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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

MERCY HOSPITAL WALDRON

Waldron, AR · CCN 041305 · Rates published

1,774 distinct procedures filed
95 distinct payers
250,033 rate rows
2026-03-14 last MRF observed
Data quality

243,801 of 250,033 rate rows are consumer-grade (97.5%)

6,232 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
per-diem day rate — not a per-procedure price 3,555
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,794
template filing: same amount across many unrelated codes — excluded 320
percent-of-charges filed in the dollar field — excluded from medians 243
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 215
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 79
exceeds 10× this hospital's gross charge — excluded from medians 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/710557895_mercy-hospital-waldron_standardcharges.zip
Found on page https://www.mercy.net/forms/items-and-services-files/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint bdbb1a206028cc14… · 11,985,173 bytes · first seen 2026-05-17

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
814
MS_DRG 		Reticuloendothelial And Immunity Disorders With Mcc 7 $14,376.49 $27,498.23 $17,516.39 nat. median
$19,915
0.9× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 $13,594.36 $26,002.23 $14,513.23 nat. median
$19,252
0.8× median
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 6 $10,416.77 $22,614.73 $10,416.77 nat. median
$17,169
0.6× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 $1,602.00 $25,116.53 $9,141.82 nat. median
$18,642
outlier · 0.5×
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 7 $9,052.01 $22,926.18 $9,052.01 nat. median
$16,910
0.5× median
291
MS_DRG 		Heart Failure And Shock With Mcc 7 $8,678.49 $16,599.53 $8,883.41 nat. median
$12,770
0.7× median
J3101
HCPCS 		Tenecteplase Injection Kit For Acute Ischemic Stroke (kit) 94 $2,053.00 $24,614.00 $7,769.79 nat. median
$3,820
outlier · 2.0×
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 7 $7,284.80 $21,391.39 $7,284.80 nat. median
$15,903
outlier · 0.5×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 7 $7,236.55 $20,205.71 $7,236.55 nat. median
$15,388
outlier · 0.5×
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 6 $7,135.95 $17,584.83 $7,135.95 nat. median
$13,728
0.5× median
868
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Cc 6 $1,602.00 $13,332.12 $6,592.97 nat. median
$10,675
0.6× median
184
MS_DRG 		Major Chest Trauma With Cc 7 $6,309.59 $13,758.81 $6,309.59 nat. median
$10,699
0.6× median
947
MS_DRG 		Signs And Symptoms With Mcc 5 $1,602.00 $8,581.14 $6,258.73 nat. median
$12,117
0.5× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 $6,167.09 $16,399.12 $6,167.09 nat. median
$12,539
outlier · 0.5×
124
MS_DRG 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 7 $6,117.92 $17,107.68 $6,117.92 nat. median
$13,112
outlier · 0.5×
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 6 $5,956.23 $19,035.29 $5,956.23 nat. median
$14,491
outlier · 0.4×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 7 $5,777.19 $17,269.31 $5,777.19 nat. median
$12,850
outlier · 0.4×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 6 $5,732.74 $14,854.16 $5,732.74 nat. median
$11,514
outlier · 0.5×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 7 $5,563.72 $15,973.72 $5,563.72 nat. median
$12,282
outlier · 0.5×
92
MS_DRG 		Other Disorders Of Nervous System With Cc 7 $5,475.75 $13,227.39 $5,475.75 nat. median
$10,605
0.5× median
605
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 7 $5,388.35 $11,843.88 $5,388.35 nat. median
$9,363
0.6× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 7 $5,107.65 $16,995.19 $5,107.65 nat. median
$12,868
outlier · 0.4×
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 7 $5,055.09 $12,680.45 $5,055.09 nat. median
$10,022
0.5× median
563
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 7 $5,026.66 $11,578.82 $5,026.66 nat. median
$9,151
0.5× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 7 $5,013.33 $12,619.68 $5,013.33 nat. median
$10,198
outlier · 0.5×
552
MS_DRG 		Medical Back Problems Without Mcc 6 $4,934.32 $12,306.56 $4,934.32 nat. median
$9,830
0.5× median
185
MS_DRG 		Major Chest Trauma Without Cc/mcc 7 $4,896.86 $10,169.45 $4,896.86 nat. median
$8,264
0.6× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 5 $1,602.00 $5,459.38 $4,884.80 nat. median
$8,433
0.6× median
565
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 6 $4,858.84 $12,474.27 $4,858.84 nat. median
$10,094
outlier · 0.5×
69
MS_DRG 		Transient Ischemia Without Thrombolytic 6 $4,577.36 $10,226.24 $4,577.36 nat. median
$8,419
0.5× median
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 7 $4,520.50 $13,201.53 $4,520.50 nat. median
$10,410
outlier · 0.4×
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 7 $4,368.34 $11,872.33 $4,368.34 nat. median
$9,307
outlier · 0.5×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 7 $4,344.99 $13,231.27 $4,344.99 nat. median
$10,401
outlier · 0.4×
948
MS_DRG 		Signs And Symptoms Without Mcc 7 $4,301.75 $10,350.47 $4,301.75 nat. median
$7,969
0.5× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 7 $4,158.75 $10,420.29 $4,158.75 nat. median
$8,516
outlier · 0.5×
312
MS_DRG 		Syncope And Collapse 7 $4,143.87 $11,269.79 $4,143.87 nat. median
$8,945
outlier · 0.5×
556
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 6 $4,052.79 $10,633.34 $4,052.79 nat. median
$8,633
outlier · 0.5×
305
MS_DRG 		Hypertension Without Mcc 7 $3,985.49 $9,763.44 $3,985.49 nat. median
$8,033
outlier · 0.5×
683
MS_DRG 		Renal Failure With Cc 7 $3,940.77 $11,324.09 $3,940.77 nat. median
$9,108
outlier · 0.4×
PX-400006998
CDM 		Valve Heart Mitral Lopre 27mm 85 $3,363.75 $12,109.50 $3,880.42 nat. median
$5,274
0.7× median
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 7 $3,537.18 $10,466.84 $3,537.18 nat. median
$8,376
outlier · 0.4×
389
MS_DRG 		Gastrointestinal Obstruction With Cc 6 $3,423.18 $10,111.02 $3,423.18 nat. median
$8,344
outlier · 0.4×
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 7 $3,373.09 $10,080.23 $3,373.09 nat. median
$8,177
outlier · 0.4×
293
MS_DRG 		Heart Failure And Shock Without Cc/mcc 7 $3,368.93 $7,318.38 $3,368.93 nat. median
$6,357
0.5× median
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 7 $3,194.05 $10,062.13 $3,194.05 nat. median
$8,109
outlier · 0.4×
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc/mcc 7 $3,130.84 $8,126.51 $3,130.84 nat. median
$6,818
outlier · 0.5×
C1776
HCPCS 		H-2 Stry Hip Any Pmry Stem W Metal X3 Liner Bph1 85 $2,025.00 $10,098.00 $3,082.13 nat. median
$3,394
0.9× median
PX-500001176
CDM 		Litho Level 3 Initial 30 Minutes 87 $2,189.25 $8,223.00 $2,970.38 nat. median
$4,856
0.6× median
90375
HCPCS 		Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution 94 $2,625.10 $9,492.89 $2,925.39 nat. median
$1,056
outlier · 2.8×
J7165
HCPCS 		Human Prothrombin Cmpx(pcc)-lans 1,000 Unit (800-1,280 Unit) IV Solution 88 $630.00 $9,200.00 $2,682.45 nat. median
$16
outlier · 166.7×

Other procedures at this hospital

Browse this hospital's 1,774 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
0003M CPT Nash Fibrosure 102 87 $650.00 $422.50 35% off $162.50 $585.00 $493.84 2026-03-14
0202U CPT Resp Pathogen Ampl Probe 22, Biofire Rp2.1 102 87 $969.00 $629.85 35% off $242.25 $872.10 $377.91 2026-03-14
10061 CPT I/d Abscess Complicated Pf 154 88 $573.00 $372.45 35% off $154.69 $567.00 $372.45 2026-03-14
10080 CPT I/d Pilondial Cyst Simple Pf 103 88 $527.00 $342.55 35% off $95.45 $474.30 $205.53 2026-03-14
10140 CPT I/d Hematoma Fluids 109 94 $2,378.00 $1,545.70 35% off $297.00 $2,140.20 $674.19 2026-03-14
10180 CPT I/d Post Op Wound Infect, Comp Pf 103 88 $677.00 $440.05 35% off $164.94 $2,548.70 $264.03 2026-03-14
11008 CPT Remv Pros/Mesh Abd Wall For Infect Pf 103 88 $829.00 $538.85 35% off $223.81 $746.10 $293.26 2026-03-14
11400 CPT Exc Ben Les Tru <.5cm 109 94 $809.00 $525.85 35% off $202.25 $728.10 $302.94 2026-03-14
11404 CPT Exc Ben Les Ext/Tr 3.1to4.0cm Pf 103 88 $690.00 $448.50 35% off $150.94 $1,442.85 $269.10 2026-03-14
11406 CPT Exc Ben Les Ext/Tr >4.0cm Pf 90 79 $907.00 $589.55 35% off $229.88 $3,240.48 $259.99 2026-03-14
11422 CPT Exc Ben Les Sc/Nk/Hds 1.1to 2pf 212 94 $1,786.00 $1,160.90 35% off $126.47 $1,607.40 $459.00 2026-03-14
11424 CPT Exc Ben Les Sc/Nk/Hds 3.1to4.0 Cm Pf 212 94 $2,710.00 $1,761.50 35% off $168.25 $2,439.00 $675.85 2026-03-14
11602 CPT Exc Mal Les Trnk/Ext 1.1 To 2.0cm Pf 103 88 $593.00 $385.45 35% off $153.81 $533.70 $211.77 2026-03-14
11604 CPT Exc Mal Les Tr/Arms/Legs 3.1 To 4cm Pf 103 88 $794.00 $516.10 35% off $203.12 $714.60 $269.40 2026-03-14
11641 CPT Exc Mal Les Inc Marg F/Ear/Eyelid/N/Lp.6 To 1.0cm Pf 103 88 $608.00 $395.20 35% off $146.90 $547.20 $204.99 2026-03-14
11643 CPT Exc Milgnt Les Face Ears 2.1 To 3.0cm 109 94 $1,488.00 $967.20 35% off $297.00 $1,339.20 $425.12 2026-03-14
11750 CPT Exc Nail/Matrix Perm Rem Pf 212 94 $949.00 $616.85 35% off $107.18 $854.10 $272.41 2026-03-14
11770 CPT Excision Pilonidal Cyst Oe Sinus Simple Pf 90 79 $782.00 $508.30 35% off $171.76 $5,724.10 $214.82 2026-03-14
11771 CPT Exc Pilonidal Cyst Extensive Pf 90 79 $1,297.00 $843.05 35% off $350.15 $5,724.10 $368.74 2026-03-14
12020 CPT Tx Wound Dehiscence Simp Pf 103 88 $771.00 $501.15 35% off $176.74 $693.90 $258.81 2026-03-14
12031 CPT Int Rep Sc/Ax/Tr/Ext 2.5/< Pf 154 88 $496.00 $322.40 35% off $132.56 $446.40 $297.60 2026-03-14
12032 CPT Int Rep Sc/Ax/Tr/Ext 2.6to7.5 Pf 154 88 $702.00 $456.30 35% off $182.94 $631.80 $421.20 2026-03-14
12034 CPT Int Rep Sc/Ax/Tr/Ext 7.6to12.5 Pf 103 88 $878.00 $570.70 35% off $195.14 $790.20 $288.76 2026-03-14
12035 CPT Int Rep Sc/Ax/Tr/Ext 12.6to20 Pf 103 88 $1,037.00 $674.05 35% off $225.30 $933.30 $335.55 2026-03-14
12041 CPT Int Rep Nk/Hds/Ft/Eg 2.5cm/< Pf 103 88 $552.00 $358.80 35% off $141.80 $496.80 $215.28 2026-03-14
12042 CPT Int Rep Nk/Hds/Ft/Eg 2.6 To 7.5cm 212 94 $862.00 $560.30 35% off $186.55 $775.80 $268.63 2026-03-14
12051 CPT Int Rep F/Een/Lp/Muc 2.5cm/< Pf 103 88 $668.00 $434.20 35% off $161.16 $601.20 $244.04 2026-03-14
12052 CPT Int Rep F/Een/Lp/Muc 2.6to5.0 Pf 103 88 $748.00 $486.20 35% off $192.43 $673.20 $272.44 2026-03-14
12053 CPT Int Rep F/Een/Lp/Muc 5.1to7.5 Pf 103 88 $904.00 $587.60 35% off $205.44 $813.60 $313.32 2026-03-14
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 7 7 $11,009.24 $7,156.01 35% off $6,117.92 $17,107.68 $6,117.92 2026-03-14
15100 CPT Split Grft Trunk,Arm,Leg <100sqc Pf 103 88 $2,286.00 $1,485.90 35% off $617.16 $2,057.40 $754.83 2026-03-14
15854 CPT Remove Sutures And Staples No Anesthesia 109 94 $756.00 $491.40 35% off $189.00 $680.40 $294.84 2026-03-14
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 6 6 $8,977.55 $5,835.41 35% off $7,135.95 $17,584.83 $7,135.95 2026-03-14
177 MS_DRG Respiratory Infections And Inflammations With Mcc 7 7 $18,663.26 $12,131.12 35% off $7,236.55 $20,205.71 $7,236.55 2026-03-14
178 MS_DRG Respiratory Infections And Inflammations With Cc 7 7 $13,327.58 $8,662.93 35% off $5,013.33 $12,619.68 $5,013.33 2026-03-14
184 MS_DRG Major Chest Trauma With Cc 7 7 $8,167.20 $5,308.68 35% off $6,309.59 $13,758.81 $6,309.59 2026-03-14
185 MS_DRG Major Chest Trauma Without Cc/mcc 7 7 $13,820.84 $8,983.55 35% off $4,896.86 $10,169.45 $4,896.86 2026-03-14
189 MS_DRG Pulmonary Edema And Respiratory Failure 7 7 $15,778.89 $10,256.28 35% off $5,563.72 $15,973.72 $5,563.72 2026-03-14
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 7 7 $21,901.39 $14,235.90 35% off $5,107.65 $16,995.19 $5,107.65 2026-03-14
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 7 7 $13,031.52 $8,470.49 35% off $4,158.75 $10,420.29 $4,158.75 2026-03-14
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 7 7 $16,754.84 $10,890.65 35% off $3,130.84 $8,126.51 $3,130.84 2026-03-14
21552 CPT Exc Tumor,Soft Tiss Nck/Ant Thor,Sq:3cm or>Pf 90 79 $1,364.00 $886.60 35% off $368.24 $5,724.10 $387.78 2026-03-14
21930 CPT Excise Tumor Soft Tiss Back Or Flank < 3cm Pf 90 79 $1,283.00 $833.95 35% off $346.38 $3,240.48 $364.75 2026-03-14
23140 CPT Exc/Curret Bone Cyst Oe Ben Tumr Clav/Scap Pf 103 88 $1,741.00 $1,131.65 35% off $470.02 $2,889.37 $678.99 2026-03-14
26010 CPT I/d Finger Abscess Simple Pf 103 88 $680.00 $442.00 35% off $127.21 $612.00 $265.20 2026-03-14
26356 CPT Rep Flex Ten Zone 2 Wo Grft Ea Pf 103 88 $4,737.00 $3,079.05 35% off $734.55 $4,263.30 $1,847.43 2026-03-14
28140 CPT Metatarsectomy 109 94 $2,368.00 $1,539.20 35% off $297.00 $2,131.20 $674.19 2026-03-14
28190 CPT Rfb Foot Subq Pf 103 88 $846.00 $549.90 35% off $127.55 $761.40 $206.84 2026-03-14
291 MS_DRG Heart Failure And Shock With Mcc 7 7 $14,297.61 $9,293.45 35% off $8,678.49 $16,599.53 $8,883.41 2026-03-14
293 MS_DRG Heart Failure And Shock Without Cc/mcc 7 7 $14,123.09 $9,180.01 35% off $3,368.93 $7,318.38 $3,368.93 2026-03-14
305 MS_DRG Hypertension Without Mcc 7 7 $18,076.07 $11,749.45 35% off $3,985.49 $9,763.44 $3,985.49 2026-03-14
312 MS_DRG Syncope And Collapse 7 7 $14,349.40 $9,327.11 35% off $4,143.87 $11,269.79 $4,143.87 2026-03-14
31622 CPT Gi Bronchoscopy 102 87 $2,550.00 $1,657.50 35% off $637.50 $2,295.00 $864.96 2026-03-14
32551 CPT Tube Thoracostomy 212 94 $1,413.00 $918.45 35% off $150.80 $1,383.36 $397.69 2026-03-14
36568 CPT Picc Plc Wo Sq Port Without Img <5yr 104 90 $1,639.00 $1,065.35 35% off $297.00 $2,073.07 $470.48 2026-03-14
36569 CPT Picc Plc Wo Sq Port Without Img >5 Yrs 104 90 $2,015.00 $1,309.75 35% off $297.00 $2,073.07 $578.41 2026-03-14
36590 CPT Remov Tunn Cv Cath W Subq Port/Pump Pf 212 94 $2,048.00 $1,331.20 35% off $180.80 $1,843.20 $562.59 2026-03-14
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 7 7 $15,512.25 $10,082.96 35% off $9,052.01 $22,926.18 $9,052.01 2026-03-14
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 7 7 $19,948.44 $12,966.49 35% off $4,520.50 $13,201.53 $4,520.50 2026-03-14
37609 CPT Ligation Or Bx, Temporal Artery Pf 103 88 $852.00 $553.80 35% off $194.25 $1,442.85 $332.28 2026-03-14
378 MS_DRG Gastrointestinal Hemorrhage With Cc 7 7 $11,627.85 $7,558.10 35% off $5,055.09 $12,680.45 $5,055.09 2026-03-14
389 MS_DRG Gastrointestinal Obstruction With Cc 6 6 $12,032.34 $7,821.02 35% off $3,423.18 $10,111.02 $3,423.18 2026-03-14
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 7 7 $14,719.36 $9,567.58 35% off $2,584.05 $7,033.92 $2,584.05 2026-03-14
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 7 $14,113.17 $9,173.56 35% off $6,167.09 $16,399.12 $6,167.09 2026-03-14
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 7 7 $15,350.06 $9,977.54 35% off $3,373.09 $10,080.23 $3,373.09 2026-03-14
40654 CPT Rep Lip >1/2 Complex Pf 103 88 $1,506.00 $978.90 35% off $400.80 $1,355.40 $587.34 2026-03-14
43200 CPT Gi Esophagoscopy 102 87 $2,439.00 $1,585.35 35% off $609.75 $2,195.10 $827.31 2026-03-14
43235 CPT Gi Upper Endoscopy Complex 102 87 $2,329.00 $1,513.85 35% off $582.25 $2,096.10 $789.99 2026-03-14
43239 CPT Gi Egd W/Biopsy Pf 90 79 $958.00 $622.70 35% off $134.92 $1,875.12 $263.16 2026-03-14
43247 CPT Gi Egd W/Removal F/b Pf 103 88 $887.00 $576.55 35% off $172.01 $798.30 $328.67 2026-03-14
43248 CPT Gi Egd Guide Wire W/Dilation Pf 103 88 $702.00 $456.30 35% off $161.65 $631.80 $273.78 2026-03-14
43249 CPT Gi Egd W/Dilation <30mm Pf 90 79 $881.00 $572.65 35% off $149.52 $3,793.98 $242.01 2026-03-14
43251 CPT Gi Egd Removal Snare Tech Pf 90 79 $963.00 $625.95 35% off $259.98 $3,793.98 $273.78 2026-03-14
43260 CPT Gi Ercp 102 87 $3,044.00 $1,978.60 35% off $761.00 $2,739.60 $1,032.53 2026-03-14
43450 CPT Gi Dilate Esophagus Bougie 102 87 $1,920.00 $1,248.00 35% off $480.00 $1,728.00 $651.26 2026-03-14
43453 CPT Gi Dilate Esophagus W/Guidewire 102 87 $2,638.00 $1,714.70 35% off $659.50 $2,374.20 $894.81 2026-03-14
43761 CPT Gi Feeding Tube Reposition 102 87 $1,108.00 $720.20 35% off $277.00 $997.20 $375.84 2026-03-14
43762 CPT Repl Gtube W No Revision Gstrst Trc 212 94 $1,074.00 $698.10 35% off $121.76 $966.60 $295.03 2026-03-14
44360 CPT Gi Small Bowel Endoscopy 102 87 $2,392.00 $1,554.80 35% off $598.00 $2,152.80 $811.37 2026-03-14
44380 CPT Gi Ileoscopy Via Stoma 102 87 $2,392.00 $1,554.80 35% off $598.00 $2,152.80 $811.37 2026-03-14
44970 CPT Laparos, Surgic,Appendectomy Pf 90 79 $1,920.00 $1,248.00 35% off $518.35 $11,668.72 $635.35 2026-03-14
45330 CPT Gi Sigmoidoscopy Pf 205 88 $450.00 $292.50 35% off $53.77 $1,845.90 $405.00 2026-03-14
45378 CPT Gi Colonoscopy Pf 205 88 $1,040.00 $676.00 35% off $179.75 $1,711.80 $522.48 2026-03-14
45380 CPT Gi Colo Biopsy Cold Pf 90 79 $1,279.00 $831.35 35% off $195.40 $2,358.16 $351.34 2026-03-14
45384 CPT Gi Colo Biopsy Hot Pf 90 79 $1,322.00 $859.30 35% off $356.90 $2,358.16 $375.85 2026-03-14
45385 CPT Gi Colo Biopsy Snare Pf 90 79 $1,527.00 $992.55 35% off $247.97 $2,358.16 $419.47 2026-03-14
45905 CPT Gi Dilate Anal Sphincter 102 87 $3,184.00 $2,069.60 35% off $796.00 $2,865.60 $1,080.01 2026-03-14
45910 CPT Gi Dilate Rectal Stricture 102 87 $2,510.00 $1,631.50 35% off $627.50 $2,259.00 $851.39 2026-03-14
46050 CPT I/d Absc Superficial Pf 157 88 $686.00 $445.90 35% off $90.92 $617.40 $411.60 2026-03-14
46221 CPT Hemorrhoidectomy Inter Rubber Band Pf 103 88 $678.00 $440.70 35% off $177.93 $610.20 $244.05 2026-03-14
46260 CPT Remove Hemorrhoid 2+ Int/Ext Pf 90 79 $1,312.00 $852.80 35% off $354.20 $5,484.78 $502.40 2026-03-14
47562 CPT Lap,Cholecystectomy Pf 90 79 $2,253.00 $1,464.45 35% off $582.33 $11,668.72 $695.80 2026-03-14
47563 CPT Lapscpy, Cholecystctmy W Cholnggrphy Pf 90 79 $2,196.00 $1,427.40 35% off $592.86 $11,668.72 $755.80 2026-03-14
49591 CPT Rpr Aa Hernia 1st < 3 Cm Reducible Pf 170 79 $1,328.00 $863.20 35% off $301.27 $7,058.12 $364.80 2026-03-14
49592 CPT Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strng Mlp 170 79 $1,222.00 $794.30 35% off $329.91 $11,668.72 $395.02 2026-03-14
49593 CPT Rpr Aa Hernia 1st 3-10 Cm Reducible Mlp 202 88 $2,101.50 $1,365.97 35% off $521.32 $5,556.59 $872.69 2026-03-14
49594 CPT Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strng Mlp 202 88 $1,960.00 $1,274.00 35% off $529.15 $5,195.58 $885.77 2026-03-14
49595 CPT Rpr Aa Hernia 1st > 10 Cm Reducible Pf 202 88 $2,306.00 $1,498.90 35% off $529.15 $5,556.59 $885.77 2026-03-14
49596 CPT Rpr Aa Hernia 1st > 10 Cm Ncrc8/Strng Pf 202 88 $2,757.00 $1,792.05 35% off $632.82 $2,481.30 $914.16 2026-03-14
49613 CPT Rpr Aa Hernia Recr < 3 Cm Reducible Pf 202 88 $1,129.00 $733.85 35% off $304.80 $3,142.68 $510.16 2026-03-14
49614 CPT Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strng Mlp 202 88 $1,222.00 $794.30 35% off $329.91 $5,195.58 $552.31 2026-03-14
49615 CPT Rpr Aa Hernia Recr 3-10 Cm Reducible Mlp 170 79 $1,960.00 $1,274.00 35% off $529.15 $12,479.50 $633.46 2026-03-14
49616 CPT Rpr Aa Hernia Recr 3-10 Cm Ncrc8/Strng Mlp 202 88 $1,960.00 $1,274.00 35% off $529.15 $2,075.40 $764.40 2026-03-14
49617 CPT Rpr Aa Hernia Recr > 10 Cm Reducible Pf 202 88 $2,757.00 $1,792.05 35% off $632.82 $2,481.30 $914.16 2026-03-14
49618 CPT Rpr Aa Hernia Recr > 10 Cm Ncrc8/Strng Mlp 202 88 $2,504.00 $1,627.60 35% off $676.01 $2,650.50 $1,093.26 2026-03-14
49650 CPT Lap,Rx Init Ing Hernia Pf 90 79 $1,414.00 $919.10 35% off $381.74 $11,668.72 $451.34 2026-03-14
49651 CPT Lap Surg Recurr Ing Hernia Pf 103 88 $2,164.00 $1,406.60 35% off $518.89 $5,195.58 $843.96 2026-03-14
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 5 5 $31,419.88 $20,422.92 35% off $1,602.00 $5,459.38 $4,884.80 2026-03-14
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 6 6 $23,824.54 $15,485.95 35% off $10,416.77 $22,614.73 $10,416.77 2026-03-14
54840 CPT Exc Spermatocele,W Or Without Epididy Pf 103 88 $1,284.00 $834.60 35% off $307.36 $1,824.23 $500.76 2026-03-14
552 MS_DRG Medical Back Problems Without Mcc 6 6 $10,415.78 $6,770.26 35% off $4,934.32 $12,306.56 $4,934.32 2026-03-14
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 6 6 $15,109.31 $9,821.05 35% off $4,052.79 $10,633.34 $4,052.79 2026-03-14
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 6 6 $18,407.55 $11,964.91 35% off $5,956.23 $19,035.29 $5,956.23 2026-03-14
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 7 7 $20,432.14 $13,280.89 35% off $5,026.66 $11,578.82 $5,026.66 2026-03-14
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 6 6 $8,313.48 $5,403.76 35% off $4,858.84 $12,474.27 $4,858.84 2026-03-14
59409 CPT Vaginal Delivery Pf 103 88 $2,522.00 $1,639.30 35% off $680.87 $2,269.80 $865.05 2026-03-14
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 7 7 $10,896.51 $7,082.73 35% off $5,388.35 $11,843.88 $5,388.35 2026-03-14
62270 CPT Puncture Spinal/Lumbar Dx 212 94 $1,152.00 $748.80 35% off $74.50 $1,036.80 $316.45 2026-03-14
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 7 $18,851.67 $12,253.59 35% off $13,594.36 $26,002.23 $14,513.23 2026-03-14
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 7 7 $15,338.89 $9,970.28 35% off $5,777.19 $17,269.31 $5,777.19 2026-03-14
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 7 7 $10,408.26 $6,765.37 35% off $3,194.05 $10,062.13 $3,194.05 2026-03-14
683 MS_DRG Renal Failure With Cc 7 7 $9,917.13 $6,446.13 35% off $3,940.77 $11,324.09 $3,940.77 2026-03-14
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 6 6 $19,696.60 $12,802.79 35% off $5,732.74 $14,854.16 $5,732.74 2026-03-14
69 MS_DRG Transient Ischemia Without Thrombolytic 6 6 $13,547.95 $8,806.17 35% off $4,577.36 $10,226.24 $4,577.36 2026-03-14
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 7 7 $15,825.06 $10,286.29 35% off $3,537.18 $10,466.84 $3,537.18 2026-03-14
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 7 7 $18,956.86 $12,321.96 35% off $7,284.80 $21,391.39 $7,284.80 2026-03-14
72084 CPT Xr Spine Entire Min 6 Views 110 94 $866.00 $562.90 35% off $55.80 $779.40 $237.89 2026-03-14
72114 CPT Xr Spine Lumbar Comp W Bending Min 6 Views 110 94 $764.00 $496.60 35% off $39.13 $687.60 $209.87 2026-03-14
73030 CPT Xr Shoulder Complete Min 2v Bi 200 94 $766.00 $497.90 35% off $20.00 $689.40 $210.42 2026-03-14
73610 CPT Xr Ankle Complete Min 3v Lt 200 94 $512.00 $332.80 35% off $18.00 $781.20 $238.44 2026-03-14
73630 CPT Xr Foot Complete Min 3v Lt 200 94 $442.00 $287.30 35% off $21.91 $676.80 $206.57 2026-03-14
76700 CPT US Abdomen Complete 110 94 $852.00 $553.80 35% off $56.00 $766.80 $234.04 2026-03-14
76801 CPT US Preg Uter <14 Weeks Gest 110 94 $748.00 $486.20 35% off $42.75 $673.20 $205.48 2026-03-14
76856 CPT US Pelvic Non OB Complete 110 94 $781.00 $507.65 35% off $40.00 $702.90 $214.54 2026-03-14
76870 CPT US Scrotum And Contents 110 94 $782.00 $508.30 35% off $31.00 $703.80 $214.82 2026-03-14
76881 CPT US Extrem Complete Joint Bil 200 94 $714.00 $464.10 35% off $9.14 $909.90 $277.72 2026-03-14
76882 CPT US Extrem Nonvascular Limited Bil 193 89 $917.00 $596.05 35% off $25.80 $825.30 $251.90 2026-03-14
77075 CPT Xr Osseous Survey/Metastatic Comp 110 94 $855.00 $555.75 35% off $72.09 $769.50 $234.87 2026-03-14
81121 CPT Idh2 Common Variants 110 94 $705.00 $458.25 35% off $190.33 $671.44 $274.95 2026-03-14
812 MS_DRG Red Blood Cell Disorders Without Mcc 7 7 $10,965.42 $7,127.52 35% off $4,368.34 $11,872.33 $4,368.34 2026-03-14
81229 CPT Genomic Alterations Postnatal Oligo-snp Array 110 94 $2,345.00 $1,524.25 35% off $625.50 $2,147.33 $914.55 2026-03-14
81259 CPT Hba1/Hba2 Full Gene Sequence 110 94 $694.00 $451.10 35% off $187.36 $1,362.00 $416.40 2026-03-14
81263 CPT Igvh Mutation Analysis 109 94 $893.00 $580.45 35% off $193.38 $1,292.88 $255.13 2026-03-14
81265 CPT Maternal Cell Contamination, Molecular Analysis 110 94 $1,082.00 $703.30 35% off $207.31 $973.80 $292.11 2026-03-14
81272 CPT Gist Kit Gene Targeted Seq Analys 110 94 $765.00 $497.25 35% off $206.53 $747.99 $298.35 2026-03-14
81275 CPT Kras Gene Analysis 110 94 $850.00 $552.50 35% off $171.89 $765.00 $238.77 2026-03-14
81301 CPT Microsatellite Instability 110 94 $842.00 $547.30 35% off $227.32 $1,271.17 $310.04 2026-03-14
81310 CPT Nucleophsomin Mutation Analysis 110 94 $663.00 $430.95 35% off $43.78 $795.25 $205.25 2026-03-14
81311 CPT Nras Gene Variants Exon 2&3 103 88 $792.00 $514.80 35% off $213.82 $712.80 $263.10 2026-03-14
81314 CPT Pdgfra Gene Analysis 110 94 $766.00 $497.90 35% off $206.80 $747.99 $298.74 2026-03-14
81340 CPT T Cell Gene Rearrangement Amplify 110 94 $718.00 $466.70 35% off $110.20 $917.14 $204.12 2026-03-14
81350 CPT Ugt1a1 28 Gene Analysis Common Var 109 94 $1,139.00 $740.35 35% off $120.26 $1,025.10 $312.88 2026-03-14
81363 CPT Hbb Dup/Deletion Variants 110 94 $702.00 $456.30 35% off $180.03 $631.80 $202.40 2026-03-14
81364 CPT Hbb Full Gene Sequence 110 94 $654.00 $425.10 35% off $176.56 $736.80 $324.58 2026-03-14
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 7 7 $24,429.26 $15,879.02 35% off $14,376.49 $27,498.23 $17,516.39 2026-03-14
81401 CPT Nod2 (Snp 8, Snp 12, Snp 13) 155 94 $590.00 $383.50 35% off $94.88 $573.30 $262.55 2026-03-14
81404 CPT Hereditary Pancreatitis, Mol Path Level 5 255 88 $865.00 $562.25 35% off $85.58 $898.45 $269.45 2026-03-14
81405 CPT Hereditary Pancreatitis, Mol Path Level 6 201 94 $1,150.00 $747.50 35% off $268.05 $1,235.70 $388.42 2026-03-14
81406 CPT Noonan Spectrum Sequence Level 7 201 94 $1,969.00 $1,279.85 35% off $251.62 $2,138.75 $540.88 2026-03-14
81420 CPT Fetal Chromosomal Aneupoidy 13 18 21 Blood 110 94 $2,057.00 $1,337.05 35% off $555.33 $2,237.77 $759.05 2026-03-14
81435 CPT Hereditary Colon Cancer, 5 Or More Genes 110 94 $4,377.00 $2,845.05 35% off $584.90 $3,939.30 $1,202.36 2026-03-14
81445 CPT Gen Seq Analys Lung W Rearr 5-50 Genes 292 94 $2,235.00 $1,452.75 35% off $531.83 $2,640.60 $805.97 2026-03-14
81450 CPT Ngs Acute Myeloid Leukemia 201 94 $2,034.00 $1,322.10 35% off $549.13 $2,040.30 $759.53 2026-03-14
81515 CPT Poc Infct Ds Bv&Vgntis Rtpcr Amp DNA Mrkrs 102 87 $873.00 $567.45 35% off $218.25 $785.70 $257.38 2026-03-14
86363 CPT Myelin Oligodendro Glycoprt (Mog) Ab, Facs 103 88 $803.00 $521.95 35% off $12.05 $722.70 $220.58 2026-03-14
86711 CPT Stratify Jcv Ab 201 94 $1,547.00 $1,005.55 35% off $15.02 $1,392.30 $424.96 2026-03-14
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 6 6 $11,400.68 $7,410.44 35% off $1,602.00 $13,332.12 $6,592.97 2026-03-14
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 7 $23,776.64 $15,454.82 35% off $1,602.00 $25,116.53 $9,141.82 2026-03-14
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 7 7 $15,027.36 $9,767.78 35% off $4,344.99 $13,231.27 $4,344.99 2026-03-14
87483 CPT Inf Agent Dna/Rna Cns Amp Probe Path 12-25 109 94 $1,116.00 $725.40 35% off $279.00 $1,297.80 $416.78 2026-03-14
87507 CPT Inf Agent Dna/Rna Probe Gi Path Tq 12-25 109 94 $937.00 $609.05 35% off $234.25 $2,362.36 $408.86 2026-03-14
87633 CPT Resp Virus Amp Probe 12-25 Targets 109 94 $968.00 $629.20 35% off $242.00 $1,829.65 $279.17 2026-03-14
87901 CPT HIV 1 Genotype Dna/Rna 110 94 $1,061.00 $689.65 35% off $229.00 $1,130.17 $286.44 2026-03-14
87902 CPT Hepatitis C Genotype 200 94 $1,214.00 $789.10 35% off $229.00 $1,480.50 $451.88 2026-03-14
88120 CPT Fish Bladder Cancer Urine Furo 110 94 $799.00 $519.35 35% off $143.50 $1,557.95 $271.02 2026-03-14
88309 CPT Surg Path Lev Vi Gross And Micro 110 94 $682.00 $443.30 35% off $46.00 $1,096.37 $231.34 2026-03-14
88342 CPT Immunocyto Stain Monoclonal Per Spec,Initil Ab 311 95 $279.00 $181.35 35% off $39.60 $1,398.60 $232.90 2026-03-14
88380 CPT Microdissection Laser 110 94 $1,116.00 $725.40 35% off $80.12 $1,004.40 $306.57 2026-03-14
885 MS_DRG Psychoses 7 7 $13,974.15 $9,083.20 35% off $2,570.65 $18,060.62 $2,570.65 2026-03-14
90375 HCPCS Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution 110 94 $10,547.66 $6,855.98 35% off $2,625.10 $9,492.89 $2,925.39 2026-03-14
90675 HCPCS Rabies Vaccine,human Diploid (pf) 2.5 Unit Intramuscular Solution 109 94 $1,398.60 $909.09 35% off $262.98 $1,258.74 $384.20 2026-03-14
90677 HCPCS Pneumococcal 20-valent Conj Vaccine-dip Crm (pf) 0.5 Ml IM Syringe 102 88 $1,341.69 $872.10 35% off $279.05 $1,207.52 $372.12 2026-03-14
91010 CPT Gi Esophagus Motility Study 106 91 $1,960.00 $1,274.00 35% off $59.00 $1,764.00 $538.41 2026-03-14
92 MS_DRG Other Disorders Of Nervous System With Cc 7 7 $16,921.76 $10,999.14 35% off $5,475.75 $13,227.39 $5,475.75 2026-03-14
92611 CPT St Eval Fluoro Swallow Up To 135m 1,107 91 $837.00 $544.05 35% off $46.87 $1,139.40 $300.80 2026-03-14
93970 CPT Venous Duplex Lower Ext Comp Bi 106 91 $1,350.00 $877.50 35% off $42.00 $1,215.00 $370.85 2026-03-14
93971 CPT Venous Duplex Lower Ext Ltd Lt 106 91 $857.00 $557.05 35% off $73.00 $771.30 $235.42 2026-03-14
93978 CPT Vas Dup Aorta Ivc Iliac Byps Comp 106 91 $1,013.00 $658.45 35% off $73.00 $911.70 $278.27 2026-03-14
94002 CPT Initial Adult Vent Day Charge 99 85 $1,400.00 $910.00 35% off $81.35 $1,260.00 $396.06 2026-03-14
94621 CPT Pulmonary Stress Testing Complex 106 91 $1,093.00 $710.45 35% off $41.10 $983.70 $300.25 2026-03-14
947 MS_DRG Signs And Symptoms With Mcc 5 5 $10,617.10 $6,901.11 35% off $1,602.00 $8,581.14 $6,258.73 2026-03-14
948 MS_DRG Signs And Symptoms Without Mcc 7 7 $17,291.89 $11,239.73 35% off $4,301.75 $10,350.47 $4,301.75 2026-03-14
95782 CPT Polysom Attended >3 Chn <6 Yrs 106 91 $3,816.00 $2,480.40 35% off $675.41 $3,434.40 $1,058.37 2026-03-14
95783 CPT Polysom Attended W Cpap/Bip <6 Yrs 106 91 $4,826.00 $3,136.90 35% off $709.94 $4,343.40 $1,325.70 2026-03-14
95810 CPT Polysom Attended >3 Chn 6/> Yrs 100 86 $4,713.00 $3,063.45 35% off $276.94 $4,241.70 $1,294.66 2026-03-14
95811 CPT Polysom Attended W Cpap/Bip 6/> Yrs 106 91 $5,250.00 $3,412.50 35% off $205.37 $4,725.00 $1,442.18 2026-03-14
97167 CPT Ot Eval Level Iii 120 Min 1,464 85 $538.00 $349.70 35% off $64.25 $792.90 $218.39 2026-03-14
99283 CPT Non Emergent Medicaid Level 3 110 94 $697.00 $453.05 35% off $12.00 $871.00 $223.79 2026-03-14
99284 CPT Non Emergency Medicaid Level 4 110 94 $1,215.00 $789.75 35% off $12.00 $1,204.00 $364.81 2026-03-14
99285 CPT Non Emergency Medicaid Level 5 110 94 $1,697.00 $1,103.05 35% off $12.00 $1,536.00 $517.69 2026-03-14
C1713 HCPCS Graft Oesteon 200 Hydrxylpt B 2b019 188 81 $656.50 $426.73 35% off $118.75 $754.20 $230.20 2026-03-14
C1776 HCPCS H-2 Stry Hip Any Pmry Stem W Metal X3 Liner Bph1 495 85 $8,870.00 $5,765.50 35% off $2,025.00 $10,098.00 $3,082.13 2026-03-14
J0561 HCPCS Penicillin G Benzathine 1,200,000 Unit/2 Ml Intramuscular Syringe 109 94 $796.79 $517.91 35% off $33.96 $717.11 $218.88 2026-03-14
J1442 HCPCS Filgrastim 300 Mcg/0.5 Ml Injection Syringe 218 94 $1,340.95 $871.62 35% off $279.28 $1,482.70 $452.55 2026-03-14
J1611 HCPCS Glucagon Hcl 1 Mg/ml Solution For Injection 102 88 $1,200.23 $780.15 35% off $111.91 $1,080.21 $332.88 2026-03-14
J1805 HCPCS Esmolol 2,000 Mg/100 Ml (20 Mg/ml) In Sodium Chloride (iso-osmotic) IV 98 85 $1,652.53 $1,074.14 35% off $42.00 $1,487.28 $453.95 2026-03-14
J3101 HCPCS Tenecteplase Injection Kit For Acute Ischemic Stroke (kit) 110 94 $25,721.51 $16,718.98 35% off $2,053.00 $24,614.00 $7,769.79 2026-03-14
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe 103 88 $8,149.66 $5,297.28 35% off $2,200.19 $7,334.69 $2,412.90 2026-03-14
J7165 HCPCS Human Prothrombin Cmpx(pcc)-lans 1,000 Unit (800-1,280 Unit) IV Solution 206 88 $7,323.75 $4,760.43 35% off $630.00 $9,200.00 $2,682.45 2026-03-14
L0462 HCPCS Fa Brace Aspen Tslo 95 82 $3,353.00 $2,179.45 35% off $838.25 $3,017.70 $948.56 2026-03-14
M0249 HCPCS IV Infus Tocilizumab Covid-19 1st Dose Ip Only 95 82 $723.00 $469.95 35% off $180.75 $650.70 $204.54 2026-03-14
M0250 HCPCS IV Infus Tocilizumab Covid-19 2nd Dose Ip Only 95 82 $723.00 $469.95 35% off $180.75 $650.70 $204.54 2026-03-14
P9022 HCPCS Red Blood Cells Washed Ea Unit 99 85 $864.00 $561.60 35% off $159.69 $777.60 $246.84 2026-03-14
P9034 HCPCS Platelets Pheresis Ea Unit 99 85 $1,451.00 $943.15 35% off $360.70 $1,305.90 $414.55 2026-03-14
P9035 HCPCS Platelet Pheresis Leukoreduced Ea 99 85 $1,933.00 $1,256.45 35% off $389.81 $1,739.70 $552.26 2026-03-14
P9036 HCPCS Platelet Pheresis Irradiated Ea 99 85 $1,371.00 $891.15 35% off $275.03 $1,233.90 $391.69 2026-03-14
P9037 HCPCS Plt Pheresis Leukored Irrad Ea 99 85 $1,967.00 $1,278.55 35% off $483.98 $1,770.30 $561.97 2026-03-14
P9039 HCPCS Rbc Deglycerolized Ea Unit 99 85 $922.00 $599.30 35% off $244.66 $829.80 $263.42 2026-03-14
P9040 HCPCS Rbc Leukoreduced Irrad Direct Ea 191 85 $733.00 $476.45 35% off $169.40 $676.80 $211.40 2026-03-14
P9073 HCPCS Platelets Pheresis Pathogen Reduced Ea 99 85 $1,674.00 $1,088.10 35% off $451.93 $1,506.60 $652.86 2026-03-14
PX-400003482 CDM Tube Baker Jejunostomy 16fr 102 87 $731.00 $475.15 35% off $182.75 $657.90 $247.95 2026-03-14
PX-400006998 CDM Valve Heart Mitral Lopre 27mm 99 85 $13,455.00 $8,745.75 35% off $3,363.75 $12,109.50 $3,880.42 2026-03-14
PX-400008927 CDM Grftallo Ostn 200 Hydrxylpt B 94 81 $867.00 $563.55 35% off $216.75 $780.30 $244.01 2026-03-14
PX-400016213 CDM Stapler Linear 90mm Tlh90 102 87 $647.00 $420.55 35% off $161.75 $582.30 $219.46 2026-03-14
PX-400019152 CDM Tube Blakemore Esophageal 20f 102 87 $769.00 $499.85 35% off $192.25 $692.10 $260.85 2026-03-14
PX-400022755 CDM Stapler Lapscp Lin Cut Art Grn Ax55g 102 87 $766.00 $497.90 35% off $191.50 $689.40 $259.82 2026-03-14
PX-400022821 CDM Stapler Contour Cvd Grn Cs40g 102 87 $766.00 $497.90 35% off $191.50 $689.40 $259.82 2026-03-14
PX-400023806 CDM Imp Sinus Tarsi Sz 5 Hyprocure 95 82 $2,616.00 $1,700.40 35% off $654.00 $2,354.40 $740.07 2026-03-14
PX-400023807 CDM Imp Sinus Tarsi Sz 6 Hyprocure 95 82 $2,616.00 $1,700.40 35% off $654.00 $2,354.40 $740.07 2026-03-14
PX-400023808 CDM Imp Sinus Tarsi Sz 7 Hyprocure 95 82 $3,271.00 $2,126.15 35% off $817.75 $2,943.90 $925.37 2026-03-14
PX-400023809 CDM Imp Sinus Tarsi Sz 8 Hyprocure 95 82 $3,271.00 $2,126.15 35% off $817.75 $2,943.90 $925.37 2026-03-14
PX-400023810 CDM Imp Sinus Tarsi Sz 9 Hyprocure 95 82 $3,271.00 $2,126.15 35% off $817.75 $2,943.90 $925.37 2026-03-14
PX-400023811 CDM Imp Sinus Tarsi Sz 10 Hyprocure 95 82 $3,271.00 $2,126.15 35% off $817.75 $2,943.90 $925.37 2026-03-14
PX-400064271 CDM Sys Neg Prsr Prevena 125mmhg 150ml Cnstr Disp 102 87 $841.00 $546.65 35% off $210.25 $756.90 $285.26 2026-03-14
PX-500001019 CDM Or Level 1 Initial 30 Minutes 109 94 $1,275.00 $828.75 35% off $297.00 $1,147.50 $367.71 2026-03-14
PX-500001020 CDM Or Level 1 Ea Addtl 30 Minutes 109 94 $958.00 $622.70 35% off $239.50 $862.20 $302.94 2026-03-14
PX-500001021 CDM Or Level 2 Initial 30 Minutes 109 94 $1,448.00 $941.20 35% off $297.00 $1,303.20 $413.69 2026-03-14
PX-500001022 CDM Or Level 2 Ea Addtl 30 Minutes 109 94 $1,124.00 $730.60 35% off $281.00 $1,011.60 $324.16 2026-03-14
PX-500001023 CDM Or Level 3 Initial 30 Minutes 109 94 $1,587.00 $1,031.55 35% off $297.00 $1,428.30 $453.41 2026-03-14
PX-500001024 CDM Or Level 3 Ea Addtl 30 Minutes 109 94 $1,371.00 $891.15 35% off $297.00 $1,233.90 $391.69 2026-03-14
PX-500001025 CDM Or Level 4 Initial 30 Minutes 109 94 $1,695.00 $1,101.75 35% off $297.00 $1,525.50 $484.26 2026-03-14
PX-500001026 CDM Or Level 4 Ea Addtl 30 Minutes 109 94 $1,466.00 $952.90 35% off $297.00 $1,319.40 $418.84 2026-03-14
PX-500001027 CDM Or Level 5 Initial 30 Minutes 109 94 $3,223.00 $2,094.95 35% off $297.00 $2,900.70 $911.79 2026-03-14
PX-500001028 CDM Or Level 5 Ea Addtl 30 Minutes 109 94 $2,291.00 $1,489.15 35% off $297.00 $2,061.90 $654.54 2026-03-14
PX-500001029 CDM Or Level 6 Initial 30 Minutes 109 94 $5,212.00 $3,387.80 35% off $297.00 $4,690.80 $1,474.47 2026-03-14
PX-500001030 CDM Or Level 6 Ea Addtl 30 Minutes 109 94 $2,674.00 $1,738.10 35% off $297.00 $2,406.60 $756.47 2026-03-14
PX-500001088 CDM Gi Colonoscopy Via Stoma 102 87 $2,175.00 $1,413.75 35% off $543.75 $1,957.50 $737.76 2026-03-14
PX-500001089 CDM Gi Colonoscopy Via Stoma W/1 Proc 102 87 $2,773.00 $1,802.45 35% off $693.25 $2,495.70 $940.60 2026-03-14
PX-500001090 CDM Gi Colonoscopy Via Stoma W/2 Proc 102 87 $2,990.00 $1,943.50 35% off $747.50 $2,691.00 $1,014.21 2026-03-14
PX-500001091 CDM Gi Colonoscopy Via Stoma W/3 Proc 102 87 $3,207.00 $2,084.55 35% off $801.75 $2,886.30 $1,087.82 2026-03-14
PX-500001092 CDM Gi Colonoscopy Via Stoma W/4 Proc 102 87 $3,425.00 $2,226.25 35% off $856.25 $3,082.50 $1,161.76 2026-03-14
PX-500001093 CDM Gi Colonoscopy W/1 Procedure 102 87 $2,691.00 $1,749.15 35% off $672.75 $2,421.90 $912.79 2026-03-14
PX-500001094 CDM Gi Colonoscopy W/2 Procedures 102 87 $2,908.00 $1,890.20 35% off $727.00 $2,617.20 $986.39 2026-03-14
PX-500001095 CDM Gi Colonoscopy W/3 Procedures 102 87 $3,126.00 $2,031.90 35% off $781.50 $2,813.40 $1,060.34 2026-03-14
PX-500001096 CDM Gi Colonoscopy W/4 Procedures 102 87 $3,343.00 $2,172.95 35% off $835.75 $3,008.70 $1,133.94 2026-03-14
PX-500001105 CDM Gi Ercp W/1 Procedure 102 87 $3,154.00 $2,050.10 35% off $788.50 $2,838.60 $1,069.84 2026-03-14
PX-500001106 CDM Gi Ercp W/2 Procedures 102 87 $3,262.00 $2,120.30 35% off $815.50 $2,935.80 $1,106.47 2026-03-14
PX-500001107 CDM Gi Ercp W/3 Procedures 102 87 $3,371.00 $2,191.15 35% off $842.75 $3,033.90 $1,143.45 2026-03-14
PX-500001108 CDM Gi Ercp W/4 Procedures 102 87 $3,480.00 $2,262.00 35% off $870.00 $3,132.00 $1,180.41 2026-03-14
PX-500001110 CDM Gi Esophagoscopy W/1 Procedure 102 87 $2,547.00 $1,655.55 35% off $636.75 $2,292.30 $863.94 2026-03-14
PX-500001111 CDM Gi Esophagoscopy W/2 Procedures 102 87 $2,657.00 $1,727.05 35% off $664.25 $2,391.30 $901.25 2026-03-14
PX-500001112 CDM Gi Esophagoscopy W/3 Procedures 102 87 $2,764.00 $1,796.60 35% off $691.00 $2,487.60 $937.55 2026-03-14
PX-500001113 CDM Gi Esophagoscopy W/4 Procedures 102 87 $2,874.00 $1,868.10 35% off $718.50 $2,586.60 $974.86 2026-03-14
PX-500001118 CDM Gi Ileoscopy Via Stoma W/1 Proc 102 87 $2,554.00 $1,660.10 35% off $638.50 $2,298.60 $866.32 2026-03-14
PX-500001119 CDM Gi Ileoscopy Via Stoma W/2 Proc 102 87 $2,719.00 $1,767.35 35% off $679.75 $2,447.10 $922.29 2026-03-14
PX-500001123 CDM Gi Sigmoidoscopy W/1 Procedure 102 87 $2,229.00 $1,448.85 35% off $557.25 $2,006.10 $756.08 2026-03-14
PX-500001124 CDM Gi Sigmoidoscopy W/2 Procedures 102 87 $2,447.00 $1,590.55 35% off $611.75 $2,202.30 $830.02 2026-03-14
PX-500001125 CDM Gi Sigmoidoscopy W/3 Procedures 102 87 $2,664.00 $1,731.60 35% off $666.00 $2,397.60 $903.63 2026-03-14
PX-500001126 CDM Gi Sigmoidoscopy W/4 Procedures 102 87 $2,881.00 $1,872.65 35% off $720.25 $2,592.90 $977.23 2026-03-14
PX-500001127 CDM Gi Sm Bowel Endo W/1 Procedure 102 87 $2,554.00 $1,660.10 35% off $638.50 $2,298.60 $866.32 2026-03-14
PX-500001128 CDM Gi Sm Bowel Endo W/2 Procedures 102 87 $2,719.00 $1,767.35 35% off $679.75 $2,447.10 $922.29 2026-03-14
PX-500001129 CDM Gi Sm Bowel Endo W/3 Procedures 102 87 $2,881.00 $1,872.65 35% off $720.25 $2,592.90 $977.23 2026-03-14
PX-500001130 CDM Gi Sm Bowel Endo W/4 Procedures 102 87 $3,044.00 $1,978.60 35% off $761.00 $2,739.60 $1,032.53 2026-03-14
PX-500001135 CDM Gi Upper Endoscopy W/1 Procedure 102 87 $2,392.00 $1,554.80 35% off $598.00 $2,152.80 $811.37 2026-03-14
PX-500001136 CDM Gi Upper Endoscopy W/2 Procedures 102 87 $2,554.00 $1,660.10 35% off $638.50 $2,298.60 $866.32 2026-03-14
PX-500001137 CDM Gi Upper Endoscopy W/3 Procedures 102 87 $2,679.00 $1,741.35 35% off $669.75 $2,411.10 $908.71 2026-03-14
PX-500001138 CDM Gi Upper Endoscopy W/4 Procedures 102 87 $2,839.00 $1,845.35 35% off $709.75 $2,555.10 $962.99 2026-03-14
PX-500001156 CDM Gi Bronchoscopy W/1 Procedures 102 87 $2,719.00 $1,767.35 35% off $679.75 $2,447.10 $922.29 2026-03-14
PX-500001157 CDM Gi Bronchoscopy W/2 Procedures 102 87 $2,936.00 $1,908.40 35% off $734.00 $2,642.40 $995.89 2026-03-14
PX-500001158 CDM Gi Bronchoscopy W/3 Procedures 102 87 $3,154.00 $2,050.10 35% off $788.50 $2,838.60 $1,069.84 2026-03-14
PX-500001176 CDM Litho Level 3 Initial 30 Minutes 102 87 $8,757.00 $5,692.05 35% off $2,189.25 $8,223.00 $2,970.38 2026-03-14
PX-500001177 CDM Litho Level 3 Each Addtl 30 Minutes 102 87 $1,820.00 $1,183.00 35% off $455.00 $8,223.00 $617.35 2026-03-14
PX-500001208 CDM Regional Epidural 102 87 $712.00 $462.80 35% off $178.00 $640.80 $241.51 2026-03-14
PX-500001210 CDM Regional Spinal 102 87 $673.00 $437.45 35% off $168.25 $605.70 $228.28 2026-03-14
PX-500001219 CDM Gi Bronchoscopy W/4 Procedures 102 87 $3,371.00 $2,191.15 35% off $842.75 $3,033.90 $1,143.45 2026-03-14
PX-500001220 CDM Gi Bronchoscopy W/5 Procedures 102 87 $3,588.00 $2,332.20 35% off $897.00 $3,229.20 $1,217.05 2026-03-14
PX-500001221 CDM Gi Bronchoscopy W/6 Procedures 102 87 $3,806.00 $2,473.90 35% off $951.50 $3,425.40 $1,290.99 2026-03-14
PX-500001222 CDM Gi Bronchoscopy W/7 Procedures 102 87 $4,023.00 $2,614.95 35% off $1,005.75 $3,620.70 $1,364.60 2026-03-14
PX-500001223 CDM Gi Bronchoscopy W/8 Procedures 102 87 $4,241.00 $2,756.65 35% off $1,060.25 $3,816.90 $1,438.55 2026-03-14
PX-500001228 CDM Gi Anoscopy 102 87 $614.00 $399.10 35% off $153.50 $552.60 $208.27 2026-03-14
PX-500001229 CDM Gi Anoscopy W/1 Procedures 102 87 $858.00 $557.70 35% off $214.50 $772.20 $291.03 2026-03-14
PX-500002417 CDM Repl Gtube W No Revision Gstrst Trc 102 87 $1,074.00 $698.10 35% off $268.50 $966.60 $364.30 2026-03-14
PX-500002418 CDM Repl Gtube W Revision Gstrst Trc 102 87 $1,217.00 $791.05 35% off $304.25 $1,095.30 $412.81 2026-03-14
Q9968 HCPCS Methylene Blue (antidote) 1 % (10 Mg/ml) Intravenous Solution 102 88 $997.50 $648.37 35% off $59.00 $1,369.00 $287.68 2026-03-14
SUP-0092100 CDM Tube Blakemore Esophageal 20f 0092100 102 87 $743.00 $482.95 35% off $185.75 $668.70 $252.02 2026-03-14
SUP-2427-0006 CDM Spacer Tendon 6x24cm 2427-0006 95 82 $2,369.00 $1,539.85 35% off $592.25 $2,132.10 $670.19 2026-03-14
SUP-393.734 CDM Ring 3/4 Circle 140mm 393.734 94 81 $840.00 $546.00 35% off $210.00 $756.00 $236.42 2026-03-14
SUP-ATS45 CDM Stapler Endo Lin Cutr Ets-flx 45mm Ats45 102 87 $1,076.00 $699.40 35% off $269.00 $968.40 $364.98 2026-03-14
SUP-HEM3335 CDM Stapler Hemorrhoid 33mm 3.5mm Hem3335 102 87 $723.00 $469.95 35% off $180.75 $650.70 $245.24 2026-03-14
SUP-TLC75 CDM Stapler Lin Cutr 75mm Tlc75 102 87 $599.00 $389.35 35% off $149.75 $539.10 $203.18 2026-03-14
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