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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

GRAHAM REGIONAL MEDICAL CENTER

Graham, TX · CCN 671300 · Rates published

Your selected procedure

You selected 29916 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

10,134 distinct procedures filed
12 distinct payers
59,480 rate rows
2025-07-03 last MRF observed · ⚠ 16 mo old
Data quality

57,841 of 59,480 rate rows are consumer-grade (97.2%)

1,639 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 — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 891
template filing: same amount across many unrelated codes — excluded 428
per-diem day rate — not a per-procedure price 263
professional (physician) fee — not the facility price 57

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/JXVV-1691592288793/machine-readable/752597537_graham-regional-medical-center_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/graham-regional-tx
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-02
Content fingerprint 80f389b8ce25f6b4… · 20,385,122 bytes · first seen 2026-11-02

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
3609015
CDM 		11 $20,076.00 $250,950.00 $56,882.00 nat. median
$21
outlier · 2668.0×
3600613
CDM 		Ggh Surgical Services Re 11 $12,694.00 $158,676.00 $35,967.00 nat. median
$35,967
1.0× median
24370
CPT 		Revise Reconst Elbow Joint 11 $12,090.00 $151,119.00 $34,254.00 nat. median
$12,371
outlier · 2.8×
3609028
CDM 		11 $12,090.00 $151,119.00 $34,254.00 nat. median
$9,360
outlier · 3.7×
3600702A
CDM 		Ggh Surgical Services Re 11 $9,521.00 $119,007.00 $26,975.00 nat. median
$26,975
1.0× median
43282
CPT 		Ggh Surgical Services Re 11 $9,169.00 $114,618.00 $25,980.00 nat. median
$10,358
outlier · 2.5×
3609014
CDM 		11 $8,733.00 $109,158.00 $24,742.00 nat. median
$8,733
outlier · 2.8×
1616680
CDM 		Ggh Implants 11 $7,085.00 $177,120.00 $20,074.00 nat. median
$20,074
1.0× median
3609039
CDM 		Ggh Surgical Services Re 11 $6,373.00 $79,659.00 $18,056.00 nat. median
$6,388
outlier · 2.8×
22513
CPT 		Ggh Surgical Services Re 11 $6,141.00 $76,764.00 $17,400.00 nat. median
$8,349
outlier · 2.1×
3600507
CDM 		Ggh Surgical Services Re 11 $5,209.00 $65,115.00 $14,759.00 nat. median
$1,415
outlier · 10.4×
3600637
CDM 		Ggh Surgical Services Re 11 $5,040.00 $63,000.00 $14,280.00 nat. median
$968
outlier · 14.8×
3600583
CDM 		Ggh Surgical Services Re 11 $4,620.00 $57,753.00 $13,091.00 nat. median
$6,237
outlier · 2.1×
36092000
CDM 		11 $4,620.00 $57,744.00 $13,089.00 nat. median
$13,089
1.0× median
36092001
CDM 		Ggh Surgical Services Re 11 $4,620.00 $57,744.00 $13,089.00 nat. median
$13,089
1.0× median
3600558
CDM 		Ggh Surgical Services Re 11 $4,558.00 $56,976.00 $12,915.00 nat. median
$6,153
outlier · 2.1×
23472
CPT 		Ggh Surgical Services Re 12 $693.00 $158,676.00 $12,694.00 nat. median
$16,661
0.8× median
66991
CPT 		Ggh Surgical Services Re 11 $4,417.00 $55,209.00 $12,514.00 nat. median
$5,639
outlier · 2.2×
47379
CPT 		Ggh Surgical Services Re 11 $4,080.00 $51,000.00 $11,560.00 nat. median
$6,348
1.8× median
49617
CPT 		Ggh Surgical Services Re 11 $3,891.00 $48,633.00 $11,023.00 nat. median
$4,176
outlier · 2.6×
2500048
CDM 		Alteplase Recom Tpa 1mg Inj 11 $3,659.00 $91,476.00 $10,367.00 nat. median
$10
outlier · 1068.8×
27130
CPT 		Ggh Surgical Services Re 12 $617.00 $127,458.00 $10,197.00 nat. median
$13,097
0.8× median
250025026
CDM 		Entyninj 11 $3,679.00 $13,798.00 $9,965.00 nat. median
$9,965
1.0× median
3609035
CDM 		Ggh Surgical Services Re 11 $3,276.00 $40,944.00 $9,281.00 nat. median
$728
outlier · 12.7×
C9781
HCPCS 		Ggh Surgical Services Re 12 $250.00 $68,511.00 $9,084.00 nat. median
$12,888
0.7× median
38585
CPT 		11 $3,024.00 $37,800.00 $8,568.00 nat. median
$8,746
1.0× median
3609009
CDM 		Ggh Surgical Services Re 11 $2,947.00 $36,840.00 $8,350.00 nat. median
$12
outlier · 695.8×
3600599
CDM 		Ggh Surgical Services Re 11 $2,947.00 $36,840.00 $8,350.00 nat. median
$8,350
1.0× median
3609011
CDM 		Ggh Surgical Services Re 11 $2,916.00 $36,444.00 $8,261.00 nat. median
$3,054
outlier · 2.7×
3609031
CDM 		Ggh Surgical Services Re 11 $2,916.00 $36,444.00 $8,261.00 nat. median
$25
outlier · 324.2×
3609030
CDM 		Ggh Surgical Services Re 11 $2,916.00 $36,444.00 $8,261.00 nat. median
$21
outlier · 387.5×
47531
CPT 		Ggh Rad Diagnostic Rev 11 $2,664.00 $33,300.00 $7,548.00 nat. median
$3,321
outlier · 2.3×
3600612
CDM 		11 $2,646.00 $33,075.00 $7,497.00 nat. median
$3,572
outlier · 2.1×
39503
CPT 		Repair Of Diaphragm Hernia 12 $250.00 $10,244.00 $7,398.00 nat. median
$5,681
1.3× median
3609041
CDM 		11 $2,572.00 $32,154.00 $7,288.00 nat. median
$12
outlier · 607.3×
3609024
CDM 		11 $2,572.00 $32,154.00 $7,288.00 nat. median
$551
outlier · 13.2×
3609010
CDM 		11 $2,572.00 $32,154.00 $7,288.00 nat. median
$557
outlier · 13.1×
3609032
CDM 		Ggh Surgical Services Re 11 $2,515.00 $31,440.00 $7,126.00 nat. median
$910
outlier · 7.8×
C1889
HCPCS 		Ggh Implants 11 $2,627.00 $9,852.00 $7,116.00 nat. median
$2,365
outlier · 3.0×
3600597
CDM 		Ggh Surgical Services Re 11 $2,482.00 $31,029.00 $7,033.00 nat. median
$3,351
outlier · 2.1×
47135
CPT 		Transplantation Of Liver 12 $250.00 $9,682.00 $6,993.00 nat. median
$6,167
1.1× median
3607009
CDM 		Ggh Surgical Services Re 11 $2,441.00 $30,513.00 $6,916.00 nat. median
$3,295
outlier · 2.1×
37183
CPT 		Revision Tips 12 $250.00 $9,482.00 $6,848.00 nat. median
$7,190
1.0× median
55873
CPT 		Cryoablate Prostate 12 $250.00 $9,464.00 $6,835.00 nat. median
$9,672
0.7× median
3609026
CDM 		11 $2,325.00 $29,058.00 $6,586.00 nat. median
$2,732
outlier · 2.4×
27447
CPT 		Ggh Surgical Services Re 12 $616.00 $131,514.00 $6,415.00 nat. median
$12,737
0.5× median
21554
CPT 		Ggh Surgical Services Re 11 $2,256.00 $28,200.00 $6,392.00 nat. median
$3,190
outlier · 2.0×
49605
CPT 		Repair Umbilical Lesion 12 $250.00 $8,789.00 $6,348.00 nat. median
$5,154
1.2× median
43116
CPT 		Partial Removal Of Esophagus 12 $250.00 $8,755.00 $6,323.00 nat. median
$5,038
1.3× median
3600614
CDM 		11 $2,223.00 $27,783.00 $6,297.00 nat. median
$3,001
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 10,134 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
3609015 CDM — 15 11 $83,650.00 $83,650.00 $20,076.00 $250,950.00 $56,882.00 2025-07-03
3600613 CDM Ggh Surgical Services Re 15 11 $52,892.00 $52,892.00 $12,694.00 $158,676.00 $35,967.00 2025-07-03
24370 CPT Revise Reconst Elbow Joint 15 11 $50,373.00 $50,373.00 $12,090.00 $151,119.00 $34,254.00 2025-07-03
3609028 CDM — 15 11 $50,373.00 $50,373.00 $12,090.00 $151,119.00 $34,254.00 2025-07-03
3600702A CDM Ggh Surgical Services Re 15 11 $39,669.00 $39,669.00 $9,521.00 $119,007.00 $26,975.00 2025-07-03
43282 CPT Ggh Surgical Services Re 15 11 $38,206.00 $38,206.00 $9,169.00 $114,618.00 $25,980.00 2025-07-03
3609014 CDM — 15 11 $36,386.00 $36,386.00 $8,733.00 $109,158.00 $24,742.00 2025-07-03
1616680 CDM Ggh Implants 15 11 $29,520.00 $29,520.00 $7,085.00 $177,120.00 $20,074.00 2025-07-03
3609039 CDM Ggh Surgical Services Re 15 11 $26,553.00 $26,553.00 $6,373.00 $79,659.00 $18,056.00 2025-07-03
22513 CPT Ggh Surgical Services Re 15 11 $25,588.00 $25,588.00 $6,141.00 $76,764.00 $17,400.00 2025-07-03
3600507 CDM Ggh Surgical Services Re 15 11 $21,705.00 $21,705.00 $5,209.00 $65,115.00 $14,759.00 2025-07-03
3600637 CDM Ggh Surgical Services Re 15 11 $21,000.00 $21,000.00 $5,040.00 $63,000.00 $14,280.00 2025-07-03
3600583 CDM Ggh Surgical Services Re 15 11 $19,251.00 $19,251.00 $4,620.00 $57,753.00 $13,091.00 2025-07-03
36092000 CDM — 15 11 $19,248.00 $19,248.00 $4,620.00 $57,744.00 $13,089.00 2025-07-03
36092001 CDM Ggh Surgical Services Re 15 11 $19,248.00 $19,248.00 $4,620.00 $57,744.00 $13,089.00 2025-07-03
3600558 CDM Ggh Surgical Services Re 15 11 $18,992.00 $18,992.00 $4,558.00 $56,976.00 $12,915.00 2025-07-03
23472 CPT Ggh Surgical Services Re 45 12 $39,669.00 $25,000.00 37% off $693.00 $158,676.00 $12,694.00 2025-07-03
66991 CPT Ggh Surgical Services Re 15 11 $18,403.00 $18,403.00 $4,417.00 $55,209.00 $12,514.00 2025-07-03
47379 CPT Ggh Surgical Services Re 15 11 $17,000.00 $17,000.00 $4,080.00 $51,000.00 $11,560.00 2025-07-03
49617 CPT Ggh Surgical Services Re 15 11 $16,211.00 $16,211.00 $3,891.00 $48,633.00 $11,023.00 2025-07-03
2500048 CDM Alteplase Recom Tpa 1mg Inj 15 11 $15,246.00 $15,246.00 $3,659.00 $91,476.00 $10,367.00 2025-07-03
27130 CPT Ggh Surgical Services Re 45 12 $39,669.00 $19,000.00 52% off $617.00 $127,458.00 $10,197.00 2025-07-03
250025026 CDM Entyninj 15 11 $15,331.00 $15,331.00 $3,679.00 $13,798.00 $9,965.00 2025-07-03
3609035 CDM Ggh Surgical Services Re 15 11 $13,648.00 $13,648.00 $3,276.00 $40,944.00 $9,281.00 2025-07-03
C9781 HCPCS Ggh Surgical Services Re 31 12 $22,837.00 $22,837.00 $250.00 $68,511.00 $9,084.00 2025-07-03
38585 CPT — 15 11 $12,600.00 $12,600.00 $3,024.00 $37,800.00 $8,568.00 2025-07-03
3609009 CDM Ggh Surgical Services Re 15 11 $12,280.00 $12,280.00 $2,947.00 $36,840.00 $8,350.00 2025-07-03
3600599 CDM Ggh Surgical Services Re 15 11 $12,280.00 $12,280.00 $2,947.00 $36,840.00 $8,350.00 2025-07-03
3609011 CDM Ggh Surgical Services Re 15 11 $12,148.00 $12,148.00 $2,916.00 $36,444.00 $8,261.00 2025-07-03
3609031 CDM Ggh Surgical Services Re 15 11 $12,148.00 $12,148.00 $2,916.00 $36,444.00 $8,261.00 2025-07-03
3609030 CDM Ggh Surgical Services Re 15 11 $12,148.00 $12,148.00 $2,916.00 $36,444.00 $8,261.00 2025-07-03
47531 CPT Ggh Rad Diagnostic Rev 15 11 $11,100.00 $11,100.00 $2,664.00 $33,300.00 $7,548.00 2025-07-03
3600612 CDM — 15 11 $11,025.00 $11,025.00 $2,646.00 $33,075.00 $7,497.00 2025-07-03
39503 CPT Repair Of Diaphragm Hernia 16 12 $11,382.00 $11,382.00 $250.00 $10,244.00 $7,398.00 2025-07-03
3609041 CDM — 15 11 $10,718.00 $10,718.00 $2,572.00 $32,154.00 $7,288.00 2025-07-03
3609024 CDM — 15 11 $10,718.00 $10,718.00 $2,572.00 $32,154.00 $7,288.00 2025-07-03
3609010 CDM — 15 11 $10,718.00 $10,718.00 $2,572.00 $32,154.00 $7,288.00 2025-07-03
3609032 CDM Ggh Surgical Services Re 15 11 $10,480.00 $10,480.00 $2,515.00 $31,440.00 $7,126.00 2025-07-03
C1889 HCPCS Ggh Implants 15 11 $10,947.00 $10,947.00 $2,627.00 $9,852.00 $7,116.00 2025-07-03
3600597 CDM Ggh Surgical Services Re 15 11 $10,343.00 $10,343.00 $2,482.00 $31,029.00 $7,033.00 2025-07-03
47135 CPT Transplantation Of Liver 16 12 $10,758.00 $10,758.00 $250.00 $9,682.00 $6,993.00 2025-07-03
3607009 CDM Ggh Surgical Services Re 15 11 $10,171.00 $10,171.00 $2,441.00 $30,513.00 $6,916.00 2025-07-03
37183 CPT Revision Tips 16 12 $10,536.00 $10,536.00 $250.00 $9,482.00 $6,848.00 2025-07-03
55873 CPT Cryoablate Prostate 16 12 $10,515.00 $10,515.00 $250.00 $9,464.00 $6,835.00 2025-07-03
3609026 CDM — 15 11 $9,686.00 $9,686.00 $2,325.00 $29,058.00 $6,586.00 2025-07-03
27447 CPT Ggh Surgical Services Re 30 12 $43,838.00 $19,000.00 57% off $616.00 $131,514.00 $6,415.00 2025-07-03
21554 CPT Ggh Surgical Services Re 15 11 $9,400.00 $9,400.00 $2,256.00 $28,200.00 $6,392.00 2025-07-03
49605 CPT Repair Umbilical Lesion 16 12 $9,766.00 $9,766.00 $250.00 $8,789.00 $6,348.00 2025-07-03
43116 CPT Partial Removal Of Esophagus 16 12 $9,728.00 $9,728.00 $250.00 $8,755.00 $6,323.00 2025-07-03
3600614 CDM — 15 11 $9,261.00 $9,261.00 $2,223.00 $27,783.00 $6,297.00 2025-07-03
33935 CPT Transplantation Heart/lung 16 12 $9,615.00 $9,615.00 $250.00 $8,654.00 $6,250.00 2025-07-03
33945 CPT Transplantation Of Heart 16 12 $9,511.00 $9,511.00 $250.00 $8,560.00 $6,182.00 2025-07-03
32854 CPT Lung Transplant With Bypass 16 12 $9,507.00 $9,507.00 $250.00 $8,556.00 $6,180.00 2025-07-03
47142 CPT Partial Removal Donor Liver 16 12 $9,370.00 $9,370.00 $250.00 $8,433.00 $6,091.00 2025-07-03
3600549 CDM Ggh Surgical Services Re 15 11 $8,925.00 $8,925.00 $2,142.00 $26,775.00 $6,069.00 2025-07-03
3600528 CDM Ggh Surgical Services Re 15 11 $8,925.00 $8,925.00 $2,142.00 $26,775.00 $6,069.00 2025-07-03
66999 CPT Ggh Surgical Services Re 15 11 $8,908.00 $8,908.00 $2,138.00 $26,724.00 $6,057.00 2025-07-03
61698 CPT Brain Aneurysm Repr Complx 16 12 $9,253.00 $9,253.00 $250.00 $8,328.00 $6,014.00 2025-07-03
3600541 CDM — 15 11 $8,768.00 $8,768.00 $2,104.00 $26,304.00 $5,962.00 2025-07-03
21552 CPT Ggh Surgical Services Re 15 11 $8,610.00 $8,610.00 $2,066.00 $25,830.00 $5,855.00 2025-07-03
22901 CPT Ggh Surgical Services Re 15 11 $8,610.00 $8,610.00 $2,066.00 $25,830.00 $5,855.00 2025-07-03
3600607 CDM Ggh Surgical Services Re 15 11 $8,610.00 $8,610.00 $2,066.00 $25,830.00 $5,855.00 2025-07-03
32853 CPT Lung Transplant Double 16 12 $8,993.00 $8,993.00 $250.00 $8,094.00 $5,845.00 2025-07-03
61686 CPT Intracranial Vessel Surgery 16 12 $8,987.00 $8,987.00 $250.00 $8,088.00 $5,842.00 2025-07-03
45171 CPT Ggh Surgical Services Re 15 11 $8,450.00 $8,450.00 $2,028.00 $25,350.00 $5,746.00 2025-07-03
43123 CPT Partial Removal Of Esophagus 16 12 $8,828.00 $8,828.00 $250.00 $7,945.00 $5,738.00 2025-07-03
43108 CPT Removal Of Esophagus 16 12 $8,703.00 $8,703.00 $250.00 $7,833.00 $5,657.00 2025-07-03
3600543 CDM Ggh Surgical Services Re 15 11 $8,200.00 $8,200.00 $1,968.00 $24,600.00 $5,576.00 2025-07-03
43113 CPT Removal Of Esophagus 16 12 $8,517.00 $8,517.00 $250.00 $7,665.00 $5,536.00 2025-07-03
47141 CPT Partial Removal Donor Liver 16 12 $8,510.00 $8,510.00 $250.00 $7,659.00 $5,532.00 2025-07-03
360919996-T CDM — 8 5 $7,950.00 $7,950.00 $4,770.00 $6,758.00 $5,525.50 2025-07-03
C1776 HCPCS Ggh Implants 30 11 $8,000.00 $8,000.00 $1,800.00 $51,000.00 $5,525.00 2025-07-03
61697 CPT Brain Aneurysm Repr Complx 15 11 $8,445.00 $8,445.00 $1,910.00 $7,601.00 $5,489.00 2025-07-03
46748 CPT Repair Of Cloacal Anomaly 16 12 $8,402.00 $8,402.00 $250.00 $7,562.00 $5,461.00 2025-07-03
61576 CPT Skull Base/brainstem Surgery 16 12 $8,361.00 $8,361.00 $250.00 $7,525.00 $5,435.00 2025-07-03
61682 CPT Intracranial Vessel Surgery 16 12 $8,288.00 $8,288.00 $250.00 $7,459.00 $5,387.00 2025-07-03
33916 CPT Surgery Of Great Vessel 16 12 $8,159.00 $8,159.00 $250.00 $7,343.00 $5,303.00 2025-07-03
61702 CPT Inner Skull Vessel Surgery 16 12 $8,050.00 $8,050.00 $250.00 $7,245.00 $5,233.00 2025-07-03
33305 CPT Repair Of Heart Wound 16 12 $7,992.00 $7,992.00 $250.00 $7,193.00 $5,195.00 2025-07-03
2509793 CDM Dalvance 500 Mg Vial 15 11 $7,572.00 $7,572.00 $1,817.00 $45,432.00 $5,149.00 2025-07-03
20808 CPT Replantation Hand Complete 16 12 $7,828.00 $7,828.00 $250.00 $7,045.00 $5,088.00 2025-07-03
46746 CPT Repair Of Cloacal Anomaly 16 12 $7,756.00 $7,756.00 $250.00 $6,980.00 $5,041.00 2025-07-03
21215 CPT Lower Jaw Bone Graft 16 12 $7,734.00 $7,734.00 $250.00 $6,961.00 $5,027.00 2025-07-03
3609019 CDM — 15 11 $7,315.00 $7,315.00 $1,756.00 $21,945.00 $4,974.00 2025-07-03
21127 CPT Augmentation Mndblr B1 Grf 16 12 $7,575.00 $7,575.00 $250.00 $6,818.00 $4,924.00 2025-07-03
26554 CPT Double Transfer Toe-hand 16 12 $7,563.00 $7,563.00 $250.00 $6,807.00 $4,916.00 2025-07-03
36566 CPT Insert Tunneled Cv Cath 16 12 $7,474.00 $7,474.00 $250.00 $6,727.00 $4,858.00 2025-07-03
43124 CPT Removal Of Esophagus 16 12 $7,472.00 $7,472.00 $250.00 $6,725.00 $4,857.00 2025-07-03
61520 CPT Removal Of Brain Lesion 16 12 $7,462.00 $7,462.00 $250.00 $6,716.00 $4,850.00 2025-07-03
36091386 CDM Ggh Surgical Services Re 15 11 $7,056.00 $7,056.00 $1,693.00 $21,168.00 $4,798.00 2025-07-03
47136 CPT — 16 12 $7,378.00 $7,378.00 $250.00 $6,640.00 $4,796.00 2025-07-03
3609033 CDM — 15 11 $6,997.00 $6,997.00 $1,679.00 $20,991.00 $4,758.00 2025-07-03
61692 CPT Intracranial Vessel Surgery 16 12 $7,308.00 $7,308.00 $250.00 $6,577.00 $4,750.00 2025-07-03
64553 CPT Implant Neuroelectrodes 16 12 $7,193.00 $7,193.00 $250.00 $6,474.00 $4,675.00 2025-07-03
64633 CPT Ggh Surgical Services Re 15 11 $6,815.00 $6,815.00 $1,636.00 $20,445.00 $4,634.00 2025-07-03
47140 CPT Partial Removal Donor Liver 16 12 $7,126.00 $7,126.00 $250.00 $6,413.00 $4,632.00 2025-07-03
43118 CPT Partial Removal Of Esophagus 16 12 $7,102.00 $7,102.00 $250.00 $6,392.00 $4,616.00 2025-07-03
46744 CPT Repair Of Cloacal Anomaly 16 12 $7,045.00 $7,045.00 $250.00 $6,341.00 $4,579.00 2025-07-03
33877 CPT Thoracoabdominal Graft 16 12 $7,041.00 $7,041.00 $250.00 $6,337.00 $4,577.00 2025-07-03
36573 CPT Ggh Surgical Services Re 30 11 $7,297.50 $7,297.50 $1,448.00 $25,689.00 $4,524.00 2025-07-03
81443 CPT Ggh Laboratory Revenue 15 11 $6,643.00 $6,643.00 $1,594.00 $10,629.00 $4,517.00 2025-07-03
32852 CPT Lung Transplant With Bypass 16 12 $6,922.00 $6,922.00 $250.00 $6,230.00 $4,499.00 2025-07-03
32445 CPT Removal Of Lung Extrapleural 16 12 $6,920.00 $6,920.00 $250.00 $6,228.00 $4,498.00 2025-07-03
6360003 CDM Tnkase 50mg Vial 15 11 $6,568.00 $6,568.00 $1,576.00 $39,408.00 $4,466.00 2025-07-03
61700 CPT Brain Aneurysm Repr Simple 16 12 $6,832.00 $6,832.00 $250.00 $6,149.00 $4,441.00 2025-07-03
47122 CPT Extensive Removal Of Liver 16 12 $6,818.00 $6,818.00 $250.00 $6,136.00 $4,432.00 2025-07-03
3609050 CDM Ggh Endoscopy Rev 15 11 $6,470.00 $6,470.00 $1,553.00 $19,410.00 $4,400.00 2025-07-03
26556 CPT Toe Joint Transfer 16 12 $6,756.00 $6,756.00 $250.00 $6,080.00 $4,391.00 2025-07-03
47382 CPT Percut Ablate Liver Rf 16 12 $6,742.00 $6,742.00 $250.00 $6,068.00 $4,382.00 2025-07-03
43112 CPT Esphg Tot W/thrcm 16 12 $6,714.00 $6,714.00 $250.00 $6,043.00 $4,364.00 2025-07-03
61526 CPT Removal Of Brain Lesion 16 12 $6,670.00 $6,670.00 $250.00 $6,003.00 $4,336.00 2025-07-03
19296 CPT Place Po Breast Cath For Rad 16 12 $6,655.00 $6,655.00 $250.00 $5,990.00 $4,326.00 2025-07-03
61616 CPT Resect/excise Lesion Skull 16 12 $6,618.00 $6,618.00 $250.00 $5,956.00 $4,302.00 2025-07-03
2500097 CDM Antivenin Crotal Polyval Inj 15 11 $6,615.00 $6,615.00 $1,588.00 $5,954.00 $4,300.00 2025-07-03
47130 CPT Partial Removal Of Liver 16 12 $6,559.00 $6,559.00 $250.00 $5,903.00 $4,263.00 2025-07-03
33411 CPT Replacement Of Aortic Valve 16 12 $6,558.00 $6,558.00 $250.00 $5,902.00 $4,263.00 2025-07-03
61613 CPT Remove Aneurysm Sinus 16 12 $6,549.00 $6,549.00 $250.00 $5,894.00 $4,257.00 2025-07-03
26551 CPT Great Toe-hand Transfer 16 12 $6,538.00 $6,538.00 $250.00 $5,884.00 $4,250.00 2025-07-03
61608 CPT Resect/excise Cranial Lesion 16 12 $6,530.00 $6,530.00 $250.00 $5,877.00 $4,245.00 2025-07-03
61585 CPT Orbitocranial Approach/skull 16 12 $6,513.00 $6,513.00 $250.00 $5,862.00 $4,233.00 2025-07-03
26553 CPT Single Transfer Toe-hand 16 12 $6,494.00 $6,494.00 $250.00 $5,845.00 $4,221.00 2025-07-03
20805 CPT Replant Forearm Complete 16 12 $6,491.00 $6,491.00 $250.00 $5,842.00 $4,219.00 2025-07-03
20982 CPT Ablate Bone Tumor(s) Perq 16 12 $6,429.00 $6,429.00 $250.00 $5,786.00 $4,179.00 2025-07-03
32851 CPT Lung Transplant Single 16 12 $6,425.00 $6,425.00 $250.00 $5,783.00 $4,176.00 2025-07-03
47785 CPT Fuse Bile Ducts And Bowel 16 12 $6,415.00 $6,415.00 $250.00 $5,774.00 $4,170.00 2025-07-03
43117 CPT Partial Removal Of Esophagus 16 12 $6,408.00 $6,408.00 $250.00 $5,767.00 $4,165.00 2025-07-03
61545 CPT Excision Of Brain Tumor 16 12 $6,399.00 $6,399.00 $250.00 $5,759.00 $4,159.00 2025-07-03
28820 CPT Ggh Surgical Services Re 46 12 $14,372.00 $14,372.00 $139.00 $51,738.00 $4,139.00 2025-07-03
61521 CPT Removal Of Brain Lesion 16 12 $6,351.00 $6,351.00 $250.00 $5,716.00 $4,128.00 2025-07-03
3609109 CDM Ggh Surgical Services Re 15 11 $6,036.00 $6,036.00 $1,449.00 $18,108.00 $4,104.00 2025-07-03
3609045 CDM Ggh Surgical Services Re 15 11 $6,032.00 $6,032.00 $1,448.00 $18,096.00 $4,102.00 2025-07-03
61592 CPT Orbitocranial Approach/skull 16 12 $6,295.00 $6,295.00 $250.00 $5,666.00 $4,092.00 2025-07-03
33413 CPT Replacement Of Aortic Valve 16 12 $6,287.00 $6,287.00 $250.00 $5,658.00 $4,087.00 2025-07-03
33864 CPT Ascending Aortic Graft 16 12 $6,281.00 $6,281.00 $250.00 $5,653.00 $4,083.00 2025-07-03
3600524 CDM Ggh Surgical Services Re 15 11 $5,975.00 $5,975.00 $1,434.00 $17,925.00 $4,063.00 2025-07-03
3609025 CDM Ggh Surgical Services Re 15 11 $5,975.00 $5,975.00 $1,434.00 $17,925.00 $4,063.00 2025-07-03
48150 CPT Partial Removal Of Pancreas 15 11 $6,194.00 $6,194.00 $1,487.00 $5,575.00 $4,026.00 2025-07-03
43314 CPT Tracheo-esophagoplasty Cong 16 12 $6,188.00 $6,188.00 $250.00 $5,569.00 $4,022.00 2025-07-03
49186 CPT Ggh Surgical Services Re 15 11 $5,909.00 $5,909.00 $1,418.00 $17,727.00 $4,018.00 2025-07-03
61530 CPT Removal Of Brain Lesion 16 12 $6,161.00 $6,161.00 $250.00 $5,545.00 $4,005.00 2025-07-03
48153 CPT Pancreatectomy 16 12 $6,158.00 $6,158.00 $250.00 $5,542.00 $4,003.00 2025-07-03
33863 CPT Ascending Aortic Graft 16 12 $6,145.00 $6,145.00 $250.00 $5,531.00 $3,994.00 2025-07-03
33412 CPT Replacement Of Aortic Valve 16 12 $6,135.00 $6,135.00 $250.00 $5,522.00 $3,988.00 2025-07-03
61591 CPT Infratemporal Approach/skull 16 12 $6,120.00 $6,120.00 $250.00 $5,508.00 $3,978.00 2025-07-03
47125 CPT Partial Removal Of Liver 16 12 $6,117.00 $6,117.00 $250.00 $5,505.00 $3,976.00 2025-07-03
90378 CPT Rsv Mab IM 50mg 15 11 $5,844.00 $5,844.00 $1,403.00 $35,064.00 $3,974.00 2025-07-03
23930 CPT Ggh E/r Revenue 60 12 $8,278.00 $8,278.00 $169.00 $14,900.00 $3,973.00 2025-07-03
63251 CPT Revise Spinal Cord Vsls Thrc 16 12 $6,082.00 $6,082.00 $250.00 $5,474.00 $3,953.00 2025-07-03
63252 CPT Revise Spine Cord Vsl Thrlmb 16 12 $6,081.00 $6,081.00 $250.00 $5,473.00 $3,953.00 2025-07-03
37210 CPT — 16 12 $6,075.00 $6,075.00 $250.00 $5,468.00 $3,949.00 2025-07-03
15275 CPT Ggh Surgical Services Re 15 11 $5,800.00 $5,800.00 $1,392.00 $17,400.00 $3,944.00 2025-07-03
12527 CPT — 15 11 $5,800.00 $5,800.00 $1,392.00 $17,400.00 $3,944.00 2025-07-03
61607 CPT Resect/excise Cranial Lesion 16 12 $6,055.00 $6,055.00 $250.00 $5,450.00 $3,936.00 2025-07-03
61582 CPT Craniofacial Approach Skull 16 12 $6,033.00 $6,033.00 $250.00 $5,430.00 $3,921.00 2025-07-03
33860 CPT — 16 12 $6,025.00 $6,025.00 $250.00 $5,423.00 $3,916.00 2025-07-03
47765 CPT Fuse Liver Ducts & Bowel 16 12 $6,019.00 $6,019.00 $250.00 $5,417.00 $3,912.00 2025-07-03
33463 CPT Valvuloplasty Tricuspid 16 12 $6,015.00 $6,015.00 $250.00 $5,414.00 $3,910.00 2025-07-03
33545 CPT Repair Of Heart Damage 16 12 $5,983.00 $5,983.00 $250.00 $5,385.00 $3,889.00 2025-07-03
32442 CPT Sleeve Pneumonectomy 16 12 $5,979.00 $5,979.00 $250.00 $5,381.00 $3,886.00 2025-07-03
47361 CPT Repair Liver Wound 16 12 $5,979.00 $5,979.00 $250.00 $5,381.00 $3,886.00 2025-07-03
61590 CPT Infratemporal Approach/skull 16 12 $5,975.00 $5,975.00 $250.00 $5,378.00 $3,884.00 2025-07-03
20973 CPT Bone/skin Graft Great Toe 16 12 $5,971.00 $5,971.00 $250.00 $5,374.00 $3,881.00 2025-07-03
63250 CPT Revise Spinal Cord Vsls Crvl 16 12 $5,949.00 $5,949.00 $250.00 $5,354.00 $3,867.00 2025-07-03
61519 CPT Remove Brain Lining Lesion 16 12 $5,914.00 $5,914.00 $250.00 $5,323.00 $3,844.00 2025-07-03
63650 CPT Ggh Surgical Services Re 31 12 $25,182.00 $25,182.00 $250.00 $75,546.00 $3,822.00 2025-07-03
41155 CPT Tongue Jaw & Neck Surgery 16 12 $5,860.00 $5,860.00 $250.00 $5,274.00 $3,809.00 2025-07-03
43107 CPT Removal Of Esophagus 16 12 $5,854.00 $5,854.00 $250.00 $5,269.00 $3,805.00 2025-07-03
58240 CPT Removal Of Pelvis Contents 16 12 $5,853.00 $5,853.00 $250.00 $5,268.00 $3,804.00 2025-07-03
61583 CPT Craniofacial Approach Skull 16 12 $5,845.00 $5,845.00 $250.00 $5,261.00 $3,799.00 2025-07-03
61597 CPT Transcondylar Approach/skull 16 12 $5,830.00 $5,830.00 $250.00 $5,247.00 $3,790.00 2025-07-03
3600548 CDM — 15 11 $5,557.00 $5,557.00 $1,334.00 $16,671.00 $3,779.00 2025-07-03
3600701 CDM Ggh Surgical Services Re 15 11 $5,557.00 $5,557.00 $1,334.00 $16,671.00 $3,779.00 2025-07-03
3600596 CDM Ggh Surgical Services Re 15 11 $5,557.00 $5,557.00 $1,334.00 $16,671.00 $3,779.00 2025-07-03
50365 CPT Rnl Altrnsplj W/rcp Nfrct 16 12 $5,803.00 $5,803.00 $250.00 $5,223.00 $3,772.00 2025-07-03
61606 CPT Resect/excise Cranial Lesion 16 12 $5,795.00 $5,795.00 $250.00 $5,216.00 $3,767.00 2025-07-03
31395 CPT Reconstruct Larynx & Pharynx 16 12 $5,794.00 $5,794.00 $250.00 $5,215.00 $3,766.00 2025-07-03
43313 CPT Esophagoplasty Congenital 16 12 $5,784.00 $5,784.00 $250.00 $5,206.00 $3,760.00 2025-07-03
33548 CPT Restore/remodel Ventricle 16 12 $5,760.00 $5,760.00 $250.00 $5,184.00 $3,744.00 2025-07-03
48154 CPT Pancreatectomy 16 12 $5,753.00 $5,753.00 $250.00 $5,178.00 $3,739.00 2025-07-03
61584 CPT Orbitocranial Approach/skull 16 12 $5,732.00 $5,732.00 $250.00 $5,159.00 $3,726.00 2025-07-03
48152 CPT Pancreatectomy 16 12 $5,728.00 $5,728.00 $250.00 $5,155.00 $3,723.00 2025-07-03
61684 CPT Intracranial Vessel Surgery 16 12 $5,706.00 $5,706.00 $250.00 $5,135.00 $3,709.00 2025-07-03
32998 CPT Ablate Pulm Tumor Perq Rf 16 12 $5,688.00 $5,688.00 $250.00 $5,119.00 $3,697.00 2025-07-03
61598 CPT Transpetrosal Approach/skull 16 12 $5,675.00 $5,675.00 $250.00 $5,108.00 $3,689.00 2025-07-03
20970 CPT Bone/skin Graft Iliac Crest 16 12 $5,673.00 $5,673.00 $250.00 $5,106.00 $3,687.00 2025-07-03
44127 CPT Enterectomy W/taper Cong 16 12 $5,672.00 $5,672.00 $250.00 $5,105.00 $3,687.00 2025-07-03
20972 CPT Bone/skin Graft Metatarsal 16 12 $5,656.00 $5,656.00 $250.00 $5,090.00 $3,676.00 2025-07-03
33406 CPT Replacement Aortic Valve Opn 16 12 $5,645.00 $5,645.00 $250.00 $5,081.00 $3,669.00 2025-07-03
43121 CPT Partial Removal Of Esophagus 16 12 $5,613.00 $5,613.00 $250.00 $5,052.00 $3,648.00 2025-07-03
63290 CPT Bx/exc Xdrl/idrl Lsn Any Lvl 16 12 $5,603.00 $5,603.00 $250.00 $5,043.00 $3,642.00 2025-07-03
61615 CPT Resect/excise Lesion Skull 16 12 $5,599.00 $5,599.00 $250.00 $5,039.00 $3,639.00 2025-07-03
27077 CPT Resect Hip Tum W/innom Bone 16 12 $5,587.00 $5,587.00 $250.00 $5,028.00 $3,632.00 2025-07-03
21160 CPT Rcnst Mdfc Lfrtiii Advm W/i 16 12 $5,568.00 $5,568.00 $250.00 $5,011.00 $3,619.00 2025-07-03
61518 CPT Removal Of Brain Lesion 16 12 $5,564.00 $5,564.00 $250.00 $5,008.00 $3,617.00 2025-07-03
43194 CPT Ggh E/r Revenue 16 12 $5,560.00 $5,560.00 $1,334.00 $5,004.00 $3,614.00 2025-07-03
20838 CPT Replantation Foot Complete 16 12 $5,545.00 $5,545.00 $250.00 $4,991.00 $3,604.00 2025-07-03
3600571 CDM — 15 11 $5,292.00 $5,292.00 $1,270.00 $15,876.00 $3,599.00 2025-07-03
3600565 CDM — 15 11 $5,292.00 $5,292.00 $1,270.00 $15,876.00 $3,599.00 2025-07-03
3600573 CDM — 15 11 $5,292.00 $5,292.00 $1,270.00 $15,876.00 $3,599.00 2025-07-03
31390 CPT Removal Of Larynx & Pharynx 16 12 $5,530.00 $5,530.00 $250.00 $4,977.00 $3,595.00 2025-07-03
63287 CPT Bx/exc Idrl Imed Lesn Thrlmb 16 12 $5,510.00 $5,510.00 $250.00 $4,959.00 $3,582.00 2025-07-03
32815 CPT Close Bronchial Fistula 16 12 $5,497.00 $5,497.00 $250.00 $4,947.00 $3,573.00 2025-07-03
3600586 CDM Ggh Surgical Services Re 15 11 $5,250.00 $5,250.00 $1,260.00 $15,750.00 $3,570.00 2025-07-03
33430 CPT Replacement Of Mitral Valve 15 11 $5,487.00 $5,487.00 $1,317.00 $4,938.00 $3,567.00 2025-07-03
20957 CPT Mt Bone Graft Microvasc 16 12 $5,475.00 $5,475.00 $250.00 $4,928.00 $3,559.00 2025-07-03
20802 CPT Replantation Arm Complete 16 12 $5,466.00 $5,466.00 $250.00 $4,919.00 $3,553.00 2025-07-03
360099311 CDM — 15 11 $5,198.00 $5,198.00 $1,248.00 $15,594.00 $3,535.00 2025-07-03
49406 CPT Ggh Rad Diagnostic Rev 16 12 $5,300.00 $5,300.00 $416.00 $9,275.00 $3,524.50 2025-07-03
19081 CPT Ggh Surgical Services Re 15 11 $5,181.00 $5,181.00 $1,243.00 $15,543.00 $3,523.00 2025-07-03
19364 CPT Brst Rcnstj Free Flap 15 11 $5,408.00 $5,408.00 $1,298.00 $4,867.00 $3,515.00 2025-07-03
45126 CPT Pelvic Exenteration 16 12 $5,404.00 $5,404.00 $250.00 $4,864.00 $3,513.00 2025-07-03
35471 CPT — 16 12 $5,404.00 $5,404.00 $250.00 $4,864.00 $3,513.00 2025-07-03
59618 CPT Attempted Vbac Delivery 16 12 $5,394.00 $5,394.00 $250.00 $4,855.00 $3,506.00 2025-07-03
33465 CPT Replace Tricuspid Valve 16 12 $5,388.00 $5,388.00 $250.00 $4,849.00 $3,502.00 2025-07-03
41145 CPT Tongue Removal Neck Surgery 16 12 $5,388.00 $5,388.00 $250.00 $4,849.00 $3,502.00 2025-07-03
33619 CPT Repair Single Ventricle 16 12 $5,386.00 $5,386.00 $250.00 $4,847.00 $3,501.00 2025-07-03
20969 CPT Bone/skin Graft Microvasc 16 12 $5,385.00 $5,385.00 $250.00 $4,847.00 $3,500.00 2025-07-03
43361 CPT Gastrointestinal Repair 16 12 $5,374.00 $5,374.00 $250.00 $4,837.00 $3,493.00 2025-07-03
15842 CPT Nerve Palsy Microsurg Graft 16 12 $5,364.00 $5,364.00 $250.00 $4,828.00 $3,487.00 2025-07-03
33875 CPT Thoracic Aortic Graft 16 12 $5,357.00 $5,357.00 $250.00 $4,821.00 $3,482.00 2025-07-03
61538 CPT Removal Of Brain Tissue 16 12 $5,338.00 $5,338.00 $250.00 $4,804.00 $3,470.00 2025-07-03
61581 CPT Craniofacial Approach Skull 16 12 $5,339.00 $5,339.00 $250.00 $4,805.00 $3,470.00 2025-07-03
59510 CPT Cesarean Delivery 15 11 $5,337.00 $5,337.00 $1,281.00 $4,803.00 $3,469.00 2025-07-03
33425 CPT Repair Of Mitral Valve 16 12 $5,337.00 $5,337.00 $250.00 $4,803.00 $3,469.00 2025-07-03
20962 CPT Other Bone Graft Microvasc 16 12 $5,328.00 $5,328.00 $250.00 $4,795.00 $3,463.00 2025-07-03
49405 CPT Ggh Rad Diagnostic Rev 17 12 $5,281.00 $5,281.00 $156.00 $9,242.00 $3,433.00 2025-07-03
33516 CPT Cabg Vein Six Or More 16 12 $5,274.00 $5,274.00 $250.00 $4,747.00 $3,428.00 2025-07-03
69535 CPT Remove Part Of Temporal Bone 16 12 $5,269.00 $5,269.00 $250.00 $4,742.00 $3,425.00 2025-07-03
48554 CPT Transpl Allograft Pancreas 16 12 $5,262.00 $5,262.00 $250.00 $4,736.00 $3,420.00 2025-07-03
20956 CPT Iliac Bone Graft Microvasc 16 12 $5,257.00 $5,257.00 $250.00 $4,731.00 $3,417.00 2025-07-03
63285 CPT Bx/exc Idrl Imed Lesn Cervl 16 12 $5,256.00 $5,256.00 $250.00 $4,730.00 $3,416.00 2025-07-03
61711 CPT Fusion Of Skull Arteries 16 12 $5,237.00 $5,237.00 $250.00 $4,713.00 $3,404.00 2025-07-03
61705 CPT Revise Circulation To Head 16 12 $5,226.00 $5,226.00 $250.00 $4,703.00 $3,397.00 2025-07-03
63286 CPT Bx/exc Idrl Imed Lesn Thrc 16 12 $5,196.00 $5,196.00 $250.00 $4,676.00 $3,377.00 2025-07-03
81162 CPT Ggh Laboratory Revenue 15 11 $4,951.00 $4,951.00 $1,188.00 $7,922.00 $3,367.00 2025-07-03
61536 CPT Removal Of Brain Lesion 16 12 $5,178.00 $5,178.00 $250.00 $4,660.00 $3,366.00 2025-07-03
C1771 HCPCS — 15 11 $4,936.00 $4,936.00 $1,185.00 $29,616.00 $3,356.00 2025-07-03
33536 CPT Cabg Arterial Four Or More 16 12 $5,163.00 $5,163.00 $250.00 $4,647.00 $3,356.00 2025-07-03
33542 CPT Removal Of Heart Lesion 16 12 $5,150.00 $5,150.00 $250.00 $4,635.00 $3,348.00 2025-07-03
21159 CPT Rcnst Mdfc Lfrtiii Advm Wo I 16 12 $5,134.00 $5,134.00 $250.00 $4,621.00 $3,337.00 2025-07-03
61567 CPT Incision Of Brain Tissue 16 12 $5,131.00 $5,131.00 $250.00 $4,618.00 $3,335.00 2025-07-03
61512 CPT Crnec Treph Exc Mngioma Sttl 16 12 $5,129.00 $5,129.00 $250.00 $4,616.00 $3,334.00 2025-07-03
50592 CPT Perc Rf Ablate Renal Tumor 16 12 $5,123.00 $5,123.00 $250.00 $4,611.00 $3,330.00 2025-07-03
61708 CPT Revise Circulation To Head 16 12 $5,113.00 $5,113.00 $250.00 $4,602.00 $3,323.00 2025-07-03
33910 CPT Remove Lung Artery Emboli 16 12 $5,104.00 $5,104.00 $250.00 $4,594.00 $3,318.00 2025-07-03
33514 CPT Cabg Vein Five 16 12 $5,095.00 $5,095.00 $250.00 $4,586.00 $3,312.00 2025-07-03
43122 CPT Partial Removal Of Esophagus 16 12 $5,095.00 $5,095.00 $250.00 $4,586.00 $3,312.00 2025-07-03
3600576 CDM Ggh Surgical Services Re 15 11 $4,863.00 $4,863.00 $1,167.00 $14,589.00 $3,307.00 2025-07-03
3600562 CDM Ggh Surgical Services Re 15 11 $4,863.00 $4,863.00 $1,167.00 $14,589.00 $3,307.00 2025-07-03
3600619 CDM Ggh Surgical Services Re 15 11 $4,863.00 $4,863.00 $1,167.00 $14,589.00 $3,307.00 2025-07-03
43415 CPT Repair Esophagus Wound 16 12 $5,068.00 $5,068.00 $250.00 $4,561.00 $3,294.00 2025-07-03
35092 CPT Repair Artery Rupture Aorta 16 12 $5,062.00 $5,062.00 $250.00 $4,556.00 $3,290.00 2025-07-03
61575 CPT Skull Base/brainstem Surgery 16 12 $5,032.00 $5,032.00 $250.00 $4,529.00 $3,271.00 2025-07-03
59610 CPT Vbac Delivery 15 11 $5,032.00 $5,032.00 $1,208.00 $4,529.00 $3,271.00 2025-07-03
63305 CPT Remove Vert Idrl Body Thrc 16 12 $5,027.00 $5,027.00 $250.00 $4,524.00 $3,268.00 2025-07-03
31365 CPT Removal Of Larynx 16 12 $5,026.00 $5,026.00 $250.00 $4,523.00 $3,267.00 2025-07-03
27076 CPT Resect Hip Tum Incl Acetabul 16 12 $5,012.00 $5,012.00 $250.00 $4,511.00 $3,258.00 2025-07-03
69554 CPT Exc Aurl Glomus Tum Extended 16 12 $5,008.00 $5,008.00 $250.00 $4,507.00 $3,255.00 2025-07-03
46742 CPT Repair Of Imperforated Anus 16 12 $5,000.00 $5,000.00 $250.00 $4,500.00 $3,250.00 2025-07-03
61586 CPT Resect Nasopharynx Skull 16 12 $4,997.00 $4,997.00 $250.00 $4,497.00 $3,248.00 2025-07-03
33410 CPT Replacement Aortic Valve Opn 16 12 $4,986.00 $4,986.00 $250.00 $4,487.00 $3,241.00 2025-07-03
33870 CPT — 16 12 $4,949.00 $4,949.00 $250.00 $4,454.00 $3,217.00 2025-07-03
63306 CPT Remov Vert Idrl Bdy Thrclmbr 16 12 $4,942.00 $4,942.00 $250.00 $4,448.00 $3,212.00 2025-07-03
22819 CPT Kyphectomy 3 Or More 16 12 $4,934.00 $4,934.00 $250.00 $4,441.00 $3,207.00 2025-07-03
61537 CPT Removal Of Brain Tissue 16 12 $4,933.00 $4,933.00 $250.00 $4,440.00 $3,206.00 2025-07-03
21125 CPT Augmentation Mndblr Prostc 16 12 $4,930.00 $4,930.00 $250.00 $4,437.00 $3,205.00 2025-07-03
61580 CPT Craniofacial Approach Skull 16 12 $4,928.00 $4,928.00 $250.00 $4,435.00 $3,203.00 2025-07-03
47780 CPT Fuse Bile Ducts And Bowel 16 12 $4,920.00 $4,920.00 $250.00 $4,428.00 $3,198.00 2025-07-03
21184 CPT Reconstruct Cranial Bone 16 12 $4,919.00 $4,919.00 $250.00 $4,427.00 $3,197.00 2025-07-03
22206 CPT Incis Spine 3 Column Thorac 16 12 $4,918.00 $4,918.00 $250.00 $4,426.00 $3,197.00 2025-07-03
35470 CPT — 16 12 $4,916.00 $4,916.00 $250.00 $4,424.00 $3,195.00 2025-07-03
44126 CPT Enterectomy Without Taper Cong 16 12 $4,916.00 $4,916.00 $250.00 $4,424.00 $3,195.00 2025-07-03
1616461 CDM Ggh Implants 15 11 $4,654.00 $4,654.00 $1,117.00 $27,924.00 $3,165.00 2025-07-03
50360 CPT Rnl Altrnsplj Without Rcp Nfrct 16 12 $4,867.00 $4,867.00 $250.00 $4,380.00 $3,164.00 2025-07-03
3500031 CDM — 16 12 $4,750.00 $4,750.00 $1,140.00 $11,875.00 $3,159.00 2025-07-03
63087 CPT Remov Vertbr Dcmprn Thrclmbr 16 12 $4,857.00 $4,857.00 $250.00 $4,371.00 $3,157.00 2025-07-03
20955 CPT Fibula Bone Graft Microvasc 16 12 $4,852.00 $4,852.00 $250.00 $4,367.00 $3,154.00 2025-07-03
3600575 CDM — 15 11 $4,631.00 $4,631.00 $1,111.00 $13,893.00 $3,149.00 2025-07-03
3600594 CDM — 15 11 $4,631.00 $4,631.00 $1,111.00 $13,893.00 $3,149.00 2025-07-03
33031 CPT Partial Removal Of Heart Sac 16 12 $4,845.00 $4,845.00 $250.00 $4,361.00 $3,149.00 2025-07-03
33513 CPT Cabg Vein Four 16 12 $4,841.00 $4,841.00 $250.00 $4,357.00 $3,147.00 2025-07-03
61564 CPT Excision Of Skull Tumor 16 12 $4,840.00 $4,840.00 $250.00 $4,356.00 $3,146.00 2025-07-03
63307 CPT Remov Vert Idrl Bdy Lmbr/sac 16 12 $4,838.00 $4,838.00 $250.00 $4,354.00 $3,145.00 2025-07-03
22804 CPT Arthrd Pst Dfrm 13+ Vrt Sgm 16 12 $4,839.00 $4,839.00 $250.00 $4,355.00 $3,145.00 2025-07-03
61559 CPT Excision Of Skull/sutures 16 12 $4,830.00 $4,830.00 $250.00 $4,347.00 $3,140.00 2025-07-03
61596 CPT Transcochlear Approach/skull 16 12 $4,826.00 $4,826.00 $250.00 $4,343.00 $3,137.00 2025-07-03
21261 CPT Revise Eye Sockets 16 12 $4,813.00 $4,813.00 $250.00 $4,332.00 $3,128.00 2025-07-03
61601 CPT Resect/excise Cranial Lesion 16 12 $4,810.00 $4,810.00 $250.00 $4,329.00 $3,127.00 2025-07-03
59400 CPT Obstetrical Care 15 11 $4,805.00 $4,805.00 $1,153.00 $4,325.00 $3,123.00 2025-07-03
33468 CPT Revision Of Tricuspid Valve 16 12 $4,796.00 $4,796.00 $250.00 $4,316.00 $3,117.00 2025-07-03
22207 CPT Incis Spine 3 Column Lumbar 16 12 $4,792.00 $4,792.00 $250.00 $4,313.00 $3,115.00 2025-07-03
33535 CPT Cabg Arterial Three 16 12 $4,792.00 $4,792.00 $250.00 $4,313.00 $3,115.00 2025-07-03
33300 CPT Repair Of Heart Wound 16 12 $4,793.00 $4,793.00 $250.00 $4,314.00 $3,115.00 2025-07-03
61322 CPT Crnec/crnot Dcmprv Without Lobec 16 12 $4,787.00 $4,787.00 $250.00 $4,308.00 $3,112.00 2025-07-03
33427 CPT Repair Of Mitral Valve 16 12 $4,775.00 $4,775.00 $250.00 $4,298.00 $3,104.00 2025-07-03
33464 CPT Valvuloplasty Tricuspid 16 12 $4,772.00 $4,772.00 $250.00 $4,295.00 $3,102.00 2025-07-03
35540 CPT Art Byp Grft Aortbifemoral 16 12 $4,769.00 $4,769.00 $250.00 $4,292.00 $3,100.00 2025-07-03
61323 CPT Crnec/crnot Dcmprv W/lobec 16 12 $4,767.00 $4,767.00 $250.00 $4,290.00 $3,099.00 2025-07-03
35474 CPT — 16 12 $4,761.00 $4,761.00 $250.00 $4,285.00 $3,095.00 2025-07-03
61595 CPT Transtemporal Approach/skull 16 12 $4,747.00 $4,747.00 $250.00 $4,272.00 $3,086.00 2025-07-03
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