Hospital

BANDERA FAMILY HOSPITAL

San Antonio, TX · CCN 670336 · Rates published

1,085 distinct procedures filed

1 distinct payers

1,788 rate rows

2026-05-23 last MRF observed

Data quality

1,786 of 1,788 rate rows are consumer-grade (99.9%)

2 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
exceeds 10× this hospital's gross charge — excluded from medians	1
placeholder amount (≤ $0.02) — excluded from medians	1

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

Source MRF file	https://fhsmc.com/price-transparency/920323729_bandera-family-hospital_standardcharges.csv
Found on page	https://fhsmc.com/price-transparency-page/
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint	29ef91e0de3c4b1f… · 434,848 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
63685 OTHER	Insj/rplcmt Spi Npgr Dir/induxive Coupling	1	$3,230.90	$30,473.59	$16,852.24	nat. median $25,009 0.7× median
63655 OTHER	Lam Impltj Nstim Eltrds Plate/paddle Edrl	1	$8,070.20	$21,444.39	$14,757.29	nat. median $16,128 0.9× median
22856 OTHER	Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv	1	$5,492.80	$18,390.05	$11,941.42	nat. median $13,626 0.9× median
22612 OTHER	Arthrodesis Posterior/posterolateral Lumbar	1	$5,076.50	$18,390.05	$11,733.27	nat. median $10,318 1.1× median
22630 OTHER	Arthrodesis Posterior Interbody Lumbar	1	$4,958.00	$18,390.05	$11,674.02	nat. median $12,295 0.9× median
29856 OTHER	Arthrs Aid Tibial Fx Prox Unicondylar Bicondylar	1	$9,502.50	$12,866.82	$11,184.66	nat. median $4,727 outlier · 2.4×
54417 OTHER	Rmvl & Rplcmt Penile Prosthesis Infected Field	1	$8,541.90	$12,992.42	$10,767.16	nat. median $8,976 1.2× median
22551 OTHER	Arthrd Ant Interbody Decompress Cervical Belw C2	1	$6,231.20	$12,866.82	$9,549.01	nat. median $11,661 0.8× median
44021 OTHER	Enterotomy Small Intestine Other Than Duodenum For Decom	1	$9,265.90	$9,265.90	$9,265.90	nat. median $2,149 outlier · 4.3×
27514 OTHER	Open Tx Femoral Fracture Distal Med/lat Condyle	1	$9,211.50	$9,211.50	$9,211.50	nat. median $5,047 1.8× median
28445 OTHER	Open Treatment Talus Fracture	1	$7,143.73	$9,994.40	$8,569.06	nat. median $6,088 1.4× median
27535 OTHER	Open Tx Tibial Fracture Proximal Unicondylar	1	$8,555.40	$8,555.40	$8,555.40	nat. median $4,197 outlier · 2.0×
44208 OTHER	Laps Colectmy Prtl W/colopxtstmy Lw Anast W/clst	1	$8,533.40	$8,533.40	$8,533.40	nat. median $5,584 1.5× median
29807 OTHER	Arthroscopy Shoulder Surgical Repair Slap Lesion	1	$7,143.73	$9,870.30	$8,507.01	nat. median $6,989 1.2× median
28299 OTHER	Corrj Hallux Valgus W/sesmdc W/2 Osteot	1	$7,143.73	$9,368.50	$8,256.11	nat. median $6,224 1.3× median
27823 OTHER	Open Tx Trimalleolar Ankle Fx W/fixj Pst Lip	1	$7,143.73	$9,361.90	$8,252.81	nat. median $6,919 1.2× median
22513 OTHER	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulation	1	$7,143.73	$9,349.60	$8,246.67	nat. median $7,204 1.1× median
23585 OTHER	Open Tx Scapular Fx W/internal Fixation If Pfrmd	1	$7,143.73	$9,331.00	$8,237.36	nat. median $6,019 1.4× median
29888 OTHER	Arthrs Aided Ant Cruciate Ligm Rpr/agmntj/rcnstj	1	$7,143.73	$9,292.70	$8,218.22	nat. median $7,273 1.1× median
22514 OTHER	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Lmbr	1	$7,143.73	$9,109.00	$8,126.36	nat. median $7,206 1.1× median
37187 OTHER	Prq Transluminal Mechanical Thrombectomy Vein	1	$4,772.60	$11,340.57	$8,056.59	nat. median $7,659 1.1× median
27415 OTHER	Osteochondral Allograft Knee Open	1	$3,103.20	$12,866.82	$7,985.01	nat. median $9,464 0.8× median
63030 OTHER	Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr	1	$7,143.73	$8,777.00	$7,960.36	nat. median $7,169 1.1× median
29828 OTHER	Arthroscopy Shoulder Biceps Tenodesis	1	$7,143.73	$8,753.30	$7,948.51	nat. median $7,079 1.1× median
30430 OTHER	Rhinoplasty Secondary Minor Revision	1	$5,915.66	$9,968.70	$7,942.18	nat. median $5,266 1.5× median
25575 OTHER	Open Tx Radial&ulnar Shaft Fx W/fixj Radius&ulna	1	$7,143.73	$8,689.40	$7,916.56	nat. median $6,784 1.2× median
27235 OTHER	Prq Skel Fixj Femoral Fx Prox End Neck	1	$7,143.73	$8,673.90	$7,908.81	nat. median $6,611 1.2× median
27540 OTHER	Open Tx Intercondylar Spine/tubrst Fracture Knee	1	$7,819.40	$7,819.40	$7,819.40	nat. median $4,758 1.6× median
27027 OTHER	Decompression Fasciotomy Pelvic Compartment Uni	1	$7,143.73	$8,451.30	$7,797.51	nat. median $5,820 1.3× median
30465 OTHER	Repair Nasal Vestibular Stenosis	1	$5,915.66	$9,609.90	$7,762.78	nat. median $5,938 1.3× median
27822 OTHER	Open Tx Trimalleolar Ankle Fx Without Fixj Pst Lip	1	$7,143.73	$8,304.50	$7,724.11	nat. median $6,902 1.1× median
19325 OTHER	Mammaplasty Augmentation W/prosthetic Implant	1	$5,870.50	$9,569.05	$7,719.77	nat. median $8,060 1.0× median
23412 OTHER	Open Repair Of Rotator Cuff Chronic	1	$7,143.73	$8,166.60	$7,655.16	nat. median $7,029 1.1× median
29867 OTHER	Arthroscopy Knee Osteochondral Allograft	1	$2,219.80	$12,866.82	$7,543.31	nat. median $10,318 0.7× median
23410 OTHER	Open Repair Of Rotator Cuff Acute	1	$7,143.73	$7,857.90	$7,500.81	nat. median $6,535 1.1× median
57289 OTHER	Pereyra Px W/anterior Colporrhaphy	1	$7,394.81	$7,513.50	$7,454.16	nat. median $5,800 1.3× median
64912 OTHER	Nerve Repair W/nerve Allograft First Strand	1	$6,404.07	$8,483.10	$7,443.59	nat. median $6,133 1.2× median
27848 OTHER	Optx Ankle Dislocation W/repair/int/xtrnl Fixj	1	$7,143.73	$7,619.00	$7,381.36	nat. median $4,791 1.5× median
24342 OTHER	Rinsj Rptd Biceps/triceps Tdn Dstl W/wo Tdn Grf	1	$7,143.73	$7,433.20	$7,288.47	nat. median $6,906 1.1× median
27832 OTHER	Open Tx Prox Tibfib Joint Dislocate Exc Prox Fib	1	$7,143.73	$7,298.70	$7,221.22	nat. median $5,624 1.3× median
22842 OTHER	Posterior Segmental Instrumentation 3-6 Vrt Seg	1	$7,215.30	$7,215.30	$7,215.30	nat. median $793 outlier · 9.1×
28750 OTHER	Arthrodesis Great Toe Metatarsophalangeal Joint	1	$7,143.73	$7,279.80	$7,211.76	nat. median $7,134 1.0× median
27524 OTHER	Optx Patllr Fx W/int Fixj/patllc&soft Tiss Rpr	1	$7,143.73	$7,235.00	$7,189.36	nat. median $6,936 1.0× median
24341 OTHER	Repair Tendon/muscle Upper Arm/elbow Ea	1	$7,143.73	$7,211.00	$7,177.36	nat. median $6,577 1.1× median
62380 OTHER	Ndsc Dcmprn Spinal Cord 1 W/lamot Ntrspc Lumbar	1	$7,143.73	$7,143.73	$7,143.73	nat. median $7,404 1.0× median
23430 OTHER	Tenodesis Long Tendon Biceps	1	$7,140.20	$7,143.73	$7,141.97	nat. median $7,087 1.0× median
22840 OTHER	Posterior Non-segmental Instrumentation	1	$7,129.80	$7,129.80	$7,129.80	nat. median $1,006 outlier · 7.1×
20932 OTHER	Osteoarticular Allograft W/articular Surf & Bone	1	$7,118.00	$7,118.00	$7,118.00	nat. median $814 outlier · 8.7×
25628 OTHER	Open Tx Carpal Scaphoid Navicular Fracture	1	$6,936.30	$7,143.73	$7,040.01	nat. median $6,701 1.1× median
23515 OTHER	Open Tx Clavicular Fracture Internal Fixation	1	$6,924.10	$7,143.73	$7,033.91	nat. median $7,171 1.0× median

Other procedures at this hospital

Browse this hospital's 1,085 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

43644	OTHER	Laps Gstr Rstcv Px W/byp Roux-en-y Limb <150 Cm	1	1	$85,969.68	$77,372.71	$6,498.60	$6,498.60	$6,498.60	2026-05-23
63047	OTHER	Lam Facetectomy & Foramotomy 1 Segment Lumbar	2	1	$74,879.00	$67,391.10	$603.20	$7,143.73	$3,873.47	2026-05-23
63685	OTHER	Insj/rplcmt Spi Npgr Dir/induxive Coupling	2	1	$71,440.00	$64,296.00	$3,230.90	$30,473.59	$16,852.24	2026-05-23
63030	OTHER	Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr	2	1	$64,448.00	$58,003.20	$7,143.73	$8,777.00	$7,960.36	2026-05-23
27535	OTHER	Open Tx Tibial Fracture Proximal Unicondylar	1	1	$64,372.00	$57,934.80	$8,555.40	$8,555.40	$8,555.40	2026-05-23
63035	OTHER	Lamnotmy W/dcmprsn Nrv Each Addl Crvcl/lmbr	1	1	$56,240.00	$50,616.00	$2,198.10	$2,198.10	$2,198.10	2026-05-23
27823	OTHER	Open Tx Trimalleolar Ankle Fx W/fixj Pst Lip	2	1	$55,480.00	$49,932.00	$7,143.73	$9,361.90	$8,252.81	2026-05-23
28415	OTHER	Open Treatment Calcaneal Fracture	2	1	$54,340.00	$48,906.00	$686.80	$7,143.73	$3,915.26	2026-05-23
47563	OTHER	Laparoscopy Surg Cholecystectomy	2	1	$52,820.00	$47,538.00	$5,834.36	$6,860.50	$6,347.43	2026-05-23
47562	OTHER	Laparoscopy Surg Cholecystectomy	2	1	$52,440.00	$47,196.00	$5,834.36	$6,308.80	$6,071.58	2026-05-23
23515	OTHER	Open Tx Clavicular Fracture Internal Fixation	2	1	$50,692.00	$45,622.80	$6,924.10	$7,143.73	$7,033.91	2026-05-23
25609	OTHER	Optx Dstl Radl I-artic Fx/epiphysl Sep 3 Frag	2	1	$49,400.00	$44,460.00	$113.20	$7,143.73	$3,628.46	2026-05-23
30620	OTHER	Septal/other Intranasal Dermatoplasty	2	1	$46,489.20	$41,840.28	$5,915.66	$6,247.50	$6,081.58	2026-05-23
63016	OTHER	Laminectomy Without Ffd > 2 Vert Seg Thoracic	2	1	$46,247.52	$41,622.77	$4,614.30	$7,143.73	$5,879.01	2026-05-23
22558	OTHER	Arthrodesis Anterior Interbody Lumbar	1	1	$45,600.00	$41,040.00	$4,548.40	$4,548.40	$4,548.40	2026-05-23
27822	OTHER	Open Tx Trimalleolar Ankle Fx Without Fixj Pst Lip	2	1	$43,601.20	$39,241.08	$7,143.73	$8,304.50	$7,724.11	2026-05-23
27235	OTHER	Prq Skel Fixj Femoral Fx Prox End Neck	2	1	$42,936.96	$38,643.26	$7,143.73	$8,673.90	$7,908.81	2026-05-23
28116	OTHER	Ostectomy Tarsal Coalition	2	1	$42,575.20	$38,317.68	$3,244.61	$6,408.10	$4,826.36	2026-05-23
44970	OTHER	Laparoscopic Appendectomy	2	1	$42,408.00	$38,167.20	$5,750.70	$5,834.36	$5,792.53	2026-05-23
50955	OTHER	Ureteral Endoscopy Via Ureterostomy W/biopsy	2	1	$42,335.04	$38,101.54	$4,063.20	$5,083.62	$4,573.41	2026-05-23
30462	OTHER	Rhinp Dfrm Colum Lngth Tip Septum Osteot	2	1	$41,733.12	$37,559.81	$5,010.80	$5,915.66	$5,463.23	2026-05-23
29888	OTHER	Arthrs Aided Ant Cruciate Ligm Rpr/agmntj/rcnstj	2	1	$41,496.00	$37,346.40	$7,143.73	$9,292.70	$8,218.22	2026-05-23
54417	OTHER	Rmvl & Rplcmt Penile Prosthesis Infected Field	2	1	$40,813.90	$36,732.51	$8,541.90	$12,992.42	$10,767.16	2026-05-23
23412	OTHER	Open Repair Of Rotator Cuff Chronic	2	1	$40,660.00	$36,594.00	$7,143.73	$8,166.60	$7,655.16	2026-05-23
24685	OTHER	Open Treatment Ulnar Fracture Proximal End	2	1	$40,470.00	$36,423.00	$6,299.30	$7,143.73	$6,721.51	2026-05-23
22856	OTHER	Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv	2	1	$39,330.00	$35,397.00	$5,492.80	$18,390.05	$11,941.42	2026-05-23
22514	OTHER	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Lmbr	2	1	$38,532.00	$34,678.80	$7,143.73	$9,109.00	$8,126.36	2026-05-23
29880	OTHER	Arthrs Knee W/meniscectomy Med&lat W/shaving	2	1	$37,525.00	$33,772.50	$3,244.61	$5,402.20	$4,323.40	2026-05-23
23430	OTHER	Tenodesis Long Tendon Biceps	2	1	$37,240.00	$33,516.00	$7,140.20	$7,143.73	$7,141.97	2026-05-23
63688	OTHER	Revj/rmvl Implanted Spinal Neurostim Generator	2	1	$36,556.00	$32,900.40	$2,855.50	$3,439.01	$3,147.26	2026-05-23
20900	OTHER	Bone Graft Any Donor Area Minor/small	2	1	$35,644.00	$32,079.60	$3,536.30	$7,143.73	$5,340.01	2026-05-23
23550	OTHER	Open Tx Acromioclavicular Dislc Acute/chronic	2	1	$35,492.00	$31,942.80	$5,506.60	$7,143.73	$6,325.16	2026-05-23
57289	OTHER	Pereyra Px W/anterior Colporrhaphy	2	1	$35,449.44	$31,904.50	$7,394.81	$7,513.50	$7,454.16	2026-05-23
29881	OTHER	Arthrs Kne Surg W/meniscectomy Med/lat W/shvg	2	1	$35,131.00	$31,617.90	$3,244.61	$5,206.50	$4,225.56	2026-05-23
15825	OTHER	Rhytidectomy Neck W/platysmal Tightening	1	1	$35,112.00	$31,600.80	$3,660.97	$3,660.97	$3,660.97	2026-05-23
22556	OTHER	Arthrd Ant Min Discectomy Interbody Thoracic	1	1	$34,800.40	$31,320.36	$6,096.50	$6,096.50	$6,096.50	2026-05-23
59409	OTHER	Obstetrical Care	2	1	$33,960.60	$30,564.54	$3,179.53	$7,575.00	$5,377.26	2026-05-23
27280	OTHER	Arthrodesis Sacroiliac Joint W/obtaining Graft	1	1	$33,744.00	$30,369.60	$3,026.30	$3,026.30	$3,026.30	2026-05-23
30435	OTHER	Rhinoplasty Secondary Intermediate Revision	2	1	$33,687.00	$30,318.30	$2,494.10	$5,915.66	$4,204.88	2026-05-23
23552	OTHER	Optx Acromclav Dislc Acute/chronic W/fascial Grf	2	1	$33,516.00	$30,164.40	$6,215.70	$7,143.73	$6,679.72	2026-05-23
63650	OTHER	Prq Impltj Nstim Electrode Array Epidural	2	1	$33,440.00	$30,096.00	$225.40	$6,562.90	$3,394.15	2026-05-23
27687	OTHER	Gastrocnemius Recession	2	1	$32,961.20	$29,665.08	$3,244.61	$4,368.80	$3,806.70	2026-05-23
11771	OTHER	Remove Pilonidal Cyst/sinus Exten	2	1	$32,756.00	$29,480.40	$2,862.05	$5,874.50	$4,368.27	2026-05-23
30450	OTHER	Rhinoplasty Secondary Major Revision	2	1	$32,604.00	$29,343.60	$5,915.66	$6,400.10	$6,157.88	2026-05-23
23020	OTHER	Capsular Contracture Release	2	1	$32,300.00	$29,070.00	$3,244.61	$6,646.20	$4,945.40	2026-05-23
22513	OTHER	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulation	2	1	$31,920.00	$28,728.00	$7,143.73	$9,349.60	$8,246.67	2026-05-23
27827	OTHER	Open Treatment Fracture Distal Tibia Only	2	1	$31,920.00	$28,728.00	$667.10	$12,866.82	$6,766.96	2026-05-23
63056	OTHER	Transpedicular Dcmprn Spinal Cord 1 Seg Lumbar	2	1	$31,864.00	$28,677.60	$4,219.90	$7,143.73	$5,681.81	2026-05-23
29898	OTHER	Arthroscopy Ankle Surgical Debridement Extensive	2	1	$31,616.00	$28,454.40	$3,244.61	$5,370.60	$4,307.61	2026-05-23
44208	OTHER	Laps Colectmy Prtl W/colopxtstmy Lw Anast W/clst	1	1	$31,477.30	$28,329.57	$8,533.40	$8,533.40	$8,533.40	2026-05-23
27650	OTHER	Repair Primary Open/prq Ruptured Achilles Tendon	2	1	$31,266.40	$28,139.76	$6,321.20	$7,143.73	$6,732.47	2026-05-23
28750	OTHER	Arthrodesis Great Toe Metatarsophalangeal Joint	2	1	$30,780.00	$27,702.00	$7,143.73	$7,279.80	$7,211.76	2026-05-23
22515	OTHER	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Each	1	1	$30,780.00	$27,702.00	$5,173.40	$5,173.40	$5,173.40	2026-05-23
25575	OTHER	Open Tx Radial&ulnar Shaft Fx W/fixj Radius&ulna	2	1	$30,747.70	$27,672.93	$7,143.73	$8,689.40	$7,916.56	2026-05-23
28035	OTHER	Release Tarsal Tunnel	2	1	$30,552.00	$27,496.80	$1,952.77	$4,981.50	$3,467.14	2026-05-23
14001	OTHER	Adjt Tis Reargmt Eye/nose/ear/lip 10.1-30.0 Sqcm	2	1	$30,172.00	$27,154.80	$1,829.23	$7,660.80	$4,745.01	2026-05-23
22551	OTHER	Arthrd Ant Interbody Decompress Cervical Belw C2	2	1	$30,020.00	$27,018.00	$6,231.20	$12,866.82	$9,549.01	2026-05-23
24342	OTHER	Rinsj Rptd Biceps/triceps Tdn Dstl W/wo Tdn Grf	2	1	$29,640.00	$26,676.00	$7,143.73	$7,433.20	$7,288.47	2026-05-23
29822	OTHER	Arthroscopy Shoulder Surg Debridement Limited	2	1	$29,548.80	$26,593.92	$3,244.61	$5,212.70	$4,228.65	2026-05-23
22853	OTHER	Insj Biomchn Dev Intervertebral Dsc Spc W/arthrd	1	1	$29,412.00	$26,470.80	$2,436.80	$2,436.80	$2,436.80	2026-05-23
11626	OTHER	Exc S/n/h/f/g Mal+mrg >4 Cm	2	1	$29,129.28	$26,216.35	$2,862.05	$3,811.60	$3,336.82	2026-05-23
27540	OTHER	Open Tx Intercondylar Spine/tubrst Fracture Knee	1	1	$28,842.00	$25,957.80	$7,819.40	$7,819.40	$7,819.40	2026-05-23
45915	OTHER	Rmvl Fecal Impaction/fb Spx Under Anes	2	1	$28,690.00	$25,821.00	$1,179.08	$3,322.30	$2,250.69	2026-05-23
28060	OTHER	Fasciectomy Plantar Fascia Partial Spx	2	1	$28,652.00	$25,786.80	$3,244.61	$4,822.80	$4,033.70	2026-05-23
15830	OTHER	Excision Skin Abd Infraumbilical Panniculectomy	2	1	$28,614.00	$25,752.60	$1,171.40	$6,521.46	$3,846.43	2026-05-23
29876	OTHER	Arthroscopy Knee Synovectomy 2/>compartments	2	1	$27,778.00	$25,000.20	$3,244.61	$6,274.20	$4,759.40	2026-05-23
19300	OTHER	Mastectomy Gynecomastia	2	1	$27,702.00	$24,931.80	$3,829.28	$5,421.10	$4,625.19	2026-05-23
29823	OTHER	Arthroscopy Shoulder Surg Debridement Extensive	2	1	$27,246.00	$24,521.40	$3,244.61	$5,690.60	$4,467.61	2026-05-23
63051	OTHER	Lamoplasty Cervical Dcmprn Cord 2/> Seg Rcnstj	1	1	$27,170.00	$24,453.00	$6,142.10	$6,142.10	$6,142.10	2026-05-23
26562	OTHER	Repair Syndactyly Each Space Complex	2	1	$27,018.00	$24,316.20	$3,049.50	$3,244.61	$3,147.06	2026-05-23
45563	OTHER	Expl Rpr & Presacral DRG Rectal Inj W/colostomy	1	1	$26,495.50	$23,845.95	$5,716.90	$5,716.90	$5,716.90	2026-05-23
28299	OTHER	Corrj Hallux Valgus W/sesmdc W/2 Osteot	2	1	$26,231.40	$23,608.26	$7,143.73	$9,368.50	$8,256.11	2026-05-23
30520	OTHER	Septoplasty/submucous Resecj W/wo Cartilage Grf	2	1	$25,862.80	$23,276.52	$3,243.07	$6,298.80	$4,770.94	2026-05-23
30410	OTHER	Rhinp Prim Complete Xtrnl Parts	2	1	$25,840.00	$23,256.00	$3,209.70	$5,915.66	$4,562.68	2026-05-23
30140	OTHER	Submucous Rescj Inferior Turbinate Prtl/compl	2	1	$25,840.00	$23,256.00	$2,769.30	$3,243.07	$3,006.19	2026-05-23
57800	OTHER	Dilation Cervical Canal Instrumental Spx	2	1	$25,353.60	$22,818.24	$722.40	$3,179.53	$1,950.97	2026-05-23
62380	OTHER	Ndsc Dcmprn Spinal Cord 1 W/lamot Ntrspc Lumbar	1	1	$25,214.00	$22,692.60	$7,143.73	$7,143.73	$7,143.73	2026-05-23
26615	OTHER	Open Tx Metacarpal Fracture Single Ea Bone	2	1	$25,123.70	$22,611.33	$3,244.61	$5,571.20	$4,407.90	2026-05-23
15836	OTHER	Excision Excessive Skin Arm	2	1	$25,080.00	$22,572.00	$2,862.05	$7,591.40	$5,226.73	2026-05-23
62100	OTHER	Crx Rpr Dural/csf Leak Rhinorrhea/otorrhea	1	1	$25,030.60	$22,527.54	$5,026.70	$5,026.70	$5,026.70	2026-05-23
19316	OTHER	Mastopexy	2	1	$24,624.00	$22,161.60	$6,521.46	$7,544.20	$7,032.83	2026-05-23
50592	OTHER	Abltj 1/> Renal Tumor Prq Uni Radiofrequency	2	1	$24,426.00	$21,983.40	$4,397.00	$5,834.36	$5,115.68	2026-05-23
20932	OTHER	Osteoarticular Allograft W/articular Surf & Bone	1	1	$24,225.00	$21,802.50	$7,118.00	$7,118.00	$7,118.00	2026-05-23
63050	OTHER	Laminectomy Cerv 2 Or More Vert Seg	1	1	$23,940.00	$21,546.00	$4,206.10	$4,206.10	$4,206.10	2026-05-23
29805	OTHER	Arthroscopy Shoulder Diagnostic With Or Without Synovial Biopsy (separate Proced…	2	1	$23,940.00	$21,546.00	$3,244.61	$4,532.30	$3,888.45	2026-05-23
27602	OTHER	Dcmprn Fasct Leg Ant&/lat&pst Cmprt	2	1	$23,826.00	$21,443.40	$3,244.61	$4,512.70	$3,878.65	2026-05-23
28208	OTHER	Repair Tendon Extensor Foot 1/2 Each Tendon	2	1	$23,826.00	$21,443.40	$3,244.61	$4,492.30	$3,868.45	2026-05-23
62287	OTHER	Dcmprn Perq Nucleus Pulposus 1/> Levels Lumbar	2	1	$23,680.00	$21,312.00	$1,952.77	$5,702.20	$3,827.48	2026-05-23
30420	OTHER	Rhinoplasty Primary W/major Septal Repair	2	1	$23,679.70	$21,311.73	$3,515.30	$5,915.66	$4,715.48	2026-05-23
37248	OTHER	Trlml Balo Angiop Open/perq W/img S&i 1st Vein	2	1	$23,572.00	$21,214.80	$1,826.20	$5,701.52	$3,763.86	2026-05-23
32110	OTHER	Thorcom Ctrl Traumtc Hemrrg&/rpr Lng Tear	1	1	$23,259.80	$20,933.82	$3,923.90	$3,923.90	$3,923.90	2026-05-23
11011	OTHER	Debride Skin Musc At Fx Site	2	1	$23,119.20	$20,807.28	$703.59	$4,657.30	$2,680.45	2026-05-23
64721	OTHER	Neuroplasty &/transpos Median Nrv Carpal Tunne	2	1	$23,104.00	$20,793.60	$1,952.77	$4,278.70	$3,115.73	2026-05-23
31201	OTHER	Ethmoidectomy Intranasal Total	2	1	$23,078.16	$20,770.34	$1,481.28	$7,298.30	$4,389.79	2026-05-23
28445	OTHER	Open Treatment Talus Fracture	2	1	$22,971.00	$20,673.90	$7,143.73	$9,994.40	$8,569.06	2026-05-23
27766	OTHER	Open Treatment Medial Malleolus Fracture	2	1	$22,971.00	$20,673.90	$5,820.70	$7,143.73	$6,482.22	2026-05-23
22612	OTHER	Arthrodesis Posterior/posterolateral Lumbar	2	1	$22,800.00	$20,520.00	$5,076.50	$18,390.05	$11,733.27	2026-05-23
24341	OTHER	Repair Tendon/muscle Upper Arm/elbow Ea	2	1	$22,800.00	$20,520.00	$7,143.73	$7,211.00	$7,177.36	2026-05-23
11770	OTHER	Remove Pilonidal Cyst/sinus Simple	2	1	$22,800.00	$20,520.00	$2,862.05	$3,233.40	$3,047.73	2026-05-23
27415	OTHER	Osteochondral Allograft Knee Open	2	1	$22,765.80	$20,489.22	$3,103.20	$12,866.82	$7,985.01	2026-05-23
22552	OTHER	Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc	1	1	$22,648.00	$20,383.20	$3,748.70	$3,748.70	$3,748.70	2026-05-23
29806	OTHER	Arthroscopy Shoulder Surgical Capsulorrhaphy	2	1	$22,496.00	$20,246.40	$107.50	$7,143.73	$3,625.61	2026-05-23
28110	OTHER	Ostectomy Prtl 5th Metar Head Spx	2	1	$22,420.00	$20,178.00	$3,244.61	$4,313.10	$3,778.86	2026-05-23
12020	OTHER	Closure Of Split Wound	2	1	$22,347.80	$20,113.02	$612.13	$2,790.90	$1,701.51	2026-05-23
25515	OTHER	Open Treatment Radial Shaft Fracture	2	1	$22,138.80	$19,924.92	$6,468.70	$7,143.73	$6,806.22	2026-05-23
23930	OTHER	I&d Upper Arm/elbow Deep Abscess/hematoma	2	1	$22,116.00	$19,904.40	$2,862.05	$3,346.10	$3,104.07	2026-05-23
69300	OTHER	Otoplasty Protruding Ear	2	1	$22,114.10	$19,902.69	$3,243.07	$6,071.90	$4,657.48	2026-05-23
20902	OTHER	Bone Graft Any Donor Area Major/large	2	1	$21,888.00	$19,699.20	$2,594.30	$7,143.73	$4,869.01	2026-05-23
27524	OTHER	Optx Patllr Fx W/int Fixj/patllc&soft Tiss Rpr	2	1	$21,774.00	$19,596.60	$7,143.73	$7,235.00	$7,189.36	2026-05-23
21235	OTHER	Graft Ear Crtlg Autogenous Nose/ear	2	1	$21,432.00	$19,288.80	$5,915.66	$6,918.80	$6,417.23	2026-05-23
23410	OTHER	Open Repair Of Rotator Cuff Acute	2	1	$21,280.00	$19,152.00	$7,143.73	$7,857.90	$7,500.81	2026-05-23
11406	OTHER	Exc Tr-ext B9+marg >4.0 Cm	2	1	$20,976.00	$18,878.40	$1,620.24	$3,007.00	$2,313.62	2026-05-23
29856	OTHER	Arthrs Aid Tibial Fx Prox Unicondylar Bicondylar	2	1	$20,782.20	$18,703.98	$9,502.50	$12,866.82	$11,184.66	2026-05-23
22630	OTHER	Arthrodesis Posterior Interbody Lumbar	2	1	$20,748.00	$18,673.20	$4,958.00	$18,390.05	$11,674.02	2026-05-23
37187	OTHER	Prq Transluminal Mechanical Thrombectomy Vein	2	1	$20,710.00	$18,639.00	$4,772.60	$11,340.57	$8,056.59	2026-05-23
15877	OTHER	Suction Assisted Lipectomy Trunk	1	1	$20,520.00	$18,468.00	$3,660.97	$3,660.97	$3,660.97	2026-05-23
23655	OTHER	Clsd Tx Shoulder Dislc W/manipulation Req Anes	2	1	$20,444.00	$18,399.60	$1,600.41	$3,960.20	$2,780.31	2026-05-23
27848	OTHER	Optx Ankle Dislocation W/repair/int/xtrnl Fixj	2	1	$20,314.80	$18,283.32	$7,143.73	$7,619.00	$7,381.36	2026-05-23
19325	OTHER	Mammaplasty Augmentation W/prosthetic Implant	2	1	$20,292.00	$18,262.80	$5,870.50	$9,569.05	$7,719.77	2026-05-23
62005	OTHER	Elvtn Deprs Skl Fx Compound/commind Xdrl	1	1	$20,109.60	$18,098.64	$2,242.70	$2,242.70	$2,242.70	2026-05-23
30430	OTHER	Rhinoplasty Secondary Minor Revision	2	1	$19,950.00	$17,955.00	$5,915.66	$9,968.70	$7,942.18	2026-05-23
63042	OTHER	Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Lumbar	2	1	$19,836.00	$17,852.40	$2,376.20	$7,143.73	$4,759.97	2026-05-23
Metlyte8	OTHER	Open Treatment Of The Distal Tibiofibular Joint (syndesmosis), Including Interna…	2	1	$19,608.00	$17,647.20	$6,722.80	$7,143.73	$6,933.26	2026-05-23
63046	OTHER	Lam Facetectomy & Foramotomy 1 Segment Thoracic	2	1	$19,494.00	$17,544.60	$1,789.00	$7,143.73	$4,466.36	2026-05-23
26735	OTHER	Open Tx Phalangeal Shaft Fracture Prox/middle Ea	2	1	$19,380.00	$17,442.00	$3,244.61	$5,751.40	$4,498.01	2026-05-23
29871	OTHER	Arthroscopy Knee Infection Lavage & Drainage	2	1	$19,152.00	$17,236.80	$3,244.61	$4,965.30	$4,104.95	2026-05-23
26665	OTHER	Open Tx Carpometacarpal Fracture Dislocate Thumb	2	1	$18,901.20	$17,011.08	$3,244.61	$6,066.50	$4,655.56	2026-05-23
21490	OTHER	Open Treatment Temporomandibular Dislocation	2	1	$18,810.00	$16,929.00	$3,243.07	$7,598.80	$5,420.93	2026-05-23
31200	OTHER	Ethmoidectomy Intranasal Anterior	2	1	$18,595.68	$16,736.11	$5,812.00	$5,915.66	$5,863.83	2026-05-23
22840	OTHER	Posterior Non-segmental Instrumentation	1	1	$18,240.00	$16,416.00	$7,129.80	$7,129.80	$7,129.80	2026-05-23
23415	OTHER	Coracoacromial Ligament Releas W/woacromioplasty	2	1	$18,240.00	$16,416.00	$6,738.70	$7,143.73	$6,941.22	2026-05-23
11772	OTHER	Remove Pilonidal Cyst/sinus Complex	2	1	$18,240.00	$16,416.00	$2,862.05	$7,207.20	$5,034.62	2026-05-23
38232	OTHER	Bone Marrow Harvest Transplantation Autologous	2	1	$18,240.00	$16,416.00	$1,763.30	$4,685.17	$3,224.23	2026-05-23
64585	OTHER	Revj/rmvl Peripheral Neurostimulator Electrode	2	1	$18,190.60	$16,371.54	$2,231.20	$3,439.01	$2,835.11	2026-05-23
28296	OTHER	Corrj Hallux Valgus W/sesmdc W/dist Metar Osteot	2	1	$18,050.00	$16,245.00	$3,244.61	$8,186.30	$5,715.45	2026-05-23
63045	OTHER	Lam Facetectomy & Foramotomy 1 Segment Cervical	2	1	$18,034.80	$16,231.32	$2,340.40	$7,143.73	$4,742.07	2026-05-23
25628	OTHER	Open Tx Carpal Scaphoid Navicular Fracture	2	1	$18,023.40	$16,221.06	$6,936.30	$7,143.73	$7,040.01	2026-05-23
28485	OTHER	Open Treatment Metatarsal Fracture Each	2	1	$17,556.00	$15,800.40	$5,383.50	$7,143.73	$6,263.61	2026-05-23
30465	OTHER	Repair Nasal Vestibular Stenosis	2	1	$17,499.00	$15,749.10	$5,915.66	$9,609.90	$7,762.78	2026-05-23
63020	OTHER	Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Cervc	2	1	$17,210.20	$15,489.18	$561.20	$7,143.73	$3,852.47	2026-05-23
27514	OTHER	Open Tx Femoral Fracture Distal Med/lat Condyle	1	1	$17,100.00	$15,390.00	$9,211.50	$9,211.50	$9,211.50	2026-05-23
20912	OTHER	Cartilage Graft Nasal Septum	2	1	$16,530.00	$14,877.00	$3,660.97	$4,593.90	$4,127.43	2026-05-23
63048	OTHER	Lam Facetectomy&foramtomy 1 Sgm Ea Crv Thrc/lmbr	1	1	$16,416.00	$14,774.40	$1,992.70	$1,992.70	$1,992.70	2026-05-23
20680	OTHER	Removal Implant Deep	2	1	$16,188.00	$14,569.20	$2,862.05	$5,610.60	$4,236.33	2026-05-23
29870	OTHER	Arthroscopy Knee Diagnostic With Or Without Synovial Biopsy (separate Procedure)	2	1	$16,131.00	$14,517.90	$3,244.61	$5,273.00	$4,258.81	2026-05-23
15769	OTHER	Grafting Autologous Tissue Harvested By Direct Incision	2	1	$15,964.56	$14,368.10	$3,660.97	$4,574.20	$4,117.59	2026-05-23
69990	OTHER	Microsurg Tqs Req Use Operating Microscope	1	1	$15,960.00	$14,364.00	$2,058.80	$2,058.80	$2,058.80	2026-05-23
44021	OTHER	Enterotomy Small Intestine Other Than Duodenum For Decom	1	1	$15,580.00	$14,022.00	$9,265.90	$9,265.90	$9,265.90	2026-05-23
27818	OTHER	Closed Treatment Of Trimalleolar Ankle Fracture; With Manipulation	2	1	$15,428.00	$13,885.20	$1,600.41	$4,816.70	$3,208.56	2026-05-23
25028	OTHER	I&d Forearm&/wrist Deep Abscess/hematoma	2	1	$15,048.00	$13,543.20	$3,244.61	$6,444.00	$4,844.31	2026-05-23
23030	OTHER	I&d Shoulder Deep Abscess/hematoma	2	1	$15,048.00	$13,543.20	$2,862.05	$4,088.10	$3,475.07	2026-05-23
12053	OTHER	Intmd Rpr Face/mm 5.1-7.5 Cm	2	1	$15,010.00	$13,509.00	$399.53	$3,365.50	$1,882.52	2026-05-23
27006	OTHER	Tenotomy Abductors&/extensor Hip Open Spx	2	1	$14,991.00	$13,491.90	$3,244.61	$6,850.40	$5,047.51	2026-05-23
11044	OTHER	Debridement Bone Muscle &/fascia 20 Sq Cm/<	2	1	$14,972.00	$13,474.80	$1,620.24	$2,916.50	$2,268.37	2026-05-23
27310	OTHER	Arthrt Kne W/expl Drg/rmvl Fb	2	1	$14,897.90	$13,408.11	$3,244.61	$7,042.30	$5,143.45	2026-05-23
36558	OTHER	Insert Tunneled Cv Cath	2	1	$14,896.00	$13,406.40	$3,147.50	$7,287.20	$5,217.35	2026-05-23
15770	OTHER	Blepharoplasty Lower Eyelid Herniated Fat Pad	2	1	$14,820.00	$13,338.00	$3,660.97	$6,408.30	$5,034.64	2026-05-23
27301	OTHER	I&d Deep Absc Bursa/hematoma Thigh/knee Region	2	1	$14,820.00	$13,338.00	$2,862.05	$6,351.30	$4,606.68	2026-05-23
25040	OTHER	Arthrt Rdcrpl/midcarpl Jt W/expl Drg/rmvl Fb	2	1	$14,820.00	$13,338.00	$3,244.61	$5,401.10	$4,322.86	2026-05-23
29893	OTHER	Endoscopic Plantar Fasciotomy	2	1	$14,816.20	$13,334.58	$3,244.61	$6,202.60	$4,723.61	2026-05-23
64704	OTHER	Neuroplasty Nerve Hand/foot	2	1	$14,782.00	$13,303.80	$1,952.77	$3,119.80	$2,536.28	2026-05-23
27601	OTHER	Dcmprn Fasct Leg Post Compartment Only	2	1	$14,774.40	$13,296.96	$3,244.61	$4,193.50	$3,719.06	2026-05-23
29873	OTHER	Arthroscopy Knee Lateral Release	2	1	$14,763.00	$13,286.70	$3,244.61	$5,171.60	$4,208.11	2026-05-23
27810	OTHER	Closed Tx Bimalleolar Ankle Fracture W/manj	2	1	$14,516.00	$13,064.40	$1,600.41	$4,633.20	$3,116.81	2026-05-23
28043	OTHER	Excision Tumor Soft Tissue Foot/toe Subq <1.5cm	2	1	$14,516.00	$13,064.40	$1,620.24	$3,553.80	$2,587.02	2026-05-23
29824	OTHER	Arthroscopy Shoulder Distal Claviculectomy	2	1	$14,371.60	$12,934.44	$3,244.61	$6,502.30	$4,873.45	2026-05-23
20525	OTHER	Rmvl Foreign Body Muscle/tendon Sheath Deep/comp	2	1	$14,364.00	$12,927.60	$2,862.05	$4,334.00	$3,598.03	2026-05-23
22845	OTHER	Anterior Instrumentation 2-3 Vertebral Segments	1	1	$14,212.00	$12,790.80	$6,862.50	$6,862.50	$6,862.50	2026-05-23
27832	OTHER	Open Tx Prox Tibfib Joint Dislocate Exc Prox Fib	2	1	$14,015.16	$12,613.64	$7,143.73	$7,298.70	$7,221.22	2026-05-23
29894	OTHER	Arthroscopy Ankle W/removal Loose/foreign Body	2	1	$13,965.00	$12,568.50	$3,244.61	$4,855.20	$4,049.90	2026-05-23
63081	OTHER	Vertebral Corpectomy Ant Dcmprn Cervical 1 Seg	1	1	$13,930.80	$12,537.72	$6,839.20	$6,839.20	$6,839.20	2026-05-23
64708	OTHER	Neurp Major Prph Nrv Arm/leg Opn Oth/thn Spec	2	1	$13,908.00	$12,517.20	$1,952.77	$4,850.90	$3,401.84	2026-05-23
23700	OTHER	Manj W/anes Shoulder Joint W/fixation Apparatus	2	1	$13,908.00	$12,517.20	$1,600.41	$1,884.10	$1,742.26	2026-05-23
30400	OTHER	Rhinp Prim Lat&alar Crtlgs&/elvtn Nasal Ti	2	1	$13,894.70	$12,505.23	$1,441.10	$5,915.66	$3,678.38	2026-05-23
63655	OTHER	Lam Impltj Nstim Eltrds Plate/paddle Edrl	2	1	$13,775.00	$12,397.50	$8,070.20	$21,444.39	$14,757.29	2026-05-23
25652	OTHER	Open Treatment Ulnar Styloid Fracture	2	1	$13,680.00	$12,312.00	$6,034.30	$7,143.73	$6,589.01	2026-05-23
29827	OTHER	Arthroscopy Shoulder Rotator Cuff Repair	2	1	$13,653.40	$12,288.06	$191.80	$7,143.73	$3,667.76	2026-05-23
27600	OTHER	Dcmprn Fasct Leg Ant&/lat Compartments Only	2	1	$13,623.00	$12,260.70	$3,244.61	$3,829.00	$3,536.81	2026-05-23
22614	OTHER	Arthrodesis Posterior/posterolateral Ea Addl	1	1	$13,545.48	$12,190.93	$3,701.80	$3,701.80	$3,701.80	2026-05-23
10180	OTHER	I & D Complex Postop	2	1	$13,516.60	$12,164.94	$2,457.00	$2,862.05	$2,659.53	2026-05-23
25605	OTHER	Treat Fracture Radius/ulna	2	1	$13,452.00	$12,106.80	$1,600.41	$5,269.50	$3,434.95	2026-05-23
15822	OTHER	Blepharoplasty Upper Eyelid	2	1	$13,452.00	$12,106.80	$1,829.23	$4,298.70	$3,063.97	2026-05-23
20690	OTHER	Application Uniplane External Fixation System	2	1	$13,338.00	$12,004.20	$5,716.40	$7,143.73	$6,430.06	2026-05-23
27509	OTHER	Prq Skeletal Fixj Femoral Fx Distal	2	1	$13,313.30	$11,981.97	$6,469.50	$7,143.73	$6,806.61	2026-05-23
24110	OTHER	Excision/curtg Bone Cyst/benign Tumor Humerus	2	1	$13,262.76	$11,936.48	$3,244.61	$5,707.90	$4,476.26	2026-05-23
22632	OTHER	Arthrodesis Posterior Interbody Ea Addl	1	1	$13,224.00	$11,901.60	$3,033.20	$3,033.20	$3,033.20	2026-05-23
24105	OTHER	Excision Olecranon Bursa	2	1	$13,051.10	$11,745.99	$3,244.61	$3,497.30	$3,370.95	2026-05-23
26070	OTHER	Arthrt Expl Drg/rmvl Loose/fb Carp/mtcrpl Jt	2	1	$12,988.40	$11,689.56	$1,600.41	$3,137.30	$2,368.86	2026-05-23
22842	OTHER	Posterior Segmental Instrumentation 3-6 Vrt Seg	1	1	$12,809.04	$11,528.14	$7,215.30	$7,215.30	$7,215.30	2026-05-23
26608	OTHER	Prq Skeletal Fixj Metacarpal Fx Each Bone	2	1	$12,800.30	$11,520.27	$3,244.61	$4,661.80	$3,953.20	2026-05-23
15839	OTHER	Excision Excessive Skin Submental Other Areas	2	1	$12,768.00	$11,491.20	$2,862.05	$8,442.40	$5,652.23	2026-05-23
28118	OTHER	Ostectomy Calcaneus	2	1	$12,654.00	$11,388.60	$3,244.61	$5,681.60	$4,463.11	2026-05-23
28008	OTHER	Fasciotomy Foot&/toe	2	1	$12,540.00	$11,286.00	$3,244.61	$3,992.80	$3,618.70	2026-05-23
25606	OTHER	Perq Skel Fixj Distal Radial Fx/epiphysl Sep	2	1	$12,524.80	$11,272.32	$3,244.61	$6,466.40	$4,855.51	2026-05-23
29867	OTHER	Arthroscopy Knee Osteochondral Allograft	2	1	$12,438.00	$11,194.20	$2,219.80	$12,866.82	$7,543.31	2026-05-23
24147	OTHER	Partial Excision Bone Olecranon Process	2	1	$12,410.80	$11,169.72	$3,244.61	$6,061.10	$4,652.86	2026-05-23
27603	OTHER	Incision & Drainage Leg/ankle Abscess/hematoma	2	1	$12,312.00	$11,080.80	$2,862.05	$4,885.90	$3,873.97	2026-05-23
25505	OTHER	Closed Tx Radial Shaft Fracture With Manipulation	2	1	$12,190.40	$10,971.36	$1,600.41	$4,962.40	$3,281.40	2026-05-23
27027	OTHER	Decompression Fasciotomy Pelvic Compartment Uni	2	1	$11,709.70	$10,538.73	$7,143.73	$8,451.30	$7,797.51	2026-05-23
64912	OTHER	Nerve Repair W/nerve Allograft First Strand	2	1	$11,609.76	$10,448.78	$6,404.07	$8,483.10	$7,443.59	2026-05-23
12054	OTHER	Intmd Rpr Face/mm 7.6-12.5cm	2	1	$11,324.00	$10,191.60	$399.53	$3,545.10	$1,972.31	2026-05-23
22854	OTHER	Insj Biomchn Dev Vrt Corpectomy Defect W/arthrd	1	1	$11,172.00	$10,054.80	$3,172.60	$3,172.60	$3,172.60	2026-05-23
15821	OTHER	Blepharoplasty Upper Eyelid	2	1	$10,944.00	$9,849.60	$1,829.23	$5,795.80	$3,812.52	2026-05-23
67900	OTHER	Repair Brow Ptosis	2	1	$10,450.00	$9,405.00	$2,332.96	$6,030.90	$4,181.93	2026-05-23
29828	OTHER	Arthroscopy Shoulder Biceps Tenodesis	2	1	$10,408.20	$9,367.38	$7,143.73	$8,753.30	$7,948.51	2026-05-23
26951	OTHER	Amp F/th 1/2 Jt/phalanx W/neurect W/dir Clsr	2	1	$10,375.90	$9,338.31	$3,244.61	$6,641.70	$4,943.15	2026-05-23
14301	OTHER	Sub Grft F/s/n/h/f/g/m/d <100sq Cm 1st 25 Sq Cm	2	1	$10,260.00	$9,234.00	$198.00	$3,660.97	$1,929.48	2026-05-23
23650	OTHER	Clsd Tx Shoulder Dislc W/manipulation Without Anes	2	1	$10,222.00	$9,199.80	$239.88	$3,285.10	$1,762.49	2026-05-23
27380	OTHER	Suture Infrapatellar Tendon Primary	2	1	$10,185.90	$9,167.31	$5,950.40	$7,143.73	$6,547.06	2026-05-23
99291	OTHER	Facility Critical Care First Hour	2	1	$10,095.84	$9,086.26	$842.61	$2,588.10	$1,715.36	2026-05-23
13152	OTHER	Cmplx Rpr E/n/e/l 2.6-7.5 Cm	2	1	$9,855.30	$8,869.77	$612.13	$4,613.60	$2,612.87	2026-05-23
25624	OTHER	Closed Tx Carpal Scaphoid Fracture W/manj	2	1	$9,804.00	$8,823.60	$1,600.41	$4,813.20	$3,206.81	2026-05-23
28288	OTHER	Ostc Prtl Exostc/condylc Metar Head	2	1	$9,690.00	$8,721.00	$3,244.61	$5,619.20	$4,431.90	2026-05-23
22600	OTHER	Arthrodesis Pst/pstlat Cervical Belw C2 Sgm	1	1	$9,654.00	$8,688.60	$2,505.80	$2,505.80	$2,505.80	2026-05-23
25260	OTHER	Rpr Tdn/musc Flxr F/arm&/wrst Prim 1 Ea Tdn/mu	2	1	$9,500.00	$8,550.00	$3,244.61	$6,137.90	$4,691.26	2026-05-23
27560	OTHER	Closed Tx Patellar Dislocation Without Anesthesia	2	1	$9,424.00	$8,481.60	$239.88	$3,656.70	$1,948.29	2026-05-23
28230	OTHER	Tx Opn Tendon Flexor Foot Single/mult Tendon Spx	2	1	$9,291.00	$8,361.90	$1,600.41	$4,031.50	$2,815.95	2026-05-23
64910	OTHER	Nerve Repair W/conduit Each Nerve	2	1	$9,154.20	$8,238.78	$6,404.07	$7,254.10	$6,829.09	2026-05-23
69005	OTHER	Drainage External Ear Abscess/hematoma Cmplx	2	1	$9,120.00	$8,208.00	$1,620.24	$2,045.50	$1,832.87	2026-05-23
14302	OTHER	Graft Derma-fat-fascia	1	1	$8,892.00	$8,002.80	$2,029.50	$2,029.50	$2,029.50	2026-05-23
26410	OTHER	Repair Extensor Tendon Hand Without Graft Each	2	1	$8,821.70	$7,939.53	$1,600.41	$5,635.80	$3,618.11	2026-05-23
14060	OTHER	Adjnt Tis Trnsfr/reargmt Any Area 30.1-60 Sq Cm	2	1	$8,664.00	$7,797.60	$1,829.23	$7,264.10	$4,546.67	2026-05-23
28285	OTHER	Correction Hammertoe	2	1	$8,664.00	$7,797.60	$3,244.61	$5,062.00	$4,153.31	2026-05-23
41008	OTHER	Intraoral I&d Tongue/floor Submndblr Space	2	1	$8,308.00	$7,477.20	$3,243.07	$3,740.20	$3,491.64	2026-05-23
27360	OTHER	Prtl Exc Bone Femur Prox Tibia&/fibula	2	1	$8,145.00	$7,330.50	$3,244.61	$8,592.50	$5,918.56	2026-05-23
36556	OTHER	Insj Non-tunneled Central Venous Cath Age 5 Yr/>	2	1	$8,018.00	$7,216.20	$1,931.60	$3,147.50	$2,539.55	2026-05-23
27840	OTHER	Closed Tx Ankle Dislocation Without Anesthesia	2	1	$7,980.00	$7,182.00	$239.88	$3,777.00	$2,008.44	2026-05-23
15838	OTHER	Excision Excessive Skin Submental Fat Pad	2	1	$7,524.00	$6,771.60	$2,862.05	$6,190.70	$4,526.38	2026-05-23
14061	OTHER	Adjt Tis Trnsfr/reargmt Defec Ea Addl 30 Sqcm	2	1	$7,467.00	$6,720.30	$1,829.23	$9,421.40	$5,625.32	2026-05-23
23585	OTHER	Open Tx Scapular Fx W/internal Fixation If Pfrmd	2	1	$7,362.00	$6,625.80	$7,143.73	$9,331.00	$8,237.36	2026-05-23
64787	OTHER	Implantation Nerve End Bone/muscle	1	1	$7,296.00	$6,566.40	$2,222.60	$2,222.60	$2,222.60	2026-05-23
29821	OTHER	Arthroscopy Shoulder Surg Synovectomy Complete	2	1	$7,182.00	$6,463.80	$3,244.61	$5,710.30	$4,477.45	2026-05-23
27768	OTHER	Closed Treatment Pst Malleolus Fracture W/manj	2	1	$7,163.00	$6,446.70	$1,600.41	$4,370.20	$2,985.31	2026-05-23
29879	OTHER	Arthrs Knee Abrasion Arthrp/mlt Drlg/microfx	2	1	$6,954.00	$6,258.60	$3,244.61	$6,358.70	$4,801.65	2026-05-23
10030	OTHER	Image-guided Catheter Fluid Collection Drainage	2	1	$6,862.80	$6,176.52	$703.59	$5,721.29	$3,212.44	2026-05-23
13132	OTHER	Repair Complex F/c/c/m/x/g/h/f 2.6-7.5 Cm	2	1	$6,764.00	$6,087.60	$612.13	$4,368.60	$2,490.37	2026-05-23
27752	OTHER	Treatment Of Tibia Fracture	2	1	$6,729.80	$6,056.82	$1,600.41	$5,196.50	$3,398.45	2026-05-23
25660	OTHER	Cltx Rdcrpl/intercarpl Dislc 1/> Bones W/manj	2	1	$6,545.88	$5,891.29	$239.88	$4,388.80	$2,314.34	2026-05-23
64784	OTHER	Exc Neuroma Major Peripheral Nrv Xcp Sciatic	2	1	$6,494.20	$5,844.78	$1,952.77	$6,961.30	$4,457.03	2026-05-23
10121	OTHER	Incision & Removal Foreign Body Subq Tiss Compl	2	1	$6,412.50	$5,771.25	$1,620.24	$2,477.50	$2,048.87	2026-05-23
29820	OTHER	Arthroscopy Shoulder Surg Synovectomy Partial	2	1	$6,360.00	$5,724.00	$5,145.60	$7,143.73	$6,144.66	2026-05-23
24600	OTHER	Treatment Closed Elbow Dislocation Without Anes	2	1	$6,270.00	$5,643.00	$239.88	$3,712.10	$1,975.99	2026-05-23
12035	OTHER	Intmd Rpr S/a/t/ext 12.6-20	2	1	$6,203.50	$5,583.15	$399.53	$3,630.30	$2,014.92	2026-05-23
29882	OTHER	Arthroscopy Knee W/meniscus Rpr Medial/lateral	2	1	$6,126.00	$5,513.40	$3,244.61	$6,607.80	$4,926.20	2026-05-23
29874	OTHER	Arthroscopy Knee Removal Loose/foreign Body	2	1	$6,078.00	$5,470.20	$3,244.61	$5,154.30	$4,199.45	2026-05-23
25520	OTHER	Cltx Rdl Shft Fx&cltx Dislc Dstl Rad/uln Jt	2	1	$5,916.60	$5,324.94	$1,600.41	$5,628.30	$3,614.36	2026-05-23
26725	OTHER	Treat Finger Fracture Each	2	1	$5,869.10	$5,282.19	$239.88	$3,363.90	$1,801.89	2026-05-23
27792	OTHER	Open Tx Distal Fibular Fracture Lat Malleolus	2	1	$5,736.00	$5,162.40	$6,174.90	$7,143.73	$6,659.31	2026-05-23
64636	OTHER	Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/sacral	1	1	$5,525.20	$4,972.68	$2,159.90	$2,159.90	$2,159.90	2026-05-23
26011	OTHER	Drainage Finger Abscess Complicated	2	1	$5,451.10	$4,905.99	$1,620.24	$4,330.00	$2,975.12	2026-05-23
28039	OTHER	Excision Tumor Soft Tis Foot/toe Subq 1.5 Cm/>	2	1	$5,418.80	$4,876.92	$2,862.05	$4,413.50	$3,637.78	2026-05-23
64633	OTHER	Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/thora	2	1	$5,394.10	$4,854.69	$1,952.77	$3,998.10	$2,975.43	2026-05-23
24530	OTHER	Cltx Sprcndylr/transcndylr Humeral Fx W/wo Manj	2	1	$5,318.10	$4,786.29	$239.88	$3,764.80	$2,002.34	2026-05-23
24620	OTHER	Closed Tx Monteggia Fx Dislocation Elbow W/manj	2	1	$5,217.40	$4,695.66	$1,600.41	$5,704.80	$3,652.61	2026-05-23
630839	OTHER	Closed Tx Radial Head W Manip	2	1	$5,200.00	$4,680.00	$1,600.41	$4,398.10	$2,999.26	2026-05-23
10081	OTHER	Incision & Drainage Of Pilonidal Cyst Complicated	2	1	$5,177.50	$4,659.75	$703.59	$3,148.30	$1,925.95	2026-05-23
12034	OTHER	Intmd Rpr S/tr/ext 7.6-12.5	2	1	$4,924.80	$4,432.32	$399.53	$3,105.10	$1,752.31	2026-05-23
26605	OTHER	Treat Metacarpal Fracture	2	1	$4,788.00	$4,309.20	$239.88	$3,240.00	$1,739.94	2026-05-23
27825	OTHER	Cltx Fx W8 Brg Artclr Prtn Dstl Tib W/skel Tracj	2	1	$4,752.00	$4,276.80	$1,600.41	$5,322.90	$3,461.65	2026-05-23
28234	OTHER	Tenotomy Open Extensor Foot/toe Each Tendon	2	1	$4,693.00	$4,223.70	$1,600.41	$3,818.40	$2,709.40	2026-05-23
24535	OTHER	Cltx Sprcndylr/transcndylr Humeral Fx W/manj	2	1	$4,692.00	$4,222.80	$1,600.41	$6,060.60	$3,830.51	2026-05-23
50200	OTHER	Renal Biopsy Prq Trocar/needle	2	1	$4,648.00	$4,183.20	$1,620.24	$4,577.70	$3,098.97	2026-05-23
29807	OTHER	Arthroscopy Shoulder Surgical Repair Slap Lesion	2	1	$4,603.70	$4,143.33	$7,143.73	$9,870.30	$8,507.01	2026-05-23
64634	OTHER	Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/thora	1	1	$4,598.00	$4,138.20	$2,303.40	$2,303.40	$2,303.40	2026-05-23
27808	OTHER	Closed Tx Bimalleolar Ankle Fracture Without Manj	2	1	$4,560.00	$4,104.00	$239.88	$3,301.20	$1,770.54	2026-05-23
27345	OTHER	Excision Synovial Cyst Popliteal Space	2	1	$4,515.00	$4,063.50	$3,244.61	$4,719.70	$3,982.15	2026-05-23
27816	OTHER	Cltx Trimalleolar Ankle Fx Without Manipulation	2	1	$4,457.40	$4,011.66	$239.88	$3,252.90	$1,746.39	2026-05-23
25650	OTHER	Closed Treatment Ulnar Styloid Fracture	2	1	$4,457.40	$4,011.66	$239.88	$3,243.40	$1,741.64	2026-05-23
24576	OTHER	Cltx Humeral Condylar Fx Medial/lat Without Manj	2	1	$4,417.50	$3,975.75	$239.88	$3,460.50	$1,850.19	2026-05-23
25565	OTHER	Closed Tx Radial&ulnar Shaft Fractures W/manj	2	1	$4,332.00	$3,898.80	$1,600.41	$5,070.20	$3,335.31	2026-05-23
64635	OTHER	Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/sacral	2	1	$4,332.00	$3,898.80	$1,952.77	$4,031.80	$2,992.28	2026-05-23
13100	OTHER	Cmplx Trunk 1.1 > 2.5	2	1	$4,332.00	$3,898.80	$612.13	$3,154.60	$1,883.36	2026-05-23
63082	OTHER	Vertebral Corpectomy Dcmprn Cervical Ea Seg	1	1	$4,290.20	$3,861.18	$2,514.80	$2,514.80	$2,514.80	2026-05-23
64479	OTHER	Njx Anes&/strd W/img Tfrml Edrl Crv/thrc 1 Lvl	2	1	$4,218.00	$3,796.20	$890.29	$2,460.90	$1,675.60	2026-05-23
12036	OTHER	Intmd Rpr S/a/t/ext 20.1-30	2	1	$3,648.00	$3,283.20	$612.13	$4,067.40	$2,339.76	2026-05-23
12045	OTHER	Intmd Rpr N-hf/genit12.6-20	2	1	$3,420.00	$3,078.00	$612.13	$3,848.60	$2,230.36	2026-05-23
71551	OTHER	MRI Chest W/contrast Material	2	1	$3,200.00	$2,880.00	$790.06	$2,726.51	$1,758.29	2026-05-23
13151	OTHER	Repair Complex Eyelid/nose/ear/lip 1.1-2.5 Cm	2	1	$3,078.00	$2,770.20	$612.13	$3,932.90	$2,272.51	2026-05-23
26775	OTHER	Cltx Iphal Jt Dislc W/manj Req Anes	2	1	$3,057.10	$2,751.39	$265.58	$3,875.50	$2,070.54	2026-05-23
13121	OTHER	Cmplx Rpr S/a/l 2.6-7.5 Cm	2	1	$2,736.00	$2,462.40	$612.13	$3,939.30	$2,275.72	2026-05-23
32408	OTHER	Core Needle Bx Lung/mediastinum Perq W/img	2	1	$2,591.00	$2,331.90	$1,620.24	$7,544.50	$4,582.37	2026-05-23
13131	OTHER	Repair Complex F/c/m/x/g/h/f 1.2-2.5cm	2	1	$2,508.00	$2,257.20	$399.53	$3,604.40	$2,001.96	2026-05-23
13101	OTHER	Complx Truck 2.6 > 7.5	2	1	$2,470.00	$2,223.00	$612.13	$3,664.60	$2,138.36	2026-05-23
26641	OTHER	Cltx Carpo/metacarpal Dislocation Thumb W/manj	2	1	$2,397.00	$2,157.30	$239.88	$4,111.50	$2,175.69	2026-05-23
24505	OTHER	Cltx Humeral Shft Fx W/manj W/wo Skeletal Tracj	2	1	$2,386.40	$2,147.76	$1,600.41	$4,918.60	$3,259.51	2026-05-23
27750	OTHER	Cltx Tibial Shaft Fx Without Manipulation	2	1	$2,280.00	$2,052.00	$239.88	$3,413.90	$1,826.89	2026-05-23
27760	OTHER	Cltx Medial Malleolus Fx Without Manipulation	2	1	$2,247.00	$2,022.30	$239.88	$3,283.00	$1,761.44	2026-05-23
20225	OTHER	Biopsy Bone Trocar/needle Deep	2	1	$2,229.00	$2,006.10	$1,620.24	$3,429.60	$2,524.92	2026-05-23
24500	OTHER	Clsd Tx Humeral Shaft Fracture Without Manipulation	2	1	$2,166.00	$1,949.40	$239.88	$3,567.40	$1,903.64	2026-05-23
13120	OTHER	Complx Scalp 1.1 > 2.5	2	1	$1,995.00	$1,795.50	$612.13	$3,287.00	$1,949.57	2026-05-23
99236	OTHER	Hospital Discharge Day Management 30 Min/	1	1	$1,915.20	$1,723.68	$1,961.30	$1,961.30	$1,961.30	2026-05-23
99205	OTHER	Office Outpatient Visit 10 Minutes	1	1	$1,767.00	$1,590.30	$2,099.90	$2,099.90	$2,099.90	2026-05-23
26755	OTHER	Cltx Dstl Phlngl Fx Fngr/thmb W/manj Ea	2	1	$1,711.90	$1,540.71	$239.88	$3,173.10	$1,706.49	2026-05-23
27520	OTHER	Closed Tx Patellar Fracture Without Manipulation	2	1	$1,504.80	$1,354.32	$239.88	$3,206.50	$1,723.19	2026-05-23
12044	OTHER	Intmd Rpr N-hf/genit7.6-12.5	2	1	$1,482.00	$1,333.80	$612.13	$3,555.00	$2,083.57	2026-05-23
26700	OTHER	Cltx Metacarpophalangeal Dislc W/manj Without Anes	2	1	$1,413.60	$1,272.24	$239.88	$3,357.50	$1,798.69	2026-05-23
27824	OTHER	Cltx Fx W8 Brg Artclr Prtn Dstl Tibia Without Manj	2	1	$1,368.00	$1,231.20	$239.88	$3,098.10	$1,668.99	2026-05-23
25600	OTHER	Cltx Dstl Radial Fx/epiphysl Sep Without Manj	2	1	$1,140.00	$1,026.00	$239.88	$3,339.60	$1,789.74	2026-05-23
23600	OTHER	Cltx Proximal Humeral Fracture Without Manipulation	2	1	$1,026.00	$923.40	$239.88	$3,288.30	$1,764.09	2026-05-23
99215	OTHER	Initial Observation Care	1	1	$798.00	$718.20	$1,708.90	$1,708.90	$1,708.90	2026-05-23

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