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

SOUTHWEST HEALTHCARE SERVICES

Bowman, ND · CCN 351313 · Rates published

1,506 distinct procedures filed
5 distinct payers
9,768 rate rows
2025-10-16 last MRF observed · ⚠ 13 mo old
Data quality

251 of 9,768 rate rows are consumer-grade (2.6%)

9,517 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 9,504
exceeds 10× this hospital's gross charge — excluded from medians 7
per-diem day rate — not a per-procedure price 6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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://swhealthcare.net/file_download/inline/c967a943-4246-45d6-9ff2-8222bb15dc86
Found on page https://swhealthcare.net/patient/financials/price-transparency.html
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-03
Content fingerprint 88fcae4c38247b5d… · 5,309,410 bytes · first seen 2026-05-09

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
0110
RC 		1 $6,849.97 $6,849.97 $6,849.97 nat. median
$962
outlier · 7.1×
0121
RC 		1 $6,849.97 $6,849.97 $6,849.97 nat. median
$916
outlier · 7.5×
27096
HCPCS 		Si Joint Injection 27096 3 $363.44 $363.44 $363.44 nat. median
$873
outlier · 0.4×
G0105
HCPCS 		Colonoscopy Mcr Screen Hi Risk G0105 3 $363.44 $363.44 $363.44 nat. median
$1,306
outlier · 0.3×
813
OTHER 		Anesthesia Upper & Lower Gi Profee,quarantine 3 $363.44 $363.44 $363.44 nat. median
$112
outlier · 3.2×
27530
HCPCS 		Tibial Fx Proximal Without Manipulation 3 $363.44 $363.44 $363.44 nat. median
$449
0.8× median
43235
HCPCS 		Egd 43235 3 $363.44 $363.44 $363.44 nat. median
$1,313
outlier · 0.3×
23350
HCPCS 		Shoulder Arthrography 23350 3 $363.44 $363.44 $363.44 nat. median
$480
0.8× median
30905
HCPCS 		Control Nasal Post W/packs 30905 3 $363.44 $363.44 $363.44 nat. median
$286
1.3× median
99285
HCPCS 		High Complex ER Level 5 3 $363.44 $363.44 $363.44 nat. median
$1,186
outlier · 0.3×
99283
HCPCS 		Moderate ER Level 3 3 $363.44 $363.44 $363.44 nat. median
$461
0.8× median
811
OTHER 		Anesthesia Lower Intestine,quarantine 3 $363.44 $363.44 $363.44 nat. median
$269
1.4× median
99222
HCPCS 		Moderate Complexity Acute 99222 3 $363.44 $363.44 $363.44 nat. median
$188
1.9× median
31500
HCPCS 		Intubation 3 $363.44 $363.44 $363.44 nat. median
$455
0.8× median
J7676
HCPCS 		Pentamidine 300 Mg Neb(nebupent) 5 $363.44 $363.44 $363.44 nat. median
$130
outlier · 2.8×
20611
HCPCS 		Inj Maj Joint With Imaging 20611 3 $363.44 $363.44 $363.44 nat. median
$487
0.7× median
99235
HCPCS 		Obs Or Acute In Out Same Day 99235 3 $363.44 $363.44 $363.44 nat. median
$269
1.4× median
43239
HCPCS 		Egd With Biopsy 3 $363.44 $363.44 $363.44 nat. median
$1,375
outlier · 0.3×
27760
HCPCS 		Closed Tx Medial Malleolus Fx Without Manip 3 $363.44 $363.44 $363.44 nat. median
$442
0.8× median
29505
HCPCS 		Application Of Long Leg Splint 3 $363.44 $363.44 $363.44 nat. median
$232
1.6× median
12013
HCPCS 		Lac All Parts Face 2.6 6c 3 $363.44 $363.44 $363.44 nat. median
$308
1.2× median
51703
HCPCS 		Insert Temp Indwelling Cath Complicated 3 $363.44 $363.44 $363.44 nat. median
$255
1.4× median
64405
HCPCS 		Inject Greater Occipital Nerve 64405 3 $363.44 $363.44 $363.44 nat. median
$472
0.8× median
99291
HCPCS 		Critical Care ER 30-74 Mi 3 $363.44 $363.44 $363.44 nat. median
$1,530
outlier · 0.2×
64643
HCPCS 		Chemodenervation Ea Ad Ext 1-4 64643 3 $363.44 $363.44 $363.44 nat. median
$440
0.8× median
64636
HCPCS 		Destruct Nerve Lumbar Sacral Ea 64636 3 $363.44 $363.44 $363.44 nat. median
$1,212
outlier · 0.3×
64447
HCPCS 		Inj Femoral Nerve With Guide 64447 3 $363.44 $363.44 $363.44 nat. median
$953
outlier · 0.4×
54220
HCPCS 		Irrigation Corpora Cav Priapism 54220 3 $363.44 $363.44 $363.44 nat. median
$449
0.8× median
64642
HCPCS 		Chemodenerv 1 Ext 1-4 Musc 64642 3 $363.44 $363.44 $363.44 nat. median
$761
outlier · 0.5×
32555
HCPCS 		US Thoracentesis W Imaging Guidance 3 $363.44 $363.44 $363.44 nat. median
$1,094
outlier · 0.3×
64640
HCPCS 		Destruct Nerve Peripheral Nerve 64640 3 $363.44 $363.44 $363.44 nat. median
$1,194
outlier · 0.3×
99232
HCPCS 		Moderate Complexity 99232 3 $363.44 $363.44 $363.44 nat. median
$110
outlier · 3.3×
64490
HCPCS 		Inject Parafacet W/image Cerv/thor 64490 3 $363.44 $363.44 $363.44 nat. median
$1,287
outlier · 0.3×
64484
HCPCS 		Epidural Lumb Sac W/guide Ea Ad 64484 3 $363.44 $363.44 $363.44 nat. median
$857
outlier · 0.4×
731
OTHER 		Anesthesia Upper Gi Profee,quarantine 3 $363.44 $363.44 $363.44 nat. median
$65
outlier · 5.6×
99281
HCPCS 		ER Level 1 3 $363.44 $363.44 $363.44 nat. median
$166
outlier · 2.2×
45385
HCPCS 		Colonoscopy With Snare Profee 45385 3 $363.44 $363.44 $363.44 nat. median
$1,672
outlier · 0.2×
45330
HCPCS 		Sigmoidoscopy Flexible 45330 3 $363.44 $363.44 $363.44 nat. median
$1,081
outlier · 0.3×
32551
HCPCS 		Insertion Chest Tube 3 $363.44 $363.44 $363.44 nat. median
$1,576
outlier · 0.2×
28192
HCPCS 		Removal Of Foreign Body; Foot; Deep 3 $363.44 $363.44 $363.44 nat. median
$1,857
outlier · 0.2×
12044
HCPCS 		Repair Sca Trun Extre 7.6cm-12.5cm 12044 3 $363.44 $363.44 $363.44 nat. median
$772
outlier · 0.5×
29125
HCPCS 		Application Short Arm Splint 3 $363.44 $363.44 $363.44 nat. median
$191
1.9× median
20550
HCPCS 		Inject Tendon Or Ligament 20550 3 $363.44 $363.44 $363.44 nat. median
$349
1.0× median
45333
HCPCS 		Sigmoidoscopy With Polyp Removal 45333 3 $363.44 $363.44 $363.44 nat. median
$1,158
outlier · 0.3×
46600
HCPCS 		Anoscopy 3 $363.44 $363.44 $363.44 nat. median
$180
outlier · 2.0×
99233
HCPCS 		High Complexity 99233 3 $363.44 $363.44 $363.44 nat. median
$162
outlier · 2.2×
64615
HCPCS 		Denerve Mus Tri Cer Spin Bil 64615 3 $363.44 $363.44 $363.44 nat. median
$395
0.9× median
62321
HCPCS 		Inj Cer Thor Sub W/guide 62321 3 $363.44 $363.44 $363.44 nat. median
$1,077
outlier · 0.3×
64633
HCPCS 		Destr Neuro Ag Facet With Guide 64633 3 $363.44 $363.44 $363.44 nat. median
$2,324
outlier · 0.2×
G0121
HCPCS 		Colonoscopy Scrn Low Risk G0121 3 $363.44 $363.44 $363.44 nat. median
$1,294
outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 1,506 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
             
0110 RC — 1 1 $400.00 $360.00 $6,849.97 $6,849.97 $6,849.97 2025-10-16
0121 RC — 1 1 $1,000.00 $900.00 $6,849.97 $6,849.97 $6,849.97 2025-10-16
10061 HCPCS I&d Abscess Comp 10061 0 0 $422.00 $379.80 — — — 2025-10-16
10120 HCPCS Foreign Body Skin 0 0 $746.00 $671.40 — — — 2025-10-16
10140 HCPCS Drainage Hematoma/fluid 0 0 $3,000.00 $2,700.00 — — — 2025-10-16
10160 HCPCS US Aspiration Puncture Abscess Cyst 0 0 $721.00 $648.90 — — — 2025-10-16
11042 HCPCS Debridmnt Sub Q Skin 20 Cm Or Less 11042 0 0 $258.00 $232.20 — — — 2025-10-16
11055 HCPCS Excision Corn/callus 11055 0 0 $144.00 $129.60 — — — 2025-10-16
11056 HCPCS Excision 2-4 Corn/callus 11056 0 0 $166.00 $149.40 — — — 2025-10-16
11102 HCPCS Tangetial Biopsy Skin (shave Scoop Curet 0 0 $204.00 $183.60 — — — 2025-10-16
11103 HCPCS Tangential Biopsy; Skin Ea Addtl 11103 0 0 $100.00 $90.00 — — — 2025-10-16
11104 HCPCS Punch Biopsy Skin Single Lesion 11104 0 0 $252.00 $226.80 — — — 2025-10-16
11105 HCPCS Each Additional / Separate Lesion 11105 0 0 $118.00 $106.20 — — — 2025-10-16
11201 HCPCS Removal Skin Tag Ea Adtl 10 11201 0 0 $36.00 $32.40 — — — 2025-10-16
11300 HCPCS Shaving Dermal Epid 0.5cm 11300 0 0 $92.00 $82.80 — — — 2025-10-16
11301 HCPCS Shaving Skin Lesion 0.6-1.0 Cm 11301 0 0 $140.00 $126.00 — — — 2025-10-16
11302 HCPCS Shave Les 1.1-2.0 11302 0 0 $165.00 $148.50 — — — 2025-10-16
11303 HCPCS Shave Lesion > 2.0 Cm 11303 0 0 $195.00 $175.50 — — — 2025-10-16
11305 HCPCS Shaving Lesion Head/hand/feet 11305 0 0 $107.00 $96.30 — — — 2025-10-16
11306 HCPCS Shave Single Lesion S/n/h/f/g; 0.6-1 Cm 0 0 $136.00 $122.40 — — — 2025-10-16
11308 HCPCS Shave Epidermal Lesion 0 0 $746.00 $671.40 — — — 2025-10-16
11310 HCPCS Shave Lesion Single - 0.5 Cm Or Less 0 0 $387.00 $348.30 — — — 2025-10-16
11311 HCPCS Shave Skin Lesion 0.6-1.0 Cm 11311 0 0 $173.00 $155.70 — — — 2025-10-16
11313 HCPCS Shave Epidermal Lesion; T/a/l; Over 2 Cm 0 0 $263.00 $236.70 — — — 2025-10-16
11400 HCPCS Trunk Arm Leg 0.5 Cm 11400 0 0 $228.00 $205.20 — — — 2025-10-16
11401 HCPCS .6cm To 1.0 Cm 11401 0 0 $287.00 $258.30 — — — 2025-10-16
11402 HCPCS 1.1 Cm To 2.0 Cm 11402 0 0 $317.00 $285.30 — — — 2025-10-16
11406 HCPCS Exc Tr-over 4 Cm 11406 0 0 $624.00 $561.60 — — — 2025-10-16
11420 HCPCS Up To 0.5 Cm 11420 0 0 $225.00 $202.50 — — — 2025-10-16
11421 HCPCS 0.6 Cm To 1.0 Cm 11421 0 0 $299.00 $269.10 — — — 2025-10-16
11422 HCPCS 1.1 Cm To 2.0 Cm 11422 0 0 $358.00 $322.20 — — — 2025-10-16
11423 HCPCS 2.1 Cm To 3.0 Cm 11423 0 0 $406.00 $365.40 — — — 2025-10-16
11424 HCPCS 3.1 Cm To 4.0 Cm 11424 0 0 $466.00 $419.40 — — — 2025-10-16
11426 HCPCS Over 4.0 Cm 11426 0 0 $648.00 $583.20 — — — 2025-10-16
11440 HCPCS Up To 0.5 Cm 11440 0 0 $285.00 $256.50 — — — 2025-10-16
11441 HCPCS 0.6 Cm To 1.0 Cm 11441 0 0 $348.00 $313.20 — — — 2025-10-16
11442 HCPCS 1.1 Cm To 2.0 Cm 11442 0 0 $386.00 $347.40 — — — 2025-10-16
11443 HCPCS 2.1 Cm To 3.0 Cm 11443 0 0 $454.00 $408.60 — — — 2025-10-16
11444 HCPCS 3.1 Cm To 4.0 Cm 11444 0 0 $560.00 $504.00 — — — 2025-10-16
11446 HCPCS 4.1 Cm And Up 11446 0 0 $754.00 $678.60 — — — 2025-10-16
11600 HCPCS Up To 0.5 Cm 11600 0 0 $335.00 $301.50 — — — 2025-10-16
11601 HCPCS 0.6 Cm To 1.0 Cm 11601 0 0 $406.00 $365.40 — — — 2025-10-16
11602 HCPCS 1.1 Cm To 2.0 Cm 11602 0 0 $441.00 $396.90 — — — 2025-10-16
11603 HCPCS 2.1 Cm To 3.0 Cm 11603 0 0 $527.00 $474.30 — — — 2025-10-16
11604 HCPCS 3.1 Cm To 4.0 Cm 11604 0 0 $583.00 $524.70 — — — 2025-10-16
11606 HCPCS >4 Cm Excision 11606 0 0 $870.00 $783.00 — — — 2025-10-16
11621 HCPCS Excision Malignant Lesion 0.6 - 1.0 Cm 1 0 0 $407.00 $366.30 — — — 2025-10-16
11622 HCPCS 1.1 Cm To 2.0 Cm 11622 0 0 $461.00 $414.90 — — — 2025-10-16
11623 HCPCS 2.1 Cm To 3.0 Cm 11623 0 0 $573.00 $515.70 — — — 2025-10-16
11624 HCPCS Excised 3.1 Cm-4.0 Cm 11624 0 0 $650.00 $585.00 — — — 2025-10-16
11626 HCPCS Over 4 Cm 11626 0 0 $800.00 $720.00 — — — 2025-10-16
11640 HCPCS Up To 0.5 Cm 11640 0 0 $346.00 $311.40 — — — 2025-10-16
11641 HCPCS .06 Cm To 1.0 Cm 11641 0 0 $424.00 $381.60 — — — 2025-10-16
11642 HCPCS 1.1 Cm To 2 0 Cm 11642 0 0 $497.00 $447.30 — — — 2025-10-16
11643 HCPCS 2.1 Cm To 3.0 Cm 11643 0 0 $623.00 $560.70 — — — 2025-10-16
11644 HCPCS 3.1cm To 4.0cm 11644 0 0 $768.00 $691.20 — — — 2025-10-16
11646 HCPCS Exc 4cm+ Mal/face 11646 0 0 $992.00 $892.80 — — — 2025-10-16
11732 HCPCS Nail Removal Each Add 11732 0 0 $66.00 $59.40 — — — 2025-10-16
11740 HCPCS Evac Subungual Hematoma 0 0 $232.00 $208.80 — — — 2025-10-16
11750 HCPCS Nail Bed Removal Permanent 11750 0 0 $320.00 $288.00 — — — 2025-10-16
11900 HCPCS Injection Of Lesion 11900 0 0 $114.00 $102.60 — — — 2025-10-16
11982 HCPCS Remove Drug Implant Device 11982 0 0 $220.00 $198.00 — — — 2025-10-16
12001 HCPCS Simple Repair Sc Ne Extr 2.5 Or Less ER 0 0 $362.00 $325.80 — — — 2025-10-16
12002 HCPCS Lac Scalptrunkhand2.6-7.5 0 0 $362.00 $325.80 — — — 2025-10-16
12004 HCPCS Lac Scalptrunkhand7.6-12. 0 0 $362.00 $325.80 — — — 2025-10-16
12005 HCPCS Lac Scalptrunkhand12.6-20 0 0 $746.00 $671.40 — — — 2025-10-16
12007 HCPCS Lac Scalptrunkscalp 30< 0 0 $362.00 $325.80 — — — 2025-10-16
12011 HCPCS Lac Earseyelidnoselip2.5c 12011 0 0 $362.00 $325.80 — — — 2025-10-16
12013 HCPCS Lac All Parts Face 2.6 6c 3 3 $362.00 $325.80 $363.44 $363.44 $363.44 2025-10-16
12014 HCPCS Laceareyelidnoselip5.1-7. 0 0 $362.00 $325.80 — — — 2025-10-16
12015 HCPCS Laceareyelidnoselip7.6-12 0 0 $362.00 $325.80 — — — 2025-10-16
12020 HCPCS Closure Of Split Wound 12020 0 0 $596.00 $536.40 — — — 2025-10-16
12031 HCPCS Lac Inter Scalphands 2.5 0 0 $746.00 $671.40 — — — 2025-10-16
12032 HCPCS Lacinter Scalphand2.6/7.5 0 0 $746.00 $671.40 — — — 2025-10-16
12034 HCPCS Lacinterscalphand7.6/12.5 0 0 $746.00 $671.40 — — — 2025-10-16
12035 HCPCS 12.6 Cm To 20 Cm 0 0 $746.00 $671.40 — — — 2025-10-16
12041 HCPCS Lacinterneckfeethand2.5 0 0 $746.00 $671.40 — — — 2025-10-16
12042 HCPCS Lacinterneckhandft2.6/7.5 0 0 $746.00 $671.40 — — — 2025-10-16
12044 HCPCS Repair Sca Trun Extre 7.6cm-12.5cm 12044 3 3 $918.00 $826.20 $363.44 $363.44 $363.44 2025-10-16
12046 HCPCS Lacintneckhandft20.1/30cm 0 0 $1,000.00 $900.00 — — — 2025-10-16
12051 HCPCS Ears Face Up To 2.5 Cm 12051 0 0 $746.00 $671.40 — — — 2025-10-16
12052 HCPCS Lac/inter Ear/face2.5-5.0 0 0 $746.00 $671.40 — — — 2025-10-16
12053 HCPCS Lac/inte Earsface 5.1-7.5 0 0 $746.00 $671.40 — — — 2025-10-16
12055 HCPCS Ears/face 12.6 To 20.0 Cm 0 0 $746.00 $671.40 — — — 2025-10-16
13101 HCPCS 2.6cm-7.5cm Complex Suture 13101 0 0 $796.00 $716.40 — — — 2025-10-16
13102 HCPCS Ea Add <5cm Suture 13102 0 0 $230.00 $207.00 — — — 2025-10-16
13121 HCPCS Compx Repair Scalp 2.67.5 0 0 $1,162.00 $1,045.80 — — — 2025-10-16
13122 HCPCS Each Additional 5 Cm Or Less 13122 0 0 $252.00 $226.80 — — — 2025-10-16
13131 HCPCS Lac Complex Finger 2.5 0 0 $746.00 $671.40 — — — 2025-10-16
13132 HCPCS Lac/compforhedchin2.6/7.5 0 0 $1,162.00 $1,045.80 — — — 2025-10-16
13133 HCPCS Each Addl 5 Cm Or Less 13133 0 0 $332.00 $298.80 — — — 2025-10-16
13152 HCPCS Repair Complex E/n/e/l 2.6-7.5 Cm 3 3 $1,162.00 $1,045.80 $363.44 $363.44 $363.44 2025-10-16
16000 HCPCS Burn Care 1st Degree 16000 0 0 $154.00 $138.60 — — — 2025-10-16
16020 HCPCS Debridement Burn Small 0 0 $362.00 $325.80 — — — 2025-10-16
16025 HCPCS Debride/dsg Chg/burn Med 0 0 $362.00 $325.80 — — — 2025-10-16
16030 HCPCS Burn Care- Large 16030 0 0 $384.00 $345.60 — — — 2025-10-16
17000 HCPCS Cyrotherapy To Lesions 1 17000 0 0 $79.00 $71.10 — — — 2025-10-16
17003 HCPCS Cryotherapy Lesions 2-14 17003 0 0 $3.00 $2.70 — — — 2025-10-16
17004 HCPCS Cyro 15 + Lesions 17004 0 0 $338.00 $304.20 — — — 2025-10-16
17106 HCPCS Cauterized Destruciton Of Lesion 17106 0 0 $682.00 $613.80 — — — 2025-10-16
17110 HCPCS Benign Skin Lesion Removal 17110 0 0 $100.00 $90.00 — — — 2025-10-16
17262 HCPCS Destruction Malignant Lesion 1.1-2.0 Cm 0 0 $300.00 $270.00 — — — 2025-10-16
17280 HCPCS Destruction Of Lesions .5 Cm Or Less 172 0 0 $236.00 $212.40 — — — 2025-10-16
17283 HCPCS Destruction Malignat Lesion 2.1 - 3.0 Cm 0 0 $465.00 $418.50 — — — 2025-10-16
19120 HCPCS Removal Of Breast Lesion 19120 0 0 $1,006.00 $905.40 — — — 2025-10-16
20526 HCPCS Injection Carpal Tunnel 20526 0 0 $160.00 $144.00 — — — 2025-10-16
20550 HCPCS Inject Tendon Or Ligament 20550 3 3 $106.00 $95.40 $363.44 $363.44 $363.44 2025-10-16
20551 HCPCS Inj Tendon Origin Insert 20551 3 3 $72.00 $64.80 $363.44 $363.44 $363.44 2025-10-16
20552 HCPCS Trigger Point 1-2 Muscles 20552 3 3 $544.00 $489.60 $363.44 $363.44 $363.44 2025-10-16
20553 HCPCS Trigger Points 3&up Muscles 20553 3 3 $78.00 $70.20 $363.44 $363.44 $363.44 2025-10-16
20560 HCPCS Pt Needle Insert Without Inject 1-2 Muscles,pt 0 0 $45.00 $40.50 — — — 2025-10-16
20561 HCPCS Pt Needle Insert Without Inject 3+ Muscles,pt 0 0 $55.00 $49.50 — — — 2025-10-16
20600 HCPCS Inject Fingers Toes 20600 0 0 $104.00 $93.60 — — — 2025-10-16
20604 HCPCS Inject Finger Toe 20604 0 0 $164.00 $147.60 — — — 2025-10-16
20605 HCPCS Inject-wrist Elbo Ankl 0 0 $544.00 $489.60 — — — 2025-10-16
20606 HCPCS Arthrocentis Inj Dra With US 20606 0 0 $73.00 $65.70 — — — 2025-10-16
20610 HCPCS Inject-shldr Hip Knee 20610 3 3 $442.00 $397.80 $363.44 $363.44 $363.44 2025-10-16
20611 HCPCS Inj Maj Joint With Imaging 20611 3 3 $196.00 $176.40 $363.44 $363.44 $363.44 2025-10-16
20612 HCPCS Aspiration/drain Gaglion Profee 20612 3 3 $80.00 $72.00 $363.44 $363.44 $363.44 2025-10-16
21556 HCPCS Excision Neck Mass Deep 21556 0 0 $1,030.00 $927.00 — — — 2025-10-16
21930 HCPCS Ex Lipoma Back/flank 21930 0 0 $1,011.00 $909.90 — — — 2025-10-16
22900 HCPCS Exc Tumor Soft Tissue Abd Wall <5cm 2290 0 0 $1,084.00 $975.60 — — — 2025-10-16
22902 HCPCS Exc Tumor/soft Tissue Of Abd Wall < 3cm 0 0 $927.00 $834.30 — — — 2025-10-16
23350 HCPCS Shoulder Arthrography 23350 3 3 $70.00 $63.00 $363.44 $363.44 $363.44 2025-10-16
23500 HCPCS Clavicle Fracture 0 0 $414.00 $372.60 — — — 2025-10-16
23570 HCPCS Treat Shoulder Blade Fx 23570 0 0 $474.00 $426.60 — — — 2025-10-16
23600 HCPCS Fx Humerus 23600 0 0 $676.00 $608.40 — — — 2025-10-16
23605 HCPCS Closed Tx Prox Humeral Fx With Manipul 3 3 $2,870.00 $2,583.00 $363.44 $363.44 $363.44 2025-10-16
23620 HCPCS Cls Fx Hum Without Man 23620 0 0 $550.00 $495.00 — — — 2025-10-16
23650 HCPCS Shoulder Dislo Without Anes 0 0 $414.00 $372.60 — — — 2025-10-16
23655 HCPCS Shoulder Dislocat W/anes 0 0 $2,870.00 $2,583.00 — — — 2025-10-16
24500 HCPCS Fx Humerus Shaft 0 0 $414.00 $372.60 — — — 2025-10-16
24505 HCPCS Closed Treatment Humerus Shaft Fx Manipu 0 0 $2,870.00 $2,583.00 — — — 2025-10-16
24530 HCPCS Treatment Of Humerus Fracture Without Manipu 0 0 $774.00 $696.60 — — — 2025-10-16
24600 HCPCS Treatment Of Closed Elbow Dislo No Anest 0 0 $414.00 $372.60 — — — 2025-10-16
24605 HCPCS Dislocation Elbow With Anesthesia 0 0 $2,870.00 $2,583.00 — — — 2025-10-16
24640 HCPCS Clsed Reduc Elbow/child 24640 0 0 $220.00 $198.00 — — — 2025-10-16
24650 HCPCS Fx Radial Head/neck 0 0 $414.00 $372.60 — — — 2025-10-16
25028 HCPCS Incision & Drainage Forearm/wrist Deep 2 0 0 $1,386.00 $1,247.40 — — — 2025-10-16
25111 HCPCS Ganglion Cyst Excision 25111 0 0 $646.00 $581.40 — — — 2025-10-16
25500 HCPCS Fx Wrist Radial Shaft 25500 0 0 $578.00 $520.20 — — — 2025-10-16
25505 HCPCS Fx Radius Shaft With Manipulation 0 0 $2,870.00 $2,583.00 — — — 2025-10-16
25530 HCPCS Fx Ulna 25530 0 0 $538.00 $484.20 — — — 2025-10-16
25560 HCPCS Closed Tx Radial & Ulnar Shaft Without Manip 3 3 $414.00 $372.60 $363.44 $363.44 $363.44 2025-10-16
25565 HCPCS Cl Tx Rad/w-fix W/man 25565 0 0 $1,040.00 $936.00 — — — 2025-10-16
25600 HCPCS Fx Distal Radial (colles) 0 0 $414.00 $372.60 — — — 2025-10-16
25605 HCPCS Closed Reduction Wrist 0 0 $2,870.00 $2,583.00 — — — 2025-10-16
25622 HCPCS Fracture Wrist Closed Without Manipulation 2 0 0 $624.00 $561.60 — — — 2025-10-16
25630 HCPCS Closed Tx Carpal Bone Fracture 0 0 $414.00 $372.60 — — — 2025-10-16
26010 HCPCS I & D Finger 26010 0 0 $698.00 $628.20 — — — 2025-10-16
26600 HCPCS Metacarpal Singl Closed 0 0 $414.00 $372.60 — — — 2025-10-16
26605 HCPCS Metacarpal Fx W/manipulat 0 0 $414.00 $372.60 — — — 2025-10-16
26670 HCPCS Closed Tx Hand Dislocation No Anesth 0 0 $414.00 $372.60 — — — 2025-10-16
26675 HCPCS Closed Treatment Carpometacarpal Disloca 0 0 $2,870.00 $2,583.00 — — — 2025-10-16
26700 HCPCS Tx Knuckle Dis With Manip Without Anesthesia 3 3 $414.00 $372.60 $363.44 $363.44 $363.44 2025-10-16
26720 HCPCS Phal Shaft Prox Mid Thumb 26720 0 0 $408.00 $367.20 — — — 2025-10-16
26725 HCPCS Reduce Dislocated Finger 0 0 $414.00 $372.60 — — — 2025-10-16
26735 HCPCS Open Fracture Finger Each 26735 0 0 $1,172.00 $1,054.80 — — — 2025-10-16
26750 HCPCS Finger Fracture 0 0 $414.00 $372.60 — — — 2025-10-16
26755 HCPCS Closed Tx Dist Phal Fx With Manipulation 0 0 $414.00 $372.60 — — — 2025-10-16
26765 HCPCS Open Tx Dist Fracture 26765 0 0 $996.00 $896.40 — — — 2025-10-16
26770 HCPCS Reduction/treatment Of Hand/finder 0 0 $414.00 $372.60 — — — 2025-10-16
26775 HCPCS Closed Tx Finger Disl With Anesth Profee 2 3 3 $714.00 $642.60 $363.44 $363.44 $363.44 2025-10-16
26951 HCPCS Amputation Of Finger/thumb 0 0 $5,954.00 $5,358.60 — — — 2025-10-16
26952 HCPCS Amputation Finger/flaps 26952 0 0 $1,370.00 $1,233.00 — — — 2025-10-16
27096 HCPCS Si Joint Injection 27096 3 3 $157.00 $141.30 $363.44 $363.44 $363.44 2025-10-16
27197 HCPCS Pelvic Fracture Without Manipulation 0 0 $414.00 $372.60 — — — 2025-10-16
27252 HCPCS Closed Tx Hip Dislocation W Anesthesia 0 0 $2,870.00 $2,583.00 — — — 2025-10-16
27301 HCPCS I&d Deep Abcsess Fmr/knee 0 0 $5,230.00 $4,707.00 — — — 2025-10-16
27327 HCPCS Excis Mass Above Knee Area 27327 0 0 $998.00 $898.20 — — — 2025-10-16
27372 HCPCS Fb Removal Femur Or Knee 0 0 $5,166.00 $4,649.40 — — — 2025-10-16
27508 HCPCS Fx Femur End Medial Lat 27508 0 0 $1,040.00 $936.00 — — — 2025-10-16
27520 HCPCS Fracture Knee Cap 27520 0 0 $658.00 $592.20 — — — 2025-10-16
27530 HCPCS Tibial Fx Proximal Without Manipulation 3 3 $414.00 $372.60 $363.44 $363.44 $363.44 2025-10-16
27562 HCPCS Closed Tx Patellar Dis With Anesth ER 0 0 $414.00 $372.60 — — — 2025-10-16
27603 HCPCS Incision & Drainage Lower Leg 27603 0 0 $1,089.00 $980.10 — — — 2025-10-16
27760 HCPCS Closed Tx Medial Malleolus Fx Without Manip 3 3 $414.00 $372.60 $363.44 $363.44 $363.44 2025-10-16
27780 HCPCS Non-displd Facture Fibula 0 0 $414.00 $372.60 — — — 2025-10-16
27786 HCPCS Fracture Distal Fibula 0 0 $414.00 $372.60 — — — 2025-10-16
27788 HCPCS Cl Fx Dist Fib With Manipl 27788 0 0 $1,076.00 $968.40 — — — 2025-10-16
27808 HCPCS Fracture Bimalleolar Ankle Closed Without Ma 0 0 $414.00 $372.60 — — — 2025-10-16
27816 HCPCS Fx Care-trimalleolar Ankle 27816 0 0 $821.00 $738.90 — — — 2025-10-16
27818 HCPCS Closed Tx Trimalleolar Ankle Fx With Manip 0 0 $2,870.00 $2,583.00 — — — 2025-10-16
27824 HCPCS Distal Tibia Fx Without Manipulation 0 0 $414.00 $372.60 — — — 2025-10-16
27840 HCPCS Cl Fx Ank Disloc Without Anes 27840 0 0 $768.00 $691.20 — — — 2025-10-16
27842 HCPCS Dislocated Ankle With Anes 27842 0 0 $966.00 $869.40 — — — 2025-10-16
28190 HCPCS Foreign Body Removal Foot 28190 0 0 $480.00 $432.00 — — — 2025-10-16
28192 HCPCS Removal Of Foreign Body; Foot; Deep 3 3 $2,024.00 $1,821.60 $363.44 $363.44 $363.44 2025-10-16
28193 HCPCS Fb Removal Foot 28193 0 0 $1,010.00 $909.00 — — — 2025-10-16
28400 HCPCS Calacaneal Closed No Manip 28400 0 0 $634.00 $570.60 — — — 2025-10-16
28450 HCPCS Fracture Care Of Toe Without Manipulation 28 0 0 $529.00 $476.10 — — — 2025-10-16
28470 HCPCS Fx Foot Metatarsal 28470 0 0 $440.00 $396.00 — — — 2025-10-16
28490 HCPCS Fracture Care Great Toe/phalanges 28490 0 0 $341.00 $306.90 — — — 2025-10-16
28510 HCPCS Closed Tx Phalanx Or Phalanges Without Manip 0 0 $244.00 $219.60 — — — 2025-10-16
28515 HCPCS Fracture Toe With Manip 0 0 $414.00 $372.60 — — — 2025-10-16
28630 HCPCS Dislocation-toe/closed 28630 0 0 $304.00 $273.60 — — — 2025-10-16
29065 HCPCS Application Long Arm Cast 0 0 $480.00 $432.00 — — — 2025-10-16
29075 HCPCS Application Of Cast; Short Arm 0 0 $480.00 $432.00 — — — 2025-10-16
29105 HCPCS Application Long Arm Splint 29105 0 0 $164.00 $147.60 — — — 2025-10-16
29125 HCPCS Application Short Arm Splint 3 3 $232.00 $208.80 $363.44 $363.44 $363.44 2025-10-16
29130 HCPCS Application Of Finger Splint 0 0 $232.00 $208.80 — — — 2025-10-16
29240 HCPCS Strapping; Shoulder 29240 0 0 $60.00 $54.00 — — — 2025-10-16
29405 HCPCS Application Short Leg Cast 29405 0 0 $161.00 $144.90 — — — 2025-10-16
29425 HCPCS Apply Short Leg Cast - Walking 29425 0 0 $150.00 $135.00 — — — 2025-10-16
29505 HCPCS Application Of Long Leg Splint 3 3 $292.00 $262.80 $363.44 $363.44 $363.44 2025-10-16
29515 HCPCS Application Short Leg Splint 3 3 $292.00 $262.80 $363.44 $363.44 $363.44 2025-10-16
29580 HCPCS Ot Unna Boot Application,ot 0 0 $107.00 $96.30 — — — 2025-10-16
30300 HCPCS Foreign Body Nose 0 0 $232.00 $208.80 — — — 2025-10-16
30901 HCPCS Nasal Hemorrhage 0 0 $232.00 $208.80 — — — 2025-10-16
30903 HCPCS Nasal Hemmorhage Extensiv 0 0 $232.00 $208.80 — — — 2025-10-16
30905 HCPCS Control Nasal Post W/packs 30905 3 3 $146.00 $131.40 $363.44 $363.44 $363.44 2025-10-16
30906 HCPCS Subsequent Epistaxis Pkng 30906 0 0 $550.00 $495.00 — — — 2025-10-16
31500 HCPCS Intubation 3 3 $416.00 $374.40 $363.44 $363.44 $363.44 2025-10-16
32551 HCPCS Insertion Chest Tube 3 3 $2,976.00 $2,678.40 $363.44 $363.44 $363.44 2025-10-16
32554 HCPCS Thoracentesis Without Imaging 3 3 $1,158.00 $1,042.20 $363.44 $363.44 $363.44 2025-10-16
32555 HCPCS US Thoracentesis W Imaging Guidance 3 3 $1,102.00 $991.80 $363.44 $363.44 $363.44 2025-10-16
36415 HCPCS Chg Blood Draw On Call 0 0 $50.00 $45.00 — — — 2025-10-16
36416 HCPCS Capillary Draw 0 0 $19.00 $17.10 — — — 2025-10-16
36430 HCPCS Blood Transfusion 0 0 $816.00 $734.40 — — — 2025-10-16
36556 HCPCS Central Line Placement 36556 0 0 $426.00 $383.40 — — — 2025-10-16
36558 HCPCS Insertion Tunneled Central Cath Age 5+ 0 0 $5,958.00 $5,362.20 — — — 2025-10-16
36569 HCPCS Picc 36569 0 0 $178.00 $160.20 — — — 2025-10-16
36591 HCPCS Port Draw 0 0 $210.00 $189.00 — — — 2025-10-16
36592 HCPCS Picc Draw 0 0 $210.00 $189.00 — — — 2025-10-16
36600 HCPCS Arterial Blood Draw 0 0 $273.00 $245.70 — — — 2025-10-16
36680 HCPCS Intraosseous Infusion 0 0 $756.00 $680.40 — — — 2025-10-16
38500 HCPCS Biopsy Lymph Node 38500 0 0 $710.00 $639.00 — — — 2025-10-16
40650 HCPCS Repair Lip Full Thickness; Vermillion 0 0 $914.00 $822.60 — — — 2025-10-16
40819 HCPCS Frenectomy 40819 0 0 $557.00 $501.30 — — — 2025-10-16
42809 HCPCS Remove Pharynx Foreign Body 42809 0 0 $345.00 $310.50 — — — 2025-10-16
43235 HCPCS Egd 43235 3 3 $234.00 $210.60 $363.44 $363.44 $363.44 2025-10-16
43239 HCPCS Egd With Biopsy 3 3 $1,652.00 $1,486.80 $363.44 $363.44 $363.44 2025-10-16
43247 HCPCS Egd/foreign Body Removal 0 0 $1,652.00 $1,486.80 — — — 2025-10-16
43249 HCPCS Egd With Dilation Less Than 30 43249 0 0 $2,204.00 $1,983.60 — — — 2025-10-16
43752 HCPCS Nasogastric Tube 43752 0 0 $78.00 $70.20 — — — 2025-10-16
45330 HCPCS Sigmoidoscopy Flexible 45330 3 3 $108.00 $97.20 $363.44 $363.44 $363.44 2025-10-16
45331 HCPCS Sigmoidoscopy With Biopsy 45331 3 3 $138.00 $124.20 $363.44 $363.44 $363.44 2025-10-16
45333 HCPCS Sigmoidoscopy With Polyp Removal 45333 3 3 $178.00 $160.20 $363.44 $363.44 $363.44 2025-10-16
45378 HCPCS Colonoscopy 45378 3 3 $352.00 $316.80 $363.44 $363.44 $363.44 2025-10-16
45380 HCPCS Colonoscopy With Biopsy 45380 3 3 $384.00 $345.60 $363.44 $363.44 $363.44 2025-10-16
45384 HCPCS Colonoscopy With Polyp Destructruction 453 3 3 $432.00 $388.80 $363.44 $363.44 $363.44 2025-10-16
45385 HCPCS Colonoscopy With Snare Profee 45385 3 3 $486.00 $437.40 $363.44 $363.44 $363.44 2025-10-16
46600 HCPCS Anoscopy 3 3 $232.00 $208.80 $363.44 $363.44 $363.44 2025-10-16
51703 HCPCS Insert Temp Indwelling Cath Complicated 3 3 $290.00 $261.00 $363.44 $363.44 $363.44 2025-10-16
51728 HCPCS Bladder Scan/ Cystometrogram 0 0 $1,250.00 $1,125.00 — — — 2025-10-16
51729 HCPCS Bladder Scan/ Cystometrogram 0 0 $1,250.00 $1,125.00 — — — 2025-10-16
51798 HCPCS Bladder Scan / Post-void Residual 0 0 $114.00 $102.60 — — — 2025-10-16
54220 HCPCS Irrigation Corpora Cav Priapism 54220 3 3 $186.00 $167.40 $363.44 $363.44 $363.44 2025-10-16
54235 HCPCS Inj Corpora Cavernosa With Pharm 54235 3 3 $105.00 $94.50 $363.44 $363.44 $363.44 2025-10-16
56420 HCPCS Incision Drainage Gland Abscess 56420 0 0 $402.00 $361.80 — — — 2025-10-16
57160 HCPCS Pessary Insertion 57160 0 0 $129.00 $116.10 — — — 2025-10-16
57500 HCPCS Endocervical Polyp Rem 57500 0 0 $308.00 $277.20 — — — 2025-10-16
58301 HCPCS Removal IUD 58301 0 0 $185.00 $166.50 — — — 2025-10-16
59409 HCPCS Obstritical-delivery 0 0 $5,654.00 $5,088.60 — — — 2025-10-16
62270 HCPCS Spinal Fluid Tap Diagnostic 62270 0 0 $262.00 $235.80 — — — 2025-10-16
62272 HCPCS Spinal Punctr Drain Fluid 62272 0 0 $348.00 $313.20 — — — 2025-10-16
62321 HCPCS Inj Cer Thor Sub W/guide 62321 3 3 $152.00 $136.80 $363.44 $363.44 $363.44 2025-10-16
62323 HCPCS Inj Lumbar Or Sacral W/guide 62323 3 3 $140.00 $126.00 $363.44 $363.44 $363.44 2025-10-16
64405 HCPCS Inject Greater Occipital Nerve 64405 3 3 $72.00 $64.80 $363.44 $363.44 $363.44 2025-10-16
64420 HCPCS Inject Intercostal Nerve Single 0 0 $1,642.00 $1,477.80 — — — 2025-10-16
64447 HCPCS Inj Femoral Nerve With Guide 64447 3 3 $89.00 $80.10 $363.44 $363.44 $363.44 2025-10-16
64450 HCPCS Nerve Block - Nerve/branch 3 3 $1,288.00 $1,159.20 $363.44 $363.44 $363.44 2025-10-16
64483 HCPCS Epidural Lumbar Or Sacral With Guide 64483 3 3 $210.00 $189.00 $363.44 $363.44 $363.44 2025-10-16
64484 HCPCS Epidural Lumb Sac W/guide Ea Ad 64484 3 3 $71.00 $63.90 $363.44 $363.44 $363.44 2025-10-16
64490 HCPCS Inject Parafacet W/image Cerv/thor 64490 3 3 $149.00 $134.10 $363.44 $363.44 $363.44 2025-10-16
64491 HCPCS Inj Paravert Facet 2nd Level 64491 3 3 $83.00 $74.70 $363.44 $363.44 $363.44 2025-10-16
64492 HCPCS 3rd & Addtl Levels 64492 3 3 $84.00 $75.60 $363.44 $363.44 $363.44 2025-10-16
64493 HCPCS Inject Paraver Facet W/guide 64493 3 3 $129.00 $116.10 $363.44 $363.44 $363.44 2025-10-16
64494 HCPCS Inject Paravert Facet W/guide 2nd 64494 0 0 $25.00 $22.50 — — — 2025-10-16
64615 HCPCS Denerve Mus Tri Cer Spin Bil 64615 3 3 $165.00 $148.50 $363.44 $363.44 $363.44 2025-10-16
64633 HCPCS Destr Neuro Ag Facet With Guide 64633 3 3 $279.00 $251.10 $363.44 $363.44 $363.44 2025-10-16
64634 HCPCS Cerv Thoracic Ea Addtl Facetjoint 64634 3 3 $97.00 $87.30 $363.44 $363.44 $363.44 2025-10-16
64635 HCPCS Destruct Nerve Lumbar Sacral Ea 64635 3 3 $273.00 $245.70 $363.44 $363.44 $363.44 2025-10-16
64636 HCPCS Destruct Nerve Lumbar Sacral Ea 64636 3 3 $83.00 $74.70 $363.44 $363.44 $363.44 2025-10-16
64640 HCPCS Destruct Nerve Peripheral Nerve 64640 3 3 $171.00 $153.90 $363.44 $363.44 $363.44 2025-10-16
64642 HCPCS Chemodenerv 1 Ext 1-4 Musc 64642 3 3 $148.00 $133.20 $363.44 $363.44 $363.44 2025-10-16
64643 HCPCS Chemodenervation Ea Ad Ext 1-4 64643 3 3 $96.00 $86.40 $363.44 $363.44 $363.44 2025-10-16
731 OTHER Anesthesia Upper Gi Profee,quarantine 3 3 $85.00 $76.50 $363.44 $363.44 $363.44 2025-10-16
811 OTHER Anesthesia Lower Intestine,quarantine 3 3 $85.00 $76.50 $363.44 $363.44 $363.44 2025-10-16
812 OTHER Anesthesia Screening Colonoscopy Profee,quarantine 3 3 $85.00 $76.50 $363.44 $363.44 $363.44 2025-10-16
813 OTHER Anesthesia Upper & Lower Gi Profee,quarantine 3 3 $85.00 $76.50 $363.44 $363.44 $363.44 2025-10-16
99221 HCPCS Low Complexity Hosp Inpt 99221 3 3 $160.00 $144.00 $363.44 $363.44 $363.44 2025-10-16
99222 HCPCS Moderate Complexity Acute 99222 3 3 $254.00 $228.60 $363.44 $363.44 $363.44 2025-10-16
99223 HCPCS High Complexity 99223 3 3 $338.00 $304.20 $363.44 $363.44 $363.44 2025-10-16
99231 HCPCS Low Complexity 99231 3 3 $104.00 $93.60 $363.44 $363.44 $363.44 2025-10-16
99232 HCPCS Moderate Complexity 99232 3 3 $194.00 $174.60 $363.44 $363.44 $363.44 2025-10-16
99233 HCPCS High Complexity 99233 3 3 $279.00 $251.10 $363.44 $363.44 $363.44 2025-10-16
99235 HCPCS Obs Or Acute In Out Same Day 99235 3 3 $312.00 $280.80 $363.44 $363.44 $363.44 2025-10-16
99238 HCPCS Discharge Inpt Hosp 99238 3 3 $195.00 $175.50 $363.44 $363.44 $363.44 2025-10-16
99281 HCPCS ER Level 1 3 3 $200.00 $180.00 $363.44 $363.44 $363.44 2025-10-16
99282 HCPCS Basic ER Level 2 3 3 $350.00 $315.00 $363.44 $363.44 $363.44 2025-10-16
99283 HCPCS Moderate ER Level 3 3 3 $550.00 $495.00 $363.44 $363.44 $363.44 2025-10-16
99284 HCPCS Urgent ER Level 4 3 3 $900.00 $810.00 $363.44 $363.44 $363.44 2025-10-16
99285 HCPCS High Complex ER Level 5 3 3 $1,375.00 $1,237.50 $363.44 $363.44 $363.44 2025-10-16
99291 HCPCS Critical Care ER 30-74 Mi 3 3 $2,275.00 $2,047.50 $363.44 $363.44 $363.44 2025-10-16
99292 HCPCS Each Addl 30 Minutes Profee 99292 3 3 $208.00 $187.20 $363.44 $363.44 $363.44 2025-10-16
G0105 HCPCS Colonoscopy Mcr Screen Hi Risk G0105 3 3 $352.00 $316.80 $363.44 $363.44 $363.44 2025-10-16
G0121 HCPCS Colonoscopy Scrn Low Risk G0121 3 3 $352.00 $316.80 $363.44 $363.44 $363.44 2025-10-16
J0717 HCPCS Certolizumab 400 Mg Inj(cimzia) 3 3 $9,179.43 $8,261.49 $363.44 $363.44 $363.44 2025-10-16
J7676 HCPCS Pentamidine 300 Mg Neb(nebupent) 6 5 $400.50 $360.45 $363.44 $363.44 $363.44 2025-10-16
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