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

Your selected procedure

You selected 93306 (CPT)

Us Echocardiography

This hospital’s price: $652 across 12 payers · range $126-$1,407

Source: https://secure.claraprice.net/price-transparency/YHGJ-1784232189801/machine-readable/751188675_parkview-hospital_standardcharges.json · observed 2026-08-20

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.

3,137 distinct procedures filed
12 distinct payers
33,228 rate rows
2026-08-20 last MRF observed
Data quality

33,166 of 33,228 rate rows are consumer-grade (99.8%)

62 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
placeholder amount (≤ $0.02) — excluded from medians 8
exceeds 10× this hospital's gross charge — excluded from medians 7
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
$18
outlier · 949.8×
3000429
CDM 		Tenecteplase Kit 50 Mg 6 $2,279.00 $18,042.00 $17,093.00 nat. median
$2,279
outlier · 7.5×
74175
CPT 		CTA Gi Bleed 6 $80.00 $6,300.00 $3,864.00 nat. median
$718
outlier · 5.4×
74178
CPT 		CT Abdomen/ Pelvis W/wo 6 $2,400.00 $6,000.00 $3,680.00 nat. median
$1,027
outlier · 3.6×
J2997
HCPCS 		Alteplase Kit 100 Mg 5 $89.64 $16,526.69 $3,419.32 nat. median
$500
outlier · 6.8×
3000102
CDM 		Crotalidae Polyval Immune Fab 2 Vial Kit 6 $452.00 $3,578.00 $3,389.00 nat. median
$46
outlier · 73.6×
71275
CPT 		CTA Chest W/wo 6 $80.00 $6,000.00 $3,163.00 nat. median
$759
outlier · 4.2×
J3101
HCPCS 		Tenecteplase Kit 50 Mg 5 $154.57 $14,720.93 $3,045.71 nat. median
$3,787
0.8× median
74177
CPT 		CT Scan Of Abdomen And Pelvis With Contrast 6 $1,875.00 $4,688.00 $2,875.00 nat. median
$976
outlier · 2.9×
70496
CPT 		CTA Head & Neck W 6 $73.00 $4,688.00 $2,875.00 nat. median
$752
outlier · 3.8×
74170
CPT 		CT Abdomen W/wo 6 $58.00 $4,688.00 $2,875.00 nat. median
$714
outlier · 4.0×
71270
CPT 		CT Chest W/wo 6 $57.00 $4,688.00 $2,875.00 nat. median
$684
outlier · 4.2×
3000194
CDM 		Hizentra 10gm/50ml Subcutaneous Infusion 6 $351.00 $2,776.00 $2,630.00 nat. median
$2
outlier · 1565.5×
70498
CPT 		CTA Neck W 6 $73.00 $3,845.00 $2,358.00 nat. median
$744
outlier · 3.2×
74160
CPT 		CT Abdomen W 6 $53.00 $3,657.00 $2,243.00 nat. median
$655
outlier · 3.4×
71260
CPT 		CT Chest W 6 $52.00 $3,657.00 $2,243.00 nat. median
$651
outlier · 3.4×
72194
CPT 		CT-pelvis W/wo Contrast 6 $51.00 $3,657.00 $2,243.00 nat. median
$672
outlier · 3.3×
70470
CPT 		CT Head W/wo 6 $53.00 $3,657.00 $2,243.00 nat. median
$629
outlier · 3.6×
70492
CPT 		CT Neck St W/wo 6 $60.00 $3,657.00 $2,243.00 nat. median
$650
outlier · 3.4×
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
$2,050
1.0× median
74176
CPT 		CT Renal Stone 6 $71.00 $3,657.00 $1,853.00 nat. median
$694
outlier · 2.7×
J0840
HCPCS 		Crotalidae Polyval Immune Fab 2 Vial Kit 6 $677.90 $3,276.52 $1,852.15 nat. median
$3,452
0.5× median
74150
CPT 		CT Abdomen Wo 6 $50.00 $2,907.00 $1,783.00 nat. median
$448
outlier · 4.0×
73706
CPT 		CT Venogram Lower Extremity 6 $80.00 $2,888.00 $1,771.00 nat. median
$752
outlier · 2.4×
59410
CPT 		Vag Delivery Only Ppc 6 $247.00 $3,087.00 $1,569.00 nat. median
$2,382
0.7× median
70460
CPT 		CT Head W 6 $47.00 $2,532.00 $1,553.00 nat. median
$582
outlier · 2.7×
72193
CPT 		CT Scan Of Pelvis With Contrast 6 $1,013.00 $2,532.00 $1,553.00 nat. median
$643
outlier · 2.4×
72129
CPT 		CT T-spine W 6 $51.00 $2,532.00 $1,553.00 nat. median
$585
outlier · 2.7×
72132
CPT 		CT L-spine W 6 $51.00 $2,532.00 $1,553.00 nat. median
$769
outlier · 2.0×
70491
CPT 		CT Neck St W 6 $57.00 $2,532.00 $1,553.00 nat. median
$632
outlier · 2.5×
72126
CPT 		CT C-spine W 6 $51.00 $2,532.00 $1,553.00 nat. median
$758
outlier · 2.0×
70480
CPT 		CT Orbit, Temporal Bones, Iac W 6 $53.00 $2,438.00 $1,495.00 nat. median
$481
outlier · 3.1×
85597
CPT 		Antiphospholipid Syndrome Comp Panel 6 $12.00 $2,390.00 $1,466.00 nat. median
$38
outlier · 38.9×
70487
CPT 		CT Facial Bones W 6 $54.00 $2,532.00 $1,438.00 nat. median
$611
outlier · 2.4×
70486
CPT 		CT Sinus Wo 6 $47.00 $2,345.00 $1,438.00 nat. median
$481
outlier · 3.0×
73700
CPT 		CT Ankle Bilateral 6 $42.00 $2,438.00 $1,438.00 nat. median
$505
outlier · 2.8×
72125
CPT 		CT C-spine Wo 6 $42.00 $2,345.00 $1,438.00 nat. median
$480
outlier · 3.0×
72128
CPT 		CT T-spine Wo 6 $42.00 $2,345.00 $1,438.00 nat. median
$462
outlier · 3.1×
70450
CPT 		CT Scan 6 $35.00 $2,345.00 $1,438.00 nat. median
$454
outlier · 3.2×
72192
CPT 		CT Pelvis Wo 6 $45.00 $2,345.00 $1,438.00 nat. median
$463
outlier · 3.1×
70490
CPT 		CT Neck St Wo 6 $53.00 $2,345.00 $1,438.00 nat. median
$453
outlier · 3.2×
72131
CPT 		CT L-spine Wo 6 $42.00 $2,345.00 $1,438.00 nat. median
$460
outlier · 3.1×
32556
CPT 		Pleural Drainage 6 $871.00 $2,177.00 $1,335.00 nat. median
$1,999
0.7× median
25520
CPT 		Closed Trmt Of Radial Frac & Dislocation 6 $840.00 $2,100.00 $1,288.00 nat. median
$1,693
0.8× median
73200
CPT 		CT Elbow Left 6 $42.00 $2,345.00 $1,235.00 nat. median
$524
outlier · 2.4×
31603
CPT 		Tracheostomy- Emergency Procedure 6 $333.00 $1,950.00 $1,196.00 nat. median
$1,664
0.7× median
26765
CPT 		Open Trt Dist Phal Frac 6 $116.00 $9,188.00 $1,188.50 nat. median
$3,497
outlier · 0.3×
77078
CPT 		CT Bone Density Scan 6 $10.00 $1,875.00 $1,150.00 nat. median
$117
outlier · 9.8×
71250
CPT 		CT Chest Wo 6 $42.00 $2,907.00 $1,150.00 nat. median
$469
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 3,137 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 8 6 $4,000.00 $3,400.00 $2,400.00 $6,000.00 $3,680.00 2026-08-20
J2997 HCPCS Alteplase Kit 100 Mg 5 5 $18,996.20 $16,146.77 $89.64 $16,526.69 $3,419.32 2024-12-30
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
J3101 HCPCS Tenecteplase Kit 50 Mg 5 5 $16,920.61 $14,382.52 $154.57 $14,720.93 $3,045.71 2024-12-30
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
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
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
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
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
74160 CPT CT Abdomen W 9 6 $2,438.00 $2,072.00 $53.00 $3,657.00 $2,243.00 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
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
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
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
J0840 HCPCS Crotalidae Polyval Immune Fab 2 Vial Kit 6 6 $3,766.12 $3,201.20 $677.90 $3,276.52 $1,852.15 2024-12-30
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
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
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
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
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
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
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
72192 CPT CT Pelvis Wo 9 6 $1,563.00 $1,329.00 $45.00 $2,345.00 $1,438.00 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
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
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
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
70486 CPT CT Sinus Wo 9 6 $1,563.00 $1,329.00 $47.00 $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
71275 HCPCS CTA Chest W/wo 8 6 $3,200.00 $2,720.00 $227.23 $2,784.00 $1,111.50 2024-12-30
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
59410 HCPCS Vag Delivery Only Ppc 13 6 $2,058.00 $1,749.30 $318.60 $1,790.46 $929.25 2024-12-30
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
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
G0390 HCPCS Trauma Response Team 15 12 $900.00 $765.00 $108.00 $1,350.00 $765.00 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
32556 HCPCS Pleural Drainage 6 6 $1,451.00 $1,233.35 $261.18 $1,262.37 $723.71 2024-12-30
26765 HCPCS Open Trt Dist Phal Frac 13 6 $970.00 $824.50 $174.60 $5,328.75 $712.95 2024-12-30
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
25520 HCPCS Closed Trmt Of Radial Frac & Dislocation 6 6 $1,400.00 $1,190.00 $252.00 $1,218.00 $648.54 2024-12-30
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
17108 HCPCS Destruct Skin Lesions Over 50.0 Sq Cm 6 6 $1,250.00 $1,062.50 $225.00 $1,087.50 $630.14 2024-12-30
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
74176 HCPCS CT Renal Stone 8 6 $1,250.00 $1,062.50 $176.32 $1,696.50 $606.50 2024-12-30
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
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
52000 CPT Cln-pneumococcal 20- 0.5ml Syringe 9 6 $652.00 $554.00 $340.00 $978.00 $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
70487 HCPCS CT Facial Bones Wo 8 6 $1,250.00 $1,062.50 $146.27 $1,174.50 $587.62 2024-12-30
88271 CPT Multiple Myeloma Fish Panel 9 6 $636.00 $541.00 $14.00 $954.00 $585.00 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
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
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
71250 HCPCS CT Chest Wo 8 6 $1,550.00 $1,317.50 $128.00 $1,348.50 $561.10 2024-12-30
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
J1559 HCPCS Hizentra 10GM/50ml Subcutaneous Infusion 5 5 $2,922.00 $2,483.70 $12.97 $2,542.14 $525.96 2024-12-30
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
11471 HCPCS Removal Sweat Gland Lesion Complex 6 6 $985.00 $837.25 $177.30 $856.95 $516.34 2024-12-30
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
11463 HCPCS Removal Sweat Gland Lesion Inguinal Comp 6 6 $948.00 $805.80 $170.64 $824.76 $499.44 2024-12-30
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
31603 HCPCS Tracheostomy- Emergency Procedure 6 6 $1,300.00 $1,105.00 $234.00 $1,131.00 $493.02 2024-12-30
11451 HCPCS Removal Sweat Gland Lesion Axil Complex 6 6 $935.00 $794.75 $168.30 $813.45 $492.93 2024-12-30
12057 HCPCS Lyr Cls Face Grt 30.0 Cm 17 6 $744.00 $632.40 $118.62 $913.50 $484.36 2024-12-30
12056 HCPCS Lyr Cls Face 20.1 30.0 Cm 17 6 $684.00 $581.40 $118.62 $826.50 $484.36 2024-12-30
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
74177 HCPCS CT Abdomen/pelvis W 6 6 $2,500.00 $2,125.00 $275.58 $2,175.00 $464.22 2024-12-30
72126 HCPCS CT C-spine W 6 6 $1,350.00 $1,147.50 $162.15 $1,174.50 $464.22 2024-12-30
72132 HCPCS CT L-spine W 6 6 $1,350.00 $1,147.50 $162.46 $1,174.50 $464.22 2024-12-30
74178 HCPCS CT Abdomen/ Pelvis W/wo 6 6 $3,200.00 $2,720.00 $326.63 $2,784.00 $464.22 2024-12-30
12047 HCPCS Lyr Cls Nck Hnd Ft Genit > 30.0 Cm 17 6 $1,057.00 $898.45 $132.12 $1,121.43 $463.67 2024-12-30
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
25565 HCPCS Treat Radius/ulna Frac W/munipulation 6 6 $750.00 $637.50 $135.00 $652.50 $450.69 2024-12-30
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
17107 HCPCS Destruct Skin Lesions 10.0 To 50.0 Sq Cm 6 6 $840.00 $714.00 $151.20 $730.80 $432.63 2024-12-30
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
12046 HCPCS Lyr Cls Nck Hnd Ft Genit 20.1 30.0 Cm 17 6 $659.00 $560.15 $109.44 $794.31 $424.10 2024-12-30
12055 HCPCS Lyr Cls Face 12.6 20.0 Cm 17 6 $659.00 $560.15 $106.56 $783.00 $424.10 2024-12-30
11470 HCPCS Removal Sweat Gland Lesion Simple Interm 6 6 $793.00 $674.05 $142.74 $689.91 $422.86 2024-12-30
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
27550 HCPCS Cltx Knee Disloc 13 6 $908.00 $771.80 $115.38 $789.96 $417.80 2024-12-30
32551 CPT Erchest Tube Insertion 18 6 $903.50 $768.00 $41.00 $2,201.00 $416.50 2026-08-20
76770 CPT US Abdominal Aorta 17 6 $527.00 $448.00 $31.00 $791.00 $416.00 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
13152 HCPCS Rep Comp Lid Ns Ear 2.6 7.5 Cm 13 6 $684.00 $581.40 $123.12 $1,121.43 $415.96 2024-12-30
100001 CDM Private Room Rate 9 6 $450.00 $383.00 $54.00 $675.00 $414.00 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
23570 CPT Cltx Scapular Frac 18 6 $483.50 $411.00 $55.00 $761.00 $411.50 2026-08-20
J1439 HCPCS Ferric Carboxymaltose 50mg/mL 15ml Vial 5 5 $2,268.86 $1,928.53 $1.08 $1,973.91 $408.39 2024-12-30
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
12037 HCPCS Lyr Cls Sclp Trnk Axl Extr > 30.0 Cm 17 6 $930.00 $790.50 $115.92 $1,121.43 $406.97 2024-12-30
11044 CPT Debrid Skin Sub-q Muscle Bone 9 6 $441.00 $375.00 $265.00 $662.00 $406.00 2026-08-20
76705 CPT US Abdomen Limited 9 6 $438.00 $372.00 $24.00 $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
76870 CPT US Scrotum 9 6 $438.00 $372.00 $27.00 $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
76881 CPT US Soft Tissue Extremity 9 6 $438.00 $372.00 $24.00 $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
76882 CPT US Thigh Unilateral 9 6 $438.00 $372.00 $17.00 $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
11450 HCPCS Removal Sweat Gland Lesion Axil Simple I 6 6 $733.00 $623.05 $131.94 $637.71 $395.24 2024-12-30
13132 HCPCS Rep Comp Fore Chk 2.67.5 Cm 13 6 $616.00 $523.60 $110.88 $1,121.43 $394.91 2024-12-30
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
11462 HCPCS Removal Sweat Gland Lesion Inguinal Simp 6 6 $716.00 $608.60 $128.88 $622.92 $385.04 2024-12-30
M0240 HCPCS Admin For Regenerons 15 12 $451.00 $383.00 $54.00 $677.00 $383.00 2026-08-20
11446 HCPCS Exc Face-mm B9 Marg > 4 Cm 6 6 $758.00 $644.30 $136.44 $659.46 $381.50 2024-12-30
28470 CPT Cltx Met Fx Without Man 18 6 $518.50 $441.00 $48.00 $962.00 $380.50 2026-08-20
70498 HCPCS CTA Neck W 6 6 $2,050.00 $1,742.50 $227.23 $1,783.50 $376.75 2024-12-30
11055 CPT Trim Corn Or Callus; Single Lesion 9 6 $406.00 $345.00 $55.00 $609.00 $374.00 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
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
70496 HCPCS CTA Head & Neck W 6 6 $2,500.00 $2,125.00 $227.23 $2,175.00 $372.82 2024-12-30
87522 CPT Hepatitis C Virus RNA Pcr Qua 9 6 $404.00 $343.00 $28.00 $606.00 $372.00 2026-08-20
85305 CPT Protein S Antigen 9 6 $400.00 $340.00 $8.00 $600.00 $368.00 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
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
12036 HCPCS Lyr Cls Sclp Trnk Axl Extr 20.1 30.0 Cm 17 6 $812.00 $690.20 $97.92 $1,121.43 $364.59 2024-12-30
26641 HCPCS Cltx Carpometa Disloc W Manip 13 6 $664.00 $564.40 $115.38 $577.68 $361.22 2024-12-30
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
73565 CPT Xr Knee Bilateral 9 6 $388.00 $330.00 $8.00 $582.00 $357.00 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
72050 CPT Xr Cervical Spine Complete View 8 6 $388.00 $330.00 $233.00 $582.00 $357.00 2026-08-20
93925 HCPCS US Lower Extremity Arterial Bilateral 6 6 $650.00 $552.50 $223.67 $565.50 $356.92 2024-12-30
13121 HCPCS Rep Comp Scalp 2.67.5 Cm 13 6 $524.00 $445.40 $94.32 $1,121.43 $356.73 2024-12-30
13151 HCPCS Rep Comp Lid Ns Ear 1.1 2.5 Cm 13 6 $564.00 $479.40 $101.52 $1,121.43 $354.49 2024-12-30
87902 HCPCS Hcv Genotyping Non-reflex 6 6 $674.00 $572.90 $170.77 $586.38 $352.71 2024-12-30
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
12045 HCPCS Lyr Cls Nck Hnd Ft Genit 12.6 20.0 Cm 17 6 $659.00 $560.15 $95.76 $671.64 $342.42 2024-12-30
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
43752 CPT Nasogastric Tube Placement 9 6 $370.00 $315.00 $59.00 $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
17106 HCPCS Destruct Skin Lesions Less Than 10 Sq Cm 6 6 $665.00 $565.25 $119.70 $578.55 $338.10 2024-12-30
11760 CPT Repair Of Nail Bed 18 6 $457.50 $389.00 $31.00 $989.00 $338.00 2026-08-20
26725 HCPCS Cltx Phal Fx W Man 13 6 $586.00 $498.10 $105.48 $557.67 $336.16 2024-12-30
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
0346U CPT Beta Amyloid 42 40 Ratio 9 6 $365.00 $310.00 $44.00 $548.00 $336.00 2026-08-20
26700 HCPCS Cltx Metcrpl Disloc 13 6 $584.00 $496.40 $105.12 $557.67 $334.60 2024-12-30
13101 HCPCS Rep Comp Trunk 2.6 To 7.5 Cm 13 6 $494.00 $419.90 $88.92 $1,121.43 $334.00 2024-12-30
22315 HCPCS Closed Tx Vert Fx W/manj 6 6 $507.00 $430.95 $91.26 $496.86 $333.35 2024-12-30
28495 CPT Cltx Fx Great Toe W Man 18 6 $468.50 $398.50 $36.00 $962.00 $333.00 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
71048 CPT Xr Chest 4 Views 9 6 $356.00 $303.00 $13.00 $534.00 $328.00 2026-08-20
71110 CPT Xr Ribs Bilateral 9 6 $356.00 $303.00 $11.00 $534.00 $328.00 2026-08-20
23650 HCPCS Cltx Shoulder Disloc 13 6 $556.00 $472.60 $100.08 $557.67 $327.29 2024-12-30
12035 HCPCS Lyr Cls Sclp Trnk Axl Extr 12.6 20.0 Cm 17 6 $733.00 $623.05 $84.60 $1,121.43 $326.98 2024-12-30
11426 HCPCS Exc H-f-nk-sp B9 Marg > 4 Cm 6 6 $647.00 $549.95 $116.46 $562.89 $325.83 2024-12-30
28515 CPT Cltx Fx Phalanx W Man 18 6 $460.50 $391.50 $34.00 $962.00 $325.50 2026-08-20
13131 HCPCS Rep Comp Fore Chk 1.12.5 Cm 13 6 $490.00 $416.50 $88.20 $573.33 $325.30 2024-12-30
12054 HCPCS Lyr Cls Face 7.6 12.5 Cm 17 6 $659.00 $560.15 $80.28 $604.65 $324.46 2024-12-30
12018 CPT Rep Smp Face >30 Cm 26 6 $352.00 $299.00 $42.00 $657.00 $324.00 2026-08-20
27560 HCPCS Cltx Patellar Disloc 13 6 $642.00 $545.70 $91.26 $558.54 $322.77 2024-12-30
99291 HCPCS Critcl Care 1st 30 74 Min 13 6 $440.00 $374.00 $79.20 $1,713.90 $321.44 2024-12-30
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
12044 HCPCS Lyr Cls Nck Hnd Ft Genit 7.6 12.5 Cm 17 6 $659.00 $560.15 $75.96 $775.17 $319.69 2024-12-30
86663 CPT Ebv Vca/ea Ab, Igg 9 6 $347.00 $295.00 $9.00 $521.00 $319.00 2026-08-20
93970 HCPCS US Venous Doppler Bilat 6 6 $650.00 $552.50 $174.17 $565.50 $318.48 2024-12-30
31605 HCPCS Tracheostomy Cricothyroid Memb 13 6 $366.00 $311.10 $65.88 $1,686.93 $318.42 2024-12-30
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
93880 HCPCS US Carotid Bilateral 6 6 $550.00 $467.50 $177.12 $478.50 $313.22 2024-12-30
80074 CPT Acute Hepatitis Panel-serum 9 6 $338.00 $287.00 $31.00 $507.00 $311.00 2026-08-20
11406 HCPCS Exc Tr-ext B9 Marg > 4.0 Cm 6 6 $607.00 $515.95 $109.26 $528.09 $310.81 2024-12-30
96374 CPT IV Medication 9 6 $334.00 $284.00 $74.00 $501.00 $307.00 2026-08-20
12053 HCPCS Lyr Cls Face 5.1 7.5 Cm 17 6 $659.00 $560.15 $76.68 $578.55 $305.93 2024-12-30
74170 HCPCS CT Abdomen W/wo 6 6 $2,500.00 $2,125.00 $227.23 $2,175.00 $304.34 2024-12-30
93306 HCPCS US Echocardiography 6 6 $750.00 $637.50 $135.00 $652.50 $302.96 2024-12-30
36590 HCPCS Removal Cvad W/subcutaneos Port Or Pump 6 6 $744.00 $632.40 $133.92 $647.28 $300.33 2024-12-30
22310 HCPCS Cltxmnt Vert Body Frac 13 6 $552.00 $469.20 $99.36 $557.67 $299.70 2024-12-30
25605 HCPCS Treat Fracture Radius/ulna Profee 14 6 $350.00 $297.50 $63.00 $573.21 $299.25 2024-12-30
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
13120 HCPCS Rep Comp Scalp 1.12.5 Cm 13 6 $462.00 $392.70 $83.16 $573.33 $298.64 2024-12-30
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
26600 HCPCS Cltx Metcrpl Fx Singl Wo Man 13 6 $532.00 $452.20 $95.76 $557.67 $296.42 2024-12-30
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
M0243 HCPCS IV Infusion Casirivimab/imde Monitoring 15 12 $340.00 $289.00 $41.00 $510.00 $289.00 2026-08-20
M0239 HCPCS IV Infusion Bamlanivimab & Monitoring 15 12 $340.00 $289.00 $41.00 $510.00 $289.00 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
76641 CPT US Breast 9 6 $313.00 $266.00 $30.00 $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
13100 HCPCS Rep Comp Trunk 1.1 To 2.5 Cm 13 6 $404.00 $343.40 $72.72 $1,121.43 $286.29 2024-12-30
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
12020 HCPCS Closure Of Split Wound Simple 6 6 $540.00 $459.00 $97.20 $469.80 $283.25 2024-12-30
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
12034 HCPCS Lyr Cls Sclp Trnk Axl Extr 7.6 12.5 Cm 17 6 $601.00 $510.85 $72.72 $573.33 $280.67 2024-12-30
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
30300 CPT Remove Fb Intranasal 18 6 $318.50 $271.00 $29.00 $593.00 $279.50 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
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
11444 HCPCS Exc Face-mm B9 Marg 3.1-4 Cm 6 6 $545.00 $463.25 $98.10 $474.15 $277.48 2024-12-30
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
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