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 →

Export CSV
Hospital

KIT CARSON COUNTY MEMORIAL HOSPITAL

Burlington, CO · CCN 061313 · Rates published

1,789 distinct procedures filed
7 distinct payers
25,686 rate rows
2026-07-15 last MRF observed
Data quality

25,223 of 25,686 rate rows are consumer-grade (98.2%)

463 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 456
per-diem day rate — not a per-procedure price 6
placeholder amount (≤ $0.02) — excluded from medians 1
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 · 2026-10-16
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
HCPCS 		Daratumumab-hyalur 1800mg Sdv 6 $50.36 $19,726.88 $8,338.17 nat. median
$114
outlier · 72.8×
J7169
HCPCS 		Andexxa Low Dose(recombinant) 200mg 7 $4,180.23 $14,792.50 $7,135.94 nat. median
$260
outlier · 27.4×
J3101
HCPCS 		Tenecteplase 50mg Vial (TNKase) 6 $159.18 $14,706.44 $6,216.12 nat. median
$498
outlier · 12.5×
J9356
HCPCS 		Trastuzumab-hyaluronidase 600mg/5ml 6 $61.80 $11,677.58 $4,935.88 nat. median
$117
outlier · 42.3×
J9217
HCPCS 		Leuprolide 22.5 Syringe (Lupron Depo) 6 $159.85 $16,494.89 $4,934.31 nat. median
$2,144
outlier · 2.3×
J0840
HCPCS 		CroFab Rattlesnake Antivenin 7 $1,744.05 $7,854.27 $4,059.51 nat. median
$3,496
1.2× median
J7168
HCPCS 		Prothrombin Complex 1000u Vial 7 $2,066.79 $4,989.51 $3,528.15 nat. median
$589
outlier · 6.0×
J9299
HCPCS 		Nivolumab 10mg/mL 24mL Vial 6 $31.65 $7,428.62 $3,139.93 nat. median
$1,811
1.7× median
0170
RC 		5 $2,599.20 $5,899.60 $2,801.36 nat. median
$1,043
outlier · 2.7×
59510
HCPCS 		C Section Delivery Profee 7 $1,574.13 $3,724.15 $2,792.77 nat. median
$3,349
0.8× median
J9176
HCPCS 		Elotuzumab 400mg Sdv 6 $7.57 $6,564.59 $2,774.72 nat. median
$2,022
1.4× median
59820
HCPCS 		Care Miscarriage 7 $424.85 $6,453.79 $2,700.61 nat. median
$3,415
0.8× median
59812
HCPCS 		Treat Miscarriage 7 $348.58 $6,327.90 $2,647.93 nat. median
$3,343
0.8× median
J0717
HCPCS 		Certolizumab 200mg Vial 6 $3.82 $6,264.06 $2,647.69 nat. median
$29
outlier · 91.2×
26685
HCPCS 		Openreduccarpometacarpdis 7 $500.00 $6,294.33 $2,633.89 nat. median
$3,385
0.8× median
28545
HCPCS 		Foot Dislocation 7 $317.94 $6,294.33 $2,633.89 nat. median
$3,406
0.8× median
0120
RC 		5 $2,043.00 $5,621.50 $2,619.00 nat. median
$856
outlier · 3.1×
90375
HCPCS 		Rabies Immune Globulin 5 Ml 300IU/1mL 6 $274.76 $6,092.12 $2,575.02 nat. median
$789
outlier · 3.3×
J0897
HCPCS 		Denosumab 60mg/mL Syr (Prolia) 6 $27.11 $5,717.51 $2,416.68 nat. median
$86
outlier · 28.1×
13160
HCPCS 		Wnd Dehis/extcomplex 7 $500.00 $5,331.83 $2,231.12 nat. median
$2,668
0.8× median
51040
HCPCS 		Instertion Subrapubic Catheter 7 $285.40 $5,246.27 $2,195.32 nat. median
$2,358
0.9× median
10121
HCPCS 		I&r Of Foreign Body Sub Tissue Complicat 6 $258.66 $5,184.43 $2,147.53 nat. median
$1,652
1.3× median
20670
HCPCS 		Implantremovalsuperficial 7 $345.60 $4,970.43 $2,079.89 nat. median
$1,810
1.1× median
J1950
HCPCS 		Leuprolide 3.75mg Syr 7 $1,437.28 $3,469.78 $2,043.49 nat. median
$3,343
0.6× median
32556
HCPCS 		Pleural Drainage Percut, W Wo Imaging Gu 7 $500.00 $4,819.36 $2,016.68 nat. median
$1,964
1.0× median
25611
HCPCS 		Treatfxradius/ulnawmanip 7 $500.00 $4,036.76 $1,987.32 nat. median
$6,350
outlier · 0.3×
Q5115
HCPCS 		Rituximab-abbs 10mg/ml 50ml Vial 6 $31.19 $6,220.95 $1,860.83 nat. median
$368
outlier · 5.1×
P9035
HCPCS 		Platelets Leuko Reduced 7 $1,050.71 $2,536.55 $1,793.63 nat. median
$732
outlier · 2.5×
21320
HCPCS 		Treatment Nose Fx, Wstablz 7 $212.72 $4,248.68 $1,777.87 nat. median
$3,146
0.6× median
21451
HCPCS 		Treat Lower Jaw Fx W Manip 7 $500.00 $4,248.68 $1,777.87 nat. median
$1,938
0.9× median
21936
HCPCS 		Resect Back Tum 5 Cm/> 7 $1,177.71 $2,786.29 $1,769.40 nat. median
$2,867
0.6× median
0360
RC 		7 $405.01 $12,988.30 $1,671.30 nat. median
$1,707
1.0× median
53265
HCPCS 		Exciseurethralcaruncle 7 $223.69 $3,960.18 $1,657.15 nat. median
$2,214
0.7× median
54700
HCPCS 		I Depididymisscrotumtestis 7 $207.84 $3,960.18 $1,657.15 nat. median
$2,148
0.8× median
53020
HCPCS 		Meatotomy 6 $92.43 $3,960.18 $1,640.41 nat. median
$2,285
0.7× median
95810
HCPCS 		Sleep Study Age 6 Yrs Or Older 7 $622.58 $3,207.11 $1,635.21 nat. median
$1,446
1.1× median
G0390
HCPCS 		Trauma Activation Ems Arrival 7 $956.00 $2,307.92 $1,631.96 nat. median
$3,280
outlier · 0.5×
0684
RC 		7 $956.00 $2,307.92 $1,631.96 nat. median
$7,500
outlier · 0.2×
26418
HCPCS 		Repair Finger Tendon 7 $500.00 $3,829.06 $1,602.28 nat. median
$2,058
0.8× median
23605
HCPCS 		Treathumerusfxwmanip 7 $476.75 $3,829.06 $1,602.28 nat. median
$1,778
0.9× median
26951
HCPCS 		Amputation Finger Or Thumb 7 $500.00 $3,829.06 $1,602.28 nat. median
$3,337
outlier · 0.5×
78452
HCPCS 		Nm Myocardial Spect Multi 7 $418.74 $3,201.12 $1,581.49 nat. median
$1,464
1.1× median
10180
HCPCS 		I Dcmplx Periop Wnd Infect 7 $257.02 $3,724.15 $1,558.39 nat. median
$2,882
0.5× median
20525
HCPCS 		Rmv Fbmuscletendoncomplex, 7 $456.94 $3,724.15 $1,558.39 nat. median
$2,969
0.5× median
28193
HCPCS 		Rmv Fbfoot;complicated 7 $500.00 $3,724.15 $1,558.39 nat. median
$2,114
0.7× median
27372
HCPCS 		Remove Foreign Body,deep Th 7 $500.00 $3,724.15 $1,558.39 nat. median
$3,009
0.5× median
28192
HCPCS 		Rmv Fbfoot;deep 7 $447.71 $3,724.15 $1,558.39 nat. median
$1,746
0.9× median
45383
HCPCS 		Colonoscopy W Ablation Hot 7 $864.75 $2,087.62 $1,476.18 nat. median
$1,840
0.8× median
81162
HCPCS 		Brca1 And Brca2 7 $802.95 $2,734.86 $1,462.44 nat. median
$1,880
0.8× median
10140
HCPCS 		I&d Of Hematoma, Seroma Or Fluid Collec 6 $166.14 $3,504.89 $1,451.82 nat. median
$1,664
0.9× median

Other procedures at this hospital

Browse this hospital's 1,789 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 HCPCS Daratumumab-hyalur 1800mg Sdv 7 6 $20,336.99 $17,286.44 $50.36 $19,726.88 $8,338.17 2026-07-15
J3101 HCPCS Tenecteplase 50mg Vial (TNKase) 7 6 $15,161.28 $12,887.09 $159.18 $14,706.44 $6,216.12 2026-07-15
J9356 HCPCS Trastuzumab-hyaluronidase 600mg/5ml 7 6 $12,038.74 $10,232.93 $61.80 $11,677.58 $4,935.88 2026-07-15
J9217 HCPCS Leuprolide 22.5 Syringe (Lupron Depo) 25 6 $12,034.91 $10,229.67 $159.85 $16,494.89 $4,934.31 2026-07-15
J7169 HCPCS Andexxa Low Dose(recombinant) 200mg 14 7 $10,403.75 $8,843.19 $4,180.23 $14,792.50 $7,135.94 2026-07-15
J0840 HCPCS CroFab Rattlesnake Antivenin 8 7 $8,097.19 $6,882.61 $1,744.05 $7,854.27 $4,059.51 2026-07-15
J9299 HCPCS Nivolumab 10mg/mL 24mL Vial 7 6 $7,658.37 $6,509.61 $31.65 $7,428.62 $3,139.93 2026-07-15
J9176 HCPCS Elotuzumab 400mg Sdv 13 6 $6,767.62 $5,752.48 $7.57 $6,564.59 $2,774.72 2026-07-15
59820 HCPCS Care Miscarriage 8 7 $6,653.39 $5,655.38 $424.85 $6,453.79 $2,700.61 2026-07-15
59812 HCPCS Treat Miscarriage 8 7 $6,523.61 $5,545.07 $348.58 $6,327.90 $2,647.93 2026-07-15
28545 HCPCS Foot Dislocation 8 7 $6,489.00 $5,515.65 $317.94 $6,294.33 $2,633.89 2026-07-15
26685 HCPCS Openreduccarpometacarpdis 8 7 $6,489.00 $5,515.65 $500.00 $6,294.33 $2,633.89 2026-07-15
J0717 HCPCS Certolizumab 200mg Vial 7 6 $6,457.79 $5,489.12 $3.82 $6,264.06 $2,647.69 2026-07-15
Q5115 HCPCS Rituximab-abbs 10mg/ml 50ml Vial 13 6 $6,413.35 $5,451.35 $31.19 $6,220.95 $1,860.83 2026-07-15
90375 HCPCS Rabies Immune Globulin 5 Ml 300IU/1mL 7 6 $6,280.54 $5,338.46 $274.76 $6,092.12 $2,575.02 2026-07-15
13160 HCPCS Wnd Dehis/extcomplex 8 7 $5,496.73 $4,672.22 $500.00 $5,331.83 $2,231.12 2026-07-15
51040 HCPCS Instertion Subrapubic Catheter 8 7 $5,408.53 $4,597.25 $285.40 $5,246.27 $2,195.32 2026-07-15
10121 HCPCS I&r Of Foreign Body Sub Tissue Complicat 7 6 $5,344.77 $4,543.05 $258.66 $5,184.43 $2,147.53 2026-07-15
J7168 HCPCS Prothrombin Complex 1000u Vial 8 7 $5,143.82 $4,372.25 $2,066.79 $4,989.51 $3,528.15 2026-07-15
20670 HCPCS Implantremovalsuperficial 8 7 $5,124.15 $4,355.53 $345.60 $4,970.43 $2,079.89 2026-07-15
32556 HCPCS Pleural Drainage Percut, W Wo Imaging Gu 8 7 $4,968.41 $4,223.15 $500.00 $4,819.36 $2,016.68 2026-07-15
21320 HCPCS Treatment Nose Fx, Wstablz 8 7 $4,380.08 $3,723.07 $212.72 $4,248.68 $1,777.87 2026-07-15
21451 HCPCS Treat Lower Jaw Fx W Manip 8 7 $4,380.08 $3,723.07 $500.00 $4,248.68 $1,777.87 2026-07-15
25611 HCPCS Treatfxradius/ulnawmanip 8 7 $4,161.61 $3,537.37 $500.00 $4,036.76 $1,987.32 2026-07-15
53265 HCPCS Exciseurethralcaruncle 8 7 $4,082.66 $3,470.26 $223.69 $3,960.18 $1,657.15 2026-07-15
54700 HCPCS I Depididymisscrotumtestis 8 7 $4,082.66 $3,470.26 $207.84 $3,960.18 $1,657.15 2026-07-15
53020 HCPCS Meatotomy 7 6 $4,082.66 $3,470.26 $92.43 $3,960.18 $1,640.41 2026-07-15
26951 HCPCS Amputation Finger Or Thumb 8 7 $3,947.48 $3,355.36 $500.00 $3,829.06 $1,602.28 2026-07-15
26418 HCPCS Repair Finger Tendon 8 7 $3,947.48 $3,355.36 $500.00 $3,829.06 $1,602.28 2026-07-15
23605 HCPCS Treathumerusfxwmanip 8 7 $3,947.48 $3,355.36 $476.75 $3,829.06 $1,602.28 2026-07-15
59510 HCPCS C Section Delivery Profee 8 7 $3,839.33 $3,263.43 $1,574.13 $3,724.15 $2,792.77 2026-07-15
27372 HCPCS Remove Foreign Body,deep Th 8 7 $3,839.33 $3,263.43 $500.00 $3,724.15 $1,558.39 2026-07-15
28192 HCPCS Rmv Fbfoot;deep 8 7 $3,839.33 $3,263.43 $447.71 $3,724.15 $1,558.39 2026-07-15
20525 HCPCS Rmv Fbmuscletendoncomplex, 8 7 $3,839.33 $3,263.43 $456.94 $3,724.15 $1,558.39 2026-07-15
10180 HCPCS I Dcmplx Periop Wnd Infect 8 7 $3,839.33 $3,263.43 $257.02 $3,724.15 $1,558.39 2026-07-15
28193 HCPCS Rmv Fbfoot;complicated 8 7 $3,839.33 $3,263.43 $500.00 $3,724.15 $1,558.39 2026-07-15
10140 HCPCS I&d Of Hematoma, Seroma Or Fluid Collec 7 6 $3,613.29 $3,071.30 $166.14 $3,504.89 $1,451.82 2026-07-15
J1950 HCPCS Leuprolide 3.75mg Syr 8 7 $3,577.09 $3,040.53 $1,437.28 $3,469.78 $2,043.49 2026-07-15
24605 HCPCS Treatment Elbow Dislocation 8 7 $3,550.95 $3,018.31 $478.07 $3,444.42 $1,441.33 2026-07-15
Q5107 HCPCS Bevacizumab-awwb 400mg/16mL Vial 13 6 $3,462.10 $2,942.79 $28.16 $3,358.24 $835.75 2026-07-15
25605 HCPCS Treat Fx Radius/ulna W Mani 8 7 $3,420.63 $2,907.54 $500.00 $3,318.01 $1,388.43 2026-07-15
70553 HCPCS MRI Brain Wwo Con 8 7 $3,325.00 $2,826.25 $319.71 $3,225.25 $1,349.62 2026-07-15
95810 HCPCS Sleep Study Age 6 Yrs Or Older 14 7 $3,306.30 $2,810.36 $622.58 $3,207.11 $1,635.21 2026-07-15
78452 HCPCS Nm Myocardial Spect Multi 8 7 $3,300.12 $2,805.10 $418.74 $3,201.12 $1,581.49 2026-07-15
23655 HCPCS Treat Shoudler Disloc W Ane 8 7 $3,234.77 $2,749.55 $409.85 $3,137.73 $1,312.99 2026-07-15
70549 HCPCS MRI Carotids Wwo MRA 8 7 $3,200.00 $2,720.00 $347.72 $3,104.00 $1,298.88 2026-07-15
0360 RC — 38 7 $3,183.00 $2,705.55 $405.01 $12,988.30 $1,671.30 2026-07-15
J0897 HCPCS Denosumab 60mg/mL Syr (Prolia) 13 6 $3,153.12 $2,680.15 $27.11 $5,717.51 $2,416.68 2026-07-15
81229 HCPCS Chromosomal Microarray 8 7 $3,136.35 $2,665.90 $510.40 $3,042.26 $1,273.04 2026-07-15
72158 HCPCS MRI Lumbar Spine Wwo Con 8 7 $3,100.00 $2,635.00 $320.04 $3,007.00 $1,258.29 2026-07-15
72157 HCPCS MRI Thoracic Spine Wwo Con 8 7 $3,100.00 $2,635.00 $321.37 $3,007.00 $1,258.29 2026-07-15
74183 HCPCS MRI Abdomen Wwo 8 7 $3,100.00 $2,635.00 $338.93 $3,007.00 $1,258.29 2026-07-15
72156 HCPCS MRI Cervical Spine Wwo Con 8 7 $3,100.00 $2,635.00 $320.70 $3,007.00 $1,258.29 2026-07-15
72197 HCPCS MRI Pelvis Wwo Con 8 7 $3,100.00 $2,635.00 $337.59 $3,007.00 $1,258.29 2026-07-15
11420 HCPCS Excisebenlesionnk,hd,ft,.5 7 6 $3,010.90 $2,559.27 $124.51 $2,920.57 $1,209.78 2026-07-15
24577 HCPCS Treathumerusfxcondylarwman 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
26705 HCPCS Treat Knuckle Dislocation 8 7 $2,974.13 $2,528.01 $446.75 $2,884.91 $1,207.20 2026-07-15
26607 HCPCS Treat Metacarpal Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
23665 HCPCS Treat Shldr Disloc Fx >humeral 8 7 $2,974.13 $2,528.01 $443.52 $2,884.91 $1,207.20 2026-07-15
27503 HCPCS Treatment Of Thigh Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27810 HCPCS Treat Ankle Fracture 8 7 $2,974.13 $2,528.01 $480.77 $2,884.91 $1,207.20 2026-07-15
27502 HCPCS Treatment Of Thigh Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
28455 HCPCS Treat Midfoot Fx, Each 8 7 $2,974.13 $2,528.01 $257.29 $2,884.91 $1,207.20 2026-07-15
25565 HCPCS Treat Fx Radius&ulna W Mani 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
23505 HCPCS Treat Clavicle Fx W Manip 8 7 $2,974.13 $2,528.01 $368.73 $2,884.91 $1,207.20 2026-07-15
23625 HCPCS Treathumerusfxwmanip 8 7 $2,974.13 $2,528.01 $389.24 $2,884.91 $1,207.20 2026-07-15
23575 HCPCS Treat Shoulder Blade Fx W/manip 8 7 $2,974.13 $2,528.01 $419.73 $2,884.91 $1,207.20 2026-07-15
28635 HCPCS Toe Dislocation 8 7 $2,974.13 $2,528.01 $170.28 $2,884.91 $1,207.20 2026-07-15
23520 HCPCS Treatclavicledislocatew Man 8 7 $2,974.13 $2,528.01 $249.24 $2,884.91 $1,207.20 2026-07-15
28575 HCPCS Foot Dislocation 8 7 $2,974.13 $2,528.01 $386.82 $2,884.91 $1,207.20 2026-07-15
27252 HCPCS Treat Hip Dislocation 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27238 HCPCS Treat Thigh Fracture 8 7 $2,974.13 $2,528.01 $467.82 $2,884.91 $1,207.20 2026-07-15
25520 HCPCS Treatfxradiusgaleazzi 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
25505 HCPCS Treat Fx Radius W Manip 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27825 HCPCS Treat Lower Leg Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
24675 HCPCS Treat Ulnar Fx W Manip 8 7 $2,974.13 $2,528.01 $466.65 $2,884.91 $1,207.20 2026-07-15
28435 HCPCS Treat Ankle Fx 8 7 $2,974.13 $2,528.01 $378.00 $2,884.91 $1,207.20 2026-07-15
27818 HCPCS Treatment Of Ankle Fracture 8 7 $2,974.13 $2,528.01 $499.03 $2,884.91 $1,207.20 2026-07-15
27842 HCPCS Treat Ankle Dislocation 8 7 $2,974.13 $2,528.01 $490.21 $2,884.91 $1,207.20 2026-07-15
27831 HCPCS Treat Lower Leg Dislocation 8 7 $2,974.13 $2,528.01 $413.56 $2,884.91 $1,207.20 2026-07-15
27752 HCPCS Treatment Tibia Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
24620 HCPCS Treatelbowfxw/omanip 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
25690 HCPCS Treat Wrist Dislocation 8 7 $2,974.13 $2,528.01 $495.58 $2,884.91 $1,207.20 2026-07-15
27781 HCPCS Treatment Fibula Fracture 8 7 $2,974.13 $2,528.01 $445.38 $2,884.91 $1,207.20 2026-07-15
25624 HCPCS Treat Wrist Fx 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
24565 HCPCS Treathumerusfxepiconwmanip 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
24655 HCPCS Treat Radius Fx W/manip 8 7 $2,974.13 $2,528.01 $458.47 $2,884.91 $1,207.20 2026-07-15
24535 HCPCS Treathumerusfxsupracwmanip 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27532 HCPCS Treat Knee Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
24505 HCPCS Treat Humeral Shaft Fx W Ma 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27517 HCPCS Treat Thigh Fx Growth Plate 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27510 HCPCS Treatment Of Thigh Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
23675 HCPCS Treat Shoulder Dislocation 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
26675 HCPCS Treat Hand Dislocation 8 7 $2,974.13 $2,528.01 $471.36 $2,884.91 $1,207.20 2026-07-15
26742 HCPCS Treat Finger Fracture, Each 8 7 $2,974.13 $2,528.01 $381.41 $2,884.91 $1,207.20 2026-07-15
25635 HCPCS Treat Wrist Fx 8 7 $2,974.13 $2,528.01 $476.70 $2,884.91 $1,207.20 2026-07-15
27552 HCPCS Treat Knee Dislocation 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
26645 HCPCS Treat Thumb Fracture 8 7 $2,974.13 $2,528.01 $441.51 $2,884.91 $1,207.20 2026-07-15
45385 HCPCS Colonscopy W Removal By Sna 8 7 $2,966.02 $2,521.12 $438.76 $2,877.04 $1,436.99 2026-07-15
44377 HCPCS Endoscopy Small Intestine With Biopsy 8 7 $2,941.68 $2,500.43 $281.50 $2,853.43 $1,386.78 2026-07-15
44376 HCPCS Endoscopy Small Intestinal 8 7 $2,941.68 $2,500.43 $268.41 $2,853.43 $1,383.51 2026-07-15
81420 HCPCS Qnatal Advanced 8 7 $2,935.50 $2,495.18 $333.98 $2,847.44 $1,191.53 2026-07-15
J2357 HCPCS Omalizumab 150 Mg Vial (Xolair) 7 6 $2,932.76 $2,492.85 $37.00 $2,844.78 $1,202.43 2026-07-15
74178 HCPCS CT Urogram 8 7 $2,920.00 $2,482.00 $339.68 $2,832.40 $1,185.23 2026-07-15
70548 HCPCS MRI Carotids W Con MRA 8 7 $2,915.00 $2,477.75 $247.49 $2,827.55 $1,183.20 2026-07-15
92960 HCPCS Cardiovertexternal 9 7 $2,902.75 $2,467.34 $148.88 $2,815.67 $1,190.13 2026-07-15
0170 RC — 5 5 $2,888.00 $2,454.80 $2,599.20 $5,899.60 $2,801.36 2026-07-15
21936 HCPCS Resect Back Tum 5 Cm/> 8 7 $2,872.46 $2,441.59 $1,177.71 $2,786.29 $1,769.40 2026-07-15
J3262 HCPCS Tocilizumab 80 Mg / 4ml Vial 19 6 $2,835.41 $2,410.10 $5.85 $5,513.22 $1,162.52 2026-07-15
27266 HCPCS Treat Hip Dislocation 8 7 $2,825.42 $2,401.61 $500.00 $2,740.66 $1,146.84 2026-07-15
27257 HCPCS Treat Hip Dislocation 8 7 $2,825.42 $2,401.61 $351.55 $2,740.66 $1,146.84 2026-07-15
81162 HCPCS Brca1 And Brca2 8 7 $2,819.44 $2,396.52 $802.95 $2,734.86 $1,462.44 2026-07-15
72196 HCPCS MRI Pelvis W Con 8 7 $2,800.00 $2,380.00 $269.45 $2,716.00 $1,136.52 2026-07-15
70552 HCPCS MRI Brain W Con 8 7 $2,795.00 $2,375.75 $271.72 $2,711.15 $1,134.49 2026-07-15
95811 HCPCS Sleep Study W Intitiation Of Cpap Tx/ven 8 7 $2,778.37 $2,361.61 $652.00 $2,695.02 $1,406.32 2026-07-15
99291 HCPCS Critcare1st 30- 74min. 14 7 $2,763.23 $2,348.75 $233.13 $2,680.33 $960.11 2026-07-15
70547 HCPCS MRI Carotids Wo Con MRA 8 7 $2,755.00 $2,341.75 $217.35 $2,672.35 $1,118.26 2026-07-15
74182 HCPCS MRI Abdomen W 8 7 $2,750.00 $2,337.50 $303.51 $2,667.50 $1,116.22 2026-07-15
21315 HCPCS Treatment Nose Fx Without Stablz 8 7 $2,703.75 $2,298.19 $152.03 $2,622.64 $1,097.45 2026-07-15
0120 RC — 11 5 $2,700.00 $2,295.00 $2,043.00 $5,621.50 $2,619.00 2026-07-15
49566 HCPCS Ventral Recurrent Incarcera Strangulated 8 7 $2,697.26 $2,292.67 $933.29 $2,616.34 $1,440.35 2026-07-15
73218 HCPCS MRI Extrmty Up Bilat Wo Con Mri,distinct Service 24 7 $2,630.21 $2,235.68 $303.18 $3,826.95 $1,252.82 2026-07-15
P9035 HCPCS Platelets Leuko Reduced 8 7 $2,615.00 $2,222.75 $1,050.71 $2,536.55 $1,793.63 2026-07-15
28190 HCPCS Rmv Fbfoot;subq 8 7 $2,595.60 $2,206.26 $233.02 $2,517.73 $1,053.56 2026-07-15
20520 HCPCS Rmv Fbmuscletendonsimple 8 7 $2,595.60 $2,206.26 $214.18 $2,517.73 $1,053.56 2026-07-15
20103 HCPCS Explore Penet. Wound-extrem 8 7 $2,595.60 $2,206.26 $500.00 $2,517.73 $1,053.56 2026-07-15
74177 HCPCS CT Abdomen Pelvis W Con 8 7 $2,575.00 $2,188.75 $303.30 $2,497.75 $1,045.20 2026-07-15
74176 HCPCS CT Abdomen Pelvis Wo Con 8 7 $2,575.00 $2,188.75 $183.40 $2,497.75 $1,045.20 2026-07-15
70551 HCPCS MRI Brain Wo Con 8 7 $2,500.00 $2,125.00 $196.85 $2,425.00 $1,014.75 2026-07-15
72142 HCPCS MRI Cervical Spine W Con 8 7 $2,500.00 $2,125.00 $276.25 $2,425.00 $1,014.75 2026-07-15
72149 HCPCS MRI Lumbar Spine W Con 8 7 $2,500.00 $2,125.00 $271.24 $2,425.00 $1,014.75 2026-07-15
74181 HCPCS MRI Abdomen Wo 8 7 $2,500.00 $2,125.00 $195.88 $2,425.00 $1,014.75 2026-07-15
G0105 HCPCS Colonoscopy High Risk Mcr Disc Prcdr,distinct Service 16 7 $2,492.99 $2,119.04 $165.07 $2,686.89 $1,187.83 2026-07-15
78451 HCPCS Nm Myocardial Spect Single 8 7 $2,470.15 $2,099.63 $303.89 $2,396.05 $1,181.37 2026-07-15
45330 HCPCS Sig.scope Flexible Diagnost 8 7 $2,408.50 $2,047.23 $183.80 $2,336.24 $1,123.75 2026-07-15
G0390 HCPCS Trauma Activation Ems Arrival 8 7 $2,379.30 $2,022.41 $956.00 $2,307.92 $1,631.96 2026-07-15
0684 RC — 8 7 $2,379.30 $2,022.41 $956.00 $2,307.92 $1,631.96 2026-07-15
43250 HCPCS Upper Endo W Removal Hot Bx 8 7 $2,379.03 $2,022.18 $433.22 $2,307.66 $1,172.92 2026-07-15
45384 HCPCS Colonoscopy W Removal Hot B 8 7 $2,372.81 $2,016.89 $471.68 $2,301.63 $1,179.75 2026-07-15
45382 HCPCS Colonoscopy W Control Bleed 14 7 $2,372.81 $2,016.89 $281.40 $2,301.63 $963.12 2026-07-15
45005 HCPCS I&d Rectal Abscess 8 7 $2,368.49 $2,013.22 $312.90 $2,297.44 $961.37 2026-07-15
72133 HCPCS CT Lumbar Spine Wwo Con 8 7 $2,350.00 $1,997.50 $197.56 $2,279.50 $953.87 2026-07-15
72194 HCPCS CT Pelvis Wwo Con 8 7 $2,350.00 $1,997.50 $252.11 $2,279.50 $953.87 2026-07-15
71270 HCPCS CT Chest Wwo Con 8 7 $2,350.00 $1,997.50 $196.92 $2,279.50 $953.87 2026-07-15
72127 HCPCS CT Cervical Spine Wwo 8 7 $2,350.00 $1,997.50 $197.22 $2,279.50 $953.87 2026-07-15
72130 HCPCS CT Thoracic Spine Wwo Con 8 7 $2,350.00 $1,997.50 $199.56 $2,279.50 $953.87 2026-07-15
49561 HCPCS Ventral Initial Incarcerate Strangulated 8 7 $2,331.71 $1,981.95 $925.20 $2,261.76 $1,328.73 2026-07-15
72141 HCPCS MRI Cervical Spine Wo Con 8 7 $2,300.00 $1,955.00 $190.85 $2,231.00 $933.57 2026-07-15
72146 HCPCS MRI Thoracic Spine Wo Con 8 7 $2,300.00 $1,955.00 $191.18 $2,231.00 $933.57 2026-07-15
72148 HCPCS MRI Lumbar Spine Wo Con 8 7 $2,300.00 $1,955.00 $191.51 $2,231.00 $933.57 2026-07-15
43239 HCPCS Upper Endo W Bx One Or More 8 7 $2,298.19 $1,953.46 $363.02 $2,229.24 $1,119.20 2026-07-15
45380 HCPCS Colonoscopy W Bx One Or Mor 8 7 $2,292.78 $1,948.86 $419.48 $2,224.00 $1,130.89 2026-07-15
99285 HCPCS ER Level 5 14 7 $2,276.30 $1,934.86 $165.45 $2,208.01 $711.93 2026-07-15
J1439 HCPCS Ferric Carboxymaltose 50mg/ml 15ml 7 6 $2,271.15 $1,930.48 $1.08 $2,203.02 $931.17 2026-07-15
36563 HCPCS Placement Of Ctral Venous W Pump 11 7 $2,249.52 $1,912.09 $394.51 $2,182.03 $1,288.27 2026-07-15
36571 HCPCS Picc Insert W Port Younger Than 5 Yrs 8 7 $2,249.52 $1,912.09 $340.85 $2,182.03 $1,217.53 2026-07-15
36561 HCPCS Ins Tunneled Cv Cath >5yo W Port 5+ Yrs 8 7 $2,249.52 $1,912.09 $360.65 $2,182.03 $1,096.82 2026-07-15
G0121 HCPCS Screening Colon Non High Ri 14 7 $2,215.99 $1,883.59 $330.67 $2,686.89 $1,187.89 2026-07-15
72195 HCPCS MRI Pelvis Wo Con 8 7 $2,200.00 $1,870.00 $228.93 $2,134.00 $892.98 2026-07-15
73723 HCPCS MRI Ankle Wwo Lt,left 24 7 $2,178.45 $1,851.68 $385.39 $2,783.49 $1,023.08 2026-07-15
45383 HCPCS Colonoscopy W Ablation Hot 8 7 $2,152.19 $1,829.36 $864.75 $2,087.62 $1,476.18 2026-07-15
70470 HCPCS CT Head Wwo Con 8 7 $2,150.00 $1,827.50 $173.86 $2,085.50 $872.68 2026-07-15
32554 HCPCS Thoracentisis 8 7 $2,132.72 $1,812.81 $225.21 $2,068.74 $865.67 2026-07-15
49083 HCPCS Paracentesis Ultrasound Guided 8 7 $2,124.93 $1,806.19 $281.78 $2,061.18 $862.51 2026-07-15
75820 HCPCS US Venogram Lower Ext Tech 8 7 $2,105.25 $1,789.46 $104.08 $2,042.09 $968.12 2026-07-15
25535 HCPCS Treat Fx Ulna W Manip 8 7 $2,090.00 $1,776.50 $500.00 $2,027.30 $848.33 2026-07-15
73223 HCPCS MRI Elbow Wwo Lt,left 24 7 $2,081.89 $1,769.61 $386.40 $3,029.67 $1,028.24 2026-07-15
73720 HCPCS MRI Extrmty Low Bilat,distinct Service 24 7 $2,081.89 $1,769.61 $338.00 $3,029.67 $1,016.14 2026-07-15
74174 HCPCS CT CTA Abd And Pelvis 8 7 $2,081.89 $1,769.61 $381.85 $2,019.43 $845.04 2026-07-15
43235 HCPCS Upper Gastro Endoscopy 8 7 $2,080.81 $1,768.69 $280.14 $2,018.39 $1,001.20 2026-07-15
49557 HCPCS Femoral Recurrent Incarcera Strangulated 8 7 $2,078.64 $1,766.84 $693.76 $2,016.28 $1,103.63 2026-07-15
45338 HCPCS Sig.scope W Snare Removal 8 7 $2,054.85 $1,746.62 $290.88 $1,993.20 $992.26 2026-07-15
43200 HCPCS Esophagus 8 7 $2,054.85 $1,746.62 $256.50 $1,993.20 $983.67 2026-07-15
27562 HCPCS Treat Kneecap Dislocation 8 7 $2,045.00 $1,738.25 $492.36 $1,983.65 $830.07 2026-07-15
43270 HCPCS Upper Endo W Ablation Hot B 8 7 $2,027.81 $1,723.64 $696.34 $1,966.98 $1,081.53 2026-07-15
43255 HCPCS Upper Endo W Control Of Ble 8 7 $2,027.81 $1,723.64 $597.75 $1,966.98 $1,056.88 2026-07-15
44970 HCPCS Appendectomy 8 7 $2,007.26 $1,706.17 $580.48 $1,947.04 $1,043.37 2026-07-15
71275 HCPCS CT CTA Chest 8 7 $1,990.99 $1,692.34 $283.20 $1,931.26 $808.14 2026-07-15
93306 HCPCS Echocardiogram 8 7 $1,972.66 $1,676.76 $191.35 $1,913.48 $930.60 2026-07-15
92950 HCPCS Cpr 8 7 $1,946.70 $1,654.70 $311.54 $1,888.30 $949.04 2026-07-15
36582 HCPCS Port Replacement Tunneled 8 7 $1,945.62 $1,653.78 $312.11 $1,887.25 $961.26 2026-07-15
72129 HCPCS CT Thoracic Spine W Con 8 7 $1,920.00 $1,632.00 $170.59 $1,862.40 $779.33 2026-07-15
72126 HCPCS CT Cervical Spine W Con 8 7 $1,920.00 $1,632.00 $168.99 $1,862.40 $779.33 2026-07-15
72132 HCPCS CT Lumbar Spine W Con 8 7 $1,920.00 $1,632.00 $169.67 $1,862.40 $779.33 2026-07-15
71260 HCPCS CT Chest W Con 8 7 $1,915.00 $1,627.75 $167.41 $1,857.55 $777.30 2026-07-15
73222 HCPCS MRI Elbow W Con Lt,left 24 7 $1,892.63 $1,608.74 $312.41 $2,753.77 $954.57 2026-07-15
73719 HCPCS MRI Extrmty Low Bilat W,distinct Service 24 7 $1,892.63 $1,608.74 $263.68 $2,753.77 $942.38 2026-07-15
31603 HCPCS Trach,emerproc 8 7 $1,865.59 $1,585.75 $301.36 $1,809.62 $757.24 2026-07-15
72193 HCPCS CT Pelvis W Con 8 7 $1,865.00 $1,585.25 $228.16 $1,809.05 $757.00 2026-07-15
49565 HCPCS Ventral Recurrent Reducible 8 7 $1,863.42 $1,583.91 $764.00 $1,807.52 $1,083.98 2026-07-15
49521 HCPCS Inguinal Recurernt Incarcer Strangulated 8 7 $1,847.20 $1,570.12 $690.74 $1,791.78 $1,017.81 2026-07-15
43248 HCPCS Upper Endo.w Dil Over G-wir 14 7 $1,838.55 $1,562.77 $181.12 $1,783.39 $746.27 2026-07-15
43247 HCPCS Egd With Reoval Of Foreign 14 7 $1,838.55 $1,562.77 $192.36 $1,783.39 $746.27 2026-07-15
72125 HCPCS CT Cervical Spine Wo Con 8 7 $1,825.00 $1,551.25 $130.40 $1,770.25 $740.76 2026-07-15
51010 HCPCS Aspbladwinsertsuprapubic 8 7 $1,822.33 $1,548.98 $500.00 $1,767.66 $940.49 2026-07-15
73220 HCPCS MRI Extrmty Up Bilat Mri,distinct Service 24 7 $1,816.92 $1,544.38 $410.70 $2,643.62 $960.78 2026-07-15
62270 HCPCS Spinal Puncture, Lumbar, Diagnostic 9 7 $1,806.11 $1,535.19 $142.45 $1,751.93 $740.51 2026-07-15
49520 HCPCS Inguinal Recurrent Reducibl 8 7 $1,795.29 $1,526.00 $610.47 $1,741.43 $956.01 2026-07-15
93307 HCPCS Echocardiogram Echo 8 7 $1,786.05 $1,518.14 $133.52 $1,732.47 $832.64 2026-07-15
70450 HCPCS CT Head Wo Con 8 7 $1,780.00 $1,513.00 $106.92 $1,726.60 $722.50 2026-07-15
70460 HCPCS CT Head W Con 8 7 $1,780.00 $1,513.00 $148.76 $1,726.60 $722.50 2026-07-15
71250 HCPCS CT Chest Wo Con 8 7 $1,780.00 $1,513.00 $133.22 $1,726.60 $722.50 2026-07-15
11045 HCPCS Debrideskin/tis> 20sqcm 7 6 $1,779.07 $1,512.21 $38.50 $1,725.70 $714.83 2026-07-15
70546 HCPCS MRI MRA Brain Wwo Con 8 7 $1,773.66 $1,507.61 $332.23 $1,720.45 $781.10 2026-07-15
70543 HCPCS MRI Orbits/neck/face Wwo 8 7 $1,773.66 $1,507.61 $340.00 $1,720.45 $781.10 2026-07-15
15851 HCPCS Remove Sutures With Anesthesi Placed By Di 7 6 $1,767.48 $1,502.36 $54.58 $1,714.46 $710.18 2026-07-15
21300 HCPCS Treatskull Fx,w/oper 8 7 $1,766.09 $1,501.18 $500.00 $1,713.11 $915.33 2026-07-15
72192 HCPCS CT Pelvis Wo Con 8 7 $1,760.00 $1,496.00 $133.20 $1,707.20 $714.38 2026-07-15
72131 HCPCS CT Lumbar Spine Wo Con 8 7 $1,760.00 $1,496.00 $129.73 $1,707.20 $714.38 2026-07-15
47600 HCPCS Cholecystectomy 8 7 $1,750.95 $1,488.31 $717.89 $1,698.42 $1,193.85 2026-07-15
49550 HCPCS Femoral Initial Reducible 8 7 $1,745.54 $1,483.71 $559.21 $1,693.17 $920.93 2026-07-15
49505 HCPCS Profee Rep Initial Ingu Hernia Over 5 Yr 8 7 $1,745.54 $1,483.71 $506.46 $1,693.17 $907.74 2026-07-15
72128 HCPCS CT Thoracic Spine Wo Con 8 7 $1,745.00 $1,483.25 $130.07 $1,692.65 $708.30 2026-07-15
49555 HCPCS Femoral Recurrent Reducible 8 7 $1,699.04 $1,444.18 $584.00 $1,648.07 $906.32 2026-07-15
27045 HCPCS Excision Hip Profee 8 7 $1,696.87 $1,442.34 $695.72 $1,645.96 $995.45 2026-07-15
45333 HCPCS Sig.scope W Hot Bx Rmv 8 7 $1,689.85 $1,436.37 $316.92 $1,639.15 $835.44 2026-07-15
45331 HCPCS Sig.flexible W Bx One Or Mo 8 7 $1,689.85 $1,436.37 $277.95 $1,639.15 $825.69 2026-07-15
74185 HCPCS MRI Abdomen W Or Wo MRA 8 7 $1,676.33 $1,424.88 $338.57 $1,626.04 $761.15 2026-07-15
43249 HCPCS Microtech Dil Bal 18-20 20 7 $1,674.78 $1,423.56 $625.88 $3,461.88 $1,434.00 2026-07-15
73722 HCPCS MRI Ankle W Lt,left 24 7 $1,665.51 $1,415.68 $314.08 $2,423.32 $899.90 2026-07-15
71552 HCPCS MRI Chest Wwo Con MRI 8 7 $1,665.51 $1,415.68 $471.89 $1,615.54 $758.93 2026-07-15
71555 HCPCS MRI MRA Chest W Or Wo Con 8 7 $1,665.51 $1,415.68 $334.69 $1,615.54 $758.93 2026-07-15
66984 HCPCS Profee Cataract Surgery,distinct Service 8 7 $1,660.00 $1,411.00 $104.80 $1,610.20 $769.05 2026-07-15
78315 HCPCS Nm Bone 3 Phase Technique 8 7 $1,655.00 $1,406.75 $308.33 $1,605.35 $817.69 2026-07-15
C1781 HCPCS Kugel Hernia Patch Md 176 7 $1,636.86 $1,391.33 $236.68 $4,044.10 $977.36 2026-07-15
52287 HCPCS Cystourethroscopy W Injection For 8 7 $1,630.00 $1,385.50 $358.60 $1,581.10 $819.08 2026-07-15
32555 HCPCS Thoracentesis, Needle Or Cath W IM 8 7 $1,623.57 $1,380.03 $302.02 $1,574.86 $659.00 2026-07-15
49507 HCPCS Inguinal Initial Incarcerat Strangulated 8 7 $1,623.33 $1,379.83 $568.08 $1,574.63 $868.46 2026-07-15
73221 HCPCS MRI Elbow Wo Lt,left 24 7 $1,616.07 $1,373.66 $204.38 $2,760.51 $860.49 2026-07-15
73721 HCPCS MRI Ankle Wo Lt,left 24 7 $1,616.07 $1,373.66 $204.05 $2,298.93 $860.41 2026-07-15
64450 HCPCS Injection(s), Anesthetic Agent, Steroir; 7 6 $1,609.41 $1,368.00 $72.53 $1,561.13 $646.66 2026-07-15
73718 HCPCS MRI Extrmty Low Bilat Wo Mri,distinct Service 24 7 $1,609.27 $1,367.88 $223.48 $2,341.49 $863.62 2026-07-15
70540 HCPCS MRI Orbits/neck/face Wo Con 8 7 $1,609.27 $1,367.88 $226.82 $1,560.99 $747.40 2026-07-15
70544 HCPCS MRI MRA Brain Wo Con 8 7 $1,609.27 $1,367.88 $216.69 $1,560.99 $747.40 2026-07-15
J0585 HCPCS Botox ( Botulinum Type A) 200 Units Vial 19 6 $1,601.65 $1,361.40 $6.34 $3,152.41 $826.76 2026-07-15
62311 HCPCS Epidural Lumbar Sacral 8 7 $1,595.21 $1,355.93 $500.00 $1,547.35 $838.86 2026-07-15
62273 HCPCS Inj, Epi, Of Blood Or Clot 14 7 $1,595.21 $1,355.93 $124.87 $1,547.35 $647.50 2026-07-15
73201 HCPCS CT Elbow W Con Bilateral,distinct Service 34 7 $1,589.81 $1,351.34 $200.79 $1,542.12 $638.78 2026-07-15
74170 HCPCS CT Abdomen Wwo Con 8 7 $1,561.69 $1,327.44 $260.80 $1,514.84 $633.88 2026-07-15
78227 HCPCS Nm Hepatoductal Sys Gb W Cck 8 7 $1,541.14 $1,309.97 $387.87 $1,494.91 $786.63 2026-07-15
43242 HCPCS Egd US Fine Needle Bx Aspir 8 7 $1,538.97 $1,308.12 $248.01 $1,492.80 $750.69 2026-07-15
49553 HCPCS Femoral Initial Incarcerate Strangulated 8 7 $1,529.24 $1,299.85 $610.52 $1,483.36 $874.52 2026-07-15
73725 HCPCS MRI Ex Low Wwo Lt,left 24 7 $1,514.10 $1,286.99 $338.54 $2,203.02 $869.31 2026-07-15
73219 HCPCS MRI Extrmty Up Bilat W Con Mri,distinct Service 24 7 $1,514.10 $1,286.99 $331.77 $2,203.02 $867.61 2026-07-15
71551 HCPCS MRI Chest W Con MRI 8 7 $1,514.10 $1,286.99 $375.60 $1,468.68 $727.89 2026-07-15
88309 HCPCS Level Vi Surgical Path 8 7 $1,462.62 $1,243.23 $424.03 $1,418.74 $760.53 2026-07-15
26725 HCPCS Treat Finger Fracture, Each 8 7 $1,455.00 $1,236.75 $351.07 $1,411.35 $590.59 2026-07-15
24200 HCPCS Removalfbupperarm 8 7 $1,449.21 $1,231.83 $219.36 $1,405.73 $588.24 2026-07-15
78306 HCPCS Nm Bone Imaging Whole Body 8 7 $1,445.00 $1,228.25 $262.57 $1,401.65 $712.28 2026-07-15
74160 HCPCS CT Abdomen W Con 8 7 $1,420.01 $1,207.01 $231.94 $1,377.41 $576.38 2026-07-15
70492 HCPCS CT Neck Soft Tissue Wwo Con 8 7 $1,420.01 $1,207.01 $221.35 $1,377.41 $576.38 2026-07-15
70498 HCPCS CT CTA Neck 8 7 $1,420.01 $1,207.01 $277.44 $1,377.41 $576.38 2026-07-15
75635 HCPCS CT CTA Abdomen/pelvis Runoff 8 7 $1,420.01 $1,207.01 $412.94 $1,377.41 $576.38 2026-07-15
70496 HCPCS CT CTA Head 8 7 $1,420.01 $1,207.01 $277.77 $1,377.41 $576.38 2026-07-15
74175 HCPCS CT CTA Abdomen 8 7 $1,420.01 $1,207.01 $307.24 $1,377.41 $576.38 2026-07-15
78708 HCPCS Nm Renal Flow & Func. Single W/pharm 8 7 $1,415.00 $1,202.75 $173.54 $1,372.55 $676.60 2026-07-15
93970 HCPCS US Venous Insufficiency Bilateral 8 7 $1,412.71 $1,200.80 $183.02 $1,370.33 $677.94 2026-07-15
45386 HCPCS Colonoscopy W Transendoscop Balloon Dila 8 7 $1,407.03 $1,195.98 $231.15 $1,364.82 $690.76 2026-07-15
27816 HCPCS Treatment Of Ankle Fracture 8 7 $1,405.00 $1,194.25 $340.80 $1,362.85 $570.29 2026-07-15
94002 HCPCS Profee Ventilation Ip/obs Initial Day 20 7 $1,378.84 $1,172.01 $86.81 $2,498.85 $559.66 2026-07-15
78226 HCPCS Nm Hepatoductal Sys Gb Wo Cck 8 7 $1,377.56 $1,170.93 $288.78 $1,336.23 $688.65 2026-07-15
78582 HCPCS Nm Ventilation And Perfusion 8 7 $1,372.42 $1,166.56 $294.65 $1,331.25 $687.82 2026-07-15
78454 HCPCS Nm Myocardial Muga Multi 8 7 $1,345.18 $1,143.40 $388.10 $1,304.82 $698.99 2026-07-15
78453 HCPCS Nm Myocardial Muga Single 8 7 $1,345.18 $1,143.40 $262.03 $1,304.82 $667.47 2026-07-15
64488 HCPCS Profee Tap Block By Inj, Bilateral 14 7 $1,341.06 $1,139.90 $65.73 $2,277.50 $943.41 2026-07-15
78070 HCPCS Nm Parathyroid Imaging 8 7 $1,339.00 $1,138.15 $263.32 $1,298.83 $665.03 2026-07-15
93880 HCPCS US Carotid Doppler Bilat 8 7 $1,336.68 $1,136.18 $185.81 $1,296.58 $644.62 2026-07-15
78709 HCPCS Nm Renal Flow & Func. Multi W/wo Pharm 8 7 $1,307.27 $1,111.18 $329.06 $1,268.05 $667.27 2026-07-15
70336 HCPCS MRI Tmj Wo Con 8 7 $1,286.99 $1,093.94 $263.21 $1,248.38 $641.73 2026-07-15
49525 HCPCS Repair Bilat Ingl Hernia Sl,distinct Service 8 7 $1,277.25 $1,085.66 $523.67 $1,238.93 $919.36 2026-07-15
49587 HCPCS Umbilical Incarcerated Strangulated 8 7 $1,227.50 $1,043.38 $481.00 $1,190.68 $694.50 2026-07-15
49585 HCPCS Profee Rep Umbilical Hernia Over 5 Yrs 8 7 $1,227.50 $1,043.38 $450.50 $1,190.68 $669.33 2026-07-15
93925 HCPCS US Ex Low Art Bi Duplex 8 7 $1,210.20 $1,028.67 $234.47 $1,173.89 $600.18 2026-07-15
J9202 HCPCS Zoladex Implant 3.6mg 8 7 $1,174.97 $998.72 $472.11 $1,139.72 $747.46 2026-07-15
78264 HCPCS Nm Gastric Emptying Study 8 7 $1,168.00 $992.80 $294.64 $1,132.96 $596.34 2026-07-15
64999 HCPCS Profee Unlisted Proc Nervous System 14 7 $1,164.80 $990.08 $436.98 $1,129.86 $798.94 2026-07-15
62322 HCPCS Profee Inj Lumbar/sacral Wo Imag Guid 14 7 $1,164.80 $990.08 $85.97 $1,851.58 $766.98 2026-07-15
64635 HCPCS Profee Anest Dest W Img Lub Or Sac Singl 8 7 $1,164.80 $990.08 $213.66 $1,129.86 $574.66 2026-07-15
M0247 HCPCS Infusion, Sotrovimab 8 7 $1,158.75 $984.94 $465.59 $1,123.99 $794.79 2026-07-15
M0245 HCPCS Infusion, Bamlanivimab-xxxx, 700 Mg 8 7 $1,158.75 $984.94 $465.59 $1,123.99 $794.79 2026-07-15
93975 HCPCS US Renal Artery 8 7 $1,140.98 $969.83 $258.18 $1,106.75 $575.13 2026-07-15
49572 HCPCS Epigastric Incarcerated/str 8 7 $1,103.13 $937.66 $452.28 $1,070.04 $680.51 2026-07-15
A9541 HCPCS Nm Sulfur Coll Liverspl Spec 20 7 $1,102.05 $936.74 $384.14 $1,959.63 $820.01 2026-07-15
78220 HCPCS Nm Liver Function Complete 8 7 $1,102.05 $936.74 $442.80 $1,068.99 $755.89 2026-07-15
73700 HCPCS CT Extrmty Low Bil Wo Con Ct,distinct Service 39 7 $1,073.26 $912.27 $130.07 $1,561.59 $585.57 2026-07-15
A9538 HCPCS Nm Pyp Myocard Pyp Qual Quant 8 7 $1,068.52 $908.24 $429.33 $1,036.46 $732.89 2026-07-15
36569 HCPCS Picc Insert Wo Port/pump Wo Imag Guid <5 14 7 $1,066.36 $906.41 $89.01 $2,133.78 $883.87 2026-07-15
45398 HCPCS Colonoscopy W Band Ligation 8 7 $1,051.22 $893.54 $255.48 $1,019.68 $637.58 2026-07-15
46280 HCPCS Ana Fistula 8 7 $1,045.81 $888.94 $428.78 $1,014.44 $632.48 2026-07-15
43760 HCPCS Change Gastrostomy Tube 8 7 $1,017.69 $865.04 $408.90 $987.16 $601.98 2026-07-15
A9560 HCPCS Nm Ultra Tag Gastroint Blood L (isotope) 14 7 $956.05 $812.64 $384.14 $1,036.46 $655.75 2026-07-15
A9539 HCPCS Nm Dtpa Renal Imaging Static 26 7 $950.64 $808.04 $370.67 $2,009.99 $831.43 2026-07-15
70482 HCPCS CT Head Neck Face Wwo Con 13 7 $936.58 $796.09 $210.92 $1,455.00 $602.70 2026-07-15
78704 HCPCS Nm Renal Imaging Function 8 7 $922.52 $784.14 $370.67 $894.84 $632.75 2026-07-15
76498 HCPCS MRI Incomplete Exam 8 7 $919.28 $781.39 $369.36 $891.70 $630.53 2026-07-15
49082 HCPCS Ab Paracentesis 20 7 $869.00 $738.65 $203.57 $1,363.77 $564.91 2026-07-15
A9540 HCPCS Nm Maa Pulmonary Perfusion (isotope) 14 7 $843.57 $717.03 $338.94 $1,331.25 $578.60 2026-07-15
78587 HCPCS Nm Pulmonary Ventilation 8 7 $843.57 $717.03 $338.94 $818.26 $578.60 2026-07-15
A9567 HCPCS Nm Dtpa Aerosol Pulm Vent (isotope) 14 7 $843.57 $717.03 $338.94 $1,331.25 $578.60 2026-07-15
G0332 HCPCS IV Ig Pre-administration 8 7 $820.86 $697.73 $329.82 $796.23 $563.02 2026-07-15
See an error in this hospital's data? Submit a correction