Hospital

Memorial Hospital Sweetwater County

Rock Springs, WY · CCN 530011 · Rates published

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You selected 59400 (CPT)

59400 Routine obstetric care including antepartum

This hospital’s price: $7,137 across 10 payers · range $2,367-$7,137

Source: https://sweetwater.goredde.com/Estimator/Files/83-6000295_Memorial_Hospital_of_Sweetwater_county_standardcharges.csv · observed 2026-03-29

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.

20,172 distinct procedures filed

10 distinct payers

215,970 rate rows

2026-03-29 last MRF observed

Data quality

94,474 of 215,970 rate rows are consumer-grade (43.7%)

121,496 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	113,816
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	7,670
placeholder amount (≤ $0.02) — excluded from medians	8
exceeds 10× this hospital's gross charge — excluded from medians	2

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

Source MRF file	https://sweetwater.goredde.com/Estimator/Files/83-6000295_Memorial_Hospital_of_Sweetwater_county_standardcharges.csv
Found on page	https://sweetwater.goredde.com/Estimator/
Discovered via	Discovered by HANK
Last fetch	success · 2026-08-11
Content fingerprint	53691114a90f4bf5… · 46,167,677 bytes · first seen 2026-05-08

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
J9043 HCPCS	MEMLcabazitaxel 60 Mg/1.5 Ml 306[meml]	10	$142,411.47	$149,906.82	$142,411.47	nat. median $709 outlier · 201.0×
J9228 HCPCS	ipil5Sol	10	$21,999.83	$92,270.65	$55,407.42	nat. median $8,184 outlier · 6.8×
J2350 HCPCS	MEMLocrelizumab 300 Mg/10 Ml 216[meml]	10	$50,567.38	$53,228.83	$50,567.38	nat. median $331 outlier · 152.9×
J3241 HCPCS	tepr500Pow [meml]	10	$40,835.56	$42,984.81	$40,835.56	nat. median $682 outlier · 59.8×
J1303 HCPCS	MEMLravulizumab 100 mg/mL 150[meml]	10	$16,540.26	$63,519.60	$38,877.21	nat. median $5,613 outlier · 6.9×
77372 CPT	Stereotactic Delivery 1fx	10	$972.05	$32,152.75	$32,152.75	nat. median $9,046 outlier · 3.6×
J9272 HCPCS	Dostarlimab Gxly 500 Mg/10 Ml Sol [meml]	10	$29,191.83	$30,728.25	$29,191.83	nat. median $741 outlier · 39.4×
J9042 HCPCS	MEMLbrentuximab Vedotin 50 Mg Pow 305[meml]	10	$29,103.63	$30,635.40	$29,103.63	nat. median $885 outlier · 32.9×
J9316 HCPCS	Hyaluronidase/pertuzumab/trastuzumab [meml]	10	$22,493.95	$35,458.17	$28,681.56	nat. median $360 outlier · 79.7×
J9309 HCPCS	Polat	10	$9,756.42	$47,486.21	$27,690.90	nat. median $4,103 outlier · 6.7×
J9144 HCPCS	Daratumumab-hyaluronidase 1800 Mg-30,000 Units/15	10	$24,976.72	$26,291.29	$24,976.72	nat. median $202 outlier · 123.6×
J9022 HCPCS	MEMLatezolizumab 1200 Mg/20 Ml 293[meml]	10	$19,156.92	$28,755.96	$23,741.67	nat. median $5,498 outlier · 4.3×
J1932 HCPCS	MEMLlanr120. 181[meml]	10	$22,923.67	$24,130.18	$22,923.67	nat. median $104 outlier · 219.5×
J3380 HCPCS	MEMLvedolizumab 300 Mg Pow 262[meml]	10	$22,229.78	$23,399.77	$22,229.78	nat. median $150 outlier · 148.4×
J9301 HCPCS	MEMLobinutuzumab 25 mg/mL 374[meml]	10	$21,254.32	$22,372.97	$21,254.32	nat. median $272 outlier · 78.1×
J1930 HCPCS	Lanreotide 120 Mg/0.5 Ml Sol Ipsen [meml]	10	$15,057.69	$25,937.40	$20,245.36	nat. median $4,399 outlier · 4.6×
J9223 HCPCS	MEMLlurb4Pow[MEML]	10	$19,710.60	$20,748.00	$19,710.60	nat. median $605 outlier · 32.6×
J0596 HCPCS	MEMLconestat Alfa 2100 Intl Units Pow 66[meml]	10	$19,558.12	$20,587.50	$19,558.12	nat. median $49 outlier · 401.1×
J3101 HCPCS	tene50.Pow	10	$19,493.00	$20,518.95	$19,493.00	nat. median $3,475 outlier · 5.6×
J9311 HCPCS	Hyaluronidase-rituximab	10	$16,982.92	$20,413.45	$18,634.76	nat. median $1,789 outlier · 10.4×
J9306 HCPCS	MEMLpertuzumab 420 Mg/14 Ml 378[meml]	10	$16,855.19	$17,742.31	$16,855.19	nat. median $67 outlier · 252.8×
J2506 HCPCS	MEMLpegf6. 230[meml]	10	$16,462.15	$17,328.58	$16,462.15	nat. median $1,555 outlier · 10.6×
J9332 HCPCS	efga400Sol	10	$15,878.32	$16,714.03	$15,878.32	nat. median $109 outlier · 145.7×
36566 CPT	36566 Insertion Of Tunneled Centrally Inserted Cen	10	$343.78	$15,606.60	$15,606.60	nat. median $5,748 outlier · 2.7×
77373 CPT	Sbrt Linear Accelerator Based	10	$1,014.57	$14,893.15	$14,893.15	nat. median $3,665 outlier · 4.1×
J0717 HCPCS	cert200Kit [meml]	10	$14,669.72	$15,441.82	$14,669.72	nat. median $1,187 outlier · 12.4×
J0517 HCPCS	MEMLbenralizumab 30 mg/mL 57[meml]	10	$14,560.86	$15,327.23	$14,560.86	nat. median $801 outlier · 18.2×
J9271 HCPCS	MEMLpembrolizumab 25 mg/mL 369[meml]	10	$14,369.03	$15,125.30	$14,369.03	nat. median $254 outlier · 56.6×
J9354 HCPCS	Memlado-trastuzumab Emtansine 100 Mg Pow 384[meml]	10	$10,096.34	$16,932.33	$13,356.72	nat. median $4,097 outlier · 3.3×
27447 CPT	27447 Arthroplasty, Knee, Condyle And Plateau; Med	10	$1,261.16	$12,334.80	$12,334.80	nat. median $12,699 1.0× median
J9356 HCPCS	Hyaluronidase-trastuzumab Subq	10	$12,105.99	$12,743.15	$12,105.99	nat. median $130 outlier · 93.3×
J1162 HCPCS	MEMLdigo40.Pow 137[meml]	10	$11,796.43	$12,417.30	$11,796.43	nat. median $7,100 1.7× median
J2353 HCPCS	MEMLoctr10.Pow 217[meml]	10	$8,974.38	$18,417.95	$11,722.62	nat. median $5,513 outlier · 2.1×
27132 CPT	27132 Conversion Of Previous Hip Surgery To Total	10	$1,639.41	$11,333.50	$11,333.50	nat. median $9,832 1.2× median
77295 CPT	Formal Planning	10	$484.48	$11,327.80	$11,327.80	nat. median $1,916 outlier · 5.9×
J2997 HCPCS	MEMLalte100.Pow 252[meml]	10	$402.07	$23,760.97	$11,286.47	nat. median $488 outlier · 23.1×
J9308 HCPCS	MEMLramu10Sol{MEML]	10	$3,777.40	$19,401.08	$11,203.62	nat. median $1,393 outlier · 8.0×
77301 CPT	Imrt Isodose Planning	10	$1,871.24	$11,133.05	$11,133.05	nat. median $2,755 outlier · 4.0×
29888 CPT	29888 Arthroscopically Aided Anterior Cruciate Lig	10	$964.92	$11,069.40	$11,069.40	nat. median $7,307 1.5× median
J9217 HCPCS	7.5mg Inj Leuprolide	10	$1,461.10	$33,234.83	$10,741.17	nat. median $1,518 outlier · 7.1×
27130 CPT	27130 Arthroplasty, Acetabular And Proximal Femora	10	$1,263.05	$10,549.75	$10,549.75	nat. median $13,040 0.8× median
55874 CPT	55874 Transperineal Placement Of Biodegradable Mat	10	$160.09	$10,288.50	$10,288.50	nat. median $5,635 1.8× median
27138 CPT	27138 Revision Of Total Hip Arthroplasty; Femoral	10	$1,492.18	$10,075.70	$10,075.70	nat. median $9,832 1.0× median
Q5120 HCPCS	MEMLpegfilgrastim Bmez 6 Mg/0.6 Ml 6[meml]	10	$10,068.99	$10,598.94	$10,068.99	nat. median $357 outlier · 28.2×
J9299 HCPCS	MEMLnivolumab 10 mg/mL 12 Ml [meml]	10	$8,113.51	$20,329.34	$9,713.40	nat. median $2,649 outlier · 3.7×
J9050 HCPCS	MEMLcarm100.Pow 323[meml]	10	$9,692.32	$10,202.45	$9,692.32	nat. median $605 outlier · 16.0×
J2182 HCPCS	MEMLmepolizumab 100 Mg Pow 199[meml]	10	$8,751.11	$9,959.83	$9,336.76	nat. median $2,559 outlier · 3.6×
J1950 HCPCS	11.25mg Inj Leuprolide	10	$4,362.40	$14,014.39	$9,280.55	nat. median $3,885 outlier · 2.4×
J9177 HCPCS	MEMLenfortumab Vedotin 20 Mg Pow 344[meml]	10	$7,178.01	$11,273.70	$9,132.91	nat. median $2,933 outlier · 3.1×
J9352 HCPCS	MEMLtrabectedin 1 Mg Pow 383[meml]	10	$8,958.07	$9,429.55	$8,958.07	nat. median $1,058 outlier · 8.5×

Other procedures at this hospital

Browse this hospital's 20,172 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

J9043	HCPCS	MEMLcabazitaxel 60 Mg/1.5 Ml 306[meml]	10	10	$149,906.82	$149,906.82	$142,411.47	$149,906.82	$142,411.47	2026-03-29
J9228	HCPCS	ipil5Sol	20	10	$57,714.18	$57,714.18	$21,999.83	$92,270.65	$55,407.42	2026-03-29
J2350	HCPCS	MEMLocrelizumab 300 Mg/10 Ml 216[meml]	10	10	$53,228.83	$53,228.83	$50,567.38	$53,228.83	$50,567.38	2026-03-29
J3241	HCPCS	tepr500Pow [meml]	10	10	$42,984.81	$42,984.81	$40,835.56	$42,984.81	$40,835.56	2026-03-29
J1303	HCPCS	MEMLravulizumab 100 mg/mL 150[meml]	20	10	$40,465.20	$40,465.20	$16,540.26	$63,519.60	$38,877.21	2026-03-29
77372	CPT	Stereotactic Delivery 1fx	10	10	$33,845.00	$33,845.00	$972.05	$32,152.75	$32,152.75	2026-03-29
J9272	HCPCS	Dostarlimab Gxly 500 Mg/10 Ml Sol [meml]	10	10	$30,728.25	$30,728.25	$29,191.83	$30,728.25	$29,191.83	2026-03-29
J9042	HCPCS	MEMLbrentuximab Vedotin 50 Mg Pow 305[meml]	10	10	$30,635.40	$30,635.40	$29,103.63	$30,635.40	$29,103.63	2026-03-29
J9316	HCPCS	Hyaluronidase/pertuzumab/trastuzumab [meml]	20	10	$29,568.01	$29,568.01	$22,493.95	$35,458.17	$28,681.56	2026-03-29
J9309	HCPCS	Polat	20	10	$28,878.07	$28,878.07	$9,756.42	$47,486.21	$27,690.90	2026-03-29
J9144	HCPCS	Daratumumab-hyaluronidase 1800 Mg-30,000 Units/15	10	10	$26,291.29	$26,291.29	$24,976.72	$26,291.29	$24,976.72	2026-03-29
J9022	HCPCS	MEMLatezolizumab 1200 Mg/20 Ml 293[meml]	20	10	$24,460.57	$24,460.57	$19,156.92	$28,755.96	$23,741.67	2026-03-29
J1932	HCPCS	MEMLlanr120. 181[meml]	10	10	$24,130.18	$24,130.18	$22,923.67	$24,130.18	$22,923.67	2026-03-29
J3380	HCPCS	MEMLvedolizumab 300 Mg Pow 262[meml]	10	10	$23,399.77	$23,399.77	$22,229.78	$23,399.77	$22,229.78	2026-03-29
J9301	HCPCS	MEMLobinutuzumab 25 mg/mL 374[meml]	10	10	$22,372.97	$22,372.97	$21,254.32	$22,372.97	$21,254.32	2026-03-29
J1930	HCPCS	Lanreotide 120 Mg/0.5 Ml Sol Ipsen [meml]	20	10	$20,893.80	$20,893.80	$15,057.69	$25,937.40	$20,245.36	2026-03-29
J9223	HCPCS	MEMLlurb4Pow[MEML]	10	10	$20,748.00	$20,748.00	$19,710.60	$20,748.00	$19,710.60	2026-03-29
J0596	HCPCS	MEMLconestat Alfa 2100 Intl Units Pow 66[meml]	10	10	$20,587.50	$20,587.50	$19,558.12	$20,587.50	$19,558.12	2026-03-29
J3101	HCPCS	tene50.Pow	10	10	$20,518.95	$20,518.95	$19,493.00	$20,518.95	$19,493.00	2026-03-29
J9311	HCPCS	Hyaluronidase-rituximab	20	10	$19,145.10	$19,145.10	$16,982.92	$20,413.45	$18,634.76	2026-03-29
J9306	HCPCS	MEMLpertuzumab 420 Mg/14 Ml 378[meml]	10	10	$17,742.31	$17,742.31	$16,855.19	$17,742.31	$16,855.19	2026-03-29
J2506	HCPCS	MEMLpegf6. 230[meml]	10	10	$17,328.58	$17,328.58	$16,462.15	$17,328.58	$16,462.15	2026-03-29
J9332	HCPCS	efga400Sol	10	10	$16,714.03	$16,714.03	$15,878.32	$16,714.03	$15,878.32	2026-03-29
36566	CPT	36566 Insertion Of Tunneled Centrally Inserted Cen	10	10	$16,428.00	$16,428.00	$343.78	$15,606.60	$15,606.60	2026-03-29
77373	CPT	Sbrt Linear Accelerator Based	10	10	$15,677.00	$15,677.00	$1,014.57	$14,893.15	$14,893.15	2026-03-29
J0717	HCPCS	cert200Kit [meml]	10	10	$15,441.82	$15,441.82	$14,669.72	$15,441.82	$14,669.72	2026-03-29
J0517	HCPCS	MEMLbenralizumab 30 mg/mL 57[meml]	10	10	$15,327.23	$15,327.23	$14,560.86	$15,327.23	$14,560.86	2026-03-29
J9271	HCPCS	MEMLpembrolizumab 25 mg/mL 369[meml]	10	10	$15,125.30	$15,125.30	$14,369.03	$15,125.30	$14,369.03	2026-03-29
J9354	HCPCS	Memlado-trastuzumab Emtansine 100 Mg Pow 384[meml]	20	10	$13,780.03	$13,780.03	$10,096.34	$16,932.33	$13,356.72	2026-03-29
27447	CPT	27447 Arthroplasty, Knee, Condyle And Plateau; Med	10	10	$12,984.00	$12,984.00	$1,261.16	$12,334.80	$12,334.80	2026-03-29
J9356	HCPCS	Hyaluronidase-trastuzumab Subq	10	10	$12,743.15	$12,743.15	$12,105.99	$12,743.15	$12,105.99	2026-03-29
J1162	HCPCS	MEMLdigo40.Pow 137[meml]	10	10	$12,417.30	$12,417.30	$11,796.43	$12,417.30	$11,796.43	2026-03-29
J2353	HCPCS	MEMLoctr10.Pow 217[meml]	30	10	$12,339.61	$12,339.61	$8,974.38	$18,417.95	$11,722.62	2026-03-29
27132	CPT	27132 Conversion Of Previous Hip Surgery To Total	10	10	$11,930.00	$11,930.00	$1,639.41	$11,333.50	$11,333.50	2026-03-29
77295	CPT	Formal Planning	10	10	$11,924.00	$11,924.00	$484.48	$11,327.80	$11,327.80	2026-03-29
J2997	HCPCS	MEMLalte100.Pow 252[meml]	30	10	$11,880.50	$11,880.50	$402.07	$23,760.97	$11,286.47	2026-03-29
J9308	HCPCS	MEMLramu10Sol{MEML]	20	10	$11,688.65	$11,688.65	$3,777.40	$19,401.08	$11,203.62	2026-03-29
77301	CPT	Imrt Isodose Planning	10	10	$11,719.00	$11,719.00	$1,871.24	$11,133.05	$11,133.05	2026-03-29
29888	CPT	29888 Arthroscopically Aided Anterior Cruciate Lig	10	10	$11,652.00	$11,652.00	$964.92	$11,069.40	$11,069.40	2026-03-29
J9217	HCPCS	7.5mg Inj Leuprolide	60	10	$11,158.10	$11,158.10	$1,461.10	$33,234.83	$10,741.17	2026-03-29
27130	CPT	27130 Arthroplasty, Acetabular And Proximal Femora	10	10	$11,105.00	$11,105.00	$1,263.05	$10,549.75	$10,549.75	2026-03-29
55874	CPT	55874 Transperineal Placement Of Biodegradable Mat	10	10	$10,830.00	$10,830.00	$160.09	$10,288.50	$10,288.50	2026-03-29
27138	CPT	27138 Revision Of Total Hip Arthroplasty; Femoral	10	10	$10,606.00	$10,606.00	$1,492.18	$10,075.70	$10,075.70	2026-03-29
Q5120	HCPCS	MEMLpegfilgrastim Bmez 6 Mg/0.6 Ml 6[meml]	10	10	$10,598.94	$10,598.94	$10,068.99	$10,598.94	$10,068.99	2026-03-29
J9299	HCPCS	MEMLnivolumab 10 mg/mL 12 Ml [meml]	30	10	$10,224.64	$10,224.64	$8,113.51	$20,329.34	$9,713.40	2026-03-29
J9050	HCPCS	MEMLcarm100.Pow 323[meml]	10	10	$10,202.45	$10,202.45	$9,692.32	$10,202.45	$9,692.32	2026-03-29
J2182	HCPCS	MEMLmepolizumab 100 Mg Pow 199[meml]	20	10	$9,585.76	$9,585.76	$8,751.11	$9,959.83	$9,336.76	2026-03-29
J1950	HCPCS	11.25mg Inj Leuprolide	50	10	$9,769.00	$9,769.00	$4,362.40	$14,014.39	$9,280.55	2026-03-29
J9177	HCPCS	MEMLenfortumab Vedotin 20 Mg Pow 344[meml]	20	10	$9,414.75	$9,414.75	$7,178.01	$11,273.70	$9,132.91	2026-03-29
J9352	HCPCS	MEMLtrabectedin 1 Mg Pow 383[meml]	10	10	$9,429.55	$9,429.55	$8,958.07	$9,429.55	$8,958.07	2026-03-29
27236	CPT	27236 Open Treatment Of Femoral Fracture, Proximal	10	10	$9,228.00	$9,228.00	$1,178.64	$8,766.60	$8,766.60	2026-03-29
59510	CPT	59510 Routine Obstetric Care Including Antepartum	10	10	$9,226.00	$9,226.00	$2,622.88	$8,764.70	$8,764.70	2026-03-29
J1306	HCPCS	incl284Sol [meml]	10	10	$9,108.21	$9,108.21	$8,652.79	$9,108.21	$8,652.79	2026-03-29
27125	CPT	27125 Hemiarthroplasty, Hip, Partial (eg, Femoral	10	10	$8,949.00	$8,949.00	$1,117.82	$8,501.55	$8,501.55	2026-03-29
J2783	HCPCS	MEMLrasb1.5Pow 244[meml]	20	10	$8,703.57	$8,703.57	$2,756.14	$14,505.94	$8,340.92	2026-03-29
J1437	HCPCS	ferr100Sol	10	10	$8,766.27	$8,766.27	$8,327.95	$8,766.27	$8,327.95	2026-03-29
27245	CPT	27245 Treatment Of Intertrochanteric Or Subtrochan	10	10	$8,748.00	$8,748.00	$1,209.94	$8,310.60	$8,310.60	2026-03-29
J0840	HCPCS	MEMLantivenin (Crotalidae) Polyvalent - Pow 108[me	10	10	$8,634.60	$8,634.60	$8,202.87	$8,634.60	$8,202.87	2026-03-29
Q5108	HCPCS	Pegfilgrastim Jmdb 6 Mg/0.6 Ml Sol [meml]	20	10	$8,454.38	$8,454.38	$5,354.43	$11,272.50	$8,172.56	2026-03-29
77293	CPT	Respiratory Motion Management	10	10	$8,561.00	$8,561.00	$414.15	$8,132.95	$8,132.95	2026-03-29
J0630	HCPCS	calc200Sol [meml]	10	10	$8,453.70	$8,453.70	$8,031.01	$8,453.70	$8,031.01	2026-03-29
47399	CPT	Unlisted Procedure, Liver	10	10	$8,336.00	$8,336.00	$7,919.20	$8,336.00	$7,919.20	2026-03-29
69706	CPT	Nps Surg Dilat Eust Tube Bilateral	10	10	$8,324.00	$8,324.00	$237.47	$7,907.80	$7,907.80	2026-03-29
44146	CPT	44146 Colectomy, Partial; With Coloproctostomy (lo	10	10	$7,990.00	$7,990.00	$2,032.47	$7,590.50	$7,590.50	2026-03-29
69705	CPT	Nps Surg Dilat Eust Tube Unilateral	10	10	$7,924.00	$7,924.00	$170.16	$7,527.80	$7,527.80	2026-03-29
59610	CPT	59610 Routine Obstetric Care Including Antepartum	10	10	$7,810.00	$7,810.00	$2,471.97	$7,419.50	$7,419.50	2026-03-29
J9312	HCPCS	MEMLriTU100. 380[meml]	20	10	$7,730.11	$7,730.11	$2,523.86	$12,803.52	$7,410.02	2026-03-29
J9205	HCPCS	MEMLirinotecan Liposomal 4.3 mg/mL 355[meml]	10	10	$7,588.20	$7,588.20	$7,208.79	$7,588.20	$7,208.79	2026-03-29
59400	CPT	59400 Routine Obstetric Care Including Antepartum	10	10	$7,513.00	$7,513.00	$2,366.80	$7,137.35	$7,137.35	2026-03-29
29827	CPT	29827 Arthroscopy, Shoulder, Surgical; With Rotato	10	10	$7,450.00	$7,450.00	$1,057.91	$7,077.50	$7,077.50	2026-03-29
52284	CPT	Cystourethroscopy W/mechanical Dilation And Urethral Therapeutic Drug (stricture…	10	10	$7,410.00	$7,410.00	$159.20	$7,039.50	$7,039.50	2026-03-29
49618	CPT	Repair Of Anterior Abdominal Hernia, Any Approach	10	10	$7,272.00	$7,272.00	$1,195.23	$6,908.40	$6,908.40	2026-03-29
27828	CPT	27828 Open Tx Of Fx Of Articular Distal Tibia, With	10	10	$7,193.00	$7,193.00	$1,315.85	$6,833.35	$6,833.35	2026-03-29
27235	CPT	27235 Percutaneous Skeletal Fixation Of Femoral Fr	10	10	$7,176.00	$7,176.00	$899.57	$6,817.20	$6,817.20	2026-03-29
27428	CPT	27428 Ligamentous Reconstruction (augmentation), K	10	10	$7,159.00	$7,159.00	$1,110.64	$6,801.05	$6,801.05	2026-03-29
J9034	HCPCS	Bendamustine 25 mg/mL Sol	40	10	$6,969.63	$6,969.63	$6,116.10	$8,785.76	$6,783.00	2026-03-29
Q5115	HCPCS	riTUabbsSol	20	10	$6,968.96	$6,968.96	$2,282.84	$11,534.93	$6,680.59	2026-03-29
J9173	HCPCS	Durvalumab 50 mg/mL Sol 10 Ml [meml]	20	10	$6,861.56	$6,861.56	$2,593.14	$10,993.49	$6,586.72	2026-03-29
58563	CPT	58563 Hysteroscopy, Surgical; With Endometrial Abl	10	10	$6,907.00	$6,907.00	$239.65	$6,561.65	$6,561.65	2026-03-29
29880	CPT	29880 Arthroscopy, Knee, Surgical; With Meniscecto	10	10	$6,801.00	$6,801.00	$563.53	$6,460.95	$6,460.95	2026-03-29
25609	CPT	25609 Open Tx Distal Radial Intra-articular Fx Or	10	10	$6,770.00	$6,770.00	$1,050.57	$6,431.50	$6,431.50	2026-03-29
J9305	HCPCS	MEMLPEME500.Pow 377[meml]	20	10	$6,669.66	$6,669.66	$2,188.05	$11,036.10	$6,393.76	2026-03-29
29882	CPT	29882 Arthroscopy, Knee, Surgical; With Meniscus R	10	10	$6,596.00	$6,596.00	$686.92	$6,266.20	$6,266.20	2026-03-29
46320	CPT	Excision Ext Thrombosed Hemorrhoid	10	10	$6,477.00	$6,477.00	$112.78	$6,153.15	$6,153.15	2026-03-29
J9227	HCPCS	isatirfcSol	20	10	$6,374.75	$6,374.75	$2,094.66	$10,544.59	$6,111.14	2026-03-29
27506	CPT	27506 Open Treatment Of Femoral Shaft Fracture, Wi	10	10	$6,403.00	$6,403.00	$1,321.31	$6,082.85	$6,082.85	2026-03-29
95810	CPT	Polysomnography Charge.	10	10	$6,301.00	$6,301.00	$632.93	$5,985.95	$5,985.95	2026-03-29
19081	CPT	Mg Breast Biopsy With Stereo Guide Left	10	10	$6,285.00	$6,285.00	$157.00	$5,970.75	$5,970.75	2026-03-29
44144	CPT	44144 Colectomy, Partial; With Resection, With Col	10	10	$6,283.00	$6,283.00	$1,707.11	$5,968.85	$5,968.85	2026-03-29
J7168	HCPCS	MEMLprothrombin Complex - Pow 9[meml]	20	10	$6,024.38	$6,024.38	$3,815.43	$8,032.50	$5,823.56	2026-03-29
27507	CPT	27507 Open Treatment Of Femoral Shaft Fracture Wit	10	10	$6,043.00	$6,043.00	$954.47	$5,740.85	$5,740.85	2026-03-29
49596	CPT	Repair Of Anterior Abdominal Hernia, Any Approach	10	10	$6,002.00	$6,002.00	$986.57	$5,701.90	$5,701.90	2026-03-29
26952	CPT	Amp F/th 1/2 Jt/phalanx W/neurect Local Flap	10	10	$5,994.00	$5,994.00	$691.78	$5,694.30	$5,694.30	2026-03-29
Q5119	HCPCS	riTUpvvrSol[MEML]	20	10	$5,926.08	$5,926.08	$1,952.59	$9,796.80	$5,681.16	2026-03-29
Q5123	HCPCS	riTUarrxSol[MEML]	20	10	$5,926.08	$5,926.08	$1,952.59	$9,796.80	$5,681.16	2026-03-29
77386	CPT	Imrt Tx Delivery Not Brst/pros	10	10	$5,922.00	$5,922.00	$5,625.90	$5,922.00	$5,625.90	2026-03-29
44143	CPT	44143 Colectomy, Partial; With End Colostomy And C	10	10	$5,914.00	$5,914.00	$1,599.36	$5,618.30	$5,618.30	2026-03-29
27720	CPT	27720 Repair Of Nonunion Or Malunion, Tibia; Witho	10	10	$5,848.00	$5,848.00	$867.73	$5,555.60	$5,555.60	2026-03-29
29823	CPT	29823 Arthroscopy, Shoulder, Surgical; Debridement	10	10	$5,845.00	$5,845.00	$593.53	$5,552.75	$5,552.75	2026-03-29
27257	CPT	0 Hip Dis Spon With Man W/ans Bth TechFee	10	10	$5,843.00	$5,843.00	$357.29	$5,550.85	$5,550.85	2026-03-29
27487	CPT	27487 Revision Of Total Knee Arthroplasty, With Or	10	10	$5,810.00	$5,810.00	$1,718.98	$5,519.50	$5,519.50	2026-03-29
39503	CPT	Repair Of Diaphragm Hernia	10	10	—	—	$5,496.40	$5,496.40	$5,496.40	2026-03-29
J2356	HCPCS	tezeekkoSol	10	10	$5,710.60	$5,710.60	$5,425.07	$5,710.60	$5,425.07	2026-03-29
44120	CPT	44120 Enterectomy, Resection Of Small Intestine; S	10	10	$5,671.00	$5,671.00	$1,184.27	$5,387.45	$5,387.45	2026-03-29
44140	CPT	44140 Colectomy, Partial; With Anastomosis	10	10	$5,664.00	$5,664.00	$1,302.36	$5,380.80	$5,380.80	2026-03-29
27134	CPT	Revision Of Total Hip Arthroplasty; Both Components, With Or Without Autograft O…	10	10	$5,656.00	$5,656.00	$1,861.29	$5,373.20	$5,373.20	2026-03-29
74174	CPT	CT Angio Abdomen And Pelvis	10	10	$5,646.00	$5,646.00	$395.15	$5,363.70	$5,363.70	2026-03-29
29822	CPT	29822 Arthroscopy, Shoulder, Surgical; Debridement	10	10	$5,640.00	$5,640.00	$543.43	$5,358.00	$5,358.00	2026-03-29
J9035	HCPCS	Beva100.	20	10	$5,499.35	$5,499.35	$2,158.15	$8,726.95	$5,281.17	2026-03-29
J9317	HCPCS	Sacituzumab Govitecan Hziy 180 Mg Pow [meml]	10	10	$5,552.40	$5,552.40	$5,274.78	$5,552.40	$5,274.78	2026-03-29
47135	CPT	Transplantation Of Liver	10	10	—	—	$5,225.51	$5,225.51	$5,225.51	2026-03-29
38724	CPT	38724 Cervical Lymphadenectomy (modified Radical N	10	10	$5,469.00	$5,469.00	$1,429.93	$5,195.55	$5,195.55	2026-03-29
44150	CPT	Colectomy, Total, Abdominal, Without Proctectomy; With Ileostomy Or Ileoproctost…	10	10	$5,461.00	$5,461.00	$1,797.66	$5,187.95	$5,187.95	2026-03-29
24515	CPT	24515 Open Treatment Of Humeral Shaft Fracture Wit	10	10	$5,401.00	$5,401.00	$877.89	$5,130.95	$5,130.95	2026-03-29
43659	CPT	Unlisted Laparoscopy Procedure, Stomach	10	10	$5,363.00	$5,363.00	$5,094.85	$5,363.00	$5,094.85	2026-03-29
43840	CPT	43840 Gastrorrhaphy, Suture Of Perforated Duodenal	10	10	$5,363.00	$5,363.00	$1,320.73	$5,094.85	$5,094.85	2026-03-29
29875	CPT	29875 Arthroscopy, Knee, Surgical; Synovectomy, Li	10	10	$5,263.00	$5,263.00	$498.86	$4,999.85	$4,999.85	2026-03-29
29826	CPT	29826 Arthroscopy, Shoulder, Surgical; Decompress	10	10	$5,263.00	$5,263.00	$165.93	$4,999.85	$4,999.85	2026-03-29
29877	CPT	29877 Arthroscopy, Knee, Surgical; Debridement/sha	10	10	$5,263.00	$5,263.00	$621.43	$4,999.85	$4,999.85	2026-03-29
29881	CPT	29881 Arthroscopy, Knee, Surgical; With Meniscecto	10	10	$5,263.00	$5,263.00	$543.43	$4,999.85	$4,999.85	2026-03-29
77338	CPT	Mlc Design	10	10	$5,247.00	$5,247.00	$472.07	$4,984.65	$4,984.65	2026-03-29
J9033	HCPCS	MEMLbendamustine 100 Mg Pow 297[meml]	20	10	$5,134.91	$5,134.91	$2,019.67	$8,143.86	$4,931.32	2026-03-29
25447	CPT	25447 Arthroplasty, Interposition, Intercarpal Or	10	10	$5,129.00	$5,129.00	$833.83	$4,872.55	$4,872.55	2026-03-29
32160	CPT	Open Chest Heart Massage Tech Fee	10	10	$5,121.00	$5,121.00	$770.35	$4,864.95	$4,864.95	2026-03-29
44206	CPT	Laparoscopy, Surgical; Colectomy, Partial With End	10	10	$5,119.00	$5,119.00	$1,683.70	$4,863.05	$4,863.05	2026-03-29
27536	CPT	27536 Open Treatment Of Tibia Fracture, Proximal,	10	10	$5,095.00	$5,095.00	$1,174.00	$4,840.25	$4,840.25	2026-03-29
29876	CPT	Arthroscopy, Knee, Surgical; Synovectomy, Major, 2 Or More Compartments	10	10	$5,064.00	$5,064.00	$652.65	$4,810.80	$4,810.80	2026-03-29
44205	CPT	44205 Laparoscopy, Surgical; Colectomy, Partial, W	10	10	$5,057.00	$5,057.00	$1,292.01	$4,804.15	$4,804.15	2026-03-29
J9202	HCPCS	gose10.8Imp	20	10	$4,980.06	$4,980.06	$2,541.62	$7,284.72	$4,797.93	2026-03-29
49616	CPT	Repair Of Anterior Abdominal Hernia, Any Approach	10	10	$5,036.00	$5,036.00	$827.93	$4,784.20	$4,784.20	2026-03-29
49605	CPT	Repair Umbilical Lesion	10	10	—	—	$4,725.87	$4,725.87	$4,725.87	2026-03-29
J9145	HCPCS	Daratumumab 20 mg/mL Sol 20 Ml [meml]	20	10	$4,920.24	$4,920.24	$1,938.10	$7,800.37	$4,725.23	2026-03-29
44640	CPT	44640 Closure Of Intestinal Cutaneous Fistula	10	10	$4,972.00	$4,972.00	$1,350.14	$4,723.40	$4,723.40	2026-03-29
27822	CPT	27822 Open Treatment Of Trimalleolar Ankle Fractur	10	10	$4,956.00	$4,956.00	$873.03	$4,708.20	$4,708.20	2026-03-29
43116	CPT	Partial Removal Of Esophagus	10	10	—	—	$4,698.02	$4,698.02	$4,698.02	2026-03-29
58558	CPT	58558 Hysteroscopy, Surgical; With Biopsy Of Endomet	10	10	$4,917.00	$4,917.00	$225.64	$4,671.15	$4,671.15	2026-03-29
44950	CPT	44950 Appendectomy;	10	10	$4,888.00	$4,888.00	$626.21	$4,643.60	$4,643.60	2026-03-29
33935	CPT	Transplantation Heart/lung	10	10	—	—	$4,642.83	$4,642.83	$4,642.83	2026-03-29
Q5107	HCPCS	Bevacizumab Awwb 25 mg/mL Sol 16 Ml [meml]	20	10	$4,829.65	$4,829.65	$1,903.68	$7,655.41	$4,638.26	2026-03-29
33945	CPT	Transplantation Of Heart	10	10	—	—	$4,596.81	$4,596.81	$4,596.81	2026-03-29
50389	CPT	50389 Removal Of Nephrostomy Tube, Requiring Fluor	10	10	$4,829.00	$4,829.00	$51.00	$4,587.55	$4,587.55	2026-03-29
32854	CPT	Lung Transplant With Bypass	10	10	—	—	$4,586.83	$4,586.83	$4,586.83	2026-03-29
51102	CPT	51102 Aspiration Of Bladder	10	10	$4,824.00	$4,824.00	$138.38	$4,582.80	$4,582.80	2026-03-29
27880	CPT	27880 Amputation Lower Leg	10	10	$4,807.00	$4,807.00	$869.00	$4,566.65	$4,566.65	2026-03-29
52441	CPT	52441 Urolift, With Insertion Of Permanent Adjusta	10	10	$4,807.00	$4,807.00	$202.41	$4,566.65	$4,566.65	2026-03-29
47142	CPT	Partial Removal Donor Liver	10	10	—	—	$4,547.12	$4,547.12	$4,547.12	2026-03-29
24342	CPT	24342 Reinsertion Of Ruptured Biceps Or Triceps Te	10	10	$4,786.00	$4,786.00	$772.42	$4,546.70	$4,546.70	2026-03-29
35221	CPT	35221 Repair Blood Vessel, Direct; Intra-abdominal	10	10	$4,775.00	$4,775.00	$1,402.33	$4,536.25	$4,536.25	2026-03-29
55700	CPT	55700 Biopsy Of Prostate	26	10	$4,759.00	$4,759.00	$126.34	$4,794.65	$4,521.05	2026-03-29
44160	CPT	44160 Colectomy, Partial, With Removal Of Terminal	10	10	$4,741.00	$4,741.00	$1,205.58	$4,503.95	$4,503.95	2026-03-29
61698	CPT	Brain Aneurysm Repr Complx	10	10	—	—	$4,464.28	$4,464.28	$4,464.28	2026-03-29
77385	CPT	Imrt Tx Delivery	10	10	$4,688.00	$4,688.00	$4,453.60	$4,688.00	$4,453.60	2026-03-29
44626	CPT	Closure Of Enterostomy, Large Or Small Intestine; With Resection And Colorectal …	10	10	$4,665.00	$4,665.00	$1,535.82	$4,431.75	$4,431.75	2026-03-29
49617	CPT	Repair Of Anterior Abdominal Hernia, Any Approac	10	10	$4,631.00	$4,631.00	$853.90	$4,399.45	$4,399.45	2026-03-29
25607	CPT	25607 Open Tx Distal Radial Extra-articular Fx Or	10	10	$4,614.00	$4,614.00	$744.78	$4,383.30	$4,383.30	2026-03-29
19083	CPT	US Breast Biopsy With US Guide Left	18	10	$4,858.00	$4,858.00	$148.35	$4,615.10	$4,352.90	2026-03-29
27252	CPT	Cltx Hip Dislocation Traumatic Req Anesthesi	10	10	$4,582.00	$4,582.00	$743.57	$4,352.90	$4,352.90	2026-03-29
J1569	HCPCS	immu10Sol [meml]	30	10	$4,577.04	$4,577.04	$2,174.09	$9,154.08	$4,348.18	2026-03-29
J9303	HCPCS	MEMLpani100. 375[meml]	10	10	$4,569.41	$4,569.41	$4,340.93	$4,569.41	$4,340.93	2026-03-29
61686	CPT	Intracranial Vessel Surgery	10	10	—	—	$4,336.09	$4,336.09	$4,336.09	2026-03-29
32853	CPT	Lung Transplant Double	10	10	—	—	$4,333.55	$4,333.55	$4,333.55	2026-03-29
77290	CPT	Complex Simulation Aided	10	10	$4,557.00	$4,557.00	$454.88	$4,329.15	$4,329.15	2026-03-29
47563	CPT	47563 Lap, Cholecystectomy With Cholangiography	10	10	$4,523.00	$4,523.00	$702.45	$4,296.85	$4,296.85	2026-03-29
49595	CPT	Repair Of Anterior Abdominal Hernia, Any Approac	10	10	$4,520.00	$4,520.00	$743.79	$4,294.00	$4,294.00	2026-03-29
J0894	HCPCS	MEMLdeci50.Pow 118[meml]	20	10	$4,390.89	$4,390.89	$4,059.39	$4,508.72	$4,278.16	2026-03-29
44300	CPT	44300 Placement, Enterostomy Or Cecostomy, Tube Op	10	10	$4,500.00	$4,500.00	$820.32	$4,275.00	$4,275.00	2026-03-29
47350	CPT	47350, Management Of Liver Hemorrhage	10	10	$4,499.00	$4,499.00	$1,325.70	$4,274.05	$4,274.05	2026-03-29
43123	CPT	Partial Removal Of Esophagus	10	10	—	—	$4,266.53	$4,266.53	$4,266.53	2026-03-29
59515	CPT	59515 Cesarean Delivery Only; Including Postpartum	10	10	$4,488.00	$4,488.00	$1,296.66	$4,263.60	$4,263.60	2026-03-29
77321	CPT	Special Therapy Port Plan	10	10	$4,464.00	$4,464.00	$94.96	$4,240.80	$4,240.80	2026-03-29
77307	CPT	Complex Isodose Planning	10	10	$4,464.00	$4,464.00	$289.17	$4,240.80	$4,240.80	2026-03-29
58291	CPT	58291 Vaginal Hysterectomy, For Uterus Greater Tha	10	10	$4,452.00	$4,452.00	$1,221.18	$4,229.40	$4,229.40	2026-03-29
25606	CPT	25606 Percutaneous Skeletal Fixation Of Distal Rad	10	10	$4,446.00	$4,446.00	$675.41	$4,223.70	$4,223.70	2026-03-29
44204	CPT	Laparo Partial Colectomy	10	10	$4,441.00	$4,441.00	$1,486.66	$4,218.95	$4,218.95	2026-03-29
35840	CPT	Exploration For Postoperative Hemorrhage, Thrombosis Or Infection; Abdomen	10	10	$4,435.00	$4,435.00	$1,171.22	$4,213.25	$4,213.25	2026-03-29
43281	CPT	Lap Paraesophag Hern Repair	10	10	$4,429.00	$4,429.00	$1,483.55	$4,207.55	$4,207.55	2026-03-29
43108	CPT	Removal Of Esophagus	10	10	—	—	$4,203.92	$4,203.92	$4,203.92	2026-03-29
J9330	HCPCS	MEMLtems25. 382[meml]	10	10	$4,419.64	$4,419.64	$4,198.65	$4,419.64	$4,198.65	2026-03-29
J9264	HCPCS	MEMLPACl100.Pow 365[meml]	10	10	$4,386.16	$4,386.16	$4,166.85	$4,386.16	$4,166.85	2026-03-29
49594	CPT	Repair Of Anterior Abdominal Hernia, Any Approach	10	10	$4,376.00	$4,376.00	$719.31	$4,157.20	$4,157.20	2026-03-29
19305	CPT	19305 Mastectomy, Radical, Including Pectoral Musc	10	10	$4,360.00	$4,360.00	$1,126.28	$4,142.00	$4,142.00	2026-03-29
47141	CPT	Partial Removal Donor Liver	10	10	—	—	$4,133.10	$4,133.10	$4,133.10	2026-03-29
J9047	HCPCS	MEMLcarfilzomib 10 Mg Pow 320[meml]	30	10	$4,343.02	$4,343.02	$1,451.28	$8,566.03	$4,125.86	2026-03-29
27385	CPT	27385 Suture Of Quadriceps Or Hamstring Muscle Rup	10	10	$4,343.00	$4,343.00	$612.82	$4,125.85	$4,125.85	2026-03-29
27486	CPT	27486 Revision Of Total Knee Arthroplasty, With Or	10	10	$4,340.00	$4,340.00	$1,382.02	$4,123.00	$4,123.00	2026-03-29
43113	CPT	Removal Of Esophagus	10	10	—	—	$4,117.38	$4,117.38	$4,117.38	2026-03-29
J9355	HCPCS	MEMLtrastuzumab 150 Mg Pow 386[meml]	10	10	$4,327.72	$4,327.72	$4,111.33	$4,327.72	$4,111.33	2026-03-29
Q5118	HCPCS	Bevacizumab Bvzr 25 mg/mL Sol 4 Ml [meml]	20	10	$4,260.45	$4,260.45	$1,687.37	$6,744.72	$4,091.83	2026-03-29
64721	CPT	64721 Neuroplasty And/or Transposition; Median Ner	10	10	$4,307.00	$4,307.00	$442.09	$4,091.65	$4,091.65	2026-03-29
61697	CPT	Brain Aneurysm Repr Complx	10	10	—	—	$4,082.00	$4,082.00	$4,082.00	2026-03-29
46748	CPT	Repair Of Cloacal Anomaly	10	10	—	—	$4,079.87	$4,079.87	$4,079.87	2026-03-29
61576	CPT	Skull Base/brainstem Surgery	10	10	—	—	$4,070.10	$4,070.10	$4,070.10	2026-03-29
27814	CPT	27814 Open Treatment Of Bimalleolar Ankle Fracture	10	10	$4,273.00	$4,273.00	$762.40	$4,059.35	$4,059.35	2026-03-29
43631	CPT	Gastrectomy, Partial, Distal; With Gastroduodenostomy	10	10	$4,271.00	$4,271.00	$1,406.66	$4,057.45	$4,057.45	2026-03-29
47564	CPT	47564 Cholecystectomy With Exploration Of Bile Duc	10	10	$4,258.00	$4,258.00	$1,091.08	$4,045.10	$4,045.10	2026-03-29
J0897	HCPCS	60 Mg Denosumab	40	10	$4,149.95	$4,149.95	$57.95	$8,624.96	$4,032.72	2026-03-29
61682	CPT	Intracranial Vessel Surgery	10	10	—	—	$4,023.80	$4,023.80	$4,023.80	2026-03-29
27381	CPT	27381 Suture Of Infrapatellar Tendon; Secondary Re	10	10	$4,224.00	$4,224.00	$819.82	$4,012.80	$4,012.80	2026-03-29
58571	CPT	58571 Laparoscopy, Surgical, With Total Hysterectomy	10	10	$4,198.00	$4,198.00	$898.18	$3,988.10	$3,988.10	2026-03-29
27310	CPT	27310 Arthrotomy Knee With Exploration, Drainage,	10	10	$4,145.00	$4,145.00	$732.43	$3,937.75	$3,937.75	2026-03-29
33916	CPT	Surgery Of Great Vessel	10	10	—	—	$3,931.89	$3,931.89	$3,931.89	2026-03-29
60252	CPT	60252 Thyroidectomy, Total Or Subtotal For Maligna	10	10	$4,137.00	$4,137.00	$1,292.28	$3,930.15	$3,930.15	2026-03-29
49002	CPT	49002 Reopening Of Recent Laparotomy	10	10	$4,135.00	$4,135.00	$1,011.89	$3,928.25	$3,928.25	2026-03-29
J7325	HCPCS	48mg/6ml Hylan G-f 20	20	10	$4,030.48	$4,030.48	$3,513.06	$4,363.00	$3,921.41	2026-03-29
23615	CPT	23615 Open Tx Proximal Humeral Fx, Incl Int Fixati	10	10	$4,103.00	$4,103.00	$879.85	$3,897.85	$3,897.85	2026-03-29
61702	CPT	Inner Skull Vessel Surgery	10	10	—	—	$3,885.98	$3,885.98	$3,885.98	2026-03-29
33305	CPT	Repair Of Heart Wound	10	10	—	—	$3,865.52	$3,865.52	$3,865.52	2026-03-29
58353	CPT	58353 Endometrial Ablation, Thermal, Without Hyste	10	10	$4,063.00	$4,063.00	$228.81	$3,859.85	$3,859.85	2026-03-29
59614	CPT	59614 Vaginal Delivery Only, Vbac (with Or Without Epi	10	10	$4,063.00	$4,063.00	$1,126.21	$3,859.85	$3,859.85	2026-03-29
44602	CPT	Suture- Small Intestine	10	10	$4,056.00	$4,056.00	$1,357.64	$3,853.20	$3,853.20	2026-03-29
J1451	HCPCS	MEMLfome1.5 738[meml]	30	10	$4,050.00	$4,050.00	$2,633.74	$4,675.34	$3,847.50	2026-03-29
20808	CPT	Replantation Hand Complete	10	10	—	—	$3,836.43	$3,836.43	$3,836.43	2026-03-29
J3032	HCPCS	epti100Sol	10	10	$4,036.50	$4,036.50	$3,834.67	$4,036.50	$3,834.67	2026-03-29
38720	CPT	Cervical Lymphadenectomy (complete)	10	10	$4,022.00	$4,022.00	$1,322.50	$3,820.90	$3,820.90	2026-03-29
47605	CPT	47605 Cholecystectomy; With Cholangiography	10	10	$4,005.00	$4,005.00	$1,097.43	$3,804.75	$3,804.75	2026-03-29
A9548	HCPCS	Nm Indium Iii	10	10	$3,979.00	$3,979.00	$3,780.05	$3,979.00	$3,780.05	2026-03-29
46746	CPT	Repair Of Cloacal Anomaly	10	10	—	—	$3,767.62	$3,767.62	$3,767.62	2026-03-29
27244	CPT	Treatment Of Intertrochanteric Or Subtrochan	10	10	$3,954.00	$3,954.00	$1,211.48	$3,756.30	$3,756.30	2026-03-29
24160	CPT	24160 Removal Of Prosthesis, Includes Debridement	10	10	$3,949.00	$3,949.00	$1,240.03	$3,751.55	$3,751.55	2026-03-29
27758	CPT	27758 Open Treatment Of Tibial Shaft Fracture, Wit	18	10	$4,134.00	$4,134.00	$891.83	$3,927.30	$3,740.15	2026-03-29
26554	CPT	Double Transfer Toe-hand	10	10	—	—	$3,736.73	$3,736.73	$3,736.73	2026-03-29
24000	CPT	24000 Arthrotomy, Elbow, Including Exploration, Dr	10	10	$3,932.00	$3,932.00	$483.53	$3,735.40	$3,735.40	2026-03-29
49440	CPT	49440 Insertion Of Gastrostomy Tube, Percutaneous	10	10	$3,925.00	$3,925.00	$194.51	$3,728.75	$3,728.75	2026-03-29
36555	CPT	Central Line Plcmt <5 Yrs TechFee	10	10	$3,916.00	$3,916.00	$81.13	$3,720.20	$3,720.20	2026-03-29
J1439	HCPCS	MEMLferric Carboxymaltose (as Elemental Iron) 50 M	10	10	$3,903.91	$3,903.91	$3,708.71	$3,903.91	$3,708.71	2026-03-29
44125	CPT	44125 Enterectomy, Resection Of Small Intestine; W	10	10	$3,867.00	$3,867.00	$1,141.44	$3,673.65	$3,673.65	2026-03-29
44320	CPT	44320 Colostomy Or Skin Level Cecostomy;	10	10	$3,858.00	$3,858.00	$1,167.96	$3,665.10	$3,665.10	2026-03-29
59410	CPT	59410 Vaginal Delivery Only; Including Postpartum	10	10	$3,837.00	$3,837.00	$1,046.86	$3,645.15	$3,645.15	2026-03-29
19307	CPT	19307 Mastectomy, Modified Radical, Including Axil	18	10	$3,817.00	$3,817.00	$1,155.87	$3,628.05	$3,626.15	2026-03-29
J0850	HCPCS	MEMLcyto2500. 109[meml]	10	10	$3,812.99	$3,812.99	$3,622.34	$3,812.99	$3,622.34	2026-03-29
43124	CPT	Removal Of Esophagus	10	10	—	—	$3,616.56	$3,616.56	$3,616.56	2026-03-29
47600	CPT	47600 Cholecystectomy;	10	10	$3,806.00	$3,806.00	$1,042.95	$3,615.70	$3,615.70	2026-03-29
61520	CPT	Removal Of Brain Lesion	10	10	—	—	$3,608.74	$3,608.74	$3,608.74	2026-03-29
64718	CPT	64718 Neuroplasty And/or Transposition; Ulnar Nerv	10	10	$3,798.00	$3,798.00	$607.60	$3,608.10	$3,608.10	2026-03-29
27827	CPT	Optx Fx Distal Tibia Only TechFee	10	10	$3,798.00	$3,798.00	$1,115.60	$3,608.10	$3,608.10	2026-03-29
58267	CPT	58267 Vaginal Hysterectomy, For Uterus 250 G Or Le	10	10	$3,795.00	$3,795.00	$1,053.59	$3,605.25	$3,605.25	2026-03-29
36561	CPT	36561 Insertion Of Tunneled Centrally Inserted Cen	10	10	$3,793.00	$3,793.00	$320.36	$3,603.35	$3,603.35	2026-03-29
J9218	HCPCS	MEMLleup22.5Pow 359[meml]	30	10	$3,778.68	$3,778.68	$1,272.59	$7,437.36	$3,589.74	2026-03-29
24343	CPT	24343 Repr Elbow Lat Ligmnt W/tiss	10	10	$3,769.00	$3,769.00	$718.93	$3,580.55	$3,580.55	2026-03-29
36569	CPT	36569 Insertion Of Picc, Without Subcutaneous Port	42	10	$3,768.00	$3,768.00	$90.71	$3,685.05	$3,579.60	2026-03-29
23550	CPT	Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic;	10	10	$3,765.00	$3,765.00	$575.00	$3,576.75	$3,576.75	2026-03-29
43288	CPT	Esphg Thrsc Moblj	10	10	—	—	$3,575.58	$3,575.58	$3,575.58	2026-03-29
29874	CPT	29874 Arthroscopy, Knee, Surgical; For Removal Of	10	10	$3,762.00	$3,762.00	$539.46	$3,573.90	$3,573.90	2026-03-29
27650	CPT	27650 Repair, Primary, Open Or Percutaneous, Ruptu	10	10	$3,762.00	$3,762.00	$657.99	$3,573.90	$3,573.90	2026-03-29
27380	CPT	27380 Suture Of Infrapatellar Tendon; Primary	10	10	$3,762.00	$3,762.00	$626.92	$3,573.90	$3,573.90	2026-03-29
29824	CPT	29824 Arthroscopy, Shoulder, Surgical; Distal Clav	10	10	$3,762.00	$3,762.00	$677.73	$3,573.90	$3,573.90	2026-03-29
49615	CPT	Repair Of Anterior Abdominal Hernia, Any Approac	10	10	$3,752.00	$3,752.00	$616.77	$3,564.40	$3,564.40	2026-03-29
58559	CPT	58559 Hysteroscopy, Surgical; With Lysis Of Intrau	10	10	$3,747.00	$3,747.00	$276.67	$3,559.65	$3,559.65	2026-03-29
60271	CPT	60271 Thyroidectomy, Including Substernal Thyroid;	10	10	$3,740.00	$3,740.00	$1,033.36	$3,553.00	$3,553.00	2026-03-29
J2357	HCPCS	MEMLomal150.Pow 220[meml]	30	10	$3,739.39	$3,739.39	$1,776.21	$7,478.78	$3,552.42	2026-03-29
J7517	HCPCS	myco200Pow [meml]	10	10	$3,728.34	$3,728.34	$3,541.92	$3,728.34	$3,541.92	2026-03-29
77046	CPT	MRI Breast Unilateral L	10	10	$3,725.00	$3,725.00	$221.13	$3,538.75	$3,538.75	2026-03-29
61692	CPT	Intracranial Vessel Surgery	10	10	—	—	$3,527.58	$3,527.58	$3,527.58	2026-03-29
15738	CPT	Muscle-skin Graft- Leg	10	10	$3,712.00	$3,712.00	$1,244.58	$3,526.40	$3,526.40	2026-03-29
20692	CPT	20692 Application Of A Multiplane (pins Or Wires M	10	10	$3,681.00	$3,681.00	$1,120.97	$3,496.95	$3,496.95	2026-03-29
44979	CPT	Laparoscope Proc- App	10	10	$3,676.00	$3,676.00	$3,492.20	$3,676.00	$3,492.20	2026-03-29
44970	CPT	44970 Laparoscopy, Surgical, Appendectomy	10	10	$3,676.00	$3,676.00	$590.73	$3,492.20	$3,492.20	2026-03-29
58140	CPT	Myomectomy Abdom Method	10	10	$3,652.00	$3,652.00	$908.16	$3,469.40	$3,469.40	2026-03-29
19303	CPT	19303 Mastectomy, Simple, Complete	10	10	$3,649.00	$3,649.00	$938.01	$3,466.55	$3,466.55	2026-03-29
47140	CPT	Partial Removal Donor Liver	10	10	—	—	$3,461.64	$3,461.64	$3,461.64	2026-03-29
J0490	HCPCS	beli120Pow	20	10	$3,586.51	$3,586.51	$1,572.60	$5,517.64	$3,448.56	2026-03-29
44620	CPT	44620 Closure Of Enterostomy, Large Or Small Intes	10	10	$3,616.00	$3,616.00	$841.22	$3,435.20	$3,435.20	2026-03-29
27513	CPT	Open Treatment Of Femoral Supracondylar Or Transcondylar Fracture With Intercond…	10	10	$3,615.00	$3,615.00	$1,211.69	$3,434.25	$3,434.25	2026-03-29
43118	CPT	Partial Removal Of Esophagus	10	10	—	—	$3,432.94	$3,432.94	$3,432.94	2026-03-29
50200	CPT	US Renal Biopsy	10	10	$3,604.00	$3,604.00	$122.25	$3,423.80	$3,423.80	2026-03-29
46744	CPT	Repair Of Cloacal Anomaly	10	10	—	—	$3,423.23	$3,423.23	$3,423.23	2026-03-29
44625	CPT	44625 Closure Of Enterostomy, Lg/small Intestine;	10	10	$3,598.00	$3,598.00	$982.07	$3,418.10	$3,418.10	2026-03-29
58150	CPT	58150 Total Abdominal Hysterectomy, With Or Without Re	10	10	$3,592.00	$3,592.00	$1,001.45	$3,412.40	$3,412.40	2026-03-29
28805	CPT	28805 Amputation, Foot; Transmetatarsal	10	10	$3,589.00	$3,589.00	$694.85	$3,409.55	$3,409.55	2026-03-29
J3262	HCPCS	Tocilizumab 20 mg/mL Sol 10 Ml [meml]	30	10	$3,585.36	$3,585.36	$1,362.42	$7,170.71	$3,406.09	2026-03-29
58180	CPT	58180 Supracervical Abdominal Hysterectomy	10	10	$3,576.00	$3,576.00	$946.38	$3,397.20	$3,397.20	2026-03-29
33877	CPT	Thoracoabdominal Graft	10	10	—	—	$3,392.08	$3,392.08	$3,392.08	2026-03-29
43287	CPT	Esphg Dstl 2/3 W/laps Moblj	10	10	—	—	$3,389.47	$3,389.47	$3,389.47	2026-03-29
58542	CPT	58542 Lap. Supracervical Hysterectomy 250g Or Less	10	10	$3,556.00	$3,556.00	$818.80	$3,378.20	$3,378.20	2026-03-29
59409	CPT	59409 Vaginal Delivery Only, With Or Without Episi	10	10	$3,556.00	$3,556.00	$771.77	$3,378.20	$3,378.20	2026-03-29
32445	CPT	Removal Of Lung Extrapleural	10	10	—	—	$3,350.62	$3,350.62	$3,350.62	2026-03-29
26556	CPT	Toe Joint Transfer	10	10	—	—	$3,344.51	$3,344.51	$3,344.51	2026-03-29
32852	CPT	Lung Transplant With Bypass	10	10	—	—	$3,343.92	$3,343.92	$3,343.92	2026-03-29
52442	CPT	52442 Cystourethroscopy, Insertion Permanent Adjus	10	10	$3,505.00	$3,505.00	$48.72	$3,329.75	$3,329.75	2026-03-29
25078	CPT	Resect Forearm/wrist Tum=3cm	10	10	$3,486.00	$3,486.00	$1,147.41	$3,311.70	$3,311.70	2026-03-29
27882	CPT	27882 Amputation, Leg, Through Tibia And Fibula; O	10	10	$3,481.00	$3,481.00	$573.44	$3,306.95	$3,306.95	2026-03-29
61700	CPT	Brain Aneurysm Repr Simple	10	10	—	—	$3,305.96	$3,305.96	$3,305.96	2026-03-29
58573	CPT	Tlh W/t/o Uterus Over 250 G	10	10	$3,477.00	$3,477.00	$1,200.60	$3,303.15	$3,303.15	2026-03-29
43112	CPT	Esphg Tot W/thrcm	10	10	—	—	$3,295.79	$3,295.79	$3,295.79	2026-03-29
47122	CPT	Extensive Removal Of Liver	10	10	—	—	$3,295.65	$3,295.65	$3,295.65	2026-03-29
33783	CPT	Nikaidoh Proc W/ostia Implt	10	10	—	—	$3,290.00	$3,290.00	$3,290.00	2026-03-29
58554	CPT	Laparo-vag Hyst W/t/o- Compl	10	10	$3,455.00	$3,455.00	$1,281.80	$3,282.25	$3,282.25	2026-03-29
61616	CPT	Resect/excise Lesion Skull	10	10	—	—	$3,260.50	$3,260.50	$3,260.50	2026-03-29
44310	CPT	Ileostomy Or Jejunostomy, Non-tube	10	10	$3,427.00	$3,427.00	$1,010.50	$3,255.65	$3,255.65	2026-03-29
61526	CPT	Removal Of Brain Lesion	10	10	—	—	$3,248.93	$3,248.93	$3,248.93	2026-03-29
24359	CPT	24359 Tenotomy, Elbow, Lateral Or Medial; Debridem	10	10	$3,419.00	$3,419.00	$665.97	$3,248.05	$3,248.05	2026-03-29
27769	CPT	27769 Open Treatment Of Posterior Malleolus Fractu	10	10	$3,413.00	$3,413.00	$724.57	$3,242.35	$3,242.35	2026-03-29
24587	CPT	Open Treatment Of Periarticular Fracture And	10	10	$3,410.00	$3,410.00	$1,077.94	$3,239.50	$3,239.50	2026-03-29
33622	CPT	Redo Compl Cardiac Anomaly	10	10	—	—	$3,237.08	$3,237.08	$3,237.08	2026-03-29
26551	CPT	Great Toe-hand Transfer	10	10	—	—	$3,235.18	$3,235.18	$3,235.18	2026-03-29
47000	CPT	US Liver Biopsy	10	10	$3,400.00	$3,400.00	$84.76	$3,230.00	$3,230.00	2026-03-29
21014	CPT	Excision Tumor Soft Tissue Face/Scalp Subfascia	10	10	$3,399.00	$3,399.00	$519.19	$3,229.05	$3,229.05	2026-03-29
38100	CPT	Splenectomy; Total (separate Procedure)	10	10	$3,388.00	$3,388.00	$1,115.56	$3,218.60	$3,218.60	2026-03-29
26553	CPT	Single Transfer Toe-hand	10	10	—	—	$3,213.50	$3,213.50	$3,213.50	2026-03-29
J3111	HCPCS	romo105Sol[MEML]	20	10	$3,333.22	$3,333.22	$3,122.07	$3,380.05	$3,211.04	2026-03-29

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