Hospital

COVINGTON COUNTY HOSPITAL CAH

Collins, MS · CCN 251325 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC Tte W/Doppler Complete - Transthoracic Echo (Tte) Complete

This hospital’s price: $1,275 across 186 payers · range $345-$1,275

Source: https://covingtoncountyhospital.com/646001549_covington-county-hospital_standardcharges.csv · observed 2026-07-21

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.

1,831 distinct procedures filed

200 distinct payers

225,747 rate rows

2026-07-30 last MRF observed

Data quality

225,268 of 225,747 rate rows are consumer-grade (99.8%)

479 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 — reason	Rows
percent-of-charges filed in the dollar field — excluded from medians	161
placeholder amount (≤ $0.02) — excluded from medians	161
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	98
exceeds 10× this hospital's gross charge — excluded from medians	42
per-diem day rate — not a per-procedure price	17

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://covingtoncountyhospital.com/wp-content/uploads/2025/01/646001549_covingtoncountyhospital_standardcharges-1.csv
Found on page	https://covingtoncountyhospital.com/pricing-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-22
Content fingerprint	1b7755ca18ac838f… · 262,770 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
74174 CPT	Hc CT Angio Abd&Pelv W/O&with Contrast - CT Angiogram Abdomen Pelvis W Contrast	181	$292.51	$4,419.36	$4,419.36	nat. median $988 outlier · 4.5×
81162 CPT	Hc Brca1 Brca2	181	$1,642.39	$4,105.98	$4,105.98	nat. median $1,825 outlier · 2.2×
71275 CPT	Hc CT Angiography Chest Pe	181	$143.18	$2,705.92	$2,705.92	nat. median $754 outlier · 3.6×
75635 CPT	Hc CT Angio Abdominal Arteries - CT Angio Aorta & Bilat Iliofemoral Run	181	$143.18	$2,705.43	$2,705.43	nat. median $722 outlier · 3.7×
70496 CPT	Hc CT Angio,Head Combo - CT Head Angio W And Wo IV Contrast	181	$143.18	$2,705.43	$2,705.43	nat. median $747 outlier · 3.6×
86965 CPT	Hc Bb Platelet Pheresis	181	$124.85	$2,700.00	$2,700.00	nat. median $158 outlier · 17.0×
J0401 HCPCS	Aripiprazole ER 400 Mg IM Prsy	181	$7.28	$2,692.41	$2,692.41	nat. median $1,939 1.4× median
74178 CPT	Hc CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W Wo Contrast	181	$292.51	$2,668.95	$2,668.95	nat. median $1,024 outlier · 2.6×
10121 CPT	Hc Remove Foreign Body Complic	181	$1,190.57	$2,481.03	$2,481.03	nat. median $1,665 1.5× median
70491 CPT	Hc CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast	181	$143.18	$2,460.29	$2,460.29	nat. median $627 outlier · 3.9×
74177 CPT	Hc CT Enterography With Cont - Hc CT Enterography	181	$292.51	$2,409.38	$2,409.38	nat. median $974 outlier · 2.5×
78452 HCPCS	Ht Muscle Img Spec Mult	10	$1,053.78	$3,489.90	$2,271.84	nat. median $1,816 1.3× median
78451 HCPCS	Lvef Nuclear Scan	10	$1,053.78	$3,489.90	$2,271.84	nat. median $1,546 1.5× median
78453 HCPCS	Wall Motion Nuclear Scan	10	$1,053.78	$3,489.90	$2,271.84	nat. median $1,330 1.7× median
81162 HCPCS	Brca1 Brca2	10	$1,642.39	$2,753.59	$2,197.99	nat. median $1,825 1.2× median
73706 CPT	Hc CT Angio Lwr Extr W/O&with Contrast - CT Lower Ext Angio W And Wo IV Cont	181	$143.18	$1,939.63	$1,939.63	nat. median $743 outlier · 2.6×
73206 CPT	Hc CT Angio,Upp Ext,W Cont W Noncon Imag	181	$143.18	$1,939.63	$1,939.63	nat. median $689 outlier · 2.8×
72190 CPT	Hc X-ray Pelvis 3+ Vw - Xr Pelvis 3+ Views	181	$84.86	$1,939.63	$1,939.63	nat. median $161 outlier · 12.1×
72191 CPT	Hc CT Angio, Pelvis, Combo, Incl Img - CT Pelvis Angio W And Wo IV Cont	181	$143.18	$1,939.63	$1,939.63	nat. median $632 outlier · 3.1×
74175 CPT	Hc CT Angio Abdom Without & With Contrast - CT Angiogram Abdomen W Contrast	181	$143.18	$1,939.63	$1,939.63	nat. median $714 outlier · 2.7×
PX-3500000001 CDM	Hc CT Lower Ext W/wo Lt	181	$1,879.95	$2,506.60	$1,879.95	nat. median $1,880 1.0× median
72127 CPT	Hc CT Scan Cerv Sp Combo - CT Cervical Spine W Wo Contrast	181	$143.18	$1,879.95	$1,879.95	nat. median $612 outlier · 3.1×
72133 CPT	Hc CT Scan Lumbar Sp Combo - CT Lumbar Spine W Wo Contrast	181	$143.18	$1,879.55	$1,879.55	nat. median $633 outlier · 3.0×
72130 CPT	Hc CT Scan Dorsal Sp Combo - CT Thoracic Spine W Wo Contrast	181	$143.18	$1,879.55	$1,879.55	nat. median $600 outlier · 3.1×
70470 CPT	Hc CT Scan Head Combo - CT Head W Wo Contrast	181	$143.18	$1,879.55	$1,879.55	nat. median $622 outlier · 3.0×
73202 CPT	Hc CT Scan Upper Extrem W/wo Cont Rt Or Lt	181	$143.18	$1,879.95	$1,879.55	nat. median $711 outlier · 2.6×
73702 CPT	Hc CT Scan,Lower Extremity, Wo/w Contrast - CT Lower Ext W/wo Contrast	181	$143.18	$1,879.55	$1,879.55	nat. median $703 outlier · 2.7×
72194 CPT	Hc CT Scan Of Pelvis Combo - CT Pelvis W Wo Contrast	181	$143.18	$1,879.55	$1,879.55	nat. median $664 outlier · 2.8×
70482 CPT	Hc CT Scan Skull Combo - CT Auditory Canals / Posterior Fossa W Wo Cont	181	$143.18	$1,879.55	$1,879.55	nat. median $656 outlier · 2.9×
P9035 HCPCS	Hc Platelet Pheres Leukocytes, Reduced	191	$385.59	$1,807.65	$1,807.65	nat. median $804 outlier · 2.2×
74170 CPT	Hc CT Abdomen Without & With Contrast - CT Abdomen W Wo Contrast	181	$143.18	$1,790.04	$1,790.04	nat. median $710 outlier · 2.5×
341 OTHER	Myo Card Imaging Tomo	1	$1,756.96	$1,756.96	$1,756.96	nat. median $1,202 1.5× median
36558 HCPCS	Insertion Venous Access Line-pro Fee	10	$1,036.00	$2,365.15	$1,700.58	nat. median $3,504 outlier · 0.5×
74160 CPT	Hc CT Abdomen With Contrast - CT Abdomen W Contrast	181	$143.18	$1,696.75	$1,696.75	nat. median $652 outlier · 2.6×
72129 CPT	Hc CT Scan Dorsal Sp Contrast - CT Thoracic Spine W Contrast	181	$143.18	$1,696.75	$1,696.75	nat. median $584 outlier · 2.9×
70460 CPT	Hc CT Scan Head Contrast - CT Head W Contrast	181	$143.18	$1,696.75	$1,696.75	nat. median $576 outlier · 2.9×
72132 CPT	Hc CT Scan Lumbar Sp Contrast - CT Lumbar Spine W Contrast	181	$292.51	$1,696.75	$1,696.75	nat. median $766 outlier · 2.2×
73201 CPT	Hc CT Scan Of Arm Contrast - CT Elbow W IV Contrast	181	$292.51	$1,696.75	$1,696.75	nat. median $804 outlier · 2.1×
72126 CPT	Hc CT Scan Cerv Spine Contrast - CT Cervical Spine W Contrast	181	$292.51	$1,696.75	$1,696.75	nat. median $756 outlier · 2.2×
70481 CPT	Hc CT Scan Skull Contrast - CT Auditory Canals/Posterior Fossa W IV Cnt	181	$143.18	$1,696.75	$1,696.75	nat. median $627 outlier · 2.7×
71260 CPT	Hc Cat Scan Of Chest Contrast - CT Chest W Contrast	181	$143.18	$1,615.95	$1,615.95	nat. median $648 outlier · 2.5×
72193 CPT	Hc CT Scan Of Pelvis Contrast - CT Pelvis W Contrast	181	$143.18	$1,615.95	$1,615.95	nat. median $637 outlier · 2.5×
72125 CPT	Hc CT Scan,Cervical Spine,without Contrast - CT Cervical Spine Wo Contrast	181	$84.86	$1,553.79	$1,553.79	nat. median $472 outlier · 3.3×
72131 CPT	Hc CT Scan,Lumbar Spine,without Contrast - CT Lumbar Spine Wo Contrast	181	$84.86	$1,553.79	$1,553.79	nat. median $457 outlier · 3.4×
71250 CPT	Hc CT Scan,Thorax,without Contrast - CT Chest Wo Contrast	181	$84.86	$1,553.79	$1,553.79	nat. median $465 outlier · 3.3×
70471 CPT	Hc CT Angiography, Head/Neck W Contrast, Includ Noncontrast Images, When Perf, &…	181	$303.20	$2,067.00	$1,550.25	nat. median $830 1.9× median
70498 CPT	Hc CT Angio,Neck Combo - CT Head Neck Angio W And Wo IV Contrast	181	$143.18	$1,545.96	$1,545.96	nat. median $739 outlier · 2.1×
26765 HCPCS	Open Trt Dist Phal Frac	10	$691.00	$2,363.31	$1,527.15	nat. median $3,496 outlier · 0.4×
74176 CPT	Hc CT Abd & Pelvis Without Contrast - CT Abdomen Pelvis Wo Contrast	181	$185.40	$1,521.64	$1,521.64	nat. median $694 outlier · 2.2×
20525 HCPCS	Remov For Body Tendon Com	10	$808.00	$2,050.97	$1,429.48	nat. median $2,883 outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 1,831 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

74174	CPT	Hc CT Angio Abd&Pelv W/O&with Contrast - CT Angiogram Abdomen Pelvis W Contrast	181	181	$5,892.48	$5,892.48	$292.51	$4,419.36	$4,419.36	2026-07-21
81162	CPT	Hc Brca1 Brca2	181	181	$5,474.64	$5,474.64	$1,642.39	$4,105.98	$4,105.98	2026-07-21
71275	CPT	Hc CT Angiography Chest Pe	181	181	$3,607.89	$3,607.89	$143.18	$2,705.92	$2,705.92	2026-07-21
75635	CPT	Hc CT Angio Abdominal Arteries - CT Angio Aorta & Bilat Iliofemoral Run	181	181	$3,607.24	$3,607.24	$143.18	$2,705.43	$2,705.43	2026-07-21
70496	CPT	Hc CT Angio,Head Combo - CT Head Angio W And Wo IV Contrast	181	181	$3,607.24	$3,607.24	$143.18	$2,705.43	$2,705.43	2026-07-21
86965	CPT	Hc Bb Platelet Pheresis	181	181	$3,600.00	$3,600.00	$124.85	$2,700.00	$2,700.00	2026-07-21
J0401	HCPCS	Aripiprazole ER 400 Mg IM Prsy	181	181	$3,589.88	$3,589.88	$7.28	$2,692.41	$2,692.41	2026-07-21
74178	CPT	Hc CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W Wo Contrast	181	181	$3,558.60	$3,558.60	$292.51	$2,668.95	$2,668.95	2026-07-21
10121	CPT	Hc Remove Foreign Body Complic	181	181	$3,308.04	$3,308.04	$1,190.57	$2,481.03	$2,481.03	2026-07-21
70491	CPT	Hc CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast	181	181	$3,280.38	$3,280.38	$143.18	$2,460.29	$2,460.29	2026-07-21
74177	CPT	Hc CT Enterography With Cont - Hc CT Enterography	181	181	$3,212.51	$3,212.51	$292.51	$2,409.38	$2,409.38	2026-07-21
78451	HCPCS	Lvef Nuclear Scan	10	10	$511.25	$255.63 50% off	$1,053.78	$3,489.90	$2,271.84	2025-01-10
78452	HCPCS	Ht Muscle Img Spec Mult	20	10	$3,056.13	$1,528.07 50% off	$1,053.78	$3,489.90	$2,271.84	2025-01-10
78453	HCPCS	Wall Motion Nuclear Scan	10	10	$508.52	$254.26 50% off	$1,053.78	$3,489.90	$2,271.84	2025-01-10
81162	HCPCS	Brca1 Brca2	10	10	$5,474.64	$2,737.32 50% off	$1,642.39	$2,753.59	$2,197.99	2025-01-10
72190	CPT	Hc X-ray Pelvis 3+ Vw - Xr Pelvis 3+ Views	181	181	$2,586.17	$2,586.17	$84.86	$1,939.63	$1,939.63	2026-07-21
74175	CPT	Hc CT Angio Abdom Without & With Contrast - CT Angiogram Abdomen W Contrast	181	181	$2,586.17	$2,586.17	$143.18	$1,939.63	$1,939.63	2026-07-21
73706	CPT	Hc CT Angio Lwr Extr W/O&with Contrast - CT Lower Ext Angio W And Wo IV Cont	181	181	$2,586.17	$2,586.17	$143.18	$1,939.63	$1,939.63	2026-07-21
72191	CPT	Hc CT Angio, Pelvis, Combo, Incl Img - CT Pelvis Angio W And Wo IV Cont	181	181	$2,586.17	$2,586.17	$143.18	$1,939.63	$1,939.63	2026-07-21
73206	CPT	Hc CT Angio,Upp Ext,W Cont W Noncon Imag	181	181	$2,586.17	$2,586.17	$143.18	$1,939.63	$1,939.63	2026-07-21
72127	CPT	Hc CT Scan Cerv Sp Combo - CT Cervical Spine W Wo Contrast	181	181	$2,506.60	$2,506.60	$143.18	$1,879.95	$1,879.95	2026-07-21
PX-3500000001	CDM	Hc CT Lower Ext W/wo Lt	181	181	$2,506.60	$2,506.60	$1,879.95	$2,506.60	$1,879.95	2026-07-21
70470	CPT	Hc CT Scan Head Combo - CT Head W Wo Contrast	181	181	$2,506.06	$2,506.06	$143.18	$1,879.55	$1,879.55	2026-07-21
73202	CPT	Hc CT Scan Upper Extrem W/wo Cont Rt Or Lt	342	181	$2,506.60	$2,506.60	$143.18	$1,879.95	$1,879.55	2026-07-21
72194	CPT	Hc CT Scan Of Pelvis Combo - CT Pelvis W Wo Contrast	181	181	$2,506.06	$2,506.06	$143.18	$1,879.55	$1,879.55	2026-07-21
72133	CPT	Hc CT Scan Lumbar Sp Combo - CT Lumbar Spine W Wo Contrast	181	181	$2,506.06	$2,506.06	$143.18	$1,879.55	$1,879.55	2026-07-21
72130	CPT	Hc CT Scan Dorsal Sp Combo - CT Thoracic Spine W Wo Contrast	181	181	$2,506.06	$2,506.06	$143.18	$1,879.55	$1,879.55	2026-07-21
70482	CPT	Hc CT Scan Skull Combo - CT Auditory Canals / Posterior Fossa W Wo Cont	181	181	$2,506.06	$2,506.06	$143.18	$1,879.55	$1,879.55	2026-07-21
73702	CPT	Hc CT Scan,Lower Extremity, Wo/w Contrast - CT Lower Ext W/wo Contrast	181	181	$2,506.06	$2,506.06	$143.18	$1,879.55	$1,879.55	2026-07-21
P9035	HCPCS	Hc Platelet Pheres Leukocytes, Reduced	191	191	$2,410.20	$2,410.20	$385.59	$1,807.65	$1,807.65	2026-07-21
74170	CPT	Hc CT Abdomen Without & With Contrast - CT Abdomen W Wo Contrast	181	181	$2,386.72	$2,386.72	$143.18	$1,790.04	$1,790.04	2026-07-21
341	OTHER	Myo Card Imaging Tomo	1	1	$2,864.61	$2,864.61	$1,756.96	$1,756.96	$1,756.96	2026-07-30
36558	HCPCS	Insertion Venous Access Line-pro Fee	10	10	$970.14	$485.07 50% off	$1,036.00	$2,365.15	$1,700.58	2025-01-10
70481	CPT	Hc CT Scan Skull Contrast - CT Auditory Canals/Posterior Fossa W IV Cnt	181	181	$2,262.33	$2,262.33	$143.18	$1,696.75	$1,696.75	2026-07-21
72126	CPT	Hc CT Scan Cerv Spine Contrast - CT Cervical Spine W Contrast	181	181	$2,262.33	$2,262.33	$292.51	$1,696.75	$1,696.75	2026-07-21
72132	CPT	Hc CT Scan Lumbar Sp Contrast - CT Lumbar Spine W Contrast	181	181	$2,262.33	$2,262.33	$292.51	$1,696.75	$1,696.75	2026-07-21
73201	CPT	Hc CT Scan Of Arm Contrast - CT Elbow W IV Contrast	181	181	$2,262.33	$2,262.33	$292.51	$1,696.75	$1,696.75	2026-07-21
72129	CPT	Hc CT Scan Dorsal Sp Contrast - CT Thoracic Spine W Contrast	181	181	$2,262.33	$2,262.33	$143.18	$1,696.75	$1,696.75	2026-07-21
70460	CPT	Hc CT Scan Head Contrast - CT Head W Contrast	181	181	$2,262.33	$2,262.33	$143.18	$1,696.75	$1,696.75	2026-07-21
74160	CPT	Hc CT Abdomen With Contrast - CT Abdomen W Contrast	181	181	$2,262.33	$2,262.33	$143.18	$1,696.75	$1,696.75	2026-07-21
71260	CPT	Hc Cat Scan Of Chest Contrast - CT Chest W Contrast	181	181	$2,154.60	$2,154.60	$143.18	$1,615.95	$1,615.95	2026-07-21
72193	CPT	Hc CT Scan Of Pelvis Contrast - CT Pelvis W Contrast	181	181	$2,154.60	$2,154.60	$143.18	$1,615.95	$1,615.95	2026-07-21
71250	CPT	Hc CT Scan,Thorax,without Contrast - CT Chest Wo Contrast	181	181	$2,071.72	$2,071.72	$84.86	$1,553.79	$1,553.79	2026-07-21
72131	CPT	Hc CT Scan,Lumbar Spine,without Contrast - CT Lumbar Spine Wo Contrast	181	181	$2,071.72	$2,071.72	$84.86	$1,553.79	$1,553.79	2026-07-21
72125	CPT	Hc CT Scan,Cervical Spine,without Contrast - CT Cervical Spine Wo Contrast	181	181	$2,071.72	$2,071.72	$84.86	$1,553.79	$1,553.79	2026-07-21
70471	CPT	Hc CT Angiography, Head/Neck W Contrast, Includ Noncontrast Images, When Perf, &…	181	181	$2,067.00	$2,067.00	$303.20	$2,067.00	$1,550.25	2026-07-21
70498	CPT	Hc CT Angio,Neck Combo - CT Head Neck Angio W And Wo IV Contrast	181	181	$2,061.28	$2,061.28	$143.18	$1,545.96	$1,545.96	2026-07-21
26765	HCPCS	Open Trt Dist Phal Frac	10	10	$1,360.74	$680.37 50% off	$691.00	$2,363.31	$1,527.15	2025-01-10
74176	CPT	Hc CT Abd & Pelvis Without Contrast - CT Abdomen Pelvis Wo Contrast	181	181	$2,028.85	$2,028.85	$185.40	$1,521.64	$1,521.64	2026-07-21
20525	HCPCS	Remov For Body Tendon Com	10	10	$442.00	$221.00 50% off	$808.00	$2,050.97	$1,429.48	2025-01-10
0110	RC	—	1	1	$540.00	$270.00 50% off	$1,420.00	$1,420.00	$1,420.00	2025-01-10
0124	RC	—	2	2	$900.00	$450.00 50% off	$1,420.00	$1,420.00	$1,420.00	2025-01-10
36556	HCPCS	Ins Non Tun Cv Cath 5+-pro Fee	10	10	$774.18	$387.09 50% off	$423.00	$2,365.15	$1,394.08	2025-01-10
70488	CPT	Hc CT Scans Face/Jaw Combo - CT Sinus W Wo Contrast	181	181	$1,779.30	$1,779.30	$143.18	$1,334.48	$1,334.48	2026-07-21
36555	HCPCS	Insert Non Tun Cv Cath	10	10	$862.47	$431.24 50% off	$285.00	$2,365.15	$1,325.08	2025-01-10
13132	CPT	Hc Recmpl Wnd Head,Fac,Hand 2.6-7.5 Cm - Profee	181	181	$1,762.02	$1,762.02	$353.30	$1,321.52	$1,321.52	2026-07-21
59409	CPT	Hc OB Care Vaginal Delivery Only-pro Fee	181	181	$1,748.46	$1,748.46	$1,311.35	$2,813.34	$1,311.35	2026-07-21
27086	HCPCS	Remov Of Fb Pelv Hip Subc-pro Fee	10	10	$273.00	$136.50 50% off	$568.00	$2,050.97	$1,309.48	2025-01-10
13152	CPT	Hc Recmpl Wnd Lid,Nos,Ear 2.5-7.5 Cm - Profee	181	181	$1,724.88	$1,724.88	$461.24	$1,293.66	$1,293.66	2026-07-21
93306	CPT	Hc Tte W/Doppler Complete - Transthoracic Echo (Tte) Complete	181	181	$1,700.62	$1,700.62	$399.46	$1,275.47	$1,275.47	2026-07-21
59414	HCPCS	Delivery Of Placenta -pro Fee	10	10	$1,236.00	$618.00 50% off	$206.00	$2,244.84	$1,225.42	2025-01-10
10140	CPT	Hc Drainage Of Hematoma/Fluid	181	181	$1,623.30	$1,623.30	$1,190.57	$1,435.38	$1,217.48	2026-07-21
70487	CPT	Hc CT Scan, Face/Jaw Contrast - CT Sinus Facial Bones W Contrast	181	181	$1,606.25	$1,606.25	$143.18	$1,204.69	$1,204.69	2026-07-21
73701	CPT	Hc CT Scan,Lower Extremity, W Contrast - CT Lower Ext With Contrast	181	181	$1,606.25	$1,606.25	$143.18	$1,204.69	$1,204.69	2026-07-21
88261	CPT	Hc Chromosome Analysis 5	181	181	$1,594.78	$1,594.78	$237.91	$1,196.09	$1,196.09	2026-07-21
72132	HCPCS	CT L-spine With Contrast	10	10	$2,262.33	$1,131.17 50% off	$292.51	$2,098.74	$1,195.62	2025-01-10
71270	CPT	Hc Cat Scan Of Chest Combo - CT Chest W Wo Contrast	181	181	$1,562.00	$1,562.00	$143.18	$1,171.50	$1,171.50	2026-07-21
70450	CPT	Hc CT Stroke Protocol	181	181	$1,528.77	$1,528.77	$84.86	$1,146.58	$1,146.58	2026-07-21
J7298	HCPCS	Levonorgestrel 21 Mcg/day Iu IUD	181	181	$1,526.93	$1,526.93	$1,101.70	$1,526.93	$1,145.20	2026-07-21
36430	CPT	Hc Blood Transfusion Service	181	181	$1,511.18	$1,511.18	$323.73	$1,133.39	$1,133.39	2026-07-21
27550	CPT	Hc Cls Trt Knee Dis-pro Fee	181	181	$1,492.56	$1,492.56	$164.36	$1,119.42	$1,119.42	2026-07-21
36010	CPT	Hc Intro Cath Sup/Inf Venacava-pro Fee	328	167	$1,102.50	$1,102.50	$826.88	$1,157.63	$1,102.50	2026-07-21
12047	CPT	Hc Layr Clos Wnd Rest Body >30 Cm	342	181	$716.12	$716.12	$537.09	$1,793.17	$1,083.89	2026-07-21
72192	CPT	Hc CT Scan,Pelvis,without Contrast - CT Pelvis Wo Contrast	181	181	$1,428.77	$1,428.77	$84.86	$1,071.58	$1,071.58	2026-07-21
73700	CPT	Hc CT Scan,Lower Extremity,without Contrast - CT Lower Ext Without Contrast	181	181	$1,428.77	$1,428.77	$84.86	$1,071.58	$1,071.58	2026-07-21
73200	CPT	Hc CT Scan Upper Extremity Without Contrast - CT Elbow Wo IV Contrast	342	181	$1,428.77	$1,428.77	$84.86	$1,071.58	$1,071.53	2026-07-21
27818	HCPCS	Clsd Trt Trimalle W Man-pro Fee	10	10	$905.31	$452.66 50% off	$1,000.00	$1,138.93	$1,069.46	2025-01-10
28192	HCPCS	Removal Fb Foot Deep-pro Fee	10	10	$990.58	$495.29 50% off	$939.00	$1,190.57	$1,064.79	2025-01-10
94002	CPT	Hc Rt Vent Mgmt, Inpatient, Initial Day	181	181	$1,396.84	$1,396.84	$536.91	$1,396.84	$1,047.63	2026-07-21
12037	CPT	Hc Layr Clos Wnd Trunk,Arm,Leg >30 Cm	342	181	$716.12	$716.12	$537.09	$1,793.17	$1,047.23	2026-07-21
26742	HCPCS	Cls Trt Art Frac W Man-pro Fee	10	10	$498.69	$249.35 50% off	$929.00	$1,138.93	$1,033.96	2025-01-10
12037	HCPCS	Layer Cls Scalp Grthn 30c-pro Fee	10	10	$1,396.30	$698.15 50% off	$682.00	$1,370.25	$1,026.12	2025-01-10
12047	HCPCS	Lay Cls Neck Grth 30.0 Cm-pro Fee	10	10	$1,445.19	$722.60 50% off	$673.00	$1,370.25	$1,021.62	2025-01-10
74150	CPT	Hc CT Abdomen Without Contrast - CT Abdomen Wo Contrast	181	181	$1,360.73	$1,360.73	$84.86	$1,020.55	$1,020.55	2026-07-21
25605	HCPCS	Cls Trt Dist Radial -pro Fee	10	10	$493.83	$246.92 50% off	$875.00	$1,138.93	$1,006.97	2025-01-10
86960	CPT	Hc Bb Packed Red Blood Cells	181	181	$1,332.00	$1,332.00	$124.85	$999.00	$999.00	2026-07-21
54700	HCPCS	I&d Epididymes Testis Scrotum-pro Fee	10	10	$668.18	$334.09 50% off	$516.00	$1,472.67	$994.34	2025-01-10
20102	HCPCS	Exp Pent Wnd Adb Flank Back Sep-pro Fee	10	10	$770.61	$385.31 50% off	$607.00	$1,370.25	$988.62	2025-01-10
87507	CPT	Hc, Iadna-dna/rna Probe Tq 12-25 - Gastrointestinal Panel	181	181	$1,250.34	$1,250.34	$375.10	$937.76	$937.76	2026-07-21
59414	CPT	Hc Deliver Placenta - Profee	181	181	$1,236.00	$1,236.00	$927.00	$2,813.34	$927.00	2026-07-21
PX-1240000001	CDM	Hc Psychiatric/Geriatric Room Daily	181	181	$900.00	$900.00	$675.00	$900.00	$900.00	2026-07-21
13101	CPT	Hc Recmpl Wnd Scalp,Extr 2.6-7.5 Cm - Profee	342	181	$1,219.71	$1,219.71	$461.24	$914.78	$871.20	2026-07-21
92960	CPT	Hc Defibrillation-pro Fee	503	181	$1,139.00	$1,139.00	$466.95	$854.94	$854.25	2026-07-21
88262	CPT	Hc Chromosome Blood Routine Lc	181	181	$1,124.74	$1,124.74	$112.94	$843.56	$843.56	2026-07-21
13131	CPT	Hc Recmpl Wnd Head,Fac,Hand 1.1-2.5 Cm - Profee	181	181	$1,105.81	$1,105.81	$296.19	$829.36	$829.36	2026-07-21
27560	CPT	Hc Cls Trt Patellar Dis-pro Fee	181	181	$1,089.52	$1,089.52	$164.36	$817.14	$817.14	2026-07-21
46608	CPT	Hc Removal Frn Body-rectum-pro Fee	342	181	$149.10	$149.10	$111.83	$916.65	$808.21	2026-07-21
26641	CPT	Hc Cls Trt Carpometa Frac	181	181	$1,074.81	$1,074.81	$164.36	$806.11	$806.11	2026-07-21
32551	HCPCS	Insertion Of Chest Tube-pro Fee	10	10	$588.55	$294.28 50% off	$427.00	$1,181.28	$804.14	2025-01-10
93307	CPT	Hc Tte Without Doppler Complete - Transthoracic Echo (Tte) Complete	181	181	$1,071.21	$1,071.21	$185.40	$803.41	$803.41	2026-07-21
10121	HCPCS	Incs Rfb Subqtis Com-pro Fee	10	10	$805.27	$402.63 50% off	$364.00	$1,190.57	$777.28	2025-01-10
72126	HCPCS	CT C-spine With Contrast	10	10	$2,262.33	$1,131.17 50% off	$292.51	$1,261.95	$777.23	2025-01-10
73201	HCPCS	CT Upper Ext With Lt	20	10	$2,262.33	$1,131.17 50% off	$292.51	$1,261.95	$777.23	2025-01-10
72128	CPT	Hc CT Scan,Thoracic Spine,without Contrast - CT Thoracic Spine Wo Contrast	181	181	$1,014.43	$1,014.43	$84.86	$760.82	$760.82	2026-07-21
70486	CPT	Hc CT Scan,Maxillofacial Without Contrast - CT Sinus Facial Bones Wo Cont	181	181	$1,014.43	$1,014.43	$84.86	$760.82	$760.82	2026-07-21
70490	CPT	Hc CT Scan,Soft Tissue Neck,without Contrast - CT Soft Tissue Neck Wo Cont	181	181	$1,014.43	$1,014.43	$84.86	$760.82	$760.82	2026-07-21
70480	CPT	Hc CT Scan,Orbit/Sella/Post Fossa/Ear,without - CT Auditory Canals Wo Cont	181	181	$1,014.43	$1,014.43	$84.86	$760.82	$760.82	2026-07-21
26725	CPT	Hc Close Rx Prox/Mid Fing Shft Fx,Manip - Profee	181	181	$1,012.19	$1,012.19	$164.36	$759.14	$759.14	2026-07-21
21315	HCPCS	Nasal Fracture-pro Fee	10	10	$270.90	$135.45 50% off	$400.00	$1,102.11	$751.05	2025-01-10
13121	CPT	Hc Recmpl Wnd Scalp,Extr 2.6-7.5 Cm - Profee	181	181	$996.85	$996.85	$353.30	$747.64	$747.64	2026-07-21
11423	HCPCS	Excis Lesion Excised Diam 2.1 To 3.0cm	10	10	$3,750.99	$1,875.49 50% off	$301.00	$1,190.57	$745.78	2025-01-10
28192	CPT	Hc Removal Fb Foot Deep-pro Fee	181	181	$990.58	$990.58	$742.94	$1,435.38	$742.94	2026-07-21
13151	CPT	Hc Recmpl Wnd Lid,Nos,Ear 1.1-2.5 Cm - Profee	181	181	$988.16	$988.16	$461.24	$741.12	$741.12	2026-07-21
94621	CPT	Hc Cardiopulmonary Exercise Testing - Complex Stress Test, Pulmonary	181	181	$974.84	$974.84	$222.35	$731.13	$731.13	2026-07-21
94770	CPT	Hc Caponography Monitoring	181	181	$974.84	$974.84	$731.13	$974.84	$731.13	2026-07-21
36558	CPT	Hc Insertion Venous Access Line-pro Fee	181	181	$970.14	$970.14	$727.61	$2,744.12	$727.61	2026-07-21
99291	CPT	Hc Critical Care, E/m 30-74 Minutes	342	181	$2,217.02	$2,217.02	$531.75	$1,662.77	$717.89	2026-07-21
636	OTHER	Lexi Scan	1	1	$315.00	$315.00	$709.13	$709.13	$709.13	2026-07-30
93930	CPT	Hc Duplex Up Extrem Art Bilat - Cv US Doppler Arterial Arms Bilateral	181	181	$942.37	$942.37	$185.40	$706.78	$706.78	2026-07-21
72129	HCPCS	CT T-spine With Contrast	10	10	$2,262.33	$1,131.17 50% off	$143.18	$1,261.95	$702.57	2025-01-10
28190	CPT	Hc Rmv For Body Foot Subcu-pro Fee	342	181	$934.32	$934.32	$515.25	$2,119.46	$700.74	2026-07-21
93970	CPT	Hc Ext. Veins W/Compress Duplex, Bilat	181	181	$932.74	$932.74	$185.40	$699.56	$699.56	2026-07-21
93880	CPT	Hc Duplex Scan Extracranial,Bilat - Cv US Doppler Carotid	181	181	$932.74	$932.74	$185.40	$699.56	$699.56	2026-07-21
99291	HCPCS	Crit Care First 30-74 Min-pro Fee	10	10	$709.00	$354.50 50% off	$609.53	$787.09	$698.31	2025-01-10
10140	HCPCS	Inc & Drainage Hematoma-pro Fee	10	10	$1,298.64	$649.32 50% off	$195.00	$1,190.57	$692.78	2025-01-10
13100	CPT	Hc Recmpl Wnd Scalp,Extr 1.1-2.5 Cm	342	181	$921.48	$921.48	$461.24	$725.66	$691.11	2026-07-21
26700	CPT	Hc Closed Rx Mc-p Disloc - Profee	181	181	$920.78	$920.78	$164.36	$690.59	$690.59	2026-07-21
70310	HCPCS	Partial Mouth Tooth	10	10	$293.91	$146.96 50% off	$185.40	$1,190.48	$687.94	2025-01-10
36555	CPT	Hc Insert Non Tun Cv Cath-pro Fee	181	181	$905.59	$905.59	$679.19	$2,744.12	$679.19	2026-07-21
27818	CPT	Hc Clsd Trt Trimalle W Man-pro Fee	181	181	$905.31	$905.31	$678.98	$1,397.48	$678.98	2026-07-21
P9016	HCPCS	Hc Rbc Leukocytes Reduced	191	191	$889.68	$889.68	$105.00	$667.26	$667.26	2026-07-21
22310	CPT	Hc Closed Treat Vert Body Fract - Profee	181	181	$882.72	$882.72	$164.36	$662.04	$662.04	2026-07-21
74178	HCPCS	CT Abd/pel W/wo	10	10	$3,558.60	$1,779.30 50% off	$292.51	$1,017.42	$654.97	2025-01-10
74174	HCPCS	CTA Abdomen Pelvis	10	10	$5,892.48	$2,946.24 50% off	$292.51	$1,017.42	$654.97	2025-01-10
74177	HCPCS	CT Abd/pel With	10	10	$3,212.51	$1,606.26 50% off	$292.51	$1,017.42	$654.97	2025-01-10
87507	HCPCS	Stool Pathogen Panel	10	10	$1,250.34	$625.17 50% off	$375.10	$918.54	$646.82	2025-01-10
12020	CPT	Hc Closure Superf Wnd Dehis Simple - Profee	342	181	$398.40	$398.40	$298.80	$967.39	$642.32	2026-07-21
12046	CPT	Hc Layr Clos Wnd Rest Body 20.1-30 Cm	342	181	$716.12	$716.12	$461.24	$1,010.99	$642.32	2026-07-21
12045	CPT	Hc Layr Clos Wnd Rest Body 12.6-20 Cm	342	181	$716.12	$716.12	$461.24	$851.40	$642.32	2026-07-21
13152	HCPCS	Rep Co Lid Ns Ear 2.6 7.5-pro Fee	10	10	$1,724.88	$862.44 50% off	$461.24	$814.00	$637.62	2025-01-10
30906	CPT	Hc Crtl Nasal Hemor Post Sub-pro Fee	181	181	$848.83	$848.83	$165.00	$636.62	$636.62	2026-07-21
12036	CPT	Hc Layr Clos Wnd Trunk,Arm,Leg 20.1-30 Cm - Profee	342	181	$848.42	$848.42	$461.24	$642.32	$636.32	2026-07-21
26600	CPT	Hc Closed Rx Metacarpal Fx - Profee	181	181	$813.90	$813.90	$164.36	$610.43	$610.43	2026-07-21
13132	HCPCS	Rep Com Fore Chk 2.6-7.5c-pro Fee	10	10	$1,762.02	$881.01 50% off	$461.24	$725.00	$593.12	2025-01-10
94060	CPT	Hc Eval Of Bronchospasm - Spirometry With Bronchodilator	181	181	$785.32	$785.32	$222.35	$588.99	$588.99	2026-07-21
27550	HCPCS	Cls Trt Knee Dis-pro Fee	10	10	$1,492.56	$746.28 50% off	$164.36	$1,000.00	$582.18	2025-01-10
20102	CPT	Hc Exp Pent Wnd Adb Flank Back Sep-pro Fee	181	181	$770.61	$770.61	$577.96	$1,793.17	$577.96	2026-07-21
26770	CPT	Hc Cls Trt Inter Jnt Without Ane-pro Fee	342	181	$781.45	$781.45	$164.36	$586.09	$558.18	2026-07-21
12057	HCPCS	Lay Cls Face Grt 30.0 Cm-pro Fee	10	10	$1,707.74	$853.87 50% off	$296.19	$820.00	$558.10	2025-01-10
74400	CPT	Hc X-ray IV Pyelogram (Ivp) - Xr Ivp W Or Wo Kub W Or Wo Tomogram	181	181	$730.80	$730.80	$143.18	$548.10	$548.10	2026-07-21
74410	CPT	Hc Drip Infusion Ivp	181	181	$730.80	$730.80	$143.18	$548.10	$548.10	2026-07-21
87536	CPT	Hc HIV-1 Quant&Revrse Trnscrpj - HIV 1 RNA Quant By Pcr	181	181	$725.19	$725.19	$76.59	$543.89	$543.89	2026-07-21
PX-1100000001	CDM	Hc Private Room Daily	181	181	$540.00	$540.00	$405.00	$540.00	$540.00	2026-07-21
PX-1100000003	CDM	Hc Swing Bed Daily	181	181	$540.00	$540.00	$405.00	$540.00	$540.00	2026-07-21
13120	CPT	Hc Recmpl Wnd Scalp,Extr 1.1-2.5 Cm	342	181	$716.12	$716.12	$353.30	$753.17	$537.09	2026-07-21
12057	CPT	Hc Layr Clos Wnd Face,Facial >30 Cm	342	181	$716.12	$716.12	$296.19	$1,280.81	$537.09	2026-07-21
12056	CPT	Hc Layr Clos Wnd Face,Facial 20.1-30 Cm	342	181	$716.12	$716.12	$296.19	$1,149.71	$537.09	2026-07-21
12055	CPT	Hc Layr Clos Wnd Face,Facial 12.6-20 Cm - Profee	342	181	$1,296.48	$1,296.48	$296.19	$972.36	$537.09	2026-07-21
12046	HCPCS	Layer Cls Neck 20.1 30.0c-pro Fee	10	10	$1,347.98	$673.99 50% off	$461.24	$602.00	$531.62	2025-01-10
93925	CPT	Hc Duplex Lo Extrem Art Bilat - Cv US Doppler Arterial Legs Bilateral	181	181	$708.75	$708.75	$185.40	$531.56	$531.56	2026-07-21
12036	HCPCS	Lay Clos Scalp 20.1-30 Cm-pro Fee	10	10	$848.42	$424.21 50% off	$461.24	$597.00	$529.12	2025-01-10
12056	HCPCS	Lay Clos Face 20.1-30 Cm-pro Fee	10	10	$1,532.95	$766.48 50% off	$296.19	$761.00	$528.60	2025-01-10
93308	CPT	Hc Echo Heart Xthoracic,Limited	181	181	$696.93	$696.93	$185.40	$522.70	$522.70	2026-07-21
26641	HCPCS	Cls Trt Carpometa Frac-pro Fee	10	10	$1,074.81	$537.41 50% off	$164.36	$875.00	$519.68	2025-01-10
99284	CPT	Hc Emergency Department Level 4 Visit High/Urgent Severity	181	181	$691.18	$691.18	$302.98	$518.39	$518.39	2026-07-21
99285	CPT	Hc Emergency Department Level 5 Visit High Severity&Threat Func	342	181	$1,053.98	$1,053.98	$289.71	$790.49	$517.57	2026-07-21
23570	CPT	Hc Cls Trt Scapular Frac-pro Fee	181	181	$680.15	$680.15	$164.36	$510.11	$510.11	2026-07-21
13121	HCPCS	Rep Com Scalp/arm/leg 2.6 -7.5cm Pro Fee	10	10	$996.85	$498.43 50% off	$461.24	$548.00	$504.62	2025-01-10
54700	CPT	Hc I&d Epididymes Testis Scrotum-pro Fee	181	181	$668.18	$668.18	$501.14	$1,816.72	$501.14	2026-07-21
24600	HCPCS	Cls Trt Elbow Dis Wo Anes-pro Fee	10	10	$546.40	$273.20 50% off	$164.36	$832.00	$498.18	2025-01-10
99285	HCPCS	Ed Visit 5 High Sever	22	10	$386.28	$193.14 50% off	$333.77	$556.44	$495.81	2025-01-10
26740	CPT	Hc Close Rx Fingr Articular Fx - Profee	181	181	$659.93	$659.93	$164.36	$494.95	$494.95	2026-07-21
27560	HCPCS	Cls Trt Patellar Dis-pro Fee	10	10	$1,089.52	$544.76 50% off	$164.36	$825.00	$494.68	2025-01-10
46050	HCPCS	Incs Perianal Abscess Supe-pro Fee	10	10	$307.35	$153.68 50% off	$328.00	$659.80	$493.90	2025-01-10
44500	HCPCS	Intro Of Long Gi Tube-pro Fee	10	10	$84.83	$42.42 50% off	$328.00	$655.41	$491.70	2025-01-10
13151	HCPCS	Rep Co Lid Ns Ear 1.1 2.5-pro Fee	10	10	$988.16	$494.08 50% off	$461.24	$517.00	$489.12	2025-01-10
12044	CPT	Hc Layr Clos Wnd Rest Body 7.6-12.5 Cm - Profee	342	181	$651.39	$651.39	$204.83	$642.32	$488.54	2026-07-21
23545	CPT	Hc Cls Trt Aromioclav Dis-pro Fee	181	181	$648.24	$648.24	$164.36	$486.18	$486.18	2026-07-21
28470	CPT	Hc Cls Trt Met Fx Without Man-pro Fee	181	181	$639.48	$639.48	$164.36	$479.61	$479.61	2026-07-21
27840	HCPCS	Clsd Trt Ankle Dislocatioin-pro Fee	10	10	$520.38	$260.19 50% off	$164.36	$794.00	$479.18	2025-01-10
26670	CPT	Hc Cls Trt Carpometacarsal Disclo-pro Fee	181	181	$633.28	$633.28	$164.36	$474.96	$474.96	2026-07-21
12045	HCPCS	Layer Cls Neck 12.6 20.0c-pro Fee	10	10	$1,135.20	$567.60 50% off	$461.24	$477.00	$469.12	2025-01-10
24640	HCPCS	Cls Trt Radial Head Sub-pro Fee	10	10	$357.93	$178.97 50% off	$164.36	$757.00	$460.68	2025-01-10
23650	HCPCS	Cls Trt Shoulder Dislocation-pro Fee	10	10	$873.81	$436.91 50% off	$164.36	$748.00	$456.18	2025-01-10
26605	CPT	Hc Closed Rx Metacarpal Fx,Manip - Profee	181	181	$600.33	$600.33	$164.36	$450.25	$450.25	2026-07-21
13120	HCPCS	Rep Com Scalp 1.1 To 2.5c-pro Fee	10	10	$1,004.22	$502.11 50% off	$439.00	$461.24	$450.12	2025-01-10
13101	HCPCS	Rep Com Trunk 2.6 To 7.5c-pro Fee	10	10	$1,219.71	$609.86 50% off	$439.00	$461.24	$450.12	2025-01-10
46608	HCPCS	Removal Frn Body-rectum-pro Fee	10	10	$149.10	$74.55 50% off	$237.00	$659.80	$448.40	2025-01-10
72133	HCPCS	CT L-spine W/wo Contras	10	10	$2,506.06	$1,253.03 50% off	$143.18	$752.95	$448.06	2025-01-10
72130	HCPCS	CT T-spine W/wo Contras	10	10	$2,506.06	$1,253.03 50% off	$143.18	$752.95	$448.06	2025-01-10
73702	HCPCS	CT Lower Ext W/wo Lt,left	20	10	$2,506.33	$1,253.16 50% off	$143.18	$752.95	$448.06	2025-01-10
74175	HCPCS	CTA Abdomen With	10	10	$2,586.17	$1,293.09 50% off	$143.18	$752.95	$448.06	2025-01-10
73202	HCPCS	CT Upper Ext W/wo Lt	20	10	$2,506.33	$1,253.16 50% off	$143.18	$752.95	$448.06	2025-01-10
73706	HCPCS	CT Angio Lwr Extr With	10	10	$2,586.17	$1,293.09 50% off	$143.18	$752.95	$448.06	2025-01-10
72127	HCPCS	CT C-spine W/wo Contras	10	10	$2,506.60	$1,253.30 50% off	$143.18	$752.95	$448.06	2025-01-10
74160	HCPCS	CT Abd W/contrast	10	10	$2,262.33	$1,131.17 50% off	$143.18	$752.95	$448.06	2025-01-10
70498	HCPCS	CT Angoigraphy Neck	10	10	$2,061.28	$1,030.64 50% off	$143.18	$752.95	$448.06	2025-01-10
70496	HCPCS	CT Angiography Head	10	10	$3,607.24	$1,803.62 50% off	$143.18	$752.95	$448.06	2025-01-10
73206	HCPCS	CT Angio Upper Extr With	10	10	$2,586.17	$1,293.09 50% off	$143.18	$752.95	$448.06	2025-01-10
71260	HCPCS	CT Chest With Contrast	10	10	$2,262.33	$1,131.17 50% off	$143.18	$752.95	$448.06	2025-01-10
75635	HCPCS	CTA Runoff Abd Aorta Low Extr	10	10	$3,607.24	$1,803.62 50% off	$143.18	$752.95	$448.06	2025-01-10
71275	HCPCS	CTA Chest Pe Protocol	10	10	$3,607.89	$1,803.95 50% off	$143.18	$752.95	$448.06	2025-01-10
70481	HCPCS	CT Orbits Sella Pfos With	10	10	$2,262.33	$1,131.17 50% off	$143.18	$752.95	$448.06	2025-01-10
70487	HCPCS	CT Max -facial With Contr	10	10	$1,606.25	$803.13 50% off	$143.18	$752.95	$448.06	2025-01-10
70488	HCPCS	CT Max -facial W/wo Con	10	10	$1,779.30	$889.65 50% off	$143.18	$752.95	$448.06	2025-01-10
72191	HCPCS	CT Angiograph Pelvis With	10	10	$2,586.17	$1,293.09 50% off	$143.18	$752.95	$448.06	2025-01-10
72193	HCPCS	CT Pelvis With Contrast	10	10	$2,262.33	$1,131.17 50% off	$143.18	$752.95	$448.06	2025-01-10
74170	HCPCS	CT Abd W/w0	10	10	$2,386.72	$1,193.36 50% off	$143.18	$752.95	$448.06	2025-01-10
73701	HCPCS	CT Lower Ext With Lt,left	20	10	$1,517.51	$758.76 50% off	$143.18	$752.95	$448.06	2025-01-10
70482	HCPCS	CT Orbits Sella Pfosw/wo	10	10	$2,506.06	$1,253.03 50% off	$143.18	$752.95	$448.06	2025-01-10
72194	HCPCS	CT Pelvis W/wo Contrast	10	10	$2,506.06	$1,253.03 50% off	$143.18	$752.95	$448.06	2025-01-10
71270	HCPCS	CT Chest W/wo	10	10	$2,420.65	$1,210.33 50% off	$143.18	$752.95	$448.06	2025-01-10
70460	HCPCS	CT Head With Contrast	10	10	$2,262.33	$1,131.17 50% off	$143.18	$752.95	$448.06	2025-01-10
70470	HCPCS	CT Head W/wo Contrast	10	10	$2,506.06	$1,253.03 50% off	$143.18	$752.95	$448.06	2025-01-10
70491	HCPCS	CT Neck Soft Tis With Contrast	10	10	$3,280.38	$1,640.19 50% off	$143.18	$752.95	$448.06	2025-01-10
12032	CPT	Hc Layr Clos Wnd Trunk,Arm,Leg 2.6-7.5 Cm - Profee	342	181	$596.48	$596.48	$296.19	$537.09	$447.36	2026-07-21
26725	HCPCS	Cls Trt Phal Frac W Man-pro Fee	10	10	$1,012.19	$506.10 50% off	$164.36	$730.00	$447.18	2025-01-10
76881	CPT	Hc US Extremity Soft Tissue Lt	181	181	$595.41	$595.41	$84.86	$446.56	$446.56	2026-07-21
76700	CPT	Hc Us, Abdom,b-scan &/or Real Time,Complete - US Abdomen	181	181	$595.41	$595.41	$84.86	$446.56	$446.56	2026-07-21
93971	CPT	Hc Duplex Ext. Veins, Unilat/Limited Duplex	181	181	$595.41	$595.41	$84.86	$446.56	$446.56	2026-07-21
76536	CPT	Hc Us, Head/Neck Tissues,Real Time - US Thyroid	181	181	$595.41	$595.41	$84.86	$446.56	$446.56	2026-07-21
76770	CPT	Hc US,Retroperit, B-scan/real Time,Complete - US Renal Complete	181	181	$595.41	$595.41	$84.86	$446.56	$446.56	2026-07-21
12055	HCPCS	Lay Clos Face 12.6-20cm-pro Fee	10	10	$1,296.48	$648.24 50% off	$296.19	$596.00	$446.10	2025-01-10
30903	CPT	Hc Ctrl Nasal Hemorrhage Ant Compl-pro Fee	181	181	$594.09	$594.09	$92.19	$445.57	$445.57	2026-07-21
26605	HCPCS	Clsd Trt Metcrpl W/man-pro Fee	10	10	$600.33	$300.17 50% off	$164.36	$726.00	$445.18	2025-01-10
26700	HCPCS	Cls Trt Metacarp Dis-pro Fee	10	10	$920.78	$460.39 50% off	$164.36	$726.00	$445.18	2025-01-10
32551	CPT	Hc Insertion Of Chest Tube-pro Fee	181	181	$588.55	$588.55	$441.41	$1,368.07	$441.41	2026-07-21
13100	HCPCS	Rep Com Trunk 1.1 To 2.5c-pro Fee	10	10	$967.55	$483.78 50% off	$421.00	$461.24	$441.12	2025-01-10
96365	CPT	Hc IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour	181	181	$587.47	$587.47	$164.00	$440.60	$440.60	2026-07-21
76870	CPT	Hc Echo,Scrotum & Contents - US Scrotum	181	181	$586.35	$586.35	$84.86	$439.76	$439.76	2026-07-21
27520	HCPCS	Patella Dislocation-pro Fee	10	10	$289.80	$144.90 50% off	$164.36	$715.00	$439.68	2025-01-10
12044	HCPCS	Layer Cls Neck 7.6 12.5cm-pro Fee	10	10	$651.39	$325.70 50% off	$414.00	$461.24	$437.62	2025-01-10
82731	CPT	Hc Assay Of Fetal Fibronectin - Fetal Fibronectin	181	181	$581.24	$581.24	$57.97	$435.93	$435.93	2026-07-21
74230	CPT	Hc Cine/Vid X-ray Throat/Esoph - Fl Esoph Barium Swlw With Video & Speech	181	181	$576.19	$576.19	$143.18	$432.14	$432.14	2026-07-21
26755	HCPCS	Cls Trt Dis Phal Frac W Man-pro Fee	10	10	$425.82	$212.91 50% off	$164.36	$691.00	$427.68	2025-01-10
28190	HCPCS	Rmv For Body Foot Subcu-pro Fee	10	10	$934.32	$467.16 50% off	$326.00	$515.25	$420.62	2025-01-10
93922	CPT	Hc Vasc Non-invas Physiologic Std Extremity Art 1-2 Level	181	181	$558.77	$558.77	$92.19	$419.08	$419.08	2026-07-21
93923	CPT	Hc Vasc Non-invasive Physiologic Study Extremity 3 Levels	181	181	$558.77	$558.77	$115.46	$419.08	$419.08	2026-07-21
92611	CPT	Hc Slp Eval,Swallow Function,Cine/Video Record	181	181	$558.60	$558.60	$76.46	$418.95	$418.95	2026-07-21
71271	HCPCS	CT Chest Low Dose Lung Screen	10	10	$333.57	$166.79 50% off	$84.86	$752.95	$418.90	2025-01-10
480	OTHER	US Echo	4	4	$1,700.62	$1,700.62	$391.65	$697.69	$417.56	2026-07-30
69000	CPT	Hc Drn Ext Ear Abscess Simp-pro Fee	181	181	$556.38	$556.38	$417.29	$615.43	$417.29	2026-07-21
81220	HCPCS	Cystic Fibrosis Profile	7	7	$36.16	$18.08 50% off	$332.50	$416.72	$416.72	2025-01-10
36680	HCPCS	Needle Place Intra Iso Infuse-pro Fee	10	10	$196.94	$98.47 50% off	$299.77	$531.00	$415.38	2025-01-10
391	OTHER	Blood Transfusion Service	2	2	$1,511.18	$1,511.18	$311.42	$513.80	$412.61	2026-07-30
71045	HCPCS	Chest Ap Or Pa	10	10	$272.22	$136.11 50% off	$68.98	$752.95	$410.96	2025-01-10
71046	HCPCS	Chest Pa Lateral	10	10	$187.74	$93.87 50% off	$68.98	$752.95	$410.96	2025-01-10
26770	HCPCS	Cls Trt Inter Jnt Without Ane-pro Fee	10	10	$781.45	$390.73 50% off	$164.36	$655.00	$409.68	2025-01-10
43762	CPT	Hc Gastrostomy Tube	181	181	$543.88	$543.88	$170.60	$407.91	$407.91	2026-07-21
25605	CPT	Hc Closed Rx Dist Rad/Ulna Fx,Manipul	342	181	$542.16	$542.16	$370.37	$1,397.48	$406.62	2026-07-21
69020	HCPCS	Drainage Ext Auditory Canal Ab-pro Fee	10	10	$297.93	$148.97 50% off	$293.00	$515.25	$404.12	2025-01-10
62270	HCPCS	Lumbar Puncture-pro Fee	10	10	$247.81	$123.91 50% off	$293.00	$511.57	$402.29	2025-01-10
76942	CPT	Hc Echo Guide For Biopsy - US Guidance Needle Placement	167	167	$536.17	$536.17	$402.13	$536.17	$402.13	2026-07-21
22310	HCPCS	Cls Trt Vert Body Frac-pro Fee	10	10	$882.72	$441.36 50% off	$164.36	$635.00	$399.68	2025-01-10
69000	HCPCS	Drn Ext Ear Abscess Simp-pro Fee	10	10	$556.38	$278.19 50% off	$281.00	$515.25	$398.12	2025-01-10
12020	HCPCS	Simp Repair Of Wound Dehiscence-pro Fee	10	10	$398.40	$199.20 50% off	$333.00	$461.24	$397.12	2025-01-10
81270	CPT	Hc Jak2 Mutation Analysis Qual	181	181	$527.41	$527.41	$82.49	$395.56	$395.56	2026-07-21
26750	CPT	Hc Cls Trt Art Frac Without Man-pro Fee	181	181	$526.84	$526.84	$164.36	$395.13	$395.13	2026-07-21
13131	HCPCS	Rep Com For Chk 1.1-2.5cm-pro Fee	10	10	$1,105.81	$552.91 50% off	$296.19	$492.00	$394.10	2025-01-10
92612	CPT	Hc Slp Endoscopic Eval,Swallow,Cine/Video -pro Fee	181	181	$525.30	$525.30	$56.58	$393.98	$393.98	2026-07-21
74410	HCPCS	Drip Infusion Ivp	10	10	$730.80	$365.40 50% off	$143.18	$644.56	$393.87	2025-01-10
74400	HCPCS	IV-pyelogram	10	10	$730.80	$365.40 50% off	$143.18	$644.56	$393.87	2025-01-10
27840	CPT	Hc Closed Rx Ankle Dislocatn - Profee	181	181	$520.38	$520.38	$164.36	$390.29	$390.29	2026-07-21
28495	CPT	Hc Closed Rx Big Toe Fx,Manip - Profee	181	181	$519.03	$519.03	$164.36	$389.27	$389.27	2026-07-21
74176	HCPCS	CT Abd/pel Without	10	10	$2,028.85	$1,014.43 50% off	$185.40	$590.60	$388.00	2025-01-10
70371	HCPCS	Video Fluoroscopy	10	10	$349.48	$174.74 50% off	$185.40	$590.60	$388.00	2025-01-10
70320	HCPCS	Full Mouth Tooth	10	10	$293.91	$146.96 50% off	$185.40	$590.60	$388.00	2025-01-10
12054	HCPCS	Lay Clos Face 7.6-12.5 Cm-pro Fee	10	10	$1,075.66	$537.83 50% off	$296.19	$466.00	$381.10	2025-01-10
12006	HCPCS	Rep Simp Scalp 20.1-30 Cm-pro Fee	10	10	$651.45	$325.72 50% off	$296.19	$461.00	$378.60	2025-01-10
12017	HCPCS	Rep Simp Face 20.1-30 Cm-pro Fee	10	10	$820.48	$410.24 50% off	$296.19	$459.00	$377.60	2025-01-10
10061	CPT	Hc Drain Skin Abscess Complic	342	181	$555.25	$555.25	$296.19	$416.44	$377.20	2026-07-21
12016	HCPCS	Rep Simp Face 12.6-20 Cm-pro Fee	10	10	$930.38	$465.19 50% off	$296.19	$453.00	$374.60	2025-01-10
26742	CPT	Hc Close Rx Fingr Articular Fx,Manip - Profee	181	181	$498.69	$498.69	$374.02	$1,397.48	$374.02	2026-07-21
93015	CPT	Hc Stress Test	181	181	$498.28	$498.28	$57.59	$373.71	$373.71	2026-07-21
93306	HCPCS	US Echo	10	10	$1,380.64	$690.32 50% off	$345.00	$443.32	$372.23	2025-01-10
76604	CPT	Hc Us, Chest,Real Time - US Chest	181	181	$490.38	$490.38	$84.86	$367.79	$367.79	2026-07-21
12035	HCPCS	Lay Clos Scalp 12.6-20 Cm-pro Fee	10	10	$733.01	$366.51 50% off	$296.19	$439.00	$367.60	2025-01-10
96360	CPT	Hc ER-IV For Hydration Initial - 31 Min To 1 Hour	181	181	$483.54	$483.54	$164.00	$362.66	$362.66	2026-07-21
10080	HCPCS	Inc Drainn Pilon Cyst Sim-pro Fee	10	10	$295.53	$147.76 50% off	$209.00	$515.25	$362.12	2025-01-10
81256	CPT	Hc Hfe Hemochromatosis Gene Anal Common Variants - Hemochromatosis Mut	181	181	$480.00	$480.00	$58.82	$360.00	$360.00	2026-07-21
12053	HCPCS	Lay Clos Face 5.1-7.5 Cm-pro Fee	10	10	$1,015.43	$507.72 50% off	$296.19	$418.00	$357.10	2025-01-10
11750	CPT	Hc Excision Of Nail Bed - Profee	342	181	$246.75	$246.75	$185.06	$665.30	$353.30	2026-07-21
12031	CPT	Hc Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm - Profee	342	181	$484.41	$484.41	$204.83	$363.31	$353.30	2026-07-21
12017	CPT	Hc Rep Simp Face 20.1-30 Cm	342	181	$273.11	$273.11	$204.83	$615.36	$353.30	2026-07-21
12016	CPT	Hc Resuperf Wnd Face 12.6-20 Cm - Profee	342	181	$930.38	$930.38	$204.83	$697.79	$353.30	2026-07-21
12054	CPT	Hc Layr Clos Wnd Face,Facial 7.6-12.5 Cm - Profee	342	181	$1,075.66	$1,075.66	$204.83	$806.75	$353.30	2026-07-21
12053	CPT	Hc Layr Clos Wnd Face,Facial 5.1-7.5 Cm - Profee	342	181	$1,015.43	$1,015.43	$204.83	$761.57	$353.30	2026-07-21
12052	CPT	Hc Layr Clos Wnd Face,Facial 2.5-5 Cm - Profee	342	181	$650.98	$650.98	$204.83	$488.24	$353.30	2026-07-21
12051	CPT	Hc Layr Clos Wnd Face,Facial <2.5 Cm - Profee	342	181	$555.50	$555.50	$204.83	$416.63	$353.30	2026-07-21
10120	CPT	Hc Remove Foreign Body, Simple - Profee	342	181	$414.10	$414.10	$296.19	$425.87	$353.30	2026-07-21
12006	CPT	Hc Repair Superf Wound 20.1-30 Cm - Profee	342	181	$651.45	$651.45	$204.83	$488.59	$353.30	2026-07-21
12005	CPT	Hc Repair Superf Wound 12.6-20 Cm - Profee	342	181	$515.88	$515.88	$204.83	$386.91	$353.30	2026-07-21
12042	CPT	Hc Layer Cls Neck 2.6 7.5 Cm-pro Fee	342	181	$604.14	$604.14	$204.83	$453.11	$353.30	2026-07-21
12041	CPT	Hc Layer Cls Neck Lsth 2.5cm-pro Fee	342	181	$518.11	$518.11	$204.83	$388.58	$353.30	2026-07-21
11042	CPT	Hc Debride Skin Sub Tissue-profee	342	181	$149.56	$149.56	$112.17	$425.87	$353.30	2026-07-21
12035	CPT	Hc Layr Clos Wnd Trunk,Arm,Leg 12.6-20 Cm - Profee	342	181	$733.01	$733.01	$204.83	$549.76	$353.30	2026-07-21
12034	CPT	Hc Layr Clos Wnd Trunk,Arm,Leg 7.6-12.5 Cm - Profee	342	181	$591.93	$591.93	$204.83	$443.95	$353.30	2026-07-21
28515	CPT	Hc Cls Frac Phalanx W Man-pro Fee	181	181	$469.04	$469.04	$164.36	$351.78	$351.78	2026-07-21
28470	HCPCS	Cls Trt Met Fx Without Man-pro Fee	10	10	$639.48	$319.74 50% off	$164.36	$533.00	$348.68	2025-01-10
12018	HCPCS	Rep Sim Face Over 30 Cm-pro Fee	10	10	$1,022.24	$511.12 50% off	$143.37	$553.00	$348.19	2025-01-10

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