Hospital

BRUSHY CREEK FAMILY HOSPITAL LLC

Round Rock, TX · CCN 670326 · Rates published

1,327 distinct procedures filed

2 distinct payers

8,874 rate rows

2026-07-15 last MRF observed

Data quality

7,401 of 8,874 rate rows are consumer-grade (83.4%)

1,473 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	1,457
placeholder amount (≤ $0.02) — excluded from medians	8
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	3
per-diem day rate — not a per-procedure price	3
exceeds 10× this hospital's gross charge — excluded from medians	2

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

Source MRF file	https://fhsmc.com/price-transparency/301205721_brushy-creek-family-hospital_standardcharges.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-26
Content fingerprint	fd42a2d86148eba2… · 436,711 bytes · first seen 2026-05-13

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
63030 CPT	Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr	2	$3,791.00	$34,119.50	$34,119.50	nat. median $7,614 outlier · 4.5×
27535 CPT	Open Tx Tibial Fracture Proximal Unicondylar	2	$3,294.00	$33,833.00	$33,833.00	nat. median $5,167 outlier · 6.5×
31595 CPT	Section Recurrent Laryngeal Nerve Ther Uni Spx	2	$33,038.72	$33,038.72	$33,038.72	nat. median $3,281 outlier · 10.1×
27823 CPT	Open Tx Trimalleolar Ankle Fx W/fixj Pst Lip	2	$3,791.00	$29,635.50	$29,635.50	nat. median $6,926 outlier · 4.3×
47563 CPT	Laparoscopy Surg Cholecystectomy	2	$3,791.00	$28,305.50	$28,305.50	nat. median $6,020 outlier · 4.7×
47562 CPT	Laparoscopy Surg Cholecystectomy	2	$3,791.00	$28,115.50	$28,115.50	nat. median $5,993 outlier · 4.7×
23515 CPT	Open Tx Clavicular Fracture Internal Fixation	2	$3,791.00	$27,241.50	$27,241.50	nat. median $6,988 outlier · 3.9×
22558 CPT	Arthrodesis Anterior Interbody Lumbar	2	$4,548.40	$25,074.20	$25,074.20	nat. median $8,322 outlier · 3.0×
63016 CPT	Laminectomy Without Ffd > 2 Vert Seg Thoracic	2	$3,791.00	$25,019.26	$25,019.26	nat. median $7,416 outlier · 3.4×
30620 CPT	Septal/other Intranasal Dermatoplasty	2	$3,294.00	$24,891.60	$24,891.60	nat. median $6,057 outlier · 4.1×
27822 CPT	Open Tx Trimalleolar Ankle Fx Without Fixj Pst Lip	2	$3,791.00	$23,696.10	$23,696.10	nat. median $7,101 outlier · 3.3×
44970 CPT	Laparoscopic Appendectomy	2	$3,791.00	$23,099.50	$23,099.50	nat. median $6,043 outlier · 3.8×
27235 CPT	Prq Skel Fixj Femoral Fx Prox End Neck	2	$2,659.00	$22,797.98	$22,797.98	nat. median $6,942 outlier · 3.3×
29888 CPT	Arthrs Aided Ant Cruciate Ligm Rpr/agmntj/rcnstj	2	$3,791.00	$22,643.50	$22,643.50	nat. median $7,341 outlier · 3.1×
30462 CPT	Rhinp Dfrm Colum Lngth Tip Septum Osteot	2	$3,294.00	$22,513.56	$22,513.56	nat. median $6,113 outlier · 3.7×
24685 CPT	Open Treatment Ulnar Fracture Proximal End	2	$3,791.00	$22,130.50	$22,130.50	nat. median $6,824 outlier · 3.2×
23412 CPT	Open Repair Of Rotator Cuff Chronic	2	$3,294.00	$21,977.00	$21,977.00	nat. median $6,943 outlier · 3.2×
22856 CPT	Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv	2	$3,791.00	$21,560.50	$21,560.50	nat. median $16,840 1.3× median
22514 CPT	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Lmbr	2	$3,791.00	$21,161.50	$21,161.50	nat. median $8,406 outlier · 2.5×
23430 CPT	Tenodesis Long Tendon Biceps	2	$3,294.00	$20,267.00	$20,267.00	nat. median $6,926 outlier · 2.9×
22556 CPT	Arthrd Ant Min Discectomy Interbody Thoracic	2	$5,552.00	$20,176.20	$20,176.20	nat. median $7,460 outlier · 2.7×
29880 CPT	Arthrs Knee W/meniscectomy Med&lat W/shaving	2	$2,659.00	$20,092.00	$20,092.00	nat. median $3,840 outlier · 5.2×
23550 CPT	Open Tx Acromioclavicular Dislc Acute/chronic	2	$3,791.00	$19,641.50	$19,641.50	nat. median $7,026 outlier · 2.8×
63688 CPT	Revj/rmvl Implanted Spinal Neurostim Generator	2	$2,659.00	$19,607.50	$19,607.50	nat. median $3,651 outlier · 5.4×
20900 CPT	Bone Graft Any Donor Area Minor/small	2	$2,659.00	$19,151.50	$19,151.50	nat. median $6,207 outlier · 3.1×
57289 CPT	Pereyra Px W/anterior Colporrhaphy	2	$2,659.00	$19,054.22	$19,054.22	nat. median $7,131 outlier · 2.7×
29881 CPT	Arthrs Kne Surg W/meniscectomy Med/lat W/shvg	2	$2,659.00	$18,895.00	$18,895.00	nat. median $3,830 outlier · 4.9×
15825 CPT	Rhytidectomy Neck W/platysmal Tightening	2	$2,659.00	$18,885.50	$18,885.50	nat. median $4,248 outlier · 4.4×
23552 CPT	Optx Acromclav Dislc Acute/chronic W/fascial Grf	2	$3,791.00	$18,653.50	$18,653.50	nat. median $7,160 outlier · 2.6×
27280 CPT	Arthrodesis Sacroiliac Joint W/obtaining Graft	2	$3,026.30	$18,385.15	$18,385.15	nat. median $6,570 outlier · 2.8×
30435 CPT	Rhinoplasty Secondary Intermediate Revision	2	$2,494.10	$18,090.55	$18,090.55	nat. median $6,032 outlier · 3.0×
30450 CPT	Rhinoplasty Secondary Major Revision	2	$3,294.00	$17,949.00	$17,949.00	nat. median $6,214 outlier · 2.9×
22513 CPT	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulation	2	$3,791.00	$17,855.50	$17,855.50	nat. median $8,347 outlier · 2.1×
63056 CPT	Transpedicular Dcmprn Spinal Cord 1 Seg Lumbar	2	$3,791.00	$17,827.50	$17,827.50	nat. median $7,518 outlier · 2.4×
27687 CPT	Gastrocnemius Recession	2	$2,659.00	$17,810.10	$17,810.10	nat. median $3,554 outlier · 5.0×
23020 CPT	Capsular Contracture Release	2	$2,659.00	$17,479.50	$17,479.50	nat. median $3,400 outlier · 5.1×
28750 CPT	Arthrodesis Great Toe Metatarsophalangeal Joint	2	$3,791.00	$17,285.50	$17,285.50	nat. median $6,995 outlier · 2.5×
27650 CPT	Repair Primary Open/prq Ruptured Achilles Tendon	2	$3,294.00	$17,280.20	$17,280.20	nat. median $6,674 outlier · 2.6×
25575 CPT	Open Tx Radial&ulnar Shaft Fx W/fixj Radius&ulna	2	$3,791.00	$17,269.35	$17,269.35	nat. median $7,200 outlier · 2.4×
20936 CPT	Autograft Spine Surgery Local From Same Incision	2	$2,659.00	$17,213.50	$17,213.50	nat. median $3,962 outlier · 4.3×
29898 CPT	Arthroscopy Ankle Surgical Debridement Extensive	2	$2,659.00	$17,137.50	$17,137.50	nat. median $3,893 outlier · 4.4×
22551 CPT	Arthrd Ant Interbody Decompress Cervical Belw C2	2	$3,791.00	$16,905.50	$16,905.50	nat. median $12,536 1.3× median
24342 CPT	Rinsj Rptd Biceps/triceps Tdn Dstl W/wo Tdn Grf	2	$3,294.00	$16,467.00	$16,467.00	nat. median $6,962 outlier · 2.4×
29822 CPT	Arthroscopy Shoulder Surg Debridement Limited	2	$2,659.00	$16,103.90	$16,103.90	nat. median $3,755 outlier · 4.3×
27540 CPT	Open Tx Intercondylar Spine/tubrst Fracture Knee	2	$3,294.00	$16,068.00	$16,068.00	nat. median $5,528 outlier · 2.9×
29823 CPT	Arthroscopy Shoulder Surg Debridement Extensive	2	$3,244.61	$15,518.50	$15,518.50	nat. median $3,950 outlier · 3.9×
11626 CPT	Exc S/n/h/f/g Mal+mrg >4 Cm	2	$1,519.00	$15,324.14	$15,324.14	nat. median $2,833 outlier · 5.4×
29876 CPT	Arthroscopy Knee Synovectomy 2/>compartments	2	$2,659.00	$15,218.50	$15,218.50	nat. median $3,729 outlier · 4.1×
28060 CPT	Fasciectomy Plantar Fascia Partial Spx	2	$1,519.00	$15,085.50	$15,085.50	nat. median $3,351 outlier · 4.5×
26562 CPT	Repair Syndactyly Each Space Complex	2	$2,659.00	$14,838.50	$14,838.50	nat. median $3,575 outlier · 4.2×

Other procedures at this hospital

Browse this hospital's 1,327 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

63030	CPT	Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr	7	2	$64,448.00	$58,003.20	$3,791.00	$34,119.50	$34,119.50	2026-07-15
27535	CPT	Open Tx Tibial Fracture Proximal Unicondylar	6	2	$64,372.00	$57,934.80	$3,294.00	$33,833.00	$33,833.00	2026-07-15
31595	CPT	Section Recurrent Laryngeal Nerve Ther Uni Spx	6	2	$34,777.60	$31,299.84	$33,038.72	$33,038.72	$33,038.72	2026-07-15
27823	CPT	Open Tx Trimalleolar Ankle Fx W/fixj Pst Lip	7	2	$55,480.00	$49,932.00	$3,791.00	$29,635.50	$29,635.50	2026-07-15
47563	CPT	Laparoscopy Surg Cholecystectomy	7	2	$52,820.00	$47,538.00	$3,791.00	$28,305.50	$28,305.50	2026-07-15
47562	CPT	Laparoscopy Surg Cholecystectomy	7	2	$52,440.00	$47,196.00	$3,791.00	$28,115.50	$28,115.50	2026-07-15
23515	CPT	Open Tx Clavicular Fracture Internal Fixation	7	2	$50,692.00	$45,622.80	$3,791.00	$27,241.50	$27,241.50	2026-07-15
22558	CPT	Arthrodesis Anterior Interbody Lumbar	6	2	$45,600.00	$41,040.00	$4,548.40	$25,074.20	$25,074.20	2026-07-15
63016	CPT	Laminectomy Without Ffd > 2 Vert Seg Thoracic	7	2	$46,247.52	$41,622.77	$3,791.00	$25,019.26	$25,019.26	2026-07-15
30620	CPT	Septal/other Intranasal Dermatoplasty	7	2	$46,489.20	$41,840.28	$3,294.00	$24,891.60	$24,891.60	2026-07-15
27822	CPT	Open Tx Trimalleolar Ankle Fx Without Fixj Pst Lip	7	2	$43,601.20	$39,241.08	$3,791.00	$23,696.10	$23,696.10	2026-07-15
44970	CPT	Laparoscopic Appendectomy	7	2	$42,408.00	$38,167.20	$3,791.00	$23,099.50	$23,099.50	2026-07-15
27235	CPT	Prq Skel Fixj Femoral Fx Prox End Neck	7	2	$42,936.96	$38,643.26	$2,659.00	$22,797.98	$22,797.98	2026-07-15
29888	CPT	Arthrs Aided Ant Cruciate Ligm Rpr/agmntj/rcnstj	7	2	$41,496.00	$37,346.40	$3,791.00	$22,643.50	$22,643.50	2026-07-15
30462	CPT	Rhinp Dfrm Colum Lngth Tip Septum Osteot	7	2	$41,733.12	$37,559.81	$3,294.00	$22,513.56	$22,513.56	2026-07-15
24685	CPT	Open Treatment Ulnar Fracture Proximal End	7	2	$40,470.00	$36,423.00	$3,791.00	$22,130.50	$22,130.50	2026-07-15
23412	CPT	Open Repair Of Rotator Cuff Chronic	7	2	$40,660.00	$36,594.00	$3,294.00	$21,977.00	$21,977.00	2026-07-15
22856	CPT	Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv	7	2	$39,330.00	$35,397.00	$3,791.00	$21,560.50	$21,560.50	2026-07-15
22514	CPT	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Lmbr	7	2	$38,532.00	$34,678.80	$3,791.00	$21,161.50	$21,161.50	2026-07-15
23430	CPT	Tenodesis Long Tendon Biceps	7	2	$37,240.00	$33,516.00	$3,294.00	$20,267.00	$20,267.00	2026-07-15
22556	CPT	Arthrd Ant Min Discectomy Interbody Thoracic	6	2	$34,800.40	$31,320.36	$5,552.00	$20,176.20	$20,176.20	2026-07-15
29880	CPT	Arthrs Knee W/meniscectomy Med&lat W/shaving	7	2	$37,525.00	$33,772.50	$2,659.00	$20,092.00	$20,092.00	2026-07-15
23550	CPT	Open Tx Acromioclavicular Dislc Acute/chronic	7	2	$35,492.00	$31,942.80	$3,791.00	$19,641.50	$19,641.50	2026-07-15
63688	CPT	Revj/rmvl Implanted Spinal Neurostim Generator	7	2	$36,556.00	$32,900.40	$2,659.00	$19,607.50	$19,607.50	2026-07-15
20900	CPT	Bone Graft Any Donor Area Minor/small	7	2	$35,644.00	$32,079.60	$2,659.00	$19,151.50	$19,151.50	2026-07-15
57289	CPT	Pereyra Px W/anterior Colporrhaphy	7	2	$35,449.44	$31,904.50	$2,659.00	$19,054.22	$19,054.22	2026-07-15
29881	CPT	Arthrs Kne Surg W/meniscectomy Med/lat W/shvg	7	2	$35,131.00	$31,617.90	$2,659.00	$18,895.00	$18,895.00	2026-07-15
15825	CPT	Rhytidectomy Neck W/platysmal Tightening	7	2	$35,112.00	$31,600.80	$2,659.00	$18,885.50	$18,885.50	2026-07-15
23552	CPT	Optx Acromclav Dislc Acute/chronic W/fascial Grf	7	2	$33,516.00	$30,164.40	$3,791.00	$18,653.50	$18,653.50	2026-07-15
27280	CPT	Arthrodesis Sacroiliac Joint W/obtaining Graft	6	2	$33,744.00	$30,369.60	$3,026.30	$18,385.15	$18,385.15	2026-07-15
30435	CPT	Rhinoplasty Secondary Intermediate Revision	7	2	$33,687.00	$30,318.30	$2,494.10	$18,090.55	$18,090.55	2026-07-15
30450	CPT	Rhinoplasty Secondary Major Revision	7	2	$32,604.00	$29,343.60	$3,294.00	$17,949.00	$17,949.00	2026-07-15
22513	CPT	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulation	7	2	$31,920.00	$28,728.00	$3,791.00	$17,855.50	$17,855.50	2026-07-15
63056	CPT	Transpedicular Dcmprn Spinal Cord 1 Seg Lumbar	7	2	$31,864.00	$28,677.60	$3,791.00	$17,827.50	$17,827.50	2026-07-15
27687	CPT	Gastrocnemius Recession	7	2	$32,961.20	$29,665.08	$2,659.00	$17,810.10	$17,810.10	2026-07-15
23020	CPT	Capsular Contracture Release	7	2	$32,300.00	$29,070.00	$2,659.00	$17,479.50	$17,479.50	2026-07-15
28750	CPT	Arthrodesis Great Toe Metatarsophalangeal Joint	7	2	$30,780.00	$27,702.00	$3,791.00	$17,285.50	$17,285.50	2026-07-15
27650	CPT	Repair Primary Open/prq Ruptured Achilles Tendon	7	2	$31,266.40	$28,139.76	$3,294.00	$17,280.20	$17,280.20	2026-07-15
25575	CPT	Open Tx Radial&ulnar Shaft Fx W/fixj Radius&ulna	7	2	$30,747.70	$27,672.93	$3,791.00	$17,269.35	$17,269.35	2026-07-15
20936	CPT	Autograft Spine Surgery Local From Same Incision	6	2	$31,768.00	$28,591.20	$2,659.00	$17,213.50	$17,213.50	2026-07-15
29898	CPT	Arthroscopy Ankle Surgical Debridement Extensive	7	2	$31,616.00	$28,454.40	$2,659.00	$17,137.50	$17,137.50	2026-07-15
22551	CPT	Arthrd Ant Interbody Decompress Cervical Belw C2	7	2	$30,020.00	$27,018.00	$3,791.00	$16,905.50	$16,905.50	2026-07-15
24342	CPT	Rinsj Rptd Biceps/triceps Tdn Dstl W/wo Tdn Grf	7	2	$29,640.00	$26,676.00	$3,294.00	$16,467.00	$16,467.00	2026-07-15
29822	CPT	Arthroscopy Shoulder Surg Debridement Limited	7	2	$29,548.80	$26,593.92	$2,659.00	$16,103.90	$16,103.90	2026-07-15
27540	CPT	Open Tx Intercondylar Spine/tubrst Fracture Knee	6	2	$28,842.00	$25,957.80	$3,294.00	$16,068.00	$16,068.00	2026-07-15
29823	CPT	Arthroscopy Shoulder Surg Debridement Extensive	7	2	$27,246.00	$24,521.40	$3,244.61	$15,518.50	$15,518.50	2026-07-15
11626	CPT	Exc S/n/h/f/g Mal+mrg >4 Cm	7	2	$29,129.28	$26,216.35	$1,519.00	$15,324.14	$15,324.14	2026-07-15
29876	CPT	Arthroscopy Knee Synovectomy 2/>compartments	7	2	$27,778.00	$25,000.20	$2,659.00	$15,218.50	$15,218.50	2026-07-15
28060	CPT	Fasciectomy Plantar Fascia Partial Spx	7	2	$28,652.00	$25,786.80	$1,519.00	$15,085.50	$15,085.50	2026-07-15
26562	CPT	Repair Syndactyly Each Space Complex	7	2	$27,018.00	$24,316.20	$2,659.00	$14,838.50	$14,838.50	2026-07-15
19300	CPT	Mastectomy Gynecomastia	7	2	$27,702.00	$24,931.80	$1,519.00	$14,610.50	$14,610.50	2026-07-15
30410	CPT	Rhinp Prim Complete Xtrnl Parts	7	2	$25,840.00	$23,256.00	$3,209.70	$14,524.85	$14,524.85	2026-07-15
62380	CPT	Ndsc Dcmprn Spinal Cord 1 W/lamot Ntrspc Lumbar	7	2	$25,214.00	$22,692.60	$3,791.00	$14,502.50	$14,502.50	2026-07-15
26615	CPT	Open Tx Metacarpal Fracture Single Ea Bone	7	2	$25,123.70	$22,611.33	$3,244.61	$14,457.35	$14,457.35	2026-07-15
28299	CPT	Corrj Hallux Valgus W/sesmdc W/2 Osteot	7	2	$26,231.40	$23,608.26	$2,659.00	$14,445.20	$14,445.20	2026-07-15
50592	CPT	Abltj 1/> Renal Tumor Prq Uni Radiofrequency	7	2	$24,426.00	$21,983.40	$3,791.00	$14,108.50	$14,108.50	2026-07-15
30520	CPT	Septoplasty/submucous Resecj W/wo Cartilage Grf	7	2	$25,862.80	$23,276.52	$1,519.00	$13,690.90	$13,690.90	2026-07-15
30140	CPT	Submucous Rescj Inferior Turbinate Prtl/compl	7	2	$25,840.00	$23,256.00	$1,519.00	$13,679.50	$13,679.50	2026-07-15
19316	CPT	Mastopexy	7	2	$24,624.00	$22,161.60	$2,659.00	$13,641.50	$13,641.50	2026-07-15
30420	CPT	Rhinoplasty Primary W/major Septal Repair	7	2	$23,679.70	$21,311.73	$3,294.00	$13,486.85	$13,486.85	2026-07-15
28445	CPT	Open Treatment Talus Fracture	7	2	$22,971.00	$20,673.90	$3,791.00	$13,381.00	$13,381.00	2026-07-15
27766	CPT	Open Treatment Medial Malleolus Fracture	7	2	$22,971.00	$20,673.90	$3,791.00	$13,381.00	$13,381.00	2026-07-15
29805	CPT	Arthroscopy Shoulder Diagnostic With Or Without Synovial Biopsy (separate Proced…	7	2	$23,940.00	$21,546.00	$2,659.00	$13,299.50	$13,299.50	2026-07-15
22612	CPT	Arthrodesis Posterior/posterolateral Lumbar	7	2	$22,800.00	$20,520.00	$3,791.00	$18,390.05	$13,295.50	2026-07-15
27602	CPT	Dcmprn Fasct Leg Ant&/lat&pst Cmprt	7	2	$23,826.00	$21,443.40	$2,659.00	$13,242.50	$13,242.50	2026-07-15
62287	CPT	Dcmprn Perq Nucleus Pulposus 1/> Levels Lumbar	7	2	$23,680.00	$21,312.00	$1,952.77	$13,169.50	$13,169.50	2026-07-15
27829	CPT	Open Treatment Of The Distal Tibiofibular Joint (syndesmosis), Including Interna…	7	2	$19,608.00	$17,647.20	$6,722.80	$13,165.40	$13,165.40	2026-07-15
24341	CPT	Repair Tendon/muscle Upper Arm/elbow Ea	7	2	$22,800.00	$20,520.00	$3,294.00	$13,047.00	$13,047.00	2026-07-15
22552	CPT	Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc	6	2	$22,648.00	$20,383.20	$3,294.00	$12,971.00	$12,971.00	2026-07-15
25515	CPT	Open Treatment Radial Shaft Fracture	7	2	$22,138.80	$19,924.92	$3,791.00	$12,964.90	$12,964.90	2026-07-15
27415	CPT	Osteochondral Allograft Knee Open	7	2	$22,765.80	$20,489.22	$3,103.20	$12,934.50	$12,934.50	2026-07-15
22630	CPT	Arthrodesis Posterior Interbody Lumbar	7	2	$20,748.00	$18,673.20	$4,958.00	$18,390.05	$12,853.00	2026-07-15
27524	CPT	Optx Patllr Fx W/int Fixj/patllc&soft Tiss Rpr	7	2	$21,774.00	$19,596.60	$3,791.00	$12,782.50	$12,782.50	2026-07-15
37248	CPT	Trlml Balo Angiop Open/perq W/img S&i 1st Vein	7	2	$23,572.00	$21,214.80	$1,826.20	$12,699.10	$12,699.10	2026-07-15
28208	CPT	Repair Tendon Extensor Foot 1/2 Each Tendon	7	2	$23,826.00	$21,443.40	$1,519.00	$12,672.50	$12,672.50	2026-07-15
64721	CPT	Neuroplasty &/transpos Median Nrv Carpal Tunne	7	2	$23,104.00	$20,793.60	$1,519.00	$12,311.50	$12,311.50	2026-07-15
23410	CPT	Open Repair Of Rotator Cuff Acute	7	2	$21,280.00	$19,152.00	$3,294.00	$12,287.00	$12,287.00	2026-07-15
29856	CPT	Arthrs Aid Tibial Fx Prox Unicondylar Bicondylar	7	2	$20,782.20	$18,703.98	$3,791.00	$12,866.82	$12,286.60	2026-07-15
37187	CPT	Prq Transluminal Mechanical Thrombectomy Vein	7	2	$20,710.00	$18,639.00	$3,791.00	$12,250.50	$12,250.50	2026-07-15
20902	CPT	Bone Graft Any Donor Area Major/large	7	2	$21,888.00	$19,699.20	$2,594.30	$12,241.15	$12,241.15	2026-07-15
63685	CPT	Insj/rplcmt Spi Npgr Dir/induxive Coupling	3	2	$71,440.00	$64,296.00	$3,230.90	$30,473.59	$12,170.00	2026-07-15
11770	CPT	Remove Pilonidal Cyst/sinus Simple	7	2	$22,800.00	$20,520.00	$1,519.00	$12,159.50	$12,159.50	2026-07-15
27848	CPT	Optx Ankle Dislocation W/repair/int/xtrnl Fixj	7	2	$20,314.80	$18,283.32	$3,791.00	$12,052.90	$12,052.90	2026-07-15
19325	CPT	Mammaplasty Augmentation W/prosthetic Implant	7	2	$20,292.00	$18,262.80	$3,791.00	$12,041.50	$12,041.50	2026-07-15
28110	CPT	Ostectomy Prtl 5th Metar Head Spx	7	2	$22,420.00	$20,178.00	$1,519.00	$11,969.50	$11,969.50	2026-07-15
23930	CPT	I&d Upper Arm/elbow Deep Abscess/hematoma	7	2	$22,116.00	$19,904.40	$1,519.00	$11,817.50	$11,817.50	2026-07-15
69300	CPT	Otoplasty Protruding Ear	7	2	$22,114.10	$19,902.69	$1,519.00	$11,816.55	$11,816.55	2026-07-15
15877	CPT	Suction Assisted Lipectomy Trunk	7	2	$20,520.00	$18,468.00	$2,659.00	$11,589.50	$11,589.50	2026-07-15
26665	CPT	Open Tx Carpometacarpal Fracture Dislocate Thumb	7	2	$18,901.20	$17,011.08	$3,244.61	$11,346.10	$11,346.10	2026-07-15
63042	CPT	Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Lumbar	7	2	$19,836.00	$17,852.40	$2,376.20	$11,106.10	$11,106.10	2026-07-15
21490	CPT	Open Treatment Temporomandibular Dislocation	7	2	$18,810.00	$16,929.00	$3,243.07	$11,052.00	$11,052.00	2026-07-15
31200	CPT	Ethmoidectomy Intranasal Anterior	7	2	$18,595.68	$16,736.11	$3,294.00	$10,944.84	$10,944.84	2026-07-15
25628	CPT	Open Tx Carpal Scaphoid Navicular Fracture	7	2	$18,023.40	$16,221.06	$3,791.00	$10,907.20	$10,907.20	2026-07-15
29871	CPT	Arthroscopy Knee Infection Lavage & Drainage	7	2	$19,152.00	$17,236.80	$2,659.00	$10,905.50	$10,905.50	2026-07-15
23415	CPT	Coracoacromial Ligament Releas W/woacromioplasty	7	2	$18,240.00	$16,416.00	$3,294.00	$10,767.00	$10,767.00	2026-07-15
30430	CPT	Rhinoplasty Secondary Minor Revision	7	2	$19,950.00	$17,955.00	$1,519.00	$10,734.50	$10,734.50	2026-07-15
28485	CPT	Open Treatment Metatarsal Fracture Each	7	2	$17,556.00	$15,800.40	$3,791.00	$10,673.50	$10,673.50	2026-07-15
63046	CPT	Lam Facetectomy & Foramotomy 1 Segment Thoracic	7	2	$19,494.00	$17,544.60	$1,789.00	$10,641.50	$10,641.50	2026-07-15
26735	CPT	Open Tx Phalangeal Shaft Fracture Prox/middle Ea	7	2	$19,380.00	$17,442.00	$1,519.00	$10,449.50	$10,449.50	2026-07-15
30465	CPT	Repair Nasal Vestibular Stenosis	7	2	$17,499.00	$15,749.10	$3,294.00	$10,396.50	$10,396.50	2026-07-15
28296	CPT	Corrj Hallux Valgus W/sesmdc W/dist Metar Osteot	7	2	$18,050.00	$16,245.00	$2,659.00	$10,354.50	$10,354.50	2026-07-15
64585	CPT	Revj/rmvl Peripheral Neurostimulator Electrode	7	2	$18,190.60	$16,371.54	$2,231.20	$10,210.90	$10,210.90	2026-07-15
27514	CPT	Open Tx Femoral Fracture Distal Med/lat Condyle	6	2	$17,100.00	$15,390.00	$3,294.00	$10,197.00	$10,197.00	2026-07-15
63045	CPT	Lam Facetectomy & Foramotomy 1 Segment Cervical	7	2	$18,034.80	$16,231.32	$2,340.40	$10,187.60	$10,187.60	2026-07-15
38232	CPT	Bone Marrow Harvest Transplantation Autologous	7	2	$18,240.00	$16,416.00	$1,763.30	$10,001.65	$10,001.65	2026-07-15
11772	CPT	Remove Pilonidal Cyst/sinus Complex	7	2	$18,240.00	$16,416.00	$1,519.00	$9,879.50	$9,879.50	2026-07-15
63655	CPT	Lam Impltj Nstim Eltrds Plate/paddle Edrl	7	2	$13,775.00	$12,397.50	$5,552.00	$21,444.39	$9,663.50	2026-07-15
20912	CPT	Cartilage Graft Nasal Septum	7	2	$16,530.00	$14,877.00	$2,659.00	$9,594.50	$9,594.50	2026-07-15
29870	CPT	Arthroscopy Knee Diagnostic With Or Without Synovial Biopsy (separate Procedure)	7	2	$16,131.00	$14,517.90	$2,659.00	$9,395.00	$9,395.00	2026-07-15
15769	CPT	Grafting Autologous Tissue Harvested By Direct Incision	7	2	$15,964.56	$14,368.10	$2,659.00	$9,311.78	$9,311.78	2026-07-15
29824	CPT	Arthroscopy Shoulder Distal Claviculectomy	7	2	$14,371.60	$12,934.44	$3,244.61	$9,081.30	$9,081.30	2026-07-15
22845	CPT	Anterior Instrumentation 2-3 Vertebral Segments	6	2	$14,212.00	$12,790.80	$3,791.00	$9,001.50	$9,001.50	2026-07-15
27832	CPT	Open Tx Prox Tibfib Joint Dislocate Exc Prox Fib	7	2	$14,015.16	$12,613.64	$3,791.00	$8,903.08	$8,903.08	2026-07-15
63081	CPT	Vertebral Corpectomy Ant Dcmprn Cervical 1 Seg	6	2	$13,930.80	$12,537.72	$3,791.00	$8,860.90	$8,860.90	2026-07-15
20680	CPT	Removal Implant Deep	7	2	$16,188.00	$14,569.20	$1,519.00	$8,853.50	$8,853.50	2026-07-15
27006	CPT	Tenotomy Abductors&/extensor Hip Open Spx	7	2	$14,991.00	$13,491.90	$2,659.00	$8,825.00	$8,825.00	2026-07-15
27310	CPT	Arthrt Kne W/expl Drg/rmvl Fb	7	2	$14,897.90	$13,408.11	$2,659.00	$8,778.45	$8,778.45	2026-07-15
36558	CPT	Insert Tunneled Cv Cath	7	2	$14,896.00	$13,406.40	$2,659.00	$8,777.50	$8,777.50	2026-07-15
20937	CPT	Autograft Spine Surgery Morselized Sep Incision	6	2	$15,960.00	$14,364.00	$1,581.30	$8,770.65	$8,770.65	2026-07-15
25040	CPT	Arthrt Rdcrpl/midcarpl Jt W/expl Drg/rmvl Fb	7	2	$14,820.00	$13,338.00	$2,659.00	$8,739.50	$8,739.50	2026-07-15
15770	CPT	Blepharoplasty Lower Eyelid Herniated Fat Pad	7	2	$14,820.00	$13,338.00	$2,659.00	$8,739.50	$8,739.50	2026-07-15
25652	CPT	Open Treatment Ulnar Styloid Fracture	7	2	$13,680.00	$12,312.00	$3,791.00	$8,735.50	$8,735.50	2026-07-15
29873	CPT	Arthroscopy Knee Lateral Release	7	2	$14,763.00	$13,286.70	$2,659.00	$8,711.00	$8,711.00	2026-07-15
54417	CPT	Rmvl & Rplcmt Penile Prosthesis Infected Field	3	2	$40,813.90	$36,732.51	$564.00	$12,992.42	$8,541.90	2026-07-15
29894	CPT	Arthroscopy Ankle W/removal Loose/foreign Body	7	2	$13,965.00	$12,568.50	$2,659.00	$8,312.00	$8,312.00	2026-07-15
25028	CPT	I&d Forearm&/wrist Deep Abscess/hematoma	7	2	$15,048.00	$13,543.20	$1,519.00	$8,283.50	$8,283.50	2026-07-15
23030	CPT	I&d Shoulder Deep Abscess/hematoma	7	2	$15,048.00	$13,543.20	$1,519.00	$8,283.50	$8,283.50	2026-07-15
1111	OTHER	Private Room And Board - General	6	2	$13,300.00	$11,970.00	$2,802.09	$8,200.00	$8,200.00	2026-07-15
0111R	OTHER	Private Room And Board (rise Recovery)	5	2	$13,300.00	$11,970.00	$8,200.00	$8,200.00	$8,200.00	2026-07-15
110	OTHER	Private Room And Board - General	5	2	$13,300.00	$11,970.00	$8,200.00	$8,200.00	$8,200.00	2026-07-15
44021	CPT	Enterotomy Small Intestine Other Than Duodenum For Decom	6	2	$15,580.00	$14,022.00	$786.00	$9,265.90	$8,183.00	2026-07-15
27301	CPT	I&d Deep Absc Bursa/hematoma Thigh/knee Region	7	2	$14,820.00	$13,338.00	$1,519.00	$8,169.50	$8,169.50	2026-07-15
29893	CPT	Endoscopic Plantar Fasciotomy	7	2	$14,816.20	$13,334.58	$1,519.00	$8,167.60	$8,167.60	2026-07-15
64704	CPT	Neuroplasty Nerve Hand/foot	7	2	$14,782.00	$13,303.80	$1,519.00	$8,150.50	$8,150.50	2026-07-15
27601	CPT	Dcmprn Fasct Leg Post Compartment Only	7	2	$14,774.40	$13,296.96	$1,519.00	$8,146.70	$8,146.70	2026-07-15
20690	CPT	Application Uniplane External Fixation System	7	2	$13,338.00	$12,004.20	$2,659.00	$7,998.50	$7,998.50	2026-07-15
20525	CPT	Rmvl Foreign Body Muscle/tendon Sheath Deep/comp	7	2	$14,364.00	$12,927.60	$1,519.00	$7,941.50	$7,941.50	2026-07-15
64708	CPT	Neurp Major Prph Nrv Arm/leg Opn Oth/thn Spec	7	2	$13,908.00	$12,517.20	$1,519.00	$7,713.50	$7,713.50	2026-07-15
30400	CPT	Rhinp Prim Lat&alar Crtlgs&/elvtn Nasal Ti	7	2	$13,894.70	$12,505.23	$1,441.10	$7,667.90	$7,667.90	2026-07-15
28043	CPT	Excision Tumor Soft Tissue Foot/toe Subq <1.5cm	7	2	$14,516.00	$13,064.40	$786.00	$7,651.00	$7,651.00	2026-07-15
27600	CPT	Dcmprn Fasct Leg Ant&/lat Compartments Only	7	2	$13,623.00	$12,260.70	$1,519.00	$7,571.00	$7,571.00	2026-07-15
24147	CPT	Partial Excision Bone Olecranon Process	7	2	$12,410.80	$11,169.72	$2,659.00	$7,534.90	$7,534.90	2026-07-15
10180	CPT	I & D Complex Postop	7	2	$13,516.60	$12,164.94	$1,519.00	$7,517.80	$7,517.80	2026-07-15
64912	CPT	Nerve Repair W/nerve Allograft First Strand	7	2	$11,609.76	$10,448.78	$3,294.00	$8,483.10	$7,451.88	2026-07-15
27509	CPT	Prq Skeletal Fixj Femoral Fx Distal	7	2	$13,313.30	$11,981.97	$1,519.00	$7,416.15	$7,416.15	2026-07-15
24110	CPT	Excision/curtg Bone Cyst/benign Tumor Humerus	7	2	$13,262.76	$11,936.48	$1,519.00	$7,390.88	$7,390.88	2026-07-15
23700	CPT	Manj W/anes Shoulder Joint W/fixation Apparatus	7	2	$13,908.00	$12,517.20	$786.00	$7,347.00	$7,347.00	2026-07-15
29867	CPT	Arthroscopy Knee Osteochondral Allograft	7	2	$12,438.00	$11,194.20	$2,219.80	$12,866.82	$7,328.90	2026-07-15
24105	CPT	Excision Olecranon Bursa	7	2	$13,051.10	$11,745.99	$1,519.00	$7,285.05	$7,285.05	2026-07-15
27027	CPT	Decompression Fasciotomy Pelvic Compartment Uni	7	2	$11,709.70	$10,538.73	$2,659.00	$8,451.30	$7,184.35	2026-07-15
26608	CPT	Prq Skeletal Fixj Metacarpal Fx Each Bone	7	2	$12,800.30	$11,520.27	$1,519.00	$7,159.65	$7,159.65	2026-07-15
15822	CPT	Blepharoplasty Upper Eyelid	7	2	$13,452.00	$12,106.80	$786.00	$7,119.00	$7,119.00	2026-07-15
29828	CPT	Arthroscopy Shoulder Biceps Tenodesis	7	2	$10,408.20	$9,367.38	$3,791.00	$8,753.30	$7,099.60	2026-07-15
28118	CPT	Ostectomy Calcaneus	7	2	$12,654.00	$11,388.60	$1,519.00	$7,086.50	$7,086.50	2026-07-15
28008	CPT	Fasciotomy Foot&/toe	7	2	$12,540.00	$11,286.00	$1,519.00	$7,029.50	$7,029.50	2026-07-15
G0379	HCPCS	Direct Admission Of Patient For Hosp Obs Care	7	2	$12,394.08	$11,154.67	$613.10	$7,022.04	$7,022.04	2026-07-15
25606	CPT	Perq Skel Fixj Distal Radial Fx/epiphysl Sep	7	2	$12,524.80	$11,272.32	$1,519.00	$7,021.90	$7,021.90	2026-07-15
27603	CPT	Incision & Drainage Leg/ankle Abscess/hematoma	7	2	$12,312.00	$11,080.80	$1,519.00	$6,915.50	$6,915.50	2026-07-15
26070	CPT	Arthrt Expl Drg/rmvl Loose/fb Carp/mtcrpl Jt	7	2	$12,988.40	$11,689.56	$786.00	$6,887.20	$6,887.20	2026-07-15
29807	CPT	Arthroscopy Shoulder Surgical Repair Slap Lesion	7	2	$4,603.70	$4,143.33	$3,791.00	$9,870.30	$6,830.65	2026-07-15
15839	CPT	Excision Excessive Skin Submental Other Areas	7	2	$12,768.00	$11,491.20	$786.00	$8,442.40	$6,777.00	2026-07-15
600	OTHER	Under Anesthesia For Procedures On The Spine And Spinal Cord	6	2	$6,977.00	$6,279.30	$6,628.15	$6,628.15	$6,628.15	2026-07-15
620	OTHER	Anesthesia Proc Thoracici Spine & Cord; Nos	6	2	$6,976.80	$6,279.12	$6,627.96	$6,627.96	$6,627.96	2026-07-15
23585	CPT	Open Tx Scapular Fx W/internal Fixation If Pfrmd	7	2	$7,362.00	$6,625.80	$3,791.00	$9,331.00	$6,561.00	2026-07-15
27380	CPT	Suture Infrapatellar Tendon Primary	7	2	$10,185.90	$9,167.31	$2,659.00	$7,143.73	$6,422.45	2026-07-15
64910	CPT	Nerve Repair W/conduit Each Nerve	7	2	$9,154.20	$8,238.78	$3,294.00	$7,254.10	$6,224.10	2026-07-15
22600	CPT	Arthrodesis Pst/pstlat Cervical Belw C2 Sgm	6	2	$9,654.00	$8,688.60	$2,505.80	$6,079.90	$6,079.90	2026-07-15
25260	CPT	Rpr Tdn/musc Flxr F/arm&/wrst Prim 1 Ea Tdn/mu	7	2	$9,500.00	$8,550.00	$2,659.00	$6,137.90	$6,079.50	2026-07-15
99291	CPT	Facility Critical Care First Hour	7	2	$10,095.84	$9,086.26	$842.61	$6,047.92	$6,047.92	2026-07-15
67900	CPT	Repair Brow Ptosis	7	2	$10,450.00	$9,405.00	$1,519.00	$6,030.90	$5,984.50	2026-07-15
21235	CPT	Graft Ear Crtlg Autogenous Nose/ear	3	2	$21,432.00	$19,288.80	$786.00	$6,918.80	$5,915.66	2026-07-15
15821	CPT	Blepharoplasty Upper Eyelid	7	2	$10,944.00	$9,849.60	$786.00	$5,865.00	$5,865.00	2026-07-15
J2315	HCPCS	Vivitrol Injection Suspension Single Use Vial Q 25+ 380mg/vl	8	2	$6,118.27	$5,506.44	$4.12	$5,812.35	$5,812.35	2026-07-15
27360	CPT	Prtl Exc Bone Femur Prox Tibia&/fibula	7	2	$8,145.00	$7,330.50	$2,659.00	$8,592.50	$5,625.75	2026-07-15
28288	CPT	Ostc Prtl Exostc/condylc Metar Head	7	2	$9,690.00	$8,721.00	$1,519.00	$5,619.20	$5,604.50	2026-07-15
26951	CPT	Amp F/th 1/2 Jt/phalanx W/neurect W/dir Clsr	7	2	$10,375.90	$9,338.31	$786.00	$6,641.70	$5,580.95	2026-07-15
29821	CPT	Arthroscopy Shoulder Surg Synovectomy Complete	7	2	$7,182.00	$6,463.80	$3,244.61	$5,710.30	$5,486.50	2026-07-15
29827	CPT	Arthroscopy Shoulder Rotator Cuff Repair	2	2	$13,653.40	$12,288.06	$3,791.00	$7,143.73	$5,467.36	2026-07-15
29806	CPT	Arthroscopy Shoulder Surgical Capsulorrhaphy	2	2	$22,496.00	$20,246.40	$3,791.00	$7,143.73	$5,467.36	2026-07-15
28230	CPT	Tx Opn Tendon Flexor Foot Single/mult Tendon Spx	7	2	$9,291.00	$8,361.90	$1,519.00	$5,405.00	$5,405.00	2026-07-15
69205	CPT	Clear Outer Ear Canal	7	2	$9,936.00	$8,942.40	$786.00	$5,361.00	$5,361.00	2026-07-15
CP005	OTHER	Rise Cash Pay	6	2	$5,500.00	$4,950.00	$5,225.00	$5,225.00	$5,225.00	2026-07-15
25624	CPT	Closed Tx Carpal Scaphoid Fracture W/manj	7	2	$9,804.00	$8,823.60	$564.00	$5,184.00	$5,184.00	2026-07-15
43644	CPT	Laps Gstr Rstcv Px W/byp Roux-en-y Limb <150 Cm	2	2	$85,969.68	$77,372.71	$3,791.00	$6,498.60	$5,144.80	2026-07-15
14061	CPT	Adjt Tis Trnsfr/reargmt Defec Ea Addl 30 Sqcm	7	2	$7,467.00	$6,720.30	$786.00	$9,421.40	$5,103.70	2026-07-15
28285	CPT	Correction Hammertoe	7	2	$8,664.00	$7,797.60	$1,519.00	$5,091.50	$5,091.50	2026-07-15
29820	CPT	Arthroscopy Shoulder Surg Synovectomy Partial	7	2	$6,360.00	$5,724.00	$3,791.00	$7,143.73	$5,075.50	2026-07-15
27792	CPT	Open Tx Distal Fibular Fracture Lat Malleolus	7	2	$5,736.00	$5,162.40	$3,791.00	$7,143.73	$4,982.95	2026-07-15
69005	CPT	Drainage External Ear Abscess/hematoma Cmplx	7	2	$9,120.00	$8,208.00	$786.00	$4,953.00	$4,953.00	2026-07-15
29879	CPT	Arthrs Knee Abrasion Arthrp/mlt Drlg/microfx	7	2	$6,954.00	$6,258.60	$2,659.00	$6,358.70	$4,806.50	2026-07-15
26410	CPT	Repair Extensor Tendon Hand Without Graft Each	7	2	$8,821.70	$7,939.53	$786.00	$5,635.80	$4,803.85	2026-07-15
24655	CPT	Closed Tx Radial Head W Manip	7	2	$5,200.00	$4,680.00	$1,600.41	$4,799.05	$4,799.05	2026-07-15
46320	CPT	Removal Of Hemorrhoid Clot	7	2	$8,717.20	$7,845.48	$786.00	$4,751.60	$4,751.60	2026-07-15
14060	CPT	Adjnt Tis Trnsfr/reargmt Any Area 30.1-60 Sq Cm	7	2	$8,664.00	$7,797.60	$786.00	$7,264.10	$4,725.00	2026-07-15
44208	CPT	Laps Colectmy Prtl W/colopxtstmy Lw Anast W/clst	2	2	$31,477.30	$28,329.57	$786.00	$8,533.40	$4,659.70	2026-07-15
29882	CPT	Arthroscopy Knee W/meniscus Rpr Medial/lateral	7	2	$6,126.00	$5,513.40	$2,659.00	$6,607.80	$4,633.40	2026-07-15
41008	CPT	Intraoral I&d Tongue/floor Submndblr Space	7	2	$8,308.00	$7,477.20	$786.00	$4,547.00	$4,547.00	2026-07-15
64446	CPT	Injection Anes Sciatic Nerve Cont Infusion Cath	7	2	$8,436.00	$7,592.40	$564.00	$4,500.00	$4,500.00	2026-07-15
64490	CPT	Njx Dx/ther Agt Pvrt Facet Jt Crv/thrc 1 Level - Bilateral	7	2	$8,208.00	$7,387.20	$564.00	$4,386.00	$4,386.00	2026-07-15
29874	CPT	Arthroscopy Knee Removal Loose/foreign Body	7	2	$6,078.00	$5,470.20	$2,659.00	$5,154.30	$4,368.50	2026-07-15
95941	CPT	Ionm Remote/nearby/>1 Patient In Or Per Hour	6	2	$4,541.00	$4,086.90	$4,313.95	$4,313.95	$4,313.95	2026-07-15
64484	CPT	Njx Anes&/strd W/img Tfrml Edrl Lmbr/sac Ea Lv	6	2	$8,208.00	$7,387.20	$416.00	$4,312.00	$4,312.00	2026-07-15
36556	CPT	Insj Non-tunneled Central Venous Cath Age 5 Yr/>	7	2	$8,018.00	$7,216.20	$564.00	$4,291.00	$4,291.00	2026-07-15
G0463	HCPCS	Hospital Outpatient Clinic Visit For Assessment And Management Of A Patient	7	2	$4,506.80	$4,056.12	$23.29	$4,281.46	$4,281.46	2026-07-15
51700	CPT	Bldr Irrigation Smpl Lavage&/instlj	7	2	$8,132.00	$7,318.80	$243.21	$4,274.00	$4,274.00	2026-07-15
64784	CPT	Exc Neuroma Major Peripheral Nrv Xcp Sciatic	7	2	$6,494.20	$5,844.78	$1,519.00	$6,961.30	$4,240.15	2026-07-15
51702	CPT	Insert Temp Bladder Cath	7	2	$7,980.00	$7,182.00	$128.90	$4,198.00	$4,198.00	2026-07-15
27840	CPT	Closed Tx Ankle Dislocation Without Anesthesia	7	2	$7,980.00	$7,182.00	$239.88	$4,198.00	$4,198.00	2026-07-15
32408	CPT	Core Needle Bx Lung/mediastinum Perq W/img	7	2	$2,591.00	$2,331.90	$786.00	$7,544.50	$4,165.25	2026-07-15
15838	CPT	Excision Excessive Skin Submental Fat Pad	7	2	$7,524.00	$6,771.60	$786.00	$6,190.70	$4,155.00	2026-07-15
50955	CPT	Ureteral Endoscopy Via Ureterostomy W/biopsy	3	2	$42,335.04	$38,101.54	$1,519.00	$5,083.62	$4,063.20	2026-07-15
J0585	HCPCS	Botox 100 Units/vl	8	2	$4,254.48	$3,829.03	$6.47	$4,041.76	$4,041.76	2026-07-15
C1719	HCPCS	Kl 1.8 Fibertak, Shoulder Ar-3636	7	2	$4,183.80	$3,765.42	$564.50	$3,974.61	$3,974.61	2026-07-15
64493	CPT	Njx Dx/ther Agt Pvrt Facet Jt Lmbr/sac 1 Level - Bilateral	7	2	$7,296.00	$6,566.40	$564.00	$3,930.00	$3,930.00	2026-07-15
64787	CPT	Implantation Nerve End Bone/muscle	6	2	$7,296.00	$6,566.40	$416.00	$3,856.00	$3,856.00	2026-07-15
29105	CPT	Application Long Arm Splint Shoulder Hand	7	2	$7,220.00	$6,498.00	$157.79	$3,818.00	$3,818.00	2026-07-15
22842	CPT	Posterior Segmental Instrumentation 3-6 Vrt Seg	2	2	$12,809.04	$11,528.14	$416.00	$7,215.30	$3,815.65	2026-07-15
62323	CPT	Njx Dx/ther Sbst Intrlmnr Lmbr/sac W/img Gdn	7	2	$7,037.60	$6,333.84	$564.00	$3,800.80	$3,800.80	2026-07-15
63020	CPT	Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Cervc	3	2	$17,210.20	$15,489.18	$561.20	$7,143.73	$3,791.00	2026-07-15
63047	CPT	Lam Facetectomy & Foramotomy 1 Segment Lumbar	3	2	$74,879.00	$67,391.10	$603.20	$7,143.73	$3,791.00	2026-07-15
25609	CPT	Optx Dstl Radl I-artic Fx/epiphysl Sep 3 Frag	3	2	$49,400.00	$44,460.00	$113.20	$7,143.73	$3,791.00	2026-07-15
28415	CPT	Open Treatment Calcaneal Fracture	3	2	$54,340.00	$48,906.00	$686.80	$7,143.73	$3,791.00	2026-07-15
27827	CPT	Open Treatment Fracture Distal Tibia Only	3	2	$31,920.00	$28,728.00	$667.10	$12,866.82	$3,791.00	2026-07-15
63650	CPT	Prq Impltj Nstim Electrode Array Epidural	3	2	$33,440.00	$30,096.00	$225.40	$6,562.90	$3,791.00	2026-07-15
27768	CPT	Closed Treatment Pst Malleolus Fracture W/manj	7	2	$7,163.00	$6,446.70	$416.00	$4,370.20	$3,789.50	2026-07-15
22840	CPT	Posterior Non-segmental Instrumentation	2	2	$18,240.00	$16,416.00	$416.00	$7,129.80	$3,772.90	2026-07-15
20932	CPT	Osteoarticular Allograft W/articular Surf & Bone	2	2	$24,225.00	$21,802.50	$416.00	$7,118.00	$3,767.00	2026-07-15
27752	CPT	Treatment Of Tibia Fracture	7	2	$6,729.80	$6,056.82	$786.00	$5,196.50	$3,757.90	2026-07-15
67700	CPT	Drainage Of Eyelid Abscess	7	2	$7,049.00	$6,344.10	$298.93	$3,732.50	$3,732.50	2026-07-15
10030	CPT	Image-guided Catheter Fluid Collection Drainage	7	2	$6,862.80	$6,176.52	$564.00	$5,721.29	$3,713.40	2026-07-15
64913	CPT	Nerve Repair W/nerve Allograft Ea Addl Strand	6	2	$6,792.12	$6,112.91	$416.00	$3,604.06	$3,604.06	2026-07-15
10121	CPT	Incision & Removal Foreign Body Subq Tiss Compl	7	2	$6,412.50	$5,771.25	$786.00	$3,599.25	$3,599.25	2026-07-15
13132	CPT	Repair Complex F/c/c/m/x/g/h/f 2.6-7.5 Cm	7	2	$6,764.00	$6,087.60	$416.00	$4,368.60	$3,590.00	2026-07-15
16025	CPT	Drs&/dbrdmt Prtl-thkns Burns 1st/sbsq Medium	7	2	$6,726.00	$6,053.40	$198.70	$3,571.00	$3,571.00	2026-07-15
25660	CPT	Cltx Rdcrpl/intercarpl Dislc 1/> Bones W/manj	7	2	$6,545.88	$5,891.29	$239.88	$4,388.80	$3,480.94	2026-07-15
28039	CPT	Excision Tumor Soft Tis Foot/toe Subq 1.5 Cm/>	7	2	$5,418.80	$4,876.92	$1,519.00	$4,413.50	$3,468.90	2026-07-15
63051	CPT	Lamoplasty Cervical Dcmprn Cord 2/> Seg Rcnstj	2	2	$27,170.00	$24,453.00	$786.00	$6,142.10	$3,464.05	2026-07-15
64633	CPT	Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/thora	7	2	$5,394.10	$4,854.69	$1,519.00	$3,998.10	$3,456.55	2026-07-15
12021	CPT	Closure Of Split Wound	7	2	$6,327.00	$5,694.30	$399.53	$3,371.50	$3,371.50	2026-07-15
99285	CPT	Facility Emergency Dept Visit	7	2	$11,020.00	$9,918.00	$613.10	$6,260.00	$3,366.09	2026-07-15
12004	CPT	Simple Rpr Scalp/neck/ax/genit/trunk7.6-12.5cm	7	2	$6,296.60	$5,666.94	$198.70	$3,356.30	$3,356.30	2026-07-15
24600	CPT	Treatment Closed Elbow Dislocation Without Anes	7	2	$6,270.00	$5,643.00	$239.88	$3,712.10	$3,343.00	2026-07-15
12035	CPT	Intmd Rpr S/a/t/ext 12.6-20	7	2	$6,203.50	$5,583.15	$399.53	$3,630.30	$3,309.75	2026-07-15
15830	CPT	Excision Skin Abd Infraumbilical Panniculectomy	3	2	$28,614.00	$25,752.60	$1,171.40	$6,521.46	$3,294.00	2026-07-15
45563	CPT	Expl Rpr & Presacral DRG Rectal Inj W/colostomy	2	2	$26,495.50	$23,845.95	$786.00	$5,716.90	$3,251.45	2026-07-15
0099U	OTHER	Respir Pathogen 20 Targets	6	2	$3,420.00	$3,078.00	$3,249.00	$3,249.00	$3,249.00	2026-07-15
24620	CPT	Closed Tx Monteggia Fx Dislocation Elbow W/manj	7	2	$5,217.40	$4,695.66	$786.00	$5,704.80	$3,245.40	2026-07-15
28116	CPT	Ostectomy Tarsal Coalition	3	2	$42,575.20	$38,317.68	$1,519.00	$6,408.10	$3,244.61	2026-07-15
24535	CPT	Cltx Sprcndylr/transcndylr Humeral Fx W/manj	7	2	$4,692.00	$4,222.80	$416.00	$6,060.60	$3,238.30	2026-07-15
62321	CPT	Under Injection Drainage Or Aspiration Procedures On The Spine And Spinal Cord	7	2	$5,810.20	$5,229.18	$564.00	$3,187.10	$3,187.10	2026-07-15
59409	CPT	Obstetrical Care	3	2	$33,960.60	$30,564.54	$1,519.00	$7,575.00	$3,179.53	2026-07-15
10080	CPT	Incision & Drainage Pilonidal Cyst Simple	7	2	$5,795.00	$5,215.50	$564.00	$3,179.50	$3,179.50	2026-07-15
92960	CPT	Cardioversion Electric Ext	7	2	$5,779.80	$5,201.82	$564.00	$3,171.90	$3,171.90	2026-07-15
25520	CPT	Cltx Rdl Shft Fx&cltx Dislc Dstl Rad/uln Jt	7	2	$5,916.60	$5,324.94	$416.00	$5,628.30	$3,166.30	2026-07-15
26725	CPT	Treat Finger Fracture Each	7	2	$5,869.10	$5,282.19	$239.88	$3,363.90	$3,142.55	2026-07-15
12014	CPT	Simple Repair F/e/e/n/l/m 5.1cm-7.5cm	7	2	$5,863.25	$5,276.93	$198.70	$3,139.62	$3,139.62	2026-07-15
12005	CPT	Smpl Rpr Scalp/neck/ax/genit/trunk 12.6-20.0cm	7	2	$5,863.25	$5,276.93	$399.53	$3,139.62	$3,139.62	2026-07-15
41800	CPT	DRG Absc Cst Hmtma From Dentoalveolar Struxs	7	2	$5,859.60	$5,273.64	$128.90	$3,137.80	$3,137.80	2026-07-15
27345	CPT	Excision Synovial Cyst Popliteal Space	7	2	$4,515.00	$4,063.50	$1,519.00	$4,719.70	$3,119.35	2026-07-15
26011	CPT	Drainage Finger Abscess Complicated	7	2	$5,451.10	$4,905.99	$786.00	$4,330.00	$3,118.55	2026-07-15
0360	RC	—	6	2	$3,275.64	$2,948.08	$3,111.86	$3,111.86	$3,111.86	2026-07-15
28234	CPT	Tenotomy Open Extensor Foot/toe Each Tendon	7	2	$4,693.00	$4,223.70	$1,519.00	$3,818.40	$3,106.00	2026-07-15
72275	CPT	Epidurograpy Rs&i	6	2	$3,238.00	$2,914.20	$3,076.10	$3,076.10	$3,076.10	2026-07-15
26600	CPT	Cltx Metacarpal Fx Without Manipulation Each Bone	7	2	$5,700.00	$5,130.00	$239.88	$3,058.00	$3,058.00	2026-07-15
27825	CPT	Cltx Fx W8 Brg Artclr Prtn Dstl Tib W/skel Tracj	7	2	$4,752.00	$4,276.80	$786.00	$5,322.90	$3,054.45	2026-07-15
64400	CPT	N Block Inj Trigeminal	7	2	$5,654.40	$5,088.96	$295.19	$3,035.20	$3,035.20	2026-07-15
56420	CPT	I&d Of Bartholins Gland Abscess	7	2	$5,624.00	$5,061.60	$201.17	$3,020.00	$3,020.00	2026-07-15
15275	CPT	Cervicoplasty	7	2	$5,244.00	$4,719.60	$786.00	$3,015.00	$3,015.00	2026-07-15
36589	CPT	Rmvl Tun Cvc Without Subq Port/pmp	7	2	$5,430.20	$4,887.18	$564.00	$2,997.10	$2,997.10	2026-07-15
99218	CPT	Initial Observation Care	6	2	$4,332.00	$3,898.80	$1,650.00	$2,991.00	$2,991.00	2026-07-15
64636	CPT	Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/sacral	6	2	$5,525.20	$4,972.68	$416.00	$2,970.60	$2,970.60	2026-07-15
26750	CPT	Cltx Dstl Phlngl Fx Fngr/thmb Without Manj Ea	7	2	$5,472.00	$4,924.80	$239.88	$2,944.00	$2,944.00	2026-07-15
30905	CPT	Control Nasal Hemorrhage Posterior With Posterior Nasal Packs And/or Cautery And…	7	2	$5,472.00	$4,924.80	$128.90	$3,200.60	$2,944.00	2026-07-15
23500	CPT	Clsd Tx Clavicular Fracture Without Manipulation	7	2	$5,472.00	$4,924.80	$239.88	$2,944.00	$2,944.00	2026-07-15
11740	CPT	Drain Blood From Under Nail	7	2	$5,470.10	$4,923.09	$128.90	$2,943.05	$2,943.05	2026-07-15
12001	CPT	Rpr S/x/gen/trnk 2.5cm/<	7	2	$8,208.00	$7,387.20	$198.70	$4,312.00	$2,931.95	2026-07-15
64635	CPT	Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/sacral	7	2	$4,332.00	$3,898.80	$1,519.00	$4,031.80	$2,925.50	2026-07-15
62100	CPT	Crx Rpr Dural/csf Leak Rhinorrhea/otorrhea	2	2	$25,030.60	$22,527.54	$786.00	$5,026.70	$2,906.35	2026-07-15
16020	CPT	Drs&/dbrdmt Prtl-thkns Burns 1st/sbsq Small	7	2	$5,396.00	$4,856.40	$198.70	$2,906.00	$2,906.00	2026-07-15
78306	CPT	Bone&/joint Imaging Whole Body	7	2	$5,462.10	$4,915.89	$349.81	$2,905.95	$2,905.95	2026-07-15
21315	CPT	Closed Tx Nose Fx Without Stabilization	7	2	$5,000.00	$4,500.00	$786.00	$2,893.00	$2,893.00	2026-07-15
30901	CPT	Control Nasal Hemorrhage Anterior Simple	7	2	$5,339.00	$4,805.10	$128.90	$2,877.50	$2,877.50	2026-07-15
10081	CPT	Incision & Drainage Of Pilonidal Cyst Complicated	7	2	$5,177.50	$4,659.75	$564.00	$3,148.30	$2,870.75	2026-07-15
24530	CPT	Cltx Sprcndylr/transcndylr Humeral Fx W/wo Manj	7	2	$5,318.10	$4,786.29	$239.88	$3,764.80	$2,867.05	2026-07-15
26770	CPT	Cltx Iphal Jt Dislc W/manj Without Anes	7	2	$6,659.50	$5,993.55	$239.88	$3,537.75	$2,862.90	2026-07-15
11771	CPT	Remove Pilonidal Cyst/sinus Exten	3	2	$32,756.00	$29,480.40	$1,519.00	$5,874.50	$2,862.05	2026-07-15
15836	CPT	Excision Excessive Skin Arm	3	2	$25,080.00	$22,572.00	$786.00	$7,591.40	$2,862.05	2026-07-15
20610	CPT	Drain/inj Joint/bursa Without US	7	2	$5,289.60	$4,760.64	$295.19	$2,852.80	$2,852.80	2026-07-15
CP004	OTHER	Self Pay Rate Tier 4 (sto)	6	2	$3,000.00	$2,700.00	$2,850.00	$2,850.00	$2,850.00	2026-07-15
28470	CPT	Closed Tx Metatarsal Fracture Without Manipulation	7	2	$5,244.00	$4,719.60	$239.88	$2,830.00	$2,830.00	2026-07-15
22515	CPT	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Each	2	2	$30,780.00	$27,702.00	$416.00	$5,173.40	$2,794.70	2026-07-15
25565	CPT	Closed Tx Radial&ulnar Shaft Fractures W/manj	7	2	$4,332.00	$3,898.80	$416.00	$5,070.20	$2,743.10	2026-07-15
0278	RC	—	6	2	$2,882.83	$2,594.55	$2,738.69	$2,738.69	$2,738.69	2026-07-15
64415	CPT	Single Nerve Block Injection Arm Nerve	7	2	$4,900.10	$4,410.09	$564.00	$2,732.05	$2,732.05	2026-07-15
G0378	HCPCS	Hospital Observation Per Hr Up To 48 Hours	7	2	$3,800.00	$3,420.00	$129.69	$2,725.00	$2,725.00	2026-07-15
50200	CPT	Renal Biopsy Prq Trocar/needle	7	2	$4,648.00	$4,183.20	$786.00	$4,577.70	$2,717.00	2026-07-15
12031	CPT	Intmd Rpr S/a/t/ext 2.5 Cm/<	7	2	$4,955.20	$4,459.68	$399.53	$2,685.60	$2,685.60	2026-07-15
12034	CPT	Intmd Rpr S/tr/ext 7.6-12.5	7	2	$4,924.80	$4,432.32	$399.53	$3,105.10	$2,670.40	2026-07-15
24505	CPT	Cltx Humeral Shft Fx W/manj W/wo Skeletal Tracj	7	2	$2,386.40	$2,147.76	$416.00	$4,918.60	$2,667.30	2026-07-15
65220	CPT	Rmvl Fb Xtrnl Eye Corneal Without Slit Lamp	7	2	$4,913.40	$4,422.06	$399.04	$4,913.40	$2,664.70	2026-07-15

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