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

MEMORIAL HEALTH CARE SYSTEMS

Seward, NE · CCN 281339 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

Ultrasound of heart during rest, exercise and/or drug-induced stress with report

This hospital’s price: $1,226 across 21 payers · range $1,138-$2,066

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMHCSEWARDNE&type=CDMWithoutLabel · observed 2026-04-29

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.

2,746 distinct procedures filed
21 distinct payers
71,805 rate rows
2026-04-29 last MRF observed
Data quality

68,449 of 71,805 rate rows are consumer-grade (95.3%)

3,356 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
per-diem day rate — not a per-procedure price 1,137
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,060
template filing: same amount across many unrelated codes — excluded 894
exceeds 10× this hospital's gross charge — excluded from medians 141
percent-of-charges filed in the dollar field — excluded from medians 120
exceeds 3× this hospital's gross charge for a DRG stay — excluded 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMHCSEWARDNE&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-17
Content fingerprint e3687efa88f2b6e8… · 25,523,126 bytes · first seen 2026-05-06

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
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $270,986.21 $270,986.21 $270,986.21 nat. median
$45,474
outlier · 6.0×
533
MS_DRG 		Fractures Of Femur With Mcc 1 $252,075.30 $252,075.30 $252,075.30 nat. median
$15,251
outlier · 16.5×
342
MS_DRG 		Appendectomy Without Complicated Principal Diagnosis With Cc 1 $161,575.83 $161,575.83 $161,575.83 nat. median
$9,816
outlier · 16.5×
68
MS_DRG 		Precerebral Occlusion Without Infarction Without Mcc 1 $137,815.41 $137,815.41 $137,815.41 nat. median
$9,209
outlier · 15.0×
535
MS_DRG 		Fractures Of Hip And Pelvis With Mcc 1 $101,722.46 $101,722.46 $101,722.46 nat. median
$12,831
outlier · 7.9×
880
MS_DRG 		Acute Adjustment Reaction And Psychosocial Dysfunction 1 $100,065.84 $100,065.84 $100,065.84 nat. median
$8,962
outlier · 11.2×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 $94,413.93 $94,413.93 $94,413.93 nat. median
$11,478
outlier · 8.2×
92
MS_DRG 		Other Disorders Of Nervous System With Cc 1 $92,365.71 $92,365.71 $92,365.71 nat. median
$10,613
outlier · 8.7×
301
MS_DRG 		Peripheral Vascular Disorders Without Cc/mcc 1 $76,110.99 $76,110.99 $76,110.99 nat. median
$7,774
outlier · 9.8×
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 1 $72,395.53 $72,395.53 $72,395.53 nat. median
$8,661
outlier · 8.4×
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 1 $51,974.10 $51,974.10 $51,974.10 nat. median
$8,941
outlier · 5.8×
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 $49,602.59 $49,602.59 $49,602.59 nat. median
$13,735
outlier · 3.6×
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc/mcc 1 $47,040.83 $47,040.83 $47,040.83 nat. median
$7,116
outlier · 6.6×
566
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 1 $41,696.43 $41,696.43 $41,696.43 nat. median
$7,961
outlier · 5.2×
389
MS_DRG 		Gastrointestinal Obstruction With Cc 1 $38,547.45 $38,547.45 $38,547.45 nat. median
$8,347
outlier · 4.6×
603
MS_DRG 		Cellulitis Without Mcc 1 $32,790.81 $32,790.81 $32,790.81 nat. median
$8,991
outlier · 3.6×
726
MS_DRG 		Benign Prostatic Hypertrophy Without Mcc 1 $31,923.42 $31,923.42 $31,923.42 nat. median
$7,842
outlier · 4.1×
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 1 $24,049.42 $24,049.42 $24,049.42 nat. median
$9,958
outlier · 2.4×
563
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 $23,939.41 $23,939.41 $23,939.41 nat. median
$9,158
outlier · 2.6×
153
MS_DRG 		Otitis Media And Uri Without Mcc 1 $21,060.17 $21,060.17 $21,060.17 nat. median
$7,683
outlier · 2.7×
884
MS_DRG 		Organic Disturbances And Intellectual Disability 1 $19,234.58 $19,234.58 $19,234.58 nat. median
$14,262
1.3× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 1 $17,871.60 $17,871.60 $17,871.60 nat. median
$15,885
1.1× median
776
MS_DRG 		Postpartum And Post Abortion Diagnoses Without O.r. Procedures 1 $13,909.65 $13,909.65 $13,909.65 nat. median
$7,221
1.9× median
433
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Cc 1 $13,043.29 $13,043.29 $13,043.29 nat. median
$10,769
1.2× median
793
MS_DRG 		Full Term Neonate With Major Problems 1 $10,924.78 $10,924.78 $10,924.78 nat. median
$33,753
outlier · 0.3×
355001094_1
CDM 		Interstim X Neurostimulator 21 $8,672.40 $15,738.80 $9,337.28 nat. median
$9,337
1.0× median
355001093_1
CDM 		Interstim Ii Neurostimulator 21 $8,081.10 $14,665.70 $8,700.65 nat. median
$8,701
1.0× median
J0896
HCPCS 		Injection, Luspatercept-aamt, 0.25 Mg 21 $6,995.22 $12,695.03 $7,531.52 nat. median
$4,569
1.6× median
795
MS_DRG 		Normal Newborn 1 $6,197.17 $6,197.17 $6,197.17 nat. median
$2,512
outlier · 2.5×
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 1 $6,111.10 $6,111.10 $6,111.10 nat. median
$16,213
outlier · 0.4×
355001665_1
CDM 		Interstim MRI Comptbl Lead Kit 21 $4,915.08 $8,919.96 $5,291.90 nat. median
$5,292
1.0× median
328001301_1
CDM 		Operating Room Services - General Classification 21 $4,762.80 $8,643.60 $5,127.95 nat. median
$5,128
1.0× median
J9217
HCPCS 		Leuprolide Acetate (for Depot Suspension), 7.5 Mg 21 $4,624.40 $8,392.44 $4,978.94 nat. median
$1,573
outlier · 3.2×
371001000_1
CDM 		PET / CT Scan 21 $4,371.30 $7,933.10 $4,706.43 nat. median
$4,706
1.0× median
J0517
HCPCS 		Injection, Benralizumab, 1 Mg 21 $4,346.88 $7,888.77 $4,680.14 nat. median
$919
outlier · 5.1×
355001096_1
CDM 		Lead Kit Tined 21 $3,743.28 $6,793.36 $4,030.26 nat. median
$4,030
1.0× median
J1569
HCPCS 		Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 21 $3,691.61 $6,699.58 $3,974.63 nat. median
$1,074
outlier · 3.7×
Q5108
HCPCS 		Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 21 $3,598.18 $6,530.03 $3,874.04 nat. median
$1,244
outlier · 3.1×
328001810_1
CDM 		Operating Room Services - General Classification 21 $3,574.80 $6,487.60 $3,848.87 nat. median
$3,849
1.0× median
328001800_1
CDM 		Operating Room Services - General Classification 21 $3,315.60 $6,017.20 $3,569.80 nat. median
$3,570
1.0× median
90375
HCPCS 		Rabies Immune Globulin For Injection 21 $3,132.00 $5,684.00 $3,372.12 nat. median
$1,052
outlier · 3.2×
328001201_1
CDM 		Operating Room Services - General Classification 21 $3,132.00 $5,684.00 $3,372.12 nat. median
$3,372
1.0× median
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 21 $3,116.88 $5,656.56 $3,355.84 nat. median
$44
outlier · 76.7×
355001394_1
CDM 		Ortho Plate Humerus 3.5 3hole 21 $3,066.66 $5,565.42 $3,301.77 nat. median
$3,302
1.0× median
81229
HCPCS 		Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 21 $2,954.88 $5,362.56 $3,181.42 nat. median
$1,323
outlier · 2.4×
J2182
HCPCS 		Injection, Mepolizumab, 1 Mg 21 $2,948.17 $5,350.38 $3,174.19 nat. median
$2,791
1.1× median
71552
HCPCS 		MRI Scan Of Chest Before And After Contrast 21 $2,837.70 $5,149.90 $3,055.26 nat. median
$1,103
outlier · 2.8×
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 21 $2,822.58 $5,122.46 $3,038.98 nat. median
$1,105
outlier · 2.8×
70546
HCPCS 		MRI Scan Of Blood Vessels Of Head Before And After Contrast 21 $2,800.98 $5,083.26 $3,015.72 nat. median
$1,073
outlier · 2.8×
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 21 $2,790.18 $5,063.66 $3,004.09 nat. median
$1,114
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 2,746 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
             
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 $102,122.21 $102,122.21 $270,986.21 $270,986.21 $270,986.21 2026-04-29
533 MS_DRG Fractures Of Femur With Mcc 1 1 $90,247.30 $90,247.30 $252,075.30 $252,075.30 $252,075.30 2026-04-29
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 $59,553.83 $59,553.83 $161,575.83 $161,575.83 $161,575.83 2026-04-29
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 1 1 $53,383.41 $53,383.41 $137,815.41 $137,815.41 $137,815.41 2026-04-29
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 $34,880.46 $34,880.46 $101,722.46 $101,722.46 $101,722.46 2026-04-29
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 1 1 $36,741.84 $36,741.84 $100,065.84 $100,065.84 $100,065.84 2026-04-29
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 1 $41,643.93 $41,643.93 $94,413.93 $94,413.93 $94,413.93 2026-04-29
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 $39,595.71 $39,595.71 $92,365.71 $92,365.71 $92,365.71 2026-04-29
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 1 1 $26,858.99 $26,858.99 $76,110.99 $76,110.99 $76,110.99 2026-04-29
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 1 1 $26,661.53 $26,661.53 $72,395.53 $72,395.53 $72,395.53 2026-04-29
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 1 1 $20,312.10 $20,312.10 $51,974.10 $51,974.10 $51,974.10 2026-04-29
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 $17,940.59 $17,940.59 $49,602.59 $49,602.59 $49,602.59 2026-04-29
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 1 1 $22,414.83 $22,414.83 $47,040.83 $47,040.83 $47,040.83 2026-04-29
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 1 1 $17,070.43 $17,070.43 $41,696.43 $41,696.43 $41,696.43 2026-04-29
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 $17,439.45 $17,439.45 $38,547.45 $38,547.45 $38,547.45 2026-04-29
603 MS_DRG Cellulitis Without Mcc 1 1 $15,200.81 $15,200.81 $32,790.81 $32,790.81 $32,790.81 2026-04-29
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 1 1 $10,815.42 $10,815.42 $31,923.42 $31,923.42 $31,923.42 2026-04-29
315 MS_DRG Other Circulatory System Diagnoses With Cc 1 1 $9,977.42 $9,977.42 $24,049.42 $24,049.42 $24,049.42 2026-04-29
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 $9,867.41 $9,867.41 $23,939.41 $23,939.41 $23,939.41 2026-04-29
153 MS_DRG Otitis Media And Uri Without Mcc 1 1 $10,506.17 $10,506.17 $21,060.17 $21,060.17 $21,060.17 2026-04-29
884 MS_DRG Organic Disturbances And Intellectual Disability 1 1 $8,680.58 $8,680.58 $19,234.58 $19,234.58 $19,234.58 2026-04-29
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 $7,317.60 $7,317.60 $17,871.60 $17,871.60 $17,871.60 2026-04-29
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 1 1 $6,873.65 $6,873.65 $13,909.65 $13,909.65 $13,909.65 2026-04-29
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 1 1 $6,007.29 $6,007.29 $13,043.29 $13,043.29 $13,043.29 2026-04-29
793 MS_DRG Full Term Neonate With Major Problems 1 1 $3,888.78 $3,888.78 $10,924.78 $10,924.78 $10,924.78 2026-04-29
355001094_1 CDM Interstim X Neurostimulator 21 21 $16,060.00 $16,060.00 $8,672.40 $15,738.80 $9,337.28 2026-04-29
355001093_1 CDM Interstim Ii Neurostimulator 21 21 $14,965.00 $14,965.00 $8,081.10 $14,665.70 $8,700.65 2026-04-29
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 21 21 $12,954.11 $12,954.11 $6,995.22 $12,695.03 $7,531.52 2026-04-29
795 MS_DRG Normal Newborn 1 1 $2,679.17 $2,679.17 $6,197.17 $6,197.17 $6,197.17 2026-04-29
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 1 1 $2,593.10 $2,593.10 $6,111.10 $6,111.10 $6,111.10 2026-04-29
355001665_1 CDM Interstim MRI Comptbl Lead Kit 21 21 $9,102.00 $9,102.00 $4,915.08 $8,919.96 $5,291.90 2026-04-29
328001301_1 CDM Operating Room Services - General Classification 21 21 $8,820.00 $8,820.00 $4,762.80 $8,643.60 $5,127.95 2026-04-29
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 21 21 $8,563.71 $8,563.71 $4,624.40 $8,392.44 $4,978.94 2026-04-29
371001000_1 CDM PET / CT Scan 21 21 $8,095.00 $8,095.00 $4,371.30 $7,933.10 $4,706.43 2026-04-29
J0517 HCPCS Injection, Benralizumab, 1 Mg 21 21 $8,049.77 $8,049.77 $4,346.88 $7,888.77 $4,680.14 2026-04-29
355001096_1 CDM Lead Kit Tined 21 21 $6,932.00 $6,932.00 $3,743.28 $6,793.36 $4,030.26 2026-04-29
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 21 21 $6,836.31 $6,836.31 $3,691.61 $6,699.58 $3,974.63 2026-04-29
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 21 21 $6,663.30 $6,663.30 $3,598.18 $6,530.03 $3,874.04 2026-04-29
328001810_1 CDM Operating Room Services - General Classification 21 21 $6,620.00 $6,620.00 $3,574.80 $6,487.60 $3,848.87 2026-04-29
328001800_1 CDM Operating Room Services - General Classification 21 21 $6,140.00 $6,140.00 $3,315.60 $6,017.20 $3,569.80 2026-04-29
328001201_1 CDM Operating Room Services - General Classification 21 21 $5,800.00 $5,800.00 $3,132.00 $5,684.00 $3,372.12 2026-04-29
90375 HCPCS Rabies Immune Globulin For Injection 21 21 $5,800.00 $5,800.00 $3,132.00 $5,684.00 $3,372.12 2026-04-29
J1306 HCPCS Injection, Inclisiran, 1 Mg 21 21 $5,772.00 $5,772.00 $3,116.88 $5,656.56 $3,355.84 2026-04-29
355001394_1 CDM Ortho Plate Humerus 3.5 3hole 21 21 $5,679.00 $5,679.00 $3,066.66 $5,565.42 $3,301.77 2026-04-29
81229 HCPCS Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 21 21 $5,472.00 $5,472.00 $2,954.88 $5,362.56 $3,181.42 2026-04-29
J2182 HCPCS Injection, Mepolizumab, 1 Mg 21 21 $5,459.57 $5,459.57 $2,948.17 $5,350.38 $3,174.19 2026-04-29
71552 HCPCS MRI Scan Of Chest Before And After Contrast 21 21 $5,255.00 $5,255.00 $2,837.70 $5,149.90 $3,055.26 2026-04-29
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 21 21 $5,227.00 $5,227.00 $2,822.58 $5,122.46 $3,038.98 2026-04-29
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 21 21 $5,187.00 $5,187.00 $2,800.98 $5,083.26 $3,015.72 2026-04-29
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 21 21 $5,167.00 $5,167.00 $2,790.18 $5,063.66 $3,004.09 2026-04-29
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 21 21 $5,116.00 $5,116.00 $2,762.64 $5,013.68 $2,974.44 2026-04-29
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 21 21 $5,075.00 $5,075.00 $2,740.50 $4,973.50 $2,950.61 2026-04-29
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 21 21 $5,054.00 $5,054.00 $2,729.16 $4,952.92 $2,938.40 2026-04-29
330005010_1 CDM Recovery Room - General Classification 21 21 $5,040.00 $5,040.00 $2,721.60 $4,939.20 $2,930.26 2026-04-29
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 21 21 $5,031.00 $5,031.00 $2,716.74 $4,930.38 $2,925.02 2026-04-29
355001790_1 CDM Total Knee Implants 21 21 $4,984.03 $4,984.03 $2,691.38 $4,884.35 $2,897.72 2026-04-29
J2426 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg 21 21 $4,982.30 $4,982.30 $2,690.44 $4,882.65 $2,896.71 2026-04-29
70553 HCPCS MRI Scan Of Brain Before And After Contrast 21 21 $4,935.00 $4,935.00 $2,664.90 $4,836.30 $2,869.21 2026-04-29
C8902 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 21 21 $4,864.00 $4,864.00 $2,626.56 $4,766.72 $2,827.93 2026-04-29
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 21 21 $4,789.00 $4,789.00 $2,586.06 $4,693.22 $2,784.32 2026-04-29
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 21 21 $4,764.00 $4,764.00 $2,572.56 $4,668.72 $2,769.79 2026-04-29
71551 HCPCS MRI Scan Of Chest With Contrast 21 21 $4,760.00 $4,760.00 $2,570.40 $4,664.80 $2,767.46 2026-04-29
74182 HCPCS MRI Scan Of Abdomen With Contrast 21 21 $4,732.00 $4,732.00 $2,555.28 $4,637.36 $2,751.18 2026-04-29
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 21 21 $4,672.00 $4,672.00 $2,522.88 $4,578.56 $2,716.30 2026-04-29
59618 HCPCS Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal… 19 19 $5,211.00 $5,211.00 $2,171.58 $5,211.87 $2,687.14 2026-04-29
355001267_1 CDM Mesh Phasix Rect 3"x4" 21 21 $4,618.00 $4,618.00 $2,493.72 $4,525.64 $2,684.91 2026-04-29
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 21 21 $4,580.00 $4,580.00 $2,473.20 $4,488.40 $2,662.81 2026-04-29
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 21 21 $4,579.00 $4,579.00 $2,472.66 $4,487.42 $2,662.23 2026-04-29
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 21 21 $4,536.00 $4,536.00 $2,449.44 $4,445.28 $2,637.23 2026-04-29
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 21 21 $4,466.00 $4,466.00 $2,411.64 $4,376.68 $2,596.53 2026-04-29
70552 HCPCS MRI Scan Of Brain With Contrast 21 21 $4,440.00 $4,440.00 $2,397.60 $4,351.20 $2,581.42 2026-04-29
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 42 21 $4,425.00 $4,425.00 $2,389.50 $4,336.50 $2,572.70 2026-04-29
C8900 HCPCS Magnetic Resonance Angiography With Contrast, Abdomen 21 21 $4,369.00 $4,369.00 $2,359.26 $4,281.62 $2,540.14 2026-04-29
71550 HCPCS MRI Scan Of Chest Without Contrast 21 21 $4,360.00 $4,360.00 $2,354.40 $4,272.80 $2,534.90 2026-04-29
73720 HCPCS MRI Scan Of Leg Before And After Contrast 42 21 $4,357.00 $4,357.00 $2,352.78 $4,269.86 $2,533.16 2026-04-29
355001820_1 CDM Total Anterior Hip Implants 21 21 $4,346.50 $4,346.50 $2,347.11 $4,259.57 $2,527.06 2026-04-29
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 21 21 $4,337.00 $4,337.00 $2,341.98 $4,250.26 $2,521.53 2026-04-29
74181 HCPCS MRI Scan Of Abdomen Without Contrast 21 21 $4,332.00 $4,332.00 $2,339.28 $4,245.36 $2,518.62 2026-04-29
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 21 21 $4,272.00 $4,272.00 $2,306.88 $4,186.56 $2,483.74 2026-04-29
72196 HCPCS MRI Scan Of Pelvis With Contrast 21 21 $4,269.00 $4,269.00 $2,305.26 $4,183.62 $2,482.00 2026-04-29
373092158_1 CDM L-spine MRI W/addtl Views^ 21 21 $4,230.00 $4,230.00 $2,284.20 $4,145.40 $2,459.32 2026-04-29
330005009_1 CDM Recovery Room - General Classification 21 21 $4,200.00 $4,200.00 $2,268.00 $4,116.00 $2,441.88 2026-04-29
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 21 21 $4,180.00 $4,180.00 $2,257.20 $4,096.40 $2,430.25 2026-04-29
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 21 21 $4,136.00 $4,136.00 $2,233.44 $4,053.28 $2,404.67 2026-04-29
73220 HCPCS MRI Scan Of Arm Before And After Contrast 42 21 $4,118.00 $4,118.00 $2,223.72 $4,035.64 $2,394.21 2026-04-29
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 21 21 $4,083.00 $4,083.00 $2,204.82 $4,001.34 $2,373.86 2026-04-29
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 21 21 $4,065.00 $4,065.00 $2,195.10 $3,983.70 $2,363.39 2026-04-29
355001266_1 CDM Mesh Phasix St 11cm Round 21 21 $4,058.00 $4,058.00 $2,191.32 $3,976.84 $2,359.32 2026-04-29
355001395_1 CDM Ortho Plate Humerus 3.5 5hole 21 21 $4,050.00 $4,050.00 $2,187.00 $3,969.00 $2,354.67 2026-04-29
70551 HCPCS MRI Scan Of Brain Without Contrast 21 21 $4,040.00 $4,040.00 $2,181.60 $3,959.20 $2,348.86 2026-04-29
351003596_1 CDM Interstim Smart Programmer 21 21 $4,012.00 $4,012.00 $2,166.48 $3,931.76 $2,332.58 2026-04-29
358002020_1 CDM Gen Anes Equip 451-480 Min 21 21 $3,997.00 $3,997.00 $2,158.38 $3,917.06 $2,323.86 2026-04-29
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 19 19 $5,163.00 $5,163.00 $2,151.82 $5,163.09 $2,316.50 2026-04-29
C8901 HCPCS Magnetic Resonance Angiography Without Contrast, Abdomen 21 21 $3,969.00 $3,969.00 $2,143.26 $3,889.62 $2,307.58 2026-04-29
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 21 21 $3,964.00 $3,964.00 $2,140.56 $3,884.72 $2,304.67 2026-04-29
328001101_1 CDM Operating Room Services - General Classification 21 21 $3,950.00 $3,950.00 $2,133.00 $3,871.00 $2,296.53 2026-04-29
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 21 21 $3,945.00 $3,945.00 $2,130.30 $3,866.10 $2,293.62 2026-04-29
328003201_1 CDM Gastro - Intestinal (gi) Services - General Classification 21 21 $3,930.00 $3,930.00 $2,122.20 $3,851.40 $2,284.90 2026-04-29
72195 HCPCS MRI Scan Of Pelvis Without Contrast 21 21 $3,869.00 $3,869.00 $2,089.26 $3,791.62 $2,249.44 2026-04-29
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 21 21 $3,855.00 $3,855.00 $2,081.70 $3,777.90 $2,241.30 2026-04-29
59610 HCPCS Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli… 19 19 $4,862.00 $4,862.00 $2,024.36 $4,862.40 $2,223.84 2026-04-29
27132 HCPCS Total Hip Replacement After Previous Hip Surgery 19 19 $3,302.00 $3,302.00 $1,356.00 $3,302.51 $2,223.00 2026-04-29
355001095_1 CDM Interstim Smart Progrmmr Kit,x 21 21 $3,803.00 $3,803.00 $2,053.62 $3,726.94 $2,211.06 2026-04-29
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 21 21 $3,786.00 $3,786.00 $2,044.44 $3,710.28 $2,201.18 2026-04-29
355001250_1 CDM Mesh Parietex 30 X 20 21 21 $3,682.00 $3,682.00 $1,988.28 $3,608.36 $2,140.71 2026-04-29
328004000_1 CDM Operating Room Services - General Classification 21 21 $3,673.00 $3,673.00 $1,983.42 $3,599.54 $2,135.48 2026-04-29
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 21 21 $3,653.00 $3,653.00 $1,972.62 $3,579.94 $2,123.85 2026-04-29
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 42 21 $3,580.00 $3,580.00 $1,933.20 $3,508.40 $2,081.41 2026-04-29
C8925 HCPCS Transesophageal Echocardiography (tee) With Contrast, Or Without Contrast Follow… 21 21 $3,563.00 $3,563.00 $1,924.02 $3,491.74 $2,071.53 2026-04-29
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 42 21 $3,560.00 $3,560.00 $1,922.40 $3,488.80 $2,069.78 2026-04-29
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 21 21 $3,537.00 $3,537.00 $1,909.98 $3,466.26 $2,056.41 2026-04-29
73718 HCPCS MRI Scan Of Leg Without Contrast 42 21 $3,522.00 $3,522.00 $1,901.88 $3,451.56 $2,047.69 2026-04-29
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 21 21 $3,464.00 $3,464.00 $1,870.56 $3,394.72 $2,013.97 2026-04-29
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 19 19 $2,543.00 $2,543.00 $1,047.97 $2,543.91 $2,006.87 2026-04-29
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 21 21 $3,450.00 $3,450.00 $1,863.00 $3,381.00 $2,005.83 2026-04-29
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 21 21 $3,439.00 $3,439.00 $1,857.06 $3,370.22 $1,999.43 2026-04-29
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 21 21 $3,438.00 $3,438.00 $1,856.52 $3,369.24 $1,998.85 2026-04-29
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 19 19 $4,690.00 $4,690.00 $1,853.20 $4,690.48 $1,986.21 2026-04-29
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 21 21 $3,405.00 $3,405.00 $1,838.70 $3,336.90 $1,979.67 2026-04-29
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 21 21 $3,392.00 $3,392.00 $1,831.68 $3,324.16 $1,972.11 2026-04-29
73702 HCPCS CT Scan Of Leg Before And After Contrast 42 21 $3,381.00 $3,381.00 $1,825.74 $3,313.38 $1,965.71 2026-04-29
355001098_1 CDM K-less T-rope W/drv Syn Rep Ss 21 21 $3,367.00 $3,367.00 $1,818.18 $3,299.66 $1,957.57 2026-04-29
324000217_1 CDM Labor Room/delivery - General Classification 21 21 $3,360.00 $3,360.00 $1,814.40 $3,292.80 $1,953.50 2026-04-29
330005008_1 CDM Recovery Room - General Classification 21 21 $3,360.00 $3,360.00 $1,814.40 $3,292.80 $1,953.50 2026-04-29
328002130_1 CDM Operating Room Services - Minor Surgery 21 21 $3,350.00 $3,350.00 $1,809.00 $3,283.00 $1,947.69 2026-04-29
72193 HCPCS CT Scan Of Pelvis With Contrast 21 21 $3,322.00 $3,322.00 $1,793.88 $3,255.56 $1,931.41 2026-04-29
73202 HCPCS CT Scan Of Arm Before And After Contrast 42 21 $3,321.00 $3,321.00 $1,793.34 $3,254.58 $1,930.83 2026-04-29
73218 HCPCS MRI Scan Of Arm Without Contrast 42 21 $3,273.00 $3,273.00 $1,767.42 $3,207.54 $1,902.92 2026-04-29
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 21 21 $3,249.00 $3,249.00 $1,754.46 $3,184.02 $1,888.97 2026-04-29
74160 HCPCS CT Scan Of Abdomen With Contrast 21 21 $3,172.00 $3,172.00 $1,712.88 $3,108.56 $1,844.20 2026-04-29
73701 HCPCS CT Scan Of Leg With Contrast Material 42 21 $3,166.00 $3,166.00 $1,709.64 $3,102.68 $1,840.71 2026-04-29
73201 HCPCS CT Scan Of Arm With Contrast 42 21 $3,106.00 $3,106.00 $1,677.24 $3,043.88 $1,805.83 2026-04-29
72128 HCPCS CT Scan Of Middle Spine Without Contrast 21 21 $3,094.00 $3,094.00 $1,670.76 $3,032.12 $1,798.85 2026-04-29
93312 HCPCS Ultrasound Of Heart With Probe In Esophagus, With Report 21 21 $3,070.00 $3,070.00 $1,657.80 $3,008.60 $1,784.90 2026-04-29
72125 HCPCS CT Scan Of Upper Spine Without Contrast 21 21 $3,070.00 $3,070.00 $1,657.80 $3,008.60 $1,784.90 2026-04-29
324000208_1 CDM Labor Room/delivery - General Classification 21 21 $3,055.00 $3,055.00 $1,649.70 $2,993.90 $1,776.18 2026-04-29
44146 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large … 19 19 $4,087.00 $4,087.00 $1,420.25 $4,087.00 $1,771.86 2026-04-29
58180 HCPCS Removal Of Uterus Through Abdomen 19 19 $1,927.00 $1,927.00 $786.50 $1,927.81 $1,767.64 2026-04-29
19083 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth 42 21 $3,009.00 $3,009.00 $1,624.86 $2,948.82 $1,749.43 2026-04-29
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 21 21 $3,003.00 $3,003.00 $1,621.62 $2,942.94 $1,745.94 2026-04-29
328003101_1 CDM Gastro - Intestinal (gi) Services - General Classification 21 21 $2,990.00 $2,990.00 $1,614.60 $2,930.20 $1,738.39 2026-04-29
70488 HCPCS CT Scan Of Face Before And After Contrast 21 21 $2,979.00 $2,979.00 $1,608.66 $2,919.42 $1,731.99 2026-04-29
45110 HCPCS Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo… 19 19 $3,588.00 $3,588.00 $1,520.07 $3,588.22 $1,729.00 2026-04-29
72131 HCPCS CT Scan Of Lower Spine Without Contrast 21 21 $2,970.00 $2,970.00 $1,603.80 $2,910.60 $1,726.76 2026-04-29
73722 HCPCS MRI Scan Of Leg Joint With Contrast 42 21 $2,955.00 $2,955.00 $1,595.70 $2,895.90 $1,718.04 2026-04-29
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 21 21 $2,940.00 $2,940.00 $1,587.60 $2,881.20 $1,709.32 2026-04-29
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 21 21 $2,940.00 $2,940.00 $1,587.60 $2,881.20 $1,709.32 2026-04-29
324000200_1 CDM Labor Room/delivery - General Classification 21 21 $2,940.00 $2,940.00 $1,587.60 $2,881.20 $1,709.32 2026-04-29
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 21 21 $2,923.00 $2,923.00 $1,578.42 $2,864.54 $1,699.43 2026-04-29
72192 HCPCS CT Scan Of Pelvis Without Contrast 21 21 $2,887.00 $2,887.00 $1,558.98 $2,829.26 $1,678.50 2026-04-29
27236 HCPCS Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device… 19 19 $2,373.00 $2,373.00 $984.40 $2,373.05 $1,667.25 2026-04-29
27125 HCPCS Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis 19 19 $2,250.00 $2,250.00 $935.29 $2,250.22 $1,667.25 2026-04-29
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 21 21 $2,865.00 $2,865.00 $1,547.10 $2,807.70 $1,665.71 2026-04-29
351003753_1 CDM Jada System 21 21 $2,856.00 $2,856.00 $1,542.24 $2,798.88 $1,660.48 2026-04-29
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 21 21 $2,833.00 $2,833.00 $1,529.82 $2,776.34 $1,647.11 2026-04-29
58152 HCPCS Removal Of Uterus And Cervix Through Abdomen With Repair Of Vagina 19 19 $2,478.00 $2,478.00 $992.99 $2,478.80 $1,636.37 2026-04-29
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 21 21 $2,814.00 $2,814.00 $1,519.56 $2,757.72 $1,636.06 2026-04-29
355001264_1 CDM Mesh Phasix St 8cm Round 21 21 $2,798.00 $2,798.00 $1,510.92 $2,742.04 $1,626.76 2026-04-29
324000204_1 CDM Labor Room/delivery - General Classification 21 21 $2,795.00 $2,795.00 $1,509.30 $2,739.10 $1,625.01 2026-04-29
59515 HCPCS Cesarean Delivery With Care After Delivery 19 19 $2,551.00 $2,551.00 $1,056.96 $2,551.78 $1,621.55 2026-04-29
304000020_1 CDM Room & Board - Private (one Bed) - General Classification 10 10 $1,680.00 $1,680.00 $1,545.60 $1,646.40 $1,612.80 2026-04-29
70487 HCPCS CT Scan Of Face With Contrast 21 21 $2,764.00 $2,764.00 $1,492.56 $2,708.72 $1,606.99 2026-04-29
44147 HCPCS Partial Removal Of Large Bowel Through Abdomen And Anus 19 19 $3,743.00 $3,743.00 $1,543.75 $3,743.67 $1,605.63 2026-04-29
47425 HCPCS Drainage Or Removal Of Bile Duct Stone With Redirection Of Bile Flow And Incisio… 19 19 $2,644.00 $2,644.00 $1,135.68 $2,644.55 $1,599.32 2026-04-29
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 21 21 $2,742.00 $2,742.00 $1,480.68 $2,687.16 $1,594.20 2026-04-29
74150 HCPCS CT Scan Of Abdomen Without Contrast 21 21 $2,742.00 $2,742.00 $1,480.68 $2,687.16 $1,594.20 2026-04-29
73700 HCPCS CT Scan Of Leg Without Contrast 42 21 $2,731.00 $2,731.00 $1,474.74 $2,676.38 $1,587.80 2026-04-29
44150 HCPCS Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O… 19 19 $3,609.00 $3,609.00 $1,543.75 $3,609.95 $1,580.33 2026-04-29
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 21 21 $2,698.00 $2,698.00 $1,456.92 $2,644.04 $1,568.62 2026-04-29
355001710_1 CDM Suprapubic Lynx Sling System 21 21 $2,694.00 $2,694.00 $1,454.76 $2,640.12 $1,566.29 2026-04-29
60240 HCPCS Removal Of Thyroid 19 19 $1,815.00 $1,815.00 $748.34 $1,815.49 $1,556.10 2026-04-29
73200 HCPCS CT Scan Of Arm Without Contrast 42 21 $2,671.00 $2,671.00 $1,442.34 $2,617.58 $1,552.92 2026-04-29
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 42 21 $2,550.50 $2,550.50 $426.60 $4,224.78 $1,551.07 2026-04-29
358002018_1 CDM Gen Anes Equip 271-300 Min 21 21 $2,666.00 $2,666.00 $1,439.64 $2,612.68 $1,550.01 2026-04-29
71270 HCPCS CT Scan Of Chest Before And After Contrast 21 21 $2,660.00 $2,660.00 $1,436.40 $2,606.80 $1,546.52 2026-04-29
78709 HCPCS Nuclear Medicine Studies Of Kidney, Blood Flow, And Function 21 21 $2,656.00 $2,656.00 $1,434.24 $2,602.88 $1,544.20 2026-04-29
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 21 21 $2,655.00 $2,655.00 $1,433.70 $2,601.90 $1,543.62 2026-04-29
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 19 19 $3,517.00 $3,517.00 $1,235.00 $3,517.17 $1,535.64 2026-04-29
59614 HCPCS Vaginal Delivery And Care After Delivery After Prior Cesarean Delivery 19 19 $2,213.00 $2,213.00 $917.45 $2,213.49 $1,528.89 2026-04-29
59620 HCPCS Cesarean Delivery Following Vaginal Delivery Attempt After Previous Cesarean Del… 19 19 $1,772.00 $1,772.00 $732.58 $1,772.97 $1,524.28 2026-04-29
328001001_1 CDM Operating Room Services - General Classification 21 21 $2,600.00 $2,600.00 $1,404.00 $2,548.00 $1,511.64 2026-04-29
47612 HCPCS Removal Of Gallbladder And Creation Of Bile Duct Drainage To Bowel 19 19 $2,460.00 $2,460.00 $1,052.19 $2,460.24 $1,494.35 2026-04-29
328003301_1 CDM Operating Room Services - General Classification 21 21 $2,540.00 $2,540.00 $1,371.60 $2,489.20 $1,476.76 2026-04-29
J0897 HCPCS Injection, Denosumab, 1 Mg 42 21 $2,438.00 $2,438.00 $377.14 $4,094.05 $1,470.16 2026-04-29
330005007_1 CDM Recovery Room - General Classification 21 21 $2,520.00 $2,520.00 $1,360.80 $2,469.60 $1,465.13 2026-04-29
78598 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation And Blood Flow To Lun… 21 21 $2,517.00 $2,517.00 $1,359.18 $2,466.66 $1,463.38 2026-04-29
78195 HCPCS Nuclear Medicine Study Of Lymphatic System 21 21 $2,508.00 $2,508.00 $1,354.32 $2,457.84 $1,458.15 2026-04-29
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 21 21 $2,491.00 $2,491.00 $1,345.14 $2,441.18 $1,448.27 2026-04-29
351001008_1 CDM Ablation Novasure 21 21 $2,470.00 $2,470.00 $1,333.80 $2,420.60 $1,436.06 2026-04-29
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 21 21 $2,452.00 $2,452.00 $1,324.08 $2,402.96 $1,425.59 2026-04-29
351003587_1 CDM Icon Patient Programmer 21 21 $2,449.00 $2,449.00 $1,322.46 $2,400.02 $1,423.85 2026-04-29
70460 HCPCS CT Scan Head Or Brain With Contrast 21 21 $2,449.00 $2,449.00 $1,322.46 $2,400.02 $1,423.85 2026-04-29
358002016_1 CDM Gen Anes Equip 241-270 Min 21 21 $2,444.00 $2,444.00 $1,319.76 $2,395.12 $1,420.94 2026-04-29
58262 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less 19 19 $1,864.00 $1,864.00 $746.80 $1,864.00 $1,420.25 2026-04-29
58270 HCPCS Removal Of Uterus With Repair Of Herniated Bowel Through Vagina, 250.0 G Or Less 19 19 $1,796.00 $1,796.00 $722.63 $1,796.46 $1,420.25 2026-04-29
47610 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct 19 19 $2,418.00 $2,418.00 $1,039.32 $2,418.25 $1,420.25 2026-04-29
44202 HCPCS Partial Removal And Reconnection Of Small Bowel Using An Endoscope 19 19 $2,692.00 $2,692.00 $1,146.60 $2,692.55 $1,414.07 2026-04-29
71260 HCPCS CT Scan Of Chest With Contrast 21 21 $2,430.00 $2,430.00 $1,312.20 $2,381.40 $1,403.74 2026-04-29
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 42 21 $2,410.00 $2,410.00 $1,301.40 $2,361.80 $1,401.17 2026-04-29
351003957_1 CDM Mis Catheter Access Kit 21 21 $2,408.00 $2,408.00 $1,300.32 $2,359.84 $1,400.01 2026-04-29
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 19 19 $3,202.00 $3,202.00 $1,173.25 $3,202.75 $1,389.70 2026-04-29
351001005_1 CDM Ablation Minerva 21 21 $2,386.00 $2,386.00 $1,288.44 $2,338.28 $1,387.22 2026-04-29
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 19 19 $3,218.00 $3,218.00 $1,315.27 $3,218.42 $1,385.24 2026-04-29
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 21 21 $2,360.00 $2,360.00 $1,274.40 $2,312.80 $1,372.10 2026-04-29
355001840_1 CDM Urolift Handle W/implant 21 21 $2,355.00 $2,355.00 $1,271.70 $2,307.90 $1,369.20 2026-04-29
355001841_1 CDM Urolift Implant 21 21 $2,355.00 $2,355.00 $1,271.70 $2,307.90 $1,369.20 2026-04-29
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 21 21 $2,331.00 $2,331.00 $1,258.74 $2,284.38 $1,355.24 2026-04-29
70486 HCPCS CT Scan Of Face Without Contrast 21 21 $2,329.00 $2,329.00 $1,257.66 $2,282.42 $1,354.08 2026-04-29
58260 HCPCS Removal Of Uterus Through Vagina, 250.0 G Or Less 19 19 $1,686.00 $1,686.00 $676.52 $1,686.92 $1,352.32 2026-04-29
49020 HCPCS Drainage Of Abdominal Abscess Or Infection 19 19 $3,102.00 $3,102.00 $741.00 $3,102.62 $1,351.39 2026-04-29
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 21 21 $2,321.00 $2,321.00 $1,253.34 $2,274.58 $1,349.43 2026-04-29
59514 HCPCS Cesarean Delivery 19 19 $1,719.00 $1,719.00 $710.53 $1,719.84 $1,343.57 2026-04-29
59612 HCPCS Vaginal Delivery After Previous Cesarean Delivery 19 19 $1,711.00 $1,711.00 $707.57 $1,711.95 $1,343.57 2026-04-29
60225 HCPCS Removal Of Thyroid Lobe On Side Of Neck And Partial Removal Of Thyroid Lobe On O… 19 19 $1,868.00 $1,868.00 $768.28 $1,868.64 $1,333.80 2026-04-29
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 21 21 $2,257.00 $2,257.00 $1,218.78 $2,211.86 $1,312.22 2026-04-29
43825 HCPCS Partial Removal Of Stomach With Severing Of Vagus Nerve 19 19 $2,537.00 $2,537.00 $1,086.92 $2,537.10 $1,296.75 2026-04-29
44700 HCPCS Suspension Of Small Bowel Using Mesh Or Prosthesis Or Self Tissue 19 19 $1,984.00 $1,984.00 $833.34 $1,984.87 $1,296.75 2026-04-29
45111 HCPCS Partial Removal Of Rectum Through Abdomen 19 19 $2,142.00 $2,142.00 $911.97 $2,142.09 $1,296.75 2026-04-29
27235 HCPCS Placement Of Stabilizing Device For Upper End Of Broken Thigh Bone 19 19 $1,810.00 $1,810.00 $756.51 $1,810.74 $1,296.75 2026-04-29
43611 HCPCS Removal Of Malignant Growth Of Stomach 19 19 $2,385.00 $2,385.00 $1,021.33 $2,385.74 $1,296.75 2026-04-29
358002014_1 CDM Gen Anes Equip 211-240 Min 21 21 $2,230.00 $2,230.00 $1,204.20 $2,185.40 $1,296.52 2026-04-29
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 19 19 $2,416.00 $2,416.00 $1,031.42 $2,416.30 $1,290.57 2026-04-29
47721 HCPCS Creation Of Drainage Tract From Gallbladder To Small Bowel And From Stomach To S… 19 19 $2,622.00 $2,622.00 $1,128.50 $2,622.83 $1,290.57 2026-04-29
58550 HCPCS Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less 19 19 $1,772.00 $1,772.00 $716.19 $1,772.09 $1,235.00 2026-04-29
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 21 21 $2,108.00 $2,108.00 $1,138.32 $2,065.84 $1,225.59 2026-04-29
355001030_1 CDM Anchor Precision Twist 21 21 $2,105.00 $2,105.00 $1,136.70 $2,062.90 $1,223.85 2026-04-29
27244 HCPCS Treatment Of Broken Neck Of Thigh Bone With Plate/screw Implant 19 19 $2,439.00 $2,439.00 $1,012.27 $2,439.24 $1,216.47 2026-04-29
58760 HCPCS Repair Of Blocked Ovarian End Of Uterine Tube 19 19 $1,648.00 $1,648.00 $660.28 $1,648.70 $1,210.30 2026-04-29
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 19 19 $2,040.00 $2,040.00 $842.70 $2,040.07 $1,210.30 2026-04-29
312000025_1 CDM Room & Board - Private (one Bed) - General Classification 10 10 $1,260.00 $1,260.00 $1,159.20 $1,234.80 $1,209.60 2026-04-29
358002223_1 CDM Other Anes Equip 421-450 Min 21 21 $2,064.00 $2,064.00 $1,114.56 $2,022.72 $1,200.01 2026-04-29
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 19 19 $2,367.00 $2,367.00 $1,008.17 $2,367.29 $1,197.95 2026-04-29
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 21 21 $2,058.78 $2,058.78 $1,111.74 $2,017.60 $1,196.97 2026-04-29
78290 HCPCS Nuclear Medicine Study Of Intestine 21 21 $2,043.00 $2,043.00 $1,103.22 $2,002.14 $1,187.80 2026-04-29
78597 HCPCS Nuclear Medicine Study Of Lung Ventilation And Blood Flow To Lung 21 21 $2,025.00 $2,025.00 $1,093.50 $1,984.50 $1,177.34 2026-04-29
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 21 21 $2,023.00 $2,023.00 $1,092.42 $1,982.54 $1,176.17 2026-04-29
351003415_1 CDM Endo Stapler Ceea 28 21 21 $2,019.00 $2,019.00 $1,090.26 $1,978.62 $1,173.85 2026-04-29
C8924 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 21 21 $2,019.00 $2,019.00 $1,090.26 $1,978.62 $1,173.85 2026-04-29
58740 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes 19 19 $1,801.00 $1,801.00 $745.69 $1,801.86 $1,173.25 2026-04-29
70450 HCPCS CT Scan Head Or Brain Without Contrast 21 21 $2,014.00 $2,014.00 $1,087.56 $1,973.72 $1,170.94 2026-04-29
358002012_1 CDM Gen Anes Equip 181-210 Min 21 21 $2,011.00 $2,011.00 $1,085.94 $1,970.78 $1,169.20 2026-04-29
92960 HCPCS External Shock To Heart To Regulate Heart Beat 61 21 $1,970.00 $1,970.00 $89.84 $2,118.76 $1,167.48 2026-04-29
44602 HCPCS Suture Of Tear Of Hole In Small Bowel 19 19 $2,716.00 $2,716.00 $920.07 $2,716.13 $1,166.56 2026-04-29
71250 HCPCS CT Scan Of Chest Without Contrast 21 21 $1,998.00 $1,998.00 $1,078.92 $1,958.04 $1,161.64 2026-04-29
99291 HCPCS Critical Care, First 30-74 Minutes 40 21 $2,145.00 $2,145.00 $186.94 $2,102.10 $1,158.30 2026-04-29
59410 HCPCS Vaginal Delivery With Post Delivery Care 19 19 $2,075.00 $2,075.00 $852.17 $2,075.41 $1,158.25 2026-04-29
47740 HCPCS Creation Of Drainage Tract From Gallbladder To Small Bowel Using Roux-en-y Conne… 19 19 $2,543.00 $2,543.00 $1,095.71 $2,543.56 $1,154.72 2026-04-29
355001176_1 CDM Mesh Bard Ventralex Med 21 21 $1,985.00 $1,985.00 $1,071.90 $1,945.30 $1,154.08 2026-04-29
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 21 21 $1,980.00 $1,980.00 $1,069.20 $1,940.40 $1,151.17 2026-04-29
43840 HCPCS Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel 19 19 $2,636.00 $2,636.00 $994.17 $2,636.04 $1,150.08 2026-04-29
47562 HCPCS Removal Of Gallbladder Using An Endoscope 19 19 $1,288.00 $1,288.00 $560.94 $1,288.67 $1,142.37 2026-04-29
44140 HCPCS Partial Removal Of Large Bowel With Connection 19 19 $2,607.00 $2,607.00 $1,112.29 $2,607.18 $1,142.37 2026-04-29
351004648_1 CDM Stimulan Rapid Cure 21 21 $1,964.00 $1,964.00 $1,060.56 $1,924.72 $1,141.87 2026-04-29
43820 HCPCS Partial Removal Of Stomach With Attachment Of Stomach To Small Bowel 19 19 $2,609.00 $2,609.00 $1,080.62 $2,609.50 $1,137.75 2026-04-29
60220 HCPCS Removal Of Thyroid Lobe On Side Of Neck 19 19 $1,409.00 $1,409.00 $580.28 $1,409.38 $1,136.20 2026-04-29
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 19 19 $2,188.00 $2,188.00 $941.26 $2,188.45 $1,136.20 2026-04-29
328002110_1 CDM Operating Room Services - General Classification 21 21 $1,945.00 $1,945.00 $1,050.30 $1,906.10 $1,130.82 2026-04-29
358002222_1 CDM Other Anes Equip 391-420 Min 21 21 $1,939.00 $1,939.00 $1,047.06 $1,900.22 $1,127.33 2026-04-29
42415 HCPCS Removal Of Growth Of Saliva Gland With Release Of Facial Nerve 19 19 $2,140.00 $2,140.00 $846.68 $2,140.85 $1,123.85 2026-04-29
78707 HCPCS Nuclear Medicine Study Of Kidney, Blood Flow, And Function 21 21 $1,924.00 $1,924.00 $1,038.96 $1,885.52 $1,118.61 2026-04-29
78071 HCPCS Nuclear Medicine Study Of Parathyroid With Spect 21 21 $1,918.00 $1,918.00 $1,035.72 $1,879.64 $1,115.13 2026-04-29
19318 HCPCS Breast Reduction 19 19 $2,177.00 $2,177.00 $891.15 $2,177.29 $1,111.50 2026-04-29
324000197_1 CDM Labor Room/delivery - General Classification 21 21 $1,890.00 $1,890.00 $1,020.60 $1,852.20 $1,098.85 2026-04-29
355001178_1 CDM Mesh Ventralight W/echo 6" 21 21 $1,880.00 $1,880.00 $1,015.20 $1,842.40 $1,093.03 2026-04-29
58950 HCPCS Removal Of Lining Of Abdomen, Ovaries, And Fallopian Tubes 19 19 $2,312.00 $2,312.00 $961.11 $2,312.99 $1,086.80 2026-04-29
47010 HCPCS Drainage Of Abscess Or Cyst Of Liver 19 19 $2,356.00 $2,356.00 $1,015.16 $2,356.61 $1,086.80 2026-04-29
44970 HCPCS Removal Of Appendix Using An Endoscope 19 19 $1,178.00 $1,178.00 $514.01 $1,204.12 $1,080.66 2026-04-29
43610 HCPCS Removal Of Stomach Ulcer Or Growth 19 19 $1,902.00 $1,902.00 $815.91 $1,899.54 $1,068.27 2026-04-29
57555 HCPCS Removal Of Remaining Cervix With Repair Of Supporting Vaginal Tissue 19 19 $1,247.00 $1,247.00 $501.42 $1,247.10 $1,068.27 2026-04-29
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 21 21 $1,835.00 $1,835.00 $990.90 $1,798.30 $1,066.87 2026-04-29
44025 HCPCS Biopsy Or Removal Of Foreign Body In Large Bowel 19 19 $1,909.00 $1,909.00 $818.59 $1,909.59 $1,062.10 2026-04-29
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 21 21 $1,822.00 $1,822.00 $983.88 $1,785.56 $1,059.31 2026-04-29
310000020_1 CDM Nursery - General Classification 10 10 $1,100.00 $1,100.00 $1,012.00 $1,078.00 $1,056.00 2026-04-29
58720 HCPCS Removal Of Uterine Tubes And Ovaries 19 19 $1,526.00 $1,526.00 $630.90 $1,526.16 $1,049.75 2026-04-29
328002122_1 CDM Operating Room Services - General Classification 21 21 $1,800.00 $1,800.00 $972.00 $1,764.00 $1,046.52 2026-04-29
358002010_1 CDM Gen Anes Equip 151-180 Min 21 21 $1,796.00 $1,796.00 $969.84 $1,760.08 $1,044.19 2026-04-29
23450 HCPCS Reattachment Of Shoulder Joint Capsule Without Bone Transfer 19 19 $1,886.00 $1,886.00 $787.12 $1,886.94 $1,037.40 2026-04-29
44110 HCPCS Removal Of Growth Of Small Or Large Bowels 19 19 $1,670.00 $1,670.00 $713.21 $1,670.43 $1,025.05 2026-04-29
44320 HCPCS Creation Of Opening From Large Bowel To Skin 19 19 $2,344.00 $2,344.00 $784.22 $2,344.70 $1,023.62 2026-04-29
351003345_1 CDM Endo Lig 5mm Seal/divider 21 21 $1,758.00 $1,758.00 $949.32 $1,722.84 $1,022.10 2026-04-29
47720 HCPCS Creation Of Drainage Tract From Gallbladder To Small Bowel 19 19 $2,242.00 $2,242.00 $970.78 $2,242.91 $1,018.87 2026-04-29
355001271_1 CDM Mesh Upsylon Trad Y-mesh 21 21 $1,751.00 $1,751.00 $945.54 $1,715.98 $1,018.03 2026-04-29
35840 HCPCS Exploration Of Abdomen For Bleeding, Blood Clot, Or Infection After Surgery 19 19 $2,341.00 $2,341.00 $926.25 $2,341.45 $1,017.38 2026-04-29
66984 HCPCS Removal Of Cataract With Insertion Of Prosthetic Lens 19 19 $1,108.00 $1,108.00 $435.59 $1,729.00 $1,016.73 2026-04-29
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 21 21 $1,739.84 $1,739.84 $939.51 $1,705.04 $1,011.54 2026-04-29
78215 HCPCS Nuclear Medicine Study Of Liver And Spleen 21 21 $1,733.00 $1,733.00 $935.82 $1,698.34 $1,007.57 2026-04-29
J7318 HCPCS Hyaluronan Or Derivative, Durolane, For Intra-articular Injection, 1 Mg 21 21 $1,731.60 $1,731.60 $935.06 $1,696.97 $1,006.75 2026-04-29
47600 HCPCS Removal Of Gallbladder 19 19 $2,081.00 $2,081.00 $897.22 $2,081.18 $1,006.52 2026-04-29
19084 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, Each Additio… 42 21 $1,727.00 $1,727.00 $932.58 $1,692.46 $1,004.08 2026-04-29
35226 HCPCS Repair Of Blood Vessel Of Leg 19 19 $1,568.00 $1,568.00 $668.39 $1,568.30 $1,000.35 2026-04-29
358002220_1 CDM Other Anes Equip 331-360 Min 21 21 $1,718.00 $1,718.00 $927.72 $1,683.64 $998.85 2026-04-29
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 21 21 $1,716.00 $1,716.00 $926.64 $1,681.68 $997.68 2026-04-29
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 21 21 $1,712.05 $1,712.05 $924.51 $1,677.81 $995.39 2026-04-29
59120 HCPCS Removal Of Ovarian Or Tubal Pregnancy With Removal Of Ovaries 19 19 $1,572.00 $1,572.00 $638.10 $1,572.68 $994.17 2026-04-29
44310 HCPCS Creation Of Opening From Small Bowel To Skin 19 19 $2,033.00 $2,033.00 $867.14 $2,033.58 $988.00 2026-04-29
57265 HCPCS Repair Of Bulging Of Rectum And Bladder Into Vaginal Wall 19 19 $1,751.00 $1,751.00 $701.55 $1,751.25 $988.00 2026-04-29
44625 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 19 19 $1,984.00 $1,984.00 $841.66 $1,984.51 $988.00 2026-04-29
27332 HCPCS Incision Of Knee Joint With Removal Of Cartilage Of Inner Or Outer Side Of Knee 19 19 $1,303.00 $1,303.00 $556.92 $1,303.26 $988.00 2026-04-29
49521 HCPCS Repair Of Trapped Or Strangulated Groin Hernia 19 19 $1,398.00 $1,398.00 $607.93 $1,398.69 $981.82 2026-04-29
330005006_1 CDM Recovery Room - General Classification 21 21 $1,680.00 $1,680.00 $907.20 $1,646.40 $976.75 2026-04-29
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