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

HOCKING VALLEY COMMUNITY HOSPITAL

Logan, OH · CCN 361330 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC Echo Complete W/ Doppler W/O Contrast

This hospital’s price: $1,761 across 34 payers · range $536-$2,221

Source: https://www.hvch.org/wp-content/uploads/2026/08/310733259_hocking_valley_standardcharges.csv · observed 2026-08-24

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.

1,448 distinct procedures filed
34 distinct payers
110,944 rate rows
2026-08-24 last MRF observed
Data quality

110,551 of 110,944 rate rows are consumer-grade (99.6%)

393 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
percent-of-charges filed in the dollar field — excluded from medians 229
per-diem day rate — not a per-procedure price 117
exceeds 10× this hospital's gross charge — excluded from medians 25
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 15
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hvch.org/wp-content/uploads/2026/08/310733259_hocking_valley_standardcharges.csv
Found on page https://www.hvch.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-23
Content fingerprint df0fdff9fb77dd15… · 5,482,437 bytes · first seen 2026-08-24

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
63685
CPT 		Hc Cch Insert/Replace Spinal Neurostim Pulse Gen/Receiver With Pocket Creation & E… 34 $1,985.00 $83,907.66 $66,501.02 nat. median
$20,965
outlier · 3.2×
64590
CPT 		Hc Cch Insert/Replace Periph/Sacral/Gastric Neurostim Pulse Gen/Receivr W Pocket… 34 $1,985.00 $83,907.66 $66,501.02 nat. median
$17,881
outlier · 3.7×
62362
CPT 		Hc Cch Implant/Replace Drug Infusion Device Prog Pump W/without Prog 34 $1,985.00 $48,465.54 $38,411.36 nat. median
$16,427
outlier · 2.3×
63655
CPT 		Hc Cch Implant Neurostimulator Electrodes Laminectomy Epidural 33 $8,320.90 $32,304.29 $25,602.77 nat. median
$18,196
1.4× median
63663
CPT 		Hc Cch Revision Includes Replacement Of Spinal Neurostimulator Electrode Perc Ar… 33 $4,681.41 $18,174.68 $14,404.34 nat. median
$6,655
outlier · 2.2×
64555
CPT 		Hc Implant Neurostimulator Electrodes Percutaneous Peripheral Nerve 34 $4,590.83 $17,823.01 $14,125.63 nat. median
$6,845
outlier · 2.1×
63650
CPT 		Hc Implant Neurostimulator Electrodes Percutaneous Epidural 34 $1,985.00 $17,823.01 $14,125.63 nat. median
$7,279
1.9× median
62350
CPT 		Hc Cch Implant/Revise Epidural Cath Via External Or Implantable Pump 34 $1,985.00 $12,880.32 $10,208.30 nat. median
$6,397
1.6× median
62365
CPT 		Hc Cch Removalsubcutaneous Pump 34 $1,985.00 $12,880.24 $10,208.23 nat. median
$5,626
1.8× median
52240
CPT 		Hc Cystourethroscopy With Fulguration Large Bladder Tumor 33 $2,854.25 $11,081.07 $8,782.30 nat. median
$4,969
1.8× median
15277
CPT 		Hc Apply High Cost Skin Substitute (Face/Ne/Hnd/Ft/Gen) Tot Wnd >100 Sq Cm First… 34 $1,985.00 $9,623.65 $7,627.22 nat. median
$2,073
outlier · 3.7×
15273
CPT 		Hc Apply High Cost Skin Substitute (Trunk/Arm/Leg) Area >100 Sq Cm First 100 Sq… 34 $1,985.00 $9,623.65 $7,627.22 nat. median
$3,108
outlier · 2.5×
63688
CPT 		Hc Cch Revision/Removal Spinal Neurostim Pulse Gen/Receiver With Detachable Electr… 34 $1,676.00 $8,346.67 $6,615.15 nat. median
$3,651
1.8× median
52601
CPT 		Hc Cch Transurethral Electrosurgical Resection Prostate 33 $2,090.64 $8,116.52 $6,432.74 nat. median
$5,338
1.2× median
55866
CPT 		Hc Cch Laparoscopy Surgical Radical Prostatectomy 33 $1,916.04 $7,438.66 $5,895.51 nat. median
$10,499
0.6× median
50240
CPT 		Hc Cch Nephrectomy Partial 33 $1,754.89 $6,813.01 $5,399.65 nat. median
$3,086
1.7× median
50230
CPT 		Hc Cch Nephrectomy Radical Incl Rib Resection Open 33 $1,701.16 $6,604.44 $5,234.34 nat. median
$2,951
1.8× median
52648
CPT 		Hc Cch Laser Vaporization Prosate 34 $1,691.57 $6,567.20 $5,204.83 nat. median
$5,520
0.9× median
50544
CPT 		Hc Cch Laparoscopy Surgical Pyeloplasty 33 $1,653.85 $6,420.75 $5,088.77 nat. median
$10,296
outlier · 0.5×
52317
CPT 		Hc Litholapaxy Simple < 2.5 Cm 34 $1,554.07 $6,033.37 $4,781.74 nat. median
$3,647
1.3× median
50590
CPT 		Hc Lithotripsy 33 $1,278.00 $5,963.89 $4,726.68 nat. median
$4,382
1.1× median
53415
CPT 		Hc Cch Urethroplasty Transpubic/Perineal 1 Stage Reconstruction 33 $1,498.78 $5,818.72 $4,611.62 nat. median
$3,846
1.2× median
50543
CPT 		Hc Cch Laparoscopy Surgical Partial Nephrectomy 33 $1,430.65 $5,554.24 $4,402.01 nat. median
$10,465
outlier · 0.4×
54161
CPT 		Hc Circumcision Surgical Excision > 28 Days Old 34 $1,414.97 $5,493.34 $4,353.74 nat. median
$2,287
1.9× median
74178
CPT 		Hc CT Abdomen & Pelvis With & Without Contrast 34 $1,400.66 $5,279.41 $4,288.17 nat. median
$1,024
outlier · 4.2×
63661
CPT 		Hc Cch Removal Spinal Neurostimulator Electrode Perc Array Includes Fluoro 34 $1,339.89 $5,201.85 $4,122.73 nat. median
$2,386
1.7× median
64635
CPT 		Hc Destruction By Neurolytic Agent (Rfa) Lumbar/Sacral Paravert Joint Nerve Sing… 34 $888.00 $5,201.85 $4,122.73 nat. median
$2,392
1.7× median
64633
CPT 		Hc Destruction By Neurolytic Agent (Rfa) Cervical/Thoracic Paravert Joint Nerve… 34 $162.00 $5,201.85 $4,122.73 nat. median
$2,325
1.8× median
50548
CPT 		Hc Cch Laparoscopy Surgical Nephrectomy With Total Ureterectomy 33 $1,296.59 $5,033.77 $3,989.51 nat. median
$3,716
1.1× median
50545
CPT 		Hc Cch Laparoscopy Surgical Radical Nephrectomy 33 $1,288.99 $5,004.25 $3,966.12 nat. median
$3,648
1.1× median
57240
CPT 		Hc Cch Anterior Colporrhaphy With Repair Cystocele 33 $1,279.07 $4,965.75 $3,935.60 nat. median
$4,845
0.8× median
57425
CPT 		Hc Cch Laparoscopy Surgical Colpopexy 33 $1,268.33 $4,924.04 $3,902.54 nat. median
$9,841
outlier · 0.4×
64722
CPT 		Hc Cch Decompress Nerve(S) 34 $1,249.31 $4,850.22 $3,844.04 nat. median
$2,235
1.7× median
62355
CPT 		Hc Cch Removal Previously Implanted Intrathecal Or Epidural Catheter 34 $1,249.31 $4,850.22 $3,844.04 nat. median
$2,137
1.8× median
62292
CPT 		Hc Cch Injection Into Disk Lesion 33 $1,249.29 $4,850.14 $3,843.98 nat. median
$2,250
1.7× median
45386
CPT 		Hc Colonoscopy Flexible With Transendoscopic Balloon Dilation 33 $1,246.25 $4,838.34 $3,834.62 nat. median
$1,638
outlier · 2.3×
52235
CPT 		Hc Cystourethroscopy With Fulguration Medium Bladder Tumor (2.0-5.0 Cm) 33 $1,152.45 $4,900.00 $3,716.32 nat. median
$3,618
1.0× median
27614
CPT 		Hc Cch Deep Soft Tiss Bx Leg/Ankle 33 $1,205.99 $4,682.01 $3,710.73 nat. median
$2,952
1.3× median
52356
CPT 		Hc Cch Cystourethroscopy With Ureteroscopy And/or Pyeloscopy With Lithotripsy 33 $1,193.06 $4,631.82 $3,670.95 nat. median
$5,616
0.7× median
50080
CPT 		Hc Percutaneous Nephrolithotomy Or Pyelolithotomy Simple Incl Imaging Guidance 33 $1,153.09 $4,476.64 $3,547.96 nat. median
$8,994
outlier · 0.4×
72285
CPT 		Hc Discography Cervical Thoracic 34 $237.00 $4,309.35 $3,500.25 nat. median
$1,968
1.8× median
72295
CPT 		Hc Discography Lumbar 34 $237.00 $4,309.35 $3,500.25 nat. median
$2,039
1.7× median
43250
CPT 		Hc Egd Flexible Transoral With Removal Tumor Polyp Lesion By Hot Bx Forcep 33 $1,132.84 $4,398.03 $3,485.66 nat. median
$2,044
1.7× median
74174
CPT 		Hc CTA Abdomen And Pelvis With Contrast And Postprocessing 34 $1,107.68 $4,175.11 $3,391.21 nat. median
$988
outlier · 3.4×
15275
CPT 		Hc Apply High Cost Skin Substitute (Face/Ne/Hnd/Ft/Gen) Tot Wnd <100 Sq Cm First… 33 $1,084.49 $4,210.33 $3,336.90 nat. median
$1,713
1.9× median
54405
CPT 		Hc Cch Insertion Multicomponent Penile Prosthesis 33 $1,071.88 $4,161.35 $3,298.08 nat. median
$18,548
outlier · 0.2×
52276
CPT 		Hc Cystourethroscopy With Direct Vision Urethrotomy 34 $1,045.96 $4,060.76 $3,258.34 nat. median
$2,367
1.4× median
55040
CPT 		Hc Cch Excision Hydrocele Unilateral 34 $1,053.96 $4,861.00 $3,242.95 nat. median
$3,679
0.9× median
57270
CPT 		Hc Cch Repair Enterocele Abdominal Approach 33 $1,048.00 $4,068.65 $3,224.61 nat. median
$2,535
1.3× median
53445
CPT 		Hc Cch Insertion Urethral/Bladder Neck Sphincter 33 $997.97 $3,874.43 $3,070.68 nat. median
$16,031
outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 1,448 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
63685 CPT Hc Cch Insert/Replace Spinal Neurostim Pulse Gen/Receiver With Pocket Creation & E… 69 34 $83,126.27 $83,126.27 $1,985.00 $83,907.66 $66,501.02 2026-08-24
64590 CPT Hc Cch Insert/Replace Periph/Sacral/Gastric Neurostim Pulse Gen/Receivr W Pocket… 69 34 $83,126.27 $83,126.27 $1,985.00 $83,907.66 $66,501.02 2026-08-24
62362 CPT Hc Cch Implant/Replace Drug Infusion Device Prog Pump W/without Prog 69 34 $48,014.20 $48,014.20 $1,985.00 $48,465.54 $38,411.36 2026-08-24
63655 CPT Hc Cch Implant Neurostimulator Electrodes Laminectomy Epidural 68 33 $32,003.46 $32,003.46 $8,320.90 $32,304.29 $25,602.77 2026-08-24
63663 CPT Hc Cch Revision Includes Replacement Of Spinal Neurostimulator Electrode Perc Ar… 68 33 $18,005.43 $18,005.43 $4,681.41 $18,174.68 $14,404.34 2026-08-24
63650 CPT Hc Implant Neurostimulator Electrodes Percutaneous Epidural 70 34 $17,657.04 $17,657.04 $1,985.00 $17,823.01 $14,125.63 2026-08-24
64555 CPT Hc Implant Neurostimulator Electrodes Percutaneous Peripheral Nerve 69 34 $17,657.04 $17,657.04 $4,590.83 $17,823.01 $14,125.63 2026-08-24
62350 CPT Hc Cch Implant/Revise Epidural Cath Via External Or Implantable Pump 70 34 $12,760.37 $12,760.37 $1,985.00 $12,880.32 $10,208.30 2026-08-24
62365 CPT Hc Cch Removalsubcutaneous Pump 70 34 $12,760.29 $12,760.29 $1,985.00 $12,880.24 $10,208.23 2026-08-24
52240 CPT Hc Cystourethroscopy With Fulguration Large Bladder Tumor 68 33 $10,977.87 $10,977.87 $2,854.25 $11,081.07 $8,782.30 2026-08-24
15277 CPT Hc Apply High Cost Skin Substitute (Face/Ne/Hnd/Ft/Gen) Tot Wnd >100 Sq Cm First… 70 34 $9,534.03 $9,534.03 $1,985.00 $9,623.65 $7,627.22 2026-08-24
15273 CPT Hc Apply High Cost Skin Substitute (Trunk/Arm/Leg) Area >100 Sq Cm First 100 Sq … 70 34 $9,534.03 $9,534.03 $1,985.00 $9,623.65 $7,627.22 2026-08-24
63688 CPT Hc Cch Revision/Removal Spinal Neurostim Pulse Gen/Receiver With Detachable Electr… 70 34 $8,268.94 $8,268.94 $1,676.00 $8,346.67 $6,615.15 2026-08-24
52601 CPT Hc Cch Transurethral Electrosurgical Resection Prostate 68 33 $8,040.93 $8,040.93 $2,090.64 $8,116.52 $6,432.74 2026-08-24
55866 CPT Hc Cch Laparoscopy Surgical Radical Prostatectomy 68 33 $7,369.39 $7,369.39 $1,916.04 $7,438.66 $5,895.51 2026-08-24
50240 CPT Hc Cch Nephrectomy Partial 68 33 $6,749.56 $6,749.56 $1,754.89 $6,813.01 $5,399.65 2026-08-24
50230 CPT Hc Cch Nephrectomy Radical Incl Rib Resection Open 68 33 $6,542.93 $6,542.93 $1,701.16 $6,604.44 $5,234.34 2026-08-24
52648 CPT Hc Cch Laser Vaporization Prosate 69 34 $6,506.04 $6,506.04 $1,691.57 $6,567.20 $5,204.83 2026-08-24
50544 CPT Hc Cch Laparoscopy Surgical Pyeloplasty 68 33 $6,360.96 $6,360.96 $1,653.85 $6,420.75 $5,088.77 2026-08-24
52317 CPT Hc Litholapaxy Simple < 2.5 Cm 70 34 $5,977.18 $5,977.18 $1,554.07 $6,033.37 $4,781.74 2026-08-24
50590 CPT Hc Lithotripsy 68 33 $5,908.35 $5,908.35 $1,278.00 $5,963.89 $4,726.68 2026-08-24
53415 CPT Hc Cch Urethroplasty Transpubic/Perineal 1 Stage Reconstruction 68 33 $5,764.53 $5,764.53 $1,498.78 $5,818.72 $4,611.62 2026-08-24
50543 CPT Hc Cch Laparoscopy Surgical Partial Nephrectomy 68 33 $5,502.51 $5,502.51 $1,430.65 $5,554.24 $4,402.01 2026-08-24
54161 CPT Hc Circumcision Surgical Excision > 28 Days Old 70 34 $5,442.18 $5,442.18 $1,414.97 $5,493.34 $4,353.74 2026-08-24
74178 CPT Hc CT Abdomen & Pelvis With & Without Contrast 70 34 $5,387.15 $5,387.15 $1,400.66 $5,279.41 $4,288.17 2026-08-24
64633 CPT Hc Destruction By Neurolytic Agent (Rfa) Cervical/Thoracic Paravert Joint Nerve … 70 34 $5,153.41 $5,153.41 $162.00 $5,201.85 $4,122.73 2026-08-24
63661 CPT Hc Cch Removal Spinal Neurostimulator Electrode Perc Array Includes Fluoro 70 34 $5,153.41 $5,153.41 $1,339.89 $5,201.85 $4,122.73 2026-08-24
64635 CPT Hc Destruction By Neurolytic Agent (Rfa) Lumbar/Sacral Paravert Joint Nerve Sing… 70 34 $5,153.41 $5,153.41 $888.00 $5,201.85 $4,122.73 2026-08-24
50548 CPT Hc Cch Laparoscopy Surgical Nephrectomy With Total Ureterectomy 68 33 $4,986.89 $4,986.89 $1,296.59 $5,033.77 $3,989.51 2026-08-24
50545 CPT Hc Cch Laparoscopy Surgical Radical Nephrectomy 68 33 $4,957.65 $4,957.65 $1,288.99 $5,004.25 $3,966.12 2026-08-24
57240 CPT Hc Cch Anterior Colporrhaphy With Repair Cystocele 68 33 $4,919.50 $4,919.50 $1,279.07 $4,965.75 $3,935.60 2026-08-24
57425 CPT Hc Cch Laparoscopy Surgical Colpopexy 68 33 $4,878.18 $4,878.18 $1,268.33 $4,924.04 $3,902.54 2026-08-24
64722 CPT Hc Cch Decompress Nerve(S) 70 34 $4,805.05 $4,805.05 $1,249.31 $4,850.22 $3,844.04 2026-08-24
62355 CPT Hc Cch Removal Previously Implanted Intrathecal Or Epidural Catheter 70 34 $4,805.05 $4,805.05 $1,249.31 $4,850.22 $3,844.04 2026-08-24
62292 CPT Hc Cch Injection Into Disk Lesion 68 33 $4,804.97 $4,804.97 $1,249.29 $4,850.14 $3,843.98 2026-08-24
45386 CPT Hc Colonoscopy Flexible With Transendoscopic Balloon Dilation 68 33 $4,793.28 $4,793.28 $1,246.25 $4,838.34 $3,834.62 2026-08-24
52235 CPT Hc Cystourethroscopy With Fulguration Medium Bladder Tumor (2.0-5.0 Cm) 68 33 $4,432.50 $4,432.50 $1,152.45 $4,900.00 $3,716.32 2026-08-24
27614 CPT Hc Cch Deep Soft Tiss Bx Leg/Ankle 68 33 $4,638.41 $4,638.41 $1,205.99 $4,682.01 $3,710.73 2026-08-24
52356 CPT Hc Cch Cystourethroscopy With Ureteroscopy And/or Pyeloscopy With Lithotripsy 68 33 $4,588.69 $4,588.69 $1,193.06 $4,631.82 $3,670.95 2026-08-24
50080 CPT Hc Percutaneous Nephrolithotomy Or Pyelolithotomy Simple Incl Imaging Guidance 68 33 $4,434.95 $4,434.95 $1,153.09 $4,476.64 $3,547.96 2026-08-24
72295 CPT Hc Discography Lumbar 70 34 $4,397.30 $4,397.30 $237.00 $4,309.35 $3,500.25 2026-08-24
72285 CPT Hc Discography Cervical Thoracic 70 34 $4,397.30 $4,397.30 $237.00 $4,309.35 $3,500.25 2026-08-24
43250 CPT Hc Egd Flexible Transoral With Removal Tumor Polyp Lesion By Hot Bx Forcep 68 33 $4,357.08 $4,357.08 $1,132.84 $4,398.03 $3,485.66 2026-08-24
74174 CPT Hc CTA Abdomen And Pelvis With Contrast And Postprocessing 70 34 $4,260.32 $4,260.32 $1,107.68 $4,175.11 $3,391.21 2026-08-24
15275 CPT Hc Apply High Cost Skin Substitute (Face/Ne/Hnd/Ft/Gen) Tot Wnd <100 Sq Cm First… 68 33 $4,171.13 $4,171.13 $1,084.49 $4,210.33 $3,336.90 2026-08-24
54405 CPT Hc Cch Insertion Multicomponent Penile Prosthesis 68 33 $4,122.60 $4,122.60 $1,071.88 $4,161.35 $3,298.08 2026-08-24
52276 CPT Hc Cystourethroscopy With Direct Vision Urethrotomy 70 34 $4,022.94 $4,022.94 $1,045.96 $4,060.76 $3,258.34 2026-08-24
55040 CPT Hc Cch Excision Hydrocele Unilateral 69 34 $4,053.69 $4,053.69 $1,053.96 $4,861.00 $3,242.95 2026-08-24
57270 CPT Hc Cch Repair Enterocele Abdominal Approach 68 33 $4,030.76 $4,030.76 $1,048.00 $4,068.65 $3,224.61 2026-08-24
53445 CPT Hc Cch Insertion Urethral/Bladder Neck Sphincter 68 33 $3,838.35 $3,838.35 $997.97 $3,874.43 $3,070.68 2026-08-24
78452 CPT Hc Nuc Med Myocardial Perfusion Spect Multiple Rest Or Stress 70 34 $3,279.33 $3,279.33 $852.63 $4,900.00 $2,787.43 2026-08-24
0200 RC Hc ICU 48 24 $3,225.50 $3,225.50 $1,643.88 $11,089.00 $2,768.64 2026-08-24
74177 CPT Hc CT Abdomen & Pelvis With Contrast 70 34 $4,880.36 $4,880.36 $1,003.72 $4,782.75 $2,752.15 2026-08-24
38571 CPT Hc Cch Laparoscopy Surgical With Bilateral Total Pelvic Lymphadenectomy 68 33 $3,414.14 $3,414.14 $887.68 $3,446.23 $2,731.31 2026-08-24
70549 CPT Hc MRA Neck With & Without Contrast 68 33 $3,422.42 $3,422.42 $889.83 $3,353.97 $2,731.10 2026-08-24
A9699 HCPCS Hc Cch Tc99m Up To 25 Mci 68 33 $3,370.24 $3,370.24 $876.26 $3,401.92 $2,696.19 2026-08-24
52310 CPT Hc Cystourethroscopy With Removal FB/Calculus/Stent Simple 70 34 $3,148.47 $3,148.47 $818.60 $4,040.54 $2,676.20 2026-08-24
C8902 HCPCS Hc MRA Abdomen With & Without Contrast 68 33 $3,344.96 $3,344.96 $869.69 $3,376.40 $2,675.97 2026-08-24
52204 CPT Hc Cystourethroscopy With Bx 70 34 $3,283.76 $3,283.76 $853.78 $3,314.62 $2,627.01 2026-08-24
A9569 HCPCS Hc Technetium Tc99m Auto Wbc 68 33 $3,271.83 $3,271.83 $850.68 $3,302.58 $2,617.46 2026-08-24
C8918 HCPCS Hc MRA Pelvis With Contrast 68 33 $3,247.49 $3,247.49 $844.35 $3,278.01 $2,597.99 2026-08-24
C8901 HCPCS Hc MRA Abdomen Without Contrast 68 33 $3,247.49 $3,247.49 $844.35 $3,278.01 $2,597.99 2026-08-24
52315 CPT Hc Cystourethroscopy With Removal FB/Calculus/Stent Complicated 70 34 $3,021.84 $3,021.84 $785.68 $4,530.54 $2,583.67 2026-08-24
53852 CPT Hc Cch Trahsurethral Dstrn Of Prostate Tissue Radiofrequency Thermotherapy 68 33 $3,172.71 $3,172.71 $824.90 $3,202.53 $2,538.17 2026-08-24
52281 CPT Hc Cystourethroscopy With Dilation Urethral Stricture 70 34 $3,133.73 $3,133.73 $814.77 $3,163.19 $2,506.98 2026-08-24
95811 CPT Hc Polysomnography 4+ Parameters With Cpap Or Bi-level Vent 70 34 $3,126.63 $3,126.63 $812.92 $3,156.02 $2,501.30 2026-08-24
72197 CPT Hc MRI Pelvis With & Without Contrast 69 34 $3,135.36 $3,135.36 $815.19 $3,072.65 $2,495.75 2026-08-24
51040 CPT Hc Cch Cystostomy Cystotomy With Drainage 68 33 $3,117.72 $3,117.72 $810.61 $3,147.03 $2,494.18 2026-08-24
52234 CPT Hc Cystourethroscopy With Fulgration Small Bladder Tumor (0.5-2.0 Cm) 70 34 $2,861.96 $2,861.96 $744.11 $4,900.00 $2,446.98 2026-08-24
72157 CPT Hc MRI Spine With & Without Contrast Thoracic 68 33 $3,380.57 $3,380.57 $878.95 $3,312.96 $2,438.98 2026-08-24
52214 CPT Hc Cystourethroscopy With Fulguration Trigone/Bladder Neck/Prostatic Fossa/Urethra… 68 33 $3,035.34 $3,035.34 $789.19 $3,063.87 $2,428.27 2026-08-24
71552 CPT Hc MRI Chest With & Without Contrast 68 33 $3,039.53 $3,039.53 $790.28 $2,978.74 $2,425.55 2026-08-24
52005 CPT Hc Cystourethroscopy With Ureteral Cath 70 34 $2,946.81 $2,946.81 $766.17 $3,314.62 $2,423.39 2026-08-24
52260 CPT Hc Cch Cystourethroscopy With Dilation Bladder 68 33 $3,021.84 $3,021.84 $785.68 $3,050.25 $2,417.47 2026-08-24
72158 CPT Hc MRI Spine With & Without Contrast Lumbar 69 34 $3,380.46 $3,380.46 $420.00 $3,312.85 $2,400.00 2026-08-24
73723 CPT Hc MRI Lower Extremity Joint With & Without Contrast 68 33 $3,189.18 $3,189.18 $829.19 $3,125.40 $2,400.00 2026-08-24
74176 CPT Hc CT Abdomen & Pelvis Without Contrast 70 34 $3,613.21 $3,613.21 $721.00 $3,540.95 $2,388.18 2026-08-24
64561 CPT Hc Implant Neurostimulator Electrodes Percutaneous Sacral Nerve Incl Imaging Gui… 68 33 $2,955.29 $2,955.29 $768.38 $2,983.07 $2,364.23 2026-08-24
70553 CPT Hc MRI Brain With & Without Contrast 69 34 $2,951.23 $2,951.23 $763.00 $2,940.00 $2,360.98 2026-08-24
73223 CPT Hc MRI Upper Extremity Joint With & Without Contrast 68 33 $2,950.31 $2,950.31 $767.08 $2,891.30 $2,354.35 2026-08-24
45398 CPT Hc Colonscopy Flexible With Band Ligation 68 33 $2,939.92 $2,939.92 $764.38 $2,967.56 $2,351.94 2026-08-24
52332 CPT Hc Cystourethroscopy With Insertion Ureteral Stent 70 34 $2,437.65 $2,437.65 $633.79 $8,942.50 $2,340.14 2026-08-24
57288 CPT Hc Cch Sling Operation For Stress Incontinence 68 33 $2,911.16 $2,911.16 $756.90 $2,938.52 $2,328.93 2026-08-24
73720 CPT Hc MRI Lower Extremity Other Than Joint With & Without Contrast 68 33 $2,898.18 $2,898.18 $753.53 $2,940.00 $2,318.54 2026-08-24
49440 CPT Hc Insertion G-tube Percutaneous With Fluoro 70 34 $2,880.71 $2,880.71 $748.98 $2,907.79 $2,304.57 2026-08-24
0360 RC Hc Or Level I 0-30 Mins 403 33 $3,023.57 $3,023.57 $350.82 $5,354.37 $2,291.54 2026-08-24
73719 CPT Hc MRI Lower Extremity Other Than Joint With Contrast 68 33 $2,867.16 $2,867.16 $745.46 $2,809.82 $2,287.99 2026-08-24
43246 CPT Hc Egd Flexible Transoral With Placement Percutaneous G-tube 68 33 $2,857.13 $2,857.13 $742.85 $2,883.98 $2,285.70 2026-08-24
27613 CPT Hc Superficial Soft Tiss Bx Leg/Ankle 68 33 $2,847.04 $2,847.04 $740.23 $2,873.80 $2,277.63 2026-08-24
70543 CPT Hc MRI Orbit Face Neck With & Without Contrast 68 33 $2,844.42 $2,844.42 $739.55 $2,940.00 $2,275.54 2026-08-24
72156 CPT Hc MRI Spine With & Without Contrast Cervical 68 33 $2,842.94 $2,842.94 $739.16 $2,940.00 $2,274.35 2026-08-24
72142 CPT Hc MRI Spine With Contrast Cervical 68 33 $2,842.94 $2,842.94 $739.16 $2,786.08 $2,268.66 2026-08-24
72149 CPT Hc MRI Spine With Contrast Lumbar 68 33 $2,842.94 $2,842.94 $739.16 $2,786.08 $2,268.66 2026-08-24
G0121 HCPCS Hc Colonoscopy Screening 68 33 $2,817.53 $2,817.53 $732.56 $2,844.02 $2,254.02 2026-08-24
74183 CPT Hc MRI Abdomen With & Without Contrast 69 34 $2,779.85 $2,779.85 $722.76 $2,940.00 $2,223.88 2026-08-24
95805 CPT Hc Multiple Sleep Latency Test 70 34 $2,779.17 $2,779.17 $722.58 $2,805.30 $2,223.34 2026-08-24
95810 CPT Hc Polysomnography 4+ Parameters 70 34 $2,779.17 $2,779.17 $722.58 $2,805.30 $2,223.34 2026-08-24
43247 CPT Hc Egd Flexible Transoral With Removal Fb 68 33 $2,773.91 $2,773.91 $605.00 $2,799.99 $2,219.13 2026-08-24
52224 CPT Hc Cystourethroscopy With Fulguration Minor Lesion (< 0.5 Cm) 70 34 $2,593.84 $2,593.84 $674.40 $4,900.00 $2,217.73 2026-08-24
70542 CPT Hc MRI Orbit Face Neck With Contrast 68 33 $2,758.86 $2,758.86 $717.30 $2,703.68 $2,201.57 2026-08-24
73222 CPT Hc MRI Upper Extremity Joint With Contrast 68 33 $2,758.60 $2,758.60 $717.24 $2,703.43 $2,201.36 2026-08-24
71551 CPT Hc MRI Chest With Contrast 68 33 $2,748.81 $2,748.81 $714.69 $2,693.83 $2,193.55 2026-08-24
74182 CPT Hc MRI Abdomen With Contrast 68 33 $2,748.81 $2,748.81 $714.69 $2,693.83 $2,193.55 2026-08-24
73220 CPT Hc MRI Upper Extremity Other Than Joint With & Without Contrast 68 33 $2,659.42 $2,659.42 $691.45 $2,940.00 $2,163.27 2026-08-24
52352 CPT Hc Cystourethroscopy With Ureteroscopy/Pyeloscopy With Removal Stone 70 34 $2,269.12 $2,269.12 $589.97 $6,762.00 $2,139.00 2026-08-24
70544 CPT Hc MRA Head Without Contrast 69 34 $3,071.93 $3,071.93 $608.00 $3,010.49 $2,125.00 2026-08-24
70547 CPT Hc MRA Neck Without Contrast 68 33 $3,071.93 $3,071.93 $775.00 $3,010.49 $2,125.00 2026-08-24
70552 CPT Hc MRI Brain With Contrast 68 33 $3,248.90 $3,248.90 $775.00 $3,183.92 $2,125.00 2026-08-24
62287 CPT Hc Percutaneous Diskectomy 70 34 $2,572.11 $2,572.11 $668.75 $9,381.00 $2,114.12 2026-08-24
73219 CPT Hc MRI Upper Extremity Other Than Joint With Contrast 68 33 $2,628.28 $2,628.28 $683.35 $2,575.71 $2,097.36 2026-08-24
72126 CPT Hc CT Cervical Spine With Contrast 70 34 $2,631.30 $2,631.30 $684.14 $2,578.67 $2,094.51 2026-08-24
70540 CPT Hc MRI Orbit Face Neck Without Contrast 68 33 $2,583.69 $2,583.69 $671.76 $2,532.02 $2,061.78 2026-08-24
54530 CPT Hc Cch Orchiectomy Radical 68 33 $2,574.20 $2,574.20 $669.29 $2,598.40 $2,059.36 2026-08-24
72194 CPT Hc CT Pelvis With & Without Contrast 70 34 $2,567.28 $2,567.28 $667.49 $2,515.93 $2,043.55 2026-08-24
52500 CPT Hc Transurethral Resection Bladder Neck 70 34 $2,485.91 $2,485.91 $646.34 $3,786.00 $2,043.27 2026-08-24
72147 CPT Hc MRI Spine With Contrast Thoracic 68 33 $2,842.94 $2,842.94 $739.16 $2,786.08 $2,041.94 2026-08-24
70492 CPT Hc CT Neck With & Without Contrast 70 34 $3,119.84 $3,119.84 $744.00 $3,057.44 $2,033.95 2026-08-24
72127 CPT Hc CT Cervical Spine With & Without Contrast 70 34 $2,554.65 $2,554.65 $664.21 $2,503.56 $2,033.50 2026-08-24
72130 CPT Hc CT Thoracic Spine With & Without Contrast 70 34 $2,935.66 $2,935.66 $744.00 $2,876.95 $2,030.50 2026-08-24
71270 CPT Hc CT Thorax With & Without Contrast 70 34 $2,819.45 $2,819.45 $733.06 $2,763.06 $2,021.00 2026-08-24
74170 CPT Hc CT Abdomen With & Without Contrast 70 34 $2,819.45 $2,819.45 $733.06 $2,763.06 $2,021.00 2026-08-24
72133 CPT Hc CT Lumbar Spine With & Without Contrast 70 34 $2,786.46 $2,786.46 $724.48 $2,730.73 $2,021.00 2026-08-24
73702 CPT Hc CT Lower Extremity With & Without Contrast 70 34 $2,523.66 $2,523.66 $656.15 $2,473.19 $2,018.93 2026-08-24
73722 CPT Hc MRI Lower Extremity Joint With Contrast 68 33 $2,758.60 $2,758.60 $717.24 $2,703.43 $2,011.03 2026-08-24
43235 CPT Hc Egd Flexible Transoral Diagnostic 68 33 $2,512.12 $2,512.12 $653.15 $2,535.73 $2,009.70 2026-08-24
73202 CPT Hc CT Upper Extremity With & Without Contrast 70 34 $2,506.80 $2,506.80 $651.77 $2,456.66 $2,005.44 2026-08-24
71550 CPT Hc MRI Chest Without Contrast 68 33 $2,488.80 $2,488.80 $647.09 $2,439.02 $1,986.06 2026-08-24
70336 CPT Hc MRI Tempromandibular Joint 68 33 $2,488.80 $2,488.80 $647.09 $2,439.02 $1,986.06 2026-08-24
72196 CPT Hc MRI Pelvis With Contrast 68 33 $2,488.80 $2,488.80 $647.09 $2,439.02 $1,986.06 2026-08-24
45331 CPT Hc Sigmoidoscopy Flexible With Bx 68 33 $2,465.18 $2,465.18 $640.95 $2,488.36 $1,972.14 2026-08-24
52318 CPT Hc Litholapaxy Complicated > 2.5 Cm 70 34 $2,420.59 $2,420.59 $629.35 $2,443.35 $1,960.53 2026-08-24
75635 CPT Hc CTA Abdominal Aorta With Bilateral Iliofemoral Run-off & Postprocessing 70 34 $2,427.05 $2,427.05 $448.00 $2,378.51 $1,941.64 2026-08-24
70482 CPT Hc CT Orbit Sella Posterior Fossa Ear With & Without Contrast 70 34 $2,520.28 $2,520.28 $655.27 $2,469.87 $1,931.57 2026-08-24
71275 CPT Hc CTA Chest (non-coronary) With Contrast And Postprocessing 70 34 $3,195.03 $3,195.03 $682.00 $3,131.13 $1,884.50 2026-08-24
22527 CPT Hc Cch Perc Intradiscal Electrothermal Annuloplasty With Fluoro Each Addl Lvl 68 33 $2,343.39 $2,343.39 $609.28 $2,365.42 $1,874.71 2026-08-24
22526 CPT Hc Cch Perc Intradiscal Electrothermal Annuloplasty With Fluoro Single Level 68 33 $2,343.39 $2,343.39 $609.28 $2,365.42 $1,874.71 2026-08-24
73206 CPT Hc CTA Upper Extremity With Contrast And Postprocessing 70 34 $2,331.07 $2,331.07 $606.08 $2,284.45 $1,864.86 2026-08-24
73706 CPT Hc CTA Lower Extremity With Contrast And Postprocessing 70 34 $2,331.07 $2,331.07 $606.08 $2,284.45 $1,864.86 2026-08-24
64493 CPT Hc Injection Paravertebral Facet Joint With Img Guid Lumbar Or Sacral Single Level… 70 34 $2,312.05 $2,312.05 $335.00 $2,333.78 $1,849.64 2026-08-24
64490 CPT Hc Injection Paravertebral Facet Joint With Img Guid Cervical Or Thoracic Single L… 70 34 $2,312.05 $2,312.05 $335.00 $2,333.78 $1,849.64 2026-08-24
62325 CPT Hc Placement Epidural Cervical/Thoracic For Cont Infusion For Pain Mgmt With Imagi… 70 34 $2,312.05 $2,312.05 $601.13 $2,333.78 $1,849.64 2026-08-24
62327 CPT Hc Placement Epidural Lumbar/Sacral Cont Infusion For Pain Mgmt With Imaging Guida… 70 34 $2,312.05 $2,312.05 $601.13 $2,333.78 $1,849.64 2026-08-24
94002 CPT Hc Ventilator Initial Day 70 34 $4,132.95 $4,132.95 $113.00 $4,050.29 $1,809.20 2026-08-24
70488 CPT Hc CT Maxillofacial With & Without Contrast 70 34 $2,185.82 $2,185.82 $568.31 $2,352.00 $1,804.80 2026-08-24
70470 CPT Hc CT Head/Brain With & Without Contrast 70 34 $2,185.82 $2,185.82 $254.00 $2,352.00 $1,804.80 2026-08-24
93306 CPT Hc Echo Complete With Bubble Study 70 34 $2,200.75 $2,200.75 $536.00 $2,221.43 $1,760.60 2026-08-24
72191 CPT Hc CTA Pelvis With Contrast And Postprocessing 70 34 $2,193.92 $2,193.92 $570.42 $2,150.04 $1,755.14 2026-08-24
74175 CPT Hc CTA Abdomen With Contrast And Postprocessing 70 34 $2,193.92 $2,193.92 $570.42 $2,150.04 $1,755.14 2026-08-24
99291 CPT Hc Emergency Room Critical Care 69 34 $2,040.12 $2,040.12 $530.43 $3,063.48 $1,754.50 2026-08-24
G0260 HCPCS Hc Injection Sacroiliac Joint With Arthrography & Guidance 70 34 $2,128.40 $2,128.40 $387.50 $2,148.41 $1,702.72 2026-08-24
70551 CPT Hc MRI Brain Without Contrast 68 33 $2,844.42 $2,844.42 $620.00 $2,787.53 $1,700.00 2026-08-24
72141 CPT Hc MRI Spine Without Contrast Cervical 69 34 $2,725.92 $2,725.92 $620.00 $2,671.40 $1,700.00 2026-08-24
73221 CPT Hc MRI Upper Extremity Joint Without Contrast 69 34 $2,498.90 $2,498.90 $620.00 $2,448.92 $1,700.00 2026-08-24
73718 CPT Hc MRI Lower Extremity Other Than Joint Without Contrast 69 34 $2,607.53 $2,607.53 $567.00 $2,555.38 $1,700.00 2026-08-24
72146 CPT Hc MRI Spine Without Contrast Thoracic 69 34 $2,844.42 $2,844.42 $620.00 $2,787.53 $1,700.00 2026-08-24
73721 CPT Hc MRI Lower Extremity Joint Without Contrast 69 34 $2,498.90 $2,498.90 $620.00 $2,448.92 $1,700.00 2026-08-24
72148 CPT Hc MRI Spine Without Contrast Lumbar 69 34 $2,725.92 $2,725.92 $548.00 $2,671.40 $1,700.00 2026-08-24
74181 CPT Hc MRI Abdomen Without Contrast 68 33 $2,488.80 $2,488.80 $620.00 $2,439.02 $1,700.00 2026-08-24
73218 CPT Hc MRI Upper Extremity Other Than Joint Without Contrast 68 33 $2,368.37 $2,368.37 $615.78 $2,321.00 $1,678.93 2026-08-24
52351 CPT Hc Cystourethroscopy With Ureteroscopy And/or Pyeloscopy Diagnostic 70 34 $1,548.39 $1,548.39 $402.58 $5,684.00 $1,657.71 2026-08-24
52353 CPT Hc Cystourethroscopy With Ureteroscopy/Pyeloscopy With Lithotripsy 70 34 $2,003.93 $2,003.93 $521.02 $5,328.00 $1,647.11 2026-08-24
52630 CPT Hc Cch Transurethral Resection Regrowth Prostate Tissue 68 33 $2,039.18 $2,039.18 $530.19 $2,058.35 $1,631.34 2026-08-24
72195 CPT Hc MRI Pelvis Without Contrast 68 33 $2,229.05 $2,229.05 $579.55 $2,184.47 $1,616.95 2026-08-24
62294 CPT Hc Injection Arterial For Occlusion Avm Spinal 70 34 $1,963.68 $1,963.68 $510.56 $3,786.00 $1,614.03 2026-08-24
78227 CPT Hc Nuc Med Hepatobiliary System Imaging Incl Gallbladder With Drug 70 34 $1,881.30 $1,881.30 $489.14 $2,646.00 $1,608.51 2026-08-24
93350 CPT Hc Echo Stress 70 34 $3,132.42 $3,132.42 $536.00 $3,069.77 $1,593.66 2026-08-24
64517 CPT Hc Injection Nerve Superior Hypogastric Plexus For Pain Mgmt 70 34 $1,963.79 $1,963.79 $510.59 $1,985.00 $1,590.55 2026-08-24
64680 CPT Hc Destruction By Neurolytic Agent; Celiac Plexus 70 34 $1,963.68 $1,963.68 $510.56 $1,985.00 $1,590.46 2026-08-24
64640 CPT Hc Destruction Neurolytic Agent Other Peripheral Nerve 70 34 $1,963.68 $1,963.68 $510.56 $1,985.00 $1,590.46 2026-08-24
64630 CPT Hc Destruction By Neurolytic Agent (Rfa) Pudendal Nerve 70 34 $1,963.68 $1,963.68 $510.56 $1,985.00 $1,590.46 2026-08-24
62280 CPT Hc Cch Injection Neurolytic Subarachnoid 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
62326 CPT Hc Placement Epidural Lumbar/Sacral Cont Infusion For Pain Mgmt Without Imaging Guid… 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
64520 CPT Hc Injection Nerve Lumbar Or Thoracic (Paravertebral Sympathetic) For Pain Mgmt 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
64483 CPT Hc Injection(S) Transforaminal Lumbar Sacral Single Level 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
64510 CPT Hc Injection Nerve Stellate Ganglion (Cervical Sympathetic) For Pain Mgmt 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
64600 CPT Hc Destruction By Neurolytic (Rfa) Agent Trigem Nerve 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
62281 CPT Hc Cch Epidural Injection Neurolytic Cervical/Thoracic 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
64530 CPT Hc Injection Anesthetic Celiac Plexus 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
64421 CPT Hc Injection Nerve Intercostal Ea Addtl Level For Pain Mgmt 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
62282 CPT Hc Cch Epidural Injection Neurolytic Lumbar/Sacral 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
64620 CPT Hc Destruction By Neurolytic Agent (Rfa) Intercostal Nerve 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
64415 CPT Hc Injection Nerve Brachial Plexus For Pain Mgmt Incl Imaging Guidance 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
64430 CPT Hc Injection Anesthetic Pudendal Nerve 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
64417 CPT Hc Injection Axillary Nerve Incl Imaging Guidance 70 34 $1,963.68 $1,963.68 $510.56 $1,982.14 $1,590.46 2026-08-24
93880 CPT Hc Duplex Extracranial Arteries Complete Bilateral 70 34 $1,964.87 $1,964.87 $476.00 $1,983.34 $1,571.90 2026-08-24
93970 CPT Hc Duplex Extremity Veins Compression Complete Bilateral 70 34 $1,964.87 $1,964.87 $429.00 $1,983.34 $1,571.90 2026-08-24
64625 CPT Hc Destruction By Rfa Scroliliac Joint Incl Guidance 68 33 $1,963.73 $1,963.73 $510.57 $1,982.19 $1,570.98 2026-08-24
64624 CPT Hc Destruction By Neurolytic Agent (Rfa) Genicular Nerve Branches Incl Guidance 69 34 $1,963.73 $1,963.73 $142.50 $1,982.19 $1,570.98 2026-08-24
62321 CPT Hc Injection Epidural Or Subarachnoid Cervical Or Thoracic For Pain Mgmt With Imag… 70 34 $1,907.21 $1,907.21 $495.87 $1,925.14 $1,544.73 2026-08-24
62323 CPT Hc Injection Epidural Or Subarachnoid Lumbar Or Sacral (Caudal) For Pain Mgmt W/… 70 34 $1,907.21 $1,907.21 $84.00 $1,925.14 $1,544.73 2026-08-24
94003 CPT Hc Ventilator Each Subsequent Day 70 34 $3,306.41 $3,306.41 $113.00 $3,240.28 $1,542.75 2026-08-24
64636 CPT Hc Destruction By Neurolytic Agent (Rfa) Lumbar/Sacral Paravert Joint Nerve Ea A… 70 34 $1,747.67 $1,747.67 $454.39 $3,528.21 $1,520.47 2026-08-24
P9052 HCPCS Hc Processing Platelets Leuko Reduced Hla Matched Each Unit 68 33 $1,890.53 $1,890.53 $491.54 $1,908.31 $1,512.42 2026-08-24
72129 CPT Hc CT Thoracic Spine With Contrast 70 34 $2,731.02 $2,731.02 $532.60 $2,676.40 $1,511.91 2026-08-24
70491 CPT Hc CT Neck With Contrast 70 34 $2,866.34 $2,866.34 $532.60 $2,809.01 $1,511.91 2026-08-24
78458 CPT Hc Nuc Med Venous Thrombosis Imaging- Bilateral 70 34 $1,877.79 $1,877.79 $488.23 $2,037.00 $1,502.23 2026-08-24
78315 CPT Hc Nuc Med Bone Imaging 3 Phase Study 70 34 $1,874.41 $1,874.41 $487.35 $2,037.00 $1,499.53 2026-08-24
99285 CPT Hc Emergency Room Level 5 69 34 $1,751.00 $1,751.00 $455.26 $2,548.00 $1,488.35 2026-08-24
45385 CPT Hc Colonoscopy Flexible With Removal Tumor Polyp Lesion By Snare 104 34 $3,288.78 $3,288.78 $165.88 $4,696.16 $1,485.52 2026-08-24
45384 CPT Hc Colonoscopy Flexible With Removal Tumor Polyp Lesion By Hot Bx Forcep 104 34 $3,288.78 $3,288.78 $264.94 $4,696.16 $1,485.52 2026-08-24
70481 CPT Hc CT Orbit Sella Posterior Fossa Ear With Contrast 70 34 $2,595.92 $2,595.92 $532.60 $2,544.00 $1,478.61 2026-08-24
74160 CPT Hc CT Abdomen With Contrast 70 34 $2,565.95 $2,565.95 $532.60 $2,514.63 $1,470.07 2026-08-24
71260 CPT Hc CT Thorax With Contrast 70 34 $2,565.95 $2,565.95 $202.00 $2,514.63 $1,470.07 2026-08-24
72193 CPT Hc CT Pelvis With Contrast 70 34 $2,313.77 $2,313.77 $532.60 $2,267.49 $1,468.96 2026-08-24
72132 CPT Hc CT Lumbar Spine With Contrast 70 34 $2,512.16 $2,512.16 $532.60 $2,461.92 $1,468.96 2026-08-24
73201 CPT Hc CT Upper Extremity With Contrast 70 34 $2,477.36 $2,477.36 $527.00 $2,427.81 $1,453.50 2026-08-24
73701 CPT Hc CT Lower Extremity With Contrast 70 34 $2,271.60 $2,271.60 $527.00 $2,226.17 $1,453.50 2026-08-24
43249 CPT Hc Egd Flexible Transoral With Balloon Dilation Esophagus <30mm 105 34 $4,487.79 $4,487.79 $284.70 $4,529.97 $1,432.95 2026-08-24
70460 CPT Hc CT Head/Brain With Contrast 70 34 $1,932.37 $1,932.37 $502.42 $2,021.00 $1,430.72 2026-08-24
70487 CPT Hc CT Maxillofacial With Contrast 70 34 $1,932.37 $1,932.37 $502.42 $2,021.00 $1,430.72 2026-08-24
78708 CPT Hc Cch Nuc Med Kidney Image Morphology With Vasc Flow Function & Pharmocologic Int… 70 34 $1,658.38 $1,658.38 $431.18 $2,037.00 $1,409.62 2026-08-24
62324 CPT Hc Placement Epidural Cervical/Thoracic For Cont Infusion For Pain Mgmt Without Imag… 70 34 $1,714.07 $1,714.07 $445.66 $1,730.18 $1,388.30 2026-08-24
64445 CPT Hc Injection Nerve Sciatic For Pain Mgmt Incl Imaging Guidance 70 34 $1,558.84 $1,558.84 $405.30 $3,146.92 $1,387.37 2026-08-24
51729 CPT Hc Cystometrogram Complex With Urethral & Voiding Pressure 70 34 $1,707.32 $1,707.32 $443.90 $1,799.00 $1,382.83 2026-08-24
27266 CPT Hc Cch Closed Treatment Post Hip Arthroplasty Dislocation With Anesthesia 68 33 $1,679.00 $1,679.00 $436.54 $1,694.78 $1,343.20 2026-08-24
78226 CPT Hc Nuc Med Hepatobiliary System Imaging Incl Gallbladder 70 34 $1,668.85 $1,668.85 $433.90 $2,037.00 $1,335.08 2026-08-24
54520 CPT Hc Cch Orchiectomy Simple With Or Without Testicular Prosthesis 68 33 $1,663.14 $1,663.14 $432.42 $1,678.77 $1,330.51 2026-08-24
78306 CPT Hc Nuc Med Bone Joint Imaging Whole Body 70 34 $1,554.11 $1,554.11 $404.07 $2,156.00 $1,328.76 2026-08-24
54840 CPT Hc Cch Excision Spermatocele With Or Without Epididymectomy 68 33 $1,636.68 $1,636.68 $425.54 $1,652.06 $1,309.34 2026-08-24
64451 CPT Hc Injection Nerve Sacroilic Joint Incl Imaging 68 33 $1,631.99 $1,631.99 $424.32 $1,647.33 $1,305.59 2026-08-24
64454 CPT Hc Injection Nerve Genicular Nerve Branches Incl Imaging 68 33 $1,631.99 $1,631.99 $424.32 $1,647.33 $1,305.59 2026-08-24
78278 CPT Hc Nuc Med Acute Gi Blood Loss Imaging 70 34 $1,620.23 $1,620.23 $421.26 $2,037.00 $1,296.18 2026-08-24
78707 CPT Hc Nuc Med Kidney Imaging With Vascular Flow And Function Single 70 34 $1,618.43 $1,618.43 $420.79 $2,037.00 $1,294.74 2026-08-24
55250 CPT Hc Vasectomy 70 34 $1,161.76 $1,161.76 $302.06 $4,581.50 $1,293.88 2026-08-24
22869 CPT Hc Cch Insj Stablj Dev Without Dcmprn Lumbar Single Level 68 33 $1,612.36 $1,612.36 $419.21 $1,627.52 $1,289.89 2026-08-24
51728 CPT Hc Cystometrogram Complex With Voiding Pressures 70 34 $1,580.14 $1,580.14 $410.84 $1,799.00 $1,279.82 2026-08-24
62273 CPT Hc Injection/Epidural Blood/Clot Patch 70 34 $1,558.84 $1,558.84 $405.30 $1,676.00 $1,262.57 2026-08-24
61070 CPT Hc Puncture Reservoir Or Shunt Tubing 70 34 $1,558.84 $1,558.84 $405.30 $1,676.00 $1,262.57 2026-08-24
62272 CPT Hc Lumbar Puncture Therapeutic Without Guidance 70 34 $1,558.84 $1,558.84 $405.30 $1,676.00 $1,262.57 2026-08-24
64420 CPT Hc Injection Nerve Intercostal Single Level For Pain Mgmt 70 34 $1,558.84 $1,558.84 $405.30 $1,676.00 $1,262.57 2026-08-24
62320 CPT Hc Injection Epidural Or Subarachnoid Cervical Or Thoracic For Pain Mgmt Without Ima… 70 34 $1,558.84 $1,558.84 $405.30 $1,676.00 $1,262.57 2026-08-24
62322 CPT Hc Injection Epidural Or Subarachnoid Lumbar Or Sacral (Caudal) For Pain Mgmt W/… 70 34 $1,558.84 $1,558.84 $405.30 $1,676.00 $1,262.57 2026-08-24
62270 CPT Hc Lumbar Puncture Diagnostic 70 34 $1,558.84 $1,558.84 $405.30 $1,676.00 $1,262.57 2026-08-24
64447 CPT Hc Injection Nerve Femoral For Pain Mgmt Incl Imaging Guidance 68 33 $1,558.84 $1,558.84 $405.30 $1,573.50 $1,247.07 2026-08-24
64425 CPT Hc Injection Nerve Block Ilioinguinal/Iliohypogastric 69 34 $1,558.84 $1,558.84 $405.30 $1,573.50 $1,247.07 2026-08-24
64418 CPT Hc Injection Nerve Suprascapular For Pain Mgmt 68 33 $1,558.84 $1,558.84 $361.00 $1,573.50 $1,247.07 2026-08-24
72125 CPT Hc CT Cervical Spine Without Contrast 70 34 $2,232.77 $2,232.77 $434.00 $2,188.11 $1,243.75 2026-08-24
70490 CPT Hc CT Neck Without Contrast 70 34 $2,232.77 $2,232.77 $434.00 $2,188.11 $1,243.75 2026-08-24
72128 CPT Hc CT Thoracic Spine Without Contrast 70 34 $2,388.19 $2,388.19 $434.00 $2,340.43 $1,243.75 2026-08-24
70480 CPT Hc CT Orbit Sella Posterior Fossa Ear Without Contrast 70 34 $2,388.19 $2,388.19 $434.00 $2,340.43 $1,232.00 2026-08-24
73200 CPT Hc CT Upper Extremity Without Contrast 70 34 $2,232.40 $2,232.40 $241.00 $2,187.75 $1,232.00 2026-08-24
72131 CPT Hc CT Lumbar Spine Without Contrast 70 34 $2,169.49 $2,169.49 $296.00 $2,126.10 $1,220.30 2026-08-24
78582 CPT Hc Nuc Med Pulmonary Ventilation And Perfusion Imaging 70 34 $1,428.61 $1,428.61 $371.44 $2,037.00 $1,218.26 2026-08-24
71271 CPT Hc Low Dose CT Lung Screening 70 34 $1,990.46 $1,990.46 $434.00 $2,021.00 $1,215.75 2026-08-24
74150 CPT Hc CT Abdomen Without Contrast 70 34 $1,932.37 $1,932.37 $434.00 $2,021.00 $1,215.75 2026-08-24
73700 CPT Hc CT Lower Extremity Without Contrast 70 34 $1,928.82 $1,928.82 $434.00 $2,021.00 $1,215.75 2026-08-24
52330 CPT Hc Cch Cystourethroscopy With Manipulation Without Removal Of Ureteral Calculus 68 33 $1,511.56 $1,511.56 $393.01 $1,525.77 $1,209.25 2026-08-24
52001 CPT Hc Cystourethroscopy With Irrigation & Evacuat Mult Obst Clots 70 34 $1,468.92 $1,468.92 $381.92 $1,985.00 $1,207.37 2026-08-24
28190 CPT Hc Removal Fb Foot Sq 68 33 $1,505.41 $1,505.41 $391.41 $1,519.56 $1,204.33 2026-08-24
71250 CPT Hc CT Thorax Without Contrast 70 34 $1,932.37 $1,932.37 $296.00 $2,021.00 $1,197.00 2026-08-24
P9053 HCPCS Hc Processing Platelets Pheresis Leuko Reduced Cmv Negative Irradiated Each Unit 68 33 $1,494.00 $1,494.00 $388.44 $1,508.04 $1,195.20 2026-08-24
72192 CPT Hc CT Pelvis Without Contrast 70 34 $1,680.25 $1,680.25 $427.00 $2,021.00 $1,190.00 2026-08-24
78451 CPT Hc Nuc Med Myocardial Perfusion Spect Single Rest Or Stress 70 34 $1,476.33 $1,476.33 $383.85 $2,037.00 $1,181.06 2026-08-24
0124 RC Hc Psych Senior 48 24 $1,357.44 $1,357.44 $762.31 $11,089.00 $1,180.77 2026-08-24
94660 CPT Hc Cpap Or Bipap 70 34 $1,475.85 $1,475.85 $113.00 $1,489.73 $1,180.68 2026-08-24
78803 CPT Hc Nuc Med Tumor Loc/Inflamatory Process With Radiopharm Singl Area/Acquisition/Da… 70 34 $1,462.62 $1,462.62 $380.28 $2,037.00 $1,170.10 2026-08-24
78472 CPT Hc Nuc Med Cardiac Blood Pool Single Wall Motion + Ef 70 34 $1,455.40 $1,455.40 $378.40 $2,037.00 $1,164.32 2026-08-24
45380 CPT Hc Colonoscopy Flexible With Bx 105 34 $3,115.81 $3,115.81 $146.64 $3,626.00 $1,147.00 2026-08-24
15278 CPT Hc Apply High Cost Skin Substitute (Face/Ne/Hnd/Ft/Gen) Tot Wnd >100 Sq Cm Ea Ad… 68 33 $1,411.32 $1,411.32 $366.94 $1,424.59 $1,129.06 2026-08-24
15274 CPT Hc Apply High Cost Skin Substitute (Trunk/Arm/Leg) Area >100 Sq Cm Ea Addl100 Sq… 68 33 $1,411.32 $1,411.32 $366.94 $1,424.59 $1,129.06 2026-08-24
P9037 HCPCS Hc Processing Platelets Pheresis Leuko Reduced Irradiated Each Unit 68 33 $1,410.35 $1,410.35 $366.69 $1,423.61 $1,128.28 2026-08-24
70496 CPT Hc CTA Head With Contrast And Postprocessing 70 34 $1,371.32 $1,371.32 $356.54 $2,021.00 $1,097.06 2026-08-24
70498 CPT Hc CTA Neck With Contrast And Postprocessing 70 34 $1,371.32 $1,371.32 $356.54 $2,021.00 $1,097.06 2026-08-24
70486 CPT Hc CT Maxillofacial Without Contrast 70 34 $1,298.81 $1,298.81 $337.69 $2,430.50 $1,091.70 2026-08-24
51726 CPT Hc Cystometrogram Complex 70 34 $1,322.43 $1,322.43 $343.83 $1,799.00 $1,086.95 2026-08-24
45378 CPT Hc Colonoscopy Flexible Diagnostic 104 34 $2,817.53 $2,817.53 $123.24 $3,430.00 $1,085.00 2026-08-24
25071 CPT Hc Cch Excision Tumor Soft Tissue Forearm And/or Wrist Subq 3 Cm Or More 68 33 $1,353.03 $1,353.03 $351.79 $1,365.75 $1,082.42 2026-08-24
27788 CPT Hc Closed Treatment Distal Fibular Fracture With Manipulation 68 33 $1,350.41 $1,350.41 $351.11 $1,363.10 $1,080.33 2026-08-24
78014 CPT Hc Thyroid Uptake Single Or Multiple W/Quantitative Measurements W Or Without Vascul… 70 34 $1,255.23 $1,255.23 $326.36 $2,037.00 $1,073.22 2026-08-24
0120 RC Hc Med/Surg 132 24 $1,390.50 $1,390.50 $528.39 $11,089.00 $1,063.47 2026-08-24
27818 CPT Hc Closed Treatment Trimalleolar Ankle Fracture With Manipulation 68 33 $1,328.98 $1,328.98 $345.53 $1,341.47 $1,063.18 2026-08-24
25605 CPT Hc Closed Treatment Distal Radial Fracture With Manipulation 68 33 $1,325.82 $1,325.82 $344.71 $1,338.28 $1,060.66 2026-08-24
70450 CPT Hc CT Head/Brain Without Contrast 70 34 $1,292.50 $1,292.50 $274.80 $2,021.00 $1,056.70 2026-08-24
93924 CPT Hc Complete Le Study At Rest And Stress Bilateral 70 34 $1,309.93 $1,309.93 $340.58 $1,322.25 $1,047.94 2026-08-24
78102 CPT Hc Nuc Med Bone Marrow Imaging Limited 70 34 $1,296.75 $1,296.75 $337.15 $2,037.00 $1,037.40 2026-08-24
57267 CPT Hc Cch Insertion Mesh Repair Pelvic Floor 68 33 $1,290.65 $1,290.65 $335.57 $1,302.78 $1,032.52 2026-08-24
23076 CPT Hc Cch Excision Tumor Soft Tissue Shoulder Subfascial 4 Cm Or Less 68 33 $1,278.58 $1,278.58 $332.43 $1,290.60 $1,022.86 2026-08-24
78195 CPT Hc Nuc Med Lymphatic And Lymph Node Imaging 70 34 $1,258.94 $1,258.94 $327.32 $2,037.00 $1,007.15 2026-08-24
78305 CPT Hc Nuc Med Bone Joint Imaging- Multiple 70 34 $1,256.47 $1,256.47 $326.68 $2,037.00 $1,005.18 2026-08-24
19081 CPT Hc Breast Bx With Localization Device & Imaging Of Specimen First Lesion With Stereo… 70 34 $1,218.88 $1,218.88 $316.91 $1,985.00 $1,001.85 2026-08-24
19083 CPT Hc Breast Bx With Localization Device & Imaging Of Specimen First Lesion With US Gui… 70 34 $1,218.88 $1,218.88 $316.91 $1,985.00 $1,001.85 2026-08-24
95816 CPT Hc EEG Awake & Drowsy 70 34 $1,146.36 $1,146.36 $298.05 $1,799.00 $942.24 2026-08-24
11606 CPT Hc Exc Mal Lesion Trunk/Extremities > 4.0 Cm 68 33 $1,177.60 $1,177.60 $306.18 $1,188.67 $942.08 2026-08-24
93925 CPT Hc Duplex Le Arteries Or Bypass Grafts Complete Bilateral 70 34 $1,171.00 $1,171.00 $255.00 $1,182.01 $936.80 2026-08-24
93931 CPT Hc Duplex Ue Arteries Or Bypass Grafts Unilateral Or Limited 70 34 $1,171.00 $1,171.00 $294.00 $1,182.01 $936.80 2026-08-24
21012 CPT Hc Cch Excision Tumor Soft Tissue Face/Saclp Subq 2cm Or Greater 70 34 $1,137.01 $1,137.01 $295.62 $1,985.00 $934.56 2026-08-24
25066 CPT Hc Cch Biopsy Soft Tissue Forearm And/or Wrist Deep 68 33 $1,158.75 $1,158.75 $301.27 $1,169.64 $927.00 2026-08-24
78800 CPT Hc Nuc Med Tumor Loc/Inflammatory Process With Radiopharm Single Area /Day 70 34 $1,144.65 $1,144.65 $297.61 $2,037.00 $915.72 2026-08-24
78801 CPT Hc Nuc Med Tumor Loc/Inflammatory Process With Radiopharm 2 Or More Area/Days 70 34 $1,144.65 $1,144.65 $297.61 $2,037.00 $915.72 2026-08-24
66821 CPT Hc Discission Sec Memb Cataract By Laser 68 33 $1,143.90 $1,143.90 $287.00 $1,154.66 $915.12 2026-08-24
36561 CPT Hc Insertion Tunneled Central Vad With Port >5 Years Old 68 33 $940.02 $940.02 $244.41 $6,370.00 $911.82 2026-08-24
99284 CPT Hc Emergency Room Level 4 69 34 $1,055.75 $1,055.75 $274.50 $1,715.00 $907.95 2026-08-24
43239 CPT Hc Egd Flexible Transoral With Bx 105 34 $2,837.95 $2,837.95 $109.72 $2,864.63 $906.16 2026-08-24
78070 CPT Hc Nuc Med Parathyroid Imaging 70 34 $1,119.10 $1,119.10 $290.97 $2,037.00 $895.28 2026-08-24
78740 CPT Hc Nuc Med Ureteral Reflux Study 70 34 $1,116.06 $1,116.06 $290.18 $2,037.00 $892.85 2026-08-24
78701 CPT Hc Nuc Med Kidney Imaging With Vascular Flow 70 34 $1,116.01 $1,116.01 $290.16 $2,037.00 $892.81 2026-08-24
46946 CPT Hc Cch Ligation Hemorrhoid Internal Other Than Rubber Band 2+ Without Imaging 68 33 $1,111.05 $1,111.05 $288.87 $1,121.49 $888.84 2026-08-24
45381 CPT Hc Colonoscopy Flexible With Submucosal Injection 104 34 $2,747.07 $2,747.07 $145.60 $2,772.89 $877.14 2026-08-24
54700 CPT Hc Drainage Epididymis Testis Or Scrotal Space 68 33 $1,089.34 $1,089.34 $283.23 $1,099.58 $871.47 2026-08-24
78606 CPT Hc Nuc Med Brain Imaging Static With Vascular Flow 70 34 $1,087.07 $1,087.07 $282.64 $2,037.00 $869.66 2026-08-24
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