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

KANSAS SURGERY & RECOVERY CENTER

Wichita, KS · CCN 170183 · Rates published

507 distinct procedures filed
5 distinct payers
6,354 rate rows
2025-03-25 last MRF observed · ⚠ 16 mo old
Data quality

6,263 of 6,354 rate rows are consumer-grade (98.6%)

91 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 80
placeholder amount (≤ $0.02) — excluded from medians 11

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://irp.cdn-website.com/fa377abf/files/uploaded/481148580_kansas-surgery---recovery-center-llc_standardcharges.csv
Found on page https://www.kansas.surgery/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint cc1a534c7753eaed… · 18,384,713 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
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 5 $21,682.10 $39,256.22 $27,088.28 nat. median
$34,720
0.8× median
469
MS_DRG 		Maj Hip & Knee Joint Repl Or Reattach Lower Extremity W Mcc Or Tot Ankl Repl 5 $20,691.44 $37,340.00 $25,368.08 nat. median
$31,075
0.8× median
464
MS_DRG 		Wound Debride & Skin Graft Xcpt Hand For Musc/skeletal & Conn Tissue D/o W Cc 5 $18,665.15 $31,925.00 $23,248.18 nat. median
$30,262
0.8× median
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 5 $18,128.34 $32,822.01 $23,027.10 nat. median
$28,254
0.8× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 5 $16,605.94 $30,065.64 $21,002.42 nat. median
$27,218
0.8× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 $15,551.84 $29,204.92 $19,408.08 nat. median
$26,699
0.7× median
C1767
HCPCS 		Pain Scs Generator Proclaim 5 $13,950.00 $23,616.00 $18,025.00 nat. median
$22,481
0.8× median
470
MS_DRG 		Major Hip & Knee Joint Replacement Or Reattachment Of Lower Extr Without Mcc 5 $11,935.54 $21,609.72 $16,801.79 nat. median
$20,055
0.8× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 5 $13,656.08 $24,724.82 $16,560.73 nat. median
$22,403
0.7× median
655
MS_DRG 		Major Bladder Procedures Without Cc/mcc 5 $13,149.67 $18,168.00 $15,803.80 nat. median
$21,449
0.7× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 5 $12,768.59 $23,117.98 $15,474.25 nat. median
$20,396
0.8× median
465
MS_DRG 		Wound Debride & Skin Graft Xcpt Hand For Muscul & Conn Tissue D/o Without Cc/mcc 5 $10,989.81 $19,897.44 $15,284.58 nat. median
$18,439
0.8× median
585
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 5 $11,238.53 $27,655.02 $15,119.29 nat. median
$19,623
0.8× median
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 5 $13,425.66 $24,307.63 $14,927.83 nat. median
$21,377
0.7× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 5 $11,934.91 $18,663.00 $14,359.94 nat. median
$19,793
0.7× median
501
MS_DRG 		Soft Tissue Procedures With Cc 5 $11,297.45 $20,454.45 $13,592.97 nat. median
$17,876
0.8× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 5 $11,168.76 $20,320.35 $13,503.85 nat. median
$17,921
0.8× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 5 $10,451.11 $18,265.00 $13,334.32 nat. median
$17,703
0.8× median
142
MS_DRG 		Major Head And Neck Procedures Without Cc/mcc 5 $9,953.56 $18,021.28 $13,163.06 nat. median
$16,535
0.8× median
578
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 5 $7,452.60 $14,219.00 $12,566.76 nat. median
$16,942
0.7× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 5 $10,042.19 $18,181.73 $12,307.86 nat. median
$17,025
0.7× median
487
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 5 $10,002.94 $18,110.67 $12,232.11 nat. median
$16,416
0.7× median
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/mcc 5 $9,253.44 $16,679.00 $11,769.40 nat. median
$16,153
0.7× median
581
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 5 $8,894.69 $19,794.99 $10,961.51 nat. median
$14,835
0.7× median
502
MS_DRG 		Soft Tissue Procedures Without Cc/mcc 5 $8,610.44 $16,013.31 $10,372.13 nat. median
$14,387
0.7× median
C1821
HCPCS 		Pain Superion Implant 5 $8,900.00 $10,947.00 $9,923.50 nat. median
$3,460
outlier · 2.9×
489
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 5 $7,839.28 $14,193.30 $9,691.20 nat. median
$12,953
0.7× median
903
MS_DRG 		Wound Debridements For Injuries Without Cc/mcc 5 $6,386.98 $13,972.11 $9,285.14 nat. median
$12,800
0.7× median
743
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 5 $7,587.98 $13,738.30 $9,129.76 nat. median
$13,186
0.7× median
476
MS_DRG 		Amputation For Musculoskeletal Syst & Connective Tissue Disorders Without Cc/mcc 5 $7,362.62 $13,330.29 $8,603.56 nat. median
$12,739
0.7× median
599
MS_DRG 		Malignant Breast Disorders Without Cc/mcc 5 $4,511.45 $9,798.01 $6,511.25 nat. median
$9,045
0.7× median
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 5 $5,226.82 $9,463.35 $6,198.50 nat. median
$8,775
0.7× median
544
MS_DRG 		Patholog Fractures & Musc/skeletal & Connective Tissue Malignancy Without Cc/mcc 5 $4,783.71 $8,661.08 $5,828.14 nat. median
$8,547
0.7× median
566
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 5 $4,057.11 $10,270.98 $5,697.82 nat. median
$8,374
0.7× median
554
MS_DRG 		Bone Diseases And Arthropathies Without Mcc 5 $62.22 $9,565.35 $5,336.48 nat. median
$9,260
0.6× median
C1062
HCPCS 		Pain Spinejack-stryker 5 $4,448.50 $5,471.66 $4,960.08 nat. median
$4,723
1.1× median
V2785
HCPCS 		Eye Graft Cornea - Dmek 5 $810.00 $6,334.50 $4,888.00 nat. median
$5,399
0.9× median
Q4116
HCPCS 		Bonebank Alloderm 4 X 16cm 4 $31.37 $7,597.80 $4,064.70 nat. median
$174
outlier · 23.4×
C1889
HCPCS 		Pain Mild Implant 5 $700.00 $9,698.30 $3,564.66 nat. median
$2,392
1.5× median
Q4130
HCPCS 		Bonebank Strattice Pliable 8x16 Cm 5 $2,963.00 $3,644.49 $3,303.74 nat. median
$405
outlier · 8.2×
Q4100
HCPCS 		Ovitex Mesh 10 X 20 5 $1,854.35 $4,237.60 $2,870.40 nat. median
$1,878
1.5× median
C1776
HCPCS 		Total Arthrosurface Hip Implant 5 $1.00 $12,300.00 $2,448.11 nat. median
$3,432
0.7× median
Q4128
HCPCS 		Bonebank Coll E Derm Patch 5x4 4 $31.37 $6,912.00 $2,055.00 nat. median
$122
outlier · 16.8×
C1778
HCPCS 		Pain Scs Perm Lead Octrode 5 $103.00 $2,461.23 $2,001.00 nat. median
$4,308
outlier · 0.5×
C1771
HCPCS 		Cysto Sling Lynx Blue System 5 $830.00 $2,246.77 $1,774.45 nat. median
$2,413
0.7× median
72285
HCPCS 		Discography Cervical 5 $266.00 $4,225.77 $1,772.49 nat. median
$1,956
0.9× median
72295
HCPCS 		Discography Lumbar 5 $266.00 $4,225.77 $1,772.49 nat. median
$2,005
0.9× median
15824
HCPCS 		Forehead Lift 5 $984.00 $1,691.04 $1,493.50 nat. median
$2,496
0.6× median
C1762
HCPCS 		Bonebank Tendon Semi T No Rad 5 $1,100.00 $1,968.00 $1,484.15 nat. median
$2,935
0.5× median
C1789
HCPCS 		General Breast Allergan Tissue Expander 5 $15.70 $2,004.90 $1,227.91 nat. median
$1,979
0.6× median

Other procedures at this hospital

Browse this hospital's 507 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
             
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 5 $51,848.00 $51,588.76 $21,682.10 $39,256.22 $27,088.28 2025-03-25
469 MS_DRG Maj Hip & Knee Joint Repl Or Reattach Lower Extremity W Mcc Or Tot Ankl Repl 8 5 $37,340.00 $37,153.30 $20,691.44 $37,340.00 $25,368.08 2025-03-25
464 MS_DRG Wound Debride & Skin Graft Xcpt Hand For Musc/skeletal & Conn Tissue D/o W Cc 8 5 $31,925.00 $31,765.38 $18,665.15 $31,925.00 $23,248.18 2025-03-25
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 8 5 $39,835.00 $39,635.83 $18,128.34 $32,822.01 $23,027.10 2025-03-25
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 8 5 $42,275.00 $42,063.63 $16,605.94 $30,065.64 $21,002.42 2025-03-25
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 8 5 $36,197.00 $36,016.02 $15,551.84 $29,204.92 $19,408.08 2025-03-25
C1767 HCPCS Pain Scs Generator Proclaim 24 5 $33,990.00 $33,820.05 $13,950.00 $23,616.00 $18,025.00 2025-03-25
470 MS_DRG Major Hip & Knee Joint Replacement Or Reattachment Of Lower Extr Without Mcc 8 5 $33,743.00 $33,574.29 $11,935.54 $21,609.72 $16,801.79 2025-03-25
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 8 5 $26,107.00 $25,976.47 $13,656.08 $24,724.82 $16,560.73 2025-03-25
655 MS_DRG Major Bladder Procedures Without Cc/mcc 8 5 $18,168.00 $18,077.16 $13,149.67 $18,168.00 $15,803.80 2025-03-25
908 MS_DRG Other O.r. Procedures For Injuries With Cc 8 5 $31,069.00 $30,913.66 $12,768.59 $23,117.98 $15,474.25 2025-03-25
465 MS_DRG Wound Debride & Skin Graft Xcpt Hand For Muscul & Conn Tissue D/o Without Cc/mcc 8 5 $37,369.00 $37,182.16 $10,989.81 $19,897.44 $15,284.58 2025-03-25
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 8 5 $66,993.00 $66,658.04 $11,238.53 $27,655.02 $15,119.29 2025-03-25
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 8 5 $33,425.00 $33,257.88 $13,425.66 $24,307.63 $14,927.83 2025-03-25
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 8 5 $18,663.00 $18,569.69 $11,934.91 $18,663.00 $14,359.94 2025-03-25
501 MS_DRG Soft Tissue Procedures With Cc 8 5 $25,526.00 $25,398.37 $11,297.45 $20,454.45 $13,592.97 2025-03-25
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 8 5 $50,702.00 $50,448.49 $11,168.76 $20,320.35 $13,503.85 2025-03-25
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 8 5 $18,265.00 $18,173.68 $10,451.11 $18,265.00 $13,334.32 2025-03-25
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 8 5 $26,590.00 $26,457.05 $9,953.56 $18,021.28 $13,163.06 2025-03-25
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 8 5 $14,219.00 $14,147.91 $7,452.60 $14,219.00 $12,566.76 2025-03-25
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 8 5 $25,818.00 $25,688.91 $10,042.19 $18,181.73 $12,307.86 2025-03-25
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 8 5 $32,102.00 $31,941.49 $10,002.94 $18,110.67 $12,232.11 2025-03-25
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 8 5 $16,679.00 $16,595.61 $9,253.44 $16,679.00 $11,769.40 2025-03-25
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 8 5 $21,151.00 $21,045.25 $8,894.69 $19,794.99 $10,961.51 2025-03-25
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 8 5 $24,219.00 $24,097.91 $8,610.44 $16,013.31 $10,372.13 2025-03-25
C1821 HCPCS Pain Superion Implant 8 5 $17,800.00 $17,711.00 $8,900.00 $10,947.00 $9,923.50 2025-03-25
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 8 5 $27,667.00 $27,528.67 $7,839.28 $14,193.30 $9,691.20 2025-03-25
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 8 5 $18,010.00 $17,919.95 $6,386.98 $13,972.11 $9,285.14 2025-03-25
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 8 5 $15,296.00 $15,219.52 $7,587.98 $13,738.30 $9,129.76 2025-03-25
476 MS_DRG Amputation For Musculoskeletal Syst & Connective Tissue Disorders Without Cc/mcc 8 5 $13,892.00 $13,822.54 $7,362.62 $13,330.29 $8,603.56 2025-03-25
599 MS_DRG Malignant Breast Disorders Without Cc/mcc 8 5 $11,609.00 $11,550.96 $4,511.45 $9,798.01 $6,511.25 2025-03-25
125 MS_DRG Other Disorders Of The Eye Without Mcc 8 5 $11,965.00 $11,905.18 $5,226.82 $9,463.35 $6,198.50 2025-03-25
544 MS_DRG Patholog Fractures & Musc/skeletal & Connective Tissue Malignancy Without Cc/mcc 8 5 $10,364.00 $10,312.18 $4,783.71 $8,661.08 $5,828.14 2025-03-25
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 8 5 $13,307.00 $13,240.47 $4,057.11 $10,270.98 $5,697.82 2025-03-25
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 8 5 $30,199.00 $30,048.01 $62.22 $9,565.35 $5,336.48 2025-03-25
C1062 HCPCS Pain Spinejack-stryker 8 5 $8,897.00 $8,852.52 $4,448.50 $5,471.66 $4,960.08 2025-03-25
V2785 HCPCS Eye Graft Cornea - Dmek 20 5 $9,400.00 $9,353.00 $810.00 $6,334.50 $4,888.00 2025-03-25
Q4116 HCPCS Bonebank Alloderm 4 X 16cm 33 4 $7,504.00 $5,599.86 25% off $31.37 $7,597.80 $4,064.70 2025-03-25
C1889 HCPCS Pain Mild Implant 30 5 $6,394.00 $6,362.03 $700.00 $9,698.30 $3,564.66 2025-03-25
Q4130 HCPCS Bonebank Strattice Pliable 8x16 Cm 8 5 $5,926.00 $5,896.37 $2,963.00 $3,644.49 $3,303.74 2025-03-25
Q4100 HCPCS Ovitex Mesh 10 X 20 20 5 $5,520.00 $5,492.40 $1,854.35 $4,237.60 $2,870.40 2025-03-25
C1776 HCPCS Total Arthrosurface Hip Implant 510 5 $4,511.50 $4,477.50 $1.00 $12,300.00 $2,448.11 2025-03-25
Q4128 HCPCS Bonebank Coll E Derm Patch 5x4 9 4 $4,110.00 $4,089.45 $31.37 $6,912.00 $2,055.00 2025-03-25
C1778 HCPCS Pain Scs Perm Lead Octrode 15 5 $4,000.00 $3,980.00 $103.00 $2,461.23 $2,001.00 2025-03-25
C1771 HCPCS Cysto Sling Lynx Blue System 19 5 $3,261.86 $3,245.55 $830.00 $2,246.77 $1,774.45 2025-03-25
72285 HCPCS Discography Cervical 8 5 $4,385.00 $4,363.08 $266.00 $4,225.77 $1,772.49 2025-03-25
72295 HCPCS Discography Lumbar 8 5 $4,385.00 $4,363.08 $266.00 $4,225.77 $1,772.49 2025-03-25
15824 HCPCS Forehead Lift 8 5 $1,600.00 $1,592.00 $984.00 $1,691.04 $1,493.50 2025-03-25
C1762 HCPCS Bonebank Tendon Semi T No Rad 18 5 $2,750.00 $2,736.25 $1,100.00 $1,968.00 $1,484.15 2025-03-25
C1789 HCPCS General Breast Allergan Tissue Expander 43 5 $2,350.00 $1,838.76 22% off $15.70 $2,004.90 $1,227.91 2025-03-25
36569 HCPCS Picc Line Insertion 8 5 $1,265.00 $1,258.68 $632.50 $1,436.08 $1,149.64 2025-03-25
C1783 HCPCS Eye Ahmed Glaucoma Valve Flexible Plate 11 5 $2,000.00 $1,990.00 $1,000.00 $2,091.00 $1,115.00 2025-03-25
77058 HCPCS MRI Breast W & Without Cont-unilateral 8 5 $1,907.00 $1,897.47 $953.50 $1,172.80 $1,063.15 2025-03-25
0360 RC — 33 5 $1,650.00 $1,641.75 $70.11 $15,321.50 $1,014.75 2025-03-25
V2790 HCPCS Eye Amniograft 2.0 X 1.5cm 8 5 $1,620.00 $1,611.90 $810.00 $996.30 $903.15 2025-03-25
C9355 HCPCS Bonebank Neuromatrix Nerve Cuff 8 5 $1,557.00 $778.50 50% off $778.50 $957.56 $868.03 2025-03-25
62304 HCPCS Myelography Lumbosacral 8 5 $3,743.00 $3,724.29 $716.05 $2,232.94 $791.18 2025-03-25
0270 RC — 8 5 $1,316.00 $1,309.42 $658.00 $809.34 $733.67 2025-03-25
0278 RC — 8 5 $1,310.00 $1,303.45 $655.00 $805.65 $730.33 2025-03-25
62302 HCPCS Myelography Cervical 8 5 $3,743.00 $3,724.29 $266.00 $2,232.94 $724.29 2025-03-25
62303 HCPCS Myelography Thoracic 8 5 $3,743.00 $3,724.29 $266.00 $2,232.94 $724.29 2025-03-25
62305 HCPCS Myelography 2 Or More Regions 8 5 $5,255.00 $5,228.73 $266.00 $2,627.50 $724.29 2025-03-25
73222 HCPCS MRI Joint Upper Ext W/cont 16 5 $911.50 $906.95 $207.00 $1,616.00 $716.05 2025-03-25
73722 HCPCS MRI Joint Lower Ext W/cont 16 5 $911.50 $906.95 $207.00 $1,616.00 $716.05 2025-03-25
71552 HCPCS MRI Chest W & Without Cont 8 5 $1,907.00 $1,897.47 $323.67 $1,907.00 $696.63 2025-03-25
C1897 HCPCS Pain Scs Trial Lead Octrode 11 5 $1,200.00 $1,194.00 $600.00 $2,337.00 $669.00 2025-03-25
L8612 HCPCS Eye Baerveldt Glaucoma Implant 8 5 $1,200.00 $1,194.00 $600.00 $738.00 $669.00 2025-03-25
C9399 HCPCS Bonebank Dermis On Demand 8 5 $1,190.00 $1,184.05 $595.00 $731.85 $663.42 2025-03-25
70548 HCPCS MRA Neck W Contrast 8 5 $1,616.00 $1,607.92 $323.67 $1,044.00 $659.10 2025-03-25
92960 HCPCS Cardioversion 8 5 $1,422.00 $1,414.89 $593.08 $1,422.00 $657.97 2025-03-25
72197 HCPCS MRI Pelvis W & Without Cont 8 5 $1,907.00 $1,897.47 $323.67 $1,242.67 $655.15 2025-03-25
73223 HCPCS MRI Joint Upper Ext W & Without Cont 8 5 $1,616.00 $1,607.92 $323.67 $1,201.95 $644.97 2025-03-25
62273 HCPCS Inj Puncture Of Shunt Tubing/rese For As 11 5 $645.00 $641.78 $322.50 $852.00 $627.65 2025-03-25
72142 HCPCS MRI C-spine W/cont 8 5 $1,616.00 $1,607.92 $323.67 $1,130.33 $627.07 2025-03-25
72147 HCPCS MRI T-spine With Cont 8 5 $1,616.00 $1,607.92 $323.67 $1,067.56 $611.37 2025-03-25
73719 HCPCS MRI Non Joint Lower Ext W/cont 8 5 $1,616.00 $1,607.92 $323.67 $1,044.00 $605.48 2025-03-25
62311 HCPCS Inj Non Neurolitic Substance Lumb/sacr 8 5 $1,073.00 $1,067.64 $536.50 $659.90 $598.20 2025-03-25
62310 HCPCS Inj Non Neurolitic Substance Cerv/thor 8 5 $1,073.00 $1,067.64 $536.50 $659.90 $598.20 2025-03-25
70547 HCPCS MRA Neck Without Cont 8 5 $1,616.00 $1,607.92 $219.08 $1,044.00 $590.26 2025-03-25
27096 HCPCS Inj Proc Sacroiliac Arthrography 8 5 $1,072.00 $1,066.64 $356.14 $809.31 $582.73 2025-03-25
C1814 HCPCS Eye Silicone Oil 1000 10 5 $1,002.62 $997.61 $459.95 $616.61 $558.96 2025-03-25
L8610 HCPCS Eye Sphere 16mm 8 5 $1,000.00 $500.00 50% off $500.00 $615.00 $557.50 2025-03-25
V2787 HCPCS Eye Cataract Torics Lens 8 5 $990.00 $985.05 $495.00 $608.85 $551.92 2025-03-25
77047 HCPCS MRI Breast Without Cont-bilateral 8 5 $2,081.00 $2,070.60 $219.08 $1,044.00 $538.06 2025-03-25
70336 HCPCS MRI Tmj Without 8 5 $1,385.00 $1,378.08 $219.08 $1,044.00 $538.06 2025-03-25
0361 RC — 20 5 $981.00 $976.10 $37.00 $1,764.44 $534.70 2025-03-25
70498 HCPCS CTA Neck W/cont 8 5 $1,890.00 $1,880.55 $161.35 $879.95 $472.30 2025-03-25
71275 HCPCS CTA Chest W/cont 8 5 $1,890.00 $1,880.55 $161.35 $867.96 $469.30 2025-03-25
24220 HCPCS Inj Elbow Arthrogram 8 5 $699.00 $695.51 $226.63 $699.00 $462.81 2025-03-25
23350 HCPCS Injection Proc Shoulder Arthrography 8 5 $699.00 $695.51 $222.58 $699.00 $460.79 2025-03-25
74177 HCPCS CT Abdomen/pelvis With Contrast 8 5 $1,575.00 $1,567.13 $323.67 $866.13 $456.32 2025-03-25
C1781 HCPCS Mesh Polypropylene 10 X 14 48 5 $789.00 $785.06 $86.80 $3,100.93 $453.86 2025-03-25
0710 RC — 12 5 $799.00 $795.01 $23.50 $491.38 $445.44 2025-03-25
77012 HCPCS CT Guidance Needle Placement 8 5 $1,365.00 $1,358.18 $331.97 $534.00 $432.99 2025-03-25
74174 HCPCS CTA Abdomen/pelvis 8 5 $1,890.00 $1,880.55 $323.67 $1,280.32 $432.07 2025-03-25
71270 HCPCS CT Thorax W & Without Cont 8 5 $1,890.00 $1,880.55 $161.35 $707.66 $429.23 2025-03-25
74170 HCPCS CT Abdomen W & Without Cont 8 5 $1,890.00 $1,880.55 $161.35 $697.28 $426.63 2025-03-25
72194 HCPCS CT Pelvis W & Without Cont 8 5 $1,890.00 $1,880.55 $161.35 $684.12 $423.34 2025-03-25
J2760 HCPCS Phentolamine Mesylate Inj Pwdforsoln 5mg 8 5 $620.00 $616.90 $310.00 $550.36 $403.91 2025-03-25
27370 HCPCS Inj Arthrogram Ankle 8 5 $719.00 $715.41 $359.50 $442.18 $400.84 2025-03-25
70482 HCPCS CT Orbit/sella/post-fossa/iac W/wo Cont 8 5 $1,890.00 $1,880.55 $161.35 $591.09 $400.09 2025-03-25
72127 HCPCS CT C-spine W & Without Cont 8 5 $1,890.00 $1,880.55 $161.35 $588.65 $399.48 2025-03-25
72133 HCPCS CT Lumbar Spine W & Without Contrast 8 5 $1,890.00 $1,880.55 $161.35 $588.03 $399.32 2025-03-25
72130 HCPCS CT Thoracis Spine W & Without 8 5 $1,890.00 $1,880.55 $161.35 $586.81 $399.01 2025-03-25
70488 HCPCS CT Maxillofacial W/wo Contrast 8 5 $1,890.00 $1,880.55 $161.35 $584.37 $398.40 2025-03-25
70492 HCPCS CT Soft Tissue Neck W/wo Contrast 8 5 $1,890.00 $1,880.55 $161.35 $581.08 $397.58 2025-03-25
73702 HCPCS CT Lower Ext W & Without Cont 8 5 $1,890.00 $1,880.55 $161.35 $562.76 $393.00 2025-03-25
73202 HCPCS CT Upper Ext W & Without Cont 8 5 $1,890.00 $1,880.55 $161.35 $557.84 $391.77 2025-03-25
74160 HCPCS CT Abdomen W/cont 8 5 $1,575.00 $1,567.13 $161.35 $554.25 $390.88 2025-03-25
73701 HCPCS CT Lower Ext W Cont 8 5 $1,575.00 $1,567.13 $161.35 $534.00 $385.81 2025-03-25
72129 HCPCS CT T-spine W/cont 8 5 $1,575.00 $1,567.13 $161.35 $534.00 $385.81 2025-03-25
70491 HCPCS CT Soft Tissue Neck With Contrast 8 5 $1,575.00 $1,567.13 $161.35 $534.00 $385.81 2025-03-25
77049 HCPCS MRI Breast W & Without Cont-bilateral 16 5 $1,534.50 $1,526.83 $103.50 $1,431.00 $367.06 2025-03-25
88121 HCPCS Cytopathology In Situ Ut Spec 3-5mp Cat 8 5 $690.00 $686.55 $39.34 $642.82 $341.08 2025-03-25
73580 HCPCS Arthrography Knee 8 5 $357.00 $355.22 $160.13 $357.00 $323.67 2025-03-25
73115 HCPCS Arthrography Wrist 8 5 $357.00 $355.22 $118.95 $357.00 $323.67 2025-03-25
73040 HCPCS Arthrography Shoulder 8 5 $357.00 $355.22 $133.37 $357.00 $323.67 2025-03-25
73201 HCPCS CT Read Upper Ext W/cont,professional Component 16 5 $891.00 $886.55 $207.00 $866.13 $323.67 2025-03-25
72158 HCPCS MRI L-spine W & Without Cont 16 5 $1,259.00 $1,252.71 $207.00 $1,221.95 $323.67 2025-03-25
73219 HCPCS MRI Read Upper Ext W Cont,professional Component 16 5 $911.50 $906.95 $207.00 $1,044.00 $323.67 2025-03-25
73220 HCPCS MRI Read Upper Ext W & Without Cont,professional Component 16 5 $1,259.00 $1,252.71 $207.00 $1,499.70 $323.67 2025-03-25
72157 HCPCS MRI Read T-spine W & Without Cont,professional Component 16 5 $1,131.00 $1,125.35 $207.00 $1,652.47 $323.67 2025-03-25
72156 HCPCS MRI C-spine W & Without Cont 16 5 $1,057.00 $1,051.72 $207.00 $1,222.51 $323.67 2025-03-25
72149 HCPCS MRI L-spine W/cont 16 5 $911.50 $906.95 $207.00 $1,082.31 $323.67 2025-03-25
72132 HCPCS CT L-spine W/cont 16 5 $891.00 $886.55 $207.00 $866.13 $323.67 2025-03-25
72126 HCPCS CT C-spine W/cont 16 5 $891.00 $886.55 $207.00 $866.13 $323.67 2025-03-25
73525 HCPCS Arthrography Hip 8 5 $357.00 $355.22 $121.06 $357.00 $323.67 2025-03-25
70553 HCPCS MRI Brain W Cont Only 16 5 $911.50 $906.95 $207.00 $1,232.56 $323.67 2025-03-25
70543 HCPCS MRI Orbit/face/neck W & Without Cont 16 5 $642.50 $639.29 $207.00 $1,078.00 $323.67 2025-03-25
73085 HCPCS Arthrography Elbow 8 5 $357.00 $355.22 $121.06 $357.00 $323.67 2025-03-25
73615 HCPCS Arthrography Ankle 8 5 $389.00 $387.06 $126.00 $389.00 $323.67 2025-03-25
74183 HCPCS MRI Abdomen W & Without Cont 16 5 $1,057.00 $1,051.72 $207.00 $1,907.00 $323.67 2025-03-25
74178 HCPCS CT Abdomen/pelvis W & Without Cont 16 5 $1,101.00 $1,095.50 $207.00 $866.13 $323.67 2025-03-25
73720 HCPCS MRI Lower Ext Nonjoint W & Without Cont 16 5 $1,259.00 $1,252.71 $207.00 $1,499.65 $323.67 2025-03-25
73723 HCPCS MRI Joint Lower Ext W & Without Cont 16 5 $1,057.00 $1,051.72 $207.00 $1,201.38 $323.67 2025-03-25
25246 HCPCS Inj Wrist Arthrography 8 5 $719.00 $715.41 $226.63 $382.00 $304.31 2025-03-25
J7315 HCPCS Mitomycin 0.2mg/vial Ophth Kit 10 5 $400.00 $398.00 $72.28 $400.00 $300.00 2025-03-25
27369 HCPCS Inj Arthrogram Knee 8 5 $719.00 $715.41 $201.34 $382.00 $291.67 2025-03-25
27093 HCPCS Inj Proc Hip Arthrography Wo Anes 8 5 $719.00 $715.41 $222.58 $359.50 $291.04 2025-03-25
27095 HCPCS Inj Proc Hip Arthrography W/anes 8 5 $698.00 $694.51 $222.58 $349.00 $285.79 2025-03-25
93970 HCPCS Duplex Scan Exremity Veins Bilateral 8 5 $1,361.00 $1,354.20 $219.08 $548.99 $285.75 2025-03-25
93925 HCPCS Duplex Scan Lower Ext Arteries Bilateral 8 5 $1,361.00 $1,354.20 $219.08 $548.99 $285.75 2025-03-25
70490 HCPCS CT Soft Tissue Neck Wo Contrast 8 5 $1,365.00 $1,358.18 $96.38 $534.00 $283.23 2025-03-25
70480 HCPCS CT Orbit/sella/post-fossa/iac Wo Cont 8 5 $1,365.00 $1,358.18 $96.38 $534.00 $283.23 2025-03-25
C1713 HCPCS Open Anchor Mini Tac 2.0mm 2/#2-0 Ub Ndl 1,026 5 $485.64 $477.60 $1.00 $12,300.00 $270.30 2025-03-25
0370 RC — 28 5 $482.00 $479.59 $151.50 $589.78 $268.71 2025-03-25
C1788 HCPCS General Port A Cath Power Clearvue 8fr. 10 5 $470.00 $467.65 $235.00 $297.66 $262.02 2025-03-25
74420 HCPCS Urography Retrograde W/wo Kub 8 5 $260.00 $258.70 $159.90 $330.14 $260.00 2025-03-25
74742 HCPCS Transcervical Catherization 8 5 $394.00 $392.03 $242.31 $269.25 $255.78 2025-03-25
95991 HCPCS Refill & Maint Implant Pump By Phys 8 5 $253.00 $251.74 $126.50 $272.89 $253.00 2025-03-25
95990 HCPCS Refill & Maint Implant Pump 8 5 $253.00 $251.74 $126.50 $306.63 $253.00 2025-03-25
88309 HCPCS Pathology Level 6 8 5 $409.00 $406.96 $51.87 $409.00 $244.37 2025-03-25
88344 HCPCS Path Ihc Per Spec Ea Multiplex Antibody 8 5 $318.00 $316.41 $158.69 $318.00 $238.34 2025-03-25
62290 HCPCS Inj Discography Lumbar 8 5 $288.00 $286.56 $177.12 $288.00 $232.56 2025-03-25
95927 HCPCS Neuro Monitoring-trunk Or Head 8 5 $229.00 $227.86 $140.84 $287.87 $229.00 2025-03-25
62291 HCPCS Inj Discography Cervical/thoracic 11 5 $303.00 $301.49 $151.50 $303.00 $227.25 2025-03-25
74740 HCPCS Hsg Supervision And Interpretation 8 5 $719.00 $715.41 $93.59 $548.99 $221.59 2025-03-25
77054 HCPCS Mammary Ductogram, Multiple Duct 8 5 $229.00 $227.86 $140.84 $229.00 $219.41 2025-03-25
76000 HCPCS Fluoro Guidance Kyphoplasty 8 5 $569.00 $566.16 $126.83 $548.99 $219.41 2025-03-25
72141 HCPCS MRI C-spine Without Cont 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
72146 HCPCS MRI Read T-spine Without Cont,professional Component 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
73218 HCPCS MRI Read Upper Ext Without Cont,professional Component 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
73221 HCPCS MRI Joint Upper Ext Without Cont 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
71550 HCPCS MRI Chest Without Contrast 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
72148 HCPCS MRI L Spine Without Cont 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
74181 HCPCS MRI Abdomen Without Cont 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
73718 HCPCS MRI Lower Ext Nonjoint Without Cont 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
73721 HCPCS MRI Joint Lower Ext Without Cont 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
70551 HCPCS MRI Brain Without Cont 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
70544 HCPCS MRA Head Without Cont 16 5 $911.50 $906.95 $207.00 $1,044.00 $219.08 2025-03-25
74176 HCPCS CT Abdomen/pelvis Without Cont 16 5 $786.00 $782.08 $207.00 $548.99 $219.08 2025-03-25
72195 HCPCS MRI Pelvis Without Cont 16 5 $796.00 $792.02 $207.00 $1,044.00 $219.08 2025-03-25
70540 HCPCS MRI Orbit/face/neck Without Cont 16 5 $607.50 $604.47 $207.00 $1,008.00 $219.08 2025-03-25
58340 HCPCS Hysterosalpingography 8 5 $717.00 $713.42 $49.58 $382.00 $215.79 2025-03-25
74300 HCPCS Surgical Cholangiogram 8 5 $279.00 $277.61 $155.02 $266.00 $210.51 2025-03-25
0320 RC — 10 5 $285.00 $283.58 $142.50 $266.00 $204.25 2025-03-25
77001 HCPCS Fluoro Guidance Central Venous Access 8 5 $279.00 $277.61 $124.45 $266.00 $195.22 2025-03-25
C1769 HCPCS Cysto Zipwire .035 X 150cm Straight 14 5 $344.10 $342.38 $20.00 $243.82 $191.84 2025-03-25
P9021 HCPCS Lab Blood Transfusion 8 5 $544.00 $541.28 $141.43 $334.56 $191.16 2025-03-25
96360 HCPCS IV Hydration Therapy 1st Hr 8 5 $214.00 $212.93 $97.13 $214.00 $190.95 2025-03-25
96365 HCPCS IV Infusion Therapy 1st Hr 8 5 $214.00 $212.93 $97.13 $214.00 $190.95 2025-03-25
0272 RC — 36 5 $342.17 $340.46 $39.00 $632.90 $187.55 2025-03-25
71260 HCPCS CT Read Thorax W/cont,professional Component 16 5 $891.00 $886.55 $161.35 $566.04 $184.18 2025-03-25
70470 HCPCS CT Head/brain W & Without Contrast 16 5 $1,048.50 $1,043.26 $161.35 $564.67 $184.18 2025-03-25
70496 HCPCS CTA Brain W And Without Cont 16 5 $1,048.50 $1,043.26 $161.35 $879.24 $184.18 2025-03-25
72193 HCPCS CT Pelvis W/cont 16 5 $891.00 $886.55 $161.35 $545.27 $184.18 2025-03-25
77053 HCPCS Mammary Ductogram, Single Duct 8 5 $173.00 $172.14 $106.40 $223.46 $173.00 2025-03-25
76998 HCPCS Ultrasound Intraoperative 8 5 $222.00 $220.89 $120.40 $222.00 $171.20 2025-03-25
88364 HCPCS Each Addt Single Probe Stain 8 5 $239.00 $237.81 $119.50 $222.73 $171.12 2025-03-25
93971 HCPCS Duplex Scan Right Extremity Veins Limite 8 5 $906.00 $901.47 $96.38 $503.00 $166.94 2025-03-25
74240 HCPCS X-ray Upper Gi W/kub 8 5 $191.00 $190.05 $111.89 $191.00 $163.21 2025-03-25
93926 HCPCS Duplex Scan Xlower Extremity Arteries 8 5 $906.00 $901.47 $96.38 $348.04 $160.26 2025-03-25
0761 RC — 8 5 $284.00 $282.58 $142.00 $174.66 $158.33 2025-03-25
76942 HCPCS Duplex Scan Needle Placement 8 5 $222.00 $220.89 $90.30 $218.25 $154.28 2025-03-25
88365 HCPCS In Situ Hybridization, Per Specimen 8 5 $239.00 $237.81 $66.05 $238.74 $152.40 2025-03-25
73200 HCPCS CT Read Upper Ext Without Cont,professional Component 16 5 $786.00 $782.08 $96.38 $534.00 $151.69 2025-03-25
72131 HCPCS CT L-spine Without Cont 16 5 $786.00 $782.08 $96.38 $534.00 $151.69 2025-03-25
72128 HCPCS CT Read T-spine Without Cont,professional Component 16 5 $786.00 $782.08 $96.38 $534.00 $151.69 2025-03-25
71250 HCPCS CT Read Thorax Without Cont,professional Component 16 5 $786.00 $782.08 $96.38 $534.00 $151.69 2025-03-25
72192 HCPCS CT Pelvis Without Cont 16 5 $786.00 $782.08 $96.38 $534.00 $151.69 2025-03-25
72125 HCPCS CT C-spine Without Cont 16 5 $786.00 $782.08 $96.38 $534.00 $151.69 2025-03-25
73700 HCPCS CT Lower Ext Without Cont 16 5 $786.00 $782.08 $96.38 $534.00 $151.69 2025-03-25
74150 HCPCS CT Abdomen Without Cont 16 5 $786.00 $782.08 $96.38 $534.00 $151.69 2025-03-25
70450 HCPCS CT Head/brain Without Contrast 16 5 $786.00 $782.08 $96.38 $534.00 $151.69 2025-03-25
70486 HCPCS CT Maxillofacial Without Contrast 16 5 $786.00 $782.08 $96.38 $534.00 $151.69 2025-03-25
V2632 HCPCS Eye Cataract Premium Clareon 10 5 $268.00 $266.66 $83.05 $164.82 $149.41 2025-03-25
88367 HCPCS Morphometric Analysis In Situ Hybrid 8 5 $212.00 $210.94 $94.45 $212.00 $146.56 2025-03-25
20930 HCPCS Bonebank Cancellous Coarse2 4-9.5mm 5 Cc 8 5 $260.00 $258.70 $130.00 $159.90 $144.95 2025-03-25
74010 HCPCS X-ray Abdomen 2-3 Views 8 5 $191.00 $190.05 $95.50 $191.00 $143.25 2025-03-25
88341 HCPCS Immunohistochemistry Per Specimen Ea Add 8 5 $200.00 $199.00 $83.66 $192.23 $137.94 2025-03-25
88307 HCPCS Pathology Level 5 8 5 $212.00 $210.94 $32.21 $212.00 $129.12 2025-03-25
C9776 HCPCS Interop Fluo Bile Duct Imaging W/icg 8 5 $171.80 $85.90 50% off $85.90 $171.80 $128.85 2025-03-25
95971 HCPCS Analysis Of Neurstimulator 8 5 $269.00 $267.66 $83.19 $234.64 $121.88 2025-03-25
76770 HCPCS Ultrasound Renal 8 5 $525.00 $522.38 $89.03 $251.26 $121.16 2025-03-25
76098 HCPCS Faxitron Radiological Exam, Surg Spec 8 5 $121.00 $120.40 $30.34 $506.88 $121.00 2025-03-25
74301 HCPCS Surgical Cholangiogram Add Aset 8 5 $146.00 $145.27 $89.79 $146.00 $117.89 2025-03-25
74000 HCPCS X-ray Abdomen 1 View 8 5 $156.00 $155.22 $78.00 $156.00 $117.00 2025-03-25
C2625 HCPCS Cysto Stent Ureter Percuflex 6fr X 24 8 5 $208.00 $206.96 $104.00 $127.92 $115.96 2025-03-25
76857 HCPCS Ultrasound Bladder 8 5 $525.00 $522.38 $55.65 $251.26 $112.98 2025-03-25
73523 HCPCS X-ray Hips Bilateral W Pelvis Min 5 View 8 5 $231.00 $229.85 $96.38 $231.00 $106.91 2025-03-25
88333 HCPCS =>scp Cytology Order<= 8 5 $160.00 $80.00 50% off $45.40 $160.00 $102.70 2025-03-25
73522 HCPCS X-ray Hips Bilateral W Pelvis 3-4 Views 8 5 $212.00 $210.94 $96.38 $212.00 $102.16 2025-03-25
96374 HCPCS IV Push Initial Substance 8 5 $84.00 $83.58 $42.00 $194.77 $101.19 2025-03-25
97163 HCPCS Pt Eval- High,licensed Pt Or Pta 11 5 $134.00 $133.33 $67.00 $152.00 $100.50 2025-03-25
J2997 HCPCS Alteplase 2mg Vial 8 5 $297.72 $296.23 $87.68 $148.86 $99.34 2025-03-25
71046 HCPCS X-ray Chest 2 View 8 5 $156.00 $155.22 $78.00 $156.00 $97.90 2025-03-25
73521 HCPCS X-ray Hips Bilateral W/pelvis 2 Views 8 5 $191.00 $190.05 $95.50 $191.00 $97.49 2025-03-25
72050 HCPCS X-ray Spine Cervical Spine 4 Or 5 Views 8 5 $213.00 $211.94 $72.02 $213.00 $97.49 2025-03-25
73503 HCPCS Xray Hip Unilateral W/pelvis Min 4 Views 8 5 $181.00 $180.10 $90.50 $181.00 $97.49 2025-03-25
72052 HCPCS X-ray Spine Cervical Inc Obli & Flex Ext 8 5 $191.00 $190.05 $76.53 $191.00 $97.49 2025-03-25
72070 HCPCS X-ray Ribs Unilateral 2 View 8 5 $191.00 $190.05 $50.28 $191.00 $97.49 2025-03-25
72074 HCPCS X-ray Spine Thoracic Minimum Of 4 Views 8 5 $207.00 $205.97 $57.44 $207.00 $97.49 2025-03-25
72100 HCPCS X-ray Spine Lumbosacral 2-3 View 8 5 $191.00 $190.05 $53.72 $191.00 $97.49 2025-03-25
72114 HCPCS X-ray Spine Lumbar Inc Flex & Ext Views 8 5 $191.00 $190.05 $95.84 $191.00 $97.49 2025-03-25
72200 HCPCS X-ray Si Joint Less Than 3 Views 8 5 $191.00 $190.05 $33.52 $191.00 $97.49 2025-03-25
75809 HCPCS Shuntogram 8 5 $288.00 $286.56 $90.84 $266.00 $97.49 2025-03-25
72190 HCPCS X-ray Pelvis Complete 3 Views 8 5 $191.00 $190.05 $46.09 $191.00 $97.49 2025-03-25
74022 HCPCS X-ray Abdomen Complete 8 5 $227.00 $225.87 $51.49 $227.00 $97.49 2025-03-25
73562 HCPCS X-ray Knee 3 Views 10 5 $191.00 $190.05 $46.46 $207.00 $97.46 2025-03-25
76705 HCPCS Ultrasound Abdominal Limited 8 5 $128.00 $127.36 $64.75 $128.00 $97.34 2025-03-25
72170 HCPCS X-ray Pelvis 1-2 Views 8 5 $191.00 $190.05 $38.91 $191.00 $96.53 2025-03-25
76882 HCPCS Ultrasound Extremity Nonvascular Anatomi 8 5 $222.00 $220.89 $18.31 $222.00 $96.53 2025-03-25
73120 HCPCS X-ray Hand 2 Views 8 5 $191.00 $190.05 $38.79 $191.00 $96.53 2025-03-25
L8699 HCPCS Scope Ultra Fast-fix - Reverse Curve 24 5 $172.66 $171.80 $11.60 $354.24 $95.53 2025-03-25
97167 HCPCS Ot Eval, High Complexity,outpatient Occupational Therapy Service 8 5 $151.00 $150.25 $75.50 $111.00 $93.34 2025-03-25
97161 HCPCS Pt Eval- Low,licensed Pt Or Pta 11 5 $109.00 $108.46 $54.50 $152.00 $92.97 2025-03-25
97162 HCPCS Pt Eval- Moderate,licensed Pt Or Pta 10 5 $122.00 $121.39 $61.00 $152.00 $92.23 2025-03-25
97166 HCPCS Ot Eval, Moderate Complexity,outpatient Occupational Therapy Service 8 5 $139.00 $138.31 $69.50 $111.00 $91.84 2025-03-25
88305 HCPCS Pathology Level 4 8 5 $160.00 $159.20 $21.06 $160.00 $90.53 2025-03-25
97165 HCPCS Ot Eval, Low Complexity,outpatient Occupational Therapy Service 8 5 $125.00 $124.38 $62.50 $111.00 $90.09 2025-03-25
88342 HCPCS Path Immunohistochemistry 8 5 $318.00 $316.41 $66.05 $113.87 $89.96 2025-03-25
88360 HCPCS Morphometric Analysis 8 5 $100.00 $99.50 $66.05 $100.00 $89.07 2025-03-25
71045 HCPCS X-ray Chest 1 View 8 5 $156.00 $155.22 $78.00 $156.00 $87.58 2025-03-25
76937 HCPCS Ultrasound Guidance For Vascluar Access 8 5 $222.00 $220.89 $29.35 $144.00 $86.67 2025-03-25
73552 HCPCS X-ray Femur Min 2 Views 8 5 $169.00 $168.16 $79.80 $169.00 $82.95 2025-03-25
73502 HCPCS X-ray Hip Unilateral W Pelvis 2-3 Views 8 5 $169.00 $168.16 $79.80 $169.00 $82.95 2025-03-25
73610 HCPCS X-ray Ankle Complete 3 Views 8 5 $191.00 $190.05 $42.41 $191.00 $80.72 2025-03-25
72020 HCPCS X-ray Spine Single View 8 5 $156.00 $155.22 $26.74 $156.00 $80.72 2025-03-25
72040 HCPCS X-ray Spine Cervical Spine 2-3 View 8 5 $191.00 $190.05 $48.79 $191.00 $80.72 2025-03-25
73000 HCPCS X-ray Clavicle Complete 8 5 $191.00 $190.05 $40.58 $191.00 $80.72 2025-03-25
73030 HCPCS X-ray Shoulder Complete 2 Views 8 5 $191.00 $190.05 $43.88 $191.00 $80.72 2025-03-25
73060 HCPCS X-ray Humerus 2 Views 8 5 $191.00 $190.05 $44.11 $191.00 $80.72 2025-03-25
73070 HCPCS X-ray Elbow 2 Views 8 5 $191.00 $190.05 $40.81 $191.00 $80.72 2025-03-25
73080 HCPCS X-ray Elbow Complete 3 Views 8 5 $191.00 $190.05 $46.29 $191.00 $80.72 2025-03-25
73090 HCPCS X-ray Forearm 2 Views 8 5 $191.00 $190.05 $40.58 $191.00 $80.72 2025-03-25
73110 HCPCS X-ray Wrist Complete 3 Views 8 5 $191.00 $190.05 $43.58 $191.00 $80.72 2025-03-25
73130 HCPCS X-ray Hand 3 Views 8 5 $191.00 $190.05 $42.41 $191.00 $80.72 2025-03-25
73501 HCPCS X-ray Hip Unilateral W Pelvis 1 View 8 5 $156.00 $155.22 $78.00 $156.00 $80.72 2025-03-25
73551 HCPCS X-ray Femur 1 View 8 5 $156.00 $155.22 $78.00 $156.00 $80.72 2025-03-25
73560 HCPCS X-ray Knee 1-2 Views 8 5 $191.00 $190.05 $40.06 $191.00 $80.72 2025-03-25
73590 HCPCS X-ray Tib/fib 2 Views 8 5 $191.00 $190.05 $39.52 $191.00 $80.72 2025-03-25
73630 HCPCS X-ray Foot Complete 3 Views 8 5 $191.00 $190.05 $42.41 $191.00 $80.72 2025-03-25
73650 HCPCS X-ray Calcaneus 2 Views 8 5 $191.00 $190.05 $37.22 $191.00 $80.72 2025-03-25
73660 HCPCS X-ray Toe(s) 2 Views 8 5 $191.00 $190.05 $35.74 $191.00 $80.72 2025-03-25
77071 HCPCS Man App Stress Radiography 8 5 $179.00 $178.11 $59.61 $179.00 $80.72 2025-03-25
73020 HCPCS X-ray Shoulder 1 View 8 5 $156.00 $155.22 $27.37 $156.00 $80.21 2025-03-25
73140 HCPCS X-ray Fingers 2 Views 8 5 $191.00 $190.05 $36.13 $191.00 $80.21 2025-03-25
73620 HCPCS X-ray Foot 2 Views 8 5 $191.00 $190.05 $38.51 $191.00 $79.92 2025-03-25
73600 HCPCS X-ray Ankle 2 Views 8 5 $191.00 $190.05 $31.66 $191.00 $79.92 2025-03-25
73100 HCPCS X-ray Wrist 2 Views 8 5 $191.00 $190.05 $39.28 $191.00 $79.92 2025-03-25
70030 HCPCS X-ray Orbit 2 View 8 5 $191.00 $190.05 $34.45 $191.00 $79.92 2025-03-25
90746 HCPCS Engerix B P/f 10 Mcg/.5 Sdv 10 8 5 $116.78 $116.20 $58.39 $90.49 $74.44 2025-03-25
88331 HCPCS Path Frozen Section Consult 8 5 $212.00 $210.94 $42.20 $94.74 $68.47 2025-03-25
88312 HCPCS Path Special Stain 8 5 $84.00 $83.58 $21.06 $84.00 $68.27 2025-03-25
96372 HCPCS Inj Therpeutic/prophylactic/diag 8 5 $84.00 $83.58 $42.00 $84.00 $64.50 2025-03-25
90471 HCPCS Admin Of Influenza Vaccine/other 8 5 $69.00 $68.66 $34.50 $69.00 $64.50 2025-03-25
88304 HCPCS Pathology Level 3 8 5 $106.00 $105.47 $21.06 $106.00 $63.53 2025-03-25
110 HCPCS Daily Room And Board Private 8 5 $1,450.00 $1,442.75 $62.22 $62.22 $62.22 2025-03-25
97003 HCPCS Ot Eval 8 5 $77.00 $76.62 $38.50 $77.00 $57.75 2025-03-25
96366 HCPCS IV Infusion Therapy Ea Add Hr 8 5 $142.00 $141.29 $41.82 $99.61 $56.69 2025-03-25
96361 HCPCS IV Hydration Therapy Ea Add Hr 8 5 $142.00 $141.29 $41.82 $99.61 $56.69 2025-03-25
93010 HCPCS EKG 12 Lead Interp & Report Only 8 5 $139.00 $138.31 $26.59 $85.48 $56.03 2025-03-25
51798 HCPCS Bladder Scan Capacity- Measurement 8 5 $99.00 $98.51 $49.50 $54.91 $53.02 2025-03-25
88313 HCPCS Path Special Stain Group 2 8 5 $64.00 $63.68 $14.26 $64.00 $51.56 2025-03-25
88329 HCPCS Pathology Consultation During Surgery 8 5 $239.00 $237.81 $14.26 $86.54 $50.88 2025-03-25
P9045 HCPCS Albumin 5% Vl 250ml 9 5 $78.00 $77.61 $27.00 $53.06 $50.36 2025-03-25
88112 HCPCS Cytopathology Selective Cellular Tech With 8 5 $60.00 $59.70 $21.06 $60.00 $50.27 2025-03-25
88108 HCPCS Scp Cytology Concentration 8 5 $60.00 $59.70 $14.26 $60.00 $48.56 2025-03-25
G0378 HCPCS Observation 8 5 $59.00 $58.71 $29.50 $59.00 $44.25 2025-03-25
97112 HCPCS Ther Neuro Reeducation, 15min 8 5 $82.00 $81.59 $29.80 $82.00 $44.12 2025-03-25
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