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

PAULDING COUNTY HOSPITAL

Paulding, OH · CCN 361300 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC 2D&M-MODE W/SPCTRL & CF DPLR

This hospital’s price: $1,587 across 24 payers

Source: https://pauldingcountyhospital.com/wp-content/uploads/2025/11/346405718_Paulding-County-Hospital_standardcharges.csv · observed 2026-07-31

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.

3,284 distinct procedures filed
24 distinct payers
108,480 rate rows
2026-07-31 last MRF observed
Data quality

108,456 of 108,480 rate rows are consumer-grade (100.0%)

24 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pauldingcountyhospital.com/wp-content/uploads/2025/11/346405718_Paulding-County-Hospital_standardcharges.csv
Found on page https://pauldingcountyhospital.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint b0757b03082622e9… · 7,181,827 bytes · first seen 2026-07-31

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
1201029
LOCAL 		Hc Or Ortho Level 3 Initial Hour 24 $27,932.00 $27,932.00 $27,932.00 nat. median
$27,932
1.0× median
1201046
LOCAL 		Hc Or Ortho Level 4 Initial Hour 24 $27,932.00 $27,932.00 $27,932.00 nat. median
$27,932
1.0× median
32522430
LOCAL 		Hc Orthofix True Lok Ext Fixator 24 $25,265.00 $25,265.00 $25,265.00 nat. median
$25,265
1.0× median
1201027
LOCAL 		Hc Or Ortho Level 2 Initial Hour 24 $15,859.00 $15,859.00 $15,859.00 nat. median
$15,859
1.0× median
1201040
LOCAL 		Hc Or General Level 4 Init'l Hour 24 $15,859.00 $15,859.00 $15,859.00 nat. median
$15,859
1.0× median
1201005
LOCAL 		Hc Or General Level 3 Init'l Hour 24 $15,859.00 $15,859.00 $15,859.00 nat. median
$15,859
1.0× median
1201030
LOCAL 		Hc Or Ortho Level 3 Ea Add 30 Min 24 $13,965.00 $13,965.00 $13,965.00 nat. median
$13,965
1.0× median
1201047
LOCAL 		Hc Or Ortho Level 4 Ea Add 30 Min 24 $13,965.00 $13,965.00 $13,965.00 nat. median
$13,965
1.0× median
32125270
LOCAL 		Hc Dual Mesh 26cm X 34cm 24 $10,284.00 $10,284.00 $10,284.00 nat. median
$10,284
1.0× median
32522490
LOCAL 		Hc Orthofix Lg Trinity Elite 24 $9,815.00 $9,815.00 $9,815.00 nat. median
$9,815
1.0× median
1201003
LOCAL 		Hc Or General Level 2 Init'l Hour 24 $9,091.00 $9,091.00 $9,091.00 nat. median
$9,091
1.0× median
1201006
LOCAL 		Hc Or General Lev 3 Ea Add 30 Min 24 $7,932.00 $7,932.00 $7,932.00 nat. median
$7,932
1.0× median
1201028
LOCAL 		Hc Or Ortho Level 2 Ea Add 30 Min 24 $7,932.00 $7,932.00 $7,932.00 nat. median
$7,932
1.0× median
1201041
LOCAL 		Hc Or General Lvl 4 Ea Add 30 Min 24 $7,932.00 $7,932.00 $7,932.00 nat. median
$7,932
1.0× median
32520360
LOCAL 		Hc Neox 6 X 3 24 $7,266.00 $7,266.00 $7,266.00 nat. median
$7,266
1.0× median
32520340
LOCAL 		Hc Clarix Graft 6 X 3 24 $6,333.00 $6,333.00 $6,333.00 nat. median
$6,333
1.0× median
32503010
LOCAL 		Hc Coloplast Altis Bladder Sling 24 $6,087.50 $6,087.50 $6,087.50 nat. median
$6,088
1.0× median
95810
CPT 		Hc Baseline Polysomnography 24 $217.80 $6,275.00 $5,828.00 nat. median
$1,825
outlier · 3.2×
71551
CPT 		Hc MRI-chest W/contrast 24 $5,715.00 $5,715.00 $5,715.00 nat. median
$1,158
outlier · 4.9×
70542
CPT 		Hc MRI-orbit Face & Neck W/con 24 $5,715.00 $5,715.00 $5,715.00 nat. median
$923
outlier · 6.2×
72147
CPT 		Hc MRI-thoracic Spine W/con 24 $5,715.00 $5,715.00 $5,715.00 nat. median
$966
outlier · 5.9×
72196
CPT 		Hc MRI-pelvis W/contrast 24 $5,715.00 $5,715.00 $5,715.00 nat. median
$950
outlier · 6.0×
75635
CPT 		Hc CTA-aorta/bilateral Legs 24 $5,623.00 $5,623.00 $5,623.00 nat. median
$722
outlier · 7.8×
32522450
LOCAL 		Hc Orthofix Bone Stimulator 24 $5,594.00 $5,594.00 $5,594.00 nat. median
$5,594
1.0× median
72158
CPT 		Hc MRI-lumbar Spine W/wo Contrast 24 $5,550.00 $5,550.00 $5,550.00 nat. median
$1,093
outlier · 5.1×
72156
CPT 		Hc MRI-cerv Spine & Csf Flow Study W/wo Con 24 $5,550.00 $5,550.00 $5,550.00 nat. median
$1,103
outlier · 5.0×
71552
CPT 		Hc MRI-chest W/wo Contrast 24 $5,536.00 $5,536.00 $5,536.00 nat. median
$1,097
outlier · 5.0×
72149
CPT 		Hc MRI-lumbar Spine W/contrast 24 $5,536.00 $5,536.00 $5,536.00 nat. median
$978
outlier · 5.7×
70553
CPT 		Hc MRI- Iac W/wo Con 24 $5,530.00 $5,530.00 $5,530.00 nat. median
$1,133
outlier · 4.9×
70543
CPT 		Hc MRI-orbit Face & Neck W/wo Con 24 $5,433.00 $5,433.00 $5,433.00 nat. median
$1,083
outlier · 5.0×
72197
CPT 		Hc MRI-pelvis W/wo Contrast 24 $5,433.00 $5,433.00 $5,433.00 nat. median
$1,063
outlier · 5.1×
72157
CPT 		Hc MRI-thoracic Spine W/wo Con 24 $5,433.00 $5,433.00 $5,433.00 nat. median
$1,105
outlier · 4.9×
74183
CPT 		Hc MRI-abdomen W/wo Contrast 24 $5,433.00 $5,433.00 $5,433.00 nat. median
$1,100
outlier · 4.9×
74175
CPT 		Hc CTA-abdomen 24 $5,427.00 $5,427.00 $5,427.00 nat. median
$714
outlier · 7.6×
32520330
LOCAL 		Hc Clarix Graft 4 X 3 24 $5,400.00 $5,400.00 $5,400.00 nat. median
$5,400
1.0× median
72142
CPT 		Hc MRI-cervical Spine W/con 24 $5,382.00 $5,382.00 $5,382.00 nat. median
$975
outlier · 5.5×
70548
CPT 		Hc MRA-neck W/contrast 24 $5,279.00 $5,279.00 $5,279.00 nat. median
$922
outlier · 5.7×
70549
CPT 		Hc MRA-neck W/wo Contrast 24 $5,278.00 $5,278.00 $5,278.00 nat. median
$1,055
outlier · 5.0×
70545
CPT 		Hc MRA-head W/contrast 24 $5,278.00 $5,278.00 $5,278.00 nat. median
$889
outlier · 5.9×
70496
CPT 		Hc CTA-head 24 $5,196.00 $5,196.00 $5,196.00 nat. median
$747
outlier · 7.0×
E0471
HCPCS 		Hc Bipap Auto Purchase 24 $398.00 $5,162.00 $5,161.00 nat. median
$495
outlier · 10.4×
70546
CPT 		Hc MRA-head W/wo Contrast 24 $5,113.00 $5,113.00 $5,113.00 nat. median
$1,070
outlier · 4.8×
32503030
LOCAL 		Hc Amniox 4x3 Graft 24 $5,036.00 $5,036.00 $5,036.00 nat. median
$5,036
1.0× median
74182
CPT 		Hc MRI-abdomen W/contrast 24 $4,979.00 $4,979.00 $4,979.00 nat. median
$971
outlier · 5.1×
74185
CPT 		Hc MRA-abdomen W/contrast 24 $4,586.00 $5,017.00 $4,801.50 nat. median
$1,241
outlier · 3.9×
1201004
LOCAL 		Hc Or General Lev 2 Ea Add 30 Min 24 $4,545.00 $4,545.00 $4,545.00 nat. median
$4,545
1.0× median
74174
CPT 		Hc CTA Abdomen & Pelvis 24 $4,543.00 $4,543.00 $4,543.00 nat. median
$988
outlier · 4.6×
70552
CPT 		Hc MRI-brain W/contrast 24 $4,542.00 $4,542.00 $4,542.00 nat. median
$962
outlier · 4.7×
71555
CPT 		Hc MRA-chest W/contrast 24 $4,412.00 $4,664.00 $4,538.00 nat. median
$1,143
outlier · 4.0×
64633
CPT 		Hc Destroy Cerv/thor Facet Jnt In Or 24 $4,482.00 $4,482.00 $4,482.00 nat. median
$2,325
1.9× median

Other procedures at this hospital

Browse this hospital's 3,284 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
             
1201029 LOCAL Hc Or Ortho Level 3 Initial Hour 24 24 $27,932.00 $23,742.20 $27,932.00 $27,932.00 $27,932.00 2026-07-31
1201046 LOCAL Hc Or Ortho Level 4 Initial Hour 24 24 $27,932.00 $23,742.20 $27,932.00 $27,932.00 $27,932.00 2026-07-31
32522430 LOCAL Hc Orthofix True Lok Ext Fixator 24 24 $25,265.00 $21,475.25 $25,265.00 $25,265.00 $25,265.00 2026-07-31
1201027 LOCAL Hc Or Ortho Level 2 Initial Hour 24 24 $15,859.00 $13,480.15 $15,859.00 $15,859.00 $15,859.00 2026-07-31
1201040 LOCAL Hc Or General Level 4 Init'l Hour 24 24 $15,859.00 $13,480.15 $15,859.00 $15,859.00 $15,859.00 2026-07-31
1201005 LOCAL Hc Or General Level 3 Init'l Hour 24 24 $15,859.00 $13,480.15 $15,859.00 $15,859.00 $15,859.00 2026-07-31
1201047 LOCAL Hc Or Ortho Level 4 Ea Add 30 Min 24 24 $13,965.00 $11,870.25 $13,965.00 $13,965.00 $13,965.00 2026-07-31
1201030 LOCAL Hc Or Ortho Level 3 Ea Add 30 Min 24 24 $13,965.00 $11,870.25 $13,965.00 $13,965.00 $13,965.00 2026-07-31
32125270 LOCAL Hc Dual Mesh 26cm X 34cm 24 24 $10,284.00 $8,741.40 $10,284.00 $10,284.00 $10,284.00 2026-07-31
32522490 LOCAL Hc Orthofix Lg Trinity Elite 24 24 $9,815.00 $8,342.75 $9,815.00 $9,815.00 $9,815.00 2026-07-31
1201003 LOCAL Hc Or General Level 2 Init'l Hour 24 24 $9,091.00 $7,727.35 $9,091.00 $9,091.00 $9,091.00 2026-07-31
1201041 LOCAL Hc Or General Lvl 4 Ea Add 30 Min 24 24 $7,932.00 $6,742.20 $7,932.00 $7,932.00 $7,932.00 2026-07-31
1201028 LOCAL Hc Or Ortho Level 2 Ea Add 30 Min 24 24 $7,932.00 $6,742.20 $7,932.00 $7,932.00 $7,932.00 2026-07-31
1201006 LOCAL Hc Or General Lev 3 Ea Add 30 Min 24 24 $7,932.00 $6,742.20 $7,932.00 $7,932.00 $7,932.00 2026-07-31
32520360 LOCAL Hc Neox 6 X 3 24 24 $7,266.00 $6,176.10 $7,266.00 $7,266.00 $7,266.00 2026-07-31
32520340 LOCAL Hc Clarix Graft 6 X 3 24 24 $6,333.00 $5,383.05 $6,333.00 $6,333.00 $6,333.00 2026-07-31
32503010 LOCAL Hc Coloplast Altis Bladder Sling 24 24 $6,087.50 $5,174.38 $6,087.50 $6,087.50 $6,087.50 2026-07-31
95810 CPT Hc Baseline Polysomnography 72 24 $5,828.00 $4,953.80 $217.80 $6,275.00 $5,828.00 2026-07-31
72147 CPT Hc MRI-thoracic Spine W/con 24 24 $5,715.00 $4,857.75 $5,715.00 $5,715.00 $5,715.00 2026-07-31
70542 CPT Hc MRI-orbit Face & Neck W/con 24 24 $5,715.00 $4,857.75 $5,715.00 $5,715.00 $5,715.00 2026-07-31
71551 CPT Hc MRI-chest W/contrast 24 24 $5,715.00 $4,857.75 $5,715.00 $5,715.00 $5,715.00 2026-07-31
72196 CPT Hc MRI-pelvis W/contrast 24 24 $5,715.00 $4,857.75 $5,715.00 $5,715.00 $5,715.00 2026-07-31
75635 CPT Hc CTA-aorta/bilateral Legs 24 24 $5,623.00 $4,779.55 $5,623.00 $5,623.00 $5,623.00 2026-07-31
32522450 LOCAL Hc Orthofix Bone Stimulator 24 24 $5,594.00 $4,754.90 $5,594.00 $5,594.00 $5,594.00 2026-07-31
72156 CPT Hc MRI-cerv Spine & Csf Flow Study W/wo Con 24 24 $5,550.00 $4,717.50 $5,550.00 $5,550.00 $5,550.00 2026-07-31
72158 CPT Hc MRI-lumbar Spine W/wo Contrast 24 24 $5,550.00 $4,717.50 $5,550.00 $5,550.00 $5,550.00 2026-07-31
71552 CPT Hc MRI-chest W/wo Contrast 24 24 $5,536.00 $4,705.60 $5,536.00 $5,536.00 $5,536.00 2026-07-31
72149 CPT Hc MRI-lumbar Spine W/contrast 24 24 $5,536.00 $4,705.60 $5,536.00 $5,536.00 $5,536.00 2026-07-31
70553 CPT Hc MRI- Iac W/wo Con 24 24 $5,530.00 $4,700.50 $5,530.00 $5,530.00 $5,530.00 2026-07-31
74183 CPT Hc MRI-abdomen W/wo Contrast 24 24 $5,433.00 $4,618.05 $5,433.00 $5,433.00 $5,433.00 2026-07-31
70543 CPT Hc MRI-orbit Face & Neck W/wo Con 24 24 $5,433.00 $4,618.05 $5,433.00 $5,433.00 $5,433.00 2026-07-31
72157 CPT Hc MRI-thoracic Spine W/wo Con 24 24 $5,433.00 $4,618.05 $5,433.00 $5,433.00 $5,433.00 2026-07-31
72197 CPT Hc MRI-pelvis W/wo Contrast 24 24 $5,433.00 $4,618.05 $5,433.00 $5,433.00 $5,433.00 2026-07-31
74175 CPT Hc CTA-abdomen 24 24 $5,427.00 $4,612.95 $5,427.00 $5,427.00 $5,427.00 2026-07-31
32520330 LOCAL Hc Clarix Graft 4 X 3 24 24 $5,400.00 $4,590.00 $5,400.00 $5,400.00 $5,400.00 2026-07-31
72142 CPT Hc MRI-cervical Spine W/con 24 24 $5,382.00 $4,574.70 $5,382.00 $5,382.00 $5,382.00 2026-07-31
70548 CPT Hc MRA-neck W/contrast 24 24 $5,279.00 $4,487.15 $5,279.00 $5,279.00 $5,279.00 2026-07-31
70549 CPT Hc MRA-neck W/wo Contrast 24 24 $5,278.00 $4,486.30 $5,278.00 $5,278.00 $5,278.00 2026-07-31
70545 CPT Hc MRA-head W/contrast 24 24 $5,278.00 $4,486.30 $5,278.00 $5,278.00 $5,278.00 2026-07-31
70496 CPT Hc CTA-head 24 24 $5,196.00 $4,416.60 $5,196.00 $5,196.00 $5,196.00 2026-07-31
E0471 HCPCS Hc Bipap Auto Purchase 72 24 $5,161.00 $4,386.85 $398.00 $5,162.00 $5,161.00 2026-07-31
70546 CPT Hc MRA-head W/wo Contrast 24 24 $5,113.00 $4,346.05 $5,113.00 $5,113.00 $5,113.00 2026-07-31
32503030 LOCAL Hc Amniox 4x3 Graft 24 24 $5,036.00 $4,280.60 $5,036.00 $5,036.00 $5,036.00 2026-07-31
74182 CPT Hc MRI-abdomen W/contrast 24 24 $4,979.00 $4,232.15 $4,979.00 $4,979.00 $4,979.00 2026-07-31
74185 CPT Hc MRA-abdomen W/contrast 48 24 $4,801.50 $4,081.27 $4,586.00 $5,017.00 $4,801.50 2026-07-31
1201004 LOCAL Hc Or General Lev 2 Ea Add 30 Min 24 24 $4,545.00 $3,863.25 $4,545.00 $4,545.00 $4,545.00 2026-07-31
74174 CPT Hc CTA Abdomen & Pelvis 24 24 $4,543.00 $3,861.55 $4,543.00 $4,543.00 $4,543.00 2026-07-31
70552 CPT Hc MRI-brain W/contrast 24 24 $4,542.00 $3,860.70 $4,542.00 $4,542.00 $4,542.00 2026-07-31
71555 CPT Hc MRA-chest W/contrast 72 24 $4,538.00 $3,857.30 $4,412.00 $4,664.00 $4,538.00 2026-07-31
64635 CPT Hc Destroy Lumb/sac Facet Jnt Bilateral In Or 72 24 $4,482.00 $3,809.70 $4,482.00 $8,966.00 $4,482.00 2026-07-31
64633 CPT Hc Destroy Cerv/thor Facet Jnt In Or 24 24 $4,482.00 $3,809.70 $4,482.00 $4,482.00 $4,482.00 2026-07-31
74181 CPT Hc MRI-abdomen Without Contrast 24 24 $4,473.00 $3,802.05 $4,473.00 $4,473.00 $4,473.00 2026-07-31
70336 CPT Hc MRI-tmj 24 24 $4,355.00 $3,701.75 $4,355.00 $4,355.00 $4,355.00 2026-07-31
72141 CPT Hc MRI-cerv Spine & Csf Flow Study Without Con 24 24 $4,352.00 $3,699.20 $4,352.00 $4,352.00 $4,352.00 2026-07-31
72146 CPT Hc MRI-thoracic Spine Without Con 24 24 $4,352.00 $3,699.20 $4,352.00 $4,352.00 $4,352.00 2026-07-31
72195 CPT Hc MRI-pelvis Without Contrast 24 24 $4,352.00 $3,699.20 $4,352.00 $4,352.00 $4,352.00 2026-07-31
71550 CPT Hc MRI-chest Without Contrast 24 24 $4,342.00 $3,690.70 $4,342.00 $4,342.00 $4,342.00 2026-07-31
70540 CPT Hc MRI-orbit Face & Neck Without Con 24 24 $4,342.00 $3,690.70 $4,342.00 $4,342.00 $4,342.00 2026-07-31
73225 CPT Hc MRA-upper Ext W Or Without Con Lt 24 24 $4,342.00 $3,690.70 $4,342.00 $4,342.00 $4,342.00 2026-07-31
70547 CPT Hc MRA-neck Without Contrast 24 24 $3,937.00 $3,346.45 $3,937.00 $3,937.00 $3,937.00 2026-07-31
70544 CPT Hc MRA-head Without Contrast 24 24 $3,933.00 $3,343.05 $3,933.00 $3,933.00 $3,933.00 2026-07-31
70498 CPT Hc CTA-neck 24 24 $3,896.00 $3,311.60 $3,896.00 $3,896.00 $3,896.00 2026-07-31
72148 CPT Hc MRI-lumbar Spine Without Contrast 24 24 $3,850.00 $3,272.50 $3,850.00 $3,850.00 $3,850.00 2026-07-31
32520290 LOCAL Hc Clarix Graft 2.5 X 2.5 24 24 $3,721.00 $3,162.85 $3,721.00 $3,721.00 $3,721.00 2026-07-31
32503060 LOCAL Hc Arelon Tissue Reinforcement .3x16cm 24 24 $3,721.00 $3,162.85 $3,721.00 $3,721.00 $3,721.00 2026-07-31
32125260 LOCAL Hc Dual Mesh 18cm X 24cm 24 24 $3,715.00 $3,157.75 $3,715.00 $3,715.00 $3,715.00 2026-07-31
70492 CPT Hc CT Neck W/wo Contrast 24 24 $3,613.00 $3,071.05 $3,613.00 $3,613.00 $3,613.00 2026-07-31
64625 CPT Hc Radiofrequency Abltj Nrv Nrvtg Si Jt W/img Gdn Bil 72 24 $3,553.00 $3,020.05 $3,553.00 $7,105.00 $3,553.00 2026-07-31
64624 CPT Hc Destruction Neurolytic Agt Genicular Nerve W/img Bil 72 24 $3,553.00 $3,020.05 $3,553.00 $7,105.00 $3,553.00 2026-07-31
K0011 HCPCS Hc Full Power-wc 24 24 $3,517.00 $2,989.45 $3,517.00 $3,517.00 $3,517.00 2026-07-31
73706 CPT Hc CTA-lower Extremity Bilateral 72 24 $3,505.00 $2,979.25 $3,505.00 $3,505.00 $3,505.00 2026-07-31
73702 CPT Hc CT Lower Ext W/wo Contrast Bi 72 24 $3,505.00 $2,979.25 $3,505.00 $3,505.00 $3,505.00 2026-07-31
72130 CPT Hc CT Thoracic Spine W/wo Contrst 24 24 $3,505.00 $2,979.25 $3,505.00 $3,505.00 $3,505.00 2026-07-31
72133 CPT Hc CT Lumbar Spine-angls W/wo Con 24 24 $3,505.00 $2,979.25 $3,505.00 $3,505.00 $3,505.00 2026-07-31
72127 CPT Hc CT Cervical Spine W/wo Con 24 24 $3,505.00 $2,979.25 $3,505.00 $3,505.00 $3,505.00 2026-07-31
70551 CPT Hc MRI-brain & Csf Flow Study Without Contrast 24 24 $3,503.00 $2,977.55 $3,503.00 $3,503.00 $3,503.00 2026-07-31
32525060 LOCAL Hc Birth Control System 24 24 $3,451.00 $2,933.35 $3,451.00 $3,451.00 $3,451.00 2026-07-31
73719 CPT Hc MRI-lower Extremity W/con Bi 72 24 $3,416.00 $2,903.60 $3,416.00 $3,416.00 $3,416.00 2026-07-31
32503340 LOCAL Hc Arthrex Bma Kit 24 24 $3,392.00 $2,883.20 $3,392.00 $3,392.00 $3,392.00 2026-07-31
32503430 LOCAL Hc Aksm Lithotriptor Tech 24 24 $3,357.00 $2,853.45 $3,357.00 $3,357.00 $3,357.00 2026-07-31
75822 CPT Hc X-ray-venogram Lower Bilat 24 24 $3,337.00 $2,836.45 $3,337.00 $3,337.00 $3,337.00 2026-07-31
1207900 LOCAL Hc Or Endoscopy Initial 30 Min 24 24 $3,289.00 $2,795.65 $3,289.00 $3,289.00 $3,289.00 2026-07-31
1201001 LOCAL Hc Or General Level 1 Init'l Hour 24 24 $3,289.00 $2,795.65 $3,289.00 $3,289.00 $3,289.00 2026-07-31
1201025 LOCAL Hc Or Ortho Level 1 Initial Hour 24 24 $3,289.00 $2,795.65 $3,289.00 $3,289.00 $3,289.00 2026-07-31
71270 CPT Hc CT Chest W/wo Contrast 24 24 $3,270.00 $2,779.50 $3,270.00 $3,270.00 $3,270.00 2026-07-31
73202 CPT Hc CT Upper Ext W/wo Contrast Bi 72 24 $3,247.00 $2,759.95 $3,247.00 $3,247.00 $3,247.00 2026-07-31
71260 CPT Hc CT Chest W/contrast 24 24 $3,188.00 $2,709.80 $3,188.00 $3,188.00 $3,188.00 2026-07-31
74176 CPT Hc CT Abd & Pelv/stone Without Contr 48 24 $3,164.00 $2,689.40 $3,164.00 $3,164.00 $3,164.00 2026-07-31
74178 CPT Hc CT Abd & Pelvis W/wo Contrast 24 24 $3,164.00 $2,689.40 $3,164.00 $3,164.00 $3,164.00 2026-07-31
74177 CPT Hc CT Abd & Pelvis W/contrast 24 24 $3,164.00 $2,689.40 $3,164.00 $3,164.00 $3,164.00 2026-07-31
70482 CPT Hc CT Orbit W/wo Contrast 24 24 $3,140.00 $2,669.00 $3,140.00 $3,140.00 $3,140.00 2026-07-31
70488 CPT Hc CT Face W/wo Contrast 24 24 $3,139.00 $2,668.15 $3,139.00 $3,139.00 $3,139.00 2026-07-31
73701 CPT Hc CT Lower Ext W/contrast Bi 72 24 $3,139.00 $2,668.15 $3,139.00 $3,139.00 $3,139.00 2026-07-31
72132 CPT Hc CT Lumbar Spine-angles W/con 24 24 $3,139.00 $2,668.15 $3,139.00 $3,139.00 $3,139.00 2026-07-31
70491 CPT Hc CT Neck W/contrast 24 24 $3,137.00 $2,666.45 $3,137.00 $3,137.00 $3,137.00 2026-07-31
73222 CPT Hc MRI-upper Ext Joint W/con Bi 72 24 $3,047.00 $2,589.95 $3,047.00 $3,047.00 $3,047.00 2026-07-31
73221 CPT Hc MRI-upper Ext Joint Without Con Bi 72 24 $3,047.00 $2,589.95 $3,047.00 $3,047.00 $3,047.00 2026-07-31
73720 CPT Hc MRI-lower Extremity W/wo Con B 72 24 $3,047.00 $2,589.95 $3,047.00 $3,047.00 $3,047.00 2026-07-31
73223 CPT Hc MRI-upper Ext Joint W/wo Con B 72 24 $3,047.00 $2,589.95 $3,047.00 $3,047.00 $3,047.00 2026-07-31
73721 CPT Hc MRI-lower Ext Joint Without Con Bi 72 24 $3,047.00 $2,589.95 $3,047.00 $3,047.00 $3,047.00 2026-07-31
73218 CPT Hc MRI-upper Extremity Without Con Bi 72 24 $3,047.00 $2,589.95 $3,047.00 $3,047.00 $3,047.00 2026-07-31
73723 CPT Hc MRI-lower Ext Joint W/wo Con B 72 24 $3,047.00 $2,589.95 $3,047.00 $3,047.00 $3,047.00 2026-07-31
73722 CPT Hc MRI-lower Ext Joint W/con Bi 72 24 $3,047.00 $2,589.95 $3,047.00 $3,047.00 $3,047.00 2026-07-31
73220 CPT Hc MRI-upper Extremity W/wo Con B 72 24 $3,047.00 $2,589.95 $3,047.00 $3,047.00 $3,047.00 2026-07-31
73219 CPT Hc MRI-upper Extremity W/con Bi 72 24 $3,047.00 $2,589.95 $3,047.00 $3,047.00 $3,047.00 2026-07-31
73201 CPT Hc CT Upper Ext W/contrast Bi 72 24 $3,038.00 $2,582.30 $3,038.00 $3,038.00 $3,038.00 2026-07-31
72126 CPT Hc CT Cervical Spine W/contrast 24 24 $3,038.00 $2,582.30 $3,038.00 $3,038.00 $3,038.00 2026-07-31
72129 CPT Hc CT Thoracic Spine W/contrast 24 24 $3,038.00 $2,582.30 $3,038.00 $3,038.00 $3,038.00 2026-07-31
93015 CPT Hc Treadmill 24 24 $3,030.00 $2,575.50 $3,030.00 $3,030.00 $3,030.00 2026-07-31
77012 CPT Hc CT Guide Biopsy Comp 48 24 $2,950.50 $2,507.93 $2,308.00 $3,593.00 $2,950.50 2026-07-31
73718 CPT Hc MRI-lower Extremity Without Con Bi 72 24 $2,926.00 $2,487.10 $2,926.00 $2,926.00 $2,926.00 2026-07-31
78227 CPT Hc Hepatobil Syst Image W/drug 24 24 $2,911.00 $2,474.35 $2,911.00 $2,911.00 $2,911.00 2026-07-31
38570 CPT Hc Laparoscopy Lymph Node Biop 48 24 $2,906.00 $2,470.10 $2,324.80 $3,487.20 $2,906.00 2026-07-31
19307 CPT Hc Mast Mod Rad 48 24 $2,888.00 $2,454.80 $2,310.40 $3,465.60 $2,888.00 2026-07-31
32599905 LOCAL Hc Axonics Bulkamid 24 24 $2,875.00 $2,443.75 $2,875.00 $2,875.00 $2,875.00 2026-07-31
L8606 HCPCS Hc Bulkamid (uretheral Bulking System) 24 24 $2,875.00 $2,443.75 $2,875.00 $2,875.00 $2,875.00 2026-07-31
78452 CPT Hc Heart Scan Spect Multiple 24 24 $2,844.00 $2,417.40 $2,844.00 $2,844.00 $2,844.00 2026-07-31
73580 CPT Hc Knee Arthrogram Bi 72 24 $2,830.00 $2,405.50 $2,830.00 $2,830.00 $2,830.00 2026-07-31
32503220 LOCAL Hc Biomet Bio Cue Bma 24 24 $2,801.00 $2,380.85 $2,801.00 $2,801.00 $2,801.00 2026-07-31
32525990 LOCAL Hc Disp Ureteroscope 24 24 $2,799.00 $2,379.15 $2,799.00 $2,799.00 $2,799.00 2026-07-31
32503070 LOCAL Hc Cook Med Sis Graft 24 24 $2,790.00 $2,371.50 $2,790.00 $2,790.00 $2,790.00 2026-07-31
32503080 LOCAL Hc Cook Med Biodesign Surgasis 24 24 $2,790.00 $2,371.50 $2,790.00 $2,790.00 $2,790.00 2026-07-31
74740 CPT Hc Hysterosalpingogram 24 24 $2,775.00 $2,358.75 $2,775.00 $2,775.00 $2,775.00 2026-07-31
32522780 LOCAL Hc Smart Port With Vortex 24 24 $2,754.00 $2,340.90 $2,754.00 $2,754.00 $2,754.00 2026-07-31
70470 CPT Hc CT Head Attn Iac W/wo Con 24 24 $2,733.00 $2,323.05 $2,733.00 $2,733.00 $2,733.00 2026-07-31
44140 CPT Hc Partial Removal Of Colon 48 24 $2,707.50 $2,301.38 $2,166.00 $3,249.00 $2,707.50 2026-07-31
44144 CPT Hc Partial Removal Of Colon 48 24 $2,671.50 $2,270.77 $2,137.20 $3,205.80 $2,671.50 2026-07-31
70481 CPT Hc CT Orbit W/contrast 24 24 $2,649.00 $2,251.65 $2,649.00 $2,649.00 $2,649.00 2026-07-31
70487 CPT Hc CT Face W/contrast 24 24 $2,649.00 $2,251.65 $2,649.00 $2,649.00 $2,649.00 2026-07-31
78226 CPT Hc Hepatobiliary System Imaging 24 24 $2,648.00 $2,250.80 $2,648.00 $2,648.00 $2,648.00 2026-07-31
32503250 LOCAL Hc Neox Graft 2.5 Cm X 2.5 Cm 24 24 $2,639.00 $2,243.15 $2,639.00 $2,639.00 $2,639.00 2026-07-31
32520460 LOCAL Hc Artel On Tissue Reinforcement 24 24 $2,603.00 $2,212.55 $2,603.00 $2,603.00 $2,603.00 2026-07-31
45110 CPT Hc Removal Of Rectum 48 24 $2,599.00 $2,209.15 $2,079.20 $3,118.80 $2,599.00 2026-07-31
78315 CPT Hc Bone Scan - Three Phase 24 24 $2,574.00 $2,187.90 $2,574.00 $2,574.00 $2,574.00 2026-07-31
75820 CPT Hc X-ray-venogram Lt Upper Unilat 48 24 $2,571.00 $2,185.35 $2,571.00 $2,571.00 $2,571.00 2026-07-31
32522270 LOCAL Hc Urolift 2 Implant Car Handle 24 24 $2,562.50 $2,178.13 $2,562.50 $2,562.50 $2,562.50 2026-07-31
32522260 LOCAL Hc Urolift 2 Implant Car 24 24 $2,562.50 $2,178.13 $2,562.50 $2,562.50 $2,562.50 2026-07-31
58563 CPT Hc Hysteroscopy Ablation 48 24 $2,527.00 $2,147.95 $2,021.60 $3,032.40 $2,527.00 2026-07-31
44143 CPT Hc Partial Removal Of Colon 48 24 $2,527.00 $2,147.95 $2,021.60 $3,032.40 $2,527.00 2026-07-31
49204 HCPCS Hc Exc Abd Tum Over 5 Cm 48 24 $2,527.00 $2,147.95 $2,021.60 $3,032.40 $2,527.00 2026-07-31
32574250 LOCAL Hc T/choice Iii Uterine Cath 24 24 $2,504.00 $2,128.40 $2,504.00 $2,504.00 $2,504.00 2026-07-31
32503040 LOCAL Hc Ajust Sling Bard 24 24 $2,464.00 $2,094.40 $2,464.00 $2,464.00 $2,464.00 2026-07-31
70460 CPT Hc CT Head Scan W/contrast 24 24 $2,414.00 $2,051.90 $2,414.00 $2,414.00 $2,414.00 2026-07-31
32503510 LOCAL Hc Novasure Ablation 24 24 $2,362.00 $2,007.70 $2,362.00 $2,362.00 $2,362.00 2026-07-31
44145 CPT Hc Partial Removal Of Colon 48 24 $2,311.00 $1,964.35 $1,848.80 $2,773.20 $2,311.00 2026-07-31
38745 CPT Hc Remove Armpit Lymph Nodes 48 24 $2,311.00 $1,964.35 $1,848.80 $2,773.20 $2,311.00 2026-07-31
19302 CPT Hc P-mastectomy W/ln Removal 48 24 $2,310.50 $1,963.93 $1,848.40 $2,772.60 $2,310.50 2026-07-31
72131 CPT Hc CT Lumbar Spine-strght Without Con 24 24 $2,231.00 $1,896.35 $2,231.00 $2,231.00 $2,231.00 2026-07-31
32522590 LOCAL Hc Artelon Tissue Reinforcement 24 24 $2,229.00 $1,894.65 $2,229.00 $2,229.00 $2,229.00 2026-07-31
73700 CPT Hc CT Lower Ext Without Contrast Bi 72 24 $2,193.00 $1,864.05 $2,193.00 $2,193.00 $2,193.00 2026-07-31
72128 CPT Hc CT Thoracic Spine Without Contrast 24 24 $2,193.00 $1,864.05 $2,193.00 $2,193.00 $2,193.00 2026-07-31
70490 CPT Hc CT Neck Without Contrast 24 24 $2,193.00 $1,864.05 $2,193.00 $2,193.00 $2,193.00 2026-07-31
70480 CPT Hc CT Orbit Without Contrast 24 24 $2,193.00 $1,864.05 $2,193.00 $2,193.00 $2,193.00 2026-07-31
87901 CPT Hc HIV-1 Genotyping 24 24 $2,169.00 $1,843.65 $2,169.00 $2,169.00 $2,169.00 2026-07-31
73206 CPT Hc CTA-upper Extremity Bilateral 72 24 $2,165.00 $1,840.25 $2,165.00 $2,165.00 $2,165.00 2026-07-31
47610 CPT Hc Removal Of Gallbladder 48 24 $2,148.50 $1,826.22 $1,718.80 $2,578.20 $2,148.50 2026-07-31
73200 CPT Hc CT Upper Ext Without Contrast Bi 72 24 $2,129.00 $1,809.65 $2,129.00 $2,129.00 $2,129.00 2026-07-31
32522400 LOCAL Hc Aveta Flex Disposable Resecting Device 2.9 Mm 24 24 $2,125.00 $1,806.25 $2,125.00 $2,125.00 $2,125.00 2026-07-31
70390 CPT Hc Sialography 24 24 $2,119.00 $1,801.15 $2,119.00 $2,119.00 $2,119.00 2026-07-31
76946 CPT Hc U/s Amniocentesis Guidance 24 24 $2,104.00 $1,788.40 $2,104.00 $2,104.00 $2,104.00 2026-07-31
78582 CPT Hc Lung Ventilat&perfus Imaging 24 24 $2,104.00 $1,788.40 $2,104.00 $2,104.00 $2,104.00 2026-07-31
32522220 LOCAL Hc Ventralight Mesh 24 24 $2,104.00 $1,788.40 $2,104.00 $2,104.00 $2,104.00 2026-07-31
49083 CPT Hc Abd Paracentesis W/imaging 24 24 $2,100.00 $1,785.00 $2,100.00 $2,100.00 $2,100.00 2026-07-31
44160 CPT Hc Removal Of Colon 48 24 $2,094.00 $1,779.90 $1,675.20 $2,512.80 $2,094.00 2026-07-31
71275 CPT Hc CTA-chest 24 24 $2,084.00 $1,771.40 $2,084.00 $2,084.00 $2,084.00 2026-07-31
32503360 LOCAL Hc Biomet Dbm Putty 5cc 24 24 $2,069.00 $1,758.65 $2,069.00 $2,069.00 $2,069.00 2026-07-31
74415 CPT Hc X-ray-ivp With Tomo 24 24 $2,048.00 $1,740.80 $2,048.00 $2,048.00 $2,048.00 2026-07-31
58662 CPT Hc Laparoscopy Excise Lesions 48 24 $2,021.50 $1,718.27 $1,617.20 $2,425.80 $2,021.50 2026-07-31
77053 CPT Hc Mammo-ductogram Single 24 24 $2,019.00 $1,716.15 $2,019.00 $2,019.00 $2,019.00 2026-07-31
C8929 HCPCS Hc 2d&m-mode Wpectrl & Cfdp W/con 24 24 $2,005.00 $1,704.25 $2,005.00 $2,005.00 $2,005.00 2026-07-31
44010 CPT Hc Incision Of Small Bowel 48 24 $2,002.50 $1,702.12 $1,602.00 $2,403.00 $2,002.50 2026-07-31
64634 CPT Hc Destroy C/th Facet Jnt Addl In Or 24 24 $1,973.00 $1,677.05 $1,973.00 $1,973.00 $1,973.00 2026-07-31
64636 CPT Hc Destroy L/s Facet Jnt Addl Bilateral In Or 72 24 $1,973.00 $1,677.05 $1,973.00 $3,945.00 $1,973.00 2026-07-31
73040 CPT Hc Shoulder Arthrogram Bi 72 24 $1,952.00 $1,659.20 $1,952.00 $1,952.00 $1,952.00 2026-07-31
44120 CPT Hc Removal Of Small Intestine 48 24 $1,949.00 $1,656.65 $1,559.20 $2,338.80 $1,949.00 2026-07-31
70486 CPT Hc CT Face Without Contrast 24 24 $1,918.00 $1,630.30 $1,918.00 $1,918.00 $1,918.00 2026-07-31
44020 CPT Hc Explore Small Intestine 48 24 $1,913.50 $1,626.47 $1,530.80 $2,296.20 $1,913.50 2026-07-31
78306 CPT Hc Bone Scan - Whole Body 24 24 $1,891.00 $1,607.35 $1,891.00 $1,891.00 $1,891.00 2026-07-31
76810 CPT Hc U/s Maternity > 14 Wks Ea Add Gestation 24 24 $1,863.00 $1,583.55 $1,863.00 $1,863.00 $1,863.00 2026-07-31
76818 CPT Hc Fetal Biophysical Profile With Non-stress Testing 24 24 $1,854.00 $1,575.90 $1,854.00 $1,854.00 $1,854.00 2026-07-31
47600 CPT Hc Removal Of Gallbladder 48 24 $1,841.00 $1,564.85 $1,472.80 $2,209.20 $1,841.00 2026-07-31
64520 CPT Hc N Block Lumbar/thoracic In Or 24 24 $1,832.00 $1,557.20 $1,832.00 $1,832.00 $1,832.00 2026-07-31
64510 CPT Hc N Block Stellate Ganglion In Or 24 24 $1,832.00 $1,557.20 $1,832.00 $1,832.00 $1,832.00 2026-07-31
64490 CPT Hc Inj Paravert F Jnt C/t 1 Lev Bilateral In Or 72 24 $1,832.00 $1,557.20 $1,832.00 $3,665.00 $1,832.00 2026-07-31
64479 CPT Hc Inj Foramen Epidural C/t In Or 24 24 $1,832.00 $1,557.20 $1,832.00 $1,832.00 $1,832.00 2026-07-31
64483 CPT Hc Inj Foramen Epidural L/s Bilateral In Or 72 24 $1,832.00 $1,557.20 $1,832.00 $3,665.00 $1,832.00 2026-07-31
64415 CPT Hc N Block Inj Brachial Plexus In Or 24 24 $1,832.00 $1,557.20 $1,832.00 $1,832.00 $1,832.00 2026-07-31
64640 CPT Hc Injection Treatment Of Nerve In Or 24 24 $1,832.00 $1,557.20 $1,832.00 $1,832.00 $1,832.00 2026-07-31
64530 CPT Hc N Block Inj Celiac Pelus In Or 24 24 $1,832.00 $1,557.20 $1,832.00 $1,832.00 $1,832.00 2026-07-31
71250 CPT Hc CT Chest Without Contrast 24 24 $1,830.00 $1,555.50 $1,830.00 $1,830.00 $1,830.00 2026-07-31
32503810 LOCAL Hc Arthrex Biocartelige 1cc 24 24 $1,828.00 $1,553.80 $1,828.00 $1,828.00 $1,828.00 2026-07-31
86609 CPT Hc Strep Pneumo Ab 23 Seroty 24 24 $1,824.00 $1,550.40 $1,824.00 $1,824.00 $1,824.00 2026-07-31
74400 CPT Hc Ivp 24 24 $1,815.00 $1,542.75 $1,815.00 $1,815.00 $1,815.00 2026-07-31
47605 CPT Hc Removal Of Gallbladder 48 24 $1,805.00 $1,534.25 $1,444.00 $2,166.00 $1,805.00 2026-07-31
44626 CPT Hc Repair Bowel Opening 48 24 $1,805.00 $1,534.25 $1,444.00 $2,166.00 $1,805.00 2026-07-31
58150 CPT Hc Total Hysterectomy 48 24 $1,805.00 $1,534.25 $1,444.00 $2,166.00 $1,805.00 2026-07-31
58660 CPT Hc Laparoscopy Lysis 48 24 $1,805.00 $1,534.25 $1,444.00 $2,166.00 $1,805.00 2026-07-31
44603 CPT Hc Suture Small Intestine 48 24 $1,805.00 $1,534.25 $1,444.00 $2,166.00 $1,805.00 2026-07-31
47563 CPT Hc Laparo Cholecystectomy/graph 48 24 $1,805.00 $1,534.25 $1,444.00 $2,166.00 $1,805.00 2026-07-31
58550 CPT Hc Laparo-asst Vag Hysterectomy 48 24 $1,805.00 $1,534.25 $1,444.00 $2,166.00 $1,805.00 2026-07-31
72125 CPT Hc CT Cervical Spine Without Contrast 24 24 $1,787.00 $1,518.95 $1,787.00 $1,787.00 $1,787.00 2026-07-31
78305 CPT Hc Bone Scan - Multiple Areas 24 24 $1,783.00 $1,515.55 $1,783.00 $1,783.00 $1,783.00 2026-07-31
32503820 LOCAL Hc Dermaclose 24 24 $1,770.00 $1,504.50 $1,770.00 $1,770.00 $1,770.00 2026-07-31
1216000 LOCAL Hc Recovery Phase 1 Initial Hour 24 24 $1,755.00 $1,491.75 $1,755.00 $1,755.00 $1,755.00 2026-07-31
62320 CPT Hc Njx Interlaminar Crv/thrc In Or 24 24 $1,746.00 $1,484.10 $1,746.00 $1,746.00 $1,746.00 2026-07-31
58661 CPT Hc Laparoscopy Remove Adnexa 48 24 $1,733.50 $1,473.47 $1,386.80 $2,080.20 $1,733.50 2026-07-31
78278 CPT Hc Gi Bleeding 24 24 $1,727.00 $1,467.95 $1,727.00 $1,727.00 $1,727.00 2026-07-31
78264 CPT Hc Gastric Emptying 24 24 $1,727.00 $1,467.95 $1,727.00 $1,727.00 $1,727.00 2026-07-31
74280 CPT Hc X-ray-colon Double Contrast 24 24 $1,717.00 $1,459.45 $1,717.00 $1,717.00 $1,717.00 2026-07-31
49020 CPT Hc Drainage Abdom Abscess Open 48 24 $1,696.50 $1,442.03 $1,357.20 $2,035.80 $1,696.50 2026-07-31
47562 CPT Hc Laparoscopic Cholecystectomy 48 24 $1,696.50 $1,442.03 $1,357.20 $2,035.80 $1,696.50 2026-07-31
76700 CPT Hc U/s Abdomen Complete 24 24 $1,689.00 $1,435.65 $1,689.00 $1,689.00 $1,689.00 2026-07-31
93970 CPT Hc U/s Venous Imaging Lwr Ext Bil 24 24 $1,683.00 $1,430.55 $1,683.00 $1,683.00 $1,683.00 2026-07-31
19281 CPT Hc Plcmt Breast Dev First Les With Mammo Guid 48 24 $1,674.50 $1,423.32 $767.00 $2,582.00 $1,674.50 2026-07-31
54640 CPT Hc Suspension Of Testis 48 24 $1,661.50 $1,412.28 $1,329.20 $1,993.80 $1,661.50 2026-07-31
58260 CPT Hc Vaginal Hysterectomy 48 24 $1,661.50 $1,412.28 $1,329.20 $1,993.80 $1,661.50 2026-07-31
44050 CPT Hc Reduce Bowel Obstruction 48 24 $1,661.50 $1,412.28 $1,329.20 $1,993.80 $1,661.50 2026-07-31
72265 CPT Hc Lumbosacral Myelogram 24 24 $1,649.00 $1,401.65 $1,649.00 $1,649.00 $1,649.00 2026-07-31
72193 CPT Hc CT Pelvis W/contrast 24 24 $1,647.00 $1,399.95 $1,647.00 $1,647.00 $1,647.00 2026-07-31
74170 CPT Hc CT Abdomen W/wo Contrast 24 24 $1,647.00 $1,399.95 $1,647.00 $1,647.00 $1,647.00 2026-07-31
72192 CPT Hc CT Pelvis Without Contrast 24 24 $1,647.00 $1,399.95 $1,647.00 $1,647.00 $1,647.00 2026-07-31
72194 CPT Hc CT Pelvis W/wo Contrast 24 24 $1,647.00 $1,399.95 $1,647.00 $1,647.00 $1,647.00 2026-07-31
74160 CPT Hc CT Abdomen W Contrast 24 24 $1,647.00 $1,399.95 $1,647.00 $1,647.00 $1,647.00 2026-07-31
74150 CPT Hc CT Abdomen Without Contrast 24 24 $1,647.00 $1,399.95 $1,647.00 $1,647.00 $1,647.00 2026-07-31
1201002 LOCAL Hc Or General Lvl 1 Ea Add 30 Min 24 24 $1,645.00 $1,398.25 $1,645.00 $1,645.00 $1,645.00 2026-07-31
1207901 LOCAL Hc Or Endoscopy Ea Add 15 Mins 24 24 $1,645.00 $1,398.25 $1,645.00 $1,645.00 $1,645.00 2026-07-31
1201000 LOCAL Hc Or Minor Proced Level 1 Initial 30 Min 24 24 $1,645.00 $1,398.25 $1,645.00 $1,645.00 $1,645.00 2026-07-31
1201026 LOCAL Hc Or Ortho Level 1 Ea Add 30 Min 24 24 $1,645.00 $1,398.25 $1,645.00 $1,645.00 $1,645.00 2026-07-31
32503790 LOCAL Hc Wright Medical Osteoset Beads Kit 24 24 $1,634.00 $1,388.90 $1,634.00 $1,634.00 $1,634.00 2026-07-31
58720 CPT Hc Removal Of Ovary/tube(s) 48 24 $1,625.00 $1,381.25 $1,300.00 $1,950.00 $1,625.00 2026-07-31
44005 CPT Hc Freeing Of Bowel Adhesion 48 24 $1,625.00 $1,381.25 $1,300.00 $1,950.00 $1,625.00 2026-07-31
83727 CPT Hc Gonadotropin 24 24 $1,611.00 $1,369.35 $1,611.00 $1,611.00 $1,611.00 2026-07-31
76812 CPT Hc U/s Maternity Level Iii Ea Add Gestation 24 24 $1,598.00 $1,358.30 $1,598.00 $1,598.00 $1,598.00 2026-07-31
70450 CPT Hc CT Head Attn Face Without Con 24 24 $1,595.00 $1,355.75 $1,595.00 $1,595.00 $1,595.00 2026-07-31
64445 CPT Hc Cont Sciatic Nerve Block 24 24 $1,594.00 $1,354.90 $1,594.00 $1,594.00 $1,594.00 2026-07-31
76811 CPT Hc U/s Maternity Level Iii Initial Gestation 24 24 $1,592.00 $1,353.20 $1,592.00 $1,592.00 $1,592.00 2026-07-31
10010052 LOCAL Hc Intensive Care Level 1 24 24 $1,591.00 $1,352.35 $1,591.00 $1,591.00 $1,591.00 2026-07-31
44180 CPT Hc Lap Enterolysis 48 24 $1,588.50 $1,350.22 $1,270.80 $1,906.20 $1,588.50 2026-07-31
93306 CPT Hc 2d&m-mode W/spctrl & Cf Dplr 24 24 $1,587.00 $1,348.95 $1,587.00 $1,587.00 $1,587.00 2026-07-31
76942 CPT Hc Echo Guide For Biopsy 48 24 $1,575.50 $1,339.18 $147.00 $3,004.00 $1,575.50 2026-07-31
32590000 LOCAL Hc Gore Bio A Fistula Plug 24 24 $1,571.00 $1,335.35 $1,571.00 $1,571.00 $1,571.00 2026-07-31
78472 CPT Hc Gated Heart Study-single Study 24 24 $1,566.00 $1,331.10 $1,566.00 $1,566.00 $1,566.00 2026-07-31
32599902 LOCAL Hc Aveta Sm Disposable Resecting Device 2.9 Mm 24 24 $1,563.00 $1,328.55 $1,563.00 $1,563.00 $1,563.00 2026-07-31
32503020 LOCAL Hc Align Sling Bard 24 24 $1,548.00 $1,315.80 $1,548.00 $1,548.00 $1,548.00 2026-07-31
76770 CPT Hc U/s Retroperitoneal Complete 24 24 $1,532.00 $1,302.20 $1,532.00 $1,532.00 $1,532.00 2026-07-31
78215 CPT Hc Liver Spleen Scan 24 24 $1,530.00 $1,300.50 $1,530.00 $1,530.00 $1,530.00 2026-07-31
19300 CPT Hc Removal Of Breast Tissue 48 24 $1,518.00 $1,290.30 $1,214.40 $1,821.60 $1,518.00 2026-07-31
58925 CPT Hc Removal Of Ovarian Cyst(s) 48 24 $1,517.50 $1,289.88 $1,214.00 $1,821.00 $1,517.50 2026-07-31
58670 CPT Hc Laparoscopy Tubal Cautery 48 24 $1,517.50 $1,289.88 $1,214.00 $1,821.00 $1,517.50 2026-07-31
44604 CPT Hc Suture Large Intestine 48 24 $1,517.50 $1,289.88 $1,214.00 $1,821.00 $1,517.50 2026-07-31
59514 CPT Hc Cesarean Delivery Only 48 24 $1,517.50 $1,289.88 $1,214.00 $1,821.00 $1,517.50 2026-07-31
38740 CPT Hc Remove Armpit Lymph Nodes 48 24 $1,517.50 $1,289.88 $1,214.00 $1,821.00 $1,517.50 2026-07-31
78803 CPT Hc Bone Imaging (spect) 48 24 $1,482.50 $1,260.12 $505.00 $2,460.00 $1,482.50 2026-07-31
76815 CPT Hc U/s Maternity Limited 1 Or More Fetus(s) 24 24 $1,482.00 $1,259.70 $1,482.00 $1,482.00 $1,482.00 2026-07-31
76856 CPT Hc U/s Pelvic 24 24 $1,482.00 $1,259.70 $1,482.00 $1,482.00 $1,482.00 2026-07-31
77075 CPT Hc X-ray-osseous Survey Complete 24 24 $1,475.00 $1,253.75 $1,475.00 $1,475.00 $1,475.00 2026-07-31
78014 CPT Hc Thyroid Uptake & Scan W/bld Fl 24 24 $1,458.00 $1,239.30 $1,458.00 $1,458.00 $1,458.00 2026-07-31
62323 CPT Hc Njx Interlaminar Lmbr/sac In Or 24 24 $1,455.00 $1,236.75 $1,455.00 $1,455.00 $1,455.00 2026-07-31
62322 CPT Hc Njx Interlaminar Lmbr/sac In Or 24 24 $1,455.00 $1,236.75 $1,455.00 $1,455.00 $1,455.00 2026-07-31
64418 CPT Hc N Block Inj Suprascapular In Or 24 24 $1,455.00 $1,236.75 $1,455.00 $1,455.00 $1,455.00 2026-07-31
64642 CPT Hc Chemodenerv 1 Extremity 1-4 In Clinic 24 24 $1,455.00 $1,236.75 $1,455.00 $1,455.00 $1,455.00 2026-07-31
64447 CPT Hc Femoral Block 24 24 $1,455.00 $1,236.75 $1,455.00 $1,455.00 $1,455.00 2026-07-31
64646 CPT Hc Chemodenerv Trunk Musc 1-5 In Clinic 24 24 $1,455.00 $1,236.75 $1,455.00 $1,455.00 $1,455.00 2026-07-31
64450 CPT Hc N Block Other Peripheral In Clinic 24 24 $1,455.00 $1,236.75 $1,455.00 $1,455.00 $1,455.00 2026-07-31
58700 CPT Hc Removal Of Fallopian Tube 48 24 $1,444.00 $1,227.40 $1,155.20 $1,732.80 $1,444.00 2026-07-31
22999 CPT Hc Unlisted Procedure 24 24 $1,442.00 $1,225.70 $1,442.00 $1,442.00 $1,442.00 2026-07-31
76802 CPT Hc U/s Maternity < 14 Wks Ea Add Gestation 24 24 $1,430.00 $1,215.50 $1,430.00 $1,430.00 $1,430.00 2026-07-31
49060 CPT Hc Drain Open Retroperi Abscess 48 24 $1,426.00 $1,212.10 $1,140.80 $1,711.20 $1,426.00 2026-07-31
78708 CPT Hc Renal Flow With Intervention 24 24 $1,425.00 $1,211.25 $1,425.00 $1,425.00 $1,425.00 2026-07-31
32503150 LOCAL Hc Zimmer Plates 24 24 $1,423.00 $1,209.55 $1,423.00 $1,423.00 $1,423.00 2026-07-31
32503410 LOCAL Hc Phaco Tech 3-10 24 24 $1,411.00 $1,199.35 $1,411.00 $1,411.00 $1,411.00 2026-07-31
64451 CPT Hc Injection Aa&/strd Nerves Nrvtg Si Joint W/img Bil 72 24 $1,407.00 $1,195.95 $1,407.00 $2,814.00 $1,407.00 2026-07-31
64454 CPT Hc Injection Aa&/strd Genicular Nrv Branches W/img Bil 72 24 $1,407.00 $1,195.95 $1,407.00 $2,814.00 $1,407.00 2026-07-31
76801 CPT Hc U/s Maternity < 14 Weeks Initial Gestation 24 24 $1,390.00 $1,181.50 $1,390.00 $1,390.00 $1,390.00 2026-07-31
43840 CPT Hc Repair Of Stomach Lesion 48 24 $1,389.00 $1,180.65 $1,111.20 $1,666.80 $1,389.00 2026-07-31
32522560 LOCAL Hc Covidien Sonicision Handpiece 24 24 $1,372.00 $1,166.20 $1,372.00 $1,372.00 $1,372.00 2026-07-31
32122050 LOCAL Hc Faslata Tissue Graft 4x7 24 24 $1,367.00 $1,161.95 $1,367.00 $1,367.00 $1,367.00 2026-07-31
32520270 LOCAL Hc Roticulator 55 Poly 24 24 $1,358.00 $1,154.30 $1,358.00 $1,358.00 $1,358.00 2026-07-31
57260 CPT Hc Repair Of Vagina 48 24 $1,354.00 $1,150.90 $1,083.20 $1,624.80 $1,354.00 2026-07-31
32503400 LOCAL Hc Holmium Laser Tech 24 24 $1,353.00 $1,150.05 $1,353.00 $1,353.00 $1,353.00 2026-07-31
36561 CPT Hc Insert Tunneled Cv Cath 48 24 $1,336.00 $1,135.60 $1,068.80 $1,603.20 $1,336.00 2026-07-31
74420 CPT Hc Retrograde Pylogram 24 24 $1,329.00 $1,129.65 $1,329.00 $1,329.00 $1,329.00 2026-07-31
93880 CPT Hc U/s Carotid Doppler Bilateral 24 24 $1,323.00 $1,124.55 $1,323.00 $1,323.00 $1,323.00 2026-07-31
76805 CPT Hc U/s Maternity > 14 Weeks Initial Gestation 24 24 $1,317.00 $1,119.45 $1,317.00 $1,317.00 $1,317.00 2026-07-31
32503420 LOCAL Hc Phaco Tech 11+ 24 24 $1,302.00 $1,106.70 $1,302.00 $1,302.00 $1,302.00 2026-07-31
58353 CPT Hc Endometr Ablate Thermal 48 24 $1,300.00 $1,105.00 $1,040.00 $1,560.00 $1,300.00 2026-07-31
58940 CPT Hc Removal Of Ovary(s) 48 24 $1,300.00 $1,105.00 $1,040.00 $1,560.00 $1,300.00 2026-07-31
78701 CPT Hc Kidney Imaging Morphology With Flow 24 24 $1,300.00 $1,105.00 $1,300.00 $1,300.00 $1,300.00 2026-07-31
44110 CPT Hc Excise Intestine Lesion(s) 48 24 $1,300.00 $1,105.00 $1,040.00 $1,560.00 $1,300.00 2026-07-31
19304 HCPCS Hc Mast Subq 48 24 $1,299.50 $1,104.58 $1,039.60 $1,559.40 $1,299.50 2026-07-31
74300 CPT Hc X-ray-surgical Cholangiogram 24 24 $1,285.00 $1,092.25 $1,285.00 $1,285.00 $1,285.00 2026-07-31
32525450 LOCAL Hc Ligasure Maryland 24 24 $1,285.00 $1,092.25 $1,285.00 $1,285.00 $1,285.00 2026-07-31
74246 CPT Hc X-ray Upper Gi Double Contrast Without Kub 24 24 $1,281.00 $1,088.85 $1,281.00 $1,281.00 $1,281.00 2026-07-31
78761 CPT Hc Testicular Scan 24 24 $1,278.00 $1,086.30 $1,278.00 $1,278.00 $1,278.00 2026-07-31
78290 CPT Hc Meckles Scan 24 24 $1,275.00 $1,083.75 $1,275.00 $1,275.00 $1,275.00 2026-07-31
32500520 LOCAL Hc Serfas 50-s 24 24 $1,271.00 $1,080.35 $1,271.00 $1,271.00 $1,271.00 2026-07-31
59426 CPT Hc Antepartum Care Only 48 24 $1,270.00 $1,079.50 $1,016.00 $1,524.00 $1,270.00 2026-07-31
59410 CPT Hc Obstetrical Care 48 24 $1,264.00 $1,074.40 $1,011.20 $1,516.80 $1,264.00 2026-07-31
44320 CPT Hc Colostomy 48 24 $1,264.00 $1,074.40 $1,011.20 $1,516.80 $1,264.00 2026-07-31
76830 CPT Hc U/s Transvaginal Non-maternity 24 24 $1,260.00 $1,071.00 $1,260.00 $1,260.00 $1,260.00 2026-07-31
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