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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

OTTO KAISER MEMORIAL HOSPITAL

Kenedy, TX · CCN 451364 · Rates published

2,116 distinct procedures filed
25 distinct payers
104,661 rate rows
2026-07-31 last MRF observed
Data quality

102,460 of 104,661 rate rows are consumer-grade (97.9%)

2,201 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 2,139
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 62
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 viaCMS hospital list
Last fetch not_modified · 2026-08-01
Content fingerprint c994bc784cffe6ec… · 7,802,054 bytes · first seen 2026-07-31

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
24685
CPT 		Orif Nonunion Humerus Fx With Graft 25 $448.31 $28,850.32 $20,605.20 nat. median
$6,842
outlier · 3.0×
25607
CPT 		Orif Distal Radius Fx 25 $630.41 $13,272.93 $9,479.66 nat. median
$7,029
1.3× median
45005
CPT 		Appendectomy, Laparoscopic 25 $390.92 $12,792.70 $9,136.68 nat. median
$1,461
outlier · 6.3×
27814
CPT 		Orif Ankle 25 $448.31 $12,653.53 $9,037.28 nat. median
$7,076
1.3× median
58925
CPT 		Laparoscopic Tubal Ligation 25 $2,500.00 $11,819.43 $8,441.56 nat. median
$5,001
1.7× median
47562
CPT 		Cholecystectomy, Laparoscopic Without Chola 25 $810.29 $38,378.10 $8,348.92 nat. median
$5,954
1.4× median
58662
CPT 		Laparoscopy With Lysis Of Adhesions 25 $630.41 $10,918.35 $7,798.00 nat. median
$6,034
1.3× median
58670
CPT 		Laparoscopy With Fulg Or Exc Lesion Ovar 25 $552.22 $10,918.35 $7,798.00 nat. median
$5,654
1.4× median
42826
CPT 		Tonsillectomy, Under 12 Y/o 25 $552.22 $10,667.55 $7,618.88 nat. median
$3,387
outlier · 2.2×
25445
CPT 		Excision Arthroplasty Trapezium 25 $630.41 $10,566.85 $7,546.96 nat. median
$6,999
1.1× median
29805
CPT 		Diagn Shoulder Arthroscopy 25 $448.31 $10,473.75 $7,480.46 nat. median
$3,605
outlier · 2.1×
58999
CPT 		Oophorectomy 25 $291.94 $10,431.57 $7,450.34 nat. median
$375
outlier · 19.9×
23420
CPT 		Open Rotator Cuff Repair 25 $873.87 $10,159.78 $7,256.22 nat. median
$7,155
1.0× median
47600
CPT 		Cholecystectomy, Laparoscopic W/cholangi 25 $2,500.00 $9,500.00 $6,660.00 nat. median
$2,613
outlier · 2.5×
29999
CPT 		Diagnostic Laparoscopy 25 $291.94 $9,028.33 $6,448.12 nat. median
$1,535
outlier · 4.2×
47563
CPT 		Cholecystectomy, Laparoscopic Discontinu 25 $810.29 $8,732.12 $6,236.57 nat. median
$6,018
1.0× median
48661
CPT 		Laparoscopy With Oophorectomy 25 $2,500.00 $8,696.30 $6,210.99 nat. median
$6,211
1.0× median
49565
CPT 		Repair Recurrent Incisional Or Ventral H 25 $552.22 $9,500.00 $6,195.00 nat. median
$3,120
2.0× median
29888
CPT 		Endoscopic Carpal Tunnel Release 25 $448.31 $8,390.88 $5,992.85 nat. median
$7,307
0.8× median
58353
CPT 		Vaginal Hysterectomy, Uterus 250 Or Less 25 $291.94 $7,921.10 $5,657.33 nat. median
$4,950
1.1× median
58180
CPT 		Anterior And Posterior Repair 25 $2,500.00 $7,921.10 $5,657.33 nat. median
$3,295
1.7× median
58660
CPT 		Tubal Ligation Bilat Or Unilateral(mini) 25 $630.41 $7,858.40 $5,612.55 nat. median
$5,940
0.9× median
28505
CPT 		Bunionectomy 25 $448.31 $7,823.25 $5,587.45 nat. median
$3,539
1.6× median
58150
CPT 		Total Abdominal Hysterectomy 25 $2,500.00 $7,720.65 $5,514.17 nat. median
$3,086
1.8× median
58558
CPT 		Endometrial Ablation, Thermal 25 $448.31 $7,720.65 $5,514.17 nat. median
$3,304
1.7× median
200919
LOCAL 		Glaukos Trabecular Micro-bypass (hager) 25 $1,000.00 $7,686.45 $5,489.74 nat. median
$5,490
1.0× median
29870
CPT 		Arthroscopy Of Knee 25 $448.31 $7,627.55 $5,447.68 nat. median
$3,615
1.5× median
24359
CPT 		Tenotomy, Elbow Debridement Soft Tissue 25 $1,138.09 $7,538.91 $5,384.37 nat. median
$3,655
1.5× median
47605
CPT 		Cholecystectomy 25 $2,500.00 $7,604.28 $5,331.00 nat. median
$2,720
2.0× median
44300
CPT 		Tube Placement, Open 25 $2,500.00 $7,449.43 $5,320.46 nat. median
$2,288
outlier · 2.3×
49525
CPT 		Repair Recurrent Inguinal Hernia, Incarc 25 $552.22 $7,269.40 $5,191.88 nat. median
$3,704
1.4× median
43840
CPT 		Excision, Benign Gastric Tumor/polyp 25 $2,500.00 $7,258.48 $5,184.08 nat. median
$3,599
1.4× median
47610
CPT 		Open Cholecystectomy With Ioc With Cde 25 $2,500.00 $7,331.63 $5,139.86 nat. median
$2,898
1.8× median
54640
CPT 		Orchiopexy Inguinal Approach 25 $552.22 $7,159.20 $5,113.18 nat. median
$3,865
1.3× median
40808
CPT 		Biopsy/exc Of Deep Axillary Lymph Node 25 $107.70 $7,125.00 $5,088.75 nat. median
$589
outlier · 8.6×
19301
CPT 		Mastectomy For Gynecomastia 25 $448.31 $7,123.10 $5,087.39 nat. median
$3,972
1.3× median
J2505
HCPCS 		Neulasta Pfs 6mg/0.6ml Inj 25 $1,000.00 $7,103.41 $5,073.33 nat. median
$6,405
0.8× median
58940
CPT 		Excision Ovarion Cyst, Unilateral Or Bil 25 $2,500.00 $6,954.38 $4,966.89 nat. median
$2,013
outlier · 2.5×
49566
CPT 		Repair Upper Recurrent Inc/vent Hernia 25 $630.41 $8,003.28 $4,965.65 nat. median
$4,474
1.1× median
26160
CPT 		Fasciectomy, Partial Palmar 25 $448.31 $6,827.43 $4,876.22 nat. median
$1,913
outlier · 2.5×
49322
CPT 		Laparoscopic Aspiration Of Ovarian Cyst 25 $552.22 $6,808.18 $4,862.47 nat. median
$5,632
0.9× median
36011
CPT 		Repair Blood Vessel, Direct Hand, Finger 25 $1,000.00 $6,678.03 $4,769.52 nat. median
$1,243
outlier · 3.8×
49521
CPT 		Inguinal Hernia Repair Recurrent Any Age 25 $630.41 $6,483.28 $4,630.42 nat. median
$5,947
0.8× median
26951
CPT 		Amputation Metacarpal Bone 25 $390.92 $6,441.48 $4,600.57 nat. median
$3,320
1.4× median
44960
CPT 		Appendectomy 25 $2,500.00 $6,326.05 $4,518.13 nat. median
$2,568
1.8× median
58260
CPT 		Supracervial Abd Hysterectomy W Or Wo Re 25 $1,138.09 $6,284.25 $4,488.28 nat. median
$5,190
0.9× median
19110
CPT 		Nipple Exploration W Or Wo Excision Of L 25 $390.92 $6,203.50 $4,430.61 nat. median
$3,707
1.2× median
19328
CPT 		Mastectomy, Modified Radical 25 $291.94 $6,139.85 $4,385.15 nat. median
$4,000
1.1× median
19307
CPT 		Mastectomy, Subcutaneous 25 $2,500.00 $6,119.43 $4,370.56 nat. median
$6,808
0.6× median
25695
CPT 		Open Treatment Of Lunate Dislocation 25 $390.92 $6,110.40 $4,364.11 nat. median
$6,615
0.7× median

Other procedures at this hospital

Browse this hospital's 2,116 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
             
24685 CPT Orif Nonunion Humerus Fx With Graft 31 25 $30,368.76 $30,368.76 $448.31 $28,850.32 $20,605.20 2026-07-31
25607 CPT Orif Distal Radius Fx 31 25 $13,971.50 $13,971.50 $630.41 $13,272.93 $9,479.66 2026-07-31
45005 CPT Appendectomy, Laparoscopic 31 25 $13,466.00 $13,466.00 $390.92 $12,792.70 $9,136.68 2026-07-31
47562 CPT Cholecystectomy, Laparoscopic Without Chola 117 25 $13,466.00 $13,466.00 $810.29 $38,378.10 $8,348.92 2026-07-31
27814 CPT Orif Ankle 31 25 $13,319.50 $13,319.50 $448.31 $12,653.53 $9,037.28 2026-07-31
58925 CPT Laparoscopic Tubal Ligation 31 25 $12,441.50 $12,441.50 $2,500.00 $11,819.43 $8,441.56 2026-07-31
58662 CPT Laparoscopy With Lysis Of Adhesions 31 25 $11,493.00 $11,493.00 $630.41 $10,918.35 $7,798.00 2026-07-31
58670 CPT Laparoscopy With Fulg Or Exc Lesion Ovar 31 25 $11,493.00 $11,493.00 $552.22 $10,918.35 $7,798.00 2026-07-31
42826 CPT Tonsillectomy, Under 12 Y/o 31 25 $11,229.00 $11,229.00 $552.22 $10,667.55 $7,618.88 2026-07-31
25445 CPT Excision Arthroplasty Trapezium 31 25 $11,123.00 $11,123.00 $630.41 $10,566.85 $7,546.96 2026-07-31
29805 CPT Diagn Shoulder Arthroscopy 31 25 $11,025.00 $11,025.00 $448.31 $10,473.75 $7,480.46 2026-07-31
58999 CPT Oophorectomy 31 25 $10,980.60 $10,980.60 $291.94 $10,431.57 $7,450.34 2026-07-31
23420 CPT Open Rotator Cuff Repair 31 25 $10,694.50 $10,694.50 $873.87 $10,159.78 $7,256.22 2026-07-31
29999 CPT Diagnostic Laparoscopy 31 25 $9,503.50 $9,503.50 $291.94 $9,028.33 $6,448.12 2026-07-31
47563 CPT Cholecystectomy, Laparoscopic Discontinu 31 25 $9,191.70 $9,191.70 $810.29 $8,732.12 $6,236.57 2026-07-31
48661 CPT Laparoscopy With Oophorectomy 31 25 $9,154.00 $9,154.00 $2,500.00 $8,696.30 $6,210.99 2026-07-31
29888 CPT Endoscopic Carpal Tunnel Release 31 25 $8,832.50 $8,832.50 $448.31 $8,390.88 $5,992.85 2026-07-31
47600 CPT Cholecystectomy, Laparoscopic W/cholangi 61 25 $8,428.00 $8,428.00 $2,500.00 $9,500.00 $6,660.00 2026-07-31
58353 CPT Vaginal Hysterectomy, Uterus 250 Or Less 31 25 $8,338.00 $8,338.00 $291.94 $7,921.10 $5,657.33 2026-07-31
58180 CPT Anterior And Posterior Repair 31 25 $8,338.00 $8,338.00 $2,500.00 $7,921.10 $5,657.33 2026-07-31
58660 CPT Tubal Ligation Bilat Or Unilateral(mini) 31 25 $8,272.00 $8,272.00 $630.41 $7,858.40 $5,612.55 2026-07-31
28505 CPT Bunionectomy 31 25 $8,235.00 $8,235.00 $448.31 $7,823.25 $5,587.45 2026-07-31
58558 CPT Endometrial Ablation, Thermal 31 25 $8,127.00 $8,127.00 $448.31 $7,720.65 $5,514.17 2026-07-31
58150 CPT Total Abdominal Hysterectomy 31 25 $8,127.00 $8,127.00 $2,500.00 $7,720.65 $5,514.17 2026-07-31
200919 LOCAL Glaukos Trabecular Micro-bypass (hager) 31 25 $8,091.00 $8,091.00 $1,000.00 $7,686.45 $5,489.74 2026-07-31
29870 CPT Arthroscopy Of Knee 31 25 $8,029.00 $8,029.00 $448.31 $7,627.55 $5,447.68 2026-07-31
24359 CPT Tenotomy, Elbow Debridement Soft Tissue 31 25 $7,935.69 $7,935.69 $1,138.09 $7,538.91 $5,384.37 2026-07-31
49565 CPT Repair Recurrent Incisional Or Ventral H 55 25 $7,913.00 $7,913.00 $552.22 $9,500.00 $6,195.00 2026-07-31
44300 CPT Tube Placement, Open 31 25 $7,841.50 $7,841.50 $2,500.00 $7,449.43 $5,320.46 2026-07-31
47610 CPT Open Cholecystectomy With Ioc With Cde 61 25 $7,717.50 $7,717.50 $2,500.00 $7,331.63 $5,139.86 2026-07-31
49525 CPT Repair Recurrent Inguinal Hernia, Incarc 31 25 $7,652.00 $7,652.00 $552.22 $7,269.40 $5,191.88 2026-07-31
43840 CPT Excision, Benign Gastric Tumor/polyp 31 25 $7,640.50 $7,640.50 $2,500.00 $7,258.48 $5,184.08 2026-07-31
54640 CPT Orchiopexy Inguinal Approach 31 25 $7,536.00 $7,536.00 $552.22 $7,159.20 $5,113.18 2026-07-31
40808 CPT Biopsy/exc Of Deep Axillary Lymph Node 31 25 $7,500.00 $7,500.00 $107.70 $7,125.00 $5,088.75 2026-07-31
19301 CPT Mastectomy For Gynecomastia 31 25 $7,498.00 $7,498.00 $448.31 $7,123.10 $5,087.39 2026-07-31
J2505 HCPCS Neulasta Pfs 6mg/0.6ml Inj 31 25 $7,477.27 $7,477.27 $1,000.00 $7,103.41 $5,073.33 2026-07-31
49560 CPT Hernia Repair, Ventral Or Incisional 105 25 $7,371.00 $7,371.00 $552.22 $9,500.00 $2,257.20 2026-07-31
58940 CPT Excision Ovarion Cyst, Unilateral Or Bil 31 25 $7,320.40 $7,320.40 $2,500.00 $6,954.38 $4,966.89 2026-07-31
47605 CPT Cholecystectomy 61 25 $7,293.00 $7,293.00 $2,500.00 $7,604.28 $5,331.00 2026-07-31
26160 CPT Fasciectomy, Partial Palmar 31 25 $7,186.77 $7,186.77 $448.31 $6,827.43 $4,876.22 2026-07-31
49322 CPT Laparoscopic Aspiration Of Ovarian Cyst 31 25 $7,166.50 $7,166.50 $552.22 $6,808.18 $4,862.47 2026-07-31
36011 CPT Repair Blood Vessel, Direct Hand, Finger 31 25 $7,029.50 $7,029.50 $1,000.00 $6,678.03 $4,769.52 2026-07-31
49329 CPT Cholecystectomy W Exploration Of Common 55 25 $6,946.00 $6,946.00 $291.94 $6,598.70 $4,303.05 2026-07-31
49521 CPT Inguinal Hernia Repair Recurrent Any Age 31 25 $6,824.50 $6,824.50 $630.41 $6,483.28 $4,630.42 2026-07-31
26951 CPT Amputation Metacarpal Bone 31 25 $6,780.50 $6,780.50 $390.92 $6,441.48 $4,600.57 2026-07-31
44960 CPT Appendectomy 31 25 $6,659.00 $6,659.00 $2,500.00 $6,326.05 $4,518.13 2026-07-31
58260 CPT Supracervial Abd Hysterectomy W Or Wo Re 31 25 $6,615.00 $6,615.00 $1,138.09 $6,284.25 $4,488.28 2026-07-31
19110 CPT Nipple Exploration W Or Wo Excision Of L 31 25 $6,530.00 $6,530.00 $390.92 $6,203.50 $4,430.61 2026-07-31
19328 CPT Mastectomy, Modified Radical 31 25 $6,463.00 $6,463.00 $291.94 $6,139.85 $4,385.15 2026-07-31
19307 CPT Mastectomy, Subcutaneous 31 25 $6,441.50 $6,441.50 $2,500.00 $6,119.43 $4,370.56 2026-07-31
25695 CPT Open Treatment Of Lunate Dislocation 31 25 $6,432.00 $6,432.00 $390.92 $6,110.40 $4,364.11 2026-07-31
20694 CPT Removal Of Implant, Deep 31 25 $6,098.50 $6,098.50 $291.94 $5,793.58 $4,137.83 2026-07-31
49507 CPT Hernia Repair, Inguinal, 5 Y/o Or Older 31 25 $6,019.12 $6,019.12 $552.22 $5,718.16 $4,083.97 2026-07-31
19303 CPT Lumpectomey W Axillary Lymphadenectomy 31 25 $5,903.50 $5,903.50 $552.22 $5,608.33 $4,005.52 2026-07-31
58600 CPT Hysteroscopy With Or Without D & C 31 25 $5,862.00 $5,862.00 $448.31 $5,568.90 $3,977.37 2026-07-31
43200 CPT Tonsillectomy, 12 Y/o And Over 31 25 $5,857.00 $5,857.00 $291.94 $5,564.15 $3,973.97 2026-07-31
38525 CPT Biopsy/excision Lymph Node, Deep Cervica 31 25 $5,733.00 $5,733.00 $390.92 $5,446.35 $3,889.84 2026-07-31
27792 CPT Excision, Mass, Leg Or Ankle 31 25 $5,716.00 $5,716.00 $448.31 $5,430.20 $3,878.31 2026-07-31
42870 CPT Tonsillectomy And Adenoidectomy 31 25 $5,670.00 $5,670.00 $448.31 $5,386.50 $3,847.10 2026-07-31
25500 CPT Repair Flexor Tendon/muscle 31 25 $5,645.00 $5,645.00 $85.32 $5,362.75 $3,830.13 2026-07-31
38740 CPT Axillary Lymphadenectomy Superficial 31 25 $5,607.00 $5,607.00 $390.92 $5,326.65 $3,804.35 2026-07-31
66986 CPT Exchange Of Intraocular Lens 31 25 $5,593.50 $5,593.50 $810.29 $5,313.83 $3,795.19 2026-07-31
20240 CPT Bone Biopsy, Open 31 25 $5,470.50 $5,470.50 $390.92 $5,196.98 $3,711.73 2026-07-31
28043 CPT Excision Soft Tissue Foot/toe Subq 55 25 $5,470.50 $5,470.50 $390.92 $5,196.98 $3,388.97 2026-07-31
21555 CPT Excision Tumor, Soft Tissue 31 25 $5,444.50 $5,444.50 $390.92 $5,172.28 $3,694.09 2026-07-31
55500 CPT Excision Hydrocele Of Cord 31 25 $5,407.50 $5,407.50 $448.31 $5,137.13 $3,668.99 2026-07-31
25071 CPT Excision Soft Tissue Tumor, Forearm/wris 55 25 $5,383.50 $5,383.50 $873.87 $5,114.33 $3,239.55 2026-07-31
49650 CPT Repair Initial Inquinal Hernia Direct In 55 25 $5,348.50 $5,348.50 $552.22 $6,483.28 $4,227.78 2026-07-31
54700 CPT I & D Epididymis/testis/scrotal Space 93 25 $5,345.50 $5,345.50 $262.55 $5,538.50 $3,311.54 2026-07-31
28296 CPT Correction Hammer Toe 31 25 $5,304.00 $5,304.00 $448.31 $5,038.80 $3,598.76 2026-07-31
49550 CPT Repair Inguinal Hernia Sliding 31 25 $5,250.00 $5,250.00 $630.41 $4,987.50 $3,562.13 2026-07-31
36571 CPT Insertion Of Tunneled Centrally Inserted 31 25 $5,249.50 $5,249.50 $448.31 $4,987.03 $3,561.79 2026-07-31
24430 CPT Tenotomy Elbow Later Or Medial Debrideme 31 25 $5,246.68 $5,246.68 $448.31 $4,984.35 $3,559.87 2026-07-31
22902 CPT Excision Tumor Soft Tissue/musc Abd Wall 31 25 $5,232.50 $5,232.50 $630.41 $4,970.88 $3,550.25 2026-07-31
49566 CPT Repair Upper Recurrent Inc/vent Hernia 55 25 $5,227.00 $5,227.00 $630.41 $8,003.28 $4,965.65 2026-07-31
21011 CPT Musculoskeletal System Procedure 31 25 $5,163.50 $5,163.50 $211.79 $4,905.33 $3,503.43 2026-07-31
19304 CPT Mastectomy, Simple Complete 31 25 $5,145.00 $5,145.00 $2,500.00 $4,887.75 $3,490.88 2026-07-31
49520 CPT Inguinal Hernia Repair 5y/o Or Older Inc 31 25 $5,070.00 $5,070.00 $873.87 $4,816.50 $3,440.00 2026-07-31
58120 CPT D & C 31 25 $4,949.00 $4,949.00 $390.92 $4,701.55 $3,357.90 2026-07-31
21552 CPT I & D Deep Abscess Soft Tissue Neck/thor 31 25 $4,944.00 $4,944.00 $873.87 $4,696.80 $3,354.50 2026-07-31
15340 CPT Split Thickness Skin Graft 31 25 $4,936.00 $4,936.00 $2,500.00 $4,689.20 $3,349.08 2026-07-31
28108 CPT Excision Cyst/ganglion Foot 31 25 $4,875.50 $4,875.50 $390.92 $4,631.73 $3,308.03 2026-07-31
36558 CPT Insertion Of Tunneled Central Venous Cat 56 25 $4,873.50 $4,873.50 $448.31 $4,629.83 $2,460.98 2026-07-31
66984 CPT Cataract Ectraction, Complex 93 25 $4,769.00 $4,769.00 $938.95 $13,591.65 $4,292.10 2026-07-31
24075 CPT Exci Tumor Soft Tis Of Upper Arm 5cm > 31 25 $4,756.58 $4,756.58 $390.92 $4,518.75 $3,227.34 2026-07-31
21933 CPT Excision Tumor Soft Tissue Of Back Flank 31 25 $4,756.58 $4,756.58 $873.87 $4,518.75 $3,227.34 2026-07-31
49568 CPT Repair Lower Recurrent Inc/vent Hernia 31 25 $4,751.50 $4,751.50 $2,500.00 $4,513.93 $3,223.89 2026-07-31
57135 CPT Excision Vaginal Cyst/polyp/tumor 31 25 $4,711.00 $4,711.00 $390.92 $4,475.45 $3,196.41 2026-07-31
21013 CPT Excision, Tumor, Soft Tissue Of Face Or 31 25 $4,677.00 $4,677.00 $266.88 $4,443.15 $3,173.34 2026-07-31
46258 CPT Hemorrhoidectomy, Internal And External 31 25 $4,669.17 $4,669.17 $448.31 $4,435.71 $3,168.03 2026-07-31
46270 CPT Hemorrhoidectomy I & E Complex/multiple 31 25 $4,669.17 $4,669.17 $448.31 $4,435.71 $3,168.03 2026-07-31
46260 CPT Hemorrhodectomy Into Ext Single Colum 31 25 $4,669.16 $4,669.16 $448.31 $4,435.70 $3,168.03 2026-07-31
46255 CPT Hemorrhoidectomy, External 2 Or More Col 31 25 $4,669.16 $4,669.16 $448.31 $4,435.70 $3,168.03 2026-07-31
66982 CPT Repositioning Of Intraocular Lens 31 25 $4,622.50 $4,622.50 $938.95 $4,391.38 $3,136.37 2026-07-31
25075 CPT Excision Tumor S/t Forearm/wrist Subq 31 25 $4,619.00 $4,619.00 $390.92 $4,388.05 $3,133.99 2026-07-31
56740 CPT Marsupialization Of Bartholins Gland Cy 31 25 $4,582.00 $4,582.00 $448.31 $4,352.90 $3,108.89 2026-07-31
65400 CPT Carpal Tunnel Release, Open 31 25 $4,577.00 $4,577.00 $291.94 $4,348.15 $3,105.49 2026-07-31
64718 CPT Ulnar Nerve Neuroplasty/transposition El 31 25 $4,577.00 $4,577.00 $390.92 $4,348.15 $3,105.49 2026-07-31
25115 CPT Radical Excision Of Bursa Synovia Or Wrs 56 25 $4,577.00 $4,577.00 $552.22 $4,348.15 $2,781.44 2026-07-31
57260 CPT Excision Of Bartholins Gland Or Cyst 31 25 $4,553.50 $4,553.50 $630.41 $4,325.83 $3,089.55 2026-07-31
23075 CPT Excision Tumor Soft Tis Shoulder Grt 3 C 31 25 $4,537.00 $4,537.00 $390.92 $4,310.15 $3,078.35 2026-07-31
21930 CPT Excision Tumor Soft Tissue Neck Anterior 31 25 $4,537.00 $4,537.00 $390.92 $4,310.15 $3,078.35 2026-07-31
22999 CPT Excision, Tumor, Soft Tissue, Abd Wall 31 25 $4,497.00 $4,497.00 $291.94 $4,272.15 $3,051.21 2026-07-31
22900 CPT Excision Tumor/mass, Subfascial/intramus 31 25 $4,455.00 $4,455.00 $552.22 $4,232.25 $3,022.72 2026-07-31
26115 CPT Excision Tumor/mass, Subfascial/intramus 31 25 $4,455.00 $4,455.00 $390.92 $4,232.25 $3,022.72 2026-07-31
20005 CPT Removal Of Intact Mammary Implant 31 25 $4,454.50 $4,454.50 $2,500.00 $4,231.78 $3,022.38 2026-07-31
72195 CPT MRI Lumbar Wwo 31 25 $4,362.00 $4,362.00 $294.17 $4,143.90 $2,959.62 2026-07-31
64719 CPT Ulnar Nerve Transposition Wrist 31 25 $4,359.00 $4,359.00 $390.92 $4,141.05 $2,957.58 2026-07-31
15823 CPT Delay/sectioning Of Flap 31 25 $4,319.50 $4,319.50 $448.31 $4,103.53 $2,930.78 2026-07-31
15620 CPT Crossfinger Flap Repair 31 25 $4,319.50 $4,319.50 $552.22 $4,103.53 $2,930.78 2026-07-31
49501 CPT Repair Initial Inguinal Hernia Age 6 Mo 31 25 $4,311.00 $4,311.00 $552.22 $4,095.45 $2,925.01 2026-07-31
49561 CPT Repair Initial Femoral Hernia, Any Age 31 25 $4,309.00 $4,309.00 $552.22 $4,093.55 $2,923.66 2026-07-31
49587 CPT Hernia Repair, Epigastric 31 25 $4,300.00 $4,300.00 $552.22 $4,085.00 $2,917.55 2026-07-31
27880 CPT Clsd Tx Distal Tib/fib Fx With Manipulat 31 25 $4,226.00 $4,226.00 $2,493.34 $4,014.70 $2,867.34 2026-07-31
G0105 HCPCS Injection; Anes Agent, Lumbr/thorc/bilat 31 25 $4,220.50 $4,220.50 $390.92 $4,009.48 $2,863.61 2026-07-31
66985 CPT Cataract, Phacoemulsification 31 25 $4,183.00 $4,183.00 $810.29 $3,973.85 $2,838.17 2026-07-31
27840 CPT Clsd Tx Fracture Distal Tibia With Tract 31 25 $4,133.50 $4,133.50 $85.32 $3,926.83 $2,804.58 2026-07-31
26116 CPT Excision Tumor/hand Or Finger, Subq 31 25 $4,118.50 $4,118.50 $390.92 $3,912.58 $2,794.40 2026-07-31
75571 CPT CT Abdomen/pelvis Wwo 31 25 $4,102.00 $4,102.00 $109.09 $3,896.90 $2,783.21 2026-07-31
46280 CPT Surgical Tmnt Anal Fistula (intersphin) 31 25 $4,075.00 $4,075.00 $552.22 $3,871.25 $2,764.89 2026-07-31
J1162 HCPCS Digifab(digoxin Immune Fab)40mg 31 25 $4,057.20 $4,057.20 $1,000.00 $3,854.34 $2,752.81 2026-07-31
45305 CPT Excision Of Rectal Tumor, Transanal Appr 31 25 $4,038.00 $4,038.00 $291.94 $3,836.10 $2,739.78 2026-07-31
21554 CPT Excision Tumor Ant Thorax Or Neck 31 25 $4,015.00 $4,015.00 $873.87 $3,814.25 $2,724.18 2026-07-31
74178 CPT CT Abdomen/pelvis W 31 25 $4,005.50 $4,005.50 $461.69 $3,805.23 $2,717.73 2026-07-31
46080 CPT I & D Rectal Abscess W Fistulectomey 56 25 $3,919.00 $3,919.00 $448.31 $3,723.05 $2,497.03 2026-07-31
67010 CPT Vitrectomy Anterior 31 25 $3,914.00 $3,914.00 $552.22 $3,718.30 $2,655.65 2026-07-31
15120 CPT Split-thickness Auto Graft Trunk Arms Le 31 25 $3,913.00 $3,913.00 $390.92 $3,717.35 $2,654.97 2026-07-31
72157 CPT MRI Cervical Wwo 31 25 $3,894.00 $3,894.00 $461.69 $3,699.30 $2,642.08 2026-07-31
54520 CPT Circumcision, Surgical Ex Except Newborn 31 25 $3,865.50 $3,865.50 $448.31 $3,672.23 $2,622.74 2026-07-31
31603 CPT Laryngoscopy, Direct, Op With Fb Remov 31 25 $3,853.00 $3,853.00 $1,000.00 $3,660.35 $2,614.26 2026-07-31
42825 CPT Uvulectomy, Excision Of Uvula 31 25 $3,836.50 $3,836.50 $390.92 $3,644.68 $2,603.07 2026-07-31
24073 CPT Excision Tumor Soft Tissue Of Upper Arm 31 25 $3,824.00 $3,824.00 $873.87 $3,632.80 $2,594.58 2026-07-31
27590 CPT Excision Tumor, Soft Tissue Of Thigh Or 31 25 $3,824.00 $3,824.00 $2,256.16 $3,632.80 $2,594.58 2026-07-31
11641 CPT Excision Malignant Lesion Scalp Neck Han 31 25 $3,818.50 $3,818.50 $127.90 $3,627.58 $2,590.85 2026-07-31
74177 CPT CT Abdomen/pelvis Wo 31 25 $3,804.50 $3,804.50 $461.69 $3,614.28 $2,581.35 2026-07-31
19290 CPT Breast Biopsy, Open, Incisional 31 25 $3,752.00 $3,752.00 $2,213.68 $3,564.40 $2,545.73 2026-07-31
20680 CPT Hardware Removal, Superficial 31 25 $3,751.00 $3,751.00 $448.31 $3,563.45 $2,545.05 2026-07-31
21012 CPT Excision Tumor Soft Tissue Of Face Or S 31 25 $3,709.86 $3,709.86 $390.92 $3,524.37 $2,517.14 2026-07-31
93880 CPT Sleep Study Day 2 31 25 $3,698.49 $3,698.49 $1,000.00 $3,513.57 $2,509.43 2026-07-31
28805 CPT Open Treatment Fx Great Toe W/wo Interna 31 25 $3,677.00 $3,677.00 $2,169.43 $3,493.15 $2,500.00 2026-07-31
25000 CPT Incision, Extensor Tendon Sheath, Wrist 55 25 $3,652.00 $3,652.00 $448.31 $10,972.03 $3,469.40 2026-07-31
26055 CPT Fasciotomy, Palmar (dupuytrens Contr) 31 25 $3,652.00 $3,652.00 $390.92 $3,469.40 $2,477.88 2026-07-31
38500 CPT Lymhnode Incomplete Disc Or Proc 56 25 $3,625.00 $3,625.00 $390.92 $3,443.75 $2,378.33 2026-07-31
38510 CPT Exc Or Biopsy Lymph Node Open Superficia 31 25 $3,621.00 $3,621.00 $390.92 $3,439.95 $2,456.85 2026-07-31
52000 CPT Unlisted Procedure,abdomen,peritoneum,om 31 25 $3,611.00 $3,611.00 $238.15 $3,430.45 $2,450.06 2026-07-31
74176 CPT CT Angio Abdomen Wwo 31 25 $3,600.00 $3,600.00 $294.17 $3,420.00 $2,442.60 2026-07-31
74175 CPT CT Angio Abd Pel Wwo 31 25 $3,600.00 $3,600.00 $220.58 $3,420.00 $2,442.60 2026-07-31
95811 CPT Sleep Study Day 1 31 25 $3,587.61 $3,587.61 $1,000.00 $3,408.23 $2,434.19 2026-07-31
44388 CPT Colostomy Upper Lower Abdomen 56 25 $3,556.00 $3,556.00 $291.94 $3,378.20 $2,292.17 2026-07-31
26600 CPT Extensor Tendon Repair 31 25 $3,548.50 $3,548.50 $85.32 $3,371.08 $2,407.66 2026-07-31
72158 CPT MRI Thoracic Wwo 31 25 $3,520.00 $3,520.00 $461.69 $3,344.00 $2,388.32 2026-07-31
46275 CPT Surgical Treatment Of Anal Fistula, Subq 31 25 $3,517.00 $3,517.00 $448.31 $3,341.15 $2,386.28 2026-07-31
27047 CPT Excision Tumor Soft Tissue Pelvis & Subq 31 25 $3,476.50 $3,476.50 $390.92 $3,302.68 $2,358.81 2026-07-31
21932 CPT Excision Tumor Soft Tissue Of Back Or Fl 31 25 $3,442.00 $3,442.00 $630.41 $3,269.90 $2,335.40 2026-07-31
11626 CPT Excision Malignant Les 2.1/3.0cm S,n,h,f 31 25 $3,432.50 $3,432.50 $390.92 $3,260.88 $2,328.95 2026-07-31
28285 CPT Removal Of Fb Foot Deep 31 25 $3,432.50 $3,432.50 $448.31 $3,260.88 $2,328.95 2026-07-31
66170 CPT Pterygium, Excision With Graft 31 25 $3,415.00 $3,415.00 $552.22 $3,244.25 $2,317.08 2026-07-31
19120 CPT Excision Breast Mass 93 25 $3,410.00 $3,410.00 $448.31 $9,718.50 $3,069.00 2026-07-31
36590 CPT Picc Line Placement 31 25 $3,385.00 $3,385.00 $446.27 $3,215.75 $2,296.72 2026-07-31
46040 CPT I & D Abscess Perirectal 123 25 $3,357.00 $3,357.00 $448.31 $3,784.80 $2,350.56 2026-07-31
67880 CPT Insertion Of Intraocular Lens Prosthesis 31 25 $3,352.00 $3,352.00 $448.31 $3,184.40 $2,274.33 2026-07-31
72125 CPT CT Angio Chest W 31 25 $3,342.50 $3,342.50 $131.99 $3,175.38 $2,267.89 2026-07-31
46060 CPT I & D Perirectal Abscess 31 25 $3,324.00 $3,324.00 $390.92 $3,157.80 $2,255.33 2026-07-31
22901 CPT Excision Tumor Abdominal Wall 31 25 $3,322.50 $3,322.50 $873.87 $3,156.38 $2,254.32 2026-07-31
72197 CPT MRI Brain Wwo 31 25 $3,317.00 $3,317.00 $461.69 $3,151.15 $2,250.58 2026-07-31
44970 CPT Appendectomy, For Rupture With Abscess 31 25 $3,307.50 $3,307.50 $1,951.43 $3,142.13 $2,282.18 2026-07-31
55040 CPT Spermatocele Excision 31 25 $3,307.50 $3,307.50 $448.31 $3,142.13 $2,244.14 2026-07-31
77049 CPT MRI Breast Bilat W Or Wo 31 25 $3,307.50 $3,307.50 $900.00 $3,142.13 $2,244.14 2026-07-31
11440 CPT Excision,benign Lesion Over 4cm, Scalp,n 31 25 $3,262.50 $3,262.50 $86.38 $3,099.38 $2,213.61 2026-07-31
66825 CPT Trabeculectomy For Glaucoma No Previous 31 25 $3,252.50 $3,252.50 $291.94 $3,089.88 $2,206.82 2026-07-31
27596 CPT Amputation, Above Knee 31 25 $3,241.00 $3,241.00 $1,912.19 $3,078.95 $2,236.29 2026-07-31
11420 CPT Excision, Benign Lesion Over 4.0cm T/a/l 56 25 $3,241.00 $3,241.00 $74.19 $3,078.95 $1,609.30 2026-07-31
28825 CPT Amputation, Toe Mp Joint 31 25 $3,217.50 $3,217.50 $390.92 $3,056.63 $2,183.07 2026-07-31
46611 CPT Anoscopy W Polypectomy And Hemorrhiod Ba 31 25 $3,200.00 $3,200.00 $291.94 $3,040.00 $2,171.20 2026-07-31
45171 CPT Anorectal Biopsy 31 25 $3,197.50 $3,197.50 $552.22 $3,037.63 $2,169.50 2026-07-31
46600 CPT Surgical Trm Of Anal Fistula 31 25 $3,194.50 $3,194.50 $1,884.76 $3,034.78 $2,204.21 2026-07-31
28090 CPT Excision Tumor Foot Subcutaneous Tissue 31 25 $3,182.00 $3,182.00 $448.31 $3,022.90 $2,158.99 2026-07-31
27337 CPT Excision, Tumor, Thigh Or Knee, Deep, Su 31 25 $3,182.00 $3,182.00 $873.87 $3,022.90 $2,158.99 2026-07-31
64484 CPT Injection(s) Anes Agent And/or Steroid 62 25 $3,165.50 $3,165.50 $1,245.20 $4,009.48 $2,247.54 2026-07-31
64480 CPT Injection(s) Transforaminal Epidural 62 25 $3,165.50 $3,165.50 $1,245.20 $4,009.48 $2,247.54 2026-07-31
27096 CPT Injection Proc For Si Joint-bilateral 62 25 $3,165.50 $3,165.50 $1,245.20 $4,009.48 $2,247.54 2026-07-31
54152 CPT Destruction Of Lesion Penis Surgical Exc 31 25 $3,161.00 $3,161.00 $1,864.99 $3,002.95 $2,181.09 2026-07-31
55520 CPT Vasectomy, Unilateral Or Bilateral 31 25 $3,142.50 $3,142.50 $552.22 $2,985.38 $2,132.19 2026-07-31
72146 CPT MRI Cervical W 31 25 $3,115.00 $3,115.00 $294.17 $2,959.25 $2,113.53 2026-07-31
43250 CPT Egd With Biopsy & Polypectomy 1 Method 31 25 $3,067.00 $3,067.00 $390.92 $2,913.65 $2,080.96 2026-07-31
28820 CPT Amputation, Toe 56 25 $3,041.00 $3,041.00 $390.92 $4,075.50 $2,607.03 2026-07-31
45385 CPT Colonoscopy W Biopsy & Polypectomy 193 25 $3,010.00 $3,010.00 $390.92 $8,578.50 $2,076.90 2026-07-31
54235 CPT Dorsal/lateral Slit Of Purpuce Adult 31 25 $2,994.00 $2,994.00 $35.16 $2,844.30 $2,031.43 2026-07-31
59410 CPT Vaginal Delivery Only 31 25 $2,992.50 $2,992.50 $1,000.00 $2,842.88 $2,030.41 2026-07-31
25111 CPT Excision Ganglion, Wrist 31 25 $2,992.00 $2,992.00 $448.31 $2,842.40 $2,030.07 2026-07-31
25260 CPT I & D Abscess F Arm Wrst Deep 31 25 $2,987.50 $2,987.50 $1,000.00 $2,838.13 $2,027.02 2026-07-31
27250 CPT Rmve Fb Pelvis/hip Deep 31 25 $2,987.50 $2,987.50 $85.32 $2,838.13 $2,027.02 2026-07-31
26123 CPT Excision Tumor Or Vascular Malformation 31 25 $2,977.00 $2,977.00 $552.22 $2,828.15 $2,019.89 2026-07-31
67923 CPT Repair Of Ectropion, Extensive Tarsal St 31 25 $2,969.00 $2,969.00 $552.22 $2,820.55 $2,014.47 2026-07-31
11621 CPT Exc., Malignant Lesion T,a,l,over 4.0cm 31 25 $2,966.00 $2,966.00 $124.58 $2,817.70 $2,012.43 2026-07-31
21931 CPT Excision Tumor, Soft Tissue Back Or Flan 31 25 $2,966.00 $2,966.00 $873.87 $2,817.70 $2,012.43 2026-07-31
21556 CPT Excision Tumor, Thorax 31 25 $2,966.00 $2,966.00 $390.92 $2,817.70 $2,012.43 2026-07-31
27328 CPT Excision Tumor, Thigh Or Knee Area: Subq 31 25 $2,966.00 $2,966.00 $448.31 $2,817.70 $2,012.43 2026-07-31
23500 CPT Rmve Fb Shldr Deep 31 25 $2,965.00 $2,965.00 $85.32 $2,816.75 $2,011.75 2026-07-31
20550 CPT Removal Foreign Body In Muscle Complex 31 25 $2,965.00 $2,965.00 $23.54 $2,816.75 $2,011.75 2026-07-31
27508 CPT Rmve Rb Thigh/knee Deep 31 25 $2,965.00 $2,965.00 $85.32 $2,816.75 $2,011.75 2026-07-31
23071 CPT Excision, Soft Tissue Tumor, Shoulder Ar 56 25 $2,965.00 $2,965.00 $873.87 $2,816.75 $2,009.93 2026-07-31
26040 CPT Drainage Of Finger Abscess Complicated 31 25 $2,964.50 $2,964.50 $552.22 $2,816.28 $2,011.41 2026-07-31
54060 CPT Slitting Of Prepuce Dorsal Or Lateral Ex 31 25 $2,959.50 $2,959.50 $291.94 $2,811.53 $2,008.02 2026-07-31
46945 CPT Excision Destruction Lesion Of Anus, Ext 31 25 $2,951.00 $2,951.00 $390.92 $2,803.45 $2,002.25 2026-07-31
45900 CPT Colonoscopy With Hemorrhoid Banding 31 25 $2,946.00 $2,946.00 $291.94 $2,798.70 $1,998.86 2026-07-31
28899 CPT Amputation, Toe Interphalangeal 31 25 $2,927.50 $2,927.50 $291.94 $2,781.13 $1,986.31 2026-07-31
19302 CPT Mastectomy, Partial 31 25 $2,900.00 $2,900.00 $873.87 $2,755.00 $1,967.65 2026-07-31
22903 CPT Excision Tumor, Abdominal Wall 31 25 $2,861.00 $2,861.00 $873.87 $2,717.95 $1,941.19 2026-07-31
74181 CPT MRI Lower Ext Joint Wwo 31 25 $2,852.00 $2,852.00 $294.17 $2,709.40 $1,935.08 2026-07-31
26113 CPT Trigger Finger Release 31 25 $2,846.00 $2,846.00 $873.87 $2,703.70 $1,931.01 2026-07-31
71275 CPT CT Chest Wwo 31 25 $2,827.65 $2,827.65 $220.58 $2,686.27 $1,918.56 2026-07-31
64493 CPT I & D Abscess Vulva/perineal 87 25 $2,814.00 $2,814.00 $104.43 $5,346.13 $1,676.86 2026-07-31
20999 CPT Reamputation With Repair 62 25 $2,797.00 $2,797.00 $291.94 $3,743.00 $1,571.30 2026-07-31
46922 CPT Excision, Surgical Anus Lesion, Simple 56 25 $2,795.00 $2,795.00 $291.94 $2,668.55 $1,947.36 2026-07-31
24076 CPT Excision Tumor Soft Tissue Of Upper Arm 31 25 $2,785.00 $2,785.00 $390.92 $2,645.75 $1,889.62 2026-07-31
71550 CPT MRI Orbit/face/neck Wwo 31 25 $2,772.00 $2,772.00 $294.17 $2,633.40 $1,880.80 2026-07-31
19100 CPT Dreso/debride Burn Large 93 25 $2,755.00 $2,755.00 $291.94 $2,688.98 $1,670.00 2026-07-31
70544 CPT MRI Abdomen Wwo 31 25 $2,723.00 $2,723.00 $294.17 $2,586.85 $1,847.56 2026-07-31
59612 CPT Delivery Of Placenta 31 25 $2,671.50 $2,671.50 $1,000.00 $2,537.93 $1,812.61 2026-07-31
26952 CPT Amputation,finger Or Thumb, Primary Or S 31 25 $2,670.50 $2,670.50 $552.22 $2,536.98 $1,811.93 2026-07-31
70547 CPT MRA Brain W 31 25 $2,659.00 $2,659.00 $294.17 $2,526.05 $1,804.13 2026-07-31
46924 CPT Surgical Excision Anal Polyp 31 25 $2,646.00 $2,646.00 $291.94 $2,513.70 $1,795.31 2026-07-31
67917 CPT Ectropion, Repair, Excision Tarsal Wedge 56 25 $2,635.00 $2,635.00 $552.22 $2,820.55 $2,014.47 2026-07-31
11406 CPT Excision Benign Lesion 3.1-4.0 Cm 31 25 $2,611.00 $2,611.00 $390.92 $2,480.45 $1,771.56 2026-07-31
72156 CPT MRI Lumbar Wo 31 25 $2,609.50 $2,609.50 $461.69 $2,479.03 $1,770.55 2026-07-31
70551 CPT MRA Neck Wwo (carotid) 31 25 $2,593.50 $2,593.50 $294.17 $2,463.83 $1,759.69 2026-07-31
24071 CPT I & D Deep Abscess Or Hematoma Up Arm Or 31 25 $2,574.50 $2,574.50 $873.87 $2,445.78 $1,746.80 2026-07-31
27327 CPT I&s Deep Abscess, Bursa,or Hematoma, Thi 31 25 $2,574.50 $2,574.50 $390.92 $2,445.78 $1,746.80 2026-07-31
21800 CPT I & D Abscess Neck/thorax 31 25 $2,573.00 $2,573.00 $1,000.00 $2,444.35 $1,745.78 2026-07-31
27750 CPT I & D Abscess Ankle/leg Deep 31 25 $2,573.00 $2,573.00 $85.32 $2,444.35 $1,745.78 2026-07-31
27632 CPT I & D Abscess Ankle/leg Deep 31 25 $2,573.00 $2,573.00 $873.87 $2,444.35 $1,745.78 2026-07-31
55100 CPT Drainage Of Scrotal Wall Abscess 117 25 $2,560.00 $2,560.00 $291.94 $4,493.50 $2,239.18 2026-07-31
72127 CPT CT C-spine W 31 25 $2,537.00 $2,537.00 $220.58 $2,410.15 $1,721.35 2026-07-31
73718 CPT MRI Upper Ext Joint Wwo 31 25 $2,525.00 $2,525.00 $294.17 $2,398.75 $1,713.21 2026-07-31
45380 CPT Colonoscopy W Biopsy 168 25 $2,496.50 $2,496.50 $278.78 $7,115.01 $1,680.00 2026-07-31
44389 CPT Colonoscopy Through Stoma With Biopsy 56 25 $2,496.50 $2,496.50 $291.94 $2,371.68 $1,480.30 2026-07-31
45384 CPT Colonoscopy W/ablation Of Polyp,tumor,or 81 25 $2,496.00 $2,496.00 $390.92 $2,474.75 $1,747.20 2026-07-31
72142 CPT MRI Cervical Wo 31 25 $2,492.00 $2,492.00 $461.69 $2,367.40 $1,690.82 2026-07-31
11424 CPT Excision, Benign Lesion 2.1 To 3 Cm 56 25 $2,486.50 $2,486.50 $390.92 $2,817.70 $1,975.95 2026-07-31
11646 CPT Excision Malignent Lesion, F E E N O 3.1 31 25 $2,486.50 $2,486.50 $390.92 $2,362.18 $1,687.09 2026-07-31
11426 CPT Excision Benign 3.1-4.0cm S,n,h,f,g 31 25 $2,486.50 $2,486.50 $390.92 $2,362.18 $1,687.09 2026-07-31
202505 LOCAL Motifmesh 15x22 Cm 31 25 $2,477.00 $2,477.00 $1,000.00 $2,353.15 $1,680.64 2026-07-31
65420 CPT Excision Lesion Cornea, Except Pterygium 31 25 $2,438.50 $2,438.50 $390.92 $2,316.58 $1,654.52 2026-07-31
67916 CPT Tarsorrhapy Construction Of Intermargina 31 25 $2,438.50 $2,438.50 $552.22 $2,316.58 $1,654.52 2026-07-31
73722 CPT MRI Lower Ext Joint Wo 55 25 $2,428.99 $2,428.99 $900.00 $2,324.65 $1,676.00 2026-07-31
28039 CPT Below Knee Amputation 31 25 $2,425.50 $2,425.50 $810.29 $2,304.23 $1,645.70 2026-07-31
49585 CPT Repair Ventral Hernia Lower Abd 56 25 $2,376.00 $2,376.00 $552.22 $5,020.75 $2,257.20 2026-07-31
70480 CPT CT Head Wwo 31 25 $2,373.34 $2,373.34 $131.99 $2,254.67 $1,610.31 2026-07-31
70553 CPT MRI Brain W 31 25 $2,373.00 $2,373.00 $461.69 $2,254.35 $1,610.08 2026-07-31
45999 CPT Anorectal Exam Under Anes., Diagnostic 62 25 $2,365.25 $2,365.25 $291.94 $3,037.63 $1,456.35 2026-07-31
74174 CPT CT Abdomen Wwo 31 25 $2,353.00 $2,353.00 $461.69 $2,235.35 $1,596.51 2026-07-31
25076 CPT Excision Tumor, Soft Tissue Foreamr/wris 31 25 $2,350.00 $2,350.00 $448.31 $2,232.50 $1,594.48 2026-07-31
72192 CPT CT L-spine Wwo 31 25 $2,343.00 $2,343.00 $131.99 $2,225.85 $1,589.73 2026-07-31
73223 CPT MRI Upper Ext Joint W 31 25 $2,325.00 $2,325.00 $461.69 $2,208.75 $1,577.51 2026-07-31
20103 CPT Exploration Wound, Abdomen, Flank, Back 81 25 $2,315.50 $2,315.50 $257.60 $3,014.35 $1,571.07 2026-07-31
27635 CPT Excision Of Bone Cyst Or Bone Tumor, Fin 31 25 $2,315.50 $2,315.50 $448.31 $2,199.73 $1,571.07 2026-07-31
26910 CPT Excision Of Lesion Of Tendon Sheath Or J 31 25 $2,315.50 $2,315.50 $448.31 $2,199.73 $1,571.07 2026-07-31
43247 CPT Egd W/peg Placement 31 25 $2,315.00 $2,315.00 $390.92 $2,199.25 $1,570.73 2026-07-31
70545 CPT MRA Brain Wo 31 25 $2,312.00 $2,312.00 $461.69 $2,196.40 $1,568.69 2026-07-31
27043 CPT Amputation, Finger Or Thumb Any Joint S 31 25 $2,312.00 $2,312.00 $873.87 $2,196.40 $1,568.69 2026-07-31
70552 CPT MRI Brain Wo 31 25 $2,306.00 $2,306.00 $461.69 $2,190.70 $1,564.62 2026-07-31
42140 CPT Excision Of Lesion Of Tongue W Closure A 31 25 $2,293.50 $2,293.50 $390.92 $2,178.83 $1,556.14 2026-07-31
72149 CPT MRI Chest Wwo 31 25 $2,287.00 $2,287.00 $461.69 $2,172.65 $1,551.73 2026-07-31
65426 CPT Pterygium, Excision 31 25 $2,271.50 $2,271.50 $630.41 $2,157.93 $1,541.21 2026-07-31
21310 CPT Removal Of Internal Fixation Device 31 25 $2,261.50 $2,261.50 $1,000.00 $2,148.43 $1,534.43 2026-07-31
70540 CPT MRI Pelvis Wo 31 25 $2,246.00 $2,246.00 $294.17 $2,133.70 $1,523.91 2026-07-31
72147 CPT MRI Thoracic Wo 31 25 $2,232.36 $2,232.36 $461.69 $2,120.74 $1,514.66 2026-07-31
72126 CPT CT C-spine Wo 31 25 $2,205.00 $2,205.00 $461.69 $2,094.75 $1,496.09 2026-07-31
73218 CPT MRI Upper Ext Nonjoint Wo 55 25 $2,192.50 $2,192.50 $294.17 $3,315.50 $2,059.10 2026-07-31
74183 CPT MRI Abdomen W 31 25 $2,183.00 $2,183.00 $461.69 $2,073.85 $1,481.17 2026-07-31
70542 CPT Mra/op Upper Ext With/without Contrast 79 25 $2,177.18 $2,177.18 $461.69 $2,089.05 $1,502.25 2026-07-31
74182 CPT MRI Abdomen Wo 31 25 $2,161.00 $2,161.00 $461.69 $2,052.95 $1,466.24 2026-07-31
49505 CPT Repair Initial Inguinal Hernia, Age 5 Or 168 25 $2,155.50 $2,155.50 $552.22 $6,143.19 $1,886.07 2026-07-31
71270 CPT CT Chest W 31 25 $2,135.00 $2,135.00 $220.58 $2,028.25 $1,448.60 2026-07-31
15200 CPT Full Thickness Graft Including Direct Cl 31 25 $2,117.00 $2,117.00 $448.31 $2,011.15 $1,436.38 2026-07-31
15100 CPT Adjacent Tissue Transfer Flap Clossure N 31 25 $2,111.50 $2,111.50 $390.92 $2,005.93 $1,432.65 2026-07-31
64483 CPT Injection(s) Tf Epidural-ea Add Level 118 25 $2,110.50 $2,110.50 $291.94 $6,014.94 $2,004.98 2026-07-31
64494 CPT Injection (s); Diag Or Ther, Lumbar/sacr 93 25 $2,110.50 $2,110.50 $1,000.00 $4,009.48 $1,938.00 2026-07-31
64479 CPT Injection, Anes Agent, Intercostal, Mult 56 25 $2,110.50 $2,110.50 $291.94 $2,241.05 $1,600.58 2026-07-31
64421 CPT Injection(s) Lumbar/sacral (caudal) 31 25 $2,110.50 $2,110.50 $291.94 $2,004.98 $1,431.97 2026-07-31
64721 CPT Injection; Anes Agent, Lumbar/thoracic 31 25 $2,110.50 $2,110.50 $390.92 $2,004.98 $1,431.97 2026-07-31
72141 CPT MRI Pelvis Wwo 31 25 $2,100.00 $2,100.00 $294.17 $1,995.00 $1,424.85 2026-07-31
72148 CPT MRI Thoracic W 31 25 $2,093.00 $2,093.00 $294.17 $1,988.35 $1,420.10 2026-07-31
71552 CPT MRI Chest W 31 25 $2,093.00 $2,093.00 $461.69 $1,988.35 $1,420.10 2026-07-31
24565 CPT Clsd Tx Supracondylar Fx With Manip 31 25 $2,077.00 $2,077.00 $1,000.00 $1,973.15 $1,409.24 2026-07-31
45378 CPT Colonoscopy 118 25 $2,075.00 $2,075.00 $390.92 $5,913.75 $1,435.93 2026-07-31
93307 CPT Echo Cardiogram 2d W/doppler 31 25 $2,074.00 $2,074.00 $1,000.00 $1,970.30 $1,407.21 2026-07-31
C8936 HCPCS Mra/op Lower Ext With/without Contrast 31 25 $2,044.35 $2,044.35 $900.00 $1,942.13 $1,387.09 2026-07-31
72133 CPT CT L-spine W 31 25 $2,037.00 $2,037.00 $220.58 $1,935.15 $1,382.10 2026-07-31
72128 CPT CT C-spine Wwo 31 25 $2,031.50 $2,031.50 $131.99 $1,929.93 $1,378.37 2026-07-31
45381 CPT Colonoscope With Biopsy 56 25 $2,012.50 $2,012.50 $390.92 $2,474.75 $1,690.64 2026-07-31
43239 CPT Egd 149 25 $2,010.00 $2,010.00 $60.77 $5,728.50 $1,433.13 2026-07-31
36569 CPT Insertion Of Picc 5 Yrs Or Older 61 25 $1,840.50 $1,840.50 $1,000.00 $2,158.40 $1,513.15 2026-07-31
73725 CPT MRA Lower Ext W Or Wo 61 25 $1,803.00 $1,803.00 $900.00 $2,343.18 $1,642.69 2026-07-31
27818 CPT Closed Treatment Bimalleolar Fx 61 25 $1,785.50 $1,785.50 $1,000.00 $2,610.13 $1,696.23 2026-07-31
73221 CPT MRI Upper Ext Nonjoint Wwo 55 25 $1,764.00 $1,764.00 $294.17 $2,299.48 $1,499.50 2026-07-31
74160 CPT CT Abdomen Wo 55 25 $1,705.50 $1,705.50 $220.58 $2,162.20 $1,409.98 2026-07-31
46050 CPT I & D Ischiorectal And/or Perirectal Ads 92 25 $1,551.00 $1,551.00 $291.94 $3,368.70 $1,455.88 2026-07-31
27086 CPT I & D Abscess Pelvis/hip 123 25 $1,529.50 $1,529.50 $291.94 $3,022.90 $1,453.03 2026-07-31
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