Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

BEAR LAKE MEMORIAL HOSPITAL

Montpelier, ID · CCN 131316 · Rates published

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You selected 93350 (HCPCS)

US ECHO TRANSTHORASIC STRESS TESTING

This hospital’s price: $846 across 6 payers · range $164-$1,164

Source: https://blmh.health/wp-content/uploads/2025/05/826001195_bear-lake-county-memorial-hospital_standardcharges.csv.csv · observed 2026-07-15

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

1,672 distinct procedures filed
6 distinct payers
18,421 rate rows
2026-07-15 last MRF observed
Data quality

17,938 of 18,421 rate rows are consumer-grade (97.4%)

483 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 477
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5
per-diem day rate — not a per-procedure price 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://blmh.health/wp-content/uploads/2025/05/826001195_bear-lake-county-memorial-hospital_standardcharges.csv.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-03
Content fingerprint 3bf585cde8d770da… · 5,458,929 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
J9043
HCPCS 		Jevtana IV Soln 60mg/1.5ml (per 1mg),zero Drug Amount Discarded/not Administered… 6 $143.23 $9,680.60 $6,686.60 nat. median
$735
outlier · 9.1×
J9218
HCPCS 		Lupron Depot 30mg IM Kit 6 $11.47 $8,825.06 $6,095.66 nat. median
$322
outlier · 18.9×
78815
HCPCS 		Nm PET Image W/ct Skull-thigh 6 $2,421.12 $6,021.76 $4,102.73 nat. median
$2,820
1.5× median
0274
RC 		6 $1,458.21 $3,626.83 $3,047.28 nat. median
$293
outlier · 10.4×
78452
HCPCS 		Nm Myocardial Perfusion Spect (chemical 6 $374.33 $3,332.50 $3,042.72 nat. median
$1,816
1.7× median
22514
HCPCS 		Vertebroplasty Lumbar Perq 6 $1,094.15 $2,805.50 $2,693.28 nat. median
$8,406
outlier · 0.3×
95811
HCPCS 		Rt Sleep Study Cpap 6 $582.58 $3,551.17 $2,581.01 nat. median
$1,894
1.4× median
15273
HCPCS 		Apply Skin Graft To Trunk 100 Sq Cm 6 $269.17 $3,282.96 $2,386.07 nat. median
$3,108
0.8× median
95810
HCPCS 		Rt Sleep Study Baseline 6 $556.43 $3,230.10 $2,347.65 nat. median
$1,825
1.3× median
81201
HCPCS 		Adenomatous Polyposis Coli Gene Mutation 6 $702.00 $3,357.66 $2,319.20 nat. median
$780
outlier · 3.0×
22510
HCPCS 		Perq Cervicothoracic Inject 6 $1,069.19 $2,659.26 $2,067.67 nat. median
$4,204
outlier · 0.5×
22511
HCPCS 		Perq Lumbrosacral Injection 6 $1,062.56 $2,642.76 $2,058.67 nat. median
$4,195
outlier · 0.5×
24071
HCPCS 		Exc Tumor Soft Tissue Upper Arm 6 $363.39 $2,767.41 $2,011.37 nat. median
$2,993
0.7× median
22903
HCPCS 		Exc Tumor Soft Tissue Abd Wall Subq 3 Cm,assistant Surgery 6 $62.71 $2,732.49 $1,985.99 nat. median
$2,998
0.7× median
43249
HCPCS 		Egd Balloon Dil Eso <30mm 6 $801.06 $2,018.44 $1,951.30 nat. median
$2,120
0.9× median
11770
HCPCS 		Excision Pilonidal Cyst Simple 6 $305.58 $2,606.88 $1,894.68 nat. median
$2,837
0.7× median
81162
HCPCS 		Brca 1 & 2 Comp Analysis (BRCAssure) 6 $753.48 $1,932.00 $1,854.72 nat. median
$1,825
1.0× median
81223
HCPCS 		Pancreatitis Panel Sequencing 6 $449.10 $2,635.00 $1,820.06 nat. median
$749
outlier · 2.4×
73725
HCPCS 		Mr Angio Lower Ext W/wo, Left,left Side Of Body 6 $304.44 $2,618.03 $1,808.33 nat. median
$1,248
1.4× median
81408
HCPCS 		Fbn1 Marfan Syndrome 6 $729.79 $1,871.25 $1,807.55 nat. median
$943
1.9× median
43233
HCPCS 		Egd Balloon Dil Esoph 30 Mm/> 6 $202.28 $1,820.08 $1,757.02 nat. median
$2,169
0.8× median
43245
HCPCS 		Egd Dilation Gastric/duodenal Stricture 6 $508.72 $1,820.08 $1,757.02 nat. median
$2,200
0.8× median
43250
HCPCS 		Egd Flex Rmvl Les Hot Biopsy 6 $390.17 $1,820.08 $1,757.02 nat. median
$2,044
0.9× median
25071
HCPCS 		Exc Forearm Les Sc 3 Cm/>,assistant Surgery 6 $61.06 $2,398.32 $1,743.12 nat. median
$2,140
0.8× median
78804
HCPCS 		Nm Tumor Local Spec 6 $488.47 $2,537.50 $1,700.12 nat. median
$1,559
1.1× median
J3246
HCPCS 		Aggrastat 12.5 Mg/250 Ml Bag Per 25 Mg 5 $8.08 $1,724.66 $1,689.10 nat. median
$205
outlier · 8.2×
P9035
HCPCS 		Bb Unit Platepheresis 6 $787.61 $1,958.92 $1,645.89 nat. median
$804
outlier · 2.0×
77049
HCPCS 		Mr Breast Bilateral W/wo W Cad 6 $310.28 $2,344.49 $1,619.39 nat. median
$967
1.7× median
74185
HCPCS 		MRA Abdomen W/wo 6 $304.38 $2,327.03 $1,607.33 nat. median
$1,241
1.3× median
0100
RC 		5 $521.42 $2,782.93 $1,581.10 nat. median
$4,407
outlier · 0.4×
81405
HCPCS 		Alzheimers Ngs Diag Test 6 $271.22 $2,220.33 $1,533.63 nat. median
$372
outlier · 4.1×
0720
RC 		6 $602.55 $2,968.20 $1,498.65 nat. median
$925
1.6× median
45378
HCPCS 		Colonoscopy Without Biopsy 6 $301.01 $2,026.81 $1,473.10 nat. median
$1,342
1.1× median
G0105
HCPCS 		Colonoscopy High Risk 6 $301.01 $2,011.78 $1,462.17 nat. median
$1,305
1.1× median
J1950
HCPCS 		Lupron Depot 45 Mg IM (per 3.75 Mg) 6 Mo 6 $580.71 $1,489.00 $1,429.44 nat. median
$3,902
outlier · 0.4×
A9569
HCPCS 		Technetium Tc-99m Auto Wbc 6 $683.87 $1,700.90 $1,429.10 nat. median
$1,905
0.8× median
0750
RC 		6 $583.64 $1,992.38 $1,421.68 nat. median
$1,870
0.8× median
45385
HCPCS 		Colonosopy W/lesion Removal 6 $400.83 $1,944.24 $1,413.08 nat. median
$1,669
0.8× median
J2506
HCPCS 		Neulasta 6mg/0.6ml (per 0.5 Mg) Chemo,zero Drug Amount Discarded/not Administere… 6 $668.27 $1,662.10 $1,396.50 nat. median
$1,646
0.8× median
77047
HCPCS 		Mr Breast Bilateral Wo 6 $198.77 $2,012.75 $1,390.25 nat. median
$544
outlier · 2.6×
99291
HCPCS 		Critical Care 1st 30 - 74 Min 6 $248.16 $1,901.20 $1,381.80 nat. median
$1,530
0.9× median
23655
HCPCS 		Close Shoulder Dis W Manip W Anes 6 $372.85 $1,372.06 $1,330.95 nat. median
$1,762
0.8× median
70553
HCPCS 		Mr Brain W/wo Contrast 6 $289.69 $2,895.94 $1,286.37 nat. median
$1,133
1.1× median
72158
HCPCS 		Mr Spine Lumbar W/wo Contrast 6 $289.98 $2,884.78 $1,284.12 nat. median
$1,093
1.2× median
72157
HCPCS 		Mr Spine Thoracic W/wo Contrast 6 $291.16 $2,884.78 $1,284.12 nat. median
$1,105
1.2× median
12037
HCPCS 		Lac Med S/a/t/e >30cm 6 $430.42 $1,764.92 $1,282.74 nat. median
$1,948
0.7× median
12047
HCPCS 		Lac Med N/h/f/g >30,assistant Surgery 6 $76.89 $1,764.92 $1,282.74 nat. median
$1,824
0.7× median
A9552
HCPCS 		Nm F18 Fdg 6 $612.89 $1,524.36 $1,280.77 nat. median
$659
1.9× median
45380
HCPCS 		Colonoscopy Flexible With Biopsy 6 $380.33 $1,746.36 $1,269.26 nat. median
$1,565
0.8× median
15275
HCPCS 		Apply Skin Sub To Face 25 Or Less Sq Cm 6 $142.65 $1,741.64 $1,265.83 nat. median
$1,713
0.7× median

Other procedures at this hospital

Browse this hospital's 1,672 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
             
J9043 HCPCS Jevtana IV Soln 60mg/1.5ml (per 1mg),zero Drug Amount Discarded/not Administered… 6 6 $9,980.00 $8,483.00 $143.23 $9,680.60 $6,686.60 2026-07-15
J9218 HCPCS Lupron Depot 30mg IM Kit 6 6 $9,098.00 $7,733.30 $11.47 $8,825.06 $6,095.66 2026-07-15
78815 HCPCS Nm PET Image W/ct Skull-thigh 6 6 $6,208.00 $5,276.80 $2,421.12 $6,021.76 $4,102.73 2026-07-15
0274 RC — 6 6 $3,739.00 $3,178.15 $1,458.21 $3,626.83 $3,047.28 2026-07-15
78452 HCPCS Nm Myocardial Perfusion Spect (chemical 10 6 $3,332.50 $2,832.63 $374.33 $3,332.50 $3,042.72 2026-07-15
22514 HCPCS Vertebroplasty Lumbar Perq 6 6 $2,805.50 $2,384.68 $1,094.15 $2,805.50 $2,693.28 2026-07-15
95811 HCPCS Rt Sleep Study Cpap 6 6 $3,661.00 $3,111.85 $582.58 $3,551.17 $2,581.01 2026-07-15
15273 HCPCS Apply Skin Graft To Trunk 100 Sq Cm 6 6 $3,384.50 $2,876.83 $269.17 $3,282.96 $2,386.07 2026-07-15
95810 HCPCS Rt Sleep Study Baseline 6 6 $3,330.00 $2,830.50 $556.43 $3,230.10 $2,347.65 2026-07-15
81201 HCPCS Adenomatous Polyposis Coli Gene Mutation 6 6 $3,461.50 $2,942.28 $702.00 $3,357.66 $2,319.20 2026-07-15
22510 HCPCS Perq Cervicothoracic Inject 6 6 $2,741.50 $2,330.28 $1,069.19 $2,659.26 $2,067.67 2026-07-15
22511 HCPCS Perq Lumbrosacral Injection 6 6 $2,724.50 $2,315.83 $1,062.56 $2,642.76 $2,058.67 2026-07-15
24071 HCPCS Exc Tumor Soft Tissue Upper Arm 6 6 $2,853.00 $2,425.05 $363.39 $2,767.41 $2,011.37 2026-07-15
22903 HCPCS Exc Tumor Soft Tissue Abd Wall Subq 3 Cm,assistant Surgery 6 6 $2,817.00 $2,394.45 $62.71 $2,732.49 $1,985.99 2026-07-15
43249 HCPCS Egd Balloon Dil Eso <30mm 11 6 $2,080.87 $1,768.74 $801.06 $2,018.44 $1,951.30 2026-07-15
11770 HCPCS Excision Pilonidal Cyst Simple 6 6 $2,687.50 $2,284.38 $305.58 $2,606.88 $1,894.68 2026-07-15
81162 HCPCS Brca 1 & 2 Comp Analysis (BRCAssure) 6 6 $1,932.00 $1,642.20 $753.48 $1,932.00 $1,854.72 2026-07-15
81223 HCPCS Pancreatitis Panel Sequencing 6 6 $2,716.50 $2,309.03 $449.10 $2,635.00 $1,820.06 2026-07-15
73725 HCPCS Mr Angio Lower Ext W/wo, Left,left Side Of Body 12 6 $2,699.00 $2,294.15 $304.44 $2,618.03 $1,808.33 2026-07-15
81408 HCPCS Fbn1 Marfan Syndrome 6 6 $1,871.25 $1,590.56 $729.79 $1,871.25 $1,807.55 2026-07-15
43245 HCPCS Egd Dilation Gastric/duodenal Stricture 11 6 $1,876.37 $1,594.91 $508.72 $1,820.08 $1,757.02 2026-07-15
43250 HCPCS Egd Flex Rmvl Les Hot Biopsy 11 6 $1,876.37 $1,594.91 $390.17 $1,820.08 $1,757.02 2026-07-15
43233 HCPCS Egd Balloon Dil Esoph 30 Mm/> 11 6 $1,876.37 $1,594.91 $202.28 $1,820.08 $1,757.02 2026-07-15
25071 HCPCS Exc Forearm Les Sc 3 Cm/>,assistant Surgery 6 6 $2,472.50 $2,101.63 $61.06 $2,398.32 $1,743.12 2026-07-15
78804 HCPCS Nm Tumor Local Spec 6 6 $2,537.50 $2,156.88 $488.47 $2,537.50 $1,700.12 2026-07-15
J3246 HCPCS Aggrastat 12.5 Mg/250 Ml Bag Per 25 Mg 5 5 $1,778.00 $1,511.30 $8.08 $1,724.66 $1,689.10 2026-07-15
P9035 HCPCS Bb Unit Platepheresis 6 6 $2,019.50 $1,716.58 $787.61 $1,958.92 $1,645.89 2026-07-15
77049 HCPCS Mr Breast Bilateral W/wo W Cad 6 6 $2,417.00 $2,054.45 $310.28 $2,344.49 $1,619.39 2026-07-15
74185 HCPCS MRA Abdomen W/wo 6 6 $2,399.00 $2,039.15 $304.38 $2,327.03 $1,607.33 2026-07-15
0100 RC — 41 5 $1,801.00 $1,530.85 $521.42 $2,782.93 $1,581.10 2026-07-15
81405 HCPCS Alzheimers Ngs Diag Test 6 6 $2,289.00 $1,945.65 $271.22 $2,220.33 $1,533.63 2026-07-15
0720 RC — 31 6 $2,142.00 $1,820.70 $602.55 $2,968.20 $1,498.65 2026-07-15
45378 HCPCS Colonoscopy Without Biopsy 6 6 $2,089.49 $1,776.07 $301.01 $2,026.81 $1,473.10 2026-07-15
G0105 HCPCS Colonoscopy High Risk 6 6 $2,074.00 $1,762.90 $301.01 $2,011.78 $1,462.17 2026-07-15
J1950 HCPCS Lupron Depot 45 Mg IM (per 3.75 Mg) 6 Mo 6 6 $1,489.00 $1,265.65 $580.71 $1,489.00 $1,429.44 2026-07-15
A9569 HCPCS Technetium Tc-99m Auto Wbc 6 6 $1,753.50 $1,490.48 $683.87 $1,700.90 $1,429.10 2026-07-15
0750 RC — 11 6 $1,496.50 $1,272.03 $583.64 $1,992.38 $1,421.68 2026-07-15
45385 HCPCS Colonosopy W/lesion Removal 6 6 $2,004.37 $1,703.71 $400.83 $1,944.24 $1,413.08 2026-07-15
J2506 HCPCS Neulasta 6mg/0.6ml (per 0.5 Mg) Chemo,zero Drug Amount Discarded/not Administere… 6 6 $1,713.50 $1,456.48 $668.27 $1,662.10 $1,396.50 2026-07-15
77047 HCPCS Mr Breast Bilateral Wo 6 6 $2,075.00 $1,763.75 $198.77 $2,012.75 $1,390.25 2026-07-15
99291 HCPCS Critical Care 1st 30 - 74 Min 6 6 $1,960.00 $1,666.00 $248.16 $1,901.20 $1,381.80 2026-07-15
23655 HCPCS Close Shoulder Dis W Manip W Anes 11 6 $1,414.50 $1,202.33 $372.85 $1,372.06 $1,330.95 2026-07-15
70553 HCPCS Mr Brain W/wo Contrast 6 6 $2,985.50 $2,537.68 $289.69 $2,895.94 $1,286.37 2026-07-15
72158 HCPCS Mr Spine Lumbar W/wo Contrast 6 6 $2,974.00 $2,527.90 $289.98 $2,884.78 $1,284.12 2026-07-15
72157 HCPCS Mr Spine Thoracic W/wo Contrast 6 6 $2,974.00 $2,527.90 $291.16 $2,884.78 $1,284.12 2026-07-15
12047 HCPCS Lac Med N/h/f/g >30,assistant Surgery 6 6 $1,819.50 $1,546.58 $76.89 $1,764.92 $1,282.74 2026-07-15
12037 HCPCS Lac Med S/a/t/e >30cm 6 6 $1,819.50 $1,546.58 $430.42 $1,764.92 $1,282.74 2026-07-15
A9552 HCPCS Nm F18 Fdg 6 6 $1,571.50 $1,335.78 $612.89 $1,524.36 $1,280.77 2026-07-15
45380 HCPCS Colonoscopy Flexible With Biopsy 6 6 $1,800.37 $1,530.31 $380.33 $1,746.36 $1,269.26 2026-07-15
15277 HCPCS Apply Skin Sub To Face 100 Sq Cm 6 6 $1,795.50 $1,526.18 $301.22 $1,741.64 $1,265.83 2026-07-15
15271 HCPCS Apply Skin Graft To Trunk 25 Sq Cm Or Le 6 6 $1,795.50 $1,526.18 $136.24 $1,741.64 $1,265.83 2026-07-15
15275 HCPCS Apply Skin Sub To Face 25 Or Less Sq Cm 6 6 $1,795.50 $1,526.18 $142.65 $1,741.64 $1,265.83 2026-07-15
90999 HCPCS Hemodialysis Treatment 6 6 $1,549.00 $1,316.65 $604.11 $1,502.53 $1,262.43 2026-07-15
74183 HCPCS Mr Abdominal W &with Contrast 6 6 $2,733.00 $2,323.05 $306.31 $2,651.01 $1,237.13 2026-07-15
70543 HCPCS Mr Orbt/fac/nck Without & With Contrast 6 6 $2,721.50 $2,313.28 $307.04 $2,639.86 $1,234.89 2026-07-15
72147 HCPCS Mr Spine Thoracic With Contrast 6 6 $2,711.50 $2,304.78 $247.19 $2,630.16 $1,232.94 2026-07-15
72156 HCPCS Mr Spine Cervical W/wo Contrast 6 6 $2,711.50 $2,304.78 $290.57 $2,630.16 $1,232.94 2026-07-15
73222 HCPCS Mr Jt Upper Ext With Contrast Left,left Side Of Body 12 6 $2,699.50 $2,294.58 $280.93 $2,618.52 $1,230.60 2026-07-15
10140 HCPCS I&d Hematoma/seroma 11 6 $1,292.50 $1,098.63 $151.16 $1,478.76 $1,227.88 2026-07-15
70552 HCPCS Mr Brain With Contrast 6 6 $2,680.50 $2,278.43 $245.72 $2,600.08 $1,226.89 2026-07-15
32556 HCPCS Drain Fluid F Chest W Ins Of Indw Tube 6 6 $1,726.00 $1,467.10 $629.60 $1,674.22 $1,216.83 2026-07-15
77048 HCPCS MRI Breast Left W/wo Contrast,left Side Of Body 12 6 $1,816.00 $1,543.60 $304.25 $1,761.52 $1,216.72 2026-07-15
81404 HCPCS Fatty Acid Oxidation Disorders Pan Arup 6 6 $1,800.00 $1,530.00 $247.35 $1,746.00 $1,206.00 2026-07-15
70546 HCPCS MRA Brain With & Without Contrast 6 6 $2,572.50 $2,186.63 $297.69 $2,495.32 $1,205.84 2026-07-15
73723 HCPCS Mr Lower Joint W & Without Contrast 6 6 $2,523.00 $2,144.55 $346.98 $2,447.31 $1,196.18 2026-07-15
73720 HCPCS Mr Lower Extremity W/& Without , Left,left Side Of Body 12 6 $2,523.00 $2,144.55 $305.28 $2,447.31 $1,196.18 2026-07-15
72197 HCPCS Mr Pelvis W/wo Contrast 6 6 $2,516.00 $2,138.60 $305.13 $2,440.52 $1,194.82 2026-07-15
74178 HCPCS CT Abd Pelvis W/wo Contrast 6 6 $3,355.50 $2,852.18 $293.18 $3,254.84 $1,193.29 2026-07-15
15274 HCPCS Apply Skin Graft To Trunk Addtl100 Sq Cm 6 6 $1,692.00 $1,438.20 $69.97 $1,641.24 $1,192.86 2026-07-15
72149 HCPCS Mr Spine Lumbar With Contrast 6 6 $2,496.50 $2,122.03 $245.14 $2,421.60 $1,191.02 2026-07-15
72142 HCPCS Mr Spine Cervical With Contrast 6 6 $2,487.00 $2,113.95 $249.54 $2,412.39 $1,189.16 2026-07-15
73223 HCPCS Mr Joint Upr Ext Without & With Contrast Left,left Side Of Body 12 6 $2,465.50 $2,095.68 $347.87 $2,391.54 $1,184.97 2026-07-15
45331 HCPCS Sigmoidoscopy Flx W/biopsy Singl/multipl 6 6 $1,677.98 $1,426.28 $248.09 $1,627.64 $1,182.97 2026-07-15
70548 HCPCS MRA Neck With Contrast 6 6 $2,455.00 $2,086.75 $223.30 $2,381.35 $1,182.92 2026-07-15
73722 HCPCS Mr Joint Lower Extr W/contrast Lt,left Side Of Body 12 6 $2,452.00 $2,084.20 $282.40 $2,378.44 $1,182.34 2026-07-15
78451 HCPCS Nm Myocardial Perfusion Ef 6 6 $1,761.50 $1,497.28 $272.57 $1,761.50 $1,180.20 2026-07-15
36556 HCPCS Central Line Insertion >5 Years 13 6 $1,214.00 $1,031.90 $98.28 $2,950.74 $1,177.58 2026-07-15
71271 HCPCS CT Thorax Lung Cancer Screening 6 6 $1,663.50 $1,413.98 $125.26 $1,613.60 $1,172.76 2026-07-15
99285 HCPCS E&m Level 5 6 6 $1,647.00 $1,399.95 $159.00 $1,597.59 $1,161.13 2026-07-15
64635 HCPCS Fjn Lumb/sac Single 11 6 $2,310.00 $1,963.50 $387.50 $2,240.70 $1,153.78 2026-07-15
74177 HCPCS CT Abd Pelvis With Contrast 6 6 $3,106.50 $2,640.53 $262.15 $3,013.30 $1,144.74 2026-07-15
73220 HCPCS Mr Upper Extremity, Left W/wo Contrast 6 6 $2,193.50 $1,864.48 $369.16 $2,127.70 $1,131.93 2026-07-15
64454 HCPCS Nerve Block/perpheral Nerve 8 6 $2,662.00 $2,262.70 $98.28 $2,582.14 $1,131.35 2026-07-15
38505 HCPCS US Lymph Node Bx 6 6 $1,603.50 $1,362.98 $153.68 $1,555.40 $1,130.46 2026-07-15
P9034 HCPCS Bb Unit Platelet 6 6 $1,382.00 $1,174.70 $538.98 $1,340.54 $1,126.33 2026-07-15
81229 HCPCS Cytogenomic Snp Microarray 6 6 $1,171.00 $995.35 $456.69 $1,160.00 $1,124.16 2026-07-15
G0390 HCPCS Tse Priority 1 16 6 $1,340.00 $1,139.00 $455.13 $1,477.31 $1,120.32 2026-07-15
72196 HCPCS Mr Pelvis With Contrast 6 6 $2,116.50 $1,799.03 $243.52 $2,053.00 $1,116.91 2026-07-15
70549 HCPCS MRA Neck W/wo Contrast 6 6 $2,084.50 $1,771.83 $312.60 $2,021.96 $1,110.68 2026-07-15
27266 HCPCS Cltx Post Hip Arthrp Dislc Req Anes 6 6 $1,562.00 $1,327.70 $525.30 $1,515.14 $1,101.21 2026-07-15
93306 HCPCS US Echo Complete 6 6 $1,538.00 $1,307.30 $173.98 $1,491.86 $1,084.29 2026-07-15
33016 HCPCS Pericardiocentesis With Imaging Guidance 6 6 $1,523.50 $1,294.98 $201.43 $1,477.80 $1,074.07 2026-07-15
27252 HCPCS Cltx Hip Disloc Trmatc W Anes 6 6 $1,522.00 $1,293.70 $593.58 $1,476.34 $1,073.01 2026-07-15
25605 HCPCS Cltx Dstl Rdl Fx/epiphysl Sep W Man 6 6 $1,509.50 $1,283.08 $496.31 $1,464.22 $1,064.19 2026-07-15
27842 HCPCS Cltx Ankle Dislc Req Anes W Wo Prq Skel 6 6 $1,509.50 $1,283.08 $448.47 $1,464.22 $1,064.19 2026-07-15
27752 HCPCS Cltx Tibial Shaft Fx W Man W/wo Skel Tra 6 6 $1,509.50 $1,283.08 $489.32 $1,464.22 $1,064.19 2026-07-15
27810 HCPCS Cltx Bimalleolar Ankle Fx W Mani 6 6 $1,509.50 $1,283.08 $436.81 $1,464.22 $1,064.19 2026-07-15
27510 HCPCS Cltx Fem Fx Dstl End Med/lat Cond W Man 6 6 $1,509.50 $1,283.08 $588.71 $1,464.22 $1,064.19 2026-07-15
23505 HCPCS Closed Treat Clav Fx With Manip 6 6 $1,509.50 $1,283.08 $334.21 $1,464.22 $1,064.19 2026-07-15
81410 HCPCS Ehlers Danlos Syndrome 6 6 $2,163.50 $1,838.98 $453.60 $2,098.60 $1,059.93 2026-07-15
21485 HCPCS Closed Reduction Ofthe Mandular Jaw W An 6 6 $1,349.50 $1,147.08 $526.31 $1,309.02 $1,059.80 2026-07-15
43247 HCPCS Egd Remove Foreign Body 11 6 $1,138.87 $968.04 $336.24 $1,104.70 $1,056.40 2026-07-15
43235 HCPCS Egd Diagnostic Brush Wash 11 6 $1,138.87 $968.04 $253.14 $1,104.70 $1,056.40 2026-07-15
43239 HCPCS Egd W/biopsy Single/multiple 11 6 $1,112.00 $945.20 $327.17 $1,428.68 $1,056.40 2026-07-15
32551 HCPCS Chest Tube Insertion Hemothorax 11 6 $1,099.50 $934.58 $136.78 $1,477.80 $1,044.52 2026-07-15
75822 HCPCS CT Venography Extremity Bilateral 6 6 $1,553.44 $1,320.42 $114.33 $1,553.44 $1,040.81 2026-07-15
36430 HCPCS Blood Admin/unit Op 31 6 $1,126.50 $957.53 $37.45 $2,222.76 $1,036.93 2026-07-15
74174 HCPCS CT Angio Abd & Pelv Without & With Contrast 6 6 $2,551.50 $2,168.78 $300.84 $2,474.96 $1,036.51 2026-07-15
78803 HCPCS Nm Bone Spect 6 6 $1,805.00 $1,534.25 $295.74 $1,750.85 $1,036.09 2026-07-15
21315 HCPCS Closed Reduct Nose 6 6 $1,466.00 $1,246.10 $136.53 $1,422.02 $1,033.53 2026-07-15
94002 HCPCS Rt Ventilator Assist Management 1st Day 6 6 $1,446.00 $1,229.10 $83.50 $1,402.62 $1,019.43 2026-07-15
78709 HCPCS Nm Renal Scan For Hypertension 6 6 $1,645.50 $1,398.68 $294.69 $1,596.14 $1,004.99 2026-07-15
27327 HCPCS Exc Tumor Thigh Knee Subcu 6 6 $1,421.50 $1,208.28 $438.59 $1,378.86 $1,002.15 2026-07-15
78708 HCPCS Nm Renal Scan For Obstruction 6 6 $1,588.50 $1,350.23 $152.50 $1,540.84 $993.87 2026-07-15
74181 HCPCS Mr Abdomen With Contrast 9 6 $2,513.00 $2,136.05 $177.80 $2,437.61 $980.07 2026-07-15
71270 HCPCS CT Chest W/wo Contrast 6 6 $2,170.00 $1,844.50 $177.91 $2,104.90 $962.12 2026-07-15
74176 HCPCS CT Kub 9 6 $1,407.00 $1,195.95 $167.91 $2,388.14 $960.18 2026-07-15
70551 HCPCS Mr Brain Without Contrast 6 6 $2,715.00 $2,307.75 $178.74 $2,633.55 $953.41 2026-07-15
70336 HCPCS Mr Temporomandibular Joint 6 6 $2,715.00 $2,307.75 $237.04 $2,633.55 $953.41 2026-07-15
21552 HCPCS Exc Neck Les Sc 3 Cm/>,assistant Surgery 6 6 $1,314.50 $1,117.33 $63.81 $1,275.06 $926.72 2026-07-15
88120 HCPCS Urine, Fish (bladder Cancer) 6 6 $1,391.50 $1,182.78 $495.39 $1,349.76 $926.30 2026-07-15
73221 HCPCS Mr Upper Joint Left,left Side Of Body 12 6 $2,456.00 $2,087.60 $184.81 $2,382.32 $902.90 2026-07-15
10180 HCPCS I&d Complex Post Op/infect 11 6 $928.00 $788.80 $231.65 $2,444.40 $900.16 2026-07-15
72132 HCPCS CT Spine Lumbar With Contrast 6 6 $1,801.50 $1,531.28 $153.88 $1,747.46 $890.26 2026-07-15
99284 HCPCS E&m Level 4 6 6 $1,257.00 $1,068.45 $109.70 $1,219.29 $886.19 2026-07-15
72146 HCPCS Mr Spine Thoracic Without Contrast 6 6 $2,326.50 $1,977.53 $173.75 $2,256.70 $877.65 2026-07-15
72148 HCPCS Mr Spine Lumbar Without Contrast 6 6 $2,326.50 $1,977.53 $174.04 $2,256.70 $877.65 2026-07-15
72141 HCPCS Mr Spine Cervical Without Contrast 6 6 $2,326.50 $1,977.53 $173.45 $2,256.70 $877.65 2026-07-15
78227 HCPCS Nm Biliary Scan(hida)w/ef 6 6 $1,832.00 $1,557.20 $344.28 $1,777.04 $872.85 2026-07-15
92950 HCPCS Rt Cpr 11 6 $918.00 $780.30 $287.78 $1,001.04 $872.10 2026-07-15
26410 HCPCS Repair Extensor Tendon Hand Primary Or S 6 6 $1,235.00 $1,049.75 $481.65 $1,197.95 $870.67 2026-07-15
78315 HCPCS Nm Bone Scan 3 Phase 6 6 $1,809.50 $1,538.08 $274.88 $1,755.22 $868.47 2026-07-15
92960 HCPCS Cardioversion 11 6 $931.50 $791.78 $138.16 $903.56 $867.82 2026-07-15
72126 HCPCS CT Spine Cervical W/contrast 6 6 $1,672.50 $1,421.63 $153.29 $1,622.32 $865.11 2026-07-15
93970 HCPCS US Venous Up/low-bil 11 6 $1,365.50 $1,160.68 $163.35 $1,324.54 $856.90 2026-07-15
78226 HCPCS Nm Biliary Scan(hida) Without Ef 6 6 $1,729.00 $1,469.65 $256.57 $1,677.13 $852.76 2026-07-15
78472 HCPCS Nm Muga Scan 6 6 $1,713.00 $1,456.05 $183.56 $1,661.61 $849.64 2026-07-15
70547 HCPCS Mr Neck Without Cont 9 6 $1,847.00 $1,569.95 $195.67 $1,791.59 $847.97 2026-07-15
78801 HCPCS Nm Tumor Local Multi 6 6 $1,698.00 $1,443.30 $216.15 $1,647.06 $846.72 2026-07-15
93350 HCPCS US Echo Transthorasic Stress Testing 6 6 $1,199.50 $1,019.58 $164.13 $1,163.52 $845.64 2026-07-15
Q5122 HCPCS Nyvepria Subq 6mg/0.6ml (per 0.5 Mg) Pfs,zero Drug Amount Discarded/not Administ… 6 6 $1,031.00 $876.35 $402.09 $1,000.07 $840.27 2026-07-15
25075 HCPCS Exc Forearm Les Sc < 3 Cm 6 6 $1,187.00 $1,008.95 $455.76 $1,151.39 $836.84 2026-07-15
72195 HCPCS Mr Pelvis Without Contrast 6 6 $2,116.50 $1,799.03 $206.88 $2,053.00 $836.71 2026-07-15
78306 HCPCS Nm Bone Scan Whole Body 6 6 $1,628.50 $1,384.23 $234.02 $1,579.64 $833.17 2026-07-15
73718 HCPCS Mr Lower Extremity Left,right Side Of Body 6 6 $2,082.00 $1,769.70 $201.70 $2,019.54 $829.98 2026-07-15
78278 HCPCS Nm Gi Bleed Scan 6 6 $1,596.00 $1,356.60 $276.85 $1,548.12 $826.83 2026-07-15
21555 HCPCS Exc Tumor Neck Thor Subcut < 3 C.m. 6 6 $1,162.50 $988.13 $383.95 $1,127.62 $819.57 2026-07-15
21011 HCPCS Excision, Tumor, Soft Tissue Of Face Or,assistant Surgery 6 6 $1,159.00 $985.15 $53.30 $1,124.23 $817.10 2026-07-15
93880 HCPCS US Carotid Bilateral 6 6 $1,146.00 $974.10 $166.14 $1,111.62 $807.93 2026-07-15
93971 HCPCS US Venous Up/low-uni Rt 11 6 $847.00 $719.95 $104.59 $845.36 $804.65 2026-07-15
78264 HCPCS Nm Gastric Empty Study 6 6 $1,479.00 $1,257.15 $261.86 $1,434.63 $804.01 2026-07-15
73201 HCPCS CT Upper Extremity With Contrast 6 6 $1,344.00 $1,142.40 $181.01 $1,303.68 $801.05 2026-07-15
78014 HCPCS Nm Thyroid Scan With Uptake 6 6 $1,447.00 $1,229.95 $188.89 $1,403.59 $797.78 2026-07-15
77074 HCPCS X Ray Bone Survey Limited 6 6 $3,264.00 $2,774.40 $54.11 $3,166.08 $792.55 2026-07-15
70540 HCPCS MRI Neck Wo Contrast 6 6 $1,888.50 $1,605.23 $204.64 $1,831.84 $792.25 2026-07-15
93930 HCPCS US Arterial Up Ext Bil 6 6 $1,123.00 $954.55 $174.08 $1,089.31 $791.71 2026-07-15
64633 HCPCS Anesthesia Unit X 15min 9 6 $2,024.50 $1,720.83 $98.28 $1,963.76 $789.56 2026-07-15
73218 HCPCS Mr Upper Extremity Without Contrast Left,left Side Of Body 12 6 $1,874.50 $1,593.33 $248.22 $1,818.26 $789.51 2026-07-15
73721 HCPCS Mr Lower Joint Left,left Side Of Body 12 6 $1,852.50 $1,574.63 $184.52 $1,796.92 $785.23 2026-07-15
32408 HCPCS CT Percut Bx Lung/mediastinum 6 6 $878.00 $746.30 $342.42 $851.66 $779.40 2026-07-15
78070 HCPCS Nm Parathyriod Scan 6 6 $1,345.50 $1,143.68 $234.43 $1,305.14 $777.99 2026-07-15
12007 HCPCS Lac Simple Over 30 6 6 $1,103.50 $937.98 $202.17 $1,070.40 $777.96 2026-07-15
11044 HCPCS Debridement, Bone First 20 Sq Cm Or Less 6 6 $1,103.00 $937.55 $276.39 $1,069.91 $777.62 2026-07-15
70544 HCPCS Mrv Brain Without Contrast 6 6 $1,810.50 $1,538.93 $195.09 $1,756.18 $777.04 2026-07-15
93925 HCPCS US Arterial Leg Bil 6 6 $1,102.00 $936.70 $208.88 $1,068.94 $776.91 2026-07-15
78800 HCPCS Nm Tumor Local Limited 6 6 $1,305.00 $1,109.25 $166.08 $1,265.85 $770.09 2026-07-15
71275 HCPCS CT Chest Angiography 6 6 $2,034.50 $1,729.33 $252.38 $1,973.46 $763.87 2026-07-15
46040 HCPCS I&d Ischlorecta/perirec 11 6 $798.50 $678.73 $311.42 $1,089.80 $758.58 2026-07-15
59412 HCPCS External Cephalic Version W/wo Tocolysis 6 6 $1,071.50 $910.78 $88.33 $1,039.36 $755.40 2026-07-15
78580 HCPCS Nm Lung Perfusion 6 6 $1,217.00 $1,034.45 $188.72 $1,180.49 $752.92 2026-07-15
78290 HCPCS Nm Meckels Diverticulum 6 6 $1,215.50 $1,033.18 $260.80 $1,179.04 $752.63 2026-07-15
70482 HCPCS CT Temporal Bones Wo And W 6 6 $1,963.50 $1,668.98 $190.30 $1,904.60 $750.02 2026-07-15
93923 HCPCS US Arterial Low Ext Bil 6 6 $1,063.00 $903.55 $114.43 $1,031.11 $749.41 2026-07-15
90679 HCPCS Arexvy (rsv) 120mcg/0.5ml 6 6 $919.50 $781.58 $358.61 $891.92 $749.39 2026-07-15
19084 HCPCS US Breast Bx Ea Addtl Lesion Lt,left Side Of Body 12 6 $1,061.50 $902.28 $321.56 $1,029.66 $748.36 2026-07-15
78300 HCPCS Nm Bone Scan Limited 6 6 $1,186.50 $1,008.53 $179.55 $1,150.90 $746.98 2026-07-15
78216 HCPCS Nm Liver/spleen Scan 6 6 $1,175.00 $998.75 $109.18 $1,139.75 $744.74 2026-07-15
73706 HCPCS CT Angio Lower Extremity Without & With Contrast 6 6 $1,922.00 $1,633.70 $288.04 $1,864.34 $741.92 2026-07-15
75635 HCPCS CT Abdominal Aorta W/runoff 6 6 $1,914.00 $1,626.90 $309.24 $1,856.58 $740.37 2026-07-15
20822 HCPCS Reattach Fingertip,assistant Surgery 11 6 $777.50 $660.88 $252.11 $1,464.22 $738.62 2026-07-15
71260 HCPCS CT Chest With Contrast 6 6 $1,898.50 $1,613.73 $151.64 $1,841.54 $737.35 2026-07-15
70492 HCPCS CT Head/neck Soft Tissue W/wo Contrast 6 6 $1,893.00 $1,609.05 $200.89 $1,836.21 $736.27 2026-07-15
78453 HCPCS Nm Myocardial Perfusion Wall Motion 6 6 $1,098.50 $933.73 $234.14 $1,098.50 $736.00 2026-07-15
77012 HCPCS CT Needle Guidance Placement 6 6 $1,096.00 $931.60 $105.83 $1,063.12 $734.32 2026-07-15
94003 HCPCS Rt Ventilator Assist Management Subseque 6 6 $1,040.50 $884.43 $58.44 $1,009.28 $733.56 2026-07-15
64483 HCPCS Trans Epi L/s 1st Level 11 6 $767.00 $651.95 $217.75 $842.93 $728.65 2026-07-15
72194 HCPCS CT Pelvis W/wo Contrast 6 6 $1,850.50 $1,572.93 $217.95 $1,794.98 $727.99 2026-07-15
70488 HCPCS CT Maxillofacial Area Without & With Contrast 6 6 $1,827.50 $1,553.38 $167.10 $1,772.68 $723.50 2026-07-15
93015 HCPCS Nm Cardio Stress Test W/interpret & Rpt 6 6 $1,023.00 $869.55 $65.98 $992.31 $721.22 2026-07-15
70480 HCPCS CT Inner Ear 9 6 $1,846.00 $1,569.10 $144.81 $1,790.62 $719.94 2026-07-15
62281 HCPCS Epidural Cerv/thorac 11 6 $923.00 $784.55 $214.01 $895.31 $719.62 2026-07-15
0450 RC — 6 6 $882.50 $750.13 $344.18 $856.02 $719.24 2026-07-15
11750 HCPCS Nail-matrix Exc 11 6 $809.50 $688.08 $143.80 $785.22 $718.20 2026-07-15
70470 HCPCS CT Brain Skull W/wo Contrast 6 6 $1,797.00 $1,527.45 $157.70 $1,743.09 $717.55 2026-07-15
62321 HCPCS Cervial Or Thoracic Epidural W/guidance 16 6 $755.50 $642.18 $231.12 $743.99 $716.30 2026-07-15
26775 HCPCS Cl Tx Iphal Jt Dislc W Man W Anes 6 6 $1,009.50 $858.08 $367.01 $979.22 $711.69 2026-07-15
70481 HCPCS CT Orbit Ear Fossa W Contrast 6 6 $1,744.00 $1,482.40 $163.60 $1,691.68 $707.21 2026-07-15
62323 HCPCS Lumbar Or Sacral Epidural With Guidance 11 6 $752.50 $639.63 $227.00 $729.92 $704.42 2026-07-15
A9502 HCPCS Nm Myoview 6 6 $863.00 $733.55 $336.57 $837.11 $703.35 2026-07-15
74175 HCPCS CT Angio Abdom Without & With Contrast 6 6 $1,698.50 $1,443.73 $258.22 $1,647.54 $698.35 2026-07-15
70487 HCPCS CT Maxillofacial With Contrast 6 6 $1,694.50 $1,440.33 $138.34 $1,643.66 $697.57 2026-07-15
70498 HCPCS CT Neck Angiography 6 6 $1,694.50 $1,440.33 $245.73 $1,643.66 $697.57 2026-07-15
64490 HCPCS Inj Para Fa Jnt C/t 1 Level W Guid 16 6 $1,327.00 $1,127.95 $172.13 $1,378.86 $694.08 2026-07-15
74160 HCPCS CT Abdomen With Contrast 6 6 $1,663.50 $1,413.98 $193.86 $1,613.60 $691.52 2026-07-15
70496 HCPCS CT Brain Angiography 6 6 $1,662.50 $1,413.13 $246.31 $1,612.62 $691.33 2026-07-15
81420 HCPCS Materni-t21 Plus Core + Sca 17 6 $897.50 $762.88 $266.57 $992.31 $688.75 2026-07-15
75820 HCPCS CT Venograph Extremity Uni 6 6 $1,025.00 $871.25 $95.37 $1,025.00 $686.75 2026-07-15
J9202 HCPCS Zoladex Subq Impl 3.6mg (chemo)per 3.6mg,zero Drug Amount Discarded/not Administ… 6 6 $913.50 $776.48 $338.12 $886.10 $684.55 2026-07-15
12034 HCPCS Layer Close Sate 7.6>12.5 11 6 $740.50 $629.43 $280.22 $718.28 $682.58 2026-07-15
72193 HCPCS CT Pelvis With Contrast 6 6 $1,612.50 $1,370.63 $189.41 $1,564.12 $681.58 2026-07-15
21550 HCPCS Biopsy Neck/thorax 6 6 $960.00 $816.00 $235.14 $931.20 $676.80 2026-07-15
76942 HCPCS Ultrasound Guide For Biopsy 22 6 $775.50 $659.18 $51.30 $1,143.63 $673.44 2026-07-15
62284 HCPCS Injection Procedure Myelography Of Spine 6 6 $954.50 $811.33 $163.81 $925.86 $672.92 2026-07-15
13152 HCPCS Lac Complex Eyelid/lip/nose/ear 2.6-7.5c 6 6 $945.00 $803.25 $368.55 $916.65 $669.39 2026-07-15
70491 HCPCS CT Neck/soft Tissue W Contrast 6 6 $1,543.50 $1,311.98 $167.43 $1,497.20 $668.12 2026-07-15
74170 HCPCS CT Abdomen W/wo Contrast 6 6 $1,519.50 $1,291.58 $220.45 $1,473.92 $663.44 2026-07-15
27781 HCPCS Cltx Prox Fibul/shft Fx W Mani 6 6 $938.00 $797.30 $365.82 $909.86 $661.29 2026-07-15
27788 HCPCS Cltx Dstl Fib Fx Lat Malls W Mani 6 6 $938.00 $797.30 $365.82 $909.86 $661.29 2026-07-15
41113 HCPCS Exc Tongue Lesion W Closure 6 6 $933.50 $793.48 $323.12 $905.50 $658.12 2026-07-15
15278 HCPCS Apply Skin Sub To Face Addtl100 Sq Cm 6 6 $933.00 $793.05 $82.76 $905.01 $657.76 2026-07-15
15276 HCPCS Apply Skin Sub To Face Addtl 25 Sq Cm 6 6 $933.00 $793.05 $29.40 $905.01 $657.76 2026-07-15
15272 HCPCS Apply Skin Graft To Trunk Addtl 25 Sq Cm 6 6 $933.00 $793.05 $21.84 $905.01 $657.76 2026-07-15
70460 HCPCS CT Brain Skull With Contrast 6 6 $1,478.00 $1,256.30 $135.11 $1,433.66 $655.35 2026-07-15
62324 HCPCS Steroid Epidural 6 6 $924.50 $785.83 $123.44 $896.76 $651.77 2026-07-15
P9016 HCPCS Bb Prbc Wbc Reduced 6 6 $798.50 $678.73 $311.42 $774.54 $650.78 2026-07-15
12056 HCPCS Lac Med Face/ear 20.1-30cm 6 6 $822.50 $699.13 $320.78 $797.82 $646.72 2026-07-15
C9809 HCPCS Smart Tip Iovera 11 6 $1,656.00 $1,407.60 $20.87 $1,606.32 $645.84 2026-07-15
62273 HCPCS Steroid Epidural; Blood Or Clot Patch 11 6 $993.00 $844.05 $150.80 $963.21 $640.30 2026-07-15
64493 HCPCS Inj Para Fa Jnt L/s 1 Lev W Guid 16 6 $795.50 $676.18 $158.46 $786.67 $636.48 2026-07-15
93017 HCPCS Nm Cardio Stress Test Without Interpret & R 6 6 $901.00 $765.85 $33.49 $873.97 $635.21 2026-07-15
93882 HCPCS US Carotid Unilateral 6 6 $900.50 $765.43 $108.56 $873.48 $634.86 2026-07-15
73206 HCPCS CT Angiography Upper Ext With Contrast 6 6 $1,356.00 $1,152.60 $269.17 $1,315.32 $631.56 2026-07-15
49084 HCPCS Paritoneal Lavage With Imaging Guidance 6 6 $893.50 $759.48 $93.58 $866.70 $629.91 2026-07-15
13101 HCPCS Repair Complex Trunk 2.6-7.5cm 6 6 $892.50 $758.63 $348.08 $865.72 $629.22 2026-07-15
73701 HCPCS CT Lower Ext W Contrast Left,left Side Of Body 12 6 $1,344.00 $1,142.40 $151.35 $1,303.68 $629.21 2026-07-15
64425 HCPCS Nerve Block Iloingunial Nerver 6 6 $891.50 $757.78 $97.87 $864.76 $628.50 2026-07-15
90935 HCPCS Hemodialysis Training 6 6 $888.50 $755.23 $64.93 $861.84 $626.39 2026-07-15
0761 RC — 6 6 $767.00 $651.95 $299.13 $743.99 $625.11 2026-07-15
78013 HCPCS Nm Thyroid Scan 6 6 $922.00 $783.70 $148.56 $922.00 $617.74 2026-07-15
74150 HCPCS CT Abdomen Without Contrast 9 6 $1,567.50 $1,332.38 $124.56 $1,520.48 $611.33 2026-07-15
87632 HCPCS Pneumonia Panel By Pcr (caribou) 6 6 $910.70 $774.10 $218.06 $901.29 $610.16 2026-07-15
74300 HCPCS Or Cholangiography/pancreatography 6 6 $743.00 $631.55 $289.77 $720.71 $605.55 2026-07-15
76810 HCPCS US Pelvis OB Comp Multiple 6 6 $900.50 $765.43 $78.55 $873.48 $603.34 2026-07-15
20220 HCPCS Bone Biopsy Trocar/needle 6 6 $852.50 $724.63 $202.32 $826.92 $601.01 2026-07-15
12036 HCPCS Lac Med S/a/t/e 20.1-30cm 6 6 $850.00 $722.50 $331.50 $824.50 $599.25 2026-07-15
57455 HCPCS Colposcopy Cervix Uppr/adjcnt Vagina W/c 6 6 $849.50 $722.08 $143.75 $824.02 $598.89 2026-07-15
12055 HCPCS Lac Med Face/ear 12.6-20cm 6 6 $790.50 $671.93 $308.30 $766.78 $596.68 2026-07-15
36569 HCPCS Picc Lin Insertion >5yr 16 6 $1,251.00 $1,063.35 $83.99 $1,477.80 $584.82 2026-07-15
Q5111 HCPCS Udenyca Subq Sol 6mg/0.6ml (per 0.5mg),zero Drug Amount Discarded/not Administer… 6 6 $829.50 $705.08 $267.79 $804.62 $584.79 2026-07-15
20103 HCPCS Wound Exploratation Extremity 6 6 $701.50 $596.28 $273.59 $680.46 $580.93 2026-07-15
11047 HCPCS Debridement, Bone Add 20 Sq Cm Or Less 6 6 $823.50 $699.98 $106.91 $798.80 $580.57 2026-07-15
12057 HCPCS Lac Med Face/ear >30cm,assistant Surgery 6 6 $822.00 $698.70 $85.49 $797.34 $579.51 2026-07-15
64479 HCPCS Anesthesia Unit X 15min 6 6 $819.00 $696.15 $236.39 $794.43 $577.39 2026-07-15
64636 HCPCS Fjn Lumb/sac Ea Addtl 11 6 $1,254.50 $1,066.33 $207.31 $1,216.86 $577.07 2026-07-15
12046 HCPCS Lac Med N/h/f/g 20.1-30cm 6 6 $752.00 $639.20 $293.28 $729.44 $576.37 2026-07-15
93978 HCPCS US Abdominal Aorta 6 6 $815.00 $692.75 $158.23 $790.55 $574.58 2026-07-15
25675 HCPCS Closed Tx Distl Radioulnar Dsl W Mani 6 6 $742.00 $630.70 $289.38 $719.74 $564.26 2026-07-15
93308 HCPCS Op US Echo Limited 6 6 $799.00 $679.15 $86.76 $775.03 $563.29 2026-07-15
13151 HCPCS Lac Complex Eyelid/lip/nose/ear 1.1-2.5c 6 6 $783.50 $665.98 $305.57 $760.00 $559.97 2026-07-15
12035 HCPCS Lac Med S/a/t/e 12.6-20cm 6 6 $790.50 $671.93 $308.30 $766.78 $557.31 2026-07-15
12020 HCPCS Closure Of Split Wound 6 6 $790.50 $671.93 $265.48 $766.78 $557.31 2026-07-15
12006 HCPCS Lac Simple 20.1 To 30 6 6 $790.50 $671.93 $181.10 $766.78 $557.31 2026-07-15
99292 HCPCS Critical Care Ea Add 30 Min 6 6 $790.00 $671.50 $108.51 $766.30 $556.95 2026-07-15
13121 HCPCS Repair Complex Scalp 2.6-7.5cm 6 6 $775.50 $659.18 $302.45 $752.24 $556.68 2026-07-15
99156 HCPCS Mod Sed Oth Phys/qhp 5/>yrs 6 6 $785.00 $667.25 $67.21 $761.45 $553.42 2026-07-15
13132 HCPCS Lac Complex N/h/f/g 2.6-7.5cm 6 6 $718.50 $610.73 $280.22 $696.94 $550.32 2026-07-15
93931 HCPCS US Arterial Up Ext Ltd Lt 6 6 $775.50 $659.18 $108.12 $752.24 $546.73 2026-07-15
10005 HCPCS Fn Needle Bx W/us Gdn 1st Lesion 6 6 $775.50 $659.18 $119.22 $752.24 $546.73 2026-07-15
61782 HCPCS Strtctc Cptr Asstd Px Extradural Cranial 6 6 $769.50 $654.08 $154.22 $746.42 $542.50 2026-07-15
49083 HCPCS Paracentesis With Imaging Guidance 11 6 $570.50 $484.93 $222.50 $866.70 $541.98 2026-07-15
59000 HCPCS Amniocentesis 6 6 $767.00 $651.95 $102.50 $743.99 $540.74 2026-07-15
64421 HCPCS Nerve Block 6 6 $767.00 $651.95 $30.28 $743.99 $540.74 2026-07-15
62326 HCPCS Caudel Nerve Block 6 6 $767.00 $651.95 $123.11 $743.99 $540.74 2026-07-15
62320 HCPCS Steroid Epidural 6 6 $767.00 $651.95 $141.55 $743.99 $540.74 2026-07-15
J9217 HCPCS Eligard 45mg Sdv (per 7.5mg) 6 Month,zero Drug Amount Discarded/not Administered… 6 6 $804.50 $683.83 $190.08 $780.36 $539.02 2026-07-15
64486 HCPCS Anesthesia Unit X 15min 11 6 $567.00 $481.95 $97.87 $796.37 $538.65 2026-07-15
95806 HCPCS Rt Home Sleep Test 6 6 $760.50 $646.43 $86.63 $737.68 $536.15 2026-07-15
12018 HCPCS Lac Face/ear Simple >30,assistant Surgery 6 6 $754.50 $641.33 $24.42 $731.86 $531.92 2026-07-15
55250 HCPCS Vasectomy 6 6 $754.00 $640.90 $294.06 $731.38 $531.57 2026-07-15
72192 HCPCS CT Pelvis Without Contrast 9 6 $1,356.00 $1,152.60 $121.33 $1,315.32 $528.84 2026-07-15
93926 HCPCS US Arterial Low Art Ltd Rt 6 6 $748.00 $635.80 $125.30 $725.56 $527.34 2026-07-15
64487 HCPCS Tap Block Uni By Infusion 16 6 $621.50 $528.28 $182.01 $930.72 $526.08 2026-07-15
12041 HCPCS Layer Close N,h,f,g 2.5>less 11 6 $567.00 $481.95 $215.09 $549.99 $523.92 2026-07-15
10061 HCPCS I&d Abscess Complicated/multi 11 6 $566.50 $481.53 $192.10 $549.50 $522.98 2026-07-15
76946 HCPCS US Amniocentesis 6 6 $775.50 $659.18 $27.88 $752.24 $519.59 2026-07-15
24600 HCPCS Closed Elbow Tx Dislocation Wo Anes 6 6 $721.00 $612.85 $281.19 $699.37 $517.30 2026-07-15
31500 HCPCS Rt Intubation Ett 16 6 $779.00 $662.15 $126.37 $894.82 $515.04 2026-07-15
12045 HCPCS Lac Med N/h/f/g 12.6-20cm 6 6 $699.00 $594.15 $272.61 $678.03 $514.63 2026-07-15
64447 HCPCS Anesthesia Unit X 15min 6 6 $726.50 $617.53 $104.32 $704.70 $512.18 2026-07-15
27840 HCPCS Cltx Ankle Dislo Wo Anes 6 6 $701.50 $596.28 $273.59 $680.46 $510.84 2026-07-15
99283 HCPCS E&m Level 3 6 6 $724.50 $615.83 $64.42 $702.76 $510.77 2026-07-15
12054 HCPCS Lac Med Face/ear 7.6-12.5cm 6 6 $718.50 $610.73 $280.22 $696.94 $510.23 2026-07-15
20950 HCPCS Mntr Fluid Pressure Muscle 6 6 $717.00 $609.45 $226.58 $695.49 $505.49 2026-07-15
27096 HCPCS Si Joint Injection 16 6 $536.50 $456.03 $146.74 $658.14 $504.69 2026-07-15
36555 HCPCS Anesthesia Unit X 15min 6 6 $715.50 $608.18 $165.26 $694.04 $504.43 2026-07-15
81402 HCPCS Reflex Mpl For Jak 2 6 6 $750.00 $637.50 $135.30 $727.50 $502.50 2026-07-15
71250 HCPCS CT Chest Without Contrast 6 6 $1,663.50 $1,413.98 $121.30 $1,613.60 $498.75 2026-07-15
23075 HCPCS Exc Soft Tissue Tumor 6 6 $568.50 $483.23 $221.72 $551.44 $496.76 2026-07-15
90371 HCPCS Hepatitis B Immune Globulin 1 Ml Vl 6 6 $703.00 $597.55 $126.86 $681.91 $495.62 2026-07-15
69110 HCPCS Exc Exter Ear Partial Simple 6 6 $606.50 $515.53 $236.54 $588.30 $495.10 2026-07-15
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