Price Transparencybeta Hospital negotiated rates

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

MAYERS MEMORIAL HOSPITAL

Fall River Mills, CA · CCN 051305 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $843 across 25 payers · range $66-$1,264

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMMHFALLRIVERMILLSCA&type=CDMWithoutLabel&fileType=CSV · observed 2026-05-12

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,429 distinct procedures filed
26 distinct payers
47,498 rate rows
2026-05-12 last MRF observed
Data quality

47,362 of 47,498 rate rows are consumer-grade (99.7%)

136 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 60
percent-of-charges filed in the dollar field — excluded from medians 46
per-diem day rate — not a per-procedure price 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMMHFALLRIVERMILLSCA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/MayersMemorial.aspx
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-28
Content fingerprint 80d00743c6790985… · 24,488,873 bytes · first seen 2026-05-14

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
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 25 $20.27 $24,894.48 $21,284.78 nat. median
$2,076
outlier · 10.3×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 25 $8,771.99 $13,990.41 $13,290.89 nat. median
$3,820
outlier · 3.5×
J9312
HCPCS 		Injection, Rituximab, 10 Mg 25 $137.30 $11,274.24 $9,639.48 nat. median
$1,071
outlier · 9.0×
J2353
HCPCS 		Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 25 $301.40 $8,456.24 $7,230.09 nat. median
$5,573
1.3× median
9480836_5
CDM 		Stravix 3cm X 6cm 23 $4,661.75 $7,435.00 $7,063.25 nat. median
$7,063
1.0× median
J0401
HCPCS 		Injection, Aripiprazole (abilify Maintena), 1 Mg 25 $14.57 $6,526.16 $5,579.87 nat. median
$1,939
outlier · 2.9×
59410
HCPCS 		Vaginal Delivery With Post Delivery Care 25 $70.00 $28,892.00 $5,196.23 nat. median
$2,382
outlier · 2.2×
Q5130
HCPCS 		Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg 25 $213.26 $6,000.00 $5,130.00 nat. median
$353
outlier · 14.5×
8098403_5
CDM 		Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 16 $3,200.76 $5,191.83 $4,932.24 nat. median
$4,932
1.0× median
8098402_5
CDM 		Room & Board - Private (one Bed) - General Classification 16 $2,848.85 $4,621.00 $4,389.95 nat. median
$4,390
1.0× median
J3358
HCPCS 		Ustekinumab, For Intravenous Injection, 1 Mg 25 $23.54 $5,087.19 $4,349.54 nat. median
$326
outlier · 13.3×
8085548_5
CDM 		Room & Board - Private (one Bed) - General Classification 16 $2,775.16 $4,501.47 $4,276.40 nat. median
$4,063
1.1× median
J3240
HCPCS 		Injection, Thyrotropin Alpha, 0.9 Mg, Provided In 1.1 Mg Vial 25 $2,554.19 $4,853.10 $4,149.40 nat. median
$2,980
1.4× median
90375
HCPCS 		Rabies Immune Globulin For Injection 25 $395.65 $4,827.16 $4,127.22 nat. median
$1,056
outlier · 3.9×
26952
HCPCS 		Amputation Of Finger Or Thumb With Tissue Flap 25 $310.87 $5,933.00 $3,915.78 nat. median
$3,363
1.2× median
J0875
HCPCS 		Injection, Dalbavancin, 5 Mg 25 $28.47 $4,024.80 $3,441.20 nat. median
$390
outlier · 8.8×
A0433
HCPCS 		Advanced Life Support, Level 2 (als 2) 25 $2,227.73 $14,212.00 $3,375.35 nat. median
$1,082
outlier · 3.1×
27550
HCPCS 		Closed Treatment Of Dislocated Knee 25 $10.00 $4,986.00 $3,290.76 nat. median
$518
outlier · 6.4×
J7307
HCPCS 		Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 25 $312.69 $3,434.00 $3,262.30 nat. median
$1,628
outlier · 2.0×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 25 $35.24 $3,754.34 $3,209.96 nat. median
$1,972
1.6× median
A0434
HCPCS 		Specialty Care Transport (sct) 25 $2,100.45 $13,400.00 $3,182.50 nat. median
$1,266
outlier · 2.5×
27818
HCPCS 		Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation 25 $373.29 $4,562.00 $3,025.98 nat. median
$1,671
1.8× median
25565
HCPCS 		Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 25 $10.00 $4,527.00 $2,987.82 nat. median
$1,661
1.8× median
25605
HCPCS 		Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 25 $271.41 $4,502.00 $2,986.18 nat. median
$1,668
1.8× median
43236
HCPCS 		Injection Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endos… 25 $35.00 $4,300.00 $2,838.00 nat. median
$1,361
outlier · 2.1×
25505
HCPCS 		Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 25 $33.00 $4,242.00 $2,799.72 nat. median
$1,668
1.7× median
J1569
HCPCS 		Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 25 $68.98 $8,381.28 $2,782.89 nat. median
$1,070
outlier · 2.6×
20103
HCPCS 		Exploration Of Wound Of Arm Or Leg 25 $14.00 $4,157.00 $2,743.62 nat. median
$1,613
1.7× median
70549
HCPCS 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 25 $79.89 $4,026.50 $2,684.06 nat. median
$1,055
outlier · 2.5×
43249
HCPCS 		Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 25 $40.00 $4,054.00 $2,675.64 nat. median
$2,120
1.3× median
J1439
HCPCS 		Injection, Ferric Carboxymaltose, 1 Mg 25 $8.02 $3,078.50 $2,632.12 nat. median
$14
outlier · 185.7×
9480840_5
CDM 		Grafix Pl Prime 1.5 X 2 Cm 23 $1,726.13 $2,753.00 $2,615.35 nat. median
$2,615
1.0× median
45385
HCPCS 		Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 25 $30.00 $3,955.00 $2,610.30 nat. median
$1,669
1.6× median
74175
HCPCS 		CT Scan Of Blood Vessels Of Abdomen With Contrast 25 $80.20 $3,900.00 $2,574.00 nat. median
$714
outlier · 3.6×
45388
HCPCS 		Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope 24 $30.00 $3,777.78 $2,518.27 nat. median
$1,879
1.3× median
25690
HCPCS 		Closed Treatment Of Dislocated Wrist (lunate) Bone With Manipulation 25 $231.94 $3,749.00 $2,486.71 nat. median
$2,000
1.2× median
26765
HCPCS 		Treatment Of Broken End Of Finger Or Thumb 25 $180.57 $3,696.00 $2,451.56 nat. median
$3,496
0.7× median
99285
HCPCS 		Emergency Department Visit With High Level Of Medical Decision Making 25 $108.08 $3,705.00 $2,445.30 nat. median
$1,186
outlier · 2.1×
Q4133
HCPCS 		Grafix Prime, Grafixpl Prime, Stravix And Stravixpl, Per Square Centimeter 25 $199.44 $2,847.00 $2,434.19 nat. median
$454
outlier · 5.4×
27265
HCPCS 		Closed Treatment Of Dislocated Hip Prosthesis 25 $6.00 $3,688.00 $2,434.08 nat. median
$547
outlier · 4.5×
J1745
HCPCS 		Injection, Infliximab, Excludes Biosimilar, 10 Mg 25 $91.61 $2,802.76 $2,396.36 nat. median
$398
outlier · 6.0×
45384
HCPCS 		Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec… 25 $15.00 $3,618.00 $2,387.88 nat. median
$1,584
1.5× median
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 25 $19.31 $2,782.13 $2,378.72 nat. median
$681
outlier · 3.5×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 25 $89.63 $3,338.17 $2,375.39 nat. median
$1,024
outlier · 2.3×
43255
HCPCS 		Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex… 25 $168.69 $2,680.00 $2,291.40 nat. median
$2,148
1.1× median
Q5104
HCPCS 		Injection, Infliximab-abda, Biosimilar, (renflexis), 10 Mg 25 $68.84 $2,603.72 $2,226.18 nat. median
$310
outlier · 7.2×
J7300
HCPCS 		Intrauterine Copper Contraceptive 25 $1,428.31 $3,361.00 $2,218.26 nat. median
$1,614
1.4× median
23575
HCPCS 		Closed Treatment Of Broken Shoulder Blade With Manipulation 25 $35.00 $3,316.00 $2,188.56 nat. median
$1,655
1.3× median
45380
HCPCS 		Biopsy Of Large Bowel Using A Flexible Endoscope 25 $10.00 $3,283.00 $2,166.78 nat. median
$1,565
1.4× median
13132
HCPCS 		Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 25 $129.20 $3,262.00 $2,152.92 nat. median
$854
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 1,429 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 25 25 $24,894.48 $24,894.48 $20.27 $24,894.48 $21,284.78 2026-05-12
J3101 HCPCS Injection, Tenecteplase, 1 Mg 25 25 $13,990.41 $13,990.41 $8,771.99 $13,990.41 $13,290.89 2026-05-12
J9312 HCPCS Injection, Rituximab, 10 Mg 25 25 $11,274.24 $11,274.24 $137.30 $11,274.24 $9,639.48 2026-05-12
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 25 25 $8,456.24 $8,456.24 $301.40 $8,456.24 $7,230.09 2026-05-12
9480836_5 CDM Stravix 3cm X 6cm 23 23 $7,435.00 $7,435.00 $4,661.75 $7,435.00 $7,063.25 2026-05-12
J0401 HCPCS Injection, Aripiprazole (abilify Maintena), 1 Mg 25 25 $6,526.16 $6,526.16 $14.57 $6,526.16 $5,579.87 2026-05-12
59410 HCPCS Vaginal Delivery With Post Delivery Care 37 25 $7,223.00 $7,223.00 $70.00 $28,892.00 $5,196.23 2026-05-12
Q5130 HCPCS Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg 25 25 $6,000.00 $6,000.00 $213.26 $6,000.00 $5,130.00 2026-05-12
8098403_5 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 16 16 $5,191.83 $5,191.83 $3,200.76 $5,191.83 $4,932.24 2026-05-12
8098402_5 CDM Room & Board - Private (one Bed) - General Classification 16 16 $4,621.00 $4,621.00 $2,848.85 $4,621.00 $4,389.95 2026-05-12
J3358 HCPCS Ustekinumab, For Intravenous Injection, 1 Mg 25 25 $5,087.19 $5,087.19 $23.54 $5,087.19 $4,349.54 2026-05-12
8085548_5 CDM Room & Board - Private (one Bed) - General Classification 16 16 $4,501.47 $4,501.47 $2,775.16 $4,501.47 $4,276.40 2026-05-12
J3240 HCPCS Injection, Thyrotropin Alpha, 0.9 Mg, Provided In 1.1 Mg Vial 25 25 $4,853.10 $4,853.10 $2,554.19 $4,853.10 $4,149.40 2026-05-12
90375 HCPCS Rabies Immune Globulin For Injection 25 25 $4,827.16 $4,827.16 $395.65 $4,827.16 $4,127.22 2026-05-12
26952 HCPCS Amputation Of Finger Or Thumb With Tissue Flap 37 25 $5,933.00 $5,933.00 $310.87 $5,933.00 $3,915.78 2026-05-12
J0875 HCPCS Injection, Dalbavancin, 5 Mg 25 25 $4,024.80 $4,024.80 $28.47 $4,024.80 $3,441.20 2026-05-12
A0433 HCPCS Advanced Life Support, Level 2 (als 2) 25 25 $3,553.00 $3,553.00 $2,227.73 $14,212.00 $3,375.35 2026-05-12
27550 HCPCS Closed Treatment Of Dislocated Knee 37 25 $4,986.00 $4,986.00 $10.00 $4,986.00 $3,290.76 2026-05-12
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 25 25 $3,434.00 $3,434.00 $312.69 $3,434.00 $3,262.30 2026-05-12
J0897 HCPCS Injection, Denosumab, 1 Mg 25 25 $3,754.34 $3,754.34 $35.24 $3,754.34 $3,209.96 2026-05-12
A0434 HCPCS Specialty Care Transport (sct) 25 25 $3,350.00 $3,350.00 $2,100.45 $13,400.00 $3,182.50 2026-05-12
27818 HCPCS Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation 36 25 $4,562.00 $4,562.00 $373.29 $4,562.00 $3,025.98 2026-05-12
25565 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 37 25 $4,527.00 $4,527.00 $10.00 $4,527.00 $2,987.82 2026-05-12
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 36 25 $4,502.00 $4,502.00 $271.41 $4,502.00 $2,986.18 2026-05-12
43236 HCPCS Injection Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endos… 37 25 $4,300.00 $4,300.00 $35.00 $4,300.00 $2,838.00 2026-05-12
25505 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 37 25 $4,242.00 $4,242.00 $33.00 $4,242.00 $2,799.72 2026-05-12
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 48 25 $8,381.28 $8,381.28 $68.98 $8,381.28 $2,782.89 2026-05-12
20103 HCPCS Exploration Of Wound Of Arm Or Leg 37 25 $4,157.00 $4,157.00 $14.00 $4,157.00 $2,743.62 2026-05-12
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 37 25 $4,026.50 $4,026.50 $79.89 $4,026.50 $2,684.06 2026-05-12
43249 HCPCS Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 37 25 $4,054.00 $4,054.00 $40.00 $4,054.00 $2,675.64 2026-05-12
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 25 25 $3,078.50 $3,078.50 $8.02 $3,078.50 $2,632.12 2026-05-12
9480840_5 CDM Grafix Pl Prime 1.5 X 2 Cm 23 23 $2,753.00 $2,753.00 $1,726.13 $2,753.00 $2,615.35 2026-05-12
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 37 25 $3,955.00 $3,955.00 $30.00 $3,955.00 $2,610.30 2026-05-12
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 37 25 $3,900.00 $3,900.00 $80.20 $3,900.00 $2,574.00 2026-05-12
45388 HCPCS Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope 35 24 $3,777.78 $3,777.78 $30.00 $3,777.78 $2,518.27 2026-05-12
25690 HCPCS Closed Treatment Of Dislocated Wrist (lunate) Bone With Manipulation 36 25 $3,749.00 $3,749.00 $231.94 $3,749.00 $2,486.71 2026-05-12
26765 HCPCS Treatment Of Broken End Of Finger Or Thumb 36 25 $3,696.00 $3,696.00 $180.57 $3,696.00 $2,451.56 2026-05-12
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 37 25 $3,705.00 $3,705.00 $108.08 $3,705.00 $2,445.30 2026-05-12
Q4133 HCPCS Grafix Prime, Grafixpl Prime, Stravix And Stravixpl, Per Square Centimeter 25 25 $2,847.00 $2,847.00 $199.44 $2,847.00 $2,434.19 2026-05-12
27265 HCPCS Closed Treatment Of Dislocated Hip Prosthesis 37 25 $3,688.00 $3,688.00 $6.00 $3,688.00 $2,434.08 2026-05-12
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 25 25 $2,802.76 $2,802.76 $91.61 $2,802.76 $2,396.36 2026-05-12
45384 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec… 37 25 $3,618.00 $3,618.00 $15.00 $3,618.00 $2,387.88 2026-05-12
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 25 25 $2,782.13 $2,782.13 $19.31 $2,782.13 $2,378.72 2026-05-12
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 60 25 $2,778.24 $2,778.24 $89.63 $3,338.17 $2,375.39 2026-05-12
43255 HCPCS Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex… 36 25 $2,680.00 $2,680.00 $168.69 $2,680.00 $2,291.40 2026-05-12
Q5104 HCPCS Injection, Infliximab-abda, Biosimilar, (renflexis), 10 Mg 25 25 $2,603.72 $2,603.72 $68.84 $2,603.72 $2,226.18 2026-05-12
J7300 HCPCS Intrauterine Copper Contraceptive 50 25 $2,819.50 $2,819.50 $1,428.31 $3,361.00 $2,218.26 2026-05-12
23575 HCPCS Closed Treatment Of Broken Shoulder Blade With Manipulation 37 25 $3,316.00 $3,316.00 $35.00 $3,316.00 $2,188.56 2026-05-12
45380 HCPCS Biopsy Of Large Bowel Using A Flexible Endoscope 37 25 $3,283.00 $3,283.00 $10.00 $3,283.00 $2,166.78 2026-05-12
13132 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 37 25 $3,262.00 $3,262.00 $129.20 $3,262.00 $2,152.92 2026-05-12
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 106 25 $2,521.79 $2,521.79 $80.55 $4,227.00 $2,147.29 2026-05-12
45381 HCPCS Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope 37 25 $3,246.00 $3,246.00 $15.00 $3,246.00 $2,142.36 2026-05-12
46040 HCPCS Drainage Of Deep Abscess In Rectum 37 25 $3,183.00 $3,183.00 $55.00 $3,183.00 $2,100.78 2026-05-12
71270 HCPCS CT Scan Of Chest Before And After Contrast 60 25 $2,734.33 $2,734.33 $55.52 $2,791.67 $2,093.05 2026-05-12
74160 HCPCS CT Scan Of Abdomen With Contrast 37 25 $3,170.00 $3,170.00 $56.51 $3,170.00 $2,092.20 2026-05-12
J2354 HCPCS Injection, Octreotide, Non-depot Form For Subcutaneous Or Intravenous Injection,… 25 25 $2,173.90 $2,173.90 $1,363.04 $2,173.90 $2,065.21 2026-05-12
27750 HCPCS Closed Treatment Of Broken Middle Part Of Shin Bone 37 25 $3,107.00 $3,107.00 $184.99 $3,107.00 $2,050.62 2026-05-12
11606 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm 37 25 $3,100.00 $3,100.00 $20.00 $3,100.00 $2,046.00 2026-05-12
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 37 25 $3,096.00 $3,096.00 $77.58 $3,096.00 $2,043.36 2026-05-12
11010 HCPCS Removal Of Foreign Material From Skin And Tissue At Open Broken And/or Dislocate… 37 25 $3,019.00 $3,019.00 $225.24 $3,019.00 $1,992.54 2026-05-12
24530 HCPCS Closed Treatment Of Upper Arm Bone Broken At Elbow 37 25 $2,969.00 $2,969.00 $10.00 $2,969.00 $1,959.54 2026-05-12
Q5103 HCPCS Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 25 25 $2,271.07 $2,271.07 $68.16 $2,271.07 $1,941.77 2026-05-12
43251 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 35 24 $2,749.00 $2,749.00 $35.00 $2,749.00 $1,938.00 2026-05-12
J7301 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (skyla), 13.5 Mg 25 25 $2,022.76 $2,022.76 $1,268.27 $2,022.76 $1,921.62 2026-05-12
45378 HCPCS Diagnostic Exam Of Large Bowel Using A Flexible Endoscope 37 25 $2,884.00 $2,884.00 $20.00 $2,884.00 $1,903.44 2026-05-12
99291 HCPCS Critical Care, First 30-74 Minutes 37 25 $2,218.00 $2,218.00 $121.60 $2,218.00 $1,896.39 2026-05-12
26011 HCPCS Complicated Drainage Of Abscess In Finger 37 25 $2,844.00 $2,844.00 $141.85 $2,844.00 $1,877.04 2026-05-12
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 62 23 $2,430.26 $2,430.26 $114.18 $2,553.98 $1,853.70 2026-05-12
13151 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm 37 25 $2,258.00 $2,258.00 $45.00 $2,258.00 $1,849.65 2026-05-12
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 37 25 $2,785.00 $2,785.00 $68.35 $2,785.00 $1,838.10 2026-05-12
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 83 25 $2,277.29 $2,277.29 $83.65 $2,421.13 $1,824.84 2026-05-12
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 37 25 $2,736.50 $2,736.50 $53.21 $2,736.50 $1,824.15 2026-05-12
27560 HCPCS Closed Treatment Of Dislocated Kneecap 37 25 $2,316.00 $2,316.00 $6.00 $2,316.00 $1,824.00 2026-05-12
5205755_1 CDM Blood Administration Charges 23 23 $1,878.22 $1,878.22 $1,177.64 $1,878.22 $1,784.31 2026-05-12
J7297 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (liletta), 52 Mg 25 25 $1,863.46 $1,863.46 $1,168.39 $1,863.46 $1,770.29 2026-05-12
27047 HCPCS Removal Of Growth Under Skin Of Pelvis And Hip, Less Than 3.0 Cm 25 25 $1,848.00 $1,848.00 $312.69 $1,848.00 $1,755.60 2026-05-12
J7165 HCPCS Injection, Prothrombin Complex Concentrate, Human-lans, Per I.u. Of Factor Ix Ac… 25 25 $2,021.76 $2,021.76 $7.61 $2,021.76 $1,728.60 2026-05-12
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 37 25 $2,586.20 $2,586.20 $77.58 $2,586.20 $1,723.96 2026-05-12
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 37 25 $2,585.50 $2,585.50 $96.24 $2,585.50 $1,723.49 2026-05-12
24600 HCPCS Repair Of Dislocated Elbow 37 25 $2,605.00 $2,605.00 $13.00 $2,605.00 $1,719.30 2026-05-12
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 37 25 $2,573.00 $2,573.00 $101.99 $2,573.00 $1,715.16 2026-05-12
A0427 HCPCS Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - … 25 25 $1,802.00 $1,802.00 $1,129.85 $7,208.00 $1,711.90 2026-05-12
87483 HCPCS Test For Detecting Nucleic Acid Of Organism Causing Infection Of Central Nervous… 25 25 $1,963.00 $1,963.00 $478.26 $1,963.00 $1,678.37 2026-05-12
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 37 25 $2,496.00 $2,496.00 $6.00 $2,496.00 $1,647.36 2026-05-12
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 36 25 $2,476.00 $2,476.00 $168.65 $2,476.00 $1,642.33 2026-05-12
43239 HCPCS Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 37 25 $2,464.00 $2,464.00 $35.00 $2,464.00 $1,626.24 2026-05-12
26770 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation 36 25 $1,894.00 $1,894.00 $124.72 $1,894.00 $1,619.37 2026-05-12
12016 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.… 36 25 $2,424.00 $2,424.00 $109.91 $2,424.00 $1,607.84 2026-05-12
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 37 25 $2,412.00 $2,412.00 $101.99 $2,412.00 $1,607.84 2026-05-12
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 37 25 $2,417.50 $2,417.50 $62.09 $2,417.50 $1,595.55 2026-05-12
27786 HCPCS Closed Treatment Of Broken Outside Lower Leg Bone At Ankle 37 25 $2,411.00 $2,411.00 $173.92 $2,411.00 $1,591.26 2026-05-12
43244 HCPCS Tying Of Dilated Veins Of Stomach And/or Esophagus Using A Flexible Endoscope 36 25 $1,854.00 $1,854.00 $205.21 $2,781.60 $1,585.17 2026-05-12
12054 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6-1… 36 25 $2,378.00 $2,378.00 $155.99 $2,378.00 $1,577.33 2026-05-12
25600 HCPCS Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb … 36 25 $2,371.00 $2,371.00 $157.38 $2,371.00 $1,572.68 2026-05-12
J0248 HCPCS Injection, Remdesivir, 1 Mg 25 25 $1,797.12 $1,797.12 $10.52 $1,797.12 $1,536.54 2026-05-12
70552 HCPCS MRI Scan Of Brain With Contrast 37 25 $2,290.50 $2,290.50 $79.24 $2,290.50 $1,526.85 2026-05-12
11406 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm 36 25 $2,283.00 $2,283.00 $193.22 $2,283.00 $1,514.32 2026-05-12
73701 HCPCS CT Scan Of Leg With Contrast Material 60 25 $1,922.20 $1,922.20 $51.57 $2,055.67 $1,506.12 2026-05-12
72196 HCPCS MRI Scan Of Pelvis With Contrast 37 25 $2,238.00 $2,238.00 $76.93 $2,238.00 $1,491.85 2026-05-12
25560 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones 36 25 $2,230.00 $2,230.00 $148.97 $2,230.00 $1,479.16 2026-05-12
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 37 25 $2,221.00 $2,221.00 $56.51 $2,221.00 $1,465.86 2026-05-12
71260 HCPCS CT Scan Of Chest With Contrast 60 25 $1,890.95 $1,890.95 $51.92 $1,920.87 $1,443.84 2026-05-12
9440982_5 CDM Snare, Rotatable 20mm 23 23 $1,518.00 $1,518.00 $951.79 $1,518.00 $1,442.10 2026-05-12
30905 HCPCS Initial Control Of Nose Bleed And Insertion Of Packing 37 25 $1,669.00 $1,669.00 $28.00 $1,799.30 $1,427.00 2026-05-12
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 37 25 $2,139.70 $2,139.70 $80.90 $2,139.70 $1,426.33 2026-05-12
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 37 25 $2,124.50 $2,124.50 $79.59 $2,124.50 $1,416.19 2026-05-12
70487 HCPCS CT Scan Of Face With Contrast 37 25 $2,100.86 $2,100.86 $50.26 $2,100.86 $1,386.57 2026-05-12
43235 HCPCS Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible… 37 25 $2,099.00 $2,099.00 $15.00 $2,099.00 $1,385.34 2026-05-12
40831 HCPCS Repair Of Lacerated Mouth, More Than 2.5 Cm 37 25 $2,043.00 $2,043.00 $30.53 $2,043.00 $1,348.38 2026-05-12
41800 HCPCS Drainage Of Abscess, Cyst, Or Blood Accumulation Of Dental Bone 37 25 $1,537.00 $1,537.00 $18.00 $2,499.45 $1,314.14 2026-05-12
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 83 25 $1,552.19 $1,552.19 $77.25 $1,608.19 $1,301.75 2026-05-12
P9034 HCPCS Platelets, Pheresis, Each Unit 48 25 $1,435.00 $1,435.00 $632.61 $1,449.00 $1,301.08 2026-05-12
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 37 25 $1,951.50 $1,951.50 $101.99 $1,951.50 $1,300.87 2026-05-12
Q5101 HCPCS Injection, Filgrastim-sndz, Biosimilar, (zarxio), 1 Microgram 25 25 $1,517.11 $1,517.11 $6.99 $1,517.11 $1,297.13 2026-05-12
54700 HCPCS Incision And Drainage Of Sperm Reservoir, Testis, And/or Scrotal Area 37 25 $1,950.00 $1,950.00 $25.00 $1,950.00 $1,287.00 2026-05-12
70553 HCPCS MRI Scan Of Brain Before And After Contrast 40 25 $1,811.50 $1,811.50 $101.65 $1,811.50 $1,255.37 2026-05-12
A0429 HCPCS Ambulance Service, Basic Life Support, Emergency Transport (bls-emergency) 25 25 $1,319.00 $1,319.00 $827.01 $5,276.00 $1,253.05 2026-05-12
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 37 25 $1,863.50 $1,863.50 $56.16 $1,863.50 $1,242.21 2026-05-12
26600 HCPCS Closed Treatment Of Broken Hand Bone 36 25 $1,870.00 $1,870.00 $138.83 $1,870.00 $1,240.37 2026-05-12
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 37 25 $1,450.00 $1,450.00 $65.00 $1,896.20 $1,239.75 2026-05-12
32551 HCPCS Removal Of Fluid From Between Lung And Chest Cavity 36 25 $1,859.00 $1,859.00 $131.42 $1,859.00 $1,233.08 2026-05-12
90675 HCPCS Rabies Vaccine For Injection Into Muscle 97 25 $1,430.47 $1,430.47 $462.62 $1,559.21 $1,228.46 2026-05-12
76942 HCPCS Ultrasonic Guidance For Needle Placement 25 25 $1,433.00 $1,433.00 $76.77 $1,433.00 $1,225.22 2026-05-12
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 37 25 $1,853.19 $1,853.19 $61.45 $1,853.19 $1,223.10 2026-05-12
73200 HCPCS CT Scan Of Arm Without Contrast 60 25 $1,467.31 $1,467.31 $44.82 $1,663.43 $1,218.63 2026-05-12
A0426 HCPCS Ambulance Service, Advanced Life Support, Non-emergency Transport, Level 1 (als … 25 25 $1,280.00 $1,280.00 $802.56 $5,120.00 $1,216.00 2026-05-12
23075 HCPCS Removal Of Growth Under Skin Of Shoulder Area, Less Than 3.0 Cm 25 25 $1,406.00 $1,406.00 $121.00 $1,406.00 $1,202.13 2026-05-12
57460 HCPCS Biopsy Of Cervix Using An Endoscope With Loop Electrode 25 25 $1,405.00 $1,405.00 $186.97 $1,405.00 $1,201.28 2026-05-12
A0428 HCPCS Ambulance Service, Basic Life Support, Non-emergency Transport, (bls) 25 25 $1,258.00 $1,258.00 $788.77 $5,032.00 $1,195.10 2026-05-12
72126 HCPCS CT Scan Of Upper Spine With Contrast 37 25 $1,798.00 $1,798.00 $54.20 $1,798.00 $1,190.32 2026-05-12
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 37 25 $1,783.50 $1,783.50 $105.54 $1,783.50 $1,188.88 2026-05-12
72193 HCPCS CT Scan Of Pelvis With Contrast 37 25 $1,801.09 $1,801.09 $51.57 $1,801.09 $1,188.72 2026-05-12
71250 HCPCS CT Scan Of Chest Without Contrast 60 25 $1,529.13 $1,529.13 $47.78 $1,592.09 $1,182.02 2026-05-12
30300 HCPCS Removal Of Foreign Body In Nose 37 25 $1,372.00 $1,372.00 $5.00 $4,281.65 $1,173.06 2026-05-12
12020 HCPCS Simple Closure Of Surface Wound Reopening 36 25 $1,757.00 $1,757.00 $171.26 $1,757.00 $1,165.42 2026-05-12
11043 HCPCS Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less 65 25 $1,560.00 $1,560.00 $25.00 $1,634.00 $1,163.45 2026-05-12
10061 HCPCS Complicated Or Multiple Drainage Of Skin Abscess 41 25 $1,236.00 $1,236.00 $75.76 $1,668.20 $1,157.10 2026-05-12
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 36 25 $1,716.00 $1,716.00 $103.87 $1,716.00 $1,138.22 2026-05-12
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 37 25 $1,700.50 $1,700.50 $98.02 $1,700.50 $1,133.55 2026-05-12
73700 HCPCS CT Scan Of Leg Without Contrast 60 25 $1,473.18 $1,473.18 $44.82 $1,497.41 $1,125.19 2026-05-12
99283 HCPCS Emergency Department Visit With Low Level Of Medical Decision Making 37 25 $1,703.00 $1,703.00 $44.60 $1,703.00 $1,123.98 2026-05-12
23500 HCPCS Closed Treatment Of Broken Collar Bone 36 25 $1,694.00 $1,694.00 $92.93 $1,694.00 $1,123.63 2026-05-12
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 42 25 $1,740.00 $1,740.00 $115.00 $1,740.00 $1,119.69 2026-05-12
70486 HCPCS CT Scan Of Face Without Contrast 60 25 $1,431.71 $1,431.71 $38.42 $1,524.11 $1,119.19 2026-05-12
67938 HCPCS Removal Of Embedded Foreign Body In Eyelid 37 25 $1,305.00 $1,305.00 $99.88 $3,207.20 $1,115.78 2026-05-12
12032 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 … 37 25 $1,672.00 $1,672.00 $40.00 $1,672.00 $1,103.52 2026-05-12
59414 HCPCS Delivery Of Placenta 37 25 $1,275.00 $1,275.00 $60.00 $2,406.35 $1,090.13 2026-05-12
46221 HCPCS Removal Of External Hemorrhoids By Rubber Banding 36 25 $1,615.00 $1,615.00 $77.07 $1,615.00 $1,071.23 2026-05-12
11983 HCPCS Removal With Reinsertion Of Drug Delivery Implant Into Tissue 25 25 $1,235.00 $1,235.00 $260.07 $1,235.00 $1,055.93 2026-05-12
73201 HCPCS CT Scan Of Arm With Contrast 37 25 $1,580.00 $1,580.00 $51.57 $1,580.00 $1,053.23 2026-05-12
72128 HCPCS CT Scan Of Middle Spine Without Contrast 37 25 $1,579.22 $1,579.22 $44.82 $1,579.22 $1,042.28 2026-05-12
12042 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.6-7.5 Cm 37 25 $1,578.00 $1,578.00 $22.00 $1,578.00 $1,041.48 2026-05-12
11760 HCPCS Repair Of Fingernail Or Toenail Bed 37 25 $1,570.00 $1,570.00 $65.00 $1,570.00 $1,036.20 2026-05-12
99292 HCPCS Critical Care, Each Additional 30 Minutes 37 25 $1,209.00 $1,209.00 $58.90 $1,209.00 $1,033.70 2026-05-12
74150 HCPCS CT Scan Of Abdomen Without Contrast 37 25 $1,564.88 $1,564.88 $52.89 $1,564.88 $1,032.82 2026-05-12
99245 HCPCS Office Or Other Outpatient Consultation With High Level Of Medical Decision Maki… 7 7 $1,083.00 $1,083.00 $758.10 $1,083.00 $1,028.85 2026-05-12
12002 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 60 25 $1,199.00 $1,199.00 $37.00 $1,497.00 $1,025.15 2026-05-12
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 37 25 $1,548.00 $1,548.00 $72.30 $1,548.00 $1,021.68 2026-05-12
26720 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand 37 25 $1,455.00 $1,455.00 $11.00 $1,455.00 $1,017.45 2026-05-12
70488 HCPCS CT Scan Of Face Before And After Contrast 37 25 $1,506.00 $1,506.00 $56.51 $1,506.00 $1,003.90 2026-05-12
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 42 25 $1,360.00 $1,360.00 $65.00 $4,443.15 $997.82 2026-05-12
72192 HCPCS CT Scan Of Pelvis Without Contrast 37 25 $1,508.66 $1,508.66 $48.10 $1,508.66 $995.72 2026-05-12
30903 HCPCS Complex Control Of Nose Bleed 37 25 $1,162.00 $1,162.00 $13.00 $1,331.90 $993.51 2026-05-12
16030 HCPCS Dressing Change Or Removal Of Burn Tissue, More Than 10% Of Total Body Surface 17 12 $1,045.00 $1,045.00 $81.53 $1,358.50 $992.75 2026-05-12
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 37 25 $1,482.50 $1,482.50 $97.33 $1,482.50 $988.23 2026-05-12
49082 HCPCS Drainage Of Fluid From Abdominal Cavity 42 25 $1,374.00 $1,374.00 $30.00 $1,374.00 $985.15 2026-05-12
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 25 25 $1,149.00 $1,149.00 $64.26 $1,149.00 $982.40 2026-05-12
72131 HCPCS CT Scan Of Lower Spine Without Contrast 37 25 $1,471.25 $1,471.25 $44.82 $1,471.25 $971.03 2026-05-12
92960 HCPCS External Shock To Heart To Regulate Heart Beat 37 25 $1,467.00 $1,467.00 $91.21 $1,467.00 $968.22 2026-05-12
72125 HCPCS CT Scan Of Upper Spine Without Contrast 37 25 $1,462.86 $1,462.86 $44.82 $1,462.86 $965.48 2026-05-12
C9046 HCPCS Cocaine Hydrochloride Nasal Solution (goprelto), 1 Mg 25 25 $1,016.06 $1,016.06 $637.07 $4,064.24 $965.26 2026-05-12
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 25 25 $1,010.00 $1,010.00 $633.27 $1,010.00 $959.50 2026-05-12
12004 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 37 25 $1,434.00 $1,434.00 $65.75 $1,434.00 $946.44 2026-05-12
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 37 25 $1,415.00 $1,415.00 $61.18 $1,415.00 $943.24 2026-05-12
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 37 25 $1,413.50 $1,413.50 $57.18 $1,413.50 $942.24 2026-05-12
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 37 25 $1,413.18 $1,413.18 $57.18 $1,413.18 $942.02 2026-05-12
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 37 25 $1,410.00 $1,410.00 $53.21 $1,410.00 $939.91 2026-05-12
G0121 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For … 12 12 $1,780.00 $1,780.00 $156.36 $1,780.00 $938.50 2026-05-12
62270 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test 17 12 $977.00 $977.00 $18.00 $4,004.25 $928.15 2026-05-12
70460 HCPCS CT Scan Head Or Brain With Contrast 37 25 $1,398.94 $1,398.94 $50.26 $1,398.94 $923.30 2026-05-12
12013 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6… 36 25 $1,370.00 $1,370.00 $50.29 $1,370.00 $908.72 2026-05-12
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 37 25 $1,357.50 $1,357.50 $71.48 $1,357.50 $904.91 2026-05-12
28630 HCPCS Closed Treatment Of Dislocated Joint Between Toe And Foot 37 25 $1,058.00 $1,058.00 $61.06 $2,530.80 $904.59 2026-05-12
54150 HCPCS Removal Of Foreskin Using Clamp Or Device 25 25 $941.00 $941.00 $590.01 $3,764.00 $893.95 2026-05-12
51703 HCPCS Complicated Insertion Of Bladder Tube 37 25 $1,037.00 $1,037.00 $63.29 $2,129.90 $886.64 2026-05-12
9294429_5 CDM Maye Omni 350 100 Ml 23 23 $924.00 $924.00 $579.35 $924.00 $877.80 2026-05-12
9449849_5 CDM Dressing Kit With Foam 10x10 Snap 23 23 $920.89 $920.89 $577.40 $920.89 $874.85 2026-05-12
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 48 25 $970.44 $970.44 $285.27 $970.44 $874.51 2026-05-12
26750 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb 37 25 $1,316.00 $1,316.00 $37.00 $1,316.00 $868.56 2026-05-12
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 37 25 $1,301.00 $1,301.00 $65.91 $1,301.00 $867.25 2026-05-12
G0105 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual At High Risk 12 12 $1,614.00 $1,614.00 $156.19 $1,614.00 $859.54 2026-05-12
12041 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.5 Cm Or Less 37 25 $1,290.00 $1,290.00 $22.00 $1,290.00 $851.40 2026-05-12
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 37 25 $1,264.50 $1,264.50 $65.80 $1,264.50 $842.92 2026-05-12
20520 HCPCS Removal Of Foreign Body In Muscle Or Tendon 37 25 $1,271.00 $1,271.00 $18.00 $1,271.00 $838.86 2026-05-12
93320 HCPCS Ultrasound Of Heart Blood Flow, Valves And Chambers 37 25 $1,264.50 $1,264.50 $16.98 $1,264.50 $834.57 2026-05-12
62322 HCPCS Injection Of Substance Into Lower Spine Canal 25 25 $974.00 $974.00 $138.50 $974.00 $832.77 2026-05-12
70450 HCPCS CT Scan Head Or Brain Without Contrast 37 25 $1,242.56 $1,242.56 $38.07 $1,242.56 $820.09 2026-05-12
99244 HCPCS Office Or Other Outpatient Consultation With Moderate Level Of Medical Decision … 7 7 $863.00 $863.00 $604.10 $863.00 $819.85 2026-05-12
13160 HCPCS Extensive Or Complicated Repair Of Surface Wound Reopening 12 12 $1,075.00 $1,075.00 $548.40 $1,021.25 $808.44 2026-05-12
90679 HCPCS Respiratory Syncytial Virus Vaccine, preF, Recombinant, Subunit, Adjuvanted, For… 25 25 $848.00 $848.00 $531.70 $3,392.00 $805.60 2026-05-12
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 42 25 $1,236.00 $1,236.00 $30.00 $1,236.00 $795.37 2026-05-12
12011 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5… 36 25 $1,191.00 $1,191.00 $49.99 $1,191.00 $789.99 2026-05-12
73718 HCPCS MRI Scan Of Leg Without Contrast 37 25 $1,180.00 $1,180.00 $60.14 $1,180.00 $786.59 2026-05-12
11042 HCPCS Removal Of Skin And Tissue, 20.0 Sq Cm Or Less 65 25 $826.00 $826.00 $53.31 $1,547.00 $784.70 2026-05-12
35226 HCPCS Repair Of Blood Vessel Of Leg 12 12 $2,522.00 $2,522.00 $106.48 $2,395.90 $784.41 2026-05-12
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 37 25 $1,174.50 $1,174.50 $66.26 $1,174.50 $782.92 2026-05-12
90677 HCPCS Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use 25 25 $824.00 $824.00 $516.65 $3,296.00 $782.80 2026-05-12
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 12 12 $1,725.00 $1,725.00 $449.74 $1,638.75 $782.01 2026-05-12
74181 HCPCS MRI Scan Of Abdomen Without Contrast 37 25 $1,172.00 $1,172.00 $64.40 $1,172.00 $781.26 2026-05-12
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 37 25 $1,171.00 $1,171.00 $65.91 $1,171.00 $780.59 2026-05-12
70551 HCPCS MRI Scan Of Brain Without Contrast 37 25 $1,170.50 $1,170.50 $65.57 $1,170.50 $780.26 2026-05-12
10080 HCPCS Simple Drainage Of Cyst Of Tailbone 37 25 $1,078.00 $1,078.00 $18.00 $1,078.00 $776.15 2026-05-12
10021 HCPCS Fine Needle Aspiration Biopsy, First Growth 37 25 $905.00 $905.00 $37.00 $1,501.95 $773.78 2026-05-12
28510 HCPCS Closed Treatment Of Broken Toe 36 25 $905.00 $905.00 $75.26 $1,446.85 $773.78 2026-05-12
64400 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Face Nerve 37 25 $905.00 $905.00 $7.00 $1,439.25 $773.78 2026-05-12
73218 HCPCS MRI Scan Of Arm Without Contrast 37 25 $1,159.00 $1,159.00 $60.83 $1,159.00 $772.59 2026-05-12
AM200 OTHER Dificid 200 Mg Tablet 25 25 $811.95 $811.95 $509.09 $3,247.80 $771.35 2026-05-12
72195 HCPCS MRI Scan Of Pelvis Without Contrast 37 25 $1,157.00 $1,157.00 $64.75 $1,157.00 $771.26 2026-05-12
J7699 HCPCS Noc Drugs, Inhalation Solution Administered Through Dme 25 25 $797.16 $797.16 $499.82 $797.16 $757.30 2026-05-12
77075 HCPCS Complete X-ray Of Body Bones 37 25 $991.50 $991.50 $24.89 $991.50 $754.30 2026-05-12
16025 HCPCS Dressing Change Or Removal Of Burn Tissue, 5-10% Of Total Body Surface 17 12 $785.00 $785.00 $17.00 $2,587.80 $745.75 2026-05-12
13122 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, Each Additional 5.0 Cm Or L… 37 25 $849.00 $849.00 $26.00 $897.75 $725.90 2026-05-12
9257028_1 CDM Recovery Room - General Classification 23 23 $759.59 $759.59 $476.27 $759.59 $721.61 2026-05-12
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 37 25 $1,011.00 $1,011.00 $25.00 $1,011.00 $715.35 2026-05-12
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 42 25 $883.00 $883.00 $40.00 $2,294.25 $700.15 2026-05-12
9440218_5 CDM Esophageal Balloon Dilator Cath 23 23 $735.00 $735.00 $460.85 $735.00 $698.25 2026-05-12
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 37 25 $1,045.50 $1,045.50 $60.83 $1,045.50 $696.93 2026-05-12
12001 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 37 25 $1,024.00 $1,024.00 $40.65 $1,024.00 $675.84 2026-05-12
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 25 25 $789.00 $789.00 $478.26 $789.00 $674.60 2026-05-12
76805 HCPCS Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More), Single Or First Fetus 37 25 $872.39 $872.39 $45.71 $872.39 $672.60 2026-05-12
57454 HCPCS Biopsy And Scraping Of Cervix Using An Endoscope 25 25 $786.00 $786.00 $86.14 $786.00 $672.03 2026-05-12
27552 HCPCS Closed Treatment Of Dislocated Knee Under Anesthesia 12 12 $776.00 $776.00 $10.00 $737.20 $667.01 2026-05-12
99282 HCPCS Emergency Department Visit With Straightforward Medical Decision Making 37 25 $1,003.00 $1,003.00 $19.20 $1,003.00 $661.98 2026-05-12
25260 HCPCS Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist 12 12 $718.00 $718.00 $75.00 $686.83 $660.15 2026-05-12
93882 HCPCS Ultrasound Of One Side Of Head And Neck Blood Flow 37 25 $999.00 $999.00 $22.05 $999.00 $659.34 2026-05-12
64653 HCPCS Injection Of Chemical For Paralysis Of Sweat Glands 25 25 $771.00 $771.00 $58.45 $771.00 $659.21 2026-05-12
29405 HCPCS Application Of Short Leg Cast 37 25 $763.00 $763.00 $16.00 $2,880.40 $652.37 2026-05-12
24620 HCPCS Closed Treatment Of Broken And Dislocated Forearm Bones At Elbow With Manipulati… 11 11 $811.00 $811.00 $547.09 $770.45 $650.74 2026-05-12
1648924_1 CDM Monitored Anesthesia Care 23 23 $682.78 $682.78 $428.11 $682.78 $648.64 2026-05-12
30901 HCPCS Simple Control Of Nose Bleed 37 25 $748.00 $748.00 $28.00 $2,909.85 $639.54 2026-05-12
57415 HCPCS Removal Of Impacted Foreign Body In Vagina Under Anesthesia 17 12 $672.00 $672.00 $94.25 $9,190.30 $638.40 2026-05-12
10120 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Simple 37 25 $737.00 $737.00 $39.00 $2,177.40 $630.14 2026-05-12
1167881_3 CDM CT Angio Pelvis 6 6 $654.00 $654.00 $457.80 $621.30 $621.30 2026-05-12
76801 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Single Or First Fetus 60 25 $738.22 $738.22 $45.02 $849.00 $620.97 2026-05-12
10160 HCPCS Aspiration Of Abscess, Blood, Or Cyst 42 25 $735.00 $735.00 $3.00 $3,494.10 $618.45 2026-05-12
93923 HCPCS Complete Ultrasound Study Of Arm And Leg Arteries 25 25 $719.00 $719.00 $139.65 $719.00 $614.75 2026-05-12
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 17 12 $1,548.00 $1,548.00 $187.96 $1,470.60 $614.65 2026-05-12
84445 HCPCS Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level 25 25 $716.00 $716.00 $58.35 $716.00 $612.18 2026-05-12
27266 HCPCS Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia 12 12 $935.00 $935.00 $92.33 $888.25 $611.50 2026-05-12
99205 HCPCS New Patient Office Or Other Outpatient Visit With A High Level Of Medical Decisi… 55 25 $837.00 $837.00 $82.70 $961.00 $602.55 2026-05-12
69200 HCPCS Removal Of Foreign Body In Ear Canal 37 25 $698.00 $698.00 $8.00 $1,100.10 $596.79 2026-05-12
57420 HCPCS Exam Of Vagina And Cervix Using An Endoscope 40 25 $627.00 $627.00 $136.30 $787.00 $595.65 2026-05-12
26410 HCPCS Repair Of Tendon On Top Of Hand 11 11 $394.00 $394.00 $374.30 $708.40 $595.56 2026-05-12
64650 HCPCS Injection Of Chemical For Paralysis Of Underarm Sweat Glands 25 25 $692.00 $692.00 $51.01 $692.00 $591.66 2026-05-12
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 50 25 $717.12 $717.12 $390.04 $812.16 $590.98 2026-05-12
64450 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch 37 25 $691.00 $691.00 $36.92 $1,395.55 $590.81 2026-05-12
51700 HCPCS Simple Bladder Irrigation And/or Instillation 36 25 $691.00 $691.00 $24.41 $4,137.25 $590.81 2026-05-12
58100 HCPCS Biopsy Of Lining Of Uterus 25 25 $690.00 $690.00 $41.04 $690.00 $589.95 2026-05-12
57456 HCPCS Scraping Of Cervix Using An Endoscope 25 25 $682.00 $682.00 $74.99 $682.00 $583.11 2026-05-12
90710 HCPCS Measles, Mumps, Rubella, And Varicella Vaccine 50 25 $720.41 $720.41 $320.40 $3,719.32 $583.00 2026-05-12
90651 HCPCS Human Papillomavirus Vaccine Types 6, 11, 16, 18, 31, 33, 45, 52, 58, Nonavalent 25 25 $608.00 $608.00 $381.22 $2,432.00 $577.60 2026-05-12
25680 HCPCS Closed Treatment Of Broken And Dislocated Wrist Bones With Manipulation 12 12 $1,451.00 $1,451.00 $253.16 $1,378.45 $576.12 2026-05-12
P9040 HCPCS Red Blood Cells, Leukocytes Reduced, Irradiated, Each Unit 48 25 $622.00 $622.00 $344.64 $652.00 $574.18 2026-05-12
94729 HCPCS Test To Examine How Well The Lungs Exchange Gases 25 25 $670.00 $670.00 $69.14 $670.00 $572.85 2026-05-12
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 25 25 $669.00 $669.00 $49.16 $669.00 $572.00 2026-05-12
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 91 25 $618.67 $618.67 $30.62 $917.11 $566.24 2026-05-12
23675 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Neck Of Upper Arm Bone With M… 12 12 $1,048.00 $1,048.00 $237.90 $995.60 $565.81 2026-05-12
9294427_5 CDM Maye Omni 300 100 Ml 23 23 $594.00 $594.00 $372.44 $594.00 $564.30 2026-05-12
76856 HCPCS Complete Ultrasound Scan Of Pelvis 37 25 $712.75 $712.75 $31.34 $712.75 $563.35 2026-05-12
9449853_5 CDM Cartridge, Snap Plus Lg Cannister (125mmHg) 23 23 $589.50 $589.50 $369.62 $589.50 $560.03 2026-05-12
76604 HCPCS Ultrasound Scan Of Chest 25 25 $651.00 $651.00 $99.17 $651.00 $556.61 2026-05-12
29540 HCPCS Placement Of Strapping To Ankle Or Foot 25 25 $650.00 $650.00 $25.10 $650.00 $555.75 2026-05-12
65222 HCPCS Removal Of Foreign Body In Cornea Using Slit Lamp 37 25 $648.00 $648.00 $15.00 $692.55 $554.04 2026-05-12
76881 HCPCS Complete Ultrasound Scan Of Joint 37 25 $823.00 $823.00 $41.60 $823.00 $548.61 2026-05-12
25675 HCPCS Closed Treatment Of Dislocated Forearm Bone At Wrist With Manipulation 12 12 $1,162.00 $1,162.00 $229.71 $1,103.90 $547.82 2026-05-12
59409 HCPCS Vaginal Delivery 12 12 $462.00 $462.00 $40.00 $766.12 $541.49 2026-05-12
29505 HCPCS Application Of Long Leg Splint From Thigh To Ankle Or Toe 37 25 $627.00 $627.00 $53.05 $1,256.85 $536.09 2026-05-12
99151 HCPCS Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Pr… 37 25 $726.00 $726.00 $20.12 $726.00 $535.80 2026-05-12
J3301 HCPCS Injection, Triamcinolone Acetonide, Not Otherwise Specified, 10 Mg 50 25 $845.26 $845.26 $2.51 $1,686.53 $530.73 2026-05-12
24505 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation 12 12 $1,270.00 $1,270.00 $269.17 $1,206.50 $526.41 2026-05-12
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 17 12 $1,039.00 $1,039.00 $117.65 $987.05 $526.30 2026-05-12
27825 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint With Manipula… 12 12 $1,034.00 $1,034.00 $15.00 $982.30 $525.91 2026-05-12
11102 HCPCS Biopsy Of Related Skin Growth, First Growth 17 12 $552.00 $552.00 $12.00 $584.25 $524.40 2026-05-12
27840 HCPCS Closed Treatment Of Dislocated Ankle 11 11 $987.00 $987.00 $440.73 $937.65 $524.24 2026-05-12
26350 HCPCS Repair Of Finger Tendon Of Under Side Of Hand Other Than Upper Most Part Of Palm… 12 12 $331.00 $331.00 $30.00 $871.83 $523.70 2026-05-12
10060 HCPCS Simple Or Single Drainage Of Skin Abscess 88 25 $685.00 $685.00 $42.44 $1,041.20 $516.80 2026-05-12
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 12 12 $1,620.00 $1,620.00 $250.19 $1,539.00 $515.85 2026-05-12
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 37 25 $768.67 $768.67 $35.75 $768.67 $512.40 2026-05-12
90670 HCPCS Pneumococcal Vaccine, 13-valent 25 25 $538.00 $538.00 $337.33 $2,152.00 $511.10 2026-05-12
97608 HCPCS Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq… 25 25 $537.00 $537.00 $336.70 $2,148.00 $510.15 2026-05-12
90671 HCPCS Pneumococcal Conjugate Vaccine, 15 Valent (pcv15), For Intramuscular Use 25 25 $533.00 $533.00 $334.19 $2,132.00 $506.35 2026-05-12
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 60 25 $530.00 $530.00 $21.53 $937.00 $503.50 2026-05-12
76816 HCPCS Follow-up Ultrasound Scan Of Pregnant Uterus 37 25 $634.54 $634.54 $39.63 $634.54 $502.55 2026-05-12
25624 HCPCS Closed Treatment Of Broken Wrist Bone Near Base Of Thumb With Manipulation 12 12 $1,816.00 $1,816.00 $236.04 $1,725.20 $499.33 2026-05-12
25660 HCPCS Closed Treatment Of Dislocated Wrist Bones With Manipulation 12 12 $976.00 $976.00 $167.91 $927.20 $497.30 2026-05-12
27502 HCPCS Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation 12 12 $298.00 $298.00 $55.00 $845.68 $497.04 2026-05-12
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 25 25 $580.44 $580.44 $131.81 $580.44 $496.28 2026-05-12
J2792 HCPCS Injection, Rho D Immune Globulin, Intravenous, Human, Solvent Detergent, 100 Iu 25 25 $577.38 $577.38 $58.57 $577.38 $493.66 2026-05-12
2596316_1 CDM Urinary Catheter Activity: 23 23 $516.50 $516.50 $323.85 $516.50 $490.68 2026-05-12
23605 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone With Manipulation 12 12 $901.00 $901.00 $17.00 $855.95 $490.51 2026-05-12
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