Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL

Westwood, NJ · CCN 310130 · Rates published

6,004 distinct procedures filed
68 distinct payers
535,360 rate rows
2025-04-05 last MRF observed · ⚠ 18 mo old
Data quality

145,635 of 535,360 rate rows are consumer-grade (27.2%)

389,725 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 378,932
template filing: same amount across many unrelated codes — excluded 5,512
exceeds 10× this hospital's gross charge — excluded from medians 3,728
per-diem day rate — not a per-procedure price 1,542
placeholder amount (≤ $0.02) — excluded from medians 7
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://coc.ardenthealthservices.com/newjersey/26-4051248_Hackensack-Meridian-at-Pascack-Valley_standardchanges.csv
Found on page https://pascackmedicalcenter.com/policies-and-disclosures/pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-20
Content fingerprint 6acca021b3cf19ea… · 469,851,523 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J7189
HCPCS 		Coagulation Factor Viia Recomb 8 Mg (8,000 Mcg) Intravenous Solution 68 $2,139.45 $27,410.40 $22,263.00 nat. median
$3,590
outlier · 6.2×
C9772
HCPCS 		Hc Revasc Lithotrip Tibi/Perone 60 $6,876.00 $18,009.00 $12,442.50 nat. median
$13,478
0.9× median
C9765
HCPCS 		Hc Lithotripsy & Stent Other Lower Ext Artery 60 $6,876.00 $18,009.00 $12,442.50 nat. median
$19,139
0.7× median
C9767
HCPCS 		Hc Lithotrip-ather-stent Other Lower Ext Artery 60 $6,876.00 $18,009.00 $12,442.50 nat. median
$20,608
0.6× median
C9766
HCPCS 		Hc Lithotrip & Ather Other Lower Ext Artery 60 $6,876.00 $18,009.00 $12,442.50 nat. median
$19,268
0.6× median
C9773
HCPCS 		Hc Revasc Lithotr-stent Tib/Per 60 $6,876.00 $18,009.00 $12,442.50 nat. median
$19,390
0.6× median
C9775
HCPCS 		Hc Revasc Lith-sten-ath Tib/Per 60 $6,876.00 $18,009.00 $12,442.50 nat. median
$19,784
0.6× median
C9764
HCPCS 		Hc Lithotripsy Other Lower Ext Artery 60 $6,876.00 $18,009.00 $12,442.50 nat. median
$12,463
1.0× median
C9774
HCPCS 		Hc Revasc Lithotr-ather Tib/Per 60 $6,876.00 $18,009.00 $12,442.50 nat. median
$19,561
0.6× median
G0260
HCPCS 		Hc Si Jt Anes/Ster Inj W/wo Arthr 57 $6,876.00 $10,541.50 $10,541.50 nat. median
$1,107
outlier · 9.5×
81443
CPT 		Genomic Sequence Analysis Panel For Severe Inherited Conditions With Sequencing… 68 $1,224.28 $19,417.08 $10,320.68 nat. median
$2,449
outlier · 4.2×
J2327
HCPCS 		Risankizumab-rzaa 60 Mg/ml Intravenous Solution 68 $7,462.32 $12,994.56 $10,228.44 nat. median
$2,076
outlier · 4.9×
36831
CPT 		Removal Of Blood Clot From Hemodialysis Graft 57 $5,983.00 $10,095.00 $10,095.00 nat. median
$5,811
1.7× median
27093
CPT 		Hc Inj Arthrogram Hip Without Anes 57 $4,362.00 $9,284.50 $9,284.50 nat. median
$558
outlier · 16.6×
51600
CPT 		Injection Procedure For Imaging Of Bladder During Voiding 57 $4,362.00 $9,284.50 $9,284.50 nat. median
$477
outlier · 19.5×
10120
CPT 		Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Simple 56 $4,362.00 $9,284.50 $9,284.50 nat. median
$445
outlier · 20.9×
36200
CPT 		Insertion Of Tube Into Aorta 57 $4,362.00 $9,284.50 $9,284.50 nat. median
$1,370
outlier · 6.8×
29581
CPT 		Application Of Vein Wound Compression Bandages On Lower Leg, Ankle, And Foot 61 $4,362.00 $9,284.50 $9,284.50 nat. median
$249
outlier · 37.3×
62284
CPT 		Injection Of Contrast For Imaging Of Lower Spinal Canal 57 $4,362.00 $9,284.50 $9,284.50 nat. median
$767
outlier · 12.1×
21337
CPT 		Closed Treatment Of Broken Bone Separating Nose Airways 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$3,235
outlier · 2.7×
26951
CPT 		Amputation Of Finger Or Thumb With Direct Closure 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$3,320
outlier · 2.6×
46040
CPT 		Drainage Of Deep Abscess In Rectum 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$1,693
outlier · 5.1×
26952
CPT 		Amputation Of Finger Or Thumb With Tissue Flap 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$3,363
outlier · 2.6×
21320
CPT 		Closed Treatment Of Broken Nose Bone With Placement Of Stabilizing Device 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$3,109
outlier · 2.8×
21315
CPT 		Closed Treatment Of Broken Nose Bone With Manipulation 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$1,683
outlier · 5.1×
36561
CPT 		Insertion Of Central Venous Tube With Port (5 Years Or Older) 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$3,741
outlier · 2.3×
26418
CPT 		Repair Of Tendon On Top Side Of Finger 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$2,008
outlier · 4.3×
26350
CPT 		Repair Of Finger Tendon Of Under Side Of Hand Other Than Upper Most Part Of Palm… 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$3,390
outlier · 2.6×
20225
CPT 		Deep Biopsy Of Bone Using Needle Or Trocar 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$1,964
outlier · 4.4×
33222
CPT 		Relocation Of Pacemaker Skin Pocket 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$2,641
outlier · 3.3×
28192
CPT 		Removal Of Foreign Body Of Foot Tissue, Deep 57 $3,107.00 $9,197.00 $8,657.00 nat. median
$1,857
outlier · 4.7×
36247
CPT 		Insertion Of Tube Into Abdominal, Pelvic, Or Leg Artery, Initial Third Order Bra… 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$2,033
outlier · 4.2×
10080
CPT 		Simple Drainage Of Cyst Of Tailbone 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$695
outlier · 12.2×
36510
CPT 		Insertion Of Tube Into Umbilical Vein, Newborn 55 $2,713.00 $8,460.00 $8,460.00 nat. median
$296
outlier · 28.6×
36904
CPT 		Hc Avf-declot Circuit-s/r 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$6,714
1.3× median
33285
CPT 		Hc Insertion Subq Cardiac Rhythm Monitor W/Prgrmg 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$9,009
0.9× median
10005
CPT 		Hc Fine Needle Aspiration Bx W/us Gdn 1st Lesion 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$930
outlier · 9.1×
36245
CPT 		Insertion Of Tube Into Abdominal, Pelvic, Or Leg Artery, Each First Order Branch 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$1,737
outlier · 4.9×
G0259
HCPCS 		Hc Inj Arthrogr Sacroiliac Jnt 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$1,120
outlier · 7.6×
37222
CPT 		Balloon Dilation Of Groin Artery, Each Additional Vessel 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$6,184
1.4× median
29085
CPT 		Application Of Hand And Lower Forearm Cast 61 $2,713.00 $8,460.00 $8,460.00 nat. median
$211
outlier · 40.1×
36222
CPT 		Hc Place Cath Carotid/Ext Cranial 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$4,443
1.9× median
22513
CPT 		Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using… 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$8,347
1.0× median
11102
CPT 		Hc Tangential Biopsy Skin Single Lesion 55 $2,713.00 $8,460.00 $8,460.00 nat. median
$278
outlier · 30.5×
PX-36001264
CDM 		Hc Or Acuity Lvl 5 1st 30 Min 63 $2,713.00 $9,197.00 $8,460.00 nat. median
$7,392
1.1× median
PX-36001288
CDM 		Hc Robotic Or Acuity Lvl 6 1st 30 Min 63 $2,713.00 $9,197.00 $8,460.00 nat. median
$8,460
1.0× median
PX-36001148
CDM 		Hc Or Acuity Lvl 2 Ea Addl 30 Min 63 $2,713.00 $9,197.00 $8,460.00 nat. median
$1,921
outlier · 4.4×
PX-36001273
CDM 		Hc Or Acuity Lvl 5 Ea Addl 30 Min 63 $2,713.00 $9,197.00 $8,460.00 nat. median
$6,884
1.2× median
11104
CPT 		Hc Punch Biopsy Skin Single Lesion 61 $2,713.00 $8,460.00 $8,460.00 nat. median
$402
outlier · 21.1×
37191
CPT 		Hc Insert Ivc Filtr W/Acces/Image 57 $2,713.00 $9,197.00 $8,460.00 nat. median
$6,251
1.4× median

Other procedures at this hospital

Browse this hospital's 6,004 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
             
10005 CPT Hc Fine Needle Aspiration Bx W/us Gdn 1st Lesion 69 57 $1,021.00 $1,021.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
10006 CPT Hc Fine Ndl Aspiration Bx W/us Gdn Ea Addl Lesion 69 57 $1,573.00 $1,573.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
10009 CPT Hc Fine Needle Aspiration Bx W/ct Gdn 1st Lesion 69 57 $2,299.00 $1,076.02 53% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
10021 CPT Fine Needle Aspiration Biopsy, First Growth 63 55 $564.00 $564.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
10030 CPT Drainage Of Fluid Collection In Soft Tissue Using Imaging Guidance 69 57 $2,825.94 $2,825.94 $2,713.00 $9,197.00 $8,460.00 2025-04-05
10061 CPT Complicated Or Multiple Drainage Of Skin Abscess 65 56 $735.00 $609.82 $2,020.00 $8,113.50 $8,113.50 2025-04-05
10080 CPT Simple Drainage Of Cyst Of Tailbone 69 57 $2,255.00 $2,255.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
10120 CPT Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Simple 67 56 $884.00 $884.00 $4,362.00 $9,284.50 $9,284.50 2025-04-05
10180 CPT Complex Drainage Of Wound Infection After Surgery 69 57 $4,024.00 $4,024.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
11010 CPT Removal Of Foreign Material From Skin And Tissue At Open Broken And/or Dislocate… 69 57 $2,355.00 $2,355.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
11012 CPT Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Broken A… 69 57 $3,536.00 $3,536.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
11102 CPT Hc Tangential Biopsy Skin Single Lesion 63 55 $529.35 $306.18 42% off $2,713.00 $8,460.00 $8,460.00 2025-04-05
11104 CPT Hc Punch Biopsy Skin Single Lesion 69 61 $530.00 $530.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
11105 CPT Hc Punch Biopsy Skin Ea Sep/Addl Lesion 63 55 $489.00 $489.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
11401 CPT Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 0.6-1.0 Cm 69 57 $1,120.00 $1,120.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
11720 CPT Removal Of Fingernails Or Toenails, 1-5 Nails 63 55 $272.00 $93.54 66% off $2,020.00 $8,113.50 $8,113.50 2025-04-05
11721 CPT Removal Of Fingernails Or Toenails, 6 Or More Nails 61 54 $150.00 $93.54 38% off $8,113.50 $8,113.50 $8,113.50 2025-04-05
11730 CPT Simple Separation Of Fingernail Or Toenail From Nail Bed, First Nail 63 55 $620.00 $620.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
11740 CPT Removal Of Blood Accumulation Under Fingernail Or Toenail 62 54 $222.00 $222.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
12041 CPT Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.5 Cm Or Less 69 57 $1,077.00 $1,077.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
12042 CPT Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.6-7.5 Cm 69 57 $1,100.00 $1,100.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
12044 CPT Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm 69 57 $1,748.00 $1,748.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
12051 CPT Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 C… 67 56 $806.00 $806.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
12052 CPT Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5… 67 56 $906.15 $906.15 $2,020.00 $8,113.50 $8,113.50 2025-04-05
12053 CPT Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7… 67 56 $899.00 $899.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
12054 CPT Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6-1… 69 57 $1,104.00 $1,104.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
13101 CPT Complicated Repair Of Wound Of Trunk, 2.6-7.5 Cm 69 57 $1,228.00 $1,228.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
13102 CPT Complicated Repair Of Wound Of Trunk, Each Additional 5.0 Cm Or Less 67 56 $775.00 $775.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
13120 CPT Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 1.1-2.5 Cm 69 57 $1,796.00 $1,796.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
13121 CPT Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 69 57 $1,072.00 $1,072.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
13122 CPT Complicated Repair Of Wound Of Scalp, Arms, Or Legs, Each Additional 5.0 Cm Or L… 67 56 $784.00 $784.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
13131 CPT Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 69 57 $1,072.00 $1,072.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
13132 CPT Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 69 57 $1,283.00 $1,283.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
13133 CPT Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 69 57 $1,011.00 $1,011.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
13160 CPT Extensive Or Complicated Repair Of Surface Wound Reopening 69 57 $5,686.00 $5,686.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
19281 CPT Placement Of Locating Device In Breast Using Imaging Guidance, First Growth 69 57 $4,635.00 $4,635.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
19285 CPT Placement Of Locating Device In Breast Using Ultrasound Guidance, First Growth 69 57 $2,012.00 $2,012.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
20225 CPT Deep Biopsy Of Bone Using Needle Or Trocar 69 57 $2,222.00 $2,222.00 $3,107.00 $9,197.00 $8,657.00 2025-04-05
21315 CPT Closed Treatment Of Broken Nose Bone With Manipulation 69 57 $4,850.70 $4,850.70 $3,107.00 $9,197.00 $8,657.00 2025-04-05
21320 CPT Closed Treatment Of Broken Nose Bone With Placement Of Stabilizing Device 69 57 $4,042.00 $4,042.00 $3,107.00 $9,197.00 $8,657.00 2025-04-05
21337 CPT Closed Treatment Of Broken Bone Separating Nose Airways 69 57 $6,521.07 $6,521.07 $3,107.00 $9,197.00 $8,657.00 2025-04-05
21480 CPT Closed Treatment Of Dislocated Jaw Joint 63 55 $663.00 $663.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
22513 CPT Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using… 69 57 $14,317.00 $14,317.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
22515 CPT Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment 69 57 $7,158.00 $7,158.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
23350 CPT Hc Inj Arthrogram Shoulder 63 55 $566.00 $566.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
23500 CPT Closed Treatment Of Broken Collar Bone 67 56 $873.00 $873.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
23540 CPT Closed Treatment Of Dislocated Joint Between Collar Bone And Shoulder 63 55 $522.00 $522.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
23545 CPT Closed Treatment Of Dislocated Joint Between Collar Bone And Shoulder With Manip… 69 57 $982.00 $982.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
23600 CPT Closed Treatment Of Broken Top Of Upper Arm Bone 67 56 $771.00 $771.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
23605 CPT Closed Treatment Of Broken Top Of Upper Arm Bone With Manipulation 69 57 $3,638.00 $3,638.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
23650 CPT Closed Treatment Of Dislocated Shoulder With Manipulation 69 57 $1,756.00 $1,756.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
23655 CPT Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 69 57 $2,741.00 $2,741.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
23931 CPT Drainage Of Fluid Filled Sac In Elbow Joint 69 57 $4,499.00 $4,499.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
24200 CPT Removal Of Foreign Body Of Upper Arm Or Elbow Area, Accessed Beneath The Skin 69 57 $5,100.00 $5,100.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
24500 CPT Closed Treatment Of Broken Middle Part Of Upper Arm Bone 63 55 $594.00 $594.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
24505 CPT Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation 69 57 $2,741.00 $2,741.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
24565 CPT Closed Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow With Manipulati… 69 57 $3,652.26 $3,652.26 $2,020.00 $9,197.00 $8,113.50 2025-04-05
24600 CPT Repair Of Dislocated Elbow 69 57 $1,003.00 $1,003.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
24605 CPT Repair Of Dislocated Elbow Under Anesthesia 69 57 $4,594.00 $4,594.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
24620 CPT Closed Treatment Of Broken And Dislocated Forearm Bones At Elbow With Manipulati… 69 57 $4,594.00 $4,594.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
24640 CPT Closed Treatment Of Dislocated Forearm Bone On Thumb Side At Elbow With Manipula… 63 55 $619.00 $619.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
24650 CPT Closed Treatment Of Broken Forearm Bone On Thumb Side At Elbow 67 56 $913.00 $913.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
24670 CPT Closed Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 63 55 $675.00 $675.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
24675 CPT Closed Treatment Of Broken Forearm Bone On Small Finger Side At Elbow With Manip… 69 57 $2,741.00 $2,741.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
25505 CPT Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 69 57 $2,741.00 $2,741.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
25530 CPT Closed Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 67 56 $749.00 $749.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
25535 CPT Closed Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side With Man… 67 56 $759.00 $759.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
25560 CPT Closed Treatment Of Broken Midpart Of Both Forearm Bones 63 55 $431.00 $431.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
25565 CPT Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 69 57 $2,741.00 $2,741.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
25600 CPT Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb … 67 56 $746.00 $746.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
25605 CPT Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 69 57 $5,047.00 $5,047.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
26011 CPT Complicated Drainage Of Abscess In Finger 69 57 $2,355.00 $2,355.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
26350 CPT Repair Of Finger Tendon Of Under Side Of Hand Other Than Upper Most Part Of Palm… 69 57 $6,082.00 $6,082.00 $3,107.00 $9,197.00 $8,657.00 2025-04-05
26418 CPT Repair Of Tendon On Top Side Of Finger 69 57 $4,355.00 $4,355.00 $3,107.00 $9,197.00 $8,657.00 2025-04-05
26765 CPT Treatment Of Broken End Of Finger Or Thumb 69 57 $13,846.00 $13,846.00 $2,324.00 $9,197.00 $8,265.50 2025-04-05
26951 CPT Amputation Of Finger Or Thumb With Direct Closure 69 57 $9,253.00 $9,253.00 $3,107.00 $9,197.00 $8,657.00 2025-04-05
26952 CPT Amputation Of Finger Or Thumb With Tissue Flap 69 57 $3,964.00 $3,964.00 $3,107.00 $9,197.00 $8,657.00 2025-04-05
27041 CPT Biopsy Of Deep Tissue Of Pelvis And Hip 69 57 $5,100.00 $5,100.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
27093 CPT Hc Inj Arthrogram Hip Without Anes 69 57 $1,943.00 $1,943.00 $4,362.00 $9,284.50 $9,284.50 2025-04-05
27252 CPT Closed Treatment Of Dislocated Hip Under Anesthesia 69 57 $4,594.00 $4,594.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
27266 CPT Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia 69 57 $5,355.00 $5,355.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
27369 CPT Hc Njx Px Cntrst Kne Arthg Cntrst Enhncd Ct/mri Kn 67 56 $910.00 $910.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
27825 CPT Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint With Manipula… 69 57 $3,772.00 $3,772.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
28192 CPT Removal Of Foreign Body Of Foot Tissue, Deep 69 57 $3,536.00 $3,536.00 $3,107.00 $9,197.00 $8,657.00 2025-04-05
29065 CPT Application Of Shoulder To Hand Cast 71 62 $707.00 $707.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
29075 CPT Application Of Elbow To Finger Cast 69 61 $520.00 $520.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
29085 CPT Application Of Hand And Lower Forearm Cast 69 61 $520.00 $520.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
29105 CPT Application Of Lower And Upper Arm Splint 69 61 $513.00 $513.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
29125 CPT Application Of Nonmoveable Forearm To Hand Splint 142 62 $757.50 $757.50 $2,713.00 $8,460.00 $8,460.00 2025-04-05
29130 CPT Application Of Nonmoveable Finger Splint 69 61 $489.00 $489.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
29405 CPT Application Of Short Leg Cast 69 61 $631.00 $631.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
29445 CPT Application Of Walking Cast Covering Foot, Ankle, And Lower Leg 138 61 $550.00 $480.36 $2,713.00 $8,460.00 $8,460.00 2025-04-05
29505 CPT Application Of Long Leg Splint From Thigh To Ankle Or Toe 69 61 $547.00 $547.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
29515 CPT Application Of Short Leg Splint From Calf To Foot 69 61 $514.00 $514.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
29580 CPT Strapping, Unna Boot 137 61 $625.50 $361.47 42% off $2,713.00 $8,460.00 $8,460.00 2025-04-05
29581 CPT Application Of Vein Wound Compression Bandages On Lower Leg, Ankle, And Foot 137 61 $574.50 $361.47 37% off $4,362.00 $9,284.50 $9,284.50 2025-04-05
30000 CPT Drainage Of Abscess Or Blood Accumulation Of Nose 63 55 $531.27 $531.27 $2,020.00 $8,113.50 $8,113.50 2025-04-05
30300 CPT Removal Of Foreign Body In Nose 63 55 $286.00 $286.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
30901 CPT Simple Control Of Nose Bleed 130 56 $763.88 $763.88 $2,020.00 $8,113.50 $8,113.50 2025-04-05
30903 CPT Complex Control Of Nose Bleed 63 55 $447.00 $447.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
30905 CPT Initial Control Of Nose Bleed And Insertion Of Packing 63 55 $642.00 $642.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
31500 CPT Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 69 57 $943.95 $943.95 $2,020.00 $9,197.00 $8,113.50 2025-04-05
31622 CPT Diagnostic Exam Of Lung Airway Using An Endoscope 75 63 $5,424.00 $2,595.75 52% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
31623 CPT Exam Of Lung Airways Using An Endoscope 75 63 $5,966.00 $2,595.75 56% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
31624 CPT Irrigation And Suction Of Lung Airways To Obtain Cells Using An Endoscope 150 63 $7,457.50 $2,595.75 65% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
31625 CPT Biopsy Of Lung Airway Using An Endoscope 75 63 $5,966.00 $2,595.75 56% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
31628 CPT Biopsy Of Lobe Of Lung Using An Endoscope, 1 Lobe 75 63 $11,228.00 $5,727.24 49% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
31720 CPT Insertion Of Tube Into Airway For Aspiration Of Secretions 63 55 $681.00 $681.00 $2,020.00 $8,113.50 $8,113.50 2025-04-05
32408 CPT Core Needle Biopsy Of Lung Or Center Cavity Of Chest (mediastinum), Accessed Thr… 69 57 $5,100.00 $5,100.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
32550 CPT Insertion Of Indwelling Tube For Drainage Of Lung Fluid 69 57 $8,588.22 $8,588.22 $2,020.00 $9,197.00 $8,113.50 2025-04-05
32551 CPT Hc Insertion Of Chest Tube Open 69 57 $1,824.00 $1,824.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
32555 CPT Hc Thoracentesis With Imaging 69 57 $1,448.49 $1,448.49 $2,020.00 $9,197.00 $8,113.50 2025-04-05
32557 CPT Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube Using Imag… 69 57 $2,052.39 $2,052.39 $2,020.00 $9,197.00 $8,113.50 2025-04-05
33207 CPT Insertion Of Pacemaker And Lower Heart Chamber Electrode 69 57 $19,884.00 $19,884.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
33208 CPT Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 69 57 $26,072.00 $26,072.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
33210 CPT Insertion Of Temporary Pacemaker Lead In Single Heart Chamber 69 57 $29,547.00 $29,547.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
33215 CPT Repositioning Of Pacemaker Or Defibrillator Electrode 69 57 $9,744.00 $9,744.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
33222 CPT Relocation Of Pacemaker Skin Pocket 69 57 $5,142.00 $5,142.00 $3,107.00 $9,197.00 $8,657.00 2025-04-05
33224 CPT Insertion Of Left Lower Heart Electrode And Attachment To Pacemaker Or Defibrill… 69 57 $30,016.00 $30,016.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
33227 CPT Removal And Replacement Of Single Lead Permanent Pacemaker 69 57 $18,307.00 $18,307.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
33228 CPT Removal And Replacement Of Dual Lead Permanent Pacemaker 69 57 $20,079.00 $20,079.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
33285 CPT Hc Insertion Subq Cardiac Rhythm Monitor W/Prgrmg 69 57 $26,015.00 $26,015.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
34707 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Endogrft 69 57 $12,797.00 $12,797.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
34713 CPT Hc Perq Access & Clsr Fem Art Endograft Unilat 69 57 $5,371.00 $5,371.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
35206 CPT Repair Of Blood Vessel Of Arm 69 57 $5,618.00 $5,618.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
36002 CPT Injection To Cause Blood Clot In Diseased Or Pseudoaneurysm Of Arm Or Leg 67 56 $775.00 $775.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
36005 CPT Injection For X-ray Imaging Procedure Into Vein Of Arm Or Leg 91 56 $835.00 $835.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
36010 CPT Insertion Of Tube Into Vena Cava 69 57 $1,353.00 $1,353.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36011 CPT Insertion Of Tube Into Vein, First Order Branch 69 57 $3,404.00 $3,404.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36140 CPT Insertion Of Needle Or Tube Into Artery Of Arm Or Leg 69 57 $2,781.00 $2,781.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36200 CPT Insertion Of Tube Into Aorta 69 57 $2,353.00 $2,353.00 $4,362.00 $9,284.50 $9,284.50 2025-04-05
36215 CPT Hc Sel Cath Plc 1st Ord Thor/Brac 69 57 $5,401.00 $5,401.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36216 CPT Insertion Of Tube Into Chest Or Arm Artery, Initial Second Order Branch 69 57 $5,985.00 $5,985.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36222 CPT Hc Place Cath Carotid/Ext Cranial 69 57 $6,539.00 $6,539.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36245 CPT Insertion Of Tube Into Abdominal, Pelvic, Or Leg Artery, Each First Order Branch 69 57 $2,514.75 $2,514.75 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36246 CPT Insertion Of Tube Into Abdominal, Pelvic, Or Leg Artery, Initial Second Order Br… 69 57 $4,092.00 $4,092.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36247 CPT Insertion Of Tube Into Abdominal, Pelvic, Or Leg Artery, Initial Third Order Bra… 93 57 $4,013.00 $4,013.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36248 CPT Insertion Of Tube Into Abdominal, Pelvic, Or Leg Artery, Additional Second, Thir… 69 57 $4,092.00 $4,092.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36253 CPT Insertion Of Tube Into Second Or Third Order Branches Of Arteries Of Kidney For … 69 57 $18,500.00 $18,500.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36510 CPT Insertion Of Tube Into Umbilical Vein, Newborn 62 55 $400.00 $400.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
36556 CPT Hc Insert Non-tunnl Cvc => 5 Yrs 69 57 $10,372.00 $10,372.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
36558 CPT Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 69 57 $11,409.00 $11,409.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
36561 CPT Insertion Of Central Venous Tube With Port (5 Years Or Older) 69 57 $12,550.00 $12,550.00 $3,107.00 $9,197.00 $8,657.00 2025-04-05
36569 CPT Insertion Of Tube For Infusion (5 Years Or Older) 69 57 $2,231.25 $2,231.25 $2,020.00 $9,197.00 $8,113.50 2025-04-05
36573 CPT Hc Insj Picc W/Rs&I 5 Yr+ 69 57 $3,280.89 $2,449.35 25% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
36580 CPT Hc Replace Compl Non-tun Cvc Without Subq Port/Pmp 69 57 $4,464.00 $4,464.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
36581 CPT Hc Replace Compl Tun Cvc Without Subq Port/Pump 69 57 $7,081.80 $7,081.80 $2,710.00 $9,197.00 $8,458.50 2025-04-05
36584 CPT Replacement Of Peripherally Inserted Central Venous Tube (picc) With Review By R… 69 57 $1,901.00 $1,901.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
36589 CPT Removal Of Tunneled Central Venous Tube 69 57 $2,500.00 $2,500.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
36625 CPT Insertion Of Artery Tube For Blood Sampling Or Infusion Through Artery Incision 69 57 $1,604.00 $1,604.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36680 CPT Insertion Of Needle For Infusion Into Bone 63 55 $464.00 $464.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
36831 CPT Removal Of Blood Clot From Hemodialysis Graft 69 57 $7,613.00 $7,613.00 $5,983.00 $10,095.00 $10,095.00 2025-04-05
36901 CPT Hc Sp Intro Cath Dialysis Circuit 69 57 $5,356.00 $2,449.35 54% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
36902 CPT Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Balloon Dilation O… 69 57 $16,467.00 $16,467.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36903 CPT Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent… 69 57 $13,420.00 $13,420.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36904 CPT Hc Avf-declot Circuit-s/r 69 57 $9,771.00 $9,771.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36905 CPT Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 69 57 $24,318.00 $24,318.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36906 CPT Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 69 57 $21,271.00 $21,271.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36907 CPT Balloon Dilation Of Dialysis Segment With Review By Radiologist 69 57 $11,255.00 $11,255.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36908 CPT Insertion Of Stent In Dialysis Segment With Review By Radiologist 69 57 $13,060.00 $13,060.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
36909 CPT Permanent Blockage Of Hemodialysis Circuit With Review By Radiologist 69 57 $12,500.00 $12,500.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37184 CPT Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 69 57 $36,399.00 $36,399.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37187 CPT Removal And Dissolving Of Blood Clot From Vein Using Fluoroscopic Guidance, Init… 69 57 $17,418.00 $16,824.82 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37191 CPT Hc Insert Ivc Filtr W/Acces/Image 69 57 $17,289.00 $17,289.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37211 CPT Insertion Of Tube Into Artery For Drug Infusion For Blood Clot With Review By Ra… 69 57 $17,616.00 $17,616.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
37212 CPT Insertion Of Tube Into Vein For Drug Infusion For Blood Clot With Review By Radi… 69 57 $10,575.00 $4,874.85 54% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
37214 CPT Removal Of Tube Into Artery Or Vein With Review By Radiologist 69 57 $10,575.00 $10,575.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
37220 CPT Balloon Dilation Of Groin Artery, Initial Vessel 69 57 $18,309.00 $8,741.36 52% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
37221 CPT Insertion Of Stent In Groin Artery, Initial Vessel 69 57 $12,797.00 $12,797.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37222 CPT Balloon Dilation Of Groin Artery, Each Additional Vessel 69 57 $13,544.00 $13,544.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37224 CPT Balloon Dilation Of Artery Of Leg 69 57 $12,797.00 $12,797.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37225 CPT Removal Of Plaque In Arteries Of Leg 69 57 $26,472.00 $26,472.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37226 CPT Insertion Of Stent In Arteries Of Leg 69 57 $27,169.00 $27,169.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37227 CPT Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 69 57 $45,847.00 $26,817.64 42% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
37228 CPT Balloon Dilation Of Artery Of Leg, Initial Vessel 69 57 $12,797.00 $12,797.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37229 CPT Removal Of Plaque In Artery Of Leg, Initial Vessel 71 57 $26,472.00 $26,472.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37230 CPT Insertion Of Stent In Artery Of Leg, Initial Vessel 69 57 $27,169.00 $26,817.64 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37231 CPT Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 69 57 $58,220.00 $58,220.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37232 CPT Balloon Dilation Of Artery Of Leg, Each Additional Vessel 69 57 $12,797.00 $12,797.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37233 CPT Removal Of Plaque In Artery Of Leg, Each Additional Vessel 69 57 $26,472.00 $26,472.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37238 CPT Insertion Of Stent In Vein With Review By Radiologist, Initial Vein 69 57 $36,399.00 $16,824.82 54% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
37239 CPT Insertion Of Stent In Vein With Review By Radiologist, Each Additional Vein 69 57 $19,672.00 $19,672.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37241 CPT Occlusion Of Vein With Review By Radiologist 69 57 $38,207.00 $38,207.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37242 CPT Occlusion Of Artery With Review By Radiologist 69 57 $34,838.00 $26,817.64 23% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
37243 CPT Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 69 57 $38,207.00 $16,824.82 56% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
37246 CPT Balloon Dilation Of Artery With Review By Radiologist, Initial Artery 69 57 $13,712.00 $13,712.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37248 CPT Balloon Dilation Of Vein With Review By Radiologist, Initial Vein 69 57 $13,712.00 $13,712.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37252 CPT Ultrasound Evaluation Of Blood Vessel With Review By Radiologist, Initial Vessel 69 57 $5,060.00 $5,060.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
37253 CPT Ultrasound Evaluation Of Blood Vessel With Review By Radiologist, Each Additiona… 69 57 $5,850.00 $5,850.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
38222 CPT Hc Bone Marrow Biopsy(S) & Aspiration(S) 69 57 $7,750.00 $7,750.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
38792 CPT Hc Inj Radioactive Tracer For Id Of Sentinel Node 69 57 $1,367.00 $1,367.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
40650 CPT Repair Of Lip And Border 69 57 $1,971.00 $1,971.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
40652 CPT Repair Of Vertical Lip Wound Extending To Half Of Lip 69 57 $2,168.00 $2,168.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
40654 CPT Repair Of Vertical Lip Wound Extending To Over Half Of Lip 69 57 $4,903.00 $4,903.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
40800 CPT Simple Drainage Of Abscess, Cyst, Or Blood Accumulation Of Mouth 69 57 $2,145.00 $2,145.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
41252 CPT Repair Of Lacerated Tongue Or Floor Of Mouth, More Than 2.6 Cm 67 56 $880.00 $880.00 $2,710.00 $8,458.50 $8,458.50 2025-04-05
43215 CPT Removal Of Foreign Bodies In Esophagus Using A Flexible Endoscope 75 63 $4,451.00 $4,451.00 $2,020.00 $9,197.00 $8,113.50 2025-04-05
43233 CPT Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 69 57 $5,183.52 $5,183.52 $2,713.00 $9,197.00 $8,460.00 2025-04-05
43236 CPT Injection Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endos… 75 63 $2,764.00 $1,386.35 50% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
43238 CPT Ultrasound Guided Needle Aspiration Or Biopsy Of Esophagus Using A Flexible Endo… 75 63 $5,225.00 $5,225.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43239 CPT Hc Egd Biopsy Single/Multiple 75 63 $1,600.00 $1,386.35 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43243 CPT Injection Of Dilated Vein Of Stomach And/or Esophagus Using A Flexible Endoscope 75 63 $5,439.00 $5,439.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43244 CPT Tying Of Dilated Veins Of Stomach And/or Esophagus Using A Flexible Endoscope 75 63 $4,450.05 $2,910.12 35% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
43245 CPT Dilation Of Stomach Outlet Using A Flexible Endoscope 75 63 $5,212.00 $5,212.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43246 CPT Insertion Of Stomach Tube Using A Flexible Endoscope 75 63 $4,450.05 $4,450.05 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43247 CPT Removal Of Foreign Bodies Of Esophagus, Stomach, And/or Upper Small Bowel Using … 75 63 $1,863.40 $1,863.40 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43248 CPT Insertion Of Guide Wire With Dilation Of Esophagus Using A Flexible Endoscope 75 63 $2,989.00 $1,386.35 54% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
43249 CPT Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 75 63 $5,212.00 $2,910.12 44% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
43250 CPT Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 75 63 $4,005.00 $4,005.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43251 CPT Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 75 63 $5,212.00 $2,910.12 44% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
43255 CPT Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex… 75 63 $5,890.00 $5,890.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43260 CPT Diagnostic Exam Of Gallbladder And Pancreatic, Liver, And Bile Ducts Using An En… 69 57 $10,545.00 $10,545.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43261 CPT Biopsy Of Gallbladder, Pancreatic, Liver, And Bile Ducts Using A Flexible Endosc… 69 57 $11,166.00 $11,166.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43262 CPT Incision Of Pancreatic Outlet Using A Flexible Endoscope 75 63 $10,545.00 $10,545.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43264 CPT Removal Of Stone Or Debris From Bile Or Pancreatic Duct Using A Flexible Endosco… 69 57 $10,545.00 $5,857.11 44% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
43265 CPT Destruction Of Stone Of Bile Or Pancreatic Duct Using A Flexible Endoscope 69 57 $18,225.00 $18,225.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
43270 CPT Destruction Of Polyp Or Growth Of Esophagus, Stomach, And/or Upper Small Bowel U… 75 63 $4,451.00 $4,451.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
43274 CPT Insertion Of Stent Into Pancreatic Or Bile Duct Using A Flexible Endoscope 75 63 $16,809.00 $16,809.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
43275 CPT Removal Of Stent From Pancreatic Or Bile Duct Using A Flexible Endoscope 75 63 $10,545.00 $2,910.12 72% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
43277 CPT Balloon Dilation Of Pancreatic Or Bile Duct Or Sphincter Using A Flexible Endosc… 75 63 $11,166.00 $11,166.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
43762 CPT Hc Perq Replacement Gtube Not Req Revj Gstrst Trc 65 56 $695.00 $695.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
44360 CPT Diagnostic Exam Of Small Bowel (excluding Lower Small Intestine) Using An Endosc… 75 63 $5,439.00 $5,439.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
44361 CPT Biopsy Of Small Bowel (except Ileum) Using An Endoscope 75 63 $5,439.00 $2,910.12 46% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
44404 CPT Injection Beneath Lining Of Large Bowel Using An Endoscope Inserted Through Surg… 69 57 $3,831.00 $3,831.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
45346 CPT Destruction Of Polyp Or Growth Of Lower Large Bowel Using A Flexible Endoscope 75 63 $2,939.37 $2,939.37 $2,713.00 $9,197.00 $8,460.00 2025-04-05
45350 CPT Banding Of Hemorrhoids Using A Flexible Endoscope (sigmoidoscope) 75 63 $3,531.00 $3,531.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
45378 CPT Diagnostic Exam Of Large Bowel Using A Flexible Endoscope 75 63 $1,850.00 $1,397.78 24% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
45380 CPT Biopsy Of Large Bowel Using A Flexible Endoscope 75 63 $3,759.00 $1,804.76 52% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
45381 CPT Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope 75 63 $3,759.00 $1,804.76 52% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
45382 CPT Control Of Bleeding Of Upper Large Bowel Using A Flexible Endoscope 150 63 $3,759.00 $2,781.88 26% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
45384 CPT Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec… 75 63 $2,939.37 $1,804.76 39% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 75 63 $3,759.00 $1,804.76 52% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
45388 CPT Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope 69 57 $2,939.37 $1,804.76 39% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
45390 CPT Removal Of Large Bowel Tissue Using A Flexible Endoscope 69 57 $3,443.00 $3,443.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
45393 CPT Decompression Of Twisted Or Abnormally Dilated Large Bowel Using A Flexible Endo… 69 57 $3,443.00 $3,443.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
46040 CPT Drainage Of Deep Abscess In Rectum 69 57 $4,154.00 $4,154.00 $3,107.00 $9,197.00 $8,657.00 2025-04-05
47531 CPT Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 69 57 $11,538.00 $5,291.10 54% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
47534 CPT Placement Of Internal-external Drainage Tube Of Biliary Duct Using Imaging Guida… 69 57 $11,538.00 $11,538.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
47536 CPT Replacement Of Liver Duct Drainage Tube Using Imaging Guidance With Review By Ra… 69 57 $11,538.00 $11,538.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
47537 CPT Removal Of Biliary Drainage Tube Using Imaging Guidance With Review By Radiologi… 69 57 $2,764.00 $2,764.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
49405 CPT Drainage Of Fluid Collection By Tube Through Skin Using Imaging Guidance 69 57 $3,600.00 $2,479.54 31% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
49406 CPT Drainage Of Fluid Collection Of Abdominal Cavity By Tube Using Imaging Guidance 69 57 $3,600.00 $3,600.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
49418 CPT Insertion Of Abdominal Tube Using Imaging Guidance With Review By Radiologist 69 57 $8,588.22 $8,588.22 $2,710.00 $9,197.00 $8,458.50 2025-04-05
49423 CPT Exchange Of Abdominal Cavity Drainage Tube Using Imaging Guidance 69 57 $5,476.00 $2,910.12 47% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
50387 CPT Removal And Replacement Of Stent In Kidney And Ureter Using Fluoroscopic Guidanc… 69 57 $6,229.00 $3,115.04 50% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
50431 CPT Injection Procedure For Imaging Of Kidney And Ureter Through Already Existing Sk… 69 57 $1,957.00 $1,957.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
50432 CPT Placement Of Tube Of Kidney Using Imaging Guidance With Review By Radiologist 69 57 $3,605.00 $3,605.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
50433 CPT Placement Of Tube Of Kidney And Urinary Tube Through New Skin Access Using Imagi… 69 57 $11,150.00 $11,150.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
50434 CPT Conversion Of Kidney Tube To Nephroureteral Tube Using Imaging Guidance And Stud… 69 57 $5,220.00 $3,115.04 40% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
50435 CPT Replacement Of Kidney Drainage Tube Using Imaging Guidance With Review By Radiol… 69 57 $5,220.00 $5,220.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
50693 CPT Placement Of Stent Of Ureter Through Existing Skin Access Using Imaging Guidance… 69 57 $7,627.68 $5,331.62 30% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
51600 CPT Injection Procedure For Imaging Of Bladder During Voiding 69 57 $1,221.00 $1,221.00 $4,362.00 $9,284.50 $9,284.50 2025-04-05
55100 CPT Drainage Of Abscess Of Scrotum 69 57 $4,535.00 $4,535.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
55700 CPT Biopsy Of Prostate Gland 69 57 $6,229.00 $3,115.04 50% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
57135 CPT Removal Of Cyst Or Growth Of Vaginal 69 57 $8,937.00 $4,781.37 46% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
59412 CPT Turning Of Fetus Through External Manipulation 75 63 $4,235.00 $4,235.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
59871 CPT Removal Of Suture Of Cervix Under Anesthesia 69 57 $3,986.00 $3,986.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
62284 CPT Injection Of Contrast For Imaging Of Lower Spinal Canal 69 57 $2,192.00 $2,192.00 $4,362.00 $9,284.50 $9,284.50 2025-04-05
62322 CPT Injection Of Substance Into Lower Spine Canal 69 57 $1,924.00 $1,924.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
62323 CPT Hc Inj Epidural Lumb/Caud W/Imaging 138 57 $2,320.00 $1,688.81 27% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
62326 CPT Insertion Of Tube And Injection Of Substance Into Lower Spine Canal 69 57 $2,557.00 $2,557.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
62328 CPT Removal Of Spinal Fluid With Lower Back Spinal Tap For Diagnostic Test Using Ima… 69 57 $2,960.00 $1,057.62 64% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
62329 CPT Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap Using Imaging Guidance 69 57 $1,934.00 $1,934.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
64488 CPT Injection Of Local Anesthetic For Abdominal Wall Pain Control On Both Sides Usin… 94 57 $5,260.11 $5,260.11 $2,713.00 $9,197.00 $8,460.00 2025-04-05
64635 CPT Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 69 57 $6,470.00 $6,470.00 $2,710.00 $9,197.00 $8,458.50 2025-04-05
69209 CPT Removal Of Impacted Ear Wax By Washing 122 54 $209.77 $209.77 $8,460.00 $8,460.00 $8,460.00 2025-04-05
81443 CPT Genomic Sequence Analysis Panel For Severe Inherited Conditions With Sequencing … 88 68 $7,346.00 $7,346.00 $1,224.28 $19,417.08 $10,320.68 2025-04-05
97597 CPT Removal Of Tissue From Wound, 20.0 Sq Cm Or Less 98 64 $352.90 $306.18 $33.78 $8,460.00 $8,460.00 2025-04-05
97598 CPT Removal Of Tissue From Wound, Each Additional 20.0 Sq Cm 77 54 $235.27 $235.27 $23.31 $8,460.00 $8,460.00 2025-04-05
97602 CPT Removal Of Tissue From Wound Gradually 69 61 $294.00 $294.00 $2,713.00 $8,460.00 $8,460.00 2025-04-05
97605 CPT Therapy Procedure Using A Special Bandage And Vacuum Pump, Surface Area 50.0 Sq … 69 61 $651.00 $306.18 53% off $2,713.00 $8,460.00 $8,460.00 2025-04-05
97606 CPT Therapy Procedure Using A Special Bandage And Vacuum Pump, Surface Area More Tha… 69 61 $579.08 $579.08 $2,713.00 $8,460.00 $8,460.00 2025-04-05
97607 CPT Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq… 75 63 $1,124.00 $609.82 46% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
C9764 HCPCS Hc Lithotripsy Other Lower Ext Artery 73 60 $37,104.00 $37,104.00 $6,876.00 $18,009.00 $12,442.50 2025-04-05
C9765 HCPCS Hc Lithotripsy & Stent Other Lower Ext Artery 73 60 $59,325.00 $59,325.00 $6,876.00 $18,009.00 $12,442.50 2025-04-05
C9766 HCPCS Hc Lithotrip & Ather Other Lower Ext Artery 73 60 $59,325.00 $59,325.00 $6,876.00 $18,009.00 $12,442.50 2025-04-05
C9767 HCPCS Hc Lithotrip-ather-stent Other Lower Ext Artery 73 60 $65,257.00 $65,257.00 $6,876.00 $18,009.00 $12,442.50 2025-04-05
C9772 HCPCS Hc Revasc Lithotrip Tibi/Perone 73 60 $37,104.00 $37,104.00 $6,876.00 $18,009.00 $12,442.50 2025-04-05
C9773 HCPCS Hc Revasc Lithotr-stent Tib/Per 73 60 $59,325.00 $59,325.00 $6,876.00 $18,009.00 $12,442.50 2025-04-05
C9774 HCPCS Hc Revasc Lithotr-ather Tib/Per 73 60 $59,325.00 $59,325.00 $6,876.00 $18,009.00 $12,442.50 2025-04-05
C9775 HCPCS Hc Revasc Lith-sten-ath Tib/Per 73 60 $65,257.00 $65,257.00 $6,876.00 $18,009.00 $12,442.50 2025-04-05
G0104 HCPCS Hc Sigmoidoscopy Flexi Ca Screen 69 57 $2,234.67 $1,397.78 37% off $2,713.00 $9,197.00 $8,460.00 2025-04-05
G0105 HCPCS Hc Colonoscopy Screening High Risk 69 57 $2,234.67 $1,397.78 37% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
G0121 HCPCS Hc Colonoscopy Screen Not High Risk 69 57 $2,234.67 $1,397.78 37% off $2,710.00 $9,197.00 $8,458.50 2025-04-05
G0259 HCPCS Hc Inj Arthrogr Sacroiliac Jnt 69 57 $3,087.00 $3,087.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
G0260 HCPCS Hc Si Jt Anes/Ster Inj W/wo Arthr 138 57 $2,900.00 $1,057.62 64% off $6,876.00 $10,541.50 $10,541.50 2025-04-05
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 88 68 $64,462.56 $11,610.49 82% off $7,462.32 $12,994.56 $10,228.44 2025-04-05
J7189 HCPCS Coagulation Factor Viia Recomb 8 Mg (8,000 Mcg) Intravenous Solution 106 68 $76,032.80 $76,032.80 $2,139.45 $27,410.40 $22,263.00 2025-04-05
PX-36001095 CDM Hc Or Acuity Lvl 1 1st 30 Min 75 63 $4,200.00 $4,200.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001108 CDM Hc Or Acuity Lvl 1 Ea Addl 30min 75 63 $2,000.00 $2,000.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001132 CDM Hc Or Acuity Lvl 2 1st 30 Min 75 63 $5,200.00 $5,200.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001148 CDM Hc Or Acuity Lvl 2 Ea Addl 30 Min 75 63 $3,500.00 $3,500.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001174 CDM Hc Or Acuity Lvl 3 1st 30 Min 75 63 $5,700.00 $5,700.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001193 CDM Hc Or Acuity Lvl 3 Ea Addl 30 Min 75 63 $3,500.00 $3,500.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001222 CDM Hc Or Acuity Lvl 4 1st 30 Min 75 63 $6,700.00 $6,700.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001238 CDM Hc Or Acuity Lvl 4 Ea Addl 30 Min 75 63 $4,000.00 $4,000.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001264 CDM Hc Or Acuity Lvl 5 1st 30 Min 75 63 $7,700.00 $7,700.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001273 CDM Hc Or Acuity Lvl 5 Ea Addl 30 Min 75 63 $4,500.00 $4,500.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001288 CDM Hc Robotic Or Acuity Lvl 6 1st 30 Min 75 63 $9,700.00 $9,700.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
PX-36001293 CDM Hc Robotic Or Acuity Lvl 6 Ea Addl 30 Min 75 63 $4,991.00 $4,991.00 $2,713.00 $9,197.00 $8,460.00 2025-04-05
See an error in this hospital's data? Submit a correction