Hospital

THREE RIVERS HOSPITAL

Brewster, WA · CCN 501324 · Rates published

22,492 distinct procedures filed

20 distinct payers

321,551 rate rows

2026-05-06 last MRF observed

Data quality

34,405 of 321,551 rate rows are consumer-grade (10.7%)

287,146 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	287,034
template filing: same amount across many unrelated codes — excluded	110
placeholder amount (≤ $0.02) — excluded from medians	2

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

Source MRF file	https://trh.goredde.com/Estimator/Files/916001009_three-rivers-hospital_standardcharges.csv
Found on page	https://trh.goredde.com/Estimator/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	26a4093ec0e12d3b… · 59,380,821 bytes · first seen 2026-05-09

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
J1950 HCPCS	Cl-lupron Depot 11.25mg For 3 Month Adm	14	$11,937.40	$14,044.00	$14,044.00	nat. median $4,344 outlier · 3.2×
J3101 OTHER	Tenecteplase 50mg Kit (tnkase)	6	$132.05	$11,217.03	$9,412.94	nat. median $195 outlier · 48.3×
C1776 HCPCS	7.3mm Cannulated Screw 16mm Thread 90 Mm	14	$7.19	$29,238.00	$6,720.84	nat. median $3,432 2.0× median
47563 CPT	Laparo Cholecystectomy/graph	1	$5,924.10	$5,924.10	$5,924.10	nat. median $6,043 1.0× median
C1776 OTHER	7mm Ti Cannulated Humeral Nail-ex 240mm	6	$5.72	$32,176.80	$4,654.82	nat. median $4,168 1.1× median
43324 OTHER	Esophagogastric Fundoplasty (nissan)	6	$4,108.48	$4,812.58	$4,460.53	nat. median $4,838 0.9× median
J2182 OTHER	Nucala 100mg Subq Vial	6	$27.72	$5,035.73	$4,225.81	nat. median $34 outlier · 125.2×
70543 CPT	MRI Orbt/fac/nck Without &with Contrast	1	$4,191.13	$4,191.13	$4,191.13	nat. median $1,079 outlier · 3.9×
44146 OTHER	Colectomy,partial;w/colproct,w/colostomy	6	$2,024.87	$6,326.71	$3,864.84	nat. median $5,838 0.7× median
J0840 OTHER	Crofab 1gm/vial	6	$2,688.49	$4,078.93	$3,422.89	nat. median $2,112 1.6× median
58200 OTHER	Tot Abdo Hyst W/wo Removal Tube/ovary	6	$1,322.48	$6,126.22	$3,375.39	nat. median $3,696 0.9× median
32440 OTHER	Removal Lung Total, Pneumonectomy	6	$1,493.03	$5,746.15	$3,311.23	nat. median $4,233 0.8× median
88185 OTHER	Leukemia Lymphoma Eval	6	$24.09	$7,309.48	$3,132.08	nat. median $64 outlier · 49.1×
58152 OTHER	Total Abd Hysterectomy With Colpo-ureth	6	$1,211.29	$5,693.67	$3,126.82	nat. median $3,549 0.9× median
81229 OTHER	Chromosomal Microarray	6	$1,136.80	$3,642.44	$3,056.61	nat. median $1,253 outlier · 2.4×
44160 OTHER	Colectomy Part W Removal Ileum	6	$1,201.07	$5,445.21	$3,014.89	nat. median $2,849 1.1× median
47361 OTHER	Repair Liver Hemorrhage W/expl W/wo Pack	6	$2,637.01	$3,322.24	$2,988.92	nat. median $4,533 0.7× median
35201 OTHER	Repair Blood Vessel Neck	6	$884.51	$5,641.60	$2,916.70	nat. median $4,316 0.7× median
38100 OTHER	Slenectomy; Total	6	$1,111.39	$5,286.54	$2,895.60	nat. median $1,446 outlier · 2.0×
81420 OTHER	Qnatal Advanced	6	$743.87	$3,396.44	$2,850.17	nat. median $782 outlier · 3.6×
44145 OTHER	Colectomy,partial; W/coloproctostomy	6	$1,591.71	$4,455.47	$2,817.03	nat. median $3,235 0.9× median
44140 OTHER	Colectomy Partial With Anastomosis	6	$1,297.49	$4,505.49	$2,669.22	nat. median $2,151 1.2× median
27514 OTHER	Surg Assist Open Tx Distal Femoral Fx	6	$947.90	$4,858.91	$2,619.06	nat. median $5,047 0.5× median
50780 OTHER	Anastomosis Single Ureter To Bladder	6	$1,081.48	$4,559.20	$2,567.94	nat. median $1,631 1.6× median
J9217 OTHER	Cl-lupron Depot 7.5mg Syringe	6	$1,022.32	$3,019.94	$2,534.23	nat. median $222 outlier · 11.4×
43840 OTHER	Gastrorr, Sut Perf Duodenal, Wound	6	$1,315.80	$4,137.31	$2,522.59	nat. median $2,872 0.9× median
58565 OTHER	Tubal Ligation With Implants	6	$520.40	$3,892.54	$2,496.26	nat. median $3,063 0.8× median
44605 OTHER	Suture Large Intestine With Colostomy	6	$1,242.50	$4,079.50	$2,455.77	nat. median $2,968 0.8× median
70551 CPT	MRI Brain Stem Without Contrast	1	$2,443.84	$2,443.84	$2,443.84	nat. median $772 outlier · 3.2×
47610 OTHER	Cholecystectomy W/exp Of Common Duct	6	$1,208.05	$4,080.32	$2,436.31	nat. median $3,335 0.7× median
44626 OTHER	Closure Enterostomy W/resect & Colorect	6	$1,530.07	$3,628.09	$2,428.43	nat. median $3,804 0.6× median
27506 OTHER	Open Tx Femoral Shaft Fx With Screws	6	$1,316.37	$3,864.66	$2,406.53	nat. median $4,251 0.6× median
27486 OTHER	Revision Total Knee Arthroplasty, 1 Comp	6	$1,376.85	$3,746.58	$2,390.91	nat. median $7,694 outlier · 0.3×
47564 OTHER	Lap Cholecystitis W/exp Of Common Duct	6	$1,087.00	$4,118.86	$2,383.15	nat. median $8,240 outlier · 0.3×
47562 CPT	Laparoscopic Cholecystectomy	1	$2,371.40	$2,371.40	$2,371.40	nat. median $5,956 outlier · 0.4×
60240 OTHER	Thyroidectomy, Total Or Complete	6	$896.27	$4,298.03	$2,349.96	nat. median $5,844 outlier · 0.4×
32160 OTHER	Thoracotomy Major;w/cardiac Message	6	$767.48	$4,420.21	$2,328.06	nat. median $2,014 1.2× median
27828 OTHER	Open Distal Tibia/fibula Fx With In Fix	6	$1,310.94	$3,666.22	$2,318.70	nat. median $9,684 outlier · 0.2×
45550 OTHER	Proctopexy Comb W Sigmoid Rest, Abd Appr	6	$1,408.09	$3,507.14	$2,306.66	nat. median $4,150 0.6× median
36561 OTHER	Placement Cva Device W/sub Port >5 Yrs	6	$367.04	$4,229.56	$2,286.07	nat. median $3,210 0.7× median
27580 OTHER	Amputation Thigh Through Femur Any Level	6	$1,453.31	$3,312.39	$2,249.54	nat. median $3,557 0.6× median
19302 OTHER	Mastectomy Partial; W/axillary Lymph	6	$885.80	$4,043.42	$2,235.26	nat. median $5,876 outlier · 0.4×
27178 OTHER	Closed Tx Femoral Fx W/pinning Or Graft	6	$913.36	$3,992.17	$2,229.23	nat. median $2,854 0.8× median
15830 OTHER	Panniculectomy	6	$1,149.32	$3,638.34	$2,213.88	nat. median $6,274 outlier · 0.4×
44143 OTHER	Colectomy Part Hartman Type	6	$1,593.38	$3,014.73	$2,203.03	nat. median $2,949 0.7× median
58563 OTHER	Hysteroscopy Endometrial Ablation	6	$274.56	$2,667.46	$2,196.22	nat. median $4,873 outlier · 0.5×
49020 OTHER	Drainage Peritoneal Abscess/open	6	$1,543.93	$3,059.01	$2,193.49	nat. median $2,646 0.8× median
C1718 OTHER	Mesh Hernia Central Trapezoid Small Circ	6	$2,053.96	$2,658.83	$2,192.56	nat. median $618 outlier · 3.5×
47605 OTHER	Cholecystectomy With Cholangiography	6	$1,093.33	$3,640.80	$2,182.73	nat. median $2,499 0.9× median
A4649 OTHER	Elastic Bandage 2	6	$0.55	$4,974.12	$2,039.57	nat. median $216 outlier · 9.5×

Other procedures at this hospital

Browse this hospital's 22,492 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

J1950	HCPCS	Cl-lupron Depot 11.25mg For 3 Month Adm	14	14	$14,044.00	$10,533.00 25% off	$11,937.40	$14,044.00	$14,044.00	2026-03-29
J3101	OTHER	Tenecteplase 50mg Kit (tnkase)	6	6	$13,679.30	$13,679.30	$132.05	$11,217.03	$9,412.94	2026-05-06
C1776	HCPCS	7.3mm Cannulated Screw 16mm Thread 90 Mm	392	14	$6,880.30	$5,160.23 25% off	$7.19	$29,238.00	$6,720.84	2026-03-29
47563	CPT	Laparo Cholecystectomy/graph	1	1	—	—	$5,924.10	$5,924.10	$5,924.10	2026-03-29
C1776	OTHER	7mm Ti Cannulated Humeral Nail-ex 240mm	1,036	6	$6,462.72	$6,462.72	$5.72	$32,176.80	$4,654.82	2026-05-06
43324	OTHER	Esophagogastric Fundoplasty (nissan)	6	6	$5,869.00	$5,869.00	$4,108.48	$4,812.58	$4,460.53	2026-05-06
J2182	OTHER	Nucala 100mg Subq Vial	6	6	$6,141.14	$6,141.14	$27.72	$5,035.73	$4,225.81	2026-05-06
70543	CPT	MRI Orbt/fac/nck Without &with Contrast	1	1	—	—	$4,191.13	$4,191.13	$4,191.13	2026-03-29
44146	OTHER	Colectomy,partial;w/colproct,w/colostomy	6	6	$7,715.50	$7,715.50	$2,024.87	$6,326.71	$3,864.84	2026-05-06
J0840	OTHER	Crofab 1gm/vial	6	6	$4,974.30	$4,974.30	$2,688.49	$4,078.93	$3,422.89	2026-05-06
58200	OTHER	Tot Abdo Hyst W/wo Removal Tube/ovary	6	6	$7,471.00	$7,471.00	$1,322.48	$6,126.22	$3,375.39	2026-05-06
32440	OTHER	Removal Lung Total, Pneumonectomy	6	6	$7,007.50	$7,007.50	$1,493.03	$5,746.15	$3,311.23	2026-05-06
88185	OTHER	Leukemia Lymphoma Eval	6	6	$8,914.00	$8,914.00	$24.09	$7,309.48	$3,132.08	2026-05-06
58152	OTHER	Total Abd Hysterectomy With Colpo-ureth	6	6	$6,943.50	$6,943.50	$1,211.29	$5,693.67	$3,126.82	2026-05-06
81229	OTHER	Chromosomal Microarray	6	6	$4,442.00	$4,442.00	$1,136.80	$3,642.44	$3,056.61	2026-05-06
44160	OTHER	Colectomy Part W Removal Ileum	6	6	$6,640.50	$6,640.50	$1,201.07	$5,445.21	$3,014.89	2026-05-06
47361	OTHER	Repair Liver Hemorrhage W/expl W/wo Pack	6	6	$3,767.00	$3,767.00	$2,637.01	$3,322.24	$2,988.92	2026-05-06
35201	OTHER	Repair Blood Vessel Neck	6	6	$6,880.00	$6,880.00	$884.51	$5,641.60	$2,916.70	2026-05-06
38100	OTHER	Slenectomy; Total	6	6	$6,447.00	$6,447.00	$1,111.39	$5,286.54	$2,895.60	2026-05-06
81420	OTHER	Qnatal Advanced	6	6	$4,142.00	$4,142.00	$743.87	$3,396.44	$2,850.17	2026-05-06
44145	OTHER	Colectomy,partial; W/coloproctostomy	6	6	$5,433.50	$5,433.50	$1,591.71	$4,455.47	$2,817.03	2026-05-06
44140	OTHER	Colectomy Partial With Anastomosis	6	6	$5,494.50	$5,494.50	$1,297.49	$4,505.49	$2,669.22	2026-05-06
27514	OTHER	Surg Assist Open Tx Distal Femoral Fx	6	6	$5,925.50	$5,925.50	$947.90	$4,858.91	$2,619.06	2026-05-06
50780	OTHER	Anastomosis Single Ureter To Bladder	6	6	$5,560.00	$5,560.00	$1,081.48	$4,559.20	$2,567.94	2026-05-06
J9217	OTHER	Cl-lupron Depot 7.5mg Syringe	6	6	$3,682.85	$3,682.85	$1,022.32	$3,019.94	$2,534.23	2026-05-06
43840	OTHER	Gastrorr, Sut Perf Duodenal, Wound	6	6	$5,045.50	$5,045.50	$1,315.80	$4,137.31	$2,522.59	2026-05-06
58565	OTHER	Tubal Ligation With Implants	6	6	$4,747.00	$4,747.00	$520.40	$3,892.54	$2,496.26	2026-05-06
44605	OTHER	Suture Large Intestine With Colostomy	6	6	$4,975.00	$4,975.00	$1,242.50	$4,079.50	$2,455.77	2026-05-06
70551	CPT	MRI Brain Stem Without Contrast	1	1	—	—	$2,443.84	$2,443.84	$2,443.84	2026-03-29
47610	OTHER	Cholecystectomy W/exp Of Common Duct	6	6	$4,976.00	$4,976.00	$1,208.05	$4,080.32	$2,436.31	2026-05-06
44626	OTHER	Closure Enterostomy W/resect & Colorect	6	6	$4,424.50	$4,424.50	$1,530.07	$3,628.09	$2,428.43	2026-05-06
27506	OTHER	Open Tx Femoral Shaft Fx With Screws	6	6	$4,713.00	$4,713.00	$1,316.37	$3,864.66	$2,406.53	2026-05-06
27486	OTHER	Revision Total Knee Arthroplasty, 1 Comp	6	6	$4,569.00	$4,569.00	$1,376.85	$3,746.58	$2,390.91	2026-05-06
47564	OTHER	Lap Cholecystitis W/exp Of Common Duct	6	6	$5,023.00	$5,023.00	$1,087.00	$4,118.86	$2,383.15	2026-05-06
47562	CPT	Laparoscopic Cholecystectomy	1	1	—	—	$2,371.40	$2,371.40	$2,371.40	2026-03-29
60240	OTHER	Thyroidectomy, Total Or Complete	6	6	$5,241.50	$5,241.50	$896.27	$4,298.03	$2,349.96	2026-05-06
32160	OTHER	Thoracotomy Major;w/cardiac Message	6	6	$5,390.50	$5,390.50	$767.48	$4,420.21	$2,328.06	2026-05-06
27828	OTHER	Open Distal Tibia/fibula Fx With In Fix	6	6	$4,471.00	$4,471.00	$1,310.94	$3,666.22	$2,318.70	2026-05-06
45550	OTHER	Proctopexy Comb W Sigmoid Rest, Abd Appr	6	6	$4,277.00	$4,277.00	$1,408.09	$3,507.14	$2,306.66	2026-05-06
36561	OTHER	Placement Cva Device W/sub Port >5 Yrs	6	6	$5,158.00	$5,158.00	$367.04	$4,229.56	$2,286.07	2026-05-06
27580	OTHER	Amputation Thigh Through Femur Any Level	6	6	$4,039.50	$4,039.50	$1,453.31	$3,312.39	$2,249.54	2026-05-06
19302	OTHER	Mastectomy Partial; W/axillary Lymph	6	6	$4,931.00	$4,931.00	$885.80	$4,043.42	$2,235.26	2026-05-06
27178	OTHER	Closed Tx Femoral Fx W/pinning Or Graft	6	6	$4,868.50	$4,868.50	$913.36	$3,992.17	$2,229.23	2026-05-06
15830	OTHER	Panniculectomy	6	6	$4,437.00	$4,437.00	$1,149.32	$3,638.34	$2,213.88	2026-05-06
44143	OTHER	Colectomy Part Hartman Type	6	6	$3,676.50	$3,676.50	$1,593.38	$3,014.73	$2,203.03	2026-05-06
58563	OTHER	Hysteroscopy Endometrial Ablation	6	6	$3,253.00	$3,253.00	$274.56	$2,667.46	$2,196.22	2026-05-06
49020	OTHER	Drainage Peritoneal Abscess/open	6	6	$3,730.50	$3,730.50	$1,543.93	$3,059.01	$2,193.49	2026-05-06
C1718	OTHER	Mesh Hernia Central Trapezoid Small Circ	11	6	$3,037.50	$3,037.50	$2,053.96	$2,658.83	$2,192.56	2026-05-06
47605	OTHER	Cholecystectomy With Cholangiography	6	6	$4,440.00	$4,440.00	$1,093.33	$3,640.80	$2,182.73	2026-05-06
A4649	OTHER	Elastic Bandage 2	56	6	$2,964.00	$2,964.00	$0.55	$4,974.12	$2,039.57	2026-05-06
73721	CPT	MRI Jnt Of Lwr Extre Without Contrast	1	1	—	—	$2,029.31	$2,029.31	$2,029.31	2026-03-29
60225	OTHER	Total Thyroid Lobect With Sub Lobectomy	6	6	$4,222.50	$4,222.50	$920.89	$3,462.45	$2,007.45	2026-05-06
21451	OTHER	Pf-clos Tx Mand Fx/disl W/mn	6	6	$4,534.00	$4,534.00	$738.09	$3,717.88	$1,972.85	2026-05-06
60500	OTHER	Parathyroidectomy Or Expl Parathyroid	6	6	$4,050.50	$4,050.50	$947.50	$3,321.41	$1,962.55	2026-05-06
44005	OTHER	Enterolysis (freeing Of Intest Adhesion)	6	6	$3,846.50	$3,846.50	$1,055.23	$3,154.13	$1,953.10	2026-05-06
38740	OTHER	Axillary Lymphadenectomy, Super	6	6	$4,405.00	$4,405.00	$687.01	$3,612.10	$1,936.85	2026-05-06
20101	OTHER	Explore Penetrat Wound; Chest	6	6	$4,709.50	$4,709.50	$234.42	$3,861.79	$1,936.07	2026-05-06
37617	OTHER	Ligation, Major Artery; Abdomen	6	6	$3,418.50	$3,418.50	$1,265.76	$2,803.17	$1,924.34	2026-05-06
44320	OTHER	Colostomy/skin Level Cecostomy Separ Pro	6	6	$3,553.00	$3,553.00	$1,163.59	$2,913.46	$1,912.67	2026-05-06
27033	OTHER	Arthrotomy, Hip, Explore Or Removal Fb	6	6	$3,857.00	$3,857.00	$958.70	$3,162.74	$1,901.26	2026-05-06
J7307	HCPCS	Etonogestrel Implant System	1	1	—	—	$1,873.18	$1,873.18	$1,873.18	2026-03-29
58740	OTHER	Lysis Of Adhesions	6	6	$3,896.50	$3,896.50	$885.50	$3,195.13	$1,873.00	2026-05-06
44110	OTHER	Exc One/more Lesions Sm/lg Intest	6	6	$3,984.00	$3,984.00	$827.45	$3,266.88	$1,870.24	2026-05-06
43832	OTHER	Gastrostomy Open G-tube	6	6	$3,572.00	$3,572.00	$1,014.96	$2,929.04	$1,833.86	2026-05-06
47379	OTHER	Laparoscopic Procedure, Liver	6	6	$2,395.50	$2,395.50	$1,676.92	$1,964.31	$1,820.62	2026-05-06
59120	OTHER	Surg Tx Ectopic Pg Req Salping	6	6	$3,883.50	$3,883.50	$796.39	$3,184.47	$1,817.21	2026-05-06
73718	CPT	MRI Lower Extremity Without Contrast	1	1	—	—	$1,809.99	$1,809.99	$1,809.99	2026-03-29
25605	CPT	Treat Fracture Radius/ulna	1	1	—	—	$1,804.55	$1,804.55	$1,804.55	2026-03-29
29806	OTHER	Arthro Shoulder With Capsulorrhaphy	6	6	$3,381.00	$3,381.00	$1,046.68	$2,772.42	$1,785.24	2026-05-06
15933	OTHER	Exc, Sacral Pressure Ulcer, Bone	6	6	$3,672.00	$3,672.00	$859.61	$3,011.04	$1,779.53	2026-05-06
15936	OTHER	Exc, Sacral Pressure Ulcer, Prep Graft	6	6	$3,561.00	$3,561.00	$880.08	$2,920.02	$1,752.45	2026-05-06
15120	OTHER	Split Graftfirst 100 Sq Cm Or Less	6	6	$3,765.00	$3,765.00	$781.38	$3,087.30	$1,737.78	2026-05-06
27030	OTHER	Arthrotomy, Hip, W/drainage (infection)	6	6	$3,447.00	$3,447.00	$923.86	$2,826.54	$1,737.72	2026-05-06
19307	OTHER	Mastec Mod Rad W/ax Nodes Excl Pec Musc	6	6	$3,062.50	$3,062.50	$1,151.55	$2,511.25	$1,734.06	2026-05-06
49616	OTHER	Rep Ant Abd Hernia, Recurrent/stran/inca	6	6	$3,598.00	$3,598.00	$824.84	$2,950.36	$1,733.63	2026-05-06
44800	OTHER	Exc Meckel's Diverdiculectomy	6	6	$3,676.50	$3,676.50	$759.17	$3,014.73	$1,723.35	2026-05-06
44310	OTHER	Ileostomy Or Jejunostomy, Non-tube	6	6	$3,262.50	$3,262.50	$1,006.72	$2,675.25	$1,720.79	2026-05-06
73221	CPT	MRI Joint Upr Extrem Without Contrast	1	1	—	—	$1,719.13	$1,719.13	$1,719.13	2026-03-29
44300	OTHER	Enterostomy Cecostomy Tube	6	6	$3,553.00	$3,553.00	$817.25	$2,913.46	$1,713.53	2026-05-06
J0129	OTHER	Orencia 250mg Vial	6	6	$2,483.52	$2,483.52	$443.64	$2,036.49	$1,708.95	2026-05-06
44850	OTHER	Suture Of Mesentery	6	6	$3,676.50	$3,676.50	$728.54	$3,014.73	$1,705.74	2026-05-06
23485	OTHER	Open Tx Of Clavicular Fx Fix/bone Graft	6	6	$3,321.00	$3,321.00	$942.08	$2,723.22	$1,704.10	2026-05-06
55180	OTHER	Scrotoplasty Complicated	6	6	$3,684.00	$3,684.00	$675.96	$3,020.88	$1,678.13	2026-05-06
58925	OTHER	Ovarian Cystectomy Uni/bilat	6	6	$3,510.00	$3,510.00	$754.35	$2,878.20	$1,662.31	2026-05-06
44620	OTHER	Clo Enterostomy Lg/sm Intest	6	6	$3,369.00	$3,369.00	$838.08	$2,762.58	$1,661.10	2026-05-06
71275	CPT	CT Angiography Chest	2	2	—	—	$1,257.50	$2,062.30	$1,659.90	2026-03-29
58558	OTHER	Hysteroscopy W Or Wo D&c	6	6	$2,825.00	$2,825.00	$258.51	$2,316.50	$1,654.70	2026-05-06
58180	OTHER	Supcerv Abd Hyst W/wo Rem Tube Ovar	6	6	$3,159.50	$3,159.50	$942.84	$2,590.79	$1,648.00	2026-05-06
20100	OTHER	Explore Penetrat Wound Neck	6	6	$3,748.00	$3,748.00	$582.08	$3,073.36	$1,646.55	2026-05-06
49010	OTHER	Exploration Reteoperitoneal Area	6	6	$3,215.00	$3,215.00	$890.43	$2,636.30	$1,637.30	2026-05-06
45383	OTHER	Colonoscopy W/removal Of Polyp Any Meth	6	6	$2,148.50	$2,148.50	$1,504.01	$1,761.77	$1,632.89	2026-05-06
60220	OTHER	Total Thyroid Lobectomy/ Unilateral	6	6	$3,410.50	$3,410.50	$694.39	$2,796.61	$1,592.99	2026-05-06
19304	OTHER	Mastectom Subcu	6	6	$3,574.50	$3,574.50	$590.14	$2,931.09	$1,590.46	2026-05-06
49441	OTHER	Pf-insertion J-tube W/fluoro Guidance	6	6	$3,163.00	$3,163.00	$264.55	$2,593.66	$1,582.76	2026-05-06
74178	CPT	CT Abd & Pelv 1/> Regns	2	2	—	—	$1,416.86	$1,742.50	$1,579.68	2026-03-29
49000	OTHER	Exploratory Laparotmy	6	6	$3,244.50	$3,244.50	$747.40	$2,660.49	$1,565.38	2026-05-06
24579	OTHER	Orif Humeral Condylar Fx, Med/lat Inc Fx	6	6	$3,095.00	$3,095.00	$830.85	$2,537.90	$1,561.04	2026-05-06
88264	OTHER	Chromosome Analysis; 20 To 25 Cells	6	6	$2,263.00	$2,263.00	$141.72	$1,855.66	$1,557.20	2026-05-06
44602	OTHER	Suture Of Small Intestine	9	6	$5,361.50	$5,361.50	$1,150.85	$4,396.43	$1,555.46	2026-05-06
60210	OTHER	Partial Thyroid Lobectomy,uni; W/wo Isth	6	6	$3,301.50	$3,301.50	$693.94	$2,707.23	$1,554.59	2026-05-06
58140	OTHER	Myomectomy/ Exc Of Leiomyomata Of Uterus	6	6	$2,939.00	$2,939.00	$904.77	$2,409.98	$1,548.93	2026-05-06
24516	OTHER	Orif Humeral Shaft Fx With IM Rodding	6	6	$3,019.00	$3,019.00	$850.89	$2,475.58	$1,545.96	2026-05-06
24635	OTHER	Orif Dislocation At Elbow/ Internal Fix	6	6	$3,286.00	$3,286.00	$676.30	$2,694.52	$1,539.03	2026-05-06
23470	OTHER	Arthroplasty, Glenohumeral Jnt; Hemiarth	6	6	$2,419.00	$2,419.00	$1,178.05	$1,983.58	$1,524.06	2026-05-06
13152	OTHER	Pf-rp Lc Complex 2.6-7.5 Cm	9	6	$2,613.50	$2,613.50	$376.89	$2,143.07	$1,490.36	2026-05-06
44604	OTHER	Suture Large Intestine Wo Colostomy	6	6	$2,581.00	$2,581.00	$1,017.68	$2,116.42	$1,488.56	2026-05-06
25820	OTHER	Arthrodesis, Wrist; Limited, Without Bone Gr	6	6	$3,165.00	$3,165.00	$651.74	$2,595.30	$1,482.55	2026-05-06
27125	OTHER	Hemiarthroplasty, Hip, Partial	6	6	$2,344.00	$2,344.00	$1,113.64	$1,922.08	$1,460.78	2026-05-06
58145	OTHER	Myomectomy, Vaginal Approach	6	6	$3,203.00	$3,203.00	$562.87	$2,626.46	$1,444.75	2026-05-06
46060	OTHER	I&d Of Rectal Abscess W/fistulectomy	6	6	$3,332.50	$3,332.50	$483.35	$2,732.65	$1,444.35	2026-05-06
28298	OTHER	Correcttion, Hallux Valgus W/wo Sesam	6	6	$2,885.50	$2,885.50	$582.11	$2,366.11	$1,427.61	2026-05-06
43258	OTHER	Ugi Endo With Ablation Of Tumor/polyp	6	6	$1,872.00	$1,872.00	$1,310.46	$1,535.04	$1,422.75	2026-05-06
21933	OTHER	Excis Tumor Soft Tissue Back/trunk >5cm	6	6	$2,868.50	$2,868.50	$723.98	$2,352.17	$1,420.31	2026-05-06
27310	OTHER	Arthroscopy Knee W/i&d/removal Of Fb	6	6	$2,856.00	$2,856.00	$729.69	$2,341.92	$1,419.22	2026-05-06
49651	OTHER	Lap,repr Recurr Ing Hernia	6	6	$3,139.50	$3,139.50	$555.34	$2,574.39	$1,418.19	2026-05-06
14301	OTHER	Adj Tissue Transfer >30 Cm	6	6	$2,513.50	$2,513.50	$982.47	$2,061.07	$1,417.87	2026-05-06
27252	OTHER	Pf-clo Tx Hip Disloc, Traumatic W / Anes	6	6	$2,831.50	$2,831.50	$740.79	$2,321.83	$1,417.02	2026-05-06
58940	OTHER	Oophorectomy Part/tot	6	6	$3,126.00	$3,126.00	$549.05	$2,563.32	$1,409.85	2026-05-06
44345	OTHER	Revis Colostomy Compl (sep Proc)	6	6	$2,340.00	$2,340.00	$1,020.87	$1,918.80	$1,406.03	2026-05-06
70498	CPT	CT Angiography Neck	2	2	—	—	$536.40	$2,274.84	$1,405.62	2026-03-29
44820	OTHER	Excision Lesion Of Mesentery	6	6	$2,630.00	$2,630.00	$827.73	$2,156.60	$1,396.48	2026-05-06
24666	OTHER	Open Tx Rad Head Or Neck Fx W/prosthetic	6	6	$2,783.00	$2,783.00	$730.45	$2,282.06	$1,394.10	2026-05-06
25440	OTHER	Repair Scaphoid Carpal (navicular) Fx	6	6	$2,717.00	$2,717.00	$765.60	$2,227.94	$1,391.20	2026-05-06
15931	OTHER	Exc, Sacral Pressure Ulcer W/prime Close	6	6	$2,824.00	$2,824.00	$691.70	$2,315.68	$1,386.17	2026-05-06
26746	OTHER	Open Tx Phalanx Fx With Int Fix	6	6	$2,719.00	$2,719.00	$741.62	$2,229.58	$1,378.12	2026-05-06
49900	OTHER	Suture Sec Abd Wall Evis/dehiscence	6	6	$2,606.00	$2,606.00	$806.91	$2,136.92	$1,376.12	2026-05-06
36571	OTHER	Placement Cva Device >5 Years	6	6	$2,160.50	$2,160.50	$346.73	$1,771.61	$1,375.66	2026-05-06
47600	OTHER	Cholecystectomy	6	6	$2,211.00	$2,211.00	$1,039.04	$1,813.02	$1,371.34	2026-05-06
23462	OTHER	Capsulorrhaphy W/coracoid Transfer	6	6	$2,177.00	$2,177.00	$1,051.75	$1,785.14	$1,366.74	2026-05-06
92977	OTHER	Thromolysis, Coronary; By IV Infusion	6	6	$1,981.00	$1,981.00	$55.23	$1,624.42	$1,363.15	2026-05-06
G0105	HCPCS	Colonoscopy Flexible With Without Biopsy	14	14	$1,349.90	$1,012.43 25% off	$1,147.41	$1,349.90	$1,349.90	2026-03-29
C1781	OTHER	Mesh 3x6 Flat Sheet	56	6	$1,920.00	$1,920.00	$403.83	$8,159.82	$1,348.86	2026-05-06
27487	OTHER	Revision Tka, Femoral/tibial Comp	12	6	$3,602.00	$3,602.00	$274.01	$4,923.28	$1,348.28	2026-05-06
25447	OTHER	Carpometacarpal Jnt Arthroplasty	6	6	$2,484.00	$2,484.00	$830.72	$2,036.88	$1,347.10	2026-05-06
44900	OTHER	I & D Appendiceal Abscess Open	6	6	$2,595.00	$2,595.00	$762.50	$2,127.90	$1,346.72	2026-05-06
G0390	HCPCS	Trauma Team Activation;moderate Severity	14	14	$1,344.00	$1,008.00 25% off	$1,142.40	$1,344.00	$1,344.00	2026-03-29
49507	OTHER	Repr Init Ing Hernia Strang Incarc	6	6	$2,890.00	$2,890.00	$575.47	$2,369.80	$1,342.43	2026-05-06
28615	OTHER	Open Tx Tm Jt Disloc;w/int Fix	6	6	$2,471.00	$2,471.00	$827.71	$2,026.22	$1,340.82	2026-05-06
27634	OTHER	Exc Tumor Leg/ank Area 5cm>	6	6	$2,737.00	$2,737.00	$663.85	$2,244.34	$1,339.70	2026-05-06
70496	CPT	CT Angiography Head	2	2	—	—	$538.20	$2,132.13	$1,335.16	2026-03-29
71270	CPT	CT Thorax Dx C-/c+	1	1	—	—	$1,331.96	$1,331.96	$1,331.96	2026-03-29
72125	CPT	CT Neck Spine Without Contrast	2	2	—	—	$1,130.50	$1,528.63	$1,329.57	2026-03-29
27335	OTHER	Arthrotomy, W/synovectomy Knee, Ant/post	6	6	$2,540.00	$2,540.00	$762.35	$2,082.80	$1,327.39	2026-05-06
43653	OTHER	Laparoscopy, Surg; Gastrostomy	6	6	$2,827.00	$2,827.00	$567.36	$2,318.14	$1,315.72	2026-05-06
47100	OTHER	Biopsy Of Liver Wedge	6	6	$2,395.50	$2,395.50	$829.54	$1,964.31	$1,315.45	2026-05-06
43500	OTHER	Gastrotomy; W/exploration Or Fb Removal	6	6	$2,488.00	$2,488.00	$764.95	$2,040.16	$1,310.68	2026-05-06
58150	OTHER	Total Abdo Hyst With/wo Rem Tube Ovar	6	6	$2,085.00	$2,085.00	$997.70	$1,709.70	$1,303.45	2026-05-06
44120	OTHER	Resection Of Sm Bowel/w/anastamosis	6	6	$1,756.00	$1,756.00	$1,179.84	$1,439.92	$1,293.03	2026-05-06
26841	OTHER	Arthrodesis,carpmet Jnt Thumb W/wo If	6	6	$2,398.00	$2,398.00	$781.29	$1,966.36	$1,288.57	2026-05-06
23073	OTHER	Exc, Tumor, Shoulder Area 5cm Or >	6	6	$2,547.50	$2,547.50	$687.39	$2,088.95	$1,286.91	2026-05-06
60200	OTHER	Exc Of Cyst Or Adenoma Of Thyroid	6	6	$2,563.50	$2,563.50	$658.94	$2,102.07	$1,276.15	2026-05-06
27130	OTHER	Sa-total Hip Arthroplasty,app Surgical Assist, Physicial Surgical Assist	12	6	$2,171.00	$2,171.00	$201.33	$2,296.00	$1,261.38	2026-05-06
25628	OTHER	Open Tx Scaphoid Fx W/internal Fixation	6	6	$2,420.00	$2,420.00	$718.93	$1,984.40	$1,260.42	2026-05-06
86611	OTHER	Bartonella Antibodies	6	6	$1,823.00	$1,823.00	$9.98	$1,494.86	$1,254.43	2026-05-06
58260	OTHER	Total Vaginal Hysterectomy	6	6	$2,226.00	$2,226.00	$825.13	$1,825.32	$1,253.59	2026-05-06
14021	OTHER	Adj Tissue Transfer 10.1 - 30 Sq. Cm	6	6	$2,342.50	$2,342.50	$805.74	$1,920.85	$1,253.01	2026-05-06
28740	OTHER	Arthrodesis, Midtarsal, Single Jnt	6	6	$2,403.00	$2,403.00	$704.85	$1,970.46	$1,252.55	2026-05-06
60280	OTHER	Exc. Of Thyroglossal Duct Or Sinus	6	6	$2,819.50	$2,819.50	$453.53	$2,311.99	$1,247.65	2026-05-06
46261	OTHER	Hemorrhoidectomy Int/ext Complex With Fiss	6	6	$2,694.50	$2,694.50	$527.07	$2,209.49	$1,246.18	2026-05-06
49555	OTHER	Repr Recurr Femoral Hernia	6	6	$2,554.00	$2,554.00	$591.44	$2,094.28	$1,234.02	2026-05-06
46275	OTHER	Surg Tx Anal Fistula (fistulotomy)	6	6	$2,718.50	$2,718.50	$483.77	$2,229.17	$1,233.43	2026-05-06
19303	OTHER	Mastectomy, Simple/ Complete	6	6	$1,978.00	$1,978.00	$934.51	$1,621.96	$1,229.68	2026-05-06
49323	OTHER	Laparoscopy W/bx W/drainage Periteol Cav	6	6	$2,479.00	$2,479.00	$624.14	$2,032.78	$1,226.57	2026-05-06
71260	CPT	CT Thorax Dx C+	3	3	—	—	$906.00	$1,286.16	$1,225.46	2026-03-29
26113	OTHER	Excis Tumor Soft Tissue Handor Finger	6	6	$2,564.50	$2,564.50	$548.88	$2,102.89	$1,213.22	2026-05-06
19301	OTHER	Mastectomy Partial	6	6	$2,404.00	$2,404.00	$645.46	$1,971.28	$1,212.57	2026-05-06
J7298	OTHER	Mirena 52mg (levonorgestrel)	6	6	$1,716.31	$1,716.31	$1,160.56	$1,407.37	$1,201.47	2026-05-06
P9035	OTHER	Bb Platelets Aph/pher L/r	6	6	$1,713.50	$1,713.50	$1,158.67	$1,405.07	$1,199.50	2026-05-06
43246	OTHER	Upper Gi W/placement Of Gastrotomy Tube	9	6	$2,194.50	$2,194.50	$192.76	$1,799.49	$1,190.05	2026-05-06
27328	OTHER	Excision Tumor Thigh/knee Area Deep	6	6	$2,373.00	$2,373.00	$617.73	$1,945.86	$1,185.78	2026-05-06
57240	OTHER	Anterior Colporrhaphy	6	6	$2,393.00	$2,393.00	$604.99	$1,962.26	$1,185.45	2026-05-06
25607	OTHER	Open Tx Dst Rad/uln Fx With Internal Fix	6	6	$2,154.00	$2,154.00	$742.00	$1,766.28	$1,180.58	2026-05-06
57260	OTHER	Combined Anteroposterior Colporrhaphy	6	6	$2,093.00	$2,093.00	$765.37	$1,716.26	$1,172.67	2026-05-06
Q5103	OTHER	Infliximab-dyyb 100mg/vial	6	6	$1,703.31	$1,703.31	$40.37	$1,396.71	$1,172.07	2026-05-06
25575	OTHER	Open Tx Rad/uln Fx W/in Fixation	6	6	$1,858.00	$1,858.00	$900.05	$1,523.56	$1,167.86	2026-05-06
C1713	OTHER	Fiber Tape Cerclage Suture	1,381	6	$1,653.00	$1,653.00	$29.42	$37,200.12	$1,165.55	2026-05-06
49521	OTHER	Repr Recur Ing Hernia Incarc/strang	6	6	$2,179.50	$2,179.50	$698.87	$1,787.19	$1,164.71	2026-05-06
42815	OTHER	Exc Brachial Cleft Cyst, Vest, Or Fist	6	6	$2,444.00	$2,444.00	$536.22	$2,004.08	$1,163.76	2026-05-06
45171	OTHER	Excision Rectal Tumor, Transanal App	6	6	$2,307.50	$2,307.50	$609.96	$1,892.15	$1,158.38	2026-05-06
54530	OTHER	Orchiectomy, Radical, For Tumor;inguinal	6	6	$2,481.50	$2,481.50	$501.62	$2,034.83	$1,156.99	2026-05-06
14040	OTHER	Tissue Adj Transfer 10 Cm Or Less	6	6	$2,197.00	$2,197.00	$710.16	$1,801.54	$1,148.83	2026-05-06
81220	OTHER	Cystic Fibrosis Screen	6	6	$1,658.00	$1,658.00	$545.47	$1,359.56	$1,140.89	2026-05-06
14001	OTHER	Adj Tissue Transfer 10.1 To 30 Cm	6	6	$2,102.50	$2,102.50	$741.51	$1,724.05	$1,140.06	2026-05-06
59514	OTHER	C-section Only	6	6	$1,825.00	$1,825.00	$869.50	$1,496.50	$1,138.74	2026-05-06
27380	OTHER	Suture Of Infrapatellar Tendon Rupture	6	6	$2,214.00	$2,214.00	$624.57	$1,815.48	$1,134.07	2026-05-06
62284	OTHER	Do Not Use	6	6	$1,645.00	$1,645.00	$187.01	$1,348.90	$1,131.95	2026-05-06
14041	OTHER	Tissue Adj Transfer > 10 Cm	6	6	$1,907.00	$1,907.00	$865.79	$1,563.74	$1,128.39	2026-05-06
20680	CPT	Removal Of Implant Deep	1	1	—	—	$1,126.80	$1,126.80	$1,126.80	2026-03-29
37195	OTHER	Thromolysis, Cerebral, By IV Infusion	6	6	$1,586.00	$1,586.00	$1,072.45	$1,300.52	$1,110.25	2026-05-06
46936	OTHER	Hemorrhoidectomy Extern/intern; Any Meth	6	6	$1,456.50	$1,456.50	$1,019.59	$1,194.33	$1,106.96	2026-05-06
14060	OTHER	Adj Tissue Transfer < 10 Cm	6	6	$2,066.00	$2,066.00	$756.80	$1,694.12	$1,106.62	2026-05-06
44121	OTHER	Enterectomy Resection Sm Intest Each	6	6	$2,776.00	$2,776.00	$229.53	$2,276.32	$1,103.62	2026-05-06
J7301	OTHER	Cl-skyla Intrauterine 13.5mg IUD System	6	6	$1,572.60	$1,572.60	$1,063.39	$1,289.53	$1,100.87	2026-05-06
44960	OTHER	Appendectomy; Ruptured W/abscess	6	6	$1,748.00	$1,748.00	$850.30	$1,433.36	$1,100.75	2026-05-06
27134	OTHER	Revision Total Hip Arthroplasty	12	6	$2,104.00	$2,104.00	$175.01	$3,245.56	$1,097.77	2026-05-06
21932	OTHER	Excis Tumor Soft Tissue Back/trunk <5cm	6	6	$2,060.00	$2,060.00	$652.15	$1,689.20	$1,096.01	2026-05-06
58600	OTHER	Ligation Of Fallopian Tube	6	6	$2,521.00	$2,521.00	$366.82	$2,067.22	$1,093.32	2026-05-06
28465	OTHER	Open Tx Tatarsal Fracture W/intr Fix	6	6	$2,068.00	$2,068.00	$641.37	$1,695.76	$1,092.62	2026-05-06
27818	OTHER	Pf-clo Tx Ank Fx;w/manip	9	6	$2,508.50	$2,508.50	$504.25	$2,056.97	$1,087.85	2026-05-06
26123	OTHER	Fasct Prtl Palmar 1 Digit Prx Iphal W/wo	6	6	$1,725.00	$1,725.00	$838.92	$1,414.50	$1,086.15	2026-05-06
49520	OTHER	Repr Recurr Ing Hernia Reducible	6	6	$2,086.00	$2,086.00	$619.04	$1,710.52	$1,086.08	2026-05-06
12056	OTHER	Layer Closure Wound Face 20.1-30.0 Cm	6	6	$2,269.00	$2,269.00	$434.19	$1,860.58	$1,083.05	2026-05-06
81432	OTHER	Comprehensive Hereditary Cancer Breast	11	6	$3,398.00	$3,398.00	$665.47	$2,786.36	$1,081.58	2026-05-06
25028	OTHER	I&d Forearm/wrist Area; Deep Abcs/hema	6	6	$1,932.00	$1,932.00	$698.23	$1,584.24	$1,077.71	2026-05-06
49402	OTHER	Removal Of Fb From Peritoneal Cavity	6	6	$1,713.00	$1,713.00	$829.55	$1,404.66	$1,076.57	2026-05-06
58605	OTHER	Ligation Of Fallopian Tube Same Hosp Sta	6	6	$2,521.00	$2,521.00	$333.75	$2,067.22	$1,074.30	2026-05-06
G0390	OTHER	Trauma Team Activation; High Severity	11	6	$1,585.00	$1,585.00	$824.29	$1,299.70	$1,071.78	2026-05-06
29884	OTHER	Arthro Knee W/lysis Of Adhesions	6	6	$2,020.00	$2,020.00	$618.11	$1,656.40	$1,062.44	2026-05-06
74177	CPT	CT Abd & Pelv W/contrast	5	5	—	—	$571.50	$1,111.55	$1,058.61	2026-03-29
56620	OTHER	Vulvectomy Simple; Partial	6	6	$2,056.50	$2,056.50	$586.30	$1,686.33	$1,056.93	2026-05-06
27435	OTHER	Capsulotomy, Post Capsular Release, Knee	6	6	$1,670.00	$1,670.00	$803.76	$1,369.40	$1,046.68	2026-05-06
49322	OTHER	Laparoscopy Abdomen W/aspiration	6	6	$2,380.00	$2,380.00	$366.16	$1,951.60	$1,043.58	2026-05-06
73201	CPT	CT Upper Extremity With Contrast	1	1	—	—	$1,038.73	$1,038.73	$1,038.73	2026-03-29
27447	OTHER	Sa-total Knee Arthroplasty,app Surgical Assist, Physicial Surgical Assist	12	6	$1,900.00	$1,900.00	$201.03	$2,295.18	$1,038.63	2026-05-06
15100	OTHER	Split Graft Trunk 100sq Cm Or Less	6	6	$1,725.00	$1,725.00	$809.80	$1,414.50	$1,034.23	2026-05-06
13131	OTHER	Pf-rp Lc Complex 1.1 - 2.5 Cm	9	6	$1,586.50	$1,586.50	$272.60	$1,300.93	$1,027.99	2026-05-06
25525	OTHER	Orif Rad/ulna Fx (galeazzi Fx/dislocat)	6	6	$1,629.00	$1,629.00	$789.36	$1,335.78	$1,024.05	2026-05-06
49255	OTHER	Omentectomy Epiploectomy-resec Sep Proc	6	6	$1,640.00	$1,640.00	$775.54	$1,344.80	$1,019.96	2026-05-06
21556	OTHER	Excis Tumor Thorax; Deep	6	6	$2,052.50	$2,052.50	$524.34	$1,683.05	$1,019.90	2026-05-06
55040	OTHER	Excision Of Hydrocele	6	6	$2,360.50	$2,360.50	$335.11	$1,935.61	$1,018.90	2026-05-06
27405	OTHER	Rpr Prim Torn Ligment Knee/capsule; Coll	6	6	$1,796.00	$1,796.00	$675.39	$1,472.72	$1,016.98	2026-05-06
24535	OTHER	Pf-cl.tx Of Supracondylar Fx With Manip	6	6	$1,939.00	$1,939.00	$635.17	$1,589.98	$1,012.69	2026-05-06
46255	OTHER	Hemorrhoidectomy Internal And External	6	6	$2,152.50	$2,152.50	$403.84	$1,765.05	$1,012.62	2026-05-06
45384	OTHER	Colonoscopy W/removal Of Tumors/polyps	6	6	$2,185.00	$2,185.00	$252.42	$1,791.70	$1,008.20	2026-05-06
87154	CPT	Cul Typ Id Bld Pthgn 6+ Trgt	1	1	—	—	$1,007.49	$1,007.49	$1,007.49	2026-03-29
11772	OTHER	Excision Pilonidal Cyst, Complicated	6	6	$1,775.50	$1,775.50	$659.30	$1,455.91	$1,005.81	2026-05-06
46257	OTHER	Hemorrhoidectomy Int/ext Simple,w/fissur	6	6	$2,179.50	$2,179.50	$414.57	$1,787.19	$1,001.24	2026-05-06
26145	OTHER	Synovectomy, Tendon Sheath, Palm/finger	6	6	$2,004.00	$2,004.00	$520.22	$1,643.28	$1,000.56	2026-05-06
54840	OTHER	Excision Of Spermatocele	6	6	$2,334.00	$2,334.00	$318.47	$1,913.88	$1,000.06	2026-05-06
23630	OTHER	Open Tx Great Humeral Tub Fx W/int Fix	6	6	$1,571.00	$1,571.00	$778.33	$1,288.22	$997.41	2026-05-06
51710	OTHER	Pf-change Of Cystostomy Tube; Comp	6	6	$2,653.50	$2,653.50	$90.07	$2,175.87	$996.76	2026-05-06
45380	CPT	Colonoscopy And Biopsy	2	2	—	—	$739.80	$1,245.70	$992.75	2026-03-29
49553	OTHER	Repr Init Fem Hernia Incarc/strang	6	6	$1,799.00	$1,799.00	$618.14	$1,475.18	$985.11	2026-05-06
58720	OTHER	Salpingo-oophorectomy Part/tot Uni/bi	6	6	$1,576.00	$1,576.00	$749.24	$1,292.32	$982.44	2026-05-06
29885	OTHER	Arthro Knee W/drilling Diss W/bone Graft	6	6	$1,559.00	$1,559.00	$753.01	$1,278.38	$978.66	2026-05-06
27524	OTHER	Open Tx Patellar Fx, W/internal Fix	6	6	$1,554.00	$1,554.00	$749.10	$1,274.28	$974.66	2026-05-06
88262	OTHER	Chromo Analy Karyo	6	6	$1,413.00	$1,413.00	$122.98	$1,158.66	$972.31	2026-05-06
24341	OTHER	Repair Tendon/muscle Upper Arm Or Elbow	6	6	$1,539.00	$1,539.00	$751.72	$1,261.98	$970.91	2026-05-06
15115	OTHER	Epidrm Agrft F/s/n/h/g/m/d Gt 1st 100 Cm	6	6	$1,617.00	$1,617.00	$785.99	$1,325.94	$965.73	2026-05-06
72192	CPT	CT Pelvis Without Contrast	3	3	—	—	$234.77	$1,305.69	$965.50	2026-03-29
64740	OTHER	Transection/avulsion Lingual Nerve	6	6	$2,007.00	$2,007.00	$455.94	$1,645.74	$964.65	2026-05-06
58670	OTHER	Laparoscopy W/fulguration Of Oviducts	6	6	$2,150.00	$2,150.00	$367.50	$1,763.00	$963.84	2026-05-06
45398	OTHER	Colonoscopy W/ligation Hemorrhoid(s)	6	6	$1,572.00	$1,572.00	$260.36	$1,289.04	$961.47	2026-05-06
27245	OTHER	Open Tx Femoral Fx With Screws	12	6	$1,707.25	$1,707.25	$192.86	$2,085.26	$960.02	2026-05-06
24999	OTHER	Sa-unlisted Procedure, Humerus/elbow,app Surgical Assist, Physicial Surgical Ass…	12	6	$1,329.50	$1,329.50	$310.11	$1,817.12	$957.26	2026-05-06
36015	OTHER	Select Cath Plcmt Segmt Plum Art	6	6	$1,542.00	$1,542.00	$186.43	$1,264.44	$957.00	2026-05-06
11451	OTHER	Exc Of Skin And Subq Complicated	6	6	$1,981.00	$1,981.00	$377.01	$1,624.42	$955.51	2026-05-06
26433	OTHER	Repair Extensor Tendon, Prime/second	6	6	$1,775.00	$1,775.00	$578.72	$1,455.50	$954.04	2026-05-06
20102	OTHER	Explore Penetrat Wound; Abdomen	6	6	$1,823.00	$1,823.00	$287.26	$1,494.86	$944.14	2026-05-06
47011	OTHER	CT Liver Cyst Aspiration	11	6	$1,396.00	$1,396.00	$452.92	$1,144.72	$943.98	2026-05-06
64448	OTHER	Femoral Nerve Block	6	6	$1,368.00	$1,368.00	$69.37	$1,121.76	$941.34	2026-05-06
26350	OTHER	Repair Flexor Tendon, Prime/second, Ea	6	6	$1,447.00	$1,447.00	$754.85	$1,186.54	$940.51	2026-05-06
81257	OTHER	Alpha Globin Common Mutation	6	6	$1,360.00	$1,360.00	$100.21	$1,115.20	$935.84	2026-05-06
21554	OTHER	Exc Tumor Neck Or Tx; Intramuscular	6	6	$1,491.00	$1,491.00	$719.32	$1,222.62	$935.48	2026-05-06
88237	OTHER	Tissue Culture; Bone Marrow' Blood Cells	6	6	$1,358.00	$1,358.00	$140.88	$1,113.56	$934.46	2026-05-06
27752	OTHER	Cl Tx Of Tibial Shaft Fx W/manipulation	6	6	$1,854.00	$1,854.00	$544.76	$1,520.28	$933.88	2026-05-06
27177	OTHER	Open Tx Femoral Fx W/pinning Or Graft	12	6	$2,799.50	$2,799.50	$176.10	$3,826.12	$932.83	2026-05-06
12046	OTHER	Pf-inter Nck/hnds/ft/gen 20.1 To 30.0 Cm	9	6	$1,332.00	$1,332.00	$358.48	$1,216.06	$932.44	2026-05-06
49320	OTHER	Laparoscopy Abdomen Diagnostic	6	6	$2,133.50	$2,133.50	$322.26	$1,749.47	$932.06	2026-05-06
27762	OTHER	Pf-closed Tx Medial Malleolus Fx With Man	9	6	$1,329.00	$1,329.00	$500.04	$1,157.84	$930.34	2026-05-06
87154	OTHER	Blood Culture Id Panel Biofire Filmarray	6	6	$1,351.00	$1,351.00	$213.70	$1,107.82	$929.64	2026-05-06
25505	OTHER	Pf-cl.tx Radial Shaft Fx With Manip	9	6	$1,461.00	$1,461.00	$522.79	$1,198.02	$928.94	2026-05-06
72131	CPT	CT Lumbar Spine Without Contrast	2	2	—	—	$789.00	$1,067.13	$928.07	2026-03-29
57210	OTHER	Pf-colpoperineorrhaphy Sutur	6	6	$2,007.00	$2,007.00	$390.91	$1,645.74	$927.26	2026-05-06
27654	OTHER	Repair, Second, Achille Tendon W/wo Graf	6	6	$1,467.00	$1,467.00	$712.39	$1,202.94	$923.10	2026-05-06
24546	OTHER	Orif Humeral Fx W/intercom Extention	12	6	$2,995.00	$2,995.00	$164.03	$4,093.44	$921.78	2026-05-06
38531	OTHER	Bx Or Exc Of Inguinal Lymph Node	6	6	$1,909.00	$1,909.00	$438.90	$1,565.38	$920.55	2026-05-06
20103	OTHER	Explore Penetrat Wound; Extremity	6	6	$1,810.50	$1,810.50	$389.21	$1,484.61	$914.55	2026-05-06
58662	OTHER	Laparoscopy W/exc Of Lesion Of Ovary	6	6	$1,444.00	$1,444.00	$700.52	$1,184.08	$908.22	2026-05-06
47563	OTHER	Lap Cholecystecomy W/cholangiogram	6	6	$1,429.00	$1,429.00	$699.82	$1,171.78	$902.57	2026-05-06
43830	OTHER	Pf-gastrostomy, G-tube Placement	6	6	$1,445.00	$1,445.00	$686.58	$1,184.90	$900.56	2026-05-06
28122	OTHER	Excision Bone Spur Tarsal/metatarsal	6	6	$1,709.00	$1,709.00	$504.05	$1,401.38	$893.66	2026-05-06
47500	OTHER	Trans Hepa-chol Injt	6	6	$1,276.00	$1,276.00	$862.83	$1,046.32	$893.24	2026-05-06
49650	OTHER	Lap,repr Init Ing Hernia	6	6	$1,843.50	$1,843.50	$425.82	$1,511.67	$890.11	2026-05-06
27244	OTHER	Open Tx Trochanteric Fem Fx With Screws	12	6	$2,085.00	$2,085.00	$193.11	$2,849.50	$888.42	2026-05-06
19083	OTHER	Pf-biopsy, Breast W/us Guidance	6	6	$1,822.00	$1,822.00	$169.97	$1,494.04	$885.84	2026-05-06
28505	OTHER	Open Tx Fx, Great Toe	6	6	$1,601.00	$1,601.00	$569.80	$1,312.82	$885.81	2026-05-06
55520	OTHER	Excision Of Lesion Of Spermatic Cord	6	6	$1,785.00	$1,785.00	$451.21	$1,463.70	$884.22	2026-05-06
59409	OTHER	Pf-vaginal Delivery Only	14	6	$1,665.00	$1,665.00	$690.40	$2,384.97	$884.21	2026-05-06
87483	OTHER	Meningitis/encephalitis Panel Sendout	6	6	$1,284.00	$1,284.00	$408.44	$1,052.88	$883.54	2026-05-06
70450	CPT	CT Head/brain Without Contrast	2	2	—	—	$750.00	$1,014.59	$882.30	2026-03-29
28446	OTHER	Open Osteochondral Autograft, Talus	12	6	$2,037.50	$2,037.50	$193.16	$2,784.72	$882.01	2026-05-06
19300	OTHER	Mastectomy For Gynecomastia	6	6	$1,681.00	$1,681.00	$492.33	$1,378.42	$876.06	2026-05-06
27769	OTHER	Closed Tx Posterior Malleolus Fx W/in Fx	6	6	$1,316.00	$1,316.00	$721.86	$1,079.12	$875.69	2026-05-06
25574	OTHER	Open Tx Rad Or Ulna Fx W/in Fixation	6	6	$1,389.00	$1,389.00	$676.48	$1,138.98	$875.14	2026-05-06
19110	OTHER	Nipple Expl W/wo Exc Sol/papil Lact Duct	6	6	$1,782.00	$1,782.00	$401.83	$1,461.24	$866.45	2026-05-06
15999	OTHER	Exc, Sacral Pressure Ulcer	6	6	$1,140.00	$1,140.00	$798.03	$934.80	$866.41	2026-05-06
11771	OTHER	Excision Pilonidal Cyst, Extensive	6	6	$1,578.50	$1,578.50	$511.41	$1,294.37	$866.12	2026-05-06
55110	OTHER	Scrotal Exploration	6	6	$1,841.00	$1,841.00	$383.52	$1,509.62	$864.90	2026-05-06
29848	OTHER	Endoscopy, Wrist/carpal Tunnel	6	6	$1,620.00	$1,620.00	$515.58	$1,328.40	$863.48	2026-05-06
49591	OTHER	Rep Anter Abd Hernia, Any Approach, Init	6	6	$1,923.00	$1,923.00	$329.81	$1,576.86	$862.72	2026-05-06
28308	OTHER	Osteotomy, Metatarsal, Each	6	6	$1,642.00	$1,642.00	$446.87	$1,346.44	$860.79	2026-05-06
38525	OTHER	Bx Or Exc Of Lymph Node Open/deep	6	6	$1,733.00	$1,733.00	$433.21	$1,421.06	$855.67	2026-05-06
14020	OTHER	Tissue Adj Transfer 10 Cm Or Less	6	6	$1,433.00	$1,433.00	$647.34	$1,175.06	$853.92	2026-05-06
28415	OTHER	Orif Calcaneal Fx, Includes Int Fix	12	6	$2,160.00	$2,160.00	$177.75	$2,952.00	$850.67	2026-05-06
25118	OTHER	Synovectomy, Ext Tendon Sheath, Single	6	6	$1,777.00	$1,777.00	$388.90	$1,457.14	$845.60	2026-05-06
20902	OTHER	Surg Assist Bone Graft	6	6	$1,974.50	$1,974.50	$267.37	$1,619.09	$844.85	2026-05-06
62273	OTHER	Epidural Blood Patch Tx	6	6	$1,223.60	$1,223.60	$166.97	$1,003.35	$841.97	2026-05-06
81512	OTHER	Penta Screen	6	6	$1,223.00	$1,223.00	$68.13	$1,002.86	$841.57	2026-05-06
23472	OTHER	Arthroplasty, Total Shoulder	12	6	$1,581.50	$1,581.50	$161.01	$2,405.06	$838.12	2026-05-06

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