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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

HENDERSON COMMUNITY HOSPITAL

Henderson, NE · CCN 281308 · Rates published

1,408 distinct procedures filed
14 distinct payers
34,872 rate rows
2026-05-01 last MRF observed
Data quality

34,480 of 34,872 rate rows are consumer-grade (98.9%)

392 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 288
per-diem day rate — not a per-procedure price 56
placeholder amount (≤ $0.02) — excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hhcsinc.org/hhc_pricetransparency/470366569_henderson-health-care-services,-inc._standardcharges.csv
Found on page https://hendersonhealthcare.org/patient-info/hospital-price/
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-01
Content fingerprint 96f921fffdda9e75… · 10,039,966 bytes · first seen 2026-06-16

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
J9274
HCPCS 		Tebentafusp-tebn Vial [100 Mcg/0.5 Ml] 13 $11,826.00 $23,178.96 $15,934.06 nat. median
$285
outlier · 55.9×
J3101
HCPCS 		Tnkase 50mg Pwd Vial IV 13 $5,358.00 $10,501.68 $7,219.23 nat. median
$498
outlier · 14.5×
J9173
HCPCS 		Durvalumab Vial [500 Mg/10 Ml] 13 $4,750.00 $9,310.00 $6,400.03 nat. median
$588
outlier · 10.9×
23472
HCPCS 		Arthroplasty, Glenohumeral, Total Shldr 13 $4,537.50 $8,893.50 $6,113.71 nat. median
$16,735
outlier · 0.4×
27447
HCPCS 		Arthroplasty, Knee; Total Knee 13 $4,207.50 $8,246.70 $5,669.08 nat. median
$12,374
outlier · 0.5×
29888
HCPCS 		Arthroscopy Acl Repair/aug/reconstruct 13 $4,140.00 $8,114.40 $5,578.13 nat. median
$7,221
0.8× median
27130
HCPCS 		Arthroplasty, Total Hip 13 $4,072.50 $7,982.10 $5,487.19 nat. median
$12,734
outlier · 0.4×
54600
HCPCS 		Reduce Testis Torsion 13 $3,651.50 $7,156.94 $4,919.94 nat. median
$3,692
1.3× median
58552
HCPCS 		Lapar Assisted Vag Hysterectomy 13 $3,625.00 $7,105.00 $4,884.23 nat. median
$10,168
outlier · 0.5×
44180
HCPCS 		Laparoscopy, Surgical, Enterolysis 13 $3,605.00 $7,065.80 $4,857.29 nat. median
$6,040
0.8× median
29882
HCPCS 		Arthroscopy, Knee Medial/lateral Meniscu 13 $3,492.50 $6,845.30 $4,705.71 nat. median
$3,592
1.3× median
78815
HCPCS 		PET Scan W/ct; Skull To Mid-thigh 13 $3,240.00 $6,350.40 $4,365.49 nat. median
$1,679
outlier · 2.6×
78816
HCPCS 		PET Scan W/ct; Whole Body 13 $3,235.00 $6,340.60 $4,358.76 nat. median
$1,696
outlier · 2.6×
29806
HCPCS 		Arthroscopy, Shoulder, Surgical 13 $3,057.50 $5,992.70 $4,119.60 nat. median
$7,073
0.6× median
47563
HCPCS 		Laps Surg Cholecystectomy With Cholangiogr 13 $3,000.00 $5,880.00 $4,042.12 nat. median
$6,246
0.6× median
44970
HCPCS 		Laparoscopy Appendectomy 13 $2,995.00 $5,870.20 $4,035.39 nat. median
$6,065
0.7× median
74174
HCPCS 		CT Angiography Abd & Pelvis W Contrast 13 $2,982.50 $5,845.70 $4,018.55 nat. median
$549
outlier · 7.3×
28208
HCPCS 		Repair Tendon Extensor Ft 1/2 Each 13 $2,925.00 $5,733.00 $3,941.07 nat. median
$3,399
1.2× median
58262
HCPCS 		Vag. Hysterectomy W/remova 13 $2,890.00 $5,664.40 $3,893.91 nat. median
$5,192
0.8× median
47562
HCPCS 		Laparoscopy Cholecystectomy 13 $2,870.00 $5,625.20 $3,866.97 nat. median
$6,043
0.6× median
74178
HCPCS 		CT Abdomen & Pelvis W & Without Contrast 13 $2,782.50 $5,453.70 $3,749.07 nat. median
$539
outlier · 7.0×
49650
HCPCS 		Lap Inguinal Hernia Repair W/mesh 13 $2,730.00 $5,350.80 $3,678.33 nat. median
$5,726
0.6× median
58260
HCPCS 		Vaginal Hysterectomy 13 $2,627.50 $5,149.90 $3,540.23 nat. median
$5,217
0.7× median
11771
HCPCS 		Excision Of Pilonidal Cyst Or Sinus 13 $2,627.50 $5,149.90 $3,540.23 nat. median
$2,968
1.2× median
29827
HCPCS 		Arthroscopy, Shoulder; W/rotator Cuff 13 $2,625.00 $5,145.00 $3,536.86 nat. median
$7,413
outlier · 0.5×
28300
HCPCS 		Osteotomy, Calcaneous W/wo Internal Fix 13 $2,545.00 $4,988.20 $3,429.07 nat. median
$6,476
0.5× median
29881
HCPCS 		Arthroscopy Meniscectomy Medial/lateral 13 $2,475.00 $4,851.00 $3,334.75 nat. median
$3,680
0.9× median
29877
HCPCS 		Arthroscopy Knee; Debride/shave Art Cart 13 $2,438.00 $4,778.48 $3,284.90 nat. median
$3,605
0.9× median
28750
HCPCS 		Arthodesis, Great Toe; Metatarsophalalng 13 $2,435.00 $4,772.60 $3,280.86 nat. median
$7,165
outlier · 0.5×
44186
HCPCS 		Laparoscopy, Sugical; Jejunostomy 13 $2,432.50 $4,767.70 $3,277.49 nat. median
$5,894
0.6× median
28296
HCPCS 		Bunionectomy W/sesamoid Distal Metatarsa 13 $2,402.50 $4,708.90 $3,237.07 nat. median
$3,714
0.9× median
23430
HCPCS 		Tenodesis Long Tendon Biceps 13 $2,365.00 $4,635.40 $3,186.54 nat. median
$6,774
outlier · 0.5×
27695
HCPCS 		Repair, Prim Ligament Ankle; Collateral 13 $2,342.50 $4,591.30 $3,156.23 nat. median
$6,613
outlier · 0.5×
74177
HCPCS 		CT Abdomen & Pelvis W Contrast 13 $2,332.50 $4,571.70 $3,142.75 nat. median
$501
outlier · 6.3×
29894
HCPCS 		Arhtoroscopy, Ankle; W/removal Loose/fb 13 $2,331.00 $4,568.76 $3,140.73 nat. median
$3,714
0.8× median
29898
HCPCS 		Arthroscopy, Ankle; Debride Extensive 13 $2,331.00 $4,568.76 $3,140.73 nat. median
$3,489
0.9× median
27632
HCPCS 		Excision Tumor Leg/ankle Subq 3cm+ 13 $2,315.00 $4,537.40 $3,119.17 nat. median
$3,004
1.0× median
27618
HCPCS 		Excision Tumor Leg Or Ankle Subq Tis 13 $2,280.00 $4,468.80 $3,072.01 nat. median
$1,778
1.7× median
49505
HCPCS 		Repair 1st Inguinal Hernia 13 $2,260.00 $4,429.60 $3,045.07 nat. median
$4,049
0.8× median
49593
HCPCS 		Repair Ant Abd Hernia 3-10cm Reducible 13 $2,252.50 $4,414.90 $3,034.96 nat. median
$6,490
outlier · 0.5×
28086
HCPCS 		Synovectomy, Tendon Sheath, Foot; Flexor 13 $2,252.50 $4,414.90 $3,034.96 nat. median
$3,204
0.9× median
29826
HCPCS 		Arthroscopy, Shldr, Subacromial Decomp 13 $2,252.50 $4,414.90 $3,034.96 nat. median
$3,950
0.8× median
5726080
OTHER 		Combined Anteroposteior Colporrhaphy 13 $2,250.00 $4,410.00 $3,031.59 —
72156
HCPCS 		MRI Cervical Spine W/wo Contrast 13 $2,250.00 $4,410.00 $3,031.59 nat. median
$625
outlier · 4.9×
57260
HCPCS 		Combined Anterpost Colporrhaphy With Cysto 13 $2,250.00 $4,410.00 $3,031.59 nat. median
$5,224
0.6× median
28116
HCPCS 		Ostectomy Excision Of Tarsal Coalition 13 $2,217.50 $4,346.30 $2,987.80 nat. median
$3,458
0.9× median
59510
HCPCS 		Routine OB Care W/cesarean Section 13 $2,210.00 $4,331.60 $2,977.70 nat. median
$3,349
0.9× median
95811
HCPCS 		Polysomnography W/cpap, Attended By Tech 13 $2,207.50 $4,326.70 $2,974.33 nat. median
$1,412
outlier · 2.1×
27792
HCPCS 		Orif Distal Fibular Fracture 13 $2,200.00 $4,312.00 $2,964.22 nat. median
$7,254
outlier · 0.4×
29822
HCPCS 		Arthroscopy, Shldr; Debride 1-2 Struct 13 $2,200.00 $4,312.00 $2,964.22 nat. median
$3,489
0.8× median

Other procedures at this hospital

Browse this hospital's 1,408 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
             
J9274 HCPCS Tebentafusp-tebn Vial [100 Mcg/0.5 Ml] 16 13 $23,652.00 $23,652.00 $11,826.00 $23,178.96 $15,934.06 2026-05-01
J3101 HCPCS Tnkase 50mg Pwd Vial IV 16 13 $10,716.00 $10,716.00 $5,358.00 $10,501.68 $7,219.23 2026-05-01
J9173 HCPCS Durvalumab Vial [500 Mg/10 Ml] 16 13 $9,500.00 $9,500.00 $4,750.00 $9,310.00 $6,400.03 2026-05-01
23472 HCPCS Arthroplasty, Glenohumeral, Total Shldr 16 13 $9,075.00 $9,075.00 $4,537.50 $8,893.50 $6,113.71 2026-05-01
27447 HCPCS Arthroplasty, Knee; Total Knee 16 13 $8,415.00 $8,415.00 $4,207.50 $8,246.70 $5,669.08 2026-05-01
29888 HCPCS Arthroscopy Acl Repair/aug/reconstruct 16 13 $8,280.00 $8,280.00 $4,140.00 $8,114.40 $5,578.13 2026-05-01
27130 HCPCS Arthroplasty, Total Hip 16 13 $8,145.00 $8,145.00 $4,072.50 $7,982.10 $5,487.19 2026-05-01
54600 HCPCS Reduce Testis Torsion 16 13 $7,303.00 $7,303.00 $3,651.50 $7,156.94 $4,919.94 2026-05-01
58552 HCPCS Lapar Assisted Vag Hysterectomy 16 13 $7,250.00 $7,250.00 $3,625.00 $7,105.00 $4,884.23 2026-05-01
44180 HCPCS Laparoscopy, Surgical, Enterolysis 16 13 $7,210.00 $7,210.00 $3,605.00 $7,065.80 $4,857.29 2026-05-01
29882 HCPCS Arthroscopy, Knee Medial/lateral Meniscu 16 13 $6,985.00 $6,985.00 $3,492.50 $6,845.30 $4,705.71 2026-05-01
78815 HCPCS PET Scan W/ct; Skull To Mid-thigh 16 13 $6,480.00 $6,480.00 $3,240.00 $6,350.40 $4,365.49 2026-05-01
78816 HCPCS PET Scan W/ct; Whole Body 16 13 $6,470.00 $6,470.00 $3,235.00 $6,340.60 $4,358.76 2026-05-01
29806 HCPCS Arthroscopy, Shoulder, Surgical 16 13 $6,115.00 $6,115.00 $3,057.50 $5,992.70 $4,119.60 2026-05-01
47563 HCPCS Laps Surg Cholecystectomy With Cholangiogr 16 13 $6,000.00 $6,000.00 $3,000.00 $5,880.00 $4,042.12 2026-05-01
44970 HCPCS Laparoscopy Appendectomy 16 13 $5,990.00 $5,990.00 $2,995.00 $5,870.20 $4,035.39 2026-05-01
74174 HCPCS CT Angiography Abd & Pelvis W Contrast 16 13 $5,965.00 $5,965.00 $2,982.50 $5,845.70 $4,018.55 2026-05-01
28208 HCPCS Repair Tendon Extensor Ft 1/2 Each 16 13 $5,850.00 $4,680.00 20% off $2,925.00 $5,733.00 $3,941.07 2026-05-01
58262 HCPCS Vag. Hysterectomy W/remova 16 13 $5,780.00 $5,780.00 $2,890.00 $5,664.40 $3,893.91 2026-05-01
47562 HCPCS Laparoscopy Cholecystectomy 16 13 $5,740.00 $5,740.00 $2,870.00 $5,625.20 $3,866.97 2026-05-01
74178 HCPCS CT Abdomen & Pelvis W & Without Contrast 16 13 $5,565.00 $5,565.00 $2,782.50 $5,453.70 $3,749.07 2026-05-01
49650 HCPCS Lap Inguinal Hernia Repair W/mesh 16 13 $5,460.00 $5,460.00 $2,730.00 $5,350.80 $3,678.33 2026-05-01
58260 HCPCS Vaginal Hysterectomy 16 13 $5,255.00 $5,255.00 $2,627.50 $5,149.90 $3,540.23 2026-05-01
11771 HCPCS Excision Of Pilonidal Cyst Or Sinus 16 13 $5,255.00 $5,255.00 $2,627.50 $5,149.90 $3,540.23 2026-05-01
29827 HCPCS Arthroscopy, Shoulder; W/rotator Cuff 16 13 $5,250.00 $5,250.00 $2,625.00 $5,145.00 $3,536.86 2026-05-01
28300 HCPCS Osteotomy, Calcaneous W/wo Internal Fix 16 13 $5,090.00 $5,090.00 $2,545.00 $4,988.20 $3,429.07 2026-05-01
29881 HCPCS Arthroscopy Meniscectomy Medial/lateral 16 13 $4,950.00 $4,950.00 $2,475.00 $4,851.00 $3,334.75 2026-05-01
29877 HCPCS Arthroscopy Knee; Debride/shave Art Cart 16 13 $4,876.00 $4,876.00 $2,438.00 $4,778.48 $3,284.90 2026-05-01
28750 HCPCS Arthodesis, Great Toe; Metatarsophalalng 16 13 $4,870.00 $4,870.00 $2,435.00 $4,772.60 $3,280.86 2026-05-01
44186 HCPCS Laparoscopy, Sugical; Jejunostomy 16 13 $4,865.00 $4,865.00 $2,432.50 $4,767.70 $3,277.49 2026-05-01
28296 HCPCS Bunionectomy W/sesamoid Distal Metatarsa 16 13 $4,805.00 $3,844.00 20% off $2,402.50 $4,708.90 $3,237.07 2026-05-01
23430 HCPCS Tenodesis Long Tendon Biceps 16 13 $4,730.00 $4,730.00 $2,365.00 $4,635.40 $3,186.54 2026-05-01
27695 HCPCS Repair, Prim Ligament Ankle; Collateral 16 13 $4,685.00 $4,685.00 $2,342.50 $4,591.30 $3,156.23 2026-05-01
74177 HCPCS CT Abdomen & Pelvis W Contrast 16 13 $4,665.00 $4,665.00 $2,332.50 $4,571.70 $3,142.75 2026-05-01
29898 HCPCS Arthroscopy, Ankle; Debride Extensive 16 13 $4,662.00 $4,662.00 $2,331.00 $4,568.76 $3,140.73 2026-05-01
29894 HCPCS Arhtoroscopy, Ankle; W/removal Loose/fb 16 13 $4,662.00 $4,662.00 $2,331.00 $4,568.76 $3,140.73 2026-05-01
27632 HCPCS Excision Tumor Leg/ankle Subq 3cm+ 16 13 $4,630.00 $4,630.00 $2,315.00 $4,537.40 $3,119.17 2026-05-01
27618 HCPCS Excision Tumor Leg Or Ankle Subq Tis 16 13 $4,560.00 $4,560.00 $2,280.00 $4,468.80 $3,072.01 2026-05-01
49505 HCPCS Repair 1st Inguinal Hernia 16 13 $4,520.00 $4,520.00 $2,260.00 $4,429.60 $3,045.07 2026-05-01
28086 HCPCS Synovectomy, Tendon Sheath, Foot; Flexor 16 13 $4,505.00 $4,505.00 $2,252.50 $4,414.90 $3,034.96 2026-05-01
29826 HCPCS Arthroscopy, Shldr, Subacromial Decomp 16 13 $4,505.00 $4,505.00 $2,252.50 $4,414.90 $3,034.96 2026-05-01
49593 HCPCS Repair Ant Abd Hernia 3-10cm Reducible 16 13 $4,505.00 $4,505.00 $2,252.50 $4,414.90 $3,034.96 2026-05-01
57260 HCPCS Combined Anterpost Colporrhaphy With Cysto 16 13 $4,500.00 $4,500.00 $2,250.00 $4,410.00 $3,031.59 2026-05-01
72156 HCPCS MRI Cervical Spine W/wo Contrast 16 13 $4,500.00 $4,500.00 $2,250.00 $4,410.00 $3,031.59 2026-05-01
5726080 OTHER Combined Anteroposteior Colporrhaphy 16 13 $4,500.00 $4,500.00 $2,250.00 $4,410.00 $3,031.59 2026-05-01
28116 HCPCS Ostectomy Excision Of Tarsal Coalition 16 13 $4,435.00 $4,435.00 $2,217.50 $4,346.30 $2,987.80 2026-05-01
59510 HCPCS Routine OB Care W/cesarean Section 16 13 $4,420.00 $4,420.00 $2,210.00 $4,331.60 $2,977.70 2026-05-01
95811 HCPCS Polysomnography W/cpap, Attended By Tech 16 13 $4,415.00 $4,415.00 $2,207.50 $4,326.70 $2,974.33 2026-05-01
29822 HCPCS Arthroscopy, Shldr; Debride 1-2 Struct 16 13 $4,400.00 $4,400.00 $2,200.00 $4,312.00 $2,964.22 2026-05-01
27792 HCPCS Orif Distal Fibular Fracture 16 13 $4,400.00 $4,400.00 $2,200.00 $4,312.00 $2,964.22 2026-05-01
78452 HCPCS Heart Imaging, Mulitiple Studies 16 13 $4,390.00 $4,390.00 $2,195.00 $4,302.20 $2,957.49 2026-05-01
72157 HCPCS MRI Thoracic Spine W/wout Contrast 16 13 $4,330.00 $4,330.00 $2,165.00 $4,243.40 $2,917.07 2026-05-01
72158 HCPCS MRI Lumbar Spine W/wo Contrast 16 13 $4,300.00 $4,300.00 $2,150.00 $4,214.00 $2,896.86 2026-05-01
59400 HCPCS Routine OB Care 16 13 $4,300.00 $3,440.00 20% off $2,150.00 $4,214.00 $2,896.86 2026-05-01
74183 HCPCS MRI Abdomen W & Without Contrast 16 13 $4,285.00 $4,285.00 $2,142.50 $4,199.30 $2,886.75 2026-05-01
28297 HCPCS Correction, Hallux Valgus, Bunion W/sesa 16 13 $4,230.00 $4,230.00 $2,115.00 $4,145.40 $2,849.70 2026-05-01
28150 HCPCS Phalangectomy, Toe, Each Toe 16 13 $4,200.00 $4,200.00 $2,100.00 $4,116.00 $2,829.49 2026-05-01
27659 HCPCS Repair, Flexor Tendon, Leg 2nd W/without Gft 16 13 $4,170.00 $4,170.00 $2,085.00 $4,086.60 $2,809.28 2026-05-01
27829 HCPCS Open Tx Distal Tf Joint, Interanal Fix 16 13 $4,156.00 $4,156.00 $2,078.00 $4,072.88 $2,799.84 2026-05-01
70553 HCPCS MRI Brain W & Without Contrast 16 13 $4,150.00 $4,150.00 $2,075.00 $4,067.00 $2,795.80 2026-05-01
49615 HCPCS Repair Recur Abd Hernia, 3-10 Cm Reduc 16 13 $4,110.00 $4,110.00 $2,055.00 $4,027.80 $2,768.86 2026-05-01
72197 HCPCS MRI Pelvis With/without Contrast 16 13 $4,100.00 $4,100.00 $2,050.00 $4,018.00 $2,762.12 2026-05-01
46260 HCPCS Hemorrhoidectomy Inter/exter 2+ Columns 16 13 $4,075.00 $4,075.00 $2,037.50 $3,993.50 $2,745.28 2026-05-01
70546 HCPCS MRA Of The Head W/wo Contrst 16 13 $4,050.00 $4,050.00 $2,025.00 $3,969.00 $2,728.43 2026-05-01
74176 HCPCS CT Abdomen & Pelvis Without Contrast 16 13 $4,020.00 $4,020.00 $2,010.00 $3,939.60 $2,708.22 2026-05-01
51102 HCPCS Drain Bladder W Cath Insertion 16 13 $3,980.00 $3,980.00 $1,990.00 $3,900.40 $2,681.28 2026-05-01
28160 HCPCS Hemiphalangectomy, Toe, Proximal End Ea 16 13 $3,915.00 $3,915.00 $1,957.50 $3,836.70 $2,637.49 2026-05-01
J0717 HCPCS Certolizumab Kit [200 Mg] 16 13 $3,890.00 $3,890.00 $1,945.00 $3,812.20 $2,620.64 2026-05-01
95810 HCPCS Polysomnography >4 Parameters Of Sleep 16 13 $3,865.00 $3,865.00 $1,932.50 $3,787.70 $2,603.80 2026-05-01
49651 HCPCS Laparoscopic Repr Recur Inguinal Hernia 16 13 $3,855.00 $3,855.00 $1,927.50 $3,777.90 $2,597.07 2026-05-01
27658 HCPCS Repair Flexor Tendon, Leg Without Grt Each 16 13 $3,840.00 $3,840.00 $1,920.00 $3,763.20 $2,586.96 2026-05-01
70552 HCPCS MRI Brain With Contrast 16 13 $3,805.00 $3,044.00 20% off $1,902.50 $3,728.90 $2,563.38 2026-05-01
73223 HCPCS MRI Upper Ext Joint W/wo Contrast 16 13 $3,785.00 $3,785.00 $1,892.50 $3,709.30 $2,549.91 2026-05-01
49591 HCPCS Repair Abd Hernia Any Approach W/mesh 16 13 $3,780.00 $3,780.00 $1,890.00 $3,704.40 $2,546.54 2026-05-01
70549 HCPCS MRA Neck W & Without Contrast Material 16 13 $3,700.00 $3,700.00 $1,850.00 $3,626.00 $2,492.64 2026-05-01
27610 HCPCS Arthrotomy Ankle, Expl, Drain, Remove Fb 16 13 $3,695.00 $3,695.00 $1,847.50 $3,621.10 $2,489.28 2026-05-01
70551 HCPCS MRI Brain Without Contrast 16 13 $3,666.00 $3,666.00 $1,833.00 $3,592.68 $2,469.74 2026-05-01
36561 HCPCS Insertion Of Tunneled Central Vad 16 13 $3,655.00 $3,655.00 $1,827.50 $3,581.90 $2,462.33 2026-05-01
70543 HCPCS MRI Orbit,face,neck Without & W Contrast 16 13 $3,600.00 $3,600.00 $1,800.00 $3,528.00 $2,425.28 2026-05-01
72146 HCPCS MRI Thoracic Spine Without Contrast 16 13 $3,600.00 $3,600.00 $1,800.00 $3,528.00 $2,425.28 2026-05-01
27650 HCPCS Repair Primary Ruptured Achilles Tendon 16 13 $3,585.00 $3,585.00 $1,792.50 $3,513.30 $2,415.17 2026-05-01
19020 HCPCS Mastotomy Explor/drain Abscess; Deep 16 13 $3,565.00 $3,565.00 $1,782.50 $3,493.70 $2,401.70 2026-05-01
27680 HCPCS Tenolysis, Flex/extens Tendon Leg/ankle 16 13 $3,555.00 $3,555.00 $1,777.50 $3,483.90 $2,394.96 2026-05-01
72141 HCPCS MRI Cervical Spine Without Contrast 16 13 $3,555.00 $3,555.00 $1,777.50 $3,483.90 $2,394.96 2026-05-01
28315 HCPCS Sesamoidectomy First Toe Spx 16 13 $3,540.00 $3,540.00 $1,770.00 $3,469.20 $2,384.85 2026-05-01
72142 HCPCS MRI Cervical Spine W/contrast 16 13 $3,540.00 $2,832.00 20% off $1,770.00 $3,469.20 $2,384.85 2026-05-01
J0897 HCPCS Xgeva 120mg/1.7ml Vial 32 13 $4,504.00 $4,504.00 $1,259.50 $4,413.92 $2,365.65 2026-05-01
52332 HCPCS Cystourethroscopy, W/insert Stent 16 13 $3,510.00 $3,510.00 $1,755.00 $3,439.80 $2,364.64 2026-05-01
20900 HCPCS Bone Graft Any Donor Site, Minor/small 16 13 $3,510.00 $3,510.00 $1,755.00 $3,439.80 $2,364.64 2026-05-01
27687 HCPCS Gastrocnemius Recession 16 13 $3,505.00 $3,505.00 $1,752.50 $3,434.90 $2,361.28 2026-05-01
72147 HCPCS MRI Thoracic Spine With Contrast 16 13 $3,505.00 $2,804.00 20% off $1,752.50 $3,434.90 $2,361.28 2026-05-01
71275 HCPCS CT Angiography Chest W/contract/noncontr 16 13 $3,505.00 $3,505.00 $1,752.50 $3,434.90 $2,361.28 2026-05-01
72149 HCPCS MRI Lumbar Spine With Contrast 16 13 $3,505.00 $3,505.00 $1,752.50 $3,434.90 $2,361.28 2026-05-01
70544 HCPCS MRA Head Without Contrast 16 13 $3,500.00 $3,500.00 $1,750.00 $3,430.00 $2,357.91 2026-05-01
58563 HCPCS Hysteroscopy With Endometrial Ablation 16 13 $3,500.00 $3,500.00 $1,750.00 $3,430.00 $2,357.91 2026-05-01
74175 HCPCS CTA Abdomen W/wo Contrast 16 13 $3,475.00 $3,475.00 $1,737.50 $3,405.50 $2,341.06 2026-05-01
27385 HCPCS Suture Quad/ham Muscle Rupture Primary 16 13 $3,455.00 $3,455.00 $1,727.50 $3,385.90 $2,327.59 2026-05-01
28120 HCPCS Partial Excision Bone; Talus/calcaneus 16 13 $3,425.00 $3,425.00 $1,712.50 $3,356.50 $2,307.38 2026-05-01
42821 HCPCS Tonsillectomy And Adenoid. Over Age 12 16 13 $3,410.00 $3,410.00 $1,705.00 $3,341.80 $2,297.27 2026-05-01
57288 HCPCS Sling Operation For Stress Incontinence 16 13 $3,405.00 $3,405.00 $1,702.50 $3,336.90 $2,293.91 2026-05-01
73723 HCPCS MRI Of Lower Joint W/wout Contrast 16 13 $3,400.00 $3,400.00 $1,700.00 $3,332.00 $2,290.54 2026-05-01
28825 HCPCS Amputation Toe Interphalangeal Joint 16 13 $3,355.00 $3,355.00 $1,677.50 $3,287.90 $2,260.22 2026-05-01
73720 HCPCS MRI Lwr Extremity W/wo Cont Nonjoint 16 13 $3,350.00 $3,350.00 $1,675.00 $3,283.00 $2,256.85 2026-05-01
72148 HCPCS MRI Lumbar Spne Without Contrast 16 13 $3,350.00 $3,350.00 $1,675.00 $3,283.00 $2,256.85 2026-05-01
27698 HCPCS Repair, 2ndary, Ligamt Ankle Collateral 16 13 $3,337.00 $3,337.00 $1,668.50 $3,270.26 $2,248.09 2026-05-01
23073 HCPCS Excision Tumor Soft Tiss Shoulder 5cm < 16 13 $3,326.00 $3,326.00 $1,663.00 $3,259.48 $2,240.68 2026-05-01
73220 HCPCS MRI Upper Extremity W/wo Cont Non-joint 16 13 $3,300.00 $3,300.00 $1,650.00 $3,234.00 $2,223.17 2026-05-01
38500 HCPCS Biopsy/excision Lymph Node, Open Sprf 16 13 $3,300.00 $3,300.00 $1,650.00 $3,234.00 $2,223.17 2026-05-01
30520 HCPCS Septoplasty 16 13 $3,300.00 $3,300.00 $1,650.00 $3,234.00 $2,223.17 2026-05-01
28820 HCPCS Amputation Toe Metatarsophalangeal Joint 16 13 $3,300.00 $3,300.00 $1,650.00 $3,234.00 $2,223.17 2026-05-01
74181 HCPCS MRI Abdomen, Without Contrast 16 13 $3,270.00 $3,270.00 $1,635.00 $3,204.60 $2,202.96 2026-05-01
64718 HCPCS Transposition;ulnar Nerve At Elbow 16 13 $3,225.00 $3,225.00 $1,612.50 $3,160.50 $2,172.64 2026-05-01
64721 HCPCS Neuroplasty/transposition Median Nerve 16 13 $3,225.00 $3,225.00 $1,612.50 $3,160.50 $2,172.64 2026-05-01
74170 HCPCS Cat Scan Abdomen W/wo Contrast 16 13 $3,215.00 $3,215.00 $1,607.50 $3,150.70 $2,165.91 2026-05-01
28124 HCPCS Partial Excision Bone, Phalanx Of Toe 16 13 $3,211.00 $3,211.00 $1,605.50 $3,146.78 $2,163.21 2026-05-01
72195 HCPCS MRI Pelvis Without Contrast 16 13 $3,195.00 $3,195.00 $1,597.50 $3,131.10 $2,152.43 2026-05-01
73719 HCPCS MRI Lower Extremity W/cont Nonjoint 16 13 $3,175.00 $3,175.00 $1,587.50 $3,111.50 $2,138.96 2026-05-01
42820 HCPCS Tonsillectomy Adenoidectomy Under Age 12 16 13 $3,165.00 $3,165.00 $1,582.50 $3,101.70 $2,132.22 2026-05-01
J3111 HCPCS Romosozumab-aqqg Syr [210 Mg / 2.34 Ml] 16 13 $3,163.00 $3,163.00 $1,581.50 $3,099.74 $2,130.87 2026-05-01
70496 HCPCS CT Angiography Head 16 13 $3,150.00 $3,150.00 $1,575.00 $3,087.00 $2,122.12 2026-05-01
46614 HCPCS Anoscopy; Control Of Bleeding 16 13 $3,130.00 $3,130.00 $1,565.00 $3,067.40 $2,108.64 2026-05-01
58120 HCPCS D And C (non Ob) 16 13 $3,100.00 $3,100.00 $1,550.00 $3,038.00 $2,088.43 2026-05-01
70498 HCPCS CT Angiography Neck 16 13 $3,100.00 $3,100.00 $1,550.00 $3,038.00 $2,088.43 2026-05-01
29875 HCPCS Arthroscopy; Knee; Synovectomy Limited 16 13 $3,080.00 $3,080.00 $1,540.00 $3,018.40 $2,074.96 2026-05-01
27045 HCPCS Excise Tumor Softtis Pel/hip 5cmgreater 16 13 $3,000.00 $3,000.00 $1,500.00 $2,940.00 $2,021.06 2026-05-01
64561 HCPCS Percut Implant Neurostim; Sacral Nerve 16 13 $3,000.00 $3,000.00 $1,500.00 $2,940.00 $2,021.06 2026-05-01
28090 HCPCS Excision Lesion Tendon/sheath/capsule Ft 16 13 $2,941.00 $2,941.00 $1,470.50 $2,882.18 $1,981.32 2026-05-01
29825 HCPCS Arthroscopy Shoulder W/lysis Adhesions 16 13 $2,930.00 $2,930.00 $1,465.00 $2,871.40 $1,973.90 2026-05-01
30140 HCPCS Resection Inferior Turbinate 16 13 $2,925.00 $2,925.00 $1,462.50 $2,866.50 $1,970.54 2026-05-01
70488 HCPCS Cat Scan Maxillofacial Area, W/wo Co 16 13 $2,900.00 $2,900.00 $1,450.00 $2,842.00 $1,953.69 2026-05-01
28755 HCPCS Arthrodesis, Great Toe; Interphal Joint 16 13 $2,895.00 $2,895.00 $1,447.50 $2,837.10 $1,950.33 2026-05-01
28039 HCPCS Excision Soft Tissue Mass Ft/toe 1.5cm > 16 13 $2,890.00 $2,890.00 $1,445.00 $2,832.20 $1,946.96 2026-05-01
31267 HCPCS Maxillary Antrostomy; Rmvl Tissue 16 13 $2,875.00 $2,875.00 $1,437.50 $2,817.50 $1,936.85 2026-05-01
73218 HCPCS MRI Upper Extremity W/o, Non-joint 16 13 $2,855.00 $2,855.00 $1,427.50 $2,797.90 $1,923.38 2026-05-01
28122 HCPCS Partial Excision Bone; Tarsal Or Metatar 48 13 $4,610.00 $4,610.00 $350.00 $4,517.80 $1,923.38 2026-05-01
26535 HCPCS Arthroplasty Interphalangeal Joint Ea 16 13 $2,840.00 $2,272.00 20% off $1,420.00 $2,783.20 $1,913.27 2026-05-01
73718 HCPCS MRI Lower Extremity Without Contrst Nonjoint 16 13 $2,832.00 $2,832.00 $1,416.00 $2,775.36 $1,907.88 2026-05-01
74185 HCPCS MRA Abdomen W/wo Contrast 16 13 $2,830.00 $2,830.00 $1,415.00 $2,773.40 $1,906.54 2026-05-01
70492 HCPCS Cat Scan Neck W & Without Constrast 16 13 $2,780.00 $2,780.00 $1,390.00 $2,724.40 $1,872.85 2026-05-01
J0129 HCPCS Orencia 250 Mg Pwvl IV 16 13 $2,767.00 $2,767.00 $1,383.50 $2,711.66 $1,864.09 2026-05-01
29870 HCPCS Arthroscopy; Knee; Diag W/wo Synovial Bx 16 13 $2,765.00 $2,765.00 $1,382.50 $2,709.70 $1,862.75 2026-05-01
73721 HCPCS MRI Lower Joints Without Contrast 16 13 $2,730.00 $2,730.00 $1,365.00 $2,675.40 $1,839.17 2026-05-01
71270 HCPCS Cat Scan Thorax W/wo Contrast 16 13 $2,730.00 $2,730.00 $1,365.00 $2,675.40 $1,839.17 2026-05-01
27347 HCPCS Excision Lesion Menicus/capsule Knee 16 13 $2,720.00 $2,720.00 $1,360.00 $2,665.60 $1,832.43 2026-05-01
28043 HCPCS Excision Tumor Soft Tissue Foot/toe <1.5 16 13 $2,710.00 $2,710.00 $1,355.00 $2,655.80 $1,825.69 2026-05-01
73221 HCPCS MRI Any Up Extremity Joint Wo Contrast 16 13 $2,705.00 $2,705.00 $1,352.50 $2,650.90 $1,822.33 2026-05-01
42825 HCPCS Tonsillectomy Primary/secondary Under 12 16 13 $2,675.00 $2,675.00 $1,337.50 $2,621.50 $1,802.11 2026-05-01
L0454 HCPCS Brace Tlso 16 13 $2,667.00 $2,667.00 $1,333.50 $2,613.66 $1,796.72 2026-05-01
Q5108 HCPCS Fulphila Syr [6 Mg/ 0.6 Ml] 16 13 $2,633.00 $2,633.00 $1,316.50 $2,580.34 $1,773.82 2026-05-01
45381 HCPCS Colonoscopy W/submucosal Inj Any Substnc 16 13 $2,630.00 $2,630.00 $1,315.00 $2,577.40 $1,771.80 2026-05-01
71260 HCPCS Cat Scan Chest W/contrast 16 13 $2,630.00 $2,630.00 $1,315.00 $2,577.40 $1,771.80 2026-05-01
70470 HCPCS Cat Scan Head W/wo Contrast 16 13 $2,575.00 $2,575.00 $1,287.50 $2,523.50 $1,734.75 2026-05-01
70491 HCPCS Cat Scan Neck With Contrast 16 13 $2,575.00 $2,575.00 $1,287.50 $2,523.50 $1,734.75 2026-05-01
27691 HCPCS Transfer/transplant Single Tendon Assist 32 13 $4,325.00 $3,460.00 20% off $407.50 $4,238.50 $1,731.38 2026-05-01
74160 HCPCS Cat Scan Abdomen With Contrast 16 13 $2,550.00 $2,550.00 $1,275.00 $2,499.00 $1,717.90 2026-05-01
52224 HCPCS Cystourehtoscopy With Fulguration Minor 16 13 $2,550.00 $2,550.00 $1,275.00 $2,499.00 $1,717.90 2026-05-01
43250 HCPCS Upper Gi Endoscopy With Removal Hot Forcep 16 13 $2,525.00 $2,525.00 $1,262.50 $2,474.50 $1,701.06 2026-05-01
20680 HCPCS Removal Of Implant; Deep 16 13 $2,525.00 $2,525.00 $1,262.50 $2,474.50 $1,701.06 2026-05-01
72125 HCPCS Cat Scan C-spine Without Contrast 16 13 $2,510.00 $2,510.00 $1,255.00 $2,459.80 $1,690.96 2026-05-01
26055 HCPCS Tendon Sheath Incision,trigger Finger 16 13 $2,505.00 $2,505.00 $1,252.50 $2,454.90 $1,687.59 2026-05-01
73701 HCPCS Cat Scan Lower Extremity,w Contrast 16 13 $2,505.00 $2,505.00 $1,252.50 $2,454.90 $1,687.59 2026-05-01
29824 HCPCS Arthroscopy, Shldr, Distl Claviculectomy 16 13 $2,500.00 $2,500.00 $1,250.00 $2,450.00 $1,684.22 2026-05-01
28285 HCPCS Hammertoe Deformity Correction 16 13 $2,500.00 $2,500.00 $1,250.00 $2,450.00 $1,684.22 2026-05-01
25111 HCPCS Excision Ganglion, Wrist, Prmary 16 13 $2,480.00 $1,984.00 20% off $1,240.00 $2,430.40 $1,670.74 2026-05-01
72193 HCPCS Cat Scan Pelvis With Contrast 16 13 $2,450.00 $2,450.00 $1,225.00 $2,401.00 $1,650.53 2026-05-01
72128 HCPCS Cat Scan Thoracic Spine Without Contrast 16 13 $2,450.00 $2,450.00 $1,225.00 $2,401.00 $1,650.53 2026-05-01
59515 HCPCS C-section With Postpartum Care 16 13 $2,448.00 $1,958.40 $1,224.00 $2,399.04 $1,649.19 2026-05-01
72131 HCPCS Cat Scan Lumber Spine Without Contrast 16 13 $2,440.00 $2,440.00 $1,220.00 $2,391.20 $1,643.80 2026-05-01
J0875 HCPCS Dalbavancin Vial [500 Mg] 16 13 $2,424.00 $2,424.00 $1,212.00 $2,375.52 $1,633.02 2026-05-01
46040 HCPCS I&d Ischiorectal/perirectal Abscess (sp) 16 13 $2,415.00 $2,415.00 $1,207.50 $2,366.70 $1,626.96 2026-05-01
26160 HCPCS Excision Lesion Tendon/joint Hnd/ft 16 13 $2,415.00 $1,932.00 20% off $1,207.50 $2,366.70 $1,626.96 2026-05-01
71250 HCPCS Cat Scan Chest Without Contrast 16 13 $2,410.00 $2,410.00 $1,205.00 $2,361.80 $1,623.59 2026-05-01
72191 HCPCS CT Angiogram Pelvis W/contrast 16 13 $2,400.00 $2,400.00 $1,200.00 $2,352.00 $1,616.85 2026-05-01
42830 HCPCS Adenoidectomy Age<12 16 13 $2,370.00 $2,370.00 $1,185.00 $2,322.60 $1,596.64 2026-05-01
72192 HCPCS Cat Scan Pelvis Without Contrast 16 13 $2,370.00 $2,370.00 $1,185.00 $2,322.60 $1,596.64 2026-05-01
74150 HCPCS Cat Scan Abdomen Without Contrast 16 13 $2,370.00 $2,370.00 $1,185.00 $2,322.60 $1,596.64 2026-05-01
31254 HCPCS Nsl/sins Endoscopy Ethmoidectomy Partial 16 13 $2,350.00 $2,350.00 $1,175.00 $2,303.00 $1,583.17 2026-05-01
73700 HCPCS CT Scan Lower Extremity Without Contrast 16 13 $2,340.00 $2,340.00 $1,170.00 $2,293.20 $1,576.43 2026-05-01
73722 HCPCS MRI Lower Extremity Joint W/contrast 16 13 $2,335.00 $1,868.00 20% off $1,167.50 $2,288.30 $1,573.06 2026-05-01
78315 HCPCS Bone Imaging, 3 Phase Study 16 13 $2,330.00 $2,330.00 $1,165.00 $2,283.40 $1,569.69 2026-05-01
19120 HCPCS Removal Of Breast Lesion 16 13 $2,325.00 $2,325.00 $1,162.50 $2,278.50 $1,566.32 2026-05-01
36569 HCPCS Picc Line Insertion 16 13 $2,320.00 $2,320.00 $1,160.00 $2,273.60 $1,562.95 2026-05-01
93306 HCPCS Echocardiography 2d, M-mode, Doppler 16 13 $2,320.00 $2,320.00 $1,160.00 $2,273.60 $1,562.95 2026-05-01
55250 HCPCS Vasectomy 16 13 $2,310.00 $2,310.00 $1,155.00 $2,263.80 $1,556.22 2026-05-01
73201 HCPCS CT Scan Upper Extremity W Contrast 16 13 $2,300.00 $2,300.00 $1,150.00 $2,254.00 $1,549.48 2026-05-01
21931 HCPCS Excision Tumor, Soft Tissue Of Back 3 Cm 16 13 $2,300.00 $2,300.00 $1,150.00 $2,254.00 $1,549.48 2026-05-01
81455 HCPCS Myeloid Malignancies Mutation Panel 16 13 $2,270.00 $2,270.00 $1,135.00 $2,224.60 $1,529.27 2026-05-01
29823 HCPCS Arthroscopy, Shldr; Debride Extensive 16 13 $2,265.00 $2,265.00 $1,132.50 $2,219.70 $1,525.90 2026-05-01
278 RC Tunnel Plug 1,040 13 $8,559.00 $8,559.00 $10.00 $8,387.82 $1,521.60 2026-05-01
52281 HCPCS Cystourethroscopy W/dilation 16 13 $2,240.00 $2,240.00 $1,120.00 $2,195.20 $1,509.06 2026-05-01
722 RC Birthing Service 16 13 $2,230.00 $1,784.00 20% off $1,115.00 $2,185.40 $1,502.32 2026-05-01
43249 HCPCS Balloon Dilation Of Esophagus(<30mm) 32 13 $2,625.00 $2,625.00 $900.00 $2,572.50 $1,490.53 2026-05-01
26951 HCPCS Amputation Finger/thumb W/directclosure 16 13 $2,205.00 $1,764.00 20% off $1,102.50 $2,160.90 $1,485.48 2026-05-01
73200 HCPCS CT Scan Upper Extremity Wo Cont 16 13 $2,165.00 $2,165.00 $1,082.50 $2,121.70 $1,458.53 2026-05-01
69436 HCPCS Tympanostomy Unilateral W Gen Anesthesia 16 13 $2,140.00 $2,140.00 $1,070.00 $2,097.20 $1,441.69 2026-05-01
72132 HCPCS Cat Scan Lumbar Spine With Contrast 16 13 $2,130.00 $1,704.00 20% off $1,065.00 $2,087.40 $1,434.95 2026-05-01
70450 HCPCS Cat Scan Head Without Contrast 16 13 $2,125.00 $2,125.00 $1,062.50 $2,082.50 $1,431.59 2026-05-01
70460 HCPCS Cat Scan Head With Contrast 16 13 $2,115.00 $1,692.00 20% off $1,057.50 $2,072.70 $1,424.85 2026-05-01
28080 HCPCS Excision Interdigit Neuroma, Single, Ea 16 13 $2,110.00 $1,688.00 20% off $1,055.00 $2,067.80 $1,421.48 2026-05-01
36590 HCPCS Removal Of Implated Port 16 13 $2,100.00 $2,100.00 $1,050.00 $2,058.00 $1,414.74 2026-05-01
70490 HCPCS Cat Scan Neck Without Contrast 16 13 $2,100.00 $2,100.00 $1,050.00 $2,058.00 $1,414.74 2026-05-01
49422 HCPCS Removal Tunneled Intraperitoneal Cath 16 13 $2,080.00 $2,080.00 $1,040.00 $2,038.40 $1,401.27 2026-05-01
27337 HCPCS Excision Tumor Soft Tiss Thigh/knee 3cm< 32 13 $2,100.00 $2,030.00 $1,015.00 $2,058.00 $1,391.16 2026-05-01
43251 HCPCS Endoscopy With Removal By Snare Tech 32 13 $2,990.00 $2,990.00 $550.50 $2,930.20 $1,378.03 2026-05-01
81408 HCPCS Molecular Pathology Procedure Level 9 16 13 $2,040.00 $1,632.00 20% off $1,020.00 $1,999.20 $1,374.32 2026-05-01
42975 HCPCS Drug Induced Sleep Endoscopy 16 13 $2,035.00 $2,035.00 $1,017.50 $1,994.30 $1,370.95 2026-05-01
45385 HCPCS Colonoscopy W/tumor Removal, Snare 32 13 $2,500.00 $2,500.00 $775.00 $2,450.00 $1,364.22 2026-05-01
43246 HCPCS Upper Gi Endoscopy; With Placement Percuta 16 13 $2,000.00 $2,000.00 $1,000.00 $1,960.00 $1,347.38 2026-05-01
28270 HCPCS Capsulotomy Mtpj W/wo Tenorrhaphy Ea Joi 16 13 $2,000.00 $2,000.00 $1,000.00 $1,960.00 $1,347.38 2026-05-01
59426 HCPCS Antepartum Care Only 7/> Visits 16 13 $2,000.00 $1,600.00 20% off $1,000.00 $1,960.00 $1,347.38 2026-05-01
59300 HCPCS Episiotomy/vaginal Repair By Oth Attend 16 13 $2,000.00 $2,000.00 $1,000.00 $1,960.00 $1,347.38 2026-05-01
45384 HCPCS Colonoscopy W/tumor Removal Hotbxforceps 32 13 $2,500.00 $2,500.00 $735.00 $2,450.00 $1,337.27 2026-05-01
28062 HCPCS Fasciectomy, Plantar Fascia 32 13 $2,835.00 $2,268.00 20% off $550.00 $2,778.30 $1,325.48 2026-05-01
45380 HCPCS Colonoscopy W/biopsy 32 13 $2,300.00 $2,300.00 $815.00 $2,254.00 $1,323.80 2026-05-01
P9037 HCPCS Platelets, Pheresis, Leukocytes Irradiat 16 13 $1,960.00 $1,960.00 $980.00 $1,920.80 $1,320.43 2026-05-01
78227 HCPCS Hepatobiliary Imaging With Gbef 16 13 $1,960.00 $1,960.00 $980.00 $1,920.80 $1,320.43 2026-05-01
52310 HCPCS Cystourethroscopy W/removal Stent 16 13 $1,950.00 $1,950.00 $975.00 $1,911.00 $1,313.69 2026-05-01
45331 HCPCS Sigmoid, Flex W/biopsy 16 13 $1,950.00 $1,950.00 $975.00 $1,911.00 $1,313.69 2026-05-01
70486 HCPCS Cat Scan Maxillofacial Without Contrast 16 13 $1,935.00 $1,935.00 $967.50 $1,896.30 $1,303.59 2026-05-01
C1771 HCPCS Advantage Fit Transvagl Mid-ureth Sling 16 13 $1,934.00 $1,934.00 $967.00 $1,895.32 $1,302.91 2026-05-01
43239 HCPCS Upper Gi Endoscopy, Biopsy 32 13 $2,730.00 $2,730.00 $550.00 $2,675.40 $1,290.11 2026-05-01
78306 HCPCS Bone Imaging, Whole Body 16 13 $1,905.00 $1,905.00 $952.50 $1,866.90 $1,283.38 2026-05-01
71271 HCPCS Low Dose CT Lung Screening 16 13 $1,900.00 $1,900.00 $950.00 $1,862.00 $1,280.01 2026-05-01
64483 HCPCS Inj Anes/ster Transforaminal Epi W/image 16 13 $1,900.00 $1,900.00 $950.00 $1,862.00 $1,280.01 2026-05-01
59410 HCPCS Vaginal Delivery Only With Postpartum Ca 16 13 $1,900.00 $1,520.00 20% off $950.00 $1,862.00 $1,280.01 2026-05-01
P9073 HCPCS Platelets, Phersis, Pathogenreduce Ea Un 16 13 $1,895.00 $1,895.00 $947.50 $1,857.10 $1,276.64 2026-05-01
45388 HCPCS Colonoscopy W/ablation Of Lesion 32 13 $2,230.00 $2,230.00 $728.50 $2,185.40 $1,241.94 2026-05-01
J1439 HCPCS Ferric Carboxy Vial [750 Mg/15 Ml] 16 13 $1,810.00 $1,810.00 $905.00 $1,773.80 $1,219.37 2026-05-01
90375 HCPCS Rabies Immune Globulin [300 Units/2 Ml] 16 13 $1,759.00 $1,759.00 $879.50 $1,723.82 $1,185.02 2026-05-01
52000 HCPCS Cystourethroscopy 16 13 $1,755.00 $1,755.00 $877.50 $1,719.90 $1,182.32 2026-05-01
G0121 HCPCS Colorectal Cancer Screen/ Colonoscop 32 13 $2,200.00 $2,200.00 $600.00 $2,156.00 $1,145.27 2026-05-01
45378 HCPCS Diagnostic Colonoscopy 32 13 $2,200.00 $2,200.00 $600.00 $2,156.00 $1,145.27 2026-05-01
78226 HCPCS Hepatobiliary Imaging Without Contrst 16 13 $1,695.00 $1,695.00 $847.50 $1,661.10 $1,141.90 2026-05-01
43247 HCPCS Upper Endoscopy W/removal Fb 32 13 $2,266.00 $2,266.00 $550.00 $2,220.68 $1,133.82 2026-05-01
93350 HCPCS Stress Echocariogram 16 13 $1,660.00 $1,328.00 20% off $830.00 $1,626.80 $1,118.32 2026-05-01
81163 HCPCS Brca1/2 16 13 $1,658.00 $1,326.40 $829.00 $1,624.84 $1,116.97 2026-05-01
C1781 HCPCS Surgimesh Xb Rond 15cm 128 13 $3,578.00 $3,578.00 $245.00 $3,506.44 $1,109.65 2026-05-01
370 RC Anesthesia 91-120 Minutes 256 13 $3,200.00 $3,200.00 $260.00 $3,136.00 $1,100.85 2026-05-01
G0105 HCPCS Colorectal Cancer Screening High Risk 32 13 $2,200.00 $2,200.00 $508.50 $2,156.00 $1,083.63 2026-05-01
14021 HCPCS Adjacent Tissue S/a/l 10.1-30 Sqcm 16 13 $1,600.00 $1,600.00 $800.00 $1,568.00 $1,077.90 2026-05-01
110 RC Skilled Care Isolation Room 32 13 $1,895.00 $1,895.00 $620.00 $1,857.10 $1,056.01 2026-05-01
J7307 HCPCS Nexplanon Implant [68 Mg] 16 13 $1,546.00 $1,546.00 $773.00 $1,515.08 $1,041.52 2026-05-01
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced 16 13 $1,545.00 $1,545.00 $772.50 $1,514.10 $1,040.85 2026-05-01
93880 HCPCS Duplex Scan Extracranial Ateries Bi 16 13 $1,535.00 $1,535.00 $767.50 $1,504.30 $1,034.11 2026-05-01
59514 HCPCS Cesarean Delivery Only 32 13 $2,200.00 $1,760.00 20% off $395.00 $2,156.00 $1,007.16 2026-05-01
112 RC OB Private Room Level I 16 13 $1,470.00 $1,176.00 20% off $735.00 $1,440.60 $990.32 2026-05-01
59409 HCPCS Vaginal Delivery Only 16 13 $1,450.00 $1,160.00 20% off $725.00 $1,421.00 $976.85 2026-05-01
23071 HCPCS Excision Tumor Soft Tis Shldr 3cm > 16 13 $1,425.00 $1,425.00 $712.50 $1,396.50 $960.00 2026-05-01
43235 HCPCS Upper Gi Endoscopy, Diagnostic 32 13 $2,050.00 $2,050.00 $367.00 $2,009.00 $937.77 2026-05-01
92960 HCPCS Cardioversion, Elective;external 16 13 $1,390.00 $1,112.00 20% off $695.00 $1,362.20 $936.43 2026-05-01
93970 HCPCS Bilateral Venous Duplex 16 13 $1,360.00 $1,360.00 $680.00 $1,332.80 $916.22 2026-05-01
32551 HCPCS Tube Thoracostomy, Open 16 13 $1,357.00 $1,357.00 $678.50 $1,329.86 $914.19 2026-05-01
25605 HCPCS Fracture Radius Distal W/manipulation 35 13 $1,400.00 $1,400.00 $617.50 $1,372.00 $891.10 2026-05-01
10005 HCPCS Fine Needle Asp Biopsy; U/s Guide 1 Les 16 13 $1,250.00 $1,250.00 $625.00 $1,225.00 $842.11 2026-05-01
81206 HCPCS Bcr/alb1 Major Quantatative 16 13 $1,232.00 $1,232.00 $616.00 $1,207.36 $829.98 2026-05-01
30100 HCPCS Biopsy, Intranasal 16 13 $1,230.00 $1,230.00 $615.00 $1,205.40 $828.64 2026-05-01
93925 HCPCS Duplex Lower Ext Bilateral 16 13 $1,225.00 $1,225.00 $612.50 $1,200.50 $825.27 2026-05-01
93882 HCPCS Carotid Duplex Unilateral Or Limited 16 13 $1,205.00 $964.00 20% off $602.50 $1,180.90 $811.79 2026-05-01
24075 HCPCS Excision Tumor Soft Uparm/elbow <3cm 16 13 $1,200.00 $1,200.00 $600.00 $1,176.00 $808.42 2026-05-01
81539 HCPCS 4kscore Prostate Oncology 16 13 $1,199.00 $1,199.00 $599.50 $1,175.02 $807.75 2026-05-01
J1745 HCPCS Infliximab Vial [100 Mg] 16 13 $1,198.00 $1,198.00 $599.00 $1,174.04 $807.08 2026-05-01
27096 HCPCS Inj Si Joint Anes/steroid With Imaging 16 13 $1,150.00 $1,150.00 $575.00 $1,127.00 $774.74 2026-05-01
99291 HCPCS Critical Care Eval/manage 1st 30-74 Min 32 13 $1,800.00 $1,800.00 $250.00 $1,764.00 $774.74 2026-05-01
93017 HCPCS ECG Stress Test-test Only 16 13 $1,150.00 $1,150.00 $575.00 $1,127.00 $774.74 2026-05-01
J0248 HCPCS Remdesivir Vial [100 Mg] 16 13 $1,143.00 $1,143.00 $571.50 $1,120.14 $770.02 2026-05-01
26418 HCPCS Repair Extensor Tendon Finger 32 13 $1,500.00 $1,200.00 20% off $362.50 $1,470.00 $749.48 2026-05-01
36430 HCPCS Blood Administration - 5 Units 80 13 $1,340.00 $1,340.00 $442.50 $1,313.20 $748.47 2026-05-01
62326 HCPCS Njx Lmbr/sac Incl Indewelling 16 13 $1,110.00 $1,110.00 $555.00 $1,087.80 $747.79 2026-05-01
93971 HCPCS Duplex Scan Extremity Veins Limited 16 13 $1,105.00 $1,105.00 $552.50 $1,082.90 $744.42 2026-05-01
93308 HCPCS Echocardiograpy/follow Up-limited St 16 13 $1,100.00 $1,100.00 $550.00 $1,078.00 $741.06 2026-05-01
62322 HCPCS Njx Interlaminar Lmbr/sac 16 13 $1,080.00 $1,080.00 $540.00 $1,058.40 $727.58 2026-05-01
93975 HCPCS Duplex Renal/abdominal, Complete Study 16 13 $1,075.00 $1,075.00 $537.50 $1,053.50 $724.21 2026-05-01
93926 HCPCS Duplex Scan Lower Ext Limited Arterial 16 13 $1,070.00 $1,070.00 $535.00 $1,048.60 $720.85 2026-05-01
25565 HCPCS Closed Radial/ulnar Shft Fx W/manip 16 13 $1,060.00 $1,060.00 $530.00 $1,038.80 $714.11 2026-05-01
27266 HCPCS Clst Tx Post Hip Arthorplasty Disl W/ane 32 13 $1,100.00 $1,000.00 $500.00 $1,078.00 $707.37 2026-05-01
77001 HCPCS Fluoroguide Vad Placement 16 13 $1,020.00 $1,020.00 $510.00 $999.60 $687.16 2026-05-01
27788 HCPCS Closed Tx Distal Fibula Fx With Mani 32 13 $1,416.00 $1,132.80 20% off $307.50 $1,387.68 $684.13 2026-05-01
2781830 OTHER Closed Tx Trimalleolar Ankle Fx W/mani 16 13 $1,010.00 $1,010.00 $505.00 $989.80 $680.42 2026-05-01
59425 HCPCS Antepartum Care 4-6 Visits 16 13 $1,010.00 $808.00 20% off $505.00 $989.80 $680.42 2026-05-01
721 RC Labor Service Level 3 (9-16 Hrs) 32 13 $1,785.00 $1,428.00 20% off $112.50 $1,749.30 $677.06 2026-05-01
27810 HCPCS Closed Treat Ankle Fx With Manipulation 16 13 $1,000.00 $800.00 20% off $500.00 $980.00 $673.69 2026-05-01
25505 HCPCS Closed Tx Radial Shaft Fx W/manipulation 19 13 $1,000.00 $1,000.00 $500.00 $980.00 $672.05 2026-05-01
173 RC Nursery Room Level 3 16 13 $965.00 $772.00 20% off $482.50 $945.70 $650.11 2026-05-01
636 RC Vancomycin Premix [1 Gm / 200 Ml] 688 13 $17,987.00 $17,987.00 $4.50 $17,627.26 $645.19 2026-05-01
64415 HCPCS Inj Anes/steroid Brach Plexus W/imaging 16 13 $950.00 $950.00 $475.00 $931.00 $640.00 2026-05-01
J9217 HCPCS Eligard [22.5 Mg] 16 13 $938.00 $938.00 $469.00 $919.24 $631.92 2026-05-01
93931 HCPCS Arterial Duplex Limited Upper 16 13 $930.00 $930.00 $465.00 $911.40 $626.53 2026-05-01
27818 HCPCS Closed Tx Trimalleolar Ankle Fx W/mani 32 13 $1,000.00 $835.00 $417.50 $980.00 $618.11 2026-05-01
Q5106 HCPCS Epoetin Alfa Epbx Vial [ 40,000 UN/mL] 16 13 $917.00 $917.00 $458.50 $898.66 $617.77 2026-05-01
120 RC Skilled Care Room 48 13 $1,480.00 $1,480.00 $82.50 $1,450.40 $616.42 2026-05-01
76700 HCPCS Ultrasound Abdomen Complete 16 13 $910.00 $910.00 $455.00 $891.80 $613.06 2026-05-01
64447 HCPCS Inj Anes/steroid Femoral Nerve 16 13 $900.00 $900.00 $450.00 $882.00 $606.32 2026-05-01
5855280 OTHER Assist Lapar Assisted Vag Hysterectomy 16 13 $890.00 $890.00 $445.00 $872.20 $599.58 2026-05-01
28011 HCPCS Tenotomy, Percutaneous Toe, Mult Tendons 32 13 $1,185.00 $948.00 20% off $292.50 $1,161.30 $596.21 2026-05-01
92950 HCPCS Cardiopulmonary Resuscitation 32 13 $1,015.00 $1,015.00 $369.00 $994.70 $590.49 2026-05-01
76937 HCPCS Ultrasound Guidance For Vascular Acce 16 13 $875.00 $875.00 $437.50 $857.50 $589.48 2026-05-01
99285 HCPCS Emergency Department Visit Level V 32 13 $1,200.00 $1,200.00 $250.00 $1,176.00 $572.63 2026-05-01
76770 HCPCS Ultrasound Retroperitoneal/complete 16 13 $844.00 $844.00 $422.00 $827.12 $568.59 2026-05-01
76856 HCPCS Ultrasound Pelvic 16 13 $840.00 $840.00 $420.00 $823.20 $565.90 2026-05-01
46221 HCPCS Hemorrhoidectomy, Simple Ligature 32 13 $950.00 $950.00 $350.00 $931.00 $555.79 2026-05-01
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