| 43239 |
HB Egd Transoral Biopsy Single/Multiple |
Peer Hospital A $7,713.72 Peer Hospital B $7,260.55 Peer Hospital C $6,800.66 Peer Hospital D $6,585.53 Peer Hospital E $5,680.78 Peer 6 $5,313.28 Peer 7 $5,116.25 Peer 8 $2,896.11 |
| 29881 |
HB Arthroscop Knee Med and Lat |
Peer Hospital A $35,670.67 Peer Hospital B $23,913.07 Peer Hospital C $23,097.59 Peer Hospital D $20,442.18 Peer Hospital E $14,781.90 Peer 6 $14,615.20 |
| 93005 |
Routine electrocardiogram (ECG) using at least 12 leads with tracing |
Peer Hospital A $274.05 Peer Hospital B $274.05 Peer Hospital C $231.75 Peer Hospital D $215.25 Peer Hospital E $213.75 Peer 6 $170.00 Peer 7 $170.00 Peer 8 $70.56 |
| 99284 |
HB ED Visit Level 4 |
Peer Hospital A $3,601.50 Peer Hospital B $3,567.47 Peer Hospital C $3,253.95 Peer Hospital D $3,251.38 Peer Hospital E $3,100.55 Peer 6 $2,428.19 Peer 7 $2,418.13 Peer 8 $2,272.41 |
| 99283 |
HB ED Visit Level 3 |
Peer Hospital A $1,698.56 Peer Hospital B $1,675.69 Peer Hospital C $1,637.00 Peer Hospital D $1,453.73 Peer Hospital E $1,420.10 Peer 6 $1,212.12 Peer 7 $1,127.75 Peer 8 $1,106.38 |
| 71250 |
HB CT Thorax, Diagnostic W/O Dye |
Peer Hospital A $2,797.50 Peer Hospital B $2,797.50 Peer Hospital C $2,797.50 Peer Hospital D $2,349.90 Peer Hospital E $2,349.90 Peer 6 $2,349.90 Peer 7 $1,865.00 Peer 8 $1,865.00 |
| 70551 |
HB MRI Brain Stem W/O Dye |
Peer Hospital A $4,164.75 Peer Hospital B $4,164.75 Peer Hospital C $4,164.75 Peer Hospital D $3,498.39 Peer Hospital E $3,498.39 Peer 6 $3,498.39 Peer 7 $2,776.50 Peer 8 $2,776.50 |
| 70553 |
HB MRI Brain Stem W/O & W/Dye |
Peer Hospital A $5,769.75 Peer Hospital B $5,769.75 Peer Hospital C $5,769.75 Peer Hospital D $4,846.59 Peer Hospital E $4,846.59 Peer 6 $4,846.59 Peer 7 $3,846.50 Peer 8 $3,846.50 |
| 74177 |
HB CT Abd & Pelv W/Contrast |
Peer Hospital A $6,481.50 Peer Hospital B $6,481.50 Peer Hospital C $6,481.50 Peer Hospital D $5,444.46 Peer Hospital E $5,444.46 Peer 6 $5,444.46 Peer 7 $4,321.00 Peer 8 $4,321.00 |