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

FRANKLIN COUNTY MEMORIAL HOSPITAL

Franklin, NE · CCN 281311 · Rates published

Your selected procedure

You selected 93306 (CPT)

Us Echo 2d Complete

This hospital’s price: $1,939 across 4 payers · range $385-$2,229

Source: https://secure.claraprice.net/price-transparency/PFNX-1743028154306/machine-readable/476007436_franklin-county-memorial-hospital_standardcharges.json · observed 2026-03-10

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.

2,018 distinct procedures filed
4 distinct payers
13,680 rate rows
2026-03-10 last MRF observed
Data quality

13,661 of 13,680 rate rows are consumer-grade (99.9%)

19 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
exceeds 10× this hospital's gross charge — excluded from medians 15
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/PFNX-1743028154306/machine-readable/476007436_franklin-county-memorial-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/franklin-county-memorial-ne
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-25
Content fingerprint 775461e7a4bf9245… · 2,895,888 bytes · first seen 2026-07-31

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
3000210
CDM 		Ilumya Ml 100mg 3 $18,433.00 $21,187.00 $18,918.00 nat. median
$61
outlier · 309.4×
3000451
CDM 		Tnkase Pr 50mg/vial 3 $11,902.00 $13,680.00 $12,215.00 nat. median
$7
outlier · 1745.0×
3000286
CDM 		Neulasta Inj 6 Mg 3 $10,413.00 $11,969.00 $10,687.00 nat. median
$14
outlier · 763.4×
70471
CPT 		CTA Head/neck W & Without Contrast 3 $5,381.00 $6,185.00 $5,522.50 nat. median
$830
outlier · 6.7×
74174
CPT 		CTA Abdomen/pelvis W & Without Contras 4 $882.00 $5,450.00 $4,742.00 nat. median
$988
outlier · 4.8×
74178
CPT 		CT Abd/pelvis W & Without Contrast 4 $802.00 $5,422.00 $4,717.00 nat. median
$1,024
outlier · 4.6×
74185
CPT 		MRA Abdomen W & Without Contrast 4 $878.00 $5,087.00 $4,426.00 nat. median
$1,241
outlier · 3.6×
24591
CPT 		Dupixent 150mg/ml 3 $2,316.00 $6,923.00 $4,342.50 nat. median
$3,187
1.4× median
5230044
CDM 		CT Renal Artery 3 $4,056.00 $4,662.00 $4,162.50 nat. median
$4,162
1.0× median
74177
CPT 		CT Scan Of Abdomen And Pelvis With Contrast 4 $711.00 $4,649.00 $4,045.00 nat. median
$974
outlier · 4.2×
3000166
CDM 		Evenity 210mg / 2.34ml 3 $3,928.00 $4,514.00 $4,031.00 nat. median
$7
outlier · 575.9×
72156
CPT 		Mr C-spine W & Without Contrast 4 $832.00 $4,336.00 $3,772.00 nat. median
$1,103
outlier · 3.4×
95811
CPT 		Polysom 6/>yrs Cpap 4/> P 4 $943.00 $4,332.00 $3,769.00 nat. median
$1,894
2.0× median
74183
CPT 		Mr Abdomen W & Without Contrast 4 $889.00 $4,304.00 $3,744.00 nat. median
$1,100
outlier · 3.4×
73706
CPT 		CTA Lower Extremity With Contrast 4 $654.00 $4,282.00 $3,725.00 nat. median
$743
outlier · 5.0×
78452
CPT 		Nm Lexi Myocardial Perfusion Imaging 4 $1,069.00 $4,277.00 $3,721.00 nat. median
$1,816
outlier · 2.0×
72157
CPT 		Mr T-spine W & Without Contrast 4 $835.00 $4,276.00 $3,720.00 nat. median
$1,105
outlier · 3.4×
65425
CPT 		Bridionsugammadex 500mg/5ml 3 $3,589.00 $4,125.00 $3,683.50 nat. median
$7,460
outlier · 0.5×
72197
CPT 		Mr Pelvis W & Without Contrast 4 $888.00 $4,212.00 $3,665.00 nat. median
$1,063
outlier · 3.4×
72158
CPT 		Mr L-spine W & Without Contrast 4 $831.00 $4,176.00 $3,633.00 nat. median
$1,093
outlier · 3.3×
74176
CPT 		CT Abd/pelvis Without Contrast 4 $449.00 $3,984.00 $3,466.00 nat. median
$694
outlier · 5.0×
70553
CPT 		MRI Scan 4 $827.00 $3,983.00 $3,466.00 nat. median
$1,133
outlier · 3.1×
95810
CPT 		Sleep Study 4 $898.00 $3,907.00 $3,399.00 nat. median
$1,825
1.9× median
71552
CPT 		Mr Chest W & Without Contrast 4 $1,097.00 $3,859.00 $3,357.00 nat. median
$1,097
outlier · 3.1×
73223
CPT 		Mr Upper Ext Joint W & Without Contrast Lt 3 $3,259.00 $3,746.00 $3,344.50 nat. median
$1,158
outlier · 2.9×
70543
CPT 		Mr Orbit/face/neck W & Without Contrast 4 $882.00 $3,759.00 $3,270.00 nat. median
$1,083
outlier · 3.0×
70552
CPT 		Mr Brain With Contrast 4 $700.00 $3,716.00 $3,233.00 nat. median
$962
outlier · 3.4×
70546
CPT 		MRA Brain With Contrast 4 $905.00 $3,713.00 $3,230.00 nat. median
$1,070
outlier · 3.0×
74175
CPT 		CTA Abdomen W & Without Contrast 4 $646.00 $3,691.00 $3,211.00 nat. median
$714
outlier · 4.5×
73723
CPT 		Mr Lower Ext Joint W & Without Contrast Lt 3 $3,126.00 $3,593.00 $3,208.00 nat. median
$1,192
outlier · 2.7×
72149
CPT 		Mr L-spine With Contrast 4 $704.00 $3,610.00 $3,141.00 nat. median
$978
outlier · 3.2×
72146
CPT 		Mr T-spine Without Contrast 4 $493.00 $3,580.00 $3,114.00 nat. median
$797
outlier · 3.9×
73220
CPT 		Mr Upper Ext No Joint W&without Contrast Lt 3 $3,023.00 $3,474.00 $3,102.50 nat. median
$1,130
outlier · 2.7×
70551
CPT 		Mr Brain Without Contrast 4 $505.00 $3,545.00 $3,084.00 nat. median
$784
outlier · 3.9×
73720
CPT 		Mr Lower Ext No Joint W&without Contrast Lt 3 $2,999.00 $3,448.00 $3,078.00 nat. median
$1,129
outlier · 2.7×
72141
CPT 		Mr C-spine Without Contrast 4 $492.00 $3,466.00 $3,015.00 nat. median
$781
outlier · 3.9×
75635
CPT 		CTA Lower Extremity & Aorta With Contras 4 $711.00 $3,440.00 $2,993.00 nat. median
$722
outlier · 4.1×
3061053
CDM 		Udenyca Subcutaneous Solution 6mg/0.6ml 3 $2,912.00 $3,347.00 $2,988.50 nat. median
$2,988
1.0× median
3000438
CDM 		Udenyca 6mg 3 $2,912.00 $3,347.00 $2,988.50 nat. median
$2
outlier · 1903.5×
70540
CPT 		Mr Orbit/face/neck Without Contrast 4 $590.00 $3,405.00 $2,962.00 nat. median
$794
outlier · 3.7×
71275
CPT 		CTA Chest With Contrast 4 $648.00 $3,403.00 $2,961.00 nat. median
$754
outlier · 3.9×
72148
CPT 		MRI Scan Of Lower Spinal Canal 4 $493.00 $3,363.00 $2,926.00 nat. median
$805
outlier · 3.6×
70542
CPT 		Mr Orbit/face/neck With Contrast 4 $702.00 $3,322.00 $2,890.00 nat. median
$923
outlier · 3.1×
3000335
CDM 		Prolia 60mg/ml Inj 3 $2,784.00 $3,200.00 $2,857.00 nat. median
$9
outlier · 317.4×
28285
CPT 		Repair Of Hammertoe 4 $865.00 $3,278.00 $2,851.00 nat. median
$3,607
0.8× median
72133
CPT 		CT L-spine W & Without Contrast 4 $584.00 $3,240.00 $2,818.00 nat. median
$633
outlier · 4.4×
72195
CPT 		Mr Pelvis Without Contrast 4 $602.00 $3,233.00 $2,813.00 nat. median
$806
outlier · 3.5×
74170
CPT 		CT Abdomen W & Without Contrast 4 $599.00 $3,180.00 $2,766.00 nat. median
$710
outlier · 3.9×
73202
CPT 		CT Upper Ext W & Without Contrast (Rt) 3 $2,665.00 $3,063.00 $2,735.00 nat. median
$711
outlier · 3.8×
72132
CPT 		CT L-spine With Contrast 4 $506.00 $3,096.00 $2,694.00 nat. median
$766
outlier · 3.5×

Other procedures at this hospital

Browse this hospital's 2,018 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
             
3000210 CDM Ilumya Ml 100mg 6 3 $22,302.00 $20,072.00 $18,433.00 $21,187.00 $18,918.00 2026-03-10
3000451 CDM Tnkase Pr 50mg/vial 6 3 $14,400.00 $12,960.00 $11,902.00 $13,680.00 $12,215.00 2026-03-10
3000286 CDM Neulasta Inj 6 Mg 6 3 $12,599.00 $11,339.00 $10,413.00 $11,969.00 $10,687.00 2026-03-10
70471 CPT CTA Head/neck W & Without Contrast 6 3 $6,510.00 $5,859.00 $5,381.00 $6,185.00 $5,522.50 2026-03-10
74174 CPT CTA Abdomen/pelvis W & Without Contras 7 4 $5,737.00 $5,163.00 $882.00 $5,450.00 $4,742.00 2026-03-10
74178 CPT CT Abd/pelvis W & Without Contrast 8 4 $5,707.00 $5,136.00 $802.00 $5,422.00 $4,717.00 2026-03-10
74185 CPT MRA Abdomen W & Without Contrast 7 4 $5,355.00 $4,820.00 $878.00 $5,087.00 $4,426.00 2026-03-10
24591 CPT Dupixent 150mg/ml 12 3 $5,044.50 $4,540.00 $2,316.00 $6,923.00 $4,342.50 2026-03-10
5230044 CDM CT Renal Artery 6 3 $4,907.00 $4,416.00 $4,056.00 $4,662.00 $4,162.50 2026-03-10
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 8 4 $4,894.00 $4,405.00 $711.00 $4,649.00 $4,045.00 2026-03-10
3000166 CDM Evenity 210mg / 2.34ml 6 3 $4,752.00 $4,277.00 $3,928.00 $4,514.00 $4,031.00 2026-03-10
72156 CPT Mr C-spine W & Without Contrast 7 4 $4,564.00 $4,108.00 $832.00 $4,336.00 $3,772.00 2026-03-10
95811 CPT Polysom 6/>yrs Cpap 4/> P 7 4 $4,560.00 $4,104.00 $943.00 $4,332.00 $3,769.00 2026-03-10
74183 CPT Mr Abdomen W & Without Contrast 7 4 $4,530.00 $4,077.00 $889.00 $4,304.00 $3,744.00 2026-03-10
73706 CPT CTA Lower Extremity With Contrast 7 4 $4,507.00 $4,056.00 $654.00 $4,282.00 $3,725.00 2026-03-10
78452 CPT Nm Lexi Myocardial Perfusion Imaging 8 4 $4,502.00 $4,052.00 $1,069.00 $4,277.00 $3,721.00 2026-03-10
72157 CPT Mr T-spine W & Without Contrast 7 4 $4,501.00 $4,051.00 $835.00 $4,276.00 $3,720.00 2026-03-10
65425 CPT Bridionsugammadex 500mg/5ml 6 3 $4,342.00 $3,908.00 $3,589.00 $4,125.00 $3,683.50 2026-03-10
72197 CPT Mr Pelvis W & Without Contrast 7 4 $4,434.00 $3,991.00 $888.00 $4,212.00 $3,665.00 2026-03-10
72158 CPT Mr L-spine W & Without Contrast 7 4 $4,396.00 $3,956.00 $831.00 $4,176.00 $3,633.00 2026-03-10
74176 CPT CT Abd/pelvis Without Contrast 8 4 $4,194.00 $3,775.00 $449.00 $3,984.00 $3,466.00 2026-03-10
70553 CPT MRI Scan 7 4 $4,193.00 $3,774.00 $827.00 $3,983.00 $3,466.00 2026-03-10
95810 CPT Sleep Study 7 4 $4,113.00 $3,702.00 $898.00 $3,907.00 $3,399.00 2026-03-10
71552 CPT Mr Chest W & Without Contrast 7 4 $4,062.00 $3,656.00 $1,097.00 $3,859.00 $3,357.00 2026-03-10
73223 CPT Mr Upper Ext Joint W & Without Contrast Lt 6 3 $3,943.00 $3,549.00 $3,259.00 $3,746.00 $3,344.50 2026-03-10
70543 CPT Mr Orbit/face/neck W & Without Contrast 7 4 $3,957.00 $3,561.00 $882.00 $3,759.00 $3,270.00 2026-03-10
70552 CPT Mr Brain With Contrast 7 4 $3,912.00 $3,521.00 $700.00 $3,716.00 $3,233.00 2026-03-10
70546 CPT MRA Brain With Contrast 7 4 $3,908.00 $3,517.00 $905.00 $3,713.00 $3,230.00 2026-03-10
74175 CPT CTA Abdomen W & Without Contrast 7 4 $3,885.00 $3,497.00 $646.00 $3,691.00 $3,211.00 2026-03-10
73723 CPT Mr Lower Ext Joint W & Without Contrast Lt 6 3 $3,782.00 $3,404.00 $3,126.00 $3,593.00 $3,208.00 2026-03-10
72149 CPT Mr L-spine With Contrast 7 4 $3,800.00 $3,420.00 $704.00 $3,610.00 $3,141.00 2026-03-10
72146 CPT Mr T-spine Without Contrast 7 4 $3,768.00 $3,391.00 $493.00 $3,580.00 $3,114.00 2026-03-10
73220 CPT Mr Upper Ext No Joint W&without Contrast Lt 6 3 $3,657.00 $3,291.00 $3,023.00 $3,474.00 $3,102.50 2026-03-10
70551 CPT Mr Brain Without Contrast 7 4 $3,732.00 $3,359.00 $505.00 $3,545.00 $3,084.00 2026-03-10
73720 CPT Mr Lower Ext No Joint W&without Contrast Lt 6 3 $3,629.00 $3,266.00 $2,999.00 $3,448.00 $3,078.00 2026-03-10
72141 CPT Mr C-spine Without Contrast 7 4 $3,648.00 $3,283.00 $492.00 $3,466.00 $3,015.00 2026-03-10
75635 CPT CTA Lower Extremity & Aorta With Contras 7 4 $3,621.00 $3,259.00 $711.00 $3,440.00 $2,993.00 2026-03-10
3061053 CDM Udenyca Subcutaneous Solution 6mg/0.6ml 6 3 $3,523.00 $3,171.00 $2,912.00 $3,347.00 $2,988.50 2026-03-10
3000438 CDM Udenyca 6mg 6 3 $3,523.00 $3,171.00 $2,912.00 $3,347.00 $2,988.50 2026-03-10
70540 CPT Mr Orbit/face/neck Without Contrast 7 4 $3,584.00 $3,226.00 $590.00 $3,405.00 $2,962.00 2026-03-10
71275 CPT CTA Chest With Contrast 7 4 $3,582.00 $3,224.00 $648.00 $3,403.00 $2,961.00 2026-03-10
72148 CPT MRI Scan Of Lower Spinal Canal 8 4 $3,540.00 $3,186.00 $493.00 $3,363.00 $2,926.00 2026-03-10
70542 CPT Mr Orbit/face/neck With Contrast 7 4 $3,497.00 $3,147.00 $702.00 $3,322.00 $2,890.00 2026-03-10
3000335 CDM Prolia 60mg/ml Inj 6 3 $3,368.00 $3,031.00 $2,784.00 $3,200.00 $2,857.00 2026-03-10
28285 CPT Repair Of Hammertoe 7 4 $3,450.00 $3,105.00 $865.00 $3,278.00 $2,851.00 2026-03-10
72133 CPT CT L-spine W & Without Contrast 7 4 $3,410.00 $3,069.00 $584.00 $3,240.00 $2,818.00 2026-03-10
72195 CPT Mr Pelvis Without Contrast 7 4 $3,403.00 $3,063.00 $602.00 $3,233.00 $2,813.00 2026-03-10
74170 CPT CT Abdomen W & Without Contrast 7 4 $3,347.00 $3,012.00 $599.00 $3,180.00 $2,766.00 2026-03-10
73202 CPT CT Upper Ext W & Without Contrast (Rt) 6 3 $3,224.00 $2,902.00 $2,665.00 $3,063.00 $2,735.00 2026-03-10
72132 CPT CT L-spine With Contrast 7 4 $3,259.00 $2,933.00 $506.00 $3,096.00 $2,694.00 2026-03-10
72194 CPT CT Pelvis W & Without Contrast 7 4 $3,254.00 $2,929.00 $578.00 $3,091.00 $2,689.00 2026-03-10
71270 CPT CT Chest W & Without Contrast 7 4 $3,252.00 $2,927.00 $519.00 $3,089.00 $2,688.00 2026-03-10
70496 CPT CTA Head W & Without Contrast 7 4 $3,243.00 $2,919.00 $640.00 $3,081.00 $2,680.00 2026-03-10
70498 CPT CTA Neck W & Without Contrast 7 4 $3,242.00 $2,918.00 $640.00 $3,080.00 $2,680.00 2026-03-10
3000453 CDM Vivitrol (Naltrexone) 380mg 6 3 $3,126.00 $2,813.00 $2,584.00 $2,970.00 $2,652.00 2026-03-10
73702 CPT CT Lower Ext W & Without C (Rt) 6 3 $3,086.00 $2,777.00 $2,551.00 $2,932.00 $2,618.00 2026-03-10
72126 CPT CT C-spine With Contrast 7 4 $3,053.00 $2,748.00 $506.00 $2,900.00 $2,523.00 2026-03-10
45384 CPT Colonoscopy With Hot Forceps 7 4 $3,032.00 $2,729.00 $519.00 $2,880.00 $2,506.00 2026-03-10
78451 CPT Nm Heart Image (3d) Single 7 4 $3,008.00 $2,707.00 $769.00 $2,858.00 $2,486.00 2026-03-10
70492 CPT CT Soft Tissue Neck W & Without Contrast 7 4 $3,001.00 $2,701.00 $545.00 $2,851.00 $2,480.00 2026-03-10
73718 CPT Mr Lower Ext No Joint Without Contrast Lt 6 3 $2,914.00 $2,623.00 $2,408.00 $2,768.00 $2,471.50 2026-03-10
73218 CPT Mr Upper Ext No Joint Without Contrast Lt 6 3 $2,859.00 $2,573.00 $2,363.00 $2,716.00 $2,425.00 2026-03-10
74160 CPT CT Abdomen With Contrast 7 4 $2,833.00 $2,550.00 $531.00 $2,691.00 $2,341.00 2026-03-10
70470 CPT CT Head W & Without Contrast 8 4 $2,830.00 $2,547.00 $427.00 $2,689.00 $2,339.00 2026-03-10
72130 CPT CT T-spine W & Without Contrast 7 4 $2,827.00 $2,544.00 $584.00 $2,686.00 $2,337.00 2026-03-10
70336 CPT Mr Temporomandibular Joint/s Without Con 7 4 $2,819.00 $2,537.00 $670.00 $2,678.00 $2,330.00 2026-03-10
73721 CPT MRI Scan Of Leg Joint 6 3 $2,739.00 $2,465.00 $2,264.00 $2,602.00 $2,323.50 2026-03-10
73221 CPT Mr Upper Ext Joint Without Contrast Lt 6 3 $2,730.00 $2,457.00 $2,256.00 $2,594.00 $2,315.50 2026-03-10
72193 CPT CT Scan Of Pelvis With Contrast 7 4 $2,801.00 $2,521.00 $520.00 $2,661.00 $2,315.00 2026-03-10
71260 CPT CT Chest With Contrast 8 4 $2,789.00 $2,510.00 $438.00 $2,650.00 $2,305.00 2026-03-10
70482 CPT CT Orbits W & Without Contrast 7 4 $2,731.00 $2,458.00 $605.00 $2,594.00 $2,257.00 2026-03-10
70488 CPT CT Maxllofacial W & Without Contrast 7 4 $2,704.00 $2,434.00 $454.00 $2,569.00 $2,235.00 2026-03-10
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 7 4 $2,679.00 $2,411.00 $584.00 $2,545.00 $2,214.00 2026-03-10
72129 CPT CT T-spine With Contrast 7 4 $2,648.00 $2,383.00 $509.00 $2,516.00 $2,189.00 2026-03-10
70481 CPT CT Orbits With Contrast 7 4 $2,642.00 $2,378.00 $598.00 $2,510.00 $2,184.00 2026-03-10
51706 CPT Injectafer 750mg/15ml 6 3 $2,561.00 $2,305.00 $2,117.00 $2,433.00 $2,172.50 2026-03-10
70491 CPT CT Soft Tissue Neck With Contrast 7 4 $2,626.00 $2,363.00 $452.00 $2,495.00 $2,170.00 2026-03-10
73701 CPT CT Lower Ext With Contrast (Rt) 6 3 $2,545.00 $2,291.00 $2,103.00 $2,418.00 $2,158.50 2026-03-10
72125 CPT CT C-spine Without Contrast 7 4 $2,603.00 $2,343.00 $367.00 $2,473.00 $2,151.00 2026-03-10
3000183 CDM Fulphila 6mg 6 3 $2,533.00 $2,280.00 $2,094.00 $2,406.00 $2,149.00 2026-03-10
72128 CPT CT T-spine Without Contrast 7 4 $2,586.00 $2,327.00 $360.00 $2,457.00 $2,137.00 2026-03-10
72131 CPT CT L-spine Without Contrast 7 4 $2,579.00 $2,321.00 $360.00 $2,450.00 $2,132.00 2026-03-10
73201 CPT CT Upper Ext With Contrast (Rt) 6 3 $2,493.00 $2,244.00 $2,060.00 $2,368.00 $2,114.50 2026-03-10
71250 CPT CT Chest Without Contrast 7 4 $2,501.00 $2,251.00 $354.00 $2,376.00 $2,067.00 2026-03-10
70460 CPT CT Head With Contrast 7 4 $2,472.00 $2,225.00 $365.00 $2,348.00 $2,043.00 2026-03-10
72192 CPT CT Pelvis Without Contrast 7 4 $2,459.00 $2,213.00 $325.00 $2,336.00 $2,032.00 2026-03-10
74150 CPT CT Abdomen Without Contrast 7 4 $2,440.00 $2,196.00 $335.00 $2,318.00 $2,017.00 2026-03-10
70487 CPT CT Maxillofacial With Contrast 7 4 $2,409.00 $2,168.00 $373.00 $2,289.00 $1,991.00 2026-03-10
70480 CPT CT Orbits Without Contrast 7 4 $2,384.00 $2,146.00 $393.00 $2,265.00 $1,970.00 2026-03-10
73700 CPT CT Lower Ext Without Contrast (Rt) 6 3 $2,314.00 $2,083.00 $1,913.00 $2,198.00 $1,963.00 2026-03-10
3000346 CDM Reclast Inj 5mg/100ml 6 3 $2,290.00 $2,061.00 $1,893.00 $2,176.00 $1,942.50 2026-03-10
93306 CPT US Echo 2d Complete 7 4 $2,346.00 $2,111.00 $385.00 $2,229.00 $1,939.00 2026-03-10
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 7 4 $2,326.00 $2,093.00 $317.00 $2,210.00 $1,922.00 2026-03-10
78315 CPT Nm Bone Imaging 3 Phase 7 4 $2,316.00 $2,084.00 $783.00 $2,200.00 $1,914.00 2026-03-10
73200 CPT CT Elbow Without Contrast (Rt) 6 3 $2,227.00 $2,004.00 $1,841.00 $2,116.00 $1,889.00 2026-03-10
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 7 4 $2,274.00 $2,047.00 $280.00 $2,160.00 $1,879.00 2026-03-10
70490 CPT CT Soft Tissue Neck Without Contrast 7 4 $2,273.00 $2,046.00 $368.00 $2,159.00 $1,879.00 2026-03-10
G0121 HCPCS Colonoscopy Medicare Low 7 4 $2,272.00 $2,045.00 $289.00 $2,158.00 $1,878.00 2026-03-10
G0105 HCPCS Colonoscopy Medicare High 7 4 $2,235.00 $2,012.00 $288.00 $2,123.00 $1,847.00 2026-03-10
78472 CPT Nm Muga (Gated Blood Pool) 7 4 $2,218.00 $1,996.00 $519.00 $2,107.00 $1,833.00 2026-03-10
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 7 4 $2,214.00 $1,993.00 $460.00 $2,103.00 $1,830.00 2026-03-10
2589729 CDM Groshong 9 5fr Dual Lumen Cv Cath 6 3 $2,150.00 $1,935.00 $1,777.00 $2,043.00 $1,824.00 2026-03-10
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 7 4 $2,201.00 $1,981.00 $423.00 $2,091.00 $1,819.00 2026-03-10
70554 CPT MRA Brain Without Contrast 7 4 $2,184.00 $1,966.00 $978.00 $2,075.00 $1,805.00 2026-03-10
70450 CPT CT Scan 8 4 $2,174.00 $1,957.00 $258.00 $2,065.00 $1,797.00 2026-03-10
99292 CPT Critical Care Addl 30 Min 7 4 $2,059.00 $1,853.00 $206.00 $1,956.00 $1,702.00 2026-03-10
78227 CPT Nm Hida 7 4 $2,039.00 $1,835.00 $904.00 $1,937.00 $1,685.00 2026-03-10
78305 CPT Nm Nuclear Bone Scan Multiple Area 7 4 $2,039.00 $1,835.00 $634.00 $1,937.00 $1,685.00 2026-03-10
70486 CPT CT Maxillofacial Without Contrast 7 4 $2,022.00 $1,820.00 $310.00 $1,921.00 $1,671.00 2026-03-10
78306 CPT Nm Nuclear Bone Total Body 7 4 $1,968.00 $1,771.00 $684.00 $1,870.00 $1,627.00 2026-03-10
45381 CPT Colonoscopy W/ink Tattoo 6 3 $1,876.00 $1,688.00 $1,551.00 $1,782.00 $1,591.50 2026-03-10
87507 CPT Gastrointestinal Pathogen Panel, Feces 7 4 $1,890.00 $1,701.00 $849.00 $1,796.00 $1,562.00 2026-03-10
99291 CPT ER-lev 6-critical ER Visit:1st 30-74 Min 7 4 $1,832.00 $1,649.00 $412.00 $1,740.00 $1,514.00 2026-03-10
P9035 HCPCS Platelets /1unit 6 3 $1,646.00 $1,481.00 $1,360.00 $1,564.00 $1,396.00 2026-03-10
59409 CPT Emergency Labor & Delivery 7 4 $1,499.00 $1,349.00 $1,239.00 $1,424.00 $1,304.00 2026-03-10
93880 CPT US Carotid Artery Bilateral 7 4 $1,544.00 $1,390.00 $371.00 $1,467.00 $1,276.00 2026-03-10
93970 CPT US Venous Duplex Lower Bilateral 7 4 $1,449.00 $1,304.00 $359.00 $1,377.00 $1,198.00 2026-03-10
93015 CPT Treadmill Stress Test 7 4 $1,391.00 $1,252.00 $134.00 $1,321.00 $1,150.00 2026-03-10
99285 CPT ER- Level 5high ER Visit 7 4 $1,322.00 $1,190.00 $321.00 $1,256.00 $1,093.00 2026-03-10
93931 CPT US Arterial Duplex Upper (Rt) 6 3 $1,247.00 $1,122.00 $1,031.00 $1,185.00 $1,058.00 2026-03-10
93925 CPT US Arterial Duplex Lower Bilateral 7 4 $1,237.00 $1,113.00 $471.00 $1,175.00 $1,022.00 2026-03-10
93975 CPT US Abdomen Vascular Duplex 7 4 $1,232.00 $1,109.00 $513.00 $1,170.00 $1,018.00 2026-03-10
93017 CPT Cr Cardiac Stress Test 7 4 $1,216.00 $1,094.00 $62.00 $1,155.00 $1,005.00 2026-03-10
93930 CPT US Arterial Duplex Upper Bilateral 7 4 $1,158.00 $1,042.00 $378.00 $1,100.00 $957.00 2026-03-10
93971 CPT US Venous Duplex Lower (Lt) 6 3 $1,095.00 $986.00 $905.00 $1,040.00 $929.00 2026-03-10
3000418 CDM Zarxio 300mcg/0.5ml 6 3 $1,094.00 $985.00 $904.00 $1,039.00 $928.00 2026-03-10
93978 CPT US Aorta / Ivc / Iliac Duplex, Complete 7 4 $1,108.00 $997.00 $347.00 $1,053.00 $916.00 2026-03-10
12052 CPT Layer Repr Face >2.6cm-5.0cm 7 4 $1,103.00 $993.00 $456.00 $1,048.00 $912.00 2026-03-10
87506 CPT Gastrointestinal Pathogen Panel 7 4 $1,092.00 $983.00 $482.00 $1,037.00 $903.00 2026-03-10
27265 CPT Treatment Of Prosthetic Hip Dislocation 7 4 $1,082.00 $974.00 $894.00 $1,028.00 $895.00 2026-03-10
J7325 HCPCS Synvisc/synvisc-one 1 Mg 7 4 $1,076.00 $968.00 $11.00 $1,022.00 $889.00 2026-03-10
3000334 CDM Procrit 40,000 Units/ml 6 3 $1,042.00 $938.00 $861.00 $990.00 $884.00 2026-03-10
13121 CPT Comp Repair Scalp, Arms, Legs 2.6-7.5cm 7 4 $1,066.00 $959.00 $597.00 $1,013.00 $881.00 2026-03-10
3000108 CDM Cl-synvisc One Syringe 48 Mg 6 3 $1,035.00 $932.00 $855.00 $983.00 $877.50 2026-03-10
3000366 CDM Synvisc One/hylan G-f 20 Syr 48mg 6 3 $1,035.00 $932.00 $855.00 $983.00 $877.50 2026-03-10
3000109 CDM Cl-synvisc Syringe 16 Mg 6 3 $1,035.00 $932.00 $855.00 $983.00 $877.50 2026-03-10
93926 CPT US Arterial Duplex Lower (Rt) 6 3 $1,005.00 $905.00 $831.00 $955.00 $852.50 2026-03-10
27840 CPT Closed Tx Of Ankle Disloc 13 4 $1,519.00 $1,367.00 $741.00 $1,443.00 $852.00 2026-03-10
100010 CDM Semi-private Room 6 3 $1,004.00 $904.00 $830.00 $954.00 $851.50 2026-03-10
74240 CPT Xr Upper Gastrointestinal Tract W/sm Int 7 4 $1,014.00 $913.00 $272.00 $963.00 $838.00 2026-03-10
93246 CPT Crcam Monitor >7-15days 6 3 $983.00 $885.00 $812.00 $934.00 $833.50 2026-03-10
J2794 HCPCS Risperdal 50 Mg Injection 7 4 $990.00 $891.00 $15.00 $941.00 $818.00 2026-03-10
36430 CPT Blood Transfusion >6 Hours 13 4 $965.00 $869.00 $76.00 $917.00 $798.00 2026-03-10
93923 CPT Cr Arterial Segmental Lower 7 4 $963.00 $867.00 $245.00 $915.00 $796.00 2026-03-10
93924 CPT US Ankle Arm Index W/exercise (Abi) 7 4 $949.00 $854.00 $303.00 $902.00 $784.00 2026-03-10
93308 CPT US Echo 2d Limited 7 4 $941.00 $847.00 $182.00 $894.00 $778.00 2026-03-10
74400 CPT Xr Urography Intravenous 7 4 $939.00 $845.00 $264.00 $892.00 $776.00 2026-03-10
26775 CPT Treat Finger Dislocation W/anesthesia 13 4 $935.00 $842.00 $625.00 $888.00 $767.00 2026-03-10
12034 CPT Lacer Layered 7.6-12.5cm 7 4 $919.00 $827.00 $463.00 $873.00 $760.00 2026-03-10
3000172 CDM Filgrastim Inj 480 Mcg/1.6 Ml 6 3 $887.00 $798.00 $733.00 $843.00 $752.50 2026-03-10
A9500 HCPCS Tc99m Sestamibi(cardiolit 7 4 $903.00 $813.00 $172.00 $858.00 $746.00 2026-03-10
77075 CPT Xr Osseous Survey Axial&appendicular Ske 7 4 $899.00 $809.00 $205.00 $854.00 $743.00 2026-03-10
27786 CPT Fracture Care Distal Fibula 7 4 $885.00 $797.00 $633.00 $841.00 $731.00 2026-03-10
11606 CPT Excision Malignant Lesion Over 4 Cm 7 4 $882.00 $794.00 $712.00 $838.00 $729.00 2026-03-10
76700 CPT Ultrasound Of Abdomen 8 4 $937.00 $843.00 $272.00 $890.00 $729.00 2026-03-10
99284 CPT ER- Level 4major ER Visit 7 4 $877.00 $789.00 $218.00 $833.00 $725.00 2026-03-10
P9016 HCPCS Unit 2 Charge 6 3 $849.00 $764.00 $702.00 $807.00 $720.50 2026-03-10
76856 CPT US Pelvis 7 4 $859.00 $773.00 $244.00 $816.00 $710.00 2026-03-10
76770 CPT US Retroperitoneal (Renal) 7 4 $856.00 $770.00 $252.00 $813.00 $707.00 2026-03-10
5800010 CDM Swing Bed 6 3 $826.00 $743.00 $683.00 $785.00 $701.00 2026-03-10
24500 CPT Fract Humeral Shaft-close 7 4 $806.00 $725.00 $666.00 $766.00 $701.00 2026-03-10
93882 CPT US Carotid Artery (Rt) 6 3 $809.00 $728.00 $669.00 $769.00 $686.50 2026-03-10
100002 CDM Hospice 6 3 $795.00 $716.00 $657.00 $755.00 $674.50 2026-03-10
26725 CPT Fracture Finger 7 4 $761.00 $685.00 $629.00 $723.00 $662.00 2026-03-10
97607 CPT Negative Pressure Wound Therapy <=50sqcm 7 4 $777.00 $699.00 $75.00 $738.00 $642.00 2026-03-10
100003 CDM Respite Care Level 2 6 3 $750.00 $675.00 $620.00 $713.00 $636.50 2026-03-10
12051 CPT Layer Repr Face <2.5cm 7 4 $766.00 $689.00 $383.00 $728.00 $633.00 2026-03-10
93979 CPT US Aorta / Ivc / Iliac Duplex, Limited 7 4 $760.00 $684.00 $221.00 $722.00 $628.00 2026-03-10
31500 CPT Endotracheal Intubation 7 4 $753.00 $678.00 $321.00 $715.00 $622.00 2026-03-10
25600 CPT Frac Care Distal Radius 7 4 $714.00 $643.00 $590.00 $692.00 $621.00 2026-03-10
26160 CPT Excision Of Lesion, Cyst, Hand Or Finger 7 4 $705.00 $635.00 $583.00 $740.00 $613.00 2026-03-10
12032 CPT Laceration Layer Repair 2.6cm-7.5cm 13 4 $737.00 $663.00 $434.00 $700.00 $609.00 2026-03-10
94060 CPT Sp Spirometry Pre-vs Post-bronchodilator 7 4 $717.00 $645.00 $110.00 $681.00 $593.00 2026-03-10
76705 CPT US Abdomen Limited 7 4 $718.00 $646.00 $203.00 $682.00 $593.00 2026-03-10
74250 CPT Xr Small Bowel Series 7 4 $717.00 $645.00 $250.00 $681.00 $593.00 2026-03-10
46965 CPT Lexiscan Inj 6 3 $698.00 $628.00 $577.00 $663.00 $592.00 2026-03-10
76870 CPT US Scrotum 7 4 $716.00 $644.00 $235.00 $680.00 $592.00 2026-03-10
30906 CPT Control Nasal Hemorrhage W/cautery Subse 7 4 $705.00 $635.00 $304.00 $670.00 $583.00 2026-03-10
11643 CPT Exc Malignant Face 2.1 To 3.0 7 4 $700.00 $630.00 $514.00 $665.00 $579.00 2026-03-10
77074 CPT Xr Osseous Survey Limited (Metastases) 7 4 $701.00 $631.00 $151.00 $666.00 $579.00 2026-03-10
76830 CPT Ultrasound Pelvis Through Vagina 7 4 $698.00 $628.00 $272.00 $663.00 $577.00 2026-03-10
74220 CPT Xr Esophagus 7 4 $697.00 $627.00 $216.00 $662.00 $576.00 2026-03-10
26770 CPT Closed Finger Dislocation Wo Anesth 7 4 $680.00 $612.00 $562.00 $646.00 $569.00 2026-03-10
2589730 CDM Cricithyotomy Kit(nu Trach) 6 3 $670.00 $603.00 $554.00 $637.00 $568.50 2026-03-10
72052 CPT Xr C-spine Minimum 6 Views 7 4 $679.00 $611.00 $133.00 $645.00 $561.00 2026-03-10
76881 CPT US Extremity Complete 7 4 $679.00 $611.00 $199.00 $645.00 $561.00 2026-03-10
30905 CPT Control Nasal Hemorrhage W/cautery Initi 7 4 $671.00 $604.00 $236.00 $637.00 $555.00 2026-03-10
76536 CPT US Soft Tissue Neck 7 4 $663.00 $597.00 $256.00 $630.00 $548.00 2026-03-10
3000311 CDM Orthovisc 30mg/2ml 6 3 $644.00 $580.00 $532.00 $612.00 $546.00 2026-03-10
26600 CPT Frac Care Metacarpal 7 4 $621.00 $559.00 $513.00 $616.00 $540.00 2026-03-10
11623 CPT Excision Malignant Lesion 3cm Plus 7 4 $645.00 $581.00 $474.00 $613.00 $533.00 2026-03-10
28470 CPT Fracture Metatarsal 7 4 $632.00 $569.00 $455.00 $600.00 $522.00 2026-03-10
11603 CPT Exc Malignant Lesion 2.1 To 3 Cm 7 4 $630.00 $567.00 $438.00 $599.00 $521.00 2026-03-10
12014 CPT Laceration Face 5.1-7.5 Cm 13 4 $630.00 $567.00 $167.00 $599.00 $521.00 2026-03-10
11426 CPT Benign Lesion Other 4.0cm 7 4 $597.00 $537.00 $493.00 $611.00 $519.00 2026-03-10
73522 CPT Xr Hip Bilateral 3 Or 4 Views 7 4 $627.00 $564.00 $111.00 $596.00 $518.00 2026-03-10
25500 CPT Frac Care Radial Wo Manip 7 4 $594.00 $535.00 $491.00 $564.00 $517.00 2026-03-10
76641 CPT US Breast Complete (Lt) 7 4 $621.00 $559.00 $239.00 $590.00 $513.00 2026-03-10
16025 CPT Dressing &/Or Debridement 5-10% Total Bo 7 4 $614.00 $553.00 $246.00 $583.00 $507.00 2026-03-10
11424 CPT Excision B9 Skin Arm W/shoulder 3.1-4 Cm 7 4 $609.00 $548.00 $400.00 $579.00 $503.00 2026-03-10
76999 CPT US Misc (Diagnostic Interventional) 6 3 $591.00 $532.00 $339.00 $561.00 $501.00 2026-03-10
16020 CPT Dressing &/Or Debridement <5% Total Body 7 4 $603.00 $543.00 $121.00 $573.00 $498.00 2026-03-10
76604 CPT US Chest 7 4 $590.00 $531.00 $198.00 $561.00 $488.00 2026-03-10
30903 CPT Control Nasal Hemorrhage Complex 7 4 $591.00 $532.00 $176.00 $561.00 $488.00 2026-03-10
11642 CPT Malgnt Lesion Face 1.1-2c 7 4 $583.00 $525.00 $412.00 $554.00 $482.00 2026-03-10
0563U CPT Large Respiratory Panel (covid-19) 6 3 $568.00 $511.00 $469.00 $540.00 $481.50 2026-03-10
0564U CPT Large Throat Panel 6 3 $568.00 $511.00 $469.00 $540.00 $481.50 2026-03-10
3000287 CDM Neupogen 300 Mcg 6 3 $565.00 $509.00 $467.00 $537.00 $479.50 2026-03-10
76882 CPT US Extremity Limited 7 4 $575.00 $518.00 $128.00 $546.00 $475.00 2026-03-10
71111 CPT Xr Ribs Bilateral W/chest Minimum 4 View 7 4 $574.00 $517.00 $109.00 $545.00 $474.00 2026-03-10
93922 CPT US Ankle Brachial Index (Abi) 7 4 $571.00 $514.00 $158.00 $542.00 $472.00 2026-03-10
3000333 CDM Procrit 20,000 U/ml 6 3 $556.00 $500.00 $460.00 $528.00 $472.00 2026-03-10
72110 CPT X-ray Of Lower Back 7 4 $564.00 $508.00 $113.00 $536.00 $466.00 2026-03-10
74022 CPT Xr Abdomen W/chest Minimum 3 Views 7 4 $562.00 $506.00 $103.00 $534.00 $464.00 2026-03-10
90675 CPT Rabavert Rabies Vaccine 7 4 $560.00 $504.00 $406.00 $532.00 $463.00 2026-03-10
97606 CPT Negative Pressure Wound Therapy >=50cm 7 4 $559.00 $503.00 $47.00 $531.00 $462.00 2026-03-10
3000192 CDM Glucagon Kit [1 Mg] 6 3 $544.00 $490.00 $450.00 $517.00 $461.50 2026-03-10
11622 CPT Malgnt Lesion Other 1-2cm 7 4 $551.00 $496.00 $383.00 $523.00 $455.00 2026-03-10
10121 CPT Removal Fb Complicated 7 4 $551.00 $496.00 $415.00 $523.00 $455.00 2026-03-10
12041 CPT Intermediate Laceration Repair Finger 7 4 $550.00 $495.00 $335.00 $523.00 $455.00 2026-03-10
99244 CPT Patient Office Consultation, 60 Min 6 3 $532.00 $479.00 $440.00 $505.00 $451.50 2026-03-10
72050 CPT Xr C-spine 4 Or 5 Views 7 4 $546.00 $491.00 $112.00 $519.00 $451.00 2026-03-10
99283 CPT ER- Level 3moderate ER Visit 7 4 $544.00 $490.00 $115.00 $517.00 $450.00 2026-03-10
64121 CPT Cl-gardasil (Human Papillomavirus Quad) 6 3 $530.00 $477.00 $438.00 $504.00 $449.50 2026-03-10
93225 CPT Crcam Monitor Up To 48 Hr 7 4 $543.00 $489.00 $47.00 $516.00 $449.00 2026-03-10
23500 CPT Fracture Clavical-clsd 7 4 $511.00 $460.00 $422.00 $493.00 $445.00 2026-03-10
11621 CPT Malgnt Lesion Other .6-1c 7 4 $537.00 $483.00 $336.00 $510.00 $444.00 2026-03-10
87522 CPT Hepatitis B Surface Antibody Quant 7 4 $533.00 $480.00 $87.00 $506.00 $441.00 2026-03-10
11602 CPT Malignant Lesion 1-2cm 7 4 $533.00 $480.00 $366.00 $506.00 $441.00 2026-03-10
11641 CPT Mal Lesion Face .6-1cm 7 4 $531.00 $478.00 $350.00 $504.00 $439.00 2026-03-10
72082 CPT Xr Scoliosis Survey 2 Or 3 Views 7 4 $530.00 $477.00 $144.00 $504.00 $438.00 2026-03-10
A9502 HCPCS Tc99m Tetrofosmin 7 4 $530.00 $477.00 $164.00 $504.00 $438.00 2026-03-10
43762 CPT Replace G Tube 7 4 $528.00 $475.00 $85.00 $502.00 $436.00 2026-03-10
100001 CDM Respite Care Level 1 6 3 $500.00 $450.00 $413.00 $475.00 $424.00 2026-03-10
13131 CPT Cmplx Repr Face 1.1-2.5cm 7 4 $486.00 $437.00 $402.00 $558.00 $423.00 2026-03-10
93242 CPT Crcam Monitor > 48hr-7day 6 3 $491.00 $442.00 $406.00 $466.00 $416.50 2026-03-10
99205 CPT New Patient Office Or Other Outpatient Visit, 60 Min 14 4 $458.00 $412.00 $210.00 $500.00 $416.50 2026-03-10
77080 CPT Xr Dxa Bone Density 7 4 $499.00 $449.00 $89.00 $474.00 $412.00 2026-03-10
90651 CPT Human Papil Vac 3 Dose 6 3 $480.00 $432.00 $397.00 $456.00 $407.50 2026-03-10
26750 CPT Fracture Distal Finger 7 4 $468.00 $421.00 $387.00 $445.00 $407.00 2026-03-10
72190 CPT Xr Pelvis Minimum 3 Views 7 4 $488.00 $439.00 $88.00 $464.00 $403.00 2026-03-10
90670 CPT Prevnar 13 7 4 $462.00 $416.00 $310.00 $439.00 $402.00 2026-03-10
73521 CPT Xr Hip Bilateral 2 Views 7 4 $483.00 $435.00 $85.00 $459.00 $399.00 2026-03-10
12004 CPT Laceration 7.6-12.5cm 13 4 $710.00 $639.00 $164.00 $675.00 $397.00 2026-03-10
26720 CPT Fracture Care Finger/thum 7 4 $455.00 $410.00 $376.00 $432.00 $396.00 2026-03-10
71110 CPT Xr Ribs Bilateral 3 Views 7 4 $478.00 $430.00 $92.00 $454.00 $395.00 2026-03-10
70200 CPT Xr Orbits Minimum 4 Views 7 4 $475.00 $428.00 $98.00 $451.00 $393.00 2026-03-10
77066 CPT Mammography Of Both Breasts 7 4 $474.00 $427.00 $377.00 $450.00 $392.00 2026-03-10
76857 CPT US Pelvis Limited 7 4 $469.00 $422.00 $110.00 $446.00 $388.00 2026-03-10
73564 CPT Xr Knee Minimum 4 Views (Lt) 6 3 $454.00 $409.00 $375.00 $431.00 $385.00 2026-03-10
70260 CPT Xr Skull Minimum 4 Views 7 4 $466.00 $419.00 $106.00 $443.00 $385.00 2026-03-10
83993 CPT Calprotectin Stool 7 4 $466.00 $419.00 $40.00 $443.00 $385.00 2026-03-10
27250 CPT Treat Hip Dislocation 7 4 $441.00 $397.00 $364.00 $419.00 $384.00 2026-03-10
10061 CPT I&d Cyst Multiple 7 4 $440.00 $396.00 $364.00 $418.00 $383.00 2026-03-10
70110 CPT Xr Mandible Minimum 4 Views 7 4 $464.00 $418.00 $89.00 $441.00 $383.00 2026-03-10
64984 CPT Cl-proquad 0.5ml 6 3 $450.00 $405.00 $372.00 $428.00 $382.00 2026-03-10
84445 CPT Thyroid Stimulating Immunoglobulins-seru 7 4 $462.00 $416.00 $104.00 $439.00 $382.00 2026-03-10
70150 CPT Xr Facial Bones Minimum 3 Views 7 4 $462.00 $416.00 $97.00 $439.00 $382.00 2026-03-10
87535 CPT Ql HIV 1 Rna, Ql Rt Pcr 7 4 $459.00 $413.00 $71.00 $436.00 $379.00 2026-03-10
12013 CPT Simple Rpr Face/ear/eye/nose 2.5cm-5cm 13 4 $818.00 $736.00 $130.00 $777.00 $374.00 2026-03-10
2589962 CDM Tap 2.0 Stand Reposition Turn Sheet 6 3 $440.00 $396.00 $364.00 $418.00 $373.50 2026-03-10
90710 CPT Proquad 7 4 $450.00 $405.00 $193.00 $428.00 $372.00 2026-03-10
83519 CPT Acetylcholine Receptor Antibodies-serum 7 4 $447.00 $402.00 $34.00 $425.00 $369.00 2026-03-10
72100 CPT Xr L-spine 2 Or 3 Views 7 4 $447.00 $402.00 $81.00 $425.00 $369.00 2026-03-10
71101 CPT Xr Ribs W/chest Minimum 3 Views (Lt) 6 3 $431.00 $388.00 $356.00 $409.00 $365.50 2026-03-10
72081 CPT Xr Scoliosis Survey 1 View 7 4 $442.00 $398.00 $90.00 $420.00 $365.00 2026-03-10
11601 CPT Excision Malignant Trunk .6 To 1 Cm 7 4 $442.00 $398.00 $334.00 $420.00 $365.00 2026-03-10
76642 CPT US Breast Limited (Lt) 7 4 $439.00 $395.00 $196.00 $417.00 $363.00 2026-03-10
87632 CPT Infectious Agent Detection By Nucleic Ac 6 3 $425.00 $383.00 $351.00 $404.00 $360.50 2026-03-10
71047 CPT Xr Chest 3 Views 7 4 $436.00 $392.00 $89.00 $414.00 $360.00 2026-03-10
11423 CPT Excision 2.1 To 3.0 Cm Benign Lesion 7 4 $435.00 $392.00 $348.00 $413.00 $360.00 2026-03-10
2589726 CDM System Chest Drain Adult/ped 6 3 $422.00 $380.00 $349.00 $401.00 $358.00 2026-03-10
99215 CPT Treatment Room 5 19 4 $433.00 $390.00 $199.00 $1,097.00 $358.00 2026-03-10
77067 CPT Mammography, Screening, Bilateral 8 4 $420.00 $378.00 $248.00 $399.00 $356.00 2026-03-10
69339136 CDM Diazepam Injection Solution 5mg/1ml 6 3 $420.00 $378.00 $347.00 $399.00 $356.00 2026-03-10
11442 CPT Benign Lesion Face 1-2cm 7 4 $429.00 $386.00 $323.00 $408.00 $355.00 2026-03-10
51705 CPT Change Of Cystostomy Tube Simple 7 4 $427.00 $384.00 $119.00 $406.00 $353.00 2026-03-10
94618 CPT Cr 6 Min Walk Test Pulmonary Stress Test 7 4 $423.00 $381.00 $64.00 $402.00 $350.00 2026-03-10
70220 CPT Xr Sinuses Minimum 3 Views 7 4 $424.00 $382.00 $87.00 $403.00 $350.00 2026-03-10
3000075 CDM Cl-bexsero 0.5ml 6 3 $410.00 $369.00 $339.00 $390.00 $348.00 2026-03-10
8090620 CDM Bexserogroup B 2 Dose 6 3 $410.00 $369.00 $339.00 $390.00 $348.00 2026-03-10
11403 CPT Benign Lesion 2.1-3cm 7 4 $420.00 $378.00 $328.00 $399.00 $347.00 2026-03-10
76775 CPT US Retroperitoneal (Aorta) Limited 7 4 $420.00 $378.00 $131.00 $399.00 $347.00 2026-03-10
96365 CPT Obs IV Therapy Initial 8 4 $416.00 $374.00 $131.00 $395.00 $344.00 2026-03-10
11750 CPT Removal Nail Permanentingrown / Defor 7 4 $416.00 $374.00 $233.00 $395.00 $344.00 2026-03-10
82139 CPT Amino Acid Analysis 7 4 $413.00 $372.00 $34.00 $392.00 $341.00 2026-03-10
96360 CPT Obs Hydration IV Initial 8 4 $400.00 $360.00 $70.00 $399.00 $339.50 2026-03-10
73562 CPT Xr Knee 3 Views (Rt) 6 3 $399.00 $359.00 $330.00 $379.00 $338.50 2026-03-10
6700028 CDM Oxygen 6 3 $398.00 $358.00 $329.00 $378.00 $337.50 2026-03-10
G0378 HCPCS Observ Room Initial 12 3 $403.50 $363.50 $35.00 $727.00 $336.00 2026-03-10
87633 CPT Respiratory Probe 7 4 $386.00 $347.00 $319.00 $849.00 $336.00 2026-03-10
99306 CPT New Pt Nursing Home 45 Min 6 3 $395.00 $356.00 $326.00 $375.00 $335.00 2026-03-10
77065 CPT Mammography Of One Breast 6 3 $391.00 $352.00 $323.00 $371.00 $331.50 2026-03-10
10140 CPT I&d Hematoma 7 4 $400.00 $360.00 $266.00 $380.00 $331.00 2026-03-10
2589852 CDM Ez-io 45mm Needle 5/bx 6 3 $389.00 $350.00 $322.00 $370.00 $330.00 2026-03-10
2589851 CDM Ez-io 25mm Needle 5/bx 6 3 $389.00 $350.00 $322.00 $370.00 $330.00 2026-03-10
74019 CPT Xr Abdomen Minimum 2 Views 7 4 $395.00 $356.00 $77.00 $375.00 $326.00 2026-03-10
72202 CPT Xr Sacroiliac Joints Minimum 3 Views 7 4 $395.00 $356.00 $77.00 $375.00 $326.00 2026-03-10
6700024 CDM O2 @ 5l/min Nc 6 3 $382.00 $344.00 $316.00 $363.00 $324.00 2026-03-10
6700022 CDM O2 @ 10l/min Simple Mask 6 3 $382.00 $344.00 $316.00 $363.00 $324.00 2026-03-10
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