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

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
$1,122
outlier · 5.3×
70549
CPT 		Mr Angiograph Neck W/O&with Contrast 1 $5,303.45 $5,303.45 $5,303.45 nat. median
$1,042
outlier · 5.1×
74176
CPT 		CT Abd & Pelvis Without Contrast 9 $175.81 $5,837.40 $5,240.97 nat. median
$691
outlier · 7.6×
73718
CPT 		MRI Lower Extremity Without Contrast 1 $3,967.04 $3,967.04 $3,967.04 nat. median
$866
outlier · 4.6×
72146
CPT 		MRI Chest Spine Without Contrast 2 $3,838.46 $3,941.28 $3,889.87 nat. median
$794
outlier · 4.9×
74183
CPT 		MRI Abdomen Without & With Contrast 2 $111.65 $7,219.24 $3,665.45 nat. median
$1,096
outlier · 3.3×
73721
CPT 		MRI Jnt Of Lwr Extre Without Contrast 5 $1,906.69 $3,614.68 $3,520.38 nat. median
$854
outlier · 4.1×
74177
CPT 		CT Abd & Pelv W/contrast 8 $171.00 $7,740.59 $3,062.86 nat. median
$970
outlier · 3.2×
73720
CPT 		MRI Lwr Extremity W/O&with Contrast 1 $2,966.82 $2,966.82 $2,966.82 nat. median
$1,123
outlier · 2.6×
72148
CPT 		MRI Lumbar Spine Without Contrast 6 $2,215.15 $4,075.60 $2,964.30 nat. median
$803
outlier · 3.7×
72141
CPT 		MRI Neck Spine Without Contrast 4 $1,898.30 $3,926.56 $2,942.93 nat. median
$778
outlier · 3.8×
70488
CPT 		CT Maxillofacial Without & With Contrast 1 $2,738.18 $2,738.18 $2,738.18 nat. median
$635
outlier · 4.3×
J2357
HCPCS 		Omalizumab Injection 1 $2,554.68 $2,554.68 $2,554.68 nat. median
$1,246
outlier · 2.0×
70470
CPT 		CT Head/brain Without & With Contrast 2 $1,858.37 $3,030.04 $2,444.20 nat. median
$618
outlier · 4.0×
70460
CPT 		CT Head/brain With Contrast 2 $2,225.24 $2,647.12 $2,436.18 nat. median
$569
outlier · 4.3×
70551
CPT 		MRI Brain Stem Without Contrast 7 $251.03 $4,260.48 $2,105.08 nat. median
$779
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
$735
outlier · 2.6×
74181
CPT 		MRI Abdomen Without Contrast 3 $1,882.90 $3,141.38 $1,906.69 nat. median
$816
outlier · 2.3×
70496
CPT 		CT Angiography Head 7 $167.25 $15,149.67 $1,882.23 nat. median
$741
outlier · 2.5×
71275
CPT 		CT Angiography Chest 5 $171.00 $4,299.90 $1,882.23 nat. median
$753
outlier · 2.5×
74178
CPT 		CT Abd & Pelv 1/> Regns 3 $167.25 $6,483.46 $1,858.37 nat. median
$1,023
1.8× median
71260
CPT 		CT Thorax Dx C+ 5 $175.81 $3,410.40 $1,680.84 nat. median
$647
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
$471
outlier · 3.0×
74174
CPT 		CT Angio Abd&pelv W/O&with Contrast 2 $167.25 $2,378.88 $1,273.07 nat. median
$980
1.3× median
93306
CPT 		Tte W/doppler Complete 2 $906.21 $1,523.97 $1,215.09 nat. median
$988
1.2× median
70486
CPT 		CT Maxillofacial Without Contrast 4 $167.25 $2,281.22 $1,146.36 nat. median
$473
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
$446
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
$258
outlier · 3.2×
76856
CPT 		US Exam Pelvic Complete 4 $535.32 $876.29 $812.76 nat. median
$267
outlier · 3.0×
70491
CPT 		CT Soft Tissue Neck With Contrast 2 $65.35 $1,486.72 $776.04 nat. median
$626
1.2× median
76817
CPT 		Transvaginal US Obstetric 1 $727.72 $727.72 $727.72 nat. median
$219
outlier · 3.3×
76700
CPT 		US Exam Abdom Complete 2 $535.32 $917.24 $726.28 nat. median
$307
outlier · 2.4×
76705
CPT 		Echo Exam Of Abdomen 5 $124.30 $760.84 $717.79 nat. median
$275
outlier · 2.6×
93971
CPT 		Extremity Study 2 $215.00 $1,051.01 $633.00 nat. median
$346
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
$134
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 · 2.6×
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
$297
1.7× median
76882
CPT 		US Lmtd Jt/fcl Evl Nvasc Xtr 2 $437.00 $574.90 $505.95 nat. median
$204
outlier · 2.5×
73600
CPT 		X-ray Exam Of Ankle 2 $250.42 $758.50 $504.46 nat. median
$146
outlier · 3.5×
76536
CPT 		US Exam Of Head And Neck 6 $456.34 $846.40 $503.95 nat. median
$260
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
$132
outlier · 3.6×
74019
CPT 		X-ray Exam Abdomen 2 Views 2 $307.97 $636.40 $472.19 nat. median
$167
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
             
S0119 HCPCS Ondansetron 4 Mg 2 2 — — $2.67 $2.69 $2.68 2026-03-24
M0201 HCPCS Pne Flu Hepb Cov Home Admin 1 1 — — $43.22 $43.22 $43.22 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
J3489 HCPCS Zoledronic Acid 1mg 1 1 — — $473.61 $473.61 $473.61 2026-03-24
J3480 HCPCS Inj Potassium Chloride 3 3 — — $17.05 $69.44 $34.94 2026-03-24
J3475 HCPCS Inj Magnesium Sulfate 3 3 — — $34.94 $71.30 $35.25 2026-03-24
J3430 HCPCS Vitamin K Phytonadione Inj 1 1 — — $70.29 $70.29 $70.29 2026-03-24
J3411 HCPCS Thiamine Hcl 100 Mg 1 1 — — $44.80 $44.80 $44.80 2026-03-24
J3010 HCPCS Fentanyl Citrate Injection 3 3 — — $6.73 $7.06 $6.76 2026-03-24
J2919 HCPCS Inj, Methylpred Sod Succ 5mg 4 4 — — $17.18 $35.05 $18.21 2026-03-24
J2765 HCPCS Metoclopramide Hcl Injection 1 1 — — $6.75 $6.75 $6.75 2026-03-24
J2543 HCPCS Piperacillin/tazobactam 1 1 — — $44.80 $44.80 $44.80 2026-03-24
J2405 HCPCS Ondansetron Hcl Injection 8 8 — — $3.30 $13.44 $6.83 2026-03-24
J2357 HCPCS Omalizumab Injection 1 1 — — $2,554.68 $2,554.68 $2,554.68 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
J2272 HCPCS Inj, Morphine (fresenius) 4 4 — — $6.76 $39.31 $7.23 2026-03-24
J2060 HCPCS Lorazepam Injection 7 7 — — $4.11 $16.72 $8.40 2026-03-24
J1953 HCPCS Levetiracetam Injection 1 1 — — $22.54 $22.54 $22.54 2026-03-24
J1938 HCPCS Injection, Furosemide, 1 Mg 2 2 — — $6.76 $6.82 $6.79 2026-03-24
J1836 HCPCS Inj, Metronidazole, 10 Mg 2 2 — — $32.52 $69.44 $50.98 2026-03-24
J1817 HCPCS Insulin For Insulin Pump Use 1 1 — — $29.99 $29.99 $29.99 2026-03-24
J1815 HCPCS Insulin Injection 2 2 — — $21.55 $43.98 $32.77 2026-03-24
J1756 HCPCS Iron Sucrose Injection 2 2 — — $104.97 $186.90 $145.94 2026-03-24
J1644 HCPCS Inj Heparin Sodium Per 1000u 3 3 — — $11.57 $34.94 $20.59 2026-03-24
J1171 HCPCS Injection, Hydromorphone, 0.1 Mg 7 7 — — $0.50 $11.01 $9.63 2026-03-24
J1071 HCPCS Inj Testosterone Cypionate 1 1 — — $251.82 $251.82 $251.82 2026-03-24
J0780 HCPCS Prochlorperazine Injection 4 4 — — $8.87 $36.11 $18.35 2026-03-24
J0744 HCPCS Ciprofloxacin IV 1 1 — — $34.94 $34.94 $34.94 2026-03-24
J0692 HCPCS Cefepime Hcl For Injection 1 1 — — $22.45 $22.45 $22.45 2026-03-24
J0690 HCPCS Cefazolin Sodium Injection 2 2 — — $22.24 $22.54 $22.39 2026-03-24
J0456 HCPCS Azithromycin 1 1 — — $22.54 $22.54 $22.54 2026-03-24
J0282 HCPCS Amiodarone Hcl 1 1 — — $17.61 $17.61 $17.61 2026-03-24
J0165 HCPCS Injection, Epinephrine, Not Otherwise Specified, 0.1 Mg 1 1 — — $154.08 $154.08 $154.08 2026-03-24
J0131 HCPCS Inj, Acetaminophen (nos) 1 1 — — $63.96 $63.96 $63.96 2026-03-24
G0480 HCPCS Drug Test Def 1-7 Classes 5 5 — — $99.63 $221.48 $101.46 2026-03-24
G0328 HCPCS Fecal Blood Scrn Immunoassay 1 1 — — $41.85 $41.85 $41.85 2026-03-24
A9270 HCPCS Non-covered Item Or Service 1 1 — — $20.29 $20.29 $20.29 2026-03-24
97530 CPT Therapeutic Activities 12 12 — — $95.78 $377.20 $187.53 2026-03-24
97167 CPT Ot Eval High Complex 60 Min 4 4 — — $218.61 $440.96 $238.50 2026-03-24
97166 CPT Ot Eval Mod Complex 45 Min 6 6 — — $208.27 $440.96 $399.52 2026-03-24
97165 CPT Ot Eval Low Complex 30 Min 5 5 — — $167.37 $356.04 $303.97 2026-03-24
97164 CPT Pt Re-eval Est Plan Care 3 3 — — $82.32 $91.02 $87.86 2026-03-24
97163 CPT Pt Eval High Complex 45 Min 4 4 — — $205.49 $210.78 $209.19 2026-03-24
97162 CPT Pt Eval Mod Complex 30 Min 12 12 — — $179.69 $425.00 $192.91 2026-03-24
97161 CPT Pt Eval Low Complex 20 Min 12 12 — — $149.22 $454.97 $166.18 2026-03-24
97140 CPT Manual Therapy 1/> Regions 12 12 — — $91.08 $336.90 $186.90 2026-03-24
97130 CPT Ther Ivntj Ea Addl 15 Min 1 1 — — $114.98 $114.98 $114.98 2026-03-24
97129 CPT Ther Ivntj 1st 15 Min 1 1 — — $39.31 $39.31 $39.31 2026-03-24
97116 CPT Gait Training Therapy 9 9 — — $73.68 $290.90 $81.79 2026-03-24
97113 CPT Aquatic Therapy/exercises 10 10 — — $204.43 $645.52 $292.50 2026-03-24
97112 CPT Neuromuscular Reeducation 10 10 — — $94.73 $391.92 $191.05 2026-03-24
97110 CPT Therapeutic Exercises 12 12 — — $72.42 $416.64 $154.28 2026-03-24
97039 CPT Unlisted Modality 1 1 — — $22.44 $22.44 $22.44 2026-03-24
97035 CPT App Mdlty 1+ultrasound Ea 15 6 6 — — $58.37 $128.80 $82.10 2026-03-24
97033 CPT App Mdlty 1+iontphrsis Ea 15 1 1 — — $72.58 $72.58 $72.58 2026-03-24
97032 CPT Appl Modality 1+estim Ea 15 4 4 — — $54.15 $66.30 $64.42 2026-03-24
97026 CPT Infrared Therapy 1 1 — — $16.68 $16.68 $16.68 2026-03-24
97024 CPT Diathermy Eg Microwave 8 8 — — $17.87 $38.64 $21.26 2026-03-24
97014 CPT Electric Stimulation Therapy 9 9 — — $27.72 $122.36 $104.08 2026-03-24
93971 CPT Extremity Study 2 2 — — $215.00 $1,051.01 $633.00 2026-03-24
93925 CPT Lower Extremity Study 2 2 — — $123.79 $788.84 $456.32 2026-03-24
93880 CPT Extracranial Bilat Study 1 1 — — $123.79 $123.79 $123.79 2026-03-24
93306 CPT Tte W/doppler Complete 2 2 — — $906.21 $1,523.97 $1,215.09 2026-03-24
92612 CPT Endoscopy Swallow (fees) Vid 2 2 — — $70.63 $309.72 $190.18 2026-03-24
92610 CPT Evaluate Swallowing Function 3 3 — — $122.00 $289.02 $255.14 2026-03-24
92526 CPT Oral Function Therapy 4 4 — — $122.00 $443.52 $217.26 2026-03-24
92523 CPT Speech Sound Lang Comprehen 1 1 — — $250.14 $250.14 $250.14 2026-03-24
92522 CPT Evaluate Speech Production 1 1 — — $122.00 $122.00 $122.00 2026-03-24
92507 CPT Speech/hearing Therapy 7 7 — — $122.00 $542.80 $285.20 2026-03-24
87563 CPT M. Genitalium Amp Probe 1 1 — — $50.18 $50.18 $50.18 2026-03-24
87427 CPT Shiga-like Toxin Ag Ia 1 1 — — $12.23 $12.23 $12.23 2026-03-24
82653 CPT El-1 Fecal Quantitative 1 1 — — $184.97 $184.97 $184.97 2026-03-24
82166 CPT Assay Anti-mullerian Horm 1 1 — — $23.92 $23.92 $23.92 2026-03-24
76882 CPT US Lmtd Jt/fcl Evl Nvasc Xtr 2 2 — — $437.00 $574.90 $505.95 2026-03-24
76870 CPT US Exam Scrotum 2 2 — — $127.22 $568.06 $347.64 2026-03-24
76857 CPT US Exam Pelvic Limited 2 2 — — $118.05 $390.08 $254.06 2026-03-24
76856 CPT US Exam Pelvic Complete 4 4 — — $535.32 $876.29 $812.76 2026-03-24
76830 CPT Transvaginal US Non-OB 4 4 — — $535.32 $936.56 $876.50 2026-03-24
76817 CPT Transvaginal US Obstetric 1 1 — — $727.72 $727.72 $727.72 2026-03-24
76815 CPT OB US Limited Fetus(s) 1 1 — — $528.08 $528.08 $528.08 2026-03-24
76811 CPT OB US Detailed Sngl Fetus 2 2 — — $1,062.24 $1,126.08 $1,094.16 2026-03-24
76805 CPT OB US >= 14 Wks Sngl Fetus 1 1 — — $821.56 $821.56 $821.56 2026-03-24
76770 CPT US Exam Abdo Back Wall Comp 6 6 — — $121.48 $772.31 $518.94 2026-03-24
76706 CPT US Abdl Aorta Screen Aaa 1 1 — — $121.49 $121.49 $121.49 2026-03-24
76705 CPT Echo Exam Of Abdomen 5 5 — — $124.30 $760.84 $717.79 2026-03-24
76700 CPT US Exam Abdom Complete 2 2 — — $535.32 $917.24 $726.28 2026-03-24
76536 CPT US Exam Of Head And Neck 6 6 — — $456.34 $846.40 $503.95 2026-03-24
74183 CPT MRI Abdomen Without & With Contrast 2 2 — — $111.65 $7,219.24 $3,665.45 2026-03-24
74181 CPT MRI Abdomen Without Contrast 3 3 — — $1,882.90 $3,141.38 $1,906.69 2026-03-24
74178 CPT CT Abd & Pelv 1/> Regns 3 3 — — $167.25 $6,483.46 $1,858.37 2026-03-24
74177 CPT CT Abd & Pelv W/contrast 8 8 — — $171.00 $7,740.59 $3,062.86 2026-03-24
74176 CPT CT Abd & Pelvis Without Contrast 9 9 — — $175.81 $5,837.40 $5,240.97 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
74170 CPT CT Abdomen Without & With Contrast 1 1 — — $167.93 $167.93 $167.93 2026-03-24
74022 CPT X-ray Exam Complete Abdomen 1 1 — — $421.78 $421.78 $421.78 2026-03-24
74019 CPT X-ray Exam Abdomen 2 Views 2 2 — — $307.97 $636.40 $472.19 2026-03-24
74018 CPT X-ray Exam Abdomen 1 View 1 1 — — $550.16 $550.16 $550.16 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
73720 CPT MRI Lwr Extremity W/O&with Contrast 1 1 — — $2,966.82 $2,966.82 $2,966.82 2026-03-24
73718 CPT MRI Lower Extremity Without Contrast 1 1 — — $3,967.04 $3,967.04 $3,967.04 2026-03-24
73660 CPT X-ray Exam Of Toe(s) 3 3 — — $36.21 $250.42 $197.65 2026-03-24
73630 CPT X-ray Exam Of Foot 9 9 — — $41.27 $544.64 $274.30 2026-03-24
73620 CPT X-ray Exam Of Foot 5 5 — — $201.93 $438.84 $247.30 2026-03-24
73610 CPT X-ray Exam Of Ankle 4 4 — — $176.00 $582.36 $416.39 2026-03-24
73600 CPT X-ray Exam Of Ankle 2 2 — — $250.42 $758.50 $504.46 2026-03-24
73590 CPT X-ray Exam Of Lower Leg 2 2 — — $36.06 $232.17 $134.12 2026-03-24
73565 CPT X-ray Exam Of Knees 2 2 — — $250.42 $432.40 $341.41 2026-03-24
73564 CPT X-ray Exam Knee 4 Or More 6 6 — — $11.88 $607.20 $287.75 2026-03-24
73562 CPT X-ray Exam Of Knee 3 8 8 — — $250.42 $593.40 $281.85 2026-03-24
73560 CPT X-ray Exam Of Knee 1 Or 2 1 1 — — $41.10 $41.10 $41.10 2026-03-24
73522 CPT X-ray Exam Hips Bi 3-4 Views 1 1 — — $326.68 $326.68 $326.68 2026-03-24
73502 CPT X-ray Exam Hip Uni 2-3 Views 7 7 — — $11.51 $563.96 $272.64 2026-03-24
73501 CPT X-ray Exam Hip Uni 1 View 1 1 — — $42.78 $42.78 $42.78 2026-03-24
73221 CPT MRI Joint Upr Extrem Without Contrast 3 3 — — $68.68 $2,203.11 $2,043.72 2026-03-24
73201 CPT CT Upper Extremity With Contrast 1 1 — — $175.81 $175.81 $175.81 2026-03-24
73140 CPT X-ray Exam Of Finger(s) 3 3 — — $189.48 $362.88 $198.75 2026-03-24
73130 CPT X-ray Exam Of Hand 9 9 — — $42.78 $582.36 $270.26 2026-03-24
73120 CPT X-ray Exam Of Hand 1 1 — — $37.18 $37.18 $37.18 2026-03-24
73110 CPT X-ray Exam Of Wrist 3 3 — — $250.42 $273.79 $272.49 2026-03-24
73100 CPT X-ray Exam Of Wrist 1 1 — — $250.42 $250.42 $250.42 2026-03-24
73090 CPT X-ray Exam Of Forearm 3 3 — — $8.25 $250.42 $225.95 2026-03-24
73080 CPT X-ray Exam Of Elbow 1 1 — — $40.10 $40.10 $40.10 2026-03-24
73060 CPT X-ray Exam Of Humerus 2 2 — — $495.60 $559.58 $527.59 2026-03-24
73030 CPT X-ray Exam Of Shoulder 9 9 — — $9.71 $542.80 $264.87 2026-03-24
72220 CPT X-ray Exam Sacrum Tailbone 1 1 — — $450.87 $450.87 $450.87 2026-03-24
72200 CPT X-ray Exam Si Joints 2 2 — — $250.42 $273.41 $261.92 2026-03-24
72190 CPT X-ray Exam Of Pelvis 1 1 — — $565.22 $565.22 $565.22 2026-03-24
72170 CPT X-ray Exam Of Pelvis 1 1 — — $250.42 $250.42 $250.42 2026-03-24
72148 CPT MRI Lumbar Spine Without Contrast 6 6 — — $2,215.15 $4,075.60 $2,964.30 2026-03-24
72146 CPT MRI Chest Spine Without Contrast 2 2 — — $3,838.46 $3,941.28 $3,889.87 2026-03-24
72141 CPT MRI Neck Spine Without Contrast 4 4 — — $1,898.30 $3,926.56 $2,942.93 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
72110 CPT X-ray Exam L-2 Spine 4/>vws 6 6 — — $40.10 $679.88 $482.08 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
72070 CPT X-ray Exam Thorac Spine 2vws 4 4 — — $42.78 $592.48 $421.45 2026-03-24
72052 CPT X-ray Exam Neck Spine 6/>vws 2 2 — — $421.78 $638.60 $530.19 2026-03-24
72050 CPT X-ray Exam Neck Spine 4/5vws 2 2 — — $37.04 $640.32 $338.68 2026-03-24
72040 CPT X-ray Exam Neck Spine 2-3 Vw 4 4 — — $11.51 $701.96 $369.99 2026-03-24
71275 CPT CT Angiography Chest 5 5 — — $171.00 $4,299.90 $1,882.23 2026-03-24
71271 CPT CT Thorax Lung Cancer Scr C- 1 1 — — $185.95 $185.95 $185.95 2026-03-24
71260 CPT CT Thorax Dx C+ 5 5 — — $175.81 $3,410.40 $1,680.84 2026-03-24
71250 CPT CT Thorax Dx C- 6 6 — — $54.64 $2,554.50 $252.79 2026-03-24
71110 CPT X-ray Exam Ribs Bil 3 Views 1 1 — — $148.11 $148.11 $148.11 2026-03-24
71101 CPT X-ray Exam Unilat Ribs/chest 4 4 — — $38.02 $280.21 $239.79 2026-03-24
71046 CPT X-ray Exam Chest 2 Views 10 10 — — $41.27 $432.40 $227.84 2026-03-24
71045 CPT X-ray Exam Chest 1 View 11 11 — — $37.87 $360.64 $187.38 2026-03-24
70553 CPT MRI Brain Stem Without & With Contrast 5 5 — — $2,966.82 $6,428.96 $5,962.88 2026-03-24
70551 CPT MRI Brain Stem Without Contrast 7 7 — — $251.03 $4,260.48 $2,105.08 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
70498 CPT CT Angiography Neck 6 6 — — $167.25 $3,870.72 $1,941.65 2026-03-24
70496 CPT CT Angiography Head 7 7 — — $167.25 $15,149.67 $1,882.23 2026-03-24
70491 CPT CT Soft Tissue Neck With Contrast 2 2 — — $65.35 $1,486.72 $776.04 2026-03-24
70488 CPT CT Maxillofacial Without & With Contrast 1 1 — — $2,738.18 $2,738.18 $2,738.18 2026-03-24
70486 CPT CT Maxillofacial Without Contrast 4 4 — — $167.25 $2,281.22 $1,146.36 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
70450 CPT CT Head/brain Without Contrast 12 12 — — $43.13 $2,043.78 $1,040.30 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
70210 CPT X-ray Exam Of Sinuses 2 2 — — $176.00 $250.42 $213.21 2026-03-24
402 OTHER Anesth Surgery Of Breast 1 1 — — $415.84 $415.84 $415.84 2026-03-24
300 OTHER Anesth Head/neck/ptrunk 1 1 — — $93.84 $93.84 $93.84 2026-03-24
14000 CPT Tis Trnfr Trunk 10 Sq Cm/< 0 0 — — — — — 2026-03-24
13160 CPT F Secondary Closure 0 0 — — — — — 2026-03-24
13153 CPT Cmplx Rpr E/n/e/l Addl 5cm/< 0 0 — — — — — 2026-03-24
13152 CPT Complex Repair 2.6 - 7.5 Cm 0 0 — — — — — 2026-03-24
13151 CPT Complex Repair 1.1 - 2.5 Cm 0 0 — — — — — 2026-03-24
13133 CPT Cmplx Rpr F/c/c/m/n/ax/g/h/f 0 0 — — — — — 2026-03-24
13132 CPT Complex Repair 2.6 - 7.5 Cm 0 0 — — — — — 2026-03-24
13131 CPT Complex Repair 1.1 - 2.5 Cm 0 0 — — — — — 2026-03-24
13122 CPT Complex Repair Ea Add 5 Cm 0 0 — — — — — 2026-03-24
13121 CPT Complex Repair 2.6 - 7.5 Cm 0 0 — — — — — 2026-03-24
13120 CPT Complex Repair 1.1- 2.5 Cm 0 0 — — — — — 2026-03-24
13102 CPT Cmplx Rpr Trunk Addl 5cm/< 0 0 — — — — — 2026-03-24
13101 CPT Complex Repair 2.6-7.5 Cm 0 0 — — — — — 2026-03-24
13100 CPT Complex Repair 1.1-2.5 Cm 0 0 — — — — — 2026-03-24
1220F CPT Pt Screened For Depression 0 0 — — — — — 2026-03-24
1205F CPT Epi Etiol Synd Rvwd And Docd 0 0 — — — — — 2026-03-24
12057 CPT F Inter Repair Over 30 Cm 0 0 — — — — — 2026-03-24
12056 CPT F Inter Repair 20.0-30 Cm 0 0 — — — — — 2026-03-24
12055 CPT F Inter Repair 12.6-20 Cm 0 0 — — — — — 2026-03-24
12054 CPT F Inter Repair 7.6-12.5 Cm 0 0 — — — — — 2026-03-24
12053 CPT F Inter Repair 5.1-7.5 Cm 0 0 — — — — — 2026-03-24
12052 CPT F Inter Repair 2.6-5.0 Cm 0 0 — — — — — 2026-03-24
12051 CPT F Inter Repair Less Than 2.5cm 0 0 — — — — — 2026-03-24
12047 CPT F Inter Repair Over 30 Cm 0 0 — — — — — 2026-03-24
12046 CPT F Inter Repair 20.1-30 Cm 0 0 — — — — — 2026-03-24
12045 CPT F Inter Repair 12.6-20.0 Cm 0 0 — — — — — 2026-03-24
12044 CPT F Inter Repair 7.6-12.5 Cm 0 0 — — — — — 2026-03-24
12042 CPT F Inter Repair 2.6-7.5 Cm 0 0 — — — — — 2026-03-24
12041 CPT F Inter Repair Less Than 2.5 C 0 0 — — — — — 2026-03-24
12037 CPT F Inter Repair Over 30 Cm 0 0 — — — — — 2026-03-24
12036 CPT F Inter Repair 20.1-30 Cm 0 0 — — — — — 2026-03-24
12035 CPT F Inter Repair 12.6-20.0 Cm 0 0 — — — — — 2026-03-24
12034 CPT F Inter Repair 7.6-12.5 Cm 0 0 — — — — — 2026-03-24
12032 CPT F Inter Repair 2.6-7.5 Cm 0 0 — — — — — 2026-03-24
12031 CPT F Inter Repair Less Than 2.5 C 0 0 — — — — — 2026-03-24
12021 CPT Closure Of Split Wound 0 0 — — — — — 2026-03-24
12020 CPT Closure Of Split Wound 0 0 — — — — — 2026-03-24
12018 CPT F Simp Rep > 30.0 Cm Face, Ear 0 0 — — — — — 2026-03-24
12017 CPT F Simp Rep 20.1/30.0cm Face,ea 0 0 — — — — — 2026-03-24
12016 CPT F Simp Rep 12.6/20.0cm Face,ea 0 0 — — — — — 2026-03-24
12015 CPT F Simp Rep 7.6/12.5cm Face,ear 0 0 — — — — — 2026-03-24
12014 CPT F Simp Rep 5.1/7.5cm Face, Ear 0 0 — — — — — 2026-03-24
12013 CPT F Simp Rep 2.6/5.0cm Face,ears 0 0 — — — — — 2026-03-24
12011 CPT F Simp Rep <2.5cm Face,ear,eye 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
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
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
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
11982 CPT F Remove Drug Delivery Implant 0 0 — — — — — 2026-03-24
11981 CPT Insert Non Biodegrade Implant 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
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
11960 CPT Insert Tissue Expander(s) 0 0 — — — — — 2026-03-24
11954 CPT Tx Contour Defects >10.0 Cc 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
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
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
11901 CPT Inject Skin Lesions >7 0 0 — — — — — 2026-03-24
11900 CPT Inj Intralesional, Up To 7 Les 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
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
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
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
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
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
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
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
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
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
1130F CPT Bk Pain & Fxn Assessed 0 0 — — — — — 2026-03-24
11308 CPT Shave Skin Lesion >2.0 Cm 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
11305 CPT F Shave Skin Les Scalp,neck,ge 0 0 — — — — — 2026-03-24
11303 CPT Shave Skin Lesion >2.0 Cm 0 0 — — — — — 2026-03-24
11302 CPT Shave Skin Lesion 1.1-2.0 Cm 0 0 — — — — — 2026-03-24
11301 CPT Shave Skin Lesion 0.6-1.0 Cm 0 0 — — — — — 2026-03-24
11300 CPT F Shave Skin Lesion,trunk/arm/ 0 0 — — — — — 2026-03-24
1128F CPT Subs Episode For Condition 0 0 — — — — — 2026-03-24
1127F CPT New Episode For Condition 0 0 — — — — — 2026-03-24
1126F CPT Amnt Pain Noted None Prsnt 0 0 — — — — — 2026-03-24
1125F CPT Amnt Pain Noted Pain Prsnt 0 0 — — — — — 2026-03-24
1124F CPT Acp Discuss-no Dscnmkr Docd 0 0 — — — — — 2026-03-24
1123F CPT Acp Discuss/dscn Mkr Docd 0 0 — — — — — 2026-03-24
1121F CPT Subs Eval For Condition 0 0 — — — — — 2026-03-24
11004 CPT Dbrdmt Skin Xtrnl Gent&per 0 0 — — — — — 2026-03-24
11001 CPT Debride Ea Additional 10% 0 0 — — — — — 2026-03-24
11000 CPT Debride Infected Skin 0 0 — — — — — 2026-03-24
1091F CPT Urine Incon Characterized 0 0 — — — — — 2026-03-24
1090F CPT Pres/absn Urine Incon Assess 0 0 — — — — — 2026-03-24
1071F CPT Alarm Symp Assessed-1+ Prsnt 0 0 — — — — — 2026-03-24
1070F CPT Alarm Symp Assessed-absent 0 0 — — — — — 2026-03-24
1066F CPT Ischm Stroke Sx Onset>=3hr 0 0 — — — — — 2026-03-24
1065F CPT Ischm Stroke Symp Lt3 Hrsb/4 0 0 — — — — — 2026-03-24
1061F CPT Doc Lack Perm&cont&parox Fib 0 0 — — — — — 2026-03-24
1060F CPT Doc Perm/cont/parox Atr Fib 0 0 — — — — — 2026-03-24
1055F CPT Visual Funct Status Assess 0 0 — — — — — 2026-03-24
1052F CPT Type Location Activityassess 0 0 — — — — — 2026-03-24
1050F CPT History Of Mole Changes 0 0 — — — — — 2026-03-24
1040F CPT Dsm-5 Info Mdd Docd 0 0 — — — — — 2026-03-24
1039F CPT Intermittent Asthma 0 0 — — — — — 2026-03-24
1038F CPT Persistent Asthma 0 0 — — — — — 2026-03-24
1012F CPT Angina Absent 0 0 — — — — — 2026-03-24
10121 CPT F Fb Complicated Sub-q 0 0 — — — — — 2026-03-24
10120 CPT F Fb Simple Sub-q 0 0 — — — — — 2026-03-24
1011F CPT Angina Present 0 0 — — — — — 2026-03-24
1010F CPT Severity Angina By Actvty 0 0 — — — — — 2026-03-24
1008F CPT Gi/renal Risk Assess 0 0 — — — — — 2026-03-24
10081 CPT Drainage Of Pilonidal Cyst 0 0 — — — — — 2026-03-24
10080 CPT Drainage Of Pilonidal Cyst 0 0 — — — — — 2026-03-24
10036 CPT Plmt Sft Tiss Loclzj Dev Ea 0 0 — — — — — 2026-03-24
10035 CPT Plmt Sft Tiss Loclzj Dev 1st 0 0 — — — — — 2026-03-24
10030 CPT Img Gid Flu Coll DRG Sft Tis 0 0 — — — — — 2026-03-24
1002F CPT Assess Anginal Symptom/level 0 0 — — — — — 2026-03-24
1000F CPT Tobacco Use Assessed 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
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