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

SPOONER HEALTH SYSTEM

Spooner, WI · CCN 521332 · Rates published

659 distinct procedures filed
33 distinct payers
8,946 rate rows
2026-07-20 last MRF observed
Data quality

8,720 of 8,946 rate rows are consumer-grade (97.5%)

226 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
professional (physician) fee — not the facility price 218
exceeds 10× this hospital's gross charge — excluded from medians 6
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://machine-readable-files.com/spooner-health/390892183_spooner-health_standardcharges.csv
Found on page https://spoonerhealth.com/patients-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-10

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
78815
CPT 		Pet/ct Skull-mid Thigh Tc 3 $3,690.50 $7,208.00 $7,148.64 nat. median
$2,820
outlier · 2.5×
70553
CPT 		MRI Brain W & Wo Contrast 8 $1,037.41 $5,620.20 $4,987.19 nat. median
$1,133
outlier · 4.4×
72156
CPT 		MRI C Spine W&wo Contrast 3 $2,278.18 $4,525.40 $4,402.77 nat. median
$1,103
outlier · 4.0×
72197
CPT 		Mri, Pelvis, Without Then With 2 $4,253.88 $4,488.13 $4,371.01 nat. median
$1,063
outlier · 4.1×
74177
CPT 		CT Abdomen&pelvis W/contrast 23 $825.32 $5,108.00 $4,081.29 nat. median
$974
outlier · 4.2×
74170
CPT 		CT Abdomen Without & With Contrast 1 $3,745.85 $3,745.85 $3,745.85 nat. median
$710
outlier · 5.3×
70552
CPT 		MRI Brain W Contrast Tc 1 $3,681.38 $3,681.38 $3,681.38 nat. median
$962
outlier · 3.8×
74176
CPT 		CT Abd & Pelvis Without Contrast 20 $825.32 $4,120.15 $3,465.27 nat. median
$694
outlier · 5.0×
73222
CPT 		Mri,upr Ext, Joint,w/cont 3 $3,283.09 $3,492.65 $3,463.89 nat. median
$1,282
outlier · 2.7×
70549
CPT 		Mra, Neck W/O+with Contrast 2 $2,317.00 $4,525.40 $3,421.20 nat. median
$1,055
outlier · 3.2×
72141
CPT 		MRI C-spine Wo Contrast 11 $616.80 $3,929.20 $3,304.66 nat. median
$781
outlier · 4.2×
70543
CPT 		MRI Orb-fac-nec W/o+w/con 2 $2,262.70 $4,315.32 $3,289.01 nat. median
$1,083
outlier · 3.0×
73722
CPT 		Mri, Lwrext,joint, W/cont 2 $3,028.06 $3,412.40 $3,220.23 nat. median
$1,279
outlier · 2.5×
78816
CPT 		Pet/ct Whole Body Tc 1 $3,180.15 $3,180.15 $3,180.15 nat. median
$2,788
1.1× median
74174
CPT 		CT Angio Abd&pelv W/O&with Contrast 8 $2,273.06 $4,852.60 $3,131.29 nat. median
$988
outlier · 3.2×
73720
CPT 		MRI Lower W/o+w Tc 2 $2,105.74 $3,989.08 $3,047.41 nat. median
$1,129
outlier · 2.7×
73718
CPT 		Mri,lwrext,no Jnt,no Cont 5 $1,515.80 $3,308.85 $2,960.55 nat. median
$870
outlier · 3.4×
73221
CPT 		MRI Up Extremity Joint Without Tc 11 $1,505.77 $3,308.85 $2,936.17 nat. median
$844
outlier · 3.5×
73721
CPT 		MRI Low Ext Jnt Wo/cont Tc 13 $1,532.52 $3,308.85 $2,880.14 nat. median
$856
outlier · 3.4×
43239
CPT 		Upper Gi Endoscopy,biopsy 10 $1,497.16 $3,441.46 $2,846.81 nat. median
$1,375
outlier · 2.1×
72193
CPT 		CT Pelvis With Contrast 1 $2,616.67 $2,616.67 $2,616.67 nat. median
$637
outlier · 4.1×
45380
CPT 		Colonoscopy,biopsy 10 $1,371.96 $2,852.10 $2,615.68 nat. median
$1,565
1.7× median
45385
CPT 		Colonoscopy,remv Lesn,snare 19 $1,400.54 $3,183.04 $2,595.15 nat. median
$1,669
1.6× median
J1950
HCPCS 		Leuprolide Acetate For Inj Kit 3.75 Mg 2 $2,433.32 $2,433.32 $2,433.32 nat. median
$3,902
0.6× median
72158
CPT 		MRI L Spine W&wo Contrast 3 $1,037.64 $4,488.98 $2,396.25 nat. median
$1,093
outlier · 2.2×
74178
CPT 		CT Abd&pelv 1+ Section/regns 9 $825.32 $4,852.60 $2,374.51 nat. median
$1,024
outlier · 2.3×
72157
CPT 		MRI T Spine W&wo Contrast 1 $2,369.18 $2,369.18 $2,369.18 nat. median
$1,105
outlier · 2.1×
74183
CPT 		Mri, Abdomen W/o+ W/contr 5 $2,296.14 $4,254.68 $2,343.00 nat. median
$1,100
outlier · 2.1×
45378
CPT 		Colonoscopy,flex,diagnostic 9 $1,152.54 $2,531.38 $2,262.70 nat. median
$1,342
1.7× median
73218
CPT 		Mri,up Ext,no Jnt,no Cont 2 $1,566.45 $2,958.85 $2,262.65 nat. median
$864
outlier · 2.6×
12000001
CDM 		Room Rate General Iso 4 $113.98 $2,515.00 $2,254.48 nat. median
$1,374
1.6× median
12000010
CDM 		Room Rate Swing General 4 $113.98 $2,515.00 $2,254.48 nat. median
$707
outlier · 3.2×
12000000
CDM 		Room Rate General 4 $113.98 $2,515.00 $2,254.48 nat. median
$1,286
1.8× median
12000011
CDM 		Room Rate Swing General Iso 4 $113.98 $2,515.00 $2,254.48 nat. median
$801
outlier · 2.8×
12500000
CDM 		Room Rate Hospice 4 $113.98 $2,515.00 $2,254.48 nat. median
$555
outlier · 4.1×
78306
CPT 		Bone Scan, Whole Body 1 $2,196.33 $2,196.33 $2,196.33 nat. median
$759
outlier · 2.9×
G0390
HCPCS 		Trauma Activation 8 $1,989.08 $4,515.35 $2,138.85 nat. median
$3,197
0.7× median
G0105
HCPCS 		Colonoscopy,flex,screen 4 $1,432.37 $2,738.06 $2,047.36 nat. median
$1,305
1.6× median
43235
CPT 		Upper Gi Endoscopy,diagnosis 5 $1,052.26 $2,096.54 $1,987.11 nat. median
$1,313
1.5× median
43247
CPT 		Upper Gi Endoscopy,remov F.b. 1 $1,981.19 $1,981.19 $1,981.19 nat. median
$1,409
1.4× median
70551
CPT 		MRI Brain Wo Contrast Tc 12 $616.80 $4,134.40 $1,958.40 nat. median
$784
outlier · 2.5×
71275
CPT 		CT Angiography, Chest 19 $1,017.19 $4,063.77 $1,951.65 nat. median
$754
outlier · 2.6×
72125
CPT 		CT Neck Spine Without Contrast 17 $274.02 $2,424.00 $1,936.78 nat. median
$472
outlier · 4.1×
70544
CPT 		Mra, Head W/out Contrast 4 $1,849.60 $3,527.96 $1,926.20 nat. median
$826
outlier · 2.3×
74175
CPT 		CT Angio Abdom Without & With Contrast 2 $1,843.23 $1,951.65 $1,897.44 nat. median
$714
outlier · 2.7×
72148
CPT 		MRI L Spine Wo Contrast 14 $616.80 $3,929.20 $1,861.20 nat. median
$805
outlier · 2.3×
70336
CPT 		MRI Tempormandibular Jnt 1 $1,850.45 $1,850.45 $1,850.45 nat. median
$756
outlier · 2.4×
70486
CPT 		CT Maxillofacialw/o Dye 13 $274.02 $2,193.00 $1,848.70 nat. median
$478
outlier · 3.9×
74181
CPT 		MRI Abdomen Without Tc 1 $1,840.07 $1,840.07 $1,840.07 nat. median
$820
outlier · 2.2×
72146
CPT 		MRI T Spine Wo Contrast 7 $616.80 $1,861.20 $1,826.98 nat. median
$797
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 659 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
             
78815 CPT Pet/ct Skull-mid Thigh Tc 6 3 $8,819.00 $7,937.10 $3,690.50 $7,208.00 $7,148.64 2026-07-20
70553 CPT MRI Brain W & Wo Contrast 16 8 $6,153.00 $5,537.70 $1,037.41 $5,620.20 $4,987.19 2026-07-20
72156 CPT MRI C Spine W&wo Contrast 6 3 $5,537.00 $4,983.30 $2,278.18 $4,525.40 $4,402.77 2026-07-20
72197 CPT Mri, Pelvis, Without Then With 4 2 $5,537.00 $4,983.30 $4,253.88 $4,488.13 $4,371.01 2026-07-20
74177 CPT CT Abdomen&pelvis W/contrast 48 23 $5,312.00 $4,780.80 $825.32 $5,108.00 $4,081.29 2026-07-20
74170 CPT CT Abdomen Without & With Contrast 2 1 $4,101.00 $3,690.90 $3,745.85 $3,745.85 $3,745.85 2026-07-20
70552 CPT MRI Brain W Contrast Tc 2 1 $4,542.00 $4,087.80 $3,681.38 $3,681.38 $3,681.38 2026-07-20
74176 CPT CT Abd & Pelvis Without Contrast 40 20 $4,510.00 $4,059.00 $825.32 $4,120.15 $3,465.27 2026-07-20
73222 CPT Mri,upr Ext, Joint,w/cont 6 3 $4,273.00 $3,845.70 $3,283.09 $3,492.65 $3,463.89 2026-07-20
70549 CPT Mra, Neck W/O+with Contrast 4 2 $5,537.00 $4,983.30 $2,317.00 $4,525.40 $3,421.20 2026-07-20
72141 CPT MRI C-spine Wo Contrast 22 11 $4,301.00 $3,870.90 $616.80 $3,929.20 $3,304.66 2026-07-20
70543 CPT MRI Orb-fac-nec W/o+w/con 4 2 $5,537.00 $4,983.30 $2,262.70 $4,315.32 $3,289.01 2026-07-20
73722 CPT Mri, Lwrext,joint, W/cont 4 2 $3,736.00 $3,362.40 $3,028.06 $3,412.40 $3,220.23 2026-07-20
78816 CPT Pet/ct Whole Body Tc 2 1 $7,350.00 $6,615.00 $3,180.15 $3,180.15 $3,180.15 2026-07-20
74174 CPT CT Angio Abd&pelv W/O&with Contrast 16 8 $5,312.00 $4,780.80 $2,273.06 $4,852.60 $3,131.29 2026-07-20
73720 CPT MRI Lower W/o+w Tc 4 2 $4,921.00 $4,428.90 $2,105.74 $3,989.08 $3,047.41 2026-07-20
73718 CPT Mri,lwrext,no Jnt,no Cont 10 5 $3,622.00 $3,259.80 $1,515.80 $3,308.85 $2,960.55 2026-07-20
73221 CPT MRI Up Extremity Joint Without Tc 22 11 $3,622.00 $3,259.80 $1,505.77 $3,308.85 $2,936.17 2026-07-20
73721 CPT MRI Low Ext Jnt Wo/cont Tc 26 13 $3,622.00 $3,259.80 $1,532.52 $3,308.85 $2,880.14 2026-07-20
43239 CPT Upper Gi Endoscopy,biopsy 20 10 $3,512.00 $3,160.80 $1,497.16 $3,441.46 $2,846.81 2026-07-20
72193 CPT CT Pelvis With Contrast 2 1 $3,357.00 $3,021.30 $2,616.67 $2,616.67 $2,616.67 2026-07-20
45380 CPT Colonoscopy,biopsy 20 10 $3,214.00 $2,892.60 $1,371.96 $2,852.10 $2,615.68 2026-07-20
45385 CPT Colonoscopy,remv Lesn,snare 38 19 $3,378.00 $3,040.20 $1,400.54 $3,183.04 $2,595.15 2026-07-20
J1950 HCPCS Leuprolide Acetate For Inj Kit 3.75 Mg 4 2 $3,333.61 $3,000.25 $2,433.32 $2,433.32 $2,433.32 2026-07-20
72158 CPT MRI L Spine W&wo Contrast 6 3 $5,538.00 $4,984.20 $1,037.64 $4,488.98 $2,396.25 2026-07-20
74178 CPT CT Abd&pelv 1+ Section/regns 18 9 $5,312.00 $4,780.80 $825.32 $4,852.60 $2,374.51 2026-07-20
72157 CPT MRI T Spine W&wo Contrast 2 1 $5,537.00 $4,983.30 $2,369.18 $2,369.18 $2,369.18 2026-07-20
74183 CPT Mri, Abdomen W/o+ W/contr 10 5 $5,538.00 $4,984.20 $2,296.14 $4,254.68 $2,343.00 2026-07-20
45378 CPT Colonoscopy,flex,diagnostic 18 9 $2,768.00 $2,491.20 $1,152.54 $2,531.38 $2,262.70 2026-07-20
73218 CPT Mri,up Ext,no Jnt,no Cont 4 2 $3,620.00 $3,258.00 $1,566.45 $2,958.85 $2,262.65 2026-07-20
12000011 CDM Room Rate Swing General Iso 8 4 $1,884.00 $1,695.60 $113.98 $2,515.00 $2,254.48 2026-07-20
12000010 CDM Room Rate Swing General 8 4 $1,609.00 $1,448.10 $113.98 $2,515.00 $2,254.48 2026-07-20
12000000 CDM Room Rate General 8 4 $2,616.00 $2,354.40 $113.98 $2,515.00 $2,254.48 2026-07-20
12000001 CDM Room Rate General Iso 8 4 $2,891.00 $2,601.90 $113.98 $2,515.00 $2,254.48 2026-07-20
12500000 CDM Room Rate Hospice 8 4 $1,687.00 $1,518.30 $113.98 $2,515.00 $2,254.48 2026-07-20
78306 CPT Bone Scan, Whole Body 2 1 $2,438.00 $2,194.20 $2,196.33 $2,196.33 $2,196.33 2026-07-20
G0390 HCPCS Trauma Activation 16 8 $4,943.00 $4,448.70 $1,989.08 $4,515.35 $2,138.85 2026-07-20
G0105 HCPCS Colonoscopy,flex,screen 8 4 $3,378.00 $3,040.20 $1,432.37 $2,738.06 $2,047.36 2026-07-20
43235 CPT Upper Gi Endoscopy,diagnosis 10 5 $2,586.00 $2,327.40 $1,052.26 $2,096.54 $1,987.11 2026-07-20
43247 CPT Upper Gi Endoscopy,remov F.b. 2 1 $2,655.00 $2,389.50 $1,981.19 $1,981.19 $1,981.19 2026-07-20
70551 CPT MRI Brain Wo Contrast Tc 24 12 $4,526.00 $4,073.40 $616.80 $4,134.40 $1,958.40 2026-07-20
71275 CPT CT Angiography, Chest 38 19 $4,510.00 $4,059.00 $1,017.19 $4,063.77 $1,951.65 2026-07-20
72125 CPT CT Neck Spine Without Contrast 34 17 $2,521.00 $2,268.90 $274.02 $2,424.00 $1,936.78 2026-07-20
70544 CPT Mra, Head W/out Contrast 8 4 $4,526.00 $4,073.40 $1,849.60 $3,527.96 $1,926.20 2026-07-20
74175 CPT CT Angio Abdom Without & With Contrast 4 2 $4,510.00 $4,059.00 $1,843.23 $1,951.65 $1,897.44 2026-07-20
72148 CPT MRI L Spine Wo Contrast 28 14 $4,301.00 $3,870.90 $616.80 $3,929.20 $1,861.20 2026-07-20
70336 CPT MRI Tempormandibular Jnt 2 1 $2,264.00 $2,037.60 $1,850.45 $1,850.45 $1,850.45 2026-07-20
70486 CPT CT Maxillofacialw/o Dye 26 13 $2,281.00 $2,052.90 $274.02 $2,193.00 $1,848.70 2026-07-20
74181 CPT MRI Abdomen Without Tc 2 1 $4,300.00 $3,870.00 $1,840.07 $1,840.07 $1,840.07 2026-07-20
72146 CPT MRI T Spine Wo Contrast 14 7 $4,301.00 $3,870.90 $616.80 $1,861.20 $1,826.98 2026-07-20
J9217 HCPCS Leuprolide Acetate (6 Month) For Inj Kit 45 Mg 4 2 $19,391.64 $17,452.48 $372.02 $3,220.41 $1,796.21 2026-07-20
74160 CPT CT Abdomen With Contrast 4 2 $3,241.00 $2,916.90 $825.32 $2,626.79 $1,726.05 2026-07-20
73701 CPT CT Lower Extremity With Contrast 4 2 $2,843.00 $2,558.70 $825.32 $2,497.08 $1,661.20 2026-07-20
70471 CPT CTA Head/neck, W/wo Contrast, Including Post Processing 4 2 $2,569.00 $2,312.10 $1,111.50 $2,116.79 $1,614.14 2026-07-20
70498 CPT CT Angiography, Neck 28 14 $3,665.00 $3,298.50 $792.90 $3,453.52 $1,585.80 2026-07-20
75635 CPT CT Angio Abdominal Arteries 8 4 $3,604.00 $3,243.60 $1,016.96 $2,945.25 $1,550.59 2026-07-20
99285 CPT Facility Emergency Level V Visit 52 26 $1,958.00 $1,762.20 $433.62 $1,847.84 $1,504.52 2026-07-20
71260 CPT Diagnostic CT Thorax With Contrast (tc) 40 20 $1,103.00 $992.70 $238.73 $3,425.00 $1,500.49 2026-07-20
76700 CPT US Abdomen Tc 10 5 $1,900.00 $1,710.00 $795.11 $1,711.90 $1,459.77 2026-07-20
70491 CPT CT Soft Tissue Neck With Contrast 20 10 $2,398.00 $2,158.20 $825.50 $2,306.00 $1,413.41 2026-07-20
93306 CPT Tte W/doppler, Complete 38 19 $1,838.00 $1,654.20 $765.04 $1,767.00 $1,411.83 2026-07-20
12100000 CDM Room Rate Med/surg 6 3 $1,720.00 $1,548.00 $1,321.55 $1,776.62 $1,394.32 2026-07-20
12100001 CDM Room Rate Med/surg Iso 6 3 $1,995.00 $1,795.50 $1,321.55 $1,776.62 $1,394.32 2026-07-20
70450 CPT CT Head/brain Without Contrast 40 20 $2,281.00 $2,052.90 $825.32 $2,193.00 $1,369.53 2026-07-20
78227 CPT Hepatobil Syst Image W/drug 4 2 $2,200.00 $1,980.00 $920.45 $1,797.75 $1,359.10 2026-07-20
73706 CPT CT Angio Lwr Extr W/O&with Contrast 4 2 $3,136.00 $2,822.40 $1,300.07 $1,326.60 $1,313.34 2026-07-20
62323 CPT Inj Lumbar/sacral With Image Guidance 2 1 $1,633.00 $1,469.70 $1,254.43 $1,254.43 $1,254.43 2026-07-20
72131 CPT CT Lumbar Spine Without Contrast 24 12 $2,732.00 $2,458.80 $273.96 $2,495.65 $1,182.15 2026-07-20
72128 CPT CT Chest Spine Without Contrast 18 9 $2,732.00 $2,458.80 $1,116.48 $2,495.65 $1,182.15 2026-07-20
G0121 HCPCS Colonoscopy,screen Prev 10 5 $2,770.00 $2,493.00 $1,129.19 $2,244.91 $1,174.38 2026-07-20
76856 CPT US Pelvic Tc Complete 28 14 $1,424.00 $1,281.60 $425.07 $1,300.55 $1,154.07 2026-07-20
74240 CPT X-ray Exam, Upper Gi Tract, Incl Scout & Delay; Single Contrast (tc) 2 1 $1,409.00 $1,268.10 $1,151.75 $1,151.75 $1,151.75 2026-07-20
76604 CPT US Chest Tc 6 3 $1,426.00 $1,283.40 $607.08 $1,155.75 $1,095.43 2026-07-20
73200 CPT CT Upper Extremity Without Contrast 12 6 $1,666.00 $1,499.40 $712.89 $1,602.00 $1,091.95 2026-07-20
70496 CPT CT Angiography, Head 28 14 $2,523.00 $2,270.70 $1,005.77 $2,377.48 $1,091.70 2026-07-20
72052 CPT Xray Cervical Spine 6 Or More Vws 2 1 $1,277.00 $1,149.30 $1,043.80 $1,043.80 $1,043.80 2026-07-20
72192 CPT CT Pelvis Without Contrast 12 6 $2,376.00 $2,138.40 $985.29 $1,926.26 $1,017.96 2026-07-20
86481 CPT TB Antigen Response Gamma Interferon T-cell Susp 6 3 $1,245.00 $1,120.50 $516.15 $1,137.15 $1,017.45 2026-07-20
99284 CPT Facility Emergency Level IV Visit 50 25 $1,279.00 $1,151.10 $532.18 $1,207.90 $982.77 2026-07-20
71250 CPT Diagnostic CT Thorax Without Contrast (tc) 36 18 $812.00 $730.80 $273.96 $1,864.05 $972.49 2026-07-20
76870 CPT US Scrotum & Contents Tc 14 7 $1,231.00 $1,107.90 $122.01 $1,014.69 $946.02 2026-07-20
93880 CPT Cv Carotid Imaging-bilat 16 8 $2,109.00 $1,898.10 $858.00 $1,620.37 $897.39 2026-07-20
76536 CPT US Head/neck Tc 26 13 $1,166.00 $1,049.40 $280.67 $1,064.95 $895.68 2026-07-20
74230 CPT Contrast Xray Swallowing Funct Int, Cine/vid; Inclscout & Delay (tc) 10 5 $1,166.00 $1,049.40 $487.86 $952.85 $895.68 2026-07-20
78264 CPT Gastric Emptying Study 2 1 $1,106.00 $995.40 $878.92 $878.92 $878.92 2026-07-20
93970 CPT Ven Duplex Bilateral 18 9 $1,108.00 $997.20 $425.07 $905.25 $850.94 2026-07-20
J2506 HCPCS Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 8 4 $11,754.81 $10,579.33 $435.91 $832.65 $825.79 2026-07-20
70470 CPT CT Head/brain Without & With Contrast 2 1 $3,300.00 $2,970.00 $825.32 $825.32 $825.32 2026-07-20
74220 CPT Contrast Xray Esophagus; Incl Scout & Delay (tc) 10 5 $1,065.00 $958.50 $143.11 $870.40 $818.18 2026-07-20
76805 CPT Us,preg. Uterus,fetal/mat.eval.,>1st Trim.(>/= 14 Wks 0 Dys),transabd;single/fir… 2 1 $968.00 $871.20 $784.83 $784.83 $784.83 2026-07-20
87507 CPT Infection Agent Detect Dna/rna Probe Tq 12-25 18 9 $1,051.00 $945.90 $427.68 $1,011.00 $784.41 2026-07-20
45382 CPT Colonoscopy,control Bleeding 2 1 $1,005.00 $904.50 $771.83 $771.83 $771.83 2026-07-20
93308 CPT Echo Heart Xthoracic,limited 6 3 $944.00 $849.60 $404.06 $771.80 $765.44 2026-07-20
71111 CPT Xray Ribs Bilat 3 Vws With Pa Chest 2 1 $833.00 $749.70 $760.95 $760.95 $760.95 2026-07-20
45381 CPT Colonoscope, Submucous Inj 4 2 $931.00 $837.90 $715.10 $767.02 $741.06 2026-07-20
74022 CPT X-ray Abdomen 2+ Views With Single Vw Chest (tc) 6 3 $902.00 $811.80 $692.73 $823.65 $736.95 2026-07-20
72126 CPT CT Neck Spine With Contrast 2 1 $1,652.00 $1,486.80 $714.60 $714.60 $714.60 2026-07-20
76801 CPT OB US < 14 Wks, Single Fetus - Radiology, Tech 6 3 $862.00 $775.80 $698.85 $776.77 $704.65 2026-07-20
96411 CPT Chemotherapy, IV Push, Additional Drug 6 3 $943.00 $848.70 $408.15 $770.95 $703.70 2026-07-20
76705 CPT US Abdomen Limited Tc 36 18 $833.00 $749.70 $345.39 $760.95 $678.05 2026-07-20
73700 CPT CT Lower Extremity Without Contrast 18 9 $1,536.00 $1,382.40 $273.96 $1,245.11 $664.65 2026-07-20
12032 CPT Layr Clos Wnd Trunk,arm,leg 2.6-7.5 2 1 $817.00 $735.30 $662.60 $662.60 $662.60 2026-07-20
70480 CPT CT Orbit/ear/fosa Without Contrast 2 1 $1,536.00 $1,382.40 $657.26 $657.26 $657.26 2026-07-20
93971 CPT Venous Duplex Scan Uni 30 15 $853.00 $767.70 $280.61 $779.00 $655.18 2026-07-20
0202U OTHER Nfct Ds Bct/vir Respir Dna/rna 22 Trgt Sarscov2 12 6 $780.00 $702.00 $330.75 $1,549.00 $652.71 2026-07-20
76642 CPT Ultrasound Breast Limited 24 12 $826.00 $743.40 $280.61 $754.30 $651.88 2026-07-20
73110 CPT Xray Wrist Minimum 3 Vws 34 17 $788.00 $709.20 $326.85 $758.00 $638.99 2026-07-20
96413 CPT Chemotherapy, IV Infusion, 1 Hour 20 10 $779.00 $701.10 $333.30 $711.55 $634.03 2026-07-20
70490 CPT CT Soft Tissue Neck Without Contrast 4 2 $2,280.00 $2,052.00 $273.96 $986.40 $630.18 2026-07-20
94660 CPT Pos Airway Pressure, Bipap 6 3 $1,493.00 $1,343.70 $607.42 $631.84 $619.20 2026-07-20
93925 CPT Art Lower Extremity-bilat 6 3 $1,546.00 $1,391.40 $425.07 $1,188.11 $617.40 2026-07-20
72040 CPT Xray Cervical Spine 2 Or 3 Vws 20 10 $751.00 $675.90 $321.29 $685.90 $608.65 2026-07-20
71271 CPT Low Dose CT Lung Ca Screen Wo Contrast 26 13 $856.00 $770.40 $273.96 $705.31 $599.25 2026-07-20
71101 CPT Xray Ribs Unilat 2 Vws With Pa Chest 16 8 $751.00 $675.90 $321.29 $685.90 $592.76 2026-07-20
99283 CPT Facility Emergency Level Iii Visit 52 26 $766.00 $689.40 $319.59 $724.76 $588.86 2026-07-20
72070 CPT Xray Thoracic Spine 2 Vws 24 12 $751.00 $675.90 $143.07 $685.90 $584.36 2026-07-20
P9035 HCPCS Leukoreduced Platelets 2 1 $1,402.00 $1,261.80 $581.26 $581.26 $581.26 2026-07-20
93975 CPT Abd Duplex Abd-full 4 2 $1,202.00 $1,081.80 $212.53 $923.64 $568.09 2026-07-20
76817 CPT Transvaginal Us, Obstetric 2 1 $627.00 $564.30 $565.01 $565.01 $565.01 2026-07-20
73564 CPT Xray Knee 4 Or More Vws 22 11 $687.00 $618.30 $143.07 $627.95 $557.22 2026-07-20
77080 CPT Dxa, Bone Density Study, Hips/pelv/spine 34 17 $718.00 $646.20 $194.21 $655.50 $551.31 2026-07-20
88342 CPT Immunocytochemistry 24 11 $914.00 $822.60 $362.92 $835.05 $548.94 2026-07-20
83970 CPT Lab Pth Immunoch Part 1 4 2 $886.00 $797.40 $367.38 $730.16 $548.77 2026-07-20
72050 CPT Xray Cervical Spine 4 Or 5 Vws 2 1 $1,273.00 $1,145.70 $541.78 $541.78 $541.78 2026-07-20
90377 CPT Rabies Immune Globulin (Human) Inj 300 Unit/2ML (150 Unt/ML) 6 3 $1,343.64 $1,209.28 $526.83 $567.76 $537.53 2026-07-20
94070 CPT Methacholine Challenge 8 4 $652.00 $586.80 $251.43 $535.93 $528.56 2026-07-20
73130 CPT Xray Hand 3vws Tc 36 18 $642.00 $577.80 $143.11 $617.00 $520.13 2026-07-20
73562 CPT Xray Knee 3 Vws 40 20 $675.00 $607.50 $140.96 $649.00 $517.82 2026-07-20
78014 CPT Thyroid Imaging W/blood Flow W/sgl Or Mlt Uptk 2 1 $1,193.00 $1,073.70 $516.15 $516.15 $516.15 2026-07-20
32555 CPT Aspirate Pleura With Imaging 2 1 $1,189.00 $1,070.10 $514.35 $514.35 $514.35 2026-07-20
70160 CPT Xray Nasal Bones Minimum 3 Vws 6 3 $629.00 $566.10 $266.20 $514.25 $514.25 2026-07-20
73560 CPT Xray Knee 1 Or 2 Vws 8 4 $642.00 $577.80 $277.65 $524.45 $512.17 2026-07-20
82803 CPT Blood Gases: Ph, Po2 & Pco2 40 20 $645.00 $580.50 $26.94 $620.00 $499.12 2026-07-20
73080 CPT Xray Elbow 3+vws Tc 26 13 $605.00 $544.50 $258.99 $582.00 $494.70 2026-07-20
P9073 HCPCS Platelets, Pheresis, Pathogen-reduced, Each Unit 2 1 $1,169.00 $1,052.10 $484.67 $484.67 $484.67 2026-07-20
73090 CPT Xray Forearm 2 Vws 22 11 $616.00 $554.40 $255.27 $562.40 $473.01 2026-07-20
76706 CPT Aaa US Screen Tc 18 9 $1,077.00 $969.30 $448.55 $984.20 $466.20 2026-07-20
94002 CPT Adult Vent Mgmt Inpat Init Day 2 1 $1,097.00 $987.30 $464.20 $464.20 $464.20 2026-07-20
36430 CPT Blood Transfusion Service 16 8 $1,059.00 $953.10 $430.76 $865.30 $458.10 2026-07-20
73590 CPT Xray Tibia & Fibula 2 Vws 22 11 $562.00 $505.80 $77.48 $519.00 $455.22 2026-07-20
76770 CPT US Retroperitoneal Tc 18 9 $1,047.00 $942.30 $425.07 $855.95 $453.15 2026-07-20
73030 CPT Xray Shoulder Minimum 2 Vws 40 20 $750.00 $675.00 $143.11 $684.95 $450.26 2026-07-20
73630 CPT Xray Foot Minimum 3 Vws 36 18 $742.00 $667.80 $77.48 $677.35 $445.27 2026-07-20
80074 CPT Acute Hepatitis Panel 8 4 $737.00 $663.30 $311.96 $673.55 $443.59 2026-07-20
96416 CPT Chemotherapy Prolonged Infusion With Pump (over 8 Hours) 4 2 $564.00 $507.60 $420.85 $460.70 $440.77 2026-07-20
97163 CPT Physical Therapy Evaluation High Complex 30 15 $560.00 $504.00 $223.75 $511.10 $429.86 2026-07-20
93926 CPT US Doppler Lw Ext Art Tc 2 1 $1,017.00 $915.30 $425.63 $425.63 $425.63 2026-07-20
72170 CPT Xray Pelvis 1 Or 2 Vws 22 11 $524.00 $471.60 $222.26 $478.80 $424.87 2026-07-20
88305 CPT Level IV - Surgical Pathology, Gross And Microscopic Examination , Tech 44 18 $540.00 $486.00 $215.17 $493.05 $408.69 2026-07-20
76882 CPT US Ext Non-vasc Limited, Realtime With Img Tc 20 10 $506.00 $455.40 $209.99 $462.65 $399.83 2026-07-20
73522 CPT X-ray Exam Hip,bilat W/pelvis 3-4 Vws 2 1 $437.00 $393.30 $399.00 $399.00 $399.00 2026-07-20
J1750 HCPCS Iron Dextran Inj 50 Mg/ml (Elemental Iron) 2 1 $51.18 $46.06 $396.30 $396.30 $396.30 2026-07-20
92523 CPT Speech Sound Lang Comprehen 22 11 $910.00 $819.00 $363.24 $743.75 $393.75 2026-07-20
73010 CPT Xray Scapula Complete 6 3 $479.00 $431.10 $368.34 $391.85 $391.85 2026-07-20
72110 CPT Xray Lumbosacral Minimum 4 Vws 4 2 $891.00 $801.90 $385.65 $385.65 $385.65 2026-07-20
97162 CPT Physical Therapy Evaluation Mod Complex 36 18 $479.00 $431.10 $199.58 $437.95 $378.48 2026-07-20
82365 CPT Calculus Spectroscopy 6 3 $475.00 $427.50 $189.73 $389.30 $378.40 2026-07-20
C1781 HCPCS Mesh, Implantable 16 8 $333.00 $299.70 $154.98 $974.72 $377.79 2026-07-20
73140 CPT Xray Finger(s) Tc 32 16 $458.00 $412.20 $140.96 $423.00 $372.46 2026-07-20
90675 CPT Charcoal Activated (with Sorbitol) Susp 5 Gm/24 Ml 2 1 $49.87 $44.88 $370.44 $370.44 $370.44 2026-07-20
70150 CPT Xray Facial Bones Minimum 3 Vws 6 3 $855.00 $769.50 $365.79 $369.90 $369.90 2026-07-20
93923 CPT Art Lower Extremity+upper 4 2 $853.00 $767.70 $364.90 $369.00 $366.95 2026-07-20
77066 CPT Digital Mamm, Diag, Bilat, Tc W/cad Perf 18 9 $476.00 $428.40 $60.26 $389.30 $365.94 2026-07-20
73100 CPT Xray Wrist 2 Vws 12 6 $470.00 $423.00 $203.40 $384.20 $361.15 2026-07-20
76857 CPT US Follicles-limited Tc 10 5 $841.00 $756.90 $348.84 $768.55 $360.00 2026-07-20
96365 CPT IV Infusion Therapy, 1 Hour 42 21 $467.00 $420.30 $190.08 $449.00 $358.75 2026-07-20
84146 CPT Prolactin 2 1 $437.00 $393.30 $357.00 $357.00 $357.00 2026-07-20
88304 CPT Level Iii - Surgical Pathology - Ref 10 5 $437.00 $393.30 $186.90 $399.00 $357.00 2026-07-20
73120 CPT Xray Hand 2vws Tc 12 6 $458.00 $412.20 $351.56 $374.00 $354.07 2026-07-20
82378 CPT Carcinoembryonic Antigen 2 1 $431.00 $387.90 $351.90 $351.90 $351.90 2026-07-20
76830 CPT US Transvaginal Tc 28 14 $796.00 $716.40 $280.61 $726.75 $344.25 2026-07-20
81515 CPT Nfct Ds Bv&vaginitis Rtpcr Amp DNA Markers 2 1 $821.00 $738.90 $340.22 $340.22 $340.22 2026-07-20
99282 CPT Facility Emergency Level Ii Visit 42 21 $417.00 $375.30 $174.71 $400.90 $338.04 2026-07-20
73600 CPT Xray Ankle 2 Vws 10 5 $417.00 $375.30 $172.91 $380.95 $338.04 2026-07-20
87637 CPT Infectious Agent Detection By Nucleic Acid (dna Or Rna) 34 17 $440.00 $396.00 $142.63 $423.36 $337.98 2026-07-20
72202 CPT Xray Sacroiliac Jnts 3 Or More Vws 4 2 $661.00 $594.90 $143.07 $508.16 $325.62 2026-07-20
96417 CPT Chemotherapy, IV Infusion, Each Add'l Sequential Infusion 12 6 $413.00 $371.70 $166.03 $337.45 $322.10 2026-07-20
51720 CPT Instill Anticancer Agent In Bladder 2 1 $748.00 $673.20 $319.95 $319.95 $319.95 2026-07-20
74019 CPT X-ray Exam Abdomen 2 Views 12 6 $529.00 $476.10 $143.07 $432.65 $316.60 2026-07-20
70360 CPT Xray Neck, Soft Tissue 6 3 $417.00 $375.30 $143.07 $343.66 $311.50 2026-07-20
70250 CPT Xray Skull Less Than 4 Vws 2 1 $379.00 $341.10 $306.85 $306.85 $306.85 2026-07-20
93976 CPT Abd Duplex Abd-follow Up(t) 14 7 $903.00 $812.70 $158.97 $307.66 $305.15 2026-07-20
87468 CPT Anaplsma Phgcytophlm Amp Prb 26 13 $393.00 $353.70 $35.09 $359.10 $302.02 2026-07-20
72190 CPT Xray Pelvis Compl 3+ Tc 2 1 $698.00 $628.20 $301.95 $301.95 $301.95 2026-07-20
77067 CPT Digital Mammogram, Screen Bil, Tc W/cad Perf 48 24 $370.00 $333.00 $81.79 $356.00 $300.11 2026-07-20
87641 CPT Mrsa By Amplif Na 2 1 $365.00 $328.50 $298.35 $298.35 $298.35 2026-07-20
71046 CPT X-ray Exam Chest 2 Views 48 24 $374.00 $336.60 $143.07 $360.00 $295.56 2026-07-20
99204 CPT Office/outpt Visit,new,levl IV 4 2 $330.00 $297.00 $269.45 $317.00 $293.23 2026-07-20
11404 CPT Exc Skin Benig 3.1-4cm Trunk,arm,leg 2 1 $373.00 $335.70 $292.36 $292.36 $292.36 2026-07-20
73610 CPT Xray Ankle Minimum 3 Vws 32 16 $675.00 $607.50 $279.85 $616.55 $292.05 2026-07-20
77065 CPT Digital Mamm, Diag, Unilat, Tc W/cad Perf 22 11 $359.00 $323.10 $60.26 $327.75 $290.84 2026-07-20
73660 CPT Xray Toe(s) Tc 16 8 $357.00 $321.30 $145.20 $325.85 $290.35 2026-07-20
72080 CPT Xray Thoracolumbar 2 Vws 4 2 $659.00 $593.10 $282.13 $285.30 $283.72 2026-07-20
73565 CPT Xray Knee (both) Ap Stand 8 4 $456.00 $410.40 $143.07 $372.30 $282.07 2026-07-20
84484 CPT Troponin, Quantitative 52 26 $367.00 $330.30 $12.89 $353.00 $282.05 2026-07-20
73020 CPT Xray Shoulder 1 Vw 4 2 $344.00 $309.60 $281.35 $281.35 $281.35 2026-07-20
77002 CPT Fluoroscopy Guid Needle Plcmt Tc 8 4 $345.00 $310.50 $265.27 $315.40 $281.04 2026-07-20
93931 CPT Art Upper Extremity-ltd 2 1 $1,292.00 $1,162.80 $280.61 $280.61 $280.61 2026-07-20
83880 CPT Assay Of Natriuretic Peptide 44 22 $467.00 $420.30 $40.56 $449.00 $280.40 2026-07-20
P9016 HCPCS Leukoreduced Rbc's 16 8 $647.00 $582.30 $276.79 $528.70 $279.90 2026-07-20
76775 CPT US Renal Retroperit Ltd 8 4 $652.00 $586.80 $272.87 $500.97 $279.89 2026-07-20
80053 CPT Comprehensive Metabolic Panel 54 27 $345.00 $310.50 $10.91 $332.00 $279.88 2026-07-20
A9541 HCPCS Sulfur Colloid Per Dose 2 1 $349.00 $314.10 $277.78 $277.78 $277.78 2026-07-20
92522 CPT Evaluate Speech Production 4 2 $447.00 $402.30 $179.96 $365.50 $272.73 2026-07-20
P9040 HCPCS Irradiated Leukoreduced Rbc's 2 1 $653.00 $587.70 $270.79 $270.79 $270.79 2026-07-20
J1610 HCPCS Glucagon HCl (rDNA) Diagnostic For Inj 1 Mg (Base Equiv) 10 5 $317.50 $285.75 $141.29 $301.63 $269.88 2026-07-20
86666 CPT Ehrlichia Antibody 2 1 $344.00 $309.60 $264.47 $264.47 $264.47 2026-07-20
87631 CPT Resp Virus 3-5 Targets 18 9 $642.00 $577.80 $140.75 $509.98 $260.92 2026-07-20
73552 CPT X-ray Exam Femur Min 2 Vws 14 7 $604.00 $543.60 $245.74 $493.85 $258.54 2026-07-20
72100 CPT Xray Lumbosacral 2 Or 3 Vws 30 15 $594.00 $534.60 $143.07 $542.45 $256.95 2026-07-20
71100 CPT Xray Ribs Unilat 2 Vws 10 5 $586.00 $527.40 $247.72 $478.55 $253.35 2026-07-20
86652 CPT Eastern Equine, Ab - Ref 2 1 $164.00 $147.60 $252.48 $252.48 $252.48 2026-07-20
86654 CPT Western Equine, Ab - Ref 2 1 $164.00 $147.60 $252.48 $252.48 $252.48 2026-07-20
86653 CPT St Louis, Antibody - Ref 2 1 $164.00 $147.60 $252.48 $252.48 $252.48 2026-07-20
86651 CPT La Crosse, Antibody - Ref 2 1 $164.00 $147.60 $252.48 $252.48 $252.48 2026-07-20
70330 CPT Xray Temporomandib Jnt Bilateral 4 2 $427.00 $384.30 $124.10 $375.25 $249.68 2026-07-20
93005 CPT ECG 12 Lead, Tracing Only 52 26 $321.00 $288.90 $133.24 $293.55 $246.89 2026-07-20
73502 CPT X-ray Exam Hip,unilat W/pelvis 2-3 Vws 30 15 $565.00 $508.50 $71.55 $543.00 $244.35 2026-07-20
96360 CPT First Hour IV Hydration <1 Hour 44 22 $314.00 $282.60 $127.60 $295.96 $241.30 2026-07-20
81025 CPT Urine Pregnancy Test 26 13 $296.00 $266.40 $8.90 $270.75 $240.26 2026-07-20
82375 CPT Assay Blood Carbon Monoxide 8 4 $417.00 $375.30 $12.73 $340.85 $238.97 2026-07-20
52000 CPT Cystourethroscopy 8 4 $549.00 $494.10 $234.96 $448.80 $237.60 2026-07-20
87040 CPT Blood Culture For Bacteria 42 21 $307.00 $276.30 $10.66 $471.41 $235.71 2026-07-20
85025 CPT Complete Cbc W/auto Diff Wbc 54 27 $307.00 $276.30 $8.03 $295.00 $235.71 2026-07-20
92526 CPT Oral Function Therapy 4 2 $381.00 $342.90 $159.28 $311.10 $235.19 2026-07-20
97161 CPT Physical Therapy Evaluation Low Complex 40 20 $304.00 $273.60 $125.91 $277.40 $233.31 2026-07-20
73060 CPT Xray Humerus Minimum 2 Vws 10 5 $537.00 $483.30 $224.50 $438.60 $232.20 2026-07-20
80307 CPT Drug Screen Class List A - Ref 42 21 $740.00 $666.00 $63.39 $289.00 $230.88 2026-07-20
99156 CPT Mod Sed Other Phys/qhp Initial 15 Mins 5/> Yrs 4 2 $291.00 $261.90 $223.72 $238.00 $230.86 2026-07-20
71045 CPT X-ray Exam Chest 1 View 42 21 $300.00 $270.00 $119.44 $282.24 $230.11 2026-07-20
97602 CPT Non-select. Wound Debride., Without Anesth.; Top. Appl./wound Assess./instruct., Per… 18 9 $298.00 $268.20 $119.81 $243.95 $229.31 2026-07-20
99155 CPT Mod Sed Other Phys/qhp Initial 15 Mins <5 Yrs 2 1 $280.00 $252.00 $228.65 $228.65 $228.65 2026-07-20
92507 CPT Speech/hearing Therapy 20 10 $381.00 $342.90 $158.46 $311.10 $228.56 2026-07-20
86308 CPT Heterophile Antibodies 4 2 $263.00 $236.70 $209.41 $240.35 $224.88 2026-07-20
84255 CPT Selenium - Ref 2 1 $277.00 $249.30 $224.24 $224.24 $224.24 2026-07-20
87389 CPT HIV-1 Antigens W/hiv 1/2 Antib 2 1 $301.00 $270.90 $223.94 $223.94 $223.94 2026-07-20
74221 CPT Dbl Contrast X-ray, Esophagus - Radiology 2 1 $272.00 $244.80 $222.70 $222.70 $222.70 2026-07-20
11402 CPT Exc Skin Benig 1.1-2cm Trunk,arm,leg 2 1 $265.00 $238.50 $214.97 $214.97 $214.97 2026-07-20
73501 CPT X-ray Exam Hip,unilat W/pelvis 1vw 2 1 $493.00 $443.70 $213.30 $213.30 $213.30 2026-07-20
86803 CPT Hepatitis C Antibody 2 1 $261.00 $234.90 $211.59 $211.59 $211.59 2026-07-20
82150 CPT Assay Of Amylase 32 16 $350.00 $315.00 $6.70 $337.00 $210.45 2026-07-20
88307 CPT Level V Surg Path - Ref 2 1 $528.00 $475.20 $209.47 $209.47 $209.47 2026-07-20
J1745 HCPCS Infliximab For IV Inj 100 Mg 2 1 $2,178.49 $1,960.64 $206.96 $206.96 $206.96 2026-07-20
G0103 HCPCS Psa, Screening 8 4 $264.00 $237.60 $114.30 $238.00 $206.61 2026-07-20
92960 CPT Cardioversion, Elective;extern 2 1 $253.00 $227.70 $206.55 $206.55 $206.55 2026-07-20
87634 CPT Infectious Agent Detection By Nucleic Acid (dna Or Rna);respiratory Syncytial Vi… 2 1 $276.00 $248.40 $205.38 $205.38 $205.38 2026-07-20
84075 CPT Assay Alkaline Phosphatase 4 2 $305.00 $274.50 $131.85 $278.35 $205.10 2026-07-20
94761 CPT Oximetry;mult Determine 4 2 $225.00 $202.50 $199.98 $208.56 $204.27 2026-07-20
94010 CPT Spirometry 2 1 $250.00 $225.00 $202.32 $202.32 $202.32 2026-07-20
82626 CPT Dhea - Ref 2 1 $263.00 $236.70 $202.15 $202.15 $202.15 2026-07-20
49083 CPT Abd Paracentesis W/imaging(t) 2 1 $246.00 $221.40 $201.45 $201.45 $201.45 2026-07-20
84270 CPT Sex Hormone Bind Globulin - Ref 2 1 $243.00 $218.70 $200.54 $200.54 $200.54 2026-07-20
73620 CPT Xray Foot 2 Vws 10 5 $458.00 $412.20 $186.12 $401.85 $198.00 2026-07-20
A9537 HCPCS Tc99 Mebrofenin To 15 Mci 4 2 $319.00 $287.10 $133.61 $260.95 $197.28 2026-07-20
L3913 HCPCS Custom Hand-finger Orthotic Without Joints 4 2 $553.00 $497.70 $190.52 $202.50 $196.51 2026-07-20
A9609 HCPCS Fludeoxyglucose F18 Up To 15 Mci 4 2 $468.00 $421.20 $189.68 $202.50 $196.09 2026-07-20
99214 CPT Office/outpt Visit,est,levl IV 2 1 $202.00 $181.80 $193.96 $193.96 $193.96 2026-07-20
84450 CPT Transferase; Aspartate Amino (ast) (sgot) 14 7 $239.00 $215.10 $101.43 $218.50 $193.89 2026-07-20
96415 CPT Chemotherapy, IV Infusion, Add'l Hour 8 4 $248.00 $223.20 $105.91 $202.30 $193.35 2026-07-20
96374 CPT IV Push, Single/1st Drug 48 24 $251.00 $225.90 $103.92 $236.18 $192.56 2026-07-20
74018 CPT X-ray Exam Abdomen 1 View 20 10 $322.00 $289.80 $131.12 $265.67 $191.78 2026-07-20
97597 CPT Selective Debridement, Without Anesthesia, Surface Area 20 Sq Cm Or Less 4 2 $307.00 $276.30 $131.27 $250.75 $191.01 2026-07-20
0241U OTHER Infectious Disease (viral Respiratory Tract Infection), 30 15 $440.00 $396.00 $35.90 $401.85 $190.35 2026-07-20
97530 CPT Therapeutic Activities 36 18 $246.00 $221.40 $102.20 $225.15 $186.48 2026-07-20
97166 CPT Occupational Therapy Eval Mod Complex 24 12 $296.00 $266.40 $122.89 $285.00 $185.25 2026-07-20
84443 CPT Assay Thyroid Stim Hormone 44 22 $239.00 $215.10 $17.36 $230.00 $183.77 2026-07-20
88360 CPT Morphometric Analysis,tumor Immunohistochemistry, Ea Antibody Manual , Tech 8 4 $272.00 $244.80 $123.60 $239.41 $181.88 2026-07-20
97112 CPT Neuromuscular Re-education 36 18 $235.00 $211.50 $88.54 $214.70 $180.57 2026-07-20
36590 CPT Removal Of Tunnel Cv Access Device, With Port/pump 2 1 $428.00 $385.20 $179.30 $179.30 $179.30 2026-07-20
97110 CPT Therapeutic Exercises 46 23 $231.00 $207.90 $96.13 $210.90 $177.38 2026-07-20
92611 CPT Motion Fluoroscopy/swallow 12 6 $295.00 $265.50 $123.60 $241.40 $177.36 2026-07-20
86617 CPT Lyme Disease Antibody 8 4 $217.00 $195.30 $94.05 $177.65 $176.92 2026-07-20
76815 CPT US Pregnancy Tc Limited 4 2 $423.00 $380.70 $172.98 $179.08 $176.03 2026-07-20
95992 CPT Canalith Repositioning 6 3 $216.00 $194.40 $88.00 $178.26 $175.34 2026-07-20
82271 CPT Blood, Occult, Other Sources 2 1 $212.00 $190.80 $174.83 $174.83 $174.83 2026-07-20
83036 CPT Glycosylated Hemoglobin Test 36 18 $214.00 $192.60 $10.03 $206.00 $172.19 2026-07-20
97140 CPT Manual Ther Tech,1+regions,ea 15 Min 38 19 $219.00 $197.10 $90.98 $200.45 $168.59 2026-07-20
83516 CPT Lab Immunoassay, Non Antibody 4 2 $64.00 $57.60 $166.60 $167.97 $167.28 2026-07-20
97167 CPT Occupational Therapy Eval High Complex 14 7 $392.00 $352.80 $159.50 $311.75 $166.26 2026-07-20
85379 CPT Fibrin Degradation Quant 46 23 $216.00 $194.40 $10.52 $208.00 $166.19 2026-07-20
87075 CPT Culture, Anaerobic 12 6 $277.00 $249.30 $9.79 $242.73 $166.12 2026-07-20
87651 CPT Iadna Streptococcus Group A Amplified Probe Tq 32 16 $211.00 $189.90 $36.26 $192.85 $165.16 2026-07-20
82977 CPT Assay Of Ggt - Ref 6 3 $202.00 $181.80 $87.30 $164.90 $164.90 2026-07-20
83735 CPT Magnesium 46 23 $214.00 $192.60 $6.92 $201.88 $164.59 2026-07-20
82947 CPT Assay, Glucose, Blood Quant 6 3 $198.00 $178.20 $161.50 $180.50 $162.83 2026-07-20
82607 CPT Vitamin B-12 22 11 $211.00 $189.90 $15.58 $190.21 $162.20 2026-07-20
86788 CPT West Nile Ab, Igm - Ref 2 1 $210.00 $189.00 $161.40 $161.40 $161.40 2026-07-20
96366 CPT Each Add'l Hour IV Infusion <8 Hour 34 17 $196.00 $176.40 $78.05 $184.24 $159.80 2026-07-20
96402 CPT Chemotherapy Administration, Subq/im Hormonal Anti-neoplastic 12 6 $197.00 $177.30 $82.25 $185.98 $159.33 2026-07-20
99203 CPT Office/outpt Visit,new,levl Iii 10 5 $193.00 $173.70 $144.45 $178.95 $158.10 2026-07-20
96401 CPT Chemotherapy Administration, Subq/im Non-hormonal Anti-neoplastic 12 6 $192.00 $172.80 $82.32 $175.75 $157.25 2026-07-20
97032 CPT Electrical Stimulation 18 9 $192.00 $172.80 $77.47 $175.75 $157.25 2026-07-20
82533 CPT Total Cortisol 8 4 $193.00 $173.70 $81.40 $158.55 $156.61 2026-07-20
87070 CPT Lab Culture Bacteria 30 15 $202.00 $181.80 $8.91 $184.30 $155.01 2026-07-20
94640 CPT Airway Inhalation Treatment 42 21 $202.00 $181.80 $82.28 $190.12 $155.01 2026-07-20
96376 CPT Tx/pro/dx Inj Same Drug Adon 38 19 $202.00 $181.80 $83.65 $310.01 $155.01 2026-07-20
96375 CPT Each Add'l Sequential Push New Drug 44 22 $202.00 $181.80 $83.65 $190.12 $155.01 2026-07-20
80061 CPT Lipid Profile 28 14 $257.00 $231.30 $106.51 $234.65 $154.25 2026-07-20
97168 CPT Occupational Ther Re-eval Est Plan Care 4 2 $199.00 $179.10 $152.61 $152.61 $152.61 2026-07-20
83690 CPT Assay Of Lipase 50 25 $188.00 $169.20 $7.12 $177.38 $152.58 2026-07-20
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