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

KIT CARSON COUNTY MEMORIAL HOSPITAL

Burlington, CO · CCN 061313 · Rates published

1,788 distinct procedures filed
7 distinct payers
50,862 rate rows
2026-05-22 last MRF observed
Data quality

49,960 of 50,862 rate rows are consumer-grade (98.2%)

902 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 888
per-diem day rate — not a per-procedure price 12
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.kcchsd.org/wp-content/uploads/2025/02/841435504_kitcarson_county_memorial_hospital_standardcharges.csv
Found on page https://www.kcchsd.org/pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 110c29d8b63ef82f… · 12,752,200 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J9144
OTHER 		Daratumumab-hyalur 1800mg Sdv 6 $50.36 $19,726.88 $8,338.17 nat. median
$58
outlier · 142.9×
J7169
OTHER 		Andexxa Low Dose(recombinant) 200mg 7 $4,180.23 $14,792.50 $7,135.94 nat. median
$136
outlier · 52.7×
J3101
OTHER 		Tenecteplase 50mg Vial (TNKase) 6 $159.18 $14,706.44 $6,216.12 nat. median
$195
outlier · 31.9×
J9356
OTHER 		Trastuzumab-hyaluronidase 600mg/5ml 6 $61.80 $11,677.58 $4,935.88 nat. median
$66
outlier · 75.2×
J9217
OTHER 		Leuprolide 22.5 Syringe (Lupron Depo) 6 $159.85 $16,494.89 $4,934.31 nat. median
$222
outlier · 22.2×
J0840
OTHER 		CroFab Rattlesnake Antivenin 7 $1,744.05 $7,854.27 $4,059.51 nat. median
$2,112
1.9× median
J7168
OTHER 		Prothrombin Complex 1000u Vial 7 $2,066.79 $4,989.51 $3,528.15 nat. median
$3
outlier · 1176.0×
J9299
OTHER 		Nivolumab 10mg/mL 24mL Vial 6 $31.65 $7,428.62 $3,139.93 nat. median
$36
outlier · 87.8×
59510
OTHER 		C Section Delivery Profee 6 $1,574.13 $3,724.15 $2,936.41 nat. median
$2,841
1.0× median
J9176
OTHER 		Elotuzumab 400mg Sdv 6 $7.57 $6,564.59 $2,774.72 nat. median
$8
outlier · 332.3×
59820
OTHER 		Care Miscarriage 7 $424.85 $6,453.79 $2,700.61 nat. median
$3,172
0.9× median
59812
OTHER 		Treat Miscarriage 7 $348.58 $6,327.90 $2,647.93 nat. median
$3,059
0.9× median
J0717
OTHER 		Certolizumab 200mg Vial 6 $3.82 $6,264.06 $2,647.69 nat. median
$5
outlier · 523.3×
28545
OTHER 		Foot Dislocation 7 $317.94 $6,294.33 $2,633.89 nat. median
$1,328
2.0× median
26685
OTHER 		Openreduccarpometacarpdis 7 $500.00 $6,294.33 $2,633.89 nat. median
$3,246
0.8× median
120
OTHER 		Swing Bed Room Rate 5 $2,043.00 $5,621.50 $2,619.00 nat. median
$1,852
1.4× median
90375
OTHER 		Rabies Immune Globulin 5 Ml 300IU/1mL 6 $274.76 $6,092.12 $2,575.02 nat. median
$316
outlier · 8.1×
J0897
OTHER 		Denosumab 60mg/mL Syr (Prolia) 6 $27.11 $5,717.51 $2,416.68 nat. median
$32
outlier · 76.0×
13160
OTHER 		Wnd Dehis/extcomplex 7 $500.00 $5,331.83 $2,231.12 nat. median
$2,253
1.0× median
51040
OTHER 		Instertion Subrapubic Catheter 7 $285.40 $5,246.27 $2,195.32 nat. median
$2,059
1.1× median
10121
OTHER 		I&r Of Foreign Body Sub Tissue Complicat 6 $258.66 $5,184.43 $2,147.53 nat. median
$1,552
1.4× median
20670
OTHER 		Implantremovalsuperficial 7 $345.60 $4,970.43 $2,079.89 nat. median
$1,643
1.3× median
J1950
OTHER 		Leuprolide 3.75mg Syr 7 $1,437.28 $3,469.78 $2,043.49 nat. median
$1,808
1.1× median
32556
OTHER 		Pleural Drainage Percut, W Wo Imaging Gu 7 $500.00 $4,819.36 $2,016.68 nat. median
$1,832
1.1× median
25611
OTHER 		Treatfxradius/ulnawmanip 7 $500.00 $4,036.76 $1,987.32 nat. median
$5,629
outlier · 0.4×
Q5115
OTHER 		Rituximab-abbs 10mg/ml 50ml Vial 6 $31.19 $6,220.95 $1,860.83 nat. median
$42
outlier · 44.4×
P9035
OTHER 		Platelets Leuko Reduced 7 $1,050.71 $2,536.55 $1,793.63 nat. median
$589
outlier · 3.0×
21320
OTHER 		Treatment Nose Fx, Wstablz 7 $212.72 $4,248.68 $1,777.87 nat. median
$3,106
0.6× median
21451
OTHER 		Treat Lower Jaw Fx W Manip 7 $500.00 $4,248.68 $1,777.87 nat. median
$1,484
1.2× median
360
OTHER 		Minor Surgery Initial 30 Minutes 7 $405.01 $12,988.30 $1,671.30 nat. median
$7,392
outlier · 0.2×
54700
OTHER 		I Depididymisscrotumtestis 7 $207.84 $3,960.18 $1,657.15 nat. median
$2,012
0.8× median
53265
OTHER 		Exciseurethralcaruncle 7 $223.69 $3,960.18 $1,657.15 nat. median
$1,897
0.9× median
53020
OTHER 		Meatotomy 6 $92.43 $3,960.18 $1,640.41 nat. median
$2,012
0.8× median
95810
OTHER 		Sleep Study Age 6 Yrs Or Older 7 $622.58 $3,207.11 $1,635.21 nat. median
$979
1.7× median
G0390
OTHER 		Trauma Activation Ems Arrival 7 $956.00 $2,307.92 $1,631.96 nat. median
$1,527
1.1× median
684
OTHER 		Trauma Activation 7 $956.00 $2,307.92 $1,631.96 nat. median
$6,591
outlier · 0.2×
26418
OTHER 		Repair Finger Tendon 7 $500.00 $3,829.06 $1,602.28 nat. median
$1,915
0.8× median
23605
OTHER 		Treathumerusfxwmanip 7 $476.75 $3,829.06 $1,602.28 nat. median
$1,515
1.1× median
26951
OTHER 		Amputation Finger Or Thumb 7 $500.00 $3,829.06 $1,602.28 nat. median
$3,309
outlier · 0.5×
78452
OTHER 		Nm Myocardial Spect Multi 7 $418.74 $3,201.12 $1,581.49 nat. median
$1,353
1.2× median
10180
OTHER 		I Dcmplx Periop Wnd Infect 7 $257.02 $3,724.15 $1,558.39 nat. median
$2,683
0.6× median
20525
OTHER 		Rmv Fbmuscletendoncomplex, 7 $456.94 $3,724.15 $1,558.39 nat. median
$2,753
0.6× median
27372
OTHER 		Remove Foreign Body,deep Th 7 $500.00 $3,724.15 $1,558.39 nat. median
$2,612
0.6× median
28192
OTHER 		Rmv Fbfoot;deep 7 $447.71 $3,724.15 $1,558.39 nat. median
$1,590
1.0× median
28193
OTHER 		Rmv Fbfoot;complicated 7 $500.00 $3,724.15 $1,558.39 nat. median
$1,512
1.0× median
21936
OTHER 		Resect Back Tum 5 Cm/> 6 $1,177.71 $2,786.29 $1,556.81 nat. median
$2,753
0.6× median
45383
OTHER 		Colonoscopy W Ablation Hot 7 $864.75 $2,087.62 $1,476.18 nat. median
$4,450
outlier · 0.3×
81162
OTHER 		Brca1 And Brca2 7 $802.95 $2,734.86 $1,462.44 nat. median
$1,916
0.8× median
10140
OTHER 		I&d Of Hematoma, Seroma Or Fluid Collec 6 $166.14 $3,504.89 $1,451.82 nat. median
$1,559
0.9× median
24605
OTHER 		Treatment Elbow Dislocation 7 $478.07 $3,444.42 $1,441.33 nat. median
$1,624
0.9× median

Other procedures at this hospital

Browse this hospital's 1,788 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
             
J9144 OTHER Daratumumab-hyalur 1800mg Sdv 14 6 $20,336.99 $17,286.44 $50.36 $19,726.88 $8,338.17 2026-05-22
J7169 OTHER Andexxa Low Dose(recombinant) 200mg 28 7 $10,403.75 $8,843.19 $4,180.23 $14,792.50 $7,135.94 2026-05-22
J3101 OTHER Tenecteplase 50mg Vial (TNKase) 14 6 $15,161.28 $12,887.09 $159.18 $14,706.44 $6,216.12 2026-05-22
J9356 OTHER Trastuzumab-hyaluronidase 600mg/5ml 14 6 $12,038.74 $10,232.93 $61.80 $11,677.58 $4,935.88 2026-05-22
J9217 OTHER Leuprolide 22.5 Syringe (Lupron Depo) 50 6 $12,034.91 $10,229.67 $159.85 $16,494.89 $4,934.31 2026-05-22
J0840 OTHER CroFab Rattlesnake Antivenin 16 7 $8,097.19 $6,882.61 $1,744.05 $7,854.27 $4,059.51 2026-05-22
J7168 OTHER Prothrombin Complex 1000u Vial 16 7 $5,143.82 $4,372.25 $2,066.79 $4,989.51 $3,528.15 2026-05-22
J9299 OTHER Nivolumab 10mg/mL 24mL Vial 14 6 $7,658.37 $6,509.61 $31.65 $7,428.62 $3,139.93 2026-05-22
59510 OTHER C Section Delivery Profee 14 6 $3,839.33 $3,263.43 $1,574.13 $3,724.15 $2,936.41 2026-05-22
J9176 OTHER Elotuzumab 400mg Sdv 26 6 $6,767.62 $5,752.48 $7.57 $6,564.59 $2,774.72 2026-05-22
59820 OTHER Care Miscarriage 16 7 $6,653.39 $5,655.38 $424.85 $6,453.79 $2,700.61 2026-05-22
59812 OTHER Treat Miscarriage 16 7 $6,523.61 $5,545.07 $348.58 $6,327.90 $2,647.93 2026-05-22
J0717 OTHER Certolizumab 200mg Vial 14 6 $6,457.79 $5,489.12 $3.82 $6,264.06 $2,647.69 2026-05-22
26685 OTHER Openreduccarpometacarpdis 16 7 $6,489.00 $5,515.65 $500.00 $6,294.33 $2,633.89 2026-05-22
28545 OTHER Foot Dislocation 16 7 $6,489.00 $5,515.65 $317.94 $6,294.33 $2,633.89 2026-05-22
120 OTHER Swing Bed Room Rate 22 5 $2,700.00 $2,295.00 $2,043.00 $5,621.50 $2,619.00 2026-05-22
90375 OTHER Rabies Immune Globulin 5 Ml 300IU/1mL 14 6 $6,280.54 $5,338.46 $274.76 $6,092.12 $2,575.02 2026-05-22
J0897 OTHER Denosumab 60mg/mL Syr (Prolia) 26 6 $3,153.12 $2,680.15 $27.11 $5,717.51 $2,416.68 2026-05-22
13160 OTHER Wnd Dehis/extcomplex 16 7 $5,496.73 $4,672.22 $500.00 $5,331.83 $2,231.12 2026-05-22
51040 OTHER Instertion Subrapubic Catheter 16 7 $5,408.53 $4,597.25 $285.40 $5,246.27 $2,195.32 2026-05-22
10121 OTHER I&r Of Foreign Body Sub Tissue Complicat 14 6 $5,344.77 $4,543.05 $258.66 $5,184.43 $2,147.53 2026-05-22
20670 OTHER Implantremovalsuperficial 16 7 $5,124.15 $4,355.53 $345.60 $4,970.43 $2,079.89 2026-05-22
J1950 OTHER Leuprolide 3.75mg Syr 16 7 $3,577.09 $3,040.53 $1,437.28 $3,469.78 $2,043.49 2026-05-22
32556 OTHER Pleural Drainage Percut, W Wo Imaging Gu 16 7 $4,968.41 $4,223.15 $500.00 $4,819.36 $2,016.68 2026-05-22
25611 OTHER Treatfxradius/ulnawmanip 16 7 $4,161.61 $3,537.37 $500.00 $4,036.76 $1,987.32 2026-05-22
Q5115 OTHER Rituximab-abbs 10mg/ml 50ml Vial 26 6 $6,413.35 $5,451.35 $31.19 $6,220.95 $1,860.83 2026-05-22
P9035 OTHER Platelets Leuko Reduced 16 7 $2,615.00 $2,222.75 $1,050.71 $2,536.55 $1,793.63 2026-05-22
21451 OTHER Treat Lower Jaw Fx W Manip 16 7 $4,380.08 $3,723.07 $500.00 $4,248.68 $1,777.87 2026-05-22
21320 OTHER Treatment Nose Fx, Wstablz 16 7 $4,380.08 $3,723.07 $212.72 $4,248.68 $1,777.87 2026-05-22
360 OTHER Minor Surgery Initial 30 Minutes 76 7 $3,183.00 $2,705.55 $405.01 $12,988.30 $1,671.30 2026-05-22
54700 OTHER I Depididymisscrotumtestis 16 7 $4,082.66 $3,470.26 $207.84 $3,960.18 $1,657.15 2026-05-22
53265 OTHER Exciseurethralcaruncle 16 7 $4,082.66 $3,470.26 $223.69 $3,960.18 $1,657.15 2026-05-22
53020 OTHER Meatotomy 14 6 $4,082.66 $3,470.26 $92.43 $3,960.18 $1,640.41 2026-05-22
95810 OTHER Sleep Study Age 6 Yrs Or Older 28 7 $3,306.30 $2,810.36 $622.58 $3,207.11 $1,635.21 2026-05-22
684 OTHER Trauma Activation 16 7 $2,379.30 $2,022.41 $956.00 $2,307.92 $1,631.96 2026-05-22
G0390 OTHER Trauma Activation Ems Arrival 16 7 $2,379.30 $2,022.41 $956.00 $2,307.92 $1,631.96 2026-05-22
26951 OTHER Amputation Finger Or Thumb 16 7 $3,947.48 $3,355.36 $500.00 $3,829.06 $1,602.28 2026-05-22
23605 OTHER Treathumerusfxwmanip 16 7 $3,947.48 $3,355.36 $476.75 $3,829.06 $1,602.28 2026-05-22
26418 OTHER Repair Finger Tendon 16 7 $3,947.48 $3,355.36 $500.00 $3,829.06 $1,602.28 2026-05-22
78452 OTHER Nm Myocardial Spect Multi 16 7 $3,300.12 $2,805.10 $418.74 $3,201.12 $1,581.49 2026-05-22
28193 OTHER Rmv Fbfoot;complicated 16 7 $3,839.33 $3,263.43 $500.00 $3,724.15 $1,558.39 2026-05-22
27372 OTHER Remove Foreign Body,deep Th 16 7 $3,839.33 $3,263.43 $500.00 $3,724.15 $1,558.39 2026-05-22
28192 OTHER Rmv Fbfoot;deep 16 7 $3,839.33 $3,263.43 $447.71 $3,724.15 $1,558.39 2026-05-22
20525 OTHER Rmv Fbmuscletendoncomplex, 16 7 $3,839.33 $3,263.43 $456.94 $3,724.15 $1,558.39 2026-05-22
10180 OTHER I Dcmplx Periop Wnd Infect 16 7 $3,839.33 $3,263.43 $257.02 $3,724.15 $1,558.39 2026-05-22
21936 OTHER Resect Back Tum 5 Cm/> 14 6 $2,872.46 $2,441.59 $1,177.71 $2,786.29 $1,556.81 2026-05-22
45383 OTHER Colonoscopy W Ablation Hot 16 7 $2,152.19 $1,829.36 $864.75 $2,087.62 $1,476.18 2026-05-22
81162 OTHER Brca1 And Brca2 16 7 $2,819.44 $2,396.52 $802.95 $2,734.86 $1,462.44 2026-05-22
10140 OTHER I&d Of Hematoma, Seroma Or Fluid Collec 14 6 $3,613.29 $3,071.30 $166.14 $3,504.89 $1,451.82 2026-05-22
24605 OTHER Treatment Elbow Dislocation 16 7 $3,550.95 $3,018.31 $478.07 $3,444.42 $1,441.33 2026-05-22
45385 OTHER Colonscopy W Removal By Sna 16 7 $2,966.02 $2,521.12 $438.76 $2,877.04 $1,436.99 2026-05-22
43249 OTHER Microtech Dil Bal 18-20 40 7 $1,674.78 $1,423.56 $625.88 $3,461.88 $1,434.00 2026-05-22
95811 OTHER Sleep Study W Intitiation Of Cpap Tx/ven 16 7 $2,778.37 $2,361.61 $652.00 $2,695.02 $1,406.32 2026-05-22
25605 OTHER Treat Fx Radius/ulna W Mani 16 7 $3,420.63 $2,907.54 $500.00 $3,318.01 $1,388.43 2026-05-22
44377 OTHER Endoscopy Small Intestine With Biopsy 16 7 $2,941.68 $2,500.43 $281.50 $2,853.43 $1,386.78 2026-05-22
44376 OTHER Endoscopy Small Intestinal 16 7 $2,941.68 $2,500.43 $268.41 $2,853.43 $1,383.51 2026-05-22
170 OTHER Pediatric Private Room Rate 20 6 $164.80 $140.08 $2.00 $5,899.60 $1,379.53 2026-05-22
70553 OTHER MRI Brain Wwo Con 16 7 $3,325.00 $2,826.25 $319.71 $3,225.25 $1,349.62 2026-05-22
23655 OTHER Treat Shoudler Disloc W Ane 16 7 $3,234.77 $2,749.55 $409.85 $3,137.73 $1,312.99 2026-05-22
70549 OTHER MRI Carotids Wwo MRA 16 7 $3,200.00 $2,720.00 $347.72 $3,104.00 $1,298.88 2026-05-22
81229 OTHER Chromosomal Microarray 16 7 $3,136.35 $2,665.90 $510.40 $3,042.26 $1,273.04 2026-05-22
72197 OTHER MRI Pelvis Wwo Con 16 7 $3,100.00 $2,635.00 $337.59 $3,007.00 $1,258.29 2026-05-22
72158 OTHER MRI Lumbar Spine Wwo Con 16 7 $3,100.00 $2,635.00 $320.04 $3,007.00 $1,258.29 2026-05-22
72157 OTHER MRI Thoracic Spine Wwo Con 16 7 $3,100.00 $2,635.00 $321.37 $3,007.00 $1,258.29 2026-05-22
74183 OTHER MRI Abdomen Wwo 16 7 $3,100.00 $2,635.00 $338.93 $3,007.00 $1,258.29 2026-05-22
72156 OTHER MRI Cervical Spine Wwo Con 16 7 $3,100.00 $2,635.00 $320.70 $3,007.00 $1,258.29 2026-05-22
73218 OTHER MRI Extrmty Up Bilat Wo Con Mri,distinct Service 48 7 $2,630.21 $2,235.68 $303.18 $3,826.95 $1,252.82 2026-05-22
11420 OTHER Excisebenlesionnk,hd,ft,.5 14 6 $3,010.90 $2,559.27 $124.51 $2,920.57 $1,209.78 2026-05-22
28435 OTHER Treat Ankle Fx 16 7 $2,974.13 $2,528.01 $378.00 $2,884.91 $1,207.20 2026-05-22
27552 OTHER Treat Knee Dislocation 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
27238 OTHER Treat Thigh Fracture 16 7 $2,974.13 $2,528.01 $467.82 $2,884.91 $1,207.20 2026-05-22
27781 OTHER Treatment Fibula Fracture 16 7 $2,974.13 $2,528.01 $445.38 $2,884.91 $1,207.20 2026-05-22
25690 OTHER Treat Wrist Dislocation 16 7 $2,974.13 $2,528.01 $495.58 $2,884.91 $1,207.20 2026-05-22
28575 OTHER Foot Dislocation 16 7 $2,974.13 $2,528.01 $386.82 $2,884.91 $1,207.20 2026-05-22
24577 OTHER Treathumerusfxcondylarwman 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
25624 OTHER Treat Wrist Fx 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
26742 OTHER Treat Finger Fracture, Each 16 7 $2,974.13 $2,528.01 $381.41 $2,884.91 $1,207.20 2026-05-22
25505 OTHER Treat Fx Radius W Manip 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
27810 OTHER Treat Ankle Fracture 16 7 $2,974.13 $2,528.01 $480.77 $2,884.91 $1,207.20 2026-05-22
25565 OTHER Treat Fx Radius&ulna W Mani 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
23520 OTHER Treatclavicledislocatew Man 16 7 $2,974.13 $2,528.01 $249.24 $2,884.91 $1,207.20 2026-05-22
25520 OTHER Treatfxradiusgaleazzi 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
28635 OTHER Toe Dislocation 16 7 $2,974.13 $2,528.01 $170.28 $2,884.91 $1,207.20 2026-05-22
24505 OTHER Treat Humeral Shaft Fx W Ma 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
24655 OTHER Treat Radius Fx W/manip 16 7 $2,974.13 $2,528.01 $458.47 $2,884.91 $1,207.20 2026-05-22
24620 OTHER Treatelbowfxw/omanip 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
27842 OTHER Treat Ankle Dislocation 16 7 $2,974.13 $2,528.01 $490.21 $2,884.91 $1,207.20 2026-05-22
27502 OTHER Treatment Of Thigh Fracture 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
24675 OTHER Treat Ulnar Fx W Manip 16 7 $2,974.13 $2,528.01 $466.65 $2,884.91 $1,207.20 2026-05-22
27818 OTHER Treatment Of Ankle Fracture 16 7 $2,974.13 $2,528.01 $499.03 $2,884.91 $1,207.20 2026-05-22
27517 OTHER Treat Thigh Fx Growth Plate 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
24565 OTHER Treathumerusfxepiconwmanip 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
24535 OTHER Treathumerusfxsupracwmanip 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
27831 OTHER Treat Lower Leg Dislocation 16 7 $2,974.13 $2,528.01 $413.56 $2,884.91 $1,207.20 2026-05-22
27752 OTHER Treatment Tibia Fracture 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
27532 OTHER Treat Knee Fracture 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
23675 OTHER Treat Shoulder Dislocation 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
23665 OTHER Treat Shldr Disloc Fx >humeral 16 7 $2,974.13 $2,528.01 $443.52 $2,884.91 $1,207.20 2026-05-22
27510 OTHER Treatment Of Thigh Fracture 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
26645 OTHER Treat Thumb Fracture 16 7 $2,974.13 $2,528.01 $441.51 $2,884.91 $1,207.20 2026-05-22
23625 OTHER Treathumerusfxwmanip 16 7 $2,974.13 $2,528.01 $389.24 $2,884.91 $1,207.20 2026-05-22
23575 OTHER Treat Shoulder Blade Fx W/manip 16 7 $2,974.13 $2,528.01 $419.73 $2,884.91 $1,207.20 2026-05-22
27252 OTHER Treat Hip Dislocation 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
27503 OTHER Treatment Of Thigh Fracture 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
26705 OTHER Treat Knuckle Dislocation 16 7 $2,974.13 $2,528.01 $446.75 $2,884.91 $1,207.20 2026-05-22
23505 OTHER Treat Clavicle Fx W Manip 16 7 $2,974.13 $2,528.01 $368.73 $2,884.91 $1,207.20 2026-05-22
25635 OTHER Treat Wrist Fx 16 7 $2,974.13 $2,528.01 $476.70 $2,884.91 $1,207.20 2026-05-22
28455 OTHER Treat Midfoot Fx, Each 16 7 $2,974.13 $2,528.01 $257.29 $2,884.91 $1,207.20 2026-05-22
26607 OTHER Treat Metacarpal Fracture 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
26675 OTHER Treat Hand Dislocation 16 7 $2,974.13 $2,528.01 $471.36 $2,884.91 $1,207.20 2026-05-22
27825 OTHER Treat Lower Leg Fracture 16 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-05-22
J2357 OTHER Omalizumab 150 Mg Vial (Xolair) 14 6 $2,932.76 $2,492.85 $37.00 $2,844.78 $1,202.43 2026-05-22
81420 OTHER Qnatal Advanced 16 7 $2,935.50 $2,495.18 $333.98 $2,847.44 $1,191.53 2026-05-22
92960 OTHER Cardiovertexternal 18 7 $2,902.75 $2,467.34 $148.88 $2,815.67 $1,190.13 2026-05-22
G0121 OTHER Screening Colon Non High Ri 28 7 $2,215.99 $1,883.59 $330.67 $2,686.89 $1,187.89 2026-05-22
G0105 OTHER Colonoscopy High Risk Mcr Disc Prcdr,distinct Service 32 7 $2,492.99 $2,119.04 $165.07 $2,686.89 $1,187.83 2026-05-22
74178 OTHER CT Urogram 16 7 $2,920.00 $2,482.00 $339.68 $2,832.40 $1,185.23 2026-05-22
70548 OTHER MRI Carotids W Con MRA 16 7 $2,915.00 $2,477.75 $247.49 $2,827.55 $1,183.20 2026-05-22
78451 OTHER Nm Myocardial Spect Single 16 7 $2,470.15 $2,099.63 $303.89 $2,396.05 $1,181.37 2026-05-22
45384 OTHER Colonoscopy W Removal Hot B 16 7 $2,372.81 $2,016.89 $471.68 $2,301.63 $1,179.75 2026-05-22
47600 OTHER Cholecystectomy 14 6 $1,750.95 $1,488.31 $717.89 $1,698.42 $1,179.54 2026-05-22
36571 OTHER Picc Insert W Port Younger Than 5 Yrs 14 6 $2,249.52 $1,912.09 $340.85 $2,182.03 $1,173.61 2026-05-22
43250 OTHER Upper Endo W Removal Hot Bx 16 7 $2,379.03 $2,022.18 $433.22 $2,307.66 $1,172.92 2026-05-22
J3262 OTHER Tocilizumab 80 Mg / 4ml Vial 38 6 $2,835.41 $2,410.10 $5.85 $5,513.22 $1,162.52 2026-05-22
36563 OTHER Placement Of Ctral Venous W Pump 20 6 $2,249.52 $1,912.09 $394.51 $2,182.03 $1,155.96 2026-05-22
27266 OTHER Treat Hip Dislocation 16 7 $2,825.42 $2,401.61 $500.00 $2,740.66 $1,146.84 2026-05-22
27257 OTHER Treat Hip Dislocation 16 7 $2,825.42 $2,401.61 $351.55 $2,740.66 $1,146.84 2026-05-22
72196 OTHER MRI Pelvis W Con 16 7 $2,800.00 $2,380.00 $269.45 $2,716.00 $1,136.52 2026-05-22
70552 OTHER MRI Brain W Con 16 7 $2,795.00 $2,375.75 $271.72 $2,711.15 $1,134.49 2026-05-22
45380 OTHER Colonoscopy W Bx One Or Mor 16 7 $2,292.78 $1,948.86 $419.48 $2,224.00 $1,130.89 2026-05-22
45330 OTHER Sig.scope Flexible Diagnost 16 7 $2,408.50 $2,047.23 $183.80 $2,336.24 $1,123.75 2026-05-22
43239 OTHER Upper Endo W Bx One Or More 16 7 $2,298.19 $1,953.46 $363.02 $2,229.24 $1,119.20 2026-05-22
70547 OTHER MRI Carotids Wo Con MRA 16 7 $2,755.00 $2,341.75 $217.35 $2,672.35 $1,118.26 2026-05-22
74182 OTHER MRI Abdomen W 16 7 $2,750.00 $2,337.50 $303.51 $2,667.50 $1,116.22 2026-05-22
99291 OTHER Critcare1st 30- 74min. 26 7 $2,763.23 $2,348.75 $233.13 $2,680.33 $1,110.26 2026-05-22
49566 OTHER Ventral Recurrent Incarcera Strangulated 14 6 $2,697.26 $2,292.67 $933.29 $2,616.34 $1,105.88 2026-05-22
21315 OTHER Treatment Nose Fx Without Stablz 16 7 $2,703.75 $2,298.19 $152.03 $2,622.64 $1,097.45 2026-05-22
43270 OTHER Upper Endo W Ablation Hot B 16 7 $2,027.81 $1,723.64 $696.34 $1,966.98 $1,081.53 2026-05-22
49561 OTHER Ventral Initial Incarcerate Strangulated 14 6 $2,331.71 $1,981.95 $925.20 $2,261.76 $1,063.98 2026-05-22
43255 OTHER Upper Endo W Control Of Ble 16 7 $2,027.81 $1,723.64 $597.75 $1,966.98 $1,056.88 2026-05-22
20103 OTHER Explore Penet. Wound-extrem 16 7 $2,595.60 $2,206.26 $500.00 $2,517.73 $1,053.56 2026-05-22
28190 OTHER Rmv Fbfoot;subq 16 7 $2,595.60 $2,206.26 $233.02 $2,517.73 $1,053.56 2026-05-22
20520 OTHER Rmv Fbmuscletendonsimple 16 7 $2,595.60 $2,206.26 $214.18 $2,517.73 $1,053.56 2026-05-22
74176 OTHER CT Abdomen Pelvis Wo Con 16 7 $2,575.00 $2,188.75 $183.40 $2,497.75 $1,045.20 2026-05-22
74177 OTHER CT Abdomen Pelvis W Con 16 7 $2,575.00 $2,188.75 $303.30 $2,497.75 $1,045.20 2026-05-22
73223 OTHER MRI Elbow Wwo Lt,left 48 7 $2,081.89 $1,769.61 $386.40 $3,029.67 $1,028.24 2026-05-22
73723 OTHER MRI Ankle Wwo Lt,left 48 7 $2,178.45 $1,851.68 $385.39 $2,783.49 $1,023.08 2026-05-22
73720 OTHER MRI Extrmty Low Bilat,distinct Service 48 7 $2,081.89 $1,769.61 $338.00 $3,029.67 $1,016.14 2026-05-22
70551 OTHER MRI Brain Wo Con 16 7 $2,500.00 $2,125.00 $196.85 $2,425.00 $1,014.75 2026-05-22
74181 OTHER MRI Abdomen Wo 16 7 $2,500.00 $2,125.00 $195.88 $2,425.00 $1,014.75 2026-05-22
72149 OTHER MRI Lumbar Spine W Con 16 7 $2,500.00 $2,125.00 $271.24 $2,425.00 $1,014.75 2026-05-22
72142 OTHER MRI Cervical Spine W Con 16 7 $2,500.00 $2,125.00 $276.25 $2,425.00 $1,014.75 2026-05-22
43235 OTHER Upper Gastro Endoscopy 16 7 $2,080.81 $1,768.69 $280.14 $2,018.39 $1,001.20 2026-05-22
45338 OTHER Sig.scope W Snare Removal 16 7 $2,054.85 $1,746.62 $290.88 $1,993.20 $992.26 2026-05-22
43200 OTHER Esophagus 16 7 $2,054.85 $1,746.62 $256.50 $1,993.20 $983.67 2026-05-22
C1781 OTHER Kugel Hernia Patch Md 352 7 $1,636.86 $1,391.33 $236.68 $4,044.10 $977.36 2026-05-22
45382 OTHER Colonoscopy W Control Bleed 26 7 $2,372.81 $2,016.89 $281.40 $2,301.63 $972.85 2026-05-22
75820 OTHER US Venogram Lower Ext Tech 16 7 $2,105.25 $1,789.46 $104.08 $2,042.09 $968.12 2026-05-22
45005 OTHER I&d Rectal Abscess 16 7 $2,368.49 $2,013.22 $312.90 $2,297.44 $961.37 2026-05-22
73220 OTHER MRI Extrmty Up Bilat Mri,distinct Service 48 7 $1,816.92 $1,544.38 $410.70 $2,643.62 $960.78 2026-05-22
49525 OTHER Repair Bilat Ingl Hernia Sl,distinct Service 14 6 $1,277.25 $1,085.66 $523.67 $1,238.93 $957.41 2026-05-22
73222 OTHER MRI Elbow W Con Lt,left 48 7 $1,892.63 $1,608.74 $312.41 $2,753.77 $954.57 2026-05-22
72133 OTHER CT Lumbar Spine Wwo Con 16 7 $2,350.00 $1,997.50 $197.56 $2,279.50 $953.87 2026-05-22
72127 OTHER CT Cervical Spine Wwo 16 7 $2,350.00 $1,997.50 $197.22 $2,279.50 $953.87 2026-05-22
72194 OTHER CT Pelvis Wwo Con 16 7 $2,350.00 $1,997.50 $252.11 $2,279.50 $953.87 2026-05-22
71270 OTHER CT Chest Wwo Con 16 7 $2,350.00 $1,997.50 $196.92 $2,279.50 $953.87 2026-05-22
72130 OTHER CT Thoracic Spine Wwo Con 16 7 $2,350.00 $1,997.50 $199.56 $2,279.50 $953.87 2026-05-22
92950 OTHER Cpr 16 7 $1,946.70 $1,654.70 $311.54 $1,888.30 $949.04 2026-05-22
64488 OTHER Profee Tap Block By Inj, Bilateral 26 7 $1,341.06 $1,139.90 $65.73 $2,277.50 $943.41 2026-05-22
73719 OTHER MRI Extrmty Low Bilat W,distinct Service 48 7 $1,892.63 $1,608.74 $263.68 $2,753.77 $942.38 2026-05-22
51010 OTHER Aspbladwinsertsuprapubic 16 7 $1,822.33 $1,548.98 $500.00 $1,767.66 $940.49 2026-05-22
72141 OTHER MRI Cervical Spine Wo Con 16 7 $2,300.00 $1,955.00 $190.85 $2,231.00 $933.57 2026-05-22
72148 OTHER MRI Lumbar Spine Wo Con 16 7 $2,300.00 $1,955.00 $191.51 $2,231.00 $933.57 2026-05-22
72146 OTHER MRI Thoracic Spine Wo Con 16 7 $2,300.00 $1,955.00 $191.18 $2,231.00 $933.57 2026-05-22
J1439 OTHER Ferric Carboxymaltose 50mg/ml 15ml 14 6 $2,271.15 $1,930.48 $1.08 $2,203.02 $931.17 2026-05-22
93306 OTHER Echocardiogram 16 7 $1,972.66 $1,676.76 $191.35 $1,913.48 $930.60 2026-05-22
36561 OTHER Ins Tunneled Cv Cath >5yo W Port 5+ Yrs 14 6 $2,249.52 $1,912.09 $360.65 $2,182.03 $922.30 2026-05-22
21300 OTHER Treatskull Fx,w/oper 16 7 $1,766.09 $1,501.18 $500.00 $1,713.11 $915.33 2026-05-22
99285 OTHER ER Level 5 26 7 $2,276.30 $1,934.86 $165.45 $2,208.01 $914.61 2026-05-22
73722 OTHER MRI Ankle W Lt,left 48 7 $1,665.51 $1,415.68 $314.08 $2,423.32 $899.90 2026-05-22
72195 OTHER MRI Pelvis Wo Con 16 7 $2,200.00 $1,870.00 $228.93 $2,134.00 $892.98 2026-05-22
36569 OTHER Picc Insert Wo Port/pump Wo Imag Guid <5 26 7 $1,066.36 $906.41 $89.01 $2,133.78 $883.87 2026-05-22
49565 OTHER Ventral Recurrent Reducible 14 6 $1,863.42 $1,583.91 $764.00 $1,807.52 $882.20 2026-05-22
70470 OTHER CT Head Wwo Con 16 7 $2,150.00 $1,827.50 $173.86 $2,085.50 $872.68 2026-05-22
73725 OTHER MRI Ex Low Wwo Lt,left 48 7 $1,514.10 $1,286.99 $338.54 $2,203.02 $869.31 2026-05-22
73219 OTHER MRI Extrmty Up Bilat W Con Mri,distinct Service 48 7 $1,514.10 $1,286.99 $331.77 $2,203.02 $867.61 2026-05-22
32554 OTHER Thoracentisis 16 7 $2,132.72 $1,812.81 $225.21 $2,068.74 $865.67 2026-05-22
73718 OTHER MRI Extrmty Low Bilat Wo Mri,distinct Service 48 7 $1,609.27 $1,367.88 $223.48 $2,341.49 $863.62 2026-05-22
49083 OTHER Paracentesis Ultrasound Guided 16 7 $2,124.93 $1,806.19 $281.78 $2,061.18 $862.51 2026-05-22
73221 OTHER MRI Elbow Wo Lt,left 48 7 $1,616.07 $1,373.66 $204.38 $2,760.51 $860.49 2026-05-22
73721 OTHER MRI Ankle Wo Lt,left 48 7 $1,616.07 $1,373.66 $204.05 $2,298.93 $860.41 2026-05-22
49557 OTHER Femoral Recurrent Incarcera Strangulated 14 6 $2,078.64 $1,766.84 $693.76 $2,016.28 $852.24 2026-05-22
25535 OTHER Treat Fx Ulna W Manip 16 7 $2,090.00 $1,776.50 $500.00 $2,027.30 $848.33 2026-05-22
74174 OTHER CT CTA Abd And Pelvis 16 7 $2,081.89 $1,769.61 $381.85 $2,019.43 $845.04 2026-05-22
62311 OTHER Epidural Lumbar Sacral 16 7 $1,595.21 $1,355.93 $500.00 $1,547.35 $838.86 2026-05-22
Q5107 OTHER Bevacizumab-awwb 400mg/16mL Vial 26 6 $3,462.10 $2,942.79 $28.16 $3,358.24 $835.75 2026-05-22
45333 OTHER Sig.scope W Hot Bx Rmv 16 7 $1,689.85 $1,436.37 $316.92 $1,639.15 $835.44 2026-05-22
93307 OTHER Echocardiogram Echo 16 7 $1,786.05 $1,518.14 $133.52 $1,732.47 $832.64 2026-05-22
A9539 OTHER Nm Dtpa Renal Imaging Static 52 7 $950.64 $808.04 $370.67 $2,009.99 $831.43 2026-05-22
27562 OTHER Treat Kneecap Dislocation 16 7 $2,045.00 $1,738.25 $492.36 $1,983.65 $830.07 2026-05-22
J0585 OTHER Botox ( Botulinum Type A) 200 Units Vial 38 6 $1,601.65 $1,361.40 $6.34 $3,152.41 $826.76 2026-05-22
45331 OTHER Sig.flexible W Bx One Or Mo 16 7 $1,689.85 $1,436.37 $277.95 $1,639.15 $825.69 2026-05-22
44970 OTHER Appendectomy 14 6 $2,007.26 $1,706.17 $580.48 $1,947.04 $822.98 2026-05-22
36582 OTHER Port Replacement Tunneled 14 6 $1,945.62 $1,653.78 $312.11 $1,887.25 $822.84 2026-05-22
27045 OTHER Excision Hip Profee 14 6 $1,696.87 $1,442.34 $695.72 $1,645.96 $820.07 2026-05-22
A9541 OTHER Nm Sulfur Coll Liverspl Spec 40 7 $1,102.05 $936.74 $384.14 $1,959.63 $820.01 2026-05-22
52287 OTHER Cystourethroscopy W Injection For 16 7 $1,630.00 $1,385.50 $358.60 $1,581.10 $819.08 2026-05-22
78315 OTHER Nm Bone 3 Phase Technique 16 7 $1,655.00 $1,406.75 $308.33 $1,605.35 $817.69 2026-05-22
71275 OTHER CT CTA Chest 16 7 $1,990.99 $1,692.34 $283.20 $1,931.26 $808.14 2026-05-22
64999 OTHER Profee Unlisted Proc Nervous System 26 7 $1,164.80 $990.08 $436.98 $1,129.86 $798.94 2026-05-22
M0247 OTHER Infusion, Sotrovimab 14 6 $1,158.75 $984.94 $465.59 $1,123.99 $794.79 2026-05-22
M0245 OTHER Infusion, Bamlanivimab-xxxx, 700 Mg 14 6 $1,158.75 $984.94 $465.59 $1,123.99 $794.79 2026-05-22
49521 OTHER Inguinal Recurernt Incarcer Strangulated 14 6 $1,847.20 $1,570.12 $690.74 $1,791.78 $794.36 2026-05-22
78227 OTHER Nm Hepatoductal Sys Gb W Cck 16 7 $1,541.14 $1,309.97 $387.87 $1,494.91 $786.63 2026-05-22
70543 OTHER MRI Orbits/neck/face Wwo 16 7 $1,773.66 $1,507.61 $340.00 $1,720.45 $781.10 2026-05-22
70546 OTHER MRI MRA Brain Wwo Con 16 7 $1,773.66 $1,507.61 $332.23 $1,720.45 $781.10 2026-05-22
72132 OTHER CT Lumbar Spine W Con 16 7 $1,920.00 $1,632.00 $169.67 $1,862.40 $779.33 2026-05-22
72129 OTHER CT Thoracic Spine W Con 16 7 $1,920.00 $1,632.00 $170.59 $1,862.40 $779.33 2026-05-22
72126 OTHER CT Cervical Spine W Con 16 7 $1,920.00 $1,632.00 $168.99 $1,862.40 $779.33 2026-05-22
71260 OTHER CT Chest W Con 16 7 $1,915.00 $1,627.75 $167.41 $1,857.55 $777.30 2026-05-22
62322 OTHER Profee Inj Lumbar/sacral Wo Imag Guid 26 7 $1,164.80 $990.08 $85.97 $1,851.58 $766.98 2026-05-22
74185 OTHER MRI Abdomen W Or Wo MRA 16 7 $1,676.33 $1,424.88 $338.57 $1,626.04 $761.15 2026-05-22
71552 OTHER MRI Chest Wwo Con MRI 16 7 $1,665.51 $1,415.68 $471.89 $1,615.54 $758.93 2026-05-22
71555 OTHER MRI MRA Chest W Or Wo Con 16 7 $1,665.51 $1,415.68 $334.69 $1,615.54 $758.93 2026-05-22
31603 OTHER Trach,emerproc 16 7 $1,865.59 $1,585.75 $301.36 $1,809.62 $757.24 2026-05-22
72193 OTHER CT Pelvis W Con 16 7 $1,865.00 $1,585.25 $228.16 $1,809.05 $757.00 2026-05-22
78220 OTHER Nm Liver Function Complete 16 7 $1,102.05 $936.74 $442.80 $1,068.99 $755.89 2026-05-22
43248 OTHER Upper Endo.w Dil Over G-wir 26 7 $1,838.55 $1,562.77 $181.12 $1,783.39 $753.81 2026-05-22
43247 OTHER Egd With Reoval Of Foreign 26 7 $1,838.55 $1,562.77 $192.36 $1,783.39 $753.81 2026-05-22
J9202 OTHER Zoladex Implant 3.6mg 16 7 $1,174.97 $998.72 $472.11 $1,139.72 $747.46 2026-05-22
70540 OTHER MRI Orbits/neck/face Wo Con 16 7 $1,609.27 $1,367.88 $226.82 $1,560.99 $747.40 2026-05-22
70544 OTHER MRI MRA Brain Wo Con 16 7 $1,609.27 $1,367.88 $216.69 $1,560.99 $747.40 2026-05-22
72125 OTHER CT Cervical Spine Wo Con 16 7 $1,825.00 $1,551.25 $130.40 $1,770.25 $740.76 2026-05-22
62270 OTHER Spinal Puncture, Lumbar, Diagnostic 18 7 $1,806.11 $1,535.19 $142.45 $1,751.93 $740.51 2026-05-22
49520 OTHER Inguinal Recurrent Reducibl 14 6 $1,795.29 $1,526.00 $610.47 $1,741.43 $736.07 2026-05-22
A9538 OTHER Nm Pyp Myocard Pyp Qual Quant 16 7 $1,068.52 $908.24 $429.33 $1,036.46 $732.89 2026-05-22
71551 OTHER MRI Chest W Con MRI 16 7 $1,514.10 $1,286.99 $375.60 $1,468.68 $727.89 2026-05-22
70460 OTHER CT Head W Con 16 7 $1,780.00 $1,513.00 $148.76 $1,726.60 $722.50 2026-05-22
71250 OTHER CT Chest Wo Con 16 7 $1,780.00 $1,513.00 $133.22 $1,726.60 $722.50 2026-05-22
70450 OTHER CT Head Wo Con 16 7 $1,780.00 $1,513.00 $106.92 $1,726.60 $722.50 2026-05-22
49550 OTHER Femoral Initial Reducible 14 6 $1,745.54 $1,483.71 $559.21 $1,693.17 $715.67 2026-05-22
49505 OTHER Profee Rep Initial Ingu Hernia Over 5 Yr 14 6 $1,745.54 $1,483.71 $506.46 $1,693.17 $715.67 2026-05-22
11045 OTHER Debrideskin/tis> 20sqcm 14 6 $1,779.07 $1,512.21 $38.50 $1,725.70 $714.83 2026-05-22
72131 OTHER CT Lumbar Spine Wo Con 16 7 $1,760.00 $1,496.00 $129.73 $1,707.20 $714.38 2026-05-22
72192 OTHER CT Pelvis Wo Con 16 7 $1,760.00 $1,496.00 $133.20 $1,707.20 $714.38 2026-05-22
78306 OTHER Nm Bone Imaging Whole Body 16 7 $1,445.00 $1,228.25 $262.57 $1,401.65 $712.28 2026-05-22
15851 OTHER Remove Sutures With Anesthesi Placed By Di 14 6 $1,767.48 $1,502.36 $54.58 $1,714.46 $710.18 2026-05-22
72128 OTHER CT Thoracic Spine Wo Con 16 7 $1,745.00 $1,483.25 $130.07 $1,692.65 $708.30 2026-05-22
49553 OTHER Femoral Initial Incarcerate Strangulated 14 6 $1,529.24 $1,299.85 $610.52 $1,483.36 $702.10 2026-05-22
78454 OTHER Nm Myocardial Muga Multi 16 7 $1,345.18 $1,143.40 $388.10 $1,304.82 $698.99 2026-05-22
49555 OTHER Femoral Recurrent Reducible 14 6 $1,699.04 $1,444.18 $584.00 $1,648.07 $696.61 2026-05-22
78226 OTHER Nm Hepatoductal Sys Gb Wo Cck 16 7 $1,377.56 $1,170.93 $288.78 $1,336.23 $688.65 2026-05-22
78582 OTHER Nm Ventilation And Perfusion 16 7 $1,372.42 $1,166.56 $294.65 $1,331.25 $687.82 2026-05-22
66984 OTHER Profee Cataract Surgery,distinct Service 14 6 $1,660.00 $1,411.00 $104.80 $1,610.20 $680.60 2026-05-22
93970 OTHER US Venous Insufficiency Bilateral 16 7 $1,412.71 $1,200.80 $183.02 $1,370.33 $677.94 2026-05-22
78708 OTHER Nm Renal Flow & Func. Single W/pharm 16 7 $1,415.00 $1,202.75 $173.54 $1,372.55 $676.60 2026-05-22
78453 OTHER Nm Myocardial Muga Single 16 7 $1,345.18 $1,143.40 $262.03 $1,304.82 $667.47 2026-05-22
78709 OTHER Nm Renal Flow & Func. Multi W/wo Pharm 16 7 $1,307.27 $1,111.18 $329.06 $1,268.05 $667.27 2026-05-22
49507 OTHER Inguinal Initial Incarcerat Strangulated 14 6 $1,623.33 $1,379.83 $568.08 $1,574.63 $665.57 2026-05-22
78070 OTHER Nm Parathyroid Imaging 16 7 $1,339.00 $1,138.15 $263.32 $1,298.83 $665.03 2026-05-22
32555 OTHER Thoracentesis, Needle Or Cath W IM 16 7 $1,623.57 $1,380.03 $302.02 $1,574.86 $659.00 2026-05-22
A9560 OTHER Nm Ultra Tag Gastroint Blood L (isotope) 28 7 $956.05 $812.64 $384.14 $1,036.46 $655.75 2026-05-22
62273 OTHER Inj, Epi, Of Blood Or Clot 26 7 $1,595.21 $1,355.93 $124.87 $1,547.35 $654.04 2026-05-22
64450 OTHER Injection(s), Anesthetic Agent, Steroir; 14 6 $1,609.41 $1,368.00 $72.53 $1,561.13 $646.66 2026-05-22
93880 OTHER US Carotid Doppler Bilat 16 7 $1,336.68 $1,136.18 $185.81 $1,296.58 $644.62 2026-05-22
70336 OTHER MRI Tmj Wo Con 16 7 $1,286.99 $1,093.94 $263.21 $1,248.38 $641.73 2026-05-22
73201 OTHER CT Elbow W Con Bilateral,distinct Service 68 7 $1,589.81 $1,351.34 $200.79 $1,542.12 $638.78 2026-05-22
45398 OTHER Colonoscopy W Band Ligation 14 6 $1,051.22 $893.54 $255.48 $1,019.68 $637.58 2026-05-22
74170 OTHER CT Abdomen Wwo Con 16 7 $1,561.69 $1,327.44 $260.80 $1,514.84 $633.88 2026-05-22
78704 OTHER Nm Renal Imaging Function 16 7 $922.52 $784.14 $370.67 $894.84 $632.75 2026-05-22
43242 OTHER Egd US Fine Needle Bx Aspir 14 6 $1,538.97 $1,308.12 $248.01 $1,492.80 $630.98 2026-05-22
76498 OTHER MRI Incomplete Exam 16 7 $919.28 $781.39 $369.36 $891.70 $630.53 2026-05-22
70482 OTHER CT Head Neck Face Wwo Con 26 7 $936.58 $796.09 $210.92 $1,455.00 $602.70 2026-05-22
43760 OTHER Change Gastrostomy Tube 16 7 $1,017.69 $865.04 $408.90 $987.16 $601.98 2026-05-22
93925 OTHER US Ex Low Art Bi Duplex 16 7 $1,210.20 $1,028.67 $234.47 $1,173.89 $600.18 2026-05-22
49572 OTHER Epigastric Incarcerated/str 14 6 $1,103.13 $937.66 $452.28 $1,070.04 $599.86 2026-05-22
88309 OTHER Level Vi Surgical Path 14 6 $1,462.62 $1,243.23 $424.03 $1,418.74 $599.67 2026-05-22
78264 OTHER Nm Gastric Emptying Study 16 7 $1,168.00 $992.80 $294.64 $1,132.96 $596.34 2026-05-22
26725 OTHER Treat Finger Fracture, Each 16 7 $1,455.00 $1,236.75 $351.07 $1,411.35 $590.59 2026-05-22
24200 OTHER Removalfbupperarm 16 7 $1,449.21 $1,231.83 $219.36 $1,405.73 $588.24 2026-05-22
73700 OTHER CT Extrmty Low Bil Wo Con Ct,distinct Service 78 7 $1,073.26 $912.27 $130.07 $1,561.59 $585.57 2026-05-22
45386 OTHER Colonoscopy W Transendoscop Balloon Dila 14 6 $1,407.03 $1,195.98 $231.15 $1,364.82 $583.53 2026-05-22
78587 OTHER Nm Pulmonary Ventilation 16 7 $843.57 $717.03 $338.94 $818.26 $578.60 2026-05-22
A9540 OTHER Nm Maa Pulmonary Perfusion (isotope) 28 7 $843.57 $717.03 $338.94 $1,331.25 $578.60 2026-05-22
A9567 OTHER Nm Dtpa Aerosol Pulm Vent (isotope) 28 7 $843.57 $717.03 $338.94 $1,331.25 $578.60 2026-05-22
70498 OTHER CT CTA Neck 16 7 $1,420.01 $1,207.01 $277.44 $1,377.41 $576.38 2026-05-22
70496 OTHER CT CTA Head 16 7 $1,420.01 $1,207.01 $277.77 $1,377.41 $576.38 2026-05-22
75635 OTHER CT CTA Abdomen/pelvis Runoff 16 7 $1,420.01 $1,207.01 $412.94 $1,377.41 $576.38 2026-05-22
70492 OTHER CT Neck Soft Tissue Wwo Con 16 7 $1,420.01 $1,207.01 $221.35 $1,377.41 $576.38 2026-05-22
74160 OTHER CT Abdomen W Con 16 7 $1,420.01 $1,207.01 $231.94 $1,377.41 $576.38 2026-05-22
74175 OTHER CT CTA Abdomen 16 7 $1,420.01 $1,207.01 $307.24 $1,377.41 $576.38 2026-05-22
93975 OTHER US Renal Artery 16 7 $1,140.98 $969.83 $258.18 $1,106.75 $575.13 2026-05-22
27816 OTHER Treatment Of Ankle Fracture 16 7 $1,405.00 $1,194.25 $340.80 $1,362.85 $570.29 2026-05-22
94002 OTHER Profee Ventilation Ip/obs Initial Day 38 7 $1,378.84 $1,172.01 $86.81 $2,498.85 $565.32 2026-05-22
94003 OTHER Profee Ventilation Ip/obs Subsequent Day 38 7 $1,378.84 $1,172.01 $60.94 $2,176.79 $565.32 2026-05-22
49082 OTHER Ab Paracentesis 40 7 $869.00 $738.65 $203.57 $1,363.77 $564.91 2026-05-22
G0332 OTHER IV Ig Pre-administration 16 7 $820.86 $697.73 $329.82 $796.23 $563.02 2026-05-22
87632 OTHER Respiratory Virus Pcr Panel IV 16 7 $1,371.39 $1,165.68 $95.95 $1,330.25 $556.64 2026-05-22
66821 OTHER Yag Procedure 30 7 $1,380.00 $1,173.00 $64.69 $1,338.60 $554.48 2026-05-22
49587 OTHER Umbilical Incarcerated Strangulated 14 6 $1,227.50 $1,043.38 $481.00 $1,190.68 $553.15 2026-05-22
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