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 →

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Hospital

PARKVIEW HOSPITAL

Wheeler, TX · CCN 451334 · Rates published

2,236 distinct procedures filed
12 distinct payers
33,228 rate rows
2026-08-20 last MRF observed
Data quality

33,170 of 33,228 rate rows are consumer-grade (99.8%)

58 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 35
placeholder amount (≤ $0.02) — excluded from medians 8
exceeds 10× this hospital's gross charge — excluded from medians 7
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
per-diem day rate — not a per-procedure price 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/YHGJ-1784232189801/machine-readable/751188675_parkview-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/parkview-hospital-tx
Discovered viaCMS hospital list
Last fetch success · 2026-09-25
Content fingerprint 239422945d0283ca… · 7,010,332 bytes · first seen 2026-09-25

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
3000021
CDM 		Alteplase Kit 100 Mg 6 $2,280.00 $18,046.00 $17,096.00 nat. median
$16,176
1.1× median
3000429
CDM 		Tenecteplase Kit 50 Mg 6 $2,279.00 $18,042.00 $17,093.00 nat. median
$17,093
1.0× median
74175
CPT 		CTA Gi Bleed 6 $80.00 $6,300.00 $3,864.00 nat. median
$355
outlier · 10.9×
74178
CPT 		CT Abdomen/ Pelvis W/wo 6 $82.00 $6,000.00 $3,680.00 nat. median
$539
outlier · 6.8×
3000102
CDM 		Crotalidae Polyval Immune Fab 2 Vial Kit 6 $452.00 $3,578.00 $3,389.00 nat. median
$1,356
outlier · 2.5×
71275
CPT 		CTA Chest W/wo 6 $80.00 $6,000.00 $3,163.00 nat. median
$365
outlier · 8.7×
74170
CPT 		CT Abdomen W/wo 6 $58.00 $4,688.00 $2,875.00 nat. median
$366
outlier · 7.9×
70496
CPT 		CTA Head & Neck W 6 $73.00 $4,688.00 $2,875.00 nat. median
$364
outlier · 7.9×
71270
CPT 		CT Chest W/wo 6 $57.00 $4,688.00 $2,875.00 nat. median
$348
outlier · 8.3×
74177
CPT 		CT Scan Of Abdomen And Pelvis With Contrast 6 $1,875.00 $4,688.00 $2,875.00 nat. median
$501
outlier · 5.7×
3000194
CDM 		Hizentra 10gm/50ml Subcutaneous Infusion 6 $351.00 $2,776.00 $2,630.00 nat. median
$2,630
1.0× median
70498
CPT 		CTA Neck W 6 $73.00 $3,845.00 $2,358.00 nat. median
$355
outlier · 6.7×
74160
CPT 		CT Abdomen W 6 $53.00 $3,657.00 $2,243.00 nat. median
$330
outlier · 6.8×
72194
CPT 		CT-pelvis W/wo Contrast 6 $51.00 $3,657.00 $2,243.00 nat. median
$337
outlier · 6.7×
70470
CPT 		CT Head W/wo 6 $53.00 $3,657.00 $2,243.00 nat. median
$330
outlier · 6.8×
71260
CPT 		CT Chest W 6 $52.00 $3,657.00 $2,243.00 nat. median
$327
outlier · 6.9×
70492
CPT 		CT Neck St W/wo 6 $60.00 $3,657.00 $2,243.00 nat. median
$337
outlier · 6.7×
80001102
CDM 		Hamilton Capnostat-5 Co2 Sensor 6 $282.00 $3,528.00 $2,164.00 nat. median
$2,164
1.0× median
51706
CPT 		Ferric Carboxymaltose 50mg/ml 15ml Vial 6 $272.00 $3,404.00 $2,087.00 nat. median
$2,034
1.0× median
74176
CPT 		CT Renal Stone 6 $71.00 $3,657.00 $1,853.00 nat. median
$333
outlier · 5.6×
74150
CPT 		CT Abdomen Wo 6 $50.00 $2,907.00 $1,783.00 nat. median
$210
outlier · 8.5×
73706
CPT 		CT Venogram Lower Extremity 6 $80.00 $2,888.00 $1,771.00 nat. median
$416
outlier · 4.3×
59410
CPT 		Vag Delivery Only Ppc 6 $247.00 $3,087.00 $1,569.00 nat. median
$2,219
0.7× median
70491
CPT 		CT Neck St W 6 $57.00 $2,532.00 $1,553.00 nat. median
$327
outlier · 4.7×
72126
CPT 		CT C-spine W 6 $51.00 $2,532.00 $1,553.00 nat. median
$475
outlier · 3.3×
72129
CPT 		CT T-spine W 6 $51.00 $2,532.00 $1,553.00 nat. median
$318
outlier · 4.9×
70460
CPT 		CT Head W 6 $47.00 $2,532.00 $1,553.00 nat. median
$309
outlier · 5.0×
72193
CPT 		CT Scan Of Pelvis With Contrast 6 $1,013.00 $2,532.00 $1,553.00 nat. median
$323
outlier · 4.8×
72132
CPT 		CT L-spine W 6 $51.00 $2,532.00 $1,553.00 nat. median
$475
outlier · 3.3×
70480
CPT 		CT Orbit, Temporal Bones, Iac W 6 $53.00 $2,438.00 $1,495.00 nat. median
$245
outlier · 6.1×
85597
CPT 		Antiphospholipid Syndrome Comp Panel 6 $12.00 $2,390.00 $1,466.00 nat. median
$25
outlier · 59.4×
72192
CPT 		CT Pelvis Wo 6 $45.00 $2,345.00 $1,438.00 nat. median
$205
outlier · 7.0×
72128
CPT 		CT T-spine Wo 6 $42.00 $2,345.00 $1,438.00 nat. median
$213
outlier · 6.7×
70490
CPT 		CT Neck St Wo 6 $53.00 $2,345.00 $1,438.00 nat. median
$211
outlier · 6.8×
72125
CPT 		CT C-spine Wo 6 $42.00 $2,345.00 $1,438.00 nat. median
$210
outlier · 6.8×
70487
CPT 		CT Facial Bones W 6 $54.00 $2,532.00 $1,438.00 nat. median
$321
outlier · 4.5×
73700
CPT 		CT Ankle Bilateral 6 $42.00 $2,438.00 $1,438.00 nat. median
$238
outlier · 6.1×
70450
CPT 		CT Scan 6 $35.00 $2,345.00 $1,438.00 nat. median
$210
outlier · 6.8×
72131
CPT 		CT L-spine Wo 6 $42.00 $2,345.00 $1,438.00 nat. median
$212
outlier · 6.8×
70486
CPT 		CT Sinus Wo 6 $47.00 $2,345.00 $1,438.00 nat. median
$225
outlier · 6.4×
32556
CPT 		Pleural Drainage 6 $871.00 $2,177.00 $1,335.00 nat. median
$1,964
0.7× median
25520
CPT 		Closed Trmt Of Radial Frac & Dislocation 6 $840.00 $2,100.00 $1,288.00 nat. median
$1,706
0.8× median
73200
CPT 		CT Elbow Left 6 $42.00 $2,345.00 $1,235.00 nat. median
$245
outlier · 5.0×
31603
CPT 		Tracheostomy- Emergency Procedure 6 $333.00 $1,950.00 $1,196.00 nat. median
$1,726
0.7× median
26765
CPT 		Open Trt Dist Phal Frac 6 $116.00 $9,188.00 $1,188.50 nat. median
$3,201
outlier · 0.4×
77078
CPT 		CT Bone Density Scan 6 $10.00 $1,875.00 $1,150.00 nat. median
$95
outlier · 12.1×
71250
CPT 		CT Chest Wo 6 $42.00 $2,907.00 $1,150.00 nat. median
$230
outlier · 5.0×
17108
CPT 		Destruct Skin Lesions Over 50.0 Sq Cm 6 $728.00 $1,875.00 $1,150.00 nat. median
$1,950
0.6× median
3000400
CDM 		Remdesivir 100mg Vial 6 $140.00 $1,112.00 $1,053.00 nat. median
$1,053
1.0× median
12047
CPT 		Lyr Cls Nck Hnd Ft Genit > 30.0 Cm 6 $88.00 $1,934.00 $937.00 nat. median
$1,795
0.5× median

Other procedures at this hospital

Browse this hospital's 2,236 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
             
3000021 CDM Alteplase Kit 100 Mg 9 6 $18,996.00 $16,147.00 $2,280.00 $18,046.00 $17,096.00 2026-08-20
3000429 CDM Tenecteplase Kit 50 Mg 9 6 $18,992.00 $16,143.00 $2,279.00 $18,042.00 $17,093.00 2026-08-20
74175 CPT CTA Gi Bleed 9 6 $4,200.00 $3,570.00 $80.00 $6,300.00 $3,864.00 2026-08-20
74178 CPT CT Abdomen/ Pelvis W/wo 9 6 $4,000.00 $3,400.00 $82.00 $6,000.00 $3,680.00 2026-08-20
3000102 CDM Crotalidae Polyval Immune Fab 2 Vial Kit 9 6 $3,766.00 $3,201.00 $452.00 $3,578.00 $3,389.00 2026-08-20
71275 CPT CTA Chest W/wo 25 6 $3,438.00 $2,922.00 $80.00 $6,000.00 $3,163.00 2026-08-20
70496 CPT CTA Head & Neck W 9 6 $3,125.00 $2,656.00 $73.00 $4,688.00 $2,875.00 2026-08-20
71270 CPT CT Chest W/wo 9 6 $3,125.00 $2,656.00 $57.00 $4,688.00 $2,875.00 2026-08-20
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 8 6 $3,125.00 $2,656.00 $1,875.00 $4,688.00 $2,875.00 2026-08-20
74170 CPT CT Abdomen W/wo 9 6 $3,125.00 $2,656.00 $58.00 $4,688.00 $2,875.00 2026-08-20
3000194 CDM Hizentra 10gm/50ml Subcutaneous Infusion 9 6 $2,922.00 $2,484.00 $351.00 $2,776.00 $2,630.00 2026-08-20
70498 CPT CTA Neck W 9 6 $2,563.00 $2,179.00 $73.00 $3,845.00 $2,358.00 2026-08-20
70492 CPT CT Neck St W/wo 9 6 $2,438.00 $2,072.00 $60.00 $3,657.00 $2,243.00 2026-08-20
72194 CPT CT-pelvis W/wo Contrast 9 6 $2,438.00 $2,072.00 $51.00 $3,657.00 $2,243.00 2026-08-20
74160 CPT CT Abdomen W 9 6 $2,438.00 $2,072.00 $53.00 $3,657.00 $2,243.00 2026-08-20
71260 CPT CT Chest W 9 6 $2,438.00 $2,072.00 $52.00 $3,657.00 $2,243.00 2026-08-20
70470 CPT CT Head W/wo 9 6 $2,438.00 $2,072.00 $53.00 $3,657.00 $2,243.00 2026-08-20
80001102 CDM Hamilton Capnostat-5 Co2 Sensor 9 6 $2,352.00 $1,999.00 $282.00 $3,528.00 $2,164.00 2026-08-20
51706 CPT Ferric Carboxymaltose 50mg/ml 15ml Vial 9 6 $2,269.00 $1,929.00 $272.00 $3,404.00 $2,087.00 2026-08-20
74176 CPT CT Renal Stone 17 6 $2,438.00 $2,072.00 $71.00 $3,657.00 $1,853.00 2026-08-20
74150 CPT CT Abdomen Wo 9 6 $1,938.00 $1,647.00 $50.00 $2,907.00 $1,783.00 2026-08-20
73706 CPT CT Venogram Lower Extremity 9 6 $1,925.00 $1,636.00 $80.00 $2,888.00 $1,771.00 2026-08-20
59410 CPT Vag Delivery Only Ppc 18 6 $1,914.00 $1,627.00 $247.00 $3,087.00 $1,569.00 2026-08-20
72126 CPT CT C-spine W 9 6 $1,688.00 $1,435.00 $51.00 $2,532.00 $1,553.00 2026-08-20
72193 CPT CT Scan Of Pelvis With Contrast 8 6 $1,688.00 $1,435.00 $1,013.00 $2,532.00 $1,553.00 2026-08-20
70491 CPT CT Neck St W 9 6 $1,688.00 $1,435.00 $57.00 $2,532.00 $1,553.00 2026-08-20
72132 CPT CT L-spine W 9 6 $1,688.00 $1,435.00 $51.00 $2,532.00 $1,553.00 2026-08-20
70460 CPT CT Head W 9 6 $1,688.00 $1,435.00 $47.00 $2,532.00 $1,553.00 2026-08-20
72129 CPT CT T-spine W 9 6 $1,688.00 $1,435.00 $51.00 $2,532.00 $1,553.00 2026-08-20
70480 CPT CT Orbit, Temporal Bones, Iac W 9 6 $1,625.00 $1,381.00 $53.00 $2,438.00 $1,495.00 2026-08-20
85597 CPT Antiphospholipid Syndrome Comp Panel 9 6 $1,593.00 $1,354.00 $12.00 $2,390.00 $1,466.00 2026-08-20
73700 CPT CT Ankle Bilateral 17 6 $1,625.00 $1,381.00 $42.00 $2,438.00 $1,438.00 2026-08-20
72131 CPT CT L-spine Wo 9 6 $1,563.00 $1,329.00 $42.00 $2,345.00 $1,438.00 2026-08-20
70450 CPT CT Scan 9 6 $1,563.00 $1,329.00 $35.00 $2,345.00 $1,438.00 2026-08-20
70487 CPT CT Facial Bones W 17 6 $1,688.00 $1,435.00 $54.00 $2,532.00 $1,438.00 2026-08-20
72125 CPT CT C-spine Wo 9 6 $1,563.00 $1,329.00 $42.00 $2,345.00 $1,438.00 2026-08-20
72192 CPT CT Pelvis Wo 9 6 $1,563.00 $1,329.00 $45.00 $2,345.00 $1,438.00 2026-08-20
70486 CPT CT Sinus Wo 9 6 $1,563.00 $1,329.00 $47.00 $2,345.00 $1,438.00 2026-08-20
70490 CPT CT Neck St Wo 9 6 $1,563.00 $1,329.00 $53.00 $2,345.00 $1,438.00 2026-08-20
72128 CPT CT T-spine Wo 9 6 $1,563.00 $1,329.00 $42.00 $2,345.00 $1,438.00 2026-08-20
32556 CPT Pleural Drainage 9 6 $1,451.00 $1,233.00 $871.00 $2,177.00 $1,335.00 2026-08-20
25520 CPT Closed Trmt Of Radial Frac & Dislocation 9 6 $1,400.00 $1,190.00 $840.00 $2,100.00 $1,288.00 2026-08-20
73200 CPT CT Elbow Left 17 6 $1,563.00 $1,329.00 $42.00 $2,345.00 $1,235.00 2026-08-20
31603 CPT Tracheostomy- Emergency Procedure 9 6 $1,300.00 $1,105.00 $333.00 $1,950.00 $1,196.00 2026-08-20
26765 CPT Open Trt Dist Phal Frac 18 6 $3,547.50 $3,015.50 $116.00 $9,188.00 $1,188.50 2026-08-20
71250 CPT CT Chest Wo 25 6 $1,250.00 $1,063.00 $42.00 $2,907.00 $1,150.00 2026-08-20
17108 CPT Destruct Skin Lesions Over 50.0 Sq Cm 9 6 $1,250.00 $1,063.00 $728.00 $1,875.00 $1,150.00 2026-08-20
77078 CPT CT Bone Density Scan 9 6 $1,250.00 $1,063.00 $10.00 $1,875.00 $1,150.00 2026-08-20
3000400 CDM Remdesivir 100mg Vial 9 6 $1,170.00 $995.00 $140.00 $1,112.00 $1,053.00 2026-08-20
12047 CPT Lyr Cls Nck Hnd Ft Genit > 30.0 Cm 26 6 $1,057.00 $898.00 $88.00 $1,934.00 $937.00 2026-08-20
11471 CPT Removal Sweat Gland Lesion Complex 9 6 $985.00 $837.00 $591.00 $1,478.00 $906.00 2026-08-20
11463 CPT Removal Sweat Gland Lesion Inguinal Comp 9 6 $948.00 $806.00 $569.00 $1,422.00 $872.00 2026-08-20
93306 CPT US Echocardiography 9 6 $938.00 $797.00 $126.00 $1,407.00 $863.00 2026-08-20
11451 CPT Removal Sweat Gland Lesion Axil Complex 9 6 $935.00 $795.00 $561.00 $1,403.00 $860.00 2026-08-20
36430 CPT Blood Infusion 1- 4 Hours (Prbc) 17 6 $980.00 $833.00 $48.00 $1,470.00 $833.00 2026-08-20
G0390 HCPCS Trauma Response Team 9 6 $900.00 $765.00 $108.00 $1,350.00 $828.00 2026-08-20
12037 CPT Lyr Cls Sclp Trnk Axl Extr > 30.0 Cm 26 6 $930.00 $791.00 $77.00 $1,934.00 $824.50 2026-08-20
13132 CPT Rep Comp Fore Chk 2.67.5 Cm 18 6 $952.50 $810.00 $74.00 $1,934.00 $789.50 2026-08-20
3061291 CDM Cln- Hylan G-f 20 6ml 9 6 $869.00 $739.00 $104.00 $826.00 $782.00 2026-08-20
13152 CPT Rep Comp Lid Ns Ear 2.6 7.5 Cm 18 6 $986.50 $838.50 $82.00 $1,934.00 $776.00 2026-08-20
17107 CPT Destruct Skin Lesions 10.0 To 50.0 Sq Cm 9 6 $840.00 $714.00 $504.00 $1,260.00 $773.00 2026-08-20
93925 CPT US Lower Extremity Arterial 9 6 $813.00 $691.00 $40.00 $1,220.00 $748.00 2026-08-20
93970 CPT US Venous Doppler Bilat 9 6 $813.00 $691.00 $48.00 $1,220.00 $748.00 2026-08-20
93931 CPT US Upper Ext Arterial Doppler 9 6 $813.00 $691.00 $21.00 $1,220.00 $748.00 2026-08-20
12036 CPT Lyr Cls Sclp Trnk Axl Extr 20.1 30.0 C 26 6 $812.00 $690.00 $65.00 $1,934.00 $747.00 2026-08-20
11470 CPT Removal Sweat Gland Lesion Simple Interm 9 6 $793.00 $674.00 $476.00 $1,190.00 $730.00 2026-08-20
11446 CPT Exc Face-mm B9 Marg > 4 Cm 9 6 $758.00 $644.00 $438.00 $1,137.00 $697.00 2026-08-20
13121 CPT Rep Comp Scalp 2.67.5 Cm 18 6 $906.50 $770.50 $63.00 $1,934.00 $692.50 2026-08-20
25565 CPT Treat Radius/ulna Frac W/munipulation 9 6 $750.00 $638.00 $450.00 $1,125.00 $690.00 2026-08-20
36590 CPT Removal Cvad W/subcutaneos Port Or Pump 9 6 $744.00 $632.00 $404.00 $1,116.00 $684.00 2026-08-20
11450 CPT Removal Sweat Gland Lesion Axil Simple I 9 6 $733.00 $623.00 $440.00 $1,100.00 $674.00 2026-08-20
12035 CPT Lyr Cls Sclp Trnk Axl Extr 12.6 20.0 C 26 6 $733.00 $623.00 $56.00 $1,934.00 $674.00 2026-08-20
13151 CPT Rep Comp Lid Ns Ear 1.1 2.5 Cm 18 6 $926.50 $787.50 $68.00 $1,934.00 $668.00 2026-08-20
11462 CPT Removal Sweat Gland Lesion Inguinal Simp 9 6 $716.00 $609.00 $430.00 $1,074.00 $659.00 2026-08-20
64121 CPT Cln-gardasil 9 6 $704.00 $598.00 $84.00 $1,056.00 $648.00 2026-08-20
13101 CPT Rep Comp Trunk 2.6 To 7.5 Cm 18 6 $891.50 $758.00 $59.00 $1,934.00 $645.00 2026-08-20
93880 CPT US Carotid Bilateral 9 6 $688.00 $585.00 $42.00 $1,032.00 $633.00 2026-08-20
93971 CPT US Venous Doppler Right 9 6 $688.00 $585.00 $31.00 $1,032.00 $633.00 2026-08-20
12057 CPT Lyr Cls Face Grt 30.0 Cm 26 6 $744.00 $632.00 $89.00 $1,575.00 $631.00 2026-08-20
82139 CPT Amino Acid Profile Qtn Plasma 9 6 $680.00 $578.00 $11.00 $1,020.00 $626.00 2026-08-20
87902 CPT Hcv Genotyping Non-reflex 9 6 $674.00 $573.00 $171.00 $1,011.00 $620.00 2026-08-20
17106 CPT Destruct Skin Lesions Less Than 10 Sq Cm 9 6 $665.00 $565.00 $392.00 $998.00 $612.00 2026-08-20
12056 CPT Lyr Cls Face 20.1 30.0 Cm 26 6 $684.00 $581.00 $82.00 $1,425.00 $606.00 2026-08-20
12046 CPT Lyr Cls Nck Hnd Ft Genit 20.1 30.0 Cm 26 6 $659.00 $560.00 $73.00 $1,370.00 $604.50 2026-08-20
52000 CPT Cln-pneumococcal 20- 0.5ml Syringe 9 6 $652.00 $554.00 $340.00 $978.00 $600.00 2026-08-20
12055 CPT Lyr Cls Face 12.6 20.0 Cm 26 6 $659.00 $560.00 $71.00 $1,350.00 $600.00 2026-08-20
11426 CPT Exc H-f-nk-sp B9 Marg > 4 Cm 9 6 $647.00 $550.00 $373.00 $971.00 $595.00 2026-08-20
27550 CPT Cltx Knee Disloc 18 6 $774.50 $658.50 $109.00 $1,362.00 $590.00 2026-08-20
88271 CPT Multiple Myeloma Fish Panel 9 6 $636.00 $541.00 $14.00 $954.00 $585.00 2026-08-20
12045 CPT Lyr Cls Nck Hnd Ft Genit 12.6 20.0 Cm 26 6 $659.00 $560.00 $64.00 $1,158.00 $584.00 2026-08-20
12044 CPT Lyr Cls Nck Hnd Ft Genit 7.6 12.5 Cm 26 6 $659.00 $560.00 $51.00 $1,337.00 $584.00 2026-08-20
12054 CPT Lyr Cls Face 7.6 12.5 Cm 26 6 $659.00 $560.00 $54.00 $1,043.00 $576.50 2026-08-20
26641 CPT Cltx Carpometa Disloc W Manip 18 6 $652.50 $554.50 $80.00 $996.00 $565.00 2026-08-20
12053 CPT Lyr Cls Face 5.1 7.5 Cm 26 6 $659.00 $560.00 $51.00 $998.00 $563.50 2026-08-20
11406 CPT Exc Tr-ext B9 Marg > 4.0 Cm 9 6 $607.00 $516.00 $344.00 $911.00 $558.00 2026-08-20
18609 CPT Budesonide Inhalation Powder 180 Mcg Aer 9 6 $605.00 $514.00 $73.00 $908.00 $557.00 2026-08-20
99291 CPT Critcl Care 1st 30 74 Min 18 6 $1,205.00 $1,024.50 $53.00 $2,955.00 $539.00 2026-08-20
26725 CPT Cltx Phal Fx W Man 18 6 $613.50 $521.50 $70.00 $962.00 $538.50 2026-08-20
12034 CPT Lyr Cls Sclp Trnk Axl Extr 7.6 12.5 Cm 26 6 $601.00 $511.00 $48.00 $989.00 $533.00 2026-08-20
26700 CPT Cltx Metcrpl Disloc 18 6 $612.50 $520.50 $70.00 $962.00 $521.50 2026-08-20
13100 CPT Rep Comp Trunk 1.1 To 2.5 Cm 18 6 $846.50 $719.50 $48.00 $1,934.00 $519.00 2026-08-20
76700 CPT Ultrasound Of Abdomen 9 6 $563.00 $479.00 $33.00 $845.00 $518.00 2026-08-20
12032 CPT Lyr Cls Sclp Trnk Axl Extr 2.6 7.5 Cm 26 6 $584.00 $496.00 $45.00 $989.00 $517.50 2026-08-20
11422 CPT Trim Skin Lesion 17 6 $1,200.00 $1,020.00 $195.00 $1,800.00 $507.00 2026-08-20
22310 CPT Cltxmnt Vert Body Frac 18 6 $596.50 $507.00 $66.00 $962.00 $504.50 2026-08-20
12052 CPT Lyr Cls Face 2.6 5.0 Cm 26 6 $568.00 $483.00 $48.00 $989.00 $504.00 2026-08-20
11444 CPT Exc Face-mm B9 Marg 3.1-4 Cm 9 6 $545.00 $463.00 $317.00 $818.00 $501.00 2026-08-20
23650 CPT Cltx Shoulder Disloc 18 6 $598.50 $509.00 $67.00 $962.00 $501.00 2026-08-20
81517 CPT Enhanced Liver Fibrosis 9 6 $542.00 $461.00 $65.00 $813.00 $499.00 2026-08-20
16970 CPT Glucagon Kit 1 Mg 9 6 $541.00 $460.00 $65.00 $812.00 $498.00 2026-08-20
12020 CPT Closure Of Split Wound Simple 9 6 $540.00 $459.00 $324.00 $810.00 $497.00 2026-08-20
12042 CPT Lyr Cls Nck Hnd Ft Genit 2.6 7.5 Cm 26 6 $558.00 $474.00 $47.00 $989.00 $494.50 2026-08-20
64329 CPT Cln- Pneumococcal 15 Conjugate 0.5ml 9 6 $525.00 $446.00 $63.00 $788.00 $483.00 2026-08-20
13131 CPT Rep Comp Fore Chk 1.12.5 Cm 18 6 $574.50 $488.50 $59.00 $989.00 $481.50 2026-08-20
26600 CPT Cltx Metcrpl Fx Singl Wo Man 18 6 $586.50 $498.50 $64.00 $962.00 $479.50 2026-08-20
96365 CPT IV Infus Ther Proph Dx Init Hr 9 6 $520.00 $442.00 $94.00 $780.00 $478.00 2026-08-20
3061259 CDM Fluticasone Furoate/vilanterol 100mcg/25 9 6 $530.00 $451.00 $64.00 $504.00 $477.00 2026-08-20
27560 CPT Cltx Patellar Disloc 18 6 $574.50 $488.50 $77.00 $963.00 $466.00 2026-08-20
22315 CPT Closed Tx Vert Fx W/manj 9 6 $507.00 $431.00 $304.00 $1,417.00 $466.00 2026-08-20
11762 CPT Recnstrctn Nail Bed W Graft 18 6 $2,293.00 $1,949.00 $44.00 $6,330.00 $459.50 2026-08-20
4000926 CDM Bb Prbc (Leukocyte Reduced) 9 6 $498.00 $423.00 $60.00 $747.00 $458.00 2026-08-20
3000428 CDM Tbo-filgrastim Syringe 300mcg 9 6 $501.00 $426.00 $60.00 $476.00 $451.00 2026-08-20
31605 CPT Tracheostomy Cricothyroid Memb 18 6 $1,152.50 $979.50 $44.00 $2,909.00 $448.50 2026-08-20
13120 CPT Rep Comp Scalp 1.12.5 Cm 18 6 $560.50 $476.50 $55.00 $989.00 $444.50 2026-08-20
72114 CPT Xr Lumbar Spine Complete + Flex/ext 9 6 $481.00 $409.00 $16.00 $722.00 $443.00 2026-08-20
81256 CPT Hereditary Hemachromatosis DNA 9 6 $480.00 $408.00 $58.00 $720.00 $442.00 2026-08-20
12051 CPT Lyr Cls Face < 2.5 Cm 26 6 $497.00 $422.00 $40.00 $989.00 $440.50 2026-08-20
23916 CPT Cyclosporine Unit 1 Units 9 6 $478.00 $406.00 $57.00 $717.00 $440.00 2026-08-20
10180 CPT Complex Drainage Wound 9 6 $474.00 $403.00 $284.00 $711.00 $436.00 2026-08-20
11980 CPT Biote Male Pellet Insertion 17 6 $725.00 $616.00 $120.00 $1,088.00 $435.00 2026-08-20
82787 CPT Igg Subclasses (1-4) 9 6 $473.00 $402.00 $5.00 $710.00 $435.00 2026-08-20
20615 CPT Treatment Of Bone Cyst 9 6 $470.00 $400.00 $282.00 $705.00 $432.00 2026-08-20
90100196 CDM Stellant Syringes Radiology 9 6 $469.00 $399.00 $56.00 $704.00 $431.00 2026-08-20
26770 CPT Cltx Inter Jnt Wo Ane 18 6 $499.50 $424.50 $59.00 $761.00 $426.50 2026-08-20
99285 CPT Ed Visit 5 High Sever Sig Pf 18 6 $847.00 $720.00 $41.00 $2,025.00 $421.50 2026-08-20
32551 CPT Erchest Tube Insertion 18 6 $903.50 $768.00 $41.00 $2,201.00 $416.50 2026-08-20
11424 CPT Exc H-f-nk-sp B9 Marg 3.1-4 9 6 $452.00 $384.00 $260.00 $678.00 $416.00 2026-08-20
76770 CPT US Abdominal Aorta 17 6 $527.00 $448.00 $31.00 $791.00 $416.00 2026-08-20
M0240 HCPCS Admin For Regenerons 9 6 $451.00 $383.00 $54.00 $677.00 $415.00 2026-08-20
10121 CPT Incis Remov Fb Subq Comp 26 6 $450.00 $383.00 $43.00 $6,033.00 $414.00 2026-08-20
300017 CDM Swingbed Room 9 6 $450.00 $383.00 $54.00 $675.00 $414.00 2026-08-20
100001 CDM Private Room Rate 9 6 $450.00 $383.00 $54.00 $675.00 $414.00 2026-08-20
23570 CPT Cltx Scapular Frac 18 6 $483.50 $411.00 $55.00 $761.00 $411.50 2026-08-20
3060923 CDM Cln-zoster Vaccine Recombinant 9 6 $453.00 $385.00 $54.00 $430.00 $408.00 2026-08-20
28190 CPT Pf Removal Sub Fb Foot 18 6 $562.50 $478.00 $34.00 $1,268.00 $407.50 2026-08-20
12041 CPT Lyr Cls Nck Hnd Ft Genit < 2.5 Cm 26 6 $457.00 $388.00 $36.00 $989.00 $407.50 2026-08-20
12031 CPT Lyr Cls Sclp Trnk Axl Extr < 2.5 Cm 26 6 $457.00 $388.00 $36.00 $989.00 $407.50 2026-08-20
11044 CPT Debrid Skin Sub-q Muscle Bone 9 6 $441.00 $375.00 $265.00 $662.00 $406.00 2026-08-20
76882 CPT US Thigh Unilateral 9 6 $438.00 $372.00 $17.00 $657.00 $403.00 2026-08-20
76870 CPT US Scrotum 9 6 $438.00 $372.00 $27.00 $657.00 $403.00 2026-08-20
76881 CPT US Soft Tissue Extremity 9 6 $438.00 $372.00 $24.00 $657.00 $403.00 2026-08-20
76705 CPT US Abdomen Limited 9 6 $438.00 $372.00 $24.00 $657.00 $403.00 2026-08-20
76857 CPT US Urinary Bladder With Post Void 9 6 $438.00 $372.00 $16.00 $657.00 $403.00 2026-08-20
76856 CPT US Pelvis Complete 9 6 $438.00 $372.00 $29.00 $657.00 $403.00 2026-08-20
76830 CPT Ultrasound Pelvis Through Vagina 8 6 $438.00 $372.00 $263.00 $657.00 $403.00 2026-08-20
23540 CPT Clsd Tx Acromioclviculr Dislo Wo Man 18 6 $540.50 $459.50 $53.00 $962.00 $401.50 2026-08-20
17307 CPT Fluticasone Propionate 220mcg 9 6 $436.00 $371.00 $52.00 $654.00 $401.00 2026-08-20
11443 CPT Exc Face-mm B9 Marg 2.1-3 Cm 9 6 $433.00 $368.00 $252.00 $650.00 $398.00 2026-08-20
26740 CPT Cltx Art Fx Wo Man 18 6 $526.50 $447.50 $49.00 $962.00 $388.00 2026-08-20
11404 CPT Exc Tr-ext B9 Marg 3.1-4 Cm 9 6 $420.00 $357.00 $240.00 $630.00 $386.00 2026-08-20
28470 CPT Cltx Met Fx Without Man 18 6 $518.50 $441.00 $48.00 $962.00 $380.50 2026-08-20
11055 CPT Trim Corn Or Callus; Single Lesion 9 6 $406.00 $345.00 $55.00 $609.00 $374.00 2026-08-20
3000359 CDM Penicillin G Benz Inj 1.2 Mill Unit/2 Ml 9 6 $414.00 $352.00 $50.00 $393.00 $373.00 2026-08-20
8000022 CDM Cln-penicillin G Benz Inj 1.2 Mil Un/2ml 9 6 $414.00 $352.00 $50.00 $393.00 $373.00 2026-08-20
87522 CPT Hepatitis C Virus RNA Pcr Qua 9 6 $404.00 $343.00 $28.00 $606.00 $372.00 2026-08-20
11750 CPT Exc Nail Matrix Permanent 26 6 $400.00 $340.00 $41.00 $1,703.00 $368.00 2026-08-20
85305 CPT Protein S Antigen 9 6 $400.00 $340.00 $8.00 $600.00 $368.00 2026-08-20
25605 CPT Treat Fracture Radius/ulna Profee 18 6 $375.00 $319.00 $42.00 $990.00 $368.00 2026-08-20
12007 CPT Rep Smp Scpnckaxgntrnkxtrm Over 3 26 6 $425.00 $361.00 $36.00 $657.00 $367.50 2026-08-20
36555 CPT Insert Central Line< 5 Years 18 6 $1,382.50 $1,175.50 $28.00 $3,794.00 $366.00 2026-08-20
11423 CPT Exc H-f-nk-sp B9+marg 2.1-3 9 6 $389.00 $331.00 $226.00 $584.00 $358.00 2026-08-20
72110 CPT X-ray Of Lower Back 8 6 $388.00 $330.00 $233.00 $582.00 $357.00 2026-08-20
73565 CPT Xr Knee Bilateral 9 6 $388.00 $330.00 $8.00 $582.00 $357.00 2026-08-20
72050 CPT Xr Cervical Spine Complete View 9 6 $388.00 $330.00 $13.00 $582.00 $357.00 2026-08-20
12016 CPT Rep Smp Face 12.6 To 20.0 Cm 26 6 $396.00 $337.00 $32.00 $657.00 $351.00 2026-08-20
36556 CPT Insert Non Tunnel Cv Cath 5+ 18 6 $1,386.50 $1,178.50 $29.00 $3,794.00 $347.50 2026-08-20
3060951 CDM Cln-meningococcal Acyw Conjugate 9 6 $386.00 $328.00 $46.00 $367.00 $347.00 2026-08-20
24600 CPT Closed Trmt Elbow Disloc; Without Anes 9 6 $375.00 $319.00 $225.00 $570.00 $345.00 2026-08-20
43752 CPT Nasogastric Tube Placement 9 6 $370.00 $315.00 $59.00 $555.00 $340.00 2026-08-20
11403 CPT Exc Tr-ext B9 Marg 2.1-3 Cm 9 6 $370.00 $315.00 $211.00 $555.00 $340.00 2026-08-20
12006 CPT Rep Smp Scpnckaxgntrnkxtrm 20.1cm 26 6 $369.00 $314.00 $29.00 $989.00 $339.00 2026-08-20
11760 CPT Repair Of Nail Bed 18 6 $457.50 $389.00 $31.00 $989.00 $338.00 2026-08-20
0346U CPT Beta Amyloid 42 40 Ratio 9 6 $365.00 $310.00 $44.00 $548.00 $336.00 2026-08-20
4083521 CDM Head Test-kappa/lambda W K/l Raito, Free 9 6 $365.00 $310.00 $44.00 $548.00 $336.00 2026-08-20
11442 CPT Exc Face-mm B9 Marg 1.1-2 Cm 9 6 $362.00 $308.00 $211.00 $543.00 $333.00 2026-08-20
28495 CPT Cltx Fx Great Toe W Man 18 6 $468.50 $398.50 $36.00 $962.00 $333.00 2026-08-20
71110 CPT Xr Ribs Bilateral 9 6 $356.00 $303.00 $11.00 $534.00 $328.00 2026-08-20
71048 CPT Xr Chest 4 Views 9 6 $356.00 $303.00 $13.00 $534.00 $328.00 2026-08-20
28515 CPT Cltx Fx Phalanx W Man 18 6 $460.50 $391.50 $34.00 $962.00 $325.50 2026-08-20
12018 CPT Rep Smp Face >30 Cm 26 6 $352.00 $299.00 $42.00 $657.00 $324.00 2026-08-20
26750 CPT Cltx Fx Fingr Thumb Without Man 18 6 $430.50 $366.00 $42.00 $761.00 $320.00 2026-08-20
26720 CPT Cltx Phal Fx Wo Man 18 6 $430.50 $366.00 $42.00 $761.00 $320.00 2026-08-20
86663 CPT Ebv Vca/ea Ab, Igg 9 6 $347.00 $295.00 $9.00 $521.00 $319.00 2026-08-20
87798 CPT Babesia Microti Pcr 17 6 $489.00 $416.00 $23.00 $734.00 $317.00 2026-08-20
83520 CPT Thyrotropin Receptor Antibody 9 6 $343.00 $292.00 $9.00 $515.00 $316.00 2026-08-20
31515 CPT Laryngoscopy Direct Aspiration 18 6 $1,998.50 $1,698.50 $26.00 $5,666.00 $315.00 2026-08-20
M0239 HCPCS IV Infusion Bamlanivimab & Monitoring 9 6 $340.00 $289.00 $41.00 $510.00 $313.00 2026-08-20
M0243 HCPCS IV Infusion Casirivimab/imde Monitoring 9 6 $340.00 $289.00 $41.00 $510.00 $313.00 2026-08-20
80074 CPT Acute Hepatitis Panel-serum 9 6 $338.00 $287.00 $31.00 $507.00 $311.00 2026-08-20
96374 CPT IV Medication 9 6 $334.00 $284.00 $74.00 $501.00 $307.00 2026-08-20
97167 CPT Ot Eval High Complex 60 Min 9 6 $325.00 $276.00 $51.00 $488.00 $299.00 2026-08-20
25560 CPT Treat Radius/ulna Fract Without Munipulation 9 6 $325.00 $276.00 $195.00 $488.00 $299.00 2026-08-20
11730 CPT Avulsion Nail Plate Sgl Simp 26 6 $350.00 $298.00 $12.00 $657.00 $298.50 2026-08-20
96373 CPT Inject Ther Dx Intra Arterial 9 6 $324.00 $275.00 $26.00 $486.00 $298.00 2026-08-20
76536 CPT US Thyroid Complete 17 6 $438.00 $372.00 $23.00 $657.00 $297.00 2026-08-20
11441 CPT Exc Face-mm B9 Marg 0.6-1 Cm 9 6 $323.00 $275.00 $187.00 $485.00 $297.00 2026-08-20
11402 CPT Exc Tr-ext B9 Marg 1.1-2 Cm 9 6 $320.00 $272.00 $184.00 $480.00 $294.00 2026-08-20
12021 CPT Closure Of Split Wound With Packing 9 6 $315.00 $268.00 $189.00 $473.00 $290.00 2026-08-20
30906 CPT Control Nasal Hemorr Post Subs 18 6 $324.50 $276.00 $31.00 $584.00 $289.00 2026-08-20
76641 CPT US Breast 9 6 $313.00 $266.00 $30.00 $470.00 $288.00 2026-08-20
74022 CPT Xr Abdomen Complete W/cxr 9 6 $313.00 $266.00 $13.00 $470.00 $288.00 2026-08-20
93922 CPT US Ankle Brachial Indices 9 6 $313.00 $266.00 $17.00 $470.00 $288.00 2026-08-20
99284 CPT Ed Visit 4 High Sever Pf 18 6 $616.00 $523.50 $28.00 $1,497.00 $286.50 2026-08-20
12017 CPT Rep Smp Face 20.1 To 30.0 Cm 26 6 $310.00 $264.00 $37.00 $657.00 $285.00 2026-08-20
28630 CPT Cls Trt Jnt Disloc Metatars Wo Anes 18 6 $428.50 $364.50 $26.00 $962.00 $282.50 2026-08-20
36680 CPT Insertion Of Io 26 6 $330.00 $281.00 $14.00 $593.00 $281.00 2026-08-20
80299 CPT Dexamethasone 9 6 $304.00 $258.00 $9.00 $456.00 $280.00 2026-08-20
7150005 CDM Hh Pt 9 6 $304.00 $258.00 $36.00 $456.00 $280.00 2026-08-20
10140 CPT Drainage Of Hematoma/fluid 26 6 $315.00 $268.00 $13.00 $1,193.00 $279.50 2026-08-20
30300 CPT Remove Fb Intranasal 18 6 $318.50 $271.00 $29.00 $593.00 $279.50 2026-08-20
76775 CPT US Aorta Screening Limited 17 6 $438.00 $372.00 $24.00 $657.00 $279.00 2026-08-20
12015 CPT Rep Smp Face 7.6 To 12.5 Cm 26 6 $313.00 $266.00 $24.00 $657.00 $277.50 2026-08-20
86335 CPT Ife+protein Elec 24ur 9 6 $301.00 $256.00 $9.00 $452.00 $277.00 2026-08-20
11421 CPT Exc H-f-nk-sp B9 Marg 0.6-1 9 6 $301.00 $256.00 $175.00 $452.00 $277.00 2026-08-20
69000 CPT I & D Abscess Ear Simple 18 6 $358.50 $304.50 $28.00 $728.00 $276.50 2026-08-20
12005 CPT Rep Smp Scpnckaxgntrnkxtrm 12.6cm 26 6 $312.00 $265.00 $24.00 $657.00 $276.50 2026-08-20
87799 CPT Bk Virus (Bkv) Quant Pcr 9 6 $295.00 $251.00 $28.00 $443.00 $271.00 2026-08-20
72100 CPT Xr Lumbar Spine 2-3 Views 9 6 $294.00 $250.00 $10.00 $441.00 $270.00 2026-08-20
70260 CPT Xr Skull 4+ Views 9 6 $294.00 $250.00 $14.00 $441.00 $270.00 2026-08-20
71046 CPT Xr Chest 2 Views 9 6 $294.00 $250.00 $9.00 $441.00 $270.00 2026-08-20
72190 CPT Xr Pelvis Complete 9 6 $294.00 $250.00 $10.00 $441.00 $270.00 2026-08-20
72070 CPT Xr Thoracic Spine 2-3v 9 6 $294.00 $250.00 $9.00 $441.00 $270.00 2026-08-20
72040 CPT Xr Cervical Spine 2-3 Views 9 6 $294.00 $250.00 $10.00 $441.00 $270.00 2026-08-20
74019 CPT Xr Abdomen 2 Views 9 6 $294.00 $250.00 $9.00 $441.00 $270.00 2026-08-20
70150 CPT Xr Facial Bones Complete 9 6 $294.00 $250.00 $11.00 $441.00 $270.00 2026-08-20
71100 CPT Xr Ribs Left 2-3 Views 9 6 $294.00 $250.00 $9.00 $441.00 $270.00 2026-08-20
73564 CPT Xr Knee Right 4 Or More Views 9 6 $294.00 $250.00 $10.00 $441.00 $270.00 2026-08-20
73030 CPT Xr Shoulder Left 2-3 Views 9 6 $294.00 $250.00 $8.00 $441.00 $270.00 2026-08-20
70220 CPT Xr Sinuses Complete 9 6 $294.00 $250.00 $10.00 $441.00 $270.00 2026-08-20
28490 CPT Cltx Fx Great Toe Wo Man 18 6 $375.50 $319.00 $29.00 $761.00 $268.00 2026-08-20
17004 CPT Destroy Lesions 15 Or More 9 6 $290.00 $247.00 $174.00 $435.00 $267.00 2026-08-20
30905 CPT Control Nasal Hemorr Post Init 18 6 $293.50 $249.50 $24.00 $584.00 $265.00 2026-08-20
11401 CPT Exc Tr-ext B9 Marg 0.6-1 Cm 9 6 $287.00 $244.00 $165.00 $431.00 $264.00 2026-08-20
20526 CPT Injection Therapeutic Carpal Tunnel 9 6 $287.00 $244.00 $121.00 $431.00 $264.00 2026-08-20
28510 CPT Cltx Fx Phalanx Wo Man 18 6 $370.50 $315.00 $28.00 $761.00 $263.00 2026-08-20
73521 CPT Xr Bilat Hips W Pelvis 17 6 $294.00 $250.00 $9.00 $441.00 $262.00 2026-08-20
97166 CPT Ot Eval Mod Complex 45 Min 9 6 $285.00 $242.00 $51.00 $428.00 $262.00 2026-08-20
3060831 CDM Cln-meningococcal Intramuscular Kit 9 6 $290.00 $247.00 $35.00 $276.00 $261.00 2026-08-20
10080 CPT I & D Pilon Cyst Simp 18 6 $343.50 $292.00 $24.00 $728.00 $261.00 2026-08-20
56405 CPT I & D Vulva Perineal Abs 18 6 $445.00 $378.00 $25.00 $1,017.00 $259.50 2026-08-20
90734 CPT Meningococcal Mcv4o (Cvx 114) 9 6 $280.00 $238.00 $144.00 $420.00 $258.00 2026-08-20
7150001 CDM Skilled Nurse Visit 9 6 $278.00 $236.00 $33.00 $417.00 $256.00 2026-08-20
10061 CPT Drainage Of Skin Abscess Complicated Or 17 6 $400.00 $340.00 $102.00 $600.00 $255.00 2026-08-20
85385 CPT Fibrinogen 9 6 $276.00 $235.00 $6.00 $414.00 $254.00 2026-08-20
92960 CPT Cardioversion External 26 6 $275.00 $234.00 $29.00 $2,115.00 $253.00 2026-08-20
92610 CPT Swallow Eval Bedside 9 6 $275.00 $234.00 $157.00 $413.00 $253.00 2026-08-20
86360 CPT Cd4/cd8 Ratio Profile 9 6 $275.00 $234.00 $31.00 $413.00 $253.00 2026-08-20
86255 CPT Celiac Disease Panel 9 6 $273.00 $232.00 $9.00 $410.00 $251.00 2026-08-20
96360 CPT IV Therapy Up To 1 Hr 17 6 $299.00 $254.00 $76.00 $449.00 $246.00 2026-08-20
51971 CPT Cln-pneumococcal 13-valent 0.5ml 9 6 $265.00 $225.00 $32.00 $398.00 $244.00 2026-08-20
10120 CPT Incis Remov Fb Subq Simp 26 6 $265.00 $225.00 $24.00 $1,274.00 $244.00 2026-08-20
99343 CPT Home V Np Detailed 9 6 $265.00 $225.00 $143.00 $398.00 $244.00 2026-08-20
83883 CPT Free Kappa/lambda Light Chains Qn Serum 9 6 $260.00 $221.00 $9.00 $390.00 $239.00 2026-08-20
24640 CPT Cltx Radial Head Subl 18 6 $412.50 $350.50 $22.00 $962.00 $238.50 2026-08-20
96370 CPT Add Hours Infusion Therapy/prophylaxis 9 6 $259.00 $220.00 $21.00 $389.00 $238.00 2026-08-20
11440 CPT Exc Face-mm B9 Marg 0.5 < Cm 9 6 $258.00 $219.00 $148.00 $387.00 $237.00 2026-08-20
83921 CPT Methylmalonic Acid 9 6 $255.00 $217.00 $11.00 $383.00 $235.00 2026-08-20
30903 CPT Control Nasal Hemorr Ant Comp 18 6 $273.50 $232.50 $19.00 $584.00 $235.00 2026-08-20
73552 CPT Xr Femur Bilateral 17 6 $388.00 $330.00 $8.00 $582.00 $233.00 2026-08-20
3061005 CDM Atropine Sulfate Ophthalmic Solution 1% 9 6 $259.00 $220.00 $31.00 $246.00 $233.00 2026-08-20
73610 CPT Xr Ankle Bilateral 17 6 $388.00 $330.00 $7.00 $582.00 $233.00 2026-08-20
17111 CPT Destruct Lesion 15 Or More 9 6 $253.00 $215.00 $148.00 $380.00 $233.00 2026-08-20
73650 CPT Xr Heel Bilateral 17 6 $388.00 $330.00 $7.00 $582.00 $233.00 2026-08-20
73630 CPT Xr Foot Bilateral 17 6 $388.00 $330.00 $7.00 $582.00 $233.00 2026-08-20
64943 CPT Cln-pneumococcal Vaccine Polyvalent Inj 18 6 $262.00 $223.00 $30.00 $414.00 $231.50 2026-08-20
54032 CPT Fluticasone/salmeterol Inh 250-50 Mcg 9 6 $251.00 $213.00 $30.00 $377.00 $231.00 2026-08-20
10160 CPT Punct Aspir Abscess Hema Bulla 26 6 $250.00 $213.00 $23.00 $728.00 $230.00 2026-08-20
11200 CPT Removal Of Skin Tags 9 6 $250.00 $213.00 $96.00 $375.00 $230.00 2026-08-20
11106 CPT Incal Bx Skn Single Les 9 6 $250.00 $213.00 $150.00 $375.00 $230.00 2026-08-20
99205 CPT New Patient Office Or Other Outpatient Visit, 60 Min 9 6 $250.00 $213.00 $150.00 $375.00 $230.00 2026-08-20
97165 CPT Ot Eval Low Complex 30 Min 9 6 $250.00 $213.00 $51.00 $375.00 $230.00 2026-08-20
97163 CPT Pt Eval High Complexity 45 Min 9 6 $250.00 $213.00 $53.00 $375.00 $230.00 2026-08-20
92523 CPT Speech Language Eval 9 6 $250.00 $213.00 $150.00 $375.00 $230.00 2026-08-20
31500 CPT ER- Airway-oral Pharyngeal Ett Insertion 26 6 $248.00 $211.00 $26.00 $584.00 $228.00 2026-08-20
12014 CPT Rep Smp Face 5.1 To 7.5 Cm 26 6 $258.00 $219.00 $19.00 $443.00 $227.00 2026-08-20
87521 CPT Hcv RNA By Pcr Qnt (Rfx Geno) 17 6 $417.00 $354.00 $23.00 $626.00 $225.00 2026-08-20
11765 CPT Wedge Excise Skin Nail Fold 18 6 $311.00 $264.00 $22.00 $657.00 $224.00 2026-08-20
83835 CPT Metanephrines Frac Plasma Free 17 6 $301.00 $256.00 $11.00 $452.00 $223.00 2026-08-20
3000193 CDM Hepatitis B Vac Recombinant 20mcg 9 6 $248.00 $211.00 $30.00 $236.00 $223.00 2026-08-20
2500458 CDM Quick Trach Pedi 9 6 $240.00 $204.00 $29.00 $360.00 $221.00 2026-08-20
11400 CPT Exc Tr-ext B9 Marg 0.5 < Cm 9 6 $238.00 $202.00 $134.00 $357.00 $219.00 2026-08-20
11011 CPT Debrid Open Fx/skin Sub-q Muscle 9 6 $238.00 $202.00 $143.00 $596.00 $219.00 2026-08-20
11010 CPT Debrid W Open Fx/and/or Disloc 9 6 $238.00 $202.00 $143.00 $542.00 $219.00 2026-08-20
84260 CPT Serotonin Serum 9 6 $236.00 $201.00 $21.00 $354.00 $217.00 2026-08-20
96523 CPT Irr Imp Ven Acc Dev Drug Deliv 9 6 $236.00 $201.00 $33.00 $354.00 $217.00 2026-08-20
93005 CPT EKG 9 6 $235.00 $200.00 $28.00 $353.00 $216.00 2026-08-20
64047 CPT Cln-rotavirus Vaccine-2ml 9 6 $235.00 $200.00 $28.00 $353.00 $216.00 2026-08-20
11420 CPT Exc H-f-nk-sp B9 Marg 0.5 < 9 6 $235.00 $200.00 $134.00 $353.00 $216.00 2026-08-20
2670244 CDM O2 @ 6 L/min Per Mask 9 6 $234.00 $199.00 $28.00 $351.00 $215.00 2026-08-20
2670245 CDM O2 Per Non-rebreather Mask 9 6 $234.00 $199.00 $28.00 $351.00 $215.00 2026-08-20
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