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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

WARNER HOSPITAL AND HEALTH SERVICES

Clinton, IL · CCN 141303 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $2,241 across 31 payers · range $1,049-$3,905

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbDrJohnWarnerIL&type=CDMWithoutLabel&fileType=CSV · observed 2026-06-08

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.

2,997 distinct procedures filed
31 distinct payers
109,349 rate rows
2026-06-08 last MRF observed
Data quality

108,425 of 109,349 rate rows are consumer-grade (99.2%)

924 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
per-diem day rate — not a per-procedure price 485
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 384
exceeds 10× this hospital's gross charge — excluded from medians 30
percent-of-charges filed in the dollar field — excluded from medians 25
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT//FinalLinks/Reports.aspx?dbName=dbDrJohnWarnerIL&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Warner_V3.aspx
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-18
Content fingerprint 2a67e189dff0dd3f… · 41,504,708 bytes · first seen 2026-07-09

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
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 31 $14,611.60 $36,005.45 $28,657.40 nat. median
$3,787
outlier · 7.6×
620
MS_DRG 		O.r. Procedures For Obesity With Cc 1 $18,000.00 $18,000.00 $18,000.00 nat. median
$16,371
1.1× median
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/mcc 1 $18,000.00 $18,000.00 $18,000.00 nat. median
$15,367
1.2× median
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 1 $18,000.00 $18,000.00 $18,000.00 nat. median
$26,766
0.7× median
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 25 $6,155.60 $15,168.44 $13,156.30 nat. median
$44
outlier · 300.9×
J3032
HCPCS 		Injection, Eptinezumab-jjmr, 1 Mg 31 $3,668.81 $9,279.96 $7,386.09 nat. median
$73
outlier · 101.7×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 31 $3,319.44 $8,179.67 $6,510.35 nat. median
$1,982
outlier · 3.3×
6250001596
CDM 		Reflux Management System 25 $2,908.78 $7,167.72 $6,216.90 nat. median
$6,217
1.0× median
6250001165
CDM 		Lap Band Apl - Allergan 25 $2,654.65 $6,541.50 $5,673.75 nat. median
$5,674
1.0× median
6250001166
CDM 		Lap Band Aps - Allergan 25 $2,654.65 $6,541.50 $5,673.75 nat. median
$5,674
1.0× median
71555
HCPCS 		MRI Scan Of Blood Vessels Of Chest 31 $1,865.33 $7,096.87 $5,648.53 nat. median
$1,151
outlier · 4.9×
73725
HCPCS 		MRI Scan Of Blood Vessels Of Leg 31 $1,865.33 $7,096.87 $5,648.53 nat. median
$1,252
outlier · 4.5×
74185
HCPCS 		MRI Scan Of Blood Vessels Of Abdomen 31 $1,865.33 $7,096.87 $5,648.53 nat. median
$1,253
outlier · 4.5×
72198
HCPCS 		MRI Scan Of Blood Vessels Of Pelvis 31 $1,865.33 $7,096.87 $5,648.53 nat. median
$1,136
outlier · 5.0×
73225
HCPCS 		MRI Scan Of Blood Vessels Of Arm 31 $1,865.33 $6,983.87 $5,558.59 nat. median
$1,211
outlier · 4.6×
Q5158
HCPCS 		Injection, Denosumab-bnht (bomyntra/conexxence), Biosimilar, 1 Mg 25 $2,421.02 $5,965.80 $5,174.42 nat. median
$2,559
outlier · 2.0×
81229
HCPCS 		Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 31 $2,321.99 $7,167.36 $4,962.77 nat. median
$1,323
outlier · 3.8×
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 31 $1,544.41 $6,124.85 $4,874.88 nat. median
$1,114
outlier · 4.4×
J1602
HCPCS 		Injection, Golimumab, 1 Mg, For Intravenous Use 31 $2,312.78 $5,699.09 $4,783.60 nat. median
$261
outlier · 18.3×
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 31 $1,544.41 $6,003.92 $4,778.63 nat. median
$1,110
outlier · 4.3×
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 31 $1,544.41 $5,756.03 $4,581.33 nat. median
$1,097
outlier · 4.2×
73720
HCPCS 		MRI Scan Of Leg Before And After Contrast 31 $1,544.41 $7,906.35 $4,571.68 nat. median
$1,135
outlier · 4.0×
81408
HCPCS 		Molecular Pathology Procedure Level 9 Genetic Analysis 31 $2,119.26 $7,167.36 $4,529.48 nat. median
$938
outlier · 4.8×
73223
HCPCS 		MRI Scan Of Arm Joint Before And After Contrast 31 $1,544.41 $5,945.51 $4,516.14 nat. median
$1,158
outlier · 3.9×
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 31 $1,544.41 $5,578.36 $4,516.14 nat. median
$1,136
outlier · 4.0×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 31 $1,153.20 $5,597.96 $4,455.52 nat. median
$1,027
outlier · 4.3×
J7168
HCPCS 		Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 31 $2,077.25 $6,792.77 $4,439.68 nat. median
$20
outlier · 218.3×
70543
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 31 $1,544.41 $5,500.01 $4,220.21 nat. median
$1,087
outlier · 3.9×
72127
HCPCS 		CT Scan Of Upper Spine Before And After Contrast 31 $1,153.20 $5,267.60 $4,192.58 nat. median
$617
outlier · 6.8×
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 31 $1,544.41 $5,206.84 $4,144.22 nat. median
$1,074
outlier · 3.9×
73723
HCPCS 		MRI Scan Of Leg Joint Before And After Contrast 31 $1,544.41 $5,206.84 $4,144.22 nat. median
$1,199
outlier · 3.5×
75635
HCPCS 		CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 31 $1,409.01 $5,205.91 $4,143.48 nat. median
$727
outlier · 5.7×
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 31 $1,409.01 $5,205.91 $4,143.48 nat. median
$998
outlier · 4.2×
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 31 $1,544.41 $5,141.37 $4,138.14 nat. median
$1,105
outlier · 3.7×
70546
HCPCS 		MRI Scan Of Blood Vessels Of Head Before And After Contrast 31 $1,865.33 $8,514.19 $4,106.61 nat. median
$1,073
outlier · 3.8×
70549
HCPCS 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 31 $1,865.33 $5,727.56 $4,058.50 nat. median
$1,063
outlier · 3.8×
73220
HCPCS 		MRI Scan Of Arm Before And After Contrast 31 $1,544.41 $5,000.06 $3,997.69 nat. median
$1,136
outlier · 3.5×
78709
HCPCS 		Nuclear Medicine Studies Of Kidney, Blood Flow, And Function 31 $1,394.02 $5,015.44 $3,991.88 nat. median
$741
outlier · 5.4×
C8914
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower… 31 $1,865.33 $5,000.06 $3,979.64 nat. median
$1,180
outlier · 3.4×
C8911
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest… 31 $1,865.33 $5,000.06 $3,979.64 nat. median
$1,027
outlier · 3.9×
C8920
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi… 31 $1,865.33 $5,000.06 $3,979.64 nat. median
$1,021
outlier · 3.9×
C8933
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Spina… 31 $1,865.33 $5,000.06 $3,979.64 nat. median
$731
outlier · 5.4×
71552
HCPCS 		MRI Scan Of Chest Before And After Contrast 31 $1,544.41 $5,000.06 $3,979.64 nat. median
$1,103
outlier · 3.6×
C8902
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 31 $1,865.33 $5,000.06 $3,979.64 nat. median
$1,044
outlier · 3.8×
J1439
HCPCS 		Injection, Ferric Carboxymaltose, 1 Mg 31 $1,723.66 $4,998.32 $3,978.25 nat. median
$14
outlier · 294.7×
C8936
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Upper… 31 $1,865.33 $4,997.56 $3,977.65 nat. median
$924
outlier · 4.3×
6250001388
CDM 		Lap Band - Realize 25 $1,849.54 $4,557.59 $3,953.01 nat. median
$3,953
1.0× median
74177
HCPCS 		CT Scan Of Abdomen And Pelvis With Contrast 31 $1,153.20 $4,958.21 $3,946.33 nat. median
$976
outlier · 4.0×
70544
HCPCS 		MRI Scan Of Blood Vessels Of Head Without Contrast 31 $1,838.05 $5,000.06 $3,928.45 nat. median
$829
outlier · 4.7×
19083
HCPCS 		Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth 31 $1,828.41 $5,046.77 $3,907.83 nat. median
$2,147
1.8× median

Other procedures at this hospital

Browse this hospital's 2,997 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 Injection, Tenecteplase, 1 Mg 31 31 $36,740.25 $36,740.25 $14,611.60 $36,005.45 $28,657.40 2026-06-08
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 $16,349.97 $16,349.97 $18,000.00 $18,000.00 $18,000.00 2026-06-08
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 1 1 $21,915.33 $21,915.33 $18,000.00 $18,000.00 $18,000.00 2026-06-08
620 MS_DRG O.r. Procedures For Obesity With Cc 1 1 $27,740.57 $27,740.57 $18,000.00 $18,000.00 $18,000.00 2026-06-08
J1306 HCPCS Injection, Inclisiran, 1 Mg 25 25 $15,478.00 $15,478.00 $6,155.60 $15,168.44 $13,156.30 2026-06-08
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 31 31 $9,469.35 $9,469.35 $3,668.81 $9,279.96 $7,386.09 2026-06-08
J0897 HCPCS Injection, Denosumab, 1 Mg 31 31 $8,346.60 $8,346.60 $3,319.44 $8,179.67 $6,510.35 2026-06-08
6250001596 CDM Reflux Management System 25 25 $7,314.00 $7,314.00 $2,908.78 $7,167.72 $6,216.90 2026-06-08
6250001165 CDM Lap Band Apl - Allergan 25 25 $6,675.00 $6,675.00 $2,654.65 $6,541.50 $5,673.75 2026-06-08
6250001166 CDM Lap Band Aps - Allergan 25 25 $6,675.00 $6,675.00 $2,654.65 $6,541.50 $5,673.75 2026-06-08
71555 HCPCS MRI Scan Of Blood Vessels Of Chest 31 31 $7,241.70 $7,241.70 $1,865.33 $7,096.87 $5,648.53 2026-06-08
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 31 31 $7,241.70 $7,241.70 $1,865.33 $7,096.87 $5,648.53 2026-06-08
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 31 31 $7,241.70 $7,241.70 $1,865.33 $7,096.87 $5,648.53 2026-06-08
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 31 31 $7,241.70 $7,241.70 $1,865.33 $7,096.87 $5,648.53 2026-06-08
73225 HCPCS MRI Scan Of Blood Vessels Of Arm 31 31 $7,126.40 $7,126.40 $1,865.33 $6,983.87 $5,558.59 2026-06-08
Q5158 HCPCS Injection, Denosumab-bnht (bomyntra/conexxence), Biosimilar, 1 Mg 25 25 $6,087.55 $6,087.55 $2,421.02 $5,965.80 $5,174.42 2026-06-08
81229 HCPCS Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 31 31 $5,838.55 $5,838.55 $2,321.99 $7,167.36 $4,962.77 2026-06-08
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 31 31 $6,249.85 $6,249.85 $1,544.41 $6,124.85 $4,874.88 2026-06-08
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 31 31 $5,815.40 $5,815.40 $2,312.78 $5,699.09 $4,783.60 2026-06-08
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 31 31 $6,126.45 $6,126.45 $1,544.41 $6,003.92 $4,778.63 2026-06-08
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 31 31 $5,873.50 $5,873.50 $1,544.41 $5,756.03 $4,581.33 2026-06-08
73720 HCPCS MRI Scan Of Leg Before And After Contrast 131 31 $5,636.65 $5,636.65 $1,544.41 $7,906.35 $4,571.68 2026-06-08
81408 HCPCS Molecular Pathology Procedure Level 9 Genetic Analysis 31 31 $5,328.80 $5,328.80 $2,119.26 $7,167.36 $4,529.48 2026-06-08
70553 HCPCS MRI Scan Of Brain Before And After Contrast 81 31 $5,431.45 $5,431.45 $1,544.41 $5,578.36 $4,516.14 2026-06-08
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 81 31 $5,578.80 $5,578.80 $1,544.41 $5,945.51 $4,516.14 2026-06-08
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 31 31 $5,712.20 $5,712.20 $1,153.20 $5,597.96 $4,455.52 2026-06-08
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 31 31 $5,223.15 $5,223.15 $2,077.25 $6,792.77 $4,439.68 2026-06-08
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 81 31 $5,313.10 $5,313.10 $1,544.41 $5,500.01 $4,220.21 2026-06-08
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 31 31 $5,375.10 $5,375.10 $1,153.20 $5,267.60 $4,192.58 2026-06-08
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 31 31 $5,313.10 $5,313.10 $1,544.41 $5,206.84 $4,144.22 2026-06-08
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 31 31 $5,313.10 $5,313.10 $1,544.41 $5,206.84 $4,144.22 2026-06-08
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 31 31 $5,312.15 $5,312.15 $1,409.01 $5,205.91 $4,143.48 2026-06-08
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 31 31 $5,312.15 $5,312.15 $1,409.01 $5,205.91 $4,143.48 2026-06-08
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 81 31 $5,102.10 $5,102.10 $1,544.41 $5,141.37 $4,138.14 2026-06-08
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 81 31 $6,122.50 $6,122.50 $1,865.33 $8,514.19 $4,106.61 2026-06-08
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 56 31 $5,844.45 $5,844.45 $1,865.33 $5,727.56 $4,058.50 2026-06-08
73220 HCPCS MRI Scan Of Arm Before And After Contrast 56 31 $5,102.10 $5,102.10 $1,544.41 $5,000.06 $3,997.69 2026-06-08
78709 HCPCS Nuclear Medicine Studies Of Kidney, Blood Flow, And Function 31 31 $5,117.80 $5,117.80 $1,394.02 $5,015.44 $3,991.88 2026-06-08
C8911 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest… 31 31 $5,102.10 $5,102.10 $1,865.33 $5,000.06 $3,979.64 2026-06-08
71552 HCPCS MRI Scan Of Chest Before And After Contrast 31 31 $5,102.10 $5,102.10 $1,544.41 $5,000.06 $3,979.64 2026-06-08
C8914 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower… 31 31 $5,102.10 $5,102.10 $1,865.33 $5,000.06 $3,979.64 2026-06-08
C8902 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 31 31 $5,102.10 $5,102.10 $1,865.33 $5,000.06 $3,979.64 2026-06-08
C8920 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi… 31 31 $5,102.10 $5,102.10 $1,865.33 $5,000.06 $3,979.64 2026-06-08
C8933 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Spina… 31 31 $5,102.10 $5,102.10 $1,865.33 $5,000.06 $3,979.64 2026-06-08
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 31 31 $5,100.33 $5,100.33 $1,723.66 $4,998.32 $3,978.25 2026-06-08
C8936 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Upper… 31 31 $5,099.55 $5,099.55 $1,865.33 $4,997.56 $3,977.65 2026-06-08
6250001388 CDM Lap Band - Realize 25 25 $4,650.60 $4,650.60 $1,849.54 $4,557.59 $3,953.01 2026-06-08
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 31 31 $5,059.40 $5,059.40 $1,153.20 $4,958.21 $3,946.33 2026-06-08
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 81 31 $4,868.40 $4,868.40 $1,838.05 $5,000.06 $3,928.45 2026-06-08
19083 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth 31 31 $4,597.45 $4,597.45 $1,828.41 $5,046.77 $3,907.83 2026-06-08
72126 HCPCS CT Scan Of Upper Spine With Contrast 31 31 $4,886.90 $4,886.90 $1,153.20 $4,789.16 $3,811.78 2026-06-08
73222 HCPCS MRI Scan Of Arm Joint With Contrast 106 31 $4,659.25 $4,659.25 $1,544.41 $5,390.49 $3,797.63 2026-06-08
A9570 HCPCS Indium In-111 Labeled Autologous White Blood Cells, Diagnostic, Per Study Dose 25 25 $4,462.65 $4,462.65 $1,774.80 $4,373.40 $3,793.25 2026-06-08
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 31 31 $4,847.60 $4,847.60 $1,153.20 $4,750.65 $3,781.13 2026-06-08
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 31 31 $4,829.30 $4,829.30 $1,544.41 $4,732.71 $3,766.85 2026-06-08
59409 HCPCS Vaginal Delivery 31 31 $4,425.50 $4,425.50 $1,760.02 $8,170.45 $3,761.68 2026-06-08
A9569 HCPCS Technetium Tc-99m Exametazime Labeled Autologous White Blood Cells, Diagnostic, … 25 25 $4,412.60 $4,412.60 $1,754.89 $4,324.35 $3,750.71 2026-06-08
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 81 31 $5,612.25 $5,612.25 $1,731.76 $7,425.51 $3,701.28 2026-06-08
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 33 31 $4,732.95 $4,732.95 $1,153.20 $4,638.29 $3,691.70 2026-06-08
73722 HCPCS MRI Scan Of Leg Joint With Contrast 56 31 $4,402.00 $4,402.00 $1,544.41 $4,398.49 $3,622.13 2026-06-08
6210020030 CDM Recovery Room - General Classification 25 25 $4,209.00 $4,209.00 $1,673.92 $4,124.82 $3,577.65 2026-06-08
6210010020 CDM Operating Room Services - General Classification 25 25 $4,158.00 $4,158.00 $1,653.64 $4,074.84 $3,534.30 2026-06-08
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 31 31 $4,528.30 $4,528.30 $1,409.01 $4,437.73 $3,532.07 2026-06-08
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 31 31 $4,433.60 $4,433.60 $915.36 $4,344.93 $3,458.21 2026-06-08
72129 HCPCS CT Scan Of Middle Spine With Contrast 31 31 $4,406.30 $4,406.30 $1,153.20 $4,318.17 $3,436.91 2026-06-08
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 31 31 $4,389.35 $4,389.35 $1,409.01 $4,301.56 $3,423.69 2026-06-08
6210010010 CDM Operating Room Services - General Classification 25 25 $4,014.00 $4,014.00 $1,596.37 $3,933.72 $3,411.90 2026-06-08
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 31 31 $4,243.40 $4,243.40 $1,544.41 $4,158.53 $3,309.85 2026-06-08
73719 HCPCS MRI Scan Of Leg With Contrast 81 31 $4,210.55 $4,210.55 $1,522.32 $4,782.25 $3,253.63 2026-06-08
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 56 31 $3,833.80 $3,833.80 $915.36 $3,998.60 $3,220.64 2026-06-08
6250001649 CDM Esophyx Z+ 25 25 $3,775.00 $3,775.00 $1,501.32 $3,699.50 $3,208.75 2026-06-08
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 81 31 $4,080.20 $4,080.20 $915.36 $4,331.36 $3,187.59 2026-06-08
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 31 31 $4,080.20 $4,080.20 $915.36 $3,998.60 $3,182.56 2026-06-08
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 31 31 $4,080.20 $4,080.20 $1,153.20 $3,998.60 $3,182.56 2026-06-08
75574 HCPCS CT Scan Of Blood Vessels And Grafts Of Heart With Contrast 31 31 $4,079.65 $4,079.65 $1,409.01 $3,998.06 $3,182.13 2026-06-08
73718 HCPCS MRI Scan Of Leg Without Contrast 81 31 $3,753.80 $3,753.80 $915.36 $4,347.48 $3,164.55 2026-06-08
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 56 31 $5,612.25 $5,612.25 $1,480.02 $5,500.01 $3,163.23 2026-06-08
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 31 31 $4,011.05 $4,011.05 $1,409.01 $3,930.83 $3,128.62 2026-06-08
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 31 31 $4,010.45 $4,010.45 $1,544.41 $3,930.24 $3,128.15 2026-06-08
70552 HCPCS MRI Scan Of Brain With Contrast 56 31 $3,919.95 $3,919.95 $1,487.56 $3,841.55 $3,120.24 2026-06-08
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 81 31 $3,827.80 $3,827.80 $1,452.58 $4,126.34 $3,104.58 2026-06-08
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 31 31 $3,955.00 $3,955.00 $1,409.01 $3,875.90 $3,084.90 2026-06-08
73219 HCPCS MRI Scan Of Arm With Contrast 106 31 $3,827.80 $3,827.80 $1,388.75 $6,039.01 $3,067.58 2026-06-08
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 56 31 $5,102.10 $5,102.10 $1,428.76 $5,000.06 $3,053.67 2026-06-08
70551 HCPCS MRI Scan Of Brain Without Contrast 56 31 $3,827.80 $3,827.80 $915.36 $3,751.24 $3,046.89 2026-06-08
74182 HCPCS MRI Scan Of Abdomen With Contrast 56 31 $3,827.80 $3,827.80 $1,452.58 $3,751.24 $3,046.89 2026-06-08
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 81 31 $3,587.45 $3,587.45 $915.36 $3,684.46 $3,007.72 2026-06-08
71551 HCPCS MRI Scan Of Chest With Contrast 31 31 $3,827.80 $3,827.80 $1,522.32 $3,751.24 $2,985.68 2026-06-08
72196 HCPCS MRI Scan Of Pelvis With Contrast 31 31 $3,827.80 $3,827.80 $1,522.32 $3,751.24 $2,985.68 2026-06-08
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 31 31 $3,827.80 $3,827.80 $915.36 $3,751.24 $2,985.68 2026-06-08
77047 HCPCS MRI Scan Of Both Breasts Without Contrast 31 31 $3,827.80 $3,827.80 $915.36 $3,751.24 $2,985.68 2026-06-08
78802 HCPCS Nuclear Medicine Study, Whole Body 31 31 $3,480.50 $3,480.50 $1,384.19 $3,410.89 $2,958.43 2026-06-08
72195 HCPCS MRI Scan Of Pelvis Without Contrast 56 31 $3,678.45 $3,678.45 $915.36 $3,604.88 $2,955.82 2026-06-08
6250001782 CDM Ventralight 25 X 30 Cm Oval 25 25 $3,450.20 $3,450.20 $1,372.14 $3,381.20 $2,932.67 2026-06-08
74181 HCPCS MRI Scan Of Abdomen Without Contrast 56 31 $3,678.45 $3,678.45 $915.36 $3,604.88 $2,928.01 2026-06-08
72132 HCPCS CT Scan Of Lower Spine With Contrast 31 31 $3,753.80 $3,753.80 $1,153.20 $3,678.72 $2,927.96 2026-06-08
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 31 31 $3,749.65 $3,749.65 $1,153.20 $3,674.66 $2,924.73 2026-06-08
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 31 31 $3,417.65 $3,417.65 $1,359.20 $4,011.53 $2,905.00 2026-06-08
73702 HCPCS CT Scan Of Leg Before And After Contrast 31 31 $3,713.90 $3,713.90 $1,153.20 $3,639.62 $2,896.84 2026-06-08
73202 HCPCS CT Scan Of Arm Before And After Contrast 31 31 $3,713.85 $3,713.85 $1,153.20 $3,639.57 $2,896.80 2026-06-08
73218 HCPCS MRI Scan Of Arm Without Contrast 56 31 $3,576.95 $3,576.95 $915.36 $3,505.41 $2,879.94 2026-06-08
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 31 31 $3,678.45 $3,678.45 $1,153.20 $3,604.88 $2,869.19 2026-06-08
6210020025 CDM Recovery Room - General Classification 25 25 $3,369.00 $3,369.00 $1,339.85 $3,301.62 $2,863.65 2026-06-08
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 31 31 $3,646.95 $3,646.95 $1,153.20 $3,574.01 $2,844.62 2026-06-08
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 31 31 $3,341.65 $3,341.65 $1,328.97 $4,162.46 $2,840.40 2026-06-08
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 31 31 $3,341.65 $3,341.65 $1,328.97 $4,162.46 $2,840.40 2026-06-08
77046 HCPCS MRI Scan Of 1 Breast Without Contrast 31 31 $3,576.95 $3,576.95 $915.36 $3,505.41 $2,790.02 2026-06-08
71550 HCPCS MRI Scan Of Chest Without Contrast 31 31 $3,576.95 $3,576.95 $915.36 $3,505.41 $2,790.02 2026-06-08
70488 HCPCS CT Scan Of Face Before And After Contrast 31 31 $3,515.65 $3,515.65 $1,153.20 $3,445.34 $2,742.21 2026-06-08
70487 HCPCS CT Scan Of Face With Contrast 56 31 $3,199.60 $3,199.60 $1,153.20 $3,492.97 $2,719.66 2026-06-08
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 31 31 $3,474.20 $3,474.20 $1,153.20 $3,404.72 $2,709.88 2026-06-08
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 31 31 $3,474.20 $3,474.20 $1,381.69 $3,404.72 $2,709.88 2026-06-08
6250001738 CDM Stapler Titan 25 25 $3,150.00 $3,150.00 $1,252.76 $3,087.00 $2,677.50 2026-06-08
71270 HCPCS CT Scan Of Chest Before And After Contrast 31 31 $3,427.40 $3,427.40 $1,153.20 $3,358.85 $2,673.37 2026-06-08
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 31 31 $3,419.70 $3,419.70 $1,153.20 $3,351.31 $2,667.37 2026-06-08
78473 HCPCS Nuclear Medicine Studies Of Heart Pumping Function By Labeling Red Blood Cells W… 31 31 $3,372.50 $3,372.50 $1,341.24 $3,305.05 $2,630.55 2026-06-08
78800 HCPCS Nuclear Medicine Study, 1 Area 31 31 $3,077.35 $3,077.35 $1,223.86 $3,338.90 $2,615.75 2026-06-08
72131 HCPCS CT Scan Of Lower Spine Without Contrast 31 31 $3,264.10 $3,264.10 $404.83 $3,198.82 $2,546.00 2026-06-08
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 31 31 $3,246.60 $3,246.60 $1,153.20 $3,181.67 $2,532.35 2026-06-08
73701 HCPCS CT Scan Of Leg With Contrast Material 31 31 $3,229.55 $3,229.55 $1,153.20 $3,164.96 $2,519.05 2026-06-08
73201 HCPCS CT Scan Of Arm With Contrast 31 31 $3,229.55 $3,229.55 $1,153.20 $3,164.96 $2,519.05 2026-06-08
6020010005 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 12 12 $2,892.00 $2,892.00 $2,255.76 $2,834.16 $2,501.58 2026-06-08
74160 HCPCS CT Scan Of Abdomen With Contrast 31 31 $3,170.45 $3,170.45 $1,153.20 $3,107.04 $2,472.95 2026-06-08
78070 HCPCS Nuclear Medicine Study Of Parathyroid 31 31 $2,865.25 $2,865.25 $1,139.51 $3,338.90 $2,435.46 2026-06-08
72125 HCPCS CT Scan Of Upper Spine Without Contrast 31 31 $3,101.05 $3,101.05 $404.83 $3,039.03 $2,418.82 2026-06-08
71260 HCPCS CT Scan Of Chest With Contrast 31 31 $3,101.05 $3,101.05 $1,153.20 $3,039.03 $2,418.82 2026-06-08
6020010015 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 12 12 $2,733.00 $2,733.00 $2,131.74 $2,678.34 $2,364.05 2026-06-08
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 31 31 $2,720.85 $2,720.85 $1,082.08 $2,737.10 $2,312.72 2026-06-08
77012 HCPCS Review By Radiologist Of CT Guidance For Needle Placement 31 31 $2,945.35 $2,945.35 $312.48 $2,886.44 $2,297.37 2026-06-08
73200 HCPCS CT Scan Of Arm Without Contrast 56 31 $2,824.10 $2,824.10 $404.83 $2,767.62 $2,291.82 2026-06-08
6210020020 CDM Recovery Room - General Classification 25 25 $2,695.00 $2,695.00 $1,071.80 $2,641.10 $2,290.75 2026-06-08
70486 HCPCS CT Scan Of Face Without Contrast 56 31 $2,820.40 $2,820.40 $404.83 $2,763.99 $2,268.95 2026-06-08
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 31 31 $2,884.60 $2,884.60 $1,147.21 $2,826.91 $2,249.99 2026-06-08
6250001781 CDM Ventralight 20 X 25 Cm Oval 25 25 $2,641.60 $2,641.60 $1,050.56 $2,588.77 $2,245.36 2026-06-08
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 56 31 $2,636.80 $2,636.80 $1,048.66 $3,904.57 $2,241.28 2026-06-08
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 31 31 $2,861.00 $2,861.00 $404.83 $2,803.78 $2,231.58 2026-06-08
70336 HCPCS MRI Scan Of Jaw Joint 31 31 $2,851.70 $2,851.70 $915.36 $2,794.67 $2,224.33 2026-06-08
72128 HCPCS CT Scan Of Middle Spine Without Contrast 31 31 $2,842.75 $2,842.75 $404.83 $2,785.90 $2,217.35 2026-06-08
32554 HCPCS Aspiration Of Fluid From Chest Cavity 31 31 $2,592.90 $2,592.90 $1,031.20 $3,779.42 $2,203.97 2026-06-08
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 56 31 $2,575.00 $2,575.00 $1,024.08 $2,849.01 $2,188.75 2026-06-08
72193 HCPCS CT Scan Of Pelvis With Contrast 31 31 $2,805.55 $2,805.55 $1,115.77 $2,749.44 $2,188.33 2026-06-08
46050 HCPCS Drainage Of Superficial Rectal Abscess Surrounding Anus 31 31 $2,506.70 $2,506.70 $996.91 $5,455.96 $2,130.70 2026-06-08
6250000337 CDM Film Sepra 25 25 $2,495.00 $2,495.00 $992.26 $2,445.10 $2,120.75 2026-06-08
70460 HCPCS CT Scan Head Or Brain With Contrast 31 31 $2,697.25 $2,697.25 $1,072.70 $2,643.31 $2,103.86 2026-06-08
38505 HCPCS Needle Biopsy Or Removal Of Surface Lymph Nodes 31 31 $2,459.35 $2,459.35 $978.08 $4,587.99 $2,090.45 2026-06-08
74150 HCPCS CT Scan Of Abdomen Without Contrast 31 31 $2,677.65 $2,677.65 $404.83 $2,624.10 $2,088.57 2026-06-08
43247 HCPCS Removal Of Foreign Bodies Of Esophagus, Stomach, And/or Upper Small Bowel Using … 31 31 $2,452.50 $2,452.50 $975.36 $3,658.73 $2,084.63 2026-06-08
70450 HCPCS CT Scan Head Or Brain Without Contrast 31 31 $2,656.65 $2,656.65 $1,056.55 $2,603.52 $2,072.19 2026-06-08
73700 HCPCS CT Scan Of Leg Without Contrast 56 31 $2,423.75 $2,423.75 $404.83 $2,744.44 $2,060.19 2026-06-08
72192 HCPCS CT Scan Of Pelvis Without Contrast 56 31 $2,546.65 $2,546.65 $404.83 $2,495.72 $2,059.88 2026-06-08
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 31 31 $2,575.00 $2,575.00 $1,024.08 $2,523.50 $2,008.50 2026-06-08
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 31 31 $2,546.65 $2,546.65 $1,012.80 $2,495.72 $1,986.39 2026-06-08
72159 HCPCS MRI Scan Of Blood Vessels Of Spinal Canal 31 31 $2,546.65 $2,546.65 $1,012.80 $2,495.72 $1,986.39 2026-06-08
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 31 31 $2,322.85 $2,322.85 $923.80 $3,338.90 $1,974.42 2026-06-08
46608 HCPCS Removal Of Foreign Body In Anus Using An Endoscope 31 31 $2,295.35 $2,295.35 $912.86 $3,738.56 $1,951.05 2026-06-08
78707 HCPCS Nuclear Medicine Study Of Kidney, Blood Flow, And Function 31 31 $2,437.15 $2,437.15 $969.25 $2,388.41 $1,900.98 2026-06-08
6210010000 CDM Operating Room Services - General Classification 25 25 $2,194.00 $2,194.00 $872.55 $2,150.12 $1,864.90 2026-06-08
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 31 31 $2,188.35 $2,188.35 $870.31 $4,011.53 $1,860.10 2026-06-08
19084 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, Each Additio… 31 31 $2,160.85 $2,160.85 $859.37 $5,046.77 $1,836.72 2026-06-08
78606 HCPCS Nuclear Medicine Study Of Brain And Blood Flow, 4 Static Views Or More 31 31 $2,354.70 $2,354.70 $936.46 $2,307.61 $1,836.67 2026-06-08
6210020015 CDM Recovery Room - General Classification 25 25 $2,155.00 $2,155.00 $857.04 $2,111.90 $1,831.75 2026-06-08
81404 HCPCS Molecular Pathology Procedure Level 5 Genetic Analysis 31 31 $2,317.55 $2,317.55 $506.72 $2,271.20 $1,807.69 2026-06-08
81223 HCPCS Gene Analysis (cystic Fibrosis Transmembrane Conductance Regular) Full Gene Sequ… 31 31 $2,317.55 $2,317.55 $921.69 $2,271.20 $1,807.69 2026-06-08
10081 HCPCS Complicated Drainage Of Cyst Of Tailbone 31 31 $2,068.05 $2,068.05 $822.46 $4,069.56 $1,757.84 2026-06-08
6250000232 CDM Catheter, Stretta 25 25 $2,062.00 $2,062.00 $820.06 $2,020.76 $1,752.70 2026-06-08
49082 HCPCS Drainage Of Fluid From Abdominal Cavity 31 31 $2,059.10 $2,059.10 $818.90 $2,737.10 $1,750.24 2026-06-08
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 56 31 $4,873.20 $4,873.20 $693.21 $4,775.74 $1,744.91 2026-06-08
27768 HCPCS Closed Treatment Of Back Portion Of Shin Bone At Ankle With Manipulation 56 31 $4,873.20 $4,873.20 $182.66 $4,775.74 $1,744.91 2026-06-08
32556 HCPCS Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube 56 31 $3,915.05 $3,915.05 $778.54 $3,836.75 $1,722.69 2026-06-08
32551 HCPCS Removal Of Fluid From Between Lung And Chest Cavity 56 31 $1,957.60 $1,957.60 $778.54 $3,836.75 $1,722.69 2026-06-08
90376 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle, Heat-t… 31 31 $2,025.00 $2,025.00 $805.34 $4,783.60 $1,721.25 2026-06-08
7070004111 CDM Sodium Chloride 0.9% Vial 25 25 $2,025.00 $2,025.00 $805.34 $1,984.50 $1,721.25 2026-06-08
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 31 31 $2,149.50 $2,149.50 $854.86 $2,106.51 $1,676.61 2026-06-08
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 56 31 $2,950.65 $2,950.65 $404.83 $2,891.64 $1,672.04 2026-06-08
6020010020 CDM Intensive Care Unit - Intermediate ICU 12 12 $1,927.00 $1,927.00 $1,503.06 $1,888.46 $1,666.86 2026-06-08
78071 HCPCS Nuclear Medicine Study Of Parathyroid With Spect 31 31 $2,134.55 $2,134.55 $848.91 $2,091.86 $1,664.95 2026-06-08
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 56 31 $1,958.65 $1,958.65 $778.96 $2,687.26 $1,664.85 2026-06-08
6230001244 CDM Insert Chest Tube Open Rt 25 25 $1,957.60 $1,957.60 $778.54 $1,918.45 $1,663.96 2026-06-08
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 56 31 $1,958.65 $1,958.65 $778.96 $2,084.41 $1,661.93 2026-06-08
62270 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test 31 31 $1,888.40 $1,888.40 $751.02 $2,898.11 $1,605.14 2026-06-08
41252 HCPCS Repair Of Lacerated Tongue Or Floor Of Mouth, More Than 2.6 Cm 31 31 $2,051.00 $2,051.00 $642.66 $2,009.98 $1,599.78 2026-06-08
6020010025 CDM Intensive Care Unit - Intermediate ICU 12 12 $1,834.00 $1,834.00 $1,430.52 $1,797.32 $1,586.41 2026-06-08
81263 HCPCS Gene Rearrangement Analysis (immunoglobulin Heavy Chain Locus), Variable Region … 31 31 $2,025.40 $2,025.40 $506.72 $1,984.89 $1,579.81 2026-06-08
25505 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 31 31 $1,848.40 $1,848.40 $735.11 $1,811.43 $1,571.14 2026-06-08
78579 HCPCS Nuclear Medicine Study Of Lung Ventilation 31 31 $1,819.75 $1,819.75 $723.71 $3,338.90 $1,546.79 2026-06-08
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 31 31 $1,819.75 $1,819.75 $723.71 $3,338.90 $1,546.79 2026-06-08
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 25 25 $1,792.00 $1,792.00 $712.68 $1,756.16 $1,523.20 2026-06-08
23665 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Upper Arm Bone At Shoulder Jo… 31 31 $1,760.45 $1,760.45 $700.13 $1,744.91 $1,496.38 2026-06-08
6250006013 CDM Absorbtack 5mm Fix Dev 25 25 $1,744.34 $1,744.34 $693.72 $1,709.45 $1,482.69 2026-06-08
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 31 31 $1,737.25 $1,737.25 $690.90 $2,666.27 $1,476.66 2026-06-08
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 93 31 $3,474.20 $3,474.20 $39.46 $4,162.46 $1,467.15 2026-06-08
6210020010 CDM Recovery Room - General Classification 25 25 $1,726.00 $1,726.00 $686.43 $1,691.48 $1,467.10 2026-06-08
P9036 HCPCS Platelets, Pheresis, Irradiated, Each Unit 31 31 $1,866.65 $1,866.65 $742.37 $1,829.32 $1,455.99 2026-06-08
76641 HCPCS Complete Ultrasound Scan Of 1 Breast 31 31 $1,866.40 $1,866.40 $414.64 $1,829.07 $1,455.79 2026-06-08
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 81 31 $2,336.45 $2,336.45 $673.39 $2,538.45 $1,439.22 2026-06-08
6250001780 CDM Ventralight 15 X 20 Cm Oval 25 25 $1,683.40 $1,683.40 $669.49 $1,649.73 $1,430.89 2026-06-08
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 31 31 $1,813.85 $1,813.85 $638.85 $1,777.57 $1,414.80 2026-06-08
J0561 HCPCS Injection, Penicillin G Benzathine, 100,000 Units 31 31 $1,806.65 $1,806.65 $367.78 $1,770.52 $1,409.19 2026-06-08
25520 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side And Dislocated … 31 31 $1,650.65 $1,650.65 $656.46 $1,744.91 $1,403.05 2026-06-08
6250000393 CDM Kit Access Port (Lb) 25 25 $1,650.00 $1,650.00 $656.21 $1,617.00 $1,402.50 2026-06-08
78014 HCPCS Nuclear Medicine Study Of Thyroid And Thyroid Function 31 31 $1,788.45 $1,788.45 $711.27 $1,752.68 $1,394.99 2026-06-08
78740 HCPCS Nuclear Medicine Study To Assess Urine Flow 31 31 $1,645.40 $1,645.40 $654.38 $1,612.49 $1,394.02 2026-06-08
78700 HCPCS Nuclear Medicine Study Of Kidney 31 31 $1,666.35 $1,666.35 $662.71 $1,633.02 $1,394.02 2026-06-08
78605 HCPCS Nuclear Medicine Study Of Brain, 4 Static Views Or More 31 31 $1,776.40 $1,776.40 $706.47 $1,740.87 $1,394.02 2026-06-08
78799 HCPCS Other Nuclear Medicine Study Of Urogenital System 31 31 $1,684.15 $1,684.15 $669.79 $1,650.47 $1,394.02 2026-06-08
78261 HCPCS Nuclear Medicine Study Of Stomach Lining 31 31 $1,684.15 $1,684.15 $669.79 $1,650.47 $1,394.02 2026-06-08
78305 HCPCS Nuclear Medicine Study Of Bone And/or Joint Multiple Areas 31 31 $1,660.05 $1,660.05 $660.20 $1,626.85 $1,394.02 2026-06-08
78215 HCPCS Nuclear Medicine Study Of Liver And Spleen 31 31 $1,632.25 $1,632.25 $649.15 $3,338.90 $1,387.41 2026-06-08
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 81 31 $1,692.55 $1,692.55 $546.24 $3,338.90 $1,386.97 2026-06-08
6250001692 CDM Harmonic Hd 10001 Shears 25 25 $1,608.38 $1,608.38 $639.65 $1,576.21 $1,367.12 2026-06-08
12057 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More … 31 31 $1,568.90 $1,568.90 $623.95 $1,537.52 $1,333.57 2026-06-08
12047 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, More Than 30.0 C… 31 31 $1,568.90 $1,568.90 $623.95 $1,537.52 $1,333.57 2026-06-08
12037 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha… 31 31 $1,568.90 $1,568.90 $623.95 $1,537.52 $1,333.57 2026-06-08
79101 HCPCS Radioactive Drug Therapy Through A Vein 31 31 $1,696.20 $1,696.20 $674.58 $1,662.28 $1,323.04 2026-06-08
93930 HCPCS Ultrasound Of Arm Arteries Or Artery Grafts 31 31 $1,693.60 $1,693.60 $414.64 $1,659.73 $1,321.01 2026-06-08
6250001612 CDM Sealent Patch Evarrest 25 25 $1,550.00 $1,550.00 $616.44 $1,519.00 $1,317.50 2026-06-08
6250000682 CDM Reload Ta90 4.8grn 25 25 $1,542.58 $1,542.58 $613.48 $1,511.73 $1,311.19 2026-06-08
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 31 31 $1,643.40 $1,643.40 $638.85 $1,610.53 $1,281.85 2026-06-08
6020010000 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 12 12 $1,470.00 $1,470.00 $1,146.60 $1,440.60 $1,271.55 2026-06-08
6250001405 CDM Port Kit Realize 25 25 $1,472.92 $1,472.92 $585.78 $1,443.46 $1,251.98 2026-06-08
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 31 31 $1,469.00 $1,469.00 $584.22 $3,779.42 $1,248.65 2026-06-08
78290 HCPCS Nuclear Medicine Study Of Intestine 31 31 $1,459.40 $1,459.40 $580.40 $1,430.21 $1,240.49 2026-06-08
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 86 31 $1,692.55 $1,692.55 $67.04 $3,338.90 $1,228.11 2026-06-08
78013 HCPCS Nuclear Medicine Study Of Thyroid 31 31 $1,420.85 $1,420.85 $565.07 $1,394.02 $1,207.72 2026-06-08
6020010010 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 12 12 $1,390.00 $1,390.00 $1,084.20 $1,362.20 $1,202.35 2026-06-08
81220 HCPCS Gene Analysis (cystic Fibrosis Transmembrane Conductance Regular) Common Variant… 81 31 $2,036.95 $2,036.95 $149.10 $2,937.21 $1,191.97 2026-06-08
77075 HCPCS Complete X-ray Of Body Bones 56 31 $1,465.45 $1,465.45 $448.96 $1,436.14 $1,178.92 2026-06-08
6210020005 CDM Recovery Room - General Classification 25 25 $1,382.00 $1,382.00 $549.62 $1,354.36 $1,174.70 2026-06-08
36430 HCPCS Transfusion Of Blood Or Blood Products 156 31 $1,711.35 $1,711.35 $459.50 $2,768.16 $1,168.76 2026-06-08
58301 HCPCS Removal Of IUD 31 31 $1,496.55 $1,496.55 $595.18 $1,466.62 $1,167.31 2026-06-08
6250001300 CDM Tunneler Ivs 25 25 $1,365.00 $1,365.00 $542.86 $1,337.70 $1,160.25 2026-06-08
6250001773 CDM 11 Cm Ventralight Mesh 25 25 $1,354.40 $1,354.40 $538.64 $1,327.31 $1,151.24 2026-06-08
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 56 31 $1,347.75 $1,347.75 $536.00 $1,903.11 $1,145.59 2026-06-08
78830 HCPCS Nuclear Medicine Study, Spect Imaging With Concurrent CT Scan, 1 Area Or Single … 31 31 $1,347.10 $1,347.10 $535.74 $3,338.90 $1,145.04 2026-06-08
93924 HCPCS Ultrasound Of Leg Arteries At Rest And After Exercise 31 31 $1,454.75 $1,454.75 $414.64 $1,425.66 $1,134.71 2026-06-08
7070010177 CDM Indigo Carmine 0.8% Inj 25 25 $1,321.20 $1,321.20 $525.44 $1,294.78 $1,123.02 2026-06-08
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 56 31 $1,026.15 $1,026.15 $408.10 $3,338.90 $1,109.71 2026-06-08
93978 HCPCS Complete Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 31 31 $1,407.50 $1,407.50 $559.76 $1,379.35 $1,097.85 2026-06-08
93308 HCPCS Ultrasound Of Heart, Follow-up 56 31 $1,237.60 $1,237.60 $492.19 $1,819.52 $1,089.09 2026-06-08
C1788 HCPCS Port, Indwelling (implantable) 50 25 $1,502.82 $1,502.82 $508.76 $1,691.85 $1,087.37 2026-06-08
6250001539 CDM Power Port Implant Port 6fr 25 25 $1,279.26 $1,279.26 $508.76 $1,253.67 $1,087.37 2026-06-08
78300 HCPCS Nuclear Medicine Study Of Bone And/or Joint Limited Area 56 31 $1,635.05 $1,635.05 $490.15 $1,602.35 $1,084.56 2026-06-08
62326 HCPCS Insertion Of Tube And Injection Of Substance Into Lower Spine Canal 37 30 $1,388.00 $1,388.00 $80.83 $1,884.80 $1,082.64 2026-06-08
82139 HCPCS Amino Acid Level, 6 Or More Amino Acids, Quantitative, Each Specimen 56 31 $1,395.35 $1,395.35 $36.78 $1,367.44 $1,075.80 2026-06-08
6250000543 CDM Pack Ob/Gyn Lap 25 25 $1,253.52 $1,253.52 $498.52 $1,228.45 $1,065.49 2026-06-08
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 31 31 $1,365.25 $1,365.25 $542.96 $1,337.95 $1,064.90 2026-06-08
6210010025 CDM Operating Room Services - General Classification 25 25 $1,250.00 $1,250.00 $497.13 $1,225.00 $1,062.50 2026-06-08
64450 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch 31 31 $1,248.80 $1,248.80 $496.65 $1,513.35 $1,061.48 2026-06-08
78761 HCPCS Nuclear Medicine Study Of Testicle And Blood Flow 31 31 $1,247.70 $1,247.70 $496.21 $1,394.02 $1,060.55 2026-06-08
6250001613 CDM Shears Harmonic Ace+7 25 25 $1,243.19 $1,243.19 $494.42 $1,218.33 $1,056.71 2026-06-08
93225 HCPCS Electrocardiogram (ecg) 2-day Continuous 31 31 $1,353.70 $1,353.70 $234.29 $1,326.63 $1,055.89 2026-06-08
6250001779 CDM Ventralight 15 Cm Circle 25 25 $1,237.80 $1,237.80 $492.27 $1,213.04 $1,052.13 2026-06-08
P9034 HCPCS Platelets, Pheresis, Each Unit 31 31 $1,308.60 $1,308.60 $520.43 $1,282.43 $1,047.77 2026-06-08
6250001724 CDM Enseal X1 Curved 25 25 $1,225.56 $1,225.56 $487.41 $1,201.05 $1,041.73 2026-06-08
6250000952 CDM Stapler Proximate 25mm 25 25 $1,225.00 $1,225.00 $487.18 $1,200.50 $1,041.25 2026-06-08
95806 HCPCS Sleep Study Including Heart Rate, Breathing, Airflow, And Effort 31 31 $1,333.55 $1,333.55 $530.35 $1,306.88 $1,040.17 2026-06-08
78185 HCPCS Nuclear Medicine Study Of Spleen 31 31 $1,209.85 $1,209.85 $481.16 $1,394.02 $1,028.37 2026-06-08
11401 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 0.6-1.0 Cm 31 31 $1,208.85 $1,208.85 $480.76 $1,595.08 $1,027.52 2026-06-08
11400 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 0.5 Cm Or Less 31 31 $1,208.85 $1,208.85 $480.76 $1,595.08 $1,027.52 2026-06-08
10005 HCPCS Fine Needle Aspiration Biopsy Using Ultrasound Guidance, First Growth 31 31 $1,207.80 $1,207.80 $480.34 $2,590.54 $1,026.63 2026-06-08
81275 HCPCS Gene Analysis (v-ki-ras2 Kirsten Rat Sarcoma Viral Oncogene) Variants In Codons … 31 31 $1,308.90 $1,308.90 $506.72 $1,282.72 $1,020.94 2026-06-08
6250000392 CDM Kit Access Low Pro (Lb) 25 25 $1,190.00 $1,190.00 $473.26 $1,166.20 $1,011.50 2026-06-08
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 81 31 $1,635.05 $1,635.05 $406.45 $2,403.45 $1,005.53 2026-06-08
6250001775 CDM Ventralight St Mesh 25 25 $1,175.75 $1,175.75 $467.60 $1,152.24 $999.39 2026-06-08
6250000184 CDM Cath Groshong Dl 9.5 25 25 $1,171.70 $1,171.70 $465.99 $1,148.27 $995.95 2026-06-08
94660 HCPCS Therapy Procedure Using A Positive Pressure Ventilator 56 31 $1,670.75 $1,670.75 $464.04 $1,637.34 $991.78 2026-06-08
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 25 25 $1,161.00 $1,161.00 $461.73 $1,137.78 $986.85 2026-06-08
76776 HCPCS Ultrasound Scan Of Transplanted Kidney 31 31 $1,264.95 $1,264.95 $414.64 $1,239.65 $986.66 2026-06-08
6250000394 CDM Kit Acl Disp 25 25 $1,153.30 $1,153.30 $458.67 $1,130.23 $980.31 2026-06-08
6250000660 CDM Probe Tac-s 25 25 $1,149.55 $1,149.55 $457.18 $1,126.56 $977.12 2026-06-08
6250000659 CDM Probe Tac-c Ii 25 25 $1,149.55 $1,149.55 $457.18 $1,126.56 $977.12 2026-06-08
76870 HCPCS Ultrasound Scan Of Scrotum 56 31 $1,209.45 $1,209.45 $414.64 $1,185.26 $962.71 2026-06-08
6250000691 CDM Retractor Endopath 12mm 25 25 $1,130.27 $1,130.27 $449.51 $1,107.66 $960.73 2026-06-08
6250001784 CDM 23cm Powerseal Sealer 25 25 $1,129.00 $1,129.00 $449.00 $1,106.42 $959.65 2026-06-08
76700 HCPCS Complete Ultrasound Scan Of Abdomen 31 31 $1,226.35 $1,226.35 $487.72 $1,201.82 $956.55 2026-06-08
73564 HCPCS X-ray Of Knee, 4 Or More Views 56 31 $1,124.20 $1,124.20 $213.04 $1,652.38 $955.57 2026-06-08
93926 HCPCS Ultrasound Of One Leg Arteries Or Artery Grafts 31 31 $1,209.30 $1,209.30 $414.64 $1,185.11 $943.25 2026-06-08
6210020000 CDM Recovery Room - General Classification 25 25 $1,106.00 $1,106.00 $439.86 $1,083.88 $940.10 2026-06-08
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 56 31 $1,172.10 $1,172.10 $444.79 $1,148.66 $932.97 2026-06-08
6250000960 CDM Stapler Stat Tack Hernia 25 25 $1,094.90 $1,094.90 $435.44 $1,073.00 $930.67 2026-06-08
6250001409 CDM Echelon Flex 60 25 25 $1,080.48 $1,080.48 $429.71 $1,058.87 $918.41 2026-06-08
12056 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.1-… 31 31 $1,076.15 $1,076.15 $427.98 $1,448.24 $914.73 2026-06-08
76706 HCPCS Ultrasound Scan Of Abdominal Aorta 31 31 $1,172.10 $1,172.10 $414.64 $1,148.66 $914.24 2026-06-08
19281 HCPCS Placement Of Locating Device In Breast Using Imaging Guidance, First Growth 31 31 $1,073.05 $1,073.05 $426.75 $5,046.77 $912.09 2026-06-08
6250001720 CDM Maryland Fushion 44 Cm Voy 25 25 $1,062.50 $1,062.50 $422.56 $1,041.25 $903.13 2026-06-08
6250001745 CDM Powerseal 5mm 44cm Jaw Sealer 25 25 $1,062.50 $1,062.50 $422.56 $1,041.25 $903.13 2026-06-08
6250001650 CDM Serosafuse Fast Cart 7.5 Mm 25 25 $1,062.50 $1,062.50 $422.56 $1,041.25 $903.13 2026-06-08
M0222 HCPCS Intravenous Injection, Bebtelovimab, Includes Injection And Post Administration … 25 25 $1,059.50 $1,059.50 $421.36 $1,038.31 $900.58 2026-06-08
M0247 HCPCS Intravenous Infusion, Sotrovimab, Includes Infusion And Post Administration Moni… 31 31 $1,059.50 $1,059.50 $421.36 $1,117.51 $900.58 2026-06-08
96413 HCPCS Administration Of Chemotherapy Into Vein, 1 Hour Or Less 31 31 $1,059.50 $1,059.50 $421.36 $1,117.51 $900.58 2026-06-08
M0245 HCPCS Intravenous Infusion, Bamlanivimab And Etesevimab, Includes Infusion And Post Ad… 31 31 $1,059.50 $1,059.50 $421.36 $1,117.51 $900.58 2026-06-08
M0243 HCPCS Intravenous Infusion Or Subcutaneous Injection, Casirivimab And Imdevimab Includ… 31 31 $1,059.50 $1,059.50 $421.36 $1,117.51 $900.58 2026-06-08
6250000962 CDM Stapler Stealth Cir 25mm 25 25 $1,058.01 $1,058.01 $420.77 $1,036.85 $899.31 2026-06-08
6250000875 CDM Shear Endo Harmonic 5mm 25 25 $1,052.93 $1,052.93 $418.75 $1,031.87 $894.99 2026-06-08
6210010015 CDM Operating Room Services - General Classification 25 25 $1,051.00 $1,051.00 $417.98 $1,029.98 $893.35 2026-06-08
93017 HCPCS Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg) 31 31 $1,145.00 $1,145.00 $455.37 $1,122.10 $893.10 2026-06-08
11042 HCPCS Removal Of Skin And Tissue, 20.0 Sq Cm Or Less 31 31 $1,043.00 $1,043.00 $414.80 $1,448.24 $886.55 2026-06-08
76642 HCPCS Limited Ultrasound Scan Of 1 Breast 81 31 $1,244.25 $1,244.25 $413.91 $1,529.88 $884.64 2026-06-08
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 31 31 $1,129.15 $1,129.15 $414.64 $1,106.57 $880.74 2026-06-08
C1781 HCPCS Mesh (implantable) 1,050 25 $1,210.00 $1,210.00 $44.38 $11,686.50 $880.70 2026-06-08
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