Hospital

OTTO KAISER MEMORIAL HOSPITAL

Kenedy, TX · CCN 451364 · Rates published

3,938 distinct procedures filed

25 distinct payers

137,876 rate rows

2026-05-15 last MRF observed

Data quality

122,221 of 137,876 rate rows are consumer-grade (88.6%)

15,655 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 — reason	Rows
placeholder amount (≤ $0.02) — excluded from medians	15,655

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://app.box.com/shared/static/975c4l216mwp1gfmjthalopzs6lqvq51.csv
Found on page	https://okmh.org/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-19
Content fingerprint	52495d9c8f66388a… · 7,801,919 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
10402437 OTHER	Orif Nonunion Humerus Fx With Graft	25	$448.31	$28,850.32	$20,954.44	nat. median $20,954 1.0× median
10402343 OTHER	Arthro Acl Repair/augment Or Reconst	25	$2,500.00	$22,344.00	$17,404.80	nat. median $17,405 1.0× median
47562 OTHER	Cholecystectomy, Laparoscopic Without Chola	25	$810.29	$25,585.40	$12,792.70	nat. median $5,844 outlier · 2.2×
10402281 OTHER	Orif Distal Radius Fx	25	$630.41	$13,272.93	$9,640.34	nat. median $9,640 1.0× median
10402008 OTHER	Cholecystectomy, Laparoscopic Without Chola	25	$810.29	$12,792.70	$9,291.54	nat. median $9,292 1.0× median
10402418 OTHER	Appendectomy, Laparoscopic	25	$390.92	$12,792.70	$9,291.54	nat. median $9,292 1.0× median
10402340 OTHER	Laparoscopic Tubal Ligation	25	$2,500.00	$11,819.43	$9,206.71	nat. median $9,207 1.0× median
10402416 OTHER	Orif Ankle	25	$448.31	$12,653.53	$9,190.46	nat. median $9,190 1.0× median
10402332 OTHER	Orif Fx Olecranon	25	$448.31	$10,972.03	$7,969.16	nat. median $7,969 1.0× median
10402342 OTHER	Orif Distal Fibula Fx	25	$390.92	$10,971.55	$7,968.81	nat. median $7,969 1.0× median
10402372 OTHER	Laparoscopy With Fulg Or Exc Lesion Ovar	25	$552.22	$10,918.35	$7,930.17	nat. median $7,930 1.0× median
10402375 OTHER	Laparoscopy With Lysis Of Adhesions	25	$630.41	$10,918.35	$7,930.17	nat. median $7,930 1.0× median
10402384 OTHER	Tonsillectomy, Under 12 Y/o	25	$552.22	$10,667.55	$7,748.01	nat. median $7,748 1.0× median
10402414 OTHER	Excision Arthroplasty Trapezium	25	$630.41	$10,566.85	$7,674.87	nat. median $7,675 1.0× median
10402303 OTHER	Diagn Shoulder Arthroscopy	25	$448.31	$10,473.75	$7,607.25	nat. median $7,607 1.0× median
10402423 OTHER	Oophorectomy	25	$291.94	$10,431.57	$7,576.61	nat. median $7,577 1.0× median
10402425 OTHER	Lap Cholecyst Converted To Open Cholecys	25	$2,500.00	$9,500.00	$7,400.00	nat. median $7,400 1.0× median
10402304 OTHER	Open Rotator Cuff Repair	25	$873.87	$10,159.78	$7,379.21	nat. median $7,379 1.0× median
10402435 OTHER	Hernia Repair/mult Hernias Same Incision	25	$552.22	$9,500.00	$6,900.00	nat. median $6,900 1.0× median
10402436 OTHER	Complex Hernia Repair	25	$552.22	$9,500.00	$6,900.00	nat. median $6,900 1.0× median
10402362 OTHER	Laparoscopy With Oophorectomy	25	$2,500.00	$8,696.30	$6,773.96	nat. median $6,774 1.0× median
10402397 OTHER	Diagnostic Laparoscopy	25	$291.94	$9,028.33	$6,557.42	nat. median $6,557 1.0× median
10402444 OTHER	Cholecystectomy, Laparoscopic Discontinu	25	$810.29	$8,732.12	$6,342.27	nat. median $6,342 1.0× median
10402009 OTHER	Cholecystectomy, Laparoscopic W/cholangi	25	$2,500.00	$8,006.60	$6,236.72	nat. median $6,237 1.0× median
10402337 OTHER	Anterior And Posterior Repair	25	$2,500.00	$7,921.10	$6,170.12	nat. median $6,170 1.0× median
10402141 OTHER	Repair Umbilical Hernia Age 5 > Incarcer	25	$291.94	$8,402.75	$6,103.05	nat. median $6,103 1.0× median
10402287 OTHER	Endoscopic Carpal Tunnel Release	25	$448.31	$8,390.88	$6,094.43	nat. median $6,094 1.0× median
10402323 OTHER	Total Abdominal Hysterectomy	25	$2,500.00	$7,720.65	$6,013.98	nat. median $6,014 1.0× median
200919 OTHER	Glaukos Trabecular Micro-bypass (hager)	25	$1,000.00	$7,686.45	$5,987.34	nat. median $5,097 1.2× median
10402285 OTHER	Open Choleciptectomy W Cholangiography A	25	$2,500.00	$7,604.28	$5,923.33	nat. median $5,923 1.0× median
10402035 OTHER	Repair Incisional/ventral Hernia Incar	25	$630.41	$8,003.28	$5,812.91	nat. median $5,813 1.0× median
10402051 OTHER	Tube Placement, Open	25	$2,500.00	$7,449.43	$5,802.71	nat. median $5,803 1.0× median
10402336 OTHER	Vaginal Hysterectomy, Uterus 250 Or Less	25	$291.94	$7,921.10	$5,753.22	nat. median $5,753 1.0× median
10402319 OTHER	Open Cholecystectomy With Ioc With Cde	25	$2,500.00	$7,331.63	$5,710.95	nat. median $5,711 1.0× median
10402102 OTHER	Tubal Ligation Bilat Or Unilateral(mini)	25	$630.41	$7,858.40	$5,707.68	nat. median $5,708 1.0× median
10402374 OTHER	Bunionectomy	25	$448.31	$7,823.25	$5,682.15	nat. median $5,682 1.0× median
10402367 OTHER	Excision, Benign Gastric Tumor/polyp	25	$2,500.00	$7,258.48	$5,653.97	nat. median $5,654 1.0× median
10402307 OTHER	Endometrial Ablation, Thermal	25	$448.31	$7,720.65	$5,607.63	nat. median $5,608 1.0× median
10402298 OTHER	Arthroscopy Of Knee	25	$448.31	$7,627.55	$5,540.01	nat. median $5,540 1.0× median
3009732 OTHER	Neulasta Pfs 6mg/0.6ml Inj	25	$1,000.00	$7,103.41	$5,533.18	nat. median $5,533 1.0× median
10402440 OTHER	Tenotomy, Elbow Debridement Soft Tissue	25	$1,138.09	$7,538.91	$5,475.63	nat. median $5,476 1.0× median
10402326 OTHER	Repair Recurrent Incisional Or Ventral H	25	$552.22	$7,517.35	$5,459.97	nat. median $5,460 1.0× median
10402153 OTHER	Excision Ovarion Cyst, Unilateral Or Bil	25	$2,500.00	$6,954.38	$5,417.10	nat. median $5,417 1.0× median
10402100 OTHER	Cholecystectomy	25	$2,500.00	$6,928.35	$5,396.82	nat. median $5,397 1.0× median
10402368 OTHER	Repair Recurrent Inguinal Hernia, Incarc	25	$552.22	$7,269.40	$5,279.88	nat. median $5,280 1.0× median
10811262 OTHER	Repair Blood Vessel, Direct Hand, Finger	25	$1,000.00	$6,678.03	$5,201.83	nat. median $5,202 1.0× median
10402316 OTHER	Orchiopexy Inguinal Approach	25	$552.22	$7,159.20	$5,199.84	nat. median $5,200 1.0× median
10402428 OTHER	Biopsy/exc Of Deep Axillary Lymph Node	25	$107.70	$7,125.00	$5,175.00	nat. median $5,175 1.0× median
10402121 OTHER	Mastectomy For Gynecomastia	25	$448.31	$7,123.10	$5,173.62	nat. median $5,174 1.0× median
10402127 OTHER	Cholecystectomy With Cholangiography	25	$2,500.00	$6,532.68	$5,088.61	nat. median $5,089 1.0× median

Other procedures at this hospital

Browse this hospital's 3,938 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

10402437	OTHER	Orif Nonunion Humerus Fx With Graft	31	25	$30,368.76	$30,368.76	$448.31	$28,850.32	$20,954.44	2026-05-15
10402343	OTHER	Arthro Acl Repair/augment Or Reconst	31	25	$23,520.00	$23,520.00	$2,500.00	$22,344.00	$17,404.80	2026-05-15
47562	OTHER	Cholecystectomy, Laparoscopic Without Chola	62	25	$13,466.00	$13,466.00	$810.29	$25,585.40	$12,792.70	2026-05-15
10402281	OTHER	Orif Distal Radius Fx	31	25	$13,971.50	$13,971.50	$630.41	$13,272.93	$9,640.34	2026-05-15
10402008	OTHER	Cholecystectomy, Laparoscopic Without Chola	31	25	$13,466.00	$13,466.00	$810.29	$12,792.70	$9,291.54	2026-05-15
10402418	OTHER	Appendectomy, Laparoscopic	31	25	$13,466.00	$13,466.00	$390.92	$12,792.70	$9,291.54	2026-05-15
10402340	OTHER	Laparoscopic Tubal Ligation	31	25	$12,441.50	$12,441.50	$2,500.00	$11,819.43	$9,206.71	2026-05-15
10402416	OTHER	Orif Ankle	31	25	$13,319.50	$13,319.50	$448.31	$12,653.53	$9,190.46	2026-05-15
10402332	OTHER	Orif Fx Olecranon	31	25	$11,549.50	$11,549.50	$448.31	$10,972.03	$7,969.16	2026-05-15
10402342	OTHER	Orif Distal Fibula Fx	31	25	$11,549.00	$11,549.00	$390.92	$10,971.55	$7,968.81	2026-05-15
10402372	OTHER	Laparoscopy With Fulg Or Exc Lesion Ovar	31	25	$11,493.00	$11,493.00	$552.22	$10,918.35	$7,930.17	2026-05-15
10402375	OTHER	Laparoscopy With Lysis Of Adhesions	31	25	$11,493.00	$11,493.00	$630.41	$10,918.35	$7,930.17	2026-05-15
10402384	OTHER	Tonsillectomy, Under 12 Y/o	31	25	$11,229.00	$11,229.00	$552.22	$10,667.55	$7,748.01	2026-05-15
10402414	OTHER	Excision Arthroplasty Trapezium	31	25	$11,123.00	$11,123.00	$630.41	$10,566.85	$7,674.87	2026-05-15
10402303	OTHER	Diagn Shoulder Arthroscopy	31	25	$11,025.00	$11,025.00	$448.31	$10,473.75	$7,607.25	2026-05-15
10402423	OTHER	Oophorectomy	31	25	$10,980.60	$10,980.60	$291.94	$10,431.57	$7,576.61	2026-05-15
10402425	OTHER	Lap Cholecyst Converted To Open Cholecys	31	25	$10,000.00	$10,000.00	$2,500.00	$9,500.00	$7,400.00	2026-05-15
10402304	OTHER	Open Rotator Cuff Repair	31	25	$10,694.50	$10,694.50	$873.87	$10,159.78	$7,379.21	2026-05-15
10402436	OTHER	Complex Hernia Repair	31	25	$10,000.00	$10,000.00	$552.22	$9,500.00	$6,900.00	2026-05-15
10402435	OTHER	Hernia Repair/mult Hernias Same Incision	31	25	$10,000.00	$10,000.00	$552.22	$9,500.00	$6,900.00	2026-05-15
10402362	OTHER	Laparoscopy With Oophorectomy	31	25	$9,154.00	$9,154.00	$2,500.00	$8,696.30	$6,773.96	2026-05-15
10402397	OTHER	Diagnostic Laparoscopy	31	25	$9,503.50	$9,503.50	$291.94	$9,028.33	$6,557.42	2026-05-15
10402444	OTHER	Cholecystectomy, Laparoscopic Discontinu	31	25	$9,191.70	$9,191.70	$810.29	$8,732.12	$6,342.27	2026-05-15
10402009	OTHER	Cholecystectomy, Laparoscopic W/cholangi	31	25	$8,428.00	$8,428.00	$2,500.00	$8,006.60	$6,236.72	2026-05-15
10402337	OTHER	Anterior And Posterior Repair	31	25	$8,338.00	$8,338.00	$2,500.00	$7,921.10	$6,170.12	2026-05-15
10402141	OTHER	Repair Umbilical Hernia Age 5 > Incarcer	31	25	$8,845.00	$8,845.00	$291.94	$8,402.75	$6,103.05	2026-05-15
10402287	OTHER	Endoscopic Carpal Tunnel Release	31	25	$8,832.50	$8,832.50	$448.31	$8,390.88	$6,094.43	2026-05-15
10402323	OTHER	Total Abdominal Hysterectomy	31	25	$8,127.00	$8,127.00	$2,500.00	$7,720.65	$6,013.98	2026-05-15
200919	OTHER	Glaukos Trabecular Micro-bypass (hager)	31	25	$8,091.00	$8,091.00	$1,000.00	$7,686.45	$5,987.34	2026-05-15
10402285	OTHER	Open Choleciptectomy W Cholangiography A	31	25	$8,004.50	$8,004.50	$2,500.00	$7,604.28	$5,923.33	2026-05-15
10402035	OTHER	Repair Incisional/ventral Hernia Incar	31	25	$8,424.50	$8,424.50	$630.41	$8,003.28	$5,812.91	2026-05-15
10402051	OTHER	Tube Placement, Open	31	25	$7,841.50	$7,841.50	$2,500.00	$7,449.43	$5,802.71	2026-05-15
10402336	OTHER	Vaginal Hysterectomy, Uterus 250 Or Less	31	25	$8,338.00	$8,338.00	$291.94	$7,921.10	$5,753.22	2026-05-15
10402319	OTHER	Open Cholecystectomy With Ioc With Cde	31	25	$7,717.50	$7,717.50	$2,500.00	$7,331.63	$5,710.95	2026-05-15
10402102	OTHER	Tubal Ligation Bilat Or Unilateral(mini)	31	25	$8,272.00	$8,272.00	$630.41	$7,858.40	$5,707.68	2026-05-15
10402374	OTHER	Bunionectomy	31	25	$8,235.00	$8,235.00	$448.31	$7,823.25	$5,682.15	2026-05-15
10402367	OTHER	Excision, Benign Gastric Tumor/polyp	31	25	$7,640.50	$7,640.50	$2,500.00	$7,258.48	$5,653.97	2026-05-15
10402307	OTHER	Endometrial Ablation, Thermal	31	25	$8,127.00	$8,127.00	$448.31	$7,720.65	$5,607.63	2026-05-15
10402298	OTHER	Arthroscopy Of Knee	31	25	$8,029.00	$8,029.00	$448.31	$7,627.55	$5,540.01	2026-05-15
3009732	OTHER	Neulasta Pfs 6mg/0.6ml Inj	31	25	$7,477.27	$7,477.27	$1,000.00	$7,103.41	$5,533.18	2026-05-15
10402440	OTHER	Tenotomy, Elbow Debridement Soft Tissue	31	25	$7,935.69	$7,935.69	$1,138.09	$7,538.91	$5,475.63	2026-05-15
10402326	OTHER	Repair Recurrent Incisional Or Ventral H	31	25	$7,913.00	$7,913.00	$552.22	$7,517.35	$5,459.97	2026-05-15
10402153	OTHER	Excision Ovarion Cyst, Unilateral Or Bil	31	25	$7,320.40	$7,320.40	$2,500.00	$6,954.38	$5,417.10	2026-05-15
10402100	OTHER	Cholecystectomy	31	25	$7,293.00	$7,293.00	$2,500.00	$6,928.35	$5,396.82	2026-05-15
10402368	OTHER	Repair Recurrent Inguinal Hernia, Incarc	31	25	$7,652.00	$7,652.00	$552.22	$7,269.40	$5,279.88	2026-05-15
10811262	OTHER	Repair Blood Vessel, Direct Hand, Finger	31	25	$7,029.50	$7,029.50	$1,000.00	$6,678.03	$5,201.83	2026-05-15
10402316	OTHER	Orchiopexy Inguinal Approach	31	25	$7,536.00	$7,536.00	$552.22	$7,159.20	$5,199.84	2026-05-15
10402428	OTHER	Biopsy/exc Of Deep Axillary Lymph Node	31	25	$7,500.00	$7,500.00	$107.70	$7,125.00	$5,175.00	2026-05-15
10402121	OTHER	Mastectomy For Gynecomastia	31	25	$7,498.00	$7,498.00	$448.31	$7,123.10	$5,173.62	2026-05-15
10402127	OTHER	Cholecystectomy With Cholangiography	31	25	$6,876.50	$6,876.50	$2,500.00	$6,532.68	$5,088.61	2026-05-15
10402074	OTHER	Hernia Repair, Ventral Or Incisional	31	25	$7,371.00	$7,371.00	$552.22	$7,002.45	$5,085.99	2026-05-15
10402427	OTHER	Fasciectomy, Partial Palmar	31	25	$7,186.77	$7,186.77	$448.31	$6,827.43	$4,958.87	2026-05-15
10402363	OTHER	Laparoscopic Aspiration Of Ovarian Cyst	31	25	$7,166.50	$7,166.50	$552.22	$6,808.18	$4,944.89	2026-05-15
10402001	OTHER	Appendectomy	31	25	$6,659.00	$6,659.00	$2,500.00	$6,326.05	$4,927.66	2026-05-15
10402217	OTHER	Cholecystectomy W Exploration Of Common	31	25	$6,946.00	$6,946.00	$291.94	$6,598.70	$4,792.74	2026-05-15
10402335	OTHER	Mastectomy, Subcutaneous	31	25	$6,441.50	$6,441.50	$2,500.00	$6,119.43	$4,766.71	2026-05-15
10402023	OTHER	Inguinal Hernia Repair Recurrent Any Age	31	25	$6,824.50	$6,824.50	$630.41	$6,483.28	$4,708.91	2026-05-15
10402438	OTHER	Hernia Or Proc, Discont/incomplete Proc	31	25	$6,824.50	$6,824.50	$552.22	$6,483.28	$4,708.91	2026-05-15
10402291	OTHER	Amputation Metacarpal Bone	31	25	$6,780.50	$6,780.50	$390.92	$6,441.48	$4,678.55	2026-05-15
10402294	OTHER	Supracervial Abd Hysterectomy W Or Wo Re	31	25	$6,615.00	$6,615.00	$1,138.09	$6,284.25	$4,564.35	2026-05-15
66984	OTHER	Cataract Ectraction, Complex	62	25	$4,769.00	$4,769.00	$938.95	$9,061.10	$4,530.55	2026-05-15
10402322	OTHER	Nipple Exploration W Or Wo Excision Of L	31	25	$6,530.00	$6,530.00	$390.92	$6,203.50	$4,505.70	2026-05-15
10402429	OTHER	Exploration Postop Hemorrhage/hematoma	31	25	$6,500.00	$6,500.00	$291.94	$6,175.00	$4,485.00	2026-05-15
10402076	OTHER	Mastectomy, Modified Radical	31	25	$6,463.00	$6,463.00	$291.94	$6,139.85	$4,459.47	2026-05-15
10402413	OTHER	Open Treatment Of Lunate Dislocation	31	25	$6,432.00	$6,432.00	$390.92	$6,110.40	$4,438.08	2026-05-15
10854303	OTHER	I & D Epididymis/testis/scrotal Space	31	25	$5,830.00	$5,830.00	$1,000.00	$5,538.50	$4,314.20	2026-05-15
10402292	OTHER	Removal Of Implant, Deep	31	25	$6,098.50	$6,098.50	$291.94	$5,793.58	$4,207.97	2026-05-15
10402021	OTHER	Hernia Repair, Inguinal, 5 Y/o Or Older	31	25	$6,019.12	$6,019.12	$552.22	$5,718.16	$4,153.19	2026-05-15
10402231	OTHER	Lumpectomey W Axillary Lymphadenectomy	31	25	$5,903.50	$5,903.50	$552.22	$5,608.33	$4,073.42	2026-05-15
10402422	OTHER	Hysteroscopy With Or Without D & C	31	25	$5,862.00	$5,862.00	$448.31	$5,568.90	$4,044.78	2026-05-15
10402385	OTHER	Tonsillectomy, 12 Y/o And Over	31	25	$5,857.00	$5,857.00	$291.94	$5,564.15	$4,041.33	2026-05-15
10402354	OTHER	Biopsy/excision Lymph Node, Deep Cervica	31	25	$5,733.00	$5,733.00	$390.92	$5,446.35	$3,955.77	2026-05-15
10402302	OTHER	Excision, Mass, Leg Or Ankle	31	25	$5,716.00	$5,716.00	$448.31	$5,430.20	$3,944.04	2026-05-15
10402360	OTHER	Tonsillectomy And Adenoidectomy	31	25	$5,670.00	$5,670.00	$448.31	$5,386.50	$3,912.30	2026-05-15
10851304	OTHER	Repair Flexor Tendon/muscle	31	25	$5,645.00	$5,645.00	$85.32	$5,362.75	$3,895.05	2026-05-15
10402382	OTHER	Injection(s) Anes/steroid*ea Level Bilat	31	25	$5,627.50	$5,627.50	$291.94	$5,346.13	$3,882.98	2026-05-15
10402179	OTHER	Axillary Lymphadenectomy Superficial	31	25	$5,607.00	$5,607.00	$390.92	$5,326.65	$3,868.83	2026-05-15
10402310	OTHER	Exchange Of Intraocular Lens	31	25	$5,593.50	$5,593.50	$810.29	$5,313.83	$3,859.52	2026-05-15
10402041	OTHER	Mastectomy, Simple Complete	31	25	$5,145.00	$5,145.00	$2,500.00	$4,887.75	$3,807.30	2026-05-15
10402296	OTHER	Inguinal Hernia Repair W Exc Cord Lipoma	31	25	$5,512.50	$5,512.50	$552.22	$5,236.88	$3,803.63	2026-05-15
10402405	OTHER	Excision Soft Tissue Foot/toe Subq	31	25	$5,470.50	$5,470.50	$390.92	$5,196.98	$3,774.65	2026-05-15
10402408	OTHER	Bone Biopsy, Open	31	25	$5,470.50	$5,470.50	$390.92	$5,196.98	$3,774.65	2026-05-15
10402317	OTHER	Excision Tumor, Soft Tissue	31	25	$5,444.50	$5,444.50	$390.92	$5,172.28	$3,756.71	2026-05-15
10402315	OTHER	Excision Hydrocele Of Cord	31	25	$5,407.50	$5,407.50	$448.31	$5,137.13	$3,731.18	2026-05-15
10402339	OTHER	Excision Soft Tissue Tumor, Forearm/wris	31	25	$5,383.50	$5,383.50	$873.87	$5,114.33	$3,714.62	2026-05-15
10402290	OTHER	Repair Initial Inquinal Hernia Direct In	31	25	$5,348.50	$5,348.50	$552.22	$5,081.08	$3,690.47	2026-05-15
10402366	OTHER	Orchiectomy, Simple	31	25	$5,345.50	$5,345.50	$390.92	$5,078.23	$3,688.40	2026-05-15
10402396	OTHER	Excision/currettage Bone Cyst/tumor Toe	31	25	$5,304.00	$5,304.00	$138.98	$5,038.80	$3,659.76	2026-05-15
10402403	OTHER	Correction Hammer Toe	31	25	$5,304.00	$5,304.00	$448.31	$5,038.80	$3,659.76	2026-05-15
10402341	OTHER	Split Thickness Skin Graft	31	25	$4,936.00	$4,936.00	$2,500.00	$4,689.20	$3,652.64	2026-05-15
10402030	OTHER	Hernia Repair, Umbilical, Reducible	31	25	$5,285.00	$5,285.00	$552.22	$5,020.75	$3,646.65	2026-05-15
10402104	OTHER	Repair Inguinal Hernia Sliding	31	25	$5,250.00	$5,250.00	$630.41	$4,987.50	$3,622.50	2026-05-15
10402126	OTHER	Insertion Of Tunneled Centrally Inserted	31	25	$5,249.50	$5,249.50	$448.31	$4,987.03	$3,622.16	2026-05-15
10402447	OTHER	Tenotomy Elbow Later Or Medial Debrideme	31	25	$5,246.68	$5,246.68	$448.31	$4,984.35	$3,620.21	2026-05-15
10402353	OTHER	Excision Tumor Soft Tissue/musc Abd Wall	31	25	$5,232.50	$5,232.50	$630.41	$4,970.88	$3,610.43	2026-05-15
10402255	OTHER	Repair Upper Recurrent Inc/vent Hernia	31	25	$5,227.00	$5,227.00	$630.41	$4,965.65	$3,606.63	2026-05-15
10402424	OTHER	Closure/suture Of Gastric Ulcer	31	25	$5,225.00	$5,225.00	$291.94	$4,963.75	$3,605.25	2026-05-15
10853302	OTHER	Vaginal Delivery After C Section Deliver	31	25	$5,182.00	$5,182.00	$262.86	$4,922.90	$3,575.58	2026-05-15
10402406	OTHER	Musculoskeletal System Procedure	31	25	$5,163.50	$5,163.50	$211.79	$4,905.33	$3,562.82	2026-05-15
10402411	OTHER	Tenosynovectomy; Wrist, Flexor	31	25	$5,163.50	$5,163.50	$448.31	$4,905.33	$3,562.82	2026-05-15
10402256	OTHER	Repair Lower Recurrent Inc/vent Hernia	31	25	$4,751.50	$4,751.50	$2,500.00	$4,513.93	$3,516.11	2026-05-15
10402022	OTHER	Inguinal Hernia Repair 5y/o Or Older Inc	31	25	$5,070.00	$5,070.00	$873.87	$4,816.50	$3,498.30	2026-05-15
10402306	OTHER	D & C	31	25	$4,949.00	$4,949.00	$390.92	$4,701.55	$3,414.81	2026-05-15
10402370	OTHER	I & D Deep Abscess Soft Tissue Neck/thor	31	25	$4,944.00	$4,944.00	$873.87	$4,696.80	$3,411.36	2026-05-15
10402347	OTHER	Excision Cyst/ganglion Foot	31	25	$4,875.50	$4,875.50	$390.92	$4,631.73	$3,364.10	2026-05-15
10402177	OTHER	Insertion Of Tunneled Central Venous Cat	31	25	$4,873.50	$4,873.50	$448.31	$4,629.83	$3,362.72	2026-05-15
10402191	OTHER	Unlisted Laparoscopi Proc Abd Mass Excis	31	25	$4,831.00	$4,831.00	$291.94	$4,589.45	$3,333.39	2026-05-15
10402159	OTHER	Removal Of Intact Mammary Implant	31	25	$4,454.50	$4,454.50	$2,500.00	$4,231.78	$3,296.33	2026-05-15
10402101	OTHER	Cataract Extraction, Complex	31	25	$4,769.00	$4,769.00	$938.95	$4,530.55	$3,290.61	2026-05-15
10802169	OTHER	Vag Delivery Only	31	25	$4,444.00	$4,444.00	$1,000.00	$4,221.80	$3,288.56	2026-05-15
10402445	OTHER	Excision Tumor Soft Tissue Of Back Flank	31	25	$4,756.58	$4,756.58	$873.87	$4,518.75	$3,282.04	2026-05-15
10402446	OTHER	Exci Tumor Soft Tis Of Upper Arm 5cm >	31	25	$4,756.58	$4,756.58	$390.92	$4,518.75	$3,282.04	2026-05-15
10402077	OTHER	Hydrocelectomy, Tunica Vaginalis Unilate	31	25	$4,730.00	$4,730.00	$291.94	$4,493.50	$3,263.70	2026-05-15
10402311	OTHER	Excision Vaginal Cyst/polyp/tumor	31	25	$4,711.00	$4,711.00	$390.92	$4,475.45	$3,250.59	2026-05-15
19120	OTHER	Excision Breast Mass	62	25	$3,410.00	$3,410.00	$448.31	$6,479.00	$3,239.50	2026-05-15
10402254	OTHER	Excision, Tumor, Soft Tissue Of Face Or	31	25	$4,677.00	$4,677.00	$266.88	$4,443.15	$3,227.13	2026-05-15
10402055	OTHER	Hemorrhoidectomy I & E Complex/multiple	31	25	$4,669.17	$4,669.17	$448.31	$4,435.71	$3,221.73	2026-05-15
10402170	OTHER	Hemorrhoidectomy, Internal And External	31	25	$4,669.17	$4,669.17	$448.31	$4,435.71	$3,221.73	2026-05-15
1042443	OTHER	Hemorrhoidectomy, External 2 Or More Col	31	25	$4,669.16	$4,669.16	$448.31	$4,435.70	$3,221.72	2026-05-15
10402258	OTHER	Hemorrhodectomy Into Ext Single Colum	31	25	$4,669.16	$4,669.16	$448.31	$4,435.70	$3,221.72	2026-05-15
10402443	OTHER	Hemorrhoidectomy, External 2 Or More Col	31	25	$4,669.16	$4,669.16	$448.31	$4,435.70	$3,221.72	2026-05-15
10402344	OTHER	Repositioning Of Intraocular Lens	31	25	$4,622.50	$4,622.50	$938.95	$4,391.38	$3,189.53	2026-05-15
10402346	OTHER	Excision Tumor S/t Forearm/wrist Subq	31	25	$4,619.00	$4,619.00	$390.92	$4,388.05	$3,187.11	2026-05-15
10402357	OTHER	Marsupialization Of Bartholins Gland Cy	31	25	$4,582.00	$4,582.00	$448.31	$4,352.90	$3,161.58	2026-05-15
10402448	OTHER	Radical Excision Of Bursa Synovia Or Wrs	31	25	$4,577.00	$4,577.00	$552.22	$4,348.15	$3,158.13	2026-05-15
10402271	OTHER	Carpal Tunnel Release, Open	31	25	$4,577.00	$4,577.00	$291.94	$4,348.15	$3,158.13	2026-05-15
10402325	OTHER	Ulnar Nerve Neuroplasty/transposition El	31	25	$4,577.00	$4,577.00	$390.92	$4,348.15	$3,158.13	2026-05-15
10402349	OTHER	Excision Of Bartholins Gland Or Cyst	31	25	$4,553.50	$4,553.50	$630.41	$4,325.83	$3,141.92	2026-05-15
10402299	OTHER	Excision Tumor Soft Tis Shoulder Grt 3 C	31	25	$4,537.00	$4,537.00	$390.92	$4,310.15	$3,130.53	2026-05-15
10402293	OTHER	Excision Tumor Soft Tissue Neck Anterior	31	25	$4,537.00	$4,537.00	$390.92	$4,310.15	$3,130.53	2026-05-15
10402351	OTHER	Clsd Tx Distal Tib/fib Fx With Manipulat	31	25	$4,226.00	$4,226.00	$2,500.00	$4,014.70	$3,127.24	2026-05-15
10402391	OTHER	Injection (s); Diag/ther, Lmbr/sacr, Bil	31	25	$4,220.50	$4,220.50	$2,500.00	$4,009.48	$3,123.17	2026-05-15
10402399	OTHER	Injection(s) Transforaminal Epidural Bil	31	25	$4,220.50	$4,220.50	$2,500.00	$4,009.48	$3,123.17	2026-05-15
10402378	OTHER	Injection Proc For Si Joint-bilateral	31	25	$4,220.50	$4,220.50	$2,500.00	$4,009.48	$3,123.17	2026-05-15
10402380	OTHER	Injection(s) Anes Agent/steroid-bilat	31	25	$4,220.50	$4,220.50	$2,500.00	$4,009.48	$3,123.17	2026-05-15
10402270	OTHER	Excision, Tumor, Soft Tissue, Abd Wall	31	25	$4,497.00	$4,497.00	$291.94	$4,272.15	$3,102.93	2026-05-15
10402420	OTHER	Excision Tumor/mass, Subfascial/intramus	31	25	$4,455.00	$4,455.00	$552.22	$4,232.25	$3,073.95	2026-05-15
10402421	OTHER	Excision Tumor/mass, Subfascial/intramus	31	25	$4,455.00	$4,455.00	$390.92	$4,232.25	$3,073.95	2026-05-15
10402204	OTHER	Cholecystostomy W/drainage & Tube Place	31	25	$4,410.00	$4,410.00	$810.29	$4,189.50	$3,042.90	2026-05-15
2010184	OTHER	MRI Lumbar Wwo	31	25	$4,362.00	$4,362.00	$294.24	$4,143.90	$3,009.78	2026-05-15
10402324	OTHER	Ulnar Nerve Transposition Wrist	31	25	$4,359.00	$4,359.00	$390.92	$4,141.05	$3,007.71	2026-05-15
3002311	OTHER	Digifab(digoxin Immune Fab)40mg	31	25	$4,057.20	$4,057.20	$1,000.00	$3,854.34	$3,002.33	2026-05-15
10402371	OTHER	Delay/sectioning Of Flap	31	25	$4,319.50	$4,319.50	$448.31	$4,103.53	$2,980.46	2026-05-15
10402369	OTHER	Crossfinger Flap Repair	31	25	$4,319.50	$4,319.50	$552.22	$4,103.53	$2,980.46	2026-05-15
10402181	OTHER	Repair Initial Inguinal Hernia Age 6 Mo	31	25	$4,311.00	$4,311.00	$552.22	$4,095.45	$2,974.59	2026-05-15
10402210	OTHER	Repair Initial Femoral Hernia, Any Age	31	25	$4,309.00	$4,309.00	$552.22	$4,093.55	$2,973.21	2026-05-15
10402129	OTHER	Hernia Repair, Epigastric	31	25	$4,300.00	$4,300.00	$552.22	$4,085.00	$2,967.00	2026-05-15
10402106	OTHER	Transmetatarsal Amputation	31	25	$4,290.00	$4,290.00	$390.92	$4,075.50	$2,960.10	2026-05-15
10802164	OTHER	I & D Abscess Perirectal	31	25	$3,984.00	$3,984.00	$1,000.00	$3,784.80	$2,948.16	2026-05-15
10402417	OTHER	Excision Tumor Soft Tissue Fascia/im	31	25	$4,225.50	$4,225.50	$123.47	$4,014.23	$2,915.60	2026-05-15
10402389	OTHER	Injection; Anes Agent, Lumbr/thorc/bilat	31	25	$4,220.50	$4,220.50	$390.92	$4,009.48	$2,912.15	2026-05-15
10402402	OTHER	Injection(s) Epidural-ea Add Level-bilat	31	25	$4,220.50	$4,220.50	$291.94	$4,009.48	$2,912.15	2026-05-15
10402007	OTHER	Cataract, Phacoemulsification	31	25	$4,183.00	$4,183.00	$810.29	$3,973.85	$2,886.27	2026-05-15
45385	OTHER	Colonoscopy W Biopsy & Polypectomy	62	25	$3,010.00	$3,010.00	$390.92	$5,719.00	$2,859.50	2026-05-15
10803100	OTHER	Clsd Tx Fracture Distal Tibia With Tract	31	25	$4,133.50	$4,133.50	$85.32	$3,926.83	$2,852.12	2026-05-15
10803196	OTHER	Laryngoscopy, Direct, Op With Fb Remov	31	25	$3,853.00	$3,853.00	$1,000.00	$3,660.35	$2,851.22	2026-05-15
10402305	OTHER	Excision Tumor Soft Tissue Of Leg Or Ank	31	25	$4,118.50	$4,118.50	$390.92	$3,912.58	$2,841.77	2026-05-15
10402312	OTHER	Excision Tumor/hand Or Finger, Subq	31	25	$4,118.50	$4,118.50	$390.92	$3,912.58	$2,841.77	2026-05-15
2043882	OTHER	CT Abdomen/pelvis Wwo	31	25	$4,102.00	$4,102.00	$109.47	$3,896.90	$2,830.38	2026-05-15
10402262	OTHER	Excision Tumor, Soft Tissue Of Thigh Or	31	25	$3,824.00	$3,824.00	$2,409.12	$3,632.80	$2,829.76	2026-05-15
10402284	OTHER	Surgical Tmnt Anal Fistula (intersphin)	31	25	$4,075.00	$4,075.00	$552.22	$3,871.25	$2,811.75	2026-05-15
10402289	OTHER	Excision Of Rectal Tumor, Transanal Appr	31	25	$4,038.00	$4,038.00	$291.94	$3,836.10	$2,786.22	2026-05-15
10402005	OTHER	Breast Biopsy, Open, Incisional	31	25	$3,752.00	$3,752.00	$2,363.76	$3,564.40	$2,776.48	2026-05-15
10402239	OTHER	Excision Tumor Ant Thorax Or Neck	31	25	$4,015.00	$4,015.00	$873.87	$3,814.25	$2,770.35	2026-05-15
2043881	OTHER	CT Abdomen/pelvis W	31	25	$4,005.50	$4,005.50	$464.22	$3,805.23	$2,763.80	2026-05-15
10852336	OTHER	Clsd Trt Ip Disloc With Manip Req Anes	31	25	$3,968.00	$3,968.00	$99.86	$3,769.60	$2,737.92	2026-05-15
3409815	OTHER	Sleep Study Day 2	31	25	$3,698.49	$3,698.49	$1,000.00	$3,513.57	$2,736.88	2026-05-15
10402168	OTHER	Open Treatment Fx Great Toe W/wo Interna	31	25	$3,677.00	$3,677.00	$2,316.51	$3,493.15	$2,720.98	2026-05-15
10402442	OTHER	Removal Of Ext Fixation Device W Anesth	31	25	$3,940.00	$3,940.00	$291.94	$3,743.00	$2,718.60	2026-05-15
10402309	OTHER	Debridement/grafting	31	25	$3,921.00	$3,921.00	$143.08	$3,724.95	$2,705.49	2026-05-15
10402257	OTHER	I & D Rectal Abscess W Fistulectomey	31	25	$3,919.00	$3,919.00	$448.31	$3,723.05	$2,704.11	2026-05-15
10402064	OTHER	Excision Of Pilonidal Cyst:extensive	31	25	$3,654.00	$3,654.00	$2,302.02	$3,471.30	$2,703.96	2026-05-15
10402032	OTHER	Vitrectomy Anterior	31	25	$3,914.00	$3,914.00	$552.22	$3,718.30	$2,700.66	2026-05-15
10402268	OTHER	Split-thickness Auto Graft Trunk Arms Le	31	25	$3,913.00	$3,913.00	$390.92	$3,717.35	$2,699.97	2026-05-15
10402329	OTHER	Excision Lip Lesion Wide	31	25	$3,905.00	$3,905.00	$114.34	$3,709.75	$2,694.45	2026-05-15
690273	OTHER	CPT 81162 Brca1 Brca2 Gene Analysis 007	31	25	$3,637.00	$3,637.00	$1,000.00	$3,637.00	$2,691.38	2026-05-15
2010183	OTHER	MRI Cervical Wwo	31	25	$3,894.00	$3,894.00	$464.22	$3,699.30	$2,686.86	2026-05-15
10813167	OTHER	I & D Epididymis/testis/scrotal Space	31	25	$3,614.50	$3,614.50	$1,000.00	$3,433.78	$2,674.73	2026-05-15
10804187	OTHER	Unlisted Procedure Abd/periton/oment	31	25	$3,609.00	$3,609.00	$1,000.00	$3,428.55	$2,670.66	2026-05-15
10402060	OTHER	Circumcision, Surgical Ex Except Newborn	31	25	$3,865.50	$3,865.50	$448.31	$3,672.23	$2,667.20	2026-05-15
3409814	OTHER	Sleep Study Day 1	31	25	$3,587.61	$3,587.61	$1,000.00	$3,408.23	$2,654.83	2026-05-15
10402115	OTHER	I & D, Deep Abscess/ Bursa/ Hematoma Thi	31	25	$3,837.00	$3,837.00	$448.31	$3,645.15	$2,647.53	2026-05-15
10402386	OTHER	Uvulectomy, Excision Of Uvula	31	25	$3,836.50	$3,836.50	$390.92	$3,644.68	$2,647.19	2026-05-15
10402248	OTHER	Excision Tumor Soft Tissue Of Upper Arm	31	25	$3,824.00	$3,824.00	$873.87	$3,632.80	$2,638.56	2026-05-15
10402264	OTHER	Excision Mass	31	25	$3,824.00	$3,824.00	$105.20	$3,632.80	$2,638.56	2026-05-15
10402263	OTHER	Excision Malignant Lesion Scalp Neck Han	31	25	$3,818.50	$3,818.50	$127.90	$3,627.58	$2,634.77	2026-05-15
2043880	OTHER	CT Abdomen/pelvis Wo	31	25	$3,804.50	$3,804.50	$464.22	$3,614.28	$2,625.11	2026-05-15
10851307	OTHER	I & D Ischiorectal And/or Perirectal Ads	31	25	$3,546.00	$3,546.00	$1,000.00	$3,368.70	$2,624.04	2026-05-15
11083753	OTHER	Biopsy Of Anorectal Wall	31	25	$3,540.50	$3,540.50	$1,000.00	$3,363.48	$2,619.97	2026-05-15
10804137	OTHER	Clsd Trt Prox Humerus With Manip	31	25	$3,765.50	$3,765.50	$85.32	$3,577.23	$2,598.20	2026-05-15
10402352	OTHER	Hardware Removal, Superficial	31	25	$3,751.00	$3,751.00	$448.31	$3,563.45	$2,588.19	2026-05-15
10802204	OTHER	Rmve Fb Muscle Deep	31	25	$3,493.00	$3,493.00	$1,000.00	$3,318.35	$2,584.82	2026-05-15
10402242	OTHER	Excision Tumor Soft Tissue Of Face Or S	31	25	$3,709.86	$3,709.86	$390.92	$3,524.37	$2,559.80	2026-05-15
10402314	OTHER	I & D Of Deep Supralevator Pelvirectal O	31	25	$3,670.50	$3,670.50	$291.94	$3,486.98	$2,532.65	2026-05-15
10402202	OTHER	Excision Skin Or Subq For Hidradenitis A	31	25	$3,653.00	$3,653.00	$131.22	$3,470.35	$2,520.57	2026-05-15
10402355	OTHER	Clsd Tx Radius Fx With Manipulation	31	25	$3,652.25	$3,652.25	$448.31	$3,469.64	$2,520.05	2026-05-15
10402426	OTHER	Fasciotomy, Palmar (dupuytrens Contr)	31	25	$3,652.00	$3,652.00	$390.92	$3,469.40	$2,519.88	2026-05-15
10402431	OTHER	Incision, Extensor Tendon Sheath, Wrist	31	25	$3,652.00	$3,652.00	$448.31	$3,469.40	$2,519.88	2026-05-15
10402449	OTHER	Lymhnode Incomplete Disc Or Proc	31	25	$3,625.00	$3,625.00	$390.92	$3,443.75	$2,501.25	2026-05-15
10402045	OTHER	Exc Or Biopsy Lymph Node Open Superficia	31	25	$3,621.00	$3,621.00	$390.92	$3,439.95	$2,500.00	2026-05-15
10402273	OTHER	Incision Extensor Tendor Sheath Wrist De	31	25	$3,599.50	$3,599.50	$873.87	$3,419.53	$2,500.00	2026-05-15
10402103	OTHER	Unlisted Procedure,abdomen,peritoneum,om	31	25	$3,611.00	$3,611.00	$238.15	$3,430.45	$2,500.00	2026-05-15
10402199	OTHER	Colonoscopy With Coagulation Polyp	31	25	$3,583.50	$3,583.50	$448.31	$3,404.33	$2,500.00	2026-05-15
10402250	OTHER	Colostomy Upper Lower Abdomen	31	25	$3,556.00	$3,556.00	$291.94	$3,378.20	$2,489.20	2026-05-15
2043894	OTHER	CT Angio Abd Pel Wwo	31	25	$3,600.00	$3,600.00	$227.23	$3,420.00	$2,484.00	2026-05-15
2043895	OTHER	CT Angio Abdomen Wwo	31	25	$3,600.00	$3,600.00	$294.24	$3,420.00	$2,484.00	2026-05-15
10852305	OTHER	Exploration Wound, Abdomen, Flank, Back	31	25	$3,356.00	$3,356.00	$1,000.00	$3,188.20	$2,483.44	2026-05-15
10402365	OTHER	Removal Of Subdeltoid Calcareous Deposit	31	25	$3,534.00	$3,534.00	$291.94	$3,357.30	$2,473.80	2026-05-15
10402111	OTHER	Surgical Treatment Of Anal Fistula, Subq	31	25	$3,517.00	$3,517.00	$448.31	$3,341.15	$2,461.90	2026-05-15
10851265	OTHER	Extensor Tendon Repair	31	25	$3,548.50	$3,548.50	$85.32	$3,371.08	$2,448.47	2026-05-15
20510026	OTHER	MRI Breast Bilat W Or Wo	31	25	$3,307.50	$3,307.50	$900.00	$3,142.13	$2,447.55	2026-05-15
10402002	OTHER	Appendectomy, For Rupture With Abscess	31	25	$3,307.50	$3,307.50	$2,083.73	$3,142.13	$2,447.55	2026-05-15
10803024	OTHER	Clsd Trt Bimalleolar Ankle Fx With Mnp	31	25	$3,289.35	$3,289.35	$1,000.00	$3,124.88	$2,434.12	2026-05-15
10402251	OTHER	Excision Tumor Soft Tissue Pelvis & Subq	31	25	$3,476.50	$3,476.50	$390.92	$3,302.68	$2,433.55	2026-05-15
10802218	OTHER	Clsd Trt Of Radial Head Or Neck Fractur	31	25	$3,283.35	$3,283.35	$1,000.00	$3,119.18	$2,429.68	2026-05-15
2010185	OTHER	MRI Thoracic Wwo	31	25	$3,520.00	$3,520.00	$464.22	$3,344.00	$2,428.80	2026-05-15
10402243	OTHER	Excision Tumor Soft Tissue Of Back Or Fl	31	25	$3,442.00	$3,442.00	$630.41	$3,269.90	$2,409.40	2026-05-15
2010177	OTHER	MRI Lumbar W	31	25	$3,490.00	$3,490.00	$294.24	$3,315.50	$2,408.10	2026-05-15
10402300	OTHER	Removal Of Fb Foot Deep	31	25	$3,432.50	$3,432.50	$448.31	$3,260.88	$2,402.75	2026-05-15
10402058	OTHER	Excision Malignant Les 2.1/3.0cm S,n,h,f	31	25	$3,432.50	$3,432.50	$390.92	$3,260.88	$2,402.75	2026-05-15
10402000	OTHER	Amputation, Above Knee	31	25	$3,241.00	$3,241.00	$2,041.83	$3,078.95	$2,398.34	2026-05-15
10402419	OTHER	Egd With Biopsy And Peg Tube Insertion	31	25	$3,418.00	$3,418.00	$390.92	$3,247.10	$2,392.60	2026-05-15
10402026	OTHER	Pterygium, Excision With Graft	31	25	$3,415.00	$3,415.00	$552.22	$3,244.25	$2,390.50	2026-05-15
10402006	OTHER	Excision Breast Mass	31	25	$3,410.00	$3,410.00	$448.31	$3,239.50	$2,387.00	2026-05-15
45380	OTHER	Colonoscopy W Biopsy	62	25	$2,496.50	$2,496.50	$390.92	$4,743.34	$2,371.67	2026-05-15
10402109	OTHER	Picc Line Placement	31	25	$3,385.00	$3,385.00	$446.27	$3,215.75	$2,369.50	2026-05-15
10402211	OTHER	Surgical Trm Of Anal Fistula	31	25	$3,194.50	$3,194.50	$2,012.54	$3,034.78	$2,363.93	2026-05-15
10402205	OTHER	Placement Of Seton	31	25	$3,357.00	$3,357.00	$448.31	$3,189.15	$2,349.90	2026-05-15
10402154	OTHER	Insertion Of Intraocular Lens Prosthesis	31	25	$3,352.00	$3,352.00	$448.31	$3,184.40	$2,346.40	2026-05-15
10402249	OTHER	Destruction Of Lesion Penis Surgical Exc	31	25	$3,161.00	$3,161.00	$1,991.43	$3,002.95	$2,339.14	2026-05-15
10854224	OTHER	Incision & Drainage Breast Abscess, Deep	31	25	$3,149.00	$3,149.00	$1,000.00	$2,991.55	$2,330.26	2026-05-15
10402097	OTHER	I & D Perirectal Abscess	31	25	$3,324.00	$3,324.00	$390.92	$3,157.80	$2,326.80	2026-05-15
10402128	OTHER	Excision Tumor Abdominal Wall	31	25	$3,322.50	$3,322.50	$873.87	$3,156.38	$2,325.75	2026-05-15
10402167	OTHER	Spermatocele Excision	31	25	$3,307.50	$3,307.50	$448.31	$3,142.13	$2,315.25	2026-05-15
2043883	OTHER	CT Angio Chest W	31	25	$3,342.50	$3,342.50	$134.67	$3,175.38	$2,306.33	2026-05-15
2010169	OTHER	MRI Brain Wwo	31	25	$3,317.00	$3,317.00	$464.22	$3,151.15	$2,288.73	2026-05-15
10402073	OTHER	Excision,benign Lesion Over 4cm, Scalp,n	31	25	$3,262.50	$3,262.50	$86.38	$3,099.38	$2,283.75	2026-05-15
10402029	OTHER	Trabeculectomy For Glaucoma No Previous	31	25	$3,252.50	$3,252.50	$291.94	$3,089.88	$2,276.75	2026-05-15
10402033	OTHER	Excision, Benign Lesion Over 4.0cm T/a/l	31	25	$3,241.00	$3,241.00	$74.19	$3,078.95	$2,268.70	2026-05-15
10402093	OTHER	Amputation, Toe Mp Joint	31	25	$3,217.50	$3,217.50	$390.92	$3,056.63	$2,252.25	2026-05-15
10402277	OTHER	Colonoscopy W Polypectomy 2 Or More	31	25	$3,210.00	$3,210.00	$390.92	$3,049.50	$2,247.00	2026-05-15
10402441	OTHER	Anoscopy W Polypectomy And Hemorrhiod Ba	31	25	$3,200.00	$3,200.00	$291.94	$3,040.00	$2,240.00	2026-05-15
10402174	OTHER	Anal Sphincterotomy	31	25	$3,197.50	$3,197.50	$110.15	$3,037.63	$2,238.25	2026-05-15
10402156	OTHER	Anorectal Biopsy	31	25	$3,197.50	$3,197.50	$552.22	$3,037.63	$2,238.25	2026-05-15
10402135	OTHER	Sphicterotomy, Anal Division Of Sphincte	31	25	$3,197.50	$3,197.50	$448.31	$3,037.63	$2,238.25	2026-05-15
10402110	OTHER	Anorectal Exam Under Anes., Diagnostic	31	25	$3,197.50	$3,197.50	$291.94	$3,037.63	$2,238.25	2026-05-15
10402328	OTHER	I & D Hematoma, Seroma Or Fluid Coll.	31	25	$3,189.00	$3,189.00	$90.81	$3,029.55	$2,232.30	2026-05-15
10402237	OTHER	Exsision Tumor Pelvis And Hip Are Subq T	31	25	$3,182.00	$3,182.00	$291.94	$3,022.90	$2,227.40	2026-05-15
10402230	OTHER	Excision Tumor Soft Tissue Fascia/im	31	25	$3,182.00	$3,182.00	$552.22	$3,022.90	$2,227.40	2026-05-15
10402225	OTHER	Excision Tumor Foot Subcutaneous Tissue	31	25	$3,182.00	$3,182.00	$448.31	$3,022.90	$2,227.40	2026-05-15
10402218	OTHER	Excision, Tumor, Thigh Or Knee, Deep, Su	31	25	$3,182.00	$3,182.00	$873.87	$3,022.90	$2,227.40	2026-05-15
10402233	OTHER	I & D Soft Tissue	31	25	$3,173.00	$3,173.00	$257.60	$3,014.35	$2,221.10	2026-05-15
10851311	OTHER	Dorsal/lateral Slit Of Purpuce Adult	31	25	$2,994.00	$2,994.00	$1,000.00	$2,844.30	$2,215.56	2026-05-15
10851302	OTHER	Vaginal Delivery Only	31	25	$2,992.50	$2,992.50	$1,000.00	$2,842.88	$2,214.45	2026-05-15
10802005	OTHER	I & D Abscess Pelvis/hip	31	25	$2,987.50	$2,987.50	$1,000.00	$2,838.13	$2,210.75	2026-05-15
10805326	OTHER	I & D Abscess F Arm Wrst Deep	31	25	$2,987.50	$2,987.50	$1,000.00	$2,838.13	$2,210.75	2026-05-15
10402132	OTHER	Vasectomy, Unilateral Or Bilateral	31	25	$3,142.50	$3,142.50	$552.22	$2,985.38	$2,199.75	2026-05-15
10802003	OTHER	Ex Pilonidal Cyst Smple	31	25	$2,965.00	$2,965.00	$1,000.00	$2,816.75	$2,194.10	2026-05-15
10402278	OTHER	Colonoscopy W Polypectomy/fulguration	31	25	$2,918.00	$2,918.00	$1,838.34	$2,772.10	$2,159.32	2026-05-15
2010173	OTHER	MRI Cervical W	31	25	$3,115.00	$3,115.00	$294.24	$2,959.25	$2,149.35	2026-05-15
10402282	OTHER	Egd With Biopsy & Polypectomy 1 Method	31	25	$3,067.00	$3,067.00	$390.92	$2,913.65	$2,146.90	2026-05-15
10402279	OTHER	Colonoscopy W Biopsy & Polypectomy 1 M	31	25	$3,057.00	$3,057.00	$390.92	$2,904.15	$2,139.90	2026-05-15
10402040	OTHER	Amputation, Toe	31	25	$3,041.00	$3,041.00	$390.92	$2,888.95	$2,128.70	2026-05-15
10812063	OTHER	Insertion Of Nontun Cent Venous Catheter	31	25	$2,863.00	$2,863.00	$1,000.00	$2,719.85	$2,118.62	2026-05-15
10402280	OTHER	Colonoscopy W Biopsy & Polypectomy	31	25	$3,010.00	$3,010.00	$390.92	$2,859.50	$2,107.00	2026-05-15
10402003	OTHER	Blephroplasty, Upper Eyelid, W/exc Skin	31	25	$2,839.00	$2,839.00	$1,788.57	$2,697.05	$2,100.86	2026-05-15
10852308	OTHER	Mastotomy With Expl/drain Absc, Deep	31	25	$2,830.50	$2,830.50	$1,000.00	$2,688.98	$2,094.57	2026-05-15
10402209	OTHER	Excision Ganglion, Wrist	31	25	$2,992.00	$2,992.00	$448.31	$2,842.40	$2,094.40	2026-05-15
10402081	OTHER	Excision Tumor Or Vascular Malformation	31	25	$2,977.00	$2,977.00	$552.22	$2,828.15	$2,083.90	2026-05-15
10402393	OTHER	Injection (s); Diag/ther, Lmbr/sac 2nd L	31	25	$2,814.00	$2,814.00	$1,772.82	$2,673.30	$2,082.36	2026-05-15
10402259	OTHER	Repair Of Ectropion Extensive Tarsal Str	31	25	$2,969.00	$2,969.00	$552.22	$2,820.55	$2,078.30	2026-05-15
10402267	OTHER	Repair Of Ectropion, Extensive Tarsal St	31	25	$2,969.00	$2,969.00	$552.22	$2,820.55	$2,078.30	2026-05-15
10402049	OTHER	Excision Tumor, Thorax	31	25	$2,966.00	$2,966.00	$390.92	$2,817.70	$2,076.20	2026-05-15
10402120	OTHER	Excision Tumor, Thigh Or Knee Area: Subq	31	25	$2,966.00	$2,966.00	$448.31	$2,817.70	$2,076.20	2026-05-15
10402118	OTHER	Excision Tumor, Soft Tissue Back Or Flan	31	25	$2,966.00	$2,966.00	$873.87	$2,817.70	$2,076.20	2026-05-15
10402099	OTHER	Exc., Malignant Lesion T,a,l,over 4.0cm	31	25	$2,966.00	$2,966.00	$124.58	$2,817.70	$2,076.20	2026-05-15
10402059	OTHER	Excision Benign Lesion Over 4.o Cm	31	25	$2,966.00	$2,966.00	$390.92	$2,817.70	$2,076.20	2026-05-15
10402213	OTHER	Excision, Soft Tissue Tumor, Shoulder Ar	31	25	$2,965.00	$2,965.00	$873.87	$2,816.75	$2,075.50	2026-05-15
10402283	OTHER	Drainage Of Finger Abscess Complicated	31	25	$2,964.50	$2,964.50	$552.22	$2,816.28	$2,075.15	2026-05-15
10402165	OTHER	Slitting Of Prepuce Dorsal Or Lateral Ex	31	25	$2,959.50	$2,959.50	$291.94	$2,811.53	$2,071.65	2026-05-15
10852311	OTHER	Dorsal/lateral Slit Of Purpuce Adult	31	25	$2,994.00	$2,994.00	$35.16	$2,844.30	$2,065.86	2026-05-15
10402238	OTHER	Excision Destruction Lesion Of Anus, Ext	31	25	$2,951.00	$2,951.00	$390.92	$2,803.45	$2,065.70	2026-05-15
10402412	OTHER	Colonoscopy With Hemorrhoid Banding	31	25	$2,946.00	$2,946.00	$291.94	$2,798.70	$2,062.20	2026-05-15
10402364	OTHER	Ligation Or Biopsy Temporal Artery	31	25	$2,945.00	$2,945.00	$390.92	$2,797.75	$2,061.50	2026-05-15
10802006	OTHER	Rmve Fb Pelvis/hip Deep	31	25	$2,987.50	$2,987.50	$85.32	$2,838.13	$2,061.38	2026-05-15
10402150	OTHER	Amputation, Toe Interphalangeal	31	25	$2,927.50	$2,927.50	$291.94	$2,781.13	$2,049.25	2026-05-15
49505	OTHER	Hospital Charges	62	25	$2,155.50	$2,155.50	$552.22	$4,095.46	$2,047.73	2026-05-15
10802002	OTHER	Rmve Fb Shldr Deep	31	25	$2,965.00	$2,965.00	$85.32	$2,816.75	$2,045.85	2026-05-15
10802000	OTHER	Rmve Rb Thigh/knee Deep	31	25	$2,965.00	$2,965.00	$85.32	$2,816.75	$2,045.85	2026-05-15
10851221	OTHER	Removal Foreign Body In Muscle Complex	31	25	$2,965.00	$2,965.00	$23.54	$2,816.75	$2,045.85	2026-05-15
10806390	OTHER	Closed Treatment Trimalleolar Fx	31	25	$2,747.50	$2,747.50	$1,000.00	$2,610.13	$2,033.15	2026-05-15
10402147	OTHER	Mastectomy, Partial	31	25	$2,900.00	$2,900.00	$873.87	$2,755.00	$2,030.00	2026-05-15
10851259	OTHER	Fracture/dislocation W/anesthesia	31	25	$2,741.50	$2,741.50	$1,000.00	$2,604.43	$2,028.71	2026-05-15
64483	OTHER	Hospital Charges	62	25	$2,110.50	$2,110.50	$291.94	$4,009.96	$2,004.98	2026-05-15
10402269	OTHER	Excision Tumor, Abdominal Wall	31	25	$2,861.00	$2,861.00	$873.87	$2,717.95	$2,002.70	2026-05-15
10402272	OTHER	Trigger Finger Release	31	25	$2,846.00	$2,846.00	$873.87	$2,703.70	$1,992.20	2026-05-15
10802099	OTHER	Delivery Of Placenta	31	25	$2,671.50	$2,671.50	$1,000.00	$2,537.93	$1,976.91	2026-05-15
45378	OTHER	Colonoscopy	62	25	$2,075.00	$2,075.00	$390.92	$3,942.50	$1,971.25	2026-05-15
10402381	OTHER	Injection(s) Anes Agent/steroid*ea Level	31	25	$2,814.00	$2,814.00	$291.94	$2,673.30	$1,969.80	2026-05-15
10402395	OTHER	Injection (s); Lmbr/sacr 3rd Level Bil	31	25	$2,814.00	$2,814.00	$291.94	$2,673.30	$1,969.80	2026-05-15

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