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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

UNITY PHYSICIANS HOSPITAL

Mishawaka, IN · CCN 150177 · Rates published

700 distinct procedures filed
35 distinct payers
18,775 rate rows
2026-07-19 last MRF observed
Data quality

17,227 of 18,775 rate rows are consumer-grade (91.8%)

1,548 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 1,544
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://clariti-health.com/csp/clariti/machinereadable/v2/352194353_United-Surgeons-LLC-DBA-Unity-Physicians-Hospital_standardcharges.csv
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-06
Content fingerprint 3074dbc5d36e3780… · 1,394,571 bytes · first seen 2026-05-15

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
83690
CPT 		Assay Of Lipase 21 $5.18 $100,000.00 $39,737.21 nat. median
$13
outlier · 3133.8×
82150
CPT 		Assay Of Amylase 21 $6.48 $100,000.00 $39,736.82 nat. median
$18
outlier · 2228.0×
87502
CPT 		Influenza DNA Amp Probe 21 $95.80 $75,952.50 $38,365.31 nat. median
$110
outlier · 348.2×
84145
CPT 		Procalcitonin (pct) 21 $27.22 $75,952.50 $38,361.91 nat. median
$44
outlier · 880.9×
85025
CPT 		Complete Cbc W/auto Diff Wbc 21 $7.77 $100,000.00 $31,778.64 nat. median
$12
outlier · 2556.6×
95940
CPT 		Ionm In Operatng Room 15 Min 20 $2,700.00 $49,158.75 $28,238.04 nat. median
$142
outlier · 198.9×
74177
CPT 		CT Abd & Pelv W/contrast 21 $162.17 $100,000.00 $26,993.82 nat. median
$501
outlier · 53.9×
71275
CPT 		CT Angiography Chest 21 $159.15 $100,000.00 $26,873.72 nat. median
$365
outlier · 73.6×
27599
CPT 		Unlisted Procedure Femur/knee 20 $183.79 $66,812.50 $25,742.61 nat. median
$503
outlier · 51.2×
36430
CPT 		Blood Transfusion Service 20 $353.92 $100,000.00 $25,352.35 nat. median
$574
outlier · 44.1×
83036
CPT 		Glycosylated Hemoglobin Test 21 $9.71 $49,158.75 $24,871.49 nat. median
$14
outlier · 1774.0×
87186
CPT 		Microbe Susceptible Mic 21 $8.65 $44,702.50 $22,595.80 nat. median
$21
outlier · 1058.6×
80053
CPT 		Comprehen Metabolic Panel 21 $10.56 $44,702.50 $22,591.95 nat. median
$18
outlier · 1257.9×
87075
CPT 		Cultr Bacteria Except Blood 21 $8.48 $44,702.50 $22,584.03 nat. median
$17
outlier · 1324.6×
87070
CPT 		Culture Othr Specimn Aerobic 21 $8.62 $44,702.50 $22,573.69 nat. median
$33
outlier · 686.1×
85027
CPT 		Complete Cbc Automated 21 $6.47 $44,702.50 $22,573.24 nat. median
$11
outlier · 2070.9×
87205
CPT 		Smear Gram Stain 21 $4.27 $44,702.50 $22,571.47 nat. median
$14
outlier · 1569.6×
87077
CPT 		Culture Aerobic Identify 21 $8.08 $44,702.50 $22,571.06 nat. median
$18
outlier · 1258.1×
87076
CPT 		Culture Anaerobe Ident Each 21 $8.08 $44,702.50 $22,571.06 nat. median
$15
outlier · 1532.8×
85652
CPT 		Rbc Sed Rate Automated 21 $2.70 $44,702.50 $22,570.83 nat. median
$4
outlier · 5203.6×
82565
CPT 		Assay Of Creatinine 21 $5.12 $44,702.50 $22,569.85 nat. median
$9
outlier · 2627.5×
87102
CPT 		Fungus Isolation Culture 21 $8.41 $44,702.50 $22,567.70 nat. median
$17
outlier · 1329.1×
86140
CPT 		C-reactive Protein 21 $5.18 $44,702.50 $22,565.54 nat. median
$10
outlier · 2178.1×
89051
CPT 		Body Fluid Cell Count 21 $5.16 $44,702.50 $22,565.05 nat. median
$11
outlier · 2022.0×
27698
CPT 		Repair Secondary Disrupted Ligament Ankl 21 $443.28 $98,655.58 $21,443.79 nat. median
$6,466
outlier · 3.3×
27446
CPT 		Arthrp Knee Condyle&plateau Medial/lat C 21 $800.42 $99,309.94 $19,986.35 nat. median
$12,905
1.5× median
84300
CPT 		Assay Of Urine Sodium 21 $4.70 $39,423.75 $19,900.51 nat. median
$10
outlier · 1966.5×
28725
CPT 		Arthrodesis Subtalar 21 $582.98 $46,361.45 $19,333.15 nat. median
$9,062
outlier · 2.1×
27442
CPT 		Arthroplasty Fem Condyles/tibial Plateau 21 $800.42 $89,872.73 $18,847.63 nat. median
$12,162
1.5× median
93653
CPT 		Ep & Ablate Supravent Arrhyt 21 $5,765.00 $49,044.65 $18,775.43 nat. median
$25,502
0.7× median
93656
CPT 		Tx Atrial Fib Pulm Vein Isol 21 $5,765.00 $49,044.65 $18,775.43 nat. median
$26,469
0.7× median
93654
CPT 		Ep & Ablate Ventric Tachy 21 $5,765.00 $49,044.65 $18,775.43 nat. median
$26,477
0.7× median
80202
CPT 		Assay Of Vancomycin 21 $13.54 $37,181.25 $18,774.16 nat. median
$25
outlier · 749.5×
27447
CPT 		Arthrp Kne Condyle&platu Medial&lat Comp 21 $6,693.20 $79,535.22 $18,661.14 nat. median
$12,374
1.5× median
27130
CPT 		Arthrp Acetblr/prox Fem Prostc Agrft/alg 21 $6,693.20 $73,587.81 $18,199.31 nat. median
$12,734
1.4× median
20985
CPT 		Cptr-asst Surgical Navigation Image-less 9 $318.54 $73,618.02 $17,916.71 nat. median
$600
outlier · 29.9×
82330
CPT 		Assay Of Calcium 21 $9.62 $35,050.00 $17,704.06 nat. median
$21
outlier · 836.7×
27438
CPT 		Arthroplasty Patella W/prosthesis 21 $800.42 $69,059.57 $17,304.19 nat. median
$11,428
1.5× median
72131
CPT 		CT Aorta 21 $97.13 $49,158.75 $16,812.17 nat. median
$212
outlier · 79.4×
72100
CPT 		Xray Sacrum & Coccyx Min 2 Vw 21 $17.01 $49,158.75 $16,776.59 nat. median
$126
outlier · 132.9×
72070
CPT 		Xray Si Jnts <3 Vw 21 $15.77 $49,158.75 $16,773.01 nat. median
$115
outlier · 145.9×
73562
CPT 		Xray Exam Hips Bi 5/> Views 21 $19.24 $49,158.75 $16,769.32 nat. median
$111
outlier · 150.6×
72220
CPT 		Xray Knees Standing Ap 21 $14.28 $49,158.75 $16,767.47 nat. median
$104
outlier · 160.9×
88304
CPT 		Tissue Exam By Pathologist 21 $23.59 $49,158.75 $16,746.41 nat. median
$74
outlier · 226.3×
70450
CPT 		CT Angiograph Low Extrem Lt 21 $56.64 $48,110.00 $16,415.78 nat. median
$210
outlier · 78.1×
27766
CPT 		Open Treatment Medial Malleolus Fracture 21 $488.57 $38,555.00 $16,288.28 nat. median
$7,011
outlier · 2.3×
27685
CPT 		Lngth/shrt Tendon Leg/ankle 1 Tendon Spx 21 $488.57 $101,223.35 $16,155.78 nat. median
$3,458
outlier · 4.7×
27638
CPT 		Exc/curettage Cyst/tumor Tibia/fibula With 21 $488.57 $38,555.00 $15,984.36 nat. median
$6,220
outlier · 2.6×
27299
CPT 		Unlisted Procedure Pelvis/hip Joint 21 $183.79 $44,702.50 $15,640.28 nat. median
$443
outlier · 35.3×
82310
CPT 		Assay Of Calcium 21 $5.16 $29,828.75 $15,058.21 nat. median
$10
outlier · 1533.4×

Other procedures at this hospital

Browse this hospital's 700 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
             
83690 CPT Assay Of Lipase 39 21 $100,000.00 — $5.18 $100,000.00 $39,737.21 2026-07-19
82150 CPT Assay Of Amylase 39 21 $100,000.00 — $6.48 $100,000.00 $39,736.82 2026-07-19
87502 CPT Influenza DNA Amp Probe 39 21 $75,952.50 — $95.80 $75,952.50 $38,365.31 2026-07-19
84145 CPT Procalcitonin (pct) 39 21 $75,952.50 — $27.22 $75,952.50 $38,361.91 2026-07-19
85025 CPT Complete Cbc W/auto Diff Wbc 39 21 $100,000.00 — $7.77 $100,000.00 $31,778.64 2026-07-19
95940 CPT Ionm In Operatng Room 15 Min 35 20 $49,158.75 — $2,700.00 $49,158.75 $28,238.04 2026-07-19
74177 CPT CT Abd & Pelv W/contrast 58 21 $100,000.00 — $162.17 $100,000.00 $26,993.82 2026-07-19
71275 CPT CT Angiography Chest 58 21 $100,000.00 — $159.15 $100,000.00 $26,873.72 2026-07-19
27599 CPT Unlisted Procedure Femur/knee 60 20 $66,812.50 — $183.79 $66,812.50 $25,742.61 2026-07-19
36430 CPT Blood Transfusion Service 62 20 $100,000.00 — $353.92 $100,000.00 $25,352.35 2026-07-19
83036 CPT Glycosylated Hemoglobin Test 39 21 $49,158.75 — $9.71 $49,158.75 $24,871.49 2026-07-19
87186 CPT Microbe Susceptible Mic 39 21 $44,702.50 — $8.65 $44,702.50 $22,595.80 2026-07-19
80053 CPT Comprehen Metabolic Panel 39 21 $44,702.50 — $10.56 $44,702.50 $22,591.95 2026-07-19
87075 CPT Cultr Bacteria Except Blood 39 21 $44,702.50 — $8.48 $44,702.50 $22,584.03 2026-07-19
87070 CPT Culture Othr Specimn Aerobic 39 21 $44,702.50 — $8.62 $44,702.50 $22,573.69 2026-07-19
85027 CPT Complete Cbc Automated 39 21 $44,702.50 — $6.47 $44,702.50 $22,573.24 2026-07-19
87205 CPT Smear Gram Stain 39 21 $44,702.50 — $4.27 $44,702.50 $22,571.47 2026-07-19
87077 CPT Culture Aerobic Identify 39 21 $44,702.50 — $8.08 $44,702.50 $22,571.06 2026-07-19
87076 CPT Culture Anaerobe Ident Each 39 21 $44,702.50 — $8.08 $44,702.50 $22,571.06 2026-07-19
85652 CPT Rbc Sed Rate Automated 39 21 $44,702.50 — $2.70 $44,702.50 $22,570.83 2026-07-19
82565 CPT Assay Of Creatinine 39 21 $44,702.50 — $5.12 $44,702.50 $22,569.85 2026-07-19
87102 CPT Fungus Isolation Culture 39 21 $44,702.50 — $8.41 $44,702.50 $22,567.70 2026-07-19
86140 CPT C-reactive Protein 39 21 $44,702.50 — $5.18 $44,702.50 $22,565.54 2026-07-19
89051 CPT Body Fluid Cell Count 39 21 $44,702.50 — $5.16 $44,702.50 $22,565.05 2026-07-19
27698 CPT Repair Secondary Disrupted Ligament Ankl 66 21 $123,319.47 — $443.28 $98,655.58 $21,443.79 2026-07-19
27446 CPT Arthrp Knee Condyle&plateau Medial/lat C 66 21 $124,137.42 — $800.42 $99,309.94 $19,986.35 2026-07-19
84300 CPT Assay Of Urine Sodium 39 21 $39,423.75 — $4.70 $39,423.75 $19,900.51 2026-07-19
28725 CPT Arthrodesis Subtalar 66 21 $57,951.81 — $582.98 $46,361.45 $19,333.15 2026-07-19
27442 CPT Arthroplasty Fem Condyles/tibial Plateau 66 21 $112,340.91 — $800.42 $89,872.73 $18,847.63 2026-07-19
93654 CPT Ep & Ablate Ventric Tachy 35 21 $61,305.81 — $5,765.00 $49,044.65 $18,775.43 2026-07-19
93656 CPT Tx Atrial Fib Pulm Vein Isol 35 21 $61,305.81 — $5,765.00 $49,044.65 $18,775.43 2026-07-19
93653 CPT Ep & Ablate Supravent Arrhyt 35 21 $61,305.81 — $5,765.00 $49,044.65 $18,775.43 2026-07-19
80202 CPT Assay Of Vancomycin 39 21 $37,181.25 — $13.54 $37,181.25 $18,774.16 2026-07-19
27447 CPT Arthrp Kne Condyle&platu Medial&lat Comp 66 21 $99,419.03 — $6,693.20 $79,535.22 $18,661.14 2026-07-19
27130 CPT Arthrp Acetblr/prox Fem Prostc Agrft/alg 66 21 $91,984.76 — $6,693.20 $73,587.81 $18,199.31 2026-07-19
20985 CPT Cptr-asst Surgical Navigation Image-less 14 9 $92,022.53 — $318.54 $73,618.02 $17,916.71 2026-07-19
82330 CPT Assay Of Calcium 39 21 $35,050.00 — $9.62 $35,050.00 $17,704.06 2026-07-19
27438 CPT Arthroplasty Patella W/prosthesis 66 21 $86,324.46 — $800.42 $69,059.57 $17,304.19 2026-07-19
72131 CPT CT Aorta 58 21 $49,158.75 — $97.13 $49,158.75 $16,812.17 2026-07-19
72100 CPT Xray Sacrum & Coccyx Min 2 Vw 58 21 $49,158.75 — $17.01 $49,158.75 $16,776.59 2026-07-19
72070 CPT Xray Si Jnts <3 Vw 58 21 $49,158.75 — $15.77 $49,158.75 $16,773.01 2026-07-19
73562 CPT Xray Exam Hips Bi 5/> Views 58 21 $49,158.75 — $19.24 $49,158.75 $16,769.32 2026-07-19
72220 CPT Xray Knees Standing Ap 58 21 $49,158.75 — $14.28 $49,158.75 $16,767.47 2026-07-19
88304 CPT Tissue Exam By Pathologist 58 21 $49,158.75 — $23.59 $49,158.75 $16,746.41 2026-07-19
70450 CPT CT Angiograph Low Extrem Lt 58 21 $48,110.00 — $56.64 $48,110.00 $16,415.78 2026-07-19
27766 CPT Open Treatment Medial Malleolus Fracture 66 21 $38,555.00 — $488.57 $38,555.00 $16,288.28 2026-07-19
27685 CPT Lngth/shrt Tendon Leg/ankle 1 Tendon Spx 66 21 $126,529.19 — $488.57 $101,223.35 $16,155.78 2026-07-19
27638 CPT Exc/curettage Cyst/tumor Tibia/fibula With 66 21 $38,555.00 — $488.57 $38,555.00 $15,984.36 2026-07-19
27299 CPT Unlisted Procedure Pelvis/hip Joint 64 21 $44,702.50 — $183.79 $44,702.50 $15,640.28 2026-07-19
82310 CPT Assay Of Calcium 39 21 $29,828.75 — $5.16 $29,828.75 $15,058.21 2026-07-19
80051 CPT Electrolyte Panel 39 21 $29,828.75 — $4.50 $29,828.75 $15,057.55 2026-07-19
88311 CPT Decalcify Tissue 39 21 $29,388.75 — $7.42 $29,388.75 $14,836.52 2026-07-19
51798 CPT US Urine Capacity Measure 66 21 $49,158.75 — $21.86 $49,158.75 $14,833.93 2026-07-19
97168 CPT Ot Re-eval Est Plan Care 35 20 $26,193.75 — $75.00 $26,193.75 $14,746.93 2026-07-19
88341 CPT Immunohisto Antb Addl Slide 35 20 $24,682.50 — $162.14 $24,682.50 $13,913.96 2026-07-19
29827 CPT Surgical Arthroscopy Shoulder W/rotator 66 21 $88,145.94 — $488.57 $70,516.75 $13,869.42 2026-07-19
97166 CPT Ot Eval Mod Complex 45 Min 35 20 $23,748.75 — $210.00 $23,748.75 $13,545.12 2026-07-19
97161 CPT Pt Eval Low Complex 20 Min 35 20 $23,748.75 — $195.00 $23,748.75 $13,542.19 2026-07-19
97165 CPT Ot Eval Low Complex 30 Min 35 20 $23,748.75 — $195.00 $23,748.75 $13,542.19 2026-07-19
97110 CPT Therapeutic Exercises 35 20 $23,748.75 — $41.06 $23,748.75 $13,512.13 2026-07-19
97535 CPT Self Care Mngment Training 35 20 $23,748.75 — $37.87 $23,748.75 $13,511.51 2026-07-19
97116 CPT Gait Training Therapy 35 20 $23,748.75 — $36.25 $23,748.75 $13,511.20 2026-07-19
97140 CPT Manual Therapy 1/> Regions 35 20 $23,748.75 — $31.45 $23,748.75 $13,510.26 2026-07-19
29882 CPT Arthroscopy Knee W/meniscus Rpr Medial/l 66 21 $51,183.45 — $488.57 $40,946.76 $13,492.14 2026-07-19
73522 CPT Xray Chest 1 Vw 58 21 $39,302.50 — $23.20 $39,302.50 $13,387.81 2026-07-19
24366 CPT Arthroplasty Radial Head W/implant 35 21 $64,465.32 — $800.42 $51,572.26 $13,281.63 2026-07-19
11044 CPT Debridement Bone Muscle &/fascia 20 Sq C 66 21 $39,423.75 — $443.28 $39,423.75 $13,220.61 2026-07-19
29826 CPT Surgical Arthroscopy Sho W/coracoacrm Li 47 21 $52,770.98 — $488.57 $42,216.78 $13,211.88 2026-07-19
73610 CPT Extracranial Art Duplex Uni/ltd 58 21 $38,555.00 — $17.51 $38,555.00 $13,047.56 2026-07-19
73620 CPT Xray Exam Entire Spi 2/3 Vw 58 21 $38,555.00 — $13.79 $38,555.00 $13,043.88 2026-07-19
73600 CPT Extracranial Art Duplex Bil Cmplt 58 21 $38,555.00 — $14.28 $38,555.00 $13,043.10 2026-07-19
27350 CPT Patellectomy/hemipatellectomy 66 21 $50,832.80 — $582.98 $40,666.24 $12,972.11 2026-07-19
27814 CPT Open Treatment Bimalleolar Ankle Fractur 66 21 $29,065.00 — $488.57 $29,065.00 $12,679.74 2026-07-19
64718 CPT Neuroplasty &/transposition Ulnar Nerve 66 21 $43,300.63 — $443.28 $34,640.50 $12,524.82 2026-07-19
76942 CPT Echo Guide For Biopsy 39 21 $23,748.75 — $27.66 $23,748.75 $12,185.18 2026-07-19
84443 CPT Assay Thyroid Stim Hormone 39 21 $23,748.75 — $16.80 $23,748.75 $12,140.91 2026-07-19
87635 CPT Description For Code 87635 39 21 $23,748.75 — $51.31 $23,748.75 $12,140.53 2026-07-19
84484 CPT Assay Of Troponin Quant 39 21 $23,748.75 — $12.47 $23,748.75 $12,137.99 2026-07-19
80048 CPT Metabolic Panel Total Ca 39 21 $23,748.75 — $8.46 $23,748.75 $12,137.51 2026-07-19
87086 CPT Urine Culture/colony Count 39 21 $23,748.75 — $8.07 $23,748.75 $12,129.14 2026-07-19
81025 CPT Urine Pregnancy Test 39 21 $23,748.75 — $8.61 $23,748.75 $12,129.13 2026-07-19
83735 CPT Assay Of Magnesium 39 21 $23,748.75 — $6.70 $23,748.75 $12,128.33 2026-07-19
85730 CPT Thromboplastin Time Partial 39 21 $23,748.75 — $6.01 $23,748.75 $12,127.19 2026-07-19
81001 CPT Urinalysis Auto W/scope 39 21 $23,748.75 — $3.17 $23,748.75 $12,126.32 2026-07-19
87040 CPT Blood Culture For Bacteria 39 21 $23,748.75 — $10.32 $23,748.75 $12,125.64 2026-07-19
85379 CPT Fibrin Degradation Quant 39 21 $23,748.75 — $10.18 $23,748.75 $12,125.20 2026-07-19
84132 CPT Assay Of Serum Potassium 39 21 $23,748.75 — $4.76 $23,748.75 $12,125.05 2026-07-19
82553 CPT Creatine Mb Fraction 39 21 $23,748.75 — $8.38 $23,748.75 $12,124.14 2026-07-19
85014 CPT Hematocrit 39 21 $23,748.75 — $2.37 $23,748.75 $12,123.97 2026-07-19
84439 CPT Assay Of Free Thyroxine 39 21 $23,748.75 — $9.02 $23,748.75 $12,123.56 2026-07-19
85018 CPT Hemoglobin 39 21 $23,748.75 — $2.37 $23,748.75 $12,123.34 2026-07-19
82550 CPT Assay Of Ck (cpk) 39 21 $23,748.75 — $6.51 $23,748.75 $12,121.54 2026-07-19
36415 CPT Routine Venipuncture 39 21 $23,748.75 — $3.00 $23,748.75 $12,121.22 2026-07-19
85610 CPT Prothrombin Time 39 21 $23,748.75 — $4.29 $23,748.75 $12,120.90 2026-07-19
84100 CPT Assay Of Phosphorus 39 21 $23,748.75 — $4.74 $23,748.75 $12,120.78 2026-07-19
85049 CPT Automated Platelet Count 39 21 $23,748.75 — $4.48 $23,748.75 $12,120.50 2026-07-19
82947 CPT Assay Glucose Blood Quant 39 21 $23,748.75 — $3.93 $23,748.75 $12,120.24 2026-07-19
95938 CPT Somatosensory Testing 54 20 $31,752.50 — $434.78 $31,752.50 $12,080.75 2026-07-19
88331 CPT Path Consult Intraop 1 Bloc 58 21 $35,050.00 — $35.39 $35,050.00 $11,953.61 2026-07-19
88305 CPT Tissue Exam By Pathologist 58 21 $35,050.00 — $44.35 $35,050.00 $11,925.91 2026-07-19
86880 CPT Coombs Test Direct 58 21 $35,050.00 — $5.39 $35,050.00 $11,915.80 2026-07-19
27405 CPT Rpr Primary Torn Ligm&/capsule Knee Coll 66 21 $69,995.06 — $582.98 $55,996.05 $11,672.51 2026-07-19
23615 CPT Open Treatment Proximal Humeral Fracture 35 21 $38,368.57 — $582.98 $30,694.86 $11,023.96 2026-07-19
72050 CPT Xray Ribs Bilat W/1 Vw Chest 58 21 $31,752.50 — $22.95 $31,752.50 $11,010.93 2026-07-19
72040 CPT Xray Ribs 2 Vw Uni Lt 58 21 $31,752.50 — $17.01 $31,752.50 $10,991.79 2026-07-19
29888 CPT Arthrs Aided Ant Cruciate Ligm Rpr/agmnt 35 21 $74,548.07 — $488.57 $59,638.46 $10,697.39 2026-07-19
99157 CPT Mod Sed Other Phys/qhp Ea 4 3 $16,108.00 — $9,664.80 $12,886.40 $10,671.55 2026-07-19
64721 CPT Neuroplasty &/transpos Median Nrv Carpal 66 21 $29,828.75 — $443.28 $29,828.75 $10,419.97 2026-07-19
20694 CPT Removal External Fixation System Under A 66 21 $43,655.22 — $318.54 $34,924.18 $10,384.20 2026-07-19
73030 CPT Xray Myelogram Cervical 58 21 $29,828.75 — $14.78 $29,828.75 $10,168.13 2026-07-19
71045 CPT Xray Ac Jnts Bilat 58 21 $29,828.75 — $62.12 $29,828.75 $10,165.87 2026-07-19
73020 CPT Xray Mandible Min 4 Vw 58 21 $29,828.75 — $11.31 $29,828.75 $10,164.76 2026-07-19
88307 CPT Tissue Exam By Pathologist 58 21 $29,388.75 — $94.45 $29,388.75 $10,096.16 2026-07-19
29875 CPT Arthroscopy Knee Synovectomy Limited Spx 66 21 $39,496.00 — $582.98 $31,596.80 $10,066.54 2026-07-19
73590 CPT Xray Spine 1 Vw Any Level 58 21 $29,065.00 — $13.29 $29,065.00 $9,909.32 2026-07-19
73060 CPT Xray Exam Hip Uni 4/> Views 58 21 $29,065.00 — $14.28 $29,065.00 $9,906.79 2026-07-19
73660 CPT Xray Spine Cerv 2-3 Vw 58 21 $29,065.00 — $16.76 $29,065.00 $9,904.76 2026-07-19
29824 CPT Surgical Arthroscopy Shoulder Dstl Clavi 66 21 $39,476.23 — $800.42 $31,580.98 $9,827.15 2026-07-19
24359 CPT Tnot Elbow Lateral/medial Debride Open T 66 21 $23,748.75 — $1,106.60 $23,748.75 $9,737.45 2026-07-19
25805 CPT Arthrodesis Wrist W/sliding Graft 35 21 $64,266.19 — $800.42 $51,412.95 $9,703.74 2026-07-19
27536 CPT Optx Tibial Fx Prox Bicondylar W/wo Int 35 21 $61,256.34 — $3,346.60 $49,005.07 $9,629.70 2026-07-19
29877 CPT Arthrs Knee Debridement/shaving Artclr C 66 21 $23,748.75 — $582.98 $23,748.75 $9,383.72 2026-07-19
64416 CPT N Block Cont Infuse B Plex 66 21 $29,828.75 — $318.54 $29,828.75 $9,343.36 2026-07-19
64708 CPT Neurp Major Prph Nrv Arm/leg Opn Oth/thn 66 21 $24,682.50 — $443.28 $24,682.50 $9,116.29 2026-07-19
25111 CPT Excision Ganglion Wrist Dorsal/volar Pri 66 21 $28,117.84 — $488.57 $22,494.27 $9,114.55 2026-07-19
10140 CPT I&d Hematoma Seroma/fluid Collection 66 21 $26,193.75 — $97.73 $26,193.75 $8,983.95 2026-07-19
90471 CPT Immunization Admin 54 20 $23,748.75 — $55.24 $23,748.75 $8,783.81 2026-07-19
93005 CPT Electrocardiogram Tracing 54 20 $23,748.75 — $49.61 $23,748.75 $8,779.44 2026-07-19
74178 CPT CT Orbit/sella/etc W/cont 58 21 $24,682.50 — $192.64 $24,682.50 $8,655.24 2026-07-19
71260 CPT CT Abdo/pelvis Without Cont 58 21 $24,682.50 — $123.28 $24,682.50 $8,518.82 2026-07-19
26055 CPT Tendon Sheath Incision 66 21 $23,748.75 — $443.28 $23,748.75 $8,512.91 2026-07-19
22513 CPT Perq Vert Agmntj Cavity Crtj Uni/bi Cann 35 21 $43,267.65 — $3,346.60 $34,614.12 $8,484.67 2026-07-19
29916 CPT Arthroscopy Hip W/labral Repair 35 21 $43,915.46 — $2,226.60 $35,132.37 $8,405.72 2026-07-19
29823 CPT Surgical Arthroscopy Shoulder Xtnsv Dbrd 66 21 $19,452.50 — $488.57 $19,452.50 $8,402.26 2026-07-19
86200 CPT Ccp Antibody 39 21 $16,635.00 — $12.95 $16,635.00 $8,400.87 2026-07-19
89060 CPT Exam Synovial Fluid Crystals 39 21 $16,635.00 — $5.16 $16,635.00 $8,398.17 2026-07-19
86431 CPT Rheumatoid Factor Quant 39 21 $16,635.00 — $5.67 $16,635.00 $8,398.16 2026-07-19
86870 CPT Rbc Antibody Identification 58 21 $23,748.75 — $50.00 $23,748.75 $8,271.27 2026-07-19
93971 CPT US Pelvic Cmplt 58 21 $23,748.75 — $97.13 $23,748.75 $8,218.00 2026-07-19
88342 CPT Immunohisto Antb 1st Stain 58 21 $23,748.75 — $41.27 $23,748.75 $8,208.95 2026-07-19
74019 CPT X-ray Exam Abdomen 2 Views 58 21 $23,748.75 — $94.08 $23,748.75 $8,203.85 2026-07-19
72170 CPT Xray Hand 2 Vw Lt 58 21 $23,748.75 — $13.79 $23,748.75 $8,199.61 2026-07-19
73560 CPT Xray Exam Hips Bi 3-4 Views 58 21 $23,748.75 — $15.03 $23,748.75 $8,192.86 2026-07-19
86900 CPT Blood Typing Serologic Abo 58 21 $23,748.75 — $2.99 $23,748.75 $8,190.16 2026-07-19
73502 CPT X-ray Exam Hip Uni 2-3 Views 58 21 $23,748.75 — $20.73 $23,748.75 $8,188.16 2026-07-19
73552 CPT Xray Chest 4 Or More Vw 58 21 $23,748.75 — $15.77 $23,748.75 $8,187.81 2026-07-19
73501 CPT X-ray Exam Hip Uni 1 View 58 21 $23,748.75 — $14.04 $23,748.75 $8,187.70 2026-07-19
86850 CPT Rbc Antibody Screen 58 21 $23,748.75 — $5.21 $23,748.75 $8,175.93 2026-07-19
86901 CPT Blood Typing Serologic Rh(d) 58 21 $23,748.75 — $2.99 $23,748.75 $8,164.78 2026-07-19
29806 CPT Surgical Arthroscopy Shoulder Capsulorrh 35 21 $43,125.30 — $488.57 $34,500.24 $8,067.43 2026-07-19
23550 CPT Open Tx Acromioclavicular Dislc Acute/ch 35 21 $43,741.30 — $488.57 $34,993.04 $8,004.30 2026-07-19
88312 CPT Special Stains Group 1 58 21 $23,411.25 — $8.85 $23,411.25 $7,971.16 2026-07-19
87206 CPT Smear Fluorescent/acid Stai 39 21 $15,748.75 — $5.39 $15,748.75 $7,953.77 2026-07-19
87015 CPT Specimen Infect Agnt Concntj 39 21 $15,748.75 — $6.68 $15,748.75 $7,953.34 2026-07-19
23515 CPT Open Tx Clavicular Fracture Internal Fix 35 21 $42,363.18 — $488.57 $33,890.54 $7,899.96 2026-07-19
27792 CPT Open Tx Distal Fibular Fracture Lat Mall 35 21 $42,311.42 — $488.57 $33,849.14 $7,896.04 2026-07-19
26145 CPT Synvct Tdn Shth Rad Flxr Tdn Palm&/fngr 66 21 $21,812.50 — $488.57 $21,812.50 $7,853.01 2026-07-19
20610 CPT Arthrocentesis Aspir&/inj Major Jt/bursa 66 21 $23,748.75 — $73.30 $23,748.75 $7,828.20 2026-07-19
73718 CPT MRI Brain W & Without Cont 58 21 $22,173.75 — $205.12 $22,173.75 $7,699.61 2026-07-19
29862 CPT Arthrs Hip Debridement/shaving Articular 35 21 $36,812.42 — $582.98 $29,449.94 $7,680.08 2026-07-19
73630 CPT Xray Exam Entire Spi 4/5 Vw 58 21 $22,173.75 — $16.27 $22,173.75 $7,569.58 2026-07-19
25350 CPT Osteotomy Radius Distal Third 35 21 $37,667.86 — $488.57 $30,134.29 $7,407.31 2026-07-19
25575 CPT Open Tx Radial&ulnar Shaft Fx W/fixj Rad 35 21 $35,723.25 — $488.57 $28,578.60 $7,397.22 2026-07-19
25400 CPT Rpr Nonunion/malunion Radius/ulna Without Au 35 21 $35,918.03 — $488.57 $28,734.42 $7,274.83 2026-07-19
24685 CPT Open Treatment Ulnar Fracture Proximal E 35 21 $33,915.99 — $488.57 $27,132.79 $7,260.39 2026-07-19
27822 CPT Open Tx Trimalleolar Ankle Fx Without Fixj P 35 21 $33,631.00 — $488.57 $26,904.80 $7,238.81 2026-07-19
29807 CPT Surgical Arthroscopy Shoulder Repair Sla 35 21 $31,052.02 — $488.57 $24,841.62 $7,233.14 2026-07-19
25607 CPT Optx Dstl Radl X-artic Fx/epiphysl Sep 35 21 $31,186.12 — $800.42 $24,948.90 $7,164.19 2026-07-19
27695 CPT Rpr Primary Disrupted Ligament Ankle Col 35 21 $35,756.39 — $443.28 $28,605.11 $7,148.90 2026-07-19
25608 CPT Optx Dstl Radl I-artic Fx/epiphysl Sep 2 35 21 $30,799.66 — $800.42 $24,639.73 $7,134.93 2026-07-19
25609 CPT Optx Dstl Radl I-artic Fx/epiphysl Sep 3 35 21 $30,715.71 — $800.42 $24,572.57 $7,128.58 2026-07-19
73701 CPT CT C Spine W & Without Cont 58 21 $20,585.00 — $124.02 $20,585.00 $7,128.18 2026-07-19
73080 CPT Xray Arthrogram Hip Lt 58 21 $20,585.00 — $17.51 $20,585.00 $7,030.30 2026-07-19
24342 CPT Rinsj Rptd Biceps/triceps Tdn Dstl W/wo 35 21 $32,323.49 — $488.57 $25,858.79 $7,002.67 2026-07-19
77012 CPT CT Scan For Needle Biopsy 39 21 $13,305.00 — $49.46 $13,305.00 $6,921.92 2026-07-19
93000 CPT Electrocardiogram Complete 4 3 $10,194.00 — $6,116.40 $8,155.20 $6,753.52 2026-07-19
24341 CPT Repair Tendon/muscle Upper Arm/elbow Ea 35 21 $27,952.08 — $1,079.83 $22,361.66 $6,690.75 2026-07-19
27509 CPT Prq Skeletal Fixj Femoral Fx Distal End 35 21 $31,389.38 — $318.54 $25,111.50 $6,638.23 2026-07-19
29892 CPT Arthrs Aid Rpr Les/talar Dome Fx/tibl Pl 35 21 $24,709.18 — $488.57 $19,767.34 $6,615.76 2026-07-19
27825 CPT Cltx Fx W8 Brg Artclr Prtn Dstl Tib W/sk 35 21 $68,187.52 — $443.28 $54,550.02 $6,477.45 2026-07-19
27652 CPT Rpr Primary Open/prq Ruptured Achilles W 35 21 $24,768.34 — $488.57 $19,814.67 $6,430.64 2026-07-19
29828 CPT Surgical Arthroscopy Shoulder Biceps Ten 35 21 $20,450.00 — $1,106.60 $16,360.00 $6,421.22 2026-07-19
25515 CPT Open Treatment Radial Shaft Fracture 35 21 $22,327.43 — $488.57 $17,861.94 $6,382.97 2026-07-19
25337 CPT Rcnstj Stablj Dstl U/dstl Jt 2 Soft Tiss 35 21 $20,939.14 — $1,079.83 $16,751.31 $6,208.28 2026-07-19
93620 CPT Electrophysiology Evaluation 35 21 $17,657.13 — $2,841.00 $14,125.70 $6,205.85 2026-07-19
12020 CPT Tx Superficial Wound Dehiscence Simple C 66 21 $17,182.50 — $318.54 $17,182.50 $6,203.72 2026-07-19
25447 CPT Arthrp Interpos Intercarpal/metacarpal J 35 21 $42,892.33 — $800.42 $34,313.86 $6,076.50 2026-07-19
72020 CPT Xray Ribs Uni W/1 Vw Chest Lt 58 21 $17,717.50 — $10.82 $17,717.50 $6,055.61 2026-07-19
72125 CPT CT Abd & Pelv 1/> Regns 58 21 $17,458.75 — $97.13 $17,458.75 $6,015.65 2026-07-19
11042 CPT Debridement Subcutaneous Tissue 20 Sq Cm 66 21 $16,090.35 — $308.26 $15,748.75 $5,996.06 2026-07-19
72156 CPT MRI Neck Spine Without & With Contrast 58 21 $16,855.00 — $194.13 $16,855.00 $5,987.18 2026-07-19
26115 CPT Exc Tum/vasc Mal Sft Tiss Hand/fngr Subq 66 21 $15,748.75 — $443.28 $15,748.75 $5,949.65 2026-07-19
27691 CPT Tr/trnspl 1 Tdn W/musc Redirion/reroutin 35 21 $16,214.80 — $582.98 $12,971.84 $5,912.37 2026-07-19
27650 CPT Repair Primary Open/prq Ruptured Achille 35 21 $17,632.55 — $488.57 $14,106.04 $5,890.35 2026-07-19
23405 CPT Tenotomy Shoulder Area 1 Tendon 35 21 $19,080.69 — $443.28 $15,264.55 $5,886.31 2026-07-19
27385 CPT Suture Quadriceps/hamstring Rupture Prim 35 21 $17,249.87 — $488.57 $13,799.90 $5,801.38 2026-07-19
29822 CPT Surgical Arthroscopy Shoulder Lmtd Dbrdm 35 21 $39,156.67 — $488.57 $31,325.34 $5,777.84 2026-07-19
26535 CPT Arthroplasty Interphalangeal Joint Each 35 21 $29,410.81 — $800.42 $23,528.65 $5,055.75 2026-07-19
26615 CPT Open Tx Metacarpal Fracture Single Ea Bo 35 21 $26,358.33 — $582.98 $21,086.66 $4,945.73 2026-07-19
26455 CPT Tenotomy Flexor Finger Open Each Tendon 66 21 $12,427.50 — $488.57 $12,427.50 $4,920.62 2026-07-19
29879 CPT Arthrs Knee Abrasion Arthrp/mlt Drlg/mic 35 21 $27,488.50 — $488.57 $21,990.80 $4,894.39 2026-07-19
25300 CPT Tenodesis Wrist Flexors Fingers 35 21 $29,828.38 — $488.57 $23,862.70 $4,881.96 2026-07-19
50200 CPT Renal Biopsy Perq 66 21 $13,305.00 — $827.00 $13,305.00 $4,803.96 2026-07-19
29881 CPT Arthrs Kne Surg W/meniscectomy Med/lat W 35 21 $27,974.90 — $582.98 $22,379.92 $4,741.55 2026-07-19
26356 CPT Rpr/advmnt Flxr Tdn Zone 2 Without Fr Grft E 35 21 $24,080.75 — $582.98 $19,264.60 $4,576.14 2026-07-19
26735 CPT Open Tx Phalangeal Shaft Fracture Prox/m 35 21 $26,458.80 — $582.98 $21,167.04 $4,541.91 2026-07-19
24358 CPT Tnot Elbow Lateral/medial Debride Open 35 21 $23,482.75 — $1,106.60 $18,786.20 $4,472.13 2026-07-19
27062 CPT Excision Trochanteric Bursa/calcificatio 35 21 $24,864.05 — $800.42 $19,891.24 $4,437.21 2026-07-19
29884 CPT Arthroscopy Knee W/lysis Adhesions W/wo 35 21 $19,449.74 — $488.57 $15,559.79 $4,285.74 2026-07-19
27334 CPT Arthrotomy W/synovectomy Knee Anterior/p 35 21 $20,242.06 — $582.98 $16,193.65 $4,285.50 2026-07-19
29873 CPT Arthroscopy Knee Lateral Release 35 21 $17,883.65 — $488.57 $14,306.92 $4,167.17 2026-07-19
26860 CPT Arthrodesis Interphalangeal Jt W/wo Int 35 21 $19,600.21 — $488.57 $15,680.17 $4,107.54 2026-07-19
93655 CPT Ablate Arrhythmia Add On 12 8 $11,506.00 — $950.00 $9,204.80 $3,976.74 2026-07-19
93657 CPT Tx L/r Atrial Fib Addl 12 8 $11,027.00 — $950.00 $8,821.60 $3,870.96 2026-07-19
27641 CPT Partial Excision Bone Fibula 35 21 $16,852.80 — $443.28 $13,482.24 $3,845.83 2026-07-19
29880 CPT Arthrs Knee W/meniscectomy Med&lat W/sha 35 21 $16,108.08 — $582.98 $12,886.46 $3,843.07 2026-07-19
28285 CPT Correction Hammertoe 35 21 $18,514.51 — $488.57 $14,811.61 $3,811.05 2026-07-19
25999 CPT Unlisted Procedure Forearm/wrist 33 20 $43,222.05 — $166.20 $34,577.64 $3,782.92 2026-07-19
24147 CPT Partial Excision Bone Olecranon Process 35 21 $15,960.00 — $443.28 $12,768.00 $3,778.23 2026-07-19
24140 CPT Partial Excision Bone Humerus 35 21 $14,577.53 — $488.57 $11,662.02 $3,727.25 2026-07-19
26123 CPT Fasct Prtl Palmar 1 Dgt Prox Iphal Jt With 35 21 $12,503.83 — $582.98 $10,003.06 $3,699.60 2026-07-19
29805 CPT Diagnostic Arthroscopy Shoulder +- Synov 35 21 $12,559.50 — $488.57 $10,047.60 $3,693.03 2026-07-19
27630 CPT Excision Lesion Tendon Sheath/capsule Le 35 21 $16,482.03 — $488.57 $13,185.62 $3,657.16 2026-07-19
24105 CPT Excision Olecranon Bursa 35 21 $15,698.79 — $488.57 $12,559.03 $3,597.86 2026-07-19
28289 CPT Hallux Rigidus W/cheilectomy 1st Mp Jt W 35 21 $11,997.80 — $2,226.60 $9,598.24 $3,516.27 2026-07-19
28062 CPT Fasciotomy Plantar Fascia Radical Spx 35 21 $14,460.61 — $488.57 $11,568.49 $3,504.11 2026-07-19
27640 CPT Partial Excision Bone Tibia 35 21 $12,025.60 — $443.28 $9,620.48 $3,480.34 2026-07-19
26121 CPT Fasct Palm W/wo Z-plasty Tissue Reargmt/ 35 21 $9,448.54 — $582.98 $7,558.83 $3,468.27 2026-07-19
28112 CPT Ostectomy Complete Other Metatarsal Head 35 21 $12,520.63 — $488.57 $10,016.50 $3,357.23 2026-07-19
27301 CPT I&d Deep Absc Bursa/hematoma Thigh/knee 35 21 $15,766.20 — $488.57 $12,612.96 $3,352.05 2026-07-19
26540 CPT Rpr Coltrl Ligm Mtcarphlngl/iphal Jt 35 21 $12,820.71 — $582.98 $10,256.57 $3,252.17 2026-07-19
25115 CPT Rad Exc Bursa Synva Wrst/f/arm Tdn Shths 35 21 $16,861.95 — $582.98 $13,489.56 $3,031.56 2026-07-19
28035 CPT Release Tarsal Tunnel 35 21 $14,197.25 — $582.98 $11,357.80 $3,027.12 2026-07-19
27530 CPT Cltx Tibial Fx Proximal Without Manipulation 35 21 $34,035.88 — $183.79 $27,228.70 $2,935.90 2026-07-19
93622 CPT Electrophysiology Evaluation 12 8 $8,547.00 — $950.00 $6,837.60 $2,835.96 2026-07-19
29848 CPT Ndsc Wrst Surg W/rls Transvrs Carpl Ligm 35 21 $10,079.43 — $488.57 $8,063.54 $2,792.56 2026-07-19
93613 CPT Electrophys Map 3d Add-on 10 6 $8,301.00 — $950.00 $6,640.80 $2,769.76 2026-07-19
93621 CPT Electrophysiology Evaluation 12 8 $8,224.00 — $950.00 $6,579.20 $2,764.63 2026-07-19
27762 CPT Cltx Medial Malls Fx W/manj W/wo Skn/ske 35 21 $19,573.70 — $318.54 $15,658.96 $2,667.35 2026-07-19
64776 CPT Exc Neuroma Digital Nerve 1 Or Both Same 35 21 $10,292.91 — $488.57 $8,234.33 $2,602.14 2026-07-19
10120 CPT Incision & Removal Foreign Body Subq Tis 35 21 $28,326.04 — $97.73 $22,660.83 $2,554.45 2026-07-19
11626 CPT Excision Malignant Lesion S/n/h/f/g >4.0 35 21 $4,224.96 — $443.28 $4,224.96 $2,426.91 2026-07-19
95955 CPT EEG During Surgery 4 3 $3,200.00 — $1,920.00 $2,560.00 $2,120.00 2026-07-19
93623 CPT Stimulation Pacing Heart 10 6 $5,767.00 — $950.00 $4,613.60 $2,098.26 2026-07-19
36556 CPT Insert Non-tunnel Cv Cath 35 21 $5,101.42 — $318.54 $5,101.42 $2,088.79 2026-07-19
27842 CPT Cltx Ankle Dislc Req Anes W/wo Prq Skel 35 21 $10,882.50 — $318.54 $8,706.00 $2,009.30 2026-07-19
11420 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 0 35 21 $9,719.29 — $97.73 $7,775.43 $1,964.72 2026-07-19
27570 CPT Manipulation Knee Joint Under General An 35 21 $8,094.63 — $318.54 $6,475.70 $1,798.22 2026-07-19
23700 CPT Manj W/anes Shoulder Joint W/fixation Ap 35 21 $5,568.07 — $318.54 $4,454.46 $1,606.92 2026-07-19
36569 CPT Insj Picc 5 Yr+ Without Imaging 35 21 $2,841.00 — $318.54 $2,841.00 $1,410.63 2026-07-19
25505 CPT Closed Tx Radial Shaft Fracture W/manipu 35 21 $2,872.00 — $318.54 $2,482.12 $1,299.93 2026-07-19
95810 CPT Polysom 6/> Yrs 4/> Param 27 18 $5,180.00 — $819.87 $4,144.00 $1,293.46 2026-07-19
95811 CPT Polysom 6/>yrs Cpap 4/> Parm 27 18 $4,080.00 — $819.87 $3,264.00 $1,185.50 2026-07-19
95939 CPT C Motor Evoked Upr&lwr Limbs 23 17 $2,400.00 — $819.87 $1,920.00 $1,039.36 2026-07-19
95808 CPT Polysom Any Age 1-3> Param 27 18 $2,408.00 — $819.87 $1,926.40 $1,021.39 2026-07-19
62305 CPT Myelography Lumbar Injection 35 21 $3,600.00 — $614.04 $2,880.00 $1,019.77 2026-07-19
62303 CPT Myelography Lumbar Injection 33 20 $2,600.00 — $614.04 $2,080.00 $951.15 2026-07-19
62304 CPT Myelography Lumbar Injection 35 21 $2,046.23 — $614.04 $1,636.98 $902.13 2026-07-19
27369 CPT Njx Cntrst Kne Arthg/ct/mri 12 8 $1,258.00 — $754.80 $1,006.40 $890.64 2026-07-19
92960 CPT Cardioversion Electric Ext 35 21 $1,400.00 — $443.28 $1,400.00 $743.06 2026-07-19
62270 CPT Spinal Fluid Tap Diagnostic 35 21 $1,400.00 — $318.54 $1,400.00 $741.79 2026-07-19
72265 CPT Xray Finger(s) Min 2 Vw Lt 27 18 $2,046.23 — $59.62 $1,636.98 $714.92 2026-07-19
95870 CPT Muscle Test Nonparaspinal 27 18 $6,409.00 — $5.47 $5,127.20 $708.93 2026-07-19
73722 CPT MRI Brain Without Cont 27 18 $1,525.44 — $218.40 $1,274.94 $687.33 2026-07-19
73222 CPT MRI Low Extrem W/jnt W/cont Lt 27 18 $1,525.44 — $214.93 $1,274.94 $686.81 2026-07-19
72255 CPT Xray Foot 2 Vw Lt 27 18 $1,730.16 — $54.41 $1,384.13 $683.13 2026-07-19
95805 CPT Multiple Sleep Latency Test 23 17 $2,408.00 — $434.78 $1,926.40 $681.98 2026-07-19
95800 CPT Slp Stdy Unattended 23 17 $4,730.00 — $124.39 $3,784.00 $660.72 2026-07-19
90682 CPT Riv4 Vacc Recombinant DNA IM 8 6 $1,710.00 — $55.51 $1,368.00 $594.19 2026-07-19
23350 CPT Injection For Shoulder X-ray 16 10 $950.00 — $73.30 $950.00 $564.90 2026-07-19
27093 CPT Injection For Hip X-ray 14 9 $950.00 — $54.89 $950.00 $560.06 2026-07-19
93306 CPT Tte W/doppler Complete 23 17 $1,374.73 — $430.42 $1,099.78 $558.87 2026-07-19
93312 CPT Echo Transesophageal 27 18 $1,444.74 — $430.42 $1,155.79 $548.62 2026-07-19
74249 CPT Contrst X-ray Uppr Gi Tract 5 4 $857.67 — $420.26 $686.14 $538.62 2026-07-19
62252 CPT Csf Shunt Reprogram 35 21 $2,841.00 — $97.73 $2,841.00 $531.58 2026-07-19
88309 CPT Tissue Exam By Pathologist 27 18 $1,169.70 — $116.92 $1,169.70 $518.12 2026-07-19
74174 CPT CT Angio Abd&pelv W/O&with Contrast 27 18 $2,031.89 — $301.88 $1,625.51 $504.21 2026-07-19
25246 CPT Injection For Wrist X-ray 14 9 $950.00 — $73.30 $950.00 $499.28 2026-07-19
70549 CPT CT Sinuses W & Without Cont 27 18 $1,869.11 — $328.12 $1,495.29 $497.52 2026-07-19
70546 CPT CT Pelvis W & Without Cont 27 18 $1,869.11 — $328.12 $1,495.29 $497.08 2026-07-19
71552 CPT MRA Head Without Cont 27 18 $1,869.11 — $328.12 $1,495.29 $493.05 2026-07-19
94002 CPT Vent Mgmt Inpat Init Day 23 17 $865.06 — $432.53 $865.06 $489.07 2026-07-19
94003 CPT Vent Mgmt Inpat Subq Day 23 17 $865.06 — $432.53 $865.06 $489.07 2026-07-19
93320 CPT Doppler Echo Exam Heart 4 3 $734.80 — $440.88 $587.84 $486.81 2026-07-19
73720 CPT MRI Abdo W/cont 27 18 $1,869.11 — $284.54 $1,495.29 $485.67 2026-07-19
74183 CPT CT T Spine W/cont 27 18 $1,869.11 — $283.55 $1,495.29 $485.52 2026-07-19
73220 CPT MRI Low Extrem No/jnt W/cont Lt 27 18 $1,869.11 — $282.31 $1,495.29 $485.34 2026-07-19
72197 CPT MRI Chest W & Without Cont 27 18 $1,869.11 — $282.31 $1,495.29 $485.34 2026-07-19
70543 CPT MRI C Spine Without Cont 27 18 $1,869.11 — $277.61 $1,495.29 $484.64 2026-07-19
73723 CPT MRI Brain W/cont 27 18 $1,869.11 — $262.99 $1,495.29 $482.48 2026-07-19
73223 CPT MRI Joint Upr Extr W/O&with Contrast 27 18 $1,869.11 — $262.00 $1,495.29 $482.33 2026-07-19
75635 CPT CT Abdo W & Without Cont 27 18 $3,306.00 — $159.15 $2,644.80 $481.48 2026-07-19
72157 CPT MRI L Spine W & Without Cont 27 18 $1,869.11 — $194.37 $1,495.29 $472.31 2026-07-19
70553 CPT CT Up Extrem W/cont Lt 27 18 $1,869.11 — $193.88 $1,495.29 $472.24 2026-07-19
72158 CPT MRA Neck Without Cont 27 18 $1,869.11 — $192.89 $1,495.29 $472.09 2026-07-19
64505 CPT N Block Spenopalatine Gangl 35 21 $950.00 — $232.79 $950.00 $457.00 2026-07-19
74182 CPT CT T Spine Without Cont 27 18 $1,525.44 — $263.24 $1,220.35 $448.78 2026-07-19
70548 CPT CT Sinuses W/cont 27 18 $1,525.44 — $255.31 $1,220.35 $447.61 2026-07-19
73719 CPT MRI Abdo Without Cont 27 18 $1,525.44 — $235.25 $1,220.35 $444.64 2026-07-19
72196 CPT MRI Chest W/cont 27 18 $1,525.44 — $235.00 $1,220.35 $444.60 2026-07-19
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