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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

MARTIN COUNTY HOSPITAL DISTRICT

Stanton, TX · CCN 451333 · Rates published

1,776 distinct procedures filed
7 distinct payers
39,937 rate rows
2026-09-20 last MRF observed
Data quality

39,887 of 39,937 rate rows are consumer-grade (99.9%)

50 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 42
template filing: same amount across many unrelated codes — excluded 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/shared/static/fzzbomwsviuu1zfrqn1n2hza6fc5p7ul.csv
Found on page https://www.martincountyhospital.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint 81417db2d5f1db47… · 2,951,015 bytes · first seen 2026-09-21

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
29107243
LOCAL 		Perform Stem Rsa-perf Rev Lat/ 7 $30,739.50 $67,626.90 $44,264.88 nat. median
$44,265
1.0× median
27084198
LOCAL 		Aloderm 7 $12,053.25 $19,285.20 $15,669.23 nat. median
$15,669
1.0× median
29149909
LOCAL 		Pfx14130 Shoulder 7 $10,125.00 $22,275.00 $14,580.00 nat. median
$14,580
1.0× median
29184749
LOCAL 		Tornier Perferm Humeral System Humeral Stem, Plus, Short Sz2+ 7 $9,000.00 $19,800.00 $12,960.00 nat. median
$12,960
1.0× median
28983487
LOCAL 		Tightrope Xp Buttress Plate Implant Sys 7 $8,988.75 $19,775.25 $12,943.80 nat. median
$12,944
1.0× median
29148209
LOCAL 		Graft Jacket Now Thick 4x8cm 7 $9,418.68 $15,069.89 $12,244.28 nat. median
$12,244
1.0× median
27092218
LOCAL 		Bone Filler 7 $8,752.50 $14,004.00 $11,378.25 nat. median
$11,378
1.0× median
J2997
HCPCS 		Alteplase 100 Mg Pow 7 $7,920.33 $12,672.52 $10,296.42 nat. median
$428
outlier · 24.1×
18752645
LOCAL 		Room/bed: Level 5 7 $7,500.00 $12,000.00 $9,750.00 nat. median
$9,750
1.0× median
29059917
LOCAL 		Speedbrg Imp Sys W/bio-comp Swvlk 7 $6,525.00 $14,355.00 $9,396.00 nat. median
$9,396
1.0× median
27702279
LOCAL 		Matrixmidface Preformed Orbital Plate Lg/rt 7 $5,989.50 $13,176.90 $8,624.88 nat. median
$8,625
1.0× median
29182419
LOCAL 		Bioinductive Implant W/arth Del M 7 $5,400.00 $11,880.00 $7,776.00 nat. median
$7,776
1.0× median
29057895
LOCAL 		Bioinductive Implant W/arth Del Lrg 7 $5,400.00 $11,880.00 $7,776.00 nat. median
$7,776
1.0× median
J0840
HCPCS 		Crofab [mchd] 7 $5,756.40 $9,210.24 $7,483.32 nat. median
$3,496
outlier · 2.1×
4753243
LOCAL 		Room/bed: Level 4 7 $5,750.00 $9,200.00 $7,475.00 nat. median
$7,475
1.0× median
J3101
HCPCS 		Tenecteplase 50 Mg Pow 7 $5,596.98 $8,955.16 $7,276.07 nat. median
$498
outlier · 14.6×
28983481
LOCAL 		Insignia Hip Stem High Offset Sz 6 7 $4,950.00 $10,890.00 $7,128.00 nat. median
$7,128
1.0× median
29007179
LOCAL 		Insignia Hip Stem High Offset Sz 4 7 $4,950.00 $10,890.00 $7,128.00 nat. median
$7,128
1.0× median
28980109
LOCAL 		High Insigna Collared Hip Stem 7 $4,950.00 $10,890.00 $7,128.00 nat. median
$7,128
1.0× median
29016165
LOCAL 		Tibial Nail ?9x300m 7 $4,702.50 $10,345.50 $6,771.60 nat. median
$6,772
1.0× median
27702277
LOCAL 		Matrix Midface Orbital Floor Plate Smal/0.3,, Thk 7 $4,644.00 $10,216.80 $6,687.36 nat. median
$6,687
1.0× median
27584353
LOCAL 		First Mtp Fusion 2.4/2.7 7 $4,837.50 $7,740.00 $6,288.75 nat. median
$6,289
1.0× median
C1776
HCPCS 		Baseplate 28mm X 10.05mm 7 $337.50 $39,377.25 $6,142.50 nat. median
$3,543
1.7× median
29166036
LOCAL 		V-kit Ethicon Vistaseal 7 $3,975.96 $8,747.10 $5,725.38 nat. median
$5,725
1.0× median
C1779
HCPCS 		Trathlon P/a Cr Beaded #3l 7 $3,937.50 $8,662.50 $5,670.00 nat. median
$1,224
outlier · 4.6×
29016175
LOCAL 		Osteoset Resorbable Bead Kit Fast Cure 25cc 7 $3,393.50 $7,465.69 $4,886.63 nat. median
$4,887
1.0× median
29184750
LOCAL 		Tornier Perform Humeral System Ve Reversed Insert Sz1/2 7 $3,375.00 $7,425.00 $4,860.00 nat. median
$4,860
1.0× median
29168066
LOCAL 		Superior Plate Decreased - 8 Hole/right 7 $3,285.00 $7,227.00 $4,730.40 nat. median
$4,730
1.0× median
33210
CPT 		33210 Insj/rplcmt Temp Transvns 1chmbr Eltrd/pm Cath Techfee 7 $250.00 $12,662.90 $4,483.27 nat. median
$8,372
0.5× median
19300
CPT 		19300 Removal Of Breast Tissue . 7 $766.75 $5,600.00 $4,000.24 nat. median
$3,988
1.0× median
26986289
LOCAL 		Scx Implant 7 $3,037.50 $4,860.00 $3,948.75 nat. median
$3,949
1.0× median
15836
CPT 		Excision Of Excess Skin 7 $528.00 $7,264.62 $3,821.19 nat. median
$3,050
1.3× median
29089787
LOCAL 		Trident Ii Tritanium Clusterhole Acetabular Shell 7 $2,587.50 $5,692.50 $3,726.00 nat. median
$3,726
1.0× median
29064822
LOCAL 		Broad Lock Plate 2.7 L73mm 8 Holes 7 $2,535.75 $5,578.65 $3,651.48 nat. median
$3,651
1.0× median
15120
CPT 		15120 - Splt Graft Scalp; 100cm< Charge 7 $335.84 $9,486.68 $3,620.48 nat. median
$3,620
1.0× median
59409
CPT 		59409 Vaginal Delivery Only Techfee 7 $250.00 $6,876.03 $3,616.79 nat. median
$3,106
1.2× median
51715
CPT 		51715 Endoscopic Injection/implant . 7 $335.84 $9,420.06 $3,601.33 nat. median
$3,567
1.0× median
52001
CPT 		52001 Cystoscopy Removal Of Clots . 7 $335.84 $9,420.06 $3,601.33 nat. median
$3,424
1.1× median
28965470
LOCAL 		Tri Ts Baseplate Size 1 7 $2,475.00 $5,445.00 $3,564.00 nat. median
$3,564
1.0× median
44970
CPT 		44970 Laparoscopy, Surgical, Appendectomy 7 $510.26 $13,304.78 $3,500.00 nat. median
$6,065
0.6× median
15829
CPT 		Facelift 7 $335.84 $3,500.00 $3,500.00 nat. median
$4,572
0.8× median
49521
CPT 		49521 Recurrent Inguinal Hernia Techfee 7 $250.00 $8,558.47 $3,365.12 nat. median
$6,223
0.5× median
26765
CPT 		26765 Open Treatment Of Distal Phalangeal Fracture, Finger Or Thumb 7 $474.42 $7,534.84 $3,342.87 nat. median
$3,201
1.0× median
26356
CPT 		26356 Repair Finger/hand Tendon . 7 $474.42 $7,534.83 $3,342.87 nat. median
$3,314
1.0× median
26735
CPT 		26735 Open Treatment Of Phalangeal Shaft Fract 7 $474.42 $7,800.00 $3,342.87 nat. median
$3,473
1.0× median
40814
CPT 		40814 Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Compl… 7 $335.84 $4,462.54 $3,213.03 nat. median
$3,229
1.0× median
27084196
LOCAL 		Allergan Implant 7 $2,310.75 $3,697.20 $3,003.98 nat. median
$3,004
1.0× median
50060
CPT 		50060 Removal Of Kidney Stone . 7 $444.00 $10,543.74 $3,000.00 nat. median
$2,840
1.1× median
29186072
LOCAL 		Fiberstitch 1.5, 24 Degree Curve 7 $2,063.25 $4,539.15 $2,971.08 nat. median
$2,971
1.0× median
29186074
LOCAL 		Fiberstitch 1.5 Curved 7 $2,063.25 $4,539.15 $2,971.08 nat. median
$2,971
1.0× median

Other procedures at this hospital

Browse this hospital's 1,776 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
             
29107243 LOCAL Perform Stem Rsa-perf Rev Lat/ 15 7 $61,479.00 $61,479.00 $30,739.50 $67,626.90 $44,264.88 2026-09-20
C1776 HCPCS Baseplate 28mm X 10.05mm 555 7 $9,196.65 $9,196.65 $337.50 $39,377.25 $6,142.50 2026-09-20
29149909 LOCAL Pfx14130 Shoulder 15 7 $20,250.00 $20,250.00 $10,125.00 $22,275.00 $14,580.00 2026-09-20
29184749 LOCAL Tornier Perferm Humeral System Humeral Stem, Plus, Short Sz2+ 15 7 $18,000.00 $18,000.00 $9,000.00 $19,800.00 $12,960.00 2026-09-20
28983487 LOCAL Tightrope Xp Buttress Plate Implant Sys 15 7 $17,977.50 $17,977.50 $8,988.75 $19,775.25 $12,943.80 2026-09-20
27084198 LOCAL Aloderm 15 7 $24,106.50 $24,106.50 $12,053.25 $19,285.20 $15,669.23 2026-09-20
C1713 HCPCS 3.0mm Asnis Micro Cannulated Screw 40/8mm 1,065 7 $2,191.50 $2,191.50 $24.75 $18,448.65 $1,361.03 2026-09-20
27829 CPT 27829 Treatment Lower Leg Joint 29 7 $17,041.37 $17,041.37 $335.84 $17,041.37 $1,200.00 2026-09-20
27814 CPT 27814 Treatment Of Ankle Fracture 30 7 $9,120.68 $9,120.68 $385.15 $17,041.37 $1,200.00 2026-09-20
29148209 LOCAL Graft Jacket Now Thick 4x8cm 15 7 $18,837.36 $18,837.36 $9,418.68 $15,069.89 $12,244.28 2026-09-20
29059917 LOCAL Speedbrg Imp Sys W/bio-comp Swvlk 15 7 $13,050.00 $13,050.00 $6,525.00 $14,355.00 $9,396.00 2026-09-20
27092218 LOCAL Bone Filler 15 7 $17,505.00 $17,505.00 $8,752.50 $14,004.00 $11,378.25 2026-09-20
57288 CPT 57288 Repair Bladder Defect . 28 7 $13,510.38 $13,510.38 $597.76 $13,510.38 $2,006.00 2026-09-20
57240 CPT 57240 Repair Bladder & Vagina . 28 7 $3,000.00 $3,000.00 $541.59 $13,510.38 $1,950.00 2026-09-20
44970 CPT 44970 Laparoscopy, Surgical, Appendectomy 30 7 $8,402.39 $8,402.39 $510.26 $13,304.78 $3,500.00 2026-09-20
47379 CPT 47379 Unlis Laparoscopic Px Lvr 30 7 $7,402.39 $7,402.39 $250.81 $13,304.78 $1,170.00 2026-09-20
27702279 LOCAL Matrixmidface Preformed Orbital Plate Lg/rt 15 7 $11,979.00 $11,979.00 $5,989.50 $13,176.90 $8,624.88 2026-09-20
27130 CPT 27130 Total Hip Arthoplasty 30 7 $8,100.00 $8,100.00 $480.00 $13,116.76 $1,840.97 2026-09-20
27447 CPT 27447 Total Knee Arthoplasty 30 7 $7,100.00 $7,100.00 $480.00 $13,000.00 $1,839.56 2026-09-20
23472 CPT 23472 Reconstruct Should Joint 30 7 $7,100.00 $7,100.00 $480.00 $13,000.00 $1,790.60 2026-09-20
52356 CPT 52356 Cysto/uretero W/lithotripsy & Stent Placement 29 7 $3,000.00 $3,000.00 $339.89 $12,971.11 $2,160.00 2026-09-20
52353 CPT 52353 Cystouretero W/laser Lithotripsy 28 7 $3,000.00 $3,000.00 $320.81 $12,971.11 $2,006.00 2026-09-20
52601 CPT 52601 Prostatectomy (turp) 28 7 $3,000.00 $3,000.00 $474.42 $12,971.11 $2,006.00 2026-09-20
51050 CPT Removal Of Bladder Stone . 28 7 $3,000.00 $3,000.00 $391.82 $12,971.11 $1,950.00 2026-09-20
52240 CPT Transurethral Bladder Tumor Resection 28 7 $13,517.61 $13,517.61 $320.81 $12,971.11 $1,950.00 2026-09-20
52354 CPT 52354 Cystouretero W/biopsy . 28 7 $13,517.61 $13,517.61 $341.02 $12,971.11 $1,950.00 2026-09-20
53230 CPT 53230 Removal Of Urethra Lesion . 28 7 $13,517.61 $13,517.61 $335.84 $12,971.11 $1,950.00 2026-09-20
J2997 HCPCS Alteplase 100 Mg Pow 15 7 $15,840.65 $15,840.65 $7,920.33 $12,672.52 $10,296.42 2026-09-20
33210 CPT 33210 Insj/rplcmt Temp Transvns 1chmbr Eltrd/pm Cath Techfee 15 7 $12,662.90 $12,662.90 $250.00 $12,662.90 $4,483.27 2026-09-20
18752645 LOCAL Room/bed: Level 5 15 7 $15,000.00 $15,000.00 $7,500.00 $12,000.00 $9,750.00 2026-09-20
29057895 LOCAL Bioinductive Implant W/arth Del Lrg 15 7 $10,800.00 $10,800.00 $5,400.00 $11,880.00 $7,776.00 2026-09-20
29182419 LOCAL Bioinductive Implant W/arth Del M 15 7 $10,800.00 $10,800.00 $5,400.00 $11,880.00 $7,776.00 2026-09-20
28983481 LOCAL Insignia Hip Stem High Offset Sz 6 15 7 $9,900.00 $9,900.00 $4,950.00 $10,890.00 $7,128.00 2026-09-20
29007179 LOCAL Insignia Hip Stem High Offset Sz 4 15 7 $9,900.00 $9,900.00 $4,950.00 $10,890.00 $7,128.00 2026-09-20
28980109 LOCAL High Insigna Collared Hip Stem 15 7 $9,900.00 $9,900.00 $4,950.00 $10,890.00 $7,128.00 2026-09-20
50060 CPT 50060 Removal Of Kidney Stone . 28 7 $3,000.00 $3,000.00 $444.00 $10,543.74 $3,000.00 2026-09-20
29016165 LOCAL Tibial Nail ?9x300m 15 7 $9,405.00 $9,405.00 $4,702.50 $10,345.50 $6,771.60 2026-09-20
27702277 LOCAL Matrix Midface Orbital Floor Plate Smal/0.3,, Thk 15 7 $9,288.00 $9,288.00 $4,644.00 $10,216.80 $6,687.36 2026-09-20
55040 CPT 55040 Removal Of Hydrocele Unilateral 28 7 $2,500.00 $2,500.00 $281.51 $9,747.99 $1,625.00 2026-09-20
49500 CPT 49500 Rpr Ing Hernia Init Reduce . Hydrocele (pedi) 28 7 $2,500.00 $2,500.00 $354.77 $9,747.99 $1,625.00 2026-09-20
54640 CPT 54640 Suspension Of Testis, Pedi Orchiopexy 28 7 $2,500.00 $2,500.00 $358.14 $9,747.99 $1,625.00 2026-09-20
C1781 HCPCS Bard Perfix Light Plugs Large 195 7 $1,548.00 $1,548.00 $309.38 $9,543.11 $1,037.56 2026-09-20
15120 CPT 15120 - Splt Graft Scalp; 100cm< Charge 15 7 $9,759.03 $9,759.03 $335.84 $9,486.68 $3,620.48 2026-09-20
51715 CPT 51715 Endoscopic Injection/implant . 15 7 $9,420.06 $9,420.06 $335.84 $9,420.06 $3,601.33 2026-09-20
52001 CPT 52001 Cystoscopy Removal Of Clots . 15 7 $9,420.06 $9,420.06 $335.84 $9,420.06 $3,601.33 2026-09-20
53500 CPT 53500 Urethrlys Transvag With Scope . 29 7 $9,420.06 $9,420.06 $623.93 $9,420.06 $2,000.00 2026-09-20
50590 CPT Lithotripsy With Laser 28 7 $2,500.00 $2,500.00 $473.49 $9,420.06 $1,712.50 2026-09-20
52344 CPT 52344 Cysto/uretero Stricture Tx . 28 7 $2,500.00 $2,500.00 $301.72 $9,420.06 $1,625.00 2026-09-20
52352 CPT 52352 Cystouretero W/ureteroscopy &/or Pyeloscop W/calculus Removal 28 7 $9,420.06 $9,420.06 $289.93 $9,420.06 $1,625.00 2026-09-20
52450 CPT 52450 Incision Of Prostate . 28 7 $2,000.00 $2,000.00 $385.15 $9,420.06 $1,300.00 2026-09-20
52317 CPT 52317 Remove Bladder Stone . 28 7 $2,000.00 $2,000.00 $250.81 $9,420.06 $1,300.00 2026-09-20
52332 CPT Cystoscopy Ureteral Stent Insertion 28 7 $9,420.06 $9,420.06 $127.71 $9,420.06 $1,300.00 2026-09-20
52234 CPT Transurethral Resection Of Bladder Tumor (turbt) 28 7 $9,420.06 $9,420.06 $201.52 $9,420.06 $1,300.00 2026-09-20
J0840 HCPCS Crofab [mchd] 15 7 $11,512.80 $11,512.80 $5,756.40 $9,210.24 $7,483.32 2026-09-20
4753243 LOCAL Room/bed: Level 4 15 7 $11,500.00 $11,500.00 $5,750.00 $9,200.00 $7,475.00 2026-09-20
J3101 HCPCS Tenecteplase 50 Mg Pow 15 7 $11,193.95 $11,193.95 $5,596.98 $8,955.16 $7,276.07 2026-09-20
29166036 LOCAL V-kit Ethicon Vistaseal 15 7 $7,951.91 $7,951.91 $3,975.96 $8,747.10 $5,725.38 2026-09-20
C1779 HCPCS Trathlon P/a Cr Beaded #3l 15 7 $7,875.00 $7,875.00 $3,937.50 $8,662.50 $5,670.00 2026-09-20
49521 CPT 49521 Recurrent Inguinal Hernia Techfee 15 7 $8,558.47 $8,558.47 $250.00 $8,558.47 $3,365.12 2026-09-20
57287 CPT 57287 Revise/remove Sling Repair . 28 7 $8,038.65 $8,038.65 $385.15 $7,954.70 $1,625.00 2026-09-20
26735 CPT 26735 Open Treatment Of Phalangeal Shaft Fract 15 7 $7,800.00 $7,800.00 $474.42 $7,800.00 $3,342.87 2026-09-20
11772 CPT 11772 Exc Pilonidal Cyst Or Sinus; Complicated 28 7 $7,749.66 $7,749.66 $491.46 $7,749.66 $1,158.33 2026-09-20
11446 CPT 11446 Exc Ben Face/ear/eyelid/nose/..> 4.0 Cm 28 7 $924.96 $924.96 $267.48 $7,749.66 $815.20 2026-09-20
27584353 LOCAL First Mtp Fusion 2.4/2.7 15 7 $9,675.00 $9,675.00 $4,837.50 $7,740.00 $6,288.75 2026-09-20
26765 CPT 26765 Open Treatment Of Distal Phalangeal Fracture, Finger Or Thumb 15 7 $7,534.84 $7,534.84 $474.42 $7,534.84 $3,342.87 2026-09-20
28208 CPT 28208 Repair, Tendon, Extensor, Foot Techfee 15 7 $7,534.84 $7,534.84 $250.00 $7,534.84 $1,644.87 2026-09-20
28200 CPT 28200 Repair, Tendon, Flexon, Foot Techfee 15 7 $7,534.84 $7,534.84 $250.00 $7,534.84 $1,644.87 2026-09-20
26951 CPT 26951 Amp F/th 1/2 Jt/phalanx W/neurect W/dir Clsr Techfee 15 7 $7,534.84 $7,534.84 $250.00 $7,534.84 $1,644.87 2026-09-20
26020 CPT 26020 Drainage Of Tendon Sheath Digit And/or P Techfee 15 7 $7,534.84 $7,534.84 $250.00 $7,534.84 $1,644.87 2026-09-20
26356 CPT 26356 Repair Finger/hand Tendon . 15 7 $7,534.83 $7,534.83 $474.42 $7,534.83 $3,342.87 2026-09-20
29016175 LOCAL Osteoset Resorbable Bead Kit Fast Cure 25cc 15 7 $6,786.99 $6,786.99 $3,393.50 $7,465.69 $4,886.63 2026-09-20
29184750 LOCAL Tornier Perform Humeral System Ve Reversed Insert Sz1/2 15 7 $6,750.00 $6,750.00 $3,375.00 $7,425.00 $4,860.00 2026-09-20
C1889 HCPCS 6.5mm Low Profile Hex Screw 105 7 $2,475.00 $2,475.00 $303.60 $7,425.00 $1,782.00 2026-09-20
15836 CPT Excision Of Excess Skin 15 7 $7,264.62 $7,264.62 $528.00 $7,264.62 $3,821.19 2026-09-20
29168066 LOCAL Superior Plate Decreased - 8 Hole/right 15 7 $6,570.00 $6,570.00 $3,285.00 $7,227.00 $4,730.40 2026-09-20
21554 CPT 21554 Excision, Tumor, Soft Tissue; 5cm+ (surg) 29 7 $2,116.77 $2,116.77 $615.79 $7,110.06 $1,335.57 2026-09-20
23076 CPT 23076 Exc Soft Tissue Tum Shoulder Dp Subfscal 28 7 $1,577.64 $1,577.64 $459.46 $7,110.06 $1,248.36 2026-09-20
59409 CPT 59409 Vaginal Delivery Only Techfee 15 7 $6,876.03 $6,876.03 $250.00 $6,876.03 $3,616.79 2026-09-20
66984 CPT Cataract Extraction With Intraocular Lens Implantation 15 7 $6,758.50 $6,758.50 $806.60 $6,723.82 $2,357.81 2026-09-20
20680 CPT Removal Of Implant; Deep Technical Charge 15 7 $6,382.74 $6,382.74 $385.15 $6,382.74 $2,967.63 2026-09-20
20525 CPT 20525 Rmvl Foreign Body Muscle/tendon Sheath Deep/comp Techfee 15 7 $6,382.74 $6,382.74 $250.00 $6,382.74 $1,248.36 2026-09-20
11470 CPT 11470 Evacuation Subungual Hematoma Techfee 15 7 $6,382.74 $6,382.74 $250.00 $6,382.74 $1,248.36 2026-09-20
29089787 LOCAL Trident Ii Tritanium Clusterhole Acetabular Shell 15 7 $5,175.00 $5,175.00 $2,587.50 $5,692.50 $3,726.00 2026-09-20
19300 CPT 19300 Removal Of Breast Tissue . 15 7 $5,600.00 $5,600.00 $766.75 $5,600.00 $4,000.24 2026-09-20
29064822 LOCAL Broad Lock Plate 2.7 L73mm 8 Holes 15 7 $5,071.50 $5,071.50 $2,535.75 $5,578.65 $3,651.48 2026-09-20
15220 CPT 15220 Full Thck Graft; Scalp/arm..20 Sq Cm < 15 7 $7,500.00 $7,500.00 $335.84 $5,489.51 $2,107.97 2026-09-20
52310 CPT 52310 Cystoscopy And Treatment . 15 7 $5,485.92 $5,485.92 $279.50 $5,485.92 $2,135.66 2026-09-20
55250 CPT 55250 - Vasectomy 15 7 $5,485.92 $5,485.92 $250.81 $5,485.92 $2,135.66 2026-09-20
54161 CPT 54161 - Circumcision 28 Days Or Older 15 7 $5,485.92 $5,485.92 $335.84 $5,485.92 $2,135.66 2026-09-20
52005 CPT Retrograde Pyelogram 28 7 $5,485.92 $5,485.92 $108.62 $5,485.92 $1,027.50 2026-09-20
52276 CPT 52276 Cysto W Dir Vision Internal Urethrotomy 28 7 $5,485.92 $5,485.92 $216.40 $5,485.92 $1,027.50 2026-09-20
51040 CPT 51040 Incise & Drain Bladder . 28 7 $5,485.92 $5,485.92 $242.50 $5,485.92 $1,027.50 2026-09-20
28965470 LOCAL Tri Ts Baseplate Size 1 15 7 $4,950.00 $4,950.00 $2,475.00 $5,445.00 $3,564.00 2026-09-20
28005 CPT 28005 Treat Foot Bone Lesion 28 7 $5,246.68 $5,246.68 $477.42 $5,246.68 $1,644.87 2026-09-20
25028 CPT 25028 Id Dp Absc Hemat Foarm Wrist Charge 28 7 $5,246.68 $5,246.68 $416.00 $5,246.68 $1,644.87 2026-09-20
14021 CPT 14021 Tis Trnfr S/a/l 10.1-30 Sqcm . 15 7 $5,177.52 $5,177.52 $385.15 $5,177.52 $2,107.97 2026-09-20
26986289 LOCAL Scx Implant 15 7 $6,075.00 $6,075.00 $3,037.50 $4,860.00 $3,948.75 2026-09-20
11426 CPT 11426 Pf Exc H-f-nk-sp B9+marg > 28 7 $1,400.00 $1,400.00 $226.22 $4,800.00 $959.00 2026-09-20
27603 CPT 27603 Pf Incision,drainage,hematoma 28 7 $4,756.58 $4,756.58 $330.35 $4,756.58 $1,248.36 2026-09-20
27301 CPT 27301 Pf I&d Deep Abscess/bursa/hem 28 7 $2,370.02 $2,370.02 $308.70 $4,756.58 $1,248.36 2026-09-20
10180 CPT 10180 Pf I & D Of Pilonidal Cyst 28 7 $2,370.02 $2,370.02 $151.28 $4,756.58 $1,248.36 2026-09-20
21501 CPT 21501 Pf Inc/drainage,deep Abscess 28 7 $4,756.58 $4,756.58 $283.20 $4,756.58 $1,248.36 2026-09-20
64831 CPT 64831 Repair Of Digit Nerve . 15 7 $4,732.50 $4,732.50 $474.42 $4,732.50 $1,995.02 2026-09-20
20822 CPT 20822 Replantation, Digit, Excluding Thumb(inc Techfee 15 7 $5,566.86 $5,566.86 $250.00 $4,724.79 $872.87 2026-09-20
46924 CPT 46924 Dstrj Les Anus X10sv 28 7 $4,669.16 $4,669.16 $153.25 $4,669.16 $1,432.51 2026-09-20
31530 CPT 31530 Ed Laryngoscopy W/foreign Body Removal Techfee 15 7 $4,722.55 $4,722.55 $250.00 $4,632.95 $843.77 2026-09-20
29186074 LOCAL Fiberstitch 1.5 Curved 15 7 $4,126.50 $4,126.50 $2,063.25 $4,539.15 $2,971.08 2026-09-20
29186072 LOCAL Fiberstitch 1.5, 24 Degree Curve 15 7 $4,126.50 $4,126.50 $2,063.25 $4,539.15 $2,971.08 2026-09-20
44120 CPT Small Bowel Resection 15 7 $4,500.00 $4,500.00 $1,026.98 $4,500.00 $2,655.00 2026-09-20
40814 CPT 40814 Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Compl… 15 7 $4,462.54 $4,462.54 $335.84 $4,462.54 $3,213.03 2026-09-20
22903 CPT 22903 Exc Abd Wall Subq >3cm Charge 15 7 $4,350.00 $4,350.00 $371.61 $4,350.00 $2,827.50 2026-09-20
55100 CPT 55100 Pf I & D Abscess Scotal Wall 46 7 $2,751.00 $2,751.00 $91.00 $4,310.97 $1,253.70 2026-09-20
54100 CPT 54100 Biopsy Of Penile Skin Lesion 41 7 $2,751.00 $2,751.00 $100.48 $4,310.97 $1,013.05 2026-09-20
43241 CPT 43241 Insertion Of Other Gastric Tube Techfee 15 7 $4,286.74 $4,286.74 $250.00 $4,286.74 $894.33 2026-09-20
26690513 LOCAL 1.5mm Ti T-plate 3hole Head 8 Hole Shaft 15 7 $3,897.00 $3,897.00 $1,948.50 $4,286.70 $2,805.84 2026-09-20
26690514 LOCAL 1.5mm Ti T-plate 4hole Head 8 Hole Shaft 15 7 $3,897.00 $3,897.00 $1,948.50 $4,286.70 $2,805.84 2026-09-20
23071 CPT 23071 Excf Soft Tissue Of Shoulder 3 Cm Or > 29 7 $1,218.54 $1,218.54 $354.49 $4,221.03 $766.47 2026-09-20
21555 CPT 21555 Exc Tumor Soft Tissue Neck Thorax Subq 57 7 $3,000.00 $3,000.00 $250.00 $4,221.03 $742.04 2026-09-20
28986844 LOCAL Triathlon X3 Tibial Bearing Insert Cs Sz4 15 7 $3,825.00 $3,825.00 $1,912.50 $4,207.50 $2,754.00 2026-09-20
C1778 HCPCS X3 Triathlon Cs Insert No 2 9mm 15 7 $3,825.00 $3,825.00 $1,912.50 $4,207.50 $2,754.00 2026-09-20
C1780 HCPCS X3 Triathlon Cs Insert No 6 11mm 15 7 $3,825.00 $3,825.00 $1,912.50 $4,207.50 $2,754.00 2026-09-20
C1777 HCPCS X3 Triathlon Cs Insert No 1 9mm 15 7 $3,825.00 $3,825.00 $1,912.50 $4,207.50 $2,754.00 2026-09-20
C1784 HCPCS X3 Triathlon Insert Ps Num1 10mm 15 7 $3,825.00 $3,825.00 $1,912.50 $4,207.50 $2,754.00 2026-09-20
C1783 HCPCS X3 Triathlon Insert Cs Num5 10mm 15 7 $3,825.00 $3,825.00 $1,912.50 $4,207.50 $2,754.00 2026-09-20
29004274 LOCAL Screwdriver Bit Ao T20 93mm 15 7 $3,712.50 $3,712.50 $1,856.25 $4,083.75 $2,673.00 2026-09-20
81162 CPT Brcavantage(tm), Comprehensive Qst 15 7 $4,063.50 $4,063.50 $1,044.06 $4,063.50 $1,824.88 2026-09-20
52224 CPT Bladder Biopsy 15 7 $3,944.00 $3,944.00 $335.84 $3,944.00 $2,839.68 2026-09-20
36573 CPT Picc Line Insertion With Imaging Guidance 42 7 $3,756.85 $3,756.85 $157.66 $3,827.71 $765.00 2026-09-20
19020 CPT 19020 Ed Incision Of Breast Lesion Techfee 15 7 $3,778.08 $3,778.08 $250.00 $3,778.08 $742.04 2026-09-20
10121 CPT 10121 Incision & Removal Foreign Body Subq Tiss Compl Techfee 15 7 $3,778.08 $3,778.08 $250.00 $3,778.08 $742.04 2026-09-20
26011 CPT 26011 Drainage Finger Abscess Complicated Techfee 15 7 $3,778.08 $3,778.08 $250.00 $3,778.08 $742.04 2026-09-20
26690507 LOCAL 1.3mm 12 Hole Ti Straight Plate 15 7 $3,420.00 $3,420.00 $1,710.00 $3,762.00 $2,462.40 2026-09-20
26410 CPT 26410 Tendon Repair Hand Techfee 15 7 $3,730.71 $3,730.71 $250.00 $3,730.71 $872.87 2026-09-20
26236 CPT 26236 Partial Excision Distal Phalanx Finger Techfee 15 7 $3,730.71 $3,730.71 $250.00 $3,730.71 $872.87 2026-09-20
25605 CPT 25605 Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Perf Techfee 15 7 $3,730.71 $3,730.71 $250.00 $3,730.71 $872.87 2026-09-20
25565 CPT 25565 Closed Tx Radial&ulnar Shaft Fractures W/manj Techfee 15 7 $3,730.71 $3,730.71 $250.00 $3,730.71 $872.87 2026-09-20
25505 CPT 25505 Tx Of Fracture, With Manipulation 15 7 $3,730.71 $3,730.71 $250.00 $3,730.71 $872.87 2026-09-20
24655 CPT 24655 Closed Tx Radial Head/neck Fx W/manipulation Techfee 15 7 $3,730.71 $3,730.71 $250.00 $3,730.71 $872.87 2026-09-20
24505 CPT 24505 Cltx Humeral Shft Fx W/manj W/wo Skeletal Tracj Techfee 15 7 $3,730.71 $3,730.71 $250.00 $3,730.71 $872.87 2026-09-20
26690510 LOCAL 1.5mm Ti Straight Plate 12 Holes 59mm 15 7 $3,375.00 $3,375.00 $1,687.50 $3,712.50 $2,430.00 2026-09-20
27084196 LOCAL Allergan Implant 15 7 $4,621.50 $4,621.50 $2,310.75 $3,697.20 $3,003.98 2026-09-20
26689238 LOCAL 1.3mm 6 Hole Ti Straight Plate 15 7 $3,325.50 $3,325.50 $1,662.75 $3,658.05 $2,394.36 2026-09-20
32551 CPT 32551 Tube Thoracostomy Includes Water Seal 15 7 $4,489.68 $4,489.68 $250.00 $3,591.74 $2,361.57 2026-09-20
33016 CPT 33016 Pericardiocentesis W /imaging Guidance Techfee 15 7 $4,489.68 $4,489.68 $250.00 $3,591.74 $649.99 2026-09-20
15829 CPT Facelift 15 7 $3,500.00 $3,500.00 $335.84 $3,500.00 $3,500.00 2026-09-20
55520 CPT 55520 Removal Of Sperm Cord Lesion Techfee 15 7 $3,480.00 $3,480.00 $250.00 $3,480.00 $1,723.02 2026-09-20
36556 CPT 36556 Insj Non-tunneled Central Venous Cath Age 5 Yr/> Techfee 15 7 $4,489.68 $4,489.68 $157.95 $3,440.40 $1,623.69 2026-09-20
J3262 HCPCS Tocilizumab 20 Mg/ml Sol 15 7 $4,029.57 $4,029.57 $2,014.79 $3,223.66 $2,619.22 2026-09-20
27751452PR LOCAL Pf Surgeon Level 3 15 7 $4,000.00 $4,000.00 $1,600.00 $3,200.00 $2,600.00 2026-09-20
54065 CPT 54065 Dstrj Les Pns X10sv 28 7 $1,715.37 $1,715.37 $143.14 $3,097.92 $1,128.57 2026-09-20
47562 CPT 47562 Pf Lap Cholecystectomy 15 7 $3,000.00 $3,000.00 $559.10 $3,000.00 $1,770.00 2026-09-20
49320 CPT 49320 Pf Laparoscopy 15 7 $3,000.00 $3,000.00 $278.99 $3,000.00 $1,770.00 2026-09-20
11424 CPT 11424 Pf Exc H-f-nk-sp B9+marg 3. 28 7 $3,000.00 $3,000.00 $153.25 $3,000.00 $921.22 2026-09-20
27701942 LOCAL Matrixmidface Orbital Rim Plate/12 Holes/0.7mm Thick 15 7 $2,686.50 $2,686.50 $1,343.25 $2,955.15 $1,934.28 2026-09-20
26160 CPT 26160 - Excision Of Lesion Of Tendon Sheath Or Joint Capsule 15 7 $2,800.00 $2,800.00 $384.30 $2,800.00 $1,642.82 2026-09-20
46040 CPT Incision And Drainage Ischiorectal And/or Perirectal Abscess (separate Procedure… 15 7 $2,764.11 $2,764.11 $250.00 $2,764.11 $656.75 2026-09-20
23930 CPT 23930 Deep I&d - Ua/elbow Charge 28 7 $2,370.02 $2,370.02 $181.88 $2,751.00 $1,248.36 2026-09-20
56515 CPT 56515 Pf Treatment Of Vulva Lesions 28 7 $1,715.37 $1,715.37 $161.50 $2,751.00 $1,128.57 2026-09-20
11406 CPT 11406 Pf Exc Tr-ext B9+marg > 4.0 28 7 $2,751.00 $2,751.00 $210.22 $2,751.00 $742.04 2026-09-20
26690528 LOCAL 2.4mm Ti Lc-dcp Plate 8 Hole 63mm 15 7 $2,479.50 $2,479.50 $1,239.75 $2,727.45 $1,785.24 2026-09-20
J2248 HCPCS Micafungin 100 Mg Pow [mchd] 15 7 $3,366.00 $3,366.00 $1,683.00 $2,692.80 $2,187.90 2026-09-20
28002 CPT 28002 I&d Belw Fsca Foot 1 Bursal Space 28 7 $1,392.36 $1,392.36 $258.78 $2,626.68 $872.87 2026-09-20
28988057 LOCAL Asnis Iii Cannulated 6.5mm Twist Drill 15 7 $2,367.00 $2,367.00 $1,183.50 $2,603.70 $1,704.24 2026-09-20
81292 CPT Vistaseq Lynch Syndrome Panel Lc 15 7 $3,214.35 $3,214.35 $271.42 $2,571.48 $675.40 2026-09-20
26690481 LOCAL 1.2mm 5 Hole Straight Plate 15 7 $2,325.38 $2,325.38 $1,162.69 $2,557.92 $1,674.27 2026-09-20
26690527 LOCAL 2.4mm Ti Lc-dcp Plate 6 Hole 47mm 15 7 $2,295.00 $2,295.00 $1,147.50 $2,524.50 $1,652.40 2026-09-20
44391 CPT 44391 Colsc Thru Stoma Ctrl Bld 15 7 $2,500.00 $2,500.00 $190.86 $2,500.00 $1,475.00 2026-09-20
44394 CPT 44394 Colonoscopy W/snare 15 7 $2,500.00 $2,500.00 $186.65 $2,500.00 $1,475.00 2026-09-20
44392 CPT 44392 Colonoscopy & Polypectomy 15 7 $2,500.00 $2,500.00 $165.88 $2,500.00 $1,475.00 2026-09-20
44390 CPT 44390 Colsc Thru Stoma W/rmvl Fb 15 7 $2,500.00 $2,500.00 $174.02 $2,500.00 $1,475.00 2026-09-20
J0875 HCPCS Dalbavancin 500 Mg Pow 15 7 $3,018.60 $3,018.60 $1,509.30 $2,414.88 $1,962.09 2026-09-20
28987997 LOCAL Dart Fire Edge Comp Eaded Short 4.0mm X 40mm 15 7 $2,191.50 $2,191.50 $1,095.75 $2,410.65 $1,577.88 2026-09-20
5720325PR LOCAL 47562 - Lap Cholecystectomy Charge 15 7 $3,000.00 $3,000.00 $1,200.00 $2,400.00 $1,950.00 2026-09-20
23030 CPT 23030 Pf I & D Shoulder Hematoma/absces 15 7 $2,370.02 $2,370.02 $396.49 $2,370.02 $1,248.36 2026-09-20
64421 CPT 64421 Ilio/hypogastric Nerve 28 7 $1,529.68 $1,529.68 $47.06 $2,352.63 $804.61 2026-09-20
64415 CPT 64415 Nerve Block Brachial Plexus Charge 28 7 $2,467.38 $2,467.38 $93.60 $2,352.63 $804.61 2026-09-20
64448 CPT 64448 Injection Anes Femoral Nerve Cont Infusion Cath 28 7 $2,467.38 $2,467.38 $78.30 $2,352.63 $804.61 2026-09-20
64520 CPT 64520 Inj Anes Lumbar Thoracic Charge 28 7 $1,529.68 $1,529.68 $136.92 $2,352.63 $804.61 2026-09-20
64416 CPT 64416 US Brachial Cont Inf Nrv Blk Charge 28 7 $2,467.38 $2,467.38 $86.41 $2,352.63 $804.61 2026-09-20
26690466 LOCAL 0.8mm 2/5 Hole Strut Plate 15 7 $2,126.25 $2,126.25 $1,063.13 $2,338.88 $1,530.90 2026-09-20
26690463 LOCAL 0.8mm 2/2 Hole Strut Plate 15 7 $2,126.25 $2,126.25 $1,063.13 $2,338.88 $1,530.90 2026-09-20
26690464 LOCAL 0.8mm 2/3 Hole Strut Plate 15 7 $2,126.25 $2,126.25 $1,063.13 $2,338.88 $1,530.90 2026-09-20
21931 CPT 21931 Exc, Tumor, Soft Tissue Of Back Or Flank 15 7 $2,320.00 $2,320.00 $396.03 $2,320.00 $1,508.00 2026-09-20
27882417 LOCAL Bard Perfix Light Plugs Xl 15 7 $2,082.60 $2,082.60 $1,041.30 $2,290.86 $1,499.47 2026-09-20
28996541 LOCAL Disposables Kit For Dx Knotless Fibertak 15 7 $2,065.50 $2,065.50 $1,032.75 $2,272.05 $1,487.16 2026-09-20
26689231 LOCAL 2.4mm Ti Lc-dcp Plate 4 Hole 31mm 15 7 $2,043.00 $2,043.00 $1,021.50 $2,247.30 $1,470.96 2026-09-20
26690519 LOCAL 2.0mm Ti Lc-dcp Plate 8 Hole 48mm 15 7 $1,962.00 $1,962.00 $981.00 $2,158.20 $1,412.64 2026-09-20
26690529 LOCAL 2.4mm Ti Condylar Plate 8hole 57mm Right 15 7 $1,917.00 $1,917.00 $958.50 $2,108.70 $1,380.24 2026-09-20
26690530 LOCAL 2.4mm Ti Condylar Plate 8 Hole 57mm Left 15 7 $1,917.00 $1,917.00 $958.50 $2,108.70 $1,380.24 2026-09-20
26690525 LOCAL 2.0mm Ti Condylar Plate 7 Hole 39mm Left 15 7 $1,876.50 $1,876.50 $938.25 $2,064.15 $1,351.08 2026-09-20
26690526 LOCAL 2.0mm Ti Condylar Plate 7hole 39mm Right 15 7 $1,876.50 $1,876.50 $938.25 $2,064.15 $1,351.08 2026-09-20
5720336PR LOCAL 49505 - Prp I/hern Init Reduc >5 Charge 15 7 $2,500.00 $2,500.00 $1,000.00 $2,000.00 $1,625.00 2026-09-20
27751451PR LOCAL Pf Surgeon Level 2 15 7 $2,500.00 $2,500.00 $1,000.00 $2,000.00 $1,625.00 2026-09-20
45393 CPT 45393 Pf Decompress Colonoscopy 15 7 $2,000.00 $2,000.00 $207.98 $2,000.00 $1,300.00 2026-09-20
45392 CPT 45392 Colonoscopy W/endoscopic Fnb Prof 15 7 $2,000.00 $2,000.00 $251.48 $2,000.00 $1,300.00 2026-09-20
45389 CPT 45389 Colonoscopy W/stent Plcmt Prof 15 7 $2,000.00 $2,000.00 $239.41 $2,000.00 $1,300.00 2026-09-20
45388 CPT 45388 Colonoscopy W/ablation Pro 15 7 $2,000.00 $2,000.00 $223.70 $2,000.00 $1,300.00 2026-09-20
45385 CPT 45385 Pf Colonoscopy Flex W/rem Les Sna 15 7 $2,000.00 $2,000.00 $210.22 $2,000.00 $1,180.00 2026-09-20
45382 CPT 45382 Colonsc Fib Spl Flx Cont Hemor Charge 15 7 $2,000.00 $2,000.00 $213.87 $2,000.00 $1,180.00 2026-09-20
45380 CPT 45380 Pf Colonoscopy Flex With Biopsy 15 7 $2,000.00 $2,000.00 $166.16 $2,000.00 $1,180.00 2026-09-20
45384 CPT 45384 Colonscopy W/removal Of Lesion 15 7 $2,000.00 $2,000.00 $189.17 $2,000.00 $1,180.00 2026-09-20
45381 CPT 45381 Colonoscopy Submucosal Infect Charge 15 7 $2,000.00 $2,000.00 $165.88 $2,000.00 $1,180.00 2026-09-20
45379 CPT 45379 Colonoscopy Removal For Fb Charge 15 7 $2,000.00 $2,000.00 $197.31 $2,000.00 $1,180.00 2026-09-20
44388 CPT 44388 Colonoscopy 15 7 $2,000.00 $2,000.00 $129.67 $2,000.00 $1,180.00 2026-09-20
27882413 LOCAL Bard Perfix Light Plugs Medium 15 7 $1,762.65 $1,762.65 $881.33 $1,938.92 $1,269.11 2026-09-20
26690532 LOCAL 2.4mm Ti T-pla 3holehead 8holeshaft 54mm 15 7 $1,755.00 $1,755.00 $877.50 $1,930.50 $1,263.60 2026-09-20
64420 CPT 64420 Inj Anes Intercostal Nerve Sgl Charge 28 7 $1,197.62 $1,197.62 $110.69 $1,901.83 $629.95 2026-09-20
26690534 LOCAL 2.4mm Ti Straight Plate 12 Hole 72mm 15 7 $1,728.00 $1,728.00 $864.00 $1,900.80 $1,244.16 2026-09-20
26690518 LOCAL 2.0mm Ti Lc-dcp Plate 6 Hole 36mm 15 7 $1,728.00 $1,728.00 $864.00 $1,900.80 $1,244.16 2026-09-20
29206568 LOCAL Asnis Iii Cannulated Drill 5.6mm Lg Ao 15 7 $2,367.00 $2,367.00 $1,183.50 $1,893.60 $1,538.55 2026-09-20
29145643 LOCAL Drill Bit, Ao 2.5mmx215mm 15 7 $1,710.00 $1,710.00 $855.00 $1,881.00 $1,231.20 2026-09-20
26690535 LOCAL 2.4mm Ti Y-pla 3holehead 8holeshaft 56mm 15 7 $1,696.50 $1,696.50 $848.25 $1,866.15 $1,221.48 2026-09-20
95811 CPT 95811 Sleep Staging W Cpap Vent Prof Charge 29 7 $1,825.58 $1,825.58 $459.91 $1,825.58 $717.46 2026-09-20
95810 CPT 95810 Sleep Staging Attd By Tec Prof Charge 29 7 $919.82 $919.82 $234.36 $1,825.58 $717.46 2026-09-20
29186076 LOCAL Knot Pusher/suture Cutter W/portal Skid 15 7 $1,651.50 $1,651.50 $825.75 $1,816.65 $1,189.08 2026-09-20
26690531 LOCAL 2.4mm Ti T-pla 2holehead 8holeshaft 54mm 15 7 $1,642.50 $1,642.50 $821.25 $1,806.75 $1,182.60 2026-09-20
43239 CPT 43239 Pf Upper Gi Endoscopy, Biopsy 15 7 $1,800.00 $1,800.00 $115.08 $1,800.00 $1,062.00 2026-09-20
43235 CPT 43235 Pf Esophagogastroduodenoscopy 15 7 $1,800.00 $1,800.00 $101.88 $1,800.00 $1,062.00 2026-09-20
29016396 LOCAL Screwdriver Blade T8 Ao Self Retaining 15 7 $1,615.50 $1,615.50 $807.75 $1,777.05 $1,163.16 2026-09-20
28983564 LOCAL Screwdriver Blade T10 Ao Self Retaining 15 7 $1,615.50 $1,615.50 $807.75 $1,777.05 $1,163.16 2026-09-20
52000 CPT 52000 Cystoscopy . 15 7 $1,762.68 $1,762.68 $149.65 $1,762.68 $712.40 2026-09-20
26969200PR LOCAL 49650 Pf Laproscopic Initial Ventral Hernia Repair 15 7 $2,200.00 $2,200.00 $880.00 $1,760.00 $1,430.00 2026-09-20
26690524 LOCAL 2.0mm Ti Yplat 3holehead 8hole Shaft 48m 15 7 $1,597.50 $1,597.50 $798.75 $1,757.25 $1,150.20 2026-09-20
26690523 LOCAL 2.0mm Ti T-plate 3hole Head 8 Hole Shaft 15 7 $1,597.50 $1,597.50 $798.75 $1,757.25 $1,150.20 2026-09-20
26690521 LOCAL 2.0mm Ti Straight Plate 12 Hole 71mm 15 7 $1,597.50 $1,597.50 $798.75 $1,757.25 $1,150.20 2026-09-20
29029440 LOCAL Pinball Preloaded Pins 15 7 $1,575.00 $1,575.00 $787.50 $1,732.50 $1,134.00 2026-09-20
J0585 HCPCS Onabotulinumtoxina 100 Units Pow 30 7 $1,652.40 $1,652.40 $570.60 $1,730.88 $997.38 2026-09-20
62270 CPT 62270 Pf Spinal Fluid Tap-diagnost 33 7 $1,197.62 $1,197.62 $114.76 $1,720.44 $629.95 2026-09-20
62273 CPT 62273 Inj Epidural Blood Or Clot Pat Charge 33 7 $1,197.62 $1,197.62 $210.47 $1,720.44 $629.95 2026-09-20
20103 CPT 20103 Exploration Penetrating Wound Spx Extremity Techfee 15 7 $1,679.06 $1,679.06 $250.00 $1,679.06 $742.04 2026-09-20
36410 CPT 36410-venipuncture Requires Greater Than/equal To 3 Year Md 28 7 $2,151.54 $2,151.54 $17.37 $1,678.20 $850.00 2026-09-20
29184803 LOCAL Drill Bit Ao 3.5mmx135mm 15 7 $1,512.00 $1,512.00 $756.00 $1,663.20 $1,088.64 2026-09-20
28988053 LOCAL Drill 2.6mmx122mm Wl70mm Ao Shaft 15 7 $1,498.50 $1,498.50 $749.25 $1,648.35 $1,078.92 2026-09-20
26689230 LOCAL 2.0mm Ti Lc-dcp Plate 4 Holes 24mm 15 7 $1,467.00 $1,467.00 $733.50 $1,613.70 $1,056.24 2026-09-20
26690533 LOCAL 2.4mm Ti Straight Plate 6 Hole 36mm 15 7 $1,467.00 $1,467.00 $733.50 $1,613.70 $1,056.24 2026-09-20
26690522 LOCAL 2.0mm Ti T-plate 2hole Head 8 Hole Shaft 15 7 $1,467.00 $1,467.00 $733.50 $1,613.70 $1,056.24 2026-09-20
J3111 HCPCS Romosozumab 105 Mg/1.17 Ml Sol 15 7 $2,009.24 $2,009.24 $1,004.62 $1,607.39 $1,306.01 2026-09-20
11404 CPT 11404 Pf Exc Tr-ext B9+marg 3.1-4 15 7 $1,600.50 $1,600.50 $139.49 $1,600.50 $944.30 2026-09-20
29027727PR LOCAL Anethesia Spinal Profee Mchd 15 7 $2,000.00 $2,000.00 $960.00 $1,600.00 $1,300.00 2026-09-20
29004272 LOCAL Drill Bit Ao 04.5mmx135mm 15 7 $1,444.50 $1,444.50 $722.25 $1,588.95 $1,040.04 2026-09-20
24076 CPT 24076 Ex Arm/elbow Tum Deep < 5 Cm . 15 7 $1,581.75 $1,581.75 $463.39 $1,581.75 $992.53 2026-09-20
15820 CPT Blepharoplasty Lower Eyelid 15 7 $1,530.00 $1,530.00 $385.15 $1,530.00 $1,101.60 2026-09-20
28964316 LOCAL Cann 2.7mm Twist Drill W/ao F 15 7 $1,386.00 $1,386.00 $693.00 $1,524.60 $997.92 2026-09-20
99291 CPT 99291 - Fac Ed Critical Care 15 7 $1,834.97 $1,834.97 $221.40 $1,500.00 $1,192.73 2026-09-20
45378 CPT 45378 Colonoscopy Flexible Charge 15 7 $1,500.00 $1,500.00 $152.97 $1,500.00 $885.00 2026-09-20
29168062 LOCAL Threaded Recon K-wire 3.2x400mm 15 7 $1,363.50 $1,363.50 $681.75 $1,499.85 $981.72 2026-09-20
29029360 LOCAL Patella Fracture Kit 15 7 $1,350.00 $1,350.00 $675.00 $1,485.00 $972.00 2026-09-20
92953 CPT 92953 Temp Transcutaneous Pacing 15 7 $1,476.60 $1,476.60 $1.76 $1,476.60 $1,063.15 2026-09-20
92960 CPT 92960 Cardioversion Elective Arrhythmia External 15 7 $1,476.60 $1,476.60 $202.11 $1,476.60 $776.69 2026-09-20
26690520 LOCAL 2.0mm Ti Straight Plate 6 Hole 35mm 15 7 $1,336.50 $1,336.50 $668.25 $1,470.15 $962.28 2026-09-20
28983485 LOCAL Fibertak Disposables Curved/str Kit 15 7 $1,314.00 $1,314.00 $657.00 $1,445.40 $946.08 2026-09-20
28994331 LOCAL Drill Bit, Cannulated, 2.6mm 15 7 $1,314.00 $1,314.00 $657.00 $1,445.40 $946.08 2026-09-20
29145480 LOCAL Apollo Rf I90 Aspirating Ablator 90 Degree 15 7 $1,764.00 $1,764.00 $882.00 $1,411.20 $1,146.60 2026-09-20
29033074 LOCAL 3.0mm Asnis Micro Cannulated Drill 2.1mm Ao Coupling Single Use 15 7 $1,278.00 $1,278.00 $639.00 $1,405.80 $920.16 2026-09-20
28431649 LOCAL Carter Thomason Closure Disposable 15 7 $1,751.13 $1,751.13 $875.57 $1,400.90 $1,138.23 2026-09-20
21552 CPT 21552 Exc Tmr Neck/thorax Sbq 3> Cm 15 7 $1,294.95 $1,294.95 $377.22 $1,294.95 $841.72 2026-09-20
94002 CPT Ventilator Services Initial 15 7 $1,278.61 $1,278.61 $170.76 $1,278.61 $672.55 2026-09-20
94003 CPT Rt Ventilator Services - Subs Charge 15 7 $1,278.61 $1,278.61 $123.10 $1,278.61 $672.55 2026-09-20
26690511 LOCAL 1.5mm Ti Condylar Plate 7 Hole 36mm Left 15 7 $1,154.61 $1,154.61 $577.31 $1,270.07 $831.32 2026-09-20
26690512 LOCAL 1.5mm Ti Condylar Plate 7hole 36mm Right 15 7 $1,154.61 $1,154.61 $577.31 $1,270.07 $831.32 2026-09-20
27719565 LOCAL Stryker J Latch Coupling 12mm 15 7 $1,129.50 $1,129.50 $564.75 $1,242.45 $813.24 2026-09-20
27719563 LOCAL Universal Hall Coupling 12mm Drill Bit 15 7 $1,129.50 $1,129.50 $564.75 $1,242.45 $813.24 2026-09-20
29033072 LOCAL 3.0mm Asnis Micro Cannulated Screwdriver 3.0mm Ao Coupling 15 7 $1,129.50 $1,129.50 $564.75 $1,242.45 $813.24 2026-09-20
29016171 LOCAL Locking Drill 4.2x360mm 15 7 $1,116.00 $1,116.00 $558.00 $1,227.60 $803.52 2026-09-20
29024802 LOCAL Opening Reamer 11.5mm 15 7 $1,084.50 $1,084.50 $542.25 $1,192.95 $780.84 2026-09-20
29016169 LOCAL Freehand Drill 4.2x130mm 15 7 $1,066.50 $1,066.50 $533.25 $1,173.15 $767.88 2026-09-20
29184971 LOCAL Hd Scorpion Needle 15 7 $1,462.50 $1,462.50 $731.25 $1,170.00 $950.63 2026-09-20
29168060 LOCAL Precision Pintm Tapered D3.2/3.9x450mm 15 7 $1,057.50 $1,057.50 $528.75 $1,163.25 $761.40 2026-09-20
11622 CPT 11622 Pf Exc H-f-nk-sp Mlg+marg 1 15 7 $1,160.00 $1,160.00 $142.30 $1,160.00 $684.40 2026-09-20
99285 CPT 99285 - Ed Profee - High Mdm 30 7 $1,263.54 $1,263.54 $74.16 $1,138.41 $819.49 2026-09-20
29004266 LOCAL Drill Bit Ao 3.2.mmx145mm 15 7 $1,012.50 $1,012.50 $506.25 $1,113.75 $729.00 2026-09-20
29139395 LOCAL Screwdriver 2.5 Hex 115mm 15 7 $985.50 $985.50 $492.75 $1,084.05 $709.56 2026-09-20
27584385 LOCAL Drill Bit 2.0mm 15 7 $1,332.00 $1,332.00 $666.00 $1,065.60 $865.80 2026-09-20
26690516 LOCAL 1.5mm Ti Extended H-plate Right 15 7 $951.08 $951.08 $475.54 $1,046.19 $684.78 2026-09-20
26690517 LOCAL 1.5mm Ti Extended H-plate Left 15 7 $951.08 $951.08 $475.54 $1,046.19 $684.78 2026-09-20
11440 CPT 11440 Pf Exc Face-mm B9+marg 0.5 Or < 15 7 $1,014.70 $1,014.70 $90.94 $1,014.70 $598.67 2026-09-20
26690515 LOCAL 1.5mm Ti Y-plate 3x8 Hole 15 7 $910.22 $910.22 $455.11 $1,001.24 $655.36 2026-09-20
42809 CPT 42809 Removal Foreign Body Pharynx Techfee 15 7 $1,000.79 $1,000.79 $197.20 $1,000.79 $720.57 2026-09-20
65220 CPT 65220 Rmvl Fb Xtrnl Eye Corneal Without Slit Lamp Techfee 15 7 $1,000.79 $1,000.79 $67.50 $1,000.79 $720.57 2026-09-20
81479 CPT 81479 Annk1/drd2 15 7 $1,240.43 $1,240.43 $80.80 $992.34 $652.47 2026-09-20
27584383 LOCAL Va Lcking Screw Slf Tpng 2.7mm 16mm 15 7 $1,233.00 $1,233.00 $616.50 $986.40 $801.45 2026-09-20
27584379 LOCAL Va Lcking Screw Slf Tpng 2.7mm 15 7 $1,233.00 $1,233.00 $616.50 $986.40 $801.45 2026-09-20
27584381 LOCAL Va Lckng Screw Slf Tpng 2.7mm 14mm 15 7 $1,233.00 $1,233.00 $616.50 $986.40 $801.45 2026-09-20
26690544 LOCAL 1.3 Ti Screw 7mm 15 7 $895.50 $895.50 $447.75 $985.05 $644.76 2026-09-20
26690545 LOCAL 1.3 Ti Screw 8mm 15 7 $895.50 $895.50 $447.75 $985.05 $644.76 2026-09-20
29107253 LOCAL Perform Humeral Guide Pin 3.0x100mm 15 7 $881.10 $881.10 $440.55 $969.21 $634.39 2026-09-20
27344269 LOCAL Minor Procedure 15 7 $1,200.00 $1,200.00 $600.00 $960.00 $780.00 2026-09-20
27751450PR LOCAL Pf Surgeon Level 1 15 7 $1,200.00 $1,200.00 $480.00 $960.00 $780.00 2026-09-20
996033 LOCAL Minor 15 7 $1,200.00 $1,200.00 $600.00 $960.00 $780.00 2026-09-20
87506 CPT Gastrointestinal Pathogen Panel, Real-time Pcr Qst 15 7 $1,067.88 $1,067.88 $121.99 $922.22 $829.99 2026-09-20
29145478 LOCAL Apollo Rf Sj50 Aspirating Ablator 50 Degree 15 7 $1,125.00 $1,125.00 $562.50 $900.00 $731.25 2026-09-20
J3304 HCPCS Triamcinolone 32 Mg Pwd 15 7 $1,120.82 $1,120.82 $560.41 $896.66 $728.53 2026-09-20
29149903 LOCAL Dwj140 Shoulder 15 7 $1,091.25 $1,091.25 $545.63 $873.00 $709.31 2026-09-20
92977 CPT 92977 Thrombolysis Coronary Intravenous Infusion Techfee 15 7 $852.17 $852.17 $93.59 $852.17 $613.56 2026-09-20
P9055 HCPCS Plt Cpd 450 15 7 $1,027.25 $1,027.25 $513.63 $821.80 $667.71 2026-09-20
P9019 HCPCS Pooled Plt Cp2d Open 15 7 $1,027.25 $1,027.25 $513.63 $821.80 $667.71 2026-09-20
11982 CPT 11982 Removal, Drug Delivery Implant Tech Fee 15 7 $810.69 $810.69 $54.42 $810.69 $648.55 2026-09-20
G0427 HCPCS G0427 Telehealth Consultation, Emergency Department Or Initial Inp 15 7 $996.00 $996.00 $498.00 $796.80 $647.40 2026-09-20
99284 CPT 99284 - Ed Profee- Moderate Mdm 30 7 $851.63 $851.63 $50.04 $755.27 $600.35 2026-09-20
61958-2901-01 NDC Remdesivir 100 Mg Pow 15 7 $936.00 $936.00 $468.00 $748.80 $608.40 2026-09-20
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