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

CLAIBORNE COUNTY HOSPITAL

Port Gibson, MS · CCN 251320 · Rates published

869 distinct procedures filed
5 distinct payers
8,748 rate rows
2026-04-17 last MRF observed
Data quality

7,982 of 8,748 rate rows are consumer-grade (91.2%)

766 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 703
percent-of-charges filed in the dollar field — excluded from medians 49
exceeds 10× this hospital's gross charge — excluded from medians 9
per-diem day rate — not a per-procedure price 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ccmcms.org/docs/460738609_claiborne-county-medical-center_standardcharges.csv
Found on page https://www.ccmcms.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint e873a530ff4f2b56… · 4,914,833 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
J2997
HCPCS 		Activase Inj 100mg 5 $7,861.76 $13,758.08 $12,578.82 nat. median
$428
outlier · 29.4×
J1745
HCPCS 		Remicade 100mg Vial 5 $1,600.35 $2,800.62 $2,560.57 nat. median
$190
outlier · 13.5×
59409
HCPCS 		Vaginal Delivery ONLY,Multiple Procedures 5 $836.42 $3,101.84 $2,087.12 nat. median
$3,106
0.7× median
110
RC 		Cephalexin Oral Sus 250mg/5ml (100mg) 5 $1,549.00 $1,904.00 $1,833.00 —
120
RC 		Swing Bed Private 5 $1,549.00 $1,904.00 $1,833.00 —
160
RC 		Respiteital-m/caid Waiver 4 $1,549.00 $1,904.00 $1,815.25 —
36569
HCPCS 		Picc Line Insertion 5 $1,088.00 $1,904.00 $1,740.80 nat. median
$1,664
1.0× median
11047
HCPCS 		Debride Bone Each -additional 20 Cm2 5 $822.72 $1,439.76 $1,316.35 nat. median
$483
outlier · 2.7×
410
RC 		Ventilator Set Up 5 $7.04 $531.44 $1,292.62 —
J3095
HCPCS 		Vibativ Injection 750mg 5 $610.40 $1,068.20 $976.64 nat. median
$9
outlier · 104.1×
99285
HCPCS 		ER High Complex Level V 5 $585.60 $1,024.80 $936.96 nat. median
$790
1.2× median
99292
HCPCS 		ER Visit, Critical Care, Add 30 Min 5 $576.00 $1,008.00 $921.60 nat. median
$391
outlier · 2.4×
99291
HCPCS 		ER Visit, Critical Care, Up To 74 Min 5 $832.00 $3,920.00 $887.86 nat. median
$1,120
0.8× median
28190
HCPCS 		Fbr-foot 5 $349.07 $929.04 $703.96 nat. median
$837
0.8× median
59414
HCPCS 		Placenta Delivery 5 $7.04 $1,463.73 $674.77 nat. median
$2,853
outlier · 0.2×
12035
HCPCS 		Inter 12.6-20-sate 5 $412.80 $722.40 $660.48 nat. median
$550
1.2× median
99284
HCPCS 		ER Mod Complex Level IV 5 $384.00 $672.00 $614.40 nat. median
$556
1.1× median
94660
HCPCS 		Rt Bipap/cpap Management 5 $371.20 $649.60 $593.92 nat. median
$275
outlier · 2.2×
78465
HCPCS 		Myocardial Perfusion Tomographic MULTIP,Technical Component 5 $368.00 $644.00 $588.80 nat. median
$1,505
outlier · 0.4×
74176
HCPCS 		CT Abdomen And Pelvis Without Contrast P/F,Professional Component 5 $170.00 $170.00 $576.00 nat. median
$333
1.7× median
40830
HCPCS 		Mouth/tongue <2.5 Cm 5 $348.80 $610.40 $558.08 nat. median
$379
1.5× median
21450
HCPCS 		Mandible Fx-ER Iii 5 $348.80 $610.40 $558.08 nat. median
$687
0.8× median
83013
HCPCS 		H. Pylori Clearview 5 $329.60 $576.80 $527.36 nat. median
$83
outlier · 6.3×
70498
HCPCS 		CT Angiography, Neck P/f 5 $170.00 $170.00 $524.10 nat. median
$355
1.5× median
11043
HCPCS 		Wd Care Debride Muscle/fascia 5 $306.56 $536.48 $490.50 nat. median
$757
0.6× median
11046
HCPCS 		Debride Muscle/fascia -additional 20 Cm2 5 $306.56 $536.48 $490.50 nat. median
$331
1.5× median
11045
HCPCS 		Debride Subq Tissue-additional 20 Cm2 5 $306.56 $536.48 $490.50 nat. median
$238
outlier · 2.1×
87799
HCPCS 		Epstein-barr DNA Quant Pcr 5 $288.00 $504.00 $460.80 nat. median
$138
outlier · 3.3×
J2510
HCPCS 		Bicillin L A Inj 1.2 Unit/2ml 5 $288.00 $504.00 $460.80 nat. median
$75
outlier · 6.1×
J0558
HCPCS 		Bicillin L A Inj 1.2 Unit/2ml 5 $288.00 $504.00 $460.80 nat. median
$46
outlier · 10.0×
J0561
HCPCS 		Pen G Benzathine 2400000 Units 5 $224.00 $560.67 $435.51 nat. median
$177
outlier · 2.5×
96365
HCPCS 		IV Infusion Therapy/proph/dx Initial 1hr 5 $385.84 $385.84 $432.89 nat. median
$275
1.6× median
13132
HCPCS 		Com 2.6-7.5 Cm 5 $270.08 $472.64 $432.13 nat. median
$724
0.6× median
27500
HCPCS 		Clsd Femoral Shaft Fx-ii 5 $259.92 $454.85 $415.86 nat. median
$518
0.8× median
96360
HCPCS 		IV Infusion Hydration Initial 31 Min-1 H 5 $135.68 $237.44 $415.52 nat. median
$272
1.5× median
J0885
HCPCS 		Procrit Injection 10,000u/ml 5 $256.00 $448.00 $409.60 nat. median
$148
outlier · 2.8×
15000
HCPCS 		Preparation For Graft 5 $244.80 $428.40 $391.68 nat. median
$4,200
outlier · 0.1×
62270
HCPCS 		Spinal Tap 5 $240.96 $421.68 $385.54 nat. median
$741
0.5× median
36593
HCPCS 		Flush Port Or Catheter 5 $235.20 $411.60 $376.32 nat. median
$425
0.9× median
77013
HCPCS 		CT Scan For Tissue Ablation 5 $238.08 $387.00 $370.45 nat. median
$934
outlier · 0.4×
918
RC 		Routine Psycholog Battery 5 $211.20 $425.04 $363.26 —
11042
HCPCS 		Wd Care Debride Skin/tissue Minor Clinic 5 $120.72 $536.48 $357.59 nat. median
$479
0.7× median
94762
HCPCS 		Rt Continuous Pulse Ox 5 $216.00 $378.00 $345.60 nat. median
$180
1.9× median
87798
HCPCS 		Epstein-barr Virus Qualit Pcr 5 $120.00 $543.20 $344.32 nat. median
$144
outlier · 2.4×
29705
HCPCS 		Full Arm Or Full Leg Cast 5 $214.40 $375.20 $343.04 nat. median
$276
1.2× median
78464
HCPCS 		Myocarial Perfusion Tomographic SINGLE,Technical Component 5 $211.20 $369.60 $337.92 nat. median
$224
1.5× median
24600
HCPCS 		Closed Disloc ER Iii 5 $210.56 $368.48 $336.90 nat. median
$404
0.8× median
74174
HCPCS 		CT Angio Abdomen/pelvis 5 $213.00 $796.80 $329.76 nat. median
$549
0.6× median
27760
HCPCS 		Tx Ankle Fracture-medial 5 $205.44 $359.52 $328.70 nat. median
$400
0.8× median
26600
HCPCS 		Closed Metacarpal Fx-iii 5 $205.44 $359.52 $328.70 nat. median
$364
0.9× median

Other procedures at this hospital

Browse this hospital's 869 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
             
J2997 HCPCS Activase Inj 100mg 5 5 $24,568.00 $22,111.20 $7,861.76 $13,758.08 $12,578.82 2026-04-17
J1745 HCPCS Remicade 100mg Vial 5 5 $5,001.10 $4,500.99 $1,600.35 $2,800.62 $2,560.57 2026-04-17
59409 HCPCS Vaginal Delivery ONLY,Multiple Procedures 10 5 $5,539.00 $4,985.10 $836.42 $3,101.84 $2,087.12 2026-04-17
110 RC Cephalexin Oral Sus 250mg/5ml (100mg) 5 5 $25.00 $22.50 $1,549.00 $1,904.00 $1,833.00 2026-04-17
120 RC Swing Bed Private 5 5 $400.00 $360.00 $1,549.00 $1,904.00 $1,833.00 2026-04-17
160 RC Respiteital-m/caid Waiver 4 4 $110.00 $99.00 $1,549.00 $1,904.00 $1,815.25 2026-04-17
36569 HCPCS Picc Line Insertion 5 5 $3,400.00 $3,060.00 $1,088.00 $1,904.00 $1,740.80 2026-04-17
11047 HCPCS Debride Bone Each -additional 20 Cm2 5 5 $2,571.00 $2,313.90 $822.72 $1,439.76 $1,316.35 2026-04-17
410 RC Ventilator Set Up 41 5 $949.00 $854.10 $7.04 $531.44 $1,292.62 2026-04-17
J3095 HCPCS Vibativ Injection 750mg 5 5 $1,907.50 $1,716.75 $610.40 $1,068.20 $976.64 2026-04-17
99285 HCPCS ER High Complex Level V 5 5 $1,830.00 $1,647.00 $585.60 $1,024.80 $936.96 2026-04-17
99292 HCPCS ER Visit, Critical Care, Add 30 Min 5 5 $1,800.00 $1,620.00 $576.00 $1,008.00 $921.60 2026-04-17
99291 HCPCS ER Visit, Critical Care, Up To 74 Min 13 5 $7,000.00 $6,300.00 $832.00 $3,920.00 $887.86 2026-04-17
28190 HCPCS Fbr-foot 10 5 $1,659.00 $1,493.10 $349.07 $929.04 $703.96 2026-04-17
59414 HCPCS Placenta Delivery 10 5 $2,613.80 $2,352.42 $7.04 $1,463.73 $674.77 2026-04-17
12035 HCPCS Inter 12.6-20-sate 5 5 $1,290.00 $1,161.00 $412.80 $722.40 $660.48 2026-04-17
99284 HCPCS ER Mod Complex Level IV 5 5 $1,200.00 $1,080.00 $384.00 $672.00 $614.40 2026-04-17
94660 HCPCS Rt Bipap/cpap Management 5 5 $1,160.00 $1,044.00 $371.20 $649.60 $593.92 2026-04-17
78465 HCPCS Myocardial Perfusion Tomographic MULTIP,Technical Component 5 5 $1,150.00 $1,035.00 $368.00 $644.00 $588.80 2026-04-17
74176 HCPCS CT Abdomen And Pelvis Without Contrast P/F,Professional Component 9 5 $1,800.00 $1,620.00 $170.00 $170.00 $576.00 2026-04-17
21450 HCPCS Mandible Fx-ER Iii 5 5 $1,090.00 $981.00 $348.80 $610.40 $558.08 2026-04-17
40830 HCPCS Mouth/tongue <2.5 Cm 5 5 $1,090.00 $981.00 $348.80 $610.40 $558.08 2026-04-17
83013 HCPCS H. Pylori Clearview 5 5 $1,030.00 $927.00 $329.60 $576.80 $527.36 2026-04-17
70498 HCPCS CT Angiography, Neck P/f 5 5 $1,910.00 $1,719.00 $170.00 $170.00 $524.10 2026-04-17
11046 HCPCS Debride Muscle/fascia -additional 20 Cm2 5 5 $958.00 $862.20 $306.56 $536.48 $490.50 2026-04-17
11045 HCPCS Debride Subq Tissue-additional 20 Cm2 5 5 $958.00 $862.20 $306.56 $536.48 $490.50 2026-04-17
11043 HCPCS Wd Care Debride Muscle/fascia 5 5 $958.00 $862.20 $306.56 $536.48 $490.50 2026-04-17
J0558 HCPCS Bicillin L A Inj 1.2 Unit/2ml 5 5 $900.00 $810.00 $288.00 $504.00 $460.80 2026-04-17
87799 HCPCS Epstein-barr DNA Quant Pcr 5 5 $900.00 $810.00 $288.00 $504.00 $460.80 2026-04-17
J2510 HCPCS Bicillin L A Inj 1.2 Unit/2ml 5 5 $900.00 $810.00 $288.00 $504.00 $460.80 2026-04-17
J0561 HCPCS Pen G Benzathine 2400000 Units 10 5 $1,001.20 $901.08 $224.00 $560.67 $435.51 2026-04-17
96365 HCPCS IV Infusion Therapy/proph/dx Initial 1hr 5 5 $689.00 $620.10 $385.84 $385.84 $432.89 2026-04-17
13132 HCPCS Com 2.6-7.5 Cm 5 5 $844.00 $759.60 $270.08 $472.64 $432.13 2026-04-17
27500 HCPCS Clsd Femoral Shaft Fx-ii 5 5 $812.24 $731.02 $259.92 $454.85 $415.86 2026-04-17
96360 HCPCS IV Infusion Hydration Initial 31 Min-1 H 5 5 $424.00 $381.60 $135.68 $237.44 $415.52 2026-04-17
J0885 HCPCS Procrit Injection 10,000u/ml 5 5 $800.00 $720.00 $256.00 $448.00 $409.60 2026-04-17
15000 HCPCS Preparation For Graft 5 5 $765.00 $688.50 $244.80 $428.40 $391.68 2026-04-17
62270 HCPCS Spinal Tap 5 5 $753.00 $677.70 $240.96 $421.68 $385.54 2026-04-17
36593 HCPCS Flush Port Or Catheter 5 5 $735.00 $661.50 $235.20 $411.60 $376.32 2026-04-17
77013 HCPCS CT Scan For Tissue Ablation 9 5 $744.00 $669.60 $238.08 $387.00 $370.45 2026-04-17
918 RC Routine Psycholog Battery 10 5 $759.00 $683.10 $211.20 $425.04 $363.26 2026-04-17
11042 HCPCS Wd Care Debride Skin/tissue Minor Clinic 15 5 $958.00 $862.20 $120.72 $536.48 $357.59 2026-04-17
94762 HCPCS Rt Continuous Pulse Ox 5 5 $675.00 $607.50 $216.00 $378.00 $345.60 2026-04-17
87798 HCPCS Epstein-barr Virus Qualit Pcr 10 5 $970.00 $873.00 $120.00 $543.20 $344.32 2026-04-17
29705 HCPCS Full Arm Or Full Leg Cast 5 5 $670.00 $603.00 $214.40 $375.20 $343.04 2026-04-17
78464 HCPCS Myocarial Perfusion Tomographic SINGLE,Technical Component 5 5 $660.00 $594.00 $211.20 $369.60 $337.92 2026-04-17
24600 HCPCS Closed Disloc ER Iii 5 5 $658.00 $592.20 $210.56 $368.48 $336.90 2026-04-17
74174 HCPCS CT Angio Abdomen/pelvis 5 5 $2,490.00 $2,241.00 $213.00 $796.80 $329.76 2026-04-17
27786 HCPCS Tx Ankle Fracture Articu 5 5 $642.00 $577.80 $205.44 $359.52 $328.70 2026-04-17
27808 HCPCS Tx Of Ankle Fracture-bima 5 5 $642.00 $577.80 $205.44 $359.52 $328.70 2026-04-17
27816 HCPCS Tx Ankle Fx-trimalleolar 5 5 $642.00 $577.80 $205.44 $359.52 $328.70 2026-04-17
27760 HCPCS Tx Ankle Fracture-medial 5 5 $642.00 $577.80 $205.44 $359.52 $328.70 2026-04-17
26600 HCPCS Closed Metacarpal Fx-iii 5 5 $642.00 $577.80 $205.44 $359.52 $328.70 2026-04-17
27750 HCPCS Tibial Shaft Fx-ER Iii 5 5 $642.00 $577.80 $205.44 $359.52 $328.70 2026-04-17
27230 HCPCS Femoral Fxclsd ER-iii 5 5 $642.00 $577.80 $205.44 $359.52 $328.70 2026-04-17
70450 HCPCS CT Head/brain Without Contrast P/F,Professional Component 10 5 $1,025.00 $922.50 $70.00 $216.21 $328.00 2026-04-17
12047 HCPCS Inter > 30cm Nhfeg 5 5 $637.00 $573.30 $203.84 $356.72 $326.14 2026-04-17
12036 HCPCS Inter 20.1-30cm Sate 5 5 $637.00 $573.30 $203.84 $356.72 $326.14 2026-04-17
12032 HCPCS Inter 2.6-7.5cm-sate 5 5 $637.00 $573.30 $203.84 $356.72 $326.14 2026-04-17
13150 HCPCS Com <1.0cm Enel 5 5 $616.00 $554.40 $197.12 $344.96 $315.39 2026-04-17
92950 HCPCS Rt It Code 99 First 30 Min 10 5 $750.00 $675.00 $152.35 $420.00 $313.88 2026-04-17
43760 HCPCS Gastrostomy Tube Rep Erii 5 5 $607.18 $546.46 $194.30 $340.02 $310.88 2026-04-17
13102 HCPCS Com > 7.5 Face-add On 5 5 $585.36 $526.82 $187.32 $327.80 $299.70 2026-04-17
13131 HCPCS Com 1.1-2.5 Cm 5 5 $578.00 $520.20 $184.96 $323.68 $295.94 2026-04-17
74175 HCPCS CT Angio Abdomen P/f 5 5 $2,420.00 $2,178.00 $176.00 $774.40 $295.68 2026-04-17
10120 HCPCS Incision/removal F/bodyii 5 5 $565.00 $508.50 $180.80 $316.40 $289.28 2026-04-17
71275 HCPCS CT Cervical Spine With Contrast 6 5 $1,890.00 $1,701.00 $177.00 $604.80 $287.07 2026-04-17
75635 HCPCS CT Angio Abdominal Arteries P/f,hpsa 9 5 $2,475.00 $2,227.50 $220.00 $792.00 $283.56 2026-04-17
360 RC Or Podiatric Rm 5 5 $550.00 $495.00 $176.00 $308.00 $281.60 2026-04-17
12016 HCPCS Sim 12.6-20cm-feenlm 5 5 $544.00 $489.60 $174.08 $304.64 $278.53 2026-04-17
74178 HCPCS CT Abdomen And Pelvis Wo/w Dye P/F,Professional Component 9 5 $2,800.00 $2,520.00 $198.00 $896.00 $275.56 2026-04-17
13120 HCPCS Com 1.1-2.5-sal 5 5 $528.00 $475.20 $168.96 $295.68 $270.34 2026-04-17
74170 HCPCS CT Abdomen Without & With Contrast P/f 5 5 $2,490.00 $2,241.00 $137.00 $796.80 $268.96 2026-04-17
93041 HCPCS Cardiac Monitor (rhy Stp) 5 5 $510.00 $459.00 $163.20 $285.60 $261.12 2026-04-17
70496 HCPCS CT Angiography, Head P/f 5 5 $1,910.00 $1,719.00 $171.00 $611.20 $259.04 2026-04-17
72191 HCPCS CT Angiograph Pelv W/O&with Contrast P/f 5 5 $1,825.00 $1,642.50 $175.00 $584.00 $256.80 2026-04-17
76706 HCPCS US Abdominal Aorta 5 5 $500.00 $450.00 $160.00 $280.00 $256.00 2026-04-17
G0478 HCPCS Drug Screen Serum 5 5 $500.00 $450.00 $160.00 $280.00 $256.00 2026-04-17
71048 HCPCS Chest, Four Views 5 5 $500.00 $450.00 $160.00 $280.00 $256.00 2026-04-17
G0477 HCPCS Drug Screen Serum 5 5 $500.00 $450.00 $160.00 $280.00 $256.00 2026-04-17
31502 HCPCS Trach Tube Change 5 5 $500.00 $450.00 $160.00 $280.00 $256.00 2026-04-17
94664 HCPCS Rt Demon/eval (pt Use) 5 5 $494.00 $444.60 $158.08 $276.64 $252.93 2026-04-17
361 RC Preparation For Graft 10 5 $949.00 $854.10 $5.76 $531.44 $247.55 2026-04-17
25600 HCPCS Radial Fx-clsd ER-iii 5 5 $482.00 $433.80 $154.24 $269.92 $246.78 2026-04-17
10061 HCPCS Incision/drain Abs Multi 10 5 $494.00 $444.60 $145.28 $276.64 $242.69 2026-04-17
51702 HCPCS Insertion Of Temporary Indwelling 5 5 $395.00 $355.50 $126.40 $221.20 $241.16 2026-04-17
P9016 HCPCS Bb Unit Of Prbc's 5 5 $470.00 $423.00 $150.40 $263.20 $240.64 2026-04-17
12015 HCPCS Sim 7.6-12.5-feenlmm 5 5 $458.00 $412.20 $146.56 $256.48 $234.50 2026-04-17
73706 HCPCS CT Angio Lwr Extr Without & With Contrast P/f 5 5 $1,375.00 $1,237.50 $183.00 $440.00 $234.40 2026-04-17
13122 HCPCS Com > 7.5cm Sal-add On 5 5 $454.68 $409.21 $145.50 $254.62 $232.80 2026-04-17
12044 HCPCS Inter 7.6-12.5nhfeg Cm 5 5 $450.00 $405.00 $144.00 $252.00 $230.40 2026-04-17
12014 HCPCS Sim 5.1-7.5cmfeenlmm 5 5 $450.00 $405.00 $144.00 $252.00 $230.40 2026-04-17
80074 HCPCS Hepatitis Profile 5 5 $448.16 $403.34 $143.41 $250.97 $229.46 2026-04-17
74177 HCPCS CT Abdomen And Pelvis W Dye P/F,Professional Component 9 5 $2,250.00 $2,025.00 $168.00 $720.00 $229.33 2026-04-17
73206 HCPCS CT Angio Upr Extrm Without & With Contrast P/f 5 5 $1,375.00 $1,237.50 $175.00 $440.00 $228.00 2026-04-17
97598 HCPCS Pt Dressing-wound/burn>20 10 5 $761.00 $684.90 $41.28 $426.16 $227.84 2026-04-17
82088 HCPCS Aldosterone Serum 5 5 $443.68 $399.31 $141.98 $248.46 $227.16 2026-04-17
78461 HCPCS Myocarial Perfusion Planar MULTIPLE,Technical Component 5 5 $440.00 $396.00 $140.80 $246.40 $225.28 2026-04-17
97597 HCPCS Pt Dressing WOUND/BURN<20CM,Outpatient Physical Therapy 10 5 $439.00 $395.10 $140.48 $245.84 $224.77 2026-04-17
16020 HCPCS Dressing/debridement Burn 5 5 $439.00 $395.10 $140.48 $245.84 $224.77 2026-04-17
23620 HCPCS Humerus Fxclsd-ER Iii 5 5 $434.00 $390.60 $138.88 $243.04 $222.21 2026-04-17
36430 HCPCS Bb Transfusion Fee 5 5 $434.00 $390.60 $138.88 $243.04 $222.21 2026-04-17
71260 HCPCS CT Chest With Contrast P/F,Professional Component 9 5 $1,280.00 $1,152.00 $196.00 $409.60 $219.73 2026-04-17
73541 HCPCS Hip To Ankle Ap Lat Knee Right 5 5 $429.00 $386.10 $137.28 $240.24 $219.65 2026-04-17
90792 HCPCS Psy Initial Eval 5 5 $427.00 $384.30 $136.64 $239.12 $218.62 2026-04-17
24650 HCPCS Radial Head Fx-clsed-iii 5 5 $424.00 $381.60 $135.68 $237.44 $217.09 2026-04-17
12042 HCPCS Inter 2.6-7.5-nhfeg 5 5 $424.00 $381.60 $135.68 $237.44 $217.09 2026-04-17
20610 HCPCS Joint Inj-sholdrhipknee 10 5 $560.00 $504.00 $91.20 $313.60 $216.32 2026-04-17
82024 HCPCS Adenocortcotropic Hormone 5 5 $420.48 $378.43 $134.55 $235.47 $215.29 2026-04-17
71047 HCPCS Chest, Three Views 5 5 $420.00 $378.00 $134.40 $235.20 $215.04 2026-04-17
82652 HCPCS Calcitriol (1,25 Di-oh Vitamin D) 5 5 $419.12 $377.21 $134.12 $234.71 $214.59 2026-04-17
99283 HCPCS ER Mod Level Iii 5 5 $667.00 $600.30 $213.44 $373.52 $211.77 2026-04-17
12005 HCPCS Sim 12.6-20cm Snat 5 5 $412.00 $370.80 $131.84 $230.72 $210.94 2026-04-17
99282 HCPCS ER Low Mod Level Ii 5 5 $404.00 $363.60 $129.28 $226.24 $206.85 2026-04-17
82803 HCPCS Rt It Arterial Blood Gas 6 5 $210.64 $189.58 $67.40 $117.96 $206.43 2026-04-17
12041 HCPCS Inter <2.5-nhfeg 5 5 $400.00 $360.00 $128.00 $224.00 $204.80 2026-04-17
12053 HCPCS Inter 5.1-7.5 Nhfeg 5 5 $400.00 $360.00 $128.00 $224.00 $204.80 2026-04-17
12051 HCPCS Inter <2.5cm Nhfeg Phy 5 5 $400.00 $360.00 $128.00 $224.00 $204.80 2026-04-17
E0194 HCPCS Woundcare Bed Clinitron Rental 5 5 $400.00 $360.00 $128.00 $224.00 $204.80 2026-04-17
G0379 HCPCS O P Observation 5 5 $400.00 $360.00 $128.00 $224.00 $204.80 2026-04-17
12052 HCPCS Inter 2.6-5.0-feenlm 5 5 $400.00 $360.00 $128.00 $224.00 $204.80 2026-04-17
12004 HCPCS Sim 7.6-12.5-mt 5 5 $400.00 $360.00 $128.00 $224.00 $204.80 2026-04-17
20605 HCPCS Phy Joint Inj-wristelbankle,hpsa 15 5 $634.00 $570.60 $88.00 $355.04 $203.78 2026-04-17
70492 HCPCS CT Soft Tissue Neck Without & With Contrast P/f 5 5 $1,420.00 $1,278.00 $140.00 $454.40 $202.88 2026-04-17
76936 HCPCS US Compression Pseudo-aneurysm 5 5 $770.00 $693.00 $192.00 $246.40 $202.88 2026-04-17
40804 HCPCS Cl Fbr-mouth 5 5 $395.00 $355.50 $126.40 $221.20 $202.24 2026-04-17
29125 HCPCS Splint-apply Forearm 5 5 $395.00 $355.50 $126.40 $221.20 $202.24 2026-04-17
93880 HCPCS US Carotid Doppler Bilat RF,Professional Component 9 5 $900.00 $810.00 $52.00 $52.00 $200.63 2026-04-17
83921 HCPCS Methymalonic Acid Urine 5 5 $390.00 $351.00 $124.80 $218.40 $199.68 2026-04-17
71270 HCPCS CT Chest Without & W Dye P/f 5 5 $1,420.00 $1,278.00 $134.00 $454.40 $198.08 2026-04-17
94640 HCPCS Rt Ultrasonic Neb/hour 25 5 $1,394.00 $1,254.60 $105.36 $780.64 $197.97 2026-04-17
87497 HCPCS Cytomeg DNA Quant 5 5 $386.00 $347.40 $123.52 $216.16 $197.63 2026-04-17
909 RC Individual Orient Session 5 5 $380.00 $342.00 $121.60 $212.80 $194.56 2026-04-17
83880 HCPCS B-type Natr Peptide 5 5 $369.52 $332.57 $206.93 $206.93 $194.06 2026-04-17
76700 HCPCS US Abdomen Complete RF,Professional Component 9 5 $605.00 $544.50 $78.00 $78.00 $193.60 2026-04-17
86885 HCPCS Bb Antibody Screen 5 5 $375.36 $337.82 $120.12 $210.20 $192.18 2026-04-17
86880 HCPCS Bb Direct Coombs 5 5 $375.00 $337.50 $120.00 $210.00 $192.00 2026-04-17
72133 HCPCS CT Lumbar Spine W/O&with Contrast P/f 5 5 $1,420.00 $1,278.00 $124.00 $454.40 $190.08 2026-04-17
72130 HCPCS CT Thoracic Spine Without & With Contrast P/f 5 5 $1,420.00 $1,278.00 $123.00 $454.40 $189.28 2026-04-17
72127 HCPCS CT Cervical Spine Without & With Contrast P/f 5 5 $1,420.00 $1,278.00 $123.00 $454.40 $189.28 2026-04-17
84588 HCPCS Anti Diuretic Hormones Adh 5 5 $369.52 $332.57 $118.25 $206.93 $189.19 2026-04-17
96374 HCPCS IV Push Single Or Initial Substance 5 5 $424.00 $381.60 $237.44 $237.44 $188.51 2026-04-17
82542 HCPCS Lacosamide 10 5 $528.00 $475.20 $62.92 $295.68 $185.51 2026-04-17
96376 HCPCS IV Push Same Drug Sub 31min 9 5 $280.00 $252.00 $78.08 $156.80 $185.28 2026-04-17
31500 HCPCS INTUBATIONS,Multiple Procedures 10 5 $500.00 $450.00 $70.40 $280.00 $184.32 2026-04-17
12011 HCPCS Simple <2.5 Cm 15 5 $400.00 $360.00 $107.20 $224.00 $182.61 2026-04-17
74160 HCPCS CT Abdomen With Contrast P/F,Professional Component 9 5 $1,950.00 $1,755.00 $124.00 $624.00 $179.56 2026-04-17
99205 HCPCS Wd Care Cl New Pt Level 5 25 5 $525.00 $472.50 $69.76 $294.00 $178.21 2026-04-17
10060 HCPCS Incision/drain Abs Single 15 5 $394.00 $354.60 $94.08 $220.64 $177.83 2026-04-17
90838 HCPCS Psy Tx 60 Min Patient And/or Fam With E/m 5 5 $347.00 $312.30 $111.04 $194.32 $177.66 2026-04-17
P9019 HCPCS Bb Platelets Ea Unit 5 5 $346.00 $311.40 $110.72 $193.76 $177.15 2026-04-17
72132 HCPCS CT Lumbar Spine With Contrast P/f 5 5 $1,280.00 $1,152.00 $119.00 $409.60 $177.12 2026-04-17
72129 HCPCS CT Thoracic Spine With Contrast P/f 5 5 $1,280.00 $1,152.00 $118.00 $409.60 $176.32 2026-04-17
93017 HCPCS Tracing Only, Without Interpretation & R 5 5 $341.98 $307.78 $109.43 $191.51 $175.09 2026-04-17
70460 HCPCS CT Head/brain With Contrast P/f 5 5 $1,280.00 $1,152.00 $110.00 $409.60 $169.92 2026-04-17
12013 HCPCS Simple 2.5-5cm 15 5 $400.00 $360.00 $88.96 $224.00 $167.94 2026-04-17
90837 HCPCS Psychotherapy 60 Min Patient And/or Fam 10 5 $404.00 $363.60 $80.00 $226.24 $167.42 2026-04-17
12002 HCPCS Simple 2.6 - 7.5cm 20 5 $399.00 $359.10 $87.68 $223.44 $167.17 2026-04-17
84591 HCPCS Vitamin B3/niacin Level 5 5 $326.00 $293.40 $104.32 $182.56 $166.91 2026-04-17
70470 HCPCS CT Head/brain Without & W Dye P/F,Professional Component 9 5 $1,420.00 $1,278.00 $130.00 $454.40 $166.04 2026-04-17
70491 HCPCS CT Soft Tissue Neck With Contrast P/F,Professional Component 9 5 $1,280.00 $1,152.00 $135.00 $409.60 $165.51 2026-04-17
94799 HCPCS Rt Miscellaneous Respiratory 5 5 $322.56 $290.30 $103.22 $180.63 $165.15 2026-04-17
74150 HCPCS CT Abdomen Without Contrast P/F,Professional Component 9 5 $1,695.00 $1,525.50 $117.00 $542.40 $164.27 2026-04-17
86922 HCPCS Bb Crossmatch 5 5 $320.00 $288.00 $102.40 $179.20 $163.84 2026-04-17
82157 HCPCS Androstenedione 5 5 $318.72 $286.85 $101.99 $178.48 $163.18 2026-04-17
12031 HCPCS Inter <2.5cm Sate 5 5 $318.00 $286.20 $101.76 $178.08 $162.82 2026-04-17
13153 HCPCS Com > 7.5cm Enel-add On 5 5 $316.00 $284.40 $101.12 $176.96 $161.79 2026-04-17
70482 HCPCS CT Orbit/ear/fossa Without & With Contrast Right 5 5 $745.00 $670.50 $141.00 $238.40 $160.48 2026-04-17
86360 HCPCS Cd4:cd8 Ratio Profile 5 5 $311.00 $279.90 $99.52 $174.16 $159.23 2026-04-17
72194 HCPCS CT Pelvis Without & With Contrast P/f,hpsa 9 5 $1,450.00 $1,305.00 $118.00 $464.00 $156.44 2026-04-17
82507 HCPCS Citrate-urine 5 5 $302.72 $272.45 $96.87 $169.52 $154.99 2026-04-17
73202 HCPCS CT Upper Extremity Without & With Contrast P/f 5 5 $925.00 $832.50 $119.00 $296.00 $154.40 2026-04-17
G0434 HCPCS Drug Screen Urine 5 5 $300.00 $270.00 $96.00 $168.00 $153.60 2026-04-17
U0002 HCPCS Covid-19 Non-cdc 5 5 $300.00 $270.00 $96.00 $168.00 $153.60 2026-04-17
93224 HCPCS Telemetry Report Up To 48 Hours 5 5 $300.00 $270.00 $96.00 $168.00 $153.60 2026-04-17
73702 HCPCS CT Lwr Extremity Without & With Contrast P/f 5 5 $925.00 $832.50 $117.00 $296.00 $152.80 2026-04-17
70487 HCPCS CT Maxillofacial With Contrast P/f 5 5 $985.00 $886.50 $110.00 $315.20 $151.04 2026-04-17
82175 HCPCS Heavy Metals Profile Ii Blood 15 5 $540.00 $486.00 $41.91 $302.40 $149.50 2026-04-17
82308 HCPCS Calcitonin 5 5 $291.60 $262.44 $93.31 $163.30 $149.30 2026-04-17
99211 HCPCS Wd Care Cl Est Pt Level 1 41 5 $200.00 $180.00 $9.28 $112.00 $148.80 2026-04-17
70481 HCPCS CT Orbit/ear/fossa With Contrast Right 5 5 $646.00 $581.40 $134.00 $206.72 $148.54 2026-04-17
90746 HCPCS Hepatitis B Vaccine 5 5 $290.00 $261.00 $92.80 $162.40 $148.48 2026-04-17
G0176 HCPCS Activity Thy 5 5 $150.00 $135.00 $48.00 $84.00 $147.60 2026-04-17
70488 HCPCS CT Maxillofacial W/o&w Dye P/f 5 5 $762.00 $685.80 $123.00 $243.84 $147.17 2026-04-17
72193 HCPCS CT Pelvis With Contrast P/f,hpsa 9 5 $1,295.00 $1,165.50 $113.00 $414.40 $146.49 2026-04-17
70490 HCPCS CT Soft Tissue Neck Without Contrast P/F,Professional Component 9 5 $985.00 $886.50 $124.00 $315.20 $145.24 2026-04-17
80164 HCPCS Valproic Acid 5 5 $147.52 $132.77 $47.21 $82.61 $144.57 2026-04-17
13133 HCPCS Com >7.5cm Ghf-add On 5 5 $282.00 $253.80 $90.24 $157.92 $144.38 2026-04-17
0183T OTHER Pt Mist Thy Wd US 5 5 $280.00 $252.00 $89.60 $156.80 $143.36 2026-04-17
20600 HCPCS Joint Injection Finger 10 5 $285.00 $256.50 $88.00 $159.60 $143.36 2026-04-17
78460 HCPCS Myocarial Perfusion Planar SINGLE,Technical Component 5 5 $280.00 $252.00 $89.60 $156.80 $143.36 2026-04-17
84255 HCPCS Selenium 5 5 $277.92 $250.13 $88.93 $155.64 $142.30 2026-04-17
82108 HCPCS Aluminum Level 5 5 $277.36 $249.62 $88.76 $155.32 $142.01 2026-04-17
86756 HCPCS Rsv Antibody 5 5 $277.00 $249.30 $88.64 $155.12 $141.82 2026-04-17
73201 HCPCS CT Upper Extremity With Contrast P/f 5 5 $795.00 $715.50 $113.00 $254.40 $141.28 2026-04-17
12001 HCPCS Simple < 2.5 Cm 15 5 $278.00 $250.20 $87.68 $155.68 $140.97 2026-04-17
86738 HCPCS Mycoplasma Pneumoniae Antibodies 5 5 $275.00 $247.50 $88.00 $154.00 $140.80 2026-04-17
J3486 HCPCS Ziprasidone 20mg/ml Vial 5 5 $274.25 $246.83 $87.76 $153.58 $140.42 2026-04-17
90834 HCPCS Psychotherapy 45 Min Patient And/or Fam 20 5 $345.00 $310.50 $47.04 $193.20 $139.14 2026-04-17
90847 HCPCS Family Therapy W/pt Sw 15 5 $328.44 $295.60 $66.24 $183.93 $138.49 2026-04-17
90846 HCPCS Family Therapy Without Pt Sw 15 5 $328.44 $295.60 $66.24 $183.93 $138.49 2026-04-17
93015 HCPCS Exercise-stress Or Pharm(phy Sprvn Inter 5 5 $270.00 $243.00 $86.40 $151.20 $138.24 2026-04-17
94002 HCPCS Rt Vent Assist/management Initial 5 5 $270.00 $243.00 $86.40 $151.20 $138.24 2026-04-17
77011 HCPCS CT Scan For Localization 5 5 $627.00 $564.30 $120.00 $200.64 $136.13 2026-04-17
J2020 HCPCS Linezolid Premix 600mg/300ml 10 5 $400.00 $360.00 $41.60 $224.00 $135.68 2026-04-17
90832 HCPCS Psychotherapy 30 Min Patient And/or Fam 10 5 $327.00 $294.30 $64.64 $183.12 $135.42 2026-04-17
90806 HCPCS Indiv.o/p Psytherapy 45/50 No 10 5 $327.00 $294.30 $64.00 $183.12 $134.91 2026-04-17
90836 HCPCS Psy Tx 45 Min Patient And/or Fam With E/m 5 5 $263.00 $236.70 $84.16 $147.28 $134.66 2026-04-17
96372 HCPCS Injection: IM Antibiotic 11 5 $265.00 $238.50 $56.00 $148.40 $132.27 2026-04-17
72125 HCPCS CT Cervical Spine Without Contrast P/F,Professional Component 9 5 $985.00 $886.50 $109.00 $315.20 $131.91 2026-04-17
72192 HCPCS CT Pelvis Without Contrast P/F,Professional Component, Health Professional Shortage Area 9 5 $1,025.00 $922.50 $106.00 $328.00 $130.67 2026-04-17
70480 HCPCS CT Orbit/ear/fossa Without Contrast Right 5 5 $479.22 $431.30 $125.00 $152.00 $130.40 2026-04-17
83970 HCPCS Pth Intact 10 5 $449.36 $404.42 $18.92 $251.64 $130.17 2026-04-17
11100 HCPCS Cl Biopsy/including Punch 10 5 $312.00 $280.80 $62.72 $174.72 $130.05 2026-04-17
70486 HCPCS CT Maxillofacial Without Contrast P/F,Professional Component 9 5 $845.00 $760.50 $112.00 $270.40 $129.60 2026-04-17
76810 HCPCS US OB Multiple Gest 5 5 $792.00 $712.80 $98.00 $253.44 $129.09 2026-04-17
J1160 HCPCS Digoxin 500mcg/2ml 5 5 $251.00 $225.90 $80.32 $140.56 $128.51 2026-04-17
31720 HCPCS Rt Suction, Nasotracheal 5 5 $250.00 $225.00 $80.00 $140.00 $128.00 2026-04-17
73701 HCPCS CT Lower Extrmity With Contrast P/f,hpsa 9 5 $795.00 $715.50 $112.00 $254.40 $127.82 2026-04-17
83498 HCPCS Hydroxy Progesterone 17 5 5 $247.20 $222.48 $79.10 $138.43 $126.56 2026-04-17
942 RC Education & Training 10 5 $385.00 $346.50 $34.56 $215.60 $126.21 2026-04-17
72126 HCPCS CT Cervical Spine With Contrast P/f 4 4 $470.48 $423.43 $125.00 $125.00 $125.00 2026-04-17
919 RC Individual Orient Session 10 5 $380.00 $342.00 $34.56 $212.80 $124.93 2026-04-17
92610 HCPCS St Swallow EVAL,Outpatient Speech Therapy 5 5 $242.00 $217.80 $77.44 $135.52 $123.90 2026-04-17
84244 HCPCS Renin Plasma 5 5 $239.44 $215.50 $76.62 $134.09 $122.60 2026-04-17
92597 HCPCS St Voice Prosth Device EVAL,Outpatient Speech Therapy 5 5 $238.00 $214.20 $76.16 $133.28 $121.86 2026-04-17
77012 HCPCS CT Scan For Needle Biopsy 9 5 $627.00 $564.30 $112.00 $200.64 $121.85 2026-04-17
72131 HCPCS CT Lumbar Spine Without Contrast P/F,Professional Component 9 5 $985.00 $886.50 $97.00 $315.20 $121.24 2026-04-17
72128 HCPCS CT Thoracic Spine Without Contrast P/F,Professional Component 9 5 $985.00 $886.50 $97.00 $315.20 $121.24 2026-04-17
636 RC Tranexamic Acid Sodium Chloride Ivsoln 20 5 $650.00 $585.00 $9.28 $364.00 $120.96 2026-04-17
93306 HCPCS US Echocardiogram 2d M-mode With Spectra 9 5 $1,100.00 $990.00 $92.00 $352.00 $120.89 2026-04-17
80055 HCPCS Obstetric Panel 5 5 $234.00 $210.60 $74.88 $131.04 $119.81 2026-04-17
90471 HCPCS Tetanus & Diptheria Tox Inj 10 5 $265.00 $238.50 $64.00 $148.40 $119.04 2026-04-17
30905 HCPCS Phy Nosebleed-cntrl Comp Post,hpsa 15 5 $336.00 $302.40 $55.36 $188.16 $118.44 2026-04-17
86777 HCPCS Toxoplasmosis Antibody Igg 5 5 $231.00 $207.90 $73.92 $129.36 $118.27 2026-04-17
87116 HCPCS Mycobacteria Cult/ Rfx To Id And Susce 5 5 $230.00 $207.00 $73.60 $128.80 $117.76 2026-04-17
J0153 HCPCS Adenosine 6mg/2ml Vial 10 5 $300.00 $270.00 $49.87 $168.00 $116.70 2026-04-17
84144 HCPCS Progesterone 5 5 $227.12 $204.41 $72.68 $127.19 $116.29 2026-04-17
96366 HCPCS IV Infusion Ea Hr After 1st Hr 5 5 $118.00 $106.20 $37.76 $66.08 $116.11 2026-04-17
96361 HCPCS IV Infusion Hydration Add'tl Hr 5 5 $118.00 $106.20 $37.76 $66.08 $115.64 2026-04-17
71046 HCPCS Chest- Two Views RF,Professional Component 9 5 $360.00 $324.00 $22.00 $22.00 $115.20 2026-04-17
84681 HCPCS C Peptide 5 5 $224.96 $202.46 $71.99 $125.98 $115.18 2026-04-17
81374 HCPCS Hla I Typing 1 Antigen Lr 5 5 $223.00 $200.70 $71.36 $124.88 $114.18 2026-04-17
36600 HCPCS Arterial Puncture, Withdrawal For Dx 5 5 $220.00 $198.00 $70.40 $123.20 $112.64 2026-04-17
76801 HCPCS US OB Complete Gest <14wks RF,Professional Component 9 5 $715.00 $643.50 $98.00 $228.80 $112.53 2026-04-17
96105 HCPCS St Aphasia Eval 1 HR,Outpatient Speech Therapy 5 5 $219.00 $197.10 $70.08 $122.64 $112.13 2026-04-17
30901 HCPCS Phy Nosebleed-cntrl-simple Anterior 15 5 $308.00 $277.20 $50.88 $172.48 $111.10 2026-04-17
99204 HCPCS Wd Care Cl New Pt Level 4 25 5 $404.00 $363.60 $39.36 $226.24 $111.00 2026-04-17
73700 HCPCS CT Lower Extrmity Without Contrast P/F,Professional Component 9 5 $675.00 $607.50 $97.00 $216.00 $110.22 2026-04-17
73200 HCPCS CT Upper Extremity Without Contrast P/F,Professional Component 9 5 $675.00 $607.50 $97.00 $216.00 $110.22 2026-04-17
69200 HCPCS Fbr Ear 5 5 $214.00 $192.60 $68.48 $119.84 $109.57 2026-04-17
93975 HCPCS US Abdomen Vascular Complete 5 5 $660.00 $594.00 $83.00 $211.20 $108.64 2026-04-17
21300 HCPCS Skull Fx-ER I 5 5 $212.00 $190.80 $67.84 $118.72 $108.54 2026-04-17
86376 HCPCS Tpo Antiboies 5 5 $212.00 $190.80 $67.84 $118.72 $108.54 2026-04-17
84146 HCPCS Prolactin 5 5 $210.96 $189.86 $67.51 $118.14 $108.01 2026-04-17
86703 HCPCS HIV 1/o/2 4th Generation 5 5 $210.00 $189.00 $67.20 $117.60 $107.52 2026-04-17
90807 HCPCS Indiv. O/p Psytherapy 45/50 W/e 5 5 $210.00 $189.00 $67.20 $117.60 $107.52 2026-04-17
93882 HCPCS US Carotid Doppler Unilateral(limited) 5 5 $1,225.00 $1,102.50 $36.00 $392.00 $107.20 2026-04-17
99215 HCPCS Wd Care Cl Est Pt Level 5 30 5 $347.00 $312.30 $22.08 $194.32 $106.75 2026-04-17
90833 HCPCS Psy Tx 30 Min Patient And/or Fam With E/ 5 5 $207.00 $186.30 $66.24 $115.92 $105.98 2026-04-17
82378 HCPCS Cea 5 5 $206.48 $185.83 $66.07 $115.63 $105.72 2026-04-17
76819 HCPCS US Fetal Biophysical Profile 5 5 $825.00 $742.50 $66.00 $264.00 $105.60 2026-04-17
83825 HCPCS Heavy Metal Profile I 5 5 $205.04 $184.54 $65.61 $114.82 $104.98 2026-04-17
86677 HCPCS Helicobacter Iga 10 5 $344.00 $309.60 $21.12 $192.64 $104.96 2026-04-17
25560 HCPCS Radial/ulnar Fxclsd-iii 5 5 $204.00 $183.60 $65.28 $114.24 $104.45 2026-04-17
25530 HCPCS Ulnar Shaft Fx-clsd-eriii 5 5 $204.00 $183.60 $65.28 $114.24 $104.45 2026-04-17
21800 HCPCS Rib Fxclsd ER-iii 5 5 $204.00 $183.60 $65.28 $114.24 $104.45 2026-04-17
28510 HCPCS Tx Of Toe Fracture 5 5 $204.00 $183.60 $65.28 $114.24 $104.45 2026-04-17
28490 HCPCS Tx Big Toe Fracture 5 5 $204.00 $183.60 $65.28 $114.24 $104.45 2026-04-17
27560 HCPCS Patella Disloc Clsd ER Iii 5 5 $204.00 $183.60 $65.28 $114.24 $104.45 2026-04-17
26720 HCPCS Phalanx Fxclsd ER-iii 5 5 $204.00 $183.60 $65.28 $114.24 $104.45 2026-04-17
76881 HCPCS US Extremity Nonvascular Right 5 5 $850.00 $765.00 $62.00 $272.00 $104.00 2026-04-17
83002 HCPCS Lh Hormone 5 5 $201.60 $181.44 $64.51 $112.90 $103.22 2026-04-17
82306 HCPCS Vit D 25 Oh 5 5 $322.32 $290.09 $16.00 $16.00 $103.14 2026-04-17
84630 HCPCS Zinc Whole Blood 10 5 $277.00 $249.30 $39.68 $155.12 $102.66 2026-04-17
86769 HCPCS Covid-19 Antibody 5 5 $200.00 $180.00 $64.00 $112.00 $102.40 2026-04-17
97127 HCPCS Psy-cognitive Skills-dr 5 5 $200.00 $180.00 $64.00 $112.00 $102.40 2026-04-17
90698 HCPCS Diphtheria/tetanus Tox/acell Pertussis 5 5 $200.00 $180.00 $64.00 $112.00 $102.40 2026-04-17
J7509 HCPCS Methylprednisole 4mg Tab 5 5 $200.00 $180.00 $64.00 $112.00 $102.40 2026-04-17
94644 HCPCS Rt Continuous Aero Tx/initial Hour 5 5 $200.00 $180.00 $64.00 $112.00 $102.40 2026-04-17
86788 HCPCS West Nile Virus IgM 5 5 $200.00 $180.00 $64.00 $112.00 $102.40 2026-04-17
86789 HCPCS West Nile Virus Antibody 5 5 $200.00 $180.00 $64.00 $112.00 $102.40 2026-04-17
90899 HCPCS Psy-srv/thp Unlisted 10 5 $290.00 $261.00 $35.20 $162.40 $102.40 2026-04-17
94645 HCPCS Rt Continuous Aero Tx/subseq Hour 5 5 $200.00 $180.00 $64.00 $112.00 $102.40 2026-04-17
92506 HCPCS St Evaluation SPEECH,Outpatient Speech Therapy 5 5 $199.00 $179.10 $63.68 $111.44 $101.89 2026-04-17
76805 HCPCS US OB Complete >14wks RF,Professional Component 9 5 $715.00 $643.50 $86.00 $228.80 $101.87 2026-04-17
92605 HCPCS St Eval For Nonspeech DEVICE,Outpatient Speech Therapy 5 5 $198.00 $178.20 $63.36 $110.88 $101.38 2026-04-17
82492 HCPCS Chromotography 5 5 $196.64 $176.98 $62.92 $110.12 $100.68 2026-04-17
80339 HCPCS Lamictal 5 5 $196.64 $176.98 $62.92 $110.12 $100.68 2026-04-17
76800 HCPCS US Spinal Canal & Contents 5 5 $198.00 $178.20 $63.36 $110.00 $100.67 2026-04-17
11055 HCPCS Wd Care Paring/cutting(corn/callous 20 5 $250.00 $225.00 $56.64 $140.00 $100.10 2026-04-17
124 RC Behavior Health Private 1 1 $1,000.00 $900.00 $100.00 $100.00 $100.00 2026-04-17
94003 HCPCS Rt Vent Assist/management Sub 5 5 $195.00 $175.50 $62.40 $109.20 $99.84 2026-04-17
80305 HCPCS Drug Of Abuse Urine W/confirmation 10 5 $300.00 $270.00 $27.20 $168.00 $98.56 2026-04-17
93930 HCPCS US Extrem Art Flow Bilat Upper 5 5 $825.00 $742.50 $57.00 $264.00 $98.40 2026-04-17
21310 HCPCS Clsd/open Fx Nasal-eriii 5 5 $192.00 $172.80 $61.44 $107.52 $98.30 2026-04-17
82941 HCPCS Gastrin Level 5 5 $192.00 $172.80 $61.44 $107.52 $98.30 2026-04-17
G0410 HCPCS Group Therapy Sw Php 5 5 $100.00 $90.00 $32.00 $56.00 $98.00 2026-04-17
93307 HCPCS US Echo No Color 2d M-mode PF,Professional Component 9 5 $1,100.00 $990.00 $66.00 $352.00 $97.78 2026-04-17
82670 HCPCS Estradiol 5 5 $304.16 $273.74 $170.33 $170.33 $97.33 2026-04-17
See an error in this hospital's data? Submit a correction