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

MITCHELL COUNTY REGIONAL HEALTH

Osage, IA · CCN 161323 · Rates published

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You selected 93306 (HCPCS)

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

This hospital’s price: $782 across 11 payers · range $759-$2,045

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMCRHOSAGEIA&type=CDMWithoutLabel&fileType=CSV · observed 2026-01-03

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.

3,922 distinct procedures filed
19 distinct payers
55,209 rate rows
2026-07-30 last MRF observed
Data quality

53,698 of 55,209 rate rows are consumer-grade (97.3%)

1,511 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 905
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 500
exceeds 10× this hospital's gross charge — excluded from medians 84
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 21
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMCRHOSAGEIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Mitchell_County.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-23
Content fingerprint 6e5dc7bcabbfc761… · 19,240,405 bytes · first seen 2026-05-08

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
592
MS_DRG 		Skin Ulcers With Mcc 1 $212,669.19 $212,669.19 $212,669.19 nat. median
$18,752
outlier · 11.3×
302
MS_DRG 		Atherosclerosis With Mcc 1 $92,744.80 $92,744.80 $92,744.80 nat. median
$11,867
outlier · 7.8×
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 $76,227.17 $76,227.17 $76,227.17 nat. median
$17,182
outlier · 4.4×
534
MS_DRG 		Fractures Of Femur Without Mcc 1 $29,388.37 $29,388.37 $29,388.37 nat. median
$8,542
outlier · 3.4×
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 1 $27,571.57 $27,571.57 $27,571.57 nat. median
$8,661
outlier · 3.2×
950
MS_DRG 		Aftercare Without Cc/mcc 1 $27,022.73 $27,022.73 $27,022.73 nat. median
$7,071
outlier · 3.8×
815
MS_DRG 		Reticuloendothelial And Immunity Disorders With Cc 1 $26,250.85 $26,250.85 $26,250.85 nat. median
$10,373
outlier · 2.5×
835
MS_DRG 		Acute Leukemia With Cc 1 $23,751.65 $23,751.65 $23,751.65 nat. median
$20,410
1.2× median
682
MS_DRG 		Renal Failure With Mcc 1 $23,076.65 $23,076.65 $23,076.65 nat. median
$14,443
1.6× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 1 $19,595.78 $19,595.78 $19,595.78 nat. median
$14,262
1.4× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 1 $18,849.01 $18,849.01 $18,849.01 nat. median
$17,877
1.1× median
92
MS_DRG 		Other Disorders Of Nervous System With Cc 1 $18,634.66 $18,634.66 $18,634.66 nat. median
$10,613
1.8× median
543
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 $18,585.16 $18,585.16 $18,585.16 nat. median
$10,651
1.7× median
951
MS_DRG 		Other Factors Influencing Health Status 1 $17,786.80 $17,786.80 $17,786.80 nat. median
$6,229
outlier · 2.9×
844
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 $16,671.95 $16,671.95 $16,671.95 nat. median
$12,096
1.4× median
184
MS_DRG 		Major Chest Trauma With Cc 1 $14,460.51 $14,460.51 $14,460.51 nat. median
$10,707
1.4× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 1 $13,927.61 $13,927.61 $13,927.61 nat. median
$8,438
1.7× median
842
MS_DRG 		Lymphoma And Non-acute Leukemia Without Cc/mcc 1 $4,290.95 $4,290.95 $4,290.95 nat. median
$10,689
outlier · 0.4×
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 1 $4,135.60 $4,135.60 $4,135.60 nat. median
$15,626
outlier · 0.3×
4050888
CDM 		Speedbrg Peek 11 $2,437.02 $6,566.42 $2,510.13 nat. median
$49
outlier · 50.9×
L8612
HCPCS 		Aqueous Shunt 11 $2,064.22 $5,561.93 $2,126.15 nat. median
$1,598
1.3× median
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 11 $1,965.35 $5,295.53 $2,024.31 nat. median
$998
outlier · 2.0×
4059903
CDM 		Achilles Speedbridge 11 $1,955.23 $5,268.26 $2,013.89 nat. median
$2
outlier · 1118.8×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 11 $1,953.88 $5,264.63 $2,012.50 nat. median
$1,027
2.0× median
3010034
CDM 		Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 4 $1,545.01 $2,140.94 $1,999.67 nat. median
$1,291
1.5× median
740
OTHER 		Polysomnography W/cpap 2 $66.25 $2,718.03 $1,999.41 nat. median
$618
outlier · 3.2×
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 11 $1,934.87 $5,213.41 $1,992.92 nat. median
$1,097
1.8× median
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 11 $1,919.95 $5,173.20 $1,977.55 nat. median
$1,110
1.8× median
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 11 $1,914.97 $5,159.77 $1,972.42 nat. median
$1,114
1.8× median
4050334
CDM 		Ventralight Mesh 8"x10" 11 $1,860.52 $5,013.06 $1,916.33 nat. median
$1,916
1.0× median
95811
HCPCS 		Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 11 $1,857.08 $5,003.79 $1,912.79 nat. median
$1,894
1.0× median
74177
HCPCS 		CT Scan Of Abdomen And Pelvis With Contrast 11 $1,812.89 $4,884.73 $1,867.27 nat. median
$976
1.9× median
71552
HCPCS 		MRI Scan Of Chest Before And After Contrast 11 $1,762.31 $4,748.44 $1,815.18 nat. median
$1,103
1.6× median
70546
HCPCS 		MRI Scan Of Blood Vessels Of Head Before And After Contrast 11 $1,760.31 $4,743.06 $1,813.12 nat. median
$1,073
1.7× median
70549
HCPCS 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 11 $1,760.31 $4,743.06 $1,813.12 nat. median
$1,063
1.7× median
70543
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 11 $1,760.31 $4,743.06 $1,813.12 nat. median
$1,087
1.7× median
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 11 $1,760.31 $4,743.06 $1,813.12 nat. median
$1,136
1.6× median
4050713
CDM 		Speedbrg Biocomposite 11 $1,749.31 $4,713.42 $1,801.79 nat. median
$35
outlier · 51.9×
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 11 $1,734.19 $4,672.68 $1,786.22 nat. median
$1,074
1.7× median
74185
HCPCS 		MRI Scan Of Blood Vessels Of Abdomen 11 $1,553.63 $4,737.09 $1,775.68 nat. median
$1,253
1.4× median
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 11 $1,709.03 $4,604.88 $1,760.30 nat. median
$1,105
1.6× median
74176
HCPCS 		CT Scan Of Abdomen And Pelvis Without Contrast 11 $1,701.47 $4,584.51 $1,752.51 nat. median
$694
outlier · 2.5×
4058031
CDM 		Bio Graft 6 X 65 11 $1,692.04 $4,559.10 $1,742.80 nat. median
$1,743
1.0× median
73220
HCPCS 		MRI Scan Of Arm Before And After Contrast 11 $1,658.65 $4,469.13 $1,708.41 nat. median
$1,136
1.5× median
73720
HCPCS 		MRI Scan Of Leg Before And After Contrast 11 $1,658.65 $4,469.13 $1,708.41 nat. median
$1,135
1.5× median
64633
HCPCS 		Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 11 $1,620.20 $4,365.53 $1,668.80 nat. median
$2,325
0.7× median
3010038
CDM 		Room & Board - Other - Sterile Environment 4 $1,241.94 $1,720.97 $1,607.42 nat. median
$332
outlier · 4.8×
360
OTHER 		Removal Of Skin Lesion 3 $263.95 $21,397.32 $1,572.46 nat. median
$3,248
outlier · 0.5×
95810
HCPCS 		Sleep Study In Sleep Lab (6 Years Or Older) 11 $1,487.54 $4,008.09 $1,532.16 nat. median
$1,827
0.8× median
72149
HCPCS 		MRI Scan Of Lower Spinal Canal With Contrast 11 $1,457.51 $3,927.19 $1,501.24 nat. median
$979
1.5× median

Other procedures at this hospital

Browse this hospital's 3,922 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
             
592 MS_DRG Skin Ulcers With Mcc 1 1 $92,374.19 $83,136.77 $212,669.19 $212,669.19 $212,669.19 2026-01-03
302 MS_DRG Atherosclerosis With Mcc 1 1 $41,189.80 $37,070.82 $92,744.80 $92,744.80 $92,744.80 2026-01-03
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 $29,582.17 $26,623.95 $76,227.17 $76,227.17 $76,227.17 2026-01-03
534 MS_DRG Fractures Of Femur Without Mcc 1 1 $14,658.37 $13,192.53 $29,388.37 $29,388.37 $29,388.37 2026-01-03
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 1 1 $10,386.57 $9,347.91 $27,571.57 $27,571.57 $27,571.57 2026-01-03
950 MS_DRG Aftercare Without Cc/mcc 1 1 $9,837.73 $8,853.96 $27,022.73 $27,022.73 $27,022.73 2026-01-03
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 1 1 $11,520.85 $10,368.77 $26,250.85 $26,250.85 $26,250.85 2026-01-03
835 MS_DRG Acute Leukemia With Cc 1 1 $11,476.65 $10,328.99 $23,751.65 $23,751.65 $23,751.65 2026-01-03
682 MS_DRG Renal Failure With Mcc 1 1 $10,801.65 $9,721.49 $23,076.65 $23,076.65 $23,076.65 2026-01-03
884 MS_DRG Organic Disturbances And Intellectual Disability 1 1 $9,775.78 $8,798.20 $19,595.78 $19,595.78 $19,595.78 2026-01-03
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 $9,029.01 $8,126.11 $18,849.01 $18,849.01 $18,849.01 2026-01-03
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 $6,359.66 $5,723.69 $18,634.66 $18,634.66 $18,634.66 2026-01-03
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 $8,765.16 $7,888.65 $18,585.16 $18,585.16 $18,585.16 2026-01-03
951 MS_DRG Other Factors Influencing Health Status 1 1 $7,966.80 $7,170.12 $17,786.80 $17,786.80 $17,786.80 2026-01-03
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 $6,851.95 $6,166.76 $16,671.95 $16,671.95 $16,671.95 2026-01-03
184 MS_DRG Major Chest Trauma With Cc 1 1 $7,095.51 $6,385.96 $14,460.51 $14,460.51 $14,460.51 2026-01-03
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 $6,562.61 $5,906.35 $13,927.61 $13,927.61 $13,927.61 2026-01-03
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 1 1 $1,835.95 $1,652.36 $4,290.95 $4,290.95 $4,290.95 2026-01-03
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 $1,680.60 $1,512.54 $4,135.60 $4,135.60 $4,135.60 2026-01-03
4050888 CDM Speedbrg Peek 11 11 $6,769.50 $6,092.55 $2,437.02 $6,566.42 $2,510.13 2026-01-03
L8612 HCPCS Aqueous Shunt 11 11 $5,733.95 $5,160.56 $2,064.22 $5,561.93 $2,126.15 2026-01-03
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 11 11 $5,459.31 $4,913.38 $1,965.35 $5,295.53 $2,024.31 2026-01-03
4059903 CDM Achilles Speedbridge 11 11 $5,431.20 $4,888.08 $1,955.23 $5,268.26 $2,013.89 2026-01-03
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 11 11 $5,427.45 $4,884.71 $1,953.88 $5,264.63 $2,012.50 2026-01-03
3010034 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 4 4 $2,207.15 $1,986.44 $1,545.01 $2,140.94 $1,999.67 2026-01-03
740 OTHER Polysomnography W/cpap 5 2 $3,481.60 $3,133.44 $66.25 $2,718.03 $1,999.41 2026-07-30
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 11 11 $5,374.65 $4,837.19 $1,934.87 $5,213.41 $1,992.92 2026-01-03
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 11 11 $5,333.20 $4,799.88 $1,919.95 $5,173.20 $1,977.55 2026-01-03
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 11 11 $5,319.35 $4,787.42 $1,914.97 $5,159.77 $1,972.42 2026-01-03
4050334 CDM Ventralight Mesh 8"x10" 11 11 $5,168.10 $4,651.29 $1,860.52 $5,013.06 $1,916.33 2026-01-03
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 11 11 $5,158.55 $4,642.70 $1,857.08 $5,003.79 $1,912.79 2026-01-03
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 11 11 $5,035.80 $4,532.22 $1,812.89 $4,884.73 $1,867.27 2026-01-03
71552 HCPCS MRI Scan Of Chest Before And After Contrast 11 11 $4,895.30 $4,405.77 $1,762.31 $4,748.44 $1,815.18 2026-01-03
70553 HCPCS MRI Scan Of Brain Before And After Contrast 11 11 $4,889.75 $4,400.78 $1,760.31 $4,743.06 $1,813.12 2026-01-03
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 11 11 $4,889.75 $4,400.78 $1,760.31 $4,743.06 $1,813.12 2026-01-03
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 11 11 $4,889.75 $4,400.78 $1,760.31 $4,743.06 $1,813.12 2026-01-03
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 11 11 $4,889.75 $4,400.78 $1,760.31 $4,743.06 $1,813.12 2026-01-03
4050713 CDM Speedbrg Biocomposite 11 11 $4,859.20 $4,373.28 $1,749.31 $4,713.42 $1,801.79 2026-01-03
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 11 11 $4,817.20 $4,335.48 $1,734.19 $4,672.68 $1,786.22 2026-01-03
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 33 11 $4,713.15 $4,241.84 $1,553.63 $4,737.09 $1,775.68 2026-01-03
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 11 11 $4,747.30 $4,272.57 $1,709.03 $4,604.88 $1,760.30 2026-01-03
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 11 11 $4,726.30 $4,253.67 $1,701.47 $4,584.51 $1,752.51 2026-01-03
4058031 CDM Bio Graft 6 X 65 11 11 $4,700.10 $4,230.09 $1,692.04 $4,559.10 $1,742.80 2026-01-03
73220 HCPCS MRI Scan Of Arm Before And After Contrast 11 11 $4,607.35 $4,146.62 $1,658.65 $4,469.13 $1,708.41 2026-01-03
73720 HCPCS MRI Scan Of Leg Before And After Contrast 11 11 $4,607.35 $4,146.62 $1,658.65 $4,469.13 $1,708.41 2026-01-03
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 11 11 $4,500.55 $4,050.50 $1,620.20 $4,365.53 $1,668.80 2026-01-03
3010038 CDM Room & Board - Other - Sterile Environment 4 4 $1,774.20 $1,596.78 $1,241.94 $1,720.97 $1,607.42 2026-01-03
360 OTHER Removal Of Skin Lesion 80 3 $628.30 $565.47 $263.95 $21,397.32 $1,572.46 2026-07-30
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 11 11 $4,132.05 $3,718.85 $1,487.54 $4,008.09 $1,532.16 2026-01-03
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 11 11 $4,048.65 $3,643.79 $1,457.51 $3,927.19 $1,501.24 2026-01-03
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 11 11 $4,040.95 $3,636.86 $1,454.74 $3,919.72 $1,498.38 2026-01-03
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 22 11 $3,953.93 $3,558.53 $1,392.08 $3,919.72 $1,483.84 2026-01-03
4055122 CDM Ortho Acetadular 11 11 $3,822.40 $3,440.16 $1,376.06 $3,707.73 $1,417.35 2026-01-03
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 22 11 $3,838.65 $3,454.79 $22.16 $7,387.28 $1,400.69 2026-01-03
27125 HCPCS Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis 22 11 $3,838.65 $3,454.79 $22.16 $7,387.28 $1,400.69 2026-01-03
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 22 11 $3,838.65 $3,454.79 $22.16 $7,387.28 $1,400.69 2026-01-03
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 22 11 $3,838.65 $3,454.79 $22.16 $7,387.28 $1,400.69 2026-01-03
70552 HCPCS MRI Scan Of Brain With Contrast 11 11 $3,713.65 $3,342.29 $1,336.91 $3,602.24 $1,377.02 2026-01-03
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 11 11 $3,713.65 $3,342.29 $1,336.91 $3,602.24 $1,377.02 2026-01-03
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 11 11 $3,713.65 $3,342.29 $1,336.91 $3,602.24 $1,377.02 2026-01-03
71551 HCPCS MRI Scan Of Chest With Contrast 11 11 $3,630.40 $3,267.36 $1,306.94 $3,521.49 $1,346.15 2026-01-03
3010012 CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $1,454.55 $1,309.10 $1,018.19 $1,410.91 $1,317.82 2026-01-03
72196 HCPCS MRI Scan Of Pelvis With Contrast 11 11 $3,551.10 $3,195.99 $1,278.40 $3,444.57 $1,316.75 2026-01-03
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 11 11 $3,523.05 $3,170.75 $1,268.30 $3,417.36 $1,306.35 2026-01-03
78071 HCPCS Nuclear Medicine Study Of Parathyroid With Spect 11 11 $3,491.75 $3,142.58 $1,257.03 $3,387.00 $1,294.74 2026-01-03
73219 HCPCS MRI Scan Of Arm With Contrast 11 11 $3,490.65 $3,141.59 $1,256.63 $3,385.93 $1,294.33 2026-01-03
612 OTHER MRI C-spine 15 3 $2,793.30 $2,513.97 $556.78 $3,903.70 $1,282.48 2026-07-30
73719 HCPCS MRI Scan Of Leg With Contrast 11 11 $3,420.65 $3,078.59 $1,231.43 $3,318.03 $1,268.38 2026-01-03
73722 HCPCS MRI Scan Of Leg Joint With Contrast 11 11 $3,414.25 $3,072.83 $1,229.13 $3,311.82 $1,266.00 2026-01-03
73222 HCPCS MRI Scan Of Arm Joint With Contrast 11 11 $3,414.25 $3,072.83 $1,229.13 $3,311.82 $1,266.00 2026-01-03
341 OTHER Myo Perf Spect Mult W/fl 10 3 $2,632.55 $2,369.30 $175.74 $2,085.96 $1,245.38 2026-07-30
3010029 CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $1,362.30 $1,226.07 $953.61 $1,321.43 $1,234.24 2026-01-03
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 11 11 $3,315.15 $2,983.64 $1,193.45 $3,215.70 $1,229.26 2026-01-03
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 11 11 $3,315.15 $2,983.64 $1,193.45 $3,215.70 $1,229.26 2026-01-03
25075 HCPCS Removal Of Growth Under Skin Of Forearm Or Wrist, Less Than 3.0 Cm 11 8 $1,728.05 $1,555.25 $233.43 $2,290.75 $1,209.64 2026-01-03
611 OTHER MRI Brain W/wo Contrast 5 3 $4,120.00 $3,708.00 $694.12 $3,551.44 $1,194.62 2026-07-30
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 11 11 $3,219.85 $2,897.87 $1,159.15 $3,123.25 $1,193.92 2026-01-03
610 OTHER Lt MRI Lower Ext Joint 32 3 $2,530.28 $2,277.25 $95.03 $2,479.80 $1,169.92 2026-07-30
4057991 CDM Graft Umbilical Vein 11 11 $3,105.40 $2,794.86 $1,117.94 $3,012.24 $1,151.48 2026-01-03
4050858 CDM Navigation Unit 11 11 $3,104.40 $2,793.96 $1,117.58 $3,011.27 $1,151.11 2026-01-03
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 11 11 $3,085.80 $2,777.22 $1,110.89 $2,993.23 $1,144.21 2026-01-03
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 11 11 $3,085.80 $2,777.22 $1,110.89 $2,993.23 $1,144.21 2026-01-03
70336 HCPCS MRI Scan Of Jaw Joint 11 11 $3,074.10 $2,766.69 $1,106.68 $2,981.88 $1,139.88 2026-01-03
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 11 11 $3,074.10 $2,766.69 $1,106.68 $2,981.88 $1,139.88 2026-01-03
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 11 11 $3,074.10 $2,766.69 $1,106.68 $2,981.88 $1,139.88 2026-01-03
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 11 11 $3,074.10 $2,766.69 $1,106.68 $2,981.88 $1,139.88 2026-01-03
70551 HCPCS MRI Scan Of Brain Without Contrast 11 11 $3,074.10 $2,766.69 $1,106.68 $2,981.88 $1,139.88 2026-01-03
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 11 11 $3,029.00 $2,726.10 $1,090.44 $2,938.13 $1,123.15 2026-01-03
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 11 11 $3,029.00 $2,726.10 $1,090.44 $2,938.13 $1,123.15 2026-01-03
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 11 11 $3,003.10 $2,702.79 $1,081.12 $2,913.01 $1,113.55 2026-01-03
71550 HCPCS MRI Scan Of Chest Without Contrast 11 11 $2,999.80 $2,699.82 $1,079.93 $2,909.81 $1,112.33 2026-01-03
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 11 11 $2,931.80 $2,638.62 $1,055.45 $2,843.85 $1,087.11 2026-01-03
73718 HCPCS MRI Scan Of Leg Without Contrast 11 11 $2,931.80 $2,638.62 $1,055.45 $2,843.85 $1,087.11 2026-01-03
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 11 11 $2,931.80 $2,638.62 $1,055.45 $2,843.85 $1,087.11 2026-01-03
73218 HCPCS MRI Scan Of Arm Without Contrast 11 11 $2,931.80 $2,638.62 $1,055.45 $2,843.85 $1,087.11 2026-01-03
4050333 CDM Ventralight Mesh 6"x8" 11 11 $2,927.35 $2,634.62 $1,053.85 $2,839.53 $1,085.46 2026-01-03
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 22 11 $2,936.40 $2,642.77 $162.49 $4,320.62 $1,082.40 2026-01-03
4050375 CDM Novasure Handle 11 11 $2,916.55 $2,624.90 $1,049.96 $2,829.05 $1,081.46 2026-01-03
72195 HCPCS MRI Scan Of Pelvis Without Contrast 11 11 $2,912.70 $2,621.43 $1,048.57 $2,825.32 $1,080.03 2026-01-03
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 22 11 $2,617.45 $2,355.70 $827.96 $2,846.95 $1,077.74 2026-01-03
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 11 11 $2,878.40 $2,590.56 $1,036.22 $2,792.05 $1,067.31 2026-01-03
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 11 11 $2,862.50 $2,576.25 $1,030.50 $2,776.63 $1,061.42 2026-01-03
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 11 11 $2,854.95 $2,569.46 $1,027.78 $2,769.30 $1,058.62 2026-01-03
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 11 11 $2,854.95 $2,569.46 $1,027.78 $2,769.30 $1,058.62 2026-01-03
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 11 11 $2,848.45 $2,563.61 $1,025.44 $2,763.00 $1,056.21 2026-01-03
4059884 CDM Mesh Composix Lp 8x10 11 11 $2,837.00 $2,553.30 $1,021.32 $2,751.89 $1,051.96 2026-01-03
25071 HCPCS Removal Of Growth Under Skin Of Forearm Or Wrist, 3.0 Cm Or More 11 8 $1,501.55 $1,351.40 $233.43 $2,179.25 $1,051.09 2026-01-03
28045 HCPCS Removal Of Growth Of Muscle Of Foot Or Toe, Less Than 1.5 Cm 11 11 $2,809.90 $2,528.91 $1,011.56 $2,725.60 $1,041.91 2026-01-03
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 11 11 $2,775.45 $2,497.91 $999.16 $2,692.19 $1,029.14 2026-01-03
C1776 HCPCS Joint Device (implantable) 143 11 $1,884.30 $1,695.87 $32.63 $6,589.31 $1,017.52 2026-01-03
71270 HCPCS CT Scan Of Chest Before And After Contrast 11 11 $2,731.90 $2,458.71 $983.48 $2,649.94 $1,012.99 2026-01-03
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 11 11 $2,729.70 $2,456.73 $982.69 $2,647.81 $1,012.17 2026-01-03
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 11 11 $2,729.70 $2,456.73 $982.69 $2,647.81 $1,012.17 2026-01-03
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 11 11 $2,729.70 $2,456.73 $982.69 $2,647.81 $1,012.17 2026-01-03
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 11 11 $2,722.75 $2,450.48 $980.19 $2,641.07 $1,009.60 2026-01-03
70487 HCPCS CT Scan Of Face With Contrast 11 11 $2,703.55 $2,433.20 $973.28 $2,622.44 $1,002.48 2026-01-03
74160 HCPCS CT Scan Of Abdomen With Contrast 11 11 $2,687.65 $2,418.89 $967.55 $2,607.02 $996.58 2026-01-03
350 OTHER Abdomen & Pelvis W Cont 44 4 $2,234.05 $2,010.65 $228.59 $3,942.01 $992.99 2026-07-30
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 22 11 $2,959.55 $2,663.60 $125.06 $4,365.53 $992.05 2026-01-03
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 11 11 $2,658.40 $2,392.56 $957.02 $2,578.65 $985.73 2026-01-03
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 11 11 $2,658.40 $2,392.56 $957.02 $2,578.65 $985.73 2026-01-03
L8606 HCPCS Injectable Bulking Agent, Synthetic Implant, Urinary Tract, 1 Ml Syringe, Includ… 11 11 $2,647.25 $2,382.53 $953.01 $2,567.83 $981.60 2026-01-03
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 11 11 $2,644.50 $2,380.05 $952.02 $2,565.17 $980.58 2026-01-03
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 11 11 $2,644.50 $2,380.05 $952.02 $2,565.17 $980.58 2026-01-03
278 OTHER Attune Solo Pinning 6 2 $959.45 $863.50 $274.81 $2,134.33 $971.67 2026-07-30
72132 HCPCS CT Scan Of Lower Spine With Contrast 11 11 $2,617.81 $2,356.03 $942.41 $2,539.28 $970.68 2026-01-03
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 11 11 $2,611.00 $2,349.90 $939.96 $2,532.67 $968.16 2026-01-03
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 11 11 $2,611.00 $2,349.90 $939.96 $2,532.67 $968.16 2026-01-03
4050671 CDM Mesh 6" Circle 11 11 $2,599.20 $2,339.28 $935.71 $2,521.22 $963.78 2026-01-03
24071 HCPCS Removal Of Growth Under Skin Of Upper Arm Or Elbow, 3.0 Cm Or More 11 8 $1,374.35 $1,236.92 $233.43 $1,762.30 $962.05 2026-01-03
4050859 CDM Plue Navigation Unit 11 11 $2,584.85 $2,326.37 $930.55 $2,507.30 $958.46 2026-01-03
71260 HCPCS CT Scan Of Chest With Contrast 11 11 $2,560.60 $2,304.54 $921.82 $2,483.78 $949.47 2026-01-03
73202 HCPCS CT Scan Of Arm Before And After Contrast 11 11 $2,538.90 $2,285.01 $914.00 $2,462.73 $941.42 2026-01-03
73702 HCPCS CT Scan Of Leg Before And After Contrast 11 11 $2,529.35 $2,276.42 $910.57 $2,453.47 $937.88 2026-01-03
72129 HCPCS CT Scan Of Middle Spine With Contrast 11 11 $2,529.35 $2,276.42 $910.57 $2,453.47 $937.88 2026-01-03
93303 HCPCS Ultrasound Of Heart For Congenital Defect 11 11 $2,514.30 $2,262.87 $905.15 $2,438.87 $932.30 2026-01-03
C8928 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 11 11 $2,493.25 $2,243.93 $897.57 $2,418.45 $924.50 2026-01-03
78707 HCPCS Nuclear Medicine Study Of Kidney, Blood Flow, And Function 11 11 $2,490.35 $2,241.32 $896.53 $2,415.64 $923.42 2026-01-03
27093 HCPCS Injection Of Contrast For Imaging Of Hip Joint 11 11 $2,481.40 $2,233.26 $893.30 $2,406.96 $920.10 2026-01-03
36430 HCPCS Transfusion Of Blood Or Blood Products 33 11 $1,875.30 $1,687.77 $555.26 $2,468.89 $916.29 2026-01-03
74150 HCPCS CT Scan Of Abdomen Without Contrast 11 11 $2,469.65 $2,222.69 $889.07 $2,395.56 $915.75 2026-01-03
78700 HCPCS Nuclear Medicine Study Of Kidney 11 11 $2,464.65 $2,218.19 $887.27 $2,390.71 $913.89 2026-01-03
72193 HCPCS CT Scan Of Pelvis With Contrast 11 11 $2,443.70 $2,199.33 $879.73 $2,370.39 $906.12 2026-01-03
78266 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying And Small And Large Bowel M… 11 11 $2,440.45 $2,196.41 $878.56 $2,367.24 $904.92 2026-01-03
4050344 CDM Reach Tissue Device 11 11 $2,436.60 $2,192.94 $877.18 $2,363.50 $903.49 2026-01-03
27825 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint With Manipula… 11 11 $2,423.35 $2,181.02 $872.41 $2,350.65 $898.58 2026-01-03
72128 HCPCS CT Scan Of Middle Spine Without Contrast 11 11 $2,408.65 $2,167.79 $867.11 $2,336.39 $893.13 2026-01-03
73201 HCPCS CT Scan Of Arm With Contrast 11 11 $2,408.65 $2,167.79 $867.11 $2,336.39 $893.13 2026-01-03
72131 HCPCS CT Scan Of Lower Spine Without Contrast 11 11 $2,408.65 $2,167.79 $867.11 $2,336.39 $893.13 2026-01-03
71250 HCPCS CT Scan Of Chest Without Contrast 11 11 $2,408.65 $2,167.79 $867.11 $2,336.39 $893.13 2026-01-03
72125 HCPCS CT Scan Of Upper Spine Without Contrast 11 11 $2,408.65 $2,167.79 $867.11 $2,336.39 $893.13 2026-01-03
73701 HCPCS CT Scan Of Leg With Contrast Material 22 11 $2,356.78 $2,121.10 $829.76 $2,336.39 $884.46 2026-01-03
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 19 11 $2,419.95 $2,177.96 $233.43 $2,347.35 $879.89 2026-01-03
70486 HCPCS CT Scan Of Face Without Contrast 11 11 $2,363.55 $2,127.20 $850.88 $2,292.64 $876.40 2026-01-03
27530 HCPCS Closed Treatment Of Broken Shin Bone 11 8 $1,229.40 $1,106.46 $233.43 $1,679.70 $860.58 2026-01-03
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 11 11 $2,317.70 $2,085.93 $834.37 $2,248.17 $859.40 2026-01-03
3010027 CDM Room & Board - Other - Sterile Environment 4 4 $946.75 $852.08 $662.73 $918.35 $857.75 2026-01-03
78802 HCPCS Nuclear Medicine Study, Whole Body 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78070 HCPCS Nuclear Medicine Study Of Parathyroid 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78830 HCPCS Nuclear Medicine Study, Spect Imaging With Concurrent CT Scan, 1 Area Or Single … 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78832 HCPCS Nuclear Medicine Study, Spect Imaging With Concurrent CT Scan, At Least 2 Areas … 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78800 HCPCS Nuclear Medicine Study, 1 Area 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78801 HCPCS Nuclear Medicine Study, Multiple Areas 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78831 HCPCS Nuclear Medicine Study, Spect Imaging, At Least 2 Areas Or Separate Acquisitions… 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
4059690 CDM Patch, Mesh Hernia 8cm 11 11 $2,294.75 $2,065.28 $826.11 $2,225.91 $850.89 2026-01-03
66991 HCPCS Extracapsular Removal Of Cataract With Insertion Of Artificial Lens And Insertio… 22 11 $2,261.55 $2,035.40 $42.59 $4,272.66 $850.24 2026-01-03
66989 HCPCS Complex Extracapsular Removal Of Cataract With Insertion Of Artificial Lens And … 22 11 $2,261.55 $2,035.40 $42.59 $4,272.66 $850.24 2026-01-03
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 11 11 $2,289.70 $2,060.73 $824.29 $2,221.01 $849.02 2026-01-03
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 11 11 $2,276.85 $2,049.17 $819.67 $2,208.54 $844.26 2026-01-03
73700 HCPCS CT Scan Of Leg Without Contrast 11 11 $2,259.90 $2,033.91 $813.56 $2,192.10 $837.97 2026-01-03
73200 HCPCS CT Scan Of Arm Without Contrast 11 11 $2,259.90 $2,033.91 $813.56 $2,192.10 $837.97 2026-01-03
72192 HCPCS CT Scan Of Pelvis Without Contrast 11 11 $2,259.90 $2,033.91 $813.56 $2,192.10 $837.97 2026-01-03
4058029 CDM Bio Graft 6 X 49 11 11 $2,251.75 $2,026.58 $810.63 $2,184.20 $834.95 2026-01-03
23350 HCPCS Injection Of Contrast For Imaging Of Shoulder Joint 11 11 $2,202.00 $1,981.80 $792.72 $2,135.94 $816.50 2026-01-03
78305 HCPCS Nuclear Medicine Study Of Bone And/or Joint Multiple Areas 11 11 $2,186.75 $1,968.08 $787.23 $2,121.15 $810.85 2026-01-03
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 11 11 $2,151.15 $1,936.04 $774.41 $2,086.62 $797.65 2026-01-03
78230 HCPCS Nuclear Medicine Study Of Salivary Gland 11 11 $2,151.15 $1,936.04 $774.41 $2,086.62 $797.65 2026-01-03
78290 HCPCS Nuclear Medicine Study Of Intestine 11 11 $2,151.15 $1,936.04 $774.41 $2,086.62 $797.65 2026-01-03
78265 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying And Small Bowel Movement 11 11 $2,151.15 $1,936.04 $774.41 $2,086.62 $797.65 2026-01-03
78006 HCPCS Thyroid W Uptake Sgl 11 11 $2,136.60 $1,922.94 $769.18 $2,072.50 $792.25 2026-01-03
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 11 11 $2,108.00 $1,897.20 $758.88 $2,044.76 $781.65 2026-01-03
J7327 HCPCS Hyaluronan Or Derivative, Monovisc, For Intra-articular Injection, Per Dose 11 11 $2,103.90 $1,893.51 $757.40 $2,040.78 $780.13 2026-01-03
4057999 CDM Graft Gore-tex 6mm X 80cm 11 11 $2,102.25 $1,892.03 $756.81 $2,039.18 $779.51 2026-01-03
4057998 CDM Graft Gore-tex 8mm X 80cm 11 11 $2,102.25 $1,892.03 $756.81 $2,039.18 $779.51 2026-01-03
A0433 HCPCS Advanced Life Support, Level 2 (als 2) 11 11 $2,100.30 $1,890.27 $756.11 $2,037.29 $778.79 2026-01-03
70450 HCPCS CT Scan Head Or Brain Without Contrast 11 11 $2,099.75 $1,889.78 $755.91 $2,036.76 $778.59 2026-01-03
78494 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 11 11 $2,093.05 $1,883.75 $753.50 $2,030.26 $776.10 2026-01-03
4059303 CDM Mesh Patch Hernia 6cm 11 11 $2,062.05 $1,855.85 $742.34 $2,000.19 $764.61 2026-01-03
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 11 11 $2,027.95 $1,825.16 $730.06 $1,967.11 $751.96 2026-01-03
78597 HCPCS Nuclear Medicine Study Of Lung Ventilation And Blood Flow To Lung 11 11 $2,027.95 $1,825.16 $730.06 $1,967.11 $751.96 2026-01-03
78579 HCPCS Nuclear Medicine Study Of Lung Ventilation 11 11 $2,027.95 $1,825.16 $730.06 $1,967.11 $751.96 2026-01-03
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 19 11 $2,023.80 $1,821.42 $233.43 $1,963.09 $735.85 2026-01-03
78215 HCPCS Nuclear Medicine Study Of Liver And Spleen 11 11 $1,971.30 $1,774.17 $709.67 $1,912.16 $730.96 2026-01-03
28160 HCPCS Partial Removal Of Toe At Joint 22 11 $1,384.95 $1,246.46 $266.45 $1,968.86 $724.33 2026-01-03
L8699 HCPCS Prosthetic Implant, Not Otherwise Specified 66 11 $1,453.80 $1,308.42 $123.82 $3,209.34 $721.87 2026-01-03
58550 HCPCS Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less 11 11 $1,930.60 $1,737.54 $695.02 $1,872.68 $715.87 2026-01-03
52282 HCPCS Insertion Of A Permanent Urethra Stent Using An Endoscope 11 11 $1,930.60 $1,737.54 $695.02 $1,872.68 $715.87 2026-01-03
58551 HCPCS Operating Room Services - General Classification 11 11 $1,930.60 $1,737.54 $695.02 $1,872.68 $715.87 2026-01-03
4050332 CDM Ventralight Mesh 4"x6" 11 11 $1,919.15 $1,727.24 $690.89 $1,861.58 $711.62 2026-01-03
20924 HCPCS Tendon Graft 11 11 $1,916.30 $1,724.67 $689.87 $1,858.81 $710.56 2026-01-03
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 11 11 $1,916.30 $1,724.67 $689.87 $1,858.81 $710.56 2026-01-03
391 OTHER Blood Trans Service <1hr 1 1 $1,299.50 $1,169.55 $704.33 $704.33 $704.33 2026-07-30
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 11 11 $1,890.55 $1,701.50 $680.60 $1,833.83 $701.02 2026-01-03
4058013 CDM Protheses Vascular 14 X 7 11 11 $1,863.95 $1,677.56 $671.02 $1,808.03 $691.15 2026-01-03
4058014 CDM Protheses Vascular 16 X 8 11 11 $1,863.95 $1,677.56 $671.02 $1,808.03 $691.15 2026-01-03
A0427 HCPCS Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - … 11 11 $1,839.11 $1,655.20 $662.08 $1,783.94 $681.94 2026-01-03
64479 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo… 11 11 $1,834.35 $1,650.92 $660.37 $1,779.32 $680.18 2026-01-03
78445 HCPCS Nuclear Medicine Study Of Non-cardiac Blood Flow 11 11 $1,807.90 $1,627.11 $650.84 $1,753.66 $670.37 2026-01-03
78000 HCPCS Thyroid Ut Sgl 11 11 $1,807.90 $1,627.11 $650.84 $1,753.66 $670.37 2026-01-03
64492 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Third And… 22 11 $1,409.65 $1,268.69 $348.32 $1,796.20 $669.96 2026-01-03
49322 HCPCS Aspiration Of Abdominal Cavity Or Cyst Using An Endoscope 11 11 $1,802.30 $1,622.07 $648.83 $1,748.23 $668.29 2026-01-03
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 11 11 $1,787.65 $1,608.89 $643.55 $1,734.02 $662.86 2026-01-03
27691 HCPCS Transfer Of Deep Tendon Of Foot With Muscle Rerouting 19 11 $1,802.30 $1,622.07 $233.43 $2,412.78 $655.32 2026-01-03
27252 HCPCS Closed Treatment Of Dislocated Hip Under Anesthesia 33 11 $2,101.75 $1,891.58 $191.38 $2,038.70 $653.54 2026-01-03
4059302 CDM Mesh Patch Hernia 4cm 11 11 $1,723.95 $1,551.56 $620.62 $1,672.23 $639.24 2026-01-03
66982 HCPCS Complex Removal Of Cataract With Insertion Of Prosthetic Lens 22 11 $1,690.08 $1,521.08 $24.35 $3,213.13 $629.06 2026-01-03
66984 HCPCS Removal Of Cataract With Insertion Of Prosthetic Lens 22 11 $1,690.08 $1,521.08 $24.35 $3,213.13 $629.06 2026-01-03
4050319 CDM Gelport Lap System 11 11 $1,688.60 $1,519.74 $607.90 $1,637.94 $626.13 2026-01-03
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 11 11 $1,658.65 $1,492.79 $597.11 $1,608.89 $615.03 2026-01-03
24505 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation 22 11 $1,609.25 $1,448.33 $427.71 $1,642.55 $612.65 2026-01-03
3010000 CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $661.15 $595.04 $462.81 $641.32 $599.00 2026-01-03
3010026 CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $661.15 $595.04 $462.81 $641.32 $599.00 2026-01-03
78428 HCPCS Nuclear Medicine Study For Detecting Heart Shunt 11 11 $1,611.55 $1,450.40 $580.16 $1,563.20 $597.56 2026-01-03
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 11 11 $1,590.80 $1,431.72 $572.69 $1,543.08 $589.87 2026-01-03
19120 HCPCS Removal Of Growth And Tissue Of Breast, Duct, Or Nipple 11 11 $1,581.05 $1,422.95 $569.18 $1,533.62 $586.25 2026-01-03
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 33 11 $1,579.75 $1,421.78 $93.39 $3,064.57 $585.77 2026-01-03
4055054 CDM Ortho-femoral Head 11 11 $1,565.10 $1,408.59 $563.44 $1,518.15 $580.34 2026-01-03
62322 HCPCS Injection Of Substance Into Lower Spine Canal 11 11 $1,561.85 $1,405.67 $562.27 $1,514.99 $579.13 2026-01-03
4059605 CDM Mesh Dulex 15x19 11 11 $1,557.55 $1,401.80 $560.72 $1,510.82 $577.54 2026-01-03
4050409 CDM Stapler 31mm 11 11 $1,545.40 $1,390.86 $556.34 $1,499.04 $573.03 2026-01-03
4050355 CDM Ethicon Secure Strap 11 11 $1,539.15 $1,385.24 $554.09 $1,492.98 $570.72 2026-01-03
27760 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle 11 8 $1,092.80 $983.52 $233.43 $1,060.02 $567.95 2026-01-03
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 33 11 $1,513.65 $1,362.29 $88.27 $2,936.48 $561.26 2026-01-03
4050329 CDM Ligasure Retract L-hook 11 11 $1,503.55 $1,353.20 $541.28 $1,458.44 $557.52 2026-01-03
62320 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal 11 11 $1,492.65 $1,343.39 $537.35 $1,447.87 $553.47 2026-01-03
A0426 HCPCS Ambulance Service, Advanced Life Support, Non-emergency Transport, Level 1 (als … 11 11 $1,490.15 $1,341.14 $536.45 $1,445.45 $552.55 2026-01-03
4050327 CDM Ligasure Curved Lg Jaw 11 11 $1,459.05 $1,313.15 $525.26 $1,415.28 $541.02 2026-01-03
69436 HCPCS Incision Of Eardrum With Placement Of Eardrum Tube Under General Anesthesia 22 11 $1,118.55 $1,006.70 $268.47 $1,446.61 $536.89 2026-01-03
19285 HCPCS Placement Of Locating Device In Breast Using Ultrasound Guidance, First Growth 22 11 $1,185.08 $1,066.57 $331.90 $1,404.75 $523.96 2026-01-03
19281 HCPCS Placement Of Locating Device In Breast Using Imaging Guidance, First Growth 22 11 $1,185.08 $1,066.57 $331.90 $1,404.75 $523.96 2026-01-03
46260 HCPCS Removal Of Multiple Hemorrhoid Groups 22 11 $977.61 $879.85 $191.38 $1,380.90 $512.50 2026-01-03
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 11 11 $1,381.40 $1,243.26 $497.30 $1,339.96 $512.22 2026-01-03
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 11 11 $1,380.85 $1,242.77 $497.11 $1,339.42 $512.02 2026-01-03
27266 HCPCS Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia 30 11 $2,015.10 $1,813.59 $191.38 $4,307.04 $510.34 2026-01-03
46040 HCPCS Drainage Of Deep Abscess In Rectum 30 11 $1,805.40 $1,624.86 $191.38 $1,808.03 $510.34 2026-01-03
60100 HCPCS Needle Biopsy Of Thyroid Through Skin 11 11 $1,375.70 $1,238.13 $495.25 $1,334.43 $510.11 2026-01-03
60252 HCPCS Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal 11 11 $1,375.70 $1,238.13 $495.25 $1,334.43 $510.11 2026-01-03
45900 HCPCS Manual Replacement Of Prolapsed Rectum Under Anesthesia 11 11 $1,372.70 $1,235.43 $494.17 $1,331.52 $509.00 2026-01-03
4050407 CDM Mesh Ventralight 15x10cm 11 11 $1,339.00 $1,205.10 $482.04 $1,298.83 $496.50 2026-01-03
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 11 11 $1,319.25 $1,187.33 $474.93 $1,279.67 $489.18 2026-01-03
49082 HCPCS Drainage Of Fluid From Abdominal Cavity 41 11 $793.65 $714.29 $233.43 $1,315.08 $488.07 2026-01-03
J7336 HCPCS Capsaicin 8% Patch, Per Square Centimeter 11 11 $1,340.80 $1,206.72 $5.40 $1,300.58 $487.51 2026-01-03
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 11 11 $1,314.75 $1,183.28 $473.31 $1,275.31 $487.51 2026-01-03
58720 HCPCS Removal Of Uterine Tubes And Ovaries 11 11 $1,293.75 $1,164.38 $465.75 $1,254.94 $479.72 2026-01-03
90675 HCPCS Rabies Vaccine For Injection Into Muscle 21 11 $1,327.40 $1,194.66 $197.75 $1,287.58 $477.86 2026-01-03
90677 HCPCS Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use 11 11 $755.05 $679.55 $271.82 $755.05 $476.29 2026-01-03
90375 HCPCS Rabies Immune Globulin For Injection 21 11 $1,504.11 $1,353.70 $24.05 $1,458.99 $469.72 2026-01-03
64493 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 33 11 $1,263.70 $1,137.33 $76.35 $2,451.59 $468.58 2026-01-03
58262 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less 11 11 $1,254.95 $1,129.46 $451.78 $1,217.30 $465.34 2026-01-03
58260 HCPCS Removal Of Uterus Through Vagina, 250.0 G Or Less 11 11 $1,254.95 $1,129.46 $451.78 $1,217.30 $465.34 2026-01-03
57284 HCPCS Repair Of Vaginal Wall Defect Through Abdomen 11 11 $1,254.95 $1,129.46 $451.78 $1,217.30 $465.34 2026-01-03
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 11 11 $1,254.95 $1,129.46 $451.78 $1,217.30 $465.34 2026-01-03
47544 HCPCS Removal Of Biliary Duct Or Gallbladder Stone Using Imaging Guidance With Review … 11 11 $1,254.95 $1,129.46 $451.78 $1,217.30 $465.34 2026-01-03
57265 HCPCS Repair Of Bulging Of Rectum And Bladder Into Vaginal Wall 11 11 $1,254.95 $1,129.46 $451.78 $1,217.30 $465.34 2026-01-03
57260 HCPCS Plastic Repair Of Vagina And Tissue Separating Vagina, Rectum, And Bladder 11 11 $1,254.95 $1,129.46 $451.78 $1,217.30 $465.34 2026-01-03
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 33 11 $1,254.95 $1,129.46 $31.21 $3,011.80 $465.34 2026-01-03
57240 HCPCS Repair Of Bladder Hernia Into Vaginal Wall 11 11 $1,254.95 $1,129.46 $451.78 $1,217.30 $465.34 2026-01-03
57250 HCPCS Repair Of Herniated Rectum Into Vaginal Wall 11 11 $1,254.95 $1,129.46 $451.78 $1,217.30 $465.34 2026-01-03
4050576 CDM Trach Tray 11 11 $1,242.25 $1,118.03 $447.21 $1,204.98 $460.63 2026-01-03
27096 HCPCS Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U… 33 11 $1,230.80 $1,107.72 $69.21 $2,387.66 $456.38 2026-01-03
47562 HCPCS Removal Of Gallbladder Using An Endoscope 19 11 $1,254.95 $1,129.46 $233.43 $2,759.94 $456.30 2026-01-03
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 19 11 $1,254.95 $1,129.46 $233.43 $4,197.92 $456.30 2026-01-03
44238 HCPCS Other Procedure On Bowel Using An Endoscope 19 11 $1,254.95 $1,129.46 $233.43 $3,011.80 $456.30 2026-01-03
28470 HCPCS Closed Treatment Of Broken Bone In Forefoot Or Midfoot 11 8 $864.65 $778.19 $233.43 $838.71 $450.80 2026-01-03
65222 HCPCS Removal Of Foreign Body In Cornea Using Slit Lamp 11 8 $644.00 $579.60 $233.43 $908.94 $450.80 2026-01-03
4050709 CDM 4.75mm Bc Knotless Swivelock 11 11 $1,195.65 $1,076.09 $430.43 $1,159.78 $443.35 2026-01-03
88333 HCPCS Pathology Cytologic Examination Of Specimen During Surgery, Initial Site 11 11 $1,185.00 $1,066.50 $426.60 $1,149.45 $439.40 2026-01-03
64640 HCPCS Destruction Of Peripheral Nerve Or Branch 22 11 $1,137.10 $1,023.39 $103.75 $1,225.79 $434.06 2026-01-03
27265 HCPCS Closed Treatment Of Dislocated Hip Prosthesis 30 11 $940.65 $846.59 $162.29 $1,303.58 $432.77 2026-01-03
480 OTHER Echo 2d Ltd Or F/u 26 3 $894.50 $805.05 $39.11 $1,810.80 $428.68 2026-07-30
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 11 11 $1,155.85 $1,040.27 $416.11 $1,121.17 $428.59 2026-01-03
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 11 11 $1,155.85 $1,040.27 $416.11 $1,121.17 $428.59 2026-01-03
4059875 CDM Permafix 36cm Lap Tacker 11 11 $1,147.45 $1,032.71 $413.08 $1,113.03 $425.47 2026-01-03
4059809 CDM Mesh Curasoft Lg 11 11 $1,144.95 $1,030.46 $412.18 $1,110.60 $424.55 2026-01-03
78010 HCPCS Thyroid Scan Only 11 11 $1,139.80 $1,025.82 $410.33 $1,105.61 $422.64 2026-01-03
99291 HCPCS Critical Care, First 30-74 Minutes 30 11 $1,237.80 $1,114.02 $186.97 $1,214.29 $420.06 2026-01-03
64417 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Upper Arm And Shoulder Nerve (… 22 11 $1,826.55 $1,643.90 $57.62 $1,779.32 $417.86 2026-01-03
25608 HCPCS Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint… 22 11 $1,101.63 $991.47 $18.34 $2,087.73 $412.13 2026-01-03
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 11 11 $1,106.75 $996.08 $398.43 $1,073.55 $410.38 2026-01-03
93978 HCPCS Complete Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 11 11 $1,106.30 $995.67 $398.27 $1,073.11 $410.22 2026-01-03
A0429 HCPCS Ambulance Service, Basic Life Support, Emergency Transport (bls-emergency) 11 11 $1,101.05 $990.95 $396.38 $1,068.02 $408.27 2026-01-03
4059811 CDM Paddle Retractor 12mm 11 11 $1,099.40 $989.46 $395.78 $1,066.42 $407.66 2026-01-03
64634 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 11 11 $1,099.25 $989.33 $395.73 $1,066.27 $407.60 2026-01-03
76642 HCPCS Limited Ultrasound Scan Of 1 Breast 22 11 $893.88 $804.49 $241.47 $1,083.49 $404.13 2026-01-03
62321 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 22 11 $1,210.25 $1,089.23 $89.69 $1,447.87 $401.38 2026-01-03
4050464 CDM Blunt Tip Lap Sealer Divider 11 11 $1,078.85 $970.97 $388.39 $1,046.48 $400.04 2026-01-03
51715 HCPCS Injection Of Implant Material Beneath Lining Of Bladder And/or Urethra Using An … 22 11 $1,018.75 $916.88 $38.48 $1,872.68 $399.35 2026-01-03
58660 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes Using An Endoscope 22 11 $1,018.75 $916.88 $38.48 $1,872.68 $399.35 2026-01-03
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 22 11 $1,018.75 $916.88 $38.48 $1,872.68 $399.35 2026-01-03
J3590 HCPCS Unclassified Biologics 11 11 $1,070.55 $963.50 $385.40 $1,038.43 $396.96 2026-01-03
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