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

NELSON COUNTY HEALTH SYSTEM

Mcville, ND · CCN 351308 · Rates published

19,406 distinct procedures filed
5 distinct payers
103,291 rate rows
2026-07-14 last MRF observed
Data quality

7,135 of 103,291 rate rows are consumer-grade (6.9%)

96,156 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 92,321
per-diem day rate — not a per-procedure price 2,301
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,534
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nelsoncountyhealthsystem.org/file_download/8e3945ca-d2d6-4a29-84a1-555661a687eb
Found on page https://nelsoncountyhealthsystem.org/what-we-do/important-links/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-31

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
J3101
HCPCS 		Tenecteplase For IV Soln Kit 50 Mg 5 $13,559.56 $19,311.21 $16,750.05 nat. median
$3,824
outlier · 4.4×
J2506
HCPCS 		Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 5 $12,473.81 $15,408.83 $13,941.32 nat. median
$1,651
outlier · 8.4×
27828
CPT 		Hc Open Rx Weightbear Tib,fix Tib/fib 5 $8,726.10 $10,779.30 $9,752.70 nat. median
$10,579
0.9× median
Q5108
HCPCS 		Pegfilgrastim-jmdb Soln Prefilled Syringe 6 Mg/0.6ml 5 $4,641.85 $5,734.05 $5,187.95 nat. median
$1,244
outlier · 4.2×
J0897
HCPCS 		Denosumab Inj 120 Mg/1.7ml 5 $3,840.52 $4,744.18 $4,292.35 nat. median
$1,973
outlier · 2.2×
71552
CPT 		Hc MRI Chest Wo/w Dye 5 $2,956.30 $3,651.90 $3,304.10 nat. median
$1,097
outlier · 3.0×
77046
CPT 		Hc MRI Breast Without Contrast Unilateral 5 $2,919.75 $3,606.75 $3,263.25 nat. median
$518
outlier · 6.3×
11772
CPT 		Hc Remv Pilonidal Lesion Complic 5 $2,875.55 $3,552.15 $3,213.85 nat. median
$3,009
1.1× median
11770
CPT 		Hc Remv Pilonidal Lesion Smpl 5 $2,875.55 $3,552.15 $3,213.85 nat. median
$2,840
1.1× median
11771
CPT 		Hc Remv Pilonidal Lesion Extens 5 $2,875.55 $3,552.15 $3,213.85 nat. median
$2,942
1.1× median
Q5110
HCPCS 		Filgrastim-aafi Soln Prefilled Syringe 300 Mcg/0.5ml 5 $2,507.46 $3,097.45 $2,802.46 nat. median
$185
outlier · 15.1×
73720
CPT 		Hc MRI-lower Ext W/wo Dye 5 $2,502.40 $3,091.20 $2,796.80 nat. median
$1,125
outlier · 2.5×
74183
CPT 		Hc MRI Abdomen W/wo Dye 5 $2,492.20 $3,078.60 $2,785.40 nat. median
$1,099
outlier · 2.5×
73220
CPT 		Hc MRI-upper Ext W/wo Dye 5 $2,486.25 $3,071.25 $2,778.75 nat. median
$1,128
outlier · 2.5×
72197
CPT 		Hc MRI Pelvis W/wo Dye 5 $2,486.25 $3,071.25 $2,778.75 nat. median
$1,063
outlier · 2.6×
71551
CPT 		Hc Chest With Contrast 5 $2,377.45 $2,936.85 $2,657.15 nat. median
$1,158
outlier · 2.3×
23625
CPT 		Hc Closed Rx Gr Tuber Hum Fx,manip 5 $2,367.25 $2,924.25 $2,645.75 nat. median
$1,834
1.4× median
23605
CPT 		Hc Closed Rx Prox Humerus Fx,manip 5 $2,367.25 $2,924.25 $2,645.75 nat. median
$1,874
1.4× median
23505
CPT 		Hc Closed Rx Clavicle Fx,manipulatn 5 $2,367.25 $2,924.25 $2,645.75 nat. median
$1,616
1.6× median
74182
CPT 		Hc MRI Abdomen With Contrast 5 $2,330.70 $2,879.10 $2,604.90 nat. median
$970
outlier · 2.7×
73723
CPT 		Hc MRI Lower Ext Joint W/wo Dye 5 $2,299.25 $2,840.25 $2,569.75 nat. median
$1,191
outlier · 2.2×
73223
CPT 		Hc MRI Upper Ext Joint W/wo Dye 5 $2,295.85 $2,836.05 $2,565.95 nat. median
$1,158
outlier · 2.2×
23930
CPT 		Hc Drain Arm Lesion 5 $2,283.95 $2,821.35 $2,552.65 nat. median
$2,855
0.9× median
10180
CPT 		Hc Wound Drainage,cmplx 5 $2,283.95 $2,821.35 $2,552.65 nat. median
$2,866
0.9× median
71550
CPT 		Hc MRI-chest Wo Dye 5 $2,170.90 $2,681.70 $2,426.30 nat. median
$820
outlier · 3.0×
70544
CPT 		Hc MRA Head Without Contrast 5 $2,101.20 $2,595.60 $2,348.40 nat. median
$824
outlier · 2.8×
70545
CPT 		Hc MRA Head With Contrast 5 $2,083.35 $2,573.55 $2,328.45 nat. median
$888
outlier · 2.6×
10121
CPT 		Hc Remove Foreign Body,cmplx 5 $2,055.30 $2,538.90 $2,297.10 nat. median
$1,665
1.4× median
72196
CPT 		Hc MRI-pelvis 5 $2,052.75 $2,535.75 $2,294.25 nat. median
$947
outlier · 2.4×
73719
CPT 		Hc Lower Ext With Contrast 5 $2,051.05 $2,533.65 $2,292.35 nat. median
$962
outlier · 2.4×
73219
CPT 		Hc Upper Ext Wdye 5 $2,031.50 $2,509.50 $2,270.50 nat. median
$953
outlier · 2.4×
70543
CPT 		Hc MRI Orbit/face/neck W/wo Dye 5 $1,960.95 $2,422.35 $2,191.65 nat. median
$1,083
outlier · 2.0×
72195
CPT 		Hc MRI Pelvis Wo Dye 5 $1,914.20 $2,364.60 $2,139.40 nat. median
$804
outlier · 2.7×
73722
CPT 		Hc MRI Lower Ext Joint With Contrast 5 $1,900.60 $2,347.80 $2,124.20 nat. median
$1,276
1.7× median
73218
CPT 		Hc MRI Upper Ext Without Contrast 5 $1,887.00 $2,331.00 $2,109.00 nat. median
$860
outlier · 2.5×
73718
CPT 		Hc MRI Lower Ext Without Contrast 5 $1,882.75 $2,325.75 $2,104.25 nat. median
$866
outlier · 2.4×
73222
CPT 		Hc MRI Upper Ext Joint With Contrast 5 $1,880.20 $2,322.60 $2,101.40 nat. median
$1,279
1.6× median
95811
CPT 		Hc Polysomnogram;sleep Stg;4+cpap 5 $1,843.65 $2,277.45 $2,060.55 nat. median
$1,894
1.1× median
77048
CPT 		Hc MRI Breast W&wo Contrast W/cad Unilateral 5 $1,838.55 $2,271.15 $2,054.85 nat. median
$913
outlier · 2.3×
77049
CPT 		Hc MRI Breast W&wo Contrast W/cad Bilateral 5 $1,830.05 $2,260.65 $2,045.35 nat. median
$968
outlier · 2.1×
23655
CPT 		Hc Closed Rx Shldr Disloc,anesthesia 5 $1,801.15 $2,224.95 $2,013.05 nat. median
$1,762
1.1× median
95810
CPT 		Hc Polysomnogram;sleep Stg;4+ 5 $1,705.95 $2,107.35 $1,906.65 nat. median
$1,827
1.0× median
72157
CPT 		Hc MRI T-spine W/wo Dye 5 $1,684.70 $2,081.10 $1,882.90 nat. median
$1,103
1.7× median
72156
CPT 		Hc MRI C-spine W/wo Dye 5 $1,681.30 $2,076.90 $1,879.10 nat. median
$1,103
1.7× median
72158
CPT 		Hc MRI L-spine W/wo Dye 5 $1,667.70 $2,060.10 $1,863.90 nat. median
$1,090
1.7× median
70553
CPT 		Hc MRI-brain W/wo Dye 5 $1,663.45 $2,054.85 $1,859.15 nat. median
$1,132
1.6× median
74181
CPT 		Hc MRI-abdomen Without Contrast 5 $1,645.60 $2,032.80 $1,839.20 nat. median
$819
outlier · 2.2×
70542
CPT 		Hc MRI Orbit/face/neck With Contrast 5 $1,637.10 $2,022.30 $1,829.70 nat. median
$923
2.0× median
J0882
HCPCS 		Darbepoetin Alfa Soln Inj 100 Mcg/ml 5 $1,636.43 $2,021.48 $1,828.95 nat. median
$122
outlier · 15.0×
74177
CPT 		Hc CT Abd/pelvis W/contrast 5 $1,575.90 $1,946.70 $1,761.30 nat. median
$972
1.8× median

Other procedures at this hospital

Browse this hospital's 19,406 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
             
J3101 HCPCS Tenecteplase For IV Soln Kit 50 Mg 10 5 $17,172.03 $17,172.03 $13,559.56 $19,311.21 $16,750.05 2026-07-14
J2506 HCPCS Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 5 5 $14,675.08 $14,675.08 $12,473.81 $15,408.83 $13,941.32 2026-07-14
27828 CPT Hc Open Rx Weightbear Tib,fix Tib/fib 5 5 $10,266.00 $10,266.00 $8,726.10 $10,779.30 $9,752.70 2026-07-14
Q5108 HCPCS Pegfilgrastim-jmdb Soln Prefilled Syringe 6 Mg/0.6ml 5 5 $5,461.00 $5,461.00 $4,641.85 $5,734.05 $5,187.95 2026-07-14
J0897 HCPCS Denosumab Inj 120 Mg/1.7ml 5 5 $4,518.27 $4,518.27 $3,840.52 $4,744.18 $4,292.35 2026-07-14
71552 CPT Hc MRI Chest Wo/w Dye 5 5 $3,478.00 $3,478.00 $2,956.30 $3,651.90 $3,304.10 2026-07-14
77046 CPT Hc MRI Breast Without Contrast Unilateral 5 5 $3,435.00 $3,435.00 $2,919.75 $3,606.75 $3,263.25 2026-07-14
11772 CPT Hc Remv Pilonidal Lesion Complic 5 5 $3,383.00 $3,383.00 $2,875.55 $3,552.15 $3,213.85 2026-07-14
11770 CPT Hc Remv Pilonidal Lesion Smpl 5 5 $3,383.00 $3,383.00 $2,875.55 $3,552.15 $3,213.85 2026-07-14
11771 CPT Hc Remv Pilonidal Lesion Extens 5 5 $3,383.00 $3,383.00 $2,875.55 $3,552.15 $3,213.85 2026-07-14
Q5110 HCPCS Filgrastim-aafi Soln Prefilled Syringe 300 Mcg/0.5ml 5 5 $2,949.96 $2,949.96 $2,507.46 $3,097.45 $2,802.46 2026-07-14
73720 CPT Hc MRI-lower Ext W/wo Dye 5 5 $2,944.00 $2,944.00 $2,502.40 $3,091.20 $2,796.80 2026-07-14
74183 CPT Hc MRI Abdomen W/wo Dye 5 5 $2,932.00 $2,932.00 $2,492.20 $3,078.60 $2,785.40 2026-07-14
73220 CPT Hc MRI-upper Ext W/wo Dye 5 5 $2,925.00 $2,925.00 $2,486.25 $3,071.25 $2,778.75 2026-07-14
72197 CPT Hc MRI Pelvis W/wo Dye 5 5 $2,925.00 $2,925.00 $2,486.25 $3,071.25 $2,778.75 2026-07-14
71551 CPT Hc Chest With Contrast 5 5 $2,797.00 $2,797.00 $2,377.45 $2,936.85 $2,657.15 2026-07-14
23625 CPT Hc Closed Rx Gr Tuber Hum Fx,manip 5 5 $2,785.00 $2,785.00 $2,367.25 $2,924.25 $2,645.75 2026-07-14
23605 CPT Hc Closed Rx Prox Humerus Fx,manip 5 5 $2,785.00 $2,785.00 $2,367.25 $2,924.25 $2,645.75 2026-07-14
23505 CPT Hc Closed Rx Clavicle Fx,manipulatn 5 5 $2,785.00 $2,785.00 $2,367.25 $2,924.25 $2,645.75 2026-07-14
74182 CPT Hc MRI Abdomen With Contrast 5 5 $2,742.00 $2,742.00 $2,330.70 $2,879.10 $2,604.90 2026-07-14
73723 CPT Hc MRI Lower Ext Joint W/wo Dye 5 5 $2,705.00 $2,705.00 $2,299.25 $2,840.25 $2,569.75 2026-07-14
73223 CPT Hc MRI Upper Ext Joint W/wo Dye 5 5 $2,701.00 $2,701.00 $2,295.85 $2,836.05 $2,565.95 2026-07-14
23930 CPT Hc Drain Arm Lesion 5 5 $2,687.00 $2,687.00 $2,283.95 $2,821.35 $2,552.65 2026-07-14
10180 CPT Hc Wound Drainage,cmplx 5 5 $2,687.00 $2,687.00 $2,283.95 $2,821.35 $2,552.65 2026-07-14
71550 CPT Hc MRI-chest Wo Dye 5 5 $2,554.00 $2,554.00 $2,170.90 $2,681.70 $2,426.30 2026-07-14
70544 CPT Hc MRA Head Without Contrast 5 5 $2,472.00 $2,472.00 $2,101.20 $2,595.60 $2,348.40 2026-07-14
70545 CPT Hc MRA Head With Contrast 5 5 $2,451.00 $2,451.00 $2,083.35 $2,573.55 $2,328.45 2026-07-14
10121 CPT Hc Remove Foreign Body,cmplx 5 5 $2,418.00 $2,418.00 $2,055.30 $2,538.90 $2,297.10 2026-07-14
72196 CPT Hc MRI-pelvis 5 5 $2,415.00 $2,415.00 $2,052.75 $2,535.75 $2,294.25 2026-07-14
73719 CPT Hc Lower Ext With Contrast 5 5 $2,413.00 $2,413.00 $2,051.05 $2,533.65 $2,292.35 2026-07-14
73219 CPT Hc Upper Ext Wdye 5 5 $2,390.00 $2,390.00 $2,031.50 $2,509.50 $2,270.50 2026-07-14
70543 CPT Hc MRI Orbit/face/neck W/wo Dye 5 5 $2,307.00 $2,307.00 $1,960.95 $2,422.35 $2,191.65 2026-07-14
72195 CPT Hc MRI Pelvis Wo Dye 5 5 $2,252.00 $2,252.00 $1,914.20 $2,364.60 $2,139.40 2026-07-14
73722 CPT Hc MRI Lower Ext Joint With Contrast 5 5 $2,236.00 $2,236.00 $1,900.60 $2,347.80 $2,124.20 2026-07-14
73218 CPT Hc MRI Upper Ext Without Contrast 5 5 $2,220.00 $2,220.00 $1,887.00 $2,331.00 $2,109.00 2026-07-14
73718 CPT Hc MRI Lower Ext Without Contrast 5 5 $2,215.00 $2,215.00 $1,882.75 $2,325.75 $2,104.25 2026-07-14
73222 CPT Hc MRI Upper Ext Joint With Contrast 5 5 $2,212.00 $2,212.00 $1,880.20 $2,322.60 $2,101.40 2026-07-14
95811 CPT Hc Polysomnogram;sleep Stg;4+cpap 5 5 $2,169.00 $2,169.00 $1,843.65 $2,277.45 $2,060.55 2026-07-14
77048 CPT Hc MRI Breast W&wo Contrast W/cad Unilateral 5 5 $2,163.00 $2,163.00 $1,838.55 $2,271.15 $2,054.85 2026-07-14
77049 CPT Hc MRI Breast W&wo Contrast W/cad Bilateral 5 5 $2,153.00 $2,153.00 $1,830.05 $2,260.65 $2,045.35 2026-07-14
23655 CPT Hc Closed Rx Shldr Disloc,anesthesia 5 5 $2,119.00 $2,119.00 $1,801.15 $2,224.95 $2,013.05 2026-07-14
95810 CPT Hc Polysomnogram;sleep Stg;4+ 5 5 $2,007.00 $2,007.00 $1,705.95 $2,107.35 $1,906.65 2026-07-14
72157 CPT Hc MRI T-spine W/wo Dye 5 5 $1,982.00 $1,982.00 $1,684.70 $2,081.10 $1,882.90 2026-07-14
72156 CPT Hc MRI C-spine W/wo Dye 5 5 $1,978.00 $1,978.00 $1,681.30 $2,076.90 $1,879.10 2026-07-14
72158 CPT Hc MRI L-spine W/wo Dye 5 5 $1,962.00 $1,962.00 $1,667.70 $2,060.10 $1,863.90 2026-07-14
70553 CPT Hc MRI-brain W/wo Dye 5 5 $1,957.00 $1,957.00 $1,663.45 $2,054.85 $1,859.15 2026-07-14
74181 CPT Hc MRI-abdomen Without Contrast 5 5 $1,936.00 $1,936.00 $1,645.60 $2,032.80 $1,839.20 2026-07-14
70542 CPT Hc MRI Orbit/face/neck With Contrast 5 5 $1,926.00 $1,926.00 $1,637.10 $2,022.30 $1,829.70 2026-07-14
J0882 HCPCS Darbepoetin Alfa Soln Inj 100 Mcg/ml 5 5 $1,925.22 $1,925.22 $1,636.43 $2,021.48 $1,828.95 2026-07-14
74177 CPT Hc CT Abd/pelvis W/contrast 5 5 $1,854.00 $1,854.00 $1,575.90 $1,946.70 $1,761.30 2026-07-14
74178 CPT Hc CT Abd/pelvis W/o&w Contrast 5 5 $1,854.00 $1,854.00 $1,575.90 $1,946.70 $1,761.30 2026-07-14
70336 CPT Hc MRI-tmj 5 5 $1,854.00 $1,854.00 $1,575.90 $1,946.70 $1,761.30 2026-07-14
81170 CPT Nc Abl1 Gene 5 5 $1,803.00 $1,803.00 $1,532.55 $1,893.15 $1,712.85 2026-07-14
71275 CPT Hc CTA Chest 5 5 $1,797.00 $1,797.00 $1,527.45 $1,886.85 $1,707.15 2026-07-14
10081 CPT Hc I & D Pilonidal Cyst,cmplx 5 5 $1,769.00 $1,769.00 $1,503.65 $1,857.45 $1,680.55 2026-07-14
10140 CPT Hc Drainage Of Hematoma/fluid 5 5 $1,769.00 $1,769.00 $1,503.65 $1,857.45 $1,680.55 2026-07-14
72142 CPT Hc MRI-cervical With Contrast 5 5 $1,756.00 $1,756.00 $1,492.60 $1,843.80 $1,668.20 2026-07-14
70482 CPT Hc CT Orbits/fossa/sella/iac W/wo Contrast 5 5 $1,751.00 $1,751.00 $1,488.35 $1,838.55 $1,663.45 2026-07-14
70540 CPT Hc MRI-orbit/face/neck Without Contrast 5 5 $1,751.00 $1,751.00 $1,488.35 $1,838.55 $1,663.45 2026-07-14
72147 CPT Hc MRI-thoracic With Contrast 5 5 $1,741.00 $1,741.00 $1,479.85 $1,828.05 $1,653.95 2026-07-14
72149 CPT Hc MRI-lumbar With Contrast 5 5 $1,727.00 $1,727.00 $1,467.95 $1,813.35 $1,640.65 2026-07-14
70552 CPT Hc MRI-brain With Contrast 5 5 $1,720.00 $1,720.00 $1,462.00 $1,806.00 $1,634.00 2026-07-14
95805 CPT Hc Mslt 5 5 $1,638.00 $1,638.00 $1,392.30 $1,719.90 $1,556.10 2026-07-14
26746 CPT Pr Open Tx Articular Fracture Mcp/ip Joint Ea 5 5 $1,592.00 $1,592.00 $1,353.20 $1,671.60 $1,512.40 2026-07-14
23931 CPT Pr Incision&drainage Upper Arm/elbow Bursa 10 5 $1,659.00 $1,659.00 $536.35 $2,821.35 $1,473.25 2026-07-14
70481 CPT Hc CT Orbits/fossa/sella/iac W/contrast 5 5 $1,545.00 $1,545.00 $1,313.25 $1,622.25 $1,467.75 2026-07-14
72127 CPT Hc CT Spine Cervical W/wo Dye 5 5 $1,545.00 $1,545.00 $1,313.25 $1,622.25 $1,467.75 2026-07-14
20103 CPT Pr Exploration Penetrating Wound Spx Extremity 10 5 $1,524.00 $1,524.00 $1,087.15 $1,857.45 $1,423.30 2026-07-14
74170 CPT Hc CT Abd W/wo Dye 5 5 $1,478.00 $1,478.00 $1,256.30 $1,551.90 $1,404.10 2026-07-14
26951 CPT Pr Amp F/th 1/2 Jt/phalanx W/neurect W/dir Clsr 5 5 $1,408.00 $1,408.00 $1,196.80 $1,478.40 $1,337.60 2026-07-14
J0248 HCPCS Remdesivir For IV Soln 100 Mg 5 5 $1,384.20 $1,384.20 $1,176.57 $1,453.41 $1,314.99 2026-07-14
72126 CPT Hc CT Spine Cervical With Contrast 5 5 $1,339.00 $1,339.00 $1,138.15 $1,405.95 $1,272.05 2026-07-14
70480 CPT Hc CT Orbits/fossa/sella/iac 5 5 $1,313.00 $1,313.00 $1,116.05 $1,378.65 $1,247.35 2026-07-14
77047 CPT Hc MRI Breast Without Contrast Bilateral 5 5 $1,305.00 $1,305.00 $1,109.25 $1,370.25 $1,239.75 2026-07-14
87507 CPT Nc Ladna-dna/rna Probe Tq 12-25 5 5 $1,288.00 $1,288.00 $1,094.80 $1,352.40 $1,223.60 2026-07-14
J1442 HCPCS Filgrastim Inj 480 Mcg/1.6ml (300 Mcg/ml) 10 5 $1,310.83 $1,310.83 $743.00 $1,834.90 $1,201.61 2026-07-14
73721 CPT Hc MRI-lower Ext Joint Without Contrast 5 5 $1,259.00 $1,259.00 $1,070.15 $1,321.95 $1,196.05 2026-07-14
73221 CPT Hc MRI-upper Ext Joint Without Contrast 5 5 $1,259.00 $1,259.00 $1,070.15 $1,321.95 $1,196.05 2026-07-14
72194 CPT Hc CT Pelvis W/wo Dye 5 5 $1,251.00 $1,251.00 $1,063.35 $1,313.55 $1,188.45 2026-07-14
71270 CPT Hc CT Thorax W+wo Contrast 5 5 $1,249.00 $1,249.00 $1,061.65 $1,311.45 $1,186.55 2026-07-14
72132 CPT Hc CT Spine Lumbar With Contrast 5 5 $1,236.00 $1,236.00 $1,050.60 $1,297.80 $1,174.20 2026-07-14
73702 CPT Hc CT Lower Extrem W/wo Dye 5 5 $1,229.00 $1,229.00 $1,044.65 $1,290.45 $1,167.55 2026-07-14
73202 CPT Hc CT Upper Extrem W/wo Dye 5 5 $1,227.00 $1,227.00 $1,042.95 $1,288.35 $1,165.65 2026-07-14
11044 CPT Hc Debride Tissue/muscle/bone 5 5 $1,195.00 $1,195.00 $1,015.75 $1,254.75 $1,135.25 2026-07-14
74160 CPT Hc CT Abd With Contrast 5 5 $1,193.00 $1,193.00 $1,014.05 $1,252.65 $1,133.35 2026-07-14
70488 CPT Hc CT Maxilofacial W/wo Dye 5 5 $1,187.00 $1,187.00 $1,008.95 $1,246.35 $1,127.65 2026-07-14
70551 CPT Hc MRI-brain/brain Stem 5 5 $1,169.00 $1,169.00 $993.65 $1,227.45 $1,110.55 2026-07-14
81208 CPT Nc Bcr/abl 1 Gene Other 5 5 $1,154.00 $1,154.00 $980.90 $1,211.70 $1,096.30 2026-07-14
Q0138 HCPCS Ferumoxytol Inj 510 Mg/17ml (30 Mg/ml) (Elemental Fe) 5 5 $1,131.50 $1,131.50 $961.77 $1,188.07 $1,074.92 2026-07-14
71260 CPT Hc CT Thorax W Contrast 5 5 $1,130.00 $1,130.00 $960.50 $1,186.50 $1,073.50 2026-07-14
72146 CPT Hc MRI-t-spine Without Contrast 5 5 $1,121.00 $1,121.00 $952.85 $1,177.05 $1,064.95 2026-07-14
72141 CPT Hc MRI-c-spine Without Contrast 5 5 $1,118.00 $1,118.00 $950.30 $1,173.90 $1,062.10 2026-07-14
72148 CPT Hc MRI-l-spine Without Contrast 5 5 $1,110.00 $1,110.00 $943.50 $1,165.50 $1,054.50 2026-07-14
70492 CPT Hc CT Soft Tissue Neck W/wo Dye 5 5 $1,104.00 $1,104.00 $938.40 $1,159.20 $1,048.80 2026-07-14
72193 CPT Hc CT Pelvis With Contrast 5 5 $1,090.00 $1,090.00 $926.50 $1,144.50 $1,035.50 2026-07-14
19120 CPT Pr Exc Cyst/aberrant Breast Tissue Open 1/> Lesion 5 5 $1,070.00 $1,070.00 $909.50 $1,123.50 $1,016.50 2026-07-14
72129 CPT Hc CT Spine Thoracic With Contrast 5 5 $992.00 $992.00 $843.20 $1,041.60 $942.40 2026-07-14
70470 CPT Hc CT Brain W/wo Contrast 5 5 $988.00 $988.00 $839.80 $1,037.40 $938.60 2026-07-14
70491 CPT Hc CT Soft Tissue Neck With Contrast 5 5 $986.00 $986.00 $838.10 $1,035.30 $936.70 2026-07-14
92960 CPT Hc Cardioversion 5 5 $976.00 $976.00 $829.60 $1,024.80 $927.20 2026-07-14
36589 CPT Hc Remove Cv Access Device Without Port 5 5 $968.00 $968.00 $822.80 $1,016.40 $919.60 2026-07-14
25565 CPT Pr Closed Tx Radial&ulnar Shaft Fractures W/mnpj 10 5 $974.00 $974.00 $691.05 $1,191.75 $909.20 2026-07-14
202U OTHER Nc Infectious Disease, Patho Spec 22 Targets - R 5 5 $954.00 $954.00 $810.90 $1,001.70 $906.30 2026-07-14
70487 CPT Hc CT Maxilofacial W/contrast 5 5 $950.00 $950.00 $807.50 $997.50 $902.50 2026-07-14
25505 CPT Pr Closed Tx Radial Shaft Fracture W/manipulation 10 5 $954.00 $954.00 $691.05 $1,149.75 $892.20 2026-07-14
73701 CPT Hc CT Lower Extrem With Contrast 5 5 $928.00 $928.00 $788.80 $974.40 $881.60 2026-07-14
72125 CPT Hc CT Spine Cervical Without Contrast 5 5 $927.00 $927.00 $787.95 $973.35 $880.65 2026-07-14
74176 CPT Hc CT Abd/pelvis Without Contrast 5 5 $927.00 $927.00 $787.95 $973.35 $880.65 2026-07-14
73201 CPT Hc CT Upper Extrem With Contrast 5 5 $922.00 $922.00 $783.70 $968.10 $875.90 2026-07-14
72131 CPT Hc CT Spine Lumbar Without Contrast 5 5 $911.00 $911.00 $774.35 $956.55 $865.45 2026-07-14
70450 CPT Hc CT Brain Without Contrast 5 5 $911.00 $911.00 $774.35 $956.55 $865.45 2026-07-14
71250 CPT Hc CT Thorax Wo Contrast 5 5 $911.00 $911.00 $774.35 $956.55 $865.45 2026-07-14
81206 CPT Nc Bcr/abl 1,p210 Mrna 5 5 $906.00 $906.00 $770.10 $951.30 $860.70 2026-07-14
72192 CPT Hc CT Pelvis Without Contrast 5 5 $901.00 $901.00 $765.85 $946.05 $855.95 2026-07-14
26645 CPT Pr Cltx Carpo/metacarpal Fx Dislc Thumb W/manj 10 5 $869.00 $869.00 $691.05 $971.25 $853.65 2026-07-14
99291 CPT Pr Critical Care Ill/injured Patient Init 30-74 Min 10 5 $934.00 $934.00 $472.60 $1,377.60 $849.50 2026-07-14
74150 CPT Hc CT Abd Without Contrast 5 5 $863.00 $863.00 $733.55 $906.15 $819.85 2026-07-14
93925 CPT Hc Duplex Lower Extremity 5 5 $860.00 $860.00 $731.00 $903.00 $817.00 2026-07-14
28190 CPT Pr Removal Foreign Body Foot Subcutaneous 10 5 $884.50 $884.50 $486.20 $1,256.85 $809.03 2026-07-14
70460 CPT Hc CT Brain W/contrast 5 5 $846.00 $846.00 $719.10 $888.30 $803.70 2026-07-14
P9040 HCPCS Nc Leukoreduced Irradiated Rbcs 5 5 $839.00 $839.00 $713.15 $880.95 $797.05 2026-07-14
J9217 HCPCS Pr Leuprolide Acetate Suspnsion 5 5 $828.00 $828.00 $703.80 $869.40 $786.60 2026-07-14
G0378 HCPCS Hc Hourly Observation 10 5 $798.50 $798.50 $634.95 $892.50 $784.35 2026-07-14
72128 CPT Hc CT Spine Thoracic Without Contrast 5 5 $820.00 $820.00 $697.00 $861.00 $779.00 2026-07-14
23665 CPT Hc Closed Rx Shldr Disloc,gr Tub Fx 5 5 $813.00 $813.00 $691.05 $853.65 $772.35 2026-07-14
23520 CPT Hc Treat Clavicle Disloc W/out Man 5 5 $813.00 $813.00 $691.05 $853.65 $772.35 2026-07-14
23545 CPT Hc Closed Rx A-c Jt Disloc,manipulatn 5 5 $813.00 $813.00 $691.05 $853.65 $772.35 2026-07-14
23575 CPT Hc Closed Rx Scapula Fx,manipulatn 5 5 $813.00 $813.00 $691.05 $853.65 $772.35 2026-07-14
23525 CPT Hc Treat Clavicle Disloc W/man 5 5 $813.00 $813.00 $691.05 $853.65 $772.35 2026-07-14
12020 CPT Hc Closure Superf Wnd Dehis Smpl 5 5 $802.00 $802.00 $681.70 $842.10 $761.90 2026-07-14
27560 CPT Pr Closed Tx Patellar Dislocation Without Anesthesia 5 5 $798.00 $798.00 $678.30 $837.90 $758.10 2026-07-14
81207 CPT Nc Bcr/abl 1 Gene Minor 5 5 $783.00 $783.00 $665.55 $822.15 $743.85 2026-07-14
70486 CPT Hc CT Facial Bones Without Contrast 5 5 $775.00 $775.00 $658.75 $813.75 $736.25 2026-07-14
93306 CPT Hc Tte W/doppler Complete 5 5 $765.00 $765.00 $650.25 $803.25 $726.75 2026-07-14
13120 CPT Pr Repair Complex Scalp/arm/leg 1.1-2.5 Cm 5 5 $763.00 $763.00 $648.55 $801.15 $724.85 2026-07-14
93970 CPT Hc Venous Imaging 5 5 $753.00 $753.00 $640.05 $790.65 $715.35 2026-07-14
73700 CPT Hc CT Lower Extrem Without Contrast 5 5 $748.00 $748.00 $635.80 $785.40 $710.60 2026-07-14
L2114 HCPCS Nc Ankle Walker 5 5 $747.00 $747.00 $634.95 $784.35 $709.65 2026-07-14
73200 CPT Hc CT Upper Extrem Without Contrast 5 5 $745.00 $745.00 $633.25 $782.25 $707.75 2026-07-14
70490 CPT Hc CT Soft Tissue Neck Without Contrast 5 5 $740.00 $740.00 $629.00 $777.00 $703.00 2026-07-14
27808 CPT Pr Closed Tx Bimalleolar Ankle Fracture Without Manj 5 5 $736.00 $736.00 $625.60 $772.80 $699.20 2026-07-14
81329 CPT Nc Smn1 Gene Dos/deletion Alys 5 5 $726.00 $726.00 $617.10 $762.30 $689.70 2026-07-14
P9038 HCPCS Nc Rbc Irradiated 5 5 $721.00 $721.00 $612.85 $757.05 $684.95 2026-07-14
26700 CPT Pr Cltx Metacarpophalangeal Dislc W/manj Without Anes 5 5 $707.00 $707.00 $600.95 $742.35 $671.65 2026-07-14
24560 CPT Pr Cltx Humeral Epicondylar Fx Medial/lat Without Mnpj 5 5 $706.00 $706.00 $600.10 $741.30 $670.70 2026-07-14
93880 CPT Hc Carotid Doppler 5 5 $705.00 $705.00 $599.25 $740.25 $669.75 2026-07-14
13121 CPT Pr Repair Complex Scalp/arm/leg 2.6-7.5 Cm 10 5 $721.50 $721.50 $435.20 $977.55 $664.48 2026-07-14
27530 CPT Pr Cltx Tibial Fx Proximal Without Manipulation 5 5 $698.00 $698.00 $593.30 $732.90 $663.10 2026-07-14
11012 CPT Hc Debride Skin/muscle/bone,fx 5 5 $686.00 $686.00 $583.10 $720.30 $651.70 2026-07-14
11755 CPT Hc Biopsy Of Nail Unit 5 5 $686.00 $686.00 $583.10 $720.30 $651.70 2026-07-14
11011 CPT Hc Debride Skin/muscle,fx 5 5 $686.00 $686.00 $583.10 $720.30 $651.70 2026-07-14
11010 CPT Hc Debirde Skin,fx 5 5 $686.00 $686.00 $583.10 $720.30 $651.70 2026-07-14
87153 CPT Nc Dna/rna Sequencing - R 5 5 $676.00 $676.00 $574.60 $709.80 $642.20 2026-07-14
25622 CPT Pr Closed Tx Carpal Scaphoid Fracture Without Mnpj 5 5 $668.00 $668.00 $567.80 $701.40 $634.60 2026-07-14
25630 CPT Pr Cltx Carpal Bone Fx Without Mnpj Each Bone 5 5 $666.00 $666.00 $566.10 $699.30 $632.70 2026-07-14
13131 CPT Pr Repair Complex F/c/c/m/n/ax/g/h/f 1.1-2.5 Cm 10 5 $675.00 $675.00 $435.20 $879.90 $624.95 2026-07-14
J2248 HCPCS Micafungin Sodium For IV Soln 100 Mg 5 5 $650.41 $650.41 $552.84 $682.93 $617.88 2026-07-14
99285 CPT Pr Emergency Department Visit High Mdm 10 5 $680.50 $680.50 $328.10 $1,023.75 $617.02 2026-07-14
71271 CPT Hc Ldct For Lung Cancer Screen 5 5 $649.00 $649.00 $551.65 $681.45 $616.55 2026-07-14
81376 CPT Nc Hla Ii Typing 1 Locus Lr 5 5 $644.00 $644.00 $547.40 $676.20 $611.80 2026-07-14
93978 CPT Hc Abd Vasculature Duplex 5 5 $633.00 $633.00 $538.05 $664.65 $601.35 2026-07-14
25560 CPT Pr Closed Tx Radial&ulnar Shaft Fractures Without Mnpj 5 5 $610.00 $610.00 $518.50 $640.50 $579.50 2026-07-14
93976 CPT Hc Duplex Abd Organ Follow Up 5 5 $594.00 $594.00 $504.90 $623.70 $564.30 2026-07-14
12034 CPT Pr Repair Intermediate S/a/t/e 7.6-12.5 Cm 10 5 $597.00 $597.00 $435.20 $716.10 $558.65 2026-07-14
12032 CPT Pr Repair Intermediate S/a/t/e 2.6-7.5 Cm 10 5 $588.50 $588.50 $435.20 $698.25 $551.42 2026-07-14
25530 CPT Pr Closed Tx Ulnar Shaft Fracture Without Manipulation 5 5 $575.00 $575.00 $488.75 $603.75 $546.25 2026-07-14
11750 CPT Pr Excision Nail&nail Matrix Prtl/compl Perm Rmvl 10 5 $584.50 $584.50 $410.55 $720.30 $545.12 2026-07-14
12052 CPT Pr Repair Intermediate F/e/e/n/l&/muc 2.6-5.0 Cm 10 5 $577.00 $577.00 $435.20 $674.10 $541.65 2026-07-14
12051 CPT Pr Repair Intermediate F/e/e/n/l&/muc 2.5 Cm/< 10 5 $538.50 $538.50 $435.20 $593.25 $536.75 2026-07-14
25065 CPT Pr Biopsy Soft Tissue Forearm&/wrist Superficial 5 5 $563.00 $563.00 $478.55 $591.15 $534.85 2026-07-14
11622 CPT Pr Excision Malignant Lesion S/n/h/f/g 1.1-2.0 Cm 5 5 $560.00 $560.00 $476.00 $588.00 $532.00 2026-07-14
20520 CPT Pr Removal Foreign Body Muscle/tendon Sheath Simple 10 5 $565.50 $565.50 $378.25 $720.30 $525.17 2026-07-14
12047 CPT Hc Layr Clos Wnd Rest Body >30cm 5 5 $551.00 $551.00 $468.35 $578.55 $523.45 2026-07-14
12057 CPT Hc Layr Clos Wnd Face,facial >30cm 5 5 $551.00 $551.00 $468.35 $578.55 $523.45 2026-07-14
76380 CPT Hc CT Limited Or Localized Follow-up Study 5 5 $540.00 $540.00 $459.00 $567.00 $513.00 2026-07-14
12031 CPT Pr Repair Intermediate S/a/t/e 2.5 Cm/< 10 5 $516.50 $516.50 $435.20 $547.05 $494.95 2026-07-14
93971 CPT Hc Unilat/ltd Venous 5 5 $520.00 $520.00 $442.00 $546.00 $494.00 2026-07-14
11641 CPT Pr Excision Malignant Lesion F/e/e/n/l 0.6-1.0 Cm 5 5 $520.00 $520.00 $442.00 $546.00 $494.00 2026-07-14
92612 CPT Hc Endoscopy Swallow Test 5 5 $515.00 $515.00 $437.75 $540.75 $489.25 2026-07-14
11621 CPT Pr Excision Malignant Lesion S/n/h/f/g 0.6-1.0 Cm 5 5 $514.00 $514.00 $436.90 $539.70 $488.30 2026-07-14
12056 CPT Hc Layr Clos Wnd Face,facial 20.1-30 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12055 CPT Hc Layr Clos Wnd Face,facial 12.6-20 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12053 CPT Hc Layr Clos Wnd Face,facial 5.1-7.5 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12045 CPT Hc Layr Clos Wnd Rest Body 12.6-20 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12044 CPT Hc Layr Clos Wnd Rest Body 7.6-12.5 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12042 CPT Hc Layr Clos Wnd Rest Body 2.6-7.5 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12037 CPT Hc Layr Clos Wnd Trunk,arm,leg >30cm 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12036 CPT Hc Layr Clos Wnd Trunk,arm,leg 20.1-30 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12035 CPT Hc Layr Clos Wnd Trunk,arm,leg 12.6-20 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12021 CPT Hc Closure Superf Wnd Dehis W Packing 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12018 CPT Hc Repr Superf Wnd Face >30cm 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
12046 CPT Hc Layr Clos Wnd Rest Body 20.1-30 5 5 $512.00 $512.00 $435.20 $537.60 $486.40 2026-07-14
26725 CPT Pr Cltx Phlngl Fx Prox/middle Px/f/t W/manj Ea 10 5 $531.00 $531.00 $277.95 $771.75 $484.05 2026-07-14
24500 CPT Pr Cltx Humeral Shaft Fracture Without Manipulation 10 5 $526.50 $526.50 $230.35 $821.10 $474.62 2026-07-14
11601 CPT Pr Excision Mal Lesion Trunk/arm/leg 0.6-1.0 Cm 5 5 $499.00 $499.00 $424.15 $523.95 $474.05 2026-07-14
86481 CPT Nc Qft4 Elisa 5 5 $489.00 $489.00 $415.65 $513.45 $464.55 2026-07-14
27750 CPT Pr Cltx Tibial Shaft Fx Without Manipulation 10 5 $514.50 $514.50 $230.35 $795.90 $464.42 2026-07-14
P9016 HCPCS Nc Leukocyte Reduced Red Blood Cells 10 5 $494.00 $494.00 $315.35 $647.85 $457.00 2026-07-14
71111 CPT Hc Ribs Bilat W/pa Chest 4 Views 5 5 $475.00 $475.00 $403.75 $498.75 $451.25 2026-07-14
10120 CPT Pr Incision & Removal Foreign Body Subq Tiss Simple 10 5 $477.50 $477.50 $361.25 $556.50 $448.38 2026-07-14
25600 CPT Pr Cltx Dstl Radial Fx/epiphysl Sep Without Mnpj 10 5 $495.50 $495.50 $230.35 $756.00 $448.27 2026-07-14
23600 CPT Pr Cltx Proximal Humeral Fracture Without Manipulation 10 5 $494.00 $494.00 $230.35 $752.85 $447.00 2026-07-14
99284 CPT Pr Emergency Department Visit Moderate Mdm 10 5 $489.50 $489.50 $227.80 $746.55 $442.88 2026-07-14
99245 CPT Pr Office/op Consltj New/est Pt High Mdm 55 Minutes 5 5 $461.00 $461.00 $391.85 $484.05 $437.95 2026-07-14
27786 CPT Pr Cltx Dstl Fibular Fx Lat Malls Without Manj 10 5 $483.00 $483.00 $230.35 $729.75 $437.65 2026-07-14
23650 CPT Pr Clsd Tx Shoulder Dislc W/manipulation Without Anes 10 5 $479.50 $479.50 $230.35 $722.40 $434.67 2026-07-14
26755 CPT Pr Cltx Dstl Phlngl Fx Fngr/thmb W/manj Ea 10 5 $479.00 $479.00 $230.35 $721.35 $434.25 2026-07-14
24670 CPT Pr Closed Tx Ulnar Fracture Proximal End Without Mnpj 10 5 $473.50 $473.50 $262.65 $669.90 $433.38 2026-07-14
99345 CPT Pr Home/res Visit New Patient High Mdm 75 Minutes 5 5 $456.00 $456.00 $387.60 $478.80 $433.20 2026-07-14
Q5125 HCPCS Filgrastim-ayow Soln Prefilled Syringe 300 Mcg/0.5ml 5 5 $453.20 $453.20 $385.22 $475.86 $430.54 2026-07-14
99236 CPT Pr Hospital Ip/obs Care Same Date High Mdm 85 Min 5 5 $453.00 $453.00 $385.05 $475.65 $430.35 2026-07-14
19000 CPT Pr Puncture Aspiration Cyst Of Breast 10 5 $473.00 $473.00 $207.40 $737.10 $426.45 2026-07-14
92950 CPT Pr Cardiopulmonary Resuscitation 10 5 $464.50 $464.50 $232.05 $688.80 $422.12 2026-07-14
11640 CPT Pr Excision Malignant Lesion F/e/e/n/l 0.5 Cm/< 5 5 $440.00 $440.00 $374.00 $462.00 $418.00 2026-07-14
26600 CPT Pr Cltx Metacarpal Fx Without Manipulation Each Bone 10 5 $458.00 $458.00 $230.35 $677.25 $416.40 2026-07-14
87801 CPT Nc Herpes & V Zoster Pcr 5 5 $438.00 $438.00 $372.30 $459.90 $416.10 2026-07-14
36430 CPT Hc Blood Admin 2+ Hrs 5 5 $438.00 $438.00 $372.30 $459.90 $416.10 2026-07-14
25500 CPT Pr Closed Tx Radial Shaft Fracture Without Manipulation 10 5 $452.00 $452.00 $262.65 $624.75 $415.10 2026-07-14
J1670 HCPCS Tetanus Immune Globulin (Human) IM Soln Pref Syr 250 Unit/ML 5 5 $436.80 $436.80 $371.28 $458.64 $414.96 2026-07-14
99205 CPT Pr Office/outpatient New High Mdm 60 Minutes 5 5 $435.00 $435.00 $369.75 $456.75 $413.25 2026-07-14
11000 CPT Hc Debride Infected Skin 5 5 $425.00 $425.00 $361.25 $446.25 $403.75 2026-07-14
11043 CPT Hc Debride Tissue/muscle 5 5 $425.00 $425.00 $361.25 $446.25 $403.75 2026-07-14
11042 CPT Hc Debride Skin/tissue 5 5 $425.00 $425.00 $361.25 $446.25 $403.75 2026-07-14
99255 CPT Pr Ip/obs Consltj New/est Pt High Mdm 80 Minutes 5 5 $424.00 $424.00 $360.40 $445.20 $402.80 2026-07-14
81256 CPT Nc Hfe Hemochromatosis Hfe Gene Analysis (whole Blood-edta) 5 5 $424.00 $424.00 $360.40 $445.20 $402.80 2026-07-14
99223 CPT Pr 1st Hospital Ip/obs Care High Mdm 75 Minutes 5 5 $422.00 $422.00 $358.70 $443.10 $400.90 2026-07-14
26770 CPT Pr Cltx Iphal Jt Dislc W/manj Without Anes 10 5 $438.00 $438.00 $230.35 $635.25 $399.40 2026-07-14
11403 CPT Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm 5 5 $417.00 $417.00 $354.45 $437.85 $396.15 2026-07-14
J2997 HCPCS Alteplase For Inj 2 Mg 5 5 $415.48 $415.48 $353.15 $436.25 $394.70 2026-07-14
96360 CPT Hc Hydration IV Infusion,init 5 5 $412.00 $412.00 $350.20 $432.60 $391.40 2026-07-14
77066 CPT Hc Diagnostic Mammo Cad Bilateral 5 5 $412.00 $412.00 $350.20 $432.60 $391.40 2026-07-14
76706 CPT Hc Ultrasound Exam Aaa Screen 5 5 $412.00 $412.00 $350.20 $432.60 $391.40 2026-07-14
76536 CPT Hc US Exam Head/neck 5 5 $412.00 $412.00 $350.20 $432.60 $391.40 2026-07-14
G0390 HCPCS Hc Level Ii Trauma 5 5 $412.00 $412.00 $350.20 $432.60 $391.40 2026-07-14
76830 CPT Hc US Transvaginal 5 5 $412.00 $412.00 $350.20 $432.60 $391.40 2026-07-14
92523 CPT Hc Eval Of Speech Sound Lang Comprehen 5 5 $412.00 $412.00 $350.20 $432.60 $391.40 2026-07-14
11442 CPT Pr Exc B9 Les Mrgn Xcp Sk Tg F/e/e/n/l/m 1.1-2.0cm 5 5 $410.00 $410.00 $348.50 $430.50 $389.50 2026-07-14
76872 CPT Hc Prostate Transrectal 5 5 $406.00 $406.00 $345.10 $426.30 $385.70 2026-07-14
77067 CPT Hc Screening Mammo Cad Bilateral 5 5 $397.00 $397.00 $337.45 $416.85 $377.15 2026-07-14
83013 CPT Nc H Pylori Breath Test - R 5 5 $394.00 $394.00 $334.90 $413.70 $374.30 2026-07-14
81241 CPT Nc F5 Gene Leiden Var 5 5 $391.00 $391.00 $332.35 $410.55 $371.45 2026-07-14
27200 CPT Pr Closed Treatment Coccygeal Fracture 5 5 $391.00 $391.00 $332.35 $410.55 $371.45 2026-07-14
96365 CPT Hc Ther/proph/diag IV Inf,init 5 5 $391.00 $391.00 $332.35 $410.55 $371.45 2026-07-14
17281 CPT Pr Destruction Mal Lesion F/e/e/n/l/m 0.6-1.0cm 5 5 $388.00 $388.00 $329.80 $407.40 $368.60 2026-07-14
29710 CPT Hc Remove Cast Shoulder/hip 5 5 $386.00 $386.00 $328.10 $405.30 $366.70 2026-07-14
29435 CPT Hc Apply Patella Tendon Bearing Cast 5 5 $386.00 $386.00 $328.10 $405.30 $366.70 2026-07-14
29365 CPT Hc Apply Long Leg Cast,cylinder 5 5 $386.00 $386.00 $328.10 $405.30 $366.70 2026-07-14
29425 CPT Hc Apply Short Leg Cast,walker 5 5 $386.00 $386.00 $328.10 $405.30 $366.70 2026-07-14
29355 CPT Hc Apply Long Leg Cast,walker 5 5 $386.00 $386.00 $328.10 $405.30 $366.70 2026-07-14
29325 CPT Hc Apply Hip Casts 5 5 $386.00 $386.00 $328.10 $405.30 $366.70 2026-07-14
29358 CPT Hc Apply Long Leg Cast Brace 5 5 $386.00 $386.00 $328.10 $405.30 $366.70 2026-07-14
29305 CPT Hc Apply Hip Cast 5 5 $386.00 $386.00 $328.10 $405.30 $366.70 2026-07-14
29445 CPT Hc Apply Rigid Leg Cast 5 5 $386.00 $386.00 $328.10 $405.30 $366.70 2026-07-14
J2290 HCPCS Nafcillin Sodium For IV Soln 10 Gm 5 5 $385.02 $385.02 $327.26 $404.27 $365.76 2026-07-14
11422 CPT Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 1.1-2.0cm 5 5 $383.00 $383.00 $325.55 $402.15 $363.85 2026-07-14
28430 CPT Pr Closed Tx Talus Fracture Without Manipulation 10 5 $395.50 $395.50 $230.35 $546.00 $363.27 2026-07-14
86480 CPT Nc TB Test Cell Immun Measure 5 5 $381.00 $381.00 $323.85 $400.05 $361.95 2026-07-14
99344 CPT Pr Home/res Visit New Patient Mod Mdm 60 Minutes 5 5 $380.00 $380.00 $323.00 $399.00 $361.00 2026-07-14
99244 CPT Pr Office/op Consltj New/est Pt Mod Mdm 40 Minutes 5 5 $378.00 $378.00 $321.30 $396.90 $359.10 2026-07-14
23570 CPT Pr Closed Tx Scapular Fracture Without Manipulation 10 5 $388.50 $388.50 $230.35 $531.30 $357.33 2026-07-14
87637 CPT Nc Acute Resp Syndrome Coronavirus 2 5 5 $376.00 $376.00 $319.60 $394.80 $357.20 2026-07-14
26720 CPT Pr Cltx Phlngl Fx Prox/middle Px/f/t Without Manj Ea 10 5 $381.50 $381.50 $277.95 $457.80 $356.98 2026-07-14
45331 CPT Pr Sigmoidoscopy Flx W/biopsy Single/multiple 5 5 $374.00 $374.00 $317.90 $392.70 $355.30 2026-07-14
76805 CPT Hc US Pregnancy >=14wks Sngl Fetus 5 5 $374.00 $374.00 $317.90 $392.70 $355.30 2026-07-14
J2700 HCPCS Oxacillin Sodium For IV Soln 10 Gm (Base Equivalent) 5 5 $373.83 $373.83 $317.75 $392.52 $355.13 2026-07-14
99350 CPT Pr Home/res Visit Est Patient High Mdm 60 Minutes 5 5 $371.00 $371.00 $315.35 $389.55 $352.45 2026-07-14
17004 CPT Pr Destruction Premalignant Lesion 15/> 5 5 $368.00 $368.00 $312.80 $386.40 $349.60 2026-07-14
28470 CPT Pr Cltx Metatarsal Fracture Without Manipulation Each 10 5 $379.00 $379.00 $230.35 $511.35 $349.25 2026-07-14
11441 CPT Pr Exc B9 Les Mrgn Xcp Sk Tg F/e/e/n/l/m 0.6-1.0cm 5 5 $367.00 $367.00 $311.95 $385.35 $348.65 2026-07-14
76700 CPT Hc US Exam Abdomen Complete 5 5 $366.00 $366.00 $311.10 $384.30 $347.70 2026-07-14
23500 CPT Pr Clsd Tx Clavicular Fracture Without Manipulation 10 5 $375.00 $375.00 $230.35 $502.95 $345.85 2026-07-14
J2760 HCPCS Phentolamine Mesylate For Inj 5 Mg 5 5 $363.69 $363.69 $309.13 $381.87 $345.50 2026-07-14
11402 CPT Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 1.1-2.0 Cm 5 5 $363.00 $363.00 $308.55 $381.15 $344.85 2026-07-14
87634 CPT Nc Rsv Dna/rna Amp Probe 5 5 $361.00 $361.00 $306.85 $379.05 $342.95 2026-07-14
86870 CPT Nc Antibody Id (blood Type) - R 5 5 $361.00 $361.00 $306.85 $379.05 $342.95 2026-07-14
76856 CPT Hc US Pelvic Complete 5 5 $361.00 $361.00 $306.85 $379.05 $342.95 2026-07-14
76770 CPT Hc US Retroperit (renal Laaa) 5 5 $357.00 $357.00 $303.45 $374.85 $339.15 2026-07-14
76801 CPT Hc US OB Complete(<14 Wks) 5 5 $355.00 $355.00 $301.75 $372.75 $337.25 2026-07-14
99235 CPT Pr Hospital Ip/obs Care Same Date Mod Mdm 70 Min 5 5 $351.00 $351.00 $298.35 $368.55 $333.45 2026-07-14
99204 CPT Pr Office/outpatient New Moderate Mdm 45 Minutes 5 5 $351.00 $351.00 $298.35 $368.55 $333.45 2026-07-14
93308 CPT Hc Echo Exam Of Heart Lmtd 5 5 $350.00 $350.00 $297.50 $367.50 $332.50 2026-07-14
99387 CPT Pr Initial Preventive Medicine New Patient 65yrs&> 5 5 $350.00 $350.00 $297.50 $367.50 $332.50 2026-07-14
99306 CPT Pr Initial Nursing Facility Care Hi Mdm 50 Minutes 5 5 $350.00 $350.00 $297.50 $367.50 $332.50 2026-07-14
92977 CPT Hc Tpa 5 5 $350.00 $350.00 $297.50 $367.50 $332.50 2026-07-14
J7510 HCPCS Prednisolone Soln 15 Mg/5ml 5 5 $346.00 $346.00 $294.10 $363.30 $328.70 2026-07-14
11421 CPT Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 0.6-1.0cm 5 5 $344.00 $344.00 $292.40 $361.20 $326.80 2026-07-14
74400 CPT Hc Ivp 5 5 $344.00 $344.00 $292.40 $361.20 $326.80 2026-07-14
99254 CPT Pr Ip/obs Consltj New/est Pt Mod Mdm 60 Minutes 5 5 $341.00 $341.00 $289.85 $358.05 $323.95 2026-07-14
10061 CPT Pr Incision & Drainage Abscess Complicated/multiple 10 5 $349.50 $349.50 $215.90 $467.25 $322.48 2026-07-14
93922 CPT Hc Extremity Study Vascular 5 5 $339.00 $339.00 $288.15 $355.95 $322.05 2026-07-14
29345 CPT Pr Application Long Leg Cast Thigh-toe 10 5 $343.00 $343.00 $255.00 $405.30 $321.55 2026-07-14
J1610 HCPCS Glucagon HCl (rDNA) Diagnostic For Inj 1 Mg (Base Equiv) 5 5 $337.14 $337.14 $286.56 $353.99 $320.28 2026-07-14
80307 CPT Nc Drug Test Prsmv Chem Analyzer 5 5 $335.00 $335.00 $284.75 $351.75 $318.25 2026-07-14
76818 CPT Hc US Fetal Biopsy Profile W/nst 5 5 $335.00 $335.00 $284.75 $351.75 $318.25 2026-07-14
76870 CPT Hc US Scrotum 5 5 $333.00 $333.00 $283.05 $349.65 $316.35 2026-07-14
J0885 HCPCS Epoetin Alfa Inj 20000 Unit/ML 10 5 $364.37 $364.37 $19.12 $741.54 $311.95 2026-07-14
11401 CPT Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 0.6-1.0 Cm 5 5 $327.00 $327.00 $277.95 $343.35 $310.65 2026-07-14
76506 CPT Hc Echo Exam Of Head 5 5 $324.00 $324.00 $275.40 $340.20 $307.80 2026-07-14
99292 CPT Pr Critical Care Ill/injured Patient Addl 30 Min 10 5 $331.50 $331.50 $219.30 $425.25 $307.57 2026-07-14
76881 CPT Hc Ultrasound Of Extremity 5 5 $321.00 $321.00 $272.85 $337.05 $304.95 2026-07-14
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