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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

VERNON MEMORIAL HOSPITAL

Viroqua, WI · CCN 521348 · Rates published

1,062 distinct procedures filed
19 distinct payers
14,392 rate rows
2025-11-21 last MRF observed
Data quality

13,432 of 14,392 rate rows are consumer-grade (93.3%)

960 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 938
exceeds 10× this hospital's gross charge — excluded from medians 12
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://machine-readable-files.com/vernon-memorial-hospital/390806404_Vernon-Memorial-Healthcare-Inc_standardcharges.csv
Found on page https://www.vmh.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 04e4e85683318b64… · 2,615,320 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
58661
CPT 		Hchg 58661 Laparoscopy, Surgical; W/removal Of Adnexal Structures 1 $7,424.10 $7,424.10 $7,424.10 nat. median
$5,899
1.3× median
72156
CPT 		Hchg 72156 MRI C-spine W&wo Contrast 8 $697.30 $3,497.12 $2,815.26 nat. median
$1,092
outlier · 2.6×
45380
CPT 		Hchg Vmh Colon Splenic Bx 15 $1,205.64 $3,706.70 $2,741.90 nat. median
$1,566
1.8× median
70546
CPT 		Hchg 70546 MRA-head Wo & W/contrast 6 $842.28 $4,620.00 $2,715.23 nat. median
$1,043
outlier · 2.6×
45381
CPT 		Hchg Vmh Colonoscopy/subm Inj 1 $2,689.39 $2,689.39 $2,689.39 nat. median
$1,609
1.7× median
43239
CPT 		Hchg Vmh Egd W/biopsy 11 $1,270.70 $3,650.00 $2,657.20 nat. median
$1,377
1.9× median
46040
CPT 		Hchg Vmh ER 46040 I&d Ischio/perirectal Abscess 1 $2,635.52 $2,635.52 $2,635.52 nat. median
$1,775
1.5× median
45378
CPT 		Hchg Vmh Colonoscopy/splenic 9 $1,688.18 $2,813.36 $2,589.57 nat. median
$1,331
1.9× median
74178
CPT 		Hchg 74178 CT Abd&pelvis;w/o,w/contrast 7 $669.44 $6,350.89 $2,567.05 nat. median
$979
outlier · 2.6×
45398
CPT 		Hchg Vmh Colonoscopy W/band 2 $1,398.27 $3,686.32 $2,542.30 nat. median
$1,637
1.6× median
43235
CPT 		Hchg Vmh Egd 8 $1,039.00 $3,375.00 $2,305.21 nat. median
$1,340
1.7× median
73222
CPT 		Hchg 73222 MRI Upper Ext W/contrast 2 $1,326.78 $3,218.16 $2,272.47 nat. median
$1,313
1.7× median
74170
CPT 		Hchg 74170 CT Abd W&without IV Cont 4 $1,187.43 $3,422.32 $2,242.86 nat. median
$703
outlier · 3.2×
45385
CPT 		Hchg Vmh Colon/tumor/snare 13 $1,409.04 $3,615.04 $2,225.18 nat. median
$1,686
1.3× median
93350
CPT 		Hchg 93350 Echocardiography, Transthoracic, W/exercise, Contrast 9 $741.84 $2,655.84 $2,142.78 nat. median
$828
outlier · 2.6×
73721
CPT 		Hchg 73721 MRI Lower EXT;without Contrast 15 $413.33 $2,867.41 $2,083.82 nat. median
$899
outlier · 2.3×
73221
CPT 		Hchg 73221 MRI-up Extrm-joint Without Contras 11 $413.33 $2,746.48 $2,083.82 nat. median
$880
outlier · 2.4×
78315
CPT 		Hchg 78315 Bone And/or Joint Imaging; 3 Phase Study 2 $1,161.23 $2,808.08 $1,984.65 nat. median
$803
outlier · 2.5×
70543
CPT 		Hchg 70543 MRI-orbit/face/neck Wo&w Contr 4 $697.30 $3,322.62 $1,945.58 nat. median
$1,079
1.8× median
73722
CPT 		Hchg 73722 MRI Lower Ext;w/contrast 2 $1,129.67 $2,709.52 $1,919.60 nat. median
$1,302
1.5× median
70496
CPT 		Hchg 70496 CT Angio Head W/o&w IV Cont 14 $723.79 $4,586.56 $1,836.39 nat. median
$729
outlier · 2.5×
99291
CPT 		Hchg Vmh Basic ER Level Vi 5 $820.46 $2,231.68 $1,800.56 nat. median
$1,610
1.1× median
71552
CPT 		Hchg 71552 MRI-chest Wo & W/contrast 2 $1,726.74 $1,760.76 $1,743.75 nat. median
$1,093
1.6× median
87999
CPT 		Biofire Joint Infection Panel 5 $924.70 $2,418.24 $1,728.49 nat. median
$563
outlier · 3.1×
27252
CPT 		Hchg Vmh ER Clsd Trmt Hip Dislocation, Traumatic; W/anest 2 $1,653.31 $1,732.89 $1,693.10 nat. median
$2,058
0.8× median
73206
CPT 		Hchg 73206 CT Angio Upr Extr Wo&w IV Cont 1 $1,679.68 $1,679.68 $1,679.68 nat. median
$697
outlier · 2.4×
93017
CPT 		Hchg 93017 Cardiovascular Stress Test, Treadmill/bicycle, Cont Monitoring (gxt);… 15 $283.87 $1,995.84 $1,610.28 nat. median
$552
outlier · 2.9×
45331
CPT 		Hchg Vmh Sigmoidoscopy/biopsy 3 $796.98 $2,201.32 $1,603.89 nat. median
$1,152
1.4× median
72148
CPT 		Hchg 72148 MRI-lumbar Spine Without Contrast 14 $439.00 $2,867.41 $1,597.89 nat. median
$770
outlier · 2.1×
13152
CPT 		Hchg Vmh ER Repair Complex Wound Eyelids, Nose, Ears Or Lips 2 $720.25 $2,437.47 $1,578.86 nat. median
$918
1.7× median
74177
CPT 		Hchg 74177 CT Abd&pelvis;w/contrast 16 $506.53 $4,076.80 $1,554.32 nat. median
$928
1.7× median
74174
CPT 		Hchg 74174 CTA Abd & Pelvis W/contrast,incl Noncont 8 $723.81 $3,600.96 $1,516.12 nat. median
$959
1.6× median
29001820
CDM 		Hchg Vmh Swing Bed/sub Acute 9 $787.58 $4,221.00 $1,445.99 nat. median
$1,446
1.0× median
29001860
CDM 		Hchg Vmh Monitor Room Critical 9 $787.58 $4,221.00 $1,445.99 nat. median
$1,446
1.0× median
29001880
CDM 		Hchg Vmh Room & Care Reg Cc/mon 9 $787.58 $4,221.00 $1,445.99 nat. median
$1,446
1.0× median
29001870
CDM 		Hchg Vmh Room & Care Minimal 9 $787.58 $4,221.00 $1,445.99 nat. median
$1,446
1.0× median
72158
CPT 		Hchg 72158 MRI L-spine W&wo Contrast 7 $697.30 $3,125.58 $1,428.44 nat. median
$1,081
1.3× median
75635
CPT 		Hchg 75635 CT Angio Aorta And Runoffs 3 $1,374.86 $1,567.97 $1,419.92 nat. median
$706
outlier · 2.0×
74183
CPT 		Hchg 74183 MRI-abdomen Wo & W/contrast 6 $1,378.98 $2,461.24 $1,416.93 nat. median
$1,102
1.3× median
70549
CPT 		Hchg 70549 MRA-neck Wo&w/contrast 2 $1,405.94 $1,417.32 $1,411.63 nat. median
$1,051
1.3× median
70553
CPT 		Hchg 70553 MRI Head W&wo Contrast 13 $697.30 $3,650.92 $1,404.20 nat. median
$1,122
1.3× median
74175
CPT 		Hchg 74175 CT Angio Abd Wo&w IV Cont 3 $845.54 $1,470.96 $1,403.20 nat. median
$710
2.0× median
70544
CPT 		Hchg 70544 MRA-head Without Contrast 6 $842.28 $3,125.58 $1,377.84 nat. median
$817
1.7× median
72157
CPT 		Hchg 72157 MRI T-spine W&wo Contrast 3 $697.30 $2,581.91 $1,363.08 nat. median
$1,094
1.2× median
76376
CPT 		Hchg 76376 3d Rendering W/interp/rpt Wo Use Of Indep Workstn (radiant) 1 $1,355.98 $1,355.98 $1,355.98 nat. median
$336
outlier · 4.0×
73723
CPT 		Hchg 73723 MRI Lower Ext;w/o,w/cont 3 $1,273.53 $2,455.46 $1,338.73 nat. median
$1,264
1.1× median
L1846
HCPCS 		Hchg Vmh Acl Knee Brace 2 $710.15 $1,814.56 $1,262.36 nat. median
$1,473
0.9× median
G0121
HCPCS 		Hchg Vmh Colonoscopy Screen 4 $1,205.64 $1,696.89 $1,252.74 nat. median
$1,368
0.9× median
13131
CPT 		Hchg Vmh ER Repair Complex Wound, Foreheard, Cheeks, Chin, Mouth, Neck, Axillae,… 2 $842.40 $1,661.40 $1,251.90 nat. median
$638
2.0× median
70498
CPT 		Hchg 70498 CT Angio Neck W/o&w IV Cont 13 $723.79 $2,886.03 $1,247.05 nat. median
$722
1.7× median

Other procedures at this hospital

Browse this hospital's 1,062 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
             
58661 CPT Hchg 58661 Laparoscopy, Surgical; W/removal Of Adnexal Structures 2 1 $988.00 $988.00 $7,424.10 $7,424.10 $7,424.10 2025-11-21
72156 CPT Hchg 72156 MRI C-spine W&wo Contrast 16 8 $4,093.00 $4,093.00 $697.30 $3,497.12 $2,815.26 2025-11-21
45380 CPT Hchg Vmh Colon Splenic Bx 30 15 $3,838.00 $3,838.00 $1,205.64 $3,706.70 $2,741.90 2025-11-21
70546 CPT Hchg 70546 MRA-head Wo & W/contrast 12 6 $5,624.00 $5,624.00 $842.28 $4,620.00 $2,715.23 2025-11-21
45381 CPT Hchg Vmh Colonoscopy/subm Inj 2 1 $3,620.00 $3,620.00 $2,689.39 $2,689.39 $2,689.39 2025-11-21
43239 CPT Hchg Vmh Egd W/biopsy 22 11 $3,804.00 $3,804.00 $1,270.70 $3,650.00 $2,657.20 2025-11-21
46040 CPT Hchg Vmh ER 46040 I&d Ischio/perirectal Abscess 2 1 $3,823.00 $3,823.00 $2,635.52 $2,635.52 $2,635.52 2025-11-21
45378 CPT Hchg Vmh Colonoscopy/splenic 18 9 $3,293.00 $3,293.00 $1,688.18 $2,813.36 $2,589.57 2025-11-21
74178 CPT Hchg 74178 CT Abd&pelvis;w/o,w/contrast 14 7 $7,188.00 $7,188.00 $669.44 $6,350.89 $2,567.05 2025-11-21
45398 CPT Hchg Vmh Colonoscopy W/band 4 2 $4,315.00 $4,315.00 $1,398.27 $3,686.32 $2,542.30 2025-11-21
43235 CPT Hchg Vmh Egd 16 8 $3,180.00 $3,180.00 $1,039.00 $3,375.00 $2,305.21 2025-11-21
73222 CPT Hchg 73222 MRI Upper Ext W/contrast 4 2 $3,917.00 $3,917.00 $1,326.78 $3,218.16 $2,272.47 2025-11-21
74170 CPT Hchg 74170 CT Abd W&without IV Cont 8 4 $4,006.00 $4,006.00 $1,187.43 $3,422.32 $2,242.86 2025-11-21
45385 CPT Hchg Vmh Colon/tumor/snare 26 13 $4,231.00 $4,231.00 $1,409.04 $3,615.04 $2,225.18 2025-11-21
93350 CPT Hchg 93350 Echocardiography, Transthoracic, W/exercise, Contrast 18 9 $2,686.00 $2,686.00 $741.84 $2,655.84 $2,142.78 2025-11-21
73221 CPT Hchg 73221 MRI-up Extrm-joint Without Contras 22 11 $3,215.00 $3,215.00 $413.33 $2,746.48 $2,083.82 2025-11-21
73721 CPT Hchg 73721 MRI Lower EXT;without Contrast 30 15 $3,246.00 $3,246.00 $413.33 $2,867.41 $2,083.82 2025-11-21
78315 CPT Hchg 78315 Bone And/or Joint Imaging; 3 Phase Study 4 2 $3,483.00 $3,483.00 $1,161.23 $2,808.08 $1,984.65 2025-11-21
70543 CPT Hchg 70543 MRI-orbit/face/neck Wo&w Contr 8 4 $4,225.00 $4,225.00 $697.30 $3,322.62 $1,945.58 2025-11-21
73722 CPT Hchg 73722 MRI Lower Ext;w/contrast 4 2 $3,298.00 $3,298.00 $1,129.67 $2,709.52 $1,919.60 2025-11-21
70496 CPT Hchg 70496 CT Angio Head W/o&w IV Cont 28 14 $5,368.00 $5,368.00 $723.79 $4,586.56 $1,836.39 2025-11-21
99291 CPT Hchg Vmh Basic ER Level Vi 10 5 $2,612.00 $2,612.00 $820.46 $2,231.68 $1,800.56 2025-11-21
71552 CPT Hchg 71552 MRI-chest Wo & W/contrast 4 2 $5,038.00 $5,038.00 $1,726.74 $1,760.76 $1,743.75 2025-11-21
87999 CPT Biofire Joint Infection Panel 10 5 $2,830.00 $2,830.00 $924.70 $2,418.24 $1,728.49 2025-11-21
27252 CPT Hchg Vmh ER Clsd Trmt Hip Dislocation, Traumatic; W/anest 4 2 $5,195.00 $5,195.00 $1,653.31 $1,732.89 $1,693.10 2025-11-21
73206 CPT Hchg 73206 CT Angio Upr Extr Wo&w IV Cont 2 1 $5,149.00 $5,149.00 $1,679.68 $1,679.68 $1,679.68 2025-11-21
93017 CPT Hchg 93017 Cardiovascular Stress Test, Treadmill/bicycle, Cont Monitoring (gxt);… 30 15 $2,336.00 $2,336.00 $283.87 $1,995.84 $1,610.28 2025-11-21
45331 CPT Hchg Vmh Sigmoidoscopy/biopsy 6 3 $2,327.00 $2,327.00 $796.98 $2,201.32 $1,603.89 2025-11-21
72148 CPT Hchg 72148 MRI-lumbar Spine Without Contrast 28 14 $3,246.00 $3,246.00 $439.00 $2,867.41 $1,597.89 2025-11-21
13152 CPT Hchg Vmh ER Repair Complex Wound Eyelids, Nose, Ears Or Lips 4 2 $3,577.00 $3,577.00 $720.25 $2,437.47 $1,578.86 2025-11-21
74177 CPT Hchg 74177 CT Abd&pelvis;w/contrast 32 16 $4,614.00 $4,614.00 $506.53 $4,076.80 $1,554.32 2025-11-21
74174 CPT Hchg 74174 CTA Abd & Pelvis W/contrast,incl Noncont 16 8 $4,215.00 $4,215.00 $723.81 $3,600.96 $1,516.12 2025-11-21
29001880 CDM Hchg Vmh Room & Care Reg Cc/mon 18 9 $1,735.00 $1,735.00 $787.58 $4,221.00 $1,445.99 2025-11-21
29001860 CDM Hchg Vmh Monitor Room Critical 18 9 $2,287.00 $2,287.00 $787.58 $4,221.00 $1,445.99 2025-11-21
29001870 CDM Hchg Vmh Room & Care Minimal 18 9 $1,568.00 $1,568.00 $787.58 $4,221.00 $1,445.99 2025-11-21
29001820 CDM Hchg Vmh Swing Bed/sub Acute 18 9 $632.00 $632.00 $787.58 $4,221.00 $1,445.99 2025-11-21
72158 CPT Hchg 72158 MRI L-spine W&wo Contrast 14 7 $4,093.00 $4,093.00 $697.30 $3,125.58 $1,428.44 2025-11-21
75635 CPT Hchg 75635 CT Angio Aorta And Runoffs 6 3 $4,215.00 $4,215.00 $1,374.86 $1,567.97 $1,419.92 2025-11-21
74183 CPT Hchg 74183 MRI-abdomen Wo & W/contrast 12 6 $4,093.00 $4,093.00 $1,378.98 $2,461.24 $1,416.93 2025-11-21
70549 CPT Hchg 70549 MRA-neck Wo&w/contrast 4 2 $4,217.00 $4,217.00 $1,405.94 $1,417.32 $1,411.63 2025-11-21
70553 CPT Hchg 70553 MRI Head W&wo Contrast 26 13 $4,132.00 $4,132.00 $697.30 $3,650.92 $1,404.20 2025-11-21
74175 CPT Hchg 74175 CT Angio Abd Wo&w IV Cont 6 3 $4,209.00 $4,209.00 $845.54 $1,470.96 $1,403.20 2025-11-21
70544 CPT Hchg 70544 MRA-head Without Contrast 12 6 $4,093.00 $4,093.00 $842.28 $3,125.58 $1,377.84 2025-11-21
72157 CPT Hchg 72157 MRI T-spine W&wo Contrast 6 3 $4,093.00 $4,093.00 $697.30 $2,581.91 $1,363.08 2025-11-21
76376 CPT Hchg 76376 3d Rendering W/interp/rpt Wo Use Of Indep Workstn (radiant) 2 1 $1,526.00 $1,526.00 $1,355.98 $1,355.98 $1,355.98 2025-11-21
73723 CPT Hchg 73723 MRI Lower Ext;w/o,w/cont 6 3 $3,974.00 $3,974.00 $1,273.53 $2,455.46 $1,338.73 2025-11-21
L1846 HCPCS Hchg Vmh Acl Knee Brace 4 2 $2,124.00 $2,124.00 $710.15 $1,814.56 $1,262.36 2025-11-21
G0121 HCPCS Hchg Vmh Colonoscopy Screen 8 4 $3,620.00 $3,620.00 $1,205.64 $1,696.89 $1,252.74 2025-11-21
13131 CPT Hchg Vmh ER Repair Complex Wound, Foreheard, Cheeks, Chin, Mouth, Neck, Axillae,… 4 2 $2,340.00 $2,340.00 $842.40 $1,661.40 $1,251.90 2025-11-21
70498 CPT Hchg 70498 CT Angio Neck W/o&w IV Cont 26 13 $3,670.00 $3,670.00 $723.79 $2,886.03 $1,247.05 2025-11-21
C8929 HCPCS Hchg 93306 Transtho Echo W/contrast 18 7 $3,669.00 $3,669.00 $144.08 $1,474.18 $1,223.02 2025-11-21
43249 CPT Hchg Vmh Egd W/balloon Dilat 4 2 $3,589.00 $3,589.00 $1,208.95 $1,219.40 $1,214.18 2025-11-21
70470 CPT Hchg 70470 CT Head W&without IV Cont 6 3 $3,461.00 $3,461.00 $587.41 $2,956.80 $1,187.11 2025-11-21
70492 CPT Hchg 70492 CT Neck Soft Tis Wo&w IV Cont 6 3 $3,461.00 $3,461.00 $1,167.24 $2,956.80 $1,187.11 2025-11-21
93308 CPT Hchg 93308 Echocardio-transthoracic Fu/ltd 28 12 $3,169.00 $3,169.00 $30.53 $2,707.76 $1,172.97 2025-11-21
71275 CPT Hchg 71275 CT Angio Chest Wo&w IV Cont 30 15 $3,442.00 $3,442.00 $636.28 $3,041.22 $1,169.70 2025-11-21
70551 CPT Hchg 70551 MRI Head (3 Seq) 24 12 $3,246.00 $3,246.00 $439.00 $2,772.88 $1,131.96 2025-11-21
93306 CPT Hchg 93306 Transtho Echo W/contrast 40 15 $3,669.00 $3,669.00 $199.12 $3,293.00 $1,130.12 2025-11-21
73718 CPT Hchg 73718 MRI Lwr Extrem Without Contrast 10 5 $3,215.00 $3,215.00 $1,072.20 $2,746.48 $1,123.56 2025-11-21
72141 CPT Hchg 72141 MRI-cervical Spine Without Contras 18 9 $3,215.00 $3,215.00 $413.33 $2,746.48 $1,123.56 2025-11-21
70547 CPT Hchg 70547 MRA-neck Without Contrast 6 3 $3,727.00 $3,727.00 $842.28 $1,242.67 $1,122.87 2025-11-21
46221 CPT Hchg 46221 Hemorrhoidectomy, Internal, By Rubber Band Ligation(s) 4 2 $2,905.00 $2,905.00 $994.90 $1,240.80 $1,117.85 2025-11-21
74176 CPT Hchg 74176 CT Abd&pelvis; Without Contrast 32 16 $3,288.00 $3,288.00 $265.59 $2,904.72 $1,112.41 2025-11-21
93975 CPT Hchg 93975 Duplex Scan Arterial Flow, Venous Outflow Abd, Pelvic, Scrotal, Retro… 14 7 $3,255.00 $3,255.00 $302.54 $2,673.44 $1,106.00 2025-11-21
74160 CPT Hchg 74160 CT Abdomen W/iv Cont 10 5 $3,204.00 $3,204.00 $520.77 $2,607.44 $1,104.11 2025-11-21
45338 CPT Hchg Vmh Sigmoidoscopy/snare 2 1 $2,826.00 $2,826.00 $1,100.66 $1,100.66 $1,100.66 2025-11-21
71260 CPT Hchg 71260 Ct, Thorax, Diagnostic; W/contrast 32 16 $3,184.00 $3,184.00 $520.77 $2,842.87 $1,099.51 2025-11-21
87507 CPT Infectious Agent Antigen Detection; Gastrointestinal Pathogen 2 1 $1,119.00 $1,119.00 $1,085.62 $1,085.62 $1,085.62 2025-11-21
72193 CPT Hchg 72193 CT Pelvis W/iv Cont 4 2 $3,148.00 $3,148.00 $1,049.91 $1,116.43 $1,083.17 2025-11-21
73720 CPT Hchg 73720 MRI Lower Ext Wo & W/contrast 8 4 $4,327.00 $4,327.00 $697.30 $1,470.35 $1,082.52 2025-11-21
C8928 HCPCS Hchg 93350 Echocardiography, Transthoracic, W/exercise, Contrast 6 3 $2,686.00 $2,686.00 $912.80 $1,126.44 $1,074.95 2025-11-21
G0105 HCPCS Hchg Vmh Colonoscopy Screen 12 6 $3,106.00 $3,106.00 $1,004.93 $2,860.00 $1,070.68 2025-11-21
72195 CPT Hchg 72195 MRI Pelvis Without Contrast 2 1 $3,091.00 $3,091.00 $1,060.45 $1,060.45 $1,060.45 2025-11-21
C8924 HCPCS Hchg 93308 Echocardio-transthoracic Fu/ltd W/contrast 6 3 $3,169.00 $3,169.00 $981.95 $1,076.95 $1,057.11 2025-11-21
72146 CPT Hchg 72146 MRI-thoracic Spine Without Contras 12 6 $3,215.00 $3,215.00 $250.00 $2,035.41 $1,055.70 2025-11-21
13121 CPT Hchg Vmh Repair Complex, Scalp, Arm And Or Legs 8 4 $1,881.00 $1,881.00 $790.35 $1,606.88 $1,036.12 2025-11-21
29005820 CDM Hchg Vmh Nursery/nursing Tier 2 16 8 $1,669.00 $1,669.00 $200.00 $2,674.00 $1,014.70 2025-11-21
29005810 CDM Hchg Vmh Nursery/nursing Tier 1 16 8 $1,489.00 $1,489.00 $200.00 $2,674.00 $1,014.70 2025-11-21
99285 CPT Hchg Vmh Basic ER Level V 32 16 $1,930.00 $1,930.00 $368.64 $1,839.02 $1,014.21 2025-11-21
77011 CPT Hchg 77011 CT Guidance For Stereo Local 4 2 $3,658.00 $3,658.00 $835.62 $1,161.73 $998.67 2025-11-21
49083 CPT Hchg Vmh Paracentisis W/imagi 2 1 $2,996.00 $2,996.00 $997.79 $997.79 $997.79 2025-11-21
70487 CPT Hchg 70487 CT Maxilla W/iv Cont 10 5 $2,704.00 $2,704.00 $875.00 $2,388.75 $993.30 2025-11-21
J3032 HCPCS Eptinezumab-jjmr 100 Mg/ml IV Soln 4 1 $4,260.23 $4,260.23 $19.84 $1,932.38 $976.11 2025-11-21
70540 CPT Hchg 70540 MRI-orbits Without Contrast 2 1 $3,033.00 $3,033.00 $973.08 $973.08 $973.08 2025-11-21
78452 CPT Hchg 78452 Myocardial Perfusion Imaging, Tomographic (spect); Multiple Studies A… 22 11 $2,783.00 $2,783.00 $570.19 $2,653.86 $964.07 2025-11-21
71250 CPT Hchg 71250 Ct, Thorax, Diagnostic; Without Contrast 30 15 $2,803.00 $2,803.00 $182.82 $2,476.11 $960.34 2025-11-21
72125 CPT Hchg 72125 CT Spine C Without IV Cont 28 14 $2,773.00 $2,773.00 $182.82 $2,442.00 $959.16 2025-11-21
70491 CPT Hchg 70491 CT Neck Soft Tis W/iv Cont 22 11 $2,704.00 $2,704.00 $587.41 $2,310.00 $955.63 2025-11-21
72131 CPT Hchg 72131 CT Spine L Without IV Cont 24 12 $2,747.00 $2,747.00 $194.99 $2,346.96 $942.79 2025-11-21
72192 CPT Hchg 72192 CT Pelvis Without IV Cont 22 11 $2,789.00 $2,789.00 $182.82 $2,383.04 $939.68 2025-11-21
28630 CPT Hchg Vmh ER Clsd Trmt Metatarsophalangeal Joint Dislocation Wo Anest 2 1 $968.00 $968.00 $931.00 $931.00 $931.00 2025-11-21
72128 CPT Hchg 72128 CT Spine T Without IV Cont 10 5 $2,747.00 $2,747.00 $194.99 $943.82 $914.78 2025-11-21
73701 CPT Hchg 73701 CT Lwr Ext W/iv Cont 6 3 $2,707.00 $2,707.00 $858.53 $2,045.95 $911.92 2025-11-21
71270 CPT Hchg 71270 CT Thorax, Diagnostic; Without & W/iv Contrast 2 1 $2,707.00 $2,707.00 $901.40 $901.40 $901.40 2025-11-21
24535 CPT Hchg 24535 Cls Tx Supra/transcond Hum Fx 2 1 $5,787.00 $5,787.00 $891.14 $891.14 $891.14 2025-11-21
70481 CPT Hchg 70481 CT Orb Temp B Iac W/iv Cont 2 1 $2,704.00 $2,704.00 $882.00 $882.00 $882.00 2025-11-21
49082 CPT Hchg Vmh Abd Paracentesis 2 1 $2,585.00 $2,585.00 $860.93 $860.93 $860.93 2025-11-21
72132 CPT Hchg 72132 CT Lumbar Sp W/iv Cont 4 2 $1,274.00 $1,274.00 $587.41 $1,132.41 $859.91 2025-11-21
93303 CPT Hchg 93303 Transthoracic Echo-congenital 10 5 $3,860.00 $3,860.00 $741.84 $3,298.24 $859.80 2025-11-21
73200 CPT Hchg 73200 CT Upr Ext Without IV Cont 16 8 $2,434.00 $2,434.00 $194.99 $2,079.44 $844.40 2025-11-21
73700 CPT Hchg 73700 CT Lwr Ext Without IV Cont 20 10 $2,457.00 $2,457.00 $194.99 $2,098.80 $834.26 2025-11-21
70460 CPT Hchg 70460 CT Head W/iv Cont 2 1 $2,551.00 $2,551.00 $833.46 $833.46 $833.46 2025-11-21
70450 CPT Hchg 70450 CT Head Without IV Cont 32 16 $2,357.00 $2,357.00 $587.41 $2,159.71 $831.09 2025-11-21
74150 CPT Hchg 74150 CT Abdomen Without IV Cont 6 3 $2,576.00 $2,576.00 $194.99 $875.35 $818.23 2025-11-21
73218 CPT Hchg 73218 MRI-upper Extremity Without Contra 4 2 $3,378.00 $3,378.00 $439.00 $1,180.80 $809.90 2025-11-21
70480 CPT Hchg 70480 CT Orb Temp B Iac Without IV Cont 18 9 $2,332.00 $2,332.00 $194.99 $1,992.32 $800.44 2025-11-21
93320 CPT Hchg 93320 Ec Complete Doppler 10 5 $936.00 $936.00 $645.39 $859.80 $799.92 2025-11-21
70490 CPT Hchg 70490 CT Neck Soft Tis Without IV Cont 2 1 $2,332.00 $2,332.00 $798.74 $798.74 $798.74 2025-11-21
95806 CPT Hchg 95806 Sleep Study Unattended, Simultaneous Recording 12 6 $961.00 $961.00 $681.09 $849.03 $792.12 2025-11-21
93970 CPT Hchg 93970 Duplex Scan Ext Veins Bil 16 8 $2,362.00 $2,362.00 $302.54 $1,940.40 $790.89 2025-11-21
28190 CPT Hchg Vmh ER Removal Of Foreign Body, Foot; Sub Q 4 2 $1,378.00 $1,378.00 $790.35 $790.35 $790.35 2025-11-21
70486 CPT Hchg 70486 CT Maxilla Without IV Cont 30 15 $2,255.00 $2,255.00 $182.82 $1,926.32 $781.04 2025-11-21
76000 CPT Hchg 76000 Fluoroscopy 18 9 $930.00 $930.00 $245.01 $870.87 $752.56 2025-11-21
73223 CPT Hchg 73223 MRI Upper Extremity Joint Wwo Contrast 2 1 $3,861.00 $3,861.00 $738.37 $738.37 $738.37 2025-11-21
73706 CPT Hchg 73706 CT Angio Lwr Ext Wo&w IV Cont 2 1 $5,374.00 $5,374.00 $723.81 $723.81 $723.81 2025-11-21
99284 CPT Hchg Vmh Basic ER Level IV 32 16 $1,363.00 $1,363.00 $270.92 $1,225.44 $716.01 2025-11-21
93880 CPT Hchg 93880 US Carotid/doppler 22 11 $1,964.00 $1,964.00 $288.43 $1,678.16 $712.85 2025-11-21
G0104 HCPCS Hchg Vmh Flex Sig Screening 2 1 $2,071.00 $2,071.00 $709.48 $709.48 $709.48 2025-11-21
76700 CPT Hchg 76700 US Abdomen (spcfy) 24 12 $1,617.00 $1,617.00 $288.43 $1,381.60 $708.96 2025-11-21
87902 CPT Infectious Agent Genotype Analysis; Hepatitis C Virus 2 1 $700.00 $700.00 $693.00 $693.00 $693.00 2025-11-21
27093 CPT Hchg 27093 Inj Proc-hip Arthrogram,wo An 4 2 $909.00 $909.00 $633.46 $747.12 $690.29 2025-11-21
99195 CPT Hchg Vmh Phlebotomy Therapeutic 14 7 $983.00 $983.00 $130.79 $868.14 $677.34 2025-11-21
93271 CPT Hchg 93271 Ext Ecg, Pt Demand Event, Sympt Memory Loop, Transmit 22 11 $1,976.00 $1,976.00 $37.22 $1,687.84 $671.30 2025-11-21
78227 CPT Hchg 78227 Hepatobiliary Syst Image W/pharm 12 6 $1,261.00 $1,261.00 $421.53 $1,113.84 $634.09 2025-11-21
10081 CPT Hchg Vmh I&d Pilonidal Cyst; Complicated 2 1 $708.00 $708.00 $625.17 $625.17 $625.17 2025-11-21
81420 CPT Fetal Chromosomal Aneuploidy 4 2 $1,716.00 $1,716.00 $607.24 $607.24 $607.24 2025-11-21
78306 CPT Hchg 78306 Bone Scan-routine 4 2 $1,407.00 $1,407.00 $456.46 $756.75 $606.61 2025-11-21
93243 CPT Hchg 93243 External ECG >48hrs To 7 Days; Scan Analysis & Rpt 24 12 $1,170.00 $1,170.00 $52.90 $1,033.76 $605.94 2025-11-21
20611 CPT Hchg 20611 Arthrocentesis/asp/inj W/us Guidance; Large Joint 8 4 $597.00 $597.00 $197.56 $982.08 $596.67 2025-11-21
78451 CPT Hchg 78451 Myocardial Perfusion Imaging, Tomographic (spect); Single Study 2 1 $1,841.00 $1,841.00 $596.52 $596.52 $596.52 2025-11-21
87632 CPT Inf Agt Det; Respiratory Virus, 6-11 Targets Arup 2 1 $1,552.00 $1,552.00 $590.04 $590.04 $590.04 2025-11-21
70482 CPT Hchg 70482 CT Orbit Sella Fossa 2 1 $2,338.00 $2,338.00 $587.41 $587.41 $587.41 2025-11-21
73201 CPT Hchg 73201 CT Upr Ext W/iv Cont 2 1 $674.00 $674.00 $587.41 $587.41 $587.41 2025-11-21
72129 CPT Hchg 72129 CT Thoracic Spine W/iv Cont 2 1 $3,196.00 $3,196.00 $587.41 $587.41 $587.41 2025-11-21
72126 CPT Hchg 72126 CT Cerv Spine W/iv Cont 2 1 $2,290.00 $2,290.00 $587.41 $587.41 $587.41 2025-11-21
76805 CPT Hchg 76805 US OB-after 1st Trimester 16 8 $1,040.00 $1,040.00 $172.49 $888.80 $561.01 2025-11-21
20604 CPT Hchg 20604 Arthrocentesis/asp/inj W/us Guidance; Small Joint 2 1 $759.00 $759.00 $538.01 $538.01 $538.01 2025-11-21
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 2 1 $1,612.00 $1,612.00 $525.67 $525.67 $525.67 2025-11-21
80050 CPT General Health Panel 20 10 $597.00 $597.00 $13.62 $697.97 $525.36 2025-11-21
74250 CPT Hchg 74250 Xray, Small Intestine, Incl Mult Images, Single Contrast Study 4 2 $2,120.00 $2,120.00 $327.04 $709.09 $518.07 2025-11-21
74230 CPT Hchg 74230 Swallow Function W/cine/video Incl Scout Neck Images, Contrast Study 10 5 $1,508.00 $1,508.00 $226.07 $1,332.24 $512.40 2025-11-21
93926 CPT Hchg 93926 Duplex Scan L/ext Unilat 4 2 $1,348.00 $1,348.00 $421.00 $598.59 $509.80 2025-11-21
23350 CPT Hchg 23350 Inj Proc-shoulder Arthrogram 4 2 $658.00 $658.00 $453.69 $540.32 $497.00 2025-11-21
76770 CPT Hchg 76770 US Renal 24 12 $1,386.00 $1,386.00 $288.43 $1,184.48 $487.20 2025-11-21
80329 CPT Acetaminophen 2 1 $306.00 $306.00 $486.20 $486.20 $486.20 2025-11-21
94002 CPT Hchg Vmh Ventilator Initial 4 2 $1,448.00 $1,448.00 $463.74 $506.16 $484.95 2025-11-21
99283 CPT Hchg Vmh ER Level Iii 32 16 $907.00 $907.00 $270.92 $832.46 $476.94 2025-11-21
77002 CPT Hchg 77002 Fluoro Needle Placement 16 8 $1,363.00 $1,363.00 $95.93 $1,119.36 $476.14 2025-11-21
13122 CPT Hchg Vmh Repair Complex Scalp/arm/leg Each Addl >=5 Cm 2 1 $679.00 $679.00 $462.82 $462.82 $462.82 2025-11-21
J1670 HCPCS Tetanus Immune Globulin (pf) 250 Unit/ml IM Syrg 8 3 $1,564.50 $1,564.50 $349.95 $604.36 $454.25 2025-11-21
56405 CPT Hchg Vmh ER I&d Vulva Or Perineal Abscess 2 1 $701.00 $701.00 $443.10 $443.10 $443.10 2025-11-21
J2353 HCPCS Octreotide,microspheres 20 Mg IM Ssrr 8 4 $14,573.02 $14,573.02 $212.20 $13,249.21 $429.39 2025-11-21
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 12 6 $549.00 $549.00 $182.82 $829.60 $413.96 2025-11-21
74181 CPT Hchg 74181 MRI-abdomen Without Contrast 2 1 $3,091.00 $3,091.00 $413.33 $413.33 $413.33 2025-11-21
76816 CPT Hchg 76816 US OB-follow-up 16 8 $789.00 $789.00 $172.49 $674.08 $412.06 2025-11-21
93247 CPT Hchg 93247 External ECG >7 To 14 Days; Scan Analysis & Rpt 18 9 $1,170.00 $1,170.00 $52.90 $999.68 $408.96 2025-11-21
71120 CPT Hchg 71120 Sternum 2 1 $474.00 $474.00 $404.80 $404.80 $404.80 2025-11-21
93971 CPT Hchg 93971 Duplex Scan Ext Veins Uni 38 15 $1,157.00 $1,157.00 $30.53 $1,021.93 $404.28 2025-11-21
76830 CPT Hchg 76830 US Pelvis Transvag 28 14 $1,040.00 $1,040.00 $187.23 $919.10 $404.05 2025-11-21
99282 CPT Hchg Vmh ER Level Ii 32 16 $568.00 $568.00 $180.76 $501.41 $402.48 2025-11-21
96413 CPT Hchg Vmh Chemo IV Infus, 1 Hr 8 4 $793.00 $793.00 $254.40 $686.00 $392.30 2025-11-21
76819 CPT Hchg 76819 Fetal Biophys Prof Without 16 8 $809.00 $809.00 $162.35 $690.80 $391.41 2025-11-21
92523 CPT Hchg Vmh Eval Speech/language 14 7 $645.00 $645.00 $215.32 $536.40 $376.67 2025-11-21
96360 CPT Hchg Vmh IV Infus/hydrate>31 32 16 $514.00 $514.00 $158.47 $489.02 $373.79 2025-11-21
96365 CPT Hchg Vmh IV Ther/prophy/dx 1' 32 16 $514.00 $514.00 $158.47 $489.02 $370.09 2025-11-21
A9500 HCPCS Hchg A9500 Technetium Tc-99m Sestamibi, Diagnostic, Per Study Dose 22 11 $594.00 $594.00 $198.72 $943.97 $365.27 2025-11-21
70160 CPT Hchg 70160 Nasal Bones Routine 10 5 $492.00 $492.00 $136.43 $404.80 $365.09 2025-11-21
76870 CPT Hchg 76870 US Testicular 22 11 $1,040.00 $1,040.00 $33.70 $888.80 $363.60 2025-11-21
88307 CPT Surgical Pathology, Gross And Microscopic Exam, Level 5 8 4 $1,060.00 $1,060.00 $184.48 $905.52 $356.65 2025-11-21
76706 CPT Hchg 76706 US Abdominal Aorta Screening For Aaa 16 8 $953.00 $953.00 $182.08 $814.00 $337.23 2025-11-21
92610 CPT Hchg Vmh Swallow Eval-clinical 8 4 $570.00 $570.00 $189.98 $486.64 $336.69 2025-11-21
20610 CPT Hchg 20610 Arthrocentesis, Asp/inj, Lrg Jnt 24 10 $968.00 $968.00 $51.45 $827.20 $336.35 2025-11-21
12031 CPT Hchg Vmh Layer Closure Wound 2 1 $1,010.00 $1,010.00 $336.24 $336.24 $336.24 2025-11-21
93978 CPT Hchg 93978 US Duplx Aort Ivc Ilia 4 2 $1,850.00 $1,850.00 $33.85 $633.79 $333.82 2025-11-21
76856 CPT Hchg 76856 US Pelvis 8 4 $925.00 $925.00 $302.54 $790.24 $332.12 2025-11-21
76536 CPT Hchg 76536 US Soft Tissues Head And Neck 28 14 $925.00 $925.00 $187.23 $848.24 $329.36 2025-11-21
G0399 HCPCS Hchg G0399 Home Sleep Study, Type Iii, Unattended; Min 4 Channels 6 3 $961.00 $961.00 $207.17 $335.88 $329.32 2025-11-21
76705 CPT Hchg 76705 US Abdomen; Limited 32 16 $925.00 $925.00 $187.23 $817.18 $325.88 2025-11-21
90675 CPT Rabies Vaccine, Pcec (pf) 2.5 Unit IM Susr 18 7 $1,432.13 $1,432.13 $192.82 $1,303.24 $322.77 2025-11-21
90679 CPT Pr Respiratory Syncytial Virus Vaccine, Pref, Recombinant, Subunit, Adjuvanted, … 2 1 $332.00 $332.00 $322.00 $322.00 $322.00 2025-11-21
76775 CPT Hchg 76775 US Retroperit Ltd 22 11 $925.00 $925.00 $31.76 $883.04 $321.02 2025-11-21
73620 CPT Hchg 73620 Foot L/r 1-2 Views 18 9 $418.00 $418.00 $91.12 $375.00 $319.02 2025-11-21
73590 CPT Hchg 73590 Tibia+fibula L/r 18 9 $418.00 $418.00 $117.61 $357.28 $319.02 2025-11-21
94003 CPT Hchg Vmh Ventilator Subsequent 2 1 $990.00 $990.00 $313.84 $313.84 $313.84 2025-11-21
93226 CPT Hchg 93226 Ext ECG Record Contin 48 Hr, Scan Analysis W/report 22 11 $888.00 $888.00 $53.75 $758.56 $308.72 2025-11-21
70030 CPT Hchg 70030 Eye Foreign Body Routine 18 9 $399.00 $399.00 $96.17 $379.26 $304.30 2025-11-21
93270 CPT Hchg 93270 Ext Ecg, Pt Demand Event, Sympt Memory Loop, Record 22 11 $435.00 $435.00 $74.44 $605.21 $299.62 2025-11-21
93225 CPT Hchg 93225 Ext ECG Record Contin 48 Hr, Record 22 11 $435.00 $435.00 $107.50 $415.25 $296.38 2025-11-21
76604 CPT Hchg 76604 US Chest 12 6 $925.00 $925.00 $69.00 $790.24 $289.47 2025-11-21
93976 CPT Hchg 93976 Duplex Scan Arterial Flow, Venous Outflow Abd, Pelvic, Scrotal, Retro… 20 10 $399.00 $399.00 $127.76 $340.56 $288.65 2025-11-21
80320 CPT Volatile Screen, Blood Mclab 2 1 $250.00 $250.00 $287.30 $287.30 $287.30 2025-11-21
72040 CPT Hchg 72040 Spine Cerv Ap+lat 3 Vws 24 12 $492.00 $492.00 $96.17 $434.98 $286.97 2025-11-21
99204 CPT Hchg Vmh Uc 99204 Moderate-new 18 9 $365.00 $365.00 $115.59 $328.38 $286.74 2025-11-21
83970 CPT Parathormone (parathyroid Hormone) 30 15 $156.00 $156.00 $42.65 $405.72 $285.49 2025-11-21
J2785 HCPCS Regadenoson 0.4 Mg/5 Ml IV Syrg 14 7 $3,168.03 $3,168.03 $4.60 $696.97 $282.59 2025-11-21
86870 CPT Antibody Identification, Rbc Aby, Each Panel For Each Technique 2 1 $823.00 $823.00 $281.89 $281.89 $281.89 2025-11-21
99395 CPT Pr Vmh Physical,other 99395 4 2 $251.00 $251.00 $216.71 $344.63 $280.67 2025-11-21
97602 CPT Hchg Vmh Wound Care/assess 18 9 $838.00 $838.00 $134.06 $653.93 $276.48 2025-11-21
74022 CPT Hchg 74022 Xry Abdomen Complete Acute Series Incl 2vw Abd & 1vw Chest 8 4 $805.00 $805.00 $89.54 $491.87 $276.36 2025-11-21
72070 CPT Hchg 72070 Spine Dorsal Ap+lat (2vw) 16 8 $492.00 $492.00 $164.15 $420.64 $275.45 2025-11-21
97606 CPT Hchg Vmh Neg Press Wound >50 2 1 $851.00 $851.00 $274.83 $274.83 $274.83 2025-11-21
97605 CPT Hchg Vmh Neg Press Wound <50 6 3 $812.00 $812.00 $262.13 $693.44 $265.10 2025-11-21
73565 CPT Hchg 73565 Knee Bilat Standing IV 14 7 $754.00 $754.00 $96.17 $644.16 $263.52 2025-11-21
76857 CPT Hchg 76857 Us, Pelvic (non-ob); Limited 20 10 $751.00 $751.00 $93.62 $674.00 $261.75 2025-11-21
71271 CPT Hchg 71271 Ct, Thorax, Low Dose For Ca Screening, Wo Contrast 24 12 $332.00 $332.00 $105.30 $300.86 $260.82 2025-11-21
92611 CPT Hchg Vmh Swallow Eval-video 12 6 $752.00 $752.00 $29.47 $664.30 $253.45 2025-11-21
51798 CPT Hchg Vmh Bladder Scan ER 40 13 $585.00 $585.00 $187.28 $920.16 $249.92 2025-11-21
77080 CPT Hchg 77080 Bone Denstometry 28 14 $696.00 $696.00 $135.08 $608.79 $247.50 2025-11-21
71111 CPT Hchg 71111 X/r-ribs 4 Or More Vs 8 4 $1,007.00 $1,007.00 $96.17 $322.42 $247.24 2025-11-21
73130 CPT Hchg 73130 Hand 3v Routine L/r 28 14 $444.00 $444.00 $96.17 $422.38 $246.90 2025-11-21
90377 CPT Rabies Immune Globulin (pf) 150 Unit/ml IM Soln 12 5 $1,796.95 $1,796.95 $207.06 $746.07 $245.83 2025-11-21
73610 CPT Hchg 73610 Ankle 3vw Routine L/r 28 14 $444.00 $444.00 $96.17 $392.21 $244.75 2025-11-21
64447 CPT Injection Aa&/strd Femoral Nerve 2 1 $699.00 $699.00 $239.55 $239.55 $239.55 2025-11-21
81270 CPT Mpn (jak2 V617f, Calr, Mpl) Relfex Mclab 6 3 $358.00 $358.00 $115.72 $281.88 $238.89 2025-11-21
99281 CPT Hchg Vmh ER Level I 30 15 $317.00 $317.00 $101.85 $308.00 $238.04 2025-11-21
76882 CPT Hchg 76882 Ultrasound, Limited, Joint Or Other Nonvasc Structures, Real-time W/i… 22 11 $708.00 $708.00 $40.39 $604.56 $237.96 2025-11-21
77081 CPT Hchg 77081 Bone Density-peripheral 14 7 $687.00 $687.00 $56.39 $581.68 $228.96 2025-11-21
77085 CPT Hchg 77085 Dxa Bone Density Study Axial Skeleton Incl Vert Fx Assess 2 1 $671.00 $671.00 $227.56 $227.56 $227.56 2025-11-21
94060 CPT Hchg Vmh Pulm Function B/a 26 13 $670.00 $670.00 $193.90 $591.50 $227.50 2025-11-21
72050 CPT Hchg 72050 Spine Cervical 4-5 Views Spec 4 2 $762.00 $762.00 $198.42 $253.92 $226.17 2025-11-21
73503 CPT Hchg 73503 Xr Hip, Unilateral W/pelvis When Performed, Min 4 Views 2 1 $671.00 $671.00 $223.39 $223.39 $223.39 2025-11-21
92522 CPT Hchg Vmh Eval Speech Sound 6 3 $645.00 $645.00 $177.29 $524.48 $221.45 2025-11-21
J2210 HCPCS Methylergonovine 0.2 Mg/ml (1 Ml) Ij Soln 2 1 $250.25 $250.25 $220.22 $220.22 $220.22 2025-11-21
73564 CPT Hchg 73564 Knee 4 Vw Spcfy L/r 30 15 $621.00 $621.00 $96.17 $548.73 $219.05 2025-11-21
96374 CPT Hchg Vmh Inj IV Push 32 16 $425.00 $425.00 $79.32 $404.74 $218.89 2025-11-21
73030 CPT Hchg 73030 Shoulder 2vw L/r (rout) 28 14 $614.00 $614.00 $96.17 $596.00 $218.45 2025-11-21
92524 CPT Hchg Vmh Voice/resonance 10 5 $645.00 $645.00 $184.82 $219.10 $215.32 2025-11-21
74019 CPT Hchg 74019 Radiologic Exam, Abdomen; 2 Views 18 9 $615.00 $615.00 $64.34 $525.36 $214.92 2025-11-21
87498 CPT Infectious Agent Antigen Detection; Enterovirus-pcr 2 1 $624.00 $624.00 $213.80 $213.80 $213.80 2025-11-21
72110 CPT Hchg 72110 Spine Lumbar W/obliq (4 Vws) 2 1 $639.00 $639.00 $212.76 $212.76 $212.76 2025-11-21
86622 CPT Antibody; Brucella 4 2 $356.00 $356.00 $119.88 $304.48 $212.18 2025-11-21
70150 CPT Hchg 70150 Facial Bones 4 2 $639.00 $639.00 $204.59 $211.73 $208.16 2025-11-21
72190 CPT Hchg 72190 Pelvis 3-5 Views 18 9 $584.00 $584.00 $187.13 $498.96 $204.12 2025-11-21
J0558 HCPCS Penicillin G Benzathin,procain 1,200,000 Unit/ 2 Ml(900k/300k) IM Syrg 4 2 $764.72 $764.72 $13.84 $393.39 $203.62 2025-11-21
59025 CPT Hchg 59025 Fetal Non-stress Test 14 7 $238.00 $238.00 $164.01 $231.00 $203.28 2025-11-21
84702 CPT Gonadotropin, Chorionic (hcg); Quantitative 18 9 $249.00 $249.00 $15.55 $233.00 $196.02 2025-11-21
71101 CPT Hchg 71101 X/r-ribs-w/pa Chest-min 3 View 12 6 $567.00 $567.00 $163.46 $484.00 $195.25 2025-11-21
92950 CPT Hchg 92950 Resuscitation 6 3 $253.00 $253.00 $84.38 $199.26 $189.54 2025-11-21
97166 CPT Hchg Vmh Ot Evaluation, Moderate Complexity 28 14 $531.00 $531.00 $74.73 $464.40 $189.06 2025-11-21
72100 CPT Hchg 72100 Spine Lumbar (rout) 2-3vws 32 16 $492.00 $492.00 $96.17 $420.64 $188.45 2025-11-21
90651 CPT Pr Human Papillomavirus Vaccine, Nonavalent (9vhpv), 2 Or 3 Dose Schedule For Im… 2 1 $20.83 $20.83 $187.61 $187.61 $187.61 2025-11-21
97163 CPT Hchg Vmh Pt Evaluation, High Complexity 28 14 $528.00 $528.00 $109.91 $466.83 $187.43 2025-11-21
76885 CPT Hchg 76885 US Infant Hips 4 2 $1,321.00 $1,321.00 $187.23 $187.23 $187.23 2025-11-21
76642 CPT Hchg 76642 US Breast Unilateral Limited 2 1 $309.00 $309.00 $187.23 $187.23 $187.23 2025-11-21
97167 CPT Hchg Vmh Ot Evaluation, High Complexity 18 9 $547.00 $547.00 $111.28 $467.28 $185.85 2025-11-21
82670 CPT Estradiol; Total 20 10 $274.00 $274.00 $28.87 $234.08 $185.54 2025-11-21
97165 CPT Hchg Vmh Ot Evaluation, Low Complexity 30 15 $512.00 $512.00 $111.28 $467.64 $185.08 2025-11-21
87505 CPT Inf Agt Det; Gastrointestinal Pathogen, 3-5 Targets 24 12 $519.00 $519.00 $132.56 $475.30 $184.56 2025-11-21
73522 CPT Hchg 73522 Xr Hips, Bilateral W/pelvis When Performed, 3-4 Views 26 13 $527.00 $527.00 $64.34 $450.56 $184.32 2025-11-21
73600 CPT Hchg 73600 Ankle 1-2 Views 16 8 $319.00 $319.00 $90.50 $272.80 $183.42 2025-11-21
76801 CPT Hchg 76801 US OB <14wks,sngl Fetus 10 5 $720.00 $720.00 $94.73 $591.36 $183.14 2025-11-21
G0483 HCPCS Medtox/labcorp - Amphetamines 8 4 $40.00 $40.00 $172.18 $198.45 $183.11 2025-11-21
87517 CPT Infectious Agent Antigen Detection; Hepatitis B Dna, Quant 2 1 $225.00 $225.00 $181.23 $181.23 $181.23 2025-11-21
54150 CPT Hchg 54150 Circumcision, Clamp/oth Device W/regional 6 3 $247.00 $247.00 $170.40 $231.00 $180.71 2025-11-21
J9217 HCPCS Leuprolide (3 Month) 22.5 Mg IM Sykt 2 1 $6,693.60 $6,693.60 $180.54 $180.54 $180.54 2025-11-21
99151 CPT Hchg Vmh 99151 Moderate Sedation, Same Prov; >5yrs, 1st 15 Min 4 2 $231.00 $231.00 $159.04 $197.12 $178.08 2025-11-21
73660 CPT Hchg 73660 Toes Specify L/r 24 12 $319.00 $319.00 $96.17 $287.00 $177.68 2025-11-21
87653 CPT Grp B Strep Pcr 16 8 $350.00 $350.00 $36.26 $299.20 $176.92 2025-11-21
71100 CPT Hchg 71100 Rib Unilat (1-2 Vw) L/r 20 10 $492.00 $492.00 $101.83 $404.80 $174.89 2025-11-21
97162 CPT Hchg Vmh Pt Evaluation, Moderate Complexity 28 14 $495.00 $495.00 $110.21 $423.28 $173.74 2025-11-21
76817 CPT Hchg 76817 US OB Transvaginal 14 7 $578.00 $578.00 $129.60 $493.68 $172.49 2025-11-21
76815 CPT Hchg 76815 US OB-limited (single) 14 7 $578.00 $578.00 $72.80 $493.68 $172.49 2025-11-21
70360 CPT Hchg 70360 Neck Soft Tissue 1vw 12 6 $296.00 $296.00 $98.44 $252.56 $172.10 2025-11-21
32555 CPT Hchg Vmh Thoracentesis, Needle Or Cath; Aspiration Of Pleural Space; W/imagaing … 6 2 $497.00 $497.00 $169.05 $377.85 $170.40 2025-11-21
93246 CPT Hchg 93246 External ECG Recording >7 To 14 Days; Recording 18 9 $246.00 $246.00 $81.98 $237.72 $169.69 2025-11-21
73502 CPT Hchg 73502 X/r Hip, Unilateral, W/pelvis When Performed, 2-3 Views 30 15 $497.00 $497.00 $57.50 $439.53 $169.05 2025-11-21
73020 CPT Hchg 73020 Shoulder 1vw Specfy L/r 6 3 $492.00 $492.00 $92.22 $178.41 $168.84 2025-11-21
72170 CPT Hchg 72170 Pelvis 1 Or 2 Views 30 15 $492.00 $492.00 $96.17 $434.98 $167.30 2025-11-21
97161 CPT Hchg Vmh Pt Evaluation, Low Complexity 30 15 $460.00 $460.00 $72.99 $426.83 $166.46 2025-11-21
72080 CPT Hchg 72080 Spine Dorso Lumbar (minimum Of 2vw) 6 3 $492.00 $492.00 $164.05 $168.64 $165.60 2025-11-21
99203 CPT Hchg Vmh Urgent Care Det New 26 13 $210.00 $210.00 $66.54 $204.00 $165.24 2025-11-21
73501 CPT Hchg 73501 X/r Hip, Unilateral,w/pelvis When Performed, 1 View 2 1 $492.00 $492.00 $164.05 $164.05 $164.05 2025-11-21
71046 CPT Hchg 71046 Radiologic Exam, Chest; 2 Views 32 16 $472.00 $472.00 $58.87 $416.78 $161.86 2025-11-21
72072 CPT Hchg 72072 Spine-thoracic-(rout) 3vws 8 4 $492.00 $492.00 $101.83 $169.75 $160.95 2025-11-21
91322 CPT Pr Sars-cov-2 Vacc, 50mcg/0.5ml, Mrna Lnp, IM 2 1 $20.83 $20.83 $159.87 $159.87 $159.87 2025-11-21
13132 CPT Hchg Vmh Repair Wound/lesion 2 1 $232.00 $232.00 $159.75 $159.75 $159.75 2025-11-21
86332 CPT Immune Complex Assay 2 1 $97.00 $97.00 $158.40 $158.40 $158.40 2025-11-21
G0283 HCPCS Hchg G0283 Electrical Stimulation (unattended) 8 4 $214.00 $214.00 $12.88 $183.04 $158.08 2025-11-21
J3101 HCPCS Tenecteplase 50 Mg IV Solr 6 3 $18,315.07 $18,315.07 $132.76 $168.76 $157.46 2025-11-21
73562 CPT Hchg 73562 Knee 3 Vw Spcfy L/r 32 16 $448.00 $448.00 $96.17 $382.80 $157.32 2025-11-21
J7030 HCPCS Sodium Chloride 0.9 % Ir Soln 40 15 $1,446.00 $1,446.00 $2.28 $516.98 $156.42 2025-11-21
G0239 HCPCS Hchg Vmh Non-COPD P Rehab 18 9 $457.00 $457.00 $58.48 $390.72 $155.40 2025-11-21
73070 CPT Hchg 73070 Elbow 2vw L/r 18 9 $444.00 $444.00 $93.90 $422.38 $155.16 2025-11-21
96361 CPT Hchg Vmh IV Hydrate Inf Addon 32 16 $210.00 $210.00 $64.83 $333.72 $155.04 2025-11-21
99214 CPT Hchg Vmh Urgent Care Det Est 28 14 $210.00 $210.00 $66.54 $194.00 $155.04 2025-11-21
96523 CPT Hchg Vmh Irr Delivery Device 12 6 $458.00 $458.00 $79.32 $391.60 $154.19 2025-11-21
81025 CPT Urine Pregnancy Test 22 11 $196.00 $196.00 $8.90 $178.36 $153.78 2025-11-21
94625 CPT Hchg 94625 Pulm Rehab; Without Cont Monitoring, Per Session 18 9 $462.00 $462.00 $58.48 $390.72 $153.72 2025-11-21
31500 CPT Hchg Vmh Insert Emerg Airway 10 5 $222.00 $222.00 $71.34 $214.18 $153.36 2025-11-21
Q5108 HCPCS Pegfilgrastim-jmdb 6 Mg/0.6 Ml Sc Syrg 6 2 $5,030.88 $5,030.88 $117.76 $189.80 $153.31 2025-11-21
73120 CPT Hchg 73120 Hand 1-2 Views 18 9 $444.00 $444.00 $79.37 $379.28 $152.06 2025-11-21
96367 CPT Hchg Vmh IV Infusion Add Seq 28 14 $206.00 $206.00 $64.83 $196.00 $152.00 2025-11-21
L3984 HCPCS Hchg Vmh Exo Box, Pf Ue Fx Orthosis 6 3 $220.00 $220.00 $73.70 $173.34 $151.94 2025-11-21
L4350 HCPCS Hchg Vmh Ankle Training Brace 8 4 $56.00 $56.00 $66.24 $164.56 $151.22 2025-11-21
94761 CPT Hchg Vmh Exercise Oxim 24 12 $126.00 $126.00 $87.89 $252.84 $150.93 2025-11-21
73552 CPT Hchg 73552 X/r Femur Minimum Of 2 Views 20 10 $444.00 $444.00 $43.81 $392.21 $150.85 2025-11-21
73060 CPT Hchg 73060 Humerus L/r 16 8 $444.00 $444.00 $96.17 $379.28 $150.03 2025-11-21
36592 CPT Hchg 36592 Collection Of Blood From Cath, Venous 6 3 $219.00 $219.00 $75.85 $208.74 $148.19 2025-11-21
81339 CPT Mpl Gene Analysis; Seq Analysis, Exon 10 2 1 $1,242.00 $1,242.00 $148.16 $148.16 $148.16 2025-11-21
94762 CPT Hchg Vmh Oximetry Overnight 6 3 $461.00 $461.00 $109.82 $341.96 $147.99 2025-11-21
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