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 →

Export CSV
Hospital

AD HOSPITAL EAST, LLC

Houston, TX · CCN 670102 · Rates published

364 distinct procedures filed
33 distinct payers
1,900 rate rows
2026-07-20 last MRF observed
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
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
L8679
HCPCS 		Medtronic Neuro Implant 9977006 1 $29,801.75 $29,801.75 $29,801.75 nat. median
$11,052
outlier · 2.7×
C1820
HCPCS 		Stimulator Spinal Cord 1 $20,350.00 $20,350.00 $20,350.00 nat. median
$22,950
0.9× median
37271
CPT 		Evascularization, Endovascular, Open Or Perc Femoral W/angio & Arthrectomy 4 $16,730.14 $33,027.52 $17,208.48 nat. median
$20,417
0.8× median
37280
CPT 		Revascularization, Endovascular, Open Or Percu 3 $10,541.91 $35,963.31 $10,577.20 nat. median
$14,621
0.7× median
63030
CPT 		Laminotomy (hemilaminectomy), With Decompression 2 $7,040.82 $8,860.80 $7,950.81 nat. median
$7,614
1.0× median
29827
CPT 		Arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair 1 $7,040.82 $7,040.82 $7,040.82 nat. median
$7,179
1.0× median
63650
CPT 		Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural 6 $6,146.25 $6,468.35 $6,442.06 nat. median
$7,236
0.9× median
C1762
HCPCS 		Llium Tricortical Block 25x30x14mm 1 $6,300.00 $6,300.00 $6,300.00 nat. median
$2,937
outlier · 2.1×
37248
CPT 		Transluminal Balloon Angioplasty 6 $5,193.63 $9,476.00 $5,655.05 nat. median
$7,143
0.8× median
29822
CPT 		Arthroscopy, Shoulder, Surgical; Debridement, 2 $5,617.36 $5,663.64 $5,640.50 nat. median
$3,755
1.5× median
36902
CPT 		Introduction Of Needle(s) And/or Catheter( 15 $5,296.92 $9,476.00 $5,596.54 nat. median
$7,018
0.8× median
1260000003
CDM 		Room & Board - ICU 5 $1,507.44 $15,000.00 $4,863.56 nat. median
$4,864
1.0× median
29881
CPT 		Arthroscopy, Knee, Surgical; With Meniscectom 2 $3,207.02 $5,356.00 $4,281.51 nat. median
$3,821
1.1× median
38510
CPT 		Biopsy Or Excision Of Lymph Node(s); Open, 3 $3,643.94 $3,933.28 $3,835.48 nat. median
$3,844
1.0× median
19101
CPT 		Biopsy Of Breast; Open, Incisional 1 $3,758.77 $3,758.77 $3,758.77 nat. median
$3,653
1.0× median
70543
CPT 		MRI Orbit Face & Neck; Wo & W Dye 1 $3,707.00 $3,707.00 $3,707.00 nat. median
$1,080
outlier · 3.4×
1260000001
CDM 		Room & Board Isolation 1 $3,613.21 $3,613.21 $3,613.21 nat. median
$2,026
1.8× median
29876
CPT 		Arthroscopy, Knee, Surgical; Synovectomy, Major, 2 Or More Compartments 1 $3,197.87 $3,197.87 $3,197.87 nat. median
$3,714
0.9× median
36558
CPT 		Insertion Of Tunneled Centrally Inserted Cvc 2 $3,033.87 $3,035.47 $3,034.67 nat. median
$3,484
0.9× median
19020
CPT 		Mastotomy With Exploration Or Drainage Of Abscess, 1 $2,626.50 $2,626.50 $2,626.50 nat. median
$1,978
1.3× median
29873
CPT 		Arthroscopy, Knee, Surgical; With Lateral Release 1 $2,600.00 $2,600.00 $2,600.00 nat. median
$3,743
0.7× median
29882
CPT 		Arthroscopy, Knee, Surgical; With Meniscus Repair 1 $2,600.00 $2,600.00 $2,600.00 nat. median
$3,840
0.7× median
C1760
HCPCS 		Vascade Vascular Closure System 5f Arterial And Venous Closure 1 $2,472.00 $2,472.00 $2,472.00 nat. median
$573
outlier · 4.3×
1260000004
CDM 		Room & Board Telemetry/imcu 4 $1,216.49 $5,128.60 $2,413.09 nat. median
$2,413
1.0× median
1260000002
CDM 		Room & Board Private General 17 $147.14 $15,000.00 $2,325.00 nat. median
$3,126
0.7× median
1260000005
CDM 		Medical Management Room & Board Private 17 $147.14 $15,000.00 $2,325.00 nat. median
$2,325
1.0× median
28190
CPT 		Removal Of Foreign Body, Foot; Subcutaneous 1 $2,170.41 $2,170.41 $2,170.41 nat. median
$862
outlier · 2.5×
99285
CPT 		ER Visit Level 5 High Severity & Threat Funct; Signif, Sep Identifiable Eval & M… 23 $355.00 $3,845.43 $2,010.00 nat. median
$1,175
1.7× median
64718
CPT 		Neuroplasty And/or Transposition; Ulnar Nerve Elbow 1 $1,924.31 $1,924.31 $1,924.31 nat. median
$2,504
0.8× median
49440
CPT 		ER Procedure; Insert Gastrostomy Tube Percutaneous 2 $1,862.06 $1,862.06 $1,862.06 nat. median
$2,193
0.8× median
0110
CDM 		Room & Board Private General 13 $147.14 $3,400.00 $1,756.40 nat. median
$1,518
1.2× median
0111
CDM 		Utmb Room & Board Private General 13 $147.14 $3,400.00 $1,756.40 nat. median
$299
outlier · 5.9×
38505
CPT 		Biopsy Or Excision Of Lymph Node(s); By Needle, 2 $1,624.57 $1,650.99 $1,637.78 nat. median
$1,742
0.9× median
47000
CPT 		Biopsy Of Liver, Needle; Percutaneou 1 $1,596.80 $1,596.80 $1,596.80 nat. median
$1,802
0.9× median
19083
CPT 		US Breast Biopsy, First Lesion 2 $1,469.39 $1,622.86 $1,546.12 nat. median
$2,134
0.7× median
11401
CPT 		Excision, Benign Lesion Including Margins, Except 1 $1,524.05 $1,524.05 $1,524.05 nat. median
$475
outlier · 3.2×
64633
CPT 		Destruction By Neurolytic Agent, Paravertebral Facet Joint 7 $912.99 $3,400.00 $1,280.59 nat. median
$2,311
0.6× median
64635
CPT 		Destruction By Neurolytic Agent, Paravertebral 12 $875.50 $8,208.44 $1,280.59 nat. median
$2,386
0.5× median
76942
CPT 		US Guidance For Needle Placement 4 $34.03 $1,200.00 $1,200.00 nat. median
$428
outlier · 2.8×
36569
CPT 		Insertion Of Peripherally Inserted Central Venous Cath (picc) 2 $734.80 $1,514.33 $1,124.57 nat. median
$1,722
0.7× median
20605
CPT 		Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa 2 $717.00 $1,314.50 $1,015.75 nat. median
$373
outlier · 2.7×
49450
CPT 		Replace Gastrostomy/cecostomy Tube Percutaneous 7 $410.42 $939.08 $920.30 nat. median
$1,167
0.8× median
73722
CPT 		MRI Joint, Any Lower Extrem; W Dye 1 $900.00 $900.00 $900.00 nat. median
$1,282
0.7× median
72195
CPT 		MRI Pelvis; Wo Dye 1 $900.00 $900.00 $900.00 nat. median
$802
1.1× median
64490
CPT 		Injection(s), Diagnostic Or Therapeutic Agent 9 $550.00 $1,133.00 $875.82 nat. median
$1,288
0.7× median
64483
CPT 		Injection(s), Anesthetic Agent And/or Steroid, Transforaminal Epidural, With Ima… 2 $658.63 $879.80 $832.85 nat. median
$1,299
0.6× median
12011
CPT 		Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mu… 2 $75.00 $1,500.00 $787.50 nat. median
$299
outlier · 2.6×
62304
CPT 		Myelography Via Lumbar Injection, Including Radiol 1 $783.43 $783.43 $783.43 nat. median
$1,290
0.6× median
95887
CPT 		Needle Electromyography, Non-extremity 3 $371.50 $4,000.00 $743.00 nat. median
$141
outlier · 5.3×
64493
CPT 		Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet (zygapophysea… 15 $275.00 $1,167.66 $732.27 nat. median
$1,285
0.6× median

Other procedures at this hospital

Browse this hospital's 364 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
             
U0002 HCPCS Sars-cov 2/2019-any Technique 14 14 $1,500.00 $1,500.00 $34.48 $74.40 $50.28 2026-07-20
P9021 HCPCS Red Cells Packed Ea 1 1 $1,770.00 $1,770.00 $141.43 $141.43 $141.43 2026-07-20
L8679 HCPCS Medtronic Neuro Implant 9977006 1 1 $36,000.00 $36,000.00 $29,801.75 $29,801.75 $29,801.75 2026-07-20
L4360 HCPCS Cam Walker Boot 1 1 $800.00 $800.00 $311.94 $311.94 $311.94 2026-07-20
G0463 HCPCS Hospital Outpatient Clinic Visit For Assessment And Management Of A Patient 16 16 $520.00 $520.00 $119.77 $525.00 $143.34 2026-07-20
G0447 HCPCS Face-to-face Behavioral Counseling For Obesity, 15 Minutes 15 15 $392.00 $392.00 $90.80 $392.00 $117.60 2026-07-20
G0444 HCPCS Annual Depression Screening, 15 Minutes 13 13 $300.00 $300.00 $26.86 $300.00 $34.19 2026-07-20
G0378 HCPCS Observation Per Hour 9 9 $83.00 $83.00 $4.15 $830.00 $83.00 2026-07-20
G0101 HCPCS Cervical Or Vaginal Cancer Screening; Pelvic 2 2 $393.20 $393.20 $90.80 $92.70 $91.75 2026-07-20
G0008 HCPCS Medicare Admin Of Flu Virus Vacc Facility Charge 2 2 $85.00 $85.00 $45.29 $129.08 $87.19 2026-07-20
C1820 HCPCS Stimulator Spinal Cord 1 1 $120,000.00 $120,000.00 $20,350.00 $20,350.00 $20,350.00 2026-07-20
C1781 HCPCS Mesh Ventralight Echo 4.5 Circle 1 1 $6,840.00 $6,840.00 $180.04 $180.04 $180.04 2026-07-20
C1778 HCPCS Kit Trial Neurostimulator Wireless Leads 1 1 $4,200.00 $4,200.00 $405.94 $405.94 $405.94 2026-07-20
C1762 HCPCS Llium Tricortical Block 25x30x14mm 1 1 $5,600.00 $5,600.00 $6,300.00 $6,300.00 $6,300.00 2026-07-20
C1760 HCPCS Vascade Vascular Closure System 5f Arterial And Venous Closure 1 1 $1,170.00 $1,170.00 $2,472.00 $2,472.00 $2,472.00 2026-07-20
A4301 HCPCS Infusion Injectable Port 1 1 $2,590.00 $2,590.00 $129.50 $129.50 $129.50 2026-07-20
99406 CPT Smoking And Tobacco Use Cessation Counseling 6 6 $300.00 $300.00 $25.99 $300.00 $38.26 2026-07-20
99285 CPT ER Visit Level 5 High Severity & Threat Funct; Signif, Sep Identifiable Eval & M… 23 23 $7,100.00 $7,100.00 $355.00 $3,845.43 $2,010.00 2026-07-20
99284 CPT ER Visit Level 4, Problem Of High Severity 26 26 $5,450.00 $5,450.00 $272.50 $2,577.17 $558.48 2026-07-20
99283 CPT ER Visit Level 3 Facility Fee 28 28 $4,160.00 $4,160.00 $51.36 $4,160.00 $598.57 2026-07-20
99282 CPT ER Visit Level 2 Facility Fee 15 15 $2,720.00 $2,720.00 $51.36 $773.00 $158.62 2026-07-20
99281 CPT ER Visit Level 1 Limited/minor Problem Facility 11 11 $1,540.00 $1,540.00 $51.36 $325.60 $88.19 2026-07-20
97530 CPT Pt Therapeutic Activit 15 Min 4 4 $152.00 $152.00 $24.72 $120.00 $33.99 2026-07-20
97166 CPT Ot Occupation Therapy Eval Mod Complex 45 Mins 1 1 $960.00 $960.00 $147.86 $147.86 $147.86 2026-07-20
97163 CPT Pt Physical Therapy Eval High Complex 45 Mins 6 6 $1,780.00 $1,780.00 $89.44 $120.00 $96.96 2026-07-20
97110 CPT Therapeutic Exercise 3 3 $580.00 $580.00 $28.63 $120.00 $40.54 2026-07-20
96375 CPT Therapeutic Injection IV Push Each New Drug (list Primary Code Also) 14 14 $140.00 $140.00 $41.59 $140.00 $46.16 2026-07-20
96374 CPT Therapeutic Prophlx/dx Njx IV Push Single/1st Sbst/drug 16 16 $411.00 $411.00 $99.01 $411.00 $210.97 2026-07-20
96372 CPT Therapeutic Prophlx/dx Injection Subq/im 3 3 $256.30 $256.30 $256.30 $256.30 $256.30 2026-07-20
96366 CPT IV Infusion Therapy/prophlx/dx Addl Hr (list Primary Code Also) 3 3 $187.00 $187.00 $45.29 $46.21 $45.29 2026-07-20
96365 CPT IV Inf Therapy/prp[hylaxis/dx 1st To 1 Hr 16 16 $446.00 $446.00 $7.40 $446.00 $209.75 2026-07-20
96361 CPT IV Inf Hydration Addl Hour 14 14 $654.00 $654.00 $42.13 $67.00 $45.29 2026-07-20
96360 CPT IV Inf Hydration 31-60 Min 12 12 $1,015.38 $1,015.38 $191.36 $1,015.38 $209.70 2026-07-20
96127 CPT Brief Emotional/behavioral Assessment 5 5 $300.00 $300.00 $42.24 $165.00 $90.00 2026-07-20
95913 CPT Nerve Conduction Studies; 13 Or More Studies 15 15 $7,350.00 $7,350.00 $288.00 $7,350.00 $495.30 2026-07-20
95887 CPT Needle Electromyography, Non-extremity 3 3 $4,000.00 $4,000.00 $371.50 $4,000.00 $743.00 2026-07-20
95886 CPT Musc Test Done W/n Test Comp 3 3 $4,000.00 $4,000.00 $74.25 $144.00 $144.00 2026-07-20
95819 CPT Electroencephalogram (eeg); Including Recording 5 5 $4,000.00 $4,000.00 $207.30 $4,000.00 $311.90 2026-07-20
95816 CPT Electroencephalogram (eeg); Including Recording 12 12 $4,000.00 $4,000.00 $197.84 $600.00 $311.90 2026-07-20
94760 CPT Rt Pulse Ox Single Spot Ck 8 8 $80.00 $80.00 $2.18 $80.00 $43.66 2026-07-20
94060 CPT Pft Pre & Post Bronchodilator 5 5 $3,491.20 $3,491.20 $306.91 $452.26 $311.90 2026-07-20
94010 CPT Spirometry, Including Graphic Record, Total 1 1 $367.00 $367.00 $205.20 $205.20 $205.20 2026-07-20
93971 CPT US Ven Dop Uni Ext 11 11 $1,730.00 $1,730.00 $95.81 $365.00 $104.78 2026-07-20
93970 CPT US Ven Dop Bil Ext 12 12 $2,909.00 $2,909.00 $217.74 $351.06 $237.27 2026-07-20
93926 CPT US Art Dop Uni Le 3 3 $1,576.49 $1,576.49 $95.81 $104.81 $102.48 2026-07-20
93925 CPT US Art Dop Bil Le 11 11 $2,499.00 $2,499.00 $220.70 $351.06 $237.27 2026-07-20
93923 CPT Complete Bilateral Noninvasive Physiologic Studies 8 8 $1,499.00 $1,499.00 $153.58 $1,499.00 $191.97 2026-07-20
93880 CPT US Carotid Dop Bil 10 10 $2,607.99 $2,607.99 $189.82 $365.00 $237.87 2026-07-20
93306 CPT US Echo Transthor Real-time 2d W Or Wo M-mode; Compl Spec&colr D 11 11 $1,764.08 $1,764.08 $148.02 $769.00 $536.29 2026-07-20
93017 CPT Cardiovascular Stress Test Using Maximal 12 12 $2,534.00 $2,534.00 $45.08 $471.00 $308.66 2026-07-20
93005 CPT Rt EKG 12 Lead Tracking Only 18 18 $720.00 $720.00 $7.56 $720.00 $68.70 2026-07-20
93000 CPT Electrocardiogram, Routine ECG With At Least 12 Le 4 4 $850.00 $850.00 $92.65 $850.00 $471.33 2026-07-20
92950 CPT Rt Resuscitation/cpr 1st Event 1 1 $3,351.00 $3,351.00 $305.66 $305.66 $305.66 2026-07-20
92507 CPT Treatment Of Speech Language, Voice, Communication And/or Auditory Processing 1 1 $950.00 $950.00 $110.39 $110.39 $110.39 2026-07-20
90746 CPT Hepatitis B Vaccine (hepb), Adult Dosage, 3 Dose 1 1 $266.16 $266.16 $29.01 $29.01 $29.01 2026-07-20
90471 CPT Vaccine Admin 4 4 $128.15 $128.15 $29.00 $192.50 $81.96 2026-07-20
87491 CPT Nucleic Acid Chlamydia Trach 1 1 $309.00 $309.00 $31.58 $31.58 $31.58 2026-07-20
87340 CPT Hbsag (hepatitis B Surface Ag) 2 2 $352.00 $352.00 $6.94 $352.00 $179.47 2026-07-20
86923 CPT Compatibility Electronic 5 5 $550.00 $550.00 $85.82 $550.00 $157.25 2026-07-20
86922 CPT Compatibility Antiglobulin 1 1 $572.00 $572.00 $28.60 $28.60 $28.60 2026-07-20
86902 CPT Rbc Ag Typing Ea (unit) 2 2 $135.00 $135.00 $5.08 $135.00 $70.04 2026-07-20
86900 CPT Abo/rh Typing 6 6 $143.00 $143.00 $2.01 $143.00 $126.78 2026-07-20
86870 CPT Antibody Identification 1 1 $639.00 $639.00 $322.49 $322.49 $322.49 2026-07-20
86328 CPT Sars-cov2/covid19; Immunoassay For Infectious Agent Antibody, Qual Or Semiquan; … 3 3 $1,500.00 $1,500.00 $30.43 $45.28 $44.37 2026-07-20
85730 CPT Ptt Partial Thromboplastin 6 6 $452.00 $452.00 $4.81 $452.00 $127.25 2026-07-20
85610 CPT Prothrombin Time (pt) 10 10 $233.00 $233.00 $2.88 $233.00 $118.65 2026-07-20
85379 CPT D-dimer Quant 2 2 $474.00 $474.00 $6.84 $474.00 $240.42 2026-07-20
84484 CPT Troponin I 3 3 $563.00 $563.00 $8.38 $563.00 $563.00 2026-07-20
84403 CPT Testosterone Total 1 1 $802.00 $802.00 $23.23 $23.23 $23.23 2026-07-20
84402 CPT Testosterone; Free 1 1 $188.70 $188.70 $22.92 $22.92 $22.92 2026-07-20
83880 CPT Bnp (b-type Peptide) 2 2 $661.00 $661.00 $26.38 $661.00 $343.69 2026-07-20
83874 CPT Myoglobin 3 3 $442.00 $442.00 $8.68 $442.00 $442.00 2026-07-20
83695 CPT Lipoprotein 1 1 $95.88 $95.88 $95.88 $95.88 $95.88 2026-07-20
83690 CPT Lipase 2 2 $487.00 $487.00 $4.63 $63.18 $33.91 2026-07-20
82670 CPT Estradiol 1 1 $206.94 $206.94 $25.15 $25.15 $25.15 2026-07-20
82553 CPT Ck-mb 3 3 $465.00 $465.00 $7.76 $465.00 $465.00 2026-07-20
82306 CPT Vitamin D 25-hydroxy 1 1 $489.00 $489.00 $26.64 $26.64 $26.64 2026-07-20
82150 CPT Amylase 2 2 $495.00 $495.00 $4.35 $64.21 $34.28 2026-07-20
80307 CPT Drug Screen, Any Number Of Drug Classes From Drug 1 1 $100.00 $100.00 $41.76 $41.76 $41.76 2026-07-20
80053 CPT Cmp 11 11 $985.00 $985.00 $7.10 $985.00 $127.78 2026-07-20
80047 CPT Bmp With Calcium Ionized**chem 8 5 5 $278.00 $278.00 $9.22 $278.00 $278.00 2026-07-20
77080 CPT Dual-energy X-ray Absorptiometry (dxa), Bone Density 14 14 $1,120.00 $1,120.00 $23.46 $171.01 $104.91 2026-07-20
77075 CPT Radiologic Examination, Osseous Survey; Complete 2 2 $561.00 $561.00 $94.06 $105.44 $99.75 2026-07-20
77067 CPT Digital Screening Mammogram With Cad 23 23 $616.26 $616.26 $72.00 $150.19 $90.00 2026-07-20
77066 CPT Digital Diagnostic Mammogram With Cad, Bilateral 10 10 $1,242.00 $1,242.00 $87.16 $181.09 $106.87 2026-07-20
77065 CPT Digital Diagnostic Mammogram With Cad, Unilateral 9 9 $972.40 $972.40 $68.47 $142.05 $84.08 2026-07-20
77063 CPT Screening Digital Breast Tomosynthesis 23 23 $258.70 $258.70 $18.69 $39.04 $23.36 2026-07-20
77062 CPT Digital Breast Tomosynthesis; Bilateral 2 2 $150.00 $150.00 $16.35 $82.50 $49.43 2026-07-20
77061 CPT Digital Breast Tomosynthesis; Unilateral 5 5 $150.00 $150.00 $9.15 $142.05 $82.50 2026-07-20
77002 CPT Fl Fluoroscopic Guidance Needle Placement 1 1 $1,870.00 $1,870.00 $84.72 $84.72 $84.72 2026-07-20
76942 CPT US Guidance For Needle Placement 4 4 $1,200.00 $1,200.00 $34.03 $1,200.00 $1,200.00 2026-07-20
76937 CPT US Guidance Vascular Access 3 3 $2,451.00 $2,451.00 $29.35 $2,451.00 $122.55 2026-07-20
76882 CPT US Extremity Non-vasc Real-time Img Lmtd 2 2 $1,566.00 $1,566.00 $104.51 $106.51 $105.51 2026-07-20
76881 CPT US Axilla, Unilateral, Complete 1 1 $724.70 $724.70 $106.51 $106.51 $106.51 2026-07-20
76872 CPT US Transrectal 4 4 $1,778.00 $1,778.00 $95.86 $106.51 $102.68 2026-07-20
76870 CPT US Scrotum And Contents 3 3 $1,405.00 $1,405.00 $54.46 $139.47 $106.51 2026-07-20
76857 CPT Ultrasound, Pelvic (nonobstetric), Real Time 5 5 $1,120.00 $1,120.00 $31.31 $106.51 $106.51 2026-07-20
76856 CPT US Pelvic Nonobstetric Real-time Image Complete 12 12 $1,599.00 $1,599.00 $57.94 $171.01 $102.50 2026-07-20
76830 CPT US Transvaginal 7 7 $1,192.00 $1,192.00 $66.39 $139.47 $102.42 2026-07-20
76817 CPT US Pregnant Uterus Real Time W/image Dcmtn Transvag 2 2 $987.00 $987.00 $74.31 $106.51 $90.41 2026-07-20
76815 CPT US Pregnant Uterus Limited 1/> Fetuses 1 1 $713.00 $713.00 $64.96 $64.96 $64.96 2026-07-20
76805 CPT US Pregnant Uterus After 1st Trimest 1/1st Gestation 1 1 $2,046.00 $2,046.00 $83.80 $83.80 $83.80 2026-07-20
76801 CPT US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat 1 1 $1,212.00 $1,212.00 $106.51 $106.51 $106.51 2026-07-20
76775 CPT US Retroperitoneal Real Time W/image Limited 7 7 $1,764.00 $1,764.00 $26.06 $171.01 $105.44 2026-07-20
76770 CPT US Retroperitoneal Real Time W/image Complete 10 10 $1,754.00 $1,754.00 $57.42 $106.51 $102.92 2026-07-20
76706 CPT US Abdominal Aorta Real Time Screen Study Aaa 5 5 $565.00 $565.00 $104.38 $136.64 $104.81 2026-07-20
76705 CPT US Abdominal Real Time W/image Limited 16 16 $1,406.00 $1,406.00 $46.80 $171.01 $104.59 2026-07-20
76700 CPT US Abdominal Real Time W/image Complete 14 14 $1,895.00 $1,895.00 $83.80 $304.66 $105.55 2026-07-20
76642 CPT US Breast, Unilateral, Limited 11 11 $560.80 $560.80 $43.32 $139.01 $86.43 2026-07-20
76641 CPT US Breast, Unilateral, Complete 4 4 $735.60 $735.60 $52.54 $171.01 $78.82 2026-07-20
76604 CPT Ultrasound, Chest (includes Mediastinum), Real Tim 1 1 $1,384.00 $1,384.00 $102.48 $102.48 $102.48 2026-07-20
76536 CPT US Soft Tissue Head & Neck Real Time Imge Docm 11 11 $1,384.00 $1,384.00 $65.38 $1,384.00 $106.51 2026-07-20
76000 CPT Fl (separate Pdx), Up To 1 Hour Physician/professional Time 8 8 $2,278.40 $2,278.40 $221.76 $242.11 $237.27 2026-07-20
75822 CPT Venography, Extremity, Bilateral, Radiological Sup 1 1 $2,500.00 $2,500.00 $50.46 $50.46 $50.46 2026-07-20
75635 CPT CT Abdomen Aorta Angiography & Bilat Iliofemoral W Dye 1 1 $7,187.00 $7,187.00 $163.31 $163.31 $163.31 2026-07-20
75574 CPT Computed Tomographic Angiography, Heart, Coronary Arteries And Bypass Grafts 6 6 $4,800.00 $4,800.00 $288.54 $625.00 $398.97 2026-07-20
74230 CPT Xr Barium Swallow W Cine/video 1 1 $1,227.00 $1,227.00 $171.91 $171.91 $171.91 2026-07-20
74221 CPT Radiologic Exam Esophagus Double Contrast Study (barium) 1 1 $1,283.00 $1,283.00 $87.94 $87.94 $87.94 2026-07-20
74183 CPT MRI Abdomen W&w/out Contrast 4 4 $4,400.00 $4,400.00 $321.94 $900.00 $405.17 2026-07-20
74181 CPT MRI Abdomen Without Contrast Material 1 1 $5,000.00 $5,000.00 $242.11 $242.11 $242.11 2026-07-20
74178 CPT CT Abdomen & Pelvis Wo & W Contrst 1/> Body Regions 11 11 $9,374.00 $9,374.00 $195.06 $625.00 $357.71 2026-07-20
74177 CPT CT Abdomen & Pelvis; W Dye 18 18 $11,642.00 $11,642.00 $249.66 $11,642.00 $357.71 2026-07-20
74176 CPT CT Abdomen & Pelvis; Without Contrast 17 17 $10,701.00 $10,701.00 $150.49 $625.00 $242.11 2026-07-20
74175 CPT CT Angiography, Abdomen Aorta & Bilat Iliofem Lext; With contrast/NONDYE 2 2 $5,643.00 $5,643.00 $178.31 $625.00 $401.65 2026-07-20
74022 CPT Xr Abdomen; Comp Acute Series; Supine, Erect &/or Decubi Views, W 1 Chest Vw 2 2 $741.00 $741.00 $40.10 $103.02 $71.56 2026-07-20
74019 CPT Xr, Abdomen; 2 Views 2 2 $1,187.40 $1,187.40 $105.02 $171.01 $138.01 2026-07-20
74018 CPT Xr, Abdomen; 1 View 5 5 $621.10 $621.10 $24.32 $115.87 $86.78 2026-07-20
73722 CPT MRI Joint, Any Lower Extrem; W Dye 1 1 $3,227.00 $3,227.00 $900.00 $900.00 $900.00 2026-07-20
73721 CPT MRI Joint, Any Lower Extrem; Wo Dye 11 11 $6,923.00 $6,923.00 $111.40 $900.00 $311.86 2026-07-20
73718 CPT MRI Extremity, Lower, No Joint; Wo Dye 5 5 $6,705.00 $6,705.00 $184.17 $373.63 $233.87 2026-07-20
73706 CPT CT Angiography, Extremity, Lower; With contrast/NONDYE 2 2 $3,685.00 $3,685.00 $207.16 $213.55 $210.36 2026-07-20
73702 CPT CT Extremity, Lower; W & Wo Dye 1 1 $6,932.00 $6,932.00 $166.21 $166.21 $166.21 2026-07-20
73701 CPT CT Extremity, Lower; W Dye 3 3 $4,564.00 $4,564.00 $160.05 $431.60 $178.31 2026-07-20
73700 CPT CT Extremity, Lower; Wo Dye 9 9 $3,975.00 $3,975.00 $66.70 $625.00 $106.51 2026-07-20
73660 CPT Xr Toe(s); 2+ Vws 1 1 $505.93 $505.93 $88.19 $88.19 $88.19 2026-07-20
73650 CPT Xr Calcaneus; 2+ Vws 1 1 $536.00 $536.00 $43.50 $43.50 $43.50 2026-07-20
73630 CPT Xr Foot, Complete; 3+ Vws 14 14 $758.00 $758.00 $27.53 $758.00 $86.70 2026-07-20
73610 CPT Xr Ankle, Complete, 3+ Vws 11 11 $765.00 $765.00 $29.40 $127.88 $83.93 2026-07-20
73590 CPT Xr Tibia & Fibula; 2 Vws 6 6 $784.00 $784.00 $18.94 $139.01 $86.95 2026-07-20
73565 CPT Xr Knee; Bilat, Standing, Anteropost 1 1 $706.75 $706.75 $88.19 $88.19 $88.19 2026-07-20
73564 CPT Xr Knee, Complete, 4+ Vws 3 3 $758.05 $758.05 $104.58 $106.51 $106.51 2026-07-20
73562 CPT Xr Knee; 3 Vws 15 15 $615.20 $615.20 $32.31 $615.20 $88.19 2026-07-20
73560 CPT Xr Knee; 1-2 Vws 4 4 $564.00 $564.00 $20.35 $564.00 $65.22 2026-07-20
73552 CPT Xr Femur; Minimum 2 Views 3 3 $906.00 $906.00 $83.78 $88.19 $83.94 2026-07-20
73523 CPT Xr Hips, Bilateral, W Pelvis; Min 5 Views 1 1 $906.00 $906.00 $106.51 $106.51 $106.51 2026-07-20
73522 CPT Xr Hips, Bilatateral, W Pelvis When Performed; 3-4 Views 5 5 $906.00 $906.00 $45.29 $171.01 $106.51 2026-07-20
73502 CPT Xr Hip, Unilateral, W Pelvis When Performed; 2-3 Views 12 12 $482.00 $482.00 $30.35 $139.01 $86.86 2026-07-20
73221 CPT MRI Joint, Any Upper Extremity; Wo Dye 9 9 $7,911.00 $7,911.00 $111.66 $900.00 $242.11 2026-07-20
73218 CPT MRI Extremity, Upper, No Joint; Wo Dye 1 1 $3,317.00 $3,317.00 $373.63 $373.63 $373.63 2026-07-20
73202 CPT CT Extremity, Upper; Wo & W Dye 1 1 $4,045.00 $4,045.00 $178.31 $178.31 $178.31 2026-07-20
73201 CPT CT Extremity, Upper; W Dye 1 1 $4,696.00 $4,696.00 $341.94 $341.94 $341.94 2026-07-20
73200 CPT CT Extremity, Upper; Wo Dye 3 3 $4,457.00 $4,457.00 $106.51 $112.61 $106.51 2026-07-20
73140 CPT Xr Finger(s) 2+ Views 7 7 $485.00 $485.00 $30.74 $139.01 $88.19 2026-07-20
73130 CPT Xr Hand, 3+ Vws 6 6 $653.00 $653.00 $29.94 $139.01 $86.78 2026-07-20
73110 CPT Xr Wrist, Complete, 3+ Vws 8 8 $673.00 $673.00 $19.35 $115.48 $84.06 2026-07-20
73090 CPT Xr Forearm, 2 Views 2 2 $571.00 $571.00 $23.52 $139.01 $81.27 2026-07-20
73080 CPT Xr Elbow Complete Minimum 3 Views 6 6 $709.00 $709.00 $26.46 $139.01 $113.60 2026-07-20
73060 CPT Xr Humerus, 2+ Vws 3 3 $595.00 $595.00 $25.66 $139.01 $85.29 2026-07-20
73030 CPT Xr Shoulder, Complete, 2+ Vws 15 15 $801.00 $801.00 $28.07 $139.01 $86.93 2026-07-20
73000 CPT Xr Clavicle Complete 2 2 $600.00 $600.00 $85.29 $330.00 $207.64 2026-07-20
72220 CPT Xr Sacrum/coccyx 2+ Views 1 1 $678.00 $678.00 $88.19 $88.19 $88.19 2026-07-20
72202 CPT Xr Si Joints, 3+ Vws 1 1 $911.00 $911.00 $22.42 $22.42 $22.42 2026-07-20
72197 CPT MRI Pelvis; Wo & W Dye 5 5 $4,497.00 $4,497.00 $185.38 $357.71 $335.10 2026-07-20
72195 CPT MRI Pelvis; Wo Dye 1 1 $4,898.00 $4,898.00 $900.00 $900.00 $900.00 2026-07-20
72192 CPT CT Pelvis; Wo Dye 2 2 $4,589.00 $4,589.00 $106.51 $220.41 $163.46 2026-07-20
72170 CPT Xr Pelvis 1-2 Views 2 2 $638.00 $638.00 $102.48 $171.01 $136.75 2026-07-20
72158 CPT MRI Spinal Canal, Lumbar Wo & W Dye 5 5 $9,930.00 $9,930.00 $263.30 $777.61 $336.47 2026-07-20
72157 CPT MRI Spinal Canal, Thoracic Wo & W Dye 2 2 $9,811.00 $9,811.00 $264.36 $818.53 $541.44 2026-07-20
72156 CPT MRI Spinal Canal, Cervical; Wo & W Dye 3 3 $10,204.00 $10,204.00 $263.83 $814.79 $357.71 2026-07-20
72148 CPT MRI Spinal Canal, Lumbar; Wo Dye 17 17 $6,158.00 $6,158.00 $97.02 $900.00 $317.03 2026-07-20
72146 CPT MRI Spinal Canal, Thoacic Wo Dye 2 2 $5,286.00 $5,286.00 $311.86 $373.63 $342.75 2026-07-20
72141 CPT MRI Spinal Canal, Cervical; Wo Dye 6 6 $6,334.00 $6,334.00 $97.58 $900.00 $307.87 2026-07-20
72131 CPT CT Spine, Lumbar; Wo Dye 13 13 $5,758.00 $5,758.00 $83.80 $625.00 $104.38 2026-07-20
72128 CPT CT Spine, Thoracic; Wo Dye 7 7 $6,920.00 $6,920.00 $83.80 $326.12 $220.41 2026-07-20
72125 CPT CT Spine, Cervical; Wo Dye 14 14 $6,817.00 $6,817.00 $83.80 $6,817.00 $136.64 2026-07-20
72110 CPT Xr Spine, Lumbosacral, 4+ Vws 5 5 $1,155.53 $1,155.53 $41.70 $171.01 $106.51 2026-07-20
72100 CPT Xr Spine, Lumbosacral 2-3 Views 12 12 $1,156.00 $1,156.00 $23.72 $171.01 $105.16 2026-07-20
72082 CPT Xr Scoliosis Spine, Entire W Skull, 2-3 Vws 2 2 $980.00 $980.00 $45.21 $104.88 $75.05 2026-07-20
72081 CPT Xr Spine, Entire W Skull, 1 Vw 1 1 $678.00 $678.00 $86.93 $86.93 $86.93 2026-07-20
72074 CPT Xr Spine, Thoracic 4+ Vws 1 1 $942.00 $942.00 $102.48 $102.48 $102.48 2026-07-20
72072 CPT Xr Spine, Thoracic 3 Vws 4 4 $942.00 $942.00 $101.46 $139.47 $105.69 2026-07-20
72070 CPT Xr Spine, Thoracix 2 Vws 7 7 $900.18 $900.18 $26.46 $171.01 $104.88 2026-07-20
72050 CPT Xr Spine, Cervical Neck 4-5 Vws 4 4 $1,021.91 $1,021.91 $43.04 $106.51 $76.43 2026-07-20
72040 CPT Xr Spine, Cervical Neck 2-3 Vws 11 11 $701.13 $701.13 $31.81 $139.01 $87.31 2026-07-20
71552 CPT MRI Chest Without & With Contrast 1 1 $7,164.00 $7,164.00 $357.71 $357.71 $357.71 2026-07-20
71550 CPT MRI Chest Without Contrast 1 1 $4,462.00 $4,462.00 $242.11 $242.11 $242.11 2026-07-20
71275 CPT CT Angiography, Chest; With contrast/NONDYE 8 8 $4,580.69 $4,580.69 $174.74 $421.06 $205.89 2026-07-20
71271 CPT Low Dose CT Scan (ldct) For Lung Cancer Screening 8 8 $6,817.00 $6,817.00 $69.51 $6,817.00 $104.91 2026-07-20
71270 CPT CT Thorax Wo & W Dye 3 3 $5,305.00 $5,305.00 $160.70 $178.31 $175.33 2026-07-20
71260 CPT CT Thorax W Dye 8 8 $7,164.00 $7,164.00 $137.39 $625.00 $177.22 2026-07-20
71250 CPT CT Thorax Wo Dye 14 14 $5,260.00 $5,260.00 $66.17 $5,260.00 $106.15 2026-07-20
71120 CPT Xr Sternum 2+ Views 1 1 $683.00 $683.00 $139.01 $139.01 $139.01 2026-07-20
71111 CPT Xr Ribs, Bilat W Posteroant Chest, 4+ Vws 2 2 $788.00 $788.00 $106.51 $171.01 $138.76 2026-07-20
71101 CPT Xr Ribs, Unilat W Posteroant Chest, 3+ Vws 3 3 $777.00 $777.00 $33.95 $162.10 $106.51 2026-07-20
71100 CPT Xr Ribs, Unilat, 2 Vws 4 4 $638.00 $638.00 $29.40 $88.19 $86.78 2026-07-20
71046 CPT Xr Chest, 2 Views 21 21 $621.10 $621.10 $18.41 $139.01 $88.19 2026-07-20
71045 CPT Xr Chest, Single View 20 20 $621.10 $621.10 $20.58 $621.10 $87.59 2026-07-20
70553 CPT MRI Brain Brain Stem Wo & W Dye 13 11 $5,141.00 $5,141.00 $262.49 $842.51 $357.71 2026-07-20
70552 CPT MRI Brain Brain Stem W Dye 1 1 $4,648.00 $4,648.00 $357.71 $357.71 $357.71 2026-07-20
70551 CPT MRI Brain Brain Stem Wo Dye 20 20 $4,800.00 $4,800.00 $101.43 $900.00 $242.11 2026-07-20
70547 CPT MRA Neck Wo Dye 2 2 $1,474.00 $1,474.00 $485.59 $532.49 $509.04 2026-07-20
70546 CPT MRA Head Wo & W Dye 1 1 $8,920.00 $8,920.00 $348.74 $348.74 $348.74 2026-07-20
70544 CPT MRA Head Without Contrst Material 2 2 $6,159.00 $6,159.00 $528.85 $531.73 $530.29 2026-07-20
70543 CPT MRI Orbit Face & Neck; Wo & W Dye 1 1 $3,707.00 $3,707.00 $3,707.00 $3,707.00 $3,707.00 2026-07-20
70540 CPT MRI Orbit Face & Neck; Wo Dye 1 1 $4,290.63 $4,290.63 $515.99 $515.99 $515.99 2026-07-20
70498 CPT CT Angiography, Neck; With contrast/NONDYE 3 3 $6,557.00 $6,557.00 $154.74 $625.00 $414.94 2026-07-20
70496 CPT CT Angiography, Head; With contrast/NONDYE 6 6 $6,510.00 $6,510.00 $155.01 $435.82 $261.01 2026-07-20
70492 CPT CT Neck, Soft Tissue; Wo & W Dye 2 2 $7,745.00 $7,745.00 $160.05 $178.31 $169.18 2026-07-20
70491 CPT CT Neck, Soft Tissue; W Dye 4 4 $6,002.00 $6,002.00 $140.05 $386.50 $205.89 2026-07-20
70490 CPT CT Neck, Soft Tissue; Wo Dye 3 3 $5,380.00 $5,380.00 $210.25 $427.10 $220.41 2026-07-20
70488 CPT CT Face; Wo & W Dye 1 1 $4,837.00 $4,837.00 $178.31 $178.31 $178.31 2026-07-20
70487 CPT CT Face; W Dye 2 2 $4,853.45 $4,853.45 $233.48 $435.82 $334.65 2026-07-20
70486 CPT CT Face; Wo Dye 8 8 $4,845.00 $4,845.00 $83.80 $435.82 $216.47 2026-07-20
70480 CPT CT Orbit/sella/post Fossa/ear Wo Dye 5 5 $4,902.00 $4,902.00 $83.80 $224.91 $139.47 2026-07-20
70470 CPT CT Head/brain; Wo & W Dye 1 1 $6,140.00 $6,140.00 $175.46 $175.46 $175.46 2026-07-20
70450 CPT CT Head/brain; Wo Dye 18 18 $4,979.00 $4,979.00 $83.80 $625.00 $121.57 2026-07-20
70360 CPT Xr Neck & Soft Tissue 3 3 $454.00 $454.00 $25.13 $88.19 $81.28 2026-07-20
70260 CPT Xr Skull 4+ Views 3 3 $1,133.00 $1,133.00 $97.40 $104.58 $104.51 2026-07-20
70250 CPT Xr Skull, <4 Vws 3 3 $1,173.00 $1,173.00 $28.87 $106.51 $106.51 2026-07-20
70220 CPT Xr Sinuses, Paranasal Complete, 3+ Vws 1 1 $904.95 $904.95 $88.19 $88.19 $88.19 2026-07-20
70140 CPT Xr Facial Bones, <3 Views 1 1 $822.00 $822.00 $88.19 $88.19 $88.19 2026-07-20
70110 CPT Xr Jaw, Complete, 4+ Vws 1 1 $1,763.00 $1,763.00 $102.48 $102.48 $102.48 2026-07-20
69209 CPT Removal Impacted Cerumen Using Irrigation/ 2 2 $275.00 $275.00 $41.25 $59.50 $50.38 2026-07-20
64718 CPT Neuroplasty And/or Transposition; Ulnar Nerve Elbow 1 1 $7,898.00 $7,898.00 $1,924.31 $1,924.31 $1,924.31 2026-07-20
64636 CPT Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(s), With Imagin… 6 5 $1,500.00 $1,500.00 $76.00 $528.44 $268.25 2026-07-20
64635 CPT Destruction By Neurolytic Agent, Paravertebral 13 12 $7,897.00 $7,897.00 $875.50 $8,208.44 $1,280.59 2026-07-20
64634 CPT Destruction By Neurolytic Agent, Paravertebral Facet Each Add 2 2 $3,948.70 $3,948.70 $152.00 $295.00 $223.50 2026-07-20
64633 CPT Destruction By Neurolytic Agent, Paravertebral Facet Joint 7 7 $7,897.50 $7,897.50 $912.99 $3,400.00 $1,280.59 2026-07-20
64615 CPT Chemodenervation Of Muscle(s); Muscle(s) Innervate 3 3 $3,982.00 $3,982.00 $295.67 $296.09 $296.04 2026-07-20
64495 CPT Injection(s), Diagnostic Or Therapeutic Agent, Par 1 1 $1,648.00 $1,648.00 $68.50 $68.50 $68.50 2026-07-20
64494 CPT Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet Joint Each Ad… 5 4 $1,648.00 $1,648.00 $76.00 $465.00 $116.25 2026-07-20
64493 CPT Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet (zygapophysea… 16 15 $3,296.00 $3,296.00 $275.00 $1,167.66 $732.27 2026-07-20
64491 CPT Injection(s), Diagnostic Or Therapeutic Agent Each Add 3 2 $1,647.95 $1,647.95 $73.75 $465.00 $304.00 2026-07-20
64490 CPT Injection(s), Diagnostic Or Therapeutic Agent 10 9 $3,295.90 $3,295.90 $550.00 $1,133.00 $875.82 2026-07-20
64484 CPT Injection(s), Anesthetic Agent And/or Steroid, Transforaminal Epidural, With Ima… 5 5 $1,648.00 $1,648.00 $152.00 $465.00 $465.00 2026-07-20
64483 CPT Injection(s), Anesthetic Agent And/or Steroid, Transforaminal Epidural, With Ima… 3 2 $3,296.00 $3,296.00 $658.63 $879.80 $832.85 2026-07-20
64455 CPT Injection(s), Anesthetic Agent(s) And/or Steroid; Plantar Common Digital Nerve(s… 1 1 $3,400.00 $3,400.00 $296.04 $296.04 $296.04 2026-07-20
64450 CPT Injection Aa&/strd Other Peripheral Nerve/branch - Hospital Fee 1 1 $1,400.00 $1,400.00 $682.18 $682.18 $682.18 2026-07-20
64405 CPT Injection, Anesthetic Agent; Greater Occipital 3 3 $1,500.00 $1,500.00 $145.47 $321.55 $147.38 2026-07-20
63650 CPT Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural 6 6 $8,208.44 $8,208.44 $6,146.25 $6,468.35 $6,442.06 2026-07-20
63030 CPT Laminotomy (hemilaminectomy), With Decompression 2 2 $27,490.00 $27,490.00 $7,040.82 $8,860.80 $7,950.81 2026-07-20
62304 CPT Myelography Via Lumbar Injection, Including Radiol 1 1 $3,336.60 $3,336.60 $783.43 $783.43 $783.43 2026-07-20
51702 CPT Insertion Of Temporary Indwelling Bladder Catheter (foley) 4 4 $1,003.00 $1,003.00 $50.15 $1,003.00 $123.87 2026-07-20
49450 CPT Replace Gastrostomy/cecostomy Tube Percutaneous 7 7 $8,208.44 $8,208.44 $410.42 $939.08 $920.30 2026-07-20
49440 CPT ER Procedure; Insert Gastrostomy Tube Percutaneous 2 2 $3,085.00 $3,085.00 $1,862.06 $1,862.06 $1,862.06 2026-07-20
47000 CPT Biopsy Of Liver, Needle; Percutaneou 1 1 $6,610.00 $6,610.00 $1,596.80 $1,596.80 $1,596.80 2026-07-20
43762 CPT Perq Replacement Gtube Not Req Revj Gstrst Trc 2 2 $1,450.00 $1,450.00 $232.53 $238.73 $235.63 2026-07-20
38510 CPT Biopsy Or Excision Of Lymph Node(s); Open, 3 3 $13,376.50 $13,376.50 $3,643.94 $3,933.28 $3,835.48 2026-07-20
38505 CPT Biopsy Or Excision Of Lymph Node(s); By Needle, 2 2 $6,610.00 $6,610.00 $1,624.57 $1,650.99 $1,637.78 2026-07-20
37280 CPT Revascularization, Endovascular, Open Or Percu 3 3 $35,382.69 $35,382.69 $10,541.91 $35,963.31 $10,577.20 2026-07-20
37271 CPT Evascularization, Endovascular, Open Or Perc Femoral W/angio & Arthrectomy 4 4 $56,186.07 $56,186.07 $16,730.14 $33,027.52 $17,208.48 2026-07-20
37248 CPT Transluminal Balloon Angioplasty 6 6 $32,000.00 $32,000.00 $5,193.63 $9,476.00 $5,655.05 2026-07-20
36902 CPT Introduction Of Needle(s) And/or Catheter( 15 15 $20,000.00 $20,000.00 $5,296.92 $9,476.00 $5,596.54 2026-07-20
36592 CPT Collection Of Blood Specimen Using Established Central Or Peripheral Catheter, V… 1 1 $550.00 $550.00 $550.00 $550.00 $550.00 2026-07-20
36589 CPT Removal Of Tunneled Central Venous Catheter 18 18 $3,003.85 $3,003.85 $572.42 $3,003.85 $619.26 2026-07-20
36569 CPT Insertion Of Peripherally Inserted Central Venous Cath (picc) 2 2 $3,982.00 $3,982.00 $734.80 $1,514.33 $1,124.57 2026-07-20
36558 CPT Insertion Of Tunneled Centrally Inserted Cvc 2 2 $10,250.00 $10,250.00 $3,033.87 $3,035.47 $3,034.67 2026-07-20
31575 CPT Laryngoscopy, Flexible; Diagnostic 2 2 $3,982.00 $3,982.00 $191.34 $199.53 $195.44 2026-07-20
29882 CPT Arthroscopy, Knee, Surgical; With Meniscus Repair 1 1 $12,971.40 $12,971.40 $2,600.00 $2,600.00 $2,600.00 2026-07-20
29881 CPT Arthroscopy, Knee, Surgical; With Meniscectom 2 2 $12,971.14 $12,971.14 $3,207.02 $5,356.00 $4,281.51 2026-07-20
29876 CPT Arthroscopy, Knee, Surgical; Synovectomy, Major, 2 Or More Compartments 1 1 $12,974.44 $12,974.44 $3,197.87 $3,197.87 $3,197.87 2026-07-20
29873 CPT Arthroscopy, Knee, Surgical; With Lateral Release 1 1 $12,971.40 $12,971.40 $2,600.00 $2,600.00 $2,600.00 2026-07-20
29827 CPT Arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair 1 1 $27,490.00 $27,490.00 $7,040.82 $7,040.82 $7,040.82 2026-07-20
29822 CPT Arthroscopy, Shoulder, Surgical; Debridement, 2 2 $12,971.40 $12,971.40 $5,617.36 $5,663.64 $5,640.50 2026-07-20
29105 CPT Application Of Long Arm Splint 1 1 $664.00 $664.00 $158.05 $158.05 $158.05 2026-07-20
29075 CPT Application, Cast; Elbow To Finger (short Arm) 1 1 $1,595.46 $1,595.46 $261.75 $261.75 $261.75 2026-07-20
28190 CPT Removal Of Foreign Body, Foot; Subcutaneous 1 1 $7,234.70 $7,234.70 $2,170.41 $2,170.41 $2,170.41 2026-07-20
26010 CPT Drainage Of Finger Abscess; Simple 1 1 $1,610.00 $1,610.00 $80.50 $80.50 $80.50 2026-07-20
20611 CPT Arthrocentesis, Aspiration And/or Injection, Major Joint 12 12 $3,982.00 $3,982.00 $266.10 $3,982.00 $347.00 2026-07-20
20610 CPT Arthrocentesis, Aspiration And/or Injection, Major 12 12 $2,390.00 $2,390.00 $219.54 $387.16 $290.35 2026-07-20
20606 CPT Arthrocentesis Aspir&/inj Interm Jt/burs W/us 1 1 $1,607.00 $1,607.00 $627.42 $627.42 $627.42 2026-07-20
20605 CPT Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa 2 2 $2,390.00 $2,390.00 $717.00 $1,314.50 $1,015.75 2026-07-20
20600 CPT Arthrocentesis, Aspiration And/or Injection, Small Joint 1 1 $1,200.00 $1,200.00 $276.16 $276.16 $276.16 2026-07-20
20553 CPT Injection(s); Single Or Multiple Trigger Point(s) 4 4 $2,340.00 $2,340.00 $266.10 $293.83 $292.11 2026-07-20
20550 CPT Injection(s); Single Tendon Sheath, Or Ligament, Aponeurosis (eg, Plantar 'fasci… 6 6 $1,500.00 $1,500.00 $276.16 $930.00 $344.00 2026-07-20
19101 CPT Biopsy Of Breast; Open, Incisional 1 1 $13,376.50 $13,376.50 $3,758.77 $3,758.77 $3,758.77 2026-07-20
19083 CPT US Breast Biopsy, First Lesion 2 2 $3,477.35 $3,477.35 $1,469.39 $1,622.86 $1,546.12 2026-07-20
19020 CPT Mastotomy With Exploration Or Drainage Of Abscess, 1 1 $6,610.35 $6,610.35 $2,626.50 $2,626.50 $2,626.50 2026-07-20
15853 CPT Removal Sutures/staples Not Requiring Anesthesia 1 1 $120.00 $120.00 $22.28 $22.28 $22.28 2026-07-20
1260000005 CDM Medical Management Room & Board Private 17 17 $15,000.00 $15,000.00 $147.14 $15,000.00 $2,325.00 2026-07-20
1260000004 CDM Room & Board Telemetry/imcu 4 4 $7,500.00 $7,500.00 $1,216.49 $5,128.60 $2,413.09 2026-07-20
1260000003 CDM Room & Board - ICU 5 5 $15,000.00 $15,000.00 $1,507.44 $15,000.00 $4,863.56 2026-07-20
1260000002 CDM Room & Board Private General 17 17 $5,000.00 $5,000.00 $147.14 $15,000.00 $2,325.00 2026-07-20
1260000001 CDM Room & Board Isolation 1 1 $10,000.00 $10,000.00 $3,613.21 $3,613.21 $3,613.21 2026-07-20
12011 CPT Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mu… 2 2 $1,500.00 $1,500.00 $75.00 $1,500.00 $787.50 2026-07-20
12001 CPT Simple Repair Of Superficial Wounds Of Scalp, Neck, Axillae, External Genitalia,… 1 1 $1,532.10 $1,532.10 $76.61 $76.61 $76.61 2026-07-20
11765 CPT Wedge Excision Skin Nail Fold 3 3 $746.00 $746.00 $223.80 $392.18 $223.80 2026-07-20
11755 CPT Biopsy Nail Unit Separate Procedure 1 1 $3,540.00 $3,540.00 $697.57 $697.57 $697.57 2026-07-20
11750 CPT Excision Of Nail And Nail Matrix, Partial Or Complete 3 3 $3,460.00 $3,460.00 $173.00 $399.86 $365.73 2026-07-20
11730 CPT Avulsion Nail Plate Partial/complete Simple 1 2 2 $2,100.00 $2,100.00 $105.00 $630.00 $367.50 2026-07-20
11401 CPT Excision, Benign Lesion Including Margins, Except 1 1 $1,524.05 $1,524.05 $1,524.05 $1,524.05 $1,524.05 2026-07-20
111000001 CDM Room & Board Private Medical/surgical 1 1 $10,000.00 $10,000.00 $515.97 $515.97 $515.97 2026-07-20
11057 CPT Paring/cutting Benign Hyperkeratotic Lesion >4 2 2 $372.00 $372.00 $111.60 $195.04 $153.32 2026-07-20
11056 CPT Paring Or Cutting Of Benign Hyperkeratotic Lesion 3 3 $1,797.80 $1,797.80 $89.89 $182.04 $181.30 2026-07-20
11042 CPT Debridement Subcutaneous Tissue 20 Sq Cm Or Less 2 2 $2,583.00 $2,583.00 $394.38 $400.18 $397.28 2026-07-20
10120 CPT Incision & Removal Foreign Body Subq Tiss Simple 1 1 $3,275.00 $3,275.00 $400.18 $400.18 $400.18 2026-07-20
10061 CPT Incision & Drainage Abscess Complicated/multiple 1 1 $8,687.00 $8,687.00 $434.35 $434.35 $434.35 2026-07-20
10060 CPT Incision & Drainage Abscess Simple/single - Hospital ER 1 1 $1,955.00 $1,955.00 $97.75 $97.75 $97.75 2026-07-20
0111 CDM Utmb Room & Board Private General 13 13 $560.00 $560.00 $147.14 $3,400.00 $1,756.40 2026-07-20
0110 CDM Room & Board Private General 13 13 $530.00 $530.00 $147.14 $3,400.00 $1,756.40 2026-07-20
See an error in this hospital's data? Submit a correction