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

PRESENTATION MEDICAL CENTER

Rolla, ND · CCN 351316 · Rates published

Your selected procedure

You selected 93306 (CPT)

Us Echocardiogram Complete

This hospital’s price: $528 across 4 payers · range $388-$574

Source: https://secure.claraprice.net/price-transparency/IIVO-1760710869693/machine-readable/450227391_smp-health---st-kateri_standardcharges.json · observed 2026-05-27

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,186 distinct procedures filed
4 distinct payers
9,301 rate rows
2026-05-27 last MRF observed
Data quality

8,618 of 9,301 rate rows are consumer-grade (92.7%)

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

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 436
per-diem day rate — not a per-procedure price 179
template filing: same amount across many unrelated codes — excluded 68
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/IIVO-1760710869693/machine-readable/450227391_smp-health---st-kateri_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/smp-health-st-kateri-nd
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-25
Content fingerprint 51b88a6f893e3a96… · 92,516 bytes · first seen 2026-05-19

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
4086222
CDM 		Tenecteplase 50 Mg Pow 3 $19,194.00 $28,377.00 $28,377.00 nat. median
$28,377
1.0× median
4086555
CDM 		Vedolizumab Powder-inj 3 $18,914.00 $27,962.00 $27,962.00 nat. median
$27,962
1.0× median
27724
CPT 		27724 Repair Of Nonunion Or Malunion, Tibia; With Iliac Or Other Autograft 4 $19,586.00 $28,955.00 $26,669.00 nat. median
$5,713
outlier · 4.7×
27695
CPT 		27695 Repair, Primary, Disrupted Ligament, Collateral 4 $19,567.00 $28,928.00 $26,644.00 nat. median
$6,578
outlier · 4.1×
28320
CPT 		28320 Repair Of Nonuniontarsal Bone 4 $19,065.00 $28,186.00 $25,960.50 nat. median
$10,546
outlier · 2.5×
CP17622982473479777
CDM 		Arthrodesis Foot 4 $12,414.00 $18,352.00 $16,903.00 nat. median
$16,903
1.0× median
4085741
CDM 		Alteplase 50 Mg Pow[pres] 3 $10,179.00 $15,049.00 $15,049.00 nat. median
$15,049
1.0× median
4085127
CDM 		Pegfilgrastim Fpgk 6 Mg/0.6 Ml Solution 3 $9,948.00 $14,707.00 $14,707.00 nat. median
$14,707
1.0× median
20900
CPT 		20900 Autogenous Bone Graft (Dowel Or Button) 4 $9,699.00 $14,339.00 $13,207.00 nat. median
$6,211
outlier · 2.1×
27691
CPT 		27691 Fdl Transfer (Transfer / Redirect Deep Tendon, Single) 4 $9,699.00 $14,338.00 $13,206.00 nat. median
$6,958
1.9× median
28740
CPT 		28740 Arthrodesis, Midtarsal Or Tarsometatarsal, Single Joint 4 $9,699.00 $14,338.00 $13,206.00 nat. median
$6,866
1.9× median
27698
CPT 		Reconstruction Ankle 4 $9,211.00 $13,617.00 $12,542.00 nat. median
$6,559
1.9× median
CP17622982473615945
CDM 		Osteotomy Tarsal 4 $9,167.00 $13,553.00 $12,483.00 nat. median
$12,483
1.0× median
4080291
CDM 		Rituximab Pvvr 10 Mg/ml Sol[pres] 3 $8,291.00 $12,257.00 $12,257.00 nat. median
$113
outlier · 108.5×
28289
CPT 		28289 Hallux Rigidus Correction With Cheilectomy, Debridement & Capsular Release O… 4 $8,848.00 $13,081.00 $12,048.00 nat. median
$3,519
outlier · 3.4×
27635
CPT 		27635 Excision Or Curettage Of Bone Cyst Or Benign Tumor, Tibia Or Fibula; 4 $8,848.00 $13,081.00 $12,048.00 nat. median
$3,506
outlier · 3.4×
27700
CPT 		Arthroplasty Ankle 4 $8,732.00 $12,910.00 $11,890.50 nat. median
$6,949
1.7× median
CP17622982473928367
CDM 		Repair Tendon With Tendon Graft Lower Extremity 4 $8,696.00 $12,856.00 $11,841.00 nat. median
$11,841
1.0× median
28750
CPT 		Arthrodesis Toe 4 $8,432.00 $12,465.00 $11,481.00 nat. median
$6,992
1.6× median
28291
CPT 		28291 Cheilectomy With Implant 4 $7,615.00 $12,907.00 $11,063.50 nat. median
$7,167
1.5× median
28200
CPT 		28200 Repair Flexor Tendon, Foot Without Free Graf 4 $7,303.00 $10,797.00 $9,944.50 nat. median
$3,411
outlier · 2.9×
28313
CPT 		28313 Reconstruction, Angular Deformity Of Toe, Soft Tissue Procedures Only 4 $7,302.00 $10,795.00 $9,942.50 nat. median
$3,343
outlier · 3.0×
28310
CPT 		28310 Enclavement Osteotomy 4 $7,052.00 $10,425.00 $9,602.00 nat. median
$6,178
1.6× median
28070
CPT 		28070 Synovectomy; Intertarsal Or Tarsometatarsal Joint, Each. 4 $7,052.00 $10,425.00 $9,602.00 nat. median
$6,197
1.5× median
27696
CPT 		27696 Repair, Primary, Disrupted Ligament, Ankle; Both Collateral Ligaments 4 $7,028.00 $10,390.00 $9,570.00 nat. median
$6,764
1.4× median
3271478
CDM 		Cartiva Implant 8 Mm 4 $6,947.00 $10,270.00 $9,459.00 nat. median
$9,459
1.0× median
CP17622982473900061
CDM 		Repair Achilles Tendon 4 $6,724.00 $9,940.00 $9,155.00 nat. median
$9,155
1.0× median
4083111
CDM 		Romosozumab 210mg/2.34 Ml Solution[pres} 3 $6,082.00 $8,991.00 $8,991.00 nat. median
$8,991
1.0× median
28445
CPT 		28445 Open Treatment Of Talus Fracture, Includes Internal Fixation, When Perform… 4 $6,529.00 $9,653.00 $8,891.00 nat. median
$7,065
1.3× median
28297
CPT 		28297 Correction, Hallux Valgus (Bunion), With Or Without Sesamoidectomy; Lapidu… 4 $6,529.00 $9,653.00 $8,891.00 nat. median
$7,584
1.2× median
27659
CPT 		27659 Flexor Repair, Legsecondary, With Or Without Graft, Each Tendon 4 $6,529.00 $9,653.00 $8,891.00 nat. median
$6,138
1.4× median
64704
CPT 		64704 Neuroplasty; Nerve Of Hand Or Foot Profee 4 $6,431.00 $9,508.00 $8,757.00 nat. median
$2,160
outlier · 4.1×
28299
CPT 		28299 Correction, Hallux Valgus (Bunion), With Or Without Sesamoidectomy; By Dou… 4 $6,218.00 $9,193.00 $8,467.50 nat. median
$6,816
1.2× median
CP17622982473910470
CDM 		Repair Hernia Ventral 4 $4,744.00 $7,014.00 $6,460.00 nat. median
$6,460
1.0× median
CP17622982473910704
CDM 		Repair Hernia Inguinal 4 $4,744.00 $7,014.00 $6,460.00 nat. median
$6,460
1.0× median
4081405
CDM 		Denosumab 60 Mg/ml Sol 3 $4,339.00 $6,414.00 $6,414.00 nat. median
$6,414
1.0× median
4086705
CDM 		Iobenguane I-123 3 $4,241.00 $6,270.00 $6,270.00 nat. median
$6,270
1.0× median
CP17622982473528984
CDM 		Excision Lipoma Breast 4 $4,467.00 $6,604.00 $6,083.00 nat. median
$6,083
1.0× median
CP17622982473572605
CDM 		Ligation Vein Lower Extremity 4 $4,388.00 $6,488.00 $5,975.50 nat. median
$5,976
1.0× median
28120
CPT 		28120 Partial Excision Of Bone; Talus Or Calcaneus 4 $4,383.00 $6,479.00 $5,967.50 nat. median
$3,511
1.7× median
27626
CPT 		27626 Arthrotomy, With Synovectomy, Ankle Including Tenosynovectomy 4 $4,383.00 $6,479.00 $5,967.50 nat. median
$3,648
1.6× median
27641
CPT 		27641 Excision Bone Spur Fibula 4 $4,383.00 $6,479.00 $5,967.50 nat. median
$3,479
1.7× median
27658
CPT 		27658 Flexor Repair, Leg, Primary, Each Tendon 4 $4,383.00 $6,479.00 $5,967.50 nat. median
$3,316
1.8× median
28124
CPT 		28124 Partial Excision Of Bone; Phalanx Of Toe 4 $4,382.00 $6,478.00 $5,966.50 nat. median
$3,324
1.8× median
28160
CPT 		28160 Hemiphalangectomy Or Interphalangeal Joint Excision, Toe, Proximal End Of… 4 $4,382.00 $6,478.00 $5,966.50 nat. median
$3,277
1.8× median
28100
CPT 		28100 Exc Or Curettage Of Bone Cyst Talus Or Calcaneus 4 $4,381.00 $6,476.00 $5,965.00 nat. median
$3,374
1.8× median
28208
CPT 		Repair Tendon Lower Extremity 4 $4,210.00 $6,224.00 $5,733.00 nat. median
$3,348
1.7× median
28296
CPT 		Bunionectomy 4 $4,210.00 $6,224.00 $5,733.00 nat. median
$3,795
1.5× median
CP17622982473615015
CDM 		Osteotomy Digit Foot 4 $4,210.00 $6,224.00 $5,733.00 nat. median
$5,733
1.0× median
28308
CPT 		Osteotomy Toe 4 $4,210.00 $6,224.00 $5,733.00 nat. median
$3,489
1.6× median

Other procedures at this hospital

Browse this hospital's 2,186 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
4086222 CDM Tenecteplase 50 Mg Pow 3 3 $29,870.00 $26,883.00 $19,194.00 $28,377.00 $28,377.00 2026-05-27
4086555 CDM Vedolizumab Powder-inj 3 3 $29,434.00 $26,491.00 $18,914.00 $27,962.00 $27,962.00 2026-05-27
27724 CPT 27724 Repair Of Nonunion Or Malunion, Tibia; With Iliac Or Other Autograft 4 4 $30,479.00 $27,431.00 $19,586.00 $28,955.00 $26,669.00 2026-05-27
27695 CPT 27695 Repair, Primary, Disrupted Ligament, Collateral 4 4 $30,450.00 $27,405.00 $19,567.00 $28,928.00 $26,644.00 2026-05-27
28320 CPT 28320 Repair Of Nonuniontarsal Bone 4 4 $29,669.00 $26,702.00 $19,065.00 $28,186.00 $25,960.50 2026-05-27
CP17622982473479777 CDM Arthrodesis Foot 4 4 $19,318.00 $17,386.00 $12,414.00 $18,352.00 $16,903.00 2026-05-27
4085741 CDM Alteplase 50 Mg Pow[pres] 3 3 $15,841.00 $14,257.00 $10,179.00 $15,049.00 $15,049.00 2026-05-27
4085127 CDM Pegfilgrastim Fpgk 6 Mg/0.6 Ml Solution 3 3 $15,481.00 $13,933.00 $9,948.00 $14,707.00 $14,707.00 2026-05-27
20900 CPT 20900 Autogenous Bone Graft (Dowel Or Button) 4 4 $15,094.00 $13,585.00 $9,699.00 $14,339.00 $13,207.00 2026-05-27
27691 CPT 27691 Fdl Transfer (Transfer / Redirect Deep Tendon, Single) 4 4 $15,093.00 $13,584.00 $9,699.00 $14,338.00 $13,206.00 2026-05-27
28740 CPT 28740 Arthrodesis, Midtarsal Or Tarsometatarsal, Single Joint 4 4 $15,093.00 $13,584.00 $9,699.00 $14,338.00 $13,206.00 2026-05-27
27698 CPT Reconstruction Ankle 4 4 $14,334.00 $12,901.00 $9,211.00 $13,617.00 $12,542.00 2026-05-27
CP17622982473615945 CDM Osteotomy Tarsal 4 4 $14,266.00 $12,839.00 $9,167.00 $13,553.00 $12,483.00 2026-05-27
4080291 CDM Rituximab Pvvr 10 Mg/ml Sol[pres] 3 3 $12,902.00 $11,612.00 $8,291.00 $12,257.00 $12,257.00 2026-05-27
28289 CPT 28289 Hallux Rigidus Correction With Cheilectomy, Debridement & Capsular Release O… 4 4 $13,769.00 $12,392.00 $8,848.00 $13,081.00 $12,048.00 2026-05-27
27635 CPT 27635 Excision Or Curettage Of Bone Cyst Or Benign Tumor, Tibia Or Fibula; 4 4 $13,769.00 $12,392.00 $8,848.00 $13,081.00 $12,048.00 2026-05-27
27700 CPT Arthroplasty Ankle 4 4 $13,589.00 $12,230.00 $8,732.00 $12,910.00 $11,890.50 2026-05-27
CP17622982473928367 CDM Repair Tendon With Tendon Graft Lower Extremity 4 4 $13,533.00 $12,180.00 $8,696.00 $12,856.00 $11,841.00 2026-05-27
28750 CPT Arthrodesis Toe 4 4 $13,121.00 $11,809.00 $8,432.00 $12,465.00 $11,481.00 2026-05-27
28291 CPT 28291 Cheilectomy With Implant 8 4 $12,718.50 $11,446.50 $7,615.00 $12,907.00 $11,063.50 2026-05-27
28200 CPT 28200 Repair Flexor Tendon, Foot Without Free Graf 4 4 $11,365.00 $10,229.00 $7,303.00 $10,797.00 $9,944.50 2026-05-27
28313 CPT 28313 Reconstruction, Angular Deformity Of Toe, Soft Tissue Procedures Only 4 4 $11,363.00 $10,227.00 $7,302.00 $10,795.00 $9,942.50 2026-05-27
28310 CPT 28310 Enclavement Osteotomy 4 4 $10,974.00 $9,877.00 $7,052.00 $10,425.00 $9,602.00 2026-05-27
28070 CPT 28070 Synovectomy; Intertarsal Or Tarsometatarsal Joint, Each. 4 4 $10,974.00 $9,877.00 $7,052.00 $10,425.00 $9,602.00 2026-05-27
27696 CPT 27696 Repair, Primary, Disrupted Ligament, Ankle; Both Collateral Ligaments 4 4 $10,937.00 $9,843.00 $7,028.00 $10,390.00 $9,570.00 2026-05-27
3271478 CDM Cartiva Implant 8 Mm 4 4 $10,810.00 $9,729.00 $6,947.00 $10,270.00 $9,459.00 2026-05-27
CP17622982473900061 CDM Repair Achilles Tendon 4 4 $10,463.00 $9,417.00 $6,724.00 $9,940.00 $9,155.00 2026-05-27
4083111 CDM Romosozumab 210mg/2.34 Ml Solution[pres} 3 3 $9,464.00 $8,518.00 $6,082.00 $8,991.00 $8,991.00 2026-05-27
28297 CPT 28297 Correction, Hallux Valgus (Bunion), With Or Without Sesamoidectomy; Lapidu… 4 4 $10,161.00 $9,145.00 $6,529.00 $9,653.00 $8,891.00 2026-05-27
27659 CPT 27659 Flexor Repair, Legsecondary, With Or Without Graft, Each Tendon 4 4 $10,161.00 $9,145.00 $6,529.00 $9,653.00 $8,891.00 2026-05-27
28445 CPT 28445 Open Treatment Of Talus Fracture, Includes Internal Fixation, When Perform… 4 4 $10,161.00 $9,145.00 $6,529.00 $9,653.00 $8,891.00 2026-05-27
64704 CPT 64704 Neuroplasty; Nerve Of Hand Or Foot Profee 4 4 $10,008.00 $9,007.00 $6,431.00 $9,508.00 $8,757.00 2026-05-27
28299 CPT 28299 Correction, Hallux Valgus (Bunion), With Or Without Sesamoidectomy; By Dou… 4 4 $9,677.00 $8,709.00 $6,218.00 $9,193.00 $8,467.50 2026-05-27
CP17622982473910704 CDM Repair Hernia Inguinal 4 4 $7,383.00 $6,645.00 $4,744.00 $7,014.00 $6,460.00 2026-05-27
CP17622982473910470 CDM Repair Hernia Ventral 4 4 $7,383.00 $6,645.00 $4,744.00 $7,014.00 $6,460.00 2026-05-27
4081405 CDM Denosumab 60 Mg/ml Sol 3 3 $6,752.00 $6,077.00 $4,339.00 $6,414.00 $6,414.00 2026-05-27
4086705 CDM Iobenguane I-123 3 3 $6,600.00 $5,940.00 $4,241.00 $6,270.00 $6,270.00 2026-05-27
CP17622982473528984 CDM Excision Lipoma Breast 4 4 $6,952.00 $6,257.00 $4,467.00 $6,604.00 $6,083.00 2026-05-27
CP17622982473572605 CDM Ligation Vein Lower Extremity 4 4 $6,829.00 $6,146.00 $4,388.00 $6,488.00 $5,975.50 2026-05-27
28120 CPT 28120 Partial Excision Of Bone; Talus Or Calcaneus 4 4 $6,820.00 $6,138.00 $4,383.00 $6,479.00 $5,967.50 2026-05-27
27626 CPT 27626 Arthrotomy, With Synovectomy, Ankle Including Tenosynovectomy 4 4 $6,820.00 $6,138.00 $4,383.00 $6,479.00 $5,967.50 2026-05-27
27658 CPT 27658 Flexor Repair, Leg, Primary, Each Tendon 4 4 $6,820.00 $6,138.00 $4,383.00 $6,479.00 $5,967.50 2026-05-27
27641 CPT 27641 Excision Bone Spur Fibula 4 4 $6,820.00 $6,138.00 $4,383.00 $6,479.00 $5,967.50 2026-05-27
28124 CPT 28124 Partial Excision Of Bone; Phalanx Of Toe 4 4 $6,819.00 $6,137.00 $4,382.00 $6,478.00 $5,966.50 2026-05-27
28160 CPT 28160 Hemiphalangectomy Or Interphalangeal Joint Excision, Toe, Proximal End Of … 4 4 $6,819.00 $6,137.00 $4,382.00 $6,478.00 $5,966.50 2026-05-27
28100 CPT 28100 Exc Or Curettage Of Bone Cyst Talus Or Calcaneus 4 4 $6,817.00 $6,135.00 $4,381.00 $6,476.00 $5,965.00 2026-05-27
CP17622982473615015 CDM Osteotomy Digit Foot 4 4 $6,552.00 $5,897.00 $4,210.00 $6,224.00 $5,733.00 2026-05-27
28308 CPT Osteotomy Toe 4 4 $6,552.00 $5,897.00 $4,210.00 $6,224.00 $5,733.00 2026-05-27
28208 CPT Repair Tendon Lower Extremity 4 4 $6,552.00 $5,897.00 $4,210.00 $6,224.00 $5,733.00 2026-05-27
28118 CPT 28118 Ostectomy, Calcaneus; 4 4 $6,552.00 $5,897.00 $4,210.00 $6,224.00 $5,733.00 2026-05-27
28296 CPT Bunionectomy 4 4 $6,552.00 $5,897.00 $4,210.00 $6,224.00 $5,733.00 2026-05-27
28820 CPT 28820 Pro Fee Amputate Toe Mtp Jnt Charge 4 4 $6,495.00 $5,846.00 $4,174.00 $6,170.00 $5,683.00 2026-05-27
28312 CPT 28312 Osteotomy, Shortening, Angular Or Rotational Correction; Other Phalanges, … 4 4 $6,335.00 $5,702.00 $4,071.00 $6,018.00 $5,543.00 2026-05-27
CP17622982473488522 CDM Biopsy Skin Head/neck 4 4 $6,267.00 $5,640.00 $4,027.00 $5,954.00 $5,484.00 2026-05-27
CP17622982473476894 CDM Biopsy Breast 4 4 $6,182.00 $5,564.00 $3,973.00 $5,873.00 $5,409.50 2026-05-27
13160 CPT Closure Dehiscence Wound 4 4 $6,042.00 $5,438.00 $3,883.00 $5,740.00 $5,287.00 2026-05-27
CP17622982473937448 CDM Revision Colostomy 4 4 $6,042.00 $5,438.00 $3,883.00 $5,740.00 $5,287.00 2026-05-27
4080096 CDM Ferric Carboxymaltose 3 3 $5,522.00 $4,970.00 $3,548.00 $5,246.00 $5,246.00 2026-05-27
CP17622982473540491 CDM Gastrotomy With Feeding Tube Insertion 4 4 $5,599.00 $5,039.00 $3,598.00 $5,319.00 $4,899.00 2026-05-27
70549 CPT MRA Neck With + Without Contrast 4 4 $5,567.00 $5,010.00 $3,577.00 $5,289.00 $4,871.50 2026-05-27
J1950 HCPCS 22.5mg/3 Months ER IM Inj Leuprolideamb Leuprolide Charge 4 4 $5,531.00 $4,978.00 $3,554.00 $5,254.00 $4,839.50 2026-05-27
70546 CPT MRA Brain/head With + Without Contrast 4 4 $5,530.00 $4,977.00 $3,554.00 $5,254.00 $4,839.00 2026-05-27
CP17622982473470864 CDM Biopsy Bone 4 4 $5,397.00 $4,857.00 $3,468.00 $5,127.00 $4,722.50 2026-05-27
59409 CPT 59409-vaginal Delivery Only 4 4 $5,259.00 $4,733.00 $3,379.00 $4,996.00 $4,601.50 2026-05-27
59812 CPT 59812 Treatment Of Miscarriage 4 4 $5,259.00 $4,733.00 $3,379.00 $4,996.00 $4,601.50 2026-05-27
71552 CPT MRI Chest With + Without Contrast 4 4 $5,068.00 $4,561.00 $3,257.00 $4,815.00 $4,434.50 2026-05-27
3020002 CDM Telemetry Chargeinpatient 4 4 $5,040.00 $4,536.00 $3,239.00 $4,788.00 $4,410.00 2026-05-27
4089820 CDM Omalizumab 3 3 $4,616.00 $4,154.00 $2,966.00 $4,385.00 $4,385.00 2026-05-27
28104 CPT 28104 Excision Or Curettage Bone Cyst- Tarsal Or Metatarsal 4 4 $4,946.00 $4,451.00 $3,178.00 $4,699.00 $4,328.00 2026-05-27
28062 CPT 28062 Fasciectomy 4 4 $4,946.00 $4,451.00 $3,178.00 $4,699.00 $4,328.00 2026-05-27
28510 CPT 28510-phalanx Without Manipulation; Not Great Toe 4 4 $4,787.00 $4,308.00 $3,076.00 $4,548.00 $4,189.00 2026-05-27
3050001 CDM Room/bed: Pediatrics 4 4 $4,725.00 $4,253.00 $3,036.00 $4,489.00 $4,134.50 2026-05-27
3020001 CDM Room/bed: Inpatient 4 4 $4,725.00 $4,253.00 $3,036.00 $4,489.00 $4,134.50 2026-05-27
3020003 CDM Room/bed: Isolation 4 4 $4,725.00 $4,253.00 $3,036.00 $4,489.00 $4,134.50 2026-05-27
CP17622982473545009 CDM Hemorrhoidectomy 4 4 $4,696.00 $4,226.00 $3,018.00 $4,461.00 $4,109.00 2026-05-27
CP17622982473509878 CDM Dilatation Rectum 4 4 $4,696.00 $4,226.00 $3,018.00 $4,461.00 $4,109.00 2026-05-27
CP17622982473514644 CDM Disimpaction Feces 4 4 $4,696.00 $4,226.00 $3,018.00 $4,461.00 $4,109.00 2026-05-27
CP17622982473480790 CDM Biopsy Rectum 4 4 $4,696.00 $4,226.00 $3,018.00 $4,461.00 $4,109.00 2026-05-27
CP17622982473910289 CDM Repair Laceration Lower Extremity 4 4 $4,696.00 $4,226.00 $3,018.00 $4,461.00 $4,109.00 2026-05-27
27301 CPT 27301 I&d Deep Absc Bursa/hematoma Thigh/knee Region Profee 4 4 $4,675.00 $4,208.00 $3,004.00 $4,441.00 $4,090.50 2026-05-27
27625 CPT 27625 Arthrotomy, With Synovectomy, Ankle 4 4 $4,591.00 $4,132.00 $2,950.00 $4,361.00 $4,017.00 2026-05-27
CP17622982473521150 CDM Excision Lesion Vagina 4 4 $4,568.00 $4,111.00 $2,935.00 $4,340.00 $3,997.00 2026-05-27
CP17622982473520956 CDM Excision Lesion Female Genitalia 4 4 $4,568.00 $4,111.00 $2,935.00 $4,340.00 $3,997.00 2026-05-27
CP17622982473537526 CDM Exploration Wound 4 4 $4,568.00 $4,111.00 $2,935.00 $4,340.00 $3,997.00 2026-05-27
21320 CPT 21320-nasal Bone With Stabilization 4 4 $4,422.00 $3,980.00 $2,842.00 $4,201.00 $3,869.50 2026-05-27
21315 CPT 21315nasal Bone Fx Without Stabilization 4 4 $4,422.00 $3,980.00 $2,842.00 $4,201.00 $3,869.50 2026-05-27
70543 CPT MRI Face Neck Orbit With + Without Contrast 4 4 $4,179.00 $3,761.00 $2,685.00 $3,970.00 $3,656.50 2026-05-27
71551 CPT MRI Chest With Contrast 4 4 $4,041.00 $3,637.00 $2,597.00 $3,839.00 $3,536.00 2026-05-27
78452 CPT Nm Myocardial Spect Multiple Studies 4 4 $4,029.00 $3,626.00 $2,589.00 $3,828.00 $3,525.50 2026-05-27
11770 CPT Cystectomy Pilonidal 4 4 $3,997.00 $3,597.00 $2,568.00 $3,797.00 $3,497.50 2026-05-27
10121 CPT 10121-subcutaneous Tissue Complex 4 4 $3,997.00 $3,597.00 $2,568.00 $3,797.00 $3,497.50 2026-05-27
CP17622982473525064 CDM Excision Lesion Skin Benign Lower Extremity 4 4 $3,997.00 $3,597.00 $2,568.00 $3,797.00 $3,497.50 2026-05-27
11426 CPT 11426exision Benign S/n/h/f > 4 Cm 4 4 $3,997.00 $3,597.00 $2,568.00 $3,797.00 $3,497.50 2026-05-27
11606 CPT 11606 Removal Of Malignant Growth (Over 4.0 Centimeters) Of The Trunk, Arms Or L… 4 4 $3,997.00 $3,597.00 $2,568.00 $3,797.00 $3,497.50 2026-05-27
CP17622982473937685 CDM Revision Scar Lower Extremity 4 4 $3,989.00 $3,590.00 $2,563.00 $3,790.00 $3,490.50 2026-05-27
CP17622982473937374 CDM Revision Scar Tissue 4 4 $3,989.00 $3,590.00 $2,563.00 $3,790.00 $3,490.50 2026-05-27
CP17622982473538524 CDM Exostectomy Foot 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
25248 CPT 25248exploration, Forearm/wrist 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
CP17622982473533727 CDM Fascietectomy 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
CP17622982473601176 CDM Open Reduction Internal Fixation Foot 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
CP17622982473461087 CDM Amputation Foot 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
28285 CPT 28285 Correction Hammertoe 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
28270 CPT 28270 Capsulotomy; Metatarsophalangeal Joint, With Or Without Tenorrhaphy, Each … 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
28234 CPT Tenotomy 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
28110 CPT Excision Bone Foot 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
28108 CPT 28108 Excision Or Curettage Of Bone Cyst Or Benign Tumor, Phalanges Of Foot; 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
28090 CPT 28090 Excision Of Lesion, Tendon, Tendon Sheath, Or Capsule (Including Synovecto… 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
CP17622982473473860 CDM Arthrotomy Toe 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
26951 CPT 26951-partial Amputation Of Long Finger 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
CP17622982473532400 CDM Excision Neuroma Morton's 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
CP17622982473950460 CDM Synovectomy Ankle 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
CP17622982473492012 CDM Closed Reduction Foot 4 4 $3,981.00 $3,583.00 $2,558.00 $3,782.00 $3,483.50 2026-05-27
20680 CPT Hardware Removal 4 4 $3,969.00 $3,572.00 $2,550.00 $3,771.00 $3,473.00 2026-05-27
14040 CPT 14040 Adjacent Tissue Transfer; Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Ha… 8 4 $3,917.00 $3,525.50 $2,471.00 $3,790.00 $3,422.00 2026-05-27
CP17622982473535997 CDM Excision Lipoma Pelvis 4 4 $3,869.00 $3,482.00 $2,486.00 $3,676.00 $3,385.50 2026-05-27
CP17622982473522904 CDM Excision Bone Fragment 4 4 $3,869.00 $3,482.00 $2,486.00 $3,676.00 $3,385.50 2026-05-27
23931 CPT 23931-i&d Elbow Abscess/bursa/hematoma 4 4 $3,869.00 $3,482.00 $2,486.00 $3,676.00 $3,385.50 2026-05-27
CP17622982473524851 CDM Excision Cyst 4 4 $3,869.00 $3,482.00 $2,486.00 $3,676.00 $3,385.50 2026-05-27
CP17622982473524563 CDM Excision Cyst Neck 4 4 $3,869.00 $3,482.00 $2,486.00 $3,676.00 $3,385.50 2026-05-27
28192 CPT 28192foot Deep 4 4 $3,869.00 $3,482.00 $2,486.00 $3,676.00 $3,385.50 2026-05-27
CP17622982473522825 CDM Excision Lipoma Abdominal Wall 4 4 $3,869.00 $3,482.00 $2,486.00 $3,676.00 $3,385.50 2026-05-27
28043 CPT 28043 Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; Less Than 1.5 C… 4 4 $3,869.00 $3,482.00 $2,486.00 $3,676.00 $3,385.50 2026-05-27
28039 CPT 28039 Exc. Tumor, Superficial, 1.5cm Or Greater 4 4 $3,844.00 $3,460.00 $2,470.00 $3,652.00 $3,363.50 2026-05-27
75635 CPT CT Angio Abdominal Aorta With Runoff 4 4 $3,839.00 $3,455.00 $2,467.00 $3,647.00 $3,359.00 2026-05-27
70548 CPT MRA Neck With Contrast 4 4 $3,837.00 $3,453.00 $2,466.00 $3,645.00 $3,357.50 2026-05-27
12037 CPT 12037-scalp/trunk/extremity Greater Than 30.0 Cm 4 4 $3,817.00 $3,435.00 $2,453.00 $3,626.00 $3,340.00 2026-05-27
4080475 CDM Hydroxocobalamin 5 G Pow 3 3 $3,488.00 $3,139.00 $2,241.00 $3,314.00 $3,314.00 2026-05-27
70553 CPT MRI Scan 4 4 $3,784.00 $3,406.00 $2,432.00 $3,595.00 $3,311.00 2026-05-27
73220 CPT MRI Forearm With + Without Contrast Bilat 8 4 $3,851.50 $3,466.00 $2,214.00 $4,044.00 $3,274.00 2026-05-27
72156 CPT MRI Spine Cervical With + Without Contrast 4 4 $3,724.00 $3,352.00 $2,393.00 $3,538.00 $3,258.50 2026-05-27
71550 CPT MRI Chest Without Contrast 4 4 $3,705.00 $3,335.00 $2,381.00 $3,520.00 $3,242.00 2026-05-27
73720 CPT MRI Femur With + Without Contrast Bilat 8 4 $3,703.50 $3,333.00 $2,229.00 $3,741.00 $3,223.00 2026-05-27
70547 CPT MRA Neck Without Contrast 4 4 $3,619.00 $3,257.00 $2,326.00 $3,438.00 $3,166.50 2026-05-27
70544 CPT MRA Brain/head Without Contrast 4 4 $3,606.00 $3,245.00 $2,317.00 $3,426.00 $3,155.50 2026-05-27
70545 CPT MRA Brain/head With Contrast 4 4 $3,556.00 $3,200.00 $2,285.00 $3,378.00 $3,111.50 2026-05-27
73723 CPT MRI Ankle With + Without Contrast Bilat 8 4 $3,577.00 $3,219.50 $2,072.00 $3,734.00 $3,063.00 2026-05-27
73223 CPT MRI Elbow With + Without Contrast Bilat 8 4 $3,581.00 $3,223.00 $2,069.00 $3,746.00 $3,058.00 2026-05-27
70542 CPT MRI Face Neck Orbit With Contrast 4 4 $3,485.00 $3,137.00 $2,239.00 $3,311.00 $3,049.50 2026-05-27
4000490 CDM Repair Nonunion Fracture Foot 4 4 $3,470.00 $3,123.00 $2,230.00 $3,297.00 $3,036.50 2026-05-27
74183 CPT MRI Abdomen With + Without Contrast 4 4 $3,449.00 $3,104.00 $2,216.00 $3,277.00 $3,018.00 2026-05-27
72197 CPT MRI Pelvis With + Without Contrast 4 4 $3,441.00 $3,097.00 $2,211.00 $3,269.00 $3,011.00 2026-05-27
CP17622982473527148 CDM Excision Lesion Skin Benign Upper Extremity 4 4 $3,419.00 $3,077.00 $2,197.00 $3,248.00 $2,991.50 2026-05-27
28080 CPT 28080 Excision, Interdigital (Morton) Neuroma, Single, Each 4 4 $3,355.00 $3,020.00 $2,156.00 $3,187.00 $2,935.50 2026-05-27
26742 CPT 26742-metacarpophalangeal/interphalangeal Joint With Manip 4 4 $3,303.00 $2,973.00 $2,123.00 $3,138.00 $2,890.00 2026-05-27
74174 CPT CT Angio Abdomen And Pelvis 4 4 $3,249.00 $2,924.00 $2,088.00 $3,087.00 $2,843.00 2026-05-27
CP17622982473523411 CDM Excision Lesion Lower Extremity 4 4 $3,242.00 $2,918.00 $2,083.00 $3,080.00 $2,837.00 2026-05-27
72158 CPT MRI Spine Lumbar With + Without Contrast 4 4 $3,232.00 $2,909.00 $2,077.00 $3,070.00 $2,828.00 2026-05-27
21931 CPT 21931 Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaneous; 3 Cm Or Great… 4 4 $3,229.00 $2,906.00 $2,075.00 $3,068.00 $2,825.50 2026-05-27
25075 CPT 25075 Excision, Tumor, Soft Tissue Of Forearm And/or Wrist Area, Subcutaneous; L… 4 4 $3,228.00 $2,905.00 $2,074.00 $3,067.00 $2,824.50 2026-05-27
73222 CPT MRI Elbow With Contrast Bilat 4 4 $3,198.00 $2,878.00 $2,055.00 $3,038.00 $2,798.00 2026-05-27
28092 CPT 28092 Excision Of Lesion, Tendon, Tendon Sheath, Or Capsule (Including Synovecto… 4 4 $3,195.00 $2,876.00 $2,053.00 $3,035.00 $2,795.50 2026-05-27
78451 CPT Nm Myocardial Spect Single Study 4 4 $3,188.00 $2,869.00 $2,049.00 $3,029.00 $2,789.50 2026-05-27
70540 CPT MRI Face Neck Orbit Without Contrast 4 4 $3,173.00 $2,856.00 $2,039.00 $3,014.00 $2,776.00 2026-05-27
74178 CPT CT Abdomen And Pelvis With + Without Contrast 4 4 $3,158.00 $2,842.00 $2,029.00 $3,000.00 $2,763.00 2026-05-27
87507 CPT Gi Panel By Pcr Npl 4 4 $3,128.00 $2,815.00 $2,010.00 $2,972.00 $2,737.00 2026-05-27
CP17622982473516495 CDM Esophagogastroduodenoscopy With Peg Placement 4 4 $3,077.00 $2,769.00 $1,977.00 $2,923.00 $2,692.50 2026-05-27
43251 CPT Esophagogastroduodenoscopy Excision Lesion 4 4 $3,077.00 $2,769.00 $1,977.00 $2,923.00 $2,692.50 2026-05-27
74182 CPT MRI Abdomen With Contrast 4 4 $3,044.00 $2,740.00 $1,956.00 $2,892.00 $2,663.50 2026-05-27
25605 CPT 25605-distal Radial With Manipulation 4 4 $3,000.00 $2,700.00 $1,928.00 $2,850.00 $2,625.00 2026-05-27
23625 CPT 23625 Treat Humerus Fracture 4 4 $3,000.00 $2,700.00 $1,928.00 $2,850.00 $2,625.00 2026-05-27
23505 CPT 23505 Treat Clavicle Fracture 4 4 $3,000.00 $2,700.00 $1,928.00 $2,850.00 $2,625.00 2026-05-27
27818 CPT 27818-trimalleolar Ankle With Manipulation 4 4 $3,000.00 $2,700.00 $1,928.00 $2,850.00 $2,625.00 2026-05-27
27762 CPT 27762-medial Malleolus With Manipulation 4 4 $3,000.00 $2,700.00 $1,928.00 $2,850.00 $2,625.00 2026-05-27
27752 CPT 27752-tibial Shaft With Manipulation 4 4 $3,000.00 $2,700.00 $1,928.00 $2,850.00 $2,625.00 2026-05-27
CP17622982473499115 CDM Closed Reduction Ankle 4 4 $3,000.00 $2,700.00 $1,928.00 $2,850.00 $2,625.00 2026-05-27
23520 CPT 23520 Treat Clavicle Dislocation 4 4 $3,000.00 $2,700.00 $1,928.00 $2,850.00 $2,625.00 2026-05-27
27502 CPT 27502-femoral Shaft With Manipulation 4 4 $3,000.00 $2,700.00 $1,928.00 $2,850.00 $2,625.00 2026-05-27
27266 CPT 27266-hip Post Arthroplasty W/anesthesia 4 4 $3,000.00 $2,700.00 $1,928.00 $2,850.00 $2,625.00 2026-05-27
72157 CPT MRI Spine Thoracic With + Without Contrast 4 4 $2,986.00 $2,687.00 $1,919.00 $2,837.00 $2,613.00 2026-05-27
78227 CPT Nm Hepatobiliary Imaging With Drug 4 4 $2,983.00 $2,685.00 $1,917.00 $2,834.00 $2,610.00 2026-05-27
73219 CPT MRI Forearm With Contrast Bilat 8 4 $3,111.50 $2,800.00 $1,752.00 $3,322.00 $2,590.00 2026-05-27
10140 CPT 10140-i&d Hematoma/seroma/fluid 4 4 $2,947.00 $2,652.00 $1,894.00 $2,800.00 $2,579.00 2026-05-27
95811 CPT Pres 95811 Sleep Study With Cpap Charge 4 4 $2,835.00 $2,552.00 $1,822.00 $2,693.00 $2,480.50 2026-05-27
95810 CPT Sleep Study 4 4 $2,835.00 $2,552.00 $1,822.00 $2,693.00 $2,480.50 2026-05-27
73206 CPT CT Angio Upper Extremity Left 4 4 $2,812.00 $2,531.00 $1,807.00 $2,671.00 $2,460.50 2026-05-27
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 4 4 $2,794.00 $2,515.00 $1,795.00 $2,654.00 $2,444.50 2026-05-27
72159 CPT MRA Spinal Contents With + Without Contrast 4 4 $2,780.00 $2,502.00 $1,786.00 $2,641.00 $2,432.50 2026-05-27
72142 CPT MRI Spine Cervical With Contrast 4 4 $2,780.00 $2,502.00 $1,786.00 $2,641.00 $2,432.50 2026-05-27
4082399 CDM Hepatitis B Immune Globulin 3 3 $2,554.00 $2,299.00 $1,641.00 $2,426.00 $2,426.00 2026-05-27
72196 CPT MRI Pelvis With Contrast 4 4 $2,744.00 $2,470.00 $1,763.00 $2,607.00 $2,401.00 2026-05-27
72149 CPT MRI Spine Lumbar With Contrast 4 4 $2,741.00 $2,467.00 $1,761.00 $2,604.00 $2,398.50 2026-05-27
73719 CPT MRI Femur With Contrast Bilat 4 4 $2,733.00 $2,460.00 $1,756.00 $2,596.00 $2,391.00 2026-05-27
70336 CPT MRI Tmj 4 4 $2,684.00 $2,416.00 $1,725.00 $2,550.00 $2,348.50 2026-05-27
11443 CPT 11443excision Benign F/e/e/n/l 2.13 Cm 4 4 $2,664.00 $2,398.00 $1,712.00 $2,531.00 $2,331.00 2026-05-27
38220 CPT 38220aspiration Bone Marrow 4 4 $2,664.00 $2,398.00 $1,712.00 $2,531.00 $2,331.00 2026-05-27
11420 CPT 11420-excise Lesion Bn Scalp/nose/hand/feet/genital <=0.5 Cm 4 4 $2,664.00 $2,398.00 $1,712.00 $2,531.00 $2,331.00 2026-05-27
11010 CPT 11010-fb Skin/subsequent Of Open Fracture/dislocation Site 4 4 $2,664.00 $2,398.00 $1,712.00 $2,531.00 $2,331.00 2026-05-27
73718 CPT MRI Femur Without Contrast Bilat 8 4 $2,676.50 $2,409.00 $1,589.00 $2,736.00 $2,326.50 2026-05-27
72198 CPT MRA Pelvis Without Contrast 4 4 $2,646.00 $2,381.00 $1,700.00 $2,514.00 $2,315.50 2026-05-27
71555 CPT MRA Chest With + Without Contrast 4 4 $2,640.00 $2,376.00 $1,696.00 $2,508.00 $2,310.00 2026-05-27
74185 CPT MRA Abdomen With + Without Contrast 4 4 $2,639.00 $2,375.00 $1,696.00 $2,507.00 $2,309.00 2026-05-27
37799 CPT 37799proc Vascular Surg 4 4 $2,622.00 $2,360.00 $1,685.00 $2,491.00 $2,294.50 2026-05-27
36569 CPT 36569-picc Line Insertion Greater Than/equal To 5 Years 4 4 $2,622.00 $2,360.00 $1,685.00 $2,491.00 $2,294.50 2026-05-27
36556 CPT 36556-central Line Greater Than/equal To 5 Years 4 4 $2,622.00 $2,360.00 $1,685.00 $2,491.00 $2,294.50 2026-05-27
73722 CPT MRI Ankle With Contrast Bilat 4 4 $2,591.00 $2,332.00 $1,665.00 $2,461.00 $2,267.00 2026-05-27
CP17622982473483650 CDM Biopsy Skin Torso 4 4 $2,578.00 $2,320.00 $1,657.00 $2,449.00 $2,255.50 2026-05-27
73218 CPT MRI Forearm Without Contrast Bilat 8 4 $2,824.00 $2,541.50 $1,521.00 $3,117.00 $2,249.00 2026-05-27
74175 CPT CT Angio Abdomen 4 4 $2,554.00 $2,299.00 $1,641.00 $2,426.00 $2,234.50 2026-05-27
11421 CPT 11421 Excision Benign Lesion Scalp, Neck, Hands, Feet, Genitalia 0.6cm-1.0cm 8 4 $2,551.50 $2,296.50 $1,567.00 $2,531.00 $2,224.00 2026-05-27
70552 CPT MRI Brain With Contrast 4 4 $2,503.00 $2,253.00 $1,608.00 $2,378.00 $2,190.00 2026-05-27
72195 CPT MRI Pelvis Without Contrast 4 4 $2,498.00 $2,248.00 $1,605.00 $2,373.00 $2,185.50 2026-05-27
74170 CPT CT Abdomen With + Without Contrast 4 4 $2,491.00 $2,242.00 $1,601.00 $2,366.00 $2,179.50 2026-05-27
28230 CPT 28230 Open Flexor Tenotomy, Single Or Multiple, Foot 4 4 $2,468.00 $2,221.00 $1,586.00 $2,345.00 $2,159.50 2026-05-27
20670 CPT 20670 Removal Implant Superficial 4 4 $2,457.00 $2,211.00 $1,579.00 $2,334.00 $2,150.00 2026-05-27
73721 CPT MRI Scan Of Leg Joint 8 4 $2,444.00 $2,200.00 $1,558.00 $2,341.00 $2,137.00 2026-05-27
4086707 CDM Indium Pentetate In-111 3 3 $2,238.00 $2,014.00 $1,438.00 $2,126.00 $2,126.00 2026-05-27
70496 CPT CT Angio Brain/head 4 4 $2,423.00 $2,181.00 $1,557.00 $2,302.00 $2,120.00 2026-05-27
72147 CPT MRI Spine Thoracic With Contrast 4 4 $2,420.00 $2,178.00 $1,555.00 $2,299.00 $2,117.50 2026-05-27
73221 CPT MRI Elbow Without Contrast Bilat 8 4 $2,385.00 $2,146.50 $1,521.00 $2,283.00 $2,085.50 2026-05-27
4083729 CDM Desmopressin 40. 3 3 $2,143.00 $1,929.00 $1,377.00 $2,036.00 $2,036.00 2026-05-27
71275 CPT CT Angio Chest 8 4 $2,264.50 $2,038.00 $1,454.00 $2,153.00 $1,981.50 2026-05-27
87902 CPT Hcv Genotype By Pcr & Sequencing Npl 4 4 $2,249.00 $2,024.00 $1,445.00 $2,137.00 $1,968.00 2026-05-27
71270 CPT CT Chest With + Without Contrast 4 4 $2,241.00 $2,017.00 $1,440.00 $2,129.00 $1,961.00 2026-05-27
70492 CPT CT Neck Soft Tissue With + Without Contrast 4 4 $2,230.00 $2,007.00 $1,433.00 $2,119.00 $1,951.50 2026-05-27
70482 CPT CT Orbits Sella With + Without Contrast 4 4 $2,216.00 $1,994.00 $1,424.00 $2,105.00 $1,939.00 2026-05-27
64782 CPT 64782 Excision Of Neuroma; Hand Or Foot, Except Digital Nerve 4 4 $2,211.00 $1,990.00 $1,421.00 $2,100.00 $1,934.50 2026-05-27
74160 CPT CT Abdomen With Contrast 4 4 $2,198.00 $1,978.00 $1,412.00 $2,088.00 $1,923.00 2026-05-27
72146 CPT MRI Spine Thoracic Without Contrast 4 4 $2,189.00 $1,970.00 $1,407.00 $2,080.00 $1,915.50 2026-05-27
72148 CPT MRI Scan Of Lower Spinal Canal 4 4 $2,188.00 $1,969.00 $1,406.00 $2,079.00 $1,914.50 2026-05-27
74181 CPT MRI Abdomen Without Contrast 4 4 $2,178.00 $1,960.00 $1,400.00 $2,069.00 $1,905.50 2026-05-27
4080015 CDM Nirsevimab (Cvx 306) Alip Preservative-free 50 Mg/0.5 Ml Sol [Pres] 3 3 $2,002.00 $1,802.00 $1,286.00 $1,902.00 $1,902.00 2026-05-27
78226 CPT Nm Hepatobiliary Imaging 4 4 $2,174.00 $1,957.00 $1,397.00 $2,065.00 $1,902.00 2026-05-27
72141 CPT MRI Spine Cervical Without Contrast 4 4 $2,170.00 $1,953.00 $1,394.00 $2,062.00 $1,899.00 2026-05-27
44388 CPT Colonoscopy Stoma 4 4 $2,127.00 $1,914.00 $1,367.00 $2,021.00 $1,861.50 2026-05-27
CP17622982473491814 CDM Colonoscopy Excision Lesion 4 4 $2,127.00 $1,914.00 $1,367.00 $2,021.00 $1,861.50 2026-05-27
CP17622982473947291 CDM Sigmoidoscopy Dilatation 4 4 $2,127.00 $1,914.00 $1,367.00 $2,021.00 $1,861.50 2026-05-27
43247 CPT Esophagogastroduodenoscopy Foreign Body Removal 4 4 $2,107.00 $1,896.00 $1,354.00 $2,002.00 $1,844.00 2026-05-27
CP17622982473513179 CDM Esophagoscopy 4 4 $2,107.00 $1,896.00 $1,354.00 $2,002.00 $1,844.00 2026-05-27
CP17622982473509357 CDM Dilatation Esophagus 4 4 $2,107.00 $1,896.00 $1,354.00 $2,002.00 $1,844.00 2026-05-27
73202 CPT CT Upper Extremity W/+without Contrast Bilat 4 4 $2,096.00 $1,886.00 $1,347.00 $1,991.00 $1,834.00 2026-05-27
4086874 CDM Fluticasone-salmeterol Aerosol 3 3 $1,921.00 $1,729.00 $1,234.00 $1,825.00 $1,825.00 2026-05-27
73702 CPT CT Lower Extremity W/+without Contrast Bilat 4 4 $2,064.00 $1,858.00 $1,326.00 $1,961.00 $1,806.00 2026-05-27
81514 CPT Vaginal Panel (Bd Max) 4 4 $2,030.00 $1,827.00 $1,304.00 $1,929.00 $1,776.50 2026-05-27
70481 CPT CT Orbits Sella With Contrast 4 4 $2,002.00 $1,802.00 $1,286.00 $1,902.00 $1,752.00 2026-05-27
4080577 CDM Tiotropium 2.5 Mcg/inh Aer 3 3 $1,843.00 $1,659.00 $1,184.00 $1,751.00 $1,751.00 2026-05-27
99291 CPT 99291critical Care, 30-74 4 4 $1,957.00 $1,761.00 $1,258.00 $1,859.00 $1,712.50 2026-05-27
41252 CPT 41252-mf/t Complex 1/3 Greater Than 2.6cm 4 4 $1,951.00 $1,756.00 $1,254.00 $1,853.00 $1,707.00 2026-05-27
70488 CPT CT Maxillofacial With + Without Contrast 4 4 $1,888.00 $1,699.00 $1,213.00 $1,794.00 $1,652.00 2026-05-27
71260 CPT CT Chest With Contrast 4 4 $1,810.00 $1,629.00 $1,163.00 $1,720.00 $1,584.00 2026-05-27
70491 CPT CT Neck Soft Tissue With Contrast 4 4 $1,803.00 $1,623.00 $1,159.00 $1,713.00 $1,577.50 2026-05-27
72194 CPT CT Pelvis With + Without Contrast 4 4 $1,802.00 $1,622.00 $1,158.00 $1,712.00 $1,577.00 2026-05-27
72126 CPT CT Spine Cervical With Contrast 4 4 $1,786.00 $1,607.00 $1,148.00 $1,697.00 $1,563.00 2026-05-27
72132 CPT CT Spine Lumbar With Contrast 4 4 $1,786.00 $1,607.00 $1,148.00 $1,697.00 $1,563.00 2026-05-27
72129 CPT CT Spine Thoracic With Contrast 4 4 $1,786.00 $1,607.00 $1,148.00 $1,697.00 $1,563.00 2026-05-27
4089930 CDM Remdesivir Powder-inj 3 3 $1,625.00 $1,463.00 $1,044.00 $1,544.00 $1,544.00 2026-05-27
CP17622982473551972 CDM Injection Medication Intramuscular 4 4 $1,752.00 $1,577.00 $1,126.00 $1,664.00 $1,533.00 2026-05-27
62270 CPT 62270-lumbar Puncture Diagnostic 4 4 $1,752.00 $1,577.00 $1,126.00 $1,664.00 $1,533.00 2026-05-27
4089179 CDM Daptomycin 500 Mg Pow 3 3 $1,604.00 $1,444.00 $1,031.00 $1,524.00 $1,524.00 2026-05-27
70551 CPT MRI Brain Without Contrast 4 4 $1,696.00 $1,526.00 $1,090.00 $1,611.00 $1,484.00 2026-05-27
70480 CPT CT Orbits Sella Without Contrast 4 4 $1,636.00 $1,472.00 $1,051.00 $1,554.00 $1,431.50 2026-05-27
90675 CPT 1 Ml Rabiesamb Rabies Vaccine Charge 4 4 $1,625.00 $1,463.00 $1,044.00 $1,544.00 $1,422.00 2026-05-27
4068410 CDM Avibactam-ceftazidime 0.5 G-2 G Pow 3 3 $1,495.00 $1,346.00 $961.00 $1,420.00 $1,420.00 2026-05-27
3272356 CDM 8mm Single Use Instrument Set 4 4 $1,622.00 $1,460.00 $1,042.00 $1,541.00 $1,419.50 2026-05-27
P9035 HCPCS E2984 Aph Plt Acda Lr Irr Plas Red Open 8 4 $1,855.00 $1,669.50 $876.00 $2,230.00 $1,401.50 2026-05-27
78803 CPT Nm Tumor Loc Spect 4 4 $1,581.00 $1,423.00 $1,016.00 $1,502.00 $1,383.50 2026-05-27
78315 CPT Nm Bone Three Phase Study 4 4 $1,571.00 $1,414.00 $1,010.00 $1,492.00 $1,374.50 2026-05-27
45331 CPT 45331 Sigmoidoscopy, Flexible; With Biopsy, Single Or Multiple 4 4 $1,570.00 $1,413.00 $1,009.00 $1,492.00 $1,374.00 2026-05-27
CP17622982473487205 CDM Biopsy Female Genitalia 4 4 $1,563.00 $1,407.00 $1,004.00 $1,485.00 $1,367.50 2026-05-27
3110001 CDM Room/bed: Swingbedskilled 4 4 $1,500.00 $1,350.00 $964.00 $1,425.00 $1,312.50 2026-05-27
49082 CPT 49082 Abdominal Paracentesis (Diagnostic Or Therapeutic) Without Imaging Guidanc… 4 4 $1,496.00 $1,346.00 $961.00 $1,421.00 $1,309.00 2026-05-27
73701 CPT CT Lower Extremity With Contrast Bilat 8 4 $1,505.00 $1,354.50 $889.00 $1,545.00 $1,308.00 2026-05-27
73201 CPT CT Upper Extremity With Contrast Bilat 8 4 $1,593.00 $1,433.50 $884.00 $1,720.00 $1,307.00 2026-05-27
4084410 CDM Conjugated Estrogens Topical Cream-app 3 3 $1,366.00 $1,229.00 $878.00 $1,298.00 $1,298.00 2026-05-27
36589 CPT 36589 Removal Of Tunneled Central Venous Catheter, Without Subcutaneous Port Or … 4 4 $1,468.00 $1,321.00 $943.00 $1,395.00 $1,284.50 2026-05-27
11441 CPT 11441 Ex Ben Les Face Profee 4 4 $1,465.00 $1,319.00 $941.00 $1,392.00 $1,282.00 2026-05-27
99285 CPT 99285level 5 4 4 $1,456.00 $1,310.00 $936.00 $1,383.00 $1,274.00 2026-05-27
71250 CPT CT Chest Without Contrast 4 4 $1,403.00 $1,263.00 $902.00 $1,333.00 $1,227.50 2026-05-27
70490 CPT CT Neck Soft Tissue Without Contrast 4 4 $1,398.00 $1,258.00 $898.00 $1,328.00 $1,223.00 2026-05-27
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 8 4 $1,630.50 $1,467.50 $729.00 $2,021.00 $1,222.00 2026-05-27
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 8 4 $1,630.50 $1,467.50 $729.00 $2,021.00 $1,222.00 2026-05-27
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 8 4 $1,630.50 $1,467.50 $729.00 $2,021.00 $1,222.00 2026-05-27
46050 CPT 46050-i&d Perianal Abscess Superficial 4 4 $1,391.00 $1,252.00 $894.00 $1,321.00 $1,217.00 2026-05-27
CP17622982473949984 CDM Sigmoidoscopy Biopsy 4 4 $1,391.00 $1,252.00 $894.00 $1,321.00 $1,217.00 2026-05-27
CP17622982473553219 CDM Incision And Drainage Rectal Abscess 4 4 $1,391.00 $1,252.00 $894.00 $1,321.00 $1,217.00 2026-05-27
CP17622982473949299 CDM Sigmoidoscopy Excision Lesion 4 4 $1,391.00 $1,252.00 $894.00 $1,321.00 $1,217.00 2026-05-27
CP17622982473548656 CDM Hemorrhoidal Banding 4 4 $1,391.00 $1,252.00 $894.00 $1,321.00 $1,217.00 2026-05-27
78305 CPT Nm Bone Imaging Multiple Areas 4 4 $1,390.00 $1,251.00 $893.00 $1,321.00 $1,216.50 2026-05-27
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 8 4 $1,620.50 $1,458.50 $729.00 $2,002.00 $1,215.50 2026-05-27
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 8 4 $1,620.50 $1,458.50 $729.00 $2,002.00 $1,215.50 2026-05-27
70470 CPT CT Head With + Without Contrast 4 4 $1,387.00 $1,248.00 $891.00 $1,318.00 $1,214.00 2026-05-27
4081467 CDM Diazepam 10. Mg Kit 3 3 $1,263.00 $1,137.00 $812.00 $1,200.00 $1,200.00 2026-05-27
32551 CPT 32551-insertion Chest Tube 4 4 $1,370.00 $1,233.00 $880.00 $1,302.00 $1,199.00 2026-05-27
11604 CPT 11604 Removal Of Malignant Growth ( 3.1 To 4 Centimeters) Of The Trunk, Arms Or … 4 4 $1,361.00 $1,225.00 $875.00 $1,293.00 $1,191.00 2026-05-27
19120 CPT Removal Of One Or More Breast Growth, Open Procedure 4 4 $1,360.00 $1,224.00 $874.00 $1,292.00 $1,190.00 2026-05-27
11406 CPT 11406 Excisbenignlesiontrunkarmslegs>4cm 4 4 $1,358.00 $1,222.00 $873.00 $1,290.00 $1,188.00 2026-05-27
11400 CPT 11400-excision Lesion Benign Trunk/extremity <= 0.5 Cm 4 4 $1,358.00 $1,222.00 $873.00 $1,290.00 $1,188.00 2026-05-27
11440 CPT 11440-excise Lesion Benign Face Less Than/equal To 0.5 Cm 4 4 $1,358.00 $1,222.00 $873.00 $1,290.00 $1,188.00 2026-05-27
72193 CPT CT Scan Of Pelvis With Contrast 4 4 $1,344.00 $1,210.00 $864.00 $1,277.00 $1,176.00 2026-05-27
4080624 CDM Formoterol-mometasone 5 Mcg-100 Mcg/inh Aer 3 3 $1,233.00 $1,110.00 $792.00 $1,171.00 $1,171.00 2026-05-27
92960 CPT 92960cardioversion; Elective 4 4 $1,329.00 $1,196.00 $854.00 $1,263.00 $1,163.00 2026-05-27
24200 CPT 24200-upper Arm/elbow Subcutaneous 4 4 $1,317.00 $1,185.00 $846.00 $1,251.00 $1,152.50 2026-05-27
J0558 HCPCS 1.2 Mil Units Benzathine/procaine/penicillin G (Bicillin Cr)amb Benzathine-proca… 4 4 $1,296.00 $1,166.00 $833.00 $1,231.00 $1,134.00 2026-05-27
74176 CPT Pres CT Abdomen And Pelvis Without Contrast 4 4 $1,286.00 $1,157.00 $826.00 $1,222.00 $1,125.50 2026-05-27
90376 CPT Rabies Immune Globulin, Human 8 4 $1,589.50 $1,430.50 $413.00 $2,410.00 $1,120.00 2026-05-27
P9040 HCPCS E0332 Rbc Cpd As1 500 Lr Irr 4 4 $1,280.00 $1,152.00 $823.00 $1,216.00 $1,120.00 2026-05-27
4089999 CDM Semaglutide 8 Mg/3 Ml [Pres](2 Mg Dose) Sol 3 3 $1,162.00 $1,046.00 $747.00 $1,104.00 $1,104.00 2026-05-27
CP17622982473943716 CDM Sigmoidoscopy Diagnostic 4 4 $1,256.00 $1,130.00 $807.00 $1,193.00 $1,099.00 2026-05-27
G0390 HCPCS Patient Arrival From 4 4 $1,241.00 $1,117.00 $797.00 $1,179.00 $1,086.00 2026-05-27
78472 CPT Nm Cardiac Muga 4 4 $1,222.00 $1,100.00 $785.00 $1,161.00 $1,069.50 2026-05-27
70487 CPT CT Maxillofacial With Contrast 4 4 $1,215.00 $1,094.00 $781.00 $1,154.00 $1,063.00 2026-05-27
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