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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

NATIVIDAD MEDICAL CENTER

Salinas, CA · CCN 050248 · Rates published

4,451 distinct procedures filed
14 distinct payers
87,418 rate rows
2026-08-14 last MRF observed
Data quality

82,322 of 87,418 rate rows are consumer-grade (94.2%)

5,096 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
per-diem day rate — not a per-procedure price 4,500
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 468
percent-of-charges filed in the dollar field — excluded from medians 78
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 44
exceeds 10× this hospital's gross charge — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbNMCSALINASCA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Natividad_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-31
Content fingerprint 916247e5d7174e7f… · 43,688,153 bytes · first seen 2026-10-10

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
00620
HCPCS 		Anesthesia For Other Procedure On Middle Spine 8 $105,985.00 $196,554.00 $147,415.50 nat. median
$7,314
outlier · 20.2×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 10 $217.42 $86,829.63 $59,588.96 nat. median
$3,824
outlier · 15.6×
33262
HCPCS 		Removal And Replacement Of Single Lead Defibrillator 10 $301.74 $82,175.45 $57,764.51 nat. median
$23,285
outlier · 2.5×
37275
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 10 $26,066.60 $81,757.08 $53,022.06 nat. median
$20,592
outlier · 2.6×
0238T
OTHER 		Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open… 10 $26,066.60 $74,340.66 $51,018.10 nat. median
$17,559
outlier · 2.9×
37288
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 10 $26,066.60 $73,754.16 $50,615.60 nat. median
$21,968
outlier · 2.3×
C9767
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 8 $26,066.60 $64,193.70 $48,900.50 nat. median
$20,602
outlier · 2.4×
C9765
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 8 $26,066.60 $64,191.15 $48,898.56 nat. median
$19,139
outlier · 2.6×
C9775
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 8 $26,066.60 $64,191.15 $48,898.56 nat. median
$19,784
outlier · 2.5×
C9773
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 8 $26,066.60 $64,191.15 $48,898.56 nat. median
$19,390
outlier · 2.5×
C9766
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 8 $26,066.60 $64,191.15 $48,898.56 nat. median
$19,262
outlier · 2.5×
C9774
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 8 $26,066.60 $64,191.15 $48,898.56 nat. median
$19,561
outlier · 2.5×
37231
HCPCS 		Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 8 $1,862.35 $70,542.18 $48,411.30 nat. median
$18,415
outlier · 2.6×
31620043_1
CDM 		Implant Cardiac Defibrillator 6 $35,199.45 $54,399.15 $44,799.30 nat. median
$44,799
1.0× median
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 8 $12,846.90 $78,099.36 $41,813.20 nat. median
$27,303
1.5× median
37284
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 10 $22,365.75 $81,758.10 $41,071.65 nat. median
$20,292
outlier · 2.0×
C1721
HCPCS 		Cardioverter-defibrillator, Dual Chamber (implantable) 8 $26,854.30 $49,802.52 $37,351.89 nat. median
$22,298
1.7× median
37296
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 10 $16,415.20 $51,491.64 $35,337.40 nat. median
$13,743
outlier · 2.6×
0525T
OTHER 		Insertion Or Replacement Of Complete Monitoring System For Deficient Blood Flow… 10 $25,717.45 $47,694.18 $34,652.82 nat. median
$18,686
1.9× median
C1722
HCPCS 		Cardioverter-defibrillator, Single Chamber (implantable) 8 $18,603.75 $51,876.18 $32,931.21 nat. median
$20,868
1.6× median
C1787
HCPCS 		Patient Programmer, Neurostimulator 8 $22,865.70 $42,405.48 $31,804.11 nat. median
$2,054
outlier · 15.5×
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 8 $22,748.55 $42,188.22 $31,641.17 nat. median
$22,953
1.4× median
C9772
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 8 $16,415.20 $40,848.45 $31,116.91 nat. median
$13,477
outlier · 2.3×
J1162
HCPCS 		Injection, Digoxin Immune Fab (ovine), Per Vial 10 $5,383.32 $44,051.86 $30,965.87 nat. median
$7,155
outlier · 4.3×
C9764
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 8 $16,415.20 $40,539.90 $30,881.86 nat. median
$12,453
outlier · 2.5×
37230
HCPCS 		Insertion Of Stent In Artery Of Leg, Initial Vessel 8 $1,692.35 $41,478.30 $28,465.50 nat. median
$16,927
1.7× median
37271
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 10 $45.00 $81,757.08 $28,465.50 nat. median
$20,393
1.4× median
G0390
HCPCS 		Trauma Response Team Associated With Hospital Critical Care Service 10 $1,895.33 $50,886.78 $26,690.88 nat. median
$3,212
outlier · 8.3×
37267
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 10 $75.00 $51,491.64 $26,330.59 nat. median
$14,098
1.9× median
61623
HCPCS 		Balloon Occlusion Of Head Or Neck Artery With Review By Radiologist 10 $300.07 $33,516.35 $23,560.03 nat. median
$11,341
outlier · 2.1×
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 8 $14,486.45 $26,865.78 $20,149.33 nat. median
$23,793
0.8× median
J0401
HCPCS 		Injection, Aripiprazole (abilify Maintena), 1 Mg 10 $7.46 $25,691.79 $18,059.81 nat. median
$1,945
outlier · 9.3×
J0630
HCPCS 		Injection, Calcitonin Salmon, Up To 400 Units 8 $12,605.54 $23,377.56 $17,533.17 nat. median
$1,892
outlier · 9.3×
Q4116
HCPCS 		Alloderm, Per Square Centimeter 10 $36.98 $24,320.20 $17,095.67 nat. median
$548
outlier · 31.2×
C2621
HCPCS 		Pacemaker, Other Than Single Or Dual Chamber (implantable) 8 $8,456.25 $30,424.56 $16,961.95 nat. median
$10,636
1.6× median
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 10 $12.73 $23,256.19 $16,347.73 nat. median
$675
outlier · 24.2×
Q4130
HCPCS 		Strattice Tm, Per Square Centimeter 8 $147.49 $20,112.70 $15,321.15 nat. median
$3,483
outlier · 4.4×
37280
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 10 $50.00 $51,491.64 $15,045.26 nat. median
$14,848
1.0× median
31610098_1
CDM 		Interbody Lordotic 6 $11,500.50 $17,773.50 $14,637.00 nat. median
$14,637
1.0× median
47383
HCPCS 		Destruction Of Growth Of Liver Through Skin Using Freezing 10 $416.98 $18,893.75 $14,155.00 nat. median
$9,723
1.5× median
37285
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 10 $147.06 $20,060.34 $13,766.90 nat. median
$7,840
1.8× median
37254
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 10 $8,093.09 $20,060.34 $13,766.90 nat. median
$8,037
1.7× median
37233
HCPCS 		Removal Of Plaque In Artery Of Leg, Each Additional Vessel 8 $842.35 $20,060.34 $13,766.90 nat. median
$8,031
1.7× median
37223
HCPCS 		Insertion Of Stent In Groin Artery, Additional Vessel 8 $503.20 $20,060.34 $13,766.90 nat. median
$7,286
1.9× median
37293
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 10 $290.41 $20,060.34 $13,766.90 nat. median
$9,000
1.5× median
C1764
HCPCS 		Event Recorder, Cardiac (implantable) 8 $9,686.05 $17,963.22 $13,472.42 nat. median
$7,740
1.7× median
J7168
HCPCS 		Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 10 $2.01 $18,751.43 $13,181.15 nat. median
$21
outlier · 621.2×
47556
HCPCS 		Dilation Of Bile Ducts With Stent Insertion Using An Endoscope 10 $344.01 $18,893.75 $12,817.00 nat. median
$8,864
1.4× median
32994
HCPCS 		Destruction Of Growth Of Lung Using Extreme Cold 10 $8,260.18 $18,893.75 $12,817.00 nat. median
$9,509
1.3× median
37263
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 10 $45.00 $25,092.00 $12,734.38 nat. median
$8,563
1.5× median

Other procedures at this hospital

Browse this hospital's 4,451 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
             
Q4116 HCPCS Alloderm, Per Square Centimeter 10 10 $28,612.00 $28,612.00 $36.98 $24,320.20 $17,095.67 2026-08-14
C1713 HCPCS Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 232 8 $8,699.00 $8,699.00 $24.20 $47,047.50 $6,212.11 2026-08-14
00620 HCPCS Anesthesia For Other Procedure On Middle Spine 8 8 $192,700.00 $192,700.00 $105,985.00 $196,554.00 $147,415.50 2026-08-14
88020 HCPCS Autopsy With Microscopic Examination Of Tissue 2 2 $4,045.00 $4,045.00 $3,438.25 $4,045.00 $3,741.62 2026-08-14
43195 HCPCS Balloon Dilation Of Esophagus Using A Rigid Endoscope, Less Than 3.0 Cm 10 10 $4,519.00 $4,519.00 $156.74 $6,852.84 $3,163.30 2026-08-14
61623 HCPCS Balloon Occlusion Of Head Or Neck Artery With Review By Radiologist 10 10 $39,431.00 $39,431.00 $300.07 $33,516.35 $23,560.03 2026-08-14
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 8 8 $48,826.00 $48,826.00 $26,854.30 $49,802.52 $37,351.89 2026-08-14
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 64 8 $56,924.50 $56,924.50 $12,846.90 $78,099.36 $41,813.20 2026-08-14
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 32 8 $43,716.50 $43,716.50 $18,603.75 $51,876.18 $32,931.21 2026-08-14
0238T OTHER Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 10 10 $72,883.00 $72,883.00 $26,066.60 $74,340.66 $51,018.10 2026-08-14
C1888 HCPCS Catheter, Ablation, Non-cardiac, Endovascular (implantable) 8 8 $6,075.00 $6,075.00 $3,341.25 $6,196.50 $4,647.38 2026-08-14
C1757 HCPCS Catheter, Thrombectomy/embolectomy 48 8 $4,677.50 $4,677.50 $287.65 $10,210.20 $3,381.07 2026-08-14
C2623 HCPCS Catheter, Transluminal Angioplasty, Drug-coated, Non-laser 32 8 $5,535.00 $5,535.00 $616.00 $10,350.96 $4,334.22 2026-08-14
C1714 HCPCS Catheter, Transluminal Atherectomy, Directional 8 8 $10,554.00 $10,554.00 $5,804.70 $10,765.08 $8,073.81 2026-08-14
59618 HCPCS Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal… 10 10 $5,839.00 $5,839.00 $60.00 $4,963.15 $2,930.66 2026-08-14
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 10 10 $5,334.00 $5,334.00 $60.00 $4,533.90 $2,904.70 2026-08-14
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 96 8 $13,903.50 $13,903.50 $1,353.00 $47,419.80 $10,353.52 2026-08-14
C1763 HCPCS Connective Tissue, Non-human (includes Synthetic) 32 8 $9,481.50 $9,481.50 $2,190.65 $12,812.22 $6,918.77 2026-08-14
47361 HCPCS Control Of Bleeding Of Liver With Exploration, Removal Of Tissue, Suture Or Caut… 10 10 $5,719.00 $5,719.00 $292.63 $4,861.15 $3,263.96 2026-08-14
47535 HCPCS Conversion Of External Biliary Drainage Tube To Internal-external Biliary Draina… 10 10 $5,826.00 $5,826.00 $1,014.52 $6,363.91 $4,078.20 2026-08-14
49446 HCPCS Conversion Of Stomach Tube To Stomach-to-small Bowel Tube Using Fluoroscopic Gui… 10 10 $4,519.00 $4,519.00 $912.51 $3,841.15 $2,926.06 2026-08-14
34712 HCPCS Delivery Of Fixation Device To Graft With Review By Radiologist 10 10 $19,211.00 $19,211.00 $577.72 $16,329.35 $11,478.58 2026-08-14
50593 HCPCS Destruction Of Growth Of Kidney By Freezing 21 10 $4,000.00 $4,000.00 $60.00 $18,893.75 $3,400.00 2026-08-14
50592 HCPCS Destruction Of Growth Of Kidney Using Radiofrequency 8 8 $18,310.00 $18,310.00 $8,596.41 $15,563.50 $11,855.73 2026-08-14
47383 HCPCS Destruction Of Growth Of Liver Through Skin Using Freezing 10 10 $20,300.00 $20,300.00 $416.98 $18,893.75 $14,155.00 2026-08-14
47382 HCPCS Destruction Of Growth Of Liver Through Skin Using Radiofrequency 10 10 $18,310.00 $18,310.00 $794.63 $15,563.50 $11,277.73 2026-08-14
32994 HCPCS Destruction Of Growth Of Lung Using Extreme Cold 10 10 $18,310.00 $18,310.00 $8,260.18 $18,893.75 $12,817.00 2026-08-14
32998 HCPCS Destruction Of Growth Of Lung Using Radiofrequency 10 10 $18,310.00 $18,310.00 $2,589.81 $15,563.50 $11,277.73 2026-08-14
20982 HCPCS Destruction Of Growths And Adjacent Soft Tissue 10 10 $16,863.00 $16,863.00 $3,678.13 $31,165.13 $11,804.10 2026-08-14
43278 HCPCS Destruction Of Polyp Or Growth Of Gallbladder And/or Bile Duct Using A Flexible … 10 10 $8,623.00 $8,623.00 $391.29 $7,329.55 $5,583.40 2026-08-14
43265 HCPCS Destruction Of Stone Of Bile Or Pancreatic Duct Using A Flexible Endoscope 20 10 $5,002.00 $5,002.00 $55.00 $10,790.61 $2,958.25 2026-08-14
47552 HCPCS Diagnostic Exam Of Bile Duct Using An Endoscope 10 10 $7,975.00 $7,975.00 $166.05 $11,506.78 $5,582.50 2026-08-14
47555 HCPCS Dilation Of Bile Ducts Using An Endoscope 10 10 $7,975.00 $7,975.00 $230.83 $11,506.78 $5,582.50 2026-08-14
47556 HCPCS Dilation Of Bile Ducts With Stent Insertion Using An Endoscope 10 10 $18,310.00 $18,310.00 $344.01 $18,893.75 $12,817.00 2026-08-14
43226 HCPCS Dilation Of Esophagus With Insertion Of Guide Wire Using A Flexible Endoscope 10 10 $4,519.00 $4,519.00 $178.70 $3,841.15 $2,926.06 2026-08-14
50020 HCPCS Drainage Of Abscess Of Kidney 10 10 $8,952.00 $8,952.00 $846.97 $7,609.20 $5,348.82 2026-08-14
58820 HCPCS Drainage Of Abscess Of Ovaries Through Vagina 10 10 $11,249.00 $11,249.00 $229.54 $9,561.65 $6,721.28 2026-08-14
58800 HCPCS Drainage Of Cysts Of Ovaries Through Vagina 10 10 $6,132.00 $6,132.00 $229.54 $5,753.78 $4,292.40 2026-08-14
C1884 HCPCS Embolization Protective System 24 8 $5,101.00 $5,101.00 $2,228.05 $6,398.46 $4,012.44 2026-08-14
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 8 8 $12,007.23 $12,007.23 $6,603.98 $12,247.38 $9,185.53 2026-08-14
C1764 HCPCS Event Recorder, Cardiac (implantable) 8 8 $17,611.00 $17,611.00 $9,686.05 $17,963.22 $13,472.42 2026-08-14
49204 HCPCS Excision Or Destruction, Open, Intra-abdominal Tumors, Cysts Or Endometriomas, 1… 2 2 $4,125.00 $4,125.00 $3,506.25 $4,125.00 $3,815.62 2026-08-14
49203 HCPCS Excision Or Destruction, Open, Intra-abdominal Tumors, Cysts Or Endometriomas, 1… 2 2 $3,233.00 $3,233.00 $2,748.05 $3,233.00 $2,990.53 2026-08-14
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 8 8 $26,339.00 $26,339.00 $14,486.45 $26,865.78 $20,149.33 2026-08-14
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 8 8 $41,361.00 $41,361.00 $22,748.55 $42,188.22 $31,641.17 2026-08-14
C1768 HCPCS Graft, Vascular 120 8 $9,898.00 $9,898.00 $24.20 $46,627.26 $6,822.71 2026-08-14
72909401_1 CDM Hemodialysis Acute 6 6 $3,951.00 $3,951.00 $2,173.05 $3,358.35 $2,765.70 2026-08-14
C9250 HCPCS Human Plasma Fibrin Sealant, Vapor-heated, Solvent-detergent (artiss), 2 Ml 8 8 $4,264.00 $4,264.00 $145.67 $3,624.40 $2,760.94 2026-08-14
31620043_1 CDM Implant Cardiac Defibrillator 6 6 $63,999.00 $63,999.00 $35,199.45 $54,399.15 $44,799.30 2026-08-14
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 24 8 $10,455.00 $10,455.00 $2,462.90 $11,500.50 $7,034.07 2026-08-14
A9572 HCPCS Indium In-111 Pentetreotide, Diagnostic, Per Study Dose, Up To 6 Millicuries 14 8 $4,562.00 $4,562.00 $2,000.94 $15,394.35 $3,718.03 2026-08-14
64680 HCPCS Injection Of Agent To Destroy Abdominal Nerve Bundle 10 10 $6,891.00 $6,891.00 $118.02 $5,857.35 $4,117.38 2026-08-14
47532 HCPCS Injection Of Bile Duct For X-ray Through New Skin Access Using Imaging Guidance … 10 10 $9,862.00 $9,862.00 $749.07 $8,382.70 $6,362.45 2026-08-14
J0883 HCPCS Injection, Argatroban, 1 Mg (for Non-esrd Use) 10 10 $5,400.12 $5,400.12 $0.86 $4,590.10 $3,226.57 2026-08-14
J0401 HCPCS Injection, Aripiprazole (abilify Maintena), 1 Mg 10 10 $30,225.63 $30,225.63 $7.46 $25,691.79 $18,059.81 2026-08-14
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 8 8 $22,919.17 $22,919.17 $12,605.54 $23,377.56 $17,533.17 2026-08-14
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 10 10 $4,886.46 $4,886.46 $2.92 $4,153.49 $2,919.66 2026-08-14
J0897 HCPCS Injection, Denosumab, 1 Mg 10 10 $19,523.92 $19,523.92 $30.10 $16,595.33 $11,665.55 2026-08-14
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 10 10 $51,825.72 $51,825.72 $5,383.32 $44,051.86 $30,965.87 2026-08-14
J1442 HCPCS Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram 16 10 $3,330.93 $3,330.93 $1.01 $4,746.03 $2,548.16 2026-08-14
J1451 HCPCS Injection, Fomepizole, 15 Mg 10 10 $12,910.58 $12,910.58 $6.18 $10,973.99 $7,714.07 2026-08-14
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 10 10 $19,852.27 $19,852.27 $51.22 $16,874.43 $11,861.74 2026-08-14
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 16 10 $6,157.62 $6,157.62 $49.01 $12,683.30 $4,710.57 2026-08-14
J9220 HCPCS Injection, Indigotindisulfonate Sodium, 1 Mg 8 8 $5,011.45 $5,011.45 $9.30 $4,259.73 $3,244.91 2026-08-14
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 10 10 $12,241.45 $12,241.45 $31.48 $10,405.23 $7,314.26 2026-08-14
Q9957 HCPCS Injection, Perflutren Lipid Microspheres, Per Ml 16 8 $3,425.01 $3,425.01 $1,619.45 $3,983.69 $2,528.86 2026-08-14
J0248 HCPCS Injection, Remdesivir, 1 Mg 10 10 $6,710.64 $6,710.64 $7.51 $5,704.05 $4,009.61 2026-08-14
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 10 10 $27,360.22 $27,360.22 $12.73 $23,256.19 $16,347.73 2026-08-14
J3101 HCPCS Injection, Tenecteplase, 1 Mg 10 10 $85,127.09 $85,127.09 $217.42 $86,829.63 $59,588.96 2026-08-14
J1670 HCPCS Injection, Tetanus Immune Globulin, Human, Up To 250 Units 10 10 $6,799.97 $6,799.97 $595.02 $5,779.97 $4,062.98 2026-08-14
J2356 HCPCS Injection, Tezepelumab-ekko, 1 Mg 10 10 $4,381.46 $4,381.46 $17.92 $3,724.24 $2,617.92 2026-08-14
0201T OTHER Injections Of Both Sides Of Sacrum For Enlargement, 2 Or More Needles, Accessed … 10 10 $11,486.00 $11,486.00 $6,317.30 $12,897.38 $9,361.09 2026-08-14
0200T OTHER Injections Of One Side Of Sacrum For Enlargement, 1 Or More Needles, Accessed Th… 10 10 $11,486.00 $11,486.00 $6,317.30 $12,897.38 $9,361.09 2026-08-14
36566 HCPCS Insertion Of 2 Central Venous Tubes In 2 Veins With Port 10 10 $10,463.00 $10,463.00 $217.80 $9,890.50 $7,324.10 2026-08-14
49421 HCPCS Insertion Of Abdominal Cavity Tube For Drainage Or Dialysis 10 10 $10,777.00 $10,777.00 $261.73 $9,160.45 $6,657.54 2026-08-14
49419 HCPCS Insertion Of Abdominal Cavity Tube For Drug Delivery 10 10 $12,675.00 $12,675.00 $212.35 $10,773.75 $8,207.07 2026-08-14
36560 HCPCS Insertion Of Central Venous Tube With Port (younger Than 5 Years) 10 10 $10,463.00 $10,463.00 $262.47 $8,893.55 $6,251.65 2026-08-14
36570 HCPCS Insertion Of Central Venous Tube With Port For Infusion (younger Than 5 Years) 10 10 $8,580.00 $8,580.00 $338.42 $7,293.00 $5,555.55 2026-08-14
36563 HCPCS Insertion Of Central Venous Tube With Pump 10 10 $10,463.00 $10,463.00 $318.69 $9,890.50 $7,324.10 2026-08-14
49411 HCPCS Insertion Of Device In Abdominal Cavity Through Skin For Radiation Therapy Guida… 10 10 $4,621.00 $4,621.00 $453.09 $3,927.85 $2,761.05 2026-08-14
32553 HCPCS Insertion Of Device In Chest Cavity For Radiation Therapy Guidance 10 10 $4,621.00 $4,621.00 $519.36 $3,927.85 $2,761.05 2026-08-14
34813 HCPCS Insertion Of Graft In Upper Thigh Artery 10 10 $14,133.00 $14,133.00 $200.29 $12,013.05 $8,444.47 2026-08-14
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 20 10 $14,651.00 $14,651.00 $65.00 $24,673.80 $3,585.49 2026-08-14
36260 HCPCS Insertion Of Implantable Arterial Infusion Pump 10 10 $10,463.00 $10,463.00 $854.44 $9,890.50 $7,324.10 2026-08-14
49442 HCPCS Insertion Of Large Bowel Tube Using Fluoroscopic Guidance With Contrast 10 10 $6,332.00 $6,332.00 $891.29 $5,382.20 $3,783.37 2026-08-14
36903 HCPCS Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent… 20 10 $22,573.50 $22,573.50 $45.00 $37,567.45 $2,991.24 2026-08-14
55875 HCPCS Insertion Of Needle Or Tube Into Prostate For Radiation Therapy 10 10 $17,144.00 $17,144.00 $1,030.21 $14,572.40 $10,294.06 2026-08-14
20555 HCPCS Insertion Of Needles Or Tubes Into Muscle Or Tissue For Radiation Treatment 10 10 $11,486.00 $11,486.00 $246.09 $9,763.10 $6,862.89 2026-08-14
55920 HCPCS Insertion Of Needles Or Tubes Into Pelvic Or Genital Organs For Radiation Therap… 10 10 $8,188.00 $8,188.00 $344.01 $8,891.51 $5,731.60 2026-08-14
41019 HCPCS Insertion Of Needles, Tubes, Or Devices Into Head And/or Neck For Radiation Ther… 10 10 $8,291.00 $8,291.00 $521.75 $10,522.10 $5,803.70 2026-08-14
49441 HCPCS Insertion Of Small Bowel Tube Using Fluoroscopic Guidance With Contrast 10 10 $4,519.00 $4,519.00 $1,093.82 $3,841.15 $2,926.06 2026-08-14
37215 HCPCS Insertion Of Stent And Blood Clot Protection Device In Neck Artery With Review B… 10 10 $11,055.00 $11,055.00 $860.75 $9,396.75 $6,605.36 2026-08-14
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 10 8 $40,665.00 $40,665.00 $1,692.35 $41,478.30 $28,465.50 2026-08-14
37223 HCPCS Insertion Of Stent In Groin Artery, Additional Vessel 10 8 $19,667.00 $19,667.00 $503.20 $20,060.34 $13,766.90 2026-08-14
37239 HCPCS Insertion Of Stent In Vein With Review By Radiologist, Each Additional Vein 10 10 $19,667.00 $19,667.00 $127.33 $16,716.95 $11,751.03 2026-08-14
36568 HCPCS Insertion Of Tube For Infusion (younger Than 5 Years) 10 10 $3,790.00 $3,790.00 $68.56 $3,221.50 $2,454.03 2026-08-14
93457 HCPCS Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For… 10 10 $13,398.00 $13,398.00 $1,601.85 $11,388.30 $8,005.30 2026-08-14
36226 HCPCS Insertion Of Tube Into Brain Artery For Diagnosis Or Treatment With Review By Ra… 10 10 $20,126.00 $20,126.00 $281.46 $17,107.10 $12,025.28 2026-08-14
36221 HCPCS Insertion Of Tube Into Chest Aorta For Diagnosis Or Treatment With Review By Rad… 10 10 $11,490.00 $11,490.00 $173.86 $9,766.50 $6,865.27 2026-08-14
36222 HCPCS Insertion Of Tube Into Extracranial Artery For Diagnosis Or Treatment With Revie… 10 10 $11,490.00 $11,490.00 $237.90 $9,766.50 $6,865.27 2026-08-14
58345 HCPCS Insertion Of Tube Into Fallopian Tube 10 10 $6,132.00 $6,132.00 $3,372.60 $6,254.64 $4,692.99 2026-08-14
36252 HCPCS Insertion Of Tube Into First Order Main And Accessory Arteries Of Both Kidneys F… 10 10 $11,490.00 $11,490.00 $296.72 $9,766.50 $6,865.27 2026-08-14
36228 HCPCS Insertion Of Tube Into Neck Or Brain Artery For Diagnosis Or Treatment With Revi… 10 10 $4,983.00 $4,983.00 $181.31 $4,235.55 $2,977.35 2026-08-14
36254 HCPCS Insertion Of Tube Into Second Or Third Order Branches Of Arteries Of Both Kidney… 10 10 $11,490.00 $11,490.00 $341.19 $9,766.50 $6,865.27 2026-08-14
36557 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years) 10 10 $8,580.00 $8,580.00 $138.50 $9,890.50 $6,006.00 2026-08-14
43196 HCPCS Insertion Of Wire And Dilation Of Esophagus Using An Endoscope 10 10 $4,519.00 $4,519.00 $170.89 $3,841.15 $2,926.06 2026-08-14
0525T OTHER Insertion Or Replacement Of Complete Monitoring System For Deficient Blood Flow … 10 10 $46,759.00 $46,759.00 $25,717.45 $47,694.18 $34,652.82 2026-08-14
20000022_1 CDM Intensive Care Unit - General Classification 1 1 $13,049.00 $13,049.00 $3,457.99 $3,457.99 $3,457.99 2026-08-14
20000206_1 CDM Intensive Care Unit - Intermediate ICU 1 1 $11,929.00 $11,929.00 $3,161.19 $3,161.19 $3,161.19 2026-08-14
20000024_1 CDM Intensive Care Unit - Trauma 1 1 $35,817.00 $35,817.00 $9,491.51 $9,491.51 $9,491.51 2026-08-14
31610098_1 CDM Interbody Lordotic 6 6 $20,910.00 $20,910.00 $11,500.50 $17,773.50 $14,637.00 2026-08-14
C1821 HCPCS Interspinous Process Distraction Device (implantable) 184 8 $8,713.00 $8,713.00 $705.10 $40,774.50 $6,857.44 2026-08-14
J7300 HCPCS Intrauterine Copper Contraceptive (paragard) 16 8 $11,859.24 $11,859.24 $5,220.94 $14,510.37 $9,211.24 2026-08-14
C1776 HCPCS Joint Device (implantable) 128 8 $9,594.00 $9,594.00 $879.45 $22,345.14 $7,143.53 2026-08-14
49657 HCPCS Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (includes Mesh Insert… 2 2 $4,430.00 $4,430.00 $3,765.50 $4,430.00 $4,097.75 2026-08-14
49653 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 2 2 $2,698.00 $2,698.00 $2,293.30 $2,698.00 $2,495.65 2026-08-14
36478 HCPCS Laser Destruction Of Incompetent Vein Of Arm Or Leg Using Imaging Guidance 10 10 $9,539.00 $9,539.00 $2,624.85 $8,108.15 $5,882.43 2026-08-14
C1777 HCPCS Lead, Cardioverter-defibrillator, Endocardial Single Coil (implantable) 32 8 $11,182.00 $11,182.00 $3,298.35 $14,806.32 $7,989.40 2026-08-14
C1778 HCPCS Lead, Neurostimulator (implantable) 8 8 $9,594.00 $9,594.00 $5,276.70 $9,785.88 $7,339.41 2026-08-14
C1779 HCPCS Lead, Pacemaker, Transvenous Vdd Single Pass 40 8 $5,997.00 $5,997.00 $1,302.95 $11,312.82 $4,109.45 2026-08-14
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 10 10 $14,149.43 $14,149.43 $160.34 $12,027.02 $8,454.28 2026-08-14
80511350_1 CDM Level 1 Vasc Procedure 6 6 $3,757.00 $3,757.00 $2,066.35 $3,193.45 $2,629.90 2026-08-14
80511406_1 CDM Level 2 Exc/bx/i&d 6 6 $6,098.00 $6,098.00 $3,353.90 $5,183.30 $4,268.60 2026-08-14
80511403_1 CDM Level 2 Musculoskel Proc 6 6 $6,105.00 $6,105.00 $3,357.75 $5,189.25 $4,273.50 2026-08-14
80511352_1 CDM Level 2 Vasc Procedure 6 6 $9,788.00 $9,788.00 $5,383.40 $8,319.80 $6,851.60 2026-08-14
80511405_1 CDM Level 3 Airway Endoscopy 6 6 $5,986.00 $5,986.00 $3,292.30 $5,088.10 $4,190.20 2026-08-14
80511344_1 CDM Level 3 Clsd Tx Fx 6 6 $4,776.00 $4,776.00 $2,626.80 $4,059.60 $3,343.20 2026-08-14
80511430_1 CDM Level 3 Extraocular Repair 6 6 $9,572.00 $9,572.00 $5,264.60 $8,136.20 $6,700.40 2026-08-14
80511402_1 CDM Level 3 Musculoskel Proc 6 6 $11,963.00 $11,963.00 $6,579.65 $10,168.55 $8,374.10 2026-08-14
80511404_1 CDM Level 3 Urology Procedure 6 6 $7,669.00 $7,669.00 $4,217.95 $6,518.65 $5,368.30 2026-08-14
80511349_1 CDM Level 4 ENT Procedure 6 6 $4,264.00 $4,264.00 $2,345.20 $3,624.40 $2,984.80 2026-08-14
80511396_1 CDM Level 4 GYN Procedure 6 6 $6,304.00 $6,304.00 $3,467.20 $5,358.40 $4,412.80 2026-08-14
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 8 8 $6,426.02 $6,426.02 $3,534.31 $6,554.54 $4,915.90 2026-08-14
36595 HCPCS Mechanical Removal Of Obstructive Material From Central Venous Tube 10 10 $8,580.00 $8,580.00 $728.03 $7,293.00 $5,555.55 2026-08-14
36596 HCPCS Mechanical Removal Of Tissue Or Obstructive Material From Central Venous Tube 10 10 $3,790.00 $3,790.00 $167.29 $3,221.50 $2,454.03 2026-08-14
C1781 HCPCS Mesh (implantable) 136 8 $9,808.00 $9,808.00 $205.70 $41,100.90 $6,797.34 2026-08-14
A4913 HCPCS Miscellaneous Dialysis Supplies, Not Otherwise Specified 8 8 $5,731.00 $5,731.00 $3,152.05 $5,845.62 $4,384.22 2026-08-14
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 36 10 $2,823.00 $2,823.00 $51.33 $6,158.76 $2,611.28 2026-08-14
23000005_1 CDM Nursery - Newborn - Level Ii 1 1 $11,789.00 $11,789.00 $3,124.09 $3,124.09 $3,124.09 2026-08-14
22300009_1 CDM Nursery - Newborn - Level Ii 1 1 $11,789.00 $11,789.00 $3,124.09 $3,124.09 $3,124.09 2026-08-14
21000005_1 CDM Nursery - Newborn - Level Ii 1 1 $11,789.00 $11,789.00 $3,124.09 $3,124.09 $3,124.09 2026-08-14
21300009_1 CDM Nursery - Newborn - Level Iii 1 1 $14,307.00 $14,307.00 $3,791.36 $3,791.36 $3,791.36 2026-08-14
21000004_1 CDM Nursery - Newborn - Level IV 1 1 $17,884.00 $17,884.00 $4,739.26 $4,739.26 $4,739.26 2026-08-14
37241 HCPCS Occlusion Of Vein With Review By Radiologist 20 10 $20,328.50 $20,328.50 $80.00 $33,516.35 $2,711.85 2026-08-14
36299 HCPCS Other Blood Vessel Injection Procedure 8 8 $11,490.00 $11,490.00 $6,319.50 $11,719.80 $8,789.85 2026-08-14
49999 HCPCS Other Procedure On Abdomen 10 9 $8,188.00 $8,188.00 $70.00 $6,959.80 $4,892.33 2026-08-14
47999 HCPCS Other Procedure On Bile Duct 9 8 $7,975.00 $7,975.00 $459.00 $6,778.75 $5,143.88 2026-08-14
58999 HCPCS Other Procedure On Female Genital System (nonobstetrical) 1 1 $4,600.00 $4,600.00 $3,910.00 $3,910.00 $3,910.00 2026-08-14
20999 HCPCS Other Procedure On Muscle Or Bone 9 8 $7,309.00 $7,309.00 $350.75 $6,212.65 $4,750.85 2026-08-14
44799 HCPCS Other Procedure On Small Bowel 10 9 $8,188.00 $8,188.00 $65.00 $6,959.80 $4,892.33 2026-08-14
22899 HCPCS Other Procedure On Spine 8 8 $11,486.00 $11,486.00 $350.75 $9,763.10 $7,437.18 2026-08-14
38129 HCPCS Other Procedure On Spleen Using An Endoscope 1 1 $2,910.00 $2,910.00 $2,473.50 $2,473.50 $2,473.50 2026-08-14
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 72 8 $11,513.00 $11,513.00 $5,412.00 $34,065.96 $9,778.10 2026-08-14
C2621 HCPCS Pacemaker, Other Than Single Or Dual Chamber (implantable) 24 8 $23,358.00 $23,358.00 $8,456.25 $30,424.56 $16,961.95 2026-08-14
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 24 8 $15,245.00 $15,245.00 $7,042.75 $15,826.32 $11,159.00 2026-08-14
47120 HCPCS Partial Removal Of Liver Lobe 10 10 $7,157.00 $7,157.00 $70.00 $6,083.45 $2,580.40 2026-08-14
C1787 HCPCS Patient Programmer, Neurostimulator 8 8 $41,574.00 $41,574.00 $22,865.70 $42,405.48 $31,804.11 2026-08-14
A4264 HCPCS Permanent Implantable Contraceptive Intratubal Occlusion Device(s) And Delivery … 16 8 $5,373.00 $5,373.00 $2,902.35 $5,578.38 $4,108.91 2026-08-14
47541 HCPCS Placement Of Access Device Into Biliary Tract Using Imaging Guidance With Review… 10 10 $9,862.00 $9,862.00 $1,081.53 $11,506.78 $6,903.40 2026-08-14
47533 HCPCS Placement Of External Drainage Tube Of Biliary Duct Using Imaging Guidance With … 10 10 $9,862.00 $9,862.00 $1,225.61 $8,382.70 $6,362.45 2026-08-14
31626 HCPCS Placement Of Radiation Therapy Markers Into Lung Airways Using An Endoscope 10 10 $8,920.00 $8,920.00 $375.28 $12,544.13 $6,244.00 2026-08-14
47540 HCPCS Placement Of Stent And Drainage Tube Of Biliary Duct Using Imaging Guidance With… 10 10 $18,654.00 $18,654.00 $4,746.45 $15,855.90 $11,388.67 2026-08-14
47538 HCPCS Placement Of Stent Of Biliary Duct Through Existing Skin Access Using Imaging Gu… 10 10 $18,654.00 $18,654.00 $4,189.49 $15,855.90 $11,388.67 2026-08-14
47539 HCPCS Placement Of Stent Of Biliary Duct Through New Skin Access Using Imaging With Re… 10 10 $18,654.00 $18,654.00 $4,570.73 $15,855.90 $11,388.67 2026-08-14
50695 HCPCS Placement Of Stent Of Ureter And Separate Tube In Kidney Through New Skin Access… 10 10 $8,952.00 $8,952.00 $1,301.93 $7,609.20 $5,796.42 2026-08-14
C9362 HCPCS Porous Purified Collagen Matrix Bone Void Filler (integra Mozaik Osteoconductive… 16 8 $8,533.50 $8,533.50 $3,588.20 $10,753.86 $6,589.24 2026-08-14
C9359 HCPCS Porous Purified Collagen Matrix Bone Void Filler (integra Mozaik Osteoconductive… 80 8 $6,637.00 $6,637.00 $1,055.45 $16,309.80 $4,921.02 2026-08-14
C1788 HCPCS Port, Indwelling (implantable) 8 8 $5,666.00 $5,666.00 $3,116.30 $5,779.32 $4,334.49 2026-08-14
43263 HCPCS Pressure Measurement Of Pancreatic Or Bile Duct Sphincter Using A Flexible Endos… 10 10 $8,623.00 $8,623.00 $266.94 $7,329.55 $5,152.24 2026-08-14
37184 HCPCS Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 21 10 $14,231.00 $14,231.00 $65.00 $32,583.25 $2,635.14 2026-08-14
C2618 HCPCS Probe/needle, Cryoablation 32 8 $6,156.50 $6,156.50 $2,345.20 $12,686.76 $4,400.81 2026-08-14
C1789 HCPCS Prosthesis, Breast (implantable) 16 8 $5,341.50 $5,341.50 $586.30 $9,809.34 $3,188.34 2026-08-14
L8699 HCPCS Prosthetic Implant, Not Otherwise Specified 24 8 $10,660.00 $10,660.00 $2,277.55 $12,755.10 $7,462.00 2026-08-14
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 10 10 $22,060.50 $22,060.50 $2.01 $18,751.43 $13,181.15 2026-08-14
90375 HCPCS Rabies Immune Globulin For Injection 16 10 $7,092.66 $7,092.66 $281.19 $18,072.14 $5,425.89 2026-08-14
90675 HCPCS Rabies Vaccine For Injection Into Muscle 10 10 $5,313.77 $5,313.77 $331.98 $4,516.71 $3,174.98 2026-08-14
33223 HCPCS Relocation Of Defibrillator Skin Pocket 10 10 $7,093.00 $7,093.00 $369.32 $6,029.05 $4,238.07 2026-08-14
33222 HCPCS Relocation Of Pacemaker Skin Pocket 10 10 $7,093.00 $7,093.00 $441.11 $6,029.05 $4,238.07 2026-08-14
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 10 10 $96,677.00 $96,677.00 $301.74 $82,175.45 $57,764.51 2026-08-14
50387 HCPCS Removal And Replacement Of Stent In Kidney And Ureter Using Fluoroscopic Guidanc… 10 10 $5,826.00 $5,826.00 $662.69 $4,952.10 $3,736.64 2026-08-14
50382 HCPCS Removal And Replacement Of Stent In Ureter With Review By Radiologist 10 10 $8,952.00 $8,952.00 $1,362.99 $7,609.20 $5,348.82 2026-08-14
36906 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 20 10 $34,269.00 $34,269.00 $50.00 $56,943.20 $3,786.97 2026-08-14
47544 HCPCS Removal Of Biliary Duct Or Gallbladder Stone Using Imaging Guidance With Review … 10 10 $7,975.00 $7,975.00 $134.63 $6,778.75 $4,765.07 2026-08-14
33272 HCPCS Removal Of Defibrillator Electrode 10 10 $16,322.00 $16,322.00 $316.08 $13,873.70 $9,752.40 2026-08-14
43194 HCPCS Removal Of Foreign Bodies From Esophagus Using A Rigid Endoscope 10 10 $4,519.00 $4,519.00 $140.36 $3,841.15 $2,926.06 2026-08-14
43215 HCPCS Removal Of Foreign Bodies In Esophagus Using A Flexible Endoscope 10 10 $4,519.00 $4,519.00 $223.38 $3,841.15 $2,926.06 2026-08-14
61608 HCPCS Removal Of Growth Or Tissue Of Middle Skull Base Within Brain Membrane 10 10 $10,169.00 $10,169.00 $2,081.53 $8,643.65 $3,717.36 2026-08-14
44158 HCPCS Removal Of Large Bowel And Rectum With Attachment Of Small Bowel To Anus And Cre… 10 10 $6,565.00 $6,565.00 $60.00 $5,580.25 $2,485.70 2026-08-14
48105 HCPCS Removal Of Pancreatic Tissue 10 10 $8,632.00 $8,632.00 $25.00 $7,337.20 $3,048.30 2026-08-14
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 10 8 $69,159.00 $69,159.00 $1,862.35 $70,542.18 $48,411.30 2026-08-14
37233 HCPCS Removal Of Plaque In Artery Of Leg, Each Additional Vessel 10 8 $19,667.00 $19,667.00 $842.35 $20,060.34 $13,766.90 2026-08-14
61343 HCPCS Removal Of Skull Base Bone And Upper Spine Bone To Release Spinal Cord 10 10 $6,292.00 $6,292.00 $30.00 $5,348.20 $2,460.02 2026-08-14
61510 HCPCS Removal Of Skull Bone For Removal Of Growth Of Upper Brain 10 10 $6,779.00 $6,779.00 $45.00 $5,762.15 $2,536.19 2026-08-14
61512 HCPCS Removal Of Skull Bone For Removal Of Growth Of Upper Brain Membrane 10 10 $7,864.00 $7,864.00 $45.00 $6,684.40 $2,860.87 2026-08-14
50384 HCPCS Removal Of Stent In Ureter Through Skin With Review By Radiologist 10 10 $5,374.00 $5,374.00 $1,317.57 $4,567.90 $3,479.66 2026-08-14
C1771 HCPCS Repair Device, Urinary, Incontinence, With Sling Graft 8 8 $11,880.00 $11,880.00 $6,534.00 $12,117.60 $9,088.20 2026-08-14
34709 HCPCS Repair Of Abdominal Or Groin Artery With Prosthesis With Review By Radiologist 10 10 $14,133.00 $14,133.00 $274.28 $12,013.05 $8,444.47 2026-08-14
46706 HCPCS Repair Of Abnormal Anal Drainage Tract With Tissue Glue 10 10 $8,513.00 $8,513.00 $108.51 $7,236.05 $5,212.22 2026-08-14
34831 HCPCS Repair Of Aneurysm Of Aorta Or Groin Artery With Prosthesis 10 10 $5,749.00 $5,749.00 $1,678.80 $4,886.65 $3,435.03 2026-08-14
34832 HCPCS Repair Of Aneurysm Of Aorta Or Upper Thigh Artery With Prothesis 10 10 $5,749.00 $5,749.00 $1,638.66 $4,886.65 $3,435.03 2026-08-14
36576 HCPCS Repair Of Central Venous Tube For Infusion With Port Or Pump 10 10 $3,790.00 $3,790.00 $115.04 $3,221.50 $2,454.03 2026-08-14
36578 HCPCS Replacement Of Central Venous Tube, Tube Only 10 10 $8,580.00 $8,580.00 $147.24 $7,293.00 $5,555.55 2026-08-14
36585 HCPCS Replacement Of Peripherally Inserted Central Venous Tube (picc) With Port 10 10 $8,580.00 $8,580.00 $417.87 $7,293.00 $5,555.55 2026-08-14
36582 HCPCS Replacement Of Tunneled Central Venous Tube With Port 10 10 $10,463.00 $10,463.00 $330.28 $8,893.55 $6,251.65 2026-08-14
37192 HCPCS Repositioning Of Vena Cava Filter With Review By Radiologist 10 10 $10,463.00 $10,463.00 $303.47 $8,893.55 $6,251.65 2026-08-14
90380 HCPCS Respiratory Syncytial Virus Antibody, 0.5 Ml Dosage For Injection Into Muscle 8 8 $5,673.98 $5,673.98 $3,120.69 $5,787.46 $4,340.59 2026-08-14
37197 HCPCS Retrieval Of Foreign Body In Blood Vessel With Review By Radiologist 10 10 $10,463.00 $10,463.00 $253.54 $8,893.55 $6,251.65 2026-08-14
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 8 8 $75,519.00 $75,519.00 $26,066.60 $64,191.15 $48,898.56 2026-08-14
37275 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 18 10 $80,154.00 $80,154.00 $26,066.60 $81,757.08 $53,022.06 2026-08-14
37271 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 28 10 $40,665.00 $40,665.00 $45.00 $81,757.08 $28,465.50 2026-08-14
37267 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 28 10 $40,665.00 $40,665.00 $75.00 $51,491.64 $26,330.59 2026-08-14
37263 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 28 10 $19,667.00 $19,667.00 $45.00 $25,092.00 $12,734.38 2026-08-14
37269 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 20 10 $26,209.00 $26,209.00 $50.00 $51,491.64 $9,030.40 2026-08-14
37268 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 10 10 $11,870.00 $11,870.00 $162.19 $12,107.40 $8,309.00 2026-08-14
37264 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 10 10 $7,698.00 $7,698.00 $130.55 $7,851.96 $5,388.60 2026-08-14
37265 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 20 10 $12,992.50 $12,992.50 $50.00 $25,092.00 $4,635.17 2026-08-14
37254 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 10 10 $19,667.00 $19,667.00 $8,093.09 $20,060.34 $13,766.90 2026-08-14
37258 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 20 10 $25,817.00 $25,817.00 $50.00 $51,491.64 $8,697.20 2026-08-14
37259 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 10 10 $4,182.00 $4,182.00 $172.71 $4,265.64 $2,927.40 2026-08-14
37296 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 10 10 $50,482.00 $50,482.00 $16,415.20 $51,491.64 $35,337.40 2026-08-14
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 8 8 $75,522.00 $75,522.00 $26,066.60 $64,193.70 $48,900.50 2026-08-14
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 8 8 $75,519.00 $75,519.00 $26,066.60 $64,191.15 $48,898.56 2026-08-14
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 8 8 $75,519.00 $75,519.00 $26,066.60 $64,191.15 $48,898.56 2026-08-14
C9764 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 8 8 $47,694.00 $47,694.00 $16,415.20 $40,539.90 $30,881.86 2026-08-14
37288 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 10 10 $72,308.00 $72,308.00 $26,066.60 $73,754.16 $50,615.60 2026-08-14
37284 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 18 10 $40,665.00 $40,665.00 $22,365.75 $81,758.10 $41,071.65 2026-08-14
37280 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 28 10 $19,667.00 $19,667.00 $50.00 $51,491.64 $15,045.26 2026-08-14
37285 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 10 10 $19,667.00 $19,667.00 $147.06 $20,060.34 $13,766.90 2026-08-14
37293 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 10 10 $19,667.00 $19,667.00 $290.41 $20,060.34 $13,766.90 2026-08-14
37282 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 20 10 $25,919.00 $25,919.00 $45.00 $51,229.50 $8,893.12 2026-08-14
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 8 8 $75,519.00 $75,519.00 $26,066.60 $64,191.15 $48,898.56 2026-08-14
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 8 8 $75,519.00 $75,519.00 $26,066.60 $64,191.15 $48,898.56 2026-08-14
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 8 8 $48,057.00 $48,057.00 $16,415.20 $40,848.45 $31,116.91 2026-08-14
75731 HCPCS Review By Radiologist Of Adrenal Gland Artery Image 10 10 $11,490.00 $11,490.00 $221.47 $9,766.50 $6,865.27 2026-08-14
75840 HCPCS Review By Radiologist Of Adrenal Gland Vein Image 8 8 $11,490.00 $11,490.00 $4,489.77 $9,766.50 $7,439.77 2026-08-14
75743 HCPCS Review By Radiologist Of Arteries Of Both Lungs Image 10 10 $11,490.00 $11,490.00 $215.83 $9,766.50 $6,865.27 2026-08-14
75842 HCPCS Review By Radiologist Of Both Adrenal Gland Veins Image 8 8 $11,490.00 $11,490.00 $6,319.50 $11,719.80 $8,789.85 2026-08-14
75733 HCPCS Review By Radiologist Of Both Adrenal Glands Arteries Image 10 10 $11,490.00 $11,490.00 $236.66 $9,766.50 $6,865.27 2026-08-14
75756 HCPCS Review By Radiologist Of Breast Artery Of Breast Image 10 10 $3,687.00 $3,687.00 $217.70 $5,612.21 $2,580.90 2026-08-14
75605 HCPCS Review By Radiologist Of Chest Aorta Serial Images 10 10 $11,490.00 $11,490.00 $177.21 $9,890.50 $7,690.45 2026-08-14
72285 HCPCS Review By Radiologist Of Disc Of Upper Or Middle Spine Image 10 10 $12,312.00 $12,312.00 $144.11 $10,465.20 $7,356.42 2026-08-14
75860 HCPCS Review By Radiologist Of Head Or Neck Vein System Image 8 8 $3,687.00 $3,687.00 $2,027.85 $5,612.21 $2,820.56 2026-08-14
75893 HCPCS Review By Radiologist Of Imaging Guidance For Removal Of Blood Sample 8 8 $11,490.00 $11,490.00 $6,319.50 $9,890.50 $8,264.95 2026-08-14
75831 HCPCS Review By Radiologist Of Kidney Image 8 8 $11,490.00 $11,490.00 $4,489.77 $9,766.50 $7,439.77 2026-08-14
75705 HCPCS Review By Radiologist Of Spinal Artery Image 10 10 $20,126.00 $20,126.00 $303.17 $17,107.10 $12,025.28 2026-08-14
75887 HCPCS Review By Radiologist Of The Vein That Transports Blood To The Liver Image 8 8 $3,687.00 $3,687.00 $2,027.85 $5,612.21 $2,820.56 2026-08-14
22500017_1 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 1 1 $9,880.00 $9,880.00 $2,618.20 $2,618.20 $2,618.20 2026-08-14
22100028_1 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 1 1 $9,880.00 $9,880.00 $2,618.20 $2,618.20 $2,618.20 2026-08-14
22000012_1 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 1 1 $9,880.00 $9,880.00 $2,618.20 $2,618.20 $2,618.20 2026-08-14
22000020_1 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 1 1 $9,880.00 $9,880.00 $2,618.20 $2,618.20 $2,618.20 2026-08-14
25000019_1 CDM Room & Board - Private (one Bed) - Obstetrics (ob) 1 1 $14,461.00 $14,461.00 $3,832.17 $3,832.17 $3,832.17 2026-08-14
25100017_1 CDM Room & Board - Private (one Bed) - Obstetrics (ob) 1 1 $9,880.00 $9,880.00 $2,618.20 $2,618.20 $2,618.20 2026-08-14
25200023_1 CDM Room & Board - Private (one Bed) - Obstetrics (ob) 1 1 $9,880.00 $9,880.00 $2,618.20 $2,618.20 $2,618.20 2026-08-14
25200015_1 CDM Room & Board - Private (one Bed) - Obstetrics (ob) 1 1 $9,880.00 $9,880.00 $2,618.20 $2,618.20 $2,618.20 2026-08-14
23000029_1 CDM Room & Board - Private (one Bed) - Pediatric 1 1 $9,880.00 $9,880.00 $2,618.20 $2,618.20 $2,618.20 2026-08-14
23000011_1 CDM Room & Board - Private (one Bed) - Pediatric 1 1 $9,880.00 $9,880.00 $2,618.20 $2,618.20 $2,618.20 2026-08-14
27000017_1 CDM Room & Board - Private (one Bed) - Rehabilitation 1 1 $9,880.00 $9,880.00 $2,618.20 $2,618.20 $2,618.20 2026-08-14
22000053_1 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 1 1 $10,014.00 $10,014.00 $2,653.71 $2,653.71 $2,653.71 2026-08-14
22000038_1 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 1 1 $9,502.00 $9,502.00 $2,518.03 $2,518.03 $2,518.03 2026-08-14
22500030_1 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 1 1 $9,502.00 $9,502.00 $2,518.03 $2,518.03 $2,518.03 2026-08-14
22000069_1 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 1 1 $9,502.00 $9,502.00 $2,518.03 $2,518.03 $2,518.03 2026-08-14
25000027_1 CDM Room & Board - Semi-private (two Beds) - Obstetrics (ob) 1 1 $13,907.00 $13,907.00 $3,685.36 $3,685.36 $3,685.36 2026-08-14
25100033_1 CDM Room & Board - Semi-private (two Beds) - Obstetrics (ob) 1 1 $9,502.00 $9,502.00 $2,518.03 $2,518.03 $2,518.03 2026-08-14
25200031_1 CDM Room & Board - Semi-private (two Beds) - Obstetrics (ob) 1 1 $9,502.00 $9,502.00 $2,518.03 $2,518.03 $2,518.03 2026-08-14
25100035_1 CDM Room & Board - Semi-private (two Beds) - Obstetrics (ob) 1 1 $9,502.00 $9,502.00 $2,518.03 $2,518.03 $2,518.03 2026-08-14
23000037_1 CDM Room & Board - Semi-private (two Beds) - Pediatric 1 1 $9,502.00 $9,502.00 $2,518.03 $2,518.03 $2,518.03 2026-08-14
27000033_1 CDM Room & Board - Semi-private (two Beds) - Rehabilitation 1 1 $9,502.00 $9,502.00 $2,518.03 $2,518.03 $2,518.03 2026-08-14
L3978 HCPCS Shoulder Elbow Wrist Hand Finger Orthosis, Abduction Positioning (airplane Desig… 10 10 $5,373.00 $5,373.00 $1,627.79 $4,567.05 $3,210.37 2026-08-14
L3976 HCPCS Shoulder Elbow Wrist Hand Finger Orthosis, Abduction Positioning (airplane Desig… 10 10 $4,550.00 $4,550.00 $1,378.72 $3,867.50 $2,718.62 2026-08-14
L3977 HCPCS Shoulder Elbow Wrist Hand Finger Orthosis, Shoulder Cap Design, Includes One Or … 10 10 $5,100.00 $5,100.00 $1,545.15 $4,335.00 $3,047.25 2026-08-14
L3975 HCPCS Shoulder Elbow Wrist Hand Finger Orthosis, Shoulder Cap Design, Without Joints, … 10 10 $4,550.00 $4,550.00 $1,378.72 $3,867.50 $2,718.62 2026-08-14
L3967 HCPCS Shoulder Elbow Wrist Hand Orthosis, Abduction Positioning (airplane Design), Tho… 10 10 $5,373.00 $5,373.00 $1,627.79 $4,567.05 $3,210.37 2026-08-14
L3973 HCPCS Shoulder Elbow Wrist Hand Orthosis, Abduction Positioning (airplane Design), Tho… 10 10 $5,373.00 $5,373.00 $1,627.79 $4,567.05 $3,210.37 2026-08-14
L3971 HCPCS Shoulder Elbow Wrist Hand Orthosis, Shoulder Cap Design, Includes One Or More No… 10 10 $5,100.00 $5,100.00 $1,545.15 $4,335.00 $3,047.25 2026-08-14
L3961 HCPCS Shoulder Elbow Wrist Hand Orthosis, Shoulder Cap Design, Without Joints, May Inc… 10 10 $4,550.00 $4,550.00 $1,378.72 $3,867.50 $2,718.62 2026-08-14
Q4100 HCPCS Skin Substitute, Not Otherwise Specified 16 8 $8,053.00 $8,053.00 $3,911.60 $9,173.88 $5,945.65 2026-08-14
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 10 10 $5,203.00 $5,203.00 $499.27 $4,422.55 $3,108.80 2026-08-14
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 10 10 $5,343.00 $5,343.00 $513.11 $4,541.55 $3,192.44 2026-08-14
31610070_1 CDM Spinal System 13x16mm 6 6 $13,912.00 $13,912.00 $7,651.60 $11,825.20 $9,738.40 2026-08-14
22511 HCPCS Stabilization Of Lower Spine Bone 10 10 $11,486.00 $11,486.00 $370.07 $9,763.10 $6,862.89 2026-08-14
22512 HCPCS Stabilization Of Spine Bone, Each Additional Bone 10 10 $4,122.00 $4,122.00 $178.55 $3,503.70 $2,462.89 2026-08-14
22510 HCPCS Stabilization Of Upper Spine Bone 10 10 $11,486.00 $11,486.00 $393.89 $9,763.10 $6,862.89 2026-08-14
C1874 HCPCS Stent, Coated/covered, With Delivery System 56 8 $5,740.00 $5,740.00 $528.00 $10,550.88 $4,629.10 2026-08-14
C1876 HCPCS Stent, Non-coated/non-covered, With Delivery System 56 8 $4,797.00 $4,797.00 $323.95 $32,448.24 $4,170.73 2026-08-14
C1877 HCPCS Stent, Non-coated/non-covered, Without Delivery System 48 8 $6,636.50 $6,636.50 $2,345.20 $36,958.68 $5,022.77 2026-08-14
Q4130 HCPCS Strattice Tm, Per Square Centimeter 8 8 $23,662.00 $23,662.00 $147.49 $20,112.70 $15,321.15 2026-08-14
A9562 HCPCS Technetium Tc-99m Mertiatide, Diagnostic, Per Study Dose, Up To 15 Millicuries 8 8 $3,267.00 $3,267.00 $1,796.85 $3,332.34 $2,499.26 2026-08-14
81519 HCPCS Test For Detecting Genes Associated With Breast Cancer 10 10 $4,375.00 $4,375.00 $2,406.25 $4,841.25 $3,565.62 2026-08-14
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 26 10 $33,260.00 $33,260.00 $1,895.33 $50,886.78 $26,690.88 2026-08-14
22527 HCPCS Treatment Of Spine Disc Using Fluoroscopic Guidance, Each Additional Bone Level 8 8 $5,009.00 $5,009.00 $2,754.95 $5,109.18 $3,831.89 2026-08-14
22526 HCPCS Treatment Of Spine Disc Using Fluoroscopic Guidance, Single Level 8 8 $6,142.00 $6,142.00 $3,378.10 $6,264.84 $4,698.63 2026-08-14
37619 HCPCS Tying Of Inferior Vena Cava 10 10 $9,539.00 $9,539.00 $1,904.32 $9,890.50 $6,677.30 2026-08-14
Z7506 HCPCS Use Of Oper Room Or Cyst Room-first Hour 464 8 $4,878.00 $4,878.00 $28.05 $17,047.26 $3,586.07 2026-08-14
59610 HCPCS Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli… 10 10 $4,209.00 $4,209.00 $70.00 $3,577.65 $2,732.33 2026-08-14
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 10 10 $4,889.00 $4,889.00 $1,390.14 $4,155.65 $2,626.88 2026-08-14
31610090_1 CDM Vasc Covered Straight 6 6 $9,830.00 $9,830.00 $5,406.50 $8,355.50 $6,881.00 2026-08-14
C1880 HCPCS Vena Cava Filter 24 8 $4,264.00 $4,264.00 $2,231.35 $4,892.94 $3,261.96 2026-08-14
L3901 HCPCS Wrist Hand Finger Orthosis, Dynamic Flexor Hinge, Reciprocal Wrist Extension/ Fl… 10 10 $5,440.00 $5,440.00 $1,169.72 $4,624.00 $3,250.40 2026-08-14
L3900 HCPCS Wrist Hand Finger Orthosis, Dynamic Flexor Hinge, Reciprocal Wrist Extension/ Fl… 10 10 $4,420.00 $4,420.00 $878.66 $3,757.00 $2,640.95 2026-08-14
L3904 HCPCS Wrist Hand Finger Orthosis, External Powered, Electric, Custom Fabricated 10 10 $10,893.00 $10,893.00 $2,940.35 $9,259.05 $6,508.57 2026-08-14
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