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

DAYTON GENERAL HOSPITAL

Dayton, WA · CCN 501302 · Rates published

Your selected procedure

You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $1,215 across 2 payers · range $906-$1,524

Source: https://cchd.goredde.com/Estimator/Files/91-0741968_Columbia_County_Health_System_Standardcharges.csv · observed 2026-03-24

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.

20,169 distinct procedures filed
19 distinct payers
383,211 rate rows
2026-03-24 last MRF observed
Data quality

579 of 383,211 rate rows are consumer-grade (0.2%)

382,632 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 382,632
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cchd.goredde.com/Estimator/Files/91-0741968_Columbia_County_Health_System_Standardcharges.csv
Found on page https://cchd.goredde.com/Estimator/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint 46bc65d4dc558152… · 81,298,921 bytes · first seen 2026-05-06

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
70553
CPT 		MRI Brain Stem Without & With Contrast 5 $2,966.82 $6,428.96 $5,962.88 nat. median
$1,133
outlier · 5.3×
70549
CPT 		Mr Angiograph Neck W/O&with Contrast 1 $5,303.45 $5,303.45 $5,303.45 nat. median
$1,055
outlier · 5.0×
74176
CPT 		CT Abd & Pelvis Without Contrast 9 $175.81 $5,837.40 $5,240.97 nat. median
$694
outlier · 7.6×
73718
CPT 		MRI Lower Extremity Without Contrast 1 $3,967.04 $3,967.04 $3,967.04 nat. median
$870
outlier · 4.6×
72146
CPT 		MRI Chest Spine Without Contrast 2 $3,838.46 $3,941.28 $3,889.87 nat. median
$797
outlier · 4.9×
74183
CPT 		MRI Abdomen Without & With Contrast 2 $111.65 $7,219.24 $3,665.45 nat. median
$1,100
outlier · 3.3×
73721
CPT 		MRI Jnt Of Lwr Extre Without Contrast 5 $1,906.69 $3,614.68 $3,520.38 nat. median
$856
outlier · 4.1×
74177
CPT 		CT Abd & Pelv W/contrast 8 $171.00 $7,740.59 $3,062.86 nat. median
$974
outlier · 3.1×
73720
CPT 		MRI Lwr Extremity W/O&with Contrast 1 $2,966.82 $2,966.82 $2,966.82 nat. median
$1,129
outlier · 2.6×
72148
CPT 		MRI Lumbar Spine Without Contrast 6 $2,215.15 $4,075.60 $2,964.30 nat. median
$805
outlier · 3.7×
72141
CPT 		MRI Neck Spine Without Contrast 4 $1,898.30 $3,926.56 $2,942.93 nat. median
$781
outlier · 3.8×
70488
CPT 		CT Maxillofacial Without & With Contrast 1 $2,738.18 $2,738.18 $2,738.18 nat. median
$637
outlier · 4.3×
J2357
HCPCS 		Omalizumab Injection 1 $2,554.68 $2,554.68 $2,554.68 nat. median
$1,245
outlier · 2.1×
70470
CPT 		CT Head/brain Without & With Contrast 2 $1,858.37 $3,030.04 $2,444.20 nat. median
$622
outlier · 3.9×
70460
CPT 		CT Head/brain With Contrast 2 $2,225.24 $2,647.12 $2,436.18 nat. median
$576
outlier · 4.2×
70551
CPT 		MRI Brain Stem Without Contrast 7 $251.03 $4,260.48 $2,105.08 nat. median
$784
outlier · 2.7×
73221
CPT 		MRI Joint Upr Extrem Without Contrast 3 $68.68 $2,203.11 $2,043.72 nat. median
$844
outlier · 2.4×
70498
CPT 		CT Angiography Neck 6 $167.25 $3,870.72 $1,941.65 nat. median
$739
outlier · 2.6×
74181
CPT 		MRI Abdomen Without Contrast 3 $1,882.90 $3,141.38 $1,906.69 nat. median
$820
outlier · 2.3×
71275
CPT 		CT Angiography Chest 5 $171.00 $4,299.90 $1,882.23 nat. median
$754
outlier · 2.5×
70496
CPT 		CT Angiography Head 7 $167.25 $15,149.67 $1,882.23 nat. median
$747
outlier · 2.5×
74178
CPT 		CT Abd & Pelv 1/> Regns 3 $167.25 $6,483.46 $1,858.37 nat. median
$1,024
1.8× median
71260
CPT 		CT Thorax Dx C+ 5 $175.81 $3,410.40 $1,680.84 nat. median
$648
outlier · 2.6×
72131
CPT 		CT Lumbar Spine Without Contrast 4 $167.25 $3,055.32 $1,622.14 nat. median
$457
outlier · 3.6×
72125
CPT 		CT Neck Spine Without Contrast 8 $175.81 $2,800.90 $1,429.83 nat. median
$472
outlier · 3.0×
74174
CPT 		CT Angio Abd&pelv W/O&with Contrast 2 $167.25 $2,378.88 $1,273.07 nat. median
$988
1.3× median
93306
CPT 		Tte W/doppler Complete 2 $906.21 $1,523.97 $1,215.09 nat. median
$991
1.2× median
70486
CPT 		CT Maxillofacial Without Contrast 4 $167.25 $2,281.22 $1,146.36 nat. median
$478
outlier · 2.4×
76811
CPT 		OB US Detailed Sngl Fetus 2 $1,062.24 $1,126.08 $1,094.16 nat. median
$337
outlier · 3.2×
70450
CPT 		CT Head/brain Without Contrast 12 $43.13 $2,043.78 $1,040.30 nat. median
$450
outlier · 2.3×
76830
CPT 		Transvaginal US Non-OB 4 $535.32 $936.56 $876.50 nat. median
$250
outlier · 3.5×
76805
CPT 		OB US >= 14 Wks Sngl Fetus 1 $821.56 $821.56 $821.56 nat. median
$259
outlier · 3.2×
76856
CPT 		US Exam Pelvic Complete 4 $535.32 $876.29 $812.76 nat. median
$271
outlier · 3.0×
70491
CPT 		CT Soft Tissue Neck With Contrast 2 $65.35 $1,486.72 $776.04 nat. median
$627
1.2× median
76817
CPT 		Transvaginal US Obstetric 1 $727.72 $727.72 $727.72 nat. median
$220
outlier · 3.3×
76700
CPT 		US Exam Abdom Complete 2 $535.32 $917.24 $726.28 nat. median
$311
outlier · 2.3×
76705
CPT 		Echo Exam Of Abdomen 5 $124.30 $760.84 $717.79 nat. median
$277
outlier · 2.6×
93971
CPT 		Extremity Study 2 $215.00 $1,051.01 $633.00 nat. median
$345
1.8× median
72190
CPT 		X-ray Exam Of Pelvis 1 $565.22 $565.22 $565.22 nat. median
$161
outlier · 3.5×
74018
CPT 		X-ray Exam Abdomen 1 View 1 $550.16 $550.16 $550.16 nat. median
$135
outlier · 4.1×
72052
CPT 		X-ray Exam Neck Spine 6/>vws 2 $421.78 $638.60 $530.19 nat. median
$202
outlier · 2.6×
76815
CPT 		OB US Limited Fetus(s) 1 $528.08 $528.08 $528.08 nat. median
$207
outlier · 2.5×
73060
CPT 		X-ray Exam Of Humerus 2 $495.60 $559.58 $527.59 nat. median
$148
outlier · 3.6×
76770
CPT 		US Exam Abdo Back Wall Comp 6 $121.48 $772.31 $518.94 nat. median
$300
1.7× median
76882
CPT 		US Lmtd Jt/fcl Evl Nvasc Xtr 2 $437.00 $574.90 $505.95 nat. median
$203
outlier · 2.5×
73600
CPT 		X-ray Exam Of Ankle 2 $250.42 $758.50 $504.46 nat. median
$147
outlier · 3.4×
76536
CPT 		US Exam Of Head And Neck 6 $456.34 $846.40 $503.95 nat. median
$261
1.9× median
72110
CPT 		X-ray Exam L-2 Spine 4/>vws 6 $40.10 $679.88 $482.08 nat. median
$197
outlier · 2.5×
J3489
HCPCS 		Zoledronic Acid 1mg 1 $473.61 $473.61 $473.61 nat. median
$131
outlier · 3.6×
74019
CPT 		X-ray Exam Abdomen 2 Views 2 $307.97 $636.40 $472.19 nat. median
$168
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 20,169 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
70553 CPT MRI Brain Stem Without & With Contrast 5 5 — — $2,966.82 $6,428.96 $5,962.88 2026-03-24
70549 CPT Mr Angiograph Neck W/O&with Contrast 1 1 — — $5,303.45 $5,303.45 $5,303.45 2026-03-24
74176 CPT CT Abd & Pelvis Without Contrast 9 9 — — $175.81 $5,837.40 $5,240.97 2026-03-24
73718 CPT MRI Lower Extremity Without Contrast 1 1 — — $3,967.04 $3,967.04 $3,967.04 2026-03-24
72146 CPT MRI Chest Spine Without Contrast 2 2 — — $3,838.46 $3,941.28 $3,889.87 2026-03-24
74183 CPT MRI Abdomen Without & With Contrast 2 2 — — $111.65 $7,219.24 $3,665.45 2026-03-24
73721 CPT MRI Jnt Of Lwr Extre Without Contrast 5 5 — — $1,906.69 $3,614.68 $3,520.38 2026-03-24
74177 CPT CT Abd & Pelv W/contrast 8 8 — — $171.00 $7,740.59 $3,062.86 2026-03-24
73720 CPT MRI Lwr Extremity W/O&with Contrast 1 1 — — $2,966.82 $2,966.82 $2,966.82 2026-03-24
72148 CPT MRI Lumbar Spine Without Contrast 6 6 — — $2,215.15 $4,075.60 $2,964.30 2026-03-24
72141 CPT MRI Neck Spine Without Contrast 4 4 — — $1,898.30 $3,926.56 $2,942.93 2026-03-24
70488 CPT CT Maxillofacial Without & With Contrast 1 1 — — $2,738.18 $2,738.18 $2,738.18 2026-03-24
J2357 HCPCS Omalizumab Injection 1 1 — — $2,554.68 $2,554.68 $2,554.68 2026-03-24
70470 CPT CT Head/brain Without & With Contrast 2 2 — — $1,858.37 $3,030.04 $2,444.20 2026-03-24
70460 CPT CT Head/brain With Contrast 2 2 — — $2,225.24 $2,647.12 $2,436.18 2026-03-24
70551 CPT MRI Brain Stem Without Contrast 7 7 — — $251.03 $4,260.48 $2,105.08 2026-03-24
73221 CPT MRI Joint Upr Extrem Without Contrast 3 3 — — $68.68 $2,203.11 $2,043.72 2026-03-24
70498 CPT CT Angiography Neck 6 6 — — $167.25 $3,870.72 $1,941.65 2026-03-24
74181 CPT MRI Abdomen Without Contrast 3 3 — — $1,882.90 $3,141.38 $1,906.69 2026-03-24
70496 CPT CT Angiography Head 7 7 — — $167.25 $15,149.67 $1,882.23 2026-03-24
71275 CPT CT Angiography Chest 5 5 — — $171.00 $4,299.90 $1,882.23 2026-03-24
74178 CPT CT Abd & Pelv 1/> Regns 3 3 — — $167.25 $6,483.46 $1,858.37 2026-03-24
71260 CPT CT Thorax Dx C+ 5 5 — — $175.81 $3,410.40 $1,680.84 2026-03-24
72131 CPT CT Lumbar Spine Without Contrast 4 4 — — $167.25 $3,055.32 $1,622.14 2026-03-24
72125 CPT CT Neck Spine Without Contrast 8 8 — — $175.81 $2,800.90 $1,429.83 2026-03-24
74174 CPT CT Angio Abd&pelv W/O&with Contrast 2 2 — — $167.25 $2,378.88 $1,273.07 2026-03-24
93306 CPT Tte W/doppler Complete 2 2 — — $906.21 $1,523.97 $1,215.09 2026-03-24
70486 CPT CT Maxillofacial Without Contrast 4 4 — — $167.25 $2,281.22 $1,146.36 2026-03-24
76811 CPT OB US Detailed Sngl Fetus 2 2 — — $1,062.24 $1,126.08 $1,094.16 2026-03-24
70450 CPT CT Head/brain Without Contrast 12 12 — — $43.13 $2,043.78 $1,040.30 2026-03-24
76830 CPT Transvaginal US Non-OB 4 4 — — $535.32 $936.56 $876.50 2026-03-24
76805 CPT OB US >= 14 Wks Sngl Fetus 1 1 — — $821.56 $821.56 $821.56 2026-03-24
76856 CPT US Exam Pelvic Complete 4 4 — — $535.32 $876.29 $812.76 2026-03-24
70491 CPT CT Soft Tissue Neck With Contrast 2 2 — — $65.35 $1,486.72 $776.04 2026-03-24
76817 CPT Transvaginal US Obstetric 1 1 — — $727.72 $727.72 $727.72 2026-03-24
76700 CPT US Exam Abdom Complete 2 2 — — $535.32 $917.24 $726.28 2026-03-24
76705 CPT Echo Exam Of Abdomen 5 5 — — $124.30 $760.84 $717.79 2026-03-24
93971 CPT Extremity Study 2 2 — — $215.00 $1,051.01 $633.00 2026-03-24
72190 CPT X-ray Exam Of Pelvis 1 1 — — $565.22 $565.22 $565.22 2026-03-24
74018 CPT X-ray Exam Abdomen 1 View 1 1 — — $550.16 $550.16 $550.16 2026-03-24
72052 CPT X-ray Exam Neck Spine 6/>vws 2 2 — — $421.78 $638.60 $530.19 2026-03-24
76815 CPT OB US Limited Fetus(s) 1 1 — — $528.08 $528.08 $528.08 2026-03-24
73060 CPT X-ray Exam Of Humerus 2 2 — — $495.60 $559.58 $527.59 2026-03-24
76770 CPT US Exam Abdo Back Wall Comp 6 6 — — $121.48 $772.31 $518.94 2026-03-24
76882 CPT US Lmtd Jt/fcl Evl Nvasc Xtr 2 2 — — $437.00 $574.90 $505.95 2026-03-24
73600 CPT X-ray Exam Of Ankle 2 2 — — $250.42 $758.50 $504.46 2026-03-24
76536 CPT US Exam Of Head And Neck 6 6 — — $456.34 $846.40 $503.95 2026-03-24
72110 CPT X-ray Exam L-2 Spine 4/>vws 6 6 — — $40.10 $679.88 $482.08 2026-03-24
J3489 HCPCS Zoledronic Acid 1mg 1 1 — — $473.61 $473.61 $473.61 2026-03-24
74019 CPT X-ray Exam Abdomen 2 Views 2 2 — — $307.97 $636.40 $472.19 2026-03-24
93925 CPT Lower Extremity Study 2 2 — — $123.79 $788.84 $456.32 2026-03-24
72220 CPT X-ray Exam Sacrum Tailbone 1 1 — — $450.87 $450.87 $450.87 2026-03-24
74022 CPT X-ray Exam Complete Abdomen 1 1 — — $421.78 $421.78 $421.78 2026-03-24
72070 CPT X-ray Exam Thorac Spine 2vws 4 4 — — $42.78 $592.48 $421.45 2026-03-24
73610 CPT X-ray Exam Of Ankle 4 4 — — $176.00 $582.36 $416.39 2026-03-24
402 OTHER Anesth Surgery Of Breast 1 1 — — $415.84 $415.84 $415.84 2026-03-24
97166 CPT Ot Eval Mod Complex 45 Min 6 6 — — $208.27 $440.96 $399.52 2026-03-24
72040 CPT X-ray Exam Neck Spine 2-3 Vw 4 4 — — $11.51 $701.96 $369.99 2026-03-24
76870 CPT US Exam Scrotum 2 2 — — $127.22 $568.06 $347.64 2026-03-24
73565 CPT X-ray Exam Of Knees 2 2 — — $250.42 $432.40 $341.41 2026-03-24
72050 CPT X-ray Exam Neck Spine 4/5vws 2 2 — — $37.04 $640.32 $338.68 2026-03-24
73522 CPT X-ray Exam Hips Bi 3-4 Views 1 1 — — $326.68 $326.68 $326.68 2026-03-24
72100 CPT X-ray Exam L-s Spine 2/3 Vws 8 8 — — $42.78 $475.64 $309.45 2026-03-24
97165 CPT Ot Eval Low Complex 30 Min 5 5 — — $167.37 $356.04 $303.97 2026-03-24
97113 CPT Aquatic Therapy/exercises 10 10 — — $204.43 $645.52 $292.50 2026-03-24
73564 CPT X-ray Exam Knee 4 Or More 6 6 — — $11.88 $607.20 $287.75 2026-03-24
92507 CPT Speech/hearing Therapy 7 7 — — $122.00 $542.80 $285.20 2026-03-24
73562 CPT X-ray Exam Of Knee 3 8 8 — — $250.42 $593.40 $281.85 2026-03-24
73630 CPT X-ray Exam Of Foot 9 9 — — $41.27 $544.64 $274.30 2026-03-24
73502 CPT X-ray Exam Hip Uni 2-3 Views 7 7 — — $11.51 $563.96 $272.64 2026-03-24
73110 CPT X-ray Exam Of Wrist 3 3 — — $250.42 $273.79 $272.49 2026-03-24
73130 CPT X-ray Exam Of Hand 9 9 — — $42.78 $582.36 $270.26 2026-03-24
73030 CPT X-ray Exam Of Shoulder 9 9 — — $9.71 $542.80 $264.87 2026-03-24
72200 CPT X-ray Exam Si Joints 2 2 — — $250.42 $273.41 $261.92 2026-03-24
92610 CPT Evaluate Swallowing Function 3 3 — — $122.00 $289.02 $255.14 2026-03-24
76857 CPT US Exam Pelvic Limited 2 2 — — $118.05 $390.08 $254.06 2026-03-24
71250 CPT CT Thorax Dx C- 6 6 — — $54.64 $2,554.50 $252.79 2026-03-24
J1071 HCPCS Inj Testosterone Cypionate 1 1 — — $251.82 $251.82 $251.82 2026-03-24
70360 CPT X-ray Exam Of Neck 1 1 — — $250.42 $250.42 $250.42 2026-03-24
70220 CPT X-ray Exam Of Sinuses 1 1 — — $250.42 $250.42 $250.42 2026-03-24
73100 CPT X-ray Exam Of Wrist 1 1 — — $250.42 $250.42 $250.42 2026-03-24
72170 CPT X-ray Exam Of Pelvis 1 1 — — $250.42 $250.42 $250.42 2026-03-24
92523 CPT Speech Sound Lang Comprehen 1 1 — — $250.14 $250.14 $250.14 2026-03-24
73620 CPT X-ray Exam Of Foot 5 5 — — $201.93 $438.84 $247.30 2026-03-24
71101 CPT X-ray Exam Unilat Ribs/chest 4 4 — — $38.02 $280.21 $239.79 2026-03-24
97167 CPT Ot Eval High Complex 60 Min 4 4 — — $218.61 $440.96 $238.50 2026-03-24
71046 CPT X-ray Exam Chest 2 Views 10 10 — — $41.27 $432.40 $227.84 2026-03-24
73090 CPT X-ray Exam Of Forearm 3 3 — — $8.25 $250.42 $225.95 2026-03-24
92526 CPT Oral Function Therapy 4 4 — — $122.00 $443.52 $217.26 2026-03-24
70210 CPT X-ray Exam Of Sinuses 2 2 — — $176.00 $250.42 $213.21 2026-03-24
97163 CPT Pt Eval High Complex 45 Min 4 4 — — $205.49 $210.78 $209.19 2026-03-24
73140 CPT X-ray Exam Of Finger(s) 3 3 — — $189.48 $362.88 $198.75 2026-03-24
73660 CPT X-ray Exam Of Toe(s) 3 3 — — $36.21 $250.42 $197.65 2026-03-24
97162 CPT Pt Eval Mod Complex 30 Min 12 12 — — $179.69 $425.00 $192.91 2026-03-24
97112 CPT Neuromuscular Reeducation 10 10 — — $94.73 $391.92 $191.05 2026-03-24
92612 CPT Endoscopy Swallow (fees) Vid 2 2 — — $70.63 $309.72 $190.18 2026-03-24
97530 CPT Therapeutic Activities 12 12 — — $95.78 $377.20 $187.53 2026-03-24
71045 CPT X-ray Exam Chest 1 View 11 11 — — $37.87 $360.64 $187.38 2026-03-24
97140 CPT Manual Therapy 1/> Regions 12 12 — — $91.08 $336.90 $186.90 2026-03-24
71271 CPT CT Thorax Lung Cancer Scr C- 1 1 — — $185.95 $185.95 $185.95 2026-03-24
82653 CPT El-1 Fecal Quantitative 1 1 — — $184.97 $184.97 $184.97 2026-03-24
73201 CPT CT Upper Extremity With Contrast 1 1 — — $175.81 $175.81 $175.81 2026-03-24
74170 CPT CT Abdomen Without & With Contrast 1 1 — — $167.93 $167.93 $167.93 2026-03-24
97161 CPT Pt Eval Low Complex 20 Min 12 12 — — $149.22 $454.97 $166.18 2026-03-24
97110 CPT Therapeutic Exercises 12 12 — — $72.42 $416.64 $154.28 2026-03-24
J0165 HCPCS Injection, Epinephrine, Not Otherwise Specified, 0.1 Mg 1 1 — — $154.08 $154.08 $154.08 2026-03-24
71110 CPT X-ray Exam Ribs Bil 3 Views 1 1 — — $148.11 $148.11 $148.11 2026-03-24
J1756 HCPCS Iron Sucrose Injection 2 2 — — $104.97 $186.90 $145.94 2026-03-24
73590 CPT X-ray Exam Of Lower Leg 2 2 — — $36.06 $232.17 $134.12 2026-03-24
93880 CPT Extracranial Bilat Study 1 1 — — $123.79 $123.79 $123.79 2026-03-24
92522 CPT Evaluate Speech Production 1 1 — — $122.00 $122.00 $122.00 2026-03-24
76706 CPT US Abdl Aorta Screen Aaa 1 1 — — $121.49 $121.49 $121.49 2026-03-24
97130 CPT Ther Ivntj Ea Addl 15 Min 1 1 — — $114.98 $114.98 $114.98 2026-03-24
97014 CPT Electric Stimulation Therapy 9 9 — — $27.72 $122.36 $104.08 2026-03-24
G0480 HCPCS Drug Test Def 1-7 Classes 5 5 — — $99.63 $221.48 $101.46 2026-03-24
300 OTHER Anesth Head/neck/ptrunk 1 1 — — $93.84 $93.84 $93.84 2026-03-24
97164 CPT Pt Re-eval Est Plan Care 3 3 — — $82.32 $91.02 $87.86 2026-03-24
97035 CPT App Mdlty 1+ultrasound Ea 15 6 6 — — $58.37 $128.80 $82.10 2026-03-24
97116 CPT Gait Training Therapy 9 9 — — $73.68 $290.90 $81.79 2026-03-24
97033 CPT App Mdlty 1+iontphrsis Ea 15 1 1 — — $72.58 $72.58 $72.58 2026-03-24
J3430 HCPCS Vitamin K Phytonadione Inj 1 1 — — $70.29 $70.29 $70.29 2026-03-24
97032 CPT Appl Modality 1+estim Ea 15 4 4 — — $54.15 $66.30 $64.42 2026-03-24
J0131 HCPCS Inj, Acetaminophen (nos) 1 1 — — $63.96 $63.96 $63.96 2026-03-24
J1836 HCPCS Inj, Metronidazole, 10 Mg 2 2 — — $32.52 $69.44 $50.98 2026-03-24
87563 CPT M. Genitalium Amp Probe 1 1 — — $50.18 $50.18 $50.18 2026-03-24
J2543 HCPCS Piperacillin/tazobactam 1 1 — — $44.80 $44.80 $44.80 2026-03-24
J3411 HCPCS Thiamine Hcl 100 Mg 1 1 — — $44.80 $44.80 $44.80 2026-03-24
M0201 HCPCS Pne Flu Hepb Cov Home Admin 1 1 — — $43.22 $43.22 $43.22 2026-03-24
73501 CPT X-ray Exam Hip Uni 1 View 1 1 — — $42.78 $42.78 $42.78 2026-03-24
G0328 HCPCS Fecal Blood Scrn Immunoassay 1 1 — — $41.85 $41.85 $41.85 2026-03-24
73560 CPT X-ray Exam Of Knee 1 Or 2 1 1 — — $41.10 $41.10 $41.10 2026-03-24
73080 CPT X-ray Exam Of Elbow 1 1 — — $40.10 $40.10 $40.10 2026-03-24
J2312 HCPCS Injection, Naloxone Hydrochloride, Not Otherwise Specified, 0.01 Mg 1 1 — — $39.34 $39.34 $39.34 2026-03-24
97129 CPT Ther Ivntj 1st 15 Min 1 1 — — $39.31 $39.31 $39.31 2026-03-24
73120 CPT X-ray Exam Of Hand 1 1 — — $37.18 $37.18 $37.18 2026-03-24
J3475 HCPCS Inj Magnesium Sulfate 3 3 — — $34.94 $71.30 $35.25 2026-03-24
J0744 HCPCS Ciprofloxacin IV 1 1 — — $34.94 $34.94 $34.94 2026-03-24
J3480 HCPCS Inj Potassium Chloride 3 3 — — $17.05 $69.44 $34.94 2026-03-24
J1815 HCPCS Insulin Injection 2 2 — — $21.55 $43.98 $32.77 2026-03-24
J1817 HCPCS Insulin For Insulin Pump Use 1 1 — — $29.99 $29.99 $29.99 2026-03-24
82166 CPT Assay Anti-mullerian Horm 1 1 — — $23.92 $23.92 $23.92 2026-03-24
J0456 HCPCS Azithromycin 1 1 — — $22.54 $22.54 $22.54 2026-03-24
J1953 HCPCS Levetiracetam Injection 1 1 — — $22.54 $22.54 $22.54 2026-03-24
J0692 HCPCS Cefepime Hcl For Injection 1 1 — — $22.45 $22.45 $22.45 2026-03-24
97039 CPT Unlisted Modality 1 1 — — $22.44 $22.44 $22.44 2026-03-24
J0690 HCPCS Cefazolin Sodium Injection 2 2 — — $22.24 $22.54 $22.39 2026-03-24
97024 CPT Diathermy Eg Microwave 8 8 — — $17.87 $38.64 $21.26 2026-03-24
J1644 HCPCS Inj Heparin Sodium Per 1000u 3 3 — — $11.57 $34.94 $20.59 2026-03-24
A9270 HCPCS Non-covered Item Or Service 1 1 — — $20.29 $20.29 $20.29 2026-03-24
J0780 HCPCS Prochlorperazine Injection 4 4 — — $8.87 $36.11 $18.35 2026-03-24
J2919 HCPCS Inj, Methylpred Sod Succ 5mg 4 4 — — $17.18 $35.05 $18.21 2026-03-24
J0282 HCPCS Amiodarone Hcl 1 1 — — $17.61 $17.61 $17.61 2026-03-24
97026 CPT Infrared Therapy 1 1 — — $16.68 $16.68 $16.68 2026-03-24
87427 CPT Shiga-like Toxin Ag Ia 1 1 — — $12.23 $12.23 $12.23 2026-03-24
J1171 HCPCS Injection, Hydromorphone, 0.1 Mg 7 7 — — $0.50 $11.01 $9.63 2026-03-24
J2060 HCPCS Lorazepam Injection 7 7 — — $4.11 $16.72 $8.40 2026-03-24
J2272 HCPCS Inj, Morphine (fresenius) 4 4 — — $6.76 $39.31 $7.23 2026-03-24
J2405 HCPCS Ondansetron Hcl Injection 8 8 — — $3.30 $13.44 $6.83 2026-03-24
J1938 HCPCS Injection, Furosemide, 1 Mg 2 2 — — $6.76 $6.82 $6.79 2026-03-24
J3010 HCPCS Fentanyl Citrate Injection 3 3 — — $6.73 $7.06 $6.76 2026-03-24
J2765 HCPCS Metoclopramide Hcl Injection 1 1 — — $6.75 $6.75 $6.75 2026-03-24
J7613 HCPCS Albuterol Non-comp Unit 1 1 — — $5.61 $5.61 $5.61 2026-03-24
J7512 HCPCS Prednisone Ir Or Dr Oral 1mg 6 6 — — $1.32 $5.78 $2.78 2026-03-24
S0119 HCPCS Ondansetron 4 Mg 2 2 — — $2.67 $2.69 $2.68 2026-03-24
11423 CPT Exc H-f-nk-sp B9+marg 2.1-3 0 0 — — — — — 2026-03-24
11422 CPT Exc H-f-nk-sp B9+marg 1.1-2 0 0 — — — — — 2026-03-24
11004 CPT Dbrdmt Skin Xtrnl Gent&per 0 0 — — — — — 2026-03-24
11421 CPT Exc H-f-nk-sp B9+marg 0.6-1 0 0 — — — — — 2026-03-24
11420 CPT Exc H-f-nk-sp B9+marg 0.5/< 0 0 — — — — — 2026-03-24
11001 CPT Debride Ea Additional 10% 0 0 — — — — — 2026-03-24
1012F CPT Angina Absent 0 0 — — — — — 2026-03-24
11406 CPT Exc Tr-ext B9+marg >4.0 Cm 0 0 — — — — — 2026-03-24
11404 CPT Exc Tr-ext B9+marg 3.1-4 Cm 0 0 — — — — — 2026-03-24
11000 CPT Debride Infected Skin 0 0 — — — — — 2026-03-24
11403 CPT Exc Tr-ext B9+marg 2.1-3cm/< 0 0 — — — — — 2026-03-24
11402 CPT Exc Tr-ext B9+marg 1.1-2 Cm 0 0 — — — — — 2026-03-24
1091F CPT Urine Incon Characterized 0 0 — — — — — 2026-03-24
10121 CPT F Fb Complicated Sub-q 0 0 — — — — — 2026-03-24
10036 CPT Plmt Sft Tiss Loclzj Dev Ea 0 0 — — — — — 2026-03-24
11401 CPT Exc Tr-ext B9+marg 0.6-1 Cm 0 0 — — — — — 2026-03-24
11400 CPT Exc Tr-ext B9+marg 0.5 Cm< 0 0 — — — — — 2026-03-24
1090F CPT Pres/absn Urine Incon Assess 0 0 — — — — — 2026-03-24
1137F CPT Epsd Bk Pain For >12 Wks 0 0 — — — — — 2026-03-24
1136F CPT Epsd Bk Pain For 12 Wks/< 0 0 — — — — — 2026-03-24
1071F CPT Alarm Symp Assessed-1+ Prsnt 0 0 — — — — — 2026-03-24
10120 CPT F Fb Simple Sub-q 0 0 — — — — — 2026-03-24
1135F CPT Epsd Bk Pain For >6 Wks 0 0 — — — — — 2026-03-24
1134F CPT Epsd Bk Pain For 6 Wks/< 0 0 — — — — — 2026-03-24
1070F CPT Alarm Symp Assessed-absent 0 0 — — — — — 2026-03-24
11313 CPT Shave Skin Lesion >2.0 Cm 0 0 — — — — — 2026-03-24
11312 CPT Shave Skin Lesion 1.1-2.0 0 0 — — — — — 2026-03-24
1066F CPT Ischm Stroke Sx Onset>=3hr 0 0 — — — — — 2026-03-24
1011F CPT Angina Present 0 0 — — — — — 2026-03-24
10035 CPT Plmt Sft Tiss Loclzj Dev 1st 0 0 — — — — — 2026-03-24
1000F CPT Tobacco Use Assessed 0 0 — — — — — 2026-03-24
11311 CPT Shave Skin Lesion 0.5-1.0 Cm 0 0 — — — — — 2026-03-24
11310 CPT F Shave Lesion Face 0 0 — — — — — 2026-03-24
1065F CPT Ischm Stroke Symp Lt3 Hrsb/4 0 0 — — — — — 2026-03-24
1130F CPT Bk Pain & Fxn Assessed 0 0 — — — — — 2026-03-24
11308 CPT Shave Skin Lesion >2.0 Cm 0 0 — — — — — 2026-03-24
1061F CPT Doc Lack Perm&cont&parox Fib 0 0 — — — — — 2026-03-24
1010F CPT Severity Angina By Actvty 0 0 — — — — — 2026-03-24
11307 CPT Shave Skin Lesion 1.1-2.0 0 0 — — — — — 2026-03-24
11306 CPT Shave Skin Lesion 0.6-1.0 Cm 0 0 — — — — — 2026-03-24
1060F CPT Doc Perm/cont/parox Atr Fib 0 0 — — — — — 2026-03-24
1200F CPT Seizure Type& Frequ Docd 0 0 — — — — — 2026-03-24
12007 CPT F Smpl Rpr S/n/ax/gn/trnk>30cm 0 0 — — — — — 2026-03-24
11305 CPT F Shave Skin Les Scalp,neck,ge 0 0 — — — — — 2026-03-24
12006 CPT F Simp Rep 20.1/30.0cm Scalp,n 0 0 — — — — — 2026-03-24
12005 CPT F Simp Rep 12.6/20.0cm Scalp,n 0 0 — — — — — 2026-03-24
12011 CPT F Simp Rep <2.5cm Face,ear,eye 0 0 — — — — — 2026-03-24
12013 CPT F Simp Rep 2.6/5.0cm Face,ears 0 0 — — — — — 2026-03-24
12014 CPT F Simp Rep 5.1/7.5cm Face, Ear 0 0 — — — — — 2026-03-24
12015 CPT F Simp Rep 7.6/12.5cm Face,ear 0 0 — — — — — 2026-03-24
12016 CPT F Simp Rep 12.6/20.0cm Face,ea 0 0 — — — — — 2026-03-24
12017 CPT F Simp Rep 20.1/30.0cm Face,ea 0 0 — — — — — 2026-03-24
12018 CPT F Simp Rep > 30.0 Cm Face, Ear 0 0 — — — — — 2026-03-24
12020 CPT Closure Of Split Wound 0 0 — — — — — 2026-03-24
12021 CPT Closure Of Split Wound 0 0 — — — — — 2026-03-24
12031 CPT F Inter Repair Less Than 2.5 C 0 0 — — — — — 2026-03-24
12032 CPT F Inter Repair 2.6-7.5 Cm 0 0 — — — — — 2026-03-24
12034 CPT F Inter Repair 7.6-12.5 Cm 0 0 — — — — — 2026-03-24
12035 CPT F Inter Repair 12.6-20.0 Cm 0 0 — — — — — 2026-03-24
12036 CPT F Inter Repair 20.1-30 Cm 0 0 — — — — — 2026-03-24
12037 CPT F Inter Repair Over 30 Cm 0 0 — — — — — 2026-03-24
12041 CPT F Inter Repair Less Than 2.5 C 0 0 — — — — — 2026-03-24
12042 CPT F Inter Repair 2.6-7.5 Cm 0 0 — — — — — 2026-03-24
12044 CPT F Inter Repair 7.6-12.5 Cm 0 0 — — — — — 2026-03-24
12045 CPT F Inter Repair 12.6-20.0 Cm 0 0 — — — — — 2026-03-24
12046 CPT F Inter Repair 20.1-30 Cm 0 0 — — — — — 2026-03-24
12047 CPT F Inter Repair Over 30 Cm 0 0 — — — — — 2026-03-24
12051 CPT F Inter Repair Less Than 2.5cm 0 0 — — — — — 2026-03-24
12052 CPT F Inter Repair 2.6-5.0 Cm 0 0 — — — — — 2026-03-24
12053 CPT F Inter Repair 5.1-7.5 Cm 0 0 — — — — — 2026-03-24
12054 CPT F Inter Repair 7.6-12.5 Cm 0 0 — — — — — 2026-03-24
12055 CPT F Inter Repair 12.6-20 Cm 0 0 — — — — — 2026-03-24
12056 CPT F Inter Repair 20.0-30 Cm 0 0 — — — — — 2026-03-24
12057 CPT F Inter Repair Over 30 Cm 0 0 — — — — — 2026-03-24
1205F CPT Epi Etiol Synd Rvwd And Docd 0 0 — — — — — 2026-03-24
1220F CPT Pt Screened For Depression 0 0 — — — — — 2026-03-24
13100 CPT Complex Repair 1.1-2.5 Cm 0 0 — — — — — 2026-03-24
13101 CPT Complex Repair 2.6-7.5 Cm 0 0 — — — — — 2026-03-24
13102 CPT Cmplx Rpr Trunk Addl 5cm/< 0 0 — — — — — 2026-03-24
13120 CPT Complex Repair 1.1- 2.5 Cm 0 0 — — — — — 2026-03-24
13121 CPT Complex Repair 2.6 - 7.5 Cm 0 0 — — — — — 2026-03-24
13122 CPT Complex Repair Ea Add 5 Cm 0 0 — — — — — 2026-03-24
13131 CPT Complex Repair 1.1 - 2.5 Cm 0 0 — — — — — 2026-03-24
13132 CPT Complex Repair 2.6 - 7.5 Cm 0 0 — — — — — 2026-03-24
13133 CPT Cmplx Rpr F/c/c/m/n/ax/g/h/f 0 0 — — — — — 2026-03-24
13151 CPT Complex Repair 1.1 - 2.5 Cm 0 0 — — — — — 2026-03-24
13152 CPT Complex Repair 2.6 - 7.5 Cm 0 0 — — — — — 2026-03-24
13153 CPT Cmplx Rpr E/n/e/l Addl 5cm/< 0 0 — — — — — 2026-03-24
13160 CPT F Secondary Closure 0 0 — — — — — 2026-03-24
14000 CPT Tis Trnfr Trunk 10 Sq Cm/< 0 0 — — — — — 2026-03-24
11303 CPT Shave Skin Lesion >2.0 Cm 0 0 — — — — — 2026-03-24
1055F CPT Visual Funct Status Assess 0 0 — — — — — 2026-03-24
1008F CPT Gi/renal Risk Assess 0 0 — — — — — 2026-03-24
10030 CPT Img Gid Flu Coll DRG Sft Tis 0 0 — — — — — 2026-03-24
12004 CPT F Simp Rep 7.6/12.5cm Scalp,ne 0 0 — — — — — 2026-03-24
12002 CPT F Simp Rep 2.6/7.5cm Scalp,nec 0 0 — — — — — 2026-03-24
11302 CPT Shave Skin Lesion 1.1-2.0 Cm 0 0 — — — — — 2026-03-24
12001 CPT F Simp Rep < 2.5cm Scalp,neck, 0 0 — — — — — 2026-03-24
11983 CPT Remvl W/reinsert Drug Implant 0 0 — — — — — 2026-03-24
11301 CPT Shave Skin Lesion 0.6-1.0 Cm 0 0 — — — — — 2026-03-24
1052F CPT Type Location Activityassess 0 0 — — — — — 2026-03-24
11982 CPT F Remove Drug Delivery Implant 0 0 — — — — — 2026-03-24
11981 CPT Insert Non Biodegrade Implant 0 0 — — — — — 2026-03-24
11300 CPT F Shave Skin Lesion,trunk/arm/ 0 0 — — — — — 2026-03-24
11980 CPT Implant Hormone Pellet (8) 0 0 — — — — — 2026-03-24
11976 CPT Rmvl Implntble Contracpt Capsl 0 0 — — — — — 2026-03-24
1128F CPT Subs Episode For Condition 0 0 — — — — — 2026-03-24
1050F CPT History Of Mole Changes 0 0 — — — — — 2026-03-24
10081 CPT Drainage Of Pilonidal Cyst 0 0 — — — — — 2026-03-24
11971 CPT Rmvl Tis Xpndr Wo Insj Implt 0 0 — — — — — 2026-03-24
11970 CPT Rplcmt Tiss Xpndr Perm Implt 0 0 — — — — — 2026-03-24
1127F CPT New Episode For Condition 0 0 — — — — — 2026-03-24
11960 CPT Insert Tissue Expander(s) 0 0 — — — — — 2026-03-24
11954 CPT Tx Contour Defects >10.0 Cc 0 0 — — — — — 2026-03-24
1126F CPT Amnt Pain Noted None Prsnt 0 0 — — — — — 2026-03-24
1040F CPT Dsm-5 Info Mdd Docd 0 0 — — — — — 2026-03-24
11952 CPT Tx Contour Defects 5.1-10cc 0 0 — — — — — 2026-03-24
11951 CPT Tx Contour Defects 1.1-5.0cc 0 0 — — — — — 2026-03-24
1125F CPT Amnt Pain Noted Pain Prsnt 0 0 — — — — — 2026-03-24
11950 CPT Tx Contour Defects 1 Cc/< 0 0 — — — — — 2026-03-24
11922 CPT Correct Skin Color Ea 20.0cm 0 0 — — — — — 2026-03-24
1124F CPT Acp Discuss-no Dscnmkr Docd 0 0 — — — — — 2026-03-24
1039F CPT Intermittent Asthma 0 0 — — — — — 2026-03-24
10080 CPT Drainage Of Pilonidal Cyst 0 0 — — — — — 2026-03-24
1002F CPT Assess Anginal Symptom/level 0 0 — — — — — 2026-03-24
10009 CPT Fna Bx W/ct Gdn 1st Les 0 0 — — — — — 2026-03-24
10006 CPT Fna Bx W/us Gdn Ea Addl 0 0 — — — — — 2026-03-24
11921 CPT Correct Skn Color 6.1-20.0cm 0 0 — — — — — 2026-03-24
11920 CPT Correct Skin Color 6.0 Cm/< 0 0 — — — — — 2026-03-24
1123F CPT Acp Discuss/dscn Mkr Docd 0 0 — — — — — 2026-03-24
11901 CPT Inject Skin Lesions >7 0 0 — — — — — 2026-03-24
11900 CPT Inj Intralesional, Up To 7 Les 0 0 — — — — — 2026-03-24
1121F CPT Subs Eval For Condition 0 0 — — — — — 2026-03-24
1038F CPT Persistent Asthma 0 0 — — — — — 2026-03-24
1183F CPT Neuropsychiatric Symp Absent 0 0 — — — — — 2026-03-24
1182F CPT Neuropsychi Sympt 1+present 0 0 — — — — — 2026-03-24
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