Hospital

CURRY GENERAL HOSPITAL

Gold Beach, OR · CCN 381322 · Rates published

Your selected procedure

You selected 93306 (CPT)

Ultrasound heart w/color blood flow, rate, direction

This hospital’s price: $2,422 across 43 payers · range $257-$2,550

Source: https://www.curryhealthnetwork.com/docs/930937095_curry-general-hospital_standardcharges.csv · observed 2026-01-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,562 distinct procedures filed

49 distinct payers

287,876 rate rows

2026-01-01 last MRF observed

Data quality

135,570 of 287,876 rate rows are consumer-grade (47.1%)

152,306 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	146,011
per-diem day rate — not a per-procedure price	4,250
exceeds 10× this hospital's gross charge — excluded from medians	1,490
placeholder amount (≤ $0.02) — excluded from medians	303
percent-of-charges filed in the dollar field — excluded from medians	176
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	76

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.curryhealthnetwork.com/docs/930937095_CURRYGENERALHOSPITAL_STANDARDCHARGES.csv
Found on page	https://www.curryhealthnetwork.com/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-20
Content fingerprint	e0eb0ffe10d36e11… · 102,087,330 bytes · first seen 2026-05-06

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
J3357 HCPCS	Ustekinumab 90 Mg/ml Subq Sosy	43	$11,223.00	$73,481.00	$69,806.95	nat. median $14,697 outlier · 4.7×
J2350 HCPCS	Ocrelizumab 300 Mg/10ml IV Soln	41	$14,106.00	$56,479.00	$54,502.24	nat. median $414 outlier · 131.5×
Q4309 HCPCS	Via Matrix Per Sq Cm	42	$12,750.40	$52,000.00	$49,400.00	nat. median $1,473 outlier · 33.5×
J3241 HCPCS	Teprotumumab-trbw 500 Mg IV Solr	43	$12,309.29	$50,201.00	$47,690.95	nat. median $718 outlier · 66.4×
J9334 HCPCS	Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Subq Soln	41	$13,345.92	$46,605.00	$44,973.82	nat. median $83 outlier · 543.5×
Q4283 HCPCS	Biovance 3l Tri-layer Human Amniotic Mem	41	$957.55	$32,000.00	$30,880.00	nat. median $686 outlier · 45.0×
J1950 HCPCS	Leuprolide Acetate (ped)(3mon) 11.25 Mg IM Kit	42	$4,000.26	$29,757.00	$28,269.15	nat. median $3,921 outlier · 7.2×
J3380 HCPCS	Vedolizumab 300 Mg IV Solr	41	$5,202.00	$26,077.00	$25,164.31	nat. median $155 outlier · 162.8×
SUP-ABS-2090-10 CDM	Arthrocell Plus Allograft, 10cc	38	$7,784.00	$25,000.00	$24,500.00	nat. median $21,060 1.2× median
J2327 HCPCS	Risankizumab-rzaa 600 Mg/10ml IV Soln	41	$6,232.46	$23,122.00	$22,312.73	nat. median $1,767 outlier · 12.6×
J2323 HCPCS	Natalizumab 300 Mg/15ml IV Conc	41	$5,730.00	$21,571.00	$20,816.01	nat. median $180 outlier · 115.8×
J3101 HCPCS	Tenecteplase 50 Mg IV Kit	40	$6,497.00	$21,911.00	$20,503.56	nat. median $3,787 outlier · 5.4×
SUP-ABS-4200-038 CDM	Amnion Thick 3x8	38	$5,708.79	$18,335.00	$17,968.30	nat. median $11,824 1.5× median
J2353 HCPCS	Octreotide Acetate 30 Mg IM Kit	41	$5,241.00	$17,570.00	$16,955.05	nat. median $5,623 outlier · 3.0×
J0717 HCPCS	Certolizumab Pegol 200 Mg/ml Subq Pskt	41	$1,248.00	$15,876.00	$15,320.34	nat. median $1,635 outlier · 9.4×
J0491 HCPCS	Anifrolumab-fnia 300 Mg/2ml IV Soln	41	$4,096.46	$14,887.00	$14,365.95	nat. median $62 outlier · 230.4×
J1932 HCPCS	Lanreotide Acetate 120 Mg/0.5ml Subq Soln	41	$2,938.46	$13,055.00	$12,598.08	nat. median $115 outlier · 109.9×
Q4282 HCPCS	Cygnus Dual Amniotic Allograft 2x3cm	43	$486.78	$28,125.00	$12,178.13	nat. median $638 outlier · 19.1×
J1162 HCPCS	Digoxin Immune Fab 40 Mg IV Solr	43	$3,075.30	$12,542.00	$11,914.90	nat. median $7,165 1.7× median
J0565 HCPCS	Bezlotoxumab 1000 Mg/40ml IV Soln	41	$3,190.00	$10,398.00	$10,034.07	nat. median $159 outlier · 63.2×
J1306 HCPCS	Inclisiran Sodium 284 Mg/1.5ml Subq Sosy	41	$2,962.28	$9,514.00	$9,181.01	nat. median $44 outlier · 209.9×
SUP-AR-8942W-1808 CDM	Biosync Evans Wedge, 18 X 18 X 8 Mm	38	$2,848.17	$9,147.50	$8,964.55	nat. median $8,041 1.1× median
J2182 HCPCS	Mepolizumab 100 Mg Subq Solr	41	$2,455.00	$10,692.00	$8,853.32	nat. median $2,791 outlier · 3.2×
73220 CPT	MRI Scan Of Arm Before And After Contrast	43	$343.53	$7,945.00	$7,547.75	nat. median $1,136 outlier · 6.6×
73223 CPT	MRI Scan Of Arm Joint Before And After Contrast	43	$316.88	$7,713.00	$7,327.35	nat. median $1,158 outlier · 6.3×
70553 CPT	MRI Scan Of Brain Before And After Contrast	43	$236.92	$7,683.00	$7,298.85	nat. median $1,136 outlier · 6.4×
70543 CPT	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck	43	$266.26	$7,679.00	$7,295.05	nat. median $1,087 outlier · 6.7×
71552 CPT	MRI Scan Of Chest Before And After Contrast	43	$405.51	$7,637.00	$7,255.15	nat. median $1,103 outlier · 6.6×
70546 CPT	MRI Scan Of Blood Vessels Of Head Before And After Contrast	43	$291.44	$7,637.00	$7,255.15	nat. median $1,073 outlier · 6.8×
74174 CPT	CT Scan Of Blood Vessels Of Abdomen And Pelvis W/contrast	43	$310.15	$7,577.00	$7,198.15	nat. median $998 outlier · 7.2×
73720 CPT	MRI Scan Of Leg Before And After Contrast	43	$263.70	$7,345.00	$6,977.75	nat. median $1,135 outlier · 6.1×
J3111 HCPCS	Romosozumab-aqqg 105 Mg/1.17ml Subq Sosy	41	$2,239.61	$7,193.00	$6,941.25	nat. median $696 outlier · 10.0×
72158 CPT	MRI Scan Of Lower Spinal Canal Before And After Contrast	43	$236.92	$7,208.00	$6,847.60	nat. median $1,097 outlier · 6.2×
72197 CPT	MRI Scan Of Pelvis Before And After Contrast	43	$261.13	$7,167.00	$6,808.65	nat. median $1,074 outlier · 6.3×
J0401 HCPCS	Aripiprazole ER 400 Mg IM Prsy	41	$2,188.55	$7,029.00	$6,782.99	nat. median $1,912 outlier · 3.5×
44141 CPT	Hc Pr 44141 Partial Removal Of Colon, With Skin Level Cecostomy Or Colos	42	$1,886.98	$6,992.00	$6,642.40	nat. median $3,115 outlier · 2.1×
70549 CPT	MRI Scan Of Blood Vessels Of Neck Before And After Contrast	43	$292.54	$6,784.00	$6,444.80	nat. median $1,063 outlier · 6.1×
Q4194 HCPCS	Novachor 1 Sq Cm	43	$858.92	$6,750.00	$6,412.50	nat. median $820 outlier · 7.8×
73723 CPT	MRI Scan Of Leg Joint Before And After Contrast	43	$315.78	$6,575.00	$6,246.25	nat. median $1,199 outlier · 5.2×
44626 CPT	Hc Pr 44626 Repair Bowel Opening, Hartmann Method	42	$1,654.78	$6,270.00	$5,956.50	nat. median $3,023 2.0× median
49020 CPT	Hc Pr 49020 Drain Abdominal Abscess, Open	42	$1,668.54	$6,235.00	$5,923.25	nat. median $2,738 outlier · 2.2×
74178 CPT	CT Scan Of Abdomen And Pelvis Before And After Contrast	43	$273.23	$6,229.00	$5,917.55	nat. median $1,027 outlier · 5.8×
44143 CPT	Hc Pr 44143 Partial Removal Of Colon, Hartmann Procedure	42	$1,719.39	$6,222.00	$5,910.90	nat. median $3,003 2.0× median
44204 CPT	Hc Pr 44204 Laparoscopy Partial Colectomy	42	$1,602.79	$5,916.00	$5,620.20	nat. median $3,582 1.6× median
J1459 HCPCS	Privigen 10 Gm/100ml IV Soln	41	$788.40	$12,615.00	$5,462.30	nat. median $1,371 outlier · 4.0×
44202 CPT	Laparoscopy, Surgical; Enterectomy, Resection Of Small Intestine	42	$1,448.54	$5,457.00	$5,184.15	nat. median $3,792 1.4× median
J1602 HCPCS	Golimumab 50 Mg/4ml IV Soln	41	$332.96	$5,367.00	$5,179.15	nat. median $261 outlier · 19.8×
J3032 HCPCS	Eptinezumab-jjmr 100 Mg/ml IV Soln	41	$1,543.46	$5,309.00	$5,123.18	nat. median $73 outlier · 70.5×
43840 CPT	Hc Pr 43840 Repair Of Stomach Lesion	42	$1,422.43	$5,324.00	$5,057.80	nat. median $3,636 1.4× median
75635 CPT	CT Scan Of Abdominal Aorta And Both Leg Arteries W/contrast	43	$335.82	$5,317.00	$5,051.15	nat. median $727 outlier · 7.0×

Other procedures at this hospital

Browse this hospital's 2,562 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J3357	HCPCS	Ustekinumab 90 Mg/ml Subq Sosy	48	43	$70,198.00	$70,198.00	$11,223.00	$73,481.00	$69,806.95	2026-01-01
J2350	HCPCS	Ocrelizumab 300 Mg/10ml IV Soln	46	41	$53,405.00	$53,405.00	$14,106.00	$56,479.00	$54,502.24	2026-01-01
Q4309	HCPCS	Via Matrix Per Sq Cm	47	42	$52,000.00	$52,000.00	$12,750.40	$52,000.00	$49,400.00	2026-01-01
J3241	HCPCS	Teprotumumab-trbw 500 Mg IV Solr	48	43	$50,201.00	$50,201.00	$12,309.29	$50,201.00	$47,690.95	2026-01-01
J9334	HCPCS	Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Subq Soln	46	41	$43,376.00	$43,376.00	$13,345.92	$46,605.00	$44,973.82	2026-01-01
Q4283	HCPCS	Biovance 3l Tri-layer Human Amniotic Mem	46	41	$32,000.00	$32,000.00	$957.55	$32,000.00	$30,880.00	2026-01-01
J1950	HCPCS	Leuprolide Acetate (ped)(3mon) 11.25 Mg IM Kit	47	42	$29,757.00	$29,757.00	$4,000.26	$29,757.00	$28,269.15	2026-01-01
J3380	HCPCS	Vedolizumab 300 Mg IV Solr	46	41	$23,714.00	$23,714.00	$5,202.00	$26,077.00	$25,164.31	2026-01-01
SUP-ABS-2090-10	CDM	Arthrocell Plus Allograft, 10cc	43	38	$25,000.00	$25,000.00	$7,784.00	$25,000.00	$24,500.00	2026-01-01
J2327	HCPCS	Risankizumab-rzaa 600 Mg/10ml IV Soln	46	41	$23,122.00	$23,122.00	$6,232.46	$23,122.00	$22,312.73	2026-01-01
J2323	HCPCS	Natalizumab 300 Mg/15ml IV Conc	46	41	$22,576.00	$22,576.00	$5,730.00	$21,571.00	$20,816.01	2026-01-01
J3101	HCPCS	Tenecteplase 50 Mg IV Kit	90	40	$20,922.00	$20,922.00	$6,497.00	$21,911.00	$20,503.56	2026-01-01
SUP-ABS-4200-038	CDM	Amnion Thick 3x8	43	38	$18,335.00	$18,335.00	$5,708.79	$18,335.00	$17,968.30	2026-01-01
J2353	HCPCS	Octreotide Acetate 30 Mg IM Kit	46	41	$17,254.00	$17,254.00	$5,241.00	$17,570.00	$16,955.05	2026-01-01
J0717	HCPCS	Certolizumab Pegol 200 Mg/ml Subq Pskt	46	41	$7,102.00	$7,102.00	$1,248.00	$15,876.00	$15,320.34	2026-01-01
J0491	HCPCS	Anifrolumab-fnia 300 Mg/2ml IV Soln	46	41	$14,887.00	$14,887.00	$4,096.46	$14,887.00	$14,365.95	2026-01-01
J1932	HCPCS	Lanreotide Acetate 120 Mg/0.5ml Subq Soln	46	41	$15,380.00	$15,380.00	$2,938.46	$13,055.00	$12,598.08	2026-01-01
Q4282	HCPCS	Cygnus Dual Amniotic Allograft 2x3cm	144	43	$18,500.00	$18,500.00	$486.78	$28,125.00	$12,178.13	2026-01-01
J1162	HCPCS	Digoxin Immune Fab 40 Mg IV Solr	48	43	$12,059.00	$12,059.00	$3,075.30	$12,542.00	$11,914.90	2026-01-01
J0565	HCPCS	Bezlotoxumab 1000 Mg/40ml IV Soln	46	41	$10,398.00	$10,398.00	$3,190.00	$10,398.00	$10,034.07	2026-01-01
J1306	HCPCS	Inclisiran Sodium 284 Mg/1.5ml Subq Sosy	46	41	$9,253.00	$9,253.00	$2,962.28	$9,514.00	$9,181.01	2026-01-01
SUP-AR-8942W-1808	CDM	Biosync Evans Wedge, 18 X 18 X 8 Mm	43	38	$9,147.50	$9,147.50	$2,848.17	$9,147.50	$8,964.55	2026-01-01
J2182	HCPCS	Mepolizumab 100 Mg Subq Solr	92	41	$9,034.00	$9,034.00	$2,455.00	$10,692.00	$8,853.32	2026-01-01
73220	CPT	MRI Scan Of Arm Before And After Contrast	50	43	$7,567.00	$7,567.00	$343.53	$7,945.00	$7,547.75	2026-01-01
73223	CPT	MRI Scan Of Arm Joint Before And After Contrast	50	43	$7,346.00	$7,346.00	$316.88	$7,713.00	$7,327.35	2026-01-01
70553	CPT	MRI Scan Of Brain Before And After Contrast	50	43	$7,317.00	$7,317.00	$236.92	$7,683.00	$7,298.85	2026-01-01
70543	CPT	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck	50	43	$7,313.00	$7,313.00	$266.26	$7,679.00	$7,295.05	2026-01-01
70546	CPT	MRI Scan Of Blood Vessels Of Head Before And After Contrast	50	43	$7,273.00	$7,273.00	$291.44	$7,637.00	$7,255.15	2026-01-01
71552	CPT	MRI Scan Of Chest Before And After Contrast	50	43	$7,273.00	$7,273.00	$405.51	$7,637.00	$7,255.15	2026-01-01
74174	CPT	CT Scan Of Blood Vessels Of Abdomen And Pelvis W/contrast	50	43	$7,216.00	$7,216.00	$310.15	$7,577.00	$7,198.15	2026-01-01
73720	CPT	MRI Scan Of Leg Before And After Contrast	50	43	$6,995.00	$6,995.00	$263.70	$7,345.00	$6,977.75	2026-01-01
J3111	HCPCS	Romosozumab-aqqg 105 Mg/1.17ml Subq Sosy	46	41	$6,851.00	$6,851.00	$2,239.61	$7,193.00	$6,941.25	2026-01-01
72158	CPT	MRI Scan Of Lower Spinal Canal Before And After Contrast	50	43	$6,865.00	$6,865.00	$236.92	$7,208.00	$6,847.60	2026-01-01
72197	CPT	MRI Scan Of Pelvis Before And After Contrast	50	43	$6,826.00	$6,826.00	$261.13	$7,167.00	$6,808.65	2026-01-01
J0401	HCPCS	Aripiprazole ER 400 Mg IM Prsy	46	41	$7,029.00	$7,029.00	$2,188.55	$7,029.00	$6,782.99	2026-01-01
44141	CPT	Hc Pr 44141 Partial Removal Of Colon, With Skin Level Cecostomy Or Colos	48	42	$6,659.00	$6,659.00	$1,886.98	$6,992.00	$6,642.40	2026-01-01
70549	CPT	MRI Scan Of Blood Vessels Of Neck Before And After Contrast	50	43	$6,461.00	$6,461.00	$292.54	$6,784.00	$6,444.80	2026-01-01
Q4194	HCPCS	Novachor 1 Sq Cm	48	43	$6,750.00	$6,750.00	$858.92	$6,750.00	$6,412.50	2026-01-01
73723	CPT	MRI Scan Of Leg Joint Before And After Contrast	50	43	$6,262.00	$6,262.00	$315.78	$6,575.00	$6,246.25	2026-01-01
44626	CPT	Hc Pr 44626 Repair Bowel Opening, Hartmann Method	48	42	$5,971.00	$5,971.00	$1,654.78	$6,270.00	$5,956.50	2026-01-01
49020	CPT	Hc Pr 49020 Drain Abdominal Abscess, Open	48	42	$5,938.00	$5,938.00	$1,668.54	$6,235.00	$5,923.25	2026-01-01
74178	CPT	CT Scan Of Abdomen And Pelvis Before And After Contrast	50	43	$5,932.00	$5,932.00	$273.23	$6,229.00	$5,917.55	2026-01-01
44143	CPT	Hc Pr 44143 Partial Removal Of Colon, Hartmann Procedure	48	42	$5,926.00	$5,926.00	$1,719.39	$6,222.00	$5,910.90	2026-01-01
44204	CPT	Hc Pr 44204 Laparoscopy Partial Colectomy	48	42	$5,634.00	$5,634.00	$1,602.79	$5,916.00	$5,620.20	2026-01-01
J1459	HCPCS	Privigen 10 Gm/100ml IV Soln	138	41	$3,154.00	$3,154.00	$788.40	$12,615.00	$5,462.30	2026-01-01
44202	CPT	Laparoscopy, Surgical; Enterectomy, Resection Of Small Intestine	48	42	$5,197.00	$5,197.00	$1,448.54	$5,457.00	$5,184.15	2026-01-01
J1602	HCPCS	Golimumab 50 Mg/4ml IV Soln	46	41	$5,038.00	$5,038.00	$332.96	$5,367.00	$5,179.15	2026-01-01
J3032	HCPCS	Eptinezumab-jjmr 100 Mg/ml IV Soln	46	41	$5,309.00	$5,309.00	$1,543.46	$5,309.00	$5,123.18	2026-01-01
43840	CPT	Hc Pr 43840 Repair Of Stomach Lesion	48	42	$5,070.00	$5,070.00	$1,422.43	$5,324.00	$5,057.80	2026-01-01
75635	CPT	CT Scan Of Abdominal Aorta And Both Leg Arteries W/contrast	50	43	$5,064.00	$5,064.00	$335.82	$5,317.00	$5,051.15	2026-01-01
58554	CPT	Hc Pr 58554 Laparo-vaginal Hysterectomy With Tubes/Ovary(S) Complex	48	42	$4,929.00	$4,929.00	$1,378.41	$5,175.00	$4,916.25	2026-01-01
74183	CPT	MRI Scan Of Abdomen Before And After Contrast	50	43	$4,929.00	$4,929.00	$262.60	$5,175.00	$4,916.25	2026-01-01
J0897	HCPCS	Denosumab 60 Mg/ml Subq Sosy	46	41	$4,504.00	$4,504.00	$1,327.80	$5,039.00	$4,862.64	2026-01-01
74177	CPT	CT Scan Of Abdomen And Pelvis With Contrast	50	43	$4,863.00	$4,863.00	$242.18	$5,106.00	$4,850.70	2026-01-01
44140	CPT	Hc Pr 44140 Partial Removal Of Colon With Anastomosis	48	42	$4,786.00	$4,786.00	$1,402.77	$5,025.00	$4,773.75	2026-01-01
72157	CPT	MRI Scan Of Middle Spinal Canal Before And After Contrast	50	43	$4,778.00	$4,778.00	$238.39	$5,017.00	$4,766.15	2026-01-01
72127	CPT	CT Scan Of Upper Spine Before And After Contrast	50	43	$4,578.00	$4,578.00	$153.79	$4,807.00	$4,566.65	2026-01-01
J0180	HCPCS	Agalsidase Beta 35 Mg IV Solr	92	41	$11,316.50	$11,316.50	$880.84	$19,804.00	$4,497.59	2026-01-01
44160	CPT	Hc Pr 44160 Removal Of Colon, Partial	48	42	$4,456.00	$4,456.00	$1,299.28	$4,679.00	$4,445.05	2026-01-01
27447	CPT	Hc Pr 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	48	42	$4,434.00	$4,434.00	$1,363.28	$4,656.00	$4,423.20	2026-01-01
27130	CPT	Hc Pr 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	48	42	$4,434.00	$4,434.00	$1,364.97	$4,656.00	$4,423.20	2026-01-01
44120	CPT	Hc Pr 44120 Removal Of Small Intestine, Single Resection	48	42	$4,413.00	$4,413.00	$1,275.91	$4,634.00	$4,402.30	2026-01-01
38100	CPT	Hc Pr 38100 Removal Of Spleen Total	48	42	$4,344.00	$4,344.00	$1,201.70	$4,561.00	$4,332.95	2026-01-01
44188	CPT	Hc Pr 44188 Laparoscopy Colostomy	48	42	$4,306.00	$4,306.00	$1,271.16	$4,521.00	$4,294.95	2026-01-01
C1886	HCPCS	System Thermoablation W/bipolar Electrode Novasure Strl (1bx/3ea)	45	40	$4,382.40	$4,382.40	$1,364.50	$4,382.40	$4,294.75	2026-01-01
72149	CPT	MRI Scan Of Lower Spinal Canal With Contrast	50	43	$4,301.00	$4,301.00	$208.68	$4,516.00	$4,290.20	2026-01-01
72196	CPT	MRI Scan Of Pelvis With Contrast	50	43	$4,249.00	$4,249.00	$210.15	$4,461.00	$4,237.95	2026-01-01
37616	CPT	Hc Pr 37616 Ligation Of Chest Artery	48	42	$4,216.00	$4,216.00	$1,184.09	$4,427.00	$4,205.65	2026-01-01
73222	CPT	MRI Scan Of Arm Joint With Contrast	50	43	$4,149.00	$4,149.00	$262.23	$4,356.00	$4,138.20	2026-01-01
74176	CPT	CT Scan Of Abdomen And Pelvis Without Contrast	50	43	$4,147.00	$4,147.00	$114.91	$4,354.00	$4,136.30	2026-01-01
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6ml Subq Sosy	46	41	$4,287.00	$4,287.00	$1,334.49	$4,286.00	$4,135.99	2026-01-01
72156	CPT	MRI Scan Of Upper Spinal Canal Before And After Contrast	50	43	$4,128.00	$4,128.00	$237.66	$4,334.00	$4,117.30	2026-01-01
35226	CPT	Hc Ed Rpr Blood Vessel Direct Lower Extremity Cdm	48	43	$4,056.00	$4,056.00	$1,106.54	$4,259.00	$4,046.05	2026-01-01
27245	CPT	Hc Pr 27245 Tx Inter/PR/Subtrchntric Fem Fx Imed Implt Screw Cdm	48	42	$4,048.00	$4,048.00	$1,307.74	$4,250.00	$4,037.50	2026-01-01
19306	CPT	Hc Pr 19306 Mast Rad Urban Type	48	42	$4,043.00	$4,043.00	$1,286.78	$4,245.00	$4,032.75	2026-01-01
27244	CPT	Tx Femoral Fracture W/Plate/Screw Type Implant	48	42	$4,040.00	$4,040.00	$1,309.31	$4,242.00	$4,029.90	2026-01-01
71275	CPT	CT Blood Vessels Chest With Contrast	50	43	$4,036.00	$4,036.00	$220.42	$4,238.00	$4,026.10	2026-01-01
J0129	HCPCS	Abatacept 250 Mg IV Solr	46	41	$3,688.00	$3,688.00	$876.00	$4,165.00	$4,019.22	2026-01-01
73202	CPT	CT Scan Of Arm Before And After Contrast	50	43	$3,927.00	$3,927.00	$211.98	$4,123.00	$3,916.85	2026-01-01
74175	CPT	CT Scan Of Blood Vessels Of Arm With Contrast	50	43	$3,926.00	$3,926.00	$247.19	$4,122.00	$3,915.90	2026-01-01
44005	CPT	Hc Pr 44005 Freeing Of Bowel Adhesion	48	42	$3,913.00	$3,913.00	$1,140.99	$4,109.00	$3,903.55	2026-01-01
19307	CPT	Hc Pr 19307 Mast Mod Rad	48	42	$3,901.00	$3,901.00	$1,241.52	$4,096.00	$3,891.20	2026-01-01
73702	CPT	CT Scan Of Leg Before And After Contrast	50	43	$3,899.00	$3,899.00	$155.26	$4,094.00	$3,889.30	2026-01-01
44187	CPT	Hc Pr 44187 Lap Ileo/jejuno-stomy	48	42	$3,865.00	$3,865.00	$1,146.56	$4,058.00	$3,855.10	2026-01-01
Q4196	HCPCS	Hc Dressing Biological Puraply Am-com Sheet 5x5cm 25sqcm	144	43	$9,041.00	$9,041.00	$103.77	$9,180.00	$3,846.25	2026-01-01
50020	CPT	Hc Pr 50020 Drainage Perirenal/Renal Abscess Open Cdm	48	42	$3,791.00	$3,791.00	$1,081.71	$3,981.00	$3,781.95	2026-01-01
J1439	HCPCS	Ferric Carboxymaltose 750 Mg/15ml IV Soln	46	41	$3,511.00	$3,511.00	$1.14	$3,919.00	$3,781.84	2026-01-01
70492	CPT	CT Scan Of Soft Tissue Of Neck Before And After Contrast	50	43	$3,790.00	$3,790.00	$162.96	$3,980.00	$3,781.00	2026-01-01
27236	CPT	Hc Pr 27236 Optx Fem Fx Prox End Nck Int Fixj/Prostc Rplcmt	48	42	$3,770.00	$3,770.00	$1,232.67	$3,959.00	$3,761.05	2026-01-01
44310	CPT	Hc Pr 44310 Ileostomy/Jejunostomy	48	42	$3,752.00	$3,752.00	$1,090.00	$3,940.00	$3,743.00	2026-01-01
C1052	HCPCS	Endoclot Phs Powder 3g Vial With Applicator	135	40	$3,875.00	$3,875.00	$1,158.26	$6,000.00	$3,720.00	2026-01-01
72142	CPT	MRI Scan Of Upper Spinal Canal With Contrast	50	43	$3,729.00	$3,729.00	$213.82	$3,915.00	$3,719.25	2026-01-01
47600	CPT	Hc Pr 47600 Cholecystectomy	48	42	$3,729.00	$3,729.00	$1,124.19	$3,915.00	$3,719.25	2026-01-01
73219	CPT	MRI Scan Of Arm With Contrast	50	43	$3,729.00	$3,729.00	$283.87	$3,915.00	$3,719.25	2026-01-01
73722	CPT	MRI Scan Of Leg Joint With Contrast	50	43	$3,729.00	$3,729.00	$264.06	$3,915.00	$3,719.25	2026-01-01
70482	CPT	CT Scan Of Cranial Cavity Before And After Contrast	50	43	$3,729.00	$3,729.00	$168.83	$3,915.00	$3,719.25	2026-01-01
72147	CPT	MRI Scan Of Middle Spinal Canal With Contrast	50	43	$3,729.00	$3,729.00	$211.61	$3,915.00	$3,719.25	2026-01-01
71551	CPT	MRI Scan Of Chest With Contrast	50	43	$3,729.00	$3,729.00	$326.78	$3,915.00	$3,719.25	2026-01-01
47605	CPT	Hc Pr 47605 Cholecystectomy With Cholangiography	48	42	$3,729.00	$3,729.00	$1,181.33	$3,915.00	$3,719.25	2026-01-01
44180	CPT	Hc Pr 44180 Laparoscopy Enterolysis	48	42	$3,724.00	$3,724.00	$964.58	$3,910.00	$3,714.50	2026-01-01
SUP-FANT-SL	CDM	All Inside Ant Tib Ten Sl Frozen	43	38	$3,759.90	$3,759.90	$1,170.68	$3,759.90	$3,684.70	2026-01-01
44345	CPT	Hc Pr 44345 Revision Of Colostomy, Complicated	48	42	$3,686.00	$3,686.00	$1,105.62	$3,870.00	$3,676.50	2026-01-01
70488	CPT	CT Scan Of Face Before And After Contrast	50	43	$3,673.00	$3,673.00	$139.85	$3,857.00	$3,664.15	2026-01-01
PX-75010318	CDM	Hc Endoscopy/Gastrointestinal Procedure Level 4	45	40	$3,560.00	$3,560.00	$729.66	$3,738.00	$3,663.24	2026-01-01
PX-75010319	CDM	Hc Endoscopy/Gastrointestinal Procedure Level 5	45	40	$3,560.00	$3,560.00	$729.66	$3,738.00	$3,663.24	2026-01-01
PX-75010272	CDM	Hc Endoscopy/Gastrointestinal Procedure Level 6	45	40	$3,560.00	$3,560.00	$729.66	$3,738.00	$3,663.24	2026-01-01
15830	CPT	Hc Pr 15830 Exc Skin Abd	48	42	$3,662.00	$3,662.00	$1,197.18	$3,845.00	$3,652.75	2026-01-01
Q4101	HCPCS	Hc Allograft Tissue Apligraf 3x3in	47	42	$3,245.00	$3,245.00	$937.89	$3,825.00	$3,633.75	2026-01-01
Q4159	HCPCS	Hc Allograft Tissue Affinity 2.5x2.5cm	48	43	$6,623.00	$6,623.00	$175.45	$3,825.00	$3,633.75	2026-01-01
74182	CPT	MRI Scan Of Abdomen With Contrast	50	43	$3,639.00	$3,639.00	$247.56	$3,821.00	$3,629.95	2026-01-01
58552	CPT	Hc Pr 58552 Laparo-vaginal Hysterectomy Incl Tubes/Ovary(S)	48	42	$3,607.00	$3,607.00	$1,040.72	$3,787.00	$3,597.65	2026-01-01
70496	CPT	CT Scan Of Blood Vessels Of Head With Contrast	50	43	$3,599.00	$3,599.00	$218.22	$3,779.00	$3,590.05	2026-01-01
70552	CPT	MRI Scan Of Brain With Contrast	49	42	$3,538.00	$3,538.00	$209.78	$3,715.00	$3,529.25	2026-01-01
58180	CPT	Hc Pr 58180 Partial Hysterectomy	48	42	$3,520.00	$3,520.00	$1,019.03	$3,696.00	$3,511.20	2026-01-01
44050	CPT	Hc Pr 44050 Reduce Bowel Obstruction	47	42	$3,693.00	$3,693.00	$981.14	$3,693.00	$3,508.35	2026-01-01
73719	CPT	MRI Scan Of Leg With Contrast	50	43	$3,472.00	$3,472.00	$209.05	$3,646.00	$3,463.70	2026-01-01
76390	CPT	MRI Study For Measuring Biochemical Changes In The Brain	45	40	$3,359.00	$3,359.00	$1,098.17	$3,527.00	$3,456.46	2026-01-01
70545	CPT	MRI Scan Of Blood Vessels Of Head With Contrast	50	43	$3,458.00	$3,458.00	$192.18	$3,631.00	$3,449.45	2026-01-01
19318	CPT	Hc Pr 19318 Reduction Of Large Breast	48	42	$3,433.00	$3,433.00	$1,122.45	$3,605.00	$3,424.75	2026-01-01
58150	CPT	Remove Uterus Cervix Via Abdomen W/wo Tubes Or Ovaries	48	42	$3,398.00	$3,398.00	$1,080.45	$3,568.00	$3,389.60	2026-01-01
77021	CPT	Review By Radiologist Of MRI Guidance For Needle Placement	50	43	$3,395.00	$3,395.00	$379.96	$3,565.00	$3,386.75	2026-01-01
19303	CPT	Hc Pr 19303 Mast Simple Complete	48	42	$3,394.00	$3,394.00	$1,009.90	$3,564.00	$3,385.80	2026-01-01
70336	CPT	MRI Scan Of Jaw Joint	49	42	$3,388.00	$3,388.00	$216.02	$3,557.00	$3,379.15	2026-01-01
72148	CPT	MRI Scan Of Lower Spinal Canal Without Contrast	50	43	$3,382.00	$3,382.00	$136.55	$3,551.00	$3,373.45	2026-01-01
57265	CPT	Hc Pr 57265 Extensive Repair Of Vagina	48	42	$3,378.00	$3,378.00	$923.25	$3,547.00	$3,369.65	2026-01-01
71555	CPT	MRI Scan Of Blood Vessels Of Chest	48	43	$3,359.00	$3,359.00	$377.71	$3,527.00	$3,350.65	2026-01-01
74185	CPT	MRI Scan Of Blood Vessels Of Abdomen	48	43	$3,359.00	$3,359.00	$545.56	$3,527.00	$3,350.65	2026-01-01
72198	CPT	MRI Scan Of Blood Vessels Of Pelvis	48	43	$3,359.00	$3,359.00	$379.61	$3,527.00	$3,350.65	2026-01-01
50940	CPT	Hc Pr 50940 Deligation Ureter Cdm	48	42	$3,347.00	$3,347.00	$945.88	$3,514.00	$3,338.30	2026-01-01
73218	CPT	MRI Scan Of Arm Without Contrast	50	43	$3,329.00	$3,329.00	$265.53	$3,495.00	$3,320.25	2026-01-01
73718	CPT	MRI Scan Of Leg Without Contrast	50	43	$3,329.00	$3,329.00	$178.37	$3,495.00	$3,320.25	2026-01-01
27502	CPT	Closed Treatment Of Broken Thigh Bone At Midportion	48	43	$3,326.00	$3,326.00	$670.63	$3,492.00	$3,317.40	2026-01-01
J3424	HCPCS	Hydroxocobalamin 5 G IV Solr	46	41	$3,431.00	$3,431.00	$160.46	$3,431.00	$3,310.91	2026-01-01
70498	CPT	CT Scan Of Blood Vessels Of Neck With Contrast	50	43	$3,297.00	$3,297.00	$217.85	$3,462.00	$3,288.90	2026-01-01
72191	CPT	CT Blood Vessels Pelvis With/without Contrast	50	43	$3,295.00	$3,295.00	$246.82	$3,460.00	$3,287.00	2026-01-01
29827	CPT	Hc Pr 29827 Shldr Arthroscop,Surg,W/Rotat Cuff Repr	48	42	$3,273.00	$3,273.00	$1,070.14	$3,437.00	$3,265.15	2026-01-01
27827	CPT	Hc Pr 27827 Open Treatment Fracture Distal Tibia Only Cdm	48	42	$3,167.00	$3,167.00	$1,035.27	$7,007.06	$3,258.50	2026-01-01
78452	CPT	Nuclear Medicine Myocardial Perfuse Spect	50	43	$3,243.00	$3,243.00	$380.92	$3,405.00	$3,234.75	2026-01-01
72195	CPT	MRI Scan Of Pelvis Without Contrast	50	43	$3,235.00	$3,235.00	$178.73	$3,397.00	$3,227.15	2026-01-01
44960	CPT	Hc Pr 44960 Appendectomy, Ruptured	48	42	$3,228.00	$3,228.00	$918.64	$3,389.00	$3,219.55	2026-01-01
73221	CPT	MRI Scan Of Arm Joint Without Contrast	50	43	$3,223.00	$3,223.00	$156.96	$3,384.00	$3,214.80	2026-01-01
58550	CPT	Hc Pr 58550 Laparo-asst Vaginal Hysterectomy	48	42	$3,221.00	$3,221.00	$936.37	$3,382.00	$3,212.90	2026-01-01
70551	CPT	MRI Scan Of Brain Without Contrast	50	43	$3,220.00	$3,220.00	$142.79	$3,381.00	$3,211.95	2026-01-01
74181	CPT	MRI Scan Of Abdomen Without Contrast	50	43	$3,217.00	$3,217.00	$142.79	$3,378.00	$3,209.10	2026-01-01
72146	CPT	MRI Scan Of Middle Spinal Canal Without Contrast	50	43	$3,217.00	$3,217.00	$136.19	$3,378.00	$3,209.10	2026-01-01
52601	CPT	Hc Pr 52601 Trurl Electrosurg Rescj Prostate Bleed Complete Cdm	48	42	$3,209.00	$3,209.00	$775.72	$3,369.00	$3,200.55	2026-01-01
PX-36010147	CDM	Hc Operating Room Services Level 2 1st 30 Mins	45	40	$3,094.00	$3,094.00	$634.20	$3,249.00	$3,184.02	2026-01-01
PX-36010146	CDM	Hc Operating Room Services Level 1 1st 30 Mins	45	40	$3,094.00	$3,094.00	$634.20	$3,249.00	$3,184.02	2026-01-01
PX-36010153	CDM	Hc Operating Room Services Level 8 1st 30 Mins	45	40	$3,094.00	$3,094.00	$634.20	$3,249.00	$3,184.02	2026-01-01
PX-36010151	CDM	Hc Operating Room Services Level 6 1st 30 Mins	45	40	$3,094.00	$3,094.00	$634.20	$3,249.00	$3,184.02	2026-01-01
PX-36010148	CDM	Hc Operating Room Services Level 3 1st 30 Mins	45	40	$3,094.00	$3,094.00	$634.20	$3,249.00	$3,184.02	2026-01-01
PX-36010152	CDM	Hc Operating Room Services Level 7 1st 30 Mins	45	40	$3,094.00	$3,094.00	$634.20	$3,249.00	$3,184.02	2026-01-01
PX-36010149	CDM	Hc Operating Room Services Level 4 1st 30 Mins	45	40	$3,094.00	$3,094.00	$634.20	$3,249.00	$3,184.02	2026-01-01
PX-36010150	CDM	Hc Operating Room Services Level 5 1st 30 Mins	45	40	$3,094.00	$3,094.00	$634.20	$3,249.00	$3,184.02	2026-01-01
25609	CPT	Hc Pr 25609 Open Rx Distal Radius Fx, Intra-articular, 3+ Frag [25609] Cdm	48	42	$3,079.00	$3,079.00	$1,006.63	$3,831.79	$3,168.34	2026-01-01
71550	CPT	MRI Scan Of Chest Without Contrast	50	43	$3,166.00	$3,166.00	$297.81	$3,324.00	$3,157.80	2026-01-01
70544	CPT	MRI Scan Of Blood Vessels Of Head Without Contrast	50	43	$3,156.00	$3,156.00	$178.60	$3,314.00	$3,148.30	2026-01-01
J7298	HCPCS	Hc Pr Rx Levonorgestrel IUD (Mirena) IUD 5 Yr 52 Mg	96	43	$3,258.00	$3,258.00	$798.86	$3,298.00	$3,133.10	2026-01-01
49402	CPT	Hc Pr 49402 Remove Foreign Body Adbomen	48	42	$3,131.00	$3,131.00	$898.80	$3,288.00	$3,123.60	2026-01-01
J3262	HCPCS	Tocilizumab 80 Mg/4ml IV Soln	138	41	$2,435.00	$2,435.00	$382.40	$7,133.00	$3,088.59	2026-01-01
71270	CPT	CT Scan Of Chest Before And After Contrast	50	43	$3,083.00	$3,083.00	$154.16	$3,237.00	$3,075.15	2026-01-01
72141	CPT	MRI Scan Of Upper Spinal Canal Without Contrast	50	43	$3,080.00	$3,080.00	$135.82	$3,234.00	$3,072.30	2026-01-01
Q4197	HCPCS	Hc Puraply Mz 500mg	96	43	$3,132.00	$3,132.00	$72.64	$4,250.00	$3,069.36	2026-01-01
70548	CPT	MRI Scan Of Blood Vessels Of Neck With Contrast	50	43	$3,062.00	$3,062.00	$197.31	$3,215.00	$3,054.25	2026-01-01
57260	CPT	Hc Pr 57260 Repair Of Vagina, Combined Anteroposterior Colporrhaphy	48	42	$3,062.00	$3,062.00	$826.02	$3,215.00	$3,054.25	2026-01-01
78227	CPT	Nuclear Medicine Study Of Liver And Bile Duct System	50	43	$3,036.00	$3,036.00	$381.78	$3,188.00	$3,028.60	2026-01-01
59426	CPT	Hc Pr 59426 Antepartum Care Only 7/> Visits Rhc	55	42	$3,316.00	$3,316.00	$820.42	$3,316.00	$3,017.56	2026-01-01
74170	CPT	CT Scan Of Abdomen Before And After Contrast	50	43	$3,000.00	$3,000.00	$217.24	$3,150.00	$2,992.50	2026-01-01
49594	CPT	Hc Pr 49594 Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strangulated Cdm	48	42	$2,997.00	$2,997.00	$774.59	$3,147.00	$2,989.65	2026-01-01
19302	CPT	Mastectomy Partial W/Axillary Lymphadenectomy	48	42	$2,995.00	$2,995.00	$955.36	$3,145.00	$2,987.75	2026-01-01
27759	CPT	Hc Pr 27759 Tx Tibl Shft Fx Imed Implt W/wo Screws&/Cercla	48	42	$2,896.00	$2,896.00	$946.85	$7,053.77	$2,980.18	2026-01-01
47480	CPT	Hc Pr 47480 Incision Of Gallbladder	48	42	$2,950.00	$2,950.00	$926.87	$3,098.00	$2,943.10	2026-01-01
72194	CPT	CT Scan Of Pelvis Before And After Contrast	50	43	$2,936.00	$2,936.00	$216.51	$3,083.00	$2,928.85	2026-01-01
35206	CPT	Hc Pr 35206 Repair Blood Vessel Lesion, Upper Extremity	95	42	$3,046.00	$3,046.00	$820.73	$3,082.00	$2,927.90	2026-01-01
23420	CPT	Hc Pr 23420 Repair Of Shoulder	48	42	$2,897.00	$2,897.00	$947.16	$3,042.00	$2,921.38	2026-01-01
77049	CPT	MRI Scan Of Both Breasts	48	43	$2,879.00	$2,879.00	$154.19	$3,023.00	$2,871.85	2026-01-01
70547	CPT	MRI Scan Of Blood Vessels Of Neck Without Contrast	50	43	$2,871.00	$2,871.00	$178.97	$3,015.00	$2,864.25	2026-01-01
54360	CPT	Hc Pr 54360 Plastic Rpr Penis Correct Angulation Cdm	48	42	$2,840.00	$2,840.00	$770.26	$2,982.00	$2,832.90	2026-01-01
J7165	HCPCS	Prothrombin Complex Human-lans 500 Units IV Solr	46	41	$2,872.00	$2,872.00	$720.00	$2,933.00	$2,830.35	2026-01-01
23615	CPT	Hc Pr 23615 Treat Humerus Fracture Open	48	42	$2,738.00	$2,738.00	$895.16	$7,218.59	$2,817.50	2026-01-01
28805	CPT	Hc Pr 28805 Amputation Foot Transmetarsal	48	42	$2,823.00	$2,823.00	$755.32	$2,964.00	$2,815.80	2026-01-01
27822	CPT	Hc Pr 27822 Open Tx Of Ankle Fracture Without Fixation Of Posterior	47	42	$2,870.00	$2,870.00	$893.60	$3,686.63	$2,812.60	2026-01-01
49659	CPT	Hc Pr 49659 Laparoscopy Procedure Hernia Repair	38	34	$2,868.00	$2,868.00	$892.98	$2,868.00	$2,810.64	2026-01-01
44800	CPT	Hc Pr 44800 Excision Of Bowel Pouch	48	42	$2,817.00	$2,817.00	$817.68	$2,958.00	$2,810.10	2026-01-01
73706	CPT	CT Scan Of Blood Vessels Of Neck With Contrast	50	43	$2,773.00	$2,773.00	$262.47	$2,912.00	$2,766.40	2026-01-01
58700	CPT	Hc Pr 58700 Removal Of Fallopian Tube	47	42	$2,904.00	$2,904.00	$850.26	$2,904.00	$2,758.80	2026-01-01
36573	CPT	Insert Tube For IVw/imaging Guidance =>5yrs	48	43	$2,736.00	$2,736.00	$241.08	$2,873.00	$2,729.35	2026-01-01
27438	CPT	Hc Pr 27438 Revise Kneecap With Implant	47	42	$2,758.00	$2,758.00	$858.73	$6,780.42	$2,702.84	2026-01-01
52648	CPT	Hc Pr 52648 Laser Vaporization Of Prostate For Urine Flow Cdm	48	42	$2,701.00	$2,701.00	$740.62	$2,836.00	$2,694.20	2026-01-01
73721	CPT	MRI Scan Of Leg Joint Without Contrast	50	43	$2,689.00	$2,689.00	$156.60	$2,823.00	$2,681.85	2026-01-01
J7168	HCPCS	Prothrombin Complex Conc Human 500 Units IV Kit	46	41	$2,777.00	$2,777.00	$864.65	$2,777.00	$2,679.81	2026-01-01
27641	CPT	Hc Pr 27641 Partial Removal Of Fibula	48	42	$2,671.00	$2,671.00	$708.72	$2,805.00	$2,664.75	2026-01-01
27266	CPT	Closed Treat Dislocated Hip Prosthesis Under Anesthesia	48	43	$2,657.00	$2,657.00	$670.63	$2,790.00	$2,650.50	2026-01-01
49521	CPT	Hc Pr 49521 Rpr Recrt Ingun Hernia Any Age Incarcerated Cdm Cdm	48	42	$2,655.00	$2,655.00	$756.63	$2,788.00	$2,648.60	2026-01-01
23412	CPT	Hc Pr 23412 Repair Rotator Cuff Chronic	48	42	$2,553.00	$2,553.00	$834.76	$2,808.67	$2,627.38	2026-01-01
27814	CPT	Hc Pr 27814 Open Treatment Of Ankle Fracture	48	42	$2,552.00	$2,552.00	$822.33	$3,653.92	$2,626.40	2026-01-01
SUP-AR-3210-0044	CDM	Nanoneedle Scope, 180mm	43	38	$2,676.00	$2,676.00	$833.20	$2,676.00	$2,622.48	2026-01-01
23675	CPT	Hc Pr 23675 Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj Cdm	48	42	$2,619.00	$2,619.00	$549.81	$2,750.00	$2,612.50	2026-01-01
J2357	HCPCS	Omalizumab 150 Mg/ml Subq Sosy	92	41	$2,642.00	$2,642.00	$612.86	$3,875.00	$2,589.16	2026-01-01
58662	CPT	Hc Pr 58662 Laparoscopy Excise Lesions	48	42	$2,593.00	$2,593.00	$756.19	$2,723.00	$2,586.85	2026-01-01
SUP-AR-3210-0043	CDM	Nanoneedle Scope, 125mm	43	38	$2,625.00	$2,625.00	$817.32	$2,625.00	$2,572.50	2026-01-01
13160	CPT	Late Closure Of Wound Extensive Or Complicated	48	42	$2,577.00	$2,577.00	$784.87	$2,706.00	$2,570.70	2026-01-01
47563	CPT	Hc Pr 47563 Laparoscopy Cholecystectomy/Graph	48	42	$2,569.00	$2,569.00	$756.73	$2,697.00	$2,562.15	2026-01-01
27698	CPT	Hc Pr 27698 Repair Secondary Disrupted Ligament Ankle Coltrl Cdm	47	42	$2,588.00	$2,588.00	$689.52	$3,664.10	$2,536.24	2026-01-01
28737	CPT	Hc Pr 28737 Arthrd W/Tdn Lngth&Advmnt Tarsl Nvclr-cuneifor	48	42	$2,450.00	$2,450.00	$741.41	$8,105.45	$2,521.54	2026-01-01
J0490	HCPCS	Belimumab 120 Mg IV Solr	92	41	$4,266.00	$4,266.00	$527.16	$6,013.00	$2,519.00	2026-01-01
27252	CPT	Closed Treatment Of Dislocated Hip Under Anesthesia	96	43	$3,317.00	$3,317.00	$656.63	$3,483.00	$2,514.68	2026-01-01
27540	CPT	Hc Pr 27540 Treat Knee Fracture	48	42	$2,516.00	$2,516.00	$822.61	$2,642.00	$2,509.90	2026-01-01
23410	CPT	Hc Pr 23410 Open Repair Of Rotator Cuff Acute Cdm	48	42	$2,438.00	$2,438.00	$797.08	$2,808.67	$2,508.80	2026-01-01
70470	CPT	CT Scan Of Head Or Brain Before And After Contrast	50	43	$2,507.00	$2,507.00	$127.75	$2,632.00	$2,500.40	2026-01-01
21554	CPT	Hc Pr 21554 Exc Neck Tum Deep 5+ Cm	48	42	$2,479.00	$2,479.00	$778.48	$2,603.00	$2,472.85	2026-01-01
73725	CPT	MRI Scan Of Blood Vessels Of Leg	48	43	$2,478.00	$2,478.00	$378.07	$2,602.00	$2,471.90	2026-01-01
27045	CPT	Hc Pr 27045 Exc Hip/Pelv Tum Deep 5 Cm/>	48	42	$2,475.00	$2,475.00	$782.46	$2,599.00	$2,469.05	2026-01-01
21933	CPT	Hc Pr 21933 Exc Tumor Soft Tiss Back/Flank Subfascial 5 Cm/> Cdm Cdm	48	42	$2,475.00	$2,475.00	$783.07	$2,599.00	$2,469.05	2026-01-01
74160	CPT	CT Scan Of Abdomen With Contrast	50	43	$2,471.00	$2,471.00	$191.57	$2,595.00	$2,465.25	2026-01-01
78803	CPT	Nuclear Medicine Spect 1 Area/single Acquisition	49	42	$2,471.00	$2,471.00	$317.12	$2,595.00	$2,465.25	2026-01-01
72126	CPT	CT Scan Of Upper Spine With Contrast	50	43	$2,470.00	$2,470.00	$125.18	$2,594.00	$2,464.30	2026-01-01
71260	CPT	CT Scan Of Chest With Contrast	50	43	$2,468.00	$2,468.00	$125.92	$2,591.00	$2,461.45	2026-01-01
49000	CPT	Hc Pr 49000 Exploration Of Abdomen	48	42	$2,463.00	$2,463.00	$805.18	$2,586.00	$2,456.70	2026-01-01
57240	CPT	Hc Pr 57240 Repair Bladder & Vagina	48	42	$2,454.00	$2,454.00	$653.26	$2,577.00	$2,448.15	2026-01-01
28730	CPT	Hc Pr 28730 Fusion Foot Bones,Midtarsal,Multi	48	42	$2,377.00	$2,377.00	$777.15	$7,884.30	$2,446.08	2026-01-01
28615	CPT	Hc Pr 28615 Open Treatment Tarsometatarsal Joint Dislocation Cdm	48	42	$2,377.00	$2,377.00	$777.15	$3,588.49	$2,446.08	2026-01-01
72132	CPT	CT Scan Of Lower Spine With Contrast	50	43	$2,449.00	$2,449.00	$125.92	$2,571.00	$2,442.45	2026-01-01
25608	CPT	Hc Pr 25608 Open Rx Distal Radius Fx, Intra-articular, 2 Frag [25608] Cdm	48	42	$2,371.00	$2,371.00	$775.29	$3,811.43	$2,440.20	2026-01-01
J7325	HCPCS	Hylan G-f 20 48 Mg/6ml Intra-articu Sosy	94	43	$2,486.00	$2,486.00	$9.09	$2,607.00	$2,436.28	2026-01-01
23140	CPT	Hc Pr 23140 Excision Or Curettage Of Bone	48	42	$2,438.00	$2,438.00	$604.15	$2,560.00	$2,432.00	2026-01-01
93306	CPT	Ultrasound Heart W/color Blood Flow, Rate, Direction	48	43	$2,429.00	$2,429.00	$257.26	$2,550.00	$2,422.50	2026-01-01
58661	CPT	Hc Pr 58661 Laparoscopy Remove Adnexa	48	42	$2,423.00	$2,423.00	$691.02	$2,544.00	$2,416.80	2026-01-01
57250	CPT	Hc Pr 57250 Repair Rectum & Vagina	48	42	$2,423.00	$2,423.00	$654.80	$2,544.00	$2,416.80	2026-01-01
72193	CPT	CT Scan Of Pelvis With Contrast	50	43	$2,395.00	$2,395.00	$193.04	$2,515.00	$2,389.25	2026-01-01
24575	CPT	Hc Pr 24575 Open Tx Humeral Epicondylar Fracture Cdm	47	42	$2,427.00	$2,427.00	$755.67	$6,792.79	$2,378.46	2026-01-01
27230	CPT	Hc Pr 27230 Cltx Fem Fx Prox End Nck Without Manj Cdm	48	42	$2,381.00	$2,381.00	$103.14	$2,500.00	$2,375.00	2026-01-01
47562	CPT	Hc Pr 47562 Laparoscopic Cholecystectomy	48	42	$2,370.00	$2,370.00	$696.45	$2,489.00	$2,364.55	2026-01-01
27339	CPT	Hc Pr 27339 Exc Thigh/Knee Tum Dep 5cm/>	48	42	$2,360.00	$2,360.00	$771.55	$2,478.00	$2,354.10	2026-01-01
44950	CPT	Hc Pr 44950 Appendectomy	48	42	$2,355.00	$2,355.00	$674.05	$2,473.00	$2,349.35	2026-01-01
J0248	HCPCS	Remdesivir 100 Mg IV Solr	46	41	$2,237.00	$2,237.00	$231.46	$2,429.00	$2,343.99	2026-01-01
15839	CPT	Hc Pr 15839 Excise Excessive Skin Tissue Other Area	48	42	$2,332.00	$2,332.00	$762.52	$2,449.00	$2,326.55	2026-01-01
26123	CPT	Hc Pr 26123 Fasct Prtl Palmar 1 Dgt Prox Iphal Jt W/wo Rpr Cdm	48	42	$2,256.00	$2,256.00	$737.61	$2,529.38	$2,321.62	2026-01-01
78451	CPT	Nuclear Medicine Myocardial Perfuse Spect	50	43	$2,318.00	$2,318.00	$240.09	$2,434.00	$2,312.30	2026-01-01
73201	CPT	CT Scan Of Arm With Contrast	50	43	$2,313.00	$2,313.00	$162.96	$2,429.00	$2,307.55	2026-01-01
27524	CPT	Hc Pr 27524 Open Tx Patllr Fx W/Int Fixj/Patllc&Soft Tiss Repair Cdm	48	42	$2,305.00	$2,305.00	$753.49	$2,420.00	$2,299.00	2026-01-01
53235	CPT	Hc Pr 53235 Exc Urethral Diverticulum Spx Male Cdm	48	42	$2,303.00	$2,303.00	$679.58	$2,418.00	$2,297.10	2026-01-01
27784	CPT	Hc Pr 27784 Open Treatment Proximal Fibula/Shaft Fracture	47	42	$2,338.00	$2,338.00	$727.96	$2,808.67	$2,291.24	2026-01-01
49614	CPT	Hc Pr 49614 Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated Cdm	48	42	$2,282.00	$2,282.00	$594.25	$2,396.00	$2,288.26	2026-01-01
19371	CPT	Hc Pr 19371 Removal Of Breast Capsule	48	42	$2,274.00	$2,274.00	$743.53	$2,388.00	$2,268.60	2026-01-01
29880	CPT	Hc Pr 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving	48	42	$2,274.00	$2,274.00	$608.26	$2,388.00	$2,268.60	2026-01-01
78278	CPT	Nuclear Medicine Study To Assess Blood Loss	50	43	$2,267.00	$2,267.00	$234.87	$2,380.00	$2,261.00	2026-01-01
78315	CPT	Nuclear Medicine Bone/joint 3 Phase	50	43	$2,265.00	$2,265.00	$237.22	$2,378.00	$2,259.10	2026-01-01
15120	CPT	Hc Pr 15120 Skn Splt A-grft Fac/Nck/Hf/G 1st 100 Sq Cm	48	42	$2,256.00	$2,256.00	$737.61	$2,369.00	$2,250.55	2026-01-01
27634	CPT	Hc Pr 27634 Exc Leg/Ankle Tum Deep 5 Cm/>	48	42	$2,255.00	$2,255.00	$717.32	$2,368.00	$2,249.60	2026-01-01
24073	CPT	Hc Pr 24073 Ex Arm/Elbow Tum Deep > 5 Cm	48	42	$2,253.00	$2,253.00	$736.68	$2,366.00	$2,247.70	2026-01-01
23073	CPT	Hc Pr 23073 Exc Shoulder Tum Deep 5 Cm/>	48	42	$2,253.00	$2,253.00	$736.68	$2,366.00	$2,247.70	2026-01-01
22901	CPT	Hc Pr 22901 Exc Back Tum Deep 5+ Cm	48	42	$2,248.00	$2,248.00	$708.05	$2,360.00	$2,242.00	2026-01-01
Q5108	HCPCS	Pegfilgrastim-jmdb 6 Mg/0.6ml Subq Sosy	46	41	$5,261.00	$5,261.00	$722.67	$2,321.00	$2,239.76	2026-01-01
24538	CPT	Hc Pr 24538 Percutaneous Fixation Humeral	48	42	$2,176.00	$2,176.00	$711.46	$2,808.67	$2,239.30	2026-01-01
J7300	HCPCS	Paragard Intrauterine Copper Intrauterine IUD	96	43	$2,273.00	$2,273.00	$557.34	$3,160.00	$2,227.54	2026-01-01
23515	CPT	Hc Pr 23515 Open Tx Clavicular Fracture Internal Fixation	48	42	$2,158.00	$2,158.00	$705.54	$3,688.33	$2,220.68	2026-01-01
Q5103	HCPCS	Infliximab-dyyb 100 Mg IV Solr	46	41	$2,270.00	$2,270.00	$92.40	$2,295.00	$2,214.68	2026-01-01
78226	CPT	Nuclear Medicine Study Of Liver And Bile Duct System	50	43	$2,220.00	$2,220.00	$280.81	$2,331.00	$2,214.45	2026-01-01
28005	CPT	Hc Pr 28005 Incision Bone Cortex Foot	47	42	$2,331.00	$2,331.00	$619.95	$2,331.00	$2,214.45	2026-01-01
29826	CPT	Hc Pr 29826 Arthroscopy Shoulder W/Coracoacrm Ligmnt Release	48	42	$2,207.00	$2,207.00	$179.99	$2,317.00	$2,201.15	2026-01-01
49553	CPT	Hc Pr 49553 Repair Femoral Hernia Initial Blocked	48	42	$2,206.00	$2,206.00	$668.71	$2,316.00	$2,200.20	2026-01-01
45171	CPT	Hc Pr 45171 Excise Rectal Tumor Transanal Approach	47	42	$2,314.00	$2,314.00	$660.10	$2,314.00	$2,198.30	2026-01-01
25607	CPT	Hc Pr 25607 Optx Dstl Radl X-artic Fx/Epiphysl Sep Cdm	48	42	$2,129.00	$2,129.00	$695.89	$3,807.56	$2,190.30	2026-01-01
J7296	HCPCS	Levonorgestrel 19.5 Mg Intrauterine IUD	54	24	$3,008.00	$3,008.00	$1,026.87	$3,369.00	$2,189.85	2026-01-01
90375	HCPCS	Rabies Immune Globulin 300 Unit/ml Injection Soln (wrapper)	81	24	$2,231.00	$2,231.00	$537.34	$8,921.00	$2,186.38	2026-01-01
27818	CPT	Closed Treatment Of 3 Broken Lower Leg Bones At Ankle	48	43	$2,189.00	$2,189.00	$542.04	$2,298.00	$2,183.10	2026-01-01
26121	CPT	Hc Pr 26121 Fasct Palm W/wo Z-plasty Tissue Reargmt/Skn Grft Cdm	47	42	$2,293.00	$2,293.00	$654.03	$2,293.00	$2,178.35	2026-01-01
21932	CPT	Hc Pr 21932 Exc Back Tum Deep < 5 Cm Subq	48	42	$2,184.00	$2,184.00	$708.47	$2,293.00	$2,178.35	2026-01-01
58660	CPT	Hc Pr 58660 Laparoscopy Lysis	47	42	$2,210.00	$2,210.00	$688.11	$2,288.26	$2,165.80	2026-01-01
72129	CPT	CT Scan Of Middle Spine With Contrast	50	43	$2,170.00	$2,170.00	$126.65	$2,279.00	$2,165.05	2026-01-01
19301	CPT	Hc Pr 19301 Mastectomy Partial Cdm Cdm	48	42	$2,170.00	$2,170.00	$695.85	$2,279.00	$2,165.05	2026-01-01
29898	CPT	Hc Pr 29898 Arthroscopy Ankle Surgical Debridement Extensive Cdm	48	42	$2,168.00	$2,168.00	$605.58	$2,276.00	$2,162.20	2026-01-01
SUP-ABS-2012-02	CDM	Allosync Dbm Putty, 2.5cc	43	38	$2,202.00	$2,202.00	$685.61	$2,202.00	$2,157.96	2026-01-01
77047	CPT	MRI Scan Of Both Breasts Without Contrast	50	43	$2,160.00	$2,160.00	$161.13	$2,268.00	$2,154.60	2026-01-01
50590	CPT	Shock Wave Crushing Of Kidney Stones	96	43	$14,265.00	$14,265.00	$612.89	$14,978.00	$2,148.00	2026-01-01
27752	CPT	Closed Treatment Of Middle Part Of Broken Shin Bone	48	43	$2,153.00	$2,153.00	$566.81	$2,261.00	$2,147.95	2026-01-01
J1561	HCPCS	Gamunex-c 1 Gm/10ml Injection Soln	276	41	$2,188.00	$2,188.00	$78.42	$12,498.00	$2,144.24	2026-01-01
J1745	HCPCS	Infliximab 100 Mg IV Solr	46	41	$2,394.00	$2,394.00	$244.20	$2,221.00	$2,143.26	2026-01-01
J0881	HCPCS	Darbepoetin Alfa 200 Mcg/ml Injection Soln	92	41	$3,899.00	$3,899.00	$142.80	$3,899.00	$2,127.00	2026-01-01
49507	CPT	Hc Pr 49507 Repair Inguinal Hernia Initial Block >5 Yr	48	42	$2,131.00	$2,131.00	$622.07	$2,238.00	$2,126.10	2026-01-01
15100	CPT	Hc Pr 15100 Skin Splt Grft Trnk/Arm/Leg First 100 Sq Cm Or Less	48	42	$2,122.00	$2,122.00	$693.71	$2,228.00	$2,124.64	2026-01-01
28297	CPT	Hc Pr 28297 Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf	48	42	$2,065.00	$2,065.00	$649.14	$7,855.92	$2,124.64	2026-01-01
28740	CPT	Hc Pr 28740 Arthrodesis Midtarsometatarsal Single Joint	48	42	$2,064.00	$2,064.00	$665.28	$4,037.04	$2,123.66	2026-01-01
28299	CPT	Hc Pr 28299 Corrj Hallux Valgus W/Sesmdc W/2 Osteot Cdm	48	42	$2,064.00	$2,064.00	$647.34	$3,581.46	$2,123.66	2026-01-01
53850	CPT	Hc Pr 53850 Prostatic Microwave Thermotx	48	42	$2,120.00	$2,120.00	$384.76	$2,226.00	$2,114.70	2026-01-01
72131	CPT	CT Scan Of Lower Spine Without Contrast	50	43	$2,118.00	$2,118.00	$93.03	$2,224.00	$2,112.80	2026-01-01
23655	CPT	Closed Treatment Of Dislocated Shoulder	48	43	$2,118.00	$2,118.00	$305.09	$2,224.00	$2,112.80	2026-01-01
27562	CPT	Closed Treatment Of Dislocated Kneecap Under Anesthesia	48	43	$2,115.00	$2,115.00	$103.14	$2,221.00	$2,109.95	2026-01-01
72125	CPT	CT Scan Of Upper Spine Without Contrast	50	43	$2,114.00	$2,114.00	$93.77	$2,220.00	$2,109.00	2026-01-01
72192	CPT	CT Scan Of Pelvis Without Contrast	50	43	$2,111.00	$2,111.00	$92.30	$2,217.00	$2,106.15	2026-01-01
73701	CPT	CT Scan Of Leg With Contrast Material	50	43	$2,100.00	$2,100.00	$125.92	$2,205.00	$2,094.75	2026-01-01
26113	CPT	Hc Pr 26113 Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> Cd	47	42	$2,199.00	$2,199.00	$597.12	$2,199.00	$2,089.05	2026-01-01
Q5118	HCPCS	Bevacizumab-bvzr 100 Mg/4ml IV Soln	46	41	$2,164.00	$2,164.00	$199.16	$2,164.00	$2,088.26	2026-01-01
27792	CPT	Hc Pr 27792 Open Tx Distal Fibular Fracture Lat Malleolus	48	42	$2,026.00	$2,026.00	$662.26	$3,676.94	$2,084.46	2026-01-01
71250	CPT	CT Scan Of Chest Without Contrast	50	43	$2,081.00	$2,081.00	$92.67	$2,185.00	$2,075.75	2026-01-01
72128	CPT	CT Scan Of Middle Spine Without Contrast	50	43	$2,066.00	$2,066.00	$93.40	$2,169.00	$2,060.55	2026-01-01
52240	CPT	Hc Pr 52240 Cystourethroscopy W/Dest &/Rmvl Tumor Large Cdm	48	42	$2,061.00	$2,061.00	$411.33	$2,164.00	$2,055.80	2026-01-01
70487	CPT	CT Scan Of Face With Contrast	50	43	$2,044.00	$2,044.00	$111.25	$2,146.00	$2,038.70	2026-01-01
70491	CPT	CT Scan Of Soft Tissue Of Neck With Contrast	50	43	$2,044.00	$2,044.00	$133.99	$2,146.00	$2,038.70	2026-01-01

See an error in this hospital's data? Submit a correction