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

Anson General Hospital

Anson, TX · CCN 450078 · Rates published

562 distinct procedures filed
5 distinct payers
8,801 rate rows
2026-07-18 last MRF observed
Data quality

8,662 of 8,801 rate rows are consumer-grade (98.4%)

139 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
placeholder amount (≤ $0.02) — excluded from medians 90
exceeds 10× this hospital's gross charge — excluded from medians 40
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/shared/static/9jggxcjvd48n3luyn2hpyrroanlctj6y.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-01
Content fingerprint f7192e16292677e5… · 490,790 bytes · first seen 2026-05-18

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
94618
CPT 		Continuous Inhalation Treatment With Aerosol Medication For Acute Airway Obstruc… 5 $29.40 $937.00 $937.00 nat. median
$185
outlier · 5.1×
94668
CPT 		Pulmonary Stress Testing 5 $23.78 $937.00 $937.00 nat. median
$136
outlier · 6.9×
M0243
HCPCS 		Phlebotomy, Therapeutic (separate Procedure) 5 $360.00 $1,087.20 $900.00 nat. median
$541
1.7× median
3700004
LOCAL 		Anes - Add'l 30 Min 5 $285.60 $862.51 $752.08 nat. median
$752
1.0× median
P9019
HCPCS 		Blood, Administration 5 $72.79 $848.92 $702.75 nat. median
$128
outlier · 5.5×
3700003
LOCAL 		Anes - 120 Min 5 $248.10 $749.26 $653.33 nat. median
$8,902
outlier · 0.1×
20103
CPT 		Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa Without Ult… 5 $246.58 $1,416.95 $635.54 nat. median
$1,613
outlier · 0.4×
99292
CPT 		Emergency Department Visit 5 $108.72 $647.79 $564.85 nat. median
$515
1.1× median
3700002
LOCAL 		Anes - 90 Min 5 $210.30 $635.11 $553.79 nat. median
$8,998
outlier · 0.1×
11011
CPT 		Debridement Including Removal Of Foreign Material Skin And Bone 5 $246.58 $724.20 $535.00 nat. median
$916
0.6× median
13101
CPT 		Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hand A… 5 $200.91 $1,003.85 $534.89 nat. median
$839
0.6× median
12020
CPT 		Intubation, Endotracheal, Emergency Procedure 5 $200.91 $854.35 $534.89 nat. median
$780
0.7× median
11043
CPT 		Debridement, Bone First 20 Sq Cm Or Less 5 $193.22 $534.00 $534.00 nat. median
$782
0.7× median
90471
CPT 		Administration Of Influenza Virus Vaccine 5 $14.70 $489.00 $489.00 nat. median
$66
outlier · 7.4×
1200020
LOCAL 		Intravenous Infusion, Concurrent Infusion 5 $178.50 $539.07 $470.05 nat. median
$470
1.0× median
99291
CPT 		Puncture Aspiration Of Abscess, Hematoma, Bulla, Or Cyst 5 $152.64 $1,494.90 $465.28 nat. median
$1,530
outlier · 0.3×
74178
CPT 		CTA Abdominal Aorta Bilat Iliofemoral Lower Extremity Runoff 5 $376.09 $758.22 $463.83 nat. median
$1,024
outlier · 0.5×
74177
CPT 		CT Abd/pelvis Wo/w Contrast 5 $376.09 $758.22 $463.83 nat. median
$974
outlier · 0.5×
74174
CPT 		CT Lower Extremity Wo/w Contrast 5 $376.09 $755.82 $459.73 nat. median
$988
outlier · 0.5×
73201
CPT 		CT Upper Extremity Wo/w Contrast 5 $300.57 $758.22 $456.91 nat. median
$804
0.6× median
94002
CPT 		Small Volume Nebulizer 5 $81.00 $445.00 $445.00 nat. median
$917
outlier · 0.5×
3700001
LOCAL 		Anes - 60 Min 5 $166.50 $502.83 $438.45 nat. median
$438
1.0× median
87633
CPT 		Strep Group A Amp Probe 5 $292.30 $1,062.50 $416.78 nat. median
$530
0.8× median
4240005
LOCAL 		Physical Therapy Evaluation: Moderate Complexity 5 $80.00 $475.65 $414.75 nat. median
$415
1.0× median
25605
CPT 		Closed Treatment Of Distal Phalangeal Fracture 5 $248.00 $1,422.51 $385.15 nat. median
$1,668
outlier · 0.2×
20680
CPT 		Intravenous Infusion, Each Add Hour 4 $385.15 $1,033.60 $385.15 nat. median
$3,263
outlier · 0.1×
72132
CPT 		CT Pelvis Wo Contrast 5 $234.00 $463.83 $376.09 nat. median
$766
outlier · 0.5×
72126
CPT 		CT Cervical Spine Wo/w Contrast 5 $300.57 $463.83 $376.09 nat. median
$756
outlier · 0.5×
99306
CPT 		Subsequent Nursing Facility Care, Per Day 5 $112.82 $433.97 $359.25 nat. median
$229
1.6× median
12054
CPT 		Repair, Complex, Trunk; 2.6 Cm To 7.5 Cm 5 $83.47 $969.85 $353.00 nat. median
$598
0.6× median
13131
CPT 		Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subsq, Small… 5 $129.16 $595.85 $353.00 nat. median
$605
0.6× median
P9021
HCPCS 		Platelets Administration Fee 5 $133.50 $403.17 $333.75 nat. median
$277
1.2× median
32555
CPT 		Intraoral Incision And Drainage Of Abscess, Cyst, Or Hematoma Of Tongue Or Floor… 5 $115.00 $816.85 $333.63 nat. median
$1,094
outlier · 0.3×
27550
CPT 		Closed Treatment Of Patellar Dislocation; Without Anes 5 $87.17 $1,286.05 $330.85 nat. median
$518
0.6× median
99285
CPT 		Initial Treatment, First Degree Burn, When No More Than Local Treatment Is Req 5 $75.00 $933.18 $309.00 nat. median
$1,186
outlier · 0.3×
11010
CPT 		Debridement Including Removal Of Foreign Material Skin And Muscle 5 $246.58 $676.60 $306.87 nat. median
$946
outlier · 0.3×
11012
CPT 		Debridement, Subcutaneous Tissue (includes Epidermis And Dermis) First 20 Sq Cm… 5 $304.00 $1,014.90 $304.00 nat. median
$2,790
outlier · 0.1×
11042
CPT 		Debridement, Muscle And Or Fascia First 20 Sq Cm Or Less 5 $129.16 $302.00 $302.00 nat. median
$523
0.6× median
94003
CPT 		Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Vent;… 5 $57.30 $298.00 $298.00 nat. median
$828
outlier · 0.4×
99310
CPT 		Nursing Facility Discharge 30 Minutes Or Less 5 $90.95 $351.53 $291.00 nat. median
$185
1.6× median
74176
CPT 		CT Abd/pelvis W Contrast 5 $235.00 $1,077.00 $289.96 nat. median
$694
outlier · 0.4×
12032
CPT 		Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or Extremities 7.6 Cm… 5 $129.16 $466.65 $283.33 nat. median
$546
0.5× median
99305
CPT 		Initial Nursing Facility Care, Per Day 5 $87.75 $337.94 $279.75 nat. median
$162
1.7× median
11044
CPT 		Avulsion Of Nail Plate, Partial Or Complete, Simple Single 5 $277.00 $580.56 $277.00 nat. median
$1,751
outlier · 0.2×
87902
CPT 		Culture, Bacterial; Blood, Aerobic, With Isolation 5 $257.45 $656.20 $257.45 nat. median
$386
0.7× median
11620
CPT 		Excision, Benign Lesion Including Margins, Except Skin Tags .6 To 1.0 Cm 5 $92.27 $443.00 $250.81 nat. median
$1,535
outlier · 0.2×
27530
CPT 		Excision Dermoid Cyst, Nose; Simple, Skin, Subcuta 5 $105.16 $727.60 $250.81 nat. median
$449
0.6× median
3700013
LOCAL 		Red Blood Cells, Each Unit 5 $89.40 $269.99 $235.42 nat. median
$235
1.0× median
32551
CPT 		Arterial Puncture, Withdrawal Of Blood For Diagnosis 5 $135.00 $407.70 $235.00 nat. median
$1,574
outlier · 0.1×
27560
CPT 		Control Nasal Hemorrhage, Anterior, Simple (limited Cautery Or Packing) Any Meth… 5 $87.17 $925.65 $234.00 nat. median
$476
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 562 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
             
94618 CPT Continuous Inhalation Treatment With Aerosol Medication For Acute Airway Obstruc… 14 5 $98.00 $98.00 $29.40 $937.00 $937.00 2026-07-18
94668 CPT Pulmonary Stress Testing 14 5 $102.00 $102.00 $23.78 $937.00 $937.00 2026-07-18
M0243 HCPCS Phlebotomy, Therapeutic (separate Procedure) 14 5 $1,200.00 $1,200.00 $360.00 $1,087.20 $900.00 2026-07-18
3700004 LOCAL Anes - Add'l 30 Min 14 5 $952.00 $952.00 $285.60 $862.51 $752.08 2026-07-18
P9019 HCPCS Blood, Administration 14 5 $937.00 $937.00 $72.79 $848.92 $702.75 2026-07-18
3700003 LOCAL Anes - 120 Min 14 5 $827.00 $827.00 $248.10 $749.26 $653.33 2026-07-18
20103 CPT Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa Without Ult… 14 5 $1,667.00 $1,667.00 $246.58 $1,416.95 $635.54 2026-07-18
99292 CPT Emergency Department Visit 14 5 $715.00 $715.00 $108.72 $647.79 $564.85 2026-07-18
3700002 LOCAL Anes - 90 Min 14 5 $701.00 $701.00 $210.30 $635.11 $553.79 2026-07-18
11011 CPT Debridement Including Removal Of Foreign Material Skin And Bone 14 5 $852.00 $852.00 $246.58 $724.20 $535.00 2026-07-18
12020 CPT Intubation, Endotracheal, Emergency Procedure 14 5 $887.00 $887.00 $200.91 $854.35 $534.89 2026-07-18
13101 CPT Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hand A… 14 5 $1,181.00 $1,181.00 $200.91 $1,003.85 $534.89 2026-07-18
11043 CPT Debridement, Bone First 20 Sq Cm Or Less 14 5 $444.00 $444.00 $193.22 $534.00 $534.00 2026-07-18
90471 CPT Administration Of Influenza Virus Vaccine 14 5 $49.00 $49.00 $14.70 $489.00 $489.00 2026-07-18
1200020 LOCAL Intravenous Infusion, Concurrent Infusion 14 5 $595.00 $595.00 $178.50 $539.07 $470.05 2026-07-18
99291 CPT Puncture Aspiration Of Abscess, Hematoma, Bulla, Or Cyst 27 5 $633.00 $633.00 $152.64 $1,494.90 $465.28 2026-07-18
74177 CPT CT Abd/pelvis Wo/w Contrast 14 5 $1,077.00 $1,077.00 $376.09 $758.22 $463.83 2026-07-18
74178 CPT CTA Abdominal Aorta Bilat Iliofemoral Lower Extremity Runoff 14 5 $1,077.00 $1,077.00 $376.09 $758.22 $463.83 2026-07-18
74174 CPT CT Lower Extremity Wo/w Contrast 14 5 $1,077.00 $1,077.00 $376.09 $755.82 $459.73 2026-07-18
73201 CPT CT Upper Extremity Wo/w Contrast 14 5 $1,077.00 $1,077.00 $300.57 $758.22 $456.91 2026-07-18
94002 CPT Small Volume Nebulizer 14 5 $270.00 $270.00 $81.00 $445.00 $445.00 2026-07-18
3700001 LOCAL Anes - 60 Min 14 5 $555.00 $555.00 $166.50 $502.83 $438.45 2026-07-18
87633 CPT Strep Group A Amp Probe 14 5 $1,250.00 $1,250.00 $292.30 $1,062.50 $416.78 2026-07-18
4240005 LOCAL Physical Therapy Evaluation: Moderate Complexity 14 5 $525.00 $525.00 $80.00 $475.65 $414.75 2026-07-18
20680 CPT Intravenous Infusion, Each Add Hour 5 4 $1,216.00 $1,216.00 $385.15 $1,033.60 $385.15 2026-07-18
25605 CPT Closed Treatment Of Distal Phalangeal Fracture 14 5 $1,589.00 $1,589.00 $248.00 $1,422.51 $385.15 2026-07-18
72126 CPT CT Cervical Spine Wo/w Contrast 14 5 $1,077.00 $1,077.00 $300.57 $463.83 $376.09 2026-07-18
72132 CPT CT Pelvis Wo Contrast 14 5 $1,077.00 $1,077.00 $234.00 $463.83 $376.09 2026-07-18
99306 CPT Subsequent Nursing Facility Care, Per Day 14 5 $479.00 $479.00 $112.82 $433.97 $359.25 2026-07-18
13131 CPT Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subsq, Small… 14 5 $701.00 $701.00 $129.16 $595.85 $353.00 2026-07-18
12054 CPT Repair, Complex, Trunk; 2.6 Cm To 7.5 Cm 14 5 $1,141.00 $1,141.00 $83.47 $969.85 $353.00 2026-07-18
P9021 HCPCS Platelets Administration Fee 14 5 $445.00 $445.00 $133.50 $403.17 $333.75 2026-07-18
32555 CPT Intraoral Incision And Drainage Of Abscess, Cyst, Or Hematoma Of Tongue Or Floor… 14 5 $961.00 $961.00 $115.00 $816.85 $333.63 2026-07-18
27550 CPT Closed Treatment Of Patellar Dislocation; Without Anes 24 5 $1,388.00 $1,388.00 $87.17 $1,286.05 $330.85 2026-07-18
99285 CPT Initial Treatment, First Degree Burn, When No More Than Local Treatment Is Req 27 5 $1,030.00 $1,030.00 $75.00 $933.18 $309.00 2026-07-18
11010 CPT Debridement Including Removal Of Foreign Material Skin And Muscle 14 5 $796.00 $796.00 $246.58 $676.60 $306.87 2026-07-18
11012 CPT Debridement, Subcutaneous Tissue (includes Epidermis And Dermis) First 20 Sq Cm … 14 5 $1,194.00 $1,194.00 $304.00 $1,014.90 $304.00 2026-07-18
11042 CPT Debridement, Muscle And Or Fascia First 20 Sq Cm Or Less 14 5 $175.00 $175.00 $129.16 $302.00 $302.00 2026-07-18
94003 CPT Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Vent;… 14 5 $191.00 $191.00 $57.30 $298.00 $298.00 2026-07-18
99310 CPT Nursing Facility Discharge 30 Minutes Or Less 14 5 $388.00 $388.00 $90.95 $351.53 $291.00 2026-07-18
74176 CPT CT Abd/pelvis W Contrast 14 5 $672.00 $672.00 $235.00 $1,077.00 $289.96 2026-07-18
12032 CPT Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or Extremities 7.6 Cm … 14 5 $549.00 $549.00 $129.16 $466.65 $283.33 2026-07-18
99305 CPT Initial Nursing Facility Care, Per Day 14 5 $373.00 $373.00 $87.75 $337.94 $279.75 2026-07-18
11044 CPT Avulsion Of Nail Plate, Partial Or Complete, Simple Single 14 5 $648.00 $648.00 $277.00 $580.56 $277.00 2026-07-18
87902 CPT Culture, Bacterial; Blood, Aerobic, With Isolation 14 5 $772.00 $772.00 $257.45 $656.20 $257.45 2026-07-18
27530 CPT Excision Dermoid Cyst, Nose; Simple, Skin, Subcuta 14 5 $856.00 $856.00 $105.16 $727.60 $250.81 2026-07-18
11620 CPT Excision, Benign Lesion Including Margins, Except Skin Tags .6 To 1.0 Cm 14 5 $356.00 $356.00 $92.27 $443.00 $250.81 2026-07-18
3700013 LOCAL Red Blood Cells, Each Unit 14 5 $298.00 $298.00 $89.40 $269.99 $235.42 2026-07-18
32551 CPT Arterial Puncture, Withdrawal Of Blood For Diagnosis 14 5 $450.00 $450.00 $135.00 $407.70 $235.00 2026-07-18
27560 CPT Control Nasal Hemorrhage, Anterior, Simple (limited Cautery Or Packing) Any Meth… 24 5 $992.00 $992.00 $87.17 $925.65 $234.00 2026-07-18
G0379 HCPCS Hospital Observation Service, Per Hour 14 5 $250.00 $250.00 $53.84 $327.00 $226.50 2026-07-18
99316 CPT Nursing Facility Discharge More Than 30 Minutes 14 5 $301.00 $301.00 $70.54 $272.71 $225.75 2026-07-18
70492 CPT CT Thoracic Spine Wo/w Contrast 14 5 $522.00 $522.00 $182.43 $450.00 $224.97 2026-07-18
73701 CPT CT Upper Extremity Wo Contrast 14 5 $522.00 $522.00 $182.43 $522.00 $224.97 2026-07-18
73702 CPT CT Lower Extremity W Contrast 14 5 $522.00 $522.00 $182.43 $450.00 $224.97 2026-07-18
73706 CPT Anes - 30 Min 14 5 $789.00 $789.00 $182.43 $758.22 $224.97 2026-07-18
73202 CPT CT Orbits W/wo Contrast 14 5 $522.00 $522.00 $182.43 $450.00 $224.97 2026-07-18
74160 CPT CT Neck Soft Tissue Wo Contrast 14 5 $522.00 $522.00 $182.43 $522.00 $224.97 2026-07-18
74170 CPT CT Abdomen Wo Contrast 14 5 $522.00 $522.00 $182.43 $1,077.00 $224.97 2026-07-18
74175 CPT CT Abd/pelvis Wo Contrast 14 5 $522.00 $522.00 $182.43 $450.00 $224.97 2026-07-18
74220 CPT Xr Eye Foreign Body 14 5 $522.00 $522.00 $69.99 $443.70 $224.97 2026-07-18
75635 CPT CTA Lower Extremity W/wo Contrast If Performed 14 5 $522.00 $522.00 $182.43 $575.00 $224.97 2026-07-18
72194 CPT CT Upper Extremity W Contrast 14 5 $522.00 $522.00 $182.43 $522.00 $224.97 2026-07-18
72193 CPT CT Pelvis Wo/w Contrast 14 5 $522.00 $522.00 $182.43 $450.00 $224.97 2026-07-18
72133 CPT CT Abdomen Wo/w Contrast 14 5 $522.00 $522.00 $182.43 $522.00 $224.97 2026-07-18
72130 CPT CT Lower Extremity Wo Contrast 14 5 $522.00 $522.00 $182.43 $1,077.00 $224.97 2026-07-18
72129 CPT CT Lumbar Spine Wo Contrast 14 5 $522.00 $522.00 $182.43 $450.00 $224.97 2026-07-18
72127 CPT CT Maxillofacial Area Wo Contrast 14 5 $522.00 $522.00 $182.43 $522.00 $224.97 2026-07-18
71275 CPT CTA Abdomen W Contrast 14 5 $522.00 $522.00 $182.43 $450.00 $224.97 2026-07-18
71270 CPT CT Thorax With Contrast 14 5 $522.00 $522.00 $182.43 $450.00 $224.97 2026-07-18
71260 CPT CT Lumbar Spine Wo/w Contrast 14 5 $522.00 $522.00 $182.43 $522.00 $224.97 2026-07-18
70498 CPT CTA Chest (noncoronary) W Contrast 14 5 $522.00 $522.00 $182.43 $522.00 $224.97 2026-07-18
70496 CPT CTA Neck W Contrast 14 5 $522.00 $522.00 $182.43 $522.00 $224.97 2026-07-18
70491 CPT CT Neck Soft Tissue Wo/w Contrast 14 5 $522.00 $522.00 $182.43 $522.00 $224.97 2026-07-18
70488 CPT CTA Head Wo/w Contrast 14 5 $575.00 $575.00 $182.43 $522.00 $224.97 2026-07-18
70482 CPT CT Orbits Wo/contrast 14 5 $522.00 $522.00 $182.43 $522.00 $224.97 2026-07-18
70481 CPT CT Thorax Wo/w Contrast 14 5 $522.00 $522.00 $182.43 $1,077.00 $224.97 2026-07-18
70470 CPT CT Thorax Without Contrast 14 5 $522.00 $522.00 $182.43 $450.00 $224.97 2026-07-18
70460 CPT CT Head Without Contrast 14 5 $519.00 $519.00 $182.43 $450.00 $224.97 2026-07-18
74400 CPT Xr Sacroiliac Joints Less Than 3 Views 14 5 $522.00 $522.00 $90.72 $443.70 $215.33 2026-07-18
99284 CPT Simple Repair Of Superficial Wounds Of Scalp, Neck, Genitalia, Trunk And/or Extr… 27 5 $355.00 $355.00 $45.00 $643.26 $213.00 2026-07-18
26725 CPT Treatment Of Superficial Wound Dehiscence; Simple Closure 24 5 $1,012.00 $1,012.00 $60.61 $860.20 $210.50 2026-07-18
23650 CPT Placement Of Needle For Intraosseous Infusion 24 5 $870.00 $870.00 $87.17 $819.40 $210.50 2026-07-18
26755 CPT Closed Treatment Of Interphalangeal Joint Dislocation Single With Manipulation W… 14 5 $946.00 $946.00 $87.17 $804.10 $210.50 2026-07-18
11442 CPT Insertion Of Temporary Indwelling Bladder Catheter Complicated 14 5 $424.00 $424.00 $85.12 $360.40 $209.79 2026-07-18
26770 CPT Closed Treatment Of Knee Dislocation; Without Anes 24 5 $844.00 $844.00 $87.17 $717.40 $204.61 2026-07-18
99309 CPT Subsequent Nursing Facility Care, Per Day 14 5 $263.00 $263.00 $61.45 $238.28 $197.25 2026-07-18
10061 CPT Incision And Drainage Of Pilonidal Cyst; Simple 14 5 $535.00 $535.00 $57.33 $454.75 $197.19 2026-07-18
11422 CPT Excision, Benign Lesion Including Margins Scalp, Neck, Hands, Feet, Genitalia .… 14 5 $393.00 $393.00 $30.00 $334.05 $195.30 2026-07-18
11402 CPT Closed Treatment Of Rib Fracture, Uncomplicated, Each 14 5 $336.00 $336.00 $49.00 $285.60 $194.04 2026-07-18
99304 CPT Initial Nursing Facility Care, Per Day 14 5 $258.00 $258.00 $60.71 $233.75 $193.50 2026-07-18
11441 CPT Excision, Benign Lesion Including Margins Face Ears Eyelids Nose Lips 1.1 To 2.0… 14 5 $385.00 $385.00 $45.00 $327.25 $192.15 2026-07-18
92950 CPT Critical Care, Each Add 30 Minutes 24 5 $979.00 $979.00 $131.01 $886.97 $191.65 2026-07-18
11420 CPT Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet .5 Cm Or … 14 5 $240.00 $240.00 $59.21 $204.00 $187.50 2026-07-18
28515 CPT Application Of Long Arm Splint (shoulder To Hand) 14 5 $481.00 $481.00 $60.61 $408.85 $185.22 2026-07-18
41250 CPT Replacement Of Gastrostomy Tube, Percutaneous, Includes Removal Without Imaging Guid… 24 5 $443.00 $443.00 $74.98 $761.95 $183.82 2026-07-18
97597 CPT Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; W Imaging Gu… 14 5 $301.00 $301.00 $23.78 $272.71 $183.40 2026-07-18
12004 CPT Simple Repair Of Superficial Wounds Of Scalp, Neck, Genitalia, Trunk And/or Extr… 27 5 $384.00 $384.00 $48.10 $347.90 $183.40 2026-07-18
12002 CPT Arthrocentesis, Aspiration And/or Injection, Major Joint Or Bursa Without Ultrasound… 27 5 $169.00 $169.00 $42.52 $465.00 $183.40 2026-07-18
16025 CPT Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subsq (great… 14 5 $462.00 $462.00 $70.63 $392.70 $183.40 2026-07-18
16020 CPT Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subsq (5 To … 27 5 $248.00 $248.00 $37.12 $342.00 $183.40 2026-07-18
12011 CPT Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips, 2.6 Cm T… 27 5 $329.00 $329.00 $39.82 $387.00 $183.40 2026-07-18
96372 CPT Cardiopulmonary Resuscitation 14 5 $42.00 $42.00 $12.60 $183.00 $183.00 2026-07-18
96365 CPT Intravenous Infusion, Hydration; Initial, 31 Min To 1 Hour 14 5 $198.00 $198.00 $59.40 $715.00 $179.39 2026-07-18
11421 CPT Excision, Benign Lesion Including Margins 1.1 To 2.0 Cm 14 5 $318.00 $318.00 $30.00 $270.30 $177.03 2026-07-18
59414 CPT Removal Impacted Cerumen Using Irrigation/lavage, Unilateral 28 5 $202.00 $202.00 $15.19 $1,012.00 $176.60 2026-07-18
11401 CPT Excision, Benign Lesion Including Margins, Except Skin Tag Trunk Arms Legs .5 Cm… 14 5 $307.00 $307.00 $14.00 $260.95 $176.40 2026-07-18
99156 CPT Spirometry, Including Graphic Record 14 5 $222.00 $222.00 $66.60 $201.13 $175.38 2026-07-18
11440 CPT Excision, Benign Lesion Including Margins Face Ears Eyelids Nose Lips .6 To 1.0 … 14 5 $307.00 $307.00 $66.61 $260.95 $169.47 2026-07-18
11750 CPT Wedge Excision Of Skin Of Nail Fold 14 5 $297.00 $297.00 $79.40 $796.00 $168.21 2026-07-18
12034 CPT Initial Treatment, First Degree Burn, When No More Than Local Treatment Is Req 24 5 $593.00 $593.00 $129.16 $841.50 $165.88 2026-07-18
86901 CPT Compatibility Test Each Unit; Immediate Spin Techn 14 5 $9.00 $9.00 $2.99 $160.00 $160.00 2026-07-18
21800 CPT Closed Treatment Of Tibial Fracture, Proximal Without Manip 14 5 $200.00 $200.00 $60.00 $181.20 $158.00 2026-07-18
99315 CPT Nursing Facility Discharge More Than 30 Minutes 14 5 $210.00 $210.00 $49.41 $190.26 $157.50 2026-07-18
99283 CPT Emergency Department Visit Level 4 41 5 $210.00 $210.00 $30.00 $362.40 $154.00 2026-07-18
86920 CPT Xr Abdomen Complete Acute Abdomen Series Including Single Chest 14 5 $166.00 $166.00 $14.95 $225.00 $152.32 2026-07-18
64400 CPT Injection(s); Single Or Multiple Trigger Point(s), One Or Two Muscles 14 5 $332.00 $332.00 $53.78 $282.20 $150.57 2026-07-18
99308 CPT Subsequent Nursing Facility Care, Per Day 14 5 $199.00 $199.00 $46.70 $180.29 $149.25 2026-07-18
65222 CPT Removal Foreign Body From External Auditory Canal 14 5 $198.00 $198.00 $28.13 $183.82 $141.73 2026-07-18
11976 CPT Removal Of Implant; Superficial (eg, Buried Wire, Pin Or Rod) Seperate Procedure 14 5 $294.00 $294.00 $54.28 $329.00 $139.50 2026-07-18
70486 CPT CT Maxillofacial W/wo Contrast 14 5 $318.00 $318.00 $111.19 $318.00 $137.30 2026-07-18
70490 CPT CT Neck Soft Tissue W Contrast 14 5 $318.00 $318.00 $111.19 $522.00 $137.30 2026-07-18
70250 CPT Xr Skull Complete Series 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
70260 CPT Xr Spine Cervical - 4 Or 5 View 14 5 $318.00 $318.00 $75.55 $286.15 $137.30 2026-07-18
70200 CPT Xr Nose To Rectum Foreign Body Single View Child 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
70450 CPT CT Head W/wo Contrast 14 5 $318.00 $318.00 $111.19 $318.00 $137.30 2026-07-18
70150 CPT Xr Femur Min 2 Views 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
70130 CPT Xr Nasal Bones Complete 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
70480 CPT CT Orbits W/contrast 14 5 $318.00 $318.00 $111.19 $318.00 $137.30 2026-07-18
70120 CPT Xr Mastoid Complete Series 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
71101 CPT Xr Ribs, Bilateral; Including Pa Chest Min 4 View 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
71111 CPT Xr Spine, Cervical; 2 Or 3 View 14 5 $315.00 $315.00 $75.55 $286.15 $137.30 2026-07-18
71250 CPT CT Thoracic Spine Wo Contrast 14 5 $318.00 $318.00 $111.19 $318.00 $137.30 2026-07-18
72050 CPT Xr Spine Cervical 6 Or More Views 14 5 $318.00 $318.00 $75.55 $286.15 $137.30 2026-07-18
72052 CPT Xr Spine Thoracic 2 Views 14 5 $318.00 $318.00 $75.55 $286.15 $137.30 2026-07-18
72070 CPT Xr Spine Thoracic 3 View 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
72072 CPT Xr Spine Entire Thoracic/lumbar Including Skull, Cervical And Sacral Spine 2-3 V… 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
72082 CPT Xr Spine Lumbar Min 4 Views 14 5 $318.00 $318.00 $100.69 $286.15 $137.30 2026-07-18
72083 CPT CT Head With Contrast 14 5 $234.00 $234.00 $50.06 $198.90 $137.30 2026-07-18
72084 CPT Xr Elbow Complete Min 3 Views 14 5 $293.00 $293.00 $60.07 $249.05 $137.30 2026-07-18
72100 CPT Xr Sternum Min 2 View 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
72110 CPT Xr Spine Lumbo-sacral 2 Or 3 View 14 5 $318.00 $318.00 $75.55 $286.15 $137.30 2026-07-18
72125 CPT CT Cervical Spine W Contrast 14 5 $318.00 $318.00 $111.19 $522.00 $137.30 2026-07-18
72128 CPT CT Thoracic Spine With Contrast 14 5 $318.00 $318.00 $111.19 $318.00 $137.30 2026-07-18
72131 CPT CT Lumbar Spine W Contrast 14 5 $318.00 $318.00 $111.19 $318.00 $137.30 2026-07-18
72170 CPT Xr Pelvis Complete Min 3 View 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
72190 CPT Xr Urography (pyelography), Intravenous 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
72192 CPT CT Pelvis W Contrast 14 5 $318.00 $318.00 $111.19 $519.00 $137.30 2026-07-18
72200 CPT Xr Sacrum And Coccyx Min 2 View 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
73010 CPT Xr Sella Turcica 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
77075 CPT Xr Mandible Partial 14 5 $318.00 $318.00 $75.55 $286.15 $137.30 2026-07-18
74150 CPT Cta, Abdomen And Pelvis, With Contrast Material(s), Including Noncontrast Images… 14 5 $318.00 $318.00 $111.19 $522.00 $137.30 2026-07-18
73120 CPT Xr Wrist Complete 3 Views 14 5 $318.00 $318.00 $44.87 $286.15 $137.30 2026-07-18
73200 CPT CT Abdomen W Contrast 14 5 $318.00 $318.00 $111.19 $522.00 $137.30 2026-07-18
74022 CPT Xr Ribs Unilateral 2 View 14 5 $318.00 $318.00 $75.55 $286.15 $137.30 2026-07-18
74021 CPT Xr Spine Entire 4-5 View (scoliosis Series) 14 5 $318.00 $318.00 $111.19 $286.15 $137.30 2026-07-18
74019 CPT Xr Abdomen 3 Or More Views 14 5 $318.00 $318.00 $111.19 $286.15 $137.30 2026-07-18
73521 CPT Xr Humerus Min 2 View 14 5 $318.00 $318.00 $100.69 $286.15 $137.30 2026-07-18
73700 CPT CT Cervical Spine Without Contrast 14 5 $318.00 $318.00 $111.19 $522.00 $137.30 2026-07-18
81401 CPT Ehlers-danlos Syndrome Multigene Analysis, Blood Or Tissue 14 5 $411.00 $411.00 $137.00 $349.35 $137.00 2026-07-18
99223 CPT Subsequent Hospital Care, Per Day, For The Eval 14 5 $575.00 $575.00 $133.20 $488.75 $136.91 2026-07-18
U0003 HCPCS Urinalysis, By Dip Stick Or Tablet Reagent 14 5 $225.00 $225.00 $67.50 $203.85 $134.38 2026-07-18
10080 CPT Incision And Removal Of Foreign Body, Subcutaneous 14 5 $304.00 $304.00 $57.33 $258.40 $132.23 2026-07-18
80101 CPT Homocysteine 14 5 $175.00 $175.00 $52.50 $158.55 $131.25 2026-07-18
3700005 LOCAL Fluothane 14 5 $165.00 $165.00 $49.50 $149.49 $130.35 2026-07-18
16030 CPT Exploration Of Penetrating Wound (separate Procedure) Extremity 27 5 $577.00 $577.00 $92.18 $543.90 $129.16 2026-07-18
12005 CPT Simple Repair Of Superficial Wounds Of Scalp, Neck, Genitalia, Trunk And/or Extr… 27 5 $518.00 $518.00 $69.56 $648.00 $129.16 2026-07-18
12006 CPT Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips, 2.5 Cm O… 27 5 $605.00 $605.00 $35.00 $543.90 $129.16 2026-07-18
94660 CPT Bi Pap Initial Charge 14 5 $187.00 $187.00 $56.10 $186.38 $128.97 2026-07-18
G0378 HCPCS Immunization Administration; One Vaccine, Single Or Combo 14 5 $150.00 $150.00 $45.00 $135.90 $126.69 2026-07-18
64402 CPT ER Physician Level 4 14 5 $147.00 $147.00 $44.10 $420.00 $124.95 2026-07-18
99282 CPT ER Physician Level 3 27 5 $123.00 $123.00 $30.23 $320.00 $124.65 2026-07-18
51703 CPT Excision, Benign Lesion Including Margins Scalp, Neck, Hands, Feet, Genitalia 1… 14 5 $446.00 $446.00 $44.77 $379.10 $124.27 2026-07-18
20670 CPT Removal Of Implant; Deep (eg, Buried Wire, Pin, Screw, Metal Band, Nail Plate Or… 14 5 $419.00 $419.00 $124.00 $356.15 $124.00 2026-07-18
99220 CPT Initial Hospital Care, Per Day, For The Eval 14 5 $520.00 $520.00 $122.95 $442.00 $123.64 2026-07-18
80050 CPT Electrolyte Panel 14 5 $155.00 $155.00 $33.30 $140.43 $122.45 2026-07-18
31525 CPT Application Of Finger Splint; Static 28 5 $600.00 $600.00 $40.00 $627.30 $120.37 2026-07-18
11403 CPT Arthrocentesis, Aspiration And/or Injection, Small Joint Or Bursa Without Ultrasound… 14 5 $430.00 $430.00 $83.88 $365.50 $118.72 2026-07-18
99152 CPT Moderate Sedation Services Provided By The Same Physician Each Add 15 Min 14 5 $149.00 $149.00 $12.51 $134.99 $117.71 2026-07-18
30124 CPT Excision, Benign Lesion Including Margins Scalp, Neck, Hands, Feet, Genitalia .… 14 5 $899.00 $899.00 $116.50 $764.15 $116.50 2026-07-18
87635 CPT Drug Screen, Qualitative; Single Drug Class Method 14 5 $154.00 $154.00 $46.20 $139.52 $115.50 2026-07-18
30905 CPT Tube Thoracostomy, Includes Connection To Drainage System When Performed; Open (… 14 5 $1,053.00 $1,053.00 $44.07 $895.05 $115.16 2026-07-18
99195 CPT Excision, Benign Lesion Including Margins 2.1 To 3.0 Cm 14 5 $296.00 $296.00 $42.49 $268.18 $115.16 2026-07-18
94644 CPT Continuous Inhalation Treatment With Aerosol Medication For Acute Airway Obstruc… 14 5 $180.00 $180.00 $45.50 $163.08 $115.16 2026-07-18
30300 CPT Removal Of Foreign Body, External Eye; Conjunctival Superficial 24 5 $367.00 $367.00 $26.22 $568.97 $115.16 2026-07-18
51701 CPT Insertion Of Temporary Indwelling Bladder Catheter; Simple 14 5 $131.00 $131.00 $26.22 $205.00 $115.16 2026-07-18
G0480 HCPCS Immunoassay For Analyte Other Than Infectious Agen 14 5 $343.00 $343.00 $79.94 $291.55 $114.43 2026-07-18
31500 CPT Intravenous Infusion, Each Add Hour 24 5 $459.00 $459.00 $82.31 $390.15 $114.23 2026-07-18
99222 CPT Initial Hospital Care, Per Day, For The Eval 14 5 $391.00 $391.00 $93.40 $332.35 $105.38 2026-07-18
81410 CPT Immunoassay For Analyte Other Than Infectious Agent 14 5 $500.00 $500.00 $3.82 $425.00 $105.00 2026-07-18
76010 CPT Xr Acromioclavicular Joints Bilat W/wo Weighted Distraction 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
70030 CPT Xr Facial Bones - 3 Views 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
70100 CPT Xr Mastoid Less Than 3 Views 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
70140 CPT Xr Facial Bones Comp. Series 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
70160 CPT Xr Calcaneus Min 2 View 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
70220 CPT Xr Skull Less Than 4 Views 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
70240 CPT Xr Shoulder 1 View 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
70328 CPT Xr Toes Min 2 Views 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
70360 CPT Xr Foot Complete Min 3 View 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
71045 CPT Xr Chest 2 Views 14 5 $234.00 $234.00 $62.11 $198.90 $101.93 2026-07-18
71046 CPT Xr Ribs Unilateral Including Post Anterior Chest Min 3 Views 14 5 $234.00 $234.00 $62.11 $198.90 $101.93 2026-07-18
71100 CPT Xr Orbits Complete Min 4 View 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
71120 CPT Xr Temporomandibular Joint Open/closed Mouth Unilateral 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
72040 CPT Xr Spine, Entire (scoliosis Series) Min 6 Views 14 5 $258.00 $258.00 $44.87 $219.30 $101.93 2026-07-18
72220 CPT Xr Scapula Complete 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73000 CPT Xr Elbow 2 Views 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73020 CPT Xr Shoulder Complete Min 2 Views 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73030 CPT Xr Sinuses Paranasal Complete 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
73050 CPT Xr Ankle Complete Min 3 View 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73060 CPT Xr Knee 1 Or 2 Views 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73070 CPT Xr Esophagus 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73080 CPT Xr Abdomen 1 View 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73090 CPT Xr Wrist 2 Views 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73100 CPT Xr Hand Min 3-views 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
73110 CPT Xr Hip Unilateral 2-3 View W Pelvis When Performed 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73130 CPT Xr Hand 2 Views 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
73140 CPT Xr Foot 2 View 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
73501 CPT Xr Neck Soft Tissue 14 5 $234.00 $234.00 $60.80 $198.90 $101.93 2026-07-18
73502 CPT Xr Hip Bilateral W Pelvis 2 View 14 5 $234.00 $234.00 $60.80 $198.90 $101.93 2026-07-18
73552 CPT Xr Finger Min 2 View 14 5 $234.00 $234.00 $60.80 $198.90 $101.93 2026-07-18
73560 CPT Xr Tibia And Fibula 2 Views 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
73562 CPT Xr Hip Unilateral W Pelvis When Performed 1 View 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
73590 CPT Xr Osseous Survey Complete 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73610 CPT Xr Clavicle Complete 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
73620 CPT Xr Forearm 2 View 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73630 CPT Xr Chest 1 View 14 5 $237.00 $237.00 $44.87 $201.45 $101.93 2026-07-18
73650 CPT Xr Pelvis - 1 Or 2 Views 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
73660 CPT Xr Knee 3 Views 14 5 $234.00 $234.00 $44.87 $198.90 $101.93 2026-07-18
74018 CPT Xr Abdomen 2 Views 14 5 $234.00 $234.00 $62.11 $198.90 $101.93 2026-07-18
96374 CPT Therapeutic, Prophylactic, Or Diagnostic Injection IV Push Each Add New Substanc… 14 5 $115.00 $115.00 $34.50 $104.19 $100.00 2026-07-18
69200 CPT Removal Impacted Cerumen Requiring Instrumentation, Unilateral 24 5 $258.00 $258.00 $26.22 $233.75 $96.28 2026-07-18
87502 CPT Hbv DNA Quantitative 14 5 $287.00 $287.00 $95.80 $243.95 $95.80 2026-07-18
99307 CPT Subsequent Nursing Facility Care, Per Day 14 5 $127.00 $127.00 $29.74 $115.06 $95.25 2026-07-18
80329 CPT Glucose; Tolerance Test, Each Additional Beyond 3 11 5 $120.00 $120.00 $0.48 $102.00 $94.80 2026-07-18
99219 CPT Initial Observation Care, Per Day, For The Eval 14 5 $384.00 $384.00 $90.59 $326.40 $91.44 2026-07-18
96360 CPT Intravenous Infusion, Hydration; Each Additional Hr 14 5 $100.00 $100.00 $30.00 $130.00 $90.60 2026-07-18
10121 CPT Puncture Aspiration Of Abscess, Hematoma, Bulla, Or Cyst 14 5 $534.00 $534.00 $90.00 $453.90 $90.00 2026-07-18
56405 CPT Injection(s), Anesthetic Agent(s) And/or Steroid; Other Peripheral Nerve Or Bran… 24 5 $441.00 $441.00 $37.50 $374.85 $87.50 2026-07-18
12014 CPT Avulsion Of Nail Plate, Partial Or Complete, Simple Single 27 5 $215.00 $215.00 $48.10 $380.52 $87.31 2026-07-18
97165 CPT Occupational Therapy Evaluation, Moderate 14 5 $300.00 $300.00 $68.82 $127.81 $86.12 2026-07-18
97166 CPT Occupational Therapy Evaluation, High 14 5 $300.00 $300.00 $68.82 $127.81 $86.12 2026-07-18
97167 CPT Re-evaluation Of Occupational Therapy Established 14 5 $300.00 $300.00 $68.82 $127.81 $86.12 2026-07-18
10120 CPT Incision And Removal Of Foreign Body, Subcutaneous Complicatd 24 5 $302.00 $302.00 $66.37 $256.70 $85.46 2026-07-18
92526 CPT Development Of Cognitive Skills 14 5 $253.00 $253.00 $58.01 $142.27 $85.06 2026-07-18
11982 CPT Debridement, Open Wound, Per Session Total Wound Surface Area First 20 Sq Cm Or … 27 5 $214.00 $214.00 $6.38 $181.90 $84.56 2026-07-18
97162 CPT Physical Therapy Evaluation: High Complexity 14 5 $298.00 $298.00 $68.33 $116.19 $83.47 2026-07-18
97161 CPT Tens Set Up/instruct Each 15 Min 14 5 $298.00 $298.00 $68.33 $116.19 $83.47 2026-07-18
97163 CPT Re-evaluation Of Physical Therapy Established Plan 14 5 $298.00 $298.00 $68.33 $116.19 $83.47 2026-07-18
11730 CPT Evacuation Of Subungual Hematoma 27 5 $157.00 $157.00 $35.38 $295.66 $81.00 2026-07-18
11765 CPT Simple Repair Of Superficial Wounds Of Scalp, Neck 2.5 Cm Or Less 27 5 $269.00 $269.00 $35.38 $852.00 $80.70 2026-07-18
10060 CPT Simple Repair Of Superficial Wounds Of Scalp, Neck 2.5 Cm Or Less 24 5 $367.00 $367.00 $48.85 $260.10 $80.55 2026-07-18
82805 CPT Glucose; Blood, Reagent Strip 14 5 $236.00 $236.00 $40.20 $200.60 $78.77 2026-07-18
3700011 LOCAL Ethrane 14 5 $99.00 $99.00 $29.70 $89.69 $78.21 2026-07-18
12015 CPT Application Of Short Leg Splint (calf To Foot) 27 5 $271.00 $271.00 $17.65 $427.55 $78.03 2026-07-18
11740 CPT Excision Of Nail And Nail Matrix, Partial Or Complete For Perm Removal 14 5 $91.00 $91.00 $15.65 $82.45 $78.00 2026-07-18
3700012 LOCAL Axillary Block 14 5 $98.00 $98.00 $29.40 $88.79 $77.42 2026-07-18
69210 CPT Therapeutic, Prophylactic, Or Diagnostic Injection 14 5 $138.00 $138.00 $20.48 $125.03 $77.39 2026-07-18
65205 CPT Removal Of Foreign Body, External Eye; Corneal, Without Slit Lamp 27 5 $85.00 $85.00 $19.74 $450.00 $77.01 2026-07-18
10160 CPT Closed Treatment Of Radial Head Subluxation In Child, Nurse Maid Elbow With Mani… 24 5 $381.00 $381.00 $57.33 $694.00 $76.06 2026-07-18
51702 CPT Bipap Mask 27 5 $74.00 $74.00 $22.20 $628.00 $74.00 2026-07-18
97139 CPT Manual Therapy Techniques 28 5 $90.00 $90.00 $14.27 $81.54 $71.10 2026-07-18
97770 CPT Replacement Of Gastrostomy Tube, Percutaneous, Includes Removal Without Imaging Guid… 14 5 $90.00 $90.00 $27.00 $81.54 $71.10 2026-07-18
94010 CPT Bronchodilation Responsiveness 20 5 $78.00 $78.00 $23.40 $301.00 $70.67 2026-07-18
99233 CPT Hospital Discharge Day Management; 30 Minutes Or Less 14 5 $297.00 $297.00 $67.82 $252.45 $70.54 2026-07-18
87634 CPT Bordetella Pertussis 14 5 $211.00 $211.00 $70.20 $179.35 $70.20 2026-07-18
99221 CPT Initial Hospital Care, Per Day, For The Eval 14 5 $289.00 $289.00 $66.43 $245.65 $69.81 2026-07-18
99226 CPT Observation Care Discharge Day Management 14 5 $294.00 $294.00 $62.15 $249.90 $69.56 2026-07-18
43762 CPT Critical Care, First 30-74 Minutes 28 5 $400.50 $400.50 $2.98 $589.90 $68.72 2026-07-18
99281 CPT ER Physician Level 2 27 5 $64.00 $64.00 $15.49 $491.00 $68.66 2026-07-18
86769 CPT HIV 1 And Or HIV 2 Scr Elisa 14 5 $126.00 $126.00 $12.88 $114.16 $68.31 2026-07-18
99218 CPT Initial Observation Care, Per Day, For The Eval 14 5 $283.00 $283.00 $58.24 $240.55 $68.09 2026-07-18
12013 CPT Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips, 5.1 Cm T… 27 5 $342.00 $342.00 $2.88 $309.85 $68.03 2026-07-18
36680 CPT Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips,7.6 Cm To… 27 5 $120.00 $120.00 $18.10 $154.02 $68.03 2026-07-18
G0009 HCPCS Administration Of Hepatitis B Vaccine 14 5 $35.00 $35.00 $10.50 $68.00 $68.00 2026-07-18
99175 CPT Intravenous Infusion, Initial Up To One Hour 14 5 $84.00 $84.00 $19.03 $76.10 $66.36 2026-07-18
30901 CPT Control Nasal Hemorrhage, Posterior, With Posterior Nasal Packs And Or Cautery ,… 27 5 $470.00 $470.00 $7.36 $425.82 $65.28 2026-07-18
96367 CPT Intravenous Infusion, Concurrent Infusion 14 5 $88.00 $88.00 $26.40 $79.73 $63.32 2026-07-18
97168 CPT Orthotic(s) Management And Training 14 5 $206.00 $206.00 $46.95 $115.03 $62.81 2026-07-18
24640 CPT Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subsq (great… 24 5 $238.00 $238.00 $44.75 $264.35 $62.59 2026-07-18
86480 CPT Antibody; Coccidioides 14 5 $186.00 $186.00 $61.98 $158.10 $61.98 2026-07-18
11001 CPT Debridement Including Removal Of Foreign Material 11 5 $78.00 $78.00 $7.15 $70.67 $61.62 2026-07-18
99238 CPT Initial Nursing Facility Care, Per Day 14 5 $209.00 $209.00 $49.16 $177.65 $60.51 2026-07-18
99217 CPT Initial Observation Care, Per Day, For The Eval 14 5 $208.00 $208.00 $48.91 $176.80 $58.08 2026-07-18
97164 CPT Pt Mobility Cur 14 5 $205.00 $205.00 $46.70 $104.57 $57.78 2026-07-18
96523 CPT Intravenous Infusion, Additional Seq Infusion Of A New Drug Up To One Hour 14 5 $78.00 $78.00 $23.40 $70.67 $56.85 2026-07-18
93005 CPT Telemetry Per Day 14 5 $95.00 $95.00 $10.53 $86.07 $56.85 2026-07-18
65220 CPT Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subsq, Small… 27 5 $119.00 $119.00 $28.51 $158.55 $54.00 2026-07-18
87492 CPT Infectious Agent Detection By Nucleic Acid 14 5 $160.00 $160.00 $40.19 $136.00 $53.47 2026-07-18
20552 CPT Irrigation Of Implanted Venous Access Device 14 5 $157.00 $157.00 $20.97 $1,030.00 $52.92 2026-07-18
12001 CPT Simple Repair Of Superficial Wounds Of Scalp, Neck, Genitalia, Trunk And/or Extr… 27 5 $129.00 $129.00 $26.86 $1,194.00 $51.52 2026-07-18
16000 CPT Ipecac Or Similar Administration 27 5 $223.00 $223.00 $24.92 $491.00 $51.12 2026-07-18
84445 CPT Renal Function Panel 14 5 $153.00 $153.00 $50.86 $130.05 $50.86 2026-07-18
99232 CPT Subsequent Hospital Care, Per Day, For The Eval 14 5 $207.00 $207.00 $49.16 $175.95 $50.43 2026-07-18
85060 CPT Fibrin Degradation Products, D-dimer; Qualitative 14 5 $63.00 $63.00 $18.90 $57.08 $49.77 2026-07-18
96376 CPT Injection(s), Anesthetic Agent(s) And/or Steroid; Trigeminal Nerve, Each Branch 14 5 $62.00 $62.00 $18.60 $56.17 $48.98 2026-07-18
99225 CPT Subsequent Observation Care, Per Day, For The Eval 14 5 $206.00 $206.00 $41.53 $175.10 $48.91 2026-07-18
94060 CPT Bicillin La 1,200,000 Units/2 Ml Inj 9 5 $114.00 $114.00 $34.20 $103.28 $48.45 2026-07-18
36430 CPT Continuous Positive Airway Pressure Ventilation 14 5 $111.00 $111.00 $24.67 $94.35 $48.00 2026-07-18
80074 CPT Carbamazepine; Total 14 5 $143.00 $143.00 $47.63 $121.55 $47.63 2026-07-18
96368 CPT Therapeutic, Prophylactic, Or Diagnostic Injection IV Push Single Or Initial Sub… 14 5 $60.00 $60.00 $18.00 $54.36 $47.40 2026-07-18
See an error in this hospital's data? Submit a correction