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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

KERN VALLEY HEALTHCARE DISTRICT

Lake Isabella, CA · CCN 051314 · Rates published

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You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $240 across 13 payers · range $63-$1,752

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbKVHDLAKEISABELLACA&type=CDMWithoutLabel&fileType=CSV · observed 2026-02-25

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

24,500 distinct procedures filed
14 distinct payers
111,110 rate rows
2026-07-17 last MRF observed
Data quality

92,980 of 111,110 rate rows are consumer-grade (83.7%)

18,130 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 17,012
per-diem day rate — not a per-procedure price 697
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 364
percent-of-charges filed in the dollar field — excluded from medians 48
exceeds 10× this hospital's gross charge — excluded from medians 7
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbKVHDLAKEISABELLACA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Kern_Valley.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-21
Content fingerprint bea776ba2a83e057… · 30,733,216 bytes · first seen 2026-05-15

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
556
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 $12,491.39 $948,036.19 $480,263.79 nat. median
$8,636
outlier · 55.6×
71
MS_DRG 		Other Cerebrovascular Disorders With Cc 2 $15,430.01 $600,500.69 $307,965.35 nat. median
$10,562
outlier · 29.2×
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 2 $24,516.58 $510,848.85 $267,682.71 nat. median
$15,979
outlier · 16.8×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 2 $19,484.53 $352,453.79 $185,969.16 nat. median
$12,550
outlier · 14.8×
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc/mcc 2 $9,655.04 $246,815.64 $128,235.34 nat. median
$7,116
outlier · 18.0×
552
MS_DRG 		Medical Back Problems Without Mcc 2 $14,456.99 $231,882.31 $123,169.65 nat. median
$9,833
outlier · 12.5×
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 $12,089.85 $212,197.00 $112,143.43 nat. median
$8,661
outlier · 12.9×
682
MS_DRG 		Renal Failure With Mcc 2 $22,272.76 $136,759.39 $79,516.08 nat. median
$14,443
outlier · 5.5×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 $16,935.42 $115,022.51 $65,978.96 nat. median
$11,478
outlier · 5.7×
945
MS_DRG 		Rehabilitation With Cc/mcc 2 $23,289.40 $79,997.03 $51,643.21 nat. median
$14,842
outlier · 3.5×
293
MS_DRG 		Heart Failure And Shock Without Cc/mcc 2 $8,512.07 $78,494.46 $43,503.27 nat. median
$6,358
outlier · 6.8×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 $41,337.70 $41,337.70 $41,337.70 nat. median
$25,409
1.6× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 1 $34,937.10 $34,937.10 $34,937.10 nat. median
$21,152
1.7× median
98
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 $34,513.00 $34,513.00 $34,513.00 nat. median
$21,174
1.6× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $29,213.26 $29,213.26 $29,213.26 nat. median
$18,659
1.6× median
52
MS_DRG 		Spinal Disorders And Injuries With Cc/mcc 1 $26,781.45 $26,781.45 $26,781.45 nat. median
$18,095
1.5× median
199
MS_DRG 		Pneumothorax With Mcc 1 $26,530.30 $26,530.30 $26,530.30 nat. median
$16,770
1.6× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 $25,960.96 $25,960.96 $25,960.96 nat. median
$16,931
1.5× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 $24,713.90 $24,713.90 $24,713.90 nat. median
$17,437
1.4× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 1 $24,196.25 $24,196.25 $24,196.25 nat. median
$14,262
1.7× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 1 $24,124.06 $24,124.06 $24,124.06 nat. median
$15,670
1.5× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 1 $23,501.45 $23,501.45 $23,501.45 nat. median
$15,405
1.5× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 1 $22,561.60 $22,561.60 $22,561.60 nat. median
$18,829
1.2× median
602
MS_DRG 		Cellulitis With Mcc 1 $21,374.93 $21,374.93 $21,374.93 nat. median
$14,036
1.5× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 $20,086.09 $20,086.09 $20,086.09 nat. median
$12,851
1.6× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 1 $19,767.26 $19,767.26 $19,767.26 nat. median
$12,877
1.5× median
540
MS_DRG 		Osteomyelitis With Cc 1 $19,495.06 $19,495.06 $19,495.06 nat. median
$12,776
1.5× median
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $19,307.07 $19,307.07 $19,307.07 nat. median
$12,775
1.5× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 $19,073.96 $19,073.96 $19,073.96 nat. median
$12,544
1.5× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 1 $18,579.18 $18,579.18 $18,579.18 nat. median
$12,282
1.5× median
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 1 $18,106.96 $18,106.96 $18,106.96 nat. median
$11,997
1.5× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 1 $17,449.75 $17,449.75 $17,449.75 nat. median
$11,515
1.5× median
546
MS_DRG 		Connective Tissue Disorders With Cc 1 $17,345.98 $17,345.98 $17,345.98 nat. median
$11,783
1.5× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 1 $16,658.70 $16,658.70 $16,658.70 nat. median
$11,073
1.5× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 1 $16,054.13 $16,054.13 $16,054.13 nat. median
$10,846
1.5× median
433
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Cc 1 $15,884.19 $15,884.19 $15,884.19 nat. median
$10,769
1.5× median
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 1 $15,502.20 $15,502.20 $15,502.20 nat. median
$10,491
1.5× median
543
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 $15,460.09 $15,460.09 $15,460.09 nat. median
$10,651
1.5× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 $15,389.41 $15,389.41 $15,389.41 nat. median
$10,410
1.5× median
92
MS_DRG 		Other Disorders Of Nervous System With Cc 1 $15,384.90 $15,384.90 $15,384.90 nat. median
$10,613
1.4× median
923
MS_DRG 		Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 1 $15,305.19 $15,305.19 $15,305.19 nat. median
$10,195
1.5× median
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 1 $15,264.59 $15,264.59 $15,264.59 nat. median
$10,325
1.5× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 1 $15,193.90 $15,193.90 $15,193.90 nat. median
$10,477
1.5× median
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 1 $14,748.75 $14,748.75 $14,748.75 nat. median
$10,031
1.5× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 1 $14,678.06 $14,678.06 $14,678.06 nat. median
$10,207
1.4× median
202
MS_DRG 		Bronchitis And Asthma With Cc/mcc 1 $14,605.88 $14,605.88 $14,605.88 nat. median
$9,797
1.5× median
60
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 1 $13,832.87 $13,832.87 $13,832.87 nat. median
$9,592
1.4× median
595
MS_DRG 		Major Skin Disorders With Mcc 1 $13,639.28 $13,639.28 $13,639.28 nat. median
$20,206
0.7× median
638
MS_DRG 		Diabetes With Cc 1 $13,477.95 $13,477.95 $13,477.95 nat. median
$9,230
1.5× median
558
MS_DRG 		Tendonitis, Myositis And Bursitis Without Mcc 1 $13,432.83 $13,432.83 $13,432.83 nat. median
$9,057
1.5× median

Other procedures at this hospital

Browse this hospital's 24,500 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
             
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 2 $361,569.19 — $12,491.39 $948,036.19 $480,263.79 2026-02-25
71 MS_DRG Other Cerebrovascular Disorders With Cc 2 2 $218,831.69 — $15,430.01 $600,500.69 $307,965.35 2026-02-25
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 $191,239.85 — $24,516.58 $510,848.85 $267,682.71 2026-02-25
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 2 $135,243.79 — $19,484.53 $352,453.79 $185,969.16 2026-02-25
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 2 2 $104,077.64 $4,091,292.21 $9,655.04 $246,815.64 $128,235.34 2026-02-25
552 MS_DRG Medical Back Problems Without Mcc 2 2 $98,453.31 $3,870,199.46 $14,456.99 $231,882.31 $123,169.65 2026-02-25
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 2 $78,768.00 $3,096,369.98 $12,089.85 $212,197.00 $112,143.43 2026-02-25
682 MS_DRG Renal Failure With Mcc 2 2 $59,184.39 $2,326,538.45 $22,272.76 $136,759.39 $79,516.08 2026-02-25
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 $56,065.51 $2,203,935.30 $16,935.42 $115,022.51 $65,978.96 2026-02-25
945 MS_DRG Rehabilitation With Cc/mcc 2 2 $39,658.03 $1,558,957.16 $23,289.40 $79,997.03 $51,643.21 2026-02-25
293 MS_DRG Heart Failure And Shock Without Cc/mcc 2 2 $33,040.79 $1,298,833.44 $8,512.07 $78,494.46 $43,503.27 2026-02-25
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 $41,671.42 $1,638,103.63 $41,337.70 $41,337.70 $41,337.70 2026-02-25
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 $57,110.38 $2,245,009.04 $34,937.10 $34,937.10 $34,937.10 2026-02-25
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 $132,239.05 — $34,513.00 $34,513.00 $34,513.00 2026-02-25
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 $51,195.71 $2,012,503.36 $29,213.26 $29,213.26 $29,213.26 2026-02-25
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 1 1 $121,120.56 $4,761,249.21 $26,781.45 $26,781.45 $26,781.45 2026-02-25
199 MS_DRG Pneumothorax With Mcc 1 1 $37,993.97 $1,493,542.96 $26,530.30 $26,530.30 $26,530.30 2026-02-25
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 $25,960.96 $1,020,525.34 $25,960.96 $25,960.96 $25,960.96 2026-02-25
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 $24,713.90 $971,503.41 $24,713.90 $24,713.90 $24,713.90 2026-02-25
884 MS_DRG Organic Disturbances And Intellectual Disability 1 1 $54,342.36 $2,136,198.17 $24,196.25 $24,196.25 $24,196.25 2026-02-25
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 $27,594.46 $1,084,738.22 $24,124.06 $24,124.06 $24,124.06 2026-02-25
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 $57,370.24 $2,255,224.29 $23,501.45 $23,501.45 $23,501.45 2026-02-25
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 $22,561.60 $886,896.30 $22,561.60 $22,561.60 $22,561.60 2026-02-25
602 MS_DRG Cellulitis With Mcc 1 1 $24,607.66 $967,327.11 $21,374.93 $21,374.93 $21,374.93 2026-02-25
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 $50,088.38 $1,968,974.22 $20,086.09 $20,086.09 $20,086.09 2026-02-25
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 $50,140.52 $1,971,023.95 $19,767.26 $19,767.26 $19,767.26 2026-02-25
540 MS_DRG Osteomyelitis With Cc 1 1 $52,184.48 $2,051,371.91 $19,495.06 $19,495.06 $19,495.06 2026-02-25
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $55,546.05 $2,183,515.08 $19,307.07 $19,307.07 $19,307.07 2026-02-25
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 1 $24,797.90 $974,805.35 $19,073.96 $19,073.96 $19,073.96 2026-02-25
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 $35,391.76 $1,391,250.09 $18,579.18 $18,579.18 $18,579.18 2026-02-25
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 1 1 $48,042.71 $1,888,558.90 $18,106.96 $18,106.96 $18,106.96 2026-02-25
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 $57,580.83 $2,263,502.54 $17,449.75 $17,449.75 $17,449.75 2026-02-25
546 MS_DRG Connective Tissue Disorders With Cc 1 1 $115,880.27 $4,555,253.22 $17,345.98 $17,345.98 $17,345.98 2026-02-25
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 1 1 $36,865.18 $1,449,170.41 $16,658.70 $16,658.70 $16,658.70 2026-02-25
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 $36,798.26 $1,446,539.71 $16,054.13 $16,054.13 $16,054.13 2026-02-25
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 1 1 $20,428.83 $803,057.31 $15,884.19 $15,884.19 $15,884.19 2026-02-25
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 $24,051.74 $945,473.70 $15,502.20 $15,502.20 $15,502.20 2026-02-25
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 $31,859.38 $1,252,392.23 $15,460.09 $15,460.09 $15,460.09 2026-02-25
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 1 $28,798.74 $1,132,078.47 $15,389.41 $15,389.41 $15,389.41 2026-02-25
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 $128,808.04 — $15,384.90 $15,384.90 $15,384.90 2026-02-25
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 1 1 $17,110.75 $672,623.58 $15,305.19 $15,305.19 $15,305.19 2026-02-25
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 $42,378.27 $1,665,889.79 $15,264.59 $15,264.59 $15,264.59 2026-02-25
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 1 1 $42,130.56 $1,656,152.31 $15,193.90 $15,193.90 $15,193.90 2026-02-25
378 MS_DRG Gastrointestinal Hemorrhage With Cc 1 1 $28,222.60 $1,109,430.41 $14,748.75 $14,748.75 $14,748.75 2026-02-25
178 MS_DRG Respiratory Infections And Inflammations With Cc 1 1 $23,510.31 $924,190.29 $14,678.06 $14,678.06 $14,678.06 2026-02-25
202 MS_DRG Bronchitis And Asthma With Cc/mcc 1 1 $27,529.61 $1,082,188.77 $14,605.88 $14,605.88 $14,605.88 2026-02-25
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 1 1 $218,564.85 — $13,832.87 $13,832.87 $13,832.87 2026-02-25
595 MS_DRG Major Skin Disorders With Mcc 1 1 $13,639.28 $536,160.10 $13,639.28 $13,639.28 $13,639.28 2026-02-25
638 MS_DRG Diabetes With Cc 1 1 $21,804.49 $857,134.34 $13,477.95 $13,477.95 $13,477.95 2026-02-25
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 1 1 $27,745.56 $1,090,677.96 $13,432.83 $13,432.83 $13,432.83 2026-02-25
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 1 $19,527.48 $767,625.24 $13,276.43 $13,276.43 $13,276.43 2026-02-25
683 MS_DRG Renal Failure With Cc 1 1 $26,241.97 $1,031,571.84 $13,171.16 $13,171.16 $13,171.16 2026-02-25
603 MS_DRG Cellulitis Without Mcc 1 1 $26,749.09 $1,051,506.69 $13,097.47 $13,097.47 $13,097.47 2026-02-25
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 1 1 $29,098.65 $1,143,868.04 $12,889.93 $12,889.93 $12,889.93 2026-02-25
292 MS_DRG Heart Failure And Shock With Cc 1 1 $33,108.09 $1,301,479.13 $12,768.11 $12,768.11 $12,768.11 2026-02-25
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 $22,753.64 $894,445.48 $12,677.88 $12,677.88 $12,677.88 2026-02-25
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 1 1 $25,371.90 $997,369.47 $12,650.81 $12,650.81 $12,650.81 2026-02-25
Q4161 HCPCS Bio-connekt Wound Matrix, Per Square Centimeter 35 13 $24,000.00 $4,320.00 82% off $945.00 $36,000.00 $12,600.00 2026-02-25
547 MS_DRG Connective Tissue Disorders Without Cc/mcc 1 1 $221,117.33 — $12,575.61 $12,575.61 $12,575.61 2026-02-25
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 1 1 $35,661.91 $1,401,869.75 $12,174.07 $12,174.07 $12,174.07 2026-02-25
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 $23,413.71 $920,392.74 $12,145.50 $12,145.50 $12,145.50 2026-02-25
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 $30,771.14 $1,209,613.54 $12,119.93 $12,119.93 $12,119.93 2026-02-25
948 MS_DRG Signs And Symptoms Without Mcc 1 1 $37,509.78 $1,474,509.57 $12,038.72 $12,038.72 $12,038.72 2026-02-25
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 1 1 $219,237.21 — $11,975.56 $11,975.56 $11,975.56 2026-02-25
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 $11,781.07 $463,113.76 $11,781.07 $11,781.07 $11,781.07 2026-02-25
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 1 $17,296.19 $679,913.34 $11,724.40 $11,724.40 $11,724.40 2026-02-25
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 1 1 $29,006.51 $1,140,245.83 $11,703.35 $11,703.35 $11,703.35 2026-02-25
541 MS_DRG Osteomyelitis Without Cc/mcc 1 1 $39,726.10 $1,561,632.99 $11,602.59 $11,602.59 $11,602.59 2026-02-25
645 MS_DRG Endocrine Disorders Without Cc/mcc 1 1 $45,345.32 $1,782,524.53 $11,554.46 $11,554.46 $11,554.46 2026-02-25
305 MS_DRG Hypertension Without Mcc 1 1 $14,804.78 $581,975.71 $11,355.95 $11,355.95 $11,355.95 2026-02-25
637 MS_DRG Diabetes With Mcc 1 1 $11,250.63 $442,262.27 $11,250.63 $11,250.63 $11,250.63 2026-02-25
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 1 1 $21,334.60 $838,662.93 $11,064.19 $11,064.19 $11,064.19 2026-02-25
869 MS_DRG Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc 1 1 $27,641.52 $1,086,588.15 $10,973.96 $10,973.96 $10,973.96 2026-02-25
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 1 1 $19,644.79 $772,236.69 $10,939.37 $10,939.37 $10,939.37 2026-02-25
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 1 1 $59,125.75 $2,324,233.22 $10,823.57 $10,823.57 $10,823.57 2026-02-25
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 $10,788.25 $424,086.11 $10,788.25 $10,788.25 $10,788.25 2026-02-25
312 MS_DRG Syncope And Collapse 1 1 $10,718.64 $421,349.74 $10,718.64 $10,718.64 $10,718.64 2026-02-25
153 MS_DRG Otitis Media And Uri Without Mcc 1 1 $10,708.60 $420,955.07 $10,708.60 $10,708.60 $10,708.60 2026-02-25
935 MS_DRG Non-extensive Burns 1 1 $10,500.01 $412,755.39 $10,500.01 $10,500.01 $10,500.01 2026-02-25
812 MS_DRG Red Blood Cell Disorders Without Mcc 1 1 $10,353.24 $406,985.86 $10,353.24 $10,353.24 $10,353.24 2026-02-25
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 1 1 $22,311.17 $877,052.07 $10,246.07 $10,246.07 $10,246.07 2026-02-25
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 1 1 $9,868.09 $387,914.62 $9,868.09 $9,868.09 $9,868.09 2026-02-25
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 1 1 $19,790.55 $777,966.60 $9,452.01 $9,452.01 $9,452.01 2026-02-25
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 1 1 $27,483.88 $1,080,391.32 $9,345.23 $9,345.23 $9,345.23 2026-02-25
639 MS_DRG Diabetes Without Cc/mcc 1 1 $19,625.90 $771,494.21 $9,342.23 $9,342.23 $9,342.23 2026-02-25
313 MS_DRG Chest Pain 1 1 $9,028.20 $354,898.54 $9,028.20 $9,028.20 $9,028.20 2026-02-25
684 MS_DRG Renal Failure Without Cc/mcc 1 1 $32,571.19 $1,280,373.28 $9,027.91 $9,027.91 $9,027.91 2026-02-25
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 1 1 $220,141.47 — $8,513.58 $8,513.58 $8,513.58 2026-02-25
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 1 1 $7,849.40 $308,559.91 $7,849.40 $7,849.40 $7,849.40 2026-02-25
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 $7,313.68 $287,500.76 $7,313.68 $7,313.68 $7,313.68 2026-02-25
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 $7,279.18 $286,144.57 $7,279.18 $7,279.18 $7,279.18 2026-02-25
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 1 1 $6,137.53 $241,266.30 $6,137.53 $6,137.53 $6,137.53 2026-02-25
IO CDM Room & Board - Private (one Bed) - General Classification 4 4 $8,046.53 $3,931.00 51% off $1,689.77 $6,839.55 $5,994.66 2026-02-25
Q4342 HCPCS Theramend, Per Square Centimeter 38 12 $22,080.00 $3,974.40 82% off $441.60 $75,072.00 $5,961.60 2026-02-25
04827293 CDM Humira(cf) Pedi Crohn 80mg/0.8 12 12 $28,647.38 $5,156.53 82% off $945.00 $24,350.27 $5,156.53 2026-02-25
IC CDM Intensive Care Unit - General Classification 4 4 $6,866.72 $3,931.00 43% off $1,442.01 $5,836.71 $5,115.70 2026-02-25
J3101 HCPCS Injection, Tenecteplase, 1 Mg 12 12 $10,523.94 $1,894.31 82% off $129.59 $10,523.94 $4,946.26 2026-02-25
01601654 CDM Excision, Open, Intr-abd Tumor, Cyst, En 1 1 $6,297.36 — $4,408.15 $4,408.15 $4,408.15 2026-02-25
TE CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $4,777.57 $3,931.00 $1,003.29 $4,060.93 $3,559.29 2026-02-25
04821271 CDM Nf-avonex IM Kit 30mcg/0.5ml 12 12 $19,454.14 $3,501.75 82% off $945.00 $16,536.02 $3,501.75 2026-02-25
04827832 CDM Humira(cf) Pen 40 Mg/0.4 Ml 12 12 $16,614.00 $2,990.52 82% off $945.00 $14,121.90 $2,990.52 2026-02-25
01800053 CDM Operating Room Services - General Classification 12 12 $15,060.20 $2,710.84 82% off $945.00 $12,801.17 $2,710.84 2026-02-25
02408782 CDM Pro-osteon 12 12 $14,777.84 $2,660.01 82% off $945.00 $12,561.16 $2,660.01 2026-02-25
04821541 CDM Lupron Depot 22.5 Mg 3mo Kit 12 12 $14,332.40 $2,579.83 82% off $945.00 $12,182.54 $2,579.83 2026-02-25
04826539 CDM Humira Pen Ps-uv-adol Hs 40 Mg 12 12 $13,286.19 $2,391.51 82% off $945.00 $11,293.26 $2,391.51 2026-02-25
C1771 HCPCS Repair Device, Urinary, Incontinence, With Sling Graft 13 13 $4,608.34 $829.50 82% off $829.50 $4,608.34 $2,334.00 2026-02-25
IS CDM Room & Board - Private (one Bed) - General Classification 4 4 $3,017.45 $3,931.00 $633.66 $2,564.83 $2,248.01 2026-02-25
01800046 CDM Operating Room Services - General Classification 12 12 $11,295.10 $2,033.12 82% off $903.61 $9,600.84 $2,183.56 2026-02-25
04826661 CDM Enema Bottle 120 Ml 1 1 $2,902.00 — $2,031.40 $2,031.40 $2,031.40 2026-02-25
J9214 HCPCS Injection, Interferon, Alfa-2b, Recombinant, 1 Million Units 11 11 $2,371.78 $152.44 94% off $35.85 $2,371.78 $1,873.71 2026-02-25
MS CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $2,514.55 $3,931.00 $528.06 $2,137.37 $1,873.34 2026-02-25
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 11 11 $2,250.40 $152.44 93% off $405.07 $2,250.40 $1,777.82 2026-02-25
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 12 12 $4,947.50 $890.55 82% off $395.80 $4,345.18 $1,760.70 2026-02-25
02407172 CDM Dhc-25 Staple Gun 12 12 $8,343.51 $1,501.83 82% off $667.48 $7,091.98 $1,752.13 2026-02-25
04823643 CDM Humira 40 Mg/0.8 Ml Syringe 12 12 $8,222.97 $1,480.13 82% off $657.84 $6,989.52 $1,726.82 2026-02-25
04828021 CDM Ajovy 225 Mg/1.5 Ml Syringe 1 1 $2,346.00 — $1,642.20 $1,642.20 $1,642.20 2026-02-25
SW CDM Room & Board - Private (one Bed) - General Classification 4 4 $2,200.00 $3,931.00 $462.00 $1,870.00 $1,639.00 2026-02-25
04824463 CDM Gamunex-c Ivpb : 24g /240 Ml 12 12 $7,697.19 $1,385.49 82% off $615.78 $6,542.61 $1,616.41 2026-02-25
04823989 CDM Gamunex-c Ivpb : 70g /700 Ml 12 12 $7,697.19 $1,385.49 82% off $615.78 $6,542.61 $1,616.41 2026-02-25
00752 HCPCS Anesthesia For Procedure To Repair Upper Abdominal Incisional Hernia And/or Woun… 5 5 $1,587.44 — $41.00 $1,587.44 $1,587.44 2026-02-25
01800038 CDM Operating Room Services - General Classification 12 12 $7,530.11 $1,355.42 82% off $602.41 $6,400.59 $1,581.33 2026-02-25
05400814 CDM Operating Room Services - General Classification 12 12 $7,530.11 $1,355.42 82% off $602.41 $6,400.59 $1,581.33 2026-02-25
05400517 CDM Operating Room Services - General Classification 12 12 $7,530.11 $1,355.42 82% off $602.41 $6,400.59 $1,581.33 2026-02-25
05400756 CDM Operating Room Services - General Classification 12 12 $7,530.11 $1,355.42 82% off $602.41 $6,400.59 $1,581.33 2026-02-25
04823396 CDM Humira Pen 40 Mg/0.8 Ml 12 12 $7,482.23 $1,346.80 82% off $598.58 $6,359.90 $1,571.27 2026-02-25
04826508 CDM Forteo 560 Mcg/2.24 Ml Pen Inj 12 12 $7,332.71 $1,319.89 82% off $586.62 $6,232.80 $1,539.87 2026-02-25
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 11 11 $8,422.33 $152.44 98% off $334.77 $7,158.98 $1,516.02 2026-02-25
04828051 CDM Wegovy 2.4 Mg/0.75 Ml Pen 1 1 $2,158.00 — $1,510.60 $1,510.60 $1,510.60 2026-02-25
00406 HCPCS Anesthesia For Removal Of Breast And Lymph Nodes 5 5 $1,496.32 — $41.00 $1,496.32 $1,496.32 2026-02-25
04827280 CDM Trulicity 1.5 Mg/0.5 Ml Pen 1 1 $2,127.00 — $1,488.90 $1,488.90 $1,488.90 2026-02-25
04827925 CDM Trulicity 1.5 Mg/0.5 Ml Pen 1 1 $2,127.00 — $1,488.90 $1,488.90 $1,488.90 2026-02-25
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 12 12 $6,623.51 $1,192.23 82% off $529.88 $5,699.92 $1,481.95 2026-02-25
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 12 12 $7,161.00 $1,500.66 79% off $70.00 $5,012.70 $1,471.51 2026-02-25
02406596 CDM Hickman Subcutaneous Port 12 12 $6,973.78 $1,255.28 82% off $557.90 $5,927.71 $1,464.49 2026-02-25
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 12 12 $1,868.11 $336.26 82% off $336.26 $1,868.11 $1,391.74 2026-02-25
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 12 12 $6,672.00 $1,389.08 79% off $218.17 $4,670.40 $1,374.01 2026-02-25
45402 HCPCS Repair Of Rectal Prolapse With Partial Removal Of Lower Large Bowel Using An End… 12 12 $6,611.00 $1,378.55 79% off $228.59 $4,627.70 $1,363.80 2026-02-25
02407081 CDM Peritoneo-venous Shunt 12 12 $6,482.02 $1,166.76 82% off $518.56 $5,509.72 $1,361.22 2026-02-25
04823531 CDM Nf-avonex 30mcg Intramuscular Kit 12 12 $6,463.66 $1,163.46 82% off $517.09 $5,494.11 $1,357.37 2026-02-25
04827717 CDM Opsumit 10 Mg Tablet 1 1 $1,932.00 — $1,352.40 $1,352.40 $1,352.40 2026-02-25
01405304 CDM Laceration Repair Complex 1 1 $1,917.34 — $1,342.14 $1,342.14 $1,342.14 2026-02-25
SF CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $1,776.95 $3,931.00 $373.16 $1,510.41 $1,323.83 2026-02-25
SN CDM Room & Board - Private (one Bed) - General Classification 4 4 $1,776.95 $3,931.00 $373.16 $1,510.41 $1,323.83 2026-02-25
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 13 13 $7,308.82 $1,315.59 82% off $340.87 $7,308.82 $1,315.59 2026-02-25
43631 HCPCS Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To First… 12 12 $6,314.00 $1,324.55 79% off $936.33 $4,419.80 $1,297.18 2026-02-25
02407289 CDM Novasure System 12 12 $6,098.63 $1,097.75 82% off $487.89 $5,183.84 $1,280.71 2026-02-25
00797 HCPCS Anesthesia For Procedure On Stomach For Weight Loss 5 5 $1,242.33 — $41.00 $1,242.33 $1,242.33 2026-02-25
44202 HCPCS Partial Removal And Reconnection Of Small Bowel Using An Endoscope 12 12 $6,033.00 $1,263.09 79% off $40.00 $4,223.10 $1,239.99 2026-02-25
04824882 CDM Nf-enbrel Subcutaneous Solution 50mg/1ml 12 12 $5,819.92 $1,047.59 82% off $465.59 $4,946.93 $1,222.18 2026-02-25
71270 HCPCS CT Scan Of Chest Before And After Contrast 13 13 $6,773.18 $1,219.17 82% off $357.58 $6,773.18 $1,219.17 2026-02-25
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 13 13 $6,773.18 $1,219.17 82% off $339.01 $6,773.18 $1,219.17 2026-02-25
04824130 CDM Harvoni 90-400 Mg Tablet 12 12 $5,778.00 $1,040.04 82% off $462.24 $4,911.30 $1,213.38 2026-02-25
04824129 CDM Harvoni 90-400 Mg Tablet 12 12 $5,778.00 $1,040.04 82% off $462.24 $4,911.30 $1,213.38 2026-02-25
04825620 CDM Harvoni 90-400 Mg Tablet 12 12 $5,778.00 $1,040.04 82% off $462.24 $4,911.30 $1,213.38 2026-02-25
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 13 13 $6,689.54 $1,204.12 82% off $457.92 $6,689.54 $1,204.12 2026-02-25
44140 HCPCS Partial Removal Of Large Bowel With Connection 12 12 $5,844.00 $1,225.72 79% off $40.00 $4,090.80 $1,200.35 2026-02-25
BH CDM Room & Board - Other - General Classification 4 4 $1,554.78 $3,931.00 $326.50 $1,321.56 $1,158.32 2026-02-25
00532 HCPCS Anesthesia For Access To Central Vein 5 5 $1,155.49 — $41.00 $1,155.49 $1,155.49 2026-02-25
04823950 CDM Gamunex-c 40 Gram/400 Ml Vial 12 12 $5,409.65 $973.74 82% off $432.77 $4,598.20 $1,136.03 2026-02-25
02409558 CDM Bipolar Device Ns2007 12 12 $5,342.49 $961.65 82% off $427.40 $4,541.12 $1,121.92 2026-02-25
74160 HCPCS CT Scan Of Abdomen With Contrast 13 13 $6,148.10 $1,106.66 82% off $299.45 $6,148.10 $1,106.66 2026-02-25
LA CDM Leave Of Absence - General Classification 4 4 $1,465.67 $3,931.00 $307.79 $1,245.82 $1,091.93 2026-02-25
71260 HCPCS CT Scan Of Chest With Contrast 13 13 $6,060.23 $1,090.84 82% off $297.64 $6,060.23 $1,090.84 2026-02-25
72193 HCPCS CT Scan Of Pelvis With Contrast 13 13 $6,060.23 $1,090.84 82% off $293.26 $6,060.23 $1,090.84 2026-02-25
04823463 CDM Sovaldi 400 Mg Tablet 12 12 $5,136.00 $924.48 82% off $410.88 $4,365.60 $1,088.82 2026-02-25
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 12 12 $5,310.00 $1,110.22 79% off $698.81 $3,717.00 $1,081.09 2026-02-25
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 13 13 $5,972.81 $1,075.11 82% off $404.21 $5,972.81 $1,075.11 2026-02-25
01405296 CDM Laceration Repair Interme 1 1 $1,533.82 — $1,073.67 $1,073.67 $1,073.67 2026-02-25
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 12 12 $5,200.00 $1,115.97 79% off $70.00 $3,640.00 $1,061.31 2026-02-25
04824051 CDM Nf-hyperab IM Soln 150iu/1ml 12 12 $4,876.25 $877.73 82% off $390.10 $4,144.81 $1,057.65 2026-02-25
04828412 CDM Neupogen 480 Mcg/1.6 Ml Vial 1 1 $1,503.00 — $1,052.10 $1,052.10 $1,052.10 2026-02-25
04821320 CDM Lupron Depot-ped 7.5 Mg Kit 12 12 $4,822.96 $868.13 82% off $385.84 $4,099.52 $1,051.26 2026-02-25
04827629 CDM Teriparatide 560mcg/2.24ml Pen 12 12 $4,790.32 $862.26 82% off $383.23 $4,071.77 $1,047.34 2026-02-25
04821328 CDM Lupron Depot 7.5 Mg Kit 12 12 $4,777.53 $859.96 82% off $382.20 $4,060.90 $1,045.80 2026-02-25
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 32 12 $5,775.00 $1,039.50 82% off $9.59 $11,022.10 $1,037.37 2026-02-25
02406752 CDM Groshong Port Tray 12 12 $4,678.22 $842.08 82% off $374.26 $3,976.49 $1,033.88 2026-02-25
43770 HCPCS Insertion Of Adjustable Stomach Reduction Device Using An Endoscope 12 12 $4,934.00 $1,049.85 79% off $130.00 $3,453.80 $1,009.96 2026-02-25
M0239 HCPCS Intravenous Infusion, Bamlanivimab-xxxx, Includes Infusion And Post Administrati… 13 13 $1,316.04 $236.89 82% off $236.89 $1,316.04 $1,000.19 2026-02-25
44005 HCPCS Release Of Intestinal Scar Tissue 12 12 $4,751.00 $998.21 79% off $70.00 $3,325.70 $975.00 2026-02-25
43280 HCPCS Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 12 12 $4,686.00 $988.99 79% off $65.00 $3,280.20 $972.30 2026-02-25
47600 HCPCS Removal Of Gallbladder 12 12 $4,691.00 $992.79 79% off $115.41 $3,283.70 $948.87 2026-02-25
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 13 13 $5,142.19 $925.59 82% off $247.72 $5,142.19 $925.59 2026-02-25
70488 HCPCS CT Scan Of Face Before And After Contrast 13 13 $5,142.19 $925.59 82% off $265.31 $5,142.19 $925.59 2026-02-25
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 12 12 $4,927.00 $1,041.24 79% off $618.02 $3,448.90 $925.39 2026-02-25
Q4018 HCPCS Cast Supplies, Long Arm Splint, Adult (11 Years +), Fiberglass 13 13 $1,216.90 $219.04 82% off $219.04 $1,216.90 $924.84 2026-02-25
05400806 CDM Operating Room Services - General Classification 12 12 $3,765.01 $677.70 82% off $301.20 $3,200.26 $924.30 2026-02-25
05400715 CDM Operating Room Services - General Classification 12 12 $3,765.01 $677.70 82% off $301.20 $3,200.26 $924.30 2026-02-25
05400731 CDM Operating Room Services - General Classification 12 12 $3,765.01 $677.70 82% off $301.20 $3,200.26 $924.30 2026-02-25
01800020 CDM Operating Room Services - General Classification 12 12 $3,765.01 $677.70 82% off $301.20 $3,200.26 $924.30 2026-02-25
01214 HCPCS Anesthesia For Total Hip Replacement 5 5 $920.59 — $41.00 $920.59 $920.59 2026-02-25
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 12 12 $4,511.00 $923.93 80% off $65.00 $3,157.70 $919.58 2026-02-25
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 13 13 $3,822.60 $688.07 82% off $256.82 $3,822.60 $917.42 2026-02-25
04823182 CDM Gammagard Ivpb : 50g /500 Ml 12 12 $3,685.88 $663.46 82% off $294.87 $3,133.00 $914.81 2026-02-25
Q4137 HCPCS Amnioexcel, Amnioexcel Plus Or Biodexcel, Per Square Centimeter 26 13 $1,253.69 $225.66 82% off $204.17 $1,373.08 $914.76 2026-02-25
04827544 CDM Zyvox 600 Mg Tablet 1 1 $1,300.00 — $910.00 $910.00 $910.00 2026-02-25
02403676 CDM Protack 5mm 12 12 $3,551.88 $639.34 82% off $284.15 $3,019.10 $898.73 2026-02-25
J1050 HCPCS Injection, Medroxyprogesterone Acetate, 1 Mg 11 11 $1,134.49 $152.44 87% off $204.21 $1,134.49 $896.25 2026-02-25
04826008 CDM Neupogen 480 Mcg/0.8 Ml Syr 12 12 $3,411.80 $614.12 82% off $272.94 $2,900.03 $881.91 2026-02-25
58552 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.… 12 12 $4,342.00 $870.14 80% off $125.00 $3,039.40 $870.14 2026-02-25
01000724 CDM Reduction/manipulation 12 12 $3,181.54 $572.68 82% off $254.52 $2,704.31 $868.56 2026-02-25
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 13 13 $4,804.96 $864.89 82% off $330.14 $4,804.96 $864.89 2026-02-25
43774 HCPCS Removal Of Stomach Reduction Device And Port Using An Endoscope 12 12 $4,205.00 $888.89 79% off $160.00 $2,943.50 $863.59 2026-02-25
02406018 CDM Ligasure Impact 12 12 $3,252.35 $585.42 82% off $260.19 $2,764.50 $862.78 2026-02-25
58180 HCPCS Removal Of Uterus Through Abdomen 12 12 $4,250.00 $859.04 80% off $70.00 $2,975.00 $859.04 2026-02-25
04827539 CDM Ibrance 75 Mg Tablet 12 12 $3,194.01 $574.92 82% off $255.52 $2,714.91 $855.78 2026-02-25
01600057 CDM Surgeon Assisted By Md 1 1 $1,220.66 — $854.46 $854.46 $854.46 2026-02-25
57280 HCPCS Attachment Of Vagina To Rear Pelvic Bone 12 12 $4,273.00 $853.30 80% off $65.00 $2,991.10 $853.30 2026-02-25
04823894 CDM Enema Bottle 120 Ml 12 12 $3,105.48 $558.99 82% off $248.44 $2,639.66 $845.16 2026-02-25
59612 HCPCS Vaginal Delivery After Previous Cesarean Delivery 25 13 $9,392.17 $1,690.59 82% off $544.28 $7,983.34 $836.39 2026-02-25
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 12 12 $4,021.00 $847.45 79% off $130.00 $2,814.70 $828.59 2026-02-25
58571 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 12 12 $4,034.00 $822.29 80% off $160.00 $2,823.80 $822.29 2026-02-25
04827632 CDM Ozempic 0.25-0.5 Mg/dose Pen 12 12 $2,994.00 $538.92 82% off $239.52 $2,544.90 $817.36 2026-02-25
58740 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes 12 12 $4,004.00 $819.34 80% off $709.38 $2,802.80 $815.87 2026-02-25
L1686 HCPCS Hip Orthosis, Abduction Control Of Hip Joint, Postoperative Hip Abduction Type, … 13 13 $1,161.06 $208.99 82% off $92.88 $2,167.88 $812.74 2026-02-25
01402 HCPCS Anesthesia For Procedure For Total Knee Joint Replacement 5 5 $805.62 — $41.00 $805.62 $805.62 2026-02-25
00790 HCPCS Anesthesia For Other Procedure On Upper Abdomen 5 5 $805.62 — $41.00 $805.62 $805.62 2026-02-25
70487 HCPCS CT Scan Of Face With Contrast 13 13 $4,471.59 $804.89 82% off $230.16 $4,471.59 $804.89 2026-02-25
02408568 CDM Gell Port Xe 12 12 $2,932.13 $527.78 82% off $234.57 $2,492.31 $800.47 2026-02-25
58545 HCPCS Removal Of Growth Of Uterus Using An Endoscope, 250.0 G Or Less 12 12 $3,981.00 $800.02 80% off $155.00 $2,786.70 $800.02 2026-02-25
J0897 HCPCS Injection, Denosumab, 1 Mg 12 12 $4,423.20 $796.18 82% off $29.70 $3,759.72 $796.18 2026-02-25
02407016 CDM O.b. Tray & Pack 12 12 $2,914.70 $524.65 82% off $233.18 $2,477.50 $795.71 2026-02-25
04826660 CDM Enema Bottle 120 Ml 12 12 $2,902.00 $522.36 82% off $232.16 $2,466.70 $792.25 2026-02-25
G0168 HCPCS Wound Closure Utilizing Tissue Adhesive(s) Only 13 13 $1,039.41 $187.09 82% off $187.09 $1,039.41 $789.95 2026-02-25
01203346 CDM Rev - Fs-rural/clinic 11 11 $2,555.48 $152.44 94% off $204.44 $2,172.16 $781.98 2026-02-25
58550 HCPCS Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less 12 12 $3,908.00 $781.63 80% off $130.00 $2,735.60 $781.63 2026-02-25
59409 HCPCS Vaginal Delivery 25 13 $4,681.46 $842.66 82% off $35.00 $4,074.00 $780.72 2026-02-25
44960 HCPCS Removal Of Ruptured Infected Appendix 12 12 $3,830.00 $807.98 79% off $65.00 $2,681.00 $778.58 2026-02-25
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 13 13 $3,385.50 $609.39 82% off $270.84 $3,385.50 $778.07 2026-02-25
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 13 13 $3,484.44 $627.20 82% off $278.76 $3,484.44 $778.07 2026-02-25
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 13 13 $3,711.40 $668.05 82% off $296.91 $3,711.40 $778.07 2026-02-25
43760 HCPCS Change Gastrostomy Tube 13 13 $984.10 $177.14 82% off $177.14 $1,174.00 $777.44 2026-02-25
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 13 13 $4,312.72 $776.29 82% off $330.14 $4,312.72 $776.29 2026-02-25
70460 HCPCS CT Scan Head Or Brain With Contrast 13 13 $4,298.96 $773.81 82% off $216.71 $4,298.96 $773.81 2026-02-25
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 13 13 $4,298.96 $773.81 82% off $330.14 $4,298.96 $773.81 2026-02-25
00402 HCPCS Anesthesia For Reconstruction Of Breast 5 5 $773.73 — $41.00 $773.73 $773.73 2026-02-25
05400780 CDM Operating Room Services - General Classification 12 12 $2,823.74 $508.27 82% off $225.90 $2,400.18 $770.88 2026-02-25
05400152 CDM Operating Room Services - General Classification 12 12 $2,823.74 $508.27 82% off $225.90 $2,400.18 $770.88 2026-02-25
05400137 CDM Operating Room Services - General Classification 12 12 $2,823.74 $508.27 82% off $225.90 $2,400.18 $770.88 2026-02-25
01800012 CDM Operating Room Services - General Classification 12 12 $2,823.74 $508.27 82% off $225.90 $2,400.18 $770.88 2026-02-25
05400707 CDM Operating Room Services - General Classification 12 12 $2,823.74 $508.27 82% off $225.90 $2,400.18 $770.88 2026-02-25
44620 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening 12 12 $3,784.00 $795.50 79% off $84.51 $2,648.80 $770.43 2026-02-25
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 13 13 $3,336.20 $600.52 82% off $266.90 $3,336.20 $768.00 2026-02-25
93886 HCPCS Complete Ultrasound Of Within The Brain Blood Flow 13 13 $4,234.59 $762.23 82% off $280.97 $3,599.40 $762.23 2026-02-25
J0878 HCPCS Injection, Daptomycin, 1 Mg 12 12 $1,023.03 $184.15 82% off $1.03 $1,023.03 $762.15 2026-02-25
49900 HCPCS Suture Of Postsurgical Opening In Abdominal Wall 12 12 $3,666.00 $796.54 78% off $334.70 $2,566.20 $756.71 2026-02-25
04824864 CDM Gammagard Ivpb : 25g /250 Ml 12 12 $2,771.72 $498.91 82% off $221.74 $2,355.96 $756.68 2026-02-25
04824311 CDM Revlimid 25 Mg Capsule 12 12 $2,757.38 $496.33 82% off $220.59 $2,343.77 $752.76 2026-02-25
27502 HCPCS Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation 12 12 $3,392.00 $755.28 78% off $71.48 $2,374.40 $742.89 2026-02-25
74150 HCPCS CT Scan Of Abdomen Without Contrast 13 13 $4,117.11 $741.08 82% off $208.42 $4,117.11 $741.08 2026-02-25
58570 HCPCS Removal Of Uterus Through Abdomen Using An Endoscope, 250.0 G Or Less 12 12 $3,589.00 $723.09 80% off $136.30 $2,512.30 $723.09 2026-02-25
01965 HCPCS Anesthesia For Incomplete Or Missed Abortion 5 5 $721.80 — $41.00 $721.80 $721.80 2026-02-25
02400507 CDM Dissector Syst Smsbtovl 12 12 $2,616.53 $470.98 82% off $209.32 $2,224.05 $714.32 2026-02-25
27252 HCPCS Closed Treatment Of Dislocated Hip Under Anesthesia 12 12 $3,362.00 $721.39 79% off $36.00 $2,353.40 $708.05 2026-02-25
00844 HCPCS Anesthesia For Procedure On Large Bowel 5 5 $706.82 — $41.00 $706.82 $706.82 2026-02-25
73701 HCPCS CT Scan Of Leg With Contrast Material 13 13 $3,869.60 $696.53 82% off $293.26 $3,869.60 $696.53 2026-02-25
A4301 HCPCS Implantable Access Total Catheter, Port/reservoir (e.g., Venous, Arterial, Epidu… 13 13 $912.71 $164.29 82% off $164.29 $912.71 $693.66 2026-02-25
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 13 13 $3,823.85 $688.29 82% off $305.43 $3,823.85 $690.77 2026-02-25
00520 HCPCS Anesthesia For Other Closed Procedure On Chest 5 5 $690.50 — $41.00 $690.50 $690.50 2026-02-25
00840 HCPCS Anesthesia For Other Procedure On Lower Abdomen 5 5 $690.50 — $41.00 $690.50 $690.50 2026-02-25
00832 HCPCS Anesthesia For Repair Of Abdominal Wall Hernia 5 5 $690.50 — $41.00 $690.50 $690.50 2026-02-25
01230 HCPCS Anesthesia For Procedure On Upper 2/3rd Of Thigh Bone 5 5 $690.50 — $41.00 $690.50 $690.50 2026-02-25
01210 HCPCS Anesthesia For Other Procedure On Hip Joint 5 5 $690.50 — $41.00 $690.50 $690.50 2026-02-25
00320 HCPCS Anesthesia For Other Procedure On Neck Area (1 Year Or Older) 5 5 $690.50 — $41.00 $690.50 $690.50 2026-02-25
58925 HCPCS Removal Of Cysts Of Ovaries 12 12 $3,411.00 $694.72 80% off $68.00 $2,387.70 $685.19 2026-02-25
57260 HCPCS Plastic Repair Of Vagina And Tissue Separating Vagina, Rectum, And Bladder 12 12 $3,449.00 $684.85 80% off $121.61 $2,414.30 $684.85 2026-02-25
72192 HCPCS CT Scan Of Pelvis Without Contrast 13 13 $3,800.04 $684.01 82% off $204.64 $3,800.04 $684.01 2026-02-25
71250 HCPCS CT Scan Of Chest Without Contrast 13 13 $3,800.04 $684.01 82% off $233.36 $3,800.04 $684.01 2026-02-25
90736 HCPCS Shingles Vaccine For Injection Under Skin 12 12 $878.96 $152.44 83% off $158.21 $878.96 $681.19 2026-02-25
43246 HCPCS Insertion Of Stomach Tube Using A Flexible Endoscope 13 13 $2,823.74 $508.27 82% off $225.90 $2,400.18 $677.70 2026-02-25
73202 HCPCS CT Scan Of Arm Before And After Contrast 13 13 $2,796.00 $503.28 82% off $223.68 $2,796.00 $671.04 2026-02-25
73702 HCPCS CT Scan Of Leg Before And After Contrast 13 13 $2,786.02 $501.48 82% off $222.88 $2,786.02 $668.64 2026-02-25
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 12 12 $3,162.00 $673.51 79% off $536.48 $2,213.40 $667.16 2026-02-25
C1750 HCPCS Catheter, Hemodialysis/peritoneal, Long-term 26 13 $1,144.73 $206.05 82% off $147.36 $1,470.78 $660.23 2026-02-25
23073 HCPCS Removal Of Growth Of Muscle Of Shoulder, 5.0 Cm Or More 12 12 $3,131.00 $659.56 79% off $36.00 $2,191.70 $659.56 2026-02-25
19371 HCPCS Removal Of Capsule Around Breast Implant 12 12 $3,222.00 $656.69 80% off $84.51 $2,255.40 $656.69 2026-02-25
57287 HCPCS Removal Or Revision Of Incontinence Sling 12 12 $3,326.00 $667.43 80% off $596.89 $2,328.20 $656.31 2026-02-25
58662 HCPCS Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope 12 12 $3,156.00 $640.83 80% off $305.66 $2,209.20 $640.83 2026-02-25
04827969 CDM Trulicity 4.5 Mg/0.5 Ml Pen 12 12 $2,345.00 $422.10 82% off $187.60 $1,993.25 $640.18 2026-02-25
43870 HCPCS Closure Of Surgically Created Opening From Stomach To Skin 12 12 $3,116.00 $665.45 79% off $25.00 $2,181.20 $637.42 2026-02-25
43830 HCPCS Insertion Of Stomach Feeding Tube 12 12 $3,101.00 $670.13 78% off $483.99 $2,170.70 $635.97 2026-02-25
60210 HCPCS Partial Removal Of Thyroid Lobe On Side Of Neck 12 12 $3,149.00 $644.20 80% off $565.52 $2,204.30 $635.93 2026-02-25
01202215 CDM Casting - Large 12 12 $2,319.14 $417.45 82% off $185.53 $1,971.27 $633.12 2026-02-25
51840 HCPCS Simple Suture Of Bladder Neck To Vaginal Wall And Pubic Bone With Urethra Suspen… 12 12 $3,101.00 $626.99 80% off $60.00 $2,170.70 $626.99 2026-02-25
15760 HCPCS Graft With Closure Of Wound 12 12 $3,165.00 $623.57 80% off $60.00 $2,215.50 $623.57 2026-02-25
47562 HCPCS Removal Of Gallbladder Using An Endoscope 12 12 $2,911.00 $622.92 79% off $466.12 $2,037.70 $622.92 2026-02-25
15120 HCPCS Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 12 12 $3,107.00 $621.97 80% off $92.70 $2,174.90 $621.97 2026-02-25
70486 HCPCS CT Scan Of Face Without Contrast 13 13 $3,450.27 $621.05 82% off $208.72 $3,450.27 $621.05 2026-02-25
02000092 CDM Recovery Room - General Classification 12 12 $2,273.60 $409.25 82% off $181.89 $1,932.56 $620.69 2026-02-25
02408600 CDM Cs40b Stapler Crv Cutter 12 12 $2,273.11 $409.16 82% off $181.85 $1,932.14 $620.56 2026-02-25
00410 HCPCS Anesthesia For Procedure To Correct Abnormal Heart Rhythm 5 5 $618.98 — $41.00 $618.98 $618.98 2026-02-25
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 25 13 $5,345.83 $962.25 82% off $15.00 $4,543.96 $616.98 2026-02-25
02409994 CDM Multi Layer Wound Matrix 5cm 12 12 $2,237.89 $402.82 82% off $179.03 $1,902.21 $610.94 2026-02-25
00860 HCPCS Anesthesia For Other Procedure On Lower Abdomen Outside Abdominal Cavity 5 5 $605.88 — $41.00 $605.88 $605.88 2026-02-25
72125 HCPCS CT Scan Of Upper Spine Without Contrast 13 13 $3,336.20 $600.52 82% off $238.84 $3,336.20 $600.52 2026-02-25
72131 HCPCS CT Scan Of Lower Spine Without Contrast 13 13 $3,336.20 $600.52 82% off $232.06 $3,336.20 $600.52 2026-02-25
72128 HCPCS CT Scan Of Middle Spine Without Contrast 13 13 $3,336.20 $600.52 82% off $233.48 $3,336.20 $600.52 2026-02-25
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 13 13 $3,336.20 $600.52 82% off $266.90 $3,336.20 $600.52 2026-02-25
Q4186 HCPCS Epifix, Per Square Centimeter 34 13 $2,971.83 $534.93 82% off $142.23 $2,830.50 $599.40 2026-02-25
01000716 CDM Laceration Complex 12 12 $2,187.40 $393.73 82% off $174.99 $1,859.29 $597.16 2026-02-25
90678 HCPCS Respiratory Syncytial Virus Vaccine, preF, Subunit, Bivalent, For Intramuscular … 12 12 $767.37 $152.44 80% off $138.13 $767.37 $594.71 2026-02-25
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