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

TREGO COUNTY LEMKE MEMORIAL HOSPITAL

Wakeeney, KS · CCN 171355 · Rates published

726 distinct procedures filed
15 distinct payers
14,363 rate rows
2026-08-04 last MRF observed
Data quality

14,278 of 14,363 rate rows are consumer-grade (99.4%)

85 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
exceeds 10× this hospital's gross charge — excluded from medians 46
per-diem day rate — not a per-procedure price 29
percent-of-charges filed in the dollar field — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbTCLMWAKEENEYKS&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-09
Content fingerprint 40a861c671e56081… · 5,582,036 bytes · first seen 2026-11-06

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
J9217
HCPCS 		Leuprolide Acetate (for Depot Suspension), 7.5 Mg 15 $238.83 $25,691.75 $17,521.77 nat. median
$1,581
outlier · 11.1×
J2353
HCPCS 		Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 15 $259.42 $13,002.75 $8,867.88 nat. median
$5,554
1.6× median
J2356
HCPCS 		Injection, Tezepelumab-ekko, 1 Mg 14 $4,357.15 $8,892.15 $6,811.39 nat. median
$85
outlier · 80.2×
J2182
HCPCS 		Injection, Mepolizumab, 1 Mg 15 $38.95 $7,886.25 $5,378.42 nat. median
$2,892
1.9× median
49505
HCPCS 		Repair Of Groin Hernia (5 Years Or Older) 15 $2,450.00 $5,634.69 $4,250.00 nat. median
$3,867
1.1× median
J3262
HCPCS 		Injection, Tocilizumab, 1 Mg 15 $7.44 $5,046.25 $3,441.54 nat. median
$1,424
outlier · 2.4×
J1561
HCPCS 		Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 15 $63.59 $4,770.50 $3,253.48 nat. median
$1,097
outlier · 3.0×
J3247
HCPCS 		Injection, Secukinumab, Intravenous, 1 Mg 14 $1,987.99 $4,057.12 $3,107.75 nat. median
$48
outlier · 64.1×
70471
HCPCS 		Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 14 $1,945.30 $3,970.00 $3,041.02 nat. median
$859
outlier · 3.5×
95811
HCPCS 		Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 15 $1,444.71 $3,880.00 $2,646.16 nat. median
$1,887
1.4× median
95810
HCPCS 		Sleep Study In Sleep Lab (6 Years Or Older) 15 $1,444.71 $3,880.00 $2,646.16 nat. median
$1,814
1.5× median
J1602
HCPCS 		Injection, Golimumab, 1 Mg, For Intravenous Use 15 $14.52 $3,804.00 $2,594.33 nat. median
$324
outlier · 8.0×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 15 $32.42 $3,576.28 $2,439.02 nat. median
$1,990
1.2× median
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 15 $1,413.65 $2,885.00 $2,330.43 nat. median
$980
outlier · 2.4×
Q5108
HCPCS 		Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 15 $220.19 $3,319.00 $2,263.56 nat. median
$1,244
1.8× median
64635
HCPCS 		Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 14 $1,359.75 $2,775.00 $2,125.65 nat. median
$2,386
0.9× median
93306
HCPCS 		Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 15 $1,396.50 $2,850.00 $2,095.24 nat. median
$988
outlier · 2.1×
J0129
HCPCS 		Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 15 $53.11 $3,048.25 $2,078.91 nat. median
$935
outlier · 2.2×
11423
HCPCS 		Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3… 15 $1,136.80 $2,320.00 $1,972.00 nat. median
$1,607
1.2× median
78452
HCPCS 		Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 15 $1,065.75 $2,175.00 $1,848.75 nat. median
$1,797
1.0× median
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 15 $13.80 $2,699.64 $1,841.16 nat. median
$734
outlier · 2.5×
64633
HCPCS 		Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 14 $1,174.78 $2,397.50 $1,836.49 nat. median
$2,311
0.8× median
75635
HCPCS 		CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 15 $1,011.85 $2,065.00 $1,709.06 nat. median
$725
outlier · 2.4×
64624
HCPCS 		Destruction Of Nerve Branches Of Knee Using Imaging Guidance 14 $1,089.52 $2,223.50 $1,703.20 nat. median
$2,287
0.7× median
45380
HCPCS 		Biopsy Of Large Bowel Using A Flexible Endoscope 15 $980.00 $2,000.00 $1,700.00 nat. median
$1,558
1.1× median
43249
HCPCS 		Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 15 $965.20 $2,142.20 $1,674.33 nat. median
$2,107
0.8× median
45378
HCPCS 		Diagnostic Exam Of Large Bowel Using A Flexible Endoscope 15 $931.00 $1,900.00 $1,615.00 nat. median
$1,342
1.2× median
J1459
HCPCS 		Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 15 $61.96 $2,822.50 $1,586.25 nat. median
$1,409
1.1× median
70498
HCPCS 		CT Scan Of Blood Vessels Of Neck With Contrast 15 $962.85 $1,965.00 $1,585.81 nat. median
$735
outlier · 2.2×
71275
HCPCS 		CT Scan Of Blood Vessels Of Chest With Contrast 15 $950.60 $1,940.00 $1,564.21 nat. median
$753
outlier · 2.1×
64721
HCPCS 		Release And/or Relocation Of Hand Nerve 15 $882.00 $2,220.93 $1,530.00 nat. median
$2,394
0.6× median
11422
HCPCS 		Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2… 15 $833.00 $2,468.93 $1,445.00 nat. median
$1,545
0.9× median
11643
HCPCS 		Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.1-… 15 $931.00 $1,900.00 $1,417.09 nat. median
$1,580
0.9× median
99291
HCPCS 		Critical Care, First 30-74 Minutes 15 $862.40 $1,760.00 $1,397.30 nat. median
$1,519
0.9× median
J1439
HCPCS 		Injection, Ferric Carboxymaltose, 1 Mg 15 $1.40 $2,024.50 $1,380.71 nat. median
$19
outlier · 70.9×
64490
HCPCS 		Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 15 $733.13 $2,000.00 $1,364.00 nat. median
$1,288
1.1× median
G0105
HCPCS 		Colorectal Cancer Screening; Colonoscopy On Individual At High Risk 15 $765.63 $1,562.50 $1,328.13 nat. median
$1,320
1.0× median
G0121
HCPCS 		Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For… 15 $765.63 $1,562.50 $1,328.13 nat. median
$1,306
1.0× median
43239
HCPCS 		Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 15 $765.63 $1,577.30 $1,328.13 nat. median
$1,370
1.0× median
45385
HCPCS 		Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 15 $209.49 $2,100.00 $1,302.00 nat. median
$1,666
0.8× median
12034
HCPCS 		Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 15 $700.70 $2,117.34 $1,215.50 nat. median
$583
outlier · 2.1×
J0585
HCPCS 		Injection, Onabotulinumtoxina, 1 Unit 15 $8.13 $1,779.40 $1,213.55 nat. median
$216
outlier · 5.6×
99285
HCPCS 		Emergency Department Visit With High Level Of Medical Decision Making 15 $698.25 $1,477.64 $1,211.25 nat. median
$1,175
1.0× median
5404236_1
CDM 		Room & Board - Semi-private (two Beds) - General Classification 9 $637.00 $1,300.00 $1,170.00 nat. median
$1,190
1.0× median
11403
HCPCS 		Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm 15 $833.00 $1,700.00 $1,159.40 nat. median
$774
1.5× median
2120839_1
CDM 		Room & Board - Private (one Bed) - General Classification 9 $621.81 $1,269.00 $1,142.10 nat. median
$1,269
0.9× median
62323
HCPCS 		Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 15 $627.20 $1,561.41 $1,088.00 nat. median
$1,120
1.0× median
36569
HCPCS 		Insertion Of Tube For Infusion (5 Years Or Older) 15 $79.42 $3,087.50 $1,060.20 nat. median
$1,722
0.6× median
64454
HCPCS 		Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 15 $453.25 $2,015.00 $987.35 nat. median
$989
1.0× median
4441939_1
CDM 		Room & Board - Private (one Bed) - General Classification 9 $533.12 $1,088.00 $979.20 nat. median
$979
1.0× median

Other procedures at this hospital

Browse this hospital's 726 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
             
10040 HCPCS Acne Surgery 6 6 $100.00 $85.00 $100.00 $263.97 $181.99 2026-08-04
80074 HCPCS Acute Hepatitis Panel 15 15 $214.00 $181.90 $101.93 $214.00 $181.90 2026-08-04
82024 HCPCS Adrenocorticotropic Hormone (acth) Level 15 15 $184.00 $156.40 $71.06 $184.00 $156.40 2026-08-04
82088 HCPCS Aldosterone Hormone Level 15 15 $191.00 $162.35 $77.83 $191.00 $162.35 2026-08-04
4634664_1 CDM All Inclusive Rate - All-inclusive Room And Board 9 9 $208.00 $176.80 $101.92 $208.00 $187.20 2026-08-04
82107 HCPCS Alpha-fetoprotein (afp) Analysis 15 15 $222.00 $188.70 $108.78 $222.00 $188.70 2026-08-04
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 15 15 $855.00 $726.75 $418.95 $2,201.20 $726.75 2026-08-04
G0439 HCPCS Annual Wellness Visit, Includes A Personalized Prevention Plan Of Service (pps),… 11 11 $175.00 $148.75 $85.75 $263.97 $175.00 2026-08-04
29105 HCPCS Application Of Lower And Upper Arm Splint 15 15 $211.00 $179.35 $103.39 $314.91 $179.35 2026-08-04
29125 HCPCS Application Of Nonmoveable Forearm To Hand Splint 12 12 $250.00 $212.50 $122.50 $314.91 $250.00 2026-08-04
29581 HCPCS Application Of Vein Wound Compression Bandages On Lower Leg, Ankle, And Foot 15 15 $400.00 $340.00 $196.00 $400.00 $340.00 2026-08-04
20610 HCPCS Aspiration And/or Injection Of Fluid From Large Joint 71 15 $392.50 $333.63 $36.66 $504.62 $248.00 2026-08-04
20605 HCPCS Aspiration And/or Injection Of Fluid From Medium Joint 57 15 $121.00 $102.85 $30.03 $1,040.00 $340.55 2026-08-04
20600 HCPCS Aspiration And/or Injection Of Fluid From Small Joint 35 15 $322.50 $274.13 $29.37 $555.00 $263.97 2026-08-04
20611 HCPCS Aspiration And/or Injection Of Fluid Large Joint Using Ultrasound Guidance 29 15 $537.50 $456.88 $263.38 $850.00 $527.00 2026-08-04
10160 HCPCS Aspiration Of Abscess, Blood, Or Cyst 12 12 $170.00 $144.50 $83.30 $1,295.54 $170.00 2026-08-04
43249 HCPCS Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 15 15 $1,969.80 $1,674.33 $965.20 $2,142.20 $1,674.33 2026-08-04
43239 HCPCS Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 15 15 $1,562.50 $1,328.13 $765.63 $1,577.30 $1,328.13 2026-08-04
45380 HCPCS Biopsy Of Large Bowel Using A Flexible Endoscope 15 15 $2,000.00 $1,700.00 $980.00 $2,000.00 $1,700.00 2026-08-04
6580242_1 CDM Bridion 200 Mg/2 Ml Vial 11 11 $278.50 $236.73 $136.47 $264.58 $172.67 2026-08-04
88262 HCPCS Chromosome Analysis For Genetic Defects, Count 15-20 Cells 15 15 $737.50 $626.88 $361.38 $925.49 $626.88 2026-08-04
26725 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With … 15 15 $925.00 $786.25 $453.25 $1,555.20 $786.25 2026-08-04
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 15 15 $935.00 $794.75 $458.15 $1,227.86 $794.75 2026-08-04
G0105 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual At High Risk 15 15 $1,562.50 $1,328.13 $765.63 $1,562.50 $1,328.13 2026-08-04
G0121 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For … 15 15 $1,562.50 $1,328.13 $765.63 $1,562.50 $1,328.13 2026-08-04
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 15 15 $830.00 $705.50 $406.70 $830.00 $657.44 2026-08-04
76700 HCPCS Complete Ultrasound Scan Of Abdomen 15 15 $265.00 $225.25 $129.85 $265.00 $207.18 2026-08-04
76881 HCPCS Complete Ultrasound Scan Of Joint 15 15 $230.00 $195.50 $112.70 $230.00 $160.22 2026-08-04
76856 HCPCS Complete Ultrasound Scan Of Pelvis 15 15 $255.00 $216.75 $124.95 $255.00 $173.91 2026-08-04
93923 HCPCS Complete Ultrasound Study Of Arm And Leg Arteries 15 15 $830.00 $705.50 $406.70 $830.00 $657.44 2026-08-04
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 14 14 $3,970.00 $3,374.50 $1,945.30 $3,970.00 $3,041.02 2026-08-04
88045 HCPCS Coroner's Services 11 11 $150.00 $127.50 $73.50 $263.97 $150.00 2026-08-04
99292 HCPCS Critical Care, Each Additional 30 Minutes 15 15 $522.00 $443.70 $255.78 $522.00 $414.75 2026-08-04
99291 HCPCS Critical Care, First 30-74 Minutes 15 15 $1,760.00 $1,496.00 $862.40 $1,760.00 $1,397.30 2026-08-04
70450 HCPCS CT Scan Head Or Brain Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 15 15 $840.00 $714.00 $411.60 $840.00 $656.96 2026-08-04
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 15 15 $805.00 $684.25 $394.45 $805.00 $656.96 2026-08-04
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 15 15 $2,065.00 $1,755.25 $1,011.85 $2,065.00 $1,709.06 2026-08-04
73200 HCPCS CT Scan Of Arm Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 15 15 $2,885.00 $2,452.25 $1,413.65 $2,885.00 $2,330.43 2026-08-04
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 15 15 $1,940.00 $1,649.00 $950.60 $1,940.00 $1,564.21 2026-08-04
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 15 15 $1,965.00 $1,670.25 $962.85 $1,965.00 $1,585.81 2026-08-04
71270 HCPCS CT Scan Of Chest Before And After Contrast 15 15 $840.00 $714.00 $411.60 $840.00 $656.96 2026-08-04
71260 HCPCS CT Scan Of Chest With Contrast 15 15 $805.00 $684.25 $394.45 $805.00 $656.96 2026-08-04
71250 HCPCS CT Scan Of Chest Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
70488 HCPCS CT Scan Of Face Before And After Contrast 15 15 $840.00 $714.00 $411.60 $840.00 $656.96 2026-08-04
70486 HCPCS CT Scan Of Face Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 15 15 $840.00 $714.00 $411.60 $840.00 $656.96 2026-08-04
73701 HCPCS CT Scan Of Leg With Contrast Material 15 15 $805.00 $684.25 $394.45 $805.00 $656.96 2026-08-04
73700 HCPCS CT Scan Of Leg Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
72131 HCPCS CT Scan Of Lower Spine Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
72128 HCPCS CT Scan Of Middle Spine Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
72193 HCPCS CT Scan Of Pelvis With Contrast 15 15 $805.00 $684.25 $394.45 $805.00 $656.96 2026-08-04
72192 HCPCS CT Scan Of Pelvis Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 15 15 $840.00 $714.00 $411.60 $840.00 $656.96 2026-08-04
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 15 15 $805.00 $684.25 $394.45 $805.00 $656.96 2026-08-04
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
72125 HCPCS CT Scan Of Upper Spine Without Contrast 15 15 $775.00 $658.75 $379.75 $775.00 $656.96 2026-08-04
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 14 14 $2,775.00 $2,358.75 $1,359.75 $2,775.00 $2,125.65 2026-08-04
64636 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 14 14 $910.00 $773.50 $445.90 $910.00 $697.06 2026-08-04
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 14 14 $2,223.50 $1,889.98 $1,089.52 $2,223.50 $1,703.20 2026-08-04
64640 HCPCS Destruction Of Peripheral Nerve Or Branch 15 15 $722.50 $614.13 $294.97 $722.50 $492.75 2026-08-04
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 14 14 $2,397.50 $2,037.88 $1,174.78 $2,397.50 $1,836.49 2026-08-04
64634 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 14 14 $825.00 $701.25 $404.25 $825.00 $631.95 2026-08-04
82656 HCPCS Detection Of Pancreatic Elastase (enzyme) In Stool 15 15 $280.00 $238.00 $32.28 $280.00 $190.96 2026-08-04
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 15 15 $250.00 $212.50 $107.10 $250.00 $170.50 2026-08-04
87798 HCPCS Detection Test By Nucleic Acid For Organism, Amplified Probe Technique 29 15 $230.00 $195.50 $70.18 $253.86 $170.00 2026-08-04
87799 HCPCS Detection Test By Nucleic Acid For Organism, Quantification 15 15 $332.85 $282.92 $142.59 $344.04 $282.92 2026-08-04
45378 HCPCS Diagnostic Exam Of Large Bowel Using A Flexible Endoscope 15 15 $1,900.00 $1,615.00 $931.00 $1,900.00 $1,615.00 2026-08-04
77065 HCPCS Diagnostic Mammography Of 1 Breast 15 15 $175.00 $148.75 $85.75 $175.00 $148.75 2026-08-04
77066 HCPCS Diagnostic Mammography Of Both Breasts 15 15 $240.00 $204.00 $117.60 $240.00 $168.50 2026-08-04
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 12 12 $190.00 $161.50 $93.10 $1,622.88 $190.00 2026-08-04
77080 HCPCS Dxa Bone Density Measurement Of Hip, Pelvis, Spine 26 15 $325.00 $276.25 $24.50 $325.00 $201.50 2026-08-04
99281 HCPCS Emergency Department Visit For Problem That May Not Require Health Care Professi… 15 15 $340.00 $289.00 $166.60 $340.00 $232.90 2026-08-04
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 15 15 $1,425.00 $1,211.25 $698.25 $1,477.64 $1,211.25 2026-08-04
99283 HCPCS Emergency Department Visit With Low Level Of Medical Decision Making 15 15 $575.00 $488.75 $281.75 $575.00 $488.75 2026-08-04
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 15 15 $975.00 $828.75 $477.75 $975.00 $828.75 2026-08-04
99282 HCPCS Emergency Department Visit With Straightforward Medical Decision Making 15 15 $465.00 $395.25 $227.85 $465.00 $362.81 2026-08-04
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 14 14 $209.00 $177.65 $102.41 $209.00 $160.09 2026-08-04
99215 HCPCS Established Patient Office Or Other Outpatient Visit With High Level Of Medical … 26 15 $173.00 $147.05 $84.77 $364.08 $168.68 2026-08-04
99392 HCPCS Established Patient Periodic Preventive Medicine Examination (1-4 Years) 11 11 $220.00 $187.00 $107.80 $263.97 $220.00 2026-08-04
99394 HCPCS Established Patient Periodic Preventive Medicine Examination (12-17 Years) 11 11 $240.00 $204.00 $117.60 $263.97 $240.00 2026-08-04
99395 HCPCS Established Patient Periodic Preventive Medicine Examination (18-39 Years) 11 11 $245.00 $208.25 $120.05 $263.97 $245.00 2026-08-04
99396 HCPCS Established Patient Periodic Preventive Medicine Examination (40-64 Years) 11 11 $175.00 $148.75 $85.75 $263.97 $175.00 2026-08-04
99393 HCPCS Established Patient Periodic Preventive Medicine Examination (5-11 Years) 11 11 $220.00 $187.00 $107.80 $263.97 $220.00 2026-08-04
99397 HCPCS Established Patient Periodic Preventive Medicine Examination (65 Year Old Or Old… 11 11 $175.00 $148.75 $85.75 $263.97 $175.00 2026-08-04
99391 HCPCS Established Patient Periodic Preventive Medicine Examination (younger Than 1 Yea… 11 11 $200.00 $170.00 $98.00 $263.97 $200.00 2026-08-04
97165 HCPCS Evaluation For Occupational Therapy, Typically 30 Minutes 15 15 $195.00 $165.75 $95.55 $195.00 $160.33 2026-08-04
97166 HCPCS Evaluation For Occupational Therapy, Typically 45 Minutes 15 15 $215.00 $182.75 $105.35 $215.00 $160.33 2026-08-04
97161 HCPCS Evaluation For Physical Therapy, Typically 20 Minutes 15 15 $175.00 $148.75 $85.75 $189.66 $148.75 2026-08-04
97162 HCPCS Evaluation For Physical Therapy, Typically 30 Minutes 15 15 $215.00 $182.75 $105.35 $215.00 $164.92 2026-08-04
97163 HCPCS Evaluation For Physical Therapy, Typically 45 Minutes 15 15 $245.00 $208.25 $120.05 $245.00 $167.09 2026-08-04
92610 HCPCS Evaluation Of Swallowing Function 15 15 $256.00 $217.60 $125.44 $256.00 $176.01 2026-08-04
94664 HCPCS Evaluation Of Use Of Breathing Device 15 15 $240.00 $204.00 $117.60 $288.78 $204.00 2026-08-04
93017 HCPCS Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg) 15 15 $725.00 $616.25 $355.25 $725.00 $494.45 2026-08-04
77002 HCPCS Fluoroscopic Guidance For Needle Placement 15 15 $585.00 $497.25 $286.65 $585.00 $497.25 2026-08-04
77003 HCPCS Fluoroscopic Guidance For Spine Or Back Muscle Injection 15 15 $390.00 $331.50 $191.10 $390.00 $321.49 2026-08-04
81241 HCPCS Gene Analysis (coagulation Factor V) Leiden Variant 15 15 $271.00 $230.35 $132.79 $271.00 $230.35 2026-08-04
90853 HCPCS Group Psychotherapy 13 13 $735.00 $624.75 $40.51 $735.00 $501.27 2026-08-04
C7903 HCPCS Group Psychotherapy Service For Diagnosis, Evaluation, Or Treatment Of A Mental … 12 12 $735.00 $624.75 $360.15 $735.00 $563.01 2026-08-04
93242 HCPCS Heart Rhythm Recording Continuous External EKG Over More Than 48 Hours Up To 7 D… 15 15 $295.00 $250.75 $144.55 $295.00 $250.75 2026-08-04
93246 HCPCS Heart Rhythm Recording Of Continuous External EKG Over 8-15 Days 15 15 $357.00 $303.45 $174.93 $357.00 $257.46 2026-08-04
G0399 HCPCS Home Sleep Test (hst) With Type Iii Portable Monitor, Unattended; Minimum Of 4 C… 15 15 $330.00 $280.50 $161.70 $330.00 $280.50 2026-08-04
83090 HCPCS Homocysteine (amino Acid) Level 15 15 $274.00 $232.90 $49.10 $274.00 $232.90 2026-08-04
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 15 15 $942.50 $801.13 $11.41 $942.50 $642.79 2026-08-04
46083 HCPCS Incision Of External Hemorrhoid With Blood Clot 12 12 $325.00 $276.25 $158.84 $325.00 $270.11 2026-08-04
96360 HCPCS Infusion Into A Vein For Hydration, 31-60 Minutes 29 15 $210.00 $178.50 $93.10 $349.10 $161.50 2026-08-04
96365 HCPCS Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, 1 Hour Or Less 29 15 $210.00 $178.50 $93.10 $349.10 $161.50 2026-08-04
96367 HCPCS Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Additional Sequentia… 29 15 $210.00 $178.50 $93.10 $210.00 $161.50 2026-08-04
94640 HCPCS Inhalation Treatment For Airway Obstruction Or Sputum Production 26 15 $240.00 $204.00 $24.99 $347.39 $148.80 2026-08-04
30905 HCPCS Initial Control Of Nose Bleed And Insertion Of Packing 15 15 $570.00 $484.50 $279.30 $570.00 $484.50 2026-08-04
99223 HCPCS Initial Hospital Inpatient Or Observation Care With High Level Of Medical Decisi… 9 9 $320.00 $272.00 $140.93 $156.23 $148.79 2026-08-04
99382 HCPCS Initial New Patient Preventive Medicine Evaluation (1-4 Years) 11 11 $235.00 $199.75 $115.15 $263.97 $235.00 2026-08-04
99384 HCPCS Initial New Patient Preventive Medicine Evaluation (12-17 Years) 11 11 $235.00 $199.75 $115.15 $263.97 $235.00 2026-08-04
99383 HCPCS Initial New Patient Preventive Medicine Evaluation (5-11 Years) 11 11 $235.00 $199.75 $115.15 $263.97 $235.00 2026-08-04
99381 HCPCS Initial New Patient Preventive Medicine Evaluation (younger Than 1 Year) 11 11 $235.00 $199.75 $115.15 $263.97 $235.00 2026-08-04
20551 HCPCS Injection Into Tendon At Attachment To Bone Or Muscle 12 12 $147.00 $124.95 $72.03 $263.97 $147.00 2026-08-04
64454 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 29 15 $925.00 $786.25 $453.25 $2,015.00 $987.35 2026-08-04
64445 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Lower Back And Leg Nerve (scia… 15 15 $610.00 $518.50 $298.90 $610.00 $503.51 2026-08-04
64450 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch 15 15 $656.00 $557.60 $321.44 $1,175.38 $557.60 2026-08-04
64418 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Suprascapular Shoulder Nerve 15 15 $497.50 $422.88 $243.78 $497.50 $422.88 2026-08-04
64417 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Upper Arm And Shoulder Nerve (… 15 15 $650.00 $552.50 $318.50 $650.00 $443.30 2026-08-04
64405 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Upper Neck And Back Of Head Ne… 29 15 $312.50 $265.63 $153.13 $625.00 $312.50 2026-08-04
64520 HCPCS Injection Of Anesthetic Agent Into Middle Or Lower Spine Sympathetic Nerve 15 15 $612.50 $520.63 $300.13 $647.77 $520.63 2026-08-04
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 29 15 $650.00 $552.50 $318.50 $1,400.00 $686.00 2026-08-04
64484 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 15 15 $730.00 $620.50 $357.70 $1,287.26 $620.50 2026-08-04
27096 HCPCS Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U… 29 15 $712.50 $605.63 $349.13 $1,119.00 $693.78 2026-08-04
20526 HCPCS Injection Of Carpal Tunnel 39 14 $325.00 $276.25 $58.80 $490.00 $263.97 2026-08-04
64615 HCPCS Injection Of Chemical For Paralysis Of Facial And Neck Nerve Muscles On Both Sid… 15 15 $317.50 $269.88 $155.58 $401.54 $269.88 2026-08-04
64494 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Second Le… 38 15 $950.00 $807.50 $41.63 $1,400.00 $807.50 2026-08-04
64493 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 15 15 $1,200.00 $1,020.00 $588.00 $1,200.00 $946.35 2026-08-04
62323 HCPCS Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 15 15 $1,280.00 $1,088.00 $627.20 $1,561.41 $1,088.00 2026-08-04
62321 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 15 15 $812.50 $690.63 $398.13 $1,561.41 $690.63 2026-08-04
20552 HCPCS Injection Of Trigger Points, 1-2 Muscles 40 15 $307.50 $261.38 $66.15 $452.00 $263.97 2026-08-04
20553 HCPCS Injection Of Trigger Points, 3 Or More Muscles 26 15 $527.50 $448.38 $73.50 $527.50 $303.08 2026-08-04
64491 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Second Le… 15 15 $826.50 $702.53 $404.99 $1,046.93 $702.53 2026-08-04
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 15 15 $2,000.00 $1,700.00 $733.13 $2,000.00 $1,364.00 2026-08-04
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 15 15 $3,048.25 $2,591.01 $53.11 $3,048.25 $2,078.91 2026-08-04
J0897 HCPCS Injection, Denosumab, 1 Mg 15 15 $3,576.28 $3,039.84 $32.42 $3,576.28 $2,439.02 2026-08-04
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 15 15 $2,024.50 $1,720.83 $1.40 $2,024.50 $1,380.71 2026-08-04
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 15 15 $369.54 $314.11 $0.51 $369.54 $252.03 2026-08-04
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 43 15 $567.25 $482.16 $215.60 $677.00 $419.74 2026-08-04
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 15 15 $3,804.00 $3,233.40 $14.52 $3,804.00 $2,594.33 2026-08-04
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 29 15 $1,586.25 $1,348.31 $61.96 $2,822.50 $1,586.25 2026-08-04
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 15 15 $4,770.50 $4,054.93 $63.59 $4,770.50 $3,253.48 2026-08-04
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 15 15 $971.59 $825.86 $39.57 $971.59 $662.63 2026-08-04
J2182 HCPCS Injection, Mepolizumab, 1 Mg 15 15 $7,886.25 $6,703.31 $38.95 $7,886.25 $5,378.42 2026-08-04
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 15 15 $13,002.75 $11,052.34 $259.42 $13,002.75 $8,867.88 2026-08-04
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 15 15 $1,779.40 $1,512.49 $8.13 $1,779.40 $1,213.55 2026-08-04
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 15 15 $3,319.00 $2,821.15 $220.19 $3,319.00 $2,263.56 2026-08-04
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 15 15 $2,699.64 $2,294.70 $13.80 $2,699.64 $1,841.16 2026-08-04
J3247 HCPCS Injection, Secukinumab, Intravenous, 1 Mg 14 14 $4,057.12 $3,448.55 $1,987.99 $4,057.12 $3,107.75 2026-08-04
J2356 HCPCS Injection, Tezepelumab-ekko, 1 Mg 14 14 $8,892.15 $7,558.33 $4,357.15 $8,892.15 $6,811.39 2026-08-04
J3262 HCPCS Injection, Tocilizumab, 1 Mg 15 15 $5,046.25 $4,289.31 $7.44 $5,046.25 $3,441.54 2026-08-04
43753 HCPCS Insertion Of Stomach Tube And Aspiration Of Stomach Contents 14 14 $390.00 $331.50 $191.10 $390.00 $298.74 2026-08-04
51701 HCPCS Insertion Of Temporary Bladder Tube 15 15 $233.00 $198.05 $114.17 $233.00 $198.05 2026-08-04
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 24 15 $1,710.00 $1,453.50 $79.42 $3,087.50 $1,060.20 2026-08-04
31720 HCPCS Insertion Of Tube Into Airway For Aspiration Of Secretions 15 15 $1,115.00 $947.75 $546.35 $1,115.00 $947.49 2026-08-04
12042 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.6-7.5 Cm 15 15 $1,104.40 $938.74 $541.16 $1,104.40 $938.74 2026-08-04
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 15 15 $1,430.00 $1,215.50 $700.70 $2,117.34 $1,215.50 2026-08-04
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 15 15 $25,691.75 $21,837.99 $238.83 $25,691.75 $17,521.77 2026-08-04
76815 HCPCS Limited Ultrasound Of Pregnant Uterus 15 15 $270.00 $229.50 $132.30 $270.00 $193.50 2026-08-04
76775 HCPCS Limited Ultrasound Scan Behind Abdominal Cavity 15 15 $230.00 $195.50 $112.70 $230.00 $160.22 2026-08-04
76705 HCPCS Limited Ultrasound Scan Of Abdomen 15 15 $230.00 $195.50 $112.70 $230.00 $179.06 2026-08-04
76882 HCPCS Limited Ultrasound Scan Of Joint Or Other Extremity Structure Except Blood Vesse… 15 15 $230.00 $195.50 $112.70 $230.00 $160.22 2026-08-04
76857 HCPCS Limited Ultrasound Scan Of Pelvis 15 15 $230.00 $195.50 $112.70 $230.00 $156.86 2026-08-04
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 15 15 $765.00 $650.25 $374.85 $765.00 $650.25 2026-08-04
Q9967 HCPCS Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml 57 15 $562.50 $478.13 $6.91 $590.75 $348.75 2026-08-04
L0650 HCPCS Lumbar-sacral Orthosis, Sagittal-coronal Control, With Rigid Anterior And Poster… 15 15 $625.00 $531.25 $306.25 $1,641.22 $531.25 2026-08-04
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 15 15 $384.00 $326.40 $188.16 $423.23 $326.40 2026-08-04
90710 HCPCS Measles, Mumps, Rubella, And Varicella Vaccine 15 15 $315.00 $267.75 $154.35 $385.06 $267.75 2026-08-04
95819 HCPCS Measurement Of Brain Wave Activity (eeg), Awake And Asleep 15 15 $580.00 $493.00 $284.20 $580.00 $478.50 2026-08-04
95816 HCPCS Measurement Of Brain Wave Activity (eeg), Awake And Drowsy 15 15 $535.00 $454.75 $262.15 $535.00 $425.85 2026-08-04
82670 HCPCS Measurement Of Total Estradiol (hormone) 15 15 $194.00 $164.90 $54.20 $194.00 $164.90 2026-08-04
C1781 HCPCS Mesh (implantable) 14 14 $852.30 $724.46 $417.63 $852.30 $652.87 2026-08-04
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
73218 HCPCS MRI Scan Of Arm Without Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 15 15 $1,020.00 $867.00 $499.80 $1,020.00 $867.00 2026-08-04
70553 HCPCS MRI Scan Of Brain Before And After Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
70551 HCPCS MRI Scan Of Brain Without Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
73720 HCPCS MRI Scan Of Leg Before And After Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
73718 HCPCS MRI Scan Of Leg Without Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
72195 HCPCS MRI Scan Of Pelvis Without Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 15 15 $925.00 $786.25 $453.25 $925.00 $755.57 2026-08-04
99204 HCPCS New Patient Office Or Other Outpatient Visit With Moderate Level Of Medical Deci… 12 12 $260.00 $221.00 $127.40 $263.97 $253.50 2026-08-04
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 15 15 $2,175.00 $1,848.75 $1,065.75 $2,175.00 $1,848.75 2026-08-04
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 15 15 $600.00 $510.00 $294.00 $600.00 $475.23 2026-08-04
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 15 15 $900.00 $765.00 $441.00 $900.00 $724.28 2026-08-04
83970 HCPCS Parathormone (parathyroid Hormone) Level 15 15 $240.00 $204.00 $99.07 $240.00 $204.00 2026-08-04
88305 HCPCS Pathology Examination Of Tissue Using A Microscope, Intermediate Complexity 15 15 $275.00 $233.75 $134.75 $275.00 $233.75 2026-08-04
11750 HCPCS Permanent Removal Fingernail Or Toenail 12 12 $275.00 $233.75 $134.75 $616.98 $263.97 2026-08-04
90792 HCPCS Psychiatric Diagnostic Evaluation With Medical Services 15 15 $250.00 $212.50 $122.50 $250.00 $212.50 2026-08-04
90839 HCPCS Psychotherapy For Crisis, First Hour 14 14 $270.00 $229.50 $132.30 $270.00 $206.82 2026-08-04
90837 HCPCS Psychotherapy, 1 Hour 15 15 $225.00 $191.25 $110.25 $225.00 $191.25 2026-08-04
90834 HCPCS Psychotherapy, 45 Minutes 27 15 $160.00 $136.00 $78.40 $755.00 $160.00 2026-08-04
11104 HCPCS Punch Biopsy, First Skin Growth 26 15 $1,027.00 $872.95 $85.75 $1,027.00 $580.18 2026-08-04
5963264_1 CDM Recovery Room - General Classification 11 11 $330.00 $280.50 $161.70 $313.50 $204.60 2026-08-04
64721 HCPCS Release And/or Relocation Of Hand Nerve 15 15 $1,800.00 $1,530.00 $882.00 $2,220.93 $1,530.00 2026-08-04
11641 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0.6-… 15 15 $600.00 $510.00 $294.00 $899.14 $510.00 2026-08-04
11643 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.1-… 15 15 $1,900.00 $1,615.00 $931.00 $1,900.00 $1,417.09 2026-08-04
69210 HCPCS Removal Of Impacted Ear Wax 20 12 $150.00 $127.50 $73.50 $742.98 $151.50 2026-08-04
11403 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm 15 15 $1,700.00 $1,445.00 $833.00 $1,700.00 $1,159.40 2026-08-04
11422 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2… 15 15 $1,700.00 $1,445.00 $833.00 $2,468.93 $1,445.00 2026-08-04
11423 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3… 15 15 $2,320.00 $1,972.00 $1,136.80 $2,320.00 $1,972.00 2026-08-04
11056 HCPCS Removal Of Noncancer Thickened Skin Growth, 2-4 Growths 12 12 $175.00 $148.75 $85.75 $297.72 $175.00 2026-08-04
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 24 15 $2,100.00 $1,785.00 $209.49 $2,100.00 $1,302.00 2026-08-04
97597 HCPCS Removal Of Tissue From Wound, 20.0 Sq Cm Or Less 27 15 $475.00 $403.75 $82.81 $475.00 $251.32 2026-08-04
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 15 15 $5,000.00 $4,250.00 $2,450.00 $5,634.69 $4,250.00 2026-08-04
5332536_1 CDM Rev - Ihs-moa Clinic Visit 12 12 $989.33 $840.93 $52.48 $939.87 $613.39 2026-08-04
2120839_1 CDM Room & Board - Private (one Bed) - General Classification 9 9 $1,269.00 $1,078.65 $621.81 $1,269.00 $1,142.10 2026-08-04
4441939_1 CDM Room & Board - Private (one Bed) - General Classification 9 9 $1,088.00 $924.80 $533.12 $1,088.00 $979.20 2026-08-04
4441947_1 CDM Room & Board - Private (one Bed) - General Classification 9 9 $1,028.00 $873.80 $503.72 $1,028.00 $925.20 2026-08-04
4441943_1 CDM Room & Board - Private (one Bed) - General Classification 9 9 $236.00 $200.60 $115.64 $236.00 $212.40 2026-08-04
4634659_1 CDM Room & Board - Private (one Bed) - General Classification 9 9 $214.00 $181.90 $104.86 $214.00 $192.60 2026-08-04
5404236_1 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,300.00 $1,105.00 $637.00 $1,300.00 $1,170.00 2026-08-04
93005 HCPCS Routine Electrocardiogram (ecg) Using At Least 12 Leads With Tracing 15 15 $265.00 $225.25 $129.85 $265.00 $224.93 2026-08-04
77067 HCPCS Screening Mammography 15 15 $240.00 $204.00 $117.60 $240.00 $204.00 2026-08-04
C7900 HCPCS Service For Diagnosis, Evaluation, Or Treatment Of A Mental Health Or Substance… 12 12 $610.00 $518.50 $298.90 $610.00 $467.26 2026-08-04
51702 HCPCS Simple Insertion Of Temporary Bladder Tube 12 12 $235.00 $199.75 $115.15 $263.97 $229.12 2026-08-04
10060 HCPCS Simple Or Single Drainage Of Skin Abscess 40 15 $587.50 $499.38 $75.95 $875.00 $445.86 2026-08-04
12011 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5… 15 15 $468.50 $398.23 $229.57 $650.53 $398.23 2026-08-04
12013 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6… 15 15 $468.50 $398.23 $229.57 $650.53 $398.23 2026-08-04
12014 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1… 15 15 $580.00 $493.00 $284.20 $650.53 $493.00 2026-08-04
12015 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6… 15 15 $646.50 $549.53 $316.79 $1,106.32 $549.53 2026-08-04
12004 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 15 15 $505.00 $429.25 $247.45 $790.03 $429.25 2026-08-04
12002 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 26 15 $358.00 $304.30 $120.05 $625.67 $245.00 2026-08-04
12001 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 26 15 $321.50 $273.28 $90.65 $523.47 $199.33 2026-08-04
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 15 15 $3,880.00 $3,298.00 $1,444.71 $3,880.00 $2,646.16 2026-08-04
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 15 15 $3,880.00 $3,298.00 $1,444.71 $3,880.00 $2,646.16 2026-08-04
84305 HCPCS Somatomedin (growth Factor) Level 15 15 $187.00 $158.95 $39.76 $187.00 $158.95 2026-08-04
A9537 HCPCS Technetium Tc-99m Mebrofenin, Diagnostic, Per Study Dose, Up To 15 Millicuries 15 15 $240.00 $204.00 $117.60 $240.00 $194.16 2026-08-04
A9503 HCPCS Technetium Tc-99m Medronate, Diagnostic, Per Study Dose, Up To 30 Millicuries 15 15 $360.00 $306.00 $176.40 $360.00 $294.19 2026-08-04
A9500 HCPCS Technetium Tc-99m Sestamibi, Diagnostic, Per Study Dose 15 15 $360.00 $306.00 $176.40 $360.00 $294.19 2026-08-04
94726 HCPCS Test To Determine Lung Volumes Using Sensors 15 15 $500.00 $425.00 $245.00 $500.00 $406.59 2026-08-04
94060 HCPCS Test To Measure Expiratory Airflow And Volume Changes Before And After Medicatio… 15 15 $425.00 $361.25 $208.25 $511.21 $361.25 2026-08-04
94762 HCPCS Test To Measure Oxygen Level In Blood Using Ear Or Finger Device Continuously Ov… 15 15 $300.00 $255.00 $89.11 $300.00 $204.60 2026-08-04
94669 HCPCS Therapy Procedure To Clear Airway Using An Inflatable Vest 14 14 $240.00 $204.00 $117.60 $240.00 $183.84 2026-08-04
94660 HCPCS Therapy Procedure Using A Positive Pressure Ventilator 15 15 $500.00 $425.00 $245.00 $500.00 $369.96 2026-08-04
97606 HCPCS Therapy Procedure Using A Special Bandage And Vacuum Pump, Surface Area More Tha… 15 15 $187.00 $158.95 $91.63 $452.98 $158.95 2026-08-04
84445 HCPCS Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level 15 15 $727.00 $617.95 $356.23 $727.00 $617.95 2026-08-04
88230 HCPCS Tissue Culture To Identify White Blood Cell Disorders 15 15 $911.00 $774.35 $446.39 $1,061.22 $774.35 2026-08-04
36430 HCPCS Transfusion Of Blood Or Blood Products 15 15 $700.00 $595.00 $343.00 $705.21 $595.00 2026-08-04
81206 HCPCS Translocation Analysis (bcr/abl1) Major Breakpoint 15 15 $300.00 $255.00 $147.00 $491.88 $255.00 2026-08-04
86480 HCPCS Tuberculosis Test, Gamma Interferon 15 15 $191.40 $162.69 $93.79 $191.40 $162.69 2026-08-04
76942 HCPCS Ultrasonic Guidance For Needle Placement 15 15 $285.00 $242.25 $139.65 $285.00 $194.37 2026-08-04
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 15 15 $830.00 $705.50 $406.70 $830.00 $657.44 2026-08-04
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 15 15 $2,850.00 $2,422.50 $1,396.50 $2,850.00 $2,095.24 2026-08-04
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 15 15 $830.00 $705.50 $406.70 $830.00 $657.44 2026-08-04
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 15 15 $800.00 $680.00 $392.00 $800.00 $657.44 2026-08-04
93926 HCPCS Ultrasound Of One Leg Arteries Or Artery Grafts 15 15 $800.00 $680.00 $392.00 $800.00 $657.44 2026-08-04
76536 HCPCS Ultrasound Scan Of Head And Neck Soft Tissue 15 15 $625.00 $531.25 $306.25 $657.44 $531.25 2026-08-04
76801 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Single Or First Fetus 15 15 $230.00 $195.50 $112.70 $230.00 $167.26 2026-08-04
76870 HCPCS Ultrasound Scan Of Scrotum 15 15 $255.00 $216.75 $124.95 $255.00 $173.91 2026-08-04
76830 HCPCS Ultrasound Scan Of Uterus, Ovaries, Tubes, Cervix And Pelvic Area Through Vagina 15 15 $255.00 $216.75 $124.95 $255.00 $173.91 2026-08-04
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 15 15 $830.00 $705.50 $406.70 $830.00 $657.44 2026-08-04
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 15 15 $800.00 $680.00 $392.00 $800.00 $657.44 2026-08-04
76817 HCPCS Vaginal Ultrasound Of Pregnant Uterus 15 15 $230.00 $195.50 $112.70 $230.00 $193.50 2026-08-04
84207 HCPCS Vitamin B-6 Level 15 15 $218.00 $185.30 $61.26 $218.00 $185.30 2026-08-04
72120 HCPCS X-ray Lower And Sacral Spine, 2-3 Views Bending Views 15 15 $385.00 $327.25 $188.65 $385.00 $318.94 2026-08-04
72114 HCPCS X-ray Lower And Sacral Spine, Minimum Of 6 Views 15 15 $495.00 $420.75 $242.55 $495.00 $409.16 2026-08-04
74018 HCPCS X-ray Of Abdomen, 1 View 15 15 $225.00 $191.25 $110.25 $225.00 $184.24 2026-08-04
74019 HCPCS X-ray Of Abdomen, 2 Views 15 15 $250.00 $212.50 $122.50 $250.00 $170.50 2026-08-04
73610 HCPCS X-ray Of Ankle, Minimum Of 3 Views 15 15 $230.00 $195.50 $112.70 $230.00 $190.60 2026-08-04
73521 HCPCS X-ray Of Both Hips, 2 Views 14 14 $280.00 $238.00 $137.20 $280.00 $214.48 2026-08-04
71045 HCPCS X-ray Of Chest, 1 View 15 15 $205.00 $174.25 $100.45 $205.00 $169.00 2026-08-04
71046 HCPCS X-ray Of Chest, 2 Views 15 15 $225.00 $191.25 $110.25 $225.00 $191.25 2026-08-04
73000 HCPCS X-ray Of Collar Bone 15 15 $190.00 $161.50 $93.10 $190.00 $156.29 2026-08-04
73070 HCPCS X-ray Of Elbow, 2 Views 15 15 $180.00 $153.00 $88.20 $180.00 $153.00 2026-08-04
73080 HCPCS X-ray Of Elbow, Minimum Of 3 Views 15 15 $250.00 $212.50 $122.50 $250.00 $207.12 2026-08-04
73140 HCPCS X-ray Of Finger, Minimum Of 2 Views 15 15 $175.00 $148.75 $85.75 $175.00 $144.86 2026-08-04
73630 HCPCS X-ray Of Foot, Minimum Of 3 Views 15 15 $225.00 $191.25 $110.25 $225.00 $184.24 2026-08-04
73090 HCPCS X-ray Of Forearm, 2 Views 15 15 $205.00 $174.25 $100.45 $205.00 $170.27 2026-08-04
73130 HCPCS X-ray Of Hand, Minimum Of 3 Views 15 15 $225.00 $191.25 $110.25 $225.00 $186.79 2026-08-04
73650 HCPCS X-ray Of Heel, Minimum Of 2 Views 15 15 $190.00 $161.50 $93.10 $190.00 $156.29 2026-08-04
73501 HCPCS X-ray Of Hip, 1 View 15 15 $230.00 $195.50 $112.70 $230.00 $194.20 2026-08-04
73502 HCPCS X-ray Of Hip, 2-3 Views 15 15 $280.00 $238.00 $137.20 $280.00 $236.92 2026-08-04
73560 HCPCS X-ray Of Knee, 1-2 Views 15 15 $225.00 $191.25 $110.25 $225.00 $153.45 2026-08-04
73562 HCPCS X-ray Of Knee, 3 Views 15 15 $250.00 $212.50 $122.50 $250.00 $204.58 2026-08-04
72100 HCPCS X-ray Of Lower And Sacral Spine, 2-3 Views 15 15 $290.00 $246.50 $142.10 $290.00 $238.89 2026-08-04
72110 HCPCS X-ray Of Lower And Sacral Spine, Minimum Of 4 Views 15 15 $425.00 $361.25 $208.25 $425.00 $339.28 2026-08-04
73590 HCPCS X-ray Of Lower Leg, 2 Views 15 15 $235.00 $199.75 $115.15 $235.00 $194.42 2026-08-04
72070 HCPCS X-ray Of Middle Spine, 2 Views 15 15 $220.00 $187.00 $107.80 $220.00 $182.97 2026-08-04
72072 HCPCS X-ray Of Middle Spine, 3 Views 15 15 $335.00 $284.75 $164.15 $335.00 $275.74 2026-08-04
72170 HCPCS X-ray Of Pelvis, 1-2 Views 15 15 $210.00 $178.50 $102.90 $210.00 $172.81 2026-08-04
71100 HCPCS X-ray Of Ribs On Side Of Body, 2 Views 15 15 $220.00 $187.00 $107.80 $220.00 $182.97 2026-08-04
71101 HCPCS X-ray Of Ribs On Side Of Body, Minimum Of 3 Views 15 15 $330.00 $280.50 $161.70 $330.00 $273.20 2026-08-04
72220 HCPCS X-ray Of Sacrum And Tailbone, Minimum Of 2 Views 15 15 $235.00 $199.75 $115.15 $235.00 $195.69 2026-08-04
73030 HCPCS X-ray Of Shoulder, Minimum Of 2 Views 15 15 $235.00 $199.75 $115.15 $235.00 $191.87 2026-08-04
73552 HCPCS X-ray Of Thigh Bone, Minimum 2 Views 14 14 $225.00 $191.25 $110.25 $225.00 $172.35 2026-08-04
73060 HCPCS X-ray Of Upper Arm, Minimum Of 2 Views 15 15 $190.00 $161.50 $93.10 $190.00 $161.50 2026-08-04
72040 HCPCS X-ray Of Upper Spine, 2-3 Views 15 15 $265.00 $225.25 $129.85 $265.00 $218.55 2026-08-04
72050 HCPCS X-ray Of Upper Spine, 4-5 Views 15 15 $425.00 $361.25 $208.25 $425.00 $315.13 2026-08-04
73110 HCPCS X-ray Of Wrist, Minimum Of 3 Views 15 15 $235.00 $199.75 $115.15 $235.00 $195.69 2026-08-04
74022 HCPCS X-ray Series Of Abdomen With Single X-ray Of Chest 15 15 $435.00 $369.75 $213.15 $435.00 $360.87 2026-08-04
See an error in this hospital's data? Submit a correction