 4 $21,828.00 $21,828.00 $14,188.00 $20,737.00 $16,698.00 2026-08-21
7283000938 CDM Femoral Posterior Stabilized 6 4 $21,828.00 $21,828.00 $14,188.00 $20,737.00 $16,698.00 2026-08-21
7283000866 CDM Femoral Cruciate Retain Cement 6 4 $21,828.00 $21,828.00 $14,188.00 $20,737.00 $16,698.00 2026-08-21
7283000918 CDM Femoral Posterior Stabilized S 6 4 $21,828.00 $21,828.00 $14,188.00 $20,737.00 $16,698.00 2026-08-21
20924 CPT Remove Tendon (Use As A Graft) 14 8 $24,717.00 $24,717.00 $4,467.00 $23,481.00 $16,684.00 2026-08-21
0275T CPT Laminotomy/laminectomy 14 8 $24,717.00 $24,717.00 $9,887.00 $23,481.00 $16,684.00 2026-08-21
29828 CPT Arthrosc Sho Biceps Tenodesis 14 8 $24,717.00 $24,717.00 $4,467.00 $23,481.00 $16,684.00 2026-08-21
29827 CPT Arthrosc Sho W/rotat Cuff Rep 14 8 $24,717.00 $24,717.00 $4,467.00 $23,481.00 $16,684.00 2026-08-21
29888 CPT Arthrosc Repair/recon Lig Knee 14 8 $24,717.00 $24,717.00 $4,467.00 $23,481.00 $16,684.00 2026-08-21
7141005941 CDM Equipment-lcd Monitor Oev-262h 14 8 $24,396.00 $24,396.00 $9,758.00 $23,176.00 $16,467.00 2026-08-21
7141004486 CDM Stem Distal Tapered 14mmx140mm 14 8 $24,011.00 $24,011.00 $9,604.00 $22,810.00 $16,207.50 2026-08-21
58290 CPT Vag Hyst Uterus >250gm 14 8 $23,989.00 $23,989.00 $4,467.00 $22,790.00 $16,192.50 2026-08-21
57282 CPT Rep Of Vaginal Prolapse 14 8 $23,989.00 $23,989.00 $4,467.00 $22,790.00 $16,192.50 2026-08-21
57426 CPT Rev W/rem Of Prosth Vag Graft 14 8 $23,989.00 $23,989.00 $4,467.00 $22,790.00 $16,192.50 2026-08-21
58920 CPT Partial Removal Of Ovary(s) 14 8 $23,989.00 $23,989.00 $4,467.00 $22,790.00 $16,192.50 2026-08-21
57285 CPT Repair Paravag Defect Vag 14 8 $23,989.00 $23,989.00 $4,467.00 $22,790.00 $16,192.50 2026-08-21
7141001372 CDM C Transferrin (800t)alinity 14 8 $23,728.00 $23,728.00 $9,491.00 $22,542.00 $16,016.50 2026-08-21
7141004421 CDM Tibial Tray Sz. 3 1294-35-130 14 8 $23,709.00 $23,709.00 $9,484.00 $22,524.00 $16,003.50 2026-08-21
63047 CPT Lam W/decom Spinal Cord Lum 14 8 $23,585.00 $23,585.00 $4,467.00 $22,406.00 $15,920.00 2026-08-21
63046 CPT Lam W/decom Spinal Cord Thor 14 8 $23,585.00 $23,585.00 $4,467.00 $22,406.00 $15,920.00 2026-08-21
63030 CPT Laminotomy Lumbar Back Disc 14 8 $23,585.00 $23,585.00 $4,467.00 $22,406.00 $15,920.00 2026-08-21
63045 CPT Lam W/decom Spinal Cord Cerv 14 8 $23,585.00 $23,585.00 $4,467.00 $22,406.00 $15,920.00 2026-08-21
25607 CPT Opn Repair Radius/ulna 14 8 $23,585.00 $23,585.00 $4,467.00 $22,406.00 $15,920.00 2026-08-21
22102 CPT Part Resection Vertebral Lum 14 8 $23,585.00 $23,585.00 $4,467.00 $22,406.00 $15,920.00 2026-08-21
7141005090 CDM Eluna 8 Dr-t 394969 14 8 $23,540.00 $23,540.00 $9,416.00 $22,363.00 $15,889.50 2026-08-21
7283000881 CDM Shell Trabecular Metal W/multi 6 4 $20,535.00 $20,535.00 $13,348.00 $19,508.00 $15,709.50 2026-08-21
7141000462 CDM Pin Gription Ace Shell Mul 6 4 $20,271.00 $20,271.00 $13,176.00 $19,257.00 $15,507.50 2026-08-21
7283000960 CDM Pinnacle Gription Acetabular S 6 4 $20,271.00 $20,271.00 $13,176.00 $19,257.00 $15,507.50 2026-08-21
22514 CPT Percut/verteb/augment Lumbar 14 8 $22,887.00 $22,887.00 $4,467.00 $21,743.00 $15,449.00 2026-08-21
22513 CPT Percut/verteb/augment Thoracic 14 8 $22,887.00 $22,887.00 $4,467.00 $21,743.00 $15,449.00 2026-08-21
7141004902 CDM Reveal Linq Lnq11 14 8 $22,663.00 $22,663.00 $9,065.00 $21,530.00 $15,297.50 2026-08-21
7141001390 CDM Alinity C Crp Vario 3500 Test 14 8 $22,414.00 $22,414.00 $8,966.00 $21,293.00 $15,129.50 2026-08-21
7141000514 CDM Attune Ps Rp Insrt Sz 6 10mm 6 4 $19,577.00 $19,577.00 $12,725.00 $18,598.00 $14,976.50 2026-08-21
7283000991 CDM Attune Ps Rp Insrt Sz 6 10mm 6 4 $19,577.00 $19,577.00 $12,725.00 $18,598.00 $14,976.50 2026-08-21
25515 CPT Treat Fracture Of Radius 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27427 CPT Ligam Recon Knee Extr-artclr 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23550 CPT Opn Tx Acromioclavicular 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
25545 CPT Opn Red Fx Rad/ulna W/int 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
20900 CPT Bone Graft Minor Or Small 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28485 CPT Opn Tx Metatarsal Fx W/wo 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
20690 CPT Appl Uniplane Uni Ext Fix 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23515 CPT Opn Tx Clavicular Fx W/wo 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28465 CPT Opn Tx Tarsal Bone Fx 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
29887 CPT Art Knee Drlg Ost Dis Int Fixj 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28415 CPT Open Trmt Calcaneal Fx 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27422 CPT Patella Stabilization 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23660 CPT Open Red Disloc Shlder 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
25608 CPT Orif Dstl Rad Fx Int 2 Frags 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
29806 CPT Arthro Shldr Surg Capsulo 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27418 CPT Rep Degenerated Kneecap W/mod 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
25628 CPT Opn Tx Carpal Scaph Nav Fx 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
26531 CPT Arthro Metacarp W/implant 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
25440 CPT Rep Nonunion Carpal Bone 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23430 CPT Tenodesis Of Long Tndn Biceps 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27650 CPT Prim Repr Achilles Tendon 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
25400 CPT Rep Nonunion/malunion Rad/uln 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27691 CPT Transf 1 Tendon Lwr Leg Deep 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23670 CPT Opn Tx Shr Dis/w Fx Gr Hum Tub 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28304 CPT Incision Of Mid Foot Bone 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28298 CPT Hallux Valgus W/prox Phal Ost 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28299 CPT Hallux Valgus W/double Osteo 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
25575 CPT Opn Tx Radial & Ulnar Shaft Fx 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28300 CPT Incision Of Heel Bone 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
25390 CPT Osteoplasty Radius/uln Short 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
25652 CPT Opn Tx Ulnar Styloid Fx 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27524 CPT Opn Tx Patellar Fx W/inte 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
25263 CPT Rep Forearm Tendon/muscle 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27380 CPT Suture Infrapatellar Tend Prim 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27654 CPT Rpr Secondary Achilles Tendon 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
24685 CPT Opn Tx Ulnar Fx Proximal 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23420 CPT Rep Shoulder Cuff Avulsio 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28305 CPT Osteo Tar Bones W/autograft 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
26352 CPT Rep/adv Flexor Tdn With Fr Graft 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
25609 CPT Orif Dstl Radius Fx =>3 Frags 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27235 CPT Per Tx Fem Fx Prox End Neck 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27400 CPT Trnsfr Tendn/musc Hamstri 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28750 CPT Arthrodesis Great Toe 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23455 CPT Capsulorrhapy W/labral Rep 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23415 CPT Coracoacromial Lig Releas 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27822 CPT Opn Tx Trim Ank Without Fix Pt Lip 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
24665 CPT Orif Radial Head/neck Fx 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23405 CPT Tenotomy, Shldr Area, Sin Ten 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23410 CPT Opn Rpr Rotator Cuff Acute 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27823 CPT Opn Tx Trim Ankle W/fix Pt Lip 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
23412 CPT Rep Of Rotator Cuff Opn Chron 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
24538 CPT Clsd Supraco Hum Fx W/perc Fix 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
29807 CPT Arthro Shldr Rpr Slap Les 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27792 CPT Open Tx Dist Fib Fx Lat Mall 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27766 CPT Opn Tx Fx Med Malleolus W/mod 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28238 CPT Rec Pst Tib Tdn W/ex Acc Tr Nv 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27814 CPT Open Tx Bimalleolar Ankle Fx 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27696 CPT Prim Repr Both Coll Lig Ankle 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27698 CPT Rpr Secondary Coll Lig Ankle 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28306 CPT Osteo W/wo Correct 1st Metar 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27829 CPT Opn Tx Dist Tibfib Jt Dis 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27350 CPT Patellectomy/orhemipatell 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28740 CPT Arthro Midtarsal/tar Sing Jt 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28202 CPT Rpr Tdn Flxr Foot Sec W/gt 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27405 CPT Rep Prim Torn Lig Knee Collat 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27695 CPT Prim Repr Collatral Lig Ankle 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
28297 CPT Hallux Valgus W/joint Arth 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
24342 CPT Rep Rup Bicep Or Tri W/wo Gra 14 8 $22,134.00 $22,134.00 $4,467.00 $21,027.00 $14,940.50 2026-08-21
27596 CPT Reamputation Femur/knee W/mod 14 8 $22,133.00 $22,133.00 $4,467.00 $21,026.00 $14,939.50 2026-08-21
27236 CPT Open Tx Of Femoral Fractu 14 8 $22,133.00 $22,133.00 $4,467.00 $21,026.00 $14,939.50 2026-08-21
7283000697 CDM Micro Plate Eppen Mixerdwp 100 6 4 $19,480.00 $19,480.00 $12,662.00 $18,506.00 $14,902.00 2026-08-21
7283000863 CDM Shell Continuum Multi Hole 52 6 4 $19,371.00 $19,371.00 $12,591.00 $18,402.00 $14,819.00 2026-08-21
63650 CPT Perc Implan Of Neuro Epid 14 8 $21,859.00 $21,859.00 $4,467.00 $20,766.00 $14,754.50 2026-08-21
64581 CPT Opn Impl Neur Ele Arr Sac Nrv 14 8 $21,859.00 $21,859.00 $4,467.00 $20,766.00 $14,754.50 2026-08-21
63663 CPT Rev Incl Repl Spinal Neurostim 14 8 $21,859.00 $21,859.00 $4,467.00 $20,766.00 $14,754.50 2026-08-21
64561 CPT Prq Impl Neu Elect Arr Sac Nrv 14 8 $21,859.00 $21,859.00 $4,467.00 $20,766.00 $14,754.50 2026-08-21
7283000772 CDM Altrua 60 Dddr Is-1 Implant 6 4 $19,260.00 $19,260.00 $12,519.00 $18,297.00 $14,734.00 2026-08-21
7283000842 CDM Stem Humeral Trabecular Metal 6 4 $19,102.00 $19,102.00 $12,416.00 $18,147.00 $14,613.00 2026-08-21
7283000380 CDM Kit Case Spinejack 4.2mm 6 4 $19,074.00 $19,074.00 $12,398.00 $18,120.00 $14,591.50 2026-08-21
7283000381 CDM Kit Case Spinejack 5.0mm 6 4 $19,074.00 $19,074.00 $12,398.00 $18,120.00 $14,591.50 2026-08-21
49615 CPT Repair Hernia 3-10cm,reducible 14 8 $21,590.00 $21,590.00 $4,467.00 $20,511.00 $14,573.50 2026-08-21
7283000762 CDM Radiopaque Bone Cement 6 4 $18,935.00 $18,935.00 $12,308.00 $17,988.00 $14,485.50 2026-08-21
7141004830 CDM Pacemaker Evia Dr-t 359529 14 8 $21,400.00 $21,400.00 $8,560.00 $20,330.00 $14,445.00 2026-08-21
59150 CPT Lap Surgery Ectopic Pregnancy 14 8 $21,371.00 $21,371.00 $4,467.00 $20,302.00 $14,425.50 2026-08-21
49323 CPT Lap W/drainage Of Lymphocele 14 8 $21,371.00 $21,371.00 $4,467.00 $20,302.00 $14,425.50 2026-08-21
7283000756 CDM Vanguard Cr Femoral 6 4 $18,520.00 $18,520.00 $12,038.00 $17,594.00 $14,168.00 2026-08-21
7283000695 CDM Polarus Plate 4 Hole/right 6 4 $18,468.00 $18,468.00 $12,004.00 $17,545.00 $14,128.00 2026-08-21
7283000144 CDM Fem Stm12/14tap Sz4 W/porcoat 6 4 $18,404.00 $18,404.00 $11,963.00 $17,484.00 $14,079.00 2026-08-21
7283000131 CDM Fem Stem 12/14tapsum W/procoat 6 4 $18,404.00 $18,404.00 $11,963.00 $17,484.00 $14,079.00 2026-08-21
31287 CPT Nasal/sinsus Endo W/sphen 14 8 $20,578.00 $20,578.00 $4,467.00 $19,549.00 $13,890.50 2026-08-21
31288 CPT Nas End Sph Rem Tiss Sphen Sin 14 8 $20,578.00 $20,578.00 $4,467.00 $19,549.00 $13,890.50 2026-08-21
31253 CPT A/p Totl Nasal W/expl/tiss Rem 14 8 $20,578.00 $20,578.00 $4,467.00 $19,549.00 $13,890.50 2026-08-21
31255 CPT Nasal/sinus Endo W Total Ethmo 14 8 $20,578.00 $20,578.00 $4,467.00 $19,549.00 $13,890.50 2026-08-21
31296 CPT Nas Endo W Dil Frontal Sinus 14 8 $20,578.00 $20,578.00 $4,467.00 $19,549.00 $13,890.50 2026-08-21
31297 CPT Nas Endo W Dil Sphenoid Sinus 14 8 $20,578.00 $20,578.00 $4,467.00 $19,549.00 $13,890.50 2026-08-21
7141004995 CDM Pacemaker Adapta Adsr01 14 8 $20,424.00 $20,424.00 $8,170.00 $19,403.00 $13,786.50 2026-08-21
58545 CPT Lap To Rem 1-4 Fibroids <=250g 14 8 $20,187.00 $20,187.00 $4,467.00 $19,178.00 $13,626.50 2026-08-21
49616 CPT Repair Ant Abd Hernia 3-10cm 14 8 $20,187.00 $20,187.00 $4,467.00 $19,178.00 $13,626.50 2026-08-21
47563 CPT Laparoscope To Rem Gallbladder 14 8 $20,187.00 $20,187.00 $4,467.00 $19,178.00 $13,626.50 2026-08-21
47562 CPT Removal Of Gallbladder Using An Endoscope 14 8 $20,187.00 $20,187.00 $4,467.00 $19,178.00 $13,626.50 2026-08-21
44970 CPT Surgery Lap Appendectomy 14 8 $20,187.00 $20,187.00 $4,467.00 $19,178.00 $13,626.50 2026-08-21
62365 CPT Rem Subq Rsvr/pmp Thel/ep Inf 14 8 $20,151.00 $20,151.00 $4,467.00 $19,143.00 $13,602.00 2026-08-21
7141000505 CDM Fasteners Absorbable Bard Mesh 6 4 $17,706.00 $17,706.00 $11,509.00 $16,821.00 $13,545.00 2026-08-21
7141004941 CDM Kit Strucsure Cp (Graft Sub) 14 8 $19,731.00 $19,731.00 $7,892.00 $18,744.00 $13,318.50 2026-08-21
19380 CPT Revise Breast Reconstruct 14 8 $19,556.00 $19,556.00 $4,467.00 $18,578.00 $13,200.00 2026-08-21
19318 CPT Reduction Mammaplasty 14 8 $19,556.00 $19,556.00 $4,467.00 $18,578.00 $13,200.00 2026-08-21
19316 CPT Suspension Of Breast 14 8 $19,556.00 $19,556.00 $4,467.00 $18,578.00 $13,200.00 2026-08-21
19307 CPT Mast Mod/rad Excl Pect Ma 14 8 $19,556.00 $19,556.00 $4,467.00 $18,578.00 $13,200.00 2026-08-21
19303 CPT Mastectomy Simple Complet 14 8 $19,556.00 $19,556.00 $4,467.00 $18,578.00 $13,200.00 2026-08-21
19302 CPT Mast/w Axil/lymphadenecto 14 8 $19,556.00 $19,556.00 $4,467.00 $18,578.00 $13,200.00 2026-08-21
15830 CPT Exc Excess Skin & Sq;abd 14 8 $19,556.00 $19,556.00 $4,467.00 $18,578.00 $13,200.00 2026-08-21
7141006254 CDM Set D And C Insturments 14 8 $19,358.00 $19,358.00 $7,743.00 $18,390.00 $13,067.00 2026-08-21
7283000769 CDM Tc3 Insert Size 4 12 Mm 96-235 6 4 $17,017.00 $17,017.00 $11,061.00 $16,166.00 $13,018.00 2026-08-21
7141003919 CDM Adaptor Monitor 14 8 $19,260.00 $19,260.00 $7,704.00 $18,297.00 $13,000.50 2026-08-21
7283000757 CDM Femoral Posterior Sz. 4 1960-5 6 4 $16,965.00 $16,965.00 $11,027.00 $16,117.00 $12,978.00 2026-08-21
7283000815 CDM Femoral Posterior Sz. 4 6 4 $16,965.00 $16,965.00 $11,027.00 $16,117.00 $12,978.00 2026-08-21
7141004913 CDM Pacemaker Ipg Sesr01 14 8 $19,067.00 $19,067.00 $7,627.00 $18,114.00 $12,870.50 2026-08-21
44238 CPT Unlisted Lap Intest Exc Rect 14 8 $19,022.00 $19,022.00 $4,467.00 $18,071.00 $12,839.50 2026-08-21
7141004417 CDM M2a-magnum Pf Cup 52adx46id 14 8 $18,678.00 $18,678.00 $7,471.00 $17,744.00 $12,608.00 2026-08-21
7283000862 CDM Femoral Cruciate Retain Cement 6 4 $16,300.00 $16,300.00 $10,595.00 $15,485.00 $12,469.50 2026-08-21
7141004746 CDM Monitor Dm2100 14 8 $18,404.00 $18,404.00 $7,362.00 $17,484.00 $12,423.00 2026-08-21
7141004641 CDM Monitor 9529 Reveal Xt 14 8 $18,404.00 $18,404.00 $7,362.00 $17,484.00 $12,423.00 2026-08-21
22614 CPT Arthrodesis Ea Add Interspace 14 8 $18,390.00 $18,390.00 $4,467.00 $17,471.00 $12,413.50 2026-08-21
7141004414 CDM Van Ps Open Intl Fem-rt60 14 8 $18,207.00 $18,207.00 $7,283.00 $17,297.00 $12,290.00 2026-08-21
36557 CPT Cntral Ln Insrt <5y Tunneled 14 8 $18,116.00 $18,116.00 $4,467.00 $17,210.00 $12,228.00 2026-08-21
49594 CPT Rpr Aa Hernia 1st 3-10cm Inc 14 8 $18,034.00 $18,034.00 $4,467.00 $17,132.00 $12,173.00 2026-08-21
49592 CPT Rpr Aa Her 1st W/pro <3 Cm Inc 14 8 $18,034.00 $18,034.00 $4,467.00 $17,132.00 $12,173.00 2026-08-21
21210 CPT Graft Bone;nasal Maxillar 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
30400 CPT Rhp Prm Lat&al Crt/elv Nas Tip 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
7283000273 CDM Psn Fem Ps Cmt Cocr Std Sz 9 L 6 4 $15,857.00 $15,857.00 $10,307.00 $15,064.00 $12,131.00 2026-08-21
7283000303 CDM Psn Fem Cr Cmt Ccr Std Sz6 L 6 4 $15,857.00 $15,857.00 $10,307.00 $15,064.00 $12,131.00 2026-08-21
7283000302 CDM Psn Fem Cr Cmt Ccr Nrw Sz9 L 6 4 $15,857.00 $15,857.00 $10,307.00 $15,064.00 $12,131.00 2026-08-21
7283000282 CDM Psn Fem Cr Cmt Ccr Std Sz 9 R 6 4 $15,857.00 $15,857.00 $10,307.00 $15,064.00 $12,131.00 2026-08-21
7283000283 CDM Psn Fem Cr Cmt Ccr Std Sz10 L 6 4 $15,857.00 $15,857.00 $10,307.00 $15,064.00 $12,131.00 2026-08-21
42825 CPT Tonsilectmy;prim/sec<12yr 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
42820 CPT Removal Of Tonsils And Adenoid Glands, Patient Younger Than Age 12 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
7283000281 CDM Psn Fem Cr Cmt Ccr Std Sz 7 R 6 4 $15,857.00 $15,857.00 $10,307.00 $15,064.00 $12,131.00 2026-08-21
7283000321 CDM Psn Fem Cr Cmt Ccr Std Sz6 R 6 4 $15,857.00 $15,857.00 $10,307.00 $15,064.00 $12,131.00 2026-08-21
69631 CPT Repair Eardrum Structures 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
69641 CPT Tmpanoplasty W/mastoidect 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
60500 CPT Parathyroidectomy Explora 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
60502 CPT Re-expl Of Parathroids 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
31050 CPT Sinustomy Sphenoid W/wo B 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
31090 CPT Exploration Of Sinuses 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
31032 CPT Sinus Mx Ant Rad W/rem Ant Pol 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
30600 CPT Repair Fistula, Oronasal 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
42415 CPT Ex Pr Tum Lt Gd Dsj/prsv Fc Nv 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
42420 CPT Ex Pr Tum Tot Gd Ds/prsv Fc Nr 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
31051 CPT Sinus/sphen W/muc Str/rem Pol 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
30410 CPT Rhinoplasty Complete 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
30450 CPT Rhinoplasty Sec Maj Revision 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
30420 CPT Rhinoplasty Prm W/maj Sept Rpr 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
40527 CPT Ex Lip Fl Thk Rec W/crs Lip Fp 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
42425 CPT Exc Par Tum Tot En Bloc Rem 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
30580 CPT Repair Fistula Oromaxilla 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
42844 CPT Rad Res Ton Clos W Local Flap 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
42842 CPT Radical Resect Tonsil Without Clos 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
42870 CPT Excision Of Lingual Tonsil 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
42410 CPT Exc Parotid Tum Gland Lat Lobe 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
21365 CPT Open Tx Comp Fx Malar W Int Fx 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
42440 CPT Exc Submaxillary Gland 14 8 $17,972.00 $17,972.00 $4,467.00 $17,073.00 $12,131.00 2026-08-21
58661 CPT Lap Unilat Salpingo-ooph 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
58662 CPT Laps Fulg/exc Ov Vis/perit Sur 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
58578 CPT Laparoscopiclysis Of Peri 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
58660 CPT Lap-surg-w/lysis/adhesion 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
60210 CPT Prtl Thyroid Lobectomy Un 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
58671 CPT Lap W/occlusion Ovidct De 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
60200 CPT Exc Of Cyst/adenoma Thyro 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
58679 CPT Unlisted Lap Oviduct/ovar 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
51990 CPT Lap Surg;urethral Suspens 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
49650 CPT Lap Inguinal Hernia Initial 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
49651 CPT Lap Inguinal Hernia Recurrent 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
49329 CPT Unlisted Lap Proc Abd, Per 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
49322 CPT Lap Sur W/aspir Of Cav Or Cyst 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
49321 CPT Laparoscopy Surg W/bx 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
49659 CPT Unlisted Lap Hernioplasty 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
49320 CPT Lap/abd/perit/omen Diagns 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
47564 CPT Lap Choly W/exp Of Common Duct 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
47579 CPT Lap Pro Of Bil Trc Unlisted 14 8 $17,880.00 $17,880.00 $4,467.00 $16,986.00 $12,069.00 2026-08-21
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