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 →

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Hospital

GLENN MEDICAL CENTER

Willows, CA · CCN 051306 · Rates published

7,074 distinct procedures filed
28 distinct payers
193,156 rate rows
2025-10-04 last MRF observed · ⚠ 13 mo old
Data quality

187,074 of 193,156 rate rows are consumer-grade (96.9%)

6,082 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,285
per-diem day rate — not a per-procedure price 352
exceeds 10× this hospital's gross charge — excluded from medians 213
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 144
exceeds 3× this hospital's gross charge for a DRG stay — excluded 66
percent-of-charges filed in the dollar field — excluded from medians 22

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbGMCWILLOWSCA&type=CDMWithoutLabel&fileType=CSV
Found on page https://gmcmed.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-09
Content fingerprint dc3b40b41769d135… · 63,518,922 bytes · first seen 2026-11-02

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
05201301_1
CDM 		Quetiapine Fumarate 400 Mg Tab 3 $2,449,323.14 $3,215,961.28 $3,184,120.08 nat. median
$3,184,120
1.0× median
05203718_1
CDM 		Nystatin 10 Billion Unit Powd 24 $45,953.46 $145,519.29 $137,860.38 nat. median
$137,860
1.0× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 $53,640.73 $53,640.73 $53,640.73 nat. median
$18,107
outlier · 3.0×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 $53,640.73 $53,640.73 $53,640.73 nat. median
$11,464
outlier · 4.7×
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 1 $33,150.63 $33,150.63 $33,150.63 nat. median
$14,464
outlier · 2.3×
05203082_1
CDM 		Nf-diclo Gel Topical Application Gel 1% 24 $8,451.77 $26,763.92 $25,355.30 nat. median
$25,355
1.0× median
92
MS_DRG 		Other Disorders Of Nervous System With Cc 1 $24,930.99 $24,930.99 $24,930.99 nat. median
$10,574
outlier · 2.4×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 $23,183.64 $23,183.64 $23,183.64 nat. median
$19,192
1.2× median
540
MS_DRG 		Osteomyelitis With Cc 1 $22,605.52 $22,605.52 $22,605.52 nat. median
$12,727
1.8× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 $21,753.35 $21,753.35 $21,753.35 nat. median
$10,374
outlier · 2.1×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $21,753.35 $21,753.35 $21,753.35 nat. median
$18,592
1.2× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 1 $20,342.07 $20,342.07 $20,342.07 nat. median
$17,810
1.1× median
197
MS_DRG 		Interstitial Lung Disease With Cc 1 $20,342.07 $20,342.07 $20,342.07 nat. median
$10,119
outlier · 2.0×
814
MS_DRG 		Reticuloendothelial And Immunity Disorders With Mcc 1 $20,041.01 $20,041.01 $20,041.01 nat. median
$19,893
1.0× median
185
MS_DRG 		Major Chest Trauma Without Cc/mcc 1 $20,036.01 $20,036.01 $20,036.01 nat. median
$8,258
outlier · 2.4×
183
MS_DRG 		Major Chest Trauma With Mcc 1 $20,036.01 $20,036.01 $20,036.01 nat. median
$14,982
1.3× median
433
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Cc 1 $19,861.97 $19,861.97 $19,861.97 nat. median
$10,736
1.9× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 1 $19,382.88 $19,382.88 $19,382.88 nat. median
$17,250
1.1× median
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 1 $19,382.88 $19,382.88 $19,382.88 nat. median
$10,002
1.9× median
176
MS_DRG 		Pulmonary Embolism Without Mcc 1 $19,244.85 $19,244.85 $19,244.85 nat. median
$8,574
outlier · 2.2×
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 $19,244.85 $19,244.85 $19,244.85 nat. median
$13,705
1.4× median
05203995_1
CDM 		Humira(cf) 20 Mg/0.2 Ml Syring 24 $6,360.17 $20,140.52 $19,080.50 nat. median
$19,080
1.0× median
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 $18,863.77 $18,863.77 $18,863.77 nat. median
$20,203
0.9× median
386
MS_DRG 		Inflammatory Bowel Disease With Cc 1 $18,837.77 $18,837.77 $18,837.77 nat. median
$10,158
1.9× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 1 $18,751.75 $18,751.75 $18,751.75 nat. median
$15,924
1.2× median
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $18,542.71 $18,542.71 $18,542.71 nat. median
$12,730
1.5× median
292
MS_DRG 		Heart Failure And Shock With Cc 1 $18,542.71 $18,542.71 $18,542.71 nat. median
$8,935
outlier · 2.1×
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 $18,465.69 $18,465.69 $18,465.69 nat. median
$10,399
1.8× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 $18,465.69 $18,465.69 $18,465.69 nat. median
$16,857
1.1× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 $17,924.58 $17,924.58 $17,924.58 nat. median
$12,510
1.4× median
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 1 $17,924.58 $17,924.58 $17,924.58 nat. median
$15,584
1.2× median
394
MS_DRG 		Other Digestive System Diagnoses With Cc 1 $17,924.58 $17,924.58 $17,924.58 nat. median
$9,665
1.9× median
920
MS_DRG 		Complications Of Treatment With Cc 1 $17,913.58 $17,913.58 $17,913.58 nat. median
$10,303
1.7× median
593
MS_DRG 		Skin Ulcers With Cc 1 $17,779.56 $17,779.56 $17,779.56 nat. median
$11,920
1.5× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 1 $17,643.53 $17,643.53 $17,643.53 nat. median
$15,338
1.2× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 1 $17,643.53 $17,643.53 $17,643.53 nat. median
$10,168
1.7× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 1 $17,324.46 $17,324.46 $17,324.46 nat. median
$10,828
1.6× median
302
MS_DRG 		Atherosclerosis With Mcc 1 $17,125.42 $17,125.42 $17,125.42 nat. median
$11,843
1.4× median
100
MS_DRG 		Seizures With Mcc 1 $17,120.42 $17,120.42 $17,120.42 nat. median
$18,308
0.9× median
05203966_1
CDM 		Fluticasone Prop Micro Powder 24 $5,704.34 $18,063.73 $17,113.01 nat. median
$17,113
1.0× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 1 $16,666.33 $16,666.33 $16,666.33 nat. median
$8,489
2.0× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 1 $16,666.33 $16,666.33 $16,666.33 nat. median
$12,837
1.3× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 1 $16,548.31 $16,548.31 $16,548.31 nat. median
$11,040
1.5× median
637
MS_DRG 		Diabetes With Mcc 1 $16,264.25 $16,264.25 $16,264.25 nat. median
$13,938
1.2× median
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 1 $15,983.20 $15,983.20 $15,983.20 nat. median
$14,295
1.1× median
389
MS_DRG 		Gastrointestinal Obstruction With Cc 1 $15,983.20 $15,983.20 $15,983.20 nat. median
$8,333
1.9× median
727
MS_DRG 		Inflammation Of The Male Reproductive System With Mcc 1 $15,909.18 $15,909.18 $15,909.18 nat. median
$14,451
1.1× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 $15,861.17 $15,861.17 $15,861.17 nat. median
$12,804
1.2× median
602
MS_DRG 		Cellulitis With Mcc 1 $15,655.13 $15,655.13 $15,655.13 nat. median
$13,976
1.1× median
606
MS_DRG 		Minor Skin Disorders With Mcc 1 $15,617.12 $15,617.12 $15,617.12 nat. median
$14,875
1.0× median

Other procedures at this hospital

Browse this hospital's 7,074 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
             
05000121_1 CDM Ablation Wand J & J 24 24 $4,237.80 $2,542.68 40% off $1,271.34 $4,025.91 $3,814.02 2025-10-04
05203046_1 CDM Activase 50 Mg Vial 24 24 $8,517.60 $5,110.56 40% off $2,555.28 $8,091.72 $7,665.84 2025-10-04
949 MS_DRG Aftercare With Cc/mcc 1 1 $15,664.01 $9,398.41 40% off $12,191.44 $12,191.44 $12,191.44 2025-10-04
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 1 $67,996.16 $40,797.70 40% off $53,640.73 $53,640.73 $53,640.73 2025-10-04
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 $60,819.35 $36,491.61 40% off $53,640.73 $53,640.73 $53,640.73 2025-10-04
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 $8,541.98 $5,125.19 40% off $14,388.88 $14,388.88 $14,388.88 2025-10-04
A0428 HCPCS Ambulance Service, Basic Life Support, Non-emergency Transport, (bls) 24 24 $6,066.90 $3,640.14 40% off $1,820.07 $6,734.26 $5,460.21 2025-10-04
05202911_1 CDM Anavip Vial 24 24 $2,392.95 $1,435.77 40% off $717.89 $2,273.30 $2,153.66 2025-10-04
04100546_1 CDM Anti-nmda (refer Pt To Athena Lab) 24 24 $2,019.15 $1,211.49 40% off $605.75 $1,918.19 $1,817.24 2025-10-04
86711 HCPCS Antibody; Jc (john Cunningham) Virus 24 24 $3,839.85 $2,303.91 40% off $19.38 $3,647.86 $3,455.87 2025-10-04
302 MS_DRG Atherosclerosis With Mcc 1 1 $6,764.58 $4,058.75 40% off $17,125.42 $17,125.42 $17,125.42 2025-10-04
05203119_1 CDM Aubagio 14 Mg Tablet 24 24 $1,740.90 $1,044.54 40% off $522.27 $1,653.86 $1,566.81 2025-10-04
05204854_1 CDM Avycaz 2.5 Gram Vial 24 24 $2,373.53 $1,424.12 40% off $712.06 $2,254.85 $2,136.18 2025-10-04
05204308_1 CDM Avycaz/nss Ivpb : 2.5g/250ml 24 24 $2,373.53 $1,424.12 40% off $712.06 $2,254.85 $2,136.18 2025-10-04
05000858_1 CDM Bicep Tendon Repair Kit 24 24 $3,141.60 $1,884.96 40% off $942.48 $2,984.52 $2,827.44 2025-10-04
202 MS_DRG Bronchitis And Asthma With Cc/mcc 1 1 $5,288.81 $3,173.28 40% off $12,474.49 $12,474.49 $12,474.49 2025-10-04
05202654_1 CDM Cabometyx 40 Mg Tablet 24 24 $3,615.15 $2,169.09 40% off $1,084.55 $3,434.39 $3,253.64 2025-10-04
297 MS_DRG Cardiac Arrest, Unexplained With Cc 1 1 $7,144.39 $4,286.63 40% off $14,843.97 $14,843.97 $14,843.97 2025-10-04
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 1 1 $10,102.00 $6,061.20 40% off $14,843.97 $14,843.97 $14,843.97 2025-10-04
C1888 HCPCS Catheter, Ablation, Non-cardiac, Endovascular (implantable) 24 24 $4,053.00 $2,431.80 40% off $1,215.90 $4,498.83 $3,647.70 2025-10-04
602 MS_DRG Cellulitis With Mcc 1 1 $56,036.12 $33,621.67 40% off $15,655.13 $15,655.13 $15,655.13 2025-10-04
81220 HCPCS Cftr (cystic Fibrosis Transmembrane Conductance Regulator) (eg, Cystic Fibrosis)… 24 24 $1,800.00 $1,080.00 40% off $258.19 $1,710.00 $1,620.00 2025-10-04
05203241_1 CDM Cholecalciferol Crystals 24 24 $1,597.05 $958.23 40% off $479.12 $1,517.20 $1,437.35 2025-10-04
05204294_1 CDM Cholecalciferol Crystals 24 24 $1,520.40 $912.24 40% off $456.12 $1,444.38 $1,368.36 2025-10-04
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 1 1 $7,897.31 $4,738.38 40% off $16,548.31 $16,548.31 $16,548.31 2025-10-04
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 1 1 $11,823.16 $7,093.90 40% off $19,861.97 $19,861.97 $19,861.97 2025-10-04
920 MS_DRG Complications Of Treatment With Cc 1 1 $10,676.16 $6,405.70 40% off $17,913.58 $17,913.58 $17,913.58 2025-10-04
74174 HCPCS Computed Tomographic Angiography, Abdomen And Pelvis, With Contrast Material(s),… 24 24 $2,496.90 $1,498.14 40% off $506.87 $2,372.06 $2,247.21 2025-10-04
74175 HCPCS Computed Tomographic Angiography, Abdomen, With Contrast Material(s), Including … 24 24 $4,083.45 $2,450.07 40% off $440.60 $3,879.28 $3,675.11 2025-10-04
75635 HCPCS Computed Tomographic Angiography, Abdominal Aorta And Bilateral Iliofemoral Lowe… 24 24 $3,416.70 $2,050.02 40% off $491.34 $3,245.87 $3,075.03 2025-10-04
71275 HCPCS Computed Tomographic Angiography, Chest (noncoronary), With Contrast Material(s)… 24 24 $3,512.25 $2,107.35 40% off $388.59 $3,336.64 $3,161.03 2025-10-04
70496 HCPCS Computed Tomographic Angiography, Head, With Contrast Material(s), Including Non… 24 24 $1,859.55 $1,115.73 40% off $508.52 $1,766.57 $1,673.60 2025-10-04
73706 HCPCS Computed Tomographic Angiography, Lower Extremity, With Contrast Material(s), In… 24 24 $3,838.80 $2,303.28 40% off $456.21 $3,646.86 $3,454.92 2025-10-04
70498 HCPCS Computed Tomographic Angiography, Neck, With Contrast Material(s), Including Non… 24 24 $3,349.50 $2,009.70 40% off $522.23 $3,182.03 $3,014.55 2025-10-04
72191 HCPCS Computed Tomographic Angiography, Pelvis, With Contrast Material(s), Including N… 24 24 $4,572.75 $2,743.65 40% off $414.36 $4,344.11 $4,115.48 2025-10-04
73206 HCPCS Computed Tomographic Angiography, Upper Extremity, With Contrast Material(s), In… 48 24 $4,165.35 $2,499.21 40% off $423.72 $3,957.08 $3,748.82 2025-10-04
74177 HCPCS Computed Tomography, Abdomen And Pelvis; With Contrast Material(s) 24 24 $5,707.80 $3,424.68 40% off $404.21 $5,422.41 $5,137.02 2025-10-04
74176 HCPCS Computed Tomography, Abdomen And Pelvis; Without Contrast Material 24 24 $5,073.60 $3,044.16 40% off $256.82 $4,819.92 $4,566.24 2025-10-04
74178 HCPCS Computed Tomography, Abdomen And Pelvis; Without Contrast Material In One Or Bot… 46 24 $6,340.95 $3,804.57 40% off $457.92 $6,023.90 $3,020.43 2025-10-04
74160 HCPCS Computed Tomography, Abdomen; With Contrast Material(s) 24 24 $3,376.80 $2,026.08 40% off $299.45 $3,207.96 $3,039.12 2025-10-04
74150 HCPCS Computed Tomography, Abdomen; Without Contrast Material 24 24 $3,376.80 $2,026.08 40% off $208.42 $3,207.96 $3,039.12 2025-10-04
74170 HCPCS Computed Tomography, Abdomen; Without Contrast Material, Followed By Contrast Ma… 46 24 $3,300.15 $1,980.09 40% off $340.87 $4,586.51 $3,019.64 2025-10-04
72126 HCPCS Computed Tomography, Cervical Spine; With Contrast Material 24 24 $3,376.80 $2,026.08 40% off $297.58 $3,207.96 $3,039.12 2025-10-04
72125 HCPCS Computed Tomography, Cervical Spine; Without Contrast Material 24 24 $2,362.50 $1,417.50 40% off $238.84 $2,244.38 $2,126.25 2025-10-04
72127 HCPCS Computed Tomography, Cervical Spine; Without Contrast Material, Followed By Cont… 24 24 $3,798.90 $2,279.34 40% off $352.06 $3,608.96 $3,419.01 2025-10-04
70460 HCPCS Computed Tomography, Head Or Brain; With Contrast Material(s) 24 24 $2,143.05 $1,285.83 40% off $216.71 $2,035.90 $1,928.75 2025-10-04
70450 HCPCS Computed Tomography, Head Or Brain; Without Contrast Material 48 24 $2,143.05 $1,285.83 40% off $165.86 $2,035.90 $1,928.75 2025-10-04
70470 HCPCS Computed Tomography, Head Or Brain; Without Contrast Material, Followed By Contr… 24 24 $2,185.05 $1,311.03 40% off $247.72 $2,075.80 $1,966.55 2025-10-04
73701 HCPCS Computed Tomography, Lower Extremity; With Contrast Material(s) 48 24 $3,376.80 $2,026.08 40% off $293.26 $3,207.96 $3,039.12 2025-10-04
73700 HCPCS Computed Tomography, Lower Extremity; Without Contrast Material 48 24 $2,248.05 $1,348.83 40% off $232.06 $2,135.65 $2,023.25 2025-10-04
73702 HCPCS Computed Tomography, Lower Extremity; Without Contrast Material, Followed By Con… 70 24 $3,376.80 $2,026.08 40% off $356.22 $3,207.96 $2,735.21 2025-10-04
72132 HCPCS Computed Tomography, Lumbar Spine; With Contrast Material 24 24 $3,376.80 $2,026.08 40% off $296.65 $3,207.96 $3,039.12 2025-10-04
72131 HCPCS Computed Tomography, Lumbar Spine; Without Contrast Material 48 24 $3,376.80 $2,026.08 40% off $232.06 $3,207.96 $3,039.12 2025-10-04
72133 HCPCS Computed Tomography, Lumbar Spine; Without Contrast Material, Followed By Contra… 24 24 $3,376.80 $2,026.08 40% off $352.37 $3,207.96 $3,039.12 2025-10-04
70487 HCPCS Computed Tomography, Maxillofacial Area; With Contrast Material(s) 24 24 $2,143.05 $1,285.83 40% off $230.16 $2,035.90 $1,928.75 2025-10-04
70486 HCPCS Computed Tomography, Maxillofacial Area; Without Contrast Material 24 24 $2,143.05 $1,285.83 40% off $208.72 $2,035.90 $1,928.75 2025-10-04
70488 HCPCS Computed Tomography, Maxillofacial Area; Without Contrast Material, Followed By … 24 24 $2,469.60 $1,481.76 40% off $265.31 $2,346.12 $2,222.64 2025-10-04
70482 HCPCS Computed Tomography, Orbit, Sella, Or Posterior Fossa Or Outer, Middle, Or Inner… 24 24 $3,376.80 $2,026.08 40% off $330.14 $3,207.96 $3,039.12 2025-10-04
70480 HCPCS Computed Tomography, Orbit, Sella, Or Posterior Fossa Or Outer, Middle, Or Inner… 24 24 $2,143.05 $1,285.83 40% off $302.69 $2,035.90 $1,928.75 2025-10-04
70481 HCPCS Computed Tomography, Orbit, Sella, Or Posterior Fossa Or Outer, Middle, Or Inner… 24 24 $2,143.05 $1,285.83 40% off $330.14 $2,035.90 $1,928.75 2025-10-04
72192 HCPCS Computed Tomography, Pelvis; Without Contrast Material 24 24 $3,376.80 $2,026.08 40% off $204.64 $3,207.96 $3,039.12 2025-10-04
72194 HCPCS Computed Tomography, Pelvis; Without Contrast Material, Followed By Contrast Mat… 24 24 $3,376.80 $2,026.08 40% off $339.01 $3,207.96 $3,039.12 2025-10-04
70491 HCPCS Computed Tomography, Soft Tissue Neck; With Contrast Material(s) 24 24 $2,248.05 $1,348.83 40% off $305.43 $2,135.65 $2,023.25 2025-10-04
70490 HCPCS Computed Tomography, Soft Tissue Neck; Without Contrast Material 24 24 $2,675.40 $1,605.24 40% off $249.10 $2,541.63 $2,407.86 2025-10-04
70492 HCPCS Computed Tomography, Soft Tissue Neck; Without Contrast Material Followed By Con… 24 24 $2,675.40 $1,605.24 40% off $330.14 $2,541.63 $2,407.86 2025-10-04
72129 HCPCS Computed Tomography, Thoracic Spine; With Contrast Material 24 24 $3,376.80 $2,026.08 40% off $297.75 $3,207.96 $3,039.12 2025-10-04
72128 HCPCS Computed Tomography, Thoracic Spine; Without Contrast Material 24 24 $3,376.80 $2,026.08 40% off $233.48 $3,207.96 $3,039.12 2025-10-04
72130 HCPCS Computed Tomography, Thoracic Spine; Without Contrast Material, Followed By Cont… 24 24 $3,658.20 $2,194.92 40% off $352.55 $3,475.29 $3,292.38 2025-10-04
71260 HCPCS Computed Tomography, Thorax, Diagnostic; With Contrast Material(s) 24 24 $2,795.10 $1,677.06 40% off $297.64 $2,655.35 $2,515.59 2025-10-04
71250 HCPCS Computed Tomography, Thorax, Diagnostic; Without Contrast Material 24 24 $2,795.10 $1,677.06 40% off $233.36 $2,655.35 $2,515.59 2025-10-04
71270 HCPCS Computed Tomography, Thorax, Diagnostic; Without Contrast Material, Followed By … 24 24 $2,896.95 $1,738.17 40% off $357.58 $2,752.10 $2,607.26 2025-10-04
73201 HCPCS Computed Tomography, Upper Extremity; With Contrast Material(s) 48 24 $3,376.80 $2,026.08 40% off $289.05 $3,207.96 $3,039.12 2025-10-04
73200 HCPCS Computed Tomography, Upper Extremity; Without Contrast Material 48 24 $2,248.05 $1,348.83 40% off $232.06 $2,135.65 $2,023.25 2025-10-04
73202 HCPCS Computed Tomography, Upper Extremity; Without Contrast Material, Followed By Con… 48 24 $3,376.80 $2,026.08 40% off $362.24 $3,207.96 $3,039.12 2025-10-04
81229 HCPCS Cytogenomic (genome-wide) Analysis For Constitutional Chromosomal Abnormalities;… 24 24 $4,840.50 $2,904.30 40% off $1,452.15 $5,372.96 $4,356.45 2025-10-04
05204998_1 CDM Dalvance 500 Mg Vial 24 24 $10,674.00 $6,404.40 40% off $3,202.20 $10,140.30 $9,606.60 2025-10-04
637 MS_DRG Diabetes With Mcc 1 1 $15,122.10 $9,073.26 40% off $16,264.25 $16,264.25 $16,264.25 2025-10-04
05203815_1 CDM Dificid 200 Mg Tablet 24 24 $1,480.50 $888.30 40% off $444.15 $1,406.48 $1,332.45 2025-10-04
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 1 1 $6,613.00 $3,967.80 40% off $18,751.75 $18,751.75 $18,751.75 2025-10-04
93971 HCPCS Duplex Scan Of Extremity Veins Including Responses To Compression And Other Mane… 48 24 $1,477.35 $886.41 40% off $121.29 $1,403.48 $1,329.62 2025-10-04
93970 HCPCS Duplex Scan Of Extremity Veins Including Responses To Compression And Other Mane… 48 24 $1,661.10 $996.66 40% off $241.32 $1,788.52 $1,295.60 2025-10-04
93925 HCPCS Duplex Scan Of Lower Extremity Arteries Or Arterial Bypass Grafts; Complete Bila… 24 24 $1,882.65 $1,129.59 40% off $138.95 $1,788.52 $1,694.39 2025-10-04
93930 HCPCS Duplex Scan Of Upper Extremity Arteries Or Arterial Bypass Grafts; Complete Bila… 24 24 $1,439.55 $863.73 40% off $133.41 $1,367.57 $1,295.60 2025-10-04
93350 HCPCS Echocardiography, Transthoracic, Real-time With Image Documentation (2d), Includ… 24 24 $1,605.45 $963.27 40% off $137.87 $1,525.18 $1,444.91 2025-10-04
ER_1 CDM Emergency Room 24 24 $1,540.00 $924.00 40% off $462.00 $1,463.00 $1,386.00 2025-10-04
05204760_1 CDM Enbrel 25 Mg/0.5 Ml Syringe 24 24 $11,102.70 $6,661.62 40% off $3,330.81 $10,547.57 $9,992.43 2025-10-04
05203252_1 CDM Epipen 2-pak 0.3 Mg Auto-injct 24 24 $2,012.85 $1,207.71 40% off $603.86 $1,912.21 $1,811.57 2025-10-04
05203250_1 CDM Epipen 2-pak 0.3 Mg Auto-injct 24 24 $2,012.85 $1,207.71 40% off $603.86 $1,912.21 $1,811.57 2025-10-04
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 1 $7,008.73 $4,205.24 40% off $17,924.58 $17,924.58 $17,924.58 2025-10-04
05203966_1 CDM Fluticasone Prop Micro Powder 24 24 $19,014.45 $11,408.67 40% off $5,704.34 $18,063.73 $17,113.01 2025-10-04
00600024_1 CDM Gastro - Intestinal (gi) Services - General Classification 24 24 $6,001.80 $3,601.08 40% off $1,800.54 $5,701.71 $5,401.62 2025-10-04
00600023_1 CDM Gastro - Intestinal (gi) Services - General Classification 24 24 $4,754.40 $2,852.64 40% off $1,426.32 $4,516.68 $4,278.96 2025-10-04
00600021_1 CDM Gastro - Intestinal (gi) Services - General Classification 24 24 $4,754.40 $2,852.64 40% off $1,426.32 $4,516.68 $4,278.96 2025-10-04
00600022_1 CDM Gastro - Intestinal (gi) Services - General Classification 24 24 $4,206.30 $2,523.78 40% off $1,261.89 $3,995.99 $3,785.67 2025-10-04
00600019_1 CDM Gastro - Intestinal (gi) Services - General Classification 24 24 $1,501.50 $900.90 40% off $450.45 $1,426.43 $1,351.35 2025-10-04
378 MS_DRG Gastrointestinal Hemorrhage With Cc 1 1 $13,801.00 $8,280.60 40% off $19,382.88 $19,382.88 $19,382.88 2025-10-04
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 1 1 $12,622.50 $7,573.50 40% off $19,382.88 $19,382.88 $19,382.88 2025-10-04
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 $5,719.33 $3,431.60 40% off $15,983.20 $15,983.20 $15,983.20 2025-10-04
388 MS_DRG Gastrointestinal Obstruction With Mcc 1 1 $6,796.00 $4,077.60 40% off $15,983.20 $15,983.20 $15,983.20 2025-10-04
90853 HCPCS Group Psychotherapy (other Than Of A Multiple-family Group) 24 24 $1,491.00 $894.60 40% off $23.96 $1,416.45 $1,341.90 2025-10-04
C7903 HCPCS Group Psychotherapy Service For Diagnosis, Evaluation, Or Treatment Of A Mental … 24 24 $1,491.00 $894.60 40% off $447.30 $1,655.01 $1,341.90 2025-10-04
05000590_1 CDM Gyrus Pk Cutting 24 24 $2,155.65 $1,293.39 40% off $646.70 $2,047.87 $1,940.09 2025-10-04
05000860_1 CDM Harmonic Scalpel 24 24 $2,377.20 $1,426.32 40% off $713.16 $2,258.34 $2,139.48 2025-10-04
292 MS_DRG Heart Failure And Shock With Cc 1 1 $9,793.48 $5,876.09 40% off $18,542.71 $18,542.71 $18,542.71 2025-10-04
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $16,218.28 $9,730.97 40% off $18,542.71 $18,542.71 $18,542.71 2025-10-04
05200918_1 CDM Humatrope 12 Mg Cartridge 24 24 $7,047.60 $4,228.56 40% off $2,114.28 $6,695.22 $6,342.84 2025-10-04
05200916_1 CDM Humira Pen 40 Mg/0.8 Ml 24 24 $8,026.20 $4,815.72 40% off $2,407.86 $7,624.89 $7,223.58 2025-10-04
05203995_1 CDM Humira(cf) 20 Mg/0.2 Ml Syring 24 24 $21,200.55 $12,720.33 40% off $6,360.17 $20,140.52 $19,080.50 2025-10-04
05204390_1 CDM Ibrance 100 Mg Tablet 24 24 $4,522.35 $2,713.41 40% off $1,356.71 $4,296.23 $4,070.12 2025-10-04
05203742_1 CDM Ibrance 100 Mg Tablet 24 24 $4,401.60 $2,640.96 40% off $1,320.48 $4,181.52 $3,961.44 2025-10-04
05204285_1 CDM Imbruvica 420 Mg Tablet 24 24 $3,364.20 $2,018.52 40% off $1,009.26 $3,195.99 $3,027.78 2025-10-04
87506 HCPCS Infectious Agent Detection By Nucleic Acid (dna Or Rna); Gastrointestinal Pathog… 24 24 $1,568.70 $941.22 40% off $301.78 $1,490.27 $1,411.83 2025-10-04
87902 HCPCS Infectious Agent Genotype Analysis By Nucleic Acid (dna Or Rna); Hepatitis C Vir… 90 24 $2,285.85 $1,371.51 40% off $199.08 $2,215.45 $1,943.87 2025-10-04
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 1 1 $31,943.00 $19,165.80 40% off $15,909.18 $15,909.18 $15,909.18 2025-10-04
386 MS_DRG Inflammatory Bowel Disease With Cc 1 1 $16,631.38 $9,978.83 40% off $18,837.77 $18,837.77 $18,837.77 2025-10-04
05204411_1 CDM Ingrezza 60 Mg Capsule 24 24 $1,533.42 $920.05 40% off $460.03 $1,456.75 $1,380.08 2025-10-04
05204032_1 CDM Ingrezza 80 Mg Capsule 24 24 $1,545.60 $927.36 40% off $463.68 $1,468.32 $1,391.04 2025-10-04
05203071_1 CDM Ingrezza 80 Mg Capsule 24 24 $1,528.80 $917.28 40% off $458.64 $1,452.36 $1,375.92 2025-10-04
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 24 24 $6,137.25 $3,682.35 40% off $1,841.18 $5,830.39 $5,523.53 2025-10-04
05202168_1 CDM Injection, Etanercept, 25 Mg (code May Be Used For Medicare When Drug Administer… 24 24 $3,332.70 $1,999.62 40% off $999.81 $3,166.07 $2,999.43 2025-10-04
J1442 HCPCS Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram 24 24 $1,894.20 $1,136.52 40% off $7.75 $1,799.49 $1,704.78 2025-10-04
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 24 24 $5,822.25 $3,493.35 40% off $1,746.68 $5,531.14 $5,240.03 2025-10-04
J0561 HCPCS Injection, Penicillin G Benzathine, 100,000 Units 24 24 $1,560.45 $936.27 40% off $31.44 $1,482.43 $1,404.41 2025-10-04
J2760 HCPCS Injection, Phentolamine Mesylate, Up To 5 Mg 24 24 $2,053.80 $1,232.28 40% off $518.31 $1,951.11 $1,848.42 2025-10-04
J3101 HCPCS Injection, Tenecteplase, 1 Mg 24 24 $12,406.80 $7,444.08 40% off $3,722.04 $13,771.55 $11,166.12 2025-10-04
197 MS_DRG Interstitial Lung Disease With Cc 1 1 $7,168.54 $4,301.13 40% off $20,342.07 $20,342.07 $20,342.07 2025-10-04
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 $49,036.00 $29,421.60 40% off $20,342.07 $20,342.07 $20,342.07 2025-10-04
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 $9,123.20 $5,473.92 40% off $23,183.64 $23,183.64 $23,183.64 2025-10-04
05204915_1 CDM Invega Sustenna 156 Mg/ml Syrg 24 24 $14,610.91 $8,766.55 40% off $4,383.27 $13,880.36 $13,149.82 2025-10-04
05204076_1 CDM Invega Sustenna 234 Mg/1.5 Ml 24 24 $13,014.82 $7,808.89 40% off $3,904.45 $12,364.08 $11,713.34 2025-10-04
05202909_1 CDM Jakafi 10 Mg Tablet 24 24 $1,488.90 $893.34 40% off $446.67 $1,414.46 $1,340.01 2025-10-04
05203269_1 CDM Jakafi 15 Mg Tablet 24 24 $1,518.30 $910.98 40% off $455.49 $1,442.39 $1,366.47 2025-10-04
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 $24,396.09 $14,637.65 40% off $15,587.12 $15,587.12 $15,587.12 2025-10-04
05204521_1 CDM Lenalidomide 10 Mg Capsule 24 24 $4,986.45 $2,991.87 40% off $1,495.94 $4,737.13 $4,487.81 2025-10-04
05204260_1 CDM Lenalidomide 10 Mg Capsule 24 24 $4,986.45 $2,991.87 40% off $1,495.94 $4,737.13 $4,487.81 2025-10-04
05204262_1 CDM Lenalidomide 10 Mg Capsule 24 24 $4,986.45 $2,991.87 40% off $1,495.94 $4,737.13 $4,487.81 2025-10-04
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 24 24 $2,275.35 $1,365.21 40% off $682.61 $2,525.64 $2,047.82 2025-10-04
J7301 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (skyla), 13.5 Mg 24 24 $2,275.35 $1,365.21 40% off $682.61 $2,525.64 $2,047.82 2025-10-04
50000770_1 CDM Ligasure Atlas 24 24 $2,220.75 $1,332.45 40% off $666.23 $2,109.71 $1,998.68 2025-10-04
74182 HCPCS Magnetic Resonance (eg, Proton) Imaging, Abdomen; With Contrast Material(s) 24 24 $4,278.75 $2,567.25 40% off $594.79 $4,064.81 $3,850.88 2025-10-04
74181 HCPCS Magnetic Resonance (eg, Proton) Imaging, Abdomen; Without Contrast Material(s) 46 24 $4,072.95 $2,443.77 40% off $434.02 $3,869.30 $3,108.98 2025-10-04
74183 HCPCS Magnetic Resonance (eg, Proton) Imaging, Abdomen; Without Contrast Material(s), … 24 24 $5,254.20 $3,152.52 40% off $661.42 $4,991.49 $4,728.78 2025-10-04
73722 HCPCS Magnetic Resonance (eg, Proton) Imaging, Any Joint Of Lower Extremity; With Cont… 48 24 $3,874.50 $2,324.70 40% off $654.95 $3,680.78 $3,487.05 2025-10-04
73723 HCPCS Magnetic Resonance (eg, Proton) Imaging, Any Joint Of Lower Extremity; Without C… 72 24 $5,254.20 $3,152.52 40% off $822.18 $4,991.49 $4,728.78 2025-10-04
73721 HCPCS Magnetic Resonance (eg, Proton) Imaging, Any Joint Of Lower Extremity; Without C… 72 24 $1,632.75 $979.65 40% off $489.83 $1,551.11 $1,469.48 2025-10-04
73222 HCPCS Magnetic Resonance (eg, Proton) Imaging, Any Joint Of Upper Extremity; With Cont… 48 24 $3,874.50 $2,324.70 40% off $494.14 $3,680.78 $3,487.05 2025-10-04
73223 HCPCS Magnetic Resonance (eg, Proton) Imaging, Any Joint Of Upper Extremity; Without C… 48 24 $4,933.95 $2,960.37 40% off $611.50 $4,687.25 $4,440.56 2025-10-04
73221 HCPCS Magnetic Resonance (eg, Proton) Imaging, Any Joint Of Upper Extremity; Without C… 48 24 $2,248.05 $1,348.83 40% off $390.48 $2,135.65 $2,023.25 2025-10-04
70552 HCPCS Magnetic Resonance (eg, Proton) Imaging, Brain (including Brain Stem); With Cont… 24 24 $4,072.95 $2,443.77 40% off $489.84 $3,869.30 $3,665.66 2025-10-04
70553 HCPCS Magnetic Resonance (eg, Proton) Imaging, Brain (including Brain Stem); Without C… 48 24 $5,253.15 $3,151.89 40% off $594.39 $4,990.49 $4,727.84 2025-10-04
70551 HCPCS Magnetic Resonance (eg, Proton) Imaging, Brain (including Brain Stem); Without C… 24 24 $3,873.45 $2,324.07 40% off $439.07 $3,679.78 $3,486.11 2025-10-04
73719 HCPCS Magnetic Resonance (eg, Proton) Imaging, Lower Extremity Other Than Joint; With … 92 24 $4,072.95 $2,443.77 40% off $686.07 $3,869.30 $3,487.05 2025-10-04
73720 HCPCS Magnetic Resonance (eg, Proton) Imaging, Lower Extremity Other Than Joint; Witho… 116 24 $4,072.95 $2,443.77 40% off $560.10 $4,991.49 $3,665.66 2025-10-04
73718 HCPCS Magnetic Resonance (eg, Proton) Imaging, Lower Extremity Other Than Joint; Witho… 92 24 $1,636.95 $982.17 40% off $489.83 $1,555.10 $1,469.48 2025-10-04
70543 HCPCS Magnetic Resonance (eg, Proton) Imaging, Orbit, Face, And/or Neck; Without Contr… 24 24 $5,254.20 $3,152.52 40% off $597.22 $4,991.49 $4,728.78 2025-10-04
70540 HCPCS Magnetic Resonance (eg, Proton) Imaging, Orbit, Face, And/or Neck; Without Contr… 24 24 $4,072.95 $2,443.77 40% off $421.04 $3,869.30 $3,665.66 2025-10-04
72196 HCPCS Magnetic Resonance (eg, Proton) Imaging, Pelvis; With Contrast Material(s) 24 24 $4,072.95 $2,443.77 40% off $536.92 $3,869.30 $3,665.66 2025-10-04
72195 HCPCS Magnetic Resonance (eg, Proton) Imaging, Pelvis; Without Contrast Material(s) 24 24 $4,072.95 $2,443.77 40% off $491.22 $3,869.30 $3,665.66 2025-10-04
72197 HCPCS Magnetic Resonance (eg, Proton) Imaging, Pelvis; Without Contrast Material(s), F… 24 24 $5,254.20 $3,152.52 40% off $660.00 $4,991.49 $4,728.78 2025-10-04
72142 HCPCS Magnetic Resonance (eg, Proton) Imaging, Spinal Canal And Contents, Cervical; Wi… 24 24 $4,278.75 $2,567.25 40% off $497.21 $4,064.81 $3,850.88 2025-10-04
72141 HCPCS Magnetic Resonance (eg, Proton) Imaging, Spinal Canal And Contents, Cervical; Wi… 24 24 $4,072.95 $2,443.77 40% off $391.86 $3,869.30 $3,665.66 2025-10-04
72149 HCPCS Magnetic Resonance (eg, Proton) Imaging, Spinal Canal And Contents, Lumbar; With… 24 24 $4,277.70 $2,566.62 40% off $485.48 $4,063.82 $3,849.93 2025-10-04
72148 HCPCS Magnetic Resonance (eg, Proton) Imaging, Spinal Canal And Contents, Lumbar; With… 24 24 $4,072.95 $2,443.77 40% off $390.06 $3,869.30 $3,665.66 2025-10-04
72146 HCPCS Magnetic Resonance (eg, Proton) Imaging, Spinal Canal And Contents, Thoracic; Wi… 24 24 $4,072.95 $2,443.77 40% off $394.99 $3,869.30 $3,665.66 2025-10-04
72147 HCPCS Magnetic Resonance (eg, Proton) Imaging, Spinal Canal And Contents, Thoracic; Wi… 24 24 $4,072.95 $2,443.77 40% off $442.89 $3,869.30 $3,665.66 2025-10-04
72156 HCPCS Magnetic Resonance (eg, Proton) Imaging, Spinal Canal And Contents, Without Cont… 24 24 $5,254.20 $3,152.52 40% off $592.86 $4,991.49 $4,728.78 2025-10-04
72157 HCPCS Magnetic Resonance (eg, Proton) Imaging, Spinal Canal And Contents, Without Cont… 24 24 $5,254.20 $3,152.52 40% off $554.74 $4,991.49 $4,728.78 2025-10-04
72158 HCPCS Magnetic Resonance (eg, Proton) Imaging, Spinal Canal And Contents, Without Cont… 24 24 $5,254.20 $3,152.52 40% off $583.81 $4,991.49 $4,728.78 2025-10-04
73220 HCPCS Magnetic Resonance (eg, Proton) Imaging, Upper Extremity, Other Than Joint; With… 92 24 $4,072.95 $2,443.77 40% off $560.10 $4,687.25 $3,726.75 2025-10-04
73219 HCPCS Magnetic Resonance (eg, Proton) Imaging, Upper Extremity, Other Than Joint; With… 92 24 $1,961.40 $1,176.84 40% off $527.23 $3,680.78 $1,794.68 2025-10-04
73218 HCPCS Magnetic Resonance (eg, Proton) Imaging, Upper Extremity, Other Than Joint; With… 92 24 $1,961.40 $1,176.84 40% off $476.22 $2,135.65 $1,781.85 2025-10-04
C8900 HCPCS Magnetic Resonance Angiography With Contrast, Abdomen 24 24 $3,397.80 $2,038.68 40% off $1,019.34 $3,771.56 $3,058.02 2025-10-04
C8909 HCPCS Magnetic Resonance Angiography With Contrast, Chest (excluding Myocardium) 24 24 $3,397.80 $2,038.68 40% off $1,019.34 $3,771.56 $3,058.02 2025-10-04
C8912 HCPCS Magnetic Resonance Angiography With Contrast, Lower Extremity 48 24 $3,188.85 $1,913.31 40% off $956.66 $3,539.62 $2,869.97 2025-10-04
C8934 HCPCS Magnetic Resonance Angiography With Contrast, Upper Extremity 48 24 $3,188.85 $1,913.31 40% off $956.66 $3,539.62 $2,869.97 2025-10-04
C8902 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 24 24 $3,397.80 $2,038.68 40% off $1,019.34 $3,771.56 $3,058.02 2025-10-04
C8901 HCPCS Magnetic Resonance Angiography Without Contrast, Abdomen 24 24 $3,397.80 $2,038.68 40% off $1,019.34 $3,771.56 $3,058.02 2025-10-04
71555 HCPCS Magnetic Resonance Angiography, Chest (excluding Myocardium), With Or Without Co… 24 24 $3,397.80 $2,038.68 40% off $519.01 $3,227.91 $3,058.02 2025-10-04
70544 HCPCS Magnetic Resonance Angiography, Head; Without Contrast Material(s) 24 24 $3,397.80 $2,038.68 40% off $514.85 $3,227.91 $3,058.02 2025-10-04
70547 HCPCS Magnetic Resonance Angiography, Neck; Without Contrast Material(s) 24 24 $3,397.80 $2,038.68 40% off $516.93 $3,227.91 $3,058.02 2025-10-04
70549 HCPCS Magnetic Resonance Angiography, Neck; Without Contrast Material(s), Followed By … 24 24 $4,072.95 $2,443.77 40% off $790.73 $3,869.30 $3,665.66 2025-10-04
183 MS_DRG Major Chest Trauma With Mcc 1 1 $15,765.35 $9,459.21 40% off $20,036.01 $20,036.01 $20,036.01 2025-10-04
185 MS_DRG Major Chest Trauma Without Cc/mcc 1 1 $8,064.50 $4,838.70 40% off $20,036.01 $20,036.01 $20,036.01 2025-10-04
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 $15,405.50 $9,243.30 40% off $18,465.69 $18,465.69 $18,465.69 2025-10-04
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 $48,720.03 $29,232.02 40% off $18,465.69 $18,465.69 $18,465.69 2025-10-04
C1781 HCPCS Mesh (implantable) 168 24 $2,178.75 $1,307.25 40% off $215.78 $3,389.27 $1,960.88 2025-10-04
05000870_1 CDM Mesh 3.2 Large Circle 24 24 $4,633.65 $2,780.19 40% off $1,390.10 $4,401.97 $4,170.29 2025-10-04
50000708_2 CDM Mesh Soft 2x4 24 24 $1,508.85 $905.31 40% off $452.66 $1,433.41 $1,357.97 2025-10-04
50000708_1 CDM Mesh Soft 2x4 24 24 $1,508.85 $905.31 40% off $452.66 $1,433.41 $1,357.97 2025-10-04
50000701_1 CDM Mesh Ventralex Lg 24 24 $2,557.80 $1,534.68 40% off $767.34 $2,429.91 $2,302.02 2025-10-04
50000701_2 CDM Mesh Ventralex Lg 24 24 $2,557.80 $1,534.68 40% off $767.34 $2,429.91 $2,302.02 2025-10-04
50000710_2 CDM Mesh Ventralex Medium 24 24 $2,395.05 $1,437.03 40% off $718.52 $2,275.30 $2,155.55 2025-10-04
50000710_1 CDM Mesh Ventralex Medium 24 24 $2,395.05 $1,437.03 40% off $718.52 $2,275.30 $2,155.55 2025-10-04
50000709_2 CDM Mesh Ventralex Small 24 24 $1,996.05 $1,197.63 40% off $598.82 $1,896.25 $1,796.45 2025-10-04
50000709_1 CDM Mesh Ventralex Small 24 24 $1,996.05 $1,197.63 40% off $598.82 $1,896.25 $1,796.45 2025-10-04
606 MS_DRG Minor Skin Disorders With Mcc 1 1 $11,630.23 $6,978.14 40% off $15,617.12 $15,617.12 $15,617.12 2025-10-04
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 $16,239.64 $9,743.79 40% off $15,861.17 $15,861.17 $15,861.17 2025-10-04
95805 HCPCS Multiple Sleep Latency Or Maintenance Of Wakefulness Testing, Recording, Analysi… 24 24 $2,223.90 $1,334.34 40% off $280.74 $2,112.71 $2,001.51 2025-10-04
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 1 1 $6,309.31 $3,785.59 40% off $8,218.64 $8,218.64 $8,218.64 2025-10-04
95912 HCPCS Nerve Conduction Studies; 11-12 Studies 24 24 $1,753.50 $1,052.10 40% off $326.37 $1,665.83 $1,578.15 2025-10-04
95913 HCPCS Nerve Conduction Studies; 13 Or More Studies 24 24 $2,045.40 $1,227.24 40% off $377.89 $1,943.13 $1,840.86 2025-10-04
95911 HCPCS Nerve Conduction Studies; 9-10 Studies 24 24 $1,460.55 $876.33 40% off $279.06 $1,387.52 $1,314.50 2025-10-04
05204996_4 CDM Nexplanon Subq Implant 68mg 24 24 $6,937.70 $4,162.62 40% off $2,081.31 $6,590.82 $6,243.93 2025-10-04
05204996_1 CDM Nexplanon Subq Implant 68mg 24 24 $6,937.70 $4,162.62 40% off $2,081.31 $6,590.82 $6,243.93 2025-10-04
05201715_1 CDM Nf-arixtra Subcutaneous Soln 10mg/0.8ml 24 24 $2,617.65 $1,570.59 40% off $785.30 $2,486.77 $2,355.89 2025-10-04
05203082_1 CDM Nf-diclo Gel Topical Application Gel 1% 24 24 $28,172.55 $16,903.53 40% off $8,451.77 $26,763.92 $25,355.30 2025-10-04
05202441_1 CDM Nf-enbrel Subcutaneous Solution 50mg/1ml 24 24 $8,877.75 $5,326.65 40% off $2,663.33 $8,433.86 $7,989.98 2025-10-04
05203905_1 CDM Nf-iclusig Oral Tablet 15mg 24 24 $3,651.90 $2,191.14 40% off $1,095.57 $3,469.31 $3,286.71 2025-10-04
05203920_1 CDM Nf-iclusig Oral Tablet 15mg 24 24 $3,651.90 $2,191.14 40% off $1,095.57 $3,469.31 $3,286.71 2025-10-04
05204403_1 CDM Nf-ingrezza Oral Capsule 40mg 24 24 $1,533.00 $919.80 40% off $459.90 $1,456.35 $1,379.70 2025-10-04
05202559_1 CDM Nf-p-care Mg Mr Kit 24 24 $3,970.05 $2,382.03 40% off $1,191.02 $3,771.55 $3,573.05 2025-10-04
05203541_1 CDM Nf-resveratrol Route Not Applicable Powd 24 24 $4,515.00 $2,709.00 40% off $1,354.50 $4,289.25 $4,063.50 2025-10-04
50000764_1 CDM Nova Sure Wand 24 24 $4,284.00 $2,570.40 40% off $1,285.20 $4,069.80 $3,855.60 2025-10-04
05203718_1 CDM Nystatin 10 Billion Unit Powd 24 24 $153,178.20 $91,906.92 40% off $45,953.46 $145,519.29 $137,860.38 2025-10-04
05203321_1 CDM Nystatin 100 Million Units Pwd 24 24 $1,450.05 $870.03 40% off $435.02 $1,377.55 $1,305.05 2025-10-04
05204875_1 CDM Oasis Tri-layer Matrix Sheet 24 24 $2,756.25 $1,653.75 40% off $826.88 $2,618.44 $2,480.63 2025-10-04
00600007_1 CDM Operating Room Services - General Classification 24 24 $13,546.05 $8,127.63 40% off $4,063.82 $12,868.75 $12,191.45 2025-10-04
00600011_1 CDM Operating Room Services - General Classification 24 24 $13,546.05 $8,127.63 40% off $4,063.82 $12,868.75 $12,191.45 2025-10-04
00600005_1 CDM Operating Room Services - General Classification 24 24 $9,432.15 $5,659.29 40% off $2,829.65 $8,960.54 $8,488.94 2025-10-04
00600003_1 CDM Operating Room Services - General Classification 24 24 $7,889.70 $4,733.82 40% off $2,366.91 $7,495.22 $7,100.73 2025-10-04
00600010_1 CDM Operating Room Services - General Classification 24 24 $6,001.80 $3,601.08 40% off $1,800.54 $5,701.71 $5,401.62 2025-10-04
00600012_1 CDM Operating Room Services - General Classification 24 24 $5,487.30 $3,292.38 40% off $1,646.19 $5,212.94 $4,938.57 2025-10-04
00600008_1 CDM Operating Room Services - General Classification 24 24 $2,743.65 $1,646.19 40% off $823.10 $2,606.47 $2,469.29 2025-10-04
00600006_1 CDM Operating Room Services - General Classification 24 24 $1,904.70 $1,142.82 40% off $571.41 $1,809.47 $1,714.23 2025-10-04
00600009_1 CDM Operating Room Services - General Classification 24 24 $1,720.95 $1,032.57 40% off $516.29 $1,634.90 $1,548.86 2025-10-04
00600004_1 CDM Operating Room Services - General Classification 24 24 $1,543.50 $926.10 40% off $463.05 $1,466.33 $1,389.15 2025-10-04
540 MS_DRG Osteomyelitis With Cc 1 1 $79,216.40 $47,529.84 40% off $22,605.52 $22,605.52 $22,605.52 2025-10-04
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 $37,642.84 $22,585.70 40% off $17,924.58 $17,924.58 $17,924.58 2025-10-04
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 $17,868.70 $10,721.22 40% off $17,924.58 $17,924.58 $17,924.58 2025-10-04
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 $15,719.46 $9,431.68 40% off $24,930.99 $24,930.99 $24,930.99 2025-10-04
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 $70,759.54 $42,455.72 40% off $18,863.77 $18,863.77 $18,863.77 2025-10-04
05204515_1 CDM Ozempic 0.25-0.5 Mg/dose Pen 24 24 $5,682.65 $3,409.59 40% off $1,704.80 $5,398.52 $5,114.39 2025-10-04
05202766_1 CDM Ozempic 0.25-0.5 Mg/dose Pen 24 24 $3,071.25 $1,842.75 40% off $921.38 $2,917.69 $2,764.13 2025-10-04
05203623_1 CDM Ozempic 0.25-0.5 Mg/dose Pen 24 24 $1,878.45 $1,127.07 40% off $563.54 $1,784.53 $1,690.61 2025-10-04
05203658_1 CDM Ozempic 1 Mg/dose (4 Mg/3 Ml) 24 24 $1,878.45 $1,127.07 40% off $563.54 $1,784.53 $1,690.61 2025-10-04
05204963_1 CDM Ozempic 2 Mg/dose (8 Mg/3 Ml) 24 24 $2,033.88 $1,220.33 40% off $610.16 $1,932.19 $1,830.49 2025-10-04
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 $20,299.86 $12,179.91 40% off $17,324.46 $17,324.46 $17,324.46 2025-10-04
A4264 HCPCS Permanent Implantable Contraceptive Intratubal Occlusion Device(s) And Delivery … 48 24 $5,343.45 $3,206.07 40% off $1,443.02 $6,523.30 $4,569.55 2025-10-04
200 MS_DRG Pneumothorax With Cc 1 1 $11,966.51 $7,179.91 40% off $12,474.49 $12,474.49 $12,474.49 2025-10-04
95810 HCPCS Polysomnography; Age 6 Years Or Older, Sleep Staging With 4 Or More Additional P… 90 24 $3,491.25 $2,094.75 40% off $289.80 $3,793.49 $3,142.13 2025-10-04
95808 HCPCS Polysomnography; Any Age, Sleep Staging With 1-3 Additional Parameters Of Sleep,… 24 24 $3,993.15 $2,395.89 40% off $335.43 $3,793.49 $3,593.84 2025-10-04
05201448_1 CDM Prevnar 13 Syringe 24 24 $2,126.25 $1,275.75 40% off $637.88 $2,019.94 $1,913.63 2025-10-04
05204799_1 CDM Provisc 10 Mg/ml Disp Syrng 24 24 $1,681.05 $1,008.63 40% off $504.32 $1,597.00 $1,512.95 2025-10-04
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 $14,183.50 $8,510.10 40% off $19,244.85 $19,244.85 $19,244.85 2025-10-04
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 $11,468.56 $6,881.14 40% off $19,244.85 $19,244.85 $19,244.85 2025-10-04
05201301_1 CDM Quetiapine Fumarate 400 Mg Tab 3 3 — $4,898,646.27 $2,449,323.14 $3,215,961.28 $3,184,120.08 2025-10-04
90375 HCPCS Rabies Immune Globulin (rig), Human, For Intramuscular And/or Subcutaneous Use 68 24 $2,499.00 $1,499.40 40% off $280.04 $11,946.06 $2,249.10 2025-10-04
77075 HCPCS Radiologic Examination, Osseous Survey; Complete (axial And Appendicular Skeleto… 24 24 $1,909.95 $1,145.97 40% off $112.60 $1,814.45 $1,718.96 2025-10-04
49560 HCPCS Repair Initial Incisional Or Ventral Hernia; Reducible 24 24 $7,036.05 $4,221.63 40% off $7,036.05 $7,036.05 $7,036.05 2025-10-04
49587 HCPCS Repair Umbilical Hernia, Age 5 Years Or Older; Incarcerated Or Strangulated 24 24 $1,947.75 $1,168.65 40% off $1,947.75 $1,947.75 $1,947.75 2025-10-04
13152 HCPCS Repair, Complex, Eyelids, Nose, Ears And/or Lips; 2.6 Cm To 7.5 Cm 24 24 $1,535.10 $921.06 40% off $460.53 $1,458.35 $1,381.59 2025-10-04
178 MS_DRG Respiratory Infections And Inflammations With Cc 1 1 $40,707.71 $24,424.63 40% off $17,643.53 $17,643.53 $17,643.53 2025-10-04
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 $41,066.24 $24,639.74 40% off $17,643.53 $17,643.53 $17,643.53 2025-10-04
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 $7,741.00 $4,644.60 40% off $20,041.01 $20,041.01 $20,041.01 2025-10-04
05200971_1 CDM Revlimid 5 Mg Capsule 24 24 $3,137.40 $1,882.44 40% off $941.22 $2,980.53 $2,823.66 2025-10-04
11_1 CDM Room & Board - Private (one Bed) - General Classification 20 20 $4,056.00 $2,433.60 40% off $851.76 $3,853.20 $3,650.40 2025-10-04
13_1 CDM Room & Board - Private (one Bed) - General Classification 20 20 $2,037.00 $1,222.20 40% off $427.77 $1,935.15 $1,833.30 2025-10-04
10_1 CDM Room & Board - Semi-private (two Beds) - General Classification 20 20 $4,056.00 $2,433.60 40% off $851.76 $3,853.20 $3,650.40 2025-10-04
12_1 CDM Room & Board - Semi-private (two Beds) - General Classification 20 20 $2,037.00 $1,222.20 40% off $427.77 $1,935.15 $1,833.30 2025-10-04
100 MS_DRG Seizures With Mcc 1 1 $6,172.67 $3,703.60 40% off $17,120.42 $17,120.42 $17,120.42 2025-10-04
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 $34,550.10 $20,730.06 40% off $21,753.35 $21,753.35 $21,753.35 2025-10-04
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 1 $13,698.83 $8,219.30 40% off $21,753.35 $21,753.35 $21,753.35 2025-10-04
05000873_1 CDM Set Hta Genesys Procedure 24 24 $5,720.40 $3,432.24 40% off $1,716.12 $5,434.38 $5,148.36 2025-10-04
947 MS_DRG Signs And Symptoms With Mcc 1 1 $27,070.39 $16,242.23 40% off $15,616.12 $15,616.12 $15,616.12 2025-10-04
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 $25,838.83 $15,503.30 40% off $16,666.33 $16,666.33 $16,666.33 2025-10-04
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 $29,249.53 $17,549.72 40% off $16,666.33 $16,666.33 $16,666.33 2025-10-04
593 MS_DRG Skin Ulcers With Cc 1 1 $53,661.81 $32,197.09 40% off $17,779.56 $17,779.56 $17,779.56 2025-10-04
05000259_3 CDM Stat Tak 24 24 $1,562.40 $937.44 40% off $468.72 $1,484.28 $1,406.16 2025-10-04
05000259_2 CDM Stat Tak 24 24 $1,562.40 $937.44 40% off $468.72 $1,484.28 $1,406.16 2025-10-04
05000259_1 CDM Stat Tak 24 24 $1,562.40 $937.44 40% off $468.72 $1,484.28 $1,406.16 2025-10-04
G0416 HCPCS Surgical Pathology, Gross And Microscopic Examinations, For Prostate Needle Biop… 24 24 $2,333.10 $1,399.86 40% off $586.92 $2,216.45 $2,099.79 2025-10-04
50000168_4 CDM Sved Npwt Monthly Rental 24 24 $1,809.15 $1,085.49 40% off $542.75 $1,718.69 $1,628.24 2025-10-04
50000168_2 CDM Sved Npwt Monthly Rental 24 24 $1,809.15 $1,085.49 40% off $542.75 $1,718.69 $1,628.24 2025-10-04
50000168_3 CDM Sved Npwt Monthly Rental 24 24 $1,809.15 $1,085.49 40% off $542.75 $1,718.69 $1,628.24 2025-10-04
50000168_5 CDM Sved Npwt Monthly Rental 24 24 $1,809.15 $1,085.49 40% off $542.75 $1,718.69 $1,628.24 2025-10-04
50000168_1 CDM Sved Npwt Monthly Rental 24 24 $1,809.15 $1,085.49 40% off $542.75 $1,718.69 $1,628.24 2025-10-04
50000167_1 CDM Sved Pro 24 24 $2,732.10 $1,639.26 40% off $819.63 $2,595.50 $2,458.89 2025-10-04
50000167_4 CDM Sved Pro 24 24 $2,732.10 $1,639.26 40% off $819.63 $2,595.50 $2,458.89 2025-10-04
50000167_3 CDM Sved Pro 24 24 $2,732.10 $1,639.26 40% off $819.63 $2,595.50 $2,458.89 2025-10-04
50000167_5 CDM Sved Pro 24 24 $2,732.10 $1,639.26 40% off $819.63 $2,595.50 $2,458.89 2025-10-04
50000167_2 CDM Sved Pro 24 24 $2,732.10 $1,639.26 40% off $819.63 $2,595.50 $2,458.89 2025-10-04
05203542_1 CDM Synvisc Syringe 24 24 $2,205.25 $1,323.15 40% off $661.58 $2,094.99 $1,984.73 2025-10-04
05202791_1 CDM Tarceva 150 Mg Tablet 24 24 $1,919.40 $1,151.64 40% off $575.82 $1,823.43 $1,727.46 2025-10-04
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 1 1 $28,332.00 $16,999.20 40% off $33,150.63 $33,150.63 $33,150.63 2025-10-04
05203901_1 CDM Trulicity 0.75 Mg/0.5 Ml Pen 24 24 $2,931.60 $1,758.96 40% off $879.48 $2,785.02 $2,638.44 2025-10-04
05204544_1 CDM Trulicity 0.75 Mg/0.5 Ml Pen 24 24 $2,931.60 $1,758.96 40% off $879.48 $2,785.02 $2,638.44 2025-10-04
05204929_1 CDM Trulicity 0.75 Mg/0.5 Ml Pen 24 24 $2,791.95 $1,675.17 40% off $837.59 $2,652.35 $2,512.76 2025-10-04
05204346_1 CDM Trulicity 0.75 Mg/0.5 Ml Pen 24 24 $2,791.95 $1,675.17 40% off $837.59 $2,652.35 $2,512.76 2025-10-04
05204882_1 CDM Trulicity 1.5 Mg/0.5 Ml Pen 24 24 $3,078.60 $1,847.16 40% off $923.58 $2,924.67 $2,770.74 2025-10-04
05203037_1 CDM Trulicity 1.5 Mg/0.5 Ml Pen 24 24 $2,716.35 $1,629.81 40% off $814.91 $2,580.53 $2,444.72 2025-10-04
05204952_1 CDM Truqap 160 Mg Tablet 24 24 $2,255.40 $1,353.24 40% off $676.62 $2,142.63 $2,029.86 2025-10-04
05204898_1 CDM Truqap 160 Mg Tablet 24 24 $2,255.40 $1,353.24 40% off $676.62 $2,142.63 $2,029.86 2025-10-04
05203802_1 CDM Tudorza Pressair 400 Mcg Inhal 24 24 $2,060.10 $1,236.06 40% off $618.03 $1,957.10 $1,854.09 2025-10-04
58400 HCPCS Uterine Suspension, With Or Without Shortening Of Round Ligaments, With Or Witho… 24 24 $2,776.20 $1,665.72 40% off $2,776.20 $2,776.20 $2,776.20 2025-10-04
94002 HCPCS Ventilation Assist And Management, Initiation Of Pressure Or Volume Preset Venti… 24 24 $1,672.65 $1,003.59 40% off $64.26 $1,589.02 $1,505.39 2025-10-04
05202519_1 CDM Vivitrol 380 Mg Vial-diluent 24 24 $10,257.45 $6,154.47 40% off $3,077.24 $9,744.58 $9,231.71 2025-10-04
05202504_1 CDM Vivitrol 380 Mg Vial-diluent 24 24 $10,257.45 $6,154.47 40% off $3,077.24 $9,744.58 $9,231.71 2025-10-04
05202539_1 CDM Vivitrol 380 Mg Vial-diluent 24 24 $10,257.45 $6,154.47 40% off $3,077.24 $9,744.58 $9,231.71 2025-10-04
05202549_1 CDM Vivitrol 380 Mg Vial-diluent 24 24 $8,919.75 $5,351.85 40% off $2,675.93 $8,473.76 $8,027.78 2025-10-04
05000843_1 CDM Wound Sheet Matristem 3x7 Cm 24 24 $1,665.30 $999.18 40% off $499.59 $1,582.04 $1,498.77 2025-10-04
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