Hospital

DOCTORS' CENTER HOSPITAL, INC

Manati, PR · CCN 400118 · Rates published

Your selected procedure

You selected 45378 (CPT)

Diagnostic exam of large bowel using an endoscope

This hospital’s price: $135 across 5 payers · range $85-$570

Source: https://secure.claraprice.net/price-transparency/KXCB-1699383416708/machine-readable/660665951_doctors-center-hospital---manati_standardcharges.json · observed 2025-10-20

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.

2,000 distinct procedures filed

8 distinct payers

20,603 rate rows

2025-10-20 last MRF observed · ⚠ 12 mo old

Data quality

8,789 of 20,603 rate rows are consumer-grade (42.7%)

11,814 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	11,547
exceeds 10× this hospital's gross charge — excluded from medians	265
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://secure.claraprice.net/price-transparency/KXCB-1699383416708/machine-readable/660665951_doctors-center-hospital---manatí_standardcharges.json
Found on page	https://secure.claraprice.net/price-transparency/dchpr-manati
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-07
Content fingerprint	f5302a2e2a84599e… · 6,822,827 bytes · first seen 2026-09-25

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
33228 CPT	Remvl Perm Pm Pls Gen W/repl 2	1	$6,407.00	$6,407.00	$6,407.00	nat. median $11,484 0.6× median
33208 CPT	Insrt Heart Pm Atrial & Vent	1	$6,407.00	$6,407.00	$6,407.00	nat. median $11,506 0.6× median
33207 CPT	Insert Heart Pm Ventricular	1	$6,407.00	$6,407.00	$6,407.00	nat. median $11,657 0.5× median
33206 CPT	Insert Heart Pm Transvenous At	1	$6,407.00	$6,407.00	$6,407.00	nat. median $11,506 0.6× median
J1162 HCPCS	Digoxin Immune Fab 40 Mg Vial	1	$5,383.00	$5,383.00	$5,383.00	nat. median $6,265 0.9× median
93653 CPT	Icar Ablt Arrhyt Foc Supravent	3	$5,000.00	$16,022.00	$5,000.00	nat. median $25,502 outlier · 0.2×
50590 CPT	Lithotripsy Extracorporeal Sho	6	$2,161.00	$6,000.00	$4,717.50	nat. median $4,399 1.1× median
37235 CPT	Transluminal Angioplasty Md	2	$4,500.00	$4,800.00	$4,650.00	nat. median $3,980 1.2× median
29828 CPT	Arthroscopy Biceps Tenodesis	1	$4,448.00	$4,448.00	$4,448.00	nat. median $7,292 0.6× median
29827 CPT	Arthroscopy W Rotator Cuff	1	$4,448.00	$4,448.00	$4,448.00	nat. median $7,413 0.6× median
63075 CPT	Anterior Cervical Discectomy	1	$4,448.00	$4,448.00	$4,448.00	nat. median $7,048 0.6× median
62380 CPT	Endoscopic Descompressi Spinal	2	$3,900.00	$4,448.00	$4,174.00	nat. median $7,673 0.5× median
A9600 HCPCS	Metastron	1	$4,146.00	$4,146.00	$4,146.00	nat. median $4,229 1.0× median
93620 CPT	Compre Electrophysiolog Arrhyt	4	$1,350.00	$4,781.00	$4,000.00	nat. median $8,986 outlier · 0.4×
43274 CPT	Ercp Ins Nasobiliar/pancrea	1	$3,721.00	$3,721.00	$3,721.00	nat. median $5,953 0.6× median
37182 CPT	Tips	4	$3,500.00	$4,000.00	$3,550.00	nat. median $7,187 outlier · 0.5×
37183 CPT	Tips Revision	5	$3,489.00	$4,000.00	$3,500.00	nat. median $6,968 0.5× median
36223 CPT	Carotic,cerebral,uni Angiograp	1	$3,411.00	$3,411.00	$3,411.00	nat. median $6,072 0.6× median
36224 CPT	Carotic,cerebral,bila Angiogra	1	$3,411.00	$3,411.00	$3,411.00	nat. median $6,575 0.5× median
81211 CPT	Brca1,brca2 Seq & Com Dup/del	2	$3,340.00	$3,340.00	$3,340.00	nat. median $1,904 1.8× median
A9604 HCPCS	Quadramet (sm-153)	1	$3,160.00	$3,160.00	$3,160.00	nat. median $11,059 outlier · 0.3×
37220 CPT	Pta Femoral-popliteal Arteries	4	$1,200.00	$4,050.00	$3,009.00	nat. median $7,041 outlier · 0.4×
37227 CPT	Pta Femoral-plopiteal Arter Md	4	$518.00	$4,932.00	$2,563.50	nat. median $19,510 outlier · 0.1×
65275 CPT	Repair Cornea Nonperforating	1	$2,410.00	$2,410.00	$2,410.00	nat. median $4,028 0.6× median
19120 CPT	Removal Of One Or More Breast Growth, Open Procedure	1	$2,400.00	$2,400.00	$2,400.00	nat. median $3,683 0.7× median
19499 CPT	Mibb Device	1	$2,400.00	$2,400.00	$2,400.00	nat. median $4,265 0.6× median
43276 CPT	Ercp Stent Removal Or Change	2	$989.00	$3,721.00	$2,355.00	nat. median $5,970 outlier · 0.4×
A9582 HCPCS	Iobenguane I-123 Diag Up-15mci	1	$2,318.00	$2,318.00	$2,318.00	nat. median $5,121 outlier · 0.5×
37191 CPT	Ins Endovas Vena Cava Filtr Ap	2	$1,200.00	$3,411.00	$2,305.50	nat. median $5,831 outlier · 0.4×
49426 CPT	Revisi Peritoneal-venous Shunt	1	$2,195.00	$2,195.00	$2,195.00	nat. median $3,670 0.6× median
47534 CPT	Plmt Biliary Drainage Cath I/e	1	$2,195.00	$2,195.00	$2,195.00	nat. median $4,012 0.5× median
J3240 HCPCS	Thyrogen Alpha-1 Antirypsin 2	1	$2,159.00	$2,159.00	$2,159.00	nat. median $2,804 0.8× median
93510 CPT	Left Heart Catherization Retro	4	$1,680.00	$2,205.00	$2,035.00	nat. median $5,944 outlier · 0.3×
25310 CPT	Tendon Trans Or Transfer	1	$2,006.00	$2,006.00	$2,006.00	nat. median $3,275 0.6× median
22510 CPT	Vertebroplasty(cervicothiracic	1	$2,006.00	$2,006.00	$2,006.00	nat. median $4,019 outlier · 0.5×
22511 CPT	Vertebroplasty(lumbosacral)	1	$2,006.00	$2,006.00	$2,006.00	nat. median $4,044 outlier · 0.5×
29824 CPT	Arthroscopy Biceps Tenodesis	1	$2,006.00	$2,006.00	$2,006.00	nat. median $3,660 0.5× median
A9572 HCPCS	Octreoscan 3.3 Mci In-111	1	$2,001.00	$2,001.00	$2,001.00	nat. median $3,702 0.5× median
93533 CPT	Comb Rt Heart Cath Trans Lt He	5	$1,680.00	$2,205.00	$2,000.00	nat. median $2,937 0.7× median
93531 CPT	Comb Rt Heart Cath Retrogr Lt	5	$1,680.00	$2,205.00	$2,000.00	nat. median $4,000 outlier · 0.5×
93532 CPT	Comb Rt Heart Cath Trans Lt Tr	5	$1,680.00	$2,205.00	$2,000.00	nat. median $3,802 0.5× median
93530 CPT	Rt Heart Cath Congenital Ca	5	$1,680.00	$2,205.00	$2,000.00	nat. median $2,241 0.9× median
37211 CPT	Arterial Thrombolytic Infusion	3	$1,200.00	$3,411.00	$2,000.00	nat. median $5,748 outlier · 0.3×
93453 CPT	Combined Right/left Heart Cath	6	$1,680.00	$2,205.00	$1,993.50	nat. median $4,149 outlier · 0.5×
93458 CPT	Lt Heart Catherization Retro	6	$1,680.00	$2,205.00	$1,993.50	nat. median $4,063 outlier · 0.5×
93451 CPT	Right Heart Catherization	6	$1,680.00	$2,205.00	$1,993.50	nat. median $4,071 outlier · 0.5×
93454 CPT	Cath Placement Coronary Art	6	$1,680.00	$2,205.00	$1,993.50	nat. median $4,047 outlier · 0.5×
93452 CPT	Insertion Of Catheter Into Left Heart For Diagnosis	6	$1,680.00	$2,205.00	$1,993.50	nat. median $4,149 outlier · 0.5×
58345 CPT	Fallopian Dilatation	1	$1,984.00	$1,984.00	$1,984.00	nat. median $3,448 0.6× median
37197 CPT	Transcath Retrieval Foreign Bo	2	$1,935.00	$2,000.00	$1,967.50	nat. median $3,603 0.5× median

Other procedures at this hospital

Browse this hospital's 2,000 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

33206	CPT	Insert Heart Pm Transvenous At	1	1	$2,000.00	$2,000.00	$6,407.00	$6,407.00	$6,407.00	2025-10-20
33228	CPT	Remvl Perm Pm Pls Gen W/repl 2	1	1	$2,000.00	$2,000.00	$6,407.00	$6,407.00	$6,407.00	2025-10-20
33208	CPT	Insrt Heart Pm Atrial & Vent	1	1	$2,000.00	$2,000.00	$6,407.00	$6,407.00	$6,407.00	2025-10-20
33207	CPT	Insert Heart Pm Ventricular	1	1	$2,000.00	$2,000.00	$6,407.00	$6,407.00	$6,407.00	2025-10-20
J1162	HCPCS	Digoxin Immune Fab 40 Mg Vial	1	1	$1,211.00	$1,211.00	$5,383.00	$5,383.00	$5,383.00	2025-10-20
93653	CPT	Icar Ablt Arrhyt Foc Supravent	3	3	$7,000.00	$7,000.00	$5,000.00	$16,022.00	$5,000.00	2025-10-20
50590	CPT	Lithotripsy Extracorporeal Sho	6	6	$3,500.00	$3,500.00	$2,161.00	$6,000.00	$4,717.50	2025-10-20
37235	CPT	Transluminal Angioplasty Md	2	2	$1.00	$1.00	$4,500.00	$4,800.00	$4,650.00	2025-10-20
29828	CPT	Arthroscopy Biceps Tenodesis	1	1	$2,000.00	$2,000.00	$4,448.00	$4,448.00	$4,448.00	2025-10-20
63075	CPT	Anterior Cervical Discectomy	1	1	$5,500.00	$5,500.00	$4,448.00	$4,448.00	$4,448.00	2025-10-20
29827	CPT	Arthroscopy W Rotator Cuff	1	1	$3,000.00	$3,000.00	$4,448.00	$4,448.00	$4,448.00	2025-10-20
62380	CPT	Endoscopic Descompressi Spinal	2	2	$7,250.00	$7,250.00	$3,900.00	$4,448.00	$4,174.00	2025-10-20
A9600	HCPCS	Metastron	1	1	$4,200.00	$4,200.00	$4,146.00	$4,146.00	$4,146.00	2025-10-20
93620	CPT	Compre Electrophysiolog Arrhyt	4	4	$2,000.00	$2,000.00	$1,350.00	$4,781.00	$4,000.00	2025-10-20
43274	CPT	Ercp Ins Nasobiliar/pancrea	1	1	$3,200.00	$3,200.00	$3,721.00	$3,721.00	$3,721.00	2025-10-20
37182	CPT	Tips	4	4	$400.00	$400.00	$3,500.00	$4,000.00	$3,550.00	2025-10-20
37183	CPT	Tips Revision	5	5	$400.00	$400.00	$3,489.00	$4,000.00	$3,500.00	2025-10-20
36223	CPT	Carotic,cerebral,uni Angiograp	1	1	$357.00	$357.00	$3,411.00	$3,411.00	$3,411.00	2025-10-20
36224	CPT	Carotic,cerebral,bila Angiogra	1	1	$384.00	$384.00	$3,411.00	$3,411.00	$3,411.00	2025-10-20
81211	CPT	Brca1,brca2 Seq & Com Dup/del	2	2	$2,500.00	$2,500.00	$3,340.00	$3,340.00	$3,340.00	2025-10-20
A9604	HCPCS	Quadramet (sm-153)	1	1	$3,200.00	$3,200.00	$3,160.00	$3,160.00	$3,160.00	2025-10-20
37220	CPT	Pta Femoral-popliteal Arteries	4	4	$875.00	$875.00	$1,200.00	$4,050.00	$3,009.00	2025-10-20
37227	CPT	Pta Femoral-plopiteal Arter Md	4	4	$875.00	$875.00	$518.00	$4,932.00	$2,563.50	2025-10-20
65275	CPT	Repair Cornea Nonperforating	1	1	$375.00	$375.00	$2,410.00	$2,410.00	$2,410.00	2025-10-20
19499	CPT	Mibb Device	1	1	$500.00	$500.00	$2,400.00	$2,400.00	$2,400.00	2025-10-20
19120	CPT	Removal Of One Or More Breast Growth, Open Procedure	1	1	$700.00	$700.00	$2,400.00	$2,400.00	$2,400.00	2025-10-20
43276	CPT	Ercp Stent Removal Or Change	2	2	$3,200.00	$3,200.00	$989.00	$3,721.00	$2,355.00	2025-10-20
A9582	HCPCS	Iobenguane I-123 Diag Up-15mci	1	1	$5,250.00	$5,250.00	$2,318.00	$2,318.00	$2,318.00	2025-10-20
37191	CPT	Ins Endovas Vena Cava Filtr Ap	2	2	$400.00	$400.00	$1,200.00	$3,411.00	$2,305.50	2025-10-20
49426	CPT	Revisi Peritoneal-venous Shunt	1	1	$300.00	$300.00	$2,195.00	$2,195.00	$2,195.00	2025-10-20
47534	CPT	Plmt Biliary Drainage Cath I/e	1	1	$300.00	$300.00	$2,195.00	$2,195.00	$2,195.00	2025-10-20
J3240	HCPCS	Thyrogen Alpha-1 Antirypsin 2	1	1	$1,750.00	$1,750.00	$2,159.00	$2,159.00	$2,159.00	2025-10-20
93510	CPT	Left Heart Catherization Retro	4	4	$2,200.00	$2,200.00	$1,680.00	$2,205.00	$2,035.00	2025-10-20
29824	CPT	Arthroscopy Biceps Tenodesis	1	1	$1,000.00	$1,000.00	$2,006.00	$2,006.00	$2,006.00	2025-10-20
22511	CPT	Vertebroplasty(lumbosacral)	1	1	$300.00	$300.00	$2,006.00	$2,006.00	$2,006.00	2025-10-20
22510	CPT	Vertebroplasty(cervicothiracic	1	1	$300.00	$300.00	$2,006.00	$2,006.00	$2,006.00	2025-10-20
25310	CPT	Tendon Trans Or Transfer	1	1	$1,000.00	$1,000.00	$2,006.00	$2,006.00	$2,006.00	2025-10-20
A9572	HCPCS	Octreoscan 3.3 Mci In-111	1	1	$3,910.00	$3,910.00	$2,001.00	$2,001.00	$2,001.00	2025-10-20
93531	CPT	Comb Rt Heart Cath Retrogr Lt	5	5	$2,200.00	$2,200.00	$1,680.00	$2,205.00	$2,000.00	2025-10-20
93532	CPT	Comb Rt Heart Cath Trans Lt Tr	5	5	$2,200.00	$2,200.00	$1,680.00	$2,205.00	$2,000.00	2025-10-20
93533	CPT	Comb Rt Heart Cath Trans Lt He	5	5	$2,200.00	$2,200.00	$1,680.00	$2,205.00	$2,000.00	2025-10-20
93530	CPT	Rt Heart Cath Congenital Ca	5	5	$2,200.00	$2,200.00	$1,680.00	$2,205.00	$2,000.00	2025-10-20
37211	CPT	Arterial Thrombolytic Infusion	3	3	$400.00	$400.00	$1,200.00	$3,411.00	$2,000.00	2025-10-20
93454	CPT	Cath Placement Coronary Art	6	6	$2,200.00	$2,200.00	$1,680.00	$2,205.00	$1,993.50	2025-10-20
93453	CPT	Combined Right/left Heart Cath	6	6	$2,500.00	$2,500.00	$1,680.00	$2,205.00	$1,993.50	2025-10-20
93458	CPT	Lt Heart Catherization Retro	6	6	$2,200.00	$2,200.00	$1,680.00	$2,205.00	$1,993.50	2025-10-20
93452	CPT	Insertion Of Catheter Into Left Heart For Diagnosis	6	6	$2,200.00	$2,200.00	$1,680.00	$2,205.00	$1,993.50	2025-10-20
93451	CPT	Right Heart Catherization	6	6	$2,200.00	$2,200.00	$1,680.00	$2,205.00	$1,993.50	2025-10-20
58345	CPT	Fallopian Dilatation	1	1	$300.00	$300.00	$1,984.00	$1,984.00	$1,984.00	2025-10-20
37197	CPT	Transcath Retrieval Foreign Bo	2	2	$413.00	$413.00	$1,935.00	$2,000.00	$1,967.50	2025-10-20
37214	CPT	Trombolytic Infusion Final Day	3	3	$400.00	$400.00	$1,200.00	$2,000.00	$1,935.00	2025-10-20
36225	CPT	Vertebral,uni Angiograp	1	1	$357.00	$357.00	$1,935.00	$1,935.00	$1,935.00	2025-10-20
36251	CPT	Angiography,renal Unilateral	1	1	$750.00	$750.00	$1,935.00	$1,935.00	$1,935.00	2025-10-20
93505	CPT	Endomycardial Biopsy	1	1	$750.00	$750.00	$1,935.00	$1,935.00	$1,935.00	2025-10-20
49429	CPT	Removal Peritoneal Venous Shun	1	1	$300.00	$300.00	$1,935.00	$1,935.00	$1,935.00	2025-10-20
37213	CPT	Continued Trombolytic Inf Suse	3	3	$400.00	$400.00	$1,200.00	$2,000.00	$1,935.00	2025-10-20
37212	CPT	Venous Infusion For Thrombolys	3	3	$400.00	$400.00	$1,200.00	$2,000.00	$1,935.00	2025-10-20
75889	CPT	Venography Hepatic W Hemodynam	1	1	$850.00	$850.00	$1,935.00	$1,935.00	$1,935.00	2025-10-20
36222	CPT	Carotic,cervical,bila Angiogra	1	1	$384.00	$384.00	$1,935.00	$1,935.00	$1,935.00	2025-10-20
36478	CPT	Endovenous Ablat Laser 1st Vei	3	3	$300.00	$300.00	$1,200.00	$2,000.00	$1,935.00	2025-10-20
75870	CPT	Superior Sagittal Sinus	1	1	$425.00	$425.00	$1,935.00	$1,935.00	$1,935.00	2025-10-20
36475	CPT	Endovenous Ablat Ther 1st Vein	3	3	$300.00	$300.00	$1,200.00	$2,000.00	$1,935.00	2025-10-20
93460	CPT	R&l Heart Cath Ventricle Angio	6	6	$2,500.00	$2,500.00	$1,680.00	$2,205.00	$1,869.00	2025-10-20
75893	CPT	Venous Sampling Through Cath	2	2	$438.00	$438.00	$150.00	$3,411.00	$1,780.50	2025-10-20
78608	CPT	Brain Imaging,pet,metabolic	6	6	$800.00	$800.00	$877.00	$1,961.00	$1,750.00	2025-10-20
78816	CPT	Tumor Image,pet/ct Whole Body	7	7	$1,350.00	$1,350.00	$877.00	$2,692.00	$1,743.00	2025-10-20
A9507	HCPCS	In-111 Prostascint	1	1	$2,000.00	$2,000.00	$1,730.00	$1,730.00	$1,730.00	2025-10-20
36252	CPT	Renal Bila (w Or Without Flush) An	4	4	$371.00	$371.00	$1,080.00	$1,935.00	$1,700.00	2025-10-20
50694	CPT	Plcmt Ure Stent New Acc Without Se	4	4	$300.00	$300.00	$1,200.00	$2,161.00	$1,700.00	2025-10-20
49418	CPT	Ins Periton Tunneled Cath W/im	2	2	$300.00	$300.00	$1,200.00	$2,195.00	$1,697.50	2025-10-20
43264	CPT	Ercp Calculus/calc Removal	5	5	$3,200.00	$3,200.00	$1,100.00	$2,363.00	$1,689.00	2025-10-20
43265	CPT	Ercp Calculus/calc Destruct	5	5	$3,200.00	$3,200.00	$1,100.00	$3,721.00	$1,689.00	2025-10-20
50433	CPT	Plcmt Nephroureteral Cath Perc	2	2	$400.00	$400.00	$1,200.00	$2,161.00	$1,680.50	2025-10-20
50695	CPT	Plcmt Ure Stent New Acc W Sep	2	2	$300.00	$300.00	$1,200.00	$2,161.00	$1,680.50	2025-10-20
43262	CPT	Ercp Spincterotomy/papillotomy	5	5	$3,200.00	$3,200.00	$1,100.00	$2,363.00	$1,680.00	2025-10-20
78815	CPT	Tumor Image,pet/ct Skull Base	7	7	$1,250.00	$1,250.00	$877.00	$2,465.00	$1,615.00	2025-10-20
78814	CPT	Tumor Image,pt/ct Limited Area	7	7	$950.00	$950.00	$877.00	$2,157.00	$1,607.00	2025-10-20
37226	CPT	Stent Placement W/pta Perf Uni	2	2	$250.00	$250.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
36479	CPT	Endovenous Ablat Laser Sub Vei	2	2	$300.00	$300.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37221	CPT	Stent Placement W/pta Pef Uni	2	2	$250.00	$250.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
36476	CPT	Endovenous Ablat The Subs Vein	2	2	$300.00	$300.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37222	CPT	Pta Each Add'i Ipsilateral Ili	2	2	$250.00	$250.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37241	CPT	Venous Embolization Hemorrhage	2	2	$300.00	$300.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37244	CPT	Arterial/venous Hemorrhage Emb	2	2	$300.00	$300.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37242	CPT	Arterial Embolization Hemorrha	2	2	$300.00	$300.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37236	CPT	Intrav Stent Open/perc Ini Art	2	2	$300.00	$300.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37224	CPT	Revas Endovas Perc Fem Pol W T	2	2	$250.00	$250.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37243	CPT	Tumor Organ Ischemia/inf Embol	2	2	$300.00	$300.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37238	CPT	Intrav Stent Open/perc Ini Vei	2	2	$300.00	$300.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37239	CPT	Intrav Stent Open/perc Add Vei	2	2	$300.00	$300.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37237	CPT	Intrav Stent Open/perc Add Art	2	2	$300.00	$300.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37223	CPT	Stent Placement W/pta Within	2	2	$250.00	$250.00	$1,200.00	$2,000.00	$1,600.00	2025-10-20
37228	CPT	Ta, Tibioperoneal Vessel	3	3	$300.00	$300.00	$1,200.00	$1,800.00	$1,568.00	2025-10-20
36473	CPT	Endovenous Mechanochemical 1st	2	2	$300.00	$300.00	$1,200.00	$1,935.00	$1,567.50	2025-10-20
37766	CPT	Stab Phlebectomy Var Vein 21 +	2	2	$300.00	$300.00	$1,200.00	$1,935.00	$1,567.50	2025-10-20
49422	CPT	Rem Tunneled Peritoneal Cathet	2	2	$300.00	$300.00	$1,200.00	$1,935.00	$1,567.50	2025-10-20
37765	CPT	Stab Phlebectomy Var Vei 10-20	2	2	$300.00	$300.00	$1,200.00	$1,935.00	$1,567.50	2025-10-20
37188	CPT	Venous Mech Tromb Repeat Sub D	2	2	$300.00	$300.00	$1,200.00	$1,935.00	$1,567.50	2025-10-20
37204	CPT	Embolization Of Varix	2	2	$300.00	$300.00	$900.00	$2,100.00	$1,500.00	2025-10-20
78813	CPT	Tumor PET Imaging, Whole Body	7	7	$750.00	$750.00	$877.00	$1,961.00	$1,488.00	2025-10-20
66250	CPT	Wound Revission	1	1	$150.00	$150.00	$1,457.00	$1,457.00	$1,457.00	2025-10-20
67921	CPT	Repair Of Entropion Suture	1	1	$150.00	$150.00	$1,457.00	$1,457.00	$1,457.00	2025-10-20
67971	CPT	Reconstruction Of Eyelid	1	1	$150.00	$150.00	$1,457.00	$1,457.00	$1,457.00	2025-10-20
66850	CPT	Phacofragmentation Technique	1	1	$150.00	$150.00	$1,415.00	$1,415.00	$1,415.00	2025-10-20
66985	CPT	Insertion Of Intra Lens Subseq	1	1	$150.00	$150.00	$1,415.00	$1,415.00	$1,415.00	2025-10-20
66983	CPT	Intracapsular Cataral Extratio	1	1	$150.00	$150.00	$1,415.00	$1,415.00	$1,415.00	2025-10-20
66940	CPT	Extracapsular Cataral Removal	1	1	$150.00	$150.00	$1,415.00	$1,415.00	$1,415.00	2025-10-20
66920	CPT	Extrac Lens W Or Wout Iridecto	1	1	$150.00	$150.00	$1,415.00	$1,415.00	$1,415.00	2025-10-20
66840	CPT	Rem Lens Material Aspim Tech	1	1	$150.00	$150.00	$1,415.00	$1,415.00	$1,415.00	2025-10-20
36514	CPT	Plasmaferesis	3	3	$1,500.00	$1,500.00	$955.00	$1,400.00	$1,400.00	2025-10-20
78811	CPT	Tumor PET Imaging,pt,limited A	7	7	$750.00	$750.00	$794.00	$1,750.00	$1,400.00	2025-10-20
78812	CPT	Tumor PET Imaging,pt,skull Bas	7	7	$750.00	$750.00	$877.00	$1,750.00	$1,400.00	2025-10-20
47530	CPT	Revise/reinsert Transhepa Tub	1	1	$300.00	$300.00	$1,389.00	$1,389.00	$1,389.00	2025-10-20
47525	CPT	Change Of Biliary Drainage Ca	1	1	$300.00	$300.00	$1,380.00	$1,380.00	$1,380.00	2025-10-20
47511	CPT	Intro Percu Biliary Drainage	2	2	$300.00	$300.00	$1,200.00	$1,542.00	$1,371.00	2025-10-20
75743	CPT	Pulmonary Bilat Angiograph	5	5	$384.00	$384.00	$169.00	$1,935.00	$1,369.00	2025-10-20
75736	CPT	Pelvic,each Vessel,selec Angio	5	5	$344.00	$344.00	$160.00	$3,411.00	$1,360.00	2025-10-20
75726	CPT	Visceral W-w/p Flush Each Vsse	5	5	$344.00	$344.00	$1,200.00	$3,411.00	$1,360.00	2025-10-20
47510	CPT	Intro Percu. Transhepa Cath Bi	2	2	$300.00	$300.00	$1,200.00	$1,479.00	$1,339.50	2025-10-20
75978	CPT	Angioplasty Venous	3	3	$413.00	$413.00	$250.00	$1,325.00	$1,325.00	2025-10-20
36561	CPT	Tunneled Port 5+ Older	3	3	$150.00	$150.00	$1,140.00	$1,380.00	$1,304.00	2025-10-20
75825	CPT	Venograph Caval Infrior (Ivc)	4	4	$303.00	$303.00	$1,200.00	$1,935.00	$1,300.00	2025-10-20
75894	CPT	Transcatheter Therapy,emboliza	4	4	$625.00	$625.00	$292.00	$2,091.00	$1,291.00	2025-10-20
52270	CPT	Internal Uresthrotomy	1	1	$150.00	$150.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
50386	CPT	Removal Ureteral Stent Transur	1	1	$400.00	$400.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
50387	CPT	Removal/replace Ext Nephrouret	1	1	$400.00	$400.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
50382	CPT	Remov/replace Uret Stent Percu	1	1	$400.00	$400.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
50385	CPT	Remov/replace Uret Stent Trans	1	1	$400.00	$400.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
52276	CPT	Cystourethroscopy Direct Visio	1	1	$150.00	$150.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
52310	CPT	Cystocopy Removal Doble T	1	1	$150.00	$150.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
52005	CPT	Cystoscopy Uretral Cath	1	1	$150.00	$150.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
51102	CPT	Suprapubic Cath(incl. Aspirati	1	1	$300.00	$300.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
50688	CPT	Chg Ureterostomy Tube/ureteral	1	1	$300.00	$300.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
52275	CPT	Cystourethroscopy Male	1	1	$150.00	$150.00	$1,281.00	$1,281.00	$1,281.00	2025-10-20
43260	CPT	Ercp	6	6	$3,200.00	$3,200.00	$1,100.00	$2,363.00	$1,268.00	2025-10-20
47505	CPT	Injec,cholangio Existing Cath	1	1	$300.00	$300.00	$1,265.00	$1,265.00	$1,265.00	2025-10-20
74475	CPT	Intro Cath Renal/pelvis Drain	1	1	$300.00	$300.00	$1,263.00	$1,263.00	$1,263.00	2025-10-20
36571	CPT	Ins/tunneled Central Ven Cathe	4	4	$250.00	$250.00	$125.00	$1,935.00	$1,260.50	2025-10-20
74363	CPT	Perc Transhe Biliary Duct W/wo	1	1	$300.00	$300.00	$1,255.00	$1,255.00	$1,255.00	2025-10-20
50384	CPT	Removal Ureteral Stent Percuta	2	2	$400.00	$400.00	$1,200.00	$1,281.00	$1,240.50	2025-10-20
50435	CPT	Exchange Nephrostomy Cath Perc	2	2	$400.00	$400.00	$1,200.00	$1,281.00	$1,240.50	2025-10-20
50434	CPT	Convert Nephrostomy Catheter	2	2	$400.00	$400.00	$1,200.00	$1,281.00	$1,240.50	2025-10-20
36555	CPT	Ins/central Venous Access Devi	4	4	$250.00	$250.00	$1,200.00	$1,935.00	$1,235.50	2025-10-20
47010	CPT	Abcess/cyst Drainage	3	3	$250.00	$250.00	$630.00	$1,266.00	$1,230.00	2025-10-20
36558	CPT	Tunneled(5+ Older) No Port,pum	2	2	$150.00	$150.00	$1,200.00	$1,255.00	$1,227.50	2025-10-20
36581	CPT	Tunneled, No Port, No Pump	4	4	$188.00	$188.00	$1,140.00	$1,370.00	$1,225.00	2025-10-20
75741	CPT	Pulmonary Unilateral Angiograp	4	4	$357.00	$357.00	$1,200.00	$1,935.00	$1,221.00	2025-10-20
50436	CPT	Dilat Nephrostomy Tract/pye	4	4	$300.00	$300.00	$210.00	$2,161.00	$1,215.00	2025-10-20
49421	CPT	Peritoneal Dialysis Cath Place	2	2	$300.00	$300.00	$230.00	$2,195.00	$1,212.50	2025-10-20
36556	CPT	Non Tunneled (5+ Older)	2	2	$125.00	$125.00	$1,200.00	$1,222.00	$1,211.00	2025-10-20
75630	CPT	Abd Aortogram With Run-offs	5	5	$369.00	$369.00	$201.00	$1,935.00	$1,210.00	2025-10-20
36578	CPT	Replace Cath Central Venous Ac	3	3	$400.00	$400.00	$1,200.00	$1,935.00	$1,200.00	2025-10-20
36575	CPT	Repair Of Tunneled	3	3	$300.00	$300.00	$385.00	$1,200.00	$1,200.00	2025-10-20
36570	CPT	Peripherally Inserted Central	3	3	$250.00	$250.00	$1,200.00	$1,935.00	$1,200.00	2025-10-20
36569	CPT	Non Tunneled Picc(5+older)	5	5	$200.00	$200.00	$965.00	$1,281.00	$1,200.00	2025-10-20
36568	CPT	Non-tunneled Picc (Chil<5)	3	3	$200.00	$200.00	$965.00	$1,200.00	$1,200.00	2025-10-20
36566	CPT	2 Tunneled Cath 2access Sites	2	2	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
36563	CPT	Tunneled Cath W/pump	2	2	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
36560	CPT	Tunneled Cath W/port(child<5)	2	2	$150.00	$150.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
37230	CPT	Tib/peroneal Vasc W Trans Sten	1	1	$250.00	$250.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
37246	CPT	Angioplasty, Peripheral Artery	4	4	$425.00	$425.00	$1,100.00	$3,489.00	$1,200.00	2025-10-20
36474	CPT	Endovenous Mechanochemical Add	1	1	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
75605	CPT	Thoracic Aortogram	5	5	$345.00	$345.00	$181.00	$3,411.00	$1,200.00	2025-10-20
47500	CPT	Inyec Proc. Percu. Transhepati	4	4	$300.00	$300.00	$1,140.00	$1,297.00	$1,200.00	2025-10-20
36254	CPT	Renal Superlective Bilateral	5	5	$300.00	$300.00	$1,080.00	$1,935.00	$1,200.00	2025-10-20
47536	CPT	Exchange Biliary Drainage Cath	3	3	$300.00	$300.00	$1,080.00	$2,195.00	$1,200.00	2025-10-20
75860	CPT	Venography/venous Sinus	4	4	$250.00	$250.00	$180.00	$1,935.00	$1,200.00	2025-10-20
50693	CPT	Plcmt Ureteral Stent Exist Rep	3	3	$300.00	$300.00	$700.00	$2,161.00	$1,200.00	2025-10-20
75831	CPT	Venography,renal,unil,selectiv	4	4	$425.00	$425.00	$160.00	$1,935.00	$1,200.00	2025-10-20
43261	CPT	Ercp W Biopsy, Sing/mult	5	5	$3,200.00	$3,200.00	$989.00	$2,363.00	$1,200.00	2025-10-20
37247	CPT	Pta Each Add Artery	2	2	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
36580	CPT	Venous Access Non Tunneled	5	5	$188.00	$188.00	$965.00	$1,255.00	$1,200.00	2025-10-20
75833	CPT	Venography,renal,bila,selectiv	4	4	$450.00	$450.00	$188.00	$1,935.00	$1,200.00	2025-10-20
37234	CPT	Transluminal Stent	1	1	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
75840	CPT	Venograp Adrenal Uni Selective	4	4	$425.00	$425.00	$212.00	$1,935.00	$1,200.00	2025-10-20
75842	CPT	Venograp,adrenal,bila,select	3	3	$450.00	$450.00	$188.00	$1,200.00	$1,200.00	2025-10-20
75705	CPT	Spinal,selective,each Vessel	4	4	$415.00	$415.00	$177.00	$3,411.00	$1,200.00	2025-10-20
49424	CPT	Contrast Inj Abscess Cyst	1	1	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
75810	CPT	Splenoportography,radiological	4	4	$425.00	$425.00	$160.00	$1,935.00	$1,200.00	2025-10-20
47535	CPT	Convent Ext Biliary Drai Int-e	3	3	$300.00	$300.00	$1,080.00	$2,195.00	$1,200.00	2025-10-20
37248	CPT	Pta Venous	3	3	$650.00	$650.00	$1,200.00	$3,489.00	$1,200.00	2025-10-20
49400	CPT	Peritoneogram Air And Or Contr	3	3	$300.00	$300.00	$36.00	$1,200.00	$1,200.00	2025-10-20
37249	CPT	Pta Each Add Vein	2	2	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
37216	CPT	Intravasc Stent Without Dis Emboli	1	1	$400.00	$400.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
37215	CPT	Transcath Stnt Cca W/dis Embo	1	1	$400.00	$400.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
75774	CPT	Each Add Vessel After Basic	3	3	$283.00	$283.00	$146.00	$1,200.00	$1,200.00	2025-10-20
75746	CPT	Pulmonary,nonselective Angiogr	4	4	$344.00	$344.00	$160.00	$1,935.00	$1,200.00	2025-10-20
47533	CPT	Perc Placement Biliary Drainag	3	3	$300.00	$300.00	$1,080.00	$2,195.00	$1,200.00	2025-10-20
75756	CPT	Int Mammary Angiography	4	4	$344.00	$344.00	$140.00	$1,935.00	$1,200.00	2025-10-20
37193	CPT	Inc Filter Retriveral (Removal	3	3	$400.00	$400.00	$1,200.00	$1,935.00	$1,200.00	2025-10-20
37192	CPT	Inc Filter Responsitioning	3	3	$400.00	$400.00	$1,200.00	$1,935.00	$1,200.00	2025-10-20
37187	CPT	Venous Mech Tromb-day 1	1	1	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
36903	CPT	Cath Dialysis Cir W/angio Sten	1	1	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
37185	CPT	Primary Arterial Tromb 2nd Sub	1	1	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
37184	CPT	Primary Arterial Tromb Initial	1	1	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
36905	CPT	Thrombectomy/thromboly W/angio	2	2	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
75731	CPT	Adrenal Unilateral Angiograph	4	4	$344.00	$344.00	$180.00	$1,935.00	$1,200.00	2025-10-20
36907	CPT	Angioplasty Central Dialysis S	1	1	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
36906	CPT	Thrombect/thrombol W/ang & Ste	2	2	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
36904	CPT	Mech Thrombectomy Or Thromboly	2	2	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
36902	CPT	Cath Dialysis Circuit W/angiop	2	2	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
75733	CPT	Adrenal Bilateral Angiograph	4	4	$357.00	$357.00	$163.00	$1,935.00	$1,200.00	2025-10-20
36901	CPT	Access Av Dial Grft For Eval	3	3	$300.00	$300.00	$965.00	$1,200.00	$1,200.00	2025-10-20
37232	CPT	Revascularization, Endovascul	1	1	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
36565	CPT	2 Tunneled Cath 2 Access	3	3	$300.00	$300.00	$1,200.00	$1,935.00	$1,200.00	2025-10-20
36595	CPT	Cva Maintenance Fibria Strippi	3	3	$300.00	$300.00	$1,200.00	$1,935.00	$1,200.00	2025-10-20
37186	CPT	Secondary Mech Thromb Suction	1	1	$300.00	$300.00	$1,200.00	$1,200.00	$1,200.00	2025-10-20
36590	CPT	Removal Tunneled Central Venou	3	3	$150.00	$150.00	$965.00	$1,200.00	$1,200.00	2025-10-20
36589	CPT	Removal Tunneled No Port,no Pm	3	3	$150.00	$150.00	$385.00	$1,213.00	$1,200.00	2025-10-20
63746	CPT	Removal Of Entire Lumbosu	1	1	$150.00	$150.00	$1,197.00	$1,197.00	$1,197.00	2025-10-20
64635	CPT	Destr Lumbar/sacral Single Fac	1	1	$300.00	$300.00	$1,197.00	$1,197.00	$1,197.00	2025-10-20
64633	CPT	Destr Cerv/thoracic Single Fac	1	1	$300.00	$300.00	$1,197.00	$1,197.00	$1,197.00	2025-10-20
49446	CPT	Conversion G-tube To G-j Tube	1	1	$600.00	$600.00	$1,176.00	$1,176.00	$1,176.00	2025-10-20
49441	CPT	Inser Duodenostomy/jejunostomy	1	1	$600.00	$600.00	$1,176.00	$1,176.00	$1,176.00	2025-10-20
49423	CPT	Change Abscess Drain(injection	3	3	$300.00	$300.00	$80.00	$1,200.00	$1,176.00	2025-10-20
32556	CPT	Pleural Drainage Perc Without Imag	1	1	$350.00	$350.00	$1,176.00	$1,176.00	$1,176.00	2025-10-20
43263	CPT	Ercp W P/measure Of Sphincter	5	5	$3,200.00	$3,200.00	$989.00	$1,200.00	$1,176.00	2025-10-20
49440	CPT	Inser Gastrostomy Tube Perc Fl	1	1	$600.00	$600.00	$1,176.00	$1,176.00	$1,176.00	2025-10-20
50020	CPT	Abscess Drain, Renal	5	5	$300.00	$300.00	$630.00	$1,281.00	$1,150.00	2025-10-20
47539	CPT	Plcmt Bile Duct Stent New Without	2	2	$300.00	$300.00	$1,080.00	$1,200.00	$1,140.00	2025-10-20
47540	CPT	Plcmt Bile Duct Stent New W Dr	2	2	$300.00	$300.00	$1,080.00	$1,200.00	$1,140.00	2025-10-20
36221	CPT	Cervicocerebral(arch)angiogr	4	4	$372.00	$372.00	$1,080.00	$1,935.00	$1,140.00	2025-10-20
47538	CPT	Placement Stent Bile Duct Perq	2	2	$300.00	$300.00	$1,080.00	$1,200.00	$1,140.00	2025-10-20
37252	CPT	Intravasc US Initial Noncorona	3	3	$300.00	$300.00	$1,080.00	$2,000.00	$1,140.00	2025-10-20
75710	CPT	Angiography,extremity Unilater	3	3	$750.00	$750.00	$162.00	$1,935.00	$1,140.00	2025-10-20
37253	CPT	Intravasc US Add Noncoronary V	3	3	$300.00	$300.00	$1,080.00	$2,000.00	$1,140.00	2025-10-20
36870	CPT	Clot Removal Any Method	3	3	$150.00	$150.00	$138.00	$1,200.00	$1,140.00	2025-10-20
47541	CPT	Plcmt Access Biliary Perc New	3	3	$300.00	$300.00	$1,080.00	$1,200.00	$1,140.00	2025-10-20
61624	CPT	Embolization Central Nervous S	1	1	$300.00	$300.00	$1,113.00	$1,113.00	$1,113.00	2025-10-20
36299	CPT	Juglar Vein	2	2	$300.00	$300.00	$1,080.00	$1,140.00	$1,110.00	2025-10-20
A9570	HCPCS	In 111 Oxine For Wbc Labeling	1	1	$3,885.00	$3,885.00	$1,103.00	$1,103.00	$1,103.00	2025-10-20
43269	CPT	Ercp Stent Removal Or Change	4	4	$3,200.00	$3,200.00	$585.00	$1,500.00	$1,100.00	2025-10-20
43268	CPT	Ercp Biliary/pancreatic Stent	4	4	$3,200.00	$3,200.00	$562.00	$1,500.00	$1,100.00	2025-10-20
43267	CPT	Ercp Ins. Nasobiliar/pancrea	4	4	$3,200.00	$3,200.00	$405.00	$1,500.00	$1,100.00	2025-10-20
75827	CPT	Venography Cava Sup (Svc)	4	4	$303.00	$303.00	$160.00	$1,360.00	$1,082.50	2025-10-20
36253	CPT	Renal Superlective Unilateral	1	1	$300.00	$300.00	$1,080.00	$1,080.00	$1,080.00	2025-10-20
36229	CPT	Capio Rp	1	1	$299.00	$299.00	$1,080.00	$1,080.00	$1,080.00	2025-10-20
36012	CPT	Place Cath 2nd Adrenal.petr	3	3	$125.00	$125.00	$171.00	$1,219.00	$1,080.00	2025-10-20
50430	CPT	Inj Antegrade Nepho/ureter New	3	3	$400.00	$400.00	$427.00	$1,140.00	$1,080.00	2025-10-20
47537	CPT	Removal Biliary Drainage Cath	3	3	$300.00	$300.00	$556.00	$1,200.00	$1,080.00	2025-10-20
50431	CPT	Inj Antegrade Nepho/ureter Exi	3	3	$400.00	$400.00	$427.00	$1,140.00	$1,080.00	2025-10-20
75887	CPT	Percutaneous,transhepa Portogr	2	2	$450.00	$450.00	$185.00	$1,935.00	$1,060.00	2025-10-20
75885	CPT	Percutans Trans Porto	2	2	$450.00	$450.00	$180.00	$1,935.00	$1,057.50	2025-10-20
75891	CPT	Veno Hepatic Without Hemodynamic E	2	2	$425.00	$425.00	$160.00	$1,935.00	$1,047.50	2025-10-20
75807	CPT	Lymphangiography,pelvic/abd,bi	2	2	$263.00	$263.00	$100.00	$1,935.00	$1,017.50	2025-10-20
75805	CPT	Lymphangiogra Pelvic/abd Unila	2	2	$238.00	$238.00	$93.00	$1,935.00	$1,014.00	2025-10-20
24200	CPT	Rem Of Fore Body,upper Elbow	1	1	$150.00	$150.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
24075	CPT	Excision Of Mass	1	1	$150.00	$150.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
21930	CPT	Excision Back Cyst	1	1	$150.00	$150.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
10121	CPT	Complicated	1	1	$150.00	$150.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
37609	CPT	O R Serv	1	1	$125.00	$125.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
19281	CPT	Perc Device Breast 1st Imag	1	1	$225.00	$225.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
19100	CPT	O R Serv	1	1	$125.00	$125.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
19085	CPT	Bx 1st Lesion Magnectic Resona	1	1	$1,000.00	$1,000.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
19083	CPT	Bx 1st Lesion Ultrasound Guid	1	1	$1,000.00	$1,000.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
19081	CPT	Bx 1st Lesion Stereotac Guidan	1	1	$1,000.00	$1,000.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
38220	CPT	Dx Bone Marrow Aspirations	1	1	$300.00	$300.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
11044	CPT	Skin Subcutaneous Tis Mus Bone	1	1	$150.00	$150.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
27327	CPT	Excision, Tumor, Thigh-knee	1	1	$150.00	$150.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
27323	CPT	Biopsy Thigh & Knee	1	1	$150.00	$150.00	$1,012.00	$1,012.00	$1,012.00	2025-10-20
43272	CPT	Ercp W Ablation Of Tumor	3	3	$3,200.00	$3,200.00	$800.00	$1,200.00	$1,000.00	2025-10-20
43256	CPT	Gastro W Transendo Stent Placm	3	3	$1,300.00	$1,300.00	$989.00	$1,200.00	$1,000.00	2025-10-20
24655	CPT	Close Reduction And Casting	1	1	$150.00	$150.00	$986.00	$986.00	$986.00	2025-10-20
28108	CPT	Excision Or Curettage Of Bone	1	1	$150.00	$150.00	$986.00	$986.00	$986.00	2025-10-20
27570	CPT	Manipulation Left Leg-knee	1	1	$150.00	$150.00	$986.00	$986.00	$986.00	2025-10-20
26705	CPT	Closed Manipulation Of Hand	1	1	$150.00	$150.00	$986.00	$986.00	$986.00	2025-10-20
26160	CPT	Excision Of Lesion Of Tendon	1	1	$150.00	$150.00	$986.00	$986.00	$986.00	2025-10-20
26070	CPT	Excision Of Cyst	1	1	$150.00	$150.00	$986.00	$986.00	$986.00	2025-10-20
26055	CPT	Tendon Sh Inc F Trigger Finger	1	1	$150.00	$150.00	$986.00	$986.00	$986.00	2025-10-20
25605	CPT	Closed Reduction And Cost	1	1	$150.00	$150.00	$986.00	$986.00	$986.00	2025-10-20
25111	CPT	Excision Of Ganglion Wrist	1	1	$150.00	$150.00	$986.00	$986.00	$986.00	2025-10-20
93503	CPT	Insert 7 Placement Flow Cath	1	1	$750.00	$750.00	$965.00	$965.00	$965.00	2025-10-20
36596	CPT	Cva Maintenance Through Lumen	1	1	$300.00	$300.00	$965.00	$965.00	$965.00	2025-10-20
43271	CPT	Ercp Balloon Dilation	4	4	$3,200.00	$3,200.00	$414.00	$1,200.00	$961.50	2025-10-20
A9508	HCPCS	Iodine-131 Mibg 1 Mci	1	1	$1,500.00	$1,500.00	$953.00	$953.00	$953.00	2025-10-20
A9569	HCPCS	Ceretec Wbc Study	1	1	$800.00	$800.00	$934.00	$934.00	$934.00	2025-10-20
49021	CPT	Abscess Drainage,peritoneal	3	3	$325.00	$325.00	$700.00	$914.00	$878.00	2025-10-20
80418	CPT	Combined Rapid Pituitary Panel	6	6	$600.00	$600.00	$55.00	$1,375.00	$875.00	2025-10-20
69801	CPT	Labyrinthotomy W Perfusion	2	2	$1,000.00	$1,000.00	$797.00	$951.00	$874.00	2025-10-20
49041	CPT	Abscess Drain,subdiaphagmat	3	3	$300.00	$300.00	$700.00	$1,101.00	$871.00	2025-10-20
49411	CPT	Place Ins Mark Perq Abd/pel Re	1	1	$338.00	$338.00	$848.00	$848.00	$848.00	2025-10-20
49406	CPT	Image Gui Cath Peri/ret Perc	4	4	$300.00	$300.00	$630.00	$1,016.00	$838.50	2025-10-20
47801	CPT	Placement Choledochal Stent	2	2	$300.00	$300.00	$450.00	$1,200.00	$825.00	2025-10-20
50389	CPT	Removal Nephrostomy Tube Fluor	2	2	$400.00	$400.00	$427.00	$1,200.00	$813.50	2025-10-20
47490	CPT	Perc. Cholecystostomy	6	6	$300.00	$300.00	$630.00	$2,195.00	$807.00	2025-10-20
78459	CPT	Myocardial Imaging,pet,metabol	3	3	$1,000.00	$1,000.00	$275.00	$969.00	$794.00	2025-10-20
75872	CPT	Venography Epidural	4	4	$425.00	$425.00	$180.00	$1,200.00	$792.50	2025-10-20
75880	CPT	Venography Orbital	4	4	$125.00	$125.00	$28.00	$1,200.00	$792.50	2025-10-20
36002	CPT	Injection Procedures Percutane	2	2	$300.00	$300.00	$385.00	$1,200.00	$792.50	2025-10-20
A9557	HCPCS	Neurolite (Up To 30 Mci)	1	1	$475.00	$475.00	$776.00	$776.00	$776.00	2025-10-20
36260	CPT	Insertion Implant Intraarteria	3	3	$775.00	$775.00	$85.00	$3,411.00	$765.00	2025-10-20
38221	CPT	Dx Bone Marrow Biopsies	2	2	$300.00	$300.00	$500.00	$1,012.00	$756.00	2025-10-20
A9548	HCPCS	In-111 Dtpa	1	1	$875.00	$875.00	$746.00	$746.00	$746.00	2025-10-20
32551	CPT	Abscess Drainage,pleural	5	5	$300.00	$300.00	$21.00	$965.00	$735.00	2025-10-20
49442	CPT	Ins Cecostomy Other Clonic Tub	1	1	$600.00	$600.00	$734.00	$734.00	$734.00	2025-10-20
46220	CPT	Syntomatic Skin Tag (Anus)	1	1	$150.00	$150.00	$734.00	$734.00	$734.00	2025-10-20
49185	CPT	Sclerotheraphy Fluid Collectio	2	2	$300.00	$300.00	$450.00	$1,012.00	$731.00	2025-10-20
36471	CPT	Inj Sclerosant Sol Multip Vein	2	2	$300.00	$300.00	$249.00	$1,200.00	$724.50	2025-10-20
36470	CPT	Inj Sclerosant Sol Single Vein	2	2	$300.00	$300.00	$249.00	$1,200.00	$724.50	2025-10-20
36468	CPT	Inj Sclerosant Spider Vein	2	2	$300.00	$300.00	$249.00	$1,200.00	$724.50	2025-10-20

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