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

AVERA MERRILL PIONEER HOSPITAL

Rock Rapids, IA · CCN 161321 · Rates published

Your selected procedure

You selected 93306 (CPT)

TTE W Doppler Complete

This hospital’s price: $1,655 across 5 payers · range $106-$2,419

Source: https://www.avera.org/app/files/public/7aa7f6a3-0114-4d9f-8a0e-2db3ad03c7dd/460224743_avera-merrill-pioneer-hospital_standardcharges.csv · observed 2026-07-15

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

795 distinct procedures filed
6 distinct payers
12,426 rate rows
2026-07-15 last MRF observed
Data quality

12,374 of 12,426 rate rows are consumer-grade (99.6%)

52 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
percent-of-charges filed in the dollar field — excluded from medians 18
placeholder amount (≤ $0.02) — excluded from medians 14
exceeds 10× this hospital's gross charge — excluded from medians 12
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/7aa7f6a3-0114-4d9f-8a0e-2db3ad03c7dd/460224743_avera-merrill-pioneer-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint a0ca33b14ebefb95… · 2,930,931 bytes · first seen 2026-05-05

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
J9144
HCPCS 		Daratumumab Hyaluronida 1800Mg 5 $57.99 $43,804.76 $35,597.13 nat. median
$211
outlier · 168.4×
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $30,005.60 $24,383.50 nat. median
$3,820
outlier · 6.4×
J1299
HCPCS 		Eculizumab 300 Mg/30 Ml Vial 5 $44.81 $29,315.74 $24,378.35 nat. median
$2,911
outlier · 8.4×
309
MS_DRG 		Ms-DRG 309 1 $20,481.22 $20,481.22 $20,481.22 nat. median
$7,903
outlier · 2.6×
193
MS_DRG 		Ms-DRG 193 1 $18,197.82 $18,197.82 $18,197.82 nat. median
$12,868
1.4× median
684
MS_DRG 		Ms-DRG 684 1 $17,668.72 $17,668.72 $17,668.72 nat. median
$6,645
outlier · 2.7×
Q5120
HCPCS 		Pegfilgrastim-bmez 6 Mg/0.6 Ml 5 $24.71 $16,922.86 $13,752.05 nat. median
$371
outlier · 37.1×
690
MS_DRG 		Ms-DRG 690 1 $12,302.14 $12,302.14 $12,302.14 nat. median
$8,376
1.5× median
683
MS_DRG 		Ms-DRG 683 1 $12,302.14 $12,302.14 $12,302.14 nat. median
$9,108
1.4× median
J1306
HCPCS 		Inclisiran 284mg/1.5ml Syringe 5 $5.81 $14,792.78 $12,021.08 nat. median
$44
outlier · 272.2×
872
MS_DRG 		Ms-DRG 872 1 $10,932.10 $10,932.10 $10,932.10 nat. median
$10,401
1.1× median
J3111
HCPCS 		Romosozumab-aqqg 210 Mg/2.34Ml 5 $1.56 $11,305.59 $9,187.28 nat. median
$681
outlier · 13.5×
15271
CPT 		Skin Substitute Graft 25 Sq Cm 5 $149.40 $11,589.00 $8,326.70 nat. median
$1,725
outlier · 4.8×
179
MS_DRG 		Ms-DRG 179 1 $8,212.60 $8,212.60 $8,212.60 nat. median
$8,191
1.0× median
J0401
HCPCS 		Aripiprazole 400 Mg Vial 5 $0.77 $9,754.54 $7,926.85 nat. median
$1,939
outlier · 4.1×
Q5130
HCPCS 		Pegfilgrastim-pbbk 6 Mg/0.6 Ml 5 $0.54 $9,625.01 $7,821.59 nat. median
$353
outlier · 22.2×
2471
APR_DRG 		Apr-DRG 2471 1 $7,460.18 $7,460.18 $7,460.18 nat. median
$4,098
1.8× median
Q5111
HCPCS 		Pegfilgrastim-cbqv 6 Mg/0.6 Ml 5 $163.60 $8,478.75 $6,890.10 nat. median
$1,982
outlier · 3.5×
J1602
HCPCS 		Golimumab 50 Mg/4 Ml Vial 5 $10.77 $8,471.23 $6,883.99 nat. median
$273
outlier · 25.2×
J0897
HCPCS 		Denosumab 60 Mg/ml Syringe 5 $9.69 $13,047.40 $6,770.36 nat. median
$1,972
outlier · 3.4×
1351
APR_DRG 		Apr-DRG 1351 1 $6,627.48 $6,627.48 $6,627.48 nat. median
$5,680
1.2× median
Q5122
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml Syr 5 $134.25 $7,459.14 $6,061.54 nat. median
$561
outlier · 10.8×
73720
CPT 		MRI Le Wwo Dye Lt 5 $233.96 $5,597.40 $4,690.03 nat. median
$1,129
outlier · 4.2×
73723
CPT 		MRI Joint Le Wwo Dye Rt 5 $657.06 $5,330.45 $4,601.02 nat. median
$1,192
outlier · 3.9×
72158
CPT 		MRI Lumbar Spine Wwo Dye 5 $340.97 $5,597.40 $4,548.62 nat. median
$1,093
outlier · 4.2×
72197
CPT 		MRI Pelvis Wwo Dye 5 $618.17 $4,975.15 $4,294.34 nat. median
$1,063
outlier · 4.0×
72156
CPT 		MRI Neck Spine Wwo Dye 5 $340.05 $4,921.95 $4,156.00 nat. median
$1,103
outlier · 3.8×
72157
CPT 		MRI Chest Spine Wwo Dye 5 $535.35 $5,037.85 $4,156.00 nat. median
$1,105
outlier · 3.8×
70553
CPT 		MRI Brain Wwo Contrast 5 $729.77 $4,895.35 $4,101.79 nat. median
$1,133
outlier · 3.6×
72148
CPT 		MRI Lumbar Spine Wo Dye 5 $315.18 $4,145.80 $3,578.48 nat. median
$805
outlier · 4.4×
73721
CPT 		MRI Joint Le Wo Dye Lt 6 $212.71 $4,156.00 $3,578.48 nat. median
$856
outlier · 4.2×
72195
CPT 		MRI Pelvis Wo Dye 5 $852.49 $4,145.80 $3,578.48 nat. median
$806
outlier · 4.4×
73718
CPT 		MRI Le Wo Dye Rt 5 $56.39 $4,364.00 $3,578.48 nat. median
$870
outlier · 4.1×
73221
CPT 		MRI Joint Ue Wo Dye Rt 6 $212.71 $4,364.00 $3,578.48 nat. median
$844
outlier · 4.2×
47379
CPT 		Unlisted Lap Proc Liver 5 $2,823.60 $4,126.80 $3,562.08 nat. median
$6,345
0.6× median
72141
CPT 		MRI Neck Spine Wo Dye 5 $233.96 $4,145.80 $3,473.74 nat. median
$781
outlier · 4.5×
J1439
HCPCS 		Ferric Carboxymalt 750mg/15ml 5 $1.13 $4,236.77 $3,442.93 nat. median
$14
outlier · 242.9×
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $2,719.60 $3,974.80 $3,430.88 nat. median
$988
outlier · 3.5×
78452
CPT 		Myocard Perf Spect Rest Stress 5 $2,150.17 $4,079.30 $3,392.26 nat. median
$1,816
1.9× median
J9217
HCPCS 		Leuprolide Acetate Sq 45mg Syr 5 $1.47 $6,077.93 $3,381.00 nat. median
$1,575
outlier · 2.1×
72146
CPT 		MRI Chest Spine Wo Dye 5 $390.63 $4,145.80 $3,369.01 nat. median
$797
outlier · 4.2×
70551
CPT 		MRI Brain Wo Contrast 5 $447.03 $4,145.80 $3,369.01 nat. median
$784
outlier · 4.3×
74170
CPT 		CT Abdomen Wwo Dye 5 $58.22 $3,974.80 $3,330.47 nat. median
$710
outlier · 4.7×
Q4159
HCPCS 		Graft Skn Affinity 2.25 Sq Cm 5 $2,632.50 $3,847.50 $3,321.00 nat. median
$642
outlier · 5.2×
70492
CPT 		CT Soft Tissue Neck Wwo Cont 5 $422.85 $3,784.80 $3,266.88 nat. median
$647
outlier · 5.1×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $479.88 $3,403.85 $2,997.18 nat. median
$1,024
outlier · 2.9×
70487
CPT 		CT Maxillofacial W Contrast 5 $268.29 $3,385.80 $2,922.48 nat. median
$605
outlier · 4.8×
73701
CPT 		CT Le W Dye Lt 5 $268.01 $3,295.55 $2,844.58 nat. median
$671
outlier · 4.2×
71260
CPT 		CT Thorax W Contrast 6 $80.31 $3,364.90 $2,819.43 nat. median
$648
outlier · 4.4×
74177
CPT 		CT Abd & Pelv W Contrast 6 $227.52 $3,354.45 $2,810.68 nat. median
$974
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 795 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
             
J9144 HCPCS Daratumumab Hyaluronida 1800Mg 11 5 $46,110.00 $44,726.96 $57.99 $43,804.76 $35,597.13 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 11 5 $31,584.00 $30,637.29 $0.41 $30,005.60 $24,383.50 2026-07-15
J1299 HCPCS Eculizumab 300 Mg/30 Ml Vial 11 5 $30,858.00 $29,932.91 $44.81 $29,315.74 $24,378.35 2026-07-15
309 MS_DRG Ms-DRG 309 2 1 — — $20,481.22 $20,481.22 $20,481.22 2026-07-15
193 MS_DRG Ms-DRG 193 2 1 — — $18,197.82 $18,197.82 $18,197.82 2026-07-15
684 MS_DRG Ms-DRG 684 2 1 — — $17,668.72 $17,668.72 $17,668.72 2026-07-15
Q5120 HCPCS Pegfilgrastim-bmez 6 Mg/0.6 Ml 11 5 $17,813.00 $17,279.13 $24.71 $16,922.86 $13,752.05 2026-07-15
690 MS_DRG Ms-DRG 690 2 1 — — $12,302.14 $12,302.14 $12,302.14 2026-07-15
683 MS_DRG Ms-DRG 683 2 1 — — $12,302.14 $12,302.14 $12,302.14 2026-07-15
J1306 HCPCS Inclisiran 284mg/1.5ml Syringe 11 5 $15,571.00 $15,104.21 $5.81 $14,792.78 $12,021.08 2026-07-15
872 MS_DRG Ms-DRG 872 2 1 — — $10,932.10 $10,932.10 $10,932.10 2026-07-15
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34Ml 11 5 $11,900.00 $11,543.60 $1.56 $11,305.59 $9,187.28 2026-07-15
15271 CPT Skin Substitute Graft 25 Sq Cm 18 5 $11,589.00 $11,241.33 $149.40 $11,589.00 $8,326.70 2026-07-15
179 MS_DRG Ms-DRG 179 2 1 — — $8,212.60 $8,212.60 $8,212.60 2026-07-15
J0401 HCPCS Aripiprazole 400 Mg Vial 11 5 $10,267.00 $9,959.90 $0.77 $9,754.54 $7,926.85 2026-07-15
Q5130 HCPCS Pegfilgrastim-pbbk 6 Mg/0.6 Ml 11 5 $10,131.00 $9,827.64 $0.54 $9,625.01 $7,821.59 2026-07-15
2471 APR_DRG Apr-DRG 2471 2 1 — — $7,460.18 $7,460.18 $7,460.18 2026-07-15
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml 11 5 $8,925.00 $8,657.25 $163.60 $8,478.75 $6,890.10 2026-07-15
J1602 HCPCS Golimumab 50 Mg/4 Ml Vial 11 5 $8,917.00 $8,649.57 $10.77 $8,471.23 $6,883.99 2026-07-15
J0897 HCPCS Denosumab 60 Mg/ml Syringe 18 5 $7,637.00 $7,408.06 $9.69 $13,047.40 $6,770.36 2026-07-15
1351 APR_DRG Apr-DRG 1351 2 1 — — $6,627.48 $6,627.48 $6,627.48 2026-07-15
Q5122 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Syr 11 5 $7,851.00 $7,616.18 $134.25 $7,459.14 $6,061.54 2026-07-15
73720 CPT MRI Le Wwo Dye Lt 20 5 $5,892.00 $5,715.24 $233.96 $5,597.40 $4,690.03 2026-07-15
73723 CPT MRI Joint Le Wwo Dye Rt 9 5 $5,611.00 $5,442.67 $657.06 $5,330.45 $4,601.02 2026-07-15
72158 CPT MRI Lumbar Spine Wwo Dye 11 5 $5,892.00 $5,715.24 $340.97 $5,597.40 $4,548.62 2026-07-15
72197 CPT MRI Pelvis Wwo Dye 9 5 $5,237.00 $5,079.89 $618.17 $4,975.15 $4,294.34 2026-07-15
72157 CPT MRI Chest Spine Wwo Dye 11 5 $5,303.00 $5,143.91 $535.35 $5,037.85 $4,156.00 2026-07-15
72156 CPT MRI Neck Spine Wwo Dye 11 5 $5,181.00 $5,025.57 $340.05 $4,921.95 $4,156.00 2026-07-15
70553 CPT MRI Brain Wwo Contrast 12 5 $5,153.00 $4,998.41 $729.77 $4,895.35 $4,101.79 2026-07-15
72148 CPT MRI Lumbar Spine Wo Dye 13 5 $4,364.00 $4,233.08 $315.18 $4,145.80 $3,578.48 2026-07-15
73721 CPT MRI Joint Le Wo Dye Lt 27 6 $4,364.00 $4,233.08 $212.71 $4,156.00 $3,578.48 2026-07-15
72195 CPT MRI Pelvis Wo Dye 9 5 $4,364.00 $4,233.08 $852.49 $4,145.80 $3,578.48 2026-07-15
73718 CPT MRI Le Wo Dye Rt 20 5 $4,364.00 $4,233.08 $56.39 $4,364.00 $3,578.48 2026-07-15
73221 CPT MRI Joint Ue Wo Dye Rt 24 6 $4,364.00 $4,233.08 $212.71 $4,364.00 $3,578.48 2026-07-15
47379 CPT Unlisted Lap Proc Liver 7 5 $4,344.00 $4,213.68 $2,823.60 $4,126.80 $3,562.08 2026-07-15
72141 CPT MRI Neck Spine Wo Dye 12 5 $4,364.00 $4,233.08 $233.96 $4,145.80 $3,473.74 2026-07-15
J1439 HCPCS Ferric Carboxymalt 750mg/15ml 11 5 $4,459.00 $4,325.97 $1.13 $4,236.77 $3,442.93 2026-07-15
74174 CPT CTA Abd&Pelv Wwo Dye 7 5 $4,184.00 $4,058.48 $2,719.60 $3,974.80 $3,430.88 2026-07-15
78452 CPT Myocard Perf Spect Rest Stress 11 5 $4,294.00 $4,165.18 $2,150.17 $4,079.30 $3,392.26 2026-07-15
J9217 HCPCS Leuprolide Acetate Sq 45mg Syr 20 5 $3,675.00 $3,564.75 $1.47 $6,077.93 $3,381.00 2026-07-15
70551 CPT MRI Brain Wo Contrast 11 5 $4,364.00 $4,233.08 $447.03 $4,145.80 $3,369.01 2026-07-15
72146 CPT MRI Chest Spine Wo Dye 11 5 $4,364.00 $4,233.08 $390.63 $4,145.80 $3,369.01 2026-07-15
74170 CPT CT Abdomen Wwo Dye 12 5 $4,184.00 $4,058.48 $58.22 $3,974.80 $3,330.47 2026-07-15
Q4159 HCPCS Graft Skn Affinity 2.25 Sq Cm 9 5 $4,050.00 $3,928.50 $2,632.50 $3,847.50 $3,321.00 2026-07-15
70492 CPT CT Soft Tissue Neck Wwo Cont 9 5 $3,984.00 $3,864.48 $422.85 $3,784.80 $3,266.88 2026-07-15
74178 CPT CT Abd & Pelv Wwo Contrast 12 5 $3,583.00 $3,475.51 $479.88 $3,403.85 $2,997.18 2026-07-15
70487 CPT CT Maxillofacial W Contrast 9 5 $3,564.00 $3,457.08 $268.29 $3,385.80 $2,922.48 2026-07-15
73701 CPT CT Le W Dye Lt 18 5 $3,469.00 $3,364.93 $268.01 $3,295.55 $2,844.58 2026-07-15
71260 CPT CT Thorax W Contrast 14 6 $3,542.00 $3,435.74 $80.31 $3,364.90 $2,819.43 2026-07-15
74177 CPT CT Abd & Pelv W Contrast 14 6 $3,531.00 $3,425.07 $227.52 $3,354.45 $2,810.68 2026-07-15
70496 CPT CT Angiography Head W Cont 12 5 $3,495.00 $3,390.15 $246.84 $3,320.25 $2,782.02 2026-07-15
70491 CPT CT Soft Tissue Neck W Cont 11 5 $3,542.00 $3,435.74 $357.53 $3,364.90 $2,734.42 2026-07-15
70544 CPT MRA Head Wo Contrast 9 5 $3,304.00 $3,204.88 $408.12 $3,138.80 $2,709.28 2026-07-15
J0881 HCPCS Darbepoe Alfa 200mcg/0.4ml Syr 18 5 $2,975.00 $2,886.28 $2.92 $4,168.91 $2,703.49 2026-07-15
73700 CPT CT Le Wo Dye Lt 24 6 $3,099.00 $3,006.03 $76.65 $2,951.00 $2,541.18 2026-07-15
70490 CPT CT Soft Tissue Neck Wo Cont 11 5 $3,099.00 $3,006.03 $277.47 $2,951.00 $2,541.18 2026-07-15
74176 CPT CT Abd & Pelvis Wo Contrast 13 5 $3,099.00 $3,006.03 $95.04 $2,944.05 $2,541.18 2026-07-15
73200 CPT CT Ue Wo Dye Rt 21 6 $3,099.00 $3,006.03 $70.19 $3,099.00 $2,541.18 2026-07-15
71275 CPT CTA Chest Wwo Contrast 10 5 $3,099.00 $3,006.03 $735.08 $2,944.05 $2,541.18 2026-07-15
70450 CPT CT Head/Brain Wo Contrast 12 6 $3,099.00 $3,006.03 $93.58 $2,944.05 $2,541.18 2026-07-15
70486 CPT CT Maxillofacial Wo Contrast 13 5 $3,099.00 $3,006.03 $187.95 $2,944.05 $2,541.18 2026-07-15
71250 CPT CT Thorax Wo Contrast 12 5 $3,099.00 $3,006.03 $71.13 $2,944.05 $2,466.80 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrast 12 5 $3,099.00 $3,006.03 $234.87 $2,944.05 $2,466.80 2026-07-15
73201 CPT CT Ue W Dye Lt 10 5 $2,951.00 $2,862.47 $90.44 $2,803.45 $2,419.82 2026-07-15
72125 CPT CT Cervical Spine Wo Contrast 13 6 $3,099.00 $3,006.03 $93.58 $2,944.05 $2,392.43 2026-07-15
72128 CPT CT Thoracic Spine Wo Contrast 11 5 $3,099.00 $3,006.03 $107.93 $2,944.05 $2,392.43 2026-07-15
70498 CPT CT Angiography Neck W Cont 12 5 $2,960.00 $2,871.20 $278.39 $2,812.00 $2,356.16 2026-07-15
75635 CPT CTA Abdominal Arteries 11 5 $2,951.00 $2,862.47 $592.68 $2,803.45 $2,278.17 2026-07-15
111 CDM Room Medical Unit Priv 7 5 $2,772.00 $2,688.84 $1,801.80 $2,633.40 $2,273.04 2026-07-15
750 CDM Colonoscopy 36 5 $2,873.00 $2,786.81 $1,413.10 $3,238.55 $2,241.42 2026-07-15
11011 CPT Debride Open Fx Disloc Muscle 9 5 $2,705.00 $2,623.85 $1,758.25 $2,569.75 $2,218.10 2026-07-15
90375 CPT Rabies Imm Glob (Human) 300u/m 11 5 $2,852.00 $2,766.61 $146.90 $2,709.57 $2,201.88 2026-07-15
J0248 HCPCS Remdesivir 100 Mg Vial 11 5 $2,835.00 $2,750.11 $6.35 $2,693.40 $2,188.74 2026-07-15
Q5103 HCPCS Infliximab-dyyb 100 Mg Vial 11 5 $2,587.00 $2,510.30 $40.50 $3,013.05 $2,122.11 2026-07-15
71271 CPT Ldct For Lung Cancer Screen 13 5 $2,396.00 $2,324.12 $101.48 $2,276.20 $1,964.72 2026-07-15
87154 CPT Culture Id By Amp Prb 6 Or 6+ 9 5 $2,374.00 $2,302.78 $1,543.10 $2,255.30 $1,946.68 2026-07-15
J1561 HCPCS Immune Glob 10% 40 Gm/400 Ml 29 5 $3,612.00 $3,504.22 $3.60 $13,322.16 $1,894.37 2026-07-15
C8929 HCPCS Echo M Mode 2d W Contrast 18 5 $2,546.00 $2,469.62 $110.50 $2,424.00 $1,829.30 2026-07-15
11043 CPT Debride Muscle/Fascia 20 Cm 18 5 $2,529.00 $2,453.13 $273.90 $2,408.00 $1,817.09 2026-07-15
70480 CPT CT Orbit Wo Contrast 9 5 $2,197.00 $2,131.09 $192.56 $2,087.15 $1,801.54 2026-07-15
Q5121 HCPCS Infliximab-axxq 100 Mg Vial 11 5 $2,179.00 $2,114.48 $35.88 $4,302.83 $1,787.50 2026-07-15
120 CDM Room Medical Unit Semi Private 7 5 $2,053.00 $1,991.41 $1,334.45 $1,950.35 $1,683.46 2026-07-15
93306 CPT Tte W Doppler Complete 19 5 $2,546.00 $2,469.62 $105.90 $2,418.70 $1,654.90 2026-07-15
72192 CPT CT Pelvis Wo Dye 11 5 $2,015.00 $1,954.55 $186.00 $1,914.25 $1,555.58 2026-07-15
10121 CPT I&r Foreign Body Comp 9 5 $1,886.00 $1,829.42 $1,225.90 $1,791.70 $1,546.52 2026-07-15
27045 CPT Exc Tumor Pelvis/Hip >5cm Lt 7 5 $1,729.00 $1,677.13 $1,434.30 $2,012.56 $1,526.48 2026-07-15
81268 CPT Chimer Post Trans Sorted Cells 9 5 $1,835.00 $1,779.95 $1,192.75 $1,743.25 $1,504.70 2026-07-15
49594 CPT Rpr Aa Hrn 1st 3-10 Ncr/Strn 7 5 $1,875.00 $1,818.75 $1,414.86 $2,038.26 $1,477.09 2026-07-15
J0666 HCPCS Bupivac Liposome 1.3% Pf 20 Ml 11 5 $1,779.00 $1,725.92 $1.42 $1,713.62 $1,459.03 2026-07-15
47563 CPT Lap Chole With Cholangiography 7 5 $1,813.00 $1,758.61 $1,391.27 $1,935.98 $1,458.45 2026-07-15
80230 CPT Infliximab Qn w/Reflex To Ab,S 9 5 $1,773.00 $1,719.81 $1,152.45 $1,684.35 $1,453.86 2026-07-15
Q5104 HCPCS Infliximab-abda 100 Mg Vial 11 5 $1,751.00 $1,699.28 $27.85 $5,119.19 $1,436.51 2026-07-15
Q4101 HCPCS Graft Skin Apligraf 18 5 $2,063.00 $2,001.45 $59.60 $3,833.25 $1,354.93 2026-07-15
58661 CPT Laparoscopy Remove Adnexa Bi 7 5 $1,782.00 $1,728.54 $1,238.80 $1,790.85 $1,348.88 2026-07-15
27238 CPT Fx Inter/Peri/Sub Femur Wo Lt 9 5 $1,643.00 $1,593.71 $1,067.95 $1,560.85 $1,347.26 2026-07-15
710 CDM Recovery Phase 1 Per 15 Min 27 5 $1,658.00 $1,608.26 $266.50 $1,889.55 $1,309.82 2026-07-15
75571 CPT CT Heart Wo Dye W Ca Test 9 5 $1,596.00 $1,548.12 $140.03 $1,516.20 $1,308.72 2026-07-15
25605 CPT Fx Distal Radius W Man Rt 27 5 $1,643.00 $1,593.71 $522.00 $1,560.85 $1,268.40 2026-07-15
C8924 HCPCS Tte 2d W Contrast Limited 9 5 $1,523.00 $1,477.31 $989.95 $1,446.85 $1,248.86 2026-07-15
J9155 HCPCS Degarelix 80 Mg Vial 11 5 $1,612.00 $1,564.32 $4.77 $1,532.07 $1,245.00 2026-07-15
76813 CPT OB US Nuchal Meas 1 Gest 10 5 $1,502.00 $1,456.94 $976.30 $1,426.90 $1,231.64 2026-07-15
74300 CPT X-ray Bile Ducts/Pancreas 10 5 $1,427.00 $1,384.19 $927.55 $1,355.65 $1,170.14 2026-07-15
G0390 HCPCS Trauma Team Level 4 9 5 $1,392.00 $1,350.24 $904.80 $1,322.40 $1,141.44 2026-07-15
684 CDM Trauma Team Evaluation Level 4 9 5 $1,392.00 $1,350.24 $904.80 $1,322.40 $1,141.44 2026-07-15
49593 CPT Rpt Aa Hrn 1st 3-10 Rdc 7 5 $581.00 $563.57 $1,089.04 $1,568.59 $1,137.36 2026-07-15
76811 CPT OB US Detailed Single Fetus 12 5 $1,407.00 $1,364.79 $297.83 $1,336.65 $1,132.63 2026-07-15
82397 CPT Infliximab Ab, S 9 5 $1,360.00 $1,319.20 $884.00 $1,292.00 $1,115.20 2026-07-15
49505 CPT Prp I/Hern Init Reduc >5 Yr Lt 14 5 $1,353.00 $1,312.41 $1,022.06 $1,412.24 $1,073.16 2026-07-15
11042 CPT Debride Skin Subq 20 Cm 19 5 $1,614.00 $1,565.58 $107.90 $1,533.30 $1,049.10 2026-07-15
90675 CPT Rabies Vacc Chx Post-ex Immun 11 5 $1,347.00 $1,307.03 $125.24 $1,280.08 $1,040.23 2026-07-15
21931 CPT Exc Soft Tumor Back 3 Cm 7 5 $464.00 $450.08 $922.20 $1,276.04 $976.15 2026-07-15
761 CDM Anoscopy 45 5 $1,260.00 $1,222.20 $166.40 $2,868.05 $972.72 2026-07-15
55520 CPT Removal Sperm Cord Lesion Lt 7 5 $1,184.00 $1,148.48 $882.60 $1,237.43 $950.45 2026-07-15
49592 CPT Rpt Aa Hrn 1st <3 Ncr/Strn 7 5 $444.00 $430.68 $904.88 $1,301.08 $945.08 2026-07-15
J0174 HCPCS Lecanemab-irmb 200 Mg/2Ml Vial 11 5 $1,221.00 $1,184.99 $0.08 $1,160.56 $943.11 2026-07-15
78306 CPT Bone Scan Whole Body 9 5 $1,128.00 $1,094.16 $733.20 $1,071.60 $924.96 2026-07-15
J0561 HCPCS Pen G Benzathine 1200000Un/2ML 11 5 $1,191.00 $1,155.52 $26.98 $1,131.70 $919.65 2026-07-15
360 CDM Or Level 1 54 5 $1,078.50 $1,046.14 $436.15 $3,211.95 $894.75 2026-07-15
49650 CPT Lap Ing Hernia Repair Init Rt 7 5 $1,091.00 $1,058.27 $848.40 $1,166.70 $893.67 2026-07-15
Q0138 HCPCS Ferumoxy 510mg/17ml (non-esrd) 11 5 $1,145.00 $1,111.35 $0.33 $1,088.43 $884.50 2026-07-15
83519 CPT Pinp 9 5 $1,065.00 $1,033.05 $692.25 $1,011.75 $873.30 2026-07-15
87529 CPT Hsv DNA Amp Probe 9 5 $1,063.00 $1,031.11 $690.95 $1,009.85 $871.66 2026-07-15
93971 CPT Extremity Study Lt 24 5 $1,029.00 $998.13 $668.85 $1,034.00 $860.76 2026-07-15
84252 CPT Vitamin B2 (Riboflavin) 9 5 $1,002.00 $971.94 $651.30 $951.90 $821.64 2026-07-15
74250 CPT Gastrografin Challenge 9 5 $990.00 $960.30 $206.36 $940.50 $811.80 2026-07-15
29445 CPT Rigid Total Contact Leg Cast 16 5 $1,231.00 $1,194.07 $189.30 $1,169.45 $809.38 2026-07-15
99285 CPT Emergency Room Visit Level 5 21 6 $1,235.00 $1,197.95 $125.11 $1,173.25 $802.75 2026-07-15
99291 CPT Critical Care 1st 30-74 Min 18 5 $1,762.00 $1,709.14 $318.50 $1,673.90 $794.90 2026-07-15
76801 CPT OB US < 14 Wks Single Fetus 13 5 $945.00 $916.65 $276.59 $897.75 $774.90 2026-07-15
93880 CPT Extracranial Bilat Study 18 5 $1,063.00 $1,031.11 $57.48 $1,063.00 $763.76 2026-07-15
93925 CPT Arterial Duplex Le Bi 18 5 $1,063.00 $1,031.11 $56.41 $1,063.00 $763.76 2026-07-15
76770 CPT Ultrasound Abdo Back Wall Comp 12 5 $945.00 $916.65 $434.78 $897.75 $760.72 2026-07-15
76819 CPT Fetal Biophys Profil Wo Nst 12 5 $932.00 $904.04 $135.56 $885.40 $750.26 2026-07-15
0202U CPT Respir Path 22 Targets Biofire 9 5 $914.00 $886.58 $594.10 $868.30 $749.48 2026-07-15
93975 CPT Vascular Study 10 5 $911.00 $883.67 $592.15 $865.45 $747.02 2026-07-15
93970 CPT Venous Duplex 9 5 $887.00 $860.39 $576.55 $842.65 $727.34 2026-07-15
93017 CPT Cardiovascular Stress Test 11 5 $918.00 $890.46 $466.92 $872.10 $725.22 2026-07-15
36569 CPT Insert Picc Catheter 18 5 $1,805.00 $1,750.85 $174.60 $1,714.75 $718.82 2026-07-15
J2997 HCPCS Alteplase 2 Mg Vial 11 5 $916.00 $889.03 $37.08 $870.70 $707.56 2026-07-15
76700 CPT Ultrasound Abdomen Complete 9 5 $840.00 $814.80 $546.00 $798.00 $688.80 2026-07-15
78227 CPT Hida With Ef w/Pharm 9 5 $831.00 $806.07 $540.15 $789.45 $681.42 2026-07-15
46250 CPT Remove Ext Hem Groups 2 7 5 $670.00 $649.90 $626.30 $878.19 $679.32 2026-07-15
93926 CPT Arterial Duplex Le Lt 18 5 $796.00 $772.12 $517.40 $756.20 $652.72 2026-07-15
77080 CPT Dexa Scan 13 5 $793.00 $769.21 $88.61 $753.35 $650.26 2026-07-15
129 CDM Room Swing Bed Skilled 7 5 $788.00 $764.36 $512.20 $748.60 $646.16 2026-07-15
A9585 HCPCS Gadobutrol Inj 10 Mm/10 Ml Vl 20 5 $1,000.00 $970.00 $2.69 $950.00 $644.88 2026-07-15
51720 CPT Bladder Instillation Chemo 9 5 $761.00 $738.17 $494.65 $722.95 $624.02 2026-07-15
J1611 HCPCS Glucagon (Fresenius Kabi) Vial 11 5 $794.00 $770.88 $81.80 $754.98 $613.52 2026-07-15
Q4186 HCPCS Soft Tissue Graft Epifix 2x2 9 5 $739.00 $716.96 $480.43 $702.17 $606.09 2026-07-15
73523 CPT X-ray Hips 5 Views Bi 10 5 $705.00 $683.85 $458.25 $690.20 $601.37 2026-07-15
76856 CPT Ultrasound Pelvic Complete 11 5 $761.00 $738.17 $434.78 $722.95 $601.19 2026-07-15
76376 CPT 3d Render W Intrp Postproc CT 9 5 $733.00 $711.01 $96.87 $696.35 $601.06 2026-07-15
99284 CPT Emergency Room Visit Level 4 21 6 $924.00 $896.28 $77.81 $877.80 $600.60 2026-07-15
84591 CPT Vitamin B5 (Pantothanic Acid) 18 5 $759.00 $736.23 $429.00 $815.10 $588.88 2026-07-15
J1610 HCPCS Glucagon 1 Mg/ml Vial 11 5 $758.00 $735.63 $98.91 $720.46 $585.47 2026-07-15
73110 CPT X-ray Wrist 3 Views Lt 22 5 $754.00 $731.38 $23.79 $716.30 $582.09 2026-07-15
99292 CPT Critical Care Ea Addl 30 Min 16 5 $885.00 $858.45 $164.83 $840.75 $581.88 2026-07-15
99281 CPT Sane Exam 9 5 $706.00 $684.82 $458.90 $670.70 $578.92 2026-07-15
37195 CPT Thrombolytic Therapy Stroke 9 5 $706.00 $684.82 $458.90 $670.70 $578.92 2026-07-15
17250 CPT Chemical Cauterization Tissue 16 5 $878.00 $851.66 $67.00 $834.10 $577.29 2026-07-15
31500 CPT Insert Emergency Airway 18 5 $802.00 $777.94 $260.70 $2,135.48 $576.24 2026-07-15
J9030 HCPCS Bcg Live 50 Mg Vial 11 5 $744.00 $722.51 $0.27 $707.62 $575.03 2026-07-15
93246 CPT Ext ECG >7 Days Hook Up 13 5 $691.00 $670.27 $361.90 $656.45 $566.62 2026-07-15
76816 CPT OB US Follow-up Per Fetus 12 5 $700.00 $679.00 $297.83 $665.00 $563.50 2026-07-15
76830 CPT Ultrasound Transvaginal 12 5 $700.00 $679.00 $284.63 $665.00 $563.50 2026-07-15
76815 CPT OB US Limited Fetus(s) 12 5 $700.00 $679.00 $271.11 $665.00 $563.50 2026-07-15
76805 CPT OB US >14 Wk Tvta Single Fetus 12 5 $700.00 $679.00 $297.83 $665.00 $563.50 2026-07-15
76536 CPT Ultrasound Head And Neck 12 5 $700.00 $679.00 $284.63 $665.00 $563.50 2026-07-15
80169 CPT Everolimus 9 5 $680.00 $659.60 $442.00 $646.00 $557.60 2026-07-15
10060 CPT I&d Abscess Or Cyst 9 5 $678.00 $657.66 $440.70 $644.10 $555.96 2026-07-15
95250 CPT Glucose Monitoring 72 Hrs 12 5 $687.00 $666.39 $130.80 $652.65 $553.04 2026-07-15
76817 CPT Transvaginal US Obstetrical 11 5 $700.00 $679.00 $276.59 $665.00 $553.00 2026-07-15
76705 CPT Ultrasound Abdomen Limited 11 5 $700.00 $679.00 $284.63 $665.00 $553.00 2026-07-15
96413 CPT Chemotherapy Inf Initial 11 5 $698.00 $677.06 $236.78 $663.10 $551.42 2026-07-15
76882 CPT US Extremity Nonvasc Limit Rt 20 5 $682.00 $661.54 $267.92 $647.90 $549.01 2026-07-15
76775 CPT Ultrasound Aorta 9 5 $666.00 $646.02 $432.90 $632.70 $546.12 2026-07-15
76881 CPT US Extremity Nonvasc Comp Rt 9 5 $664.00 $644.08 $431.60 $630.80 $544.48 2026-07-15
27840 CPT Treat Ankle Dislocation 16 5 $582.00 $564.54 $378.30 $1,037.29 $544.17 2026-07-15
99204 CPT New Patient Level 4 20 5 $814.00 $789.58 $188.80 $773.30 $535.20 2026-07-15
76870 CPT Ultrasound Scrotum 12 5 $659.00 $639.23 $267.92 $626.05 $530.50 2026-07-15
76857 CPT Ultrasound Pelvic Limited 11 5 $668.00 $647.96 $318.36 $634.60 $527.72 2026-07-15
81376 CPT Hla Celiac Dis Mayo 9 5 $643.00 $623.71 $417.95 $610.85 $527.26 2026-07-15
45385 CPT Colonoscopy W Lesion Removal 7 5 $911.00 $883.67 $482.00 $709.52 $524.10 2026-07-15
80187 CPT Posaconazole 9 5 $637.00 $617.89 $414.05 $605.15 $522.34 2026-07-15
12051 CPT Repair Lac Interm <2.5 Cm 16 5 $793.00 $769.21 $302.40 $753.35 $521.40 2026-07-15
12042 CPT Repair Lac Interm 2.6-7.5 Cm 18 5 $793.00 $769.21 $350.40 $753.35 $521.40 2026-07-15
C1751 HCPCS Tray Picc Cath 4Fr Sgl Lum 11 5 $659.00 $640.03 $131.96 $626.83 $521.26 2026-07-15
24600 CPT Dislocation Elbow Wo Anes Rt 16 5 $554.00 $537.38 $360.10 $926.91 $517.99 2026-07-15
73100 CPT X-ray Wrist 2 Views Lt 18 5 $628.00 $609.16 $66.51 $596.60 $514.96 2026-07-15
P9047 HCPCS Albumin Human 25% 25gr/100ml 11 5 $618.00 $600.27 $53.08 $3,118.50 $507.44 2026-07-15
G0379 HCPCS Observation Assess Direct Adm 9 5 $609.00 $590.73 $395.85 $578.55 $499.38 2026-07-15
97606 CPT Neg Pressure Wound Dme >50 Cm 16 5 $758.00 $735.26 $25.58 $720.10 $498.38 2026-07-15
11760 CPT Repair Nailbed 16 5 $756.00 $733.32 $195.60 $718.20 $497.07 2026-07-15
92950 CPT Heart/Lung Resuscitation Cpr 18 5 $852.00 $826.44 $191.00 $809.40 $490.05 2026-07-15
26725 CPT Fx Phalange W Manipulation 16 5 $522.00 $506.34 $339.30 $841.29 $488.07 2026-07-15
94625 CPT Pulmonary Rehab Without Monitoring 9 5 $595.00 $577.15 $386.75 $565.25 $487.90 2026-07-15
45398 CPT Colonoscopy W Band Ligation 7 5 $635.00 $615.95 $447.30 $650.58 $480.65 2026-07-15
71101 CPT X-ray Ribs Uni W Chest Rt 21 5 $561.00 $544.17 $364.65 $3,427.98 $478.53 2026-07-15
11045 CPT Debride Skin Subq Addl 20 Cm 18 5 $664.00 $644.08 $43.90 $664.00 $477.09 2026-07-15
93922 CPT Ankle Arm Screen 18 5 $655.00 $635.35 $17.59 $655.00 $470.62 2026-07-15
P9016 HCPCS Red Blood Cells Lekoreduced 11 5 $573.00 $555.81 $372.45 $545.00 $469.86 2026-07-15
29581 CPT Appl Multi Layer Ven Wnd Compr 17 5 $704.00 $682.88 $50.70 $668.80 $468.16 2026-07-15
43233 CPT Egd Balloon Dil Esoph30 Mm/> 7 5 $582.00 $564.54 $435.70 $632.55 $466.89 2026-07-15
45384 CPT Colonoscopy W Lesion Removal 7 5 $803.00 $778.91 $434.50 $631.18 $465.92 2026-07-15
72072 CPT X-ray Spine Thoracic 3 Views 9 5 $542.00 $525.74 $352.30 $697.55 $462.33 2026-07-15
Q9957 HCPCS Perflutren Lip Micro 2.2mg/2ml 11 5 $598.00 $580.54 $47.75 $568.58 $462.04 2026-07-15
J2404 HCPCS Nicardipine/Ns 40 Mg/200ml Bag 11 5 $560.00 $543.26 $0.09 $1,828.74 $459.25 2026-07-15
94660 CPT CPap/BiPap First Day 18 5 $564.00 $547.08 $357.50 $549.10 $453.81 2026-07-15
28400 CPT Fx Calcaneus Rt 11 5 $549.00 $532.53 $356.85 $2,027.52 $450.18 2026-07-15
27786 CPT Fx Distal Fibula Rt 11 5 $549.00 $532.53 $356.85 $2,470.88 $450.18 2026-07-15
27780 CPT Treatment Fibula Fracture Lt 18 5 $549.00 $532.53 $356.85 $521.55 $450.18 2026-07-15
27530 CPT Treat Knee Fracture Rt 9 5 $549.00 $532.53 $356.85 $521.55 $450.18 2026-07-15
25600 CPT Fx Distal Radius Lt 18 5 $549.00 $532.53 $356.85 $521.55 $450.18 2026-07-15
24530 CPT Fx Supra/Transcondylar Hum Rt 11 5 $549.00 $532.53 $356.85 $2,027.52 $450.18 2026-07-15
74019 CPT X-ray Abdomen 13 5 $525.00 $509.25 $115.05 $660.48 $447.83 2026-07-15
87637 CPT Influ/RSV/CoV2 Pcr Ceph 13 5 $524.00 $508.28 $340.60 $497.80 $446.97 2026-07-15
A9500 HCPCS Radiophar Tc99M Sestamibi Dose 11 5 $545.00 $528.65 $354.25 $517.75 $446.90 2026-07-15
76010 CPT X-ray Nose To Rectum 10 5 $504.00 $488.88 $327.60 $499.97 $446.80 2026-07-15
C1726 HCPCS Cath Balloon EZDilate 9 5 $542.00 $526.13 $352.56 $515.28 $444.77 2026-07-15
70150 CPT X-ray Facial Bones 3 Views 9 5 $532.00 $516.04 $82.17 $505.40 $436.24 2026-07-15
96365 CPT Inf Therapy Med Initial 24 5 $549.00 $532.53 $305.50 $521.55 $432.40 2026-07-15
27824 CPT Fx Distal Tibia Rt 9 5 $522.00 $506.34 $339.30 $495.90 $428.04 2026-07-15
27760 CPT Treatment Medial Ankle Fx Lt 9 5 $522.00 $506.34 $339.30 $495.90 $428.04 2026-07-15
27230 CPT Fx Femur Proximal End Lt 9 5 $522.00 $506.34 $339.30 $495.90 $428.04 2026-07-15
25500 CPT Fx Radius Lt 9 5 $522.00 $506.34 $339.30 $495.90 $428.04 2026-07-15
23600 CPT Fx Prox Humeral Wo Man Lt 9 5 $522.00 $506.34 $339.30 $495.90 $428.04 2026-07-15
88312 CPT Special Stain Afb 9 5 $520.00 $504.40 $338.00 $494.00 $426.40 2026-07-15
99283 CPT Emergency Room Visit Level 3 21 6 $549.00 $532.53 $108.68 $549.00 $423.83 2026-07-15
110 CDM Room Custodial Care 7 5 $513.00 $497.61 $333.45 $487.35 $420.66 2026-07-15
115 CDM Room Hospice Respite Care 7 5 $513.00 $497.61 $333.45 $487.35 $420.66 2026-07-15
11046 CPT Debride Muscle Addl 20 Cm 16 5 $632.00 $613.04 $96.00 $600.40 $415.54 2026-07-15
11732 CPT Avulsion Nail Plate Ea Addl 16 5 $632.00 $613.04 $29.60 $600.40 $415.54 2026-07-15
45381 CPT Colonoscopy Submucous Inj 7 5 $1,249.00 $1,211.53 $382.50 $558.91 $414.70 2026-07-15
45380 CPT Colonoscopy W Biopsy(s) 7 5 $810.00 $785.70 $382.50 $558.91 $414.70 2026-07-15
72220 CPT X-ray Sacrum Tailbone 9 5 $482.00 $467.54 $313.30 $457.90 $411.15 2026-07-15
43246 CPT Egd Place Gastrostomy Tube 7 5 $508.00 $492.76 $381.20 $553.53 $408.97 2026-07-15
43251 CPT Egd Remove Lesion Snare 7 5 $366.00 $355.02 $372.20 $546.39 $405.01 2026-07-15
93308 CPT Echo Limited 19 5 $522.00 $506.34 $38.09 $522.00 $402.98 2026-07-15
71046 CPT X-ray Chest 2v PA/Lateral 13 5 $470.00 $455.90 $141.08 $783.14 $400.91 2026-07-15
96360 CPT Inf Therapy Hyd Initial 13 5 $470.00 $455.90 $305.50 $447.00 $400.91 2026-07-15
99214 CPT Est Patient Level 4 Wound Care 19 5 $612.00 $593.64 $88.83 $581.40 $397.80 2026-07-15
10120 CPT I&r Foreign Body Simple 16 5 $595.00 $577.15 $189.70 $565.25 $391.22 2026-07-15
87522 CPT Hep C RNA Pcr Quant 10 5 $477.00 $462.69 $310.05 $453.15 $391.14 2026-07-15
Q9967 HCPCS Iopamidol-300 30 Ml Vial 31 5 $475.00 $460.75 $185.25 $902.50 $389.50 2026-07-15
77067 CPT Mammography Screening Digital 22 5 $474.00 $459.78 $219.85 $450.30 $388.68 2026-07-15
88342 CPT Immunohisto Stain Init Pr Spec 9 5 $473.00 $458.81 $307.45 $449.35 $387.86 2026-07-15
99203 CPT New Patient Level 3 20 5 $588.00 $570.36 $74.50 $558.60 $386.61 2026-07-15
G0121 HCPCS Screen Colonoscopy Not Hi Risk 7 5 $682.00 $661.54 $171.02 $514.81 $381.66 2026-07-15
G0105 HCPCS Screening Colonoscopy Hi Risk 14 5 $682.00 $661.54 $170.90 $514.08 $381.44 2026-07-15
45378 CPT Colonoscopy Diagnostic 7 5 $682.00 $661.54 $351.70 $514.44 $381.44 2026-07-15
J0283 HCPCS Amiodarone/D5W 360 Mg/200 Ml 11 5 $490.00 $475.86 $2.59 $466.05 $378.73 2026-07-15
C9046 HCPCS Cocaine 4% Solution 4 Ml Bot 12 5 $469.00 $455.21 $1.68 $445.83 $377.78 2026-07-15
87536 CPT HIV 1 Na Quan 9 5 $455.00 $441.35 $295.75 $432.25 $373.10 2026-07-15
94060 CPT Pft Pre & Post Screen Spirome 9 5 $454.00 $440.38 $295.10 $431.30 $372.28 2026-07-15
Q9956 HCPCS Perflutren Protein-a Microdota 11 5 $478.00 $464.14 $77.76 $454.58 $369.40 2026-07-15
87636 CPT Influ & CoV2 Pcr Ceph 9 5 $449.00 $435.53 $291.85 $426.55 $368.18 2026-07-15
86978 CPT Warm Auto Absorption 9 5 $448.00 $434.56 $291.20 $425.60 $367.36 2026-07-15
82375 CPT Carbon Monoxide Blood 10 5 $448.00 $434.56 $291.20 $425.60 $367.36 2026-07-15
82166 CPT Mullerian Inhib Hormone 9 5 $447.00 $433.59 $290.55 $424.65 $366.54 2026-07-15
82610 CPT Cystatin C 9 5 $446.00 $432.62 $289.90 $423.70 $365.72 2026-07-15
99236 CPT Admit/Discharge Same Day High 7 5 $438.00 $424.86 $322.41 $436.48 $365.04 2026-07-15
10061 CPT I&d Abscess Comp/Multiple 16 5 $416.00 $403.52 $270.40 $506.04 $364.14 2026-07-15
36430 CPT Blood Administration 11 5 $451.00 $437.47 $293.15 $428.45 $363.00 2026-07-15
80299 CPT Apixaban 27 5 $441.00 $427.77 $162.50 $1,105.80 $361.62 2026-07-15
J2791 HCPCS Rho (d) Imm Glob 300mcg/2ml Sy 11 5 $465.00 $451.05 $1.71 $441.75 $358.98 2026-07-15
92610 CPT Swallow Eval Non Radiol 11 5 $454.00 $440.38 $212.53 $431.30 $358.66 2026-07-15
23500 CPT Fx Clavicle Lt 20 5 $437.00 $423.89 $284.05 $954.95 $358.34 2026-07-15
11055 CPT Pare 1 Benign Lesion 16 5 $544.00 $527.68 $27.30 $516.80 $357.68 2026-07-15
11730 CPT Avulsion Nail Plate Simp Singl 16 5 $544.00 $527.68 $95.50 $516.80 $357.68 2026-07-15
80074 CPT Acute Hepatitis Panel 11 5 $435.00 $421.95 $282.75 $637.00 $356.70 2026-07-15
93242 CPT Ext ECG 48 Hrs -7days Hook Up 11 5 $450.00 $436.50 $292.50 $427.50 $355.50 2026-07-15
83010 CPT Haptoglobin Quant 11 5 $448.00 $434.56 $68.56 $425.60 $353.92 2026-07-15
11404 CPT Exc Ben Lesion 3.1-4.0 Trunk 7 5 $357.00 $346.29 $298.20 $448.53 $353.56 2026-07-15
72070 CPT X-ray Spine Thoracic 2 Views 12 5 $420.00 $407.40 $230.50 $1,015.91 $351.33 2026-07-15
73502 CPT X-ray Hip Uni 2-3 Views Rt 38 5 $302.00 $292.94 $141.08 $860.42 $341.12 2026-07-15
72082 CPT X-ray Spine 2-3 View 9 5 $416.00 $403.52 $130.92 $395.20 $341.12 2026-07-15
70110 CPT X-ray Mandible 4 Views 7 5 $414.00 $401.58 $269.10 $393.30 $339.48 2026-07-15
73552 CPT X-ray Femur 2 Views Lt 24 5 $409.00 $396.73 $64.21 $389.00 $335.38 2026-07-15
51705 CPT Suprapubic Cath Change 20 5 $409.00 $396.73 $265.85 $401.85 $334.77 2026-07-15
73610 CPT X-ray Ankle 3 Views Rt 22 5 $407.00 $394.79 $99.63 $386.65 $333.74 2026-07-15
12031 CPT Repair Lac Intermed <2.5 Cm 7 5 $366.00 $355.02 $270.90 $423.98 $325.69 2026-07-15
73564 CPT X-ray Knee 4 Lt 24 5 $408.00 $395.76 $81.60 $387.60 $324.77 2026-07-15
J3489 HCPCS Zoledron Ac/Man/H2O 5mg/100ml 11 5 $420.00 $407.43 $9.52 $399.03 $324.26 2026-07-15
97163 CPT Pt Eval High Complexity 9 5 $395.00 $383.15 $256.75 $375.25 $323.90 2026-07-15
70130 CPT X-ray Mastoids 3 Views 9 5 $393.00 $381.21 $115.80 $373.35 $322.26 2026-07-15
73030 CPT X-ray Shoulder Lt 25 5 $392.00 $380.24 $74.60 $372.40 $321.44 2026-07-15
80145 CPT Adalimumab 9 5 $388.00 $376.36 $252.20 $368.60 $318.16 2026-07-15
43249 CPT Esoph Egd Dilation <30 Mm 7 5 $2,946.00 $2,857.62 $292.00 $426.86 $317.67 2026-07-15
A9537 HCPCS Radiophar Tc99M Mebrofenin 9 5 $387.00 $375.39 $251.55 $367.65 $317.34 2026-07-15
73630 CPT X-ray Foot 3 Views Rt 25 5 $387.00 $375.39 $65.60 $367.65 $317.34 2026-07-15
72190 CPT X-ray Pelvis 3 Views 9 5 $372.00 $360.84 $241.80 $522.48 $317.32 2026-07-15
88305 CPT Surg Path L4 11 5 $385.00 $373.45 $250.25 $366.00 $315.70 2026-07-15
73050 CPT X-ray Ac Joints 9 5 $384.00 $372.48 $196.25 $364.80 $314.88 2026-07-15
J9025 HCPCS Azacitidine 100 Mg Vial 11 5 $403.00 $391.27 $0.34 $383.20 $311.40 2026-07-15
C1781 HCPCS Mesh Sheet Flat Bard 3X6In 11 5 $376.00 $365.50 $244.92 $357.96 $308.98 2026-07-15
87252 CPT Culture Viral 9 5 $376.00 $364.72 $244.40 $357.20 $308.32 2026-07-15
12013 CPT Repair Lac Simple 2.6-5.0 Cm 30 5 $393.00 $381.21 $102.60 $602.87 $306.68 2026-07-15
81515 CPT Vpp 9 5 $373.00 $361.81 $242.45 $354.35 $305.86 2026-07-15
982 CDM Screening Colonoscopy 7 5 $373.00 $361.81 $242.45 $354.35 $305.86 2026-07-15
J3375 HCPCS Vancomycin 2000 Mg/400 Ml Bag 20 5 $382.00 $371.28 $0.13 $363.62 $303.81 2026-07-15
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