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

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
$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 $2,400.00 $6,000.00 $3,680.00 nat. median
$539
outlier · 6.8×
J2997
HCPCS 		Alteplase Kit 100 Mg 5 $89.64 $16,526.69 $3,419.32 nat. median
$428
outlier · 8.0×
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×
J3101
HCPCS 		Tenecteplase Kit 50 Mg 5 $154.57 $14,720.93 $3,045.71 nat. median
$498
outlier · 6.1×
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×
70496
CPT 		CTA Head & Neck W 6 $73.00 $4,688.00 $2,875.00 nat. median
$364
outlier · 7.9×
74170
CPT 		CT Abdomen W/wo 6 $58.00 $4,688.00 $2,875.00 nat. median
$366
outlier · 7.9×
71270
CPT 		CT Chest W/wo 6 $57.00 $4,688.00 $2,875.00 nat. median
$348
outlier · 8.3×
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×
71260
CPT 		CT Chest W 6 $52.00 $3,657.00 $2,243.00 nat. median
$327
outlier · 6.9×
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×
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×
J0840
HCPCS 		Crotalidae Polyval Immune Fab 2 Vial Kit 6 $677.90 $3,276.52 $1,852.15 nat. median
$3,496
0.5× median
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
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×
72129
CPT 		CT T-spine W 6 $51.00 $2,532.00 $1,553.00 nat. median
$318
outlier · 4.9×
72132
CPT 		CT L-spine W 6 $51.00 $2,532.00 $1,553.00 nat. median
$475
outlier · 3.3×
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×
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×
70487
CPT 		CT Facial Bones W 6 $54.00 $2,532.00 $1,438.00 nat. median
$321
outlier · 4.5×
70486
CPT 		CT Sinus Wo 6 $47.00 $2,345.00 $1,438.00 nat. median
$225
outlier · 6.4×
73700
CPT 		CT Ankle Bilateral 6 $42.00 $2,438.00 $1,438.00 nat. median
$238
outlier · 6.1×
72125
CPT 		CT C-spine Wo 6 $42.00 $2,345.00 $1,438.00 nat. median
$210
outlier · 6.8×
72128
CPT 		CT T-spine Wo 6 $42.00 $2,345.00 $1,438.00 nat. median
$213
outlier · 6.7×
70450
CPT 		CT Scan 6 $35.00 $2,345.00 $1,438.00 nat. median
$210
outlier · 6.8×
72192
CPT 		CT Pelvis Wo 6 $45.00 $2,345.00 $1,438.00 nat. median
$205
outlier · 7.0×
70490
CPT 		CT Neck St Wo 6 $53.00 $2,345.00 $1,438.00 nat. median
$211
outlier · 6.8×
72131
CPT 		CT L-spine Wo 6 $42.00 $2,345.00 $1,438.00 nat. median
$212
outlier · 6.8×
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×

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
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
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
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
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
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
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
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
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
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
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
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
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
70498 CPT CTA Neck W 9 6 $2,563.00 $2,179.00 $73.00 $3,845.00 $2,358.00 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
70496 HCPCS CTA Head & Neck W 6 6 $2,500.00 $2,125.00 $227.23 $2,175.00 $372.82 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
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
74176 CPT CT Renal Stone 17 6 $2,438.00 $2,072.00 $71.00 $3,657.00 $1,853.00 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
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
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
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
59410 HCPCS Vag Delivery Only Ppc 13 6 $2,058.00 $1,749.30 $318.60 $1,790.46 $929.25 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
31515 CPT Laryngoscopy Direct Aspiration 18 6 $1,998.50 $1,698.50 $26.00 $5,666.00 $315.00 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
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
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
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
73700 CPT CT Ankle Bilateral 17 6 $1,625.00 $1,381.00 $42.00 $2,438.00 $1,438.00 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
70450 CPT CT Scan 9 6 $1,563.00 $1,329.00 $35.00 $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
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
73200 CPT CT Elbow Left 17 6 $1,563.00 $1,329.00 $42.00 $2,345.00 $1,235.00 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
32556 HCPCS Pleural Drainage 6 6 $1,451.00 $1,233.35 $261.18 $1,262.37 $723.71 2024-12-30
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
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
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
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
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
31603 CPT Tracheostomy- Emergency Procedure 9 6 $1,300.00 $1,105.00 $333.00 $1,950.00 $1,196.00 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
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
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
74176 HCPCS CT Renal Stone 8 6 $1,250.00 $1,062.50 $176.32 $1,696.50 $606.50 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
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
11422 CPT Trim Skin Lesion 17 6 $1,200.00 $1,020.00 $195.00 $1,800.00 $507.00 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
31605 CPT Tracheostomy Cricothyroid Memb 18 6 $1,152.50 $979.50 $44.00 $2,909.00 $448.50 2026-08-20
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
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
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
11471 HCPCS Removal Sweat Gland Lesion Complex 6 6 $985.00 $837.25 $177.30 $856.95 $516.34 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
36430 CPT Blood Infusion 1- 4 Hours (Prbc) 17 6 $980.00 $833.00 $48.00 $1,470.00 $833.00 2026-08-20
26765 HCPCS Open Trt Dist Phal Frac 13 6 $970.00 $824.50 $174.60 $5,328.75 $712.95 2024-12-30
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
11463 CPT Removal Sweat Gland Lesion Inguinal Comp 9 6 $948.00 $806.00 $569.00 $1,422.00 $872.00 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
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
11451 HCPCS Removal Sweat Gland Lesion Axil Complex 6 6 $935.00 $794.75 $168.30 $813.45 $492.93 2024-12-30
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
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
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
27550 HCPCS Cltx Knee Disloc 13 6 $908.00 $771.80 $115.38 $789.96 $417.80 2024-12-30
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
32551 CPT Erchest Tube Insertion 18 6 $903.50 $768.00 $41.00 $2,201.00 $416.50 2026-08-20
G0390 HCPCS Trauma Response Team 15 12 $900.00 $765.00 $108.00 $1,350.00 $765.00 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
3061291 CDM Cln- Hylan G-f 20 6ml 9 6 $869.00 $739.00 $104.00 $826.00 $782.00 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
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
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
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
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 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
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 HCPCS Removal Sweat Gland Lesion Simple Interm 6 6 $793.00 $674.05 $142.74 $689.91 $422.86 2024-12-30
11470 CPT Removal Sweat Gland Lesion Simple Interm 9 6 $793.00 $674.00 $476.00 $1,190.00 $730.00 2026-08-20
27550 CPT Cltx Knee Disloc 18 6 $774.50 $658.50 $109.00 $1,362.00 $590.00 2026-08-20
11446 HCPCS Exc Face-mm B9 Marg > 4 Cm 6 6 $758.00 $644.30 $136.44 $659.46 $381.50 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
25565 CPT Treat Radius/ulna Frac W/munipulation 9 6 $750.00 $638.00 $450.00 $1,125.00 $690.00 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
93306 HCPCS US Echocardiography 6 6 $750.00 $637.50 $135.00 $652.50 $302.96 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
36590 HCPCS Removal Cvad W/subcutaneos Port Or Pump 6 6 $744.00 $632.40 $133.92 $647.28 $300.33 2024-12-30
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
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
11450 HCPCS Removal Sweat Gland Lesion Axil Simple I 6 6 $733.00 $623.05 $131.94 $637.71 $395.24 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
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
11980 CPT Biote Male Pellet Insertion 17 6 $725.00 $616.00 $120.00 $1,088.00 $435.00 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
11462 HCPCS Removal Sweat Gland Lesion Inguinal Simp 6 6 $716.00 $608.60 $128.88 $622.92 $385.04 2024-12-30
64121 CPT Cln-gardasil 9 6 $704.00 $598.00 $84.00 $1,056.00 $648.00 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
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
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
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
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
87902 HCPCS Hcv Genotyping Non-reflex 6 6 $674.00 $572.90 $170.77 $586.38 $352.71 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
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
26641 HCPCS Cltx Carpometa Disloc W Manip 13 6 $664.00 $564.40 $115.38 $577.68 $361.22 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
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
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
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
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
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
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
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
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
26641 CPT Cltx Carpometa Disloc W Manip 18 6 $652.50 $554.50 $80.00 $996.00 $565.00 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
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
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
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
27560 HCPCS Cltx Patellar Disloc 13 6 $642.00 $545.70 $91.26 $558.54 $322.77 2024-12-30
88271 CPT Multiple Myeloma Fish Panel 9 6 $636.00 $541.00 $14.00 $954.00 $585.00 2026-08-20
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
99284 CPT Ed Visit 4 High Sever Pf 18 6 $616.00 $523.50 $28.00 $1,497.00 $286.50 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
26700 CPT Cltx Metcrpl Disloc 18 6 $612.50 $520.50 $70.00 $962.00 $521.50 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
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
18609 CPT Budesonide Inhalation Powder 180 Mcg Aer 9 6 $605.00 $514.00 $73.00 $908.00 $557.00 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
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
23650 CPT Cltx Shoulder Disloc 18 6 $598.50 $509.00 $67.00 $962.00 $501.00 2026-08-20
22310 CPT Cltxmnt Vert Body Frac 18 6 $596.50 $507.00 $66.00 $962.00 $504.50 2026-08-20
26600 CPT Cltx Metcrpl Fx Singl Wo Man 18 6 $586.50 $498.50 $64.00 $962.00 $479.50 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
26700 HCPCS Cltx Metcrpl Disloc 13 6 $584.00 $496.40 $105.12 $557.67 $334.60 2024-12-30
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
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
27560 CPT Cltx Patellar Disloc 18 6 $574.50 $488.50 $77.00 $963.00 $466.00 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
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
76700 CPT Ultrasound Of Abdomen 9 6 $563.00 $479.00 $33.00 $845.00 $518.00 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
13120 CPT Rep Comp Scalp 1.12.5 Cm 18 6 $560.50 $476.50 $55.00 $989.00 $444.50 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
23650 HCPCS Cltx Shoulder Disloc 13 6 $556.00 $472.60 $100.08 $557.67 $327.29 2024-12-30
22310 HCPCS Cltxmnt Vert Body Frac 13 6 $552.00 $469.20 $99.36 $557.67 $299.70 2024-12-30
93880 HCPCS US Carotid Bilateral 6 6 $550.00 $467.50 $177.12 $478.50 $313.22 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
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
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
23540 CPT Clsd Tx Acromioclviculr Dislo Wo Man 18 6 $540.50 $459.50 $53.00 $962.00 $401.50 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
12020 HCPCS Closure Of Split Wound Simple 6 6 $540.00 $459.00 $97.20 $469.80 $283.25 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
3061259 CDM Fluticasone Furoate/vilanterol 100mcg/25 9 6 $530.00 $451.00 $64.00 $504.00 $477.00 2026-08-20
76770 CPT US Abdominal Aorta 17 6 $527.00 $448.00 $31.00 $791.00 $416.00 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
64329 CPT Cln- Pneumococcal 15 Conjugate 0.5ml 9 6 $525.00 $446.00 $63.00 $788.00 $483.00 2026-08-20
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
96365 CPT IV Infus Ther Proph Dx Init Hr 9 6 $520.00 $442.00 $94.00 $780.00 $478.00 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
22315 CPT Closed Tx Vert Fx W/manj 9 6 $507.00 $431.00 $304.00 $1,417.00 $466.00 2026-08-20
22315 HCPCS Closed Tx Vert Fx W/manj 6 6 $507.00 $430.95 $91.26 $496.86 $333.35 2024-12-30
3000428 CDM Tbo-filgrastim Syringe 300mcg 9 6 $501.00 $426.00 $60.00 $476.00 $451.00 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
4000926 CDM Bb Prbc (Leukocyte Reduced) 9 6 $498.00 $423.00 $60.00 $747.00 $458.00 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
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
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
87798 CPT Babesia Microti Pcr 17 6 $489.00 $416.00 $23.00 $734.00 $317.00 2026-08-20
23570 CPT Cltx Scapular Frac 18 6 $483.50 $411.00 $55.00 $761.00 $411.50 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
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
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
28495 CPT Cltx Fx Great Toe W Man 18 6 $468.50 $398.50 $36.00 $962.00 $333.00 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
28515 CPT Cltx Fx Phalanx W Man 18 6 $460.50 $391.50 $34.00 $962.00 $325.50 2026-08-20
11760 CPT Repair Of Nail Bed 18 6 $457.50 $389.00 $31.00 $989.00 $338.00 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
3060923 CDM Cln-zoster Vaccine Recombinant 9 6 $453.00 $385.00 $54.00 $430.00 $408.00 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
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
M0240 HCPCS Admin For Regenerons 15 12 $451.00 $383.00 $54.00 $677.00 $383.00 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
99291 HCPCS Critcl Care 1st 30 74 Min 13 6 $440.00 $374.00 $79.20 $1,713.90 $321.44 2024-12-30
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
76536 CPT US Thyroid Complete 17 6 $438.00 $372.00 $23.00 $657.00 $297.00 2026-08-20
76775 CPT US Aorta Screening Limited 17 6 $438.00 $372.00 $24.00 $657.00 $279.00 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
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
28630 CPT Cls Trt Jnt Disloc Metatars Wo Anes 18 6 $428.50 $364.50 $26.00 $962.00 $282.50 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
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
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
11055 CPT Trim Corn Or Callus; Single Lesion 9 6 $406.00 $345.00 $55.00 $609.00 $374.00 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
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
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
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
3060951 CDM Cln-meningococcal Acyw Conjugate 9 6 $386.00 $328.00 $46.00 $367.00 $347.00 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
24600 CPT Closed Trmt Elbow Disloc; Without Anes 9 6 $375.00 $319.00 $225.00 $570.00 $345.00 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
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
31605 HCPCS Tracheostomy Cricothyroid Memb 13 6 $366.00 $311.10 $65.88 $1,686.93 $318.42 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
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
69000 CPT I & D Abscess Ear Simple 18 6 $358.50 $304.50 $28.00 $728.00 $276.50 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
12018 CPT Rep Smp Face >30 Cm 26 6 $352.00 $299.00 $42.00 $657.00 $324.00 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
25605 HCPCS Treat Fracture Radius/ulna Profee 14 6 $350.00 $297.50 $63.00 $573.21 $299.25 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
83520 CPT Thyrotropin Receptor Antibody 9 6 $343.00 $292.00 $9.00 $515.00 $316.00 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
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
36680 CPT Insertion Of Io 26 6 $330.00 $281.00 $14.00 $593.00 $281.00 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
30906 CPT Control Nasal Hemorr Post Subs 18 6 $324.50 $276.00 $31.00 $584.00 $289.00 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
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
30300 CPT Remove Fb Intranasal 18 6 $318.50 $271.00 $29.00 $593.00 $279.50 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
10140 CPT Drainage Of Hematoma/fluid 26 6 $315.00 $268.00 $13.00 $1,193.00 $279.50 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
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
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
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
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
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