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

TOWNER COUNTY MEDICAL CENTER

Cando, ND · CCN 351331 · Rates published

Your selected procedure

You selected 45378 (CPT)

Diagnostic exam of large bowel using an endoscope

This hospital’s price: $1,150 across 5 payers · range $157-$3,608

Source: https://secure.claraprice.net/price-transparency/ITXC-1776952260912/machine-readable/450425948_towner-county-medical-center_standardcharges.json · observed 2026-06-10

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.

2,568 distinct procedures filed
5 distinct payers
20,675 rate rows
2026-06-10 last MRF observed
Data quality

20,669 of 20,675 rate rows are consumer-grade (100.0%)

6 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 3
per-diem day rate — not a per-procedure price 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/ITXC-1776952260912/machine-readable/450425948_towner-county-medical-center_standardcharges.json
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-09-25
Content fingerprint 6857550dcfd4f17e… · 5,959,275 bytes · first seen 2026-09-25

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
6360005
CDM 		Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 Mg/ml 4 $24,718.00 $76,214.00 $38,107.00 nat. median
$38,107
1.0× median
81229
CPT 		Tc Chromosomal Microarray, Congenital, Blood 5 $3,915.00 $12,488.00 $6,075.00 nat. median
$1,230
outlier · 4.9×
20822
CPT 		Pr Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp 5 $2,895.00 $9,235.00 $4,493.00 nat. median
$2,185
outlier · 2.1×
70549
CPT 		Hc MRA Neck W/wo Dye 5 $2,714.00 $8,658.00 $4,212.00 nat. median
$606
outlier · 7.0×
49020
CPT 		Pr Drainage Periton Abscess/local Peritonitis Open 5 $2,624.00 $8,369.00 $4,072.00 nat. median
$3,346
1.2× median
72156
CPT 		Hc MRI C-spine W/wo Dye 5 $2,415.00 $7,703.00 $3,748.00 nat. median
$625
outlier · 6.0×
74185
CPT 		Hc MRA Abdomen W/wo Dye 5 $2,359.00 $7,526.00 $3,661.00 nat. median
$853
outlier · 4.3×
TC3150830
CDM 		Tc Trauma Response 5 $2,269.00 $7,237.00 $3,521.00 nat. median
$3,521
1.0× median
G0390
HCPCS 		Tc Trauma Response Team 5 $2,269.00 $7,237.00 $3,521.00 nat. median
$3,280
1.1× median
87507
CPT 		Tc Gi Pathogen Panel, Pcr Feces 5 $2,241.00 $7,148.00 $3,478.00 nat. median
$454
outlier · 7.7×
TC3170490
CDM 		Tc Operating Room Lvl V 5 $2,224.00 $7,095.00 $3,452.00 nat. median
$3,452
1.0× median
TC3170475
CDM 		Tc Operating Room Lvl I 5 $2,204.00 $7,030.00 $3,420.00 nat. median
$3,420
1.0× median
72197
CPT 		Hc MRI Pelvis W/wo Dye 5 $2,123.00 $6,771.00 $3,294.00 nat. median
$606
outlier · 5.4×
74183
CPT 		Hc MRI Abdomen W/wo Dye 5 $2,123.00 $6,771.00 $3,294.00 nat. median
$611
outlier · 5.4×
73720
CPT 		Hc MRI-lower Ext W/wo Dye 5 $2,116.00 $6,749.00 $3,283.00 nat. median
$754
outlier · 4.4×
38115
CPT 		Pr Rpr Rptd Spleen Splenorrhaphy W/wo Prtl Splenect 5 $2,109.00 $6,727.00 $3,272.00 nat. median
$2,750
1.2× median
TC3170480
CDM 		Tc Operating Room Lvl IV 5 $2,103.00 $6,706.00 $3,263.00 nat. median
$3,263
1.0× median
70543
CPT 		Hc MRI Orbit/face/neck W/wo Dye 5 $2,098.00 $6,693.00 $3,256.00 nat. median
$605
outlier · 5.4×
73223
CPT 		Hc MRI Upper Ext Joint W/wo Dye 5 $2,098.00 $6,693.00 $3,256.00 nat. median
$757
outlier · 4.3×
59515
CPT 		Pr Cesarean Delivery Only W/postpartum Care 5 $2,095.00 $6,682.00 $3,251.00 nat. median
$2,250
1.4× median
74178
CPT 		Hc CT Abd/pelvis W/o&w Contrast 5 $2,018.00 $6,438.00 $3,132.00 nat. median
$539
outlier · 5.8×
72157
CPT 		Hc MRI T-spine W/wo Dye 5 $1,952.00 $6,227.00 $3,029.00 nat. median
$624
outlier · 4.9×
21601
CPT 		Pr Excision Chest Wall Tumor Including Ribs 5 $1,952.00 $6,227.00 $3,029.00 nat. median
$3,242
0.9× median
74182
CPT 		Hc MRI Abdomen With Contrast 5 $1,945.00 $6,205.00 $3,019.00 nat. median
$580
outlier · 5.2×
20680
CPT 		Hc Removal Deep Implant 5 $1,002.00 $9,346.00 $2,980.50 nat. median
$3,172
0.9× median
38100
CPT 		Pr Splenectomy Total Separate Procedure 5 $1,904.00 $6,072.00 $2,954.00 nat. median
$2,675
1.1× median
71550
CPT 		Hc MRI-chest Wo Dye 5 $1,806.00 $5,761.00 $2,803.00 nat. median
$476
outlier · 5.9×
81435
CPT 		Tc Hereditary Gi Cancer Panel 5 $1,792.00 $5,717.00 $2,781.00 nat. median
$1,128
outlier · 2.5×
28114
CPT 		Pr Ostc Compl All Metar Heads W/prtl Prox Phalangc 5 $1,747.00 $5,572.00 $2,711.00 nat. median
$3,277
0.8× median
73218
CPT 		Hc MRI Upper Ext Without Contrast 5 $1,726.00 $5,506.00 $2,678.00 nat. median
$553
outlier · 4.8×
72196
CPT 		Hc MRI-pelvis 5 $1,719.00 $5,483.00 $2,668.00 nat. median
$562
outlier · 4.7×
74181
CPT 		Hc MRI-abdomen Without Contrast 5 $1,688.00 $5,384.00 $2,619.00 nat. median
$428
outlier · 6.1×
28299
CPT 		Pr Corrj Hlx Vlgs Bncty Sesmdc W/double Osteotomy 5 $1,663.00 $5,306.00 $2,581.00 nat. median
$6,837
outlier · 0.4×
38555
CPT 		Pr Exc Cstic Hygroma Ax/crv W/dp Neurovasc Dsj 5 $1,663.00 $5,306.00 $2,581.00 nat. median
$6,263
outlier · 0.4×
95811
CPT 		Hc Polysomnogram;sleep Stg;4+cpap 5 $1,660.00 $5,295.00 $2,576.00 nat. median
$1,412
1.8× median
15260
CPT 		Pr Fth/gft Free W/direct Closure N/e/e/l 20 Sq Cm/< 5 $1,643.00 $5,239.00 $2,549.00 nat. median
$2,160
1.2× median
38220
CPT 		Hc Bone Marrow Aspiration 5 $1,597.00 $5,095.00 $2,479.00 nat. median
$1,664
1.5× median
72195
CPT 		Hc MRI Pelvis Wo Dye 5 $1,597.00 $5,095.00 $2,479.00 nat. median
$437
outlier · 5.7×
27823
CPT 		Pr Open Tx Trimalleolar Ankle Fx W/fixj Pst Lip 5 $1,597.00 $5,095.00 $2,479.00 nat. median
$6,708
outlier · 0.4×
TC3170485
CDM 		Tc Operating Room Lvl Iii 5 $1,557.00 $4,967.00 $2,417.00 nat. median
$2,417
1.0× median
70540
CPT 		Hc MRI-orbit/face/neck Without Contrast 5 $1,549.00 $4,940.00 $2,403.00 nat. median
$451
outlier · 5.3×
15934
CPT 		Pr Excision Sacral Pressure Ulcer W/skin Flap Clsr 5 $1,545.00 $4,928.00 $2,398.00 nat. median
$3,835
0.6× median
95810
CPT 		Sleep Study 5 $1,538.00 $4,906.00 $2,387.00 nat. median
$1,446
1.7× median
15240
CPT 		Pr Fth/gft Fr Dir Clsr F/c/c/m/n/ax/g/h/f 20sqcm/< 5 $1,517.00 $4,840.00 $2,354.00 nat. median
$2,250
1.0× median
15941
CPT 		Pr Exc Ischial Pr Ulc W/prim Sutr W/ostc Ischiect 5 $1,507.00 $4,806.00 $2,338.00 nat. median
$3,033
0.8× median
27880
CPT 		Pr Amputation Leg Through Tibia&fibula 5 $1,503.00 $4,795.00 $2,333.00 nat. median
$4,366
0.5× median
28296
CPT 		Pr Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot 5 $1,500.00 $4,784.00 $2,327.00 nat. median
$3,714
0.6× median
25575
CPT 		Pr Optx Radial&ulnar Shft Fx W/int Fixj Radius&ulna 5 $1,479.00 $4,718.00 $2,295.00 nat. median
$7,248
outlier · 0.3×
J9202
HCPCS 		Pr Goserelin Acetate Implant 5 $1,469.00 $4,684.00 $2,279.00 nat. median
$1,728
1.3× median
58740
CPT 		Pr Lysis Of Adhesions Salpinx/ovary 5 $1,455.00 $4,640.00 $2,257.00 nat. median
$2,653
0.9× median

Other procedures at this hospital

Browse this hospital's 2,568 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
             
6360005 CDM Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 Mg/ml 6 4 $41,197.00 $41,197.00 $24,718.00 $76,214.00 $38,107.00 2026-06-10
81229 CPT Tc Chromosomal Microarray, Congenital, Blood 7 5 $6,750.00 $6,750.00 $3,915.00 $12,488.00 $6,075.00 2026-06-10
20822 CPT Pr Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp 7 5 $4,992.00 $4,992.00 $2,895.00 $9,235.00 $4,493.00 2026-06-10
70549 CPT Hc MRA Neck W/wo Dye 7 5 $4,680.00 $4,680.00 $2,714.00 $8,658.00 $4,212.00 2026-06-10
49020 CPT Pr Drainage Periton Abscess/local Peritonitis Open 7 5 $4,524.00 $4,524.00 $2,624.00 $8,369.00 $4,072.00 2026-06-10
72156 CPT Hc MRI C-spine W/wo Dye 7 5 $4,164.00 $4,164.00 $2,415.00 $7,703.00 $3,748.00 2026-06-10
74185 CPT Hc MRA Abdomen W/wo Dye 7 5 $4,068.00 $4,068.00 $2,359.00 $7,526.00 $3,661.00 2026-06-10
G0390 HCPCS Tc Trauma Response Team 7 5 $3,912.00 $3,912.00 $2,269.00 $7,237.00 $3,521.00 2026-06-10
TC3150830 CDM Tc Trauma Response 7 5 $3,912.00 $3,912.00 $2,269.00 $7,237.00 $3,521.00 2026-06-10
87507 CPT Tc Gi Pathogen Panel, Pcr Feces 7 5 $3,864.00 $3,864.00 $2,241.00 $7,148.00 $3,478.00 2026-06-10
TC3170490 CDM Tc Operating Room Lvl V 7 5 $3,835.00 $3,835.00 $2,224.00 $7,095.00 $3,452.00 2026-06-10
TC3170475 CDM Tc Operating Room Lvl I 7 5 $3,800.00 $3,800.00 $2,204.00 $7,030.00 $3,420.00 2026-06-10
74183 CPT Hc MRI Abdomen W/wo Dye 7 5 $3,660.00 $3,660.00 $2,123.00 $6,771.00 $3,294.00 2026-06-10
72197 CPT Hc MRI Pelvis W/wo Dye 7 5 $3,660.00 $3,660.00 $2,123.00 $6,771.00 $3,294.00 2026-06-10
73720 CPT Hc MRI-lower Ext W/wo Dye 7 5 $3,648.00 $3,648.00 $2,116.00 $6,749.00 $3,283.00 2026-06-10
38115 CPT Pr Rpr Rptd Spleen Splenorrhaphy W/wo Prtl Splenect 7 5 $3,636.00 $3,636.00 $2,109.00 $6,727.00 $3,272.00 2026-06-10
TC3170480 CDM Tc Operating Room Lvl IV 7 5 $3,625.00 $3,625.00 $2,103.00 $6,706.00 $3,263.00 2026-06-10
73223 CPT Hc MRI Upper Ext Joint W/wo Dye 7 5 $3,618.00 $3,618.00 $2,098.00 $6,693.00 $3,256.00 2026-06-10
70543 CPT Hc MRI Orbit/face/neck W/wo Dye 7 5 $3,618.00 $3,618.00 $2,098.00 $6,693.00 $3,256.00 2026-06-10
59515 CPT Pr Cesarean Delivery Only W/postpartum Care 7 5 $3,612.00 $3,612.00 $2,095.00 $6,682.00 $3,251.00 2026-06-10
74178 CPT Hc CT Abd/pelvis W/o&w Contrast 7 5 $3,480.00 $3,480.00 $2,018.00 $6,438.00 $3,132.00 2026-06-10
72157 CPT Hc MRI T-spine W/wo Dye 7 5 $3,366.00 $3,366.00 $1,952.00 $6,227.00 $3,029.00 2026-06-10
21601 CPT Pr Excision Chest Wall Tumor Including Ribs 7 5 $3,366.00 $3,366.00 $1,952.00 $6,227.00 $3,029.00 2026-06-10
74182 CPT Hc MRI Abdomen With Contrast 7 5 $3,354.00 $3,354.00 $1,945.00 $6,205.00 $3,019.00 2026-06-10
20680 CPT Hc Removal Deep Implant 14 5 $3,390.00 $3,390.00 $1,002.00 $9,346.00 $2,980.50 2026-06-10
38100 CPT Pr Splenectomy Total Separate Procedure 7 5 $3,282.00 $3,282.00 $1,904.00 $6,072.00 $2,954.00 2026-06-10
71550 CPT Hc MRI-chest Wo Dye 7 5 $3,114.00 $3,114.00 $1,806.00 $5,761.00 $2,803.00 2026-06-10
81435 CPT Tc Hereditary Gi Cancer Panel 7 5 $3,090.00 $3,090.00 $1,792.00 $5,717.00 $2,781.00 2026-06-10
28114 CPT Pr Ostc Compl All Metar Heads W/prtl Prox Phalangc 7 5 $3,012.00 $3,012.00 $1,747.00 $5,572.00 $2,711.00 2026-06-10
73218 CPT Hc MRI Upper Ext Without Contrast 7 5 $2,976.00 $2,976.00 $1,726.00 $5,506.00 $2,678.00 2026-06-10
72196 CPT Hc MRI-pelvis 7 5 $2,964.00 $2,964.00 $1,719.00 $5,483.00 $2,668.00 2026-06-10
74181 CPT Hc MRI-abdomen Without Contrast 7 5 $2,910.00 $2,910.00 $1,688.00 $5,384.00 $2,619.00 2026-06-10
38555 CPT Pr Exc Cstic Hygroma Ax/crv W/dp Neurovasc Dsj 7 5 $2,868.00 $2,868.00 $1,663.00 $5,306.00 $2,581.00 2026-06-10
28299 CPT Pr Corrj Hlx Vlgs Bncty Sesmdc W/double Osteotomy 7 5 $2,868.00 $2,868.00 $1,663.00 $5,306.00 $2,581.00 2026-06-10
95811 CPT Hc Polysomnogram;sleep Stg;4+cpap 7 5 $2,862.00 $2,862.00 $1,660.00 $5,295.00 $2,576.00 2026-06-10
15260 CPT Pr Fth/gft Free W/direct Closure N/e/e/l 20 Sq Cm/< 7 5 $2,832.00 $2,832.00 $1,643.00 $5,239.00 $2,549.00 2026-06-10
38220 CPT Hc Bone Marrow Aspiration 7 5 $2,754.00 $2,754.00 $1,597.00 $5,095.00 $2,479.00 2026-06-10
72195 CPT Hc MRI Pelvis Wo Dye 7 5 $2,754.00 $2,754.00 $1,597.00 $5,095.00 $2,479.00 2026-06-10
27823 CPT Pr Open Tx Trimalleolar Ankle Fx W/fixj Pst Lip 7 5 $2,754.00 $2,754.00 $1,597.00 $5,095.00 $2,479.00 2026-06-10
TC3170485 CDM Tc Operating Room Lvl Iii 7 5 $2,685.00 $2,685.00 $1,557.00 $4,967.00 $2,417.00 2026-06-10
70540 CPT Hc MRI-orbit/face/neck Without Contrast 7 5 $2,670.00 $2,670.00 $1,549.00 $4,940.00 $2,403.00 2026-06-10
15934 CPT Pr Excision Sacral Pressure Ulcer W/skin Flap Clsr 7 5 $2,664.00 $2,664.00 $1,545.00 $4,928.00 $2,398.00 2026-06-10
95810 CPT Sleep Study 7 5 $2,652.00 $2,652.00 $1,538.00 $4,906.00 $2,387.00 2026-06-10
15240 CPT Pr Fth/gft Fr Dir Clsr F/c/c/m/n/ax/g/h/f 20sqcm/< 7 5 $2,616.00 $2,616.00 $1,517.00 $4,840.00 $2,354.00 2026-06-10
15941 CPT Pr Exc Ischial Pr Ulc W/prim Sutr W/ostc Ischiect 7 5 $2,598.00 $2,598.00 $1,507.00 $4,806.00 $2,338.00 2026-06-10
27880 CPT Pr Amputation Leg Through Tibia&fibula 7 5 $2,592.00 $2,592.00 $1,503.00 $4,795.00 $2,333.00 2026-06-10
28296 CPT Pr Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot 7 5 $2,586.00 $2,586.00 $1,500.00 $4,784.00 $2,327.00 2026-06-10
25575 CPT Pr Optx Radial&ulnar Shft Fx W/int Fixj Radius&ulna 7 5 $2,550.00 $2,550.00 $1,479.00 $4,718.00 $2,295.00 2026-06-10
J9202 HCPCS Pr Goserelin Acetate Implant 7 5 $2,532.00 $2,532.00 $1,469.00 $4,684.00 $2,279.00 2026-06-10
72142 CPT Hc MRI-cervical With Contrast 7 5 $2,508.00 $2,508.00 $1,455.00 $4,640.00 $2,257.00 2026-06-10
74170 CPT Hc CT Abd W/wo Dye 7 5 $2,508.00 $2,508.00 $1,455.00 $4,640.00 $2,257.00 2026-06-10
58740 CPT Pr Lysis Of Adhesions Salpinx/ovary 7 5 $2,508.00 $2,508.00 $1,455.00 $4,640.00 $2,257.00 2026-06-10
78227 CPT Hc Nm Hida With Cck 7 5 $2,508.00 $2,508.00 $1,455.00 $4,640.00 $2,257.00 2026-06-10
57265 CPT Pr Cmbnd Anterpost Colporraphy W/cysto W/ntrcl Rpr 7 5 $2,502.00 $2,502.00 $1,451.00 $4,629.00 $2,252.00 2026-06-10
12110 CPT Cah Room & Nursing Telemetry Or Isolation 7 5 $2,500.00 $2,500.00 $1,450.00 $4,625.00 $2,250.00 2026-06-10
11426 CPT Hc Exc Skin Benig >4cm Remaindr Body 14 5 $2,841.00 $2,841.00 $546.00 $8,769.00 $2,246.00 2026-06-10
38745 CPT Pr Axillary Lymphadenectomy Complete 7 5 $2,496.00 $2,496.00 $1,448.00 $4,618.00 $2,246.00 2026-06-10
72149 CPT Hc MRI-lumbar With Contrast 7 5 $2,490.00 $2,490.00 $1,444.00 $4,607.00 $2,241.00 2026-06-10
27881 CPT Pr Amp Leg Thru Tibfib W/immt Fitg Tq W/1st Cst 7 5 $2,454.00 $2,454.00 $1,423.00 $4,540.00 $2,209.00 2026-06-10
27822 CPT Pr Open Tx Trimalleolar Ankle Fx Without Fixj Pst Lip 7 5 $2,436.00 $2,436.00 $1,413.00 $4,507.00 $2,192.00 2026-06-10
6360000 CDM Levonorgestrel IUD 21 Mcg/day (Initial) (52 Mg Total) 6 4 $2,365.00 $2,365.00 $1,419.00 $4,375.00 $2,188.00 2026-06-10
14021 CPT Pr Adjt/rearrgmt Scalp/arm/leg 10.1-30.0 Sq Cm 7 5 $2,430.00 $2,430.00 $1,409.00 $4,496.00 $2,187.00 2026-06-10
39501 CPT Pr Repair Laceration Diaphragm Any Approach 7 5 $2,418.00 $2,418.00 $1,402.00 $4,473.00 $2,176.00 2026-06-10
15100 CPT Pr Splt Agrft T/a/l 1st 100 Sqcm/</1% Bdy Inft/chld 7 5 $2,412.00 $2,412.00 $1,399.00 $4,462.00 $2,171.00 2026-06-10
47100 CPT Pr Biopsy Liver Wedge 7 5 $2,406.00 $2,406.00 $1,395.00 $4,451.00 $2,165.00 2026-06-10
28298 CPT Pr Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot 7 5 $2,406.00 $2,406.00 $1,395.00 $4,451.00 $2,165.00 2026-06-10
15120 CPT Pr Splt Agrft F/s/n/h/f/g/m/dgt 1st 100 Sqcm/</1% 7 5 $2,382.00 $2,382.00 $1,382.00 $4,407.00 $2,144.00 2026-06-10
2500006 CDM Psyllium Powder 63% 6 4 $2,310.00 $2,310.00 $1,386.00 $4,274.00 $2,137.00 2026-06-10
28304 CPT Pr Osteotomy Tarsal Bones Oth/thn Calcaneus/talus 7 5 $2,328.00 $2,328.00 $1,350.00 $4,307.00 $2,095.00 2026-06-10
72194 CPT Hc CT Pelvis W/wo Dye 7 5 $2,316.00 $2,316.00 $1,343.00 $4,285.00 $2,084.00 2026-06-10
TC3170470 CDM Tc Operating Room Lvl Ii 7 5 $2,300.00 $2,300.00 $1,334.00 $4,255.00 $2,070.00 2026-06-10
59409 CPT Pr Vaginal Delivery Only 7 5 $2,298.00 $2,298.00 $1,333.00 $4,251.00 $2,068.00 2026-06-10
57260 CPT Pr Cmbnd Anterpost Colporraphy W/cysto 7 5 $2,286.00 $2,286.00 $1,326.00 $4,229.00 $2,057.00 2026-06-10
27066 CPT Pr Excision Bone Cyst/benign Tumor Deep 7 5 $2,286.00 $2,286.00 $1,326.00 $4,229.00 $2,057.00 2026-06-10
28750 CPT Pr Arthrodesis Great Toe Metatarsophalangeal Joint 7 5 $2,280.00 $2,280.00 $1,322.00 $4,218.00 $2,052.00 2026-06-10
70336 CPT Hc MRI-tmj 7 5 $2,256.00 $2,256.00 $1,308.00 $4,174.00 $2,030.00 2026-06-10
13160 CPT Pr Secondary Closure Surg Wound/dehsn Xtnsv/comp 7 5 $2,250.00 $2,250.00 $1,305.00 $4,163.00 $2,025.00 2026-06-10
28760 CPT Pr Arthrd W/xtnsr Hallucis Longus Tr 1st Metar Nck 7 5 $2,244.00 $2,244.00 $1,302.00 $4,151.00 $2,020.00 2026-06-10
1210000 CDM Hc Room & Nursing Sp 7 5 $2,200.00 $2,200.00 $1,276.00 $4,070.00 $1,980.00 2026-06-10
72147 CPT Hc MRI-thoracic With Contrast 7 5 $2,196.00 $2,196.00 $1,274.00 $4,063.00 $1,976.00 2026-06-10
49000 CPT Pr Exploratory Laparotomy Celiotomy W/wo Biopsy Spx 7 5 $2,190.00 $2,190.00 $1,270.00 $4,052.00 $1,971.00 2026-06-10
27814 CPT Pr Open Treatment Bimalleolar Ankle Fracture 7 5 $2,178.00 $2,178.00 $1,263.00 $4,029.00 $1,960.00 2026-06-10
15220 CPT Pr Fth/gft Free W/direct Closure S/a/l 20 Sq Cm/< 7 5 $2,166.00 $2,166.00 $1,256.00 $4,007.00 $1,949.00 2026-06-10
45382 CPT Hc Colonoscopy-control Bleeding 7 5 $2,160.00 $2,160.00 $1,253.00 $3,996.00 $1,944.00 2026-06-10
11772 CPT Pr Excision Pilonidal Cyst/sinus Complicated 7 5 $2,154.00 $2,154.00 $1,249.00 $3,985.00 $1,939.00 2026-06-10
58920 CPT Pr Wedge Rescj/bisctj Ovary Uni/bi 7 5 $2,112.00 $2,112.00 $1,225.00 $3,907.00 $1,901.00 2026-06-10
64834 CPT Pr Suture 1 Nerve Hand/foot Common Sensory Nerve 7 5 $2,100.00 $2,100.00 $1,218.00 $3,885.00 $1,890.00 2026-06-10
28292 CPT Pr Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base 7 5 $2,094.00 $2,094.00 $1,215.00 $3,874.00 $1,885.00 2026-06-10
32551 CPT Hc Insertion Of Chest Tube 7 5 $2,088.00 $2,088.00 $1,211.00 $3,863.00 $1,879.00 2026-06-10
66821 CPT Removal Of Recurring Cataract In Lens Capsule Using Laser 7 5 $2,088.00 $2,088.00 $1,211.00 $3,863.00 $1,879.00 2026-06-10
28289 CPT Pr Hallux Rigidus W/cheilectomy 1st Mp Jt Without Implt 7 5 $2,070.00 $2,070.00 $1,201.00 $3,830.00 $1,863.00 2026-06-10
87901 CPT Tc Hiv1 Geno Dr 7 5 $2,064.00 $2,064.00 $1,197.00 $3,818.00 $1,858.00 2026-06-10
87902 CPT Tc Rhcvgen/hcv Genotype 7 5 $2,046.00 $2,046.00 $1,187.00 $3,785.00 $1,841.00 2026-06-10
27846 CPT Pr Optx Ankle Dislocation Without Repair/internal Fixj 7 5 $2,034.00 $2,034.00 $1,180.00 $3,763.00 $1,831.00 2026-06-10
28003 CPT Pr I&d Below Fascia Foot Multiple Areas 7 5 $2,010.00 $2,010.00 $1,166.00 $3,719.00 $1,809.00 2026-06-10
72128 CPT Hc CT Spine Thoracic Without Contrast 7 5 $1,992.00 $1,992.00 $1,155.00 $3,685.00 $1,793.00 2026-06-10
65235 CPT Pr Rmvl Fb Intraocular Ant Chamber Eye/lens 7 5 $1,992.00 $1,992.00 $1,155.00 $3,685.00 $1,793.00 2026-06-10
58662 CPT Pr Laps Fulg/exc Ovary Viscera/peritoneal Surface 7 5 $1,986.00 $1,986.00 $1,152.00 $3,674.00 $1,787.00 2026-06-10
73202 CPT Hc CT Upper Extrem W/wo Dye 7 5 $1,980.00 $1,980.00 $1,148.00 $3,663.00 $1,782.00 2026-06-10
70553 CPT MRI Scan 14 5 $2,493.00 $2,493.00 $306.00 $8,247.00 $1,781.50 2026-06-10
26951 CPT Pr Amp F/th 1/2 Jt/phalanx W/neurect W/dir Clsr 7 5 $1,974.00 $1,974.00 $1,145.00 $3,652.00 $1,777.00 2026-06-10
73702 CPT Hc CT Lower Extrem W/wo Dye 7 5 $1,950.00 $1,950.00 $1,131.00 $3,608.00 $1,755.00 2026-06-10
28120 CPT Pr Partial Excision Bone Talus/calcaneus 7 5 $1,926.00 $1,926.00 $1,117.00 $3,563.00 $1,733.00 2026-06-10
26952 CPT Pr Amp F/th 1/2 Jt/phalanx W/neurect Local Flap 7 5 $1,926.00 $1,926.00 $1,117.00 $3,563.00 $1,733.00 2026-06-10
51102 CPT Hc Drain Bl W/cath Insertion 14 5 $2,256.00 $2,256.00 $119.00 $7,115.00 $1,731.50 2026-06-10
72130 CPT Hc CT Spine Thoracic W/wo Dye 7 5 $1,908.00 $1,908.00 $1,107.00 $3,530.00 $1,717.00 2026-06-10
27301 CPT Pr I&d Deep Absc Bursa/hematoma Thigh/knee Region 7 5 $1,902.00 $1,902.00 $1,103.00 $3,519.00 $1,712.00 2026-06-10
28238 CPT Pr Rcnstj Pst Tibl Tdn W/exc Accessory Tarsl Navclr 7 5 $1,902.00 $1,902.00 $1,103.00 $3,519.00 $1,712.00 2026-06-10
72127 CPT Hc CT Spine Cervical W/wo Dye 7 5 $1,896.00 $1,896.00 $1,100.00 $3,508.00 $1,706.00 2026-06-10
58660 CPT Pr Laparoscopy W/lysis Of Adhesions 7 5 $1,890.00 $1,890.00 $1,096.00 $3,497.00 $1,701.00 2026-06-10
72158 CPT Chg MRI Spinal Canal Lumbar Without & W/contr Matrl 14 5 $2,352.00 $2,352.00 $306.00 $7,726.00 $1,699.50 2026-06-10
28505 CPT Pr Open Tx Fracture Great Toe/phalanx/phalanges 7 5 $1,884.00 $1,884.00 $1,093.00 $3,485.00 $1,696.00 2026-06-10
27641 CPT Pr Partial Excision Bone Fibula 7 5 $1,872.00 $1,872.00 $1,086.00 $3,463.00 $1,685.00 2026-06-10
60200 CPT Pr Exc Cyst/adenoma Thyroid/transection Isthmus 7 5 $1,866.00 $1,866.00 $1,082.00 $3,452.00 $1,679.00 2026-06-10
78290 CPT Hc Nm Meckels 7 5 $1,860.00 $1,860.00 $1,079.00 $3,441.00 $1,674.00 2026-06-10
78278 CPT Hc Nm Rbc Gi Bleed 7 5 $1,860.00 $1,860.00 $1,079.00 $3,441.00 $1,674.00 2026-06-10
81404 CPT Tc Mopath Procedure Level 5 7 5 $1,854.00 $1,854.00 $1,075.00 $3,430.00 $1,669.00 2026-06-10
27650 CPT Pr Repair Primary Open/prq Ruptured Achilles Tendon 7 5 $1,854.00 $1,854.00 $1,075.00 $3,430.00 $1,669.00 2026-06-10
78606 CPT Hc Brain,static And Flow 7 5 $1,854.00 $1,854.00 $1,075.00 $3,430.00 $1,669.00 2026-06-10
57250 CPT Pr Post Colporrhaphy Rectocele W/wo Perineorrhaphy 7 5 $1,854.00 $1,854.00 $1,075.00 $3,430.00 $1,669.00 2026-06-10
57240 CPT Pr Anterior Colporraphy Rpr Cystocele W/cysto 7 5 $1,842.00 $1,842.00 $1,068.00 $3,408.00 $1,658.00 2026-06-10
25605 CPT Hc Closed Rx Dist Rad/ulna Fx,manipul 14 5 $2,160.00 $2,160.00 $880.00 $5,184.00 $1,653.00 2026-06-10
78315 CPT Hc Nm Bone Three-phase 7 5 $1,836.00 $1,836.00 $1,065.00 $3,397.00 $1,652.00 2026-06-10
27792 CPT Pr Open Tx Distal Fibular Fracture Lat Malleolus 7 5 $1,836.00 $1,836.00 $1,065.00 $3,397.00 $1,652.00 2026-06-10
28300 CPT Pr Osteotomy Calcaneus W/wo Internal Fixation 7 5 $1,836.00 $1,836.00 $1,065.00 $3,397.00 $1,652.00 2026-06-10
29893 CPT Pr Endoscopic Plantar Fasciotomy 7 5 $1,830.00 $1,830.00 $1,061.00 $3,386.00 $1,647.00 2026-06-10
78226 CPT Hc Nm Hida Image 7 5 $1,830.00 $1,830.00 $1,061.00 $3,386.00 $1,647.00 2026-06-10
TC3546284 CDM Tc Surgical Meshpco8vp 7 5 $1,800.00 $1,800.00 $1,044.00 $3,330.00 $1,620.00 2026-06-10
11643 CPT Hc Exc Skin Malig 2.1-3cm Face,facial 14 5 $1,818.00 $1,818.00 $519.00 $5,073.00 $1,617.50 2026-06-10
25260 CPT Pr Rpr Tdn/musc Flxr F/arm&/wrst Prim 1 Ea Tdn/mu 7 5 $1,782.00 $1,782.00 $1,034.00 $3,297.00 $1,604.00 2026-06-10
36200 CPT Pr Introduction Catheter Aorta 7 5 $1,782.00 $1,782.00 $1,034.00 $3,297.00 $1,604.00 2026-06-10
26531 CPT Pr Arthrp Mtcarphlngl Jt W/prostc Implt Ea Jt 7 5 $1,770.00 $1,770.00 $1,027.00 $3,275.00 $1,593.00 2026-06-10
15950 CPT Pr Exc Trochanteric Pressure Ulcer W/primary Sutr 7 5 $1,770.00 $1,770.00 $1,027.00 $3,275.00 $1,593.00 2026-06-10
26418 CPT Pr Repair Extensor Tendon Finger Without Graft Each 7 5 $1,764.00 $1,764.00 $1,023.00 $3,263.00 $1,588.00 2026-06-10
15782 CPT Pr Dermabrasion Regional Other Than Face 7 5 $1,746.00 $1,746.00 $1,013.00 $3,230.00 $1,571.00 2026-06-10
28306 CPT Pr Osteot W/wo Lngth Shrt/corrj 1st Metar 7 5 $1,734.00 $1,734.00 $1,006.00 $3,208.00 $1,561.00 2026-06-10
26160 CPT Pr Exc Lesion Tdn Shth/jt Capsl Hand/fngr 7 5 $1,728.00 $1,728.00 $1,002.00 $3,197.00 $1,555.00 2026-06-10
28288 CPT Pr Ostc Prtl Exostc/condylc Metar Head 7 5 $1,728.00 $1,728.00 $1,002.00 $3,197.00 $1,555.00 2026-06-10
G0483 HCPCS Tc Benzodiazepine (Bnzu) 24 Classees 7 5 $1,700.00 $1,700.00 $986.00 $3,145.00 $1,530.00 2026-06-10
49555 CPT Pr Rpr Recrt Fem Hernia Reducible 7 5 $1,698.00 $1,698.00 $985.00 $3,141.00 $1,528.00 2026-06-10
57300 CPT Pr Clsr Rectovaginal Fistula Vaginal/transanal Appr 7 5 $1,698.00 $1,698.00 $985.00 $3,141.00 $1,528.00 2026-06-10
28122 CPT Pr Prtl Exc B1 Tarsal/metar B1 Xcp Talus/calcaneus 7 5 $1,698.00 $1,698.00 $985.00 $3,141.00 $1,528.00 2026-06-10
28118 CPT Pr Ostectomy Calcaneus 7 5 $1,698.00 $1,698.00 $985.00 $3,141.00 $1,528.00 2026-06-10
73220 CPT Chg MRI Upper Extrem Other Than Jt Without & W/contras 14 5 $2,091.00 $2,091.00 $285.00 $6,827.00 $1,525.00 2026-06-10
26735 CPT Pr Open Tx Phalangeal Shaft Fracture Prox/middle Ea 7 5 $1,680.00 $1,680.00 $974.00 $3,108.00 $1,512.00 2026-06-10
78452 CPT Hc Nm Thallium S/r 7 5 $2,508.00 $2,508.00 $497.00 $4,640.00 $1,505.00 2026-06-10
74160 CPT Hc CT Abd With Contrast 7 5 $1,668.00 $1,668.00 $967.00 $3,086.00 $1,501.00 2026-06-10
28113 CPT Pr Ostectomy Complete 5th Metatarsal Head 7 5 $1,668.00 $1,668.00 $967.00 $3,086.00 $1,501.00 2026-06-10
27372 CPT Pr Removal Foreign Body Deep Thigh/knee 7 5 $1,668.00 $1,668.00 $967.00 $3,086.00 $1,501.00 2026-06-10
TC3730160 CDM Tc Anesth Facility First Hr 7 5 $1,668.00 $1,668.00 $967.00 $3,086.00 $1,501.00 2026-06-10
15050 CPT Pr Pinch Graft 1/mlt Sm Ulcer Tip/oth Ar Up To 2 Cm 7 5 $1,650.00 $1,650.00 $957.00 $3,053.00 $1,485.00 2026-06-10
49550 CPT Pr Rpr 1st Fem Hrna Any Age Reducible 7 5 $1,638.00 $1,638.00 $950.00 $3,030.00 $1,474.00 2026-06-10
11004 CPT Pr Dbrdmt Skn Sbq T/m/f Necro Infctj Xtrnl Gent&per 7 5 $1,638.00 $1,638.00 $950.00 $3,030.00 $1,474.00 2026-06-10
TC3541547 CDM Tc Central Supplyoper Rm 7 5 $1,632.00 $1,632.00 $947.00 $3,019.00 $1,469.00 2026-06-10
28675 CPT Pr Open Treatment Interphalangeal Joint Dislocation 7 5 $1,632.00 $1,632.00 $947.00 $3,019.00 $1,469.00 2026-06-10
45020 CPT Pr I&d Dp Supralevator Pelvirct/retrorct Absc 7 5 $1,626.00 $1,626.00 $943.00 $3,008.00 $1,463.00 2026-06-10
TC3540536 CDM Tc L Linear Cutter 7 5 $1,626.00 $1,626.00 $943.00 $3,008.00 $1,463.00 2026-06-10
12047 CPT Pr Repair Intermediate N/h/f/xtrnl Gent >30.0 Cm 7 5 $1,614.00 $1,614.00 $936.00 $2,986.00 $1,453.00 2026-06-10
28525 CPT Pr Open Tx Fracture Phalanx/phalanges Not Great Toe 7 5 $1,614.00 $1,614.00 $936.00 $2,986.00 $1,453.00 2026-06-10
28308 CPT Pr Osteot W/wo Lngth Shrt/corrj Metar Xcp 1st Ea 7 5 $1,614.00 $1,614.00 $936.00 $2,986.00 $1,453.00 2026-06-10
70488 CPT Hc CT Maxilofacial W/wo Dye 7 5 $1,602.00 $1,602.00 $929.00 $2,964.00 $1,442.00 2026-06-10
72193 CPT CT Scan Of Pelvis With Contrast 7 5 $1,596.00 $1,596.00 $926.00 $2,953.00 $1,436.00 2026-06-10
23066 CPT Pr Biopsy Soft Tissue Shoulder Deep 7 5 $1,590.00 $1,590.00 $922.00 $2,942.00 $1,431.00 2026-06-10
95819 CPT Hc Eeg,awake & Asleep 7 5 $1,584.00 $1,584.00 $919.00 $2,930.00 $1,426.00 2026-06-10
46275 CPT Pr Surg Tx Anal Fistula Intersphincteric 7 5 $1,572.00 $1,572.00 $912.00 $2,908.00 $1,415.00 2026-06-10
27630 CPT Pr Excision Lesion Tendon Sheath/capsule Leg&/ank 7 5 $1,566.00 $1,566.00 $908.00 $2,897.00 $1,409.00 2026-06-10
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 14 5 $1,950.00 $1,950.00 $244.00 $6,438.00 $1,397.50 2026-06-10
28485 CPT Pr Open Treatment Metatarsal Fracture Each 7 5 $1,542.00 $1,542.00 $894.00 $2,853.00 $1,388.00 2026-06-10
73701 CPT Hc CT Lower Extrem With Contrast 7 5 $1,536.00 $1,536.00 $891.00 $2,842.00 $1,382.00 2026-06-10
72126 CPT Hc CT Spine Cervical With Contrast 7 5 $1,536.00 $1,536.00 $891.00 $2,842.00 $1,382.00 2026-06-10
72129 CPT Hc CT Spine Thoracic With Contrast 7 5 $1,536.00 $1,536.00 $891.00 $2,842.00 $1,382.00 2026-06-10
46924 CPT Pr Dstrj Lesion Anus Extensive 7 5 $1,530.00 $1,530.00 $887.00 $2,831.00 $1,377.00 2026-06-10
23076 CPT Pr Exc Tumor Soft Tiss Shoulder Subfasc <5cm 7 5 $1,530.00 $1,530.00 $887.00 $2,831.00 $1,377.00 2026-06-10
72132 CPT Hc CT Spine Lumbar With Contrast 7 5 $1,530.00 $1,530.00 $887.00 $2,831.00 $1,377.00 2026-06-10
28285 CPT Pr Correction Hammertoe 7 5 $1,524.00 $1,524.00 $884.00 $2,819.00 $1,372.00 2026-06-10
11404 CPT Hc Exc Skin Benig 3.1-4cm Trunk,arm,leg 14 5 $1,680.00 $1,680.00 $358.00 $5,073.00 $1,366.50 2026-06-10
28800 CPT Pr Amputation Foot Midtarsal 7 5 $1,518.00 $1,518.00 $880.00 $2,808.00 $1,366.00 2026-06-10
28193 CPT Pr Removal Foreign Body Foot Complicated 7 5 $1,512.00 $1,512.00 $877.00 $2,797.00 $1,361.00 2026-06-10
27752 CPT Pr Cltx Tibial Shaft Fx W/manj W/wo Skel Tracj 7 5 $1,512.00 $1,512.00 $877.00 $2,797.00 $1,361.00 2026-06-10
28104 CPT Pr Exc/curtg Bone Cyst/b9 Tumortarsal/metatarsal 7 5 $1,512.00 $1,512.00 $877.00 $2,797.00 $1,361.00 2026-06-10
36010 CPT Pr Intro Catheter Superior/inferior Vena Cava 7 5 $1,506.00 $1,506.00 $873.00 $2,786.00 $1,355.00 2026-06-10
59870 CPT Pr Uterine Evacuation & Curettage Hydatidiform Mole 7 5 $1,506.00 $1,506.00 $873.00 $2,786.00 $1,355.00 2026-06-10
73201 CPT Hc CT Upper Extrem With Contrast 7 5 $1,506.00 $1,506.00 $873.00 $2,786.00 $1,355.00 2026-06-10
36556 CPT Hc Cvc Plmt >5 Years Old 14 5 $1,626.00 $1,626.00 $73.00 $4,829.00 $1,351.00 2026-06-10
25680 CPT Pr Cltx Trans-scaphoprilunar Typ Fx Dislc W/mnpj 7 5 $1,494.00 $1,494.00 $867.00 $2,764.00 $1,345.00 2026-06-10
28080 CPT Pr Excision Interdigital Morton Neuroma Single Each 7 5 $1,494.00 $1,494.00 $867.00 $2,764.00 $1,345.00 2026-06-10
11011 CPT Pr Dbrdmt W/rmvl Fm Fx&/dislc Skn Subq T/m/f Musc 7 5 $1,494.00 $1,494.00 $867.00 $2,764.00 $1,345.00 2026-06-10
27603 CPT Pr Incision & Drainage Leg/ankle Abscess/hematoma 7 5 $1,494.00 $1,494.00 $867.00 $2,764.00 $1,345.00 2026-06-10
28119 CPT Pr Ostectomy Calcaneus Spur W/wo Plntar Fascial Rls 7 5 $1,488.00 $1,488.00 $863.00 $2,753.00 $1,339.00 2026-06-10
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 14 5 $1,803.00 $1,803.00 $213.00 $3,996.00 $1,335.00 2026-06-10
28286 CPT Pr Correction Cock-up 5th Toe W/plastic Closure 7 5 $1,482.00 $1,482.00 $860.00 $2,742.00 $1,334.00 2026-06-10
25565 CPT Pr Closed Tx Radial&ulnar Shaft Fractures W/mnpj 7 5 $1,482.00 $1,482.00 $860.00 $2,742.00 $1,334.00 2026-06-10
28313 CPT Pr Rcnstj Angular Dfrm Toe Soft Tiss Px Only 7 5 $1,482.00 $1,482.00 $860.00 $2,742.00 $1,334.00 2026-06-10
36589 CPT Hc Remove Cv Access Device Without Port 7 5 $1,482.00 $1,482.00 $860.00 $2,742.00 $1,334.00 2026-06-10
90378 CPT Pr Respiratory Syncytial Virus Ig IM 50 Mg E 7 5 $1,482.00 $1,482.00 $860.00 $2,742.00 $1,334.00 2026-06-10
38510 CPT Pr Bx/exc Lymph Node Open Deep Cervical Node 7 5 $1,470.00 $1,470.00 $853.00 $2,720.00 $1,323.00 2026-06-10
TC3541545 CDM Tc Central Supplyoper Rm 7 5 $1,464.00 $1,464.00 $849.00 $2,708.00 $1,318.00 2026-06-10
45379 CPT Hc Colonoscopy W/fb Removal 14 5 $1,776.00 $1,776.00 $807.00 $3,996.00 $1,309.00 2026-06-10
25075 CPT Pr Exc Tumor Soft Tissue Forearm &/Wrist Subq <3cm 7 5 $1,452.00 $1,452.00 $842.00 $2,686.00 $1,307.00 2026-06-10
45384 CPT Hc Colonoscopy/polypectomy 14 5 $1,773.00 $1,773.00 $191.00 $3,996.00 $1,306.50 2026-06-10
19120 CPT Removal Of One Or More Breast Growth, Open Procedure 7 5 $1,446.00 $1,446.00 $839.00 $2,675.00 $1,301.00 2026-06-10
25505 CPT Pr Closed Tx Radial Shaft Fracture W/manipulation 7 5 $1,440.00 $1,440.00 $835.00 $2,664.00 $1,296.00 2026-06-10
81261 CPT Tc Igh Gene Rearrange Dir Probe 7 5 $1,440.00 $1,440.00 $835.00 $2,664.00 $1,296.00 2026-06-10
11646 CPT Pr Excision Malignant Lesion F/e/e/n/l >4.0 Cm 7 5 $1,434.00 $1,434.00 $832.00 $2,653.00 $1,291.00 2026-06-10
C1781 HCPCS Tc Mesh, Parietex Progrip 5.5x3.5 14 5 $1,740.00 $1,740.00 $807.00 $3,863.00 $1,287.50 2026-06-10
13152 CPT Pr Repair Complex Eyelid/nose/ear/lip 2.6-7.5 Cm 7 5 $1,422.00 $1,422.00 $825.00 $2,631.00 $1,280.00 2026-06-10
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 14 5 $1,725.00 $1,725.00 $169.00 $3,996.00 $1,274.50 2026-06-10
12055 CPT Pr Repair Intermediate F/e/e/n/l&/muc 12.6-20.0cm 7 5 $1,416.00 $1,416.00 $821.00 $2,620.00 $1,274.00 2026-06-10
36140 CPT Pr Intro Of Needle Or Intracatheter Upr/lxtr Artery 7 5 $1,416.00 $1,416.00 $821.00 $2,620.00 $1,274.00 2026-06-10
26765 CPT Pr Open Tx Distal Phalangeal Fracture Each 7 5 $1,416.00 $1,416.00 $821.00 $2,620.00 $1,274.00 2026-06-10
25535 CPT Pr Closed Tx Ulnar Shaft Fracture W/manipulation 7 5 $1,404.00 $1,404.00 $814.00 $2,597.00 $1,264.00 2026-06-10
74176 CPT Chg CT Abdomen & Pelvis Without Contrast Material 14 5 $1,734.00 $1,734.00 $181.00 $5,672.00 $1,261.00 2026-06-10
54550 CPT Pr Expl Undescended Tstis Ingun/scrotal Area 7 5 $1,398.00 $1,398.00 $811.00 $2,586.00 $1,258.00 2026-06-10
11422 CPT Hc Exc Skin Benig 1.1-2cm Remaindr Body 14 5 $1,620.00 $1,620.00 $289.00 $5,073.00 $1,255.50 2026-06-10
28111 CPT Pr Ostectomy Complete 1st Metatarsal Head 7 5 $1,392.00 $1,392.00 $807.00 $2,575.00 $1,253.00 2026-06-10
28112 CPT Pr Ostectomy Complete Other Metatarsal Head 2/3/4 7 5 $1,386.00 $1,386.00 $804.00 $2,564.00 $1,247.00 2026-06-10
21925 CPT Pr Biopsy Soft Tissue Back/flank Deep 7 5 $1,374.00 $1,374.00 $797.00 $2,542.00 $1,237.00 2026-06-10
28315 CPT Pr Sesamoidectomy First Toe Spx 7 5 $1,368.00 $1,368.00 $793.00 $2,531.00 $1,231.00 2026-06-10
21501 CPT Pr I&d Deep Absc/hmtma Soft Tissue Neck/thorax 7 5 $1,362.00 $1,362.00 $790.00 $2,520.00 $1,226.00 2026-06-10
38221 CPT Hc Bone Marrow Biopsy 14 5 $1,608.00 $1,608.00 $268.00 $5,095.00 $1,226.00 2026-06-10
26650 CPT Pr Prq Skeletal Fix Carpo/metacarpal Fx Dislc Thumb 7 5 $1,356.00 $1,356.00 $786.00 $2,509.00 $1,220.00 2026-06-10
46060 CPT Pr I&d Ischiorectal/intramural Absc W/wo Seton 7 5 $1,356.00 $1,356.00 $786.00 $2,509.00 $1,220.00 2026-06-10
78707 CPT Hc Nm Renogram 7 5 $1,356.00 $1,356.00 $786.00 $2,509.00 $1,220.00 2026-06-10
28124 CPT Pr Partical Excision Bone Phalanx Toe 7 5 $1,356.00 $1,356.00 $786.00 $2,509.00 $1,220.00 2026-06-10
54640 CPT Pr Orchiopexy Inguinal Or Scrotal Approach 7 5 $1,356.00 $1,356.00 $786.00 $2,509.00 $1,220.00 2026-06-10
24605 CPT Pr Treatment Closed Elbow Dislocation Req Anes 7 5 $1,350.00 $1,350.00 $783.00 $2,498.00 $1,215.00 2026-06-10
27695 CPT Pr Rpr Primary Disrupted Ligament Ankle Collateral 7 5 $1,350.00 $1,350.00 $783.00 $2,498.00 $1,215.00 2026-06-10
10140 CPT Hc Drainage Of Hematoma/fluid 14 5 $1,581.00 $1,581.00 $271.00 $4,984.00 $1,214.50 2026-06-10
27810 CPT Pr Closed Tx Bimalleolar Ankle Fracture W/manj 7 5 $1,344.00 $1,344.00 $780.00 $2,486.00 $1,210.00 2026-06-10
20525 CPT Pr Rmvl Foreign Body Muscle/tendon Sheath Deep/comp 7 5 $1,338.00 $1,338.00 $776.00 $2,475.00 $1,204.00 2026-06-10
23605 CPT Pr Cltx Prox Humrl Fx W/mnpj W/wo Skeletal Tracj 7 5 $1,332.00 $1,332.00 $773.00 $2,464.00 $1,199.00 2026-06-10
28090 CPT Pr Exc Lesion Tendon Sheath/capsule W/synvct Foot 7 5 $1,332.00 $1,332.00 $773.00 $2,464.00 $1,199.00 2026-06-10
45331 CPT Hc Sigmoidoscopy/ Biopsy 14 5 $1,422.00 $1,422.00 $64.00 $3,741.00 $1,193.00 2026-06-10
28192 CPT Pr Removal Foreign Body Foot Deep 7 5 $1,326.00 $1,326.00 $769.00 $2,453.00 $1,193.00 2026-06-10
19020 CPT Pr Mastotomy W/exploration/drainage Abscess Deep 7 5 $1,326.00 $1,326.00 $769.00 $2,453.00 $1,193.00 2026-06-10
88269 CPT Tc Rcaf/chrom Analysis Amfl 7 5 $1,320.00 $1,320.00 $766.00 $2,442.00 $1,188.00 2026-06-10
21325 CPT Pr Open Treatment Nasal Fracture Uncomplicated 7 5 $1,320.00 $1,320.00 $766.00 $2,442.00 $1,188.00 2026-06-10
28110 CPT Pr Ostectomy Prtl 5th Metar Head Spx 7 5 $1,320.00 $1,320.00 $766.00 $2,442.00 $1,188.00 2026-06-10
95816 CPT Hc Eeg,awake & Drowsy 7 5 $1,308.00 $1,308.00 $759.00 $2,420.00 $1,177.00 2026-06-10
28496 CPT Pr Prq Skel Fixj Fx Grt Toe Phlx/phlg W/manj 7 5 $1,308.00 $1,308.00 $759.00 $2,420.00 $1,177.00 2026-06-10
78306 CPT Hc Nm Bone Whole Body/joint Scan 7 5 $1,302.00 $1,302.00 $755.00 $2,409.00 $1,172.00 2026-06-10
25675 CPT Pr Closed Tx Distal Radioulnar Dislocation W/mnpj 7 5 $1,296.00 $1,296.00 $752.00 $2,398.00 $1,166.00 2026-06-10
72192 CPT Hc CT Pelvis Without Contrast 7 5 $1,296.00 $1,296.00 $752.00 $2,398.00 $1,166.00 2026-06-10
28041 CPT Pr Exc Tumor Soft Tissue Foot/toe Subfasc 1.5 Cm/> 7 5 $1,290.00 $1,290.00 $748.00 $2,387.00 $1,161.00 2026-06-10
54600 CPT Pr Rdctj Torsion Tstis W/wo Fixj Clat Testis 7 5 $1,290.00 $1,290.00 $748.00 $2,387.00 $1,161.00 2026-06-10
70487 CPT Hc CT Maxilofacial W/contrast 7 5 $1,284.00 $1,284.00 $745.00 $2,375.00 $1,156.00 2026-06-10
70460 CPT Hc CT Brain W/contrast 7 5 $1,284.00 $1,284.00 $745.00 $2,375.00 $1,156.00 2026-06-10
72146 CPT Chg MRI Spinal Canal Thoracic Without Contrast Matrl 14 5 $1,617.00 $1,617.00 $188.00 $5,350.00 $1,155.00 2026-06-10
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 14 5 $1,515.00 $1,515.00 $157.00 $3,608.00 $1,150.50 2026-06-10
46200 CPT Pr Fissurectomy Incl Sphincterotomy When Performed 7 5 $1,278.00 $1,278.00 $741.00 $2,364.00 $1,150.00 2026-06-10
90375 CPT Pr Rabies Immune Globulin Rig Human Im/subq 7 5 $1,278.00 $1,278.00 $741.00 $2,364.00 $1,150.00 2026-06-10
25660 CPT Pr Cltx Rdcrpl/intercarpl Dislc 1/> Bones W/mnpj 7 5 $1,266.00 $1,266.00 $734.00 $2,342.00 $1,139.00 2026-06-10
70547 CPT Chg MRA Neck Without Contrst Material 14 5 $1,659.00 $1,659.00 $160.00 $5,628.00 $1,137.50 2026-06-10
78580 CPT Hc Nm Perfusion Lung 7 5 $1,260.00 $1,260.00 $731.00 $2,331.00 $1,134.00 2026-06-10
58900 CPT Pr Biopsy Ovary Uni/bi Separate Procedure 7 5 $1,260.00 $1,260.00 $731.00 $2,331.00 $1,134.00 2026-06-10
64782 CPT Pr Exc Neuroma Hand/foot Xcp Digital Nerve 7 5 $1,260.00 $1,260.00 $731.00 $2,331.00 $1,134.00 2026-06-10
28002 CPT Pr I&d Below Fascia Foot 1 Bursal Space 7 5 $1,260.00 $1,260.00 $731.00 $2,331.00 $1,134.00 2026-06-10
11606 CPT Pr Excision Malignant Lesion Trunk/arm/leg > 4.0 Cm 7 5 $1,260.00 $1,260.00 $731.00 $2,331.00 $1,134.00 2026-06-10
74150 CPT Hc CT Abd Without Contrast 7 5 $1,254.00 $1,254.00 $727.00 $2,320.00 $1,129.00 2026-06-10
72148 CPT MRI Scan Of Lower Spinal Canal 14 5 $1,563.00 $1,563.00 $190.00 $5,150.00 $1,124.00 2026-06-10
28108 CPT Pr Exc/curtg Cst/b9 Tum Phalanges Foot 7 5 $1,248.00 $1,248.00 $724.00 $2,309.00 $1,123.00 2026-06-10
15620 CPT Pr Delay Flap/sectioning Flap F/c/c/n/ax/g/h/f 7 5 $1,242.00 $1,242.00 $720.00 $2,298.00 $1,118.00 2026-06-10
11420 CPT Hc Exc Skin Benig <5mm Remaindr Body 14 5 $1,545.00 $1,545.00 $202.00 $5,073.00 $1,117.00 2026-06-10
81264 CPT Tc Igk Rearrange Abn Clonal 7 5 $1,236.00 $1,236.00 $717.00 $2,287.00 $1,112.00 2026-06-10
81232 CPT Tc Supersaturation Profile, 24 Hr, Urine 7 5 $1,236.00 $1,236.00 $717.00 $2,287.00 $1,112.00 2026-06-10
70552 CPT Chg MRI Brain Brain Stem W/contrast Material 14 5 $1,461.00 $1,461.00 $240.00 $4,640.00 $1,110.50 2026-06-10
26645 CPT Pr Cltx Carpo/metacarpal Fx Dislc Thumb W/manj 7 5 $1,230.00 $1,230.00 $713.00 $2,276.00 $1,107.00 2026-06-10
23030 CPT Pr I&d Shoulder Deep Abscess/hematoma 7 5 $1,230.00 $1,230.00 $713.00 $2,276.00 $1,107.00 2026-06-10
44389 CPT Pr Colonoscopy Stoma W/biopsy Single/multiple 7 5 $1,224.00 $1,224.00 $710.00 $2,264.00 $1,102.00 2026-06-10
28092 CPT Pr Exc Lesion Tendon Sheath/capsule W/synvct Toe Ea 7 5 $1,212.00 $1,212.00 $703.00 $2,242.00 $1,091.00 2026-06-10
74174 CPT Chg CTA Abd&plvs W/cntrst & Img Postprocessing 14 5 $1,545.00 $1,545.00 $177.00 $5,150.00 $1,090.50 2026-06-10
45000 CPT Pr Transrectal Drainage Of Pelvic Abscess 7 5 $1,206.00 $1,206.00 $699.00 $2,231.00 $1,085.00 2026-06-10
12036 CPT Pr Repair Intermediate S/a/t/e 20.1-30.0 Cm 7 5 $1,200.00 $1,200.00 $696.00 $2,220.00 $1,080.00 2026-06-10
43247 CPT Hc Operative Upper Gi Endoscopy 14 5 $1,458.00 $1,458.00 $150.00 $3,275.00 $1,075.50 2026-06-10
42961 CPT Pr Ctrl Oropharyngeal Hemorrhage Comp Req Hospitj 7 5 $1,194.00 $1,194.00 $693.00 $2,209.00 $1,075.00 2026-06-10
93975 CPT Hc Abd Organ Duplex 7 5 $1,194.00 $1,194.00 $693.00 $2,209.00 $1,075.00 2026-06-10
73718 CPT Chg MRI Lower Extrem Oth/thn Jt Without Contr Matrl 14 5 $1,512.00 $1,512.00 $181.00 $5,017.00 $1,075.00 2026-06-10
58805 CPT Pr Drainage Ovarian Cyst Uni/bi Spx Abdominal 7 5 $1,194.00 $1,194.00 $693.00 $2,209.00 $1,075.00 2026-06-10
26641 CPT Pr Cltx Carpo/metacarpal Dislocation Thumb W/manj 7 5 $1,188.00 $1,188.00 $689.00 $2,198.00 $1,069.00 2026-06-10
64774 CPT Pr Exc Neuroma Cutan Nrv Surgly Identifiable 7 5 $1,188.00 $1,188.00 $689.00 $2,198.00 $1,069.00 2026-06-10
J9217 HCPCS Pr Leuprolide Acetate Suspnsion 7 5 $1,182.00 $1,182.00 $686.00 $2,187.00 $1,064.00 2026-06-10
G0121 HCPCS Hc Scrn Colonoscopy Not Hi Risk 14 5 $1,422.00 $1,422.00 $609.00 $3,319.00 $1,058.50 2026-06-10
78305 CPT Hc Nm Bone Multiple Areas 7 5 $1,176.00 $1,176.00 $682.00 $2,176.00 $1,058.00 2026-06-10
28153 CPT Pr Resection Condyle Distal End Phalanx Each Toe 7 5 $1,176.00 $1,176.00 $682.00 $2,176.00 $1,058.00 2026-06-10
28160 CPT Pr Hemiphalangectomy/interphalangeal Joint Exc Toe 7 5 $1,176.00 $1,176.00 $682.00 $2,176.00 $1,058.00 2026-06-10
88235 CPT Tc Rcaf Tissue-cult, Amfl 7 5 $1,170.00 $1,170.00 $679.00 $2,165.00 $1,053.00 2026-06-10
25248 CPT Pr Expl W/removal Deep Foreign Body Forearm/wrist 7 5 $1,164.00 $1,164.00 $675.00 $2,153.00 $1,048.00 2026-06-10
93925 CPT Hc Duplex Lower Extremity 7 5 $1,164.00 $1,164.00 $675.00 $2,153.00 $1,048.00 2026-06-10
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 14 5 $1,410.00 $1,410.00 $609.00 $3,275.00 $1,044.50 2026-06-10
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 14 5 $1,314.00 $1,314.00 $106.00 $3,275.00 $1,044.50 2026-06-10
78701 CPT Hc Kidney,static & Flow 7 5 $1,158.00 $1,158.00 $672.00 $2,142.00 $1,042.00 2026-06-10
28234 CPT Pr Tenotomy Open Extensor Foot/toe Each Tendon 7 5 $1,158.00 $1,158.00 $672.00 $2,142.00 $1,042.00 2026-06-10
12045 CPT Pr Repair Intermediate N/h/f/xtrnl Gent 12.6-20 Cm 7 5 $1,152.00 $1,152.00 $668.00 $2,131.00 $1,037.00 2026-06-10
23655 CPT Pr Clsd Tx Shoulder Dislc W/manipulation Req Anes 7 5 $1,152.00 $1,152.00 $668.00 $2,131.00 $1,037.00 2026-06-10
43215 CPT Pr Esophagoscopy Flexible Removal Foreign Body 7 5 $1,152.00 $1,152.00 $668.00 $2,131.00 $1,037.00 2026-06-10
25101 CPT Pr Arthrt Wrst W/jt Expl W/wo Bx W/wo Rmvl Loose/fb 7 5 $1,146.00 $1,146.00 $665.00 $2,120.00 $1,031.00 2026-06-10
81401 CPT Tc Mopath Procedure Level 2 7 5 $1,146.00 $1,146.00 $665.00 $2,120.00 $1,031.00 2026-06-10
64788 CPT Pr Exc Neurofibroma/neurolemmoma Cutan Nrv 7 5 $1,140.00 $1,140.00 $661.00 $2,109.00 $1,026.00 2026-06-10
11626 CPT Pr Excision Malignant Lesion S/n/h/f/g >4.0 Cm 7 5 $1,140.00 $1,140.00 $661.00 $2,109.00 $1,026.00 2026-06-10
36569 CPT Hc Plmt Picc Line >5 Yr Old 14 5 $1,449.00 $1,449.00 $167.00 $4,829.00 $1,023.50 2026-06-10
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