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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

AVERA GRANITE FALLS

Granite Falls, MN · CCN 241343 · Rates published

1,115 distinct procedures filed
5 distinct payers
34,780 rate rows
2026-05-22 last MRF observed
Data quality

34,684 of 34,780 rate rows are consumer-grade (99.7%)

96 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
percent-of-charges filed in the dollar field — excluded from medians 34
placeholder amount (≤ $0.02) — excluded from medians 28
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
exceeds 10× this hospital's gross charge — excluded from medians 16
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/1ca2d27a-5829-43e7-a1e5-2626ec33931a/843156881_avera-granite-falls-health-center_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint 889991872e9b34be… · 4,441,123 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
C1882
HCPCS 		Defib Card Quad Asr Mp Thk14MM 5 $19,735.48 $74,399.62 $56,387.08 nat. median
$27,360
outlier · 2.1×
C1721
HCPCS 		Dfbr Card Gallant Dual Chmb 5 $17,750.05 $66,914.87 $52,299.25 nat. median
$22,344
outlier · 2.3×
J3380
HCPCS 		Vedolizumab 300 Mg Vial 5 $43.34 $38,214.20 $25,623.62 nat. median
$162
outlier · 158.1×
292
OTHER 		Ms-DRG 292 1 $24,446.32 $24,446.32 $24,446.32 nat. median
$8,675
outlier · 2.8×
J9299
HCPCS 		Nivolumab 240 Mg/24 Ml Vial 5 $6.84 $32,140.62 $21,551.13 nat. median
$2,889
outlier · 7.5×
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $30,005.60 $20,940.75 nat. median
$3,820
outlier · 5.5×
J9306
HCPCS 		Pertuzumab 420 Mg/14 Ml Vial 5 $34.00 $28,186.98 $18,900.11 nat. median
$80
outlier · 237.4×
J2353
HCPCS 		Octreotide (Depot) 30 Mg Syr 5 $17.33 $25,959.19 $17,406.32 nat. median
$5,573
outlier · 3.1×
C1785
HCPCS 		Pacemaker Is-1 47x50x6Mm 20w 5 $6,052.09 $22,815.42 $17,291.69 nat. median
$6,720
outlier · 2.6×
J9271
HCPCS 		Pembrolizumab 100 Mg/4 Ml Vial 5 $13.37 $24,860.89 $16,669.88 nat. median
$276
outlier · 60.5×
J0717
HCPCS 		Certolizumab Pegol 400 Mg Kit 5 $3.42 $24,592.04 $16,489.61 nat. median
$1,598
outlier · 10.3×
309
OTHER 		Ms-DRG 309 1 $15,292.07 $15,292.07 $15,292.07 nat. median
$385
outlier · 39.7×
C1764
HCPCS 		Monitor Assert Iq 3+ Icm 5 $4,892.83 $18,445.20 $14,416.38 nat. median
$7,740
1.9× median
194
OTHER 		Ms-DRG 194 1 $13,267.20 $13,267.20 $13,267.20 nat. median
$8,436
1.6× median
195
OTHER 		Ms-DRG 195 1 $12,240.36 $12,240.36 $12,240.36 nat. median
$6,518
1.9× median
189
OTHER 		Ms-DRG 189 1 $12,240.36 $12,240.36 $12,240.36 nat. median
$11,897
1.0× median
J9173
HCPCS 		Durvalumab 500 Mg/10 Ml Vial 5 $16.91 $17,741.77 $11,896.33 nat. median
$1,119
outlier · 10.6×
690
OTHER 		Ms-DRG 690 1 $9,959.98 $9,959.98 $9,959.98 nat. median
$7,915
1.3× median
312
OTHER 		Ms-DRG 312 1 $9,958.78 $9,958.78 $9,958.78 nat. median
$293
outlier · 34.0×
C1895
HCPCS 		Lead Dfbr True Bp 7Fr 65x17Cm 5 $3,364.84 $12,684.92 $9,914.27 nat. median
$6,156
1.6× median
175
OTHER 		Ms-DRG 175 1 $8,801.39 $8,801.39 $8,801.39 nat. median
$13,641
0.6× median
J2182
HCPCS 		Mepolizumab 100 Mg Vial 5 $6.38 $12,758.71 $8,555.05 nat. median
$2,791
outlier · 3.1×
176
OTHER 		Ms-DRG 176 1 $5,878.77 $5,878.77 $5,878.77 nat. median
$7,606
0.8× median
81352
CPT 		Tp53 Somatic Mutation, Prog 5 $2,006.93 $7,565.80 $5,734.08 nat. median
$428
outlier · 13.4×
J1602
HCPCS 		Golimumab 50 Mg/4 Ml Vial 5 $21.08 $8,423.73 $5,648.33 nat. median
$273
outlier · 20.7×
641
OTHER 		Ms-DRG 641 1 $5,561.67 $5,561.67 $5,561.67 nat. median
$7,657
0.7× median
J0897
HCPCS 		Denosumab 60 Mg/ml Syringe 5 $9.69 $7,174.65 $4,810.79 nat. median
$1,972
outlier · 2.4×
C1783
HCPCS 		Microstent Opth Hydrus Glcm 5 $1,666.83 $6,283.68 $4,762.37 nat. median
$2,321
outlier · 2.1×
A0434
HCPCS 		Amb Ground Sct Airport/Landing 5 $1,554.84 $5,861.50 $4,581.23 nat. median
$1,266
outlier · 3.6×
Q5112
HCPCS 		Trastuzumab-dttb 420 Mg Vial 5 $52.74 $6,610.82 $4,432.73 nat. median
$69
outlier · 64.3×
J3262
HCPCS 		Tocilizumab 200 Mg/10 Ml Vial 5 $2.72 $11,441.33 $4,381.64 nat. median
$1,416
outlier · 3.1×
J9217
HCPCS 		Leuprolide Acetate Sq 22.5Mg 5 $1.47 $6,077.93 $4,075.41 nat. median
$1,575
outlier · 2.6×
J2357
HCPCS 		Omalizumab 150 Mg/Ml Syringe 5 $9.26 $5,614.88 $3,764.92 nat. median
$1,245
outlier · 3.0×
A0433
HCPCS 		Amb Als 2 Home/Hosp 5 $1,241.60 $4,680.65 $3,658.30 nat. median
$1,082
outlier · 3.4×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $479.88 $5,067.30 $3,467.10 nat. median
$1,024
outlier · 3.4×
43880
CPT 		Closure Of Gastrocolic Fistula 5 $3,067.78 $4,291.90 $3,399.21 nat. median
$3,063
1.1× median
72157
CPT 		MRI Chest Spine Wwo Dye 5 $535.35 $5,054.00 $3,388.84 nat. median
$1,105
outlier · 3.1×
72156
CPT 		MRI Neck Spine Wwo Dye 5 $340.05 $5,027.40 $3,371.00 nat. median
$1,103
outlier · 3.1×
951
OTHER 		Ms-DRG 951 1 $3,341.12 $3,341.12 $3,341.12 nat. median
$5,778
0.6× median
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $1,255.72 $4,733.85 $3,303.73 nat. median
$988
outlier · 3.3×
78452
CPT 		Myocard Perf Spect Rest Stress 5 $1,076.80 $5,417.00 $3,288.07 nat. median
$1,816
1.8× median
81517
CPT 		Enhanced Liver Fibrosis 5 $1,101.49 $4,152.45 $3,245.47 nat. median
$200
outlier · 16.2×
74177
CPT 		CT Abd & Pelv W Contrast 5 $227.52 $4,570.45 $3,189.69 nat. median
$974
outlier · 3.3×
87154
CPT 		Culture Id By Amp Prb 6 Or 6+ 5 $1,088.64 $4,104.00 $3,110.40 nat. median
$289
outlier · 10.8×
70553
CPT 		MRI Brain Wwo Contrast 5 $729.77 $4,503.00 $3,081.00 nat. median
$1,133
outlier · 2.7×
95811
CPT 		Polysomnogram W CPap 5 $188.85 $6,372.60 $2,981.71 nat. median
$1,894
1.6× median
A0427
HCPCS 		Amb Als Emergent Airport/Land 5 $994.14 $3,747.75 $2,929.16 nat. median
$820
outlier · 3.6×
74183
CPT 		MRI Abdomen Wwo Dye 5 $619.08 $4,117.30 $2,817.10 nat. median
$1,100
outlier · 2.6×
70543
CPT 		MRI Orbit Face Neck Wwo Cont 5 $335.45 $4,117.30 $2,760.76 nat. median
$1,083
outlier · 2.5×
73720
CPT 		MRI Le Wwo Dye Lt 5 $233.96 $4,117.30 $2,760.76 nat. median
$1,129
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 1,115 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
             
C1882 HCPCS Defib Card Quad Asr Mp Thk14MM 18 5 $78,315.00 $75,965.93 $19,735.48 $74,399.62 $56,387.08 2026-05-22
C1721 HCPCS Dfbr Card Gallant Dual Chmb 16 5 $70,436.00 $68,323.60 $17,750.05 $66,914.87 $52,299.25 2026-05-22
J3380 HCPCS Vedolizumab 300 Mg Vial 22 5 $40,225.00 $39,018.71 $43.34 $38,214.20 $25,623.62 2026-05-22
292 OTHER Ms-DRG 292 2 1 — — $24,446.32 $24,446.32 $24,446.32 2026-05-22
J9299 HCPCS Nivolumab 240 Mg/24 Ml Vial 22 5 $33,832.00 $32,817.26 $6.84 $32,140.62 $21,551.13 2026-05-22
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 26 5 $31,584.00 $30,637.29 $0.41 $30,005.60 $20,940.75 2026-05-22
J9306 HCPCS Pertuzumab 420 Mg/14 Ml Vial 22 5 $29,670.00 $28,780.39 $34.00 $28,186.98 $18,900.11 2026-05-22
J2353 HCPCS Octreotide (Depot) 30 Mg Syr 22 5 $27,325.00 $26,505.70 $17.33 $25,959.19 $17,406.32 2026-05-22
C1785 HCPCS Pacemaker Is-1 47x50x6Mm 20w 18 5 $24,016.00 $23,295.74 $6,052.09 $22,815.42 $17,291.69 2026-05-22
J9271 HCPCS Pembrolizumab 100 Mg/4 Ml Vial 22 5 $26,169.00 $25,384.28 $13.37 $24,860.89 $16,669.88 2026-05-22
J0717 HCPCS Certolizumab Pegol 400 Mg Kit 22 5 $25,886.00 $25,109.77 $3.42 $24,592.04 $16,489.61 2026-05-22
309 OTHER Ms-DRG 309 2 1 — — $15,292.07 $15,292.07 $15,292.07 2026-05-22
C1764 HCPCS Monitor Assert Iq 3+ Icm 20 5 $19,416.00 $18,833.52 $4,892.83 $18,445.20 $14,416.38 2026-05-22
194 OTHER Ms-DRG 194 2 1 — — $13,267.20 $13,267.20 $13,267.20 2026-05-22
195 OTHER Ms-DRG 195 2 1 — — $12,240.36 $12,240.36 $12,240.36 2026-05-22
189 OTHER Ms-DRG 189 2 1 — — $12,240.36 $12,240.36 $12,240.36 2026-05-22
J9173 HCPCS Durvalumab 500 Mg/10 Ml Vial 22 5 $18,675.00 $18,115.28 $16.91 $17,741.77 $11,896.33 2026-05-22
690 OTHER Ms-DRG 690 2 1 — — $9,959.98 $9,959.98 $9,959.98 2026-05-22
312 OTHER Ms-DRG 312 2 1 — — $9,958.78 $9,958.78 $9,958.78 2026-05-22
C1895 HCPCS Lead Dfbr True Bp 7Fr 65x17Cm 16 5 $13,352.00 $12,951.97 $3,364.84 $12,684.92 $9,914.27 2026-05-22
175 OTHER Ms-DRG 175 2 1 — — $8,801.39 $8,801.39 $8,801.39 2026-05-22
J2182 HCPCS Mepolizumab 100 Mg Vial 22 5 $13,430.00 $13,027.31 $6.38 $12,758.71 $8,555.05 2026-05-22
176 OTHER Ms-DRG 176 2 1 — — $5,878.77 $5,878.77 $5,878.77 2026-05-22
81352 CPT Tp53 Somatic Mutation, Prog 18 5 $7,964.00 $7,725.08 $2,006.93 $7,565.80 $5,734.08 2026-05-22
J1602 HCPCS Golimumab 50 Mg/4 Ml Vial 22 5 $8,867.00 $8,601.07 $21.08 $8,423.73 $5,648.33 2026-05-22
641 OTHER Ms-DRG 641 2 1 — — $5,561.67 $5,561.67 $5,561.67 2026-05-22
J0897 HCPCS Denosumab 60 Mg/ml Syringe 22 5 $7,552.00 $7,325.69 $9.69 $7,174.65 $4,810.79 2026-05-22
C1783 HCPCS Microstent Opth Hydrus Glcm 18 5 $6,614.00 $6,415.97 $1,666.83 $6,283.68 $4,762.37 2026-05-22
A0434 HCPCS Amb Ground Sct Airport/Landing 80 5 $6,170.00 $5,984.90 $1,554.84 $5,861.50 $4,581.23 2026-05-22
Q5112 HCPCS Trastuzumab-dttb 420 Mg Vial 22 5 $6,958.00 $6,750.00 $52.74 $6,610.82 $4,432.73 2026-05-22
J3262 HCPCS Tocilizumab 200 Mg/10 Ml Vial 36 5 $5,901.00 $5,724.15 $2.72 $11,441.33 $4,381.64 2026-05-22
J9217 HCPCS Leuprolide Acetate Sq 22.5Mg 22 5 $6,397.00 $6,205.89 $1.47 $6,077.93 $4,075.41 2026-05-22
J2357 HCPCS Omalizumab 150 Mg/Ml Syringe 22 5 $5,910.00 $5,733.09 $9.26 $5,614.88 $3,764.92 2026-05-22
A0433 HCPCS Amb Als 2 Home/Hosp 64 5 $4,927.00 $4,779.19 $1,241.60 $4,680.65 $3,658.30 2026-05-22
74178 CPT CT Abd & Pelv Wwo Contrast 24 5 $5,334.00 $5,173.98 $479.88 $5,067.30 $3,467.10 2026-05-22
43880 CPT Closure Of Gastrocolic Fistula 14 5 $1,500.00 $1,455.00 $3,067.78 $4,291.90 $3,399.21 2026-05-22
72157 CPT MRI Chest Spine Wwo Dye 22 5 $5,320.00 $5,160.40 $535.35 $5,054.00 $3,388.84 2026-05-22
72156 CPT MRI Neck Spine Wwo Dye 22 5 $5,292.00 $5,133.24 $340.05 $5,027.40 $3,371.00 2026-05-22
951 OTHER Ms-DRG 951 2 1 — — $3,341.12 $3,341.12 $3,341.12 2026-05-22
74174 CPT CTA Abd&Pelv Wwo Dye 18 5 $4,983.00 $4,833.51 $1,255.72 $4,733.85 $3,303.73 2026-05-22
78452 CPT Myocard Perf Spect Rest Stress 20 5 $4,273.00 $4,144.81 $1,076.80 $5,417.00 $3,288.07 2026-05-22
81517 CPT Enhanced Liver Fibrosis 16 5 $4,371.00 $4,239.87 $1,101.49 $4,152.45 $3,245.47 2026-05-22
74177 CPT CT Abd & Pelv W Contrast 26 5 $4,811.00 $4,666.67 $227.52 $4,570.45 $3,189.69 2026-05-22
87154 CPT Culture Id By Amp Prb 6 Or 6+ 18 5 $4,320.00 $4,190.40 $1,088.64 $4,104.00 $3,110.40 2026-05-22
70553 CPT MRI Brain Wwo Contrast 36 5 $4,541.00 $4,404.77 $729.77 $4,503.00 $3,081.00 2026-05-22
95811 CPT Polysomnogram W CPap 36 5 $6,708.00 $6,506.76 $188.85 $6,372.60 $2,981.71 2026-05-22
A0427 HCPCS Amb Als Emergent Airport/Land 80 5 $3,945.00 $3,826.65 $994.14 $3,747.75 $2,929.16 2026-05-22
74183 CPT MRI Abdomen Wwo Dye 24 5 $4,334.00 $4,203.98 $619.08 $4,117.30 $2,817.10 2026-05-22
70543 CPT MRI Orbit Face Neck Wwo Cont 22 5 $4,334.00 $4,203.98 $335.45 $4,117.30 $2,760.76 2026-05-22
73720 CPT MRI Le Wwo Dye Lt 46 5 $4,334.00 $4,203.98 $233.96 $4,117.30 $2,760.76 2026-05-22
73723 CPT MRI Joint Le Wwo Dye Lt 44 5 $4,334.00 $4,203.98 $657.06 $4,117.30 $2,760.76 2026-05-22
72158 CPT MRI Lumbar Spine Wwo Dye 22 5 $4,334.00 $4,203.98 $340.97 $4,117.30 $2,760.76 2026-05-22
73223 CPT MRI Joint Ue Wwo Dye Lt 44 5 $4,334.00 $4,203.98 $597.27 $4,117.30 $2,760.76 2026-05-22
74176 CPT CT Abd & Pelvis Wo Contrast 26 5 $4,114.00 $3,990.58 $95.04 $3,908.30 $2,727.58 2026-05-22
J1439 HCPCS Ferric Carboxymalt 750mg/15ml 22 5 $4,173.00 $4,048.13 $2.22 $3,964.66 $2,658.41 2026-05-22
72197 CPT MRI Pelvis Wwo Dye 22 5 $4,128.00 $4,004.16 $618.17 $3,921.60 $2,629.54 2026-05-22
72148 CPT MRI Lumbar Spine Wo Dye 26 5 $3,931.00 $3,813.07 $315.18 $3,734.45 $2,606.25 2026-05-22
73221 CPT MRI Joint Ue Wo Dye Rt 50 5 $3,931.00 $3,813.07 $408.12 $3,734.45 $2,606.25 2026-05-22
70544 CPT MRA Head Wo Contrast 22 5 $4,046.00 $3,924.62 $408.12 $3,843.70 $2,577.30 2026-05-22
70549 CPT MRA Neck Wwo Contrast 22 5 $4,046.00 $3,924.62 $666.92 $3,843.70 $2,577.30 2026-05-22
72141 CPT MRI Neck Spine Wo Dye 24 5 $3,931.00 $3,813.07 $233.96 $3,734.45 $2,555.15 2026-05-22
70551 CPT MRI Brain Wo Contrast 24 5 $3,931.00 $3,813.07 $447.03 $3,734.45 $2,555.15 2026-05-22
73218 CPT MRI Ue Wo Dye Lt 22 5 $3,931.00 $3,813.07 $79.40 $3,734.45 $2,504.05 2026-05-22
73718 CPT MRI Le Wo Dye Rt 46 5 $3,931.00 $3,813.07 $56.39 $3,734.45 $2,504.05 2026-05-22
72146 CPT MRI Chest Spine Wo Dye 22 5 $3,931.00 $3,813.07 $390.63 $3,734.45 $2,504.05 2026-05-22
73721 CPT MRI Joint Le Wo Dye Lt 44 5 $3,931.00 $3,813.07 $315.18 $3,734.45 $2,504.05 2026-05-22
74181 CPT MRI Abdomen Wo Dye 22 5 $3,931.00 $3,813.07 $544.29 $3,734.45 $2,504.05 2026-05-22
A0426 HCPCS Amb Als Non Emerg Home/Hosp 80 5 $3,289.00 $3,190.33 $828.83 $3,124.55 $2,442.09 2026-05-22
750 OTHER Colonoscopy 64 5 $3,252.00 $3,154.44 $754.24 $5,190.80 $2,426.09 2026-05-22
90375 CPT Rabies Imm Glob (Human) 300u/m 36 5 $2,972.00 $2,883.01 $146.90 $13,331.61 $2,404.49 2026-05-22
75635 CPT CTA Abdominal Arteries 20 5 $3,394.00 $3,292.18 $592.68 $3,224.30 $2,346.95 2026-05-22
C8929 HCPCS Echo M Mode 2d W Contrast 24 5 $3,149.00 $3,054.53 $793.55 $2,991.55 $2,267.28 2026-05-22
71275 CPT CTA Chest Wwo Contrast 22 5 $3,302.00 $3,202.94 $832.10 $3,136.90 $2,189.23 2026-05-22
70498 CPT CT Angiography Neck W Cont 26 5 $3,248.00 $3,150.56 $278.39 $3,085.60 $2,153.42 2026-05-22
70496 CPT CT Angiography Head W Cont 26 5 $3,153.00 $3,058.41 $246.84 $2,995.35 $2,090.44 2026-05-22
72132 CPT CT Lumbar Spine W Contrast 22 5 $3,259.00 $3,161.23 $313.35 $3,096.05 $2,075.98 2026-05-22
93306 CPT Tte W Doppler Complete 22 5 $2,692.00 $2,611.24 $678.38 $2,557.40 $2,059.38 2026-05-22
78226 CPT Hepatobiliary Scan Without Ef 16 5 $2,707.00 $2,625.79 $682.16 $2,571.65 $2,009.95 2026-05-22
70470 CPT CT Head/Brain Wwo Contrast 22 5 $3,055.00 $2,963.35 $241.32 $2,902.25 $1,946.04 2026-05-22
71260 CPT CT Thorax W Contrast 26 5 $2,902.00 $2,814.94 $80.31 $2,756.90 $1,924.03 2026-05-22
70482 CPT CT Orbit Wwo Contrast 22 5 $3,008.00 $2,917.76 $261.57 $2,857.60 $1,916.10 2026-05-22
33249 CPT Ins/Rplcmnt Defib W Lead(s) 14 5 $1,042.00 $1,010.74 $1,726.13 $2,479.85 $1,909.70 2026-05-22
74170 CPT CT Abdomen Wwo Dye 22 5 $2,965.00 $2,876.05 $58.22 $2,816.75 $1,888.70 2026-05-22
70481 CPT CT Orbit W Contrast 22 5 $2,959.00 $2,870.23 $80.31 $2,811.05 $1,884.88 2026-05-22
120 OTHER Room Medical Unit Semi Private 14 5 $2,612.00 $2,533.64 $658.22 $2,481.40 $1,880.64 2026-05-22
Q5103 HCPCS Infliximab-dyyb 100 Mg Vial 22 5 $2,595.00 $2,517.57 $23.10 $3,013.05 $1,868.71 2026-05-22
78227 CPT Hida With Ef w/Pharm 18 5 $2,590.00 $2,512.30 $652.68 $2,460.50 $1,864.80 2026-05-22
72125 CPT CT Cervical Spine Wo Contrast 26 5 $2,808.00 $2,723.76 $172.58 $2,667.60 $1,861.70 2026-05-22
74175 CPT CTA Abdom Wwo Dye 22 5 $2,880.00 $2,793.60 $82.17 $2,736.00 $1,834.56 2026-05-22
78306 CPT Bone Scan Whole Body 16 5 $2,463.00 $2,389.11 $620.68 $2,339.85 $1,828.78 2026-05-22
70491 CPT CT Soft Tissue Neck W Cont 24 5 $2,808.00 $2,723.76 $357.53 $2,667.60 $1,825.20 2026-05-22
J0248 HCPCS Remdesivir 100 Mg Vial 22 5 $2,847.00 $2,762.23 $12.70 $2,705.28 $1,813.96 2026-05-22
72131 CPT CT Lumbar Spine Wo Contrast 22 5 $2,808.00 $2,723.76 $234.87 $2,667.60 $1,788.70 2026-05-22
72128 CPT CT Thoracic Spine Wo Contrast 22 5 $2,808.00 $2,723.76 $107.93 $2,667.60 $1,788.70 2026-05-22
70487 CPT CT Maxillofacial W Contrast 22 5 $2,808.00 $2,723.76 $268.29 $2,667.60 $1,788.70 2026-05-22
70450 CPT CT Head/Brain Wo Contrast 22 5 $2,694.00 $2,613.18 $524.00 $2,559.30 $1,786.12 2026-05-22
72195 CPT MRI Pelvis Wo Dye 18 5 $2,683.00 $2,602.51 $676.12 $2,548.85 $1,778.83 2026-05-22
71250 CPT CT Thorax Wo Contrast 24 5 $2,639.00 $2,559.83 $71.13 $2,507.05 $1,715.35 2026-05-22
78472 CPT Cardiac Gated Rest Single 16 5 $2,301.00 $2,231.97 $579.85 $2,185.95 $1,708.49 2026-05-22
99135 CPT Anest w/Controlled Hypotension 14 5 $2,365.00 $2,294.05 $23.73 $2,246.75 $1,702.80 2026-05-22
73201 CPT CT Ue W Dye Rt 22 5 $2,359.00 $2,288.23 $90.44 $2,241.05 $1,698.48 2026-05-22
74160 CPT CT Abdomen W Dye 22 5 $2,640.00 $2,560.80 $665.28 $2,508.00 $1,681.68 2026-05-22
70490 CPT CT Soft Tissue Neck Wo Cont 22 5 $2,639.00 $2,559.83 $277.47 $2,507.05 $1,681.04 2026-05-22
70486 CPT CT Maxillofacial Wo Contrast 22 5 $2,639.00 $2,559.83 $187.95 $2,507.05 $1,681.04 2026-05-22
70480 CPT CT Orbit Wo Contrast 22 5 $2,639.00 $2,559.83 $192.56 $2,507.05 $1,681.04 2026-05-22
67904 CPT Repair Brow Defect Bi 30 5 $5,828.00 $5,653.16 $1,201.46 $5,536.60 $1,665.50 2026-05-22
C1898 HCPCS Lead Pcng Impl Bp 6Fr 52Cm 36 5 $2,267.00 $2,199.58 $498.11 $2,430.68 $1,657.94 2026-05-22
360 OTHER Adenoidectomy 160 5 $2,987.50 $2,897.88 $142.13 $10,478.50 $1,653.66 2026-05-22
A0429 HCPCS Amb Bls Emergent Scene/Hosp 32 5 $2,193.00 $2,127.21 $552.64 $2,083.35 $1,628.31 2026-05-22
71271 CPT Ldct For Lung Cancer Screen 24 5 $2,404.00 $2,331.88 $101.48 $2,283.80 $1,593.85 2026-05-22
49594 CPT Rpr Aa Hrn 1st 3-10 Ncr/Strn 14 5 $792.00 $768.24 $1,414.86 $2,038.26 $1,565.21 2026-05-22
73701 CPT CT Le W Dye Lt 44 5 $2,407.00 $2,334.79 $268.01 $2,286.65 $1,533.26 2026-05-22
43870 CPT Repair Stomach Opening 14 5 $686.00 $665.42 $1,374.58 $1,924.97 $1,520.95 2026-05-22
81342 CPT T Cell Ag Recept Gamma Mut 16 5 $2,003.00 $1,942.91 $504.76 $1,902.85 $1,487.23 2026-05-22
80280 CPT Vedolizumab 16 5 $1,989.00 $1,929.33 $501.23 $1,889.55 $1,476.84 2026-05-22
47562 CPT Laparoscopic Cholecystectomy 14 5 $816.00 $791.52 $1,281.27 $1,779.51 $1,421.08 2026-05-22
95810 CPT Polysomnogram 34 5 $5,366.00 $5,205.02 $181.55 $5,097.70 $1,352.23 2026-05-22
73700 CPT CT Le Wo Dye Lt 44 5 $2,111.00 $2,047.67 $76.65 $2,005.45 $1,344.71 2026-05-22
73706 CPT CTA Le Wwo Dye Lt 44 5 $2,110.00 $2,046.70 $71.13 $2,004.50 $1,344.07 2026-05-22
99285 CPT Emergency Room Visit Level 5 38 5 $2,066.00 $2,004.02 $267.73 $1,962.70 $1,316.04 2026-05-22
73200 CPT CT Ue Wo Dye Rt 46 5 $2,061.00 $1,999.17 $70.19 $1,957.95 $1,312.86 2026-05-22
J0666 HCPCS Bupivac Liposome 1.3% Pf 20 Ml 22 5 $1,786.00 $1,732.69 $2.18 $1,713.62 $1,286.12 2026-05-22
49507 CPT Prp I/Hern Init Block >5 Yr Lt 28 5 $624.00 $605.28 $1,146.39 $1,586.34 $1,269.12 2026-05-22
78071 CPT Parathyroid Planar Img W Spect 16 5 $1,701.00 $1,649.97 $428.65 $1,615.95 $1,262.99 2026-05-22
78315 CPT Bone Scan 3 Phase 18 5 $1,669.00 $1,618.93 $420.59 $1,585.55 $1,201.68 2026-05-22
72193 CPT CT Pelvis W Dye 22 5 $1,868.00 $1,811.96 $470.74 $1,774.60 $1,189.92 2026-05-22
27500 CPT Treat Thigh Fracture Lt 16 5 $1,595.00 $1,547.15 $401.94 $1,515.25 $1,184.29 2026-05-22
129 OTHER Room Swing Bed Skilled 14 5 $1,635.00 $1,585.95 $412.02 $1,553.25 $1,177.20 2026-05-22
110 OTHER Room Custodial Care 14 5 $1,635.00 $1,585.95 $412.02 $1,553.25 $1,177.20 2026-05-22
26750 CPT Fx Distal Finger/Thumb Wo Man 16 5 $1,584.00 $1,536.48 $399.17 $1,504.80 $1,176.12 2026-05-22
26720 CPT Fx Finger/Thumb Wo Man 16 5 $1,584.00 $1,536.48 $399.17 $1,504.80 $1,176.12 2026-05-22
72192 CPT CT Pelvis Wo Dye 22 5 $1,806.00 $1,751.82 $455.11 $1,715.70 $1,150.42 2026-05-22
25605 CPT Fx Distal Radius W Man Lt 30 5 $1,725.00 $1,673.25 $434.70 $1,638.75 $1,143.68 2026-05-22
93017 CPT Cardiovascular Stress Test 20 5 $1,588.00 $1,540.36 $400.18 $1,508.60 $1,143.36 2026-05-22
49505 CPT Prp I/Hern Init Reduc >5 Yr Rt 14 5 $2,532.00 $2,456.04 $1,022.06 $1,412.24 $1,130.78 2026-05-22
J7298 HCPCS Levonorgestrel Iu 52 Mg 5 Yr 22 5 $1,565.00 $1,518.83 $217.08 $2,477.86 $1,127.38 2026-05-22
99291 CPT Critical Care 1st 30-74 Min 32 5 $2,533.00 $2,457.01 $329.00 $2,406.35 $1,125.92 2026-05-22
28470 CPT Fx Metatarsal 16 5 $1,507.00 $1,461.79 $379.76 $1,431.65 $1,118.95 2026-05-22
A0428 HCPCS Amb Bls Non Emerg Hosp/Hosp 48 5 $1,499.00 $1,454.03 $377.75 $1,424.05 $1,113.01 2026-05-22
69620 CPT Repair Eardrum Rt 14 5 $961.00 $932.17 $1,005.11 $1,352.23 $1,087.15 2026-05-22
33208 CPT Insert Heart Pm Atrial & Vent 14 5 $1,724.00 $1,672.28 $981.03 $1,408.20 $1,085.38 2026-05-22
69300 CPT Otoplasty,WWO Size Redctn Lt 14 5 $473.00 $458.81 $952.67 $1,270.58 $1,028.49 2026-05-22
21931 CPT Exc Soft Tumor Back 3 Cm 14 5 $524.00 $508.28 $928.01 $1,276.04 $1,019.41 2026-05-22
49592 CPT Rpt Aa Hrn 1st <3 Ncr/Strn 14 5 $506.00 $490.82 $904.88 $1,301.08 $1,000.36 2026-05-22
93975 CPT Vascular Study 18 5 $1,368.00 $1,326.96 $344.74 $1,299.60 $984.96 2026-05-22
684 OTHER Trauma Team Evaluation Level 4 16 5 $1,324.00 $1,284.28 $333.65 $1,257.80 $983.07 2026-05-22
J7307 HCPCS Female 22 5 $1,364.00 $1,323.08 $7.82 $2,477.86 $982.08 2026-05-22
G0390 HCPCS Trauma Team Level 4 18 5 $1,362.00 $1,321.14 $343.22 $1,293.90 $980.64 2026-05-22
93925 CPT Arterial Duplex Le Bi 18 5 $1,353.00 $1,312.41 $340.96 $1,285.35 $974.16 2026-05-22
64721 CPT Carpal Tunnel Surgery Lt 28 5 $1,431.00 $1,388.07 $894.78 $1,188.68 $967.14 2026-05-22
90675 CPT Rabies Vax Pcec/Pf 2.5Unit Vl 36 5 $1,347.00 $1,307.03 $125.24 $1,412.56 $958.66 2026-05-22
76000 CPT Fluoroscope Examination 18 5 $1,441.00 $1,397.77 $363.13 $1,368.95 $955.38 2026-05-22
93880 CPT Extracranial Bilat Study 18 5 $1,321.00 $1,281.37 $332.89 $1,254.95 $951.12 2026-05-22
J7300 HCPCS Female 22 5 $1,291.00 $1,252.27 $5.94 $2,323.56 $929.52 2026-05-22
28232 CPT Tenotomy Open Toe Single 32 5 $1,733.00 $1,681.01 $436.72 $1,646.35 $892.89 2026-05-22
93970 CPT Venous Duplex 20 5 $1,239.00 $1,201.83 $312.23 $1,177.05 $892.08 2026-05-22
28400 CPT Fx Calcaneus Rt 16 5 $1,173.00 $1,137.81 $295.60 $1,114.35 $870.95 2026-05-22
27750 CPT Treatment Tibia Fracture Lt 16 5 $1,173.00 $1,137.81 $295.60 $1,114.35 $870.95 2026-05-22
25650 CPT Fx Ulnar Styloid Lt 16 5 $1,173.00 $1,137.81 $295.60 $1,114.35 $870.95 2026-05-22
87529 CPT Hsv DNA Amp Probe 18 5 $1,200.00 $1,164.00 $302.40 $1,140.00 $864.00 2026-05-22
81206 CPT Bcr/abl1 Major Mutation 18 5 $1,196.00 $1,160.12 $301.39 $1,136.20 $861.12 2026-05-22
27760 CPT Treatment Medial Ankle Fx Lt 32 5 $1,117.00 $1,083.49 $281.48 $1,061.15 $829.38 2026-05-22
27530 CPT Treat Knee Fracture Rt 16 5 $1,117.00 $1,083.49 $281.48 $1,061.15 $829.38 2026-05-22
27520 CPT Treat Kneecap Fracture Lt 32 5 $1,117.00 $1,083.49 $281.48 $1,061.15 $829.38 2026-05-22
26600 CPT Fx Metacarpal 16 5 $1,117.00 $1,083.49 $281.48 $1,061.15 $829.38 2026-05-22
99284 CPT Emergency Room Visit Level 4 40 5 $1,301.00 $1,261.97 $184.86 $1,235.95 $828.74 2026-05-22
710 OTHER Recovery Phase 1 Per 15 Min 48 5 $1,245.00 $1,207.65 $60.73 $1,231.20 $825.50 2026-05-22
76811 CPT OB US Detailed Single Fetus 22 5 $1,139.00 $1,104.83 $287.03 $1,082.05 $820.08 2026-05-22
23500 CPT Fx Clavicle Lt 36 5 $1,117.00 $1,083.49 $281.48 $1,061.15 $804.24 2026-05-22
90678 CPT Rsv Vaccine Bivalent 22 5 $1,249.00 $1,212.31 $41.69 $1,187.31 $796.12 2026-05-22
23620 CPT Closed Tx Gr Tuberosity Fx Lt 16 5 $1,063.00 $1,031.11 $267.88 $1,009.85 $789.28 2026-05-22
33229 CPT Removal/Replacement Pacemaker 14 5 $1,088.00 $1,055.36 $710.54 $1,016.68 $782.47 2026-05-22
87901 CPT HIV Genotype 16 5 $1,032.00 $1,001.04 $260.06 $980.40 $766.26 2026-05-22
11426 CPT Exc Ben Lesion >4.0 Neck Ext 30 5 $2,968.00 $2,878.96 $540.17 $2,819.60 $753.87 2026-05-22
25600 CPT Fx Distal Radius Lt 64 5 $1,173.00 $1,137.81 $63.76 $1,114.35 $750.74 2026-05-22
33228 CPT Rmvl Perm Pace W/rpclmt Dual 14 5 $1,182.00 $1,146.54 $676.83 $959.62 $746.29 2026-05-22
Q0138 HCPCS Ferumoxy 510mg/17ml (non-esrd) 22 5 $1,145.00 $1,111.35 $0.76 $1,088.43 $729.82 2026-05-22
76937 CPT US Guide Vascular Access 16 5 $980.00 $950.60 $246.96 $931.00 $727.65 2026-05-22
21011 CPT Excision Soft Tumor < 2 Cm 30 5 $1,688.00 $1,637.36 $425.38 $1,603.60 $713.19 2026-05-22
28272 CPT Capsulotomy Interphalangeal 30 5 $1,643.00 $1,593.71 $414.04 $1,560.85 $712.82 2026-05-22
24600 CPT Dislocation Elbow Wo Anes Rt 30 5 $747.00 $724.59 $188.24 $926.91 $709.65 2026-05-22
76700 CPT Ultrasound Abdomen Complete 20 5 $963.00 $934.11 $242.68 $914.85 $693.36 2026-05-22
31237 CPT Nasal/Sinus Endoscopy Bi 30 5 $2,728.00 $2,646.16 $318.84 $2,591.60 $687.46 2026-05-22
77085 CPT Dexa Bone Density Study 20 5 $993.00 $963.21 $202.02 $943.35 $686.66 2026-05-22
Q9967 HCPCS Iopamidol-370 100 Ml Vial 24 5 $1,051.00 $1,019.92 $0.28 $998.89 $683.45 2026-05-22
90380 CPT Rsv .5mL IM 22 5 $794.00 $770.47 $200.16 $2,714.34 $677.54 2026-05-22
81207 CPT Bcr/abl1 Minor Mutation 18 5 $941.00 $912.77 $237.13 $893.95 $677.52 2026-05-22
90684 CPT Pneumo Conjugate Vaccine 21 Va 22 5 $1,050.00 $1,018.79 $264.68 $997.79 $669.04 2026-05-22
42821 CPT Remove Tonsils And Adenoids 14 5 $923.00 $895.31 $617.03 $832.75 $665.55 2026-05-22
26055 CPT Incision Tendon Sheath Finger 14 5 $329.00 $319.13 $606.50 $803.96 $656.52 2026-05-22
94660 CPT CPap/BiPap First Day 16 5 $868.00 $841.96 $218.74 $824.60 $644.49 2026-05-22
42820 CPT Remove Tonsils And Adenoids 14 5 $903.00 $875.91 $591.48 $798.28 $637.88 2026-05-22
23650 CPT Dislocation Shoulder Wo AnesLT 60 5 $747.00 $724.59 $188.24 $802.00 $637.19 2026-05-22
76830 CPT Ultrasound Transvaginal 24 5 $856.00 $830.32 $215.71 $813.20 $616.32 2026-05-22
76770 CPT Ultrasound Abdo Back Wall Comp 22 5 $837.00 $811.89 $210.92 $795.15 $602.64 2026-05-22
77080 CPT Dexa Scan 22 5 $895.00 $868.15 $88.61 $850.25 $593.39 2026-05-22
87476 CPT Lyme Disease DNA Amp Probe 18 5 $824.00 $799.28 $207.65 $782.80 $593.28 2026-05-22
59025 CPT Fetal Non Stress 18 5 $818.00 $793.46 $206.14 $777.10 $588.96 2026-05-22
24650 CPT Fx Radial Head/Neck Wo Man Lt 16 5 $785.00 $761.45 $197.82 $745.75 $582.87 2026-05-22
87507 CPT Gi Path Panel 12-25 22 5 $807.00 $782.79 $203.36 $766.65 $581.04 2026-05-22
90671 CPT Pneumo Conjugate Vaccine 15 Va 22 5 $900.00 $873.78 $16.40 $855.76 $573.81 2026-05-22
90381 CPT Rsv 1mL IM 22 5 $794.00 $770.47 $200.16 $1,060.30 $571.90 2026-05-22
26770 CPT Dislocation Finger Wo Anes 76 5 $660.00 $640.20 $128.77 $710.47 $571.46 2026-05-22
74230 CPT Cine/Vid X-ray Throat/Esoph 24 5 $769.00 $745.93 $193.79 $730.55 $570.98 2026-05-22
87556 CPT Mtb DNA Probe (arup) 16 5 $766.00 $743.02 $193.03 $727.70 $568.75 2026-05-22
72110 CPT X-ray Lumbosacral 4 Views 26 5 $852.00 $826.44 $67.44 $809.40 $564.88 2026-05-22
42826 CPT Remove Tonsils 14 5 $840.00 $814.80 $521.86 $696.92 $563.57 2026-05-22
74250 CPT Gastrografin Challenge 18 5 $848.00 $822.56 $206.36 $805.60 $562.22 2026-05-22
76942 CPT US Guide For Needle Placement 16 5 $756.00 $733.32 $190.51 $718.20 $561.33 2026-05-22
J2997 HCPCS Alteplase 2 Mg Vial 22 5 $879.00 $852.77 $37.08 $835.18 $560.01 2026-05-22
P9016 HCPCS Red Blood Cells Lekoreduced 20 5 $776.00 $752.72 $195.55 $737.20 $558.72 2026-05-22
28430 CPT Clsd Txt Talus Fx Wo Man Lt 16 5 $747.00 $724.59 $188.24 $709.65 $554.65 2026-05-22
25622 CPT Fx Carpal Scaphoid Wo Man Lt 16 5 $747.00 $724.59 $188.24 $709.65 $554.65 2026-05-22
71101 CPT X-ray Ribs Uni W Chest Rt 42 5 $767.00 $743.99 $193.28 $3,427.98 $552.24 2026-05-22
99283 CPT Emergency Room Visit Level 3 38 5 $860.00 $834.20 $108.68 $817.00 $547.82 2026-05-22
93971 CPT Extremity Study Lt 42 5 $759.00 $736.23 $191.27 $721.05 $546.48 2026-05-22
83993 CPT Calprotectin 20 5 $734.00 $711.98 $184.97 $697.30 $545.00 2026-05-22
J1610 HCPCS Glucagon 1 Mg/ml Vial 36 5 $733.00 $711.82 $98.91 $1,261.06 $544.87 2026-05-22
23570 CPT Fx Scapula Wo Manipulation Rt 18 5 $747.00 $724.59 $188.24 $709.65 $537.84 2026-05-22
92611 CPT Swallow Evaluation Video 22 5 $746.00 $723.62 $187.99 $708.70 $537.12 2026-05-22
45385 CPT Colonoscopy W Lesion Removal 14 5 $1,789.00 $1,735.33 $497.75 $709.52 $534.58 2026-05-22
73523 CPT X-ray Hips 5 Views Bi 24 5 $742.00 $719.74 $186.98 $704.90 $534.24 2026-05-22
70150 CPT X-ray Facial Bones 3 Views 20 5 $771.00 $747.87 $82.17 $732.45 $533.14 2026-05-22
83835 CPT Metanephrines 16 5 $710.00 $688.70 $178.92 $674.50 $527.17 2026-05-22
40650 CPT Repr Lip Fll Thckns Vermiln On 30 5 $552.00 $535.44 $139.10 $844.82 $524.40 2026-05-22
P9040 HCPCS Rbc Packed Leuko-reduc Irrad 16 5 $706.00 $684.82 $177.91 $670.70 $524.21 2026-05-22
37195 CPT Thrombolytic Therapy Stroke 16 5 $706.00 $684.82 $177.91 $670.70 $524.21 2026-05-22
36590 CPT Removal Tunneled Cv Catheter 30 5 $1,609.00 $1,560.73 $369.80 $1,528.55 $522.31 2026-05-22
23600 CPT Fx Prox Humeral Wo Man Rt 34 5 $711.00 $689.67 $179.17 $675.45 $511.92 2026-05-22
76817 CPT Transvaginal US Obstetrical 20 5 $710.00 $688.70 $178.92 $674.50 $511.20 2026-05-22
Q9950 HCPCS Sulf Hexaflr Microsphre 5ml Vl 22 5 $802.00 $778.42 $37.36 $762.38 $511.19 2026-05-22
81241 CPT Factor V Leiden Mutation 18 5 $709.00 $687.73 $178.67 $673.55 $510.48 2026-05-22
450 OTHER Dissolve Clot Heart Vessel 16 5 $687.00 $666.39 $173.12 $652.65 $510.10 2026-05-22
76856 CPT Ultrasound Pelvic Complete 24 5 $689.00 $668.33 $173.63 $654.55 $496.08 2026-05-22
45398 CPT Colonoscopy W Band Ligation 14 5 $291.00 $282.27 $457.22 $650.58 $494.45 2026-05-22
33233 CPT Removal Pm Generator 14 5 $291.00 $282.27 $451.70 $631.60 $492.32 2026-05-22
76706 CPT Aaa Screening Medicare 16 5 $663.00 $643.11 $167.08 $629.85 $492.28 2026-05-22
72050 CPT X-ray Spine Cervical 4-5 Views 20 5 $653.00 $633.41 $164.56 $746.06 $484.86 2026-05-22
99281 CPT Sane Exam 18 5 $672.00 $651.84 $169.34 $638.40 $483.84 2026-05-22
76604 CPT Ultrasound Chest 16 5 $651.00 $631.47 $164.05 $618.45 $483.37 2026-05-22
76801 CPT OB US < 14 Wks Single Fetus 22 5 $670.00 $649.90 $168.84 $636.50 $482.40 2026-05-22
12034 CPT Repair Lac Interm 7.6-12.5 Cm 32 5 $735.00 $712.95 $185.22 $698.25 $477.75 2026-05-22
93976 CPT Vascular Study 22 5 $662.00 $642.14 $166.82 $628.90 $476.64 2026-05-22
76870 CPT Ultrasound Scrotum 22 5 $661.00 $641.17 $166.57 $627.95 $475.92 2026-05-22
76805 CPT OB US >14 Wk Tvta Single Fetus 18 5 $658.00 $638.26 $165.82 $625.10 $473.76 2026-05-22
11642 CPT Exc Mal Lesion 1.1-2.0 Face 32 5 $727.00 $705.19 $183.20 $690.65 $472.55 2026-05-22
12051 CPT Repair Lac Interm <2.5 Cm 30 5 $735.00 $712.95 $185.22 $698.25 $468.19 2026-05-22
12032 CPT Repair Lac Interm 2.6-7.5 Cm 30 5 $735.00 $712.95 $185.22 $698.25 $468.19 2026-05-22
92960 CPT Cardioversion 32 5 $1,051.00 $1,019.47 $165.12 $998.45 $467.17 2026-05-22
76775 CPT Ultrasound Aorta 20 5 $646.00 $626.62 $162.79 $613.70 $465.12 2026-05-22
93798 CPT Cardiac Rehab Ii Monitored 22 5 $600.00 $582.00 $151.20 $570.00 $464.40 2026-05-22
71100 CPT X-ray Ribs 2 Views Lt 38 5 $605.00 $586.85 $152.46 $3,616.49 $462.83 2026-05-22
11603 CPT Exc Mal Lesion 2.1-3.0 Trunk 30 5 $724.00 $702.28 $182.45 $687.80 $461.19 2026-05-22
J1611 HCPCS Glucagon (Fresenius Kabi) Vial 22 5 $719.00 $698.13 $81.80 $683.73 $458.46 2026-05-22
31238 CPT Nasal/Sinus Endoscopy Lt 60 5 $1,819.00 $1,764.43 $332.74 $1,728.05 $458.39 2026-05-22
J0881 HCPCS Darbepoe Alfa 25mcg/0.42ml Syr 36 5 $503.00 $488.11 $5.94 $2,669.46 $453.64 2026-05-22
11043 CPT Debride Muscle/Fascia 20 Cm 32 5 $756.00 $733.32 $190.51 $718.20 $453.22 2026-05-22
96413 CPT Chemotherapy Inf Initial 20 5 $626.00 $607.22 $157.75 $594.70 $450.72 2026-05-22
73521 CPT X-ray Hips 2 Views Bi 20 5 $605.00 $586.85 $152.46 $656.82 $449.22 2026-05-22
10140 CPT I&d Hematoma Seroma 30 5 $1,772.00 $1,718.84 $241.11 $1,683.40 $446.54 2026-05-22
70110 CPT X-ray Mandible 4 Views 18 5 $580.00 $562.60 $146.16 $5,483.21 $443.70 2026-05-22
72120 CPT X-ray Ls Spine Bending 2-3 V 18 5 $667.00 $646.99 $152.07 $633.65 $442.22 2026-05-22
70140 CPT X-ray Facial Bones < 3 Views 20 5 $636.00 $616.92 $66.51 $604.20 $439.80 2026-05-22
76705 CPT Ultrasound Abdomen Limited 24 5 $608.00 $589.76 $153.22 $577.60 $437.76 2026-05-22
11404 CPT Exc Ben Lesion 3.1-4.0 Trunk 32 5 $1,688.00 $1,637.36 $334.03 $1,603.60 $436.95 2026-05-22
J1805 HCPCS Esmolol In Ns 2000 Mg/100 Ml 22 5 $606.00 $588.08 $0.42 $575.96 $436.51 2026-05-22
82077 CPT Alcohol/Ethanol Auto Analyzer 26 5 $600.00 $582.00 $151.20 $570.00 $432.00 2026-05-22
77067 CPT Mammo Screen Implant Bi 66 5 $564.00 $547.08 $142.13 $757.00 $431.46 2026-05-22
28190 CPT Remove Foreign Body Foot Lt 64 5 $760.00 $737.20 $191.52 $722.00 $429.88 2026-05-22
11422 CPT Exc Ben Lesion 1.1-2.0 Neck 30 5 $1,688.00 $1,637.36 $279.32 $1,603.60 $425.38 2026-05-22
12031 CPT Repair Lac Intermed <2.5 Cm 30 5 $735.00 $712.95 $185.22 $698.25 $423.98 2026-05-22
45380 CPT Colonoscopy W Biopsy(s) 14 5 $1,608.00 $1,559.76 $393.92 $558.91 $422.99 2026-05-22
72100 CPT X-ray Lumbosacral 2-3 Views 26 5 $636.00 $616.92 $90.44 $604.20 $421.67 2026-05-22
86256 CPT Pla2R Titer 18 5 $585.00 $567.45 $147.42 $555.75 $421.20 2026-05-22
76536 CPT Ultrasound Head And Neck 22 5 $582.00 $564.54 $146.66 $552.90 $419.04 2026-05-22
72040 CPT X-ray Spine Cervical 2-3 Views 24 5 $580.00 $562.60 $146.16 $551.93 $417.60 2026-05-22
A9561 HCPCS Radiophar Tc99M Oxidronate(Hdp 18 5 $577.00 $559.69 $145.40 $548.15 $415.44 2026-05-22
80145 CPT Adalimumab 16 5 $557.00 $540.29 $140.36 $529.15 $413.58 2026-05-22
43251 CPT Egd Remove Lesion Snare 14 5 $221.00 $214.37 $384.52 $546.39 $413.10 2026-05-22
81515 CPT Vpp 22 5 $564.00 $547.08 $142.13 $535.80 $406.08 2026-05-22
71046 CPT X-ray Chest 2v PA/Lateral 26 5 $475.00 $460.75 $119.70 $783.14 $405.18 2026-05-22
J2404 HCPCS Nicardipine/Ns 40 Mg/200ml Bag 22 5 $560.00 $543.26 $0.16 $1,828.74 $403.24 2026-05-22
11442 CPT Exc Ben Lesion 1.1-2.0 Face 30 5 $724.00 $702.28 $182.45 $687.80 $403.03 2026-05-22
87900 CPT Infectious Drug Agent Susc 16 5 $532.00 $516.04 $134.06 $505.40 $395.01 2026-05-22
87906 CPT HIV 1 Sequence Integras Resist 16 5 $532.00 $516.04 $134.06 $505.40 $395.01 2026-05-22
94060 CPT Pft Pre & Post Screen Spirome 22 5 $548.00 $531.56 $138.10 $520.60 $394.56 2026-05-22
73503 CPT X-ray Hip Uni W Pelvis 4 V Rt 38 5 $528.00 $512.16 $133.06 $501.60 $392.75 2026-05-22
70030 CPT X-ray Eye Fb Detection 20 5 $527.00 $511.19 $132.80 $5,074.70 $391.30 2026-05-22
31500 CPT Insert Emergency Airway 34 5 $955.00 $926.35 $240.66 $907.25 $390.88 2026-05-22
87305 CPT Aspergillus Galact Antigen 16 5 $526.00 $510.22 $132.55 $499.70 $390.56 2026-05-22
11402 CPT Exc Ben Lesion 1.1-2.0 Trunk 32 5 $724.00 $702.28 $182.45 $687.80 $389.75 2026-05-22
45378 CPT Colonoscopy Diagnostic 14 5 $1,371.00 $1,329.87 $362.29 $514.44 $389.06 2026-05-22
70100 CPT X-ray Mandible < 4 Views 18 5 $507.00 $491.79 $127.76 $4,852.95 $387.86 2026-05-22
92950 CPT Heart/Lung Resuscitation Cpr 30 5 $1,395.00 $1,353.15 $275.08 $1,325.25 $387.53 2026-05-22
Q9956 HCPCS Perflutren Protein-a Microdota 26 5 $581.00 $564.28 $77.76 $552.64 $385.69 2026-05-22
33286 CPT Remove Pat-active Ht Record 32 5 $836.00 $810.92 $161.19 $794.20 $383.24 2026-05-22
92523 CPT Speech Sound Lang Comprehen 20 5 $532.00 $516.04 $134.06 $505.40 $383.04 2026-05-22
80306 CPT Drug Screen Urine Inst Ass Obv 24 5 $528.00 $512.16 $133.06 $501.60 $380.16 2026-05-22
76857 CPT Ultrasound Bladder Limited 18 5 $522.00 $506.34 $131.54 $495.90 $375.84 2026-05-22
72072 CPT X-ray Spine Thoracic 3 Views 24 5 $520.00 $504.40 $131.04 $697.55 $374.40 2026-05-22
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