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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MOBRIDGE REGIONAL HOSPITAL - CAH

Mobridge, SD · CCN 431325 · Rates published

4,048 distinct procedures filed
17 distinct payers
49,215 rate rows
2026-07-16 last MRF observed
Data quality

49,104 of 49,215 rate rows are consumer-grade (99.8%)

111 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 51
percent-of-charges filed in the dollar field — excluded from medians 36
per-diem day rate — not a per-procedure price 22
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMRHMOBRIDGESD&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Mobridge_Regional.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-15
Content fingerprint bcff5ee4f448cbd2… · 18,746,887 bytes · first seen 2026-07-31

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
J3245
HCPCS 		Injection, Tildrakizumab, 1 Mg 9 $14,977.66 $38,232.46 $30,743.63 nat. median
$217
outlier · 141.7×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 9 $7,909.62 $20,190.36 $16,235.54 nat. median
$59
outlier · 276.1×
C1786
HCPCS 		Pacemaker, Single Chamber, Rate-responsive (implantable) 9 $6,874.96 $17,549.24 $14,111.76 nat. median
$7,961
1.8× median
C1785
HCPCS 		Pacemaker, Dual Chamber, Rate-responsive (implantable) 9 $6,874.96 $17,549.24 $14,111.76 nat. median
$7,020
outlier · 2.0×
49605
HCPCS 		Repair Of Large Defect Of Abdominal Wall At Navel 9 $213.78 $13,791.25 $10,411.92 nat. median
$5,548
1.9× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 9 $3,683.98 $19,330.57 $7,951.44 nat. median
$498
outlier · 16.0×
Q5115
HCPCS 		Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 9 $3,861.41 $9,856.75 $7,926.05 nat. median
$368
outlier · 21.6×
C1726
HCPCS 		Catheter, Balloon Dilatation, Non-vascular 9 $3,668.90 $9,365.35 $7,530.90 nat. median
$819
outlier · 9.2×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 9 $3,517.63 $11,691.41 $7,400.90 nat. median
$916
outlier · 8.1×
C9363
HCPCS 		Skin Substitute, Integra Meshed Bilayer Wound Matrix, Per Square Centimeter 9 $3,464.84 $8,844.46 $7,112.04 nat. median
$263
outlier · 27.1×
27939262_1
CDM 		Amnio Graft 10.0x5.0 9 $3,282.82 $8,379.83 $6,738.42 —
J1437
HCPCS 		Injection, Ferric Derisomaltose, 10 Mg 9 $3,208.38 $8,189.81 $6,585.62 nat. median
$41
outlier · 160.3×
27813206_1
CDM 		Trilliant Sterile SUPPLY(modify Per Patient) 9 $3,104.22 $7,923.93 $6,371.82 —
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 9 $3,082.25 $7,867.85 $6,326.73 nat. median
$25
outlier · 251.1×
78452
HCPCS 		Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 9 $2,695.72 $6,881.18 $5,533.32 nat. median
$1,464
outlier · 3.8×
C8911
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest… 9 $2,451.38 $7,585.40 $5,157.57 nat. median
$828
outlier · 6.2×
J1951
HCPCS 		Injection, Leuprolide Acetate For Depot Suspension (fensolvi), 0.25 Mg 9 $2,477.34 $6,323.74 $5,085.07 nat. median
$155
outlier · 32.7×
72159
HCPCS 		MRI Scan Of Blood Vessels Of Spinal Canal 9 $2,451.38 $6,257.47 $5,031.78 nat. median
$1,009
outlier · 5.0×
Q5127
HCPCS 		Injection, Pegfilgrastim-fpgk (stimufend), Biosimilar, 0.5 Mg 9 $2,358.80 $6,021.14 $4,841.74 nat. median
$318
outlier · 15.2×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 9 $2,328.26 $5,943.19 $4,779.06 nat. median
$539
outlier · 8.9×
C8908
HCPCS 		Magnetic Resonance Imaging Without Contrast Followed By With Contrast, Breast; B… 9 $2,318.76 $5,918.94 $4,759.56 nat. median
$1,036
outlier · 4.6×
Q5122
HCPCS 		Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 9 $2,153.46 $5,496.99 $4,420.26 nat. median
$487
outlier · 9.1×
35221
HCPCS 		Repair Of Blood Vessel Of Abdomen 9 $63.72 $7,708.65 $4,303.57 nat. median
$3,063
1.4× median
20816
HCPCS 		Reattachment Of Cutoff Finger 9 $89.52 $7,024.40 $4,289.76 nat. median
$4,772
0.9× median
70546
HCPCS 		MRI Scan Of Blood Vessels Of Head Before And After Contrast 9 $2,083.92 $5,319.48 $4,277.52 nat. median
$625
outlier · 6.8×
70549
HCPCS 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 9 $2,083.92 $5,319.48 $4,277.52 nat. median
$606
outlier · 7.1×
43324
HCPCS 		43324 Pf Esoph. Fundoplasty 6 $1,458.75 $4,959.75 $4,230.38 nat. median
$4,200
1.0× median
J0401
HCPCS 		Injection, Aripiprazole (abilify Maintena), 1 Mg 9 $1,992.34 $6,776.09 $4,191.78 nat. median
$22
outlier · 186.6×
70336
HCPCS 		MRI Scan Of Jaw Joint 9 $2,004.12 $5,115.78 $4,113.72 nat. median
$399
outlier · 10.3×
C8909
HCPCS 		Magnetic Resonance Angiography With Contrast, Chest (excluding Myocardium) 9 $1,982.46 $5,060.49 $4,069.26 nat. median
$695
outlier · 5.9×
2976532_1
CDM 		Assisted Living Double Charge 9 $1,962.32 $5,009.08 $4,027.92 —
C8914
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower… 9 $1,960.80 $5,005.20 $4,024.80 nat. median
$881
outlier · 4.6×
C8902
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 9 $1,960.80 $5,005.20 $4,024.80 nat. median
$897
outlier · 4.5×
70545
HCPCS 		MRI Scan Of Blood Vessels Of Head With Contrast 9 $1,960.80 $5,005.20 $4,024.80 nat. median
$524
outlier · 7.7×
70543
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 9 $1,960.80 $5,005.20 $4,024.80 nat. median
$605
outlier · 6.6×
73225
HCPCS 		MRI Scan Of Blood Vessels Of Arm 9 $1,960.80 $5,005.20 $4,024.80 nat. median
$943
outlier · 4.3×
72198
HCPCS 		MRI Scan Of Blood Vessels Of Pelvis 9 $1,960.80 $5,005.20 $4,024.80 nat. median
$735
outlier · 5.5×
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 9 $1,960.80 $5,005.20 $4,024.80 nat. median
$616
outlier · 6.5×
C8910
HCPCS 		Magnetic Resonance Angiography Without Contrast, Chest (excluding Myocardium) 9 $1,930.78 $4,928.57 $3,963.18 nat. median
$595
outlier · 6.7×
27939261_1
CDM 		Amnio Graft 5.0x5.0 9 $1,877.20 $4,791.80 $3,853.20 —
45110
HCPCS 		Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo… 9 $80.00 $5,992.50 $3,825.36 nat. median
$3,695
1.0× median
44141
HCPCS 		Partial Removal Of Large Bowel With Creation Of Opening To Skin 9 $79.38 $4,920.65 $3,818.88 nat. median
$3,671
1.0× median
44207
HCPCS 		Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 9 $79.02 $5,207.95 $3,793.68 nat. median
$4,397
0.9× median
70552
HCPCS 		MRI Scan Of Brain With Contrast 9 $1,838.44 $4,692.86 $3,773.64 nat. median
$597
outlier · 6.3×
70544
HCPCS 		MRI Scan Of Blood Vessels Of Head Without Contrast 9 $1,838.44 $4,692.86 $3,773.64 nat. median
$435
outlier · 8.7×
70542
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 9 $1,838.44 $4,692.86 $3,773.64 nat. median
$476
outlier · 7.9×
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 9 $1,838.44 $4,692.86 $3,773.64 nat. median
$611
outlier · 6.2×
70547
HCPCS 		MRI Scan Of Blood Vessels Of Neck Without Contrast 9 $1,838.44 $4,692.86 $3,773.64 nat. median
$402
outlier · 9.4×
75635
HCPCS 		CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 9 $1,838.44 $4,692.86 $3,773.64 nat. median
$355
outlier · 10.6×
81229
HCPCS 		Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 9 $1,811.08 $4,623.02 $3,717.48 nat. median
$1,230
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 4,048 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
             
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 9 9 $39,414.91 $39,414.91 $14,977.66 $38,232.46 $30,743.63 2026-07-16
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 9 9 $20,814.80 $20,814.80 $7,909.62 $20,190.36 $16,235.54 2026-07-16
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 9 9 $18,092.00 $18,092.00 $6,874.96 $17,549.24 $14,111.76 2026-07-16
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 9 9 $18,092.00 $18,092.00 $6,874.96 $17,549.24 $14,111.76 2026-07-16
49605 HCPCS Repair Of Large Defect Of Abdominal Wall At Navel 9 9 $16,225.00 $16,225.00 $213.78 $13,791.25 $10,411.92 2026-07-16
J3101 HCPCS Injection, Tenecteplase, 1 Mg 18 9 $14,811.55 $14,811.55 $3,683.98 $19,330.57 $7,951.44 2026-07-16
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 9 9 $10,161.60 $10,161.60 $3,861.41 $9,856.75 $7,926.05 2026-07-16
C1726 HCPCS Catheter, Balloon Dilatation, Non-vascular 9 9 $9,655.00 $9,655.00 $3,668.90 $9,365.35 $7,530.90 2026-07-16
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 18 9 $10,654.95 $10,654.95 $3,517.63 $11,691.41 $7,400.90 2026-07-16
C9363 HCPCS Skin Substitute, Integra Meshed Bilayer Wound Matrix, Per Square Centimeter 9 9 $9,118.00 $9,118.00 $3,464.84 $8,844.46 $7,112.04 2026-07-16
27939262_1 CDM Amnio Graft 10.0x5.0 9 9 $8,639.00 $8,639.00 $3,282.82 $8,379.83 $6,738.42 2026-07-16
J1437 HCPCS Injection, Ferric Derisomaltose, 10 Mg 9 9 $8,443.10 $8,443.10 $3,208.38 $8,189.81 $6,585.62 2026-07-16
27813206_1 CDM Trilliant Sterile SUPPLY(modify Per Patient) 9 9 $8,169.00 $8,169.00 $3,104.22 $7,923.93 $6,371.82 2026-07-16
J1306 HCPCS Injection, Inclisiran, 1 Mg 9 9 $8,111.19 $8,111.19 $3,082.25 $7,867.85 $6,326.73 2026-07-16
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 9 9 $7,094.00 $7,094.00 $2,695.72 $6,881.18 $5,533.32 2026-07-16
C8911 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest… 18 9 $7,135.50 $7,135.50 $2,451.38 $7,585.40 $5,157.57 2026-07-16
J1951 HCPCS Injection, Leuprolide Acetate For Depot Suspension (fensolvi), 0.25 Mg 9 9 $6,519.32 $6,519.32 $2,477.34 $6,323.74 $5,085.07 2026-07-16
72159 HCPCS MRI Scan Of Blood Vessels Of Spinal Canal 9 9 $6,451.00 $6,451.00 $2,451.38 $6,257.47 $5,031.78 2026-07-16
Q5127 HCPCS Injection, Pegfilgrastim-fpgk (stimufend), Biosimilar, 0.5 Mg 9 9 $6,207.36 $6,207.36 $2,358.80 $6,021.14 $4,841.74 2026-07-16
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 9 9 $6,127.00 $6,127.00 $2,328.26 $5,943.19 $4,779.06 2026-07-16
C8908 HCPCS Magnetic Resonance Imaging Without Contrast Followed By With Contrast, Breast; B… 9 9 $6,102.00 $6,102.00 $2,318.76 $5,918.94 $4,759.56 2026-07-16
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 9 9 $5,667.00 $5,667.00 $2,153.46 $5,496.99 $4,420.26 2026-07-16
35221 HCPCS Repair Of Blood Vessel Of Abdomen 12 9 $9,069.00 $9,069.00 $63.72 $7,708.65 $4,303.57 2026-07-16
20816 HCPCS Reattachment Of Cutoff Finger 9 9 $8,264.00 $8,264.00 $89.52 $7,024.40 $4,289.76 2026-07-16
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 9 9 $5,484.00 $5,484.00 $2,083.92 $5,319.48 $4,277.52 2026-07-16
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 9 9 $5,484.00 $5,484.00 $2,083.92 $5,319.48 $4,277.52 2026-07-16
43324 HCPCS 43324 Pf Esoph. Fundoplasty 6 6 $5,835.00 $5,835.00 $1,458.75 $4,959.75 $4,230.38 2026-07-16
J0401 HCPCS Injection, Aripiprazole (abilify Maintena), 1 Mg 18 9 $6,114.33 $6,114.33 $1,992.34 $6,776.09 $4,191.78 2026-07-16
70336 HCPCS MRI Scan Of Jaw Joint 9 9 $5,274.00 $5,274.00 $2,004.12 $5,115.78 $4,113.72 2026-07-16
C8909 HCPCS Magnetic Resonance Angiography With Contrast, Chest (excluding Myocardium) 9 9 $5,217.00 $5,217.00 $1,982.46 $5,060.49 $4,069.26 2026-07-16
2976532_1 CDM Assisted Living Double Charge 9 9 $5,164.00 $5,164.00 $1,962.32 $5,009.08 $4,027.92 2026-07-16
73225 HCPCS MRI Scan Of Blood Vessels Of Arm 9 9 $5,160.00 $5,160.00 $1,960.80 $5,005.20 $4,024.80 2026-07-16
70553 HCPCS MRI Scan Of Brain Before And After Contrast 9 9 $5,160.00 $5,160.00 $1,960.80 $5,005.20 $4,024.80 2026-07-16
C8914 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower… 9 9 $5,160.00 $5,160.00 $1,960.80 $5,005.20 $4,024.80 2026-07-16
C8902 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 9 9 $5,160.00 $5,160.00 $1,960.80 $5,005.20 $4,024.80 2026-07-16
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 9 9 $5,160.00 $5,160.00 $1,960.80 $5,005.20 $4,024.80 2026-07-16
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 9 9 $5,160.00 $5,160.00 $1,960.80 $5,005.20 $4,024.80 2026-07-16
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 9 9 $5,160.00 $5,160.00 $1,960.80 $5,005.20 $4,024.80 2026-07-16
C8910 HCPCS Magnetic Resonance Angiography Without Contrast, Chest (excluding Myocardium) 9 9 $5,081.00 $5,081.00 $1,930.78 $4,928.57 $3,963.18 2026-07-16
27939261_1 CDM Amnio Graft 5.0x5.0 9 9 $4,940.00 $4,940.00 $1,877.20 $4,791.80 $3,853.20 2026-07-16
45110 HCPCS Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo… 9 9 $7,050.00 $7,050.00 $80.00 $5,992.50 $3,825.36 2026-07-16
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 9 9 $5,789.00 $5,789.00 $79.38 $4,920.65 $3,818.88 2026-07-16
44207 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 9 9 $6,127.00 $6,127.00 $79.02 $5,207.95 $3,793.68 2026-07-16
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 9 9 $4,838.00 $4,838.00 $1,838.44 $4,692.86 $3,773.64 2026-07-16
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 9 9 $4,838.00 $4,838.00 $1,838.44 $4,692.86 $3,773.64 2026-07-16
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 9 9 $4,838.00 $4,838.00 $1,838.44 $4,692.86 $3,773.64 2026-07-16
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 9 9 $4,838.00 $4,838.00 $1,838.44 $4,692.86 $3,773.64 2026-07-16
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 9 9 $4,838.00 $4,838.00 $1,838.44 $4,692.86 $3,773.64 2026-07-16
70552 HCPCS MRI Scan Of Brain With Contrast 9 9 $4,838.00 $4,838.00 $1,838.44 $4,692.86 $3,773.64 2026-07-16
81229 HCPCS Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 9 9 $4,766.00 $4,766.00 $1,811.08 $4,623.02 $3,717.48 2026-07-16
81408 HCPCS Molecular Pathology Procedure Level 9 Genetic Analysis 9 9 $4,755.00 $4,755.00 $1,806.90 $4,612.35 $3,708.90 2026-07-16
44144 HCPCS Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B… 9 9 $6,521.00 $6,521.00 $77.01 $5,542.85 $3,702.96 2026-07-16
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 18 9 $4,722.50 $4,722.50 $1,750.66 $4,692.86 $3,683.30 2026-07-16
73720 HCPCS MRI Scan Of Leg Before And After Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
73220 HCPCS MRI Scan Of Arm Before And After Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
70551 HCPCS MRI Scan Of Brain Without Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
74182 HCPCS MRI Scan Of Abdomen With Contrast 9 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $3,521.70 2026-07-16
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 9 9 $6,603.00 $6,603.00 $72.41 $5,612.55 $3,485.52 2026-07-16
43860 HCPCS Revision Of Surgically Created Connection Of Stomach To Small Bowel 9 9 $5,488.00 $5,488.00 $71.15 $4,664.80 $3,435.84 2026-07-16
44603 HCPCS Suture Of Multiple Tears Or Holes In Small Bowel 9 9 $5,674.00 $5,674.00 $70.52 $4,822.90 $3,394.80 2026-07-16
49020 HCPCS Drainage Of Abdominal Abscess Or Infection 9 9 $4,653.00 $4,653.00 $69.20 $3,955.05 $3,337.92 2026-07-16
15120 HCPCS Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 18 9 $6,938.00 $6,938.00 $30.02 $10,697.16 $3,305.72 2026-07-16
66984 HCPCS Removal Of Cataract With Insertion Of Prosthetic Lens 9 9 $4,204.00 $4,204.00 $1,597.52 $4,077.88 $3,279.12 2026-07-16
74181 HCPCS MRI Scan Of Abdomen Without Contrast 9 9 $4,195.00 $4,195.00 $1,594.10 $4,069.15 $3,272.10 2026-07-16
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 9 9 $4,195.00 $4,195.00 $1,594.10 $4,069.15 $3,272.10 2026-07-16
73222 HCPCS MRI Scan Of Arm Joint With Contrast 9 9 $4,195.00 $4,195.00 $1,594.10 $4,069.15 $3,272.10 2026-07-16
73722 HCPCS MRI Scan Of Leg Joint With Contrast 9 9 $4,195.00 $4,195.00 $1,594.10 $4,069.15 $3,272.10 2026-07-16
72196 HCPCS MRI Scan Of Pelvis With Contrast 9 9 $4,195.00 $4,195.00 $1,594.10 $4,069.15 $3,272.10 2026-07-16
73719 HCPCS MRI Scan Of Leg With Contrast 9 9 $4,195.00 $4,195.00 $1,594.10 $4,069.15 $3,272.10 2026-07-16
73219 HCPCS MRI Scan Of Arm With Contrast 9 9 $4,195.00 $4,195.00 $1,594.10 $4,069.15 $3,272.10 2026-07-16
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 9 9 $4,195.00 $4,195.00 $1,594.10 $4,069.15 $3,272.10 2026-07-16
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 9 9 $4,195.00 $4,195.00 $1,594.10 $4,069.15 $3,272.10 2026-07-16
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 9 9 $4,195.00 $4,195.00 $1,594.10 $4,069.15 $3,272.10 2026-07-16
C8905 HCPCS Magnetic Resonance Imaging Without Contrast Followed By With Contrast, Breast; U… 9 9 $4,167.00 $4,167.00 $1,583.46 $4,041.99 $3,250.26 2026-07-16
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 9 9 $6,715.00 $6,715.00 $66.92 $5,707.75 $3,218.40 2026-07-16
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 9 9 $4,119.48 $4,119.48 $1,565.40 $3,995.89 $3,213.19 2026-07-16
43502 HCPCS Suture Of Lacerated Stomach 9 9 $4,385.00 $4,385.00 $66.00 $3,727.25 $3,204.72 2026-07-16
J2315 HCPCS Injection, Naltrexone, Depot Form, 1 Mg 9 9 $4,071.82 $4,071.82 $1,547.29 $3,949.67 $3,176.02 2026-07-16
C8906 HCPCS Magnetic Resonance Imaging With Contrast, Breast; Bilateral 9 9 $4,070.00 $4,070.00 $1,546.60 $3,947.90 $3,174.60 2026-07-16
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 9 9 $3,675.00 $3,675.00 $90.65 $4,430.16 $3,123.75 2026-07-16
C8900 HCPCS Magnetic Resonance Angiography With Contrast, Abdomen 9 9 $3,998.00 $3,998.00 $1,519.24 $3,878.06 $3,118.44 2026-07-16
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 18 9 $6,957.30 $6,957.30 $588.62 $11,994.63 $3,100.73 2026-07-16
37618 HCPCS Tying Of Major Arm Or Leg Artery 16 9 $7,765.00 $7,765.00 $16.67 $7,532.05 $3,098.24 2026-07-16
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 18 9 $4,239.50 $4,239.50 $1,471.36 $4,468.79 $3,095.66 2026-07-16
49659 HCPCS Other Repair Of Hernia Using An Endoscope 6 6 $4,262.00 $4,262.00 $1,065.50 $3,622.70 $3,089.95 2026-07-16
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 9 9 $3,627.00 $3,627.00 $69.65 $3,736.00 $3,082.95 2026-07-16
77047 HCPCS MRI Scan Of Both Breasts Without Contrast 9 9 $3,935.00 $3,935.00 $1,495.30 $3,816.95 $3,069.30 2026-07-16
45550 HCPCS Suture Of Rectum To Sacrum With Removal Of Large Bowel 9 9 $5,129.00 $5,129.00 $63.62 $4,359.65 $3,051.36 2026-07-16
43631 HCPCS Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To First… 9 9 $6,544.00 $6,544.00 $63.14 $5,562.40 $3,045.60 2026-07-16
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 10 9 $5,160.00 $5,160.00 $1,960.80 $5,005.20 $3,041.82 2026-07-16
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 9 9 $3,894.00 $3,894.00 $1,479.72 $3,777.18 $3,037.32 2026-07-16
0191T OTHER Insertion Of Anterior Segment Aqueous Drainage Device, Without Extraocular Reser… 9 9 $3,883.00 $3,883.00 $1,475.54 $3,766.51 $3,028.74 2026-07-16
28499496_1 CDM Staple Nitinol 10x10 Fuseforce 9 9 $3,876.00 $3,876.00 $1,472.88 $3,759.72 $3,023.28 2026-07-16
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
71550 HCPCS MRI Scan Of Chest Without Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
72195 HCPCS MRI Scan Of Pelvis Without Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
73218 HCPCS MRI Scan Of Arm Without Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
73718 HCPCS MRI Scan Of Leg Without Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 9 9 $3,872.00 $3,872.00 $1,471.36 $3,755.84 $3,020.16 2026-07-16
C8901 HCPCS Magnetic Resonance Angiography Without Contrast, Abdomen 9 9 $3,864.00 $3,864.00 $1,468.32 $3,748.08 $3,013.92 2026-07-16
38724 HCPCS Removal Of Lymph Nodes, Muscle, And Tissue Of Neck 9 9 $5,733.00 $5,733.00 $62.51 $4,873.05 $2,991.60 2026-07-16
J3240 HCPCS Injection, Thyrotropin Alpha, 0.9 Mg, Provided In 1.1 Mg Vial 9 9 $3,829.00 $3,829.00 $1,455.02 $3,714.13 $2,986.62 2026-07-16
28296333_1 CDM Broad Straight Plate 6 Holes (t10) 9 9 $3,798.00 $3,798.00 $1,443.24 $3,684.06 $2,962.44 2026-07-16
44602 HCPCS Suture Of Tear Of Hole In Small Bowel 9 9 $3,978.00 $3,978.00 $61.44 $3,381.30 $2,958.48 2026-07-16
90378 HCPCS Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle 9 9 $3,756.00 $3,756.00 $1,427.28 $3,643.32 $2,929.68 2026-07-16
44202 HCPCS Partial Removal And Reconnection Of Small Bowel Using An Endoscope 9 9 $6,636.00 $6,636.00 $60.20 $5,640.60 $2,904.48 2026-07-16
27725434_1 CDM Ib Kit, Bc, W/cc Ft And Jumpstart 9 9 $3,700.00 $3,700.00 $1,406.00 $3,589.00 $2,886.00 2026-07-16
43840 HCPCS Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel 9 9 $4,025.00 $4,025.00 $59.16 $3,421.25 $2,856.24 2026-07-16
1101859_1 CDM Intensive Care Unit - General Classification 7 7 $3,460.00 $3,460.00 $1,380.54 $3,356.20 $2,833.74 2026-07-16
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 36 9 $4,086.84 $4,086.84 $446.47 $9,009.70 $2,813.44 2026-07-16
44140 HCPCS Partial Removal Of Large Bowel With Connection 9 9 $6,050.00 $6,050.00 $58.38 $5,142.50 $2,813.04 2026-07-16
58200 HCPCS Removal Of Uterus Through Abdomen With Partial Removal Of Vagina 9 9 $6,111.00 $6,111.00 $59.57 $5,194.35 $2,810.16 2026-07-16
28480037_1 CDM Surgical Outreach 9 9 $3,600.00 $3,600.00 $1,368.00 $3,492.00 $2,808.00 2026-07-16
44205 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 9 9 $5,299.00 $5,299.00 $58.14 $4,504.15 $2,795.04 2026-07-16
1101862_1 CDM Room & Board - Semi-private (two Beds) - Obstetrics (ob) 7 7 $3,408.00 $3,408.00 $1,359.79 $3,305.76 $2,791.15 2026-07-16
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 9 9 $3,548.00 $3,548.00 $1,348.24 $3,441.56 $2,767.44 2026-07-16
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 9 9 $3,548.00 $3,548.00 $1,348.24 $3,441.56 $2,767.44 2026-07-16
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 9 9 $3,548.00 $3,548.00 $1,348.24 $3,441.56 $2,767.44 2026-07-16
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 9 9 $3,548.00 $3,548.00 $1,348.24 $3,441.56 $2,767.44 2026-07-16
47350 HCPCS Suture Of Simple Liver Wound To Control Bleeding 9 9 $3,255.00 $3,255.00 $59.55 $3,220.10 $2,766.75 2026-07-16
J9312 HCPCS Injection, Rituximab, 10 Mg 18 9 $6,271.62 $6,271.62 $476.52 $10,950.56 $2,753.14 2026-07-16
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 9 9 $3,485.14 $3,485.14 $1,324.35 $3,380.59 $2,718.41 2026-07-16
2976529_1 CDM Rent/Month - VisionCare Charge 9 9 $3,461.89 $3,461.89 $1,315.52 $3,358.03 $2,700.27 2026-07-16
71552 HCPCS MRI Scan Of Chest Before And After Contrast 10 9 $4,515.00 $4,515.00 $1,715.70 $4,379.55 $2,661.59 2026-07-16
47610 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct 9 9 $5,124.00 $5,124.00 $54.59 $4,355.40 $2,636.64 2026-07-16
1101859_3 CDM Room/bed: Intensive Care Unit 9 9 $3,377.50 $3,377.50 $1,283.45 $3,276.18 $2,634.45 2026-07-16
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 18 9 $3,374.50 $3,374.50 $1,250.96 $3,353.29 $2,631.95 2026-07-16
58152 HCPCS Removal Of Uterus And Cervix Through Abdomen With Repair Of Vagina 9 9 $6,446.00 $6,446.00 $53.39 $5,479.10 $2,616.48 2026-07-16
2850140_2 CDM Endobronchial TB Track Left Sterile 37fr 6 6 $3,608.00 $3,608.00 $902.00 $3,066.80 $2,615.80 2026-07-16
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 9 9 $6,064.00 $6,064.00 $54.02 $5,154.40 $2,602.08 2026-07-16
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 9 9 $3,332.00 $3,332.00 $1,266.16 $3,232.04 $2,598.96 2026-07-16
1101862_3 CDM Room/bed: Obstetrics 9 9 $3,329.98 $3,329.98 $1,265.39 $3,230.08 $2,597.39 2026-07-16
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 9 9 $5,456.00 $5,456.00 $53.22 $4,637.60 $2,565.36 2026-07-16
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 27 9 $3,267.17 $3,267.17 $95.00 $14,290.53 $2,548.39 2026-07-16
2867852_1 CDM Anesthesia Mask Sz 2 Infant 9 9 $3,259.00 $3,259.00 $1,238.42 $3,161.23 $2,542.02 2026-07-16
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 9 9 $4,701.00 $4,701.00 $51.92 $3,995.85 $2,518.56 2026-07-16
73702 HCPCS CT Scan Of Leg Before And After Contrast 9 9 $3,227.00 $3,227.00 $1,226.26 $3,130.19 $2,517.06 2026-07-16
72129 HCPCS CT Scan Of Middle Spine With Contrast 9 9 $3,227.00 $3,227.00 $1,226.26 $3,130.19 $2,517.06 2026-07-16
73202 HCPCS CT Scan Of Arm Before And After Contrast 9 9 $3,227.00 $3,227.00 $1,226.26 $3,130.19 $2,517.06 2026-07-16
72193 HCPCS CT Scan Of Pelvis With Contrast 9 9 $3,227.00 $3,227.00 $1,226.26 $3,130.19 $2,517.06 2026-07-16
71270 HCPCS CT Scan Of Chest Before And After Contrast 9 9 $3,227.00 $3,227.00 $1,226.26 $3,130.19 $2,517.06 2026-07-16
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 9 9 $3,227.00 $3,227.00 $1,226.26 $3,130.19 $2,517.06 2026-07-16
72126 HCPCS CT Scan Of Upper Spine With Contrast 9 9 $3,227.00 $3,227.00 $1,226.26 $3,130.19 $2,517.06 2026-07-16
72132 HCPCS CT Scan Of Lower Spine With Contrast 9 9 $3,227.00 $3,227.00 $1,226.26 $3,130.19 $2,517.06 2026-07-16
44320 HCPCS Creation Of Opening From Large Bowel To Skin 9 9 $3,263.00 $3,263.00 $52.28 $2,836.90 $2,513.52 2026-07-16
82710 HCPCS Stool Fat Or Lipids Analysis, Quantitative 9 9 $3,213.00 $3,213.00 $1,220.94 $3,116.61 $2,506.14 2026-07-16
44346 HCPCS Revision Of Opening From Large Bowel To Skin With Repair Of Hernia 9 9 $3,785.00 $3,785.00 $51.41 $3,217.25 $2,473.92 2026-07-16
43640 HCPCS Severing Of Vagus Nerve To Stomach 9 9 $4,630.00 $4,630.00 $51.29 $3,935.50 $2,473.20 2026-07-16
15115 HCPCS Outer Layer Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around E… 18 9 $4,782.00 $4,782.00 $29.51 $5,988.78 $2,463.43 2026-07-16
35606 HCPCS Bypass Of Diseased Or Blocked Neck To Chest Artery With Other Than Vein 9 9 $3,513.00 $3,513.00 $51.02 $2,986.05 $2,454.48 2026-07-16
42420 HCPCS Removal Of Growth Of Saliva Gland Or Saliva Gland With Release Of Facial Nerve 9 9 $5,622.00 $5,622.00 $51.09 $4,778.70 $2,447.28 2026-07-16
71551 HCPCS MRI Scan Of Chest With Contrast 10 9 $4,133.00 $4,133.00 $1,570.54 $4,009.01 $2,436.40 2026-07-16
49606 HCPCS Repair Of Defect Of Abdominal Wall At Navel With Removal Of Prosthesis 9 9 $4,110.00 $4,110.00 $49.37 $3,493.50 $2,383.20 2026-07-16
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 9 9 $4,960.00 $4,960.00 $48.90 $4,216.00 $2,361.60 2026-07-16
15100 HCPCS Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod… 18 9 $4,450.00 $4,450.00 $30.80 $5,988.78 $2,331.61 2026-07-16
66985 HCPCS Insertion Of Prosthetic Lens 9 9 $2,977.00 $2,977.00 $1,131.26 $2,887.69 $2,322.06 2026-07-16
66830 HCPCS Removal Of Recurring Cataract In Lens Capsule With Sectioning Of Cornea And Scle… 9 9 $2,977.00 $2,977.00 $1,131.26 $2,887.69 $2,322.06 2026-07-16
T2031 HCPCS Assisted Living; Waiver, Per Diem 9 9 $2,977.00 $2,977.00 $1,131.26 $2,887.69 $2,322.06 2026-07-16
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 9 9 $2,970.00 $2,970.00 $1,128.60 $2,880.90 $2,316.60 2026-07-16
15110 HCPCS Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area… 18 9 $4,416.50 $4,416.50 $29.73 $5,988.78 $2,303.14 2026-07-16
A0433 HCPCS Advanced Life Support, Level 2 (als 2) 9 9 $2,947.00 $2,947.00 $1,119.86 $2,858.59 $2,298.66 2026-07-16
2978818_1 CDM Multifocal Zma00 9 9 $2,940.00 $2,940.00 $1,117.20 $2,851.80 $2,293.20 2026-07-16
44005 HCPCS Release Of Intestinal Scar Tissue 9 9 $5,220.00 $5,220.00 $47.64 $4,437.00 $2,293.20 2026-07-16
2867834_1 CDM Harmonic Lap Shear 5mm 36m 9 9 $2,935.00 $2,935.00 $1,115.30 $2,846.95 $2,289.30 2026-07-16
2976535_1 CDM Senior Living Double Charge 9 9 $2,931.00 $2,931.00 $1,113.78 $2,843.07 $2,286.18 2026-07-16
49596 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 7 7 $2,676.00 $2,676.00 $831.66 $2,424.70 $2,274.60 2026-07-16
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 9 9 $2,905.00 $2,905.00 $1,103.90 $2,817.85 $2,265.90 2026-07-16
73701 HCPCS CT Scan Of Leg With Contrast Material 9 9 $2,905.00 $2,905.00 $1,103.90 $2,817.85 $2,265.90 2026-07-16
72192 HCPCS CT Scan Of Pelvis Without Contrast 9 9 $2,905.00 $2,905.00 $1,103.90 $2,817.85 $2,265.90 2026-07-16
73201 HCPCS CT Scan Of Arm With Contrast 9 9 $2,905.00 $2,905.00 $1,103.90 $2,817.85 $2,265.90 2026-07-16
72131 HCPCS CT Scan Of Lower Spine Without Contrast 9 9 $2,905.00 $2,905.00 $1,103.90 $2,817.85 $2,265.90 2026-07-16
71260 HCPCS CT Scan Of Chest With Contrast 9 9 $2,905.00 $2,905.00 $1,103.90 $2,817.85 $2,265.90 2026-07-16
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 9 9 $2,905.00 $2,905.00 $1,103.90 $2,817.85 $2,265.90 2026-07-16
72128 HCPCS CT Scan Of Middle Spine Without Contrast 9 9 $2,905.00 $2,905.00 $1,103.90 $2,817.85 $2,265.90 2026-07-16
72125 HCPCS CT Scan Of Upper Spine Without Contrast 9 9 $2,905.00 $2,905.00 $1,103.90 $2,817.85 $2,265.90 2026-07-16
70488 HCPCS CT Scan Of Face Before And After Contrast 9 9 $2,905.00 $2,905.00 $1,103.90 $2,817.85 $2,265.90 2026-07-16
47600 HCPCS Removal Of Gallbladder 9 9 $4,362.00 $4,362.00 $46.46 $3,707.70 $2,244.24 2026-07-16
26973880_1 CDM Solyx Sis System 9 9 $2,874.00 $2,874.00 $1,092.12 $2,787.78 $2,241.72 2026-07-16
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 9 9 $3,629.00 $3,629.00 $46.07 $3,084.65 $2,216.16 2026-07-16
44310 HCPCS Creation Of Opening From Small Bowel To Skin 9 9 $4,225.00 $4,225.00 $45.36 $3,591.25 $2,178.72 2026-07-16
2867603_1 CDM Gore-tex Stretch Vascular Graft Twl(thinwall Limbs) 9 9 $2,783.00 $2,783.00 $1,057.54 $2,699.51 $2,170.74 2026-07-16
76400 HCPCS MRI Bone Marrow Blood Supply 9 9 $2,779.00 $2,779.00 $1,056.02 $2,695.63 $2,167.62 2026-07-16
C8903 HCPCS Magnetic Resonance Imaging With Contrast, Breast; Unilateral 9 9 $2,779.00 $2,779.00 $1,056.02 $2,695.63 $2,167.62 2026-07-16
27939260_1 CDM Amnio Graft 3.5x3.5 9 9 $2,745.00 $2,745.00 $1,043.10 $2,662.65 $2,141.10 2026-07-16
90396 HCPCS Varicella (chicken Pox) Zoster Immune Globulin For Injection Into Muscle 7 7 $2,737.00 $2,737.00 $1,040.06 $2,654.89 $2,134.86 2026-07-16
44625 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 9 9 $5,211.00 $5,211.00 $44.15 $4,429.35 $2,115.36 2026-07-16
27939259_1 CDM Amnio Graft 2.5x2.0 9 9 $2,705.00 $2,705.00 $1,027.90 $2,623.85 $2,109.90 2026-07-16
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 9 9 $5,598.00 $5,598.00 $43.65 $4,758.30 $2,106.00 2026-07-16
2867872_1 CDM Intering Str 6mm 40cm Rs X 40 Vascular Graft 9 9 $2,693.00 $2,693.00 $1,023.34 $2,612.21 $2,100.54 2026-07-16
2976530_1 CDM Rent/Month - Othopedic Surgery Specialists 9 9 $2,691.00 $2,691.00 $1,022.58 $2,610.27 $2,098.98 2026-07-16
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 20 9 $5,484.00 $5,484.00 $765.32 $5,319.48 $2,083.92 2026-07-16
2867822_1 CDM Closure Fast Cath 100cm 9 9 $2,654.00 $2,654.00 $1,008.52 $2,574.38 $2,070.12 2026-07-16
27045 HCPCS Removal Of Growth Of Muscle Of Pelvis And Hip, 5.0 Cm Or More 16 9 $5,181.00 $5,181.00 $32.07 $5,025.57 $2,067.22 2026-07-16
77046 HCPCS MRI Scan Of 1 Breast Without Contrast 9 9 $2,644.00 $2,644.00 $1,004.72 $2,564.68 $2,062.32 2026-07-16
43610 HCPCS Removal Of Stomach Ulcer Or Growth 9 9 $3,877.00 $3,877.00 $42.77 $3,295.45 $2,057.76 2026-07-16
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 27 9 $4,149.00 $4,149.00 $805.60 $5,005.20 $2,056.40 2026-07-16
59515 HCPCS Cesarean Delivery With Care After Delivery 9 9 $4,112.00 $4,112.00 $54.60 $3,495.20 $2,053.70 2026-07-16
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 18 9 $2,733.00 $2,733.00 $973.18 $2,817.85 $2,047.52 2026-07-16
A0427 HCPCS Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - … 9 9 $2,600.00 $2,600.00 $988.00 $2,522.00 $2,028.00 2026-07-16
49616 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, 3-10 Cm In Length 7 7 $3,875.00 $3,875.00 $695.65 $3,293.75 $2,027.40 2026-07-16
58960 HCPCS Exam Of Abdominal Cavity With Removal Or Biopsy Of Abdominal Lining Or Lymph Nod… 9 9 $4,372.00 $4,372.00 $42.39 $3,716.20 $2,015.28 2026-07-16
74150 HCPCS CT Scan Of Abdomen Without Contrast 9 9 $2,582.00 $2,582.00 $981.16 $2,504.54 $2,013.96 2026-07-16
71250 HCPCS CT Scan Of Chest Without Contrast 9 9 $2,582.00 $2,582.00 $981.16 $2,504.54 $2,013.96 2026-07-16
70487 HCPCS CT Scan Of Face With Contrast 9 9 $2,582.00 $2,582.00 $981.16 $2,504.54 $2,013.96 2026-07-16
70460 HCPCS CT Scan Head Or Brain With Contrast 9 9 $2,582.00 $2,582.00 $981.16 $2,504.54 $2,013.96 2026-07-16
73700 HCPCS CT Scan Of Leg Without Contrast 9 9 $2,582.00 $2,582.00 $981.16 $2,504.54 $2,013.96 2026-07-16
73200 HCPCS CT Scan Of Arm Without Contrast 9 9 $2,582.00 $2,582.00 $981.16 $2,504.54 $2,013.96 2026-07-16
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 9 9 $2,582.00 $2,582.00 $981.16 $2,504.54 $2,013.96 2026-07-16
2867873_2 CDM Intering Str 8mm 40cm Rs X 40 Vascular Graft 6 6 $2,772.00 $2,772.00 $693.00 $2,356.20 $2,009.70 2026-07-16
19303 HCPCS Simple Complete Removal Of Breast 9 9 $5,168.00 $5,168.00 $41.54 $4,392.80 $2,004.48 2026-07-16
58180 HCPCS Removal Of Uterus Through Abdomen 9 9 $2,931.00 $2,931.00 $41.09 $2,491.35 $2,004.48 2026-07-16
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 9 9 $2,551.00 $2,551.00 $969.38 $2,474.47 $1,989.78 2026-07-16
15944 HCPCS Removal Of Pressure Sore Tissue Of Lower Pelvic Bone With Skin Graft 16 9 $3,573.00 $3,573.00 $38.75 $3,465.81 $1,974.72 2026-07-16
44130 HCPCS Creation Of Connection Between 2 Segments Of Small Bowel 16 9 $2,415.00 $2,415.00 $57.18 $3,115.70 $1,968.22 2026-07-16
44050 HCPCS Repair Of Twisted Or Herniated Small Bowel 9 9 $3,570.00 $3,570.00 $40.68 $3,034.50 $1,962.00 2026-07-16
49653 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 7 7 $3,612.00 $3,612.00 $40.37 $3,070.20 $1,949.76 2026-07-16
49010 HCPCS Exploration Behind Abdominal Cavity 9 9 $3,871.00 $3,871.00 $40.35 $3,290.35 $1,936.08 2026-07-16
2867873_1 CDM Intering Str 8mm 40cm Rs X 40 Vascular Graft 9 9 $2,482.00 $2,482.00 $943.16 $2,407.54 $1,935.96 2026-07-16
58262 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less 9 9 $3,612.00 $3,612.00 $39.15 $3,070.20 $1,934.64 2026-07-16
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 9 9 $2,702.00 $2,702.00 $40.01 $2,296.70 $1,928.88 2026-07-16
27880 HCPCS Amputation Of Both Lower Leg Bones 9 9 $4,106.00 $4,106.00 $39.45 $3,490.10 $1,897.20 2026-07-16
27939258_1 CDM Amnio Graft 2.0x1.5 9 9 $2,431.00 $2,431.00 $923.78 $2,358.07 $1,896.18 2026-07-16
J3590 HCPCS Unclassified Biologics 9 9 $2,411.02 $2,411.02 $916.19 $2,338.69 $1,880.60 2026-07-16
2973030_2 CDM 43258 Pf Oper Upper Gi Endoscopy 6 6 $2,575.00 $2,575.00 $643.75 $2,188.75 $1,866.88 2026-07-16
44960 HCPCS Removal Of Ruptured Infected Appendix 9 9 $3,040.00 $3,040.00 $38.12 $2,584.00 $1,840.32 2026-07-16
38745 HCPCS Removal Of Lymph Nodes Of Underarm 9 9 $2,705.00 $2,705.00 $38.16 $2,299.25 $1,839.60 2026-07-16
81208 HCPCS Translocation Analysis (bcr/abl1) Other Breakpoint 9 9 $2,348.00 $2,348.00 $892.24 $2,277.56 $1,831.44 2026-07-16
49595 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, More Than 10 Cm In Length 7 7 $2,938.00 $2,938.00 $627.47 $2,497.30 $1,826.40 2026-07-16
49652 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 16 9 $2,659.00 $2,659.00 $32.33 $2,579.23 $1,817.85 2026-07-16
58140 HCPCS Removal Of Growth Of Uterus Through Abdomen, 1-4 Growths 9 9 $2,133.00 $2,133.00 $39.27 $2,137.50 $1,813.05 2026-07-16
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 9 9 $2,324.00 $2,324.00 $883.12 $2,254.28 $1,812.72 2026-07-16
44620 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening 9 9 $3,410.00 $3,410.00 $37.71 $2,898.50 $1,811.52 2026-07-16
49402 HCPCS Removal Of Foreign Body In Abdominal Cavity 9 9 $3,713.00 $3,713.00 $37.25 $3,156.05 $1,794.96 2026-07-16
59614 HCPCS Vaginal Delivery And Care After Delivery After Prior Cesarean Delivery 9 9 $2,991.00 $2,991.00 $48.99 $2,542.35 $1,790.70 2026-07-16
39501 HCPCS Repair Of Muscle Tissue Separating Chest And Abdominal Cavities 9 9 $2,244.00 $2,244.00 $36.98 $2,011.70 $1,784.16 2026-07-16
P9034 HCPCS Platelets, Pheresis, Each Unit 18 9 $2,399.50 $2,399.50 $847.78 $2,490.96 $1,783.68 2026-07-16
J9202 HCPCS Goserelin Acetate Implant, Per 3.6 Mg 9 9 $2,286.46 $2,286.46 $868.85 $2,217.87 $1,783.44 2026-07-16
Q5103 HCPCS Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 9 9 $2,286.08 $2,286.08 $868.71 $2,217.50 $1,783.14 2026-07-16
59100 HCPCS Incision Of Uterus 9 9 $3,872.00 $3,872.00 $36.29 $3,291.20 $1,775.52 2026-07-16
44110 HCPCS Removal Of Growth Of Small Or Large Bowels 9 9 $3,314.00 $3,314.00 $36.95 $2,816.90 $1,766.88 2026-07-16
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 9 9 $2,260.00 $2,260.00 $858.80 $2,192.20 $1,762.80 2026-07-16
70450 HCPCS CT Scan Head Or Brain Without Contrast 9 9 $2,260.00 $2,260.00 $858.80 $2,192.20 $1,762.80 2026-07-16
70486 HCPCS CT Scan Of Face Without Contrast 9 9 $2,260.00 $2,260.00 $858.80 $2,192.20 $1,762.80 2026-07-16
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 9 9 $2,260.00 $2,260.00 $858.80 $2,192.20 $1,762.80 2026-07-16
49594 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 7 7 $2,444.00 $2,444.00 $605.87 $2,077.40 $1,762.00 2026-07-16
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 9 9 $2,258.00 $2,258.00 $858.04 $2,190.26 $1,761.24 2026-07-16
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 18 9 $2,492.05 $2,492.05 $831.38 $2,712.36 $1,749.18 2026-07-16
38760 HCPCS Removal Of Lymph Nodes Of Groin 9 9 $2,509.00 $2,509.00 $36.56 $2,132.65 $1,748.88 2026-07-16
J0490 HCPCS Injection, Belimumab, 10 Mg 18 9 $3,381.55 $3,381.55 $596.17 $5,038.40 $1,747.81 2026-07-16
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 9 9 $2,240.00 $2,240.00 $851.20 $2,172.80 $1,747.20 2026-07-16
58260 HCPCS Removal Of Uterus Through Vagina, 250.0 G Or Less 9 9 $5,412.00 $5,412.00 $35.22 $4,600.20 $1,742.40 2026-07-16
15260 HCPCS Full Thickness Skin Graft To Nose, Ears, Eyelids, Or Lips, 20.0 Sq Cm Or Less 9 9 $3,242.00 $3,242.00 $36.98 $2,755.70 $1,740.96 2026-07-16
49000 HCPCS Exploration Of Abdominal Cavity 18 9 $3,755.50 $3,755.50 $33.48 $3,653.02 $1,718.88 2026-07-16
49900 HCPCS Suture Of Postsurgical Opening In Abdominal Wall 9 9 $3,302.00 $3,302.00 $35.46 $2,806.70 $1,710.00 2026-07-16
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 18 9 $2,359.50 $2,359.50 $812.06 $2,504.54 $1,708.53 2026-07-16
59120 HCPCS Removal Of Ovarian Or Tubal Pregnancy With Removal Of Ovaries 9 9 $3,075.00 $3,075.00 $34.56 $2,613.75 $1,691.28 2026-07-16
57270 HCPCS Repair Of Protrusion Of Intestine Into Rectum Or Vagina Through Abdomen 9 9 $3,094.00 $3,094.00 $34.55 $2,629.90 $1,687.68 2026-07-16
24495 HCPCS Incision Of Tissue Of Forearm Muscle With Exploration Of Artery 9 9 $3,628.00 $3,628.00 $31.91 $3,083.80 $1,686.24 2026-07-16
15002 HCPCS Preparation Of Skin Graft Site Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body A… 18 9 $3,686.50 $3,686.50 $9.71 $5,988.78 $1,682.63 2026-07-16
58673 HCPCS Repair Of Uterine Tube Using An Endoscope 9 9 $3,354.00 $3,354.00 $33.66 $2,850.90 $1,666.80 2026-07-16
J0897 HCPCS Injection, Denosumab, 1 Mg 45 9 $4,175.92 $4,175.92 $20.52 $7,451.19 $1,666.19 2026-07-16
49002 HCPCS Reopening Of Recent Abdominal Incision 9 9 $1,960.00 $1,960.00 $45.51 $2,467.10 $1,666.00 2026-07-16
27939257_1 CDM Amnio Graft 1.5x1.0 9 9 $2,131.00 $2,131.00 $809.78 $2,067.07 $1,662.18 2026-07-16
27590 HCPCS Amputation Of Thigh Through Thigh Bone 9 9 $3,645.00 $3,645.00 $34.43 $3,098.25 $1,657.44 2026-07-16
59410 HCPCS Vaginal Delivery With Post Delivery Care 9 9 $3,060.00 $3,060.00 $44.91 $2,601.00 $1,655.70 2026-07-16
74160 HCPCS CT Scan Of Abdomen With Contrast 27 9 $2,430.00 $2,430.00 $765.32 $2,817.85 $1,649.47 2026-07-16
58700 HCPCS Removal Of Uterine Tubes 9 9 $2,826.00 $2,826.00 $33.56 $2,402.10 $1,648.80 2026-07-16
49255 HCPCS Removal Of Lining Covering Abdominal Organs 9 9 $2,020.00 $2,020.00 $34.40 $1,887.60 $1,645.92 2026-07-16
15240 HCPCS Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen… 9 9 $2,908.00 $2,908.00 $34.52 $2,471.80 $1,637.28 2026-07-16
35206 HCPCS Repair Of Blood Vessel Of Arm 9 9 $4,514.00 $4,514.00 $34.01 $3,836.90 $1,632.96 2026-07-16
25024 HCPCS Incision Of Tissue Of Forearm And/or Wrist Muscle Compartment On Both Sides Of T… 9 9 $6,096.00 $6,096.00 $33.68 $5,181.60 $1,625.04 2026-07-16
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 18 9 $2,151.00 $2,151.00 $769.12 $2,209.66 $1,618.19 2026-07-16
57260 HCPCS Plastic Repair Of Vagina And Tissue Separating Vagina, Rectum, And Bladder 9 9 $2,027.00 $2,027.00 $32.64 $1,808.10 $1,614.96 2026-07-16
43500 HCPCS Exploration Of Stomach Or Removal Of Foreign Body In Stomach 9 9 $1,871.00 $1,871.00 $34.11 $1,873.50 $1,590.35 2026-07-16
58925 HCPCS Removal Of Cysts Of Ovaries 9 9 $3,636.00 $3,636.00 $32.19 $3,090.60 $1,582.56 2026-07-16
27502 HCPCS Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation 9 9 $3,648.00 $3,648.00 $32.78 $3,100.80 $1,579.68 2026-07-16
A9697 HCPCS Injection, Carboxydextran-coated Superparamagnetic Iron Oxide, Per Study Dose 9 9 $2,015.00 $2,015.00 $765.70 $1,954.55 $1,571.70 2026-07-16
27252 HCPCS Closed Treatment Of Dislocated Hip Under Anesthesia 9 9 $2,236.00 $2,236.00 $32.70 $1,900.60 $1,571.04 2026-07-16
35207 HCPCS Repair Of Blood Vessel Of Hand Or Finger 9 9 $6,246.00 $6,246.00 $32.64 $5,309.10 $1,566.72 2026-07-16
19302 HCPCS Partial Removal Of Breast And Underarm Lymph Nodes 9 9 $1,835.00 $1,835.00 $38.96 $1,994.10 $1,559.75 2026-07-16
15574 HCPCS Creation Of Flap Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genita… 9 9 $3,549.00 $3,549.00 $32.69 $3,016.65 $1,556.64 2026-07-16
25265 HCPCS Repair Of Forearm And/or Wrist Tendon Or Muscle On The Underside Of The Wrist (f… 9 9 $2,996.00 $2,996.00 $32.21 $2,546.60 $1,554.48 2026-07-16
58720 HCPCS Removal Of Uterine Tubes And Ovaries 9 9 $3,913.00 $3,913.00 $31.98 $3,326.05 $1,553.04 2026-07-16
51860 HCPCS Suture Of Simple Wound, Injury, Or Rupture Of Bladder 9 9 $2,148.00 $2,148.00 $32.33 $1,825.80 $1,551.60 2026-07-16
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 9 9 $3,160.00 $3,160.00 $32.13 $2,686.00 $1,545.84 2026-07-16
2976534_1 CDM Senior Living Single Charge 9 9 $1,976.00 $1,976.00 $750.88 $1,916.72 $1,541.28 2026-07-16
21933 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More 9 9 $2,520.00 $2,520.00 $31.94 $2,142.00 $1,539.36 2026-07-16
15839 HCPCS Removal Of Extra Skin And Tissue Of Other Area 9 9 $1,861.00 $1,861.00 $31.73 $1,627.80 $1,529.28 2026-07-16
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