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

TAMARACK HEALTH HAYWARD MEDICAL CENTER

Hayward, WI · CCN 521336 · Rates published

Your selected procedure

You selected 93306 (CPT)

Tte W/Doppler, Complete

This hospital’s price: $971 across 16 payers · range $772-$2,569

Source: https://machine-readable-files.com/tamarack-health-hayward-medical-center/391536207_Medical-Services-Inc_standardcharges.csv · observed 2026-01-26

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.

791 distinct procedures filed
30 distinct payers
6,611 rate rows
2026-01-26 last MRF observed
Data quality

6,246 of 6,611 rate rows are consumer-grade (94.5%)

365 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 357
placeholder amount (≤ $0.02) — excluded from medians 5
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://machine-readable-files.com/tamarack-health-hayward-medical-center/391536207_Medical-Services-Inc_standardcharges.csv
Found on page https://www.tamarackhealth.org/patients-visitors/billing-services/price-transparency/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-01
Content fingerprint 30e4a7598d0100d4… · 4,139,277 bytes · first seen 2026-05-15

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
70549
CPT 		Mra, Neck W/O+with Contrast 6 $1,808.64 $4,785.54 $4,637.54 nat. median
$1,055
outlier · 4.4×
52287
CPT 		Cystourethroscopy, With Injection(S) For Chemodenervation Of The Bladder 2 $2,488.18 $6,384.47 $4,436.32 nat. median
$2,262
2.0× median
72156
CPT 		MRI C Spine W&wo Contrast 11 $676.69 $4,246.76 $4,034.42 nat. median
$1,103
outlier · 3.7×
70543
CPT 		MRI Orb-fac-nec W/O+W/Con 2 $3,646.39 $3,834.85 $3,740.62 nat. median
$1,083
outlier · 3.5×
73722
CPT 		Mri, Lwrext,Joint, W/Cont 3 $676.69 $3,739.11 $3,699.75 nat. median
$1,279
outlier · 2.9×
70336
CPT 		MRI Tempormandibular Jnt 1 $3,644.67 $3,644.67 $3,644.67 nat. median
$756
outlier · 4.8×
78315
CPT 		Nm Bone Imaging 3 Phase 5 $1,395.19 $3,470.08 $3,398.53 nat. median
$782
outlier · 4.3×
74181
CPT 		MRI Abdomen Without Tc 1 $3,279.24 $3,279.24 $3,279.24 nat. median
$820
outlier · 4.0×
72157
CPT 		MRI T Spine W&wo Contrast 6 $676.69 $4,119.03 $3,046.81 nat. median
$1,105
outlier · 2.8×
72158
CPT 		MRI L Spine W&wo Contrast 4 $1,709.76 $4,252.48 $2,952.73 nat. median
$1,093
outlier · 2.7×
78815
CPT 		Pet/CT Skull-mid Thigh Tc 11 $2,294.82 $7,313.41 $2,940.44 nat. median
$2,820
1.0× median
95811
CPT 		Polysomnography W/Cpap 1 $2,923.34 $2,923.34 $2,923.34 nat. median
$1,894
1.5× median
74170
CPT 		CT Abdomen Without & With Contrast 2 $2,799.19 $2,799.19 $2,799.19 nat. median
$710
outlier · 3.9×
C1776
HCPCS 		27800000-163662 28mm Mod Hd Std Neck Tp1 Taper-hamh 4 $687.14 $5,246.28 $2,720.15 nat. median
$3,394
0.8× median
45381
CPT 		Colonoscope, Submucous Inj 8 $1,505.63 $3,042.29 $2,649.86 nat. median
$1,565
1.7× median
73223
CPT 		MRI,Uprext Jnt W/O+W/Cont 1 $2,527.14 $2,527.14 $2,527.14 nat. median
$1,158
outlier · 2.2×
73706
CPT 		CT Angio Lwr Extr W/O&with Contrast 2 $1,489.08 $3,547.94 $2,518.51 nat. median
$743
outlier · 3.4×
74160
CPT 		CT Abdomen With Contrast 1 $2,435.76 $2,435.76 $2,435.76 nat. median
$652
outlier · 3.7×
45378
CPT 		Colonoscopy,Flex,Diagnostic 10 $974.86 $2,445.89 $2,374.65 nat. median
$1,342
1.8× median
43239
CPT 		Upper Gi Endoscopy,Biopsy 18 $1,118.67 $5,119.62 $2,331.22 nat. median
$1,375
1.7× median
74183
CPT 		Mri, Abdomen W/o+ W/Contr 8 $693.36 $4,226.97 $2,329.03 nat. median
$1,100
outlier · 2.1×
73201
CPT 		CT Upper Extremity With Contrast 2 $2,311.79 $2,311.79 $2,311.79 nat. median
$804
outlier · 2.9×
45331
CPT 		Sigmoidoscopy,Biopsy 3 $1,641.89 $2,264.14 $2,264.14 nat. median
$1,137
2.0× median
78816
CPT 		Pet/CT Whole Body Tc 4 $1,849.78 $2,451.54 $2,261.21 nat. median
$2,788
0.8× median
73222
CPT 		MRI,Upr Ext, Joint,W/Cont 4 $1,239.35 $3,279.24 $2,225.48 nat. median
$1,282
1.7× median
45380
CPT 		Colonoscopy,Biopsy 19 $954.28 $3,931.81 $2,166.75 nat. median
$1,565
1.4× median
J7300
HCPCS 		Copper IUD 1 Each Box 1 $2,164.58 $2,164.58 $2,164.58 nat. median
$1,614
1.3× median
72195
CPT 		MRI,Pelvis W/Out Contrast 2 $1,220.62 $3,035.90 $2,128.26 nat. median
$806
outlier · 2.6×
73718
CPT 		MRI,Lwrext,No Jnt,No Cont 4 $1,095.24 $2,998.50 $2,114.73 nat. median
$870
outlier · 2.4×
73218
CPT 		MRI,Up Ext,No Jnt,No Cont 6 $394.15 $3,023.03 $2,088.07 nat. median
$864
outlier · 2.4×
C1889
HCPCS 		27200000-kdb Glide Kahook 10-0065-hamh 2 $137.48 $3,870.22 $2,003.85 nat. median
$2,369
0.8× median
73701
CPT 		CT Lower Extremity With Contrast 7 $780.19 $2,064.33 $2,000.49 nat. median
$671
outlier · 3.0×
J7298
HCPCS 		Levonorgestrel 20 Mcg/day IUD 1 Each Box 3 $802.57 $2,356.38 $1,978.14 nat. median
$1,679
1.2× median
70487
CPT 		CT Maxillofacial With Contrast 3 $527.40 $1,845.08 $1,807.03 nat. median
$605
outlier · 3.0×
74178
CPT 		CT Abd&Pelv 1+ Section/Regns 11 $527.40 $4,332.51 $1,794.64 nat. median
$1,024
1.8× median
74174
CPT 		CT Angio Abd&Pelv W/O&with Contrast 9 $1,340.90 $3,547.94 $1,737.92 nat. median
$988
1.8× median
72132
CPT 		CT Lumbar Spine With Contrast 2 $961.22 $2,464.67 $1,712.95 nat. median
$766
outlier · 2.2×
45382
CPT 		Colonoscopy,Control Bleeding 2 $1,632.75 $1,736.96 $1,684.86 nat. median
$1,744
1.0× median
45390
CPT 		Colonoscopy Flx W/Endoscopic Mucosal Resection 6 $858.11 $1,716.21 $1,680.83 nat. median
$3,017
0.6× median
76805
CPT 		US,Preg. Uterus,Fetal/Mat.Eval.,>1st Trim.(>/= 14 Wks 0 Dys),Transabd;Single/Fir… 12 $167.40 $1,701.30 $1,666.21 nat. median
$259
outlier · 6.4×
45385
CPT 		Colonoscopy,Remv Lesn,Snare 17 $1,215.61 $3,225.22 $1,638.30 nat. median
$1,669
1.0× median
70553
CPT 		MRI Brain W & Wo Contrast 19 $673.03 $4,137.25 $1,605.43 nat. median
$1,133
1.4× median
70490
CPT 		CT Soft Tissue Neck Without Contrast 2 $1,580.74 $1,580.74 $1,580.74 nat. median
$450
outlier · 3.5×
78708
CPT 		Kidney Flow/Func Single 1 $1,578.86 $1,578.86 $1,578.86 nat. median
$734
outlier · 2.2×
70551
CPT 		MRI Brain Wo Contrast Tc 17 $400.15 $3,906.80 $1,570.77 nat. median
$784
outlier · 2.0×
70481
CPT 		CT Orbit/Ear/Fossa With Contrast 2 $1,015.58 $2,031.15 $1,523.37 nat. median
$627
outlier · 2.4×
70544
CPT 		Mra, Head W/Out Contrast 6 $1,123.10 $3,139.50 $1,521.20 nat. median
$826
1.8× median
17000000
CDM 		Room Rate Nursery 9 $1,399.38 $1,523.78 $1,508.22 nat. median
$1,102
1.4× median
78452
CPT 		Ht Muscle Image Spect, Mult 19 $1,325.88 $3,706.35 $1,499.21 nat. median
$1,816
0.8× median
74177
CPT 		CT Abdomen&Pelvis W/Contrast 25 $106.11 $3,737.08 $1,489.48 nat. median
$974
1.5× median

Other procedures at this hospital

Browse this hospital's 791 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
             
70549 CPT Mra, Neck W/O+with Contrast 6 6 $5,081.56 $4,827.48 $1,808.64 $4,785.54 $4,637.54 2026-01-26
52287 CPT Cystourethroscopy, With Injection(S) For Chemodenervation Of The Bladder 2 2 $715.24 $679.48 $2,488.18 $6,384.47 $4,436.32 2026-01-26
72156 CPT MRI C Spine W&wo Contrast 11 11 $4,374.16 $4,155.45 $676.69 $4,246.76 $4,034.42 2026-01-26
70543 CPT MRI Orb-fac-nec W/O+W/Con 2 2 $3,953.45 $3,755.78 $3,646.39 $3,834.85 $3,740.62 2026-01-26
73722 CPT Mri, Lwrext,Joint, W/Cont 3 3 $4,053.98 $3,851.28 $676.69 $3,739.11 $3,699.75 2026-01-26
70336 CPT MRI Tempormandibular Jnt 1 1 $3,951.58 $3,754.00 $3,644.67 $3,644.67 $3,644.67 2026-01-26
78315 CPT Nm Bone Imaging 3 Phase 5 5 $3,684.72 $3,500.48 $1,395.19 $3,470.08 $3,398.53 2026-01-26
74181 CPT MRI Abdomen Without Tc 1 1 $3,482.07 $3,307.97 $3,279.24 $3,279.24 $3,279.24 2026-01-26
72157 CPT MRI T Spine W&wo Contrast 6 6 $4,373.81 $4,155.12 $676.69 $4,119.03 $3,046.81 2026-01-26
72158 CPT MRI L Spine W&wo Contrast 4 4 $4,515.51 $4,289.73 $1,709.76 $4,252.48 $2,952.73 2026-01-26
78815 CPT Pet/CT Skull-mid Thigh Tc 11 11 $7,765.79 $7,377.50 $2,294.82 $7,313.41 $2,940.44 2026-01-26
95811 CPT Polysomnography W/Cpap 1 1 $3,072.49 $2,918.87 $2,923.34 $2,923.34 $2,923.34 2026-01-26
74170 CPT CT Abdomen Without & With Contrast 2 2 $2,972.33 $2,823.71 $2,799.19 $2,799.19 $2,799.19 2026-01-26
C1776 HCPCS 27800000-163662 28mm Mod Hd Std Neck Tp1 Taper-hamh 4 4 $825.10 $783.85 $687.14 $5,246.28 $2,720.15 2026-01-26
45381 CPT Colonoscope, Submucous Inj 8 8 $3,197.51 $3,037.63 $1,505.63 $3,042.29 $2,649.86 2026-01-26
73223 CPT MRI,Uprext Jnt W/O+W/Cont 1 1 $6,466.68 $6,143.35 $2,527.14 $2,527.14 $2,527.14 2026-01-26
73706 CPT CT Angio Lwr Extr W/O&with Contrast 2 2 $3,767.40 $3,579.03 $1,489.08 $3,547.94 $2,518.51 2026-01-26
74160 CPT CT Abdomen With Contrast 1 1 $2,560.03 $2,432.03 $2,435.76 $2,435.76 $2,435.76 2026-01-26
45378 CPT Colonoscopy,Flex,Diagnostic 10 10 $2,574.62 $2,445.89 $974.86 $2,445.89 $2,374.65 2026-01-26
43239 CPT Upper Gi Endoscopy,Biopsy 18 18 $3,143.02 $2,985.87 $1,118.67 $5,119.62 $2,331.22 2026-01-26
74183 CPT Mri, Abdomen W/o+ W/Contr 8 8 $4,488.43 $4,264.01 $693.36 $4,226.97 $2,329.03 2026-01-26
73201 CPT CT Upper Extremity With Contrast 2 2 $2,506.46 $2,381.14 $2,311.79 $2,311.79 $2,311.79 2026-01-26
45331 CPT Sigmoidoscopy,Biopsy 3 3 $2,404.20 $2,283.99 $1,641.89 $2,264.14 $2,264.14 2026-01-26
78816 CPT Pet/CT Whole Body Tc 4 4 $6,474.58 $6,150.85 $1,849.78 $2,451.54 $2,261.21 2026-01-26
73222 CPT MRI,Upr Ext, Joint,W/Cont 4 4 $3,482.07 $3,307.97 $1,239.35 $3,279.24 $2,225.48 2026-01-26
45380 CPT Colonoscopy,Biopsy 19 19 $2,520.29 $2,394.28 $954.28 $3,931.81 $2,166.75 2026-01-26
J7300 HCPCS Copper IUD 1 Each Box 1 1 $2,050.20 $1,947.69 $2,164.58 $2,164.58 $2,164.58 2026-01-26
72195 CPT MRI,Pelvis W/Out Contrast 2 2 $3,223.68 $3,062.50 $1,220.62 $3,035.90 $2,128.26 2026-01-26
73718 CPT MRI,Lwrext,No Jnt,No Cont 4 4 $3,251.01 $3,088.46 $1,095.24 $2,998.50 $2,114.73 2026-01-26
73218 CPT MRI,Up Ext,No Jnt,No Cont 6 6 $3,210.02 $3,049.52 $394.15 $3,023.03 $2,088.07 2026-01-26
C1889 HCPCS 27200000-kdb Glide Kahook 10-0065-hamh 2 2 $1,862.59 $1,769.47 $137.48 $3,870.22 $2,003.85 2026-01-26
73701 CPT CT Lower Extremity With Contrast 7 7 $2,192.03 $2,082.43 $780.19 $2,064.33 $2,000.49 2026-01-26
J7298 HCPCS Levonorgestrel 20 Mcg/day IUD 1 Each Box 3 3 $2,186.34 $2,077.02 $802.57 $2,356.38 $1,978.14 2026-01-26
70487 CPT CT Maxillofacial With Contrast 3 3 $1,959.20 $1,861.24 $527.40 $1,845.08 $1,807.03 2026-01-26
74178 CPT CT Abd&Pelv 1+ Section/Regns 11 11 $4,600.50 $4,370.48 $527.40 $4,332.51 $1,794.64 2026-01-26
74174 CPT CT Angio Abd&Pelv W/O&with Contrast 9 9 $3,767.40 $3,579.03 $1,340.90 $3,547.94 $1,737.92 2026-01-26
72132 CPT CT Lumbar Spine With Contrast 2 2 $2,538.61 $2,411.68 $961.22 $2,464.67 $1,712.95 2026-01-26
45382 CPT Colonoscopy,Control Bleeding 2 2 $1,162.65 $1,104.52 $1,632.75 $1,736.96 $1,684.86 2026-01-26
45390 CPT Colonoscopy Flx W/Endoscopic Mucosal Resection 6 6 $1,822.37 $1,731.25 $858.11 $1,716.21 $1,680.83 2026-01-26
76805 CPT US,Preg. Uterus,Fetal/Mat.Eval.,>1st Trim.(>/= 14 Wks 0 Dys),Transabd;Single/Fir… 12 12 $1,806.53 $1,716.20 $167.40 $1,701.30 $1,666.21 2026-01-26
45385 CPT Colonoscopy,Remv Lesn,Snare 17 17 $3,424.71 $3,253.47 $1,215.61 $3,225.22 $1,638.30 2026-01-26
70553 CPT MRI Brain W & Wo Contrast 19 19 $4,393.16 $4,173.50 $673.03 $4,137.25 $1,605.43 2026-01-26
70490 CPT CT Soft Tissue Neck Without Contrast 2 2 $1,713.86 $1,628.17 $1,580.74 $1,580.74 $1,580.74 2026-01-26
78708 CPT Kidney Flow/Func Single 1 1 $1,676.52 $1,592.69 $1,578.86 $1,578.86 $1,578.86 2026-01-26
70551 CPT MRI Brain Wo Contrast Tc 17 17 $4,148.45 $3,941.03 $400.15 $3,906.80 $1,570.77 2026-01-26
70481 CPT CT Orbit/Ear/Fossa With Contrast 2 2 $2,156.79 $2,048.95 $1,015.58 $2,031.15 $1,523.37 2026-01-26
70544 CPT Mra, Head W/Out Contrast 6 6 $3,333.70 $3,167.02 $1,123.10 $3,139.50 $1,521.20 2026-01-26
17000000 CDM Room Rate Nursery 9 9 $1,601.52 $1,521.44 $1,399.38 $1,523.78 $1,508.22 2026-01-26
78452 CPT Ht Muscle Image Spect, Mult 19 19 $3,935.60 $3,738.82 $1,325.88 $3,706.35 $1,499.21 2026-01-26
74177 CPT CT Abdomen&Pelvis W/Contrast 25 25 $3,933.77 $3,737.08 $106.11 $3,737.08 $1,489.48 2026-01-26
75635 CPT CT Angio Abdominal Arteries 5 5 $3,767.41 $3,579.04 $1,340.90 $3,474.80 $1,475.16 2026-01-26
70496 CPT CT Angiography, Head 18 18 $3,767.41 $3,579.04 $659.76 $3,584.53 $1,448.08 2026-01-26
70498 CPT CT Angiography, Neck 17 17 $3,767.41 $3,579.04 $659.76 $3,584.53 $1,426.50 2026-01-26
71275 CPT CT Angiography, Chest 22 22 $3,767.41 $3,579.04 $451.11 $3,584.53 $1,426.50 2026-01-26
74175 CPT CT Angio Abdom Without & With Contrast 7 7 $3,767.40 $3,579.03 $131.14 $3,584.52 $1,426.49 2026-01-26
72148 CPT MRI L Spine Wo Contrast 21 21 $3,759.41 $3,571.44 $394.15 $3,540.42 $1,423.46 2026-01-26
G0121 HCPCS Colonoscopy,Screen Prev 2 2 $2,574.62 $2,445.89 $906.36 $1,899.86 $1,403.11 2026-01-26
72197 CPT Mri, Pelvis, Without Then With 15 15 $3,487.40 $3,313.03 $1,241.25 $3,318.11 $1,364.93 2026-01-26
11000000 CDM Room Rate Med Surg Private 12 12 $1,446.82 $1,374.48 $1,264.21 $4,214.04 $1,362.54 2026-01-26
11200000 CDM Room Rate OB Private 10 10 $1,446.82 $1,374.48 $1,225.03 $1,376.59 $1,362.54 2026-01-26
73220 CPT MRI Upper W/o+w Tc 5 5 $3,468.38 $3,294.96 $1,234.47 $3,294.96 $1,358.51 2026-01-26
72146 CPT MRI T Spine Wo Contrast 7 7 $3,797.42 $3,607.55 $400.15 $3,576.22 $1,355.70 2026-01-26
72141 CPT MRI C-spine Wo Contrast 15 15 $3,482.07 $3,307.97 $394.15 $3,279.23 $1,318.45 2026-01-26
78306 CPT Bone Scan, Whole Body 7 7 $3,378.03 $3,209.13 $1,202.32 $3,115.66 $1,317.76 2026-01-26
73721 CPT MRI Low Ext Jnt WO/Cont Tc 18 18 $3,441.37 $3,269.30 $401.11 $3,240.91 $1,303.04 2026-01-26
73720 CPT MRI Lower W/o+w Tc 3 3 $3,441.37 $3,269.30 $1,303.04 $3,174.09 $1,303.04 2026-01-26
72193 CPT CT Pelvis With Contrast 2 2 $2,262.91 $2,149.76 $527.40 $2,069.02 $1,298.21 2026-01-26
74176 CPT CT Abd & Pelvis Without Contrast 21 21 $3,420.37 $3,249.35 $106.10 $3,254.34 $1,295.09 2026-01-26
73206 CPT CT Angio Upr Extrm W/O&with Contrast 1 1 $3,766.87 $3,578.53 $1,272.50 $1,272.50 $1,272.50 2026-01-26
95810 CPT Polysomnography, 4 Or More 1 1 $2,813.96 $2,673.26 $1,261.36 $1,261.36 $1,261.36 2026-01-26
73221 CPT MRI Up Extremity Joint Without Tc 15 15 $3,251.01 $3,088.46 $83.33 $3,061.64 $1,230.96 2026-01-26
70486 CPT CT Maxillofacialw/O Dye 14 14 $1,750.20 $1,662.69 $175.06 $1,648.25 $1,206.45 2026-01-26
78264 CPT Gastric Emptying Study 2 2 $1,861.20 $1,768.14 $662.45 $1,716.64 $1,189.55 2026-01-26
78582 CPT Lung Ventilat&Perfus Imaging 1 1 $3,480.62 $3,306.59 $1,172.59 $1,172.59 $1,172.59 2026-01-26
71270 CPT Diagnostic CT Thorax W&wo Contrast 1 1 $3,056.06 $2,903.26 $1,157.15 $1,157.15 $1,157.15 2026-01-26
86366 CPT Muscle-specific Kinase Antb 2 2 $1,736.58 $1,649.75 $657.54 $1,635.42 $1,146.48 2026-01-26
43235 CPT Upper Gi Endoscopy,Diagnosis 3 3 $3,194.08 $3,034.38 $1,076.07 $3,039.03 $1,136.85 2026-01-26
C1783 HCPCS 27800000-f00022 Hydrus Microstent-hamh 1 1 $3,259.15 $3,096.19 $1,130.92 $1,130.92 $1,130.92 2026-01-26
72131 CPT CT Lumbar Spine Without Contrast 16 16 $2,507.28 $2,381.92 $38.63 $2,361.22 $1,061.09 2026-01-26
70470 CPT CT Head/Brain Without & With Contrast 3 3 $2,664.31 $2,531.09 $948.29 $1,060.55 $1,008.82 2026-01-26
G0105 HCPCS Colonoscopy,Flex,Screen 8 8 $2,574.62 $2,445.89 $906.36 $2,374.65 $974.86 2026-01-26
93306 CPT Tte W/Doppler, Complete 16 16 $2,727.97 $2,591.57 $771.95 $2,569.06 $970.94 2026-01-26
74220 CPT Contrast Xray Esophagus; Incl Scout & Delay (Tc) 2 2 $1,044.46 $992.24 $963.34 $963.34 $963.34 2026-01-26
72125 CPT CT Neck Spine Without Contrast 21 21 $2,507.28 $2,381.92 $177.42 $2,434.25 $962.85 2026-01-26
76857 CPT US Follicles-limited Tc 6 6 $1,038.68 $986.75 $393.29 $978.18 $958.01 2026-01-26
74221 CPT Dbl Contrast X-ray, Esophagus - Radiology 9 9 $1,049.58 $997.10 $194.03 $998.63 $957.87 2026-01-26
76816 CPT US Pregnancy Tc Follow-up 9 9 $1,038.44 $986.52 $167.40 $977.95 $957.78 2026-01-26
76801 CPT OB US < 14 Wks, Single Fetus - Radiology, Tech 12 12 $1,038.44 $986.52 $167.40 $986.52 $952.74 2026-01-26
P9040 HCPCS Irradiated Leukoreduced Rbc's 1 1 $1,030.96 $979.41 $950.88 $950.88 $950.88 2026-01-26
71260 CPT Diagnostic CT Thorax With Contrast 23 23 $2,507.28 $2,381.92 $505.38 $2,361.22 $949.36 2026-01-26
72128 CPT CT Chest Spine Without Contrast 10 10 $2,507.28 $2,381.92 $38.63 $2,361.22 $932.81 2026-01-26
15271 CPT Skin Sub Graft Trnk/Arm/Leg 1 1 $2,550.40 $2,422.88 $932.02 $932.02 $932.02 2026-01-26
90376 CPT Rabies Immune Globulin 300 Unit/2ml Solution 2 Ml Vial 1 1 $1,900.78 $1,805.74 $921.88 $921.88 $921.88 2026-01-26
J2506 HCPCS Pegfilgrastim 6 Mg/0.6ml Solution Prefilled Syringe 0.6 Ml Syringe 3 3 $11,552.38 $10,974.76 $352.93 $914.57 $914.57 2026-01-26
90675 CPT Rabies Vaccine,human Diploid Recon Susp 1 Each Vial 2 2 $1,041.14 $989.08 $882.41 $933.80 $908.11 2026-01-26
45398 CPT Colonoscopy Flexible With Band Ligation(S) 4 4 $1,295.46 $1,230.69 $490.51 $1,194.84 $902.42 2026-01-26
C1713 HCPCS 27800000-00-1147-020-72 Cannulated Screw 7.0mm X 20mm Full Thread-hamh 4 4 $455.46 $432.69 $156.77 $3,051.90 $897.74 2026-01-26
76856 CPT US Pelvic Tc Complete 16 16 $970.79 $922.25 $275.77 $922.25 $895.38 2026-01-26
72050 CPT Xray Cervical Spine 4 Or 5 Vws 2 2 $951.00 $903.45 $867.91 $877.14 $872.52 2026-01-26
76870 CPT US Scrotum & Contents Tc 8 8 $933.78 $887.09 $181.70 $906.58 $870.32 2026-01-26
96416 CPT Chemo Prolong Infusion With Pump 6 6 $936.79 $889.95 $854.93 $882.22 $864.03 2026-01-26
78227 CPT Hepatobil Syst Image W/Drug 5 5 $2,416.96 $2,296.11 $607.02 $2,229.23 $860.25 2026-01-26
93976 CPT Abd Duplex Abd-follow Up(T) 6 6 $933.86 $887.17 $279.90 $879.46 $856.80 2026-01-26
0202U OTHER Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 1 1 $899.75 $854.76 $822.66 $822.66 $822.66 2026-01-26
76641 CPT Ultrasound Breast Complete 2 2 $877.78 $833.89 $809.60 $818.12 $813.86 2026-01-26
76942 CPT US Guide Needle Bx S&i 12 12 $877.70 $833.82 $186.89 $852.14 $809.53 2026-01-26
78300 CPT Partial Bone Scan 1 1 $2,056.46 $1,953.64 $807.72 $807.72 $807.72 2026-01-26
90377 CPT Rabies Immune Globulin 300 Unit/2ml Solution 2 Ml Vial 1 1 $1,609.06 $1,528.61 $806.82 $806.82 $806.82 2026-01-26
72192 CPT CT Pelvis Without Contrast 7 7 $2,117.24 $2,011.38 $177.73 $1,952.79 $801.67 2026-01-26
70460 CPT CT Head/Brain With Contrast 1 1 $2,068.23 $1,964.82 $783.12 $783.12 $783.12 2026-01-26
94070 CPT Methacholine Challenge 4 4 $1,183.20 $1,124.04 $171.54 $1,114.28 $756.21 2026-01-26
70480 CPT CT Orbit/Ear/Fosa Without Contrast 3 3 $1,974.89 $1,876.15 $702.91 $1,802.33 $747.77 2026-01-26
70491 CPT CT Soft Tissue Neck With Contrast 15 15 $1,959.20 $1,861.24 $106.10 $1,845.08 $741.83 2026-01-26
70450 CPT CT Head/Brain Without Contrast 24 24 $1,953.53 $1,855.85 $106.10 $1,858.70 $739.69 2026-01-26
71250 CPT Diagnostic CT Thorax Without Contrast 21 21 $2,033.54 $1,931.86 $38.63 $1,915.09 $738.24 2026-01-26
64633 CPT Destroy Cerv/Thor Facet Jnt 1 1 $1,073.73 $1,020.04 $736.35 $736.35 $736.35 2026-01-26
C1781 HCPCS 27800000-2.7 Mm Variable Angle Locking Screw Stardrive Recess 10mm-hamh 1 1 $349.12 $331.66 $715.27 $715.27 $715.27 2026-01-26
73115 CPT Xray Wrist Arthrogram S&i 1 1 $773.24 $734.58 $713.18 $713.18 $713.18 2026-01-26
82731 CPT Assay Of Fetal Fibronectin 1 1 $1,067.16 $1,013.80 $711.55 $711.55 $711.55 2026-01-26
90678 CPT Rsv Vaccine Pref Subunit Bivalent IM Use 5 5 $708.00 $672.60 $350.22 $708.00 $708.00 2026-01-26
C8929 HCPCS Tte W/Doppler, Complete 5 5 $1,855.51 $1,762.73 $625.11 $1,747.43 $702.57 2026-01-26
73522 CPT X-ray Exam Hip,Bilat W/Pelvis 3-4 Vws 1 1 $758.84 $720.90 $699.90 $699.90 $699.90 2026-01-26
72110 CPT Xray Lumbosacral Minimum 4 Vws 10 10 $903.77 $858.58 $91.43 $851.13 $689.87 2026-01-26
73040 CPT Arthrogram, Shoulder S&i 1 1 $705.59 $670.31 $664.49 $664.49 $664.49 2026-01-26
73723 CPT MRI,Lwrext,Jnt W/O+W/Cont 1 1 $4,149.17 $3,941.71 $662.93 $662.93 $662.93 2026-01-26
73200 CPT CT Upper Extremity Without Contrast 12 12 $1,776.51 $1,687.68 $177.73 $1,673.03 $640.75 2026-01-26
90677 CPT Pneumococcal Conjugate Vaccine, 20 Valent (Pcv20), For Intramuscular Use 5 5 $627.55 $596.17 $37.23 $640.50 $620.89 2026-01-26
92960 CPT Cardioversion, Elective;Extern 2 2 $1,586.60 $1,507.27 $600.75 $618.93 $609.84 2026-01-26
76881 CPT US Complete Joint, Realtime With Img Tc 2 2 $660.07 $627.07 $608.80 $608.80 $608.80 2026-01-26
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6ml Solution Prefilled Syringe 0.6 Ml Syringe 2 2 $7,515.00 $7,139.25 $607.46 $607.46 $607.46 2026-01-26
73700 CPT CT Lower Extremity Without Contrast 15 15 $1,566.86 $1,488.52 $177.42 $1,475.58 $593.28 2026-01-26
76818 CPT US Fetal Biophys Profile 6 6 $630.50 $598.98 $82.22 $593.78 $581.53 2026-01-26
V2787 HCPCS 27600000-johnson & Johnson Vision Toric Ii Tecnis Odyssey 17.5d Odyssey Lens Drt… 1 1 $1,641.95 $1,559.85 $577.57 $577.57 $577.57 2026-01-26
73050 CPT Xray Ac Joints(Bilateral) 1 1 $624.98 $593.73 $576.44 $576.44 $576.44 2026-01-26
76817 CPT Transvaginal Us, Obstetric 9 9 $619.73 $588.74 $83.70 $594.94 $571.60 2026-01-26
32555 CPT Aspirate Pleura With Imaging 1 1 $1,597.14 $1,517.28 $568.46 $568.46 $568.46 2026-01-26
74246 CPT X-ray Exam, Uppr Gi Tract, Incl Scout & Delay; Double Contrast 1 1 $1,595.52 $1,515.74 $567.88 $567.88 $567.88 2026-01-26
93975 CPT Abd Duplex Abd-full 4 4 $871.54 $827.96 $312.08 $820.78 $566.92 2026-01-26
99285 CPT Facility Emergency Level V Visit 28 28 $1,407.48 $1,337.11 $71.00 $1,339.16 $532.93 2026-01-26
76815 CPT US Pregnancy Tc Limited 8 8 $583.07 $553.92 $164.43 $537.79 $532.62 2026-01-26
71111 CPT Xray Ribs Bilat 3 Vws With Pa Chest 2 2 $1,346.83 $1,279.49 $479.36 $585.68 $532.52 2026-01-26
72082 CPT X-ray Exam Entire Spine 2-3 Vws 2 2 $1,055.22 $1,002.46 $93.33 $963.02 $528.17 2026-01-26
51728 CPT Cystometrogram W/vp 6 6 $1,349.40 $1,281.93 $131.05 $670.77 $507.91 2026-01-26
77002 CPT Fluoroscopy Guid Needle Plcmt Tc 6 6 $740.09 $703.09 $263.42 $696.97 $505.76 2026-01-26
73501 CPT X-ray Exam Hip,Unilat W/Pelvis 1vw 4 4 $540.07 $513.07 $197.36 $513.85 $502.98 2026-01-26
93880 CPT Cv Carotid Imaging-bilat 9 9 $1,400.15 $1,330.14 $273.19 $1,318.59 $498.35 2026-01-26
96413 CPT Chemotherapy, IV Infusion, 1 Hour 17 17 $936.79 $889.95 $333.43 $894.95 $489.71 2026-01-26
96365 CPT IV Infusion Therapy, 1 Hour 26 26 $540.07 $513.07 $192.23 $513.85 $489.71 2026-01-26
72190 CPT Xray Pelvis Compl 3+ Tc 1 1 $528.52 $502.09 $487.47 $487.47 $487.47 2026-01-26
74019 CPT X-ray Exam Abdomen 2 Views 8 8 $513.39 $487.72 $182.73 $483.49 $473.52 2026-01-26
76819 CPT Fetal Profile Without Stress 7 7 $502.65 $477.52 $82.22 $473.37 $463.61 2026-01-26
80074 CPT Acute Hepatitis Panel 7 7 $262.02 $248.92 $48.48 $476.47 $461.73 2026-01-26
C1788 HCPCS 27800000-smart Port 8f Power Port-hamh 4 4 $693.08 $658.43 $260.87 $672.29 $460.90 2026-01-26
93926 CPT US Doppler Lw Ext Art Tc 3 3 $1,141.66 $1,084.58 $406.34 $448.36 $432.28 2026-01-26
76830 CPT US Transvaginal Tc 12 12 $619.73 $588.74 $181.70 $589.65 $431.71 2026-01-26
76700 CPT US Abdomen Tc 9 9 $1,140.13 $1,083.12 $271.63 $1,073.72 $431.70 2026-01-26
90651 CPT Hpv, Gardasil 9, 2 Or 3 Dose, IM 2 2 $710.49 $674.97 $205.26 $655.31 $430.28 2026-01-26
93970 CPT Ven Duplex Bilateral 9 9 $1,135.67 $1,078.89 $404.21 $1,069.51 $430.01 2026-01-26
84030 CPT Pku, Blood - Ref 1 1 $465.38 $442.11 $429.24 $429.24 $429.24 2026-01-26
73562 CPT Xray Knee 3 Vws 20 20 $433.39 $411.72 $154.25 $420.77 $397.62 2026-01-26
92950 CPT Heart/Lung Resuscitation (Cpr) 5 5 $1,050.01 $997.51 $373.72 $968.46 $397.58 2026-01-26
73000 CPT Xray Clavicle Complete 10 10 $424.03 $402.83 $154.96 $403.45 $395.22 2026-01-26
76770 CPT US Retroperitoneal Tc 12 12 $1,073.45 $1,019.78 $275.77 $1,010.92 $394.48 2026-01-26
92522 CPT Evaluate Speech Production 1 1 $432.06 $410.46 $394.31 $394.31 $394.31 2026-01-26
73060 CPT Xray Humerus Minimum 2 Vws 8 8 $424.03 $402.83 $150.92 $399.33 $391.10 2026-01-26
73080 CPT Xray Elbow 3+Vws Tc 15 15 $424.03 $402.83 $91.43 $402.83 $386.98 2026-01-26
J9217 HCPCS Leuprolide 7.5 Mg Kit 1 Each Box 6 6 $4,507.25 $4,281.89 $347.74 $1,240.77 $379.42 2026-01-26
80202 CPT Assay For Vancomycin 2 2 $409.39 $388.92 $377.60 $377.60 $377.60 2026-01-26
99284 CPT Facility Emergency Level IV Visit 27 27 $952.78 $905.14 $252.16 $925.03 $373.47 2026-01-26
94660 CPT Pos Airway Pressure, Cpap 8 8 $407.06 $386.71 $308.50 $841.52 $373.47 2026-01-26
88184 CPT Flow Cytometry, Cell Surface, Cytoplasmic, Nuclear Marker, Tech. Comp.; 1st 2 2 $534.96 $508.21 $203.80 $539.23 $371.51 2026-01-26
73590 CPT Xray Tibia & Fibula 2 Vws 9 9 $406.73 $386.39 $144.77 $383.03 $371.19 2026-01-26
80320 CPT Alcohols - Ref 9 9 $393.39 $373.72 $359.01 $374.29 $370.47 2026-01-26
87507 CPT Infection Agent Detect Dna/Rna Probe Tq 12-25 16 16 $827.48 $786.11 $49.69 $786.11 $369.79 2026-01-26
87641 CPT Mrsa By Amplification Na 11 11 $382.09 $362.99 $36.26 $379.80 $368.41 2026-01-26
P9016 HCPCS Leukoreduced Rbc's 10 10 $958.44 $910.52 $341.13 $902.60 $368.39 2026-01-26
73120 CPT Xray Hand 2vws Tc 4 4 $388.04 $368.64 $357.90 $376.74 $365.44 2026-01-26
J2353 HCPCS Octreotide Acetate 20 Mg Kit 1 Each Box 1 1 $8,309.34 $7,893.87 $360.31 $360.31 $360.31 2026-01-26
73020 CPT Xray Shoulder 1 Vw 6 6 $388.04 $368.64 $139.39 $365.44 $357.90 2026-01-26
74018 CPT X-ray Exam Abdomen 1 View 11 11 $388.04 $368.64 $92.82 $365.44 $354.14 2026-01-26
73090 CPT Xray Forearm 2 Vws 11 11 $388.04 $368.64 $18.61 $365.44 $354.14 2026-01-26
72170 CPT Xray Pelvis 1 Or 2 Vws 15 15 $388.04 $368.64 $130.73 $365.44 $354.14 2026-01-26
76604 CPT US Chest Tc 4 4 $553.06 $525.41 $196.84 $510.10 $353.42 2026-01-26
A9608 HCPCS Flotufolastat F 18 296-5846 Mbq/ml Solution 1 Each Vial 2 2 $9,118.44 $8,662.52 $329.94 $369.00 $349.47 2026-01-26
90734 CPT Meningococcal Vaccine, Tetravalent 2 2 $356.70 $338.87 $338.87 $345.42 $342.14 2026-01-26
73620 CPT Xray Foot 2 Vws 6 6 $366.71 $348.37 $130.52 $348.91 $340.01 2026-01-26
71100 CPT Xray Ribs Unilat 2 Vws 5 5 $360.06 $342.06 $131.58 $339.08 $332.09 2026-01-26
73552 CPT X-ray Exam Femur Min 2 Vws 9 9 $528.52 $502.09 $188.12 $497.74 $331.73 2026-01-26
93925 CPT Art Lower Extremity-bilat 2 2 $1,208.12 $1,147.71 $200.02 $457.44 $328.73 2026-01-26
71045 CPT X-ray Exam Chest 1 View 25 25 $360.06 $342.06 $128.15 $349.57 $328.60 2026-01-26
76998 CPT US Guidance, Intraoperative 2 2 $352.22 $334.61 $324.86 $331.71 $328.28 2026-01-26
74230 CPT Contrast Xray Swallowing Funct Int, Cine/Vid; Inclscout & Delay (Tc) 6 6 $866.77 $823.43 $308.50 $799.44 $328.19 2026-01-26
92524 CPT Behavral Qualit Analys Voice 2 2 $512.11 $486.50 $187.14 $467.36 $327.25 2026-01-26
45335 CPT Sigmoidoscope W/Submuc Inj 2 2 $485.17 $460.91 $189.27 $456.91 $323.09 2026-01-26
72120 CPT Xray Ls Spine Bend Tc 1 1 $903.77 $858.58 $321.68 $321.68 $321.68 2026-01-26
93971 CPT Venous Duplex Scan Uni 18 18 $831.09 $789.54 $182.05 $790.74 $319.44 2026-01-26
G0260 HCPCS Inj Sacroiliac Joint, W Or Without Arthro 3 3 $623.57 $592.39 $296.84 $315.79 $315.79 2026-01-26
84702 CPT Chorionic Gonadotropin Test 10 10 $340.36 $323.34 $15.05 $320.54 $313.93 2026-01-26
52310 CPT Fac/Cystscpy Remv Calculus Simple 7 7 $792.56 $752.93 $275.02 $705.55 $309.10 2026-01-26
52281 CPT Cystoscopy,Dil Urethral Stricture 3 3 $791.40 $751.83 $218.56 $738.28 $308.65 2026-01-26
88360 CPT Morphometric Analysis,Tumor Immunohistochemistry, Ea Antibody Manual , Tech 6 6 $110.01 $104.51 $119.02 $314.90 $308.41 2026-01-26
76536 CPT US Head/Neck Tc 15 15 $780.09 $741.09 $35.80 $756.69 $304.31 2026-01-26
77067 CPT Digital Mammogram, Screen Bil, Tc W/Cad Perf 23 23 $333.04 $316.39 $39.65 $323.34 $303.94 2026-01-26
25650 CPT Closed Rx Ulna Styloid Fx 1 1 $817.13 $776.27 $299.56 $299.56 $299.56 2026-01-26
99283 CPT Facility Emergency Level Iii Visit 26 26 $598.73 $568.79 $213.10 $897.28 $297.07 2026-01-26
99211 CPT Labor - Level I 18 13 $526.70 $500.36 $9.75 $797.42 $296.81 2026-01-26
27760 CPT Closed Rx Med Malleolus Fx 1 1 $805.19 $764.93 $295.18 $295.18 $295.18 2026-01-26
96417 CPT Chemotherapy, IV Infusion, Each Add'l Sequential Infusion 9 9 $322.37 $306.25 $114.74 $303.59 $294.20 2026-01-26
82670 CPT Endocrine E2 4 4 $282.87 $268.73 $109.63 $293.29 $287.24 2026-01-26
87491 CPT Chlamydia Trachomatis Dna, Amp Probe 12 12 $203.36 $193.19 $35.09 $291.23 $283.72 2026-01-26
87799 CPT Infec Agent Direct Probe - Ref 3 3 $305.53 $290.25 $281.80 $287.73 $281.80 2026-01-26
73100 CPT Xray Wrist 2 Vws 4 4 $300.04 $285.04 $9.31 $286.64 $279.65 2026-01-26
82024 CPT Acth - Ref 2 2 $399.05 $379.10 $151.95 $406.49 $279.22 2026-01-26
87529 CPT Hsv Detect, Amplif Probe - Ref 3 3 $240.01 $228.01 $275.25 $284.03 $278.17 2026-01-26
J1610 HCPCS Glucagon 1 Mg Recon Soln 1 Each Box 3 3 $738.48 $701.56 $123.18 $631.68 $277.97 2026-01-26
71271 CPT Low Dose CT Lung Ca Screen Wo Contrast 19 19 $733.43 $696.76 $110.31 $690.71 $277.71 2026-01-26
80306 CPT Drug Screen Presump Opt Inst 17 17 $300.50 $285.48 $17.71 $291.75 $277.16 2026-01-26
25560 CPT Closed Rx Rad/Ulna Shaft Fx 1 1 $687.07 $652.72 $276.87 $276.87 $276.87 2026-01-26
41010 CPT Incision Of Tongue Fold 1 1 $166.70 $158.37 $275.75 $275.75 $275.75 2026-01-26
93922 CPT Extremity Study 8 8 $401.38 $381.31 $142.86 $382.70 $274.76 2026-01-26
93005 CPT ECG 12 Lead, Tracing Only 27 27 $300.04 $285.04 $106.79 $291.30 $273.82 2026-01-26
99282 CPT Facility Emergency Level Ii Visit 18 18 $375.39 $356.62 $137.18 $356.62 $272.91 2026-01-26
76642 CPT Ultrasound Breast Limited 21 21 $700.52 $665.49 $47.25 $659.72 $265.25 2026-01-26
99195 CPT Phlebotomy 6 6 $401.83 $381.74 $124.90 $378.43 $261.38 2026-01-26
87591 CPT Neisseria Gonorrhoeae Dna, Amp Probe 12 12 $286.44 $272.12 $35.09 $262.42 $255.65 2026-01-26
28470 CPT Closed Rx Metatarsal Fx 1 1 $384.49 $365.27 $255.54 $255.54 $255.54 2026-01-26
73070 CPT Xray Elbow 2 Vws 8 8 $388.04 $368.64 $138.11 $365.44 $252.75 2026-01-26
76705 CPT US Abdomen Limited Tc 19 19 $656.74 $623.90 $181.70 $618.49 $250.73 2026-01-26
76775 CPT US Renal Retroperit Ltd 5 5 $660.07 $627.07 $234.93 $608.80 $249.93 2026-01-26
76882 CPT US Ext Non-vasc Img Lmtd 13 13 $658.89 $625.95 $91.02 $620.51 $249.48 2026-01-26
94726 CPT Pulm Funct Tst Plethysmograp 12 12 $647.18 $614.82 $105.26 $615.76 $248.76 2026-01-26
70150 CPT Xray Facial Bones Minimum 3 Vws 1 1 $678.49 $644.57 $247.95 $247.95 $247.95 2026-01-26
73140 CPT Xray Finger(S) Tc 17 17 $265.37 $252.10 $91.43 $257.64 $244.76 2026-01-26
87469 CPT Detection Of Babesia Microtim By Amplified Nucleic Acid Probe Technique 13 13 $643.75 $611.56 $35.09 $606.25 $243.75 2026-01-26
70360 CPT Xray Neck, Soft Tissue 2 2 $498.42 $473.50 $14.40 $469.39 $241.90 2026-01-26
72070 CPT Xray Thoracic Spine 2 Vws 9 9 $634.08 $602.38 $225.69 $597.14 $240.09 2026-01-26
86708 CPT Hepatitis A Antibody, Tot - Ref 1 1 $254.02 $241.32 $239.24 $239.24 $239.24 2026-01-26
88173 CPT Tech-cytopath Eval, Fna, Rep 3 3 $388.05 $368.65 $97.64 $237.85 $235.35 2026-01-26
88344 CPT Immunohisto Antibody Slide Ea Multiplex 10 10 $327.39 $311.02 $227.52 $602.02 $234.79 2026-01-26
87631 CPT Resp Virus 3-5 Targets 26 26 $608.97 $578.52 $140.78 $591.23 $234.06 2026-01-26
86334 CPT Immunofixation Elp, Serum 3 3 $313.36 $297.69 $94.34 $234.63 $229.80 2026-01-26
72072 CPT Xray Thoracic Spine 3 Vws 4 4 $634.08 $602.38 $46.67 $597.14 $225.69 2026-01-26
L3010 HCPCS Foot Insert Removable Long Arch Sppt 2 2 $243.44 $231.27 $222.17 $224.54 $223.35 2026-01-26
73502 CPT X-ray Exam Hip,Unilat W/Pelvis 2-3 Vws 22 22 $600.07 $570.07 $18.61 $565.11 $223.25 2026-01-26
84112 CPT Placental Alpha Micro Ig C/v 5 5 $241.94 $229.84 $90.57 $223.15 $223.15 2026-01-26
99212 CPT Office/Outpt Visit,Est,Levl Ii 6 5 $522.29 $496.18 $25.00 $895.38 $220.84 2026-01-26
76820 CPT Doppler Velocimetry, Fetal, Umbilical Artery, Tech 4 4 $239.73 $227.74 $83.47 $225.77 $219.95 2026-01-26
76706 CPT Aaa US Screen Tc 10 10 $566.24 $537.93 $199.34 $549.75 $217.64 2026-01-26
97164 CPT Physical Therapy Re-eval Est Plan Care 20 Mins 7 7 $235.04 $223.29 $83.65 $223.63 $216.78 2026-01-26
77066 CPT Digital Mamm, Diag, Bilat, Tc W/Cad Perf 14 14 $332.90 $316.26 $39.65 $319.42 $214.93 2026-01-26
82668 CPT Assay Of Erythropoietin 3 3 $510.74 $485.20 $19.42 $218.16 $213.66 2026-01-26
97032 CPT Electrical Stimulation 3 3 $231.16 $219.60 $87.53 $217.70 $213.21 2026-01-26
G0103 HCPCS Psa Screening 18 18 $231.86 $220.27 $19.95 $220.61 $212.72 2026-01-26
86304 CPT Tumor Antigen, Ca-125 1 1 $295.01 $280.26 $212.41 $212.41 $212.41 2026-01-26
J9355 HCPCS Trastuzumab 150 Mg Recon Soln 1 Each Vial 1 1 $3,272.68 $3,109.05 $211.63 $211.63 $211.63 2026-01-26
80329 CPT Analgesics, Non-opioid; 1 Or 2 6 6 $454.38 $431.66 $206.53 $213.12 $210.92 2026-01-26
96360 CPT First Hour IV Hydration <1 Hour 22 22 $322.37 $306.25 $96.92 $306.72 $209.97 2026-01-26
99281 CPT Facility Emergency Level 1 Visit 7 7 $226.49 $215.17 $80.93 $219.89 $208.90 2026-01-26
73523 CPT X-ray Exam Hip,Bilat W/Pelvis Min 5 Vws 7 7 $548.02 $520.62 $92.82 $505.46 $207.50 2026-01-26
A4550 HCPCS 27200000-alcon Eye Pack Kuchinka 18406-03-hamh 2 2 $658.83 $625.89 $152.65 $256.94 $204.80 2026-01-26
96411 CPT Chemotherapy, IV Push, Additional Drug 2 2 $322.37 $306.25 $114.74 $294.20 $204.47 2026-01-26
25600 CPT Closed Rx Dist Rad/Ulna Fx 3 3 $566.55 $538.22 $197.00 $419.76 $204.11 2026-01-26
77072 CPT Bone Age Studies Tc 2 2 $387.97 $368.57 $46.67 $357.84 $202.25 2026-01-26
J2997 HCPCS Alteplase 100 Mg Recon Soln 1 Each Vial 2 2 $15,840.65 $15,048.62 $198.93 $205.28 $202.11 2026-01-26
84146 CPT Assay For Prolactin 4 4 $454.36 $431.64 $19.73 $427.90 $201.66 2026-01-26
91322 CPT Sarscov2 Vaccine 50 Mcg/0.5 Ml For IM Use 8 8 $340.30 $323.29 $102.29 $273.64 $201.21 2026-01-26
A9562 HCPCS Tc99 Mertiatide To 15 Mci 1 1 $213.52 $202.84 $201.08 $201.08 $201.08 2026-01-26
82150 CPT Assay Of Amylase 3 3 $216.37 $205.55 $6.70 $203.77 $199.57 2026-01-26
86696 CPT Herpes Simplex Type 2 8 8 $71.41 $67.84 $19.69 $202.73 $197.50 2026-01-26
84144 CPT Assay Progesterone 2 2 $347.38 $330.01 $191.49 $201.57 $196.53 2026-01-26
73564 CPT Xray Knee 4 Or More Vws 19 19 $513.39 $487.72 $91.43 $498.44 $194.39 2026-01-26
73030 CPT Xray Shoulder Minimum 2 Vws 23 23 $506.73 $481.39 $93.33 $477.22 $193.64 2026-01-26
82378 CPT Carcinoembryonic Antigen 7 7 $376.03 $357.23 $18.96 $199.64 $193.46 2026-01-26
72220 CPT Xray Sacrum/ Coccyx Minimum 2 Vws 5 5 $528.52 $502.09 $93.33 $487.47 $193.14 2026-01-26
23600 CPT Closed Rx Prox Humerus Fracture 1 1 $524.27 $498.06 $192.20 $192.20 $192.20 2026-01-26
87075 CPT Lab Wound Culture Anaerobic 2 2 $406.24 $385.93 $9.64 $374.69 $192.17 2026-01-26
76937 CPT US Guide, Vascular Access 1 1 $204.34 $194.12 $191.71 $191.71 $191.71 2026-01-26
72040 CPT Xray Cervical Spine 2 Or 3 Vws 9 9 $526.72 $500.38 $93.33 $496.04 $191.21 2026-01-26
83002 CPT Gonadotropin (Lh) 6 6 $200.56 $190.53 $72.71 $194.50 $190.48 2026-01-26
83001 CPT Fsh - Ref 7 7 $376.03 $357.23 $78.20 $194.50 $190.48 2026-01-26
96376 CPT Tx/Pro/Dx Inj Same Drug Adon 20 20 $208.02 $197.62 $74.04 $197.92 $190.02 2026-01-26
94010 CPT Spirometry Incl Graph Rec Tc 10 10 $244.71 $232.47 $95.84 $276.48 $189.55 2026-01-26
86665 CPT Epstein-barr Antibody 2 2 $143.90 $136.71 $186.46 $190.39 $188.43 2026-01-26
L0140 HCPCS Collar Stif Neck-h 6 6 $201.70 $191.62 $76.37 $189.96 $188.00 2026-01-26
86308 CPT Heterophile Antibodies 6 6 $203.36 $193.19 $5.18 $191.52 $187.57 2026-01-26
77080 CPT Dxa, Bone Density Study, Hips/Pelv/Spine 19 19 $478.73 $454.79 $131.09 $455.49 $186.75 2026-01-26
27786 CPT Closed Rx Dist Fibula Fx 3 3 $579.66 $550.68 $186.68 $198.59 $186.68 2026-01-26
92526 CPT Oral Function Therapy 2 2 $314.71 $298.97 $80.89 $290.26 $185.57 2026-01-26
92523 CPT Speech Sound Lang Comprehen 4 4 $519.05 $493.10 $174.87 $202.48 $184.74 2026-01-26
31238 CPT Nasal/Sinus Scopy,Ctrl Bleed 3 3 $492.00 $467.40 $179.73 $201.01 $184.54 2026-01-26
12051 CPT Layr Clos Wnd Face,Facial <2.5cm 1 1 $877.78 $833.89 $183.35 $183.35 $183.35 2026-01-26
87522 CPT Hepatitis C RNA Quant 7 7 $509.08 $483.63 $42.84 $186.26 $182.42 2026-01-26
94762 CPT Noninvasv Oxygen Satut,Continuous 2 2 $525.27 $499.01 $176.96 $186.96 $181.96 2026-01-26
L0174 HCPCS Semi-rigid Cerv Collar W Thor Ext 1 1 $1,082.77 $1,028.63 $179.51 $179.51 $179.51 2026-01-26
36430 CPT Blood Transfusion Service 10 10 $461.39 $438.32 $164.22 $434.51 $177.34 2026-01-26
94060 CPT Broncho Response & Spirometry 14 14 $460.06 $437.06 $163.74 $439.51 $176.83 2026-01-26
96368 CPT Concurrent Infusion 18 18 $193.71 $184.02 $68.95 $184.31 $176.79 2026-01-26
82652 CPT Vit D 1 25-dihydroxy 3 3 $137.34 $130.47 $174.52 $176.38 $176.38 2026-01-26
11750 CPT Removal Of Nail Bed 2 2 $427.25 $405.89 $101.02 $249.17 $175.09 2026-01-26
72100 CPT Xray Lumbosacral 2 Or 3 Vws 19 19 $460.06 $437.06 $23.33 $446.26 $174.20 2026-01-26
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