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

POCAHONTAS COMMUNITY HOSPITAL

Pocahontas, IA · CCN 161305 · Rates published

1,325 distinct procedures filed
14 distinct payers
117,417 rate rows
2026-07-18 last MRF observed
Data quality

92,215 of 117,417 rate rows are consumer-grade (78.5%)

25,202 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 25,022
percent-of-charges filed in the dollar field — excluded from medians 109
placeholder amount (≤ $0.02) — excluded from medians 71
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.pocahontashospital.org/wp-content/uploads/2026/03/420932838_Pocahontas-Community-Hospital_StandardCharges.csv
Found on page https://www.pocahontashospital.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 6774b3747ec5e662… · 11,202,175 bytes · first seen 2026-05-13

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
57237-077-10
NDC 		Ondansetron 4 Mg Po Tbdp 14 $0.63 $1,335,714.00 $28,048.58 nat. median
$0
73723
CPT 		MRI Low Extr Any Joint W Wo Contr 14 $1,995.00 $3,990.00 $3,758.58 nat. median
$756
outlier · 5.0×
73220
CPT 		MRI Up Extr Not Joint W Wo Contr 14 $1,907.50 $3,815.00 $3,593.72 nat. median
$737
outlier · 4.9×
73720
CPT 		MRI Low Extr Not Joint W Wo Contr 14 $1,907.50 $3,815.00 $3,593.72 nat. median
$754
outlier · 4.8×
71552
CPT 		MRI Chest W Wo Contrast 14 $1,896.50 $3,793.00 $3,573.01 nat. median
$691
outlier · 5.2×
70553
CPT 		MRI Brain W Wo Contrast 14 $992.02 $4,075.00 $3,423.00 nat. median
$616
outlier · 5.6×
72156
CPT 		MRI Spine Cervical W Wo Contrast 14 $506.58 $4,070.00 $3,418.80 nat. median
$625
outlier · 5.5×
72157
CPT 		MRI Spine Thoracic W Wo Contrast 14 $506.58 $4,070.00 $3,418.80 nat. median
$624
outlier · 5.5×
72158
CPT 		MRI Spine Lumbar W Wo Contrast 14 $508.00 $4,070.00 $3,418.80 nat. median
$616
outlier · 5.6×
70543
CPT 		MRI Orbit Face Neck W Wo Contrast 14 $1,090.29 $3,937.00 $3,307.08 nat. median
$605
outlier · 5.5×
74183
CPT 		MRI Abdomen W Wo Contrast 14 $1,013.16 $3,937.00 $3,307.08 nat. median
$611
outlier · 5.4×
72197
CPT 		MRI Pelvis W Wo Contrast 14 $1,090.29 $3,821.00 $3,209.64 nat. median
$606
outlier · 5.3×
45307
CPT 		Proctosig Rigid; W Rem Fb 14 $1,691.50 $3,383.00 $3,186.78 nat. median
$2,854
1.1× median
73223
CPT 		MRI Up Extr Any Joint W Wo Contr 14 $1,650.50 $3,301.00 $3,109.54 nat. median
$757
outlier · 4.1×
70549
CPT 		MRA Neck W Wo Contrast 14 $360.00 $3,675.00 $3,087.00 nat. median
$606
outlier · 5.1×
71551
CPT 		MRI Chest W Contrast 14 $1,537.50 $3,075.00 $2,896.64 nat. median
$921
outlier · 3.1×
20240
CPT 		Open Superf Bone Bx 14 $1,533.50 $3,067.00 $2,882.98 nat. median
$2,970
1.0× median
64635
CPT 		Destroy Lumb/sac Facet Jnt Bilat 14 $223.73 $6,095.48 $2,868.05 nat. median
$2,296
1.2× median
64625
CPT 		Rf Abltj Si Joint Nrv Nrvtg 14 $1,580.80 $4,478.00 $2,865.92 nat. median
$2,114
1.4× median
74178
CPT 		CT Abd & Pelvis W Wo Contr 1+ Reg/sec 14 $833.65 $3,355.00 $2,818.20 nat. median
$539
outlier · 5.2×
64624
CPT 		Destr W Neurolytic Genicular Nrv 14 $1,641.60 $4,369.00 $2,763.20 nat. median
$2,098
1.3× median
70552
CPT 		MRI Brain W Contrast 14 $1,461.00 $2,922.00 $2,759.82 nat. median
$597
outlier · 4.6×
64633
CPT 		Destroy Cerv/thor Facet Jnt Bilat 14 $1,311.36 $5,618.00 $2,755.00 nat. median
$2,156
1.3× median
75635
CPT 		CT Angiography Aorta Iliofemoral Runoff 14 $624.00 $3,121.00 $2,734.82 nat. median
$355
outlier · 7.7×
95811
CPT 		Pss W 4/> Param W Cpap/bipap 6+ Yrs 14 $1,592.00 $3,184.00 $2,732.66 nat. median
$1,412
1.9× median
95810
CPT 		Pss W 4/> Param W Tech 6+ Yrs 14 $1,432.50 $2,865.00 $2,628.00 nat. median
$1,446
1.8× median
74174
CPT 		CT Angio Abd And Pelv Wo W Contrast 14 $665.58 $3,025.00 $2,541.00 nat. median
$549
outlier · 4.6×
72191
CPT 		CT Angiography Pelvis W Wo Contrast 14 $1,300.50 $2,601.00 $2,455.34 nat. median
$344
outlier · 7.1×
74177
CPT 		CT Abdomen & Pelvis W Contrast 14 $833.65 $2,913.00 $2,446.92 nat. median
$501
outlier · 4.9×
71550
CPT 		MRI Chest Wo Contrast 14 $1,267.00 $2,534.00 $2,387.03 nat. median
$476
outlier · 5.0×
0750
RC 		14 $468.50 $4,329.00 $2,330.88 nat. median
$1,677
1.4× median
72149
CPT 		MRI Spine Lumbar W Contrast 14 $1,231.50 $2,463.00 $2,325.07 nat. median
$549
outlier · 4.2×
74175
CPT 		CT Angiography Abdomen W Wo Contrast 14 $731.51 $2,393.00 $2,258.99 nat. median
$355
outlier · 6.4×
64640
CPT 		Destr W Neurolytic Other Periph Nrv 14 $92.00 $4,369.00 $2,247.48 nat. median
$1,094
outlier · 2.1×
72147
CPT 		MRI Spine Thoracic W Contrast 14 $1,177.00 $2,354.00 $2,222.18 nat. median
$576
outlier · 3.9×
72196
CPT 		MRI Pelvis W Contrast 14 $1,158.00 $2,316.00 $2,181.67 nat. median
$562
outlier · 3.9×
70547
CPT 		MRA Neck Wo Contrast 14 $1,152.50 $2,305.00 $2,175.92 nat. median
$402
outlier · 5.4×
73706
CPT 		CT Angiography Lower Extr W Wo Contrast 14 $1,144.50 $2,289.00 $2,160.82 nat. median
$416
outlier · 5.2×
74185
CPT 		MRA Abdomen W Contrast 14 $1,136.50 $2,273.00 $2,141.16 nat. median
$853
outlier · 2.5×
73218
CPT 		MRI Up Extr Not Joint Wo Contrast 14 $1,104.50 $2,209.00 $2,080.88 nat. median
$553
outlier · 3.8×
73718
CPT 		MRI Low Extr Not Joint Wo Contrast 14 $1,104.50 $2,209.00 $2,080.88 nat. median
$505
outlier · 4.1×
70540
CPT 		MRI Orbit Face Neck Wo Contrast 14 $1,104.50 $2,209.00 $2,080.88 nat. median
$451
outlier · 4.6×
74176
CPT 		CT Abd & Pelvis Wo Contrast 14 $658.00 $2,445.00 $2,053.79 nat. median
$333
outlier · 6.2×
70336
CPT 		MRI Of Tmj 14 $1,082.50 $2,165.00 $2,039.43 nat. median
$399
outlier · 5.1×
72148
CPT 		MRI Spine Lumbar Wo Contrast 14 $720.11 $2,425.00 $2,037.00 nat. median
$408
outlier · 5.0×
95805
CPT 		Mslt/mwt; Global 14 $1,069.50 $2,139.00 $2,010.66 nat. median
$1,061
1.9× median
36584
CPT 		Replace Picc Cath W Img 14 $1,050.50 $2,101.00 $1,979.14 nat. median
$1,707
1.2× median
70544
CPT 		MRA Head Wo Contrast 14 $699.00 $2,311.00 $1,941.24 nat. median
$435
outlier · 4.5×
J9202
HCPCS 		Goserelin Acetate 3.6 Mg Sc Impl 14 $622.00 $2,298.23 $1,930.51 nat. median
$1,728
1.1× median
70551
CPT 		MRI Brain Wo Contrast 14 $765.00 $2,289.00 $1,922.76 nat. median
$429
outlier · 4.5×

Other procedures at this hospital

Browse this hospital's 1,325 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
             
57237-077-10 NDC Ondansetron 4 Mg Po Tbdp 54 14 $667,857.59 $667,857.59 $0.63 $1,335,714.00 $28,048.58 2026-07-18
73723 CPT MRI Low Extr Any Joint W Wo Contr 46 14 $3,990.00 $3,591.00 $1,995.00 $3,990.00 $3,758.58 2026-07-18
73220 CPT MRI Up Extr Not Joint W Wo Contr 46 14 $3,815.00 $3,433.50 $1,907.50 $3,815.00 $3,593.72 2026-07-18
73720 CPT MRI Low Extr Not Joint W Wo Contr 46 14 $3,815.00 $3,433.50 $1,907.50 $3,815.00 $3,593.72 2026-07-18
71552 CPT MRI Chest W Wo Contrast 46 14 $3,793.00 $3,413.70 $1,896.50 $3,793.00 $3,573.01 2026-07-18
70553 CPT MRI Brain W Wo Contrast 52 14 $4,075.00 $3,667.50 $992.02 $4,075.00 $3,423.00 2026-07-18
72157 CPT MRI Spine Thoracic W Wo Contrast 50 14 $4,070.00 $3,663.00 $506.58 $4,070.00 $3,418.80 2026-07-18
72156 CPT MRI Spine Cervical W Wo Contrast 51 14 $4,070.00 $3,663.00 $506.58 $4,070.00 $3,418.80 2026-07-18
72158 CPT MRI Spine Lumbar W Wo Contrast 52 14 $4,070.00 $3,663.00 $508.00 $4,070.00 $3,418.80 2026-07-18
74183 CPT MRI Abdomen W Wo Contrast 54 14 $3,937.00 $3,543.30 $1,013.16 $3,937.00 $3,307.08 2026-07-18
70543 CPT MRI Orbit Face Neck W Wo Contrast 52 14 $3,937.00 $3,543.30 $1,090.29 $3,937.00 $3,307.08 2026-07-18
72197 CPT MRI Pelvis W Wo Contrast 52 14 $3,821.00 $3,438.90 $1,090.29 $3,821.00 $3,209.64 2026-07-18
45307 CPT Proctosig Rigid; W Rem Fb 46 14 $3,383.00 $3,044.70 $1,691.50 $3,383.00 $3,186.78 2026-07-18
73223 CPT MRI Up Extr Any Joint W Wo Contr 46 14 $3,301.00 $2,970.90 $1,650.50 $3,301.00 $3,109.54 2026-07-18
70549 CPT MRA Neck W Wo Contrast 49 14 $3,675.00 $3,307.50 $360.00 $3,675.00 $3,087.00 2026-07-18
71551 CPT MRI Chest W Contrast 46 14 $3,075.00 $2,767.50 $1,537.50 $3,075.00 $2,896.64 2026-07-18
20240 CPT Open Superf Bone Bx 45 14 $3,067.00 $2,760.30 $1,533.50 $3,067.00 $2,882.98 2026-07-18
64635 CPT Destroy Lumb/sac Facet Jnt Bilat 165 14 $3,480.00 $3,132.00 $223.73 $6,095.48 $2,868.05 2026-07-18
64625 CPT Rf Abltj Si Joint Nrv Nrvtg 123 14 $4,266.00 $4,030.20 $1,580.80 $4,478.00 $2,865.92 2026-07-18
74178 CPT CT Abd & Pelvis W Wo Contr 1+ Reg/sec 52 14 $3,355.00 $3,019.50 $833.65 $3,355.00 $2,818.20 2026-07-18
64624 CPT Destr W Neurolytic Genicular Nrv 126 14 $4,266.00 $3,839.40 $1,641.60 $4,369.00 $2,763.20 2026-07-18
70552 CPT MRI Brain W Contrast 44 14 $2,922.00 $2,629.80 $1,461.00 $2,922.00 $2,759.82 2026-07-18
64633 CPT Destroy Cerv/thor Facet Jnt Bilat 158 14 $3,820.00 $3,438.00 $1,311.36 $5,618.00 $2,755.00 2026-07-18
75635 CPT CT Angiography Aorta Iliofemoral Runoff 50 14 $3,121.00 $2,808.90 $624.00 $3,121.00 $2,734.82 2026-07-18
95811 CPT Pss W 4/> Param W Cpap/bipap 6+ Yrs 54 14 $3,184.00 $2,865.60 $1,592.00 $3,184.00 $2,732.66 2026-07-18
95810 CPT Pss W 4/> Param W Tech 6+ Yrs 53 14 $2,865.00 $2,578.50 $1,432.50 $2,865.00 $2,628.00 2026-07-18
74174 CPT CT Angio Abd And Pelv Wo W Contrast 53 14 $3,025.00 $2,722.50 $665.58 $3,025.00 $2,541.00 2026-07-18
72191 CPT CT Angiography Pelvis W Wo Contrast 45 14 $2,601.00 $2,340.90 $1,300.50 $2,601.00 $2,455.34 2026-07-18
74177 CPT CT Abdomen & Pelvis W Contrast 53 14 $2,913.00 $2,621.70 $833.65 $2,913.00 $2,446.92 2026-07-18
71550 CPT MRI Chest Wo Contrast 46 14 $2,534.00 $2,280.60 $1,267.00 $2,534.00 $2,387.03 2026-07-18
0750 RC — 529 14 $2,705.00 $2,670.00 $468.50 $4,329.00 $2,330.88 2026-07-18
72149 CPT MRI Spine Lumbar W Contrast 44 14 $2,463.00 $2,216.70 $1,231.50 $2,463.00 $2,325.07 2026-07-18
74175 CPT CT Angiography Abdomen W Wo Contrast 46 14 $2,393.00 $2,153.70 $731.51 $2,393.00 $2,258.99 2026-07-18
64640 CPT Destr W Neurolytic Other Periph Nrv 160 14 $4,162.00 $3,745.80 $92.00 $4,369.00 $2,247.48 2026-07-18
72147 CPT MRI Spine Thoracic W Contrast 44 14 $2,354.00 $2,118.60 $1,177.00 $2,354.00 $2,222.18 2026-07-18
72196 CPT MRI Pelvis W Contrast 46 14 $2,316.00 $2,084.40 $1,158.00 $2,316.00 $2,181.67 2026-07-18
70547 CPT MRA Neck Wo Contrast 44 14 $2,305.00 $2,074.50 $1,152.50 $2,305.00 $2,175.92 2026-07-18
73706 CPT CT Angiography Lower Extr W Wo Contrast 45 14 $2,289.00 $2,060.10 $1,144.50 $2,289.00 $2,160.82 2026-07-18
74185 CPT MRA Abdomen W Contrast 46 14 $2,273.00 $2,045.70 $1,136.50 $2,273.00 $2,141.16 2026-07-18
73718 CPT MRI Low Extr Not Joint Wo Contrast 46 14 $2,209.00 $1,988.10 $1,104.50 $2,209.00 $2,080.88 2026-07-18
70540 CPT MRI Orbit Face Neck Wo Contrast 46 14 $2,209.00 $1,988.10 $1,104.50 $2,209.00 $2,080.88 2026-07-18
73218 CPT MRI Up Extr Not Joint Wo Contrast 46 14 $2,209.00 $1,988.10 $1,104.50 $2,209.00 $2,080.88 2026-07-18
74176 CPT CT Abd & Pelvis Wo Contrast 53 14 $2,445.00 $2,200.50 $658.00 $2,445.00 $2,053.79 2026-07-18
70336 CPT MRI Of Tmj 46 14 $2,165.00 $1,948.50 $1,082.50 $2,165.00 $2,039.43 2026-07-18
72148 CPT MRI Spine Lumbar Wo Contrast 52 14 $2,425.00 $2,182.50 $720.11 $2,425.00 $2,037.00 2026-07-18
95805 CPT Mslt/mwt; Global 45 14 $2,139.00 $1,925.10 $1,069.50 $2,139.00 $2,010.66 2026-07-18
36584 CPT Replace Picc Cath W Img 46 14 $2,101.00 $1,890.90 $1,050.50 $2,101.00 $1,979.14 2026-07-18
70544 CPT MRA Head Wo Contrast 50 14 $2,311.00 $2,079.90 $699.00 $2,311.00 $1,941.24 2026-07-18
J9202 HCPCS Goserelin Acetate 3.6 Mg Sc Impl 51 14 $2,298.23 $2,298.23 $622.00 $2,298.23 $1,930.51 2026-07-18
70551 CPT MRI Brain Wo Contrast 51 14 $2,289.00 $2,060.10 $765.00 $2,289.00 $1,922.76 2026-07-18
64479 CPT Inj(s) Foramen Epidural C/t Sgl Lev 45 14 $2,041.00 $1,836.90 $1,020.50 $2,041.00 $1,918.54 2026-07-18
70496 CPT CT Angiography Head W Wo Contrast 52 14 $2,228.00 $2,005.20 $376.83 $2,228.00 $1,871.52 2026-07-18
72194 CPT CT Pelvis W Wo Contrast 45 14 $1,977.00 $1,779.30 $988.50 $1,977.00 $1,866.29 2026-07-18
72146 CPT MRI Spine Thoracic Wo Contrast 52 14 $2,209.00 $1,988.10 $720.11 $2,209.00 $1,855.56 2026-07-18
73221 CPT MRI Up Extr Any Joint Wo Contrast 51 14 $2,209.00 $1,988.10 $891.00 $2,209.00 $1,855.56 2026-07-18
73721 CPT MRI Low Extr Any Joint Wo Contrast 51 14 $2,209.00 $1,988.10 $891.00 $2,209.00 $1,855.56 2026-07-18
72195 CPT MRI Pelvis Wo Contrast 52 14 $2,209.00 $1,988.10 $791.44 $2,209.00 $1,855.56 2026-07-18
74170 CPT CT Abdomen W Wo Contrast 53 14 $2,209.00 $1,988.10 $458.12 $2,209.00 $1,855.56 2026-07-18
70470 CPT CT Head Or Brain W Wo Contrast 50 14 $2,095.00 $1,885.50 $891.00 $2,095.00 $1,842.90 2026-07-18
72141 CPT MRI Spine Cervical Wo Contrast 51 14 $2,185.00 $1,966.50 $765.00 $2,185.00 $1,835.39 2026-07-18
11012 CPT Debr O Fx Skin To Bone 46 14 $1,938.00 $1,744.20 $969.00 $1,938.00 $1,825.60 2026-07-18
71275 CPT CT Angiography Chest W Wo Contrast 53 14 $2,133.00 $1,919.70 $665.58 $2,133.00 $1,791.72 2026-07-18
72130 CPT CT Thoracic Spine W Wo Contrast 45 14 $1,898.00 $1,708.20 $949.00 $1,898.00 $1,791.71 2026-07-18
70460 CPT CT Head Or Brain W Contrast 45 14 $1,878.00 $1,690.20 $939.00 $1,878.00 $1,772.83 2026-07-18
70488 CPT CT Maxillofacial W Wo Contrast 45 14 $1,878.00 $1,690.20 $939.00 $1,878.00 $1,772.83 2026-07-18
70482 CPT CT Orbit Sella Mid Inner Ear W Wo Contr 45 14 $1,878.00 $1,690.20 $939.00 $1,878.00 $1,772.83 2026-07-18
73206 CPT CT Angiography Upper Extr W Wo Contrast 45 14 $1,873.00 $1,685.70 $936.50 $1,873.00 $1,768.11 2026-07-18
72133 CPT CT Lumbar Spine W Wo Contrast 45 14 $1,873.00 $1,685.70 $936.50 $1,873.00 $1,768.11 2026-07-18
59409 CPT Vaginal Delivery Only 80 14 $3,184.00 $2,865.60 $1,114.88 $3,184.00 $1,756.47 2026-07-18
74181 CPT MRI Abdomen Wo Contrast 51 14 $2,081.00 $1,872.90 $840.00 $2,081.00 $1,748.04 2026-07-18
71270 CPT CT Chest W Wo Contrast Diag 45 14 $1,836.00 $1,652.40 $918.00 $1,836.00 $1,733.18 2026-07-18
78451 CPT Nm Heart Muscle Spect Sgl 45 14 $1,769.00 $1,592.10 $884.50 $1,769.00 $1,669.94 2026-07-18
70498 CPT CT Angiography Neck W Wo Contrast 52 14 $1,977.00 $1,779.30 $376.83 $1,977.00 $1,660.68 2026-07-18
72132 CPT CT Lumbar Spine W Contrast 45 14 $1,743.00 $1,568.70 $871.50 $1,743.00 $1,645.39 2026-07-18
72129 CPT CT Thoracic Spine W Contrast 45 14 $1,742.00 $1,567.80 $871.00 $1,742.00 $1,644.45 2026-07-18
73702 CPT CT Lower Extr W Wo Contrast 45 14 $1,732.00 $1,558.80 $866.00 $1,732.00 $1,635.01 2026-07-18
70492 CPT CT Soft Tissue Neck W Wo Contrast 45 14 $1,717.00 $1,545.30 $858.50 $1,717.00 $1,620.85 2026-07-18
73202 CPT CT Upper Extr W Wo Contrast 45 14 $1,717.00 $1,545.30 $858.50 $1,717.00 $1,620.85 2026-07-18
64490 CPT Inj Paravert F Jnt C/t 1 Lev 167 14 $1,665.00 $1,665.00 $106.16 $2,735.00 $1,615.05 2026-07-18
64493 CPT Inj Paravert F Jnt L/s 1 Lev Bilat 166 14 $1,995.00 $1,795.50 $111.91 $3,830.53 $1,599.64 2026-07-18
A0434 HCPCS Specialty Care Transport 46 14 $1,688.00 $1,519.20 $844.00 $1,688.00 $1,590.10 2026-07-18
74160 CPT CT Abdomen W Contrast 51 14 $1,878.00 $1,690.20 $458.12 $1,878.00 $1,577.52 2026-07-18
A0433 HCPCS Als 2 46 14 $1,635.00 $1,471.50 $817.50 $1,635.00 $1,540.16 2026-07-18
62284 CPT Inj For Myelogram Lumbar 46 14 $1,631.00 $1,467.90 $815.50 $1,631.00 $1,536.40 2026-07-18
70481 CPT CT Orbit Sella Mid Inner Ear W Contr 45 14 $1,561.00 $1,404.90 $780.50 $1,561.00 $1,473.58 2026-07-18
72193 CPT CT Pelvis W Contrast 50 14 $1,717.00 $1,545.30 $681.00 $1,717.00 $1,456.64 2026-07-18
73201 CPT CT Upper Extr W Contrast 45 14 $1,540.00 $1,386.00 $770.00 $1,540.00 $1,453.76 2026-07-18
73701 CPT CT Lower Extr W Contrast 45 14 $1,539.00 $1,385.10 $769.50 $1,539.00 $1,452.82 2026-07-18
72127 CPT CT Cervical Spine W Wo Contrast 45 14 $1,538.00 $1,384.20 $769.00 $1,538.00 $1,451.87 2026-07-18
70487 CPT CT Maxillofacial W Contrast 50 14 $1,656.00 $1,490.40 $796.00 $1,656.00 $1,445.52 2026-07-18
93306 CPT Tte With Doppler Complete 55 14 $1,717.00 $1,545.30 $753.00 $1,993.74 $1,442.28 2026-07-18
36569 CPT Ins Picc Age Wo Img 5 Yrs/> 51 14 $1,592.00 $1,432.80 $677.00 $3,095.17 $1,442.00 2026-07-18
C8929 HCPCS Tte W Or Without Contr Follow W Contr Doppler 54 14 $1,716.00 $1,544.40 $741.00 $1,716.00 $1,441.44 2026-07-18
74150 CPT CT Abdomen Wo Contrast 50 14 $1,656.00 $1,490.40 $681.00 $1,656.00 $1,431.02 2026-07-18
64488 CPT Tap Block Bilat By Inj 50 14 $1,697.00 $1,527.30 $722.00 $1,697.00 $1,425.48 2026-07-18
71260 CPT CT Chest W Contrast Diag 53 14 $1,690.00 $1,521.00 $540.80 $1,690.00 $1,419.60 2026-07-18
11771 CPT Exc Pilonid Cyst Extens 34 14 $1,417.00 $1,275.30 $906.88 $1,417.00 $1,417.00 2026-07-18
64520 CPT Inj Anesth Lumb/thor Sympathetic 50 14 $1,624.00 $1,461.60 $667.00 $1,624.00 $1,403.08 2026-07-18
93229 CPT Remote 30 Day ECG Tech Supp 45 14 $1,488.00 $1,339.20 $744.00 $1,488.00 $1,398.72 2026-07-18
70450 CPT CT Head Or Brain Wo Contrast 53 14 $1,656.00 $1,490.40 $833.65 $1,656.00 $1,391.04 2026-07-18
72128 CPT CT Thoracic Spine Wo Contrast 51 14 $1,656.00 $1,490.40 $156.00 $1,656.00 $1,391.04 2026-07-18
72131 CPT CT Lumbar Spine Wo Contrast 52 14 $1,656.00 $1,490.40 $172.00 $1,656.00 $1,391.04 2026-07-18
36573 CPT Ins Picc Rs&i 5 Yr+ 50 14 $1,623.00 $1,460.70 $690.00 $1,623.00 $1,363.32 2026-07-18
27096 CPT Sij Anesth/steriod Inj Pain 168 14 $1,592.00 $1,432.80 $192.84 $2,123.00 $1,358.72 2026-07-18
72126 CPT CT Cervical Spine W Contrast 45 14 $1,435.00 $1,291.50 $717.50 $1,435.00 $1,354.64 2026-07-18
62323 CPT Inj Interlam L/s W Img 85 14 $2,228.00 $2,005.20 $76.56 $2,228.00 $1,336.80 2026-07-18
0278 RC — 586 14 $1,427.00 $1,333.00 $66.00 $5,065.00 $1,333.00 2026-07-18
64454 CPT Inj Anesth/ster Genicular Nrv Branch 89 14 $1,380.00 $1,380.00 $690.00 $2,069.00 $1,324.16 2026-07-18
70491 CPT CT Soft Tissue Neck W Contrast 53 14 $1,550.00 $1,395.00 $612.36 $1,550.00 $1,302.00 2026-07-18
94002 CPT Vent Mgmt Inpat Init Day 46 14 $1,375.00 $1,237.50 $687.50 $1,375.00 $1,295.25 2026-07-18
73200 CPT CT Upper Extr Wo Contrast 45 14 $1,354.00 $1,218.60 $677.00 $1,354.00 $1,278.18 2026-07-18
73700 CPT CT Lower Extr Wo Contrast 45 14 $1,354.00 $1,218.60 $677.00 $1,354.00 $1,278.18 2026-07-18
78472 CPT Nm Cardiac Blood Pool Sgl 45 14 $1,350.00 $1,215.00 $675.00 $1,350.00 $1,274.40 2026-07-18
20103 CPT Expl P Wound Extrem 34 14 $1,265.00 $1,138.50 $809.60 $1,265.00 $1,265.00 2026-07-18
70486 CPT CT Maxillofacial Wo Contrast 53 14 $1,475.00 $1,327.50 $312.67 $1,475.00 $1,239.00 2026-07-18
11772 CPT Exc Pilonid Cyst Compl 34 14 $1,221.00 $1,098.90 $781.44 $1,221.00 $1,221.00 2026-07-18
78803 CPT Nm Tumor Localiz Spect 1 Area/day 50 14 $1,311.00 $1,179.90 $558.00 $1,311.00 $1,212.50 2026-07-18
12057 CPT Interm Rep F/e/n/l/mm >30.0 Cm 34 14 $1,212.00 $1,090.80 $775.68 $1,212.00 $1,212.00 2026-07-18
10180 CPT I&d Cplx Postop Wnd Inf 80 14 $2,186.00 $1,967.40 $264.96 $2,186.00 $1,198.14 2026-07-18
72125 CPT CT Cervical Spine Wo Contrast 53 14 $1,404.00 $1,263.60 $156.50 $1,404.00 $1,179.36 2026-07-18
78227 CPT Nm Hepatobil Syst Image W/drug 51 14 $1,404.00 $1,263.60 $702.00 $1,404.00 $1,179.36 2026-07-18
78315 CPT Nm Bone Imaging 3 Phase 45 14 $1,248.00 $1,123.20 $624.00 $1,248.00 $1,178.11 2026-07-18
11010 CPT Debr W Open Fx Skin & Sq 46 14 $1,249.00 $1,124.10 $624.50 $1,249.00 $1,176.55 2026-07-18
70480 CPT CT Orbit Sella Mid Inner Ear Wo Contr 50 14 $1,326.00 $1,193.40 $344.00 $1,326.00 $1,166.42 2026-07-18
71250 CPT CT Chest Wo Contrast Diag 53 14 $1,379.00 $1,241.10 $312.67 $1,379.00 $1,158.36 2026-07-18
78708 CPT Nm Kidney Flow Funct W Drug 50 14 $1,301.00 $1,170.90 $553.00 $1,301.00 $1,144.42 2026-07-18
72192 CPT CT Pelvis Wo Contrast 52 14 $1,353.00 $1,217.70 $156.33 $1,353.00 $1,136.52 2026-07-18
12056 CPT Interm Rep F/e/n/l/mm 20.1-30.0 Cm 34 14 $1,135.00 $1,021.50 $726.40 $1,135.00 $1,135.00 2026-07-18
64483 CPT Inj(s) Foramen Epidural L/s Sgl Lev 119 14 $1,169.00 $1,169.00 $96.00 $2,057.00 $1,133.93 2026-07-18
A0427 HCPCS Als 1 Emergent 46 14 $1,185.00 $1,066.50 $592.50 $1,185.00 $1,116.27 2026-07-18
12047 CPT Interm Rep N/h/f/g >30.0 Cm 34 14 $1,099.00 $989.10 $703.36 $1,099.00 $1,099.00 2026-07-18
70490 CPT CT Soft Tissue Neck Wo Contrast 50 14 $1,300.00 $1,170.00 $447.00 $1,300.00 $1,092.00 2026-07-18
62273 CPT Inj Epidural Blood Or Clot Patch 50 14 $1,248.00 $1,123.20 $531.00 $1,248.00 $1,089.66 2026-07-18
78226 CPT Nm Hepatobiliary System Imaging 45 14 $1,136.00 $1,022.40 $568.00 $1,136.00 $1,072.38 2026-07-18
62321 CPT Inj Interlam C/t W Img 85 14 $1,516.00 $1,364.40 $66.58 $1,516.00 $1,071.00 2026-07-18
24605 CPT Cl Tx Elbow Disl W Anesth 34 14 $1,066.00 $959.40 $682.24 $1,066.00 $1,066.00 2026-07-18
S9455 HCPCS Diabetes Mgmt Prog, Indiv 45 14 $1,114.00 $1,002.60 $557.00 $1,114.00 $1,047.16 2026-07-18
64486 CPT Tap Block Unil By Inj 79 14 $1,167.00 $1,050.30 $583.50 $1,167.00 $1,045.00 2026-07-18
78264 CPT Nm Gastric Emptying Study 50 14 $1,164.00 $1,047.60 $488.00 $1,164.00 $1,015.88 2026-07-18
J2506 HCPCS Pegfilgrastim 6 Mg/0.6ml Sc Pskt 45 14 $1,076.95 $1,076.95 $538.48 $1,076.96 $1,012.34 2026-07-18
72265 CPT Myelogram Lumbosacral 45 14 $1,066.00 $959.40 $533.00 $1,066.00 $1,006.30 2026-07-18
71271 CPT CT Thorax Lung Cancer Screen 53 14 $1,194.00 $1,074.60 $312.99 $1,194.00 $1,002.95 2026-07-18
93015 CPT Cardiovascular Stress Test (global) 46 14 $1,061.00 $954.90 $530.50 $1,061.00 $999.46 2026-07-18
28192 CPT Rem Deep Foreign Body Foot 34 14 $997.00 $897.30 $638.08 $997.00 $997.00 2026-07-18
78306 CPT Nm Bone Imaging Whole Body 50 14 $1,093.00 $983.70 $546.50 $1,093.00 $957.00 2026-07-18
24675 CPT Cl Tx Ulnar Fx Proximal End W Manip 34 14 $944.00 $849.60 $604.16 $944.00 $944.00 2026-07-18
12037 CPT Int Rep S/a/t/ex >30.0 Cm 46 14 $1,000.00 $900.00 $500.00 $1,000.00 $942.00 2026-07-18
13152 CPT Crep E/n/e/l 2.6-7.5 Cm 80 14 $937.00 $926.10 $468.50 $1,029.00 $937.00 2026-07-18
78290 CPT Nm Meckels Divert Exam 45 14 $962.00 $865.80 $481.00 $962.00 $908.13 2026-07-18
93350 CPT Stress Tte Only 46 14 $955.00 $859.50 $477.50 $955.00 $899.61 2026-07-18
A0429 HCPCS Bls Emergency 46 14 $953.00 $857.70 $476.50 $953.00 $897.73 2026-07-18
64480 CPT Inj(s) Foramen Epid C/t Addtl Lev 45 14 $955.00 $859.50 $477.50 $955.00 $897.70 2026-07-18
90847 CPT Family Therapy W Pt 50 Min 45 14 $952.00 $856.80 $476.00 $952.00 $894.88 2026-07-18
78300 CPT Nm Bone Imaging Ltd 45 14 $942.00 $847.80 $471.00 $942.00 $889.25 2026-07-18
99291 CPT Critical Care 30-74 Min 84 14 $1,534.00 $1,380.60 $113.00 $1,534.00 $886.81 2026-07-18
13132 CPT Crep F/g/h/f 2.6-7.5 Cm 80 14 $879.00 $879.00 $439.50 $1,029.00 $879.00 2026-07-18
23655 CPT Cl Tx Shldr Disl W Manip W Anesth 34 14 $866.00 $779.40 $554.24 $866.00 $866.00 2026-07-18
93880 CPT Carotid Duplex Scan; Bilat 54 14 $1,195.00 $1,075.50 $375.00 $1,195.00 $856.00 2026-07-18
90846 CPT Family Therapy Wo Pt 50 Min 45 14 $907.00 $816.30 $453.50 $907.00 $852.58 2026-07-18
13120 CPT C Rep S/a/l 1.1-2.5 Cm 46 14 $903.00 $812.70 $451.50 $903.00 $850.62 2026-07-18
64405 CPT Inj Anesth/ster Greater Occipital Nerve 45 14 $902.00 $811.80 $451.00 $902.00 $847.88 2026-07-18
93308 CPT 2-d Echo Limited Or Followup 53 14 $1,009.00 $908.10 $423.00 $1,009.00 $847.56 2026-07-18
13151 CPT Crep E/n/e/l 1.1-2.5 Cm 80 14 $869.00 $782.10 $434.50 $869.00 $834.24 2026-07-18
90675 CPT Rabies Vaccine, Pcec IM Susr 92 14 $936.05 $936.05 $329.00 $956.75 $833.34 2026-07-18
69205 CPT Rem Fb Ext Auditory Canal W Anesth 34 14 $833.00 $749.70 $533.12 $833.00 $833.00 2026-07-18
0360 RC — 676 14 $974.00 $876.60 $130.00 $7,699.00 $830.40 2026-07-18
92950 CPT Cpr 86 14 $863.00 $776.70 $362.00 $863.00 $819.85 2026-07-18
90837 CPT Psytx W Pt 60 Min (>53 Min) 45 14 $868.00 $781.20 $434.00 $868.00 $815.92 2026-07-18
26775 CPT Cl Tx Interphalang Jt Disl W Manip & Anesth 34 14 $812.00 $730.80 $519.68 $812.00 $812.00 2026-07-18
26011 CPT Drain Finger Absc Complicated 34 14 $812.00 $730.80 $519.68 $812.00 $812.00 2026-07-18
27560 CPT Cl Tx Patellar Disl Wo Anesth 34 14 $811.00 $729.90 $519.04 $811.00 $811.00 2026-07-18
78014 CPT Thyroid Imag W/blood Flow Sgl/mult Quan 45 14 $858.00 $772.20 $429.00 $858.00 $809.95 2026-07-18
93970 CPT Duplex Ext Veins; Bilat 52 14 $962.00 $865.80 $375.06 $962.00 $808.08 2026-07-18
0120 RC — 74 13 $962.00 $865.80 $410.76 $7,738.00 $808.07 2026-07-18
A0426 HCPCS Als 1 46 14 $855.00 $769.50 $427.50 $855.00 $805.41 2026-07-18
90834 CPT Psytx W Pt 45 Min (38-52 Min) 45 14 $851.00 $765.90 $425.50 $851.00 $799.94 2026-07-18
C7901 HCPCS Hopd Mntl Hlt, 30-60 Min 45 14 $851.00 $765.90 $425.50 $851.00 $799.94 2026-07-18
C1781 HCPCS Mesh (implantable) Lvl 1 361 14 $832.00 $832.00 $124.50 $2,913.00 $798.72 2026-07-18
64636 CPT Destroy L/s Facet Jnt Addl Unil 114 14 $845.00 $845.00 $0.97 $1,141.00 $794.15 2026-07-18
78070 CPT Nm Parathyroid Imaging 50 14 $865.00 $778.50 $368.00 $865.00 $789.00 2026-07-18
13101 CPT Crep Trunk 2.6-7.5 Cm 46 14 $837.00 $753.30 $418.50 $837.00 $788.45 2026-07-18
13121 CPT Crep S/a/l 2.6-7.5 Cm 80 14 $780.00 $780.00 $390.00 $917.00 $780.00 2026-07-18
90853 CPT Relapse Prevention Group 45 14 $828.00 $745.20 $414.00 $828.00 $778.32 2026-07-18
C7903 HCPCS Hopd Mntl Hlt, Grp 45 14 $828.00 $745.20 $414.00 $828.00 $778.32 2026-07-18
G0410 HCPCS Group Psych Partial Hosp 45-50m 45 14 $828.00 $745.20 $414.00 $828.00 $778.32 2026-07-18
26641 CPT Cl Tx Cmc Disl Thumb W Manip 34 14 $775.00 $697.50 $496.00 $775.00 $775.00 2026-07-18
24500 CPT Cl Tx Humerus Fx Wo Manip 34 14 $770.00 $693.00 $492.80 $770.00 $770.00 2026-07-18
64634 CPT Destroy C/th Facet Jnt Addl Unil 113 14 $810.00 $810.00 $262.40 $1,136.00 $769.50 2026-07-18
11643 CPT Exc F/e/e/n/l Mal + Mrg 2.1-3.0 Cm 34 14 $766.00 $689.40 $490.24 $766.00 $766.00 2026-07-18
64450 CPT Inj Anesth/ster Othr Peripheral Nrv/branch 85 14 $833.00 $749.70 $245.00 $833.00 $760.00 2026-07-18
64484 CPT Inj(s) Foramen Epid L/s Addtl Lev 164 14 $1,167.00 $1,050.30 $458.88 $1,804.00 $750.00 2026-07-18
27760 CPT Cl Tx Medial Ankle Fx Wo Manip 34 14 $738.00 $664.20 $472.32 $738.00 $738.00 2026-07-18
27750 CPT Cl Tx Tib Shft Fx Wo Manip 34 14 $738.00 $664.20 $472.32 $738.00 $738.00 2026-07-18
20550 CPT Inj Sgl Tendon Shth Or Ligament 45 14 $784.00 $705.60 $392.00 $784.00 $736.96 2026-07-18
95913 CPT Nrv Conduct Tst 13/> Studies 45 14 $769.00 $692.10 $384.50 $769.00 $722.86 2026-07-18
11770 CPT Exc Pilonid Cyst Smpl 34 14 $722.00 $649.80 $462.08 $722.00 $722.00 2026-07-18
10121 CPT Inc & Rem Fb Sq Compl 34 14 $721.00 $648.90 $461.44 $721.00 $721.00 2026-07-18
26720 CPT Cl Tx Phal Shaft Fx Wo Manip 34 14 $716.00 $644.40 $458.24 $716.00 $716.00 2026-07-18
36430 CPT Transfusion Blood Or Component Per Unit 50 14 $770.00 $693.00 $246.40 $770.00 $713.90 2026-07-18
15004 CPT Wound Prep F/n/hf/g 100 Sq Cm/1% Ba 45 14 $754.00 $678.60 $377.00 $754.00 $708.76 2026-07-18
93930 CPT Duplex Ue Art/bpg; Bilat 46 14 $754.00 $678.60 $257.72 $754.00 $708.76 2026-07-18
11044 CPT Debride Bone 20 Sq Cm/< 113 14 $708.00 $708.00 $449.92 $1,518.00 $708.00 2026-07-18
24600 CPT Tx Cl Elbow Disloc Wo Anesth 80 14 $706.00 $706.00 $353.00 $785.00 $706.00 2026-07-18
78071 CPT Parathyrd Planar W/wo Subtr 50 14 $757.00 $681.30 $327.00 $757.00 $700.50 2026-07-18
93017 CPT Cvslr Stress Test; Tracing 46 14 $743.00 $668.70 $371.50 $743.00 $699.90 2026-07-18
23600 CPT Cl Tx Prox Humeral Fx Wo Manip 34 14 $695.00 $625.50 $444.80 $695.00 $695.00 2026-07-18
A0428 HCPCS Bls Non Emergent 46 14 $737.00 $663.30 $368.50 $737.00 $694.25 2026-07-18
26605 CPT Cl Tx Mc Fx Sgl W Manip 34 14 $690.00 $621.00 $441.60 $690.00 $690.00 2026-07-18
G0176 HCPCS Opps/php Activity Therapy 45+ Min 45 14 $733.00 $659.70 $366.50 $733.00 $689.02 2026-07-18
G0177 HCPCS Opps/php Train & Educ Serv 45 14 $733.00 $659.70 $366.50 $733.00 $689.02 2026-07-18
26670 CPT Cl Tx Cmc Disl W Manip Ea 34 14 $687.00 $618.30 $439.68 $687.00 $687.00 2026-07-18
74280 CPT Colon W Air And Barium Dbl Contrast 45 14 $727.00 $654.30 $363.50 $727.00 $686.29 2026-07-18
77075 CPT Bone Survey Complete 45 14 $726.00 $653.40 $363.00 $726.00 $685.34 2026-07-18
0110 RC — 40 13 $762.00 $712.10 $441.84 $998.00 $682.15 2026-07-18
95912 CPT Nrv Conduct Tst 11-12 Studies 45 14 $724.00 $651.60 $362.00 $724.00 $680.56 2026-07-18
23650 CPT Cl Tx Shldr Disl W Mani Wo Anesth 80 14 $705.00 $640.80 $352.50 $712.00 $680.16 2026-07-18
94003 CPT Vent Mgmt Inpat Subq Day 46 14 $722.00 $649.80 $361.00 $722.00 $680.12 2026-07-18
27786 CPT Cl Tx Dstl Fib Fx Wo Manip 34 14 $680.00 $612.00 $435.20 $680.00 $680.00 2026-07-18
25600 CPT Cltx Dstl Rdl Fx/epiph Sep Wo Manip 34 14 $680.00 $612.00 $435.20 $680.00 $680.00 2026-07-18
64615 CPT Chemodenerv Musc Migraine 87 14 $716.00 $716.00 $81.96 $1,060.00 $678.40 2026-07-18
12046 CPT Int Rep N/h/f/g 20.1-30.0 Cm 80 14 $677.00 $677.00 $338.50 $955.00 $677.00 2026-07-18
27824 CPT Cl Tx Wb Dstl Tib Wo Manip 34 14 $675.00 $607.50 $432.00 $675.00 $675.00 2026-07-18
23700 CPT Manip Shoulder Joint Under Anesth 34 14 $665.00 $598.50 $425.60 $665.00 $665.00 2026-07-18
15277 CPT Skn Sub Grft F/nk/hf/g Child 100 Sq Cm 34 14 $664.00 $597.60 $424.96 $664.00 $664.00 2026-07-18
27780 CPT Cl Tx Prox Fibula/shaft Fx Wo Manip 34 14 $657.00 $591.30 $420.48 $657.00 $657.00 2026-07-18
22310 CPT Cl Tx Vertebral Body Fx Wo Manip 34 14 $652.00 $586.80 $417.28 $652.00 $652.00 2026-07-18
11622 CPT Exc S/n/h/f/g Mal + Mrg 1.1-2.0 Cm 34 14 $652.00 $586.80 $417.28 $652.00 $652.00 2026-07-18
13131 CPT Crep F/g/h/f 1.1-2.5 Cm 80 14 $650.00 $650.00 $325.00 $770.00 $650.00 2026-07-18
25622 CPT Cl Tx Carpal Scaphoid Fx Wo Manip 34 14 $647.00 $582.30 $414.08 $647.00 $647.00 2026-07-18
C7900 HCPCS Hopd Mntl Hlt, 15-29 Min 45 14 $688.00 $619.20 $344.00 $688.00 $646.72 2026-07-18
90832 CPT Psytx W Pt 30 Min (16-37 Min) 45 14 $688.00 $619.20 $344.00 $688.00 $646.72 2026-07-18
74400 CPT Ivp W Wo Tomography Or Kub 45 14 $677.00 $609.30 $338.50 $677.00 $639.09 2026-07-18
78013 CPT Thyroid Imag W/blood Flow 45 14 $677.00 $609.30 $338.50 $677.00 $639.09 2026-07-18
15273 CPT Skin Sub Grft T/a/l Child 100 Sq Cm 34 14 $633.00 $569.70 $405.12 $633.00 $633.00 2026-07-18
23931 CPT Inf Bursa I&d Ua/elbow 34 14 $633.00 $569.70 $405.12 $633.00 $633.00 2026-07-18
64616 CPT Chemodenerv Musc Neck Dyston 135 14 $974.00 $876.60 $89.84 $1,061.00 $627.00 2026-07-18
26600 CPT Cl Tx Mc Fx Sgl Wo Manip Ea Bone 34 14 $626.00 $563.40 $400.64 $626.00 $626.00 2026-07-18
93321 CPT Doppler Echo; Limited/ F-up 53 14 $743.00 $668.70 $279.68 $743.00 $624.12 2026-07-18
0270 RC — 2,701 14 $784.00 $710.10 $7.50 $4,078.00 $624.00 2026-07-18
12045 CPT Int Rep N/h/f/g 12.6-20.0 Cm 80 14 $624.00 $624.00 $312.00 $838.00 $624.00 2026-07-18
21315 CPT Cl Tx Of Nasal Bone Fx Wo Stabiliz 34 14 $621.00 $558.90 $397.44 $621.00 $621.00 2026-07-18
30906 CPT Control Post Epistax Subq 34 14 $621.00 $558.90 $397.44 $621.00 $621.00 2026-07-18
95800 CPT Sleep Study Unattended 45 14 $655.00 $589.50 $167.94 $655.00 $615.70 2026-07-18
95819 CPT EEG Awake & Asleep 89 14 $649.00 $594.00 $324.50 $660.00 $612.66 2026-07-18
95816 CPT EEG Awake & Drowsy 89 14 $649.00 $598.50 $324.50 $665.00 $612.66 2026-07-18
93925 CPT Duplex Le Art/bpg; Bilat 52 14 $729.00 $656.10 $364.50 $729.00 $612.36 2026-07-18
74220 CPT Esophagram Sgl Contrast Study 45 14 $645.00 $580.50 $322.50 $645.00 $608.88 2026-07-18
25500 CPT Cl Tx Radial Shaft Fx Wo Manip 34 14 $605.00 $544.50 $387.20 $605.00 $605.00 2026-07-18
12055 CPT Int Rep F/e/n/l/mm 12.6-20.0 Cm 80 14 $604.00 $604.00 $302.00 $1,007.00 $604.00 2026-07-18
96413 CPT Chemo, IV Infusion, 1 Hr 46 14 $641.00 $576.90 $320.50 $641.00 $603.82 2026-07-18
12020 CPT Tx S Wnd Dehisc Smpl 80 14 $624.00 $567.00 $312.00 $630.00 $601.92 2026-07-18
12044 CPT Int Rep N/h/f/g 7.6-12.5 Cm 80 14 $599.00 $599.00 $299.50 $774.00 $599.00 2026-07-18
26770 CPT Cl Tx Ip Jnt D W Manip Wo Anes 34 14 $595.00 $535.50 $380.80 $595.00 $595.00 2026-07-18
25560 CPT Cl Tx Radial & Ulnar Fx Wo Manip 34 14 $595.00 $535.50 $380.80 $595.00 $595.00 2026-07-18
12036 CPT Int Rep S/a/t/ex 20.1-30.0 Cm 80 14 $593.00 $593.00 $296.50 $902.00 $593.00 2026-07-18
J1610 HCPCS Glucagon Hcl (rdna) 1 Mg Ij Solr 50 14 $702.90 $702.90 $307.00 $702.90 $590.44 2026-07-18
20553 CPT Inject Trigger Points=/>3 50 14 $676.00 $608.40 $283.00 $676.00 $589.92 2026-07-18
76805 CPT US OB Complete Sngl Fetus 45 14 $623.00 $560.70 $311.50 $623.00 $588.11 2026-07-18
74270 CPT Colon W Contrast Sgl 45 14 $622.00 $559.80 $311.00 $622.00 $587.17 2026-07-18
74300 CPT Cholangiogram Intraop 50 14 $694.00 $624.60 $229.00 $694.00 $582.96 2026-07-18
12054 CPT Int Rep F/e/n/l/mm 7.6-12.5 Cm 80 14 $580.00 $580.00 $290.00 $802.00 $580.00 2026-07-18
95822 CPT EEG Coma Or Sleep Only 45 14 $617.00 $555.30 $308.50 $617.00 $579.98 2026-07-18
28190 CPT Rem Fb Foot Sq 34 14 $569.00 $512.10 $364.16 $569.00 $569.00 2026-07-18
76700 CPT US Exam Abdomen Complete 53 14 $677.00 $609.30 $356.40 $677.00 $568.68 2026-07-18
40830 CPT Cl Laceration Mouth Vestib 2.5 Cm/< 34 14 $568.00 $511.20 $363.52 $568.00 $568.00 2026-07-18
11404 CPT Exc Ben Les T/a/l; 3.1-4.0 Cm 34 14 $564.00 $507.60 $360.96 $564.00 $564.00 2026-07-18
31525 CPT Dx Laryngoscopy Excl Newborn 34 14 $563.00 $506.70 $360.32 $563.00 $563.00 2026-07-18
11043 CPT Debr Musc/fascia 20 Sq Cm/< 113 14 $595.00 $535.50 $297.50 $603.00 $559.30 2026-07-18
88309 CPT Surg Pat, Level-vi 34 14 $558.00 $502.20 $357.12 $558.00 $558.00 2026-07-18
12035 CPT Int Rep S/a/t/ex 12.6-20.0 Cm 80 14 $557.00 $557.00 $278.50 $790.00 $557.00 2026-07-18
32551 CPT Insertion Of Chest Tube 34 14 $551.00 $495.90 $352.64 $551.00 $551.00 2026-07-18
93971 CPT Duplex Ext Veins Unil/limit 52 14 $650.00 $585.00 $241.00 $650.00 $546.00 2026-07-18
12053 CPT Int Rep F/e/n/l/mm 5.1-7.5 Cm 80 14 $546.00 $546.00 $273.00 $733.00 $546.00 2026-07-18
25530 CPT Cl Tx Ulnar Shaft Fx Wo Manip 34 14 $544.00 $489.60 $348.16 $544.00 $544.00 2026-07-18
95911 CPT Nrv Conduct Tst 9-10 Studies 45 14 $577.00 $519.30 $288.50 $577.00 $542.38 2026-07-18
20611 CPT Drain/inj Major Joint/bursa W US 98 14 $541.00 $541.00 $229.00 $1,040.00 $541.00 2026-07-18
00006-5425-05 NDC Sugammadex Sodium 500 Mg/5ml IV Soln 27 14 $569.27 $569.27 $307.40 $569.27 $537.39 2026-07-18
76942 CPT US Guided Needle Placement 45 14 $562.00 $505.80 $281.00 $562.00 $530.53 2026-07-18
76770 CPT US Exam Retroperitoneal Compl 53 14 $623.00 $560.70 $150.00 $623.00 $523.31 2026-07-18
99285 CPT Ed Level 5 Visit 128 14 $521.00 $521.00 $34.56 $1,084.77 $521.00 2026-07-18
77074 CPT Bone Survey Limited 45 14 $547.00 $492.30 $273.50 $547.00 $516.37 2026-07-18
36556 CPT Ins Non Tunnel Cv Cath 5 Yrs/> 34 14 $515.00 $463.50 $329.60 $515.00 $515.00 2026-07-18
20610 CPT Drain/inj Major Jnt/bursa 135 14 $541.00 $541.00 $131.20 $974.00 $513.94 2026-07-18
93926 CPT Duplex Le Art/bpg; Unil/limit 46 14 $546.00 $491.40 $273.00 $546.00 $513.24 2026-07-18
93931 CPT Duplex Ue Art/bpg; Unil/limit 46 14 $546.00 $491.40 $241.06 $546.00 $513.24 2026-07-18
92960 CPT Cardioversion 80 14 $936.00 $842.40 $312.32 $936.00 $513.02 2026-07-18
73580 CPT Knee Arthrogram 46 14 $543.00 $488.70 $271.50 $543.00 $511.50 2026-07-18
12052 CPT Int Rep F/e/n/l/mm 2.6-5.0 Cm 81 14 $531.00 $531.00 $150.00 $649.00 $509.76 2026-07-18
13153 CPT Crep E/n/e/l Ea Addtl 5 Cm/< 46 14 $541.00 $486.90 $270.50 $541.00 $509.62 2026-07-18
23570 CPT Cl Tx Scapular Fx Wo Manip 34 14 $509.00 $458.10 $325.76 $509.00 $509.00 2026-07-18
93271 CPT Ecg/monitor And Analysis Up To 30 Days 45 14 $541.00 $486.90 $270.50 $541.00 $508.54 2026-07-18
76641 CPT US Breast Complete 45 14 $535.00 $481.50 $267.50 $535.00 $505.04 2026-07-18
94660 CPT Pos Airway Pressure Cpap/bipap Initial 90 14 $955.00 $859.50 $249.00 $955.00 $500.64 2026-07-18
64494 CPT Inj Paravert F Jnt L/s 2 Lev Bilat 164 14 $703.00 $632.70 $0.97 $1,353.00 $500.00 2026-07-18
0115 RC — 40 13 $557.00 $519.85 $311.64 $743.00 $497.56 2026-07-18
30300 CPT Rem Foreign Body Intranasal 34 14 $515.00 $463.50 $48.00 $515.00 $496.98 2026-07-18
67938 CPT Remove Embedded Fb Eyelid 80 14 $496.00 $468.90 $248.00 $521.00 $493.38 2026-07-18
69000 CPT Dr Ext Ear Abscess/hematoma Simple 34 14 $491.00 $441.90 $314.24 $491.00 $491.00 2026-07-18
92977 CPT Thrombolysis Coron IV Infus 34 14 $490.00 $441.00 $313.60 $490.00 $490.00 2026-07-18
77003 CPT Fluoroguidance For Spine Inject 45 14 $519.00 $467.10 $259.50 $519.00 $489.94 2026-07-18
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