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

972 distinct procedures filed
6 distinct payers
10,349 rate rows
2024-12-30 last MRF observed · ⚠ 18 mo old
Data quality

10,303 of 10,349 rate rows are consumer-grade (99.6%)

46 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
per-diem day rate — not a per-procedure price 2
exceeds 10× this hospital's gross charge — excluded from medians 1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://parkviewhosp.org/?jet_download=d48f22d9d6ba7496a1db56eb76af9388cb225ae6
Found on page https://parkviewhosp.org/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 73aaeb5af4cb4b6d… · 5,545,586 bytes · first seen 2026-05-08

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
J2997
HCPCS 		Alteplase Kit 100 Mg 5 $89.64 $16,526.69 $3,419.32 nat. median
$545
outlier · 6.3×
J3101
HCPCS 		Tenecteplase Kit 50 Mg 5 $154.57 $14,720.93 $3,045.71 nat. median
$5,957
0.5× median
J0840
HCPCS 		Crotalidae Polyval Immune Fab 2 Vial Kit 6 $677.90 $3,276.52 $1,852.15 nat. median
$3,427
0.5× median
71275
HCPCS 		CTA Chest W/wo 6 $227.23 $2,784.00 $1,111.50 nat. median
$736
1.5× median
59410
HCPCS 		Vag Delivery Only Ppc 6 $318.60 $1,790.46 $929.25 nat. median
$2,458
outlier · 0.4×
32556
HCPCS 		Pleural Drainage 6 $261.18 $1,262.37 $723.71 nat. median
$1,954
outlier · 0.4×
26765
HCPCS 		Open Trt Dist Phal Frac 6 $174.60 $5,328.75 $712.95 nat. median
$3,497
outlier · 0.2×
25520
HCPCS 		Closed Trmt Of Radial Frac & Dislocation 6 $252.00 $1,218.00 $648.54 nat. median
$1,720
outlier · 0.4×
17108
HCPCS 		Destruct Skin Lesions Over 50.0 Sq Cm 6 $225.00 $1,087.50 $630.14 nat. median
$1,923
outlier · 0.3×
74176
HCPCS 		CT Renal Stone 6 $176.32 $1,696.50 $606.50 nat. median
$685
0.9× median
70487
HCPCS 		CT Facial Bones Wo 6 $146.27 $1,174.50 $587.62 nat. median
$596
1.0× median
71250
HCPCS 		CT Chest Wo 6 $128.00 $1,348.50 $561.10 nat. median
$473
1.2× median
J1559
HCPCS 		Hizentra 10GM/50ml Subcutaneous Infusion 5 $12.97 $2,542.14 $525.96 nat. median
$27
outlier · 19.5×
11471
HCPCS 		Removal Sweat Gland Lesion Complex 6 $177.30 $856.95 $516.34 nat. median
$2,998
outlier · 0.2×
11463
HCPCS 		Removal Sweat Gland Lesion Inguinal Comp 6 $170.64 $824.76 $499.44 nat. median
$3,028
outlier · 0.2×
31603
HCPCS 		Tracheostomy- Emergency Procedure 6 $234.00 $1,131.00 $493.02 nat. median
$1,716
outlier · 0.3×
11451
HCPCS 		Removal Sweat Gland Lesion Axil Complex 6 $168.30 $813.45 $492.93 nat. median
$3,041
outlier · 0.2×
12056
HCPCS 		Lyr Cls Face 20.1 30.0 Cm 6 $118.62 $826.50 $484.36 nat. median
$635
0.8× median
12057
HCPCS 		Lyr Cls Face Grt 30.0 Cm 6 $118.62 $913.50 $484.36 nat. median
$661
0.7× median
G0390
HCPCS 		Trauma Response Team 6 $162.00 $783.00 $472.50 nat. median
$3,172
outlier · 0.1×
72126
HCPCS 		CT C-spine W 6 $162.15 $1,174.50 $464.22 nat. median
$755
0.6× median
72132
HCPCS 		CT L-spine W 6 $162.46 $1,174.50 $464.22 nat. median
$760
0.6× median
74177
HCPCS 		CT Abdomen/pelvis W 6 $275.58 $2,175.00 $464.22 nat. median
$928
0.5× median
74178
HCPCS 		CT Abdomen/ Pelvis W/wo 6 $326.63 $2,784.00 $464.22 nat. median
$979
outlier · 0.5×
12047
HCPCS 		Lyr Cls Nck Hnd Ft Genit > 30.0 Cm 6 $132.12 $1,121.43 $463.67 nat. median
$1,847
outlier · 0.3×
25565
HCPCS 		Treat Radius/ulna Frac W/munipulation 6 $135.00 $652.50 $450.69 nat. median
$1,679
outlier · 0.3×
17107
HCPCS 		Destruct Skin Lesions 10.0 To 50.0 Sq Cm 6 $151.20 $730.80 $432.63 nat. median
$797
0.5× median
12046
HCPCS 		Lyr Cls Nck Hnd Ft Genit 20.1 30.0 Cm 6 $109.44 $794.31 $424.10 nat. median
$842
0.5× median
12055
HCPCS 		Lyr Cls Face 12.6 20.0 Cm 6 $106.56 $783.00 $424.10 nat. median
$652
0.7× median
11470
HCPCS 		Removal Sweat Gland Lesion Simple Interm 6 $142.74 $689.91 $422.86 nat. median
$2,903
outlier · 0.1×
27550
HCPCS 		Cltx Knee Disloc 6 $115.38 $789.96 $417.80 nat. median
$531
0.8× median
13152
HCPCS 		Rep Comp Lid Ns Ear 2.6 7.5 Cm 6 $123.12 $1,121.43 $415.96 nat. median
$918
outlier · 0.5×
J1439
HCPCS 		Ferric Carboxymaltose 50mg/mL 15ml Vial 5 $1.08 $1,973.91 $408.39 nat. median
$63
outlier · 6.5×
12037
HCPCS 		Lyr Cls Sclp Trnk Axl Extr > 30.0 Cm 6 $115.92 $1,121.43 $406.97 nat. median
$1,995
outlier · 0.2×
11450
HCPCS 		Removal Sweat Gland Lesion Axil Simple I 6 $131.94 $637.71 $395.24 nat. median
$2,876
outlier · 0.1×
13132
HCPCS 		Rep Comp Fore Chk 2.67.5 Cm 6 $110.88 $1,121.43 $394.91 nat. median
$877
outlier · 0.5×
11462
HCPCS 		Removal Sweat Gland Lesion Inguinal Simp 6 $128.88 $622.92 $385.04 nat. median
$2,939
outlier · 0.1×
11446
HCPCS 		Exc Face-mm B9 Marg > 4 Cm 6 $136.44 $659.46 $381.50 nat. median
$2,849
outlier · 0.1×
70498
HCPCS 		CTA Neck W 6 $227.23 $1,783.50 $376.75 nat. median
$722
0.5× median
70496
HCPCS 		CTA Head & Neck W 6 $227.23 $2,175.00 $372.82 nat. median
$729
0.5× median
12036
HCPCS 		Lyr Cls Sclp Trnk Axl Extr 20.1 30.0 Cm 6 $97.92 $1,121.43 $364.59 nat. median
$883
outlier · 0.4×
26641
HCPCS 		Cltx Carpometa Disloc W Manip 6 $115.38 $577.68 $361.22 nat. median
$404
0.9× median
93925
HCPCS 		US Lower Extremity Arterial Bilateral 6 $223.67 $565.50 $356.92 nat. median
$545
0.7× median
13121
HCPCS 		Rep Comp Scalp 2.67.5 Cm 6 $94.32 $1,121.43 $356.73 nat. median
$814
outlier · 0.4×
13151
HCPCS 		Rep Comp Lid Ns Ear 1.1 2.5 Cm 6 $101.52 $1,121.43 $354.49 nat. median
$859
outlier · 0.4×
87902
HCPCS 		Hcv Genotyping Non-reflex 6 $170.77 $586.38 $352.71 nat. median
$412
0.9× median
12045
HCPCS 		Lyr Cls Nck Hnd Ft Genit 12.6 20.0 Cm 6 $95.76 $671.64 $342.42 nat. median
$833
outlier · 0.4×
17106
HCPCS 		Destruct Skin Lesions Less Than 10 Sq Cm 6 $119.70 $578.55 $338.10 nat. median
$523
0.6× median
26725
HCPCS 		Cltx Phal Fx W Man 6 $105.48 $557.67 $336.16 nat. median
$442
0.8× median
26700
HCPCS 		Cltx Metcrpl Disloc 6 $105.12 $557.67 $334.60 nat. median
$410
0.8× median

Other procedures at this hospital

Browse this hospital's 972 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
             
0421 RC — 6 6 $303.78 $258.21 $54.68 $264.29 $129.74 2024-12-30
0551 RC — 6 6 $277.90 $236.22 $50.02 $241.77 $145.90 2024-12-30
10061 HCPCS I&d Abscess Cpmplex 11 6 $170.00 $144.50 $30.60 $348.00 $124.95 2024-12-30
10080 HCPCS I & D Pilon Cyst Simp 14 6 $202.00 $171.70 $36.36 $421.95 $186.85 2024-12-30
10120 HCPCS Incis Remov Fb Subq Simp 17 6 $265.00 $225.25 $36.36 $738.63 $148.47 2024-12-30
10121 HCPCS Incis Remov Fb Subq Comp 17 6 $450.00 $382.50 $65.16 $3,499.14 $266.07 2024-12-30
10140 HCPCS Drainage Of Hematoma/fluid 18 6 $315.00 $267.75 $19.80 $691.65 $119.87 2024-12-30
10160 HCPCS Punct Aspir Abscess Hema Bulla 17 6 $250.00 $212.50 $33.84 $421.95 $107.78 2024-12-30
10180 HCPCS Complex Drainage Wound 6 6 $474.00 $402.90 $85.32 $412.38 $248.47 2024-12-30
11010 HCPCS Debrid With Open Fx/and/or Dosloc 6 6 $238.00 $202.30 $42.84 $233.24 $156.49 2024-12-30
11011 HCPCS Debrid Openfx/skin Sub-q Muscle 6 6 $238.00 $202.30 $42.84 $233.24 $156.49 2024-12-30
11012 HCPCS Debrid Open Fx/skin Sub-q Musc Bone 6 6 $216.00 $183.60 $38.88 $211.68 $142.02 2024-12-30
11042 HCPCS Debrid Skin Sbq Tissue <= 20 Sq Cm 18 6 $141.00 $119.85 $21.96 $738.63 $108.62 2024-12-30
11044 HCPCS Debrid Skin Sub-q Muscle Bone 6 6 $441.00 $374.85 $79.38 $383.67 $263.44 2024-12-30
11106 HCPCS Incal Bx Skn Single Les 6 6 $250.00 $212.50 $45.00 $217.50 $138.49 2024-12-30
11200 HCPCS Removal Of Skin Tags 6 6 $250.00 $212.50 $45.00 $217.50 $109.35 2024-12-30
11400 HCPCS Exc Tr-ext B9 Marg 0.5 < Cm 6 6 $238.00 $202.30 $42.84 $207.06 $122.91 2024-12-30
11401 HCPCS Exc Tr-ext B9 Marg 0.6-1 Cm 6 6 $287.00 $243.95 $51.66 $249.69 $149.06 2024-12-30
11402 HCPCS Exc Tr-ext B9 Marg 1.1-2 Cm 6 6 $320.00 $272.00 $57.60 $278.40 $165.26 2024-12-30
11403 HCPCS Exc Tr-ext B9 Marg 2.1-3 Cm 6 6 $370.00 $314.50 $66.60 $321.90 $190.90 2024-12-30
11404 HCPCS Exc Tr-ext B9 Marg 3.1-4 Cm 6 6 $420.00 $357.00 $75.60 $365.40 $216.44 2024-12-30
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
11420 HCPCS Exc H-f-nk-sp B9 Marg 0.5 < 6 6 $235.00 $199.75 $42.30 $204.45 $121.47 2024-12-30
11421 HCPCS Exc H-f-nk-sp B9 Marg 0.6-1 6 6 $301.00 $255.85 $54.18 $261.87 $154.59 2024-12-30
11422 HCPCS Trim Skin Lesion 10 6 $1,200.00 $1,020.00 $60.84 $1,044.00 $232.22 2024-12-30
11423 HCPCS Exc H-f-nk-sp B9+marg 2.1-3 6 6 $389.00 $330.65 $70.02 $338.43 $199.48 2024-12-30
11424 HCPCS Exc H-f-nk-sp B9 Marg 3.1-4 6 6 $452.00 $384.20 $81.36 $393.24 $231.48 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
11440 HCPCS Exc Face-mm B9 Marg 0.5 < Cm 6 6 $258.00 $219.30 $46.44 $224.46 $135.39 2024-12-30
11441 HCPCS Exc Face-mm B9 Marg 0.6-1 Cm 6 6 $323.00 $274.55 $58.14 $281.01 $167.20 2024-12-30
11442 HCPCS Exc Face-mm B9 Marg 1.1-2 Cm 6 6 $362.00 $307.70 $65.16 $314.94 $186.59 2024-12-30
11443 HCPCS Exc Face-mm B9 Marg 2.1-3 Cm 6 6 $433.00 $368.05 $77.94 $376.71 $221.75 2024-12-30
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
11446 HCPCS Exc Face-mm B9 Marg > 4 Cm 6 6 $758.00 $644.30 $136.44 $659.46 $381.50 2024-12-30
11450 HCPCS Removal Sweat Gland Lesion Axil Simple I 6 6 $733.00 $623.05 $131.94 $637.71 $395.24 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
11462 HCPCS Removal Sweat Gland Lesion Inguinal Simp 6 6 $716.00 $608.60 $128.88 $622.92 $385.04 2024-12-30
11463 HCPCS Removal Sweat Gland Lesion Inguinal Comp 6 6 $948.00 $805.80 $170.64 $824.76 $499.44 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
11471 HCPCS Removal Sweat Gland Lesion Complex 6 6 $985.00 $837.25 $177.30 $856.95 $516.34 2024-12-30
11750 HCPCS Exc Nail Matrix Permanent 17 6 $400.00 $340.00 $61.20 $987.45 $204.30 2024-12-30
11760 HCPCS Repair Of Nail Bed 13 6 $256.00 $217.60 $46.08 $573.33 $158.02 2024-12-30
11762 HCPCS Recnstrctn Nail Bed W Graft 13 6 $366.00 $311.10 $65.88 $3,671.40 $272.13 2024-12-30
11765 HCPCS Wedge Excise Skin Nail Fold 13 6 $184.00 $156.40 $33.12 $381.06 $138.93 2024-12-30
11980 HCPCS Biote Male Pellet Insertion 10 6 $725.00 $616.25 $63.00 $630.75 $193.88 2024-12-30
12004 HCPCS Rep Smp Scpnckaxgntrnkxtrm 7.6cm12 17 6 $147.00 $124.95 $26.28 $256.65 $108.04 2024-12-30
12005 HCPCS Rep Smp Scpnckaxgntrnkxtrm 12.6cm2 17 6 $312.00 $265.20 $35.28 $381.06 $148.19 2024-12-30
12006 HCPCS Rep Smp Scpnckaxgntrnkxtrm 20.1cm3 17 6 $369.00 $313.65 $42.84 $573.33 $173.17 2024-12-30
12007 HCPCS Rep Smp Scpnckaxgntrnkxtrm Over 30. 17 6 $425.00 $361.25 $53.28 $381.06 $194.79 2024-12-30
12014 HCPCS Rep Smp Face 5.1 To 7.5 Cm 17 6 $258.00 $219.30 $28.08 $256.65 $120.13 2024-12-30
12015 HCPCS Rep Smp Face 7.6 To 12.5 Cm 17 6 $313.00 $266.05 $35.28 $381.06 $143.98 2024-12-30
12016 HCPCS Rep Smp Face 12.6 To 20.0 Cm 17 6 $396.00 $336.60 $47.52 $381.06 $184.12 2024-12-30
12017 HCPCS Rep Smp Face 20.1 To 30.0 Cm 17 6 $310.00 $263.50 $55.08 $381.06 $147.26 2024-12-30
12018 HCPCS Rep Smp Face >30 Cm 17 6 $352.00 $299.20 $62.28 $381.06 $165.88 2024-12-30
12020 HCPCS Closure Of Split Wound Simple 6 6 $540.00 $459.00 $97.20 $469.80 $283.25 2024-12-30
12021 HCPCS Closure Of Split Wound With Packing 6 6 $315.00 $267.75 $56.70 $274.05 $166.79 2024-12-30
12031 HCPCS Lyr Cls Sclp Trnk Axl Extr < 2.5 Cm 17 6 $457.00 $388.45 $53.64 $573.33 $221.73 2024-12-30
12032 HCPCS Lyr Cls Sclp Trnk Axl Extr 2.6 7.5 Cm 17 6 $584.00 $496.40 $68.04 $573.33 $253.45 2024-12-30
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
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
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
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
12041 HCPCS Lyr Cls Nck Hnd Ft Genit < 2.5 Cm 17 6 $457.00 $388.45 $54.72 $573.33 $222.57 2024-12-30
12042 HCPCS Lyr Cls Nck Hnd Ft Genit 2.6 7.5 Cm 17 6 $558.00 $474.30 $70.20 $573.33 $260.18 2024-12-30
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
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
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
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
12051 HCPCS Lyr Cls Face < 2.5 Cm 17 6 $497.00 $422.45 $60.12 $573.33 $238.57 2024-12-30
12052 HCPCS Lyr Cls Face 2.6 5.0 Cm 17 6 $568.00 $482.80 $71.64 $573.33 $264.67 2024-12-30
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
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
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
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
12057 HCPCS Lyr Cls Face Grt 30.0 Cm 17 6 $744.00 $632.40 $118.62 $913.50 $484.36 2024-12-30
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
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
13120 HCPCS Rep Comp Scalp 1.12.5 Cm 13 6 $462.00 $392.70 $83.16 $573.33 $298.64 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
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
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
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
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
16030 HCPCS Drss Dbrid Burn Prtl Thckns Lg 18 6 $260.00 $221.00 $16.20 $738.63 $152.82 2024-12-30
17004 HCPCS Destroy Lesions 15 Or More 6 6 $290.00 $246.50 $52.20 $252.30 $155.01 2024-12-30
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
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
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
17110 HCPCS Destruct Lesion 1-14 6 6 $200.00 $170.00 $36.00 $174.00 $105.98 2024-12-30
17111 HCPCS Destruct Lesion 15 Or More 6 6 $253.00 $215.05 $45.54 $220.11 $129.07 2024-12-30
20615 HCPCS Treatment Of Bone Cyst 6 6 $470.00 $399.50 $84.60 $408.90 $243.63 2024-12-30
22310 HCPCS Cltxmnt Vert Body Frac 13 6 $552.00 $469.20 $99.36 $557.67 $299.70 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
23540 HCPCS Clsd Tx Acromioclviculr Dislo Wo Man 13 6 $440.00 $374.00 $79.20 $557.67 $234.96 2024-12-30
23570 HCPCS Cltx Scapular Frac 13 6 $460.00 $391.00 $82.80 $441.09 $231.26 2024-12-30
23650 HCPCS Cltx Shoulder Disloc 13 6 $556.00 $472.60 $100.08 $557.67 $327.29 2024-12-30
24600 HCPCS Closed Trmt Elbow Disloc; Without Anes 6 6 $375.00 $318.75 $67.50 $367.50 $246.56 2024-12-30
24640 HCPCS Cltx Radial Head Subl 13 6 $184.00 $156.40 $33.12 $557.67 $115.38 2024-12-30
25500 HCPCS Closed Trmt Radial Frac Without Munipulation 6 6 $210.00 $178.50 $37.80 $205.80 $138.07 2024-12-30
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
25560 HCPCS Treat Radius/ulna Fract Without Munipulation 6 6 $325.00 $276.25 $58.50 $285.92 $205.55 2024-12-30
25565 HCPCS Treat Radius/ulna Frac W/munipulation 6 6 $750.00 $637.50 $135.00 $652.50 $450.69 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
26600 HCPCS Cltx Metcrpl Fx Singl Wo Man 13 6 $532.00 $452.20 $95.76 $557.67 $296.42 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
26700 HCPCS Cltx Metcrpl Disloc 13 6 $584.00 $496.40 $105.12 $557.67 $334.60 2024-12-30
26720 HCPCS Cltx Phal Fx Wo Man 13 6 $354.00 $300.90 $63.72 $441.09 $198.78 2024-12-30
26725 HCPCS Cltx Phal Fx W Man 13 6 $586.00 $498.10 $105.48 $557.67 $336.16 2024-12-30
26740 HCPCS Cltx Art Fx Wo Man 13 6 $412.00 $350.20 $74.16 $557.67 $229.85 2024-12-30
26750 HCPCS Cltx Fx Fingr Thumb Without Man 13 6 $354.00 $300.90 $63.72 $441.09 $185.92 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
26770 HCPCS Cltx Inter Jnt Wo Ane 13 6 $492.00 $418.20 $88.56 $441.09 $266.18 2024-12-30
27550 HCPCS Cltx Knee Disloc 13 6 $908.00 $771.80 $115.38 $789.96 $417.80 2024-12-30
27560 HCPCS Cltx Patellar Disloc 13 6 $642.00 $545.70 $91.26 $558.54 $322.77 2024-12-30
27840 HCPCS Closed Treat Ankle Dislo Without Anthes 6 6 $230.00 $195.50 $41.40 $225.40 $151.23 2024-12-30
28470 HCPCS Cltx Met Fx Without Man 13 6 $396.00 $336.60 $71.28 $557.67 $212.24 2024-12-30
28490 HCPCS Cltx Fx Great Toe Wo Man 13 6 $244.00 $207.40 $43.92 $441.09 $137.68 2024-12-30
28495 HCPCS Cltx Fx Great Toe W Man 13 6 $296.00 $251.60 $53.28 $557.67 $167.18 2024-12-30
28510 HCPCS Cltx Fx Phalanx Wo Man 13 6 $234.00 $198.90 $42.12 $441.09 $117.96 2024-12-30
28515 HCPCS Cltx Fx Phalanx W Man 13 6 $280.00 $238.00 $50.40 $557.67 $159.96 2024-12-30
28630 HCPCS Cls Trt Jnt Disloc Metatars Wo Anes 13 6 $216.00 $183.60 $38.88 $557.67 $130.51 2024-12-30
29065 HCPCS Cast Long Arm - Adult 6 6 $230.00 $195.50 $41.40 $200.10 $107.06 2024-12-30
29345 HCPCS Cast Long Leg - Adult 6 6 $230.00 $195.50 $41.40 $200.10 $125.24 2024-12-30
30300 HCPCS Remove Fb Intranasal 13 6 $242.00 $205.70 $43.56 $343.65 $169.47 2024-12-30
30901 HCPCS Control Nasal Hemorr Ant Simp 14 6 $114.00 $96.90 $20.52 $343.65 $105.45 2024-12-30
30903 HCPCS Control Nasal Hemorr Ant Comp 14 6 $158.00 $134.30 $28.44 $338.43 $146.15 2024-12-30
30905 HCPCS Control Nasal Hemorr Post Init 14 6 $198.00 $168.30 $35.64 $338.43 $183.15 2024-12-30
30906 HCPCS Control Nasal Hemorr Post Subs 21 6 $260.00 $221.00 $28.44 $351.99 $158.00 2024-12-30
31500 HCPCS Professional - Airway- Oral Pharyngeal 17 6 $248.00 $210.80 $39.60 $338.43 $133.78 2024-12-30
31515 HCPCS Laryngoscopy Direct Aspiration 13 6 $220.00 $187.00 $39.60 $3,285.99 $191.40 2024-12-30
31603 HCPCS Tracheostomy- Emergency Procedure 6 6 $1,300.00 $1,105.00 $234.00 $1,131.00 $493.02 2024-12-30
31605 HCPCS Tracheostomy Cricothyroid Memb 13 6 $366.00 $311.10 $65.88 $1,686.93 $318.42 2024-12-30
32551 HCPCS Professional Chest Tube Insertion 13 6 $340.00 $289.00 $61.20 $1,276.29 $249.90 2024-12-30
32556 HCPCS Pleural Drainage 6 6 $1,451.00 $1,233.35 $261.18 $1,262.37 $723.71 2024-12-30
36430 HCPCS Blood Infusion 1- 4 Hours (prbc) 13 5 $891.00 $757.35 $32.83 $852.60 $160.38 2024-12-30
36555 HCPCS Insert Central Line< 5 Years 13 6 $236.00 $200.60 $42.48 $2,200.23 $189.39 2024-12-30
36556 HCPCS Insert Non Tunnel Cv Cath 5+ 13 6 $244.00 $207.40 $43.92 $2,200.23 $198.81 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
56405 HCPCS I & D Vulva Perineal Abs 13 6 $212.00 $180.20 $38.16 $589.86 $139.45 2024-12-30
56420 HCPCS I & D Bart Gl& Abscess 13 6 $180.00 $153.00 $32.40 $341.04 $121.64 2024-12-30
59410 HCPCS Vag Delivery Only Ppc 13 6 $2,058.00 $1,749.30 $318.60 $1,790.46 $929.25 2024-12-30
69000 HCPCS I & D Abscess Ear Simple 13 6 $232.00 $197.20 $41.76 $421.95 $158.02 2024-12-30
70110 HCPCS Xr Mandible 18 6 $185.00 $157.25 $32.27 $160.95 $134.67 2024-12-30
70130 HCPCS Xr Mastoid Complete 6 6 $185.00 $157.25 $45.76 $160.95 $134.67 2024-12-30
70140 HCPCS Xr Facial Bones 1-2 Views 6 6 $185.00 $157.25 $24.82 $160.95 $109.47 2024-12-30
70150 HCPCS Xr Facial Bones Complete 6 6 $235.00 $199.75 $35.01 $204.45 $134.67 2024-12-30
70160 HCPCS Xr Nasal Bones 1-3 Views 6 6 $135.00 $114.75 $26.96 $117.45 $104.34 2024-12-30
70200 HCPCS Xr Orbits 6 6 $185.00 $157.25 $36.13 $160.95 $134.67 2024-12-30
70210 HCPCS Xr Sinuses 1-2 Views 6 6 $185.00 $157.25 $25.33 $160.95 $109.47 2024-12-30
70220 HCPCS Xr Sinuses Complete 6 6 $235.00 $199.75 $31.73 $204.45 $109.47 2024-12-30
70250 HCPCS Xr Skull 1-3 Views 6 6 $185.00 $157.25 $30.35 $160.95 $134.67 2024-12-30
70260 HCPCS Xr Skull 4+ Views 6 6 $235.00 $199.75 $38.68 $204.45 $134.67 2024-12-30
70328 HCPCS Xr Tmj Routine 6 6 $185.00 $157.25 $25.35 $160.95 $109.47 2024-12-30
70450 HCPCS CT Head Wo 6 6 $1,250.00 $1,062.50 $102.01 $1,087.50 $147.14 2024-12-30
70460 HCPCS CT Head W 6 6 $1,350.00 $1,147.50 $142.58 $1,174.50 $227.23 2024-12-30
70470 HCPCS CT Head W/wo 6 6 $1,950.00 $1,657.50 $166.86 $1,696.50 $239.38 2024-12-30
70480 HCPCS CT Orbit Wo IV Contrast 6 6 $1,250.00 $1,062.50 $134.67 $1,087.50 $204.19 2024-12-30
70486 HCPCS CT Sinus Wo 6 6 $1,250.00 $1,062.50 $122.97 $1,087.50 $173.80 2024-12-30
70487 HCPCS CT Facial Bones Wo 8 6 $1,250.00 $1,062.50 $146.27 $1,174.50 $587.62 2024-12-30
70490 HCPCS CT Neck St Wo 6 6 $1,250.00 $1,062.50 $134.67 $1,087.50 $176.72 2024-12-30
70491 HCPCS CT Neck St W 6 6 $1,350.00 $1,147.50 $177.23 $1,174.50 $239.33 2024-12-30
70492 HCPCS CT Neck St W/wo 6 6 $1,950.00 $1,657.50 $212.49 $1,696.50 $265.26 2024-12-30
70496 HCPCS CTA Head & Neck W 6 6 $2,500.00 $2,125.00 $227.23 $2,175.00 $372.82 2024-12-30
70498 HCPCS CTA Neck W 6 6 $2,050.00 $1,742.50 $227.23 $1,783.50 $376.75 2024-12-30
71045 HCPCS Xr Chest Portable 6 6 $185.00 $157.25 $15.54 $160.95 $109.47 2024-12-30
71046 HCPCS Xr Chest 2 Views 6 6 $235.00 $199.75 $23.78 $204.45 $109.47 2024-12-30
71048 HCPCS Xr Chest 4 Views 6 6 $285.00 $242.25 $32.64 $247.95 $134.67 2024-12-30
71100 HCPCS Xr Ribs Left 2-3 Views,left 12 6 $235.00 $199.75 $26.50 $204.45 $109.47 2024-12-30
71110 HCPCS Xr Ribs Bilateral 6 6 $285.00 $242.25 $33.39 $247.95 $134.67 2024-12-30
71120 HCPCS Xr Sternum 2 Views 6 6 $165.00 $140.25 $26.20 $143.55 $109.47 2024-12-30
71250 HCPCS CT Chest Wo 8 6 $1,550.00 $1,317.50 $128.00 $1,348.50 $561.10 2024-12-30
71260 HCPCS CT Chest W 6 6 $1,950.00 $1,657.50 $160.50 $1,696.50 $239.76 2024-12-30
71270 HCPCS CT Chest W/wo 6 6 $2,500.00 $2,125.00 $188.41 $2,175.00 $268.34 2024-12-30
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
72020 HCPCS Xr Cervical Spine 1 View 6 6 $185.00 $157.25 $19.58 $160.95 $109.47 2024-12-30
72040 HCPCS Xr Cervical Spine 2-3 Views 6 6 $235.00 $199.75 $31.95 $204.45 $109.47 2024-12-30
72050 HCPCS Xr Cervical Spine Complete View 6 6 $310.00 $263.50 $43.26 $269.70 $134.67 2024-12-30
72052 HCPCS Xr Cervical Spine Routine 6 6 $165.00 $140.25 $54.78 $143.55 $127.97 2024-12-30
72070 HCPCS Xr Thoracic Spine 2-3v 6 6 $235.00 $199.75 $27.86 $204.45 $134.67 2024-12-30
72100 HCPCS Xr Lumbar Spine 2-3 Views 6 6 $235.00 $199.75 $33.31 $204.45 $134.67 2024-12-30
72110 HCPCS Xr Lumbar Spine Complete 6 6 $310.00 $263.50 $45.44 $269.70 $134.67 2024-12-30
72114 HCPCS Xr Lumbar Spine Complete + Flex/ext 6 6 $385.00 $327.25 $57.25 $334.95 $134.67 2024-12-30
72125 HCPCS CT C-spine Wo 6 6 $1,250.00 $1,062.50 $125.09 $1,087.50 $169.60 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
72128 HCPCS CT T-spine Wo 6 6 $1,250.00 $1,062.50 $124.77 $1,087.50 $169.46 2024-12-30
72129 HCPCS CT T-spine W 6 6 $1,350.00 $1,147.50 $163.39 $1,174.50 $239.75 2024-12-30
72131 HCPCS CT L-spine Wo 6 6 $1,250.00 $1,062.50 $124.16 $1,087.50 $169.19 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
72170 HCPCS Xr Pelvis 1-2 Views 6 6 $185.00 $157.25 $22.33 $160.95 $134.67 2024-12-30
72190 HCPCS Xr Pelvis Complete 6 6 $235.00 $199.75 $34.38 $204.45 $134.67 2024-12-30
72192 HCPCS CT Pelvis Wo 6 6 $1,250.00 $1,062.50 $128.02 $1,087.50 $166.00 2024-12-30
72193 HCPCS CT Pelvis W 6 6 $1,350.00 $1,147.50 $219.38 $1,174.50 $233.03 2024-12-30
72194 HCPCS CT-pelvis W/wo Contrast 6 6 $1,950.00 $1,657.50 $227.23 $1,696.50 $273.69 2024-12-30
73000 HCPCS Xr Clavicle Bilateral 24 6 $150.00 $127.50 $23.41 $160.95 $104.76 2024-12-30
73010 HCPCS Xr Scapula Left 2 Views,left 12 6 $185.00 $157.25 $22.49 $160.95 $134.67 2024-12-30
73020 HCPCS Xr Shoulder Left 1 View,left 12 6 $185.00 $157.25 $19.31 $160.95 $109.47 2024-12-30
73030 HCPCS Xr Shoulder Left 2-3 Views,left 12 6 $235.00 $199.75 $25.34 $204.45 $109.47 2024-12-30
73060 HCPCS Xr Humerus Bilateral,bilateral 18 6 $155.00 $131.75 $23.97 $204.45 $109.47 2024-12-30
73080 HCPCS Xr Elbow Bilateral,bilateral 18 6 $165.00 $140.25 $27.78 $204.45 $109.47 2024-12-30
73090 HCPCS Xr Forearm Left 2 Views,left 12 6 $135.00 $114.75 $22.86 $117.45 $104.34 2024-12-30
73110 HCPCS Xr Wrist Bilateral,bilateral 18 6 $165.00 $140.25 $29.69 $204.45 $109.47 2024-12-30
73130 HCPCS Xr Hand Bilateral,bilateral 18 6 $165.00 $140.25 $26.15 $187.05 $109.47 2024-12-30
73200 HCPCS CT Elbow Left,left 18 6 $1,250.00 $1,062.50 $134.67 $1,131.00 $199.07 2024-12-30
73502 HCPCS Xr Hip Left 2 Views,left 12 6 $185.00 $157.25 $31.95 $160.95 $109.47 2024-12-30
73521 HCPCS Xr Bilat Hips W Pelvis 8 6 $235.00 $199.75 $30.59 $204.45 $132.58 2024-12-30
73552 HCPCS Xr Femur Bilateral,bilateral 18 6 $185.00 $157.25 $25.08 $269.70 $109.47 2024-12-30
73560 HCPCS Xr Knee Left 1-2 Views,left 18 6 $135.00 $114.75 $25.05 $117.45 $104.34 2024-12-30
73562 HCPCS Xr Knee Left 3 Views,left 12 6 $185.00 $157.25 $29.97 $160.95 $109.47 2024-12-30
73564 HCPCS Xr Knee Left 4 Or More Views,left 12 6 $235.00 $199.75 $34.40 $204.45 $134.67 2024-12-30
73565 HCPCS Xr Knee Bilateral 6 6 $310.00 $263.50 $27.78 $269.70 $109.47 2024-12-30
73590 HCPCS Xr Tibia/fibula Left 2 Views,left 12 6 $155.00 $131.75 $22.61 $134.85 $109.47 2024-12-30
73610 HCPCS Xr Ankle Bilateral,bilateral 18 6 $185.00 $157.25 $26.42 $269.70 $109.47 2024-12-30
73620 HCPCS Xr Foot Left 2 Views,left 12 6 $135.00 $114.75 $22.32 $117.45 $104.34 2024-12-30
73630 HCPCS Xr Foot Bilateral,bilateral 18 6 $185.00 $157.25 $25.88 $269.70 $109.47 2024-12-30
73650 HCPCS Xr Heel Bilateral,bilateral 18 6 $135.00 $114.75 $22.86 $269.70 $109.47 2024-12-30
73660 HCPCS Xr Toes Left 1-3 Views,left 12 6 $135.00 $114.75 $23.90 $117.45 $104.34 2024-12-30
73700 HCPCS CT Ankle Bilateral,bilateral 18 6 $1,250.00 $1,062.50 $124.47 $1,131.00 $193.03 2024-12-30
74018 HCPCS Xr Abdomen 1 View 6 6 $185.00 $157.25 $21.26 $160.95 $109.47 2024-12-30
74019 HCPCS Xr Abdomen 2 Views 6 6 $235.00 $199.75 $25.97 $204.45 $134.67 2024-12-30
74022 HCPCS Xr Abdomen Complete W/cxr 6 6 $250.00 $212.50 $39.47 $217.50 $134.67 2024-12-30
74150 HCPCS CT Abdomen Wo 6 6 $1,550.00 $1,317.50 $131.58 $1,348.50 $167.71 2024-12-30
74160 HCPCS CT Abdomen W 6 6 $1,950.00 $1,657.50 $223.59 $1,696.50 $249.05 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
74176 HCPCS CT Renal Stone 8 6 $1,250.00 $1,062.50 $176.32 $1,696.50 $606.50 2024-12-30
74177 HCPCS CT Abdomen/pelvis W 6 6 $2,500.00 $2,125.00 $275.58 $2,175.00 $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
74290 HCPCS Xr Contrast X-ray Gallbladder 6 6 $160.00 $136.00 $55.53 $160.00 $128.40 2024-12-30
76536 HCPCS US Thyroid Complete 8 6 $350.00 $297.50 $96.23 $304.50 $159.21 2024-12-30
76641 HCPCS US Breast 6 6 $250.00 $212.50 $84.52 $217.50 $134.67 2024-12-30
76700 HCPCS US Abdomen Complete 6 6 $450.00 $382.50 $109.02 $391.50 $134.67 2024-12-30
76705 HCPCS US Abdomen Limited 6 6 $350.00 $297.50 $81.51 $304.50 $134.67 2024-12-30
76770 HCPCS US Abdominal Aorta 8 6 $450.00 $382.50 $101.50 $391.50 $195.96 2024-12-30
76775 HCPCS US Abdominal Wall Soft Tissue 8 6 $235.00 $199.75 $56.20 $304.50 $153.69 2024-12-30
76830 HCPCS US Transvaginal 6 6 $350.00 $297.50 $101.89 $304.50 $134.67 2024-12-30
76856 HCPCS US Pelvis Complete 6 6 $350.00 $297.50 $98.64 $304.50 $137.30 2024-12-30
76870 HCPCS US Scrotum 6 6 $350.00 $297.50 $93.62 $304.50 $134.67 2024-12-30
76881 HCPCS US Soft Tissue Extremity 6 6 $350.00 $297.50 $51.22 $304.50 $137.30 2024-12-30
76882 HCPCS US Thigh Unilateral 6 6 $350.00 $297.50 $24.90 $304.50 $137.30 2024-12-30
77073 HCPCS Xr Bone Age 6 6 $150.00 $127.50 $32.03 $134.67 $120.38 2024-12-30
81256 HCPCS Hereditary Hemachromatosis DNA 6 6 $480.00 $408.00 $64.05 $417.60 $140.77 2024-12-30
81517 HCPCS Enhanced Liver Fibrosis 6 6 $542.00 $460.70 $97.56 $471.54 $228.61 2024-12-30
82088 HCPCS Aldosterone-lcms-serum 10 6 $149.00 $126.65 $27.07 $224.46 $119.57 2024-12-30
87502 HCPCS Rapid Flu A+b 6 6 $185.00 $157.25 $90.22 $160.95 $131.25 2024-12-30
87798 HCPCS B Pertussis/ B Parapertussis Pcr 8 6 $334.00 $283.90 $23.23 $425.43 $146.78 2024-12-30
87902 HCPCS Hcv Genotyping Non-reflex 6 6 $674.00 $572.90 $170.77 $586.38 $352.71 2024-12-30
90670 HCPCS Cln-pneumococcal 13-valent 0.5ml 11 6 $265.00 $225.25 $44.64 $252.83 $194.78 2024-12-30
90671 HCPCS Cln- Pneumococcal 15 Conjugate 0.5ml 6 6 $524.61 $445.92 $94.43 $456.41 $261.96 2024-12-30
90710 HCPCS Cln-mmrii 6 6 $217.91 $185.22 $39.22 $217.91 $144.36 2024-12-30
90716 HCPCS Cln-varicella Ped 0.5ml Sdv 6 6 $202.80 $172.38 $36.50 $176.44 $127.77 2024-12-30
90732 HCPCS Pneumococcal Vaccine Polyvalent Inj 6 6 $275.50 $234.18 $49.59 $239.68 $124.31 2024-12-30
90734 HCPCS Cln-meningococcal Intramuscular Kit 14 6 $290.00 $246.50 $50.40 $335.82 $148.02 2024-12-30
90750 HCPCS Cln-zoster Vaccine Recombinant 6 6 $452.94 $385.00 $81.53 $394.06 $203.69 2024-12-30
92540 HCPCS Pt Vestibular Evaluation 6 6 $145.00 $123.25 $26.10 $145.00 $103.95 2024-12-30
92950 HCPCS Heart/lung Resuscitation Cpr 15 6 $200.00 $170.00 $36.00 $275.00 $199.88 2024-12-30
92960 HCPCS Cardioversion External 19 6 $275.00 $233.75 $43.56 $1,226.70 $202.12 2024-12-30
93306 HCPCS US Echocardiography 6 6 $750.00 $637.50 $135.00 $652.50 $302.96 2024-12-30
93880 HCPCS US Carotid Bilateral 6 6 $550.00 $467.50 $177.12 $478.50 $313.22 2024-12-30
93922 HCPCS US Ankle Brachial Indices 6 6 $250.00 $212.50 $45.00 $217.50 $111.51 2024-12-30
93925 HCPCS US Lower Extremity Arterial Bilateral 6 6 $650.00 $552.50 $223.67 $565.50 $356.92 2024-12-30
93970 HCPCS US Venous Doppler Bilat 6 6 $650.00 $552.50 $174.17 $565.50 $318.48 2024-12-30
93971 HCPCS US Venous Doppler Left,left 12 6 $550.00 $467.50 $110.85 $478.50 $179.85 2024-12-30
99203 HCPCS Office Visit New Pt. Level 3 6 6 $190.00 $161.50 $34.20 $165.30 $108.92 2024-12-30
99204 HCPCS Office Visit New Pt. Level 4 6 6 $205.00 $174.25 $36.90 $178.35 $155.00 2024-12-30
99205 HCPCS Office Visit New Pt Level 5 6 6 $250.00 $212.50 $45.00 $217.50 $197.00 2024-12-30
99214 HCPCS Office Visit Est Pt. Level 4 6 6 $175.00 $148.75 $31.50 $152.25 $116.66 2024-12-30
99215 HCPCS Office Visit Est Pt. Level 5 6 6 $220.00 $187.00 $39.60 $191.40 $155.78 2024-12-30
99222 HCPCS Initial Observation Care 13 6 $200.00 $170.00 $36.00 $217.50 $124.20 2024-12-30
99223 HCPCS Observ High Cmpl Ea Hr 13 6 $546.00 $464.10 $98.28 $516.78 $164.64 2024-12-30
99226 HCPCS Subsqnt Observatn Care Sever Complic 9 6 $309.00 $262.65 $55.62 $268.83 $110.53 2024-12-30
99233 HCPCS Subsqt Hosp Day E&m Signif Compl 9 6 $309.00 $262.65 $55.62 $268.83 $129.67 2024-12-30
99234 HCPCS Obsrv/inpt Hosp Care E&m Low Sever 9 6 $396.00 $336.60 $71.28 $344.52 $144.37 2024-12-30
99235 HCPCS Obsrv/inpt Hosp Care E&m Mod Sever 9 6 $498.00 $423.30 $89.64 $433.26 $189.27 2024-12-30
99236 HCPCS Obsrv/inpt Hosp Care E&m High Sever 9 6 $642.00 $545.70 $115.56 $558.54 $235.24 2024-12-30
99239 HCPCS Hosp Disch Mgmnt > 30 Min 9 6 $315.00 $267.75 $56.70 $274.05 $124.90 2024-12-30
99253 HCPCS Inpt Consult Moderate Severity 9 6 $288.00 $244.80 $51.84 $250.56 $121.87 2024-12-30
99254 HCPCS Inpt Consult Moderatehigh Severity 9 6 $966.00 $821.10 $136.03 $840.42 $175.75 2024-12-30
99255 HCPCS Inpt Consult High Severity 9 6 $924.00 $785.40 $166.32 $803.88 $212.44 2024-12-30
99284 HCPCS Ed Visit 4 High Sever 14 6 $234.00 $198.90 $42.12 $998.00 $177.19 2024-12-30
99285 HCPCS Ed Visit 5 High Sever Sig 14 6 $344.00 $292.40 $61.92 $1,174.50 $254.25 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
99305 HCPCS Initial Nursing Facility Care 9 6 $254.00 $215.90 $45.72 $220.98 $126.81 2024-12-30
99306 HCPCS Initial Nursing Facility Care 9 6 $324.00 $275.40 $58.32 $281.88 $172.72 2024-12-30
99310 HCPCS Subsqt Nursing Facility Care Per Day 9 6 $264.00 $224.40 $47.52 $229.68 $138.55 2024-12-30
99343 HCPCS Home V Np Detailed 6 6 $265.00 $225.25 $47.70 $230.55 $130.90 2024-12-30
99385 HCPCS Well 18-39 Years Old; New 6 6 $200.00 $170.00 $36.00 $174.00 $112.28 2024-12-30
99386 HCPCS Well 40-64 Years Old; New 6 6 $180.00 $153.00 $32.40 $156.60 $113.40 2024-12-30
G0390 HCPCS Trauma Response Team 6 6 $900.00 $765.00 $162.00 $783.00 $472.50 2024-12-30
G0402 HCPCS Init Prev Pe Ltd Dur 1st 12 Mos Mcr 6 6 $200.00 $170.00 $36.00 $174.00 $126.00 2024-12-30
G0438 HCPCS Annual Wellnes Vst; Persnl Pps Init 6 6 $180.00 $153.00 $32.40 $157.82 $113.71 2024-12-30
G0439 HCPCS Annual Wellness Vst; Pps Subsqt Vst 6 6 $210.00 $178.50 $37.80 $182.70 $117.09 2024-12-30
J0248 HCPCS Remdesivir 100mg Vial 5 5 $1,170.00 $994.50 $6.22 $1,017.90 $210.60 2024-12-30
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
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
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
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
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
M0239 HCPCS IV Infusion Bamlanivimab & Monitoring 6 6 $340.00 $289.00 $61.20 $295.80 $178.50 2024-12-30
M0240 HCPCS Admin For Regenerons 6 6 $450.50 $382.93 $81.09 $391.94 $236.51 2024-12-30
M0243 HCPCS IV Infusion Casirivimab/imde Monitoring 6 6 $340.00 $289.00 $61.20 $295.80 $178.50 2024-12-30
T1015 HCPCS Clinic Vst/encounter All-inclusive,team 15 6 $190.00 $161.50 $128.62 $248.00 $188.31 2024-12-30
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