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

LANDMANN-JUNGMAN MEMORIAL HOSPITAL - CAH

Scotland, SD · CCN 431317 · Rates published

594 distinct procedures filed
6 distinct payers
8,293 rate rows
2026-10-09 last MRF observed
Data quality

8,275 of 8,293 rate rows are consumer-grade (99.8%)

18 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
exceeds 10× this hospital's gross charge — excluded from medians 12
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/d99637b9-e0f3-44c9-8ed7-babbb31f95f8/466015787_landmann-jungman-hospital_standardcharges.csv
Found on page https://www.avera.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-10
Content fingerprint 48c6b7311f7b3441… · 2,103,604 bytes · first seen 2026-10-10

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
1313
APR_DRG 		Apr-DRG 1313 1 $22,783.42 $22,783.42 $22,783.42 nat. median
$17,633
1.3× median
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $19,265.18 $15,652.96 nat. median
$498
outlier · 31.4×
6631
APR_DRG 		Apr-DRG 6631 1 $14,284.81 $14,284.81 $14,284.81 nat. median
$4,123
outlier · 3.5×
74177
CPT 		CT Abd & Pelv W Contrast 6 $227.52 $4,601.56 $4,371.48 nat. median
$501
outlier · 8.7×
72158
CPT 		MRI Lumbar Spine Wwo Dye 5 $340.97 $4,976.27 $4,244.76 nat. median
$616
outlier · 6.9×
72141
CPT 		MRI Neck Spine Wo Dye 5 $233.96 $4,267.25 $3,846.93 nat. median
$429
outlier · 9.0×
73721
CPT 		MRI Joint Le Wo Dye Rt 6 $315.18 $4,267.25 $3,846.93 nat. median
$509
outlier · 7.6×
72148
CPT 		MRI Lumbar Spine Wo Dye 6 $315.18 $4,267.25 $3,846.93 nat. median
$408
outlier · 9.4×
J0897
HCPCS 		Denosumab 60 Mg/ml Syringe 5 $9.69 $4,598.30 $3,736.12 nat. median
$86
outlier · 43.4×
70553
CPT 		MRI Brain Wwo Contrast 5 $729.77 $4,267.25 $3,639.96 nat. median
$616
outlier · 5.9×
73221
CPT 		MRI Joint Ue Wo Dye Rt 5 $408.12 $4,267.25 $3,639.96 nat. median
$547
outlier · 6.7×
72197
CPT 		MRI Pelvis Wwo Dye 5 $618.17 $4,288.46 $3,484.38 nat. median
$606
outlier · 5.7×
72146
CPT 		MRI Chest Spine Wo Dye 5 $390.63 $4,267.25 $3,467.14 nat. median
$421
outlier · 8.2×
74183
CPT 		MRI Abdomen Wwo Dye 5 $619.08 $3,493.59 $3,149.47 nat. median
$611
outlier · 5.2×
72157
CPT 		MRI Chest Spine Wwo Dye 5 $535.35 $3,728.92 $3,029.75 nat. median
$624
outlier · 4.9×
72156
CPT 		MRI Neck Spine Wwo Dye 5 $340.05 $3,496.62 $2,841.01 nat. median
$625
outlier · 4.5×
74176
CPT 		CT Abd & Pelvis Wo Contrast 6 $95.04 $3,129.99 $2,821.68 nat. median
$333
outlier · 8.5×
87154
CPT 		Culture Id By Amp Prb 6 Or 6+ 5 $2,029.90 $3,122.92 $2,815.31 nat. median
$231
outlier · 12.2×
93306
CPT 		Tte W Doppler Complete 5 $1,849.36 $2,845.17 $2,564.92 nat. median
$804
outlier · 3.2×
74170
CPT 		CT Abdomen Wwo Dye 5 $58.22 $2,845.17 $2,564.92 nat. median
$366
outlier · 7.0×
71260
CPT 		CT Thorax W Contrast 6 $80.31 $2,643.17 $2,537.44 nat. median
$327
outlier · 7.8×
J1439
HCPCS 		Ferric Carboxymalt 750mg/15ml 5 $11.91 $3,097.42 $2,516.65 nat. median
$5
outlier · 500.8×
73723
CPT 		MRI Joint Le Wwo Dye Lt 5 $657.06 $3,311.79 $2,505.60 nat. median
$756
outlier · 3.3×
72125
CPT 		CT Cervical Spine Wo Contrast 5 $172.58 $2,778.51 $2,504.82 nat. median
$210
outlier · 11.9×
72131
CPT 		CT Lumbar Spine Wo Contrast 5 $234.87 $2,845.17 $2,426.93 nat. median
$212
outlier · 11.5×
C8929
HCPCS 		Echo M Mode 2d W Contrast 5 $1,849.36 $2,845.17 $2,337.30 nat. median
$1,169
outlier · 2.0×
70470
CPT 		CT Head/Brain Wwo Contrast 5 $241.32 $2,845.17 $2,311.70 nat. median
$330
outlier · 7.0×
73718
CPT 		MRI Le Wo Dye Lt 5 $56.39 $2,740.13 $2,226.36 nat. median
$505
outlier · 4.4×
70450
CPT 		CT Head/Brain Wo Contrast 6 $1,480.41 $2,277.55 $2,209.22 nat. median
$210
outlier · 10.5×
70491
CPT 		CT Soft Tissue Neck W Cont 5 $357.53 $2,498.74 $2,030.23 nat. median
$327
outlier · 6.2×
11420
CPT 		Exc Ben Lesion <0.5 Neck Ext 5 $1,579.73 $2,430.36 $1,996.54 nat. median
$1,633
1.2× median
70486
CPT 		CT Maxillofacial Wo Contrast 5 $187.95 $2,189.68 $1,974.00 nat. median
$225
outlier · 8.8×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $479.88 $2,284.62 $1,948.78 nat. median
$539
outlier · 3.6×
72128
CPT 		CT Thoracic Spine Wo Contrast 5 $107.93 $2,134.13 $1,923.91 nat. median
$213
outlier · 9.0×
71250
CPT 		CT Thorax Wo Contrast 5 $71.13 $2,240.18 $1,910.87 nat. median
$230
outlier · 8.3×
70498
CPT 		CT Angiography Neck W Cont 5 $278.39 $2,118.98 $1,910.26 nat. median
$355
outlier · 5.4×
72193
CPT 		CT Pelvis W Dye 5 $593.33 $2,315.93 $1,881.70 nat. median
$323
outlier · 5.8×
71275
CPT 		CTA Chest Wwo Contrast 5 $1,272.95 $1,958.39 $1,880.06 nat. median
$365
outlier · 5.2×
86366
CPT 		Musk Antibody Ref 5 $18.40 $2,283.61 $1,875.99 nat. median
$21
outlier · 89.0×
70460
CPT 		CT Head/Brain W Contrast 5 $61.91 $2,159.38 $1,754.49 nat. median
$309
outlier · 5.7×
72192
CPT 		CT Pelvis Wo Dye 5 $597.02 $2,085.65 $1,694.59 nat. median
$205
outlier · 8.3×
G0390
HCPCS 		Trauma Team Level 5 5 $1,290.09 $1,984.76 $1,630.48 nat. median
$3,280
outlier · 0.5×
73700
CPT 		CT Le Wo Dye Lt 5 $76.65 $1,993.74 $1,619.91 nat. median
$238
outlier · 6.8×
689
CDM 		Trauma Team Evaluation Level 5 5 $1,257.85 $1,935.16 $1,589.74 —
76700
CPT 		Ultrasound Abdomen Complete 5 $1,110.14 $1,707.91 $1,539.68 nat. median
$161
outlier · 9.6×
27810
CPT 		Fx Bimalleolar Ankle W Man Lt 5 $882.31 $2,297.00 $1,510.28 nat. median
$1,679
0.9× median
70496
CPT 		CT Angiography Head W Cont 5 $246.84 $1,664.48 $1,500.53 nat. median
$364
outlier · 4.1×
93880
CPT 		Extracranial Bilat Study 5 $1,110.14 $1,707.91 $1,456.85 nat. median
$401
outlier · 3.6×
93970
CPT 		Venous Duplex 5 $1,045.15 $1,607.92 $1,320.91 nat. median
$418
outlier · 3.2×
76705
CPT 		Ultrasound Abdomen Limited 5 $741.19 $1,140.29 $1,083.28 nat. median
$146
outlier · 7.4×

Other procedures at this hospital

Browse this hospital's 594 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
             
1313 APR_DRG Apr-DRG 1313 2 1 — — $22,783.42 $22,783.42 $22,783.42 2026-10-09
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 8 5 $19,265.00 $18,687.22 $0.41 $19,265.18 $15,652.96 2026-10-09
6631 APR_DRG Apr-DRG 6631 2 1 — — $14,284.81 $14,284.81 $14,284.81 2026-10-09
74177 CPT CT Abd & Pelv W Contrast 13 6 $4,601.00 $4,463.51 $227.52 $4,601.56 $4,371.48 2026-10-09
72158 CPT MRI Lumbar Spine Wwo Dye 9 5 $4,976.00 $4,826.98 $340.97 $4,976.27 $4,244.76 2026-10-09
73721 CPT MRI Joint Le Wo Dye Rt 20 6 $4,267.00 $4,139.23 $315.18 $4,267.25 $3,846.93 2026-10-09
72148 CPT MRI Lumbar Spine Wo Dye 10 6 $4,267.00 $4,139.23 $315.18 $4,267.25 $3,846.93 2026-10-09
72141 CPT MRI Neck Spine Wo Dye 10 5 $4,267.00 $4,139.23 $233.96 $4,267.25 $3,846.93 2026-10-09
J0897 HCPCS Denosumab 60 Mg/ml Syringe 8 5 $4,598.00 $4,460.35 $9.69 $4,598.30 $3,736.12 2026-10-09
73221 CPT MRI Joint Ue Wo Dye Rt 19 5 $4,267.00 $4,139.23 $408.12 $4,267.25 $3,639.96 2026-10-09
70553 CPT MRI Brain Wwo Contrast 11 5 $4,267.00 $4,139.23 $729.77 $4,267.25 $3,639.96 2026-10-09
72197 CPT MRI Pelvis Wwo Dye 8 5 $4,288.00 $4,159.81 $618.17 $4,288.46 $3,484.38 2026-10-09
72146 CPT MRI Chest Spine Wo Dye 8 5 $4,267.00 $4,139.23 $390.63 $4,267.25 $3,467.14 2026-10-09
74183 CPT MRI Abdomen Wwo Dye 10 5 $3,493.00 $3,388.78 $619.08 $3,493.59 $3,149.47 2026-10-09
72157 CPT MRI Chest Spine Wwo Dye 8 5 $3,728.00 $3,617.05 $535.35 $3,728.92 $3,029.75 2026-10-09
72156 CPT MRI Neck Spine Wwo Dye 8 5 $3,496.00 $3,391.72 $340.05 $3,496.62 $2,841.01 2026-10-09
74176 CPT CT Abd & Pelvis Wo Contrast 12 6 $3,129.00 $3,036.09 $95.04 $3,129.99 $2,821.68 2026-10-09
87154 CPT Culture Id By Amp Prb 6 Or 6+ 10 5 $3,122.00 $3,029.23 $2,029.90 $3,122.92 $2,815.31 2026-10-09
74170 CPT CT Abdomen Wwo Dye 10 5 $2,845.00 $2,759.81 $58.22 $2,845.17 $2,564.92 2026-10-09
93306 CPT Tte W Doppler Complete 10 5 $2,845.00 $2,759.81 $1,849.36 $2,845.17 $2,564.92 2026-10-09
71260 CPT CT Thorax W Contrast 12 6 $2,643.00 $2,563.87 $80.31 $2,643.17 $2,537.44 2026-10-09
J1439 HCPCS Ferric Carboxymalt 750mg/15ml 8 5 $3,097.00 $3,004.50 $11.91 $3,097.42 $2,516.65 2026-10-09
73723 CPT MRI Joint Le Wwo Dye Lt 16 5 $3,094.00 $3,001.81 $657.06 $3,311.79 $2,505.60 2026-10-09
72125 CPT CT Cervical Spine Wo Contrast 12 5 $2,778.00 $2,695.15 $172.58 $2,778.51 $2,504.82 2026-10-09
72131 CPT CT Lumbar Spine Wo Contrast 9 5 $2,845.00 $2,759.81 $234.87 $2,845.17 $2,426.93 2026-10-09
C8929 HCPCS Echo M Mode 2d W Contrast 8 5 $2,845.00 $2,759.81 $1,849.36 $2,845.17 $2,337.30 2026-10-09
70470 CPT CT Head/Brain Wwo Contrast 8 5 $2,845.00 $2,759.81 $241.32 $2,845.17 $2,311.70 2026-10-09
73718 CPT MRI Le Wo Dye Lt 16 5 $2,740.00 $2,657.93 $56.39 $2,740.13 $2,226.36 2026-10-09
70450 CPT CT Head/Brain Wo Contrast 11 6 $2,277.00 $2,209.22 $1,480.41 $2,277.55 $2,209.22 2026-10-09
70491 CPT CT Soft Tissue Neck W Cont 8 5 $2,498.00 $2,423.78 $357.53 $2,498.74 $2,030.23 2026-10-09
11420 CPT Exc Ben Lesion <0.5 Neck Ext 8 5 $2,430.00 $2,357.45 $1,579.73 $2,430.36 $1,996.54 2026-10-09
70486 CPT CT Maxillofacial Wo Contrast 10 5 $2,189.00 $2,123.99 $187.95 $2,189.68 $1,974.00 2026-10-09
74178 CPT CT Abd & Pelv Wwo Contrast 11 5 $2,284.00 $2,216.08 $479.88 $2,284.62 $1,948.78 2026-10-09
72128 CPT CT Thoracic Spine Wo Contrast 10 5 $2,134.00 $2,070.11 $107.93 $2,134.13 $1,923.91 2026-10-09
71250 CPT CT Thorax Wo Contrast 11 5 $2,240.00 $2,172.97 $71.13 $2,240.18 $1,910.87 2026-10-09
70498 CPT CT Angiography Neck W Cont 10 5 $2,118.00 $2,055.41 $278.39 $2,118.98 $1,910.26 2026-10-09
72193 CPT CT Pelvis W Dye 8 5 $2,315.00 $2,246.45 $593.33 $2,315.93 $1,881.70 2026-10-09
71275 CPT CTA Chest Wwo Contrast 8 5 $1,958.00 $1,899.64 $1,272.95 $1,958.39 $1,880.06 2026-10-09
86366 CPT Musk Antibody Ref 10 5 $2,283.00 $2,215.10 $18.40 $2,283.61 $1,875.99 2026-10-09
70460 CPT CT Head/Brain W Contrast 8 5 $2,159.00 $2,094.60 $61.91 $2,159.38 $1,754.49 2026-10-09
72192 CPT CT Pelvis Wo Dye 8 5 $2,085.00 $2,023.08 $597.02 $2,085.65 $1,694.59 2026-10-09
G0390 HCPCS Trauma Team Level 5 8 5 $1,984.00 $1,925.22 $1,290.09 $1,984.76 $1,630.48 2026-10-09
73700 CPT CT Le Wo Dye Lt 16 5 $1,993.00 $1,933.93 $76.65 $1,993.74 $1,619.91 2026-10-09
689 CDM Trauma Team Evaluation Level 5 8 5 $1,935.00 $1,877.11 $1,257.85 $1,935.16 $1,589.74 2026-10-09
76700 CPT Ultrasound Abdomen Complete 10 5 $1,707.00 $1,656.67 $1,110.14 $1,707.91 $1,539.68 2026-10-09
27810 CPT Fx Bimalleolar Ankle W Man Lt 28 5 $2,297.00 $2,228.09 $882.31 $2,297.00 $1,510.28 2026-10-09
70496 CPT CT Angiography Head W Cont 10 5 $1,664.00 $1,614.55 $246.84 $1,664.48 $1,500.53 2026-10-09
93880 CPT Extracranial Bilat Study 11 5 $1,707.00 $1,656.67 $1,110.14 $1,707.91 $1,456.85 2026-10-09
93970 CPT Venous Duplex 8 5 $1,607.00 $1,559.68 $1,045.15 $1,607.92 $1,320.91 2026-10-09
76705 CPT Ultrasound Abdomen Limited 11 5 $1,140.00 $1,106.08 $741.19 $1,140.29 $1,083.28 2026-10-09
76830 CPT Ultrasound Transvaginal 10 5 $1,140.00 $1,106.08 $741.19 $1,140.29 $1,027.97 2026-10-09
27520 CPT Treat Kneecap Fracture Rt 8 5 $1,178.00 $1,143.34 $766.15 $1,178.70 $968.30 2026-10-09
93975 CPT Vascular Study 8 5 $1,168.00 $1,133.51 $759.57 $1,168.57 $959.98 2026-10-09
99291 CPT Critical Care 1st 30-74 Min 16 5 $1,280.00 $1,242.26 $329.00 $1,280.68 $920.17 2026-10-09
129 CDM Room Swing Bed Skilled 6 5 $1,016.00 $985.58 $660.44 $1,016.06 $915.98 2026-10-09
11421 CPT Exc Ben Lesion 0.6-1.0 Neck 10 5 $1,055.00 $1,023.73 $43.03 $1,055.39 $867.00 2026-10-09
76770 CPT Ultrasound Abdo Back Wall Comp 8 5 $1,047.00 $1,015.95 $680.79 $1,047.37 $860.41 2026-10-09
G0260 HCPCS Injection Si Joint Anes Lt 8 5 $1,038.00 $1,007.62 $675.21 $1,038.78 $853.36 2026-10-09
92612 CPT Eval Endo Swallow Function 8 5 $979.00 $950.31 $636.80 $979.70 $804.82 2026-10-09
80050 CPT General Health Panel 13 6 $926.00 $898.38 $590.85 $926.17 $790.02 2026-10-09
111 CDM Room Medical Unit Priv 12 5 $1,160.00 $1,125.68 $75.50 $2,204.83 $774.64 2026-10-09
93971 CPT Extremity Study Lt 16 5 $932.00 $904.26 $605.95 $932.23 $765.83 2026-10-09
Q9967 HCPCS Iopamidol-370 100 Ml Vial 13 6 $800.00 $776.00 $253.80 $800.00 $760.00 2026-10-09
G0379 HCPCS Observation Assess Direct Adm 8 5 $919.00 $892.06 $597.77 $919.65 $755.49 2026-10-09
76536 CPT Ultrasound Head And Neck 11 5 $877.00 $851.36 $570.50 $877.69 $748.67 2026-10-09
23500 CPT Fx Clavicle Rt 10 5 $828.00 $804.03 $538.78 $828.90 $747.25 2026-10-09
12020 CPT Treat Wound Dehiscence Simple 8 5 $898.00 $871.06 $583.70 $898.00 $737.70 2026-10-09
76856 CPT Ultrasound Pelvic Complete 8 5 $887.00 $861.16 $577.06 $887.79 $729.32 2026-10-09
83993 CPT Calprotectin 9 5 $835.00 $810.21 $542.93 $835.27 $712.49 2026-10-09
0202U CPT Respir Path 22 Targets Biofire 8 5 $837.00 $812.17 $544.24 $837.29 $687.84 2026-10-09
93926 CPT Arterial Duplex Le Lt 16 5 $832.00 $807.27 $540.96 $832.24 $683.68 2026-10-09
P9016 HCPCS Red Blood Cells Lekoreduced 10 5 $696.00 $675.99 $452.99 $1,393.80 $628.26 2026-10-09
99285 CPT Emergency Room Visit Level 5 15 5 $927.00 $899.36 $267.73 $927.18 $616.57 2026-10-09
36430 CPT Blood Administration 10 5 $655.00 $636.10 $426.25 $2,623.08 $591.17 2026-10-09
12042 CPT Repair Lac Interm 2.6-7.5 Cm 14 5 $895.00 $868.99 $396.46 $895.87 $589.04 2026-10-09
72072 CPT X-ray Spine Thoracic 3 Views 10 5 $593.00 $576.06 $386.02 $697.55 $584.97 2026-10-09
87305 CPT Aspergillus Galact Antigen 8 5 $710.00 $688.73 $461.52 $710.03 $583.29 2026-10-09
92610 CPT Swallow Eval Non Radiol 8 5 $701.00 $680.89 $456.27 $701.95 $576.65 2026-10-09
12052 CPT Repair Lac Interm 2.6-5.0 Cm 14 5 $826.00 $801.39 $403.24 $826.18 $554.51 2026-10-09
101 CDM Il Apartment Level 1 12 5 $637.50 $618.38 $373.75 $700.00 $552.00 2026-10-09
77067 CPT Mammography Screening Digital 13 6 $565.00 $548.63 $367.64 $565.60 $537.32 2026-10-09
76775 CPT Ultrasound Aorta 19 5 $835.00 $810.21 $342.04 $835.27 $526.21 2026-10-09
93226 CPT ECG Monit/Report Up To 48 Hour 8 5 $628.00 $609.37 $408.34 $628.22 $516.08 2026-10-09
12014 CPT Repair Lac Simple 5.1-7.5 Cm 14 5 $782.00 $759.27 $141.36 $782.75 $514.66 2026-10-09
72110 CPT X-ray Lumbosacral 4 Views 8 5 $632.00 $613.29 $67.44 $632.26 $513.71 2026-10-09
99284 CPT Emergency Room Visit Level 4 19 6 $639.00 $620.15 $184.86 $639.33 $505.07 2026-10-09
74019 CPT X-ray Abdomen 11 5 $516.00 $500.63 $335.47 $660.48 $500.63 2026-10-09
94060 CPT Pft Pre & Post Screen Spirome 8 5 $607.00 $588.80 $394.56 $607.01 $498.66 2026-10-09
76805 CPT OB US >14 Wk Tvta Single Fetus 10 5 $550.00 $533.94 $357.79 $550.45 $496.23 2026-10-09
11750 CPT Exc Nail Matrix Part/Complete 8 5 $599.00 $581.32 $389.55 $599.30 $492.32 2026-10-09
10160 CPT Punc Asp Abscess Hematoma Cyst 8 5 $599.00 $581.32 $389.55 $599.30 $492.32 2026-10-09
11104 CPT Punch Biopsy 1st Lesion 8 5 $599.00 $581.32 $389.55 $599.30 $492.32 2026-10-09
72040 CPT X-ray Spine Cervical 2-3 Views 10 6 $512.00 $496.71 $332.85 $551.93 $491.59 2026-10-09
71101 CPT X-ray Ribs Uni W Chest Lt 19 6 $499.00 $484.95 $324.97 $3,427.98 $484.95 2026-10-09
76870 CPT Ultrasound Scrotum 10 5 $534.00 $518.26 $347.29 $534.29 $481.66 2026-10-09
93931 CPT Arterial Duplex Ue Lt 8 5 $583.00 $566.27 $379.46 $583.78 $479.57 2026-10-09
82671 CPT Estrogen Fractionated 10 5 $521.00 $505.53 $338.75 $521.16 $469.83 2026-10-09
87497 CPT Cmv Quant By Pcr 10 5 $520.00 $504.55 $338.10 $520.15 $468.91 2026-10-09
11765 CPT Wedge Exc Nail Fold 8 5 $570.00 $552.90 $370.50 $570.00 $468.25 2026-10-09
76801 CPT OB US < 14 Wks Single Fetus 10 5 $518.00 $502.59 $336.78 $518.13 $467.09 2026-10-09
87536 CPT HIV 1 Na Quan 8 5 $565.00 $548.63 $367.64 $565.60 $464.64 2026-10-09
71100 CPT X-ray Ribs 2 Views Lt 16 5 $471.00 $457.52 $306.59 $3,616.49 $452.80 2026-10-09
12031 CPT Repair Lac Intermed <2.5 Cm 14 5 $686.00 $666.20 $307.22 $686.80 $451.57 2026-10-09
93225 CPT Holter Monitor Hook Up <48 Hrs 8 5 $548.00 $531.98 $356.48 $548.43 $450.53 2026-10-09
84425 CPT Vitamin B1 8 5 $548.00 $531.98 $356.48 $548.43 $450.53 2026-10-09
12013 CPT Repair Lac Simple 2.6-5.0 Cm 14 5 $680.00 $659.60 $109.90 $680.00 $447.10 2026-10-09
74022 CPT X-ray Series Abdomen 8 5 $464.00 $450.66 $301.99 $661.43 $446.01 2026-10-09
77080 CPT Dexa Scan 11 5 $518.00 $502.59 $88.61 $518.13 $441.96 2026-10-09
93356 CPT Myocardial Strain Image Speckl 8 5 $535.00 $519.24 $347.94 $535.30 $439.75 2026-10-09
87636 CPT Influ & CoV2 Pcr Ceph 10 5 $466.00 $452.62 $303.30 $466.62 $420.66 2026-10-09
73630 CPT X-ray Foot 3 Views Rt 23 6 $441.00 $428.13 $65.60 $441.37 $419.30 2026-10-09
76857 CPT Ultrasound Bladder Limited 8 5 $509.00 $493.77 $330.88 $509.04 $418.17 2026-10-09
80074 CPT Acute Hepatitis Panel 11 5 $432.00 $419.31 $280.98 $432.28 $410.67 2026-10-09
73030 CPT X-ray Shoulder Rt 19 5 $480.00 $466.34 $237.65 $480.76 $410.09 2026-10-09
73610 CPT X-ray Ankle 3 Views Lt 21 5 $427.00 $414.41 $99.63 $427.23 $405.87 2026-10-09
87637 CPT Influ/RSV/CoV2 Pcr Ceph 11 5 $466.00 $452.62 $303.30 $466.62 $398.03 2026-10-09
93922 CPT Ankle Arm Screen 8 5 $480.00 $466.34 $312.49 $480.76 $394.94 2026-10-09
65210 CPT Remove Foreign Body Eye Rt 14 5 $598.00 $580.60 $73.06 $598.56 $393.55 2026-10-09
73560 CPT X-ray Knee 1-2 Views Rt 21 6 $413.00 $400.70 $84.00 $413.09 $392.44 2026-10-09
73090 CPT X-ray Forearm 2 Views Lt 17 5 $438.00 $425.19 $282.72 $438.34 $373.90 2026-10-09
73590 CPT X-ray Lower Leg Lt 20 5 $414.00 $401.68 $73.88 $414.10 $373.31 2026-10-09
74018 CPT X-ray Abdomen 10 5 $378.00 $367.39 $246.19 $523.40 $373.07 2026-10-09
71046 CPT X-ray Chest 2v PA/Lateral 13 6 $378.00 $367.39 $246.19 $783.14 $367.39 2026-10-09
76817 CPT Transvaginal US Obstetrical 8 5 $445.00 $432.05 $289.52 $445.41 $365.90 2026-10-09
83970 CPT Pth 11 6 $384.00 $373.27 $250.13 $384.81 $365.57 2026-10-09
20605 CPT Asp/Inj Intermediate Joint Lt 16 5 $442.00 $429.51 $287.81 $442.79 $363.75 2026-10-09
73130 CPT X-ray Hand Lt 22 5 $399.00 $387.96 $59.16 $399.96 $360.56 2026-10-09
86480 CPT Tbint Quantiferon 11 5 $378.00 $367.39 $246.19 $378.75 $359.81 2026-10-09
51703 CPT Cath Insert Compl Indwelling 8 5 $437.00 $424.21 $284.26 $437.33 $359.26 2026-10-09
73502 CPT X-ray Hip Uni 2-3 Views Rt 19 5 $367.00 $356.61 $238.97 $860.42 $356.61 2026-10-09
G0399 HCPCS Sleep Study Type Iii Portable 12 6 $369.00 $358.57 $240.28 $369.66 $354.88 2026-10-09
97597 CPT Debride Wound 1st 20 Cm 8 5 $431.00 $418.33 $280.33 $431.27 $354.28 2026-10-09
90677 CPT Pneumo Conjugate Vaccine 20 Va 11 5 $364.00 $353.67 $237.00 $380.34 $353.67 2026-10-09
71110 CPT X-ray Ribs Bilateral 3 Views 9 5 $414.00 $401.68 $47.21 $414.10 $353.23 2026-10-09
73080 CPT X-ray Elbow Lt 19 5 $409.00 $396.78 $38.91 $409.05 $348.92 2026-10-09
73501 CPT X-ray Hip Uni 1 View Lt 8 5 $362.00 $351.71 $235.68 $711.09 $348.08 2026-10-09
20610 CPT Asp/Inj Large Joint Lt 34 5 $433.50 $420.88 $229.78 $442.79 $346.35 2026-10-09
G0378 HCPCS Observation 1st Hour 21 5 $527.00 $511.40 $40.05 $1,266.54 $342.69 2026-10-09
96125 CPT Cognitive Performance Test St 8 5 $417.00 $404.62 $271.13 $417.13 $342.67 2026-10-09
29581 CPT Appl Multi Layer Ven Wnd Compr 8 5 $416.00 $403.64 $270.48 $416.12 $341.84 2026-10-09
99223 CPT IP/Obs Initial High Comp 6 5 $215.00 $208.68 $270.04 $389.40 $334.66 2026-10-09
73564 CPT X-ray Knee 4 Lt 16 5 $410.00 $397.76 $129.06 $410.06 $333.17 2026-10-09
73060 CPT X-ray Humerus Lt 9 5 $386.00 $375.23 $67.44 $386.83 $329.97 2026-10-09
25600 CPT Fx Distal Radius Rt 10 5 $360.00 $349.20 $234.00 $360.00 $324.54 2026-10-09
73110 CPT X-ray Wrist 3 Views Rt 19 5 $377.00 $366.41 $58.22 $377.74 $322.21 2026-10-09
99283 CPT Emergency Room Visit Level 3 18 5 $412.00 $399.72 $108.68 $412.08 $321.84 2026-10-09
73140 CPT X-ray Finger(s) Lt 22 5 $356.00 $345.83 $64.68 $356.53 $321.41 2026-10-09
72170 CPT X-ray Pelvis 1-2 Views 9 5 $330.00 $320.36 $214.68 $341.88 $320.36 2026-10-09
70100 CPT X-ray Mandible < 4 Views 6 5 $354.00 $343.87 $230.43 $354.51 $319.59 2026-10-09
70110 CPT X-ray Mandible 4 Views 6 5 $354.00 $343.87 $230.43 $354.51 $319.59 2026-10-09
87799 CPT Bk Virus Quant Pcr, Serum 21 5 $1,033.00 $1,002.23 $206.80 $1,033.23 $318.15 2026-10-09
72070 CPT X-ray Spine Thoracic 2 Views 8 5 $330.00 $320.36 $214.68 $1,015.91 $317.06 2026-10-09
72100 CPT X-ray Lumbosacral 2-3 Views 10 5 $348.00 $338.00 $90.44 $348.45 $314.13 2026-10-09
96360 CPT Inf Therapy Hyd Initial 22 6 $500.00 $485.93 $200.89 $500.96 $309.06 2026-10-09
96365 CPT Inf Therapy Med Initial 24 6 $430.00 $417.35 $200.89 $430.26 $309.06 2026-10-09
93798 CPT Cardiac Rehab Ii Monitored 11 5 $358.00 $347.79 $233.06 $358.55 $305.84 2026-10-09
80177 CPT Levetiracetam 9 5 $358.00 $347.79 $233.06 $358.55 $305.84 2026-10-09
94660 CPT CPap/BiPap First Day 19 5 $305.00 $295.94 $198.31 $586.81 $305.09 2026-10-09
A9585 HCPCS Gadobutrol Inj 10 Mm/10 Ml Vl 19 5 $400.00 $388.00 $2.69 $400.00 $300.00 2026-10-09
51701 CPT Cath Insert Straight Non-indwe 16 5 $409.50 $397.76 $120.14 $635.29 $298.88 2026-10-09
72220 CPT X-ray Sacrum Tailbone 18 5 $307.00 $297.83 $199.58 $447.69 $297.83 2026-10-09
80053 CPT Comprehensive Metabolic Panel 14 6 $308.00 $298.81 $200.23 $308.05 $292.65 2026-10-09
92526 CPT Dysphagia Treatment 8 5 $354.00 $343.87 $230.43 $354.51 $291.23 2026-10-09
73562 CPT X-ray Knee 3 Views Lt 23 6 $341.00 $331.14 $109.76 $341.38 $291.20 2026-10-09
71045 CPT X-ray Chest 1 View 13 6 $299.00 $290.97 $194.98 $593.33 $290.97 2026-10-09
73100 CPT X-ray Wrist 2 Views Lt 8 5 $354.00 $343.87 $66.51 $354.51 $288.04 2026-10-09
73552 CPT X-ray Femur 2 Views Lt 16 5 $354.00 $343.87 $130.01 $354.51 $288.04 2026-10-09
12011 CPT Repair Lac Simple <2.5 Cm 17 5 $360.00 $349.75 $107.01 $360.57 $278.36 2026-10-09
87641 CPT Mrsa By Pcr 8 5 $336.00 $326.24 $218.61 $336.33 $276.29 2026-10-09
84145 CPT Procalcitonin 10 5 $304.00 $294.89 $197.61 $304.01 $274.06 2026-10-09
99292 CPT Critical Care Ea Addl 30 Min 16 5 $380.00 $369.35 $164.83 $380.77 $273.58 2026-10-09
12002 CPT Repair Lac Simple 2.6-7.5 Cm 16 5 $378.00 $367.39 $112.84 $378.75 $272.13 2026-10-09
96374 CPT IV Push Injection Initial 23 5 $316.00 $306.56 $202.86 $316.04 $269.58 2026-10-09
80197 CPT Tacrolimus 9 5 $309.00 $299.79 $200.89 $309.06 $263.63 2026-10-09
J0136 HCPCS Acetamin IV (b Braun) 1,000 Mg 10 5 $324.00 $314.61 $16.88 $324.34 $263.52 2026-10-09
94640 CPT Inhalation Treat Acute Initial 41 6 $308.00 $298.81 $198.31 $616.10 $262.77 2026-10-09
82306 CPT 25 Hydvit D2 And D3 24 6 $138.00 $134.22 $89.94 $396.93 $260.98 2026-10-09
84244 CPT Renin 8 5 $311.00 $301.75 $202.20 $311.08 $255.55 2026-10-09
97162 CPT Pt Eval Mod Complexity 13 6 $267.00 $259.62 $173.97 $267.65 $254.27 2026-10-09
110 CDM Room Custodial Care 6 5 $279.00 $271.38 $181.85 $279.77 $252.21 2026-10-09
115 CDM Room Hospice Ip 6 5 $278.00 $270.40 $181.19 $278.76 $251.30 2026-10-09
94664 CPT Inhalation Treat Chronic Init 8 5 $305.00 $295.94 $198.31 $305.09 $250.63 2026-10-09
30901 CPT Control Anterior Hemorrhage Rt 14 5 $380.00 $369.35 $109.69 $380.77 $250.36 2026-10-09
12001 CPT Repair Lac Simple <2.5 Cm 33 5 $323.00 $313.50 $86.23 $323.20 $249.51 2026-10-09
Q9957 HCPCS Perflutren Lip Micro 2.2mg/2ml 8 5 $305.00 $296.09 $47.75 $305.25 $248.01 2026-10-09
99222 CPT Inpatient Initial/Obs Mod Comp 6 5 $145.00 $141.08 $202.33 $274.01 $246.06 2026-10-09
90739 CPT HepB Adult 2 Dose IM 8 5 $302.00 $292.94 $146.96 $302.00 $245.38 2026-10-09
11056 CPT Pare 2-4 Benign Lesions 8 5 $298.00 $289.11 $193.73 $298.05 $244.85 2026-10-09
11306 CPT Shave Lesion 0.6-1.0 Neck Ext 8 5 $298.00 $289.11 $193.73 $298.05 $244.85 2026-10-09
17110 CPT Destroy Benign Lesions 1-14 8 5 $298.00 $289.11 $193.73 $298.05 $244.85 2026-10-09
20552 CPT Inject Trigger Points 1-2 Mus 8 5 $297.00 $289.01 $193.67 $297.95 $244.76 2026-10-09
20550 CPT Inject Single Tendon Sheath Lt 16 5 $297.00 $289.01 $193.67 $297.95 $244.76 2026-10-09
51702 CPT Cath Insert Simple Indwelling 21 5 $735.00 $713.22 $158.87 $735.28 $244.42 2026-10-09
70030 CPT X-ray Eye Fb Detection 6 5 $270.00 $262.56 $175.94 $270.68 $244.02 2026-10-09
82803 CPT Blood Gas Wo Oximetry 10 5 $269.00 $261.58 $175.29 $269.67 $243.11 2026-10-09
72081 CPT X-ray Spine Scoliosis 1 View 8 5 $298.00 $289.99 $112.53 $298.96 $242.91 2026-10-09
86255 CPT Striational Antibody 10 5 $293.00 $284.21 $12.05 $293.00 $240.70 2026-10-09
85240 CPT Factor 8 8 5 $292.00 $284.11 $190.38 $292.90 $240.62 2026-10-09
87502 CPT Influenza A&b By Pcr 11 5 $278.00 $270.40 $181.19 $278.76 $237.78 2026-10-09
97161 CPT Pt Eval Low Complexity 12 6 $247.00 $240.03 $160.84 $247.45 $237.56 2026-10-09
70160 CPT X-ray Facial Bones 3 Views 8 5 $291.00 $283.13 $86.75 $291.89 $237.16 2026-10-09
10060 CPT I&d Abscess Simple/Single 22 5 $233.00 $226.31 $133.27 $367.64 $234.19 2026-10-09
86041 CPT Acetylcholine Binding Aby 10 5 $283.00 $274.51 $18.40 $283.00 $232.49 2026-10-09
83880 CPT B Type Natriuretic Peptide 11 5 $271.00 $263.54 $176.60 $271.69 $231.75 2026-10-09
97163 CPT Pt Eval High Complexity 8 5 $274.00 $266.48 $178.57 $274.72 $225.69 2026-10-09
P9047 HCPCS Albumin Human 25% 25gr/100ml 6 5 $249.00 $242.34 $162.40 $249.84 $225.23 2026-10-09
70360 CPT X-ray Neck Soft Tissue 8 5 $269.00 $261.58 $70.19 $269.67 $219.11 2026-10-09
J0500 HCPCS Dicyclomine 20 Mg/2 Ml Ampule 8 5 $267.00 $259.20 $8.88 $267.22 $217.12 2026-10-09
73120 CPT X-ray Hand Rt 8 5 $266.00 $258.64 $173.32 $266.64 $216.64 2026-10-09
84445 CPT Tsi 8 5 $263.00 $255.70 $171.35 $263.61 $216.56 2026-10-09
86920 CPT Crossmatch Immed Spin 10 5 $239.00 $232.19 $155.59 $478.74 $215.79 2026-10-09
97165 CPT Ot Eval Low Complexity 10 5 $239.00 $232.19 $155.59 $239.37 $215.79 2026-10-09
84144 CPT Progesterone 10 5 $238.00 $231.21 $154.93 $238.36 $214.88 2026-10-09
97166 CPT Ot Eval Mod Complexity 8 5 $260.00 $252.76 $169.38 $260.58 $214.06 2026-10-09
87491 CPT Chlamydia DNA Amp Probe 11 5 $225.00 $218.47 $146.40 $225.23 $213.97 2026-10-09
87591 CPT N Gonorrhoeae DNA Amp Probe 11 5 $225.00 $218.47 $146.40 $225.23 $213.97 2026-10-09
73620 CPT X-ray Foot 2 Views Rt 8 5 $228.00 $221.41 $148.37 $228.26 $212.82 2026-10-09
99282 CPT Emergency Room Visit Level 2 11 6 $236.00 $229.25 $153.62 $236.34 $212.70 2026-10-09
84402 CPT Testosterone Fre Female/Child 21 5 $247.00 $240.03 $154.93 $247.45 $211.07 2026-10-09
87385 CPT Histoplasma Antigen 16 5 $273.00 $265.13 $115.05 $369.66 $208.64 2026-10-09
86235 CPT Ssb Ena Antibody 8 5 $253.00 $245.90 $164.78 $253.51 $208.25 2026-10-09
86225 CPT DNA Double Strand Antibody 8 5 $253.00 $245.90 $164.78 $253.51 $208.25 2026-10-09
Q9956 HCPCS Perflutren Protein-a Microdota 8 5 $255.00 $248.08 $77.76 $255.75 $207.80 2026-10-09
82533 CPT Cortisol Total 8 5 $252.00 $244.93 $164.12 $252.50 $207.43 2026-10-09
82607 CPT B12 13 6 $217.00 $210.64 $141.15 $217.15 $206.29 2026-10-09
87116 CPT Culture Afb 10 5 $228.00 $221.41 $148.37 $228.26 $205.78 2026-10-09
73600 CPT X-ray Ankle 2 Views Lt 20 5 $228.00 $221.41 $86.75 $228.26 $205.78 2026-10-09
99239 CPT IP/Obs Discharge >30 Min 6 5 $115.00 $111.69 $179.47 $243.58 $204.89 2026-10-09
80306 CPT Drug Screen Urine Inst Ass Obv 12 6 $227.00 $220.43 $147.71 $227.25 $204.87 2026-10-09
99233 CPT Inpatient/Obs Subsequent High 6 5 $111.00 $107.77 $184.54 $250.08 $204.29 2026-10-09
76882 CPT US Extremity Nonvasc Limit Rt 18 5 $239.00 $232.19 $155.59 $239.37 $204.18 2026-10-09
84154 CPT Psa Free 10 5 $226.00 $219.45 $147.06 $226.24 $203.95 2026-10-09
83002 CPT Lh 10 5 $225.00 $218.47 $146.40 $225.23 $203.05 2026-10-09
81418 CPT Pharmacogenomic Geno 8 5 $245.00 $238.07 $159.53 $245.43 $201.62 2026-10-09
82166 CPT Mullerian Inhib Hormone 8 5 $244.00 $237.09 $158.87 $244.42 $200.79 2026-10-09
J0131 HCPCS Acetaminophen 1000mg/100ml Via 8 5 $246.00 $239.41 $145.73 $246.81 $200.53 2026-10-09
84481 CPT T3 Free 10 5 $222.00 $215.53 $144.43 $222.20 $200.31 2026-10-09
86364 CPT Tissue Transglutaminase 8 5 $242.00 $235.13 $157.56 $242.40 $199.13 2026-10-09
87252 CPT Culture Viral 8 5 $242.00 $235.13 $157.56 $242.40 $199.13 2026-10-09
87107 CPT Fungal Id Ea Organism Mold 8 5 $239.00 $232.19 $155.59 $239.37 $196.64 2026-10-09
86334 CPT Immunofix Electroph Serum 8 5 $239.00 $232.19 $155.59 $239.37 $196.64 2026-10-09
84146 CPT Prolactin 8 5 $238.00 $231.21 $154.93 $238.36 $195.81 2026-10-09
29580 CPT Apply Unna Boot Rt 8 5 $236.00 $229.59 $153.85 $236.69 $194.44 2026-10-09
86635 CPT Coccidioides Antibody 8 5 $232.00 $225.33 $151.00 $232.30 $190.84 2026-10-09
83001 CPT Fsh 8 5 $230.00 $223.37 $149.68 $230.28 $189.18 2026-10-09
73020 CPT X-ray Shoulder Lt 8 5 $217.00 $210.64 $141.15 $217.15 $187.95 2026-10-09
82088 CPT Aldosterone 8 5 $228.00 $221.41 $148.37 $228.26 $187.52 2026-10-09
86160 CPT C4 Complement 8 5 $228.00 $221.41 $148.37 $228.26 $187.52 2026-10-09
93005 CPT EKG Tracing 13 6 $196.00 $191.04 $128.02 $196.95 $187.10 2026-10-09
73650 CPT X-ray Heel 2 Views Lt 8 5 $229.00 $222.39 $64.68 $229.27 $186.28 2026-10-09
87449 CPT Beta D Glucan 24 5 $258.00 $250.80 $28.89 $258.56 $185.78 2026-10-09
73660 CPT X-ray Toe(s) 2 Views Rt 19 5 $217.00 $210.64 $66.51 $217.15 $185.23 2026-10-09
11730 CPT Avulsion Nail Plate Simp Singl 22 5 $205.00 $198.88 $108.43 $384.00 $184.83 2026-10-09
J0134 HCPCS Acetaminoph IV(Fresenius Kabi) 12 6 $204.00 $198.36 $21.48 $317.78 $184.35 2026-10-09
86618 CPT Lyme Disease Antibody 8 5 $224.00 $217.49 $145.74 $224.22 $184.19 2026-10-09
80061 CPT Lipid Panel 13 6 $192.00 $187.12 $125.39 $192.91 $183.26 2026-10-09
80048 CPT Basic Metabolic Panel 14 6 $192.00 $187.12 $125.39 $192.91 $183.26 2026-10-09
84153 CPT Psa Total 12 6 $200.00 $194.96 $130.64 $200.99 $181.19 2026-10-09
G0103 HCPCS Psa Screen 12 5 $200.00 $194.96 $130.64 $200.99 $181.19 2026-10-09
93246 CPT Ext ECG >7 Days Hook Up 11 5 $212.00 $205.74 $137.87 $212.10 $180.92 2026-10-09
84270 CPT Sex Hormone Binding Globulin 8 5 $217.00 $210.64 $141.15 $217.15 $178.39 2026-10-09
82746 CPT Folic Acid Blood 11 5 $185.00 $180.26 $120.80 $185.84 $176.55 2026-10-09
30903 CPT Control Anterior Hemorrhage Lt 28 5 $319.00 $309.43 $118.95 $455.00 $174.38 2026-10-09
93242 CPT Ext ECG 48 Hrs -7days Hook Up 8 5 $212.00 $205.74 $137.87 $212.10 $174.24 2026-10-09
82670 CPT Estradiol Total 8 5 $211.00 $204.76 $137.21 $211.09 $173.41 2026-10-09
84484 CPT Troponin Quant 13 6 $181.00 $176.35 $118.17 $181.80 $172.71 2026-10-09
96523 CPT Implanted Vad Flush 8 5 $210.00 $203.78 $136.55 $210.08 $172.58 2026-10-09
80051 CPT Electrolyte Panel 8 5 $207.00 $200.84 $134.58 $207.05 $170.09 2026-10-09
11721 CPT Debride Nails 6-10 8 5 $206.00 $199.86 $133.93 $206.04 $169.26 2026-10-09
96376 CPT IV Injection Ea Addl Same Drug 19 5 $173.00 $168.51 $112.92 $216.14 $168.51 2026-10-09
11055 CPT Pare 1 Benign Lesion 8 5 $205.00 $198.88 $133.27 $205.03 $168.43 2026-10-09
11102 CPT Tangential Biopsy 1st Lesion 8 5 $205.00 $198.88 $133.27 $205.03 $168.43 2026-10-09
17000 CPT Destroy Premal Lesion 1st 8 5 $205.00 $198.88 $133.27 $205.03 $168.43 2026-10-09
11200 CPT Remove Skin Tags Up To 15 8 5 $205.00 $198.88 $133.27 $205.03 $168.43 2026-10-09
82105 CPT Afp Tm 8 5 $203.00 $196.92 $131.96 $203.01 $166.77 2026-10-09
87338 CPT H Pylori Antigen Stool 10 5 $184.00 $179.29 $120.14 $184.83 $166.62 2026-10-09
99212 CPT Est Patient Level 2 Sf Comp 9 5 $193.00 $187.51 $125.65 $193.31 $164.89 2026-10-09
80143 CPT Acetaminophen 8 5 $199.00 $193.98 $129.99 $199.98 $164.28 2026-10-09
80159 CPT Clozapine 8 5 $199.00 $193.98 $129.99 $199.98 $164.28 2026-10-09
99397 CPT Preventive Exam 65 Year Est 9 5 $190.00 $185.16 $124.08 $190.89 $162.83 2026-10-09
81241 CPT Factor V Leiden Mutation 8 5 $197.00 $192.02 $128.67 $197.96 $162.62 2026-10-09
G0404 HCPCS EKG Welcome To Medicare 8 5 $196.00 $191.04 $128.02 $196.95 $161.80 2026-10-09
82728 CPT Ferritin 12 6 $167.00 $162.63 $108.98 $167.66 $160.95 2026-10-09
99211 CPT Care/Removal Urinary Catheter 36 5 $191.50 $186.33 $117.00 $200.99 $160.81 2026-10-09
J1815 HCPCS Insulin Aspart 100Unit/ML 10ml 20 5 $181.00 $175.66 $57.86 $391.85 $160.41 2026-10-09
84403 CPT Testosterone Total Ref 31 5 $186.00 $181.24 $107.01 $196.95 $159.38 2026-10-09
97164 CPT Re Evaluation Pt 10 5 $186.00 $181.24 $121.45 $186.85 $159.38 2026-10-09
86671 CPT Saccharomyces Antibody 8 5 $194.00 $188.18 $126.10 $194.00 $159.37 2026-10-09
83010 CPT Haptoglobin Quant 10 5 $176.00 $171.45 $114.89 $176.75 $159.34 2026-10-09
86039 CPT Ana By Ifa Titer 10 5 $176.00 $171.45 $114.89 $176.75 $159.34 2026-10-09
87329 CPT Giardia Antigen 10 5 $176.00 $171.45 $114.89 $176.75 $159.34 2026-10-09
11740 CPT Evacuate Subungual Hematoma 8 5 $193.00 $187.55 $125.68 $193.35 $158.84 2026-10-09
36600 CPT Arterial Puncture 8 5 $193.00 $187.55 $125.68 $193.35 $158.84 2026-10-09
99202 CPT New Patient Level 2 Sf Comp 8 5 $193.00 $187.51 $125.65 $193.31 $158.80 2026-10-09
G0402 HCPCS Welcome To Medicare Visit 8 5 $193.00 $187.51 $125.65 $193.31 $158.80 2026-10-09
99221 CPT Inpatient/Obs Initial Low Comp 6 5 $108.00 $104.83 $127.26 $194.22 $157.56 2026-10-09
11105 CPT Punch Biopsy Ea Addl Lesion 8 5 $190.00 $185.16 $124.08 $190.89 $156.81 2026-10-09
J2003 HCPCS Lidocaine 1% 20 Ml Vial 19 5 $239.00 $232.76 $39.36 $365.96 $155.97 2026-10-09
87493 CPT C Diff By Pcr 11 5 $162.00 $157.73 $105.70 $162.61 $154.48 2026-10-09
86665 CPT Epstein Barr Capsid IgM 8 5 $185.00 $180.26 $120.80 $185.84 $152.67 2026-10-09
See an error in this hospital's data? Submit a correction