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

AVERA CREIGHTON HOSPITAL

Creighton, NE · CCN 281331 · Rates published

848 distinct procedures filed
5 distinct payers
12,536 rate rows
2026-07-15 last MRF observed
Data quality

12,505 of 12,536 rate rows are consumer-grade (99.8%)

31 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 12
percent-of-charges filed in the dollar field — excluded from medians 10
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
placeholder amount (≤ $0.02) — excluded from medians 2
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/94f0fb48-c0d0-4b65-b98b-5628b62587c7/460225483_avera-creighton-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 171b7afa1de13e22… · 3,257,546 bytes · first seen 2026-05-09

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
862
MS_DRG 		Ms-DRG 862 1 $207,498.78 $207,498.78 $207,498.78 nat. median
$13,176
outlier · 15.7×
325
MS_DRG 		Ms-DRG 325 1 $145,735.46 $145,735.46 $145,735.46 nat. median
$21,486
outlier · 6.8×
182
MS_DRG 		Ms-DRG 182 1 $115,441.39 $115,441.39 $115,441.39 nat. median
$5,860
outlier · 19.7×
192
MS_DRG 		Ms-DRG 192 1 $107,374.00 $107,374.00 $107,374.00 nat. median
$5,010
outlier · 21.4×
344
MS_DRG 		Ms-DRG 344 1 $99,886.82 $99,886.82 $99,886.82 nat. median
$18,257
outlier · 5.5×
308
MS_DRG 		Ms-DRG 308 1 $95,496.45 $95,496.45 $95,496.45 nat. median
$8,963
outlier · 10.7×
314
MS_DRG 		Ms-DRG 314 1 $87,150.74 $87,150.74 $87,150.74 nat. median
$15,450
outlier · 5.6×
305
MS_DRG 		Ms-DRG 305 1 $77,600.30 $77,600.30 $77,600.30 nat. median
$5,752
outlier · 13.5×
323
MS_DRG 		Ms-DRG 323 1 $74,695.78 $74,695.78 $74,695.78 nat. median
$30,435
outlier · 2.5×
322
MS_DRG 		Ms-DRG 322 1 $70,206.18 $70,206.18 $70,206.18 nat. median
$13,595
outlier · 5.2×
247
MS_DRG 		Ms-DRG 247 1 $54,967.72 $54,967.72 $54,967.72 nat. median
$2,024
outlier · 27.2×
469
MS_DRG 		Ms-DRG 469 1 $54,290.65 $54,290.65 $54,290.65 nat. median
$22,918
outlier · 2.4×
263
MS_DRG 		Ms-DRG 263 1 $50,527.23 $50,527.23 $50,527.23 nat. median
$19,964
outlier · 2.5×
463
MS_DRG 		Ms-DRG 463 1 $42,795.71 $42,795.71 $42,795.71 nat. median
$38,795
1.1× median
231
MS_DRG 		Ms-DRG 231 1 $41,103.34 $41,103.34 $41,103.34 nat. median
$60,505
0.7× median
721
MS_DRG 		Ms-DRG 721 1 $40,151.46 $40,151.46 $40,151.46 nat. median
$13,801
outlier · 2.9×
720
MS_DRG 		Ms-DRG 720 1 $36,767.75 $36,767.75 $36,767.75 nat. median
$22,040
1.7× median
45
MS_DRG 		Ms-DRG 45 1 $35,125.14 $35,125.14 $35,125.14 nat. median
$15,475
outlier · 2.3×
24
MS_DRG 		Ms-DRG 24 1 $30,625.87 $30,625.87 $30,625.87 nat. median
$27,920
1.1× median
201
MS_DRG 		Ms-DRG 201 1 $29,389.50 $29,389.50 $29,389.50 nat. median
$5,337
outlier · 5.5×
347
MS_DRG 		Ms-DRG 347 1 $26,942.76 $26,942.76 $26,942.76 nat. median
$16,717
1.6× median
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $30,005.60 $25,662.68 nat. median
$498
outlier · 51.5×
241
MS_DRG 		Ms-DRG 241 1 $24,609.82 $24,609.82 $24,609.82 nat. median
$10,294
outlier · 2.4×
140
MS_DRG 		Ms-DRG 140 1 $22,251.15 $22,251.15 $22,251.15 nat. median
$28,105
0.8× median
139
MS_DRG 		Ms-DRG 139 1 $20,574.99 $20,574.99 $20,574.99 nat. median
$8,855
outlier · 2.3×
254
MS_DRG 		Ms-DRG 254 1 $20,563.02 $20,563.02 $20,563.02 nat. median
$13,169
1.6× median
351
MS_DRG 		Ms-DRG 351 1 $19,825.07 $19,825.07 $19,825.07 nat. median
$11,088
1.8× median
383
MS_DRG 		Ms-DRG 383 1 $17,831.06 $17,831.06 $17,831.06 nat. median
$9,578
1.9× median
244
MS_DRG 		Ms-DRG 244 1 $17,722.14 $17,722.14 $17,722.14 nat. median
$13,640
1.3× median
248
MS_DRG 		Ms-DRG 248 1 $16,120.10 $16,120.10 $16,120.10 nat. median
$2,024
outlier · 8.0×
420
MS_DRG 		Ms-DRG 420 1 $14,219.69 $14,219.69 $14,219.69 nat. median
$23,398
0.6× median
194
MS_DRG 		Ms-DRG 194 1 $13,663.36 $13,663.36 $13,663.36 nat. median
$6,156
outlier · 2.2×
603
MS_DRG 		Ms-DRG 603 1 $12,610.84 $12,610.84 $12,610.84 nat. median
$6,621
1.9× median
638
MS_DRG 		Ms-DRG 638 1 $12,610.84 $12,610.84 $12,610.84 nat. median
$6,741
1.9× median
Q5130
HCPCS 		Pegfilgrastim-pbbk 6 Mg/0.6 Ml 5 $0.54 $9,625.01 $8,231.92 nat. median
$209
outlier · 39.4×
392
MS_DRG 		Ms-DRG 392 1 $7,416.84 $7,416.84 $7,416.84 nat. median
$5,890
1.3× median
Q5111
HCPCS 		Pegfilgrastim-cbqv 6 Mg/0.6 Ml 5 $1,112.40 $8,478.75 $7,251.56 nat. median
$665
outlier · 10.9×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $104.00 $7,679.00 $6,550.19 nat. median
$539
outlier · 12.2×
Q5122
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml Syr 5 $3,939.75 $7,636.19 $6,530.95 nat. median
$487
outlier · 13.4×
Q5108
HCPCS 		Pegfilgrastim-jmdb 6 Mg/0.6 Ml 5 $5,224.56 $7,635.89 $6,530.70 nat. median
$418
outlier · 15.6×
J0897
HCPCS 		Denosumab 60 Mg/ml Syringe 5 $9.69 $7,258.46 $6,207.89 nat. median
$86
outlier · 72.2×
95811
CPT 		Polysomnogram W CPap 5 $4,550.65 $6,650.95 $6,152.75 nat. median
$1,412
outlier · 4.4×
74177
CPT 		CT Abd & Pelv W Contrast 5 $227.52 $6,591.00 $5,903.61 nat. median
$501
outlier · 11.8×
95810
CPT 		Polysomnogram 5 $3,965.00 $6,100.00 $5,468.65 nat. median
$1,446
outlier · 3.8×
72158
CPT 		MRI Lumbar Spine Wwo Dye 5 $340.96 $6,346.95 $5,428.31 nat. median
$616
outlier · 8.8×
72157
CPT 		MRI Chest Spine Wwo Dye 5 $535.35 $6,317.50 $5,403.12 nat. median
$624
outlier · 8.7×
249
MS_DRG 		Ms-DRG 249 1 $5,398.38 $5,398.38 $5,398.38 nat. median
$2,024
outlier · 2.7×
70553
CPT 		MRI Brain Wwo Contrast 5 $76.50 $5,938.00 $5,318.45 nat. median
$616
outlier · 8.6×
78452
CPT 		Myocard Perf Spect Rest Stress 5 $289.80 $5,842.00 $5,233.15 nat. median
$1,464
outlier · 3.6×
72156
CPT 		MRI Neck Spine Wwo Dye 5 $340.05 $5,544.20 $4,741.75 nat. median
$625
outlier · 7.6×

Other procedures at this hospital

Browse this hospital's 848 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
             
862 MS_DRG Ms-DRG 862 2 1 — — $207,498.78 $207,498.78 $207,498.78 2026-07-15
325 MS_DRG Ms-DRG 325 2 1 — — $145,735.46 $145,735.46 $145,735.46 2026-07-15
182 MS_DRG Ms-DRG 182 2 1 — — $115,441.39 $115,441.39 $115,441.39 2026-07-15
192 MS_DRG Ms-DRG 192 2 1 — — $107,374.00 $107,374.00 $107,374.00 2026-07-15
344 MS_DRG Ms-DRG 344 2 1 — — $99,886.82 $99,886.82 $99,886.82 2026-07-15
308 MS_DRG Ms-DRG 308 2 1 — — $95,496.45 $95,496.45 $95,496.45 2026-07-15
314 MS_DRG Ms-DRG 314 2 1 — — $87,150.74 $87,150.74 $87,150.74 2026-07-15
305 MS_DRG Ms-DRG 305 2 1 — — $77,600.30 $77,600.30 $77,600.30 2026-07-15
323 MS_DRG Ms-DRG 323 2 1 — — $74,695.78 $74,695.78 $74,695.78 2026-07-15
322 MS_DRG Ms-DRG 322 2 1 — — $70,206.18 $70,206.18 $70,206.18 2026-07-15
247 MS_DRG Ms-DRG 247 2 1 — — $54,967.72 $54,967.72 $54,967.72 2026-07-15
469 MS_DRG Ms-DRG 469 2 1 — — $54,290.65 $54,290.65 $54,290.65 2026-07-15
263 MS_DRG Ms-DRG 263 2 1 — — $50,527.23 $50,527.23 $50,527.23 2026-07-15
463 MS_DRG Ms-DRG 463 2 1 — — $42,795.71 $42,795.71 $42,795.71 2026-07-15
231 MS_DRG Ms-DRG 231 2 1 — — $41,103.34 $41,103.34 $41,103.34 2026-07-15
721 MS_DRG Ms-DRG 721 2 1 — — $40,151.46 $40,151.46 $40,151.46 2026-07-15
720 MS_DRG Ms-DRG 720 2 1 — — $36,767.75 $36,767.75 $36,767.75 2026-07-15
45 MS_DRG Ms-DRG 45 2 1 — — $35,125.14 $35,125.14 $35,125.14 2026-07-15
24 MS_DRG Ms-DRG 24 2 1 — — $30,625.87 $30,625.87 $30,625.87 2026-07-15
201 MS_DRG Ms-DRG 201 2 1 — — $29,389.50 $29,389.50 $29,389.50 2026-07-15
347 MS_DRG Ms-DRG 347 2 1 — — $26,942.76 $26,942.76 $26,942.76 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 8 5 $31,584.00 $30,637.29 $0.41 $30,005.60 $25,662.68 2026-07-15
241 MS_DRG Ms-DRG 241 2 1 — — $24,609.82 $24,609.82 $24,609.82 2026-07-15
140 MS_DRG Ms-DRG 140 2 1 — — $22,251.15 $22,251.15 $22,251.15 2026-07-15
139 MS_DRG Ms-DRG 139 2 1 — — $20,574.99 $20,574.99 $20,574.99 2026-07-15
254 MS_DRG Ms-DRG 254 2 1 — — $20,563.02 $20,563.02 $20,563.02 2026-07-15
351 MS_DRG Ms-DRG 351 2 1 — — $19,825.07 $19,825.07 $19,825.07 2026-07-15
383 MS_DRG Ms-DRG 383 2 1 — — $17,831.06 $17,831.06 $17,831.06 2026-07-15
244 MS_DRG Ms-DRG 244 2 1 — — $17,722.14 $17,722.14 $17,722.14 2026-07-15
248 MS_DRG Ms-DRG 248 2 1 — — $16,120.10 $16,120.10 $16,120.10 2026-07-15
420 MS_DRG Ms-DRG 420 2 1 — — $14,219.69 $14,219.69 $14,219.69 2026-07-15
194 MS_DRG Ms-DRG 194 2 1 — — $13,663.36 $13,663.36 $13,663.36 2026-07-15
638 MS_DRG Ms-DRG 638 1 1 — — $12,610.84 $12,610.84 $12,610.84 2026-07-15
603 MS_DRG Ms-DRG 603 2 1 — — $12,610.84 $12,610.84 $12,610.84 2026-07-15
Q5130 HCPCS Pegfilgrastim-pbbk 6 Mg/0.6 Ml 8 5 $10,131.00 $9,827.64 $0.54 $9,625.01 $8,231.92 2026-07-15
392 MS_DRG Ms-DRG 392 2 1 — — $7,416.84 $7,416.84 $7,416.84 2026-07-15
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml 8 5 $8,925.00 $8,657.25 $1,112.40 $8,478.75 $7,251.56 2026-07-15
74178 CPT CT Abd & Pelv Wwo Contrast 11 5 $7,679.00 $7,448.63 $104.00 $7,679.00 $6,550.19 2026-07-15
Q5122 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Syr 8 5 $8,038.00 $7,796.96 $3,939.75 $7,636.19 $6,530.95 2026-07-15
Q5108 HCPCS Pegfilgrastim-jmdb 6 Mg/0.6 Ml 8 5 $8,037.00 $7,796.65 $5,224.56 $7,635.89 $6,530.70 2026-07-15
J0897 HCPCS Denosumab 60 Mg/ml Syringe 8 5 $7,640.00 $7,411.27 $9.69 $7,258.46 $6,207.89 2026-07-15
95811 CPT Polysomnogram W CPap 10 5 $7,001.00 $6,790.97 $4,550.65 $6,650.95 $6,152.75 2026-07-15
74177 CPT CT Abd & Pelv W Contrast 12 5 $6,921.00 $6,713.37 $227.52 $6,591.00 $5,903.61 2026-07-15
95810 CPT Polysomnogram 10 5 $6,100.00 $5,917.00 $3,965.00 $6,100.00 $5,468.65 2026-07-15
72158 CPT MRI Lumbar Spine Wwo Dye 8 5 $6,681.00 $6,480.57 $340.96 $6,346.95 $5,428.31 2026-07-15
72157 CPT MRI Chest Spine Wwo Dye 8 5 $6,650.00 $6,450.50 $535.35 $6,317.50 $5,403.12 2026-07-15
249 MS_DRG Ms-DRG 249 2 1 — — $5,398.38 $5,398.38 $5,398.38 2026-07-15
70553 CPT MRI Brain Wwo Contrast 20 5 $6,235.00 $6,047.95 $76.50 $5,938.00 $5,318.45 2026-07-15
78452 CPT Myocard Perf Spect Rest Stress 12 5 $6,135.00 $5,950.95 $289.80 $5,842.00 $5,233.15 2026-07-15
72156 CPT MRI Neck Spine Wwo Dye 8 5 $5,836.00 $5,660.92 $340.05 $5,544.20 $4,741.75 2026-07-15
74183 CPT MRI Abdomen Wwo Dye 10 5 $5,085.00 $4,932.45 $619.08 $5,632.00 $4,558.70 2026-07-15
72141 CPT MRI Neck Spine Wo Dye 10 5 $5,174.00 $5,018.78 $233.96 $4,915.30 $4,547.03 2026-07-15
71275 CPT CTA Chest Wwo Contrast 8 5 $4,857.00 $4,711.29 $3,157.05 $4,614.15 $4,479.66 2026-07-15
74176 CPT CT Abd & Pelvis Wo Contrast 12 5 $5,114.00 $4,960.58 $95.04 $4,870.00 $4,362.24 2026-07-15
113 MS_DRG Ms-DRG 113 2 1 — — $4,232.63 $4,232.63 $4,232.63 2026-07-15
377 MS_DRG Ms-DRG 377 2 1 — — $4,225.96 $4,225.96 $4,225.96 2026-07-15
72148 CPT MRI Lumbar Spine Wo Dye 12 5 $4,896.00 $4,749.12 $51.78 $4,662.00 $4,176.29 2026-07-15
70551 CPT MRI Brain Wo Contrast 10 5 $4,391.00 $4,259.27 $447.03 $5,090.00 $3,936.53 2026-07-15
70470 CPT CT Head/Brain Wwo Contrast 10 5 $4,376.00 $4,244.72 $241.32 $4,167.00 $3,923.09 2026-07-15
72195 CPT MRI Pelvis Wo Dye 6 5 $4,165.00 $4,040.05 $2,707.25 $3,956.75 $3,733.92 2026-07-15
193 MS_DRG Ms-DRG 193 2 1 — — $3,725.18 $3,725.18 $3,725.18 2026-07-15
74182 CPT MRI Abdomen W Dye 8 5 $4,446.00 $4,312.62 $776.70 $4,223.70 $3,612.38 2026-07-15
71270 CPT CT Thorax Wwo Contrast 8 5 $4,385.00 $4,253.45 $82.17 $4,165.75 $3,562.81 2026-07-15
J1439 HCPCS Ferric Carboxymalt 750mg/15ml 8 5 $4,349.00 $4,219.29 $11.91 $4,132.29 $3,534.20 2026-07-15
74181 CPT MRI Abdomen Wo Dye 10 5 $3,929.00 $3,811.13 $544.29 $5,363.00 $3,522.35 2026-07-15
72146 CPT MRI Chest Spine Wo Dye 8 5 $4,234.00 $4,106.98 $390.63 $4,022.30 $3,440.12 2026-07-15
71260 CPT CT Thorax W Contrast 12 5 $4,013.00 $3,892.61 $80.31 $3,821.00 $3,423.09 2026-07-15
70492 CPT CT Soft Tissue Neck Wwo Cont 8 5 $4,194.00 $4,068.18 $422.85 $3,984.30 $3,407.62 2026-07-15
70544 CPT MRA Head Wo Contrast 8 5 $4,152.00 $4,027.44 $408.12 $3,944.40 $3,373.50 2026-07-15
70491 CPT CT Soft Tissue Neck W Cont 11 5 $3,778.00 $3,664.66 $357.52 $3,984.30 $3,222.63 2026-07-15
73718 CPT MRI Le Wo Dye Lt 16 5 $3,939.00 $3,820.83 $56.38 $3,742.05 $3,200.44 2026-07-15
73721 CPT MRI Joint Le Wo Dye Lt 24 5 $3,723.00 $3,611.31 $315.18 $3,545.00 $3,175.72 2026-07-15
72125 CPT CT Cervical Spine Wo Contrast 12 5 $3,588.00 $3,480.36 $172.57 $3,588.00 $3,153.36 2026-07-15
70482 CPT CT Orbit Wwo Contrast 10 5 $3,503.00 $3,397.91 $261.57 $3,872.00 $3,140.44 2026-07-15
C8929 HCPCS Echo M Mode 2d W Contrast 12 5 $3,663.00 $3,553.11 $169.24 $3,488.00 $3,124.54 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrast 11 5 $3,588.00 $3,480.36 $93.21 $3,408.60 $3,060.56 2026-07-15
73221 CPT MRI Joint Ue Wo Dye Rt 23 5 $3,552.00 $3,445.44 $51.78 $3,593.00 $3,029.86 2026-07-15
71250 CPT CT Thorax Wo Contrast 12 5 $3,480.00 $3,375.60 $22.78 $3,314.00 $2,968.44 2026-07-15
J7327 HCPCS Hyaluronate Sodium 88Mg/4Ml 8 5 $3,627.00 $3,518.39 $1,488.18 $3,445.85 $2,947.11 2026-07-15
72128 CPT CT Thoracic Spine Wo Contrast 8 5 $3,588.00 $3,480.36 $107.92 $3,408.60 $2,915.25 2026-07-15
71271 CPT Ldct For Lung Cancer Screen 11 5 $3,417.00 $3,314.49 $101.47 $3,246.15 $2,914.70 2026-07-15
73700 CPT CT Le Wo Dye Lt 22 5 $3,247.00 $3,149.59 $76.65 $3,092.00 $2,853.55 2026-07-15
73202 CPT CT Ue Wwo Dye Rt 8 5 $3,417.00 $3,314.49 $286.41 $3,246.15 $2,776.31 2026-07-15
73218 CPT MRI Ue Wo Dye Rt 8 5 $3,399.00 $3,297.03 $79.39 $3,229.05 $2,761.69 2026-07-15
70450 CPT CT Head/Brain Wo Contrast 10 5 $3,013.00 $2,922.61 $1,440.40 $2,869.00 $2,701.15 2026-07-15
73701 CPT CT Le W Dye Lt 8 5 $3,310.00 $3,210.70 $268.00 $3,144.50 $2,689.38 2026-07-15
70481 CPT CT Orbit W Contrast 8 5 $3,247.00 $3,149.59 $80.31 $3,084.65 $2,638.18 2026-07-15
73201 CPT CT Ue W Dye Rt 8 5 $3,218.00 $3,121.46 $90.44 $3,057.10 $2,614.62 2026-07-15
70487 CPT CT Maxillofacial W Contrast 8 5 $3,164.00 $3,069.08 $268.29 $3,005.80 $2,570.75 2026-07-15
70480 CPT CT Orbit Wo Contrast 8 5 $3,152.00 $3,057.44 $192.56 $2,994.40 $2,561.00 2026-07-15
70496 CPT CT Angiography Head W Cont 12 5 $3,101.00 $3,007.97 $93.21 $2,945.95 $2,519.56 2026-07-15
J3304 HCPCS Triamcinolone Acetonide 32 Mg 8 5 $3,065.00 $2,973.28 $520.65 $2,911.98 $2,490.51 2026-07-15
70498 CPT CT Angiography Neck W Cont 12 5 $2,884.00 $2,797.48 $278.38 $2,817.00 $2,460.05 2026-07-15
73200 CPT CT Ue Wo Dye Rt 19 5 $2,869.00 $2,782.93 $70.19 $2,869.00 $2,447.26 2026-07-15
74170 CPT CT Abdomen Wwo Dye 8 5 $2,971.00 $2,881.87 $58.22 $2,822.45 $2,413.94 2026-07-15
93306 CPT Tte W Doppler Complete 18 5 $3,351.00 $3,250.47 $105.90 $3,183.45 $2,407.69 2026-07-15
70486 CPT CT Maxillofacial Wo Contrast 11 5 $2,817.00 $2,732.49 $187.95 $2,676.15 $2,402.90 2026-07-15
J0248 HCPCS Remdesivir 100 Mg Vial 8 5 $2,797.00 $2,713.73 $70.71 $2,657.78 $2,273.10 2026-07-15
74160 CPT CT Abdomen W Dye 10 5 $2,510.00 $2,434.70 $37.51 $2,384.50 $2,039.38 2026-07-15
J9217 HCPCS Leuprolide Acetate 22.5 Mg Syr 8 5 $2,391.00 $2,319.99 $1.47 $2,272.15 $1,943.29 2026-07-15
G0390 HCPCS Trauma Team Level 4 8 5 $2,233.00 $2,166.01 $1,451.45 $2,121.35 $1,834.41 2026-07-15
684 CDM Trauma Team Evaluation Level 4 8 5 $2,233.00 $2,166.01 $1,451.45 $2,121.35 $1,834.41 2026-07-15
120 CDM Room Medical Unit Semi Private 6 5 $2,043.00 $1,981.71 $1,327.95 $1,940.85 $1,831.55 2026-07-15
86362 CPT Mog Antibody Ref 8 5 $2,221.00 $2,154.37 $1,443.65 $2,109.95 $1,824.55 2026-07-15
72192 CPT CT Pelvis Wo Dye 8 5 $2,218.00 $2,151.46 $597.01 $2,107.10 $1,802.12 2026-07-15
J7325 HCPCS Hylan Polymer A&b 48mg/6ml Syr 8 5 $2,141.00 $2,077.42 $1,392.09 $2,034.59 $1,781.01 2026-07-15
93880 CPT Extracranial Bilat Study 12 5 $2,049.00 $1,987.53 $249.67 $1,951.00 $1,747.80 2026-07-15
C8930 HCPCS Stress Echo W Contrast 9 5 $2,042.00 $1,980.74 $1,327.30 $1,939.90 $1,741.83 2026-07-15
J1745 HCPCS Infliximab (Gen) 100 Mg Vial 8 5 $2,120.00 $2,056.89 $1.46 $2,014.48 $1,722.91 2026-07-15
78227 CPT Hida With Ef w/Pharm 8 5 $2,076.00 $2,013.72 $1,349.40 $1,972.20 $1,705.43 2026-07-15
87154 CPT Culture Id By Amp Prb 6 Or 6+ 8 5 $2,074.00 $2,011.78 $1,348.10 $1,970.30 $1,703.79 2026-07-15
270 CDM Cellulos Hemost W Thromb 10ml 8 5 $2,034.00 $1,973.40 $1,322.38 $1,932.71 $1,671.28 2026-07-15
99291 CPT Critical Care 1st 30-74 Min 14 5 $2,376.00 $2,304.72 $329.00 $2,257.20 $1,562.22 2026-07-15
129 CDM Room Swing Bed Skilled 6 5 $1,704.00 $1,652.88 $1,107.60 $1,618.80 $1,527.63 2026-07-15
P9035 HCPCS Platelet Pheresis Leuko Reduc 8 5 $1,714.00 $1,662.58 $1,114.10 $1,628.30 $1,408.05 2026-07-15
93970 CPT Venous Duplex 12 5 $1,566.00 $1,519.02 $1,017.90 $1,487.70 $1,403.92 2026-07-15
93017 CPT Cardiovascular Stress Test 12 5 $1,529.00 $1,483.13 $993.85 $1,988.00 $1,370.75 2026-07-15
99285 CPT Emergency Room Visit Level 5 18 5 $1,865.00 $1,809.05 $32.05 $1,771.75 $1,340.00 2026-07-15
87799 CPT Bk Virus Quant Pcr, Serum 10 5 $1,619.00 $1,570.43 $160.67 $1,538.05 $1,330.01 2026-07-15
P9037 HCPCS Platelet Pheresis Leuk Red Irr 8 5 $1,550.00 $1,503.50 $1,007.50 $1,472.50 $1,273.33 2026-07-15
93971 CPT Extremity Study Rt 23 5 $1,490.00 $1,445.30 $73.61 $1,490.00 $1,270.97 2026-07-15
23675 CPT Clsd Tx Shldr Disloc W Man Rt 14 5 $1,643.00 $1,593.71 $1,028.83 $1,560.85 $1,211.52 2026-07-15
93351 CPT Stress Tte Complete 14 5 $1,824.00 $1,769.28 $126.80 $1,732.80 $1,199.28 2026-07-15
93925 CPT Arterial Duplex Le Bi 11 5 $1,353.00 $1,312.41 $51.78 $1,285.35 $1,154.11 2026-07-15
90675 CPT Rabies Vax Pcec/Pf 2.5Unit Vl 8 5 $1,347.00 $1,307.03 $125.23 $1,280.08 $1,094.80 2026-07-15
J1610 HCPCS Glucagon 1 Mg Emergency Kit 8 5 $1,327.00 $1,287.61 $98.91 $1,261.06 $1,078.54 2026-07-15
76856 CPT Ultrasound Pelvic Complete 10 5 $1,167.00 $1,131.99 $758.55 $1,108.65 $1,046.22 2026-07-15
76700 CPT Ultrasound Abdomen Complete 11 5 $1,221.00 $1,184.37 $728.69 $1,159.95 $1,041.51 2026-07-15
C1726 HCPCS Dil Pebax 180Cm Od15-18 10 5 $1,148.00 $1,114.26 $746.67 $1,148.72 $1,029.83 2026-07-15
11043 CPT Debride Muscle/Fascia 20 Cm 14 5 $1,565.00 $1,518.05 $302.96 $1,486.75 $1,028.99 2026-07-15
Q5101 HCPCS Filgrastim-sndz 300 Mcg/0.5 Ml 8 5 $1,046.00 $1,015.41 $680.43 $2,902.39 $989.24 2026-07-15
76870 CPT Ultrasound Scrotum 10 5 $1,099.00 $1,066.03 $714.35 $1,338.00 $985.25 2026-07-15
J0561 HCPCS Pen G Benzathine 1200000Un/2ML 10 5 $1,191.00 $1,155.52 $216.00 $1,131.70 $967.89 2026-07-15
87497 CPT Cmv Quant By Pcr 10 5 $1,167.00 $1,131.99 $267.50 $1,108.65 $958.69 2026-07-15
Q0138 HCPCS Ferumoxy 510mg/17ml (non-esrd) 8 5 $1,145.00 $1,111.35 $7.28 $1,088.43 $930.90 2026-07-15
76642 CPT Ultrasound Breast Limited Lt 27 5 $990.00 $960.30 $643.50 $1,410.75 $930.60 2026-07-15
94660 CPT CPap/BiPap First Day 8 5 $1,119.00 $1,085.43 $727.35 $1,063.05 $919.26 2026-07-15
L3808 HCPCS Ortho Wrist Hand Fngr Static 8 5 $1,113.00 $1,080.39 $723.97 $1,058.11 $914.99 2026-07-15
76830 CPT Ultrasound Transvaginal 11 5 $1,069.00 $1,036.93 $694.85 $1,015.55 $911.86 2026-07-15
90677 CPT Pneumo 20 Valent Vacc 0.5 Ml 20 5 $965.00 $936.39 $326.00 $1,058.40 $907.43 2026-07-15
76770 CPT Ultrasound Abdo Back Wall Comp 11 5 $1,058.00 $1,026.26 $687.70 $1,005.10 $902.47 2026-07-15
76641 CPT Ultrasound Breast Complete Rt 10 5 $1,089.00 $1,056.33 $707.85 $1,034.55 $898.13 2026-07-15
76705 CPT Ultrasound Abdomen Limited 12 5 $1,038.00 $1,006.86 $674.70 $986.10 $885.41 2026-07-15
G0399 HCPCS Sleep Study Type Iii Portable 11 5 $1,033.00 $1,002.01 $671.45 $981.35 $881.15 2026-07-15
93976 CPT Vascular Study 10 5 $1,070.00 $1,037.90 $113.83 $1,016.50 $879.00 2026-07-15
111 CDM Room Medical Unit Priv 12 5 $1,241.00 $1,203.77 $219.05 $2,037.75 $857.20 2026-07-15
360 CDM Or Level 1 32 5 $1,106.00 $1,072.82 $555.10 $1,292.95 $849.40 2026-07-15
76801 CPT OB US < 14 Wks Single Fetus 8 5 $992.00 $962.24 $644.80 $942.40 $814.93 2026-07-15
76536 CPT Ultrasound Head And Neck 12 5 $885.00 $858.45 $575.25 $842.00 $793.40 2026-07-15
0202U CPT Respir Path 22 Targets Biofire 8 5 $960.00 $931.20 $624.00 $912.00 $788.64 2026-07-15
93226 CPT ECG Monit/Report Up To 48 Hour 12 5 $890.00 $863.30 $578.50 $847.00 $781.91 2026-07-15
76775 CPT Ultrasound Limited 11 5 $900.00 $873.00 $22.78 $855.00 $767.70 2026-07-15
99284 CPT Emergency Room Visit Level 4 20 5 $1,047.00 $1,015.59 $91.22 $994.65 $752.26 2026-07-15
A9500 HCPCS Radiophar Tc99M Sestamibi Dose 12 5 $801.00 $776.97 $520.65 $1,602.00 $718.10 2026-07-15
J1447 HCPCS Tbo-filgrastim 300mcg/0.5ml Sy 14 5 $752.00 $730.32 $247.20 $1,059.23 $715.26 2026-07-15
J2997 HCPCS Alteplase 2 Mg Vial 8 5 $879.00 $852.77 $37.08 $835.18 $714.31 2026-07-15
93225 CPT Holter Monitor Hook Up <48 Hrs 12 5 $798.00 $774.06 $518.70 $760.00 $701.35 2026-07-15
73522 CPT X-ray Hips 3-4 Views Bi 8 5 $738.00 $715.86 $479.70 $793.90 $697.41 2026-07-15
73523 CPT X-ray Hips 5 Views Bi 8 5 $774.00 $750.78 $503.10 $735.30 $690.20 2026-07-15
Q9950 HCPCS Sulf Hexaflr Microsphre 5ml Vl 11 5 $802.00 $778.42 $187.95 $762.38 $684.53 2026-07-15
A9585 HCPCS Gadobutrol Inj 10 Mm/10 Ml Vl 11 5 $800.00 $776.00 $2.69 $760.00 $682.40 2026-07-15
92950 CPT Heart/Lung Resuscitation Cpr 14 5 $944.00 $915.68 $275.08 $1,135.52 $678.26 2026-07-15
11042 CPT Debride Skin Subq 20 Cm 29 5 $775.00 $751.75 $9.57 $1,970.30 $661.08 2026-07-15
72072 CPT X-ray Spine Thoracic 3 Views 8 5 $676.00 $655.72 $439.40 $697.54 $638.82 2026-07-15
96413 CPT Chemotherapy Inf Initial 11 5 $748.00 $725.56 $71.05 $712.00 $638.04 2026-07-15
11402 CPT Exc Ben Lesion 1.1-2.0 Trunk 15 5 $953.00 $924.41 $236.15 $905.35 $633.75 2026-07-15
72100 CPT X-ray Lumbosacral 2-3 Views 13 5 $671.00 $650.87 $90.44 $661.00 $630.74 2026-07-15
81256 CPT Hemochromat Mutation 8 5 $764.00 $741.08 $496.60 $725.80 $627.62 2026-07-15
76882 CPT US Extremity Nonvasc Limit Lt 21 5 $710.00 $688.70 $461.50 $739.00 $605.63 2026-07-15
72190 CPT X-ray Pelvis 3 Views 10 5 $672.00 $651.84 $436.80 $640.00 $602.45 2026-07-15
27096 CPT Inject Sacroiliac Joint Bi 20 5 $1,686.00 $1,635.42 $167.26 $1,880.94 $588.49 2026-07-15
P9047 HCPCS Albumin Human 25% 25gr/100ml 8 5 $618.00 $600.27 $402.24 $3,118.50 $584.80 2026-07-15
76604 CPT Ultrasound Chest 10 5 $651.00 $631.47 $423.15 $741.00 $583.62 2026-07-15
70160 CPT X-ray Facial Bones 3 Views 8 5 $716.00 $694.52 $86.75 $680.20 $581.75 2026-07-15
86053 CPT Neuromyelitis Optic Antibody 8 5 $699.00 $678.03 $454.35 $664.05 $574.23 2026-07-15
77066 CPT Mammography Diagnostic Digital 13 5 $609.00 $590.73 $395.85 $918.00 $572.46 2026-07-15
P9040 HCPCS Rbc Packed Leuko-reduc Irrad 9 5 $664.00 $644.08 $431.60 $630.80 $566.39 2026-07-15
72110 CPT X-ray Lumbosacral 4 Views 8 5 $695.00 $674.15 $67.44 $660.25 $564.69 2026-07-15
71101 CPT X-ray Ribs Uni W Chest Rt 18 5 $600.00 $582.00 $390.00 $3,427.98 $564.00 2026-07-15
74019 CPT X-ray Abdomen 12 5 $599.00 $581.03 $389.35 $660.48 $563.06 2026-07-15
23500 CPT Fx Clavicle Lt 8 5 $679.00 $658.63 $441.35 $645.05 $557.80 2026-07-15
90619 CPT Menacwy-tt IM 8 5 $674.00 $654.56 $160.69 $641.06 $548.28 2026-07-15
45385 CPT Colonoscopy W Lesion Removal 6 5 $1,350.00 $1,309.50 $497.75 $1,269.00 $540.97 2026-07-15
11403 CPT Exc Ben Lesion 2.1-3.0 Trunk 14 5 $813.00 $788.61 $305.50 $772.35 $534.55 2026-07-15
99283 CPT Emergency Room Visit Level 3 19 5 $688.00 $667.36 $108.68 $653.60 $531.14 2026-07-15
73502 CPT X-ray Hip Uni 2-3 Views Lt 40 5 $479.00 $464.63 $311.35 $1,047.00 $518.70 2026-07-15
72070 CPT X-ray Spine Thoracic 2 Views 12 5 $533.00 $517.01 $346.45 $1,015.90 $501.02 2026-07-15
G0379 HCPCS Observation Assess Direct Adm 8 5 $609.00 $590.73 $395.85 $578.55 $500.30 2026-07-15
71100 CPT X-ray Ribs 2 Views Lt 16 5 $528.00 $512.16 $343.20 $3,616.49 $498.96 2026-07-15
83993 CPT Calprotectin 12 5 $606.00 $587.82 $19.63 $575.70 $497.83 2026-07-15
73564 CPT X-ray Knee 4 Lt 19 5 $579.00 $561.63 $129.06 $550.05 $493.89 2026-07-15
70150 CPT X-ray Facial Bones 3 Views 8 5 $607.00 $588.79 $82.17 $576.65 $493.19 2026-07-15
74250 CPT Gastrografin Challenge 10 5 $599.00 $581.03 $38.14 $569.05 $486.69 2026-07-15
90739 CPT HepB Adult 2 Dose IM 10 5 $596.00 $578.51 $137.37 $566.58 $484.58 2026-07-15
10061 CPT I&d Abscess Comp/Multiple 14 5 $691.00 $670.27 $373.43 $656.45 $483.79 2026-07-15
45384 CPT Colonoscopy W Lesion Removal 6 5 $873.00 $846.81 $443.33 $820.62 $480.72 2026-07-15
P9016 HCPCS Red Blood Cells Lekoreduced 12 5 $560.00 $543.20 $38.98 $533.00 $477.68 2026-07-15
72040 CPT X-ray Spine Cervical 2-3 Views 11 5 $499.00 $484.03 $324.35 $791.00 $474.05 2026-07-15
94060 CPT Pft Pre & Post Screen Spirome 8 5 $572.00 $554.84 $371.80 $543.40 $469.90 2026-07-15
71046 CPT X-ray Chest 2v PA/Lateral 12 5 $499.00 $484.03 $132.75 $783.13 $469.06 2026-07-15
97605 CPT Neg Pressure Wound Dme <50 Cm 10 5 $546.00 $529.62 $42.56 $518.70 $448.54 2026-07-15
72220 CPT X-ray Sacrum Tailbone 9 5 $495.00 $480.15 $321.75 $470.25 $447.69 2026-07-15
73562 CPT X-ray Knee 3 Views Lt 24 5 $524.00 $508.28 $109.75 $551.00 $446.97 2026-07-15
77065 CPT Mammography Dx Digital Lt 18 5 $523.00 $507.31 $339.95 $496.85 $446.12 2026-07-15
12042 CPT Repair Lac Interm 2.6-7.5 Cm 14 5 $566.00 $549.02 $367.90 $766.10 $445.62 2026-07-15
84445 CPT Tsi 8 5 $540.00 $523.80 $351.00 $513.00 $443.61 2026-07-15
24530 CPT Fx Supra/Transcondylar Hum Lt 8 5 $534.00 $517.98 $347.10 $507.30 $438.68 2026-07-15
92523 CPT Speech Sound Lang Comp Or Expr 8 5 $532.00 $516.04 $345.80 $505.40 $437.04 2026-07-15
87637 CPT Influ/RSV/CoV2 Pcr Ceph 13 5 $509.00 $493.73 $189.18 $483.55 $434.18 2026-07-15
73030 CPT X-ray Shoulder Lt 24 5 $507.00 $491.79 $237.65 $482.00 $432.47 2026-07-15
73560 CPT X-ray Knee 1-2 Views Rt 21 5 $504.00 $488.88 $84.00 $533.00 $429.91 2026-07-15
73552 CPT X-ray Femur 2 Views Lt 20 5 $503.00 $487.91 $130.00 $477.85 $429.06 2026-07-15
45380 CPT Colonoscopy W Biopsy(s) 6 5 $1,196.00 $1,160.12 $393.92 $1,124.24 $427.84 2026-07-15
99236 CPT Admit/Discharge Same Day High 6 5 $599.00 $581.03 $322.41 $563.06 $427.62 2026-07-15
96105 CPT Aphasia Evaluation Per Hour 8 5 $515.00 $499.55 $334.75 $489.25 $423.08 2026-07-15
97550 CPT Caregiver Training 1st 30 Min. 8 5 $515.00 $499.55 $334.75 $489.25 $423.08 2026-07-15
93270 CPT Cardiac Event Hookup Only 12 5 $471.00 $456.87 $306.15 $448.00 $422.25 2026-07-15
73610 CPT X-ray Ankle 3 Views Rt 23 5 $495.00 $480.15 $99.63 $471.00 $422.24 2026-07-15
70220 CPT X-ray Sinuses 3 Views 8 5 $517.00 $501.49 $94.13 $491.15 $420.06 2026-07-15
73630 CPT X-ray Foot 3 Views Lt 24 5 $492.00 $477.24 $65.59 $468.00 $419.68 2026-07-15
51705 CPT Suprapubic Cath Change 9 5 $492.00 $477.24 $319.80 $467.40 $419.68 2026-07-15
12014 CPT Repair Lac Simple 5.1-7.5 Cm 16 5 $530.00 $514.10 $141.36 $752.94 $413.93 2026-07-15
81241 CPT Factor V Leiden Mutation 8 5 $502.00 $486.94 $326.30 $476.90 $412.39 2026-07-15
10120 CPT I&r Foreign Body Simple 25 5 $437.00 $423.89 $215.90 $1,389.85 $410.78 2026-07-15
J0289 HCPCS Amphotericin B Liposome 50 Mg 9 5 $477.00 $462.96 $7.63 $453.42 $407.12 2026-07-15
73080 CPT X-ray Elbow Lt 22 5 $475.00 $460.75 $38.91 $451.25 $405.18 2026-07-15
96125 CPT Cognitive Performance Test St 8 5 $488.00 $473.36 $317.20 $463.60 $400.89 2026-07-15
72170 CPT X-ray Pelvis 1-2 Views 12 5 $447.00 $433.59 $290.55 $615.00 $400.74 2026-07-15
84305 CPT Somatomedin 9 5 $469.00 $454.93 $304.85 $445.55 $400.06 2026-07-15
73130 CPT X-ray Hand Lt 24 5 $469.00 $454.93 $59.16 $446.00 $400.06 2026-07-15
73060 CPT X-ray Humerus Lt 21 5 $469.00 $454.93 $67.44 $469.00 $400.06 2026-07-15
74018 CPT X-ray Abdomen 12 5 $424.00 $411.28 $275.60 $523.39 $398.56 2026-07-15
J0283 HCPCS Amiodarone/D5W 150mg/100ml Bag 14 5 $443.00 $429.86 $173.21 $466.05 $397.64 2026-07-15
96365 CPT Inf Therapy Med Initial 32 5 $502.00 $486.94 $45.13 $574.75 $394.91 2026-07-15
73110 CPT X-ray Wrist 3 Views Lt 24 5 $451.00 $437.47 $58.22 $429.00 $393.98 2026-07-15
45378 CPT Colonoscopy Diagnostic 6 5 $997.00 $967.09 $362.29 $937.18 $393.28 2026-07-15
73590 CPT X-ray Lower Leg Rt 21 5 $459.00 $445.23 $73.88 $436.05 $391.53 2026-07-15
36430 CPT Blood Administration 12 5 $453.00 $439.41 $93.64 $1,293.00 $386.41 2026-07-15
82024 CPT Acth Adrenocorticotropic Hor 10 5 $470.00 $455.90 $38.62 $446.50 $386.11 2026-07-15
87636 CPT Influ & CoV2 Pcr Ceph 11 5 $450.00 $436.50 $216.80 $427.50 $383.85 2026-07-15
83880 CPT B Type Natriuretic Peptide 12 5 $448.00 $434.56 $125.05 $425.60 $382.14 2026-07-15
G0121 HCPCS Screen Colonoscopy Not Hi Risk 6 5 $897.00 $870.09 $171.02 $843.18 $381.66 2026-07-15
G0105 HCPCS Screening Colonoscopy Hi Risk 6 5 $897.00 $870.09 $170.90 $843.18 $381.44 2026-07-15
86334 CPT Immunofix Electroph Serum 11 5 $447.00 $433.59 $152.77 $424.65 $381.29 2026-07-15
12013 CPT Repair Lac Simple 2.6-5.0 Cm 14 5 $530.00 $514.10 $109.90 $625.10 $380.81 2026-07-15
12011 CPT Repair Lac Simple <2.5 Cm 18 5 $530.00 $514.10 $99.67 $503.50 $380.81 2026-07-15
12004 CPT Repair Lac Simple 7.6-12.5 Cm 16 5 $530.00 $514.10 $140.14 $530.00 $380.81 2026-07-15
92610 CPT Swallow Eval Non Radiol 10 5 $461.00 $447.17 $16.53 $437.95 $378.71 2026-07-15
76010 CPT X-ray Nose To Rectum 10 5 $400.00 $388.00 $260.00 $499.96 $378.00 2026-07-15
73010 CPT X-ray Shoulder Blade Rt 8 5 $456.00 $442.32 $174.16 $433.20 $370.50 2026-07-15
73090 CPT X-ray Forearm 2 Views Lt 22 5 $433.00 $420.01 $281.45 $433.00 $369.35 2026-07-15
93798 CPT Cardiac Rehab Ii Monitored 11 5 $392.00 $380.24 $254.80 $373.00 $368.48 2026-07-15
94762 CPT Desaturation And Hr Study 8 5 $446.00 $432.62 $289.90 $423.70 $366.39 2026-07-15
99223 CPT IP/Obs Initial High Comp 6 5 $551.00 $534.47 $270.04 $517.94 $365.74 2026-07-15
77067 CPT Mammography Screening Digital 20 5 $445.00 $431.65 $81.96 $422.75 $365.56 2026-07-15
71045 CPT X-ray Chest 1 View 13 5 $388.00 $376.36 $252.20 $593.33 $364.72 2026-07-15
761 CDM Anoscopy 64 5 $494.00 $479.18 $22.10 $2,185.00 $364.60 2026-07-15
11750 CPT Exc Nail Matrix Part/Complete 17 5 $547.00 $530.59 $81.38 $519.65 $363.75 2026-07-15
87040 CPT Culture Blood 12 5 $409.00 $396.73 $265.85 $389.00 $359.22 2026-07-15
76706 CPT Aaa Screening Medicare 8 5 $437.00 $423.89 $284.05 $415.15 $359.00 2026-07-15
70030 CPT X-ray Eye Fb Detection 6 5 $397.00 $385.09 $258.05 $377.15 $355.91 2026-07-15
J3489 HCPCS Zoledron Ac/Man/H2O 5mg/100ml 8 5 $432.00 $419.18 $17.25 $410.53 $351.12 2026-07-15
12005 CPT Repair Lac Simple 12.6-20.0 Cm 14 5 $504.00 $488.88 $179.19 $478.80 $347.59 2026-07-15
73000 CPT X-ray Collar Bone Rt 18 5 $407.00 $394.79 $187.03 $386.65 $347.17 2026-07-15
82671 CPT Estrogen Fractionated 8 5 $421.00 $408.37 $273.65 $399.95 $345.85 2026-07-15
64400 CPT Inj Trigeminal N Block Lt 28 5 $481.00 $466.57 $100.07 $516.06 $345.60 2026-07-15
30903 CPT Control Anterior Hemorrhage Lt 14 5 $480.00 $465.60 $149.60 $535.80 $344.88 2026-07-15
30901 CPT Control Anterior Hemorrhage Rt 16 5 $480.00 $465.60 $109.69 $456.00 $344.88 2026-07-15
65220 CPT Remove Foreign Body Eye Lt 14 5 $480.00 $465.60 $81.33 $456.00 $344.88 2026-07-15
96360 CPT Inf Therapy Hyd Initial 32 5 $432.00 $419.04 $49.18 $501.60 $343.07 2026-07-15
82652 CPT Vitamin D 125 Dihydroxy 8 5 $417.00 $404.49 $271.05 $396.15 $342.56 2026-07-15
27520 CPT Treat Kneecap Fracture Rt 8 5 $416.00 $403.52 $270.40 $395.20 $341.75 2026-07-15
26600 CPT Fx Metacarpal 8 5 $416.00 $403.52 $270.40 $395.20 $341.75 2026-07-15
70360 CPT X-ray Neck Soft Tissue 9 5 $400.00 $388.00 $70.19 $380.00 $341.20 2026-07-15
73620 CPT X-ray Foot 2 Views Rt 9 5 $400.00 $388.00 $212.82 $380.00 $341.20 2026-07-15
82523 CPT Cross Linked C Teleop 8 5 $415.00 $402.55 $269.75 $394.25 $340.93 2026-07-15
82306 CPT Vitamin D 25 Oh 12 5 $413.00 $400.61 $116.70 $392.35 $339.28 2026-07-15
86480 CPT Tbint Quantiferon 11 5 $397.00 $385.09 $61.98 $377.15 $338.64 2026-07-15
27786 CPT Fx Distal Fibula Lt 18 5 $396.00 $384.12 $257.40 $376.20 $337.79 2026-07-15
25600 CPT Fx Distal Radius Lt 19 5 $396.00 $384.12 $257.40 $376.20 $337.79 2026-07-15
73120 CPT X-ray Hand Rt 17 5 $394.00 $382.18 $198.99 $374.30 $336.08 2026-07-15
72202 CPT X-ray Si Joints 3 Views 8 5 $353.00 $342.41 $229.45 $542.46 $333.59 2026-07-15
87338 CPT H Pylori Antigen Stool 8 5 $403.00 $390.91 $261.95 $382.85 $331.06 2026-07-15
99235 CPT Admit/Discharge Same Day Mod 6 5 $480.00 $465.60 $247.05 $451.20 $330.05 2026-07-15
J0703 HCPCS Cefepime/D5W 1000mg/50ml Bag 14 5 $370.00 $359.09 $1.22 $382.21 $329.49 2026-07-15
70100 CPT X-ray Mandible < 4 Views 6 5 $364.00 $353.08 $236.60 $345.80 $326.33 2026-07-15
87631 CPT Influ And Rsv Amp Probe 10 5 $397.00 $385.09 $214.00 $377.15 $326.13 2026-07-15
23600 CPT Fx Prox Humeral Wo Man Lt 16 5 $396.00 $384.12 $257.40 $376.20 $325.31 2026-07-15
87103 CPT Culture Fungus Blood 8 5 $392.00 $380.24 $254.80 $372.40 $322.03 2026-07-15
24650 CPT Fx Radial Head/Neck Wo Man Bi 19 5 $377.00 $365.69 $245.05 $358.15 $321.58 2026-07-15
32551 CPT Insertion Chest Tube Rt 6 5 $399.00 $387.03 $297.55 $426.94 $321.27 2026-07-15
70250 CPT X-ray Skull < 4 Views 9 5 $374.00 $362.78 $94.25 $355.30 $319.02 2026-07-15
73070 CPT X-ray Elbow Rt 8 5 $392.00 $380.24 $41.69 $372.40 $318.50 2026-07-15
73501 CPT X-ray Hip Uni 1 View Lt 11 5 $338.00 $327.86 $219.70 $711.09 $317.72 2026-07-15
86645 CPT Cmv Antibody IgM 9 5 $370.00 $358.90 $240.50 $351.50 $315.61 2026-07-15
J2020 HCPCS Linezolid 600 Mg/300 Ml Bag 8 5 $333.00 $323.04 $216.47 $968.84 $314.72 2026-07-15
20605 CPT Asp/Inj Intermediate Joint Lt 22 5 $351.00 $340.47 $72.99 $1,148.55 $314.67 2026-07-15
83498 CPT 17Oh Progesterone 8 5 $382.00 $370.54 $248.30 $362.90 $313.81 2026-07-15
86870 CPT Rbc Antibody Identif Panel 9 5 $367.00 $355.99 $238.55 $348.65 $313.05 2026-07-15
93005 CPT EKG Tracing 12 5 $381.00 $369.57 $105.63 $361.95 $312.99 2026-07-15
See an error in this hospital's data? Submit a correction