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 →

Export CSV
Hospital

CHEROKEE REGIONAL MEDICAL CENTER

Cherokee, IA · CCN 161362 · Rates published

1,021 distinct procedures filed
27 distinct payers
212,714 rate rows
2026-05-22 last MRF observed
Data quality

56,686 of 212,714 rate rows are consumer-grade (26.6%)

156,028 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 155,744
percent-of-charges filed in the dollar field — excluded from medians 152
placeholder amount (≤ $0.02) — excluded from medians 114
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cherokeermc.org/hubfs/420707096_Sioux-Valley-Memorial-Hospital-Association_StandardCharges-6.csv
Found on page https://cherokeermc.org/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint 2bd39f2969881b40… · 30,000,175 bytes · first seen 2026-05-09

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
C1781
HCPCS 		Hc Mesh (implantable) Lvl 1 8 $289.38 $33,728.75 $10,540.20 nat. median
$1,412
outlier · 7.5×
L8614
HCPCS 		Hc Cochlear Implant System Lvl 7 8 $10,057.28 $16,458.00 $10,246.50 nat. median
$22,351
outlier · 0.5×
C1734
HCPCS 		Hc Orth/devic/drug Bn/bn,tis/bn Lvl 6 8 $6,080.69 $16,458.00 $10,156.92 nat. median
$2,565
outlier · 4.0×
C1776
HCPCS 		Hc Joint Device (implantable) Lvl 1 8 $130.38 $31,621.15 $9,583.00 nat. median
$3,394
outlier · 2.8×
C1713
HCPCS 		Hc Anchor/screw Bn/bn,tis/bn Lvl 1 8 $109.20 $30,107.55 $9,561.00 nat. median
$863
outlier · 11.1×
C1762
HCPCS 		Hc Conn Tiss, Human (inc Fascia) Lvl 3 8 $3,047.50 $20,027.15 $9,452.85 nat. median
$2,940
outlier · 3.2×
C9359
HCPCS 		Hc Implnt,bon Void Filler-putty Lvl 8 8 $7,109.95 $13,415.00 $7,243.50 nat. median
$1,472
outlier · 4.9×
C1763
HCPCS 		Hc Conn Tiss, Non-human Lvl 2 8 $1,756.95 $16,458.00 $6,994.73 nat. median
$2,299
outlier · 3.0×
L8699
HCPCS 		Hc Prosthetic Implant Nos Lvl 6 8 $3,047.50 $17,918.45 $5,750.00 nat. median
$2,008
outlier · 2.9×
C1889
HCPCS 		Hc Implant/insert Device Noc Lvl 9 8 $3,944.26 $7,442.00 $4,018.50 nat. median
$2,369
1.7× median
J2507
HCPCS 		Pegloticase 8 Mg/ml IV Soln 8 $3,890.54 $7,340.64 $3,963.50 nat. median
$9,200
outlier · 0.4×
J0630
HCPCS 		Calcitonin (salmon) 200 Unit/ml Ij Soln 8 $3,366.40 $6,351.70 $3,429.50 nat. median
$1,894
1.8× median
C1783
HCPCS 		Hc Ocular Imp Aqueous Drain Lvl 11 8 $3,249.96 $6,132.00 $3,310.50 nat. median
$2,321
1.4× median
78816
CPT 		Hc Nm PET Image W CT Whole Body 8 $2,899.10 $5,470.00 $2,953.50 nat. median
$2,788
1.1× median
78815
CPT 		Hc Nm PET Image W CT Skull Thigh 8 $2,899.10 $5,470.00 $2,953.50 nat. median
$2,820
1.0× median
A9520
HCPCS 		Hc Tc99 Tilmanocept Diag To 0.5 Mci 8 $2,729.50 $5,150.00 $2,780.50 nat. median
$1,012
outlier · 2.7×
70553
CPT 		Hc MRI Brain W Wo Contrast 8 $1,090.29 $4,920.00 $2,607.60 nat. median
$1,133
outlier · 2.3×
74178
CPT 		Hc CT Abd & Pelvis W Wo Contr 1+ Reg/sec 8 $916.89 $4,657.00 $2,514.78 nat. median
$1,024
outlier · 2.5×
95811
CPT 		Hc Pss W 4/> Param W Cpap/bipap 6+ Yrs 8 $2,331.72 $4,448.00 $2,446.40 nat. median
$1,894
1.3× median
72158
CPT 		Hc MRI Spine Lumbar W Wo Contrast 8 $1,116.05 $4,544.00 $2,408.32 nat. median
$1,093
outlier · 2.2×
74177
CPT 		Hc CT Abdomen & Pelvis W Contrast 8 $916.24 $4,453.00 $2,400.44 nat. median
$974
outlier · 2.5×
64633
CPT 		Hc Destroy Cerv/thor Facet Jnt Unil 8 $2,312.39 $4,363.00 $2,355.50 nat. median
$2,325
1.0× median
72157
CPT 		Hc MRI Spine Thoracic W Wo Contrast 8 $558.02 $4,387.00 $2,325.11 nat. median
$1,105
outlier · 2.1×
74183
CPT 		Hc MRI Abdomen W Wo Contrast 8 $1,090.29 $4,379.00 $2,320.87 nat. median
$1,100
outlier · 2.1×
72197
CPT 		Hc MRI Pelvis W Wo Contrast 8 $1,090.29 $4,266.00 $2,260.98 nat. median
$1,063
outlier · 2.1×
78452
CPT 		Hc Nm Heart Muscle Spect Mult 8 $2,210.10 $4,170.00 $2,251.50 nat. median
$1,816
1.2× median
64635
CPT 		Hc Destroy Lumb/sac Facet Jnt Unil 8 $2,197.91 $4,147.00 $2,238.50 nat. median
$2,392
0.9× median
23605
CPT 		Hc Cl Tx Prox Humeral Fx W Manip 8 $2,161.87 $4,079.00 $2,202.00 nat. median
$1,871
1.2× median
70549
CPT 		Hc MRA Neck W Wo Contrast 8 $719.30 $4,147.00 $2,197.91 nat. median
$1,055
outlier · 2.1×
73720
CPT 		Hc MRI Low Extr Not Joint W Wo Contr 8 $2,153.92 $4,064.00 $2,194.00 nat. median
$1,129
1.9× median
95810
CPT 		Hc Pss W 4/> Param W Tech 6+ Yrs 8 $2,088.72 $3,985.00 $2,191.75 nat. median
$1,825
1.2× median
73220
CPT 		Hc MRI Up Extr Not Joint W Wo Contr 8 $2,113.64 $3,988.00 $2,153.00 nat. median
$1,130
1.9× median
73723
CPT 		Hc MRI Low Extr Any Joint W Wo Contr 8 $2,044.21 $3,857.00 $2,082.50 nat. median
$1,192
1.7× median
71552
CPT 		Hc MRI Chest W Wo Contrast 8 $1,956.23 $3,691.00 $1,993.00 nat. median
$1,097
1.8× median
75635
CPT 		Hc CT Angiography Aorta Iliofemoral Runoff 8 $1,886.80 $3,560.00 $1,958.00 nat. median
$722
outlier · 2.7×
73223
CPT 		Hc MRI Up Extr Any Joint W Wo Contr 8 $1,850.76 $3,492.00 $1,885.00 nat. median
$1,158
1.6× median
74176
CPT 		Hc CT Abd & Pelvis Wo Contrast 8 $916.24 $3,518.00 $1,878.25 nat. median
$694
outlier · 2.7×
27252
CPT 		Hc Cl Tx Trauma Hip Disloc W Anesth 8 $1,778.15 $3,355.00 $1,811.50 nat. median
$2,022
0.9× median
36561
CPT 		Hc Insert Cv Access Device Tunneled > 5 Yrs 8 $1,679.04 $5,153.42 $1,742.40 nat. median
$3,741
outlier · 0.5×
72156
CPT 		Hc MRI Spine Cervical W Wo Contrast 8 $1,116.05 $3,143.00 $1,665.79 nat. median
$1,103
1.5× median
70543
CPT 		Hc MRI Orbit Face Neck W Wo Contrast 8 $992.02 $3,116.00 $1,651.48 nat. median
$1,083
1.5× median
74174
CPT 		Hc CT Angio Abd And Pelv Wo W Contrast 8 $365.76 $3,077.00 $1,646.92 nat. median
$988
1.7× median
27562
CPT 		Hc Cl Tx Patellar Dislocation W Anesth 8 $1,493.54 $2,818.00 $1,521.00 nat. median
$657
outlier · 2.3×
73222
CPT 		Hc MRI Up Extr Any Joint W Contrast 8 $1,436.83 $2,711.00 $1,463.50 nat. median
$1,282
1.1× median
70540
CPT 		Hc MRI Orbit Face Neck Wo Contrast 8 $1,435.24 $2,708.00 $1,462.00 nat. median
$794
1.8× median
71550
CPT 		Hc MRI Chest Wo Contrast 8 $1,403.44 $2,648.00 $1,429.50 nat. median
$820
1.7× median
72194
CPT 		Hc CT Pelvis W Wo Contrast 8 $1,399.20 $2,640.00 $1,425.50 nat. median
$664
outlier · 2.1×
64483
CPT 		Hc Inj(s) Foramen Epidural L/s Sgl Lev 8 $1,351.50 $2,550.00 $1,376.50 nat. median
$1,302
1.1× median
70552
CPT 		Hc MRI Brain W Contrast 8 $1,339.84 $2,528.00 $1,364.50 nat. median
$962
1.4× median
28192
CPT 		Hc Rem Deep Fb Of Foot 8 $1,312.81 $2,477.00 $1,337.00 nat. median
$1,857
0.7× median

Other procedures at this hospital

Browse this hospital's 1,021 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
             
C1781 HCPCS Hc Mesh (implantable) Lvl 1 562 8 $17,249.00 $15,524.10 $289.38 $33,728.75 $10,540.20 2026-05-22
L8614 HCPCS Hc Cochlear Implant System Lvl 7 26 8 $18,976.00 $17,078.40 $10,057.28 $16,458.00 $10,246.50 2026-05-22
C1734 HCPCS Hc Orth/devic/drug Bn/bn,tis/bn Lvl 6 48 8 $11,473.00 $10,325.70 $6,080.69 $16,458.00 $10,156.92 2026-05-22
C1776 HCPCS Hc Joint Device (implantable) Lvl 1 308 8 $13,415.00 $12,073.50 $130.38 $31,621.15 $9,583.00 2026-05-22
C1713 HCPCS Hc Anchor/screw Bn/bn,tis/bn Lvl 1 216 8 $13,415.00 $12,073.50 $109.20 $30,107.55 $9,561.00 2026-05-22
C1762 HCPCS Hc Conn Tiss, Human (inc Fascia) Lvl 3 216 8 $15,332.00 $13,798.80 $3,047.50 $20,027.15 $9,452.85 2026-05-22
C9359 HCPCS Hc Implnt,bon Void Filler-putty Lvl 8 26 8 $13,415.00 $12,073.50 $7,109.95 $13,415.00 $7,243.50 2026-05-22
C1763 HCPCS Hc Conn Tiss, Non-human Lvl 2 116 8 $9,583.00 $8,624.70 $1,756.95 $16,458.00 $6,994.73 2026-05-22
L8699 HCPCS Hc Prosthetic Implant Nos Lvl 6 50 8 $5,750.00 $5,175.00 $3,047.50 $17,918.45 $5,750.00 2026-05-22
C1889 HCPCS Hc Implant/insert Device Noc Lvl 9 26 8 $7,442.00 $6,697.80 $3,944.26 $7,442.00 $4,018.50 2026-05-22
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 26 8 $7,340.64 $7,340.64 $3,890.54 $7,340.64 $3,963.50 2026-05-22
J0630 HCPCS Calcitonin (salmon) 200 Unit/ml Ij Soln 26 8 $6,351.70 $6,351.70 $3,366.40 $6,351.70 $3,429.50 2026-05-22
C1783 HCPCS Hc Ocular Imp Aqueous Drain Lvl 11 26 8 $6,132.00 $5,518.80 $3,249.96 $6,132.00 $3,310.50 2026-05-22
78816 CPT Hc Nm PET Image W CT Whole Body 26 8 $5,470.00 $4,923.00 $2,899.10 $5,470.00 $2,953.50 2026-05-22
78815 CPT Hc Nm PET Image W CT Skull Thigh 26 8 $5,470.00 $4,923.00 $2,899.10 $5,470.00 $2,953.50 2026-05-22
A9520 HCPCS Hc Tc99 Tilmanocept Diag To 0.5 Mci 26 8 $5,150.00 $4,635.00 $2,729.50 $5,150.00 $2,780.50 2026-05-22
70553 CPT Hc MRI Brain W Wo Contrast 26 8 $4,920.00 $4,428.00 $1,090.29 $4,920.00 $2,607.60 2026-05-22
74178 CPT Hc CT Abd & Pelvis W Wo Contr 1+ Reg/sec 26 8 $4,657.00 $4,191.30 $916.89 $4,657.00 $2,514.78 2026-05-22
95811 CPT Hc Pss W 4/> Param W Cpap/bipap 6+ Yrs 26 8 $4,448.00 $4,003.20 $2,331.72 $4,448.00 $2,446.40 2026-05-22
72158 CPT Hc MRI Spine Lumbar W Wo Contrast 26 8 $4,544.00 $4,089.60 $1,116.05 $4,544.00 $2,408.32 2026-05-22
74177 CPT Hc CT Abdomen & Pelvis W Contrast 26 8 $4,453.00 $4,007.70 $916.24 $4,453.00 $2,400.44 2026-05-22
64633 CPT Hc Destroy Cerv/thor Facet Jnt Unil 26 8 $4,363.00 $3,926.70 $2,312.39 $4,363.00 $2,355.50 2026-05-22
72157 CPT Hc MRI Spine Thoracic W Wo Contrast 26 8 $4,387.00 $3,948.30 $558.02 $4,387.00 $2,325.11 2026-05-22
74183 CPT Hc MRI Abdomen W Wo Contrast 26 8 $4,379.00 $3,941.10 $1,090.29 $4,379.00 $2,320.87 2026-05-22
72197 CPT Hc MRI Pelvis W Wo Contrast 26 8 $4,266.00 $3,839.40 $1,090.29 $4,266.00 $2,260.98 2026-05-22
78452 CPT Hc Nm Heart Muscle Spect Mult 26 8 $4,170.00 $3,753.00 $2,210.10 $4,170.00 $2,251.50 2026-05-22
64635 CPT Hc Destroy Lumb/sac Facet Jnt Unil 26 8 $4,147.00 $3,732.30 $2,197.91 $4,147.00 $2,238.50 2026-05-22
23605 CPT Hc Cl Tx Prox Humeral Fx W Manip 26 8 $4,079.00 $3,671.10 $2,161.87 $4,079.00 $2,202.00 2026-05-22
70549 CPT Hc MRA Neck W Wo Contrast 26 8 $4,147.00 $3,732.30 $719.30 $4,147.00 $2,197.91 2026-05-22
73720 CPT Hc MRI Low Extr Not Joint W Wo Contr 26 8 $4,064.00 $3,657.60 $2,153.92 $4,064.00 $2,194.00 2026-05-22
95810 CPT Hc Pss W 4/> Param W Tech 6+ Yrs 26 8 $3,985.00 $3,586.50 $2,088.72 $3,985.00 $2,191.75 2026-05-22
73220 CPT Hc MRI Up Extr Not Joint W Wo Contr 26 8 $3,988.00 $3,589.20 $2,113.64 $3,988.00 $2,153.00 2026-05-22
73723 CPT Hc MRI Low Extr Any Joint W Wo Contr 26 8 $3,857.00 $3,471.30 $2,044.21 $3,857.00 $2,082.50 2026-05-22
71552 CPT Hc MRI Chest W Wo Contrast 26 8 $3,691.00 $3,321.90 $1,956.23 $3,691.00 $1,993.00 2026-05-22
75635 CPT Hc CT Angiography Aorta Iliofemoral Runoff 26 8 $3,560.00 $3,204.00 $1,886.80 $3,560.00 $1,958.00 2026-05-22
73223 CPT Hc MRI Up Extr Any Joint W Wo Contr 26 8 $3,492.00 $3,142.80 $1,850.76 $3,492.00 $1,885.00 2026-05-22
74176 CPT Hc CT Abd & Pelvis Wo Contrast 26 8 $3,518.00 $3,166.20 $916.24 $3,518.00 $1,878.25 2026-05-22
27252 CPT Hc Cl Tx Trauma Hip Disloc W Anesth 26 8 $3,355.00 $3,019.50 $1,778.15 $3,355.00 $1,811.50 2026-05-22
36561 CPT Hc Insert Cv Access Device Tunneled > 5 Yrs 26 8 $3,168.00 $2,851.20 $1,679.04 $5,153.42 $1,742.40 2026-05-22
72156 CPT Hc MRI Spine Cervical W Wo Contrast 26 8 $3,143.00 $2,828.70 $1,116.05 $3,143.00 $1,665.79 2026-05-22
70543 CPT Hc MRI Orbit Face Neck W Wo Contrast 26 8 $3,116.00 $2,804.40 $992.02 $3,116.00 $1,651.48 2026-05-22
74174 CPT Hc CT Angio Abd And Pelv Wo W Contrast 26 8 $3,077.00 $2,769.30 $365.76 $3,077.00 $1,646.92 2026-05-22
27562 CPT Hc Cl Tx Patellar Dislocation W Anesth 26 8 $2,818.00 $2,536.20 $1,493.54 $2,818.00 $1,521.00 2026-05-22
73222 CPT Hc MRI Up Extr Any Joint W Contrast 26 8 $2,711.00 $2,439.90 $1,436.83 $2,711.00 $1,463.50 2026-05-22
70540 CPT Hc MRI Orbit Face Neck Wo Contrast 26 8 $2,708.00 $2,437.20 $1,435.24 $2,708.00 $1,462.00 2026-05-22
71550 CPT Hc MRI Chest Wo Contrast 26 8 $2,648.00 $2,383.20 $1,403.44 $2,648.00 $1,429.50 2026-05-22
72194 CPT Hc CT Pelvis W Wo Contrast 26 8 $2,640.00 $2,376.00 $1,399.20 $2,640.00 $1,425.50 2026-05-22
64483 CPT Hc Inj(s) Foramen Epidural L/s Sgl Lev 26 8 $2,550.00 $2,295.00 $1,351.50 $2,550.00 $1,376.50 2026-05-22
70552 CPT Hc MRI Brain W Contrast 26 8 $2,528.00 $2,275.20 $1,339.84 $2,528.00 $1,364.50 2026-05-22
28192 CPT Hc Rem Deep Fb Of Foot 26 8 $2,477.00 $2,229.30 $1,312.81 $2,477.00 $1,337.00 2026-05-22
A9562 HCPCS Hc Tc99m Mag3 To 15 Mci 26 8 $2,472.00 $2,224.80 $1,310.16 $2,472.00 $1,334.50 2026-05-22
62321 CPT Hc Inj Interlam C/t W Img 26 8 $2,385.00 $2,146.50 $1,171.26 $2,385.00 $1,311.75 2026-05-22
70471 CPT Hc CTA Head & Neck W Contrast & Noncontrast Img 26 8 $2,388.00 $2,149.20 $1,265.64 $2,388.00 $1,289.00 2026-05-22
19083 CPT Hc Bx Breast 1st Lesion US Imag 26 8 $2,379.00 $2,141.10 $1,260.87 $2,379.00 $1,284.00 2026-05-22
72193 CPT Hc CT Pelvis W Contrast 26 8 $2,356.00 $2,120.40 $916.89 $2,356.00 $1,248.68 2026-05-22
64493 CPT Hc Inj Paravert F Jnt L/s 1 Lev 26 8 $2,264.00 $2,037.60 $1,199.92 $2,264.00 $1,222.00 2026-05-22
27096 CPT Hc Sij Anesth/steriod Inj Pain 52 8 $1,791.50 $1,612.35 $588.83 $2,472.00 $1,210.58 2026-05-22
70545 CPT Hc MRA Head W Contrast 26 8 $2,242.00 $2,017.80 $1,188.26 $2,242.00 $1,210.50 2026-05-22
49083 CPT Hc Abd Paracentesis W/imaging 26 8 $2,199.00 $1,979.10 $1,165.47 $2,199.00 $1,209.45 2026-05-22
36569 CPT Hc Ins Picc Age Wo Img 5 Yrs/> 26 8 $2,186.00 $1,967.40 $1,158.58 $2,186.00 $1,202.30 2026-05-22
27266 CPT Hc Cl Tx Postop Hip Disloc W Anesth 26 8 $2,200.00 $1,980.00 $1,166.00 $2,200.00 $1,188.00 2026-05-22
36573 CPT Hc Ins Picc Rs&i 5 Yr+ 26 8 $2,186.00 $1,967.40 $1,158.58 $2,186.00 $1,180.00 2026-05-22
G0390 HCPCS Hc Full Trauma Respons W Cc Fac Lev 4 26 8 $2,179.00 $1,961.10 $1,154.87 $2,179.00 $1,176.00 2026-05-22
70551 CPT Hc MRI Brain Wo Contrast 26 8 $2,201.00 $1,980.90 $791.44 $2,201.00 $1,166.53 2026-05-22
72148 CPT Hc MRI Spine Lumbar Wo Contrast 26 8 $2,176.00 $1,958.40 $791.44 $2,176.00 $1,153.28 2026-05-22
64490 CPT Hc Inj Paravert F Jnt C/t 1 Lev 26 8 $2,136.00 $1,922.40 $1,132.08 $2,136.00 $1,153.00 2026-05-22
73722 CPT Hc MRI Low Extr Any Joint W Contrast 26 8 $2,117.00 $1,905.30 $1,122.01 $2,117.00 $1,143.00 2026-05-22
70546 CPT Hc MRA Head W Wo Contrast 26 8 $2,112.00 $1,900.80 $1,119.36 $2,112.00 $1,140.00 2026-05-22
J9202 HCPCS Goserelin Acetate 3.6 Mg Sc Impl 26 8 $2,150.64 $2,150.64 $771.66 $2,150.64 $1,139.84 2026-05-22
72149 CPT Hc MRI Spine Lumbar W Contrast 26 8 $2,111.00 $1,899.90 $1,118.83 $2,111.00 $1,139.50 2026-05-22
71275 CPT Hc CT Angiography Chest W Wo Contrast 26 8 $2,121.00 $1,908.90 $731.51 $2,121.00 $1,132.45 2026-05-22
74181 CPT Hc MRI Abdomen Wo Contrast 26 8 $2,130.00 $1,917.00 $399.09 $2,130.00 $1,128.90 2026-05-22
73702 CPT Hc CT Lower Extr W Wo Contrast 26 8 $2,081.00 $1,872.90 $1,102.93 $2,081.00 $1,123.00 2026-05-22
73202 CPT Hc CT Upper Extr W Wo Contrast 26 8 $2,081.00 $1,872.90 $1,102.93 $2,081.00 $1,123.00 2026-05-22
72142 CPT Hc MRI Spine Cervical W Contrast 26 8 $2,078.00 $1,870.20 $1,101.34 $2,078.00 $1,121.50 2026-05-22
27752 CPT Hc Cl Tx Tib Shft Fx W Manip 26 8 $2,064.00 $1,857.60 $1,093.92 $2,064.00 $1,114.00 2026-05-22
24605 CPT Hc Tx Cl Elbow Disloc W Anesth 26 8 $2,055.00 $1,849.50 $1,089.15 $2,055.00 $1,109.50 2026-05-22
74175 CPT Hc CT Angiography Abdomen W Wo Contrast 26 8 $2,050.00 $1,845.00 $1,086.50 $2,050.00 $1,106.50 2026-05-22
70498 CPT Hc CT Angiography Neck W Wo Contrast 26 8 $2,083.00 $1,874.70 $365.76 $2,083.00 $1,103.99 2026-05-22
27818 CPT Hc Cl Tx Trimall Ankle Fx W Manip 26 8 $2,019.00 $1,817.10 $1,070.07 $2,019.00 $1,090.00 2026-05-22
73206 CPT Hc CT Angiography Upper Extr W Wo Contrast 26 8 $1,984.00 $1,785.60 $1,051.52 $1,984.00 $1,071.00 2026-05-22
72133 CPT Hc CT Lumbar Spine W Wo Contrast 26 8 $1,939.00 $1,745.10 $1,027.67 $1,939.00 $1,046.50 2026-05-22
25260 CPT Hc Rep Tendn/mscl Farm/wrist 26 8 $1,936.00 $1,742.40 $1,026.08 $1,936.00 $1,045.00 2026-05-22
72146 CPT Hc MRI Spine Thoracic Wo Contrast 26 8 $1,969.00 $1,772.10 $720.11 $1,969.00 $1,043.57 2026-05-22
95805 CPT Hc Mslt/mwt; Global 26 8 $1,925.00 $1,732.50 $1,020.25 $1,925.00 $1,039.00 2026-05-22
99291 CPT Hc Critical Care 30-74 Min 26 8 $1,942.00 $1,747.80 $298.57 $1,942.00 $1,029.26 2026-05-22
70547 CPT Hc MRA Neck Wo Contrast 26 8 $1,906.00 $1,715.40 $1,010.18 $1,906.00 $1,029.00 2026-05-22
72127 CPT Hc CT Cervical Spine W Wo Contrast 26 8 $1,892.00 $1,702.80 $1,002.76 $1,892.00 $1,021.00 2026-05-22
70496 CPT Hc CT Angiography Head W Wo Contrast 26 8 $1,909.00 $1,718.10 $365.76 $1,909.00 $1,011.77 2026-05-22
70544 CPT Hc MRA Head Wo Contrast 26 8 $1,906.00 $1,715.40 $719.30 $1,906.00 $1,010.18 2026-05-22
13152 CPT Hc Crep E/n/e/l 2.6-7.5 Cm 26 8 $1,821.00 $1,638.90 $965.13 $1,821.00 $983.00 2026-05-22
73721 CPT Hc MRI Low Extr Any Joint Wo Contrast 26 8 $1,816.00 $1,634.40 $962.48 $1,816.00 $980.00 2026-05-22
77012 CPT Hc CT Guidance Needle Placement 26 8 $1,812.00 $1,630.80 $960.36 $1,812.00 $978.00 2026-05-22
25565 CPT Hc Cl Tx Radial & Ulna Fx W Manip 26 8 $1,803.00 $1,622.70 $955.59 $1,803.00 $973.00 2026-05-22
72141 CPT Hc MRI Spine Cervical Wo Contrast 26 8 $1,805.00 $1,624.50 $791.44 $1,805.00 $956.65 2026-05-22
64640 CPT Hc Destr W Neurolytic Other Periph Nrv 26 8 $1,767.00 $1,590.30 $936.51 $1,767.00 $953.50 2026-05-22
23655 CPT Hc Cl Tx Shldr Disl W Manip W Anesth 26 8 $1,762.00 $1,585.80 $933.86 $1,762.00 $951.00 2026-05-22
25605 CPT Hc Tx Fracture D Radius/ulna W Manip 26 8 $1,746.00 $1,571.40 $925.38 $1,746.00 $942.50 2026-05-22
71270 CPT Hc CT Chest W Wo Contrast Diag 26 8 $1,712.00 $1,540.80 $907.36 $1,712.00 $941.60 2026-05-22
27603 CPT Hc I&d Leg/ankle Deep Absc/hematoma 26 8 $1,736.00 $1,562.40 $920.08 $1,736.00 $937.00 2026-05-22
45398 CPT Hc Colonoscopy W/band Ligation 26 8 $1,695.00 $1,525.50 $898.35 $1,695.00 $932.25 2026-05-22
74185 CPT Hc MRA Abdomen Wo Contrast 26 8 $1,723.00 $1,550.70 $913.19 $1,723.00 $930.00 2026-05-22
73201 CPT Hc CT Upper Extr W Contrast 26 8 $1,719.00 $1,547.10 $911.07 $1,719.00 $928.00 2026-05-22
73221 CPT Hc MRI Up Extr Any Joint Wo Contrast 26 8 $1,712.00 $1,540.80 $907.36 $1,712.00 $924.00 2026-05-22
72195 CPT Hc MRI Pelvis Wo Contrast 26 8 $1,738.00 $1,564.20 $791.44 $1,738.00 $921.14 2026-05-22
73718 CPT Hc MRI Low Extr Not Joint Wo Contrast 26 8 $1,699.00 $1,529.10 $900.47 $1,699.00 $917.00 2026-05-22
19283 CPT Hc Perq Dev Breast 1st Les Stereotact 26 8 $1,676.00 $1,508.40 $888.28 $1,676.00 $904.50 2026-05-22
70492 CPT Hc CT Soft Tissue Neck W Wo Contrast 26 8 $1,647.00 $1,482.30 $872.91 $1,647.00 $888.50 2026-05-22
73706 CPT Hc CT Angiography Lower Extr W Wo Contrast 26 8 $1,643.00 $1,478.70 $870.79 $1,643.00 $886.50 2026-05-22
70488 CPT Hc CT Maxillofacial W Wo Contrast 26 8 $1,600.00 $1,440.00 $848.00 $1,600.00 $880.00 2026-05-22
36556 CPT Hc Ins Non-tunnel Cv Cath 5 Yrs/> 26 8 $1,628.00 $1,465.20 $862.84 $1,628.00 $878.50 2026-05-22
70482 CPT Hc CT Orbit Sella Mid Inner Ear W Wo Contr 26 8 $1,568.00 $1,411.20 $831.04 $1,568.00 $862.40 2026-05-22
74170 CPT Hc CT Abdomen W Wo Contrast 26 8 $1,567.00 $1,410.30 $821.34 $1,567.00 $861.85 2026-05-22
78195 CPT Hc Nm Lymph Or Lymph Node Imaging 26 8 $1,592.00 $1,432.80 $843.76 $1,592.00 $859.00 2026-05-22
73218 CPT Hc MRI Up Extr Not Joint Wo Contrast 26 8 $1,490.00 $1,341.00 $789.70 $1,490.00 $804.00 2026-05-22
70487 CPT Hc CT Maxillofacial W Contrast 26 8 $1,428.00 $1,285.20 $756.84 $1,428.00 $785.40 2026-05-22
71260 CPT Hc CT Chest W Contrast Diag 26 8 $1,425.00 $1,282.50 $373.41 $1,425.00 $783.75 2026-05-22
78598 CPT Hc Nm Lung Perf&ventilat Diferentl 26 8 $1,445.00 $1,300.50 $765.85 $1,445.00 $779.50 2026-05-22
27550 CPT Hc Cl Tx Knee Disl Wo Anesth 26 8 $1,438.00 $1,294.20 $762.14 $1,438.00 $776.00 2026-05-22
70470 CPT Hc CT Head Or Brain W Wo Contrast 26 8 $1,400.00 $1,260.00 $742.00 $1,400.00 $770.00 2026-05-22
77047 CPT Hc MRI Breast Wo Contrast Bilat 26 8 $1,421.00 $1,278.90 $753.13 $1,421.00 $767.00 2026-05-22
64494 CPT Hc Inj Paravert F Jnt L/s 2 Lev 52 8 $1,242.50 $1,118.25 $223.66 $2,063.00 $757.70 2026-05-22
78473 CPT Hc Nm Cardiac Blood Pool Mult 26 8 $1,399.00 $1,259.10 $741.47 $1,399.00 $755.00 2026-05-22
38505 CPT Hc Bx Lymph Nodes Perc Superficial 26 8 $1,396.00 $1,256.40 $739.88 $1,396.00 $753.00 2026-05-22
70481 CPT Hc CT Orbit Sella Mid Inner Ear W Contr 26 8 $1,372.00 $1,234.80 $727.16 $1,372.00 $740.50 2026-05-22
45399 CPT Hc Unlisted Procedure Colon 26 8 $1,367.00 $1,230.30 $724.51 $1,367.00 $737.50 2026-05-22
Q4159 HCPCS Hc Affinity Per Sq Cm Lvl 3 98 8 $1,082.00 $973.80 $386.37 $2,009.00 $737.23 2026-05-22
70491 CPT Hc CT Soft Tissue Neck W Contrast 26 8 $1,372.00 $1,234.80 $727.16 $1,372.00 $732.60 2026-05-22
77049 CPT Hc MRI Breast W Wo Contrast W/cad Bilat 26 8 $1,313.00 $1,181.70 $695.89 $1,313.00 $722.15 2026-05-22
78582 CPT Hc Nm Lung Ventilat&perfus Imaging 26 8 $1,338.00 $1,204.20 $709.14 $1,338.00 $722.00 2026-05-22
77048 CPT Hc MRI Breast W Wo Contrast W/cad Uni 26 8 $1,322.00 $1,189.80 $700.66 $1,322.00 $713.50 2026-05-22
25675 CPT Hc Cl Tx Dstl Radioulnar Disloc W Manip 26 8 $1,318.00 $1,186.20 $698.54 $1,318.00 $711.00 2026-05-22
74160 CPT Hc CT Abdomen W Contrast 26 8 $1,318.00 $1,186.20 $698.54 $1,318.00 $711.00 2026-05-22
78315 CPT Hc Nm Bone Imaging 3 Phase 26 8 $1,275.00 $1,147.50 $675.75 $1,275.00 $688.00 2026-05-22
19084 CPT Hc Bx Breast Add Lesion US Imag 26 8 $1,273.00 $1,145.70 $674.69 $1,273.00 $687.00 2026-05-22
C8908 HCPCS Hc MRI Breast W Wo Contrast Bilat 26 8 $1,249.00 $1,124.10 $661.97 $1,249.00 $686.95 2026-05-22
72147 CPT Hc MRI Spine Thoracic W Contrast 26 8 $1,272.00 $1,144.80 $674.16 $1,272.00 $686.50 2026-05-22
78472 CPT Hc Nm Cardiac Blood Pool Sgl 26 8 $1,230.00 $1,107.00 $651.90 $1,230.00 $663.50 2026-05-22
72131 CPT Hc CT Lumbar Spine Wo Contrast 26 8 $1,230.00 $1,107.00 $172.21 $1,230.00 $656.70 2026-05-22
71250 CPT Hc CT Chest Wo Contrast Diag 26 8 $1,239.00 $1,115.10 $344.00 $1,239.00 $656.67 2026-05-22
J2805 HCPCS Hc Sincalide 5 Mcg Inj 26 8 $1,236.00 $1,112.40 $123.62 $1,236.00 $655.08 2026-05-22
62323 CPT Hc Inj Interlam L/s W Img 26 8 $1,179.00 $1,061.10 $451.71 $1,524.35 $648.45 2026-05-22
A0433 HCPCS Hc Als 2 26 8 $1,199.00 $1,079.10 $635.47 $1,199.00 $647.00 2026-05-22
78227 CPT Hc Nm Hepatobil Syst Image W/drug 26 8 $1,212.00 $1,090.80 $642.36 $1,212.00 $646.80 2026-05-22
26725 CPT Hc Cl Tx Phalang Shft Fx W Manip 26 8 $1,196.00 $1,076.40 $633.88 $1,196.00 $645.00 2026-05-22
26605 CPT Hc Cl Tx Mc Fx Sgl W Manip 26 8 $1,196.00 $1,076.40 $633.88 $1,196.00 $645.00 2026-05-22
70490 CPT Hc CT Soft Tissue Neck Wo Contrast 26 8 $1,196.00 $1,076.40 $633.88 $1,196.00 $645.00 2026-05-22
78071 CPT Hc Parathyrd Planar W/wo Subtr 26 8 $1,186.00 $1,067.40 $628.58 $1,186.00 $640.00 2026-05-22
94002 CPT Hc Vent Mgmt Inpat Init Day 26 8 $1,179.00 $1,061.10 $624.87 $1,179.00 $636.00 2026-05-22
78708 CPT Hc Nm Kidney Flow Funct W Drug 26 8 $1,154.00 $1,038.60 $611.62 $1,154.00 $634.70 2026-05-22
78306 CPT Hc Nm Bone Imaging Whole Body 26 8 $1,151.00 $1,035.90 $610.03 $1,151.00 $633.05 2026-05-22
70460 CPT Hc CT Head Or Brain W Contrast 26 8 $1,169.00 $1,052.10 $619.57 $1,169.00 $630.50 2026-05-22
99285 CPT Hc Ed Level 5 Visit 40 8 $1,165.00 $1,048.50 $29.68 $1,185.00 $628.67 2026-05-22
74150 CPT Hc CT Abdomen Wo Contrast 26 8 $1,165.00 $1,048.50 $617.45 $1,165.00 $628.50 2026-05-22
90381 CPT Hc Rsv Monoc Antb Seasn 1 Ml IM 26 8 $1,144.00 $1,029.60 $606.32 $1,144.00 $617.50 2026-05-22
73701 CPT Hc CT Lower Extr W Contrast 26 8 $1,131.00 $1,017.90 $599.43 $1,131.00 $610.50 2026-05-22
38792 CPT Hc Inj Ra Tracer Id Sentinel Node 26 8 $1,124.00 $1,011.60 $595.72 $1,124.00 $606.50 2026-05-22
90380 CPT Nirsevimab-alip 50 Mg/0.5ml IM Sosy 74 8 $1,127.00 $1,087.40 $576.32 $1,144.00 $606.32 2026-05-22
72125 CPT Hc CT Cervical Spine Wo Contrast 26 8 $1,142.00 $1,027.80 $172.21 $1,142.00 $604.30 2026-05-22
72128 CPT Hc CT Thoracic Spine Wo Contrast 26 8 $1,140.00 $1,026.00 $172.21 $1,140.00 $604.20 2026-05-22
M0249 HCPCS Hc Adm Tocilizu Covid-19 1st 26 8 $1,118.00 $1,006.20 $592.54 $1,118.00 $603.00 2026-05-22
78264 CPT Hc Nm Gastric Emptying Study 26 8 $1,109.00 $998.10 $587.77 $1,109.00 $598.00 2026-05-22
46040 CPT Hc I&d Perirectal Or Ischial Abscess 26 8 $1,102.00 $991.80 $584.06 $1,102.00 $595.00 2026-05-22
J2506 HCPCS Pegfilgrastim 6 Mg/0.6ml Sc Sosy 26 8 $1,076.96 $1,076.96 $570.79 $7,048.48 $592.33 2026-05-22
78707 CPT Hc Nm Kidney Flow Funct Wo Drug 26 8 $1,084.00 $975.60 $574.52 $1,084.00 $585.00 2026-05-22
70480 CPT Hc CT Orbit Sella Mid Inner Ear Wo Contr 26 8 $1,102.00 $991.80 $344.42 $1,102.00 $584.06 2026-05-22
70486 CPT Hc CT Maxillofacial Wo Contrast 26 8 $1,095.00 $985.50 $344.00 $1,095.00 $580.35 2026-05-22
64451 CPT Hc Inj Anesth/ster Si Joint Nrv Nrvtg 26 8 $1,060.00 $954.00 $561.80 $1,060.00 $572.00 2026-05-22
24600 CPT Hc Tx Cl Elbow Disloc Wo Anesth 26 8 $1,049.00 $944.10 $555.97 $1,049.00 $565.50 2026-05-22
93306 CPT Hc Tte With Doppler Complete 26 8 $1,046.00 $941.40 $203.00 $1,046.00 $558.25 2026-05-22
13151 CPT Hc Crep E/n/e/l 1.1-2.5 Cm 26 8 $1,024.00 $921.60 $542.72 $1,024.00 $552.50 2026-05-22
25600 CPT Hc Tx Fracture D Radius/ulna Wo Manip 26 8 $1,022.00 $919.80 $541.66 $1,022.00 $551.50 2026-05-22
32555 CPT Hc Aspirate Pleura With Imaging 26 8 $1,015.00 $913.50 $537.95 $1,015.00 $547.50 2026-05-22
72192 CPT Hc CT Pelvis Wo Contrast 26 8 $1,033.00 $929.70 $344.00 $1,033.00 $547.49 2026-05-22
70450 CPT Hc CT Head Or Brain Wo Contrast 26 8 $1,016.00 $914.40 $538.48 $1,016.00 $542.30 2026-05-22
10009 CPT Hc Fna Bx W/ct Gdn 1st Les 26 8 $1,005.00 $904.50 $532.65 $1,005.00 $542.00 2026-05-22
J7297 HCPCS Levonorgestrel 20.1 Mcg/day Iu IUD 26 8 $986.60 $986.60 $522.90 $986.60 $532.00 2026-05-22
72191 CPT Hc CT Angiography Pelvis W Wo Contrast 26 8 $984.00 $885.60 $521.52 $984.00 $531.00 2026-05-22
13121 CPT Hc Crep S/a/l 2.6-7.5 Cm 26 8 $974.00 $876.60 $516.22 $974.00 $525.50 2026-05-22
64624 CPT Hc Destr W Neurolytic Genicular Nrv 26 8 $970.00 $873.00 $514.10 $970.00 $523.50 2026-05-22
20225 CPT Hc Bx Bone Trocar Ndl Deep 26 8 $964.00 $867.60 $510.92 $964.00 $520.00 2026-05-22
J9217 HCPCS Leuprolide Acetate (3 Month) 22.5 Mg Sc Kit 50 8 $974.88 $974.88 $485.77 $974.88 $516.69 2026-05-22
13153 CPT Hc Crep E/n/e/l Ea Addtl 5 Cm/< 26 8 $958.00 $862.20 $507.74 $958.00 $516.50 2026-05-22
93925 CPT Hc Duplex Le Art/bpg; Bilat 26 8 $942.00 $847.80 $375.06 $942.00 $513.77 2026-05-22
27560 CPT Hc Cl Tx Patellar Dislocation Wo Anesth 26 8 $948.00 $853.20 $502.44 $948.00 $511.50 2026-05-22
13131 CPT Hc Crep F/g/h/f 1.1-2.5 Cm 26 8 $923.00 $830.70 $489.19 $923.00 $507.65 2026-05-22
21320 CPT Hc Cl Tx Nasal Bone Fx W Manip W Stabiliz 26 8 $933.00 $839.70 $494.49 $933.00 $503.50 2026-05-22
27786 CPT Hc Cl Tx Dstl Fib Fx Wo Manip 26 8 $930.00 $837.00 $492.90 $930.00 $501.50 2026-05-22
A9552 HCPCS Hc F18 Fdg To 45 Mci 26 8 $925.00 $832.50 $490.25 $925.00 $499.00 2026-05-22
73200 CPT Hc CT Upper Extr Wo Contrast 26 8 $921.00 $828.90 $488.13 $921.00 $497.00 2026-05-22
62322 CPT Hc Inj Interlam L/s Wo Img 26 8 $917.00 $825.30 $486.01 $917.00 $495.00 2026-05-22
J1823 HCPCS Inebilizumab-cdon 100 Mg/10ml IV Soln 26 8 $914.26 $914.26 $484.56 $914.26 $493.00 2026-05-22
78803 CPT Hc Nm Tumor Localiz Spect 1 Area/day 26 8 $913.00 $821.70 $483.89 $913.00 $492.50 2026-05-22
Q4186 HCPCS Hc Epifix Per Sq Cm Lvl 3 26 8 $907.00 $816.30 $480.71 $907.00 $489.00 2026-05-22
90675 CPT Rabies Vaccine, Pcec IM Susr 76 8 $910.96 $910.96 $263.94 $915.35 $485.14 2026-05-22
11760 CPT Hc Repair Nail Bed 26 8 $896.00 $806.40 $474.88 $896.00 $483.00 2026-05-22
36430 CPT Hc Transfusion Blood Or Component Per Unit 26 8 $870.00 $783.00 $359.90 $911.52 $478.50 2026-05-22
75989 CPT Hc Drainage Cath Placement W Img Guidance 26 8 $887.00 $798.30 $470.11 $887.00 $478.50 2026-05-22
78014 CPT Hc Thyroid Imag W/blood Flow Sgl/mult Quan 26 8 $878.00 $790.20 $465.34 $878.00 $473.50 2026-05-22
Q4234 HCPCS Hc Xcellerate Per 1 Sq Cm Lvl 10 26 8 $874.00 $786.60 $463.22 $874.00 $471.50 2026-05-22
19281 CPT Hc Perq Dev Breast 1st Les Mammo 26 8 $868.00 $781.20 $460.04 $868.00 $468.50 2026-05-22
13132 CPT Hc Crep F/g/h/f 2.6-7.5 Cm 26 8 $857.00 $771.30 $454.21 $857.00 $462.50 2026-05-22
12042 CPT Hc Int Rep N/h/f/g 2.6-7.5 Cm 26 8 $857.00 $771.30 $454.21 $857.00 $462.50 2026-05-22
93975 CPT Hc US Duplex Arterial Flow Compl 26 8 $871.00 $783.90 $216.33 $871.00 $461.63 2026-05-22
36593 CPT Hc Declot Vascular Device 26 8 $852.00 $766.80 $446.58 $852.00 $459.50 2026-05-22
92950 CPT Hc Cpr 26 8 $850.00 $765.00 $450.50 $850.00 $458.50 2026-05-22
12036 CPT Hc Int Rep S/a/t/ex 20.1-30.0 Cm 26 8 $840.00 $756.00 $445.20 $840.00 $453.50 2026-05-22
78226 CPT Hc Nm Hepatobiliary System Imaging 26 8 $837.00 $753.30 $443.61 $837.00 $451.50 2026-05-22
64520 CPT Hc Inj Anesth Lumb/thor Sympathetic 26 8 $830.00 $747.00 $439.90 $830.00 $447.50 2026-05-22
A0427 HCPCS Hc Als 1 Emergent 26 8 $828.00 $745.20 $438.84 $828.00 $446.50 2026-05-22
59025 CPT Hc Fetal Non-stress Test 52 8 $634.00 $570.60 $224.19 $845.00 $445.93 2026-05-22
10121 CPT Hc Inc & Rem Fb Sq Compl 26 8 $819.00 $737.10 $434.07 $819.00 $442.00 2026-05-22
90837 CPT Hc Psytx W Pt 60 Min (>53 Min) 26 8 $817.00 $735.30 $433.01 $817.00 $441.00 2026-05-22
73700 CPT Hc CT Lower Extr Wo Contrast 26 8 $814.00 $732.60 $431.42 $814.00 $439.00 2026-05-22
23650 CPT Hc Cl Tx Shldr Disl W Mani Wo Anesth 26 8 $812.00 $730.80 $430.36 $812.00 $438.00 2026-05-22
90834 CPT Hc Psytx W Pt 45 Min (38-52 Min) 26 8 $802.00 $721.80 $425.06 $802.00 $433.00 2026-05-22
C7901 HCPCS Hc Hopd Mntl Hlt, 30-60 Min 26 8 $802.00 $721.80 $425.06 $802.00 $433.00 2026-05-22
12034 CPT Hc Int Rep S/a/t/ex 7.6-12.5 Cm 26 8 $782.00 $703.80 $414.46 $1,068.70 $430.10 2026-05-22
12052 CPT Hc Int Rep F/e/n/l/mm 2.6-5.0 Cm 26 8 $775.00 $697.50 $410.75 $1,127.76 $426.25 2026-05-22
12035 CPT Hc Int Rep S/a/t/ex 12.6-20.0 Cm 26 8 $789.00 $710.10 $413.64 $789.00 $425.50 2026-05-22
93970 CPT Hc Duplex Ext Veins; Bilat 26 8 $800.00 $720.00 $320.10 $800.00 $424.00 2026-05-22
27810 CPT Hc Cl Tx Bimalleolar Ankle Fx W Manip 26 8 $785.00 $706.50 $416.05 $785.00 $423.50 2026-05-22
72126 CPT Hc CT Cervical Spine W Contrast 26 8 $782.00 $703.80 $414.46 $782.00 $422.00 2026-05-22
90853 CPT Hc Relapse Prevention Group 26 8 $780.00 $702.00 $413.40 $780.00 $421.00 2026-05-22
C7903 HCPCS Hc Hopd Mntl Hlt, Grp 26 8 $780.00 $702.00 $413.40 $780.00 $421.00 2026-05-22
G0410 HCPCS Hc Group Psych Partial Hosp 45-50m 26 8 $780.00 $702.00 $413.40 $780.00 $421.00 2026-05-22
62273 CPT Hc Inj Epidural Blood Or Clot Patch 26 8 $772.00 $694.80 $409.16 $772.00 $416.50 2026-05-22
26700 CPT Hc Cl Tx Mcp Disloc Sgl W Manip 26 8 $772.00 $694.80 $409.16 $772.00 $416.50 2026-05-22
12032 CPT Hc Int Rep S/a/t/ex 2.6-7.5 Cm 26 8 $753.00 $677.70 $399.09 $753.00 $414.15 2026-05-22
32551 CPT Hc Insertion Of Chest Tube 26 8 $758.00 $682.20 $401.74 $758.00 $408.50 2026-05-22
62272 CPT Hc Spinal Puncture Drain Csf 26 8 $754.00 $678.60 $399.62 $754.00 $406.50 2026-05-22
93880 CPT Hc Carotid Duplex Scan; Bilat 26 8 $739.00 $665.10 $143.40 $739.00 $406.45 2026-05-22
27840 CPT Hc Cl Tx Ankle Dislocation Wo Anesth 26 8 $751.00 $675.90 $398.03 $751.00 $405.50 2026-05-22
93930 CPT Hc Duplex Ue Art/bpg; Bilat 26 8 $737.00 $663.30 $390.61 $737.00 $397.50 2026-05-22
A0426 HCPCS Hc Als 1 26 8 $737.00 $663.30 $390.61 $737.00 $397.50 2026-05-22
90377 CPT Rabies Immune Globulin 300 Unit/2ml Ij Soln 78 8 $718.06 $718.06 $250.98 $3,389.12 $392.33 2026-05-22
64447 CPT Hc Inj Anesth/ster Femoral Nrv 26 8 $727.00 $654.30 $385.31 $727.00 $392.00 2026-05-22
43762 CPT Hc Rplc Gtube No Revisn Trc 26 8 $724.00 $651.60 $383.72 $724.00 $390.50 2026-05-22
26770 CPT Hc Cl Tx Ip Jnt D W Manip Wo Anesth 26 8 $719.00 $647.10 $381.07 $719.00 $388.00 2026-05-22
12041 CPT Hc Int Rep N/h/f/g 2.5 Cm/< 26 8 $719.00 $647.10 $381.07 $719.00 $388.00 2026-05-22
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6ml Sc Sosy 26 8 $703.13 $703.13 $372.66 $1,275.96 $386.72 2026-05-22
23500 CPT Hc Cl Tx Clavicular Fx Wo Manip 26 8 $708.00 $637.20 $375.24 $708.00 $382.00 2026-05-22
93976 CPT Hc Duplex Arterial Flow Limited 26 8 $713.00 $641.70 $138.40 $713.00 $377.89 2026-05-22
A0429 HCPCS Hc Bls Emergency 26 8 $699.00 $629.10 $370.47 $699.00 $377.00 2026-05-22
12051 CPT Hc Int Rep F/e/n/l/mm 2.5 Cm/< 26 8 $685.00 $616.50 $363.05 $685.00 $376.75 2026-05-22
G0177 HCPCS Hc Opps/php Train & Educ Serv 26 8 $691.00 $621.90 $366.23 $691.00 $373.00 2026-05-22
G0176 HCPCS Hc Opps/php Activity Therapy 45+ Min 26 8 $691.00 $621.90 $366.23 $691.00 $373.00 2026-05-22
94660 CPT Hc Pos Airway Pressure Cpap/bipap Initial 48 8 $701.00 $630.90 $147.87 $701.00 $371.53 2026-05-22
76942 CPT Hc US Guided Needle Placement 26 8 $675.00 $607.50 $357.75 $764.60 $371.25 2026-05-22
78701 CPT Hc Nm Kidney Imaging With Flow 26 8 $685.00 $616.50 $363.05 $685.00 $369.50 2026-05-22
25660 CPT Hc Cltx Rad/intercarpl Disl 1+ Bone W Manip 26 8 $685.00 $616.50 $363.05 $685.00 $369.50 2026-05-22
99284 CPT Hc Ed Level 4 Visit 38 8 $692.00 $622.80 $29.68 $835.78 $366.76 2026-05-22
90678 CPT Rsv Pre-fusion F A&b Vac Rcmb 120 Mcg/0.5ml IM Solr 26 8 $677.50 $677.50 $359.08 $677.50 $365.50 2026-05-22
64425 CPT Hc Inj Anesth/ster Ilioing/iliohypogastric 26 8 $675.00 $607.50 $357.75 $675.00 $364.00 2026-05-22
64421 CPT Hc Inj Anesth/ster Intercost Nrv Addtl Lev 26 8 $675.00 $607.50 $357.75 $675.00 $364.00 2026-05-22
64420 CPT Hc Inj Anesth/ster Intercostal Nerve Sgl Lev 26 8 $675.00 $607.50 $357.75 $675.00 $364.00 2026-05-22
51720 CPT Hc Treatment Of Bladder Lesion 26 8 $675.00 $607.50 $357.75 $675.00 $364.00 2026-05-22
Q5122 HCPCS Pegfilgrastim-apgf 6 Mg/0.6ml Sc Sosy 26 8 $661.46 $661.46 $350.58 $1,158.60 $363.80 2026-05-22
27265 CPT Hc Cl Tx Post Hip Disloc Wo Anesth 26 8 $671.00 $603.90 $355.63 $671.00 $362.00 2026-05-22
Q4133 HCPCS Hc Grafix Prime Pl/stravix Per 1 Sq Cm Lvl 2 50 8 $362.00 $325.80 $191.86 $729.00 $362.00 2026-05-22
76377 CPT Hc 3d Render W Postprocess 26 8 $666.00 $599.40 $352.98 $666.00 $359.00 2026-05-22
64510 CPT Hc Inj Anesth Stellate Ganglion 26 8 $665.00 $598.50 $352.45 $665.00 $358.50 2026-05-22
26641 CPT Hc Cl Tx Cmc Disloc Thumb W Manip 26 8 $665.00 $598.50 $352.45 $665.00 $358.50 2026-05-22
12053 CPT Hc Int Rep F/e/n/l/mm 5.1-7.5 Cm 26 8 $660.00 $594.00 $349.80 $660.00 $356.00 2026-05-22
90832 CPT Hc Psytx W Pt 30 Min (16-37 Min) 26 8 $647.00 $582.30 $342.91 $647.00 $348.50 2026-05-22
C7900 HCPCS Hc Hopd Mntl Hlt, 15-29 Min 26 8 $647.00 $582.30 $342.91 $647.00 $348.50 2026-05-22
78070 CPT Hc Nm Parathyroid Imaging 26 8 $647.00 $582.30 $342.91 $647.00 $348.50 2026-05-22
12054 CPT Hc Int Rep F/e/n/l/mm 7.6-12.5 Cm 26 8 $632.00 $568.80 $334.96 $1,023.80 $347.60 2026-05-22
96413 CPT Hc Chemo, IV Infusion, 1 Hr 26 8 $607.00 $546.30 $318.06 $607.00 $347.51 2026-05-22
64445 CPT Hc Inj Anesth/ster Sciatic Nrv 26 8 $644.00 $579.60 $341.32 $644.00 $347.50 2026-05-22
26755 CPT Hc Cl Tx D Phal Fx Fgr/thmb W Manip 26 8 $645.00 $580.50 $341.85 $645.00 $347.50 2026-05-22
41800 CPT Hc Dr Absc Cyst Hematom Dentoalveolar 26 8 $644.00 $579.60 $341.32 $644.00 $347.50 2026-05-22
95910 CPT Hc Nrv Conduct Tst 7-8 Studies 26 8 $641.00 $576.90 $339.73 $641.00 $345.50 2026-05-22
71271 CPT Hc CT Thorax Lung Cancer Screen 26 8 $626.00 $563.40 $121.40 $626.00 $344.30 2026-05-22
20220 CPT Hc Bx Bone Trocar Ndl Superficial 26 8 $637.00 $573.30 $337.61 $637.00 $343.50 2026-05-22
12031 CPT Hc Int Rep S/a/t/ex 2.5 Cm/< 26 8 $636.00 $572.40 $337.08 $636.00 $343.00 2026-05-22
78013 CPT Hc Thyroid Imag W/blood Flow 26 8 $628.00 $565.20 $332.84 $628.00 $338.50 2026-05-22
64615 CPT Hc Chemodenerv Musc Migraine 26 8 $613.00 $551.70 $321.30 $613.00 $337.15 2026-05-22
28190 CPT Hc Rem Fb Foot Sq 26 8 $625.00 $562.50 $331.25 $625.00 $337.00 2026-05-22
47000 CPT Hc Bx Needle Liver Perc 26 8 $624.00 $561.60 $330.72 $624.00 $336.50 2026-05-22
41115 CPT Hc Excision Of Lingual Frenum (frenectomy) 26 8 $624.00 $561.60 $330.72 $624.00 $336.50 2026-05-22
92610 CPT Hc Evaluate Swallowing Function 26 8 $622.00 $559.80 $329.66 $622.00 $335.50 2026-05-22
J1610 HCPCS Glucagon Hcl (rdna) 1 Mg Ij Solr 50 8 $587.51 $587.51 $195.79 $625.63 $331.58 2026-05-22
25535 CPT Hc Cl Tx Ulnar Shft Fx W Manip 26 8 $615.00 $553.50 $325.95 $615.00 $331.50 2026-05-22
97607 CPT Hc Neg Press Wnd Tx <=50 Sq Cm (non-dme) 26 8 $615.00 $553.50 $325.95 $615.00 $331.50 2026-05-22
93926 CPT Hc Duplex Le Art/bpg; Unil/limit 26 8 $613.00 $551.70 $324.89 $613.00 $330.50 2026-05-22
90677 CPT Pneumococcal 20-val Conj Vacc 0.5 Ml IM Susy 50 8 $610.65 $610.65 $321.63 $610.65 $329.00 2026-05-22
28470 CPT Hc Cl Tx Metatarsal Fx Wo Manip 26 8 $608.00 $547.20 $322.24 $608.00 $328.00 2026-05-22
A0428 HCPCS Hc Bls Non Emergent 26 8 $607.00 $546.30 $321.71 $607.00 $327.00 2026-05-22
24200 CPT Hc Rem Fb Up Arm Or Elbow Sq 26 8 $604.00 $543.60 $320.12 $604.00 $326.00 2026-05-22
29580 CPT Hc Unna Boot Strapping 52 8 $472.00 $424.80 $166.95 $629.00 $324.19 2026-05-22
56405 CPT Hc I & D Of Vulva Or Perineal Abscess 26 8 $594.00 $534.60 $314.82 $594.00 $320.00 2026-05-22
32554 CPT Hc Aspirate Pleura Without Imaging 26 8 $594.00 $534.60 $314.82 $594.00 $320.00 2026-05-22
28515 CPT Hc Cl Tx Fx Phalanx/phalang W Manip 26 8 $590.00 $531.00 $312.70 $590.00 $318.00 2026-05-22
27250 CPT Hc Cl Tx Trauma Hip Disloc Wo Anesth 26 8 $589.00 $530.10 $312.17 $589.00 $317.50 2026-05-22
46608 CPT Hc Anoscopy; W Rem Fb 26 8 $582.00 $523.80 $308.46 $582.00 $314.00 2026-05-22
95913 CPT Hc Nrv Conduct Tst 13/> Studies 26 8 $582.00 $523.80 $308.46 $582.00 $314.00 2026-05-22
95806 CPT Hc Sleep Study Unatt & Resp Efft 26 8 $568.00 $511.20 $297.54 $568.00 $312.40 2026-05-22
76998 CPT Hc US Guidance Intraoperative 26 8 $577.00 $519.30 $305.81 $577.00 $311.00 2026-05-22
G0399 HCPCS Hc Home Sleep Test/type 3 Porta 26 8 $568.00 $511.20 $301.04 $568.00 $306.50 2026-05-22
See an error in this hospital's data? Submit a correction