Hospital

CORNING HOSPITAL

Corning, NY · CCN 330277 · Rates published

221 distinct procedures filed

26 distinct payers

387,005 rate rows

2026-05-08 last MRF observed

Data quality

386,455 of 387,005 rate rows are consumer-grade (99.9%)

550 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 — reason	Rows
exceeds 10× this hospital's gross charge — excluded from medians	209
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	137
placeholder amount (≤ $0.02) — excluded from medians	107
per-diem day rate — not a per-procedure price	80
percent-of-charges filed in the dollar field — excluded from medians	17

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://rca.centaurihs.com/ptapp/api/cdm/export/oneclick?recno=610595ce3b92de5ca677fdabb3743fc4dcbb0c455c5fe0d50b08b409b931c15b
Found on page	https://www.guthrie.org/about-us/hospital-price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	e220c37cb878c7e5… · 160,184,298 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
0790 OTHER	Eswl-unilateral Fee Per Use	25	$1,976.00	$20,342.84	$19,418.36	nat. median $2,024 outlier · 9.6×
0681 OTHER	Full Trauma Team Resp W/Prehosp, W/30 Min Critical Care	25	$499.85	$22,482.00	$11,305.00	nat. median $6,742 1.7× median
0256 OTHER	Fecal Microbiota Preparation	25	$1,196.46	$7,251.30	$7,251.30	nat. median $3,626 outlier · 2.0×
0404 OTHER	Brain Pet; Metabolic Eval	25	$636.30	$12,547.58	$5,788.00	nat. median $3,351 1.7× median
0323 OTHER	A-gram Rima	24	$382.18	$13,897.00	$5,500.90	nat. median $2,997 1.8× median
0720 OTHER	Labor/Delivery Service-single	25	$391.61	$8,999.55	$4,598.25	nat. median $1,061 outlier · 4.3×
0637 OTHER	Potassium Iodide (expectorant) 1 Gm/ml Po Soln	25	$756.28	$4,583.50	$4,583.50	nat. median $23 outlier · 197.6×
0616 OTHER	MRA Lextrem Wo Contr	25	$265.49	$4,096.00	$4,096.00	nat. median $1,208 outlier · 3.4×
0618 OTHER	MRA With Contrast Upper Extremity	25	$265.49	$6,856.00	$4,096.00	nat. median $1,462 outlier · 2.8×
762 OTHER	Hourly Observation	1	$3,770.46	$3,770.46	$3,770.46	nat. median $204 outlier · 18.5×
0619 OTHER	MRA Abdomen, With Contrast	25	$41.80	$6,856.00	$3,665.90	nat. median $1,607 outlier · 2.3×
0612 OTHER	MRI C-spine Wo Contrast	25	$265.49	$8,567.63	$3,393.06	nat. median $1,591 outlier · 2.1×
0750 OTHER	Scrn Colonoscopy On Hi Risk Pt	25	$7.33	$17,107.00	$3,245.23	nat. median $1,747 1.9× median
0360 OTHER	Laryngoscopy Flex; Diagnostic	25	$0.13	$118,024.37	$2,841.28	nat. median $2,271 1.3× median
0683 OTHER	Full Trauma Team Resp W/Prehosp, W/30 Min Critical Care	25	$376.93	$16,948.80	$2,796.55	nat. median $2,284 1.2× median
0333 OTHER	Srs Linear Based 1 Session	25	$20.21	$36,029.00	$2,210.56	nat. median $1,230 1.8× median
404 OTHER	Brain Pet; Metabolic Eval	1	$1,068.69	$2,267.84	$2,045.18	nat. median $3,886 0.5× median
0361 OTHER	Bronch W/Ther Asp Br	25	$24.25	$33,711.50	$1,952.50	nat. median $1,125 1.7× median
0722 OTHER	Tubal During C Section	25	$891.19	$1,837.50	$1,837.50	nat. median $1,488 1.2× median
0880 OTHER	Dialysis One Evaluation Crrt	25	$467.70	$1,720.80	$1,720.80	nat. median $1,205 1.4× median
0483 OTHER	Congenital Transesophageal Echocardiography	25	$11.00	$6,075.73	$1,594.43	nat. median $785 outlier · 2.0×
0820 OTHER	Non Esrd Hemodialysis One Evaluation (685)	25	$189.09	$1,555.00	$1,555.00	nat. median $828 1.9× median
0352 OTHER	CT Guide For Needle Place, Radio Super & Interp	25	$79.54	$6,564.96	$1,532.00	nat. median $1,143 1.3× median
278 OTHER	B.s. Venous Wallstent 14mm X 60mm	2	$525.36	$26,577.69	$1,499.34	nat. median $1,931 0.8× median
0350 OTHER	CT Soft Tissue Neck W & Without Contrast	25	$90.90	$5,549.19	$1,457.72	nat. median $712 outlier · 2.0×
0341 OTHER	Myocard Perf Multi Spect	25	$61.37	$10,836.50	$1,443.53	nat. median $907 1.6× median
0922 OTHER	Amb Continuous Glucose Monitoring Min 72hrs Sensor Placement/Training/Removal	25	$48.84	$11,702.81	$1,439.85	nat. median $388 outlier · 3.7×
0801 OTHER	Acute Hemodialysis	25	$633.27	$1,938.60	$1,375.92	nat. median $1,207 1.1× median
0351 OTHER	CT Head With Contrast	25	$141.40	$5,060.64	$1,320.61	nat. median $1,039 1.3× median
0391 OTHER	Pltlt Hla-lr Ea Unit	25	$0.49	$4,237.38	$1,230.39	nat. median $929 1.3× median
0841 OTHER	Capd Training	25	$323.50	$2,360.00	$1,180.00	nat. median $667 1.8× median
276 OTHER	Clareon Monofocal Toric T3 Iol 10.0 - Uv Only	2	$547.98	$2,626.80	$1,146.33	nat. median $3,947 outlier · 0.3×
0851 OTHER	Ccpd Training	25	$323.50	$2,224.00	$1,112.00	nat. median $667 1.7× median
0761 OTHER	I & D Absc; Smpl Or Sg	25	$24.24	$14,708.00	$1,109.47	nat. median $630 1.8× median
0509 OTHER	Femto Laser Utilization	25	$524.85	$1,082.16	$1,082.16	nat. median $902 1.2× median
0610 OTHER	Mr Guidance For Needle Placement/Aspiration	25	$21.46	$11,684.01	$1,081.62	nat. median $1,272 0.9× median
274 OTHER	Cer Col Supp Adj Bar And Thor	1	$602.06	$2,644.53	$991.97	nat. median $347 outlier · 2.9×
0540 OTHER	Bls Emergency	25	$9.47	$1,282.65	$971.19	nat. median $319 outlier · 3.0×
0450 OTHER	Cltx Phlngl Fx Prox/Middle Px/F/T W/Manj Ea	25	$1.00	$17,561.00	$966.24	nat. median $715 1.4× median
0278 OTHER	Angiodynamics Smart Port CT	25	$0.19	$75,936.26	$947.69	nat. median $1,993 outlier · 0.5×
0740 OTHER	Blink Reflex Testing	25	$27.95	$3,606.00	$879.46	nat. median $647 1.4× median
0342 OTHER	Radioph Rx By IV Admin	24	$122.27	$2,356.90	$741.00	nat. median $480 1.5× median
0320 OTHER	Lower Extremity,Infant	25	$15.15	$18,622.08	$676.00	nat. median $333 outlier · 2.0×
0390 OTHER	Rc Leuko Removed Rbc	25	$39.00	$12,451.00	$675.66	nat. median $464 1.5× median
0614 OTHER	Cardiac MRI W/Stress Img	25	$27.45	$12,290.00	$664.42	nat. median $1,195 0.6× median
0343 OTHER	Myoview Per Dose (Tetrofosmin)	25	$8.27	$12,787.75	$655.50	nat. median $443 1.5× median
619 OTHER	MRA Chest Without And With Contrast	2	$233.32	$872.94	$582.07	nat. median $26,261 outlier · 0.0×
0981 OTHER	Rad. Head. Sub Child	25	$1.00	$26,344.00	$549.95	nat. median $492 1.1× median
611 OTHER	MRI Brain Inc Brain Stem W/Contrast	1	$528.19	$530.37	$529.28	nat. median $1,777 outlier · 0.3×
610 OTHER	Mr Guidance For Needle Placement/Aspiration	2	$249.35	$903.50	$523.62	nat. median $2,142 outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 221 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

0250	OTHER	Budesonide-glycopyrrolate-fomoterol Fumarate 160-9-4.8 Mcg/act In Aepb (rt Admin…	16,696	25	$73.50	$58.80 20% off	$0.04	$28,359.75	$68.75	2026-05-08
0253	OTHER	Hydrocodone-acetaminophen 5-325 Mg Po Tabs (ed Discharge)	1,412	25	$7.50	$6.00 20% off	$0.24	$2,255.75	$8.00	2026-05-08
0254	OTHER	Omnipaque 240	80	22	$0.26	$0.21	$0.04	$561.49	$5.82	2026-05-08
0255	OTHER	Lipiodol Ultra Fluide 10ml Ampule	431	25	$65.10	$52.08	$0.04	$4,553.59	$65.10	2026-05-08
0256	OTHER	Fecal Microbiota Preparation	52	25	$7,251.30	$5,801.04 20% off	$1,196.46	$7,251.30	$7,251.30	2026-05-08
0258	OTHER	Sterile Saline Sol Per 500 Ml	434	25	$4.73	$3.78 20% off	$0.35	$252.25	$4.46	2026-05-08
0259	OTHER	Norepinephrine Bitartrate 1 Mg/ml IV Soln	1,482	25	$64.50	$51.60 20% off	$0.50	$1,923.25	$48.50	2026-05-08
0260	OTHER	Additional Sequential Infusion-up To 1hr	667	25	$386.81	$309.45	$5.30	$1,503.00	$251.71	2026-05-08
0270	OTHER	Aerochamber Spacer Bag W/Mask	8,962	25	$79.28	$63.42 20% off	$1.08	$5,160.75	$67.73	2026-05-08
0271	OTHER	Hc Fac Cimerli 0.1mg	2,554	25	$88.20	$70.56 20% off	$3.06	$5,358.94	$79.01	2026-05-08
0272	OTHER	5 - 8 Mm Cannula Seal	107,016	25	$164.00	$131.20 20% off	$0.06	$68,427.71	$146.13	2026-05-08
0274	OTHER	Brace, Knee Post Op Lg	2,505	25	$658.88	$527.10 20% off	$5.47	$7,555.80	$476.37	2026-05-08
0276	OTHER	1.9 Drill Bit For Fibertak	2,005	25	$454.80	$363.84 20% off	$0.75	$7,505.15	$390.31	2026-05-08
0278	OTHER	Angiodynamics Smart Port CT	36,555	25	$1,373.66	$1,098.93	$0.19	$75,936.26	$947.69	2026-05-08
0279	OTHER	Ambu Disposable Bags	145	25	$102.90	$82.32 20% off	$37.68	$108.15	$87.47	2026-05-08
0280	OTHER	Unlisted Chemotherapy Procedure	53	25	$158.00	$126.40	$50.68	$392.51	$131.14	2026-05-08
0300	OTHER	Unlisted Chemistry Procedure	5,316	25	$221.00	$176.80	$2.02	$4,286.65	$125.97	2026-05-08
0301	OTHER	General Health Panel	17,411	25	$203.75	$163.00 20% off	$2.02	$8,185.96	$70.46	2026-05-08
0302	OTHER	Echinococcus Ab	8,134	25	$174.00	$139.20 20% off	$3.27	$6,157.00	$70.75	2026-05-08
0305	OTHER	Prothrombin Time	2,511	25	$135.60	$108.48	$2.02	$1,953.42	$32.40	2026-05-08
0306	OTHER	Hepatitis C RNA Genotype	5,005	25	$194.00	$155.20 20% off	$3.28	$3,612.11	$89.00	2026-05-08
0307	OTHER	Volume Measure, Urine	421	25	$39.90	$31.92	$2.02	$132.85	$16.63	2026-05-08
0309	OTHER	Crystals, Fluid	413	25	$111.28	$89.02 20% off	$4.95	$1,435.00	$84.00	2026-05-08
0310	OTHER	Igh Rearrange Abnormal Clonal Pop Amplified	6,082	25	$562.16	$449.73	$7.60	$44,081.00	$288.57	2026-05-08
0311	OTHER	Molecular Cytogenetics DNA Probe Each	1,738	25	$248.40	$198.72 20% off	$6.77	$2,029.25	$127.00	2026-05-08
0312	OTHER	Frozen Section	733	25	$418.02	$334.42	$7.60	$1,953.42	$176.15	2026-05-08
0320	OTHER	Lower Extremity,Infant	5,702	25	$948.48	$758.78 20% off	$15.15	$18,622.08	$676.00	2026-05-08
0323	OTHER	A-gram Rima	367	24	$6,622.00	$5,297.60	$382.18	$13,897.00	$5,500.90	2026-05-08
0324	OTHER	Xray Chest 1 View	168	24	$672.21	$537.77 20% off	$22.84	$809.04	$174.56	2026-05-08
0329	OTHER	Hc Clinical Decision Support For Applied Pathways	51	25	$1.00	$0.80	$0.49	$1.00	$1.00	2026-05-08
0331	OTHER	Chemo, Im/Sq, Non-hormonal	251	25	$736.05	$588.84	$17.16	$1,563.00	$245.60	2026-05-08
0333	OTHER	Srs Linear Based 1 Session	2,364	25	$3,564.07	$2,851.26	$20.21	$36,029.00	$2,210.56	2026-05-08
0335	OTHER	Refill/Maint Portable Pump	407	25	$1,023.91	$819.13	$0.51	$2,275.35	$248.85	2026-05-08
0340	OTHER	Intra Arterial Rpharm Rx	111	25	$389.00	$311.20 20% off	$64.19	$7,740.36	$389.00	2026-05-08
0341	OTHER	Myocard Perf Multi Spect	1,736	25	$2,243.00	$1,794.40	$61.37	$10,836.50	$1,443.53	2026-05-08
0342	OTHER	Radioph Rx By IV Admin	102	24	$741.00	$592.80 20% off	$122.27	$2,356.90	$741.00	2026-05-08
0343	OTHER	Myoview Per Dose (Tetrofosmin)	1,756	25	$901.50	$721.20	$8.27	$12,787.75	$655.50	2026-05-08
0344	OTHER	I 131 Tx Cap Per Mci	146	25	$405.50	$324.40 20% off	$20.88	$6,916.00	$405.50	2026-05-08
0350	OTHER	CT Soft Tissue Neck W & Without Contrast	742	25	$2,768.75	$2,215.00 20% off	$90.90	$5,549.19	$1,457.72	2026-05-08
0351	OTHER	CT Head With Contrast	394	25	$3,618.45	$2,894.76	$141.40	$5,060.64	$1,320.61	2026-05-08
0352	OTHER	CT Guide For Needle Place, Radio Super & Interp	851	25	$3,357.97	$2,686.38	$79.54	$6,564.96	$1,532.00	2026-05-08
0360	OTHER	Laryngoscopy Flex; Diagnostic	16,507	25	$3,621.30	$2,897.04 20% off	$0.13	$118,024.37	$2,841.28	2026-05-08
0361	OTHER	Bronch W/Ther Asp Br	4,615	25	$2,848.31	$2,278.65	$24.25	$33,711.50	$1,952.50	2026-05-08
0370	OTHER	Mod Sed Same Phys/Qhp 5 Years Of Age Or Older	511	25	$352.80	$282.24 20% off	$10.83	$2,510.00	$287.86	2026-05-08
0372	OTHER	Mod Sed Endo Service 5 Years And Older	60	25	$277.00	$221.60 20% off	$15.16	$277.00	$162.65	2026-05-08
0390	OTHER	Rc Leuko Removed Rbc	883	25	$1,189.44	$951.55 20% off	$39.00	$12,451.00	$675.66	2026-05-08
0391	OTHER	Pltlt Hla-lr Ea Unit	208	25	$2,037.00	$1,629.60 20% off	$0.49	$4,237.38	$1,230.39	2026-05-08
0400	OTHER	3d Redner Without Post Processing	96	25	$420.00	$336.00 20% off	$41.80	$919.98	$383.57	2026-05-08
0401	OTHER	Dx Mammo Incl Cad Un	175	25	$931.84	$745.47 20% off	$14.37	$1,416.40	$160.72	2026-05-08
0402	OTHER	Bladder Scan	2,396	25	$826.80	$661.44	$4.24	$3,619.00	$458.64	2026-05-08
0403	OTHER	Scr Mammo Bi Incl Cad	109	25	$1,028.56	$822.85	$17.87	$1,028.56	$91.37	2026-05-08
0404	OTHER	Brain Pet; Metabolic Eval	252	25	$9,921.00	$7,936.80 20% off	$636.30	$12,547.58	$5,788.00	2026-05-08
0410	OTHER	Arterial Puncture	815	25	$278.00	$222.40 20% off	$3.03	$3,606.00	$201.25	2026-05-08
0413	OTHER	Hbot, Full Body Chamber, 30m	62	24	$615.30	$492.24	$57.06	$615.30	$252.90	2026-05-08
0420	OTHER	Pt Nsw Debridem Without A Session	2,204	25	$214.00	$175.56	$2.49	$1,635.71	$140.25	2026-05-08
0424	OTHER	Pt Eval Low Complex 20 Min	148	25	$259.35	$207.48 20% off	$32.71	$430.52	$157.71	2026-05-08
0430	OTHER	Ot Unattended Elect Stimulation	1,826	25	$219.45	$185.00	$2.49	$1,635.71	$134.40	2026-05-08
0434	OTHER	Ot Eval Low Complex 30 Min	142	25	$379.58	$303.66 20% off	$52.90	$632.63	$269.24	2026-05-08
0440	OTHER	St Assessment Aphasia W/i&r Per Hour	696	25	$191.84	$153.47 20% off	$0.51	$751.00	$160.00	2026-05-08
0441	OTHER	St Speech/Hearing Therapy Indiv	101	25	$628.95	$503.16 20% off	$32.01	$628.95	$242.96	2026-05-08
0444	OTHER	St Cognitive Test By Hc Pro	566	25	$658.35	$526.68 20% off	$34.63	$2,601.00	$417.24	2026-05-08
0450	OTHER	Cltx Phlngl Fx Prox/Middle Px/F/T W/Manj Ea	14,702	25	$1,326.20	$1,060.96 20% off	$1.00	$17,561.00	$966.24	2026-05-08
0460	OTHER	Hast W/Report	1,291	25	$305.00	$244.00 20% off	$0.85	$2,200.00	$221.99	2026-05-08
0470	OTHER	Evoked Otoacoustic Emissions Screen Auto Analys	98	25	$87.15	$69.72 20% off	$28.80	$3,606.00	$87.15	2026-05-08
0471	OTHER	Comprehensive Audiometry Threshold Eval & Speech Recognition	602	25	$121.80	$97.44 20% off	$5.05	$375.87	$90.00	2026-05-08
0480	OTHER	Pm Device Program Eval	829	25	$117.00	$93.60 20% off	$7.72	$1,503.60	$70.56	2026-05-08
0481	OTHER	Cardiac Cath Lab Minutes	258	25	$64.80	$51.84	$0.17	$2,337.00	$64.80	2026-05-08
0482	OTHER	Hc Fac Cv Stress Test;Physician Superv	127	25	$579.92	$463.94	$21.03	$1,310.40	$208.95	2026-05-08
0483	OTHER	Congenital Transesophageal Echocardiography	993	25	$2,175.58	$1,740.46 20% off	$11.00	$6,075.73	$1,594.43	2026-05-08
0490	OTHER	Spu Surgical Hourly	470	25	$96.30	$77.04	$0.19	$374.76	$93.25	2026-05-08
0509	OTHER	Femto Laser Utilization	51	25	$1,082.16	$865.73	$524.85	$1,082.16	$1,082.16	2026-05-08
0510	OTHER	Hc Fac Routine Ophthalmological Exa	18,500	25	$460.84	$368.67 20% off	$1.00	$8,761.50	$365.30	2026-05-08
0513	OTHER	Hc Fac Psychiatric Diagnosis Evaluation	54	25	$230.23	$184.18 20% off	$103.88	$402.88	$214.18	2026-05-08
0514	OTHER	Fetal Non-stress Test	487	25	$389.38	$311.50 20% off	$1.00	$1,162.80	$359.97	2026-05-08
0519	OTHER	Estb - Office Level 2	87	25	$421.20	$336.96 20% off	$23.39	$524.54	$198.47	2026-05-08
0530	OTHER	Omt 1-2 Regions	197	25	$157.29	$125.83 20% off	$21.42	$231.52	$119.80	2026-05-08
0540	OTHER	Bls Emergency	156	25	$980.39	$784.31 20% off	$9.47	$1,282.65	$971.19	2026-05-08
0610	OTHER	Mr Guidance For Needle Placement/Aspiration	1,246	25	$4,744.74	$3,795.79 20% off	$21.46	$11,684.01	$1,081.62	2026-05-08
0611	OTHER	MRI Brain Inc Brain Stem WO/Contrast	113	25	$5,226.21	$4,180.97	$265.49	$6,148.48	$477.99	2026-05-08
0612	OTHER	MRI C-spine Wo Contrast	254	25	$6,457.62	$5,166.10	$265.49	$8,567.63	$3,393.06	2026-05-08
0614	OTHER	Cardiac MRI W/Stress Img	257	25	$5,817.76	$4,654.21	$27.45	$12,290.00	$664.42	2026-05-08
0616	OTHER	MRA Lextrem Wo Contr	48	25	$4,096.00	$3,276.80	$265.49	$4,096.00	$4,096.00	2026-05-08
0618	OTHER	MRA With Contrast Upper Extremity	114	25	$6,856.00	$5,484.80 20% off	$265.49	$6,856.00	$4,096.00	2026-05-08
0619	OTHER	MRA Abdomen, With Contrast	307	25	$4,861.00	$3,888.80	$41.80	$6,856.00	$3,665.90	2026-05-08
0636	OTHER	Acetaminophen 1000 Mg/100ml IV (odd Doses)	33,431	25	$448.00	$358.40 20% off	$0.04	$793,586.81	$289.80	2026-05-08
0637	OTHER	Potassium Iodide (expectorant) 1 Gm/ml Po Soln	53	25	$4,583.50	$3,666.80	$756.28	$4,583.50	$4,583.50	2026-05-08
0681	OTHER	Full Trauma Team Resp W/Prehosp, W/30 Min Critical Care	158	25	$11,305.00	$9,044.00 20% off	$499.85	$22,482.00	$11,305.00	2026-05-08
0683	OTHER	Full Trauma Team Resp W/Prehosp, W/30 Min Critical Care	110	25	$16,948.80	$13,559.04	$376.93	$16,948.80	$2,796.55	2026-05-08
0710	OTHER	Or Recovery Minutes First 60 Mins	963	25	$293.76	$235.01	$0.23	$1,179.36	$293.76	2026-05-08
0720	OTHER	Labor/Delivery Service-single	479	25	$5,920.00	$4,736.00 20% off	$391.61	$8,999.55	$4,598.25	2026-05-08
0722	OTHER	Tubal During C Section	51	25	$1,837.50	$1,470.00 20% off	$891.19	$1,837.50	$1,837.50	2026-05-08
0729	OTHER	Epidural Initial Chg	8	4	$317.10	$253.68 20% off	$20.99	$227.87	$115.75	2026-05-08
0730	OTHER	EKG 12 Lead Tracing Only	78	25	$107.31	$85.85	$5.76	$414.96	$71.00	2026-05-08
0731	OTHER	Hc Fac ECG Monitor 24 Hrs; Scanning An	185	25	$273.00	$218.40 20% off	$4.78	$643.86	$70.29	2026-05-08
0732	OTHER	Telemetry Per Day	51	25	$431.21	$344.97	$209.14	$431.21	$431.21	2026-05-08
0740	OTHER	Blink Reflex Testing	456	25	$978.00	$782.40 20% off	$27.95	$3,606.00	$879.46	2026-05-08
0750	OTHER	Scrn Colonoscopy On Hi Risk Pt	3,629	25	$4,749.00	$3,799.20 20% off	$7.33	$17,107.00	$3,245.23	2026-05-08
0761	OTHER	I & D Absc; Smpl Or Sg	3,348	25	$1,692.90	$1,354.32 20% off	$24.24	$14,708.00	$1,109.47	2026-05-08
0762	OTHER	Hourly Observation	123	25	$99.75	$79.80 20% off	$14.21	$3,133.22	$99.75	2026-05-08
0770	OTHER	Cervical/Vaginal Ca Screen	241	25	$58.80	$47.04 20% off	$8.51	$349.31	$58.80	2026-05-08
0771	OTHER	Infusion/Subq Inj Casirivimab And Imdevimab	645	25	$60.59	$48.47 20% off	$7.39	$1,350.00	$56.00	2026-05-08
0780	OTHER	Hc Fac Phys/Qhp Telephone Evaluation 5-10 Min	51	25	$61.40	$49.12 20% off	$1.13	$2.32	$2.32	2026-05-08
0790	OTHER	Eswl-unilateral Fee Per Use	100	25	$19,418.36	$15,534.69	$1,976.00	$20,342.84	$19,418.36	2026-05-08
0801	OTHER	Acute Hemodialysis	145	25	$1,375.92	$1,100.74	$633.27	$1,938.60	$1,375.92	2026-05-08
0820	OTHER	Non Esrd Hemodialysis One Evaluation (685)	79	25	$1,555.00	$1,244.00 20% off	$189.09	$1,555.00	$1,555.00	2026-05-08
0841	OTHER	Capd Training	99	25	$2,360.00	$1,888.00 20% off	$323.50	$2,360.00	$1,180.00	2026-05-08
0851	OTHER	Ccpd Training	99	25	$2,224.00	$1,779.20 20% off	$323.50	$2,224.00	$1,112.00	2026-05-08
0880	OTHER	Dialysis One Evaluation Crrt	51	25	$1,720.80	$1,376.64	$467.70	$1,720.80	$1,720.80	2026-05-08
0900	OTHER	Intensive Behavioral Therapy For Obesity	53	25	$45.50	$36.40 20% off	$22.07	$111.65	$45.50	2026-05-08
0904	OTHER	Activity Therapy 45 Minutes Or Longer	52	23	$134.00	$107.20 20% off	$64.99	$134.00	$134.00	2026-05-08
0912	OTHER	Activity Therapy 45 Minutes Or Longer	7	4	$134.00	$107.20 20% off	$134.00	$134.00	$134.00	2026-05-08
0914	OTHER	Hc Fac Psychotherapy Complex Interactive	147	25	$48.29	$38.63 20% off	$3.65	$176.47	$33.89	2026-05-08
0915	OTHER	Group Therapy	52	23	$134.00	$107.20 20% off	$64.99	$134.00	$134.00	2026-05-08
0918	OTHER	Hc Facalth Risk Assessment, Patient Focused, Per Std Instrument (Chg)	314	25	$135.98	$108.78 20% off	$4.52	$483.46	$135.98	2026-05-08
0920	OTHER	Cont Gluc Mntr Pt Prov Eqp	1,587	25	$219.00	$175.20 20% off	$8.48	$8,274.88	$171.11	2026-05-08
0921	OTHER	Duplex Extracran Art Bilat	1,032	25	$888.20	$710.56 20% off	$12.48	$2,697.76	$386.89	2026-05-08
0922	OTHER	Amb Continuous Glucose Monitoring Min 72hrs Sensor Placement/Training/Removal	462	25	$4,594.97	$3,675.98	$48.84	$11,702.81	$1,439.85	2026-05-08
0923	OTHER	Thin Prep Pap Smear	1	1	$361.25	$289.00 20% off	$20.26	$20.26	$20.26	2026-05-08
0924	OTHER	Percut Tests (Scratch,Punct,Pri	286	25	$82.88	$66.30 20% off	$1.95	$961.20	$82.88	2026-05-08
0940	OTHER	Actinotherapy,Ultraviolet Light (6611)	579	25	$294.00	$235.20 20% off	$14.75	$26,076.00	$148.17	2026-05-08
0942	OTHER	Diab Educ Indiv Initial Per 30 Minutes	727	25	$134.00	$107.20 20% off	$10.85	$425.00	$86.70	2026-05-08
0943	OTHER	Cardiac Rehab Phase Ii Op	103	24	$399.36	$319.49	$16.47	$399.36	$258.39	2026-05-08
0948	OTHER	Phys/Qhp Svcs Op Pulm Rehab Without Cont Oximtry Mntr	95	25	$175.76	$140.61	$47.63	$258.37	$149.40	2026-05-08
0949	OTHER	Wound Non-selective Debridement	122	25	$270.90	$216.72	$35.10	$1,635.71	$227.69	2026-05-08
0961	OTHER	Emergency Dept Visit High Mdm	1,748	25	$279.00	$223.20 20% off	$14.47	$3,606.00	$230.57	2026-05-08
0981	OTHER	Rad. Head. Sub Child	13,579	25	$744.00	$595.20	$1.00	$26,344.00	$549.95	2026-05-08
0990	OTHER	Guest Tray	99	25	$12.00	$9.60 20% off	$0.49	$12.00	$6.00	2026-05-08
0999	OTHER	Hg A1c Level <7.0%	0	0	$0.01	—	—	—	—	2026-05-08
260	OTHER	Ivp, Single Or Initial Substance/Drug	11	2	$386.81	$309.45	$14.08	$61.48	$28.15	2026-05-08
274	OTHER	Cer Col Supp Adj Bar And Thor	11	1	$2,834.21	$2,267.37	$602.06	$2,644.53	$991.97	2026-05-08
276	OTHER	Clareon Monofocal Toric T3 Iol 10.0 - Uv Only	10	2	$3,275.21	$2,620.17	$547.98	$2,626.80	$1,146.33	2026-05-08
278	OTHER	B.s. Venous Wallstent 14mm X 60mm	456	2	$4,283.83	$3,427.06	$525.36	$26,577.69	$1,499.34	2026-05-08
300	OTHER	17-hydroxypregnenolone	55	1	$187.25	$149.80	$4.69	$445.29	$27.16	2026-05-08
301	OTHER	17 Hydroxycorticoste Roids	157	1	$200.50	$160.40 20% off	$3.13	$696.64	$26.74	2026-05-08
302	OTHER	TB Test Intradermal	94	2	$177.25	$141.80	$5.13	$111.11	$27.64	2026-05-08
305	OTHER	Activated Protein C Resistance	33	1	$135.60	$108.48	$4.69	$49.61	$15.43	2026-05-08
306	OTHER	Beta Lactamase Suceptibility, Ea	53	2	$182.00	$145.60 20% off	$4.08	$717.06	$22.17	2026-05-08
307	OTHER	Clinitest	5	1	$52.25	$41.80 20% off	$4.24	$6.26	$4.85	2026-05-08
309	OTHER	Cell Count W/Diff, Csf	4	1	$86.17	$68.94 20% off	$7.04	$34.68	$11.34	2026-05-08
310	OTHER	Addt'l Frz Section-x1	70	2	$615.91	$492.73 20% off	$7.60	$2,537.79	$146.68	2026-05-08
311	OTHER	Cytology,Other,Smears	27	2	$200.00	$160.00 20% off	$19.56	$295.69	$71.62	2026-05-08
312	OTHER	Cell Block	28	2	$462.74	$370.19 20% off	$7.60	$265.55	$67.94	2026-05-08
320	OTHER	Barium Enema Colon	97	2	$723.92	$579.14	$18.96	$382.18	$53.01	2026-05-08
323	OTHER	Abd A-gram & Follow Down	2	2	$7,539.65	$6,031.72	$382.18	$382.18	$382.18	2026-05-08
324	OTHER	Xray Chest 1 View	5	2	$594.88	$475.90 20% off	$24.22	$50.74	$36.98	2026-05-08
331	OTHER	Chemo, Im/Sq, Non-hormonal	6	2	$823.10	$658.48 20% off	$49.69	$144.25	$80.66	2026-05-08
333	OTHER	Respirator Motion Mgmt Simul	27	2	$1,636.95	$1,309.56 20% off	$20.21	$1,690.30	$190.09	2026-05-08
335	OTHER	Refill/Maint Portable Pump	7	2	$536.75	$429.40 20% off	$30.48	$211.46	$170.23	2026-05-08
340	OTHER	Tumor Loc Whole Body 2 Or More Days Imaging	2	2	$7,740.36	$6,192.29	$481.69	$560.50	$521.10	2026-05-08
341	OTHER	Bone Scan 3 Phase	53	2	$2,025.00	$1,620.00 20% off	$100.13	$1,126.97	$206.31	2026-05-08
342	OTHER	Radionuc Thrpy Hyprthy	2	1	$1,548.95	$1,239.16 20% off	$170.11	$179.81	$174.96	2026-05-08
350	OTHER	CT Angio Abd&Pelv W/O&with Contrast	13	2	$3,368.10	$2,694.48 20% off	$106.99	$652.05	$259.72	2026-05-08
351	OTHER	CT - Orbit, Sella, Mid/Inner Ear W & Wo	11	1	$3,364.40	$2,691.52 20% off	$182.66	$440.08	$248.83	2026-05-08
352	OTHER	CT Angio Abd Aorta And Bilat Ileofem W/c Non If Perf	23	2	$3,347.33	$2,677.86 20% off	$80.97	$532.32	$233.19	2026-05-08
360	OTHER	Destroy L/s Facet Jnt Addl	71	2	$1,610.00	$1,288.00 20% off	$31.90	$999.62	$126.68	2026-05-08
361	OTHER	Bronch W/Ther Asp Br	37	2	$656.00	$524.80 20% off	$29.18	$362.18	$104.73	2026-05-08
370	OTHER	Mod Sed Same Phys/Qhp 5 Years Of Age Or Older	6	2	$289.12	$231.30	$13.03	$116.52	$43.97	2026-05-08
390	OTHER	Ffp 8-24 Hrs Of Collect, Ea Unit	2	2	$424.80	$339.84 20% off	$46.94	$46.94	$46.94	2026-05-08
401	OTHER	Breast Tomosynthesis Unilateral/Bilateral	6	2	$931.84	$745.47 20% off	$14.43	$203.15	$91.64	2026-05-08
402	OTHER	Bladder Scan	56	2	$905.84	$724.67 20% off	$10.60	$321.10	$107.47	2026-05-08
403	OTHER	Breast Tomosynthesis Bi - Screening	4	2	$643.24	$514.60	$22.10	$163.80	$76.92	2026-05-08
404	OTHER	Brain Pet; Metabolic Eval	5	1	$11,071.40	$8,857.12	$1,068.69	$2,267.84	$2,045.18	2026-05-08
410	OTHER	Demo/Eval Neb-mdi-ippb/day	13	2	$278.00	$222.40 20% off	$7.30	$85.66	$18.49	2026-05-08
413	OTHER	Hbot, Full Body Chamber, 30m	2	2	$615.30	$492.24	$68.67	$68.67	$68.67	2026-05-08
420	OTHER	Pt Strap Ankle Or Foot	10	2	$320.00	$256.00 20% off	$30.51	$54.49	$41.06	2026-05-08
424	OTHER	Pt Re-eval Est Plan Care	2	2	$259.35	$207.48 20% off	$67.46	$67.46	$67.46	2026-05-08
430	OTHER	Ot Application Long Arm Splint	13	2	$466.00	$372.80 20% off	$8.70	$71.18	$49.09	2026-05-08
434	OTHER	Ot Eval Low Complex 30 Min	2	2	$379.58	$303.66 20% off	$63.66	$97.73	$80.69	2026-05-08
440	OTHER	St Assessment Aphasia W/i&r Per Hour	4	2	$378.00	$302.40 20% off	$73.31	$160.42	$84.86	2026-05-08
441	OTHER	St Speech/Hearing Therapy Indiv	2	2	$628.95	$503.16 20% off	$33.95	$33.95	$33.95	2026-05-08
444	OTHER	Endoscopy Swallow (Fees) Vid	7	2	$682.10	$545.68 20% off	$62.52	$217.75	$86.28	2026-05-08
450	OTHER	Cardioversion	166	2	$1,094.04	$875.23 20% off	$9.39	$1,163.21	$138.06	2026-05-08
460	OTHER	Bronchodilation Response Spirometry Pre/Post Bronchodilator Admin	26	2	$228.00	$182.40 20% off	$3.10	$169.45	$23.21	2026-05-08
470	OTHER	Aep Screen Auditory Potential	1	1	$419.90	$335.92	$34.65	$34.65	$34.65	2026-05-08
471	OTHER	Comprehensive Audiometry Threshold Eval & Speech Recognition	12	2	$105.90	$84.72 20% off	$10.08	$144.47	$34.80	2026-05-08
480	OTHER	Pm Device Program Eval	12	2	$92.22	$73.77 20% off	$31.27	$136.11	$50.62	2026-05-08
481	OTHER	Intro Of Catheter, Aorta	2	2	$1.00	$0.80	$173.66	$173.66	$173.66	2026-05-08
482	OTHER	Cardiac Stress With Electro Cardiac Monitoring	2	2	$945.16	$756.13	$35.16	$72.75	$53.95	2026-05-08
483	OTHER	Congenital Transthoracis Echo	11	2	$1,248.00	$998.40 20% off	$11.00	$413.03	$220.63	2026-05-08
490	OTHER	1 Main Hourly Spu Surgical	9	1	$96.30	$77.04	$0.27	$93.69	$24.08	2026-05-08
510	OTHER	Behav Chng Smoking > 10 Min	275	2	$477.02	$381.62	$6.26	$1,163.21	$120.47	2026-05-08
513	OTHER	Hc Fac Psychiatric Diagnosis Evaluation	1	1	$214.18	$171.34 20% off	$141.31	$141.31	$141.31	2026-05-08
514	OTHER	Removal Of Intrauterine Device	5	2	$360.15	$288.12	$26.99	$397.66	$27.38	2026-05-08
530	OTHER	Omt 1-2 Regions	5	1	$157.29	$125.83 20% off	$21.42	$65.15	$43.29	2026-05-08
610	OTHER	Mr Guidance For Needle Placement/Aspiration	20	2	$5,196.90	$4,157.52 20% off	$249.35	$903.50	$523.62	2026-05-08
611	OTHER	MRI Brain Inc Brain Stem W/Contrast	2	1	$4,488.39	$3,590.72	$528.19	$530.37	$529.28	2026-05-08
612	OTHER	MRI Cervical Spine W/Contrast	3	1	$5,130.32	$4,104.26	$400.75	$530.37	$408.88	2026-05-08
614	OTHER	Card MRI Vel Flw Map Add-on	6	2	$4,499.71	$3,599.77	$31.00	$792.95	$398.81	2026-05-08
619	OTHER	MRA Chest Without And With Contrast	4	2	$4,702.85	$3,762.29	$233.32	$872.94	$582.07	2026-05-08
636	OTHER	Albuterol Sulfate (5 Mg/ml) 0.5% In Nebu	525	2	$186.75	$149.40 20% off	$0.06	$352,705.25	$53.00	2026-05-08
730	OTHER	EKG 12 Lead Tracing Only	2	2	$107.31	$85.85	$5.76	$16.36	$11.06	2026-05-08
731	OTHER	Hc Fac ECG Monitor 24 Hrs; Scanning An	4	2	$273.00	$218.40 20% off	$10.67	$62.20	$45.38	2026-05-08
740	OTHER	EEG-extended Monitoring Greater Than One Hour	8	2	$1,197.80	$958.24	$33.64	$364.02	$162.20	2026-05-08
750	OTHER	Ugi W Removal Of Fb	18	2	$5,298.59	$4,238.87	$26.60	$1,064.22	$343.12	2026-05-08
761	OTHER	Punch Bx Skin Ea Sep Addl Lesion	24	2	$644.20	$515.36 20% off	$25.41	$320.17	$74.38	2026-05-08
762	OTHER	Hourly Observation	1	1	$86.10	$68.88 20% off	$3,770.46	$3,770.46	$3,770.46	2026-05-08
770	OTHER	Cervical/Vaginal Ca Screen	5	1	$58.80	$47.04 20% off	$8.51	$122.58	$23.67	2026-05-08
771	OTHER	Admin Flu Vacc	9	2	$52.50	$42.00 20% off	$8.21	$62.58	$18.32	2026-05-08
900	OTHER	Intensive Behavioral Therapy For Obesity	1	1	$45.50	$36.40 20% off	$28.34	$28.34	$28.34	2026-05-08
918	OTHER	Hc Facalth Risk Assessment, Patient Focused, Per Std Instrument (Chg)	5	2	$135.98	$108.78 20% off	$5.44	$136.14	$31.23	2026-05-08
920	OTHER	Cpap Titration Study	32	2	$220.87	$176.69 20% off	$10.67	$1,013.11	$82.96	2026-05-08
921	OTHER	Doppler	30	2	$1,070.06	$856.05	$28.17	$285.44	$146.32	2026-05-08
922	OTHER	Musc Tst Done W/Nerv Tst Lim	5	2	$584.23	$467.38 20% off	$65.26	$138.08	$103.71	2026-05-08
924	OTHER	Percut Tests (Scratch,Punct,Pri	6	2	$70.84	$56.67 20% off	$2.35	$88.03	$8.10	2026-05-08
940	OTHER	Phlebotomy Therapeutic	6	2	$192.57	$154.06 20% off	$15.65	$227.99	$20.30	2026-05-08
942	OTHER	Diab Educ Indiv Initial Per 30 Minutes	9	2	$84.00	$67.20	$11.00	$51.55	$25.84	2026-05-08
949	OTHER	Wound Non-selective Debridement	2	2	$270.90	$216.72	$42.24	$42.24	$42.24	2026-05-08
961	OTHER	Hc IP/Obs Consltj New/Est Pt Sf Mdm 35 Minutes	4	1	$294.00	$235.20	$26.27	$125.08	$60.09	2026-05-08
981	OTHER	Ci Mt Without Mani	222	2	$841.50	$673.20	$13.03	$1,033.02	$116.62	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
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

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