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
33 distinct payers
1,900 rate rows
2025-07-20 last MRF observed · ⚠ 16 mo old
Data quality

1,812 of 1,900 rate rows are consumer-grade (95.4%)

88 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 80
exceeds 10× this hospital's gross charge — excluded from medians 8

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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 success · 2026-11-03
Content fingerprint 83943acaba1d0c30… · 1,976,158 bytes · first seen 2026-11-03

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 		Laminotomy (hemilaminectomy), With Decompression 1 $66,582.60 $66,582.60 $66,582.60 nat. median
$7,614
outlier · 8.7×
C1820
HCPCS 		Stimulator Spinal Cord 1 $32,338.50 $32,338.50 $32,338.50 nat. median
$22,953
1.4× median
C1778
HCPCS 		Kit Trial Neurostimulator Wireless Leads 1 $18,325.43 $18,325.43 $18,325.43 nat. median
$4,402
outlier · 4.2×
22551
CPT 		Arthrd Ant Ntrbdy Cervical 2 $9,528.80 $12,887.66 $11,208.23 nat. median
$12,536
0.9× median
47562
CPT 		Laparoscopic Cholecystectomy 2 $3,200.00 $9,200.00 $6,200.00 nat. median
$6,004
1.0× median
63650
CPT 		Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural 4 $1,175.00 $8,721.23 $6,195.67 nat. median
$7,275
0.9× median
36902
CPT 		Introduction Of Needle(s) And/or Catheter( 6 $5,596.54 $32,000.00 $5,654.90 nat. median
$7,018
0.8× median
H0047
HCPCS 		Alcohol/drug Abuse Svc Nos 1 $5,000.00 $5,000.00 $5,000.00 nat. median
$126
outlier · 39.7×
0232T
OTHER 		1 $4,968.95 $4,968.95 $4,968.95 nat. median
$513
outlier · 9.7×
1260000003
CDM 		Room & Board - ICU 10 $875.64 $20,410.27 $3,955.68 nat. median
$3,956
1.0× median
4350000001
CDM 		10 $875.64 $20,410.27 $3,955.68 nat. median
$3,956
1.0× median
1260000004
CDM 		Room & Board Telemetry/imcu 5 $2,325.00 $5,250.00 $3,664.26 nat. median
$3,664
1.0× median
29881
CPT 		Arthroscopy, Knee, Surgical; With Meniscectom 2 $2,990.99 $4,255.48 $3,623.23 nat. median
$3,832
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
$526
outlier · 6.6×
63688
CPT 		Rev/rmv Imp Sp Npg/r Dtch Cn 1 $3,084.34 $3,084.34 $3,084.34 nat. median
$3,651
0.8× median
29877
CPT 		Arthrs Knee Surg Dbrdmt/shvg 1 $2,990.99 $2,990.99 $2,990.99 nat. median
$3,832
0.8× median
1260000002
CDM 		Room & Board Private General 14 $248.25 $13,214.39 $2,701.00 nat. median
$3,126
0.9× median
1260000005
CDM 		Medical Management Room & Board Private 14 $248.25 $13,214.39 $2,701.00 nat. median
$2,701
1.0× median
17110
CPT 		Destruction B9 Les Up To 14 1 $2,229.00 $2,229.00 $2,229.00 nat. median
$225
outlier · 9.9×
64633
CPT 		Destruction By Neurolytic Agent, Paravertebral Facet Joint 6 $930.00 $3,400.00 $2,151.19 nat. median
$2,324
0.9× median
C1713
HCPCS 		Anchor Suture Corkscrew 5.5mm 1 $1,790.25 $1,790.25 $1,790.25 nat. median
$864
outlier · 2.1×
64635
CPT 		Destruction By Neurolytic Agent, Paravertebral 10 $465.00 $3,400.00 $1,719.80 nat. median
$2,392
0.7× median
99285
CPT 		ER Visit Level 5 High Severity & Threat Funct; Signif, Sep Identifiable Eval & M… 17 $581.30 $3,845.43 $1,717.68 nat. median
$1,186
1.4× median
19083
CPT 		US Breast Biopsy, First Lesion 1 $1,622.86 $1,622.86 $1,622.86 nat. median
$2,144
0.8× median
26055
CPT 		Tendon Sheath Incision (eg, For Trigger Finger) 2 $1,600.00 $1,603.00 $1,601.50 nat. median
$1,973
0.8× median
47000
CPT 		Biopsy Of Liver, Needle; Percutaneou 1 $1,600.00 $1,600.00 $1,600.00 nat. median
$1,805
0.9× median
99284
CPT 		ER Visit Level 4, Problem Of High Severity 22 $401.08 $5,450.00 $1,500.00 nat. median
$754
2.0× median
43762
CPT 		Perq Replacement Gtube Not Req Revj Gstrst Trc 1 $1,450.00 $1,450.00 $1,450.00 nat. median
$444
outlier · 3.3×
38510
CPT 		Biopsy Or Excision Of Lymph Node(s); Open, 1 $1,175.00 $1,175.00 $1,175.00 nat. median
$3,847
outlier · 0.3×
70543
CPT 		MRI Orbit Face & Neck; Wo & W Dye 1 $900.00 $900.00 $900.00 nat. median
$1,083
0.8× median
74181
CPT 		MRI Abdomen Without Contrast Material 1 $900.00 $900.00 $900.00 nat. median
$819
1.1× median
99283
CPT 		ER Visit Level 3 Facility Fee 24 $258.38 $4,160.00 $885.76 nat. median
$461
1.9× median
20606
CPT 		Arthrocentesis Aspir&/inj Interm Jt/burs W/us 1 $881.85 $881.85 $881.85 nat. median
$822
1.1× median
11755
CPT 		Biopsy Nail Unit Separate Procedure 4 $636.75 $1,062.00 $849.42 nat. median
$733
1.2× median
64493
CPT 		Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet (zygapophysea… 10 $465.00 $1,162.31 $832.40 nat. median
$1,285
0.6× median
12002
CPT 		Rpr S/n/ax/gen/trnk2.6-7.5cm 1 $829.00 $829.00 $829.00 nat. median
$299
outlier · 2.8×
20553
CPT 		Injection(s); Single Or Multiple Trigger Point(s) 2 $231.81 $1,287.00 $759.40 nat. median
$375
outlier · 2.0×
64490
CPT 		Injection(s), Diagnostic Or Therapeutic Agent 8 $465.00 $875.75 $741.96 nat. median
$1,287
0.6× median
73718
CPT 		MRI Extremity, Lower, No Joint; Wo Dye 4 $471.65 $6,705.00 $708.48 nat. median
$866
0.8× median
74019
CPT 		Xr, Abdomen; 2 Views 4 $101.59 $1,187.40 $663.44 nat. median
$167
outlier · 4.0×
72149
CPT 		MRI Lumbar Spine With Contrast 1 $631.81 $631.81 $631.81 nat. median
$976
0.6× median
11730
CPT 		Avulsion Nail Plate Partial/complete Simple 1 1 $630.00 $630.00 $630.00 nat. median
$250
outlier · 2.5×
72156
CPT 		MRI Spinal Canal, Cervical; Wo & W Dye 2 $355.36 $900.00 $627.68 nat. median
$1,103
0.6× median
92552
CPT 		Pure Tone Audiometry Air 1 $626.41 $626.41 $626.41 nat. median
$129
outlier · 4.8×
95886
CPT 		Musc Test Done W/n Test Comp 6 $144.00 $4,000.00 $625.05 nat. median
$207
outlier · 3.0×
72131
CPT 		CT Spine, Lumbar; Wo Dye 8 $101.59 $5,758.00 $625.00 nat. median
$457
1.4× median
71260
CPT 		CT Thorax W Dye 3 $178.31 $625.00 $625.00 nat. median
$648
1.0× median
36589
CPT 		Removal Of Tunneled Central Venous Catheter 3 $606.87 $897.93 $619.26 nat. median
$927
0.7× median
87040
CPT 		Blood Culture For Bacteria 1 $593.00 $593.00 $593.00 nat. median
$42
outlier · 14.3×
84484
CPT 		Troponin I 4 $90.76 $563.00 $563.00 nat. median
$48
outlier · 11.7×

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
             
0232T OTHER — 1 1 $10,000.00 $10,000.00 $4,968.95 $4,968.95 $4,968.95 2025-07-20
4350000001 CDM — 10 10 $3,200.00 $3,200.00 $875.64 $20,410.27 $3,955.68 2025-07-20
82040 CPT Albumin 1 1 $223.00 $223.00 $223.00 $223.00 $223.00 2025-07-20
H0047 HCPCS Alcohol/drug Abuse Svc Nos 1 1 $5,000.00 $5,000.00 $5,000.00 $5,000.00 $5,000.00 2025-07-20
82150 CPT Amylase 2 2 $495.00 $495.00 $495.00 $495.00 $495.00 2025-07-20
C1713 HCPCS Anchor Suture Corkscrew 5.5mm 1 1 $9,929.70 $9,929.70 $1,790.25 $1,790.25 $1,790.25 2025-07-20
G0442 HCPCS Annual Alcohol Screen 15 Min 1 1 $90.00 $90.00 $36.59 $36.59 $36.59 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
29405 CPT Appl Short Leg Cast 1 1 $735.00 $735.00 $339.87 $339.87 $339.87 2025-07-20
29515 CPT Application Short Leg Splint 1 1 $1,150.00 $1,150.00 $133.63 $133.63 $133.63 2025-07-20
22551 CPT Arthrd Ant Ntrbdy Cervical 2 2 $32,000.00 $32,000.00 $9,528.80 $12,887.66 $11,208.23 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
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
20610 CPT Arthrocentesis, Aspiration And/or Injection, Major 8 8 $2,390.00 $2,390.00 $266.10 $2,390.00 $336.68 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
29881 CPT Arthroscopy, Knee, Surgical; With Meniscectom 2 2 $32,000.00 $32,000.00 $2,990.99 $4,255.48 $3,623.23 2025-07-20
29877 CPT Arthrs Knee Surg Dbrdmt/shvg 1 1 $12,971.40 $12,971.40 $2,990.99 $2,990.99 $2,990.99 2025-07-20
83540 CPT Assay Of Iron 1 1 $317.00 $317.00 $6.47 $6.47 $6.47 2025-07-20
84479 CPT Assay Of Thyroid (t3 Or T4) 1 1 $468.00 $468.00 $319.05 $319.05 $319.05 2025-07-20
82570 CPT Assay Of Urine Creatinine 1 1 $241.00 $241.00 $5.18 $5.18 $5.18 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
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
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
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
87040 CPT Blood Culture For Bacteria 1 1 $593.00 $593.00 $593.00 $593.00 $593.00 2025-07-20
80047 CPT Bmp With Calcium Ionized**chem 8 2 2 $278.00 $278.00 $278.00 $278.00 $278.00 2025-07-20
80048 CPT Bmp W/calcium Total 5 5 $47.00 $47.00 $5.08 $8.46 $8.46 2025-07-20
96127 CPT Brief Emotional/behavioral Assessment 9 9 $300.00 $300.00 $50.68 $165.00 $90.00 2025-07-20
86141 CPT C-reactive Protein Hs 1 1 $396.00 $396.00 $7.77 $7.77 $7.77 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
85025 CPT Cbc With Auto Diff 13 13 $173.00 $173.00 $4.66 $119.00 $7.77 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
87110 CPT Chlamydia Culture 1 1 $725.00 $725.00 $17.64 $17.64 $17.64 2025-07-20
82553 CPT Ck-mb 2 2 $465.00 $465.00 $74.96 $465.00 $269.98 2025-07-20
80053 CPT Cmp 11 11 $985.00 $985.00 $9.50 $985.00 $10.56 2025-07-20
96125 CPT Cognitive Test By Hc Pro 1 1 $1,050.00 $1,050.00 $146.73 $146.73 $146.73 2025-07-20
86922 CPT Compatibility Antiglobulin 2 2 $572.00 $572.00 $154.58 $224.75 $189.67 2025-07-20
86923 CPT Compatibility Electronic 2 2 $550.00 $550.00 $123.66 $154.58 $139.12 2025-07-20
82565 CPT Creatinine 4 4 $55.00 $55.00 $3.07 $280.00 $5.12 2025-07-20
86140 CPT Crp (c-reactive Protein) 2 2 $283.00 $283.00 $6.48 $283.00 $144.74 2025-07-20
74178 CPT CT Abdomen & Pelvis Wo & W Contrst 1/> Body Regions 6 6 $3,000.00 $3,000.00 $326.16 $625.00 $472.43 2025-07-20
74177 CPT CT Abdomen & Pelvis; W Dye 13 13 $6,500.00 $6,500.00 $326.16 $11,642.00 $490.41 2025-07-20
74176 CPT CT Abdomen & Pelvis; Without Contrast 11 11 $6,000.00 $6,000.00 $226.43 $10,701.00 $373.63 2025-07-20
74160 CPT CT Abdomen W/contrast 1 1 $3,000.00 $3,000.00 $175.46 $175.46 $175.46 2025-07-20
71275 CPT CT Angiography, Chest; With contrast/NONDYE 5 5 $2,500.00 $2,500.00 $174.85 $625.00 $234.30 2025-07-20
73706 CPT CT Angiography, Extremity, Lower; With contrast/NONDYE 1 1 $4,000.00 $4,000.00 $178.31 $178.31 $178.31 2025-07-20
70496 CPT CT Angiography, Head; With contrast/NONDYE 6 6 $6,510.00 $6,510.00 $174.74 $625.00 $408.22 2025-07-20
70498 CPT CT Angiography, Neck; With contrast/NONDYE 2 2 $6,557.00 $6,557.00 $288.54 $312.50 $300.52 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
73202 CPT CT Extremity, Upper; Wo & W Dye 1 1 $4,000.00 $4,000.00 $169.78 $169.78 $169.78 2025-07-20
73200 CPT CT Extremity, Upper; Wo Dye 3 3 $4,457.00 $4,457.00 $140.20 $625.00 $154.44 2025-07-20
70487 CPT CT Face; W Dye 1 1 $4,853.00 $4,853.00 $178.31 $178.31 $178.31 2025-07-20
70486 CPT CT Face; Wo Dye 5 5 $4,845.00 $4,845.00 $98.38 $625.00 $213.83 2025-07-20
70470 CPT CT Head/brain; Wo & W Dye 2 2 $6,140.00 $6,140.00 $169.78 $625.00 $397.39 2025-07-20
70450 CPT CT Head/brain; Wo Dye 15 15 $4,979.00 $4,979.00 $93.24 $4,979.00 $151.45 2025-07-20
70491 CPT CT Neck, Soft Tissue; W Dye 3 3 $3,000.00 $3,000.00 $169.78 $392.24 $234.30 2025-07-20
70492 CPT CT Neck, Soft Tissue; Wo & W Dye 3 3 $7,745.00 $7,745.00 $178.31 $625.00 $288.54 2025-07-20
70490 CPT CT Neck, Soft Tissue; Wo Dye 2 2 $2,500.00 $2,500.00 $101.53 $218.32 $159.93 2025-07-20
70482 CPT CT Orbit/ear/fossa W/o&with Contrast 1 1 $5,215.00 $5,215.00 $160.48 $160.48 $160.48 2025-07-20
70480 CPT CT Orbit/sella/post Fossa/ear Wo Dye 1 1 $4,902.00 $4,902.00 $102.00 $102.00 $102.00 2025-07-20
72192 CPT CT Pelvis; Wo Dye 1 1 $6,000.00 $6,000.00 $154.44 $154.44 $154.44 2025-07-20
72125 CPT CT Spine, Cervical; Wo Dye 7 7 $6,000.00 $6,000.00 $171.02 $6,817.00 $333.96 2025-07-20
72131 CPT CT Spine, Lumbar; Wo Dye 8 8 $6,000.00 $6,000.00 $101.59 $5,758.00 $625.00 2025-07-20
72128 CPT CT Spine, Thoracic; Wo Dye 4 4 $4,000.00 $4,000.00 $218.32 $6,920.00 $422.77 2025-07-20
71260 CPT CT Thorax W Dye 3 3 $3,000.00 $3,000.00 $178.31 $625.00 $625.00 2025-07-20
71270 CPT CT Thorax Wo & W Dye 3 3 $3,000.00 $3,000.00 $178.31 $312.50 $288.54 2025-07-20
71250 CPT CT Thorax Wo Dye 7 7 $6,000.00 $6,000.00 $101.59 $5,260.00 $171.01 2025-07-20
85378 CPT D-dimer 1 1 $276.00 $276.00 $5.83 $5.83 $5.83 2025-07-20
97597 CPT Dbrdmt Opn Wnd 1st 20 Cm/< 1 1 $575.00 $575.00 $144.94 $144.94 $144.94 2025-07-20
11721 CPT Debride Nail 6 Or More 6 6 $1,000.00 $1,000.00 $300.00 $1,000.00 $300.00 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
17110 CPT Destruction B9 Les Up To 14 1 1 $7,430.00 $7,430.00 $2,229.00 $2,229.00 $2,229.00 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
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
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
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
G0279 HCPCS Diagnostic Digital Breast Tomosynthesis 2 2 $720.00 $720.00 $19.36 $142.29 $80.82 2025-07-20
77062 CPT Digital Breast Tomosynthesis; Bilateral 5 5 $360.00 $360.00 $9.15 $82.50 $45.00 2025-07-20
77061 CPT Digital Breast Tomosynthesis; Unilateral 10 10 $360.00 $360.00 $9.15 $142.05 $82.50 2025-07-20
77066 CPT Digital Diagnostic Mammogram With Cad, Bilateral 11 11 $522.20 $522.20 $108.95 $181.09 $134.94 2025-07-20
77065 CPT Digital Diagnostic Mammogram With Cad, Unilateral 10 10 $423.60 $423.60 $85.59 $142.05 $105.13 2025-07-20
77067 CPT Digital Screening Mammogram With Cad 19 19 $394.60 $394.60 $88.20 $616.26 $150.19 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
80305 CPT Drug Test Prsmtv, Any Number Of Drug Classes, Any Number Of Devices Or Procedur… 3 3 $300.00 $300.00 $12.60 $12.60 $12.60 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
77080 CPT Dual-energy X-ray Absorptiometry (dxa), Bone Density 8 8 $450.00 $450.00 $35.20 $171.01 $101.94 2025-07-20
77085 CPT Dxa Bone Density Axl Vrt Fx 1 1 $400.00 $400.00 $99.50 $99.50 $99.50 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
95819 CPT Electroencephalogram (eeg); Including Recording 5 5 $4,000.00 $4,000.00 $290.04 $4,000.00 $529.00 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
99281 CPT ER Visit Level 1 Limited/minor Problem Facility 9 9 $375.00 $375.00 $81.99 $352.00 $254.54 2025-07-20
99282 CPT ER Visit Level 2 Facility Fee 17 17 $2,720.00 $2,720.00 $138.71 $2,652.02 $208.56 2025-07-20
99283 CPT ER Visit Level 3 Facility Fee 24 24 $4,160.00 $4,160.00 $258.38 $4,160.00 $885.76 2025-07-20
99284 CPT ER Visit Level 4, Problem Of High Severity 22 22 $4,930.00 $4,930.00 $401.08 $5,450.00 $1,500.00 2025-07-20
99285 CPT ER Visit Level 5 High Severity & Threat Funct; Signif, Sep Identifiable Eval & M… 17 17 $6,670.00 $6,670.00 $581.30 $3,845.43 $1,717.68 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
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
76000 CPT Fl (separate Pdx), Up To 1 Hour Physician/professional Time 4 4 $530.00 $530.00 $221.90 $1,178.00 $240.94 2025-07-20
97116 CPT Gait Training Therapy 1 1 $31.00 $31.00 $22.22 $22.22 $22.22 2025-07-20
82977 CPT Ggt(gamma Gt) 1 1 $277.00 $277.00 $277.00 $277.00 $277.00 2025-07-20
82947 CPT Glucose 11 11 $208.00 $208.00 $3.85 $208.00 $3.93 2025-07-20
83036 CPT Glycosylated Hgb A1c 8 8 $250.00 $250.00 $5.83 $13.24 $9.71 2025-07-20
84703 CPT Hcg Qualitative 2 2 $306.00 $306.00 $7.52 $20.39 $13.96 2025-07-20
86706 CPT Hep B Surface Antibody 1 1 $341.00 $341.00 $13.43 $13.43 $13.43 2025-07-20
86803 CPT Hepatitis C Ab 1 1 $648.00 $648.00 $17.84 $17.84 $17.84 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
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
10061 CPT Incision & Drainage Abscess Complicated/multiple 2 2 $6,334.50 $6,334.50 $400.18 $590.00 $495.09 2025-07-20
10060 CPT Incision & Drainage Abscess Simple/single - Hospital ER 1 1 $1,955.00 $1,955.00 $535.39 $535.39 $535.39 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
86710 CPT Influenza A&b Ab 3 3 $175.00 $175.00 $28.93 $175.00 $53.02 2025-07-20
87804 CPT Influenza Immunoassay Antigen 3 3 $120.00 $120.00 $9.93 $16.55 $16.55 2025-07-20
64492 CPT Inj Paravert F Jnt C/t 3 Lev 1 1 $1,647.95 $1,647.95 $116.25 $116.25 $116.25 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
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
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
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
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
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
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
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
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
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
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
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
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
96361 CPT IV Inf Hydration Addl Hour 6 6 $654.00 $654.00 $43.58 $654.00 $52.23 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
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
C1778 HCPCS Kit Trial Neurostimulator Wireless Leads 1 1 $14,450.00 $14,450.00 $18,325.43 $18,325.43 $18,325.43 2025-07-20
83605 CPT Lactic Acid 2 2 $399.00 $399.00 $93.54 $399.00 $246.27 2025-07-20
63030 CPT Laminotomy (hemilaminectomy), With Decompression 1 1 $32,000.00 $32,000.00 $66,582.60 $66,582.60 $66,582.60 2025-07-20
47562 CPT Laparoscopic Cholecystectomy 2 2 $8,208.44 $8,208.44 $3,200.00 $9,200.00 $6,200.00 2025-07-20
83690 CPT Lipase 4 4 $487.00 $487.00 $32.45 $487.00 $290.22 2025-07-20
80061 CPT Lipid Profile 9 9 $171.00 $171.00 $4.99 $13.39 $13.39 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
83735 CPT Magnesium 3 3 $356.00 $356.00 $83.46 $356.00 $356.00 2025-07-20
97140 CPT Manual Therapy Code 1 1 $33.00 $33.00 $31.74 $31.74 $31.74 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
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
70544 CPT MRA Head Without Contrst Material 3 3 $6,159.00 $6,159.00 $346.37 $900.00 $471.65 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
74182 CPT MRI Abdomen W/contrast 1 1 $4,497.00 $4,497.00 $321.94 $321.94 $321.94 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
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
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
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
71550 CPT MRI Chest Without Contrast 2 2 $4,462.00 $4,462.00 $222.67 $226.43 $224.55 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
73218 CPT MRI Extremity, Upper, No Joint; Wo Dye 1 1 $4,000.00 $4,000.00 $226.43 $226.43 $226.43 2025-07-20
73721 CPT MRI Joint, Any Lower Extrem; Wo Dye 9 9 $4,000.00 $4,000.00 $242.11 $900.00 $373.63 2025-07-20
73221 CPT MRI Joint, Any Upper Extremity; Wo Dye 6 6 $5,000.00 $5,000.00 $207.82 $900.00 $300.03 2025-07-20
72149 CPT MRI Lumbar Spine With Contrast 1 1 $7,765.00 $7,765.00 $631.81 $631.81 $631.81 2025-07-20
73720 CPT MRI Lwr Extremity W/o&with Contrast 1 1 $10,100.00 $10,100.00 $518.68 $518.68 $518.68 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
72197 CPT MRI Pelvis; Wo & W Dye 2 2 $4,497.00 $4,497.00 $355.56 $357.71 $356.63 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
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
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
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
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
72146 CPT MRI Spinal Canal, Thoacic Wo Dye 1 1 $5,286.00 $5,286.00 $242.11 $242.11 $242.11 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
83874 CPT Myoglobin 2 2 $442.00 $442.00 $71.25 $442.00 $256.62 2025-07-20
95887 CPT Needle Electromyography, Non-extremity 4 4 $250.00 $250.00 $371.50 $2,200.00 $557.25 2025-07-20
95913 CPT Nerve Conduction Studies; 13 Or More Studies 11 11 $20,500.00 $20,500.00 $137.90 $7,350.00 $495.27 2025-07-20
97112 CPT Neuromuscular Reeducation 2 2 $37.00 $37.00 $53.33 $53.33 $53.33 2025-07-20
95912 CPT Nrv Cndj Test 11-12 Studies 1 1 $17,300.00 $17,300.00 $288.00 $288.00 $288.00 2025-07-20
31233 CPT Nsl/sins Ndsc Dx Max Sinusc 1 1 $6,500.00 $6,500.00 $486.18 $486.18 $486.18 2025-07-20
G0378 HCPCS Observation Per Hour 6 6 $62.50 $62.50 $8.63 $486.44 $56.02 2025-07-20
82270 CPT Occult Blood Feces 1 1 $65.00 $65.00 $4.38 $4.38 $4.38 2025-07-20
99214 CPT Office Outpt Visit Established Physician 1 1 $550.00 $550.00 $300.00 $300.00 $300.00 2025-07-20
97167 CPT Ot Eval High Complex 60 Min 1 1 $960.00 $960.00 $102.60 $102.60 $102.60 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
11057 CPT Paring/cutting Benign Hyperkeratotic Lesion >4 3 3 $372.00 $372.00 $111.60 $181.28 $111.60 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
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
94060 CPT Pft Pre & Post Bronchodilator 1 1 $310.20 $310.20 $266.20 $266.20 $266.20 2025-07-20
84100 CPT Phosphorus Serum 2 2 $308.00 $308.00 $72.20 $308.00 $190.10 2025-07-20
84153 CPT Prostate Specific Ag Total 1 1 $572.00 $572.00 $18.39 $18.39 $18.39 2025-07-20
85610 CPT Prothrombin Time (pt) 6 6 $233.00 $233.00 $4.29 $233.00 $4.29 2025-07-20
97162 CPT Pt Eval Mod Complex 30 Min 1 1 $890.00 $890.00 $144.10 $144.10 $144.10 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
97530 CPT Pt Therapeutic Activit 15 Min 4 4 $152.00 $152.00 $36.16 $94.79 $58.14 2025-07-20
85730 CPT Ptt Partial Thromboplastin 2 2 $33.52 $33.52 $6.01 $6.01 $6.01 2025-07-20
92552 CPT Pure Tone Audiometry Air 1 1 $3,000.00 $3,000.00 $626.41 $626.41 $626.41 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
77075 CPT Radiologic Examination, Osseous Survey; Complete 1 1 $561.00 $561.00 $93.24 $93.24 $93.24 2025-07-20
87880 CPT Rapid Strep Screen 5 5 $100.00 $100.00 $9.92 $100.00 $16.53 2025-07-20
P9021 HCPCS Red Cells Packed Ea 2 1 $1,598.00 $1,598.00 $58.50 $72.61 $65.56 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
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
15853 CPT Removal Sutures/staples Not Requiring Anesthesia 1 1 $120.00 $120.00 $36.00 $36.00 $36.00 2025-07-20
63688 CPT Rev/rmv Imp Sp Npg/r Dtch Cn 1 1 $14,118.60 $14,118.60 $3,084.34 $3,084.34 $3,084.34 2025-07-20
29700 CPT Rmvl/bivlv Gauntlet Boot/cst 1 1 $570.00 $570.00 $170.00 $170.00 $170.00 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
1260000002 CDM Room & Board Private General 14 14 $5,000.00 $5,000.00 $248.25 $13,214.39 $2,701.00 2025-07-20
1260000004 CDM Room & Board Telemetry/imcu 5 5 $7,500.00 $7,500.00 $2,325.00 $5,250.00 $3,664.26 2025-07-20
12002 CPT Rpr S/n/ax/gen/trnk2.6-7.5cm 1 1 $829.00 $829.00 $829.00 $829.00 $829.00 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
94760 CPT Rt Pulse Ox Single Spot Ck 5 5 $80.00 $80.00 $3.05 $43.66 $43.66 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
77063 CPT Screening Digital Breast Tomosynthesis 19 19 $720.00 $720.00 $22.89 $258.70 $39.04 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
94010 CPT Spirometry, Including Graphic Record, Total 1 1 $367.00 $367.00 $153.67 $153.67 $153.67 2025-07-20
C1820 HCPCS Stimulator Spinal Cord 1 1 $21,369.06 $21,369.06 $32,338.50 $32,338.50 $32,338.50 2025-07-20
29580 CPT Strapping Unna Boot 1 1 $1,450.00 $1,450.00 $435.00 $435.00 $435.00 2025-07-20
86592 CPT Syphilis Serology Rpr 3 3 $254.00 $254.00 $3.84 $4.27 $4.27 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
90715 CPT Tetanus, Diphtheria Toxoids And Acellular Pertussi 1 1 $195.00 $195.00 $27.03 $27.03 $27.03 2025-07-20
20526 CPT Ther Injection Carp Tunnel 1 1 $1,130.00 $1,130.00 $188.85 $188.85 $188.85 2025-07-20
97110 CPT Therapeutic Exercise 5 5 $580.00 $580.00 $22.22 $53.33 $37.24 2025-07-20
96375 CPT Therapeutic Injection IV Push Each New Drug (list Primary Code Also) 12 12 $140.00 $140.00 $36.23 $140.00 $44.59 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
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
83550 CPT Total Iron Binding Capacity 1 1 $376.00 $376.00 $8.74 $8.74 $8.74 2025-07-20
36430 CPT Transfusion Bld/bld Compnt 1 1 $841.00 $841.00 $392.87 $392.87 $392.87 2025-07-20
84484 CPT Troponin I 4 4 $563.00 $563.00 $90.76 $563.00 $563.00 2025-07-20
84443 CPT Tsh 2 2 $150.00 $150.00 $16.80 $16.80 $16.80 2025-07-20
96376 CPT Tx/pro/dx Inj Same Drug Adon 2 2 $160.00 $160.00 $21.32 $160.00 $90.66 2025-07-20
96367 CPT Tx/proph/dg Addl Seq IV Inf 1 1 $265.75 $265.75 $63.76 $63.76 $63.76 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
76857 CPT Ultrasound, Pelvic (nonobstetric), Real Time 3 3 $1,120.00 $1,120.00 $99.50 $106.51 $99.56 2025-07-20
84550 CPT Uric Acid 1 1 $538.00 $538.00 $538.00 $538.00 $538.00 2025-07-20
81001 CPT Urinalysis W Micro Auto 3 3 $24.00 $24.00 $3.17 $93.30 $10.00 2025-07-20
81003 CPT Urinalysis Without Micro Auto 1 1 $73.00 $73.00 $73.00 $73.00 $73.00 2025-07-20
81002 CPT Urinalysis Without Micro Nonauto 5 5 $100.00 $100.00 $2.09 $3.48 $3.48 2025-07-20
81025 CPT Urine Pregnancy Test 9 7 $265.00 $265.00 $7.75 $8.63 $8.52 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
76700 CPT US Abdominal Real Time W/image Complete 11 11 $1,200.24 $1,200.24 $94.87 $171.01 $140.20 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
93925 CPT US Art Dop Bil Le 5 4 $2,499.00 $2,499.00 $229.65 $288.00 $242.11 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
76881 CPT US Axilla, Unilateral, Complete 2 2 $1,200.00 $1,200.00 $100.00 $106.51 $103.25 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
76641 CPT US Breast, Unilateral, Complete 5 5 $360.00 $360.00 $82.30 $367.80 $101.59 2025-07-20
76642 CPT US Breast, Unilateral, Limited 11 11 $360.00 $360.00 $63.86 $195.70 $115.87 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
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
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
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
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
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
76870 CPT US Scrotum And Contents 5 5 $1,405.00 $1,405.00 $42.35 $171.01 $99.91 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
76830 CPT US Transvaginal 5 5 $1,200.00 $1,200.00 $106.51 $140.20 $108.30 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
93971 CPT US Ven Dop Uni Ext 6 6 $1,730.00 $1,730.00 $101.59 $354.00 $127.10 2025-07-20
90471 CPT Vaccine Admin 6 6 $128.15 $128.15 $26.92 $112.11 $67.79 2025-07-20
36415 CPT Venous Blood Collection 13 13 $350.00 $350.00 $8.57 $350.00 $82.05 2025-07-20
J3420 HCPCS Vitamin B12 Injection 1 1 $60.00 $60.00 $60.00 $60.00 $60.00 2025-07-20
82306 CPT Vitamin D 25-hydroxy 1 1 $80.00 $80.00 $29.60 $29.60 $29.60 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
72120 CPT X-ray Bend Only L-s Spine 1 1 $717.00 $717.00 $101.59 $101.59 $101.59 2025-07-20
72052 CPT X-ray Exam Neck Spine 6/>vws 2 2 $1,083.00 $1,083.00 $101.59 $104.88 $103.23 2025-07-20
70150 CPT X-ray Exam Of Facial Bones 1 1 $114.00 $114.00 $106.51 $106.51 $106.51 2025-07-20
70330 CPT X-ray Exam Of Jaw Joints 1 1 $822.00 $822.00 $139.01 $139.01 $139.01 2025-07-20
70160 CPT X-ray Exam Of Nasal Bones 1 1 $101.00 $101.00 $88.19 $88.19 $88.19 2025-07-20
73010 CPT X-ray Exam Of Shoulder Blade 1 1 $260.00 $260.00 $79.60 $79.60 $79.60 2025-07-20
74220 CPT X-ray Xm Esophagus 1cntrst 1 1 $1,159.00 $1,159.00 $169.78 $169.78 $169.78 2025-07-20
74246 CPT X-ray Xm Upr Gi Trc 2cntrst 1 1 $1,600.00 $1,600.00 $155.83 $155.83 $155.83 2025-07-20
74022 CPT Xr Abdomen; Comp Acute Series; Supine, Erect &/or Decubi Views, W 1 Chest Vw 1 1 $250.00 $250.00 $101.59 $101.59 $101.59 2025-07-20
73610 CPT Xr Ankle, Complete, 3+ Vws 9 9 $450.00 $450.00 $86.93 $139.01 $115.87 2025-07-20
73650 CPT Xr Calcaneus; 2+ Vws 2 2 $350.00 $350.00 $83.97 $115.87 $99.92 2025-07-20
71046 CPT Xr Chest, 2 Views 16 16 $621.10 $621.10 $28.98 $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
73000 CPT Xr Clavicle Complete 2 2 $260.00 $260.00 $31.86 $86.43 $59.15 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
70140 CPT Xr Facial Bones, <3 Views 1 1 $822.00 $822.00 $139.01 $139.01 $139.01 2025-07-20
73140 CPT Xr Finger(s) 2+ Views 2 2 $89.00 $89.00 $83.97 $139.01 $111.49 2025-07-20
73630 CPT Xr Foot, Complete; 3+ Vws 8 8 $450.00 $450.00 $31.81 $169.87 $102.03 2025-07-20
73090 CPT Xr Forearm, 2 Views 1 1 $880.00 $880.00 $88.19 $88.19 $88.19 2025-07-20
73130 CPT Xr Hand, 3+ Vws 3 3 $450.00 $450.00 $35.59 $139.01 $83.97 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
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
73060 CPT Xr Humerus, 2+ Vws 2 2 $350.00 $350.00 $88.19 $595.00 $341.60 2025-07-20
73564 CPT Xr Knee, Complete, 4+ Vws 3 3 $550.00 $550.00 $171.01 $379.03 $171.01 2025-07-20
73560 CPT Xr Knee; 1-2 Vws 3 3 $564.00 $564.00 $82.64 $91.76 $83.97 2025-07-20
73562 CPT Xr Knee; 3 Vws 9 9 $350.00 $350.00 $37.14 $115.87 $77.07 2025-07-20
72170 CPT Xr Pelvis 1-2 Views 2 2 $250.00 $250.00 $102.99 $171.01 $137.00 2025-07-20
71101 CPT Xr Ribs, Unilat W Posteroant Chest, 3+ Vws 1 1 $777.00 $777.00 $99.91 $99.91 $99.91 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
72220 CPT Xr Sacrum/coccyx 2+ Views 1 1 $250.00 $250.00 $139.01 $139.01 $139.01 2025-07-20
73030 CPT Xr Shoulder, Complete, 2+ Vws 10 10 $700.00 $700.00 $31.87 $139.01 $87.56 2025-07-20
70220 CPT Xr Sinuses, Paranasal Complete, 3+ Vws 1 1 $152.00 $152.00 $86.48 $86.48 $86.48 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
72040 CPT Xr Spine, Cervical Neck 2-3 Vws 10 10 $131.00 $131.00 $34.03 $701.13 $89.12 2025-07-20
72050 CPT Xr Spine, Cervical Neck 4-5 Vws 3 3 $262.00 $262.00 $49.44 $106.51 $101.59 2025-07-20
72081 CPT Xr Spine, Entire W Skull, 1 Vw 2 2 $717.00 $717.00 $83.97 $678.00 $380.99 2025-07-20
72100 CPT Xr Spine, Lumbosacral 2-3 Views 14 14 $717.00 $717.00 $35.42 $1,156.00 $139.83 2025-07-20
72110 CPT Xr Spine, Lumbosacral, 4+ Vws 6 6 $500.00 $500.00 $48.40 $171.01 $155.60 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
72070 CPT Xr Spine, Thoracix 2 Vws 3 3 $900.18 $900.18 $28.21 $171.01 $101.59 2025-07-20
71120 CPT Xr Sternum 2+ Views 1 1 $683.00 $683.00 $83.97 $83.97 $83.97 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
73660 CPT Xr Toe(s); 2+ Vws 1 1 $250.00 $250.00 $82.64 $82.64 $82.64 2025-07-20
73110 CPT Xr Wrist, Complete, 3+ Vws 6 6 $450.00 $450.00 $39.83 $139.01 $85.45 2025-07-20
74018 CPT Xr, Abdomen; 1 View 3 3 $621.10 $621.10 $26.21 $86.93 $86.48 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
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