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 COMMUNITY HOSPITAL & HEALTH SYSTEM

Blair, NE · CCN 281359 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,016 across 17 payers · range $955-$1,991

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMCHBLAIRNE&type=CDMWithoutLabel&fileType=CSV · observed 2026-04-08

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.

2,045 distinct procedures filed
22 distinct payers
40,063 rate rows
2026-04-08 last MRF observed
Data quality

39,326 of 40,063 rate rows are consumer-grade (98.2%)

737 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 292
per-diem day rate — not a per-procedure price 262
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 114
percent-of-charges filed in the dollar field — excluded from medians 47
exceeds 10× this hospital's gross charge — excluded from medians 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMCHBLAIRNE&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Blair_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint 414f11774d70da4f… · 13,184,996 bytes · first seen 2026-05-13

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
78815
HCPCS 		Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 17 $3,081.32 $6,611.17 $3,373.04 nat. median
$2,822
1.2× median
G0260
HCPCS 		Injection Procedure For Sacroiliac Joint; Provision Of Anesthetic, Steroid And/o… 16 $2,006.40 $4,477.44 $3,168.00 nat. median
$1,105
outlier · 2.9×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 17 $2,433.34 $5,073.77 $2,588.66 nat. median
$1,027
outlier · 2.5×
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 17 $2,332.33 $4,863.16 $2,481.21 nat. median
$998
outlier · 2.5×
72142
HCPCS 		MRI Scan Of Upper Spinal Canal With Contrast 17 $2,242.37 $4,675.58 $2,385.50 nat. median
$978
outlier · 2.4×
74177
HCPCS 		CT Scan Of Abdomen And Pelvis With Contrast 17 $2,130.05 $4,441.39 $2,266.01 nat. median
$976
outlier · 2.3×
47531
HCPCS 		Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 17 $2,089.15 $4,356.10 $2,222.50 nat. median
$3,320
0.7× median
70546
HCPCS 		MRI Scan Of Blood Vessels Of Head Before And After Contrast 17 $2,059.07 $4,293.38 $2,190.50 nat. median
$1,073
outlier · 2.0×
23472
HCPCS 		Prosthetic Repair Of Shoulder Joint, Total Shoulder 20 $1,176.31 $3,376.01 $2,168.71 nat. median
$16,677
outlier · 0.1×
27447
HCPCS 		Replacement Of Knee Joint, Both Sides Of Knee 20 $1,046.05 $3,002.16 $2,126.10 nat. median
$12,739
outlier · 0.2×
J7296
HCPCS 		Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 18 $1,972.59 $5,875.80 $2,108.99 nat. median
$1,672
1.3× median
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 17 $1,963.66 $4,094.44 $2,089.00 nat. median
$1,114
1.9× median
95811
HCPCS 		Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 17 $1,955.32 $4,077.05 $2,080.13 nat. median
$1,894
1.1× median
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 17 $1,872.26 $3,903.86 $1,991.77 nat. median
$1,105
1.8× median
27130
HCPCS 		Replacement Of Thigh Bone And Hip Joint With Prosthesis 20 $1,047.97 $3,007.67 $1,972.80 nat. median
$13,091
outlier · 0.2×
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 17 $1,853.76 $3,865.29 $1,972.08 nat. median
$1,136
1.7× median
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 17 $1,831.99 $3,819.89 $1,948.92 nat. median
$1,110
1.8× median
95810
HCPCS 		Sleep Study In Sleep Lab (6 Years Or Older) 17 $1,737.59 $3,623.06 $1,848.50 nat. median
$1,827
1.0× median
70543
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 17 $1,732.89 $3,613.26 $1,843.50 nat. median
$1,087
1.7× median
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 17 $1,720.72 $3,587.88 $1,830.55 nat. median
$1,097
1.7× median
74176
HCPCS 		CT Scan Of Abdomen And Pelvis Without Contrast 17 $1,683.18 $3,509.62 $1,790.62 nat. median
$694
outlier · 2.6×
70552
HCPCS 		MRI Scan Of Brain With Contrast 17 $1,673.67 $3,489.78 $1,780.50 nat. median
$965
1.8× median
75635
HCPCS 		CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 17 $1,650.80 $3,442.09 $1,756.17 nat. median
$727
outlier · 2.4×
27446
HCPCS 		Replacement Of Knee Joint On Side Of Knee 20 $945.49 $2,713.56 $1,739.08 nat. median
$12,418
outlier · 0.1×
59412
HCPCS 		Turning Of Fetus Through External Manipulation 17 $1,614.92 $3,367.28 $1,718.00 nat. median
$2,981
0.6× median
72194
HCPCS 		CT Scan Of Pelvis Before And After Contrast 17 $1,603.64 $3,343.76 $1,706.00 nat. median
$672
outlier · 2.5×
74175
HCPCS 		CT Scan Of Blood Vessels Of Abdomen With Contrast 17 $1,597.06 $3,330.04 $1,699.00 nat. median
$718
outlier · 2.4×
71550
HCPCS 		MRI Scan Of Chest Without Contrast 17 $1,581.08 $3,296.72 $1,682.00 nat. median
$820
outlier · 2.1×
72146
HCPCS 		MRI Scan Of Middle Spinal Canal Without Contrast 17 $1,570.27 $3,274.18 $1,670.50 nat. median
$800
outlier · 2.1×
72148
HCPCS 		MRI Scan Of Lower Spinal Canal Without Contrast 17 $1,566.84 $3,267.03 $1,666.85 nat. median
$807
outlier · 2.1×
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 17 $1,560.40 $3,253.60 $1,660.00 nat. median
$1,074
1.5× median
72141
HCPCS 		MRI Scan Of Upper Spinal Canal Without Contrast 17 $1,553.71 $3,239.65 $1,652.89 nat. median
$785
outlier · 2.1×
29888
HCPCS 		Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 20 $806.95 $2,315.95 $1,640.12 nat. median
$7,336
outlier · 0.2×
27702
HCPCS 		Reconstruction Of Ankle Joint With Prosthesis 20 $805.07 $2,310.55 $1,636.31 nat. median
$15,887
outlier · 0.1×
27245
HCPCS 		Treatment Of Broken Neck Of Thigh Bone With Bone Implant 20 $1,010.22 $2,899.33 $1,636.13 nat. median
$4,542
outlier · 0.4×
72020003
CDM 		Labor Room/delivery - General Classification 17 $1,521.95 $3,173.44 $1,619.10 nat. median
$3,679
outlier · 0.4×
70544
HCPCS 		MRI Scan Of Blood Vessels Of Head Without Contrast 17 $1,513.40 $3,155.60 $1,610.00 nat. median
$829
1.9× median
73723
HCPCS 		MRI Scan Of Leg Joint Before And After Contrast 17 $1,498.36 $3,124.24 $1,594.00 nat. median
$1,199
1.3× median
73720
HCPCS 		MRI Scan Of Leg Before And After Contrast 17 $1,497.64 $3,122.73 $1,593.23 nat. median
$1,135
1.4× median
70551
HCPCS 		MRI Scan Of Brain Without Contrast 17 $1,481.67 $3,089.43 $1,576.24 nat. median
$787
outlier · 2.0×
71275
HCPCS 		CT Scan Of Blood Vessels Of Chest With Contrast 17 $1,417.59 $2,955.83 $1,508.08 nat. median
$759
2.0× median
73220
HCPCS 		MRI Scan Of Arm Before And After Contrast 17 $1,398.72 $2,916.48 $1,488.00 nat. median
$1,136
1.3× median
70496
HCPCS 		CT Scan Of Blood Vessels Of Head With Contrast 17 $1,397.95 $2,914.87 $1,487.18 nat. median
$752
2.0× median
70498
HCPCS 		CT Scan Of Blood Vessels Of Neck With Contrast 17 $1,389.57 $2,897.41 $1,478.27 nat. median
$744
2.0× median
C8929
HCPCS 		Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 17 $1,384.49 $2,886.81 $1,472.86 nat. median
$1,358
1.1× median
SUP00033
CDM 		Sup00033-mch Ultra Pro Plug Large Mesh 5cm - Log4347945 17 $1,363.09 $2,842.18 $1,450.09 nat. median
$524
outlier · 2.8×
73206
HCPCS 		CT Scan Of Blood Vessels Of Arm With Contrast 17 $1,351.72 $2,818.48 $1,438.00 nat. median
$694
outlier · 2.1×
73223
HCPCS 		MRI Scan Of Arm Joint Before And After Contrast 17 $1,348.90 $2,812.60 $1,435.00 nat. median
$1,158
1.2× median
74170
HCPCS 		CT Scan Of Abdomen Before And After Contrast 17 $1,342.32 $2,798.88 $1,428.00 nat. median
$714
2.0× median
93312
HCPCS 		Ultrasound Of Heart With Probe In Esophagus, With Report 17 $1,312.71 $2,737.14 $1,396.50 nat. median
$943
1.5× median

Other procedures at this hospital

Browse this hospital's 2,045 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 34 17 $6,651.05 $5,320.84 20% off $3,081.32 $6,611.17 $3,373.04 2026-04-08
G0260 HCPCS Injection Procedure For Sacroiliac Joint; Provision Of Anesthetic, Steroid And/o… 16 16 $4,224.00 $3,379.20 20% off $2,006.40 $4,477.44 $3,168.00 2026-04-08
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 17 17 $5,177.31 $4,141.85 $2,433.34 $5,073.77 $2,588.66 2026-04-08
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 17 17 $4,962.41 $3,969.93 $2,332.33 $4,863.16 $2,481.21 2026-04-08
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 17 17 $4,771.00 $3,816.80 $2,242.37 $4,675.58 $2,385.50 2026-04-08
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 17 17 $4,532.03 $3,625.62 20% off $2,130.05 $4,441.39 $2,266.01 2026-04-08
47531 HCPCS Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 17 17 $4,445.00 $3,556.00 20% off $2,089.15 $4,356.10 $2,222.50 2026-04-08
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 17 17 $4,381.00 $3,504.80 $2,059.07 $4,293.38 $2,190.50 2026-04-08
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 20 20 $4,011.00 $3,208.80 $1,176.31 $3,376.01 $2,168.71 2026-04-08
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 20 20 $2,869.58 $2,295.66 20% off $1,046.05 $3,002.16 $2,126.10 2026-04-08
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 18 18 $4,197.00 $3,357.60 20% off $1,972.59 $5,875.80 $2,108.99 2026-04-08
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 17 17 $4,178.00 $3,342.40 20% off $1,963.66 $4,094.44 $2,089.00 2026-04-08
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 17 17 $4,160.26 $3,328.21 $1,955.32 $4,077.05 $2,080.13 2026-04-08
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 17 17 $3,983.53 $3,186.83 $1,872.26 $3,903.86 $1,991.77 2026-04-08
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 20 20 $3,737.00 $2,989.60 20% off $1,047.97 $3,007.67 $1,972.80 2026-04-08
70553 HCPCS MRI Scan Of Brain Before And After Contrast 17 17 $3,944.17 $3,155.33 20% off $1,853.76 $3,865.29 $1,972.08 2026-04-08
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 17 17 $3,897.85 $3,118.28 $1,831.99 $3,819.89 $1,948.92 2026-04-08
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 17 17 $3,697.00 $2,957.60 20% off $1,737.59 $3,623.06 $1,848.50 2026-04-08
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 17 17 $3,687.00 $2,949.60 20% off $1,732.89 $3,613.26 $1,843.50 2026-04-08
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 17 17 $3,661.10 $2,928.88 $1,720.72 $3,587.88 $1,830.55 2026-04-08
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 17 17 $3,581.24 $2,865.00 $1,683.18 $3,509.62 $1,790.62 2026-04-08
70552 HCPCS MRI Scan Of Brain With Contrast 17 17 $3,561.00 $2,848.80 $1,673.67 $3,489.78 $1,780.50 2026-04-08
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 17 17 $3,512.33 $2,809.87 $1,650.80 $3,442.09 $1,756.17 2026-04-08
27446 HCPCS Replacement Of Knee Joint On Side Of Knee 20 20 $1,886.85 $1,509.48 $945.49 $2,713.56 $1,739.08 2026-04-08
59412 HCPCS Turning Of Fetus Through External Manipulation 17 17 $3,436.00 $2,748.80 $1,614.92 $3,367.28 $1,718.00 2026-04-08
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 17 17 $3,412.00 $2,729.60 20% off $1,603.64 $3,343.76 $1,706.00 2026-04-08
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 17 17 $3,398.00 $2,718.40 20% off $1,597.06 $3,330.04 $1,699.00 2026-04-08
71550 HCPCS MRI Scan Of Chest Without Contrast 17 17 $3,364.00 $2,691.20 20% off $1,581.08 $3,296.72 $1,682.00 2026-04-08
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 17 17 $3,341.00 $2,672.80 $1,570.27 $3,274.18 $1,670.50 2026-04-08
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 17 17 $3,333.70 $2,666.96 $1,566.84 $3,267.03 $1,666.85 2026-04-08
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 17 17 $3,320.00 $2,656.00 20% off $1,560.40 $3,253.60 $1,660.00 2026-04-08
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 17 17 $3,305.77 $2,644.62 $1,553.71 $3,239.65 $1,652.89 2026-04-08
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 20 20 $1,874.00 $1,499.20 20% off $806.95 $2,315.95 $1,640.12 2026-04-08
27702 HCPCS Reconstruction Of Ankle Joint With Prosthesis 20 20 $2,540.00 $2,032.00 20% off $805.07 $2,310.55 $1,636.31 2026-04-08
27245 HCPCS Treatment Of Broken Neck Of Thigh Bone With Bone Implant 20 20 $3,188.00 $2,550.40 20% off $1,010.22 $2,899.33 $1,636.13 2026-04-08
72020003 CDM Labor Room/delivery - General Classification 17 17 $3,238.20 $2,590.56 20% off $1,521.95 $3,173.44 $1,619.10 2026-04-08
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 17 17 $3,220.00 $2,576.00 20% off $1,513.40 $3,155.60 $1,610.00 2026-04-08
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 17 17 $3,188.00 $2,550.40 20% off $1,498.36 $3,124.24 $1,594.00 2026-04-08
73720 HCPCS MRI Scan Of Leg Before And After Contrast 17 17 $3,186.46 $2,549.17 $1,497.64 $3,122.73 $1,593.23 2026-04-08
70551 HCPCS MRI Scan Of Brain Without Contrast 17 17 $3,152.48 $2,521.98 20% off $1,481.67 $3,089.43 $1,576.24 2026-04-08
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 17 17 $3,016.15 $2,412.92 20% off $1,417.59 $2,955.83 $1,508.08 2026-04-08
73220 HCPCS MRI Scan Of Arm Before And After Contrast 17 17 $2,976.00 $2,380.80 $1,398.72 $2,916.48 $1,488.00 2026-04-08
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 17 17 $2,974.36 $2,379.49 $1,397.95 $2,914.87 $1,487.18 2026-04-08
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 17 17 $2,956.54 $2,365.23 20% off $1,389.57 $2,897.41 $1,478.27 2026-04-08
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 17 17 $2,945.72 $2,356.58 $1,384.49 $2,886.81 $1,472.86 2026-04-08
SUP00033 CDM Sup00033-mch Ultra Pro Plug Large Mesh 5cm - Log4347945 17 17 $2,900.18 $2,320.15 $1,363.09 $2,842.18 $1,450.09 2026-04-08
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 17 17 $2,876.00 $2,300.80 $1,351.72 $2,818.48 $1,438.00 2026-04-08
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 17 17 $2,870.00 $2,296.00 20% off $1,348.90 $2,812.60 $1,435.00 2026-04-08
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 17 17 $2,856.00 $2,284.80 $1,342.32 $2,798.88 $1,428.00 2026-04-08
93312 HCPCS Ultrasound Of Heart With Probe In Esophagus, With Report 17 17 $2,793.00 $2,234.40 $1,312.71 $2,737.14 $1,396.50 2026-04-08
29827 HCPCS Repair Of Shoulder Rotator Cuff Using An Endoscope 20 20 $1,652.00 $1,321.60 20% off $884.70 $2,539.09 $1,393.26 2026-04-08
J7326 HCPCS Hyaluronan Or Derivative, Gel-one, For Intra-articular Injection, Per Dose 18 18 $2,760.00 $2,208.00 20% off $1,297.20 $3,864.00 $1,386.90 2026-04-08
98220646 CDM Pc Laminec/facetect/foramin,lumbar 1 Seg 17 17 $2,764.00 $2,211.20 20% off $1,299.08 $2,708.72 $1,382.00 2026-04-08
72132 HCPCS CT Scan Of Lower Spine With Contrast 17 17 $2,709.00 $2,167.20 20% off $1,273.23 $2,654.82 $1,354.50 2026-04-08
0275T OTHER Removal Of Bone From Lower Spine For Decompression Of Nerve Tissue Using Imaging… 16 16 $1,800.00 $1,440.00 20% off $855.00 $1,908.00 $1,350.00 2026-04-08
22551 HCPCS Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 34 17 $2,421.00 $1,936.80 $379.29 $3,954.30 $1,343.66 2026-04-08
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 17 17 $2,633.55 $2,106.84 20% off $1,237.77 $2,580.88 $1,316.78 2026-04-08
74160 HCPCS CT Scan Of Abdomen With Contrast 17 17 $2,620.00 $2,096.00 20% off $1,231.40 $2,567.60 $1,310.00 2026-04-08
75020023 CDM Gastro - Intestinal (gi) Services - General Classification 17 17 $2,556.63 $2,045.30 20% off $1,201.62 $2,505.50 $1,278.32 2026-04-08
72193 HCPCS CT Scan Of Pelvis With Contrast 17 17 $2,556.50 $2,045.20 20% off $1,201.56 $2,505.37 $1,278.25 2026-04-08
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 17 17 $2,555.00 $2,044.00 20% off $1,200.85 $2,503.90 $1,277.50 2026-04-08
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 20 20 $1,884.00 $1,507.20 20% off $879.73 $2,524.83 $1,265.44 2026-04-08
C8928 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 17 17 $2,527.00 $2,021.60 20% off $1,187.69 $2,476.46 $1,263.50 2026-04-08
26525 HCPCS Repair Of Joint Capsule Of Finger 20 20 $1,766.00 $1,412.80 20% off $619.76 $1,871.96 $1,259.66 2026-04-08
11020003 CDM Room & Board - Private (one Bed) - General Classification 7 7 $1,381.53 $1,105.22 20% off $345.38 $1,353.90 $1,257.19 2026-04-08
76497 HCPCS Other CT Scan 17 17 $2,500.00 $2,000.00 20% off $1,175.00 $2,450.00 $1,250.00 2026-04-08
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 20 20 $1,593.00 $1,274.40 $606.92 $1,741.86 $1,226.72 2026-04-08
73201 HCPCS CT Scan Of Arm With Contrast 17 17 $2,396.00 $1,916.80 20% off $1,126.12 $2,348.08 $1,198.00 2026-04-08
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 17 17 $2,388.00 $1,910.40 $1,122.36 $2,340.24 $1,194.00 2026-04-08
71260 HCPCS CT Scan Of Chest With Contrast 17 17 $2,355.91 $1,884.73 $1,107.28 $2,308.79 $1,177.96 2026-04-08
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 17 17 $2,345.88 $1,876.70 20% off $1,102.56 $2,298.96 $1,172.94 2026-04-08
29882 HCPCS Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope 20 20 $1,538.00 $1,230.40 $582.75 $1,672.49 $1,158.16 2026-04-08
29806 HCPCS Repair Of Shoulder Joint Capsule Using An Endoscope 20 20 $2,933.56 $2,346.85 $881.04 $2,528.58 $1,156.78 2026-04-08
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 17 17 $2,279.14 $1,823.31 20% off $1,071.19 $2,233.55 $1,139.57 2026-04-08
47562 HCPCS Removal Of Gallbladder Using An Endoscope 20 20 $1,455.50 $1,164.40 $560.94 $1,609.90 $1,112.54 2026-04-08
23395 HCPCS Relocation Of One Muscle Of Shoulder Or Upper Arm 20 20 $3,188.00 $2,550.40 20% off $680.49 $3,058.87 $1,108.45 2026-04-08
98220650 CDM Pc Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr 17 17 $2,214.00 $1,771.20 20% off $1,040.58 $2,169.72 $1,107.00 2026-04-08
49594 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 21 21 $1,875.00 $1,500.00 20% off $600.78 $1,724.24 $1,102.23 2026-04-08
49596 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 17 17 $2,193.00 $1,754.40 $1,030.71 $2,149.14 $1,096.50 2026-04-08
74150 HCPCS CT Scan Of Abdomen Without Contrast 17 17 $2,177.00 $1,741.60 20% off $1,023.19 $2,133.46 $1,088.50 2026-04-08
11220001 CDM Room & Board - Private (one Bed) - Obstetrics (ob) 7 7 $1,189.89 $951.91 20% off $297.47 $1,166.10 $1,082.80 2026-04-08
11020002 CDM Room & Board - Private (one Bed) - General Classification 7 7 $1,186.36 $949.09 $296.59 $1,162.64 $1,079.59 2026-04-08
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 17 17 $2,088.00 $1,670.40 $981.36 $2,046.24 $1,064.88 2026-04-08
72195 HCPCS MRI Scan Of Pelvis Without Contrast 17 17 $2,126.00 $1,700.80 20% off $999.22 $2,083.48 $1,063.00 2026-04-08
98220649 CDM Pc Fasct Prtl Palmar 1 Dgt Prox Iphal Jt W/wo Rpr 17 17 $2,122.00 $1,697.60 20% off $997.34 $2,079.56 $1,061.00 2026-04-08
75020029 CDM Gastro - Intestinal (gi) Services - General Classification 17 17 $2,116.22 $1,692.98 $994.62 $2,073.90 $1,058.11 2026-04-08
73701 HCPCS CT Scan Of Leg With Contrast Material 17 17 $2,112.14 $1,689.71 20% off $992.71 $2,069.90 $1,056.07 2026-04-08
44970 HCPCS Removal Of Appendix Using An Endoscope 20 20 $1,300.00 $1,040.00 20% off $514.01 $1,475.21 $1,044.72 2026-04-08
74181 HCPCS MRI Scan Of Abdomen Without Contrast 17 17 $2,083.80 $1,667.04 20% off $979.39 $2,042.12 $1,041.90 2026-04-08
70487 HCPCS CT Scan Of Face With Contrast 17 17 $2,078.82 $1,663.05 20% off $977.04 $2,037.24 $1,039.41 2026-04-08
72128 HCPCS CT Scan Of Middle Spine Without Contrast 17 17 $2,071.09 $1,656.87 20% off $973.41 $2,029.67 $1,035.55 2026-04-08
72131 HCPCS CT Scan Of Lower Spine Without Contrast 17 17 $2,066.73 $1,653.39 $971.37 $2,025.40 $1,033.37 2026-04-08
27654 HCPCS Secondary Repair Of Ruptured Achilles Tendon 20 20 $383.00 $306.40 20% off $620.90 $1,781.98 $1,022.58 2026-04-08
29823 HCPCS Removal Of Extensive Shoulder Joint Tissue Using An Endoscope 20 20 $1,128.00 $902.40 20% off $507.38 $1,456.18 $1,017.06 2026-04-08
73222 HCPCS MRI Scan Of Arm Joint With Contrast 17 17 $2,033.00 $1,626.40 $955.51 $1,992.34 $1,016.50 2026-04-08
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 17 17 $2,031.77 $1,625.42 $954.93 $1,991.14 $1,015.89 2026-04-08
73722 HCPCS MRI Scan Of Leg Joint With Contrast 17 17 $2,030.00 $1,624.00 20% off $954.10 $1,989.40 $1,015.00 2026-04-08
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 17 17 $2,022.86 $1,618.29 $950.74 $1,982.40 $1,011.43 2026-04-08
72125 HCPCS CT Scan Of Upper Spine Without Contrast 17 17 $2,018.41 $1,614.73 $948.65 $1,978.04 $1,009.21 2026-04-08
29879 HCPCS Repair Of Knee Joint With Drilling And Or Scraping Of Joint Using An Endoscope 20 20 $1,826.00 $1,460.80 20% off $564.69 $1,620.66 $984.24 2026-04-08
29880 HCPCS Removal Of Both Knee Cartilages Using An Endoscope 20 20 $1,075.00 $860.00 20% off $483.82 $1,388.56 $983.37 2026-04-08
27698 HCPCS Secondary Repair Of Disrupted Collateral Ligament Of Ankle 20 20 $1,680.00 $1,344.00 20% off $547.71 $1,571.93 $981.07 2026-04-08
29877 HCPCS Removal Or Shaving Of Knee Joint Cartilage Using An Endoscope 20 20 $1,713.00 $1,370.40 $532.25 $1,527.56 $964.01 2026-04-08
71250 HCPCS CT Scan Of Chest Without Contrast 17 17 $1,924.02 $1,539.22 $904.29 $1,885.54 $962.01 2026-04-08
73218 HCPCS MRI Scan Of Arm Without Contrast 17 17 $1,893.33 $1,514.67 $889.87 $1,855.47 $946.67 2026-04-08
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 20 20 $1,551.44 $1,241.16 $530.75 $1,523.25 $939.49 2026-04-08
28415 HCPCS Treatment Of Broken Heel Bone 34 17 $1,685.50 $1,348.40 $264.14 $2,752.82 $935.50 2026-04-08
70486 HCPCS CT Scan Of Face Without Contrast 17 17 $1,857.96 $1,486.37 $873.24 $1,820.80 $928.98 2026-04-08
73718 HCPCS MRI Scan Of Leg Without Contrast 17 17 $1,855.84 $1,484.67 20% off $872.24 $1,818.72 $927.92 2026-04-08
29881 HCPCS Removal Of Knee Cartilage Using An Endoscope 20 20 $1,023.00 $818.40 20% off $468.13 $1,343.53 $927.17 2026-04-08
72192 HCPCS CT Scan Of Pelvis Without Contrast 17 17 $1,852.80 $1,482.24 20% off $870.82 $1,815.74 $926.40 2026-04-08
SUP00031 CDM Sup00031-mch Tecnis Iol Lens +15.5d - S2717712230 17 17 $1,817.22 $1,453.77 20% off $854.09 $1,780.87 $908.61 2026-04-08
29828 HCPCS Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope 20 20 $2,537.00 $2,029.60 20% off $764.77 $2,194.89 $907.54 2026-04-08
23605 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone With Manipulation 17 17 $1,811.00 $1,448.80 20% off $851.17 $1,774.78 $905.50 2026-04-08
64910 HCPCS Repair Of Nerve With Graft 20 20 $2,020.00 $1,616.00 20% off $637.75 $1,830.34 $894.76 2026-04-08
24342 HCPCS Reinsertion Of Torn Upper Arm Tendon 20 20 $2,063.00 $1,650.40 $649.80 $1,864.93 $894.76 2026-04-08
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 22 17 $1,767.00 $1,413.60 20% off $830.49 $1,731.66 $892.34 2026-04-08
11020006 CDM Room & Board - Private (one Bed) - General Classification 7 7 $966.85 $773.48 20% off $241.71 $947.52 $879.84 2026-04-08
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 17 17 $1,753.00 $1,402.40 $823.91 $1,717.94 $876.50 2026-04-08
73700 HCPCS CT Scan Of Leg Without Contrast 17 17 $1,747.87 $1,398.30 $821.50 $1,712.91 $873.94 2026-04-08
52310 HCPCS Simple Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using An E… 17 17 $1,742.00 $1,393.60 20% off $818.74 $1,707.16 $871.00 2026-04-08
J7323 HCPCS Hyaluronan Or Derivative, Euflexxa, For Intra-articular Injection, Per Dose 18 18 $1,731.05 $1,384.84 20% off $813.59 $2,423.47 $869.86 2026-04-08
87483 HCPCS Test For Detecting Nucleic Acid Of Organism Causing Infection Of Central Nervous… 18 18 $1,680.00 $1,344.00 20% off $789.60 $7,001.90 $869.40 2026-04-08
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 17 17 $1,715.00 $1,372.00 20% off $806.05 $1,680.70 $857.50 2026-04-08
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 17 17 $1,710.00 $1,368.00 20% off $803.70 $1,675.80 $855.00 2026-04-08
70450 HCPCS CT Scan Head Or Brain Without Contrast 17 17 $1,702.26 $1,361.81 $800.06 $1,668.22 $851.13 2026-04-08
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 17 17 $1,700.00 $1,360.00 20% off $799.00 $1,666.00 $850.00 2026-04-08
28120 HCPCS Partial Removal Of Infected Foot Or Heel Bone 17 17 $1,683.00 $1,346.40 $791.01 $1,649.34 $841.50 2026-04-08
25825 HCPCS Fusion Of Part Of Wrist Joint With Patient-derived Bone Graft 20 20 $363.00 $290.40 20% off $678.28 $1,946.66 $830.85 2026-04-08
26593 HCPCS Release Of Hand Muscle 17 17 $1,622.00 $1,297.60 20% off $762.34 $1,589.56 $811.00 2026-04-08
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 17 17 $1,621.00 $1,296.80 20% off $761.87 $1,588.58 $810.50 2026-04-08
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 17 17 $1,614.00 $1,291.20 20% off $758.58 $1,581.72 $807.00 2026-04-08
12020002 CDM Room & Board - Semi-private (two Beds) - General Classification 7 7 $880.06 $704.05 $220.02 $862.46 $800.86 2026-04-08
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 20 20 $1,267.00 $1,013.60 20% off $648.92 $1,862.40 $798.88 2026-04-08
11020004 CDM Room & Board - Private (one Bed) - General Classification 7 7 $871.00 $696.80 20% off $217.75 $853.58 $792.61 2026-04-08
73200 HCPCS CT Scan Of Arm Without Contrast 17 17 $1,564.00 $1,251.20 20% off $735.08 $1,532.72 $782.00 2026-04-08
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 17 17 $1,537.92 $1,230.34 $722.82 $1,507.16 $768.96 2026-04-08
23430 HCPCS Anchoring Of Biceps Tendon 20 20 $1,978.00 $1,582.40 $632.07 $1,814.04 $766.93 2026-04-08
26121 HCPCS Removal Of Connective Tissue Of Palm 20 20 $1,657.00 $1,325.60 20% off $511.72 $1,468.64 $766.93 2026-04-08
19083 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth 17 17 $1,524.07 $1,219.25 20% off $716.31 $1,493.59 $762.03 2026-04-08
36589 HCPCS Removal Of Tunneled Central Venous Tube 17 17 $1,496.00 $1,196.80 20% off $703.12 $1,466.08 $748.00 2026-04-08
27635 HCPCS Removal Of Cyst Or Growth Of Lower Leg Bone 20 20 $1,283.00 $1,026.40 $498.58 $1,430.92 $741.38 2026-04-08
P9073 HCPCS Platelets, Pheresis, Pathogen-reduced, Each Unit 18 18 $1,467.00 $1,173.60 20% off $689.49 $2,053.80 $737.17 2026-04-08
92960 HCPCS External Shock To Heart To Regulate Heart Beat 17 17 $1,457.00 $1,165.60 20% off $684.79 $1,427.86 $728.50 2026-04-08
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 17 17 $1,410.00 $1,128.00 20% off $662.70 $1,381.80 $705.00 2026-04-08
29898 HCPCS Removal Of Extensive Dead Or Infected Tissue Using An Endoscope 20 20 $1,483.00 $1,186.40 $481.76 $1,382.65 $703.03 2026-04-08
29892 HCPCS Removal Of Large Shin Or Ankle Bone Defect Using An Endoscope 20 20 $1,669.00 $1,335.20 20% off $554.34 $1,590.96 $703.03 2026-04-08
64718 HCPCS Release And/or Relocation Of Elbow Nerve 20 20 $1,149.00 $919.20 $523.05 $1,501.15 $703.03 2026-04-08
27650 HCPCS Repair Of Ruptured Achilles Tendon 20 20 $1,837.00 $1,469.60 20% off $572.89 $1,644.19 $703.03 2026-04-08
28735 HCPCS Fusion Of Multiple Foot Joints With Bone Incision To Correct A Foot Deformity 34 17 $1,228.50 $982.80 20% off $230.77 $1,926.68 $702.60 2026-04-08
49592 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 21 21 $1,164.00 $931.20 $385.14 $1,105.35 $693.25 2026-04-08
26540 HCPCS Repair Of Ligament Of Finger Or Hand And Finger Joint 20 20 $1,375.00 $1,100.00 20% off $615.95 $1,782.41 $684.03 2026-04-08
17220001 CDM Nursery - Newborn - Level Ii 7 7 $750.00 $600.00 20% off $187.50 $735.00 $682.50 2026-04-08
49614 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 17 17 $1,362.00 $1,089.60 20% off $640.14 $1,334.76 $681.00 2026-04-08
27691 HCPCS Transfer Of Deep Tendon Of Foot With Muscle Rerouting 20 20 $437.00 $349.60 $586.63 $1,844.29 $668.32 2026-04-08
28119 HCPCS Removal Of Heel Bone Spur 17 17 $1,325.00 $1,060.00 20% off $622.75 $1,298.50 $662.50 2026-04-08
22845 HCPCS Placement Of Stabilizing Device To Front, 2-3 Spine Bone Segments 34 17 $1,156.00 $924.80 $217.14 $1,813.00 $661.13 2026-04-08
23515 HCPCS Treatment Of Broken Collar Bone 20 20 $471.00 $376.80 20% off $527.96 $1,767.17 $640.37 2026-04-08
27618 HCPCS Removal Of Growth Under Skin Of Leg Or Ankle, Less Than 3.0 Cm 17 17 $1,280.00 $1,024.00 20% off $601.60 $1,254.40 $640.00 2026-04-08
26520 HCPCS Incision Or Removal Of Joint Capsule Between Hand And Finger 20 20 $1,706.00 $1,364.80 20% off $439.96 $1,762.73 $638.75 2026-04-08
27829 HCPCS Treatment Of Ligament Tear At Ankle Joint 20 20 $1,941.00 $1,552.80 20% off $410.64 $1,761.03 $638.14 2026-04-08
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 17 17 $1,272.51 $1,018.01 $598.08 $1,247.06 $636.26 2026-04-08
27427 HCPCS Reconstruction Of Ligaments Outside Knee Joint 34 17 $1,111.00 $888.80 20% off $208.68 $1,742.44 $635.39 2026-04-08
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 17 17 $1,253.00 $1,002.40 20% off $588.91 $1,227.94 $626.50 2026-04-08
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 20 20 $1,187.00 $949.60 20% off $451.55 $1,295.95 $626.33 2026-04-08
28300 HCPCS Incision Or Partial Removal Of Heel Bone 20 20 $416.00 $332.80 20% off $559.27 $1,605.10 $625.40 2026-04-08
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 18 18 $1,207.26 $965.81 $567.41 $5,031.64 $624.76 2026-04-08
58671 HCPCS Blockage Of Uterine Tubes By Device Using An Endoscope 20 20 $775.00 $620.00 20% off $303.61 $871.36 $617.09 2026-04-08
36430 HCPCS Transfusion Of Blood Or Blood Products 18 17 $1,225.00 $980.00 20% off $575.75 $1,200.50 $612.50 2026-04-08
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 17 17 $1,223.00 $978.40 20% off $574.81 $1,198.54 $611.50 2026-04-08
17120001 CDM Nursery - Newborn - Level I 7 7 $671.89 $537.51 20% off $167.97 $658.45 $611.42 2026-04-08
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 17 17 $1,221.11 $976.89 $573.92 $1,196.69 $610.56 2026-04-08
28297 HCPCS Correction Of Bunion With Forefoot And Midfoot Bone Fusion 20 20 $2,132.00 $1,705.60 20% off $521.46 $1,496.59 $607.82 2026-04-08
36020367 CDM Operating Room Services - General Classification 17 17 $1,197.62 $958.09 20% off $562.88 $1,173.67 $598.81 2026-04-08
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 17 17 $1,196.50 $957.20 $562.36 $1,172.57 $598.25 2026-04-08
27792 HCPCS Treatment Of Broken Outer Lower Leg Bone At Ankle 20 20 $1,147.00 $917.60 20% off $527.96 $1,589.18 $588.02 2026-04-08
28740 HCPCS Fusion Of Foot In Midfoot Region 20 20 $2,302.08 $1,841.67 $527.96 $1,529.28 $586.32 2026-04-08
25545 HCPCS Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 20 20 $1,637.00 $1,309.60 20% off $527.96 $1,551.44 $586.32 2026-04-08
26860 HCPCS Fusion Of Finger Joint, Initial Joint 20 20 $1,623.00 $1,298.40 $340.24 $1,594.37 $577.75 2026-04-08
76998 HCPCS Ultrasonic Guidance During Surgery 17 17 $1,151.00 $920.80 20% off $540.97 $1,127.98 $575.50 2026-04-08
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 23 18 $1,084.07 $867.25 20% off $509.51 $1,517.69 $574.56 2026-04-08
23130 HCPCS Partial Removal Or Repair Of Shoulder Bone Near Collar Bone 20 20 $1,679.00 $1,343.20 20% off $516.23 $1,538.09 $573.29 2026-04-08
A9552 HCPCS Fluorodeoxyglucose F-18 Fdg, Diagnostic, Per Study Dose, Up To 45 Millicuries 17 17 $1,141.00 $912.80 20% off $536.27 $1,118.18 $570.50 2026-04-08
28304 HCPCS Incision Or Partial Removal Of Foot Bone 34 17 $973.00 $778.40 20% off $182.83 $1,525.86 $556.50 2026-04-08
25240 HCPCS Removal Or Partial Removal Of Lower End Of Forearm Bone On Small Finger Side At … 17 17 $1,100.00 $880.00 20% off $517.00 $1,078.00 $550.00 2026-04-08
29848 HCPCS Release Of Wrist Ligament Using An Endoscope 20 20 $1,412.00 $1,129.60 20% off $442.25 $1,269.26 $543.24 2026-04-08
93017 HCPCS Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg) 17 17 $1,073.25 $858.60 20% off $504.43 $1,051.79 $536.63 2026-04-08
64721 HCPCS Release And/or Relocation Of Hand Nerve 20 20 $745.00 $596.00 20% off $385.06 $1,105.12 $534.70 2026-04-08
26111 HCPCS Removal (1.5 Centimeters Or Greater) Tissue Beneath The Skin Growth Of Hand Or F… 17 17 $1,055.00 $844.00 20% off $495.85 $1,033.90 $527.50 2026-04-08
37020013 CDM Hc Anesthesia Epidural 17 17 $1,048.00 $838.40 20% off $492.56 $1,027.04 $524.00 2026-04-08
29825 HCPCS Removal Of Shoulder Scar Tissue Using An Endoscope 20 20 $1,528.00 $1,222.40 $451.70 $1,442.78 $522.82 2026-04-08
28485 HCPCS Treatment Of Broken Midportion Of Foot 20 20 $1,491.00 $1,192.80 20% off $357.84 $1,436.23 $520.45 2026-04-08
26615 HCPCS Treatment Of Broken Midhand Bone 20 20 $1,516.00 $1,212.80 20% off $451.70 $1,432.45 $519.07 2026-04-08
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 20 20 $1,449.00 $1,159.20 $249.98 $1,428.86 $517.77 2026-04-08
26608 HCPCS Treatment Of Broken Finger Bone With Stabilizing Device Accessed Through Skin 20 20 $1,327.00 $1,061.60 20% off $422.96 $1,213.90 $517.67 2026-04-08
26432 HCPCS Closed Treatment Of Tendon Of Upper Side Of Finger 20 20 $1,270.00 $1,016.00 20% off $422.37 $1,426.48 $516.91 2026-04-08
28750 HCPCS Fusion Of Big Toe At Joint With Foot 20 20 $1,810.00 $1,448.00 20% off $416.50 $1,422.80 $515.59 2026-04-08
25280 HCPCS Lengthening Or Shortening Of Tendon Of Forearm And/or Wrist 20 20 $1,568.00 $1,254.40 $463.43 $1,389.91 $515.22 2026-04-08
25118 HCPCS Removal Of Lining Of Tendon Covering Of Wrist 17 17 $1,014.00 $811.20 $476.58 $993.72 $507.00 2026-04-08
64719 HCPCS Release And/or Relocation Of Wrist Nerve 20 20 $1,115.00 $892.00 20% off $352.92 $1,012.88 $504.89 2026-04-08
49591 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length 21 21 $868.00 $694.40 20% off $279.15 $801.16 $499.24 2026-04-08
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 17 17 $991.35 $793.08 20% off $465.93 $971.52 $495.67 2026-04-08
25210 HCPCS Removal Of Wrist Bone 20 20 $1,098.00 $878.40 20% off $425.72 $1,221.82 $494.41 2026-04-08
28118 HCPCS Removal Of Heel Bone 20 20 $325.00 $260.00 20% off $374.30 $1,074.24 $492.11 2026-04-08
93308 HCPCS Ultrasound Of Heart, Follow-up 17 17 $980.09 $784.07 20% off $460.64 $960.49 $490.05 2026-04-08
88237 HCPCS Tissue Culture For Tumor Disorders Of Bone Marrow And Blood Cells 18 18 $945.00 $756.00 20% off $444.15 $1,358.44 $489.04 2026-04-08
64772 HCPCS Incision Or Removal Of Spinal Nerve 20 20 $1,720.00 $1,376.00 20% off $422.37 $1,349.56 $489.03 2026-04-08
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 36 18 $948.66 $758.93 20% off $439.27 $1,347.78 $481.35 2026-04-08
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 17 17 $944.87 $755.90 $444.09 $925.98 $472.44 2026-04-08
77002 HCPCS Fluoroscopic Guidance For Needle Placement 17 17 $940.20 $752.16 20% off $441.89 $921.40 $470.10 2026-04-08
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 17 17 $937.09 $749.67 20% off $440.43 $918.35 $468.55 2026-04-08
25505 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 20 20 $943.00 $754.40 20% off $252.24 $1,276.26 $462.48 2026-04-08
93978 HCPCS Complete Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 17 17 $919.46 $735.57 $432.14 $901.07 $459.73 2026-04-08
21931 HCPCS Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More 20 20 $836.00 $668.80 20% off $405.70 $1,164.36 $456.02 2026-04-08
C7901 HCPCS Service For Diagnosis, Evaluation, Or Treatment Of A Mental Health Or Substance … 13 13 $912.00 $729.60 20% off $428.64 $893.76 $456.00 2026-04-08
C7903 HCPCS Group Psychotherapy Service For Diagnosis, Evaluation, Or Treatment Of A Mental … 13 13 $911.00 $728.80 20% off $428.17 $892.78 $455.50 2026-04-08
G0410 HCPCS Group Psychotherapy Other Than Of A Multiple-family Group, In A Partial Hospital… 13 13 $911.00 $728.80 20% off $428.17 $892.78 $455.50 2026-04-08
99291 HCPCS Critical Care, First 30-74 Minutes 37 22 $589.00 $471.20 20% off $182.34 $1,930.40 $454.45 2026-04-08
54150 HCPCS Removal Of Foreskin Using Clamp Or Device 17 17 $901.50 $721.20 $423.71 $883.47 $452.63 2026-04-08
38531 HCPCS Biopsy Or Removal Of Lymph Nodes Of Groin 20 20 $1,116.00 $892.80 20% off $386.46 $1,109.14 $449.14 2026-04-08
57520 HCPCS Removal Or Destruction Of Cervix With Cold Knife Or Laser 17 17 $879.00 $703.20 $413.13 $861.42 $439.50 2026-04-08
93325 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate And Valve Function 17 17 $878.00 $702.40 20% off $412.66 $860.44 $439.00 2026-04-08
87536 HCPCS Detection Test By Nucleic Acid For HIV-1 Virus, Quantification 18 18 $847.00 $677.60 20% off $398.09 $830.06 $438.33 2026-04-08
25112 HCPCS Removal Of Recurrent Cyst Of Wrist 20 20 $1,071.00 $856.80 20% off $343.74 $986.53 $434.60 2026-04-08
42821 HCPCS Removal Of Tonsils And Adenoid Glands (12 Years Or Older) 20 20 $819.00 $655.20 $251.08 $720.60 $421.81 2026-04-08
19084 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, Each Additio… 17 17 $837.00 $669.60 20% off $393.39 $820.26 $418.50 2026-04-08
27337 HCPCS Removal Of Growth Under Skin Of Thigh Or Knee, Less Than 3.0 Cm 20 20 $746.00 $596.80 20% off $366.24 $1,051.11 $416.94 2026-04-08
73525 HCPCS Review By Radiologist Of Hip Joint Image 17 17 $825.00 $660.00 20% off $387.75 $808.50 $412.50 2026-04-08
27824 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 17 17 $822.00 $657.60 20% off $386.34 $805.56 $411.00 2026-04-08
28122 HCPCS Partial Removal Of Foot Or Heel Bone 20 20 $1,324.00 $1,059.20 $310.91 $1,112.79 $403.24 2026-04-08
42405 HCPCS Biopsy Of Saliva Gland 17 17 $805.00 $644.00 20% off $378.35 $788.90 $402.50 2026-04-08
71020018 CDM Recovery Room - General Classification 17 17 $792.76 $634.20 20% off $372.60 $776.90 $396.38 2026-04-08
42820 HCPCS Removal Of Tonsils And Adenoid Glands (younger Than 12 Years) 20 20 $785.00 $628.00 20% off $240.61 $690.55 $389.85 2026-04-08
27680 HCPCS Release Of Leg And/or Ankle Tendon 20 20 $1,278.00 $1,022.40 20% off $322.64 $1,074.24 $389.27 2026-04-08
73040 HCPCS Review By Radiologist Of Shoulder Joint Image 17 17 $778.00 $622.40 20% off $365.66 $762.44 $389.00 2026-04-08
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 37 22 $473.09 $378.48 $159.70 $1,275.90 $388.23 2026-04-08
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 37 22 $582.71 $466.16 20% off $104.73 $825.69 $387.14 2026-04-08
46270 HCPCS Repair Of Abnormal Anal Drainage Tract 20 20 $1,431.00 $1,144.80 20% off $278.76 $1,064.91 $385.89 2026-04-08
28200 HCPCS Repair Of Tendon On Sole Of Foot 20 20 $1,276.00 $1,020.80 20% off $290.56 $833.91 $383.47 2026-04-08
76801 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Single Or First Fetus 17 17 $766.62 $613.30 $360.31 $751.29 $383.31 2026-04-08
27620 HCPCS Incision And Exploration Of Ankle Joint 34 17 $686.00 $548.80 20% off $107.63 $1,120.14 $380.82 2026-04-08
76700 HCPCS Complete Ultrasound Scan Of Abdomen 17 17 $758.45 $606.76 20% off $356.47 $743.29 $379.23 2026-04-08
93926 HCPCS Ultrasound Of One Leg Arteries Or Artery Grafts 17 17 $757.00 $605.60 20% off $355.79 $741.86 $378.50 2026-04-08
27560 HCPCS Closed Treatment Of Dislocated Kneecap 20 20 $570.00 $456.00 20% off $139.71 $1,035.84 $375.36 2026-04-08
86905 HCPCS Blood Typing For Red Blood Cell Antigens 18 18 $750.00 $600.00 20% off $28.73 $735.00 $375.00 2026-04-08
20680 HCPCS Removal Of Deep Implant From Bone 20 20 $1,753.13 $1,402.50 20% off $287.44 $1,032.45 $374.12 2026-04-08
28306 HCPCS Incision Or Partial Removal Of Big Toe Bone To Straighten Toe 20 20 $350.00 $280.00 20% off $300.30 $1,022.27 $370.44 2026-04-08
76942 HCPCS Ultrasonic Guidance For Needle Placement 33 17 $738.06 $590.44 20% off $345.92 $723.55 $369.16 2026-04-08
73521 HCPCS X-ray Of Both Hips, 2 Views 17 17 $728.00 $582.40 20% off $342.16 $713.44 $364.00 2026-04-08
93226 HCPCS Electrocardiogram (ecg) 2-day Continuous With Report 17 17 $723.60 $578.88 20% off $340.09 $709.13 $361.80 2026-04-08
62273 HCPCS Injection Of Blood Or Blood Clot Into Spinal Canal 29 18 $766.00 $612.80 20% off $40.36 $750.68 $360.02 2026-04-08
C1751 HCPCS Catheter, Infusion, Inserted Peripherally, Centrally Or Midline (other Than Hemo… 85 17 $650.00 $520.00 20% off $211.50 $733.82 $360.00 2026-04-08
28285 HCPCS Correction Of Toe Joint Deformity 20 20 $1,522.00 $1,217.60 20% off $310.91 $990.18 $358.81 2026-04-08
28308 HCPCS Incision Or Partial Removal Of Foot Bone (other Than Big Toe) To Straighten Toe 20 20 $366.00 $292.80 $237.18 $988.66 $358.26 2026-04-08
93976 HCPCS Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 17 17 $716.44 $573.16 $336.73 $702.12 $358.22 2026-04-08
64776 HCPCS Removal Of Growth Of Finger Or Toe Nerve, Same Digit 20 20 $837.00 $669.60 20% off $281.58 $984.61 $356.79 2026-04-08
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 17 17 $712.48 $569.99 $334.87 $698.23 $356.24 2026-04-08
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 18 18 $705.98 $564.79 $331.81 $988.37 $354.75 2026-04-08
42825 HCPCS Removal Of Tonsils (younger Than 12 Years) 17 17 $704.00 $563.20 $330.88 $689.92 $352.00 2026-04-08
25000 HCPCS Incision Or The Tendon Covering On The Top Side Of The Wrist 20 20 $939.00 $751.20 $311.03 $892.66 $351.79 2026-04-08
90716 HCPCS Varicella Vaccine 17 17 $695.60 $556.48 20% off $326.93 $681.69 $347.80 2026-04-08
37020010 CDM Hc Anesthesia Gen Int 30 Min 17 17 $693.64 $554.91 20% off $326.01 $679.77 $346.82 2026-04-08
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 20 20 $793.00 $634.40 20% off $187.72 $956.71 $346.69 2026-04-08
98220647 CDM Pc Laminec/facetect/foramin,lumbar 1 Seg Assist 17 17 $691.00 $552.80 20% off $324.77 $677.18 $345.50 2026-04-08
25111 HCPCS Removal Of First Cyst Of Wrist 20 20 $578.00 $462.40 20% off $293.10 $841.20 $345.12 2026-04-08
11520002 CDM Room & Board - Private (one Bed) - Hospice 6 6 $372.00 $297.60 $93.00 $364.56 $344.10 2026-04-08
99215 HCPCS Established Patient Office Or Other Outpatient Visit With High Level Of Medical … 35 22 $329.06 $263.25 $102.63 $998.62 $342.39 2026-04-08
91322 HCPCS Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Vaccine, Mrna-lnp, 50… 17 17 $680.65 $544.52 20% off $319.91 $667.04 $340.33 2026-04-08
76856 HCPCS Complete Ultrasound Scan Of Pelvis 17 17 $678.87 $543.10 $319.07 $665.29 $339.43 2026-04-08
76805 HCPCS Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More), Single Or First Fetus 17 17 $665.94 $532.75 20% off $312.99 $652.62 $332.97 2026-04-08
57522 HCPCS Removal Or Destruction Of Cervix Using Loop Electrode 20 20 $693.00 $554.40 20% off $211.20 $606.14 $332.34 2026-04-08
24500 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone 20 20 $947.00 $757.60 20% off $76.26 $911.66 $330.36 2026-04-08
179786_ERX CDM Bridion 200 Mg/2 Ml Vial 17 17 $653.50 $522.80 20% off $307.14 $640.43 $326.75 2026-04-08
G0121 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For … 20 20 $875.00 $700.00 20% off $152.83 $927.50 $326.44 2026-04-08
22902 HCPCS Removal Of Growth Of Soft Tissue Of Abdominal Wall, Less Than 3.0 Cm 20 20 $667.00 $533.60 $293.31 $853.62 $325.74 2026-04-08
25600 HCPCS Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb … 20 20 $659.00 $527.20 $175.77 $897.31 $325.15 2026-04-08
J2805 HCPCS Injection, Sincalide, 5 Micrograms 18 18 $640.00 $512.00 20% off $300.80 $896.00 $321.60 2026-04-08
23350 HCPCS Injection Of Contrast For Imaging Of Shoulder Joint 17 17 $638.00 $510.40 20% off $299.86 $625.24 $319.00 2026-04-08
37020011 CDM Hc Anesth Mon Care Int 30 Min 17 17 $632.65 $506.12 $297.35 $620.00 $316.33 2026-04-08
23600 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone 20 20 $937.00 $749.60 20% off $109.11 $869.24 $314.99 2026-04-08
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 18 18 $626.25 $501.00 20% off $294.34 $876.75 $314.69 2026-04-08
28280 HCPCS Creation Of Webbing Between Toes 20 20 $1,379.00 $1,103.20 $228.78 $863.12 $312.76 2026-04-08
15119_ERX CDM Sevoflurane Inhalation Liquid 17 17 $618.00 $494.40 20% off $290.46 $605.64 $309.00 2026-04-08
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 20 20 $1,016.00 $812.80 20% off $208.43 $598.19 $306.77 2026-04-08
22552 HCPCS Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 34 17 $551.50 $441.20 20% off $86.48 $900.62 $306.12 2026-04-08
45378 HCPCS Diagnostic Exam Of Large Bowel Using A Flexible Endoscope 20 20 $750.00 $600.00 20% off $152.70 $438.25 $304.73 2026-04-08
26115 HCPCS Removal (less Than 1.5 Centimeters) Tissue Beneath The Skin Growth Of Hand Or Fi… 20 20 $1,473.00 $1,178.40 $211.19 $840.48 $304.56 2026-04-08
24075 HCPCS Removal Of Growth Under Skin Of Upper Arm Or Elbow, Less Than 3.0 Cm 20 20 $1,025.00 $820.00 20% off $147.81 $832.87 $301.81 2026-04-08
36020427 CDM Operating Room Services - General Classification 17 17 $601.32 $481.06 $282.62 $589.30 $300.66 2026-04-08
52000 HCPCS Diagnostic Exam Of Bladder And Urethra Using An Endoscope 17 17 $600.00 $480.00 20% off $282.00 $588.00 $300.00 2026-04-08
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 20 20 $2,037.60 $1,630.08 20% off $162.75 $467.09 $298.75 2026-04-08
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 20 20 $1,143.00 $914.40 20% off $162.26 $465.69 $298.29 2026-04-08
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 37 22 $250.44 $200.36 $87.99 $842.80 $295.37 2026-04-08
27520 HCPCS Closed Treatment Of Broken Kneecap 20 20 $878.20 $702.56 20% off $170.12 $813.73 $294.87 2026-04-08
26040 HCPCS Release Of Tissue Of Palm 20 20 $719.00 $575.20 $211.19 $810.03 $293.52 2026-04-08
26160 HCPCS Removal Of Growth Of Tendon Finger Or Hand 20 20 $1,631.00 $1,304.80 20% off $163.88 $808.77 $293.07 2026-04-08
94060 HCPCS Test To Measure Expiratory Airflow And Volume Changes Before And After Medicatio… 17 17 $583.31 $466.65 $274.15 $571.64 $291.65 2026-04-08
76705 HCPCS Limited Ultrasound Scan Of Abdomen 17 17 $579.43 $463.55 $272.33 $567.84 $289.72 2026-04-08
25075 HCPCS Removal Of Growth Under Skin Of Forearm Or Wrist, Less Than 3.0 Cm 20 20 $1,391.00 $1,112.80 20% off $190.28 $798.41 $289.31 2026-04-08
76376 HCPCS 3d Radiographic Procedure 17 17 $575.00 $460.00 20% off $270.25 $563.50 $287.50 2026-04-08
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