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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

YOAKUM COUNTY HOSPITAL

Denver City, TX · CCN 451308 · Rates published

3,913 distinct procedures filed
14 distinct payers
179,928 rate rows
2026-05-22 last MRF observed
Data quality

179,854 of 179,928 rate rows are consumer-grade (100.0%)

74 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 70
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/shared/static/ssiy59kivu1oc259d5jbtzkxwsfnubyz.csv
Found on page https://us.flow-prod.boomi.com/f2a4d421-8a52-4b09-8a4c-8476aae2d651/play/ptt?flow-id=a91f6d2f-a3ad-4257-9185-99463fe7c6a3&flow-version-id=1c1ee65c-1ada-473e-bde2-3aa7100683ac&hospital-id=52
Discovered viaCMS hospital list
Last fetch success · 2026-05-19
Content fingerprint 892206691fc90f2a… · 226,296 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
23027880
OTHER 		Amputation Of Lower Leg 14 $1,800.00 $33,783.41 $22,868.77 nat. median
$22,869
1.0× median
23043281
OTHER 		Lap Surg Rpr Paraesophageal Fundoplasty 14 $1,671.32 $28,175.17 $20,228.33 nat. median
$20,228
1.0× median
23043282
OTHER 		Lap Surg Rpr Paraesophageal Hernia 14 $1,880.37 $25,071.07 $17,622.05 nat. median
$17,622
1.0× median
23043280
OTHER 		Laparoscopy, Esophagogastric Fundoplasty 14 $1,167.68 $25,071.07 $17,622.05 nat. median
$17,622
1.0× median
28027652
OTHER 		Rpr Pirmary Open/prq Ruptured Achilles 14 $10,715.60 $20,895.41 $15,001.83 nat. median
$15,002
1.0× median
23057282
OTHER 		Colpopexy, Vaginal; Extra-peritoneal 14 $736.67 $19,976.73 $14,131.60 nat. median
$14,132
1.0× median
23058572
OTHER 		Lap Total Hysterectomy Uterus> 250g 14 $1,102.79 $19,843.03 $13,890.12 nat. median
$13,890
1.0× median
23038120
OTHER 		Laparoscopic Splenectomy 14 $1,139.28 $19,843.03 $13,890.12 nat. median
$13,890
1.0× median
23058571
OTHER 		Lap Total Hysterectomy With Rmv Tub/ovary 14 $963.42 $19,450.76 $13,615.53 nat. median
$13,616
1.0× median
23058570
OTHER 		Lap Total Hysterectomy 14 $855.02 $19,450.76 $13,615.53 nat. median
$13,616
1.0× median
23058573
OTHER 		Lap Total Hysterectomy W Rmv Tub/ovary 14 $1,294.88 $19,450.76 $13,615.53 nat. median
$13,616
1.0× median
23057425
OTHER 		Laproscopy Surg Colpopexy 14 $1,036.41 $19,265.07 $13,485.55 nat. median
$13,486
1.0× median
23058554
OTHER 		Laparo-vag Hyst W/t/o Compl >250 Gm 14 $1,394.43 $19,265.07 $13,485.55 nat. median
$13,486
1.0× median
23058552
OTHER 		Lap Vag Hyst Inclde T/o =<250gm 14 $1,044.90 $19,265.07 $13,485.55 nat. median
$13,486
1.0× median
23019303
OTHER 		Mast Simple Complete 14 $2,000.00 $18,173.73 $13,047.80 nat. median
$13,048
1.0× median
23049594
OTHER 		Hernia Rpr Int. Any Appr W Mesh 3-10cm 14 $2,000.00 $17,045.27 $12,237.63 nat. median
$12,238
1.0× median
23042415
OTHER 		Excision/parotid Tumor/parotid Gland 14 $1,111.64 $16,555.65 $11,886.11 nat. median
$11,886
1.0× median
23049540
OTHER 		Repair Lumbar Hernia 14 $728.93 $16,160.26 $11,602.24 nat. median
$11,602
1.0× median
23058550
OTHER 		Laparoscopy Surg W/vag Hys W/wor.ov(s)tu 14 $939.45 $16,160.26 $11,602.24 nat. median
$11,602
1.0× median
23060240
OTHER 		Thyroidectomy Complete 14 $978.90 $16,160.26 $11,602.24 nat. median
$11,602
1.0× median
23060220
OTHER 		Partial Removal Of Thyroid 14 $749.56 $16,160.26 $11,602.24 nat. median
$11,602
1.0× median
23049592
OTHER 		Hernia Repair Any Approach W Mesh 14 $2,000.00 $16,160.26 $11,602.24 nat. median
$11,602
1.0× median
23060500
OTHER 		Parathyroidectomy 14 $1,035.68 $16,104.83 $11,562.44 nat. median
$11,562
1.0× median
46000163
OTHER 		Alteplase 14 $7,920.50 $15,444.98 $11,088.70 nat. median
$765
outlier · 14.5×
23050949
OTHER 		Laparoscope Proc Ureter 14 $2,000.00 $15,257.98 $10,954.45 nat. median
$10,954
1.0× median
23058545
OTHER 		Lap Sur W/reo Leiomy Sing/multiple 14 $961.94 $15,257.98 $10,954.45 nat. median
$10,954
1.0× median
23049323
OTHER 		Lap,surg W Drainage Of Peritoneal Cavity 14 $679.14 $15,257.98 $10,954.45 nat. median
$10,954
1.0× median
23042440
OTHER 		Excise Submaxillary Gland 14 $432.48 $14,960.60 $10,740.94 nat. median
$10,741
1.0× median
23052353
OTHER 		Cystourethroscopy W Lithotripsy 14 $410.00 $14,869.59 $10,675.60 nat. median
$10,676
1.0× median
23058671
OTHER 		Btl -laparoscopy W/occlusion By Device 14 $393.03 $14,813.57 $10,635.39 nat. median
$10,635
1.0× median
23058670
OTHER 		Diag Laparoscopy Btl 14 $393.77 $14,813.57 $10,635.39 nat. median
$10,635
1.0× median
23058679
OTHER 		Unlisted Lap Procedure Oviduct, Ovary 14 $2,000.00 $14,813.57 $10,635.39 nat. median
$10,635
1.0× median
23043651
OTHER 		Lap, Surg Transection Vagus Nerv 14 $706.43 $14,740.41 $10,582.86 nat. median
$10,583
1.0× median
23052601
OTHER 		Transurethral Resection Prostate Complet 14 $762.11 $14,579.11 $10,467.05 nat. median
$10,467
1.0× median
23052630
OTHER 		Transurethral Resect Obstruct Prostrate 14 $419.21 $14,579.11 $10,467.05 nat. median
$10,467
1.0× median
23052356
OTHER 		Cystourethroscopy W Litho/ureteral Stent 14 $434.70 $14,389.63 $10,331.01 nat. median
$10,331
1.0× median
23058563
OTHER 		Hysteroscopy With Endometrial Ablation 14 $261.78 $14,371.15 $10,317.75 nat. median
$10,318
1.0× median
23057283
OTHER 		Colpopexy Intraperitoneal 14 $742.20 $14,682.18 $10,277.53 nat. median
$10,278
1.0× median
23058559
OTHER 		Hysteroscopy With Lysis Adhesions 14 $303.81 $13,568.76 $9,741.68 nat. median
$9,742
1.0× median
23049320
OTHER 		Laparoscopy Abdomen Dx 14 $351.38 $13,743.98 $9,620.79 nat. median
$9,621
1.0× median
23047563
OTHER 		Laparoscopy Surg Choley W/cholangiograph 14 $775.74 $13,743.98 $9,620.79 nat. median
$9,621
1.0× median
23057530
OTHER 		Cervicectomy Amputation 14 $391.56 $13,173.56 $9,457.94 nat. median
$9,458
1.0× median
23057265
OTHER 		Colporrhaphy Ant With ENT Rpr 14 $929.49 $12,729.19 $9,122.77 nat. median
$9,123
1.0× median
23049596
OTHER 		Hernia Rpr Any Approach W Mesh <10cm 14 $2,000.00 $11,311.20 $8,120.86 nat. median
$8,121
1.0× median
23060212
OTHER 		Partial Thyroid Excision 14 $1,109.79 $11,570.64 $8,099.45 nat. median
$8,099
1.0× median
46001065
OTHER 		Crotalidae Polyval Immune Fab 1 Gm 14 $5,756.50 $11,225.18 $8,059.10 nat. median
$8,059
1.0× median
23015734
OTHER 		Muscle,myo, Or Fascio Flap, Trunk 14 $2,000.00 $11,150.07 $8,005.18 nat. median
$8,005
1.0× median
23044340
OTHER 		Revision Of Colostomy Simple 14 $664.04 $11,150.07 $8,005.18 nat. median
$8,005
1.0× median
23049659
OTHER 		Lap Hernia Rpr Unlisted 14 $2,000.00 $11,381.24 $7,966.87 nat. median
$7,967
1.0× median
23051860
OTHER 		Repair Of Bladder Wound 14 $784.96 $11,338.72 $7,937.10 nat. median
$7,937
1.0× median

Other procedures at this hospital

Browse this hospital's 3,913 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
             
23027880 OTHER Amputation Of Lower Leg 46 14 $34,649.65 $34,649.65 $1,800.00 $33,783.41 $22,868.77 2026-05-22
23043281 OTHER Lap Surg Rpr Paraesophageal Fundoplasty 46 14 $28,897.61 $28,897.61 $1,671.32 $28,175.17 $20,228.33 2026-05-22
23043280 OTHER Laparoscopy, Esophagogastric Fundoplasty 46 14 $25,174.36 $25,174.36 $1,167.68 $25,071.07 $17,622.05 2026-05-22
23043282 OTHER Lap Surg Rpr Paraesophageal Hernia 46 14 $25,174.36 $25,174.36 $1,880.37 $25,071.07 $17,622.05 2026-05-22
28027652 OTHER Rpr Pirmary Open/prq Ruptured Achilles 46 14 $21,431.19 $21,431.19 $10,715.60 $20,895.41 $15,001.83 2026-05-22
23057282 OTHER Colpopexy, Vaginal; Extra-peritoneal 46 14 $20,188.00 $20,188.00 $736.67 $19,976.73 $14,131.60 2026-05-22
23038120 OTHER Laparoscopic Splenectomy 46 14 $19,843.03 $19,843.03 $1,139.28 $19,843.03 $13,890.12 2026-05-22
23058572 OTHER Lap Total Hysterectomy Uterus> 250g 46 14 $19,843.03 $19,843.03 $1,102.79 $19,843.03 $13,890.12 2026-05-22
23058570 OTHER Lap Total Hysterectomy 46 14 $19,450.76 $19,450.76 $855.02 $19,450.76 $13,615.53 2026-05-22
23058573 OTHER Lap Total Hysterectomy W Rmv Tub/ovary 46 14 $19,450.76 $19,450.76 $1,294.88 $19,450.76 $13,615.53 2026-05-22
23058571 OTHER Lap Total Hysterectomy With Rmv Tub/ovary 46 14 $19,450.76 $19,450.76 $963.42 $19,450.76 $13,615.53 2026-05-22
23058552 OTHER Lap Vag Hyst Inclde T/o =<250gm 46 14 $19,265.07 $19,265.07 $1,044.90 $19,265.07 $13,485.55 2026-05-22
23057425 OTHER Laproscopy Surg Colpopexy 46 14 $19,265.07 $19,265.07 $1,036.41 $19,265.07 $13,485.55 2026-05-22
23058554 OTHER Laparo-vag Hyst W/t/o Compl >250 Gm 46 14 $19,265.07 $19,265.07 $1,394.43 $19,265.07 $13,485.55 2026-05-22
23019303 OTHER Mast Simple Complete 46 14 $18,639.72 $18,639.72 $2,000.00 $18,173.73 $13,047.80 2026-05-22
23049594 OTHER Hernia Rpr Int. Any Appr W Mesh 3-10cm 46 14 $17,482.33 $17,482.33 $2,000.00 $17,045.27 $12,237.63 2026-05-22
23042415 OTHER Excision/parotid Tumor/parotid Gland 46 14 $16,980.15 $16,980.15 $1,111.64 $16,555.65 $11,886.11 2026-05-22
23049540 OTHER Repair Lumbar Hernia 46 14 $16,574.63 $16,574.63 $728.93 $16,160.26 $11,602.24 2026-05-22
23058550 OTHER Laparoscopy Surg W/vag Hys W/wor.ov(s)tu 46 14 $16,574.63 $16,574.63 $939.45 $16,160.26 $11,602.24 2026-05-22
23060220 OTHER Partial Removal Of Thyroid 46 14 $16,574.63 $16,574.63 $749.56 $16,160.26 $11,602.24 2026-05-22
23049592 OTHER Hernia Repair Any Approach W Mesh 46 14 $16,574.63 $16,574.63 $2,000.00 $16,160.26 $11,602.24 2026-05-22
23060240 OTHER Thyroidectomy Complete 46 14 $16,574.63 $16,574.63 $978.90 $16,160.26 $11,602.24 2026-05-22
23060500 OTHER Parathyroidectomy 46 14 $16,517.77 $16,517.77 $1,035.68 $16,104.83 $11,562.44 2026-05-22
46000163 OTHER Alteplase 46 14 $15,841.00 $15,841.00 $7,920.50 $15,444.98 $11,088.70 2026-05-22
23049323 OTHER Lap,surg W Drainage Of Peritoneal Cavity 46 14 $15,649.21 $15,649.21 $679.14 $15,257.98 $10,954.45 2026-05-22
23058545 OTHER Lap Sur W/reo Leiomy Sing/multiple 46 14 $15,649.21 $15,649.21 $961.94 $15,257.98 $10,954.45 2026-05-22
23050949 OTHER Laparoscope Proc Ureter 46 14 $15,649.21 $15,649.21 $2,000.00 $15,257.98 $10,954.45 2026-05-22
23042440 OTHER Excise Submaxillary Gland 46 14 $15,344.20 $15,344.20 $432.48 $14,960.60 $10,740.94 2026-05-22
23052353 OTHER Cystourethroscopy W Lithotripsy 46 14 $15,250.86 $15,250.86 $410.00 $14,869.59 $10,675.60 2026-05-22
23058670 OTHER Diag Laparoscopy Btl 46 14 $15,193.41 $15,193.41 $393.77 $14,813.57 $10,635.39 2026-05-22
23058671 OTHER Btl -laparoscopy W/occlusion By Device 46 14 $15,193.41 $15,193.41 $393.03 $14,813.57 $10,635.39 2026-05-22
23058679 OTHER Unlisted Lap Procedure Oviduct, Ovary 46 14 $15,193.41 $15,193.41 $2,000.00 $14,813.57 $10,635.39 2026-05-22
23043651 OTHER Lap, Surg Transection Vagus Nerv 46 14 $15,118.37 $15,118.37 $706.43 $14,740.41 $10,582.86 2026-05-22
23052601 OTHER Transurethral Resection Prostate Complet 46 14 $14,952.93 $14,952.93 $762.11 $14,579.11 $10,467.05 2026-05-22
23052630 OTHER Transurethral Resect Obstruct Prostrate 46 14 $14,952.93 $14,952.93 $419.21 $14,579.11 $10,467.05 2026-05-22
23052356 OTHER Cystourethroscopy W Litho/ureteral Stent 46 14 $14,758.59 $14,758.59 $434.70 $14,389.63 $10,331.01 2026-05-22
23058563 OTHER Hysteroscopy With Endometrial Ablation 46 14 $14,739.64 $14,739.64 $261.78 $14,371.15 $10,317.75 2026-05-22
23057283 OTHER Colpopexy Intraperitoneal 46 14 $14,682.18 $14,682.18 $742.20 $14,682.18 $10,277.53 2026-05-22
23058559 OTHER Hysteroscopy With Lysis Adhesions 46 14 $13,916.68 $13,916.68 $303.81 $13,568.76 $9,741.68 2026-05-22
23049320 OTHER Laparoscopy Abdomen Dx 46 14 $13,743.98 $13,743.98 $351.38 $13,743.98 $9,620.79 2026-05-22
23047563 OTHER Laparoscopy Surg Choley W/cholangiograph 46 14 $13,743.98 $13,743.98 $775.74 $13,743.98 $9,620.79 2026-05-22
23057530 OTHER Cervicectomy Amputation 46 14 $13,511.34 $13,511.34 $391.56 $13,173.56 $9,457.94 2026-05-22
23057265 OTHER Colporrhaphy Ant With ENT Rpr 46 14 $13,032.53 $13,032.53 $929.49 $12,729.19 $9,122.77 2026-05-22
23049596 OTHER Hernia Rpr Any Approach W Mesh <10cm 46 14 $11,601.23 $11,601.23 $2,000.00 $11,311.20 $8,120.86 2026-05-22
23060212 OTHER Partial Thyroid Excision 46 14 $11,570.64 $11,570.64 $1,109.79 $11,570.64 $8,099.45 2026-05-22
46001065 OTHER Crotalidae Polyval Immune Fab 1 Gm 46 14 $11,513.00 $11,513.00 $5,756.50 $11,225.18 $8,059.10 2026-05-22
23044340 OTHER Revision Of Colostomy Simple 46 14 $11,435.97 $11,435.97 $664.04 $11,150.07 $8,005.18 2026-05-22
23015734 OTHER Muscle,myo, Or Fascio Flap, Trunk 46 14 $11,435.97 $11,435.97 $2,000.00 $11,150.07 $8,005.18 2026-05-22
23049659 OTHER Lap Hernia Rpr Unlisted 46 14 $11,381.24 $11,381.24 $2,000.00 $11,381.24 $7,966.87 2026-05-22
23051860 OTHER Repair Of Bladder Wound 46 14 $11,338.72 $11,338.72 $784.96 $11,338.72 $7,937.10 2026-05-22
23054530 OTHER Orchiectomy,radical For Tumor,inguinal 46 14 $11,263.33 $11,263.33 $529.08 $10,981.75 $7,884.33 2026-05-22
23054640 OTHER Orchiopexy Inguinal Approach 46 14 $11,263.33 $11,263.33 $454.25 $10,981.75 $7,884.33 2026-05-22
23049591 OTHER Hernia Rpr Any Approach W Mesh < 3cm 46 14 $11,263.33 $11,263.33 $2,000.00 $10,981.75 $7,884.33 2026-05-22
23049593 OTHER Hernia Rpr Any Approach W Mesh 3-10cm 46 14 $11,263.33 $11,263.33 $2,000.00 $10,981.75 $7,884.33 2026-05-22
23049595 OTHER Hernia Rpr Any Approach W Mesh <10cm 46 14 $11,263.33 $11,263.33 $2,000.00 $10,981.75 $7,884.33 2026-05-22
23058660 OTHER Laparoscopy Surgical W/lysis Of Adhesion 46 14 $11,049.98 $11,049.98 $729.66 $11,049.98 $7,734.99 2026-05-22
23047562 OTHER Laparoscopy Surg Cholecystetomy 46 14 $11,049.98 $11,049.98 $712.69 $11,049.98 $7,734.99 2026-05-22
23044180 OTHER Lap Enterolysis 46 14 $11,049.98 $11,049.98 $994.02 $11,049.98 $7,734.99 2026-05-22
23058662 OTHER Laparoscopy Exc Lesion 46 14 $11,049.98 $11,049.98 $758.04 $11,049.98 $7,734.99 2026-05-22
23047379 OTHER Laparoscope Procedure Liver 46 14 $11,049.98 $11,049.98 $2,000.00 $11,049.98 $7,734.99 2026-05-22
23044979 OTHER Laparoscopy Appendix, Unlisted 46 14 $11,049.98 $11,049.98 $2,000.00 $11,049.98 $7,734.99 2026-05-22
23044970 OTHER Laparoscopy Surg Appendectomy 46 14 $11,049.98 $11,049.98 $648.18 $11,049.98 $7,734.99 2026-05-22
23058661 OTHER Laparoscopy Remove Adnexa 46 14 $11,049.98 $11,049.98 $393.77 $11,049.98 $7,734.99 2026-05-22
23049650 OTHER Laparoscopy Surg Rep Initial Inguinal He 46 14 $11,049.98 $11,049.98 $462.72 $11,049.98 $7,734.99 2026-05-22
23049651 OTHER Repair Recurrent Inguinal Hernia 46 14 $11,049.98 $11,049.98 $604.67 $11,049.98 $7,734.99 2026-05-22
23049321 OTHER Lap Surg Abd Peritneum Omentum W/bx 46 14 $11,049.75 $11,049.75 $368.33 $11,049.75 $7,734.83 2026-05-22
23049322 OTHER Laparoscopy Aspiration Cavity Or Cyst 46 14 $11,049.75 $11,049.75 $402.26 $11,049.75 $7,734.83 2026-05-22
23049329 OTHER Lysis Of Omental Adhesion 46 14 $11,049.75 $11,049.75 $2,000.00 $11,049.75 $7,734.83 2026-05-22
23051992 OTHER Lap Sling Op For Stress Incontinence 46 14 $11,049.75 $11,049.75 $885.62 $11,049.75 $7,734.83 2026-05-22
23059151 OTHER Lap Tx Ectopic Preg With Salp/ooph 46 14 $11,049.75 $11,049.75 $837.69 $11,049.75 $7,734.83 2026-05-22
23019300 OTHER Mastectomy For Gynecomastia 46 14 $10,941.95 $10,941.95 $2,000.00 $10,668.40 $7,659.37 2026-05-22
23038500 OTHER Bx/exc Lymph Node(s) Open Superficial 46 14 $10,932.20 $10,932.20 $271.73 $10,658.90 $7,652.54 2026-05-22
23038510 OTHER Bx/exc Lymph Node Open/deep Cerv Node 46 14 $10,932.20 $10,932.20 $444.65 $10,658.90 $7,652.54 2026-05-22
23038525 OTHER Biopsy/remove Lymph Nodes 46 14 $10,932.20 $10,932.20 $469.35 $10,658.90 $7,652.54 2026-05-22
23019101 OTHER Open Biopsy Of Breast 46 14 $10,895.37 $10,895.37 $2,000.00 $10,622.99 $7,626.76 2026-05-22
23043229 OTHER Esophagoscopy Lesion Ablate 46 14 $10,680.06 $10,680.06 $2,750.00 $10,413.06 $7,476.04 2026-05-22
23052341 OTHER Cysto W/tx Ureteral Stricture 46 14 $10,562.62 $10,562.62 $296.07 $10,298.55 $7,393.83 2026-05-22
23043870 OTHER Closure Of Gastrostomy, Surgical 46 14 $10,368.99 $10,368.99 $764.31 $10,109.77 $7,258.29 2026-05-22
23052320 OTHER Cystourethroscopy W/rmvl Ureteral Calcul 46 14 $10,346.91 $10,346.91 $257.36 $10,088.24 $7,242.84 2026-05-22
23049525 OTHER Repair Inguinal Hernia Sliding Any Age 46 14 $10,324.72 $10,324.72 $617.94 $10,066.60 $7,227.30 2026-05-22
23049507 OTHER Repair Initial Ing Hernia 5+red/inca/str 46 14 $10,324.72 $10,324.72 $631.59 $10,066.60 $7,227.30 2026-05-22
23055500 OTHER Remove Hydrocele 46 14 $10,192.28 $10,192.28 $411.11 $9,937.47 $7,134.60 2026-05-22
23052500 OTHER Transurethral Resection Of Bladder Neck 46 14 $10,192.28 $10,192.28 $509.91 $9,937.47 $7,134.60 2026-05-22
23054520 OTHER Orchiectomy Simple W/wo Prosthesis Scrot 46 14 $10,192.28 $10,192.28 $341.42 $9,937.47 $7,134.60 2026-05-22
23052234 OTHER Cystourethroscopy W Fulg&/or Resec Small 46 14 $10,192.28 $10,192.28 $256.62 $9,937.47 $7,134.60 2026-05-22
23052235 OTHER Cystourethroscopy Wfulg&/or Resec Med 46 14 $10,192.28 $10,192.28 $300.86 $9,937.47 $7,134.60 2026-05-22
23050590 OTHER Lithotripsy, Extracorporeal Shock Wave 46 14 $10,192.28 $10,192.28 $594.72 $9,937.47 $7,134.60 2026-05-22
23055520 OTHER Excision/lesion Of Sperm Cord 46 14 $10,192.28 $10,192.28 $488.53 $9,937.47 $7,134.60 2026-05-22
23055706 OTHER Bx Prostate Needle Wth Image Guidance 46 14 $10,192.28 $10,192.28 $390.09 $9,937.47 $7,134.60 2026-05-22
23052332 OTHER Cystourethroscopy Wth Ureteral Stent 46 14 $9,985.32 $9,985.32 $161.87 $9,735.69 $6,989.72 2026-05-22
23052352 OTHER Cystourethroscopy W Remove/manip Calc 46 14 $9,985.32 $9,985.32 $369.81 $9,735.69 $6,989.72 2026-05-22
23055110 OTHER Scrotal Exploration 46 14 $9,985.32 $9,985.32 $404.84 $9,735.69 $6,989.72 2026-05-22
23052001 OTHER Cysto W/irrig & Evac Multiple Obstructin 46 14 $9,964.74 $9,964.74 $299.76 $9,715.62 $6,975.32 2026-05-22
23052351 OTHER Cysto W/urtroscopy & Pyeloscopy Dx 46 14 $9,964.74 $9,964.74 $315.60 $9,715.62 $6,975.32 2026-05-22
23052317 OTHER Litholapaxy Smpl/sm <2.5cm 46 14 $9,964.74 $9,964.74 $363.17 $9,715.62 $6,975.32 2026-05-22
23052214 OTHER Cystourethroscopy W Fulg 46 14 $10,562.62 $10,562.62 $184.73 $10,298.55 $6,971.33 2026-05-22
23057260 OTHER Colporrhaphy Anteroposterior Combined 46 14 $9,826.43 $9,826.43 $828.84 $9,826.43 $6,878.50 2026-05-22
23058350 OTHER Chromotubation Oviduct Inc Mat 46 14 $9,826.43 $9,826.43 $98.45 $9,826.43 $6,878.50 2026-05-22
23057240 OTHER Anterior Colporrhaphy Rpr Cystocele 46 14 $9,826.43 $9,826.43 $648.92 $9,826.43 $6,878.50 2026-05-22
23058925 OTHER Removal Of Ovarian Cyst(s) 46 14 $9,826.43 $9,826.43 $817.04 $9,826.43 $6,878.50 2026-05-22
23057250 OTHER Posterior Rpr Enterocele 46 14 $9,826.43 $9,826.43 $653.70 $9,826.43 $6,878.50 2026-05-22
23058561 OTHER Hysteroscopy Surg With Rmv Leiomyomata 46 14 $9,826.43 $9,826.43 $381.60 $9,826.43 $6,878.50 2026-05-22
23057288 OTHER Sling Op Stress Incontinence 46 14 $9,628.66 $9,628.66 $784.23 $9,628.66 $6,740.06 2026-05-22
23058353 OTHER Endometrial Ablation 46 14 $9,628.66 $9,628.66 $245.19 $9,628.66 $6,740.06 2026-05-22
23057295 OTHER Revj/rmvl Prosthetic Vaginal Graft Vagin 46 14 $9,538.59 $9,538.59 $528.72 $9,300.13 $6,677.01 2026-05-22
23059412 OTHER External Cephalic Version W/wo Tocolysis 46 14 $9,538.59 $9,538.59 $145.65 $9,300.13 $6,677.01 2026-05-22
90059412 OTHER Ext Cephalic Version W/wo Tocolysis 46 14 $9,538.59 $9,538.59 $145.65 $9,300.13 $6,677.01 2026-05-22
23049422 OTHER Removal Tunneled Intraperitoneal Cath 46 14 $9,473.12 $9,473.12 $240.77 $9,236.29 $6,631.18 2026-05-22
23057287 OTHER Rmvl/revj Sling Stress Incontinence 46 14 $9,472.48 $9,472.48 $779.07 $9,235.67 $6,630.74 2026-05-22
23025028 OTHER Deep I&d Absc - Farm/wrist 46 14 $9,465.77 $9,465.77 $2,000.00 $9,229.13 $6,626.04 2026-05-22
23052224 OTHER Cystourethroscopy W/wo Bx 46 14 $9,964.74 $9,964.74 $214.59 $9,715.62 $6,576.73 2026-05-22
46000225 OTHER Alvimopan 46 14 $9,329.00 $9,329.00 $4,664.50 $9,095.78 $6,530.30 2026-05-22
46000166 OTHER Etanercept 46 14 $9,314.00 $9,314.00 $4,657.00 $9,081.15 $6,519.80 2026-05-22
28026765 OTHER Open Tx Distal Phalangeal Fracture Ea 46 14 $9,252.09 $9,252.09 $4,626.05 $9,020.79 $6,476.46 2026-05-22
23025270 OTHER Rpr Tendon/muscle Extensor Forearm/wrist 46 14 $9,197.45 $9,197.45 $2,000.00 $8,967.51 $6,438.22 2026-05-22
23038531 OTHER Bx/exc Lymph Node Open Inguinofemoral 46 14 $9,079.48 $9,079.48 $475.26 $9,028.06 $6,355.64 2026-05-22
23059871 OTHER Rmv Cervical Cerclage Under Anes 46 14 $8,991.25 $8,991.25 $141.95 $8,766.47 $6,293.88 2026-05-22
28059409 OTHER Vaginal Delivery Only 46 14 $8,991.25 $8,991.25 $4,495.63 $8,766.47 $6,293.88 2026-05-22
23056441 OTHER Lysis Of Labial Adhesions 46 14 $8,991.25 $8,991.25 $160.38 $8,766.47 $6,293.88 2026-05-22
23036571 OTHER Insert Picvad Cath 46 14 $8,944.21 $8,944.21 $2,000.00 $8,720.60 $6,260.95 2026-05-22
23036558 OTHER Ins Tunneled Cva Without Subq Port >5yrs 46 14 $8,944.21 $8,944.21 $271.73 $8,720.60 $6,260.95 2026-05-22
23058805 OTHER Drain Ovarian Cyst Uni/bilat (separt Pro 46 14 $8,936.31 $8,936.31 $451.67 $8,712.90 $6,255.42 2026-05-22
23054830 OTHER Remove Epididymis Lesion 46 14 $9,342.92 $9,342.92 $386.40 $9,109.35 $6,166.33 2026-05-22
23056620 OTHER Vulvectomy Simple Partial 46 14 $8,776.63 $8,776.63 $609.09 $8,557.21 $6,143.64 2026-05-22
23026951 OTHER Amputation Fngr/thmb With Dir Closure 46 14 $8,676.96 $8,676.96 $2,000.00 $8,460.04 $6,073.87 2026-05-22
28036556 OTHER Insert Nontunneled Cv Cath >5yrs 46 14 $9,111.03 $9,111.03 $1,800.00 $8,883.25 $6,013.28 2026-05-22
23046255 OTHER Hemorrhoidectomy Int & Ext Simpl 46 14 $8,507.26 $8,507.26 $374.59 $8,294.58 $5,955.08 2026-05-22
23056740 OTHER Remove Vagina Gland Lesion 46 14 $8,489.24 $8,489.24 $334.78 $8,277.01 $5,942.47 2026-05-22
23041008 OTHER Drainage Of Mouth Lesion 46 14 $8,435.96 $8,435.96 $260.67 $8,225.06 $5,905.17 2026-05-22
23036561 OTHER Ins Tunneled Cva W/subq Port >5yrs 46 14 $8,351.78 $8,351.78 $352.47 $8,258.41 $5,846.25 2026-05-22
23059870 OTHER Uterine Evacuation & Corettage 46 14 $8,241.98 $8,241.98 $565.59 $8,035.93 $5,769.39 2026-05-22
23057415 OTHER Rmve Vaginal Fb With Anes 46 14 $8,241.98 $8,241.98 $183.62 $8,035.93 $5,769.39 2026-05-22
23057105 OTHER Bx Vaginal Mucosa Extensive 46 14 $8,241.98 $8,241.98 $150.44 $8,035.93 $5,769.39 2026-05-22
23058120 OTHER D&c Non OB 46 14 $8,241.98 $8,241.98 $247.04 $8,035.93 $5,769.39 2026-05-22
23058600 OTHER Divide Fallopian Tube 46 14 $8,241.98 $8,241.98 $392.67 $8,035.93 $5,769.39 2026-05-22
23057135 OTHER Excision Vaginal Cyst/tumor 46 14 $8,241.98 $8,241.98 $196.16 $8,035.93 $5,769.39 2026-05-22
23057410 OTHER Pelvic Exam Under Anesthesia 46 14 $8,241.98 $8,241.98 $110.98 $8,035.93 $5,769.39 2026-05-22
23057720 OTHER Plastic Rep Uternie Cervix Vaginal 46 14 $8,241.98 $8,241.98 $351.00 $8,035.93 $5,769.39 2026-05-22
23059320 OTHER Cerclage Cervical OB 46 14 $8,241.98 $8,241.98 $163.34 $8,035.93 $5,769.39 2026-05-22
23027301 OTHER I & D Deep Abscess,bursa,thigh/knee 46 14 $8,214.73 $8,214.73 $2,000.00 $8,009.36 $5,750.31 2026-05-22
23027337 OTHER Exc Thigh/knee Subcu 3 Cm Or Greater 46 14 $8,214.73 $8,214.73 $2,000.00 $8,009.36 $5,750.31 2026-05-22
23057522 OTHER Conization Of Cervix 46 14 $8,191.62 $8,191.62 $267.32 $7,986.83 $5,734.13 2026-05-22
23046285 OTHER Surg Tx Anal Fistula 2nd Stage 46 14 $8,170.91 $8,170.91 $438.75 $7,966.64 $5,719.64 2026-05-22
23046615 OTHER Anoscopy W Ablation Tumor/polyp/other 46 14 $8,170.91 $8,170.91 $95.49 $7,966.64 $5,719.64 2026-05-22
23046262 OTHER Hemorrhoidectomy Int&ext W Fistulectomy 46 14 $8,170.91 $8,170.91 $624.21 $7,966.64 $5,719.64 2026-05-22
23045171 OTHER Exc Rectal Tumor Transanal 46 14 $8,170.91 $8,170.91 $645.60 $7,966.64 $5,719.64 2026-05-22
23020525 OTHER Rmve Fb Mus/shth Deep/cmpl 46 14 $8,122.05 $8,122.05 $2,000.00 $7,919.00 $5,685.43 2026-05-22
23027603 OTHER Drain Lower Leg Lesion 46 14 $8,122.05 $8,122.05 $2,000.00 $7,919.00 $5,685.43 2026-05-22
23027324 OTHER Biopsy Deep Tissue Thigh/knee 46 14 $8,122.05 $8,122.05 $2,000.00 $7,919.00 $5,685.43 2026-05-22
23011471 OTHER Exc Skin/subq Hidradenitis Complex 46 14 $8,122.05 $8,122.05 $2,000.00 $7,919.00 $5,685.43 2026-05-22
23021554 OTHER Exc Neck Les Soft Tissue 5cm Or > 46 14 $8,122.05 $8,122.05 $2,000.00 $7,919.00 $5,685.43 2026-05-22
23021501 OTHER Drain Neck/chest Lesion 46 14 $8,122.05 $8,122.05 $2,000.00 $7,919.00 $5,685.43 2026-05-22
23011771 OTHER Exc Pilondial Cyst/sinus Extensive 46 14 $8,122.05 $8,122.05 $2,000.00 $7,919.00 $5,685.43 2026-05-22
23046230 OTHER Exc Multi Ext Tags, Anus 46 14 $7,934.22 $7,934.22 $180.66 $7,735.86 $5,553.95 2026-05-22
28026951 OTHER Amputation Fngr/thmb Any Jnt W/dir Clsr 46 14 $7,710.08 $7,710.08 $2,400.00 $7,710.08 $5,397.06 2026-05-22
46000214 OTHER Rituximab 46 14 $7,610.00 $7,610.00 $3,805.00 $7,419.75 $5,327.00 2026-05-22
10036558 OTHER Insert Tunneled Cv Cath 46 14 $7,592.53 $7,592.53 $271.73 $7,592.53 $5,314.77 2026-05-22
23011770 OTHER Excision Pilondial Cyst 46 14 $7,530.17 $7,530.17 $2,000.00 $7,341.92 $5,271.12 2026-05-22
23057023 OTHER I & D Vaginal Hematoma - Not OB 46 14 $7,530.17 $7,530.17 $339.95 $7,341.92 $5,271.12 2026-05-22
23011446 OTHER Exc Face Mm B9+marg >4cm 46 14 $7,530.17 $7,530.17 $2,000.00 $7,341.92 $5,271.12 2026-05-22
23049521 OTHER Hernia Inguinal Recurrent Incar/strang 46 14 $7,508.89 $7,508.89 $773.54 $7,508.89 $5,256.22 2026-05-22
23049505 OTHER Repair Initial Ing.hernia Age5+ Red. 46 14 $7,508.89 $7,508.89 $561.90 $7,508.89 $5,256.22 2026-05-22
23044950 OTHER Appendectomy 46 14 $7,508.89 $7,508.89 $694.64 $7,508.89 $5,256.22 2026-05-22
23032550 OTHER Insert Tunneled Pleural Cath Wt Cuff 46 14 $7,508.89 $7,508.89 $2,000.00 $7,508.89 $5,256.22 2026-05-22
23049520 OTHER Rerepair Inguinal Hernia Reduce 46 14 $7,508.89 $7,508.89 $683.56 $7,508.89 $5,256.22 2026-05-22
23046200 OTHER Fissurectomy, Including Sphincterotomy, 46 14 $7,490.67 $7,490.67 $344.73 $7,303.40 $5,243.47 2026-05-22
23046060 OTHER I&d Ischiorectal/intramural Absces 46 14 $7,490.00 $7,490.00 $507.33 $7,302.75 $5,243.00 2026-05-22
90059821 OTHER Treatment Of Miscarriage 46 14 $7,446.93 $7,446.93 $400.77 $7,444.34 $5,212.85 2026-05-22
90057135 OTHER Excision Of Vaginal Cyst Or Tumor 46 14 $7,446.93 $7,446.93 $196.16 $7,444.34 $5,212.85 2026-05-22
90057720 OTHER Revision Of Cervix 46 14 $7,446.93 $7,446.93 $351.00 $7,444.34 $5,212.85 2026-05-22
28056700 OTHER Partial Hymenectomy Or Revision 46 14 $7,446.93 $7,446.93 $212.75 $7,444.34 $5,212.85 2026-05-22
90059820 OTHER Treatment Of Miscarriage 1rst Trimester 46 14 $7,446.93 $7,446.93 $406.31 $7,444.34 $5,212.85 2026-05-22
23021552 OTHER Exc Neck Les Sc 3cm/> 46 14 $7,445.21 $7,445.21 $2,000.00 $7,259.08 $5,211.65 2026-05-22
23024076 OTHER Ex Arm/elbow Tum Deep < 5 Cm 46 14 $7,445.21 $7,445.21 $2,000.00 $7,259.08 $5,211.65 2026-05-22
23045560 OTHER Repair Of Rectocele 46 14 $7,356.91 $7,356.91 $730.77 $7,172.99 $5,149.84 2026-05-22
23046080 OTHER Sphincterotomy/anal/division Of Sphincte 46 14 $7,356.91 $7,356.91 $167.76 $7,172.99 $5,149.84 2026-05-22
23019120 OTHER Exc Cyst/lesion Breast 46 14 $7,263.58 $7,263.58 $2,000.00 $7,263.58 $5,084.51 2026-05-22
23046700 OTHER Anoplasty, Plastic Op For Stricture Adlt 46 14 $6,905.35 $6,905.35 $688.37 $6,905.35 $4,833.75 2026-05-22
23045390 OTHER Colonoscopy W/resection 46 14 $6,895.53 $6,895.53 $346.95 $6,895.53 $4,826.87 2026-05-22
23022903 OTHER Exc Tumor S/t Abd Wall 3cm Or > 46 14 $6,845.61 $6,845.61 $2,000.00 $6,845.61 $4,791.93 2026-05-22
23022901 OTHER Exc Abdl Tum Deep 5 Cm/> 46 14 $6,845.61 $6,845.61 $2,000.00 $6,845.61 $4,791.93 2026-05-22
23044144 OTHER Colectomy P; W Resect Or Mucofistula 46 14 $6,819.00 $6,819.00 $1,800.00 $6,648.53 $4,773.30 2026-05-22
23046946 OTHER Remove By Ligat Int Hem Grps 46 14 $6,809.10 $6,809.10 $394.88 $6,809.10 $4,766.37 2026-05-22
23024073 OTHER Ex Arm/elbow Tum Deep 5 Cm/> 46 14 $6,768.38 $6,768.38 $2,000.00 $6,768.38 $4,737.87 2026-05-22
23023930 OTHER Deep I&d Upper Arm/elbow 46 14 $6,768.38 $6,768.38 $2,000.00 $6,768.38 $4,737.87 2026-05-22
23024071 OTHER Exc Arm/elbow Les Sc 3 Cm/> 46 14 $6,768.38 $6,768.38 $2,000.00 $6,768.38 $4,737.87 2026-05-22
80001310 OTHER Mesh Sepra Permanent 8x12 Disp Ea 46 14 $6,126.00 $6,126.00 $3,063.00 $6,126.00 $4,717.02 2026-05-22
23049010 OTHER Exploration Behind Abdomen 46 14 $6,951.28 $6,951.28 $999.18 $6,777.50 $4,587.84 2026-05-22
46001550 OTHER Digoxin Immune Fab 46 14 $6,551.00 $6,551.00 $3,275.50 $6,387.22 $4,585.70 2026-05-22
23044602 OTHER Suture Small Intestine 46 14 $6,929.03 $6,929.03 $1,526.06 $6,755.80 $4,573.16 2026-05-22
10036556 OTHER Ins Nontunneled Cv Cath 46 14 $6,315.42 $6,315.42 $89.97 $6,157.53 $4,420.79 2026-05-22
23028810 OTHER Amputation Metatarsal W/toe Sngle 46 14 $6,310.51 $6,310.51 $2,000.00 $6,310.51 $4,417.36 2026-05-22
26024105 OTHER Excision, Olecranon Bursa 46 14 $6,310.51 $6,310.51 $2,000.00 $6,310.51 $4,417.36 2026-05-22
23028820 OTHER Amputate Toe; Mtp Joint 46 14 $6,310.51 $6,310.51 $2,000.00 $6,310.51 $4,417.36 2026-05-22
23036556 OTHER Ins Nontunneled Cv Cath >5yrs 46 14 $6,248.72 $6,248.72 $89.97 $6,092.50 $4,374.10 2026-05-22
23048001 OTHER Placement Of Drain Wth Cholecystostomy 46 14 $6,233.82 $6,233.82 $1,800.00 $6,233.82 $4,363.67 2026-05-22
23044207 OTHER Lap Colectomy Partial W/anastomosis W/co 46 14 $6,227.88 $6,227.88 $1,800.00 $6,072.18 $4,359.52 2026-05-22
23021933 OTHER Exc Tumor Back/flank Subfascial >5cm 46 14 $6,172.70 $6,172.70 $2,000.00 $6,172.70 $4,320.89 2026-05-22
23052310 OTHER Cystourethroscopy With Removal Simple 46 14 $6,171.29 $6,171.29 $157.80 $6,017.01 $4,319.90 2026-05-22
46000239 OTHER Rabies Immune Globulin (pf) 46 14 $6,126.00 $6,126.00 $3,063.00 $5,972.85 $4,288.20 2026-05-22
23011470 OTHER Exc Tis Hidradenitis Perianal,perineal 46 14 $6,091.54 $6,091.54 $2,000.00 $6,091.54 $4,264.08 2026-05-22
23011462 OTHER Exc Tis Hidradenitis Inguinal Smple 46 14 $6,091.54 $6,091.54 $2,000.00 $6,091.54 $4,264.08 2026-05-22
23044147 OTHER Colectomy, Partial Abd & Transanal Appr 46 14 $6,077.70 $6,077.70 $1,800.00 $6,051.78 $4,254.39 2026-05-22
23037617 OTHER Ligation Of Abdomen Artery 46 14 $6,436.18 $6,436.18 $1,421.70 $6,275.28 $4,247.88 2026-05-22
23030310 OTHER Removal Nasal Foreign Body 46 14 $6,031.46 $6,031.46 $2,000.00 $6,031.46 $4,222.02 2026-05-22
26040810 OTHER Exc Lesion Mucosa/submucosa Mouth Without Re 46 14 $6,031.46 $6,031.46 $3,015.73 $5,880.67 $4,222.02 2026-05-22
23058555 OTHER Hysteroscopy Diagnostic 46 14 $5,994.17 $5,994.17 $159.65 $5,994.17 $4,195.92 2026-05-22
23056440 OTHER Marsupialization Bartholin's Gland Cyst 46 14 $5,994.17 $5,994.17 $189.89 $5,994.17 $4,195.92 2026-05-22
23058562 OTHER Hysteroscopy Surg W/rmv Foreign Body 46 14 $5,994.17 $5,994.17 $235.61 $5,994.17 $4,195.92 2026-05-22
23059821 OTHER Surg Tx Missed Abortion 2nd Trim 46 14 $5,994.17 $5,994.17 $400.77 $5,994.17 $4,195.92 2026-05-22
23059160 OTHER Dilat & Curettage/postpartum 46 14 $5,994.17 $5,994.17 $202.05 $5,994.17 $4,195.92 2026-05-22
28059812 OTHER Surg Tc Incompl Abortion 46 14 $5,994.17 $5,994.17 $329.63 $5,994.17 $4,195.92 2026-05-22
23059409 OTHER Vaginal Delivery Only In O/r 46 14 $5,994.17 $5,994.17 $1,145.39 $5,994.17 $4,195.92 2026-05-22
23057200 OTHER Colporrhaphy Vagina Non-OB 46 14 $5,994.17 $5,994.17 $346.95 $5,994.17 $4,195.92 2026-05-22
23054164 OTHER Frenulotomy Of Penis 46 14 $5,898.51 $5,898.51 $198.74 $5,751.05 $4,128.96 2026-05-22
46000164 OTHER Rifaximin 46 14 $5,882.00 $5,882.00 $2,941.00 $5,734.95 $4,117.40 2026-05-22
23035221 OTHER Repair Blood Vessel Lesion 46 14 $5,807.28 $5,807.28 $1,594.63 $5,662.10 $4,065.10 2026-05-22
23052260 OTHER Cystourethroscopy W Dilate Bladder Gen 46 14 $5,805.56 $5,805.56 $220.49 $5,660.42 $4,063.89 2026-05-22
23058558 OTHER Hysteroscopy With Biopsy 46 14 $5,728.03 $5,728.03 $245.19 $5,728.03 $4,009.62 2026-05-22
23059820 OTHER Surg Tx Missed Abortion 1st Trim 46 14 $5,728.03 $5,728.03 $406.31 $5,728.03 $4,009.62 2026-05-22
23059612 OTHER Vag Delivery After Cesarian 46 14 $5,728.03 $5,728.03 $1,298.79 $5,728.03 $4,009.62 2026-05-22
23059812 OTHER Tx.incomp Ab Any Trimester Comp Surg 46 14 $5,728.03 $5,728.03 $329.63 $5,728.03 $4,009.62 2026-05-22
23064718 OTHER Neuroplasty Ulnar Nerve At Elbow 46 14 $5,702.72 $5,702.72 $621.26 $5,560.15 $3,991.90 2026-05-22
26036561 OTHER Insert Tunneled Cv Cath 46 14 $5,691.77 $5,691.77 $2,845.89 $5,691.77 $3,984.24 2026-05-22
26036571 OTHER Insert Picvad Cath 46 14 $5,691.77 $5,691.77 $2,845.89 $5,691.77 $3,984.24 2026-05-22
28037618 OTHER Ligation Major Artery Extremity 46 14 $6,000.00 $6,000.00 $414.42 $5,850.00 $3,960.00 2026-05-22
23037618 OTHER Ligation Major Artery Extremity 46 14 $6,000.00 $6,000.00 $414.42 $5,850.00 $3,960.00 2026-05-22
23059300 OTHER Episiotomy Or Vaginal Repair 46 14 $5,994.17 $5,994.17 $157.80 $5,844.32 $3,956.15 2026-05-22
23014000 OTHER Tissue Trans/rearrangement Trunk 10sqcm 46 14 $5,562.64 $5,562.64 $2,000.00 $5,423.57 $3,893.85 2026-05-22
23043233 OTHER Egd Balloon Dil Esoph30 Mm/> 46 14 $5,538.25 $5,538.25 $241.86 $5,399.79 $3,876.77 2026-05-22
23043226 OTHER Esoph Endoscopy Dilation 46 14 $5,538.25 $5,538.25 $136.79 $5,399.79 $3,876.77 2026-05-22
46000253 OTHER Linezolid 46 14 $5,510.00 $5,510.00 $2,755.00 $5,372.25 $3,857.00 2026-05-22
46002311 OTHER Penicillin G Benzathine 46 14 $5,490.00 $5,490.00 $2,745.00 $5,352.75 $3,843.00 2026-05-22
23014041 OTHER Skin Tissue Rearrangement 46 14 $5,488.23 $5,488.23 $2,000.00 $5,351.02 $3,841.76 2026-05-22
23023073 OTHER Exc Tumor St Shoulder Sf 5cm Or > 46 14 $5,476.49 $5,476.49 $2,000.00 $5,476.49 $3,833.54 2026-05-22
23028039 OTHER Exc Tumor Soft Tis Foot/toe Subq 1.5< 46 14 $5,476.49 $5,476.49 $2,000.00 $5,476.49 $3,833.54 2026-05-22
26024071 OTHER Exc Arm/elbow Les Sc 3 Cm/> 46 14 $5,476.49 $5,476.49 $2,000.00 $5,476.49 $3,833.54 2026-05-22
23046020 OTHER Placement Of Seton 46 14 $5,448.16 $5,448.16 $122.41 $5,448.16 $3,813.71 2026-05-22
23046250 OTHER Hemorrhoidectomy Ext Cmplt 46 14 $5,447.27 $5,447.27 $333.67 $5,447.27 $3,813.09 2026-05-22
70095811 OTHER Sleep Staging 4+ Parameters W/cpap 46 14 $5,437.80 $5,437.80 $129.05 $5,301.86 $3,806.46 2026-05-22
23044204 OTHER Laparo Partial Colectomy 46 14 $4,975.50 $4,975.50 $1,650.68 $4,851.11 $3,800.00 2026-05-22
23011772 OTHER Excision Pilondial Cyst/sinus/complicate 46 14 $5,414.70 $5,414.70 $2,000.00 $5,414.70 $3,790.29 2026-05-22
23010180 OTHER I&d Complex Postop Wound Infection 46 14 $5,414.70 $5,414.70 $2,000.00 $5,414.70 $3,790.29 2026-05-22
26041112 OTHER Excision Of Tongue Lesion 46 14 $5,368.34 $5,368.34 $2,400.00 $5,368.34 $3,757.84 2026-05-22
23046260 OTHER Hemorrhoidectomy Int&ext Cmplx 46 14 $5,335.38 $5,335.38 $508.44 $5,335.38 $3,734.77 2026-05-22
23046922 OTHER Destruct Anal Lesion Surg Exc 46 14 $5,335.38 $5,335.38 $143.06 $5,335.38 $3,734.77 2026-05-22
23046270 OTHER Fistulectomy/otomy Subq 46 14 $5,335.38 $5,335.38 $416.63 $5,335.38 $3,734.77 2026-05-22
23032556 OTHER Insert Cath Pleura Without Image 46 14 $5,275.01 $5,275.01 $2,000.00 $5,143.13 $3,692.51 2026-05-22
46000197 OTHER Oritavancin 46 14 $5,220.00 $5,220.00 $2,610.00 $5,089.50 $3,654.00 2026-05-22
23011426 OTHER Exc Ben Les Scalp/hands/ft/genit Over 4. 46 14 $5,175.15 $5,175.15 $2,000.00 $5,175.15 $3,622.60 2026-05-22
80006256 OTHER Solyx Sis System 46 14 $4,670.82 $4,670.82 $2,335.41 $4,670.82 $3,596.53 2026-05-22
23043255 OTHER Egd W/cntrl Bleeding Any Method 46 14 $4,985.72 $4,985.72 $209.42 $4,861.08 $3,490.00 2026-05-22
26069145 OTHER Remove Ear Canal Lesion(s) 46 14 $4,935.69 $4,935.69 $261.78 $4,935.69 $3,454.98 2026-05-22
26028039 OTHER Exc Tumor Soft Tis Foot/toe Subq 1.5< 46 14 $4,935.69 $4,935.69 $2,467.85 $4,935.69 $3,454.98 2026-05-22
26028041 OTHER Exc Foot/tow Tum Deep 1.5cm Or Greater 46 14 $4,935.69 $4,935.69 $2,000.00 $4,935.69 $3,454.98 2026-05-22
26028045 OTHER Exc Foot/toe Tum Deep <1.5 Cm 46 14 $4,935.69 $4,935.69 $2,000.00 $4,935.69 $3,454.98 2026-05-22
23052204 OTHER Cystourethroscopy W/bx 46 14 $4,915.43 $4,915.43 $147.11 $4,915.43 $3,440.80 2026-05-22
23026115 OTHER Exc Tum/vasc Mal Sft Tiss Hand/fngr Subq 46 14 $4,860.72 $4,860.72 $2,000.00 $4,739.20 $3,402.50 2026-05-22
26027327 OTHER Exc Tumor Thigh/knee Subq 46 14 $4,791.93 $4,791.93 $2,000.00 $4,672.13 $3,354.35 2026-05-22
70095810 OTHER Sleep Staging 4+ Parameters 46 14 $4,770.00 $4,770.00 $124.25 $4,650.75 $3,339.00 2026-05-22
23027618 OTHER Exc Tumor Leg/ankle Subcu<3 Cm 46 14 $4,768.56 $4,768.56 $2,000.00 $4,649.35 $3,337.99 2026-05-22
23011644 OTHER Exc Malg Les F/e/e/n/l 3.1 To 4.0 Cm 46 14 $4,768.56 $4,768.56 $2,000.00 $4,649.35 $3,337.99 2026-05-22
23064721 OTHER Carpal Tunnel Surgery 46 14 $4,763.42 $4,763.42 $448.71 $4,763.42 $3,334.39 2026-05-22
26027372 OTHER Removal Foreign Body 46 14 $4,737.86 $4,737.86 $2,000.00 $4,737.86 $3,316.50 2026-05-22
26011446 OTHER Exc Face-mm B9+marg >4 Cm 46 14 $4,737.86 $4,737.86 $2,368.93 $4,737.86 $3,316.50 2026-05-22
26011426 OTHER Exc H,f,nk,sp B9+marg>4 Cm 46 14 $4,737.86 $4,737.86 $2,368.93 $4,737.86 $3,316.50 2026-05-22
26025073 OTHER Exc Forearm Tum Deep 3 Cm/> 46 14 $4,737.86 $4,737.86 $2,368.93 $4,737.86 $3,316.50 2026-05-22
23032557 OTHER Pleural Drain Insert Pleural Cath W Imag 46 14 $4,731.36 $4,731.36 $1,800.00 $4,731.36 $3,311.95 2026-05-22
23056501 OTHER Destruction Lesion(s) Vulva Simple 46 14 $5,030.88 $5,030.88 $111.02 $4,905.11 $3,270.07 2026-05-22
26021014 OTHER Exc Face Tum Deep 2cm/> 46 14 $4,935.69 $4,935.69 $1,800.00 $4,812.30 $3,257.56 2026-05-22
23019020 OTHER Incise Breast Lesion 46 14 $4,634.25 $4,634.25 $2,000.00 $4,518.39 $3,243.98 2026-05-22
23027327 OTHER Exc Tumor Thigh/knee Subq 46 14 $4,632.33 $4,632.33 $2,000.00 $4,516.52 $3,242.63 2026-05-22
23025071 OTHER Exc Forearm Les Sc 3 Cm/> 46 14 $4,608.48 $4,608.48 $2,000.00 $4,493.27 $3,225.94 2026-05-22
23011420 OTHER Exc H-f-nk-sp B9+marg 0.5< 46 14 $4,860.72 $4,860.72 $224.61 $4,739.20 $3,208.08 2026-05-22
23069205 OTHER Rmve Fb Ext Aud Canal W Anes 46 14 $4,569.62 $4,569.62 $96.98 $4,455.38 $3,198.73 2026-05-22
23054161 OTHER Circum 28 Days Or Older 46 14 $4,566.59 $4,566.59 $205.37 $4,566.59 $3,196.61 2026-05-22
23044140 OTHER Colectomy Partial W/anastomosis 46 14 $4,547.34 $4,547.34 $1,447.89 $4,433.66 $3,183.14 2026-05-22
23058150 OTHER Hysterectomy Total 46 14 $4,818.92 $4,818.92 $1,076.97 $4,698.45 $3,180.49 2026-05-22
23058180 OTHER Abd Hysterectomy W/wo Rem Tubes/ovaries 46 14 $4,818.92 $4,818.92 $1,023.15 $4,698.45 $3,180.49 2026-05-22
23021012 OTHER Exc Face Les Sbq 2cm/> 46 14 $4,768.56 $4,768.56 $1,458.27 $4,649.35 $3,147.25 2026-05-22
23049203 OTHER Exc Abd Tumor 5cm Or Less 46 14 $4,492.75 $4,492.75 $1,284.92 $4,380.43 $3,144.92 2026-05-22
23036576 OTHER Repair Cva Device W Port/pump 46 14 $4,467.19 $4,467.19 $194.67 $4,467.19 $3,127.03 2026-05-22
23036569 OTHER Insert Peripheral Central Venous Cath 46 14 $4,467.19 $4,467.19 $99.56 $4,467.19 $3,127.03 2026-05-22
23041010 OTHER Incision Of Lingual Frenum (frenotomy) 46 14 $4,414.28 $4,414.28 $110.98 $4,303.92 $3,090.00 2026-05-22
23040819 OTHER Excise Lip Or Cheek Fold 46 14 $4,414.28 $4,414.28 $200.58 $4,303.92 $3,090.00 2026-05-22
23011444 OTHER Ex Ben Les Face Ear Elid 3.1-4.0 Cm 46 14 $4,371.18 $4,371.18 $1,800.00 $4,261.90 $3,059.83 2026-05-22
23055100 OTHER Drainage Of Scrotal Abscess 46 14 $4,371.18 $4,371.18 $172.92 $4,261.90 $3,059.83 2026-05-22
23013160 OTHER Close Sec Surg Wound/dehis Ext/comp 46 14 $4,343.83 $4,343.83 $2,000.00 $4,343.83 $3,040.68 2026-05-22
23019100 OTHER Bx Breast Needlecore (separt Proc.) 46 14 $4,248.06 $4,248.06 $2,000.00 $4,141.86 $2,973.64 2026-05-22
23021931 OTHER Excision Tumor Soft Tissue Of Back/flank 46 14 $4,248.06 $4,248.06 $2,000.00 $4,141.86 $2,973.64 2026-05-22
23023071 OTHER Exc Tumor Shoulder > 3cm 46 14 $4,248.06 $4,248.06 $2,000.00 $4,141.86 $2,973.64 2026-05-22
26021933 OTHER Exc Back Tum Deep 5 Cm/> 46 14 $4,230.59 $4,230.59 $2,115.30 $4,230.59 $2,961.41 2026-05-22
26021552 OTHER Exc Neck Les Sc 3 Cm/> 46 14 $4,230.59 $4,230.59 $2,000.00 $4,230.59 $2,961.41 2026-05-22
23058740 OTHER Adhesiolysis Tube Ovary 46 14 $4,473.67 $4,473.67 $960.82 $4,361.83 $2,952.62 2026-05-22
23052281 OTHER Scope S/calibrat+/or Dilation Ureth M/f 46 14 $4,180.22 $4,180.22 $158.18 $4,180.22 $2,926.15 2026-05-22
26057461 OTHER Conz Of Cervix W/scope Leep 46 14 $4,495.62 $4,495.62 $185.22 $4,383.23 $2,922.15 2026-05-22
26057460 OTHER Bx Of Cervix W/scope Leep 46 14 $4,495.62 $4,495.62 $168.50 $4,383.23 $2,922.15 2026-05-22
23059620 OTHER C Delivery Only, Following Attempted Vag 46 14 $4,273.31 $4,273.31 $1,345.25 $4,166.48 $2,906.16 2026-05-22
46000227 OTHER Tocilizumab 46 14 $4,151.00 $4,151.00 $2,075.50 $4,047.23 $2,905.70 2026-05-22
23036590 OTHER Rmve Cva Device Tunneled 46 14 $4,467.19 $4,467.19 $200.58 $4,355.51 $2,903.67 2026-05-22
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