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

LAKE MARTIN COMMUNITY HOSPITAL

Dadeville, AL · CCN 010052 · Rates published

1,439 distinct procedures filed
7 distinct payers
20,310 rate rows
2026-04-01 last MRF observed
Data quality

2,212 of 20,310 rate rows are consumer-grade (10.9%)

18,098 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 15,814
per-diem day rate — not a per-procedure price 1,650
exceeds 10× this hospital's gross charge — excluded from medians 468
exceeds 3× this hospital's gross charge for a DRG stay — excluded 166
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ivycreekhealth.com/wp-content/uploads/2026/04/631282722_lake-martin-community-hospital_standardcharges.csv
Found on page https://ivycreekhealth.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint c7113ab027535962… · 8,778,357 bytes · first seen 2026-05-09

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
871
MS_DRG 		M Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 $6,500.00 $11,842.77 $9,171.39 nat. median
$18,592
outlier · 0.5×
922
MS_DRG 		M Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 2 $6,500.00 $11,187.73 $8,843.86 nat. median
$16,570
0.5× median
193
MS_DRG 		M Simple Pneumonia And Pleurisy With Mcc 2 $6,500.00 $10,531.33 $8,515.67 nat. median
$12,837
0.7× median
551
MS_DRG 		M Medical Back Problems With Mcc 2 $6,500.00 $9,527.79 $8,013.90 nat. median
$16,070
outlier · 0.5×
291
MS_DRG 		M Heart Failure And Shock With Mcc 2 $6,500.00 $8,587.45 $7,543.73 nat. median
$12,730
0.6× median
640
MS_DRG 		M Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Wit… 2 $6,500.00 $8,471.65 $7,485.82 nat. median
$12,804
0.6× median
189
MS_DRG 		M Pulmonary Edema And Respiratory Failure 2 $6,500.00 $8,216.46 $7,358.23 nat. median
$12,249
0.6× median
689
MS_DRG 		M Kidney And Urinary Tract Infections With Mcc 2 $6,500.00 $8,091.83 $7,295.91 nat. median
$11,493
0.6× median
439
MS_DRG 		M Disorders Of Pancreas Except Malignancy With Cc 2 $6,500.00 $6,566.35 $6,533.18 nat. median
$8,912
0.7× median
637
MS_DRG 		M Diabetes With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$13,938
outlier · 0.5×
682
MS_DRG 		M Renal Failure With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$14,406
outlier · 0.5×
308
MS_DRG 		M Cardiac Arrhythmia And Conduction Disorders With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$11,953
0.5× median
895
MS_DRG 		M Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$13,091
outlier · 0.5×
811
MS_DRG 		M Red Blood Cell Disorders With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$13,608
outlier · 0.5×
177
MS_DRG 		M Respiratory Infections And Inflammations With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$15,338
outlier · 0.4×
386
MS_DRG 		M Inflammatory Bowel Disease With Cc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$10,158
0.6× median
433
MS_DRG 		M Cirrhosis And Alcoholic Hepatitis With Cc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$10,736
0.6× median
370
MS_DRG 		M Major Esophageal Disorders Without Cc/mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$7,665
0.8× median
388
MS_DRG 		M Gastrointestinal Obstruction With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$14,295
outlier · 0.5×
917
MS_DRG 		M Poisoning And Toxic Effects Of Drugs With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$14,548
outlier · 0.4×
565
MS_DRG 		M Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$10,076
0.6× median
64
MS_DRG 		M Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$19,192
outlier · 0.3×
436
MS_DRG 		M Malignancy Of Hepatobiliary System Or Pancreas With Cc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$11,428
0.6× median
0126
RC 		1 $6,500.00 $6,500.00 $6,500.00 nat. median
$905
outlier · 7.2×
0120
RC 		1 $6,500.00 $6,500.00 $6,500.00 nat. median
$990
outlier · 6.6×
438
MS_DRG 		M Disorders Of Pancreas Except Malignancy With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$15,924
outlier · 0.4×
384
MS_DRG 		M Uncomplicated Peptic Ulcer Without Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$8,970
0.7× median
600
MS_DRG 		M Non-malignant Breast Disorders With Cc/mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$10,253
0.6× median
444
MS_DRG 		M Disorders Of The Biliary Tract With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$16,115
outlier · 0.4×
91
MS_DRG 		M Other Disorders Of Nervous System With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$17,019
outlier · 0.4×
580
MS_DRG 		P Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$16,834
outlier · 0.4×
299
MS_DRG 		M Peripheral Vascular Disorders With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$15,733
outlier · 0.4×
54
MS_DRG 		M Nervous System Neoplasms With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$14,730
outlier · 0.4×
557
MS_DRG 		M Tendonitis, Myositis And Bursitis With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$14,464
outlier · 0.4×
0110
RC 		1 $6,500.00 $6,500.00 $6,500.00 nat. median
$967
outlier · 6.7×
72
MS_DRG 		M Other Cerebrovascular Disorders Without Cc/mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$8,122
0.8× median
432
MS_DRG 		M Cirrhosis And Alcoholic Hepatitis With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$18,763
outlier · 0.3×
371
MS_DRG 		M Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 $6,500.00 $6,500.00 $6,500.00 nat. median
$16,857
outlier · 0.4×
71
MS_DRG 		M Other Cerebrovascular Disorders With Cc 2 $6,292.07 $6,500.00 $6,396.03 nat. median
$10,526
0.6× median
65
MS_DRG 		M Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 2 $6,102.30 $6,500.00 $6,301.15 nat. median
$10,441
0.6× median
378
MS_DRG 		M Gastrointestinal Hemorrhage With Cc 2 $5,780.12 $6,500.00 $6,140.06 nat. median
$10,002
0.6× median
872
MS_DRG 		M Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 $5,603.62 $6,500.00 $6,051.81 nat. median
$10,374
0.6× median
194
MS_DRG 		M Simple Pneumonia And Pleurisy With Cc 2 $5,528.08 $6,500.00 $6,014.04 nat. median
$8,489
0.7× median
389
MS_DRG 		M Gastrointestinal Obstruction With Cc 2 $5,266.53 $6,500.00 $5,883.26 nat. median
$8,333
0.7× median
683
MS_DRG 		M Renal Failure With Cc 1 $5,042.63 $5,042.63 $5,042.63 nat. median
$9,083
0.6× median
440
MS_DRG 		M Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 $3,042.16 $6,500.00 $4,771.08 nat. median
$6,860
0.7× median
390
MS_DRG 		M Gastrointestinal Obstruction Without Cc/mcc 1 $2,513.25 $2,513.25 $2,513.25 nat. median
$6,114
outlier · 0.4×
99285
HCPCS 		Emer Dept High Severity&threat Funcj 6 $350.00 $2,341.84 $368.75 nat. median
$1,175
outlier · 0.3×
23500
HCPCS 		Clsd Tx Clavicular Fracture Without Manipula 6 $350.00 $375.00 $362.50 nat. median
$392
0.9× median
24600
HCPCS 		Treatment Closed Elbow Dislocation Without A 6 $350.00 $375.00 $362.50 nat. median
$482
0.8× median

Other procedures at this hospital

Browse this hospital's 1,439 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
             
0126 RC — 2 1 $650.00 $487.50 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
0120 RC — 2 1 $650.00 $487.50 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
0110 RC — 2 1 $650.00 $487.50 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
0258 RC — 2 1 $54.00 $40.50 25% off $17.50 $17.50 $17.50 2026-04-01
0270 RC — 2 1 $291.00 $218.25 25% off $13.64 $13.64 $13.64 2026-04-01
94640 HCPCS Airway Inhalation Treatment 2 1 $40.00 $30.00 25% off $17.79 $17.79 $17.79 2026-04-01
82140 HCPCS Ammonia Ael 4 2 $37.00 $27.75 25% off $10.19 $14.28 $12.23 2026-04-01
86038 HCPCS Antinuclear (ana) Antibody 4 2 $30.00 $22.50 25% off $8.46 $11.85 $10.16 2026-04-01
29131 HCPCS Application Finger Splint Dynamic 12 6 $83.00 $62.25 25% off $350.00 $375.00 $362.50 2026-04-01
29130 HCPCS Application Finger Splint Static 12 6 $72.00 $54.00 25% off $350.00 $375.00 $362.50 2026-04-01
29105 HCPCS Application Long Arm Splint Shoulder Han 12 6 $103.00 $77.25 25% off $350.00 $375.00 $362.50 2026-04-01
29505 HCPCS Application Long Leg Splint Thigh Ankle/ 12 6 $122.00 $91.50 25% off $350.00 $375.00 $362.50 2026-04-01
29125 HCPCS Application Short Arm Splint Forearm-han 12 6 $95.00 $71.25 25% off $350.00 $375.00 $362.50 2026-04-01
29515 HCPCS Application Short Leg Splint Calf Foot 12 6 $120.00 $90.00 25% off $350.00 $375.00 $362.50 2026-04-01
82805 HCPCS Arterial Blood Gas 2 1 $197.00 $147.75 25% off $57.63 $57.63 $57.63 2026-04-01
36600 HCPCS Artl Pnxr W/drawal Bld Dx 12 6 $39.00 $29.25 25% off $350.00 $375.00 $362.50 2026-04-01
11730 HCPCS Avulsion Nail Plate Partial/complete Sim 12 6 $135.00 $101.25 25% off $350.00 $375.00 $362.50 2026-04-01
80048 HCPCS Basic Metabolic Pa 4 2 $21.00 $15.75 25% off $8.29 $16.28 $12.29 2026-04-01
83880 HCPCS Bnp Cardiac Marker 6 2 $98.00 $73.50 25% off $27.48 $38.85 $38.63 2026-04-01
80156 HCPCS Carbamazepine 2 1 $37.00 $27.75 25% off $10.19 $10.19 $10.19 2026-04-01
92950 HCPCS Cardiopulmonary Resuscitation 12 6 $464.00 $348.00 25% off $350.00 $375.00 $362.50 2026-04-01
92960 HCPCS Cardioversion Electric Ext 12 6 $268.00 $201.00 25% off $350.00 $375.00 $362.50 2026-04-01
99291 HCPCS Cc E/m Critically Ill/injured 1st 30-74 12 6 $542.00 $406.50 25% off $350.00 $375.00 $362.50 2026-04-01
87491 HCPCS Chlamydia/n.gonorrhoeae Rna, Tma 2 1 $88.00 $66.00 25% off $24.56 $24.56 $24.56 2026-04-01
82550 HCPCS Ck Isoenzymes 4 2 $16.28 $12.21 25% off $4.55 $17.66 $11.11 2026-04-01
21310 HCPCS Closed Treatment Nasal Fracture Without Mani 12 6 $68.00 $51.00 25% off $350.00 $375.00 $362.50 2026-04-01
27840 HCPCS Closed Tx Ankle Dislocation Without Anesthes 12 6 $902.00 $676.50 25% off $350.00 $375.00 $362.50 2026-04-01
27808 HCPCS Closed Tx Bimalleolar Ankle Fracture Without 12 6 $719.00 $539.25 25% off $350.00 $375.00 $362.50 2026-04-01
28400 HCPCS Closed Tx Calcaneal Fracture Without Manipul 12 6 $542.00 $406.50 25% off $350.00 $375.00 $362.50 2026-04-01
27550 HCPCS Closed Tx Knee Dislocation Without Anesthesi 12 6 $1,160.00 $870.00 25% off $350.00 $375.00 $362.50 2026-04-01
28470 HCPCS Closed Tx Metatarsal Fracture Without Manipu 12 6 $485.00 $363.75 25% off $350.00 $375.00 $362.50 2026-04-01
27560 HCPCS Closed Tx Patellar Dislocation Without Anest 12 6 $820.00 $615.00 25% off $350.00 $375.00 $362.50 2026-04-01
27520 HCPCS Closed Tx Patellar Fracture Without Manipula 12 6 $706.00 $529.50 25% off $350.00 $375.00 $362.50 2026-04-01
24650 HCPCS Closed Tx Radial Head/neck Fx Without Manipu 12 6 $575.00 $431.25 25% off $350.00 $375.00 $362.50 2026-04-01
21480 HCPCS Closed Tx Temporomandibular Dislocation 12 6 $78.00 $58.50 25% off $350.00 $375.00 $362.50 2026-04-01
24670 HCPCS Closed Tx Ulnar Fracture Proximal End With 12 6 $630.00 $472.50 25% off $350.00 $375.00 $362.50 2026-04-01
25530 HCPCS Closed Tx Ulnar Shaft Fracture Without Manip 12 6 $567.00 $425.25 25% off $350.00 $375.00 $362.50 2026-04-01
23540 HCPCS Clsd Tx Acromioclavicular Dislc Without Mani 12 6 $548.00 $411.00 25% off $350.00 $375.00 $362.50 2026-04-01
23500 HCPCS Clsd Tx Clavicular Fracture Without Manipula 12 6 $532.00 $399.00 25% off $350.00 $375.00 $362.50 2026-04-01
24500 HCPCS Clsd Tx Humeral Shaft Fracture Without Manip 12 6 $782.00 $586.50 25% off $350.00 $375.00 $362.50 2026-04-01
23650 HCPCS Clsd Tx Shoulder Dislc W/manip Without Anest 12 6 $695.00 $521.25 25% off $350.00 $375.00 $362.50 2026-04-01
27786 HCPCS Cltx Dstl Fibular Fx Lat Malls Without Mnpj 12 6 $683.00 $512.25 25% off $350.00 $375.00 $362.50 2026-04-01
26750 HCPCS Cltx Dstl Phlngl Fx Fngr/thmb Without Mnpj E 12 6 $442.00 $331.50 25% off $350.00 $375.00 $362.50 2026-04-01
25600 HCPCS Cltx Dstl Radial Fx/epiphysl Sep Without Mnp 12 6 $746.00 $559.50 25% off $350.00 $375.00 $362.50 2026-04-01
27510 HCPCS Cltx Fem Fx Dstl End Medial/lat Condyle 12 6 $1,642.00 $1,231.50 25% off $350.00 $375.00 $362.50 2026-04-01
28490 HCPCS Cltx Fx Grt Toe Phlx/phlg Without Mnpj 12 6 $294.00 $220.50 25% off $350.00 $375.00 $362.50 2026-04-01
28515 HCPCS Cltx Fx Phlx/phlg Oth/thn Grt Toe W/mnpj 12 6 $340.00 $255.00 25% off $350.00 $375.00 $362.50 2026-04-01
28510 HCPCS Cltx Fx Phlx/phlg Oth/thn Grt Toe Without Mn 12 6 $284.00 $213.00 25% off $350.00 $375.00 $362.50 2026-04-01
24560 HCPCS Cltx Humeral Epicondylar Fx Medial/lat W 12 6 $695.00 $521.25 25% off $350.00 $375.00 $362.50 2026-04-01
28660 HCPCS Cltx Iphal Jt Dislc Without Anes 12 6 $220.00 $165.00 25% off $350.00 $375.00 $362.50 2026-04-01
27760 HCPCS Cltx Medial Malls Fx Without Mnpj 12 6 $730.00 $547.50 25% off $350.00 $375.00 $362.50 2026-04-01
26700 HCPCS Cltx Mtcarphlngl Dislc 1 W/mnpj Without Anes 12 6 $186.00 $139.50 25% off $350.00 $375.00 $362.50 2026-04-01
26720 HCPCS Cltx Phlngl Fx Prox/middle Px/f/t Without Mn 12 6 $439.00 $329.25 25% off $350.00 $375.00 $362.50 2026-04-01
27780 HCPCS Cltx Prox Fibula/shft Fx Without Mnpj 12 6 $668.00 $501.00 25% off $350.00 $375.00 $362.50 2026-04-01
27750 HCPCS Cltx Tibl Shft Fx Without Mnpj 12 6 $760.00 $570.00 25% off $350.00 $375.00 $362.50 2026-04-01
27816 HCPCS Cltx Trimal Ankle Fx Without Mnpj 12 6 $692.00 $519.00 25% off $350.00 $375.00 $362.50 2026-04-01
Q9967 HCPCS Contrast - 50ml 4 2 $37.00 $27.75 25% off $0.15 $25.90 $13.03 2026-04-01
30903 HCPCS Control Nasal Hemorrhage Anterior Comple 12 6 $194.00 $145.50 25% off $350.00 $375.00 $362.50 2026-04-01
30901 HCPCS Control Nasal Hemorrhage Anterior Simple 12 6 $140.00 $105.00 25% off $350.00 $375.00 $362.50 2026-04-01
87426 HCPCS Covid Ag Sars Cov-2 - Bd (in-house) 2 1 $89.00 $66.75 25% off $34.81 $34.81 $34.81 2026-04-01
82553 HCPCS Cpk Mb 4 2 $31.00 $23.25 25% off $8.08 $17.66 $12.87 2026-04-01
86141 HCPCS Crp-hs (ael) 2 1 $32.00 $24.00 25% off $19.27 $19.27 $19.27 2026-04-01
74177 HCPCS CT Abd And Pelvis With IV 4 2 $755.00 $566.25 25% off $242.07 $315.13 $278.60 2026-04-01
74176 HCPCS CT Abd And Pelvis Without IV 4 2 $467.00 $350.25 25% off $126.84 $215.49 $171.17 2026-04-01
74170 HCPCS CT Abdomen Without And With IV 2 1 $642.00 $481.50 25% off $177.51 $177.51 $177.51 2026-04-01
72125 HCPCS CT Cervical Spine Without 4 2 $360.00 $270.00 25% off $148.16 $200.34 $174.25 2026-04-01
71250 HCPCS CT Chest Without IV 4 2 $368.00 $276.00 25% off $95.75 $202.46 $149.11 2026-04-01
70486 HCPCS CT Facial Without 2 1 $322.00 $241.50 25% off $88.07 $88.07 $88.07 2026-04-01
70450 HCPCS CT Head/brain Without 4 2 $268.00 $201.00 25% off $93.83 $146.82 $120.32 2026-04-01
72131 HCPCS CT Lumbar Spine Without 4 2 $359.00 $269.25 25% off $146.82 $251.30 $199.06 2026-04-01
72128 HCPCS CT Thoracic Spine With IV 2 1 $360.00 $270.00 25% off $216.66 $216.66 $216.66 2026-04-01
71275 HCPCS CTA Chest/abd/pelvis 2 1 $700.00 $525.00 25% off $159.28 $159.28 $159.28 2026-04-01
30905 HCPCS Ctrl Nsl Hemrrg Pst Pst Nsl Packs&/caut 12 6 $260.00 $195.00 25% off $350.00 $375.00 $362.50 2026-04-01
87040 HCPCS Culture Blood 2 1 $25.00 $18.75 25% off $13.35 $13.35 $13.35 2026-04-01
87070 HCPCS Culture Nose 2 1 $22.00 $16.50 25% off $15.99 $15.99 $15.99 2026-04-01
87045 HCPCS Culture Stool 2 1 $23.00 $17.25 25% off $16.87 $16.87 $16.87 2026-04-01
85379 HCPCS D-dimer Fdp 4 2 $25.00 $18.75 25% off $7.12 $17.50 $12.31 2026-04-01
80164 HCPCS Depakene 4 2 $34.00 $25.50 25% off $9.47 $13.54 $11.50 2026-04-01
82626 HCPCS Dhea 2 1 $63.00 $47.25 25% off $17.68 $17.68 $17.68 2026-04-01
80185 HCPCS Dilantin 2 1 $33.00 $24.75 25% off $23.10 $23.10 $23.10 2026-04-01
26010 HCPCS Drainage Finger Abscess Simple 12 6 $330.00 $247.50 25% off $350.00 $375.00 $362.50 2026-04-01
16030 HCPCS Drs&/dbrdmt Prtl-thkns Burns 1st/sbsq La 12 6 $323.00 $242.25 25% off $350.00 $375.00 $362.50 2026-04-01
16025 HCPCS Drs&/dbrdmt Prtl-thkns Burns 1st/sbsq Me 12 6 $268.00 $201.00 25% off $350.00 $375.00 $362.50 2026-04-01
16020 HCPCS Drs&/dbrdmt Prtl-thkns Burns 1st/sbsq Sm 12 6 $130.00 $97.50 25% off $350.00 $375.00 $362.50 2026-04-01
77080 HCPCS Dx Dexa (bone Density) 4 2 $90.00 $67.50 25% off $88.98 $93.83 $91.41 2026-04-01
86665 HCPCS Ebv Ab Vca Igm 4 2 $45.00 $33.75 25% off $12.69 $20.86 $16.77 2026-04-01
93005 HCPCS ECG Routine ECG W/least 12 Lds Trcg ONLY,Distinct Procedural Service 4 2 $19.00 $14.25 25% off $13.30 $19.00 $16.15 2026-04-01
99284 HCPCS Emer Dept Hi Severity&urgent Eval (pro) 12 6 $293.00 $219.75 25% off $104.24 $375.74 $362.50 2026-04-01
99285 HCPCS Emer Dept High Severity&threat Funcj 12 6 $425.00 $318.75 25% off $350.00 $2,341.84 $368.75 2026-04-01
99282 HCPCS Emer Dept Low To Moderate Severity (pro) 12 6 $107.00 $80.25 25% off $56.88 $375.00 $356.25 2026-04-01
99283 HCPCS Emer Dept Moderate Severity 12 6 $160.00 $120.00 25% off $56.88 $375.00 $356.25 2026-04-01
82672 HCPCS Estrogen, Total 2 1 $55.00 $41.25 25% off $15.19 $15.19 $15.19 2026-04-01
11740 HCPCS Evacuation Subungual Hematoma 12 6 $75.00 $56.25 25% off $350.00 $375.00 $362.50 2026-04-01
11750 HCPCS Excision Nail Matrix Permanent Removal 12 6 $247.00 $185.25 25% off $350.00 $375.00 $362.50 2026-04-01
82728 HCPCS Ferritin 4 2 $34.00 $25.50 25% off $13.36 $14.80 $14.08 2026-04-01
82746 HCPCS Folate Serum (reference Lab) 2 1 $37.00 $27.75 25% off $10.29 $10.29 $10.29 2026-04-01
83001 HCPCS Fsh 2 1 $47.00 $35.25 25% off $13.00 $13.00 $13.00 2026-04-01
G0463 HCPCS Hosp Outpt Clinic Visit Assess/manage 2 1 $83.00 $62.25 25% off $68.39 $68.39 $68.39 2026-04-01
G0378 HCPCS Hospital Observation Per Hr 2 1 $25.00 $18.75 25% off $18.81 $18.81 $18.81 2026-04-01
87529 HCPCS Hsv 1&2 Dna,qn Real Time Pcr (labc) 2 1 $105.27 $78.95 25% off $43.88 $43.88 $43.88 2026-04-01
10140 HCPCS I&d Hematoma Seroma/fluid Collection 12 6 $286.00 $214.50 25% off $350.00 $375.00 $362.50 2026-04-01
90471 HCPCS Immunization Administration Vaccine 2 1 $33.00 $24.75 25% off $29.40 $29.40 $29.40 2026-04-01
10060 HCPCS Incision & Drainage Abscess Simple/singl 12 6 $240.00 $180.00 25% off $177.53 $375.00 $362.50 2026-04-01
10061 HCPCS Incision&drainage Abscess Complicated/mu 12 6 $437.00 $327.75 25% off $350.00 $375.00 $362.50 2026-04-01
10121 HCPCS Incision&removal Foreign Body Subq Tiss 12 6 $448.00 $336.00 25% off $350.00 $375.00 $362.50 2026-04-01
10120 HCPCS Incision&removal Foreign Body Subq Tiss 12 6 $246.00 $184.50 25% off $350.00 $375.00 $362.50 2026-04-01
16000 HCPCS Initial Tx 1st Degree Burn Local Tx 12 6 $113.00 $84.75 25% off $350.00 $375.00 $362.50 2026-04-01
96372 HCPCS Injection Therapeutic/each Separate Inje 4 2 $33.00 $24.75 25% off $350.00 $375.00 $362.50 2026-04-01
51702 HCPCS Insj Temp Ndwellg Bldr Cath Smpl 12 6 $63.00 $47.25 25% off $350.00 $375.00 $362.50 2026-04-01
31500 HCPCS Intubation Endotracheal Emergency Proced 12 6 $355.00 $266.25 25% off $350.00 $375.00 $362.50 2026-04-01
83540 HCPCS Iron (reference Lab) 2 1 $16.00 $12.00 25% off $10.20 $10.20 $10.20 2026-04-01
96365 HCPCS IV Infusion Concurrent 1st Hour 2nd IV,Distinct Procedural Service 10 3 $190.00 $142.50 25% off $186.22 $375.00 $350.00 2026-04-01
96367 HCPCS IV Drug Sequential Of New Drug 2 1 $71.00 $53.25 25% off $62.80 $62.80 $62.80 2026-04-01
96360 HCPCS IV Infusion Hydration 31 Min - 1 Hr 4 2 $78.00 $58.50 25% off $39.00 $188.12 $113.56 2026-04-01
96361 HCPCS IV Infusion Hydration Ea Add Hr 2 1 $31.00 $23.25 25% off $41.44 $41.44 $41.44 2026-04-01
96375 HCPCS IV Push Ea Add New DRUG,Distinct Procedural Service 2 1 $31.00 $23.25 25% off $40.71 $40.71 $40.71 2026-04-01
96374 HCPCS IV Push, Single Or Initial Subs 2 1 $90.00 $67.50 25% off $188.12 $188.12 $188.12 2026-04-01
96366 HCPCS IV Therapy Concurrent Addl Hour 2nd IV,Distinct Procedural Service 2 1 $50.50 $37.88 25% off $40.71 $40.71 $40.71 2026-04-01
31505 HCPCS Laryngoscopy Indirect Diagnostic Spx 12 6 $116.00 $87.00 25% off $350.00 $375.00 $362.50 2026-04-01
83002 HCPCS Leuteinzing Hormone 2 1 $47.00 $35.25 25% off $12.96 $12.96 $12.96 2026-04-01
80061 HCPCS Lipid Profile 4 2 $33.00 $24.75 25% off $9.37 $13.18 $11.27 2026-04-01
895 MS_DRG M Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 2 1 $3,060.32 $2,295.24 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
308 MS_DRG M Cardiac Arrhythmia And Conduction Disorders With Mcc 2 1 $2,966.12 $2,224.59 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
433 MS_DRG M Cirrhosis And Alcoholic Hepatitis With Cc 2 1 $3,047.68 $2,285.76 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
432 MS_DRG M Cirrhosis And Alcoholic Hepatitis With Mcc 2 1 $6,162.64 $4,621.98 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
637 MS_DRG M Diabetes With Mcc 2 1 $4,372.32 $3,279.24 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
439 MS_DRG M Disorders Of Pancreas Except Malignancy With Cc 4 2 $2,454.25 $1,840.69 25% off $6,500.00 $6,566.35 $6,533.18 2026-04-01
438 MS_DRG M Disorders Of Pancreas Except Malignancy With Mcc 2 1 $4,354.21 $3,265.66 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
440 MS_DRG M Disorders Of Pancreas Except Malignancy Without Cc/mcc 4 2 $2,279.66 $1,709.75 25% off $3,042.16 $6,500.00 $4,771.08 2026-04-01
444 MS_DRG M Disorders Of The Biliary Tract With Mcc 2 1 $3,100.07 $2,325.05 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
378 MS_DRG M Gastrointestinal Hemorrhage With Cc 4 2 $2,814.17 $2,110.63 25% off $5,780.12 $6,500.00 $6,140.06 2026-04-01
389 MS_DRG M Gastrointestinal Obstruction With Cc 4 2 $4,028.60 $3,021.45 25% off $5,266.53 $6,500.00 $5,883.26 2026-04-01
388 MS_DRG M Gastrointestinal Obstruction With Mcc 2 1 $2,777.00 $2,082.75 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
390 MS_DRG M Gastrointestinal Obstruction Without Cc/mcc 2 1 $1,420.96 $1,065.72 25% off $2,513.25 $2,513.25 $2,513.25 2026-04-01
291 MS_DRG M Heart Failure And Shock With Mcc 4 2 $3,067.97 $2,300.98 25% off $6,500.00 $8,587.45 $7,543.73 2026-04-01
386 MS_DRG M Inflammatory Bowel Disease With Cc 2 1 $3,147.13 $2,360.35 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
65 MS_DRG M Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 2 $4,851.16 $3,638.37 25% off $6,102.30 $6,500.00 $6,301.15 2026-04-01
64 MS_DRG M Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 $3,301.16 $2,475.87 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
689 MS_DRG M Kidney And Urinary Tract Infections With Mcc 4 2 $3,172.98 $2,379.74 25% off $6,500.00 $8,091.83 $7,295.91 2026-04-01
370 MS_DRG M Major Esophageal Disorders Without Cc/mcc 2 1 $2,665.00 $1,998.75 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
371 MS_DRG M Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 1 $9,390.45 $7,042.84 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
436 MS_DRG M Malignancy Of Hepatobiliary System Or Pancreas With Cc 2 1 $2,282.00 $1,711.50 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
551 MS_DRG M Medical Back Problems With Mcc 4 2 $3,607.39 $2,705.54 25% off $6,500.00 $9,527.79 $8,013.90 2026-04-01
640 MS_DRG M Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Wit… 4 2 $3,531.25 $2,648.44 25% off $6,500.00 $8,471.65 $7,485.82 2026-04-01
54 MS_DRG M Nervous System Neoplasms With Mcc 2 1 $2,970.50 $2,227.88 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
600 MS_DRG M Non-malignant Breast Disorders With Cc/mcc 2 1 $3,097.93 $2,323.45 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
71 MS_DRG M Other Cerebrovascular Disorders With Cc 4 2 $4,088.97 $3,066.73 25% off $6,292.07 $6,500.00 $6,396.03 2026-04-01
72 MS_DRG M Other Cerebrovascular Disorders Without Cc/mcc 2 1 $2,975.14 $2,231.36 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
91 MS_DRG M Other Disorders Of Nervous System With Mcc 2 1 $4,098.73 $3,074.05 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
922 MS_DRG M Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 4 2 $13,968.67 $10,476.50 25% off $6,500.00 $11,187.73 $8,843.86 2026-04-01
565 MS_DRG M Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 2 1 $2,639.96 $1,979.97 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
299 MS_DRG M Peripheral Vascular Disorders With Mcc 2 1 — — $6,500.00 $6,500.00 $6,500.00 2026-04-01
917 MS_DRG M Poisoning And Toxic Effects Of Drugs With Mcc 2 1 $2,887.23 $2,165.42 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
189 MS_DRG M Pulmonary Edema And Respiratory Failure 4 2 $2,845.52 $2,134.14 25% off $6,500.00 $8,216.46 $7,358.23 2026-04-01
811 MS_DRG M Red Blood Cell Disorders With Mcc 2 1 $2,854.45 $2,140.84 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
683 MS_DRG M Renal Failure With Cc 2 1 $1,854.95 $1,391.21 25% off $5,042.63 $5,042.63 $5,042.63 2026-04-01
682 MS_DRG M Renal Failure With Mcc 2 1 $2,643.73 $1,982.80 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
177 MS_DRG M Respiratory Infections And Inflammations With Mcc 2 1 $4,321.64 $3,241.23 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
871 MS_DRG M Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 2 $4,520.65 $3,390.49 25% off $6,500.00 $11,842.77 $9,171.39 2026-04-01
872 MS_DRG M Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 2 $2,810.67 $2,108.00 25% off $5,603.62 $6,500.00 $6,051.81 2026-04-01
194 MS_DRG M Simple Pneumonia And Pleurisy With Cc 4 2 $2,984.43 $2,238.32 25% off $5,528.08 $6,500.00 $6,014.04 2026-04-01
193 MS_DRG M Simple Pneumonia And Pleurisy With Mcc 4 2 $3,619.99 $2,714.99 25% off $6,500.00 $10,531.33 $8,515.67 2026-04-01
557 MS_DRG M Tendonitis, Myositis And Bursitis With Mcc 2 1 $7,357.65 $5,518.24 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
384 MS_DRG M Uncomplicated Peptic Ulcer Without Mcc 2 1 $2,167.75 $1,625.81 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
77066 HCPCS Mg Diag Mammo With Cad - Bilateral 2 1 $391.00 $293.25 25% off $92.10 $92.10 $92.10 2026-04-01
77067 HCPCS Mg Mammo Screening With Cad 12 6 $317.00 $237.75 25% off $53.00 $350.00 $350.00 2026-04-01
77057 HCPCS Mm Screening Mammography Bilateral 12 6 $91.00 $68.25 25% off $350.00 $350.00 $350.00 2026-04-01
86318 HCPCS Mono Test (wb) 4 2 $45.00 $33.75 25% off $14.08 $20.80 $17.44 2026-04-01
78452 HCPCS Nm Multi-spec (Rest/Stress) TEST,Technical Component 2 1 $2,158.50 $1,618.88 25% off $340.82 $340.82 $340.82 2026-04-01
99281 HCPCS Op Room Charge 12 6 $55.00 $41.25 25% off $55.00 $375.00 $362.50 2026-04-01
26735 HCPCS Open Tx Phalangeal Shaft Fracture Prox/m 12 6 $1,425.00 $1,068.75 25% off $350.00 $375.00 $362.50 2026-04-01
87177 HCPCS Ova And Parasites 2 1 $22.00 $16.50 25% off $12.42 $12.42 $12.42 2026-04-01
580 MS_DRG P Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 1 $2,882.50 $2,161.88 25% off $6,500.00 $6,500.00 $6,500.00 2026-04-01
33010 HCPCS Pericardiocentesis Initial 12 6 $253.00 $189.75 25% off $350.00 $375.00 $362.50 2026-04-01
J2550 HCPCS Phenergan (promethazine)inj 25 Mg Vl 6 1 $28.00 $21.00 25% off $43.03 $82.75 $66.20 2026-04-01
80184 HCPCS Phenobarbital Level 2 1 $38.00 $28.50 25% off $16.30 $16.30 $16.30 2026-04-01
36680 HCPCS Plmt Ndl Intraoss Nfs 12 6 $148.00 $111.00 25% off $350.00 $375.00 $362.50 2026-04-01
84146 HCPCS Prolactin 2 1 $48.00 $36.00 25% off $13.56 $13.56 $13.56 2026-04-01
84153 HCPCS Psa Screen 4 2 $46.00 $34.50 25% off $12.87 $18.02 $15.45 2026-04-01
83970 HCPCS Pth Intact Without Ca++ 2 1 $103.00 $77.25 25% off $40.62 $40.62 $40.62 2026-04-01
10160 HCPCS Puncture Aspiration Abscess Hematoma Bul 12 6 $227.00 $170.25 25% off $350.00 $375.00 $362.50 2026-04-01
87880 HCPCS Rapid Strep Screen 2 1 $42.00 $31.50 25% off $11.57 $11.57 $11.57 2026-04-01
28193 HCPCS Removal Foreign Body Foot Complicated 12 6 $903.00 $677.25 25% off $350.00 $375.00 $362.50 2026-04-01
28192 HCPCS Removal Foreign Body Foot Deep 12 6 $763.00 $572.25 25% off $350.00 $375.00 $362.50 2026-04-01
28190 HCPCS Removal Foreign Body Foot Subcutaneous 12 6 $325.00 $243.75 25% off $350.00 $375.00 $362.50 2026-04-01
30300 HCPCS Removal Foreign Body Intranasal Office P 12 6 $268.00 $201.00 25% off $350.00 $375.00 $362.50 2026-04-01
20520 HCPCS Removal Foreign Body Muscle/tendon Sheat 12 6 $353.00 $264.75 25% off $350.00 $375.00 $362.50 2026-04-01
65205 HCPCS Remove Foreign Body From Eye 12 6 $71.00 $53.25 25% off $350.00 $375.00 $362.50 2026-04-01
13151 HCPCS Repair Complex Eyelid/nose/ear/lip 1.1-2 12 6 $684.00 $513.00 25% off $350.00 $375.00 $362.50 2026-04-01
13153 HCPCS Repair Complex Eyelid/nose/ear/lip Ea 5 12 6 $340.00 $255.00 25% off $350.00 $375.00 $362.50 2026-04-01
13131 HCPCS Repair Complex F/c/c/m/n/ax/g/h/f 1.1 Cm 12 6 $595.00 $446.25 25% off $350.00 $375.00 $362.50 2026-04-01
13132 HCPCS Repair Complex F/c/c/m/n/ax/g/h/f 2.6 Cm 12 6 $746.00 $559.50 25% off $350.00 $375.00 $362.50 2026-04-01
13133 HCPCS Repair Complex F/c/c/m/n/ax/g/h/f Ea 5 C 12 6 $313.00 $234.75 25% off $350.00 $375.00 $362.50 2026-04-01
13120 HCPCS Repair Complex Scalp/arm/leg 1.1 Cm-2.5 12 6 $562.00 $421.50 25% off $350.00 $375.00 $362.50 2026-04-01
13121 HCPCS Repair Complex Scalp/arm/leg 2.6 Cm-7.5 12 6 $635.00 $476.25 25% off $350.00 $375.00 $362.50 2026-04-01
13122 HCPCS Repair Complex Scalp/arm/leg Ea 5 Cm/< 12 6 $205.00 $153.75 25% off $350.00 $375.00 $362.50 2026-04-01
13100 HCPCS Repair Complex Trunk 1.1 Cm-2.5 Cm 12 6 $490.00 $367.50 25% off $350.00 $375.00 $362.50 2026-04-01
13101 HCPCS Repair Complex Trunk 2.6 Cm-7.5 Cm 12 6 $602.00 $451.50 25% off $350.00 $375.00 $362.50 2026-04-01
13102 HCPCS Repair Complex Trunk Ea 5 Cm/< 12 6 $178.00 $133.50 25% off $350.00 $375.00 $362.50 2026-04-01
12055 HCPCS Repair Intermediate F/e/e/n/l/m&/muc 12. 12 6 $727.00 $545.25 25% off $350.00 $375.00 $362.50 2026-04-01
12051 HCPCS Repair Intermediate F/e/e/n/l/m&/muc 2.5 12 6 $408.00 $306.00 25% off $350.00 $375.00 $362.50 2026-04-01
12052 HCPCS Repair Intermediate F/e/e/n/l/m&/muc 2.6 12 6 $484.00 $363.00 25% off $350.00 $375.00 $362.50 2026-04-01
12053 HCPCS Repair Intermediate F/e/e/n/l/m&/muc 5.1 12 6 $522.00 $391.50 25% off $350.00 $375.00 $362.50 2026-04-01
12054 HCPCS Repair Intermediate F/e/e/n/l/m&/muc 7.6 12 6 $535.00 $401.25 25% off $350.00 $375.00 $362.50 2026-04-01
12045 HCPCS Repair Intermediate N/h/f/xtrnl Gent 12. 12 6 $650.00 $487.50 25% off $350.00 $375.00 $362.50 2026-04-01
12041 HCPCS Repair Intermediate N/h/f/xtrnl Gent 2.5 12 6 $355.00 $266.25 25% off $350.00 $375.00 $362.50 2026-04-01
12042 HCPCS Repair Intermediate N/h/f/xtrnl Gent 2.6 12 6 $475.00 $356.25 25% off $350.00 $375.00 $362.50 2026-04-01
12044 HCPCS Repair Intermediate N/h/f/xtrnl Gent 7.6 12 6 $518.00 $388.50 25% off $350.00 $375.00 $362.50 2026-04-01
12035 HCPCS Repair Intermediate S/a/t/e 12.6-20.0cm 12 6 $582.00 $436.50 25% off $350.00 $375.00 $362.50 2026-04-01
12031 HCPCS Repair Intermediate S/a/t/e 2.5 Cm/< 12 6 $366.00 $274.50 25% off $350.00 $375.00 $362.50 2026-04-01
12032 HCPCS Repair Intermediate S/a/t/e 2.6-7.5 Cm 12 6 $350.00 $262.50 25% off $350.00 $375.00 $362.50 2026-04-01
12034 HCPCS Repair Intermediate S/a/t/e 7.6-12.5 Cm 12 6 $497.00 $372.75 25% off $350.00 $375.00 $362.50 2026-04-01
87633 HCPCS Respiratory Viral Panel By Pcr (swab) 2 1 $1,042.00 $781.50 25% off $279.88 $279.88 $279.88 2026-04-01
69200 HCPCS Rmvl Fb Xtrnl Aud Canal Without Anes 12 6 $115.00 $86.25 25% off $350.00 $375.00 $362.50 2026-04-01
65220 HCPCS Rmvl Fb Xtrnl Eye Crnl Without Slit Lamp 12 6 $101.00 $75.75 25% off $350.00 $375.00 $362.50 2026-04-01
65210 HCPCS Rmvl Fb Xtrnl Eye Embedded Scjncl/scll N 12 6 $89.00 $66.75 25% off $350.00 $375.00 $362.50 2026-04-01
20525 HCPCS Rmvl Foreign Body Muscle/tendon Sheath D 12 6 $595.00 $446.25 25% off $350.00 $375.00 $362.50 2026-04-01
69210 HCPCS Rmvl Impacted Cerumen BILATERAL,Bilateral 24 6 $82.00 $61.50 25% off $350.00 $375.00 $362.50 2026-04-01
86235 HCPCS Rnp Antibody 2 1 $45.00 $33.75 25% off $12.55 $12.55 $12.55 2026-04-01
J0696 HCPCS Rocephin(ceftriaxone)500mg Im/iv Inj 16 2 $55.00 $41.25 25% off $0.49 $385.00 $80.50 2026-04-01
87899 HCPCS Rsv Rapid Test 2 1 $40.00 $30.00 25% off $20.76 $20.76 $20.76 2026-04-01
87186 HCPCS Sensitivity 1 2 1 $22.00 $16.50 25% off $13.35 $13.35 $13.35 2026-04-01
12016 HCPCS Simple Repair F/e/e/n/l/m 12.6cm-20.0cm 12 6 $320.00 $240.00 25% off $350.00 $375.00 $362.50 2026-04-01
12011 HCPCS Simple Repair F/e/e/n/l/m 2.5cm/< 12 6 $138.00 $103.50 25% off $350.00 $375.00 $362.50 2026-04-01
12013 HCPCS Simple Repair F/e/e/n/l/m 2.6cm-5.0cm 12 6 $146.00 $109.50 25% off $350.00 $375.00 $362.50 2026-04-01
12014 HCPCS Simple Repair F/e/e/n/l/m 5.1cm-7.5cm 12 6 $187.00 $140.25 25% off $350.00 $375.00 $362.50 2026-04-01
12015 HCPCS Simple Repair F/e/e/n/l/m 7.6cm-12.5cm 12 6 $237.00 $177.75 25% off $350.00 $375.00 $362.50 2026-04-01
12001 HCPCS Simple Repair Scalp/neck/ax/genit/trunk 12 6 $110.00 $82.50 25% off $77.00 $375.00 $362.50 2026-04-01
12004 HCPCS Simple Rpr Scalp/neck/ax/genit/trunk 7.6 12 6 $182.00 $136.50 25% off $350.00 $375.00 $362.50 2026-04-01
12002 HCPCS Smpl Repair Scalp/neck/ax/genit/trunk 2. 12 6 $147.00 $110.25 25% off $102.90 $375.00 $362.50 2026-04-01
12005 HCPCS Smpl Rpr Scalp/neck/ax/genit/trunk 12.6- 12 6 $238.00 $178.50 25% off $350.00 $375.00 $362.50 2026-04-01
J2919 HCPCS Solu-medrol Inj 125 Mg 8 2 $1.56 $1.17 25% off $8.40 $31.25 $18.12 2026-04-01
62270 HCPCS Spi Pnxr Lmbr Dx 12 6 $153.00 $114.75 25% off $350.00 $375.00 $362.50 2026-04-01
84481 HCPCS T3 Free Assay 2 1 $42.00 $31.50 25% off $11.85 $11.85 $11.85 2026-04-01
92953 HCPCS Temporary Transcutaneous Pacing 12 6 $2.00 $1.50 25% off $350.00 $375.00 $362.50 2026-04-01
84402 HCPCS Testosterone Free 2 1 $63.00 $47.25 25% off $17.82 $17.82 $17.82 2026-04-01
84403 HCPCS Testosterone, Females/child 4 2 $65.00 $48.75 25% off $18.06 $25.29 $21.67 2026-04-01
90715 HCPCS Tetanus/redu.dipht./pertu (Tdap)0.5MLPFS 2 1 $195.00 $146.25 25% off $130.20 $130.20 $130.20 2026-04-01
32556 HCPCS Thoracentesis Insertion Cath Without X-ray 12 6 $306.00 $229.50 25% off $350.00 $375.00 $362.50 2026-04-01
32554 HCPCS Thoracentesis Pleural Cavity Without X-ray 12 6 $223.00 $167.25 25% off $350.00 $375.00 $362.50 2026-04-01
J1885 HCPCS Toradol (ketorolac)inj 60mg/2ml 16 2 $27.00 $20.25 25% off $7.35 $50.00 $22.20 2026-04-01
31605 HCPCS Tracheostomy Emergency Cricothyroid Memb 12 6 $822.00 $616.50 25% off $350.00 $375.00 $362.50 2026-04-01
31603 HCPCS Tracheostomy Emergency Procedure Transtr 12 6 $790.00 $592.50 25% off $350.00 $375.00 $362.50 2026-04-01
31600 HCPCS Tracheostomy Planned Spx 12 6 $752.00 $564.00 25% off $350.00 $375.00 $362.50 2026-04-01
84466 HCPCS Transferrin 2 1 $32.00 $24.00 25% off $12.50 $12.50 $12.50 2026-04-01
24600 HCPCS Treatment Closed Elbow Dislocation Without A 12 6 $808.00 $606.00 25% off $350.00 $375.00 $362.50 2026-04-01
84484 HCPCS Troponin I 4 2 $31.00 $23.25 25% off $8.72 $21.70 $15.21 2026-04-01
84443 HCPCS Tsh Ael 4 2 $42.00 $31.50 25% off $11.76 $16.46 $14.11 2026-04-01
76700 HCPCS US Abdomen Complete 2 1 $285.00 $213.75 25% off $96.40 $96.40 $96.40 2026-04-01
93880 HCPCS US Carotids 4 2 $459.00 $344.25 25% off $133.48 $215.19 $174.33 2026-04-01
93306 HCPCS US Echo 4 2 $484.00 $363.00 25% off $181.08 $485.72 $333.40 2026-04-01
76705 HCPCS US Gallbladder 4 2 $212.00 $159.00 25% off $50.03 $51.33 $50.68 2026-04-01
93925 HCPCS US Lower Ext Arterial - Bilateral 4 2 $554.00 $415.50 25% off $105.30 $215.19 $160.25 2026-04-01
76881 HCPCS US Lower Ext Non Vascular - Lt 2 1 $181.00 $135.75 25% off $82.98 $82.98 $82.98 2026-04-01
93971 HCPCS US Lower Ext Venous - LT,Left 6 2 $280.00 $210.00 25% off $94.22 $94.42 $94.42 2026-04-01
76857 HCPCS US Pelvis 4 2 $254.00 $190.50 25% off $47.45 $95.03 $71.24 2026-04-01
76770 HCPCS US Renal 4 2 $263.00 $197.25 25% off $56.35 $95.73 $76.04 2026-04-01
76536 HCPCS US Thyroid 2 1 $267.00 $200.25 25% off $28.47 $28.47 $28.47 2026-04-01
93970 HCPCS US Upper Ext Venous - Bilateral 4 2 $448.00 $336.00 25% off $94.92 $354.20 $224.56 2026-04-01
82607 HCPCS Vitamin B12 4 2 $38.00 $28.50 25% off $10.55 $14.78 $12.66 2026-04-01
82306 HCPCS Vitamin D 25 Hydroxy 4 2 $82.72 $62.04 25% off $20.72 $29.01 $24.87 2026-04-01
36425 HCPCS Vnpnxr Cutdown Age 1/> 12 6 $98.00 $73.50 25% off $350.00 $375.00 $362.50 2026-04-01
36420 HCPCS Vnpnxr Cutdown Under Age 1 Yr 12 6 $118.00 $88.50 25% off $350.00 $375.00 $362.50 2026-04-01
74019 HCPCS Xr Abd Flat And Upright 2 1 $83.00 $62.25 25% off $17.93 $17.93 $17.93 2026-04-01
74018 HCPCS Xr Abdomen 1 View 2 1 $67.00 $50.25 25% off $14.97 $14.97 $14.97 2026-04-01
73610 HCPCS Xr Ankle Complete-lt,left 8 2 $80.00 $60.00 25% off $20.01 $79.28 $49.01 2026-04-01
72040 HCPCS Xr Cervical Spine 2 View 2 1 $88.00 $66.00 25% off $21.63 $21.63 $21.63 2026-04-01
72050 HCPCS Xr Cervical Spine Complete 2 1 $117.00 $87.75 25% off $24.90 $24.90 $24.90 2026-04-01
71046 HCPCS Xr Chest 2 Views 4 2 $75.00 $56.25 25% off $16.14 $75.12 $45.63 2026-04-01
71045 HCPCS Xr Chest Decubitus 4 2 $60.00 $45.00 25% off $8.74 $77.69 $43.22 2026-04-01
73070 HCPCS Xr Elbow 2 View-lt,left 4 1 $65.00 $48.75 25% off $17.64 $17.64 $17.64 2026-04-01
73080 HCPCS Xr Elbow Complete-lt,left 4 1 $71.00 $53.25 25% off $21.61 $21.61 $21.61 2026-04-01
70150 HCPCS Xr Facial Bones Complete 2 1 $105.00 $78.75 25% off $22.24 $22.24 $22.24 2026-04-01
73552 HCPCS Xr Femur-lt,left 4 1 $80.00 $60.00 25% off $18.66 $18.66 $18.66 2026-04-01
73620 HCPCS Xr Foot Ap And Lat-lt,left 4 1 $64.00 $48.00 25% off $18.53 $18.53 $18.53 2026-04-01
73630 HCPCS Xr Foot Complete-lt,left 4 1 $75.00 $56.25 25% off $20.01 $20.01 $20.01 2026-04-01
73090 HCPCS Xr Forearm-lt,left 4 1 $66.50 $49.88 25% off $18.20 $18.20 $18.20 2026-04-01
73130 HCPCS Xr Hand Complete-lt,left 6 2 $80.00 $60.00 25% off $16.83 $77.69 $16.83 2026-04-01
73120 HCPCS Xr Hand Pa And Lat-lt,left 4 1 $70.00 $52.50 25% off $14.52 $14.52 $14.52 2026-04-01
73501 HCPCS Xr Hip X-table-lt,left 2 1 $73.00 $54.75 25% off $16.33 $16.33 $16.33 2026-04-01
73502 HCPCS Xr Hip/pelvis-lt,left 6 2 $104.00 $78.00 25% off $24.54 $77.69 $24.54 2026-04-01
73521 HCPCS Xr Hips Bilateral 2 1 $92.00 $69.00 25% off $22.78 $22.78 $22.78 2026-04-01
73060 HCPCS Xr Humerus-lt,left 4 1 $72.00 $54.00 25% off $21.85 $21.85 $21.85 2026-04-01
73560 HCPCS Xr Knee 2 View-lt,left 2 1 $77.00 $57.75 25% off $22.53 $22.53 $22.53 2026-04-01
73564 HCPCS Xr Knee Complete-lt,left 8 2 $100.00 $75.00 25% off $24.82 $95.73 $60.27 2026-04-01
73565 HCPCS Xr Knees Bilateral 2 1 $88.00 $66.00 25% off $21.50 $21.50 $21.50 2026-04-01
72100 HCPCS Xr Lumbar Spine 2 Views 2 1 $88.00 $66.00 25% off $26.31 $26.31 $26.31 2026-04-01
72110 HCPCS Xr Lumbar Spine Complete 4 2 $112.00 $84.00 25% off $30.02 $93.83 $61.92 2026-04-01
70160 HCPCS Xr Nasal Bones 2 1 $83.00 $62.25 25% off $20.01 $20.01 $20.01 2026-04-01
72170 HCPCS Xr Pelvis Ap 2 1 $65.00 $48.75 25% off $20.31 $20.31 $20.31 2026-04-01
72190 HCPCS Xr Pelvis Complete 2 1 $93.00 $69.75 25% off $22.68 $22.68 $22.68 2026-04-01
71101 HCPCS Xr Ribs With Pa Chest-lt,left 6 2 $95.00 $71.25 25% off $24.64 $95.00 $27.57 2026-04-01
72220 HCPCS Xr Sacrum/coccyx 2 1 $72.00 $54.00 25% off $13.27 $13.27 $13.27 2026-04-01
73030 HCPCS Xr Shoulder 2 View-lt,left 6 2 $76.00 $57.00 25% off $18.40 $73.62 $18.40 2026-04-01
70250 HCPCS Xr Skull Ap And Lat 2 1 $82.00 $61.50 25% off $22.41 $22.41 $22.41 2026-04-01
72072 HCPCS Xr Thoracic Spine 4 2 $88.00 $66.00 25% off $21.36 $24.74 $23.05 2026-04-01
73590 HCPCS Xr Tib/fib-lt,left 4 1 $70.00 $52.50 25% off $19.56 $19.56 $19.56 2026-04-01
73660 HCPCS Xr Toe(s)-lt,left 6 2 $65.00 $48.75 25% off $15.21 $45.50 $15.21 2026-04-01
73110 HCPCS Xr Wrist Complete-lt,left 4 1 $89.00 $66.75 25% off $20.01 $20.01 $20.01 2026-04-01
J2405 HCPCS Zofran (ondansetron) 4mg/2ml Inj 2ml Sdv 4 2 $27.00 $20.25 25% off $0.36 $75.60 $37.98 2026-04-01
See an error in this hospital's data? Submit a correction