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

Baylor Scott & White Medical Center - Llano

Llano, TX · CCN 450219 · Rates published

Your selected procedure

You selected 93306 (CPT)

US ECHOCARDIOGRAM 2D DOPPLER COLOR

This hospital’s price: $1,914 across 6 payers · range $224-$2,151

Source: https://app.box.com/shared/static/014qldrhzg4gzylftskt3wtnjfulb9id.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,127 distinct procedures filed
6 distinct payers
43,701 rate rows
2026-07-15 last MRF observed
Data quality

43,697 of 43,701 rate rows are consumer-grade (100.0%)

4 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 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/shared/static/014qldrhzg4gzylftskt3wtnjfulb9id.csv
Found on page https://llanoregional.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-08-01
Content fingerprint 3d5013f9f004024a… · 2,603,792 bytes · first seen 2026-06-15

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
C1721
HCPCS 		Icd Defribillator Sn#61054946 6 $18,769.00 $37,538.00 $33,408.82 nat. median
$22,344
1.5× median
C1822
HCPCS 		Stim Generator 6 $16,753.00 $33,506.00 $29,820.34 nat. median
$31,540
0.9× median
J3101
HCPCS 		Tenecteplase 50mg Vial 6 $115.88 $13,552.25 $12,061.50 nat. median
$3,820
outlier · 3.2×
J2760
HCPCS 		Phentolamine 5mg/2ml Vial (regitine) 6 $5,355.00 $10,710.00 $9,531.90 nat. median
$720
outlier · 13.2×
C1785
HCPCS 		Bivic Defibrillator 6 $2,194.50 $38,019.00 $8,803.88 nat. median
$6,720
1.3× median
C1764
HCPCS 		Loop Recorder 6 $4,716.50 $9,433.00 $8,395.37 nat. median
$7,740
1.1× median
J1162
HCPCS 		Digoxin Immune Fab 40mg Vial (digifab) 6 $4,260.13 $8,520.25 $7,583.02 nat. median
$7,141
1.1× median
59812
CPT 		Treatment Incomplete Abortion 6 $175.00 $7,700.00 $6,853.00 nat. median
$3,252
outlier · 2.1×
21337
CPT 		Closed Tx Nasal Fx 6 $175.00 $7,150.00 $6,363.50 nat. median
$3,235
2.0× median
J0630
HCPCS 		Calcitonin 400unit/2ml Inj (miacalcin) 6 $2,877.25 $5,754.50 $5,121.51 nat. median
$1,894
outlier · 2.7×
3507016
LOCAL 		Golimumab 50mg/4ml 6 $2,403.60 $4,807.19 $4,278.40 nat. median
$1,923
outlier · 2.2×
3507731
LOCAL 		Actemra 400mg/20ml Vial 6 $2,378.24 $4,756.48 $4,233.27 nat. median
$4,233
1.0× median
75710
CPT 		Xr Angiography Extremity Unilateral 6 $150.36 $4,730.00 $3,996.68 nat. median
$3,197
1.3× median
69005
CPT 		Drainage Ext Ear, Complicated 6 $175.00 $4,311.00 $3,836.79 nat. median
$1,770
outlier · 2.2×
90000469
LOCAL 		Sorbfix 6 $2,044.50 $4,089.00 $3,639.21 nat. median
$2,044
1.8× median
95811
CPT 		Sleep Study (cpap) 6 $721.66 $3,990.00 $3,551.10 nat. median
$1,894
1.9× median
95810
CPT 		Sleep Study 6 $684.92 $3,805.00 $3,386.45 nat. median
$1,825
1.9× median
G0399
HCPCS 		Sleep Study At Home 6 $175.16 $3,805.00 $3,386.45 nat. median
$343
outlier · 9.9×
95800
CPT 		Sleep Study Unattended 6 $172.56 $3,805.00 $3,386.45 nat. median
$345
outlier · 9.8×
J0897
HCPCS 		Denosumab 60mg/1ml Inj (prolia) 6 $1,861.22 $3,722.44 $3,312.97 nat. median
$1,972
1.7× median
49407
CPT 		Peritoneal Procedures 6 $175.00 $3,472.00 $3,090.08 nat. median
$2,059
1.5× median
42300
CPT 		Drainage Salivary Gland 6 $175.00 $3,425.00 $3,048.25 nat. median
$1,652
1.8× median
78806
CPT 		Nm Indium 111 White Bld Cell 6 $350.81 $3,389.00 $3,016.21 nat. median
$1,156
outlier · 2.6×
7322550
OTHER 		MRA Up Extrem Wo/w-bil 6 $550.00 $3,366.00 $2,995.74 nat. median
$2,356
1.3× median
J7325
HCPCS 		Synvisc-one 48mg/6ml Inj 6 $1,567.38 $3,134.75 $2,789.93 nat. median
$143
outlier · 19.5×
38300
CPT 		Drainage Lymph Node Lesio 6 $175.00 $3,108.00 $2,766.12 nat. median
$2,761
1.0× median
G0390
HCPCS 		Trauma Response Level 6 $1,500.00 $3,000.00 $2,670.00 nat. median
$3,197
0.8× median
26011
CPT 		Drainage Finger Abscess Complicated 6 $175.00 $2,970.00 $2,643.30 nat. median
$1,701
1.6× median
59409
CPT 		Pf-vaginal Delivery Only 6 $175.00 $6,089.00 $2,418.13 nat. median
$3,153
0.8× median
78451
CPT 		Nm Myocard Perf Image-single 6 $315.75 $3,612.51 $2,333.93 nat. median
$1,546
1.5× median
P9052
HCPCS 		Bb Platelets 6 $1,290.00 $2,580.00 $2,296.20 nat. median
$1,140
outlier · 2.0×
J0129
HCPCS 		Abatacept 250mg Vial (orencia) 6 $1,243.75 $2,487.50 $2,213.88 nat. median
$902
outlier · 2.5×
27266
CPT 		Closed Trmt Post Hip Dislocation 6 $250.81 $3,962.28 $2,192.37 nat. median
$2,037
1.1× median
43999
CPT 		Unlisted Procedure Stomac 6 $175.00 $2,460.00 $2,189.40 nat. median
$1,584
1.4× median
7372550
OTHER 		MRA Low Extrem Wo-bil 6 $550.00 $3,366.00 $2,182.95 nat. median
$1,617
1.3× median
11400
CPT 		Exc Lesion 0.5 Or Less 6 $92.39 $2,401.00 $2,136.89 nat. median
$711
outlier · 3.0×
36569
CPT 		Insertion Of Picc Line 6 $175.00 $2,257.00 $2,008.73 nat. median
$1,726
1.2× median
46050
CPT 		Incision Of Anal Abscess 6 $175.00 $2,193.00 $1,951.77 nat. median
$1,077
1.8× median
93306
CPT 		US Echocardiogram 2d Doppler Color 6 $223.79 $2,151.00 $1,914.39 nat. median
$991
1.9× median
J3489
HCPCS 		Zoledronic Acid 5mg/100ml Vial (reclast) 6 $13.82 $2,109.50 $1,877.46 nat. median
$131
outlier · 14.3×
12037
CPT 		Rpr Scalp Trunk Over 30.0 6 $175.00 $2,100.00 $1,869.00 nat. median
$1,948
1.0× median
36590
CPT 		Removal Tunneled Central Venous Access 6 $175.00 $2,090.00 $1,860.10 nat. median
$1,775
1.0× median
23505
CPT 		Trmt Clavicular Fx W/mani 6 $175.00 $2,090.00 $1,860.10 nat. median
$1,613
1.2× median
J0881
HCPCS 		Nf-darbepoetin 100mcg/0.5ml (aranesp) 6 $975.24 $1,950.48 $1,735.93 nat. median
$752
outlier · 2.3×
99285
CPT 		Emergency Room Lev 5 - 25 6 $118.70 $2,193.00 $1,720.00 nat. median
$1,186
1.4× median
40800
CPT 		Drainage Abscess Mouth Simple 6 $166.37 $1,891.00 $1,682.99 nat. median
$732
outlier · 2.3×
36556
CPT 		Insertion Central Venous 6 $69.61 $2,956.58 $1,631.13 nat. median
$2,483
0.7× median
81404
CPT 		Apo E4 6 $453.47 $1,812.00 $1,612.68 nat. median
$347
outlier · 4.7×
2100065
LOCAL 		Episiotomy Repair 6 $175.00 $1,728.00 $1,537.92 nat. median
$864
1.8× median
90375
CPT 		Rabies Immune Globulin 6 $350.64 $1,691.87 $1,505.76 nat. median
$1,056
1.4× median

Other procedures at this hospital

Browse this hospital's 2,127 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
             
C1721 HCPCS Icd Defribillator Sn#61054946 16 6 $37,538.00 $37,538.00 $18,769.00 $37,538.00 $33,408.82 2026-07-15
C1822 HCPCS Stim Generator 16 6 $33,506.00 $33,506.00 $16,753.00 $33,506.00 $29,820.34 2026-07-15
J3101 HCPCS Tenecteplase 50mg Vial 16 6 $13,552.25 $13,552.25 $115.88 $13,552.25 $12,061.50 2026-07-15
J2760 HCPCS Phentolamine 5mg/2ml Vial (regitine) 16 6 $10,710.00 $10,710.00 $5,355.00 $10,710.00 $9,531.90 2026-07-15
C1785 HCPCS Bivic Defibrillator 80 6 $9,892.00 $9,892.00 $2,194.50 $38,019.00 $8,803.88 2026-07-15
C1764 HCPCS Loop Recorder 16 6 $9,433.00 $9,433.00 $4,716.50 $9,433.00 $8,395.37 2026-07-15
J1162 HCPCS Digoxin Immune Fab 40mg Vial (digifab) 16 6 $8,520.25 $8,520.25 $4,260.13 $8,520.25 $7,583.02 2026-07-15
59812 CPT Treatment Incomplete Abortion 16 6 $7,700.00 $7,700.00 $175.00 $7,700.00 $6,853.00 2026-07-15
21337 CPT Closed Tx Nasal Fx 16 6 $7,150.00 $7,150.00 $175.00 $7,150.00 $6,363.50 2026-07-15
J0630 HCPCS Calcitonin 400unit/2ml Inj (miacalcin) 16 6 $5,754.50 $5,754.50 $2,877.25 $5,754.50 $5,121.51 2026-07-15
3507016 LOCAL Golimumab 50mg/4ml 16 6 $4,807.19 $4,807.19 $2,403.60 $4,807.19 $4,278.40 2026-07-15
3507731 LOCAL Actemra 400mg/20ml Vial 16 6 $4,756.48 $4,756.48 $2,378.24 $4,756.48 $4,233.27 2026-07-15
75710 CPT Xr Angiography Extremity Unilateral 16 6 $4,730.00 $4,730.00 $150.36 $4,730.00 $3,996.68 2026-07-15
69005 CPT Drainage Ext Ear, Complicated 16 6 $4,311.00 $4,311.00 $175.00 $4,311.00 $3,836.79 2026-07-15
90000469 LOCAL Sorbfix 16 6 $4,089.00 $4,089.00 $2,044.50 $4,089.00 $3,639.21 2026-07-15
95811 CPT Sleep Study (cpap) 16 6 $3,990.00 $3,990.00 $721.66 $3,990.00 $3,551.10 2026-07-15
95810 CPT Sleep Study 16 6 $3,805.00 $3,805.00 $684.92 $3,805.00 $3,386.45 2026-07-15
95800 CPT Sleep Study Unattended 16 6 $3,805.00 $3,805.00 $172.56 $3,805.00 $3,386.45 2026-07-15
G0399 HCPCS Sleep Study At Home 16 6 $3,805.00 $3,805.00 $175.16 $3,805.00 $3,386.45 2026-07-15
J0897 HCPCS Denosumab 60mg/1ml Inj (prolia) 16 6 $3,722.44 $3,722.44 $1,861.22 $3,722.44 $3,312.97 2026-07-15
49407 CPT Peritoneal Procedures 16 6 $3,472.00 $3,472.00 $175.00 $3,472.00 $3,090.08 2026-07-15
42300 CPT Drainage Salivary Gland 16 6 $3,425.00 $3,425.00 $175.00 $3,425.00 $3,048.25 2026-07-15
78806 CPT Nm Indium 111 White Bld Cell 16 6 $3,389.00 $3,389.00 $350.81 $3,389.00 $3,016.21 2026-07-15
7322550 OTHER MRA Up Extrem Wo/w-bil 16 6 $3,366.00 $3,366.00 $550.00 $3,366.00 $2,995.74 2026-07-15
J7325 HCPCS Synvisc-one 48mg/6ml Inj 16 6 $3,134.75 $3,134.75 $1,567.38 $3,134.75 $2,789.93 2026-07-15
38300 CPT Drainage Lymph Node Lesio 16 6 $3,108.00 $3,108.00 $175.00 $3,108.00 $2,766.12 2026-07-15
G0390 HCPCS Trauma Response Level 16 6 $3,000.00 $3,000.00 $1,500.00 $3,000.00 $2,670.00 2026-07-15
26011 CPT Drainage Finger Abscess Complicated 16 6 $2,970.00 $2,970.00 $175.00 $2,970.00 $2,643.30 2026-07-15
59409 CPT Pf-vaginal Delivery Only 32 6 $4,403.00 $4,403.00 $175.00 $6,089.00 $2,418.13 2026-07-15
78451 CPT Nm Myocard Perf Image-single 16 6 $4,059.00 $4,059.00 $315.75 $3,612.51 $2,333.93 2026-07-15
P9052 HCPCS Bb Platelets 16 6 $2,580.00 $2,580.00 $1,290.00 $2,580.00 $2,296.20 2026-07-15
J0129 HCPCS Abatacept 250mg Vial (orencia) 16 6 $2,487.50 $2,487.50 $1,243.75 $2,487.50 $2,213.88 2026-07-15
27266 CPT Closed Trmt Post Hip Dislocation 16 6 $4,452.00 $4,452.00 $250.81 $3,962.28 $2,192.37 2026-07-15
43999 CPT Unlisted Procedure Stomac 16 6 $2,460.00 $2,460.00 $175.00 $2,460.00 $2,189.40 2026-07-15
7372550 OTHER MRA Low Extrem Wo-bil 26 6 $2,310.00 $2,310.00 $550.00 $3,366.00 $2,182.95 2026-07-15
11400 CPT Exc Lesion 0.5 Or Less 16 6 $2,401.00 $2,401.00 $92.39 $2,401.00 $2,136.89 2026-07-15
36569 CPT Insertion Of Picc Line 16 6 $2,257.00 $2,257.00 $175.00 $2,257.00 $2,008.73 2026-07-15
46050 CPT Incision Of Anal Abscess 16 6 $2,193.00 $2,193.00 $175.00 $2,193.00 $1,951.77 2026-07-15
93306 CPT US Echocardiogram 2d Doppler Color 16 6 $2,151.00 $2,151.00 $223.79 $2,151.00 $1,914.39 2026-07-15
J3489 HCPCS Zoledronic Acid 5mg/100ml Vial (reclast) 16 6 $2,109.50 $2,109.50 $13.82 $2,109.50 $1,877.46 2026-07-15
12037 CPT Rpr Scalp Trunk Over 30.0 16 6 $2,100.00 $2,100.00 $175.00 $2,100.00 $1,869.00 2026-07-15
23505 CPT Trmt Clavicular Fx W/mani 16 6 $2,090.00 $2,090.00 $175.00 $2,090.00 $1,860.10 2026-07-15
36590 CPT Removal Tunneled Central Venous Access 16 6 $2,090.00 $2,090.00 $175.00 $2,090.00 $1,860.10 2026-07-15
J0881 HCPCS Nf-darbepoetin 100mcg/0.5ml (aranesp) 16 6 $1,950.48 $1,950.48 $975.24 $1,950.48 $1,735.93 2026-07-15
99285 CPT Emergency Room Lev 5 - 25 45 6 $2,193.00 $2,193.00 $118.70 $2,193.00 $1,720.00 2026-07-15
40800 CPT Drainage Abscess Mouth Simple 16 6 $1,891.00 $1,891.00 $166.37 $1,891.00 $1,682.99 2026-07-15
36556 CPT Insertion Central Venous 43 6 $2,461.00 $2,461.00 $69.61 $2,956.58 $1,631.13 2026-07-15
81404 CPT Apo E4 16 6 $1,812.00 $1,812.00 $453.47 $1,812.00 $1,612.68 2026-07-15
2100065 LOCAL Episiotomy Repair 16 6 $1,728.00 $1,728.00 $175.00 $1,728.00 $1,537.92 2026-07-15
90375 CPT Rabies Immune Globulin 16 6 $1,691.87 $1,691.87 $350.64 $1,691.87 $1,505.76 2026-07-15
20822 CPT Pf-replantation Digit Amp 32 6 $2,081.50 $2,081.50 $175.00 $2,488.00 $1,490.75 2026-07-15
73221 CPT MRI Up Ext Joint Wo Left 16 6 $1,650.00 $1,650.00 $550.00 $1,650.00 $1,468.50 2026-07-15
C1778 HCPCS Lead Kit Trial 16 6 $1,650.00 $1,650.00 $825.00 $1,650.00 $1,468.50 2026-07-15
14301 CPT Pf-adjacent Tissue Transf 16 6 $2,548.00 $2,548.00 $714.87 $2,267.72 $1,465.10 2026-07-15
5360211 LOCAL Cytogenetics-chromosome A 16 6 $1,639.00 $1,639.00 $819.50 $1,639.00 $1,458.71 2026-07-15
73225LT OTHER MRA Up Ext Wwo Left 16 6 $1,628.00 $1,628.00 $550.00 $1,628.00 $1,448.92 2026-07-15
74185 CPT MRA Abdomen Wwo 16 6 $1,628.00 $1,628.00 $550.00 $1,628.00 $1,448.92 2026-07-15
73225RT OTHER MRA Up Ext Wwo Right 16 6 $1,628.00 $1,628.00 $550.00 $1,628.00 $1,448.92 2026-07-15
72198 CPT MRA Pelvis Wwo 16 6 $1,628.00 $1,628.00 $550.00 $1,628.00 $1,448.92 2026-07-15
90000446 LOCAL Surgimesh 16 6 $1,625.00 $1,625.00 $812.50 $1,625.00 $1,446.25 2026-07-15
49020 CPT Drainage Of Abscess 16 6 $1,614.00 $1,614.00 $175.00 $1,614.00 $1,436.46 2026-07-15
19285 CPT US Breast Localization 1st 16 6 $1,605.00 $1,605.00 $610.01 $1,605.00 $1,428.45 2026-07-15
27752 CPT Fx Care Tibial Shaft W/ma 32 6 $1,650.50 $1,650.50 $175.00 $1,742.00 $1,387.51 2026-07-15
G0257 HCPCS Unscheduled Outpt Dialysi 16 6 $1,529.00 $1,529.00 $35.00 $1,529.00 $1,360.81 2026-07-15
70015 CPT Cisternography S&i 16 6 $2,247.00 $2,247.00 $169.08 $1,999.83 $1,359.65 2026-07-15
90935 CPT Hemodialysis W/phy Evalua 16 6 $1,522.00 $1,522.00 $761.00 $1,522.00 $1,354.58 2026-07-15
C1756 HCPCS Pacing Catheter Kit 16 6 $1,502.00 $1,502.00 $751.00 $1,502.00 $1,336.78 2026-07-15
81226 CPT Cytochrome P450-2d6 16 6 $1,498.00 $1,498.00 $744.00 $1,498.00 $1,333.22 2026-07-15
46999 CPT Unlisted Proc Anus 16 6 $2,310.00 $2,310.00 $250.81 $2,055.90 $1,328.25 2026-07-15
J1561 HCPCS Immune Globulin 10gm Vial (gamunex-c) 32 6 $1,968.75 $1,968.75 $656.25 $2,625.00 $1,312.50 2026-07-15
13132 CPT Pf-repair Complex Chin 2. 32 6 $2,923.50 $2,923.50 $175.00 $4,385.00 $1,301.18 2026-07-15
23931 CPT I&d Upper Arm & Elbow Bu 32 6 $2,910.50 $2,910.50 $136.41 $4,366.00 $1,294.95 2026-07-15
99291 CPT Critical Care 30-74 Min 42 6 $2,167.00 $2,167.00 $216.02 $2,604.14 $1,292.98 2026-07-15
81455 CPT Next Generation Sequencing Panel 16 6 $2,138.00 $2,138.00 $7.30 $2,138.00 $1,282.80 2026-07-15
J1720 HCPCS Hydrocortisone Sod Succ 250mg Vial 16 6 $1,430.50 $1,430.50 $715.25 $1,430.50 $1,273.15 2026-07-15
71555 CPT MRA Chest Wwo 16 6 $1,409.00 $1,409.00 $550.00 $1,409.00 $1,254.01 2026-07-15
90000318 LOCAL Biologicals Kit 16 6 $1,407.00 $1,407.00 $703.50 $1,407.00 $1,252.23 2026-07-15
7372250 OTHER MRI Low Ext Joint W Bilat 16 6 $2,928.00 $2,928.00 $328.79 $2,605.92 $1,235.75 2026-07-15
72157 CPT MRI T Spine Wwo 16 6 $1,980.00 $1,980.00 $335.14 $1,762.20 $1,235.75 2026-07-15
74183 CPT MRI Abdomen Wwo 16 6 $1,980.00 $1,980.00 $354.51 $1,762.20 $1,235.75 2026-07-15
72158 CPT MRI Spine Lumbar Wwo 16 6 $1,980.00 $1,980.00 $333.80 $1,762.20 $1,235.75 2026-07-15
7372350 OTHER MRI Low Extrem Jt W/wo-bi 16 6 $3,366.00 $3,366.00 $368.43 $2,995.74 $1,235.75 2026-07-15
72156 CPT MRI C Spine Wwo 16 6 $1,980.00 $1,980.00 $334.46 $1,762.20 $1,235.75 2026-07-15
70543 CPT MRI Orbit Face Neck Wwo 16 6 $2,090.00 $2,090.00 $354.85 $1,860.10 $1,235.75 2026-07-15
70553 CPT MRI Brain Wwo 16 6 $2,090.00 $2,090.00 $332.80 $1,860.10 $1,235.75 2026-07-15
27762 CPT Fx Care Medial Malleolus 32 6 $1,559.50 $1,559.50 $175.00 $1,742.00 $1,225.53 2026-07-15
32557 CPT Incision Pleura W Imaging 16 6 $1,364.00 $1,364.00 $175.00 $1,364.00 $1,213.96 2026-07-15
32555 CPT Thoracentesis W Imaging 16 6 $1,364.00 $1,364.00 $175.00 $1,364.00 $1,213.96 2026-07-15
45999 CPT Rem Fecal Impact 16 6 $1,348.00 $1,348.00 $175.00 $1,348.00 $1,199.72 2026-07-15
73723LT OTHER MRI Low Ext Joint Wwo Left 16 6 $1,628.00 $1,628.00 $368.43 $1,448.92 $1,187.67 2026-07-15
73223LT OTHER MRI Up Ext Joint Wwo Left 16 6 $1,628.00 $1,628.00 $368.43 $1,448.92 $1,187.67 2026-07-15
70545 CPT MRA Head W 16 6 $1,628.00 $1,628.00 $237.24 $1,448.92 $1,187.67 2026-07-15
73723RT OTHER MRI Low Ext Joint Wwo Right 16 6 $1,628.00 $1,628.00 $368.43 $1,448.92 $1,187.67 2026-07-15
74182 CPT MRI Abdomen W 16 6 $1,628.00 $1,628.00 $317.43 $1,448.92 $1,187.67 2026-07-15
70546 CPT MRA Head Wwo 16 6 $1,628.00 $1,628.00 $343.83 $1,448.92 $1,187.67 2026-07-15
70549 CPT MRA Neck Wwo 16 6 $1,628.00 $1,628.00 $360.53 $1,448.92 $1,187.67 2026-07-15
73720RT OTHER MRI Low Ext Nonjoint Wwo Right 16 6 $1,628.00 $1,628.00 $353.51 $1,448.92 $1,187.67 2026-07-15
73720LT OTHER MRI Low Ext Nonjoint Wwo Left 16 6 $1,628.00 $1,628.00 $353.51 $1,448.92 $1,187.67 2026-07-15
73223RT OTHER MRI Up Ext Joint Wwo Right 16 6 $1,628.00 $1,628.00 $368.43 $1,448.92 $1,187.67 2026-07-15
73222RT OTHER MRI Up Ext Joint W Right 16 6 $1,409.00 $1,409.00 $328.45 $1,254.01 $1,169.88 2026-07-15
72196 CPT MRI Pelvis W 16 6 $1,409.00 $1,409.00 $281.34 $1,254.01 $1,169.88 2026-07-15
73722RT OTHER MRI Low Ext Joint W Right 16 6 $1,409.00 $1,409.00 $328.79 $1,254.01 $1,169.88 2026-07-15
73220 CPT MRI Up Ext Nonjoint Wwo 16 6 $1,540.00 $1,540.00 $368.43 $1,370.60 $1,169.88 2026-07-15
72147 CPT MRI T Spine W 16 6 $1,409.00 $1,409.00 $285.35 $1,254.01 $1,169.88 2026-07-15
73219LT OTHER MRI Up Ext Nonjoint W Left 16 6 $1,409.00 $1,409.00 $348.50 $1,254.01 $1,169.88 2026-07-15
72149 CPT MRI Spine Lumber W 16 6 $1,409.00 $1,409.00 $282.68 $1,254.01 $1,169.88 2026-07-15
72142 CPT MRI C Spine W 16 6 $1,409.00 $1,409.00 $287.69 $1,254.01 $1,169.88 2026-07-15
70552 CPT MRI Brain W 16 6 $1,409.00 $1,409.00 $282.68 $1,254.01 $1,169.88 2026-07-15
73722LT OTHER MRI Low Ext Joint W Left 16 6 $1,409.00 $1,409.00 $328.79 $1,254.01 $1,169.88 2026-07-15
71551 CPT MRI Chest W 16 6 $1,409.00 $1,409.00 $392.60 $1,254.01 $1,169.88 2026-07-15
73719LT OTHER MRI Low Ext Nonjoint W Left 16 6 $1,409.00 $1,409.00 $274.65 $1,254.01 $1,169.88 2026-07-15
73222LT OTHER MRI Up Ext Joint W Left 16 6 $1,409.00 $1,409.00 $328.45 $1,254.01 $1,169.88 2026-07-15
70548 CPT MRA Neck W 16 6 $1,409.00 $1,409.00 $256.61 $1,254.01 $1,169.88 2026-07-15
72197 CPT MRI Pelvis Wwo 16 6 $1,540.00 $1,540.00 $353.18 $1,370.60 $1,169.88 2026-07-15
93312 CPT US Tee 16 6 $2,750.00 $2,750.00 $235.90 $2,447.50 $1,168.75 2026-07-15
24605 CPT Pf-reduce Dislocated Elbo 32 6 $1,500.50 $1,500.50 $175.00 $1,513.00 $1,157.89 2026-07-15
90970 CPT Esrd Dialysis Patient Ove 16 6 $1,300.00 $1,300.00 $650.00 $1,300.00 $1,157.00 2026-07-15
88348 CPT Electron Microscopy 16 6 $1,300.00 $1,300.00 $650.00 $1,300.00 $1,157.00 2026-07-15
J1442 HCPCS Filgrastim 480mcg/1.6ml Vial (neupogen) 16 6 $1,227.75 $1,227.75 $613.88 $1,227.75 $1,092.70 2026-07-15
46040 CPT I&d Perirectal Abscess 32 6 $1,478.50 $1,478.50 $175.00 $1,730.00 $1,092.03 2026-07-15
25660 CPT Clsd Treat Carpal Disloca 32 6 $2,451.50 $2,451.50 $175.00 $3,676.00 $1,092.03 2026-07-15
1000001 LOCAL Step Down Private Room 1 1 $1,550.00 $1,550.00 $1,085.00 $1,085.00 $1,085.00 2026-07-15
15240 CPT Full Thickness Graft 20 32 6 $2,658.50 $2,658.50 $175.00 $4,106.00 $1,077.79 2026-07-15
90000467 LOCAL Mesh 8x10 16 6 $1,206.00 $1,206.00 $603.00 $1,206.00 $1,073.34 2026-07-15
23655 CPT Pf-reduction/dis Shoulder 32 6 $1,249.50 $1,249.50 $175.00 $1,310.00 $1,058.21 2026-07-15
73725LT OTHER MRA Low Ext Wwo Left 26 6 $1,628.00 $1,628.00 $550.00 $1,628.00 $1,050.00 2026-07-15
73725RT OTHER MRA Low Ext Wo Right 26 6 $1,100.00 $1,100.00 $550.00 $1,628.00 $1,050.00 2026-07-15
90000583 LOCAL Protack Stapler 16 6 $1,155.00 $1,155.00 $577.50 $1,155.00 $1,027.95 2026-07-15
78452 CPT Nm Cardiac Muga Scan 25 6 $1,155.00 $1,155.00 $438.05 $4,626.22 $1,027.95 2026-07-15
37618 CPT Arterial Ligation Extremi 16 6 $1,146.00 $1,146.00 $175.00 $1,146.00 $1,019.94 2026-07-15
81270 CPT Jak2 Gene Mutation 16 6 $1,141.00 $1,141.00 $151.24 $1,141.00 $1,015.49 2026-07-15
J0878 HCPCS Daptomycin 500mg Vial (cubicin) 16 6 $1,122.75 $1,122.75 $561.38 $1,122.75 $999.25 2026-07-15
87912 CPT Hbv Genotype 16 6 $1,120.00 $1,120.00 $424.79 $1,120.00 $996.80 2026-07-15
75820 CPT Xr Venogram Unilateral 16 6 $1,242.00 $1,242.00 $109.26 $1,242.00 $981.86 2026-07-15
90945 CPT Dialysis Single Evaluati 16 6 $1,096.00 $1,096.00 $548.00 $1,096.00 $975.44 2026-07-15
J0248 HCPCS Remdesivir 100mg Vial 16 6 $1,092.00 $1,092.00 $546.00 $1,092.00 $971.88 2026-07-15
78226 CPT Nm Hida Imaging Without Flow 16 6 $1,663.00 $1,663.00 $303.06 $1,480.07 $956.23 2026-07-15
78227 CPT Nm Hida Imaging W/flow 16 6 $1,663.00 $1,663.00 $381.28 $1,480.07 $956.23 2026-07-15
73201 CPT CT Up Ext W Left 16 6 $1,430.00 $1,430.00 $209.84 $1,272.70 $945.80 2026-07-15
7320150 OTHER CT Up Ext W Bilat 16 6 $1,925.00 $1,925.00 $209.84 $1,713.25 $945.80 2026-07-15
72126 CPT CT Cervical Spine W 16 6 $1,430.00 $1,430.00 $175.09 $1,272.70 $945.80 2026-07-15
72132 CPT CT L Spine W 16 6 $1,430.00 $1,430.00 $175.43 $1,272.70 $945.80 2026-07-15
73201RT OTHER CT Up Ext W Right 16 6 $1,430.00 $1,430.00 $209.84 $1,272.70 $945.80 2026-07-15
74178 CPT CT Abdomen Pelvis Wwo 16 6 $1,870.00 $1,870.00 $356.19 $1,664.30 $945.80 2026-07-15
74177 CPT CT Abdomen Pelvis W 16 6 $1,870.00 $1,870.00 $318.09 $1,664.30 $945.80 2026-07-15
7358050 OTHER Xr Arthrography Knee Bil 16 6 $1,980.00 $1,980.00 $128.31 $1,762.20 $945.80 2026-07-15
1000004 LOCAL Telemetry Private Room 1 1 $1,350.00 $1,350.00 $945.00 $945.00 $945.00 2026-07-15
J1569 HCPCS Crofab 36 6 $6,590.25 $6,590.25 $55.81 $6,590.25 $945.00 2026-07-15
1000005 LOCAL Telemetry Semi Private Room 1 1 $1,350.00 $1,350.00 $945.00 $945.00 $945.00 2026-07-15
1000008 LOCAL Isolation Room 1 1 $1,350.00 $1,350.00 $945.00 $945.00 $945.00 2026-07-15
78708 CPT Nm Kidney Imaging Single Stu 25 6 $1,320.00 $1,320.00 $139.17 $1,174.80 $924.00 2026-07-15
3506785 LOCAL Granix 480mcg/0.8ml Syringe 16 6 $1,007.75 $1,007.75 $503.88 $1,007.75 $896.90 2026-07-15
99284 CPT Emergency Room Lev 4 45 6 $1,486.00 $1,486.00 $95.47 $1,486.00 $880.00 2026-07-15
1000003 LOCAL Step Down Semi Private Room 1 1 $1,250.00 $1,250.00 $875.00 $875.00 $875.00 2026-07-15
94003 CPT Vent Subs Day 16 6 $982.00 $982.00 $491.00 $982.00 $873.98 2026-07-15
70551 CPT MRI Brain Wo 16 6 $1,430.00 $1,430.00 $204.15 $1,272.70 $872.01 2026-07-15
73218RT OTHER MRI Up Ext Nonjoint Wo Right 16 6 $1,540.00 $1,540.00 $233.52 $1,370.60 $872.01 2026-07-15
7321850 OTHER MRI Up Extrem Nojt Wo-bil 16 6 $2,310.00 $2,310.00 $233.52 $2,055.90 $872.01 2026-07-15
7322150 OTHER MRI Up Extrem Jnt Wo-bil 16 6 $1,650.00 $1,650.00 $211.18 $1,468.50 $872.01 2026-07-15
73221RT OTHER MRI Up Ext Joint Wo Right 16 6 $1,650.00 $1,650.00 $211.18 $1,468.50 $872.01 2026-07-15
73721RT OTHER MRI Low Ext Joint Wo Right 16 6 $1,430.00 $1,430.00 $210.84 $1,272.70 $872.01 2026-07-15
7371850 OTHER MRI Low Extrem Njt Wo-bil 16 6 $2,310.00 $2,310.00 $233.52 $2,055.90 $872.01 2026-07-15
72195 CPT MRI Pelvis Wo 16 6 $1,430.00 $1,430.00 $233.52 $1,272.70 $872.01 2026-07-15
70544 CPT MRA Head Wo 16 6 $1,430.00 $1,430.00 $224.54 $1,272.70 $872.01 2026-07-15
70547 CPT MRA Neck Wo 16 6 $1,430.00 $1,430.00 $224.88 $1,272.70 $872.01 2026-07-15
74181 CPT MRI Abdomen Wo 16 6 $1,430.00 $1,430.00 $204.83 $1,272.70 $872.01 2026-07-15
73218LT OTHER MRI Up Ext Nonjoint Wo Left 16 6 $1,540.00 $1,540.00 $233.52 $1,370.60 $872.01 2026-07-15
72146 CPT MRI T Spine Wo 16 6 $1,650.00 $1,650.00 $198.48 $1,468.50 $872.01 2026-07-15
72148 CPT MRI Spine Lumbar Wo 16 6 $1,980.00 $1,980.00 $199.14 $1,762.20 $872.01 2026-07-15
7372150 OTHER MRI Low Extrem Jt Wo-bil 16 6 $2,310.00 $2,310.00 $210.84 $2,055.90 $872.01 2026-07-15
73718RT OTHER MRI Low Ext Nonjoint Wo Right 16 6 $1,430.00 $1,430.00 $233.52 $1,272.70 $872.01 2026-07-15
72141 CPT MRI C Spine Wo 16 6 $1,650.00 $1,650.00 $198.48 $1,468.50 $872.01 2026-07-15
73718LT OTHER MRI Low Ext Nonjoint Wo Left 16 6 $1,430.00 $1,430.00 $233.52 $1,272.70 $872.01 2026-07-15
73721LT OTHER MRI Low Ext Joint Wo Left 16 6 $1,430.00 $1,430.00 $210.84 $1,272.70 $872.01 2026-07-15
74249 CPT Xr Fluoro Ugi W Air W Sbft 16 6 $979.00 $979.00 $159.34 $979.00 $871.31 2026-07-15
78582 CPT Nm Lung Perf W/vent 16 6 $1,502.00 $1,502.00 $309.40 $1,336.78 $863.65 2026-07-15
70488 CPT CT Face Sinus Wwo 16 6 $1,650.00 $1,650.00 $180.34 $1,468.50 $858.38 2026-07-15
81220 CPT Cystic Fibrosis Mutation 16 6 $952.00 $952.00 $476.00 $952.00 $847.28 2026-07-15
36593 CPT Declotting Of Implanted Vascular Access 16 6 $950.00 $950.00 $31.40 $950.00 $845.50 2026-07-15
93017 CPT EKG-stress Test 16 6 $936.00 $936.00 $468.00 $936.00 $833.04 2026-07-15
78306 CPT Nm Bone Imaging Whole Body 16 6 $1,448.00 $1,448.00 $252.82 $1,288.72 $832.60 2026-07-15
P9040 HCPCS Bb Packed Rbc - Irradiated L 16 6 $920.00 $920.00 $460.00 $920.00 $818.80 2026-07-15
70481 CPT CT Iac W 25 6 $1,430.00 $1,430.00 $180.34 $1,272.70 $808.12 2026-07-15
72270 CPT Xr Myelography 2 Or More W I 16 6 $908.00 $908.00 $165.06 $908.00 $808.12 2026-07-15
10081 CPT I&d Cyst Complicated 16 6 $1,870.00 $1,870.00 $208.60 $1,664.30 $807.11 2026-07-15
1000006 LOCAL Swing Bed 1 1 $1,150.00 $1,150.00 $805.00 $805.00 $805.00 2026-07-15
1000000 LOCAL Private Room 1 1 $1,150.00 $1,150.00 $805.00 $805.00 $805.00 2026-07-15
93225 CPT Holter Monitor 48 Hours 38 6 $903.00 $903.00 $123.09 $1,218.00 $797.68 2026-07-15
70010 CPT Myelography S&i 16 6 $1,507.00 $1,507.00 $58.14 $1,341.23 $792.07 2026-07-15
74247 CPT Xr Fluoro Ugi W Air W Kub 16 6 $876.00 $876.00 $115.79 $876.00 $779.64 2026-07-15
72265 CPT Xr Myelography Lumbosacral W 16 6 $873.00 $873.00 $109.93 $873.00 $776.97 2026-07-15
94002 CPT Vent First Day 16 6 $982.00 $982.00 $75.78 $873.98 $772.52 2026-07-15
90937 CPT Hemodialysis Repeat Evalu 16 6 $867.00 $867.00 $433.50 $867.00 $771.63 2026-07-15
88309 CPT Gross Micro Large 47 6 $859.00 $859.00 $243.50 $1,352.00 $764.51 2026-07-15
G0259 HCPCS Xr Arthrogram Sacroiliac Joints 16 6 $855.00 $855.00 $427.50 $855.00 $760.95 2026-07-15
78709 CPT Nm Kidney Scan W/flow & Func 16 6 $1,320.00 $1,320.00 $345.49 $1,174.80 $759.00 2026-07-15
78707 CPT Nm Kidney Imaging W/function 16 6 $1,320.00 $1,320.00 $218.53 $1,174.80 $759.00 2026-07-15
55100 CPT Drainage Abscess Scrotum 32 6 $1,690.50 $1,690.50 $139.77 $2,530.00 $757.39 2026-07-15
70540 CPT MRI Orbit Face Neck Wo 16 6 $1,100.00 $1,100.00 $233.52 $1,000.00 $757.01 2026-07-15
70336 CPT MRI Temporomandibular Joint 16 6 $1,100.00 $1,100.00 $233.52 $1,000.00 $757.01 2026-07-15
71550 CPT MRI Chest Wo 16 6 $1,100.00 $1,100.00 $233.52 $1,000.00 $757.01 2026-07-15
5360520 LOCAL Myasthenia Gravis Panel # 16 6 $842.00 $842.00 $421.00 $842.00 $749.38 2026-07-15
94726 CPT Total Lung Capacity 16 6 $825.00 $825.00 $412.50 $825.00 $734.25 2026-07-15
78801 CPT Nm Scintigram - Multiple Are 16 6 $1,265.00 $1,265.00 $255.61 $1,125.85 $727.38 2026-07-15
87902 CPT Hcv Ns-5a Drug Resistant 16 6 $816.00 $816.00 $408.00 $816.00 $726.24 2026-07-15
78014 CPT Nm Thyroid Imaging Quantitat 16 6 $1,261.00 $1,261.00 $222.54 $1,122.29 $725.08 2026-07-15
27792 CPT Fx Care Distal Fibula W/w 32 6 $2,414.50 $2,414.50 $175.00 $4,023.00 $717.34 2026-07-15
74174 CPT CT CTA Aorta W Contrast 16 6 $835.00 $835.00 $368.43 $760.59 $711.33 2026-07-15
78216 CPT Nm Liver/speen W/vascular Fl 16 6 $1,228.00 $1,228.00 $118.59 $1,092.92 $706.10 2026-07-15
20103 CPT Exp Penetrating Wound Ext 32 6 $1,308.50 $1,308.50 $175.00 $1,309.19 $703.25 2026-07-15
95816 CPT EEG 16 6 $788.00 $788.00 $415.69 $788.00 $701.32 2026-07-15
1000002 LOCAL Semi Private Room 1 1 $1,000.00 $1,000.00 $700.00 $700.00 $700.00 2026-07-15
93701 CPT Bioimped Thoracic Elect 16 6 $784.00 $784.00 $392.00 $784.00 $697.76 2026-07-15
6500439 LOCAL Bioflo 4fr Single Lumen 16 6 $770.00 $770.00 $385.00 $770.00 $685.30 2026-07-15
31603 CPT Pf-tracheostomy Emergenc 32 6 $780.00 $780.00 $175.00 $794.00 $681.74 2026-07-15
24600 CPT Pf-reduction Dislocated E 32 6 $926.00 $926.00 $175.00 $897.12 $680.40 2026-07-15
93975 CPT US Abd/renal/scrotal/pelvic Art 28 6 $849.00 $849.00 $206.39 $849.00 $664.83 2026-07-15
78195 CPT Nm Scintigraphy Lymphatics/n 16 6 $1,155.00 $1,155.00 $329.79 $1,027.95 $664.12 2026-07-15
76098 CPT Xr Breast Specimen 16 6 $983.00 $983.00 $42.10 $874.87 $663.53 2026-07-15
70482 CPT CT Iac Wwo 16 6 $1,018.00 $1,018.00 $180.34 $906.02 $652.98 2026-07-15
12035 CPT Int Rpr Trunk/ext 12.6-20 32 6 $1,006.00 $1,006.00 $175.00 $1,254.00 $650.81 2026-07-15
93923 CPT US Ankle/brachial Index Measurement 16 6 $729.00 $729.00 $159.50 $729.00 $648.81 2026-07-15
85247 CPT Von Willebrand Panel 16 6 $728.00 $728.00 $21.28 $728.00 $647.92 2026-07-15
29065 CPT Application Long Arm Cast 16 6 $728.00 $728.00 $60.27 $728.00 $647.92 2026-07-15
28665 CPT Dislocation Toe Ip Joint 16 6 $726.00 $726.00 $175.00 $726.00 $646.14 2026-07-15
26775 CPT Dislocation Finger Ip Jt 16 6 $726.00 $726.00 $116.12 $726.00 $646.14 2026-07-15
P9038 HCPCS Bb Irradiation-bld Prod 16 6 $724.00 $724.00 $362.00 $724.00 $644.36 2026-07-15
70492 CPT CT Neck Soft Tissue Wwo 16 6 $1,430.00 $1,430.00 $180.34 $1,272.70 $644.26 2026-07-15
72130 CPT CT Thoracic Spine Wwo 16 6 $1,018.00 $1,018.00 $180.34 $906.02 $644.26 2026-07-15
7370250 OTHER CT Low Ext Wwo Bilat 16 6 $2,145.00 $2,145.00 $180.34 $1,909.05 $644.26 2026-07-15
7320650 OTHER CTA Upper Extremity 16 6 $2,145.00 $2,145.00 $180.34 $1,909.05 $644.26 2026-07-15
72193 CPT CT Pelvis W 16 6 $1,430.00 $1,430.00 $180.34 $1,272.70 $644.26 2026-07-15
73202LT OTHER CT Up Ext Wwo Left 16 6 $1,018.00 $1,018.00 $180.34 $906.02 $644.26 2026-07-15
70487 CPT CT Face Sinus W 16 6 $1,320.00 $1,320.00 $157.71 $1,174.80 $644.26 2026-07-15
70491 CPT CT Neck Soft Tissue W 16 6 $1,650.00 $1,650.00 $180.34 $1,468.50 $644.26 2026-07-15
73701 CPT CT Low Ext W Bilat 48 6 $1,430.00 $1,430.00 $173.08 $1,713.25 $644.26 2026-07-15
74160 CPT CT Abdomen W 16 6 $1,430.00 $1,430.00 $180.34 $1,272.70 $644.26 2026-07-15
74170 CPT CT Abdomen Wwo 16 6 $1,760.00 $1,760.00 $180.34 $1,566.40 $644.26 2026-07-15
72133 CPT CT L Spine Wwo 16 6 $1,018.00 $1,018.00 $180.34 $906.02 $644.26 2026-07-15
70470 CPT CT Head Wwo 16 6 $1,870.00 $1,870.00 $180.34 $1,664.30 $644.26 2026-07-15
70460 CPT CT Head W 16 6 $1,650.00 $1,650.00 $153.36 $1,468.50 $644.26 2026-07-15
73702LT OTHER CT Low Ext Wwo Left 16 6 $1,018.00 $1,018.00 $180.34 $906.02 $644.26 2026-07-15
73702RT OTHER CT Low Ext Wwo Right 16 6 $1,650.00 $1,650.00 $180.34 $1,468.50 $644.26 2026-07-15
72194 CPT CT Pelvis Wwo 16 6 $2,200.00 $2,200.00 $180.34 $1,958.00 $644.26 2026-07-15
6500441 LOCAL Invisishield 16 6 $721.00 $721.00 $360.50 $721.00 $641.69 2026-07-15
72129 CPT CT Thoracic Spine W 16 6 $908.00 $908.00 $176.43 $808.12 $639.93 2026-07-15
93308 CPT US Echocardiogram Ltd-f/u 16 6 $1,114.00 $1,114.00 $98.24 $991.46 $637.05 2026-07-15
88360 CPT Molecular Generation 16 6 $712.00 $712.00 $356.00 $712.00 $633.68 2026-07-15
26645 CPT Closed Trmt Thumb Fractur 16 6 $706.00 $706.00 $175.00 $706.00 $628.34 2026-07-15
A0428HH OTHER Bls Ambulance Trip 16 6 $704.00 $704.00 $352.00 $704.00 $626.56 2026-07-15
73040 CPT Xr Arthrogram Shoulder 16 6 $990.00 $990.00 $132.31 $881.10 $624.05 2026-07-15
73580 CPT Xr Arthrogram Knee 16 6 $990.00 $990.00 $128.31 $881.10 $624.05 2026-07-15
25690 CPT Closed Trmt Lunate Disloc 32 6 $940.00 $940.00 $69.00 $1,742.00 $624.00 2026-07-15
36430 CPT Bb Blood Administration 2-4 32 6 $924.00 $924.00 $25.90 $2,956.58 $623.70 2026-07-15
70498 CPT CTA Neck 16 6 $835.00 $835.00 $180.34 $743.15 $622.13 2026-07-15
71275 CPT CT CTA Chest W Contrast 16 6 $835.00 $835.00 $180.34 $743.15 $622.13 2026-07-15
20552 CPT Injection Trigger Point 16 6 $696.00 $696.00 $30.32 $696.00 $619.44 2026-07-15
37211 CPT Pf-transcatheter Therapy 16 6 $1,073.00 $1,073.00 $315.48 $954.97 $616.98 2026-07-15
45915 CPT Pf-rem Fecal Impact Fb With 32 6 $1,383.50 $1,383.50 $175.00 $2,075.00 $615.88 2026-07-15
94728 CPT Airway Resistance Impuls 16 6 $691.00 $691.00 $345.50 $691.00 $614.99 2026-07-15
30999 CPT Unlisted Procedure - Nose 16 6 $689.00 $689.00 $175.00 $689.00 $613.21 2026-07-15
71271 CPT CT Low Dose Lung Ca Screening 16 6 $1,210.00 $1,210.00 $106.88 $1,076.90 $605.00 2026-07-15
J0360 HCPCS Hydralazine 20mg/1ml Vial (apresoline) 16 6 $670.75 $670.75 $39.13 $670.75 $596.97 2026-07-15
20553 CPT Injection Trigger Points 16 6 $667.00 $667.00 $35.37 $667.00 $593.63 2026-07-15
73525 CPT MRI Shoulder Arthrogram 16 6 $884.00 $884.00 $131.31 $786.76 $589.60 2026-07-15
40650 CPT Pf-repair Of Lip Full Th 32 6 $786.50 $786.50 $175.00 $810.79 $589.18 2026-07-15
70480 CPT CT Iac Wo 24 6 $1,320.00 $1,320.00 $106.88 $1,174.80 $587.40 2026-07-15
20550 CPT Inj Single Tendon Sheath 16 6 $660.00 $660.00 $25.98 $660.00 $587.40 2026-07-15
27265 CPT Closed Trmt Post Hip Disl 32 6 $928.50 $928.50 $175.00 $1,096.48 $586.12 2026-07-15
P9010 HCPCS Bb Whole Blood Unit 16 6 $646.00 $646.00 $323.00 $646.00 $574.94 2026-07-15
33210 CPT Insertion Transvenous Pac 32 6 $9,868.50 $9,868.50 $133.04 $19,093.00 $573.16 2026-07-15
84999 CPT Body Fluid Potassium 32 6 $1,123.50 $1,123.50 $22.50 $2,202.00 $573.00 2026-07-15
78580 CPT Nm Lung Perf Without Vent 16 6 $990.00 $990.00 $221.20 $881.10 $569.25 2026-07-15
74176 CPT CT Abdomen Pelvis Wo 16 6 $1,430.00 $1,430.00 $189.79 $1,272.70 $561.08 2026-07-15
32551 CPT Chest Tube Insertion 29 6 $629.00 $629.00 $128.83 $629.00 $557.14 2026-07-15
72255 CPT Xr Myelography Thoracic W In 16 6 $626.00 $626.00 $120.63 $626.00 $557.14 2026-07-15
93930 CPT US Dup Scan Up Ext Art Bilateral 16 6 $626.00 $626.00 $206.87 $626.00 $557.14 2026-07-15
27750 CPT Fx Care Tibial Shaft Without 32 6 $782.50 $782.50 $175.00 $837.49 $555.36 2026-07-15
81401 CPT Huntington's Disease 31 6 $1,415.00 $1,415.00 $226.05 $1,415.00 $554.00 2026-07-15
92960 CPT Cardioversion 44 6 $800.00 $800.00 $89.53 $1,093.00 $553.25 2026-07-15
45900 CPT Pf-reduction Of Procident 32 6 $955.00 $955.00 $175.00 $1,291.00 $550.91 2026-07-15
P9022 HCPCS Bb Washed Rbc Unit 16 6 $956.00 $956.00 $214.63 $850.84 $549.70 2026-07-15
88365 CPT Surg Path Fluorescence Hybridization 16 6 $616.00 $616.00 $195.20 $616.00 $548.24 2026-07-15
12044 CPT Int Rpr Neck Hands 7.6-12 32 6 $659.00 $659.00 $175.00 $644.00 $546.72 2026-07-15
78015 CPT Nm Body Thy C I131 Limited A 16 6 $949.00 $949.00 $216.19 $844.61 $545.67 2026-07-15
74300 CPT Xr Or Cholangiogram 16 6 $612.00 $612.00 $21.41 $612.00 $544.68 2026-07-15
A9502 HCPCS Nm Tetrofosmin Per Unit Dose 16 6 $609.00 $609.00 $124.25 $609.00 $542.01 2026-07-15
72240 CPT Xr Myelography Cervical W In 16 6 $607.00 $607.00 $115.28 $607.00 $540.23 2026-07-15
51705 CPT Change Of Cystostomy Tube 16 6 $600.00 $600.00 $61.35 $600.00 $534.00 2026-07-15
92611GN OTHER St Eval Modified Barium Swallow 16 6 $600.00 $600.00 $85.00 $600.00 $534.00 2026-07-15
99220 CPT Obs H & P Level 3 16 6 $598.00 $598.00 $252.32 $598.00 $532.22 2026-07-15
J2785 HCPCS Regadenoson (lexi-scan) 0.4mg/5ml Syring 16 6 $597.32 $597.32 $298.66 $597.32 $531.61 2026-07-15
73615 CPT Xr Arthrogram Ankle 16 6 $768.00 $768.00 $130.31 $683.52 $527.31 2026-07-15
78264 CPT Nm Gastric Empty Study 16 6 $915.00 $915.00 $308.08 $814.35 $526.59 2026-07-15
72128 CPT CT Thoracic Spine Wo 16 6 $1,210.00 $1,210.00 $106.88 $1,076.90 $525.00 2026-07-15
73700 CPT CT Low Ext Wo Left 32 6 $1,210.00 $1,210.00 $106.88 $1,076.90 $525.00 2026-07-15
70490 CPT CT Neck Soft Tissue Wo 16 6 $1,320.00 $1,320.00 $106.88 $1,174.80 $525.00 2026-07-15
74150 CPT CT Abdomen Wo 16 6 $1,210.00 $1,210.00 $106.88 $1,076.90 $525.00 2026-07-15
70486 CPT CT Face Sinus Wo 16 6 $1,320.00 $1,320.00 $106.88 $1,174.80 $525.00 2026-07-15
7320050 OTHER CT Upper Ext Wo 16 6 $1,430.00 $1,430.00 $106.88 $1,272.70 $525.00 2026-07-15
See an error in this hospital's data? Submit a correction