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

GUTHRIE CORTLAND REGIONAL MEDICAL CENTER

Cortland, NY · CCN 330175 · Rates published

140 distinct procedures filed
25 distinct payers
272,085 rate rows
2026-05-08 last MRF observed
Data quality

271,633 of 272,085 rate rows are consumer-grade (99.8%)

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

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 267
percent-of-charges filed in the dollar field — excluded from medians 88
placeholder amount (≤ $0.02) — excluded from medians 68
per-diem day rate — not a per-procedure price 16
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rca.centaurihs.com/ptapp/api/cdm/export/oneclick?recno=7b9dcd42aaca15ad796e448c09186fb2fd7c909fff74a72aef558bf19a1ba560
Found on page https://www.guthrie.org/about-us/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 5053723c49ccb3e7… · 63,471,621 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
0681
OTHER 		Partial Trauma Team Resp W/Prehosp, W/30 Min Critical Care 21 $1,514.70 $22,482.00 $8,975.00 nat. median
$6,742
1.3× median
0256
OTHER 		Fecal Microbiota Preparation 21 $1,196.46 $7,251.30 $7,251.30 nat. median
$3,626
outlier · 2.0×
0404
OTHER 		Brain Pet; Metabolic Eval 22 $606.00 $13,336.11 $5,788.00 nat. median
$3,351
1.7× median
0323
OTHER 		A-gram Rima 21 $546.70 $13,897.00 $5,127.10 nat. median
$2,997
1.7× median
0616
OTHER 		MRA Lextrem Wo Contr 21 $505.00 $3,705.00 $3,705.00 nat. median
$1,208
outlier · 3.1×
0612
OTHER 		MRI C-spine Wo Contrast 22 $230.44 $5,754.15 $3,118.20 nat. median
$1,591
2.0× median
0618
OTHER 		MRA With Contrast Upper Extremity 21 $312.48 $5,974.00 $2,961.40 nat. median
$1,462
outlier · 2.0×
0619
OTHER 		MRA Abdomen, With Contrast 22 $19.10 $7,466.00 $2,785.80 nat. median
$1,607
1.7× median
0360
OTHER 		Bx Breast 1st Lesion Strtctc 22 $0.13 $124,109.00 $2,650.63 nat. median
$2,271
1.2× median
0333
OTHER 		Interst Rs Appl; Complex 22 $21.82 $36,029.00 $2,433.90 nat. median
$1,230
2.0× median
0720
OTHER 		Episotomy/Vaginal Repair 22 $186.38 $13,394.11 $2,173.50 nat. median
$1,061
outlier · 2.0×
0391
OTHER 		Granulocytes Pheresis Unit 21 $50.28 $11,858.00 $2,037.00 nat. median
$929
outlier · 2.2×
0614
OTHER 		Magnetic Image Bone Marrow 22 $42.39 $6,082.25 $1,997.50 nat. median
$1,195
1.7× median
0722
OTHER 		Birthing Charge 21 $918.75 $3,954.30 $1,907.33 nat. median
$1,488
1.3× median
0880
OTHER 		Dialysis One Evaluation Crrt 21 $283.93 $1,720.80 $1,720.80 nat. median
$1,205
1.4× median
0352
OTHER 		CT Guide For Needle Place, Radio Super & Interp 22 $27.23 $5,137.20 $1,622.08 nat. median
$1,143
1.4× median
0361
OTHER 		Low Cost Skin Substitute Ea Addl 100 Sq Cm 22 $20.75 $36,320.62 $1,582.00 nat. median
$1,125
1.4× median
0351
OTHER 		CT Head With Contrast 22 $110.88 $4,147.80 $1,568.55 nat. median
$1,039
1.5× median
0278
OTHER 		Mesh Hernia Right Large 22 $0.26 $75,936.26 $1,568.44 nat. median
$1,993
0.8× median
0610
OTHER 		Mr Safety Implant POS&/Immoblj Supvj Phys/Qhp 22 $7.30 $7,466.00 $1,461.00 nat. median
$1,272
1.1× median
0723
OTHER 		Hc K Flow/Funct Image Multiple 22 $110.29 $1,733.55 $1,456.18 nat. median
$65
outlier · 22.5×
0801
OTHER 		Acute Hemodialysis 21 $652.86 $1,938.60 $1,375.92 nat. median
$1,207
1.1× median
0611
OTHER 		MRI Brain Inc Brain Stem WO/Contrast 22 $306.35 $5,874.80 $1,349.00 nat. median
$1,201
1.1× median
0820
OTHER 		Non Esrd Hemodialysis One Evaluation (685) 21 $87.45 $1,555.00 $1,321.75 nat. median
$828
1.6× median
0750
OTHER 		Hc Fac Esophageal Motility Studies 22 $2.65 $15,954.84 $1,285.20 nat. median
$1,747
0.7× median
0350
OTHER 		CT Guidance For Placement Of Radiation Therapy Fields 22 $67.47 $7,110.71 $1,178.10 nat. median
$712
1.7× median
0509
OTHER 		Femto Laser Utilization 21 $178.56 $1,082.16 $1,082.16 nat. median
$902
1.2× median
0761
OTHER 		Arthrocentesis Aspiration And/or Inj; Major Joint 22 $28.67 $14,708.00 $1,024.16 nat. median
$630
1.6× median
0341
OTHER 		Hc Ureter Reflux Study 22 $26.60 $6,616.48 $980.70 nat. median
$907
1.1× median
0540
OTHER 		Als Emergency 21 $9.77 $1,282.65 $980.39 nat. median
$319
outlier · 3.1×
0342
OTHER 		Radioph Rx By IV Admin 21 $65.15 $2,356.90 $916.60 nat. median
$480
1.9× median
0922
OTHER 		Amb Continuous Glucose Monitoring Min 72hrs Sensor Placement/Training/Removal 22 $31.17 $11,702.81 $908.65 nat. median
$388
outlier · 2.3×
0450
OTHER 		Applic-long Arm Splint 22 $5.30 $19,692.00 $908.00 nat. median
$715
1.3× median
0740
OTHER 		EEG-extended Monitoring 41-60 Minutes 22 $27.95 $3,300.00 $869.40 nat. median
$647
1.3× median
0483
OTHER 		Congenital Transthoracis Echo 22 $11.00 $5,270.46 $841.60 nat. median
$785
1.1× median
0343
OTHER 		Myoview Per Dose (Tetrofosmin) 21 $10.00 $12,787.75 $684.64 nat. median
$443
1.5× median
0851
OTHER 		Ccpd Daily 21 $110.06 $2,224.00 $667.00 nat. median
$667
1.0× median
0841
OTHER 		Capd Per Day 21 $110.06 $2,360.00 $667.00 nat. median
$667
1.0× median
0390
OTHER 		Fresh Frozen Plasma 685191 22 $39.00 $12,451.00 $599.18 nat. median
$464
1.3× median
0981
OTHER 		Rad. Head. Sub Child 22 $6.60 $26,344.00 $576.02 nat. median
$492
1.2× median
0400
OTHER 		3d Redner Without Post Processing 21 $49.11 $968.00 $573.34 nat. median
$232
outlier · 2.5×
0276
OTHER 		Supplies Crystal/Truglin/Panoptix/Vivity/Acufocus Ic-8 Apthera 22 $32.73 $3,402.83 $545.00 nat. median
$611
0.9× median
0419
OTHER 		Suction Unit/Day 22 $42.90 $514.00 $488.30 nat. median
$424
1.2× median
0320
OTHER 		Fluoro Guide For Cv Device Place/Replace 22 $9.58 $16,674.00 $487.05 nat. median
$333
1.5× median
0340
OTHER 		Intra Arterial Rpharm Rx 22 $77.39 $5,729.33 $469.00 nat. median
$892
0.5× median
0732
OTHER 		Telemetry Per Day 21 $215.61 $431.21 $431.21 nat. median
$431
1.0× median
0402
OTHER 		Bladder Scan 22 $4.04 $7,110.71 $419.01 nat. median
$319
1.3× median
0921
OTHER 		Duplex Extracran Art Bilat 22 $12.48 $2,072.62 $392.25 nat. median
$336
1.2× median
0514
OTHER 		Fetal Non-stress Test 22 $15.15 $1,946.70 $389.97 nat. median
$375
1.0× median
0762
OTHER 		Hourly Observation 21 $40.43 $1,620.94 $389.50 nat. median
$106
outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 140 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
             
0681 OTHER Partial Trauma Team Resp W/Prehosp, W/30 Min Critical Care 150 21 $11,900.00 $9,520.00 20% off $1,514.70 $22,482.00 $8,975.00 2026-05-08
0256 OTHER Fecal Microbiota Preparation 42 21 $7,251.30 $5,801.04 20% off $1,196.46 $7,251.30 $7,251.30 2026-05-08
0404 OTHER Brain Pet; Metabolic Eval 192 22 $9,921.00 $7,936.80 20% off $606.00 $13,336.11 $5,788.00 2026-05-08
0323 OTHER A-gram Rima 285 21 $6,622.00 $5,297.60 $546.70 $13,897.00 $5,127.10 2026-05-08
0616 OTHER MRA Lextrem Wo Contr 40 21 $3,705.00 $2,964.00 20% off $505.00 $3,705.00 $3,705.00 2026-05-08
0612 OTHER MRI C-spine Wo Contrast 190 22 $5,161.00 $4,128.80 $230.44 $5,754.15 $3,118.20 2026-05-08
0618 OTHER MRA With Contrast Upper Extremity 161 21 $3,384.00 $2,707.20 20% off $312.48 $5,974.00 $2,961.40 2026-05-08
0619 OTHER MRA Abdomen, With Contrast 246 22 $4,643.00 $3,714.40 20% off $19.10 $7,466.00 $2,785.80 2026-05-08
0360 OTHER Bx Breast 1st Lesion Strtctc 12,840 22 $3,287.00 $2,629.60 20% off $0.13 $124,109.00 $2,650.63 2026-05-08
0333 OTHER Interst Rs Appl; Complex 1,896 22 $3,658.00 $2,926.40 20% off $21.82 $36,029.00 $2,433.90 2026-05-08
0720 OTHER Episotomy/Vaginal Repair 643 22 $4,120.20 $3,296.16 20% off $186.38 $13,394.11 $2,173.50 2026-05-08
0391 OTHER Granulocytes Pheresis Unit 155 21 $2,461.00 $1,968.80 20% off $50.28 $11,858.00 $2,037.00 2026-05-08
0614 OTHER Magnetic Image Bone Marrow 249 22 $3,812.00 $3,049.60 20% off $42.39 $6,082.25 $1,997.50 2026-05-08
0722 OTHER Birthing Charge 80 21 $2,895.90 $2,316.72 $918.75 $3,954.30 $1,907.33 2026-05-08
0880 OTHER Dialysis One Evaluation Crrt 42 21 $1,720.80 $1,376.64 $283.93 $1,720.80 $1,720.80 2026-05-08
0352 OTHER CT Guide For Needle Place, Radio Super & Interp 719 22 $3,012.00 $2,409.60 20% off $27.23 $5,137.20 $1,622.08 2026-05-08
0361 OTHER Low Cost Skin Substitute Ea Addl 100 Sq Cm 3,818 22 $2,189.00 $1,751.20 20% off $20.75 $36,320.62 $1,582.00 2026-05-08
0351 OTHER CT Head With Contrast 381 22 $2,766.40 $2,213.12 20% off $110.88 $4,147.80 $1,568.55 2026-05-08
0278 OTHER Mesh Hernia Right Large 17,826 22 $2,412.38 $1,929.90 20% off $0.26 $75,936.26 $1,568.44 2026-05-08
0610 OTHER Mr Safety Implant POS&/Immoblj Supvj Phys/Qhp 1,004 22 $2,857.00 $2,285.60 20% off $7.30 $7,466.00 $1,461.00 2026-05-08
0723 OTHER Hc K Flow/Funct Image Multiple 44 22 $1,733.55 $1,386.84 20% off $110.29 $1,733.55 $1,456.18 2026-05-08
0801 OTHER Acute Hemodialysis 120 21 $1,375.92 $1,100.74 $652.86 $1,938.60 $1,375.92 2026-05-08
0611 OTHER MRI Brain Inc Brain Stem WO/Contrast 91 22 $5,256.00 $4,204.80 $306.35 $5,874.80 $1,349.00 2026-05-08
0820 OTHER Non Esrd Hemodialysis One Evaluation (685) 56 21 $1,555.00 $1,244.00 20% off $87.45 $1,555.00 $1,321.75 2026-05-08
0750 OTHER Hc Fac Esophageal Motility Studies 1,652 22 $2,541.50 $2,033.20 20% off $2.65 $15,954.84 $1,285.20 2026-05-08
0350 OTHER CT Guidance For Placement Of Radiation Therapy Fields 670 22 $2,609.00 $2,087.20 20% off $67.47 $7,110.71 $1,178.10 2026-05-08
0509 OTHER Femto Laser Utilization 42 21 $1,082.16 $865.73 $178.56 $1,082.16 $1,082.16 2026-05-08
0761 OTHER Arthrocentesis Aspiration And/or Inj; Major Joint 2,687 22 $1,404.31 $1,123.45 $28.67 $14,708.00 $1,024.16 2026-05-08
0341 OTHER Hc Ureter Reflux Study 1,545 22 $1,787.76 $1,430.21 $26.60 $6,616.48 $980.70 2026-05-08
0540 OTHER Als Emergency 122 21 $980.39 $784.31 20% off $9.77 $1,282.65 $980.39 2026-05-08
0342 OTHER Radioph Rx By IV Admin 75 21 $1,133.00 $906.40 20% off $65.15 $2,356.90 $916.60 2026-05-08
0922 OTHER Amb Continuous Glucose Monitoring Min 72hrs Sensor Placement/Training/Removal 384 22 $3,733.41 $2,986.73 $31.17 $11,702.81 $908.65 2026-05-08
0450 OTHER Applic-long Arm Splint 11,078 22 $1,250.00 $1,000.00 20% off $5.30 $19,692.00 $908.00 2026-05-08
0740 OTHER EEG-extended Monitoring 41-60 Minutes 337 22 $1,065.00 $852.00 20% off $27.95 $3,300.00 $869.40 2026-05-08
0483 OTHER Congenital Transthoracis Echo 935 22 $1,262.40 $1,009.92 20% off $11.00 $5,270.46 $841.60 2026-05-08
0343 OTHER Myoview Per Dose (Tetrofosmin) 1,880 21 $723.00 $578.40 20% off $10.00 $12,787.75 $684.64 2026-05-08
0841 OTHER Capd Per Day 84 21 $1,513.50 $1,210.80 $110.06 $2,360.00 $667.00 2026-05-08
0851 OTHER Ccpd Daily 84 21 $1,445.50 $1,156.40 $110.06 $2,224.00 $667.00 2026-05-08
0390 OTHER Fresh Frozen Plasma 685191 721 22 $691.00 $552.80 20% off $39.00 $12,451.00 $599.18 2026-05-08
0981 OTHER Rad. Head. Sub Child 10,597 22 $735.00 $588.00 20% off $6.60 $26,344.00 $576.02 2026-05-08
0400 OTHER 3d Redner Without Post Processing 76 21 $603.00 $482.40 20% off $49.11 $968.00 $573.34 2026-05-08
0276 OTHER Supplies Crystal/Truglin/Panoptix/Vivity/Acufocus Ic-8 Apthera 258 22 $1,221.84 $977.47 20% off $32.73 $3,402.83 $545.00 2026-05-08
0419 OTHER Suction Unit/Day 44 22 $514.00 $411.20 20% off $42.90 $514.00 $488.30 2026-05-08
0320 OTHER Fluoro Guide For Cv Device Place/Replace 5,031 22 $642.72 $514.18 $9.58 $16,674.00 $487.05 2026-05-08
0340 OTHER Intra Arterial Rpharm Rx 79 22 $469.00 $375.20 20% off $77.39 $5,729.33 $469.00 2026-05-08
0732 OTHER Telemetry Per Day 40 21 $431.21 $344.97 $215.61 $431.21 $431.21 2026-05-08
0402 OTHER Bladder Scan 2,012 22 $654.00 $523.20 $4.04 $7,110.71 $419.01 2026-05-08
0921 OTHER Duplex Extracran Art Bilat 762 22 $738.49 $590.79 20% off $12.48 $2,072.62 $392.25 2026-05-08
0514 OTHER Fetal Non-stress Test 394 22 $519.17 $415.34 $15.15 $1,946.70 $389.97 2026-05-08
0762 OTHER Hourly Observation 77 21 $779.00 $623.20 $40.43 $1,620.94 $389.50 2026-05-08
0413 OTHER Hbot, Full Body Chamber, 30m 42 22 $533.00 $426.40 20% off $57.06 $605.20 $380.74 2026-05-08
0510 OTHER Hc Fac Routine Ophthalmological Exa 15,864 22 $449.82 $359.86 $2.53 $8,990.25 $363.09 2026-05-08
0274 OTHER Cervi Foam Collar 2,088 22 $468.56 $374.85 $6.08 $8,507.87 $359.07 2026-05-08
0331 OTHER Chemo, Im/Sq, Non-hormonal 287 22 $512.00 $409.60 $26.51 $1,443.00 $358.40 2026-05-08
0370 OTHER Mod Sed Diff Phy 1st15 >5 384 22 $352.80 $282.24 20% off $3.35 $3,126.00 $303.45 2026-05-08
0310 OTHER Igh Rearrange Abnormal Clonal Pop Amplified 5,184 22 $463.00 $370.40 20% off $4.62 $44,081.00 $290.00 2026-05-08
3103 OTHER Hc Center Day Care Per Diem 4 4 $281.00 $224.80 $281.00 $281.00 $281.00 2026-05-08
0410 OTHER Cont Inhalation Treatment Ea Add Hr 600 22 $406.86 $325.49 $3.03 $3,271.00 $278.00 2026-05-08
0372 OTHER Mod Sed Endo Service 5 Years And Older 39 21 $277.00 $221.60 20% off $138.50 $277.00 $277.00 2026-05-08
0636 OTHER Cefazolin Sodium 3 G IV Solr 21,385 22 $350.00 $280.00 20% off $0.03 $793,586.81 $257.25 2026-05-08
0272 OTHER Manifold Suction Neptune 1 Port 68,058 22 $294.00 $235.20 20% off $0.04 $68,427.71 $248.27 2026-05-08
0940 OTHER Unlisted Special Dermatological Service/Px 447 22 $281.00 $224.80 $13.00 $26,076.00 $238.85 2026-05-08
0434 OTHER Ot Eval Low Complex 30 Min 109 22 $260.00 $208.00 20% off $52.90 $434.00 $236.30 2026-05-08
0444 OTHER Endoscopy Swallow (Fees) Vid 464 21 $391.00 $312.80 20% off $28.12 $936.00 $235.10 2026-05-08
0424 OTHER Pt Eval Low Complex 20 Min 112 22 $276.41 $221.13 $56.06 $464.37 $234.95 2026-05-08
0335 OTHER Chemo, IV Infusion, 1st Hr 360 22 $512.00 $409.60 $0.53 $1,500.45 $225.07 2026-05-08
0460 OTHER Co/Membrane Diffuse Capacity 955 22 $298.00 $238.40 20% off $2.57 $2,601.00 $215.67 2026-05-08
0513 OTHER Hc Fac Psychiatric Diagnosis Evaluation 40 21 $214.18 $171.34 20% off $107.09 $705.13 $210.25 2026-05-08
0482 OTHER Cardiac Stress With Electro Cardiac Monitoring 99 22 $579.92 $463.94 $20.04 $963.60 $208.95 2026-05-08
0961 OTHER Emergency Dept Visit High Mdm 1,702 22 $267.00 $213.60 20% off $12.05 $3,271.00 $207.71 2026-05-08
0254 OTHER Omnipaque 240 85 21 $195.00 $156.00 20% off $0.04 $578.55 $195.00 2026-05-08
0949 OTHER Wound Non-selective Debridement 117 22 $123.48 $98.78 20% off $30.15 $872.03 $189.63 2026-05-08
0324 OTHER Xray Chest 1 View 139 21 $411.60 $329.28 20% off $15.89 $559.78 $180.45 2026-05-08
0312 OTHER Decalcification 763 22 $298.00 $238.40 20% off $4.62 $3,585.11 $178.80 2026-05-08
0948 OTHER Phys/Qhp Svcs Op Pulm Rehab Without Cont Oximtry Mntr 66 21 $175.76 $140.61 $22.82 $258.37 $175.76 2026-05-08
0401 OTHER Breast Tomosynthesis Unilateral/Bilateral 151 22 $574.08 $459.26 20% off $14.58 $872.60 $171.60 2026-05-08
0920 OTHER E Anal Ins Pg, 1st Hr 1,111 22 $219.00 $175.20 20% off $8.08 $8,274.88 $159.50 2026-05-08
0943 OTHER Hc Cardiac Rhb Phase 3 (8 Visits) 112 21 $199.00 $159.20 20% off $10.06 $552.58 $159.45 2026-05-08
0280 OTHER Chemo Intralesional Over 7 85 22 $831.00 $664.80 20% off $49.56 $831.00 $158.00 2026-05-08
0729 OTHER Epidural Ea Add Hr> 2 Hr 80 21 $222.15 $177.72 20% off $63.60 $317.10 $142.88 2026-05-08
0904 OTHER Activity Therapy 45 Minutes Or Longer 36 19 $134.00 $107.20 20% off $67.00 $134.00 $134.00 2026-05-08
0912 OTHER Activity Therapy 45 Minutes Or Longer 8 4 $134.00 $107.20 20% off $134.00 $134.00 $134.00 2026-05-08
0915 OTHER Group Therapy 36 19 $134.00 $107.20 20% off $67.00 $134.00 $134.00 2026-05-08
0441 OTHER St Speech/Hearing Therapy Indiv 76 21 $208.10 $166.48 $28.21 $278.06 $130.19 2026-05-08
0300 OTHER Unlisted Chemistry Procedure 4,931 22 $214.00 $171.20 20% off $2.02 $4,286.65 $124.80 2026-05-08
0259 OTHER Pureflow Bicarbonate Solution/Case 2 5l Bags 788 21 $144.75 $115.80 20% off $1.11 $1,151.75 $122.25 2026-05-08
0730 OTHER 12 Lead Ekg: Tracing Only 101 22 $168.00 $134.40 $7.41 $669.39 $120.78 2026-05-08
0530 OTHER Omt 1-2 Regions 148 21 $157.29 $125.83 20% off $27.91 $231.52 $119.80 2026-05-08
0311 OTHER Flow Cytometry Cell Surf Marker Techl Only Ea 1,814 22 $215.00 $172.00 20% off $6.85 $3,585.11 $119.00 2026-05-08
0918 OTHER Hc Fac Neuropsychological Testing Eval. Services By Physician/Qualified Health C… 243 22 $135.98 $108.78 20% off $3.51 $543.68 $110.25 2026-05-08
0344 OTHER Metastron Per Mci 118 21 $139.25 $111.40 $13.74 $405.50 $97.48 2026-05-08
0440 OTHER Devel Tst Phys/Qhp 1st Hr 506 21 $191.84 $153.47 20% off $0.53 $674.00 $97.00 2026-05-08
0731 OTHER Ext Ecg>48hr<7d Recording 217 22 $224.64 $179.71 20% off $4.78 $643.86 $95.47 2026-05-08
0420 OTHER Pt Nsw Debridem Without A Session 1,608 21 $123.90 $99.12 20% off $5.10 $2,601.64 $95.03 2026-05-08
0260 OTHER Additional Sequential Infusion-up To 1hr 679 22 $171.15 $136.92 20% off $5.05 $1,503.00 $94.71 2026-05-08
0430 OTHER Ot Appl Cast; Shoulder To Hand 1,495 21 $123.90 $99.12 20% off $5.10 $2,601.64 $92.65 2026-05-08
0471 OTHER Aep Neurodiagnostic I And R 466 22 $121.80 $97.44 20% off $5.05 $686.65 $88.60 2026-05-08
0403 OTHER Breast Tomosynthesis Bi - Screening 88 22 $342.60 $274.08 $10.21 $596.40 $87.20 2026-05-08
0470 OTHER Evoked Otoacoustic Emissions Screen Auto Analys 77 22 $87.15 $69.72 20% off $28.80 $424.00 $87.15 2026-05-08
0309 OTHER Cell Count, Not Blood 367 22 $144.60 $115.68 $2.83 $1,435.00 $85.44 2026-05-08
0306 OTHER Virus Isolat; Centrifuge Ea Virus 4,627 22 $147.00 $117.60 20% off $3.28 $3,612.11 $84.58 2026-05-08
0942 OTHER Diab Educ Indiv Initial Per 30 Minutes 656 22 $134.00 $107.20 20% off $10.47 $425.00 $84.00 2026-05-08
0301 OTHER General Health Panel 16,373 22 $165.00 $132.00 20% off $2.02 $8,572.00 $83.25 2026-05-08
0924 OTHER All Tstg Perq&Iq Drugs/Biol 218 22 $257.99 $206.39 20% off $1.95 $1,191.00 $82.88 2026-05-08
0480 OTHER Pm Device Program Eval 807 22 $140.70 $112.56 $6.63 $3,044.50 $82.32 2026-05-08
0302 OTHER Echinococcus Ab 6,875 22 $155.04 $124.03 20% off $3.30 $6,157.00 $81.70 2026-05-08
0923 OTHER Cytopath Cer/Vag Scrn, Bethesd 148 22 $131.00 $104.80 20% off $8.45 $142.00 $80.00 2026-05-08
0279 OTHER Ambu Bag Asu 84 21 $90.30 $72.24 20% off $12.82 $102.90 $77.70 2026-05-08
0490 OTHER 1 Main Hourly Spu Surgical 328 21 $81.68 $65.34 20% off $0.19 $374.76 $76.68 2026-05-08
0443 OTHER Speech/Hearing Therapy Group 39 21 $75.26 $60.21 $23.62 $75.26 $75.26 2026-05-08
0271 OTHER Boot, Heel Suspension One Size 1,690 21 $80.85 $64.68 $1.04 $11,150.88 $74.70 2026-05-08
0250 OTHER Epinephrine 0.3 Mg/0.3ml Ij Soaj 11,068 21 $89.75 $71.80 20% off $0.04 $21,893.00 $73.75 2026-05-08
0481 OTHER Cardiac Cath Lab Minutes 209 22 $64.80 $51.84 $0.50 $2,337.00 $64.80 2026-05-08
0270 OTHER Post Op Shoes 4,573 21 $71.14 $56.91 20% off $1.08 $5,160.75 $64.31 2026-05-08
0255 OTHER Omnipaque 240mg/Ml - 10 Ml Vial 429 21 $68.75 $55.00 20% off $0.04 $4,553.59 $61.75 2026-05-08
0771 OTHER Admin Of Influenza Virus Vaccin 613 22 $58.80 $47.04 20% off $7.64 $1,350.00 $56.00 2026-05-08
0305 OTHER Russell Viper Venom Time, Dilute 2,299 22 $142.50 $114.00 20% off $2.02 $3,585.11 $54.16 2026-05-08
0770 OTHER Cervical/Vaginal Ca Screen 189 21 $58.80 $47.04 20% off $8.51 $565.57 $49.66 2026-05-08
0900 OTHER Intensive Behavioral Therapy For Obesity 40 21 $45.50 $36.40 20% off $22.75 $405.95 $45.50 2026-05-08
0914 OTHER Hc Fac Psychotherapy Complex Interactive 124 21 $33.89 $27.11 20% off $1.24 $213.81 $33.89 2026-05-08
0253 OTHER Albuterol Sulfate Hfa 108 (90 Base) Mcg/act In Aers 910 18 $36.88 $29.50 20% off $0.08 $1,170.00 $29.24 2026-05-08
0780 OTHER Hc Fac Phys/Qhp Telephone Evaluation 5-10 Min 80 21 $55.24 $44.19 $1.16 $108.15 $28.20 2026-05-08
0307 OTHER Volume Measure, Urine 373 22 $39.90 $31.92 $2.02 $151.50 $24.67 2026-05-08
0941 OTHER Hc Adhc One Way Transportation 80 21 $18.50 $14.80 20% off $7.00 $23.00 $14.00 2026-05-08
0710 OTHER C-section Recovry Serv 459 21 $12.10 $9.68 20% off $0.23 $954.80 $12.10 2026-05-08
0258 OTHER 5% Dextrose/Water (500 Ml = 1 Unit) 333 21 $4.46 $3.57 $0.35 $336.25 $4.46 2026-05-08
0990 OTHER Beer 80 21 $6.50 $5.20 20% off $0.50 $12.00 $3.50 2026-05-08
MOD82 OTHER 84% Payment Adjustment For The Item Or Service To Which The Modifier Is Appended 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
MODAD OTHER 300% (3 Units) Payment Adjustment For The Item Or Service To Which The Modifier … 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
MODAS OTHER Calculated By Multiplying The Facility Specific Mpfs Amount By 16%, Subtracting … 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
MODQK OTHER 50% Payment Adjustment For The Item Or Service To Which The Modifier Is Appended 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
MODQY OTHER 50% Payment Adjustment For The Item Or Service To Which The Modifier Is Appended 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
0329 OTHER Hc Clinical Decision Support For Applied Pathways 43 21 $1.00 $0.80 $0.50 $1.02 $1.00 2026-05-08
MOD50 OTHER 150% Payment Adjustment For The Item Or Service To Which The Modifier Is Appende… 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
MOD51 OTHER 50% Payment Adjustment For The Item Or Service To Which The Modifier Is Appended 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
MOD52 OTHER 50% Payment Adjustment For The Item Or Service To Which The Modifier Is Appended 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
MOD53 OTHER 120% Payment Adjustment For The CPTs 59400 Or 59610 To Which The Modifier Is App… 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
MOD62 OTHER 37.5% Payment Adjustment For The Item Or Service To Which The Modifier Is Append… 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
MOD80 OTHER 84% Payment Adjustment For The Item Or Service To Which The Modifier Is Appended 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
MOD81 OTHER 84% Payment Adjustment For The Item Or Service To Which The Modifier Is Appended 18 15 $1.00 $1.00 $1.00 $1.00 $1.00 2026-05-08
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