Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

DANIELS MEMORIAL HOSPITAL

Scobey, MT · CCN 271342 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,860 across 11 payers · range $1,280-$2,069

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbDMHCSCOBEYMT&type=CDMWithoutLabel&fileType=CSV · observed 2026-07-20

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.

2,266 distinct procedures filed
12 distinct payers
26,394 rate rows
2026-07-20 last MRF observed
Data quality

26,161 of 26,394 rate rows are consumer-grade (99.1%)

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

Excluded — reasonRows
percent-of-charges filed in the dollar field — excluded from medians 198
per-diem day rate — not a per-procedure price 22
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8
exceeds 10× this hospital's gross charge — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbDMHCSCOBEYMT&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.danielsmemorialhealthcare.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-25
Content fingerprint ccf6497782135bd9… · 12,304,333 bytes · first seen 2026-08-01

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
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 11 $17,269.80 $27,919.51 $25,098.78 nat. median
$3,820
outlier · 6.6×
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 11 $11,108.40 $17,958.58 $16,144.21 nat. median
$1,598
outlier · 10.1×
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 11 $682.35 $31,387.50 $14,820.73 nat. median
$500
outlier · 29.6×
J1162
HCPCS 		Injection, Digoxin Immune Fab (ovine), Per Vial 11 $9,752.70 $15,766.87 $14,173.92 nat. median
$7,141
2.0× median
8339183_1
CDM 		Ryanodex 250 Mg Vial 11 $5,258.55 $8,501.32 $7,642.43 nat. median
$6,751
1.1× median
J0897
HCPCS 		Injection, Denosumab, 1 Mg 11 $4,249.80 $11,726.09 $7,061.88 nat. median
$1,972
outlier · 3.6×
J1602
HCPCS 		Injection, Golimumab, 1 Mg, For Intravenous Use 11 $4,684.80 $7,573.76 $6,808.58 nat. median
$273
outlier · 25.0×
C8920
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi… 11 $3,559.80 $5,755.01 $5,173.58 nat. median
$1,019
outlier · 5.1×
J7298
HCPCS 		Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 11 $3,476.40 $5,620.18 $5,052.37 nat. median
$1,679
outlier · 3.0×
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 12 $85.73 $6,846.26 $5,046.47 nat. median
$988
outlier · 5.1×
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 12 $89.42 $5,752.10 $5,040.50 nat. median
$1,133
outlier · 4.4×
73223
HCPCS 		MRI Scan Of Arm Joint Before And After Contrast 12 $84.60 $6,299.18 $4,643.21 nat. median
$1,158
outlier · 4.0×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 12 $78.92 $6,162.41 $4,542.40 nat. median
$1,024
outlier · 4.4×
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 12 $89.71 $6,097.42 $4,494.49 nat. median
$1,093
outlier · 4.1×
95811
HCPCS 		Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 11 $2,931.60 $4,739.42 $4,260.59 nat. median
$1,894
outlier · 2.2×
72198
HCPCS 		MRI Scan Of Blood Vessels Of Pelvis 12 $69.56 $5,755.01 $4,242.10 nat. median
$1,128
outlier · 3.8×
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 12 $89.71 $5,613.39 $4,137.70 nat. median
$1,103
outlier · 3.8×
75635
HCPCS 		CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 12 $93.11 $5,478.56 $4,038.32 nat. median
$722
outlier · 5.6×
71552
HCPCS 		MRI Scan Of Chest Before And After Contrast 12 $88.29 $5,478.56 $4,038.32 nat. median
$1,097
outlier · 3.7×
70543
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 12 $84.03 $5,478.56 $4,038.32 nat. median
$1,083
outlier · 3.7×
73723
HCPCS 		MRI Scan Of Leg Joint Before And After Contrast 12 $84.31 $5,341.79 $3,937.51 nat. median
$1,192
outlier · 3.3×
74177
HCPCS 		CT Scan Of Abdomen And Pelvis With Contrast 12 $71.26 $5,266.13 $3,881.73 nat. median
$974
outlier · 4.0×
8028141_1
CDM 		Room & Board - Other - Sterile Environment 8 $3,472.25 $3,962.45 $3,860.32 nat. median
$3,498
1.1× median
8028202_1
CDM 		Room & Board - Other - Sterile Environment 8 $3,472.25 $3,962.45 $3,860.32 nat. median
$3,174
1.2× median
73220
HCPCS 		MRI Scan Of Arm Before And After Contrast 12 $84.60 $5,066.31 $3,734.45 nat. median
$1,130
outlier · 3.3×
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 12 $89.71 $5,066.31 $3,734.45 nat. median
$1,105
outlier · 3.4×
Q5108
HCPCS 		Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 11 $2,536.20 $4,100.19 $3,685.94 nat. median
$1,244
outlier · 3.0×
73720
HCPCS 		MRI Scan Of Leg Before And After Contrast 12 $84.31 $4,929.54 $3,633.63 nat. median
$1,129
outlier · 3.2×
8028232_1
CDM 		Coronary Care Unit - General Classification 8 $3,204.50 $3,656.90 $3,562.65 nat. median
$3,148
1.1× median
8028201_1
CDM 		Room & Board - Private (one Bed) - General Classification 8 $3,204.50 $3,656.90 $3,562.65 nat. median
$2,850
1.3× median
59409
HCPCS 		Vaginal Delivery 12 $613.29 $3,957.60 $3,427.20 nat. median
$3,153
1.1× median
73219
HCPCS 		MRI Scan Of Arm With Contrast 12 $63.59 $4,518.26 $3,330.47 nat. median
$955
outlier · 3.5×
73222
HCPCS 		MRI Scan Of Arm Joint With Contrast 12 $63.88 $4,518.26 $3,330.47 nat. median
$1,282
outlier · 2.6×
70545
HCPCS 		MRI Scan Of Blood Vessels Of Head With Contrast 12 $46.84 $4,512.44 $3,326.18 nat. median
$889
outlier · 3.7×
C8902
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 11 $2,271.60 $3,672.42 $3,301.39 nat. median
$1,044
outlier · 3.2×
8028231_1
CDM 		Room & Board - Other - Sterile Environment 8 $2,882.35 $3,289.27 $3,204.49 nat. median
$3,011
1.1× median
8028229_1
CDM 		Room & Board - Semi-private (two Beds) - Other 8 $2,881.50 $3,288.30 $3,203.55 nat. median
$2,660
1.2× median
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 12 $86.30 $3,672.42 $3,109.55 nat. median
$1,100
outlier · 2.8×
74176
HCPCS 		CT Scan Of Abdomen And Pelvis Without Contrast 12 $67.85 $4,107.95 $3,028.03 nat. median
$694
outlier · 4.4×
C8900
HCPCS 		Magnetic Resonance Angiography With Contrast, Abdomen 11 $2,078.40 $3,360.08 $3,020.61 nat. median
$965
outlier · 3.1×
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 12 $86.30 $5,752.10 $2,919.35 nat. median
$1,063
outlier · 2.7×
C8909
HCPCS 		Magnetic Resonance Angiography With Contrast, Chest (excluding Myocardium) 11 $1,992.00 $3,220.40 $2,895.04 nat. median
$885
outlier · 3.3×
74181
HCPCS 		MRI Scan Of Abdomen Without Contrast 12 $56.49 $3,459.02 $2,892.42 nat. median
$820
outlier · 3.5×
G0390
HCPCS 		Trauma Response Team Associated With Hospital Critical Care Service 11 $1,470.00 $3,123.75 $2,881.08 nat. median
$3,197
0.9× median
71275
HCPCS 		CT Scan Of Blood Vessels Of Chest With Contrast 12 $70.97 $3,820.83 $2,816.39 nat. median
$754
outlier · 3.7×
74175
HCPCS 		CT Scan Of Blood Vessels Of Abdomen With Contrast 12 $70.69 $3,814.04 $2,811.38 nat. median
$714
outlier · 3.9×
71270
HCPCS 		CT Scan Of Chest Before And After Contrast 12 $48.82 $3,801.43 $2,802.09 nat. median
$672
outlier · 4.2×
95810
HCPCS 		Sleep Study In Sleep Lab (6 Years Or Older) 11 $1,926.60 $3,114.67 $2,799.99 nat. median
$1,825
1.5× median
C8910
HCPCS 		Magnetic Resonance Angiography Without Contrast, Chest (excluding Myocardium) 11 $1,889.40 $3,054.53 $2,745.93 nat. median
$732
outlier · 3.8×
72129
HCPCS 		CT Scan Of Middle Spine With Contrast 12 $47.69 $3,206.82 $2,743.98 nat. median
$584
outlier · 4.7×

Other procedures at this hospital

Browse this hospital's 2,266 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J3101 HCPCS Injection, Tenecteplase, 1 Mg 11 11 $28,783.00 $24,465.55 $17,269.80 $27,919.51 $25,098.78 2026-07-20
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 11 11 $18,514.00 $15,736.90 $11,108.40 $17,958.58 $16,144.21 2026-07-20
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 33 11 $16,996.25 $14,446.81 $682.35 $31,387.50 $14,820.73 2026-07-20
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 11 11 $16,254.50 $13,816.33 $9,752.70 $15,766.87 $14,173.92 2026-07-20
8339183_1 CDM Ryanodex 250 Mg Vial 11 11 $8,764.25 $7,449.61 $5,258.55 $8,501.32 $7,642.43 2026-07-20
J0897 HCPCS Injection, Denosumab, 1 Mg 22 11 $9,585.88 $8,148.00 $4,249.80 $11,726.09 $7,061.88 2026-07-20
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 11 11 $7,808.00 $6,636.80 $4,684.80 $7,573.76 $6,808.58 2026-07-20
C8920 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi… 11 11 $5,933.00 $5,043.05 $3,559.80 $5,755.01 $5,173.58 2026-07-20
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 11 11 $5,794.00 $4,924.90 $3,476.40 $5,620.18 $5,052.37 2026-07-20
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 18 12 $7,058.00 $5,999.30 $85.73 $6,846.26 $5,046.47 2026-07-20
70553 HCPCS MRI Scan Of Brain Before And After Contrast 29 12 $5,926.00 $5,038.80 $89.42 $5,752.10 $5,040.50 2026-07-20
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 18 12 $6,494.00 $5,519.90 $84.60 $6,299.18 $4,643.21 2026-07-20
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 18 12 $6,353.00 $5,400.05 $78.92 $6,162.41 $4,542.40 2026-07-20
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 18 12 $6,286.00 $5,343.10 $89.71 $6,097.42 $4,494.49 2026-07-20
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 11 11 $4,886.00 $4,153.10 $2,931.60 $4,739.42 $4,260.59 2026-07-20
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 18 12 $5,933.00 $5,043.05 $69.56 $5,755.01 $4,242.10 2026-07-20
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 18 12 $5,787.00 $4,918.95 $89.71 $5,613.39 $4,137.70 2026-07-20
71552 HCPCS MRI Scan Of Chest Before And After Contrast 18 12 $5,648.00 $4,800.80 $88.29 $5,478.56 $4,038.32 2026-07-20
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 18 12 $5,648.00 $4,800.80 $84.03 $5,478.56 $4,038.32 2026-07-20
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 18 12 $5,648.00 $4,800.80 $93.11 $5,478.56 $4,038.32 2026-07-20
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 18 12 $5,507.00 $4,680.95 $84.31 $5,341.79 $3,937.51 2026-07-20
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 18 12 $5,429.00 $4,614.65 $71.26 $5,266.13 $3,881.73 2026-07-20
8028202_1 CDM Room & Board - Other - Sterile Environment 8 8 $4,085.00 $3,472.25 $3,472.25 $3,962.45 $3,860.32 2026-07-20
8028141_1 CDM Room & Board - Other - Sterile Environment 8 8 $4,085.00 $3,472.25 $3,472.25 $3,962.45 $3,860.32 2026-07-20
73220 HCPCS MRI Scan Of Arm Before And After Contrast 18 12 $5,223.00 $4,439.55 $84.60 $5,066.31 $3,734.45 2026-07-20
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 18 12 $5,223.00 $4,439.55 $89.71 $5,066.31 $3,734.45 2026-07-20
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 11 11 $4,227.00 $3,592.95 $2,536.20 $4,100.19 $3,685.94 2026-07-20
73720 HCPCS MRI Scan Of Leg Before And After Contrast 18 12 $5,082.00 $4,319.70 $84.31 $4,929.54 $3,633.63 2026-07-20
8028201_1 CDM Room & Board - Private (one Bed) - General Classification 8 8 $3,770.00 $3,204.50 $3,204.50 $3,656.90 $3,562.65 2026-07-20
8028232_1 CDM Coronary Care Unit - General Classification 8 8 $3,770.00 $3,204.50 $3,204.50 $3,656.90 $3,562.65 2026-07-20
59409 HCPCS Vaginal Delivery 18 12 $4,080.00 $3,468.00 $613.29 $3,957.60 $3,427.20 2026-07-20
73219 HCPCS MRI Scan Of Arm With Contrast 18 12 $4,658.00 $3,959.30 $63.59 $4,518.26 $3,330.47 2026-07-20
73222 HCPCS MRI Scan Of Arm Joint With Contrast 18 12 $4,658.00 $3,959.30 $63.88 $4,518.26 $3,330.47 2026-07-20
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 18 12 $4,652.00 $3,954.20 $46.84 $4,512.44 $3,326.18 2026-07-20
C8902 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 11 11 $3,786.00 $3,218.10 $2,271.60 $3,672.42 $3,301.39 2026-07-20
8028231_1 CDM Room & Board - Other - Sterile Environment 8 8 $3,391.00 $2,882.35 $2,882.35 $3,289.27 $3,204.49 2026-07-20
8028229_1 CDM Room & Board - Semi-private (two Beds) - Other 8 8 $3,390.00 $2,881.50 $2,881.50 $3,288.30 $3,203.55 2026-07-20
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 30 12 $3,566.00 $3,124.60 $86.30 $3,672.42 $3,109.55 2026-07-20
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 18 12 $4,235.00 $3,599.75 $67.85 $4,107.95 $3,028.03 2026-07-20
C8900 HCPCS Magnetic Resonance Angiography With Contrast, Abdomen 11 11 $3,464.00 $2,944.40 $2,078.40 $3,360.08 $3,020.61 2026-07-20
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 29 12 $3,073.00 $3,826.28 $86.30 $5,752.10 $2,919.35 2026-07-20
C8909 HCPCS Magnetic Resonance Angiography With Contrast, Chest (excluding Myocardium) 11 11 $3,320.00 $2,822.00 $1,992.00 $3,220.40 $2,895.04 2026-07-20
74181 HCPCS MRI Scan Of Abdomen Without Contrast 30 12 $3,317.00 $2,925.27 $56.49 $3,459.02 $2,892.42 2026-07-20
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 16 11 $3,180.00 $2,703.00 $1,470.00 $3,123.75 $2,881.08 2026-07-20
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 18 12 $3,939.00 $3,348.15 $70.97 $3,820.83 $2,816.39 2026-07-20
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 18 12 $3,932.00 $3,342.20 $70.69 $3,814.04 $2,811.38 2026-07-20
71270 HCPCS CT Scan Of Chest Before And After Contrast 18 12 $3,919.00 $3,331.15 $48.82 $3,801.43 $2,802.09 2026-07-20
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 11 11 $3,211.00 $2,729.35 $1,926.60 $3,114.67 $2,799.99 2026-07-20
C8910 HCPCS Magnetic Resonance Angiography Without Contrast, Chest (excluding Myocardium) 11 11 $3,149.00 $2,676.65 $1,889.40 $3,054.53 $2,745.93 2026-07-20
72129 HCPCS CT Scan Of Middle Spine With Contrast 19 12 $3,306.00 $2,810.10 $47.69 $3,206.82 $2,743.98 2026-07-20
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 18 12 $3,828.00 $3,253.80 $49.68 $3,713.16 $2,737.02 2026-07-20
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 18 12 $3,812.00 $3,240.20 $49.68 $3,697.64 $2,725.58 2026-07-20
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 18 12 $3,812.00 $3,240.20 $54.51 $3,697.64 $2,725.58 2026-07-20
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 18 12 $3,812.00 $3,240.20 $57.91 $3,697.64 $2,725.58 2026-07-20
70551 HCPCS MRI Scan Of Brain Without Contrast 18 12 $3,812.00 $3,240.20 $57.63 $3,697.64 $2,725.58 2026-07-20
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 18 12 $3,812.00 $3,240.20 $62.74 $3,697.64 $2,725.58 2026-07-20
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 18 12 $3,722.00 $3,163.70 $68.14 $3,610.34 $2,661.23 2026-07-20
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 18 12 $3,690.00 $3,136.50 $100.50 $3,579.30 $2,638.35 2026-07-20
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 18 12 $3,690.00 $3,136.50 $68.14 $3,579.30 $2,638.35 2026-07-20
90380 HCPCS Respiratory Syncytial Virus Antibody, 0.5 Ml Dosage For Injection Into Muscle 11 11 $3,015.00 $2,562.75 $1,809.00 $2,924.55 $2,629.08 2026-07-20
J0248 HCPCS Injection, Remdesivir, 1 Mg 11 11 $3,015.00 $2,562.75 $1,809.00 $2,924.55 $2,629.08 2026-07-20
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 18 12 $3,671.00 $3,120.35 $53.37 $3,560.87 $2,624.76 2026-07-20
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 18 12 $3,671.00 $3,120.35 $63.31 $3,560.87 $2,624.76 2026-07-20
73718 HCPCS MRI Scan Of Leg Without Contrast 18 12 $3,671.00 $3,120.35 $52.80 $3,560.87 $2,624.76 2026-07-20
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 18 12 $3,671.00 $3,120.35 $58.20 $3,560.87 $2,624.76 2026-07-20
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 18 12 $3,671.00 $3,120.35 $49.39 $3,560.87 $2,624.76 2026-07-20
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 18 12 $3,671.00 $3,120.35 $46.84 $3,560.87 $2,624.76 2026-07-20
72195 HCPCS MRI Scan Of Pelvis Without Contrast 18 12 $3,671.00 $3,120.35 $56.78 $3,560.87 $2,624.76 2026-07-20
71551 HCPCS MRI Scan Of Chest With Contrast 18 12 $3,671.00 $3,120.35 $67.57 $3,560.87 $2,624.76 2026-07-20
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 18 12 $3,671.00 $3,120.35 $57.91 $3,560.87 $2,624.76 2026-07-20
90381 HCPCS Respiratory Syncytial Virus Antibody, 1.0 Ml Dosage For Injection Into Muscle 11 11 $2,925.75 $2,486.89 $1,755.45 $2,837.98 $2,551.25 2026-07-20
74182 HCPCS MRI Scan Of Abdomen With Contrast 18 12 $3,566.00 $3,031.10 $67.28 $3,459.02 $2,549.69 2026-07-20
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 11 11 $2,909.00 $2,472.65 $1,745.40 $2,821.73 $2,536.65 2026-07-20
70488 HCPCS CT Scan Of Face Before And After Contrast 18 12 $3,531.00 $3,001.35 $49.68 $3,425.07 $2,524.66 2026-07-20
74160 HCPCS CT Scan Of Abdomen With Contrast 18 12 $3,531.00 $3,001.35 $49.68 $3,425.07 $2,524.66 2026-07-20
99291 HCPCS Critical Care, First 30-74 Minutes 19 12 $3,220.00 $2,737.00 $169.18 $3,123.40 $2,503.25 2026-07-20
70552 HCPCS MRI Scan Of Brain With Contrast 18 12 $3,389.00 $2,880.65 $69.56 $3,287.33 $2,423.14 2026-07-20
70336 HCPCS MRI Scan Of Jaw Joint 18 12 $3,317.00 $2,819.45 $56.78 $3,217.49 $2,371.66 2026-07-20
71550 HCPCS MRI Scan Of Chest Without Contrast 18 12 $3,317.00 $2,819.45 $56.49 $3,217.49 $2,371.66 2026-07-20
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 18 12 $3,317.00 $2,819.45 $52.52 $3,217.49 $2,371.66 2026-07-20
72192 HCPCS CT Scan Of Pelvis Without Contrast 29 12 $2,471.00 $3,750.20 $42.30 $6,162.41 $2,347.45 2026-07-20
71260 HCPCS CT Scan Of Chest With Contrast 18 12 $3,253.00 $2,765.05 $45.70 $3,155.41 $2,325.89 2026-07-20
73202 HCPCS CT Scan Of Arm Before And After Contrast 18 12 $3,248.00 $2,760.80 $47.40 $3,150.56 $2,322.32 2026-07-20
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 18 12 $3,212.00 $2,730.20 $53.94 $3,115.64 $2,296.58 2026-07-20
72132 HCPCS CT Scan Of Lower Spine With Contrast 18 12 $3,140.00 $2,669.00 $47.69 $3,045.80 $2,245.10 2026-07-20
72126 HCPCS CT Scan Of Upper Spine With Contrast 18 12 $3,140.00 $2,669.00 $47.69 $3,045.80 $2,245.10 2026-07-20
75989 HCPCS Review By Radiologist Of Image For Drainage Of Fluid 18 12 $3,115.00 $2,647.75 $46.27 $3,021.55 $2,227.22 2026-07-20
73702 HCPCS CT Scan Of Leg Before And After Contrast 18 12 $3,105.00 $2,639.25 $47.40 $3,011.85 $2,220.07 2026-07-20
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 18 12 $3,105.00 $2,639.25 $47.69 $3,011.85 $2,220.07 2026-07-20
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 19 12 $3,671.00 $3,120.35 $53.65 $3,560.87 $2,202.60 2026-07-20
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 22 11 $3,021.00 $2,567.85 $1,208.40 $3,907.16 $2,185.19 2026-07-20
93307 HCPCS Ultrasound Of Heart 11 11 $2,483.00 $2,110.55 $1,489.80 $2,408.51 $2,165.18 2026-07-20
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 11 11 $2,417.50 $2,054.88 $1,450.50 $2,344.98 $2,108.06 2026-07-20
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 18 12 $2,825.00 $2,401.25 $70.41 $2,740.25 $2,019.88 2026-07-20
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 18 12 $2,825.00 $2,401.25 $70.12 $2,740.25 $2,019.88 2026-07-20
72196 HCPCS MRI Scan Of Pelvis With Contrast 18 12 $2,825.00 $2,401.25 $67.57 $2,740.25 $2,019.88 2026-07-20
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 18 12 $2,825.00 $2,401.25 $46.84 $2,740.25 $2,019.88 2026-07-20
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 18 12 $2,825.00 $2,401.25 $69.84 $2,740.25 $2,019.88 2026-07-20
73201 HCPCS CT Scan Of Arm With Contrast 18 12 $2,825.00 $2,401.25 $45.42 $2,740.25 $2,019.88 2026-07-20
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 18 12 $2,825.00 $2,401.25 $69.84 $2,740.25 $2,019.88 2026-07-20
73218 HCPCS MRI Scan Of Arm Without Contrast 18 12 $2,825.00 $2,401.25 $53.37 $2,740.25 $2,019.88 2026-07-20
72193 HCPCS CT Scan Of Pelvis With Contrast 18 12 $2,812.00 $2,390.20 $45.42 $2,727.64 $2,010.58 2026-07-20
71250 HCPCS CT Scan Of Chest Without Contrast 18 12 $2,728.00 $2,318.80 $42.02 $2,646.16 $1,950.52 2026-07-20
74150 HCPCS CT Scan Of Abdomen Without Contrast 18 12 $2,709.00 $2,302.65 $46.55 $2,627.73 $1,936.93 2026-07-20
72131 HCPCS CT Scan Of Lower Spine Without Contrast 18 12 $2,687.00 $2,283.95 $39.46 $2,606.39 $1,921.20 2026-07-20
72125 HCPCS CT Scan Of Upper Spine Without Contrast 18 12 $2,683.00 $2,280.55 $39.46 $2,602.51 $1,918.34 2026-07-20
73722 HCPCS MRI Scan Of Leg Joint With Contrast 18 12 $2,683.00 $2,280.55 $63.88 $2,602.51 $1,918.34 2026-07-20
70460 HCPCS CT Scan Head Or Brain With Contrast 18 12 $2,683.00 $2,280.55 $44.29 $2,602.51 $1,918.34 2026-07-20
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 18 12 $2,674.00 $2,272.90 $73.81 $2,593.78 $1,911.91 2026-07-20
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 11 11 $2,133.00 $1,813.05 $1,279.80 $2,069.01 $1,859.98 2026-07-20
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 18 12 $2,600.00 $2,210.00 $70.12 $2,522.00 $1,859.00 2026-07-20
73701 HCPCS CT Scan Of Leg With Contrast Material 18 12 $2,600.00 $2,210.00 $45.42 $2,522.00 $1,859.00 2026-07-20
8320020_1 CDM Diastat Acudial 10mg Gel (2pk) 11 11 $2,128.00 $1,808.80 $1,276.80 $2,064.16 $1,855.62 2026-07-20
72128 HCPCS CT Scan Of Middle Spine Without Contrast 18 12 $2,592.00 $2,203.20 $39.46 $2,514.24 $1,853.28 2026-07-20
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 11 11 $2,121.00 $1,802.85 $1,272.60 $2,057.37 $1,849.51 2026-07-20
70487 HCPCS CT Scan Of Face With Contrast 18 12 $2,570.00 $2,184.50 $44.29 $2,492.90 $1,837.55 2026-07-20
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 18 12 $2,541.00 $2,159.85 $44.29 $2,464.77 $1,816.82 2026-07-20
41899 HCPCS Other Procedure On Teeth And Gums 5 5 $2,133.00 — $853.20 $1,813.05 $1,813.05 2026-07-20
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 11 11 $2,079.00 $1,767.15 $1,247.40 $2,016.63 $1,812.89 2026-07-20
73700 HCPCS CT Scan Of Leg Without Contrast 18 12 $2,486.00 $2,113.10 $39.46 $2,411.42 $1,777.49 2026-07-20
8327161_1 CDM Combivent Respimat 20-100 Mcg 11 11 $2,028.50 $1,724.23 $1,217.10 $1,967.65 $1,768.85 2026-07-20
70450 HCPCS CT Scan Head Or Brain Without Contrast 18 12 $2,456.00 $2,087.60 $33.50 $2,382.32 $1,756.04 2026-07-20
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 18 12 $2,453.00 $2,085.05 $50.24 $2,379.41 $1,753.89 2026-07-20
73200 HCPCS CT Scan Of Arm Without Contrast 18 12 $2,450.00 $2,082.50 $39.46 $2,376.50 $1,751.75 2026-07-20
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 18 12 $2,436.00 $2,070.60 $50.24 $2,362.92 $1,741.74 2026-07-20
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 11 11 $1,986.75 $1,688.74 $1,192.05 $1,927.15 $1,732.45 2026-07-20
6535651_1 CDM Dmhc Ambulance Transfer Hosp 5 5 $2,019.00 — $807.60 $1,716.15 $1,716.15 2026-07-20
6535652_1 CDM Dmhc Ambulance Transfer Skilled 5 5 $2,019.00 — $807.60 $1,716.15 $1,716.15 2026-07-20
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 19 12 $2,014.00 $1,711.90 $466.95 $2,264.40 $1,671.62 2026-07-20
J0500 HCPCS Injection, Dicyclomine Hcl, Up To 20 Mg 11 11 $1,868.75 $1,588.44 $1,121.25 $1,812.69 $1,629.55 2026-07-20
73719 HCPCS MRI Scan Of Leg With Contrast 19 12 $2,683.00 $2,280.55 $63.02 $2,602.51 $1,609.80 2026-07-20
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 11 11 $1,835.00 $1,559.75 $1,101.00 $1,779.95 $1,600.12 2026-07-20
8318732_1 CDM Diastat 2.5mg Rectal Gel (2pk) 11 11 $1,829.75 $1,555.29 $1,097.85 $1,774.86 $1,595.54 2026-07-20
8333421_1 CDM Flovent Hfa 220 Mcg Inhaler 11 11 $1,719.50 $1,461.58 $1,031.70 $1,667.92 $1,499.40 2026-07-20
J2598 HCPCS Injection, Vasopressin, 1 Unit 22 11 $2,115.00 $1,797.75 $729.00 $2,924.55 $1,493.78 2026-07-20
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 18 12 $2,055.00 $1,746.75 $45.14 $1,993.35 $1,469.33 2026-07-20
8319669_1 CDM Symbicort 160-4.5 Mcg Inhaler 11 11 $1,684.50 $1,431.83 $1,010.70 $1,633.97 $1,468.88 2026-07-20
70486 HCPCS CT Scan Of Face Without Contrast 18 12 $2,049.00 $1,741.65 $33.78 $1,987.53 $1,465.04 2026-07-20
27550 HCPCS Closed Treatment Of Dislocated Knee 18 12 $1,717.00 $1,459.45 $444.52 $1,665.49 $1,442.28 2026-07-20
23605 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone With Manipulation 18 12 $1,686.00 $1,433.10 $374.70 $1,635.42 $1,416.24 2026-07-20
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 22 11 $1,563.00 $1,328.55 $906.60 $1,566.55 $1,408.28 2026-07-20
J0561 HCPCS Injection, Penicillin G Benzathine, 100,000 Units 11 11 $1,543.50 $1,311.98 $926.10 $1,497.20 $1,345.93 2026-07-20
27510 HCPCS Closed Treatment Of Broken Thigh Bone At Knee Area With Manipulation 18 12 $1,558.00 $1,324.30 $571.67 $1,514.70 $1,308.72 2026-07-20
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 18 12 $1,776.00 $1,509.60 $31.79 $1,722.72 $1,269.84 2026-07-20
J2690 HCPCS Injection, Procainamide Hcl, Up To 1 Gm 11 11 $1,456.00 $1,237.60 $873.60 $1,412.32 $1,269.63 2026-07-20
87154 HCPCS Amplifed Nucleic Acid Probe Typing Of Disease Agent In Blood Culture Specimen 11 11 $1,443.00 $1,226.55 $865.80 $1,399.71 $1,258.30 2026-07-20
93882 HCPCS Ultrasound Of One Side Of Head And Neck Blood Flow 18 12 $1,722.00 $1,463.70 $19.87 $1,670.34 $1,231.23 2026-07-20
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 18 12 $1,648.00 $1,400.80 $27.25 $1,598.56 $1,178.32 2026-07-20
A9574 HCPCS Air Polymer-type A Intrauterine Foam, 0.1 Ml 11 11 $1,341.75 $1,140.49 $805.05 $1,301.50 $1,170.01 2026-07-20
93308 HCPCS Ultrasound Of Heart, Follow-up 11 11 $1,311.00 $1,114.35 $786.60 $1,271.67 $1,143.19 2026-07-20
93930 HCPCS Ultrasound Of Arm Arteries Or Artery Grafts 18 12 $1,588.00 $1,349.80 $31.51 $1,540.36 $1,135.42 2026-07-20
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 18 12 $1,588.00 $1,349.80 $19.30 $1,540.36 $1,135.42 2026-07-20
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 18 12 $1,584.00 $1,346.40 $17.31 $1,536.48 $1,132.56 2026-07-20
26765 HCPCS Treatment Of Broken End Of Finger Or Thumb 19 12 $1,355.00 $1,151.75 $413.59 $1,388.05 $1,124.65 2026-07-20
12005 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 18 12 $1,561.00 $1,326.85 $76.35 $1,514.17 $1,116.12 2026-07-20
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 11 11 $1,270.50 $1,079.93 $762.30 $1,232.39 $1,107.88 2026-07-20
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 11 11 $1,250.00 $1,062.50 $750.00 $1,212.50 $1,090.00 2026-07-20
26600 HCPCS Closed Treatment Of Broken Hand Bone 19 12 $1,299.00 $1,104.15 $255.49 $1,260.03 $1,078.17 2026-07-20
24600 HCPCS Repair Of Dislocated Elbow 19 12 $1,243.00 $1,056.55 $341.77 $1,260.55 $1,056.55 2026-07-20
27786 HCPCS Closed Treatment Of Broken Outside Lower Leg Bone At Ankle 19 12 $1,225.00 $1,041.25 $249.53 $1,269.05 $1,041.25 2026-07-20
12013 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6… 19 12 $1,250.00 $1,062.50 $47.40 $1,212.50 $1,037.50 2026-07-20
12004 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 19 12 $1,249.00 $1,061.65 $61.30 $1,211.53 $1,036.67 2026-07-20
93979 HCPCS Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 18 12 $1,431.00 $1,216.35 $19.58 $1,388.07 $1,023.16 2026-07-20
27842 HCPCS Closed Treatment Of Dislocated Ankle Under Anesthesia 18 12 $1,173.00 $997.05 $417.27 $1,137.81 $985.32 2026-07-20
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 18 12 $1,374.00 $1,167.90 $144.77 $1,332.78 $982.41 2026-07-20
0202U OTHER Test For Detection Of Respiratory Disease-causing Organisms From Back Of Nose An… 11 11 $1,104.00 $938.40 $662.40 $1,070.88 $962.69 2026-07-20
99292 HCPCS Critical Care, Each Additional 30 Minutes 19 12 $1,588.00 $1,349.80 $85.16 $1,540.36 $952.80 2026-07-20
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 18 12 $1,118.00 $950.30 $394.56 $1,084.46 $939.12 2026-07-20
25530 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 19 12 $1,118.00 $950.30 $216.03 $1,084.46 $927.94 2026-07-20
65235 HCPCS Removal Of Foreign Body In Eye Or Lens 8 7 $975.00 — $540.23 $1,159.38 $924.38 2026-07-20
P9040 HCPCS Red Blood Cells, Leukocytes Reduced, Irradiated, Each Unit 11 11 $1,041.00 $884.85 $624.60 $1,009.77 $907.75 2026-07-20
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 11 11 $1,041.00 $884.85 $624.60 $1,009.77 $907.75 2026-07-20
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 19 12 $1,087.00 $923.95 $312.54 $1,054.39 $902.21 2026-07-20
22900 HCPCS Removal Of Growth Of Muscle Of Abdomen, Less Than 5.0 Cm 7 7 $1,275.00 — $465.21 $1,083.75 $900.50 2026-07-20
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 29 12 $1,028.00 $988.12 $145.61 $1,258.09 $896.42 2026-07-20
27230 HCPCS Closed Treatment Of Broken Upper Thigh Bone 18 12 $1,016.00 $863.60 $401.95 $999.60 $853.44 2026-07-20
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 18 12 $1,010.00 $858.50 $407.34 $979.70 $848.40 2026-07-20
27816 HCPCS Closed Treatment Of 3 Broken Lower Leg Bones At Ankle 19 12 $992.00 $843.20 $266.55 $1,055.70 $843.20 2026-07-20
P9021 HCPCS Red Blood Cells, Each Unit 11 11 $965.00 $820.25 $579.00 $936.05 $841.48 2026-07-20
76700 HCPCS Complete Ultrasound Scan Of Abdomen 18 12 $1,173.00 $997.05 $31.80 $1,137.81 $838.69 2026-07-20
27562 HCPCS Closed Treatment Of Dislocated Kneecap Under Anesthesia 18 12 $985.00 $837.25 $404.78 $977.50 $827.40 2026-07-20
13133 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 19 12 $983.00 $835.55 $86.86 $958.80 $815.89 2026-07-20
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 33 11 $951.00 $808.35 $97.20 $954.48 $808.35 2026-07-20
76380 HCPCS Limited Or Follow-up CT Scan 18 12 $1,130.00 $960.50 $38.04 $1,096.10 $807.95 2026-07-20
81270 HCPCS Gene Analysis (Janus Kinase 2) Variant 11 11 $926.00 $787.10 $555.60 $898.22 $807.47 2026-07-20
27508 HCPCS Closed Treatment Of Broken Inside Or Outside Portion Of Lower End Of Thigh Bone 8 7 $1,516.00 — $415.28 $1,288.60 $804.44 2026-07-20
12053 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7… 19 12 $940.00 $799.00 $158.97 $1,371.90 $799.00 2026-07-20
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 18 12 $1,108.00 $941.80 $28.96 $1,074.76 $792.22 2026-07-20
90675 HCPCS Rabies Vaccine For Injection Into Muscle 11 11 $907.75 $771.59 $544.65 $880.52 $791.56 2026-07-20
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 18 12 $1,024.00 $870.40 $355.96 $993.28 $769.47 2026-07-20
26725 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With … 19 12 $927.00 $787.95 $273.65 $1,091.40 $769.41 2026-07-20
24505 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation 11 11 $868.00 $737.80 $520.80 $841.96 $756.90 2026-07-20
25565 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 7 7 $2,176.00 — $433.17 $1,849.60 $754.34 2026-07-20
6538165_1 CDM Chest Tube Insertion__mns1080 5 5 $882.00 — $352.80 $749.70 $749.70 2026-07-20
73523 HCPCS X-ray Of Both Hips, Minimum Of 5 Views 11 11 $850.00 $722.50 $510.00 $824.50 $741.20 2026-07-20
86366 HCPCS Test For Muscle-specific Kinase Antibody 11 11 $846.00 $719.10 $507.60 $820.62 $737.71 2026-07-20
J0169 HCPCS Injection, Epinephrine (adrenalin), Not Therapeutically Equivalent To J0165, 0.1… 33 11 $850.25 $722.71 $70.80 $1,083.25 $722.71 2026-07-20
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 18 12 $999.00 $849.15 $49.68 $969.03 $714.28 2026-07-20
87497 HCPCS Detection Test By Nucleic Acid For Cytomegalovirus, Quantification 11 11 $818.00 $695.30 $490.80 $793.46 $713.30 2026-07-20
26605 HCPCS Closed Treatment Of Broken Hand Bone With Manipulation 19 12 $839.00 $713.15 $265.13 $1,093.95 $713.15 2026-07-20
27762 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle With Manipulation 7 7 $2,037.00 — $416.99 $1,731.45 $707.43 2026-07-20
87536 HCPCS Detection Test By Nucleic Acid For HIV-1 Virus, Quantification 11 11 $811.00 $689.35 $486.60 $786.67 $707.19 2026-07-20
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 20 12 $1,169.00 $993.65 $112.97 $1,133.93 $701.40 2026-07-20
72084 HCPCS X-ray Of Entire Middle And Lower Spine, Minimum Of 6 Views 11 11 $792.00 $673.20 $475.20 $768.24 $690.62 2026-07-20
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 29 12 $788.00 $758.20 $100.49 $966.12 $687.14 2026-07-20
25600 HCPCS Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb … 19 12 $827.00 $702.95 $290.69 $802.19 $686.41 2026-07-20
46040 HCPCS Drainage Of Deep Abscess In Rectum 7 7 $1,705.00 — $369.58 $1,449.25 $686.40 2026-07-20
99245 HCPCS Office Or Other Outpatient Consultation With High Level Of Medical Decision Maki… 7 7 $899.00 — $294.40 $764.15 $674.25 2026-07-20
76800 HCPCS Ultrasound Scan Of Spinal Canal 18 12 $943.00 $801.55 $54.78 $914.71 $674.25 2026-07-20
19120 HCPCS Removal Of Growth And Tissue Of Breast, Duct, Or Nipple 7 7 $1,729.00 — $346.57 $1,469.65 $670.23 2026-07-20
72114 HCPCS X-ray Lower And Sacral Spine, Minimum Of 6 Views 18 12 $937.00 $796.45 $12.21 $908.89 $669.96 2026-07-20
12032 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 … 19 12 $773.00 $657.05 $140.23 $867.00 $657.05 2026-07-20
93976 HCPCS Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 18 12 $917.00 $779.45 $31.51 $889.49 $655.65 2026-07-20
23600 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone 19 12 $770.00 $654.50 $282.17 $1,061.65 $654.50 2026-07-20
82652 HCPCS Dihydroxyvitamin D, 1, 25 Level 11 11 $745.00 $633.25 $447.00 $722.65 $649.64 2026-07-20
24500 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone 19 12 $761.00 $646.85 $296.36 $1,192.55 $646.85 2026-07-20
6538167_1 CDM Chest Dry Seal__4000-100n 11 11 $735.00 $624.75 $441.00 $712.95 $640.92 2026-07-20
10061 HCPCS Complicated Or Multiple Drainage Of Skin Abscess 19 12 $801.00 $680.85 $147.33 $776.97 $639.20 2026-07-20
28192 HCPCS Removal Of Foreign Body Of Foot Tissue, Deep 18 12 $758.00 $644.30 $249.53 $822.80 $636.72 2026-07-20
6539102_1 CDM Quick Trac 4.0mm__120900040 5 5 $746.00 — $298.40 $634.10 $634.10 2026-07-20
6539103_1 CDM Quick Trac 2.0mm__120900020 5 5 $746.00 — $298.40 $634.10 $634.10 2026-07-20
99244 HCPCS Office Or Other Outpatient Consultation With Moderate Level Of Medical Decision … 7 7 $835.00 — $237.79 $709.75 $626.25 2026-07-20
90710 HCPCS Measles, Mumps, Rubella, And Varicella Vaccine 11 11 $711.25 $604.56 $426.75 $689.91 $620.21 2026-07-20
76819 HCPCS Ultrasound Scan Of Fetus 18 12 $867.00 $736.95 $31.23 $840.99 $619.90 2026-07-20
27780 HCPCS Closed Treatment Of Broken Middle Or Upper End Of Outside Lower Leg Bone 18 12 $731.00 $621.35 $253.22 $765.00 $614.04 2026-07-20
8319190_1 CDM Advair 250-50 Diskus 11 11 $699.75 $594.79 $419.85 $678.76 $610.18 2026-07-20
13132 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 19 12 $716.00 $608.60 $213.47 $1,834.30 $608.60 2026-07-20
76536 HCPCS Ultrasound Scan Of Head And Neck Soft Tissue 18 12 $850.00 $722.50 $22.42 $824.50 $607.75 2026-07-20
76805 HCPCS Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More), Single Or First Fetus 18 12 $850.00 $722.50 $40.03 $824.50 $607.75 2026-07-20
27530 HCPCS Closed Treatment Of Broken Shin Bone 19 12 $708.00 $601.80 $255.77 $1,404.20 $601.80 2026-07-20
20610 HCPCS Aspiration And/or Injection Of Fluid From Large Joint 19 12 $725.00 $616.25 $33.78 $749.70 $601.75 2026-07-20
26720 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand 19 12 $708.00 $601.80 $174.30 $686.76 $600.95 2026-07-20
76706 HCPCS Ultrasound Scan Of Abdominal Aorta 18 12 $840.00 $714.00 $21.86 $814.80 $600.60 2026-07-20
76705 HCPCS Limited Ultrasound Scan Of Abdomen 18 12 $840.00 $714.00 $23.28 $814.80 $600.60 2026-07-20
76604 HCPCS Ultrasound Scan Of Chest 18 12 $834.00 $708.90 $23.56 $808.98 $596.31 2026-07-20
81596 HCPCS Biochemical Assays For Evaluation Of Chronic Hepatitis C Virus Infection 11 11 $682.00 $579.70 $409.20 $661.54 $594.70 2026-07-20
99283 HCPCS Emergency Department Visit With Low Level Of Medical Decision Making 29 12 $681.00 $654.08 $59.04 $832.26 $593.83 2026-07-20
59425 HCPCS Predelivery Care, 4 To 6 Visits 7 7 $1,548.00 — $332.89 $1,315.80 $588.81 2026-07-20
90677 HCPCS Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use 11 11 $672.00 $571.20 $403.20 $651.84 $585.98 2026-07-20
90684 HCPCS Pneumococcal Conjugate Vaccine, 21 Valent (pcv21), For Intramuscular Use 11 11 $669.00 $568.65 $401.40 $648.93 $583.37 2026-07-20
74022 HCPCS X-ray Series Of Abdomen With Single X-ray Of Chest 18 12 $813.00 $691.05 $12.78 $788.61 $581.29 2026-07-20
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 18 12 $804.00 $683.40 $31.23 $779.88 $574.86 2026-07-20
92610 HCPCS Evaluation Of Swallowing Function 18 12 $678.00 $576.30 $49.11 $657.66 $569.52 2026-07-20
84445 HCPCS Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level 11 11 $651.00 $553.35 $390.60 $631.47 $567.67 2026-07-20
27808 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle 18 12 $702.00 $596.70 $271.95 $680.94 $566.73 2026-07-20
72052 HCPCS X-ray Of Upper Spine, 6 Or More Views 18 12 $791.00 $672.35 $12.21 $767.27 $565.57 2026-07-20
12041 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.5 Cm Or Less 19 12 $659.00 $560.15 $109.85 $666.40 $560.15 2026-07-20
73565 HCPCS X-ray Of Both Knees While Standing 18 12 $783.00 $665.55 $7.10 $759.51 $559.85 2026-07-20
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 11 11 $641.25 $545.06 $384.75 $622.01 $559.17 2026-07-20
73522 HCPCS X-ray Of Both Hips, 3-4 Views 18 12 $777.00 $660.45 $11.93 $753.69 $555.55 2026-07-20
76870 HCPCS Ultrasound Scan Of Scrotum 18 12 $777.00 $660.45 $25.26 $753.69 $555.55 2026-07-20
27560 HCPCS Closed Treatment Of Dislocated Kneecap 8 7 $748.00 — $338.37 $1,184.90 $554.41 2026-07-20
27840 HCPCS Closed Treatment Of Dislocated Ankle 18 12 $607.00 $515.95 $364.20 $745.07 $547.70 2026-07-20
76830 HCPCS Ultrasound Scan Of Uterus, Ovaries, Tubes, Cervix And Pelvic Area Through Vagina 18 12 $751.00 $638.35 $27.54 $728.47 $536.97 2026-07-20
72110 HCPCS X-ray Of Lower And Sacral Spine, Minimum Of 4 Views 18 12 $748.00 $635.80 $10.79 $725.56 $534.82 2026-07-20
12002 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 19 12 $644.00 $547.40 $48.82 $903.55 $534.52 2026-07-20
81514 HCPCS Measurement Of DNA Of Bacteria In Vaginal Fluid Specimen 11 11 $612.00 $520.20 $367.20 $593.64 $533.66 2026-07-20
21012 HCPCS Removal Of Growth Under Skin Of Face Or Scalp, 2.0 Cm Or More 7 7 $842.00 — $275.34 $715.70 $532.97 2026-07-20
12051 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 C… 19 12 $623.00 $529.55 $126.89 $831.30 $529.55 2026-07-20
71130 HCPCS X-ray Of Joint Between Breast And Collar Bones, Minimum Of 2 Views 18 12 $740.00 $629.00 $8.80 $717.80 $529.10 2026-07-20
74019 HCPCS X-ray Of Abdomen, 2 Views 18 12 $740.00 $629.00 $9.09 $717.80 $529.10 2026-07-20
76641 HCPCS Complete Ultrasound Scan Of 1 Breast 18 12 $740.00 $629.00 $28.67 $717.80 $529.10 2026-07-20
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 19 12 $619.00 $526.15 $145.91 $742.90 $526.15 2026-07-20
30903 HCPCS Complex Control Of Nose Bleed 11 11 $603.00 $512.55 $361.80 $584.91 $525.82 2026-07-20
72050 HCPCS X-ray Of Upper Spine, 4-5 Views 18 12 $735.00 $624.75 $11.08 $712.95 $525.52 2026-07-20
72083 HCPCS X-ray Of Entire Middle And Lower Spine, 4-5 Views 18 12 $735.00 $624.75 $14.48 $712.95 $525.52 2026-07-20
27750 HCPCS Closed Treatment Of Broken Middle Part Of Shin Bone 7 7 $1,403.00 — $283.59 $1,192.55 $523.02 2026-07-20
20103 HCPCS Exploration Of Wound Of Arm Or Leg 7 7 $1,583.00 — $269.08 $1,345.55 $520.86 2026-07-20
12054 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6-1… 19 12 $607.00 $515.95 $167.48 $901.85 $515.95 2026-07-20
23545 HCPCS Closed Treatment Of Dislocated Joint Between Collar Bone And Shoulder With Manip… 8 7 $803.00 — $362.22 $847.45 $510.34 2026-07-20
99386 HCPCS Initial New Patient Preventive Medicine Evaluation (40-64 Years) 7 7 $679.00 — $184.95 $577.15 $509.25 2026-07-20
83727 HCPCS Luteinizing Releasing Factor (reproductive Hormone) Level 11 11 $583.00 $495.55 $349.80 $565.51 $508.38 2026-07-20
71111 HCPCS X-ray Of Ribs On Both Sides Of Body, Minimum Of 4 Views 18 12 $710.00 $603.50 $12.78 $688.70 $507.65 2026-07-20
88262 HCPCS Chromosome Analysis For Genetic Defects, Count 15-20 Cells 11 11 $581.00 $493.85 $348.60 $563.57 $506.63 2026-07-20
73521 HCPCS X-ray Of Both Hips, 2 Views 18 12 $707.00 $600.95 $9.09 $685.79 $505.50 2026-07-20
76817 HCPCS Vaginal Ultrasound Of Pregnant Uterus 18 12 $707.00 $600.95 $30.09 $685.79 $505.50 2026-07-20
76776 HCPCS Ultrasound Scan Of Transplanted Kidney 18 12 $707.00 $600.95 $29.52 $685.79 $505.50 2026-07-20
26700 HCPCS Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manipulation 7 7 $1,291.00 — $296.07 $1,097.35 $505.02 2026-07-20
12001 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 19 12 $607.00 $515.95 $37.47 $867.85 $503.81 2026-07-20
96409 HCPCS Administration Of Chemotherapy Into Vein Using Push Technique 11 11 $572.00 $486.20 $343.20 $554.84 $498.78 2026-07-20
27760 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle 7 7 $1,332.00 — $271.67 $1,132.20 $498.22 2026-07-20
92521 HCPCS Evaluation Of Speech Continuity, Smoothness, Rate, And Effort 18 12 $592.00 $503.20 $113.28 $574.24 $497.28 2026-07-20
70110 HCPCS X-ray Of Lower Jaw, Minimum Of 4 Views 18 12 $692.00 $588.20 $9.94 $671.24 $494.78 2026-07-20
27824 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 7 7 $1,331.00 — $269.96 $1,131.35 $493.37 2026-07-20
73564 HCPCS X-ray Of Knee, 4 Or More Views 18 12 $688.00 $584.80 $9.37 $667.36 $491.92 2026-07-20
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 19 12 $577.00 $490.45 $108.44 $561.00 $490.45 2026-07-20
12016 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.… 18 12 $677.00 $575.45 $103.88 $656.69 $484.05 2026-07-20
99282 HCPCS Emergency Department Visit With Straightforward Medical Decision Making 29 12 $551.00 $529.55 $34.35 $674.15 $480.47 2026-07-20
12052 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5… 19 12 $561.00 $476.85 $146.76 $832.15 $476.85 2026-07-20
80074 HCPCS Acute Hepatitis Panel 11 11 $546.00 $464.10 $327.60 $529.62 $476.11 2026-07-20
76801 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Single Or First Fetus 19 12 $792.00 $673.20 $39.46 $768.24 $475.20 2026-07-20
70150 HCPCS X-ray Of Face Bones, Minimum Of 3 Views 18 12 $664.00 $564.40 $10.51 $644.08 $474.76 2026-07-20
24670 HCPCS Closed Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 18 12 $565.00 $480.25 $239.30 $968.15 $474.60 2026-07-20
76775 HCPCS Limited Ultrasound Scan Behind Abdominal Cavity 18 12 $658.00 $559.30 $22.99 $638.26 $470.47 2026-07-20
25630 HCPCS Closed Treatment Of Other Broken Wrist Bone 9 7 $1,213.00 — $246.97 $1,031.05 $463.41 2026-07-20
16030 HCPCS Dressing Change Or Removal Of Burn Tissue, More Than 10% Of Total Body Surface 19 12 $545.00 $463.25 $104.46 $700.40 $463.25 2026-07-20
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 19 12 $544.00 $462.40 $153.00 $799.00 $462.40 2026-07-20
28090 HCPCS Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot 7 7 $533.00 — $250.38 $503.31 $453.05 2026-07-20
11606 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm 7 7 $1,277.00 — $233.89 $1,085.45 $452.74 2026-07-20
70220 HCPCS X-ray Of Paranasal Sinus, Minimum Of 3 Views 18 12 $632.00 $537.20 $8.80 $613.04 $451.88 2026-07-20
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