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

EXCELSIOR SPRINGS HOSPITAL

Excelsior Springs, MO · CCN 261322 · Rates published

Your selected procedure

You selected 27447 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

659 distinct procedures filed
20 distinct payers
4,537 rate rows
2025-12-12 last MRF observed
Data quality

4,262 of 4,537 rate rows are consumer-grade (93.9%)

275 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
professional (physician) fee — not the facility price 257
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 13
exceeds 10× this hospital's gross charge — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.eshospital.org/wp-content/uploads/2022/03/CDM-Price-List-01.01.2022.csv
Found on page https://www.eshospital.org/account-services/chargemaster-price-list/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03

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
Q5119
HCPCS 		00069-0249-01 - riTUXimab Pvvr 10 mg/mL Sol [exsp] 1 $9,420.72 $9,420.72 $9,420.72 nat. median
$751
outlier · 12.5×
90375
CPT 		13533-0318-01 - Rabies Immune Globulin, Human 300 Intl units/mL Intramuscular So… 1 $6,042.99 $6,042.99 $6,042.99 nat. median
$1,039
outlier · 5.8×
J0897
HCPCS 		60 Mg/1ml Inj Denosumab - Amb Denosumab Charge 5 $4,048.88 $6,620.15 $5,058.49 nat. median
$1,965
outlier · 2.6×
8085548
CDM 		Room/bed: Swing Bed 8 $2,200.00 $5,799.00 $4,510.50 nat. median
$722
outlier · 6.2×
8157715
CDM 		Room/bed: Respite 8 $2,200.00 $5,799.00 $4,510.50 nat. median
$4,510
1.0× median
8231157
CDM 		Room/bed: Inpatient 8 $2,200.00 $5,799.00 $4,510.50 nat. median
$2,086
outlier · 2.2×
J7327
HCPCS 		Monovisc 88mg/4mL Inj - Amb Hyaluronan Charge 1 $4,072.76 $4,072.76 $4,072.76 nat. median
$873
outlier · 4.7×
G0105
HCPCS 		G0105 Colorectal Ca Screen High Risk 3 $1,696.17 $4,413.05 $3,888.76 nat. median
$1,298
outlier · 3.0×
J7325
HCPCS 		58468-0090-03 - Hylan G-f 20 48 Mg/6 Ml Intra-articular Solution 6 Ml [exsp] 1 $3,823.19 $3,823.19 $3,823.19 nat. median
$127
outlier · 30.1×
43249
CPT 		43249 Esophagogastroduodenoscopy, Flexible, Transoral; With Transendoscopic Ball… 1 $3,456.34 $3,456.34 $3,456.34 nat. median
$2,120
1.6× median
43450
CPT 		43450 Dilation Of Esophagus, By Unguided Sound Or Bougie Single Or Multiple Pass… 1 $3,456.34 $3,456.34 $3,456.34 nat. median
$1,082
outlier · 3.2×
J1439
HCPCS 		00517-0650-01 - Ferric Carboxymaltose (as Elemental Iron) 50 mg/mL Intravenous S… 3 $1,995.53 $3,632.87 $3,377.17 nat. median
$11
outlier · 311.0×
99285
CPT 		99285 - Level 5 18 $135.00 $5,079.89 $3,263.84 nat. median
$1,204
outlier · 2.7×
73223
CPT 		MRI Elbow With + Without Contrast Left 1 $3,157.92 $3,157.92 $3,157.92 nat. median
$1,177
outlier · 2.7×
J3111
HCPCS 		55513-0880-02 - Romosozumab-aqqg 105 Mg/1.17 Ml Subcutaneous Solution 1.17 Ml [e… 2 $2,165.32 $3,821.69 $2,993.51 nat. median
$657
outlier · 4.6×
45385
CPT 		45385 Colonoscopy, Flexible; With Removal Of Tumor(s), Polyp(s), Or Other Lesion… 10 $1,252.00 $3,154.81 $2,379.00 nat. median
$1,639
1.5× median
45380
CPT 		45380 Colonoscopy, Flexible; With Biopsy, Single Or Multiple ProFee 14 $1,056.61 $2,833.59 $2,379.00 nat. median
$1,556
1.5× median
93306
CPT 		93306 Echo W/spec And Color Flow Doppler Charge 14 $493.96 $2,662.63 $2,298.00 nat. median
$994
outlier · 2.3×
90380
CPT 		49281-0575-15 - Nirsevimab (cvx 306) Alip Preservative-free 50 Mg/0.5 Ml Intramu… 1 $2,148.70 $2,148.70 $2,148.70 nat. median
$925
outlier · 2.3×
74174
CPT 		CT Angio Abdomen And Pelvis 7 $482.08 $2,623.04 $1,969.95 nat. median
$982
outlier · 2.0×
72132
CPT 		CT Spine Lumbar With Contrast 1 $1,969.95 $1,969.95 $1,969.95 nat. median
$780
outlier · 2.5×
74177
CPT 		CT Abdomen And Pelvis With Contrast 14 $344.34 $2,216.97 $1,969.95 nat. median
$968
outlier · 2.0×
99291
CPT 		99291 - Critical Care, 30-74 10 $794.53 $3,044.52 $1,942.05 nat. median
$1,562
1.2× median
99284
CPT 		99284 - Level 4 18 $396.57 $3,004.39 $1,929.60 nat. median
$773
outlier · 2.5×
74178
CPT 		CT Abdomen And Pelvis With + Without Contrast 10 $344.34 $2,116.95 $1,865.33 nat. median
$1,024
1.8× median
72195
CPT 		MRI Pelvis Without Contrast 1 $1,824.32 $1,824.32 $1,824.32 nat. median
$802
outlier · 2.3×
43239
CPT 		43239 Egd With Biopsy Pro Fee 8 $879.18 $1,872.61 $1,783.44 nat. median
$1,366
1.3× median
45378
CPT 		45378 Colonoscopy, Flexible; Diagnostic, Including Collection Of Specimen(s) By… 10 $818.35 $2,081.72 $1,758.82 nat. median
$1,327
1.3× median
73201
CPT 		CT Upper Extremity With Contrast Left 2 $1,158.22 $2,069.28 $1,613.75 nat. median
$812
2.0× median
73722
CPT 		MRI Hip With Contrast Left 1 $1,475.52 $1,475.52 $1,475.52 nat. median
$1,284
1.1× median
73723
CPT 		MRI Ankle With + Without Contrast Left 1 $1,372.48 $1,372.48 $1,372.48 nat. median
$1,210
1.1× median
J2353
HCPCS 		00078-0818-81 - Octreotide 20 Mg Intramuscular Injection, Extended Release [exsp… 1 $1,319.05 $1,319.05 $1,319.05 nat. median
$5,513
outlier · 0.2×
72157
CPT 		MRI Spine Thoracic With + Without Contrast 1 $1,307.12 $1,307.12 $1,307.12 nat. median
$1,116
1.2× median
70553
CPT 		MRI Brain With + Without Contrast 4 $691.32 $1,322.36 $1,266.32 nat. median
$1,137
1.1× median
94002
CPT 		Rt BiPAP Charge 3 $1,104.71 $2,076.34 $1,263.65 nat. median
$920
1.4× median
72197
CPT 		MRI Pelvis With + Without Contrast 1 $1,234.75 $1,234.75 $1,234.75 nat. median
$1,074
1.1× median
73222
CPT 		MRI Ankle With Contrast Left 4 $716.91 $2,195.52 $1,220.82 nat. median
$1,287
0.9× median
74183
CPT 		MRI Abdomen With + Without Contrast 7 $588.99 $1,372.48 $1,219.01 nat. median
$1,106
1.1× median
90675
CPT 		50632-0010-01 - Rabies Vaccine, Purified Chick Embryo Cell 2.5 Intl Units Intram… 1 $1,218.29 $1,218.29 $1,218.29 nat. median
$550
outlier · 2.2×
93225
CPT 		Holter Monitor 5 $1,150.93 $1,277.28 $1,207.39 nat. median
$244
outlier · 4.9×
43235
CPT 		43235 Esophagogastroduodenoscopy, Flexible, Transoral; Diagnostic, Including Col… 4 $568.15 $1,867.32 $1,206.43 nat. median
$1,318
0.9× median
74176
CPT 		CT Abdomen And Pelvis Without Contrast 16 $219.40 $1,352.67 $1,184.91 nat. median
$697
1.7× median
73220
CPT 		MRI Forearm With + Without Contrast Left 2 $588.99 $1,744.18 $1,166.59 nat. median
$1,147
1.0× median
93017
CPT 		Stress Test Treadmill Only 9 $281.04 $1,481.76 $1,152.48 nat. median
$553
outlier · 2.1×
C7901
HCPCS 		C7901 Psychotherapy, Group, Remote Services 1 $1,146.75 $1,146.75 $1,146.75 nat. median
$124
outlier · 9.2×
80503
CPT 		Factor Viii Activity Lc 2 $140.00 $2,125.03 $1,132.52 nat. median
$63
outlier · 18.1×
99283
CPT 		99283 - Level 3 18 $255.48 $1,329.15 $1,117.74 nat. median
$472
outlier · 2.4×
93308
CPT 		93308 Echo Limited Interpretation And Reporting 1 $1,081.55 $1,081.55 $1,081.55 nat. median
$447
outlier · 2.4×
71270
CPT 		CT Chest With + Without Contrast 3 $164.52 $1,047.42 $1,023.12 nat. median
$681
1.5× median
70481
CPT 		CT Orbits Sella With Contrast 1 $997.54 $997.54 $997.54 nat. median
$638
1.6× median

Other procedures at this hospital

Browse this hospital's 659 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
             
Q5119 HCPCS 00069-0249-01 - riTUXimab Pvvr 10 mg/mL Sol [exsp] 1 1 $15,577.88 $15,577.88 $9,420.72 $9,420.72 $9,420.72 2025-12-12
90375 CPT 13533-0318-01 - Rabies Immune Globulin, Human 300 Intl units/mL Intramuscular So… 1 1 $3,107.70 $3,107.70 $6,042.99 $6,042.99 $6,042.99 2025-12-12
J0897 HCPCS 60 Mg/1ml Inj Denosumab - Amb Denosumab Charge 5 5 $4,982.00 $4,982.00 $4,048.88 $6,620.15 $5,058.49 2025-12-12
8157715 CDM Room/bed: Respite 8 8 $714.00 $714.00 $2,200.00 $5,799.00 $4,510.50 2025-12-12
8231157 CDM Room/bed: Inpatient 8 8 $7,972.00 $7,972.00 $2,200.00 $5,799.00 $4,510.50 2025-12-12
8085548 CDM Room/bed: Swing Bed 8 8 $5,133.00 $5,133.00 $2,200.00 $5,799.00 $4,510.50 2025-12-12
J7327 HCPCS Monovisc 88mg/4mL Inj - Amb Hyaluronan Charge 1 1 $4,604.00 $4,604.00 $4,072.76 $4,072.76 $4,072.76 2025-12-12
G0105 HCPCS G0105 Colorectal Ca Screen High Risk 3 3 $2,723.00 $2,723.00 $1,696.17 $4,413.05 $3,888.76 2025-12-12
J7325 HCPCS 58468-0090-03 - Hylan G-f 20 48 Mg/6 Ml Intra-articular Solution 6 Ml [exsp] 1 1 $5,956.74 $5,956.74 $3,823.19 $3,823.19 $3,823.19 2025-12-12
43450 CPT 43450 Dilation Of Esophagus, By Unguided Sound Or Bougie Single Or Multiple Pass… 1 1 $2,705.00 $2,705.00 $3,456.34 $3,456.34 $3,456.34 2025-12-12
43249 CPT 43249 Esophagogastroduodenoscopy, Flexible, Transoral; With Transendoscopic Ball… 1 1 $5,706.00 $5,706.00 $3,456.34 $3,456.34 $3,456.34 2025-12-12
J1439 HCPCS 00517-0650-01 - Ferric Carboxymaltose (as Elemental Iron) 50 mg/mL Intravenous S… 3 3 $5,581.30 $5,581.30 $1,995.53 $3,632.87 $3,377.17 2025-12-12
99285 CPT 99285 - Level 5 18 18 $5,388.00 $5,388.00 $135.00 $5,079.89 $3,263.84 2025-12-12
73223 CPT MRI Elbow With + Without Contrast Left 1 1 $4,878.00 $4,878.00 $3,157.92 $3,157.92 $3,157.92 2025-12-12
J3111 HCPCS 55513-0880-02 - Romosozumab-aqqg 105 Mg/1.17 Ml Subcutaneous Solution 1.17 Ml [e… 2 2 $4,862.18 $4,862.18 $2,165.32 $3,821.69 $2,993.51 2025-12-12
45380 CPT 45380 Colonoscopy, Flexible; With Biopsy, Single Or Multiple ProFee 14 14 $3,548.00 $3,548.00 $1,056.61 $2,833.59 $2,379.00 2025-12-12
45385 CPT 45385 Colonoscopy, Flexible; With Removal Of Tumor(s), Polyp(s), Or Other Lesion… 10 10 $3,548.00 $3,548.00 $1,252.00 $3,154.81 $2,379.00 2025-12-12
93306 CPT 93306 Echo W/spec And Color Flow Doppler Charge 14 14 $3,847.00 $3,847.00 $493.96 $2,662.63 $2,298.00 2025-12-12
90380 CPT 49281-0575-15 - Nirsevimab (cvx 306) Alip Preservative-free 50 Mg/0.5 Ml Intramu… 1 1 $2,178.40 $2,178.40 $2,148.70 $2,148.70 $2,148.70 2025-12-12
74177 CPT CT Abdomen And Pelvis With Contrast 15 14 $3,252.00 $3,252.00 $344.34 $2,216.97 $1,969.95 2025-12-12
74174 CPT CT Angio Abdomen And Pelvis 7 7 $3,252.00 $3,252.00 $482.08 $2,623.04 $1,969.95 2025-12-12
72132 CPT CT Spine Lumbar With Contrast 1 1 $3,252.00 $3,252.00 $1,969.95 $1,969.95 $1,969.95 2025-12-12
99291 CPT 99291 - Critical Care, 30-74 10 10 $3,228.00 $3,228.00 $794.53 $3,044.52 $1,942.05 2025-12-12
99284 CPT 99284 - Level 4 18 18 $3,186.00 $3,186.00 $396.57 $3,004.39 $1,929.60 2025-12-12
74178 CPT CT Abdomen And Pelvis With + Without Contrast 10 10 $3,137.00 $3,137.00 $344.34 $2,116.95 $1,865.33 2025-12-12
72195 CPT MRI Pelvis Without Contrast 1 1 $2,703.00 $2,703.00 $1,824.32 $1,824.32 $1,824.32 2025-12-12
43239 CPT 43239 Egd With Biopsy Pro Fee 8 8 $2,705.00 $2,705.00 $879.18 $1,872.61 $1,783.44 2025-12-12
45378 CPT 45378 Colonoscopy, Flexible; Diagnostic, Including Collection Of Specimen(s) By … 10 10 $2,723.00 $2,723.00 $818.35 $2,081.72 $1,758.82 2025-12-12
73201 CPT CT Upper Extremity With Contrast Left 2 2 $3,139.00 $3,139.00 $1,158.22 $2,069.28 $1,613.75 2025-12-12
73722 CPT MRI Hip With Contrast Left 1 1 $3,808.00 $3,808.00 $1,475.52 $1,475.52 $1,475.52 2025-12-12
73723 CPT MRI Ankle With + Without Contrast Left 1 1 $1,960.00 $1,960.00 $1,372.48 $1,372.48 $1,372.48 2025-12-12
J2353 HCPCS 00078-0818-81 - Octreotide 20 Mg Intramuscular Injection, Extended Release [exsp… 1 1 $18,832.14 $18,832.14 $1,319.05 $1,319.05 $1,319.05 2025-12-12
72157 CPT MRI Spine Thoracic With + Without Contrast 1 1 $2,034.00 $2,034.00 $1,307.12 $1,307.12 $1,307.12 2025-12-12
70553 CPT MRI Brain With + Without Contrast 6 4 $1,960.00 $1,960.00 $691.32 $1,322.36 $1,266.32 2025-12-12
94002 CPT Rt BiPAP Charge 4 3 $1,824.00 $1,824.00 $1,104.71 $2,076.34 $1,263.65 2025-12-12
72197 CPT MRI Pelvis With + Without Contrast 1 1 $3,187.00 $3,187.00 $1,234.75 $1,234.75 $1,234.75 2025-12-12
73222 CPT MRI Ankle With Contrast Left 4 4 $3,155.00 $3,155.00 $716.91 $2,195.52 $1,220.82 2025-12-12
74183 CPT MRI Abdomen With + Without Contrast 7 7 $2,034.00 $2,034.00 $588.99 $1,372.48 $1,219.01 2025-12-12
90675 CPT 50632-0010-01 - Rabies Vaccine, Purified Chick Embryo Cell 2.5 Intl Units Intram… 1 1 $1,759.32 $1,759.32 $1,218.29 $1,218.29 $1,218.29 2025-12-12
93225 CPT Holter Monitor 5 5 $1,938.00 $1,938.00 $1,150.93 $1,277.28 $1,207.39 2025-12-12
43235 CPT 43235 Esophagogastroduodenoscopy, Flexible, Transoral; Diagnostic, Including Col… 4 4 $2,698.00 $2,698.00 $568.15 $1,867.32 $1,206.43 2025-12-12
74176 CPT CT Abdomen And Pelvis Without Contrast 16 16 $1,985.00 $1,985.00 $219.40 $1,352.67 $1,184.91 2025-12-12
73220 CPT MRI Forearm With + Without Contrast Left 2 2 $4,727.00 $4,727.00 $588.99 $1,744.18 $1,166.59 2025-12-12
93017 CPT Stress Test Treadmill Only 9 9 $2,141.00 $2,141.00 $281.04 $1,481.76 $1,152.48 2025-12-12
C7901 HCPCS C7901 Psychotherapy, Group, Remote Services 1 1 $650.00 $650.00 $1,146.75 $1,146.75 $1,146.75 2025-12-12
80503 CPT Factor Viii Activity Lc 2 2 $3,411.00 $3,411.00 $140.00 $2,125.03 $1,132.52 2025-12-12
99283 CPT 99283 - Level 3 18 18 $1,891.00 $1,891.00 $255.48 $1,329.15 $1,117.74 2025-12-12
93308 CPT 93308 Echo Limited Interpretation And Reporting 1 1 $1,786.00 $1,786.00 $1,081.55 $1,081.55 $1,081.55 2025-12-12
71270 CPT CT Chest With + Without Contrast 3 3 $1,552.00 $1,552.00 $164.52 $1,047.42 $1,023.12 2025-12-12
70492 CPT CT Neck Soft Tissue With + Without Contrast 1 1 $1,552.00 $1,552.00 $997.54 $997.54 $997.54 2025-12-12
70481 CPT CT Orbits Sella With Contrast 1 1 $1,552.00 $1,552.00 $997.54 $997.54 $997.54 2025-12-12
74160 CPT CT Abdomen With Contrast 2 2 $1,521.00 $1,521.00 $920.81 $1,026.04 $973.42 2025-12-12
70496 CPT CT Angio Brain/Head 9 9 $1,552.00 $1,552.00 $164.52 $1,057.86 $939.99 2025-12-12
70498 CPT CT Angio Neck 8 8 $1,552.00 $1,552.00 $164.52 $1,047.42 $939.99 2025-12-12
72129 CPT CT Spine Thoracic With Contrast 1 1 $1,552.00 $1,552.00 $939.99 $939.99 $939.99 2025-12-12
71275 CPT CT Angio Chest 15 15 $1,552.00 $1,552.00 $164.52 $1,462.21 $927.16 2025-12-12
87507 CPT Gi Panel (BioFire) 6 6 $1,983.00 $1,983.00 $412.61 $1,337.98 $912.96 2025-12-12
73720 CPT MRI Femur With + Without Contrast Lt 2 2 $2,034.00 $2,034.00 $344.34 $1,372.48 $858.41 2025-12-12
70487 CPT CT Maxillofacial With + Without Contrast 5 5 $1,194.00 $1,194.00 $164.52 $1,421.00 $827.31 2025-12-12
71260 CPT CT Chest With Contrast 9 9 $1,521.00 $1,521.00 $171.46 $1,026.04 $825.80 2025-12-12
72158 CPT MRI Spine Lumbar With + Without Contrast 1 1 $2,034.00 $2,034.00 $787.91 $787.91 $787.91 2025-12-12
73718 CPT MRI Femur Without Contrast Lt 4 4 $2,640.00 $2,640.00 $368.21 $805.42 $774.47 2025-12-12
72146 CPT MRI Spine Thoracic Without Contrast 5 5 $1,241.00 $1,241.00 $368.21 $1,175.94 $751.46 2025-12-12
72192 CPT CT Pelvis Without Contrast 2 2 $955.00 $955.00 $613.55 $874.00 $743.77 2025-12-12
72148 CPT MRI Spine Lumbar Without Contrast 15 15 $1,241.00 $1,241.00 $2.05 $1,192.80 $741.20 2025-12-12
J0666 HCPCS 65250-0133-04 - BUPivacaine Liposome 1.3% Injectable Suspension 10 Ml [exsp] 2 2 $1,082.36 $1,082.36 $672.78 $749.67 $711.22 2025-12-12
78630 CPT Xr C-arm Fluoro Eo 9 9 $1,167.00 $1,167.00 $411.55 $1,106.17 $706.48 2025-12-12
92523 CPT Slp Eval Lang Comprehension,Express Unit 4 4 $1,108.00 $1,108.00 $216.69 $993.72 $691.30 2025-12-12
90677 CPT Amb Pneumococcal 20-valent Vaccine Charge 8 8 $809.00 $809.00 $285.18 $817.19 $685.80 2025-12-12
76942 CPT US Axilla Left 4 4 $980.00 $980.00 $572.06 $678.13 $653.51 2025-12-12
73200 CPT CT Upper Extremity Without Contrast Left 2 2 $955.00 $955.00 $644.23 $660.74 $652.49 2025-12-12
72131 CPT CT Spine Lumbar Without Contrast 11 11 $955.00 $955.00 $98.44 $899.35 $605.68 2025-12-12
86850 CPT Antibody Screen Tube 9 9 $1,000.00 $1,000.00 $48.51 $941.53 $605.27 2025-12-12
70491 CPT CT Neck Soft Tissue With Contrast 5 5 $1,552.00 $1,552.00 $164.52 $984.75 $601.30 2025-12-12
74170 CPT CT Abdomen With + Without Contrast 3 3 $1,552.00 $1,552.00 $164.52 $927.16 $601.30 2025-12-12
71250 CPT CT Chest High Resolution 13 13 $955.00 $955.00 $98.44 $857.34 $600.57 2025-12-12
72128 CPT CT Spine Thoracic Without Contrast 8 8 $955.00 $955.00 $137.81 $899.35 $598.91 2025-12-12
74150 CPT CT Abdomen Without Contrast 3 3 $955.00 $955.00 $543.10 $613.55 $597.24 2025-12-12
70490 CPT CT Neck Soft Tissue Without Contrast 3 3 $929.00 $929.00 $137.81 $612.00 $596.70 2025-12-12
73218 CPT MRI Forearm Without Contrast Left 4 4 $3,278.00 $3,278.00 $219.40 $797.47 $594.61 2025-12-12
73221 CPT MRI Elbow Without Contrast Left 10 10 $1,241.00 $1,241.00 $219.40 $858.82 $594.61 2025-12-12
93925 CPT US Lower Ext Arterial Duplex Bilateral 4 4 $980.00 $980.00 $581.49 $593.37 $589.32 2025-12-12
93970 CPT US Lower Ext Venous Duplex Bilateral 6 6 $980.00 $980.00 $109.70 $678.13 $587.43 2025-12-12
94060 CPT Spirometry Before & After - Rt Charge Pft 14 14 $918.00 $918.00 $281.04 $880.54 $584.78 2025-12-12
90710 CPT 48mg/6ml (synvisc-1) - Amb Hylan G-f 20 Charge 1 1 $1,382.00 $1,382.00 $580.62 $580.62 $580.62 2025-12-12
72125 CPT CT Spine Cervical Without Contrast 15 15 $955.00 $955.00 $98.44 $874.00 $570.26 2025-12-12
70450 CPT CT Brain/Head Without Contrast 18 18 $929.00 $929.00 $98.44 $874.65 $562.28 2025-12-12
70486 CPT CT Maxillofacial Without Contrast 12 12 $929.00 $929.00 $98.44 $850.00 $562.28 2025-12-12
73564 CPT Xr Knee Complete 4+ Views Left 5 5 $919.00 $919.00 $98.44 $883.05 $556.32 2025-12-12
94375 CPT Flow Volume Loop - Rt Charge Pft 7 7 $918.00 $918.00 $470.40 $864.36 $555.66 2025-12-12
72141 CPT MRI Spine Cervical Without Contrast 10 10 $1,241.00 $1,241.00 $219.40 $837.35 $531.62 2025-12-12
73040 CPT Xr Arthrogram Shoulder Si Left 4 4 $948.00 $948.00 $344.34 $609.34 $528.13 2025-12-12
81240 CPT Act Prot C Resist W/fv Defic Lc 1 1 $274.00 $274.00 $525.52 $525.52 $525.52 2025-12-12
93975 CPT US Abdomen Doppler Complete 8 8 $980.00 $980.00 $219.40 $676.71 $523.92 2025-12-12
77002 CPT Xr Fluoro Guidance Needle Placement 1 1 $842.00 $842.00 $510.02 $510.02 $510.02 2025-12-12
90651 CPT Hpv9 (Gardasil 9) 90651 - Amb Human Papillomavirus Charge 2 2 $861.00 $861.00 $333.59 $663.29 $498.44 2025-12-12
99282 CPT 99282 - Level 2 18 18 $816.00 $816.00 $146.44 $1,199.58 $494.14 2025-12-12
91320 CPT Sars-cov-2 (covid-19) Mrna-lnp Vaccine (cvx 309) - Amb Sars-cov-2 (covid-19) Mrn… 2 2 $805.00 $805.00 $477.78 $487.53 $482.65 2025-12-12
70544 CPT MRA Brain/Head Without Contrast 2 2 $1,241.00 $1,241.00 $437.76 $480.70 $459.23 2025-12-12
64448 CPT 64448 Petipheral Nerve Blocks, Other Peripheral Nerve Or Branch 3 3 $668.00 $668.00 $439.92 $1,142.56 $450.37 2025-12-12
36430 CPT Transfuse Convalescent Plasma 4 4 $699.00 $699.00 $388.69 $659.10 $447.01 2025-12-12
J1815 HCPCS 00002-8215-01 - Insulin Regular Human Recombinant 100 units/mL Injectable Soluti… 3 3 $716.99 $716.99 $285.36 $708.10 $440.02 2025-12-12
J1610 HCPCS 00169-7065-15 - Glucagon 1 Mg Powder For Injection [exsp] 1 1 $1,369.26 $1,369.26 $438.19 $438.19 $438.19 2025-12-12
70551 CPT MRI Brain Without Contrast 11 11 $1,241.00 $1,241.00 $219.40 $858.82 $437.76 2025-12-12
73721 CPT MRI Ankle Without Contrast Left 10 10 $1,226.00 $1,226.00 $219.40 $858.82 $437.36 2025-12-12
P9016 HCPCS E0226 Rbc Cpda1 500 Lr 4 4 $674.00 $674.00 $169.93 $635.41 $434.51 2025-12-12
G0410 HCPCS G0410 Iop Only - 45 - 50 Mins. Group Psychotherapy 1 1 $765.00 $765.00 $428.12 $428.12 $428.12 2025-12-12
76805 CPT US OB < 14 Weeks Multi With Tv 2 2 $1,046.00 $1,046.00 $137.81 $712.44 $425.13 2025-12-12
93350 CPT 93350 Stress Test (echo) Charge 2 2 $3,847.00 $3,847.00 $353.54 $486.89 $420.22 2025-12-12
31575 CPT 31575 Laryngoscopy Flexible Diagnostic TechFee 1 1 $637.00 $637.00 $419.98 $419.98 $419.98 2025-12-12
90697 CPT 0.5mL Vaxelis - Amb diph/haem/hepB/pert,acel/polio/tetan Charge 7 7 $484.00 $484.00 $367.28 $470.92 $418.45 2025-12-12
90716 CPT 90716 Varivax-varicella Virus Vaccine, Live, For Subcutaneous Use 3 3 $610.00 $610.00 $395.59 $421.24 $411.27 2025-12-12
96374 CPT 96374- IV Injection, Single/initial 25 17 $678.00 $678.00 $116.76 $651.00 $410.13 2025-12-12
96365 CPT 96365- IV Tx, First Hour 23 14 $678.00 $678.00 $175.15 $642.23 $410.13 2025-12-12
90734 CPT 0.5 Ml Meningococcal Conjugate - Amb Meningococcal Conjugate Charge 3 3 $525.00 $525.00 $363.32 $394.07 $389.12 2025-12-12
96360 CPT 96360 - Hydration, First Hour 14 14 $678.00 $678.00 $191.92 $643.88 $388.98 2025-12-12
90670 CPT Amb Pneumococcal 13-valent Conjugate Vac Charge 2 2 $726.00 $726.00 $371.95 $402.15 $387.05 2025-12-12
72193 CPT CT Pelvis With Contrast 2 2 $1,552.00 $1,552.00 $166.94 $601.30 $384.12 2025-12-12
90681 CPT 1 Ml Oral Vaccine Rotavirus (Rotarix) - Amb Rotavirus Oral Vaccine Charge 6 6 $479.00 $479.00 $259.45 $456.45 $381.45 2025-12-12
90620 CPT 90620 Bexsero-meningococcal Recomb Protein & Outer Membrane Vesicle Vaccine, Ser… 1 1 $655.00 $655.00 $377.63 $377.63 $377.63 2025-12-12
C7903 HCPCS C7903 Remote Service Group Psychotherapy 2 2 $765.00 $765.00 $311.92 $434.98 $373.45 2025-12-12
70480 CPT CT Iac Without Contrast 2 2 $955.00 $955.00 $98.44 $644.23 $371.33 2025-12-12
62321 CPT 62321 Cervical/Thoracic 3 3 $392.00 $392.00 $237.35 $376.74 $358.80 2025-12-12
62323 CPT 62323 Lumbar/Sacral 6 6 $1,456.00 $1,456.00 $136.26 $564.06 $356.80 2025-12-12
73700 CPT CT Lower Extremity Without Contrast Left 2 2 $955.00 $955.00 $139.62 $570.26 $354.94 2025-12-12
73525 CPT Xr Arthrogram Hip Si Left 1 1 $916.00 $916.00 $354.60 $354.60 $354.60 2025-12-12
94729 CPT Diffusion (dlco) - Rt Charge Pft 11 11 $581.00 $581.00 $43.01 $401.76 $351.54 2025-12-12
93880 CPT US Carotid Duplex Bilateral 6 6 $993.00 $993.00 $14.18 $654.48 $345.89 2025-12-12
55250 CPT 55250 Vasectomy, Unilateral Or Bilateral, Including Postoperative Semen Examinat… 1 1 $502.00 $502.00 $338.77 $338.77 $338.77 2025-12-12
90750 CPT Vaccine Zoster - Amb Zoster Vaccine Charge 1 1 $614.00 $614.00 $323.43 $323.43 $323.43 2025-12-12
94150 CPT Rt Peak Flow Procedure Charge 1 1 $477.00 $477.00 $321.38 $321.38 $321.38 2025-12-12
97533 CPT Ot Sensory Integrative Tech Assistant Units 1 1 $349.00 $349.00 $319.00 $319.00 $319.00 2025-12-12
G0177 HCPCS G0177 Iop Only - 45 Mins. Train And Educate 1 1 $568.00 $568.00 $318.03 $318.03 $318.03 2025-12-12
77066 CPT Mg Mammo Diagnostic Bilateral With Tomo. 10 10 $491.00 $491.00 $148.56 $339.84 $313.45 2025-12-12
86580 CPT 5 Units Tuberculin Purified Protein Derivative - Amb Tuberculin Purified Protein… 1 1 $322.00 $322.00 $309.59 $309.59 $309.59 2025-12-12
90707 CPT Vaccine Measles-mumps-rubella - Amb Measles-mumps-rubella Vaccine Charge 4 4 $334.00 $334.00 $243.15 $438.10 $309.20 2025-12-12
J2997 HCPCS 50242-0041-64 - Alteplase 2 Mg Injection [exsp] 1 1 $765.54 $765.54 $304.43 $304.43 $304.43 2025-12-12
81479 CPT 81479 Bcr-abl Pcr Qt 1 1 $781.00 $781.00 $302.55 $302.55 $302.55 2025-12-12
76706 CPT US Aaa Screening 2 2 $478.00 $478.00 $289.08 $314.64 $301.86 2025-12-12
86666 CPT E. Chaffeensis (hme) IgG Titer Lc 9 8 $451.00 $451.00 $10.08 $826.00 $297.36 2025-12-12
90832 CPT 90832 Individual Therapy 30 Min 1 1 $574.00 $574.00 $297.26 $297.26 $297.26 2025-12-12
90853 CPT 90853 Group Therapy-grp 1 2 2 $204.00 $204.00 $113.76 $478.34 $296.05 2025-12-12
C7900 HCPCS C7900 Psychotherapy, Individual, Remote Services 1 1 $514.00 $514.00 $292.06 $292.06 $292.06 2025-12-12
76705 CPT US Abdomen Doppler Limited 17 17 $478.00 $478.00 $98.44 $428.26 $289.08 2025-12-12
94762 CPT Rt Overnight Oximetry Charge 3 3 $477.00 $477.00 $288.41 $313.92 $288.41 2025-12-12
76770 CPT US Aorta Limited 9 9 $478.00 $478.00 $98.44 $314.64 $287.08 2025-12-12
93005 CPT Electrocardiogram 12 Lead 18 18 $479.00 $479.00 $54.77 $459.90 $285.78 2025-12-12
70470 CPT CT Brain/Head With + Without Contrast 3 3 $1,552.00 $1,552.00 $164.52 $1,057.86 $285.68 2025-12-12
74246 CPT Xr Upper Gi 1 1 $341.00 $341.00 $285.68 $285.68 $285.68 2025-12-12
93971 CPT US Lower Ext Venous Duplex Left 14 14 $478.00 $478.00 $137.81 $330.37 $283.30 2025-12-12
74230 CPT Xr Swallowing Function With Speech 5 5 $454.00 $454.00 $159.92 $298.80 $282.35 2025-12-12
94640 CPT Rt Aerosol Initial Charge 30 17 $628.00 $628.00 $138.23 $1,280.45 $281.35 2025-12-12
92611 CPT Slp Fluoroscopic Evaluation Units 3 3 $444.00 $444.00 $252.29 $292.32 $276.23 2025-12-12
94010 CPT Spirometry - Rt Charge Pft 6 6 $477.00 $477.00 $184.49 $436.00 $271.25 2025-12-12
90715 CPT 58160-0842-52 - Tetanus/diphth/pertuss (Tdap) Adult/adol (Boostrix) 5 Units-2.5 … 2 2 $434.96 $434.96 $240.66 $297.96 $269.31 2025-12-12
87086 CPT Urine Culture 18 18 $442.00 $442.00 $7.99 $415.72 $267.25 2025-12-12
87502 CPT Influenza A & B 13 13 $396.00 $396.00 $94.84 $372.71 $266.98 2025-12-12
52000 CPT 52000 Radical Resect Tumor Soft Tiss Hand/finger Less Than 3cm 6 6 $360.00 $360.00 $191.84 $345.66 $262.78 2025-12-12
Q5103 HCPCS 00069-0809-01 - Infliximab-dyyb 100 Mg Intravenous Injection [exsp] 1 1 $4,127.93 $4,127.93 $256.49 $256.49 $256.49 2025-12-12
99281 CPT 99281 - Level 1 16 16 $421.00 $421.00 $77.00 $494.14 $253.24 2025-12-12
77065 CPT Mg Mammo Diagnostic Left With Tomo. 9 9 $403.00 $403.00 $117.37 $274.70 $240.76 2025-12-12
76882 CPT US Axilla Bilateral 8 8 $686.00 $686.00 $98.44 $584.14 $234.96 2025-12-12
94667 CPT Rt CPT Initial Charge 12 12 $207.00 $207.00 $114.37 $266.97 $234.00 2025-12-12
76642 CPT US Breast Limited Bilat 12 12 $352.00 $352.00 $81.36 $243.43 $231.84 2025-12-12
99204 CPT 99204 Office/Outpatient Visit - New Patient, Level 4 (45 Min) 6 6 $625.00 $625.00 $192.19 $247.10 $230.78 2025-12-12
94668 CPT 94668 Cpt/pd Subsequent Charge 5 4 $381.00 $381.00 $216.14 $341.04 $230.20 2025-12-12
97165 CPT Ot Evaluation Units, Low Complexity 17 17 $379.00 $379.00 $97.23 $357.06 $229.54 2025-12-12
97161 CPT Pt Evaluation Units, Low Complexity 18 18 $379.00 $379.00 $95.34 $357.06 $227.97 2025-12-12
97166 CPT Ot Evaluation Units, Moderate Complexity 9 9 $379.00 $379.00 $96.27 $340.06 $226.47 2025-12-12
97162 CPT Pt Evaluation Units, Moderate Complexity 15 15 $379.00 $379.00 $1.25 $262.33 $224.95 2025-12-12
92507 CPT Slp Auditory Processing Tx Units 11 11 $372.00 $372.00 $72.73 $257.04 $224.91 2025-12-12
76536 CPT US Soft Tissue Head/Neck 14 14 $465.00 $465.00 $30.00 $306.00 $223.80 2025-12-12
71271 CPT CT Low Dose Lung Scan 6 6 $446.00 $446.00 $137.81 $303.45 $221.06 2025-12-12
71111 CPT Xr Ribs 4+ Views Bilat With Pa Chest 2 2 $279.00 $279.00 $174.35 $267.75 $221.05 2025-12-12
11604 CPT 11604 Exc, Malignant Lesion Including margins,T/A/L; Excised Diameter 3.1 To 4.0… 1 1 $468.00 $468.00 $219.46 $219.46 $219.46 2025-12-12
11750 CPT 11750 Excision Nail And Nail Matrix, Partial Or Complete Permanent Removal 3 3 $239.00 $239.00 $155.13 $229.74 $218.80 2025-12-12
90847 CPT 90847 Family Psychotherapy, Conjoint Psychotherapy, With Patient Present 2 1 $814.00 $814.00 $173.50 $260.24 $216.87 2025-12-12
90662 CPT 90662 Fluzone High-dose Quadrivalent Pf Medication Charge 1 1 $309.00 $309.00 $209.00 $209.00 $209.00 2025-12-12
96125 CPT Slp Cognitive Test Units 4 4 $331.00 $331.00 $197.69 $318.15 $208.34 2025-12-12
94761 CPT Six Minute Walk 5 5 $335.00 $335.00 $187.15 $231.34 $202.42 2025-12-12
90696 CPT 0.5 Ml Diphtheria/Pertussis/Poliovirus/Tetanus Vaccine (Kinr - Amb Diphtheria/Pe… 2 2 $238.00 $238.00 $166.74 $224.57 $195.66 2025-12-12
80061 CPT Lipid Panel 18 18 $340.00 $340.00 $13.26 $320.02 $195.29 2025-12-12
93926 CPT US Lower Ext Arterial Duplex Left 3 3 $465.00 $465.00 $137.81 $247.67 $193.99 2025-12-12
97167 CPT Ot Evaluation Units, High Complexity 1 1 $330.00 $330.00 $191.29 $191.29 $191.29 2025-12-12
82570 CPT Cadmium 24h Ur Lc 11 11 $275.00 $275.00 $5.13 $272.68 $190.80 2025-12-12
11641 CPT 11641 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L… 1 1 $892.00 $892.00 $190.03 $190.03 $190.03 2025-12-12
99205 CPT 99205 Office/Outpatient Visit - New Patient, Level 5 (60 Min) 2 2 $826.00 $826.00 $177.81 $201.11 $189.46 2025-12-12
86787 CPT Varicella-zoster V Ab, IgG Lc 1 1 $279.00 $279.00 $187.96 $187.96 $187.96 2025-12-12
90839 CPT 90839 Psychotherapy For Crisis; First 60 Minutes 1 1 $481.00 $481.00 $186.19 $186.19 $186.19 2025-12-12
95992 CPT Canalith Repositioning Procedure Units 1 1 $313.00 $313.00 $185.41 $185.41 $185.41 2025-12-12
76857 CPT US Bladder With Post Void 2 2 $200.00 $200.00 $128.47 $241.92 $185.19 2025-12-12
93976 CPT US Renal Artery Duplex Bilateral 3 3 $478.00 $478.00 $168.40 $325.32 $184.92 2025-12-12
86922 CPT Compatible - Serological Immediate Spin 6 6 $273.00 $273.00 $152.94 $257.25 $183.06 2025-12-12
10060 CPT 10060 Incision And Drainage Of Abscess; Simple Or Single 1 1 $471.00 $471.00 $181.02 $181.02 $181.02 2025-12-12
11730 CPT 11730 Avulsion Nail Plate Part/comp Simple 1 1 1 $173.00 $173.00 $180.60 $180.60 $180.60 2025-12-12
76700 CPT US Abdomen Complete 13 13 $465.00 $465.00 $98.44 $317.37 $179.84 2025-12-12
76856 CPT US Pelvic Ltd Male 12 12 $478.00 $478.00 $98.44 $449.67 $179.63 2025-12-12
90740 CPT 20mcg/ml Hepatitis B Vaccine - Amb Hepatitis B Vaccine Charge 1 1 $264.00 $264.00 $177.36 $177.36 $177.36 2025-12-12
77080 CPT Bd Bone Density Dexa Axial Skeleton 14 14 $279.00 $279.00 $98.26 $262.39 $177.14 2025-12-12
J1335 HCPCS 00143-9398-10 - Ertapenem 1 G Injection [exsp] 1 1 $218.80 $218.80 $174.96 $174.96 $174.96 2025-12-12
70200 CPT Xr Orbits Complete 1 1 $376.00 $376.00 $174.35 $174.35 $174.35 2025-12-12
70150 CPT Xr Facial Bones 3+ Views 1 1 $215.00 $215.00 $174.35 $174.35 $174.35 2025-12-12
72110 CPT Xr Spine Lumbosacral 4+ Views 14 14 $271.00 $271.00 $95.57 $208.52 $174.35 2025-12-12
72100 CPT Xr Spine Lumbosacral 2 Or 3 Views 13 13 $279.00 $279.00 $98.26 $245.70 $174.35 2025-12-12
74019 CPT Xr Abdomen 2 Views 10 10 $279.00 $279.00 $98.44 $249.90 $174.31 2025-12-12
99495 CPT 99495 Trans Care Mgmt 14 Day Disch 1 1 $765.00 $765.00 $173.99 $173.99 $173.99 2025-12-12
92524 CPT Behavioral, Qualitative Analysis Units 2 2 $534.00 $534.00 $146.45 $197.07 $171.76 2025-12-12
72072 CPT Xr Spine Thoracic 3 Views 10 10 $279.00 $279.00 $107.90 $267.64 $171.51 2025-12-12
99215 CPT 99215 Office/Outpatient Visit - Established Patient, Level 5 (40 Min) 9 9 $672.00 $672.00 $137.76 $258.30 $168.98 2025-12-12
72050 CPT Xr Spine Cervical 4 Or 5 Views 9 9 $279.00 $279.00 $37.26 $192.78 $168.68 2025-12-12
73522 CPT Xr Hips 3-4 Views W/ap Pelvis Bilat 7 7 $279.00 $279.00 $98.26 $192.78 $168.31 2025-12-12
90792 CPT 90792 Psychiatric Diagnostic Evaluation With Medical Services 5 3 $657.00 $657.00 $156.85 $246.42 $168.19 2025-12-12
90700 CPT 0.5 Ml Diphtheria/Pertussis/Tetanus Vaccine (Infanrix) - Amb Diphtheria/Pertussi… 2 2 $122.00 $122.00 $127.97 $206.60 $167.28 2025-12-12
75635 CPT CT Angio Abdominal Aorta With Runoff 1 1 $1,537.00 $1,537.00 $166.94 $166.94 $166.94 2025-12-12
72070 CPT Xr Spine Thoracic 2 Views 6 6 $279.00 $279.00 $107.90 $189.83 $166.41 2025-12-12
86706 CPT Hep B Surf Ab Lc 4 4 $249.00 $249.00 $10.64 $172.37 $166.11 2025-12-12
73120 CPT Xr Hand 2 Views Left 10 10 $279.00 $279.00 $98.26 $192.78 $166.03 2025-12-12
84478 CPT Triglyceride Body Fluid 1 1 $41.00 $41.00 $165.62 $165.62 $165.62 2025-12-12
J0129 HCPCS 00003-2187-13 - Abatacept 250 Mg Intravenous Injection [exsp] 2 2 $5,861.46 $5,861.46 $164.44 $164.44 $164.44 2025-12-12
86753 CPT Lyme Total Antibody Cia Lc 9 8 $249.00 $249.00 $12.27 $456.00 $164.16 2025-12-12
86696 CPT Hsv 2 IgG Type Spec Lc 3 3 $249.00 $249.00 $19.16 $168.06 $164.16 2025-12-12
86765 CPT Rubeola IgG Ab Lc 3 3 $173.00 $173.00 $110.92 $162.58 $162.58 2025-12-12
76604 CPT US Chest 2 2 $465.00 $465.00 $137.81 $179.84 $158.82 2025-12-12
97164 CPT Pt Re-evaluation Units, 97164 5 5 $263.00 $263.00 $139.86 $181.44 $158.76 2025-12-12
P9046 HCPCS 68516-5216-07 - Albumin Human 25% Intravenous Solution 50 Ml [exsp] 1 1 $246.32 $246.32 $157.85 $157.85 $157.85 2025-12-12
77067 CPT Mg Mammo Digital Screening Bilateral 18 18 $426.00 $426.00 $83.25 $305.34 $154.64 2025-12-12
82941 CPT Levetiracetam (Keppra), S Lc 1 1 $241.00 $241.00 $154.44 $154.44 $154.44 2025-12-12
G0439 HCPCS G0439 Annual Wellness Visit, Includes A Personalized Prevention Plan Of Service,… 2 2 $215.00 $215.00 $118.12 $186.48 $152.30 2025-12-12
Q9966 HCPCS 00407-1412-10 - Iohexol 240 mg/mL Injectable Solution 10 Ml [exsp] 5 5 $234.21 $234.21 $145.94 $167.42 $150.43 2025-12-12
92522 CPT Slp Eval Of Speech Sound Prod Units 3 3 $361.00 $361.00 $106.16 $243.24 $148.63 2025-12-12
72052 CPT Xr Spine Cervical 6+ Views 6 6 $279.00 $279.00 $98.26 $263.47 $148.13 2025-12-12
92610 CPT Slp Pharyngeal Swallow Eval Units 3 3 $228.00 $228.00 $81.08 $149.76 $146.02 2025-12-12
74022 CPT Xr Abdomen Series + Chest 1 View 6 6 $279.00 $279.00 $98.26 $183.60 $144.55 2025-12-12
J0885 HCPCS 55513-0148-10 - Epoetin Alfa 4000 units/mL Preservative-free Injectable Solution… 1 1 $346.29 $346.29 $142.38 $142.38 $142.38 2025-12-12
73010 CPT Xr Scapula Left 1 1 $215.00 $215.00 $142.18 $142.18 $142.18 2025-12-12
96367 CPT 96367- IV Tx, Sequential Infusion 8 7 $221.00 $221.00 $63.07 $207.86 $140.90 2025-12-12
72202 CPT Xr Sacroiliac Joints 3+ Views 2 2 $279.00 $279.00 $98.26 $179.01 $138.63 2025-12-12
J0500 HCPCS 00517-1980-05 - Dicyclomine 10 mg/mL Intramuscular Solution 2 Ml [exsp] 7 7 $222.06 $222.06 $3.27 $155.73 $138.38 2025-12-12
72170 CPT Xr Pelvis 1 Or 2 Views 7 7 $279.00 $279.00 $98.26 $192.78 $137.81 2025-12-12
76801 CPT US OB < 14 Weeks 3 3 $465.00 $465.00 $98.44 $316.39 $137.81 2025-12-12
72083 CPT Xr Spine Scoliosis 4-5 Views 3 3 $279.00 $279.00 $107.90 $174.35 $137.81 2025-12-12
72114 CPT Xr Spine Lumbosacral With Bending 6+ Views 7 7 $215.00 $215.00 $98.44 $192.08 $137.59 2025-12-12
90633 CPT Vaccine Hep A (Vaqta) - Amb Hepatitis A Pediatric Charge 5 5 $143.00 $143.00 $52.30 $140.04 $136.54 2025-12-12
92526 CPT Slp Swallow Dysfunction Oral Feed Units 4 4 $412.00 $412.00 $80.52 $271.44 $136.13 2025-12-12
71120 CPT Xr Sternum 2+ Views 1 1 $199.00 $199.00 $134.15 $134.15 $134.15 2025-12-12
73000 CPT Xr Clavicle Left 4 4 $199.00 $199.00 $81.36 $191.10 $132.47 2025-12-12
96368 CPT 96368 IV Infusion Concurrent Charge 7 5 $221.00 $221.00 $74.13 $637.98 $131.80 2025-12-12
87491 CPT C Trach Naa Lc 12 12 $260.00 $260.00 $34.74 $314.16 $131.66 2025-12-12
71045 CPT Xr Chest 1 View Picc 18 18 $199.00 $199.00 $70.13 $191.10 $131.04 2025-12-12
73090 CPT Xr Forearm 2 Views Left 7 7 $199.00 $199.00 $66.79 $134.15 $131.04 2025-12-12
73060 CPT Xr Humerus Left 9 9 $199.00 $199.00 $82.60 $187.28 $131.04 2025-12-12
Q5104 HCPCS 00006-4305-02 - Infliximab-abda 100 Mg Intravenous Injection [exsp] 1 1 $3,294.65 $3,294.65 $130.95 $130.95 $130.95 2025-12-12
71100 CPT Xr Ribs 2 Views Left 12 12 $199.00 $199.00 $82.60 $178.36 $130.24 2025-12-12
73080 CPT Xr Elbow 2 Views Left 10 10 $199.00 $199.00 $77.01 $137.59 $130.24 2025-12-12
73562 CPT Xr Knee 3 Views Left 17 17 $199.00 $199.00 $45.29 $191.10 $129.44 2025-12-12
73050 CPT Xr Ac Joints Bilateral 1 1 $217.00 $217.00 $129.44 $129.44 $129.44 2025-12-12
73630 CPT Xr Foot Complete 3+ Views Left 16 16 $199.00 $199.00 $70.13 $187.28 $129.24 2025-12-12
J1745 HCPCS 57894-0160-01 - inFLIXimab 100 Mg Intravenous Injection [exsp] 1 1 $2,092.00 $2,092.00 $127.02 $127.02 $127.02 2025-12-12
73552 CPT Xr Femur 2 Views Left 6 6 $199.00 $199.00 $81.36 $131.04 $126.94 2025-12-12
73502 CPT Xr Hip 2-3 Views Left 11 11 $203.00 $203.00 $71.29 $183.80 $126.42 2025-12-12
86757 CPT Rocky Mtn Spotted Fev, IgG, Qn Lc 1 1 $138.00 $138.00 $126.00 $126.00 $126.00 2025-12-12
86705 CPT Hep B Core Ab, IgM Lc 3 3 $192.00 $192.00 $115.76 $128.99 $126.00 2025-12-12
73030 CPT Xr Shoulder Complete 2+ Views Left 16 16 $203.00 $203.00 $71.29 $181.30 $125.91 2025-12-12
90837 CPT 90837 Psychotherapy, 53-67 Minutes With Patient And/or Family Member 3 2 $503.00 $503.00 $120.06 $180.08 $125.73 2025-12-12
73140 CPT Xr Finger(s) 2+ Views Left 12 12 $199.00 $199.00 $70.13 $137.59 $124.91 2025-12-12
97530 CPT Ot Therapeutic Activities Assistant Units 26 18 $203.00 $203.00 $34.65 $319.93 $124.84 2025-12-12
82652 CPT Calcitriol (1,25 Di-oh Vit D) Lc 15 15 $46.00 $46.00 $31.27 $202.13 $124.79 2025-12-12
82653 CPT Pancreatic Elastase, Fecal Lc 2 2 $163.00 $163.00 $98.56 $149.00 $123.78 2025-12-12
J3360 HCPCS 00409-1273-32 - diazePAM 5 mg/mL Injectable Solution 2 Ml [exsp] 3 3 $169.74 $169.74 $55.43 $133.88 $123.28 2025-12-12
73610 CPT Xr Ankle Complete 3+ Views Left 13 13 $203.00 $203.00 $71.29 $191.14 $122.38 2025-12-12
71046 CPT Xr Chest 2 Views 18 18 $203.00 $203.00 $71.29 $181.30 $122.38 2025-12-12
72040 CPT Xr Spine Cervical 2 Or 3 Views 8 8 $199.00 $199.00 $77.01 $135.49 $121.67 2025-12-12
29105 CPT 29105 Application Of Long Arm Splint (shoulder To Hand) 1 1 $314.00 $314.00 $120.54 $120.54 $120.54 2025-12-12
73560 CPT Xr Knee 1 Or 2 Views Left 9 9 $199.00 $199.00 $70.13 $134.15 $120.39 2025-12-12
73110 CPT Xr Wrist Complete 3+ Views Left 13 13 $199.00 $199.00 $70.13 $191.10 $120.39 2025-12-12
72220 CPT Xr Sacrum/Coccyx 2+ Views 6 6 $199.00 $199.00 $66.79 $178.36 $120.39 2025-12-12
99381 CPT 99381 Preventive Evaluation, New Pt; < 1 Yr 2 2 $408.00 $408.00 $83.55 $156.66 $120.10 2025-12-12
96372 CPT 96372- Subq/IM Injection 27 15 $221.00 $221.00 $11.29 $210.06 $119.84 2025-12-12
73130 CPT Xr Hand Complete 3+ Views Left 16 16 $199.00 $199.00 $70.13 $191.10 $119.57 2025-12-12
82747 CPT Folate Rbc Lc 1 1 $181.00 $181.00 $118.80 $118.80 $118.80 2025-12-12
73590 CPT Xr Tibia/Fibula Left 11 11 $199.00 $199.00 $80.47 $137.59 $118.75 2025-12-12
74018 CPT Xr Abdomen 1 View 9 9 $199.00 $199.00 $77.01 $137.59 $118.75 2025-12-12
72082 CPT Xr Spine Scoliosis 2-3 Views 4 4 $200.00 $200.00 $70.52 $174.35 $118.25 2025-12-12
73620 CPT Xr Foot 2 Views Left 6 6 $199.00 $199.00 $82.57 $134.15 $117.15 2025-12-12
87220 CPT Wet Prep 11 11 $197.00 $197.00 $4.22 $136.08 $116.69 2025-12-12
73600 CPT Xr Ankle 2 Views Left 4 4 $199.00 $199.00 $81.36 $134.15 $116.33 2025-12-12
10120 CPT 10120 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple 1 1 $567.00 $567.00 $116.26 $116.26 $116.26 2025-12-12
99214 CPT 99214 Office/Outpatient Visit - Established Patient, Level 4 (25 Min) 16 13 $480.00 $480.00 $29.24 $184.38 $116.16 2025-12-12
70160 CPT Xr Nasal Bones 3+ Views 1 1 $199.00 $199.00 $115.59 $115.59 $115.59 2025-12-12
80156 CPT Carbamazepine Level 1 1 $120.00 $120.00 $114.45 $114.45 $114.45 2025-12-12
76010 CPT Xr Foreign Body Localization Child 1 Vw 3 3 $217.00 $217.00 $81.36 $145.53 $113.90 2025-12-12
G0463 HCPCS G0463 Hospital Outpatient Clinic Visit For Assessment And Management Of Patient 11 11 $82.00 $82.00 $80.39 $132.75 $113.84 2025-12-12
99443 CPT 99443 Telephone Visit - Established Patient; 21-30 Min 1 1 $477.00 $477.00 $113.79 $113.79 $113.79 2025-12-12
97112 CPT Pt Neuromuscular Reeducation Assistant Units 15 13 $187.00 $187.00 $31.96 $194.64 $110.47 2025-12-12
80053 CPT Comprehensive Metabolic Panel 18 18 $184.00 $184.00 $10.45 $172.87 $110.02 2025-12-12
G0378 HCPCS Room/bed: Observation 17 17 $181.00 $181.00 $7.60 $1,481.17 $109.15 2025-12-12
97535 CPT Ot Self Care, Home Management Units 10 10 $176.00 $176.00 $62.04 $165.67 $109.04 2025-12-12
17110 CPT 17110 Destruction (eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery,… 9 7 $170.00 $170.00 $62.71 $163.38 $106.33 2025-12-12
99203 CPT 99203 Office/Outpatient Visit - New Patient, Level 3 (30 Min) 12 12 $421.00 $421.00 $86.24 $161.70 $104.91 2025-12-12
87150 CPT Blood Culture Id (Biofire) 2 Add On 4 4 $249.00 $249.00 $34.74 $1,054.32 $103.31 2025-12-12
See an error in this hospital's data? Submit a correction