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 →

Export CSV
Hospital

PALACIOS COMMUNITY MEDICAL CENTER

Palacios, TX · CCN 451332 · Rates published

3,232 distinct procedures filed
5 distinct payers
35,073 rate rows
2026-08-01 last MRF observed
Data quality

35,042 of 35,073 rate rows are consumer-grade (99.9%)

31 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 18
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 Latest re-check couldn't be parsed — showing last good data · 2026-08-01
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
63685
CPT 		Insert/replace Ns Generat 5 $335.84 $62,478.50 $26,728.39 nat. median
$21,025
1.3× median
64590
CPT 		Insert/replace Neurostimu 5 $335.84 $34,929.30 $17,359.37 nat. median
$17,900
1.0× median
27244
CPT 		Open Trmt Femoral Fx W/fi 5 $1,080.39 $23,664.72 $13,843.60 nat. median
$4,779
outlier · 2.9×
49653
CPT 		Laparoscopy Hernia Repair 5 $3,400.98 $19,549.67 $11,436.34 nat. median
$5,374
outlier · 2.1×
49652
CPT 		Laparoscopic Hernia Repai 5 $3,400.98 $19,549.67 $11,436.34 nat. median
$5,168
outlier · 2.2×
49654
CPT 		Laparoscopy Incisional H 5 $5,831.77 $19,549.67 $11,436.34 nat. median
$4,921
outlier · 2.3×
4965050
OTHER 		Lap Rpr Ing (bilateral) 5 $8,765.67 $14,984.33 $10,750.35 nat. median
$2,665
outlier · 4.0×
4950750
OTHER 		Bil Inguinal Hernia Repai 5 $8,272.77 $14,141.75 $10,145.85 nat. median
$8,273
1.2× median
3102050
OTHER 		Sinusotomy Bilateral 5 $8,122.25 $13,884.45 $9,961.25 nat. median
$1,935
outlier · 5.1×
28210
CPT 		Repair Ext Tendon Foot 5 $8,068.19 $13,792.04 $9,894.95 nat. median
$6,872
1.4× median
*2
LOCAL 		Mcd Sda Rate 3 $9,550.14 $9,550.14 $9,550.14 nat. median
$9,550
1.0× median
44206
CPT 		Laparoscopy Colectomy With 5 $1,549.38 $15,440.05 $9,032.26 nat. median
$3,774
outlier · 2.4×
49655
CPT 		Laparoscopy Inc Hernia St 5 $5,831.77 $14,480.60 $8,470.99 nat. median
$6,424
1.3× median
43280
CPT 		Laparoscopy Esphagogastri 5 $5,831.77 $14,479.69 $8,470.46 nat. median
$10,017
0.8× median
21385
CPT 		Open Trmt Fx Orbit Blowou 5 $3,362.58 $13,980.49 $8,178.43 nat. median
$6,252
1.3× median
3125650
OTHER 		Nasal Endoscopy W/antrost 5 $6,215.84 $10,625.57 $7,623.20 nat. median
$5,062
1.5× median
3014050
OTHER 		Resection Turbinate Bil 5 $6,022.39 $10,294.88 $7,385.95 nat. median
$911
outlier · 8.1×
J3101
HCPCS 		Tenecteplase 50mg Vial 5 $76.95 $12,278.34 $7,182.69 nat. median
$3,475
outlier · 2.1×
72285
CPT 		Discography Cerv/thor Sup 5 $5,825.76 $9,958.75 $7,144.80 nat. median
$1,968
outlier · 3.6×
27827
CPT 		Open Trmt Tibia Orif 5 $385.15 $23,100.00 $7,064.07 nat. median
$11,070
0.6× median
28737
CPT 		Arthrodesis Midtarsal T 5 $541.59 $10,656.10 $7,064.07 nat. median
$11,343
0.6× median
23615
CPT 		Open Trmt Humeral Fx W/internal Fixation 5 $474.42 $23,382.10 $7,064.07 nat. median
$11,071
0.6× median
28730
CPT 		Arthrodesis 5 $474.42 $10,656.10 $7,064.07 nat. median
$10,457
0.7× median
J2760
HCPCS 		Phentolamine 5mg/2ml Vial (regitine) 5 $5,676.30 $9,703.26 $6,961.50 nat. median
$720
outlier · 9.7×
6463550
OTHER 		Destruction Neurolytic Bilateral 5 $5,596.80 $9,567.36 $6,864.00 nat. median
$1,629
outlier · 4.2×
58552
CPT 		Laparoscopy W Vag Hystere 5 $977.76 $16,093.00 $6,860.91 nat. median
$9,808
0.7× median
58542
CPT 		Laparoscopy Supracervical 5 $977.76 $11,188.10 $6,860.91 nat. median
$9,981
0.7× median
58554
CPT 		Laparoscopy W/vag Hystere 5 $977.76 $16,093.00 $6,860.91 nat. median
$9,727
0.7× median
6943650
OTHER 		Typanostomy W/tubes Bilat 5 $5,284.10 $9,032.82 $6,480.50 nat. median
$2,280
outlier · 2.8×
19307
CPT 		Mastectomy Modified Radi 5 $3,100.00 $10,966.22 $6,415.12 nat. median
$6,808
0.9× median
J0717
HCPCS 		Certolizumab 400mg/2ml Inj (cimzia) 5 $5,152.53 $8,807.91 $6,319.14 nat. median
$1,187
outlier · 5.3×
57285
CPT 		Paravaginal Defect Repair 5 $4,844.11 $10,515.04 $6,151.18 nat. median
$7,357
0.8× median
57282
CPT 		Colpopexy Vaginal 5 $4,844.11 $10,515.04 $6,151.18 nat. median
$7,148
0.9× median
57284
CPT 		Paravaginal Defect Repair 5 $3,111.17 $10,515.04 $6,151.18 nat. median
$5,211
1.2× median
57280
CPT 		Colpopexy Abdominal 5 $823.84 $10,515.04 $6,151.18 nat. median
$3,294
1.9× median
51860
CPT 		Cystorrhaphy 5 $2,884.67 $10,416.28 $6,093.41 nat. median
$7,891
0.8× median
J2997
HCPCS 		Alteplase 100mg/100 Ml Inj (activase) 5 $53.47 $19,507.09 $5,873.78 nat. median
$488
outlier · 12.0×
44186
CPT 		Laparoscopy Jejunostomy 5 $3,400.98 $9,988.65 $5,843.25 nat. median
$6,057
1.0× median
44180
CPT 		Laparoscopy Surgical ENT 5 $3,400.98 $9,988.65 $5,843.25 nat. median
$5,888
1.0× median
58570
CPT 		Laparoscopy W/tah Uterus> 5 $977.76 $7,717.50 $5,843.25 nat. median
$9,614
0.6× median
15273
CPT 		Skin Sub Graft T/arm/leg Child 5 $4,740.85 $8,104.17 $5,814.25 nat. median
$3,152
1.8× median
60260
CPT 		Thyroidectomy Removal Th 5 $3,362.58 $9,857.28 $5,766.40 nat. median
$6,172
0.9× median
44970
CPT 		Laparoscopy Appendectomy 5 $3,400.98 $9,738.59 $5,696.97 nat. median
$5,994
1.0× median
28297
CPT 		Hallux Valgus Correction 5 $385.15 $7,378.00 $5,586.20 nat. median
$7,413
0.8× median
J1162
HCPCS 		Digoxin Immune Fab 40mg Vial (digifab) 5 $4,515.73 $7,719.35 $5,538.16 nat. median
$7,100
0.8× median
64581
CPT 		Inc Implant Of Neurostimu 5 $250.81 $10,801.70 $5,244.37 nat. median
$6,805
0.8× median
64561
CPT 		Implant Neurostimulator E 5 $385.15 $10,801.70 $5,244.37 nat. median
$6,632
0.8× median
63663
CPT 		Revision Neurostimulator Electrode 5 $541.59 $13,988.80 $5,244.37 nat. median
$6,699
0.8× median
63650
CPT 		Percutaneous Implant Ns E 5 $335.84 $13,271.30 $5,244.37 nat. median
$7,255
0.7× median
28291
CPT 		Hallux Valgus Correction 5 $977.76 $7,378.00 $5,219.36 nat. median
$7,179
0.7× median

Other procedures at this hospital

Browse this hospital's 3,232 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
             
63685 CPT Insert/replace Ns Generat 9 5 $89,255.00 $89,255.00 $335.84 $62,478.50 $26,728.39 2026-08-01
64590 CPT Insert/replace Neurostimu 9 5 $49,899.00 $49,899.00 $335.84 $34,929.30 $17,359.37 2026-08-01
27244 CPT Open Trmt Femoral Fx W/fi 9 5 $26,120.00 $26,120.00 $1,080.39 $23,664.72 $13,843.60 2026-08-01
49654 CPT Laparoscopy Incisional H 9 5 $21,578.00 $21,578.00 $5,831.77 $19,549.67 $11,436.34 2026-08-01
49653 CPT Laparoscopy Hernia Repair 9 5 $21,578.00 $21,578.00 $3,400.98 $19,549.67 $11,436.34 2026-08-01
49652 CPT Laparoscopic Hernia Repai 9 5 $21,578.00 $21,578.00 $3,400.98 $19,549.67 $11,436.34 2026-08-01
4965050 OTHER Lap Rpr Ing (bilateral) 9 5 $16,539.00 $16,539.00 $8,765.67 $14,984.33 $10,750.35 2026-08-01
4950750 OTHER Bil Inguinal Hernia Repai 9 5 $15,609.00 $15,609.00 $8,272.77 $14,141.75 $10,145.85 2026-08-01
3102050 OTHER Sinusotomy Bilateral 9 5 $15,325.00 $15,325.00 $8,122.25 $13,884.45 $9,961.25 2026-08-01
28210 CPT Repair Ext Tendon Foot 9 5 $15,223.00 $15,223.00 $8,068.19 $13,792.04 $9,894.95 2026-08-01
*2 LOCAL Mcd Sda Rate 3 3 — — $9,550.14 $9,550.14 $9,550.14 2026-08-01
44206 CPT Laparoscopy Colectomy With 9 5 $17,042.00 $17,042.00 $1,549.38 $15,440.05 $9,032.26 2026-08-01
49655 CPT Laparoscopy Inc Hernia St 9 5 $15,983.00 $15,983.00 $5,831.77 $14,480.60 $8,470.99 2026-08-01
43280 CPT Laparoscopy Esphagogastri 9 5 $15,982.00 $15,982.00 $5,831.77 $14,479.69 $8,470.46 2026-08-01
21385 CPT Open Trmt Fx Orbit Blowou 9 5 $15,431.00 $15,431.00 $3,362.58 $13,980.49 $8,178.43 2026-08-01
3125650 OTHER Nasal Endoscopy W/antrost 9 5 $11,728.00 $11,728.00 $6,215.84 $10,625.57 $7,623.20 2026-08-01
3014050 OTHER Resection Turbinate Bil 9 5 $11,363.00 $11,363.00 $6,022.39 $10,294.88 $7,385.95 2026-08-01
J3101 HCPCS Tenecteplase 50mg Vial 9 5 $13,552.25 $13,552.25 $76.95 $12,278.34 $7,182.69 2026-08-01
72285 CPT Discography Cerv/thor Sup 9 5 $10,992.00 $10,992.00 $5,825.76 $9,958.75 $7,144.80 2026-08-01
28730 CPT Arthrodesis 9 5 $15,223.00 $15,223.00 $474.42 $10,656.10 $7,064.07 2026-08-01
23615 CPT Open Trmt Humeral Fx W/internal Fixation 9 5 $33,403.00 $33,403.00 $474.42 $23,382.10 $7,064.07 2026-08-01
28737 CPT Arthrodesis Midtarsal T 9 5 $15,223.00 $15,223.00 $541.59 $10,656.10 $7,064.07 2026-08-01
27827 CPT Open Trmt Tibia Orif 9 5 $33,000.00 $33,000.00 $385.15 $23,100.00 $7,064.07 2026-08-01
J2760 HCPCS Phentolamine 5mg/2ml Vial (regitine) 9 5 $10,710.00 $10,710.00 $5,676.30 $9,703.26 $6,961.50 2026-08-01
6463550 OTHER Destruction Neurolytic Bilateral 9 5 $10,560.00 $10,560.00 $5,596.80 $9,567.36 $6,864.00 2026-08-01
58552 CPT Laparoscopy W Vag Hystere 9 5 $22,990.00 $22,990.00 $977.76 $16,093.00 $6,860.91 2026-08-01
58542 CPT Laparoscopy Supracervical 9 5 $15,983.00 $15,983.00 $977.76 $11,188.10 $6,860.91 2026-08-01
58554 CPT Laparoscopy W/vag Hystere 9 5 $22,990.00 $22,990.00 $977.76 $16,093.00 $6,860.91 2026-08-01
6943650 OTHER Typanostomy W/tubes Bilat 9 5 $9,970.00 $9,970.00 $5,284.10 $9,032.82 $6,480.50 2026-08-01
19307 CPT Mastectomy Modified Radi 9 5 $12,104.00 $12,104.00 $3,100.00 $10,966.22 $6,415.12 2026-08-01
J0717 HCPCS Certolizumab 400mg/2ml Inj (cimzia) 9 5 $9,721.75 $9,721.75 $5,152.53 $8,807.91 $6,319.14 2026-08-01
57285 CPT Paravaginal Defect Repair 9 5 $11,606.00 $11,606.00 $4,844.11 $10,515.04 $6,151.18 2026-08-01
57280 CPT Colpopexy Abdominal 9 5 $11,606.00 $11,606.00 $823.84 $10,515.04 $6,151.18 2026-08-01
57282 CPT Colpopexy Vaginal 9 5 $11,606.00 $11,606.00 $4,844.11 $10,515.04 $6,151.18 2026-08-01
57284 CPT Paravaginal Defect Repair 9 5 $11,606.00 $11,606.00 $3,111.17 $10,515.04 $6,151.18 2026-08-01
51860 CPT Cystorrhaphy 9 5 $11,497.00 $11,497.00 $2,884.67 $10,416.28 $6,093.41 2026-08-01
J2997 HCPCS Alteplase 100mg/100 Ml Inj (activase) 18 5 $10,951.00 $10,951.00 $53.47 $19,507.09 $5,873.78 2026-08-01
58570 CPT Laparoscopy W/tah Uterus> 9 5 $11,025.00 $11,025.00 $977.76 $7,717.50 $5,843.25 2026-08-01
44186 CPT Laparoscopy Jejunostomy 9 5 $11,025.00 $11,025.00 $3,400.98 $9,988.65 $5,843.25 2026-08-01
44180 CPT Laparoscopy Surgical ENT 9 5 $11,025.00 $11,025.00 $3,400.98 $9,988.65 $5,843.25 2026-08-01
15273 CPT Skin Sub Graft T/arm/leg Child 9 5 $8,945.00 $8,945.00 $4,740.85 $8,104.17 $5,814.25 2026-08-01
60260 CPT Thyroidectomy Removal Th 9 5 $10,880.00 $10,880.00 $3,362.58 $9,857.28 $5,766.40 2026-08-01
44970 CPT Laparoscopy Appendectomy 9 5 $10,749.00 $10,749.00 $3,400.98 $9,738.59 $5,696.97 2026-08-01
28297 CPT Hallux Valgus Correction 9 5 $10,540.00 $10,540.00 $385.15 $7,378.00 $5,586.20 2026-08-01
J1162 HCPCS Digoxin Immune Fab 40mg Vial (digifab) 9 5 $8,520.25 $8,520.25 $4,515.73 $7,719.35 $5,538.16 2026-08-01
63663 CPT Revision Neurostimulator Electrode 9 5 $19,984.00 $19,984.00 $541.59 $13,988.80 $5,244.37 2026-08-01
64581 CPT Inc Implant Of Neurostimu 9 5 $15,431.00 $15,431.00 $250.81 $10,801.70 $5,244.37 2026-08-01
63650 CPT Percutaneous Implant Ns E 9 5 $18,959.00 $18,959.00 $335.84 $13,271.30 $5,244.37 2026-08-01
64561 CPT Implant Neurostimulator E 9 5 $15,431.00 $15,431.00 $385.15 $10,801.70 $5,244.37 2026-08-01
28291 CPT Hallux Valgus Correction 9 5 $10,540.00 $10,540.00 $977.76 $7,378.00 $5,219.36 2026-08-01
20245 CPT Bone Biopsy Excisional Open Deep 9 5 $7,672.00 $7,672.00 $4,066.16 $6,950.83 $4,986.80 2026-08-01
27814 CPT Orif Tib/fib/patella 9 5 $12,332.00 $12,332.00 $385.15 $8,632.40 $4,969.26 2026-08-01
23420 CPT Reconstruction Rotator Cu 9 5 $10,976.00 $10,976.00 $750.75 $7,683.20 $4,969.26 2026-08-01
28103 CPT Exc/curettage Bone Cyst W 9 5 $15,224.00 $15,224.00 $385.15 $10,656.80 $4,969.26 2026-08-01
23412 CPT Repair Musculotendinous C 9 5 $10,976.00 $10,976.00 $750.75 $7,683.20 $4,969.26 2026-08-01
23410 CPT Repair Ruptured Cuff 9 5 $17,232.00 $17,232.00 $541.59 $12,062.40 $4,969.26 2026-08-01
23630 CPT Open Tmt Humeral Fx 9 5 $16,500.00 $16,500.00 $541.59 $11,550.00 $4,969.26 2026-08-01
25607 CPT Fx Care Distal Radius Ope 9 5 $16,246.00 $16,246.00 $541.59 $11,372.20 $4,969.26 2026-08-01
24800 CPT Arthrodesis Elbow Joint 9 5 $12,408.00 $12,408.00 $474.42 $8,685.60 $4,969.26 2026-08-01
25608 CPT Open Trmt Distal Radius Orif 9 5 $17,600.00 $17,600.00 $541.59 $12,320.00 $4,969.26 2026-08-01
2808050 OTHER Exc Neuroma Bilateral 9 5 $7,630.00 $7,630.00 $4,043.90 $6,912.78 $4,959.50 2026-08-01
44950 CPT Appendectomy 9 5 $9,004.00 $9,004.00 $2,220.68 $8,157.62 $4,772.12 2026-08-01
40118 LOCAL Tonsillectomy Age 12 And 9 5 $6,969.00 $6,969.00 $3,693.57 $6,313.91 $4,529.85 2026-08-01
2989350 OTHER Plantar Fasciotomy Bil 9 5 $6,930.00 $6,930.00 $3,672.90 $6,278.58 $4,504.50 2026-08-01
66984RT OTHER Cataract Rem W/insert Iol 9 5 $6,906.00 $6,906.00 $3,660.18 $6,256.84 $4,488.90 2026-08-01
66984LT OTHER Cataract Rem W/insert Iol 9 5 $6,906.00 $6,906.00 $3,660.18 $6,256.84 $4,488.90 2026-08-01
47579 CPT Unlisted Lap Proc Biliar 12 5 $8,798.00 $8,798.00 $250.81 $6,306.30 $4,332.05 2026-08-01
43260 CPT Cholangiopancreatography 9 5 $6,442.00 $6,442.00 $3,414.26 $5,836.45 $4,187.30 2026-08-01
64636 CPT Destruction Neurolytic 6 4 $5,170.00 $5,170.00 $2,740.10 $4,684.02 $4,151.51 2026-08-01
49565 CPT Repair Incisional/ventral 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-08-01
49560 CPT Repair Incision/ventral H 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-08-01
49587 CPT Repair Umbilical Hernia W 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-08-01
49570 CPT Repair Epigastric Hernia 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-08-01
49566 CPT Repair Incisional/ventral 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-08-01
49561 CPT Repair Inc/ventral Hernia 9 5 $7,805.00 $7,805.00 $2,220.68 $7,071.33 $4,136.65 2026-08-01
44213 CPT Laparoscopy W/partial Co 9 5 $7,762.00 $7,762.00 $166.47 $7,032.37 $4,113.86 2026-08-01
46947 CPT Hemorrhoidopexy By Stapli 9 5 $7,587.00 $7,587.00 $1,977.64 $6,873.82 $4,021.11 2026-08-01
58661 CPT Laparoscopy W/remov Tubes 9 5 $11,025.00 $11,025.00 $541.59 $7,717.50 $4,001.15 2026-08-01
49321 CPT Laparoscopy Surgical Abdo 9 5 $8,798.00 $8,798.00 $474.42 $6,158.60 $4,001.15 2026-08-01
58662 CPT Laparoscopy W/fulguration 9 5 $11,025.00 $11,025.00 $541.59 $7,717.50 $4,001.15 2026-08-01
58660 CPT Laparoscopy W/lysis Adhes 9 5 $11,025.00 $11,025.00 $541.59 $7,717.50 $4,001.15 2026-08-01
49329 CPT Laparoscopy Unlisted 9 5 $11,880.00 $11,880.00 $250.81 $8,316.00 $4,001.15 2026-08-01
55559 CPT Laparoscopy Spermatic Co 9 5 $8,800.00 $8,800.00 $250.81 $6,160.00 $4,001.15 2026-08-01
38570 CPT Laparoscopy W/biopsy Lymp 9 5 $12,467.00 $12,467.00 $474.42 $8,726.90 $4,001.15 2026-08-01
49659 CPT Laparoscopy Procedure 9 5 $8,800.00 $8,800.00 $250.81 $6,160.00 $4,001.15 2026-08-01
60225 CPT Total Thyroid Lobectomy 9 5 $12,210.00 $12,210.00 $385.15 $8,547.00 $4,001.15 2026-08-01
49320 CPT Laparoscopy 9 5 $11,880.00 $11,880.00 $385.15 $8,316.00 $4,001.15 2026-08-01
47563 CPT Lap Cholecystectomy W/cho 9 5 $14,884.00 $14,884.00 $696.13 $10,418.80 $4,001.15 2026-08-01
47562 CPT Laparoscopic Cholecystect 9 5 $12,800.00 $12,800.00 $696.13 $8,960.00 $4,001.15 2026-08-01
58670 CPT Laparoscopy W/fulguratio 9 5 $27,918.00 $27,918.00 $474.42 $19,542.60 $4,001.15 2026-08-01
60220 CPT Total Thyroid Lobectomy 9 5 $12,365.00 $12,365.00 $335.84 $8,655.50 $4,001.15 2026-08-01
47379 CPT Laparoscopic Procedure L 9 5 $8,800.00 $8,800.00 $250.81 $6,160.00 $4,001.15 2026-08-01
38740 CPT Axillary Lymphadenectomy 9 5 $12,365.00 $12,365.00 $335.84 $8,655.50 $4,001.15 2026-08-01
58541 CPT Laparoscopy Supracervical 9 5 $15,982.00 $15,982.00 $977.76 $11,187.40 $4,001.15 2026-08-01
60280 CPT Exc Thyroglossal Duct Cys 9 5 $12,365.00 $12,365.00 $474.42 $8,655.50 $4,001.15 2026-08-01
49650 CPT Laparoscopy Repair Ing H 9 5 $11,025.00 $11,025.00 $474.42 $7,717.50 $4,001.15 2026-08-01
47564 CPT Laparoscopic Cholecystect 9 5 $11,025.00 $11,025.00 $696.13 $7,717.50 $4,001.15 2026-08-01
49651 CPT Lap Repair Rec Inguinal 9 5 $11,025.00 $11,025.00 $750.75 $7,717.50 $4,001.15 2026-08-01
49322 CPT Laparoscopy W/aspiration 9 5 $8,798.00 $8,798.00 $474.42 $6,158.60 $4,001.15 2026-08-01
42450 CPT Exc Sublingual Gland 9 5 $10,880.00 $10,880.00 $335.84 $7,616.00 $3,955.98 2026-08-01
42440 CPT Exc Submandibular/maxilla 9 5 $10,890.00 $10,890.00 $385.15 $7,623.00 $3,955.98 2026-08-01
69660 CPT Stapedectomy/stapedotomy 9 5 $10,890.00 $10,890.00 $541.59 $7,623.00 $3,955.98 2026-08-01
31030 CPT Sinusotomy Maxillary Ra 9 5 $10,890.00 $10,890.00 $385.15 $7,623.00 $3,955.98 2026-08-01
42830 CPT Adenoidectomy Under Age 9 5 $14,689.00 $14,689.00 $335.84 $10,282.30 $3,955.98 2026-08-01
31032 CPT Sinusotomy Maxillary Ra 9 5 $10,890.00 $10,890.00 $474.42 $7,623.00 $3,955.98 2026-08-01
69631 CPT Tympanoplasty Without Mastoid 9 5 $10,890.00 $10,890.00 $541.59 $7,623.00 $3,955.98 2026-08-01
69635 CPT Tympanoplasty W/antrotomy 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-08-01
30580 CPT Rpr Fistula Oromaxillary 9 5 $10,880.00 $10,880.00 $474.42 $7,616.00 $3,955.98 2026-08-01
69637 CPT Tympanoplasty W/ossicular 9 5 $15,431.00 $15,431.00 $750.75 $10,801.70 $3,955.98 2026-08-01
31200 CPT Ethmoidectomy Intranasal 9 5 $10,890.00 $10,890.00 $335.84 $7,623.00 $3,955.98 2026-08-01
42825 CPT Tonsillectomy Under Age 1 9 5 $12,302.00 $12,302.00 $335.84 $8,611.40 $3,955.98 2026-08-01
69505 CPT Mastoidectomy Modified Ra 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-08-01
69450 CPT Tympanolysisl Transcanal 9 5 $10,890.00 $10,890.00 $250.81 $7,623.00 $3,955.98 2026-08-01
69662 CPT Revision Stapedectomy 9 5 $15,431.00 $15,431.00 $541.59 $10,801.70 $3,955.98 2026-08-01
69603 CPT Revision Mastoidectomy 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-08-01
69641 CPT Tympanoplasty W/mastoidec 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-08-01
69645 CPT Tympanoplasty W/mastoidec 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-08-01
69501 CPT Transmastoid Antrotomy 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-08-01
69650 CPT Stapes Mobilization 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-08-01
69310 CPT Reconstruction Ext Audito 9 5 $10,890.00 $10,890.00 $385.15 $7,623.00 $3,955.98 2026-08-01
69604 CPT Revision Mastoidectomy 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-08-01
69440 CPT Middle Ear Exploration With 9 5 $10,890.00 $10,890.00 $385.15 $7,623.00 $3,955.98 2026-08-01
69511 CPT Mastoidectomy Radical 9 5 $10,890.00 $10,890.00 $750.75 $7,623.00 $3,955.98 2026-08-01
20240 CPT Biopsy Bone Open Superfi 18 5 $6,496.00 $6,496.00 $335.84 $6,950.83 $3,895.08 2026-08-01
35860 CPT Exploration Postop Hemorr 9 5 $7,293.00 $7,293.00 $1,910.23 $6,607.46 $3,865.29 2026-08-01
35206 CPT Ligation Of Vein Upper L 9 5 $7,293.00 $7,293.00 $1,910.23 $6,607.46 $3,865.29 2026-08-01
38747 CPT Abdominal Lymphadenectomy 9 5 $7,277.00 $7,277.00 $236.16 $6,592.96 $3,856.81 2026-08-01
J0630 HCPCS Calcitonin 400unit/2ml Inj (miacalcin) 9 5 $5,754.50 $5,754.50 $3,049.89 $5,213.58 $3,740.43 2026-08-01
57240 CPT Anterior Colporrhaphy 9 5 $12,540.00 $12,540.00 $541.59 $8,778.00 $3,660.20 2026-08-01
57250 CPT Posterior Colporrhaphy 9 5 $11,606.00 $11,606.00 $541.59 $8,124.20 $3,660.20 2026-08-01
57260 CPT Anteroposterior Colporrha 9 5 $11,606.00 $11,606.00 $541.59 $8,124.20 $3,660.20 2026-08-01
58563 CPT Hysteroscopy W/endometria 9 5 $11,606.00 $11,606.00 $474.42 $8,124.20 $3,660.20 2026-08-01
58260 CPT Vaginal Hysterectomy 9 5 $11,606.00 $11,606.00 $977.76 $8,124.20 $3,660.20 2026-08-01
58262 CPT Vaginal Hysterectomy 9 5 $12,573.00 $12,573.00 $977.76 $8,801.10 $3,660.20 2026-08-01
57288 CPT Sling Operation/stress In 9 5 $11,606.00 $11,606.00 $977.76 $8,124.20 $3,660.20 2026-08-01
19370 CPT Open Periprosthetic Capsu 9 5 $8,789.00 $8,789.00 $474.42 $6,152.30 $3,647.06 2026-08-01
19303 CPT Mastectomy Simple 9 5 $8,789.00 $8,789.00 $474.42 $6,152.30 $3,647.06 2026-08-01
19302 CPT Mastectomy Partial W/lym 9 5 $12,104.00 $12,104.00 $750.75 $8,472.80 $3,647.06 2026-08-01
6448350 OTHER Injection Agent(bilateral) 9 5 $5,280.00 $5,280.00 $2,798.40 $4,783.68 $3,432.00 2026-08-01
52648 CPT Laser Vaporization Prosta 9 5 $11,495.00 $11,495.00 $474.42 $8,046.50 $3,393.73 2026-08-01
15110 CPT 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 2026-08-01
15277 CPT 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 2026-08-01
15115 CPT 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 2026-08-01
66982RT OTHER Cataract Ext Insert Iol 9 5 $5,113.00 $5,113.00 $2,709.89 $4,632.38 $3,323.45 2026-08-01
66982LT OTHER Cataract Ext Insertion I 9 5 $5,113.00 $5,113.00 $2,709.89 $4,632.38 $3,323.45 2026-08-01
28292 CPT Hallux Valgus Correction 12 5 $7,810.00 $7,810.00 $335.84 $7,378.00 $3,267.45 2026-08-01
44140 CPT Colectomy Partial W/anas 9 5 $6,157.00 $6,157.00 $1,184.48 $5,578.24 $3,263.21 2026-08-01
29826 CPT Shoulder Arthroscopy 6 4 $4,048.00 $4,048.00 $2,145.44 $3,667.49 $3,250.55 2026-08-01
6463650 OTHER Destruction Nerve Additio 18 5 $5,708.00 $5,708.00 $583.00 $9,346.30 $3,232.04 2026-08-01
15100 CPT Skin Split Grft Trnk/arm/leg 18 5 $5,944.00 $5,944.00 $335.84 $4,698.40 $3,105.60 2026-08-01
57267 CPT Insert Mesh Pelvic Floor 6 4 $3,857.00 $3,857.00 $2,044.21 $3,494.44 $3,097.17 2026-08-01
31255 CPT Endoscopy W/ethmoidectomy 9 5 $8,956.00 $8,956.00 $541.59 $6,269.20 $3,066.48 2026-08-01
31254 CPT Sinus Endoscopy W/ethmoid 9 5 $7,917.00 $7,917.00 $385.15 $5,541.90 $3,066.48 2026-08-01
31267 CPT Nasal Endoscopy 9 5 $5,864.00 $5,864.00 $385.15 $4,104.80 $3,066.48 2026-08-01
31276 CPT Sinus Endoscopy With Expl 9 5 $8,956.00 $8,956.00 $385.15 $6,269.20 $3,066.48 2026-08-01
31287 CPT Nasal/sinus Endoscopy W/s 9 5 $8,956.00 $8,956.00 $385.15 $6,269.20 $3,066.48 2026-08-01
48154 CPT Pancreatectomy W/duodenec 9 5 $4,457.00 $4,457.00 $2,362.21 $4,038.04 $3,018.66 2026-08-01
31600 CPT Tracheostomy Planned 9 5 $5,676.00 $5,676.00 $1,374.37 $5,142.46 $3,008.28 2026-08-01
44202 CPT Laparoscopy Enterectomy 9 5 $5,660.00 $5,660.00 $1,225.26 $5,127.96 $2,999.80 2026-08-01
44204 CPT Laparoscopy Colectomy Pa 9 5 $5,660.00 $5,660.00 $1,358.86 $5,127.96 $2,999.80 2026-08-01
43830 CPT Gastrostomy Open Without Tub 9 5 $5,584.00 $5,584.00 $1,683.37 $5,059.10 $2,959.52 2026-08-01
47554 CPT Biliary Endoscopy W/stone 9 5 $5,349.00 $5,349.00 $385.15 $4,118.23 $2,834.97 2026-08-01
15002 CPT Preparation Site First 1 18 5 $4,712.50 $4,712.50 $335.84 $4,689.46 $2,743.28 2026-08-01
15275 CPT Skin Graft Application 18 5 $4,640.50 $4,640.50 $474.42 $4,689.46 $2,743.28 2026-08-01
15271 CPT Application Skin Graft 18 5 $4,640.50 $4,640.50 $474.42 $4,689.46 $2,743.28 2026-08-01
6449550 OTHER Inj Paravertebral Bil 9 5 $4,180.00 $4,180.00 $2,215.40 $3,787.08 $2,717.00 2026-08-01
2560550 OTHER Trmt Radial Fx W/man Bil 9 5 $4,180.00 $4,180.00 $2,215.40 $3,787.08 $2,717.00 2026-08-01
28805 CPT Amputation Through Foot 9 5 $4,950.00 $4,950.00 $2,036.25 $4,484.70 $2,623.50 2026-08-01
49505 CPT Repair Ing Hernia Age 5+ 9 5 $7,805.00 $7,805.00 $474.42 $5,463.50 $2,612.57 2026-08-01
49521 CPT Repair Recurrent Ing Hern 9 5 $8,824.00 $8,824.00 $541.59 $6,176.80 $2,612.57 2026-08-01
55040 CPT Exc Of Hydrocele Unilate 9 5 $7,805.00 $7,805.00 $385.15 $5,463.50 $2,612.57 2026-08-01
49520 CPT Repair Recurrent Inguinal 9 5 $7,805.00 $7,805.00 $750.75 $5,463.50 $2,612.57 2026-08-01
49585 CPT Umbilical Hernia Repair 9 5 $2,999.00 $2,999.00 $1,589.47 $2,717.09 $2,612.57 2026-08-01
44799 CPT Unlisted Proc Intestine 9 5 $6,666.00 $6,666.00 $250.81 $4,666.20 $2,612.57 2026-08-01
51500 CPT Exc Urachal Cyst 9 5 $11,914.00 $11,914.00 $474.42 $8,339.80 $2,612.57 2026-08-01
49553 CPT Femoral Herniorrhaphy Un 9 5 $7,805.00 $7,805.00 $474.42 $5,463.50 $2,612.57 2026-08-01
49525 CPT Repair Sliding Inguinal H 9 5 $7,805.00 $7,805.00 $474.42 $5,463.50 $2,612.57 2026-08-01
6449350 OTHER Inj Paravertebral Bil 9 5 $3,920.00 $3,920.00 $2,077.60 $3,551.52 $2,548.00 2026-08-01
36262 CPT Removal Of Implanted Pump 9 5 $6,844.00 $6,844.00 $250.81 $4,790.80 $2,489.69 2026-08-01
44141 CPT Colectomy Partial With C 9 5 $4,561.00 $4,561.00 $1,612.68 $4,132.27 $2,417.33 2026-08-01
44143 CPT Colectomy Partial 9 5 $4,561.00 $4,561.00 $1,470.55 $4,132.27 $2,417.33 2026-08-01
44144 CPT Colectomy Partial W/rese 9 5 $4,561.00 $4,561.00 $1,564.60 $4,132.27 $2,417.33 2026-08-01
29870 CPT Arthroscopy Diagnostic Kn 9 5 $6,277.00 $6,277.00 $385.15 $4,393.90 $2,395.59 2026-08-01
29871 CPT Arthroscopy Knee 9 5 $8,047.00 $8,047.00 $385.15 $5,632.90 $2,395.59 2026-08-01
29881 CPT Knee Arthroscopy 9 5 $5,512.00 $5,512.00 $474.42 $3,858.40 $2,395.59 2026-08-01
29873 CPT Knee Arthroscopy W/latera 9 5 $6,576.00 $6,576.00 $474.42 $4,603.20 $2,395.59 2026-08-01
23660 CPT Open Trmt Shoulder Dislocation 9 5 $18,480.00 $18,480.00 $385.15 $12,936.00 $2,395.59 2026-08-01
29823 CPT Arthroscopy Shoulder Debr 9 5 $8,047.00 $8,047.00 $385.15 $5,632.90 $2,395.59 2026-08-01
29874 CPT Arthroscopy Knee F.b. Rem 9 5 $6,277.00 $6,277.00 $385.15 $4,393.90 $2,395.59 2026-08-01
23130 CPT Acromioplasty Partial 9 5 $8,047.00 $8,047.00 $541.59 $5,632.90 $2,395.59 2026-08-01
23120 CPT Claviculectomy Partial 9 5 $7,590.00 $7,590.00 $541.59 $5,313.00 $2,395.59 2026-08-01
28238 CPT Kidner Procedure 9 5 $15,224.00 $15,224.00 $385.15 $10,656.80 $2,395.59 2026-08-01
29805 CPT Shoulder Arthroscopy Dx 9 5 $8,047.00 $8,047.00 $385.15 $5,632.90 $2,395.59 2026-08-01
21336 CPT Open Treatment Nasal Sept 9 5 $5,957.00 $5,957.00 $385.15 $4,169.90 $2,395.59 2026-08-01
29875 CPT Arthroscopy Limited Syno 9 5 $6,277.00 $6,277.00 $474.42 $4,393.90 $2,395.59 2026-08-01
20650 CPT Removal Of Hardware 9 5 $7,590.00 $7,590.00 $385.15 $5,313.00 $2,395.59 2026-08-01
29822 CPT Arthroscopy Shoulder 9 5 $8,047.00 $8,047.00 $385.15 $5,632.90 $2,395.59 2026-08-01
29880 CPT Knee Arthroscopy W/menisc 9 5 $8,469.00 $8,469.00 $474.42 $5,928.30 $2,395.59 2026-08-01
28289 CPT Hallux Rigidus Correction 9 5 $6,866.00 $6,866.00 $335.84 $4,806.20 $2,395.59 2026-08-01
28120 CPT Partial Exc Bone Talus O 9 5 $5,086.00 $5,086.00 $750.75 $3,560.20 $2,395.59 2026-08-01
28118 CPT Ostectomy Calcaneus 9 5 $5,086.00 $5,086.00 $474.42 $3,560.20 $2,395.59 2026-08-01
29879 CPT Knee Arthroscopy Arthrop 9 5 $6,277.00 $6,277.00 $385.15 $4,393.90 $2,395.59 2026-08-01
29877 CPT Arthroscopy W/debridement 9 5 $6,277.00 $6,277.00 $474.42 $4,393.90 $2,395.59 2026-08-01
27695 CPT Repair Disrupted Ligament 9 5 $7,590.00 $7,590.00 $335.84 $5,313.00 $2,395.59 2026-08-01
27340 CPT Exc Prepatellar Bursa 9 5 $4,844.00 $4,844.00 $385.15 $3,390.80 $2,395.59 2026-08-01
28525 CPT Open Trmt W/int Fix Fx Ph 9 5 $5,968.00 $5,968.00 $385.15 $4,177.60 $2,395.59 2026-08-01
28119 CPT Ostectomy Calcaneus For 9 5 $5,086.00 $5,086.00 $474.42 $3,560.20 $2,395.59 2026-08-01
28505 CPT Fx Care Great Toe Open With 9 5 $5,957.00 $5,957.00 $385.15 $4,169.90 $2,395.59 2026-08-01
29876 CPT Knee Arthroscopy/synovect 9 5 $5,512.00 $5,512.00 $474.42 $3,858.40 $2,395.59 2026-08-01
28308 CPT Osteotomy W/wo Lengtheni 9 5 $5,086.00 $5,086.00 $335.84 $3,560.20 $2,395.59 2026-08-01
26860 CPT Arthrodesis Interphalang 9 5 $6,445.00 $6,445.00 $385.15 $4,511.50 $2,395.59 2026-08-01
26735 CPT Open Trmt Finger Fx 9 5 $8,179.00 $8,179.00 $474.42 $5,725.30 $2,395.59 2026-08-01
28310 CPT Osteotomy Proximal Phala 9 5 $5,086.00 $5,086.00 $385.15 $3,560.20 $2,395.59 2026-08-01
26535 CPT Arthroplasty Interphalang 9 5 $9,814.00 $9,814.00 $541.59 $6,869.80 $2,395.59 2026-08-01
26426 CPT Rpr Extensor Tendon Finger 9 5 $8,729.00 $8,729.00 $385.15 $6,110.30 $2,395.59 2026-08-01
25606 CPT Fx Fixation Distal Radius 9 5 $5,957.00 $5,957.00 $385.15 $4,169.90 $2,395.59 2026-08-01
26123 CPT Fasciectomy Part Palmar 9 5 $6,446.00 $6,446.00 $474.42 $4,512.20 $2,395.59 2026-08-01
28296 CPT Hallux Valgus Correct (au 9 5 $10,540.00 $10,540.00 $385.15 $7,378.00 $2,395.59 2026-08-01
28298 CPT Hallux Valgus Correct (ak 9 5 $7,808.00 $7,808.00 $385.15 $5,465.60 $2,395.59 2026-08-01
28299 CPT Hallux Valgus By Dbl Oste 9 5 $7,808.00 $7,808.00 $541.59 $5,465.60 $2,395.59 2026-08-01
27650 CPT Repair Ruptured Tendon 9 5 $10,989.00 $10,989.00 $385.15 $7,692.30 $2,395.59 2026-08-01
25447 CPT Arthroplasty Ic Or Carpometacarpal Joint 9 5 $8,800.00 $8,800.00 $541.59 $6,160.00 $2,395.59 2026-08-01
28005 CPT Incision Bone Cortex Fo 9 5 $6,866.00 $6,866.00 $385.15 $4,806.20 $2,395.59 2026-08-01
15274 CPT 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 2026-08-01
44150 CPT Colectomy Total W/ileosto 9 5 $4,457.00 $4,457.00 $1,651.33 $4,038.04 $2,362.21 2026-08-01
19126 CPT Exc Breast Lesion Identif 6 4 $2,911.00 $2,911.00 $1,542.83 $2,637.37 $2,337.53 2026-08-01
54150 CPT Circumcision 12 5 $5,940.00 $5,940.00 $250.81 $4,183.20 $2,327.31 2026-08-01
46260 CPT Hemorrhoidectomy/int/ext 9 5 $7,646.00 $7,646.00 $385.15 $5,352.20 $2,326.64 2026-08-01
45171 CPT Exc Rectal Tumor Transan 9 5 $5,663.00 $5,663.00 $474.42 $3,964.10 $2,326.64 2026-08-01
11044 CPT Debride Bone 20 Sq Cm 18 5 $3,794.50 $3,794.50 $335.84 $4,029.89 $2,278.07 2026-08-01
36571 CPT Insertion Central Venous 9 5 $7,376.00 $7,376.00 $385.15 $5,163.20 $2,247.33 2026-08-01
37718 CPT Ligation/division Veins 9 5 $6,333.00 $6,333.00 $385.15 $4,433.10 $2,247.33 2026-08-01
36581 CPT Replacement Venous Cath 9 5 $6,523.00 $6,523.00 $335.84 $4,566.10 $2,247.33 2026-08-01
36821 CPT Arteriovenous Anastomosis 9 5 $9,395.00 $9,395.00 $385.15 $6,576.50 $2,247.33 2026-08-01
49422 CPT Removal Tunneled Catheter 9 5 $4,598.00 $4,598.00 $250.81 $3,218.60 $2,247.33 2026-08-01
55500 CPT Exc Hydrocele Spermatic C 9 5 $6,521.00 $6,521.00 $385.15 $4,564.70 $2,243.49 2026-08-01
55520 CPT Exc Lesion Of Spermatic C 9 5 $5,287.00 $5,287.00 $474.42 $3,700.90 $2,243.49 2026-08-01
54830 CPT Exc Lesion Of Epididymis 9 5 $5,287.00 $5,287.00 $385.15 $3,700.90 $2,243.49 2026-08-01
54840 CPT Exc Spermatocele W/wo Epi 9 5 $5,979.00 $5,979.00 $474.42 $4,185.30 $2,243.49 2026-08-01
54512 CPT Exc Parenchymal Lesion Te 9 5 $5,287.00 $5,287.00 $335.84 $3,700.90 $2,243.49 2026-08-01
54520 CPT Orchiectomy Simiple 9 5 $6,520.00 $6,520.00 $385.15 $4,564.00 $2,243.49 2026-08-01
54415 CPT Removal Penis Prosthesis 9 5 $11,326.00 $11,326.00 $977.76 $7,928.20 $2,243.49 2026-08-01
52332 CPT Cystourethroscopy W/insertion Of Stent 9 5 $7,810.00 $7,810.00 $335.84 $5,467.00 $2,243.49 2026-08-01
52317 CPT Litholapaxy 9 5 $8,393.00 $8,393.00 $250.81 $5,875.10 $2,243.49 2026-08-01
49568 CPT Implant Mesh For Hernia 6 4 $2,764.00 $2,764.00 $1,464.92 $2,504.18 $2,219.49 2026-08-01
63688 CPT Revision Of Implanted Neurostimulator 9 5 $9,503.00 $9,503.00 $250.81 $6,652.10 $2,188.64 2026-08-01
38525 CPT Biopsy/exc Of Lymph Nodes 9 5 $6,840.00 $6,840.00 $335.84 $4,788.00 $2,187.94 2026-08-01
38510 CPT Biopsy Lymph Nodes Cervic 9 5 $7,733.00 $7,733.00 $335.84 $5,413.10 $2,187.94 2026-08-01
19330 CPT Removal Implant Material 9 5 $8,789.00 $8,789.00 $250.81 $6,152.30 $2,187.94 2026-08-01
19328 CPT Removal Intact Mammary IM 9 5 $8,789.00 $8,789.00 $250.81 $6,152.30 $2,187.94 2026-08-01
19301 CPT Mastectomy Partial 9 5 $7,148.00 $7,148.00 $385.15 $5,003.60 $2,187.94 2026-08-01
19125 CPT Exc Breast Lesion Single 9 5 $6,323.00 $6,323.00 $385.15 $4,426.10 $2,187.94 2026-08-01
19120 CPT Exc Breast Lesion Male/fe 9 5 $8,536.00 $8,536.00 $385.15 $5,975.20 $2,187.94 2026-08-01
19101 CPT Biopsy Of Breast Incisio 9 5 $6,323.00 $6,323.00 $335.84 $4,426.10 $2,187.94 2026-08-01
C891450 OTHER MRA Low Extremity W/wo Bi 9 5 $3,366.00 $3,366.00 $1,783.98 $3,049.60 $2,187.90 2026-08-01
7372350 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 2026-08-01
7322550 OTHER MRA Up Extrem Wo/w-bil 9 5 $3,366.00 $3,366.00 $1,783.98 $3,049.60 $2,187.90 2026-08-01
47999 CPT Unlisted Procedure Biliar 9 5 $5,349.00 $5,349.00 $250.81 $3,744.30 $2,177.11 2026-08-01
29819 CPT Shoulder Arthroscopy W/re 9 5 $4,048.00 $4,048.00 $385.15 $2,833.60 $2,145.44 2026-08-01
13160 CPT Secondary Closure Of Woun 9 5 $4,105.00 $4,105.00 $335.84 $2,873.50 $2,137.49 2026-08-01
15572 CPT Formation Of Direct Pedic 9 5 $4,105.00 $4,105.00 $335.84 $2,873.50 $2,137.49 2026-08-01
15120 CPT Split-thickness Autograft 9 5 $6,712.00 $6,712.00 $335.84 $4,698.40 $2,137.49 2026-08-01
95811 CPT Sleep Study (cpap) 9 5 $3,990.00 $3,990.00 $1,256.22 $3,614.94 $2,114.70 2026-08-01
43632 CPT Partial Gastrectomy W/ana 9 5 $2,266.00 $2,266.00 $1,200.98 $2,112.81 $2,053.00 2026-08-01
95810 CPT Sleep Study 9 5 $3,805.00 $3,805.00 $1,192.27 $3,447.33 $2,016.65 2026-08-01
J7327 HCPCS Nf-hyaluronate Sod (monovisc) 88mg/4ml S 9 5 $3,780.00 $3,780.00 $887.40 $3,424.68 $2,003.40 2026-08-01
31536 CPT Laryngoscopy Direct W/b 9 5 $5,864.00 $5,864.00 $385.15 $4,104.80 $1,991.92 2026-08-01
31540 CPT Laryngoscopy Direct Exc T 9 5 $5,864.00 $5,864.00 $385.15 $4,104.80 $1,991.92 2026-08-01
31535 CPT Laryngoscopy Direct W/bi 9 5 $5,864.00 $5,864.00 $335.84 $4,104.80 $1,991.92 2026-08-01
31256 CPT Nasal Endoscopy W/antrost 9 5 $5,864.00 $5,864.00 $385.15 $4,104.80 $1,991.92 2026-08-01
31541 CPT Laryngoscopy Direct 9 5 $7,917.00 $7,917.00 $474.42 $5,541.90 $1,991.92 2026-08-01
43870 CPT Closure Of Gastrostomy 9 5 $8,283.00 $8,283.00 $250.81 $5,798.10 $1,980.43 2026-08-01
G0390 HCPCS Trauma Response Level 9 5 $3,000.00 $3,000.00 $1,590.00 $2,718.00 $1,950.00 2026-08-01
36558 CPT Insertion Implant Venous 12 5 $6,523.00 $6,523.00 $385.15 $4,566.10 $1,925.66 2026-08-01
7372250 OTHER MRI Low Ext Joint W Bilat 9 5 $2,928.00 $2,928.00 $1,551.84 $2,652.77 $1,903.20 2026-08-01
11752 CPT Exc Nail/nail Matrix 18 5 $3,173.00 $3,173.00 $543.78 $4,819.92 $1,874.58 2026-08-01
57135 CPT Excision Vaginal Cyst/tum 9 5 $5,386.00 $5,386.00 $335.84 $3,770.20 $1,861.18 2026-08-01
56740 CPT Excision Bartholin's Glan 9 5 $5,386.00 $5,386.00 $385.15 $3,770.20 $1,861.18 2026-08-01
56440 CPT Marsupialization Bartholi 9 5 $5,386.00 $5,386.00 $335.84 $3,770.20 $1,861.18 2026-08-01
56620 CPT Vulvectomy Simple Partia 9 5 $5,386.00 $5,386.00 $541.59 $3,770.20 $1,861.18 2026-08-01
56625 CPT Vulvectomy Simple Comple 9 5 $5,386.00 $5,386.00 $750.75 $3,770.20 $1,861.18 2026-08-01
58558 CPT Hysteroscopy W Sampling Endometrium 9 5 $7,480.00 $7,480.00 $385.15 $5,236.00 $1,861.18 2026-08-01
57410 CPT Pelvic Exam Under Anesthe 9 5 $5,386.00 $5,386.00 $335.84 $3,770.20 $1,861.18 2026-08-01
58120 CPT Dilation & Curettage 9 5 $5,386.00 $5,386.00 $335.84 $3,770.20 $1,861.18 2026-08-01
57522 CPT Conization Cervix 9 5 $6,882.00 $6,882.00 $335.84 $4,817.40 $1,861.18 2026-08-01
58555 CPT Hysteroscopy Diagnostic 9 5 $6,881.00 $6,881.00 $250.81 $4,816.70 $1,861.18 2026-08-01
49507 CPT Repair Ing Hernia Over Ag 9 5 $3,485.00 $3,485.00 $474.42 $2,612.57 $1,847.05 2026-08-01
59409 CPT Pf-vaginal Delivery Only 18 5 $4,403.00 $4,403.00 $618.94 $5,516.63 $1,813.62 2026-08-01
78806 CPT Nm Indium 111 White Bld Cell 9 5 $3,389.00 $3,389.00 $716.87 $3,070.43 $1,796.17 2026-08-01
21337 CPT Closed Trmt Nasal Septal 12 5 $3,693.00 $3,693.00 $335.84 $5,362.50 $1,787.10 2026-08-01
44955 CPT Appendectomy Not As A Sep 6 4 $2,213.00 $2,213.00 $1,172.89 $2,004.98 $1,777.04 2026-08-01
46606 CPT Anoscopy For Biopsy 9 5 $2,729.00 $2,729.00 $1,446.37 $2,472.47 $1,773.85 2026-08-01
66984 CPT Extracapsular Cat Rem/iol 9 5 $5,115.00 $5,115.00 $806.60 $3,580.50 $1,745.70 2026-08-01
67005 CPT Removal Of Vitreous Ante 9 5 $5,113.00 $5,113.00 $474.42 $3,579.10 $1,745.70 2026-08-01
66985 CPT Insertion Intraocular Len 9 5 $5,115.00 $5,115.00 $696.13 $3,580.50 $1,745.70 2026-08-01
65920 CPT Removal Implanted Materia 9 5 $5,115.00 $5,115.00 $750.75 $3,580.50 $1,745.70 2026-08-01
66170 CPT Fistulization Of Sclera 9 5 $5,115.00 $5,115.00 $474.42 $3,580.50 $1,745.70 2026-08-01
65875 CPT Severing Adhesions Of Eye 9 5 $5,115.00 $5,115.00 $474.42 $3,580.50 $1,745.70 2026-08-01
65870 CPT Severing Adhesions Of Eye 9 5 $5,115.00 $5,115.00 $474.42 $3,580.50 $1,745.70 2026-08-01
66840 CPT Removal Of Lens Material 9 5 $5,778.00 $5,778.00 $474.42 $4,044.60 $1,745.70 2026-08-01
See an error in this hospital's data? Submit a correction