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

WEBSTER COUNTY COMMUNITY HOSPITAL

Red Cloud, NE · CCN 281316 · Rates published

Your selected procedure

You selected 93306 (CPT)

Us Echo 2d Complete

This hospital’s price: $1,846 across 3 payers · range $1,099-$2,154

Source: https://secure.claraprice.net/price-transparency/MMRL-1778188481466/machine-readable/470466032_webster-county-community-hospital_standardcharges.json · observed 2026-05-07

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.

1,982 distinct procedures filed
4 distinct payers
7,026 rate rows
2026-05-07 last MRF observed
Data quality

6,309 of 7,026 rate rows are consumer-grade (89.8%)

717 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
template filing: same amount across many unrelated codes — excluded 717
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/MMRL-1778188481466/machine-readable/470466032_webster-county-community-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/webster-county-community-hospital-ne
Discovered viaCMS hospital list
Last fetch success · 2026-09-25
Content fingerprint 447936c7de0f722f… · 1,701,004 bytes · first seen 2026-06-08

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
9160030
CDM 		Ustekinumab 45 Mg/0.5 Ml Subcut Soln 0.5 Ml [Webs] 4 $9,954.00 $19,510.00 $17,917.50 nat. median
$17,918
1.0× median
9159751
CDM 		Alteplase 100 Mg IV Inj [Webs] 4 $6,611.00 $12,957.00 $11,899.00 nat. median
$11,899
1.0× median
9615608
CDM 		Eflapegrastim Xnst 13.2 Mg/0.6 Ml Sol [Webs] 4 $5,860.00 $11,486.00 $10,548.00 nat. median
$10,548
1.0× median
9160020
CDM 		Tenecteplase 50 Mg Kit [Webs] 4 $5,765.00 $11,299.00 $10,377.00 nat. median
$10,377
1.0× median
9160442
CDM 		Certolizumab 200 Mg Kit 4 $3,766.00 $7,381.00 $6,779.00 nat. median
$6,779
1.0× median
74174
CPT 		CT Angio Abdomen And Pelvis 3 $2,939.00 $5,760.00 $4,938.00 nat. median
$988
outlier · 5.0×
74178
CPT 		CT Abdomen And Pelvis With + Without Contrast 3 $2,692.00 $5,275.00 $4,522.00 nat. median
$1,024
outlier · 4.4×
74177
CPT 		CT Scan Of Abdomen And Pelvis With Contrast 3 $2,605.00 $5,106.00 $4,376.00 nat. median
$974
outlier · 4.5×
9206460
CDM 		Denosumab 120 Mg/1.7 Ml Sol [Webs] 4 $2,427.00 $4,757.00 $4,368.50 nat. median
$4,368
1.0× median
9159918
CDM 		Mepolizumab 100 Mg Subcut Inj [Webs] 4 $2,363.00 $4,631.00 $4,253.50 nat. median
$4,254
1.0× median
72156
CPT 		MRI Spine Cervical With + Without Contrast 3 $2,195.00 $4,301.00 $3,687.00 nat. median
$1,103
outlier · 3.3×
74183
CPT 		MRI Abdomen With + Without Contrast 3 $2,176.00 $4,265.00 $3,656.00 nat. median
$1,100
outlier · 3.3×
72197
CPT 		MRI Pelvis With + Without Contrast 3 $2,133.00 $4,180.00 $3,583.00 nat. median
$1,063
outlier · 3.4×
78452
CPT 		Nm Myocardial Spect Rest And Stress 3 $2,077.00 $4,070.00 $3,489.00 nat. median
$1,816
1.9× median
9159967
CDM 		Pegfilgrastim 6 Mg/0.6 Ml Subcut Soln 0.6 Ml [Webs] 4 $1,908.00 $3,740.00 $3,434.00 nat. median
$3,434
1.0× median
72158
CPT 		MRI Spine Lumbar With + Without Contrast 3 $1,989.00 $3,897.00 $3,341.00 nat. median
$1,093
outlier · 3.1×
71552
CPT 		MRI Chest With + Without Contrast 3 $1,980.00 $3,880.00 $3,326.00 nat. median
$1,097
outlier · 3.0×
70543
CPT 		MRI Face Neck Orbit With + Without Contrast 3 $1,969.00 $3,858.00 $3,307.00 nat. median
$1,083
outlier · 3.1×
70549
CPT 		MRA Neck With + Without Contrast 3 $1,969.00 $3,858.00 $3,307.00 nat. median
$1,055
outlier · 3.1×
74176
CPT 		CT Abdomen And Pelvis Without Contrast 3 $1,960.00 $3,841.00 $3,292.00 nat. median
$694
outlier · 4.7×
70546
CPT 		MRA Brain/head With + Without Contrast 3 $1,931.00 $3,785.00 $3,244.00 nat. median
$1,070
outlier · 3.0×
70553
CPT 		MRI Scan 3 $1,931.00 $3,785.00 $3,244.00 nat. median
$1,133
outlier · 2.9×
10136709
CDM 		Denosumab 60 Mg/ml Sol [Webs] 4 $1,698.00 $3,328.00 $3,056.50 nat. median
$16
outlier · 193.3×
72146
CPT 		MRI Spine Thoracic Without Contrast 3 $1,812.00 $3,552.00 $3,044.00 nat. median
$797
outlier · 3.8×
70551
CPT 		MRI Brain Without Contrast 3 $1,788.00 $3,504.00 $3,003.00 nat. median
$784
outlier · 3.8×
70482
CPT 		CT Orbits Sella With + Without Contrast 3 $1,788.00 $3,504.00 $3,003.00 nat. median
$656
outlier · 4.6×
70545
CPT 		MRA Brain/head With Contrast 3 $1,785.00 $3,498.00 $2,998.00 nat. median
$889
outlier · 3.4×
73223
CPT 		MRI Ue Joint With + Without Contrast Bilat 3 $1,683.00 $3,659.00 $2,982.00 nat. median
$1,158
outlier · 2.6×
73220
CPT 		MRI Upper Extremity With + Without Cnt Left 3 $1,759.00 $3,447.00 $2,954.00 nat. median
$1,130
outlier · 2.6×
72141
CPT 		MRI Spine Cervical Without Contrast 3 $1,754.00 $3,437.00 $2,946.00 nat. median
$781
outlier · 3.8×
73722
CPT 		MRI Le Joint Without Contrast Right 3 $1,716.00 $3,362.00 $2,882.00 nat. median
$1,279
outlier · 2.3×
70540
CPT 		MRI Face Neck Orbit Without Contrast 3 $1,706.00 $3,344.00 $2,866.00 nat. median
$794
outlier · 3.6×
70548
CPT 		MRA Neck With Contrast 3 $1,690.00 $3,312.00 $2,839.00 nat. median
$922
outlier · 3.1×
73723
CPT 		MRI Le Joint With + Without Contrast Left 3 $1,683.00 $3,299.00 $2,827.00 nat. median
$1,192
outlier · 2.4×
74175
CPT 		CT Angio Abdomen 3 $1,653.00 $3,239.00 $2,776.00 nat. median
$714
outlier · 3.9×
70552
CPT 		MRI Brain With Contrast 3 $1,650.00 $3,233.00 $2,771.00 nat. median
$962
outlier · 2.9×
74181
CPT 		MRI Abdomen Without Contrast 3 $1,643.00 $3,220.00 $2,760.00 nat. median
$820
outlier · 3.4×
72148
CPT 		MRI Scan Of Lower Spinal Canal 3 $1,638.00 $3,210.00 $2,751.00 nat. median
$805
outlier · 3.4×
72195
CPT 		MRI Pelvis Without Contrast 3 $1,636.00 $3,207.00 $2,748.00 nat. median
$806
outlier · 3.4×
73720
CPT 		MRI Lower Extremity With + Without Cnt Bilat 3 $1,615.00 $3,164.00 $2,712.00 nat. median
$1,129
outlier · 2.4×
71275
CPT 		CT Angio Chest 3 $1,603.00 $3,142.00 $2,693.00 nat. median
$754
outlier · 3.6×
9206459
CDM 		Darbepoetin Alfa 200 Mcg/ml Sol [Webs] 4 $1,496.00 $2,932.00 $2,692.50 nat. median
$2,692
1.0× median
73222
CPT 		MRI Ue Joint With Contrast Right 3 $1,592.00 $3,119.00 $2,674.00 nat. median
$1,282
outlier · 2.1×
70496
CPT 		CT Angio Brain/head 3 $1,580.00 $3,097.00 $2,654.00 nat. median
$747
outlier · 3.6×
72191
CPT 		CT Angio Pelvis 3 $1,514.00 $2,966.00 $2,543.00 nat. median
$632
outlier · 4.0×
70498
CPT 		CT Angio Neck 3 $1,506.00 $2,951.00 $2,529.00 nat. median
$739
outlier · 3.4×
74170
CPT 		CT Abdomen With + Without Contrast 3 $1,502.00 $2,943.00 $2,523.00 nat. median
$710
outlier · 3.6×
70336
CPT 		MRI Tmj 3 $1,496.00 $2,931.00 $2,512.00 nat. median
$756
outlier · 3.3×
70542
CPT 		MRI Face Neck Orbit With Contrast 3 $1,491.00 $2,922.00 $2,505.00 nat. median
$923
outlier · 2.7×
71270
CPT 		CT Chest With + Without Contrast 3 $1,463.00 $2,867.00 $2,457.00 nat. median
$672
outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 1,982 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
             
9160030 CDM Ustekinumab 45 Mg/0.5 Ml Subcut Soln 0.5 Ml [Webs] 4 4 $19,908.00 $18,913.00 $9,954.00 $19,510.00 $17,917.50 2026-05-07
9159751 CDM Alteplase 100 Mg IV Inj [Webs] 4 4 $13,221.00 $12,560.00 $6,611.00 $12,957.00 $11,899.00 2026-05-07
9615608 CDM Eflapegrastim Xnst 13.2 Mg/0.6 Ml Sol [Webs] 4 4 $11,720.00 $11,134.00 $5,860.00 $11,486.00 $10,548.00 2026-05-07
9160020 CDM Tenecteplase 50 Mg Kit [Webs] 4 4 $11,530.00 $10,954.00 $5,765.00 $11,299.00 $10,377.00 2026-05-07
9160442 CDM Certolizumab 200 Mg Kit 4 4 $7,532.00 $7,155.00 $3,766.00 $7,381.00 $6,779.00 2026-05-07
74174 CPT CT Angio Abdomen And Pelvis 3 3 $5,878.00 $5,584.00 $2,939.00 $5,760.00 $4,938.00 2026-05-07
74178 CPT CT Abdomen And Pelvis With + Without Contrast 3 3 $5,383.00 $5,114.00 $2,692.00 $5,275.00 $4,522.00 2026-05-07
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 3 3 $5,210.00 $4,950.00 $2,605.00 $5,106.00 $4,376.00 2026-05-07
9206460 CDM Denosumab 120 Mg/1.7 Ml Sol [Webs] 4 4 $4,854.00 $4,611.00 $2,427.00 $4,757.00 $4,368.50 2026-05-07
9159918 CDM Mepolizumab 100 Mg Subcut Inj [Webs] 4 4 $4,726.00 $4,490.00 $2,363.00 $4,631.00 $4,253.50 2026-05-07
72156 CPT MRI Spine Cervical With + Without Contrast 3 3 $4,389.00 $4,170.00 $2,195.00 $4,301.00 $3,687.00 2026-05-07
74183 CPT MRI Abdomen With + Without Contrast 3 3 $4,352.00 $4,134.00 $2,176.00 $4,265.00 $3,656.00 2026-05-07
72197 CPT MRI Pelvis With + Without Contrast 3 3 $4,265.00 $4,052.00 $2,133.00 $4,180.00 $3,583.00 2026-05-07
78452 CPT Nm Myocardial Spect Rest And Stress 3 3 $4,153.00 $3,945.00 $2,077.00 $4,070.00 $3,489.00 2026-05-07
9159967 CDM Pegfilgrastim 6 Mg/0.6 Ml Subcut Soln 0.6 Ml [Webs] 4 4 $3,816.00 $3,625.00 $1,908.00 $3,740.00 $3,434.00 2026-05-07
72158 CPT MRI Spine Lumbar With + Without Contrast 3 3 $3,977.00 $3,778.00 $1,989.00 $3,897.00 $3,341.00 2026-05-07
71552 CPT MRI Chest With + Without Contrast 3 3 $3,959.00 $3,761.00 $1,980.00 $3,880.00 $3,326.00 2026-05-07
70543 CPT MRI Face Neck Orbit With + Without Contrast 3 3 $3,937.00 $3,740.00 $1,969.00 $3,858.00 $3,307.00 2026-05-07
70549 CPT MRA Neck With + Without Contrast 3 3 $3,937.00 $3,740.00 $1,969.00 $3,858.00 $3,307.00 2026-05-07
74176 CPT CT Abdomen And Pelvis Without Contrast 3 3 $3,919.00 $3,723.00 $1,960.00 $3,841.00 $3,292.00 2026-05-07
70546 CPT MRA Brain/head With + Without Contrast 3 3 $3,862.00 $3,669.00 $1,931.00 $3,785.00 $3,244.00 2026-05-07
70553 CPT MRI Scan 3 3 $3,862.00 $3,669.00 $1,931.00 $3,785.00 $3,244.00 2026-05-07
10136709 CDM Denosumab 60 Mg/ml Sol [Webs] 4 4 $3,396.00 $3,226.00 $1,698.00 $3,328.00 $3,056.50 2026-05-07
72146 CPT MRI Spine Thoracic Without Contrast 3 3 $3,624.00 $3,443.00 $1,812.00 $3,552.00 $3,044.00 2026-05-07
70551 CPT MRI Brain Without Contrast 3 3 $3,575.00 $3,396.00 $1,788.00 $3,504.00 $3,003.00 2026-05-07
70482 CPT CT Orbits Sella With + Without Contrast 3 3 $3,575.00 $3,396.00 $1,788.00 $3,504.00 $3,003.00 2026-05-07
70545 CPT MRA Brain/head With Contrast 3 3 $3,569.00 $3,391.00 $1,785.00 $3,498.00 $2,998.00 2026-05-07
73223 CPT MRI Ue Joint With + Without Contrast Bilat 6 3 $3,550.00 $3,372.50 $1,683.00 $3,659.00 $2,982.00 2026-05-07
73220 CPT MRI Upper Extremity With + Without Cnt Left 3 3 $3,517.00 $3,341.00 $1,759.00 $3,447.00 $2,954.00 2026-05-07
72141 CPT MRI Spine Cervical Without Contrast 3 3 $3,507.00 $3,332.00 $1,754.00 $3,437.00 $2,946.00 2026-05-07
73722 CPT MRI Le Joint Without Contrast Right 3 3 $3,431.00 $3,259.00 $1,716.00 $3,362.00 $2,882.00 2026-05-07
70540 CPT MRI Face Neck Orbit Without Contrast 3 3 $3,412.00 $3,241.00 $1,706.00 $3,344.00 $2,866.00 2026-05-07
70548 CPT MRA Neck With Contrast 3 3 $3,380.00 $3,211.00 $1,690.00 $3,312.00 $2,839.00 2026-05-07
73723 CPT MRI Le Joint With + Without Contrast Left 3 3 $3,366.00 $3,198.00 $1,683.00 $3,299.00 $2,827.00 2026-05-07
74175 CPT CT Angio Abdomen 3 3 $3,305.00 $3,140.00 $1,653.00 $3,239.00 $2,776.00 2026-05-07
70552 CPT MRI Brain With Contrast 3 3 $3,299.00 $3,134.00 $1,650.00 $3,233.00 $2,771.00 2026-05-07
74181 CPT MRI Abdomen Without Contrast 3 3 $3,286.00 $3,122.00 $1,643.00 $3,220.00 $2,760.00 2026-05-07
72148 CPT MRI Scan Of Lower Spinal Canal 3 3 $3,275.00 $3,111.00 $1,638.00 $3,210.00 $2,751.00 2026-05-07
72195 CPT MRI Pelvis Without Contrast 3 3 $3,272.00 $3,108.00 $1,636.00 $3,207.00 $2,748.00 2026-05-07
73720 CPT MRI Lower Extremity With + Without Cnt Bilat 3 3 $3,229.00 $3,068.00 $1,615.00 $3,164.00 $2,712.00 2026-05-07
71275 CPT CT Angio Chest 3 3 $3,206.00 $3,046.00 $1,603.00 $3,142.00 $2,693.00 2026-05-07
9206459 CDM Darbepoetin Alfa 200 Mcg/ml Sol [Webs] 4 4 $2,992.00 $2,842.00 $1,496.00 $2,932.00 $2,692.50 2026-05-07
73222 CPT MRI Ue Joint With Contrast Right 3 3 $3,183.00 $3,024.00 $1,592.00 $3,119.00 $2,674.00 2026-05-07
70496 CPT CT Angio Brain/head 3 3 $3,160.00 $3,002.00 $1,580.00 $3,097.00 $2,654.00 2026-05-07
72191 CPT CT Angio Pelvis 3 3 $3,027.00 $2,876.00 $1,514.00 $2,966.00 $2,543.00 2026-05-07
70498 CPT CT Angio Neck 3 3 $3,011.00 $2,860.00 $1,506.00 $2,951.00 $2,529.00 2026-05-07
74170 CPT CT Abdomen With + Without Contrast 3 3 $3,003.00 $2,853.00 $1,502.00 $2,943.00 $2,523.00 2026-05-07
70336 CPT MRI Tmj 3 3 $2,991.00 $2,841.00 $1,496.00 $2,931.00 $2,512.00 2026-05-07
70542 CPT MRI Face Neck Orbit With Contrast 3 3 $2,982.00 $2,833.00 $1,491.00 $2,922.00 $2,505.00 2026-05-07
71270 CPT CT Chest With + Without Contrast 3 3 $2,925.00 $2,779.00 $1,463.00 $2,867.00 $2,457.00 2026-05-07
73202 CPT CT Upper Extremity W/+without Contrast Left 3 3 $2,902.00 $2,757.00 $1,451.00 $2,844.00 $2,438.00 2026-05-07
70492 CPT CT Neck Soft Tissue With + Without Contrast 3 3 $2,886.00 $2,742.00 $1,443.00 $2,828.00 $2,424.00 2026-05-07
9280660 CDM Endo Scope 1 136-150min 3 3 $2,855.00 $2,712.00 $1,428.00 $2,798.00 $2,398.00 2026-05-07
9159839 CDM Ferric Carboxymaltose (As Elemental Iron) 50 Mg/ml IV Soln 15 Ml [Webs] 4 4 $2,662.00 $2,529.00 $1,331.00 $2,609.00 $2,396.00 2026-05-07
73721 CPT MRI Scan Of Leg Joint 6 3 $3,002.50 $2,852.00 $1,287.00 $3,362.00 $2,342.50 2026-05-07
72194 CPT CT Pelvis With + Without Contrast 3 3 $2,753.00 $2,615.00 $1,377.00 $2,698.00 $2,313.00 2026-05-07
73718 CPT MRI Lower Extremity Without Contrast Bilat 3 3 $2,747.00 $2,610.00 $1,374.00 $2,692.00 $2,307.00 2026-05-07
71260 CPT CT Chest With Contrast 3 3 $2,708.00 $2,573.00 $1,354.00 $2,654.00 $2,275.00 2026-05-07
73218 CPT MRI Upper Extremity Without Contrast Left 3 3 $2,693.00 $2,558.00 $1,347.00 $2,639.00 $2,262.00 2026-05-07
13160 CPT 13160 Secondary Closure Of Surgical Wound Dehiscence Extensive/complicated Techf… 3 3 $2,688.00 $2,554.00 $1,344.00 $2,634.00 $2,258.00 2026-05-07
36569 CPT 36569 Insert Picc Cath Techfee 3 3 $2,680.00 $2,546.00 $1,340.00 $2,626.00 $2,251.00 2026-05-07
9280659 CDM Endo Scope 1 121-135min 3 3 $2,667.00 $2,534.00 $1,334.00 $2,614.00 $2,240.00 2026-05-07
74160 CPT CT Abdomen With Contrast 3 3 $2,648.00 $2,516.00 $1,324.00 $2,595.00 $2,224.00 2026-05-07
72193 CPT CT Scan Of Pelvis With Contrast 3 3 $2,637.00 $2,505.00 $1,319.00 $2,584.00 $2,215.00 2026-05-07
9202589 CDM Denosumab 60 Mg/ml Inj [Webs] 4 4 $2,452.00 $2,329.00 $1,226.00 $2,403.00 $2,207.00 2026-05-07
73221 CPT MRI Ue Joint Without Contrast Left 3 3 $2,517.00 $2,391.00 $1,259.00 $2,467.00 $2,114.00 2026-05-07
9279313 CDM Endo Scope 1 106-120min 3 3 $2,481.00 $2,357.00 $1,241.00 $2,431.00 $2,084.00 2026-05-07
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 2 2 $2,798.00 $2,658.00 $1,399.00 $2,742.00 $2,070.50 2026-05-07
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 2 2 $2,798.00 $2,658.00 $1,399.00 $2,742.00 $2,070.50 2026-05-07
70491 CPT CT Neck Soft Tissue With Contrast 3 3 $2,459.00 $2,336.00 $1,230.00 $2,410.00 $2,066.00 2026-05-07
70470 CPT CT Head With + Without Contrast 3 3 $2,448.00 $2,326.00 $1,224.00 $2,399.00 $2,056.00 2026-05-07
9279311 CDM Endo Scope 1 61-75min 3 3 $2,429.00 $2,308.00 $1,215.00 $2,380.00 $2,040.00 2026-05-07
72128 CPT CT Spine Thoracic Without Contrast 3 3 $2,402.00 $2,282.00 $1,201.00 $2,354.00 $2,018.00 2026-05-07
72131 CPT CT Spine Lumbar Without Contrast 3 3 $2,388.00 $2,269.00 $1,194.00 $2,340.00 $2,006.00 2026-05-07
73201 CPT CT Upper Extremity With Contrast Left 3 3 $2,382.00 $2,263.00 $1,191.00 $2,334.00 $2,001.00 2026-05-07
70488 CPT CT Maxillofacial With + Without Contrast 3 3 $2,359.00 $2,241.00 $1,180.00 $2,312.00 $1,982.00 2026-05-07
9159830 CDM Epoetin Alfa 40,000 Units/ml Pf Inj Soln 1 Ml Esrd [Webs] 4 4 $2,201.00 $2,091.00 $1,101.00 $2,157.00 $1,981.00 2026-05-07
72125 CPT CT Spine Cervical Without Contrast 3 3 $2,347.00 $2,230.00 $1,174.00 $2,300.00 $1,971.00 2026-05-07
74150 CPT CT Abdomen Without Contrast 3 3 $2,325.00 $2,209.00 $1,163.00 $2,279.00 $1,953.00 2026-05-07
71250 CPT CT Chest Without Contrast 3 3 $2,306.00 $2,191.00 $1,153.00 $2,260.00 $1,937.00 2026-05-07
9275919 CDM Endo Scope 1 46-60min 3 3 $2,295.00 $2,180.00 $1,148.00 $2,249.00 $1,928.00 2026-05-07
9275921 CDM Endo Scope 1 91-105min 3 3 $2,294.00 $2,179.00 $1,147.00 $2,248.00 $1,927.00 2026-05-07
70480 CPT CT Orbits Sella Without Contrast 3 3 $2,287.00 $2,173.00 $1,144.00 $2,241.00 $1,921.00 2026-05-07
73701 CPT CT Lower Extremity With Contrast Left 3 3 $2,259.00 $2,146.00 $1,130.00 $2,214.00 $1,898.00 2026-05-07
72192 CPT CT Pelvis Without Contrast 3 3 $2,256.00 $2,143.00 $1,128.00 $2,211.00 $1,895.00 2026-05-07
70460 CPT CT Head With Contrast 3 3 $2,232.00 $2,120.00 $1,116.00 $2,187.00 $1,875.00 2026-05-07
78315 CPT Nm Bone Three Phase Study 3 3 $2,228.00 $2,117.00 $1,114.00 $2,183.00 $1,872.00 2026-05-07
70487 CPT CT Maxillofacial With Contrast 3 3 $2,226.00 $2,115.00 $1,113.00 $2,181.00 $1,870.00 2026-05-07
78227 CPT Nm Hepatobiliary Imaging With Drug 3 3 $2,201.00 $2,091.00 $1,101.00 $2,157.00 $1,849.00 2026-05-07
93306 CPT US Echo 2d Complete 3 3 $2,198.00 $2,088.00 $1,099.00 $2,154.00 $1,846.00 2026-05-07
73700 CPT CT Lower Extremity Without Contrast Left 3 3 $2,163.00 $2,055.00 $1,082.00 $2,120.00 $1,817.00 2026-05-07
9275918 CDM Endo Scope 1 31-45min 3 3 $2,120.00 $2,014.00 $1,060.00 $2,078.00 $1,781.00 2026-05-07
9279312 CDM Endo Scope 1 76-90min 3 3 $2,106.00 $2,001.00 $1,053.00 $2,064.00 $1,769.00 2026-05-07
9160041 CDM Zoledronic Acid 4 Mg/5 Ml IV Soln 5 Ml [Webs] 4 4 $1,902.00 $1,807.00 $951.00 $1,864.00 $1,712.00 2026-05-07
70490 CPT CT Neck Soft Tissue Without Contrast 3 3 $2,036.00 $1,934.00 $1,018.00 $1,995.00 $1,710.00 2026-05-07
70450 CPT CT Scan 3 3 $2,025.00 $1,924.00 $1,013.00 $1,985.00 $1,701.00 2026-05-07
73200 CPT CT Upper Extremity Without Contrast Left 3 3 $2,000.00 $1,900.00 $1,000.00 $1,960.00 $1,680.00 2026-05-07
11044 CPT 11044 Debride Tissue/muscle/bone Techfee 3 3 $1,979.00 $1,880.00 $990.00 $1,939.00 $1,662.00 2026-05-07
78472 CPT Nm Cardiac Muga 3 3 $1,978.00 $1,879.00 $989.00 $1,938.00 $1,662.00 2026-05-07
31502 CPT 31502 Trach Replc Ed Tech Fee 3 3 $1,975.00 $1,876.00 $988.00 $1,936.00 $1,659.00 2026-05-07
78306 CPT Nm Bone Imaging Whole Body 3 3 $1,969.00 $1,871.00 $985.00 $1,930.00 $1,654.00 2026-05-07
9275917 CDM Endo Scope 1 16-30min 3 3 $1,945.00 $1,848.00 $973.00 $1,906.00 $1,634.00 2026-05-07
70486 CPT CT Maxillofacial Without Contrast 3 3 $1,893.00 $1,798.00 $947.00 $1,855.00 $1,590.00 2026-05-07
78226 CPT Nm Hepatobiliary Imaging 3 3 $1,831.00 $1,739.00 $916.00 $1,794.00 $1,538.00 2026-05-07
9279310 CDM Endo Scope 1 01-15min 3 3 $1,770.00 $1,682.00 $885.00 $1,735.00 $1,487.00 2026-05-07
99291 CPT 99291critical Care, 30-74 3 3 $1,688.00 $1,604.00 $844.00 $1,654.00 $1,418.00 2026-05-07
78305 CPT Nm Bone Imaging Multiple Areas 3 3 $1,632.00 $1,550.00 $816.00 $1,599.00 $1,371.00 2026-05-07
10180 CPT 10180 Incision And Drainage, Complex, Postoperative Wound Infection Techfee 3 3 $1,581.00 $1,502.00 $791.00 $1,549.00 $1,328.00 2026-05-07
9159841 CDM Filgrastim 300 Mcg/0.5 Ml Inj Soln 0.5 Ml [Webs] 4 4 $1,462.00 $1,389.00 $731.00 $1,433.00 $1,316.00 2026-05-07
9159842 CDM Filgrastim 480 Mcg/0.8 Ml Inj Soln 0.8 Ml [Webs] 4 4 $1,455.00 $1,382.00 $728.00 $1,426.00 $1,309.50 2026-05-07
9206468 CDM Filgrastim 480 Mcg/0.8 Ml Sol [Webs] 4 4 $1,455.00 $1,382.00 $728.00 $1,426.00 $1,309.50 2026-05-07
71271 CPT CT Lung Cancer Screening 3 3 $1,520.00 $1,444.00 $760.00 $1,490.00 $1,277.00 2026-05-07
24605 CPT 24605 Treatment Closed Elbow Dislocation Req Anes Techfee 3 3 $1,516.00 $1,440.00 $758.00 $1,486.00 $1,273.00 2026-05-07
93880 CPT US Carotid Duplex Bilateral 3 3 $1,484.00 $1,410.00 $742.00 $1,454.00 $1,247.00 2026-05-07
11043 CPT 11043 Debride Tissue/muscle 3 3 $1,420.00 $1,349.00 $710.00 $1,392.00 $1,193.00 2026-05-07
24600 CPT 24600 Closed Tx Elbow Dislocation Without Anes 3 3 $1,411.00 $1,340.00 $706.00 $1,383.00 $1,185.00 2026-05-07
93970 CPT US Lower Ext Venous Duplex Bilateral 3 3 $1,385.00 $1,316.00 $693.00 $1,357.00 $1,163.00 2026-05-07
2120844 CDM Room/bed: ICU 3 3 $2,294.00 $2,179.00 $400.00 $2,248.00 $1,147.00 2026-05-07
99285 CPT 99285level 5 3 3 $1,284.00 $1,220.00 $642.00 $1,258.00 $1,079.00 2026-05-07
20525 CPT 20525 Rmvl Foreign Body Muscle/tendon Sheath Deep/comp Techfee 3 3 $1,268.00 $1,205.00 $634.00 $1,243.00 $1,065.00 2026-05-07
9160424 CDM Epoetin Alfa 20000 Units/ml Sol 4 4 $1,175.00 $1,116.00 $588.00 $1,152.00 $1,057.50 2026-05-07
9159800 CDM Clindamycin 600 Mg/d5w 50 Ml [Webs] 4 4 $1,174.00 $1,115.00 $587.00 $1,151.00 $1,056.50 2026-05-07
26011 CPT 26011 Drainage Finger Abscess Complicated Techfee 3 3 $1,200.00 $1,140.00 $600.00 $1,176.00 $1,008.00 2026-05-07
12037 CPT 12037 Repair Intermediate S/a/t/e >30.0 Cm Techfee 3 3 $1,200.00 $1,140.00 $600.00 $1,176.00 $1,008.00 2026-05-07
93925 CPT US Lower Ext Arterial Duplex Bilat W/abi 3 3 $1,190.00 $1,131.00 $595.00 $1,166.00 $1,000.00 2026-05-07
93930 CPT US Upper Ext Arterial Duplex Bilateral 3 3 $1,164.00 $1,106.00 $582.00 $1,141.00 $978.00 2026-05-07
9159969 CDM Phentolamine 5 Mg Inj [Webs] 4 4 $1,078.00 $1,024.00 $539.00 $1,056.00 $970.50 2026-05-07
78300 CPT Nm Bone Imaging Limited 3 3 $1,152.00 $1,094.00 $576.00 $1,129.00 $968.00 2026-05-07
9279850 CDM Rec Nrsg > 5 Hrs 3 3 $1,147.00 $1,090.00 $574.00 $1,124.00 $963.00 2026-05-07
93990 CPT US Duplex Hemodialysis Access 3 3 $1,128.00 $1,072.00 $564.00 $1,105.00 $948.00 2026-05-07
93015 CPT 93015 Cardiovascular Stress Test, Performed (With Interpretation) Charge 3 3 $1,120.00 $1,064.00 $560.00 $1,098.00 $941.00 2026-05-07
93978 CPT US Aorta Ivc Iliac Duplex Complete 3 3 $1,096.00 $1,041.00 $548.00 $1,074.00 $921.00 2026-05-07
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 2 2 $1,243.00 $1,181.00 $622.00 $1,218.00 $920.00 2026-05-07
93971 CPT US Lower Ext Venous Duplex Left 3 3 $1,054.00 $1,001.00 $527.00 $1,033.00 $885.00 2026-05-07
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 2 2 $1,192.00 $1,132.00 $596.00 $1,168.00 $882.00 2026-05-07
9202607 CDM Filgrastim Sndz 480 Mcg/0.8 Ml Sol [Webs] 4 4 $968.00 $920.00 $484.00 $949.00 $871.00 2026-05-07
94660 CPT Bi-level Positive Airway Pressure 3 3 $1,011.00 $960.00 $506.00 $991.00 $849.00 2026-05-07
9281834 CDM Rec Or 151-180min 3 3 $1,004.00 $954.00 $502.00 $984.00 $843.00 2026-05-07
93926 CPT US Lower Ext Arterial Duplex Bilateral 3 3 $966.00 $918.00 $483.00 $947.00 $811.00 2026-05-07
9279849 CDM Rec Nrsg < 5 Hrs 3 3 $956.00 $908.00 $478.00 $937.00 $803.00 2026-05-07
36430 CPT 1-4 Hoursblood Administration Charges 6 3 $950.00 $902.50 $464.00 $954.00 $798.00 2026-05-07
93924 CPT US Segmental Pressures (Abi) With Exercise 3 3 $947.00 $900.00 $474.00 $928.00 $795.00 2026-05-07
9279846 CDM Rec Or 121-150min 3 3 $922.00 $876.00 $461.00 $904.00 $774.00 2026-05-07
13121 CPT 13121 Repair Complex Scalp/arm/leg 2.6-7.5 Cm Techfee 3 3 $919.00 $873.00 $460.00 $901.00 $772.00 2026-05-07
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 2 2 $1,033.00 $981.00 $517.00 $1,012.00 $764.50 2026-05-07
31605 CPT 31605 Tracheostomy Cricothyroid Membrane 3 3 $908.00 $863.00 $454.00 $890.00 $763.00 2026-05-07
12047 CPT 12047 Repair Intermediate N/h/f/xtrnl Gent >30.0 Cm Techfee 3 3 $890.00 $846.00 $445.00 $872.00 $748.00 2026-05-07
12046 CPT 12046 Rpr Intermediate N/h/f/xtrnl Gent 20.1-30.0 Cm Techfee 3 3 $890.00 $846.00 $445.00 $872.00 $748.00 2026-05-07
12045 CPT 12045 Repair Intermediate N/h/f/xtrnl Gent 12.6-20 Cm Techfee 3 3 $890.00 $846.00 $445.00 $872.00 $748.00 2026-05-07
93308 CPT US Echo 2d Limited 3 3 $889.00 $845.00 $445.00 $871.00 $747.00 2026-05-07
12035 CPT 12035 Repair Intermediate S/a/t/e 12.6-20.0cm Techfee 3 3 $882.00 $838.00 $441.00 $864.00 $741.00 2026-05-07
87497 CPT Cmv By Pcr (Dna) Mlso 3 3 $755.00 $717.00 $378.00 $755.00 $740.00 2026-05-07
93931 CPT US Upper Ext Arterial Duplex Left 3 3 $877.00 $833.00 $439.00 $859.00 $737.00 2026-05-07
87506 CPT Gi Pathogen Panel Mlso 3 3 $746.00 $709.00 $373.00 $746.00 $731.00 2026-05-07
76700 CPT Ultrasound Of Abdomen 3 3 $869.00 $826.00 $435.00 $852.00 $730.00 2026-05-07
9160019 CDM Tbo-filgrastim 480 Mcg/0.8 Ml Subcut Soln 0.8 Ml [Webs] 4 4 $805.00 $765.00 $403.00 $789.00 $724.50 2026-05-07
13153 CPT 13153 Repair Complx Eyelid/nose/ear/lip Ea Addl 5 Cm/ Techfee 3 3 $856.00 $813.00 $428.00 $839.00 $719.00 2026-05-07
97608 CPT 97608 Neg Press Wound Tx >50 Cm W/prevena Profee 3 3 $856.00 $813.00 $428.00 $839.00 $719.00 2026-05-07
93979 CPT US Aorta Limited 3 3 $843.00 $801.00 $422.00 $826.00 $708.00 2026-05-07
9281833 CDM Rec Or 91-120min 3 3 $840.00 $798.00 $420.00 $823.00 $706.00 2026-05-07
87633 CPT Respiratory Panel W/sars-cov-2 Mlso 3 3 $715.00 $679.00 $358.00 $715.00 $701.00 2026-05-07
93882 CPT US Carotid Duplex Left 3 3 $832.00 $790.00 $416.00 $815.00 $699.00 2026-05-07
12016 CPT 12016 Simple Repair F/e/e/n/l/m 12.6cm-20.0 Cm Techfee 3 3 $830.00 $789.00 $415.00 $813.00 $697.00 2026-05-07
9359456 CDM 11fr/10cm Thoracic Vent 3 3 $813.00 $772.00 $407.00 $797.00 $683.00 2026-05-07
99284 CPT 99284level 4 3 3 $804.00 $764.00 $402.00 $788.00 $675.00 2026-05-07
12057 CPT 12057 Repair Intermediate F/e/e/n/l&/muc >30.0 Cm Techfee 3 3 $800.00 $760.00 $400.00 $784.00 $672.00 2026-05-07
76856 CPT US Pelvic Non OB 3 3 $792.00 $752.00 $396.00 $776.00 $665.00 2026-05-07
93923 CPT US Abi Limited Bilateral 3 3 $782.00 $743.00 $391.00 $766.00 $657.00 2026-05-07
12056 CPT 12056 Repair Intermediate F/e/e/n/l&/muc 20.1-30.0cm Techfee 3 3 $780.00 $741.00 $390.00 $764.00 $655.00 2026-05-07
9279848 CDM Rec Nrsg < 4 Hrs 3 3 $765.00 $727.00 $383.00 $750.00 $643.00 2026-05-07
65210 CPT 65210 Removal Of External Body External Eye Techfee 3 3 $763.00 $725.00 $382.00 $748.00 $641.00 2026-05-07
9279845 CDM Rec Or 61-90min 3 3 $759.00 $721.00 $380.00 $744.00 $638.00 2026-05-07
26991 CPT 26991 I&d Pelvis/hip Joint Area Infected Bursa Tech Fee 3 3 $757.00 $719.00 $379.00 $742.00 $636.00 2026-05-07
9164170 CDM Glucagon 1 Mg Pow 4 4 $685.00 $651.00 $343.00 $671.00 $616.50 2026-05-07
19000 CPT 19000 Puncture Aspiration Of Cyst Of Breast; Techfee 3 3 $723.00 $687.00 $362.00 $709.00 $607.00 2026-05-07
12055 CPT 12055 Repair Intermediate F/e/e/n/l&/muc 12.6-20.0cm Techfee 3 3 $720.00 $684.00 $360.00 $706.00 $605.00 2026-05-07
9160040 CDM Zoledronic Acid 5 Mg/100 Ml IV Soln 100 Ml [Webs] 4 4 $668.00 $635.00 $334.00 $655.00 $601.00 2026-05-07
73522 CPT Xr Hips 3-4 Views W/ap Pelvis Bilat 3 3 $709.00 $674.00 $355.00 $695.00 $596.00 2026-05-07
1692363 CDM Cardiac Monitoring 3 3 $703.00 $668.00 $352.00 $689.00 $591.00 2026-05-07
11644 CPT 11644 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L… 3 3 $700.00 $665.00 $350.00 $686.00 $588.00 2026-05-07
12015 CPT 12015 Simple Repair F/e/e/n/l/m 7.6cm-12.5 Cm Techfee 3 3 $695.00 $660.00 $348.00 $681.00 $584.00 2026-05-07
76705 CPT US Abdomen Limited 3 3 $691.00 $656.00 $346.00 $677.00 $580.00 2026-05-07
23650 CPT 23650 Clsd Tx Shoulder Dislc W/manipulation Without Anes Profee 3 3 $683.00 $649.00 $342.00 $669.00 $574.00 2026-05-07
8231157 CDM Room/bed: Inpatient 3 3 $1,147.00 $1,090.00 $400.00 $1,124.00 $574.00 2026-05-07
13131 CPT 13131 Repair Complex F/c/c/m/n/ax/g/h/f 1.1-2.5 Cm Techfee 3 3 $683.00 $649.00 $342.00 $669.00 $574.00 2026-05-07
29445 CPT 29445 Application Of Rigid Total Contact Leg Cast Profee 3 3 $682.00 $648.00 $341.00 $668.00 $573.00 2026-05-07
12032 CPT 12032 Repair Intermediate S/a/t/e 2.6-7.5 Cm Techfee 3 3 $680.00 $646.00 $340.00 $666.00 $571.00 2026-05-07
G0379 HCPCS Direct To Obs Charge 3 3 $678.00 $644.00 $339.00 $664.00 $570.00 2026-05-07
9279842 CDM Rec Or 31-60min 3 3 $677.00 $643.00 $339.00 $663.00 $569.00 2026-05-07
86581 CPT Strep Pneumo Igg (23 Serotypes) Mlso 3 3 $575.00 $546.00 $288.00 $575.00 $564.00 2026-05-07
12052 CPT 12052 Repair Intermediate F/e/e/n/l&/muc 2.6-5.0 Cm Techfee 3 3 $672.00 $638.00 $336.00 $659.00 $564.00 2026-05-07
10269388 CDM Glucagon 1 Mg Pow[webs] 4 4 $625.00 $594.00 $313.00 $613.00 $562.50 2026-05-07
10267218 CDM Glucagon 1 Mg Pow[webs] 4 4 $625.00 $594.00 $313.00 $613.00 $562.50 2026-05-07
10008142 CDM Glucagon 1 Mg Pow [Webs] 4 4 $624.00 $593.00 $312.00 $612.00 $561.50 2026-05-07
72052 CPT Xr Spine Cervical Flexion + Extension 3 3 $659.00 $626.00 $330.00 $646.00 $554.00 2026-05-07
12034 CPT 12034 Repair Intermediate S/a/t/e 7.6-12.5 Cm Techfee 3 3 $658.00 $625.00 $329.00 $645.00 $553.00 2026-05-07
9295905 CDM Filgrastim Sndz 300 Mcg/0.5 Ml Sol [Webs] 4 4 $613.00 $582.00 $307.00 $601.00 $551.50 2026-05-07
40804 CPT 40804 Removal Foreign Body Mouth Ed Tech Fee 3 3 $649.00 $617.00 $325.00 $636.00 $545.00 2026-05-07
9280661 CDM Ane Eq 151-180min 3 3 $648.00 $616.00 $324.00 $635.00 $544.00 2026-05-07
12042 CPT 12042 Repair Intermediate N/h/f/xtrnl Gent 2.6-7.5 Cm Techfee 3 3 $647.00 $615.00 $324.00 $634.00 $543.00 2026-05-07
9160423 CDM Epoetin Alfa 10,000 Units/ml Preservative-free Sol 4 4 $597.00 $567.00 $299.00 $585.00 $537.00 2026-05-07
9159779 CDM Budesonide-formoterol 160 Mcg-4.5 Mcg/inh Aerosol 6 Gm [Webs] 4 4 $593.00 $563.00 $297.00 $581.00 $533.50 2026-05-07
9159921 CDM Methylene Blue 5 Mg/ml 10 Ml [Webs] 4 4 $583.00 $554.00 $292.00 $571.00 $525.00 2026-05-07
13152 CPT 13152 Repair Complex Eyelid/nose/ear/lip 2.6-7.5 Cm Techfee 3 3 $625.00 $594.00 $313.00 $613.00 $525.00 2026-05-07
12020 CPT 12020 Tx Superficial Wound Dehiscence Simple Closure Techfee 3 3 $623.00 $592.00 $312.00 $611.00 $523.00 2026-05-07
P9040 HCPCS Bill Only Rbc Leukocytes Reduced Irradiated 3 3 $621.00 $590.00 $311.00 $609.00 $522.00 2026-05-07
12005 CPT 12005 Smpl Rpr Scalp/neck/ax/genit/trunk 12.6-20.0cm Techfee 3 3 $617.00 $586.00 $309.00 $605.00 $518.00 2026-05-07
27788 CPT 27788 Closed Tx Distal Fibular Fx With Mani 3 3 $613.00 $582.00 $307.00 $601.00 $515.00 2026-05-07
76536 CPT US Thyroid 3 3 $609.00 $579.00 $305.00 $597.00 $512.00 2026-05-07
9279530 CDM Ane Eq 121-150min 3 3 $602.00 $572.00 $301.00 $590.00 $506.00 2026-05-07
73521 CPT Xr Hips 2 Views W/ap Pelvis Bilat 3 3 $596.00 $566.00 $298.00 $584.00 $501.00 2026-05-07
12006 CPT 12006 Smpl Rpr Scalp/neck/ax/genit/trunk 20.1-30.0cm Techfee 3 3 $588.00 $559.00 $294.00 $576.00 $494.00 2026-05-07
28002 CPT 28002 Incision And Drainage Techfee 3 3 $585.00 $556.00 $293.00 $573.00 $491.00 2026-05-07
28001 CPT 28001 Incision&drainage Bursa Foot Tech Fee 3 3 $585.00 $556.00 $293.00 $573.00 $491.00 2026-05-07
27256 CPT 27256 Treatment Of Spontaneous Hip Dislocation Techfee 3 3 $585.00 $556.00 $293.00 $573.00 $491.00 2026-05-07
25031 CPT 25031 Incision & Drainage Forearm&/wrist Bursa Tech Fee 3 3 $585.00 $556.00 $293.00 $573.00 $491.00 2026-05-07
24200 CPT 24200 Fb Rem Upper Arm/elbow-sq Techfee 3 3 $585.00 $556.00 $293.00 $573.00 $491.00 2026-05-07
20005 CPT 20005 I&d Soft Tissue Abscess Subfasc Techfee 3 3 $585.00 $556.00 $293.00 $573.00 $491.00 2026-05-07
36568 CPT 36568 Insertion Picc Without Img Gdn < 5 Yr Tech Fee 3 3 $585.00 $556.00 $293.00 $573.00 $491.00 2026-05-07
8085548 CDM Room/bed: Swing Bed 3 3 $976.00 $927.00 $400.00 $956.00 $488.00 2026-05-07
10080 CPT 10080 I & D Pilonidal Cyst Simple 3 3 $580.00 $551.00 $290.00 $568.00 $487.00 2026-05-07
28190 CPT 28190 Removal Foreign Body Foot Subcutaneous Techfee 3 3 $579.00 $550.00 $290.00 $567.00 $486.00 2026-05-07
13101 CPT 13101 Repair Complex Trunk 2.6-7.5 Cm Techfee 3 3 $575.00 $546.00 $288.00 $564.00 $483.00 2026-05-07
16030 CPT 16030 Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subseq… 3 3 $574.00 $545.00 $287.00 $563.00 $482.00 2026-05-07
9281836 CDM Rec Nrsg < 3 Hrs 2 Scope 3 3 $574.00 $545.00 $287.00 $563.00 $482.00 2026-05-07
A9500 HCPCS Webs Tc99m Sestamibi 3 3 $566.00 $538.00 $283.00 $555.00 $475.00 2026-05-07
11602 CPT 11602 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 1.1-2.… 3 3 $565.00 $537.00 $283.00 $554.00 $475.00 2026-05-07
12051 CPT 12051 Repair Intermediate F/e/e/n/l&/muc 2.5 Cm/< Techfee 3 3 $565.00 $537.00 $283.00 $554.00 $475.00 2026-05-07
9159978 CDM Pneumococcal 13-valent Conjugate Vaccine IM Susp 0.5 Ml [Webs] 4 4 $523.00 $497.00 $262.00 $513.00 $470.50 2026-05-07
9279316 CDM Ane Eq 91-120min 3 3 $557.00 $529.00 $279.00 $546.00 $468.00 2026-05-07
12014 CPT 12014 Simple Repair F/e/e/n/l/m 5.1cm-7.5 Cm Techfee 3 3 $551.00 $523.00 $276.00 $540.00 $463.00 2026-05-07
10091446 CDM Sumatriptan 6 Mg/0.5 Ml Sol [Webs] 4 4 $514.00 $488.00 $257.00 $504.00 $462.50 2026-05-07
97606 CPT 97606 Neg Pres Wnd Ther>50sqcm Profee 3 3 $550.00 $523.00 $275.00 $539.00 $462.00 2026-05-07
9159932 CDM Mometasone 50 Mcg/inh Nasal Spray 17 G [Webs] 4 4 $513.00 $487.00 $257.00 $503.00 $461.50 2026-05-07
10081 CPT 10081 Incision & Drainage Pilonidal Cyst Complicated Techfee 3 3 $549.00 $522.00 $275.00 $538.00 $461.00 2026-05-07
69000 CPT 69000 Drain Extern.ear Les Ed Tech Fee 3 3 $549.00 $522.00 $275.00 $538.00 $461.00 2026-05-07
40800 CPT 40800 Drain Mouth Lesion Ed Tech Fee 3 3 $549.00 $522.00 $275.00 $538.00 $461.00 2026-05-07
9160018 CDM Tbo-filgrastim 300 Mcg/0.5 Ml Subcut Soln 0.5 Ml [Webs] 4 4 $511.00 $485.00 $256.00 $501.00 $460.00 2026-05-07
99283 CPT 99283level 3 3 3 $548.00 $521.00 $274.00 $537.00 $460.00 2026-05-07
12041 CPT 12041 Repair Intermediate N/h/f/xtrnl Gent 2.5cm/< Techfee 3 3 $544.00 $517.00 $272.00 $533.00 $457.00 2026-05-07
20553 CPT 20553 Injection Single/mlt Trigger Point 3/> Muscles Techfee 3 3 $544.00 $517.00 $272.00 $533.00 $457.00 2026-05-07
9206479 CDM Pneumococcal 13-valent Conjugate Vaccinesus [Webs] 4 4 $507.00 $482.00 $254.00 $497.00 $456.50 2026-05-07
12031 CPT 12031 Repair Intermediate S/a/t/e 2.5 Cm/< Techfee 3 3 $541.00 $514.00 $271.00 $530.00 $454.00 2026-05-07
9945327 CDM Multivitamin Multiple Vitamins Sol [Webs] 4 4 $496.00 $471.00 $248.00 $486.00 $446.50 2026-05-07
74022 CPT Xr Abdomen Series + Chest 1 View 3 3 $528.00 $502.00 $264.00 $517.00 $444.00 2026-05-07
12007 CPT 12007 Simple Repair Scalp/neck/ax/genit/trunk >30.0cm Techfee 3 3 $528.00 $502.00 $264.00 $517.00 $444.00 2026-05-07
93922 CPT US Abi Limited Left 3 3 $527.00 $501.00 $264.00 $516.00 $443.00 2026-05-07
12044 CPT 12044 Repair Intermediate N/h/f/xtrnl Gent 7.6-12.5cm Techfee 3 3 $525.00 $499.00 $263.00 $515.00 $441.00 2026-05-07
72050 CPT Xr Spine Cervical 4 Or 5 Views 3 3 $525.00 $499.00 $263.00 $515.00 $441.00 2026-05-07
12036 CPT 12036 Repair Intermediate S/a/t/e 20.1-30.0 Cm Techfee 3 3 $525.00 $499.00 $263.00 $515.00 $441.00 2026-05-07
13151 CPT 13151 Repair Complex Eyelid/nose/ear/lip 1.1-2.5 Cm Techfee 3 3 $525.00 $499.00 $263.00 $515.00 $441.00 2026-05-07
13132 CPT 13132 Repair Complex F/c/c/m/n/ax/g/h/f 2.6-7.5 Cm Techfee 3 3 $525.00 $499.00 $263.00 $515.00 $441.00 2026-05-07
83993 CPT Calprotectin, Fecal Mlso 3 3 $449.00 $427.00 $225.00 $449.00 $440.00 2026-05-07
72110 CPT X-ray Of Lower Back 3 3 $516.00 $490.00 $258.00 $506.00 $433.00 2026-05-07
9281832 CDM Rec Or 1-30min 3 3 $513.00 $487.00 $257.00 $503.00 $431.00 2026-05-07
9279315 CDM Ane Eq 61-90min 3 3 $512.00 $486.00 $256.00 $502.00 $430.00 2026-05-07
84445 CPT Tsi Mlso 3 3 $438.00 $416.00 $219.00 $438.00 $429.00 2026-05-07
72082 CPT Xr Spine Entire 3 3 $509.00 $484.00 $255.00 $499.00 $428.00 2026-05-07
72072 CPT Xr Spine Thoracic 3 Views 3 3 $510.00 $485.00 $255.00 $500.00 $428.00 2026-05-07
12018 CPT 12018 Simple Repair F/e/e/n/l/m >30.0 Cm Techfee 3 3 $509.00 $484.00 $255.00 $499.00 $428.00 2026-05-07
12017 CPT 12017 Simple Repair F/e/e/n/l/m 20.1cm-30.0 Cm Techfee 3 3 $509.00 $484.00 $255.00 $499.00 $428.00 2026-05-07
26010 CPT 26010 Drainage Finger Abscess Simple 3 3 $507.00 $482.00 $254.00 $497.00 $426.00 2026-05-07
29065 CPT 29065 Application Cast Shoulder Hand Long Arm Techfee 3 3 $505.00 $480.00 $253.00 $495.00 $424.00 2026-05-07
P9016 HCPCS Bill Only Rbc Leukocytes Reduced 3 3 $502.00 $477.00 $251.00 $492.00 $422.00 2026-05-07
9359761 CDM Adult Catheter Trans Tracheal Adult 3 3 $499.00 $474.00 $250.00 $489.00 $419.00 2026-05-07
67938 CPT 67938 ER- Removal Foreign Body Eyelid Techfee 3 3 $498.00 $473.00 $249.00 $488.00 $418.00 2026-05-07
9359339 CDM Colostomy Pouch W/drndrn 3 3 $495.00 $470.00 $248.00 $485.00 $416.00 2026-05-07
13120 CPT 13120 Repair Complex Scalp/arm/leg 1.1-2.5 Cm Techfee 3 3 $489.00 $465.00 $245.00 $479.00 $411.00 2026-05-07
9359827 CDM Myairvo:heated Tube Airspiral 3 3 $484.00 $460.00 $242.00 $474.00 $407.00 2026-05-07
9359732 CDM 14g X 1.75 Bd IV Cath Needle 3 3 $478.00 $454.00 $239.00 $468.00 $402.00 2026-05-07
9359664 CDM T-pod: Orange 3 3 $478.00 $454.00 $239.00 $468.00 $402.00 2026-05-07
93225 CPT 93225 ECG Monit/rpt Hookup Charge 3 3 $477.00 $453.00 $239.00 $467.00 $401.00 2026-05-07
13150 CPT 13150 Repair, Complex, Eyelids, Nose, Ears And/or Lips; 1.0 Cm Or Less Techfee 3 3 $475.00 $451.00 $238.00 $466.00 $399.00 2026-05-07
13100 CPT 13100 Repair Complex Trunk 1.1-2.5 Cm Techfee 3 3 $475.00 $451.00 $238.00 $466.00 $399.00 2026-05-07
12054 CPT 12054 Repair Intermediate F/e/e/n/l&/muc 7.6-12.5 Cm Techfee 3 3 $475.00 $451.00 $238.00 $466.00 $399.00 2026-05-07
72120 CPT Xr Spine Lumbosacral Bending 2-3 Views 3 3 $472.00 $448.00 $236.00 $463.00 $396.00 2026-05-07
9359760 CDM Pediatric Trans Tracheal 3 3 $471.00 $447.00 $236.00 $462.00 $396.00 2026-05-07
A9560 HCPCS Webs Tc99m Labeled Rbc 3 3 $403.00 $383.00 $202.00 $403.00 $395.00 2026-05-07
51700 CPT 51700 Irrigate Bladder Ed Tech Fee 3 3 $461.00 $438.00 $231.00 $452.00 $387.00 2026-05-07
76857 CPT US Pelvic Ltd 3 3 $459.00 $436.00 $230.00 $450.00 $386.00 2026-05-07
11750 CPT 11750 Excision Of Nail And Nail Matrix, Partial Or Complete (Eg, Ingrown Or Defo… 3 3 $459.00 $436.00 $230.00 $450.00 $386.00 2026-05-07
73503 CPT Xr Hip 4+ Views Left 3 3 $456.00 $433.00 $228.00 $447.00 $383.00 2026-05-07
9359568 CDM Ez-io 45mm Needle Set 3 3 $451.00 $428.00 $226.00 $442.00 $379.00 2026-05-07
9359569 CDM Ez-io 15mm Needle Set 3 3 $451.00 $428.00 $226.00 $442.00 $379.00 2026-05-07
9359570 CDM Ez-io 25mm Needle Set 3 3 $451.00 $428.00 $226.00 $442.00 $379.00 2026-05-07
71101 CPT Xr Ribs With Pa Chest Bilateral 6 3 $447.50 $425.00 $207.00 $471.00 $376.00 2026-05-07
70200 CPT Xr Orbits Complete 3 3 $443.00 $421.00 $222.00 $434.00 $372.00 2026-05-07
17004 CPT 17004 Destruction, Premalignant Lesions, 15 Or More Lesions 3 3 $440.00 $418.00 $220.00 $431.00 $370.00 2026-05-07
71110 CPT Xr Ribs 3 Views Bilateral 3 3 $439.00 $417.00 $220.00 $430.00 $369.00 2026-05-07
70330 CPT Xr Tmj Open And Closed Bilateral 3 3 $439.00 $417.00 $220.00 $430.00 $369.00 2026-05-07
28515 CPT 28515 Fracture/dislocation Procedure 3 3 $438.00 $416.00 $219.00 $429.00 $368.00 2026-05-07
71047 CPT Xr Chest 3 Views 3 3 $436.00 $414.00 $218.00 $427.00 $366.00 2026-05-07
70260 CPT Xr Skull Complete 3 3 $434.00 $412.00 $217.00 $425.00 $365.00 2026-05-07
70110 CPT Xr Mandible Complete 4+ Views 3 3 $435.00 $413.00 $218.00 $426.00 $365.00 2026-05-07
11403 CPT 11403 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 2.1-3.0cm 3 3 $433.00 $411.00 $217.00 $424.00 $364.00 2026-05-07
30905 CPT 30905 Nasal Hem Cont Post&ant Techfee 3 3 $427.00 $406.00 $214.00 $418.00 $359.00 2026-05-07
72100 CPT Xr Spine Lumbosacral 2 Or 3 Views 3 3 $426.00 $405.00 $213.00 $417.00 $358.00 2026-05-07
70150 CPT Xr Facial Bones 3+ Views 3 3 $425.00 $404.00 $213.00 $417.00 $357.00 2026-05-07
81241 CPT Factor 5 Leiden Mlso 3 3 $364.00 $346.00 $182.00 $364.00 $357.00 2026-05-07
80339 CPT Lacosamide Mlso 3 3 $364.00 $346.00 $182.00 $364.00 $357.00 2026-05-07
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