Price Transparency 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

INSTITUTE FOR ORTHOPAEDIC SURGERY

Lima, OH · CCN 360263 · Rates published

646 distinct procedures filed
8 distinct payers
13,602 rate rows
2025-05-14 last MRF observed · ⚠ 13 mo old
Data quality

13,545 of 13,602 rate rows are consumer-grade (99.6%)

57 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
placeholder amount (≤ $0.02) — excluded from medians 57

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ioshospital.slicedhealth.io/pricer/34-1848147-1952385221_InstituteforOrthopaedicSurgery_standardcharges.CSV
Found on page https://ioshospital.slicedhealth.io/home
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 86b7a18cd755dbf7… · 6,056,859 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
C1820
HCPCS 		Boston Scientific Alpha 16 Ipg Linear 3 $14,520.94 $20,329.32 $20,038.90 nat. median
$22,013
0.9× median
C1821
HCPCS 		Boston Scientific Superion Ids 10mm 3 $13,270.83 $18,579.16 $18,313.75 nat. median
$3,460
outlier · 5.3×
C1831
CPT 		Medtronic Nano Spacer 3 $7,942.45 $11,119.42 $10,960.57 nat. median
$11,688
0.9× median
C1889
HCPCS 		Illuminoss Bone Stablization 17mm X 220m 3 $2,716.95 $14,758.86 $9,201.17 nat. median
$2,393
outlier · 3.8×
Q4125
HCPCS 		Arthrex Arthroflex 40x70x3.0 3 $6,539.95 $9,155.93 $9,025.13 nat. median
$471
outlier · 19.2×
C9781
CPT 		Stryker Orthospace Inspace 7 $5,748.77 $12,568.26 $8,508.94 nat. median
$13,309
0.6× median
C1062
CPT 		Stryker Spinejack Case Kit 4.5mm 3 $6,028.01 $9,376.90 $8,378.93 nat. median
$4,726
1.8× median
22513
CPT 		Thoracic Perc Kypho 8 $5,748.77 $14,054.49 $8,019.06 nat. median
$8,289
1.0× median
22514
CPT 		Lumbar Perc Kyphoplasty 8 $5,748.77 $14,054.49 $8,019.06 nat. median
$8,289
1.0× median
C1734
HCPCS 		Bank Bone Cancellous 5cc Rti 3 $1,023.14 $15,491.48 $7,907.03 nat. median
$2,408
outlier · 3.3×
64555
CPT 		Peripheral Nerve Trial 8 $5,657.47 $12,911.77 $6,996.74 nat. median
$6,885
1.0× median
22512
CPT 		Perc Vertebr Cervicoth Or Lumbosacral 4 $100.00 $6,868.82 $6,723.70 nat. median
$3,011
outlier · 2.2×
63650
CPT 		Spinal Cord Stim Trial 8 $5,657.47 $12,911.77 $6,145.86 nat. median
$7,241
0.8× median
C1776
HCPCS 		Arthrex Apex Stem Univers Reverse 3 $250.16 $16,515.84 $5,284.04 nat. median
$3,432
1.5× median
22510
CPT 		Perc Vertebroplasty Cervicothoracic 8 $2,599.18 $9,529.07 $4,491.30 nat. median
$4,220
1.1× median
22511
CPT 		Perc Vertebroplasty Lumbosacral 8 $2,599.18 $9,529.07 $4,491.30 nat. median
$4,208
1.1× median
C1762
HCPCS 		Abyrx Montage Flowable 3 $563.50 $9,838.43 $4,236.45 nat. median
$2,935
1.4× median
C1763
HCPCS 		Duragen 2x2 3 $2,455.54 $4,206.23 $3,437.75 nat. median
$2,296
1.5× median
0278
RC 		3 $7.33 $24,731.04 $2,976.17 nat. median
$1,035
outlier · 2.9×
64625
CPT 		Rf Procedure Si 8 $1,611.58 $3,841.86 $2,524.57 nat. median
$2,553
1.0× median
64635
CPT 		Lumbar Rf Bilat Procedure 8 $1,611.58 $7,074.42 $2,524.57 nat. median
$2,352
1.1× median
C1897
HCPCS 		Abbott 50cm Trial Lead Kit, Slim Tip 3 $1,482.95 $3,260.33 $2,499.32 nat. median
$1,137
outlier · 2.2×
64624
CPT 		Geniculate Nerve Branch Destruction 8 $1,611.58 $3,841.86 $2,444.64 nat. median
$2,319
1.1× median
C1713
HCPCS 		Mitek Femoral Intrafix Sheath & Screw 3 $30.59 $16,810.35 $2,280.02 nat. median
$836
outlier · 2.7×
81162
CPT 		Brca2 4 $1,824.88 $2,160.50 $2,114.86 nat. median
$1,825
1.2× median
64636
CPT 		Lumbar Rf Bilat Procedure Add Lev 4 $72.38 $3,958.10 $1,965.12 nat. median
$1,235
1.6× median
0441T
CPT 		Cryoanalgesia 8 $1,611.58 $4,672.95 $1,782.17 nat. median
$3,096
0.6× median
J7187
HCPCS 		Humate-p 1923 Vwf Iu Vial 4 $1.35 $1,749.62 $1,712.65 nat. median
$9
outlier · 193.7×
64633
CPT 		Bilat Radiofrequency Cerv Or Thor,sing 8 $1,362.46 $3,841.86 $1,611.58 nat. median
$2,311
0.7× median
0761
RC 		4 $1,060.23 $1,598.22 $1,564.45 nat. median
$656
outlier · 2.4×
64486
CPT 		Tap Block Unilateral 4 $100.00 $1,529.11 $1,496.81 nat. median
$796
1.9× median
0202U
CPT 		Respiratory Panel 4 $911.65 $1,374.25 $1,345.22 nat. median
$542
outlier · 2.5×
22515
CPT 		Add On Thor Lum Kypho 4 $100.00 $1,348.33 $1,319.84 nat. median
$5,211
outlier · 0.3×
87507
CPT 		Gastro Panel - Intestinal 4 $416.78 $1,334.22 $1,306.04 nat. median
$549
outlier · 2.4×
64483
CPT 		Transforaminal Bilat Epidural L/s 8 $755.53 $3,036.65 $1,304.43 nat. median
$1,318
1.0× median
64479
CPT 		Transforaminal Bilat Cervical Thoracic 8 $755.53 $3,036.65 $1,304.43 nat. median
$1,338
1.0× median
64490
CPT 		Bil Inj Paravert Facet Jnt C/t 1st Lev 8 $755.53 $3,011.17 $1,298.24 nat. median
$1,291
1.0× median
64493
CPT 		Bil Inj Paravert Facet Jnt L/s 1st Lev 8 $755.53 $2,966.89 $1,287.48 nat. median
$1,287
1.0× median
64620
CPT 		Rf Procedure Intercostal Nerve 8 $755.53 $2,728.05 $1,253.54 nat. median
$1,201
1.0× median
62264
CPT 		Lysis Of Epidural Adhesions 8 $755.53 $2,791.70 $1,253.54 nat. median
$1,218
1.0× median
64520
CPT 		Inj Lumbar Sympathetic Block 8 $755.53 $2,728.05 $1,253.54 nat. median
$1,247
1.0× median
64530
CPT 		Inj Celiac Plexus 8 $755.53 $2,728.05 $1,253.54 nat. median
$1,221
1.0× median
64430
CPT 		Inj Pudendal Nerve Block 8 $755.53 $2,699.16 $1,253.54 nat. median
$1,226
1.0× median
64421
CPT 		Intercostal Nerve Block Add Level 8 $755.53 $2,728.05 $1,253.54 nat. median
$1,133
1.1× median
64640
CPT 		Rf Procedure Cluneal Nerve 8 $755.53 $2,840.64 $1,253.54 nat. median
$1,217
1.0× median
27096
CPT 		Bi-lateral Injection Sacroiliac Joint 4 $100.00 $2,103.62 $1,036.99 nat. median
$948
1.1× median
20606
CPT 		Inj Intermediate Jt W/us 8 $582.80 $2,062.71 $972.63 nat. median
$817
1.2× median
64454
CPT 		Geniculate Nerve Block Knee 8 $582.80 $2,155.21 $972.63 nat. median
$1,029
0.9× median
64425
CPT 		Inj Ilioinguinal Nerve 8 $582.80 $2,047.87 $972.63 nat. median
$820
1.2× median
64420
CPT 		Intercostal Nerve Block 8 $582.80 $2,062.70 $972.63 nat. median
$948
1.0× median

Other procedures at this hospital

Browse this hospital's 646 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
             
C1820 HCPCS Boston Scientific Alpha 16 Ipg Linear 3 3 $29,041.88 — $14,520.94 $20,329.32 $20,038.90 2025-05-14
C1821 HCPCS Boston Scientific Superion Ids 10mm 3 3 $26,541.66 — $13,270.83 $18,579.16 $18,313.75 2025-05-14
C1831 CPT Medtronic Nano Spacer 3 3 $15,884.89 — $7,942.45 $11,119.42 $10,960.57 2025-05-14
C1889 HCPCS Illuminoss Bone Stablization 17mm X 220m 18 3 $14,564.08 — $2,716.95 $14,758.86 $9,201.17 2025-05-14
Q4125 HCPCS Arthrex Arthroflex 40x70x3.0 3 3 $13,079.90 — $6,539.95 $9,155.93 $9,025.13 2025-05-14
C9781 CPT Stryker Orthospace Inspace 10 7 $17,954.65 — $5,748.77 $12,568.26 $8,508.94 2025-05-14
C1062 CPT Stryker Spinejack Case Kit 4.5mm 6 3 $12,725.80 — $6,028.01 $9,376.90 $8,378.93 2025-05-14
22514 CPT Lumbar Perc Kyphoplasty 8 8 $14,912.09 — $5,748.77 $14,054.49 $8,019.06 2025-05-14
22513 CPT Thoracic Perc Kypho 8 8 $14,912.09 — $5,748.77 $14,054.49 $8,019.06 2025-05-14
C1734 HCPCS Bank Bone Cancellous 5cc Rti 9 3 $11,459.47 — $1,023.14 $15,491.48 $7,907.03 2025-05-14
64555 CPT Peripheral Nerve Trial 8 8 $12,081.17 — $5,657.47 $12,911.77 $6,996.74 2025-05-14
22512 CPT Perc Vertebr Cervicoth Or Lumbosacral 4 4 $9,674.39 — $100.00 $6,868.82 $6,723.70 2025-05-14
63650 CPT Spinal Cord Stim Trial 8 8 $9,614.86 — $5,657.47 $12,911.77 $6,145.86 2025-05-14
C1776 HCPCS Arthrex Apex Stem Univers Reverse 288 3 $8,243.75 — $250.16 $16,515.84 $5,284.04 2025-05-14
22510 CPT Perc Vertebroplasty Cervicothoracic 8 8 $13,421.23 — $2,599.18 $9,529.07 $4,491.30 2025-05-14
22511 CPT Perc Vertebroplasty Lumbosacral 8 8 $13,421.23 — $2,599.18 $9,529.07 $4,491.30 2025-05-14
C1762 HCPCS Abyrx Montage Flowable 72 3 $6,572.02 — $563.50 $9,838.43 $4,236.45 2025-05-14
C1763 HCPCS Duragen 2x2 9 3 $5,507.73 — $2,455.54 $4,206.23 $3,437.75 2025-05-14
0278 RC — 4,642 3 $4,773.12 — $7.33 $24,731.04 $2,976.17 2025-05-14
64625 CPT Rf Procedure Si 8 8 $4,981.99 — $1,611.58 $3,841.86 $2,524.57 2025-05-14
64635 CPT Lumbar Rf Bilat Procedure 16 8 $7,472.98 — $1,611.58 $7,074.42 $2,524.57 2025-05-14
C1897 HCPCS Abbott 50cm Trial Lead Kit, Slim Tip 12 3 $4,048.74 — $1,482.95 $3,260.33 $2,499.32 2025-05-14
64624 CPT Geniculate Nerve Branch Destruction 11 8 $3,492.34 — $1,611.58 $3,841.86 $2,444.64 2025-05-14
C1713 HCPCS Mitek Femoral Intrafix Sheath & Screw 1,272 3 $3,892.65 — $30.59 $16,810.35 $2,280.02 2025-05-14
81162 CPT Brca2 4 4 $3,042.96 — $1,824.88 $2,160.50 $2,114.86 2025-05-14
64636 CPT Lumbar Rf Bilat Procedure Add Lev 8 4 $4,181.10 — $72.38 $3,958.10 $1,965.12 2025-05-14
0441T CPT Cryoanalgesia 8 8 $6,581.62 — $1,611.58 $4,672.95 $1,782.17 2025-05-14
J7187 HCPCS Humate-p 1923 Vwf Iu Vial 4 4 $2,464.25 — $1.35 $1,749.62 $1,712.65 2025-05-14
64633 CPT Bilat Radiofrequency Cerv Or Thor,sing 16 8 $2,961.86 — $1,362.46 $3,841.86 $1,611.58 2025-05-14
0761 RC — 4 4 $2,251.01 — $1,060.23 $1,598.22 $1,564.45 2025-05-14
64486 CPT Tap Block Unilateral 4 4 $2,153.68 — $100.00 $1,529.11 $1,496.81 2025-05-14
0202U CPT Respiratory Panel 4 4 $1,935.56 — $911.65 $1,374.25 $1,345.22 2025-05-14
22515 CPT Add On Thor Lum Kypho 4 4 $1,899.05 — $100.00 $1,348.33 $1,319.84 2025-05-14
87507 CPT Gastro Panel - Intestinal 4 4 $1,879.19 — $416.78 $1,334.22 $1,306.04 2025-05-14
64483 CPT Transforaminal Bilat Epidural L/s 16 8 $3,207.73 — $755.53 $3,036.65 $1,304.43 2025-05-14
64479 CPT Transforaminal Bilat Cervical Thoracic 16 8 $3,207.73 — $755.53 $3,036.65 $1,304.43 2025-05-14
64490 CPT Bil Inj Paravert Facet Jnt C/t 1st Lev 16 8 $3,180.81 — $755.53 $3,011.17 $1,298.24 2025-05-14
64493 CPT Bil Inj Paravert Facet Jnt L/s 1st Lev 16 8 $3,134.04 — $755.53 $2,966.89 $1,287.48 2025-05-14
64520 CPT Inj Lumbar Sympathetic Block 8 8 $3,842.32 — $755.53 $2,728.05 $1,253.54 2025-05-14
64620 CPT Rf Procedure Intercostal Nerve 8 8 $3,842.32 — $755.53 $2,728.05 $1,253.54 2025-05-14
62264 CPT Lysis Of Epidural Adhesions 8 8 $3,931.97 — $755.53 $2,791.70 $1,253.54 2025-05-14
64640 CPT Rf Procedure Cluneal Nerve 8 8 $4,000.90 — $755.53 $2,840.64 $1,253.54 2025-05-14
64430 CPT Inj Pudendal Nerve Block 8 8 $3,801.64 — $755.53 $2,699.16 $1,253.54 2025-05-14
64421 CPT Intercostal Nerve Block Add Level 8 8 $3,842.32 — $755.53 $2,728.05 $1,253.54 2025-05-14
64530 CPT Inj Celiac Plexus 8 8 $3,842.32 — $755.53 $2,728.05 $1,253.54 2025-05-14
27096 CPT Bi-lateral Injection Sacroiliac Joint 9 4 $1,481.42 — $100.00 $2,103.62 $1,036.99 2025-05-14
20606 CPT Inj Intermediate Jt W/us 8 8 $2,905.22 — $582.80 $2,062.71 $972.63 2025-05-14
64454 CPT Geniculate Nerve Block Knee 8 8 $3,035.50 — $582.80 $2,155.21 $972.63 2025-05-14
64425 CPT Inj Ilioinguinal Nerve 8 8 $2,884.33 — $582.80 $2,047.87 $972.63 2025-05-14
64420 CPT Intercostal Nerve Block 8 8 $2,905.21 — $582.80 $2,062.70 $972.63 2025-05-14
64418 CPT Inj Suprascapular 8 8 $2,905.21 — $582.80 $2,062.70 $972.63 2025-05-14
C1883 HCPCS Boston Scientific 1x16 Or Cable & Ext 6 3 $1,940.49 — $5.82 $2,708.54 $971.40 2025-05-14
20550 CPT Injection Tendon Sheath 11 8 $2,632.32 — $239.79 $1,868.95 $889.91 2025-05-14
64446 CPT Cpnb Sciatic 8 8 $1,474.88 — $755.53 $1,751.55 $886.60 2025-05-14
76942 CPT Ultrasonic Guidance For Needle Placement 4 4 $1,249.29 — $70.52 $887.00 $868.25 2025-05-14
20610 CPT Inj Coccyx 17 8 $1,225.91 — $239.79 $1,740.78 $845.88 2025-05-14
64999 CPT Inj Superficial Cervical Plexus 11 8 $1,225.91 — $239.79 $887.00 $845.88 2025-05-14
62273 CPT Inject Epidural Of Blood Or Clot Patch 8 8 $1,550.89 — $582.80 $1,362.46 $826.45 2025-05-14
0272 RC — 2,277 2 $1,191.57 — $2.22 $9,897.26 $826.12 2025-05-14
62323 CPT Epidural Lumbar, Sacral W/imaging 8 8 $1,481.42 — $582.80 $1,362.46 $802.49 2025-05-14
62321 CPT Epidural Cervical, Thoracic 8 8 $1,481.42 — $582.80 $1,362.46 $802.49 2025-05-14
87551 CPT Mycobacteria Species, Infect Agent Det 4 4 $1,118.51 — $48.24 $794.14 $777.37 2025-05-14
64448 CPT Cpnb Femoral 8 8 $617.32 — $425.95 $1,751.55 $755.53 2025-05-14
64510 CPT Inj Block Stellate Ganglian 8 8 $851.50 — $587.54 $1,751.55 $755.53 2025-05-14
64449 CPT Cpnb Lumbar Plexus Posterior 8 8 $867.13 — $598.32 $1,751.55 $755.53 2025-05-14
64416 CPT Cpnb Brachial Plexus 8 8 $867.13 — $598.32 $1,751.55 $755.53 2025-05-14
64415 CPT Scalene Nerve Block Injection 8 8 $534.85 — $369.05 $1,751.55 $755.53 2025-05-14
64473 CPT Injection Ipack 8 4 $1,230.00 — $460.91 $1,051.81 $696.27 2025-05-14
64494 CPT Inj Bilat Paravert Facet Jnt L/s 2nd Lev 8 4 $1,435.63 — $62.48 $1,359.07 $674.75 2025-05-14
64491 CPT Inj Bilat Paravert Fac Jnt C/t 2nd Level 8 4 $1,427.09 — $73.20 $1,350.82 $670.88 2025-05-14
64495 CPT Inj Bilat Paravert Facet Jnt L/s 3rd Lev 8 4 $1,420.55 — $62.76 $1,359.07 $653.48 2025-05-14
64484 CPT Epidural L/s Ea Add Level 12 4 $1,098.88 — $62.00 $1,560.41 $651.08 2025-05-14
76001 CPT C-arm > 1 Hr 3 3 $925.64 — $638.69 $657.20 $647.95 2025-05-14
77002 CPT Fluoroscopy 4 4 $925.64 — $32.44 $657.20 $643.32 2025-05-14
77003 CPT Fluoroscopy For Epidurals 4 4 $925.64 — $120.44 $657.20 $643.32 2025-05-14
64492 CPT Inj Paravert Facet Jnt C/t 3rd/add Level 4 4 $913.40 — $100.00 $648.51 $634.82 2025-05-14
0360 RC — 72 4 $946.67 — $112.16 $6,534.26 $626.18 2025-05-14
95939 CPT Impulse Tcmep Upper And Lower Limb 8 8 $545.11 — $311.40 $844.39 $615.71 2025-05-14
86891 CPT Orthopat Salvaging 8 8 $226.40 — $156.22 $1,458.59 $601.46 2025-05-14
64447 CPT Femoral Nerve Block Injection 8 8 $534.85 — $369.05 $1,362.46 $582.80 2025-05-14
64445 CPT Sciatic Nerve Block Injection 11 8 $534.85 — $369.05 $2,062.70 $582.80 2025-05-14
64450 CPT Anterior Femoral Cutaneous Nerve Block 23 8 $978.58 — $347.94 $2,062.70 $582.80 2025-05-14
20950 CPT Compartment Syndrome Testing Pt 8 8 $672.11 — $463.76 $1,384.23 $571.13 2025-05-14
P9035 HCPCS Leuko Red Pheres Platelet 4 4 $767.48 — $59.40 $544.91 $533.40 2025-05-14
81206 CPT Bcr-abl1, Qualitative 4 4 $739.26 — $163.96 $524.87 $513.78 2025-05-14
64480 CPT Epidural Cerv Or Thoracic, Ea Add Level 8 4 $742.70 — $75.59 $543.93 $507.11 2025-05-14
0361 RC — 48 4 $839.70 — $156.36 $2,886.06 $451.08 2025-05-14
78582 CPT Vq Scan 8 8 $1,413.38 — $401.83 $1,003.50 $449.13 2025-05-14
76000 CPT C-arm < 1 Hr 8 8 $925.64 — $211.19 $3,147.50 $424.94 2025-05-14
95938 CPT Impulse Intraoperative Monitoring 16 8 $545.11 — $311.40 $448.01 $417.52 2025-05-14
20604 CPT Inj Small Joint W/us 8 8 $1,225.91 — $239.79 $870.40 $410.27 2025-05-14
64400 CPT Supraorbital Nerve Block 8 8 $1,225.91 — $239.79 $870.40 $410.27 2025-05-14
20605 CPT Inj Intermediate Jt 8 8 $1,225.91 — $239.79 $870.40 $410.27 2025-05-14
20611 CPT Inj Major Joint W/us 8 8 $1,225.91 — $239.79 $870.40 $410.27 2025-05-14
20600 CPT Inj Small Joint 8 8 $1,225.91 — $239.79 $870.40 $410.27 2025-05-14
20552 CPT Trigger Point Inj 1-2 Muscles 8 8 $1,225.91 — $239.79 $870.40 $410.27 2025-05-14
P9010 HCPCS Autologous, Per Unit 4 4 $573.74 — $395.88 $1,662.63 $404.49 2025-05-14
81273 CPT Kit (d816v) Mutation By ddPCR,QUANT 4 4 $579.90 — $124.87 $411.73 $403.03 2025-05-14
J2354 HCPCS Octreotide Acetate 1000 Mcg/5 Ml Inj 4 4 $563.79 — $1.19 $400.29 $391.83 2025-05-14
99152 CPT Moderate (conscious) Sedation 4 4 $520.86 — $14.88 $369.81 $362.00 2025-05-14
J1610 HCPCS Glucagon Kit 1 Mg/1 Ml 4 4 $515.60 — $188.37 $366.08 $358.34 2025-05-14
73040 CPT Xray Arthrogram Shoulder 8 8 $579.35 — $337.98 $411.34 $347.56 2025-05-14
74177 CPT CT Abd & Pelvis W/contrast 8 8 $4,843.42 — $337.98 $3,438.83 $347.56 2025-05-14
J3372 CPT Vancomycin 1 Gm/ Sw 200 Ml Ivpb 9 3 $478.49 — $222.22 $441.71 $334.94 2025-05-14
J1720 HCPCS Hydrocortisone (solu-cortef) Inj 100 Mg 4 4 $466.26 — $17.85 $331.04 $324.05 2025-05-14
J2401 CPT Chloroprocaine (nesacaine) 2% Inj 20 Ml 3 3 $454.73 — $313.76 $322.86 $318.31 2025-05-14
80074 CPT Acute Hepatitis Panel 7 4 $443.91 — $47.63 $556.84 $315.18 2025-05-14
J0696 HCPCS Ceftriaxone (rocephin) IV 1 Gm/d5w 50ml 7 4 $441.05 — $0.49 $329.72 $313.15 2025-05-14
20553 CPT Inj(s) Sing/mult Trigger Point(s) >2mu 8 8 $552.69 — $239.79 $580.76 $310.57 2025-05-14
95927 CPT Impulse Ssep-trunk Or Head - 15 Min 8 8 $545.11 — $242.90 $1,017.39 $309.51 2025-05-14
86807 CPT Cytotoxic Antibody Screening 4 4 $444.95 — $78.65 $315.91 $309.25 2025-05-14
87902 CPT Hep C Genotyping (hepatitis C/hep C) 4 4 $444.25 — $257.45 $315.42 $308.75 2025-05-14
C8957 HCPCS IV Infusion Pca Pump 8 8 $448.85 — $51.09 $318.68 $292.64 2025-05-14
J3260 HCPCS Tobramycin 1.2 Gm Inj 4 4 $407.43 — $2.66 $289.28 $283.16 2025-05-14
80053 CPT After Hours Cmp 4 4 $405.59 — $10.56 $287.97 $281.88 2025-05-14
Q9966 HCPCS Isovue-m 200 (iopamidol) 10 Ml 4 4 $401.31 — $0.37 $284.93 $278.91 2025-05-14
L1830 HCPCS Immobilizer Knee 22 4 4 $392.74 — $75.20 $278.85 $272.96 2025-05-14
Q9965 HCPCS Omnipaque 180 MGi/ML 20ml 7 4 $562.83 — $1.37 $399.61 $272.40 2025-05-14
81256 CPT Hereditary Hemochromatosis DNA Test 4 4 $391.43 — $65.36 $277.92 $272.04 2025-05-14
88184 CPT Leukemia/lymphoma Phenotype 11 8 $1,438.01 — $103.77 $1,020.99 $267.31 2025-05-14
J0702 HCPCS Betamethason Sodium Phos 30 Mg Inj 4 4 $378.99 — $6.82 $269.08 $263.39 2025-05-14
81220 CPT Cystic Fibrosis Panel 4 4 $360.14 — $248.50 $556.60 $253.90 2025-05-14
87517 CPT Hepatitis B DNA Pcr Quant 4 4 $361.42 — $42.84 $256.61 $251.19 2025-05-14
J3470 HCPCS Hyaluronidase 150 Units/1 Ml Inj 4 4 $360.58 — $30.07 $256.01 $250.61 2025-05-14
90677 CPT Pneumococcal-20 Vaccine 0.5 Ml 3 3 $348.07 — $240.17 $247.13 $243.65 2025-05-14
73700 CPT CT Scan Femur W/out Contrast 8 8 $552.21 — $99.92 $790.06 $240.47 2025-05-14
81374 CPT Hla-b27 Genotype 4 4 $345.19 — $74.33 $245.08 $239.91 2025-05-14
64405 CPT Inj Occipital Nerve 8 8 $300.95 — $207.66 $580.76 $239.79 2025-05-14
83970 CPT Parathyroid Hormone Pth 4 4 $339.26 — $41.28 $240.87 $235.78 2025-05-14
87641 CPT Mrsa Pcr Rt-rtp 4 4 $331.97 — $35.09 $235.70 $230.72 2025-05-14
71250 CPT CT Scan Of Chest Without Contrast 8 8 $2,280.63 — $99.92 $1,619.25 $228.52 2025-05-14
J0295 HCPCS Ampicillin Sulbact / Ns 100ml Ivpb 3 Gm 4 4 $325.70 — $1.77 $231.25 $226.36 2025-05-14
P9016 HCPCS Leuko Reduced Rbc 4 4 $320.45 — $221.11 $1,662.63 $225.92 2025-05-14
J0171 HCPCS Epinephrine (adrenalin) Inj 1-1000 1 Ml 4 4 $324.07 — $0.75 $230.09 $225.23 2025-05-14
84445 CPT Thyroid Stimulating Immuoglobulin 4 4 $318.38 — $50.86 $226.05 $221.28 2025-05-14
95937 CPT Impulse Neuromuscular Junction Testing 8 8 $545.11 — $128.14 $387.03 $219.77 2025-05-14
86480 CPT Mycobacterium TB Tuberculin Stim Gamma 7 4 $388.32 — $61.98 $275.71 $216.80 2025-05-14
97598 CPT Cota Wound Care B 3 3 $312.45 — $29.71 $218.72 $215.59 2025-05-14
J3370 HCPCS Vancomycin 1 Gm / Ns 250 Ml Ivpb Adv 10 4 $308.42 — $2.31 $223.45 $214.35 2025-05-14
74176 CPT CT Abd & Pelvis Without Contrast 8 8 $3,985.20 — $88.05 $2,829.49 $211.19 2025-05-14
73721 CPT MRI Hip 8 8 $1,411.11 — $106.34 $1,001.89 $211.19 2025-05-14
72148 CPT MRI Lumbar Spine 8 8 $1,148.16 — $106.34 $815.19 $211.19 2025-05-14
72141 CPT MRI Cervical Spine 8 8 $1,148.16 — $88.05 $815.19 $211.19 2025-05-14
81240 CPT Prothrombin (factor Ii) Gene Analysis 7 4 $296.19 — $65.69 $216.36 $210.26 2025-05-14
71046 CPT CT Abdomen W 11 8 $1,782.83 — $74.24 $1,265.81 $209.77 2025-05-14
83993 CPT Calprotectin 4 4 $297.73 — $19.63 $211.39 $206.92 2025-05-14
86701 CPT HIV-suds 4 4 $295.49 — $8.89 $209.80 $205.37 2025-05-14
96360 CPT IV Infus Hydration Initial 31min-1hr 8 8 $322.54 — $187.76 $311.40 $205.16 2025-05-14
87556 CPT Mycobacteria Species, Infect Agent Det 4 4 $294.01 — $41.68 $208.75 $204.34 2025-05-14
71260 CPT CT Scan Of Chest With Contrast 8 8 $2,820.45 — $163.94 $2,002.52 $202.83 2025-05-14
80069 CPT Renal Function Panel 4 4 $289.71 — $8.68 $205.69 $201.35 2025-05-14
J0689 CPT Cefazolin (ancef) 1 Gm/d5w 50 Ml Ivpb 9 3 $287.52 — $77.71 $278.54 $201.26 2025-05-14
87521 CPT Hcv-RNA 4 4 $288.51 — $35.09 $204.84 $200.51 2025-05-14
84146 CPT Prolactin 4 4 $286.55 — $19.38 $203.45 $199.16 2025-05-14
82024 CPT Acth 4 4 $285.11 — $38.62 $202.43 $198.16 2025-05-14
84702 CPT Hcg Quant Beta Hcg 4 4 $281.53 — $15.05 $199.89 $195.66 2025-05-14
86355 CPT Immune Deficiency Panel 4 4 $276.66 — $37.73 $196.43 $192.28 2025-05-14
97165 CPT Eval Ot Low Complexity 4 4 $274.55 — $123.93 $194.93 $190.81 2025-05-14
80164 CPT Depakote 4 4 $273.85 — $13.54 $194.43 $190.33 2025-05-14
97166 CPT Eval Ot Mod Complexity 3 3 $274.55 — $123.93 $192.19 $189.44 2025-05-14
97162 CPT Eval Pt Mod Complexity 3 3 $274.55 — $122.77 $192.19 $189.44 2025-05-14
97163 CPT Eval Pt High Complexity 3 3 $274.55 — $122.77 $192.19 $189.44 2025-05-14
97001 CPT Evaluation Pt 3 3 $274.55 — $129.31 $192.19 $189.44 2025-05-14
97167 CPT Eval Ot High Complexity 3 3 $274.55 — $123.93 $192.19 $189.44 2025-05-14
97161 CPT Eval Pt Low Complexity 3 3 $274.55 — $122.77 $192.19 $189.44 2025-05-14
96373 CPT Intra-arterial 8 8 $178.27 — $123.01 $1,017.39 $187.76 2025-05-14
96365 CPT IV Infu Ther Pro/diag Initial Up To 1hr 8 8 $340.34 — $156.46 $241.64 $187.76 2025-05-14
84145 CPT Procalcitonin 4 4 $268.94 — $27.22 $190.95 $186.91 2025-05-14
97005 CPT Athletic Training Eval 3 3 $266.71 — $125.62 $186.70 $184.03 2025-05-14
83918 CPT Urine Organic Acide 4 4 $260.33 — $23.60 $184.83 $180.93 2025-05-14
82652 CPT Dihydroxyvitamin D 1,25 4 4 $255.08 — $38.50 $181.11 $177.28 2025-05-14
87636 CPT Covid 19 4 4 $252.79 — $119.06 $179.48 $175.69 2025-05-14
J7999 HCPCS Intra-op Inj Ropivacaine/ketorolac 3 3 $250.48 — $172.83 $177.84 $175.34 2025-05-14
83698 CPT Lp-pla2 4 4 $251.78 — $46.31 $178.76 $174.99 2025-05-14
Q4107 HCPCS Graftjacket Per Square Cm 3 3 $248.57 — $124.29 $174.00 $171.51 2025-05-14
J0613 CPT Calcium Gluconate 1 Gm/ns 50 Ml Ivpb 3 3 $244.74 — $168.87 $173.77 $171.32 2025-05-14
72131 CPT CT Lumbar Without Contrast 8 8 $1,322.07 — $99.92 $938.67 $170.82 2025-05-14
82670 CPT Estradiol 4 4 $236.80 — $27.94 $168.13 $164.57 2025-05-14
74270 CPT Xray Kub 8 8 $774.17 — $106.34 $549.66 $163.94 2025-05-14
72193 CPT CT Pelvis W 8 8 $2,431.11 — $106.34 $1,726.09 $163.94 2025-05-14
70470 CPT CT Scan Of Head With Contrast 8 8 $2,970.55 — $88.05 $2,109.09 $163.94 2025-05-14
86902 CPT Bb Antigen Typing Screen 8 8 $81.84 — $6.35 $267.31 $162.71 2025-05-14
86905 CPT Bb Antigen Typing Other Than Abo Or Rh 8 8 $81.84 — $3.83 $267.31 $162.71 2025-05-14
97597 CPT Cota Wound Care A 3 3 $231.76 — $159.91 $331.69 $162.23 2025-05-14
87230 CPT Clostridium Difficile 4 4 $232.39 — $19.74 $165.00 $161.51 2025-05-14
88305 CPT Crystals Tissue Biopsy 11 8 $233.66 — $45.61 $178.00 $161.23 2025-05-14
85220 CPT Blood Clot Factor V Test 4 4 $231.76 — $17.65 $164.55 $161.07 2025-05-14
80048 CPT ..test Sodium 4 4 $231.76 — $8.46 $164.55 $161.07 2025-05-14
86625 CPT Campylobacter Jejuni Antibody 4 4 $230.17 — $13.12 $163.42 $159.97 2025-05-14
82088 CPT Aldosterone 4 4 $229.78 — $40.75 $163.14 $159.70 2025-05-14
96374 CPT IV Push Single Or Initial Substance/drug 8 8 $175.06 — $120.79 $187.76 $158.33 2025-05-14
80047 CPT Bmpi 4 4 $226.93 — $13.73 $161.12 $157.72 2025-05-14
83519 CPT Acetylcholine Receptor Ab Test Acra2 4 4 $226.11 — $18.40 $160.54 $157.15 2025-05-14
87493 CPT C Diff By Pcr 4 4 $223.25 — $37.27 $158.51 $155.16 2025-05-14
73564 CPT Xray Knee Complete 4 Views 8 8 $304.01 — $99.92 $357.13 $154.84 2025-05-14
73120 CPT Xray Hand 2 Views 8 8 $304.01 — $99.92 $357.13 $154.84 2025-05-14
73010 CPT Xray Scapula 8 8 $304.01 — $99.92 $357.13 $154.84 2025-05-14
72070 CPT Xray Thoracic Spine 2 Views 8 8 $304.01 — $99.92 $548.30 $154.84 2025-05-14
87522 CPT Hepatitis C Viral Load 4 4 $220.53 — $42.84 $156.58 $153.27 2025-05-14
86335 CPT Immunofixation (ife) 4 4 $216.75 — $29.35 $153.89 $150.64 2025-05-14
86790 CPT Htlv 1 4 4 $216.15 — $12.88 $153.47 $150.22 2025-05-14
W0710 CPT Vocational Rehab 3 3 $211.21 — $99.48 $147.85 $145.73 2025-05-14
64634 CPT Bilat Radiofreq Cervior Thor,add Lev 8 4 $308.77 — $82.22 $292.30 $145.12 2025-05-14
82306 CPT Vitamin D2 And Vitamin D3 7 4 $200.45 — $29.60 $188.04 $142.32 2025-05-14
73660 CPT Xray Toe 2 Views 8 8 $304.01 — $74.24 $241.72 $142.00 2025-05-14
73620 CPT Xray Foot 2 Views 8 8 $304.01 — $74.24 $241.72 $142.00 2025-05-14
73630 CPT Xray Foot 3 Views 8 8 $304.01 — $74.24 $357.13 $142.00 2025-05-14
73600 CPT Xray Ankle 2 Views 8 8 $304.01 — $74.24 $357.13 $142.00 2025-05-14
73502 CPT Xray Hip 2 Views 8 8 $304.01 — $74.24 $357.13 $142.00 2025-05-14
73110 CPT Xray Wrist 3 Views 8 8 $304.01 — $74.24 $241.72 $142.00 2025-05-14
73060 CPT Xray Humerus 2 Views 8 8 $304.01 — $74.24 $357.13 $142.00 2025-05-14
73030 CPT Xray Shoulder 2 Views 8 8 $304.01 — $74.24 $357.13 $142.00 2025-05-14
73000 CPT Xray Clavicle/ac Joint 2 Views 8 8 $304.01 — $74.24 $241.72 $142.00 2025-05-14
71130 CPT Xray Sternoclavicular 8 8 $304.01 — $74.24 $357.13 $142.00 2025-05-14
80076 CPT Hepatic Function Panel 4 4 $202.83 — $8.17 $144.01 $140.96 2025-05-14
86769 CPT Covid 19 Antibody Test 10 4 $201.52 — $42.13 $144.86 $139.92 2025-05-14
84150 CPT Prostaglandin 4 4 $199.81 — $41.77 $141.87 $138.87 2025-05-14
87076 CPT Culture Anaerobic 4 4 $199.26 — $8.08 $141.47 $138.49 2025-05-14
87086 CPT Culture Urine 4 4 $199.12 — $8.07 $141.38 $138.38 2025-05-14
82677 CPT Estriol Assay 4 4 $198.79 — $24.18 $141.14 $138.16 2025-05-14
86922 CPT Bb Crossmatch 8 8 $124.10 — $85.63 $224.13 $136.88 2025-05-14
86927 CPT Bb Fresh Frozen Plasma 8 8 $180.02 — $124.21 $171.36 $136.88 2025-05-14
85302 CPT Protein C 4 4 $194.78 — $12.01 $138.29 $135.38 2025-05-14
J0744 HCPCS Ciprofloxacin (cipro) IV 400 Mg/200 Ml 4 4 $193.42 — $1.93 $137.33 $134.43 2025-05-14
J2371 CPT Phenyleph (neo-synephrin) Inj 10 Mg Vial 9 3 $191.94 — $70.49 $137.88 $134.00 2025-05-14
80202 CPT Vancomycin Trough 4 4 $192.31 — $13.54 $136.54 $133.66 2025-05-14
87640 CPT Staph A DNA Amp Probe 7 4 $187.09 — $35.09 $157.69 $132.83 2025-05-14
84479 CPT T3 Or T4 Uptake 4 4 $189.80 — $6.47 $134.76 $131.91 2025-05-14
84481 CPT Free T3 4 4 $189.80 — $16.94 $134.76 $131.91 2025-05-14
84480 CPT T3 Total 4 4 $189.80 — $14.18 $134.76 $131.91 2025-05-14
82382 CPT Urine Epinephrine Norepinephrine Dop 4 4 $188.82 — $27.30 $134.06 $131.23 2025-05-14
86325 CPT Post Insulin 7 4 $305.96 — $23.13 $217.23 $130.83 2025-05-14
83002 CPT Luteinizing Hormone Serum 7 4 $257.89 — $18.52 $183.10 $130.62 2025-05-14
85576 CPT Platelet Function Test 4 4 $186.88 — $24.91 $132.68 $129.88 2025-05-14
95864 CPT Impulse EMG-limb >= 5 Musc/limb - 15 Min 8 8 $183.94 — $24.49 $130.60 $128.14 2025-05-14
95863 CPT Impulse EMG-limb >=5 Musc/limb - 15 Min 8 8 $157.24 — $108.50 $399.04 $128.14 2025-05-14
86320 CPT Vitamin B6 4 4 $184.27 — $29.92 $130.83 $128.07 2025-05-14
82626 CPT Dhea 4 4 $184.11 — $25.27 $130.72 $127.96 2025-05-14
86334 CPT Immunofix Elec. Serum 4 4 $183.61 — $22.34 $130.36 $127.61 2025-05-14
80184 CPT Phenobarbital 4 4 $183.26 — $15.30 $130.11 $127.37 2025-05-14
J1010 CPT Methylpred Acetate Depo Med 40 Mg/1ml 6 3 $182.24 — $87.15 $169.10 $127.01 2025-05-14
83001 CPT Follicle Stimulating Hormone 10 4 $182.69 — $18.58 $217.23 $126.97 2025-05-14
73610 CPT Xray Ankle 3 Views 8 8 $304.01 — $74.24 $215.85 $126.13 2025-05-14
73100 CPT Xray Wrist 2 Views 8 8 $304.01 — $74.24 $215.85 $126.13 2025-05-14
71100 CPT Xray Ribs Unilat 2 Views 8 8 $304.01 — $74.24 $215.85 $126.13 2025-05-14
82378 CPT Carcinoembryonic Ag 4 4 $181.43 — $18.96 $128.82 $126.09 2025-05-14
82627 CPT Dhea Sulfate 4 4 $180.33 — $22.23 $128.03 $125.33 2025-05-14
84439 CPT Free T4 4 4 $180.33 — $9.02 $128.03 $125.33 2025-05-14
99153 CPT Mod (conscious) Sedat Ea /add 15 Min 4 4 $180.10 — $13.89 $127.87 $125.17 2025-05-14
86337 CPT Insulin Antibodies 4 4 $176.04 — $21.41 $124.99 $122.35 2025-05-14
84252 CPT Vitamin B2 Riboflavin Vb2 4 4 $175.95 — $20.24 $124.92 $122.29 2025-05-14
87498 CPT Inf Agent Antib Anitgen 4 4 $175.69 — $35.09 $124.74 $122.11 2025-05-14
72200 CPT Xray Sacroiliac Joints 8 8 $204.92 — $99.92 $178.02 $120.66 2025-05-14
82140 CPT Ammonia Level Test 4 4 $173.20 — $14.57 $122.97 $120.38 2025-05-14
82553 CPT Creatine Kinase (ck-mb) 4 4 $173.03 — $11.55 $122.85 $120.25 2025-05-14
80178 CPT Lithium Level 4 4 $171.61 — $6.61 $121.84 $119.27 2025-05-14
84681 CPT C-peptide 4 4 $171.05 — $20.81 $121.45 $118.88 2025-05-14
80280 CPT Vedolizumab 4 4 $168.85 — $38.57 $119.88 $117.36 2025-05-14
87591 CPT Gonorrhea 4 4 $167.85 — $35.09 $119.17 $116.66 2025-05-14
87491 CPT Chlamydia 4 4 $167.85 — $35.09 $119.17 $116.66 2025-05-14
97168 CPT Re-eval Ot 3 3 $168.19 — $86.11 $117.73 $116.05 2025-05-14
97004 CPT Cota Re-eval 3 3 $168.19 — $79.22 $117.73 $116.05 2025-05-14
J0670 HCPCS Mepivacaine (polocaine) 1% Mpf Inj 20ml 4 4 $165.99 — $3.29 $117.85 $115.36 2025-05-14
J2543 HCPCS Pip/taz (zosyn) 4.5 Gm /ns 100 Ml Ivpb 7 4 $189.12 — $1.18 $134.28 $112.71 2025-05-14
84144 CPT Progesterone 7 4 $174.37 — $20.86 $123.80 $111.82 2025-05-14
87661 CPT Trich 4 4 $158.21 — $35.09 $112.33 $109.95 2025-05-14
87425 CPT Rotavirus Antigen 4 4 $156.23 — $11.98 $110.92 $108.58 2025-05-14
86300 CPT Cancer Antibody 15-3 (27.29) 4 4 $155.75 — $20.81 $110.58 $108.25 2025-05-14
73650 CPT Xray Heel 8 8 $204.92 — $74.24 $357.13 $107.81 2025-05-14
73020 CPT Xray Shoulder 1 View 8 8 $204.92 — $74.24 $241.72 $107.81 2025-05-14
72020 CPT Xray Scout Film Cervical 8 8 $204.92 — $74.24 $357.13 $107.81 2025-05-14
71120 CPT Xray Sternum 8 8 $204.92 — $74.24 $241.72 $107.81 2025-05-14
86606 CPT Fungal Antibodies By Cf, Serum 4 4 $155.11 — $15.05 $110.13 $107.81 2025-05-14
96367 CPT Add Sequent IV Up To 1hr (list Sep In Ad 8 8 $226.93 — $56.90 $1,017.39 $106.74 2025-05-14
82671 CPT Estrogen Fractionated 7 4 $180.92 — $32.30 $128.45 $106.50 2025-05-14
80177 CPT Levetiracetam Level 4 4 $153.22 — $13.25 $108.79 $106.48 2025-05-14
83498 CPT Hydroxyprogesterone Measurement 4 4 $153.19 — $27.17 $108.76 $106.47 2025-05-14
86738 CPT Mycoplasma 4 4 $153.17 — $13.24 $108.75 $106.45 2025-05-14
86162 CPT Complement Ch50 7 4 $166.95 — $20.32 $118.53 $105.80 2025-05-14
G0480 HCPCS Nicotine Level Medicare 4 4 $149.03 — $102.83 $114.43 $105.06 2025-05-14
83605 CPT Lactic Acid Test 4 4 $151.16 — $11.57 $107.32 $105.06 2025-05-14
84305 CPT Somatomedin C 4 4 $150.23 — $21.26 $106.66 $104.41 2025-05-14
80323 CPT Nicotine Level 3 3 $149.03 — $102.83 $105.81 $104.32 2025-05-14
83704 CPT Lipoprotein, Blood, Quantitation Of Lipo 4 4 $149.66 — $34.19 $106.26 $104.02 2025-05-14
88112 CPT Cytopathology Fluid 11 8 $148.22 — $45.61 $359.72 $103.75 2025-05-14
86689 CPT HIV 4 4 $149.22 — $19.35 $105.95 $103.70 2025-05-14
36600 CPT Arterial Blood Gas Collection 8 8 $95.52 — $65.91 $253.60 $103.49 2025-05-14
95870 CPT Impulse Emg/non Limb<=4 Musc/ Lim-15 Min 8 8 $52.20 — $36.02 $311.40 $103.49 2025-05-14
86677 CPT Helicobactor Pylori Antibody 7 4 $145.64 — $16.85 $130.02 $103.40 2025-05-14
72190 CPT Xray Pelvis 3 View 8 8 $389.43 — $99.92 $276.50 $103.13 2025-05-14
72192 CPT CT Hip Without Contrast 8 8 $1,322.07 — $99.92 $938.67 $103.13 2025-05-14
72170 CPT Xray Pelvis 1 View 8 8 $204.92 — $99.92 $145.49 $103.13 2025-05-14
72100 CPT Xray Lumbar Spine Ap/lat 8 8 $304.01 — $99.92 $215.85 $103.13 2025-05-14
76881 CPT Ultrasound Prp 8 8 $719.94 — $99.92 $511.16 $103.13 2025-05-14
76770 CPT Ultrasound Of The Kidney 8 8 $1,146.96 — $99.92 $814.34 $103.13 2025-05-14
84260 CPT Serotonin 4 4 $148.19 — $30.98 $105.21 $102.99 2025-05-14
96376 CPT IV Push Ea Add Sequent Of Same Sub/drug 3 3 $145.84 — $100.63 $103.55 $102.09 2025-05-14
83018 CPT Cobalt Quantitative Screen 7 4 $145.29 — $21.96 $104.43 $101.70 2025-05-14
80307 CPT Urine Drug Screen (each) 4 4 $145.45 — $62.14 $103.27 $101.09 2025-05-14
86140 CPT C Reactive Protein 4 4 $144.55 — $5.18 $102.63 $100.47 2025-05-14
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