Hospital

BELLIN HEALTH OCONTO HOSPITAL

Oconto, WI · CCN 521356 · Rates published

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You selected 27447 (HCPCS)

TOTAL KNEE REPLACEMENT

This hospital’s price: $31,464 across 23 payers · range $14,280-$37,800

Source: https://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/bellin-oconto · observed 2025-06-27

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.

12,726 distinct procedures filed

23 distinct payers

407,288 rate rows

2025-06-27 last MRF observed · ⚠ 14 mo old

Data quality

360,466 of 407,288 rate rows are consumer-grade (88.5%)

46,822 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	25,862
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	12,722
per-diem day rate — not a per-procedure price	7,580
percent-of-charges filed in the dollar field — excluded from medians	244
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	222
placeholder amount (≤ $0.02) — excluded from medians	158
exceeds 10× this hospital's gross charge — excluded from medians	34

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/bellin-oconto
Found on page	https://bellin.org/patients-visitors/billing-insurance-services
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-17
Content fingerprint	a0e8b1fc23802422… · 2,332,191 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
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	1	$3,654,350.00	$3,654,350.00	$3,654,350.00	nat. median $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	1	$3,339,578.18	$3,339,578.18	$3,339,578.18	nat. median $3,324,572 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	1	$2,272,602.41	$2,272,602.41	$2,272,602.41	nat. median $2,460,273 0.9× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	1	$518,240.68	$518,240.68	$518,240.68	nat. median $691,418 0.7× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	1	$507,495.55	$507,495.55	$507,495.55	nat. median $631,793 0.8× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	1	$484,690.30	$484,690.30	$484,690.30	nat. median $610,161 0.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	1	$474,060.62	$474,060.62	$474,060.62	nat. median $624,417 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	1	$459,381.45	$459,381.45	$459,381.45	nat. median $588,565 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	1	$449,440.00	$449,440.00	$449,440.00	nat. median $577,541 0.8× median
Q0480 HCPCS	Driver Pneumatic Vad, Rep	2	$99,999.95	$99,999.95	$99,999.95	nat. median $111,503 0.9× median
69930 HCPCS	Hc Implant Cochlear Device	23	$43,454.04	$115,025.40	$95,745.86	nat. median $29,361 outlier · 3.3×
33231 HCPCS	Hc Insrt Pulse Gen W/mult Leads	23	$42,630.56	$112,845.60	$93,931.43	nat. median $29,955 outlier · 3.1×
33264 HCPCS	Hc Remv&replc Cvd Gen Mult Lead (33264)	23	$42,630.56	$112,845.60	$93,931.43	nat. median $31,464 outlier · 3.0×
33249 HCPCS	Hc Insert/repl Defib Lead/gener Othr	23	$40,351.88	$106,813.80	$88,910.62	nat. median $31,420 outlier · 2.8×
64568 HCPCS	Hc Inc For Vagus N Elect Impl	23	$40,237.64	$106,511.40	$88,658.90	nat. median $27,651 outlier · 3.2×
63685 HCPCS	Implant Neurostim/receiver	23	$40,237.64	$106,511.40	$88,658.90	nat. median $21,025 outlier · 4.2×
33270 HCPCS	Hc Ins/rplcmnt Perm Subq Impltbl Dfb With Subq Eltrd	23	$39,966.32	$105,793.20	$88,061.08	nat. median $31,963 outlier · 2.8×
93654 HCPCS	Hc Comp Eps & Vt Ablation	23	$30,775.78	$81,465.30	$67,810.81	nat. median $26,806 outlier · 2.5×
33263 HCPCS	Hc Remv&replc Cvd Gen Dual Lead (33263)	23	$30,543.90	$80,851.50	$67,299.89	nat. median $23,228 outlier · 2.9×
33262 HCPCS	Hc Remv&replc Cvd Gen Sing Lead (33262)	23	$30,543.90	$80,851.50	$67,299.89	nat. median $23,104 outlier · 2.9×
33230 HCPCS	Hc Insertion/replacement Of Dual Chamber Icd Generator	23	$30,543.90	$80,851.50	$67,299.89	nat. median $22,374 outlier · 3.0×
L8702 HCPCS	Ewhf S/d Uprt Micro Sensor	2	$65,871.74	$65,871.74	$65,871.74	nat. median $70,178 0.9× median
A9543 HCPCS	Y90 Ibritumomab, Rx	1	$65,476.58	$65,476.58	$65,476.58	nat. median $63,643 1.0× median
J9029 HCPCS	Instill Adstiladrin, Tx Dose	1	$63,505.40	$63,505.40	$63,505.40	nat. median $69,291 0.9× median
63655 HCPCS	Surg Implnt Neuroelect,epidural	23	$28,346.48	$75,034.80	$62,458.13	nat. median $18,229 outlier · 3.4×
64590 HCPCS	Implant Neurostim/receiver	23	$28,346.48	$75,034.80	$62,458.13	nat. median $17,900 outlier · 3.5×
61885 HCPCS	Implant Cranial Neurostim/recvr	23	$28,346.48	$75,034.80	$62,458.13	nat. median $19,880 outlier · 3.1×
25442 HCPCS	Hc Reconstruct Dist Ulna W Prosthesis	23	$27,919.44	$73,904.40	$61,517.20	nat. median $14,535 outlier · 4.2×
93653 HCPCS	Hc Comp Eps & Svt Ablation	23	$27,903.12	$73,861.20	$61,481.24	nat. median $26,399 outlier · 2.3×
93656 HCPCS	Hc Comp Eps & Afib Ablation	23	$27,114.32	$71,773.20	$59,743.21	nat. median $26,956 outlier · 2.2×
54410 HCPCS	Remove/replace Penis Prosth	23	$26,138.52	$69,190.20	$57,593.15	nat. median $17,815 outlier · 3.2×
54401 HCPCS	Hc Insert Self-contd Penile Prosthesis	23	$26,138.52	$69,190.20	$57,593.15	nat. median $18,598 outlier · 3.1×
54405 HCPCS	Insert Multi-compon Penile Prosthe	23	$26,138.52	$69,190.20	$57,593.15	nat. median $18,432 outlier · 3.1×
53445 HCPCS	Correct Urin Incontin,sphinc Ctrl	23	$26,138.52	$69,190.20	$57,593.15	nat. median $16,059 outlier · 3.6×
53447 HCPCS	Hc Removal Artificial Sphincter	23	$26,138.52	$69,190.20	$57,593.15	nat. median $15,111 outlier · 3.8×
33221 HCPCS	Hc Insert Pulse Gen Mult Leads	23	$25,249.08	$66,835.80	$55,633.38	nat. median $17,857 outlier · 3.1×
33229 HCPCS	Hc Remove/replace Pcmkr Mult	23	$25,249.08	$66,835.80	$55,633.38	nat. median $18,565 outlier · 3.0×
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	1	$55,453.57	$55,453.57	$55,453.57	nat. median $65,655 0.8× median
22856 HCPCS	Hc Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv	23	$24,148.84	$63,923.40	$53,209.13	nat. median $16,588 outlier · 3.2×
27279 HCPCS	Hc Arthrodesis Sacroilliac Joint Percutaneous	23	$24,148.84	$63,923.40	$53,209.13	nat. median $17,233 outlier · 3.1×
24363 HCPCS	Hc Arthroplasty,elbow,total,proth Repl	23	$24,148.50	$63,922.50	$53,208.38	nat. median $16,069 outlier · 3.3×
22867 HCPCS	Hc Insj Stablj Dev W/dcmprn Lumbar Single Level	23	$24,148.50	$63,922.50	$53,208.38	nat. median $17,039 outlier · 3.1×
33274 HCPCS	Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img	23	$23,770.42	$62,921.70	$52,375.32	nat. median $19,468 outlier · 2.7×
38240 HCPCS	Transplt Allo Hct/donor	1	$52,066.17	$52,066.17	$52,066.17	nat. median $13,835 outlier · 3.8×
C2616 HCPCS	Hc Rad Sup Brachytx Seed, Yttrium-90	23	$23,361.06	$61,838.10	$51,473.35	nat. median $26,606 1.9× median
62362 HCPCS	Insert Infusn Pump,programmable	23	$23,109.80	$61,173.00	$50,919.72	nat. median $16,486 outlier · 3.1×
19357 HCPCS	Breast Reconstruc W Tiss Expandr	23	$22,834.74	$60,444.90	$50,313.67	nat. median $13,653 outlier · 3.7×
37231 HCPCS	Hc Tib/per Revasc Stent & Ather	23	$22,722.20	$60,147.00	$50,065.69	nat. median $18,256 outlier · 2.7×
37230 HCPCS	Hc Tib/per Revasc W/stent	23	$22,722.20	$60,147.00	$50,065.69	nat. median $16,839 outlier · 3.0×
36836 HCPCS	Hc Perc Av Fistula Creation, Upper Extremity, Single Access Incl	23	$22,722.20	$60,147.00	$50,065.69	nat. median $17,497 outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 12,726 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

J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	2	1	—	—	$3,654,350.00	$3,654,350.00	$3,654,350.00	2025-06-27
J1413	HCPCS	Inj Delandistrogene Mox Rokl	2	1	—	—	$3,339,578.18	$3,339,578.18	$3,339,578.18	2025-06-27
J3399	HCPCS	Inj Onase Abepar-xioi Treat	2	1	—	—	$2,272,602.41	$2,272,602.41	$2,272,602.41	2025-06-27
Q2042	HCPCS	Tisagenlecleucel Car-pos T	2	1	—	—	$518,240.68	$518,240.68	$518,240.68	2025-06-27
Q2056	HCPCS	Ciltacabtagene Car-pos T	2	1	—	—	$507,495.55	$507,495.55	$507,495.55	2025-06-27
Q2055	HCPCS	Idecabtagene Vicleucel Car	2	1	—	—	$484,690.30	$484,690.30	$484,690.30	2025-06-27
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	2	1	—	—	$474,060.62	$474,060.62	$474,060.62	2025-06-27
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	2	1	—	—	$459,381.45	$459,381.45	$459,381.45	2025-06-27
Q2053	HCPCS	Brexucabtagene Car Pos T	2	1	—	—	$449,440.00	$449,440.00	$449,440.00	2025-06-27
Q0480	HCPCS	Driver Pneumatic Vad, Rep	6	2	—	—	$99,999.95	$99,999.95	$99,999.95	2025-06-27
69930	HCPCS	Hc Implant Cochlear Device	64	23	$127,806.00	$83,073.90 35% off	$43,454.04	$115,025.40	$95,745.86	2025-06-27
33231	HCPCS	Hc Insrt Pulse Gen W/mult Leads	64	23	$125,384.00	$81,499.60 35% off	$42,630.56	$112,845.60	$93,931.43	2025-06-27
33264	HCPCS	Hc Remv&replc Cvd Gen Mult Lead (33264)	64	23	$125,384.00	$81,499.60 35% off	$42,630.56	$112,845.60	$93,931.43	2025-06-27
33249	HCPCS	Hc Insert/repl Defib Lead/gener Othr	64	23	$118,682.00	$77,143.30 35% off	$40,351.88	$106,813.80	$88,910.62	2025-06-27
63685	HCPCS	Implant Neurostim/receiver	64	23	$118,346.00	$76,924.90 35% off	$40,237.64	$106,511.40	$88,658.90	2025-06-27
64568	HCPCS	Hc Inc For Vagus N Elect Impl	64	23	$118,346.00	$76,924.90 35% off	$40,237.64	$106,511.40	$88,658.90	2025-06-27
33270	HCPCS	Hc Ins/rplcmnt Perm Subq Impltbl Dfb With Subq Eltrd	64	23	$117,548.00	$76,406.20 35% off	$39,966.32	$105,793.20	$88,061.08	2025-06-27
93654	HCPCS	Hc Comp Eps & Vt Ablation	64	23	$90,517.00	$58,836.05 35% off	$30,775.78	$81,465.30	$67,810.81	2025-06-27
33262	HCPCS	Hc Remv&replc Cvd Gen Sing Lead (33262)	64	23	$89,835.00	$58,392.75 35% off	$30,543.90	$80,851.50	$67,299.89	2025-06-27
33263	HCPCS	Hc Remv&replc Cvd Gen Dual Lead (33263)	64	23	$89,835.00	$58,392.75 35% off	$30,543.90	$80,851.50	$67,299.89	2025-06-27
33230	HCPCS	Hc Insertion/replacement Of Dual Chamber Icd Generator	64	23	$89,835.00	$58,392.75 35% off	$30,543.90	$80,851.50	$67,299.89	2025-06-27
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	6	2	—	—	$65,871.74	$65,871.74	$65,871.74	2025-06-27
A9543	HCPCS	Y90 Ibritumomab, Rx	2	1	—	—	$65,476.58	$65,476.58	$65,476.58	2025-06-27
J9029	HCPCS	Instill Adstiladrin, Tx Dose	2	1	—	—	$63,505.40	$63,505.40	$63,505.40	2025-06-27
61885	HCPCS	Implant Cranial Neurostim/recvr	64	23	$83,372.00	$54,191.80 35% off	$28,346.48	$75,034.80	$62,458.13	2025-06-27
64590	HCPCS	Implant Neurostim/receiver	64	23	$83,372.00	$54,191.80 35% off	$28,346.48	$75,034.80	$62,458.13	2025-06-27
63655	HCPCS	Surg Implnt Neuroelect,epidural	64	23	$83,372.00	$54,191.80 35% off	$28,346.48	$75,034.80	$62,458.13	2025-06-27
25442	HCPCS	Hc Reconstruct Dist Ulna W Prosthesis	64	23	$82,116.00	$53,375.40 35% off	$27,919.44	$73,904.40	$61,517.20	2025-06-27
93653	HCPCS	Hc Comp Eps & Svt Ablation	64	23	$82,068.00	$53,344.20 35% off	$27,903.12	$73,861.20	$61,481.24	2025-06-27
93656	HCPCS	Hc Comp Eps & Afib Ablation	64	23	$79,748.00	$51,836.20 35% off	$27,114.32	$71,773.20	$59,743.21	2025-06-27
54410	HCPCS	Remove/replace Penis Prosth	64	23	$76,878.00	$49,970.70 35% off	$26,138.52	$69,190.20	$57,593.15	2025-06-27
53447	HCPCS	Hc Removal Artificial Sphincter	64	23	$76,878.00	$49,970.70 35% off	$26,138.52	$69,190.20	$57,593.15	2025-06-27
54401	HCPCS	Hc Insert Self-contd Penile Prosthesis	64	23	$76,878.00	$49,970.70 35% off	$26,138.52	$69,190.20	$57,593.15	2025-06-27
54405	HCPCS	Insert Multi-compon Penile Prosthe	64	23	$76,878.00	$49,970.70 35% off	$26,138.52	$69,190.20	$57,593.15	2025-06-27
53445	HCPCS	Correct Urin Incontin,sphinc Ctrl	64	23	$76,878.00	$49,970.70 35% off	$26,138.52	$69,190.20	$57,593.15	2025-06-27
33221	HCPCS	Hc Insert Pulse Gen Mult Leads	64	23	$74,262.00	$48,270.30 35% off	$25,249.08	$66,835.80	$55,633.38	2025-06-27
33229	HCPCS	Hc Remove/replace Pcmkr Mult	64	23	$74,262.00	$48,270.30 35% off	$25,249.08	$66,835.80	$55,633.38	2025-06-27
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	2	1	—	—	$55,453.57	$55,453.57	$55,453.57	2025-06-27
27279	HCPCS	Hc Arthrodesis Sacroilliac Joint Percutaneous	64	23	$71,026.00	$46,166.90 35% off	$24,148.84	$63,923.40	$53,209.13	2025-06-27
22856	HCPCS	Hc Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv	64	23	$71,026.00	$46,166.90 35% off	$24,148.84	$63,923.40	$53,209.13	2025-06-27
22867	HCPCS	Hc Insj Stablj Dev W/dcmprn Lumbar Single Level	64	23	$71,025.00	$46,166.25 35% off	$24,148.50	$63,922.50	$53,208.38	2025-06-27
24363	HCPCS	Hc Arthroplasty,elbow,total,proth Repl	64	23	$71,025.00	$46,166.25 35% off	$24,148.50	$63,922.50	$53,208.38	2025-06-27
33274	HCPCS	Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img	64	23	$69,913.00	$45,443.45 35% off	$23,770.42	$62,921.70	$52,375.32	2025-06-27
38240	HCPCS	Transplt Allo Hct/donor	2	1	—	—	$52,066.17	$52,066.17	$52,066.17	2025-06-27
C2616	HCPCS	Hc Rad Sup Brachytx Seed, Yttrium-90	64	23	$68,709.00	$44,660.85 35% off	$23,361.06	$61,838.10	$51,473.35	2025-06-27
62362	HCPCS	Insert Infusn Pump,programmable	64	23	$67,970.00	$44,180.50 35% off	$23,109.80	$61,173.00	$50,919.72	2025-06-27
19357	HCPCS	Breast Reconstruc W Tiss Expandr	64	23	$67,161.00	$43,654.65 35% off	$22,834.74	$60,444.90	$50,313.67	2025-06-27
37231	HCPCS	Hc Tib/per Revasc Stent & Ather	64	23	$66,830.00	$43,439.50 35% off	$22,722.20	$60,147.00	$50,065.69	2025-06-27
37227	HCPCS	Hc Fem/popl Revasc Stnt & Ather	64	23	$66,830.00	$43,439.50 35% off	$22,722.20	$60,147.00	$50,065.69	2025-06-27
36906	HCPCS	Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent	64	23	$66,830.00	$43,439.50 35% off	$22,722.20	$60,147.00	$50,065.69	2025-06-27
37230	HCPCS	Hc Tib/per Revasc W/stent	64	23	$66,830.00	$43,439.50 35% off	$22,722.20	$60,147.00	$50,065.69	2025-06-27
37229	HCPCS	Hc Tib/per Revasc W/ather	64	23	$66,830.00	$43,439.50 35% off	$22,722.20	$60,147.00	$50,065.69	2025-06-27
36836	HCPCS	Hc Perc Av Fistula Creation, Upper Extremity, Single Access Incl	64	23	$66,830.00	$43,439.50 35% off	$22,722.20	$60,147.00	$50,065.69	2025-06-27
C9766	HCPCS	Hc Pr Revasc Intra Lithotrip-ather	64	23	$66,829.00	$43,438.85 35% off	$22,721.86	$60,146.10	$50,064.94	2025-06-27
C9767	HCPCS	Hc Pr Revasc Lithotrip-stent-ather	64	23	$66,829.00	$43,438.85 35% off	$22,721.86	$60,146.10	$50,064.94	2025-06-27
C9773	HCPCS	Hc Revasc, Endovascular, Open Or Perc, Tibial/peroneal Artery(i	64	23	$66,829.00	$43,438.85 35% off	$22,721.86	$60,146.10	$50,064.94	2025-06-27
93590	HCPCS	Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Valve	64	23	$66,829.00	$43,438.85 35% off	$22,721.86	$60,146.10	$50,064.94	2025-06-27
93582	HCPCS	Hc Percutan Transcath Closure Pat Duct Arteriosus	64	23	$66,829.00	$43,438.85 35% off	$22,721.86	$60,146.10	$50,064.94	2025-06-27
93591	HCPCS	Hc Perc Transcath Closure Of Paravalvular Leak; Initial Occlusio	64	23	$66,829.00	$43,438.85 35% off	$22,721.86	$60,146.10	$50,064.94	2025-06-27
21243	HCPCS	Hc Arthroplasty Tmj+prosthesis	64	23	$66,587.00	$43,281.55 35% off	$22,639.58	$59,928.30	$49,883.65	2025-06-27
92933	HCPCS	Hc Des Stent & Atherectomy W Or Without Ptca	64	23	$63,128.00	$41,033.20 35% off	$21,463.52	$56,815.20	$47,292.34	2025-06-27
93580	HCPCS	Hc Transcath Closure Of Asd	64	23	$63,128.00	$41,033.20 35% off	$21,463.52	$56,815.20	$47,292.34	2025-06-27
0238T	OTHER	Hc Trluml Perip Athrc Iliac Art (0238t)	64	23	$63,128.00	$41,033.20 35% off	$21,463.52	$56,815.20	$47,292.34	2025-06-27
C9765	HCPCS	Hc Revasc Intra Lithotrip-stent	64	23	$63,128.00	$41,033.20 35% off	$21,463.52	$56,815.20	$47,292.34	2025-06-27
L7181	HCPCS	Electronic Elbo Simultaneous	6	2	—	—	$47,237.07	$47,237.07	$47,237.07	2025-06-27
L7180	HCPCS	Electronic Elbow Sequential	6	2	—	—	$45,879.28	$45,879.28	$45,879.28	2025-06-27
0266T	OTHER	Implt/rpl Crtd Sns Dev Total	2	1	—	—	$45,000.50	$45,000.50	$45,000.50	2025-06-27
33276	HCPCS	Insj Phrnc Nrv Stim Sys	2	1	—	—	$45,000.50	$45,000.50	$45,000.50	2025-06-27
J9226	HCPCS	Supprelin La Implant	2	1	—	—	$44,578.75	$44,578.75	$44,578.75	2025-06-27
54400	HCPCS	Hc Insert Semi-rigid Penile Prosthesis	64	23	$51,970.00	$33,780.50 35% off	$17,669.80	$46,773.00	$38,933.32	2025-06-27
34848	HCPCS	Hc Viscer And Infrarenal Abdom Aorta 4+ Prosthesis	64	23	$51,962.00	$33,775.30 35% off	$17,667.08	$46,765.80	$38,927.33	2025-06-27
61888	HCPCS	Hc Revis/remov Cranial Neurorcvr	64	23	$51,916.00	$33,745.40 35% off	$17,651.44	$46,724.40	$38,892.87	2025-06-27
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	6	2	—	—	$37,854.14	$37,854.14	$37,854.14	2025-06-27
22554	HCPCS	Cerv Spine Fusn,anter,below C2	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
24516	HCPCS	Hc Open Rod Fiatn Mid Humerus Fx	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
27827	HCPCS	Open Rx Weightbear Tib,fix Tib Only	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
24515	HCPCS	Open Fixatn Mid Humerus Fracture	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
28715	HCPCS	Hc Fusion Foot Bones, Triple	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
27428	HCPCS	Ligmt Revision,knee,intra-artic	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
27446	HCPCS	Hc Arthroplasty Knee, Med Or Lat Compartmt	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
29889	HCPCS	Knee Scope,aid Post Cruc Repair	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
27871	HCPCS	Hc Fusion Of Tibiofibular Joint	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
27438	HCPCS	Hc Arthroplasty Patella With Implant	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
28730	HCPCS	Hc Fusion Foot Bones, Midtarsal, Multi	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
25810	HCPCS	Hc Fusion/graft Wrist Joint	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
20692	HCPCS	Hc Apply Bone Multiplan Ext Fix Dev	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
27759	HCPCS	Open Rx Tibia Shaft Fx,intramed Rod	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
22551	HCPCS	Neck Spine Fuse&remove Addl	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
24430	HCPCS	Repair Non/malunion Humerus	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
23473	HCPCS	Hc Revis Reconst Shoulder Joint	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
27870	HCPCS	Fusion Of Ankle Joint	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
24575	HCPCS	Hc Open Rx Humeral Epicondylar Fx	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
23470	HCPCS	Hc Reconstruct Prox Humeral Implant	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
24545	HCPCS	Hc Open Rx Humeral Supracondylar Fx	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
24586	HCPCS	Hc Open Rx Periartic Fx/disloc Elbow	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
24546	HCPCS	Hc Open Rx Hum Supracondy Fx, Inter Extn	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
24435	HCPCS	Hc Repair Non/malunion Humerus Graft	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
27415	HCPCS	Hc Osteochondral Allograft Knee Open	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
24366	HCPCS	Hc Reconstruct Radial Head W Implant	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
24587	HCPCS	Hc Open Rx Periartic Fx Elbow,implnt	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
23615	HCPCS	Open Rx Prox Humerus Fx	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
28725	HCPCS	Fusion Foot Bones,subtalar	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
28735	HCPCS	Hc Fusion Foot Bones,midtarsal,osteotmy	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
28320	HCPCS	Hc Repair Non/malunion Tarsal Bone(s)	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
27828	HCPCS	Open Rx Weightbear Tib,fix Tib/fib	64	23	$50,160.00	$32,604.00 35% off	$17,054.40	$45,144.00	$37,577.37	2025-06-27
27758	HCPCS	Hc Open Rx Tibia Shaft Fx, Screws	64	23	$50,159.00	$32,603.35 35% off	$17,054.06	$45,143.10	$37,576.62	2025-06-27
28420	HCPCS	Hc Open Rx Heel Fracture,graft	64	23	$50,159.00	$32,603.35 35% off	$17,054.06	$45,143.10	$37,576.62	2025-06-27
24666	HCPCS	Hc Open Rx Radial Head Fx, Prosth Implnt	64	23	$50,159.00	$32,603.35 35% off	$17,054.06	$45,143.10	$37,576.62	2025-06-27
24579	HCPCS	Hc Open Rx Humeral Condylr Fx	64	23	$50,159.00	$32,603.35 35% off	$17,054.06	$45,143.10	$37,576.62	2025-06-27
27709	HCPCS	Hc Osteotomy Tibia & Fibula	64	23	$50,159.00	$32,603.35 35% off	$17,054.06	$45,143.10	$37,576.62	2025-06-27
33305	HCPCS	Hc Repair Heart Wnd W Cp Bypass	64	23	$49,704.00	$32,307.60 35% off	$16,899.36	$44,733.60	$37,235.75	2025-06-27
53440	HCPCS	Hc Correct Male Urin Incontinence	64	23	$48,924.00	$31,800.60 35% off	$16,634.16	$44,031.60	$36,651.42	2025-06-27
24346	HCPCS	Hc Reconstruct Elbow Med Ligmnt	64	23	$47,025.00	$30,566.25 35% off	$15,988.50	$42,322.50	$35,228.78	2025-06-27
29867	HCPCS	Hc Scope Knee: Osteochondral Allograft	64	23	$47,025.00	$30,566.25 35% off	$15,988.50	$42,322.50	$35,228.78	2025-06-27
22612	HCPCS	Lumbar Spine Fusn,post Tech	64	23	$46,350.00	$30,127.50 35% off	$15,759.00	$41,715.00	$34,723.10	2025-06-27
34846	HCPCS	Hc Viscer And Infrarenal Abdom Aorta 2 Prosthesis	64	23	$45,765.00	$29,747.25 35% off	$15,560.10	$41,188.50	$34,284.85	2025-06-27
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	6	2	—	—	$33,480.90	$33,480.90	$33,480.90	2025-06-27
43287	HCPCS	Hc Esophagectomy Distal 2/3 W/laparoscopic Moblj	64	23	$43,914.00	$28,544.10 35% off	$14,930.76	$39,522.60	$32,898.18	2025-06-27
37242	HCPCS	Vascular Embolization Or Occlusion, Arterial, Other Than H, T, L	64	23	$43,205.00	$28,083.25 35% off	$14,689.70	$38,884.50	$32,367.03	2025-06-27
37225	HCPCS	Hc Fem/popl Revas W/ather	64	23	$43,205.00	$28,083.25 35% off	$14,689.70	$38,884.50	$32,367.03	2025-06-27
27447	HCPCS	Total Knee Replacement	64	23	$42,000.00	$27,300.00 35% off	$14,280.00	$37,800.00	$31,464.30	2025-06-27
37244	HCPCS	Hc Vascular Embolization,lymphatic	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
36903	HCPCS	Hc Intro Cath Dialysis Circuit W/tcat Plmt IV Stent (36903)	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
36905	HCPCS	Hc Perq Thrmbc/nfs Dial Circuit Trluml Balo Angiop	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
37221	HCPCS	Hc Iliac Revasc W/stent	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
37236	HCPCS	Hc Open/perq Placement Intravascular Stent Initial	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
C9772	HCPCS	Hc Revasc, Endovascular, Open Or Perc, Tibial/peroneal Artery(ie	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
37243	HCPCS	Hc Vascular Embolize/occlude Organ Tumor Infarct	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
37228	HCPCS	Hc Tib/per Revasc W/tla	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
37238	HCPCS	Hc Transcatheter Intravascular Stent W Angioplasty Initial Vein	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
37241	HCPCS	Hc Vascular Embolization Or Occlusion	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
37226	HCPCS	Hc Fem/popl Revasc W/stent	64	23	$41,928.00	$27,253.20 35% off	$14,255.52	$37,735.20	$31,410.36	2025-06-27
0505T	OTHER	Hc Endovenous Fem-pop Arterial Revascularization, With Transcath S	64	23	$41,927.00	$27,252.55 35% off	$14,255.18	$37,734.30	$31,409.61	2025-06-27
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	2	1	—	—	$31,345.98	$31,345.98	$31,345.98	2025-06-27
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	2	1	—	—	$31,345.98	$31,345.98	$31,345.98	2025-06-27
58673	HCPCS	Hc Laporoscopy Salpingostomy	64	23	$41,645.00	$27,069.25 35% off	$14,159.30	$37,480.50	$31,198.35	2025-06-27
47554	HCPCS	Hc Biliary Endoscopy Percut,remv Stone	64	23	$41,645.00	$27,069.25 35% off	$14,159.30	$37,480.50	$31,198.35	2025-06-27
33858	HCPCS	Hc Ascending Aorta Graft For Aortic Dissection	64	23	$41,608.00	$27,045.20 35% off	$14,146.72	$37,447.20	$31,170.64	2025-06-27
33411	HCPCS	Hc Replac Aort Valv W Annulu Enlrg	64	23	$41,145.00	$26,744.25 35% off	$13,989.30	$37,030.50	$30,823.78	2025-06-27
47130	HCPCS	Resec Liver,total Rt Lobectomy	64	23	$41,007.00	$26,654.55 35% off	$13,942.38	$36,906.30	$30,720.40	2025-06-27
33213	HCPCS	Hc Insert Pulse Gener Dual Chmbr	64	23	$40,697.00	$26,453.05 35% off	$13,836.98	$36,627.30	$30,488.16	2025-06-27
33207	HCPCS	Hc Inser Hart Pacer Xvenous Ventr	64	23	$40,697.00	$26,453.05 35% off	$13,836.98	$36,627.30	$30,488.16	2025-06-27
33206	HCPCS	Hc Inser Hart Pacer Xvenous Atrial	64	23	$40,697.00	$26,453.05 35% off	$13,836.98	$36,627.30	$30,488.16	2025-06-27
33228	HCPCS	Hc Remv&replc Pm Gen Dual Lead (33228)	64	23	$40,697.00	$26,453.05 35% off	$13,836.98	$36,627.30	$30,488.16	2025-06-27
33224	HCPCS	Hc Insertion Of Pacing Electrode	64	23	$40,697.00	$26,453.05 35% off	$13,836.98	$36,627.30	$30,488.16	2025-06-27
43117	HCPCS	Part Remov Esophagus,lower 2/3	64	23	$40,069.00	$26,044.85 35% off	$13,623.46	$36,062.10	$30,017.69	2025-06-27
33871	HCPCS	Hc Transverse Aortic Arch Graft	64	23	$39,939.00	$25,960.35 35% off	$13,579.26	$35,945.10	$29,920.30	2025-06-27
C9600	HCPCS	Hc Pr Perc Drug-el Cor Stent Sing	64	23	$39,807.00	$25,874.55 35% off	$13,534.38	$35,826.30	$29,821.42	2025-06-27
0268T	OTHER	Implt/rpl Crtd Sns Dev Gen	2	1	—	—	$29,586.29	$29,586.29	$29,586.29	2025-06-27
64582	HCPCS	Opn Mpltj Hpglsl Nstm Ary Pg	2	1	—	—	$29,586.29	$29,586.29	$29,586.29	2025-06-27
61886	HCPCS	Implant Neurostim Arrays	2	1	—	—	$29,586.29	$29,586.29	$29,586.29	2025-06-27
33287	HCPCS	Rmv&rplcmt Phrnc Nrv Stim Pg	2	1	—	—	$29,586.29	$29,586.29	$29,586.29	2025-06-27
50948	HCPCS	Hc Lap New Ureter/bladder	64	23	$39,232.00	$25,500.80 35% off	$13,338.88	$35,308.80	$29,390.65	2025-06-27
58546	HCPCS	Hc Laparo-myomectomy, Complex	64	23	$39,231.00	$25,500.15 35% off	$13,338.54	$35,307.90	$29,389.90	2025-06-27
57423	HCPCS	Hc Repair Paravag Defect,lap	64	23	$39,231.00	$25,500.15 35% off	$13,338.54	$35,307.90	$29,389.90	2025-06-27
58542	HCPCS	Hc Lsh W/t/o Ut 250 G Or Less	64	23	$39,231.00	$25,500.15 35% off	$13,338.54	$35,307.90	$29,389.90	2025-06-27
58544	HCPCS	Hc Lsh W/t/o Uterus Above 250 G	64	23	$39,231.00	$25,500.15 35% off	$13,338.54	$35,307.90	$29,389.90	2025-06-27
92937	HCPCS	Hc Bypass	64	23	$39,012.00	$25,357.80 35% off	$13,264.08	$35,110.80	$29,225.84	2025-06-27
92943	HCPCS	Hc Cto Chronic Total Occlusion	64	23	$39,012.00	$25,357.80 35% off	$13,264.08	$35,110.80	$29,225.84	2025-06-27
92924	HCPCS	Hc Atherectomy W Or Without Ptca	64	23	$39,012.00	$25,357.80 35% off	$13,264.08	$35,110.80	$29,225.84	2025-06-27
48150	HCPCS	Part Remv Panc,prox+remv Duod+anast	64	23	$38,743.00	$25,182.95 35% off	$13,172.62	$34,868.70	$29,024.32	2025-06-27
33863	HCPCS	Ascend Aorta Grft W Root Replacmt	64	23	$38,585.00	$25,080.25 35% off	$13,118.90	$34,726.50	$28,905.96	2025-06-27
33864	HCPCS	Ascending Aortic Graft	64	23	$38,418.00	$24,971.70 35% off	$13,062.12	$34,576.20	$28,780.85	2025-06-27
33208	HCPCS	Hc Inser Hart Pacer Xvenous Atr/ventr	64	23	$38,216.00	$24,840.40 35% off	$12,993.44	$34,394.40	$28,629.51	2025-06-27
92928	HCPCS	Hc Drug Eluding Stent W Or Without Ptca	64	23	$38,036.00	$24,723.40 35% off	$12,932.24	$34,232.40	$28,494.67	2025-06-27
33463	HCPCS	Hc Valvuloplas Tricus No Ring Insert	64	23	$38,025.00	$24,716.25 35% off	$12,928.50	$34,222.50	$28,486.43	2025-06-27
50593	HCPCS	Hc Perc Cryo Ablate Renal Tum	128	23	$38,108.50	$24,770.53 35% off	$12,575.24	$35,307.90	$28,379.71	2025-06-27
L5856	HCPCS	Elec Knee-shin Swing/stance	6	2	—	—	$28,300.96	$28,300.96	$28,300.96	2025-06-27
L6880	HCPCS	Elec Hand Ind Art Digits	6	2	—	—	$28,167.32	$28,167.32	$28,167.32	2025-06-27
55867	HCPCS	Hc Laparoscopy, Surgical Prostatectomy, Simple Subtotal, Include	64	23	$37,485.00	$24,365.25 35% off	$12,744.90	$33,736.50	$28,081.89	2025-06-27
58240	HCPCS	Hc Pelvic Exteneratn,gyn Malignancy	64	23	$37,339.00	$24,270.35 35% off	$12,695.26	$33,605.10	$27,972.51	2025-06-27
27130	HCPCS	Hc Total Hip Replacement	64	23	$37,000.00	$24,050.00 35% off	$12,580.00	$33,300.00	$27,718.55	2025-06-27
50562	HCPCS	Hc Renal Scope W/tumor Resect	64	23	$36,989.00	$24,042.85 35% off	$12,576.26	$33,290.10	$27,710.31	2025-06-27
38572	HCPCS	Hc Laparoscopy Pelvic Lymph	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
58573	HCPCS	Tlh W/t/o Uterus Over 250 G	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
58570	HCPCS	Tlh, Uterus 250 G Or Less	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
58552	HCPCS	Laparo-vag Hyst Incl T/o	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
58572	HCPCS	Hc Tlh, Uterus Over 050 G	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
38571	HCPCS	Hc Laparoscopy With Lympadenectom	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
50544	HCPCS	Laparoscopy Pyeloplasty	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
43280	HCPCS	Laparoscopy Esophagogastric	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
50542	HCPCS	Laparo Ablate Renal Mass	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
50543	HCPCS	Hc Laparo Partial Nephrectomy	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
43281	HCPCS	Lap Paraesophag Hern Repair	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
43282	HCPCS	Lap Paraesoph Her Rpr W/mesh	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
38120	HCPCS	Laparoscopy Splenectomy	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
38573	HCPCS	Hc Laps W/bi Tot Pel Lmphadec & Omntc Lymph Bx	64	23	$36,986.00	$24,040.90 35% off	$12,575.24	$33,287.40	$27,708.06	2025-06-27
33289	HCPCS	Tcat Impl Wrls P-art Prs Snr	2	1	—	—	$27,692.47	$27,692.47	$27,692.47	2025-06-27
57425	HCPCS	Laparoscopy Surgical Colpopexy	64	23	$36,780.00	$23,907.00 35% off	$12,505.20	$33,102.00	$27,553.74	2025-06-27
55866	HCPCS	Hc Laparo Radical Prostatectomy	64	23	$36,780.00	$23,907.00 35% off	$12,505.20	$33,102.00	$27,553.74	2025-06-27
0620T	OTHER	Evasc Ven Artlz Tibl/prnl Vn	2	1	—	—	$27,500.50	$27,500.50	$27,500.50	2025-06-27
C9760	HCPCS	Non-blind Interatrial Shunt	2	1	—	—	$27,500.50	$27,500.50	$27,500.50	2025-06-27
19342	HCPCS	Delay Breast Pros After Breast Surg	64	23	$35,927.00	$23,352.55 35% off	$12,215.18	$32,334.30	$26,914.71	2025-06-27
19325	HCPCS	Hc Enlarge Breast With Implant	64	23	$35,927.00	$23,352.55 35% off	$12,215.18	$32,334.30	$26,914.71	2025-06-27
51860	HCPCS	Hc Repair Bladder Wound/inj, Simple	64	23	$35,110.00	$22,821.50 35% off	$11,937.40	$31,599.00	$26,302.65	2025-06-27
J9266	HCPCS	Pegaspargase Injection	2	1	—	—	$25,781.46	$25,781.46	$25,781.46	2025-06-27
33430	HCPCS	Replacement Of Mitral Valve	64	23	$34,410.00	$22,366.50 35% off	$11,699.40	$30,969.00	$25,778.25	2025-06-27
22633	HCPCS	Lumbar Spine Fusion Combined	64	23	$33,656.00	$21,876.40 35% off	$11,443.04	$30,290.40	$25,213.39	2025-06-27
58571	HCPCS	Tlh W/t/o 250 G Or Less	64	23	$33,600.00	$21,840.00 35% off	$11,424.00	$30,240.00	$25,171.44	2025-06-27
33425	HCPCS	Mitralplasty W Cp Bypass	64	23	$33,533.00	$21,796.45 35% off	$11,401.22	$30,179.70	$25,121.25	2025-06-27
55873	HCPCS	Cryoablation Of Prostate	64	23	$33,247.00	$21,610.55 35% off	$11,303.98	$29,922.30	$24,906.99	2025-06-27
53449	HCPCS	Hc Correct Hydraul Abnl Artif Sphinc	64	23	$33,247.00	$21,610.55 35% off	$11,303.98	$29,922.30	$24,906.99	2025-06-27
54112	HCPCS	Hc Excis Penile Plaque,graft >5cm	64	23	$33,247.00	$21,610.55 35% off	$11,303.98	$29,922.30	$24,906.99	2025-06-27
50080	HCPCS	Percut Remv Kid Stone,up To 2 Cm (50080)	64	23	$33,247.00	$21,610.55 35% off	$11,303.98	$29,922.30	$24,906.99	2025-06-27
50081	HCPCS	Hc Percut Remv Kid Stone,2+ Cm	64	23	$33,247.00	$21,610.55 35% off	$11,303.98	$29,922.30	$24,906.99	2025-06-27
470	MS_DRG	Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	4	2	—	—	$24,771.00	$24,771.00	$24,771.00	2025-06-27
469	MS_DRG	Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc	4	2	—	—	$24,771.00	$24,771.00	$24,771.00	2025-06-27
0421T	OTHER	Hc Transurethral Waterjet Ablation Prostate Compl	64	23	$32,947.00	$21,415.55 35% off	$11,201.98	$29,652.30	$24,682.25	2025-06-27
49618	HCPCS	Hc Repair Of Anterior Abdominal Hernia(s), Any Approach, Recurre	64	23	$32,794.00	$21,316.10 35% off	$11,149.96	$29,514.60	$24,567.62	2025-06-27
49621	HCPCS	Hc Repair Of Parastomal Hernia, Any Approach, Initial Or Recurre	64	23	$32,794.00	$21,316.10 35% off	$11,149.96	$29,514.60	$24,567.62	2025-06-27
49622	HCPCS	Hc Repair Of Parastomal Hernia, Any Approach, Initial Or Recurre	64	23	$32,794.00	$21,316.10 35% off	$11,149.96	$29,514.60	$24,567.62	2025-06-27
49617	HCPCS	Hc Repair Of Anterior Abdominal Hernia(s), Any Approach, Recurre	64	23	$32,794.00	$21,316.10 35% off	$11,149.96	$29,514.60	$24,567.62	2025-06-27
49616	HCPCS	Hc Repair Of Anterior Abdominal Hernia(s), Any Approach, Recurre	64	23	$32,793.00	$21,315.45 35% off	$11,149.62	$29,513.70	$24,566.88	2025-06-27
49596	HCPCS	Hc Repair Of Anterior Abdominal Hernia(s), Any Approach, Initial	64	23	$32,793.00	$21,315.45 35% off	$11,149.62	$29,513.70	$24,566.88	2025-06-27
33210	HCPCS	Hc Inser Heart Temp Pacer One Chmbr	64	23	$32,379.00	$21,046.35 35% off	$11,008.86	$29,141.10	$24,256.73	2025-06-27
33233	HCPCS	Hc Remv Perm Pacer Generator	64	23	$32,379.00	$21,046.35 35% off	$11,008.86	$29,141.10	$24,256.73	2025-06-27
33227	HCPCS	Hc Remove&replace Pm Gen Singl (33227)	64	23	$32,379.00	$21,046.35 35% off	$11,008.86	$29,141.10	$24,256.73	2025-06-27
33217	HCPCS	Hc Insert/revise Electrode Two Chmbr	64	23	$32,379.00	$21,046.35 35% off	$11,008.86	$29,141.10	$24,256.73	2025-06-27
33285	HCPCS	Hc Insertion Subq Cardiac Rhythm Monitor W/prgrmg	64	23	$32,379.00	$21,046.35 35% off	$11,008.86	$29,141.10	$24,256.73	2025-06-27
33216	HCPCS	Hc Revis Impl Electrode One Chmbr	64	23	$32,379.00	$21,046.35 35% off	$11,008.86	$29,141.10	$24,256.73	2025-06-27
33212	HCPCS	Hc Insert Pulse Gener One Chmbr	64	23	$32,379.00	$21,046.35 35% off	$11,008.86	$29,141.10	$24,256.73	2025-06-27
33514	HCPCS	Hc Cabg, Vein, Five	64	23	$32,163.00	$20,905.95 35% off	$10,935.42	$28,946.70	$24,094.91	2025-06-27
33536	HCPCS	Hc Cabg, Arterialm Four+	64	23	$31,598.00	$20,538.70 35% off	$10,743.32	$28,438.20	$23,671.64	2025-06-27
35092	HCPCS	Hc Repr Art Rupture,aorta/visc	64	23	$31,298.00	$20,343.70 35% off	$10,641.32	$28,168.20	$23,446.90	2025-06-27
33410	HCPCS	Hc Rplcmt Aortic Valve Opn W/stentless Tissue Valve	64	23	$31,191.00	$20,274.15 35% off	$10,604.94	$28,071.90	$23,366.74	2025-06-27
J9600	HCPCS	Porfimer Sodium Injection	2	1	—	—	$23,170.54	$23,170.54	$23,170.54	2025-06-27
L8614	HCPCS	Cochlear Device	6	2	—	—	$23,083.08	$23,083.08	$23,083.08	2025-06-27
47780	HCPCS	Hc Anast,roux-en-y Extrahep To Gi Trct	64	23	$30,733.00	$19,976.45 35% off	$10,449.22	$27,659.70	$23,023.62	2025-06-27
37184	HCPCS	Hc Prim Art Mech Thrombectomy	64	23	$30,613.00	$19,898.45 35% off	$10,408.42	$27,551.70	$22,933.73	2025-06-27
33513	HCPCS	Cabg, Vein, Four	64	23	$30,514.00	$19,834.10 35% off	$10,374.76	$27,462.60	$22,859.57	2025-06-27
34843	HCPCS	Hc Endovasc Viscer Aorta Repair Fenest 3 Endograft	64	23	$30,226.00	$19,646.90 35% off	$10,276.84	$27,203.40	$22,643.81	2025-06-27
61512	HCPCS	Hc Excis Supratent Meningioma	64	23	$30,179.00	$19,616.35 35% off	$10,260.86	$27,161.10	$22,608.60	2025-06-27
33427	HCPCS	Mitralplasty W Radical Reconstr	64	23	$29,995.00	$19,496.75 35% off	$10,198.30	$26,995.50	$22,470.75	2025-06-27
43415	HCPCS	Hc Suture Esophagus Wound, Thor Apprch	64	23	$29,988.00	$19,492.20 35% off	$10,195.92	$26,989.20	$22,465.51	2025-06-27
33464	HCPCS	Hc Valvuloplas Tricus W Ring Insert	64	23	$29,980.00	$19,487.00 35% off	$10,193.20	$26,982.00	$22,459.51	2025-06-27
0515T	OTHER	Insj Wcs Lv Compl Sys	2	1	—	—	$22,458.65	$22,458.65	$22,458.65	2025-06-27
0614T	OTHER	Rmvl&rplcmt Ss Impl Dfb Pg	2	1	—	—	$22,458.65	$22,458.65	$22,458.65	2025-06-27
0409T	OTHER	Insj/rplc Car Modulj Pls Gn	2	1	—	—	$22,458.65	$22,458.65	$22,458.65	2025-06-27
0414T	OTHER	Rmvl & Rpl Car Modulj Pls Gn	2	1	—	—	$22,458.65	$22,458.65	$22,458.65	2025-06-27
33240	HCPCS	Insrt Pulse Gen W/singl Lead	2	1	—	—	$22,458.65	$22,458.65	$22,458.65	2025-06-27
33859	HCPCS	Hc Ascending Aorta Graft For Aortic Disease	64	23	$29,914.00	$19,444.10 35% off	$10,170.76	$26,922.60	$22,410.08	2025-06-27
33512	HCPCS	Cabg, Vein, Three	64	23	$29,746.00	$19,334.90 35% off	$10,113.64	$26,771.40	$22,284.22	2025-06-27
Q0483	HCPCS	Monitor Elec Vad, Rep	6	2	—	—	$22,104.13	$22,104.13	$22,104.13	2025-06-27
33535	HCPCS	Hc Cabg Arterial Three	64	23	$29,354.00	$19,080.10 35% off	$9,980.36	$26,418.60	$21,990.55	2025-06-27
33426	HCPCS	Mitralplasty W Prosthetic Ring	64	23	$29,252.00	$19,013.80 35% off	$9,945.68	$26,326.80	$21,914.14	2025-06-27
L5858	HCPCS	Stance Phase Only	6	2	—	—	$21,910.47	$21,910.47	$21,910.47	2025-06-27
47120	HCPCS	Resec Liver,part Lobectomy	64	23	$29,083.00	$18,903.95 35% off	$9,888.22	$26,174.70	$21,787.53	2025-06-27
35540	HCPCS	Hc Artery Bypass Graft	64	23	$28,774.00	$18,703.10 35% off	$9,783.16	$25,896.60	$21,556.04	2025-06-27
32486	HCPCS	Hc Remv Lung,part,resec Part Bronchus	64	23	$28,734.00	$18,677.10 35% off	$9,769.56	$25,860.60	$21,526.08	2025-06-27
77372	HCPCS	Hc Srs, Linear Based	64	23	$29,679.00	$19,291.35 35% off	$2,675.30	$26,711.10	$21,469.79	2025-06-27
93612	HCPCS	Hc Intraventricular Pacing	64	23	$28,462.00	$18,500.30 35% off	$9,677.08	$25,615.80	$21,322.31	2025-06-27
93602	HCPCS	Hc Intra-atrial Recording	64	23	$28,462.00	$18,500.30 35% off	$9,677.08	$25,615.80	$21,322.31	2025-06-27
93619	HCPCS	Hc Electrophys Eval,comprehensive	64	23	$28,462.00	$18,500.30 35% off	$9,677.08	$25,615.80	$21,322.31	2025-06-27
33300	HCPCS	Hc Repair Heart Wound	64	23	$28,422.00	$18,474.30 35% off	$9,663.48	$25,579.80	$21,292.34	2025-06-27
51595	HCPCS	Hc Remv Bladder/nodes,ileal Conduit	64	23	$28,070.00	$18,245.50 35% off	$9,543.80	$25,263.00	$21,028.64	2025-06-27
L6975	HCPCS	Interscap-thor Myoelectronic	6	2	—	—	$20,904.38	$20,904.38	$20,904.38	2025-06-27
33405	HCPCS	Replac Aort Valv Prosth Valv	64	23	$27,889.00	$18,127.85 35% off	$9,482.26	$25,100.10	$20,893.04	2025-06-27
61537	HCPCS	Hc Craniot; Lobect Temporl Without Ecog	64	23	$27,883.00	$18,123.95 35% off	$9,480.22	$25,094.70	$20,888.55	2025-06-27
64580	HCPCS	Opn Impltj Nea Neuromuscular	2	1	—	—	$20,842.84	$20,842.84	$20,842.84	2025-06-27
61891	HCPCS	Rev/rplcmt Sk-mnt Crnl Nstm	2	1	—	—	$20,842.84	$20,842.84	$20,842.84	2025-06-27
0817T	OTHER	Opn Insj/rplcmt Ins Ptn Subf	2	1	—	—	$20,842.84	$20,842.84	$20,842.84	2025-06-27
0816T	OTHER	Opn Insj/rplcmt Ins Ptn Subq	2	1	—	—	$20,842.84	$20,842.84	$20,842.84	2025-06-27
L5973	HCPCS	Ank-foot Sys Dors-plant Flex	6	2	—	—	$20,813.72	$20,813.72	$20,813.72	2025-06-27
58954	HCPCS	Hc Tah Rad Debulk/lymph Remove	64	23	$27,611.00	$17,947.15 35% off	$9,387.74	$24,849.90	$20,684.78	2025-06-27
28305	HCPCS	Hc Osteotomy Midtarsal Autograft	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
28106	HCPCS	Hc Remv Othr Foot Benign Lesn,autogrft	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
28107	HCPCS	Hc Remv Othr Foot Benign Lesn, Allogrft	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
23550	HCPCS	Hc Open Rx A-c Jt Disloc	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
28102	HCPCS	Hc Remv Talus/heel Benign Lesn,autogrft	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
28307	HCPCS	Hc Osteotomy 1st Metatarsal, Autograft	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
28210	HCPCS	Hc Repair/graft Exten Foot Tendon	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
0201T	OTHER	Bilateral Perc Sacraplast	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
27418	HCPCS	Hc Repair Anter Tibial Tubercle	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
28322	HCPCS	Repair Non/malunion Metatarsal	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
25825	HCPCS	Hc Fusion/graft Intercarpal	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
27235	HCPCS	Hc Percut Fix Prox/neck Femur	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
26500	HCPCS	Hc Hand Tendon Pulley Reconstruction	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
25685	HCPCS	Hc Open Rx Navic-perilunate Fx/disloc	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
27416	HCPCS	Osteochondral Knee Autograft	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
27769	HCPCS	Hc Optx Post Ankle Fx	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
24345	HCPCS	Hc Repr Elbw Med Ligmnt W/tiss	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
27386	HCPCS	Hc Fix Quad/hamstr Musc Rupt,second	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
27403	HCPCS	Hc Arthrotomy, Open Repair Meniscus	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
27350	HCPCS	Part/full Removal Of Kneecap	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
25545	HCPCS	Open Rx Ulna Shaft Fx	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
24615	HCPCS	Hc Open Rx Elbow Dislocation	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
24635	HCPCS	Hc Open Rx Monteggia Fx/disloc Elbow	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
27664	HCPCS	Repair Exten Leg Tendn,prim,each	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
28585	HCPCS	Hc Open Rx Talotarsal Dislocation	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
23466	HCPCS	Hc Repair Shldr Capsu For Instability	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
28291	HCPCS	Hc Hallux Rigidus W/cheilectomy 1st Mp Jt W/imlpt	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
21812	HCPCS	Hc Open Tx Rib Fx W/fixj Thoracoscopic Vis 4-6 Ribs	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
26536	HCPCS	Hc Arthroplasty I-p Jt,implant	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
25449	HCPCS	Hc Remove Wrist Joint Implant	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
23455	HCPCS	Hc Repair Shoulder Capsule, Bankart	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
26531	HCPCS	Hc Arthroplasty Mc-p Jt, Implant	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
25390	HCPCS	Hc Shorten Radius Or Ulna	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
25337	HCPCS	Hc Reconstruct Ulna/radioulnar	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
23412	HCPCS	Repair Rotator Cuff,chronic	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27
27690	HCPCS	Hc Xfer Single Superfici Low Leg Tendon	64	23	$27,266.00	$17,722.90 35% off	$9,270.44	$24,539.40	$20,426.33	2025-06-27

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