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

HUMBOLDT COUNTY MEMORIAL HOSPITAL

Humboldt, IA · CCN 161334 · Rates published

Your selected procedure

You selected 27447 (CPT)

PR TOTAL KNEE ARTHORPLASTY

This hospital’s price: $3,065 across 14 payers · range $2,235-$3,193

Source: https://www.humboldthospital.org/filesimages/Price%20Transparency/420933292_Humboldt_County_Memorial_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.

1,035 distinct procedures filed
14 distinct payers
51,807 rate rows
2026-07-15 last MRF observed
Data quality

49,240 of 51,807 rate rows are consumer-grade (95.0%)

2,567 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 2,409
percent-of-charges filed in the dollar field — excluded from medians 105
placeholder amount (≤ $0.02) — excluded from medians 53
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.humboldthospital.org/filesimages/Price%20Transparency/420933292_Humboldt_County_Memorial_Hospital_StandardCharges.csv
Found on page https://www.humboldthospital.org
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-02
Content fingerprint 2a47813abb931d13… · 20,065,433 bytes · first seen 2026-06-16

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
63688
CPT 		Pr Rev Or Rem Impl Spinal Ns Pg Or Receiver 14 $3,662.96 $5,232.80 $5,023.49 nat. median
$3,665
1.4× median
70471
CPT 		Hc CTA Head & Neck W Contrast & Noncontrast Img 14 $731.51 $6,396.00 $4,978.65 nat. median
$715
outlier · 7.0×
62287
CPT 		Pr Percutaneous Diskectomy 14 $3,415.32 $4,879.03 $4,683.87 nat. median
$3,084
1.5× median
27134
CPT 		Pr Revise Total Hip Arthroplasty Both Comp 14 $3,162.60 $4,518.00 $4,337.28 nat. median
$9,285
outlier · 0.5×
27487
CPT 		Pr Rev Total Knee Arthropl Fem & Tib 14 $2,900.80 $4,144.00 $3,978.24 nat. median
$11,815
outlier · 0.3×
70473
CPT 		Hc CT Cerebral Perf Alys W Contrast W/out Ct/cta 14 $3,348.10 $4,783.00 $3,723.09 nat. median
$247
outlier · 15.0×
27091
CPT 		Pr Rem Hip Prosth; Complicated 14 $2,632.00 $3,760.00 $3,609.60 nat. median
$4,443
0.8× median
27137
CPT 		Pr Revise Total Hip Arthropl; Acetabul 14 $2,429.00 $3,470.00 $3,331.20 nat. median
$7,922
outlier · 0.4×
23472
CPT 		Pr Arthropl Ghj Tot Shldr Repl 14 $2,401.70 $3,431.00 $3,293.76 nat. median
$16,588
outlier · 0.2×
78608
CPT 		Hc Nm PET Brain Metabolic Eval 14 $2,884.00 $4,120.00 $3,207.01 nat. median
$2,413
1.3× median
27486
CPT 		Pr Revise/replace Knee Joint 1 Comp 14 $2,319.80 $3,314.00 $3,181.44 nat. median
$8,769
outlier · 0.4×
27130
CPT 		Pr Total Hip Arthorplasty 14 $2,237.20 $3,196.00 $3,068.16 nat. median
$13,040
outlier · 0.2×
27447
CPT 		Pr Total Knee Arthorplasty 14 $2,235.10 $3,193.00 $3,065.28 nat. median
$12,699
outlier · 0.2×
78459
CPT 		Hc Nm PET Cardiac Metabol Eval Sgl 14 $2,739.80 $3,914.00 $3,046.66 nat. median
$1,847
1.6× median
J9217
HCPCS 		Bupivacaine Liposome 1.3 % Ij Susp 14 $641.58 $4,102.83 $3,000.34 nat. median
$1,518
2.0× median
27828
CPT 		Pr Open Tx Fracture Distal Tibia & Fibula 14 $2,160.20 $3,086.00 $2,962.56 nat. median
$10,547
outlier · 0.3×
70546
CPT 		Hc MRA Head W Wo Contrast 14 $2,450.70 $3,501.00 $2,725.18 nat. median
$1,051
outlier · 2.6×
74178
CPT 		Hc CT Abd & Pelvis W Wo Contr 1+ Reg/sec 14 $515.50 $3,500.00 $2,724.40 nat. median
$1,024
outlier · 2.7×
27488
CPT 		Pr Rem Tot Knee Prosth Methylmeth 14 $1,978.20 $2,826.00 $2,712.96 nat. median
$5,347
0.5× median
23470
CPT 		Pr Arthropl Ghj Hemiarthroplasty 14 $1,976.10 $2,823.00 $2,710.08 nat. median
$12,438
outlier · 0.2×
72197
CPT 		Hc MRI Pelvis W Wo Contrast 14 $1,116.05 $3,395.00 $2,642.67 nat. median
$1,074
outlier · 2.5×
73223
CPT 		Hc MRI Up Extr Any Joint W Wo Contr 14 $2,376.50 $3,395.00 $2,642.67 nat. median
$1,177
outlier · 2.2×
71552
CPT 		Hc MRI Chest W Wo Contrast 14 $2,376.50 $3,395.00 $2,642.67 nat. median
$1,103
outlier · 2.4×
70549
CPT 		Hc MRA Neck W Wo Contrast 14 $2,376.50 $3,395.00 $2,642.67 nat. median
$1,063
outlier · 2.5×
73220
CPT 		Hc MRI Up Extr Not Joint W Wo Contr 14 $2,376.50 $3,395.00 $2,642.67 nat. median
$1,147
outlier · 2.3×
73720
CPT 		Hc MRI Low Extr Not Joint W Wo Contr 14 $2,376.50 $3,395.00 $2,642.67 nat. median
$1,142
outlier · 2.3×
72157
CPT 		Hc MRI Spine Thoracic W Wo Contrast 14 $1,090.29 $3,395.00 $2,642.67 nat. median
$1,116
outlier · 2.4×
64633
CPT 		Hc Destroy Cerv/thor Facet Jnt Bilat 14 $873.60 $3,345.00 $2,640.00 nat. median
$2,326
1.1× median
64635
CPT 		Hc Destroy Lumb/sac Facet Jnt Bilat 14 $223.73 $3,627.84 $2,621.88 nat. median
$2,381
1.1× median
27446
CPT 		Pr Arthropl Knee C&p; Medial Lat 14 $1,911.00 $2,730.00 $2,620.80 nat. median
$12,452
outlier · 0.2×
70553
CPT 		Hc MRI Brain W Wo Contrast 14 $515.50 $3,341.50 $2,601.02 nat. median
$1,137
outlier · 2.3×
72158
CPT 		Hc MRI Spine Lumbar W Wo Contrast 14 $515.50 $3,289.00 $2,560.16 nat. median
$1,103
outlier · 2.3×
72156
CPT 		Hc MRI Spine Cervical W Wo Contrast 14 $506.58 $3,289.00 $2,560.16 nat. median
$1,111
outlier · 2.3×
28415
CPT 		Pr Treat Heel Fracture 14 $1,854.30 $2,649.00 $2,543.04 nat. median
$7,358
outlier · 0.3×
20692
CPT 		Pr Apply Bone Fixation Device >1 Plane 14 $1,848.70 $2,641.00 $2,535.36 nat. median
$8,448
outlier · 0.3×
27654
CPT 		Pr Secondry Repr Rupt Achilles Tendon 14 $1,843.80 $2,634.00 $2,528.64 nat. median
$6,820
outlier · 0.4×
74183
CPT 		Hc MRI Abdomen W Wo Contrast 14 $992.02 $3,245.50 $2,526.30 nat. median
$1,106
outlier · 2.3×
70543
CPT 		Hc MRI Orbit Face Neck W Wo Contrast 14 $1,090.29 $3,235.00 $2,518.12 nat. median
$1,083
outlier · 2.3×
63661
CPT 		Pr Remove Spine Eltrd Perq Aray 14 $1,821.39 $2,601.99 $2,497.91 nat. median
$2,399
1.0× median
27652
CPT 		Pr Primary Repr Rupt Achilles Tndn W Grft 14 $1,813.70 $2,591.00 $2,487.36 nat. median
$6,923
outlier · 0.4×
28725
CPT 		Pr Subtalar Arthrodesis 14 $1,760.50 $2,515.00 $2,414.40 nat. median
$10,559
outlier · 0.2×
29891
CPT 		Pr Arthrosc Ankle; Exc Oschon Defect 14 $1,754.20 $2,506.00 $2,405.76 nat. median
$3,840
0.6× median
29827
CPT 		Pr Rotator Cuff Rep Arthroscopy 14 $1,750.00 $2,500.00 $2,400.00 nat. median
$7,177
outlier · 0.3×
28445
CPT 		Pr Treat Ankle Fracture 14 $1,748.60 $2,498.00 $2,398.08 nat. median
$7,107
outlier · 0.3×
74174
CPT 		Hc CT Angio Abd And Pelv Wo W Contrast 14 $515.50 $3,042.00 $2,367.89 nat. median
$982
outlier · 2.4×
64640
CPT 		Hc Dstr W Neurolytic Other Periph Nrv Bilat 14 $139.46 $3,345.00 $2,341.50 nat. median
$1,195
2.0× median
29807
CPT 		Pr Rep Shldr Slap Les 14 $1,703.80 $2,434.00 $2,336.64 nat. median
$7,107
outlier · 0.3×
74177
CPT 		Hc CT Abdomen & Pelvis W Contrast 14 $515.50 $3,000.00 $2,335.20 nat. median
$968
outlier · 2.4×
70472
CPT 		Hc CT Cerebral Perf Alys W Contrast W Ct/cta 14 $2,080.40 $2,972.00 $2,313.40 nat. median
$725
outlier · 3.2×
62291
CPT 		Pr Inject For Spine Disk X-ray Cerv Or Thor 14 $1,671.33 $2,387.62 $2,292.12 nat. median
$882
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 1,035 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
             
63688 CPT Pr Rev Or Rem Impl Spinal Ns Pg Or Receiver 21 14 $5,232.80 $4,709.52 $3,662.96 $5,232.80 $5,023.49 2026-07-15
70471 CPT Hc CTA Head & Neck W Contrast & Noncontrast Img 23 14 $6,396.00 $5,756.40 $731.51 $6,396.00 $4,978.65 2026-07-15
62287 CPT Pr Percutaneous Diskectomy 21 14 $4,879.03 $4,391.12 $3,415.32 $4,879.03 $4,683.87 2026-07-15
27134 CPT Pr Revise Total Hip Arthroplasty Both Comp 21 14 $4,518.00 $4,066.20 $3,162.60 $4,518.00 $4,337.28 2026-07-15
27487 CPT Pr Rev Total Knee Arthropl Fem & Tib 21 14 $4,144.00 $3,729.60 $2,900.80 $4,144.00 $3,978.24 2026-07-15
70473 CPT Hc CT Cerebral Perf Alys W Contrast W/out Ct/cta 21 14 $4,783.00 $4,304.70 $3,348.10 $4,783.00 $3,723.09 2026-07-15
27091 CPT Pr Rem Hip Prosth; Complicated 21 14 $3,760.00 $3,384.00 $2,632.00 $3,760.00 $3,609.60 2026-07-15
27137 CPT Pr Revise Total Hip Arthropl; Acetabul 21 14 $3,470.00 $3,123.00 $2,429.00 $3,470.00 $3,331.20 2026-07-15
23472 CPT Pr Arthropl Ghj Tot Shldr Repl 21 14 $3,431.00 $3,087.90 $2,401.70 $3,431.00 $3,293.76 2026-07-15
78608 CPT Hc Nm PET Brain Metabolic Eval 21 14 $4,120.00 $3,708.00 $2,884.00 $4,120.00 $3,207.01 2026-07-15
27486 CPT Pr Revise/replace Knee Joint 1 Comp 21 14 $3,314.00 $2,982.60 $2,319.80 $3,314.00 $3,181.44 2026-07-15
27130 CPT Pr Total Hip Arthorplasty 21 14 $3,196.00 $2,876.40 $2,237.20 $3,196.00 $3,068.16 2026-07-15
27447 CPT Pr Total Knee Arthorplasty 21 14 $3,193.00 $2,873.70 $2,235.10 $3,193.00 $3,065.28 2026-07-15
78459 CPT Hc Nm PET Cardiac Metabol Eval Sgl 21 14 $3,914.00 $3,522.60 $2,739.80 $3,914.00 $3,046.66 2026-07-15
J9217 HCPCS Bupivacaine Liposome 1.3 % Ij Susp 63 14 $4,000.45 $4,000.45 $641.58 $4,102.83 $3,000.34 2026-07-15
27828 CPT Pr Open Tx Fracture Distal Tibia & Fibula 21 14 $3,086.00 $2,777.40 $2,160.20 $3,086.00 $2,962.56 2026-07-15
70546 CPT Hc MRA Head W Wo Contrast 21 14 $3,501.00 $3,150.90 $2,450.70 $3,501.00 $2,725.18 2026-07-15
74178 CPT Hc CT Abd & Pelvis W Wo Contr 1+ Reg/sec 27 14 $3,500.00 $3,150.00 $515.50 $3,500.00 $2,724.40 2026-07-15
27488 CPT Pr Rem Tot Knee Prosth Methylmeth 21 14 $2,826.00 $2,543.40 $1,978.20 $2,826.00 $2,712.96 2026-07-15
23470 CPT Pr Arthropl Ghj Hemiarthroplasty 21 14 $2,823.00 $2,540.70 $1,976.10 $2,823.00 $2,710.08 2026-07-15
73720 CPT Hc MRI Low Extr Not Joint W Wo Contr 21 14 $3,395.00 $3,055.50 $2,376.50 $3,395.00 $2,642.67 2026-07-15
73223 CPT Hc MRI Up Extr Any Joint W Wo Contr 21 14 $3,395.00 $3,055.50 $2,376.50 $3,395.00 $2,642.67 2026-07-15
70549 CPT Hc MRA Neck W Wo Contrast 21 14 $3,395.00 $3,055.50 $2,376.50 $3,395.00 $2,642.67 2026-07-15
73220 CPT Hc MRI Up Extr Not Joint W Wo Contr 21 14 $3,395.00 $3,055.50 $2,376.50 $3,395.00 $2,642.67 2026-07-15
72197 CPT Hc MRI Pelvis W Wo Contrast 22 14 $3,395.00 $3,055.50 $1,116.05 $3,395.00 $2,642.67 2026-07-15
72157 CPT Hc MRI Spine Thoracic W Wo Contrast 22 14 $3,395.00 $3,055.50 $1,090.29 $3,395.00 $2,642.67 2026-07-15
71552 CPT Hc MRI Chest W Wo Contrast 21 14 $3,395.00 $3,055.50 $2,376.50 $3,395.00 $2,642.67 2026-07-15
64633 CPT Hc Destroy Cerv/thor Facet Jnt Bilat 85 14 $3,345.00 $3,010.50 $873.60 $3,345.00 $2,640.00 2026-07-15
64635 CPT Hc Destroy Lumb/sac Facet Jnt Bilat 90 14 $3,345.00 $3,010.50 $223.73 $3,627.84 $2,621.88 2026-07-15
27446 CPT Pr Arthropl Knee C&p; Medial Lat 21 14 $2,730.00 $2,457.00 $1,911.00 $2,730.00 $2,620.80 2026-07-15
70553 CPT Hc MRI Brain W Wo Contrast 25 14 $3,341.50 $3,007.35 $515.50 $3,341.50 $2,601.02 2026-07-15
72156 CPT Hc MRI Spine Cervical W Wo Contrast 22 14 $3,289.00 $2,960.10 $506.58 $3,289.00 $2,560.16 2026-07-15
72158 CPT Hc MRI Spine Lumbar W Wo Contrast 24 14 $3,289.00 $2,960.10 $515.50 $3,289.00 $2,560.16 2026-07-15
28415 CPT Pr Treat Heel Fracture 21 14 $2,649.00 $2,384.10 $1,854.30 $2,649.00 $2,543.04 2026-07-15
20692 CPT Pr Apply Bone Fixation Device >1 Plane 21 14 $2,641.00 $2,376.90 $1,848.70 $2,641.00 $2,535.36 2026-07-15
27654 CPT Pr Secondry Repr Rupt Achilles Tendon 21 14 $2,634.00 $2,370.60 $1,843.80 $2,634.00 $2,528.64 2026-07-15
74183 CPT Hc MRI Abdomen W Wo Contrast 24 14 $3,245.50 $2,920.95 $992.02 $3,245.50 $2,526.30 2026-07-15
70543 CPT Hc MRI Orbit Face Neck W Wo Contrast 23 14 $3,235.00 $2,911.50 $1,090.29 $3,235.00 $2,518.12 2026-07-15
63661 CPT Pr Remove Spine Eltrd Perq Aray 21 14 $2,601.99 $2,341.79 $1,821.39 $2,601.99 $2,497.91 2026-07-15
27652 CPT Pr Primary Repr Rupt Achilles Tndn W Grft 21 14 $2,591.00 $2,331.90 $1,813.70 $2,591.00 $2,487.36 2026-07-15
28725 CPT Pr Subtalar Arthrodesis 21 14 $2,515.00 $2,263.50 $1,760.50 $2,515.00 $2,414.40 2026-07-15
29891 CPT Pr Arthrosc Ankle; Exc Oschon Defect 21 14 $2,506.00 $2,255.40 $1,754.20 $2,506.00 $2,405.76 2026-07-15
29827 CPT Pr Rotator Cuff Rep Arthroscopy 21 14 $2,500.00 $2,250.00 $1,750.00 $2,500.00 $2,400.00 2026-07-15
28445 CPT Pr Treat Ankle Fracture 21 14 $2,498.00 $2,248.20 $1,748.60 $2,498.00 $2,398.08 2026-07-15
74174 CPT Hc CT Angio Abd And Pelv Wo W Contrast 24 14 $3,042.00 $2,737.80 $515.50 $3,042.00 $2,367.89 2026-07-15
64640 CPT Hc Dstr W Neurolytic Other Periph Nrv Bilat 85 14 $3,345.00 $3,010.50 $139.46 $3,345.00 $2,341.50 2026-07-15
29807 CPT Pr Rep Shldr Slap Les 21 14 $2,434.00 $2,190.60 $1,703.80 $2,434.00 $2,336.64 2026-07-15
74177 CPT Hc CT Abdomen & Pelvis W Contrast 27 14 $3,000.00 $2,700.00 $515.50 $3,000.00 $2,335.20 2026-07-15
70472 CPT Hc CT Cerebral Perf Alys W Contrast W Ct/cta 21 14 $2,972.00 $2,674.80 $2,080.40 $2,972.00 $2,313.40 2026-07-15
62291 CPT Pr Inject For Spine Disk X-ray Cerv Or Thor 21 14 $2,387.62 $2,148.85 $1,671.33 $2,387.62 $2,292.12 2026-07-15
62290 CPT Pr Inject For Spine Disk X-ray Lumbar 21 14 $2,387.62 $2,148.85 $1,671.33 $2,387.62 $2,292.12 2026-07-15
27347 CPT Hc Exc Lesion Meniscus/capsule 42 14 $2,810.00 $2,529.00 $1,400.70 $3,619.00 $2,267.15 2026-07-15
28735 CPT Pr Arthrod Mt/tmt; W Osteot For Ff 21 14 $2,351.00 $2,115.90 $1,645.70 $2,351.00 $2,256.96 2026-07-15
28740 CPT Pr Arthrodesis Mt Or Tme; Sgl Joint 21 14 $2,329.00 $2,096.10 $1,630.30 $2,329.00 $2,235.84 2026-07-15
29888 CPT Pr Arthroscopic Ant Cruciate Lig Rep/augm 21 14 $2,317.00 $2,085.30 $1,621.90 $2,317.00 $2,224.32 2026-07-15
72159 CPT Hc MRA With Contrast Spinal Canal 42 14 $2,644.25 $2,379.82 $1,559.60 $3,060.50 $2,188.26 2026-07-15
27846 CPT Pr Op Tx Ankle Dislocation; Wo Repair 21 14 $2,247.00 $2,022.30 $1,572.90 $2,247.00 $2,157.12 2026-07-15
29892 CPT Pr Arthrosc Repair O.d. Lesion Or Fx 21 14 $2,234.00 $2,010.60 $1,563.80 $2,234.00 $2,144.64 2026-07-15
73725 CPT Hc MRA Low Extr W Wo Contrast 42 14 $2,633.75 $2,370.38 $1,708.00 $2,827.50 $2,121.72 2026-07-15
28615 CPT Pr Repair Tarsometatarsal Joint Dislocation 21 14 $2,205.00 $1,984.50 $1,543.50 $2,205.00 $2,116.80 2026-07-15
45382 CPT Hc Colonoscopy W/control Bleed 43 14 $3,007.00 $2,706.30 $207.70 $3,007.00 $2,104.90 2026-07-15
74176 CPT Hc CT Abd & Pelvis Wo Contrast 29 14 $2,700.00 $2,430.00 $314.60 $2,700.00 $2,101.68 2026-07-15
73225 CPT Hc MRA With Contrast Upper Extremity 42 14 $2,530.30 $2,277.27 $1,596.35 $2,780.10 $2,085.08 2026-07-15
29897 CPT Pr Arthroscopy Ankle; Smpl Debrid 21 14 $2,088.00 $1,879.20 $1,461.60 $2,088.00 $2,004.48 2026-07-15
27696 CPT Pr 1' Sutr Both Ruptr Ankle Collatrl Ligam 21 14 $2,064.00 $1,857.60 $1,444.80 $2,064.00 $1,981.44 2026-07-15
64774 CPT Hc Exc Neuroma; Cutaneous Nrv Surgically 42 14 $2,591.50 $2,332.35 $716.10 $4,160.00 $1,967.50 2026-07-15
27686 CPT Pr Lngthn.shortn Multi Leg/ankle Tendons Ea 21 14 $2,034.00 $1,830.60 $1,423.80 $2,034.00 $1,952.64 2026-07-15
28116 CPT Pr Exc Of Tarsal Coalition 21 14 $2,025.00 $1,822.50 $1,417.50 $2,025.00 $1,944.00 2026-07-15
71551 CPT Hc MRI Chest W Contrast 21 14 $2,492.50 $2,243.25 $1,744.75 $2,492.50 $1,940.16 2026-07-15
74182 CPT Hc MRI Abdomen W Contrast 21 14 $2,492.50 $2,243.25 $1,744.75 $2,492.50 $1,940.16 2026-07-15
27822 CPT Pr Open Tx Trimalleolar Ankle Fx Wo Fix Post Lip 21 14 $2,017.00 $1,815.30 $1,411.90 $2,017.00 $1,936.32 2026-07-15
23412 CPT Pr Repair Rotator Cuff; Chronic 21 14 $2,002.00 $1,801.80 $1,401.40 $2,002.00 $1,921.92 2026-07-15
25447 CPT Pr Arthroplasty Interposition/carpal Joints 21 14 $1,951.00 $1,755.90 $1,365.70 $1,951.00 $1,872.96 2026-07-15
62264 CPT Pr Lysis Of Adh Multi 1 Day 21 14 $1,937.84 $1,744.05 $1,356.49 $1,937.84 $1,860.33 2026-07-15
23410 CPT Pr Open Repair Rotator Cuff 21 14 $1,928.00 $1,735.20 $1,349.60 $1,928.00 $1,850.88 2026-07-15
27848 CPT Pr Op Tx Ankle Disloc W Repr/ext Fix 21 14 $1,887.00 $1,698.30 $1,320.90 $1,887.00 $1,811.52 2026-07-15
13160 CPT Pr Lcl Surg Wnd/deh Extensive 21 14 $1,884.00 $1,695.60 $1,318.80 $1,884.00 $1,808.64 2026-07-15
64625 CPT Hc Rf Abltj Si Joint Nrv Nrvtg 42 14 $2,289.50 $2,060.55 $842.80 $3,375.00 $1,783.25 2026-07-15
70552 CPT Hc MRI Brain W Contrast 21 14 $2,280.50 $2,052.45 $1,596.35 $2,280.50 $1,775.14 2026-07-15
72196 CPT Hc MRI Pelvis W Contrast 21 14 $2,280.50 $2,052.45 $1,596.35 $2,280.50 $1,775.14 2026-07-15
71550 CPT Hc MRI Chest Wo Contrast 21 14 $2,280.50 $2,052.45 $1,596.35 $2,280.50 $1,775.14 2026-07-15
0750 RC — 126 14 $2,150.00 $1,935.00 $1,330.00 $3,250.00 $1,772.50 2026-07-15
64490 CPT Hc Inj Paravert F Jnt C/t 1 Lev Bilat 86 14 $2,270.00 $2,043.00 $122.33 $2,270.00 $1,750.00 2026-07-15
95811 CPT Hc Pss W 4/> Param W Cpap/bipap 6+ Yrs 27 14 $2,244.00 $2,019.60 $1,570.80 $2,633.23 $1,746.73 2026-07-15
27814 CPT Pr Open Tx Bimalleolar Ankle Fracture 21 14 $1,811.00 $1,629.90 $1,267.70 $1,811.00 $1,738.56 2026-07-15
28322 CPT Pr Rep Nu/mu; Metatarsal 21 14 $1,810.00 $1,629.00 $1,267.00 $1,810.00 $1,737.60 2026-07-15
70545 CPT Hc MRA Head W Contrast 21 14 $2,228.00 $2,005.20 $1,559.60 $2,228.00 $1,734.28 2026-07-15
72142 CPT Hc MRI Spine Cervical W Contrast 21 14 $2,228.00 $2,005.20 $1,559.60 $2,228.00 $1,734.28 2026-07-15
70542 CPT Hc MRI Orbit Face Neck W Contrast 21 14 $2,228.00 $2,005.20 $1,559.60 $2,228.00 $1,734.28 2026-07-15
70544 CPT Hc MRA Head Wo Contrast 22 14 $2,228.00 $2,005.20 $1,559.60 $2,228.00 $1,734.28 2026-07-15
73222 CPT Hc MRI Up Extr Any Joint W Contrast 21 14 $2,228.00 $2,005.20 $1,559.60 $2,228.00 $1,734.28 2026-07-15
72149 CPT Hc MRI Spine Lumbar W Contrast 21 14 $2,228.00 $2,005.20 $1,559.60 $2,228.00 $1,734.28 2026-07-15
28800 CPT Pr Amputate Foot Midtarsal 21 14 $1,782.00 $1,603.80 $1,247.40 $1,782.00 $1,710.72 2026-07-15
43244 CPT Hc Egd Varices Ligation 43 14 $2,438.00 $2,194.20 $196.54 $2,438.00 $1,706.60 2026-07-15
27690 CPT Pr Superf Tranf/traspl Sgl Tendon 21 14 $1,774.00 $1,596.60 $1,241.80 $1,774.00 $1,703.04 2026-07-15
27691 CPT Pr Deep Transf/transpl Sgl Lleg Tendon 21 14 $1,765.00 $1,588.50 $1,235.50 $1,765.00 $1,694.40 2026-07-15
28730 CPT Pr Arthrod Mt Or Tmt Multi/transv 21 14 $1,749.00 $1,574.10 $1,224.30 $1,749.00 $1,679.04 2026-07-15
23430 CPT Pr Tenodesis Lg Tendon Of Biceps 21 14 $1,748.00 $1,573.20 $1,223.60 $1,748.00 $1,678.08 2026-07-15
28805 CPT Pr Amputate Foot; Transmetatarsal 21 14 $1,745.00 $1,570.50 $1,221.50 $1,745.00 $1,675.20 2026-07-15
72147 CPT Hc MRI Spine Thoracic W Contrast 21 14 $2,122.00 $1,909.80 $1,485.40 $2,122.00 $1,651.76 2026-07-15
74185 CPT Hc MRA Abdomen W Contrast 21 14 $2,122.00 $1,909.80 $1,485.40 $2,122.00 $1,651.76 2026-07-15
71555 CPT Hc MRA Chest W Wo Contrast 21 14 $2,122.00 $1,909.80 $1,485.40 $2,122.00 $1,651.76 2026-07-15
72195 CPT Hc MRI Pelvis Wo Contrast 22 14 $2,122.00 $1,909.80 $1,485.40 $2,122.00 $1,651.76 2026-07-15
45398 CPT Hc Colonoscopy W/band Ligation 45 14 $1,957.00 $1,761.30 $524.00 $2,844.40 $1,626.05 2026-07-15
73721 CPT Hc MRI Low Extr Any Joint Wo Contrast 21 14 $2,068.00 $1,861.20 $1,447.60 $2,068.00 $1,609.73 2026-07-15
73718 CPT Hc MRI Low Extr Not Joint Wo Contrast 21 14 $2,068.00 $1,861.20 $1,447.60 $2,068.00 $1,609.73 2026-07-15
74181 CPT Hc MRI Abdomen Wo Contrast 22 14 $2,068.00 $1,861.20 $724.60 $2,068.00 $1,609.73 2026-07-15
70551 CPT Hc MRI Brain Wo Contrast 25 14 $2,068.00 $1,861.20 $314.60 $2,068.00 $1,609.73 2026-07-15
64493 CPT Hc Inj Paravert F Jnt L/s 1 Lev Bilat 90 14 $2,270.00 $2,043.00 $105.24 $2,666.04 $1,600.35 2026-07-15
29895 CPT Hc Arthroscopy Ankle; P Synovectomy 21 14 $2,045.00 $1,840.50 $1,431.50 $2,045.00 $1,591.83 2026-07-15
73723 CPT Hc MRI Low Extr Any Joint W Wo Contr 21 14 $2,043.00 $1,838.70 $1,430.10 $2,043.00 $1,590.27 2026-07-15
27829 CPT Pr Treat Lower Leg Joint 21 14 $1,635.00 $1,471.50 $1,144.50 $1,635.00 $1,569.60 2026-07-15
70540 CPT Hc MRI Orbit Face Neck Wo Contrast 21 14 $2,015.50 $1,813.95 $1,410.85 $2,015.50 $1,568.87 2026-07-15
72146 CPT Hc MRI Spine Thoracic Wo Contrast 23 14 $2,015.50 $1,813.95 $314.60 $2,015.50 $1,568.87 2026-07-15
73221 CPT Hc MRI Up Extr Any Joint Wo Contrast 21 14 $2,015.50 $1,813.95 $1,410.85 $2,015.50 $1,568.87 2026-07-15
43255 CPT Hc Egd Control Bleeding Any 43 14 $2,195.00 $1,975.50 $165.06 $2,372.50 $1,536.50 2026-07-15
64479 CPT Pr Inj Foramen Epidural C/t 42 14 $1,894.32 $1,704.89 $965.28 $2,409.68 $1,532.88 2026-07-15
95810 CPT Hc Pss W 4/> Param W Tech 6+ Yrs 26 14 $1,938.00 $1,744.20 $1,356.60 $1,938.00 $1,508.54 2026-07-15
27650 CPT Pr Primary Repair Rupt Achilles Tendon 21 14 $1,561.00 $1,404.90 $1,092.70 $1,561.00 $1,498.56 2026-07-15
72141 CPT Hc MRI Spine Cervical Wo Contrast 25 14 $1,909.50 $1,718.55 $314.60 $1,909.50 $1,486.35 2026-07-15
70336 CPT Hc MRI Of Tmj 21 14 $1,909.50 $1,718.55 $1,336.65 $1,909.50 $1,486.35 2026-07-15
72148 CPT Hc MRI Spine Lumbar Wo Contrast 27 14 $1,909.50 $1,718.55 $314.60 $1,909.50 $1,486.35 2026-07-15
28300 CPT Pr Osteotomy Calcaneu 21 14 $1,546.00 $1,391.40 $1,082.20 $1,546.00 $1,484.16 2026-07-15
45390 CPT Hc Colonoscopy W/resection 42 14 $1,776.50 $1,598.85 $1,196.30 $1,844.00 $1,481.01 2026-07-15
45385 CPT Hc Colonoscopy W/lesion Removal By Snare 47 14 $2,081.00 $1,872.90 $203.75 $2,671.10 $1,477.51 2026-07-15
73722 CPT Hc MRI Low Extr Any Joint W Contrast 21 14 $1,895.00 $1,705.50 $1,326.50 $1,895.00 $1,475.07 2026-07-15
27792 CPT Pr Open Tx Distal Fibular Fx Lat Malleolus 21 14 $1,528.00 $1,375.20 $1,069.60 $1,528.00 $1,466.88 2026-07-15
27698 CPT Pr 2' Repr Torn Collat Ankle Ligam 21 14 $1,523.00 $1,370.70 $1,066.10 $1,523.00 $1,462.08 2026-07-15
43239 CPT Hc Ugi W Bx Sgl/multiple 47 14 $2,115.00 $1,903.50 $111.18 $2,115.00 $1,460.00 2026-07-15
78708 CPT Hc Nm Kidney Flow Funct W Drug 21 14 $1,842.00 $1,657.80 $1,289.40 $1,842.00 $1,433.81 2026-07-15
45378 CPT Hc Diagnostic Colonoscopy 46 14 $2,015.00 $1,813.50 $148.20 $2,582.18 $1,420.58 2026-07-15
78018 CPT Hc Nm Thyroid Metastases Whole Body 21 14 $1,813.00 $1,631.70 $1,269.10 $1,813.00 $1,411.24 2026-07-15
28122 CPT Pr Partl Exc Trsl/mtarsl Bone 21 14 $1,469.00 $1,322.10 $1,028.30 $1,469.00 $1,410.24 2026-07-15
28210 CPT Pr 2' Repr Foot Extnsr Tendon W Free Grft Ea 21 14 $1,463.00 $1,316.70 $1,024.10 $1,463.00 $1,404.48 2026-07-15
29877 CPT Pr Arthroscopy Knee; Debrid/shave Ac 21 14 $1,461.00 $1,314.90 $1,022.70 $1,461.00 $1,402.56 2026-07-15
G0390 HCPCS Hc Full Trauma Respons W Cc Fac Lev 4 21 14 $1,800.00 $1,620.00 $1,260.00 $1,800.00 $1,401.12 2026-07-15
23405 CPT Pr Tenomyotomy Shoulder; Single 21 14 $1,456.00 $1,310.40 $1,019.20 $1,456.00 $1,397.76 2026-07-15
0360 RC — 294 14 $1,732.50 $1,559.25 $129.50 $7,956.88 $1,392.00 2026-07-15
28035 CPT Pr Tarsal Tunnel Release Tibial Nerve 21 14 $1,445.00 $1,300.50 $1,011.50 $1,445.00 $1,387.20 2026-07-15
28297 CPT Pr Correction Hallux Valgus 21 14 $1,444.00 $1,299.60 $1,010.80 $1,444.00 $1,386.24 2026-07-15
23130 CPT Pr Acromiopl/acromionect Partial 21 14 $1,428.00 $1,285.20 $999.60 $1,428.00 $1,370.88 2026-07-15
43235 CPT Hc Ugi Diagnostic 47 14 $2,083.00 $1,874.70 $98.72 $2,083.00 $1,349.00 2026-07-15
26121 CPT Pr Fasciectomy Palm Only 21 14 $1,405.00 $1,264.50 $983.50 $1,405.00 $1,348.80 2026-07-15
28750 CPT Pr Arthrodesis Great Toe Mtp Joint 21 14 $1,402.00 $1,261.80 $981.40 $1,402.00 $1,345.92 2026-07-15
43249 CPT Hc Ugi Balloon Dil Esoph < 30 Mm Dia 46 14 $2,022.00 $1,819.80 $123.18 $2,112.00 $1,342.34 2026-07-15
11426 CPT Hc Exc Bles S/n/ex G; > 4.0cm 42 14 $1,712.00 $1,540.80 $653.10 $2,491.00 $1,338.35 2026-07-15
28005 CPT Pr Deep Inc Foot W Op Bone Cortex 21 14 $1,391.00 $1,251.90 $973.70 $1,391.00 $1,335.36 2026-07-15
64718 CPT Pr Neuroplasty Ulnar Nerve At Elbow 21 14 $1,389.00 $1,250.10 $972.30 $1,389.00 $1,333.44 2026-07-15
64530 CPT Pr Inj Anesth; Celiac Plexus 21 14 $1,384.46 $1,246.01 $969.12 $1,384.46 $1,329.08 2026-07-15
78707 CPT Hc Nm Kidney Flow Funct Wo Drug 21 14 $1,699.50 $1,529.55 $1,189.65 $1,699.50 $1,322.89 2026-07-15
64510 CPT Pr Inj Anesth; Stellate Ganglion 21 14 $1,370.70 $1,233.63 $959.49 $1,370.70 $1,315.87 2026-07-15
23120 CPT Pr Claviculectomy; Partial 21 14 $1,370.00 $1,233.00 $959.00 $1,370.00 $1,315.20 2026-07-15
28118 CPT Pr Calcaneus Removal 21 14 $1,369.00 $1,232.10 $958.30 $1,369.00 $1,314.24 2026-07-15
62324 CPT Pr Inj Interlam C/t W Cath Plc Wo Img 21 14 $1,354.83 $1,219.34 $948.38 $1,354.83 $1,300.64 2026-07-15
62326 CPT Pr Inj Interlam L/s W Cath Plc Wo Img 21 14 $1,354.83 $1,219.34 $948.38 $1,354.83 $1,300.64 2026-07-15
28003 CPT Pr Deep Dissect Foot Inf; Multi Areas 21 14 $1,350.00 $1,215.00 $945.00 $1,350.00 $1,296.00 2026-07-15
29822 CPT Pr Arthroscopy Shldr; Debrid Limited 21 14 $1,342.00 $1,207.80 $939.40 $1,342.00 $1,288.32 2026-07-15
29898 CPT Pr Arthroscopy Ankle; Ext Debridem 21 14 $1,341.00 $1,206.90 $938.70 $1,341.00 $1,287.36 2026-07-15
78264 CPT Hc Nm Gastric Emptying Study 21 14 $1,648.00 $1,483.20 $1,153.60 $1,648.00 $1,282.80 2026-07-15
43251 CPT Hc Egd Remove Lesion Snare 42 14 $1,636.50 $1,472.85 $637.00 $2,363.00 $1,282.05 2026-07-15
45380 CPT Hc Colonoscopy And Biopsy 46 14 $2,015.00 $1,813.50 $382.50 $2,662.31 $1,279.75 2026-07-15
70496 CPT Hc CT Angiography Head W Wo Contrast 24 14 $1,644.00 $1,479.60 $684.19 $1,644.00 $1,279.69 2026-07-15
62322 CPT Pr Inj Interlam L/s Wo Img 21 14 $1,324.66 $1,192.19 $927.26 $1,324.66 $1,271.67 2026-07-15
29880 CPT Pr Arthroscopy/surgery Knee W Meniscectomy M/l 21 14 $1,322.00 $1,189.80 $925.40 $1,322.00 $1,269.12 2026-07-15
64620 CPT Pr Destr W Neurolytic; Intercostal Nrv 21 14 $1,313.43 $1,182.08 $919.40 $1,313.43 $1,260.89 2026-07-15
28485 CPT Pr Open Tx Metatarsal Fx Ea 21 14 $1,296.00 $1,166.40 $907.20 $1,296.00 $1,244.16 2026-07-15
29881 CPT Pr Knee Arthroscopy/surgery 21 14 $1,273.00 $1,145.70 $891.10 $1,273.00 $1,222.08 2026-07-15
28308 CPT Hc Mt Shorten Not 1st Mt 42 14 $1,405.00 $1,264.50 $851.90 $1,593.00 $1,217.00 2026-07-15
29874 CPT Pr Arthroscopy Knee Rem Fb 21 14 $1,261.00 $1,134.90 $882.70 $1,261.00 $1,210.56 2026-07-15
28119 CPT Pr Remove Heel Spur 21 14 $1,253.00 $1,127.70 $877.10 $1,253.00 $1,202.88 2026-07-15
28090 CPT Pr Exc Foot Cyst/ganglion 21 14 $1,253.00 $1,127.70 $877.10 $1,253.00 $1,202.88 2026-07-15
64483 CPT Hc Inj(s) Foramen Epidural L/s Sgl Lev 63 14 $1,250.00 $1,125.00 $604.80 $2,409.68 $1,200.00 2026-07-15
43250 CPT Hc Egd Cautery Tumor Polyp 42 14 $1,504.00 $1,353.60 $626.50 $2,113.00 $1,187.05 2026-07-15
47000 CPT Hc Bx Needle Liver Perc 21 14 $1,495.50 $1,345.95 $1,046.85 $1,495.50 $1,164.10 2026-07-15
28810 CPT Pr Amputate Metatarsal W Toe Sgl 21 14 $1,212.00 $1,090.80 $848.40 $1,212.00 $1,163.52 2026-07-15
59409 CPT Hc Vaginal Delivery Only 42 14 $1,492.50 $1,343.24 $522.38 $2,238.75 $1,156.69 2026-07-15
J1212 HCPCS Furosemide 10 Mg/ml Ij Soln 21 14 $1,477.50 $1,477.50 $1,034.25 $1,477.50 $1,150.09 2026-07-15
28298 CPT Pr Correction Hallux Valgus 21 14 $1,198.00 $1,078.20 $838.60 $1,198.00 $1,150.08 2026-07-15
43236 CPT Hc Uppr Gi Scope W/submuc Inj 42 14 $1,465.50 $1,318.95 $578.20 $2,105.00 $1,149.75 2026-07-15
28505 CPT Pr Treat Big Toe Fracture 21 14 $1,197.00 $1,077.30 $837.90 $1,197.00 $1,149.12 2026-07-15
25605 CPT Pr Cltx Dstl Rdl Fx/epiph Sep W Manip 21 14 $1,195.00 $1,075.50 $836.50 $1,195.00 $1,147.20 2026-07-15
70492 CPT Hc CT Soft Tissue Neck W Wo Contrast 21 14 $1,463.50 $1,317.15 $1,024.45 $1,463.50 $1,139.19 2026-07-15
70488 CPT Hc CT Maxillofacial W Wo Contrast 21 14 $1,463.50 $1,317.15 $1,024.45 $1,463.50 $1,139.19 2026-07-15
71270 CPT Hc CT Chest W Wo Contrast Diag 21 14 $1,463.50 $1,317.15 $1,024.45 $1,463.50 $1,139.19 2026-07-15
72133 CPT Hc CT Lumbar Spine W Wo Contrast 21 14 $1,463.50 $1,317.15 $1,024.45 $1,463.50 $1,139.19 2026-07-15
72194 CPT Hc CT Pelvis W Wo Contrast 21 14 $1,463.50 $1,317.15 $1,024.45 $1,463.50 $1,139.19 2026-07-15
73702 CPT Hc CT Lower Extr W Wo Contrast 21 14 $1,463.50 $1,317.15 $1,024.45 $1,463.50 $1,139.19 2026-07-15
95805 CPT Hc Mslt/mwt; Global 21 14 $1,458.50 $1,312.65 $1,020.95 $1,458.50 $1,135.30 2026-07-15
28292 CPT Pr Correct Hallux Valgus 21 14 $1,175.00 $1,057.50 $822.50 $1,175.00 $1,128.00 2026-07-15
28238 CPT Pr Adv Post Tibial Tendon W Exc Naviclr Bone 21 14 $1,175.00 $1,057.50 $822.50 $1,175.00 $1,128.00 2026-07-15
28291 CPT Pr Corrj Halux Rigdus W/implt 21 14 $1,171.00 $1,053.90 $819.70 $1,171.00 $1,124.16 2026-07-15
64581 CPT Pr Open Implant Neuroelectrodes Sacral Nerve 21 14 $1,170.00 $1,053.00 $532.74 $1,170.00 $1,123.20 2026-07-15
27675 CPT Pr Repair Dislocated Peroneal Tendons 21 14 $1,169.00 $1,052.10 $818.30 $1,169.00 $1,122.24 2026-07-15
64480 CPT Pr Inj Foramen Epidural Add-on 42 14 $1,380.96 $1,242.86 $710.16 $1,747.40 $1,118.85 2026-07-15
29875 CPT Pr Arthroscopy Knee; Lim Synovectomy 21 14 $1,164.00 $1,047.60 $814.80 $1,164.00 $1,117.44 2026-07-15
27825 CPT Pr Cl Tx Wb Dstl Tib Fx W Manip 21 14 $1,164.00 $1,047.60 $814.80 $1,164.00 $1,117.44 2026-07-15
70482 CPT Hc CT Orbit Sella Mid Inner Ear W Wo Contr 21 14 $1,431.50 $1,288.35 $1,002.05 $1,431.50 $1,114.28 2026-07-15
70481 CPT Hc CT Orbit Sella Mid Inner Ear W Contr 22 14 $1,426.50 $1,283.85 $246.00 $1,426.50 $1,110.39 2026-07-15
71275 CPT Hc CT Angiography Chest W Wo Contrast 27 14 $1,425.50 $1,282.95 $246.00 $1,425.50 $1,109.61 2026-07-15
78227 CPT Hc Nm Hepatobil Syst Image W/drug 21 14 $1,421.50 $1,279.35 $995.05 $1,421.50 $1,106.50 2026-07-15
45381 CPT Hc Colonoscopy Submucous Inj 44 14 $1,718.00 $1,546.20 $32.99 $2,844.40 $1,097.80 2026-07-15
28200 CPT Pr Repr Foot Flexor Tendon Ea 21 14 $1,143.00 $1,028.70 $800.10 $1,143.00 $1,097.28 2026-07-15
19083 CPT Hc Bx Breast 1st Lesion US Imag 21 14 $1,407.32 $1,266.58 $985.12 $1,407.32 $1,095.46 2026-07-15
70498 CPT Hc CT Angiography Neck W Wo Contrast 24 14 $1,403.00 $1,262.70 $342.09 $1,403.00 $1,092.10 2026-07-15
27659 CPT Pr 2' Repr/sutr Leg Flexor Tendon 21 14 $1,134.00 $1,020.60 $793.80 $1,134.00 $1,088.64 2026-07-15
27695 CPT Pr Suture Ligament Ankle; Collateral 21 14 $1,133.00 $1,019.70 $793.10 $1,133.00 $1,087.68 2026-07-15
73218 CPT Hc MRI Up Extr Not Joint Wo Contrast 21 14 $1,393.00 $1,253.70 $975.10 $1,393.00 $1,084.31 2026-07-15
64624 CPT Pr Dstrj Nulyt Agt Gnclr Nrv 21 14 $1,125.00 $1,012.50 $787.50 $1,125.00 $1,080.00 2026-07-15
A0434 HCPCS Hc Specialty Care Transport 21 14 $1,375.00 $1,237.50 $962.50 $1,375.00 $1,070.30 2026-07-15
28289 CPT Pr Repair/correct Hallux Rigidus Wo Implant 21 14 $1,113.00 $1,001.70 $779.10 $1,113.00 $1,068.48 2026-07-15
27331 CPT Pr Arthrot Knee; W Expl/bx/rem Fb 21 14 $1,111.00 $999.90 $777.70 $1,111.00 $1,066.56 2026-07-15
27685 CPT Pr Length/short Tendon Leg/ankle Sgl 21 14 $1,108.00 $997.20 $775.60 $1,108.00 $1,063.68 2026-07-15
29805 CPT Pr Shoulder Arthroscopy Dx 21 14 $1,107.00 $996.30 $774.90 $1,107.00 $1,062.72 2026-07-15
74160 CPT Hc CT Abdomen W Contrast 23 14 $1,352.50 $1,217.25 $246.00 $1,352.50 $1,052.79 2026-07-15
71260 CPT Hc CT Chest W Contrast Diag 26 14 $1,352.50 $1,217.25 $246.00 $1,352.50 $1,052.79 2026-07-15
72193 CPT Hc CT Pelvis W Contrast 23 14 $1,352.50 $1,217.25 $486.90 $1,352.50 $1,052.79 2026-07-15
25565 CPT Pr Cl Tx Radial/ulna Fx W Manip 21 14 $1,093.00 $983.70 $765.10 $1,093.00 $1,049.28 2026-07-15
78582 CPT Hc Nm Lung Ventilat&perfus Imaging 21 14 $1,344.00 $1,209.60 $940.80 $1,344.00 $1,046.17 2026-07-15
28113 CPT Pr Compl Exc 5th Metatrsl Head 21 14 $1,085.00 $976.50 $759.50 $1,085.00 $1,041.60 2026-07-15
27687 CPT Pr Gastrocnemius Recession 21 14 $1,077.00 $969.30 $753.90 $1,077.00 $1,033.92 2026-07-15
27096 CPT Hc Sij Anesth/steriod Inj Pain 84 14 $1,195.00 $1,075.50 $88.25 $1,375.00 $1,031.25 2026-07-15
26607 CPT Pr Cl Tx Mc Fx W Manip W Ext Fix Ea 21 14 $1,071.00 $963.90 $749.70 $1,071.00 $1,028.16 2026-07-15
28288 CPT Hc Prtl Rem Foot Bone Mtrsl Hd 1-5 Ea 42 14 $1,190.00 $1,071.00 $821.80 $1,206.00 $1,009.64 2026-07-15
45346 CPT Hc Sigmoidoscopy W/ablation 43 14 $1,918.00 $1,726.20 $695.80 $1,918.00 $994.00 2026-07-15
G0105 HCPCS Pr Screen Colonoscopy High Risk Pt 21 14 $1,027.00 $924.30 $148.20 $1,027.00 $985.92 2026-07-15
73202 CPT Hc CT Upper Extr W Wo Contrast 21 14 $1,266.00 $1,139.40 $886.20 $1,266.00 $985.45 2026-07-15
27265 CPT Hc Cl Tx Post Hip Disloc Wo Anesth 42 14 $1,132.50 $1,019.25 $682.50 $1,290.00 $975.00 2026-07-15
A0433 HCPCS Hc Als 2 21 14 $1,250.00 $1,125.00 $875.00 $1,250.00 $973.00 2026-07-15
72132 CPT Hc CT Lumbar Spine W Contrast 21 14 $1,246.50 $1,121.85 $872.55 $1,246.50 $970.28 2026-07-15
72126 CPT Hc CT Cervical Spine W Contrast 21 14 $1,246.50 $1,121.85 $872.55 $1,246.50 $970.28 2026-07-15
72129 CPT Hc CT Thoracic Spine W Contrast 21 14 $1,246.50 $1,121.85 $872.55 $1,246.50 $970.28 2026-07-15
62320 CPT Hc Inj Interlam C/t Wo Img 42 14 $1,160.00 $1,044.00 $787.50 $1,195.00 $967.50 2026-07-15
64418 CPT Hc Inj Anesth/ster Suprascapular Nerve 42 14 $1,159.92 $1,043.93 $778.29 $1,208.00 $966.86 2026-07-15
70470 CPT Hc CT Head Or Brain W Wo Contrast 21 14 $1,241.00 $1,116.90 $868.70 $1,241.00 $965.99 2026-07-15
11012 CPT Pr Debr O Fx Skin To Bone 21 14 $1,002.00 $901.80 $701.40 $1,002.00 $961.92 2026-07-15
G0121 HCPCS Pr Screen Colonoscopy Pt Not High Risk 21 14 $1,002.00 $901.80 $148.34 $1,002.00 $961.92 2026-07-15
64721 CPT Pr Neuroplasty Median Nerve Carp Tunnel 21 14 $1,000.00 $900.00 $700.00 $1,000.00 $960.00 2026-07-15
20680 CPT Pr Rem Implant Deep 21 14 $1,000.00 $900.00 $700.00 $1,000.00 $960.00 2026-07-15
62321 CPT Hc Inj Interlam C/t W Img 45 14 $1,195.00 $1,075.50 $83.23 $1,524.35 $956.25 2026-07-15
62323 CPT Hc Inj Interlam L/s W Img 48 14 $1,195.00 $1,075.50 $76.56 $1,524.35 $956.00 2026-07-15
24357 CPT Pr Repair Elbow Perc 21 14 $993.00 $893.70 $695.10 $993.00 $953.28 2026-07-15
27810 CPT Pr Cl Tx Bimalleolar Ankle Fx W Manip 21 14 $991.00 $891.90 $693.70 $991.00 $951.36 2026-07-15
27818 CPT Hc Cl Tx Trimall Ankle Fx W Manip 42 14 $1,111.50 $1,000.35 $665.00 $1,273.00 $950.00 2026-07-15
28062 CPT Pr Radical Remov Foot Plantar Fascia 21 14 $987.00 $888.30 $690.90 $987.00 $947.52 2026-07-15
55041 CPT Pr Excise Hydrocele Bilateral 21 14 $975.00 $877.50 $682.50 $975.00 $936.00 2026-07-15
36568 CPT Hc Insert Picc Wo Img < 5 Yrs 21 14 $1,200.00 $1,080.00 $840.00 $1,200.00 $934.08 2026-07-15
75635 CPT Hc CT Angiography Aorta Iliofemoral Runoff 21 14 $1,200.00 $1,080.00 $840.00 $1,200.00 $934.08 2026-07-15
64484 CPT Hc Inj(s) Foramen Epid L/s Addtl Lev 84 14 $1,195.00 $1,075.50 $437.50 $1,250.00 $930.19 2026-07-15
20610 CPT Hc Drain/inj Major Jnt/bursa 64 14 $1,195.00 $1,075.50 $51.60 $1,498.54 $930.19 2026-07-15
74170 CPT Hc CT Abdomen W Wo Contrast 25 14 $1,192.50 $1,073.25 $246.00 $1,192.50 $928.24 2026-07-15
29870 CPT Pr Dx Knee Arthroscopy 21 14 $960.00 $864.00 $672.00 $960.00 $921.60 2026-07-15
28525 CPT Pr Open Tx Toe Fx Ea 21 14 $957.00 $861.30 $669.90 $957.00 $918.72 2026-07-15
62273 CPT Hc Inj Epidural Blood Or Clot Patch 42 14 $1,074.23 $966.81 $702.42 $1,145.00 $916.00 2026-07-15
28820 CPT Pr Amputate Toe Mtp Joint 21 14 $944.00 $849.60 $660.80 $944.00 $906.24 2026-07-15
78216 CPT Hc Nm Liver Spleen W Vasc Flow 21 14 $1,159.00 $1,043.10 $811.30 $1,159.00 $902.17 2026-07-15
23675 CPT Hc Cl Tx Shdr Disloc W Nk Fx W Manip 42 14 $1,036.00 $932.40 $630.00 $1,172.00 $900.00 2026-07-15
70487 CPT Hc CT Maxillofacial W Contrast 22 14 $1,140.00 $1,026.00 $798.00 $1,140.00 $899.69 2026-07-15
70460 CPT Hc CT Head Or Brain W Contrast 21 14 $1,146.50 $1,031.85 $802.55 $1,146.50 $892.44 2026-07-15
71250 CPT Hc CT Chest Wo Contrast Diag 26 14 $1,146.50 $1,031.85 $151.31 $1,146.50 $892.44 2026-07-15
74150 CPT Hc CT Abdomen Wo Contrast 22 14 $1,145.50 $1,030.95 $156.33 $1,145.50 $891.66 2026-07-15
64415 CPT Pr Inj Anesth/ster Brachial Plexus 21 14 $924.49 $832.04 $647.14 $924.49 $887.51 2026-07-15
73201 CPT Hc CT Upper Extr W Contrast 21 14 $1,140.00 $1,026.00 $798.00 $1,140.00 $887.38 2026-07-15
70491 CPT Hc CT Soft Tissue Neck W Contrast 27 14 $1,140.00 $1,026.00 $246.00 $1,140.00 $887.38 2026-07-15
72128 CPT Hc CT Thoracic Spine Wo Contrast 22 14 $1,140.00 $1,026.00 $156.50 $1,140.00 $887.38 2026-07-15
73701 CPT Hc CT Lower Extr W Contrast 21 14 $1,140.00 $1,026.00 $798.00 $1,140.00 $887.38 2026-07-15
78070 CPT Hc Nm Parathyroid Imaging 21 14 $1,133.00 $1,019.70 $793.10 $1,133.00 $881.93 2026-07-15
78315 CPT Hc Nm Bone Imaging 3 Phase 21 14 $1,133.00 $1,019.70 $793.10 $1,133.00 $881.93 2026-07-15
78278 CPT Hc Nm Gi Bleed Study 21 14 $1,133.00 $1,019.70 $793.10 $1,133.00 $881.93 2026-07-15
28285 CPT Pr Repair Hammertoe Open Ea Toe 21 14 $913.00 $821.70 $639.10 $913.00 $876.48 2026-07-15
28272 CPT Hc Capsulotomy; Ip Jnt Sgl Ea Joint 42 14 $1,099.00 $989.10 $456.40 $1,546.00 $867.10 2026-07-15
72131 CPT Hc CT Lumbar Spine Wo Contrast 24 14 $1,113.50 $1,002.15 $151.31 $1,113.50 $866.75 2026-07-15
S9455 HCPCS Hc Diabetes Mgmt Prog, Group 42 14 $1,075.00 $967.50 $700.00 $1,150.00 $866.25 2026-07-15
28825 CPT Pr Amputate Toe; Ip Joint 21 14 $887.00 $798.30 $620.90 $887.00 $851.52 2026-07-15
27658 CPT Pr 1' Repr/sutr Leg Flexor Tendon Ea 21 14 $883.00 $794.70 $618.10 $883.00 $847.68 2026-07-15
78215 CPT Hc Nm Liver Spleen Static 21 14 $1,086.50 $977.85 $760.55 $1,086.50 $845.73 2026-07-15
64425 CPT Hc Inj Anesth/ster Ilioing/iliohypogastric 42 14 $989.75 $890.77 $647.14 $1,055.00 $844.00 2026-07-15
64505 CPT Hc Inj Anesth Sphenopalatine Ganglion 42 14 $989.75 $890.77 $647.14 $1,055.00 $844.00 2026-07-15
64420 CPT Hc Inj Anesth/ster Intercostal Nerve Sgl Lev 42 14 $989.75 $890.77 $647.14 $1,055.00 $844.00 2026-07-15
64445 CPT Hc Inj Anesth/ster Sciatic Nrv 42 14 $989.75 $890.77 $647.14 $1,055.00 $844.00 2026-07-15
64421 CPT Hc Inj Anesth/ster Intercost Nrv Addtl Lev 42 14 $989.75 $890.77 $647.14 $1,055.00 $844.00 2026-07-15
20550 CPT Hc Inj Sgl Tendon Shth Or Ligament 43 14 $1,195.00 $1,075.50 $262.50 $1,195.00 $836.50 2026-07-15
27630 CPT Pr Exc Tendon Shth Lesion Leg/ankle 21 14 $865.00 $778.50 $605.50 $865.00 $830.40 2026-07-15
27610 CPT Pr Inc Anklew Expl - Infection /rem Fb 21 14 $855.00 $769.50 $598.50 $855.00 $820.80 2026-07-15
A0427 HCPCS Hc Als 1 Emergent 21 14 $1,050.00 $945.00 $735.00 $1,050.00 $817.32 2026-07-15
70450 CPT Hc CT Head Or Brain Wo Contrast 27 14 $1,046.50 $941.85 $151.31 $1,046.50 $814.60 2026-07-15
28280 CPT Pr Toe Webbing Op 21 14 $842.00 $757.80 $589.40 $842.00 $808.32 2026-07-15
73700 CPT Hc CT Lower Extr Wo Contrast 21 14 $1,038.00 $934.20 $726.60 $1,038.00 $807.98 2026-07-15
70490 CPT Hc CT Soft Tissue Neck Wo Contrast 21 14 $1,038.00 $934.20 $726.60 $1,038.00 $807.98 2026-07-15
72192 CPT Hc CT Pelvis Wo Contrast 24 14 $1,038.00 $934.20 $151.31 $1,038.00 $807.98 2026-07-15
73200 CPT Hc CT Upper Extr Wo Contrast 21 14 $1,038.00 $934.20 $726.60 $1,038.00 $807.98 2026-07-15
72125 CPT Hc CT Cervical Spine Wo Contrast 25 14 $1,038.00 $934.20 $172.00 $1,038.00 $807.98 2026-07-15
70486 CPT Hc CT Maxillofacial Wo Contrast 26 14 $1,038.00 $934.20 $151.31 $1,038.00 $807.98 2026-07-15
20245 CPT Pr Bone Biopsy Open Deep 21 14 $837.00 $753.30 $585.90 $837.00 $803.52 2026-07-15
78226 CPT Hc Nm Hepatobiliary System Imaging 21 14 $1,030.00 $927.00 $721.00 $1,030.00 $801.75 2026-07-15
78701 CPT Hc Nm Kidney Imaging With Flow 21 14 $1,004.50 $904.05 $703.15 $1,004.50 $781.90 2026-07-15
78290 CPT Hc Nm Meckels Divert Exam 21 14 $1,004.00 $903.60 $702.80 $1,004.00 $781.51 2026-07-15
78740 CPT Hc Nm Ureter Reflux Study 21 14 $1,003.00 $902.70 $702.10 $1,003.00 $780.74 2026-07-15
36569 CPT Hc Ins Picc Age Wo Img 5 Yrs/> 42 14 $960.00 $864.00 $504.00 $1,200.00 $780.00 2026-07-15
28270 CPT Pr Mtp Joint Capsulotomy Ea 21 14 $807.00 $726.30 $564.90 $807.00 $774.72 2026-07-15
95813 CPT Hc EEG Ext Mntr 61-119 Min 21 14 $994.00 $894.60 $695.80 $994.00 $773.73 2026-07-15
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