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

PALACIOS COMMUNITY MEDICAL CENTER

Palacios, TX · CCN 451332 · Rates published

4,337 distinct procedures filed
5 distinct payers
38,827 rate rows
2026-05-15 last MRF observed
Data quality

38,790 of 38,827 rate rows are consumer-grade (99.9%)

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

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 24
per-diem day rate — not a per-procedure price 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/shared/static/z19oz51tnnhh54hezx3z55sipbdbn49y.csv
Found on page https://midcoasthealthsystem.org/pricing-transparency/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint fcd6a4e1b552901f… · 2,005,145 bytes · first seen 2026-05-15

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
3160433
OTHER 		Insert/replace Ns Generat 5 $335.84 $62,478.50 $26,728.39 nat. median
$25,274
1.1× median
3160432
OTHER 		Insert/replace Neurostimu 5 $335.84 $34,929.30 $17,359.37 nat. median
$18,989
0.9× median
3500041
OTHER 		Alteplase 100mg/100 Ml Inj (activase) 5 $11,411.43 $19,507.09 $13,995.15 nat. median
$1,925
outlier · 7.3×
3160543
OTHER 		Open Trmt Femoral Fx W/fi 5 $1,080.39 $23,664.72 $13,843.60 nat. median
$9,142
1.5× median
3160481
OTHER 		Laparoscopy Incisional H 5 $5,831.77 $19,549.67 $11,436.34 nat. median
$6,042
1.9× median
3160461
OTHER 		Laparoscopic Hernia Repai 5 $3,400.98 $19,549.67 $11,436.34 nat. median
$6,042
1.9× median
3160465
OTHER 		Laparoscopy Hernia Repair 5 $3,400.98 $19,549.67 $11,436.34 nat. median
$6,042
1.9× median
3160457
OTHER 		Lap Rpr Ing (bilateral) 5 $8,765.67 $14,984.33 $10,750.35 nat. median
$2,705
outlier · 4.0×
3160918
OTHER 		Bil Inguinal Hernia Repai 5 $8,272.77 $14,141.75 $10,145.85 nat. median
$1,622
outlier · 6.3×
3160898
OTHER 		Sinusotomy Bilateral 5 $8,122.25 $13,884.45 $9,961.25 nat. median
$1,319
outlier · 7.6×
3160624
OTHER 		Repair Ext Tendon Foot 5 $8,068.19 $13,792.04 $9,894.95 nat. median
$6,816
1.5× median
*2
OTHER 		Mcd Sda Rate 3 $9,550.14 $9,550.14 $9,550.14 nat. median
$9,550
1.0× median
3160478
OTHER 		Laparoscopy Colectomy With 5 $1,549.38 $15,440.05 $9,032.26 nat. median
$5,965
1.5× median
3160466
OTHER 		Laparoscopy Inc Hernia St 5 $5,831.77 $14,480.60 $8,470.99 nat. median
$4,475
1.9× median
3160464
OTHER 		Laparoscopy Esphagogastri 5 $5,831.77 $14,479.69 $8,470.46 nat. median
$9,808
0.9× median
3160544
OTHER 		Open Trmt Fx Orbit Blowou 5 $3,362.58 $13,980.49 $8,178.43 nat. median
$5,580
1.5× median
3160531
OTHER 		Nasal Endoscopy W/antrost 5 $6,215.84 $10,625.57 $7,623.20 nat. median
$1,567
outlier · 4.9×
3160901
OTHER 		Resection Turbinate Bil 5 $6,022.39 $10,294.88 $7,385.95 nat. median
$1,319
outlier · 5.6×
3500822
OTHER 		Tenecteplase 50mg Vial 5 $76.95 $12,278.34 $7,182.69 nat. median
$4,743
1.5× median
3160176
OTHER 		Discography Cerv/thor Sup 5 $5,825.76 $9,958.75 $7,144.80 nat. median
$911
outlier · 7.8×
3160913
OTHER 		Arthrodesis 5 $474.42 $10,656.10 $7,064.07 nat. median
$9,271
0.8× median
3160998
OTHER 		Open Trmt Tibia Orif 5 $385.15 $23,100.00 $7,064.07 nat. median
$8,750
0.8× median
3160036
OTHER 		Arthrodesis Midtarsal T 5 $541.59 $10,656.10 $7,064.07 nat. median
$9,271
0.8× median
3160987
OTHER 		Open Trmt Humeral Fx W/internal Fixation 5 $474.42 $23,382.10 $7,064.07 nat. median
$8,863
0.8× median
3160986
OTHER 		Open Trmt Humeral Fx W/internal Fixation 5 $474.42 $23,382.10 $7,064.07 nat. median
$8,863
0.8× median
3500688
OTHER 		Phentolamine 5mg/2ml Vial (regitine) 5 $5,676.30 $9,703.26 $6,961.50 nat. median
$3,748
1.9× median
3160990
OTHER 		Destruction Neurolytic Bilateral 5 $5,596.80 $9,567.36 $6,864.00 nat. median
$898
outlier · 7.6×
3160948
OTHER 		Laparoscopy W Vag Hystere 5 $977.76 $16,093.00 $6,860.91 nat. median
$4,541
1.5× median
3160951
OTHER 		Laparoscopy W/vag Hystere 5 $977.76 $16,093.00 $6,860.91 nat. median
$4,541
1.5× median
3160469
OTHER 		Laparoscopy Supracervical 5 $977.76 $11,188.10 $6,860.91 nat. median
$4,541
1.5× median
3160976
OTHER 		Destruction Nerve Lumbar 5 $5,467.48 $9,346.30 $6,705.40 nat. median
$3,611
1.9× median
2100149
OTHER 		Insertion Transvenous Pac 5 $541.59 $14,319.75 $6,696.85 nat. median
$8,095
0.8× median
3160728
OTHER 		Typanostomy W/tubes Bilat 5 $5,284.10 $9,032.82 $6,480.50 nat. median
$675
outlier · 9.6×
3160515
OTHER 		Mastectomy Modified Radi 5 $3,100.00 $10,966.22 $6,415.12 nat. median
$4,236
1.5× median
3500172
OTHER 		Certolizumab 400mg/2ml Inj (cimzia) 5 $5,152.53 $8,807.91 $6,319.14 nat. median
$3
outlier · 2106.4×
3160137
OTHER 		Colpopexy Vaginal 5 $4,844.11 $10,515.04 $6,151.18 nat. median
$4,062
1.5× median
3160560
OTHER 		Paravaginal Defect Repair 5 $4,844.11 $10,515.04 $6,151.18 nat. median
$7,200
0.9× median
3160989
OTHER 		Colpopexy Abdominal 5 $823.84 $10,515.04 $6,151.18 nat. median
$4,062
1.5× median
3160561
OTHER 		Paravaginal Defect Repair 5 $3,111.17 $10,515.04 $6,151.18 nat. median
$4,739
1.3× median
3160968
OTHER 		Cystorrhaphy 5 $2,884.67 $10,416.28 $6,093.41 nat. median
$830
outlier · 7.3×
3160475
OTHER 		Laparoscopy W/tah Uterus> 5 $977.76 $7,717.50 $5,843.25 nat. median
$4,541
1.3× median
3160485
OTHER 		Laparoscopy Surgical ENT 5 $3,400.98 $9,988.65 $5,843.25 nat. median
$5,498
1.1× median
3160480
OTHER 		Laparoscopy Enterolysis 5 $3,400.98 $9,988.65 $5,843.25 nat. median
$5,498
1.1× median
3160482
OTHER 		Laparoscopy Jejunostomy 5 $3,400.98 $9,988.65 $5,843.25 nat. median
$5,498
1.1× median
3200035
OTHER 		Skin Sub Graft T/arm/leg Child 5 $4,740.85 $8,104.17 $5,814.25 nat. median
$202
outlier · 28.8×
3160702
OTHER 		Thyroidectomy Removal Th 5 $3,362.58 $9,857.28 $5,766.40 nat. median
$3,808
1.5× median
3160476
OTHER 		Laparoscopy Appendectomy 5 $3,400.98 $9,738.59 $5,696.97 nat. median
$5,498
1.0× median
3160359
OTHER 		Hallux Valgus Correction 5 $385.15 $7,378.00 $5,586.20 nat. median
$4,900
1.1× median
3500261
OTHER 		Digoxin Immune Fab 40mg Vial (digifab) 5 $4,515.73 $7,719.35 $5,538.16 nat. median
$4,601
1.2× median
3160568
OTHER 		Percutaneous Implant Ns E 5 $335.84 $13,271.30 $5,244.37 nat. median
$4,949
1.1× median

Other procedures at this hospital

Browse this hospital's 4,337 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
             
3160433 OTHER Insert/replace Ns Generat 9 5 $89,255.00 $89,255.00 $335.84 $62,478.50 $26,728.39 2026-05-15
3160432 OTHER Insert/replace Neurostimu 9 5 $49,899.00 $49,899.00 $335.84 $34,929.30 $17,359.37 2026-05-15
3500041 OTHER Alteplase 100mg/100 Ml Inj (activase) 9 5 $21,531.00 $21,531.00 $11,411.43 $19,507.09 $13,995.15 2026-05-15
3160543 OTHER Open Trmt Femoral Fx W/fi 9 5 $26,120.00 $26,120.00 $1,080.39 $23,664.72 $13,843.60 2026-05-15
3160481 OTHER Laparoscopy Incisional H 9 5 $21,578.00 $21,578.00 $5,831.77 $19,549.67 $11,436.34 2026-05-15
3160465 OTHER Laparoscopy Hernia Repair 9 5 $21,578.00 $21,578.00 $3,400.98 $19,549.67 $11,436.34 2026-05-15
3160461 OTHER Laparoscopic Hernia Repai 9 5 $21,578.00 $21,578.00 $3,400.98 $19,549.67 $11,436.34 2026-05-15
3160457 OTHER Lap Rpr Ing (bilateral) 9 5 $16,539.00 $16,539.00 $8,765.67 $14,984.33 $10,750.35 2026-05-15
3160918 OTHER Bil Inguinal Hernia Repai 9 5 $15,609.00 $15,609.00 $8,272.77 $14,141.75 $10,145.85 2026-05-15
3160898 OTHER Sinusotomy Bilateral 9 5 $15,325.00 $15,325.00 $8,122.25 $13,884.45 $9,961.25 2026-05-15
3160624 OTHER Repair Ext Tendon Foot 9 5 $15,223.00 $15,223.00 $8,068.19 $13,792.04 $9,894.95 2026-05-15
*2 OTHER Mcd Sda Rate 3 3 — — $9,550.14 $9,550.14 $9,550.14 2026-05-15
3160478 OTHER Laparoscopy Colectomy With 9 5 $17,042.00 $17,042.00 $1,549.38 $15,440.05 $9,032.26 2026-05-15
3160466 OTHER Laparoscopy Inc Hernia St 9 5 $15,983.00 $15,983.00 $5,831.77 $14,480.60 $8,470.99 2026-05-15
3160464 OTHER Laparoscopy Esphagogastri 9 5 $15,982.00 $15,982.00 $5,831.77 $14,479.69 $8,470.46 2026-05-15
3160544 OTHER Open Trmt Fx Orbit Blowou 9 5 $15,431.00 $15,431.00 $3,362.58 $13,980.49 $8,178.43 2026-05-15
3160531 OTHER Nasal Endoscopy W/antrost 9 5 $11,728.00 $11,728.00 $6,215.84 $10,625.57 $7,623.20 2026-05-15
3160901 OTHER Resection Turbinate Bil 9 5 $11,363.00 $11,363.00 $6,022.39 $10,294.88 $7,385.95 2026-05-15
3500822 OTHER Tenecteplase 50mg Vial 9 5 $13,552.25 $13,552.25 $76.95 $12,278.34 $7,182.69 2026-05-15
3160176 OTHER Discography Cerv/thor Sup 9 5 $10,992.00 $10,992.00 $5,825.76 $9,958.75 $7,144.80 2026-05-15
3160913 OTHER Arthrodesis 9 5 $15,223.00 $15,223.00 $474.42 $10,656.10 $7,064.07 2026-05-15
3160986 OTHER Open Trmt Humeral Fx W/internal Fixation 9 5 $33,403.00 $33,403.00 $474.42 $23,382.10 $7,064.07 2026-05-15
3160036 OTHER Arthrodesis Midtarsal T 9 5 $15,223.00 $15,223.00 $541.59 $10,656.10 $7,064.07 2026-05-15
3160998 OTHER Open Trmt Tibia Orif 9 5 $33,000.00 $33,000.00 $385.15 $23,100.00 $7,064.07 2026-05-15
3160987 OTHER Open Trmt Humeral Fx W/internal Fixation 9 5 $33,403.00 $33,403.00 $474.42 $23,382.10 $7,064.07 2026-05-15
3500688 OTHER Phentolamine 5mg/2ml Vial (regitine) 9 5 $10,710.00 $10,710.00 $5,676.30 $9,703.26 $6,961.50 2026-05-15
3160990 OTHER Destruction Neurolytic Bilateral 9 5 $10,560.00 $10,560.00 $5,596.80 $9,567.36 $6,864.00 2026-05-15
3160948 OTHER Laparoscopy W Vag Hystere 9 5 $22,990.00 $22,990.00 $977.76 $16,093.00 $6,860.91 2026-05-15
3160469 OTHER Laparoscopy Supracervical 9 5 $15,983.00 $15,983.00 $977.76 $11,188.10 $6,860.91 2026-05-15
3160951 OTHER Laparoscopy W/vag Hystere 9 5 $22,990.00 $22,990.00 $977.76 $16,093.00 $6,860.91 2026-05-15
3160976 OTHER Destruction Nerve Lumbar 9 5 $10,316.00 $10,316.00 $5,467.48 $9,346.30 $6,705.40 2026-05-15
2100149 OTHER Insertion Transvenous Pac 9 5 $19,093.00 $19,093.00 $541.59 $14,319.75 $6,696.85 2026-05-15
3160728 OTHER Typanostomy W/tubes Bilat 9 5 $9,970.00 $9,970.00 $5,284.10 $9,032.82 $6,480.50 2026-05-15
3160515 OTHER Mastectomy Modified Radi 9 5 $12,104.00 $12,104.00 $3,100.00 $10,966.22 $6,415.12 2026-05-15
3500172 OTHER Certolizumab 400mg/2ml Inj (cimzia) 9 5 $9,721.75 $9,721.75 $5,152.53 $8,807.91 $6,319.14 2026-05-15
3160560 OTHER Paravaginal Defect Repair 9 5 $11,606.00 $11,606.00 $4,844.11 $10,515.04 $6,151.18 2026-05-15
3160989 OTHER Colpopexy Abdominal 9 5 $11,606.00 $11,606.00 $823.84 $10,515.04 $6,151.18 2026-05-15
3160137 OTHER Colpopexy Vaginal 9 5 $11,606.00 $11,606.00 $4,844.11 $10,515.04 $6,151.18 2026-05-15
3160561 OTHER Paravaginal Defect Repair 9 5 $11,606.00 $11,606.00 $3,111.17 $10,515.04 $6,151.18 2026-05-15
3160968 OTHER Cystorrhaphy 9 5 $11,497.00 $11,497.00 $2,884.67 $10,416.28 $6,093.41 2026-05-15
3160475 OTHER Laparoscopy W/tah Uterus> 9 5 $11,025.00 $11,025.00 $977.76 $7,717.50 $5,843.25 2026-05-15
3160480 OTHER Laparoscopy Enterolysis 9 5 $11,025.00 $11,025.00 $3,400.98 $9,988.65 $5,843.25 2026-05-15
3160482 OTHER Laparoscopy Jejunostomy 9 5 $11,025.00 $11,025.00 $3,400.98 $9,988.65 $5,843.25 2026-05-15
3160485 OTHER Laparoscopy Surgical ENT 9 5 $11,025.00 $11,025.00 $3,400.98 $9,988.65 $5,843.25 2026-05-15
3200035 OTHER Skin Sub Graft T/arm/leg Child 9 5 $8,945.00 $8,945.00 $4,740.85 $8,104.17 $5,814.25 2026-05-15
3160702 OTHER Thyroidectomy Removal Th 9 5 $10,880.00 $10,880.00 $3,362.58 $9,857.28 $5,766.40 2026-05-15
3160476 OTHER Laparoscopy Appendectomy 9 5 $10,749.00 $10,749.00 $3,400.98 $9,738.59 $5,696.97 2026-05-15
3160359 OTHER Hallux Valgus Correction 9 5 $10,540.00 $10,540.00 $385.15 $7,378.00 $5,586.20 2026-05-15
3500261 OTHER Digoxin Immune Fab 40mg Vial (digifab) 9 5 $8,520.25 $8,520.25 $4,515.73 $7,719.35 $5,538.16 2026-05-15
3160568 OTHER Percutaneous Implant Ns E 9 5 $18,959.00 $18,959.00 $335.84 $13,271.30 $5,244.37 2026-05-15
3160380 OTHER Implant Neurostimulator E 9 5 $15,431.00 $15,431.00 $385.15 $10,801.70 $5,244.37 2026-05-15
3160984 OTHER Revision Neurostimulator Electrode 9 5 $19,984.00 $19,984.00 $541.59 $13,988.80 $5,244.37 2026-05-15
3160381 OTHER Inc Implant Of Neurostimu 9 5 $15,431.00 $15,431.00 $250.81 $10,801.70 $5,244.37 2026-05-15
3160358 OTHER Hallux Valgus Correction 9 5 $10,540.00 $10,540.00 $977.76 $7,378.00 $5,219.36 2026-05-15
3200043 OTHER Bone Biopsy Excisional Open Deep 9 5 $7,672.00 $7,672.00 $4,066.16 $6,950.83 $4,986.80 2026-05-15
3200042 OTHER Bone Biopsy Exc Open Superficial 9 5 $7,672.00 $7,672.00 $4,066.16 $6,950.83 $4,986.80 2026-05-15
3160997 OTHER Open Trmt Distal Radius Orif 9 5 $17,600.00 $17,600.00 $541.59 $12,320.00 $4,969.26 2026-05-15
3160631 OTHER Repair Musculotendinous C 9 5 $10,976.00 $10,976.00 $750.75 $7,683.20 $4,969.26 2026-05-15
3160299 OTHER Exc/curettage Bone Cyst W 9 5 $15,224.00 $15,224.00 $385.15 $10,656.80 $4,969.26 2026-05-15
3160955 OTHER Repair Ruptured Cuff 9 5 $17,232.00 $17,232.00 $541.59 $12,062.40 $4,969.26 2026-05-15
3160337 OTHER Fx Care Distal Fib W/without 9 5 $12,332.00 $12,332.00 $385.15 $8,632.40 $4,969.26 2026-05-15
3161005 OTHER Open Tmt Humeral Fx 9 5 $16,500.00 $16,500.00 $541.59 $11,550.00 $4,969.26 2026-05-15
3160934 OTHER Arthrodesis Elbow Joint 9 5 $12,408.00 $12,408.00 $474.42 $8,685.60 $4,969.26 2026-05-15
3160549 OTHER Orif Tib/fib/patella 9 5 $12,332.00 $12,332.00 $385.15 $8,632.40 $4,969.26 2026-05-15
3160338 OTHER Fx Care Distal Radius Ope 9 5 $16,246.00 $16,246.00 $541.59 $11,372.20 $4,969.26 2026-05-15
3160584 OTHER Reconstruction Rotator Cu 9 5 $10,976.00 $10,976.00 $750.75 $7,683.20 $4,969.26 2026-05-15
3160930 OTHER Exc Neuroma Bilateral 9 5 $7,630.00 $7,630.00 $4,043.90 $6,912.78 $4,959.50 2026-05-15
3160028 OTHER Appendectomy 9 5 $9,004.00 $9,004.00 $2,220.68 $8,157.62 $4,772.12 2026-05-15
40118 OTHER Tonsillectomy Age 12 And 9 5 $6,969.00 $6,969.00 $3,693.57 $6,313.91 $4,529.85 2026-05-15
3160884 OTHER Plantar Fasciotomy Bil 9 5 $6,930.00 $6,930.00 $3,672.90 $6,278.58 $4,504.50 2026-05-15
3160090 OTHER Cataract Rem W/insert Iol 9 5 $6,906.00 $6,906.00 $3,660.18 $6,256.84 $4,488.90 2026-05-15
3160091 OTHER Cataract Rem W/insert Iol 9 5 $6,906.00 $6,906.00 $3,660.18 $6,256.84 $4,488.90 2026-05-15
3160095 OTHER Cholangiopancreatography 9 5 $6,442.00 $6,442.00 $3,414.26 $5,836.45 $4,187.30 2026-05-15
3160992 OTHER Destruction Neurolytic 6 4 $5,170.00 $5,170.00 $2,740.10 $4,684.02 $4,151.51 2026-05-15
3160639 OTHER Repair Umbilical Hernia W 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-05-15
3160625 OTHER Repair Inc/ventral Hernia 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-05-15
3160628 OTHER Repair Incisional/ventral 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-05-15
3160623 OTHER Repair Epigastric Hernia 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-05-15
3160626 OTHER Repair Incision/ventral H 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-05-15
3160627 OTHER Repair Incisional/ventral 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-05-15
3160488 OTHER Laparoscopy W/partial Co 9 5 $7,762.00 $7,762.00 $166.47 $7,032.37 $4,113.86 2026-05-15
3160364 OTHER Hemorrhoidopexy By Stapli 9 5 $7,587.00 $7,587.00 $1,977.64 $6,873.82 $4,021.11 2026-05-15
3160489 OTHER Laparoscopy Surgical Abdo 9 5 $8,798.00 $8,798.00 $474.42 $6,158.60 $4,001.15 2026-05-15
3160486 OTHER Laparoscopy Unlisted 9 5 $11,880.00 $11,880.00 $250.81 $8,316.00 $4,001.15 2026-05-15
3160472 OTHER Laparoscopy W/fulguration 9 5 $11,025.00 $11,025.00 $541.59 $7,717.50 $4,001.15 2026-05-15
3160484 OTHER Laparoscopy Spermatic Co 9 5 $8,800.00 $8,800.00 $250.81 $6,160.00 $4,001.15 2026-05-15
3160285 OTHER Exc Thyroglossal Duct Cys 9 5 $12,365.00 $12,365.00 $474.42 $8,655.50 $4,001.15 2026-05-15
3160456 OTHER Lap Cholecystectomy W/cho 9 5 $14,884.00 $14,884.00 $696.13 $10,418.80 $4,001.15 2026-05-15
3160473 OTHER Laparoscopy W/lysis Adhes 9 5 $11,025.00 $11,025.00 $541.59 $7,717.50 $4,001.15 2026-05-15
3160733 OTHER Unlisted Lap Proc Biliar 9 5 $8,798.00 $8,798.00 $250.81 $6,158.60 $4,001.15 2026-05-15
3160458 OTHER Lap Repair Rec Inguinal 9 5 $11,025.00 $11,025.00 $750.75 $7,717.50 $4,001.15 2026-05-15
3160460 OTHER Laparoscopic Cholecystect 9 5 $11,025.00 $11,025.00 $696.13 $7,717.50 $4,001.15 2026-05-15
3160459 OTHER Laparoscopic Cholecystect 9 5 $12,800.00 $12,800.00 $696.13 $8,960.00 $4,001.15 2026-05-15
3160468 OTHER Laparoscopy Supracervical 9 5 $15,982.00 $15,982.00 $977.76 $11,187.40 $4,001.15 2026-05-15
3160706 OTHER Total Thyroid Lobectomy 9 5 $12,210.00 $12,210.00 $385.15 $8,547.00 $4,001.15 2026-05-15
3160487 OTHER Laparoscopy W/fulguratio 9 5 $27,918.00 $27,918.00 $474.42 $19,542.60 $4,001.15 2026-05-15
3160467 OTHER Laparoscopy Procedure 9 5 $8,800.00 $8,800.00 $250.81 $6,160.00 $4,001.15 2026-05-15
3160474 OTHER Laparoscopy W/remov Tubes 9 5 $11,025.00 $11,025.00 $541.59 $7,717.50 $4,001.15 2026-05-15
3160462 OTHER Laparoscopic Procedure L 9 5 $8,800.00 $8,800.00 $250.81 $6,160.00 $4,001.15 2026-05-15
3160483 OTHER Laparoscopy Repair Ing H 9 5 $11,025.00 $11,025.00 $474.42 $7,717.50 $4,001.15 2026-05-15
3160463 OTHER Laparoscopy 9 5 $11,880.00 $11,880.00 $385.15 $8,316.00 $4,001.15 2026-05-15
3160047 OTHER Axillary Lymphadenectomy 9 5 $12,365.00 $12,365.00 $335.84 $8,655.50 $4,001.15 2026-05-15
3160705 OTHER Total Thyroid Lobectomy 9 5 $12,365.00 $12,365.00 $335.84 $8,655.50 $4,001.15 2026-05-15
3160906 OTHER Laparoscopy W/transhepati 9 5 $9,009.00 $9,009.00 $250.81 $6,306.30 $4,001.15 2026-05-15
3160470 OTHER Laparoscopy W/aspiration 9 5 $8,798.00 $8,798.00 $474.42 $6,158.60 $4,001.15 2026-05-15
3160471 OTHER Laparoscopy W/biopsy Lymp 9 5 $12,467.00 $12,467.00 $474.42 $8,726.90 $4,001.15 2026-05-15
3160520 OTHER Mastoidectomy Radical 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-05-15
3160720 OTHER Tympanoplasty W/antrotomy 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-05-15
3160646 OTHER Revision Mastoidectomy 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-05-15
3160674 OTHER Sinusotomy Maxillary Ra 9 5 $10,890.00 $10,890.00 $474.42 $7,623.00 $3,955.98 2026-05-15
3160675 OTHER Sinusotomy Maxillary Ra 9 5 $10,890.00 $10,890.00 $385.15 $7,623.00 $3,955.98 2026-05-15
3160583 OTHER Reconstruction Ext Audito 9 5 $10,890.00 $10,890.00 $385.15 $7,623.00 $3,955.98 2026-05-15
3160202 OTHER Ethmoidectomy Intranasal 9 5 $10,890.00 $10,890.00 $335.84 $7,623.00 $3,955.98 2026-05-15
3160885 OTHER Rpr Fistula Oromaxillary 9 5 $10,880.00 $10,880.00 $474.42 $7,616.00 $3,955.98 2026-05-15
3160683 OTHER Stapedectomy/stapedotomy 9 5 $10,890.00 $10,890.00 $541.59 $7,623.00 $3,955.98 2026-05-15
3160723 OTHER Tympanoplasty Without Mastoid 9 5 $10,890.00 $10,890.00 $541.59 $7,623.00 $3,955.98 2026-05-15
3160719 OTHER Tympanolysisl Transcanal 9 5 $10,890.00 $10,890.00 $250.81 $7,623.00 $3,955.98 2026-05-15
3160722 OTHER Tympanoplasty W/mastoidec 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-05-15
3160003 OTHER Adenoidectomy Under Age 9 5 $14,689.00 $14,689.00 $335.84 $10,282.30 $3,955.98 2026-05-15
3160724 OTHER Tympanoplasty W/ossicular 9 5 $15,431.00 $15,431.00 $750.75 $10,801.70 $3,955.98 2026-05-15
3160282 OTHER Exc Sublingual Gland 9 5 $10,880.00 $10,880.00 $335.84 $7,616.00 $3,955.98 2026-05-15
3160710 OTHER Transmastoid Antrotomy 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-05-15
3160704 OTHER Tonsillectomy Under Age 1 9 5 $12,302.00 $12,302.00 $335.84 $8,611.40 $3,955.98 2026-05-15
3160284 OTHER Exc Submandibular/maxilla 9 5 $10,890.00 $10,890.00 $385.15 $7,623.00 $3,955.98 2026-05-15
3160645 OTHER Revision Mastoidectomy 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-05-15
3160721 OTHER Tympanoplasty W/mastoidec 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-05-15
3160684 OTHER Stapes Mobilization 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-05-15
3160523 OTHER Middle Ear Exploration With 9 5 $10,890.00 $10,890.00 $385.15 $7,623.00 $3,955.98 2026-05-15
3160648 OTHER Revision Stapedectomy 9 5 $15,431.00 $15,431.00 $541.59 $10,801.70 $3,955.98 2026-05-15
3160519 OTHER Mastoidectomy Modified Ra 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-05-15
3160319 OTHER Exploration Postop Hemorr 9 5 $7,293.00 $7,293.00 $1,910.23 $6,607.46 $3,865.29 2026-05-15
3160508 OTHER Ligation Of Vein Upper L 9 5 $7,293.00 $7,293.00 $1,910.23 $6,607.46 $3,865.29 2026-05-15
3160001 OTHER Abdominal Lymphadenectomy 9 5 $7,277.00 $7,277.00 $236.16 $6,592.96 $3,856.81 2026-05-15
3500133 OTHER Calcitonin 400unit/2ml Inj (miacalcin) 9 5 $5,754.50 $5,754.50 $3,049.89 $5,213.58 $3,740.43 2026-05-15
3160763 OTHER Vaginal Hysterectomy 9 5 $11,606.00 $11,606.00 $977.76 $8,124.20 $3,660.20 2026-05-15
3160027 OTHER Anteroposterior Colporrha 9 5 $11,606.00 $11,606.00 $541.59 $8,124.20 $3,660.20 2026-05-15
3160676 OTHER Sling Operation/stress In 9 5 $11,606.00 $11,606.00 $977.76 $8,124.20 $3,660.20 2026-05-15
3160959 OTHER Vaginal Hysterectomy 9 5 $12,573.00 $12,573.00 $977.76 $8,801.10 $3,660.20 2026-05-15
3160573 OTHER Posterior Colporrhaphy 9 5 $11,606.00 $11,606.00 $541.59 $8,124.20 $3,660.20 2026-05-15
3160365 OTHER Hysteroscopy W/endometria 9 5 $11,606.00 $11,606.00 $474.42 $8,124.20 $3,660.20 2026-05-15
3160966 OTHER Anterior Colporrhaphy 9 5 $12,540.00 $12,540.00 $541.59 $8,778.00 $3,660.20 2026-05-15
3160540 OTHER Open Periprosthetic Capsu 9 5 $8,789.00 $8,789.00 $474.42 $6,152.30 $3,647.06 2026-05-15
3160517 OTHER Mastectomy Partial W/lym 9 5 $12,104.00 $12,104.00 $750.75 $8,472.80 $3,647.06 2026-05-15
3160518 OTHER Mastectomy Simple 9 5 $8,789.00 $8,789.00 $474.42 $6,152.30 $3,647.06 2026-05-15
3160267 OTHER Exc Nail/nail Matrix 9 5 $5,320.00 $5,320.00 $2,819.60 $4,819.92 $3,458.00 2026-05-15
3160999 OTHER Injection Agent(bilateral) 9 5 $5,280.00 $5,280.00 $2,798.40 $4,783.68 $3,432.00 2026-05-15
3160954 OTHER Laser Vaporization Prosta 9 5 $11,495.00 $11,495.00 $474.42 $8,046.50 $3,393.73 2026-05-15
3200027 OTHER Skin Split Grft Trnk/arm/leg 9 5 $5,176.00 $5,176.00 $2,743.28 $4,689.46 $3,364.40 2026-05-15
3200029 OTHER Epidermal Autograft T/a/l 1st 100 Sqcm 9 5 $5,176.00 $5,176.00 $2,743.28 $4,689.46 $3,364.40 2026-05-15
3200031 OTHER Epidermal Autograft F/s/e/m/n/o/g/h/f 9 5 $5,176.00 $5,176.00 $2,743.28 $4,689.46 $3,364.40 2026-05-15
3200033 OTHER Skin Sub Graft Trnk/arm/leg 9 5 $5,176.00 $5,176.00 $2,743.28 $4,689.46 $3,364.40 2026-05-15
3200022 OTHER Wound Prep Trk/arm/leg 9 5 $5,176.00 $5,176.00 $2,743.28 $4,689.46 $3,364.40 2026-05-15
3200039 OTHER Skin Sub Graft F/n/hf/g Child 9 5 $5,176.00 $5,176.00 $2,743.28 $4,689.46 $3,364.40 2026-05-15
3200037 OTHER Skin Sub Graft Face/nk/hf/g 9 5 $5,176.00 $5,176.00 $2,743.28 $4,689.46 $3,364.40 2026-05-15
3160089 OTHER Cataract Ext Insertion I 9 5 $5,113.00 $5,113.00 $2,709.89 $4,632.38 $3,323.45 2026-05-15
3160088 OTHER Cataract Ext Insert Iol 9 5 $5,113.00 $5,113.00 $2,709.89 $4,632.38 $3,323.45 2026-05-15
3160118 OTHER Colectomy Partial W/anas 9 5 $6,157.00 $6,157.00 $1,184.48 $5,578.24 $3,263.21 2026-05-15
3160656 OTHER Shoulder Arthroscopy 6 4 $4,048.00 $4,048.00 $2,145.44 $3,667.49 $3,250.55 2026-05-15
2100260 OTHER Vaginal Delivery 9 5 $6,089.00 $6,089.00 $1,582.00 $5,516.63 $3,227.17 2026-05-15
3160431 OTHER Insert Mesh Pelvic Floor 6 4 $3,857.00 $3,857.00 $2,044.21 $3,494.44 $3,097.17 2026-05-15
3160187 OTHER Endoscopy W/ethmoidectomy 9 5 $8,956.00 $8,956.00 $541.59 $6,269.20 $3,066.48 2026-05-15
3160529 OTHER Nasal Endoscopy 9 5 $5,864.00 $5,864.00 $385.15 $4,104.80 $3,066.48 2026-05-15
3160533 OTHER Nasal/sinus Endoscopy W/s 9 5 $8,956.00 $8,956.00 $385.15 $6,269.20 $3,066.48 2026-05-15
3160670 OTHER Sinus Endoscopy W/ethmoid 9 5 $7,917.00 $7,917.00 $385.15 $5,541.90 $3,066.48 2026-05-15
3160672 OTHER Sinus Endoscopy With Expl 9 5 $8,956.00 $8,956.00 $385.15 $6,269.20 $3,066.48 2026-05-15
3160557 OTHER Pancreatectomy W/duodenec 9 5 $4,457.00 $4,457.00 $2,362.21 $4,038.04 $3,018.66 2026-05-15
3160779 OTHER Tracheostomy Planned 9 5 $5,676.00 $5,676.00 $1,374.37 $5,142.46 $3,008.28 2026-05-15
3160479 OTHER Laparoscopy Enterectomy 9 5 $5,660.00 $5,660.00 $1,225.26 $5,127.96 $2,999.80 2026-05-15
3160477 OTHER Laparoscopy Colectomy Pa 9 5 $5,660.00 $5,660.00 $1,358.86 $5,127.96 $2,999.80 2026-05-15
3160350 OTHER Gastrostomy Open Without Tub 9 5 $5,584.00 $5,584.00 $1,683.37 $5,059.10 $2,959.52 2026-05-15
3200006 OTHER Debride Bone 20 Sq Cm 9 5 $4,448.00 $4,448.00 $2,357.44 $4,029.89 $2,891.20 2026-05-15
3200003 OTHER Drainage Of Hematoma/fluid 9 5 $4,448.00 $4,448.00 $2,357.44 $4,029.89 $2,891.20 2026-05-15
3160048 OTHER Biliary Endoscopy W/stone 9 5 $5,349.00 $5,349.00 $385.15 $4,118.23 $2,834.97 2026-05-15
3160881 OTHER Trmt Radial Fx W/man Bil 9 5 $4,180.00 $4,180.00 $2,215.40 $3,787.08 $2,717.00 2026-05-15
3160958 OTHER Inj Paravertebral Bil 9 5 $4,180.00 $4,180.00 $2,215.40 $3,787.08 $2,717.00 2026-05-15
3160017 OTHER Amputation Through Foot 9 5 $4,950.00 $4,950.00 $2,036.25 $4,484.70 $2,623.50 2026-05-15
3160629 OTHER Repair Ing Hernia Age 5+ 9 5 $7,805.00 $7,805.00 $474.42 $5,463.50 $2,612.57 2026-05-15
3160272 OTHER Exc Of Hydrocele Unilate 9 5 $7,805.00 $7,805.00 $385.15 $5,463.50 $2,612.57 2026-05-15
3160735 OTHER Unlisted Proc Intestine 9 5 $6,666.00 $6,666.00 $250.81 $4,666.20 $2,612.57 2026-05-15
3160729 OTHER Umbilical Hernia Repair 9 5 $2,999.00 $2,999.00 $1,589.47 $2,717.09 $2,612.57 2026-05-15
3160326 OTHER Femoral Herniorrhaphy Un 9 5 $7,805.00 $7,805.00 $474.42 $5,463.50 $2,612.57 2026-05-15
3160942 OTHER Exc Urachal Cyst 9 5 $11,914.00 $11,914.00 $474.42 $8,339.80 $2,612.57 2026-05-15
3160635 OTHER Repair Recurrent Inguinal 9 5 $7,805.00 $7,805.00 $750.75 $5,463.50 $2,612.57 2026-05-15
3160511 OTHER Lysis Of Adhesions 9 5 $6,666.00 $6,666.00 $250.81 $4,666.20 $2,612.57 2026-05-15
3160638 OTHER Repair Sliding Inguinal H 9 5 $7,805.00 $7,805.00 $474.42 $5,463.50 $2,612.57 2026-05-15
3160634 OTHER Repair Recurrent Ing Hern 9 5 $8,824.00 $8,824.00 $541.59 $6,176.80 $2,612.57 2026-05-15
3160895 OTHER Inj Paravertebral Bil 9 5 $3,920.00 $3,920.00 $2,077.60 $3,551.52 $2,548.00 2026-05-15
3160608 OTHER Removal Of Implanted Pump 9 5 $6,844.00 $6,844.00 $250.81 $4,790.80 $2,489.69 2026-05-15
3160120 OTHER Colectomy Partial W/rese 9 5 $4,561.00 $4,561.00 $1,564.60 $4,132.27 $2,417.33 2026-05-15
3160117 OTHER Colectomy Partial 9 5 $4,561.00 $4,561.00 $1,470.55 $4,132.27 $2,417.33 2026-05-15
3160121 OTHER Colectomy Partial With C 9 5 $4,561.00 $4,561.00 $1,612.68 $4,132.27 $2,417.33 2026-05-15
3160276 OTHER Exc Prepatellar Bursa 9 5 $4,844.00 $4,844.00 $385.15 $3,390.80 $2,395.59 2026-05-15
3160357 OTHER Hallux Valgus Correction 9 5 $7,810.00 $7,810.00 $335.84 $5,467.00 $2,395.59 2026-05-15
3160606 OTHER Removal Of Hardware 9 5 $7,590.00 $7,590.00 $385.15 $5,313.00 $2,395.59 2026-05-15
3160552 OTHER Ostectomy Calcaneus For 9 5 $5,086.00 $5,086.00 $474.42 $3,560.20 $2,395.59 2026-05-15
3160963 OTHER Acromioplasty Partial 9 5 $8,047.00 $8,047.00 $541.59 $5,632.90 $2,395.59 2026-05-15
3161009 OTHER Rpr Extensor Tendon Finger 9 5 $8,729.00 $8,729.00 $385.15 $6,110.30 $2,395.59 2026-05-15
3160451 OTHER Knee Arthroscopy 9 5 $5,512.00 $5,512.00 $474.42 $3,858.40 $2,395.59 2026-05-15
3160453 OTHER Knee Arthroscopy W/menisc 9 5 $8,469.00 $8,469.00 $474.42 $5,928.30 $2,395.59 2026-05-15
3160450 OTHER Kidner Procedure 9 5 $15,224.00 $15,224.00 $385.15 $10,656.80 $2,395.59 2026-05-15
3160542 OTHER Open Treatment Nasal Sept 9 5 $5,957.00 $5,957.00 $385.15 $4,169.90 $2,395.59 2026-05-15
3160970 OTHER Arthroscopy Knee 9 5 $8,047.00 $8,047.00 $385.15 $5,632.90 $2,395.59 2026-05-15
3160041 OTHER Arthroscopy W/debridement 9 5 $6,277.00 $6,277.00 $474.42 $4,393.90 $2,395.59 2026-05-15
3160546 OTHER Open Trmt W/int Fix Fx Ph 9 5 $5,968.00 $5,968.00 $385.15 $4,177.60 $2,395.59 2026-05-15
3160037 OTHER Arthroplasty Interphalang 9 5 $9,814.00 $9,814.00 $541.59 $6,869.80 $2,395.59 2026-05-15
2100205 OTHER Repair Extensor Tendon Fo 9 5 $5,086.00 $5,086.00 $385.15 $3,814.50 $2,395.59 2026-05-15
3160622 OTHER Repair Disrupted Ligament 9 5 $7,590.00 $7,590.00 $335.84 $5,313.00 $2,395.59 2026-05-15
3160103 OTHER Claviculectomy Partial 9 5 $7,590.00 $7,590.00 $541.59 $5,313.00 $2,395.59 2026-05-15
3160356 OTHER Hallux Valgus Correction 9 5 $10,540.00 $10,540.00 $335.84 $7,378.00 $2,395.59 2026-05-15
3160353 OTHER Hallux Valgus By Dbl Oste 9 5 $7,808.00 $7,808.00 $541.59 $5,465.60 $2,395.59 2026-05-15
3161001 OTHER Open Trmt Finger Fx 9 5 $8,179.00 $8,179.00 $474.42 $5,725.30 $2,395.59 2026-05-15
3161003 OTHER Open Trmt Shoulder Dislocation 9 5 $18,480.00 $18,480.00 $385.15 $12,936.00 $2,395.59 2026-05-15
3160551 OTHER Ostectomy Calcaneus 9 5 $5,086.00 $5,086.00 $474.42 $3,560.20 $2,395.59 2026-05-15
3160355 OTHER Hallux Valgus Correct (au 9 5 $10,540.00 $10,540.00 $385.15 $7,378.00 $2,395.59 2026-05-15
3160555 OTHER Osteotomy Proximal Phala 9 5 $5,086.00 $5,086.00 $385.15 $3,560.20 $2,395.59 2026-05-15
3160956 OTHER Shoulder Arthroscopy Dx 9 5 $8,047.00 $8,047.00 $385.15 $5,632.90 $2,395.59 2026-05-15
3160562 OTHER Partial Exc Bone Talus O 9 5 $5,086.00 $5,086.00 $750.75 $3,560.20 $2,395.59 2026-05-15
3160957 OTHER Arthroscopy Shoulder 9 5 $8,047.00 $8,047.00 $385.15 $5,632.90 $2,395.59 2026-05-15
3160952 OTHER Arthroscopy Shoulder Debr 9 5 $8,047.00 $8,047.00 $385.15 $5,632.90 $2,395.59 2026-05-15
3160352 OTHER Hallux Rigidus Correction 9 5 $6,866.00 $6,866.00 $335.84 $4,806.20 $2,395.59 2026-05-15
3160387 OTHER Incision Bone Cortex Fo 9 5 $6,866.00 $6,866.00 $385.15 $4,806.20 $2,395.59 2026-05-15
3160454 OTHER Knee Arthroscopy Arthrop 9 5 $6,277.00 $6,277.00 $385.15 $4,393.90 $2,395.59 2026-05-15
3160455 OTHER Knee Arthroscopy/synovect 9 5 $5,512.00 $5,512.00 $474.42 $3,858.40 $2,395.59 2026-05-15
3160343 OTHER Fx Fixation Distal Radius 9 5 $5,957.00 $5,957.00 $385.15 $4,169.90 $2,395.59 2026-05-15
3160039 OTHER Arthroscopy Diagnostic Kn 9 5 $6,277.00 $6,277.00 $385.15 $4,393.90 $2,395.59 2026-05-15
3160040 OTHER Arthroscopy Knee F.b. Rem 9 5 $6,277.00 $6,277.00 $385.15 $4,393.90 $2,395.59 2026-05-15
3160339 OTHER Fx Care Great Toe Open With 9 5 $5,957.00 $5,957.00 $385.15 $4,169.90 $2,395.59 2026-05-15
3160556 OTHER Osteotomy W/wo Lengtheni 9 5 $5,086.00 $5,086.00 $335.84 $3,560.20 $2,395.59 2026-05-15
3160641 OTHER Replantation Digit Comp 9 5 $6,448.00 $6,448.00 $806.60 $4,513.60 $2,395.59 2026-05-15
3160452 OTHER Knee Arthroscopy W/latera 9 5 $6,576.00 $6,576.00 $474.42 $4,603.20 $2,395.59 2026-05-15
3160035 OTHER Arthrodesis Interphalang 9 5 $6,445.00 $6,445.00 $385.15 $4,511.50 $2,395.59 2026-05-15
3160770 OTHER Fasciectomy Part Palmar 9 5 $6,446.00 $6,446.00 $474.42 $4,512.20 $2,395.59 2026-05-15
3160354 OTHER Hallux Valgus Correct (ak 9 5 $7,808.00 $7,808.00 $385.15 $5,465.60 $2,395.59 2026-05-15
3160042 OTHER Arthroscopy Limited Syno 9 5 $6,277.00 $6,277.00 $474.42 $4,393.90 $2,395.59 2026-05-15
3160637 OTHER Repair Ruptured Tendon 9 5 $10,989.00 $10,989.00 $385.15 $7,692.30 $2,395.59 2026-05-15
3160996 OTHER Arthroplasty Ic Or Carpometacarpal Joint 9 5 $8,800.00 $8,800.00 $541.59 $6,160.00 $2,395.59 2026-05-15
3200036 OTHER Skin Sub Graft T/arm/leg Child Add On 6 4 $2,981.00 $2,981.00 $1,579.93 $2,700.79 $2,393.74 2026-05-15
3160122 OTHER Colectomy Total W/ileosto 9 5 $4,457.00 $4,457.00 $1,651.33 $4,038.04 $2,362.21 2026-05-15
3160219 OTHER Exc Breast Lesion Identif 6 4 $2,911.00 $2,911.00 $1,542.83 $2,637.37 $2,337.53 2026-05-15
3160277 OTHER Exc Rectal Tumor Transan 9 5 $5,663.00 $5,663.00 $474.42 $3,964.10 $2,326.64 2026-05-15
3160363 OTHER Hemorrhoidectomy/int/ext 9 5 $7,646.00 $7,646.00 $385.15 $5,352.20 $2,326.64 2026-05-15
3160589 OTHER Removal Central Venous De 9 5 $6,523.00 $6,523.00 $385.15 $4,566.10 $2,247.33 2026-05-15
3160430 OTHER Insert Central Venous Acc 9 5 $6,523.00 $6,523.00 $385.15 $4,566.10 $2,247.33 2026-05-15
3160437 OTHER Insertion Implant Venous 9 5 $6,523.00 $6,523.00 $385.15 $4,566.10 $2,247.33 2026-05-15
3160435 OTHER Insertion Central Venous 9 5 $7,376.00 $7,376.00 $385.15 $5,163.20 $2,247.33 2026-05-15
3160509 OTHER Ligation/division Veins 9 5 $6,333.00 $6,333.00 $385.15 $4,433.10 $2,247.33 2026-05-15
3160914 OTHER Removal Tunneled Catheter 9 5 $4,598.00 $4,598.00 $250.81 $3,218.60 $2,247.33 2026-05-15
3160910 OTHER Replacement Venous Cath 9 5 $6,523.00 $6,523.00 $335.84 $4,566.10 $2,247.33 2026-05-15
3160033 OTHER Arteriovenous Anastomosis 9 5 $9,395.00 $9,395.00 $385.15 $6,576.50 $2,247.33 2026-05-15
3160274 OTHER Exc Parenchymal Lesion Te 9 5 $5,287.00 $5,287.00 $335.84 $3,700.90 $2,243.49 2026-05-15
3160238 OTHER Exc Lesion Of Spermatic C 9 5 $5,287.00 $5,287.00 $474.42 $3,700.90 $2,243.49 2026-05-15
3160947 OTHER Litholapaxy 9 5 $8,393.00 $8,393.00 $250.81 $5,875.10 $2,243.49 2026-05-15
3160547 OTHER Orchiectomy Simiple 9 5 $6,520.00 $6,520.00 $385.15 $4,564.00 $2,243.49 2026-05-15
3160237 OTHER Exc Lesion Of Epididymis 9 5 $5,287.00 $5,287.00 $385.15 $3,700.90 $2,243.49 2026-05-15
3160931 OTHER Exc Spermatocele W/wo Epi 9 5 $5,979.00 $5,979.00 $474.42 $4,185.30 $2,243.49 2026-05-15
3160226 OTHER Exc Hydrocele Spermatic C 9 5 $6,521.00 $6,521.00 $385.15 $4,564.70 $2,243.49 2026-05-15
3160945 OTHER Removal Penis Prosthesis 9 5 $11,326.00 $11,326.00 $977.76 $7,928.20 $2,243.49 2026-05-15
3160988 OTHER Cystourethroscopy W/insertion Of Stent 9 5 $7,810.00 $7,810.00 $335.84 $5,467.00 $2,243.49 2026-05-15
3160379 OTHER Implant Mesh For Hernia 6 4 $2,764.00 $2,764.00 $1,464.92 $2,504.18 $2,219.49 2026-05-15
3160985 OTHER Revision Of Implanted Neurostimulator 9 5 $9,503.00 $9,503.00 $250.81 $6,652.10 $2,188.64 2026-05-15
3160601 OTHER Removal Implant Material 9 5 $8,789.00 $8,789.00 $250.81 $6,152.30 $2,187.94 2026-05-15
3160078 OTHER Biopsy/exc Of Lymph Nodes 9 5 $6,840.00 $6,840.00 $335.84 $4,788.00 $2,187.94 2026-05-15
3160059 OTHER Biopsy Of Breast Incisio 9 5 $6,323.00 $6,323.00 $335.84 $4,426.10 $2,187.94 2026-05-15
3160056 OTHER Biopsy Lymph Nodes Cervic 9 5 $7,733.00 $7,733.00 $335.84 $5,413.10 $2,187.94 2026-05-15
3160220 OTHER Exc Breast Lesion Male/fe 9 5 $8,536.00 $8,536.00 $385.15 $5,975.20 $2,187.94 2026-05-15
3160221 OTHER Exc Breast Lesion Single 9 5 $6,323.00 $6,323.00 $385.15 $4,426.10 $2,187.94 2026-05-15
3160516 OTHER Mastectomy Partial 9 5 $7,148.00 $7,148.00 $385.15 $5,003.60 $2,187.94 2026-05-15
3160604 OTHER Removal Intact Mammary IM 9 5 $8,789.00 $8,789.00 $250.81 $6,152.30 $2,187.94 2026-05-15
4520008 OTHER MRA Low Extremity W/wo Bi 9 5 $3,366.00 $3,366.00 $1,783.98 $3,049.60 $2,187.90 2026-05-15
4520016 OTHER MRA Up Extrem Wo/w-bil 9 5 $3,366.00 $3,366.00 $1,783.98 $3,049.60 $2,187.90 2026-05-15
4520038 OTHER MRI Low Extrem Jt W/wo-bi 9 5 $3,366.00 $3,366.00 $1,783.98 $3,049.60 $2,187.90 2026-05-15
3160738 OTHER Unlisted Procedure Biliar 9 5 $5,349.00 $5,349.00 $250.81 $3,744.30 $2,177.11 2026-05-15
3160657 OTHER Shoulder Arthroscopy W/re 9 5 $4,048.00 $4,048.00 $385.15 $2,833.60 $2,145.44 2026-05-15
3160333 OTHER Formation Of Direct Pedic 9 5 $4,105.00 $4,105.00 $335.84 $2,873.50 $2,137.49 2026-05-15
3160681 OTHER Split Thick Graft Legs/ar 9 5 $6,712.00 $6,712.00 $335.84 $4,698.40 $2,137.49 2026-05-15
3160682 OTHER Split-thickness Autograft 9 5 $6,712.00 $6,712.00 $335.84 $4,698.40 $2,137.49 2026-05-15
3160651 OTHER Secondary Closure Of Woun 9 5 $4,105.00 $4,105.00 $335.84 $2,873.50 $2,137.49 2026-05-15
2100094 OTHER Fx Care Distal Fibula W/w 9 5 $4,023.00 $4,023.00 $385.15 $4,023.00 $2,132.19 2026-05-15
6160002 OTHER Sleep Study (cpap) 9 5 $3,990.00 $3,990.00 $1,256.22 $3,614.94 $2,114.70 2026-05-15
3160564 OTHER Partial Gastrectomy W/ana 9 5 $2,266.00 $2,266.00 $1,200.98 $2,112.81 $2,053.00 2026-05-15
6160001 OTHER Sleep Study 9 5 $3,805.00 $3,805.00 $1,192.27 $3,447.33 $2,016.65 2026-05-15
3507139 OTHER Nf-hyaluronate Sod (monovisc) 88mg/4ml S 9 5 $3,780.00 $3,780.00 $887.40 $3,424.68 $2,003.40 2026-05-15
3160491 OTHER Laryngoscopy Direct Exc T 9 5 $5,864.00 $5,864.00 $385.15 $4,104.80 $1,991.92 2026-05-15
3160490 OTHER Laryngoscopy Direct 9 5 $7,917.00 $7,917.00 $474.42 $5,541.90 $1,991.92 2026-05-15
3160530 OTHER Nasal Endoscopy W/antrost 9 5 $5,864.00 $5,864.00 $385.15 $4,104.80 $1,991.92 2026-05-15
3160493 OTHER Laryngoscopy Direct W/bi 9 5 $5,864.00 $5,864.00 $335.84 $4,104.80 $1,991.92 2026-05-15
3160495 OTHER Laryngoscopy Direct W/b 9 5 $5,864.00 $5,864.00 $385.15 $4,104.80 $1,991.92 2026-05-15
3160960 OTHER Closure Of Gastrostomy 9 5 $8,283.00 $8,283.00 $250.81 $5,798.10 $1,980.43 2026-05-15
2100500 OTHER Trauma Response Level 9 5 $3,000.00 $3,000.00 $1,590.00 $2,718.00 $1,950.00 2026-05-15
4520035 OTHER MRI Low Ext Joint W Bilat 9 5 $2,928.00 $2,928.00 $1,551.84 $2,652.77 $1,903.20 2026-05-15
3160514 OTHER Marsupialization Bartholi 9 5 $5,386.00 $5,386.00 $335.84 $3,770.20 $1,861.18 2026-05-15
3160979 OTHER Conization Cervix 9 5 $6,882.00 $6,882.00 $335.84 $4,817.40 $1,861.18 2026-05-15
3160171 OTHER Dilation & Curettage 9 5 $5,386.00 $5,386.00 $335.84 $3,770.20 $1,861.18 2026-05-15
3160965 OTHER Hysteroscopy Diagnostic 9 5 $6,881.00 $6,881.00 $250.81 $4,816.70 $1,861.18 2026-05-15
3160768 OTHER Vulvectomy Simple Comple 9 5 $5,386.00 $5,386.00 $750.75 $3,770.20 $1,861.18 2026-05-15
3161006 OTHER Hysteroscopy W Sampling Endometrium 9 5 $7,480.00 $7,480.00 $385.15 $5,236.00 $1,861.18 2026-05-15
3160301 OTHER Excision Bartholin's Glan 9 5 $5,386.00 $5,386.00 $385.15 $3,770.20 $1,861.18 2026-05-15
3160566 OTHER Pelvic Exam Under Anesthe 9 5 $5,386.00 $5,386.00 $335.84 $3,770.20 $1,861.18 2026-05-15
3160316 OTHER Excision Vaginal Cyst/tum 9 5 $5,386.00 $5,386.00 $335.84 $3,770.20 $1,861.18 2026-05-15
3160769 OTHER Vulvectomy Simple Partia 9 5 $5,386.00 $5,386.00 $541.59 $3,770.20 $1,861.18 2026-05-15
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