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

BRODSTONE HEALTHCARE

Superior, NE · CCN 281315 · Rates published

Your selected procedure

You selected 93306 (CPT)

Us Echo 2d Complete

This hospital’s price: $2,580 across 6 payers · range $1,439-$2,662

Source: https://secure.claraprice.net/price-transparency/WRBJ-1711389947655/machine-readable/brodstone-memorial-hospital_standardcharges.json · observed 2026-05-22

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.

4,911 distinct procedures filed
6 distinct payers
40,050 rate rows
2026-05-22 last MRF observed
Data quality

38,669 of 40,050 rate rows are consumer-grade (96.6%)

1,381 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 786
per-diem day rate — not a per-procedure price 581
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/WRBJ-1711389947655/machine-readable/brodstone-memorial-hospital_standardcharges.json
Found on page https://brodstonehealthcare.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-25
Content fingerprint 4152f690641f21d4… · 251,074 bytes · first seen 2026-05-19

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
10455662
CDM 		Ustekinumab 90 Mg/ml [Brod] 6 $74,491.00 $80,221.00 $78,583.50 nat. median
$78,584
1.0× median
11060765
CDM 		Ipg Kit 6 $33,423.00 $61,802.00 $59,910.00 nat. median
$59,910
1.0× median
10810896
CDM 		Ocrelizumab 300 Mg/10 Ml Sol [Brod] 6 $52,744.00 $56,801.00 $55,641.50 nat. median
$55,642
1.0× median
C1767
HCPCS 		Pain Stimulator Xr 5 6 $26,996.00 $49,917.00 $48,389.00 nat. median
$23,896
outlier · 2.0×
C1820
HCPCS 		Intellis Neurostimulator Kit 6 $25,710.00 $47,540.00 $46,085.00 nat. median
$22,986
outlier · 2.0×
11084229
CDM 		Ng Pain Pc Vanta 6 $21,854.00 $40,409.00 $39,172.00 nat. median
$39,172
1.0× median
L8687
HCPCS 		Ins Intellis Adaptivestim Pain 6 $21,854.00 $40,409.00 $39,172.00 nat. median
$14,605
outlier · 2.7×
C1721
HCPCS 		Icd Dynagen Dr Df1/is1 D153 6 $17,563.00 $32,475.00 $31,481.00 nat. median
$22,344
1.4× median
11755282
CDM 		Cemiplimab-rwlc Inj 350 Mg/7 Ml (50 Mg/ml) [Brod] 6 $28,377.00 $30,560.00 $29,936.50 nat. median
$29,936
1.0× median
10455150
CDM 		Daratumumab/hyaluronidase 1800mg/30000units/15ml [Brod] 6 $26,815.00 $28,878.00 $28,288.50 nat. median
$28,288
1.0× median
C1772
HCPCS 		Intrathecal Pain Pump 6 $15,272.00 $28,240.00 $27,375.00 nat. median
$10,870
outlier · 2.5×
11336947
CDM 		Synchromed Ii Pump 6 $15,272.00 $28,240.00 $27,375.00 nat. median
$27,375
1.0× median
12412164
CDM 		Lanreotide Inj 120 Mg/0.5 Ml [Brod] 6 $25,582.00 $27,550.00 $26,987.50 nat. median
$26,988
1.0× median
12760848
CDM 		Lanreotide Inj 120 Mg/0.5 Ml [Brod] 6 $23,791.00 $25,621.00 $25,098.50 nat. median
$25,098
1.0× median
10454991
CDM 		Alteplase 100 Mg IV Inj [Brod] 6 $23,544.00 $25,356.00 $24,838.00 nat. median
$24,838
1.0× median
10455667
CDM 		Vedolizumab Inj 300 Mg [Brod] 6 $23,187.00 $24,970.00 $24,461.00 nat. median
$24,461
1.0× median
10455461
CDM 		Natalizumab 300 Mg/15 Ml IV [Brod] 6 $22,842.00 $24,599.00 $24,097.00 nat. median
$24,097
1.0× median
10455632
CDM 		Tenecteplase Inj 50 Mg [Brod] 6 $20,875.00 $22,481.00 $22,022.50 nat. median
$22,022
1.0× median
12684613
CDM 		Nivolumab Inj 240 Mg/24 Ml [Brod] 6 $20,834.00 $22,437.00 $21,979.00 nat. median
$21,979
1.0× median
47562
CPT 		Removal Of Gallbladder Using An Endoscope 6 $11,079.00 $20,485.00 $19,858.00 nat. median
$5,993
outlier · 3.3×
12216902
CDM 		Octreotide 30 Mg Lar Depot IM Inj [Brod] 6 $18,494.00 $19,917.00 $19,510.00 nat. median
$19,510
1.0× median
11754113
CDM 		Panitumumab 400mg/20ml (20 Mg/ml) Sol [Brod] 6 $18,464.00 $19,884.00 $19,478.50 nat. median
$19,478
1.0× median
0211U
CPT 		Bill Only Z016q 6 $10,587.00 $19,576.00 $18,976.00 nat. median
$8,455
outlier · 2.2×
10455518
CDM 		Pegfilgrastim *Neulasta* Syr 6 Mg/0.6 Ml [Brod] 6 $17,171.00 $18,492.00 $18,114.50 nat. median
$18,114
1.0× median
10892385
CDM 		Accolade Dr Mri/2 Lead Pacemaker 6 $9,569.00 $17,693.00 $17,151.00 nat. median
$17,151
1.0× median
10891512
CDM 		Cardiac Monitor Device Dm2102 6 $9,449.00 $17,471.00 $16,937.00 nat. median
$16,937
1.0× median
10769238
CDM 		Pembrolizumab Inj 100 Mg/4 Ml (25 Mg/ml) [Brod] 6 $15,469.00 $16,659.00 $16,319.00 nat. median
$16,319
1.0× median
10455106
CDM 		Certolizumab 200 Mg/2 Ml Kit [Brod] 6 $15,301.00 $16,478.00 $16,141.50 nat. median
$16,142
1.0× median
10455040
CDM 		Benralizumab 30 Mg/ml [Brod] 6 $15,188.00 $16,356.00 $16,022.50 nat. median
$16,022
1.0× median
10892830
CDM 		Large External Ankle Frame 6 $8,823.00 $16,315.00 $15,816.00 nat. median
$15,816
1.0× median
10777423
CDM 		Rasburicase 7.5 Mg Pow [Brod] 6 $14,373.00 $15,479.00 $15,163.00 nat. median
$15,163
1.0× median
C1778
HCPCS 		Penta 6 $8,035.00 $14,857.00 $14,402.00 nat. median
$4,400
outlier · 3.3×
11510259
CDM 		Metrx Usage Fee 6 $7,071.00 $13,074.00 $12,674.00 nat. median
$12,674
1.0× median
10894914
CDM 		Arth Sigma Adapt #5 6 $6,876.00 $12,715.00 $12,325.00 nat. median
$12,325
1.0× median
11060758
CDM 		Lapiplasty Mini Incision System 6 $6,710.00 $12,408.00 $12,028.00 nat. median
$12,028
1.0× median
10777429
CDM 		Rituximab Abbs Inj 500 Mg/50 Ml [Brod] 6 $11,311.00 $12,181.00 $11,933.00 nat. median
$11,933
1.0× median
11912084
CDM 		Pg Accolade MRI Dr Sl L311 US 6 $6,622.00 $12,245.00 $11,870.00 nat. median
$11,870
1.0× median
C1889
HCPCS 		Mild Kits 6 $6,605.00 $12,213.00 $11,839.00 nat. median
$2,369
outlier · 5.0×
10455519
CDM 		Pegfilgrastim *Fulphila* 6 Mg/0.6 Ml [Brod] 6 $11,170.00 $12,030.00 $11,784.00 nat. median
$11,784
1.0× median
12386679
CDM 		Durvalumab Inj 500 Mg/10ml (50 Mg/ml) [Brod] 6 $11,044.00 $11,893.00 $11,650.50 nat. median
$11,650
1.0× median
11060759
CDM 		Lapiplasty System 2 6 $6,449.00 $11,925.00 $11,560.00 nat. median
$11,560
1.0× median
27822
CPT 		27822-trimalleolar Ankle 6 $6,268.00 $11,589.00 $11,235.00 nat. median
$7,101
1.6× median
12898051
CDM 		Ethacrynic Acid Inj 50 Mg [Brod] 6 $10,167.00 $10,949.00 $10,725.00 nat. median
$10,725
1.0× median
10895219
CDM 		Confidence Kit/no Needles 6 $5,878.00 $10,868.00 $10,536.00 nat. median
$10,536
1.0× median
11104500
CDM 		Aripiprazole Lauroxil Inj 1064 Mg/3.9 Ml [Brod] 6 $9,971.00 $10,738.00 $10,518.50 nat. median
$10,518
1.0× median
59510
CPT 		Obstetric Care, Planned Cesarean Delivery 6 $2,513.00 $28,956.00 $10,153.00 nat. median
$3,648
outlier · 2.8×
10455512
CDM 		Paliperidone Syr 234 Mg/1.5 Ml [Brod] 6 $9,307.00 $10,022.00 $9,818.00 nat. median
$9,818
1.0× median
78816
CPT 		PET CT Whole Body 6 $5,423.00 $10,028.00 $9,721.00 nat. median
$2,788
outlier · 3.5×
10769154
CDM 		Mepolizumab 100 Mg Inj [Brod] 6 $9,128.00 $9,830.00 $9,629.50 nat. median
$9,630
1.0× median
10814237
CDM 		Inclisiran 284 Mg/1.5 Ml Sol [Brod] 6 $9,025.00 $9,720.00 $9,521.00 nat. median
$9,521
1.0× median

Other procedures at this hospital

Browse this hospital's 4,911 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
             
10455662 CDM Ustekinumab 90 Mg/ml [Brod] 6 6 $81,858.00 $77,765.00 $74,491.00 $80,221.00 $78,583.50 2026-05-22
11060765 CDM Ipg Kit 7 6 $63,063.00 $59,910.00 $33,423.00 $61,802.00 $59,910.00 2026-05-22
10810896 CDM Ocrelizumab 300 Mg/10 Ml Sol [Brod] 6 6 $57,960.00 $55,062.00 $52,744.00 $56,801.00 $55,641.50 2026-05-22
C1767 HCPCS Pain Stimulator Xr 5 7 6 $50,936.00 $48,389.00 $26,996.00 $49,917.00 $48,389.00 2026-05-22
C1820 HCPCS Intellis Neurostimulator Kit 7 6 $48,510.00 $46,085.00 $25,710.00 $47,540.00 $46,085.00 2026-05-22
11084229 CDM Ng Pain Pc Vanta 7 6 $41,234.00 $39,172.00 $21,854.00 $40,409.00 $39,172.00 2026-05-22
L8687 HCPCS Ins Intellis Adaptivestim Pain 7 6 $41,234.00 $39,172.00 $21,854.00 $40,409.00 $39,172.00 2026-05-22
C1721 HCPCS Icd Dynagen Dr Df1/is1 D153 7 6 $33,138.00 $31,481.00 $17,563.00 $32,475.00 $31,481.00 2026-05-22
11755282 CDM Cemiplimab-rwlc Inj 350 Mg/7 Ml (50 Mg/ml) [Brod] 6 6 $31,184.00 $29,625.00 $28,377.00 $30,560.00 $29,936.50 2026-05-22
10455150 CDM Daratumumab/hyaluronidase 1800mg/30000units/15ml [Brod] 6 6 $29,467.00 $27,994.00 $26,815.00 $28,878.00 $28,288.50 2026-05-22
11336947 CDM Synchromed Ii Pump 7 6 $28,816.00 $27,375.00 $15,272.00 $28,240.00 $27,375.00 2026-05-22
C1772 HCPCS Intrathecal Pain Pump 7 6 $28,816.00 $27,375.00 $15,272.00 $28,240.00 $27,375.00 2026-05-22
12412164 CDM Lanreotide Inj 120 Mg/0.5 Ml [Brod] 6 6 $28,112.00 $26,706.00 $25,582.00 $27,550.00 $26,987.50 2026-05-22
12760848 CDM Lanreotide Inj 120 Mg/0.5 Ml [Brod] 6 6 $26,144.00 $24,837.00 $23,791.00 $25,621.00 $25,098.50 2026-05-22
10454991 CDM Alteplase 100 Mg IV Inj [Brod] 6 6 $25,873.00 $24,579.00 $23,544.00 $25,356.00 $24,838.00 2026-05-22
10455667 CDM Vedolizumab Inj 300 Mg [Brod] 6 6 $25,480.00 $24,206.00 $23,187.00 $24,970.00 $24,461.00 2026-05-22
10455461 CDM Natalizumab 300 Mg/15 Ml IV [Brod] 6 6 $25,101.00 $23,846.00 $22,842.00 $24,599.00 $24,097.00 2026-05-22
10455632 CDM Tenecteplase Inj 50 Mg [Brod] 6 6 $22,940.00 $21,793.00 $20,875.00 $22,481.00 $22,022.50 2026-05-22
12684613 CDM Nivolumab Inj 240 Mg/24 Ml [Brod] 6 6 $22,895.00 $21,750.00 $20,834.00 $22,437.00 $21,979.00 2026-05-22
47562 CPT Removal Of Gallbladder Using An Endoscope 7 6 $20,903.00 $19,858.00 $11,079.00 $20,485.00 $19,858.00 2026-05-22
12216902 CDM Octreotide 30 Mg Lar Depot IM Inj [Brod] 6 6 $20,323.00 $19,307.00 $18,494.00 $19,917.00 $19,510.00 2026-05-22
11754113 CDM Panitumumab 400mg/20ml (20 Mg/ml) Sol [Brod] 6 6 $20,290.00 $19,276.00 $18,464.00 $19,884.00 $19,478.50 2026-05-22
0211U CPT Bill Only Z016q 7 6 $19,975.00 $18,976.00 $10,587.00 $19,576.00 $18,976.00 2026-05-22
10455518 CDM Pegfilgrastim *Neulasta* Syr 6 Mg/0.6 Ml [Brod] 6 6 $18,869.00 $17,926.00 $17,171.00 $18,492.00 $18,114.50 2026-05-22
10892385 CDM Accolade Dr Mri/2 Lead Pacemaker 7 6 $18,054.00 $17,151.00 $9,569.00 $17,693.00 $17,151.00 2026-05-22
10891512 CDM Cardiac Monitor Device Dm2102 7 6 $17,828.00 $16,937.00 $9,449.00 $17,471.00 $16,937.00 2026-05-22
10769238 CDM Pembrolizumab Inj 100 Mg/4 Ml (25 Mg/ml) [Brod] 6 6 $16,999.00 $16,149.00 $15,469.00 $16,659.00 $16,319.00 2026-05-22
10455106 CDM Certolizumab 200 Mg/2 Ml Kit [Brod] 6 6 $16,814.00 $15,973.00 $15,301.00 $16,478.00 $16,141.50 2026-05-22
10455040 CDM Benralizumab 30 Mg/ml [Brod] 6 6 $16,690.00 $15,856.00 $15,188.00 $16,356.00 $16,022.50 2026-05-22
10892830 CDM Large External Ankle Frame 7 6 $16,648.00 $15,816.00 $8,823.00 $16,315.00 $15,816.00 2026-05-22
10777423 CDM Rasburicase 7.5 Mg Pow [Brod] 6 6 $15,795.00 $15,005.00 $14,373.00 $15,479.00 $15,163.00 2026-05-22
C1778 HCPCS Penta 7 6 $15,160.00 $14,402.00 $8,035.00 $14,857.00 $14,402.00 2026-05-22
11510259 CDM Metrx Usage Fee 7 6 $13,341.00 $12,674.00 $7,071.00 $13,074.00 $12,674.00 2026-05-22
10894914 CDM Arth Sigma Adapt #5 7 6 $12,974.00 $12,325.00 $6,876.00 $12,715.00 $12,325.00 2026-05-22
11060758 CDM Lapiplasty Mini Incision System 7 6 $12,661.00 $12,028.00 $6,710.00 $12,408.00 $12,028.00 2026-05-22
10777429 CDM Rituximab Abbs Inj 500 Mg/50 Ml [Brod] 6 6 $12,430.00 $11,809.00 $11,311.00 $12,181.00 $11,933.00 2026-05-22
11912084 CDM Pg Accolade MRI Dr Sl L311 US 7 6 $12,495.00 $11,870.00 $6,622.00 $12,245.00 $11,870.00 2026-05-22
C1889 HCPCS Mild Kits 7 6 $12,462.00 $11,839.00 $6,605.00 $12,213.00 $11,839.00 2026-05-22
10455519 CDM Pegfilgrastim *Fulphila* 6 Mg/0.6 Ml [Brod] 6 6 $12,275.00 $11,661.00 $11,170.00 $12,030.00 $11,784.00 2026-05-22
12386679 CDM Durvalumab Inj 500 Mg/10ml (50 Mg/ml) [Brod] 6 6 $12,136.00 $11,529.00 $11,044.00 $11,893.00 $11,650.50 2026-05-22
11060759 CDM Lapiplasty System 2 7 6 $12,168.00 $11,560.00 $6,449.00 $11,925.00 $11,560.00 2026-05-22
27822 CPT 27822-trimalleolar Ankle 7 6 $11,826.00 $11,235.00 $6,268.00 $11,589.00 $11,235.00 2026-05-22
12898051 CDM Ethacrynic Acid Inj 50 Mg [Brod] 6 6 $11,172.00 $10,613.00 $10,167.00 $10,949.00 $10,725.00 2026-05-22
10895219 CDM Confidence Kit/no Needles 7 6 $11,090.00 $10,536.00 $5,878.00 $10,868.00 $10,536.00 2026-05-22
11104500 CDM Aripiprazole Lauroxil Inj 1064 Mg/3.9 Ml [Brod] 6 6 $10,957.00 $10,409.00 $9,971.00 $10,738.00 $10,518.50 2026-05-22
59510 CPT Obstetric Care, Planned Cesarean Delivery 14 6 $17,144.00 $16,287.00 $2,513.00 $28,956.00 $10,153.00 2026-05-22
10455512 CDM Paliperidone Syr 234 Mg/1.5 Ml [Brod] 6 6 $10,227.00 $9,716.00 $9,307.00 $10,022.00 $9,818.00 2026-05-22
78816 CPT PET CT Whole Body 7 6 $10,233.00 $9,721.00 $5,423.00 $10,028.00 $9,721.00 2026-05-22
10769154 CDM Mepolizumab 100 Mg Inj [Brod] 6 6 $10,031.00 $9,529.00 $9,128.00 $9,830.00 $9,629.50 2026-05-22
10814237 CDM Inclisiran 284 Mg/1.5 Ml Sol [Brod] 6 6 $9,918.00 $9,422.00 $9,025.00 $9,720.00 $9,521.00 2026-05-22
10798700 CDM Rabies Immune Globulin Inj 1500 Units/5 Ml [Brod] 6 6 $9,855.00 $9,362.00 $8,968.00 $9,658.00 $9,460.50 2026-05-22
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 7 6 $9,891.00 $9,396.00 $5,242.00 $9,693.00 $9,396.00 2026-05-22
10455153 CDM Denosumab 120 Mg/1.7 Ml [Brod] 6 6 $9,659.00 $9,176.00 $8,790.00 $9,466.00 $9,272.50 2026-05-22
C1898 HCPCS Intellis Trial Lead 2 Kit 14 6 $13,321.00 $12,655.00 $4,705.00 $17,409.00 $9,057.50 2026-05-22
10455010 CDM Crotalidae Polyvalent Fab Ovine 1 Gm Immunization [Brod] 6 6 $9,402.00 $8,932.00 $8,556.00 $9,214.00 $9,026.00 2026-05-22
10455084 CDM Carfilzomib 60 Mg Pow [Brod] 6 6 $9,197.00 $8,737.00 $8,369.00 $9,013.00 $8,829.00 2026-05-22
10455147 CDM Dantrolene 250 Mg Pow [Brod] 6 6 $9,193.00 $8,733.00 $8,366.00 $9,009.00 $8,825.00 2026-05-22
29826 CPT Shaving Of Shoulder Bone Using Endoscope 14 6 $16,199.00 $15,389.00 $562.00 $30,711.00 $8,824.00 2026-05-22
11846019 CDM Aripiprazole Lauroxil Inj 882 Mg/3.2 Ml [Brod] 6 6 $9,083.00 $8,629.00 $8,266.00 $8,901.00 $8,720.00 2026-05-22
65730 CPT Misc. Procedure 7 6 $9,015.00 $8,564.00 $4,778.00 $8,835.00 $8,564.00 2026-05-22
11060725 CDM Clavis Emg/stim Device 7 6 $9,005.00 $8,555.00 $4,773.00 $8,825.00 $8,555.00 2026-05-22
27380 CPT 27380-suture Of Infrapatellar Tendon 7 6 $8,966.00 $8,518.00 $4,752.00 $8,787.00 $8,518.00 2026-05-22
78815 CPT PET CT Skull Base To Midthigh 7 6 $8,688.00 $8,254.00 $4,605.00 $8,514.00 $8,254.00 2026-05-22
10894912 CDM Arth 1581-25-108 7 6 $8,586.00 $8,157.00 $4,551.00 $8,414.00 $8,157.00 2026-05-22
10455013 CDM Aripiprazole Prefilled Syringe 400 Mg [Brod] 6 6 $8,290.00 $7,876.00 $7,544.00 $8,124.00 $7,958.50 2026-05-22
10455048 CDM Bevacizumab Awwb 400 Mg/16 Ml [Brod] 6 6 $8,205.00 $7,795.00 $7,467.00 $8,041.00 $7,877.00 2026-05-22
L8699 HCPCS Supplies And Materials, Provided By The Physician Or Other Qualified Health Care… 7 6 $8,178.00 $7,769.00 $4,334.00 $8,014.00 $7,769.00 2026-05-22
10455348 CDM Leuprolide 45 Mg/6 Months Sc [Brod] 6 6 $7,968.00 $7,570.00 $7,251.00 $7,809.00 $7,649.50 2026-05-22
11726015 CDM Leuprolide 45 Mg/6 Months Sc [Brod] 6 6 $7,968.00 $7,570.00 $7,251.00 $7,809.00 $7,649.50 2026-05-22
10897193 CDM Kex102eb Kyphopak Express Ii 7 6 $8,013.00 $7,612.00 $4,247.00 $7,853.00 $7,612.00 2026-05-22
10897129 CDM Express Ii Tray First Fracture 7 6 $8,013.00 $7,612.00 $4,247.00 $7,853.00 $7,612.00 2026-05-22
10897199 CDM Express & Tray First Fracture 7 6 $8,013.00 $7,612.00 $4,247.00 $7,853.00 $7,612.00 2026-05-22
22513 CPT 22513 Fos Perq Vertebral Augmentat 22513 Charge 7 6 $7,803.00 $7,413.00 $4,136.00 $7,647.00 $7,413.00 2026-05-22
10897158 CDM Kpe1001 Kypak Exp 7 6 $7,664.00 $7,281.00 $4,062.00 $7,511.00 $7,281.00 2026-05-22
10897155 CDM Kit Kpe1003 Kypak 7 6 $7,664.00 $7,281.00 $4,062.00 $7,511.00 $7,281.00 2026-05-22
36475 CPT 36475 Rfa Vein, 1st Vein Charge 7 6 $7,627.00 $7,246.00 $4,042.00 $7,474.00 $7,246.00 2026-05-22
22514 CPT 22514 Fos Perq Vertebral Augmentat 22514 Charge 7 6 $7,576.00 $7,197.00 $4,015.00 $7,424.00 $7,197.00 2026-05-22
78608 CPT PET CT Metabolic Brain 7 6 $7,525.00 $7,149.00 $3,988.00 $7,375.00 $7,149.00 2026-05-22
C1762 HCPCS Achilles Speed Bridge 70 6 $7,684.00 $7,300.00 $709.00 $14,941.00 $7,076.50 2026-05-22
12409918 CDM Bendamustine *Bendeka* Inj 100 Mg/4 Ml [Brod] 6 6 $7,273.00 $6,909.00 $6,618.00 $7,128.00 $6,982.00 2026-05-22
10787217 CDM Bevacizumab Bvzr 400 Mg/16 Ml Sol [Brod] 6 6 $7,214.00 $6,853.00 $6,565.00 $7,070.00 $6,925.50 2026-05-22
10455308 CDM Idarucizumab 5 G/100 Ml [Brod] 6 6 $7,212.00 $6,851.00 $6,563.00 $7,068.00 $6,923.50 2026-05-22
10455180 CDM Docetaxel Inj 160 Mg/8 Ml (20 Mg/ml) [Brod] 6 6 $7,157.00 $6,799.00 $6,513.00 $7,014.00 $6,870.50 2026-05-22
66984 CPT Removal Of Cataract With Insertion Of Lens 7 6 $7,201.00 $6,841.00 $3,817.00 $7,057.00 $6,841.00 2026-05-22
11336920 CDM Anterior Tibial Tendon 9.5x50mm 7 6 $7,157.00 $6,799.00 $3,793.00 $7,014.00 $6,799.00 2026-05-22
11104510 CDM Aripiprazole Lauroxil Inj 675 Mg/2.4 Ml [Brod] 6 6 $6,951.00 $6,603.00 $6,325.00 $6,812.00 $6,672.50 2026-05-22
10895211 CDM Ti Troch Reattachment Device 7 6 $6,964.00 $6,616.00 $3,691.00 $6,825.00 $6,616.00 2026-05-22
12562293 CDM Bendamustine *Belrapzo* Inj 100 Mg/4 Ml [Brod] 6 6 $6,880.00 $6,536.00 $6,261.00 $6,742.00 $6,605.00 2026-05-22
10455149 CDM Darbepoetin Alfa 300 Mcg/0.6 Ml Inj Sol [Brod] 6 6 $6,827.00 $6,486.00 $6,213.00 $6,690.00 $6,554.00 2026-05-22
10455511 CDM Paliperidone Syr 156 Mg/1 Ml [Brod] 6 6 $6,818.00 $6,477.00 $6,204.00 $6,682.00 $6,545.00 2026-05-22
12368159 CDM Aripiprazole Lauroxil Inj 662 Mg/2.4 Ml [Brod] 6 6 $6,817.00 $6,476.00 $6,203.00 $6,681.00 $6,544.00 2026-05-22
74174 CPT CT Angio Abdomen And Pelvis 7 6 $6,871.00 $6,527.00 $3,642.00 $6,734.00 $6,527.00 2026-05-22
10892236 CDM Arth Achilles Speedbridge 7 6 $6,753.00 $6,415.00 $3,579.00 $6,618.00 $6,415.00 2026-05-22
11336914 CDM Pressfit System 7 6 $6,743.00 $6,406.00 $3,574.00 $6,608.00 $6,406.00 2026-05-22
74178 CPT CT Abdomen And Pelvis With + Without Contrast 7 6 $6,530.00 $6,204.00 $3,461.00 $6,399.00 $6,204.00 2026-05-22
59400 CPT Obstetric Care, Planned Vaginal Delivery 14 6 $9,718.00 $9,232.00 $2,295.00 $14,803.00 $6,125.00 2026-05-22
52318 CPT 52318 Litholapaxy Comp/lg>2.5 Cm Charge 7 6 $6,419.00 $6,098.00 $3,402.00 $6,291.00 $6,098.00 2026-05-22
C1776 HCPCS 1.5mm Articular Comptoe2 1.5mm X 2.5mm Mtp Ce 658 6 $6,835.50 $6,494.00 $261.00 $53,905.00 $6,082.50 2026-05-22
11751831 CDM Hand/wrist Internal Brace Kit 7 6 $6,382.00 $6,063.00 $3,382.00 $6,254.00 $6,063.00 2026-05-22
10895218 CDM Cavity Creation Instrument 10mm 7 6 $6,360.00 $6,042.00 $3,371.00 $6,233.00 $6,042.00 2026-05-22
12077667 CDM Aripiprazole Prefilled Syringe 300 Mg [Brod] 6 6 $6,218.00 $5,907.00 $5,658.00 $6,094.00 $5,969.00 2026-05-22
28525 CPT 28525-phalanges; Internal Fixation 7 6 $6,219.00 $5,908.00 $3,296.00 $6,095.00 $5,908.00 2026-05-22
11716418 CDM Pegfilgrastim *Fulphila* 6 Mg/0.6 Ml [Brod 6 6 $6,137.00 $5,830.00 $5,585.00 $6,014.00 $5,891.50 2026-05-22
11060771 CDM 3cc Leneva Allograft Adipose Matrix 7 6 $6,015.00 $5,714.00 $3,188.00 $5,895.00 $5,714.00 2026-05-22
11241162 CDM Ustekinumab 130 Mg/26 Ml [Brod] 6 6 $5,952.00 $5,654.00 $5,416.00 $5,833.00 $5,713.50 2026-05-22
12473302 CDM Rabies Immune Globulin Inj 900 Units/3 Ml [Brod] 6 6 $5,913.00 $5,617.00 $5,381.00 $5,795.00 $5,676.50 2026-05-22
10892190 CDM Implant System 7 6 $5,952.00 $5,654.00 $3,155.00 $5,833.00 $5,654.00 2026-05-22
12390902 CDM Golimumab Inj 50 Mg/4 Ml [Brod] 6 6 $5,878.00 $5,584.00 $5,349.00 $5,760.00 $5,643.00 2026-05-22
10895010 CDM Arth Cocr Tib Tray #2.5 7 6 $5,885.00 $5,591.00 $3,119.00 $5,767.00 $5,591.00 2026-05-22
L8681 HCPCS Recharger Intellis Rtm 7 6 $5,822.00 $5,531.00 $3,086.00 $5,706.00 $5,531.00 2026-05-22
11336939 CDM Modular Post 25mm 7 6 $5,804.00 $5,514.00 $3,076.00 $5,688.00 $5,514.00 2026-05-22
75635 CPT CT Angio Abdomen Aorta + Iliofemoral 7 6 $5,576.00 $5,297.00 $2,955.00 $5,464.00 $5,297.00 2026-05-22
11337042 CDM Bi Mentum Prfk Pe Linner 22 43 7 6 $5,525.00 $5,249.00 $2,928.00 $5,415.00 $5,249.00 2026-05-22
77049 CPT MRI Breast With + Without Contrast Bilateral 7 6 $5,438.00 $5,166.00 $2,882.00 $5,329.00 $5,166.00 2026-05-22
74183 CPT MRI Abdomen With + Without Contrast 7 6 $5,397.00 $5,127.00 $2,860.00 $5,289.00 $5,127.00 2026-05-22
72157 CPT MRI Spine Thoracic With + Without Contrast 7 6 $5,397.00 $5,127.00 $2,860.00 $5,289.00 $5,127.00 2026-05-22
10455346 CDM Leuprolide 30 Mg/4 Months Sc [Brod] 6 6 $5,312.00 $5,046.00 $4,834.00 $5,206.00 $5,099.50 2026-05-22
12190814 CDM Leuprolide 30 Mg/4 Months Sc [Brod] 6 6 $5,312.00 $5,046.00 $4,834.00 $5,206.00 $5,099.50 2026-05-22
72156 CPT MRI Spine Cervical With + Without Contrast 7 6 $5,334.00 $5,067.00 $2,827.00 $5,227.00 $5,067.00 2026-05-22
10455154 CDM Denosumab 60 Mg/ml [Brod] 6 6 $5,251.00 $4,988.00 $4,778.00 $5,146.00 $5,040.50 2026-05-22
12399225 CDM Denosumab 60 Mg/ml [Brod] 6 6 $5,251.00 $4,988.00 $4,778.00 $5,146.00 $5,040.50 2026-05-22
10455146 CDM Dalbavancin 500 Mg Pow [Brod] 6 6 $5,231.00 $4,969.00 $4,760.00 $5,126.00 $5,021.50 2026-05-22
10455310 CDM Immune Globulin 10 Gram/100 Ml 10% Sol [Brod] 6 6 $5,173.00 $4,914.00 $4,707.00 $5,070.00 $4,966.00 2026-05-22
95811 CPT Rt Polysomnography W/cpap Charge 7 6 $5,144.00 $4,887.00 $2,726.00 $5,041.00 $4,887.00 2026-05-22
11336918 CDM X-linked Vit E Pe Cemented 29mm Lg 7 6 $5,103.00 $4,848.00 $2,705.00 $5,001.00 $4,848.00 2026-05-22
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 14 6 $5,115.00 $4,859.50 $2,645.00 $5,135.00 $4,840.00 2026-05-22
11753532 CDM Buprenorphine 96 Mg/0.27 Ml Inj [Brod] 6 6 $5,022.00 $4,771.00 $4,570.00 $4,922.00 $4,821.00 2026-05-22
12088338 CDM Buprenorphine 128 Mg/0.36 Ml Inj [Brod] 6 6 $5,022.00 $4,771.00 $4,570.00 $4,922.00 $4,821.00 2026-05-22
12441637 CDM Buprenorphine Ers 64 Mg/0.18 Ml [Brod] 6 6 $5,022.00 $4,771.00 $4,570.00 $4,922.00 $4,821.00 2026-05-22
78452 CPT Nm Myocardial Spect Rest And Stress 7 6 $5,068.00 $4,815.00 $2,686.00 $4,967.00 $4,815.00 2026-05-22
22511 CPT 22511 Fos Perq Lumbosacral Injection 22511 Charge 7 6 $5,043.00 $4,791.00 $2,673.00 $4,942.00 $4,791.00 2026-05-22
72197 CPT MRI Pelvis With + Without Contrast 7 6 $5,034.00 $4,782.00 $2,668.00 $4,933.00 $4,782.00 2026-05-22
10895189 CDM Dxtend Metaglene 7 6 $5,004.00 $4,754.00 $2,652.00 $4,904.00 $4,754.00 2026-05-22
10895086 CDM Arth Cocr Tib Tray #3 7 6 $5,004.00 $4,754.00 $2,652.00 $4,904.00 $4,754.00 2026-05-22
10895045 CDM Arth Cocr Tib Tray #4 7 6 $5,004.00 $4,754.00 $2,652.00 $4,904.00 $4,754.00 2026-05-22
10895030 CDM Arth Cocr Tib Tray #5 7 6 $5,004.00 $4,754.00 $2,652.00 $4,904.00 $4,754.00 2026-05-22
C1766 HCPCS Attune Tibial Insert Sz 7 7mm 7 6 $4,991.00 $4,741.00 $2,645.00 $4,891.00 $4,741.00 2026-05-22
10892395 CDM Lithovue Placement Urology Equipment Per Agreement M0067913500 7 6 $4,948.00 $4,701.00 $2,622.00 $4,849.00 $4,701.00 2026-05-22
72158 CPT MRI Spine Lumbar With + Without Contrast 7 6 $4,940.00 $4,693.00 $2,618.00 $4,841.00 $4,693.00 2026-05-22
13160 CPT 13160-secondary Closure Surgical Wound 7 6 $4,924.00 $4,678.00 $2,610.00 $4,826.00 $4,678.00 2026-05-22
74176 CPT CT Abdomen And Pelvis Without Contrast 7 6 $4,900.00 $4,655.00 $2,597.00 $4,802.00 $4,655.00 2026-05-22
26727 CPT 26727phalanx Shaft With Manipulation 7 6 $4,890.00 $4,646.00 $2,592.00 $4,792.00 $4,646.00 2026-05-22
11899686 CDM Naltrexone 380 Mg [Brod] 6 6 $4,825.00 $4,584.00 $4,391.00 $4,729.00 $4,632.00 2026-05-22
37609 CPT 37609ligation/biopsy, Temporal Artery 20 6 $4,954.00 $4,706.00 $351.00 $4,856.00 $4,607.50 2026-05-22
L8689 HCPCS Controller Intellis Ptm 7 6 $4,803.00 $4,563.00 $2,546.00 $4,707.00 $4,563.00 2026-05-22
10455053 CDM Bortezomib 3.5 Mg Subq Inj [Brod] 6 6 $4,713.00 $4,477.00 $4,289.00 $4,619.00 $4,524.50 2026-05-22
12115539 CDM Stimulan Rapid Cure-10cc 7 6 $4,759.00 $4,521.00 $2,522.00 $4,664.00 $4,521.00 2026-05-22
70553 CPT MRI Scan 14 6 $4,713.00 $4,477.50 $2,478.00 $4,655.00 $4,513.00 2026-05-22
73223 CPT MRI Elbow With + Without Contrast Left 7 6 $4,728.00 $4,492.00 $2,506.00 $4,633.00 $4,492.00 2026-05-22
10455510 CDM Paclitaxel Protein-bound 100 Mg IV Inj [Brod] 6 6 $4,645.00 $4,413.00 $4,227.00 $4,552.00 $4,459.50 2026-05-22
70543 CPT MRI Brachial Plexus With + Without Contrast 7 6 $4,676.00 $4,442.00 $2,478.00 $4,582.00 $4,442.00 2026-05-22
10895221 CDM Synflate Balloon/small 7 6 $4,647.00 $4,415.00 $2,463.00 $4,554.00 $4,415.00 2026-05-22
10455083 CDM Carfilzomib 30 Mg Pow [Brod] 6 6 $4,598.00 $4,368.00 $4,184.00 $4,506.00 $4,414.00 2026-05-22
73220 CPT MRI Forearm With + Without Contrast Left 7 6 $4,636.00 $4,404.00 $2,457.00 $4,543.00 $4,404.00 2026-05-22
70549 CPT MRA Carotids With + Without Contrast 7 6 $4,616.00 $4,385.00 $2,446.00 $4,524.00 $4,385.00 2026-05-22
51102 CPT 51102aspiration Bladder W/supra Cath 7 6 $4,520.00 $4,294.00 $2,396.00 $4,430.00 $4,294.00 2026-05-22
10892206 CDM Acute Ac Repair Kit 7 6 $4,503.00 $4,278.00 $2,387.00 $4,413.00 $4,278.00 2026-05-22
72142 CPT MRI Spine Cervical With Contrast 7 6 $4,497.00 $4,272.00 $2,383.00 $4,407.00 $4,272.00 2026-05-22
74185 CPT MRA Abdomen With + Without Contrast 7 6 $4,481.00 $4,257.00 $2,375.00 $4,391.00 $4,257.00 2026-05-22
27244 CPT 27244femoral Fracture With Plate/screw Implant 7 6 $4,479.00 $4,255.00 $2,374.00 $4,389.00 $4,255.00 2026-05-22
36465 CPT 36465 Injection Noncmpnd Sclerosant Single Incmptnt Vein 7 6 $4,477.00 $4,253.00 $2,373.00 $4,387.00 $4,253.00 2026-05-22
10455284 CDM Hyaluronan 88 Mg/4 Ml Monovisc [Brod] 6 6 $4,410.00 $4,190.00 $4,013.00 $4,322.00 $4,234.00 2026-05-22
10455230 CDM Ferric Carboxymaltose 750 Mg/15 Ml [Brod] 6 6 $4,378.00 $4,159.00 $3,984.00 $4,290.00 $4,203.00 2026-05-22
21315 CPT 21315nasal Bone Fx Without Stabilization 7 6 $4,410.00 $4,190.00 $2,337.00 $4,322.00 $4,190.00 2026-05-22
95810 CPT Sleep Study 7 6 $4,403.00 $4,183.00 $2,334.00 $4,315.00 $4,183.00 2026-05-22
11060767 CDM 5 Gram Celleraterx Surgical Powder 7 6 $4,352.00 $4,134.00 $2,307.00 $4,265.00 $4,134.00 2026-05-22
10454964 CDM Abatacept 250 Mg Inj [Brod] 6 6 $4,300.00 $4,085.00 $3,913.00 $4,214.00 $4,128.00 2026-05-22
27650 CPT 27650repair Ruptured Achilles Tendon 7 6 $4,342.00 $4,125.00 $2,301.00 $4,255.00 $4,125.00 2026-05-22
12746819 CDM Recharge System Rs7230 7 6 $4,316.00 $4,100.00 $2,287.00 $4,230.00 $4,100.00 2026-05-22
73720 CPT MRI Femur With + Without Contrast Left 7 6 $4,263.00 $4,050.00 $2,259.00 $4,178.00 $4,050.00 2026-05-22
70552 CPT MRI Brain With Contrast 7 6 $4,240.00 $4,028.00 $2,247.00 $4,155.00 $4,028.00 2026-05-22
52005 CPT 52005cystourethroscopy W/uret Cath 7 6 $4,220.00 $4,009.00 $2,237.00 $4,136.00 $4,009.00 2026-05-22
70551 CPT MRI Brain Without Contrast 7 6 $4,210.00 $4,000.00 $2,231.00 $4,126.00 $4,000.00 2026-05-22
12943897 CDM Omalizumab 150 Mg/ml Inj [Brod] 6 6 $4,163.00 $3,955.00 $3,788.00 $4,080.00 $3,996.50 2026-05-22
72146 CPT MRI Spine Thoracic Without Contrast 7 6 $4,205.00 $3,995.00 $2,229.00 $4,121.00 $3,995.00 2026-05-22
73722 CPT MRI Ankle With Contrast Left 7 6 $4,205.00 $3,995.00 $2,229.00 $4,121.00 $3,995.00 2026-05-22
72141 CPT MRI Spine Cervical Without Contrast 7 6 $4,135.00 $3,928.00 $2,192.00 $4,052.00 $3,928.00 2026-05-22
10455492 CDM Omalizumab 150 Mg/ml Inj [Brod] 6 6 $4,072.00 $3,868.00 $3,706.00 $3,991.00 $3,909.00 2026-05-22
10180 CPT 10180-i&d Postop Wound Infection Complex 7 6 $4,088.00 $3,884.00 $2,167.00 $4,006.00 $3,884.00 2026-05-22
70544 CPT MRA Brain/head Without Contrast 7 6 $4,082.00 $3,878.00 $2,163.00 $4,000.00 $3,878.00 2026-05-22
10455283 CDM Hylan G-f 20 48 Mg/6 Ml Synvisc-one [Brod] 6 6 $4,027.00 $3,826.00 $3,665.00 $3,946.00 $3,866.00 2026-05-22
64635 CPT 64635 Rfa Lumbar/sacral, Single Joint Charge 7 6 $4,063.00 $3,860.00 $2,153.00 $3,982.00 $3,860.00 2026-05-22
11387854 CDM Jada System 7 6 $4,061.00 $3,858.00 $2,152.00 $3,980.00 $3,858.00 2026-05-22
72148 CPT MRI Scan Of Lower Spinal Canal 7 6 $4,053.00 $3,850.00 $2,148.00 $3,972.00 $3,850.00 2026-05-22
36561 CPT 36561-insert Cntl Device; W/port 5yr 7 6 $4,039.00 $3,837.00 $2,141.00 $3,958.00 $3,837.00 2026-05-22
29881 CPT Removal Of One Knee Cartilage Using An Endoscope 14 6 $6,692.50 $6,358.00 $661.00 $11,894.00 $3,828.00 2026-05-22
26765 CPT 26765-distal Phalangeal Open 7 6 $4,029.00 $3,828.00 $2,135.00 $3,948.00 $3,828.00 2026-05-22
10455345 CDM Leuprolide 22.5 Mg/3 Months Sc [Brod] 6 6 $3,984.00 $3,785.00 $3,625.00 $3,904.00 $3,824.50 2026-05-22
11795909 CDM Leuprolide 22.5 Mg/3 Months Sc [Brod] 6 6 $3,984.00 $3,785.00 $3,625.00 $3,904.00 $3,824.50 2026-05-22
74181 CPT MRI Abdomen Without Contrast 7 6 $4,001.00 $3,801.00 $2,121.00 $3,921.00 $3,801.00 2026-05-22
71275 CPT CT Angio Chest 7 6 $3,964.00 $3,766.00 $2,101.00 $3,885.00 $3,766.00 2026-05-22
C1771 HCPCS Urethral Sling 7 6 $3,961.00 $3,763.00 $2,099.00 $3,882.00 $3,763.00 2026-05-22
73723 CPT MRI Ankle With + Without Contrast Left 14 6 $4,056.00 $3,853.00 $2,041.00 $4,176.00 $3,754.50 2026-05-22
11336934 CDM Lead Trial 5mm Compact 1x8 7 6 $3,948.00 $3,751.00 $2,092.00 $3,869.00 $3,751.00 2026-05-22
70540 CPT MRI Brachial Plexus Without Contrast 7 6 $3,923.00 $3,727.00 $2,079.00 $3,845.00 $3,727.00 2026-05-22
74175 CPT CT Angio Abdomen 7 6 $3,887.00 $3,693.00 $2,060.00 $3,809.00 $3,693.00 2026-05-22
41899 CPT 41899dentoalveolar Structures 7 6 $3,877.00 $3,683.00 $2,055.00 $3,799.00 $3,683.00 2026-05-22
51040 CPT 51040cystostomy 7 6 $3,876.00 $3,682.00 $2,054.00 $3,798.00 $3,682.00 2026-05-22
70460 CPT CT Brain/head With Contrast 7 6 $3,867.00 $3,674.00 $2,050.00 $3,790.00 $3,674.00 2026-05-22
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 14 6 $6,498.50 $6,174.00 $534.00 $11,749.00 $3,671.00 2026-05-22
71552 CPT MRI Chest With + Without Contrast 7 6 $3,851.00 $3,658.00 $2,041.00 $3,774.00 $3,658.00 2026-05-22
74182 CPT MRI Abdomen With Contrast 7 6 $3,851.00 $3,658.00 $2,041.00 $3,774.00 $3,658.00 2026-05-22
72149 CPT MRI Spine Lumbar With Contrast 7 6 $3,825.00 $3,634.00 $2,027.00 $3,749.00 $3,634.00 2026-05-22
9076088 CDM 11644 Remove Malig Lision, Face/nose/lips 3.14.0cm 7 6 $3,793.00 $3,603.00 $2,010.00 $3,717.00 $3,603.00 2026-05-22
11770 CPT 11770-excise Of Pilonidal Cyst/sinus 7 6 $3,791.00 $3,601.00 $2,009.00 $3,715.00 $3,601.00 2026-05-22
74170 CPT CT Abdomen With + Without Contrast 7 6 $3,783.00 $3,594.00 $2,005.00 $3,707.00 $3,594.00 2026-05-22
71270 CPT CT Chest With + Without Contrast 7 6 $3,775.00 $3,586.00 $2,001.00 $3,700.00 $3,586.00 2026-05-22
70547 CPT MRA Carotids Without Contrast 7 6 $3,734.00 $3,547.00 $1,979.00 $3,659.00 $3,547.00 2026-05-22
78451 CPT Nm Myocardial Spect Single Study 7 6 $3,728.00 $3,542.00 $1,976.00 $3,653.00 $3,542.00 2026-05-22
36476 CPT 36476 Rfa Vein, Subs Separate Access Charge 7 6 $3,725.00 $3,539.00 $1,974.00 $3,651.00 $3,539.00 2026-05-22
12256315 CDM Romosozumab-aqqg 105 Mg/1.17 Ml [Brod] 6 6 $3,681.00 $3,497.00 $3,350.00 $3,607.00 $3,534.00 2026-05-22
11432430 CDM Romiplostim 125 Mcg Pow [Brod] 6 6 $3,681.00 $3,497.00 $3,350.00 $3,607.00 $3,534.00 2026-05-22
72195 CPT MRI Pelvis Without Contrast 7 6 $3,699.00 $3,514.00 $1,960.00 $3,625.00 $3,514.00 2026-05-22
70496 CPT CT Angio Brain And Neck 7 6 $3,659.00 $3,476.00 $1,939.00 $3,586.00 $3,476.00 2026-05-22
42820 CPT Removal Of Tonsils And Adenoid Glands, Patient Younger Than Age 12 14 6 $6,256.50 $5,943.50 $358.00 $11,600.00 $3,468.00 2026-05-22
72147 CPT MRI Spine Thoracic With Contrast 7 6 $3,620.00 $3,439.00 $1,919.00 $3,548.00 $3,439.00 2026-05-22
72196 CPT MRI Pelvis With Contrast 7 6 $3,620.00 $3,439.00 $1,919.00 $3,548.00 $3,439.00 2026-05-22
71551 CPT MRI Chest With Contrast 7 6 $3,620.00 $3,439.00 $1,919.00 $3,548.00 $3,439.00 2026-05-22
70542 CPT MRI Face Neck Orbit With Contrast 7 6 $3,620.00 $3,439.00 $1,919.00 $3,548.00 $3,439.00 2026-05-22
10455582 CDM Romosozumab-aqqg 105 Mg/1.17 Ml [Brod] 6 6 $3,579.00 $3,400.00 $3,257.00 $3,507.00 $3,436.00 2026-05-22
70498 CPT CT Angio Neck 7 6 $3,598.00 $3,418.00 $1,907.00 $3,526.00 $3,418.00 2026-05-22
27222 CPT 27222clsd Tx Hip Socket W/manip 7 6 $3,597.00 $3,417.00 $1,906.00 $3,525.00 $3,417.00 2026-05-22
10895206 CDM Trumatch Attune Ps Femoral Pin Guide 7 6 $3,596.00 $3,416.00 $1,906.00 $3,524.00 $3,416.00 2026-05-22
72133 CPT CT Spine Lumbar With + Without Contrast 7 6 $3,552.00 $3,374.00 $1,883.00 $3,481.00 $3,374.00 2026-05-22
73222 CPT MRI Elbow With Contrast Left 7 6 $3,543.00 $3,366.00 $1,878.00 $3,472.00 $3,366.00 2026-05-22
31238 CPT 31238endoscopy W/control Nasal 7 6 $3,530.00 $3,354.00 $1,871.00 $3,459.00 $3,354.00 2026-05-22
10897138 CDM Medium Surgiclip Applier 7 6 $3,493.00 $3,318.00 $1,851.00 $3,423.00 $3,318.00 2026-05-22
10455311 CDM Infliximab 100 Mg IV Inj [Brod] 6 6 $3,433.00 $3,261.00 $3,124.00 $3,364.00 $3,295.50 2026-05-22
70492 CPT CT Neck Soft Tissue With + Without Contrast 7 6 $3,454.00 $3,281.00 $1,831.00 $3,385.00 $3,281.00 2026-05-22
10894949 CDM T6 Screwdriver Shaft 7 6 $3,453.00 $3,280.00 $1,830.00 $3,384.00 $3,280.00 2026-05-22
10894902 CDM Sorbafix Absorbable Fixation 7 6 $3,448.00 $3,276.00 $1,827.00 $3,379.00 $3,276.00 2026-05-22
11690130 CDM Nexplanon Subcutaneous Imp 68mg [Brod] 6 6 $3,399.00 $3,229.00 $3,093.00 $3,331.00 $3,263.00 2026-05-22
73702 CPT CT Ankle With + Without Contrast Bilateral 7 6 $3,421.00 $3,250.00 $1,813.00 $3,353.00 $3,250.00 2026-05-22
10455604 CDM Hyaluronate 30 Mg/3 Ml Gel-one [Brod] 6 6 $3,381.00 $3,212.00 $3,077.00 $3,313.00 $3,246.00 2026-05-22
10899068 CDM Stapler 7 6 $3,414.00 $3,243.00 $1,809.00 $3,346.00 $3,243.00 2026-05-22
73718 CPT MRI Femur Without Contrast Left 7 6 $3,404.00 $3,234.00 $1,804.00 $3,336.00 $3,234.00 2026-05-22
77048 CPT MRI Breast With + Without Contrast Left 7 6 $3,389.00 $3,220.00 $1,796.00 $3,321.00 $3,220.00 2026-05-22
71550 CPT MRI Chest Without Contrast 7 6 $3,389.00 $3,220.00 $1,796.00 $3,321.00 $3,220.00 2026-05-22
11669917 CDM Copper Intrauterine Contraceptive [Brod] 6 6 $3,347.00 $3,180.00 $3,046.00 $3,280.00 $3,213.50 2026-05-22
72191 CPT CT Angio Abdomen And Pelvis 7 6 $3,379.00 $3,210.00 $1,791.00 $3,311.00 $3,210.00 2026-05-22
11080242 CDM 69610 Tympanic Paper Patch Charge 7 6 $3,374.00 $3,205.00 $1,788.00 $3,307.00 $3,205.00 2026-05-22
73218 CPT MRI Forearm Without Contrast Left 7 6 $3,357.00 $3,189.00 $1,779.00 $3,290.00 $3,189.00 2026-05-22
25575 CPT 25575-radial And Ulnar Shaft 7 6 $3,351.00 $3,183.00 $1,776.00 $3,284.00 $3,183.00 2026-05-22
11012 CPT 11012-fracture And/or Dislocation 7 6 $3,347.00 $3,180.00 $1,774.00 $3,280.00 $3,180.00 2026-05-22
27658 CPT 27658-repair; Leg 7 6 $3,337.00 $3,170.00 $1,769.00 $3,270.00 $3,170.00 2026-05-22
12866304 CDM Bulkamid Urethral Bulking System (2ml) 7 6 $3,309.00 $3,144.00 $1,754.00 $3,243.00 $3,144.00 2026-05-22
10895038 CDM Anatomic Proximal Body 7 6 $3,300.00 $3,135.00 $1,749.00 $3,234.00 $3,135.00 2026-05-22
72194 CPT CT Pelvis With + Without Contrast 7 6 $3,287.00 $3,123.00 $1,742.00 $3,221.00 $3,123.00 2026-05-22
10860306 CDM 11406 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed … 7 6 $3,261.00 $3,098.00 $1,728.00 $3,196.00 $3,098.00 2026-05-22
73206 CPT CT Angio Upper Extremity Bilateral 7 6 $3,244.00 $3,082.00 $1,719.00 $3,179.00 $3,082.00 2026-05-22
73202 CPT CT Elbow With + Without Contrast Bilateral 7 6 $3,244.00 $3,082.00 $1,719.00 $3,179.00 $3,082.00 2026-05-22
73706 CPT CT Angio Lower Extremity Bilateral 7 6 $3,242.00 $3,080.00 $1,718.00 $3,177.00 $3,080.00 2026-05-22
72132 CPT CT Spine Lumbar With Contrast 7 6 $3,229.00 $3,068.00 $1,711.00 $3,164.00 $3,068.00 2026-05-22
11060695 CDM Kit Vpk1003 Vertebroplasty Cur 13 Ga 7 6 $3,202.00 $3,042.00 $1,697.00 $3,138.00 $3,042.00 2026-05-22
10895289 CDM Cyber Tm End Fire 1000 Micron Fiber 7 6 $3,202.00 $3,042.00 $1,697.00 $3,138.00 $3,042.00 2026-05-22
8720370 CDM 64634 Destr Pv C/t Add On Charge 7 6 $3,197.00 $3,037.00 $1,694.00 $3,133.00 $3,037.00 2026-05-22
64633 CPT 64633 Destr Pv Nerve C/t Bi Charge 7 6 $3,197.00 $3,037.00 $1,694.00 $3,133.00 $3,037.00 2026-05-22
73719 CPT MRI Femur With Contrast Left 7 6 $3,196.00 $3,036.00 $1,694.00 $3,132.00 $3,036.00 2026-05-22
10455597 CDM Hyaluronate 60 Mg/3 Ml Durolane [Brod] 6 6 $3,161.00 $3,003.00 $2,877.00 $3,098.00 $3,034.50 2026-05-22
20225 CPT 20225 Bx Bone Troc/ndle Deep Charge 7 6 $3,194.00 $3,034.00 $1,693.00 $3,130.00 $3,034.00 2026-05-22
46040 CPT 46040-i&d Ischiorectal/perirectal Abscess 7 6 $3,161.00 $3,003.00 $1,675.00 $3,098.00 $3,003.00 2026-05-22
72198 CPT MRA Pelvis With + Without Contrast 7 6 $3,158.00 $3,000.00 $1,674.00 $3,095.00 $3,000.00 2026-05-22
73725 CPT MRA Lower Extremity With + Without Cnt Left 7 6 $3,158.00 $3,000.00 $1,674.00 $3,095.00 $3,000.00 2026-05-22
10891521 CDM Octrode 7 6 $3,154.00 $2,996.00 $1,672.00 $3,091.00 $2,996.00 2026-05-22
10892266 CDM Actuation Driver/reamer/drill/guidewire 7 6 $3,154.00 $2,996.00 $1,672.00 $3,091.00 $2,996.00 2026-05-22
11060764 CDM Senza Omnia Patient Remote Kit 7 6 $3,154.00 $2,996.00 $1,672.00 $3,091.00 $2,996.00 2026-05-22
11060763 CDM Senza Charger Kit 7 6 $3,154.00 $2,996.00 $1,672.00 $3,091.00 $2,996.00 2026-05-22
73721 CPT MRI Scan Of Leg Joint 7 6 $3,140.00 $2,983.00 $1,664.00 $3,077.00 $2,983.00 2026-05-22
26123 CPT 26123-fasciectomy, Single Finger 7 6 $3,139.00 $2,982.00 $1,664.00 $3,076.00 $2,982.00 2026-05-22
10899347 CDM Urolift 7 6 $3,129.00 $2,973.00 $1,658.00 $3,066.00 $2,973.00 2026-05-22
74160 CPT CT Abdomen With Contrast 7 6 $3,128.00 $2,972.00 $1,658.00 $3,065.00 $2,972.00 2026-05-22
10897135 CDM Take Home Pca Button 7 6 $3,123.00 $2,967.00 $1,655.00 $3,061.00 $2,967.00 2026-05-22
10455495 CDM Onabotulinumtoxina 200 Units Pow [Brod] 6 6 $3,087.00 $2,933.00 $2,809.00 $3,025.00 $2,963.50 2026-05-22
71260 CPT CT Chest With Contrast 7 6 $3,116.00 $2,960.00 $1,651.00 $3,054.00 $2,960.00 2026-05-22
72127 CPT CT Spine Cervical With + Without Contrast 7 6 $3,107.00 $2,952.00 $1,647.00 $3,045.00 $2,952.00 2026-05-22
73221 CPT MRI Elbow Without Contrast Left 7 6 $3,091.00 $2,936.00 $1,638.00 $3,029.00 $2,936.00 2026-05-22
10891539 CDM Restrata Wound Matrix 2.5cm X 2.5cm 7 6 $3,085.00 $2,931.00 $1,635.00 $3,023.00 $2,931.00 2026-05-22
72129 CPT CT Spine Thoracic With Contrast 7 6 $3,084.00 $2,930.00 $1,635.00 $3,022.00 $2,930.00 2026-05-22
11084231 CDM Handset 7 6 $3,075.00 $2,921.00 $1,630.00 $3,014.00 $2,921.00 2026-05-22
10813659 CDM Nexplanon Subcutaneous Imp 68mg [Brod] 6 6 $3,030.00 $2,879.00 $2,757.00 $2,969.00 $2,909.00 2026-05-22
72130 CPT CT Spine Thoracic With + Without Contrast 7 6 $3,056.00 $2,903.00 $1,620.00 $2,995.00 $2,903.00 2026-05-22
47000 CPT 47000biopsy Of Liver, Needle; Percutaneous 7 6 $3,045.00 $2,893.00 $1,614.00 $2,984.00 $2,893.00 2026-05-22
72126 CPT CT Spine Cervical With Contrast 7 6 $3,043.00 $2,891.00 $1,613.00 $2,982.00 $2,891.00 2026-05-22
10897194 CDM Catheter 7 6 $3,042.00 $2,890.00 $1,612.00 $2,981.00 $2,890.00 2026-05-22
72193 CPT CT Scan Of Pelvis With Contrast 7 6 $3,040.00 $2,888.00 $1,611.00 $2,979.00 $2,888.00 2026-05-22
12746821 CDM Comm Handset Kit Th91scsr 7 6 $3,031.00 $2,879.00 $1,606.00 $2,970.00 $2,879.00 2026-05-22
15240 CPT 15240-full Thickness Graft 20 Sq Cm/less 7 6 $3,003.00 $2,853.00 $1,592.00 $2,943.00 $2,853.00 2026-05-22
70481 CPT CT Iac With Contrast 7 6 $3,002.00 $2,852.00 $1,591.00 $2,942.00 $2,852.00 2026-05-22
36573 CPT 36573 Insertion Picc W/rs&i 5 Yr/> Charge 14 6 $3,296.50 $3,131.50 $1,548.00 $3,599.00 $2,848.00 2026-05-22
70470 CPT CT Brain/head With + Without Contrast 7 6 $2,986.00 $2,837.00 $1,583.00 $2,926.00 $2,837.00 2026-05-22
11060727 CDM Bone Tamp Ke152 7 6 $2,985.00 $2,836.00 $1,582.00 $2,925.00 $2,836.00 2026-05-22
G0390 HCPCS G0390-811 Preactivation Trauma Response 7 6 $2,981.00 $2,832.00 $1,580.00 $2,921.00 $2,832.00 2026-05-22
10030 CPT 10030 Image Guided Catheter Fluir Collection Drainage 7 6 $2,959.00 $2,811.00 $1,568.00 $2,900.00 $2,811.00 2026-05-22
11480559 CDM Iobp Knee Open Tip Procedure Kit 7 6 $2,950.00 $2,803.00 $1,564.00 $2,891.00 $2,803.00 2026-05-22
72125 CPT CT Spine Cervical Without Contrast 7 6 $2,945.00 $2,798.00 $1,561.00 $2,886.00 $2,798.00 2026-05-22
2120844 CDM Room/bed: ICU 7 6 $2,930.00 $2,784.00 $1,553.00 $2,871.00 $2,784.00 2026-05-22
73219 CPT MRI Forearm With Contrast Left 7 6 $2,927.00 $2,781.00 $1,551.00 $2,868.00 $2,781.00 2026-05-22
70488 CPT CT Maxillofacial With + Without Contrast 7 6 $2,917.00 $2,771.00 $1,546.00 $2,859.00 $2,771.00 2026-05-22
78708 CPT Nm Kidney Imaging Single With Pharm 7 6 $2,912.00 $2,766.00 $1,543.00 $2,854.00 $2,766.00 2026-05-22
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 14 6 $4,797.00 $4,557.00 $509.00 $8,461.00 $2,758.50 2026-05-22
See an error in this hospital's data? Submit a correction