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

DODGE COUNTY HOSPITAL

Eastman, GA · CCN 110092 · Rates published

1,600 distinct procedures filed
11 distinct payers
132,339 rate rows
2026-05-14 last MRF observed
Data quality

120,273 of 132,339 rate rows are consumer-grade (90.9%)

12,066 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
template filing: same amount across many unrelated codes — excluded 10,150
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,047
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 648
per-diem day rate — not a per-procedure price 124
exceeds 10× this hospital's gross charge — excluded from medians 73
placeholder amount (≤ $0.02) — excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://dodgecountyhospital.slicedhealth.io/pricer/580625140_dodge-county-hospital-authority_standardcharges.csv
Found on page https://dodgecountyhospital.slicedhealth.io/home
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-31
Content fingerprint fab529b7668c9402… · 27,696,367 bytes · first seen 2026-05-18

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
24516
CPT 		Treat Humerus Fracture 11 $100.00 $24,769.28 $11,195.64 nat. median
$11,350
1.0× median
37244
CPT 		Vascular Embolization Or Occlusion 11 $100.00 $22,282.04 $10,066.81 nat. median
$12,394
0.8× median
27829
CPT 		Treat Lower Leg Joint 11 $100.00 $12,582.31 $6,327.59 nat. median
$6,817
0.9× median
27698
CPT 		Repair Of Ankle Ligament 11 $100.00 $12,582.31 $6,327.59 nat. median
$6,559
1.0× median
29888
CPT 		Knee Arthroscopy/surgery 10 $1,700.00 $12,582.31 $6,327.59 nat. median
$7,346
0.9× median
23515
CPT 		Treat Clavicle Fracture 11 $100.00 $12,582.31 $6,327.59 nat. median
$6,990
0.9× median
49657
CPT 		Lap Inc Hern Recur Comp 6 $100.00 $17,891.00 $5,891.11 nat. median
$6,149
1.0× median
49654
CPT 		Lap Inc Hernia Repair 6 $100.00 $17,891.00 $5,891.11 nat. median
$4,632
1.3× median
75978
CPT 		Transluminal Balloon Angioplasty,venous 6 $2,038.45 $11,805.72 $5,443.75 nat. median
$1,642
outlier · 3.3×
44970
CPT 		Laparoscopic Appendectomy 10 $1,700.00 $10,163.02 $5,271.85 nat. median
$6,052
0.9× median
47562
CPT 		Surg Lap Cholecystectomy W/scope 10 $1,537.60 $8,905.00 $5,271.85 nat. median
$6,004
0.9× median
32100
CPT 		Thoracotomy W/exp 7 $100.00 $9,913.82 $4,571.37 nat. median
$2,246
outlier · 2.0×
0275
RC 		6 $1,059.63 $6,909.62 $4,034.98 nat. median
$9,898
outlier · 0.4×
32160
CPT 		Thoracotomy W/cardiac Massage 7 $100.00 $8,237.38 $3,798.35 nat. median
$2,132
1.8× median
19120
CPT 		Remove 1 Or> Breast Growth Open 10 $295.63 $5,557.35 $3,294.27 nat. median
$3,674
0.9× median
49505
CPT 		Rep Inguinal Hernia 5yo Or > 10 $966.82 $5,599.32 $3,122.20 nat. median
$3,856
0.8× median
50590
CPT 		Lithotripsy 10 $548.36 $9,623.83 $3,073.86 nat. median
$4,382
0.7× median
13160
CPT 		Sec Close Surg Wnd Or Dehisc Exten/compl 11 $100.00 $3,440.12 $2,866.77 nat. median
$2,674
1.1× median
20250
CPT 		Wd Biopsy Vertebral Body Ope Thoracic 11 $100.00 $8,851.92 $2,853.26 nat. median
$3,632
0.8× median
26476
CPT 		Wd Tendon Lengthening 11 $100.00 $8,414.38 $2,853.26 nat. median
$3,212
0.9× median
27087
CPT 		Rem Fb Pelvis/hip Deep 11 $100.00 $6,279.33 $2,853.26 nat. median
$3,420
0.8× median
29822
CPT 		Shoulder Arthr Srg Lmtd Dbrdmt 11 $100.00 $5,688.31 $2,853.26 nat. median
$3,755
0.8× median
24105
CPT 		Removal Of Elbow Bursa 11 $100.00 $5,688.31 $2,853.26 nat. median
$3,343
0.9× median
26608
CPT 		Treat Metacarpal Fracture 11 $100.00 $5,688.31 $2,853.26 nat. median
$3,575
0.8× median
29881
CPT 		Remove 1 Or> Knee Cartilage W/scope 10 $860.57 $4,984.02 $2,853.26 nat. median
$3,832
0.7× median
29880
CPT 		Knee Arthroscopy/surgery 11 $100.00 $5,688.31 $2,853.26 nat. median
$3,840
0.7× median
59409
CPT 		Vaginal Delivery Only 11 $100.00 $5,819.45 $2,822.85 nat. median
$3,155
0.9× median
59414
CPT 		Placenta Delivery 11 $100.00 $5,819.45 $2,822.85 nat. median
$2,865
1.0× median
33300
CPT 		Rep Cardiac Wnd Without Bypass 7 $100.00 $7,532.09 $2,790.37 nat. median
$4,121
0.7× median
36555
CPT 		Inert Central Line <5yo 11 $100.00 $6,349.22 $2,753.40 nat. median
$2,693
1.0× median
75860
CPT 		Venography,venous Sinus Or Jugular Cathe 10 $981.15 $5,682.33 $2,753.40 nat. median
$2,948
0.9× median
75710
CPT 		Angiography, Extremity, Uni Lt 10 $981.15 $5,682.33 $2,753.40 nat. median
$3,197
0.9× median
36561
CPT 		Insert Tunneled Cv Cath 11 $100.00 $5,688.31 $2,753.40 nat. median
$3,741
0.7× median
75716
CPT 		Angiography, Extremity, Bilateral 11 $256.00 $4,993.88 $2,753.40 nat. median
$3,319
0.8× median
75825
CPT 		Venography,caval,inferior With Serialogr 10 $981.15 $5,682.33 $2,753.40 nat. median
$3,187
0.9× median
36556
CPT 		Inert Central Line => 5yo 11 $100.00 $6,349.22 $2,753.40 nat. median
$2,483
1.1× median
11450
CPT 		Exc Skin/subq Tiss For Hidradenitis, Ax 11 $100.00 $4,761.89 $2,532.98 nat. median
$2,852
0.9× median
11426
CPT 		Exc B9 Lesion W/margins (snhfg) Dia >4cm 11 $100.00 $4,761.89 $2,532.98 nat. median
$2,760
0.9× median
27086
CPT 		Rem Fb Pelvis/hip Subq 11 $100.00 $5,258.26 $2,532.98 nat. median
$2,701
0.9× median
20245
CPT 		Wd Bone Biopsy Open Deep 11 $100.00 $7,386.34 $2,532.98 nat. median
$3,069
0.8× median
20240
CPT 		Wd Bone Biopsy Open Superficial 11 $100.00 $7,386.34 $2,532.98 nat. median
$2,904
0.9× median
24201
CPT 		Rem Fb Upper Arm/elbow Deep 11 $100.00 $5,258.26 $2,532.98 nat. median
$2,870
0.9× median
10180
CPT 		Wd Complex Po Wound Infctj 11 $100.00 $7,386.34 $2,532.98 nat. median
$2,866
0.9× median
20680
CPT 		Removal Of Support Implant 11 $100.00 $4,761.89 $2,532.98 nat. median
$3,263
0.8× median
23333
CPT 		Rem Fb Shoulder Deep (subfasc/im) 11 $100.00 $5,258.26 $2,532.98 nat. median
$2,919
0.9× median
49585
CPT 		Rpr Unbil Hern Reduc >5yr 6 $100.00 $6,390.49 $2,323.36 nat. median
$3,104
0.7× median
0920
RC 		7 $708.00 $5,002.33 $2,178.04 nat. median
$385
outlier · 5.7×
55700
CPT 		Biopsy Prostate 6 $100.00 $3,959.51 $2,086.44 nat. median
$2,096
1.0× median
66984
CPT 		Extracap Cataract Rem Insrt Lt 10 $631.05 $4,392.76 $2,012.48 nat. median
$2,924
0.7× median
15273
CPT 		Wd Low Cost Skin Sub > 100 Sq Cm 11 $100.00 $5,583.60 $1,992.61 nat. median
$3,108
0.6× median

Other procedures at this hospital

Browse this hospital's 1,600 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
             
24516 CPT Treat Humerus Fracture 25 11 $27,521.42 — $100.00 $24,769.28 $11,195.64 2026-05-14
37244 CPT Vascular Embolization Or Occlusion 25 11 $24,757.82 — $100.00 $22,282.04 $10,066.81 2026-05-14
27829 CPT Treat Lower Leg Joint 25 11 $13,980.34 — $100.00 $12,582.31 $6,327.59 2026-05-14
27698 CPT Repair Of Ankle Ligament 25 11 $13,980.34 — $100.00 $12,582.31 $6,327.59 2026-05-14
29888 CPT Knee Arthroscopy/surgery 23 10 $13,980.34 — $1,700.00 $12,582.31 $6,327.59 2026-05-14
23515 CPT Treat Clavicle Fracture 25 11 $13,980.34 — $100.00 $12,582.31 $6,327.59 2026-05-14
49657 CPT Lap Inc Hern Recur Comp 16 6 $19,878.89 — $100.00 $17,891.00 $5,891.11 2026-05-14
49654 CPT Lap Inc Hernia Repair 16 6 $19,878.89 — $100.00 $17,891.00 $5,891.11 2026-05-14
75978 CPT Transluminal Balloon Angioplasty,venous 14 6 $13,117.47 — $2,038.45 $11,805.72 $5,443.75 2026-05-14
44970 CPT Laparoscopic Appendectomy 23 10 $11,292.24 — $1,700.00 $10,163.02 $5,271.85 2026-05-14
47562 CPT Surg Lap Cholecystectomy W/scope 23 10 $9,894.44 — $1,537.60 $8,905.00 $5,271.85 2026-05-14
32100 CPT Thoracotomy W/exp 18 7 $11,015.36 — $100.00 $9,913.82 $4,571.37 2026-05-14
0275 RC — 28 6 $7,727.87 — $1,059.63 $6,909.62 $4,034.98 2026-05-14
32160 CPT Thoracotomy W/cardiac Massage 18 7 $9,152.64 — $100.00 $8,237.38 $3,798.35 2026-05-14
19120 CPT Remove 1 Or> Breast Growth Open 23 10 $6,174.83 — $295.63 $5,557.35 $3,294.27 2026-05-14
49505 CPT Rep Inguinal Hernia 5yo Or > 23 10 $6,221.47 — $966.82 $5,599.32 $3,122.20 2026-05-14
50590 CPT Lithotripsy 23 10 $10,693.14 — $548.36 $9,623.83 $3,073.86 2026-05-14
13160 CPT Sec Close Surg Wnd Or Dehisc Exten/compl 25 11 $3,822.36 — $100.00 $3,440.12 $2,866.77 2026-05-14
20250 CPT Wd Biopsy Vertebral Body Ope Thoracic 25 11 $9,835.47 — $100.00 $8,851.92 $2,853.26 2026-05-14
26476 CPT Wd Tendon Lengthening 25 11 $9,349.31 — $100.00 $8,414.38 $2,853.26 2026-05-14
27087 CPT Rem Fb Pelvis/hip Deep 25 11 $6,977.03 — $100.00 $6,279.33 $2,853.26 2026-05-14
29822 CPT Shoulder Arthr Srg Lmtd Dbrdmt 25 11 $6,320.34 — $100.00 $5,688.31 $2,853.26 2026-05-14
24105 CPT Removal Of Elbow Bursa 25 11 $6,320.34 — $100.00 $5,688.31 $2,853.26 2026-05-14
26608 CPT Treat Metacarpal Fracture 25 11 $6,320.34 — $100.00 $5,688.31 $2,853.26 2026-05-14
29881 CPT Remove 1 Or> Knee Cartilage W/scope 23 10 $5,537.80 — $860.57 $4,984.02 $2,853.26 2026-05-14
29880 CPT Knee Arthroscopy/surgery 25 11 $6,320.34 — $100.00 $5,688.31 $2,853.26 2026-05-14
59409 CPT Vaginal Delivery Only 25 11 $6,466.05 — $100.00 $5,819.45 $2,822.85 2026-05-14
59414 CPT Placenta Delivery 25 11 $6,466.05 — $100.00 $5,819.45 $2,822.85 2026-05-14
33300 CPT Rep Cardiac Wnd Without Bypass 18 7 $6,723.79 — $100.00 $7,532.09 $2,790.37 2026-05-14
36555 CPT Inert Central Line <5yo 25 11 $7,054.69 — $100.00 $6,349.22 $2,753.40 2026-05-14
75860 CPT Venography,venous Sinus Or Jugular Cathe 21 10 $6,313.70 — $981.15 $5,682.33 $2,753.40 2026-05-14
75710 CPT Angiography, Extremity, Uni Lt 42 10 $6,313.70 — $981.15 $5,682.33 $2,753.40 2026-05-14
36561 CPT Insert Tunneled Cv Cath 25 11 $6,320.34 — $100.00 $5,688.31 $2,753.40 2026-05-14
75716 CPT Angiography, Extremity, Bilateral 25 11 $5,548.76 — $256.00 $4,993.88 $2,753.40 2026-05-14
75825 CPT Venography,caval,inferior With Serialogr 21 10 $6,313.70 — $981.15 $5,682.33 $2,753.40 2026-05-14
36556 CPT Inert Central Line => 5yo 25 11 $7,054.69 — $100.00 $6,349.22 $2,753.40 2026-05-14
11450 CPT Exc Skin/subq Tiss For Hidradenitis, Ax 25 11 $5,290.99 — $100.00 $4,761.89 $2,532.98 2026-05-14
11426 CPT Exc B9 Lesion W/margins (snhfg) Dia >4cm 25 11 $5,290.99 — $100.00 $4,761.89 $2,532.98 2026-05-14
27086 CPT Rem Fb Pelvis/hip Subq 25 11 $5,842.51 — $100.00 $5,258.26 $2,532.98 2026-05-14
20245 CPT Wd Bone Biopsy Open Deep 25 11 $8,207.04 — $100.00 $7,386.34 $2,532.98 2026-05-14
20240 CPT Wd Bone Biopsy Open Superficial 25 11 $8,207.04 — $100.00 $7,386.34 $2,532.98 2026-05-14
24201 CPT Rem Fb Upper Arm/elbow Deep 25 11 $5,842.51 — $100.00 $5,258.26 $2,532.98 2026-05-14
10180 CPT Wd Complex Po Wound Infctj 25 11 $8,207.04 — $100.00 $7,386.34 $2,532.98 2026-05-14
20680 CPT Removal Of Support Implant 25 11 $5,290.99 — $100.00 $4,761.89 $2,532.98 2026-05-14
23333 CPT Rem Fb Shoulder Deep (subfasc/im) 25 11 $5,842.51 — $100.00 $5,258.26 $2,532.98 2026-05-14
49585 CPT Rpr Unbil Hern Reduc >5yr 16 6 $7,100.54 — $100.00 $6,390.49 $2,323.36 2026-05-14
0920 RC — 18 7 $5,558.14 — $708.00 $5,002.33 $2,178.04 2026-05-14
55700 CPT Biopsy Prostate 16 6 $4,399.45 — $100.00 $3,959.51 $2,086.44 2026-05-14
66984 CPT Extracap Cataract Rem Insrt Lt 69 10 $4,880.84 — $631.05 $4,392.76 $2,012.48 2026-05-14
15273 CPT Wd Low Cost Skin Sub > 100 Sq Cm 36 11 $5,267.42 — $100.00 $5,583.60 $1,992.61 2026-05-14
15274 CPT Wd Low Cost Addl Skin Sub > 100 Sq Cm 31 7 $3,950.05 — $37.52 $4,187.70 $1,931.00 2026-05-14
54150 CPT Circumcision (outpatient) 25 11 $4,399.45 — $95.22 $3,959.51 $1,822.86 2026-05-14
52204 CPT Cystourethroscopy With Biopsy 25 11 $6,733.93 — $100.00 $6,060.54 $1,822.86 2026-05-14
15115 CPT Wd Epidrm A Grft Face Neck Hf G 25 11 $5,298.32 — $100.00 $4,768.49 $1,799.23 2026-05-14
12037 CPT Rep Int Wnd Sat Or Ext >30.0cm 25 11 $4,228.53 — $100.00 $3,805.68 $1,799.23 2026-05-14
12047 CPT Rep Int Wnd Nhf Or Extgen >30.0cm 25 11 $4,228.53 — $100.00 $3,805.68 $1,799.23 2026-05-14
15110 CPT Wd Epidrm Autograft Trnk Arm Leg 25 11 $5,267.42 — $100.00 $4,740.68 $1,799.23 2026-05-14
64721 CPT Carpal Tunnel Surgery 23 10 $3,918.52 — $311.31 $3,526.67 $1,702.83 2026-05-14
64718 CPT Revise Ulnar Nerve At Elbow 23 10 $3,918.52 — $608.94 $3,526.67 $1,702.83 2026-05-14
32110 CPT Thoracotomy Cont Traumatic Hem 18 7 $3,938.15 — $100.00 $6,025.29 $1,634.33 2026-05-14
72159 CPT MRA Spinal Canal With & Without 16 6 $3,432.91 — $533.47 $3,089.62 $1,556.88 2026-05-14
31622 CPT Bronchoscopy Dx 25 11 $3,017.46 — $100.00 $2,800.00 $1,552.12 2026-05-14
72198 CPT MRA Pelvis W & Without Contrast 16 6 $3,323.35 — $516.45 $2,991.02 $1,534.15 2026-05-14
74185 CPT MRA Abd With Or Without 16 6 $3,238.44 — $503.25 $2,914.60 $1,526.69 2026-05-14
75962 CPT Transluminal Balloon Angioplasty 14 6 $3,554.93 — $552.44 $3,199.44 $1,475.30 2026-05-14
71555 CPT MRA Chest With And Without Contrast 40 6 $3,432.91 — $424.03 $3,144.65 $1,452.88 2026-05-14
55100 CPT Drain Scrotal Wall Abscess 25 11 $3,468.81 — $100.00 $3,121.93 $1,440.23 2026-05-14
10121 CPT Ins&rem Fb, Subq Tissues, Complex 25 11 $3,468.81 — $100.00 $3,121.93 $1,440.23 2026-05-14
20225 CPT Wd Biopsy Bone Triocar Or Needle Deep 25 11 $4,911.04 — $100.00 $4,419.94 $1,440.23 2026-05-14
11404 CPT Wd Exc Tr Ext B9 +marg 3.1-4 Cm 25 11 $4,682.38 — $100.00 $4,214.14 $1,440.23 2026-05-14
27040 CPT Wd Biopsy Of Soft Tissue 25 11 $4,682.38 — $100.00 $4,214.14 $1,440.23 2026-05-14
24200 CPT Rem Fb Upper Arm/elbow Subq 25 11 $3,468.81 — $100.00 $3,121.93 $1,440.23 2026-05-14
28192 CPT Rem Fb Foot Deep 25 11 $3,468.81 — $100.00 $3,121.93 $1,440.23 2026-05-14
11044 CPT Debride Bone 1st 20 Sq Cm Or < 49 11 $3,468.81 — $100.00 $4,214.14 $1,440.23 2026-05-14
11422 CPT Wd Exc H-f-nk-sp B9+marg 1 1 2 25 11 $4,682.38 — $83.09 $4,214.14 $1,440.23 2026-05-14
10140 CPT Wd Drainage Of Hematoma/fluid 25 11 $4,682.38 — $68.25 $4,214.14 $1,440.23 2026-05-14
20220 CPT Wd Bone Biopsy Trocar Needle 25 11 $4,682.38 — $94.56 $4,214.14 $1,440.23 2026-05-14
33020 CPT Pericardiotomy Rem Clot/fb 18 7 $3,466.57 — $100.00 $6,025.29 $1,438.63 2026-05-14
73725 CPT MRA Bilat Lower Ext W Or Wo Contrast 16 6 $2,811.83 — $436.96 $2,530.65 $1,432.19 2026-05-14
73225 CPT MRA Upper Ext With Or Without 16 6 $2,811.83 — $436.96 $2,530.65 $1,432.19 2026-05-14
25565 CPT Clsed Tx Rad/ulnar Shaft Fxs W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
23505 CPT Clsd Tx Clavicular Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27503 CPT Clsed Tx Super/trans Femoral Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27552 CPT Clsed Tx Knee Dislo W/anest 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27752 CPT Clsed Tx Tibial Shaft Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27762 CPT Clsed Tx Medial Malleolus Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
28234 CPT Wd Incision Of Foot Tendon 25 11 $4,642.21 — $100.00 $4,177.99 $1,402.21 2026-05-14
25505 CPT Clsed Tx Rad Shaft Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27825 CPT Clsed Tx Fx Wt Bearing Part Distal Tibia 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27781 CPT Clsed Tx Prox Fibula Or Shaft Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27768 CPT Clsed Tx Post Malleolus Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27510 CPT Clsed Tx Femoral Fx Distal, Medial, Lat 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27502 CPT Clsed Tx Femoral Shaft Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27266 CPT Clsed Tx Post Op Hip Arthro Dislo W/anes 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27252 CPT Clsed Tx Hip Dislo Trauma, W/anesth 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27818 CPT Clsed Tx Trimalleolar Ankle Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27810 CPT Clsed Tx Bimalleolar Ankle Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
27842 CPT Clsed Tx Ankle Dislo W/anesth 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
26705 CPT Clsed Tx Metacarpophal Dislo Sngl W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
26418 CPT Rep Ext Tendon Finger Wo Graft Ea Tendon 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
26410 CPT Rep Ext Tendon Hand Ea Tendon 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
26055 CPT Incise Finger Tendon Sheath 25 11 $3,107.72 — $100.00 $2,796.95 $1,402.21 2026-05-14
25605 CPT Clsed Tx Dis Rad Fx/epi Sep W/mani 38 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
24655 CPT Clsed Tx Rad Hd/neck Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
24605 CPT Tx Clsed Elbow Dislo W/anesth 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
25111 CPT Remove Wrist Tendon Lesion 25 11 $3,107.72 — $100.00 $2,796.95 $1,402.21 2026-05-14
28010 CPT Wd Incision Of Toe Tendon 25 11 $4,642.21 — $100.00 $4,177.99 $1,402.21 2026-05-14
24535 CPT Clsed Supra/trans Humeral Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
24505 CPT Clsed Tx Humeral Shaft Fx W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
28635 CPT Clsed Tx Metatarsophalangeal Jnt Dislo W 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
28002 CPT Wd Treatment Of Foot Infection 25 11 $4,642.21 — $100.00 $4,177.99 $1,402.21 2026-05-14
23700 CPT Fixation Of Shoulder 25 11 $3,107.72 — $100.00 $2,796.95 $1,402.21 2026-05-14
23655 CPT Clsed Tx Shoulder Dislo W/mani/anesth 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
24675 CPT Clsed Tx Ulnar Fx Prox End W/mani 25 11 $3,432.80 — $100.00 $3,089.52 $1,402.21 2026-05-14
78452 CPT Nm Cardiac Stress 21 10 $7,792.24 — $1,128.96 $7,013.02 $1,384.68 2026-05-14
75898 CPT Angiography, Follow Up 21 10 $1,830.49 — $284.46 $2,753.40 $1,372.87 2026-05-14
75827 CPT Venography,caval,superior With Serialogr 21 10 $1,830.49 — $284.46 $1,647.44 $1,372.70 2026-05-14
75822 CPT Venogram Bilat 21 10 $3,403.34 — $528.88 $3,063.01 $1,372.70 2026-05-14
75820 CPT Venogram Lt 42 10 $2,344.04 — $364.26 $2,109.64 $1,372.70 2026-05-14
33016 CPT Pericardiocentesis 25 11 $3,466.57 — $100.00 $3,119.91 $1,372.70 2026-05-14
32551 CPT Tube Thoracostomy Open 25 11 $3,466.57 — $100.00 $3,119.91 $1,372.70 2026-05-14
36569 CPT Mid Line Picc Insertion 25 11 $2,150.16 — $81.75 $2,800.00 $1,372.70 2026-05-14
72197 CPT MRI Pelvis With & Without Contrast 23 10 $3,323.35 — $304.22 $2,991.02 $1,364.27 2026-05-14
72158 CPT MRI Lumbar With & Without Contrast 23 10 $3,376.66 — $304.22 $3,038.99 $1,364.27 2026-05-14
72156 CPT MRI Cervical Spine W/wo Contrast 23 10 $3,376.66 — $304.22 $3,038.99 $1,364.27 2026-05-14
71551 CPT MRI Chest With 23 10 $3,376.66 — $524.73 $3,038.99 $1,364.27 2026-05-14
72157 CPT MRI Thoracic With & Without Contrast 23 10 $3,494.05 — $304.22 $3,144.65 $1,364.27 2026-05-14
74183 CPT MRI Abdomen With & Without 23 10 $3,920.66 — $304.22 $3,528.59 $1,364.27 2026-05-14
70549 CPT MRA Neck With & Without 23 10 $3,376.66 — $304.22 $3,038.99 $1,364.27 2026-05-14
70546 CPT MRA Head With & Without 23 10 $3,376.66 — $304.22 $3,038.99 $1,364.27 2026-05-14
70543 CPT MRI Orbit,face,neck Without & With 23 10 $3,376.66 — $304.22 $3,038.99 $1,364.27 2026-05-14
72148 CPT MRI Lumbar Without Contrast 23 10 $3,889.01 — $208.07 $3,500.11 $1,364.27 2026-05-14
71552 CPT MRI Chest With & Without 23 10 $3,432.91 — $304.22 $3,089.62 $1,364.27 2026-05-14
74182 CPT MRI Abdomen With 23 10 $3,323.35 — $304.22 $2,991.02 $1,364.27 2026-05-14
74181 CPT MRI Abdomen Without 47 10 $2,887.45 — $208.07 $2,839.47 $1,309.31 2026-05-14
72147 CPT MRI Thoracic With Contrast 23 10 $2,982.82 — $304.22 $2,684.54 $1,237.87 2026-05-14
15277 CPT Wd Skin Sub Graft Face Nk Hf G Child 36 11 $6,204.00 — $100.00 $5,583.60 $1,223.64 2026-05-14
72149 CPT MRI Lumbar With Contrast 23 10 $2,897.89 — $304.22 $2,608.10 $1,202.62 2026-05-14
73220 CPT MRI Upper Ext W & Without Contrast Bilat 69 10 $2,811.83 — $304.22 $4,862.78 $1,166.91 2026-05-14
73223 CPT MRI Upper Ext Jt W/wo Contrast Bilat 69 10 $2,811.83 — $304.22 $4,959.03 $1,166.91 2026-05-14
72196 CPT MRI Pelvis With Contrast 23 10 $2,811.83 — $304.22 $2,530.65 $1,166.91 2026-05-14
73720 CPT MRI Lower Ext W/wo Contrast Bilat 69 10 $2,811.83 — $304.22 $4,819.48 $1,166.91 2026-05-14
73723 CPT MRI Lower Ext Jt With Wo Contrast Bilat 69 10 $2,811.83 — $304.22 $4,819.48 $1,166.91 2026-05-14
70552 CPT MRI Brain With Contrast 23 10 $2,777.91 — $304.22 $2,500.12 $1,152.83 2026-05-14
70548 CPT MRA Neck With 23 10 $2,777.91 — $304.22 $2,500.12 $1,152.83 2026-05-14
70545 CPT MRA Head With 23 10 $2,777.91 — $304.22 $2,500.12 $1,152.83 2026-05-14
72142 CPT MRI Cervical Spine With Contrast 23 10 $2,777.91 — $304.22 $2,500.12 $1,152.83 2026-05-14
23330 CPT Rem Fb Shoulder Subq 25 11 $1,532.95 — $100.00 $2,260.19 $1,149.71 2026-05-14
78451 CPT Nm Myo Perf W Wall Motion 37 11 $3,046.58 — $256.00 $3,683.79 $1,128.96 2026-05-14
71550 CPT MRI Chest Without 23 10 $2,694.74 — $208.07 $2,425.27 $1,118.32 2026-05-14
70542 CPT MRI Orbit,face,neck With 23 10 $2,694.74 — $304.22 $2,425.27 $1,118.32 2026-05-14
70540 CPT MRI Orbit,face,neck Without 23 10 $2,694.74 — $208.07 $2,425.27 $1,118.32 2026-05-14
0740 RC — 18 7 $2,615.03 — $406.38 $2,353.53 $1,085.24 2026-05-14
74178 CPT CT Abdomen Pelvis W And Wo Contrast 35 10 $6,077.97 — $304.22 $5,470.17 $1,080.06 2026-05-14
73218 CPT MRI Upper Ext Without Contrast Bilat 69 10 $2,584.31 — $208.07 $3,209.34 $1,072.49 2026-05-14
73219 CPT MRI Upper Ext With Contrast Bilat 69 10 $2,584.31 — $304.22 $3,842.39 $1,072.49 2026-05-14
73222 CPT MRI Upper Ext Jt With Contrast Bilat 69 10 $2,584.31 — $401.60 $4,525.79 $1,072.49 2026-05-14
72195 CPT MRI Pelvis Without Contrast 23 10 $2,584.31 — $208.07 $2,325.88 $1,072.49 2026-05-14
70547 CPT MRA Neck Without 23 10 $2,584.31 — $208.07 $2,325.88 $1,072.49 2026-05-14
70551 CPT MRI Brain Without 23 10 $2,584.31 — $208.07 $2,325.88 $1,072.49 2026-05-14
73722 CPT MRI Lower Ext Jt With Contrast Bilat 69 10 $2,584.31 — $401.60 $3,981.94 $1,072.49 2026-05-14
73719 CPT MRI Lower Ext With Contrast Bilat 69 10 $2,584.31 — $304.22 $3,981.94 $1,072.49 2026-05-14
73718 CPT MRI Lower Ext Without Contrast Bilat 69 10 $2,584.31 — $208.07 $3,348.88 $1,072.49 2026-05-14
46320 CPT Exc Ext Thrombosed Hemorrhoid 25 11 $2,556.03 — $83.78 $3,013.60 $1,043.50 2026-05-14
45380 CPT Bx Large Bowel W/endoscope 25 11 $2,027.75 — $100.00 $1,824.98 $1,043.50 2026-05-14
46040 CPT I&d Ischio/perirectal Abscess 25 11 $2,556.03 — $100.00 $3,013.60 $1,043.50 2026-05-14
45385 CPT Rem Polyps/growths Large Bowel W/scope 25 11 $2,027.75 — $100.00 $1,824.98 $1,043.50 2026-05-14
73721 CPT MRI Lower Ext Jt Without Contrast Bilat 69 10 $2,509.04 — $208.07 $3,348.88 $1,041.25 2026-05-14
93583 CPT Perc Transcath Septal Tx W/pacemaker Ins 18 7 $2,038.30 — $100.00 $7,591.82 $1,036.00 2026-05-14
15278 CPT Wd Low Cost Skin Sub Aplc Addl Sq Cm 31 7 $1,359.60 — $46.46 $4,187.70 $1,019.70 2026-05-14
G0379 HCPCS Obs Direct Admit Nursing Assessment 18 7 $1,307.37 — $203.17 $7,297.62 $980.53 2026-05-14
74177 CPT CT Abdomen/pelvis W/contrast 23 10 $5,407.90 — $304.22 $4,867.11 $960.98 2026-05-14
95810 CPT Sleep Study 25 11 $5,396.25 — $708.00 $4,856.63 $958.91 2026-05-14
64473 CPT Ipack Nerve Block 18 7 $2,281.16 — $48.51 $2,053.04 $946.68 2026-05-14
15002 CPT Wd Wound Prep Trk Arm Leg 49 11 $5,267.42 — $100.00 $4,740.68 $936.02 2026-05-14
75989 CPT CT Guided Percutaneous Drainage W Cathet 14 6 $2,138.62 — $332.34 $1,924.76 $887.53 2026-05-14
73221 CPT MRI Upper Ext Jt Without Contrast Bilat 69 10 $2,584.31 — $208.07 $3,837.16 $884.74 2026-05-14
65435 CPT Rem Corneal Epithelium W/wo Chemo 25 11 $1,995.53 — $43.64 $3,013.60 $869.30 2026-05-14
15275 CPT Wd Low Cost Skin Sub 25 Sq Cm 36 11 $1,813.83 — $86.16 $2,800.00 $837.43 2026-05-14
15271 CPT Wd Low Cost Skin Sub Application 36 11 $1,813.83 — $74.41 $2,800.00 $837.43 2026-05-14
72130 CPT CT Thoracic Spine W/wo Contrast 23 10 $3,092.25 — $152.96 $2,783.03 $821.88 2026-05-14
72129 CPT CT Thoracic Spine With Contrast 23 10 $2,693.11 — $152.96 $2,423.80 $821.88 2026-05-14
74174 CPT CTA Abdomen And Pelvis W/wo Contrast 23 10 $2,150.21 — $304.22 $1,935.19 $821.88 2026-05-14
72192 CPT CT Pelvis Without Contrast 23 10 $2,100.25 — $91.17 $1,890.23 $821.88 2026-05-14
72194 CPT CT Pelvis With And Without Contrast 23 10 $4,348.78 — $152.96 $3,913.90 $821.88 2026-05-14
72126 CPT CT Cervical Spine With Contrast 23 10 $2,693.11 — $304.22 $2,423.80 $821.88 2026-05-14
72193 CPT CT Pelvis With Contrast 23 10 $2,693.11 — $152.96 $2,423.80 $821.88 2026-05-14
71260 CPT CT Chest W/cont 23 10 $3,907.59 — $152.96 $3,516.83 $821.88 2026-05-14
71270 CPT CT Chest With & Without Cont 23 10 $4,234.82 — $152.96 $3,811.34 $821.88 2026-05-14
72128 CPT CT Thoracic Spine Wo/cont 23 10 $2,100.25 — $91.17 $1,890.23 $821.88 2026-05-14
72133 CPT CT Lumbar Spine With And Without Contrast 23 10 $4,348.78 — $152.96 $3,913.90 $821.88 2026-05-14
72132 CPT CT Lumbar Spine With Contrast 23 10 $2,693.11 — $304.22 $2,423.80 $821.88 2026-05-14
70496 CPT CTA Head 23 10 $2,207.72 — $152.96 $1,986.95 $821.88 2026-05-14
70492 CPT CT Soft Tissue Neck W/wo Cont 23 10 $3,144.06 — $152.96 $2,829.65 $821.88 2026-05-14
70498 CPT CTA Carotid 23 10 $2,207.72 — $152.96 $1,986.95 $821.88 2026-05-14
70491 CPT CT Soft Tissue Neck With Contrast 23 10 $2,693.11 — $152.96 $2,423.80 $821.88 2026-05-14
70488 CPT CT Maxillofacial W/wo Contrast 23 10 $4,348.78 — $152.96 $3,913.90 $821.88 2026-05-14
70490 CPT CT Soft Tissue Neck Without Cont 23 10 $2,100.25 — $91.17 $1,890.23 $821.88 2026-05-14
70482 CPT CT Orbit, Sella, Ear W/wo Contrast 23 10 $4,348.78 — $152.96 $3,913.90 $821.88 2026-05-14
73701 CPT CT Lower Ext W Contrast Bilat 69 10 $2,693.11 — $152.96 $3,236.78 $821.88 2026-05-14
70486 CPT CT Maxillofacial Without Contrast 23 10 $3,049.80 — $91.17 $2,744.82 $821.88 2026-05-14
70481 CPT CT Orbit, Sella, Ear With Contrast 23 10 $2,693.11 — $152.96 $2,423.80 $821.88 2026-05-14
74176 CPT CT Abdomen/pelvis Without Contrast 23 10 $4,342.50 — $208.07 $3,908.25 $821.88 2026-05-14
70460 CPT CT Head With Contrast 23 10 $2,691.83 — $152.96 $2,422.65 $821.88 2026-05-14
70470 CPT CT Head With & Without Cont 23 10 $4,334.87 — $152.96 $3,901.38 $821.88 2026-05-14
70487 CPT CT Maxillofacial With Contrast 23 10 $2,693.11 — $152.96 $2,423.80 $821.88 2026-05-14
70480 CPT CT Orbit, Sella , Ear Without Contrast 23 10 $2,100.25 — $91.17 $1,890.23 $821.88 2026-05-14
73700 CPT CT Lower Ext Without Cont Lt 69 10 $2,100.25 — $91.17 $2,371.43 $821.88 2026-05-14
74160 CPT CT Abdomen W/cont 23 10 $2,693.11 — $152.96 $2,423.80 $821.88 2026-05-14
74170 CPT CT Abdomen With And Without Cont 23 10 $3,989.07 — $152.96 $3,590.16 $821.88 2026-05-14
73702 CPT CT Lower Ext W/wo Contrast Bilat 69 10 $3,294.89 — $152.96 $3,778.27 $821.88 2026-05-14
73200 CPT CT Upper Extremity Without Contrast Bilat 69 10 $2,100.25 — $91.17 $3,184.30 $821.88 2026-05-14
73201 CPT CT Upper Extremity With Contrast Bilat 69 10 $2,693.11 — $304.22 $3,778.27 $821.88 2026-05-14
72127 CPT CT Cervical Spine With/without Contrast 23 10 $3,896.56 — $152.96 $3,506.90 $821.88 2026-05-14
73202 CPT CT Upper Extremity W/wo Contrast Bilat 69 10 $2,624.71 — $152.96 $3,913.90 $821.88 2026-05-14
46050 CPT I&d Perianal Abscess Superficial 25 11 $1,854.83 — $65.02 $2,260.19 $810.95 2026-05-14
46608 CPT Anoscopy W/fb Removal 25 11 $1,956.13 — $77.51 $2,260.19 $810.95 2026-05-14
45378 CPT Dx Exam Large Bowel W/scope 25 11 $1,551.80 — $100.00 $1,700.00 $810.95 2026-05-14
59000 CPT Amniocentesis 25 11 $1,780.93 — $68.15 $2,800.00 $803.18 2026-05-14
28193 CPT Soft Tissue Fb Removal Foot Complicated 36 11 $516.43 — $80.25 $3,121.93 $796.00 2026-05-14
28190 CPT Wd Removal Foreign Body Foot 38 11 $2,190.81 — $100.00 $2,800.00 $796.00 2026-05-14
27257 CPT Tx Spontaneous Hip Dislo Without Mani/anesth 37 11 $508.74 — $79.06 $3,089.52 $796.00 2026-05-14
43239 CPT Dx Exam Esoph/stom/bowel W/bx 1or> 25 11 $1,582.27 — $100.00 $1,700.00 $790.92 2026-05-14
43235 CPT Dx Exam Esoph/stom/bowel W/scope 25 11 $1,582.27 — $100.00 $1,700.00 $790.92 2026-05-14
40804 CPT Rem Embedded Fb Mouth Vestibule Simple 25 11 $1,995.53 — $79.44 $2,260.19 $790.92 2026-05-14
49082 CPT Abd Dx/tx Paracentesis Without Imaging Guida 25 11 $1,995.53 — $59.28 $2,800.00 $790.92 2026-05-14
49083 CPT Abd Paracentesis W/guide 25 11 $1,995.53 — $91.32 $2,260.19 $790.92 2026-05-14
49084 CPT Peritoneal Lavage 25 11 $1,995.53 — $100.00 $2,260.19 $790.92 2026-05-14
73206 CPT CTA Upper Extremity 23 10 $1,904.11 — $152.96 $1,713.70 $790.21 2026-05-14
72191 CPT CTA Pelvis 23 10 $1,904.11 — $152.96 $1,713.70 $790.21 2026-05-14
75635 CPT CTA Aorta Runoff 23 10 $1,904.11 — $152.96 $1,713.70 $790.21 2026-05-14
74175 CPT CTA Abdomen 23 10 $1,904.11 — $152.96 $1,713.70 $790.21 2026-05-14
64483 CPT Nerve Block Lumb/sacral Single Level 36 11 $2,281.16 — $77.25 $2,053.04 $783.64 2026-05-14
11047 CPT Wd Deb Bone Add On 33 7 $1,872.54 — $55.68 $2,800.00 $777.10 2026-05-14
62326 CPT Epidural Cont Infusion Lumb/sacral 25 11 $2,281.16 — $80.01 $2,053.04 $771.28 2026-05-14
64446 CPT Sciatic Nerve Block Cont Infusion 25 11 $1,709.06 — $100.00 $1,700.00 $771.28 2026-05-14
62322 CPT Lumbar Sacral Injection 38 11 $1,356.64 — $76.97 $2,260.19 $771.28 2026-05-14
64416 CPT Brachial Plexus Block Cont Infusion 25 11 $2,281.16 — $100.00 $2,053.04 $771.28 2026-05-14
64417 CPT Axillary Nerve Block 50 11 $1,995.11 — $63.84 $2,260.19 $771.28 2026-05-14
62324 CPT Epidural Cont Infusion Cerv/thoracic 25 11 $2,281.16 — $81.55 $2,053.04 $771.28 2026-05-14
64448 CPT Femoral Nerve Block Cont Infusion 25 11 $1,709.06 — $100.00 $1,700.00 $771.28 2026-05-14
64493 CPT Inj Dx/tx Agnt Paravertebral Facet Jnt L 25 11 $2,027.04 — $61.00 $2,260.19 $771.28 2026-05-14
64490 CPT Inj Dx/tx Agnt Paravertebral Facet Jnt C 25 11 $2,027.04 — $71.80 $2,260.19 $771.28 2026-05-14
64479 CPT Nerve Block Cerv/thoracic Single Level 25 11 $2,281.16 — $90.63 $2,053.04 $771.28 2026-05-14
78466 CPT Nm Myocardial Infarction Scan 21 10 $4,314.53 — $348.61 $3,883.08 $766.69 2026-05-14
81243 CPT Fragile X Chromosome Analysis 16 6 $2,035.98 — $57.04 $1,832.38 $763.69 2026-05-14
0750 RC — 100 6 $1,775.15 — $138.54 $3,857.11 $751.06 2026-05-14
51710 CPT Suprapubic Cath. Replacement Complicated 25 11 $4,224.27 — $74.74 $3,801.84 $750.65 2026-05-14
95805 CPT Multi Sleep Latency Testing 25 11 $3,922.69 — $495.00 $3,530.42 $748.84 2026-05-14
95811 CPT Sleep Study With Cpap 25 11 $3,479.25 — $540.68 $3,131.33 $748.84 2026-05-14
86910 CPT Paternity Determin 16 6 $1,947.29 — $22.79 $1,752.56 $730.43 2026-05-14
99291 CPT Critical Care 30 To 74 Minutes 38 11 $2,465.49 — $89.83 $2,218.94 $720.31 2026-05-14
0940 RC — 16 7 $1,917.14 — $297.92 $1,725.43 $719.12 2026-05-14
77012 CPT CT Needle Biopsy 16 7 $1,844.86 — $256.00 $1,660.37 $692.01 2026-05-14
15276 CPT Wd Skin Sub Graft Face Nk Hf G Addl Cm 31 7 $1,666.00 — $21.04 $2,800.00 $691.39 2026-05-14
15272 CPT Wd Low Cost Skin Sub Addl Application 31 7 $1,359.60 — $14.71 $2,800.00 $691.39 2026-05-14
49560 CPT Rpr Ventral Hern Init Reduct 16 6 $1,418.36 — $100.00 $1,700.00 $672.66 2026-05-14
64450 CPT Nerve Block Othr Perf Nerve 38 11 $1,356.64 — $51.86 $2,260.19 $649.25 2026-05-14
88309 CPT Sur Path Comp/diagn 23 10 $1,214.92 — $81.28 $1,093.43 $648.16 2026-05-14
12045 CPT Rep Int Wnd Nhf Or Extgen 12.6-20.0cm 25 11 $1,292.08 — $100.00 $2,260.19 $644.49 2026-05-14
12044 CPT Rep Int Wnd Nhf Or Extgen 7.6-12.5cm 25 11 $1,292.08 — $100.00 $2,260.19 $644.49 2026-05-14
12036 CPT Rep Int Wnd Sat Or Ext 20.1-30.0cm 25 11 $1,292.08 — $100.00 $2,260.19 $644.49 2026-05-14
12020 CPT Wd Closure Of Split Wound 25 11 $1,813.83 — $100.00 $2,800.00 $644.49 2026-05-14
11043 CPT Debridement Skin/ Musc 49 11 $1,212.30 — $100.00 $2,800.00 $644.49 2026-05-14
11106 CPT Wd Incal Bx Skin Singe Lesion 25 11 $1,813.83 — $53.40 $2,800.00 $644.49 2026-05-14
13152 CPT Rep Complex Enel 2.6-7.5cm 25 11 $1,292.08 — $100.00 $2,260.19 $644.49 2026-05-14
13151 CPT Rep Complex Enel 1.1-2.5cm 25 11 $1,292.08 — $100.00 $2,260.19 $644.49 2026-05-14
11760 CPT Repair Nail Bed 25 11 $1,292.08 — $79.05 $2,260.19 $644.49 2026-05-14
13101 CPT Rep Complex Trunk 2.6-7.5cm 25 11 $1,292.08 — $100.00 $2,260.19 $644.49 2026-05-14
13100 CPT Rep Complex Trunk 1.1-2.5cm 25 11 $1,292.08 — $100.00 $2,260.19 $644.49 2026-05-14
12046 CPT Rep Int Wnd Nhf Or Extgen 20.1-30.0cm 25 11 $1,292.08 — $100.00 $2,260.19 $644.49 2026-05-14
32554 CPT Thoracentesis 36 11 $1,830.49 — $76.16 $2,260.19 $633.06 2026-05-14
78223 CPT ***dnu*****nm Hida Scan 14 6 $1,510.24 — $234.69 $1,359.22 $626.75 2026-05-14
11440 CPT Exc Other B9 Lesion W/margins (feenlmm) 25 11 $1,388.85 — $59.04 $1,700.00 $617.51 2026-05-14
11403 CPT Wd Exc Tr Ext B9 +marg 2.1-3 Cm 25 11 $2,032.19 — $91.85 $2,800.00 $617.51 2026-05-14
11402 CPT Wd Exc Tr Ext B9 +marg 1.1-2 Cm 25 11 $2,032.19 — $76.51 $2,800.00 $617.51 2026-05-14
10081 CPT I&d Abscess, Simple 25 11 $1,963.82 — $100.00 $2,260.19 $617.51 2026-05-14
10080 CPT I&d Abscess, Pilonidal 25 11 $1,525.07 — $54.51 $2,260.19 $617.51 2026-05-14
10005 CPT Fn Bx W/us Guide First Lesion 25 11 $1,729.06 — $64.41 $2,260.19 $617.51 2026-05-14
64445 CPT Sciatic Nerve Block Injection 25 11 $1,356.64 — $58.37 $1,700.00 $615.55 2026-05-14
20606 CPT Arthrocentesis Intermed Jnt W/guide 25 11 $1,564.46 — $45.55 $2,260.19 $615.55 2026-05-14
62320 CPT Epidural Injection Cervical/thoracic 25 11 $2,281.16 — $89.44 $2,053.04 $615.55 2026-05-14
62273 CPT Blood Patch 50 11 $1,612.70 — $100.00 $2,800.00 $615.55 2026-05-14
64447 CPT Femoral Nerve Block Injection 50 11 $1,356.64 — $100.00 $2,260.19 $615.55 2026-05-14
64420 CPT Intercostal Nerve Block 25 11 $1,356.64 — $54.21 $1,700.00 $615.55 2026-05-14
62270 CPT Spinal Puncture Dx 25 11 $1,564.46 — $57.62 $2,260.19 $615.55 2026-05-14
51720 CPT Bladder Instillation Of Bcg 25 11 $830.62 — $100.00 $2,800.00 $608.06 2026-05-14
52000 CPT Cystourethroscopy 25 11 $2,537.95 — $88.34 $2,800.00 $608.06 2026-05-14
87903 CPT HIV Phenotype 16 6 $1,620.09 — $251.76 $1,458.08 $607.69 2026-05-14
70553 CPT MRI Brain W/wo Contrast 25 11 $3,376.66 — $256.00 $3,038.99 $600.03 2026-05-14
87633 CPT Respiratory Viral Panel 16 6 $1,581.54 — $193.90 $1,423.39 $593.24 2026-05-14
92953 CPT Temp Transcutaneus Pacing 39 11 $1,385.50 — $200.02 $1,246.95 $576.36 2026-05-14
92960 CPT Cardioversion 51 11 $1,385.50 — $119.61 $1,441.13 $576.36 2026-05-14
92961 CPT Cardioversion Elective Internal 25 11 $1,385.50 — $215.31 $1,246.95 $576.36 2026-05-14
0413 RC — 18 7 $1,360.63 — $167.41 $1,224.57 $564.66 2026-05-14
36589 CPT Wd Removal Tunneled Cv Cath 25 11 $1,813.83 — $100.00 $2,800.00 $547.03 2026-05-14
32555 CPT Thoracentesis W/guidance 25 11 $1,334.86 — $95.17 $2,260.19 $547.03 2026-05-14
11046 CPT Debride Muscle/fascia Addnl 20 Sq Cm Or 33 7 $1,688.26 — $32.00 $2,800.00 $543.84 2026-05-14
75960 CPT Transcatheter Intro Of Intravascular Ste 14 6 $1,308.82 — $203.39 $1,177.94 $543.16 2026-05-14
78802 CPT Nm Gallium Scan Tumor Localization 21 10 $3,046.58 — $473.44 $2,741.92 $541.38 2026-05-14
See an error in this hospital's data? Submit a correction