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 →

Export CSV
Hospital

BUCKTAIL MEDICAL CENTER

Renovo, PA · CCN 391304 · Rates published

1,422 distinct procedures filed
7 distinct payers
22,235 rate rows
2026-05-06 last MRF observed
Data quality

21,703 of 22,235 rate rows are consumer-grade (97.6%)

532 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
template filing: same amount across many unrelated codes — excluded 509
per-diem day rate — not a per-procedure price 12
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bucktailmedicalcenter.kinsta.cloud/price-transparency/
Found on page bucktailmedicalcenter.kinsta.cloud
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-19

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3101
HCPCS 		TNKase Intravenous Kit 50mg 7 $6,969.61 $16,411.95 $7,959.12 nat. median
$3,787
outlier · 2.1×
122
OTHER 		Acute Daily Rate Semi-private 2 $6,001.73 $7,128.00 $6,750.00 nat. median
$6,742
1.0× median
121
OTHER 		Swing Bed Daily Room Rate 2 $3,465.00 $5,148.50 $4,306.75 nat. median
$10,120
outlier · 0.4×
36555
CPT 		Central Venous Cath <5yrs 7 $89.27 $8,499.60 $3,645.59 nat. median
$2,686
1.4× median
59409
CPT 		Delivery 7 $737.97 $7,791.30 $3,020.40 nat. median
$3,148
1.0× median
J0840
HCPCS 		Crofab Antivenin Vial 7 $1,744.05 $6,787.80 $2,941.38 nat. median
$3,452
0.9× median
26952
CPT 		Amputate Fingr W Flaps 7 $625.54 $8,406.90 $2,678.40 nat. median
$3,363
0.8× median
23670
CPT 		Open Trt Shldr Dis W Fx 7 $813.44 $18,607.50 $2,226.60 nat. median
$6,914
outlier · 0.3×
13160
CPT 		Sec Clos Surg Wnd Ext Com 7 $736.51 $5,095.80 $2,185.65 nat. median
$2,654
0.8× median
26951
CPT 		Amputate Fingr W Dir Clos 7 $642.46 $8,406.90 $2,185.20 nat. median
$3,320
0.7× median
36569
CPT 		Insert Picc Cath - Central Venous Device 7 $86.96 $4,266.00 $1,848.60 nat. median
$1,726
1.1× median
37785
CPT 		Lig/div/exc Of V Vein 7 $263.85 $8,499.60 $1,813.50 nat. median
$3,418
0.5× median
27252
CPT 		Cld Rduction Of Hip Disl With Anesthesia 7 $694.78 $4,136.40 $1,792.44 nat. median
$2,018
0.9× median
27762
CPT 		Cltx Med Ankle Fx W Mnpj 7 $457.48 $4,136.40 $1,792.44 nat. median
$1,854
1.0× median
27266
CPT 		Treat Hip Dislocation With Anesthesia 7 $543.02 $4,136.40 $1,792.44 nat. median
$2,037
0.9× median
25690
CPT 		Cl Treat Lunate Dislocation W Manipulat 7 $463.93 $4,136.40 $1,792.44 nat. median
$2,001
0.9× median
27503
CPT 		Clo Trt Condylar Fem Fx 7 $745.88 $4,136.40 $1,792.44 nat. median
$1,777
1.0× median
27502
CPT 		Clo Trt Fem Shft W Manip 7 $702.89 $4,136.40 $1,788.69 nat. median
$2,007
0.9× median
27552
CPT 		Clo Trt Knee Dis W/anes 7 $594.19 $4,136.40 $1,774.15 nat. median
$2,033
0.9× median
26410
CPT 		Rpr Hand Wo Grft Ea Tendn 7 $544.92 $4,136.40 $1,774.15 nat. median
$1,974
0.9× median
26418
CPT 		Tend Rpr Fingr Wo Grft Ea 7 $565.38 $4,136.40 $1,774.15 nat. median
$2,008
0.9× median
25248
CPT 		Explr & Rem Deep Fb; Arm 7 $391.29 $4,136.40 $1,756.59 nat. median
$2,058
0.9× median
25605
CPT 		Clo Trt Dist Rad-manip 7 $510.71 $4,136.40 $1,756.59 nat. median
$1,667
1.1× median
26607
CPT 		Metacarpal Fx W Manip Fix 7 $470.73 $8,406.90 $1,738.80 nat. median
$3,111
0.6× median
27752
CPT 		Clo Trt Tibial Fx W Manip 7 $503.70 $4,136.40 $1,706.40 nat. median
$1,767
1.0× median
24000
CPT 		I&d Upper Arm/elbow;abscs 7 $449.78 $8,406.90 $1,680.30 nat. median
$3,517
outlier · 0.5×
40654
CPT 		Rpr Lip >half Vert Height 7 $454.85 $4,018.50 $1,645.20 nat. median
$1,882
0.9× median
25565
CPT 		Rad & Ulna Shaft Fx W Man 7 $491.27 $4,136.40 $1,645.20 nat. median
$1,652
1.0× median
24605
CPT 		Tx Clo Elbow Dis W Anes 7 $448.17 $4,136.40 $1,599.30 nat. median
$1,894
0.8× median
27238
CPT 		Clo Trt Intertroch Fem Fx 7 $439.62 $4,136.40 $1,597.50 nat. median
$1,663
1.0× median
27818
CPT 		Clo Trt Trimlolr Ank W Mn 7 $466.80 $4,136.40 $1,584.90 nat. median
$1,668
1.0× median
27842
CPT 		Closed Tx Ankle Dislocation With Anest 7 $462.41 $4,136.40 $1,566.90 nat. median
$1,963
0.8× median
24505
CPT 		Clo Trt Hum W Manp W/wo T 7 $476.40 $4,136.40 $1,566.00 nat. median
$1,628
1.0× median
25505
CPT 		Rad Shaft Fx W Manip 7 $480.65 $4,136.40 $1,564.20 nat. median
$1,668
0.9× median
27810
CPT 		Clo Trt Bimalolr Ank-man 7 $448.91 $4,136.40 $1,521.00 nat. median
$1,641
0.9× median
23605
CPT 		Clo Trt Prox Hum Fx W/man 7 $444.19 $4,136.40 $1,474.20 nat. median
$1,882
0.8× median
23655
CPT 		Clo Trt Shldr Dis W Anes 7 $383.86 $4,136.40 $1,421.10 nat. median
$1,762
0.8× median
87903
CPT 		HIV-1 Phenotyping 7 $478.89 $3,143.70 $1,362.27 nat. median
$539
outlier · 2.5×
26675
CPT 		Disl-not Thumb-anesthesia 7 $438.38 $4,136.40 $1,351.80 nat. median
$1,668
0.8× median
27831
CPT 		Clo Trt Prox Tib-fib Jt 7 $387.02 $8,406.90 $1,348.20 nat. median
$3,217
outlier · 0.4×
26645
CPT 		Carpometacarpal Fx 7 $410.77 $4,136.40 $1,280.70 nat. median
$1,600
0.8× median
23625
CPT 		Clo Trt Grtr Tuberos W/mn 7 $362.36 $4,136.40 $1,262.70 nat. median
$1,838
0.7× median
26705
CPT 		Clo Trt Mcp Disl-1 W Anes 7 $414.42 $4,136.40 $1,252.80 nat. median
$1,671
0.7× median
28192
CPT 		Remove Fb Ft Deep 7 $333.73 $4,178.70 $1,250.10 nat. median
$1,863
0.7× median
G0379
HCPCS 		Direct Obs Admit/clinic 7 $1,051.05 $2,475.00 $1,237.50 nat. median
$568
outlier · 2.2×
25635
CPT 		Clo Trt Carpal Bone-w Man 7 $441.99 $4,136.40 $1,220.40 nat. median
$1,640
0.7× median
27193
CPT 		Clo Trt Pelvic Ring Disc 7 $734.37 $1,902.60 $1,197.37 nat. median
$1,186
1.0× median
69205
CPT 		Rem Fb Aud Canal W Anes 7 $87.12 $4,178.70 $1,179.90 nat. median
$1,770
0.7× median
12047
CPT 		Layr Cl Nck/ft/gen > 30 7 $374.00 $5,095.80 $1,152.00 nat. median
$1,824
0.6× median
23660
CPT 		Open Tx Acute Shldr Dislo 7 $547.45 $2,640.60 $1,144.26 nat. median
$6,841
outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 1,422 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
             
J3101 HCPCS TNKase Intravenous Kit 50mg 9 7 $18,235.50 $16,411.95 $6,969.61 $16,411.95 $7,959.12 2026-05-06
122 OTHER Acute Daily Rate Semi-private 3 2 $7,500.00 $6,750.00 $6,001.73 $7,128.00 $6,750.00 2026-05-06
121 OTHER Swing Bed Daily Room Rate 2 2 $3,850.00 $3,465.00 $3,465.00 $5,148.50 $4,306.75 2026-05-06
36555 CPT Central Venous Cath <5yrs 17 7 $9,444.00 $8,499.60 $89.27 $8,499.60 $3,645.59 2026-05-06
59409 CPT Delivery 17 7 $8,657.00 $7,791.30 $737.97 $7,791.30 $3,020.40 2026-05-06
J0840 HCPCS Crofab Antivenin Vial 9 7 $7,542.00 $6,787.80 $1,744.05 $6,787.80 $2,941.38 2026-05-06
26952 CPT Amputate Fingr W Flaps 17 7 $9,341.00 $8,406.90 $625.54 $8,406.90 $2,678.40 2026-05-06
23670 CPT Open Trt Shldr Dis W Fx 17 7 $20,675.00 $18,607.50 $813.44 $18,607.50 $2,226.60 2026-05-06
13160 CPT Sec Clos Surg Wnd Ext Com 17 7 $5,662.00 $5,095.80 $736.51 $5,095.80 $2,185.65 2026-05-06
26951 CPT Amputate Fingr W Dir Clos 17 7 $9,341.00 $8,406.90 $642.46 $8,406.90 $2,185.20 2026-05-06
36569 CPT Insert Picc Cath - Central Venous Device 9 7 $4,740.00 $4,266.00 $86.96 $4,266.00 $1,848.60 2026-05-06
37785 CPT Lig/div/exc Of V Vein 17 7 $9,444.00 $8,499.60 $263.85 $8,499.60 $1,813.50 2026-05-06
25690 CPT Cl Treat Lunate Dislocation W Manipulat 9 7 $4,596.00 $4,136.40 $463.93 $4,136.40 $1,792.44 2026-05-06
27252 CPT Cld Rduction Of Hip Disl With Anesthesia 9 7 $4,596.00 $4,136.40 $694.78 $4,136.40 $1,792.44 2026-05-06
27762 CPT Cltx Med Ankle Fx W Mnpj 9 7 $4,596.00 $4,136.40 $457.48 $4,136.40 $1,792.44 2026-05-06
27503 CPT Clo Trt Condylar Fem Fx 17 7 $4,596.00 $4,136.40 $745.88 $4,136.40 $1,792.44 2026-05-06
27266 CPT Treat Hip Dislocation With Anesthesia 9 7 $4,596.00 $4,136.40 $543.02 $4,136.40 $1,792.44 2026-05-06
27502 CPT Clo Trt Fem Shft W Manip 17 7 $4,596.00 $4,136.40 $702.89 $4,136.40 $1,788.69 2026-05-06
26418 CPT Tend Rpr Fingr Wo Grft Ea 17 7 $4,596.00 $4,136.40 $565.38 $4,136.40 $1,774.15 2026-05-06
26410 CPT Rpr Hand Wo Grft Ea Tendn 17 7 $4,596.00 $4,136.40 $544.92 $4,136.40 $1,774.15 2026-05-06
27552 CPT Clo Trt Knee Dis W/anes 17 7 $4,596.00 $4,136.40 $594.19 $4,136.40 $1,774.15 2026-05-06
25605 CPT Clo Trt Dist Rad-manip 17 7 $4,596.00 $4,136.40 $510.71 $4,136.40 $1,756.59 2026-05-06
25248 CPT Explr & Rem Deep Fb; Arm 17 7 $4,596.00 $4,136.40 $391.29 $4,136.40 $1,756.59 2026-05-06
26607 CPT Metacarpal Fx W Manip Fix 17 7 $9,341.00 $8,406.90 $470.73 $8,406.90 $1,738.80 2026-05-06
27752 CPT Clo Trt Tibial Fx W Manip 17 7 $4,596.00 $4,136.40 $503.70 $4,136.40 $1,706.40 2026-05-06
24000 CPT I&d Upper Arm/elbow;abscs 17 7 $9,341.00 $8,406.90 $449.78 $8,406.90 $1,680.30 2026-05-06
25565 CPT Rad & Ulna Shaft Fx W Man 17 7 $4,596.00 $4,136.40 $491.27 $4,136.40 $1,645.20 2026-05-06
40654 CPT Rpr Lip >half Vert Height 17 7 $4,465.00 $4,018.50 $454.85 $4,018.50 $1,645.20 2026-05-06
24605 CPT Tx Clo Elbow Dis W Anes 17 7 $4,596.00 $4,136.40 $448.17 $4,136.40 $1,599.30 2026-05-06
27238 CPT Clo Trt Intertroch Fem Fx 17 7 $4,596.00 $4,136.40 $439.62 $4,136.40 $1,597.50 2026-05-06
27818 CPT Clo Trt Trimlolr Ank W Mn 17 7 $4,596.00 $4,136.40 $466.80 $4,136.40 $1,584.90 2026-05-06
27842 CPT Closed Tx Ankle Dislocation With Anest 17 7 $4,596.00 $4,136.40 $462.41 $4,136.40 $1,566.90 2026-05-06
24505 CPT Clo Trt Hum W Manp W/wo T 17 7 $4,596.00 $4,136.40 $476.40 $4,136.40 $1,566.00 2026-05-06
25505 CPT Rad Shaft Fx W Manip 17 7 $4,596.00 $4,136.40 $480.65 $4,136.40 $1,564.20 2026-05-06
27810 CPT Clo Trt Bimalolr Ank-man 17 7 $4,596.00 $4,136.40 $448.91 $4,136.40 $1,521.00 2026-05-06
23605 CPT Clo Trt Prox Hum Fx W/man 17 7 $4,596.00 $4,136.40 $444.19 $4,136.40 $1,474.20 2026-05-06
23655 CPT Clo Trt Shldr Dis W Anes 17 7 $4,596.00 $4,136.40 $383.86 $4,136.40 $1,421.10 2026-05-06
87903 CPT HIV-1 Phenotyping 9 7 $3,493.00 $3,143.70 $478.89 $3,143.70 $1,362.27 2026-05-06
26675 CPT Disl-not Thumb-anesthesia 17 7 $4,596.00 $4,136.40 $438.38 $4,136.40 $1,351.80 2026-05-06
27831 CPT Clo Trt Prox Tib-fib Jt 17 7 $9,341.00 $8,406.90 $387.02 $8,406.90 $1,348.20 2026-05-06
26645 CPT Carpometacarpal Fx 17 7 $4,596.00 $4,136.40 $410.77 $4,136.40 $1,280.70 2026-05-06
23625 CPT Clo Trt Grtr Tuberos W/mn 17 7 $4,596.00 $4,136.40 $362.36 $4,136.40 $1,262.70 2026-05-06
26705 CPT Clo Trt Mcp Disl-1 W Anes 17 7 $4,596.00 $4,136.40 $414.42 $4,136.40 $1,252.80 2026-05-06
28192 CPT Remove Fb Ft Deep 17 7 $4,643.00 $4,178.70 $333.73 $4,178.70 $1,250.10 2026-05-06
G0379 HCPCS Direct Obs Admit/clinic 9 7 $2,750.00 $2,475.00 $1,051.05 $2,475.00 $1,237.50 2026-05-06
25635 CPT Clo Trt Carpal Bone-w Man 17 7 $4,596.00 $4,136.40 $441.99 $4,136.40 $1,220.40 2026-05-06
27193 CPT Clo Trt Pelvic Ring Disc 17 7 $2,114.00 $1,902.60 $734.37 $1,902.60 $1,197.37 2026-05-06
69205 CPT Rem Fb Aud Canal W Anes 17 7 $4,643.00 $4,178.70 $87.12 $4,178.70 $1,179.90 2026-05-06
12047 CPT Layr Cl Nck/ft/gen > 30 17 7 $5,662.00 $5,095.80 $374.00 $5,095.80 $1,152.00 2026-05-06
23660 CPT Open Tx Acute Shldr Dislo 9 7 $2,934.00 $2,640.60 $547.45 $2,640.60 $1,144.26 2026-05-06
12037 CPT Layr Clo Sclp/trnk > 30cm 17 7 $5,662.00 $5,095.80 $347.44 $5,095.80 $1,122.30 2026-05-06
G0378 HCPCS Observation Room 1st Hour 17 7 $2,750.00 $2,475.00 $157.85 $2,475.00 $1,051.05 2026-05-06
45900 CPT Reduction Of Procidentia 9 7 $2,619.00 $2,357.10 $197.00 $2,357.10 $1,021.41 2026-05-06
41112 CPT Exc Les Tongue Anterior 17 7 $9,031.00 $8,127.90 $256.90 $8,127.90 $981.00 2026-05-06
40820 CPT Dest Les Vestib Mouth 17 7 $9,031.00 $8,127.90 $171.51 $8,127.90 $981.00 2026-05-06
21337 CPT Clo Trt Septal Fx 17 7 $9,031.00 $8,127.90 $320.89 $8,127.90 $981.00 2026-05-06
99144 CPT Consious Sedation 14 7 $2,039.00 $1,835.10 $75.66 $1,835.10 $975.05 2026-05-06
20520 CPT Rem Fb Muscl/tendon Simpl 17 7 $4,643.00 $4,178.70 $157.45 $4,178.70 $968.40 2026-05-06
10121 CPT Incs Rem Fb Subg Tiss;com 17 7 $4,643.00 $4,178.70 $194.81 $4,178.70 $946.80 2026-05-06
A0434 HCPCS Specialty Care Transport 8 6 $2,420.00 $2,178.00 $860.01 $2,178.00 $943.80 2026-05-06
32551 CPT Tube Thoracostomy 17 7 $4,641.00 $4,176.90 $142.47 $4,176.90 $827.10 2026-05-06
20103 CPT Explr Penetr Wnd(sep Pro) 17 7 $2,053.00 $1,847.70 $366.27 $1,847.70 $800.67 2026-05-06
A0433 HCPCS Als2 - Level Ii 8 6 $2,048.00 $1,843.20 $727.70 $1,843.20 $798.72 2026-05-06
28190 CPT Remove Fb Ft Subq 17 7 $2,053.00 $1,847.70 $141.18 $1,847.70 $777.60 2026-05-06
31730 CPT Trans Trach Intro Tube-o2 18 7 $2,794.00 $2,514.60 $157.93 $4,445.10 $770.89 2026-05-06
87901 CPT HIV Genotyping 9 7 $1,843.00 $1,658.70 $252.30 $1,658.70 $718.77 2026-05-06
23520 CPT Trt Sternoclavicular Wo M 17 7 $4,596.00 $4,136.40 $230.65 $4,136.40 $718.20 2026-05-06
28675 CPT Open Tx Interphal Disloc 9 7 $1,825.00 $1,642.50 $442.73 $1,642.50 $711.75 2026-05-06
87902 CPT Hcv RNA Genotype Ns5a Drug Resistance Rt 16 7 $991.00 $891.90 $252.30 $1,658.70 $707.91 2026-05-06
10081 CPT I&d Pilonidal Cyst;complx 17 7 $2,053.00 $1,847.70 $181.66 $1,847.70 $681.30 2026-05-06
10140 CPT I&d Hematoma/seroma/fluid 17 7 $4,643.00 $4,178.70 $125.84 $4,178.70 $681.30 2026-05-06
10180 CPT I&d Complx Postop Wo Inf 17 7 $7,822.00 $7,039.80 $189.92 $7,039.80 $681.30 2026-05-06
J0878 HCPCS Cubicin IV 500mg Vial 9 7 $1,735.50 $1,561.95 $17.15 $1,561.95 $676.84 2026-05-06
13152 CPT Rpr Compx Lid/lip 2.5-7.5 17 7 $1,730.00 $1,557.00 $353.11 $1,557.00 $674.70 2026-05-06
13132 CPT Compx Hd/hand/ft <2.5 Cm 17 7 $1,730.00 $1,557.00 $318.85 $1,557.00 $674.70 2026-05-06
13151 CPT Rpr Compx Lid/lip 1.1<2.5 17 7 $1,730.00 $1,557.00 $293.69 $1,557.00 $674.70 2026-05-06
13150 CPT Rpr Complex Eyelid <1.1cm 17 7 $1,181.00 $1,062.90 $410.67 $1,062.90 $668.92 2026-05-06
M0245 HCPCS Bamlanivimab Infusion Therapy 9 7 $1,485.00 $1,336.50 $567.57 $1,336.50 $668.25 2026-05-06
M0243 HCPCS Casirivimab/imdevimab Infusion Therapy 9 7 $1,485.00 $1,336.50 $567.57 $1,336.50 $668.25 2026-05-06
M0247 HCPCS Soltrovimab Infusion Therapy 9 7 $1,485.00 $1,336.50 $567.57 $1,336.50 $668.25 2026-05-06
13121 CPT Compxsclp/arm/leg 2.6-7.5 17 7 $1,730.00 $1,557.00 $272.51 $1,557.00 $667.82 2026-05-06
13101 CPT Rpr Complex Trunk 2.5-7.5 17 7 $1,730.00 $1,557.00 $259.36 $1,557.00 $667.82 2026-05-06
12046 CPT Layr Cl Nck/ft/gen 20-30 17 7 $1,730.00 $1,557.00 $337.13 $1,557.00 $667.82 2026-05-06
12045 CPT Layr Cl Nck/ft/gen 12-20 17 7 $1,730.00 $1,557.00 $288.05 $1,557.00 $667.82 2026-05-06
12036 CPT Layr Clo Sclp/trnk20-30cm 17 7 $1,730.00 $1,557.00 $299.79 $1,557.00 $667.82 2026-05-06
13120 CPT Complx Sclp/arm/leg<2.6cm 17 7 $1,730.00 $1,557.00 $242.76 $1,557.00 $661.21 2026-05-06
13100 CPT Rpr Complex Trunk <2.6cm 17 7 $1,730.00 $1,557.00 $212.07 $1,557.00 $661.21 2026-05-06
12044 CPT Layr Cl Nck/ft/gen 7.5-12 17 7 $1,730.00 $1,557.00 $227.78 $1,557.00 $661.21 2026-05-06
12020 CPT Tx S Wnd Dehisc;smpl 17 7 $1,730.00 $1,557.00 $200.37 $1,557.00 $661.21 2026-05-06
81220 CPT Cftr Gene Com Vanants 9 7 $1,670.00 $1,503.00 $545.47 $1,503.00 $651.30 2026-05-06
45915 CPT Rem Fecal Impact(sep Pro) 17 7 $3,422.00 $3,079.80 $243.98 $3,079.80 $640.80 2026-05-06
99291 CPT ER- Critical Care 17 7 $2,621.00 $2,358.90 $226.87 $2,358.90 $624.60 2026-05-06
37618 CPT Lig Major Art; Extremity 17 7 $1,577.00 $1,419.30 $358.26 $1,419.30 $615.03 2026-05-06
26641 CPT Cl Redu Disl Prox Phal Th 9 7 $1,568.00 $1,411.20 $397.98 $1,411.20 $611.52 2026-05-06
40652 CPT Rpr Lip <half Vert Height 17 7 $1,494.00 $1,344.60 $386.50 $1,381.50 $598.65 2026-05-06
0202U CPT Respiratory Panel For Pathogens Pcr 9 7 $1,528.00 $1,375.20 $408.44 $1,375.20 $595.92 2026-05-06
40650 CPT Rpr Lip Ful Thck Vermilin 17 7 $1,494.00 $1,344.60 $338.81 $1,344.60 $582.66 2026-05-06
40805 CPT Rem Emb Fb Mouth Complex 17 7 $1,494.00 $1,344.60 $212.53 $1,344.60 $576.72 2026-05-06
P9034 HCPCS Platelets Pheresis Per Unit 9 7 $1,246.00 $1,121.40 $476.22 $1,121.40 $560.70 2026-05-06
981 OTHER Insert Cath Pleura Without Image 9 7 $861.00 $774.90 $335.79 $774.90 $555.35 2026-05-06
A0427 HCPCS Als1 - Emergency 8 6 $1,415.00 $1,273.50 $502.78 $1,273.50 $551.85 2026-05-06
92950 CPT Cpr 41 7 $961.00 $864.90 $194.12 $1,507.50 $549.90 2026-05-06
12057 CPT Layr Clo Fac/lip >30cm 17 7 $1,142.00 $1,027.80 $436.47 $1,446.30 $546.58 2026-05-06
21320 CPT Clo Trt Nasal Fx;w/stabil 17 7 $9,031.00 $8,127.90 $100.87 $8,127.90 $540.90 2026-05-06
27501 CPT Clo Trt Suprcondyl Fem Fx 17 7 $681.00 $612.90 $260.28 $1,743.30 $537.15 2026-05-06
96365 CPT Infusion Med - Lst Hour (not Kcl) 9 7 $1,360.00 $1,224.00 $53.09 $1,224.00 $530.40 2026-05-06
96360 CPT Infusion Fluid - Lst Hour (includes Kcl) 9 7 $1,360.00 $1,224.00 $27.72 $1,224.00 $530.40 2026-05-06
96369 CPT Sc Ther Infusion To 1 Hr 9 7 $1,360.00 $1,224.00 $122.43 $1,224.00 $530.40 2026-05-06
G0483 HCPCS Toxicology Urine General 9 7 $1,342.00 $1,207.80 $241.98 $1,207.80 $523.38 2026-05-06
27500 CPT Clo Trt Femoral Shaft Fx 17 7 $681.00 $612.90 $260.28 $1,646.10 $523.35 2026-05-06
12056 CPT Layr Clo Fac/lip 20-30cm 17 7 $1,142.00 $1,027.80 $407.39 $1,238.40 $522.92 2026-05-06
27230 CPT Clo Trt Fem Fx Prox E-nec 17 7 $681.00 $612.90 $260.28 $1,584.00 $521.35 2026-05-06
27550 CPT Clo Trt Knee Dislocation 17 7 $681.00 $612.90 $260.28 $1,599.30 $515.66 2026-05-06
69020 CPT Drain Ext Aud Canal Abscs 17 7 $2,053.00 $1,847.70 $151.05 $1,847.70 $504.90 2026-05-06
25535 CPT Ulnar Shaft Fx W Manip 17 7 $681.00 $612.90 $260.28 $1,542.60 $502.06 2026-05-06
92977 CPT Thrombolysis By IV Infus 9 7 $1,275.00 $1,147.50 $49.36 $1,147.50 $497.25 2026-05-06
27788 CPT Cl Tx Dis Fib Fx With Manipulation 22 7 $1,269.00 $1,142.10 $260.28 $1,343.70 $494.91 2026-05-06
12041 CPT Layr Clo Nck/ft/gen<2.6cm 17 7 $1,142.00 $1,027.80 $154.26 $1,108.80 $480.48 2026-05-06
36556 CPT Central Venous Cath >5yrs 17 7 $9,444.00 $8,499.60 $88.79 $8,499.60 $476.10 2026-05-06
22305 CPT Clo Trt Vertebral Proc Fx 17 7 $824.00 $741.60 $286.65 $741.60 $466.71 2026-05-06
A0429 HCPCS Bls - Emergency 8 6 $1,192.00 $1,072.80 $423.39 $1,072.80 $464.88 2026-05-06
27265 CPT Clo Trt Pos Hip Arth Disc 17 7 $681.00 $612.90 $260.28 $1,468.80 $458.05 2026-05-06
27220 CPT Clo Trt Acetabulum Fx 17 7 $681.00 $612.90 $260.28 $1,765.80 $449.19 2026-05-06
12017 CPT Sim Rpr Fac/mucs 20.1-30 17 7 $1,142.00 $1,027.80 $142.49 $1,027.80 $445.38 2026-05-06
12016 CPT Sim Rpr Fac/mucs 12.6-20 17 7 $1,142.00 $1,027.80 $135.85 $1,027.80 $445.38 2026-05-06
12055 CPT Layr Clo Fac/lip 12.5-20 17 7 $1,142.00 $1,027.80 $319.10 $1,027.80 $445.38 2026-05-06
12054 CPT Layr Clo Fac/lip 7.5-12.5 17 7 $1,142.00 $1,027.80 $233.32 $1,027.80 $445.38 2026-05-06
12042 CPT Layr Cl Nck/ft/gen2.6-7.5 17 7 $1,142.00 $1,027.80 $207.12 $1,027.80 $445.38 2026-05-06
12035 CPT Layr Clo Sclp/trnk12-20cm 17 7 $1,142.00 $1,027.80 $255.97 $1,027.80 $445.38 2026-05-06
12034 CPT Layr Clo Sclp/trnk 7.6-12 17 7 $1,142.00 $1,027.80 $217.06 $1,027.80 $445.38 2026-05-06
12032 CPT Layr Clo Sclp/trnk2.6-7.6 17 7 $1,142.00 $1,027.80 $201.00 $1,027.80 $445.38 2026-05-06
12006 CPT Sim Rpr Sclp/trnk<20.1-30 17 7 $1,142.00 $1,027.80 $124.26 $1,027.80 $445.38 2026-05-06
12005 CPT Sim Rpr Sclp/trnk<12.6-20 17 7 $1,142.00 $1,027.80 $100.51 $1,027.80 $445.38 2026-05-06
12031 CPT Layer Clo Sclp Trnk<2.6cm 17 7 $1,142.00 $1,027.80 $159.74 $1,027.80 $440.83 2026-05-06
12053 CPT Layer Clo Face/lips 5-7.5 17 7 $1,142.00 $1,027.80 $227.72 $1,027.80 $440.83 2026-05-06
12051 CPT Int Rep F/e/n/l/mm 2.5cm< 17 7 $1,142.00 $1,027.80 $178.53 $1,027.80 $436.47 2026-05-06
17106 CPT Dstrctn Cutaneous Vasc Prolif Lesion<10c 17 7 $1,119.00 $1,007.10 $293.31 $1,007.10 $436.41 2026-05-06
27840 CPT Cl Redu Ank Dis Without Anes 17 7 $681.00 $612.90 $260.28 $2,555.10 $425.40 2026-05-06
96374 CPT First IV Push Med 9 7 $1,090.00 $981.00 $31.27 $981.00 $425.10 2026-05-06
P9021 HCPCS Red Blood Cells Ea Unit 9 7 $936.00 $842.40 $357.74 $842.40 $421.20 2026-05-06
J0714 HCPCS Avycaz 2.5gm IV 9 7 $927.18 $834.46 $354.37 $834.46 $417.23 2026-05-06
69000 CPT Drain Eye Abscess Simple 17 7 $2,053.00 $1,847.70 $132.39 $1,847.70 $414.90 2026-05-06
21315 CPT Clo Trt Nasal Fx;wo Stabl 17 7 $4,465.00 $4,018.50 $63.71 $4,018.50 $408.60 2026-05-06
25650 CPT Clo Trt Ulnar Styloid Fx 9 7 $1,037.00 $933.30 $313.92 $933.30 $404.43 2026-05-06
99285 CPT ER- Ed Visit Level 5 17 7 $1,870.00 $1,683.00 $162.62 $1,683.00 $401.40 2026-05-06
27830 CPT Clo Trt Prox Tibofibular 17 7 $681.00 $612.90 $260.28 $1,130.40 $397.97 2026-05-06
26775 CPT Clo Trt Ip Jt Disl W Anes 17 7 $796.00 $716.40 $304.23 $1,494.00 $396.06 2026-05-06
24530 CPT Clo Trt Spracndyl Hum 17 7 $681.00 $612.90 $260.28 $1,107.90 $388.04 2026-05-06
67938 CPT Rem Embedded Fb Eyelid 17 7 $862.00 $775.80 $119.58 $1,365.30 $387.90 2026-05-06
24600 CPT Tx Clo Elbow Dislocation 17 7 $681.00 $612.90 $260.28 $1,159.20 $383.53 2026-05-06
27560 CPT Clo Trt Patellar Disloc 17 7 $681.00 $612.90 $260.28 $1,057.50 $380.09 2026-05-06
13131 CPT Complx Hd/hand/ft < 2.6cm 9 7 $974.00 $876.60 $255.91 $876.60 $379.86 2026-05-06
24500 CPT Clo Trt Hum Shft Wo Man 17 7 $681.00 $612.90 $260.28 $1,013.40 $373.69 2026-05-06
90750 CPT Shingrix 50mcg/0.5ml Suspension 9 7 $825.00 $742.50 $315.32 $742.50 $371.25 2026-05-06
A7041 HCPCS Water Chest Drainage System 9 7 $819.00 $737.10 $313.02 $737.10 $368.55 2026-05-06
90677 CPT Clinic Prevnar 20 (pneumococcal 20) Vac 9 7 $939.00 $845.10 $292.08 $845.10 $366.21 2026-05-06
96105 CPT Sp Assess Of Asphasia Per Hr,speech-language Pathology 9 7 $938.00 $844.20 $89.27 $844.20 $365.82 2026-05-06
96116 CPT Sp Cognitive/symbol Func Per Hr,speech-language Pathology 9 7 $938.00 $844.20 $84.82 $844.20 $365.82 2026-05-06
27750 CPT Clo Trt Tibal Shft Fx 17 7 $681.00 $612.90 $260.28 $1,035.90 $360.13 2026-05-06
25600 CPT Clo Trt Dist Rad Fx 17 7 $681.00 $612.90 $260.28 $829.80 $359.58 2026-05-06
28665 CPT Clo Trt Ip Jt Dis W Anes 17 7 $796.00 $716.40 $135.00 $878.40 $358.20 2026-05-06
31605 CPT Trach Circothyroid 17 7 $699.00 $629.10 $267.16 $981.00 $357.77 2026-05-06
26670 CPT Carpometacarpal Wo Manip 17 7 $681.00 $612.90 $260.28 $997.20 $354.49 2026-05-06
23600 CPT Clo Trt Prox Hum Fx Wo Mn 17 7 $681.00 $612.90 $260.28 $998.10 $354.32 2026-05-06
88262 CPT Chromosome Analysis 15-20 23 7 $901.00 $810.90 $122.98 $823.50 $353.21 2026-05-06
26700 CPT Clo Trt Mcp Disl-1 Wo Ane 17 7 $681.00 $612.90 $260.28 $985.50 $352.42 2026-05-06
24576 CPT Clo Trt Humer Condyl 17 7 $681.00 $612.90 $260.28 $957.60 $351.03 2026-05-06
87904 CPT HIV Phenotype Ea + Drug 1 9 7 $899.00 $809.10 $25.55 $809.10 $350.61 2026-05-06
A0426 HCPCS Als1 - Non-emergency 8 6 $894.00 $804.60 $317.54 $804.60 $348.66 2026-05-06
27760 CPT Clo Trt Med Malleolus Fx 17 7 $681.00 $612.90 $260.28 $970.20 $344.54 2026-05-06
41250 CPT Rpr Lac <2.6 Ant Tongue 17 7 $892.00 $802.80 $163.34 $802.80 $344.33 2026-05-06
96366 CPT Infusion Med - Add'l Hour 9 7 $880.00 $792.00 $18.05 $792.00 $343.20 2026-05-06
96361 CPT Infusion Fluid - Add't Hour 9 7 $880.00 $792.00 $10.79 $792.00 $343.20 2026-05-06
96370 CPT Sc Ther Infusion Addl Hr 9 7 $880.00 $792.00 $14.82 $792.00 $343.20 2026-05-06
450 OTHER Insert Cath Pleura Without Image 9 7 $762.00 $685.80 $291.24 $685.80 $342.90 2026-05-06
46083 CPT Inc Throm Hem Ext 17 7 $879.00 $791.10 $117.38 $791.10 $342.81 2026-05-06
A4300 HCPCS Central Line Kit - 7 Fr 9 7 $760.00 $684.00 $290.47 $684.00 $342.00 2026-05-06
27808 CPT Clo Trt Bimalleolar Ank 17 7 $681.00 $612.90 $260.28 $953.10 $341.63 2026-05-06
26725 CPT Clo Trt Phalang W/wo Trac 17 7 $681.00 $612.90 $260.28 $854.10 $341.47 2026-05-06
27824 CPT Clo Trt Fx Artic-dist Tib 17 7 $681.00 $612.90 $260.28 $982.80 $341.35 2026-05-06
87506 CPT Hc Gi Pathogen 6-11 Targets(gi 9 7 $868.00 $781.20 $257.73 $781.20 $338.52 2026-05-06
23650 CPT Clo Trt Shldr Dis Wo Anes 17 7 $681.00 $612.90 $260.28 $926.10 $337.47 2026-05-06
27520 CPT Clo Trt Patellar Fx 17 7 $681.00 $612.90 $260.28 $931.50 $336.84 2026-05-06
64455 CPT Inj Anesthetic Agent Plantar Digit 9 7 $862.00 $775.80 $45.52 $775.80 $336.18 2026-05-06
40800 CPT Drain Abscss Cyst/hematom 17 7 $2,053.00 $1,847.70 $126.61 $1,847.70 $335.70 2026-05-06
26605 CPT Metacarpal Fx W Manip Ea 17 7 $681.00 $612.90 $260.28 $953.10 $332.67 2026-05-06
11750 CPT Exc Nail & Matrix 22 7 $534.00 $480.60 $107.95 $1,027.80 $331.80 2026-05-06
36430 CPT Transfusion Blood/components 17 7 $849.00 $764.10 $37.91 $764.10 $331.11 2026-05-06
67800 CPT Excision Of Chalazion; Single 18 7 $671.00 $603.90 $107.15 $775.80 $331.11 2026-05-06
88230 CPT Tissue Cult Non Neo Disor 30 7 $844.00 $759.60 $114.16 $765.90 $329.16 2026-05-06
27816 CPT Clo Trt Trimalleolar Ank 17 7 $681.00 $612.90 $260.28 $1,209.60 $328.98 2026-05-06
22310 CPT Clotrt Vert Proc Fx Wo Mn 17 7 $681.00 $612.90 $260.28 $989.10 $325.86 2026-05-06
27530 CPT Clo Trt Tibal Fx Prox 17 7 $681.00 $612.90 $260.28 $1,197.90 $323.02 2026-05-06
27786 CPT Clo Trt Distal Fib Fx 17 7 $681.00 $612.90 $260.28 $916.20 $319.54 2026-05-06
27780 CPT Clo Trt Prox Fib Shaft Fx 17 7 $681.00 $612.90 $260.28 $867.60 $319.02 2026-05-06
25622 CPT Clo Trt Carp Scaphoid Fx 17 7 $681.00 $612.90 $260.28 $849.60 $318.92 2026-05-06
26600 CPT Clo Trt Metacarpal Fx 17 7 $681.00 $612.90 $260.28 $679.50 $316.09 2026-05-06
32554 CPT Thoracentesis Needle Or Cath Without Imag 17 7 $1,788.00 $1,609.20 $93.03 $1,609.20 $314.10 2026-05-06
29425 CPT Appl Shrt Leg Cast-walking Type 9 7 $796.00 $716.40 $70.61 $716.40 $310.44 2026-05-06
29075 CPT App Short Arm Cast 9 7 $796.00 $716.40 $82.58 $716.40 $310.44 2026-05-06
26755 CPT Clo Trt Dis Phalang W/man 17 7 $681.00 $612.90 $260.28 $916.20 $309.76 2026-05-06
10160 CPT Punct Aspir Abscs Etc 17 7 $1,142.00 $1,027.80 $102.33 $1,027.80 $306.90 2026-05-06
28475 CPT Clo Trt Metatarsal W Mani 17 7 $681.00 $612.90 $245.25 $920.70 $306.45 2026-05-06
27250 CPT Clo Trt Hip Disl Wo Manip 17 7 $681.00 $612.90 $167.18 $1,750.50 $306.45 2026-05-06
26770 CPT Clo Trt Ip Jt Dislc W/man 17 7 $681.00 $612.90 $260.28 $1,056.60 $306.45 2026-05-06
25560 CPT Radius & Ulna Shaft Fx 17 7 $681.00 $612.90 $260.28 $751.50 $306.45 2026-05-06
25530 CPT Ulnar Shaft Fx Wo Manip 17 7 $681.00 $612.90 $253.76 $723.60 $306.45 2026-05-06
25500 CPT Rad Shaft Fx Wo Manip 17 7 $681.00 $612.90 $260.28 $763.20 $306.45 2026-05-06
24670 CPT Clo Trt Ulnr Fx Prox End 17 7 $681.00 $612.90 $260.28 $824.40 $306.45 2026-05-06
24650 CPT Clo Trt Rad Head/neck Fx 17 7 $681.00 $612.90 $253.33 $724.50 $306.45 2026-05-06
23620 CPT Clo Trt Grtr Tuberos Fx 17 7 $681.00 $612.90 $259.17 $831.60 $306.45 2026-05-06
23570 CPT Clo Trt Ascapular Fx Wo M 17 7 $681.00 $612.90 $225.23 $754.20 $306.45 2026-05-06
23500 CPT Clo Trt Cla Fx Wo Manip 17 7 $681.00 $612.90 $214.60 $815.40 $306.45 2026-05-06
46050 CPT I&d Perianal Abscess 17 7 $2,619.00 $2,357.10 $108.04 $2,357.10 $306.00 2026-05-06
28430 CPT Clo Trt Talus Fx W Manip 17 7 $681.00 $612.90 $226.10 $698.40 $302.64 2026-05-06
11644 CPT Mal-face E N Lip 3 < 4 Cm 22 7 $574.20 $516.78 $146.30 $861.30 $302.26 2026-05-06
23540 CPT Trt Acromioclavicular W M 17 7 $681.00 $612.90 $227.00 $691.20 $299.52 2026-05-06
26740 CPT Clo Trt Artic Mcp/ip Jt 17 7 $681.00 $612.90 $223.68 $681.30 $295.23 2026-05-06
A0428 HCPCS Bls - Non-emergency 8 6 $745.00 $670.50 $264.62 $670.50 $290.55 2026-05-06
87154 CPT DNA Amplified Probe 6+ Targets 9 7 $744.00 $669.60 $213.70 $669.60 $290.16 2026-05-06
28600 CPT Tarsometatarsal Jt Wo Ane 17 7 $681.00 $612.90 $202.71 $669.60 $290.16 2026-05-06
11604 CPT Exc Mal Lesion 3.1-4.0 Cm 14 7 $458.40 $412.56 $178.78 $687.60 $290.01 2026-05-06
10080 CPT I&d Pilonidal Cyst;simple 17 7 $2,053.00 $1,847.70 $111.03 $1,847.70 $288.00 2026-05-06
12052 CPT Layer Clo Face/lips 2.6-5 17 7 $1,142.00 $1,027.80 $123.24 $1,027.80 $284.40 2026-05-06
28450 CPT Tarsal Bone Fx W Manip Ea 17 7 $681.00 $612.90 $199.21 $653.40 $283.14 2026-05-06
96371 CPT Sc Ther Infus Reset Pump 9 7 $709.00 $638.10 $50.54 $638.10 $276.51 2026-05-06
96367 CPT Add'l New Sequential Infusion Med 9 7 $709.00 $638.10 $24.54 $638.10 $276.51 2026-05-06
99284 CPT ER- Ed Visit Level 4 17 7 $1,337.00 $1,203.30 $112.11 $1,203.30 $276.30 2026-05-06
99292 CPT Criti Care/ea Addl 30mins 17 7 $1,366.00 $1,229.40 $110.10 $1,229.40 $274.50 2026-05-06
96376 CPT Add'l Seq IV Push Med Same Drug 9 7 $609.00 $548.10 $232.76 $548.10 $274.05 2026-05-06
40830 CPT Laceration Rpr Mouth<2.6 17 7 $699.00 $629.10 $155.21 $629.10 $272.61 2026-05-06
30906 CPT Nasal Hemorr-post;subsq 17 7 $699.00 $629.10 $140.32 $629.10 $272.61 2026-05-06
21800 CPT Clo Trt Rib Fx Uncomp Ea 17 7 $425.00 $382.50 $162.44 $435.60 $272.47 2026-05-06
15275 CPT Skin Graft First 25sq Cm Face/nk/hf/g 17 7 $2,847.00 $2,562.30 $99.48 $2,562.30 $270.00 2026-05-06
26720 CPT Clo Trt Phalang Ea 17 7 $681.00 $612.90 $193.30 $622.80 $269.88 2026-05-06
12004 CPT Sim Rpr Sclp/trnk<7.6-12. 17 7 $593.00 $533.70 $77.82 $631.80 $266.85 2026-05-06
16030 CPT Dress & Debrid Burn Large 17 7 $593.00 $533.70 $140.67 $680.40 $266.85 2026-05-06
12018 CPT Sim Rpr Fac/mucs >30.0 Cm 17 7 $593.00 $533.70 $161.41 $1,176.30 $266.85 2026-05-06
12015 CPT Sim Rpr Fac/mucs 7.5-12.6 17 7 $593.00 $533.70 $100.20 $874.80 $266.85 2026-05-06
12014 CPT Sim Rpr Face/mucs 5.0-7.5 17 7 $593.00 $533.70 $79.17 $694.80 $266.85 2026-05-06
99496 CPT Trans Care Mgmt 7 Day Discharge 9 7 $681.00 $612.90 $200.66 $612.90 $265.59 2026-05-06
28660 CPT Clo Trt Ip Jt Dis Wo Anes 17 7 $681.00 $612.90 $101.05 $612.90 $265.59 2026-05-06
28515 CPT Phlnx Fx N/grt Toe W Mani 17 7 $681.00 $612.90 $154.06 $612.90 $265.59 2026-05-06
28495 CPT Clo Trt Grt Toe Fx W Mani 17 7 $681.00 $612.90 $163.29 $612.90 $265.59 2026-05-06
28490 CPT Clo Trt Great Toe Fx 17 7 $681.00 $612.90 $133.76 $612.90 $265.59 2026-05-06
28470 CPT Clo Trt Metatarsal Fx-ea 17 7 $681.00 $612.90 $204.79 $612.90 $265.59 2026-05-06
27200 CPT Clo Trt Coccygeal Fx 17 7 $681.00 $612.90 $180.14 $612.90 $265.59 2026-05-06
26750 CPT Clo Trt Dist Phalang Fx 17 7 $681.00 $612.90 $181.34 $612.90 $265.59 2026-05-06
21820 CPT Clo Trt Sternum Fx 17 7 $681.00 $612.90 $142.71 $612.90 $265.59 2026-05-06
28510 CPT Clsd Tx Toe Fx Without Manipu 22 7 $532.00 $478.80 $114.37 $612.90 $264.24 2026-05-06
21310 CPT Clo Trt Nasal Fx;wo Manip 17 7 $681.00 $612.90 $31.41 $612.90 $263.38 2026-05-06
24640 CPT Clo Trt Rad Head Subluxa 17 7 $681.00 $612.90 $84.08 $612.90 $262.88 2026-05-06
11760 CPT Repair Nail Bed 17 7 $1,730.00 $1,557.00 $113.10 $1,557.00 $261.00 2026-05-06
11624 CPT Mal-s N H Ft 3 < 4 Cm 22 7 $498.60 $448.74 $127.05 $747.90 $257.81 2026-05-06
92960 CPT Cardioversion 17 7 $622.00 $559.80 $113.78 $594.90 $257.79 2026-05-06
12013 CPT Sim Rpr Face/mucs 2.6-5.0 17 7 $593.00 $533.70 $61.69 $594.90 $257.79 2026-05-06
90670 CPT Prevnar 13 Vaccine 0.5ml - Peds 17 7 $664.50 $598.05 $169.31 $598.05 $256.52 2026-05-06
13153 CPT Rpr Compx Lid/lip Add 5cm 17 7 $655.00 $589.50 $144.85 $589.50 $255.45 2026-05-06
64450 CPT Inj Anes Agent;other Peri 17 7 $2,094.00 $1,884.60 $43.89 $1,884.60 $253.80 2026-05-06
36680 CPT Intraosseous Infusion 17 7 $892.00 $802.80 $55.07 $802.80 $253.80 2026-05-06
90619 CPT Clinic Mcv Vaccine 0.5ml 9 7 $564.00 $507.60 $215.56 $507.60 $253.80 2026-05-06
86041 CPT Acetylcholine Receptor Binding Ab Rt 9 7 $638.00 $574.20 $18.03 $574.20 $248.82 2026-05-06
36589 CPT Remove Tnl Cv Cath 9 7 $631.00 $567.90 $143.25 $567.90 $246.09 2026-05-06
82652 CPT Vitamin D 1-25 Oh 9 7 $630.00 $567.00 $37.73 $567.00 $245.70 2026-05-06
99236 CPT Obsrv Bed-adm/d/c-lev Iii 9 7 $628.00 $565.20 $191.24 $565.20 $244.92 2026-05-06
11643 CPT Mal-face E N Lip 2 < 3 Cm 22 7 $465.60 $419.04 $118.64 $698.40 $244.55 2026-05-06
11444 CPT Les-face E N Lip 3<4 Cm 22 7 $420.60 $378.54 $107.17 $630.90 $242.50 2026-05-06
42700 CPT I & D Abscess Peritonsillar 17 7 $620.00 $558.00 $144.66 $558.00 $241.80 2026-05-06
99205 CPT New Patient Level 5 9 7 $615.00 $553.50 $192.79 $553.50 $239.85 2026-05-06
51705 CPT Chng Colostomy Tube;simpl 17 7 $879.00 $791.10 $55.44 $791.10 $239.40 2026-05-06
96368 CPT Concurrent Infusion 9 7 $609.00 $548.10 $17.14 $548.10 $237.51 2026-05-06
84445 CPT Assay Of Tsi 9 7 $609.00 $548.10 $49.84 $548.10 $237.51 2026-05-06
92523 CPT Sp Eval Of Sound Prod & Language,speech-language Pathology 9 7 $609.00 $548.10 $211.93 $548.10 $237.51 2026-05-06
54450 CPT Foreskin Manip Inc Lysis 17 7 $879.00 $791.10 $60.76 $791.10 $235.80 2026-05-06
12011 CPT Sim Rpr Face/mucos <2.6cm 17 7 $593.00 $533.70 $59.27 $542.70 $235.17 2026-05-06
13133 CPT Compx Hd/hand/ft Add 5cm 17 7 $601.00 $540.90 $131.86 $540.90 $234.39 2026-05-06
36010 CPT Intr Cath Sup/infer Vena 17 7 $601.00 $540.90 $112.56 $540.90 $234.39 2026-05-06
11603 CPT Mal-trunk Extrem 2<3 Cm 35 7 $429.00 $386.10 $104.72 $631.80 $232.79 2026-05-06
16025 CPT Dress & Debrid Burn Med 17 7 $593.00 $533.70 $117.48 $533.70 $231.27 2026-05-06
92522 CPT Sp Eval Of Speech Production,speech-language Pathology 9 7 $592.00 $532.80 $103.17 $532.80 $230.88 2026-05-06
87536 CPT HIV-1 RNA 8dna 9 7 $586.00 $527.40 $83.40 $527.40 $228.54 2026-05-06
11730 CPT Exc Nail/matric Part Cmpt 17 7 $593.00 $533.70 $57.19 $533.70 $226.64 2026-05-06
16000 CPT Burn Rx Initial 1st Degree 17 7 $593.00 $533.70 $48.66 $533.70 $226.64 2026-05-06
11623 CPT Mal-s N H Ft 2 < 3 Cm 22 7 $437.40 $393.66 $111.45 $656.10 $226.55 2026-05-06
85303 CPT Protein C Activity Rt 9 7 $576.00 $518.40 $13.56 $518.40 $224.64 2026-05-06
85306 CPT Protein S Free 9 7 $574.00 $516.60 $15.01 $516.60 $223.86 2026-05-06
11442 CPT Les-face E N Lip 1 < 2 Cm 40 7 $543.00 $488.70 $72.92 $1,847.70 $223.08 2026-05-06
56420 CPT I&d Bartholins Glnd Abscs 17 7 $562.00 $505.80 $116.01 $505.80 $219.18 2026-05-06
49082 CPT Paracentesis Without Imagining 17 7 $704.00 $633.60 $76.95 $633.60 $216.00 2026-05-06
80307 CPT Meperidine 9 7 $547.00 $492.30 $60.90 $492.30 $213.33 2026-05-06
82077 CPT Ethanol Medical 9 7 $547.00 $492.30 $16.92 $492.30 $213.33 2026-05-06
80321 CPT Urine Alcohol And Metabolites With Conf 9 7 $547.00 $492.30 $13.20 $492.30 $213.33 2026-05-06
41800 CPT Drainage Of Abscess; Dentoalveolar Struc,distinct Procedural Service 17 7 $370.00 $333.00 $141.41 $877.50 $209.57 2026-05-06
30905 CPT Nasal Hemorr-post;init 17 7 $370.00 $333.00 $113.01 $755.10 $209.57 2026-05-06
30903 CPT Control Nasal Hemorrhage/complex 17 7 $370.00 $333.00 $82.48 $612.00 $209.57 2026-05-06
16020 CPT Dress & Debrid Burn Small 22 7 $284.00 $255.60 $58.99 $533.70 $205.80 2026-05-06
10061 CPT I&d Abcess Complic/mult 38 7 $525.00 $472.50 $80.26 $1,027.80 $204.75 2026-05-06
11601 CPT Mal-trunk Extrem .6<1 Cm 27 7 $564.00 $507.60 $86.22 $540.00 $203.04 2026-05-06
12002 CPT Sim Rpr Sclp/trnk<2.6-7.5 17 7 $518.00 $466.20 $62.49 $466.20 $202.02 2026-05-06
11642 CPT Mal-face E N Lip 1<2 Cm 22 7 $396.00 $356.40 $100.90 $594.00 $200.99 2026-05-06
See an error in this hospital's data? Submit a correction