Hospital

HENDRY REGIONAL MEDICAL CENTER

Clewiston, FL · CCN 101309 · Rates published

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You selected 93306 (CPT)

US ECHO COMP

This hospital’s price: $378 across 18 payers · range $242-$772

Source: https://machine-readable-files.com/hendry-regional-hospital/596002318_Hendry-County-Hospital-Authority_standardcharges.csv · observed 2025-11-21

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.

590 distinct procedures filed

20 distinct payers

3,694 rate rows

2025-11-21 last MRF observed

Data quality

3,649 of 3,694 rate rows are consumer-grade (98.8%)

45 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 — reason	Rows
professional (physician) fee — not the facility price	29
exceeds 10× this hospital's gross charge — excluded from medians	13
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	3

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://machine-readable-files.com/hendry-regional-hospital/596002318_Hendry-County-Hospital-Authority_standardcharges.csv
Found on page	https://www.hrmc.us/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint	4c40ef2af16addcc… · 2,438,575 bytes · first seen 2026-05-11

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
J3101 HCPCS	Tnkase 50mg Kit	1	$21,674.37	$21,674.37	$21,674.37	nat. median $3,787 outlier · 5.7×
J1744 HCPCS	Icatibant Inj 30mg	1	$14,936.88	$14,936.88	$14,936.88	nat. median $1,543 outlier · 9.7×
47379 CPT	Unlisted Laparoscopic Proc Liver	1	$7,476.60	$7,476.60	$7,476.60	nat. median $6,339 1.2× median
49592 CPT	Rpr Aa Hernia 1st < 3 Cm Ncrc8/strangula	2	$7,088.32	$7,088.32	$7,088.32	nat. median $5,879 1.2× median
44970 CPT	Lap Appy	7	$1,311.81	$10,256.60	$6,974.49	nat. median $6,040 1.2× median
49614 CPT	Rpr Aa Hernia Recr < 3 Cm Ncrc8/strangul	1	$6,827.08	$6,827.08	$6,827.08	nat. median $5,971 1.1× median
49593 CPT	Rpr Aa Hernia 1st 3-10 Cm Reducible	2	$4,817.12	$7,084.00	$5,950.56	nat. median $5,961 1.0× median
27814 CPT	Open Treatment Bimalleolar Ankle Fractur	1	$5,509.96	$5,509.96	$5,509.96	nat. median $7,144 0.8× median
49594 CPT	Rpr Aa Hernia 1st 3-10 Cm Inc Or Strangu	2	$3,857.25	$7,089.00	$5,473.12	nat. median $5,991 0.9× median
27792 CPT	Open Tx Distal Fibular Fracture Lat Mall	1	$5,090.00	$5,090.00	$5,090.00	nat. median $6,924 0.7× median
49591 CPT	Rpr Aa Hernia 1st < 3 Cm Reducible	5	$2,621.08	$7,084.00	$4,817.12	nat. median $3,840 1.3× median
49615 CPT	Rpr Aa Hernia Recr 3-10 Cm Reducible	2	$4,817.12	$4,817.12	$4,817.12	nat. median $6,018 0.8× median
49595 CPT	Rpr Aa Hernia 1st > 10 Cm Reducible	1	$4,483.24	$4,483.24	$4,483.24	nat. median $6,074 0.7× median
47562 CPT	Lap Chole	12	$2,022.83	$6,424.11	$4,368.39	nat. median $5,988 0.7× median
19301 CPT	Mastectomy Partial	1	$4,000.15	$4,000.15	$4,000.15	nat. median $3,992 1.0× median
55559 CPT	Unlisted Laproscopy Procedure Spermatic	2	$3,856.88	$3,860.45	$3,858.66	nat. median $6,623 0.6× median
49650 CPT	Laparoscopy Surg Rpr Initial Inguinal He	7	$1,246.41	$7,028.48	$3,824.32	nat. median $5,840 0.7× median
49505 CPT	Initial Ing. Hernia 5yo Or >	1	$3,559.60	$3,559.60	$3,559.60	nat. median $3,855 0.9× median
11471 CPT	Excision H/p/p/u Complex Repair	1	$3,513.56	$3,513.56	$3,513.56	nat. median $2,939 1.2× median
46255 CPT	Hemorrhoidectomy Int And Ext Complete	4	$874.79	$6,403.00	$3,361.57	nat. median $2,849 1.2× median
46060 CPT	I&d Ischio/perirectal Abscess	1	$3,323.01	$3,323.01	$3,323.01	nat. median $2,923 1.1× median
46922 CPT	Destr Lesion Anus Si	1	$3,323.01	$3,323.01	$3,323.01	nat. median $2,671 1.2× median
21552 CPT	Exc Tumor Soft Tis Neck/ant Thorax Subq	1	$3,293.92	$3,293.92	$3,293.92	nat. median $3,005 1.1× median
27823 CPT	Open Tx Trimalleolar Ankle Fx W/fixj Pst	1	$3,244.90	$3,244.90	$3,244.90	nat. median $6,923 outlier · 0.5×
23333 CPT	Removal Foreign Body, Shoulder, Deep	1	$3,223.21	$3,223.21	$3,223.21	nat. median $2,918 1.1× median
45990 CPT	Anorectal Exam Surgical Req Anesthesia	1	$3,149.76	$3,149.76	$3,149.76	nat. median $2,670 1.2× median
72158 CPT	MRI Spine Lumbar W/wo IV Con	3	$1,481.72	$4,004.64	$2,844.53	nat. median $1,097 outlier · 2.6×
72156 CPT	MRI Spine Cervical W/wo IV Con	1	$2,844.53	$2,844.53	$2,844.53	nat. median $1,110 outlier · 2.6×
22901 CPT	Exc Tumor Soft Tissue Abdl Wall Subfasci	2	$1,911.79	$3,513.56	$2,712.68	nat. median $3,064 0.9× median
72194 CPT	CT Pelvis W/wo IV Contrast With Oral	1	$2,453.46	$2,453.46	$2,453.46	nat. median $672 outlier · 3.7×
70543 CPT	MRI Orbits Fac/nec Iac Ww Con	3	$1,291.93	$2,374.36	$2,374.36	nat. median $1,087 outlier · 2.2×
90375 CPT	Rabies Immune Globulin 1500u/5ml	5	$1,272.35	$6,124.44	$2,327.50	nat. median $1,052 outlier · 2.2×
11406 CPT	Exc. Trunk,arms,legs,over 4	3	$1,357.04	$2,261.59	$2,261.59	nat. median $1,750 1.3× median
11422 CPT	Exc. Scalp,n,h,f,gen 1.1- 2cm	1	$2,243.20	$2,243.20	$2,243.20	nat. median $1,542 1.5× median
26055 CPT	Triggerfinger Tendon Sheath Incision	2	$1,579.16	$2,902.24	$2,240.70	nat. median $1,973 1.1× median
11426 CPT	Exc B Les >4cm Shnfg	2	$1,071.01	$3,407.24	$2,239.12	nat. median $2,760 0.8× median
28124 CPT	Partial Exc Bone Phalanx Of Toe	1	$2,238.20	$2,238.20	$2,238.20	nat. median $3,324 0.7× median
11450 CPT	Ex Subq Hydrodenitis	2	$1,799.33	$2,646.07	$2,222.70	nat. median $2,849 0.8× median
45171 CPT	Exc Rct Tum Not Incl Muscularis Propria	2	$716.88	$3,638.33	$2,177.61	nat. median $2,816 0.8× median
28054 CPT	Biop Toe Joint Lining	1	$2,151.10	$2,151.10	$2,151.10	nat. median $3,245 0.7× median
36556 CPT	Implant Venous Acces	3	$2,098.17	$3,891.86	$2,117.63	nat. median $2,483 0.9× median
70553 CPT	MRI Brain W/wo IV Con	9	$937.37	$2,989.06	$2,032.56	nat. median $1,136 1.8× median
54161 CPT	Circumcision, Surg 28 Days Or>	1	$2,019.85	$2,019.85	$2,019.85	nat. median $2,292 0.9× median
70488 CPT	CT Facial Bones W/wo IV Con	1	$1,993.34	$1,993.34	$1,993.34	nat. median $639 outlier · 3.1×
70470 CPT	CT Brain W/wo IV Con	1	$1,988.44	$1,988.44	$1,988.44	nat. median $629 outlier · 3.2×
23140 CPT	Exc Curettage Bone Cyst Benign Tumor	1	$1,957.67	$1,957.67	$1,957.67	nat. median $3,450 0.6× median
47000 CPT	Xr Biopsy Liver	1	$1,942.52	$1,942.52	$1,942.52	nat. median $1,803 1.1× median
26160 CPT	Exc. Ganglion Hand Or Finger	2	$1,030.34	$2,784.70	$1,907.52	nat. median $1,914 1.0× median
74150 CPT	CT Abd No Contrast No Oral No IV	1	$1,905.09	$1,905.09	$1,905.09	nat. median $448 outlier · 4.3×
11424 CPT	Exc. Scalp,n,h,f,gen 3.1- 4cm	1	$1,893.88	$1,893.88	$1,893.88	nat. median $1,696 1.1× median

Other procedures at this hospital

Browse this hospital's 590 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J3101	HCPCS	Tnkase 50mg Kit	1	1	$14,936.00	$14,936.00	$21,674.37	$21,674.37	$21,674.37	2025-11-21
J1744	HCPCS	Icatibant Inj 30mg	1	1	$19,063.00	$19,063.00	$14,936.88	$14,936.88	$14,936.88	2025-11-21
47379	CPT	Unlisted Laparoscopic Proc Liver	1	1	$10,995.00	$10,995.00	$7,476.60	$7,476.60	$7,476.60	2025-11-21
49592	CPT	Rpr Aa Hernia 1st < 3 Cm Ncrc8/strangula	2	2	$10,424.00	$10,424.00	$7,088.32	$7,088.32	$7,088.32	2025-11-21
44970	CPT	Lap Appy	7	7	$10,256.60	$10,256.60	$1,311.81	$10,256.60	$6,974.49	2025-11-21
49614	CPT	Rpr Aa Hernia Recr < 3 Cm Ncrc8/strangul	1	1	$10,995.00	$10,995.00	$6,827.08	$6,827.08	$6,827.08	2025-11-21
49593	CPT	Rpr Aa Hernia 1st 3-10 Cm Reducible	2	2	$7,084.00	$7,084.00	$4,817.12	$7,084.00	$5,950.56	2025-11-21
27814	CPT	Open Treatment Bimalleolar Ankle Fractur	1	1	$8,765.00	$8,765.00	$5,509.96	$5,509.96	$5,509.96	2025-11-21
49594	CPT	Rpr Aa Hernia 1st 3-10 Cm Inc Or Strangu	2	2	$10,425.00	$10,425.00	$3,857.25	$7,089.00	$5,473.12	2025-11-21
27792	CPT	Open Tx Distal Fibular Fracture Lat Mall	1	1	$8,687.00	$8,687.00	$5,090.00	$5,090.00	$5,090.00	2025-11-21
49615	CPT	Rpr Aa Hernia Recr 3-10 Cm Reducible	2	2	$7,084.00	$7,084.00	$4,817.12	$4,817.12	$4,817.12	2025-11-21
49591	CPT	Rpr Aa Hernia 1st < 3 Cm Reducible	5	5	$7,084.00	$7,084.00	$2,621.08	$7,084.00	$4,817.12	2025-11-21
49595	CPT	Rpr Aa Hernia 1st > 10 Cm Reducible	1	1	$6,593.00	$6,593.00	$4,483.24	$4,483.24	$4,483.24	2025-11-21
47562	CPT	Lap Chole	12	12	$6,424.11	$6,424.11	$2,022.83	$6,424.11	$4,368.39	2025-11-21
19301	CPT	Mastectomy Partial	1	1	$5,882.57	$5,882.57	$4,000.15	$4,000.15	$4,000.15	2025-11-21
55559	CPT	Unlisted Laproscopy Procedure Spermatic	2	2	$10,424.00	$10,424.00	$3,856.88	$3,860.45	$3,858.66	2025-11-21
49650	CPT	Laparoscopy Surg Rpr Initial Inguinal He	7	7	$10,336.00	$10,336.00	$1,246.41	$7,028.48	$3,824.32	2025-11-21
49505	CPT	Initial Ing. Hernia 5yo Or >	1	1	$4,988.29	$4,988.29	$3,559.60	$3,559.60	$3,559.60	2025-11-21
11471	CPT	Excision H/p/p/u Complex Repair	1	1	$5,167.00	$5,167.00	$3,513.56	$3,513.56	$3,513.56	2025-11-21
46255	CPT	Hemorrhoidectomy Int And Ext Complete	4	4	$6,403.00	$6,403.00	$874.79	$6,403.00	$3,361.57	2025-11-21
46060	CPT	I&d Ischio/perirectal Abscess	1	1	$4,886.78	$4,886.78	$3,323.01	$3,323.01	$3,323.01	2025-11-21
46922	CPT	Destr Lesion Anus Si	1	1	$4,886.78	$4,886.78	$3,323.01	$3,323.01	$3,323.01	2025-11-21
21552	CPT	Exc Tumor Soft Tis Neck/ant Thorax Subq	1	1	$4,844.00	$4,844.00	$3,293.92	$3,293.92	$3,293.92	2025-11-21
27823	CPT	Open Tx Trimalleolar Ankle Fx W/fixj Pst	1	1	$8,770.00	$8,770.00	$3,244.90	$3,244.90	$3,244.90	2025-11-21
23333	CPT	Removal Foreign Body, Shoulder, Deep	1	1	$4,740.02	$4,740.02	$3,223.21	$3,223.21	$3,223.21	2025-11-21
45990	CPT	Anorectal Exam Surgical Req Anesthesia	1	1	$4,632.00	$4,632.00	$3,149.76	$3,149.76	$3,149.76	2025-11-21
72156	CPT	MRI Spine Cervical W/wo IV Con	1	1	$4,004.64	$4,004.64	$2,844.53	$2,844.53	$2,844.53	2025-11-21
72158	CPT	MRI Spine Lumbar W/wo IV Con	3	3	$4,004.64	$4,004.64	$1,481.72	$4,004.64	$2,844.53	2025-11-21
22901	CPT	Exc Tumor Soft Tissue Abdl Wall Subfasci	2	2	$5,167.00	$5,167.00	$1,911.79	$3,513.56	$2,712.68	2025-11-21
72194	CPT	CT Pelvis W/wo IV Contrast With Oral	1	1	$2,453.46	$2,453.46	$2,453.46	$2,453.46	$2,453.46	2025-11-21
70543	CPT	MRI Orbits Fac/nec Iac Ww Con	3	3	$3,491.70	$3,491.70	$1,291.93	$2,374.36	$2,374.36	2025-11-21
90375	CPT	Rabies Immune Globulin 1500u/5ml	5	5	$6,125.00	$6,125.00	$1,272.35	$6,124.44	$2,327.50	2025-11-21
11406	CPT	Exc. Trunk,arms,legs,over 4	3	3	$3,325.87	$3,325.87	$1,357.04	$2,261.59	$2,261.59	2025-11-21
11422	CPT	Exc. Scalp,n,h,f,gen 1.1- 2cm	1	1	$2,243.20	$2,243.20	$2,243.20	$2,243.20	$2,243.20	2025-11-21
26055	CPT	Triggerfinger Tendon Sheath Incision	2	2	$4,268.00	$4,268.00	$1,579.16	$2,902.24	$2,240.70	2025-11-21
11426	CPT	Exc B Les >4cm Shnfg	2	2	$3,407.24	$3,407.24	$1,071.01	$3,407.24	$2,239.12	2025-11-21
28124	CPT	Partial Exc Bone Phalanx Of Toe	1	1	$5,890.00	$5,890.00	$2,238.20	$2,238.20	$2,238.20	2025-11-21
11450	CPT	Ex Subq Hydrodenitis	2	2	$2,646.07	$2,646.07	$1,799.33	$2,646.07	$2,222.70	2025-11-21
45171	CPT	Exc Rct Tum Not Incl Muscularis Propria	2	2	$5,350.48	$5,350.48	$716.88	$3,638.33	$2,177.61	2025-11-21
28054	CPT	Biop Toe Joint Lining	1	1	$5,660.80	$5,660.80	$2,151.10	$2,151.10	$2,151.10	2025-11-21
36556	CPT	Implant Venous Acces	3	3	$5,723.32	$5,723.32	$2,098.17	$3,891.86	$2,117.63	2025-11-21
70553	CPT	MRI Brain W/wo IV Con	9	9	$2,989.06	$2,989.06	$937.37	$2,989.06	$2,032.56	2025-11-21
54161	CPT	Circumcision, Surg 28 Days Or>	1	1	$4,917.92	$4,917.92	$2,019.85	$2,019.85	$2,019.85	2025-11-21
70488	CPT	CT Facial Bones W/wo IV Con	1	1	$2,931.38	$2,931.38	$1,993.34	$1,993.34	$1,993.34	2025-11-21
70470	CPT	CT Brain W/wo IV Con	1	1	$2,924.17	$2,924.17	$1,988.44	$1,988.44	$1,988.44	2025-11-21
23140	CPT	Exc Curettage Bone Cyst Benign Tumor	1	1	$5,291.00	$5,291.00	$1,957.67	$1,957.67	$1,957.67	2025-11-21
47000	CPT	Xr Biopsy Liver	1	1	$2,856.65	$2,856.65	$1,942.52	$1,942.52	$1,942.52	2025-11-21
26160	CPT	Exc. Ganglion Hand Or Finger	2	2	$2,784.70	$2,784.70	$1,030.34	$2,784.70	$1,907.52	2025-11-21
74150	CPT	CT Abd No Contrast No Oral No IV	1	1	$2,801.60	$2,801.60	$1,905.09	$1,905.09	$1,905.09	2025-11-21
11424	CPT	Exc. Scalp,n,h,f,gen 3.1- 4cm	1	1	$2,785.12	$2,785.12	$1,893.88	$1,893.88	$1,893.88	2025-11-21
73218	CPT	MRI Forearm Lt Wo IV Con	2	2	$2,761.43	$2,761.43	$1,877.77	$1,877.77	$1,877.77	2025-11-21
46200	CPT	Fissurctmy W/wo Sphi	4	4	$4,886.78	$4,886.78	$1,538.49	$2,457.35	$1,808.11	2025-11-21
11404	CPT	Exc. Trunk,arms,legs,3.1- 4cm	2	2	$2,456.55	$2,456.55	$1,670.45	$1,842.41	$1,756.43	2025-11-21
70544	CPT	MRA Brain Wo IV Con	4	4	$2,568.82	$2,568.82	$950.46	$1,926.62	$1,746.80	2025-11-21
77049	CPT	MRI Br.bilat Wo/w/cad	1	1	$2,561.61	$2,561.61	$1,741.89	$1,741.89	$1,741.89	2025-11-21
J7169	HCPCS	Andexxa IV Pwd For Soln 200mg	1	1	$4,500.00	$4,500.00	$1,710.00	$1,710.00	$1,710.00	2025-11-21
70496	CPT	CT Angio-circle Of Willis	13	13	$2,460.67	$2,460.67	$771.66	$2,460.67	$1,673.26	2025-11-21
70490	CPT	CT Soft Tissue Neck Wo IV Con	11	11	$2,390.63	$2,390.63	$108.93	$1,792.97	$1,625.63	2025-11-21
70498	CPT	CT Angio-neck	16	16	$2,381.36	$2,381.36	$400.41	$2,381.36	$1,619.32	2025-11-21
10140	CPT	I&d Hema,ser,fld Col	1	1	$2,350.05	$2,350.05	$1,598.03	$1,598.03	$1,598.03	2025-11-21
11462	CPT	Exc Skin/sub Tissue Hidradenitis Repair	2	2	$4,300.00	$4,300.00	$133.53	$2,924.00	$1,528.76	2025-11-21
45388	CPT	Colonoscopy Flx Ablation Tumor Polyp/oth	1	1	$2,248.00	$2,248.00	$1,528.64	$1,528.64	$1,528.64	2025-11-21
11423	CPT	Exc. Scalp,n,h,f,gen 2.1- 3cm	1	1	$1,520.28	$1,520.28	$1,520.28	$1,520.28	$1,520.28	2025-11-21
11421	CPT	Exc. Scalp,n,h,f,gen Over 0.6-1.0cm	1	1	$1,500.71	$1,500.71	$1,500.71	$1,500.71	$1,500.71	2025-11-21
46020	CPT	Placement Seton	1	1	$4,990.00	$4,990.00	$1,490.89	$1,490.89	$1,490.89	2025-11-21
43248	CPT	Egd With Dilatation	1	1	$1,949.79	$1,949.79	$1,462.34	$1,462.34	$1,462.34	2025-11-21
11402	CPT	Exc. Trunk,arms,legs 1.1- 2cm	2	2	$1,079.44	$1,079.44	$734.02	$2,158.88	$1,446.45	2025-11-21
45385	CPT	Colonoscopy With Snare Polyp	8	8	$2,121.80	$2,121.80	$785.07	$2,121.80	$1,442.82	2025-11-21
72195	CPT	MRI Pelvis Wo IV Con	3	3	$3,151.80	$3,151.80	$1,197.68	$2,363.85	$1,437.44	2025-11-21
45384	CPT	Colonoscopy With Hot Biopsy	3	3	$2,157.85	$2,157.85	$798.40	$1,467.34	$1,437.17	2025-11-21
45380	CPT	Colonoscopy With Biopsy	10	10	$2,080.60	$2,080.60	$769.82	$2,080.60	$1,414.81	2025-11-21
74181	CPT	MRI Abdomen Wo IV Con	4	4	$2,646.07	$2,646.07	$1,005.51	$1,799.33	$1,402.42	2025-11-21
72141	CPT	MRI Spine Cervical Wo IV Con	7	7	$3,574.10	$3,574.10	$1,322.42	$2,430.39	$1,358.16	2025-11-21
73221	CPT	MRI Elbow Lt Wo IV Con	8	8	$2,761.43	$2,761.43	$1,012.34	$2,071.07	$1,351.18	2025-11-21
19081	CPT	Mm Stero/perc Breast Biopsy W/clip	2	2	$1,885.00	$1,885.00	$1,281.80	$1,413.75	$1,347.78	2025-11-21
74183	CPT	MRI Abdomen W/wo IV Con	1	1	$3,491.70	$3,491.70	$1,326.85	$1,326.85	$1,326.85	2025-11-21
73720	CPT	MRI Femur Lt W/wo IV Con	2	2	$3,388.70	$3,388.70	$340.92	$2,304.32	$1,322.62	2025-11-21
72148	CPT	MRI Spine Lumbar Wo IV Con	9	9	$3,469.04	$3,469.04	$1,092.33	$2,601.78	$1,318.24	2025-11-21
73721	CPT	MRI Ankle Lt Wo IV Con	15	15	$2,761.43	$2,761.43	$245.26	$2,071.07	$1,317.96	2025-11-21
25605	CPT	Clsd Trmt Radial Fx	2	2	$1,935.66	$1,935.66	$1,316.25	$1,316.25	$1,316.25	2025-11-21
72197	CPT	MRI Pelvis W/wo IV Con	1	1	$3,491.70	$3,491.70	$1,314.28	$1,314.28	$1,314.28	2025-11-21
70480	CPT	CT Mastoids Wo Con	3	3	$1,909.62	$1,909.62	$107.88	$1,298.54	$1,298.54	2025-11-21
15271	CPT	Appskn Subgrft T/a/l Area/100sqcm /<1 25	1	1	$3,452.00	$3,452.00	$1,277.24	$1,277.24	$1,277.24	2025-11-21
72146	CPT	MRI Spine Thoracic Wo Con	6	6	$3,390.76	$3,390.76	$1,067.68	$2,305.72	$1,271.53	2025-11-21
71275	CPT	CT Angio-chest W IV Con	17	17	$3,249.65	$3,249.65	$400.41	$3,249.65	$1,234.87	2025-11-21
74178	CPT	CT Abd/pel Wwo IV Contrast No Oral	10	10	$2,271.15	$2,271.15	$200.00	$2,271.15	$1,203.71	2025-11-21
38500	CPT	Bx/exc Lymph Node	1	1	$6,315.48	$6,315.48	$1,182.21	$1,182.21	$1,182.21	2025-11-21
19083	CPT	US Guide Breast Bx W/clip	2	2	$1,770.00	$1,770.00	$557.34	$1,770.00	$1,163.67	2025-11-21
45378	CPT	Colonoscopy Screening Low Risk	13	13	$1,708.77	$1,708.77	$632.24	$1,708.77	$1,161.96	2025-11-21
73701	CPT	CT Lower Extremity W IV Con	2	2	$2,167.12	$2,167.12	$841.85	$1,473.64	$1,157.75	2025-11-21
43239	CPT	Egd With Biopsy	16	16	$1,861.21	$1,861.21	$682.32	$1,861.21	$1,146.82	2025-11-21
70551	CPT	MRI Brain Without IV Con	13	13	$2,989.06	$2,989.06	$937.37	$2,241.80	$1,135.84	2025-11-21
70492	CPT	CT Softtissue Neck W/wo IV Con	3	3	$2,981.85	$2,981.85	$551.64	$2,236.39	$1,133.10	2025-11-21
26951	CPT	Amp. Fin/thumb, Pri/sec. Any J	1	1	$5,660.80	$5,660.80	$1,130.82	$1,130.82	$1,130.82	2025-11-21
74170	CPT	CT Abd W Wo IV Contrast No Oral	2	2	$3,249.65	$3,249.65	$1,056.40	$1,202.37	$1,129.38	2025-11-21
26037	CPT	Decompressive Fasciotomy Hand	1	1	$3,037.00	$3,037.00	$1,123.69	$1,123.69	$1,123.69	2025-11-21
74175	CPT	CT Angio-abdomen	5	5	$2,953.01	$2,953.01	$926.06	$2,214.76	$1,122.14	2025-11-21
25111	CPT	Excision Of Ganglion, Wrist	3	3	$1,637.88	$1,637.88	$616.49	$1,364.12	$1,113.76	2025-11-21
71270	CPT	CT Chest W/wo IV Con	3	3	$3,367.07	$3,367.07	$1,009.38	$2,289.61	$1,100.61	2025-11-21
49440	CPT	Xr G Tube Placement	1	1	$2,889.85	$2,889.85	$1,098.14	$1,098.14	$1,098.14	2025-11-21
74176	CPT	CT Abd/pel With Oral Contrast	20	20	$2,271.15	$2,271.15	$324.99	$2,225.73	$1,093.75	2025-11-21
43251	CPT	Egd With Snare Polyp	2	2	$2,889.85	$2,889.85	$1,069.24	$1,098.14	$1,083.69	2025-11-21
71260	CPT	CT Chest W IV Con	9	9	$2,840.74	$2,840.74	$809.38	$2,840.74	$1,079.48	2025-11-21
28810	CPT	Amp. Metatarsal W Single Toe	2	2	$3,581.40	$3,581.40	$555.74	$1,603.12	$1,079.43	2025-11-21
64721	CPT	Carp Tun Rel Med Ner	6	6	$1,795.34	$1,795.34	$664.28	$1,745.85	$1,043.69	2025-11-21
32551	CPT	Tube Thoracostomy	1	1	$2,812.28	$2,812.28	$1,040.54	$1,040.54	$1,040.54	2025-11-21
74160	CPT	CT Abd W IV Con Only	1	1	$2,801.60	$2,801.60	$1,027.06	$1,027.06	$1,027.06	2025-11-21
J0666	HCPCS	Bupivacaine Liposomal 1.3% 10ml Vial	6	6	$779.12	$779.12	$296.07	$1,115.22	$1,011.13	2025-11-21
78227	CPT	Nm Hepbil Gb Phrm With Cck	9	9	$1,472.90	$1,472.90	$418.67	$1,104.68	$1,001.57	2025-11-21
73718	CPT	MRI Femur Lt Wo IV Con	5	5	$2,630.11	$2,630.11	$973.14	$1,788.47	$999.44	2025-11-21
77012	CPT	CT Guided Aspiration	2	2	$1,410.07	$1,410.07	$958.85	$1,028.31	$993.58	2025-11-21
71250	CPT	CT Chest Wo IV Con	16	16	$2,679.03	$2,679.03	$108.93	$2,009.27	$986.68	2025-11-21
70491	CPT	CT Soft Tissue Neck W IV Con	9	9	$2,625.47	$2,625.47	$324.99	$2,625.47	$971.42	2025-11-21
72125	CPT	CT Cervical Spine Wo IV Con	19	19	$2,575.00	$2,575.00	$107.01	$1,931.25	$952.75	2025-11-21
72191	CPT	CT Angio-pelvis	3	3	$2,500.84	$2,500.84	$950.32	$1,700.57	$950.32	2025-11-21
70450	CPT	CT Brain Wo IV Con	20	20	$2,529.68	$2,529.68	$324.99	$2,479.09	$935.98	2025-11-21
72131	CPT	CT Lumbar Spine Without IV Con	16	16	$2,493.63	$2,493.63	$107.88	$1,870.22	$922.64	2025-11-21
43235	CPT	Diagnostic Egd With Brushing Or Washing	8	8	$1,755.12	$1,755.12	$535.08	$1,316.34	$921.43	2025-11-21
100018	CDM	R&b Telemetry Priv	1	1	$965.11	$965.11	$920.00	$920.00	$920.00	2025-11-21
100019	CDM	R&b Telemetry S-priv	1	1	$965.11	$965.11	$908.60	$908.60	$908.60	2025-11-21
70486	CPT	CT Facial Bones Wo IV Con	14	14	$2,439.04	$2,439.04	$108.93	$1,933.14	$902.44	2025-11-21
99465	CPT	Nb Resuscitation	1	1	$1,276.86	$1,276.86	$868.26	$868.26	$868.26	2025-11-21
74177	CPT	CT Abd/pel W IV Contrast Only	19	19	$2,271.15	$2,271.15	$324.99	$1,705.29	$856.99	2025-11-21
11771	CPT	Exc Pilonid Cyst Ext	1	1	$2,650.19	$2,650.19	$856.33	$856.33	$856.33	2025-11-21
10080	CPT	I&d Pilonidal Abscess, Simple	2	2	$1,243.94	$1,243.94	$452.66	$1,243.94	$848.30	2025-11-21
36569	CPT	Ins Of Picc Line	1	1	$2,289.11	$2,289.11	$846.97	$846.97	$846.97	2025-11-21
11400	CPT	Exc. Trunk,arms,legs 0.5cm Or <	1	1	$1,243.94	$1,243.94	$845.88	$845.88	$845.88	2025-11-21
11441	CPT	Exc. Face,e,e,n,l,mm 0.6-1cm	1	1	$1,243.94	$1,243.94	$845.88	$845.88	$845.88	2025-11-21
73700	CPT	CT Lower Exremity Wo IV Con	7	7	$2,091.42	$2,091.42	$567.70	$2,195.96	$834.46	2025-11-21
73200	CPT	CT Elbow Lt Wo IV Con	11	11	$2,195.96	$2,195.96	$107.88	$1,646.97	$834.46	2025-11-21
10005	CPT	US Fna Needle Asp W US Guidance Od	4	4	$1,322.55	$1,322.55	$489.34	$899.33	$789.71	2025-11-21
78452	CPT	Nm Myocard Multi Spect	12	12	$1,730.40	$1,730.40	$457.95	$1,730.40	$786.61	2025-11-21
100015	CDM	R&b Semi Private	1	1	$812.67	$812.67	$764.00	$764.00	$764.00	2025-11-21
100016	CDM	R&b Semi Private	1	1	$812.67	$812.67	$764.00	$764.00	$764.00	2025-11-21
55250	CPT	Vasectomy	1	1	$2,014.68	$2,014.68	$758.85	$758.85	$758.85	2025-11-21
72128	CPT	CT Thoracic Spine Wo IV Con	8	8	$1,970.39	$1,970.39	$676.19	$1,339.87	$738.10	2025-11-21
13101	CPT	Cplx Rpt Trnk 2.6 - 7.5cm	1	1	$1,051.63	$1,051.63	$715.11	$715.11	$715.11	2025-11-21
99291	CPT	Initial Cc ER Exam	3	3	$1,248.36	$1,248.36	$461.89	$1,248.36	$708.70	2025-11-21
70487	CPT	CT Facial Bones W IV Con	1	1	$2,538.95	$2,538.95	$706.86	$706.86	$706.86	2025-11-21
11750	CPT	Nail Excision Part/c	1	1	$1,027.34	$1,027.34	$698.59	$698.59	$698.59	2025-11-21
72193	CPT	CT Pelvis With IV Contrast Only	6	6	$2,039.40	$2,039.40	$324.99	$1,529.55	$697.07	2025-11-21
73201	CPT	CT Elbow Lt W IV Con	1	1	$2,275.27	$2,275.27	$695.90	$695.90	$695.90	2025-11-21
93308	CPT	US Echo Lmtd	1	1	$1,022.79	$1,022.79	$695.50	$695.50	$695.50	2025-11-21
71271	CPT	CT Low Dose Lung Cancer Screening	8	8	$1,300.00	$1,300.00	$407.68	$1,300.00	$689.00	2025-11-21
72192	CPT	CT Pelvis With Oral Contrast Only	15	15	$1,804.56	$1,804.56	$107.88	$1,353.42	$667.69	2025-11-21
90675	CPT	Rabies Vaccine 2.5 Units/ 1ml	5	5	$1,789.00	$1,789.00	$125.78	$1,788.08	$648.70	2025-11-21
99285	CPT	Compreh.exam ER Fee	19	19	$935.24	$935.24	$203.67	$935.24	$635.96	2025-11-21
11005	CPT	Debr Abd Wall W/wo F	1	1	$1,669.80	$1,669.80	$617.83	$617.83	$617.83	2025-11-21
11403	CPT	Exc. Trunk,arms,legs 2.1- 3cm	3	3	$902.28	$902.28	$333.84	$902.28	$613.55	2025-11-21
93970	CPT	US Bilateral Venous Dup	16	16	$975.41	$975.41	$167.35	$731.56	$592.19	2025-11-21
C1781	HCPCS	Mesh Prolene 6x6	7	7	$195.00	$195.00	$306.25	$1,125.69	$563.06	2025-11-21
47001	CPT	Bx Liver Laproscopy	1	1	$824.00	$824.00	$560.32	$560.32	$560.32	2025-11-21
78315	CPT	Nm Bone Scan Three Phase	1	1	$1,251.45	$1,251.45	$546.33	$546.33	$546.33	2025-11-21
78306	CPT	Nm Bone Scan Whole Body	4	4	$1,474.96	$1,474.96	$463.55	$560.48	$541.38	2025-11-21
20552	CPT	Inj Trigger Points 1 Or 2	1	1	$522.34	$522.34	$522.34	$522.34	$522.34	2025-11-21
72129	CPT	CT Thoracic Spine W IV Con	1	1	$1,645.00	$1,645.00	$515.87	$515.87	$515.87	2025-11-21
99211	CPT	Outpatient Visit	1	1	$515.00	$515.00	$515.00	$515.00	$515.00	2025-11-21
23650	CPT	Cld Trmt Shoulder Di	1	1	$754.63	$754.63	$513.15	$513.15	$513.15	2025-11-21
93978	CPT	US Aorta Iliac Ivc Dup Comp	5	5	$779.71	$779.71	$288.49	$584.78	$492.59	2025-11-21
99284	CPT	Urgent Exam ER Fee	20	20	$711.73	$711.73	$183.47	$711.73	$483.98	2025-11-21
45331	CPT	Flex Sigmoid W/bx	1	1	$1,299.86	$1,299.86	$480.95	$480.95	$480.95	2025-11-21
62270	CPT	Lumbar Puncture	1	1	$1,269.18	$1,269.18	$469.60	$469.60	$469.60	2025-11-21
12035	CPT	Repair Intermediate Wounds Sat 12.6-20cm	2	2	$857.99	$857.99	$350.10	$583.43	$466.76	2025-11-21
88307	CPT	Surgical Path Level V	2	2	$885.81	$885.81	$327.75	$602.35	$465.05	2025-11-21
93925	CPT	US Arterial Lo Ext Dup Bilat	12	12	$682.89	$682.89	$83.68	$512.17	$460.71	2025-11-21
78264	CPT	Nm Gastric Emptying	2	2	$1,368.87	$1,368.87	$374.07	$506.48	$440.27	2025-11-21
87637	CPT	Respiratory Combo	16	16	$641.84	$641.84	$201.28	$641.84	$436.45	2025-11-21
78226	CPT	Nm Hepbil Gb Prsnt Without Cck	1	1	$1,172.90	$1,172.90	$433.97	$433.97	$433.97	2025-11-21
20611	CPT	Arthrocentesis Aspir&/inj Major Jt/bursa	1	1	$564.00	$564.00	$423.00	$423.00	$423.00	2025-11-21
46040	CPT	I&d Ischiorectal Abs. W Fistul	1	1	$2,425.74	$2,425.74	$416.23	$416.23	$416.23	2025-11-21
43247	CPT	Egd Flexible Foreign Body Removal	1	1	$608.00	$608.00	$416.18	$416.18	$416.18	2025-11-21
32555	CPT	Thoracentesis Needle Or Catheter W/img	1	1	$1,083.21	$1,083.21	$403.00	$403.00	$403.00	2025-11-21
12034	CPT	Lac.rep.inttrkextsca	1	1	$714.82	$714.82	$396.91	$396.91	$396.91	2025-11-21
45330	CPT	Flex Sigmoid	2	2	$1,040.30	$1,040.30	$384.91	$395.31	$390.11	2025-11-21
56420	CPT	I&d Bartholins Gland	2	2	$439.81	$439.81	$329.86	$439.81	$384.84	2025-11-21
100014	CDM	R&b Private Swing Bd	1	1	$510.88	$510.88	$384.83	$384.83	$384.83	2025-11-21
100012	CDM	R&b Private	1	1	$812.67	$812.67	$384.83	$384.83	$384.83	2025-11-21
93931	CPT	US Arter Lt Up Ext Lim Duplex	4	4	$537.66	$537.66	$110.47	$473.56	$384.43	2025-11-21
75635	CPT	CT Angio Runoff	4	4	$1,022.00	$1,022.00	$378.14	$694.96	$383.25	2025-11-21
76376	CPT	CT 3d Recon	2	2	$565.47	$565.47	$209.22	$554.16	$381.69	2025-11-21
93306	CPT	US Echo Comp	18	18	$772.50	$772.50	$242.26	$772.50	$377.90	2025-11-21
74230	CPT	Xr Video Fluoroscopy	5	5	$543.84	$543.84	$199.37	$543.84	$369.81	2025-11-21
76856	CPT	US Pelvic	13	13	$542.81	$542.81	$165.42	$542.81	$369.11	2025-11-21
65220	CPT	Removal Of F.b.-eye	3	3	$540.44	$540.44	$171.11	$540.44	$367.50	2025-11-21
J2795	HCPCS	Ropivacaine Inj 0.5% (5mg/ml) : 30 Ml	1	1	$40.00	$40.00	$367.20	$367.20	$367.20	2025-11-21
76830	CPT	US Pelvic Transvaginal	12	12	$536.63	$536.63	$110.47	$536.63	$364.91	2025-11-21
76805	CPT	US OB Greater Than 14wk Eval I	4	4	$682.89	$682.89	$240.55	$512.17	$363.33	2025-11-21
94002	CPT	Ventilator 1st Day	3	3	$2,315.00	$2,315.00	$359.09	$359.09	$359.09	2025-11-21
93971	CPT	US Ven Lt Upper Ext Lim Duplex	14	14	$537.66	$537.66	$230.28	$548.48	$351.87	2025-11-21
78582	CPT	Nm Pulm Vnt/prf Ar Gas	6	6	$927.00	$927.00	$290.71	$630.36	$342.99	2025-11-21
93880	CPT	US Carotid Doppler Comp	10	10	$906.40	$906.40	$35.53	$616.35	$339.90	2025-11-21
71111	CPT	Xr Ribs Bilat W Pa Cxr 4 View	5	5	$488.22	$488.22	$178.98	$488.22	$331.99	2025-11-21
74022	CPT	Xr Acute Abd Series	10	10	$626.24	$626.24	$84.93	$469.68	$331.90	2025-11-21
11442	CPT	Exc. Face,e,e,n,l,mm 1.1-2cm	1	1	$895.07	$895.07	$325.89	$325.89	$325.89	2025-11-21
P9033	HCPCS	Bb Plate Leu Red Irrad	1	1	$872.41	$872.41	$322.79	$322.79	$322.79	2025-11-21
99283	CPT	Interm Exam ER Fee	20	20	$468.65	$468.65	$146.97	$468.65	$318.68	2025-11-21
10120	CPT	Sub Foreign OB Remov	7	7	$464.84	$464.84	$176.64	$464.84	$316.09	2025-11-21
20225	CPT	Bx Bone Tro/n Deep	1	1	$3,640.36	$3,640.36	$315.92	$315.92	$315.92	2025-11-21
P9016	HCPCS	Bb Unit Disposition	10	10	$1,106.64	$1,106.64	$134.91	$752.52	$311.52	2025-11-21
76942	CPT	US Guid Docs Biopsy	2	2	$641.69	$641.69	$180.45	$436.35	$308.40	2025-11-21
36430	CPT	Blood Transfusion	10	10	$806.61	$806.61	$253.02	$806.81	$305.14	2025-11-21
12032	CPT	Lac.rep.inttrkextsca	2	2	$413.03	$413.03	$280.86	$309.77	$295.31	2025-11-21
76815	CPT	US OB Lmtd	1	1	$432.60	$432.60	$294.17	$294.17	$294.17	2025-11-21
86922	CPT	Bb Ch Crossmatch Ahg	8	8	$771.72	$771.72	$242.01	$771.72	$290.31	2025-11-21
86920	CPT	Bb Ch Crossmatch IM Spin	8	8	$771.12	$771.12	$241.82	$771.12	$290.10	2025-11-21
12004	CPT	Lac.rep.sca.7.6-12.5	2	2	$545.90	$545.90	$201.98	$371.21	$286.59	2025-11-21
76700	CPT	US Abdomen Comp	16	16	$752.93	$752.93	$167.35	$752.93	$286.11	2025-11-21
11401	CPT	Exc. Trunk,arms,legs 0.6 -1.0cm	3	3	$420.24	$420.24	$155.49	$285.76	$285.76	2025-11-21
27096	CPT	CT Guided Si Joint Injection	1	1	$280.00	$280.00	$280.00	$280.00	$280.00	2025-11-21
96374	CPT	IV Push Sngl/init	18	18	$407.00	$407.00	$127.64	$407.00	$276.76	2025-11-21
24640	CPT	Cld Trt Radial Head	1	1	$406.85	$406.85	$276.66	$276.66	$276.66	2025-11-21
76882	CPT	US Extremity Eval Soft Tiss Mass	11	11	$405.82	$405.82	$150.15	$405.82	$275.96	2025-11-21
76000	CPT	Xr Fluoro Greater Than 1 Hour	4	4	$511.91	$511.91	$189.41	$348.10	$271.31	2025-11-21
20240	CPT	Bx Bone Open Super	1	1	$2,645.04	$2,645.04	$266.10	$266.10	$266.10	2025-11-21
94664	CPT	Education Device Usage	2	2	$700.00	$700.00	$266.00	$266.00	$266.00	2025-11-21
93015	CPT	Cardio Stress Test Si	11	11	$678.77	$678.77	$173.14	$678.77	$255.49	2025-11-21
80074	CPT	Lc Acute Hepatitis Panel	5	5	$671.56	$671.56	$250.09	$503.67	$255.19	2025-11-21
J0885	HCPCS	Epoetin Alfa Vl : 1000 Units/ 0.1 Ml	1	1	$717.00	$717.00	$253.95	$253.95	$253.95	2025-11-21
76870	CPT	US Scrotum	10	10	$664.35	$664.35	$110.47	$664.35	$252.45	2025-11-21
76801	CPT	US OB Less Than 14wks Eval Int	7	7	$340.93	$340.93	$231.83	$270.00	$247.56	2025-11-21
73706	CPT	CT Angio Lower Extremity	1	1	$2,448.31	$2,448.31	$246.31	$246.31	$246.31	2025-11-21
20610	CPT	Drain/inject,jnt/bur	3	3	$356.38	$356.38	$131.86	$356.38	$242.34	2025-11-21
76705	CPT	US Abdomen Lmtd	17	17	$643.75	$643.75	$110.47	$482.81	$242.31	2025-11-21
31500	CPT	Endotrach Intubation	7	7	$552.08	$552.08	$130.25	$352.04	$239.39	2025-11-21
94060	CPT	Pft Pre&post Bd	13	13	$642.80	$642.80	$107.26	$642.80	$237.84	2025-11-21
70260	CPT	Xr Skull 4 View	1	1	$624.18	$624.18	$237.19	$237.19	$237.19	2025-11-21
94640	CPT	Aerosol 1	18	18	$446.76	$446.76	$102.75	$446.76	$236.79	2025-11-21
99282	CPT	Limited Exm ER Fee	13	13	$342.99	$342.99	$109.76	$342.99	$233.23	2025-11-21
74240	CPT	Xr Upper Gi Series	1	1	$611.82	$611.82	$232.49	$232.49	$232.49	2025-11-21
76770	CPT	US Renal Comp	17	17	$587.10	$587.10	$167.35	$440.33	$223.10	2025-11-21
96361	CPT	IV Infusion Hydration Each Additional Hr	19	19	$327.54	$327.54	$102.72	$327.54	$222.73	2025-11-21
96360	CPT	IV Infusion Hydration Initial 31 Min-1 H	19	19	$327.54	$327.54	$102.71	$327.54	$222.73	2025-11-21
88342	CPT	Immunohistochem	9	9	$326.43	$326.43	$102.79	$326.43	$221.97	2025-11-21
72052	CPT	Xr C Spine W Flex/ext	7	7	$591.22	$591.22	$129.86	$402.03	$218.75	2025-11-21
74300	CPT	Xr Cholangiogram	1	1	$440.84	$440.84	$214.80	$214.80	$214.80	2025-11-21
74220	CPT	Xr Esophogram	7	7	$532.51	$532.51	$197.03	$532.51	$213.00	2025-11-21
96365	CPT	IV Infusion Therapy/prophylaxis /dx 1st	21	19	$312.09	$312.09	$97.87	$312.09	$212.22	2025-11-21
72114	CPT	Xr L Spine W Flex/ext	5	5	$569.59	$569.59	$210.75	$569.59	$210.75	2025-11-21
94660	CPT	Cpap/bipap	6	6	$390.37	$390.37	$122.42	$390.37	$206.89	2025-11-21
93926	CPT	US Arter Rt Lwr Lim Duplex	5	5	$537.66	$537.66	$39.79	$365.61	$204.31	2025-11-21
43762	CPT	Replacement Of Gastrostomy Tube	1	1	$532.28	$532.28	$202.27	$202.27	$202.27	2025-11-21
72110	CPT	Xr L Spine 4 View Min	18	18	$544.87	$544.87	$56.34	$408.65	$200.68	2025-11-21
70360	CPT	Xr Soft Tissue Neck	3	3	$292.52	$292.52	$50.20	$198.91	$198.91	2025-11-21
29515	CPT	Short Leg Splint	4	4	$275.01	$275.01	$187.01	$275.01	$196.63	2025-11-21
72050	CPT	Xr C Spine 4 View Min	15	15	$524.27	$524.27	$28.44	$393.20	$193.98	2025-11-21
77066	CPT	Mm Diag Mammo Bil/cad	14	14	$345.00	$345.00	$47.93	$345.00	$193.74	2025-11-21
76775	CPT	US Renal Lmtd	4	4	$509.85	$509.85	$177.46	$193.74	$193.74	2025-11-21
11730	CPT	Avulsion Nail-partia	1	1	$284.28	$284.28	$193.31	$193.31	$193.31	2025-11-21
88312	CPT	Grp 1 Sp Stn Int Rpt	14	14	$345.57	$345.57	$77.21	$704.96	$190.92	2025-11-21
G0463	HCPCS	Hospital Outpatient Visit	1	1	$515.00	$515.00	$190.55	$190.55	$190.55	2025-11-21
92607	CPT	St Augmentative Assisted Comm Eval	2	2	$275.00	$275.00	$104.50	$275.00	$189.75	2025-11-21
97597	CPT	Debridement Open Wound 20 Sq Cm/<	4	4	$361.00	$361.00	$132.34	$361.00	$189.52	2025-11-21
88341	CPT	Immunohistochem Each	3	3	$278.58	$278.58	$103.07	$278.58	$189.43	2025-11-21
11045	CPT	Debridement Ea Add 20sq Cm	2	2	$338.87	$338.87	$125.38	$250.76	$188.07	2025-11-21
92950	CPT	Cardio Pulm Resus	4	4	$498.00	$498.00	$182.57	$498.00	$186.75	2025-11-21
77065	CPT	Mm Diag Mam Uni Cad Lt	10	10	$260.00	$260.00	$81.54	$260.00	$185.90	2025-11-21
12013	CPT	Lac.rep.face2.6-5.0c	5	5	$488.22	$488.22	$185.52	$194.41	$185.52	2025-11-21
97598	CPT	Debridement Open Wound Each Additional 2	1	1	$90.00	$90.00	$183.60	$183.60	$183.60	2025-11-21
76857	CPT	US Pelvis Lmtd	3	3	$491.31	$491.31	$154.70	$334.09	$180.11	2025-11-21
97166	CPT	Ot Evaluation Mod Complexity	7	7	$319.00	$319.00	$87.69	$237.00	$177.75	2025-11-21
11042	CPT	Debr Skin & Subcu Ti	5	5	$478.95	$478.95	$150.81	$350.00	$177.21	2025-11-21
73010	CPT	Xr Scapula Lt	3	3	$260.59	$260.59	$177.20	$231.15	$177.20	2025-11-21
29125	CPT	Short Arm Splint	6	6	$260.59	$260.59	$99.02	$260.59	$177.20	2025-11-21
27788	CPT	Cltx Dstl Fibular Fx Lat Malls W/manj	1	1	$350.20	$350.20	$175.75	$175.75	$175.75	2025-11-21
36005	CPT	Xr Inj Proc. Ext.venogram	1	1	$470.50	$470.50	$174.09	$174.09	$174.09	2025-11-21
77080	CPT	Bd Dexa Scan Bone Density	13	13	$318.27	$318.27	$76.48	$318.27	$173.42	2025-11-21
88313	CPT	Grp 2 Sp Stn Int Rpt	8	8	$253.86	$253.86	$93.07	$253.86	$172.62	2025-11-21
70200	CPT	Xr Orbits 4 View Min	1	1	$452.17	$452.17	$171.82	$171.82	$171.82	2025-11-21
31720	CPT	Naso/trach Suction	3	3	$446.76	$446.76	$165.30	$178.70	$169.77	2025-11-21
P9040	HCPCS	Bb Prc Irrad Leu Reduce	1	1	$456.29	$456.29	$168.83	$168.83	$168.83	2025-11-21
70150	CPT	Xr Facial Bones 3 View Min	3	3	$449.08	$449.08	$166.16	$305.37	$166.16	2025-11-21
97162	CPT	Pt Evaluation Mod Complexity	17	17	$307.00	$307.00	$76.52	$244.00	$165.92	2025-11-21
74019	CPT	Xr Abd Flt/up 2 Views	9	9	$438.78	$438.78	$70.93	$438.78	$162.35	2025-11-21
94727	CPT	Nitrogen Washout Gas Sol Lung Volume	13	13	$437.69	$437.69	$58.80	$437.69	$161.95	2025-11-21
92588	CPT	Evoked Otoac Comp	2	2	$235.04	$235.04	$159.83	$159.83	$159.83	2025-11-21
J1956	HCPCS	Levofloxacin (levaquin) Pm : 250mg/50ml	2	2	$40.00	$40.00	$159.39	$159.39	$159.39	2025-11-21
84481	CPT	T3 Free (abbott)	12	12	$233.81	$233.81	$73.32	$229.13	$158.99	2025-11-21
72072	CPT	Xr T Spine 3 View	13	13	$413.03	$413.03	$84.93	$309.77	$156.95	2025-11-21
49465	CPT	Xr Con Inj Evl Gi Tube	1	1	$409.76	$409.76	$155.71	$155.71	$155.71	2025-11-21
73564	CPT	Xr Knee Lt W Patella 4 View	18	18	$418.18	$418.18	$56.34	$418.18	$154.73	2025-11-21
Q5103	HCPCS	Infliximab-dyyb: 100 Mg Vial	1	1	$4,088.00	$4,088.00	$151.26	$151.26	$151.26	2025-11-21
71101	CPT	Xr Ribs Lt W Pa Chest 3 View	17	17	$395.52	$395.52	$56.34	$387.61	$150.30	2025-11-21
73030	CPT	Xr Shoulder Lt 2 View Min	16	16	$370.80	$370.80	$55.93	$363.38	$150.15	2025-11-21
69200	CPT	Otoscopy-forg Bdy Re	2	2	$219.39	$219.39	$149.19	$149.19	$149.19	2025-11-21
70220	CPT	Xr Sinuses Min 3 Views	6	6	$390.37	$390.37	$56.89	$265.45	$146.39	2025-11-21
73562	CPT	Xr Knee Lt 3 View	18	18	$395.52	$395.52	$56.34	$395.52	$146.34	2025-11-21
72100	CPT	Xr L Spine Limited 2 Or 3 View	14	14	$392.43	$392.43	$56.89	$294.32	$145.20	2025-11-21
J0702	HCPCS	Betamethasone Sod. Phos/acetate : 6mg/ml	1	1	$144.00	$144.00	$144.00	$144.00	$144.00	2025-11-21
65205	CPT	Conj Spfic Rem Forg	2	2	$268.83	$268.83	$102.16	$182.81	$142.49	2025-11-21
76536	CPT	US Soft Tissue Head And Neck	15	15	$209.09	$209.09	$66.91	$209.09	$142.18	2025-11-21
73130	CPT	Xr Hand Lt 3 View	14	14	$342.99	$342.99	$60.81	$342.99	$140.10	2025-11-21
73100	CPT	Xr Wrist Lt 2 View	4	4	$265.74	$265.74	$61.56	$199.31	$139.51	2025-11-21
76641	CPT	US Breast Lt Unilat Comp	17	17	$375.00	$375.00	$100.31	$281.25	$138.75	2025-11-21
12011	CPT	Lac.rep.face<2.5cm	8	8	$203.94	$203.94	$75.46	$192.54	$138.68	2025-11-21
72040	CPT	Xr C Spine Ap Lateral Or 2 View Min	14	14	$366.17	$366.17	$56.34	$366.17	$138.48	2025-11-21
97161	CPT	Pt Evaluation Low Complexity	16	16	$287.00	$287.00	$78.08	$244.00	$136.70	2025-11-21
73552	CPT	Xr Femur Lt 2 View	7	7	$368.74	$368.74	$118.00	$250.74	$136.43	2025-11-21
73523	CPT	Xr Hips Bilat W Pelvis 5 View	9	9	$357.41	$357.41	$56.89	$268.06	$135.82	2025-11-21
71046	CPT	Lxr Chest 2 View	25	20	$360.50	$360.50	$56.34	$360.50	$133.39	2025-11-21
28515	CPT	Cltx Fx Phlx/phlg Oth/thn Grt Toe W/manj	1	1	$359.47	$359.47	$133.00	$133.00	$133.00	2025-11-21

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