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

ROCK COUNTY HOSPITAL

Bassett, NE · CCN 281333 · Rates published

1,430 distinct procedures filed
14 distinct payers
23,323 rate rows
2025-05-12 last MRF observed · ⚠ 13 mo old
Data quality

23,274 of 23,323 rate rows are consumer-grade (99.8%)

49 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 43
per-diem day rate — not a per-procedure price 6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/IXDF-1743091820455/machine-readable/476000999_rock-county-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/rock-county-ne
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 624f8d378ccb8ad3… · 102,700 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
46275
CPT 		Fistulectomy Anus 14 $924.00 $6,422.00 $6,290.00 nat. median
$2,968
outlier · 2.1×
74178
CPT 		CT Abd And Pelvis W/wo 14 $802.00 $5,553.00 $5,296.00 nat. median
$979
outlier · 5.4×
74174
CPT 		CTA Abdomen/pelvis W/wo 14 $882.00 $5,390.00 $5,279.00 nat. median
$959
outlier · 5.5×
74177
CPT 		CT Scan Of Abdomen And Pelvis With Contrast 14 $711.00 $4,791.00 $4,568.50 nat. median
$928
outlier · 4.9×
72156
CPT 		MRI Spine Cervical With + Without Contrast 14 $832.00 $4,537.00 $4,443.00 nat. median
$1,092
outlier · 4.1×
72157
CPT 		MRI Spine Thoracic With + Without Contrast 14 $835.00 $4,472.00 $4,380.00 nat. median
$1,094
outlier · 4.0×
73200
CPT 		CT Elbow Without Contrast Bilat 12 $1,601.00 $4,324.00 $4,257.50 nat. median
$548
outlier · 7.8×
72158
CPT 		MRI Spine Lumbar With + Without Contrast 14 $831.00 $4,269.00 $4,181.00 nat. median
$1,081
outlier · 3.9×
74183
CPT 		MRI Abdomen With + Without Contrast 14 $889.00 $4,255.00 $4,168.00 nat. median
$1,102
outlier · 3.8×
78452
CPT 		Nm Myocardial Spect Multiple Studies 14 $1,069.00 $4,433.00 $4,113.00 nat. median
$1,767
outlier · 2.3×
70553
CPT 		MRI Scan 14 $827.00 $4,184.00 $4,097.00 nat. median
$1,122
outlier · 3.7×
72197
CPT 		MRI Pelvis With + Without Contrast 14 $888.00 $4,153.00 $4,067.00 nat. median
$1,065
outlier · 3.8×
95811
CPT 		95811 Polysom 6/> Yrs Cpap 4/> Parm Charge 14 $1,188.00 $4,120.00 $4,035.00 nat. median
$2,026
2.0× median
71552
CPT 		MRI Chest With + Without Contrast 14 $1,097.00 $4,090.00 $4,006.00 nat. median
$1,093
outlier · 3.7×
78451
CPT 		Nm Myocardial Spect Single Study 14 $769.00 $4,038.00 $3,955.00 nat. median
$1,534
outlier · 2.6×
70549
CPT 		MRA Neck With + Without Contrast 14 $947.00 $4,031.00 $3,948.00 nat. median
$1,051
outlier · 3.8×
46260
CPT 		Hemorrhoidal Banding 14 $1,057.00 $3,961.00 $3,879.00 nat. median
$3,137
1.2× median
46220
CPT 		Excision Lesion Anus 14 $264.00 $3,961.00 $3,879.00 nat. median
$1,331
outlier · 2.9×
73223
CPT 		MRI Elbow With + Without Contrast Bilat 12 $1,374.00 $7,421.00 $3,710.00 nat. median
$1,225
outlier · 3.0×
95810
CPT 		Sleep Study 14 $1,133.00 $3,783.00 $3,705.00 nat. median
$1,870
2.0× median
70543
CPT 		MRI Face Neck Orbit With + Without Contrast 14 $882.00 $3,712.00 $3,636.00 nat. median
$1,079
outlier · 3.4×
73723
CPT 		MRI Ankle With + Without Contrast Bilat 12 $1,334.00 $7,205.00 $3,603.00 nat. median
$1,264
outlier · 2.9×
4251402
CDM 		Pleur Catheter System Kit 12 $1,352.00 $3,652.00 $3,595.50 nat. median
$3,596
1.0× median
72146
CPT 		MRI Spine Thoracic Without Contrast 14 $493.00 $3,652.00 $3,577.00 nat. median
$772
outlier · 4.6×
74176
CPT 		CT Abd And Pelvis Wo 14 $449.00 $3,728.00 $3,555.00 nat. median
$685
outlier · 5.2×
75635
CPT 		CTA Angio Abdominal Arteries 14 $711.00 $3,609.00 $3,535.00 nat. median
$706
outlier · 5.0×
70551
CPT 		MRI Brain Without Contrast 14 $505.00 $3,590.00 $3,516.00 nat. median
$772
outlier · 4.6×
73220
CPT 		MRI Forearm With + Without Contrast Bilat 12 $1,291.00 $6,974.00 $3,487.00 nat. median
$1,185
outlier · 2.9×
73720
CPT 		MRI Femur With + Without Contrast Bilat 12 $1,288.00 $7,479.00 $3,480.00 nat. median
$1,190
outlier · 2.9×
72142
CPT 		MRI Spine Cervical With Contrast 14 $713.00 $3,537.00 $3,464.00 nat. median
$959
outlier · 3.6×
72141
CPT 		MRI Spine Cervical Without Contrast 14 $492.00 $3,531.00 $3,458.00 nat. median
$766
outlier · 4.5×
72149
CPT 		MRI Spine Lumbar With Contrast 14 $704.00 $3,504.00 $3,431.00 nat. median
$970
outlier · 3.5×
71275
CPT 		CT Angio Chest 14 $648.00 $3,476.00 $3,405.00 nat. median
$736
outlier · 4.6×
73722
CPT 		MRI Le Joint With Contrast Bilat 12 $1,244.00 $6,720.00 $3,360.00 nat. median
$1,302
outlier · 2.6×
13152
CPT 		13152-eye/ear/nose/lip 2.6-7.5 Cm 14 $778.00 $3,423.00 $3,353.00 nat. median
$918
outlier · 3.7×
74181
CPT 		MRI Abdomen And Pelvis Without Contrast 14 $544.00 $3,421.00 $3,351.00 nat. median
$820
outlier · 4.1×
70540
CPT 		MRI Face Neck Orbit Without Contrast 14 $590.00 $3,343.00 $3,274.00 nat. median
$785
outlier · 4.2×
73222
CPT 		MRI Ue Joint With Contrast Bilat 12 $1,210.00 $6,538.00 $3,269.00 nat. median
$1,313
outlier · 2.5×
70544
CPT 		MRA Brain/head Without Contrast 14 $617.00 $3,288.00 $3,221.00 nat. median
$817
outlier · 3.9×
72148
CPT 		MRI Scan Of Lower Spinal Canal 14 $493.00 $3,471.00 $3,220.00 nat. median
$770
outlier · 4.2×
70547
CPT 		MRA Neck Without Contrast 14 $620.00 $3,286.00 $3,219.00 nat. median
$751
outlier · 4.3×
72132
CPT 		CT Spine Lumbar With Contrast 14 $506.00 $3,226.00 $3,160.00 nat. median
$760
outlier · 4.2×
74175
CPT 		CT Angio Abdomen 14 $646.00 $3,199.00 $3,133.00 nat. median
$710
outlier · 4.4×
73206
CPT 		CT Angio Upper Extremity Bilateral 12 $1,155.00 $6,239.00 $3,120.00 nat. median
$697
outlier · 4.5×
73706
CPT 		CT Angio Lower Extremity Bilateral 12 $1,152.00 $6,224.00 $3,112.00 nat. median
$760
outlier · 4.1×
70496
CPT 		CT Angio Brain And Neck 14 $640.00 $3,168.00 $3,103.00 nat. median
$729
outlier · 4.3×
74170
CPT 		CT Abdomen W/wo 14 $599.00 $3,164.00 $3,099.00 nat. median
$703
outlier · 4.4×
72195
CPT 		MRI Pelvis Without Contrast 14 $602.00 $3,158.00 $3,093.00 nat. median
$787
outlier · 3.9×
70336
CPT 		MRI Tmj 14 $670.00 $3,154.00 $3,089.00 nat. median
$755
outlier · 4.1×
72194
CPT 		CT Pelvis With + Without Contrast 14 $578.00 $3,150.00 $3,085.00 nat. median
$658
outlier · 4.7×

Other procedures at this hospital

Browse this hospital's 1,430 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
             
10120 CPT 10120-subcutaneous Tissue Simple 16 14 $584.00 $555.00 $210.00 $566.00 $555.00 2025-05-12
10121 CPT 10121 Incision/remove Foreign Body Sub Q Complicated 16 14 $1,993.00 $1,893.00 $415.00 $1,933.00 $1,893.00 2025-05-12
11000 CPT 11000 Debridement Of Extensive Exzematous Or Infected Skin; Up To 10% Of Body Su… 16 14 $967.00 $919.00 $66.00 $938.00 $919.00 2025-05-12
11106 CPT 11106 Incisional Biopsy Of Skin, Single Lesion 16 14 $599.00 $569.00 $136.00 $581.00 $569.00 2025-05-12
11307 CPT 11307 Shaving Epidermal Or Dermal Lesion Single Trunk, Arms Or Legs 1.1-2.0 Cm 16 14 $538.00 $511.00 $151.00 $522.00 $511.00 2025-05-12
11402 CPT 11402 Excision Benign Lesion Trunk, Arms Legs Over 1.1-2.0 Cm 16 14 $737.00 $700.00 $255.00 $715.00 $700.00 2025-05-12
11404 CPT 11404 Excision Benign Lesion Trunk, Arms Legs 3.1-4.0 Cm 16 14 $1,274.00 $1,210.00 $360.00 $1,236.00 $1,210.00 2025-05-12
11406 CPT 11406 Excision Benign Lesion Trunk, Arms Legs Over 4.0 Cm 16 14 $1,988.00 $1,889.00 $545.00 $1,928.00 $1,889.00 2025-05-12
11422 CPT 11422 Excision Benign Lesion Scalp, Neck, Hands, Feet, Genitalia 1.1-2.0 Cm 16 14 $1,114.00 $1,058.00 $304.00 $1,081.00 $1,058.00 2025-05-12
11424 CPT 11424 Excision Benign Lesion Scalp, Neck, Hands, Feet, Genitalia 3.1-4.0 Cm 16 14 $2,576.00 $2,447.00 $400.00 $2,499.00 $2,447.00 2025-05-12
11426 CPT 11426 Excision Benign Lesion Scalp, Neck, Hands, Feet, Genitalia Over 4 Cm 16 14 $2,756.00 $2,618.00 $611.00 $2,673.00 $2,618.00 2025-05-12
11441 CPT 11441 Excision Benign Lesion Face, Ears, Eyelids, Nose, Lips, Mm 0.6-1.0 Cm 16 14 $2,518.00 $2,392.00 $293.00 $2,442.00 $2,392.00 2025-05-12
11442 CPT 11442 Excision Benign Lesion Face, Ears, Eyelids, Nose, Lips, Mm 1.1-2.0 Cm 16 14 $1,623.00 $1,542.00 $323.00 $1,574.00 $1,542.00 2025-05-12
11444 CPT 11444 Excision Benign Lesion Face, Ears, Eyelids, Nose, Lips, Mm 3.1-4.0 Cm 16 14 $2,668.00 $2,535.00 $506.00 $2,588.00 $2,535.00 2025-05-12
11446 CPT 11446 Excision Benign Lesion Face, Ears, Eyelids, Nose, Lips, Mm Over 4.0 Cm 16 14 $1,266.00 $1,203.00 $455.00 $1,228.00 $1,203.00 2025-05-12
11603 CPT 11603 Excision Malignant Lesion Trunk, Arms, Legs 2.1-3.0 Cm 16 14 $926.00 $880.00 $333.00 $898.00 $880.00 2025-05-12
11606 CPT 11606 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excise… 16 14 $2,475.00 $2,351.00 $712.00 $2,401.00 $2,351.00 2025-05-12
11641 CPT 11641 Excision Malignant Lesion Face, Ears, Eyelids, Nose, Lips 0.6-1.0cm 16 14 $598.00 $568.00 $215.00 $580.00 $568.00 2025-05-12
11642 CPT 11624excise Scalp/neck/hands/feet/gen;3.1-4.0 30 14 $2,602.00 $2,472.00 $241.00 $2,524.00 $651.00 2025-05-12
11750 CPT 11750 Excision Nail And Nail Matrix, Partial Or Complete Permanent Removal 16 14 $642.00 $610.00 $231.00 $623.00 $610.00 2025-05-12
11760 CPT 11760-repair Of Nail Bed 16 14 $682.00 $648.00 $245.00 $662.00 $648.00 2025-05-12
12001 CPT 12001-scalp/neck/trunk/genital/extremity <= 2.5 Cm 16 14 $563.00 $535.00 $100.00 $546.00 $535.00 2025-05-12
12004 CPT 12004-scalp/neck/trunk/genital/extremity 7.6-12.5 Cm 16 14 $594.00 $564.00 $164.00 $576.00 $564.00 2025-05-12
12007 CPT 12007-scalp/neck/trunk/genital/extremity Greater Than 30 Cm 16 14 $640.00 $608.00 $230.00 $621.00 $608.00 2025-05-12
12014 CPT 12014-face/ear/eyelid/nose/lip 5.1-7.5 Cm 16 14 $633.00 $601.00 $167.00 $614.00 $601.00 2025-05-12
12015 CPT 12015-face/ear/eyelid/nose/lip 7.6-12.5 Cm 16 14 $799.00 $759.00 $211.00 $775.00 $759.00 2025-05-12
12020 CPT 12020-treatment Superficial Wound Dehiscence 16 14 $1,300.00 $1,235.00 $421.00 $1,261.00 $1,235.00 2025-05-12
12032 CPT 12032-scalp/trunk/extremity 2.6-7.5cm 16 14 $662.00 $629.00 $238.00 $642.00 $629.00 2025-05-12
12042 CPT 12042-neck/hand/feet/genital 2.6-7.5 Cm 16 14 $617.00 $586.00 $222.00 $598.00 $586.00 2025-05-12
12051 CPT 12051 Repair Intermdiate Face Ears Eyelids Nose Lips Mucous Membranes 2.5 Cm Or … 16 14 $536.00 $509.00 $192.00 $520.00 $509.00 2025-05-12
12054 CPT 12054-face/ear/eye/nose/lip 7.6-12.5 Cm 16 14 $809.00 $769.00 $291.00 $785.00 $769.00 2025-05-12
13101 CPT 13101-trunk 2.6-7.5 Cm 16 14 $753.00 $715.00 $270.00 $730.00 $715.00 2025-05-12
13121 CPT 13121-scalp/arms/legs 2.6-7.5 Cm 16 14 $933.00 $886.00 $335.00 $905.00 $886.00 2025-05-12
13122 CPT 13122-scalp/arms/legs Each Addl 5 Cm 16 14 $744.00 $707.00 $191.00 $722.00 $707.00 2025-05-12
13132 CPT 13132-face/neck/hand/feet/genital 2.6-7.5 Cm 16 14 $1,193.00 $1,133.00 $428.00 $1,157.00 $1,133.00 2025-05-12
13152 CPT 13152-eye/ear/nose/lip 2.6-7.5 Cm 16 14 $3,529.00 $3,353.00 $778.00 $3,423.00 $3,353.00 2025-05-12
17111 CPT 17111 Destruction Benign Lesions 15 Or More 16 14 $620.00 $589.00 $188.00 $601.00 $589.00 2025-05-12
20604 CPT US Joint/bursa Lw Sm Arth/asp/inj Left 14 12 $540.00 $513.00 $194.00 $524.00 $515.50 2025-05-12
20606 CPT US Joint/bursa Lw Int Arth/asp/inj Left 14 12 $519.00 $493.00 $186.00 $503.00 $495.50 2025-05-12
20670 CPT 20670 Removal Of Implant, Superficial 16 14 $1,768.00 $1,680.00 $326.00 $1,715.00 $1,680.00 2025-05-12
21931 CPT 21931 Excision Back Or Flank, Sub Q 3 Cm Or Greater 15 13 $2,361.00 $2,243.00 $848.00 $2,290.00 $2,243.00 2025-05-12
23650 CPT 23650-shoulder Without Anesthesia 16 14 $839.00 $797.00 $301.00 $814.00 $797.00 2025-05-12
23655 CPT 23655-shoulder With Anesthesia 16 14 $1,297.00 $1,232.00 $466.00 $1,258.00 $1,232.00 2025-05-12
24600 CPT 24600-elbow Without Anesthesia 16 14 $1,092.00 $1,037.00 $392.00 $1,059.00 $1,037.00 2025-05-12
25605 CPT 25605-distal Radial With Manipulation 16 14 $2,232.00 $2,120.00 $802.00 $2,165.00 $2,120.00 2025-05-12
26700 CPT 26700-metacarpophalangeal/knuckle 16 14 $783.00 $744.00 $281.00 $760.00 $744.00 2025-05-12
26770 CPT 26770-interphalangeal Hand Without Anesthesia 16 14 $750.00 $713.00 $269.00 $728.00 $713.00 2025-05-12
27560 CPT 27560-patellar Without Anesthesia 16 14 $1,482.00 $1,408.00 $532.00 $1,438.00 $1,408.00 2025-05-12
27810 CPT 27810-bimalleolar Ankle With Manipulation 16 14 $2,000.00 $1,900.00 $718.00 $1,940.00 $1,900.00 2025-05-12
28090 CPT 28090 Excision Of Lesion; Foot 16 14 $3,167.00 $3,009.00 $702.00 $3,072.00 $3,009.00 2025-05-12
29075 CPT 29075 Application Of Forearm Cast 16 14 $597.00 $567.00 $137.00 $579.00 $567.00 2025-05-12
29126 CPT 29126short Arm (Forearm To Hand) 16 14 $536.00 $509.00 $109.00 $520.00 $509.00 2025-05-12
3010005 CDM Room/bed: Semi-private 15 12 $1,161.00 $1,103.00 $417.00 $4,235.00 $1,115.00 2025-05-12
3010015 CDM Room/bed: Isolation 15 12 $2,322.00 $2,206.00 $834.00 $4,235.00 $2,229.00 2025-05-12
3010040 CDM Room/bed: Swing Bed 15 12 $987.00 $938.00 $354.00 $4,235.00 $948.00 2025-05-12
3050010 CDM Room/bed: ICU 15 12 $2,322.00 $2,206.00 $834.00 $4,235.00 $2,229.00 2025-05-12
3100163 CDM Ltc Level 163 [Rock] 15 12 $491.00 $466.00 $176.00 $4,235.00 $471.00 2025-05-12
31500 CPT Rt Intubation, Emergency Charge 16 14 $782.00 $743.00 $281.00 $759.00 $743.00 2025-05-12
3200410 CDM Anes For Electrical Conversion Of Arrhythmias 11 10 $821.00 $780.00 $728.00 $6,931.00 $788.00 2025-05-12
32551 CPT 32551-insertion Chest Tube 16 14 $1,529.00 $1,453.00 $350.00 $1,483.00 $1,453.00 2025-05-12
32554 CPT 32554 Thoracentesis Needle Or Catheter Aspiration Of Pleural Space; Without Guidance 30 14 $926.00 $880.00 $205.00 $898.00 $656.00 2025-05-12
32556 CPT 32556 Pleural Drainage, Percu With Insert Indwelling Catheter Without Imaging 16 14 $1,749.00 $1,662.00 $281.00 $1,697.00 $1,662.00 2025-05-12
32557 CPT 32557 Pleural Drainage, Percu With Insert Indwelling Catheter With Imaging 16 14 $2,368.00 $2,250.00 $352.00 $2,297.00 $2,250.00 2025-05-12
3400635 CDM Anes For Diagnostic Or Therapeutic Lumbar Puncture 13 11 $1,286.00 $1,222.00 $1,141.00 $9,494.00 $1,235.00 2025-05-12
3400731 CDM Anes For Upper Gi Endo Procedure 13 11 $1,012.00 $961.00 $898.00 $9,494.00 $972.00 2025-05-12
3400811 CDM Anes For Lower Intestinal Endoscopic Procedure 11 10 $827.00 $786.00 $734.00 $6,931.00 $794.00 2025-05-12
3400812 CDM Anes For Screening Colononoscopy 13 11 $1,212.00 $1,151.00 $1,075.00 $9,494.00 $1,164.00 2025-05-12
3400813 CDM Anes For Combined Upper And Lower Gastrointestinal Endo Procedures 13 11 $992.00 $942.00 $880.00 $9,494.00 $952.00 2025-05-12
36430 CPT Blood Transfusion 30 14 $1,357.00 $1,289.00 $76.00 $1,316.00 $832.50 2025-05-12
36556 CPT 36556 Insertion Non-tunneled Centrally Inserted Central Venous Cath 5+ 16 14 $2,265.00 $2,152.00 $194.00 $2,197.00 $2,152.00 2025-05-12
36589 CPT 36589 Removal Of Tunneled Central Venous Catheter, Wo Subcutaneous Port Or Pump 16 14 $1,206.00 $1,146.00 $309.00 $1,170.00 $1,146.00 2025-05-12
36590 CPT 36590 Removal Tunneled Cv Cath W Port Or Pump 16 14 $1,670.00 $1,587.00 $424.00 $1,620.00 $1,587.00 2025-05-12
4250147 CDM Broslows Carpet 14 12 $623.00 $592.00 $224.00 $604.00 $595.00 2025-05-12
4250311 CDM Ankle/foot Orthosis; Size 1 14 12 $640.00 $608.00 $230.00 $621.00 $611.00 2025-05-12
4250472 CDM Cash Orthosis Hinged Sternal & Pubic Pad 42 14 12 $1,563.00 $1,485.00 $561.00 $1,516.00 $1,492.50 2025-05-12
4251402 CDM Pleur Catheter System Kit 14 12 $3,765.00 $3,577.00 $1,352.00 $3,652.00 $3,595.50 2025-05-12
4251600 CDM Chest Tube Kit 14fr 14 12 $597.00 $567.00 $214.00 $579.00 $570.00 2025-05-12
4255808 CDM Blood/fluid Warming System 14 12 $521.00 $495.00 $187.00 $505.00 $497.50 2025-05-12
4257510 CDM Pleur X Drain Kit 1000ml-chest Kit 14 12 $2,538.00 $2,411.00 $911.00 $2,462.00 $2,423.50 2025-05-12
4258000 CDM Pleur-evac 14 12 $576.00 $547.00 $207.00 $559.00 $550.00 2025-05-12
4259889 CDM Cricothyrotomy Kit-adult 4mm 14 12 $480.00 $456.00 $172.00 $466.00 $458.50 2025-05-12
4259890 CDM Cricothyrotomy Kit-pediatric 2mm 14 12 $480.00 $456.00 $172.00 $466.00 $458.50 2025-05-12
43233 CPT 43233egd With Balloon Dilation; More Than 30 Mm 16 14 $1,781.00 $1,692.00 $520.00 $1,728.00 $1,692.00 2025-05-12
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 15 13 $1,816.00 $1,725.00 $280.00 $1,762.00 $1,725.00 2025-05-12
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 15 13 $2,055.00 $1,952.00 $317.00 $1,993.00 $1,952.00 2025-05-12
43244 CPT Esophagogastroduodenoscopy With Variceal Banding 16 14 $2,996.00 $2,846.00 $564.00 $2,906.00 $2,846.00 2025-05-12
43245 CPT Esophagogastroduodenoscopy Dilate Stricture 16 14 $1,556.00 $1,478.00 $400.00 $1,509.00 $1,478.00 2025-05-12
43247 CPT Esophagogastroduodenoscopy Foreign Body Removal 16 14 $2,224.00 $2,113.00 $405.00 $2,157.00 $2,113.00 2025-05-12
43249 CPT Esophagogastroduodenoscopy Balloon Dilatation 16 14 $1,582.00 $1,503.00 $352.00 $1,535.00 $1,503.00 2025-05-12
43250 CPT Esophagogastroduodenoscopy Balloon Dilatation W/biopsy 16 14 $2,791.00 $2,651.00 $386.00 $2,707.00 $2,651.00 2025-05-12
43255 CPT Esophagogastroduodenoscopy Control Bleeding 16 14 $2,103.00 $1,998.00 $461.00 $2,040.00 $1,998.00 2025-05-12
43752 CPT 43752-insertion Ng Tube 30 14 $1,101.00 $1,046.00 $93.00 $1,068.00 $989.00 2025-05-12
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 15 13 $2,500.00 $2,375.00 $423.00 $2,425.00 $2,375.00 2025-05-12
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 15 13 $2,044.00 $1,942.00 $460.00 $1,983.00 $1,942.00 2025-05-12
45382 CPT Colonoscopy Control Bleeding 16 14 $2,084.00 $1,980.00 $595.00 $2,021.00 $1,980.00 2025-05-12
45384 CPT Colonoscopy With Hot Biopsy 16 14 $2,437.00 $2,315.00 $519.00 $2,364.00 $2,315.00 2025-05-12
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 15 13 $2,112.00 $2,006.00 $584.00 $2,049.00 $2,006.00 2025-05-12
45388 CPT Colonoscopy Excision Lesion 16 14 $2,261.00 $2,148.00 $619.00 $2,193.00 $2,148.00 2025-05-12
45398 CPT 45398colonoscopy Flexible With Hemorrhoid Banding 16 14 $1,773.00 $1,684.00 $533.00 $1,720.00 $1,684.00 2025-05-12
46220 CPT Excision Lesion Anus 16 14 $4,083.00 $3,879.00 $264.00 $3,961.00 $3,879.00 2025-05-12
46221 CPT 46221 Hemorrhoidectomy, Internal, Rubber Band Ligation 16 14 $1,320.00 $1,254.00 $428.00 $1,280.00 $1,254.00 2025-05-12
46230 CPT Excision Of Anal Tag 16 14 $2,761.00 $2,623.00 $384.00 $2,678.00 $2,623.00 2025-05-12
46260 CPT Hemorrhoidal Banding 16 14 $4,083.00 $3,879.00 $1,057.00 $3,961.00 $3,879.00 2025-05-12
46275 CPT Fistulectomy Anus 16 14 $6,621.00 $6,290.00 $924.00 $6,422.00 $6,290.00 2025-05-12
46945 CPT Hemorrhoidectomy 16 14 $1,900.00 $1,805.00 $505.00 $1,843.00 $1,805.00 2025-05-12
46946 CPT 46946hemorrhoidectomy, Internal, By Ligation Other Than Rubber Band 2 Or More 16 14 $2,016.00 $1,915.00 $503.00 $1,956.00 $1,915.00 2025-05-12
49083 CPT 49083 Abdominal Paracentesis W/imaging 16 14 $1,182.00 $1,123.00 $248.00 $1,147.00 $1,123.00 2025-05-12
51700 CPT 51700 Irrigation Of Bladder 16 14 $556.00 $528.00 $69.00 $539.00 $528.00 2025-05-12
62322 CPT Injection(s) Of Therapeutic Substance 15 13 $1,007.00 $957.00 $196.00 $977.00 $957.00 2025-05-12
69200 CPT 69200-external Auditory Canal 16 14 $517.00 $491.00 $106.00 $501.00 $491.00 2025-05-12
69209 CPT 69209-cerumen Irrigation/lavage 16 14 $1,037.00 $985.00 $31.00 $1,006.00 $985.00 2025-05-12
70336 CPT MRI Tmj 16 14 $3,252.00 $3,089.00 $670.00 $3,154.00 $3,089.00 2025-05-12
70450 CPT CT Scan 17 14 $2,201.00 $2,091.00 $258.00 $2,135.00 $1,981.00 2025-05-12
70460 CPT CT Head With Contrast 16 14 $2,441.00 $2,319.00 $365.00 $2,368.00 $2,319.00 2025-05-12
70470 CPT CT Head With + Without Contrast 17 14 $2,858.00 $2,715.00 $427.00 $2,772.00 $2,572.00 2025-05-12
70480 CPT CT Orbits Sella Without Contrast 16 14 $2,373.00 $2,254.00 $393.00 $2,302.00 $2,254.00 2025-05-12
70481 CPT CT Orbits Sella With Contrast 16 14 $2,607.00 $2,477.00 $598.00 $2,529.00 $2,477.00 2025-05-12
70482 CPT CT Iac With + Without Contrast 16 14 $3,025.00 $2,874.00 $605.00 $2,934.00 $2,874.00 2025-05-12
70486 CPT CT Sinus Without Contrast 16 14 $2,028.00 $1,927.00 $310.00 $1,967.00 $1,927.00 2025-05-12
70487 CPT CT Maxillofacial With Contrast 16 14 $2,387.00 $2,268.00 $373.00 $2,315.00 $2,268.00 2025-05-12
70488 CPT CT Sinus With + Without Contrast 16 14 $2,798.00 $2,658.00 $454.00 $2,714.00 $2,658.00 2025-05-12
70490 CPT CT Neck Soft Tissue Without Contrast 16 14 $2,282.00 $2,168.00 $368.00 $2,214.00 $2,168.00 2025-05-12
70491 CPT CT Neck Soft Tissue With Contrast 16 14 $2,621.00 $2,490.00 $452.00 $2,542.00 $2,490.00 2025-05-12
70492 CPT CT Neck Soft Tissue With + Without Contrast 16 14 $2,934.00 $2,787.00 $545.00 $2,846.00 $2,787.00 2025-05-12
70496 CPT CT Angio Brain And Neck 16 14 $3,266.00 $3,103.00 $640.00 $3,168.00 $3,103.00 2025-05-12
70498 CPT CTA Neck W/wo 16 14 $3,230.00 $3,069.00 $640.00 $3,133.00 $3,069.00 2025-05-12
70540 CPT MRI Face Neck Orbit Without Contrast 16 14 $3,446.00 $3,274.00 $590.00 $3,343.00 $3,274.00 2025-05-12
70543 CPT MRI Face Neck Orbit With + Without Contrast 16 14 $3,827.00 $3,636.00 $882.00 $3,712.00 $3,636.00 2025-05-12
70544 CPT MRA Brain/head Without Contrast 16 14 $3,390.00 $3,221.00 $617.00 $3,288.00 $3,221.00 2025-05-12
70547 CPT MRA Neck Without Contrast 16 14 $3,388.00 $3,219.00 $620.00 $3,286.00 $3,219.00 2025-05-12
70549 CPT MRA Neck With + Without Contrast 16 14 $4,156.00 $3,948.00 $947.00 $4,031.00 $3,948.00 2025-05-12
70551 CPT MRI Brain Without Contrast 16 14 $3,701.00 $3,516.00 $505.00 $3,590.00 $3,516.00 2025-05-12
70553 CPT MRI Scan 16 14 $4,313.00 $4,097.00 $827.00 $4,184.00 $4,097.00 2025-05-12
71250 CPT CT Chest High Resolution 16 14 $2,508.00 $2,383.00 $354.00 $2,433.00 $2,383.00 2025-05-12
71260 CPT CT Thorax W 17 14 $2,784.00 $2,645.00 $438.00 $2,700.00 $2,506.00 2025-05-12
71270 CPT CT Thorax W/wo 16 14 $3,160.00 $3,002.00 $519.00 $3,065.00 $3,002.00 2025-05-12
71271 CPT CT Low Dose Lung Scan 16 14 $1,270.00 $1,207.00 $306.00 $1,232.00 $1,207.00 2025-05-12
71275 CPT CT Angio Chest 16 14 $3,584.00 $3,405.00 $648.00 $3,476.00 $3,405.00 2025-05-12
71552 CPT MRI Chest With + Without Contrast 16 14 $4,217.00 $4,006.00 $1,097.00 $4,090.00 $4,006.00 2025-05-12
72050 CPT Xr Spine Cervical 4 Or 5 Views 16 14 $542.00 $515.00 $112.00 $526.00 $515.00 2025-05-12
72052 CPT Xr Spine Cervical 6+ Views 16 14 $705.00 $670.00 $133.00 $684.00 $670.00 2025-05-12
72072 CPT Xr Spine Thoracic 3 Views 16 14 $534.00 $507.00 $80.00 $518.00 $507.00 2025-05-12
72082 CPT Xr Spine Entire 16 14 $520.00 $494.00 $144.00 $504.00 $494.00 2025-05-12
72110 CPT X-ray Of Lower Back 16 14 $506.00 $481.00 $113.00 $491.00 $481.00 2025-05-12
72125 CPT CT Spine Cervical Without Contrast 16 14 $2,605.00 $2,475.00 $367.00 $2,527.00 $2,475.00 2025-05-12
72126 CPT CT Spine Cervical With Contrast 16 14 $3,002.00 $2,852.00 $506.00 $2,912.00 $2,852.00 2025-05-12
72127 CPT CT Spine Cervical With + Without Contrast 16 14 $2,737.00 $2,600.00 $584.00 $2,655.00 $2,600.00 2025-05-12
72128 CPT CT Spine Thoracic Without Contrast 16 14 $2,577.00 $2,448.00 $360.00 $2,500.00 $2,448.00 2025-05-12
72129 CPT CT Spine Thoracic With Contrast 16 14 $2,359.00 $2,241.00 $509.00 $2,288.00 $2,241.00 2025-05-12
72130 CPT CT Spine Thoracic With + Without Contrast 16 14 $2,937.00 $2,790.00 $584.00 $2,849.00 $2,790.00 2025-05-12
72132 CPT CT Spine Lumbar With Contrast 16 14 $3,326.00 $3,160.00 $506.00 $3,226.00 $3,160.00 2025-05-12
72133 CPT CT Spine Lumbar With + Without Contrast 16 14 $3,047.00 $2,895.00 $584.00 $2,956.00 $2,895.00 2025-05-12
72141 CPT MRI Spine Cervical Without Contrast 16 14 $3,640.00 $3,458.00 $492.00 $3,531.00 $3,458.00 2025-05-12
72142 CPT MRI Spine Cervical With Contrast 16 14 $3,646.00 $3,464.00 $713.00 $3,537.00 $3,464.00 2025-05-12
72146 CPT MRI Spine Thoracic Without Contrast 16 14 $3,765.00 $3,577.00 $493.00 $3,652.00 $3,577.00 2025-05-12
72148 CPT MRI Scan Of Lower Spinal Canal 17 14 $3,578.00 $3,399.00 $493.00 $3,471.00 $3,220.00 2025-05-12
72149 CPT MRI Spine Lumbar With Contrast 16 14 $3,612.00 $3,431.00 $704.00 $3,504.00 $3,431.00 2025-05-12
72156 CPT MRI Spine Cervical With + Without Contrast 16 14 $4,677.00 $4,443.00 $832.00 $4,537.00 $4,443.00 2025-05-12
72157 CPT MRI Spine Thoracic With + Without Contrast 16 14 $4,610.00 $4,380.00 $835.00 $4,472.00 $4,380.00 2025-05-12
72158 CPT MRI Spine Lumbar With + Without Contrast 16 14 $4,401.00 $4,181.00 $831.00 $4,269.00 $4,181.00 2025-05-12
72191 CPT CT Angio Pelvis 16 14 $2,805.00 $2,665.00 $645.00 $2,721.00 $2,665.00 2025-05-12
72192 CPT CT Pelvis Without Contrast 16 14 $2,490.00 $2,366.00 $325.00 $2,415.00 $2,366.00 2025-05-12
72193 CPT CT Scan Of Pelvis With Contrast 16 14 $2,803.00 $2,663.00 $520.00 $2,719.00 $2,663.00 2025-05-12
72194 CPT CT Pelvis With + Without Contrast 16 14 $3,247.00 $3,085.00 $578.00 $3,150.00 $3,085.00 2025-05-12
72195 CPT MRI Pelvis Without Contrast 16 14 $3,256.00 $3,093.00 $602.00 $3,158.00 $3,093.00 2025-05-12
72197 CPT MRI Pelvis With + Without Contrast 16 14 $4,281.00 $4,067.00 $888.00 $4,153.00 $4,067.00 2025-05-12
73000 CPT Xr Clavicle Bilat 28 12 $780.00 $741.00 $187.00 $1,009.00 $504.00 2025-05-12
73200 CPT CT Elbow Without Contrast Bilat 14 12 $4,458.00 $4,235.00 $1,601.00 $4,324.00 $4,257.50 2025-05-12
73202 CPT CT Elbow With + Without Contrast Bilat 28 12 $4,720.50 $4,484.50 $1,130.00 $6,105.00 $3,053.00 2025-05-12
73206 CPT CT Angio Upper Extremity Bilateral 28 12 $4,824.00 $4,582.50 $1,155.00 $6,239.00 $3,120.00 2025-05-12
73218 CPT MRI Forearm Without Contrast Bilat 28 12 $4,459.50 $4,236.50 $1,068.00 $5,768.00 $2,884.00 2025-05-12
73219 CPT MRI Upper Extremity With Contrast Bilat 28 12 $4,540.50 $4,313.50 $1,087.00 $5,872.00 $2,936.00 2025-05-12
73220 CPT MRI Forearm With + Without Contrast Bilat 28 12 $5,392.50 $5,123.00 $1,291.00 $6,974.00 $3,487.00 2025-05-12
73221 CPT MRI Elbow Without Contrast Bilat 28 12 $4,210.50 $4,000.00 $1,008.00 $5,446.00 $2,723.00 2025-05-12
73222 CPT MRI Ue Joint With Contrast Bilat 28 12 $5,055.00 $4,802.50 $1,210.00 $6,538.00 $3,269.00 2025-05-12
73223 CPT MRI Elbow With + Without Contrast Bilat 28 12 $5,737.50 $5,451.00 $1,374.00 $7,421.00 $3,710.00 2025-05-12
73521 CPT Xr Hips 2 Views Bilat 16 14 $482.00 $458.00 $85.00 $468.00 $458.00 2025-05-12
73700 CPT CT Ankle Without Contrast Bilat 28 12 $3,543.00 $3,366.00 $848.00 $4,582.00 $2,291.00 2025-05-12
73701 CPT CT Ankle With Contrast Bilat 28 12 $3,897.00 $3,702.00 $933.00 $5,040.00 $2,520.00 2025-05-12
73702 CPT CT Ankle With + Without Contrast Bilat 28 12 $4,107.00 $3,901.50 $983.00 $5,312.00 $2,656.00 2025-05-12
73706 CPT CT Angio Lower Extremity Bilateral 28 12 $4,812.00 $4,571.50 $1,152.00 $6,224.00 $3,112.00 2025-05-12
73718 CPT MRI Femur Without Contrast Bilat 28 12 $4,432.50 $4,211.00 $1,061.00 $5,733.00 $2,866.00 2025-05-12
73719 CPT MRI Lower Extremity With Contrast Bilat 26 11 $4,143.00 $3,936.00 $992.00 $5,358.00 $2,679.00 2025-05-12
73720 CPT MRI Femur With + Without Contrast Bilat 28 12 $5,649.00 $5,367.00 $1,288.00 $7,479.00 $3,480.00 2025-05-12
73721 CPT MRI Scan Of Leg Joint 28 12 $4,210.50 $4,000.00 $1,008.00 $5,446.00 $2,723.00 2025-05-12
73722 CPT MRI Le Joint With Contrast Bilat 28 12 $5,196.00 $4,936.50 $1,244.00 $6,720.00 $3,360.00 2025-05-12
73723 CPT MRI Ankle With + Without Contrast Bilat 28 12 $5,571.00 $5,292.50 $1,334.00 $7,205.00 $3,603.00 2025-05-12
74022 CPT Xr Abdomen Series + Chest 1 View 16 14 $536.00 $509.00 $103.00 $520.00 $509.00 2025-05-12
74150 CPT CT Abdomen Wo 16 14 $2,542.00 $2,415.00 $335.00 $2,466.00 $2,415.00 2025-05-12
74160 CPT CT Abdomen W 16 14 $2,876.00 $2,732.00 $531.00 $2,790.00 $2,732.00 2025-05-12
74170 CPT CT Abdomen W/wo 16 14 $3,262.00 $3,099.00 $599.00 $3,164.00 $3,099.00 2025-05-12
74174 CPT CTA Abdomen/pelvis W/wo 16 14 $5,557.00 $5,279.00 $882.00 $5,390.00 $5,279.00 2025-05-12
74175 CPT CT Angio Abdomen 16 14 $3,298.00 $3,133.00 $646.00 $3,199.00 $3,133.00 2025-05-12
74176 CPT CT Abd And Pelvis Wo 18 14 $3,843.00 $3,651.00 $449.00 $3,728.00 $3,555.00 2025-05-12
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 18 14 $4,939.00 $4,692.00 $711.00 $4,791.00 $4,568.50 2025-05-12
74178 CPT CT Abd And Pelvis W/wo 18 14 $5,725.00 $5,439.00 $802.00 $5,553.00 $5,296.00 2025-05-12
74181 CPT MRI Abdomen And Pelvis Without Contrast 16 14 $3,527.00 $3,351.00 $544.00 $3,421.00 $3,351.00 2025-05-12
74183 CPT MRI Abdomen With + Without Contrast 16 14 $4,387.00 $4,168.00 $889.00 $4,255.00 $4,168.00 2025-05-12
75635 CPT CTA Angio Abdominal Arteries 16 14 $3,721.00 $3,535.00 $711.00 $3,609.00 $3,535.00 2025-05-12
76380 CPT CT Limited Or Localized F/u Study 16 14 $710.00 $675.00 $247.00 $689.00 $675.00 2025-05-12
76536 CPT US Head/neck Soft Tissue 16 14 $667.00 $634.00 $240.00 $647.00 $634.00 2025-05-12
76604 CPT US Chest 16 14 $631.00 $599.00 $198.00 $612.00 $599.00 2025-05-12
76641 CPT US Breast Complete Bilat 28 12 $879.00 $835.00 $210.00 $1,137.00 $568.00 2025-05-12
76700 CPT Ultrasound Of Abdomen 17 14 $958.00 $910.00 $272.00 $929.00 $862.00 2025-05-12
76705 CPT 76705 US Abdomen Limited 16 14 $671.00 $637.00 $203.00 $651.00 $637.00 2025-05-12
76706 CPT US Aaa Screening 16 14 $599.00 $569.00 $215.00 $581.00 $569.00 2025-05-12
76770 CPT US Aorta Complete 16 14 $1,049.00 $997.00 $252.00 $1,018.00 $997.00 2025-05-12
76775 CPT US Aorta 16 14 $638.00 $606.00 $131.00 $619.00 $606.00 2025-05-12
76776 CPT US Kidney Transplant With Doppler 16 14 $829.00 $788.00 $298.00 $804.00 $788.00 2025-05-12
76801 CPT US OB < 14 Weeks Single 16 14 $714.00 $678.00 $256.00 $693.00 $678.00 2025-05-12
76805 CPT Abdomial Ultrasound Of Pregnant Uterus 16 14 $787.00 $748.00 $283.00 $763.00 $748.00 2025-05-12
76810 CPT US OB Greater Than 14 Weeks Multi 16 14 $486.00 $462.00 $175.00 $471.00 $462.00 2025-05-12
76815 CPT US OB Limited 16 14 $481.00 $457.00 $173.00 $467.00 $457.00 2025-05-12
76817 CPT US OB Transvaginal 16 14 $576.00 $547.00 $207.00 $559.00 $547.00 2025-05-12
76818 CPT US Fetal Biophysical Profile 16 14 $695.00 $660.00 $250.00 $674.00 $660.00 2025-05-12
76830 CPT Ultrasound Pelvis Through Vagina 16 14 $706.00 $671.00 $254.00 $685.00 $671.00 2025-05-12
76856 CPT US Pelvic Complete 16 14 $870.00 $827.00 $244.00 $844.00 $827.00 2025-05-12
76857 CPT US Bladder Scan 16 14 $488.00 $464.00 $110.00 $473.00 $464.00 2025-05-12
76870 CPT US Scrotum (Contents) 16 14 $717.00 $681.00 $235.00 $695.00 $681.00 2025-05-12
76881 CPT US Extremity Nonvascular Complete Bilat 28 12 $1,059.00 $1,006.00 $254.00 $1,370.00 $685.00 2025-05-12
76882 CPT US Axilla Left 28 12 $873.00 $829.50 $209.00 $1,129.00 $565.00 2025-05-12
76942 CPT US Guided Needle Placement 16 14 $682.00 $648.00 $129.00 $662.00 $648.00 2025-05-12
77074 CPT Xr Bone Survery (Metastatic) 16 14 $765.00 $727.00 $151.00 $742.00 $727.00 2025-05-12
77075 CPT Xr Bone Survey Complete 16 14 $905.00 $860.00 $205.00 $878.00 $860.00 2025-05-12
77080 CPT Bd Bone Density Dexa Axial Skeleton 16 14 $512.00 $486.00 $89.00 $497.00 $486.00 2025-05-12
78226 CPT Nm Hepatobiliary Imaging 16 14 $1,960.00 $1,862.00 $704.00 $1,901.00 $1,862.00 2025-05-12
78227 CPT Nm Hepatobiliary Imaging With Drug 16 14 $2,041.00 $1,939.00 $733.00 $1,980.00 $1,939.00 2025-05-12
78300 CPT Nm Bone Imaging Limited 16 14 $1,077.00 $1,023.00 $387.00 $1,045.00 $1,023.00 2025-05-12
78306 CPT Nm Bone Imaging Whole Body 16 14 $2,005.00 $1,905.00 $684.00 $1,945.00 $1,905.00 2025-05-12
78315 CPT Nm Bone Three Phase Study 16 14 $2,316.00 $2,200.00 $783.00 $2,247.00 $2,200.00 2025-05-12
78451 CPT Nm Myocardial Spect Single Study 16 14 $4,163.00 $3,955.00 $769.00 $4,038.00 $3,955.00 2025-05-12
78452 CPT Nm Myocardial Spect Multiple Studies 17 14 $4,570.00 $4,342.00 $1,069.00 $4,433.00 $4,113.00 2025-05-12
81206 CPT Bcr-abl Quantitative [Rock] 16 14 $964.00 $916.00 $334.00 $935.00 $916.00 2025-05-12
81270 CPT Jak2 V617f, Ql W/rfx Jak2 Exon12 Pcr Plab 16 14 $718.00 $682.00 $187.00 $696.00 $682.00 2025-05-12
86366 CPT Musk Antibody Igg86366 16 14 $560.00 $532.00 $38.00 $543.00 $532.00 2025-05-12
86711 CPT Stratify Jcv Antibody (With Index) Plab 16 14 $1,664.00 $1,581.00 $31.00 $1,614.00 $1,581.00 2025-05-12
87497 CPT Cmv Quant By Pcr Plab 16 14 $835.00 $793.00 $87.00 $810.00 $793.00 2025-05-12
87505 CPT Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Gas87505 16 14 $522.00 $496.00 $187.00 $506.00 $496.00 2025-05-12
87632 CPT Arup Respiratory Viral Panel By Pcr Plab 16 14 $1,032.00 $980.00 $371.00 $1,001.00 $980.00 2025-05-12
87902 CPT Genotype Dna/rna Hep C87902 16 14 $686.00 $652.00 $246.00 $665.00 $652.00 2025-05-12
87912 CPT Hep B By Genotype Seq 16 14 $825.00 $784.00 $296.00 $800.00 $784.00 2025-05-12
88230 CPT Tissue Culture Chromosone 16 14 $857.00 $814.00 $237.00 $831.00 $814.00 2025-05-12
88263 CPT Chromosome Anlaysis Mosaic 16 14 $778.00 $739.00 $279.00 $755.00 $739.00 2025-05-12
88271 CPT Cytogenetics DNA Probe [Rock] 16 14 $768.00 $730.00 $44.00 $745.00 $730.00 2025-05-12
88275 CPT Cytogenetics 100-300 [Rock] 16 14 $799.00 $759.00 $94.00 $775.00 $759.00 2025-05-12
92950 CPT 92950-cardiopulmonary Resuscitation 16 14 $940.00 $893.00 $338.00 $912.00 $893.00 2025-05-12
92960 CPT Cardioversion 30 14 $2,232.00 $2,120.00 $210.00 $2,165.00 $1,289.50 2025-05-12
93015 CPT 93015 Cardiovascular Stress Test 16 14 $969.00 $921.00 $134.00 $940.00 $921.00 2025-05-12
93225 CPT Rt Holter Monitor 24 Hrs Charge 16 14 $530.00 $504.00 $47.00 $514.00 $504.00 2025-05-12
93226 CPT 93226 Holter ECG Monitor, Up To 48 Hr, Scanning Analysis With Report 16 14 $712.00 $676.00 $66.00 $691.00 $676.00 2025-05-12
93242 CPT 93242 Ext ECG Recording > 48hrs To 7 Days Application 14 12 $484.00 $460.00 $174.00 $469.00 $462.50 2025-05-12
93243 CPT 93243 Ext ECG Rcdg More Than 48hrs Up To 7 Days Inc Scanning Analysis W/rpt 14 12 $938.00 $891.00 $337.00 $910.00 $895.50 2025-05-12
93246 CPT 93246 Ecg>7d <15d Recording 14 12 $676.00 $642.00 $243.00 $656.00 $645.50 2025-05-12
93247 CPT 93247 Ext ECG Rcdg More Than 7 Days -15 Days Contin Rhythm Rcdg & Stor Scan Anal… 14 12 $1,539.00 $1,462.00 $553.00 $1,493.00 $1,469.50 2025-05-12
93306 CPT Echo Transthoracic Tte 16 14 $2,374.00 $2,255.00 $385.00 $2,303.00 $2,255.00 2025-05-12
93308 CPT 93308 Echocardiogram F/u Charge 16 14 $936.00 $889.00 $182.00 $908.00 $889.00 2025-05-12
93350 CPT 93350 Stress Test (Echo) Charge 16 14 $1,797.00 $1,707.00 $351.00 $1,743.00 $1,707.00 2025-05-12
93880 CPT US Carotid Duplex Bilateral 16 14 $1,538.00 $1,461.00 $371.00 $1,492.00 $1,461.00 2025-05-12
93922 CPT US Abi Limited Bilateral 30 14 $560.00 $532.00 $158.00 $1,086.00 $540.50 2025-05-12
93923 CPT US Abi Complete Bilateral 16 14 $959.00 $911.00 $245.00 $930.00 $911.00 2025-05-12
93925 CPT US Lower Ext Arterial Duplex Bilateral 16 14 $1,261.00 $1,198.00 $453.00 $1,223.00 $1,198.00 2025-05-12
93926 CPT US Lower Ext Arterial Duplex Left 14 12 $982.00 $933.00 $353.00 $953.00 $938.00 2025-05-12
93930 CPT US Upper Ext Arterial Duplex Bilateral 16 14 $1,186.00 $1,127.00 $378.00 $1,150.00 $1,127.00 2025-05-12
93931 CPT US Upper Ext Arterial Duplex Left 14 12 $953.00 $905.00 $342.00 $924.00 $910.00 2025-05-12
93970 CPT US Lower Ext Venous Duplex Bilateral 16 14 $1,505.00 $1,430.00 $359.00 $1,460.00 $1,430.00 2025-05-12
93971 CPT US Lower Ext Venous Duplex Left 14 12 $1,112.00 $1,056.00 $399.00 $1,079.00 $1,062.00 2025-05-12
93975 CPT US Art/vein Abd/pelvis/scrotal Complete 16 14 $1,293.00 $1,228.00 $464.00 $1,254.00 $1,228.00 2025-05-12
93976 CPT US Art/vein Abd/pelvis/scrotal Limited 16 14 $828.00 $787.00 $278.00 $803.00 $787.00 2025-05-12
94002 CPT Rt Ventilator Services Initial Charge 16 14 $1,455.00 $1,382.00 $177.00 $1,411.00 $1,382.00 2025-05-12
94003 CPT Rt Ventilator Services Subsequent Charge 16 14 $2,564.00 $2,436.00 $127.00 $2,487.00 $2,436.00 2025-05-12
94060 CPT Pft Pre & Post Screen Spirometry 16 14 $742.00 $705.00 $110.00 $720.00 $705.00 2025-05-12
94645 CPT Rt Continuous Neb Subsequent Charge 16 14 $1,821.00 $1,730.00 $30.00 $1,766.00 $1,730.00 2025-05-12
94660 CPT Rt Bipap Initial Charge 16 14 $872.00 $828.00 $73.00 $846.00 $828.00 2025-05-12
94726 CPT Rt Functional Residual Capacity Charge 30 14 $660.00 $627.00 $99.00 $640.00 $627.00 2025-05-12
94729 CPT Pft Co Diffusion 30 14 $542.00 $515.00 $102.00 $526.00 $513.00 2025-05-12
95810 CPT Sleep Study 16 14 $3,900.00 $3,705.00 $1,133.00 $3,783.00 $3,705.00 2025-05-12
95811 CPT 95811 Polysom 6/> Yrs Cpap 4/> Parm Charge 16 14 $4,247.00 $4,035.00 $1,188.00 $4,120.00 $4,035.00 2025-05-12
96401 CPT 96401 Chemotherapy Admin Sub Q/im Non-hormonal Anti-neoplastic 16 14 $656.00 $623.00 $145.00 $636.00 $623.00 2025-05-12
99223 CPT 99223 Initial Hospital Care, Level 3 15 13 $504.00 $479.00 $181.00 $489.00 $479.00 2025-05-12
99236 CPT 99236 Same Day Admit/discharge, High 15 13 $560.00 $532.00 $201.00 $543.00 $532.00 2025-05-12
99284 CPT 99284level 4 28 14 $887.00 $843.00 $218.00 $1,000.00 $668.50 2025-05-12
99285 CPT 99285level 5 28 14 $1,217.00 $1,156.00 $321.00 $1,180.00 $1,028.00 2025-05-12
99291 CPT 99291critical Care, First Hour 29 14 $1,216.00 $1,155.00 $259.00 $1,180.00 $699.00 2025-05-12
A0426 HCPCS Als Level 1, Non-emergency 16 14 $976.00 $927.00 $350.00 $947.00 $927.00 2025-05-12
A0427 HCPCS Als Level 1, Emergency 16 14 $984.00 $935.00 $353.00 $954.00 $935.00 2025-05-12
A0429 HCPCS Bls, Emergency 16 14 $805.00 $765.00 $289.00 $781.00 $765.00 2025-05-12
A0433 HCPCS Als Level 2, Emergency Or Non-emergency 14 12 $1,650.00 $1,568.00 $593.00 $1,601.00 $1,576.00 2025-05-12
A9500 HCPCS Rock Technetium Tc 99m Sestamibi 16 14 $499.00 $474.00 $172.00 $484.00 $474.00 2025-05-12
C8924 HCPCS US Echo Limited With Contrast Eo 14 12 $1,902.00 $1,807.00 $683.00 $1,845.00 $1,816.50 2025-05-12
C8929 HCPCS US Echo Complete With Contrast Eo 14 12 $2,950.00 $2,803.00 $1,059.00 $2,862.00 $2,817.50 2025-05-12
G0105 HCPCS G0105colonoscopy, Medicare Screening High Risk Patient 16 14 $1,855.00 $1,762.00 $288.00 $1,799.00 $1,762.00 2025-05-12
J2785 HCPCS Rock Lexiscan 0.4mg/5ml Inj 16 14 $561.00 $533.00 $4.00 $544.00 $519.00 2025-05-12
M0243 HCPCS M0243 Intravenous Infusion Or Subcutaneous Injection, Casirivimab 28 12 $859.50 $817.00 $269.00 $940.00 $720.00 2025-05-12
M0245 HCPCS M0245 Intravenous Infusion Bamlanivimab/etesevimab-includes Infusion And Post Ad… 16 14 $662.00 $629.00 $238.00 $689.00 $636.00 2025-05-12
M0247 HCPCS M0247 Intravenous Infusion Sotrovimab, Infusion And Post Administer Monitoring 16 14 $750.00 $713.00 $269.00 $728.00 $713.00 2025-05-12
P9012 HCPCS Cryoprecipitate Rock 14 12 $978.00 $929.00 $351.00 $949.00 $934.00 2025-05-12
P9016 HCPCS Lr Packed Rc Rock 14 12 $651.00 $618.00 $234.00 $631.00 $621.50 2025-05-12
P9017 HCPCS Frozen Plasma Rock 14 12 $703.00 $668.00 $252.00 $682.00 $671.50 2025-05-12
P9037 HCPCS Platelet Apheresis, Lr Rock 14 12 $1,820.00 $1,729.00 $654.00 $1,765.00 $1,738.00 2025-05-12
P9040 HCPCS Irradiated Packed Red Blood Cells Rock 14 12 $940.00 $893.00 $338.00 $912.00 $897.50 2025-05-12
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