Hospital

South Missississpi County Regional Medical Center

Osceola, AR · CCN 041316 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

3,342 distinct procedures filed

26 distinct payers

742,018 rate rows

2026-10-09 last MRF observed

Data quality

739,404 of 742,018 rate rows are consumer-grade (99.6%)

2,614 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 — reason	Rows
placeholder amount (≤ $0.02) — excluded from medians	2,218
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	348
exceeds 10× this hospital's gross charge — excluded from medians	48

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/340cba5b-23f2-476f-bd9f-b97e6c9f7afa/800370789_MCHS-SMC-REGIONAL-MEDICAL-CENTER_standardcharges.zip
Found on page	https://www.yourcareeverywhere.com/content/medhost/your-care-everywhere/pricing-estimator-page.html?facility_id=340cba5b-23f2-476f-bd9f-b97e6c9f7afa
Discovered via	Discovered by HANK
Last fetch	success · 2026-11-06
Content fingerprint	a1dafc0427966e49… · 46,383,930 bytes · first seen 2026-11-06

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
01907 OTHER	New Technology - Level 52 ($145,001-$160,000)	7	$138,332.29	$203,348.46	$145,248.90	nat. median $92,330 1.6× median
01908 OTHER	New Technology - Level 52 ($145,001-$160,000)	7	$138,332.29	$203,348.46	$145,248.90	nat. median $92,330 1.6× median
01906 OTHER	New Technology - Level 51 ($130,001-$145,000)	7	$124,725.88	$183,347.04	$130,962.17	nat. median $92,330 1.4× median
01905 OTHER	New Technology - Level 51 ($130,001-$145,000)	7	$124,725.88	$183,347.04	$130,962.17	nat. median $92,330 1.4× median
01903 OTHER	New Technology - Level 50 ($115,001-$130,000)	7	$111,119.47	$163,345.62	$116,675.44	nat. median $91,844 1.3× median
01904 OTHER	New Technology - Level 50 ($115,001-$130,000)	7	$111,119.47	$163,345.62	$116,675.44	nat. median $91,844 1.3× median
01902 OTHER	New Technology - Level 49 ($100,001-$115,000)	7	$97,513.06	$143,344.19	$102,388.71	nat. median $91,844 1.1× median
01901 OTHER	New Technology - Level 49 ($100,001-$115,000)	7	$97,513.06	$143,344.19	$102,388.71	nat. median $91,844 1.1× median
01585 OTHER	New Technology - Level 48 ($90,001-$100,000)	7	$86,174.38	$126,676.33	$90,483.09	nat. median $85,250 1.1× median
01599 OTHER	New Technology - Level 48 ($90,001-$100,000)	7	$86,174.38	$126,676.33	$90,483.09	nat. median $85,250 1.1× median
01598 OTHER	New Technology - Level 47 ($80,001-$90,000)	7	$77,103.45	$113,342.07	$80,958.62	nat. median $80,482 1.0× median
01584 OTHER	New Technology - Level 47 ($80,001-$90,000)	7	$77,103.45	$113,342.07	$80,958.62	nat. median $80,482 1.0× median
01583 OTHER	New Technology - Level 46 ($70,001-$80,000)	7	$68,032.51	$100,007.78	$71,434.13	nat. median $71,013 1.0× median
01597 OTHER	New Technology - Level 46 ($70,001-$80,000)	7	$68,032.51	$100,007.78	$71,434.13	nat. median $71,013 1.0× median
01596 OTHER	New Technology - Level 45 ($60,001-$70,000)	7	$58,961.56	$86,673.49	$61,909.63	nat. median $61,545 1.0× median
01582 OTHER	New Technology - Level 45 ($60,001-$70,000)	7	$58,961.56	$86,673.49	$61,909.63	nat. median $61,545 1.0× median
05244 OTHER	Level 4 Blood Product Exchange And Related Service	7	$58,293.05	$85,690.78	$61,207.70	nat. median $57,707 1.1× median
01581 OTHER	New Technology - Level 44 ($50,001-$60,000)	7	$49,890.63	$73,339.22	$52,385.16	nat. median $52,076 1.0× median
01595 OTHER	New Technology - Level 44 ($50,001-$60,000)	7	$49,890.63	$73,339.22	$52,385.16	nat. median $52,076 1.0× median
01594 OTHER	New Technology - Level 43 ($40,001-$50,000)	7	$40,819.68	$60,004.92	$42,860.66	nat. median $42,608 1.0× median
01580 OTHER	New Technology - Level 43 ($40,001-$50,000)	7	$40,819.68	$60,004.92	$42,860.66	nat. median $42,608 1.0× median
01579 OTHER	New Technology - Level 42 ($30,001-$40,000)	7	$31,748.74	$46,670.64	$33,336.17	nat. median $33,140 1.0× median
01593 OTHER	New Technology - Level 42 ($30,001-$40,000)	7	$31,748.74	$46,670.64	$33,336.17	nat. median $33,140 1.0× median
05166 OTHER	Cochlear Implant Procedure	7	$30,556.62	$44,918.23	$32,084.45	nat. median $30,256 1.1× median
05232 OTHER	Level 2 Icd And Similar Procedures	7	$29,089.35	$42,761.34	$30,543.81	nat. median $29,919 1.0× median
05465 OTHER	Level 5 Neurostimulator And Related Procedures	7	$28,597.10	$42,037.73	$30,026.95	nat. median $28,625 1.0× median
05200 OTHER	Implantation Wireless Pa Pressure Monitor	7	$26,582.05	$39,075.61	$27,911.15	nat. median $26,694 1.0× median
05117 OTHER	Level 7 Musculoskeletal Procedures	7	$25,146.21	$36,964.92	$26,403.52	nat. median $26,502 1.0× median
01592 OTHER	New Technology - Level 41 ($25,001-$30,000)	7	$24,945.54	$36,669.94	$26,192.81	nat. median $26,038 1.0× median
01578 OTHER	New Technology - Level 41 ($25,001-$30,000)	7	$24,945.54	$36,669.94	$26,192.81	nat. median $26,038 1.0× median
05213 OTHER	Level 3 Electrophysiologic Procedures	7	$24,223.03	$35,607.85	$25,434.18	nat. median $23,979 1.1× median
05231 OTHER	Level 1 Icd And Similar Procedures	7	$20,614.04	$30,302.63	$21,644.74	nat. median $21,265 1.0× median
01577 OTHER	New Technology - Level 40 ($20,001-$25,000)	7	$20,410.07	$30,002.80	$21,430.57	nat. median $21,304 1.0× median
01591 OTHER	New Technology - Level 40 ($20,001-$25,000)	7	$20,410.07	$30,002.80	$21,430.57	nat. median $21,304 1.0× median
05378 OTHER	Level 8 Urology And Related Services	7	$19,207.75	$28,235.39	$20,168.13	nat. median $19,147 1.1× median
05464 OTHER	Level 4 Neurostimulator And Related Procedures	7	$17,978.88	$26,428.95	$18,877.82	nat. median $19,491 1.0× median
05224 OTHER	Level 4 Pacemaker And Similar Procedures	7	$17,850.60	$26,240.38	$18,743.13	nat. median $17,907 1.0× median
05194 OTHER	Level 4 Endovascular Procedures	7	$16,988.69	$24,973.37	$17,838.12	nat. median $16,906 1.1× median
05471 OTHER	Implantation Of Drug Infusion Device	7	$16,703.44	$24,554.05	$17,538.61	nat. median $16,703 1.0× median
05116 OTHER	Level 6 Musculoskeletal Procedures	7	$16,249.31	$23,886.48	$17,061.77	nat. median $16,852 1.0× median
02616 OTHER	Brachytx, Non-str,yttrium-90	7	$16,119.98	$23,696.37	$16,925.97	nat. median $16,632 1.0× median
01590 OTHER	New Technology - Level 39 ($15,001-$20,000)	7	$15,874.60	$23,335.66	$16,668.33	nat. median $16,570 1.0× median
01576 OTHER	New Technology - Level 39 ($15,001-$20,000)	7	$15,874.60	$23,335.66	$16,668.33	nat. median $16,570 1.0× median
05496 OTHER	Level 6 Intraocular Procedures	7	$15,254.93	$22,424.74	$16,017.67	nat. median $15,652 1.0× median
05494 OTHER	Level 4 Intraocular Procedures	7	$13,443.41	$19,761.81	$14,115.58	nat. median $13,417 1.1× median
05495 OTHER	Level 5 Intraocular Procedures	7	$12,930.78	$19,008.24	$13,577.31	nat. median $13,965 1.0× median
05881 OTHER	Ancillary Outpatient Services When Patient Dies	7	$12,906.93	$18,973.18	$13,552.27	nat. median $12,777 1.1× median
05094 OTHER	Level 4 Breast/lymphatic Surgery And Related Proce	7	$12,771.37	$18,773.91	$13,409.93	nat. median $15,470 0.9× median
05377 OTHER	Level 7 Urology And Related Services	7	$12,226.92	$17,973.57	$12,838.26	nat. median $12,227 1.0× median
05115 OTHER	Level 5 Musculoskeletal Procedures	7	$11,898.14	$17,490.26	$12,493.04	nat. median $12,082 1.0× median

Other procedures at this hospital

Browse this hospital's 3,342 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

01907	OTHER	New Technology - Level 52 ($145,001-$160,000)	81	7	—	—	$138,332.29	$203,348.46	$145,248.90	2026-10-09
01908	OTHER	New Technology - Level 52 ($145,001-$160,000)	81	7	—	—	$138,332.29	$203,348.46	$145,248.90	2026-10-09
01906	OTHER	New Technology - Level 51 ($130,001-$145,000)	81	7	—	—	$124,725.88	$183,347.04	$130,962.17	2026-10-09
01905	OTHER	New Technology - Level 51 ($130,001-$145,000)	81	7	—	—	$124,725.88	$183,347.04	$130,962.17	2026-10-09
01903	OTHER	New Technology - Level 50 ($115,001-$130,000)	81	7	—	—	$111,119.47	$163,345.62	$116,675.44	2026-10-09
01904	OTHER	New Technology - Level 50 ($115,001-$130,000)	81	7	—	—	$111,119.47	$163,345.62	$116,675.44	2026-10-09
01902	OTHER	New Technology - Level 49 ($100,001-$115,000)	81	7	—	—	$97,513.06	$143,344.19	$102,388.71	2026-10-09
01901	OTHER	New Technology - Level 49 ($100,001-$115,000)	81	7	—	—	$97,513.06	$143,344.19	$102,388.71	2026-10-09
01585	OTHER	New Technology - Level 48 ($90,001-$100,000)	81	7	—	—	$86,174.38	$126,676.33	$90,483.09	2026-10-09
01599	OTHER	New Technology - Level 48 ($90,001-$100,000)	81	7	—	—	$86,174.38	$126,676.33	$90,483.09	2026-10-09
01598	OTHER	New Technology - Level 47 ($80,001-$90,000)	81	7	—	—	$77,103.45	$113,342.07	$80,958.62	2026-10-09
01584	OTHER	New Technology - Level 47 ($80,001-$90,000)	81	7	—	—	$77,103.45	$113,342.07	$80,958.62	2026-10-09
01583	OTHER	New Technology - Level 46 ($70,001-$80,000)	81	7	—	—	$68,032.51	$100,007.78	$71,434.13	2026-10-09
01597	OTHER	New Technology - Level 46 ($70,001-$80,000)	81	7	—	—	$68,032.51	$100,007.78	$71,434.13	2026-10-09
01596	OTHER	New Technology - Level 45 ($60,001-$70,000)	81	7	—	—	$58,961.56	$86,673.49	$61,909.63	2026-10-09
01582	OTHER	New Technology - Level 45 ($60,001-$70,000)	81	7	—	—	$58,961.56	$86,673.49	$61,909.63	2026-10-09
05244	OTHER	Level 4 Blood Product Exchange And Related Service	81	7	—	—	$58,293.05	$85,690.78	$61,207.70	2026-10-09
01581	OTHER	New Technology - Level 44 ($50,001-$60,000)	81	7	—	—	$49,890.63	$73,339.22	$52,385.16	2026-10-09
01595	OTHER	New Technology - Level 44 ($50,001-$60,000)	81	7	—	—	$49,890.63	$73,339.22	$52,385.16	2026-10-09
01594	OTHER	New Technology - Level 43 ($40,001-$50,000)	81	7	—	—	$40,819.68	$60,004.92	$42,860.66	2026-10-09
01580	OTHER	New Technology - Level 43 ($40,001-$50,000)	81	7	—	—	$40,819.68	$60,004.92	$42,860.66	2026-10-09
01579	OTHER	New Technology - Level 42 ($30,001-$40,000)	81	7	—	—	$31,748.74	$46,670.64	$33,336.17	2026-10-09
01593	OTHER	New Technology - Level 42 ($30,001-$40,000)	81	7	—	—	$31,748.74	$46,670.64	$33,336.17	2026-10-09
05166	OTHER	Cochlear Implant Procedure	81	7	—	—	$30,556.62	$44,918.23	$32,084.45	2026-10-09
05232	OTHER	Level 2 Icd And Similar Procedures	81	7	—	—	$29,089.35	$42,761.34	$30,543.81	2026-10-09
05465	OTHER	Level 5 Neurostimulator And Related Procedures	81	7	—	—	$28,597.10	$42,037.73	$30,026.95	2026-10-09
05200	OTHER	Implantation Wireless Pa Pressure Monitor	81	7	—	—	$26,582.05	$39,075.61	$27,911.15	2026-10-09
05117	OTHER	Level 7 Musculoskeletal Procedures	81	7	—	—	$25,146.21	$36,964.92	$26,403.52	2026-10-09
01592	OTHER	New Technology - Level 41 ($25,001-$30,000)	81	7	—	—	$24,945.54	$36,669.94	$26,192.81	2026-10-09
01578	OTHER	New Technology - Level 41 ($25,001-$30,000)	81	7	—	—	$24,945.54	$36,669.94	$26,192.81	2026-10-09
05213	OTHER	Level 3 Electrophysiologic Procedures	81	7	—	—	$24,223.03	$35,607.85	$25,434.18	2026-10-09
05231	OTHER	Level 1 Icd And Similar Procedures	81	7	—	—	$20,614.04	$30,302.63	$21,644.74	2026-10-09
01577	OTHER	New Technology - Level 40 ($20,001-$25,000)	81	7	—	—	$20,410.07	$30,002.80	$21,430.57	2026-10-09
01591	OTHER	New Technology - Level 40 ($20,001-$25,000)	81	7	—	—	$20,410.07	$30,002.80	$21,430.57	2026-10-09
05378	OTHER	Level 8 Urology And Related Services	81	7	—	—	$19,207.75	$28,235.39	$20,168.13	2026-10-09
05464	OTHER	Level 4 Neurostimulator And Related Procedures	81	7	—	—	$17,978.88	$26,428.95	$18,877.82	2026-10-09
05224	OTHER	Level 4 Pacemaker And Similar Procedures	81	7	—	—	$17,850.60	$26,240.38	$18,743.13	2026-10-09
05194	OTHER	Level 4 Endovascular Procedures	81	7	—	—	$16,988.69	$24,973.37	$17,838.12	2026-10-09
05471	OTHER	Implantation Of Drug Infusion Device	81	7	—	—	$16,703.44	$24,554.05	$17,538.61	2026-10-09
05116	OTHER	Level 6 Musculoskeletal Procedures	81	7	—	—	$16,249.31	$23,886.48	$17,061.77	2026-10-09
02616	OTHER	Brachytx, Non-str,yttrium-90	81	7	—	—	$16,119.98	$23,696.37	$16,925.97	2026-10-09
01590	OTHER	New Technology - Level 39 ($15,001-$20,000)	81	7	—	—	$15,874.60	$23,335.66	$16,668.33	2026-10-09
01576	OTHER	New Technology - Level 39 ($15,001-$20,000)	81	7	—	—	$15,874.60	$23,335.66	$16,668.33	2026-10-09
05496	OTHER	Level 6 Intraocular Procedures	81	7	—	—	$15,254.93	$22,424.74	$16,017.67	2026-10-09
05494	OTHER	Level 4 Intraocular Procedures	81	7	—	—	$13,443.41	$19,761.81	$14,115.58	2026-10-09
05495	OTHER	Level 5 Intraocular Procedures	81	7	—	—	$12,930.78	$19,008.24	$13,577.31	2026-10-09
05881	OTHER	Ancillary Outpatient Services When Patient Dies	81	7	—	—	$12,906.93	$18,973.18	$13,552.27	2026-10-09
05094	OTHER	Level 4 Breast/lymphatic Surgery And Related Proce	81	7	—	—	$12,771.37	$18,773.91	$13,409.93	2026-10-09
05377	OTHER	Level 7 Urology And Related Services	81	7	—	—	$12,226.92	$17,973.57	$12,838.26	2026-10-09
05115	OTHER	Level 5 Musculoskeletal Procedures	81	7	—	—	$11,898.14	$17,490.26	$12,493.04	2026-10-09
01589	OTHER	New Technology - Level 38 ($10,001-$15,000)	81	7	—	—	$11,339.13	$16,668.52	$11,906.08	2026-10-09
01575	OTHER	New Technology - Level 38 ($10,001-$15,000)	81	7	—	—	$11,339.13	$16,668.52	$11,906.08	2026-10-09
05193	OTHER	Level 3 Endovascular Procedures	81	7	—	—	$10,698.47	$15,726.75	$11,233.39	2026-10-09
05463	OTHER	Level 3 Neurostimulator And Related Procedures	81	7	—	—	$10,326.39	$15,179.79	$10,842.70	2026-10-09
05362	OTHER	Level 2 Laparoscopy And Related Services	81	7	—	—	$9,851.11	$14,481.13	$10,343.66	2026-10-09
05223	OTHER	Level 3 Pacemaker And Similar Procedures	81	7	—	—	$9,686.29	$14,238.84	$10,170.60	2026-10-09
J1162	HCPCS	Digifab 40mg Inj	298	25	$14,922.00	$10,012.66 33% off	$540.91	$14,922.00	$9,699.30	2026-10-09
01574	OTHER	New Technology - Level 37 ($9501-$10000)	81	7	—	—	$8,844.62	$13,001.59	$9,286.85	2026-10-09
01537	OTHER	New Technology - Level 37 ($9501-$10000)	81	7	—	—	$8,844.62	$13,001.59	$9,286.85	2026-10-09
05376	OTHER	Level 6 Urology And Related Services	81	7	—	—	$8,772.96	$12,896.25	$9,211.60	2026-10-09
01536	OTHER	New Technology - Level 36 ($9001-$9500)	81	7	—	—	$8,391.08	$12,334.88	$8,810.63	2026-10-09
01573	OTHER	New Technology - Level 36 ($9001-$9500)	81	7	—	—	$8,391.08	$12,334.88	$8,810.63	2026-10-09
05433	OTHER	Level 3 Nerve Procedures	81	7	—	—	$8,132.94	$11,955.42	$8,539.58	2026-10-09
01572	OTHER	New Technology - Level 35 ($8501-$9000)	81	7	—	—	$7,937.53	$11,668.16	$8,334.40	2026-10-09
01535	OTHER	New Technology - Level 35 ($8501-$9000)	81	7	—	—	$7,937.53	$11,668.16	$8,334.40	2026-10-09
05222	OTHER	Level 2 Pacemaker And Similar Procedures	81	7	—	—	$7,669.14	$11,273.63	$8,052.59	2026-10-09
05093	OTHER	Level 3 Breast/lymphatic Surgery And Related Proce	81	7	—	—	$7,574.62	$11,134.69	$7,953.35	2026-10-09
01534	OTHER	New Technology - Level 34 ($8001-$8500)	81	7	—	—	$7,483.98	$11,001.45	$7,858.17	2026-10-09
01571	OTHER	New Technology - Level 34 ($8001-$8500)	81	7	—	—	$7,483.98	$11,001.45	$7,858.17	2026-10-09
4604353	CDM	42182-repr Palate Up To 2cm	199	23	$7,781.00	$5,221.05 33% off	$1,556.20	$7,781.00	$7,781.00	2026-10-09
05212	OTHER	Level 2 Electrophysiologic Procedures	81	7	—	—	$7,228.27	$10,625.55	$7,589.68	2026-10-09
01533	OTHER	New Technology - Level 33 ($7501-$8000)	81	7	—	—	$7,030.43	$10,334.73	$7,381.95	2026-10-09
01570	OTHER	New Technology - Level 33 ($7501-$8000)	81	7	—	—	$7,030.43	$10,334.73	$7,381.95	2026-10-09
05416	OTHER	Level 6 Gynecologic Procedures	81	7	—	—	$6,872.19	$10,102.11	$7,215.79	2026-10-09
05627	OTHER	Level 7 Radiation Therapy	81	7	—	—	$6,825.72	$10,033.80	$7,167.00	2026-10-09
05114	OTHER	Level 4 Musculoskeletal Procedures	81	7	—	—	$6,724.63	$9,885.20	$7,060.86	2026-10-09
01569	OTHER	New Technology - Level 32 ($7001-$7500)	81	7	—	—	$6,576.88	$9,668.01	$6,905.72	2026-10-09
01532	OTHER	New Technology - Level 32 ($7001-$7500)	81	7	—	—	$6,576.88	$9,668.01	$6,905.72	2026-10-09
05155	OTHER	Level 5 Airway Endoscopy	81	7	—	—	$6,540.44	$9,614.44	$6,867.46	2026-10-09
05092	OTHER	Level 2 Breast/lymphatic Surgery And Related Proce	81	7	—	—	$6,153.72	$9,045.96	$6,461.40	2026-10-09
01568	OTHER	New Technology - Level 31 ($6501-$7000)	81	7	—	—	$6,123.34	$9,001.30	$6,429.50	2026-10-09
01531	OTHER	New Technology - Level 31 ($6501-$7000)	81	7	—	—	$6,123.34	$9,001.30	$6,429.50	2026-10-09
05342	OTHER	Level 2 Abdominal/peritoneal/biliary And Related P	81	7	—	—	$5,999.56	$8,819.35	$6,299.53	2026-10-09
05462	OTHER	Level 2 Neurostimulator And Related Procedures	81	7	—	—	$5,906.12	$8,681.99	$6,201.42	2026-10-09
01530	OTHER	New Technology - Level 30 ($6001-$6500)	81	7	—	—	$5,669.79	$8,334.59	$5,953.27	2026-10-09
01567	OTHER	New Technology - Level 30 ($6001-$6500)	81	7	—	—	$5,669.79	$8,334.59	$5,953.27	2026-10-09
05331	OTHER	Complex Gi Procedures	81	7	—	—	$5,626.15	$8,270.44	$5,907.45	2026-10-09
05361	OTHER	Level 1 Laparoscopy And Related Services	81	7	—	—	$5,602.64	$8,235.88	$5,882.77	2026-10-09
05165	OTHER	Level 5 ENT Procedures	81	7	—	—	$5,486.15	$8,064.64	$5,760.45	2026-10-09
05192	OTHER	Level 2 Endovascular Procedures	81	7	—	—	$5,274.60	$7,753.66	$5,538.33	2026-10-09
01566	OTHER	New Technology - Level 29 ($5501-$6000)	81	7	—	—	$5,216.24	$7,667.87	$5,477.05	2026-10-09
01529	OTHER	New Technology - Level 29 ($5501-$6000)	81	7	—	—	$5,216.24	$7,667.87	$5,477.05	2026-10-09
05184	OTHER	Level 4 Vascular Procedures	81	7	—	—	$5,156.84	$7,580.55	$5,414.68	2026-10-09
05375	OTHER	Level 5 Urology And Related Services	81	7	—	—	$4,968.99	$7,304.41	$5,217.43	2026-10-09
05493	OTHER	Level 3 Intraocular Procedures	81	7	—	—	$4,931.47	$7,249.26	$5,178.04	2026-10-09
4604517	CDM	27650-repr Prim Open Ruptrd Achilles Tn	199	23	$5,168.00	$3,467.72 33% off	$1,033.60	$5,168.00	$5,168.00	2026-10-09
4604109	CDM	24341-repr Tendon/muscle Ea Pri Or Sec	199	23	$5,168.00	$3,467.72 33% off	$1,033.60	$5,168.00	$5,168.00	2026-10-09
4428298	CDM	Bioarch/rod (wright Medical)	199	23	$5,126.00	$3,439.54 33% off	$1,025.20	$5,126.00	$5,126.00	2026-10-09
01565	OTHER	New Technology - Level 28 ($5001-$5500)	81	7	—	—	$4,762.70	$7,001.16	$5,000.83	2026-10-09
01528	OTHER	New Technology - Level 28 ($5001-$5500)	81	7	—	—	$4,762.70	$7,001.16	$5,000.83	2026-10-09
05415	OTHER	Level 5 Gynecologic Procedures	81	7	—	—	$4,635.98	$6,814.89	$4,867.77	2026-10-09
4604125	CDM	25260-repr Prim Tend/muscle/wrst Single	199	23	$4,600.00	$3,086.60 33% off	$920.00	$4,600.00	$4,600.00	2026-10-09
4604555	CDM	25270-repr Secnd Tend/muscle/wrist Singl	199	23	$4,600.00	$3,086.60 33% off	$920.00	$4,600.00	$4,600.00	2026-10-09
4604107	CDM	24000-arthromy Elbow Expl/drain Remv Fb	199	23	$4,600.00	$3,086.60 33% off	$920.00	$4,600.00	$4,600.00	2026-10-09
4604395	CDM	33210-insertion Of H	199	23	$4,532.00	$3,040.97 33% off	$906.40	$4,532.00	$4,532.00	2026-10-09
01564	OTHER	New Technology - Level 27 ($4501-$5000)	81	7	—	—	$4,309.15	$6,334.45	$4,524.60	2026-10-09
01527	OTHER	New Technology - Level 27 ($4501-$5000)	81	7	—	—	$4,309.15	$6,334.45	$4,524.60	2026-10-09
4604284	CDM	49999-unlisted Proc Abdmn, Peritonm	199	23	$4,495.00	$3,016.14 33% off	$899.00	$4,495.00	$4,495.00	2026-10-09
4604314	CDM	64831-suture Digital Nerve Hand/foot 1nr	199	23	$4,384.00	$2,941.66 33% off	$876.80	$4,384.00	$4,384.00	2026-10-09
4604276	CDM	46040-i&d Isch/rei Rectal Abcess	199	23	$4,309.00	$2,891.33 33% off	$861.80	$4,309.00	$4,309.00	2026-10-09
05243	OTHER	Level 3 Blood Product Exchange And Related Service	81	7	—	—	$4,036.43	$5,933.55	$4,238.25	2026-10-09
4604193	CDM	28810-amputate Metatarsal, W/toe Single	199	23	$4,185.00	$2,808.13 33% off	$837.00	$4,185.00	$4,185.00	2026-10-09
36561	CPT	36561-tunneled Cva Device > 5 Yrs	303	25	$6,427.15	$4,312.61 33% off	$297.00	$6,427.15	$4,177.64	2026-10-09
36556	CPT	36556 Non Tunnel Central Venous L 5 Yrs>	303	25	$6,427.15	$4,312.61 33% off	$250.00	$6,427.15	$4,177.64	2026-10-09
01526	OTHER	New Technology - Level 26 ($4001-$4500)	81	7	—	—	$3,855.60	$5,667.73	$4,048.38	2026-10-09
01563	OTHER	New Technology - Level 26 ($4001-$4500)	81	7	—	—	$3,855.60	$5,667.73	$4,048.38	2026-10-09
4604283	CDM	49587-repr Umbilical Hrnia Incarctd/strg	199	23	$4,044.00	$2,713.52 33% off	$808.80	$4,044.00	$4,044.00	2026-10-09
05492	OTHER	Level 2 Intraocular Procedures	81	7	—	—	$3,830.61	$5,630.99	$4,022.14	2026-10-09
36561-50	OTHER	Insert Tunneled Cv Cath	6	2	$6,427.15	—	$3,891.83	$3,891.83	$3,891.83	2026-10-09
05504	OTHER	Level 4 Extraocular, Repair, And Plastic Eye Proce	81	7	—	—	$3,643.39	$5,355.78	$3,825.55	2026-10-09
05091	OTHER	Level 1 Breast/lymphatic Surgery And Related Proce	81	7	—	—	$3,628.59	$5,334.02	$3,810.01	2026-10-09
05303	OTHER	Level 3 Upper Gi Procedures	81	7	—	—	$3,573.03	$5,252.35	$3,751.68	2026-10-09
4604168	CDM	27752-tx Clsd Tibia W/wo Fiblr Fx W/wo T	199	23	$3,693.00	$2,478.00 33% off	$738.60	$3,693.00	$3,693.00	2026-10-09
4604294	CDM	54001-slit Prepuce Dorsal\lat Not Newbn	199	23	$3,691.00	$2,476.66 33% off	$738.20	$3,691.00	$3,691.00	2026-10-09
05221	OTHER	Level 1 Pacemaker And Similar Procedures	81	7	—	—	$3,463.20	$5,090.90	$3,636.36	2026-10-09
05154	OTHER	Level 4 Airway Endoscopy	81	7	—	—	$3,455.21	$5,079.15	$3,627.97	2026-10-09
01525	OTHER	New Technology - Level 25 ($3501-$4000)	81	7	—	—	$3,402.06	$5,001.02	$3,572.16	2026-10-09
01562	OTHER	New Technology - Level 25 ($3501-$4000)	81	7	—	—	$3,402.06	$5,001.02	$3,572.16	2026-10-09
4604479	CDM	26350-repr Flexor Tend Prim/sec Wo Gr Ea	199	23	$3,548.00	$2,380.70 33% off	$709.60	$3,548.00	$3,548.00	2026-10-09
05341	OTHER	Level 1 Abdominal/peritoneal/biliary And Related P	81	7	—	—	$3,318.11	$4,877.62	$3,484.01	2026-10-09
05055	OTHER	Level 5 Skin Procedures	81	7	—	—	$3,284.12	$4,827.65	$3,448.32	2026-10-09
05374	OTHER	Level 4 Urology And Related Services	81	7	—	—	$3,266.75	$4,802.12	$3,430.08	2026-10-09
05461	OTHER	Level 1 Neurostimulator And Related Procedures	81	7	—	—	$3,239.99	$4,762.78	$3,401.98	2026-10-09
05432	OTHER	Level 2 Nerve Procedures	81	7	—	—	$3,165.89	$4,653.85	$3,324.18	2026-10-09
4604505	CDM	20525-remv Fb Muscle/tendon Deep/compl	199	23	$3,300.00	$2,214.30 33% off	$660.00	$3,300.00	$3,300.00	2026-10-09
4604295	CDM	54700-i&d Epididymis Testis Scrotal Spac	199	23	$3,296.00	$2,211.61 33% off	$659.20	$3,296.00	$3,296.00	2026-10-09
4604538	CDM	21440-tx Closed Mandibular/maxil Fractur	199	23	$3,291.00	$2,208.26 33% off	$658.20	$3,291.00	$3,291.00	2026-10-09
05164	OTHER	Level 4 ENT Procedures	81	7	—	—	$3,072.58	$4,516.69	$3,226.20	2026-10-09
05113	OTHER	Level 3 Musculoskeletal Procedures	81	7	—	—	$3,032.30	$4,457.48	$3,183.91	2026-10-09
4604156	CDM	26951-amputate Phalanx Prim/sec Sing Clo	199	23	$3,164.00	$2,123.04 33% off	$632.80	$3,164.00	$3,164.00	2026-10-09
05191	OTHER	Level 1 Endovascular Procedures	81	7	—	—	$3,004.43	$4,416.51	$3,154.65	2026-10-09
05414	OTHER	Level 4 Gynecologic Procedures	81	7	—	—	$2,999.98	$4,409.97	$3,149.97	2026-10-09
01561	OTHER	New Technology - Level 24 ($3001-$3500)	81	7	—	—	$2,948.51	$4,334.30	$3,095.93	2026-10-09
01524	OTHER	New Technology - Level 24 ($3001-$3500)	81	7	—	—	$2,948.51	$4,334.30	$3,095.93	2026-10-09
05183	OTHER	Level 3 Vascular Procedures	81	7	—	—	$2,926.17	$4,301.46	$3,072.47	2026-10-09
4604384	CDM	28020-arthrotomy & Expl/drain/remv Fb	199	23	$3,065.00	$2,056.61 33% off	$613.00	$3,065.00	$3,065.00	2026-10-09
4604182	CDM	28208-repr Tendon/foot Prim-sec Ea	199	23	$3,065.00	$2,056.61 33% off	$613.00	$3,065.00	$3,065.00	2026-10-09
81162	CPT	Brc Avantage, Conprehensive	385	26	$4,563.00	$3,061.77 33% off	$912.60	$5,868.62	$3,061.77	2026-10-09
4604079	CDM	19020 Mastotomy W Explor Drng Abcess	199	23	$3,000.00	$2,013.00 33% off	$600.00	$3,000.00	$3,000.00	2026-10-09
4604226	CDM	31530-laryngoscpe Direct W Fb Removal	199	23	$2,997.00	$2,010.98 33% off	$599.40	$2,997.00	$2,997.00	2026-10-09
4604235	CDM	35207-repair Blood V	199	23	$2,960.00	$1,986.16 33% off	$592.00	$2,960.00	$2,960.00	2026-10-09
4604539	CDM	27658-repr Flexor Tendon Prim Wo Gr Ea	199	23	$2,878.00	$1,931.13 33% off	$575.60	$2,878.00	$2,878.00	2026-10-09
4604486	CDM	25248-rmv Fb Explr Deep Wrist/forearm	199	23	$2,878.00	$1,931.13 33% off	$575.60	$2,878.00	$2,878.00	2026-10-09
05073	OTHER	Level 3 Excision/ Biopsy/ Incision And Drainage	81	7	—	—	$2,691.92	$3,957.12	$2,826.51	2026-10-09
4604194	CDM	28820-amputate Toe Metatarsal Joint	199	23	$2,815.00	$1,888.86 33% off	$563.00	$2,815.00	$2,815.00	2026-10-09
4604305	CDM	59409-vaginal Delivery Only W/wo Forcp	199	23	$2,800.00	$1,878.80 33% off	$560.00	$2,800.00	$2,800.00	2026-10-09
4601105	CDM	59514-cesarean Delivery Only	199	23	$2,800.00	$1,878.80 33% off	$560.00	$2,800.00	$2,800.00	2026-10-09
4604160	CDM	27372-rmvl Fb Deep Thigh Or Knee Area	199	23	$2,763.00	$1,853.97 33% off	$552.60	$2,763.00	$2,763.00	2026-10-09
05313	OTHER	Level 3 Lower Gi Procedures	81	7	—	—	$2,572.32	$3,781.31	$2,700.93	2026-10-09
01523	OTHER	New Technology - Level 23 ($2501-$3000)	81	7	—	—	$2,494.97	$3,667.60	$2,619.71	2026-10-09
01560	OTHER	New Technology - Level 23 ($2501-$3000)	81	7	—	—	$2,494.97	$3,667.60	$2,619.71	2026-10-09
4604138	CDM	26418 Repr Extnsr Tendon Finger Prim/sec	199	23	$2,600.00	$1,744.60 33% off	$520.00	$2,600.00	$2,600.00	2026-10-09
4604083	CDM	20102-explore Pentrat Wound Abdomen/back	199	23	$2,569.00	$1,723.79 33% off	$513.80	$2,569.00	$2,569.00	2026-10-09
4604563	CDM	20101-explore Pentrat Wound Chest	199	23	$2,569.00	$1,723.79 33% off	$513.80	$2,569.00	$2,569.00	2026-10-09
08011	OTHER	Comprehensive Observation Services	81	7	—	—	$2,423.89	$3,563.11	$2,545.08	2026-10-09
4604321	CDM	65270-repr Conjctv W/wo Nonperf Lac	199	23	$2,544.00	$1,707.02 33% off	$508.80	$2,544.00	$2,544.00	2026-10-09
4604120	CDM	24605-tx Clsd Elbow Dislocation W Anesth	199	23	$2,500.00	$1,677.50 33% off	$500.00	$2,500.00	$2,500.00	2026-10-09
4604296	CDM	55100-drainage Of Scrotal Wall Abcess	199	23	$2,440.00	$1,637.24 33% off	$488.00	$2,440.00	$2,440.00	2026-10-09
4604290	CDM	53620-dilate Urethral Passage Male Init	199	23	$2,334.00	$1,566.11 33% off	$466.80	$2,334.00	$2,334.00	2026-10-09
36590	CPT	36590 Removal Tunneled Cv Cath	303	25	$3,590.00	$2,408.89 33% off	$297.00	$3,590.00	$2,333.50	2026-10-09
05503	OTHER	Level 3 Extraocular, Repair, And Plastic Eye Proce	81	7	—	—	$2,203.31	$3,238.86	$2,313.47	2026-10-09
4604246	CDM	37799-cascular Surge	199	23	$2,272.00	$1,524.51 33% off	$454.40	$2,272.00	$2,272.00	2026-10-09
4604519	CDM	41008-drain Floor Mouth Submanidblar	199	23	$2,269.00	$1,522.49 33% off	$453.80	$2,269.00	$2,269.00	2026-10-09
4604549	CDM	42300-drain Partoid Simple	199	23	$2,269.00	$1,522.49 33% off	$453.80	$2,269.00	$2,269.00	2026-10-09
4604272	CDM	45005-i&d Submucosal Abcess Rectum	199	23	$2,252.00	$1,511.09 33% off	$450.40	$2,252.00	$2,252.00	2026-10-09
05491	OTHER	Level 1 Intraocular Procedures	81	7	—	—	$2,138.76	$3,143.97	$2,245.69	2026-10-09
4604445	CDM	26236-excs Distal Phalanx Of Finger	199	23	$2,208.00	$1,481.56 33% off	$441.60	$2,208.00	$2,208.00	2026-10-09
4604420	CDM	26410-repr Ext Tend Prim/sec Wo Gr Ea	199	23	$2,208.00	$1,481.56 33% off	$441.60	$2,208.00	$2,208.00	2026-10-09
4604510	CDM	25111-excsn Ganglion Wrist Primary	199	23	$2,208.00	$1,481.56 33% off	$441.60	$2,208.00	$2,208.00	2026-10-09
4604157	CDM	26952-ampute Phalanx W Local Adv Flaps	199	23	$2,208.00	$1,481.56 33% off	$441.60	$2,208.00	$2,208.00	2026-10-09
4604361	CDM	26540-repr Coll Ligmt Metcphalgl Jt	199	23	$2,208.00	$1,481.56 33% off	$441.60	$2,208.00	$2,208.00	2026-10-09
4604277	CDM	46050-i&d Perinal Abscess Superficial	199	23	$2,202.00	$1,477.54 33% off	$440.40	$2,202.00	$2,202.00	2026-10-09
4604225	CDM	31525-laryngoscpe W/wo Trach Aspir Dire	199	23	$2,183.00	$1,464.79 33% off	$436.60	$2,183.00	$2,183.00	2026-10-09
4604451	CDM	11044-debrmt Bone W/dermis 20cm - <	199	23	$2,167.00	$1,454.05 33% off	$433.40	$2,167.00	$2,167.00	2026-10-09
7781035	CDM	11044-debridement	199	23	$2,167.00	$1,454.05 33% off	$433.40	$2,167.00	$2,167.00	2026-10-09
4604327	CDM	67935-sutr Wound Lid Closure Full Think	199	23	$2,150.00	$1,442.65 33% off	$430.00	$2,150.00	$2,150.00	2026-10-09
01559	OTHER	New Technology - Level 22 ($2001-$2500)	81	7	—	—	$2,041.42	$3,000.88	$2,143.49	2026-10-09
01522	OTHER	New Technology - Level 22 ($2001-$2500)	81	7	—	—	$2,041.42	$3,000.88	$2,143.49	2026-10-09
4604565	CDM	10121-incision & Remove Fb Complicated	199	23	$2,117.00	$1,420.50 33% off	$423.40	$2,117.00	$2,117.00	2026-10-09
4604181	CDM	28192-remv Fb Foot Subcutans Deep	199	23	$2,117.00	$1,420.50 33% off	$423.40	$2,117.00	$2,117.00	2026-10-09
4604396	CDM	66250-repr Opertv Wound Anterior Seg	199	23	$2,070.00	$1,388.97 33% off	$414.00	$2,070.00	$2,070.00	2026-10-09
4604466	CDM	59414-delivery Of Placenta	199	23	$2,067.00	$1,386.95 33% off	$413.40	$2,067.00	$2,067.00	2026-10-09
4604568	CDM	36569-insert Periphral Cv Cat Picc 5yr>	199	23	$2,056.00	$1,379.57 33% off	$411.20	$2,056.00	$2,056.00	2026-10-09
36573	CPT	36573-picc >5 W/guidance	298	25	$3,157.17	$2,118.46 33% off	$297.00	$3,157.17	$2,052.16	2026-10-09
36569	CPT	36569-non Tunnell Picc 5 Yrs > Older	303	25	$3,157.17	$2,118.46 33% off	$180.60	$3,157.17	$2,052.16	2026-10-09
05373	OTHER	Level 3 Urology And Related Services	81	7	—	—	$1,937.25	$2,847.75	$2,034.11	2026-10-09
4604418	CDM	27266-tx Clsd Post Hip Arthro Discl W An	199	23	$2,025.00	$1,358.77 33% off	$405.00	$2,025.00	$2,025.00	2026-10-09
4604166	CDM	27562-tx Clsd Patellar Discltn W Anesth	199	23	$2,025.00	$1,358.77 33% off	$405.00	$2,025.00	$2,025.00	2026-10-09
4604522	CDM	28665-tx Clsd Interphgl Jt Discl W Aneth	199	23	$2,025.00	$1,358.77 33% off	$405.00	$2,025.00	$2,025.00	2026-10-09
4604103	CDM	23655-tx/shoud/anes	199	23	$2,025.00	$1,358.77 33% off	$405.00	$2,025.00	$2,025.00	2026-10-09
05054	OTHER	Level 4 Skin Procedures	81	7	—	—	$1,912.12	$2,810.81	$2,007.72	2026-10-09
4604460	CDM	35226-repair Blood V	199	23	$1,975.00	$1,325.22 33% off	$395.00	$1,975.00	$1,975.00	2026-10-09
4604411	CDM	35860-explore Limb V	199	23	$1,975.00	$1,325.22 33% off	$395.00	$1,975.00	$1,975.00	2026-10-09
4604482	CDM	35201-repair Blood V	199	23	$1,975.00	$1,325.22 33% off	$395.00	$1,975.00	$1,975.00	2026-10-09
4604245	CDM	37565-ligation Of Ne	199	23	$1,975.00	$1,325.22 33% off	$395.00	$1,975.00	$1,975.00	2026-10-09
4604234	CDM	35206-repair Blood V	199	23	$1,975.00	$1,325.22 33% off	$395.00	$1,975.00	$1,975.00	2026-10-09
4601003	CDM	10081-incision & Drain Pilndal Cyst Com	199	23	$1,950.00	$1,308.45 33% off	$390.00	$1,950.00	$1,950.00	2026-10-09
4604490	CDM	26011 Drain Finger Abcess Comp Ea Finger	199	23	$1,950.00	$1,308.45 33% off	$390.00	$1,950.00	$1,950.00	2026-10-09
4604323	CDM	67560-removal Of Revision Orbital Impl	199	23	$1,934.00	$1,297.71 33% off	$386.80	$1,934.00	$1,934.00	2026-10-09
4604425	CDM	46270-removal Of Ana	199	23	$1,905.00	$1,278.25 33% off	$381.00	$1,905.00	$1,905.00	2026-10-09
05431	OTHER	Level 1 Nerve Procedures	81	7	—	—	$1,809.67	$2,660.21	$1,900.15	2026-10-09
4604297	CDM	55120-remove Fb Scrotum	199	23	$1,894.00	$1,270.87 33% off	$378.80	$1,894.00	$1,894.00	2026-10-09
4604009	CDM	10140-i&d Hematoma/seroma, Fluid Coll	199	23	$1,892.00	$1,269.53 33% off	$378.40	$1,892.00	$1,892.00	2026-10-09
05302	OTHER	Level 2 Upper Gi Procedures	81	7	—	—	$1,778.33	$2,614.14	$1,867.24	2026-10-09
01521	OTHER	New Technology - Level 21 ($1901-$2000)	81	7	—	—	$1,769.29	$2,600.85	$1,857.75	2026-10-09
01558	OTHER	New Technology - Level 21 ($1901-$2000)	81	7	—	—	$1,769.29	$2,600.85	$1,857.75	2026-10-09
4601077	CDM	23505-reduct Clavicl	199	23	$1,800.00	$1,207.80 33% off	$360.00	$1,800.00	$1,800.00	2026-10-09
4601080	CDM	32554-thoracentesis	199	23	$1,793.00	$1,203.10 33% off	$358.60	$1,793.00	$1,793.00	2026-10-09
01520	OTHER	New Technology - Level 20 ($1801-$1900)	81	7	—	—	$1,678.57	$2,467.49	$1,762.49	2026-10-09
01557	OTHER	New Technology - Level 20 ($1801-$1900)	81	7	—	—	$1,678.57	$2,467.49	$1,762.49	2026-10-09
3101220	CDM	Med/surg Telemetry B	199	23	$1,746.00	$1,171.56 33% off	$349.20	$1,746.00	$1,746.00	2026-10-09
05626	OTHER	Level 6 Radiation Therapy	81	7	—	—	$1,657.06	$2,435.87	$1,739.91	2026-10-09
05153	OTHER	Level 3 Airway Endoscopy	81	7	—	—	$1,649.50	$2,424.76	$1,731.97	2026-10-09
4604011	CDM	10180-incis & Drain Post Op Wound Comple	199	23	$1,724.80	$1,157.34 33% off	$344.96	$1,724.80	$1,724.80	2026-10-09
01519	OTHER	New Technology - Level 19 ($1701-$1800)	81	7	—	—	$1,587.87	$2,334.16	$1,667.26	2026-10-09
01556	OTHER	New Technology - Level 19 ($1701-$1800)	81	7	—	—	$1,587.87	$2,334.16	$1,667.26	2026-10-09
4604379	CDM	23140 Remove Bone Le	199	23	$1,660.00	$1,113.86 33% off	$332.00	$1,660.00	$1,660.00	2026-10-09
05072	OTHER	Level 2 Excision/ Biopsy/ Incision And Drainage	81	7	—	—	$1,530.61	$2,249.99	$1,607.14	2026-10-09
3301150	CDM	ICU Bed	199	23	$1,600.00	$1,073.60 33% off	$320.00	$1,600.00	$1,600.00	2026-10-09
4604333	CDM	69205-rmv Fb Extnl Ear Canal W Anesth	199	23	$1,592.00	$1,068.23 33% off	$318.40	$1,592.00	$1,592.00	2026-10-09
01518	OTHER	New Technology - Level 18 ($1601-$1700)	81	7	—	—	$1,497.16	$2,200.82	$1,572.01	2026-10-09
01555	OTHER	New Technology - Level 18 ($1601-$1700)	81	7	—	—	$1,497.16	$2,200.82	$1,572.01	2026-10-09
4604475	CDM	57210-repr Vagina Nonobstetrical	199	23	$1,570.00	$1,053.47 33% off	$314.00	$1,570.00	$1,570.00	2026-10-09
05112	OTHER	Level 2 Musculoskeletal Procedures	81	7	—	—	$1,490.19	$2,190.57	$1,564.69	2026-10-09
3101700	CDM	Swing Bed	199	23	$1,552.00	$1,041.39 33% off	$310.40	$1,552.00	$1,552.00	2026-10-09
4604180	CDM	28190 Remv Foreign Body, Foot Subcutans	199	23	$1,536.00	$1,030.65 33% off	$307.20	$1,536.00	$1,536.00	2026-10-09
05182	OTHER	Level 2 Vascular Procedures	81	7	—	—	$1,458.83	$2,144.48	$1,531.77	2026-10-09
4604525	CDM	46230-rmv Mulp Ext Papillae Or Tags Anus	199	23	$1,525.00	$1,023.27 33% off	$305.00	$1,525.00	$1,525.00	2026-10-09
05242	OTHER	Level 2 Blood Product Exchange And Related Service	81	7	—	—	$1,443.33	$2,121.69	$1,515.49	2026-10-09
05163	OTHER	Level 3 ENT Procedures	81	7	—	—	$1,437.92	$2,113.74	$1,509.81	2026-10-09
4604326	CDM	67930-sutr Wound Lid Closure Part Thick	199	23	$1,505.00	$1,009.85 33% off	$301.00	$1,505.00	$1,505.00	2026-10-09
4001413	CDM	Or Level 6 Ea 1/4 Hr	199	23	$1,500.00	$1,006.50 33% off	$300.00	$1,500.00	$1,500.00	2026-10-09
4604329	CDM	68530-remove Fb Dacryolith Lacrimal Pass	199	23	$1,485.00	$996.43 33% off	$297.00	$1,485.00	$1,485.00	2026-10-09
01517	OTHER	New Technology - Level 17 ($1501-$1600)	81	7	—	—	$1,406.45	$2,067.48	$1,476.77	2026-10-09
01554	OTHER	New Technology - Level 17 ($1501-$1600)	81	7	—	—	$1,406.45	$2,067.48	$1,476.77	2026-10-09
P9052	HCPCS	Platelets,hla-matched,leukocytes Reduced	251	24	$1,808.00	$1,213.16 33% off	$361.60	$1,808.00	$1,446.40	2026-10-09
4604441	CDM	56501-destruct Lesion Vulva Simple	199	23	$1,429.00	$958.85 33% off	$285.80	$1,429.00	$1,429.00	2026-10-09
4604253	CDM	41252-repr > 2.6 Cm Floor Mouth/tongue	199	23	$1,423.00	$954.83 33% off	$284.60	$1,423.00	$1,423.00	2026-10-09
P9073	HCPCS	Pr Platelets	251	24	$1,775.00	$1,191.02 33% off	$355.00	$1,775.00	$1,420.00	2026-10-09
4601106	CDM	36555-central Line Placement<5yrs Old	199	23	$1,418.00	$951.47 33% off	$283.60	$1,418.00	$1,418.00	2026-10-09
05594	OTHER	Level 4 Nuclear Medicine And Related Services	81	7	—	—	$1,325.19	$1,948.02	$1,391.44	2026-10-09
01516	OTHER	New Technology - Level 16 ($1401 - $1500)	81	7	—	—	$1,315.74	$1,934.13	$1,381.52	2026-10-09
01553	OTHER	New Technology - Level 16 ($1401 - $1500)	81	7	—	—	$1,315.74	$1,934.13	$1,381.52	2026-10-09
J1212	HCPCS	Dmso 50ml Inj	298	25	$2,085.00	$1,399.03 33% off	$2.14	$2,085.00	$1,355.25	2026-10-09
05613	OTHER	Level 3 Therapeutic Radiation Treatment Preparatio	81	7	—	—	$1,282.73	$1,885.61	$1,346.86	2026-10-09
4604229	CDM	31899-unlisted Proc Trachea, Bronchi	199	23	$1,327.00	$890.41 33% off	$265.40	$1,327.00	$1,327.00	2026-10-09
4604228	CDM	31622-dx Bronchoscop	199	23	$1,327.00	$890.41 33% off	$265.40	$1,327.00	$1,327.00	2026-10-09
4001412	CDM	Or Level 5 Ea 1/4 Hr	199	23	$1,300.00	$872.30 33% off	$260.00	$1,300.00	$1,300.00	2026-10-09
05045	OTHER	Trauma Response With Critical Care	81	7	—	—	$1,235.26	$1,815.83	$1,297.02	2026-10-09
01515	OTHER	New Technology - Level 15 ($1301 - $1400)	81	7	—	—	$1,225.03	$1,800.79	$1,286.28	2026-10-09
01552	OTHER	New Technology - Level 15 ($1301 - $1400)	81	7	—	—	$1,225.03	$1,800.79	$1,286.28	2026-10-09
4604019	CDM	11420-excsn Benign Lesion Skin .5cm - <	199	23	$1,280.00	$858.88 33% off	$256.00	$1,280.00	$1,280.00	2026-10-09
4605001	CDM	11422-excsn Benign Lesion Skin 1.1-2.0cm	199	23	$1,280.00	$858.88 33% off	$256.00	$1,280.00	$1,280.00	2026-10-09
4604571	CDM	11421-excsn Benign Lesion Skin .6-1.0cm	199	23	$1,280.00	$858.88 33% off	$256.00	$1,280.00	$1,280.00	2026-10-09
4605002	CDM	11423-excsn Benign Lesion Skin 2.1-3.0cm	199	23	$1,280.00	$858.88 33% off	$256.00	$1,280.00	$1,280.00	2026-10-09
4604271	CDM	44799-unlisted Proc Intestine	199	23	$1,279.00	$858.20 33% off	$255.80	$1,279.00	$1,279.00	2026-10-09
J1670	HCPCS	Tetanus Immune Globulin 250 Units	298	25	$1,947.50	$1,306.77 33% off	$11.42	$1,947.50	$1,265.87	2026-10-09
3101000	CDM	Med/surg Bed	199	23	$1,261.00	$846.13 33% off	$252.20	$1,261.00	$1,261.00	2026-10-09
05593	OTHER	Level 3 Nuclear Medicine And Related Services	81	7	—	—	$1,199.81	$1,763.72	$1,259.80	2026-10-09
4604558	CDM	27781-tx Clsd Proximal Fibula Fx W Mani	199	23	$1,250.00	$838.75 33% off	$250.00	$1,250.00	$1,250.00	2026-10-09
4601087	CDM	46608-fb Remvl Rectum	199	23	$1,238.00	$830.69 33% off	$247.60	$1,238.00	$1,238.00	2026-10-09
05625	OTHER	Level 5 Radiation Therapy	81	7	—	—	$1,158.19	$1,702.53	$1,216.09	2026-10-09
01514	OTHER	New Technology - Level 14 ($1201- $1300)	81	7	—	—	$1,134.32	$1,667.45	$1,191.03	2026-10-09
01551	OTHER	New Technology - Level 14 ($1201- $1300)	81	7	—	—	$1,134.32	$1,667.45	$1,191.03	2026-10-09
05211	OTHER	Level 1 Electrophysiologic Procedures	81	7	—	—	$1,128.34	$1,658.65	$1,184.75	2026-10-09
4604159	CDM	27252-tx Clsd Hip Dislc Traumatic W Anes	199	23	$1,167.00	$783.05 33% off	$233.40	$1,167.00	$1,167.00	2026-10-09
4604155	CDM	26775-tx Clsd Phalng Jt Sin W Mani W Ane	199	23	$1,167.00	$783.05 33% off	$233.40	$1,167.00	$1,167.00	2026-10-09
05312	OTHER	Level 2 Lower Gi Procedures	81	7	—	—	$1,108.97	$1,630.18	$1,164.41	2026-10-09
4604442	CDM	40652-repr Lip Up To Half Verical Height	199	23	$1,144.00	$767.62 33% off	$228.80	$1,144.00	$1,144.00	2026-10-09
4604446	CDM	40831-repr Vestibule Mouth >2.5cm Comp	199	23	$1,144.00	$767.62 33% off	$228.80	$1,144.00	$1,144.00	2026-10-09
4604248	CDM	40650-repr Lip, Full Think Vermilion	199	23	$1,144.00	$767.62 33% off	$228.80	$1,144.00	$1,144.00	2026-10-09
4604249	CDM	40654-repr Lip > 1/2 Vert Hight Complex	199	23	$1,144.00	$767.62 33% off	$228.80	$1,144.00	$1,144.00	2026-10-09
4604227	CDM	31603-tracheostomy Ep Transtracheal	199	23	$1,144.00	$767.62 33% off	$228.80	$1,144.00	$1,144.00	2026-10-09
4604467	CDM	21320-tx Closed Nasal Bone W Stabilizat	199	23	$1,144.00	$767.62 33% off	$228.80	$1,144.00	$1,144.00	2026-10-09
4604130	CDM	25600-tx Cld Dist/rad Fx W/cld Uln Wo Ma	199	23	$1,142.00	$766.28 33% off	$228.40	$1,142.00	$1,142.00	2026-10-09
4604131	CDM	25605-tx Cld Dist/rad Fx W/cld Ulnr W/ma	199	23	$1,142.00	$766.28 33% off	$228.40	$1,142.00	$1,142.00	2026-10-09
4605005	CDM	12047-repr Neck/hand/feet > 30cm	199	23	$1,140.00	$764.94 33% off	$228.00	$1,140.00	$1,140.00	2026-10-09
4605006	CDM	12057-repr Interm Face > 30cm	199	23	$1,140.00	$764.94 33% off	$228.00	$1,140.00	$1,140.00	2026-10-09
4604262	CDM	43247-egd Upper Removal Fb	199	23	$1,139.00	$764.26 33% off	$227.80	$1,139.00	$1,139.00	2026-10-09
4604268	CDM	43870-clsr Of Gastrostomy Surgical	199	23	$1,139.00	$764.26 33% off	$227.80	$1,139.00	$1,139.00	2026-10-09
4601079	CDM	31605-cricothyrotomy/tracheostomy	199	23	$1,133.00	$760.24 33% off	$226.60	$1,133.00	$1,133.00	2026-10-09
4428292	CDM	Recon Plate Stryker	199	23	$1,129.00	$757.55 33% off	$225.80	$1,129.00	$1,129.00	2026-10-09
7781013	CDM	11750-excision Nail	199	23	$1,118.00	$750.17 33% off	$223.60	$1,118.00	$1,118.00	2026-10-09
4005511	CDM	Portacath System	199	23	$1,118.00	$750.17 33% off	$223.60	$1,118.00	$1,118.00	2026-10-09
4001411	CDM	Or Level 4 Ea 1/4 Hr	199	23	$1,100.00	$738.10 33% off	$220.00	$1,100.00	$1,100.00	2026-10-09
01550	OTHER	New Technology - Level 13 ($1101 - $1200)	81	7	—	—	$1,043.61	$1,534.10	$1,095.79	2026-10-09
01513	OTHER	New Technology - Level 13 ($1101 - $1200)	81	7	—	—	$1,043.61	$1,534.10	$1,095.79	2026-10-09
4604280	CDM	46999-unlisted Procedure Anus	199	23	$1,088.00	$730.04 33% off	$217.60	$1,088.00	$1,088.00	2026-10-09
4604026	CDM	11750-excision Of Nail/part/compl Perman	199	23	$1,084.00	$727.36 33% off	$216.80	$1,084.00	$1,084.00	2026-10-09
4604547	CDM	12037-repr Head/body/extm > 30cm	199	23	$1,080.00	$724.68 33% off	$216.00	$1,080.00	$1,080.00	2026-10-09

See an error in this hospital's data? Submit a correction