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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

UVALDE MEMORIAL HOSPITAL

Uvalde, TX · CCN 451387 · Rates published

Your selected procedure

You selected 482 (MS_DRG)

Hip and femur procedures except major joint without cc/mcc

This hospital’s price: $8,586 across 4 payers

Source: https://cdn.accureg.net/trans/uvalde/741603120_Uvalde-Memorial-Hospital_standardcharges.json · observed 2026-08-20

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

3,243 distinct procedures filed
36 distinct payers
199,659 rate rows
2026-08-20 last MRF observed
Data quality

108,015 of 199,659 rate rows are consumer-grade (54.1%)

91,644 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 91,580
exceeds 10× this hospital's gross charge — excluded from medians 60
exceeds 3× this hospital's gross charge for a DRG stay — excluded 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cdn.accureg.net/trans/uvalde/741603120_Uvalde-Memorial-Hospital_standardcharges.json
Found on page https://pricetransparency.accureg.net/uvalde-expanse
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-10-20
Content fingerprint aa0f5aec5107074c… · 166,741,950 bytes · first seen 2026-10-20

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
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 $25,758.00 $25,758.00 $25,758.00 nat. median
$33,559
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $25,758.00 $25,758.00 $25,758.00 nat. median
$45,362
0.6× median
C1713
HCPCS 		Anchor/screw Bn/bntis/bn 2 $1,211.46 $24,982.82 $24,982.82 nat. median
$864
outlier · 28.9×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 $22,896.00 $22,896.00 $22,896.00 nat. median
$30,192
0.8× median
64590
CPT 		Implant Neuroreceiver 31 $20,118.84 $20,118.84 $20,118.84 nat. median
$17,881
1.1× median
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 $20,034.00 $20,034.00 $20,034.00 nat. median
$25,023
0.8× median
33229
CPT 		Remv&replc Pm Gen Mult Leads 31 $19,975.29 $19,975.29 $19,975.29 nat. median
$18,710
1.1× median
33221
CPT 		Insert Pulse Gen Mult Leads 31 $19,975.29 $19,975.29 $19,975.29 nat. median
$17,968
1.1× median
27487
CPT 		Revise/replace Knee Joint 36 $18,183.40 $18,183.40 $18,183.40 nat. median
$12,000
1.5× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 $17,172.00 $17,172.00 $17,172.00 nat. median
$21,207
0.8× median
945
MS_DRG 		Rehabilitation With Cc/mcc 4 $17,172.00 $17,172.00 $17,172.00 nat. median
$14,830
1.2× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 $17,172.00 $17,172.00 $17,172.00 nat. median
$18,267
0.9× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 $17,172.00 $17,172.00 $17,172.00 nat. median
$24,298
0.7× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 4 $17,172.00 $17,172.00 $17,172.00 nat. median
$27,794
0.6× median
711
MS_DRG 		Testes Procedures With Cc/mcc 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$19,549
0.7× median
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$16,310
0.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$19,195
0.7× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$19,944
0.7× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$17,416
0.8× median
793
MS_DRG 		Full Term Neonate With Major Problems 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$33,677
outlier · 0.4×
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$15,902
0.9× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$18,803
0.8× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$14,237
1.0× median
606
MS_DRG 		Minor Skin Disorders With Mcc 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$14,895
1.0× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$18,625
0.8× median
602
MS_DRG 		Cellulitis With Mcc 4 $14,310.00 $14,310.00 $14,310.00 nat. median
$14,007
1.0× median
27511
CPT 		Prof Fee Treatment Of Thigh Fr 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$4,782
outlier · 2.8×
24579
CPT 		Treat Humerus Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$11,120
1.2× median
27130
CPT 		Total Hip Arthroplasty 36 $13,314.32 $28,175.25 $13,314.32 nat. median
$13,097
1.0× median
27125
CPT 		Partial Hip Replacement 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$6,587
outlier · 2.0×
27441
CPT 		Revision Of Knee Joint 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$11,361
1.2× median
27138
CPT 		Revise Hip Joint Replacement 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$9,886
1.3× median
27759
CPT 		Treatment Of Tibia Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$10,737
1.2× median
27514
CPT 		Prof Fee Trmnt Of Thigh Fractu 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$5,183
outlier · 2.6×
23615
CPT 		Treat Humerus Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$11,353
1.2× median
27134
CPT 		Revise Hip Joint Replacement 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$9,350
1.4× median
24666
CPT 		Treat Radius Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$10,890
1.2× median
24516
CPT 		Treat Humerus Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$11,350
1.2× median
27132
CPT 		Total Hip Arthroplasty 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$9,928
1.3× median
24430
CPT 		Repair Of Humerus 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$11,523
1.2× median
27513
CPT 		Treatment Of Thigh Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$5,206
outlier · 2.6×
27486
CPT 		Prof Fee Revise/replace Knee J 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$8,926
1.5× median
24587
CPT 		Treat Elbow Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$11,502
1.2× median
27446
CPT 		Revision Of Knee Joint 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$12,435
1.1× median
24546
CPT 		Treat Humerus Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$11,505
1.2× median
27712
CPT 		Realignment Of Lower Leg 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$5,869
outlier · 2.3×
24515
CPT 		Treat Humerus Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$11,515
1.2× median
24545
CPT 		Treat Humerus Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$11,403
1.2× median
27447
CPT 		Total Knee Arthroplasty 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$12,737
1.0× median
24575
CPT 		Treat Humerus Fracture 36 $13,314.32 $13,314.32 $13,314.32 nat. median
$10,594
1.3× median

Other procedures at this hospital

Browse this hospital's 3,243 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
             
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 $34,506.10 — $25,758.00 $25,758.00 $25,758.00 2026-08-20
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 $75,192.61 — $25,758.00 $25,758.00 $25,758.00 2026-08-20
C1713 HCPCS Anchor/screw Bn/bntis/bn 3 2 $56,689.57 — $1,211.46 $24,982.82 $24,982.82 2026-08-20
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 $16,673.23 — $22,896.00 $22,896.00 $22,896.00 2026-08-20
64590 CPT Implant Neuroreceiver 60 31 $1,066.25 — $20,118.84 $20,118.84 $20,118.84 2026-08-20
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 4 $53,127.27 — $20,034.00 $20,034.00 $20,034.00 2026-08-20
33229 CPT Remv&replc Pm Gen Mult Leads 60 31 $895.55 — $19,975.29 $19,975.29 $19,975.29 2026-08-20
33221 CPT Insert Pulse Gen Mult Leads 60 31 $1,379.00 — $19,975.29 $19,975.29 $19,975.29 2026-08-20
27487 CPT Revise/replace Knee Joint 66 36 $18,201.59 — $18,183.40 $18,183.40 $18,183.40 2026-08-20
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 4 $56,445.92 — $17,172.00 $17,172.00 $17,172.00 2026-08-20
945 MS_DRG Rehabilitation With Cc/mcc 4 4 $25,288.89 — $17,172.00 $17,172.00 $17,172.00 2026-08-20
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 $77,322.25 — $17,172.00 $17,172.00 $17,172.00 2026-08-20
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 4 $47,361.41 — $17,172.00 $17,172.00 $17,172.00 2026-08-20
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 4 $65,423.55 — $17,172.00 $17,172.00 $17,172.00 2026-08-20
711 MS_DRG Testes Procedures With Cc/mcc 4 4 $46,683.90 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 4 $55,220.30 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 4 $54,230.34 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 4 $44,397.91 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 4 $39,251.00 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
793 MS_DRG Full Term Neonate With Major Problems 4 4 $11,635.63 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 4 4 $43,053.38 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 4 $38,425.18 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
884 MS_DRG Organic Disturbances And Intellectual Disability 4 4 $11,373.03 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
606 MS_DRG Minor Skin Disorders With Mcc 4 4 $37,213.94 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 4 $46,286.09 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
602 MS_DRG Cellulitis With Mcc 4 4 $42,880.97 — $14,310.00 $14,310.00 $14,310.00 2026-08-20
27511 CPT Prof Fee Treatment Of Thigh Fr 66 36 $2,370.05 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
24579 CPT Treat Humerus Fracture 66 36 $80,117.84 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27130 CPT Total Hip Arthroplasty 70 36 $32,875.47 — $13,314.32 $28,175.25 $13,314.32 2026-08-20
27125 CPT Partial Hip Replacement 66 36 $76,212.98 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27441 CPT Revision Of Knee Joint 66 36 $6,257.39 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27138 CPT Revise Hip Joint Replacement 66 36 $75,274.60 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27759 CPT Treatment Of Tibia Fracture 66 36 $2,468.25 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27514 CPT Prof Fee Trmnt Of Thigh Fractu 66 36 $2,302.88 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
23615 CPT Treat Humerus Fracture 67 36 $80,117.84 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27134 CPT Revise Hip Joint Replacement 66 36 $32,170.57 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
24666 CPT Treat Radius Fracture 66 36 $123,203.83 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
24516 CPT Treat Humerus Fracture 66 36 $80,117.84 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27132 CPT Total Hip Arthroplasty 66 36 $32,875.47 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
24430 CPT Repair Of Humerus 66 36 $4,035.00 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27513 CPT Treatment Of Thigh Fracture 66 36 $79,701.98 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27486 CPT Prof Fee Revise/replace Knee J 66 36 $3,345.55 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
24587 CPT Treat Elbow Fracture 66 36 $123,203.83 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27446 CPT Revision Of Knee Joint 66 36 $2,865.28 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
24546 CPT Treat Humerus Fracture 66 36 $80,117.84 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27712 CPT Realignment Of Lower Leg 66 36 $45,755.75 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
24515 CPT Treat Humerus Fracture 66 36 $80,117.84 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
24545 CPT Treat Humerus Fracture 66 36 $80,117.84 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
27447 CPT Total Knee Arthroplasty 68 36 $18,201.59 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
24575 CPT Treat Humerus Fracture 66 36 $80,117.84 — $13,314.32 $13,314.32 $13,314.32 2026-08-20
C1776 HCPCS Implants 36 C1776 2 1 $30,362.84 — $13,045.54 $13,045.54 $13,045.54 2026-08-20
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 4 $26,172.61 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
682 MS_DRG Renal Failure With Mcc 4 4 $18,143.73 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
947 MS_DRG Signs And Symptoms With Mcc 4 4 $5,504.13 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 $71,848.27 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
786 MS_DRG Cesarean Section Without Sterilization With Mcc 4 4 $24,503.04 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 4 4 $72,246.95 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
291 MS_DRG Heart Failure And Shock With Mcc 4 4 $45,297.53 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
189 MS_DRG Pulmonary Edema And Respiratory Failure 4 4 $17,094.45 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
637 MS_DRG Diabetes With Mcc 4 4 $21,405.00 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 4 $28,322.76 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
444 MS_DRG Disorders Of The Biliary Tract With Mcc 4 4 $32,709.82 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 4 4 $29,579.78 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 4 $44,304.35 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 4 $62,116.58 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
593 MS_DRG Skin Ulcers With Cc 4 4 $34,188.66 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
177 MS_DRG Respiratory Infections And Inflammations With Mcc 4 4 $25,262.84 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 4 $30,426.20 — $11,448.00 $11,448.00 $11,448.00 2026-08-20
47564 CPT Laparo Cholecystectomy/explr 66 36 $42,039.75 — $11,023.64 $11,023.64 $11,023.64 2026-08-20
50542 CPT Laparo Ablate Renal Mass 66 36 $2,810.08 — $11,023.64 $11,023.64 $11,023.64 2026-08-20
33228 CPT Remv&replc Pm Gen Dual Lead 66 36 $25,804.65 — $10,839.21 $10,839.21 $10,839.21 2026-08-20
33208 CPT Insrt Heart Pm Atrial & Vent 66 36 $1,996.00 — $10,839.21 $10,839.21 $10,839.21 2026-08-20
33206 CPT Insert Heart Pm Atrial 66 36 $1,741.00 — $10,839.21 $10,839.21 $10,839.21 2026-08-20
33207 CPT Insert Heart Pm Ventricular 66 36 $1,846.00 — $10,839.21 $10,839.21 $10,839.21 2026-08-20
33213 CPT Insert Pulse Gen Dual Leads 66 36 $1,323.00 — $10,839.21 $10,839.21 $10,839.21 2026-08-20
55873 CPT Cryoablate Prostate 66 36 $32,503.88 — $9,817.17 $9,817.17 $9,817.17 2026-08-20
50081 CPT Removal Of Kidney Stone 66 36 $2,723.15 — $9,817.17 $9,817.17 $9,817.17 2026-08-20
51860 CPT Repair Of Bladder Wound 66 36 $1,812.78 — $9,817.17 $9,817.17 $9,817.17 2026-08-20
C9740 HCPCS Cysto Impl 4 Or More 66 36 $73,731.19 — $9,817.17 $9,817.17 $9,817.17 2026-08-20
50576 CPT Kidney Endoscopy & Treatment 66 36 $70,009.82 — $9,817.17 $9,817.17 $9,817.17 2026-08-20
C9761 HCPCS Cysto Litho Vacuum Kidney 66 36 $23,460.69 — $9,817.17 $9,817.17 $9,817.17 2026-08-20
787 MS_DRG Cesarean Section Without Sterilization With Cc 4 4 $30,129.99 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 4 4 $26,160.57 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
603 MS_DRG Cellulitis Without Mcc 4 4 $25,223.05 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 4 $25,553.86 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
948 MS_DRG Signs And Symptoms Without Mcc 4 4 $15,150.93 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 4 $10,399.68 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 4 4 $52,283.21 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 4 4 $18,164.74 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 4 4 $14,793.79 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
794 MS_DRG Neonate With Other Significant Problems 4 4 $7,456.33 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
683 MS_DRG Renal Failure With Cc 4 4 $14,945.05 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 4 4 $19,603.18 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 4 $22,213.79 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
292 MS_DRG Heart Failure And Shock With Cc 4 4 $48,380.17 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
202 MS_DRG Bronchitis And Asthma With Cc/mcc 4 4 $30,544.07 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
187 MS_DRG Pleural Effusion With Cc 4 4 $29,330.41 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 4 $27,583.29 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
389 MS_DRG Gastrointestinal Obstruction With Cc 4 4 $6,045.95 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 4 4 $21,720.57 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
795 MS_DRG Normal Newborn 4 4 $5,226.56 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 4 4 $25,777.71 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
638 MS_DRG Diabetes With Cc 4 4 $63,224.70 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 4 4 $10,124.85 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 4 4 $32,344.78 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 4 4 $15,148.66 — $8,586.00 $8,586.00 $8,586.00 2026-08-20
33227 CPT Remove&replace Pm Gen Singl 66 36 $1,318.00 — $8,581.97 $8,581.97 $8,581.97 2026-08-20
33212 CPT Insert Pulse Gen Sngl Lead 66 36 $1,267.00 — $8,581.97 $8,581.97 $8,581.97 2026-08-20
33211 CPT Insert Card Electrodes Dual 66 36 $15,402.16 — $8,581.97 $8,581.97 $8,581.97 2026-08-20
33285 CPT Insj Subq Car Rhythm Mntr 66 36 $28,610.97 — $8,581.97 $8,581.97 $8,581.97 2026-08-20
33233 CPT Removal Of Pm Generator 66 36 $902.00 — $8,581.97 $8,581.97 $8,581.97 2026-08-20
33210 CPT Insert Electrd/pm Cath Sngl 66 36 $17,712.47 — $8,581.97 $8,581.97 $8,581.97 2026-08-20
0211U CPT Mi Cancer Seek 66 36 $32,974.50 — $8,455.00 $8,455.00 $8,455.00 2026-08-20
77372 CPT Srs Linear Based 66 36 $12,262.55 — $7,638.16 $7,638.16 $7,638.16 2026-08-20
24342 CPT Repair Of Ruptured Tendon 67 36 $28,830.55 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27427 CPT Reconstruction Knee 70 36 $88,099.81 — $7,525.04 $15,726.38 $7,525.04 2026-08-20
27705 CPT Incision Of Tibia 66 36 $1,780.53 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25575 CPT Treat Fracture Radius/ulna 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27766 CPT Optx Medial Ankle Fx 67 36 $24,125.23 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
23630 CPT Prof Fee Optx Gr Hmrl Tbrs Fx 66 36 $1,877.65 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27829 CPT Treat Lower Leg Joint 67 36 $38,318.22 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27495 CPT Reinforce Thigh 66 36 $71,556.33 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
23515 CPT Treat Clavicle Fracture 66 36 $1,777.38 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27695 CPT Repair Of Ankle Ligament 66 36 $1,849.00 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27509 CPT Treatment Of Thigh Fracture 66 36 $42,374.56 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
24400 CPT Revision Of Humerus 66 36 $80,117.84 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27403 CPT Repair Of Knee Cartilage 66 36 $2,443.00 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27396 CPT Prof Fee Transplant Of Thigh T 66 36 $1,491.30 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27792 CPT Treatment Of Ankle Fracture 67 36 $43,483.86 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
29806 CPT Shoulder Arthroscopy/surgery 67 36 $73,964.98 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25609 CPT Treat Fx Radial 3+ Frag 68 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25608 CPT Treat Fx Rad Intra-articul 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
29807 CPT Shoulder Arthroscopy Surgery 66 36 $2,556.45 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27422 CPT Prof Fee Revision Of Unstable 66 36 $1,786.68 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27880 CPT Amputation Of Lower Leg 66 36 $87,217.45 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
20924 CPT Removal Of Tendon For Graft 66 36 $34,506.10 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
23552 CPT Treat Clavicle Dislocation 66 36 $40,789.15 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27465 CPT Shortening Of Thigh Bone 66 36 $68,590.81 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
20690 CPT Apply Bone Fixation Device 66 36 $1,475.05 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27450 CPT Incision Of Thigh 66 36 $77,176.19 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27335 CPT Prof Fee Remove Knee Joint Lin 66 36 $1,840.10 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27506 CPT Treatment Of Thigh Fracture 67 36 $53,883.71 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27650 CPT Repair Achilles Tendon 67 36 $35,363.93 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27269 CPT Optx Thigh Fx 66 36 $63,017.64 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27248 CPT Treat Thigh Fracture 66 36 $63,904.11 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27254 CPT Treat Hip Dislocation 66 36 $63,904.11 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27245 CPT Treat Thigh Fracture 66 36 $63,904.11 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
20251 CPT CT Biopsy Lumbar\cervical 66 36 $7,404.70 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27236 CPT Treat Thigh Fracture 66 36 $63,904.11 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27244 CPT Treat Thigh Fracture 66 36 $63,904.11 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25415 CPT Repair Radius & Ulna 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25545 CPT Treat Fracture Of Ulna 66 36 $1,536.03 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
29888 CPT Knee Arthroscopy/surgery 70 36 $62,558.54 — $7,525.04 $15,726.38 $7,525.04 2026-08-20
27181 CPT Treat Slipped Epiphysis 66 36 $70,780.09 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25515 CPT Treat Fracture Of Radius 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
29887 CPT Knee Arthroscopy/surgery 66 36 $1,853.75 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27540 CPT Treat Knee Fracture 66 36 $2,001.53 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27179 CPT Revise Head/neck Of Femur 66 36 $63,017.64 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
26352 CPT Repair/graft Hand Tendon 66 36 $34,506.10 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25652 CPT Treat Fracture Ulnar Styloid 66 36 $2,366.00 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27161 CPT Incision Of Neck Of Femur 66 36 $63,017.64 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27519 CPT Treat Thigh Fx Growth Plate 66 36 $79,701.98 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27524 CPT Treat Kneecap Fracture 66 36 $1,859.40 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27078 CPT Rsect Hip Tum Incl Femur 66 36 $7,890.00 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27535 CPT Treat Knee Fracture 66 36 $3,424.00 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27380 CPT Repair Of Kneecap Tendon 66 36 $2,270.00 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27187 CPT Reinforce Hip Bones 66 36 $71,556.33 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
23410 CPT Repair Rotator Cuff Acute 66 36 $2,026.50 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27822 CPT Treatment Of Ankle Fracture 69 36 $42,123.03 — $1,754.74 $7,525.04 $7,525.04 2026-08-20
27507 CPT Treatment Of Thigh Fracture 66 36 $3,714.00 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
24635 CPT Treat Elbow Fracture 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
23430 CPT Repair Biceps Tendon 66 36 $1,839.80 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
26372 CPT Repair/graft Hand Tendon 66 36 $34,506.10 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
29827 CPT Arthroscop Rotator Cuff Repr 68 36 $52,494.27 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25607 CPT Treat Fx Rad Extra-articul 68 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
29828 CPT Arthroscopy Biceps Tenodesis 68 36 $46,129.96 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25574 CPT Treat Fracture Radius & Ulna 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27235 CPT Treat Thigh Fracture 66 36 $35,736.23 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25420 CPT Repair/graft Radius & Ulna 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25400 CPT Repair Radius Or Ulna 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25526 CPT Treat Fracture Of Radius 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
24685 CPT Treat Ulnar Fracture 68 36 $53,567.03 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
24665 CPT Treat Radius Fracture 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27823 CPT Treatment Of Ankle Fracture 66 36 $2,420.25 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
26358 CPT Repair/graft Hand Tendon 66 36 $34,506.10 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
24341 CPT Repair Arm Tendon/muscle 66 36 $1,838.08 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
27814 CPT Treatment Of Ankle Fracture 67 36 $44,865.41 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
25525 CPT Treat Fracture Of Radius 66 36 $123,203.83 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
24538 CPT Treat Humerus Fracture 66 36 $80,117.84 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
23532 CPT Treat Clavicle Dislocation 66 36 $40,789.15 — $7,525.04 $7,525.04 $7,525.04 2026-08-20
19307 CPT Mast Mod Rad 67 36 $25,965.18 — $6,886.17 $6,886.17 $6,886.17 2026-08-20
19303 CPT Mast Simple Complete 67 36 $54,043.80 — $6,886.17 $6,886.17 $6,886.17 2026-08-20
19302 CPT P-mastectomy W/ln Removal 67 36 $30,760.67 — $6,886.17 $6,886.17 $6,886.17 2026-08-20
15830 CPT Exc Skin Abd 66 36 $30,564.29 — $6,886.17 $6,886.17 $6,886.17 2026-08-20
44950 CPT Appendectomy 66 36 $1,593.53 — $6,713.66 $6,713.66 $6,713.66 2026-08-20
49593 CPT Rpr Aa Hrn 1st 3-10 Rdc 66 36 $33,012.20 — $6,713.66 $6,713.66 $6,713.66 2026-08-20
55535 CPT Revise Spermatic Cord Veins 66 36 $1,050.53 — $6,713.66 $6,713.66 $6,713.66 2026-08-20
49521 CPT Prof Fee Rerepairing Hernia Bl 66 36 $1,714.43 — $6,713.66 $6,713.66 $6,713.66 2026-08-20
64561 CPT Implant Neuroelectrodes 66 36 $17,157.01 — $6,609.10 $6,609.10 $6,609.10 2026-08-20
64581 CPT Implant Neuroelectrodes 66 36 $1,597.25 — $6,609.10 $6,609.10 $6,609.10 2026-08-20
44180 CPT Lap Enterolysis 66 36 $2,280.40 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
44238 CPT Laparoscope Proc Intestine 66 36 $40,052.22 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
54690 CPT Laparoscopy Orchiectomy 66 36 $46,683.90 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
49651 CPT Lap Ing Hernia Repair Recur 66 36 $36,790.54 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
49650 CPT Lap Ing Hernia Repair Init 69 36 $36,790.54 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
49592 CPT Rpr Aa Hrn 1st < 3 Ncr/strn 66 36 $33,069.79 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
49659 CPT Laparo Proc Hernia Repair 66 36 $36,790.54 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
49329 CPT Laparo Proc Abdm/per/oment 66 36 $26,513.50 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
51500 CPT Removal Of Bladder Cyst 66 36 $30,564.29 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
49325 CPT Lap Revision Perm Ip Cath 66 36 $30,564.29 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
49320 CPT Diag Laparo Separate Proc 66 36 $1,255.00 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
47562 CPT Laparoscopic Cholecystectomy 66 36 $42,039.75 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
49321 CPT Laparoscopy Biopsy 66 36 $1,329.00 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
58670 CPT Laparoscopy Tubal Cautery 66 36 $1,418.00 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
44970 CPT Laparoscopy Appendectomy 66 36 $34,532.95 — $1,207.02 $6,269.50 $6,269.50 2026-08-20
58661 CPT Laparoscopy Remove Adnexa 66 36 $27,309.58 — $6,269.50 $6,269.50 $6,269.50 2026-08-20
36566 CPT Insert Tunneled Cv Cath 66 36 $31,544.73 — $5,770.64 $5,770.64 $5,770.64 2026-08-20
36563 CPT Insert Tunneled Cv Cath 66 36 $31,544.73 — $5,770.64 $5,770.64 $5,770.64 2026-08-20
36253 CPT Ins Cath Ren Art 2nd+ Unilat 66 36 $8,530.00 — $5,770.64 $5,770.64 $5,770.64 2026-08-20
670 MS_DRG Transurethral Procedures Without Cc/mcc 4 4 $51,529.94 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
951 MS_DRG Other Factors Influencing Health Status 4 4 $43,887.93 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 4 4 $123,203.83 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 4 $11,419.72 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
399 MS_DRG Appendix Procedures Without Cc/mcc 4 4 $34,532.95 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
312 MS_DRG Syncope And Collapse 4 4 $15,055.24 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
293 MS_DRG Heart Failure And Shock Without Cc/mcc 4 4 $2,495.60 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 4 4 $16,287.98 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 4 4 $25,630.41 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 4 4 $17,176.92 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 4 4 $15,964.77 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 4 4 $13,315.42 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 4 4 $28,213.87 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 4 4 $5,197.45 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 4 4 $22,365.55 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
69 MS_DRG Transient Ischemia Without Thrombolytic 4 4 $12,179.80 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 4 4 $9,730.65 — $5,724.00 $5,724.00 $5,724.00 2026-08-20
52240 CPT Cystoscopy And Treatment 66 36 $27,410.20 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
52648 CPT Laser Surgery Of Prostate 66 36 $3,845.58 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
52649 CPT Prostate Laser Enucleation 66 36 $9,730.65 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
53505 CPT Repair Of Urethra Injury 66 36 $1,185.05 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
52601 CPT Prostatectomy (turp) 66 36 $9,730.65 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
52630 CPT Remove Prostate Regrowth 66 36 $9,730.65 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
50580 CPT Kidney Endoscopy & Treatment 66 36 $60,696.95 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
50551 CPT Kidney Endoscopy 66 36 $65,758.51 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
52356 CPT Cysto/uretero W/lithotripsy 70 36 $36,436.13 — $5,560.44 $13,000.75 $5,560.44 2026-08-20
50553 CPT Kidney Endoscopy 66 36 $65,758.51 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
52353 CPT Cystouretero W/lithotripsy 67 36 $44,882.63 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
52354 CPT Cystouretero W/biopsy 67 36 $40,753.19 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
C9739 HCPCS Cystoscopy Prostatic Imp 1-3 66 36 $42,160.01 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
52346 CPT Cystouretero W/renal Strict 67 36 $65,758.51 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
52325 CPT Cystoscopy Stone Removal 66 36 $44,882.63 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
50575 CPT Kidney Endoscopy 66 36 $70,009.82 — $5,560.44 $5,560.44 $5,560.44 2026-08-20
66991 CPT Capsl Ctrc Rmvl Insj 1+ 67 36 $22,864.32 — $5,518.44 $5,518.44 $5,518.44 2026-08-20
58260 CPT Vaginal Hysterectomy 66 36 $17,060.31 — $5,187.78 $5,187.78 $5,187.78 2026-08-20
57320 CPT Repair Bladder-vagina Lesion 66 36 $1,383.25 — $5,187.78 $5,187.78 $5,187.78 2026-08-20
57335 CPT Repair Vagina 66 36 $13,940.52 — $5,187.78 $5,187.78 $5,187.78 2026-08-20
57288 CPT Repair Bladder Defect 66 36 $1,816.98 — $5,187.78 $5,187.78 $5,187.78 2026-08-20
19328 CPT Removal Of Breast Implant 66 36 $1,236.55 — $4,060.49 $4,060.49 $4,060.49 2026-08-20
19301 CPT Partial Mastectomy 68 36 $17,336.39 — $4,060.49 $4,060.49 $4,060.49 2026-08-20
19125 CPT Excision Breast Lesion 69 36 $22,428.22 — $4,060.49 $10,936.25 $4,060.49 2026-08-20
19120 CPT Removal Of Breast Lesion 67 36 $18,306.69 — $4,060.49 $4,060.49 $4,060.49 2026-08-20
19101 CPT Biopsy Of Breast Open 66 36 $820.25 — $4,060.49 $4,060.49 $4,060.49 2026-08-20
38525 CPT Biopsy/removal Lymph Nodes 68 36 $31,978.77 — $4,060.49 $4,060.49 $4,060.49 2026-08-20
38530 CPT Biopsy/removal Lymph Nodes 67 36 $35,833.56 — $4,060.49 $4,060.49 $4,060.49 2026-08-20
38510 CPT Biopsy/removal Lymph Nodes 66 36 $2,006.00 — $4,060.49 $4,060.49 $4,060.49 2026-08-20
38531 CPT Open Bx/exc Inguinofem Nodes 66 36 $1,129.60 — $4,060.49 $4,060.49 $4,060.49 2026-08-20
38500 CPT Biopsy/removal Lymph Nodes 66 36 $825.25 — $4,060.49 $4,060.49 $4,060.49 2026-08-20
43840 CPT Repair Of Stomach Lesion 66 36 $35,161.69 — $3,998.31 $3,998.31 $3,998.31 2026-08-20
44602 CPT Suture Small Intestine 66 36 $5,383.00 — $3,998.31 $3,998.31 $3,998.31 2026-08-20
81540 CPT Cancer Type Id So 66 36 $11,041.20 — $3,750.00 $3,750.00 $3,750.00 2026-08-20
54640 CPT Orchiopexy Ingun/scrot Appr 66 36 $28,705.75 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
54530 CPT Removal Of Testis 66 36 $46,683.90 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
32550 CPT Insert Pleural Cath 66 36 $29,330.41 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
49591 CPT Rpr Aa Hrn 1st < 3 Cm Rdc 66 36 $29,213.07 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
49600 CPT Repair Umbilical Lesion 66 36 $30,564.29 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
55040 CPT Removal Of Hydrocele 68 36 $25,406.72 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
49505 CPT Prp I/hern Init Reduc >5 Yr 67 36 $26,574.90 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
49520 CPT Rerepair Ing Hernia Reduce 67 36 $25,326.57 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
49507 CPT Prp I/hern Init Block >5 Yr 66 36 $1,451.65 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
55041 CPT Removal Of Hydroceles 66 36 $1,248.40 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
47531 CPT Cholangiogram T Tube Placement 66 36 $1,349.82 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
49525 CPT Repair Ing Hernia Sliding 68 36 $30,173.91 — $3,713.04 $3,713.04 $3,713.04 2026-08-20
13160 CPT Late Closure Of Wound 66 36 $30,564.29 — $3,675.01 $3,675.01 $3,675.01 2026-08-20
52250 CPT Cystoscopy And Radiotracer 66 36 $58,869.76 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
52282 CPT Cystoscopy Implant Stent 66 36 $44,697.14 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
54670 CPT Repair Testis Injury 66 36 $998.55 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
54522 CPT Orchiectomy Partial 66 36 $46,683.90 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
54535 CPT Extensive Testis Surgery 66 36 $46,683.90 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
52317 CPT Remove Bladder Stone 66 36 $23,386.55 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
54620 CPT Suspension Of Testis 66 36 $725.55 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
54512 CPT Excise Lesion Testis 68 36 $26,977.83 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
55708 CPT Bx Prst8 Trct US W/mri Fus 1 66 36 $18,602.55 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
50590 CPT Fragmenting Of Kidney Stone 69 36 $29,366.06 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
50433 CPT Plmt Nephroureteral Catheter 66 36 $2,639.83 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
54520 CPT Removal Of Testis 66 36 $46,683.90 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
53040 CPT Drainage Of Urethra Abscess 66 36 $27,340.71 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
53275 CPT Repair Of Urethra Defect 66 36 $22,823.29 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
50436 CPT Dilat Xst Trc Ndurlgc Px 66 36 $65,758.51 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
52234 CPT Cystoscopy And Treatment 66 36 $22,302.89 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
52640 CPT Relieve Bladder Contracture 66 36 $27,255.57 — $3,655.57 $3,655.57 $3,655.57 2026-08-20
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