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

AD HOSPITAL EAST, LLC

Houston, TX · CCN 670102 · Rates published

302 distinct procedures filed
30 distinct payers
1,337 rate rows
2025-07-20 last MRF observed
Data quality

1,333 of 1,337 rate rows are consumer-grade (99.7%)

4 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
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://machine-readable-files.com/easthoustonhospital/475587037_AD-Hospital-East-LLC_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-17
Content fingerprint ab7b944bb57867fe… · 1,192,049 bytes · first seen 2026-05-14

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
63030
CPT 		Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr 1 $66,582.60 $66,582.60 $66,582.60 nat. median
$7,581
outlier · 8.8×
C1820
HCPCS 		Sjm Ipg Eon Mini 3788 1 $32,338.50 $32,338.50 $32,338.50 nat. median
$22,013
1.5× median
C1778
HCPCS 		Kit Artisan 70cm 2x8 Lead 1 $18,325.43 $18,325.43 $18,325.43 nat. median
$4,308
outlier · 4.3×
22551
CPT 		Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, O… 2 $9,528.80 $12,887.66 $11,208.23 nat. median
$12,514
0.9× median
47562
CPT 		Laparoscopy, Surgical; Cholecystectomy 2 $3,200.00 $9,200.00 $6,200.00 nat. median
$5,956
1.0× median
63650
CPT 		Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural 4 $1,175.00 $8,721.23 $6,195.67 nat. median
$7,241
0.9× median
36902
CPT 		Introduction Of Needle(s) And/or Catheter( 6 $5,596.54 $32,000.00 $5,654.90 nat. median
$7,009
0.8× median
H0047
HCPCS 		Alcohol And/or Drug Abuse Services, Not Otherwise Specified 1 $5,000.00 $5,000.00 $5,000.00 nat. median
$135
outlier · 37.1×
0232T
HCPCS 		Injection(s), Platelet Rich Plasma 1 $4,968.95 $4,968.95 $4,968.95 nat. median
$738
outlier · 6.7×
4350000001
CDM 		Room & Board ICU 10 $875.64 $20,410.27 $3,955.68 nat. median
$3,956
1.0× median
1260000003
CDM 		Room & Board - ICU 10 $875.64 $20,410.27 $3,955.68 nat. median
$3,956
1.0× median
1260000004
CDM 		Room & Board Telemetry 5 $2,325.00 $5,250.00 $3,664.26 nat. median
$3,664
1.0× median
29881
CPT 		Arthroscopy, Knee, Surgical; With Meniscectomy 2 $2,990.99 $4,255.48 $3,623.23 nat. median
$3,869
0.9× median
11750
CPT 		Excision Of Nail And Nail Matrix, Partial Or Complete 1 $3,460.00 $3,460.00 $3,460.00 nat. median
$548
outlier · 6.3×
63688
CPT 		Revision Or Removal Of Implanted Spinal Neurostimulator 1 $3,084.34 $3,084.34 $3,084.34 nat. median
$3,688
0.8× median
29877
CPT 		Arthroscopy, Knee, Surgical; Debridement/shaving 1 $2,990.99 $2,990.99 $2,990.99 nat. median
$3,956
0.8× median
1260000005
CDM 		Medical Management Room & Board Private 14 $248.25 $13,214.39 $2,701.00 nat. median
$2,701
1.0× median
1260000002
CDM 		Room & Board Private Med/surg 14 $248.25 $13,214.39 $2,701.00 nat. median
$2,992
0.9× median
17110
CPT 		Destruction Benign Lesions Up To 14 1 $2,229.00 $2,229.00 $2,229.00 nat. median
$231
outlier · 9.7×
64633
CPT 		Destruction By Neurolytic Agent, Paravertebral Facet Joint 6 $930.00 $3,400.00 $2,151.19 nat. median
$2,311
0.9× median
C1713
HCPCS 		Screw Cannulated 6.0x65mm 1 $1,790.25 $1,790.25 $1,790.25 nat. median
$836
outlier · 2.1×
64635
CPT 		Destruction By Neurolytic Agent, Paravertebral 10 $465.00 $3,400.00 $1,719.80 nat. median
$2,352
0.7× median
99285
CPT 		ER Visit Level 5 High Severity 17 $581.30 $3,845.43 $1,717.68 nat. median
$1,227
1.4× median
19083
CPT 		US Breast Biopsy, First Lesion 1 $1,622.86 $1,622.86 $1,622.86 nat. median
$2,157
0.8× median
26055
CPT 		Tendon Sheath Incision (eg, For Trigger Finger) 2 $1,600.00 $1,603.00 $1,601.50 nat. median
$2,000
0.8× median
47000
CPT 		Biopsy Of Liver, Needle; Percutaneou 1 $1,600.00 $1,600.00 $1,600.00 nat. median
$1,797
0.9× median
99284
CPT 		ER Visit Level 4 W/procedure 22 $401.08 $5,450.00 $1,500.00 nat. median
$780
1.9× median
43762
CPT 		Perq Replacement Gtube Not Req Revj Gstrst Trc 1 $1,450.00 $1,450.00 $1,450.00 nat. median
$458
outlier · 3.2×
38510
CPT 		Biopsy Or Excision Of Lymph Node(s); Open, 1 $1,175.00 $1,175.00 $1,175.00 nat. median
$3,856
outlier · 0.3×
70543
CPT 		MRI Orbit Face & Neck; Wo & W Dye 1 $900.00 $900.00 $900.00 nat. median
$1,079
0.8× median
74181
CPT 		MRI Abdomen Without Contrast Material 1 $900.00 $900.00 $900.00 nat. median
$820
1.1× median
99283
CPT 		ER Visit Level 3 W/procedure 24 $258.38 $4,160.00 $885.76 nat. median
$475
1.9× median
20606
CPT 		Arthrocentesis Aspir&/inj Interm Jt/burs W/us 1 $881.85 $881.85 $881.85 nat. median
$817
1.1× median
11755
CPT 		Biopsy Nail Unit Separate Procedure 4 $636.75 $1,062.00 $849.42 nat. median
$759
1.1× median
64493
CPT 		Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet (zygapophysea… 10 $465.00 $1,162.31 $832.40 nat. median
$1,287
0.6× median
12002
CPT 		Simple Repair Of Superficial Wounds Of Scalp, Neck 1 $829.00 $829.00 $829.00 nat. median
$308
outlier · 2.7×
20553
CPT 		Injection(s); Single Or Multiple Trigger Point(s) 2 $231.81 $1,287.00 $759.40 nat. median
$388
2.0× median
64490
CPT 		Injection(s), Diagnostic Or Therapeutic Agent 8 $465.00 $875.75 $741.96 nat. median
$1,291
0.6× median
73718
CPT 		MRI Extremity, Lower, No Joint; Wo Dye 4 $471.65 $6,705.00 $708.48 nat. median
$917
0.8× median
74019
CPT 		Xr, Abdomen; 2 Views 4 $101.59 $1,187.40 $663.44 nat. median
$171
outlier · 3.9×
72149
CPT 		MRI Spinal Canal, Lumbar; W Dye 1 $631.81 $631.81 $631.81 nat. median
$970
0.7× median
11730
CPT 		Avulsion Nail Plate Partial/complete Simple 1 1 $630.00 $630.00 $630.00 nat. median
$252
outlier · 2.5×
72156
CPT 		MRI Spinal Canal, Cervical; Wo & W Dye 2 $355.36 $900.00 $627.68 nat. median
$1,092
0.6× median
92552
CPT 		Pure Tone Audiometry 1 $626.41 $626.41 $626.41 nat. median
$132
outlier · 4.7×
95886
CPT 		Musc Test Done W/n Test Comp 6 $144.00 $4,000.00 $625.05 nat. median
$225
outlier · 2.8×
71260
CPT 		CT Chest W/cont 3 $178.31 $625.00 $625.00 nat. median
$646
1.0× median
72131
CPT 		CT Scan Lumbar Without Contrast 8 $101.59 $5,758.00 $625.00 nat. median
$449
1.4× median
36589
CPT 		Removal Of Tunneled Central Venous Catheter 3 $606.87 $897.93 $619.26 nat. median
$962
0.6× median
87040
CPT 		Culture Blood 1 $593.00 $593.00 $593.00 nat. median
$43
outlier · 13.8×
84484
CPT 		Troponin I 4 $90.76 $563.00 $563.00 nat. median
$51
outlier · 11.1×

Other procedures at this hospital

Browse this hospital's 302 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
             
63030 CPT Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr 1 1 $32,000.00 $32,000.00 $66,582.60 $66,582.60 $66,582.60 2025-07-20
C1820 HCPCS Sjm Ipg Eon Mini 3788 1 1 $21,369.06 $21,369.06 $32,338.50 $32,338.50 $32,338.50 2025-07-20
C1778 HCPCS Kit Artisan 70cm 2x8 Lead 1 1 $14,450.00 $14,450.00 $18,325.43 $18,325.43 $18,325.43 2025-07-20
22551 CPT Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, O… 2 2 $32,000.00 $32,000.00 $9,528.80 $12,887.66 $11,208.23 2025-07-20
47562 CPT Laparoscopy, Surgical; Cholecystectomy 2 2 $8,208.44 $8,208.44 $3,200.00 $9,200.00 $6,200.00 2025-07-20
63650 CPT Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural 4 4 $8,208.44 $8,208.44 $1,175.00 $8,721.23 $6,195.67 2025-07-20
36902 CPT Introduction Of Needle(s) And/or Catheter( 6 6 $20,000.00 $20,000.00 $5,596.54 $32,000.00 $5,654.90 2025-07-20
H0047 HCPCS Alcohol And/or Drug Abuse Services, Not Otherwise Specified 1 1 $5,000.00 $5,000.00 $5,000.00 $5,000.00 $5,000.00 2025-07-20
0232T HCPCS Injection(s), Platelet Rich Plasma 1 1 $10,000.00 $10,000.00 $4,968.95 $4,968.95 $4,968.95 2025-07-20
4350000001 CDM Room & Board ICU 10 10 $3,200.00 $3,200.00 $875.64 $20,410.27 $3,955.68 2025-07-20
1260000003 CDM Room & Board - ICU 10 10 $15,000.00 $15,000.00 $875.64 $20,410.27 $3,955.68 2025-07-20
1260000004 CDM Room & Board Telemetry 5 5 $7,500.00 $7,500.00 $2,325.00 $5,250.00 $3,664.26 2025-07-20
29881 CPT Arthroscopy, Knee, Surgical; With Meniscectomy 2 2 $32,000.00 $32,000.00 $2,990.99 $4,255.48 $3,623.23 2025-07-20
11750 CPT Excision Of Nail And Nail Matrix, Partial Or Complete 1 1 $3,460.00 $3,460.00 $3,460.00 $3,460.00 $3,460.00 2025-07-20
63688 CPT Revision Or Removal Of Implanted Spinal Neurostimulator 1 1 $14,118.60 $14,118.60 $3,084.34 $3,084.34 $3,084.34 2025-07-20
29877 CPT Arthroscopy, Knee, Surgical; Debridement/shaving 1 1 $12,971.40 $12,971.40 $2,990.99 $2,990.99 $2,990.99 2025-07-20
1260000005 CDM Medical Management Room & Board Private 14 14 $15,000.00 $15,000.00 $248.25 $13,214.39 $2,701.00 2025-07-20
1260000002 CDM Room & Board Private Med/surg 14 14 $5,000.00 $5,000.00 $248.25 $13,214.39 $2,701.00 2025-07-20
17110 CPT Destruction Benign Lesions Up To 14 1 1 $7,430.00 $7,430.00 $2,229.00 $2,229.00 $2,229.00 2025-07-20
64633 CPT Destruction By Neurolytic Agent, Paravertebral Facet Joint 6 6 $7,897.50 $7,897.50 $930.00 $3,400.00 $2,151.19 2025-07-20
C1713 HCPCS Screw Cannulated 6.0x65mm 1 1 $9,929.70 $9,929.70 $1,790.25 $1,790.25 $1,790.25 2025-07-20
64635 CPT Destruction By Neurolytic Agent, Paravertebral 13 10 $7,897.00 $7,897.00 $465.00 $3,400.00 $1,719.80 2025-07-20
99285 CPT ER Visit Level 5 High Severity 17 17 $6,670.00 $6,670.00 $581.30 $3,845.43 $1,717.68 2025-07-20
19083 CPT US Breast Biopsy, First Lesion 1 1 $3,477.35 $3,477.35 $1,622.86 $1,622.86 $1,622.86 2025-07-20
26055 CPT Tendon Sheath Incision (eg, For Trigger Finger) 2 2 $6,745.00 $6,745.00 $1,600.00 $1,603.00 $1,601.50 2025-07-20
47000 CPT Biopsy Of Liver, Needle; Percutaneou 1 1 $6,610.00 $6,610.00 $1,600.00 $1,600.00 $1,600.00 2025-07-20
99284 CPT ER Visit Level 4 W/procedure 22 22 $4,930.00 $4,930.00 $401.08 $5,450.00 $1,500.00 2025-07-20
43762 CPT Perq Replacement Gtube Not Req Revj Gstrst Trc 1 1 $1,450.00 $1,450.00 $1,450.00 $1,450.00 $1,450.00 2025-07-20
38510 CPT Biopsy Or Excision Of Lymph Node(s); Open, 1 1 $13,376.50 $13,376.50 $1,175.00 $1,175.00 $1,175.00 2025-07-20
74181 CPT MRI Abdomen Without Contrast Material 1 1 $5,000.00 $5,000.00 $900.00 $900.00 $900.00 2025-07-20
70543 CPT MRI Orbit Face & Neck; Wo & W Dye 1 1 $3,707.00 $3,707.00 $900.00 $900.00 $900.00 2025-07-20
99283 CPT ER Visit Level 3 W/procedure 24 24 $4,160.00 $4,160.00 $258.38 $4,160.00 $885.76 2025-07-20
20606 CPT Arthrocentesis Aspir&/inj Interm Jt/burs W/us 1 1 $1,607.00 $1,607.00 $881.85 $881.85 $881.85 2025-07-20
11755 CPT Biopsy Nail Unit Separate Procedure 4 4 $3,540.00 $3,540.00 $636.75 $1,062.00 $849.42 2025-07-20
64493 CPT Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet (zygapophysea… 11 10 $3,296.00 $3,296.00 $465.00 $1,162.31 $832.40 2025-07-20
12002 CPT Simple Repair Of Superficial Wounds Of Scalp, Neck 1 1 $829.00 $829.00 $829.00 $829.00 $829.00 2025-07-20
20553 CPT Injection(s); Single Or Multiple Trigger Point(s) 2 2 $2,340.00 $2,340.00 $231.81 $1,287.00 $759.40 2025-07-20
64490 CPT Injection(s), Diagnostic Or Therapeutic Agent 8 8 $3,295.90 $3,295.90 $465.00 $875.75 $741.96 2025-07-20
73718 CPT MRI Extremity, Lower, No Joint; Wo Dye 4 4 $6,705.00 $6,705.00 $471.65 $6,705.00 $708.48 2025-07-20
74019 CPT Xr, Abdomen; 2 Views 4 4 $1,187.40 $1,187.40 $101.59 $1,187.40 $663.44 2025-07-20
72149 CPT MRI Spinal Canal, Lumbar; W Dye 1 1 $7,765.00 $7,765.00 $631.81 $631.81 $631.81 2025-07-20
11730 CPT Avulsion Nail Plate Partial/complete Simple 1 1 1 $2,100.00 $2,100.00 $630.00 $630.00 $630.00 2025-07-20
72156 CPT MRI Spinal Canal, Cervical; Wo & W Dye 2 2 $10,204.00 $10,204.00 $355.36 $900.00 $627.68 2025-07-20
92552 CPT Pure Tone Audiometry 1 1 $3,000.00 $3,000.00 $626.41 $626.41 $626.41 2025-07-20
95886 CPT Musc Test Done W/n Test Comp 6 6 $4,000.00 $4,000.00 $144.00 $4,000.00 $625.05 2025-07-20
72131 CPT CT Scan Lumbar Without Contrast 8 8 $6,000.00 $6,000.00 $101.59 $5,758.00 $625.00 2025-07-20
71260 CPT CT Chest W/cont 3 3 $3,000.00 $3,000.00 $178.31 $625.00 $625.00 2025-07-20
36589 CPT Removal Of Tunneled Central Venous Catheter 3 3 $3,003.85 $3,003.85 $606.87 $897.93 $619.26 2025-07-20
87040 CPT Culture Blood 1 1 $593.00 $593.00 $593.00 $593.00 $593.00 2025-07-20
84484 CPT Troponin I 4 4 $563.00 $563.00 $90.76 $563.00 $563.00 2025-07-20
95887 CPT EMG Non-extremity W/nerve Cond 4 4 $250.00 $250.00 $371.50 $2,200.00 $557.25 2025-07-20
84550 CPT Uric Acid 1 1 $538.00 $538.00 $538.00 $538.00 $538.00 2025-07-20
10060 CPT Incision & Drainage Abscess Simple/single 1 1 $1,955.00 $1,955.00 $535.39 $535.39 $535.39 2025-07-20
95819 CPT Electroencephalogram (eeg); Including Recording 5 5 $4,000.00 $4,000.00 $290.04 $4,000.00 $529.00 2025-07-20
73720 CPT MRI Extremity, Lower, No Joint; W & Wo Dye 1 1 $10,100.00 $10,100.00 $518.68 $518.68 $518.68 2025-07-20
93306 CPT US Echo Transthor Real-time 2d W Or Wo M-mode; Compl Spec&colr D 5 5 $1,764.08 $1,764.08 $494.27 $747.00 $500.27 2025-07-20
95913 CPT Nerve Conduction Studies 13/> 11 11 $20,500.00 $20,500.00 $137.90 $7,350.00 $495.27 2025-07-20
10061 CPT Incision & Drainage Abscess Complicated/multiple 2 2 $6,334.50 $6,334.50 $400.18 $590.00 $495.09 2025-07-20
82150 CPT Amylase 2 2 $495.00 $495.00 $495.00 $495.00 $495.00 2025-07-20
74177 CPT CT Abd & Pelvis W/cont 13 13 $6,500.00 $6,500.00 $326.16 $11,642.00 $490.41 2025-07-20
31233 CPT Nasal/sinus Endoscopy, Diagnostic 1 1 $6,500.00 $6,500.00 $486.18 $486.18 $486.18 2025-07-20
74178 CPT CT Abd & Pelvis W & Wo Cont 6 6 $3,000.00 $3,000.00 $326.16 $625.00 $472.43 2025-07-20
70544 CPT MRA Head Without Contrst Material 3 3 $6,159.00 $6,159.00 $346.37 $900.00 $471.65 2025-07-20
70553 CPT MRI Brain Brain Stem Wo & W Dye 7 6 $5,141.00 $5,141.00 $321.94 $806.37 $450.00 2025-07-20
29580 CPT Application Or Strapping Of Unna Or Paste Boot 1 1 $1,450.00 $1,450.00 $435.00 $435.00 $435.00 2025-07-20
72128 CPT CT T-spine Wo 4 4 $4,000.00 $4,000.00 $218.32 $6,920.00 $422.77 2025-07-20
64450 CPT Injection Aa&/strd Other Peripheral Nerve/branch - Hospital Fee 1 1 $1,400.00 $1,400.00 $420.00 $420.00 $420.00 2025-07-20
70496 CPT CT Angiography, Head W Contrast Matrl 6 6 $6,510.00 $6,510.00 $174.74 $625.00 $408.22 2025-07-20
93017 CPT Cardiovascular Stress Test Using Maximal 11 11 $2,534.00 $2,534.00 $45.60 $467.85 $400.26 2025-07-20
10120 CPT Incision & Removal Foreign Body Subq Tiss Simple 1 1 $3,275.00 $3,275.00 $400.18 $400.18 $400.18 2025-07-20
70470 CPT CT Of Head/brain W & Wo Contrast 2 2 $6,140.00 $6,140.00 $169.78 $625.00 $397.39 2025-07-20
11056 CPT Paring Or Cutting Of Benign Hyperkeratotic Lesion 2 2 $1,797.80 $1,797.80 $255.29 $539.34 $397.32 2025-07-20
36430 CPT Transfus Blood/comp 1 1 $841.00 $841.00 $392.87 $392.87 $392.87 2025-07-20
20550 CPT Injection(s); Single Tendon Sheath, Or Ligament, Aponeurosis (eg, Plantar 'fasci… 5 5 $1,500.00 $1,500.00 $266.91 $930.00 $387.16 2025-07-20
72081 CPT Xr T/l-spine Standing 2 2 $717.00 $717.00 $83.97 $678.00 $380.99 2025-07-20
64455 CPT Injection(s), Anesthetic Agent(s) And/or Steroid; Plantar Common Digital Nerve(s… 1 1 $3,400.00 $3,400.00 $377.69 $377.69 $377.69 2025-07-20
73721 CPT MRI Lwr Extrem Jt Without Lt 9 9 $4,000.00 $4,000.00 $242.11 $900.00 $373.63 2025-07-20
74176 CPT CT Abd & Pelvis Without Cont 11 11 $6,000.00 $6,000.00 $226.43 $10,701.00 $373.63 2025-07-20
20605 CPT Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa 3 3 $2,390.00 $2,390.00 $293.17 $377.69 $369.59 2025-07-20
95816 CPT Electroencephalogram (eeg); Including Recording 8 8 $4,000.00 $4,000.00 $227.25 $2,200.00 $360.15 2025-07-20
72197 CPT MRI Pelvis; Wo & W Dye 2 2 $4,497.00 $4,497.00 $355.56 $357.71 $356.63 2025-07-20
83735 CPT Magnesium 3 3 $356.00 $356.00 $83.46 $356.00 $356.00 2025-07-20
74183 CPT MRI Abdomen W&w/out Contrast 4 4 $4,400.00 $4,400.00 $350.05 $589.49 $353.96 2025-07-20
11042 CPT Debridement Subcutaneous Tissue 20 Sq Cm Or Less 5 5 $2,583.00 $2,583.00 $288.69 $1,420.65 $352.00 2025-07-20
72141 CPT MRI Spinal Canal, Cervical; Wo Dye 13 13 $6,334.00 $6,334.00 $226.43 $900.00 $351.06 2025-07-20
70552 CPT MRI Brain Brain Stem W Dye 1 1 $4,648.00 $4,648.00 $348.45 $348.45 $348.45 2025-07-20
72148 CPT MRI Spinal Canal, Lumbar; Wo Dye 10 10 $6,158.00 $6,158.00 $195.52 $1,241.50 $343.05 2025-07-20
73060 CPT X-ray Humerus 2 Views 2 2 $350.00 $350.00 $88.19 $595.00 $341.60 2025-07-20
29405 CPT Apply Short Leg Cast (hopd) 1 1 $735.00 $735.00 $339.87 $339.87 $339.87 2025-07-20
72158 CPT MRI Spinal Canal, Lumbar Wo & W Dye 2 2 $9,930.00 $9,930.00 $328.08 $350.77 $339.42 2025-07-20
20610 CPT Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa (eg, Te… 8 8 $2,390.00 $2,390.00 $266.10 $2,390.00 $336.68 2025-07-20
72125 CPT CT C Spine Without Constrast 7 7 $6,000.00 $6,000.00 $171.02 $6,817.00 $333.96 2025-07-20
70551 CPT MRI Brain Brain Stem Wo Dye 12 12 $4,800.00 $4,800.00 $200.53 $900.00 $331.76 2025-07-20
74182 CPT MRI Abdomen With Contrast 1 1 $4,497.00 $4,497.00 $321.94 $321.94 $321.94 2025-07-20
84479 CPT T3 Uptake 1 1 $468.00 $468.00 $319.05 $319.05 $319.05 2025-07-20
70498 CPT CT Angiography, Neck W Contrast Matrl 2 2 $6,557.00 $6,557.00 $288.54 $312.50 $300.52 2025-07-20
73221 CPT MRI Upr Extrem Jt Without Lt 6 6 $5,000.00 $5,000.00 $207.82 $900.00 $300.03 2025-07-20
99214 CPT Office Or Other Outpatient Visit For The Evaluation Established Pt 1 1 $550.00 $550.00 $300.00 $300.00 $300.00 2025-07-20
11721 CPT Debridement Of Nail(s) By Any Method(s); 6 Or More 6 6 $1,000.00 $1,000.00 $300.00 $1,000.00 $300.00 2025-07-20
64484 CPT Injection(s), Anesthetic Agent And/or Steroid, Transforaminal Epidural, With Ima… 8 8 $1,648.00 $1,648.00 $266.98 $465.00 $295.00 2025-07-20
64636 CPT Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(s), With Imagin… 7 6 $1,500.00 $1,500.00 $116.25 $465.00 $295.00 2025-07-20
64634 CPT Destruction By Neurolytic Agent, Paravertebral Facet Each Add 3 3 $3,948.70 $3,948.70 $295.00 $465.00 $295.00 2025-07-20
20611 CPT Arthrocentesis, Aspiration And/or Injection, Major Joint 7 7 $1,200.00 $1,200.00 $273.69 $1,194.60 $293.17 2025-07-20
83690 CPT Lipase 4 4 $487.00 $487.00 $32.45 $487.00 $290.22 2025-07-20
70492 CPT CT Soft Tissue Neck W & Wo Contrast 3 3 $7,745.00 $7,745.00 $178.31 $625.00 $288.54 2025-07-20
71270 CPT CT Chest W&wo 3 3 $3,000.00 $3,000.00 $178.31 $312.50 $288.54 2025-07-20
95912 CPT Nerve Conduction Studies 11-12 1 1 $17,300.00 $17,300.00 $288.00 $288.00 $288.00 2025-07-20
80047 CPT Bmp With Calcium Ionized 2 2 $278.00 $278.00 $278.00 $278.00 $278.00 2025-07-20
82977 CPT Ggt(gamma Gt) 1 1 $277.00 $277.00 $277.00 $277.00 $277.00 2025-07-20
96374 CPT Therapeutic Prophlx/dx Njx IV Push Single/1st Sbst/drug 13 13 $411.00 $411.00 $96.35 $411.00 $273.32 2025-07-20
82553 CPT Ck-mb 2 2 $465.00 $465.00 $74.96 $465.00 $269.98 2025-07-20
94060 CPT Bronchodilation Responsiveness, Spirometry 1 1 $310.20 $310.20 $266.20 $266.20 $266.20 2025-07-20
83874 CPT Myoglobin 2 2 $442.00 $442.00 $71.25 $442.00 $256.62 2025-07-20
99281 CPT ER Visit Level 1 Limited 9 9 $375.00 $375.00 $81.99 $352.00 $254.54 2025-07-20
83605 CPT Lactic Acid 2 2 $399.00 $399.00 $93.54 $399.00 $246.27 2025-07-20
72146 CPT MRI Chest Spinal Canal Wo Dye 1 1 $5,286.00 $5,286.00 $242.11 $242.11 $242.11 2025-07-20
93925 CPT US Art Dop Bil Le 5 4 $2,499.00 $2,499.00 $229.65 $288.00 $242.11 2025-07-20
76000 CPT C-arm Charge 4 4 $530.00 $530.00 $221.90 $1,178.00 $240.94 2025-07-20
93970 CPT US Ven Dop Bil Ext 7 7 $2,909.00 $2,909.00 $186.38 $354.00 $237.27 2025-07-20
71275 CPT CT Chests Pe 5 5 $2,500.00 $2,500.00 $174.85 $625.00 $234.30 2025-07-20
70491 CPT CT St Neck W/cont 3 3 $3,000.00 $3,000.00 $169.78 $392.24 $234.30 2025-07-20
64494 CPT Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet Joint Each Ad… 7 6 $1,648.00 $1,648.00 $116.25 $465.00 $232.50 2025-07-20
72195 CPT MRI Pelvis; Wo Dye 1 1 $4,898.00 $4,898.00 $226.43 $226.43 $226.43 2025-07-20
73218 CPT MRI Upr Extrem Without Lt 1 1 $4,000.00 $4,000.00 $226.43 $226.43 $226.43 2025-07-20
93880 CPT US Carotid Dop Bil 1 1 $2,607.99 $2,607.99 $226.43 $226.43 $226.43 2025-07-20
71550 CPT MRI Chest Without Contrast 2 2 $4,462.00 $4,462.00 $222.67 $226.43 $224.55 2025-07-20
11765 CPT Wedge Excision Skin Nail Fold 4 4 $746.00 $746.00 $223.80 $223.80 $223.80 2025-07-20
82040 CPT Albumin 1 1 $223.00 $223.00 $223.00 $223.00 $223.00 2025-07-20
70486 CPT CT Maxillofacial Wo Contrast Matrl 5 5 $4,845.00 $4,845.00 $98.38 $625.00 $213.83 2025-07-20
99282 CPT ER Visit Level 2 W/procedure 17 17 $2,720.00 $2,720.00 $138.71 $2,652.02 $208.56 2025-07-20
73700 CPT CT Extremity, Lower; Wo Dye 5 5 $3,975.00 $3,975.00 $101.53 $625.00 $202.35 2025-07-20
96360 CPT IV Inf Hydration 31-60 Min 7 7 $1,015.38 $1,015.38 $70.87 $1,015.38 $198.06 2025-07-20
96365 CPT IV Inf Therapy/prp[hylaxis/dx 1st To 1 Hr 10 9 $446.00 $446.00 $23.80 $446.00 $198.06 2025-07-20
84100 CPT Phosphorus Serum 2 2 $308.00 $308.00 $72.20 $308.00 $190.10 2025-07-20
86922 CPT Compatibility Antiglobulin 2 2 $572.00 $572.00 $154.58 $224.75 $189.67 2025-07-20
20526 CPT Injection, Therapeutic (eg, Local Anesthetic, Cortisone 1 1 $1,130.00 $1,130.00 $188.85 $188.85 $188.85 2025-07-20
70487 CPT CT Maxillofacial Area W Contrast Matrl 1 1 $4,853.00 $4,853.00 $178.31 $178.31 $178.31 2025-07-20
73706 CPT CT Angiography Lower Ext Lt 1 1 $4,000.00 $4,000.00 $178.31 $178.31 $178.31 2025-07-20
74160 CPT CT Abdomen With Contrast 1 1 $3,000.00 $3,000.00 $175.46 $175.46 $175.46 2025-07-20
71250 CPT CT Chest Without Cont 7 7 $6,000.00 $6,000.00 $101.59 $5,260.00 $171.01 2025-07-20
73564 CPT Xr Knee 4+v Lt 3 3 $550.00 $550.00 $171.01 $379.03 $171.01 2025-07-20
29700 CPT Removal/revision Of Cast 1 1 $570.00 $570.00 $170.00 $170.00 $170.00 2025-07-20
74220 CPT Xr Esophagus 1 1 $1,159.00 $1,159.00 $169.78 $169.78 $169.78 2025-07-20
73202 CPT CT Upr Extrem W/wo Lt 1 1 $4,000.00 $4,000.00 $169.78 $169.78 $169.78 2025-07-20
93005 CPT Rt EKG 12 Lead Tracking Only 15 15 $720.00 $720.00 $7.56 $720.00 $168.79 2025-07-20
99406 CPT Smoking And Tobacco Use Cessation Counseling 2 2 $300.00 $300.00 $36.59 $300.00 $168.29 2025-07-20
70482 CPT CT Orbit Sella/post Fossa/ear Wo & W Contr Matrl 1 1 $5,215.00 $5,215.00 $160.48 $160.48 $160.48 2025-07-20
70490 CPT CT S.t Neck Wo 2 2 $2,500.00 $2,500.00 $101.53 $218.32 $159.93 2025-07-20
G0463 HCPCS Hospital Outpatient Clinic Visit For Assessment And Management Of A Patient 31 27 $525.00 $525.00 $112.11 $525.00 $157.50 2025-07-20
93000 CPT Electrocardiogram, Routine ECG With At Least 12 Le 2 2 $350.00 $350.00 $51.85 $261.00 $156.43 2025-07-20
74246 CPT Xr, Ugi, W Air Contrast, W Effervescent Agent, W/wo Glucagon, W/wo Delayed Image… 1 1 $1,600.00 $1,600.00 $155.83 $155.83 $155.83 2025-07-20
72110 CPT Lumbar Spine Complete 6 6 $500.00 $500.00 $48.40 $171.01 $155.60 2025-07-20
72192 CPT CT Pelvis Without Enhancement 1 1 $6,000.00 $6,000.00 $154.44 $154.44 $154.44 2025-07-20
73200 CPT CT Upper Ext Without Contrast 3 3 $4,457.00 $4,457.00 $140.20 $625.00 $154.44 2025-07-20
94010 CPT Spirometry With Graph 1 1 $367.00 $367.00 $153.67 $153.67 $153.67 2025-07-20
70450 CPT CT Of Head/brain Wo Dye 15 15 $4,979.00 $4,979.00 $93.24 $4,979.00 $151.45 2025-07-20
77067 CPT Mammography, Screening, Both Breasts 19 19 $394.60 $394.60 $88.20 $616.26 $150.19 2025-07-20
96125 CPT Standardized Cognitive Performance Testing 1 1 $1,050.00 $1,050.00 $146.73 $146.73 $146.73 2025-07-20
97597 CPT Debridement Open Wound 20 Sq Cm/< 1 1 $575.00 $575.00 $144.94 $144.94 $144.94 2025-07-20
86140 CPT Crp (c-reactive Protein) 2 2 $283.00 $283.00 $6.48 $283.00 $144.74 2025-07-20
97162 CPT Pt Physical Therapy Eval Mod Complex 30 Mins 1 1 $890.00 $890.00 $144.10 $144.10 $144.10 2025-07-20
96372 CPT Therapeutic Prophlx/dx Injection Subq/im 7 7 $256.30 $256.30 $60.08 $256.30 $140.97 2025-07-20
76700 CPT US Of Abdmen (complete) 11 11 $1,200.24 $1,200.24 $94.87 $171.01 $140.20 2025-07-20
72100 CPT X-ray Lumbar Spine 2vws 14 14 $717.00 $717.00 $35.42 $1,156.00 $139.83 2025-07-20
86923 CPT Compatibility Electronic 2 2 $550.00 $550.00 $123.66 $154.58 $139.12 2025-07-20
70330 CPT Xr Jaw Joint, Open/closed, Bilat 1 1 $822.00 $822.00 $139.01 $139.01 $139.01 2025-07-20
70140 CPT Xr Facial Bones, <3 Views 1 1 $822.00 $822.00 $139.01 $139.01 $139.01 2025-07-20
72220 CPT X-ray Sacrum & Coccyx 1 1 $250.00 $250.00 $139.01 $139.01 $139.01 2025-07-20
72170 CPT X-ray Pelvis 2 2 $250.00 $250.00 $102.99 $171.01 $137.00 2025-07-20
77066 CPT Diagnostic Mammography, Including Computer-aided Detection (cad) When Performed;… 11 11 $522.20 $522.20 $108.95 $181.09 $134.94 2025-07-20
29515 CPT Application Of Short Leg Splint (calf To Foot) 1 1 $1,150.00 $1,150.00 $133.63 $133.63 $133.63 2025-07-20
76856 CPT US Pelvic Nonobstetric Real-time Image Complete 7 7 $1,599.00 $1,599.00 $90.95 $272.15 $132.07 2025-07-20
93971 CPT US Ven Dop Uni Ext 6 6 $1,730.00 $1,730.00 $101.59 $354.00 $127.10 2025-07-20
71271 CPT Low Dose CT Scan (ldct) For Lung Cancer Screening 6 6 $6,817.00 $6,817.00 $99.50 $625.00 $123.35 2025-07-20
76775 CPT US Retroperitoneal Real Time W/image Limited 8 8 $1,764.00 $1,764.00 $39.42 $171.01 $122.29 2025-07-20
G0447 HCPCS Face-to-face Behavioral Counseling For Obesity, 15 Minutes 9 9 $392.00 $392.00 $90.80 $215.60 $117.60 2025-07-20
64492 CPT Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet (zygapophysea… 1 1 $1,647.95 $1,647.95 $116.25 $116.25 $116.25 2025-07-20
73610 CPT X-ray Ankle 3 Views 9 9 $450.00 $450.00 $86.93 $139.01 $115.87 2025-07-20
71045 CPT Xr Chest, Single View 9 9 $621.10 $621.10 $83.97 $621.10 $115.87 2025-07-20
71046 CPT Xr Chest, 2 Views 16 16 $621.10 $621.10 $28.98 $139.01 $115.87 2025-07-20
76642 CPT US Breast Uni Real Time With Image Limited 11 11 $360.00 $360.00 $63.86 $195.70 $115.87 2025-07-20
51702 CPT Insertion Of Temporary Indwelling Bladder Catheter (foley) 1 1 $1,003.00 $1,003.00 $115.61 $115.61 $115.61 2025-07-20
11057 CPT Paring/cutting Benign Hyperkeratotic Lesion >4 3 3 $372.00 $372.00 $111.60 $181.28 $111.60 2025-07-20
73140 CPT Xray Exam Of Fingers Min 2 Vie 2 2 $89.00 $89.00 $83.97 $139.01 $111.49 2025-07-20
76830 CPT US Transvaginal Non-OB 5 5 $1,200.00 $1,200.00 $106.51 $140.20 $108.30 2025-07-20
76536 CPT US Soft Tissue Head & Neck Real Time Imge Docm 11 11 $1,384.00 $1,384.00 $95.86 $171.01 $106.51 2025-07-20
76604 CPT Ultrasound, Chest (includes Mediastinum), Real Tim 1 1 $1,384.00 $1,384.00 $106.51 $106.51 $106.51 2025-07-20
76705 CPT US Abdominal Real Time W/image Limited 9 9 $1,406.00 $1,406.00 $71.88 $215.31 $106.51 2025-07-20
72072 CPT Xr Spine, Thoracic 3 Vws 1 1 $942.00 $942.00 $106.51 $106.51 $106.51 2025-07-20
70150 CPT Xr Facial Bones 3+ Views 1 1 $114.00 $114.00 $106.51 $106.51 $106.51 2025-07-20
77065 CPT Mammography, 1 Breast 10 10 $423.60 $423.60 $85.59 $142.05 $105.13 2025-07-20
76881 CPT US Extremity Non Vascular 2 2 $1,200.00 $1,200.00 $100.00 $106.51 $103.25 2025-07-20
72052 CPT Xr Spine, Cervical 6+ Vws 2 2 $1,083.00 $1,083.00 $101.59 $104.88 $103.23 2025-07-20
97167 CPT Ot Occupation Therapy Eval High Complex 60 Mins 1 1 $960.00 $960.00 $102.60 $102.60 $102.60 2025-07-20
73630 CPT X-ray Foot 3 Views 8 8 $450.00 $450.00 $31.81 $169.87 $102.03 2025-07-20
70480 CPT CT Orbit Sella/post Fossa/ear Wo Contrast Matrl 1 1 $4,902.00 $4,902.00 $102.00 $102.00 $102.00 2025-07-20
77080 CPT Dual-energy X-ray Absorptiometry (dxa), Bone Density Study, 1 Or More Sites, Axi… 8 8 $450.00 $450.00 $35.20 $171.01 $101.94 2025-07-20
72120 CPT Xr Spine, Lumbosacral Only Bending 2/3 Views 1 1 $717.00 $717.00 $101.59 $101.59 $101.59 2025-07-20
72070 CPT Xr Spine, Thoracix 2 Vws 3 3 $900.18 $900.18 $28.21 $171.01 $101.59 2025-07-20
76641 CPT US Breast Uni Real Time With Image Complete 5 5 $360.00 $360.00 $82.30 $367.80 $101.59 2025-07-20
70260 CPT Xr Skull 4+ Views 1 1 $1,133.00 $1,133.00 $101.59 $101.59 $101.59 2025-07-20
74022 CPT Xray Comp Acute Abdomen Series 1 1 $250.00 $250.00 $101.59 $101.59 $101.59 2025-07-20
72050 CPT C-spine Complete 3 3 $262.00 $262.00 $49.44 $106.51 $101.59 2025-07-20
76882 CPT US Extremity Non-vasc Real-time Img Lmtd 2 2 $1,348.00 $1,348.00 $99.90 $101.59 $100.75 2025-07-20
76770 CPT US Retroperitoneal Real Time W/image Complete 3 3 $1,754.00 $1,754.00 $88.70 $307.00 $100.00 2025-07-20
73650 CPT X-ray Calcaneus 2 Views 2 2 $350.00 $350.00 $83.97 $115.87 $99.92 2025-07-20
71101 CPT Xr, Ribs, 1 Side, Including Posteroanterior Chest, Min 3 Views 1 1 $777.00 $777.00 $99.91 $99.91 $99.91 2025-07-20
76870 CPT US Scrotum And Contents 5 5 $1,405.00 $1,405.00 $42.35 $171.01 $99.91 2025-07-20
93926 CPT US Art Dop Uni Le 3 3 $1,576.49 $1,576.49 $99.50 $106.51 $99.80 2025-07-20
76706 CPT US Abdominal Aorta Real Time Screen Study Aaa 5 5 $565.00 $565.00 $99.50 $140.20 $99.56 2025-07-20
76857 CPT Ultrasound, Pelvic (nonobstetric), Real Time 3 3 $1,120.00 $1,120.00 $99.50 $106.51 $99.56 2025-07-20
77085 CPT Dual-energy X-ray Absorptiometry (dxa), Bone Density Study, 1 Or More Sites; Axi… 1 1 $400.00 $400.00 $99.50 $99.50 $99.50 2025-07-20
97163 CPT Pt Physical Therapy Eval High Complex 45 Mins 3 3 $1,780.00 $1,780.00 $77.73 $99.57 $99.38 2025-07-20
73522 CPT Xr Hips, Bilatateral, W Pelvis When Performed; 3-4 Views 2 2 $906.00 $906.00 $95.86 $101.59 $98.72 2025-07-20
64491 CPT Injection(s), Diagnostic Or Therapeutic Agent Each Add 6 6 $1,647.95 $1,647.95 $73.75 $232.50 $95.00 2025-07-20
77075 CPT Radiologic Examination, Osseous Survey; Complete 1 1 $561.00 $561.00 $93.24 $93.24 $93.24 2025-07-20
74221 CPT Radiologic Exam Esophagus Double Contrast Study (barium) 1 1 $1,283.00 $1,283.00 $92.71 $92.71 $92.71 2025-07-20
73080 CPT Xr Elbow Complete Minimum 3 Views 3 3 $709.00 $709.00 $88.19 $115.87 $91.76 2025-07-20
G0101 HCPCS Cervical Or Vaginal Cancer Screening; Pelvic 1 1 $393.20 $393.20 $90.80 $90.80 $90.80 2025-07-20
96376 CPT Therapeutic, Prophylactic, Or Diagnostic Injection (specify Substance Or Drug); … 2 2 $160.00 $160.00 $21.32 $160.00 $90.66 2025-07-20
96127 CPT Brief Emotional/behavioral Assessment 9 9 $300.00 $300.00 $50.68 $165.00 $90.00 2025-07-20
72040 CPT C-spine Ap/lat 10 10 $131.00 $131.00 $34.03 $701.13 $89.12 2025-07-20
73090 CPT Xr Of Salivary Duct 1 1 $880.00 $880.00 $88.19 $88.19 $88.19 2025-07-20
70160 CPT Xr Nasal Bones 3+ Views 1 1 $101.00 $101.00 $88.19 $88.19 $88.19 2025-07-20
73502 CPT Xr Hip, Unilateral, W Pelvis When Performed; 2-3 Views 9 9 $482.00 $482.00 $45.08 $139.01 $88.19 2025-07-20
71100 CPT Xr Ribs, Unilat, 2 Vws 1 1 $638.00 $638.00 $88.19 $88.19 $88.19 2025-07-20
73030 CPT X-ray Shoulder Complete 10 10 $700.00 $700.00 $31.87 $139.01 $87.56 2025-07-20
74018 CPT Xr, Abdomen; 1 View 3 3 $621.10 $621.10 $26.21 $86.93 $86.48 2025-07-20
70220 CPT Xr Paranasal Sinuses 3+ Views 1 1 $152.00 $152.00 $86.48 $86.48 $86.48 2025-07-20
73110 CPT X-ray Wrist 3 Views 6 6 $450.00 $450.00 $39.83 $139.01 $85.45 2025-07-20
71120 CPT Xr Sternum 2+ Views 1 1 $683.00 $683.00 $83.97 $83.97 $83.97 2025-07-20
73560 CPT X-ray Knee 2vw 3 3 $564.00 $564.00 $82.64 $91.76 $83.97 2025-07-20
73130 CPT X-ray Hand 3 Views 3 3 $450.00 $450.00 $35.59 $139.01 $83.97 2025-07-20
73660 CPT Xr Toe(s) 2+v Rt 1 1 $250.00 $250.00 $82.64 $82.64 $82.64 2025-07-20
77061 CPT Tomosynthesis, Digital Breast; Unilat 10 10 $360.00 $360.00 $9.15 $142.05 $82.50 2025-07-20
36415 CPT Venous Blood Collection 13 13 $350.00 $350.00 $8.57 $350.00 $82.05 2025-07-20
73590 CPT Xr Tibia & Fibula; 2 Vws 4 4 $784.00 $784.00 $65.80 $784.00 $81.67 2025-07-20
G0279 HCPCS Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral; Interpretation 2 2 $720.00 $720.00 $19.36 $142.29 $80.82 2025-07-20
73010 CPT Xr Scapula Lt 1 1 $260.00 $260.00 $79.60 $79.60 $79.60 2025-07-20
73562 CPT X-ray Knee 3 Views 9 9 $350.00 $350.00 $37.14 $115.87 $77.07 2025-07-20
64495 CPT Injection(s), Diagnostic Or Therapeutic Agent, Par 1 1 $1,648.00 $1,648.00 $73.75 $73.75 $73.75 2025-07-20
81003 CPT Urinalysis Without Micro Auto 1 1 $73.00 $73.00 $73.00 $73.00 $73.00 2025-07-20
90471 CPT Vaccine Admin 6 6 $128.15 $128.15 $26.92 $112.11 $67.79 2025-07-20
P9021 HCPCS Processing & Storage Red Cells Packed Ea 2 1 $1,598.00 $1,598.00 $58.50 $72.61 $65.56 2025-07-20
96367 CPT IV Infusion Therapy Proph Addl Sequential To 1 Hr (list Primary Code Also) 1 1 $265.75 $265.75 $63.76 $63.76 $63.76 2025-07-20
80307 CPT Drug Screen, Any Number Of Drug Classes From Drug 3 3 $100.00 $100.00 $16.12 $100.00 $62.14 2025-07-20
J3420 HCPCS Njection, Vitamin B-12 Cyanocobalamin, Up To 1000 1 1 $60.00 $60.00 $60.00 $60.00 $60.00 2025-07-20
73000 CPT Xr Clavicle Complete Lt 2 2 $260.00 $260.00 $31.86 $86.43 $59.15 2025-07-20
97530 CPT Pt Therapeutic Activit 15 Min 4 4 $152.00 $152.00 $36.16 $94.79 $58.14 2025-07-20
G0378 HCPCS Obsv Per Hour 6 6 $62.50 $62.50 $8.63 $486.44 $56.02 2025-07-20
80306 CPT Drug Test Prsmv, Any Number Of Drug Classes, Any Number Of Devices Or Procedures… 2 2 $300.00 $300.00 $10.28 $98.15 $54.22 2025-07-20
97112 CPT Pt Neuromusc Re-educ 15 Min 2 2 $37.00 $37.00 $53.33 $53.33 $53.33 2025-07-20
86710 CPT Influenza A&b Ab 3 3 $175.00 $175.00 $28.93 $175.00 $53.02 2025-07-20
96361 CPT IV Inf Hydration Addl Hour 6 6 $654.00 $654.00 $43.58 $654.00 $52.23 2025-07-20
U0002 HCPCS Sars-cov 2/2019-any Technique 9 9 $1,500.00 $1,500.00 $50.28 $1,500.00 $51.31 2025-07-20
86328 CPT Sars-cov2/covid19; Immunoassay For Infectious Agent Antibody, Qual Or Semiquan; … 4 4 $1,500.00 $1,500.00 $45.28 $67.92 $45.28 2025-07-20
77062 CPT Tomosynthesis, Digital Breast; Bilat 5 5 $360.00 $360.00 $9.15 $82.50 $45.00 2025-07-20
96375 CPT Therapeutic, Prophylactic, Or Diagnostic Injection (specify Substance Or Drug); … 12 12 $140.00 $140.00 $36.23 $140.00 $44.59 2025-07-20
94760 CPT Rt Pulse Ox Single Spot Ck 5 5 $80.00 $80.00 $3.05 $43.66 $43.66 2025-07-20
G0008 HCPCS Medicare Admin Of Flu Virus Vacc Facility Charge 2 2 $85.00 $85.00 $42.99 $43.01 $43.00 2025-07-20
69209 CPT Removal Impacted Cerumen Using Irrigation/ 1 1 $275.00 $275.00 $41.25 $41.25 $41.25 2025-07-20
G0444 HCPCS Annual Depression Screening, 15 Minutes 12 12 $300.00 $300.00 $25.99 $90.00 $39.93 2025-07-20
77063 CPT Screening Ditial Breast Tomosynthesis, Bilateral; Interpretation 19 19 $720.00 $720.00 $22.89 $258.70 $39.04 2025-07-20
97110 CPT Therapeutic Exercise 5 5 $580.00 $580.00 $22.22 $53.33 $37.24 2025-07-20
G0442 HCPCS Annual Alcohol Misuse Screening, 15 Minutes 1 1 $90.00 $90.00 $36.59 $36.59 $36.59 2025-07-20
15853 CPT Removal Sutures/staples Not Requiring Anesthesia 1 1 $120.00 $120.00 $36.00 $36.00 $36.00 2025-07-20
97140 CPT Pt Manual Therapy 15 Min 1 1 $33.00 $33.00 $31.74 $31.74 $31.74 2025-07-20
82306 CPT Vitamin D 25-hydroxy Lc/ms 1 1 $80.00 $80.00 $29.60 $29.60 $29.60 2025-07-20
96366 CPT IV Infusion Therapy/prophlx/dx Addl Hr (list Primary Code Also) 2 2 $187.00 $187.00 $9.98 $46.21 $28.10 2025-07-20
90715 CPT Diph-pert(ac)-tet 0.5 Pf Vacc 1 1 $195.00 $195.00 $27.03 $27.03 $27.03 2025-07-20
97116 CPT Pt Gait Training 15 Min 1 1 $31.00 $31.00 $22.22 $22.22 $22.22 2025-07-20
84153 CPT Prostate Specific Ag Total 1 1 $572.00 $572.00 $18.39 $18.39 $18.39 2025-07-20
86803 CPT Hepatitis C Ab 1 1 $648.00 $648.00 $17.84 $17.84 $17.84 2025-07-20
87110 CPT Culture Chlamydia 1 1 $725.00 $725.00 $17.64 $17.64 $17.64 2025-07-20
86703 CPT HIV-1/hiv-2 Single Result Ab 1 1 $290.00 $290.00 $17.14 $17.14 $17.14 2025-07-20
84443 CPT Tsh 2 2 $150.00 $150.00 $16.80 $16.80 $16.80 2025-07-20
87804 CPT Influenza B Antigen 3 3 $120.00 $120.00 $9.93 $16.55 $16.55 2025-07-20
87880 CPT Rapid Strep Screen 5 5 $100.00 $100.00 $9.92 $100.00 $16.53 2025-07-20
84703 CPT Hcg Qualitative 2 2 $306.00 $306.00 $7.52 $20.39 $13.96 2025-07-20
86706 CPT Hepatitis B Surface Ab 1 1 $341.00 $341.00 $13.43 $13.43 $13.43 2025-07-20
80061 CPT Lipid Panel 9 9 $171.00 $171.00 $4.99 $13.39 $13.39 2025-07-20
80305 CPT Drug Test Prsmv Qual Dir Optical Obs Per Day 3 3 $300.00 $300.00 $12.60 $12.60 $12.60 2025-07-20
80053 CPT Cmp 11 11 $985.00 $985.00 $9.50 $985.00 $10.56 2025-07-20
81001 CPT Urinalysis 3 3 $24.00 $24.00 $3.17 $93.30 $10.00 2025-07-20
83036 CPT Glycosylated Hgb A1c 8 8 $250.00 $250.00 $5.83 $13.24 $9.71 2025-07-20
83550 CPT Total Iron Binding Capacity 1 1 $376.00 $376.00 $8.74 $8.74 $8.74 2025-07-20
81025 CPT Urine Pregnancy Test 9 7 $265.00 $265.00 $7.75 $8.63 $8.52 2025-07-20
80048 CPT Basic Metabolic Panel 5 5 $47.00 $47.00 $5.08 $8.46 $8.46 2025-07-20
86141 CPT High Sensitivity Crp 1 1 $396.00 $396.00 $7.77 $7.77 $7.77 2025-07-20
85025 CPT Cbs W/auto Diff 13 13 $173.00 $173.00 $4.66 $119.00 $7.77 2025-07-20
83540 CPT Iron Serum 1 1 $317.00 $317.00 $6.47 $6.47 $6.47 2025-07-20
85730 CPT Ptt 2 2 $33.52 $33.52 $6.01 $6.01 $6.01 2025-07-20
85378 CPT D-dimer 1 1 $276.00 $276.00 $5.83 $5.83 $5.83 2025-07-20
82570 CPT Creatinine Urine Random 1 1 $241.00 $241.00 $5.18 $5.18 $5.18 2025-07-20
82565 CPT Creatine 4 4 $55.00 $55.00 $3.07 $280.00 $5.12 2025-07-20
82270 CPT Occult Blood Feces 1 1 $65.00 $65.00 $4.38 $4.38 $4.38 2025-07-20
85610 CPT Prothrombin Time (pt) 6 6 $233.00 $233.00 $4.29 $233.00 $4.29 2025-07-20
86592 CPT Syphilis Serology Rpr 3 3 $254.00 $254.00 $3.84 $4.27 $4.27 2025-07-20
82947 CPT Glucose 11 11 $208.00 $208.00 $3.85 $208.00 $3.93 2025-07-20
81002 CPT Urinalysis Without Micro Nonauto 5 5 $100.00 $100.00 $2.09 $3.48 $3.48 2025-07-20
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