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

RINGGOLD COUNTY HOSPITAL

Mount Ayr, IA · CCN 161373 · Rates published

1,543 distinct procedures filed
7 distinct payers
109,450 rate rows
2026-05-09 last MRF observed
Data quality

70,993 of 109,450 rate rows are consumer-grade (64.9%)

38,457 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 38,171
percent-of-charges filed in the dollar field — excluded from medians 286
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rchmtayr.org/wp-content/uploads/sites/250/2026/04/426037738_Ringgold-County-Hospital_StandardCharges.csv
Found on page https://www.rchmtayr.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 6e2cbf34f1d0a8c7… · 11,407,612 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
Q4130
CPT 		Mesh Strattice 16 X 20 7 $8,599.01 $32,251.00 $14,694.41 nat. median
$405
outlier · 36.3×
C1768
CPT 		Pv Fistula Gore Graft 4mm-7mm 45cm 7 $2,511.41 $10,029.00 $5,550.09 nat. median
$2,048
outlier · 2.7×
78815
CPT 		PET Image W/ct Skull - Thigh 7 $3,367.55 $8,216.00 $4,683.12 nat. median
$2,793
1.7× median
70549
CPT 		MRA Neck With & Without Contrast 7 $3,959.78 $6,947.00 $3,959.79 nat. median
$1,051
outlier · 3.8×
70546
CPT 		MRA Head With & Without Contrast 7 $3,944.97 $6,921.00 $3,944.97 nat. median
$1,043
outlier · 3.8×
71552
CPT 		MRI Chest With & Without Contrast 7 $3,585.87 $6,291.00 $3,585.87 nat. median
$1,093
outlier · 3.3×
78816
CPT 		PET Scan W/ct Full Body 7 $3,408.02 $5,979.00 $3,408.03 nat. median
$2,707
1.3× median
C1724
CPT 		Pv Jetstream Jetwire 7 $194.93 $10,875.00 $3,270.37 nat. median
$4,574
0.7× median
73720
CPT 		MRI Lower Extremity No Joint W/wo Lt 7 $3,070.58 $5,387.00 $3,070.59 nat. median
$1,190
outlier · 2.6×
78814
CPT 		PET Image W/ct Lmtd 7 $3,061.47 $5,371.00 $3,061.47 nat. median
$2,306
1.3× median
74183
CPT 		MRI Abdomen With & Without Contrast 7 $3,052.35 $5,355.00 $3,052.35 nat. median
$1,102
outlier · 2.8×
73220
CPT 		MRI Upper Extremity No Joint W/wo Rt 7 $3,040.95 $5,335.00 $3,040.95 nat. median
$1,185
outlier · 2.6×
72197
CPT 		MRI Pelvis With & Without Contrast 7 $3,040.95 $5,335.00 $3,040.95 nat. median
$1,065
outlier · 2.9×
70543
CPT 		MRI Orbit Face Neck With & Without Contrast 7 $2,976.54 $5,222.00 $2,976.54 nat. median
$1,079
outlier · 2.8×
70553
CPT 		MRI Brain With & Without Cont 7 $2,913.26 $5,111.00 $2,913.27 nat. median
$1,122
outlier · 2.6×
71551
CPT 		MRI Chest With Contrast 7 $2,906.43 $5,099.00 $2,906.43 nat. median
$1,144
outlier · 2.5×
72156
CPT 		MRI Cervical Spine With & Without Contra 7 $2,844.29 $4,990.00 $2,844.30 nat. median
$1,092
outlier · 2.6×
72158
CPT 		MRI Lumbar Spine With & Without Contrast 7 $2,837.45 $4,978.00 $2,837.46 nat. median
$1,081
outlier · 2.6×
73723
CPT 		MRI Joint Lower Extrm W & Without Contr Lt 7 $2,830.62 $4,966.00 $2,830.62 nat. median
$1,264
outlier · 2.2×
73223
CPT 		MRI Joint Upper Extremity With Wo Contr Lt 7 $2,815.79 $4,940.00 $2,815.80 nat. median
$1,225
outlier · 2.3×
70548
CPT 		MRA Neck With Contrast 7 $2,802.68 $4,917.00 $2,802.69 nat. median
$917
outlier · 3.1×
78813
CPT 		PET Image Full Body 7 $2,753.66 $4,831.00 $2,753.67 nat. median
$1,854
1.5× median
74174
CPT 		CT Abdomen & Pelvis With Contrast 7 $2,745.68 $4,817.00 $2,745.69 nat. median
$959
outlier · 2.9×
C1757
CPT 		Pv Angiojet Omni 6fr 120cm 7 $63.26 $5,115.00 $2,722.32 nat. median
$2,476
1.1× median
70498
CPT 		CT Neck With Contrast 7 $2,696.10 $4,730.00 $2,696.10 nat. median
$722
outlier · 3.7×
78812
CPT 		PET Image Skull - Thigh 7 $2,644.79 $4,640.00 $2,644.80 nat. median
$1,862
1.4× median
71550
CPT 		MRI Chest Without Contrast 7 $2,625.99 $4,607.00 $2,625.99 nat. median
$810
outlier · 3.2×
70544
CPT 		MRA Head Without Contrst 7 $2,614.58 $4,587.00 $2,614.59 nat. median
$817
outlier · 3.2×
70547
CPT 		MRA Neck Without Contrast 7 $2,612.31 $4,583.00 $2,612.31 nat. median
$751
outlier · 3.5×
72157
CPT 		MRI Spine Thoracic With & Without Contrast 7 $2,598.06 $4,558.00 $2,598.06 nat. median
$1,094
outlier · 2.4×
70496
CPT 		CT Head With Contrast 7 $2,582.66 $4,531.00 $2,582.67 nat. median
$729
outlier · 3.5×
72142
CPT 		MRI Cervical Spine With Contrast 7 $2,579.25 $4,525.00 $2,579.25 nat. median
$959
outlier · 2.7×
70552
CPT 		MRI Brain With Contrast 7 $2,563.85 $4,498.00 $2,563.86 nat. median
$960
outlier · 2.7×
70545
CPT 		MRA Head With Contrast 7 $2,553.02 $4,479.00 $2,553.03 nat. median
$903
outlier · 2.8×
72159
CPT 		MRA Spine With Or Without Contrast 7 $2,543.91 $4,463.00 $2,543.91 nat. median
$1,136
outlier · 2.2×
73719
CPT 		MRI Lower Extremity With Contrast Lt 7 $2,538.77 $4,454.00 $2,538.78 nat. median
$972
outlier · 2.6×
72196
CPT 		MRI Pelvis With Contrast 7 $2,538.77 $4,454.00 $2,538.78 nat. median
$953
outlier · 2.7×
72149
CPT 		MRI Lumbar Spine With Contrast 7 $2,522.81 $4,426.00 $2,522.82 nat. median
$970
outlier · 2.6×
73219
CPT 		MRI Upper Extremity With Contrast Lt 7 $2,510.27 $4,404.00 $2,510.28 nat. median
$959
outlier · 2.6×
70542
CPT 		MRI Orbit Face Or Neck Without Contrast 7 $2,487.47 $4,364.00 $2,487.48 nat. median
$905
outlier · 2.7×
72198
CPT 		MRA Pelvis With Or Without Contrast 7 $2,476.64 $4,345.00 $2,476.65 nat. median
$1,149
outlier · 2.2×
71555
CPT 		MRI Check With & Without Contrast 7 $2,458.97 $4,314.00 $2,458.98 nat. median
$1,140
outlier · 2.2×
78452
CPT 		Nuc Med Spect Scan-multiple 7 $2,450.43 $4,299.00 $2,450.43 nat. median
$1,767
1.4× median
73225
CPT 		MRA Upper Extremity With Or Without Cont 7 $2,428.77 $4,261.00 $2,428.77 nat. median
$1,201
outlier · 2.0×
73722
CPT 		MRI Joint Of Lower Extremity With Contr Lt 7 $2,383.74 $4,182.00 $2,383.74 nat. median
$1,302
1.8× median
78227
CPT 		Nuc Med Hepatobiliary System With Injectio 7 $2,340.41 $4,106.00 $2,340.42 nat. median
$940
outlier · 2.5×
70551
CPT 		MRI Brain Without Contrast 7 $2,331.29 $4,090.00 $2,331.30 nat. median
$772
outlier · 3.0×
72195
CPT 		MRI Pelvis Without Contrast 7 $2,305.64 $4,045.00 $2,305.65 nat. median
$787
outlier · 2.9×
73218
CPT 		MRI Upper Extremity Without Contrast Lt 7 $2,305.64 $4,045.00 $2,305.65 nat. median
$896
outlier · 2.6×
73222
CPT 		MRI Joint Upper Extremity W Contr Lt 7 $2,305.64 $4,045.00 $2,305.65 nat. median
$1,313
1.8× median

Other procedures at this hospital

Browse this hospital's 1,543 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
             
Q4130 CPT Mesh Strattice 16 X 20 104 7 $21,657.50 $19,491.75 $8,599.01 $32,251.00 $14,694.41 2026-05-09
C1768 CPT Pv Fistula Gore Graft 4mm-7mm 45cm 104 7 $8,035.00 $7,231.50 $2,511.41 $10,029.00 $5,550.09 2026-05-09
78815 CPT PET Image W/ct Skull - Thigh 52 7 $7,062.00 $6,355.80 $3,367.55 $8,216.00 $4,683.12 2026-05-09
70549 CPT MRA Neck With & Without Contrast 26 7 $6,947.00 $6,252.30 $3,959.78 $6,947.00 $3,959.79 2026-05-09
70546 CPT MRA Head With & Without Contrast 26 7 $6,921.00 $6,228.90 $3,944.97 $6,921.00 $3,944.97 2026-05-09
71552 CPT MRI Chest With & Without Contrast 26 7 $6,291.00 $5,661.90 $3,585.87 $6,291.00 $3,585.87 2026-05-09
78816 CPT PET Scan W/ct Full Body 26 7 $5,979.00 $5,381.10 $3,408.02 $5,979.00 $3,408.03 2026-05-09
C1724 CPT Pv Jetstream Jetwire 52 7 $5,608.50 $5,047.65 $194.93 $10,875.00 $3,270.37 2026-05-09
73720 CPT MRI Lower Extremity No Joint W/wo Lt 52 7 $5,387.00 $4,848.30 $3,070.58 $5,387.00 $3,070.59 2026-05-09
78814 CPT PET Image W/ct Lmtd 26 7 $5,371.00 $4,833.90 $3,061.47 $5,371.00 $3,061.47 2026-05-09
74183 CPT MRI Abdomen With & Without Contrast 26 7 $5,355.00 $4,819.50 $3,052.35 $5,355.00 $3,052.35 2026-05-09
73220 CPT MRI Upper Extremity No Joint W/wo Rt 52 7 $5,335.00 $4,801.50 $3,040.95 $5,335.00 $3,040.95 2026-05-09
72197 CPT MRI Pelvis With & Without Contrast 26 7 $5,335.00 $4,801.50 $3,040.95 $5,335.00 $3,040.95 2026-05-09
70543 CPT MRI Orbit Face Neck With & Without Contrast 26 7 $5,222.00 $4,699.80 $2,976.54 $5,222.00 $2,976.54 2026-05-09
70553 CPT MRI Brain With & Without Cont 26 7 $5,111.00 $4,599.90 $2,913.26 $5,111.00 $2,913.27 2026-05-09
71551 CPT MRI Chest With Contrast 26 7 $5,099.00 $4,589.10 $2,906.43 $5,099.00 $2,906.43 2026-05-09
72156 CPT MRI Cervical Spine With & Without Contra 26 7 $4,990.00 $4,491.00 $2,844.29 $4,990.00 $2,844.30 2026-05-09
72158 CPT MRI Lumbar Spine With & Without Contrast 26 7 $4,978.00 $4,480.20 $2,837.45 $4,978.00 $2,837.46 2026-05-09
73723 CPT MRI Joint Lower Extrm W & Without Contr Lt 52 7 $4,966.00 $4,469.40 $2,830.62 $4,966.00 $2,830.62 2026-05-09
73223 CPT MRI Joint Upper Extremity With Wo Contr Lt 52 7 $4,940.00 $4,446.00 $2,815.79 $4,940.00 $2,815.80 2026-05-09
70548 CPT MRA Neck With Contrast 26 7 $4,917.00 $4,425.30 $2,802.68 $4,917.00 $2,802.69 2026-05-09
78813 CPT PET Image Full Body 26 7 $4,831.00 $4,347.90 $2,753.66 $4,831.00 $2,753.67 2026-05-09
74174 CPT CT Abdomen & Pelvis With Contrast 26 7 $4,817.00 $4,335.30 $2,745.68 $4,817.00 $2,745.69 2026-05-09
C1757 CPT Pv Angiojet Omni 6fr 120cm 78 7 $4,776.00 $4,298.40 $63.26 $5,115.00 $2,722.32 2026-05-09
70498 CPT CT Neck With Contrast 26 7 $4,730.00 $4,257.00 $2,696.10 $4,730.00 $2,696.10 2026-05-09
78812 CPT PET Image Skull - Thigh 26 7 $4,640.00 $4,176.00 $2,644.79 $4,640.00 $2,644.80 2026-05-09
71550 CPT MRI Chest Without Contrast 26 7 $4,607.00 $4,146.30 $2,625.99 $4,607.00 $2,625.99 2026-05-09
70544 CPT MRA Head Without Contrst 26 7 $4,587.00 $4,128.30 $2,614.58 $4,587.00 $2,614.59 2026-05-09
70547 CPT MRA Neck Without Contrast 26 7 $4,583.00 $4,124.70 $2,612.31 $4,583.00 $2,612.31 2026-05-09
72157 CPT MRI Spine Thoracic With & Without Contrast 26 7 $4,558.00 $4,102.20 $2,598.06 $4,558.00 $2,598.06 2026-05-09
70496 CPT CT Head With Contrast 26 7 $4,531.00 $4,077.90 $2,582.66 $4,531.00 $2,582.67 2026-05-09
72142 CPT MRI Cervical Spine With Contrast 26 7 $4,525.00 $4,072.50 $2,579.25 $4,525.00 $2,579.25 2026-05-09
70552 CPT MRI Brain With Contrast 26 7 $4,498.00 $4,048.20 $2,563.85 $4,498.00 $2,563.86 2026-05-09
70545 CPT MRA Head With Contrast 26 7 $4,479.00 $4,031.10 $2,553.02 $4,479.00 $2,553.03 2026-05-09
72159 CPT MRA Spine With Or Without Contrast 26 7 $4,463.00 $4,016.70 $2,543.91 $4,463.00 $2,543.91 2026-05-09
72196 CPT MRI Pelvis With Contrast 26 7 $4,454.00 $4,008.60 $2,538.77 $4,454.00 $2,538.78 2026-05-09
73719 CPT MRI Lower Extremity With Contrast Lt 52 7 $4,454.00 $4,008.60 $2,538.77 $4,454.00 $2,538.78 2026-05-09
72149 CPT MRI Lumbar Spine With Contrast 26 7 $4,426.00 $3,983.40 $2,522.81 $4,426.00 $2,522.82 2026-05-09
73219 CPT MRI Upper Extremity With Contrast Lt 52 7 $4,404.00 $3,963.60 $2,510.27 $4,404.00 $2,510.28 2026-05-09
70542 CPT MRI Orbit Face Or Neck Without Contrast 26 7 $4,364.00 $3,927.60 $2,487.47 $4,364.00 $2,487.48 2026-05-09
72198 CPT MRA Pelvis With Or Without Contrast 26 7 $4,345.00 $3,910.50 $2,476.64 $4,345.00 $2,476.65 2026-05-09
71555 CPT MRI Check With & Without Contrast 26 7 $4,314.00 $3,882.60 $2,458.97 $4,314.00 $2,458.98 2026-05-09
78452 CPT Nuc Med Spect Scan-multiple 26 7 $4,299.00 $3,869.10 $2,450.43 $4,299.00 $2,450.43 2026-05-09
73225 CPT MRA Upper Extremity With Or Without Cont 26 7 $4,261.00 $3,834.90 $2,428.77 $4,261.00 $2,428.77 2026-05-09
73722 CPT MRI Joint Of Lower Extremity With Contr Lt 52 7 $4,182.00 $3,763.80 $2,383.74 $4,182.00 $2,383.74 2026-05-09
78227 CPT Nuc Med Hepatobiliary System With Injectio 26 7 $4,106.00 $3,695.40 $2,340.41 $4,106.00 $2,340.42 2026-05-09
70551 CPT MRI Brain Without Contrast 26 7 $4,090.00 $3,681.00 $2,331.29 $4,090.00 $2,331.30 2026-05-09
73218 CPT MRI Upper Extremity Without Contrast Lt 52 7 $4,045.00 $3,640.50 $2,305.64 $4,045.00 $2,305.65 2026-05-09
73222 CPT MRI Joint Upper Extremity W Contr Lt 52 7 $4,045.00 $3,640.50 $2,305.64 $4,045.00 $2,305.65 2026-05-09
72195 CPT MRI Pelvis Without Contrast 26 7 $4,045.00 $3,640.50 $2,305.64 $4,045.00 $2,305.65 2026-05-09
73718 CPT MRI Lower Extremity Without Contr Lt 52 7 $3,995.00 $3,595.50 $2,277.14 $3,995.00 $2,277.15 2026-05-09
73721 CPT MRI Lower Extremity Joint Without Contra Lt 52 7 $3,930.00 $3,537.00 $2,240.10 $3,930.00 $2,240.10 2026-05-09
70540 CPT MRI Orbit/face/neck Without Contrast 26 7 $3,907.00 $3,516.30 $2,226.99 $3,907.00 $2,226.99 2026-05-09
72147 CPT MRI Thoracic Spine With Contrast 26 7 $3,886.00 $3,497.40 $2,215.02 $3,886.00 $2,215.02 2026-05-09
74175 CPT CT Abdomen W/wo Contrast 26 7 $3,867.00 $3,480.30 $2,204.18 $3,867.00 $2,204.19 2026-05-09
78454 CPT Nuc Med Ejection Fraction Multiple 26 7 $3,843.00 $3,458.70 $2,190.50 $3,843.00 $2,190.51 2026-05-09
73221 CPT MRI Upper Extemityjoint Without Contr Lt 52 7 $3,821.00 $3,438.90 $2,177.97 $3,821.00 $2,177.97 2026-05-09
78811 CPT PET Image Ltd Area 26 7 $3,807.00 $3,426.30 $2,169.99 $3,807.00 $2,169.99 2026-05-09
74178 CPT CT Abdomen & Pelvis With & Without Contrast 52 7 $3,773.00 $3,395.70 $2,150.60 $3,773.00 $2,150.61 2026-05-09
72191 CPT CT Pelvis With Contrast 26 7 $3,619.00 $3,257.10 $2,062.83 $3,619.00 $2,062.83 2026-05-09
74181 CPT MRI Abdomen Without Contrast 26 7 $3,499.00 $3,149.10 $1,994.42 $3,499.00 $1,994.43 2026-05-09
72146 CPT MRI Thoracic Spine Without Contrast 26 7 $3,477.00 $3,129.30 $1,981.88 $3,477.00 $1,981.89 2026-05-09
72141 CPT MRI Cervical Spine Without Contrast 26 7 $3,475.00 $3,127.50 $1,980.74 $3,475.00 $1,980.75 2026-05-09
72148 CPT MRI Lumbar Spine Without Contrast 26 7 $3,475.00 $3,127.50 $1,980.74 $3,475.00 $1,980.75 2026-05-09
C1781 CPT Mesh Parietex 15cm X 10cm 364 7 $2,610.00 $2,349.00 $267.33 $6,320.00 $1,940.85 2026-05-09
81229 CPT Chromosomal Microarray Blook 26 7 $3,397.00 $3,057.30 $1,936.28 $3,397.00 $1,936.29 2026-05-09
73706 CPT CT Lower Extremity With Contrast Lt 52 7 $3,376.00 $3,038.40 $1,924.32 $3,376.00 $1,924.32 2026-05-09
74170 CPT CT Abdomen With & Without Contrast 26 7 $3,357.00 $3,021.30 $1,913.48 $3,357.00 $1,913.49 2026-05-09
71275 CPT CT Chest With Contrast 26 7 $3,318.00 $2,986.20 $1,891.25 $3,318.00 $1,891.26 2026-05-09
70336 CPT MRI Temporal Mandible Joint 26 7 $3,315.00 $2,983.50 $1,889.54 $3,315.00 $1,889.55 2026-05-09
C2623 CPT Lutonix 035 6.0 X 100 Mm 5fr 26 7 $3,231.00 $2,907.90 $1,841.66 $3,231.00 $1,841.67 2026-05-09
78290 CPT Nuc Med Intestine 26 7 $3,102.00 $2,791.80 $1,768.13 $3,102.00 $1,768.14 2026-05-09
78261 CPT Nuc Med Intestine Imaging Meckels 26 7 $3,102.00 $2,791.80 $1,768.13 $3,102.00 $1,768.14 2026-05-09
78278 CPT Nuc Med Acute Gastrointestinal Bleed 26 7 $3,098.00 $2,788.20 $1,765.86 $3,098.00 $1,765.86 2026-05-09
70482 CPT CT Scan Orbit/ear Posterior Fossa With & 26 7 $3,096.00 $2,786.40 $1,764.71 $3,096.00 $1,764.72 2026-05-09
78315 CPT Nuc Med Bone Scan -3 Phase 26 7 $3,079.00 $2,771.10 $1,755.02 $3,079.00 $1,755.03 2026-05-09
73206 CPT CT Upper Extremity With Contrast Lt 26 7 $2,977.00 $2,679.30 $1,696.88 $2,977.00 $1,696.89 2026-05-09
78451 CPT Nuc Med Spect Scan - Single 26 7 $2,975.00 $2,677.50 $1,695.74 $2,975.00 $1,695.75 2026-05-09
78226 CPT Nuc Med Hepatobiliary 26 7 $2,955.00 $2,659.50 $1,684.35 $2,955.00 $1,684.35 2026-05-09
73202 CPT CT Scan Upper Extremity With & Without 26 7 $2,928.00 $2,635.20 $1,668.95 $2,928.00 $1,668.96 2026-05-09
73702 CPT CT Scan Lower Extremity With & Wo Lt 26 7 $2,921.00 $2,628.90 $1,664.96 $2,921.00 $1,664.97 2026-05-09
74177 CPT CT Abdomen & Pelvis With Contrast 52 7 $2,856.00 $2,570.40 $1,627.91 $2,856.00 $1,627.92 2026-05-09
70488 CPT CT Scan Maxillofacial With & Without Co 26 7 $2,837.00 $2,553.30 $1,617.09 $2,837.00 $1,617.09 2026-05-09
72194 CPT CT Scan Pelvis With & Without Contrast 26 7 $2,795.00 $2,515.50 $1,593.14 $2,795.00 $1,593.15 2026-05-09
70481 CPT CT Scan Orbit/ear Posterior Fossa With 26 7 $2,754.00 $2,478.60 $1,569.78 $2,754.00 $1,569.78 2026-05-09
72130 CPT CT Scan Thoracic Spine With & Without Co 26 7 $2,750.00 $2,475.00 $1,567.49 $2,750.00 $1,567.50 2026-05-09
72133 CPT CT Scan Lumbar Spine With & Without Cont 26 7 $2,745.00 $2,470.50 $1,564.64 $2,745.00 $1,564.65 2026-05-09
78582 CPT Nuc Medpulmonary Ventilation & Perfusion 26 7 $2,739.00 $2,465.10 $1,561.22 $2,739.00 $1,561.23 2026-05-09
71270 CPT CT Scan Chest With & Without Contrast 26 7 $2,735.00 $2,461.50 $1,558.94 $2,735.00 $1,558.95 2026-05-09
72127 CPT CT Scan Cervical Spine With & Without Co 26 7 $2,720.00 $2,448.00 $1,550.39 $2,720.00 $1,550.40 2026-05-09
70492 CPT CT Scan Neck With & Without Contrast 26 7 $2,706.00 $2,435.40 $1,542.41 $2,706.00 $1,542.42 2026-05-09
78453 CPT Nuc Med Ejection Fraction Single 26 7 $2,658.00 $2,392.20 $1,515.06 $2,658.00 $1,515.06 2026-05-09
C8902 CPT MRA Abdomen With & Without Contrast 26 7 $2,633.00 $2,369.70 $1,500.81 $2,633.00 $1,500.81 2026-05-09
C8914 CPT MRA Lower Extremity With Wo Contr Lt 52 7 $2,624.00 $2,361.60 $1,495.67 $2,624.00 $1,495.68 2026-05-09
78264 CPT Nuc Med Gastric Emptying 26 7 $2,579.00 $2,321.10 $1,470.03 $2,579.00 $1,470.03 2026-05-09
C8918 CPT MRA Pelvis With Contrast 26 7 $2,561.00 $2,304.90 $1,459.77 $2,561.00 $1,459.77 2026-05-09
C8900 CPT MRA Abdomen With Contrast 26 7 $2,482.00 $2,233.80 $1,414.73 $2,482.00 $1,414.74 2026-05-09
C8912 CPT MRA Lower Extremity With Contr Lt 52 7 $2,474.00 $2,226.60 $1,410.17 $2,474.00 $1,410.18 2026-05-09
74160 CPT CT Scan Liver/kidney/pelvis With Contras 26 7 $2,421.00 $2,178.90 $1,379.96 $2,421.00 $1,379.97 2026-05-09
C8919 CPT MRA Pelvis Without Contrast 26 7 $2,410.00 $2,169.00 $1,373.69 $2,410.00 $1,373.70 2026-05-09
70480 CPT CT Scan Orbit/ear Posterior Fossa Witho 26 7 $2,338.00 $2,104.20 $1,332.65 $2,338.00 $1,332.66 2026-05-09
C8901 CPT MRA Abdomen Without Contrast 26 7 $2,332.00 $2,098.80 $1,329.23 $2,332.00 $1,329.24 2026-05-09
C8913 CPT MRA Lower Extremity Without Contr Lt 52 7 $2,330.00 $2,097.00 $1,328.10 $2,330.00 $1,328.10 2026-05-09
70487 CPT CT Scan Maxillofacial With Contrast 26 7 $2,292.00 $2,062.80 $1,306.43 $2,292.00 $1,306.44 2026-05-09
81420 CPT Materni T21 Plus 26 7 $2,272.00 $2,044.80 $1,295.04 $2,272.00 $1,295.04 2026-05-09
73701 CPT CT Scan Lower Extremity With Contr Lt 26 7 $2,210.00 $1,989.00 $1,259.69 $2,210.00 $1,259.70 2026-05-09
72129 CPT CT Scan Thoracic Spine With Contrast 26 7 $2,205.00 $1,984.50 $1,256.85 $2,205.00 $1,256.85 2026-05-09
72126 CPT CT Scan Cervical Spine With Contrast 26 7 $2,205.00 $1,984.50 $1,256.85 $2,205.00 $1,256.85 2026-05-09
72132 CPT CT Scan Lumbar Spine With Contrast 26 7 $2,200.00 $1,980.00 $1,254.00 $2,200.00 $1,254.00 2026-05-09
71260 CPT CT Scan Chest With Contrast 26 7 $2,192.00 $1,972.80 $1,249.43 $2,192.00 $1,249.44 2026-05-09
70491 CPT CT Scan Neck With Contrast 26 7 $2,177.00 $1,959.30 $1,240.88 $2,177.00 $1,240.89 2026-05-09
73201 CPT CT Scan Upper Extremity With Contr Lt 26 7 $2,171.00 $1,953.90 $1,237.46 $2,171.00 $1,237.47 2026-05-09
78306 CPT Nuc Med Bone Scan Whole Body 26 7 $2,152.00 $1,936.80 $1,226.63 $2,152.00 $1,226.64 2026-05-09
72193 CPT CT Scan Pelvis With Contrast 26 7 $2,078.00 $1,870.20 $1,184.45 $2,078.00 $1,184.46 2026-05-09
36478 CPT Endovenous Laser 1st Vein 52 7 $1,849.00 $1,664.10 $277.59 $3,211.00 $1,158.63 2026-05-09
93306 CPT Vascular Echocardiogram 2d W/color 26 7 $2,000.00 $1,800.00 $1,140.00 $2,000.00 $1,140.00 2026-05-09
G0390 CPT Trauma Activation -critical Care Level 1 26 7 $1,932.00 $1,738.80 $1,101.24 $1,932.00 $1,101.24 2026-05-09
78472 CPT Nuc Med Rest Muga 26 7 $1,920.00 $1,728.00 $1,094.39 $1,920.00 $1,094.40 2026-05-09
G0416 CPT Prostate Biopsy Any Method 26 7 $1,919.00 $1,727.10 $1,093.83 $1,919.00 $1,093.83 2026-05-09
78580 CPT Nuc Med Perfusion Lung Scan 26 7 $1,918.00 $1,726.20 $1,093.26 $1,918.00 $1,093.26 2026-05-09
C1894 CPT Pv Optease Femoral Sheath/introducer 26 7 $1,880.00 $1,692.00 $1,071.60 $1,880.00 $1,071.60 2026-05-09
C1880 CPT Pv Optease Jugular Filter 26 7 $1,879.00 $1,691.10 $1,071.03 $1,879.00 $1,071.03 2026-05-09
70486 CPT CT Maxilofacial Area Without Contrast 26 7 $1,879.00 $1,691.10 $1,071.03 $1,879.00 $1,071.03 2026-05-09
78761 CPT Nuc Med Testicular 26 7 $1,825.00 $1,642.50 $1,040.25 $1,825.00 $1,040.25 2026-05-09
72125 CPT CT Scan Cervical Spine Without Contrast 26 7 $1,764.00 $1,587.60 $1,005.47 $1,764.00 $1,005.48 2026-05-09
72128 CPT CT Scan Thoracic Spine Without Contrast 26 7 $1,762.00 $1,585.80 $1,004.33 $1,762.00 $1,004.34 2026-05-09
74280 CPT X-ray Colon With Air Contrast 26 7 $1,755.00 $1,579.50 $1,000.34 $1,755.00 $1,000.35 2026-05-09
70460 CPT CT Scan Head Or Brain With Contrast 26 7 $1,754.00 $1,578.60 $999.77 $1,754.00 $999.78 2026-05-09
72131 CPT CT Scan Lumbar Spine Without Contrast 26 7 $1,751.00 $1,575.90 $998.06 $1,751.00 $998.07 2026-05-09
73700 CPT CT Scan Lower Extremity Wo Contr Lt 26 7 $1,742.00 $1,567.80 $992.93 $1,742.00 $992.94 2026-05-09
71250 CPT CT Scan Chest Without Contrast 26 7 $1,742.00 $1,567.80 $992.93 $1,742.00 $992.94 2026-05-09
78215 CPT Nuc Med Liver Spleen Static 26 7 $1,740.00 $1,566.00 $991.80 $1,740.00 $991.80 2026-05-09
73200 CPT CT Scan Upper Extremity Wo Contr Lt 26 7 $1,737.00 $1,563.30 $990.08 $1,737.00 $990.09 2026-05-09
70490 CPT CT Scan Neck Without Contrast 26 7 $1,737.00 $1,563.30 $990.08 $1,737.00 $990.09 2026-05-09
36573 CPT Picc Insertion W/guidance 5+ Yrs 26 7 $1,735.00 $1,561.50 $988.94 $1,735.00 $988.95 2026-05-09
A0433 CPT Als2 Emergent 26 7 $1,714.00 $1,542.60 $976.97 $1,714.00 $976.98 2026-05-09
70470 CPT CT Scan Head Or Brain With & Without Co 26 7 $1,694.00 $1,524.60 $965.57 $1,694.00 $965.58 2026-05-09
76942 CPT Ultrasound Guidance Needle Placement 26 7 $1,676.00 $1,508.40 $955.31 $1,676.00 $955.32 2026-05-09
72192 CPT CT Scan Pelvis Without Contrast 26 7 $1,636.00 $1,472.40 $932.51 $1,636.00 $932.52 2026-05-09
74150 CPT CT Abdomen Without Contrast 26 7 $1,631.00 $1,467.90 $929.67 $1,631.00 $929.67 2026-05-09
78700 CPT Nuc Med Renal 26 7 $1,574.00 $1,416.60 $897.18 $1,574.00 $897.18 2026-05-09
78013 CPT Nuc Med Thyroid 26 7 $1,557.00 $1,401.30 $887.48 $1,557.00 $887.49 2026-05-09
36569 CPT Picc Insertion 26 7 $1,532.00 $1,378.80 $873.23 $1,532.00 $873.24 2026-05-09
78230 CPT Nuc Med Salivary Glands 26 7 $1,528.00 $1,375.20 $870.95 $1,528.00 $870.96 2026-05-09
78579 CPT Nuc Med Pulmonary Ventilation 26 7 $1,526.00 $1,373.40 $869.81 $1,526.00 $869.82 2026-05-09
78300 CPT Nuc Med Bone And/or Joint Limited 26 7 $1,524.00 $1,371.60 $868.68 $1,524.00 $868.68 2026-05-09
74176 CPT CT Abdomen & Pelvis Without Contrast 52 7 $1,511.00 $1,359.90 $861.27 $1,511.00 $861.27 2026-05-09
74249 CPT X-ray Ugi With Small Bowel Follow Throug 26 7 $1,507.00 $1,356.30 $858.98 $1,507.00 $858.99 2026-05-09
25624 CPT Treat Wrist Bone Fracture 26 7 $1,497.00 $1,347.30 $853.29 $1,497.00 $853.29 2026-05-09
99291 CPT Critical Care-ER 26 7 $1,447.00 $1,302.30 $824.79 $1,447.00 $824.79 2026-05-09
Q4101 CPT Apligraf Per 1 Sq Cm 26 7 $1,432.00 $1,288.80 $816.23 $1,432.00 $816.24 2026-05-09
78481 CPT Nuc Med First Pass Images 26 7 $1,427.00 $1,284.30 $813.39 $1,427.00 $813.39 2026-05-09
11011 CPT Debride Skin Musc Fx Site 26 7 $1,423.00 $1,280.70 $811.10 $1,423.00 $811.11 2026-05-09
A0999 CPT Gemt Supplemental Payment 26 7 $1,414.00 $1,272.60 $805.97 $1,414.00 $805.98 2026-05-09
81263 CPT Neogenomics Tgvh Mutation Analysis 26 7 $1,412.00 $1,270.80 $804.83 $1,412.00 $804.84 2026-05-09
Q4159 CPT Affinity 2.5x2.5 52 7 $1,376.00 $1,238.40 $784.31 $1,376.00 $784.32 2026-05-09
A0434 CPT Special Care Trans 26 7 $1,351.00 $1,215.90 $770.06 $1,351.00 $770.07 2026-05-09
78012 CPT Nuc Med Thyroid With Uptake/scan 26 7 $1,348.00 $1,213.20 $768.35 $1,348.00 $768.36 2026-05-09
70450 CPT CT Scan Head Or Brain Without Contrast 26 7 $1,346.00 $1,211.40 $767.21 $1,346.00 $767.22 2026-05-09
99285 CPT Emer Rm Class V 26 7 $1,342.00 $1,207.80 $764.93 $1,342.00 $764.94 2026-05-09
92610 CPT Evaluation: Oral And Pharyngeal Function 26 7 $1,306.00 $1,175.40 $744.42 $1,306.00 $744.42 2026-05-09
92611 CPT Swallowing Functn Eval Video Fluoro 26 7 $1,306.00 $1,175.40 $744.42 $1,306.00 $744.42 2026-05-09
74270 CPT X-ray Colon Barium With & Without Kub 26 7 $1,277.00 $1,149.30 $727.89 $1,277.00 $727.89 2026-05-09
28192 CPT Removal Of Foot Foreign Body 26 7 $1,268.00 $1,141.20 $722.76 $1,268.00 $722.76 2026-05-09
81270 CPT Jakv617f 26 7 $1,267.00 $1,140.30 $722.18 $1,267.00 $722.19 2026-05-09
C1750 CPT Glide Path Cath 19 Cm 26 7 $1,242.00 $1,117.80 $707.93 $1,242.00 $707.94 2026-05-09
C1788 CPT Port MRI Paver 9.6 Fr 52 7 $1,091.50 $982.35 $536.37 $1,242.00 $707.94 2026-05-09
C1888 CPT Evlt Kit 26 7 $1,240.00 $1,116.00 $706.80 $1,240.00 $706.80 2026-05-09
75635 CPT CTA Angio Abdominal Arteries 26 7 $1,233.00 $1,109.70 $702.81 $1,233.00 $702.81 2026-05-09
74420 CPT X-ray Urogram Retrograde 26 7 $1,204.00 $1,083.60 $686.28 $1,204.00 $686.28 2026-05-09
80171 CPT Gabatril/tiagabine 26 7 $1,187.00 $1,068.30 $676.58 $1,187.00 $676.59 2026-05-09
81227 CPT Cyp 2d6 Genotyping 26 7 $1,185.00 $1,066.50 $675.44 $1,185.00 $675.45 2026-05-09
A0427 CPT Als1 Emergent 26 7 $1,182.00 $1,063.80 $673.73 $1,182.00 $673.74 2026-05-09
36430 CPT Blood Admin 0-2 Hrs 104 7 $1,088.00 $979.20 $351.11 $1,382.00 $672.03 2026-05-09
C1725 CPT Coyote 4.0 X 100 X 150 416 7 $949.00 $854.10 $281.58 $3,553.00 $670.23 2026-05-09
74415 CPT X-ray Urgraphy Infusion With Nephrotomog 26 7 $1,165.00 $1,048.50 $664.05 $1,165.00 $664.05 2026-05-09
75978 CPT Transluminal Balloon Angioplasty Venous 26 7 $1,159.00 $1,043.10 $660.63 $1,159.00 $660.63 2026-05-09
78070 CPT Nuc Med Parathyroid 26 7 $1,158.00 $1,042.20 $660.06 $1,158.00 $660.06 2026-05-09
74240 CPT X-ray Ugi With Kub 26 7 $1,137.00 $1,023.30 $648.08 $1,137.00 $648.09 2026-05-09
73580 CPT X-ray Knee Arthrography 26 7 $1,135.00 $1,021.50 $646.94 $1,135.00 $646.95 2026-05-09
11626 CPT Exc S/n/h/f/g Mal+mrg >4 Cm 26 7 $1,124.00 $1,011.60 $640.68 $1,124.00 $640.68 2026-05-09
78010 CPT Nuc Med Thyroid 26 7 $1,120.00 $1,008.00 $638.40 $1,120.00 $638.40 2026-05-09
78466 CPT Nuc Med Cardiac Pyrophospha 26 7 $1,114.00 $1,002.60 $634.97 $1,114.00 $634.98 2026-05-09
75822 CPT X-ray Venogram Bilateral 26 7 $1,088.00 $979.20 $620.16 $1,088.00 $620.16 2026-05-09
C1881 CPT Pv Bioflo 24cm Duramax 26 7 $1,073.00 $965.70 $611.60 $1,073.00 $611.61 2026-05-09
81222 CPT Cftr Gene Variants 26 7 $1,056.00 $950.40 $601.92 $1,056.00 $601.92 2026-05-09
Q4196 CPT Puraply Am 1.6 Disc 104 7 $858.50 $772.65 $294.69 $1,200.00 $600.50 2026-05-09
C1713 CPT 2.7 Crtx Scrw 60mm 260 7 $988.00 $889.20 $105.44 $1,210.00 $598.50 2026-05-09
76642 CPT Ultrasound Breast Uni Bilateral 52 7 $835.50 $751.95 $317.48 $1,114.00 $595.99 2026-05-09
A0429 CPT Bls Emergent 26 7 $998.00 $898.20 $568.85 $998.00 $568.86 2026-05-09
76700 CPT Ultrasound Abdominal 26 7 $998.00 $898.20 $568.85 $998.00 $568.86 2026-05-09
74246 CPT X-ray Stomach With Barium 26 7 $983.00 $884.70 $560.31 $983.00 $560.31 2026-05-09
11606 CPT Exc Tr-ext Mal + Marg > 4 Cm 52 7 $828.50 $745.65 $215.45 $1,279.00 $553.51 2026-05-09
76872 CPT Ultrasound Transrectal 26 7 $969.00 $872.10 $552.32 $969.00 $552.33 2026-05-09
47500 CPT X-ray Injection Cholangiogram 26 7 $969.00 $872.10 $552.32 $969.00 $552.33 2026-05-09
36479 CPT Rhc Endovenous Laser Vein On 26 7 $963.00 $866.70 $548.91 $963.00 $548.91 2026-05-09
93350 CPT Stress Echocardiogram Tte Only 26 7 $955.00 $859.50 $544.34 $955.00 $544.35 2026-05-09
75820 CPT X-ray Venogram Unilateral Lt 26 7 $952.00 $856.80 $542.64 $952.00 $542.64 2026-05-09
76770 CPT Ultrasound Retroperitoneal 26 7 $948.00 $853.20 $540.35 $948.00 $540.36 2026-05-09
93978 CPT Ultrasound Retroperitoneal Rt 26 7 $948.00 $853.20 $540.35 $948.00 $540.36 2026-05-09
88309 CPT Tissue Exam By Pathologist Level 6 26 7 $941.00 $846.90 $536.37 $941.00 $536.37 2026-05-09
76536 CPT Ultrasound Head And Neck Soft Tissue 26 7 $935.00 $841.50 $532.94 $935.00 $532.95 2026-05-09
93308 CPT Echocardiograph Y 2d Mmode F/up 26 7 $923.00 $830.70 $526.10 $923.00 $526.11 2026-05-09
76830 CPT Ultrasound Transvaginal 26 7 $918.00 $826.20 $523.26 $918.00 $523.26 2026-05-09
76870 CPT Ultrasound Scrotum 26 7 $916.00 $824.40 $522.12 $916.00 $522.12 2026-05-09
74400 CPT X-ray Urography Intravn W/wo Kub/tomgrph 26 7 $908.00 $817.20 $517.56 $908.00 $517.56 2026-05-09
76856 CPT Ultrasound Pelvic 26 7 $905.00 $814.50 $515.84 $905.00 $515.85 2026-05-09
73115 CPT X-ray Wrist Arthrographygraphy 26 7 $903.00 $812.70 $514.70 $903.00 $514.71 2026-05-09
74410 CPT X-ray Urography Infusion 26 7 $903.00 $812.70 $514.70 $903.00 $514.71 2026-05-09
96105 CPT Assessment Of Aphasia 26 7 $896.00 $806.40 $510.71 $896.00 $510.72 2026-05-09
76881 CPT Ultrasound Extremity Non-vascular Lt 26 7 $894.00 $804.60 $509.58 $894.00 $509.58 2026-05-09
59426 CPT Antepartum Care Only 7 + Visits 26 7 $891.00 $801.90 $507.86 $891.00 $507.87 2026-05-09
74250 CPT X-ray Small Bowel 26 7 $886.00 $797.40 $505.02 $886.00 $505.02 2026-05-09
93017 CPT Stress Test Chemical 26 7 $864.00 $777.60 $492.47 $864.00 $492.48 2026-05-09
27818 CPT Treat Ankle Fx 52 7 $820.00 $738.00 $66.11 $1,524.00 $492.34 2026-05-09
87533 CPT Herpes Virus 6 Dna, Quant Real-time Pcr 26 7 $858.00 $772.20 $489.05 $858.00 $489.06 2026-05-09
75630 CPT Abdominal Aortogram W/bilateral Runoff 26 7 $854.00 $768.60 $486.78 $854.00 $486.78 2026-05-09
73615 CPT X-ray Ankle Arthrographygraphy 26 7 $850.00 $765.00 $484.49 $850.00 $484.50 2026-05-09
76380 CPT CT Limited Study 26 7 $829.00 $746.10 $472.53 $829.00 $472.53 2026-05-09
73040 CPT X-ray Shoulder Arthrography 26 7 $827.00 $744.30 $471.39 $827.00 $471.39 2026-05-09
C1765 CPT Interceed 26 7 $826.00 $743.40 $470.81 $826.00 $470.82 2026-05-09
P9035 CPT Platelet Pheresis Leuko Reduced 26 7 $823.00 $740.70 $469.10 $823.00 $469.11 2026-05-09
81331 CPT Prader Willi Syndrome Mutation Analysis 26 7 $818.00 $736.20 $466.25 $818.00 $466.26 2026-05-09
81256 CPT Hemochro Mutation Detection 52 7 $741.50 $667.35 $112.28 $1,286.00 $465.01 2026-05-09
26420 CPT Repair Graft Finger Tendon 26 7 $805.00 $724.50 $458.84 $805.00 $458.85 2026-05-09
73525 CPT X-ray Hip Arthrography 26 7 $801.00 $720.90 $456.56 $801.00 $456.57 2026-05-09
77075 CPT X-ray Osseous Survey- Adult 26 7 $795.00 $715.50 $453.15 $795.00 $453.15 2026-05-09
43239 CPT Skilled Esophagogastroduod/b 26 7 $795.00 $715.50 $453.15 $795.00 $453.15 2026-05-09
77076 CPT X-ray Osseous Survey-infant 26 7 $791.00 $711.90 $450.86 $791.00 $450.87 2026-05-09
97003 CPT Occupational Therapy Evaluation 26 7 $790.00 $711.00 $450.29 $790.00 $450.30 2026-05-09
76705 CPT Ultrasound Abdominal Limited 26 7 $779.00 $701.10 $444.03 $779.00 $444.03 2026-05-09
16030 CPT Debridement Without Ane 26 7 $777.00 $699.30 $442.89 $777.00 $442.89 2026-05-09
76816 CPT Ultrasound OB Scan-follow Up 26 7 $775.00 $697.50 $441.74 $775.00 $441.75 2026-05-09
86833 CPT Donor Specific Antibody Prt 2 26 7 $769.00 $692.10 $438.33 $769.00 $438.33 2026-05-09
86832 CPT Donor Specific Antibody Prt 1 26 7 $769.00 $692.10 $438.33 $769.00 $438.33 2026-05-09
76857 CPT Ultrasound Pelvic Limited 26 7 $763.00 $686.70 $434.90 $763.00 $434.91 2026-05-09
73085 CPT X-ray Elbow Arthrography 26 7 $763.00 $686.70 $434.90 $763.00 $434.91 2026-05-09
96111 CPT Developmental Testing: Pediatric/ Extend 26 7 $761.00 $684.90 $433.77 $761.00 $433.77 2026-05-09
92522 CPT Speech Therapy Evaluation Sound Productn 26 7 $760.00 $684.00 $433.20 $760.00 $433.20 2026-05-09
92523 CPT Speech Therapy Eval Sound/lanuage 26 7 $760.00 $684.00 $433.20 $760.00 $433.20 2026-05-09
92521 CPT Speech Therapy Evaluation Of Fluency 26 7 $760.00 $684.00 $433.20 $760.00 $433.20 2026-05-09
92524 CPT Speech Therapy Eval Behavioral/qualit 26 7 $760.00 $684.00 $433.20 $760.00 $433.20 2026-05-09
A0426 CPT Als1 Non Emergent 26 7 $749.00 $674.10 $426.92 $749.00 $426.93 2026-05-09
99284 CPT Emer Rm Class IV 26 7 $748.00 $673.20 $426.35 $748.00 $426.36 2026-05-09
25246 CPT X-ray Injection Wrist Arthrography 26 7 $742.00 $667.80 $422.93 $742.00 $422.94 2026-05-09
20103 CPT Exploration Of Penetraing Wound - Extrem 52 7 $628.50 $565.65 $295.83 $738.00 $420.66 2026-05-09
88377 CPT M/phmtrc Alys Ishquant Semiq Ea Manual 26 7 $734.00 $660.60 $418.37 $734.00 $418.38 2026-05-09
74455 CPT X-ray Voiding Cystourethrogam 26 7 $728.00 $655.20 $414.96 $728.00 $414.96 2026-05-09
59425 CPT Antepartum Care Only 26 7 $717.00 $645.30 $408.68 $717.00 $408.69 2026-05-09
26740 CPT Treat Finger Fracture Each 26 7 $711.00 $639.90 $405.27 $711.00 $405.27 2026-05-09
0097U CPT Gastrointestinal Panel By Pcr 26 7 $710.00 $639.00 $404.70 $710.00 $404.70 2026-05-09
74425 CPT X-ray Loopogram 26 7 $709.00 $638.10 $404.12 $709.00 $404.13 2026-05-09
27093 CPT X-ray Injection Hip Arthrography 26 7 $708.00 $637.20 $403.55 $708.00 $403.56 2026-05-09
74220 CPT X-ray Esophagus 26 7 $708.00 $637.20 $403.55 $708.00 $403.56 2026-05-09
76641 CPT Ultrasound Breast Uni Or Bilat 26 7 $704.00 $633.60 $401.28 $704.00 $401.28 2026-05-09
76805 CPT Ultrasound Complete OB Scan >= 14 Weeks 26 7 $695.00 $625.50 $396.15 $695.00 $396.15 2026-05-09
50690 CPT X-ray Injection Loopogram 26 7 $692.00 $622.80 $394.43 $692.00 $394.44 2026-05-09
0034U CPT Tpmt And Nudt15 Genotyping 26 7 $684.00 $615.60 $389.87 $684.00 $389.88 2026-05-09
74230 CPT X-ray Video Swallow Function 26 7 $683.00 $614.70 $389.30 $683.00 $389.31 2026-05-09
J0461 CPT Atropine 0.4mg/ml 20ml Vial 104 7 $561.00 $504.90 $175.55 $814.00 $385.99 2026-05-09
88307 CPT Tissues Exam By Pathologist Level 5 26 7 $675.00 $607.50 $384.74 $675.00 $384.75 2026-05-09
24220 CPT X-ray Injection Elbow Arthrography 26 7 $675.00 $607.50 $384.74 $675.00 $384.75 2026-05-09
11424 CPT Exc H-f-nk-sp B9+marg 3.1-4 26 7 $667.00 $600.30 $380.18 $667.00 $380.19 2026-05-09
46040 CPT Incis Rectal Abcess 26 7 $667.00 $600.30 $380.18 $667.00 $380.19 2026-05-09
12031 CPT Intmd Wnd Repair S/a/t/ext 52 7 $553.00 $497.70 $160.73 $824.00 $375.84 2026-05-09
0202U CPT Viruses In Resp Panel By Pcr 26 7 $656.00 $590.40 $373.91 $656.00 $373.92 2026-05-09
81403 CPT B Center Patient Antigen Profile 104 7 $569.00 $512.10 $202.35 $1,210.00 $372.78 2026-05-09
97004 CPT Occupational Therapy Re-evaluation 26 7 $653.00 $587.70 $372.21 $653.00 $372.21 2026-05-09
55250 CPT Rhc Removal Of Sperm Duct - Vasectomy 26 7 $650.00 $585.00 $370.49 $650.00 $370.50 2026-05-09
71034 CPT X-ray Chest Fluoroscopy 4+ Views 26 7 $645.00 $580.50 $367.65 $645.00 $367.65 2026-05-09
36590 CPT Rem.centr.venous Dev 26 7 $643.00 $578.70 $366.51 $643.00 $366.51 2026-05-09
74740 CPT X-ray Hysterosalpingogram 26 7 $629.00 $566.10 $358.53 $629.00 $358.53 2026-05-09
26686 CPT Optx Carp/mtcrpl Dislocation Complx 26 7 $626.00 $563.40 $356.82 $626.00 $356.82 2026-05-09
27825 CPT Treat Lower Leg Frac 26 7 $623.00 $560.70 $355.10 $623.00 $355.11 2026-05-09
87496 CPT Cytomegalovirus By Pcr - Viracor 26 7 $620.00 $558.00 $353.40 $620.00 $353.40 2026-05-09
81596 CPT Fibrotest Actitest 26 7 $618.00 $556.20 $352.26 $618.00 $352.26 2026-05-09
76800 CPT Ultrasound Spine 26 7 $616.00 $554.40 $351.11 $616.00 $351.12 2026-05-09
82492 CPT Coenzyme Q10 26 7 $613.00 $551.70 $349.40 $613.00 $349.41 2026-05-09
96125 CPT St Evaluation Cognitave Test 52 7 $491.00 $441.90 $210.89 $612.00 $348.84 2026-05-09
27766 CPT Open Tx Medial Ankle Fx 26 7 $609.00 $548.10 $347.13 $609.00 $347.13 2026-05-09
87497 CPT Cytomegalovirus By Pcr, Qual 78 7 $499.00 $449.10 $195.51 $620.00 $343.00 2026-05-09
76604 CPT Ultrasound Chest 26 7 $600.00 $540.00 $341.99 $600.00 $342.00 2026-05-09
99292 CPT Addl 30 Min-crit.car 26 7 $594.00 $534.60 $338.58 $594.00 $338.58 2026-05-09
58340 CPT X-ray Hysterosalpingogram Injection 26 7 $590.00 $531.00 $336.29 $590.00 $336.30 2026-05-09
95834 CPT Mmt: Total Eval Of Body/ With Hands 26 7 $588.00 $529.20 $335.15 $588.00 $335.16 2026-05-09
76815 CPT Ultrasound OB Scan-limited 26 7 $587.00 $528.30 $334.59 $587.00 $334.59 2026-05-09
27266 CPT Cl Tx Post Op Hip Disloc W Anesth 26 7 $586.00 $527.40 $334.02 $586.00 $334.02 2026-05-09
77054 CPT X-ray Galactogram Multiple Ducts 26 7 $586.00 $527.40 $334.02 $586.00 $334.02 2026-05-09
92526 CPT Treatment: Swallowing/oral Dysfunction 26 7 $582.00 $523.80 $331.73 $582.00 $331.74 2026-05-09
90847 CPT Psychotherapy, Family With Patient 50min 26 7 $581.00 $522.90 $331.16 $581.00 $331.17 2026-05-09
90846 CPT Psychotherapy, Family Without Patient 50 Min 26 7 $581.00 $522.90 $331.16 $581.00 $331.17 2026-05-09
24065 CPT Biopsy Arm/elbow Soft Tissue 26 7 $581.00 $522.90 $331.16 $581.00 $331.17 2026-05-09
11406 CPT Rhc Excision Trunk/arm >4.0 Cm 104 7 $497.50 $447.75 $47.87 $909.00 $327.18 2026-05-09
86161 CPT Alt Complement Pathway, Funct, Serum 26 7 $572.00 $514.80 $326.03 $572.00 $326.04 2026-05-09
87507 CPT Filmarray Infectious Diarrhea Panel 52 7 $478.00 $430.20 $140.22 $710.00 $325.35 2026-05-09
74290 CPT X-ray Gallbladder (ocg) 26 7 $568.00 $511.20 $323.76 $568.00 $323.76 2026-05-09
88299 CPT Chromosome Analysis Periperal Bld Prt 2 26 7 $568.00 $511.20 $323.76 $568.00 $323.76 2026-05-09
11644 CPT Rhc Excision Face/eyes/ears/neck 3.1-4 C 78 7 $568.00 $511.20 $66.11 $775.00 $323.76 2026-05-09
76706 CPT Ultrasound Abdominal Aortic Aneurysm Scr 26 7 $567.00 $510.30 $323.19 $567.00 $323.19 2026-05-09
87799 CPT Bk Virus Transplant Viracor Urine 182 7 $485.00 $436.50 $165.86 $1,060.00 $322.05 2026-05-09
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