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

BLANCHARD VALLEY HOSPITAL

Findlay, OH · CCN 360095 · Rates published

1,769 distinct procedures filed
71 distinct payers
27,323 rate rows
2025-11-05 last MRF observed
Data quality

25,899 of 27,323 rate rows are consumer-grade (94.8%)

1,424 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
professional (physician) fee — not the facility price 1,031
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 361
exceeds 10× this hospital's gross charge — excluded from medians 20
placeholder amount (≤ $0.02) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://machine-readable-files.com/blanchard-valley-health-system/341369963_Blanchard-Valley-Health-System_standardcharges.csv
Found on page https://www.bvhealthsystem.org/patient-and-visitor-information/im-a-patient/price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 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
33249
CPT 		Insert Pace-defib W/lead 3 $4,450.51 $72,448.88 $28,117.98 nat. median
$31,833
0.9× median
33264
CPT 		Rplce Of Multi Lead Icd W/multi Lead Icd 4 $23,928.19 $29,202.92 $27,986.18 nat. median
$31,873
0.9× median
63685
CPT 		63685 Pm Spinal Column Simulator Implant/Replacement 12 $14,391.63 $41,997.72 $27,065.41 nat. median
$21,357
1.3× median
37227
CPT 		Arthrctmy Fem/pop Art W/stent Place 1 $23,579.44 $23,579.44 $23,579.44 nat. median
$18,025
1.3× median
92928
CPT 		Ptca & Stent Initial Vessel Bm Stent 4 $18,635.01 $26,025.60 $22,935.21 nat. median
$13,165
1.7× median
93653
CPT 		Eps W/ablation-supravent Arrhythmia 5 $21,742.96 $41,497.23 $22,323.31 nat. median
$26,156
0.9× median
33263
CPT 		Rplce Dual Chamb. Icd W/dual Chamb. Icd 4 $20,065.22 $33,341.02 $20,457.47 nat. median
$23,504
0.9× median
33262
CPT 		Rplce Sing. Chamber W/sing. Chamber Icd 1 $20,429.38 $20,429.38 $20,429.38 nat. median
$23,398
0.9× median
37238
CPT 		Intravas Stent Vein 3 $9,371.25 $19,326.67 $17,281.35 nat. median
$12,098
1.4× median
33274
CPT 		Percutaneous Leadless Pacemaker Insertion 2 $12,082.24 $17,358.80 $14,720.52 nat. median
$19,643
0.7× median
C1882
HCPCS 		Amplia Crt-d MRI Dtm1d4 2 $9,055.20 $17,554.16 $13,304.68 nat. median
$27,114
outlier · 0.5×
93620
CPT 		Eps-comprehensive W/induction 3 $12,594.54 $15,065.32 $13,059.82 nat. median
$8,805
1.5× median
22869
CPT 		22869 Pm Vertiflex, Insj Stablj Dev Without Dcmprn Lumbar Single Level 1 $11,739.66 $11,739.66 $11,739.66 nat. median
$12,404
0.9× median
64628
CPT 		64628 Pm Intracept Thermal Destruction Of Intraosseous Basivertebral Nerve, 1st… 10 $7,473.56 $21,434.55 $11,485.26 nat. median
$12,583
0.9× median
33210
CPT 		Insertion Of Temporary Pacemaker 1 $11,368.17 $11,368.17 $11,368.17 nat. median
$8,289
1.4× median
C9600
HCPCS 		Ptca And Stent Initial Vessel De Stent 6 $10,351.09 $13,283.90 $10,930.42 nat. median
$14,775
0.7× median
37226
CPT 		Fem/pop Art Stent W/pta 7 $7,758.35 $14,935.17 $10,467.36 nat. median
$12,661
0.8× median
37221
CPT 		Iliac Art Stent W/pta 6 $7,518.93 $18,166.84 $10,358.42 nat. median
$11,953
0.9× median
36905
CPT 		Angio + Angioplasty + Mec Thrombo 4 $5,491.74 $10,359.68 $10,320.82 nat. median
$12,214
0.8× median
22870
CPT 		22870 Pm Vertiflex, Insj Stablj Dev Without Dcmprn Lumbar Second Level 1 $9,999.45 $9,999.45 $9,999.45 nat. median
$2,270
outlier · 4.4×
C9604
HCPCS 		PTCA/Ather/Stent Initial Graft De 2 $9,374.19 $10,351.09 $9,862.64 nat. median
$14,956
0.7× median
34707
CPT 		Stent Placement Endovascular Repair 1 $9,590.95 $9,590.95 $9,590.95 nat. median
$4,889
2.0× median
33208
CPT 		Insert Heart Pm Atrial And Ven 9 $8,500.58 $16,587.15 $9,529.28 nat. median
$11,773
0.8× median
33207
CPT 		Insertion Of A Single Chamber Pacemaker 4 $9,107.75 $9,554.80 $9,466.10 nat. median
$11,490
0.8× median
33228
CPT 		Rplce Dual Chamber Pacer W/dual Pacer 7 $9,029.29 $17,287.93 $9,396.37 nat. median
$11,435
0.8× median
37220
CPT 		Pta Iliac Art 1 $9,357.53 $9,357.53 $9,357.53 nat. median
$7,180
1.3× median
22513
CPT 		Thor Vertiebral Augmentation With Fluoro 6 $5,925.65 $11,739.66 $9,118.68 nat. median
$8,289
1.1× median
37228
CPT 		Pta Tib/per Art 2 $7,771.54 $10,351.09 $9,061.32 nat. median
$10,888
0.8× median
93461
CPT 		Rhc/cor Art With Grafts W/lv 2 $2,778.16 $14,965.67 $8,871.92 nat. median
$6,416
1.4× median
50593
CPT 		CT Ablation Renal Cryo Bilateral 3 $1,605.23 $9,479.78 $8,753.99 nat. median
$10,316
0.8× median
33285
CPT 		Insertion Of Loop Recorder Ip 16 $7,220.20 $15,968.64 $7,560.16 nat. median
$8,844
0.9× median
C9606
HCPCS 		Ami Initial Vessel Or Bypass De 1 $7,284.56 $7,284.56 $7,284.56 nat. median
$18,105
outlier · 0.4×
C9602
HCPCS 		PTCA/Ather Initial Vessel De Stent 1 $7,284.56 $7,284.56 $7,284.56 nat. median
$20,441
outlier · 0.4×
33227
CPT 		Rplce Dual Chamb. W/sing. Chamb. Pacer 1 $7,249.67 $7,249.67 $7,249.67 nat. median
$9,603
0.8× median
C1786
HCPCS 		Adapta Sr Adsr01 1 $7,141.75 $7,141.75 $7,141.75 nat. median
$7,726
0.9× median
92920
CPT 		Ptca Vessel Initial 3 $5,208.37 $12,148.80 $7,103.38 nat. median
$8,159
0.9× median
93650
CPT 		Ablation Av Node 3 $6,496.74 $7,754.74 $6,931.78 nat. median
$9,331
0.7× median
22514
CPT 		Lumb Vertiebral Augmentation W/fluoro 4 $4,820.44 $6,525.84 $6,525.84 nat. median
$8,289
0.8× median
90375
CPT 		Rabies Immune Globulin, Human 300 Intl units/mL Sol 2 $5,645.39 $7,369.82 $6,507.60 nat. median
$1,041
outlier · 6.3×
93451
CPT 		Right Heart Cath With Or Without Co 4 $2,785.07 $10,601.31 $6,150.65 nat. median
$4,834
1.3× median
C1820
HCPCS 		Axonics Snm 5101 Neurostimulator Rechargeable 9 $1,830.26 $15,010.05 $5,942.31 nat. median
$22,013
outlier · 0.3×
36902
CPT 		Angioplasty Of Dialysis Shunt 7 $3,796.52 $5,208.37 $5,208.37 nat. median
$7,009
0.7× median
L8690
HCPCS 		Baha 4 Chestnut Brown 1 $5,070.69 $5,070.69 $5,070.69 nat. median
$5,743
0.9× median
C1734
HCPCS 		Augment Bone Graft 1.5cc 1 $5,043.97 $5,043.97 $5,043.97 nat. median
$2,408
outlier · 2.1×
37224
CPT 		Pta Fem/pop Art 4 $4,563.43 $8,729.88 $5,042.88 nat. median
$7,244
0.7× median
93455
CPT 		Coronary Angiogram W/Grafts Without Lv 2 $2,933.27 $6,993.51 $4,963.39 nat. median
$5,661
0.9× median
37191
CPT 		Insertion Vena Cava Filter Cath Lab 1 $4,927.67 $4,927.67 $4,927.67 nat. median
$6,264
0.8× median
C9399
HCPCS 		Datopotamab Deruxtecan Dlnk 100 Mg Pow 1 $4,889.11 $4,889.11 $4,889.11 nat. median
$2,475
2.0× median
C1764
HCPCS 		Linq Insertable Monitor Lnq11 4 $2,560.74 $4,907.22 $4,854.95 nat. median
$7,664
0.6× median
75726
CPT 		Visceral, Selective Ea W/wo Flush 2 $4,677.12 $4,938.14 $4,807.63 nat. median
$5,021
1.0× median

Other procedures at this hospital

Browse this hospital's 1,769 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
             
0219U CPT HIV-1 Genotypic Drug Resistance To Reverse Transcriptase, Protease, And Integras… 3 3 $1,740.00 $1,740.00 $1,123.75 $1,633.86 $1,450.00 2025-11-05
10005 CPT Fna W/image 26 26 $1,565.00 $1,565.00 $472.72 $1,858.00 $932.98 2025-11-05
10007 CPT Fine Needle Aspiration W/fluor 2 2 $1,878.00 $1,878.00 $1,414.13 $1,528.69 $1,471.41 2025-11-05
10030 CPT US Drainage Soft Tissue Superficial 9 8 $1,878.00 $1,878.00 $363.33 $1,692.08 $927.22 2025-11-05
10080 CPT Id Body Site -> Pilonidal Cyst, Simple 1 1 $1,014.00 $1,014.00 $911.89 $911.89 $911.89 2025-11-05
10121 CPT Foreign Body Removal Site -> Skin, Subcutaneous Complex Fb 4 4 $2,336.00 $2,336.00 $1,303.19 $2,193.51 $1,932.52 2025-11-05
10140 CPT 10140 Amb I&d Hematoma, Seroma Or Fluid Collection 2 2 $2,773.00 $2,773.00 $1,480.10 $2,603.85 $2,041.97 2025-11-05
11044 CPT 11044 Deb Bone 20 Sq Cm/< Wnd 3 3 $2,673.00 $2,673.00 $707.90 $1,480.10 $1,383.50 2025-11-05
15271 CPT Skin Sub Graft T/a/l 1st 25 Cm Wnd 7 7 $2,627.00 $2,627.00 $1,671.01 $2,466.76 $1,671.01 2025-11-05
15273 CPT Skin Sub Grft T/a/l 1st 100 Cm Wnd 1 1 $5,168.00 $5,168.00 $3,344.32 $3,344.32 $3,344.32 2025-11-05
15275 CPT 15275 Skin Sub Graft F/n/hf/g 1st 25 Wnd 10 10 $2,627.00 $2,627.00 $1,256.36 $2,466.75 $1,671.01 2025-11-05
19081 CPT Mg Affirm Biopsy Left 28 28 $6,009.00 $6,009.00 $1,280.31 $6,009.00 $2,468.73 2025-11-05
19082 CPT Mg Affirm Biopsy Add Left 2 2 $3,837.00 $3,837.00 $1,880.13 $3,139.11 $2,509.62 2025-11-05
19083 CPT US Biopsy Breast Left 35 35 $6,009.00 $6,009.00 $1,267.88 $11,133.78 $2,331.46 2025-11-05
19084 CPT US Biopsy Breast Additional Left 8 8 $3,837.00 $3,837.00 $1,305.17 $8,933.81 $3,237.07 2025-11-05
19085 CPT MRI Breast Biopsy Left 4 4 $5,587.00 $5,587.00 $2,406.67 $5,302.06 $4,723.56 2025-11-05
19281 CPT Mg Breast Localization Left 6 6 $2,673.00 $2,673.00 $1,280.31 $2,483.22 $1,480.10 2025-11-05
19285 CPT US Breast Localization Left 11 11 $1,686.00 $1,686.00 $638.05 $1,583.15 $1,121.19 2025-11-05
19286 CPT US Breast Localization Add Left 1 1 $661.00 $661.00 $2,025.19 $2,025.19 $2,025.19 2025-11-05
20206 CPT CT Biopsy Muscle Soft Tissue 5 5 $2,518.00 $2,518.00 $1,097.42 $2,331.46 $1,480.10 2025-11-05
20220 CPT Bone Bx Tr/ndl; Superf 6 6 $2,228.00 $2,228.00 $1,091.72 $2,968.91 $1,431.80 2025-11-05
20225 CPT Deep Bone Bx Trcr/ndl 9 9 $3,018.00 $3,018.00 $1,265.67 $2,833.91 $1,480.10 2025-11-05
2120838 CDM Room/bed: Newborn/Well Baby 18 18 $906.00 $906.00 $684.54 $1,812.00 $839.34 2025-11-05
2120839 CDM Room/bed: Med-surg 35 35 $1,155.00 $1,155.00 $206.41 $8,126.78 $1,043.66 2025-11-05
2120840 CDM Room/bed: Semi Private 35 35 $1,155.00 $1,155.00 $206.41 $8,126.78 $1,043.66 2025-11-05
2120847 CDM Room/bed: Telemetry 35 35 $1,155.00 $1,155.00 $206.41 $8,126.78 $1,043.66 2025-11-05
21550 CPT US Biopsy Ndl Neck/Thorax Soft Tissue 1 1 $2,336.00 $2,336.00 $1,480.10 $1,480.10 $1,480.10 2025-11-05
22513 CPT Thor Vertiebral Augmentation With Fluoro 6 6 $11,791.00 $11,791.00 $5,925.65 $11,739.66 $9,118.68 2025-11-05
22514 CPT Lumb Vertiebral Augmentation W/fluoro 4 4 $11,791.00 $11,791.00 $4,820.44 $6,525.84 $6,525.84 2025-11-05
22869 CPT 22869 Pm Vertiflex, Insj Stablj Dev Without Dcmprn Lumbar Single Level 1 1 $19,012.00 $19,012.00 $11,739.66 $11,739.66 $11,739.66 2025-11-05
22870 CPT 22870 Pm Vertiflex, Insj Stablj Dev Without Dcmprn Lumbar Second Level 1 1 $11,530.00 $11,530.00 $9,999.45 $9,999.45 $9,999.45 2025-11-05
25565 CPT Fracture Manipulation Site -> Radius/Ulna Fx, Shaft, With Manipulation 5 5 $2,315.00 $2,315.00 $456.04 $2,315.00 $2,003.14 2025-11-05
25605 CPT Fracture Manipulation Site -> Radius/Ulna Fx, Distal, With Manipulation 8 8 $2,315.00 $2,315.00 $366.19 $2,173.79 $1,461.99 2025-11-05
26765 CPT Open Tx Distal Phalanx Fx 2 2 $4,663.00 $4,663.00 $2,230.97 $2,951.93 $2,591.45 2025-11-05
27096 CPT 27096 Pm Sacroiliac Joint Injection 25 25 $1,632.00 $1,632.00 $300.32 $2,325.60 $1,278.40 2025-11-05
27810 CPT Fracture Manipulation Site -> Bimalleolar Fx, With Manipulation 3 3 $2,315.00 $2,315.00 $1,368.11 $2,173.79 $2,150.64 2025-11-05
27818 CPT Fracture Manipulation Site -> Trimalleolar Fx, With Manipulation 4 4 $2,315.00 $2,315.00 $1,134.35 $2,173.79 $2,063.82 2025-11-05
27842 CPT Reduction Dislocation Repair Site -> Ankle With Anesthesia 1 1 $2,315.00 $2,315.00 $2,173.79 $2,173.79 $2,173.79 2025-11-05
28232 CPT Tenotomy Op Flexor; Toe Sngl Wnd 1 1 $3,005.00 $3,005.00 $2,358.93 $2,358.93 $2,358.93 2025-11-05
28820 CPT 28820 Amputate Toe; Mtp Joint Wnd 1 1 $5,306.00 $5,306.00 $4,200.46 $4,200.46 $4,200.46 2025-11-05
28825 CPT 28825 Amputate Toe; Ip Joint Wnd 3 3 $5,306.00 $5,306.00 $2,610.55 $2,762.11 $2,750.88 2025-11-05
31622 CPT Dx Bronchoscope/wash 31622 1 1 $2,445.00 $2,445.00 $1,575.42 $1,575.42 $1,575.42 2025-11-05
31624 CPT Dx Bronchoscope/lavage 31624 1 1 $2,445.00 $2,445.00 $2,097.27 $2,097.27 $2,097.27 2025-11-05
32408 CPT CT Biopsy Lung/Mediatinum 14 14 $4,861.00 $4,861.00 $1,383.58 $4,564.48 $1,480.10 2025-11-05
32550 CPT Pleural Cath Insert 1 1 $6,556.00 $6,556.00 $3,223.82 $3,223.82 $3,223.82 2025-11-05
32551 CPT Ed Procedure Performed -> Chest Tube Insertion 2 2 $2,307.00 $2,307.00 $1,997.86 $2,166.28 $2,082.07 2025-11-05
33207 CPT Insertion Of A Single Chamber Pacemaker 4 4 $15,381.00 $15,381.00 $9,107.75 $9,554.80 $9,466.10 2025-11-05
33208 CPT Insert Heart Pm Atrial And Ven 9 9 $17,332.00 $17,332.00 $8,500.58 $16,587.15 $9,529.28 2025-11-05
33210 CPT Insertion Of Temporary Pacemaker 1 1 $12,237.00 $12,237.00 $11,368.17 $11,368.17 $11,368.17 2025-11-05
33215 CPT Reposition Of Pacemaker Or Icd Lead 1 1 $4,592.00 $4,592.00 $2,255.98 $2,255.98 $2,255.98 2025-11-05
33227 CPT Rplce Dual Chamb. W/sing. Chamb. Pacer 1 1 $12,237.00 $12,237.00 $7,249.67 $7,249.67 $7,249.67 2025-11-05
33228 CPT Rplce Dual Chamber Pacer W/dual Pacer 7 7 $18,411.00 $18,411.00 $9,029.29 $17,287.93 $9,396.37 2025-11-05
33241 CPT Removal Of Icd Gen Only 1 1 $5,657.00 $5,657.00 $2,439.22 $2,439.22 $2,439.22 2025-11-05
33249 CPT Insert Pace-defib W/lead 3 3 $55,857.00 $55,857.00 $4,450.51 $72,448.88 $28,117.98 2025-11-05
33262 CPT Rplce Sing. Chamber W/sing. Chamber Icd 1 1 $34,639.00 $34,639.00 $20,429.38 $20,429.38 $20,429.38 2025-11-05
33263 CPT Rplce Dual Chamb. Icd W/dual Chamb. Icd 4 4 $35,505.00 $35,505.00 $20,065.22 $33,341.02 $20,457.47 2025-11-05
33264 CPT Rplce Of Multi Lead Icd W/multi Lead Icd 4 4 $48,821.00 $48,821.00 $23,928.19 $29,202.92 $27,986.18 2025-11-05
33274 CPT Percutaneous Leadless Pacemaker Insertion 2 2 $28,066.00 $28,066.00 $12,082.24 $17,358.80 $14,720.52 2025-11-05
33285 CPT Insertion Of Loop Recorder Ip 16 16 $17,006.00 $17,006.00 $7,220.20 $15,968.64 $7,560.16 2025-11-05
33286 CPT Removal Of A Loop Recorder 6 6 $3,412.00 $3,412.00 $600.39 $3,169.75 $1,163.41 2025-11-05
34707 CPT Stent Placement Endovascular Repair 1 1 $2,374.00 $2,374.00 $9,590.95 $9,590.95 $9,590.95 2025-11-05
36555 CPT Cvc Charge -> Less Than 5 Years Old 1 1 $4,592.00 $4,592.00 $973.37 $973.37 $973.37 2025-11-05
36556 CPT Cvc Charge -> Greater Than 5 Years Old 10 10 $4,592.00 $4,592.00 $931.08 $4,529.12 $2,875.26 2025-11-05
36558 CPT Ins Tnld Cvad W/fluoro 7 7 $5,620.00 $5,620.00 $2,015.67 $5,063.62 $2,864.59 2025-11-05
36561 CPT Ins Tnld Cvad W/port W/fluoro 28 28 $8,428.00 $8,428.00 $1,928.10 $7,998.17 $2,875.26 2025-11-05
36569 CPT Ins Picc Age 5 Yrs/> 1 1 $2,534.00 $2,534.00 $2,100.23 $2,100.23 $2,100.23 2025-11-05
36573 CPT Ins Picc With Fluoro 8 7 $2,501.00 $2,501.00 $709.54 $2,348.44 $1,404.44 2025-11-05
36581 CPT Replace Tunneled Cv Cath 4 4 $4,592.00 $4,592.00 $2,259.26 $2,863.57 $2,787.26 2025-11-05
36582 CPT Repl Tunneled Vad W Port 1 1 $5,781.00 $5,781.00 $2,863.57 $2,863.57 $2,863.57 2025-11-05
36590 CPT Remove Tunld Cvad W/port 15 15 $2,653.00 $2,653.00 $738.54 $2,491.17 $1,420.10 2025-11-05
36901 CPT Puncture Av Dialysis Shunt 7 7 $2,656.00 $2,656.00 $1,231.01 $2,222.19 $1,400.46 2025-11-05
36902 CPT Angioplasty Of Dialysis Shunt 7 7 $9,297.00 $9,297.00 $3,796.52 $5,208.37 $5,208.37 2025-11-05
36905 CPT Angio + Angioplasty + Mec Thrombo 4 4 $18,922.00 $18,922.00 $5,491.74 $10,359.68 $10,320.82 2025-11-05
36907 CPT Angioplasty Central Segment 1 1 $7,008.00 $7,008.00 $3,433.92 $3,433.92 $3,433.92 2025-11-05
37191 CPT Insertion Vena Cava Filter Cath Lab 1 1 $9,162.00 $9,162.00 $4,927.67 $4,927.67 $4,927.67 2025-11-05
37193 CPT Removal Vena Cava Filter 7 7 $8,197.00 $8,197.00 $2,708.95 $7,696.98 $2,875.26 2025-11-05
37220 CPT Pta Iliac Art 1 1 $10,968.00 $10,968.00 $9,357.53 $9,357.53 $9,357.53 2025-11-05
37221 CPT Iliac Art Stent W/pta 6 6 $15,846.00 $15,846.00 $7,518.93 $18,166.84 $10,358.42 2025-11-05
37224 CPT Pta Fem/pop Art 4 4 $9,297.00 $9,297.00 $4,563.43 $8,729.88 $5,042.88 2025-11-05
37226 CPT Fem/pop Art Stent W/pta 7 7 $15,846.00 $15,846.00 $7,758.35 $14,935.17 $10,467.36 2025-11-05
37227 CPT Arthrctmy Fem/pop Art W/stent Place 1 1 $25,257.00 $25,257.00 $23,579.44 $23,579.44 $23,579.44 2025-11-05
37228 CPT Pta Tib/per Art 2 2 $15,846.00 $15,846.00 $7,771.54 $10,351.09 $9,061.32 2025-11-05
37238 CPT Intravas Stent Vein 3 3 $19,125.00 $19,125.00 $9,371.25 $19,326.67 $17,281.35 2025-11-05
38222 CPT CT Bone Marrow Biopsy + Aspiration 16 16 $4,093.00 $4,093.00 $1,672.40 $3,884.26 $2,614.18 2025-11-05
38505 CPT CT Biopsy Lymph Node Superficial 10 10 $2,806.00 $2,806.00 $1,341.52 $2,634.84 $1,480.10 2025-11-05
3925890 CDM Room/bed: Scn - Infant (3 Month And Under) 35 35 $1,155.00 $1,155.00 $206.41 $8,126.78 $1,043.66 2025-11-05
3925891 CDM Room/bed: Zzccu-telemetry 20 20 $2,038.00 $2,038.00 $748.09 $7,736.25 $1,877.03 2025-11-05
3925893 CDM Room/bed: Scn - Step Down 15 15 $2,045.00 $2,045.00 $467.56 $7,689.20 $1,847.86 2025-11-05
3925894 CDM Room/bed: Critical Care 28 28 $2,998.00 $2,998.00 $538.77 $5,996.00 $2,698.65 2025-11-05
3925895 CDM Room/bed: Scn - ICU 10 10 $3,148.00 $3,148.00 $1,545.29 $6,296.00 $2,880.42 2025-11-05
3925901 CDM Room/bed: Of456 35 35 $1,155.00 $1,155.00 $206.41 $8,126.78 $1,043.66 2025-11-05
3925904 CDM Room/bed: zzCCU Open Heart 21 21 $4,986.00 $4,986.00 $733.91 $5,996.00 $2,508.81 2025-11-05
3925906 CDM Room/bed: Maternity 20 20 $1,794.00 $1,794.00 $90.70 $4,999.88 $1,627.01 2025-11-05
4065529 CDM Room/bed: Behavioral Health - Private 13 13 $1,856.00 $1,856.00 $418.87 $18,560.00 $1,259.15 2025-11-05
4065530 CDM Room/bed: Behavioral Health - Semi Private 24 24 $1,785.00 $1,785.00 $575.25 $11,900.00 $1,179.85 2025-11-05
41010 CPT Frenotomy Charge -> Yes 5 5 $2,206.00 $2,206.00 $1,115.28 $2,206.00 $1,983.85 2025-11-05
42400 CPT US Biopsy Ndl Salivary 14 14 $1,953.00 $1,953.00 $603.85 $1,833.87 $1,096.32 2025-11-05
42700 CPT Id Body Site -> Tonsil 1 1 $560.00 $560.00 $809.37 $809.37 $809.37 2025-11-05
4479156 CDM Room/bed: zzBV 6nutel 35 35 $1,315.00 $1,315.00 $206.41 $8,126.78 $1,043.66 2025-11-05
45990 CPT Exam Under Anesthesia Anorectal 1 1 $5,092.00 $5,092.00 $2,392.75 $2,392.75 $2,392.75 2025-11-05
46050 CPT Id Body Site -> Perianal, Superficial 1 1 $1,317.00 $1,317.00 $1,236.66 $1,236.66 $1,236.66 2025-11-05
4634518 CDM Room/bed: zzBF Medsurg2tel 35 35 $1,315.00 $1,315.00 $206.41 $8,126.78 $1,043.66 2025-11-05
4634519 CDM Room/bed: zzBF Medsurg2cc 21 21 $2,998.00 $2,998.00 $733.91 $5,996.00 $2,508.81 2025-11-05
46608 CPT Anoscopy; W Rem Fb 1 1 $1,317.00 $1,317.00 $1,311.92 $1,311.92 $1,311.92 2025-11-05
47000 CPT CT Biopsy Liver 23 23 $2,833.00 $2,833.00 $542.90 $2,688.52 $1,482.09 2025-11-05
47536 CPT Exchange Or Replace Biliary Drain Cath 1 1 $4,984.00 $4,984.00 $2,952.26 $2,952.26 $2,952.26 2025-11-05
49083 CPT Abd Paracentesis With Imaging 20 20 $1,864.00 $1,864.00 $573.12 $1,768.94 $856.46 2025-11-05
49180 CPT CT Biopsy Abdomen/Retroperitoneal 9 9 $2,594.00 $2,594.00 $548.22 $2,116.38 $1,480.10 2025-11-05
49406 CPT Peri/retr Drainage Cath W/imaging 5 5 $4,932.00 $4,932.00 $578.24 $2,416.68 $1,478.09 2025-11-05
49418 CPT Peritoneal Dialysis Cath Plmt 1 1 $6,314.00 $6,314.00 $3,218.72 $3,218.72 $3,218.72 2025-11-05
49423 CPT Drain Cath Exchange W S&i 1 1 $3,498.00 $3,498.00 $1,732.91 $1,732.91 $1,732.91 2025-11-05
49440 CPT Insertion Gastro/ceco Tube 5 5 $3,498.00 $3,498.00 $1,590.64 $9,742.18 $1,732.91 2025-11-05
49999 CPT Unlisted Proc Abd,peritoneum, Omentum 1 1 $2,623.00 $2,623.00 $3,891.75 $3,891.75 $3,891.75 2025-11-05
50200 CPT CT Biopsy Renal Bilateral 5 5 $5,046.00 $5,046.00 $288.38 $7,115.71 $1,480.10 2025-11-05
50389 CPT Removal Of Neph Tube W/fluoro 2 2 $1,680.00 $1,680.00 $607.26 $1,577.52 $1,092.39 2025-11-05
50390 CPT Perc Asp/inj/rnl Cyst/pelvis 2 2 $1,852.00 $1,852.00 $642.73 $2,199.02 $1,420.88 2025-11-05
50430 CPT Xr Nephro/Loopogram New Bilat 2 2 $2,520.00 $2,520.00 $1,518.05 $1,557.36 $1,537.70 2025-11-05
50432 CPT Nephrostomy Tube Plcmt Bil 2 2 $4,401.00 $4,401.00 $1,869.22 $1,871.32 $1,870.27 2025-11-05
50433 CPT Perc Nephroureteral Stent Plcmt New Bil 1 1 $8,571.00 $8,571.00 $2,811.29 $2,811.29 $2,811.29 2025-11-05
50435 CPT Neph Tube Change Bil 4 4 $4,401.00 $4,401.00 $934.66 $1,871.32 $1,870.27 2025-11-05
50593 CPT CT Ablation Renal Cryo Bilateral 3 3 $22,240.00 $22,240.00 $1,605.23 $9,479.78 $8,753.99 2025-11-05
50695 CPT Urtrl Stent Plcmt New W Nephro Cath Bil 1 1 $7,533.00 $7,533.00 $3,137.86 $3,137.86 $3,137.86 2025-11-05
51040 CPT Cystotomy With Drainage 2 2 $3,307.00 $3,307.00 $1,865.91 $1,865.91 $1,865.91 2025-11-05
51102 CPT US Bladder With Suprapubic Catheter Insert 2 2 $3,307.00 $3,307.00 $1,627.04 $1,738.52 $1,682.78 2025-11-05
52281 CPT Cystoscopy And Treatment 1 1 $3,304.00 $3,304.00 $1,618.96 $1,618.96 $1,618.96 2025-11-05
54150 CPT Circumcision Charge -> Yes 3 3 $1,466.00 $1,466.00 $1,150.81 $1,376.57 $1,245.16 2025-11-05
5430488 CDM Room/bed: Rehab 5 5 $1,155.00 $1,155.00 $877.80 $1,100.00 $898.69 2025-11-05
54700 CPT US Drainage Scrotal 1 1 $3,304.00 $3,304.00 $1,871.71 $1,871.71 $1,871.71 2025-11-05
5478009 CDM Room/bed: Telemetry W Iso 12 12 $1,155.00 $1,155.00 $407.54 $2,701.20 $1,006.30 2025-11-05
5478010 CDM Room/bed: Swing Bed 35 35 $1,155.00 $1,155.00 $206.41 $8,126.78 $1,043.66 2025-11-05
5478012 CDM Room/bed: Med-surg W Iso 12 12 $1,155.00 $1,155.00 $407.54 $2,701.20 $1,006.30 2025-11-05
5478013 CDM Room/bed: Swing Bed W Iso 12 12 $1,155.00 $1,155.00 $407.54 $2,701.20 $1,006.30 2025-11-05
5478014 CDM Room/bed: Critical Care W Iso 12 12 $2,998.00 $2,998.00 $407.54 $2,701.20 $1,006.30 2025-11-05
5478015 CDM Room/bed: Maternity W Iso 12 12 $1,794.00 $1,794.00 $407.54 $2,701.20 $1,006.30 2025-11-05
5478016 CDM Room/bed: Scn - ICU W Iso 12 12 $3,148.00 $3,148.00 $407.54 $2,701.20 $1,006.30 2025-11-05
5478017 CDM Room/bed: Scn - Infant 3 Month And Under W Iso 12 12 $1,155.00 $1,155.00 $407.54 $2,701.20 $1,006.30 2025-11-05
5478018 CDM Room/bed: Scn - Step Down W Iso 12 12 $2,045.00 $2,045.00 $407.54 $2,701.20 $1,006.30 2025-11-05
5478019 CDM Room/bed: Hospice W Iso 12 12 $1,155.00 $1,155.00 $407.54 $2,701.20 $1,006.30 2025-11-05
5478020 CDM Room/bed: Rehab W Iso 12 12 $1,155.00 $1,155.00 $407.54 $2,701.20 $1,006.30 2025-11-05
5478021 CDM Room/bed: Newborn/Well Baby W Iso 12 12 $906.00 $906.00 $407.54 $2,701.20 $1,006.30 2025-11-05
55100 CPT Id Body Site -> Scrotal Wall 1 1 $2,629.00 $2,629.00 $2,116.38 $2,116.38 $2,116.38 2025-11-05
59412 CPT Version Charge -> Yes 2 2 $4,503.00 $4,503.00 $551.35 $4,503.00 $2,527.18 2025-11-05
60100 CPT Biopsy Thyroid Perc Core Ndl 2 2 $1,224.00 $1,224.00 $644.12 $6,722.45 $3,683.28 2025-11-05
62270 CPT Ed Procedure Performed -> Lumbar Puncture 4 4 $1,193.00 $1,193.00 $671.26 $1,108.30 $798.39 2025-11-05
62303 CPT Xr Myelography Thoracic Spine 2 2 $1,330.00 $1,330.00 $683.25 $1,248.87 $966.06 2025-11-05
62328 CPT Lumbar Spinal Puncture 18 18 $2,025.00 $2,025.00 $590.12 $1,901.48 $1,014.40 2025-11-05
63650 CPT 63650 Pm Spinal Cord Stimulator Permanent Implant Leads 9 9 $9,870.00 $9,870.00 $2,997.63 $18,753.00 $3,322.24 2025-11-05
63685 CPT 63685 Pm Spinal Column Simulator Implant/Replacement 12 12 $44,726.00 $44,726.00 $14,391.63 $41,997.72 $27,065.41 2025-11-05
64417 CPT 64417 Pm Axillary Nerve Block 10 10 $1,706.00 $1,706.00 $777.80 $2,464.99 $976.66 2025-11-05
64421 CPT 64421 Pm Intercostal Nerve Block Multiple Level 11 11 $1,706.00 $1,706.00 $554.58 $1,618.99 $813.29 2025-11-05
64425 CPT 64425 Pm Ilioinguinal Nerve Block 1 1 $1,294.00 $1,294.00 $1,215.07 $1,215.07 $1,215.07 2025-11-05
64479 CPT 64479 Pm Cervical/Thoracic Nerve Root Injection 44 44 $2,215.00 $2,215.00 $521.20 $2,240.60 $816.28 2025-11-05
64483 CPT 64483 Pm Lumbar/Sacral Nerve Root Injection 49 48 $2,215.00 $2,215.00 $521.20 $2,240.60 $813.29 2025-11-05
64490 CPT 64490 Pm Cervical/Thoracic Dorsal Medial Branch Block 1st Level 32 32 $2,214.00 $2,214.00 $392.06 $2,566.22 $795.54 2025-11-05
64492 CPT 64492 Pm Cervical/Thoracic Dorsal Medial Branch Block 3rd Level 1 1 $536.00 $536.00 $2,945.64 $2,945.64 $2,945.64 2025-11-05
64493 CPT 64493 Pm Lumbar/Sacral Dorsal Medial Branch Block 1st Level 39 39 $2,214.00 $2,214.00 $247.95 $2,670.09 $779.61 2025-11-05
64510 CPT 64510 Pm Stellate Ganglion Nerve Block 1 1 $1,838.00 $1,838.00 $1,246.16 $1,246.16 $1,246.16 2025-11-05
64517 CPT 64517 Pm Hypogastric Nerve Block 6 6 $1,838.00 $1,838.00 $386.76 $2,479.37 $1,716.69 2025-11-05
64530 CPT 64530 Pm Celiac Plexus Block 7 7 $1,838.00 $1,838.00 $497.47 $1,707.50 $1,124.73 2025-11-05
64620 CPT 64620 Pm Intercostal Radiofrequency Ablation 2 2 $1,313.00 $1,313.00 $813.29 $2,879.15 $1,846.22 2025-11-05
64624 CPT 64624 Pm Genicular Nerve Radiofrequency Ablation Left 6 6 $3,335.00 $3,335.00 $1,091.88 $1,786.12 $1,783.86 2025-11-05
64625 CPT 64625 Pm Sacroiliac Joint Radiofrequency Ablation 2 2 $3,335.00 $3,335.00 $1,776.12 $2,617.98 $2,197.05 2025-11-05
64628 CPT 64628 Pm Intracept Thermal Destruction Of Intraosseous Basivertebral Nerve, 1st … 10 10 $22,827.00 $22,827.00 $7,473.56 $21,434.55 $11,485.26 2025-11-05
64633 CPT 64633 Pm Cervical Radiofrequency Ablation 33 33 $3,335.00 $3,335.00 $701.75 $3,164.92 $1,783.86 2025-11-05
64635 CPT 64635 Pm Lumbar Radiofrequency Ablation Unilateral 45 45 $3,335.00 $3,335.00 $503.45 $4,147.52 $1,161.95 2025-11-05
70549 CPT MRA Neck With + Without Contrast 11 11 $1,653.00 $1,653.00 $182.65 $1,568.70 $809.62 2025-11-05
70552 CPT MRI Brain With Contrast 7 7 $1,849.00 $1,849.00 $326.62 $1,505.09 $809.63 2025-11-05
72149 CPT MRI Spine Lumbar With Contrast 6 6 $1,039.00 $1,039.00 $326.25 $945.58 $777.14 2025-11-05
73040 CPT Xr Arthrogram Shoulder Bilateral 12 12 $2,594.00 $2,594.00 $172.57 $1,623.53 $1,396.16 2025-11-05
73085 CPT Xr Arthrogram Elbow Bilateral 2 2 $1,684.00 $1,684.00 $1,043.27 $1,054.50 $1,048.88 2025-11-05
73222 CPT MRI Elbow Arthrogram With Contrast Left 12 12 $2,096.00 $2,096.00 $467.16 $1,968.14 $1,640.08 2025-11-05
73525 CPT Xr Arthrogram Hip Bilateral 8 8 $2,573.00 $2,573.00 $175.26 $1,716.00 $1,471.47 2025-11-05
73722 CPT MRI Hip Arthrogram With Contrast Left 8 8 $2,096.00 $2,096.00 $474.42 $2,096.00 $1,797.32 2025-11-05
74430 CPT Xr Cystography 3 Or More Views 14 14 $1,065.00 $1,065.00 $327.12 $1,001.10 $777.89 2025-11-05
74740 CPT Xr Hysterosalpingography 5 5 $968.00 $968.00 $117.55 $1,149.38 $870.52 2025-11-05
75625 CPT Abdominal Aortagram 3 3 $6,367.00 $6,367.00 $2,875.26 $5,978.61 $3,119.83 2025-11-05
75710 CPT Extremity, Unilateral 9 9 $6,319.00 $6,319.00 $1,219.06 $5,933.55 $2,837.54 2025-11-05
75716 CPT Extremity Angio - Bilat 4 4 $6,592.00 $6,592.00 $3,230.08 $6,189.89 $4,746.75 2025-11-05
75726 CPT Visceral, Selective Ea W/wo Flush 2 2 $7,916.00 $7,916.00 $4,677.12 $4,938.14 $4,807.63 2025-11-05
75820 CPT Venogram Ext Uni 2 2 $2,307.00 $2,307.00 $1,419.08 $2,336.76 $1,877.92 2025-11-05
75822 CPT Venogram Ext Bi 1 1 $2,844.00 $2,844.00 $2,670.52 $2,670.52 $2,670.52 2025-11-05
75831 CPT Renal Venogram Uni 1 1 $4,592.00 $4,592.00 $4,173.86 $4,173.86 $4,173.86 2025-11-05
76098 CPT Mg Bhor Surgical Specimen 10 10 $1,046.00 $1,046.00 $422.68 $1,254.72 $1,072.49 2025-11-05
76870 CPT US Scrotum And Contents 26 26 $974.00 $974.00 $93.81 $1,109.48 $898.80 2025-11-05
77048 CPT MRI Breast With + Without Contrast Left 1 1 $1,893.00 $1,893.00 $935.50 $935.50 $935.50 2025-11-05
77049 CPT MRI Breast Screen Abbrev W/+without Con Bil 21 21 $802.00 $802.00 $467.16 $1,430.40 $819.70 2025-11-05
77295 CPT Radrx Sim By 3d Reconstruction 25 25 $2,390.00 $2,390.00 $915.71 $2,268.11 $1,249.92 2025-11-05
77301 CPT Rtc Imrt Plan 30 30 $2,390.00 $2,390.00 $933.49 $2,244.21 $1,249.92 2025-11-05
77373 CPT Sbrt Delivery Per Fraction 19 19 $3,303.00 $3,303.00 $1,228.15 $3,101.52 $1,604.04 2025-11-05
78195 CPT Scan 1 1 $1,112.00 $1,112.00 $927.00 $927.00 $927.00 2025-11-05
78226 CPT Scan 4 4 $1,634.00 $1,634.00 $578.21 $1,534.33 $1,501.89 2025-11-05
78451 CPT Nm Cardiolite Spect 1 Phase Pharm Stress 4 4 $3,733.00 $3,733.00 $1,102.75 $3,505.29 $1,443.01 2025-11-05
78452 CPT Scan 43 43 $8,205.00 $8,205.00 $75.00 $8,205.00 $1,211.71 2025-11-05
78608 CPT Scan 14 14 $3,884.00 $3,884.00 $1,313.50 $3,689.41 $1,375.72 2025-11-05
78802 CPT Scan 6 6 $2,073.00 $2,073.00 $1,015.77 $1,946.55 $1,192.57 2025-11-05
78803 CPT Tumor Localiz; Spect (3d) 7 7 $2,565.00 $2,565.00 $1,044.60 $2,800.10 $1,210.28 2025-11-05
78815 CPT Scan 40 40 $3,250.00 $3,250.00 $1,329.58 $3,051.75 $1,452.56 2025-11-05
78816 CPT Scan 24 24 $5,050.00 $5,050.00 $1,312.12 $5,050.00 $1,335.00 2025-11-05
78830 CPT 78830 Rp Loclzj Tum Spect W/ct 1 Area/acquisj 1day Img 22 22 $2,942.00 $2,942.00 $1,054.84 $7,761.69 $1,193.90 2025-11-05
78832 CPT Scan 3 3 $3,067.00 $3,067.00 $1,327.52 $1,335.00 $1,332.43 2025-11-05
81229 CPT 81229 Ap Bill Only Chrom Microarray Poc-mayo 3 3 $2,566.00 $2,566.00 $2,031.84 $2,383.81 $2,210.57 2025-11-05
81259 CPT Alpha Globin Gene Sequencing,b-mayo 1 1 $1,200.00 $1,200.00 $1,200.00 $1,200.00 $1,200.00 2025-11-05
87483 CPT Meningitis Encephalitis Pathogen Panel Pcr, Spinal Fluid-mayo 2 2 $833.56 $833.56 $800.22 $833.56 $816.89 2025-11-05
88309 CPT 88309 Ap Bill Surgical Pathology Level Vi Complexity 11 11 $1,239.00 $1,239.00 $27.10 $1,211.52 $1,043.67 2025-11-05
88333 CPT 88333 Ap Bill Non-GYN Touch Imprint Immediate 12 12 $1,384.00 $1,384.00 $42.67 $1,313.42 $1,077.74 2025-11-05
88348 CPT 88348 Ap Bill Surgical Electron Microscopy 1 1 $1,384.00 $1,384.00 $1,299.58 $1,299.58 $1,299.58 2025-11-05
90375 CPT Rabies Immune Globulin, Human 300 Intl units/mL Sol 2 2 $1,227.91 $1,227.91 $5,645.39 $7,369.82 $6,507.60 2025-11-05
90935 CPT Dialysis Charge -> Hemodialysis One Eval 1 1 $1,124.00 $1,124.00 $1,044.14 $1,044.14 $1,044.14 2025-11-05
92920 CPT Ptca Vessel Initial 3 3 $14,086.00 $14,086.00 $5,208.37 $12,148.80 $7,103.38 2025-11-05
92928 CPT Ptca & Stent Initial Vessel Bm Stent 4 4 $27,110.00 $27,110.00 $18,635.01 $26,025.60 $22,935.21 2025-11-05
93312 CPT Ec Cardiac EchoTransesophageal 17 17 $2,475.00 $2,475.00 $470.77 $2,475.00 $814.43 2025-11-05
93451 CPT Right Heart Cath With Or Without Co 4 4 $11,290.00 $11,290.00 $2,785.07 $10,601.31 $6,150.65 2025-11-05
93453 CPT Rhc Without Cor Art W/lv 1 1 $11,290.00 $11,290.00 $2,942.31 $2,942.31 $2,942.31 2025-11-05
93454 CPT Coronary Angiogram Without Lv 12 12 $6,398.00 $6,398.00 $2,771.84 $5,435.33 $2,942.31 2025-11-05
93455 CPT Coronary Angiogram W/Grafts Without Lv 2 2 $7,528.00 $7,528.00 $2,933.27 $6,993.51 $4,963.39 2025-11-05
93458 CPT Left Heart Cath With Lv 30 30 $17,625.00 $17,625.00 $2,356.85 $16,920.00 $4,578.83 2025-11-05
93459 CPT Left Heart Cath W/Grafts & With Lv 9 9 $19,110.00 $19,110.00 $2,932.77 $11,161.53 $2,942.31 2025-11-05
93460 CPT Rhc/cor Art W/lv 12 12 $17,053.00 $17,053.00 $2,463.90 $15,842.24 $2,942.31 2025-11-05
93461 CPT Rhc/cor Art With Grafts W/lv 2 2 $17,618.00 $17,618.00 $2,778.16 $14,965.67 $8,871.92 2025-11-05
93609 CPT Mapping Study: Intravent/intra-atrial 3 3 $3,061.00 $3,061.00 $1,499.89 $2,874.28 $2,402.89 2025-11-05
93620 CPT Eps-comprehensive W/induction 3 3 $16,044.00 $16,044.00 $12,594.54 $15,065.32 $13,059.82 2025-11-05
93623 CPT Eps-post Drug Infusion Study 2 2 $1,758.00 $1,758.00 $1,380.03 $1,431.01 $1,405.52 2025-11-05
93642 CPT Icd Check 1 1 $1,715.00 $1,715.00 $1,011.69 $1,011.69 $1,011.69 2025-11-05
93650 CPT Ablation Av Node 3 3 $15,826.00 $15,826.00 $6,496.74 $7,754.74 $6,931.78 2025-11-05
93653 CPT Eps W/ablation-supravent Arrhythmia 5 5 $44,193.00 $44,193.00 $21,742.96 $41,497.23 $22,323.31 2025-11-05
94003 CPT Vent Mgmt Inpat Subq Day 1 1 $992.00 $992.00 $861.15 $861.15 $861.15 2025-11-05
95805 CPT Sleep Center Mslt 95805 9 9 $3,865.00 $3,865.00 $484.71 $3,742.08 $3,110.60 2025-11-05
95810 CPT Incomplete Psg 95810-52 34 34 $4,960.00 $4,960.00 $865.84 $4,470.58 $929.39 2025-11-05
95811 CPT Incomplete Bpap 95811-52 34 34 $4,960.00 $4,960.00 $836.34 $4,470.58 $929.39 2025-11-05
95938 CPT Somatosensory Testing Surg 10 10 $1,164.00 $1,164.00 $475.30 $1,164.00 $929.65 2025-11-05
95939 CPT C Motor Evoked Upper & Lower Limbs Surg 6 6 $1,665.00 $1,665.00 $680.12 $1,563.44 $1,216.80 2025-11-05
A2028 CPT MicroMatrix Flex Paste 5cc Mmfx05 2 2 $3,462.50 $3,462.50 $1,110.95 $3,251.29 $2,181.12 2025-11-05
A9500 HCPCS Tc99m Sestamibi 16 16 $136.00 $136.00 $242.72 $993.60 $957.12 2025-11-05
A9520 HCPCS 99m Tc Tilmanocept 6 6 $1,162.00 $1,162.00 $912.17 $1,041.10 $1,010.30 2025-11-05
A9552 HCPCS PET Fdg 15 15 $1,056.00 $1,056.00 $517.44 $1,056.00 $981.02 2025-11-05
A9569 HCPCS 99m Tc Exametazine (ceretec) 2 2 $3,673.00 $3,673.00 $1,023.67 $3,673.00 $2,348.34 2025-11-05
A9570 HCPCS 111 In Oxine 1 1 $3,388.00 $3,388.00 $1,014.89 $1,014.89 $1,014.89 2025-11-05
A9572 HCPCS In 111 Penetretreotide 1 1 $3,293.00 $3,293.00 $1,876.32 $1,876.32 $1,876.32 2025-11-05
A9584 HCPCS Iodine I-123 Ioflupane, Per Study Dose, Up To 5 Millicur 10 10 $5,571.00 $5,571.00 $955.49 $5,231.17 $2,053.37 2025-11-05
A9596 CPT Illucix 15 15 $2,052.00 $2,052.00 $503.37 $8,351.64 $1,005.48 2025-11-05
C1724 HCPCS Atherectomy Jetstream 1 1 $3,600.00 $3,600.00 $3,252.96 $3,252.96 $3,252.96 2025-11-05
C1733 HCPCS 8ft-10mm Str Boston Sci. Ep 3 3 $4,155.00 $4,155.00 $1,996.26 $2,569.30 $2,037.00 2025-11-05
C1734 HCPCS Augment Bone Graft 1.5cc 1 1 $5,685.00 $5,685.00 $5,043.97 $5,043.97 $5,043.97 2025-11-05
C1747 HCPCS Ureteroscope, Axis Ii, Model D, Ax20413 23 22 $2,754.50 $2,754.50 $1,227.54 $2,616.50 $2,198.09 2025-11-05
C1750 HCPCS Cath Swan Neck Coil Lt Quinton 8888413807 4 3 $1,778.50 $1,778.50 $539.00 $1,670.01 $931.28 2025-11-05
C1753 HCPCS Catheters Atlantis Ivus 38942 3 3 $2,100.00 $2,100.00 $1,903.13 $3,162.60 $3,025.44 2025-11-05
C1760 HCPCS Angioseal 6fr 8 7 $900.00 $900.00 $362.60 $864.00 $791.61 2025-11-05
C1762 HCPCS 15 Cc Osteocel Plus 5013015 3 3 $5,995.50 $5,995.50 $2,253.33 $3,309.50 $3,114.20 2025-11-05
C1763 HCPCS Mesh Uphold Light M0068317170 2 2 $2,419.00 $2,419.00 $930.91 $1,109.20 $1,020.06 2025-11-05
C1764 HCPCS Linq Insertable Monitor Lnq11 4 4 $5,451.00 $5,451.00 $2,560.74 $4,907.22 $4,854.95 2025-11-05
C1765 HCPCS Interceed Adh. Barrier 4350 1 1 $1,868.50 $1,868.50 $1,667.56 $1,667.56 $1,667.56 2025-11-05
C1767 HCPCS Aspire Hc Generator 105 5 5 $27,018.00 $27,018.00 $421.43 $2,313.96 $1,193.64 2025-11-05
C1768 HCPCS 7836 Felt 4x4 Bard 2 2 $327.50 $327.50 $1,480.04 $1,659.68 $1,569.86 2025-11-05
C1771 HCPCS Advantage Fit (Blue) M0068502120 1 1 $3,108.50 $3,108.50 $3,814.22 $3,814.22 $3,814.22 2025-11-05
C1773 HCPCS ( T ) CloverSnare G53008 1 1 $2,431.00 $2,431.00 $2,186.20 $2,186.20 $2,186.20 2025-11-05
C1776 HCPCS 00-7862-017-20 Femoral Stem 22 22 $2,700.00 $2,700.00 $281.75 $18,054.11 $2,860.73 2025-11-05
C1777 HCPCS Endotak Reliance Sg 0292 59 Cm 1 1 $2,925.00 $2,925.00 $3,419.64 $3,419.64 $3,419.64 2025-11-05
C1778 HCPCS 3777-45 Lead 45cm Medtronic 6 6 $5,100.00 $5,100.00 $802.13 $2,556.06 $1,335.98 2025-11-05
C1781 HCPCS 0010209 Oval Mesh Davol 16 16 $2,289.50 $2,289.50 $279.59 $7,223.68 $952.36 2025-11-05
C1785 HCPCS Adapta Dr Addrs1 3 3 $3,600.00 $3,600.00 $2,425.50 $4,702.01 $4,451.54 2025-11-05
C1786 HCPCS Adapta Sr Adsr01 1 1 $2,812.50 $2,812.50 $7,141.75 $7,141.75 $7,141.75 2025-11-05
C1787 HCPCS Axonics Snm Remote Control 2301 4 4 $2,950.50 $2,950.50 $945.37 $2,609.15 $1,199.31 2025-11-05
C1788 HCPCS ( T ) Clearvue Power Injectable Port 9 9 $2,695.00 $2,695.00 $764.40 $2,457.91 $1,464.84 2025-11-05
C1789 HCPCS Breast Implant 350-4504bc 450b 6 6 $3,430.00 $3,430.00 $1,246.71 $5,506.10 $3,569.93 2025-11-05
C1819 HCPCS Faxitron Localizer Tags With 7cm Needle 1 1 $1,096.00 $1,096.00 $2,401.70 $2,401.70 $2,401.70 2025-11-05
C1820 HCPCS Axonics Snm 5101 Neurostimulator Rechargeable 9 9 $11,826.50 $11,826.50 $1,830.26 $15,010.05 $5,942.31 2025-11-05
C1821 HCPCS Indirect Decompression Implant, 10mm 101-9810 2 2 $13,744.50 $13,744.50 $2,351.00 $4,499.95 $3,425.47 2025-11-05
C1831 HCPCS 10x10x30 5 Lo Coroent 6851011 1 1 $5,204.50 $5,204.50 $2,299.28 $2,299.28 $2,299.28 2025-11-05
C1874 HCPCS Ci Taxus Ion 2.25x 8mm 5 5 $5,175.00 $5,175.00 $1,950.79 $4,327.09 $2,968.00 2025-11-05
C1876 HCPCS Ci Resolute Integrity 2.75 X 26mm 1 1 $4,200.00 $4,200.00 $2,382.71 $2,382.71 $2,382.71 2025-11-05
C1882 HCPCS Amplia Crt-d MRI Dtm1d4 2 2 $19,910.00 $19,910.00 $9,055.20 $17,554.16 $13,304.68 2025-11-05
C1889 HCPCS Radiofrequency Probe Rlv 0015 7 7 $5,175.00 $5,175.00 $1,694.29 $5,472.57 $1,707.75 2025-11-05
C1897 HCPCS Infinion 16 Trial Lead Kit 50cm Sc-2316-50e 7 7 $2,975.00 $2,975.00 $962.12 $5,652.50 $1,001.39 2025-11-05
C1898 HCPCS Capsurefix MRI Lead 5086mri45 4 4 $2,187.50 $2,187.50 $708.54 $1,442.48 $1,385.22 2025-11-05
C1900 HCPCS 429878 Lead Attain 2 2 $4,950.00 $4,950.00 $2,793.00 $4,702.01 $3,747.51 2025-11-05
C2623 HCPCS In.pact Dcb Av 5 Mm X 60 Mm X 80 Cm 1 1 $3,290.00 $3,290.00 $2,425.50 $2,425.50 $2,425.50 2025-11-05
C8924 HCPCS Ec Echo (tte) Limited Or /Up With Con 3 3 $1,169.00 $1,169.00 $326.25 $1,169.00 $1,086.00 2025-11-05
C8928 HCPCS Ec Echo Stress Test With Contrast 1 1 $3,002.00 $3,002.00 $2,848.90 $2,848.90 $2,848.90 2025-11-05
C9399 HCPCS Datopotamab Deruxtecan Dlnk 100 Mg Pow 1 1 $9,960.35 $9,960.35 $4,889.11 $4,889.11 $4,889.11 2025-11-05
C9600 HCPCS Ptca And Stent Initial Vessel De Stent 6 6 $27,110.00 $27,110.00 $10,351.09 $13,283.90 $10,930.42 2025-11-05
C9602 HCPCS PTCA/Ather Initial Vessel De Stent 1 1 $25,517.00 $25,517.00 $7,284.56 $7,284.56 $7,284.56 2025-11-05
C9604 HCPCS PTCA/Ather/Stent Initial Graft De 2 2 $19,131.00 $19,131.00 $9,374.19 $10,351.09 $9,862.64 2025-11-05
C9606 HCPCS Ami Initial Vessel Or Bypass De 1 1 $19,131.00 $19,131.00 $7,284.56 $7,284.56 $7,284.56 2025-11-05
G0379 HCPCS G0379 - Direct Admit To Obs (adt) 14 14 $926.00 $926.00 $400.98 $911.18 $832.75 2025-11-05
G0390 HCPCS Trauma Respons W/hosp Criti 2 2 $4,459.00 $4,459.00 $1,203.81 $3,529.83 $2,366.82 2025-11-05
J1950 HCPCS Leuprolide 11.25 Mg/3 Mths IM Inj, ER 10 10 $13,328.33 $13,328.33 $1,643.20 $4,216.17 $2,467.77 2025-11-05
J3032 HCPCS Eptinezumab Jjmr 100 mg/mL Sol 2 2 $3,541.31 $3,541.31 $20.45 $1,742.33 $881.39 2025-11-05
J7298 HCPCS Mirena IUD 50419-0423-01 7 7 $3,470.50 $3,470.50 $1,274.90 $3,293.50 $2,948.00 2025-11-05
J7300 HCPCS IUD Paragard T380a/28549 1 1 $2,586.50 $2,586.50 $2,434.74 $2,434.74 $2,434.74 2025-11-05
J9202 HCPCS Goserelin 3.6 Mg Imp 1 1 $1,773.54 $1,773.54 $997.98 $997.98 $997.98 2025-11-05
L1840 HCPCS Brace Custom W/gel Pad 2 2 $2,099.59 $2,099.59 $1,681.03 $1,994.79 $1,837.91 2025-11-05
L8606 HCPCS Bulkamid Urethral Bulking System 50050 1 1 $3,450.00 $3,450.00 $1,690.50 $1,690.50 $1,690.50 2025-11-05
L8607 HCPCS Prolaryn Gel 1.0cc 8602m0k5 Or 5033787 2 2 $2,572.50 $2,572.50 $2,352.35 $2,377.12 $2,364.73 2025-11-05
L8613 HCPCS Applebaum Incus 2.25mm 14-0971 1 1 $1,736.00 $1,736.00 $1,520.71 $1,520.71 $1,520.71 2025-11-05
L8690 HCPCS Baha 4 Chestnut Brown 1 1 $3,937.50 $3,937.50 $5,070.69 $5,070.69 $5,070.69 2025-11-05
Q4104 HCPCS Meshed Bilayer Wound Matrix 4"" X 10"" (10cm X 25cm) Mwm4101 3 3 $11,115.00 $11,115.00 $2,124.39 $6,385.50 $2,271.10 2025-11-05
Q4118 HCPCS MicroMatrix Standard Particulate 500mg Mm0500 2 2 $4,455.00 $4,455.00 $1,498.42 $4,183.25 $2,840.84 2025-11-05
Q4125 HCPCS Arthroflex Der 15x140 Flex150 1 1 $6,000.00 $6,000.00 $4,375.50 $4,375.50 $4,375.50 2025-11-05
Q4158 HCPCS MariGen 1.75 X 1.75 Cm 2 2 $1,696.00 $1,696.00 $831.04 $2,497.74 $1,664.39 2025-11-05
Q4186 HCPCS Epi-fix 14mm Disk Amnion/Chorion 2 2 $1,298.50 $1,298.50 $636.26 $1,219.29 $927.77 2025-11-05
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