Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER

Osceola, NE · CCN 281314 · Rates published

Your selected procedure

You selected 93350 (CPT)

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

2,094 distinct procedures filed
12 distinct payers
16,192 rate rows
2026-05-28 last MRF observed
Data quality

12 of 16,192 rate rows are consumer-grade (0.1%)

16,180 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16,159
per-diem day rate — not a per-procedure price 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file http://www.ajhc.org/files/QuickSiteImages/Charge_Master_Listing.csv
Found on page http://www.ajhc.org/files/QuickSiteImages/Charge_Master_Listing.csv
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 5a819697d6ad66af… · 132,101 bytes · first seen 2026-05-05

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
111
OTHER 		Tlc Room 4 $6,606.88 $6,606.88 $6,606.88 nat. median
$6,124
1.1× median
121
OTHER 		Med/surg Room 4 $6,606.88 $6,606.88 $6,606.88 nat. median
$10,120
0.7× median
171
OTHER 		Routine Baby Care 4 $6,606.88 $6,606.88 $6,606.88 nat. median
$1,863
outlier · 3.5×
0361U
CPT 		Neurofilament Light Chain, Plasma 0 — — — nat. median
$560
10061
CPT 		Under Incision & Drainage 0 — — — nat. median
$500
10080
CPT 		I&d Pilonidal Cyst, Simple 0 — — — nat. median
$695
10060
CPT 		Incision And Drain Abcess Simple Single 0 — — — nat. median
$293
10140
CPT 		Serosanquinous Drainage & Packing 0 — — — nat. median
$1,664
10160
CPT 		Punct Aspiration Hematoma Bull/cyst 0 — — — nat. median
$440
11042
CPT 		Debridemnt Subq Tissue 20 Sq Or Less 0 — — — nat. median
$523
11102
CPT 		Tangential Biopsy Of Skin X1 0 — — — nat. median
$278
11302
CPT 		Shave Lesion 1.1-2.0 Cm 0 — — — nat. median
$232
11406
CPT 		Excision Benign Lesion T/a/l/ 4+cm 0 — — — nat. median
$1,752
11421
CPT 		Excision Benin Lesion S/n/h/f/gen 06-1cm 0 — — — nat. median
$760
11442
CPT 		Excision Of B9 Les F/e/e/n.l/m 1.1-2 Cm 0 — — — nat. median
$769
12005
CPT 		Simple Rpr Sthf 12.6-20cm 0 — — — nat. median
$507
11443
CPT 		Excision Of Facial Lesion 2.1-3 Cm 0 — — — nat. median
$1,552
11601
CPT 		Excision, Malignant .6-1.0cm 0 — — — nat. median
$717
11641
CPT 		Skin Lesion Removal Eyelid .6-1.0cm 0 — — — nat. median
$740
11643
CPT 		Exc F/e/e/n/l Mal+mar 2.1-3 0 — — — nat. median
$1,583
11719
CPT 		Trimming Of Nondystrophic Nails 0 — — — nat. median
$81
11730
CPT 		Removal Of Nail Bed 0 — — — nat. median
$250
11740
CPT 		Drain Blood From Under Nail 0 — — — nat. median
$156
11750
CPT 		Removal Of Full Or Partial Nail 0 — — — nat. median
$527
11760
CPT 		Repair Nail Bed 0 — — — nat. median
$718
11770
CPT 		Removal Of Pilonidal Cyst Simple 0 — — — nat. median
$2,837
11771
CPT 		Excision Pilonidal Cyst 0 — — — nat. median
$2,941
11772
CPT 		Removal Pilonidal Cyst Complicated 0 — — — nat. median
$3,009
12001
CPT 		Simple Repair Sc/neck/ac/trunk <2.5 Com 0 — — — nat. median
$282
12002
CPT 		Simple Rpr Sthf 2.6cm-7.5cm 0 — — — nat. median
$299
12004
CPT 		Simple Rpr Sthf 7.6cm-12.5cm 0 — — — nat. median
$320
11422
CPT 		Exc Benign Les 1.1-2.0 S/n/h/f/gen Beni 0 — — — nat. median
$1,544
12006
CPT 		Repair Simp S/n/a/gn/trk 20.1-30.0cm 0 — — — nat. median
$528
12007
CPT 		Repair Simp S/n/a/g/trnk >30.0 Cm 0 — — — nat. median
$398
12011
CPT 		Simple Rpr Face 2.5cm Or Less 0 — — — nat. median
$299
12013
CPT 		Repair Simp Fel 2.6cm-5.0cm 0 — — — nat. median
$308
12014
CPT 		Repair Simp F/e/e/n/l/m 5.1-7.5 Cm 0 — — — nat. median
$335
12015
CPT 		Repair Simp F/e/e/n/l/m 7.6-12.5 Cm 0 — — — nat. median
$347
12016
CPT 		Simple Rpr Feenl 12.6-20cm 0 — — — nat. median
$525
12021
CPT 		Trmt Superficial Wound Packing 0 — — — nat. median
$480
12031
CPT 		Ntrmd Rpr Sate 2.5cm Or Less 0 — — — nat. median
$486
12032
CPT 		Repair Inter S/ A/t/e 2.6-7.5cm 0 — — — nat. median
$546
12034
CPT 		Intmd Rpr S/tr/ext 7.6-12.5 0 — — — nat. median
$583
12035
CPT 		Intmd Rpr S/a/t/ext 12.6-20 0 — — — nat. median
$644
12041
CPT 		Intmd Rpr N-hf/genit 2.5cm/< 0 — — — nat. median
$497
12042
CPT 		Intmd Rpr N-hf/genit2.6-7.5 0 — — — nat. median
$541
12045
CPT 		Intmd Rpr S/tr/ext 7.6-12.5 0 — — — nat. median
$810
12051
CPT 		Intmd Rpr Face/mm 2.5 Cm/< 0 — — — nat. median
$513
12052
CPT 		Intmd Rpr Face/mm 2.6-5.0 Cm 0 — — — nat. median
$535
10120
CPT 		Removal Of Foreign Body 0 — — — nat. median
$445

Other procedures at this hospital

Browse this hospital's 2,094 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
             
171 OTHER Routine Baby Care 4 4 $900.00 $864.00 $6,606.88 $6,606.88 $6,606.88 2026-05-08
121 OTHER Med/surg Room 4 4 $1,625.00 $1,560.00 $6,606.88 $6,606.88 $6,606.88 2026-05-08
111 OTHER Tlc Room 4 4 $700.00 $672.00 $6,606.88 $6,606.88 $6,606.88 2026-05-08
0361U CPT Neurofilament Light Chain, Plasma 0 0 $966.14 $927.49 — — — 2026-05-08
10061 CPT Under Incision & Drainage 0 0 $1,200.00 $1,152.00 — — — 2026-05-08
10080 CPT I&d Pilonidal Cyst, Simple 0 0 $800.00 $768.00 — — — 2026-05-08
10060 CPT Incision And Drain Abcess Simple Single 0 0 $600.00 $576.00 — — — 2026-05-08
10140 CPT Serosanquinous Drainage & Packing 0 0 $750.00 $720.00 — — — 2026-05-08
10160 CPT Punct Aspiration Hematoma Bull/cyst 0 0 $300.00 $288.00 — — — 2026-05-08
11042 CPT Debridemnt Subq Tissue 20 Sq Or Less 0 0 $600.00 $576.00 — — — 2026-05-08
11102 CPT Tangential Biopsy Of Skin X1 0 0 $350.00 $336.00 — — — 2026-05-08
11302 CPT Shave Lesion 1.1-2.0 Cm 0 0 $750.00 $720.00 — — — 2026-05-08
11406 CPT Excision Benign Lesion T/a/l/ 4+cm 0 0 $3,000.00 $2,880.00 — — — 2026-05-08
11421 CPT Excision Benin Lesion S/n/h/f/gen 06-1cm 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
11442 CPT Excision Of B9 Les F/e/e/n.l/m 1.1-2 Cm 0 0 $1,500.00 $1,440.00 — — — 2026-05-08
12005 CPT Simple Rpr Sthf 12.6-20cm 0 0 $400.00 $384.00 — — — 2026-05-08
11443 CPT Excision Of Facial Lesion 2.1-3 Cm 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
11601 CPT Excision, Malignant .6-1.0cm 0 0 $600.00 $576.00 — — — 2026-05-08
11641 CPT Skin Lesion Removal Eyelid .6-1.0cm 0 0 $500.00 $480.00 — — — 2026-05-08
11643 CPT Exc F/e/e/n/l Mal+mar 2.1-3 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
11719 CPT Trimming Of Nondystrophic Nails 0 0 $85.00 $81.60 — — — 2026-05-08
11730 CPT Removal Of Nail Bed 0 0 $500.00 $480.00 — — — 2026-05-08
11740 CPT Drain Blood From Under Nail 0 0 $175.00 $168.00 — — — 2026-05-08
11750 CPT Removal Of Full Or Partial Nail 0 0 $750.00 $720.00 — — — 2026-05-08
11760 CPT Repair Nail Bed 0 0 $1,000.00 $960.00 — — — 2026-05-08
11770 CPT Removal Of Pilonidal Cyst Simple 0 0 $5,000.00 $4,800.00 — — — 2026-05-08
11771 CPT Excision Pilonidal Cyst 0 0 $5,500.00 $5,280.00 — — — 2026-05-08
11772 CPT Removal Pilonidal Cyst Complicated 0 0 $6,000.00 $5,760.00 — — — 2026-05-08
12001 CPT Simple Repair Sc/neck/ac/trunk <2.5 Com 0 0 $300.00 $288.00 — — — 2026-05-08
12002 CPT Simple Rpr Sthf 2.6cm-7.5cm 0 0 $325.00 $312.00 — — — 2026-05-08
19101 CPT Biopsy Of Breast Open 0 0 $3,500.00 $3,360.00 — — — 2026-05-08
28505 CPT Open Tx Great Toe Fx 0 0 $2,800.00 $2,688.00 — — — 2026-05-08
12006 CPT Repair Simp S/n/a/gn/trk 20.1-30.0cm 0 0 $500.00 $480.00 — — — 2026-05-08
12007 CPT Repair Simp S/n/a/g/trnk >30.0 Cm 0 0 $550.00 $528.00 — — — 2026-05-08
12011 CPT Simple Rpr Face 2.5cm Or Less 0 0 $400.00 $384.00 — — — 2026-05-08
12013 CPT Repair Simp Fel 2.6cm-5.0cm 0 0 $425.00 $408.00 — — — 2026-05-08
12014 CPT Repair Simp F/e/e/n/l/m 5.1-7.5 Cm 0 0 $450.00 $432.00 — — — 2026-05-08
12015 CPT Repair Simp F/e/e/n/l/m 7.6-12.5 Cm 0 0 $500.00 $480.00 — — — 2026-05-08
12016 CPT Simple Rpr Feenl 12.6-20cm 0 0 $400.00 $384.00 — — — 2026-05-08
12021 CPT Trmt Superficial Wound Packing 0 0 $300.00 $288.00 — — — 2026-05-08
12031 CPT Ntrmd Rpr Sate 2.5cm Or Less 0 0 $550.00 $528.00 — — — 2026-05-08
12032 CPT Repair Inter S/ A/t/e 2.6-7.5cm 0 0 $600.00 $576.00 — — — 2026-05-08
12034 CPT Intmd Rpr S/tr/ext 7.6-12.5 0 0 $800.00 $768.00 — — — 2026-05-08
12035 CPT Intmd Rpr S/a/t/ext 12.6-20 0 0 $900.00 $864.00 — — — 2026-05-08
12041 CPT Intmd Rpr N-hf/genit 2.5cm/< 0 0 $700.00 $672.00 — — — 2026-05-08
12042 CPT Intmd Rpr N-hf/genit2.6-7.5 0 0 $750.00 $720.00 — — — 2026-05-08
12045 CPT Intmd Rpr S/tr/ext 7.6-12.5 0 0 $1,100.00 $1,056.00 — — — 2026-05-08
12051 CPT Intmd Rpr Face/mm 2.5 Cm/< 0 0 $500.00 $480.00 — — — 2026-05-08
12052 CPT Intmd Rpr Face/mm 2.6-5.0 Cm 0 0 $500.00 $480.00 — — — 2026-05-08
12053 CPT Intmd Rpr Face/mm 5.1-7.5 Cm 0 0 $500.00 $480.00 — — — 2026-05-08
13101 CPT Complex Repair Trunk 2.6-7.5 Cm 0 0 $1,250.00 $1,200.00 — — — 2026-05-08
13102 CPT Complex Repair Trunk Addl 5 Cm Or Less 0 0 $500.00 $480.00 — — — 2026-05-08
13121 CPT Complex Repr Trunk 2.6-7.5cm 0 0 $1,250.00 $1,200.00 — — — 2026-05-08
13122 CPT Ea Addl 5 Cm Or Less 0 0 $400.00 $384.00 — — — 2026-05-08
13132 CPT Complex Repr Fohe/chin/cheek/ N/ Gen/ H 0 0 $750.00 $720.00 — — — 2026-05-08
16000 CPT Burn Care Initial 1st Degree 0 0 $250.00 $240.00 — — — 2026-05-08
16020 CPT Dress/debrid Burn Sm < 5% 0 0 $350.00 $336.00 — — — 2026-05-08
16025 CPT Dress/debride Burn Med 5-10% 0 0 $500.00 $480.00 — — — 2026-05-08
17000 CPT Destruct Any Method 1st Lesion 0 0 $205.00 $196.80 — — — 2026-05-08
17003 CPT Destruct Any Method 2-14 Lesns 0 0 $85.00 $81.60 — — — 2026-05-08
17110 CPT Destruct B9 Lesion 1-14 0 0 $265.00 $254.40 — — — 2026-05-08
17250 CPT Chemical Cauterization Of Tissue 0 0 $300.00 $288.00 — — — 2026-05-08
58120 CPT D & C, Non-OB 0 0 $4,250.00 $4,080.00 — — — 2026-05-08
56501 CPT Excise Vulva Lesions Simple 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
19120 CPT Excision Of Cyst, Breast 0 0 $3,500.00 $3,360.00 — — — 2026-05-08
19301 CPT Partial Mastectomy 0 0 $3,250.00 $3,120.00 — — — 2026-05-08
20520 CPT Removal Of Foreign Body 0 0 $500.00 $480.00 — — — 2026-05-08
20550 CPT Inject 1 Tendon Sheat/ Lig Aponeurosis 0 0 $400.00 $384.00 — — — 2026-05-08
20551 CPT Inject Single Tendon Orgin / Insertion 0 0 $400.00 $384.00 — — — 2026-05-08
20552 CPT Inject Single/ Mlt Triigger Pt 1/2 Muscl 0 0 $400.00 $384.00 — — — 2026-05-08
20553 CPT Inject Single/blt Trigger Pt 3+ Muscles 0 0 $850.00 $816.00 — — — 2026-05-08
20600 CPT Inject / Aspirate Small Jt Or Bursa 0 0 $450.00 $432.00 — — — 2026-05-08
20605 CPT Arthrocentese Aspir/inj Inter Jt Without US 0 0 $400.00 $384.00 — — — 2026-05-08
20610 CPT Inject / Aspirate Major Jt Or Bur Without US 0 0 $450.00 $432.00 — — — 2026-05-08
21315 CPT Clsd Trmt Nasal Fx Without Stablztn 0 0 $900.00 $864.00 — — — 2026-05-08
21480 CPT Clsd Trmt Tempromandib Ds 0 0 $400.00 $384.00 — — — 2026-05-08
21931 CPT Excision Of Tumor 3cm> Back Flank Subq 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
21933 CPT Excision Of Tumor 5cm> Back/flank Subfas 0 0 $3,000.00 $2,880.00 — — — 2026-05-08
22902 CPT Excision Of Tumor 3cm< Soft Tissue Abd 0 0 $2,250.00 $2,160.00 — — — 2026-05-08
22903 CPT Excision Of Tumor 3cm> Soft Tissue Abd 0 0 $2,250.00 $2,160.00 — — — 2026-05-08
23500 CPT Clsd Trmt Clavicular Wo Manip 0 0 $500.00 $480.00 — — — 2026-05-08
23545 CPT Treat Clavicle Dislocation 0 0 $500.00 $480.00 — — — 2026-05-08
23600 CPT Clsd Trmt Prox Humeral Wo Mn 0 0 $500.00 $480.00 — — — 2026-05-08
23650 CPT Clsd Trmt Shoulder Discloc W/mnp 0 0 $500.00 $480.00 — — — 2026-05-08
23655 CPT Clsd Trmt Shldr Dis W/anest 0 0 $1,200.00 $1,152.00 — — — 2026-05-08
23665 CPT Closed Tr Shoulder Dis W/manipulation 0 0 $1,000.00 $960.00 — — — 2026-05-08
23700 CPT Fixation Of Shoulder 0 0 $1,750.00 $1,680.00 — — — 2026-05-08
23930 CPT Incision & Drainage Up Arm Elbow Absces 0 0 $1,000.00 $960.00 — — — 2026-05-08
24071 CPT Excesion Arm / Elbow Lesion >3cm 0 0 $4,200.00 $4,032.00 — — — 2026-05-08
24200 CPT Removal Foreign Body Up Arm/elbow Subcut 0 0 $1,000.00 $960.00 — — — 2026-05-08
24500 CPT Closed Trmt Humeral Shaft Wo Man 0 0 $350.00 $336.00 — — — 2026-05-08
24576 CPT Closed Tr Humeral Condylar Wo Man 0 0 $350.00 $336.00 — — — 2026-05-08
24600 CPT Closed Trmt Elbow Disloc Wo Anes 0 0 $350.00 $336.00 — — — 2026-05-08
24605 CPT Treat Elbow Dislocation 0 0 $950.00 $912.00 — — — 2026-05-08
24640 CPT Closed Trmt Radial Hd Sblux Child 0 0 $350.00 $336.00 — — — 2026-05-08
24650 CPT Closed Trt Rdl Head/neck Wo Man 0 0 $350.00 $336.00 — — — 2026-05-08
24655 CPT Treat Radius Fx W/manipulation 0 0 $1,000.00 $960.00 — — — 2026-05-08
24670 CPT Closed Trmt Ulnar Frac Wo Manip 0 0 $350.00 $336.00 — — — 2026-05-08
25000 CPT Incision/extensor Tendon Sheath (wrist) 0 0 $2,500.00 $2,400.00 — — — 2026-05-08
25248 CPT Removal Of Foreign Body 0 0 $1,000.00 $960.00 — — — 2026-05-08
25560 CPT Clsd Trmt Rad/uln Wo Man 0 0 $350.00 $336.00 — — — 2026-05-08
25565 CPT Clsd Trmt Distal Rad/ Ulna Shaft With Man 0 0 $1,000.00 $960.00 — — — 2026-05-08
25600 CPT Clsd Tx Dstl Rad/uln Without Man 0 0 $350.00 $336.00 — — — 2026-05-08
25605 CPT Clsd Trmt Of Distal Radial Fx With Manip 0 0 $1,000.00 $960.00 — — — 2026-05-08
26010 CPT Drain Finger Absc, Simple 26010 0 0 $250.00 $240.00 — — — 2026-05-08
26055 CPT Incision Finger Tendon Sheath (trigger) 0 0 $2,250.00 $2,160.00 — — — 2026-05-08
26115 CPT Exc Of Soft Tissue On Hand / Finger 0 0 $2,700.00 $2,592.00 — — — 2026-05-08
26160 CPT Remove Tendon Shealth Lesion 0 0 $2,700.00 $2,592.00 — — — 2026-05-08
26605 CPT Clsd Tx Of Metcarpl Fx With Manipulation 0 0 $900.00 $864.00 — — — 2026-05-08
26700 CPT Treat Of Metacarpophalangeal Dislocation 0 0 $500.00 $480.00 — — — 2026-05-08
26725 CPT Clsd Trmt Finger Shaft W Or Wo 0 0 $350.00 $336.00 — — — 2026-05-08
26755 CPT Clsd Tx Phalangeal Fx Wo Manipulation 0 0 $750.00 $720.00 — — — 2026-05-08
26770 CPT Clsd Tx Interphalange Wo Ane 0 0 $350.00 $336.00 — — — 2026-05-08
27266 CPT Clsd Tx Hip Arthroplasty W/an 0 0 $1,250.00 $1,200.00 — — — 2026-05-08
27332 CPT Removal Of Knee Cartilage 0 0 $3,250.00 $3,120.00 — — — 2026-05-08
27532 CPT Tx Fx Femur/knee W/wo Man & Tract 0 0 $950.00 $912.00 — — — 2026-05-08
27562 CPT Close Tx Pattella Dislocation With Anst 0 0 $500.00 $480.00 — — — 2026-05-08
27570 CPT Manip Knee Joint Under Gen Anesht 0 0 $1,750.00 $1,680.00 — — — 2026-05-08
27762 CPT Tx Fx/disloc Ankle W/man 0 0 $1,500.00 $1,440.00 — — — 2026-05-08
27810 CPT Closed Tx Bimalleolar Ank Frac With Man 0 0 $1,000.00 $960.00 — — — 2026-05-08
28190 CPT Removal Foreign Body Goot Subcutaneous 0 0 $750.00 $720.00 — — — 2026-05-08
28192 CPT Removal Foreign Body Foot Deep 0 0 $1,500.00 $1,440.00 — — — 2026-05-08
28208 CPT Repair Tendon Extensor Foot 1/2 Each Ten 0 0 $3,000.00 $2,880.00 — — — 2026-05-08
28470 CPT Closed Tx Metatarsal Frac Without Manipulati 0 0 $350.00 $336.00 — — — 2026-05-08
28475 CPT Closed Tx Of Metatar Frac With Manipulatio 0 0 $350.00 $336.00 — — — 2026-05-08
28490 CPT Closed Tx Of Toe Fx Without Manipulation 0 0 $350.00 $336.00 — — — 2026-05-08
28495 CPT Closed Treatment Toe Fx Manipulation 0 0 $350.00 $336.00 — — — 2026-05-08
19100 CPT Biopsy Breast, Needle No Imaging 0 0 $750.00 $720.00 — — — 2026-05-08
28510 CPT Closed Tx Phlanx/ Phalang Without Man 0 0 $300.00 $288.00 — — — 2026-05-08
28515 CPT Closed Tx Phalanx/phalange With Man 0 0 $350.00 $336.00 — — — 2026-05-08
28635 CPT Treat Toe Dislocation 0 0 $1,500.00 $1,440.00 — — — 2026-05-08
28660 CPT Closed Tx Interphalange Dislocation 0 0 $350.00 $336.00 — — — 2026-05-08
28665 CPT Tx Of Toe Dislocation With Anest 0 0 $350.00 $336.00 — — — 2026-05-08
28820 CPT Amputation Toe Metatarsophalangeal Joint 0 0 $3,000.00 $2,880.00 — — — 2026-05-08
29065 CPT Application Of Long Arm Cast 0 0 $450.00 $432.00 — — — 2026-05-08
29075 CPT Application Of Short Cast Elbow To Wrist 0 0 $400.00 $384.00 — — — 2026-05-08
29085 CPT Application Of Cast Hand Wrist 0 0 $300.00 $288.00 — — — 2026-05-08
29086 CPT Application Cast Finger 0 0 $150.00 $144.00 — — — 2026-05-08
29105 CPT Appication Long Arm Sling Shoulder-hand 0 0 $350.00 $336.00 — — — 2026-05-08
29125 CPT Application Short Arm Spint Forarm To Ha 0 0 $300.00 $288.00 — — — 2026-05-08
29126 CPT Apply Splint Short Arm Dynamic 0 0 $175.00 $168.00 — — — 2026-05-08
29130 CPT Applicaton Of Finger Splint (static) 0 0 $230.00 $220.80 — — — 2026-05-08
29131 CPT Application Of Finger Splint Dynamic 0 0 $175.00 $168.00 — — — 2026-05-08
29240 CPT Strapping Of Shoulder 0 0 $300.00 $288.00 — — — 2026-05-08
29260 CPT Strapping Of Elbow Or Wrist 0 0 $100.00 $96.00 — — — 2026-05-08
29280 CPT Strapping A Hand Or Finger 0 0 $100.00 $96.00 — — — 2026-05-08
29345 CPT Application Of Long Leg Cast 0 0 $700.00 $672.00 — — — 2026-05-08
29365 CPT Application Of Cast Thigh To Ankle-cylin 0 0 $600.00 $576.00 — — — 2026-05-08
29405 CPT Application Of Short Leg Cast Knee-toe 0 0 $500.00 $480.00 — — — 2026-05-08
29425 CPT Application Of Walking Boot 0 0 $250.00 $240.00 — — — 2026-05-08
29505 CPT Application Spint Long Leg Thigh -ankle 0 0 $350.00 $336.00 — — — 2026-05-08
29515 CPT Aplication Of Short Leg Splint Calf/foot 0 0 $300.00 $288.00 — — — 2026-05-08
29530 CPT Strapping Of Knee 0 0 $200.00 $192.00 — — — 2026-05-08
29540 CPT Strapping Of Ankle Or Foot 0 0 $150.00 $144.00 — — — 2026-05-08
29550 CPT Strapping Of Toes 0 0 $100.00 $96.00 — — — 2026-05-08
29580 CPT Strapping Of Unna Boot 0 0 $300.00 $288.00 — — — 2026-05-08
29700 CPT Cast Removal 0 0 $200.00 $192.00 — — — 2026-05-08
29875 CPT Arthoscopy Knee Synovectomy 0 0 $5,000.00 $4,800.00 — — — 2026-05-08
29880 CPT Knee Arthroscopy/ Surgery 0 0 $4,000.00 $3,840.00 — — — 2026-05-08
29881 CPT Knee Arthroscopy / Surgery 0 0 $4,000.00 $3,840.00 — — — 2026-05-08
29882 CPT Arthroscopic Knee With Menisc Rpr Med/lat 0 0 $6,000.00 $5,760.00 — — — 2026-05-08
29883 CPT Arthroscopy Knee With Meniscus Rpr Medial 0 0 $6,000.00 $5,760.00 — — — 2026-05-08
30300 CPT Removal Foreign Body Intranasal 0 0 $250.00 $240.00 — — — 2026-05-08
30901 CPT Control Nasal Hemorrahage Anter Simple 0 0 $300.00 $288.00 — — — 2026-05-08
30903 CPT Control Nasal Hemorrahage Anterior Compl 0 0 $400.00 $384.00 — — — 2026-05-08
30905 CPT Cntrl Nasa Hemrage Post Nasal Pack/cau 1 0 0 $500.00 $480.00 — — — 2026-05-08
30906 CPT Nasal Hemmorage Post W/nasal Pk Sub 0 0 $300.00 $288.00 — — — 2026-05-08
31500 CPT Intubation Aendotracheal ER With Dr 0 0 $650.00 $624.00 — — — 2026-05-08
32550 CPT Insert Pleural Cather 0 0 $2,500.00 $2,400.00 — — — 2026-05-08
32551 CPT Chest Tube (tube Thoracostomy) 0 0 $1,500.00 $1,440.00 — — — 2026-05-08
32554 CPT Aspirate Pleura Without Imaging 0 0 $700.00 $672.00 — — — 2026-05-08
32555 CPT Aspirate Pleura With Imaging 0 0 $1,000.00 $960.00 — — — 2026-05-08
32556 CPT Insert Cath Pleura Without Imaging 0 0 $400.00 $384.00 — — — 2026-05-08
36415 CPT Venipuncture 0 0 $30.70 $29.47 — — — 2026-05-08
36416 CPT Capillary Collection 0 0 $30.90 $29.66 — — — 2026-05-08
36430 CPT Blood Administration- 1 Unit 0 0 $625.00 $600.00 — — — 2026-05-08
36569 CPT Ins Picc 5+ Years With Out Image 0 0 $1,500.00 $1,440.00 — — — 2026-05-08
36573 CPT Picc Insertion With Imaging 5yr+ 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
36584 CPT Picc Rplc With Imaging 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
36589 CPT Removal Tun Cvc W/out Subq Port 0 0 $200.00 $192.00 — — — 2026-05-08
36591 CPT Collect Blood Nsg Port 0 0 $225.00 $216.00 — — — 2026-05-08
36592 CPT Collect Blood Nsg Picc 0 0 $225.00 $216.00 — — — 2026-05-08
36593 CPT Declot By Thrombolytic Agent Implant Dev 0 0 $500.00 $480.00 — — — 2026-05-08
36600 CPT Arterial Draw 0 0 $103.00 $98.88 — — — 2026-05-08
36680 CPT Placement Intraosseous Infusion (io) 0 0 $400.00 $384.00 — — — 2026-05-08
37195 CPT Thrombolytic Therapy IV 0 0 $400.00 $384.00 — — — 2026-05-08
38510 CPT Biopsy Of Excision Of Lymphnode Open D 0 0 $4,000.00 $3,840.00 — — — 2026-05-08
40804 CPT Removal Foreign Body Mouth Simple 0 0 $300.00 $288.00 — — — 2026-05-08
40819 CPT Excise Lip Or Cheek Fold 0 0 $1,500.00 $1,440.00 — — — 2026-05-08
40831 CPT Repair Laceration To Mouth >2.5 0 0 $400.00 $384.00 — — — 2026-05-08
43196 CPT Esophagoscp Guide Wire Dilat 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43202 CPT Esophagoscopy Flex Transor With Biop 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43233 CPT Egd Esophagus Baloon Dilation 30mm+ 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43235 CPT Egd Trans Oral Diagnostic 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43237 CPT Egd With US 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43239 CPT Egd Biopsy Single / Multiple 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43245 CPT Egd Dilate Stricture 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43247 CPT Egd Removal Of Foreign Body 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43248 CPT Egd Guide Wire Insertion 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43249 CPT Egd Balloon Dilation Esophagus <30mmdiam 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43251 CPT Egd With Removal Of Tumor / Lesion / Polyp 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
43752 CPT Nasal / Orogastric With Tube Placmt 0 0 $400.00 $384.00 — — — 2026-05-08
43753 CPT Gastric Intubate Aspir W Phys Skill/ava 0 0 $325.00 $312.00 — — — 2026-05-08
43762 CPT Replace Gtube Not Req Renj Gstrst 0 0 $500.00 $480.00 — — — 2026-05-08
44970 CPT Laparoscopic Appendectomy 0 0 $5,250.00 $5,040.00 — — — 2026-05-08
45378 CPT Diagnostic Colonoscopy 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
45380 CPT Colonoscopy And Biopsy 0 0 $1,700.00 $1,632.00 — — — 2026-05-08
45384 CPT Colonoscopy With Lesion Removhot Biop Forc 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
45385 CPT Colonoscopy With Lesion Removal Snare Tech 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
45388 CPT Colonoscopy With Ablation 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
45915 CPT Rem Fecal Impact With Anesthesia 0 0 $1,000.00 $960.00 — — — 2026-05-08
46030 CPT Removal Of Anal Setons 0 0 $1,250.00 $1,200.00 — — — 2026-05-08
46050 CPT I&d, Perianal Abscess, Superfiscial 0 0 $500.00 $480.00 — — — 2026-05-08
46083 CPT Incise External Hemorrhoid 0 0 $600.00 $576.00 — — — 2026-05-08
46200 CPT Fissurectomy 0 0 $2,500.00 $2,400.00 — — — 2026-05-08
46220 CPT Exc Of Single Ext Papilla Or Tag, Anus 0 0 $2,800.00 $2,688.00 — — — 2026-05-08
46221 CPT Hemorrhoidectomy Rub Band Ligation 0 0 $2,700.00 $2,592.00 — — — 2026-05-08
46230 CPT Removal Of Anal Tag 0 0 $1,100.00 $1,056.00 — — — 2026-05-08
46250 CPT Hemorrhoidectomy External Only 2+ 0 0 $2,500.00 $2,400.00 — — — 2026-05-08
46255 CPT Hemorrhoidectomy Intern And Extern Sing 0 0 $2,800.00 $2,688.00 — — — 2026-05-08
46260 CPT Hemorrhoidectomy Inter / Extern 2+ 0 0 $3,400.00 $3,264.00 — — — 2026-05-08
46320 CPT Excision Of Hemorrhoid External 0 0 $650.00 $624.00 — — — 2026-05-08
46606 CPT Anoscopy, With Biop S/m 0 0 $450.00 $432.00 — — — 2026-05-08
46922 CPT Excision Of Anal Lesions 0 0 $4,000.00 $3,840.00 — — — 2026-05-08
47000 CPT Lap Proc Liver 0 0 $3,200.00 $3,072.00 — — — 2026-05-08
47562 CPT Laparoscopic Chloecystectomy 0 0 $5,000.00 $4,800.00 — — — 2026-05-08
49082 CPT Abdominal Paracentesis 0 0 $1,200.00 $1,152.00 — — — 2026-05-08
49083 CPT Abd Paracentesis With Imaging 0 0 $1,500.00 $1,440.00 — — — 2026-05-08
49320 CPT Diag Laproscopic Seperate Procedure 0 0 $4,000.00 $3,840.00 — — — 2026-05-08
49321 CPT Laproscopy Surg With Bx Sigle / Mutli 0 0 $5,250.00 $5,040.00 — — — 2026-05-08
49505 CPT Repair Int Inqu Hernia 5yrsor+ Reduciabl 0 0 $4,500.00 $4,320.00 — — — 2026-05-08
49507 CPT Hernia Incarc/strangulated 0 0 $5,250.00 $5,040.00 — — — 2026-05-08
49520 CPT Repair Reocc Ing Hernia Any Age Reducib 0 0 $5,250.00 $5,040.00 — — — 2026-05-08
49591 CPT Repair Epigastric Hernia With Mesh 0 0 $6,500.00 $6,240.00 — — — 2026-05-08
49592 CPT Initial Rep Hern <3 Cm Dia 0 0 $6,500.00 $6,240.00 — — — 2026-05-08
49593 CPT Repair Hernia 3cm-10cm Reducible 0 0 $6,750.00 $6,480.00 — — — 2026-05-08
51102 CPT Inst Suprpubic Cath - Pro Fee 0 0 $500.00 $480.00 — — — 2026-05-08
51700 CPT Irrigation Of Bladder 0 0 $375.00 $360.00 — — — 2026-05-08
51701 CPT Insert Non Dwelling Bladder Cath/straigh 0 0 $250.00 $240.00 — — — 2026-05-08
51702 CPT Insert Foley Catheter Simple 0 0 $240.00 $230.40 — — — 2026-05-08
51705 CPT Change Cystostomy Tube Simple 0 0 $500.00 $480.00 — — — 2026-05-08
51710 CPT Change Cystostomy Tube Complicated 0 0 $650.00 $624.00 — — — 2026-05-08
51798 CPT Bladder Scan 0 0 $200.00 $192.00 — — — 2026-05-08
52000 CPT Cystoscopy - Pro Fee 0 0 $500.00 $480.00 — — — 2026-05-08
52310 CPT Cystourethoroscopy W Removal - Pro Fee 0 0 $531.00 $509.76 — — — 2026-05-08
54150 CPT Circ Using Clamp/ring Penil Nb- Opsurg 0 0 $1,750.00 $1,680.00 — — — 2026-05-08
54161 CPT Circ W/clmp >28 Days Old - 54161 0 0 $1,750.00 $1,680.00 — — — 2026-05-08
54700 CPT Incision & Drain Of Epididymis Test Scro 0 0 $900.00 $864.00 — — — 2026-05-08
54830 CPT Excision Local Lesion Epididymis 0 0 $4,000.00 $3,840.00 — — — 2026-05-08
54860 CPT Epdidymectomy Unilateral 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
55040 CPT Removal Of Hydrocele 0 0 $3,500.00 $3,360.00 — — — 2026-05-08
55700 CPT Prostate Biopsy (needle/punch)- Pro Fee 0 0 $400.00 $384.00 — — — 2026-05-08
56405 CPT Incis & Drain Of Vulva Or Perineal Absce 0 0 $850.00 $816.00 — — — 2026-05-08
56420 CPT Incis & Drain Or Bartholins Gland Absces 0 0 $350.00 $336.00 — — — 2026-05-08
12004 CPT Simple Rpr Sthf 7.6cm-12.5cm 0 0 $425.00 $408.00 — — — 2026-05-08
11422 CPT Exc Benign Les 1.1-2.0 S/n/h/f/gen Beni 0 0 $2,500.00 $2,400.00 — — — 2026-05-08
58600 CPT Division Of Fallopian Tube Vaginal 0 0 $2,750.00 $2,640.00 — — — 2026-05-08
58605 CPT Div Of Fallopian Tube Sep Procedure 0 0 $2,750.00 $2,640.00 — — — 2026-05-08
58611 CPT Division Of Fallopian Tube C-section 0 0 $2,750.00 $2,640.00 — — — 2026-05-08
58661 CPT Laparoscopy Remove Adnexal Struc 0 0 $4,850.00 $4,656.00 — — — 2026-05-08
59025 CPT Fetal Monitor Non Stress 0 0 $400.00 $384.00 — — — 2026-05-08
59160 CPT D & C After Delivery 0 0 $4,250.00 $4,080.00 — — — 2026-05-08
59200 CPT Insert Dilator 0 0 $225.00 $216.00 — — — 2026-05-08
59514 CPT Cesarean Delivery Only 0 0 $5,500.00 $5,280.00 — — — 2026-05-08
59812 CPT Tx Complete Abortion Any Trimester Surg 0 0 $4,000.00 $3,840.00 — — — 2026-05-08
59820 CPT D & C After Missed Abortion 0 0 $4,250.00 $4,080.00 — — — 2026-05-08
62270 CPT Lumbar Puncture 0 0 $900.00 $864.00 — — — 2026-05-08
62320 CPT Steriod Epidural 0 0 $900.00 $864.00 — — — 2026-05-08
62322 CPT Steriod Epidural - Lumbar Puncture 0 0 $700.00 $672.00 — — — 2026-05-08
64400 CPT Inject Anest/ Steriod Ophth / Max/ Mandi 0 0 $585.00 $561.60 — — — 2026-05-08
64718 CPT Neuroplasty/transposition Ulnar Nerve Bl 0 0 $4,000.00 $3,840.00 — — — 2026-05-08
64719 CPT Revise Ulnar Nerve At Wrist 0 0 $2,000.00 $1,920.00 — — — 2026-05-08
64721 CPT Carpal Tunnel Surgery 0 0 $2,250.00 $2,160.00 — — — 2026-05-08
65205 CPT Removal Of For Bod Ex Eye Conj Superfi 0 0 $250.00 $240.00 — — — 2026-05-08
65210 CPT Remov Fore Body Exter Eye Conj Embedded 0 0 $400.00 $384.00 — — — 2026-05-08
65220 CPT Rmvl Of Foreign Bdy Eye Corn Without Slit La 0 0 $400.00 $384.00 — — — 2026-05-08
65222 CPT Remov Foreign Body Exter Eye Corn With Sli 0 0 $300.00 $288.00 — — — 2026-05-08
65235 CPT Remov Of Fore Intraocular Anter Eyeorlen 0 0 $600.00 $576.00 — — — 2026-05-08
65290 CPT Repair Wound Extr Muscle Tend Or Ten Cap 0 0 $850.00 $816.00 — — — 2026-05-08
67820 CPT Correction Trichiasis Epli Forceps Only 0 0 $350.00 $336.00 — — — 2026-05-08
67938 CPT Removal Of Embedded Fore Body Eyelid 0 0 $400.00 $384.00 — — — 2026-05-08
69000 CPT Drainage Ext Ear Abscess Or Hematoma 0 0 $650.00 $624.00 — — — 2026-05-08
69200 CPT Remov Fore Body Ext Audi Canal/ Without Anst 0 0 $250.00 $240.00 — — — 2026-05-08
69209 CPT Remov Impact Cerum W/kirrigation/lav Uni 0 0 $150.00 $144.00 — — — 2026-05-08
69210 CPT Removal Impacted Cerum With Instrument 0 0 $200.00 $192.00 — — — 2026-05-08
70030 CPT Xr Orbit Foreign Body 0 0 $280.00 $268.80 — — — 2026-05-08
70150 CPT Xr Facial Bones 3 Or More Views 0 0 $500.00 $480.00 — — — 2026-05-08
70160 CPT Xr Nasal Bones 0 0 $400.00 $384.00 — — — 2026-05-08
70200 CPT Xr Orbits 4 Or More Views 0 0 $500.00 $480.00 — — — 2026-05-08
70220 CPT Xr Sinus 3 Or More Views 0 0 $500.00 $480.00 — — — 2026-05-08
70250 CPT Xr Skull 1 To 3 Views 0 0 $400.00 $384.00 — — — 2026-05-08
70336 CPT MRI Tmj 0 0 $2,275.00 $2,184.00 — — — 2026-05-08
70360 CPT Xr Soft Tissue Neck 0 0 $375.00 $360.00 — — — 2026-05-08
70450 CPT CT Head Without IV Contrast 0 0 $2,100.00 $2,016.00 — — — 2026-05-08
70460 CPT CT Head With IV Contrast 0 0 $2,450.00 $2,352.00 — — — 2026-05-08
70470 CPT CT Head With And Without IV Contrast 0 0 $2,500.00 $2,400.00 — — — 2026-05-08
70480 CPT CT Temporal Bones Without IV Contrast 0 0 $2,100.00 $2,016.00 — — — 2026-05-08
70486 CPT CT Sinus Or Facial Bones Without IV Contrast 0 0 $1,900.00 $1,824.00 — — — 2026-05-08
70487 CPT CT Sinus Or Facial Bones With IV Contrast 0 0 $2,150.00 $2,064.00 — — — 2026-05-08
10120 CPT Removal Of Foreign Body 0 0 $500.00 $480.00 — — — 2026-05-08
See an error in this hospital's data? Submit a correction