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

PIPESTONE COUNTY MEDICAL CENTER

Pipestone, MN · CCN 241374 · Rates published

Your selected procedure

You selected 93306 (CPT)

TTE W Doppler Complete

This hospital’s price: $1,803 across 5 payers · range $496-$2,226

Source: https://www.avera.org/app/files/public/6d849323-cf99-4a3e-afbc-49241f8e3b6f/411392082_pipestone-county-medical-center_standardcharges.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,302 distinct procedures filed
5 distinct payers
20,622 rate rows
2026-07-15 last MRF observed
Data quality

20,542 of 20,622 rate rows are consumer-grade (99.6%)

80 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
placeholder amount (≤ $0.02) — excluded from medians 20
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/6d849323-cf99-4a3e-afbc-49241f8e3b6f/411392082_pipestone-county-medical-center_standardcharges.csv
Found on page https://www.avera.org/app/files/public/6d849323-cf99-4a3e-afbc-49241f8e3b6f/411392082_pipestone-county-medical-center_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-10
Content fingerprint ce23e783dafcb658… · 5,336,637 bytes · first seen 2026-06-08

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
193
MS_DRG 		Ms-DRG 193 1 $37,046.53 $37,046.53 $37,046.53 nat. median
$12,868
outlier · 2.9×
872
MS_DRG 		Ms-DRG 872 1 $36,656.57 $36,656.57 $36,656.57 nat. median
$10,401
outlier · 3.5×
605
MS_DRG 		Ms-DRG 605 1 $24,708.86 $24,708.86 $24,708.86 nat. median
$9,363
outlier · 2.6×
194
MS_DRG 		Ms-DRG 194 1 $24,708.86 $24,708.86 $24,708.86 nat. median
$8,516
outlier · 2.9×
J2350
HCPCS 		Ocrelizumab 300 Mg/10 Ml 5 $6.09 $39,358.69 $21,858.57 nat. median
$470
outlier · 46.5×
440
MS_DRG 		Ms-DRG 440 1 $18,572.25 $18,572.25 $18,572.25 nat. median
$6,861
outlier · 2.7×
291
MS_DRG 		Ms-DRG 291 1 $18,540.03 $18,540.03 $18,540.03 nat. median
$12,770
1.5× median
871
MS_DRG 		Ms-DRG 871 1 $18,540.03 $18,540.03 $18,540.03 nat. median
$18,642
1.0× median
280
MS_DRG 		Ms-DRG 280 1 $17,487.92 $17,487.92 $17,487.92 nat. median
$15,657
1.1× median
309
MS_DRG 		Ms-DRG 309 1 $17,487.92 $17,487.92 $17,487.92 nat. median
$7,903
outlier · 2.2×
536
MS_DRG 		Ms-DRG 536 1 $17,487.92 $17,487.92 $17,487.92 nat. median
$8,433
outlier · 2.1×
J9298
HCPCS 		Nivolum/Relatlim 240-80mg 113g 5 $112.14 $31,091.66 $17,267.32 nat. median
$561
outlier · 30.8×
J3245
HCPCS 		Tildrakizumab-asmn 100Mg/Ml Sy 5 $5.04 $25,166.39 $13,976.62 nat. median
$256
outlier · 54.6×
806
MS_DRG 		Ms-DRG 806 1 $12,817.32 $12,817.32 $12,817.32 nat. median
$7,626
1.7× median
807
MS_DRG 		Ms-DRG 807 1 $12,759.14 $12,759.14 $12,759.14 nat. median
$6,989
1.8× median
640
MS_DRG 		Ms-DRG 640 1 $12,371.19 $12,371.19 $12,371.19 nat. median
$12,850
1.0× median
312
MS_DRG 		Ms-DRG 312 1 $12,371.19 $12,371.19 $12,371.19 nat. median
$8,945
1.4× median
J9144
HCPCS 		Daratumumab Hyaluronida 1800Mg 5 $107.92 $21,273.13 $11,814.43 nat. median
$211
outlier · 55.9×
689
MS_DRG 		Ms-DRG 689 1 $11,669.79 $11,669.79 $11,669.79 nat. median
$11,514
1.0× median
J3380
HCPCS 		Vedolizumab 300 Mg Vial 5 $43.34 $17,997.74 $9,995.38 nat. median
$162
outlier · 61.7×
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $13,993.11 $8,577.04 nat. median
$3,820
outlier · 2.2×
56021
OTHER 		Apr-DRG 56021 1 $7,664.45 $7,664.45 $7,664.45 nat. median
$1,325
outlier · 5.8×
J9271
HCPCS 		Pembrolizumab 100 Mg/4 Ml Vial 5 $13.37 $12,245.12 $6,800.55 nat. median
$276
outlier · 24.7×
54221
OTHER 		Apr-DRG 54221 1 $6,652.13 $6,652.13 $6,652.13 nat. median
$38
outlier · 174.2×
J0717
HCPCS 		Certolizumab Pegol 400 Mg Kit 5 $3.42 $11,466.79 $6,368.29 nat. median
$1,598
outlier · 4.0×
64021
OTHER 		Apr-DRG 64021 1 $5,709.68 $5,709.68 $5,709.68 nat. median
$5,710
1.0× median
J2353
HCPCS 		Octreotide (Depot) 20 Mg Syr 5 $17.33 $8,422.99 $4,677.86 nat. median
$5,573
0.8× median
75635
CPT 		CTA Abdominal Arteries 5 $592.68 $5,956.50 $3,993.99 nat. median
$722
outlier · 5.5×
J1306
HCPCS 		Inclisiran 284mg/1.5ml Syringe 5 $5.81 $6,939.23 $3,853.83 nat. median
$44
outlier · 87.3×
54231
OTHER 		Apr-DRG 54231 1 $3,824.12 $3,824.12 $3,824.12 nat. median
$239
outlier · 16.0×
95811
CPT 		Polysomnogram W CPap 5 $1,104.11 $4,952.35 $3,529.20 nat. median
$1,894
1.9× median
90375
HCPCS 		Rabies Ig (Human) 300 U/Ml 5Ml 5 $146.90 $6,183.41 $3,434.07 nat. median
$1,056
outlier · 3.3×
J1569
HCPCS 		Immune Glob Gamagar 20gr/200ml 5 $21.77 $6,169.44 $3,259.28 nat. median
$1,070
outlier · 3.0×
74183
CPT 		MRI Abdomen Wwo Dye 5 $619.08 $4,685.40 $3,141.68 nat. median
$1,100
outlier · 2.9×
J3262
HCPCS 		Tocilizumab 400 Mg/20 Ml Vial 5 $2.72 $5,343.96 $2,967.87 nat. median
$1,416
outlier · 2.1×
Q5122
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml Syr 5 $234.02 $4,044.57 $2,882.29 nat. median
$561
outlier · 5.1×
73222
CPT 		MRI Joint Ue W Dye Lt 5 $530.75 $4,009.00 $2,856.94 nat. median
$1,282
outlier · 2.2×
73722
CPT 		MRI Joint Le W Dye Lt 5 $388.80 $4,009.00 $2,856.94 nat. median
$1,279
outlier · 2.2×
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $911.80 $4,089.75 $2,828.39 nat. median
$988
outlier · 2.9×
70546
CPT 		MRA Head Wwo Contrast 5 $545.48 $4,950.45 $2,749.32 nat. median
$1,070
outlier · 2.6×
74177
CPT 		CT Abd & Pelv W Contrast 5 $227.52 $3,970.05 $2,745.60 nat. median
$974
outlier · 2.8×
J3240
HCPCS 		Thyrotropin Alpha 1.1 Mg Vial 5 $50.97 $3,722.12 $2,652.50 nat. median
$2,980
0.9× median
78452
CPT 		Myocard Perf Spect Rest Stress 5 $721.81 $5,417.00 $2,622.45 nat. median
$1,816
1.4× median
56631
OTHER 		Apr-DRG 56631 1 $2,536.55 $2,536.55 $2,536.55 nat. median
$1,911
1.3× median
74176
CPT 		CT Abd & Pelvis Wo Contrast 5 $95.04 $3,741.10 $2,508.51 nat. median
$694
outlier · 3.6×
795
MS_DRG 		Ms-DRG 795 1 $2,490.08 $2,490.08 $2,490.08 nat. median
$2,511
1.0× median
72158
CPT 		MRI Lumbar Spine Wwo Dye 5 $340.97 $3,615.70 $2,424.42 nat. median
$1,093
outlier · 2.2×
99291
CPT 		Critical Care 1st 30-74 Min 5 $329.00 $4,333.90 $2,406.91 nat. median
$1,530
1.6× median
73723
CPT 		MRI Joint Le Wwo Dye Lt 5 $657.06 $4,192.35 $2,328.30 nat. median
$1,192
2.0× median
73220
CPT 		MRI Ue Wwo Dye Rt 5 $319.79 $4,192.35 $2,328.30 nat. median
$1,130
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 1,302 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
             
193 MS_DRG Ms-DRG 193 1 1 — — $37,046.53 $37,046.53 $37,046.53 2026-07-15
872 MS_DRG Ms-DRG 872 1 1 — — $36,656.57 $36,656.57 $36,656.57 2026-07-15
605 MS_DRG Ms-DRG 605 1 1 — — $24,708.86 $24,708.86 $24,708.86 2026-07-15
194 MS_DRG Ms-DRG 194 1 1 — — $24,708.86 $24,708.86 $24,708.86 2026-07-15
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml 11 5 $41,430.00 $41,430.20 $6.09 $39,358.69 $21,858.57 2026-07-15
440 MS_DRG Ms-DRG 440 1 1 — — $18,572.25 $18,572.25 $18,572.25 2026-07-15
871 MS_DRG Ms-DRG 871 1 1 — — $18,540.03 $18,540.03 $18,540.03 2026-07-15
291 MS_DRG Ms-DRG 291 1 1 — — $18,540.03 $18,540.03 $18,540.03 2026-07-15
309 MS_DRG Ms-DRG 309 1 1 — — $17,487.92 $17,487.92 $17,487.92 2026-07-15
536 MS_DRG Ms-DRG 536 1 1 — — $17,487.92 $17,487.92 $17,487.92 2026-07-15
280 MS_DRG Ms-DRG 280 1 1 — — $17,487.92 $17,487.92 $17,487.92 2026-07-15
J9298 HCPCS Nivolum/Relatlim 240-80mg 113g 11 5 $32,728.00 $32,728.06 $112.14 $31,091.66 $17,267.32 2026-07-15
J3245 HCPCS Tildrakizumab-asmn 100Mg/Ml Sy 11 5 $26,490.00 $26,490.94 $5.04 $25,166.39 $13,976.62 2026-07-15
806 MS_DRG Ms-DRG 806 1 1 — — $12,817.32 $12,817.32 $12,817.32 2026-07-15
807 MS_DRG Ms-DRG 807 1 1 — — $12,759.14 $12,759.14 $12,759.14 2026-07-15
312 MS_DRG Ms-DRG 312 1 1 — — $12,371.19 $12,371.19 $12,371.19 2026-07-15
640 MS_DRG Ms-DRG 640 1 1 — — $12,371.19 $12,371.19 $12,371.19 2026-07-15
J9144 HCPCS Daratumumab Hyaluronida 1800Mg 11 5 $22,392.00 $22,392.77 $107.92 $21,273.13 $11,814.43 2026-07-15
689 MS_DRG Ms-DRG 689 1 1 — — $11,669.79 $11,669.79 $11,669.79 2026-07-15
J3380 HCPCS Vedolizumab 300 Mg Vial 11 5 $18,944.00 $18,944.99 $43.34 $17,997.74 $9,995.38 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 12 5 $14,729.00 $14,729.59 $0.41 $13,993.11 $8,577.04 2026-07-15
56021 OTHER Apr-DRG 56021 1 1 — — $7,664.45 $7,664.45 $7,664.45 2026-07-15
J9271 HCPCS Pembrolizumab 100 Mg/4 Ml Vial 11 5 $12,889.00 $12,889.60 $13.37 $12,245.12 $6,800.55 2026-07-15
54221 OTHER Apr-DRG 54221 1 1 — — $6,652.13 $6,652.13 $6,652.13 2026-07-15
J0717 HCPCS Certolizumab Pegol 400 Mg Kit 11 5 $12,070.00 $12,070.30 $3.42 $11,466.79 $6,368.29 2026-07-15
64021 OTHER Apr-DRG 64021 1 1 — — $5,709.68 $5,709.68 $5,709.68 2026-07-15
J2353 HCPCS Octreotide (Depot) 20 Mg Syr 11 5 $8,866.00 $8,866.30 $17.33 $8,422.99 $4,677.86 2026-07-15
75635 CPT CTA Abdominal Arteries 9 5 $6,270.00 $6,270.00 $592.68 $5,956.50 $3,993.99 2026-07-15
J1306 HCPCS Inclisiran 284mg/1.5ml Syringe 11 5 $7,304.00 $7,304.45 $5.81 $6,939.23 $3,853.83 2026-07-15
54231 OTHER Apr-DRG 54231 1 1 — — $3,824.12 $3,824.12 $3,824.12 2026-07-15
95811 CPT Polysomnogram W CPap 10 5 $5,213.00 $5,213.00 $1,104.11 $4,952.35 $3,529.20 2026-07-15
90375 HCPCS Rabies Ig (Human) 300 U/Ml 5Ml 11 5 $6,508.00 $6,508.85 $146.90 $6,183.41 $3,434.07 2026-07-15
J1569 HCPCS Immune Glob Gamagar 20gr/200ml 18 5 $4,567.00 $4,567.59 $21.77 $6,169.44 $3,259.28 2026-07-15
74183 CPT MRI Abdomen Wwo Dye 13 5 $4,932.00 $4,932.00 $619.08 $4,685.40 $3,141.68 2026-07-15
J3262 HCPCS Tocilizumab 400 Mg/20 Ml Vial 11 5 $5,625.00 $5,625.22 $2.72 $5,343.96 $2,967.87 2026-07-15
Q5122 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Syr 11 5 $4,257.00 $4,257.44 $234.02 $4,044.57 $2,882.29 2026-07-15
73722 CPT MRI Joint Le W Dye Lt 22 5 $4,220.00 $4,220.00 $388.80 $4,009.00 $2,856.94 2026-07-15
73222 CPT MRI Joint Ue W Dye Lt 23 5 $4,220.00 $4,220.00 $530.75 $4,009.00 $2,856.94 2026-07-15
74174 CPT CTA Abd&Pelv Wwo Dye 10 5 $4,305.00 $4,305.00 $911.80 $4,089.75 $2,828.39 2026-07-15
70546 CPT MRA Head Wwo Contrast 11 5 $5,211.00 $5,211.00 $545.48 $4,950.45 $2,749.32 2026-07-15
74177 CPT CT Abd & Pelv W Contrast 14 5 $4,179.00 $4,179.00 $227.52 $3,970.05 $2,745.60 2026-07-15
J3240 HCPCS Thyrotropin Alpha 1.1 Mg Vial 11 5 $3,918.00 $3,918.02 $50.97 $3,722.12 $2,652.50 2026-07-15
78452 CPT Myocard Perf Spect Rest Stress 12 5 $3,408.00 $3,408.00 $721.81 $5,417.00 $2,622.45 2026-07-15
56631 OTHER Apr-DRG 56631 1 1 — — $2,536.55 $2,536.55 $2,536.55 2026-07-15
74176 CPT CT Abd & Pelvis Wo Contrast 13 5 $3,938.00 $3,938.00 $95.04 $3,741.10 $2,508.51 2026-07-15
795 MS_DRG Ms-DRG 795 1 1 — — $2,490.08 $2,490.08 $2,490.08 2026-07-15
72158 CPT MRI Lumbar Spine Wwo Dye 13 5 $3,806.00 $3,806.00 $340.97 $3,615.70 $2,424.42 2026-07-15
99291 CPT Critical Care 1st 30-74 Min 17 5 $4,562.00 $4,562.00 $329.00 $4,333.90 $2,406.91 2026-07-15
73720 CPT MRI Le Wwo Dye Rt 23 5 $4,413.00 $4,413.00 $233.96 $4,192.35 $2,328.30 2026-07-15
73223 CPT MRI Joint Ue Wwo Dye Rt 11 5 $4,413.00 $4,413.00 $597.27 $4,192.35 $2,328.30 2026-07-15
74181 CPT MRI Abdomen Wo Dye 11 5 $4,413.00 $4,413.00 $544.29 $4,192.35 $2,328.30 2026-07-15
73723 CPT MRI Joint Le Wwo Dye Lt 23 5 $4,413.00 $4,413.00 $657.06 $4,192.35 $2,328.30 2026-07-15
71550 CPT MRI Chest Wo Contrast 11 5 $4,413.00 $4,413.00 $84.00 $4,192.35 $2,328.30 2026-07-15
73220 CPT MRI Ue Wwo Dye Rt 11 5 $4,413.00 $4,413.00 $319.79 $4,192.35 $2,328.30 2026-07-15
J1602 HCPCS Golimumab 50 Mg/4 Ml Vial 11 5 $4,398.00 $4,398.54 $21.08 $4,178.61 $2,320.67 2026-07-15
74178 CPT CT Abd & Pelv Wwo Contrast 11 5 $4,348.00 $4,348.00 $479.88 $4,130.60 $2,294.00 2026-07-15
72197 CPT MRI Pelvis Wwo Dye 12 5 $3,933.00 $3,933.00 $618.17 $3,736.35 $2,290.19 2026-07-15
70553 CPT MRI Brain Wwo Contrast 12 5 $3,849.00 $3,849.00 $729.77 $3,656.55 $2,241.27 2026-07-15
73721 CPT MRI Joint Le Wo Dye Rt 27 5 $3,495.00 $3,495.00 $315.18 $3,320.25 $2,226.32 2026-07-15
72156 CPT MRI Neck Spine Wwo Dye 12 5 $3,806.00 $3,806.00 $340.05 $3,615.70 $2,216.24 2026-07-15
95810 CPT Polysomnogram 10 5 $3,369.00 $3,369.00 $713.55 $3,200.55 $2,213.43 2026-07-15
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml 11 5 $4,155.00 $4,155.00 $271.10 $3,947.25 $2,192.18 2026-07-15
72195 CPT MRI Pelvis Wo Dye 10 5 $3,334.00 $3,334.00 $706.14 $3,167.30 $2,190.44 2026-07-15
72157 CPT MRI Chest Spine Wwo Dye 12 5 $3,651.00 $3,651.00 $535.35 $3,468.45 $2,125.98 2026-07-15
73718 CPT MRI Le Wo Dye Lt 22 5 $4,025.00 $4,025.00 $56.39 $3,823.75 $2,123.59 2026-07-15
73218 CPT MRI Ue Wo Dye Lt 22 5 $4,025.00 $4,025.00 $79.40 $3,823.75 $2,123.59 2026-07-15
70549 CPT MRA Neck Wwo Contrast 12 5 $3,521.00 $3,521.00 $666.92 $3,344.95 $2,050.28 2026-07-15
70543 CPT MRI Orbit Face Neck Wwo Cont 11 5 $3,849.00 $3,849.00 $335.45 $3,656.55 $2,030.73 2026-07-15
73221 CPT MRI Joint Ue Wo Dye Lt 24 5 $3,487.00 $3,487.00 $408.12 $3,312.65 $2,030.48 2026-07-15
19083 CPT Biopsy Breast 1st Lesion Lt 19 5 $2,984.00 $2,984.00 $632.01 $2,834.80 $2,020.17 2026-07-15
19084 CPT Biopsy Breast Addl Lesion Lt 9 5 $2,984.00 $2,984.00 $632.01 $2,834.80 $2,020.17 2026-07-15
73201 CPT CT Ue W Dye Lt 11 5 $3,719.00 $3,719.00 $90.44 $3,533.05 $1,962.14 2026-07-15
73701 CPT CT Le W Dye Lt 22 5 $3,719.00 $3,719.00 $268.01 $3,533.05 $1,962.14 2026-07-15
78227 CPT Hida With Ef w/Pharm 9 5 $2,556.00 $2,556.00 $541.36 $2,428.20 $1,955.34 2026-07-15
70496 CPT CT Angiography Head W Cont 14 5 $2,921.00 $2,921.00 $246.84 $2,774.95 $1,919.10 2026-07-15
72148 CPT MRI Lumbar Spine Wo Dye 13 5 $2,992.00 $2,992.00 $315.18 $2,842.40 $1,905.90 2026-07-15
72132 CPT CT Lumbar Spine W Contrast 12 5 $2,836.00 $2,836.00 $313.35 $2,694.20 $1,834.00 2026-07-15
70544 CPT MRA Head Wo Contrast 12 5 $3,097.00 $3,097.00 $408.12 $2,942.15 $1,803.38 2026-07-15
93306 CPT Tte W Doppler Complete 12 5 $2,343.00 $2,343.00 $496.25 $2,225.85 $1,802.94 2026-07-15
74170 CPT CT Abdomen Wwo Dye 12 5 $3,049.00 $3,049.00 $58.22 $2,896.55 $1,775.43 2026-07-15
71275 CPT CTA Chest Wwo Contrast 11 5 $2,613.00 $2,613.00 $553.43 $2,482.35 $1,769.00 2026-07-15
C1889 HCPCS Device Ut Nvsr V5 Cmb Kt US 11 5 $2,536.00 $2,536.66 $537.26 $2,409.83 $1,717.32 2026-07-15
71270 CPT CT Thorax Wwo Contrast 11 5 $3,155.00 $3,155.00 $82.17 $2,997.25 $1,664.58 2026-07-15
71260 CPT CT Thorax W Contrast 13 5 $2,613.00 $2,613.00 $80.31 $2,482.35 $1,664.48 2026-07-15
70498 CPT CT Angiography Neck W Cont 14 5 $2,533.00 $2,533.00 $278.39 $2,406.35 $1,664.18 2026-07-15
J0129 HCPCS Abatacept 250 Mg Vial 11 5 $3,033.00 $3,033.56 $87.60 $2,881.88 $1,600.51 2026-07-15
70551 CPT MRI Brain Wo Contrast 12 5 $2,731.00 $2,731.00 $447.03 $2,594.45 $1,590.27 2026-07-15
C8929 HCPCS Echo M Mode 2d W Contrast 11 5 $2,343.00 $2,343.00 $496.25 $2,225.85 $1,586.21 2026-07-15
72141 CPT MRI Neck Spine Wo Dye 11 5 $2,992.00 $2,992.00 $233.96 $2,842.40 $1,578.58 2026-07-15
72146 CPT MRI Chest Spine Wo Dye 11 5 $2,992.00 $2,992.00 $390.63 $2,842.40 $1,578.58 2026-07-15
72129 CPT CT Thoracic Spine W Contrast 11 5 $2,836.00 $2,836.00 $128.15 $2,694.20 $1,496.27 2026-07-15
309 CDM Genetic Misc Test Group 6 8 5 $2,060.00 $2,060.00 $436.31 $1,957.00 $1,485.26 2026-07-15
J7298 HCPCS Levonorgestrel 20 MCG/24Hr IUD 18 5 $2,489.00 $2,489.26 $217.08 $2,477.86 $1,429.51 2026-07-15
47562 CPT Laparoscopic Cholecystectomy 7 5 $1,938.00 $1,938.00 $1,281.27 $1,779.51 $1,421.08 2026-07-15
72128 CPT CT Thoracic Spine Wo Contrast 13 5 $2,224.00 $2,224.00 $107.93 $2,112.80 $1,416.69 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrast 13 5 $2,218.00 $2,218.00 $234.87 $2,107.10 $1,412.87 2026-07-15
72125 CPT CT Cervical Spine Wo Contrast 13 5 $2,218.00 $2,218.00 $172.58 $2,107.10 $1,412.87 2026-07-15
70482 CPT CT Orbit Wwo Contrast 11 5 $2,653.00 $2,653.00 $261.57 $2,520.35 $1,399.72 2026-07-15
78306 CPT Bone Scan Whole Body 8 5 $1,937.00 $1,937.00 $410.26 $1,840.15 $1,396.58 2026-07-15
C1776 HCPCS Baseplate Tib Triath Trit 8 100 5 $2,450.00 $2,450.00 $127.08 $4,085.00 $1,377.70 2026-07-15
70470 CPT CT Head/Brain Wwo Contrast 11 5 $2,611.00 $2,611.00 $241.32 $2,480.45 $1,377.56 2026-07-15
71271 CPT Ldct For Lung Cancer Screen 13 5 $2,158.00 $2,158.00 $101.48 $2,050.10 $1,374.65 2026-07-15
78582 CPT Lung Perfusion & Ventilation 8 5 $1,896.00 $1,896.00 $401.57 $1,801.20 $1,367.01 2026-07-15
71250 CPT CT Thorax Wo Contrast 13 5 $2,094.00 $2,094.00 $71.13 $1,989.30 $1,333.88 2026-07-15
70540 CPT MRI Orbit Face Neck Wo Cont 11 5 $2,507.00 $2,507.00 $350.15 $2,381.65 $1,322.69 2026-07-15
70336 CPT MRI Tmj 11 5 $2,507.00 $2,507.00 $22.34 $2,381.65 $1,322.69 2026-07-15
74160 CPT CT Abdomen W Dye 11 5 $2,494.00 $2,494.00 $528.23 $2,369.30 $1,315.83 2026-07-15
76811 CPT OB US Detailed Single Fetus 12 5 $1,942.00 $1,942.00 $411.32 $1,844.90 $1,314.73 2026-07-15
44970 CPT Laparoscopy Appendectomy 7 5 $1,765.00 $1,765.00 $1,171.60 $1,625.60 $1,297.49 2026-07-15
120 CDM Room Medical Unit Semi Private 7 5 $1,873.00 $1,873.00 $396.70 $1,779.35 $1,268.02 2026-07-15
72192 CPT CT Pelvis Wo Dye 12 5 $2,155.00 $2,155.00 $456.43 $2,047.25 $1,254.86 2026-07-15
70491 CPT CT Soft Tissue Neck W Cont 12 5 $2,126.00 $2,126.00 $357.53 $2,019.70 $1,237.97 2026-07-15
70450 CPT CT Head/Brain Wo Contrast 11 5 $1,773.00 $1,773.00 $375.52 $1,684.35 $1,200.32 2026-07-15
70487 CPT CT Maxillofacial W Contrast 11 5 $2,248.00 $2,248.00 $268.29 $2,135.60 $1,186.04 2026-07-15
360 CDM Ag Capsulotomy 88 5 $1,985.00 $1,985.00 $48.93 $14,715.50 $1,178.98 2026-07-15
Q5115 HCPCS Rituximab-abbs 100Mg/10Ml Via 18 5 $1,225.00 $1,225.39 $63.66 $5,335.39 $1,176.82 2026-07-15
C1788 HCPCS Port Impl Pp MRI Chrnflx 8f 8 5 $1,614.00 $1,614.40 $341.93 $1,533.68 $1,163.99 2026-07-15
49505 CPT Prp I/Hern Init Reduc >5 Yr 14 5 $499.00 $499.00 $1,022.06 $1,412.24 $1,130.78 2026-07-15
25605 CPT Fx Distal Radius W Man Lt 38 5 $1,299.00 $1,299.00 $300.76 $1,409.30 $1,130.07 2026-07-15
70486 CPT CT Maxillofacial Wo Contrast 13 5 $1,773.00 $1,773.00 $187.95 $1,684.35 $1,129.40 2026-07-15
70460 CPT CT Head/Brain W Contrast 11 5 $2,126.00 $2,126.00 $61.91 $2,019.70 $1,121.68 2026-07-15
93970 CPT Venous Duplex 12 5 $1,638.00 $1,638.00 $346.93 $1,556.10 $1,108.93 2026-07-15
Q5119 HCPCS Rituximab-pvvr 100Mg/10Ml Vial 18 5 $1,146.00 $1,146.68 $47.18 $5,171.03 $1,100.88 2026-07-15
74150 CPT CT Abdomen Wo Dye 11 5 $2,063.00 $2,063.00 $436.94 $1,959.85 $1,088.44 2026-07-15
73700 CPT CT Le Wo Dye Lt 24 5 $1,834.00 $1,834.00 $76.65 $1,742.30 $1,067.94 2026-07-15
J1439 HCPCS Ferric Carboxymalt 750mg/15ml 11 5 $1,992.00 $1,992.50 $2.22 $1,892.88 $1,051.24 2026-07-15
99285 CPT Emergency Room Visit Level 5 20 5 $1,989.00 $1,989.00 $267.73 $1,889.55 $1,049.40 2026-07-15
46260 CPT Remove In/Ext Hem Groups 2 7 5 $473.00 $473.00 $964.15 $1,319.84 $1,041.40 2026-07-15
78315 CPT Bone Scan 3 Phase 10 5 $1,525.00 $1,525.00 $323.00 $1,448.75 $1,032.43 2026-07-15
25565 CPT Fx Radial Ulnar Shaft W Man Rt 15 5 $1,291.00 $1,291.00 $273.43 $1,279.91 $1,027.21 2026-07-15
21931 CPT Exc Soft Tumor Back 3 Cm 7 5 $1,338.00 $1,338.00 $928.01 $1,276.04 $1,019.41 2026-07-15
112 CDM Room Womens Ctr 7 5 $1,498.00 $1,498.00 $317.28 $1,423.10 $1,014.15 2026-07-15
49592 CPT Rpt Aa Hrn 1st <3 Ncr/Strn 7 5 $1,378.00 $1,378.00 $904.88 $1,301.08 $1,000.36 2026-07-15
J7307 HCPCS Female 11 5 $1,473.00 $1,473.00 $7.82 $2,477.86 $997.22 2026-07-15
76998 CPT Ultrasound Guide Intraop 8 5 $1,350.00 $1,350.00 $285.93 $1,282.50 $973.35 2026-07-15
11771 CPT Excise Pilondal Cyst Extensive 7 5 $1,750.00 $1,750.00 $891.33 $1,200.53 $971.88 2026-07-15
J0490 HCPCS Belimumab 400 Mg Vial 18 5 $4,351.00 $4,351.50 $1.29 $4,133.93 $961.64 2026-07-15
93930 CPT Duplex Arterial Ue Complete 8 5 $1,327.00 $1,327.00 $281.06 $1,260.65 $956.77 2026-07-15
76942 CPT US Guide For Needle Placement 8 5 $1,320.00 $1,320.00 $279.58 $1,254.00 $951.72 2026-07-15
170 CDM Baby Assessment And Monitoring 7 5 $1,401.00 $1,401.00 $296.73 $1,330.95 $948.48 2026-07-15
70490 CPT CT Soft Tissue Neck Wo Cont 11 5 $1,773.00 $1,773.00 $277.47 $1,684.35 $935.43 2026-07-15
J9055 HCPCS Cetuximab 100 Mg/50 Ml Vial 11 5 $1,768.00 $1,768.23 $142.31 $1,679.82 $932.92 2026-07-15
C8924 HCPCS Tte 2d W Contrast Limited 8 5 $1,275.00 $1,275.00 $270.05 $1,211.25 $919.28 2026-07-15
23655 CPT Dislocation Shoulder W Anes Rt 7 5 $1,250.00 $1,250.00 $840.05 $1,118.12 $907.54 2026-07-15
J7300 HCPCS Female 11 5 $1,327.00 $1,327.00 $5.94 $2,323.56 $898.38 2026-07-15
93925 CPT Arterial Duplex Le Bi 9 5 $1,326.00 $1,326.00 $280.85 $1,259.70 $897.70 2026-07-15
C1782 HCPCS Blade Myosure Lt Hysterscopic 20 5 $1,612.50 $1,612.67 $231.99 $2,023.50 $891.06 2026-07-15
70480 CPT CT Orbit Wo Contrast 12 5 $1,439.00 $1,439.00 $192.56 $1,367.05 $837.93 2026-07-15
73200 CPT CT Ue Wo Dye Lt 22 5 $1,544.00 $1,544.00 $70.19 $1,466.80 $814.61 2026-07-15
129 CDM Room Swing Bed Skilled 7 5 $1,170.00 $1,170.00 $247.81 $1,111.50 $792.09 2026-07-15
J0175 HCPCS Donanemab-azbt 350 Mg/20 Ml 11 5 $1,475.00 $1,475.87 $0.83 $1,402.08 $778.67 2026-07-15
27788 CPT Fx Distal Fibula W Man Rt 8 5 $1,077.00 $1,077.00 $228.11 $1,023.15 $776.52 2026-07-15
J0585 HCPCS Botul Tox Type A 100 Unit Vial 11 5 $1,416.00 $1,416.60 $12.94 $1,345.77 $747.40 2026-07-15
99281 CPT Sane Exam 9 5 $1,103.00 $1,103.00 $233.62 $1,047.85 $746.73 2026-07-15
93226 CPT ECG Monit/Report Up To 48 Hour 8 5 $1,031.00 $1,031.00 $218.37 $979.45 $743.36 2026-07-15
99284 CPT Emergency Room Visit Level 4 19 5 $1,404.00 $1,404.00 $184.86 $1,333.80 $740.75 2026-07-15
Q5121 HCPCS Infliximab-axxq 100 Mg Vial 12 5 $1,013.00 $1,013.27 $39.66 $4,302.83 $730.57 2026-07-15
49591 CPT Rpr Aa Hrn 1st <3 Cm Rdc 7 5 $990.00 $990.00 $653.22 $938.11 $723.00 2026-07-15
76886 CPT US Infant Hips Static 10 5 $1,098.00 $1,098.00 $232.56 $1,043.10 $721.39 2026-07-15
24530 CPT Fx Supra/Transcondylar Hum Rt 8 5 $997.00 $997.00 $211.16 $947.15 $718.84 2026-07-15
93017 CPT Cardiovascular Stress Test 12 5 $1,043.00 $1,043.00 $220.91 $990.85 $706.11 2026-07-15
J0248 HCPCS Remdesivir 100 Mg Vial 11 5 $1,327.00 $1,327.16 $12.70 $1,260.80 $700.21 2026-07-15
36561 CPT Insert Tunneled Cv Catheter 7 5 $181.00 $181.00 $644.18 $924.84 $698.05 2026-07-15
26725 CPT Fx Phalange W Manipulation 15 5 $862.00 $862.00 $182.57 $841.29 $683.15 2026-07-15
85246 CPT Vwd 2n (Normandy) 9 5 $1,009.00 $1,009.00 $213.71 $958.55 $683.09 2026-07-15
76818 CPT Fetal Biophys Profile W Nst 8 5 $945.00 $945.00 $200.15 $897.75 $681.35 2026-07-15
23650 CPT Dislocation Shoulder Wo AnesLT 30 5 $846.00 $846.00 $179.18 $803.70 $674.64 2026-07-15
J0881 HCPCS Darbepoe Alfa 200mcg/0.4ml Syr 25 5 $1,048.00 $1,048.93 $5.94 $2,669.46 $668.17 2026-07-15
45100 CPT Biopsy Rectum 7 5 $285.00 $285.21 $610.22 $827.46 $657.92 2026-07-15
93880 CPT Extracranial Bilat Study 12 5 $957.00 $957.00 $202.69 $909.15 $647.89 2026-07-15
76700 CPT Ultrasound Abdomen Complete 11 5 $950.00 $950.00 $201.21 $902.50 $643.15 2026-07-15
76819 CPT Fetal Biophys Profil Wo Nst 12 5 $945.00 $945.00 $200.15 $897.75 $639.77 2026-07-15
76805 CPT OB US >14 Wk Tvta Single Fetus 11 5 $945.00 $945.00 $200.15 $897.75 $639.77 2026-07-15
87522 CPT Hep C RNA Pcr Quant 9 5 $834.00 $834.00 $176.64 $792.30 $638.01 2026-07-15
25600 CPT Fx Distal Radius Lt 35 5 $935.00 $935.00 $98.03 $888.25 $633.00 2026-07-15
76812 CPT OB US Detailed Addl Fetus 10 5 $957.00 $957.00 $202.69 $909.15 $628.75 2026-07-15
25650 CPT Fx Ulnar Styloid Rt 8 5 $870.00 $870.00 $184.27 $826.50 $627.27 2026-07-15
93321 CPT Doppler Echo Exam Heart 8 5 $863.00 $863.00 $182.78 $819.85 $622.23 2026-07-15
87153 CPT Cult Typ DNA/Rna Sequencing 9 5 $909.00 $909.00 $192.53 $863.55 $615.39 2026-07-15
90380 CPT Rsv .5mL IM 11 5 $720.00 $720.38 $152.58 $2,714.34 $614.48 2026-07-15
G0390 HCPCS Trauma Team Level 4 8 5 $843.00 $843.00 $178.55 $800.85 $607.81 2026-07-15
24075 CPT Excise Tumor Upper Arm <3 Cmlt 15 5 $638.00 $638.23 $135.18 $901.40 $606.32 2026-07-15
96413 CPT Chemotherapy Inf Initial 11 5 $882.00 $882.00 $186.81 $837.90 $597.11 2026-07-15
93971 CPT Extremity Study Rt 21 5 $878.00 $878.00 $185.96 $834.10 $594.41 2026-07-15
26770 CPT Dislocate Finger Wo Anes Rt 15 5 $744.00 $744.00 $157.58 $710.47 $593.06 2026-07-15
27530 CPT Treat Knee Fracture Rt 8 5 $793.00 $793.00 $167.96 $753.35 $571.75 2026-07-15
27230 CPT Fx Femur Proximal End Lt 8 5 $793.00 $793.00 $167.96 $753.35 $571.75 2026-07-15
Q5104 HCPCS Infliximab-abda 100 Mg Vial 11 5 $838.00 $838.77 $52.52 $5,119.19 $567.85 2026-07-15
C1713 HCPCS Anchor Sut 4.75mm Swivelock 40 5 $782.00 $782.25 $142.75 $3,810.45 $557.50 2026-07-15
27786 CPT Fx Distal Fibula Rt 9 5 $819.00 $819.00 $173.46 $778.05 $554.46 2026-07-15
86362 CPT Mog Antibody Ref 9 5 $816.00 $816.00 $172.83 $775.20 $552.43 2026-07-15
90375 CPT Rabies Immune Globulin IM SubQ 11 5 $811.00 $811.00 $146.90 $770.45 $549.05 2026-07-15
11462 CPT Ex Hidradenitis Ing Sim Rt 7 5 $400.00 $400.46 $505.96 $668.14 $545.85 2026-07-15
76856 CPT Ultrasound Pelvic Complete 11 5 $803.00 $803.00 $170.08 $762.85 $543.63 2026-07-15
46505 CPT Chemodenervation Anal MuscleBI 7 5 $444.00 $444.51 $500.69 $673.51 $540.54 2026-07-15
28192 CPT Remove Foreign Body Foot Rt 15 5 $564.00 $564.23 $119.50 $879.82 $536.02 2026-07-15
45385 CPT Colonoscopy W Lesion Removal 7 5 $245.00 $245.00 $497.75 $709.52 $534.58 2026-07-15
27760 CPT Treatment Medial Ankle Fx Rt 8 5 $726.00 $726.00 $153.77 $689.70 $523.44 2026-07-15
76770 CPT Ultrasound Abdo Back Wall Comp 11 5 $770.00 $770.00 $163.09 $731.50 $521.29 2026-07-15
93926 CPT Arterial Duplex Le Lt 18 5 $723.00 $723.00 $153.13 $686.85 $521.29 2026-07-15
J1745 HCPCS Infliximab (Gen) 100 Mg Vial 11 5 $984.00 $984.99 $1.46 $935.74 $519.68 2026-07-15
64486 CPT Inj Transverse Abd Single Lt 16 5 $718.00 $718.00 $152.07 $682.10 $517.68 2026-07-15
64448 CPT Inj Femoral Nerve Inf Cath Lt 8 5 $718.00 $718.00 $152.07 $682.10 $517.68 2026-07-15
27750 CPT Treatment Tibia Fracture Lt 9 5 $757.00 $757.00 $160.33 $719.15 $512.49 2026-07-15
93923 CPT Ue/le Artery 3 Levels 10 5 $779.00 $779.00 $164.99 $740.05 $511.80 2026-07-15
24650 CPT Fx Radial Head/Neck Wo Man Rt 8 5 $709.00 $709.00 $150.17 $673.55 $511.19 2026-07-15
84482 CPT Reverse T3 10 5 $752.00 $752.00 $159.27 $714.40 $509.10 2026-07-15
26600 CPT Fx Metacarpal 9 5 $752.00 $752.00 $159.27 $714.40 $509.10 2026-07-15
93978 CPT Abdomen Vascular Complete 8 5 $706.00 $706.00 $149.53 $670.70 $509.02 2026-07-15
76706 CPT Aaa Screening Medicare 8 5 $706.00 $706.00 $149.53 $670.70 $509.02 2026-07-15
93308 CPT Echo Limited 8 5 $682.00 $682.00 $144.45 $647.90 $491.72 2026-07-15
90381 CPT Rsv 1mL IM 11 5 $720.00 $720.38 $152.58 $1,060.30 $487.70 2026-07-15
710 CDM Recovery Phase 1 Per 15 Min 32 5 $660.00 $660.00 $121.57 $1,375.60 $486.33 2026-07-15
45384 CPT Colonoscopy W Lesion Removal 7 5 $218.00 $218.00 $443.33 $631.18 $480.26 2026-07-15
76775 CPT Ultrasound Aorta 12 5 $706.00 $706.00 $149.53 $670.70 $477.96 2026-07-15
76705 CPT Ultrasound Abdomen Limited 12 5 $706.00 $706.00 $149.53 $670.70 $477.96 2026-07-15
72052 CPT X-ray Spine Cervical 6 Views 9 5 $623.00 $623.00 $131.95 $818.73 $476.60 2026-07-15
90837 CPT Psychotherapy 60 Minutes 8 5 $644.00 $644.00 $136.40 $611.80 $464.33 2026-07-15
93975 CPT Vascular Study 10 5 $706.00 $706.00 $149.53 $670.70 $463.84 2026-07-15
93225 CPT Holter Monitor Hook Up <48 Hrs 9 5 $682.00 $682.00 $144.45 $647.90 $461.71 2026-07-15
272 CDM Cable ORTho Cocr 635Cm 1.8mm 8 5 $636.00 $636.00 $134.70 $604.20 $458.56 2026-07-15
12042 CPT Repair Lac Interm 2.6-7.5 Cm 15 5 $868.00 $868.00 $183.84 $824.60 $457.96 2026-07-15
74221 CPT Double Contrast Esophagus 9 5 $595.00 $595.00 $126.02 $620.03 $455.18 2026-07-15
76881 CPT US Extremity Nonvasc Comp Lt 8 5 $628.00 $628.00 $133.01 $596.60 $452.79 2026-07-15
93246 CPT Ext ECG >7 Days Hook Up 12 5 $668.00 $668.00 $141.48 $634.60 $452.24 2026-07-15
93242 CPT Ext ECG 48 Hrs -7days Hook Up 11 5 $668.00 $668.00 $141.48 $634.60 $452.24 2026-07-15
28430 CPT Clsd Txt Talus Fx Wo Man Rt 8 5 $621.00 $621.00 $131.53 $589.95 $447.75 2026-07-15
15271 CPT Skin Substitute Graft 25 Sq Cm 16 5 $1,206.00 $1,206.00 $166.07 $1,145.70 $445.86 2026-07-15
76857 CPT Ultrasound Pelvic Limited 10 5 $657.00 $657.00 $139.15 $624.15 $444.79 2026-07-15
76830 CPT Ultrasound Transvaginal 12 5 $650.00 $650.00 $137.67 $617.50 $440.05 2026-07-15
110 CDM Room Custodial Care 7 5 $645.00 $645.00 $136.61 $612.75 $436.67 2026-07-15
76536 CPT Ultrasound Head And Neck 12 5 $643.00 $643.00 $136.19 $610.85 $435.31 2026-07-15
76801 CPT OB US < 14 Wks Single Fetus 12 5 $643.00 $643.00 $136.19 $610.85 $435.31 2026-07-15
26750 CPT Fx Distal Finger/Thumb Wo Man 15 5 $549.00 $549.00 $116.28 $521.55 $432.73 2026-07-15
87483 CPT Csf Meningitis Pcr 10 5 $657.00 $657.00 $139.15 $624.15 $431.65 2026-07-15
73523 CPT X-ray Hips 5 Views Bi 9 5 $564.00 $564.00 $119.46 $690.20 $431.46 2026-07-15
78451 CPT Myocard Perf Spect Rest Or Str 8 5 $593.00 $593.00 $125.60 $563.35 $427.55 2026-07-15
12052 CPT Repair Lac Interm 2.6-5.0 Cm 15 5 $544.00 $544.00 $115.22 $559.61 $427.06 2026-07-15
76882 CPT US Extremity Nonvasc Limit Lt 19 5 $628.00 $628.00 $133.01 $596.60 $425.16 2026-07-15
82157 CPT Androstenedione 9 5 $628.00 $628.00 $133.01 $596.60 $425.16 2026-07-15
45381 CPT Colonoscopy Submucous Inj 7 5 $432.00 $432.00 $393.92 $558.91 $422.99 2026-07-15
45380 CPT Colonoscopy W Biopsy(s) 7 5 $194.00 $194.00 $393.92 $558.91 $422.99 2026-07-15
43246 CPT Egd Place Gastrostomy Tube 7 5 $575.00 $575.00 $389.09 $553.53 $421.38 2026-07-15
76870 CPT Ultrasound Scrotum 9 5 $619.00 $619.00 $131.10 $588.05 $419.06 2026-07-15
90834 CPT Psychotherapy 45 Minutes 9 5 $618.00 $618.00 $130.89 $587.10 $418.39 2026-07-15
57460 CPT Bx Cervix W Scope Leep 15 5 $789.00 $789.43 $167.20 $749.96 $416.50 2026-07-15
96417 CPT Chemotherapy Inf Sequential 8 5 $574.00 $574.00 $121.57 $545.30 $413.86 2026-07-15
J0666 HCPCS Bupivac Liposome 1.3% Pf 20 Ml 20 5 $817.00 $817.30 $2.18 $1,713.62 $413.72 2026-07-15
96360 CPT Inf Therapy Hyd Initial 24 5 $590.00 $590.00 $116.07 $600.40 $410.90 2026-07-15
12032 CPT Repair Lac Interm 2.6-7.5 Cm 15 5 $522.00 $522.00 $110.56 $534.49 $407.91 2026-07-15
52310 CPT Cystoscopy And Treatment 15 5 $764.00 $764.76 $161.98 $726.52 $403.49 2026-07-15
76815 CPT OB US Limited Fetus(s) 12 5 $595.00 $595.00 $126.02 $565.25 $402.82 2026-07-15
92950 CPT Heart/Lung Resuscitation Cpr 16 5 $790.00 $790.00 $167.32 $750.50 $402.16 2026-07-15
11770 CPT Excise Pilondal Cyst Simple 7 5 $358.00 $358.00 $363.32 $503.86 $397.26 2026-07-15
36590 CPT Removal Tunneled Cv Catheter 15 5 $501.00 $501.12 $106.14 $522.31 $396.94 2026-07-15
87581 CPT Mycoplasma Pneum Pcr 9 5 $586.00 $586.00 $124.11 $556.70 $396.72 2026-07-15
26720 CPT Fx Finger/Thumb Wo Man 8 5 $546.00 $546.00 $115.64 $518.70 $393.66 2026-07-15
76604 CPT Ultrasound Chest 10 5 $580.00 $580.00 $122.84 $551.00 $392.66 2026-07-15
45378 CPT Colonoscopy Diagnostic 7 5 $178.00 $178.00 $362.29 $514.44 $389.06 2026-07-15
77080 CPT Dexa Scan 12 5 $592.00 $592.00 $88.61 $562.40 $388.94 2026-07-15
C7900 HCPCS Individual Psychotherpy Remote 9 5 $567.00 $567.00 $120.09 $538.65 $383.86 2026-07-15
90832 CPT Psychotherapy 30 Minutes 9 5 $567.00 $567.00 $120.09 $538.65 $383.86 2026-07-15
99236 CPT Admit/Discharge Same Day High 7 5 $206.00 $206.00 $322.41 $445.20 $380.07 2026-07-15
77081 CPT Dexa Bone Density/Peripheral 9 5 $592.00 $592.00 $122.63 $562.40 $377.10 2026-07-15
90675 CPT Rabies Vacc Hmn Post-ex Immun 25 5 $545.00 $545.00 $103.52 $655.56 $373.92 2026-07-15
74022 CPT X-ray Series Abdomen 9 5 $488.00 $488.00 $103.36 $661.43 $373.32 2026-07-15
74220 CPT Contrast X-ray Esophagus 10 5 $595.00 $595.00 $126.02 $565.25 $368.27 2026-07-15
11043 CPT Debride Muscle/Fascia 20 Cm 16 5 $752.00 $752.00 $159.27 $714.40 $367.44 2026-07-15
76000 CPT Fluoroscope Examination 9 5 $480.00 $480.00 $101.66 $753.11 $367.20 2026-07-15
A9585 HCPCS Gadobutrol Inj 10 Mm/10 Ml Vl 40 5 $700.00 $700.00 $0.56 $997.50 $362.38 2026-07-15
73521 CPT X-ray Hips 2 Views Bi 9 5 $473.00 $473.00 $100.18 $656.82 $361.85 2026-07-15
12051 CPT Repair Lac Interm <2.5 Cm 15 5 $461.00 $461.00 $97.64 $472.22 $361.79 2026-07-15
93303 CPT Echo Congenital Abn Complete 8 5 $500.00 $500.00 $105.90 $475.00 $360.50 2026-07-15
24670 CPT Fx Ulna Proximal Wo Man Lt 8 5 $500.00 $500.00 $105.90 $475.00 $360.50 2026-07-15
82104 CPT Alpha 1 Antitrypsin Pheno 8 5 $484.00 $484.00 $102.51 $459.80 $348.97 2026-07-15
11641 CPT Exc Mal Lesion 0.6-1.0 Face 15 5 $546.00 $546.59 $115.77 $519.26 $348.18 2026-07-15
Q4186 HCPCS Graft Sft Tis 30SqCM Epifix 18 5 $10,200.00 $10,200.00 $81.75 $9,690.00 $347.98 2026-07-15
71046 CPT X-ray Chest 2v PA/Lateral 13 5 $407.00 $407.00 $86.20 $783.14 $347.17 2026-07-15
74250 CPT Gastrografin Challenge 10 5 $596.00 $596.00 $126.23 $566.20 $347.05 2026-07-15
10061 CPT I&d Abscess Comp/Multiple 23 5 $273.00 $273.50 $57.93 $506.04 $343.24 2026-07-15
81256 CPT Hemochromat Mutation 8 5 $473.00 $473.00 $100.18 $449.35 $341.04 2026-07-15
72114 CPT X-ray Lumbosacral 6 Views 9 5 $534.00 $534.00 $84.00 $507.30 $340.16 2026-07-15
92610 CPT Swallow Eval Non Radiol 11 5 $497.00 $497.00 $105.26 $472.15 $336.47 2026-07-15
96415 CPT Chemotherapy Inf Ea Addl Hr 9 5 $497.00 $497.00 $105.26 $472.15 $336.47 2026-07-15
G0121 HCPCS Screen Colonoscopy Not Hi Risk 7 5 $598.00 $598.00 $171.02 $514.81 $335.11 2026-07-15
G0410 HCPCS Group Psychotherapy Iop 45-50 8 5 $464.00 $464.00 $98.28 $440.80 $334.54 2026-07-15
25530 CPT Fx Ulnar Shaft Wo Man Lt 8 5 $464.00 $464.00 $98.28 $440.80 $334.54 2026-07-15
G0105 HCPCS Screening Colonoscopy Hi Risk 7 5 $178.00 $178.00 $170.90 $514.08 $334.50 2026-07-15
99205 CPT New Patient Level 5 High Comp 7 5 $210.00 $210.34 $282.08 $389.66 $334.49 2026-07-15
99283 CPT Emergency Room Visit Level 3 19 5 $632.00 $632.00 $108.68 $600.40 $333.44 2026-07-15
12031 CPT Repair Lac Intermed <2.5 Cm 7 5 $152.00 $152.00 $307.22 $423.98 $332.20 2026-07-15
76817 CPT Transvaginal US Obstetrical 12 5 $488.00 $488.00 $103.36 $463.60 $330.38 2026-07-15
86812 CPT Hla B27 8 5 $457.00 $457.00 $96.79 $434.15 $329.50 2026-07-15
82671 CPT Estrogen Fractionated 9 5 $479.00 $479.00 $101.45 $455.05 $324.28 2026-07-15
43249 CPT Esoph Egd Dilation <30 Mm 7 5 $149.00 $149.00 $301.53 $426.86 $324.03 2026-07-15
92607 CPT Eval Speech Gen Aac Device 8 5 $449.00 $449.00 $95.10 $426.55 $323.73 2026-07-15
76810 CPT OB US 14 Wks Addl Fetus 8 5 $449.00 $449.00 $95.10 $426.55 $323.73 2026-07-15
82653 CPT Pancreatic Elastase 8 5 $447.00 $447.00 $94.67 $424.65 $322.29 2026-07-15
A9561 HCPCS Radiophar Tc99M Oxidronate(Hdp 10 5 $476.00 $476.00 $100.82 $452.20 $322.25 2026-07-15
10121 CPT I&r Foreign Body Comp 15 5 $338.00 $338.78 $71.75 $512.43 $321.84 2026-07-15
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