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

JEFFERSON HOSPITAL

Louisville, GA · CCN 110100 · Rates published

1,916 distinct procedures filed
14 distinct payers
64,699 rate rows
2024-11-01 last MRF observed · ⚠ 23 mo old
Data quality

64,630 of 64,699 rate rows are consumer-grade (99.9%)

69 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
placeholder amount (≤ $0.02) — excluded from medians 54
percent-of-charges filed in the dollar field — excluded from medians 15

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 23 months old.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://goldteamstorage.blob.core.windows.net/hpifilestorage/7877/251260215_HPI-CDM---Jefferson_standardcharges.json
Found on page https://www.ahn.org/patients-visitors/patients/financial-services/hospital-charges/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-11
Content fingerprint 98d7f258004708cd… · 130,990,688 bytes · first seen 2026-05-13

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
J2997
HCPCS 		Alteplase (ACTIVASE;tpa) 100mg Inj 14 $6,325.94 $13,395.10 $9,748.17 nat. median
$428
outlier · 22.8×
49653
HCPCS 		Lap Surg Repair Hernia 14 $5,850.69 $12,388.76 $9,015.82 nat. median
$4,010
outlier · 2.2×
47562
HCPCS 		Cholecystectomy, Laparoscopy 14 $4,964.61 $10,512.49 $7,650.38 nat. median
$6,043
1.3× median
24685
HCPCS 		Open Tx Ulnar Fx; W Without Fixation 14 $4,299.95 $9,105.09 $6,626.15 nat. median
$7,187
0.9× median
38542
HCPCS 		Dissection Deep Jugular Node(s) 14 $4,193.99 $8,880.72 $6,462.88 nat. median
$5,708
1.1× median
58671
HCPCS 		Laparoscopy, Surg; W/occlusion Oviducts 14 $3,983.73 $8,435.49 $6,138.86 nat. median
$5,708
1.1× median
58661
HCPCS 		Lap Rmvl Adnexal Struxs 14 $3,983.73 $8,435.49 $6,138.86 nat. median
$5,852
1.0× median
58662
HCPCS 		Lap Fulg/exc Ovary Viscera/peritoneal Su 14 $3,983.73 $8,435.49 $6,138.86 nat. median
$6,306
1.0× median
27650
HCPCS 		Repair, Primary, Achilles Tendon 14 $3,927.36 $8,316.14 $6,052.00 nat. median
$6,837
0.9× median
23415
HCPCS 		Coracoacromial Ligament Release 14 $3,927.36 $8,316.14 $6,052.00 nat. median
$6,929
0.9× median
19307
HCPCS 		Mastectomy, Modified Radical 14 $3,697.15 $7,828.66 $5,697.24 nat. median
$6,381
0.9× median
55040
HCPCS 		Excision Hydrocele; Unilateral 14 $3,591.38 $7,604.69 $5,534.25 nat. median
$3,658
1.5× median
49652
HCPCS 		Lap Surg Repair Umbilical Hernia 14 $3,510.49 $7,433.41 $5,409.60 nat. median
$3,425
1.6× median
36815
HCPCS 		Intervascular Cannulization Or Shunt Rev 14 $3,061.22 $6,482.10 $4,717.30 nat. median
$5,619
0.8× median
49525
HCPCS 		Repair Inguinal Hernia Sliding Any Age 14 $2,984.73 $6,320.12 $4,599.42 nat. median
$3,791
1.2× median
27337
HCPCS 		Excision Tumor Soft Tiss 3cm Or > 14 $2,836.50 $6,006.25 $4,371.00 nat. median
$2,940
1.5× median
46020
HCPCS 		Placement Of Seton 14 $2,821.13 $5,973.70 $4,347.32 nat. median
$2,812
1.5× median
49500
HCPCS 		Repair Initial Inguinal Hernia, 6mo <5 14 $2,775.01 $5,876.05 $4,276.24 nat. median
$5,714
0.7× median
49587
HCPCS 		Repair Umbilical Hernia; 5 Or >; Incarce 14 $2,775.01 $5,876.05 $4,276.24 nat. median
$2,231
1.9× median
35207
HCPCS 		Repair Blood Vessel Direct Hand Finger 14 $2,696.87 $5,710.59 $4,155.84 nat. median
$3,594
1.2× median
25101
HCPCS 		Arthrotomy, Wrist Joint W/exploration 14 $2,635.38 $5,580.39 $4,061.08 nat. median
$3,254
1.2× median
15100
HCPCS 		Split Thick Auto Graft Trk Arm Legs 14 $2,582.31 $5,468.01 $3,979.30 nat. median
$2,243
1.8× median
15101
HCPCS 		Split Thick Auto Graft Trk Arm Legs 14 $2,582.31 $5,468.01 $3,979.30 nat. median
$1,141
outlier · 3.5×
20822
HCPCS 		Replantation Digit Excl Thumb 14 $2,546.08 $5,391.29 $3,923.47 nat. median
$2,185
1.8× median
36561
HCPCS 		Insertion Tunneled Cv Access Device 14 $2,545.35 $5,389.74 $3,922.34 nat. median
$3,304
1.2× median
29999
HCPCS 		Unlisted Arthroscopy 14 $2,412.49 $5,108.41 $3,717.61 nat. median
$842
outlier · 4.4×
26045
HCPCS 		Fasciotomy,palmar; Open,partial 14 $2,360.15 $4,997.59 $3,636.95 nat. median
$3,417
1.1× median
26123
HCPCS 		Fasciectomy Part Palm W/rel Sgle Digit 14 $2,360.15 $4,997.59 $3,636.95 nat. median
$3,670
1.0× median
67405
HCPCS 		Orbitotomy Wo Bone Flap W Drainage 14 $2,270.30 $4,807.32 $3,498.49 nat. median
$2,506
1.4× median
52005
HCPCS 		Cystourethroscopy W/ureteral Cath 14 $2,180.99 $4,618.23 $3,360.88 nat. median
$2,469
1.4× median
43830
HCPCS 		Gastrostomy, Open; Without Construct G Tube 14 $2,133.60 $4,517.86 $3,287.84 nat. median
$2,228
1.5× median
19301
HCPCS 		Mastectomy Partial 14 $2,127.92 $4,505.85 $3,279.10 nat. median
$3,914
0.8× median
19120
HCPCS 		Excision Of Cyst,fibroadenoma Or Benign 14 $2,127.92 $4,505.85 $3,279.10 nat. median
$3,683
0.9× median
46945
HCPCS 		Hemorrhoidectomy Internal Single 14 $2,089.86 $4,425.25 $3,220.44 nat. median
$2,838
1.1× median
46250
HCPCS 		Hemorrhoidectomy 2 Or More Col Grps 14 $2,089.86 $4,425.25 $3,220.44 nat. median
$2,899
1.1× median
22903
HCPCS 		Excision Soft Tiss Abd Wall 3cm/GREAT 14 $2,084.37 $4,413.62 $3,211.98 nat. median
$2,940
1.1× median
21930
HCPCS 		Excision Tumor Soft Tiss Back/flank < 3c 14 $2,084.37 $4,413.62 $3,211.98 nat. median
$1,819
1.8× median
38500
HCPCS 		Biopsy Or Excision Of Lymph Node; Open 14 $2,079.43 $4,403.16 $3,204.36 nat. median
$3,758
0.9× median
J0840
HCPCS 		Antivenin Crotalidae Ply(crofab) 1gm Inj 14 $2,061.31 $4,364.80 $3,176.44 nat. median
$3,496
0.9× median
42826
HCPCS 		Tonsillectomy,primary/secondary; 12 Or > 14 $2,056.00 $4,353.56 $3,168.28 nat. median
$3,457
0.9× median
36578
HCPCS 		Replacement Catheter Only Cva Device 14 $2,004.03 $4,243.51 $3,088.18 nat. median
$3,272
0.9× median
64772
HCPCS 		Transection Or Avuls Spinal Nerv Extradu 14 $1,973.84 $4,179.58 $3,041.66 nat. median
$2,296
1.3× median
55500
HCPCS 		Excision Hydrocele Spermatic Cord Unilat 14 $1,938.70 $4,105.18 $2,987.51 nat. median
$3,611
0.8× median
11451
HCPCS 		Excision For Hidradenitits 14 $1,897.71 $4,018.38 $2,924.34 nat. median
$2,874
1.0× median
11446
HCPCS 		Excision, Benign Lesion, Diam Over 4.0cm 14 $1,897.71 $4,018.38 $2,924.34 nat. median
$2,549
1.1× median
11450
HCPCS 		Excision Hidradenitis Axillary 14 $1,897.71 $4,018.38 $2,924.34 nat. median
$2,940
1.0× median
20525
HCPCS 		Removal Fb Muscle/tendon Sheath; Complic 14 $1,897.71 $4,018.38 $2,924.34 nat. median
$2,969
1.0× median
11426
HCPCS 		Excision Benign Lesion Over 4.0cm 14 $1,897.71 $4,018.38 $2,924.34 nat. median
$2,896
1.0× median
11626
HCPCS 		Excision Malig Lesion Over 4.0cm 14 $1,897.71 $4,018.38 $2,924.34 nat. median
$2,795
1.0× median
11771
HCPCS 		Excision Pilonidal Cyst/sinus; Extensive 14 $1,897.71 $4,018.38 $2,924.34 nat. median
$2,968
1.0× median

Other procedures at this hospital

Browse this hospital's 1,916 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
             
J2997 HCPCS Alteplase (ACTIVASE;tpa) 100mg Inj 20 14 $17,284.00 $8,642.00 50% off $6,325.94 $13,395.10 $9,748.17 2024-11-01
49653 HCPCS Lap Surg Repair Hernia 20 14 $15,985.50 $7,992.75 50% off $5,850.69 $12,388.76 $9,015.82 2024-11-01
47562 HCPCS Cholecystectomy, Laparoscopy 20 14 $13,564.50 $6,782.25 50% off $4,964.61 $10,512.49 $7,650.38 2024-11-01
24685 HCPCS Open Tx Ulnar Fx; W Without Fixation 20 14 $11,748.50 $5,874.25 50% off $4,299.95 $9,105.09 $6,626.15 2024-11-01
38542 HCPCS Dissection Deep Jugular Node(s) 20 14 $11,459.00 $5,729.50 50% off $4,193.99 $8,880.72 $6,462.88 2024-11-01
58662 HCPCS Lap Fulg/exc Ovary Viscera/peritoneal Su 20 14 $10,884.50 $5,442.25 50% off $3,983.73 $8,435.49 $6,138.86 2024-11-01
58661 HCPCS Lap Rmvl Adnexal Struxs 20 14 $10,884.50 $5,442.25 50% off $3,983.73 $8,435.49 $6,138.86 2024-11-01
58671 HCPCS Laparoscopy, Surg; W/occlusion Oviducts 20 14 $10,884.50 $5,442.25 50% off $3,983.73 $8,435.49 $6,138.86 2024-11-01
27650 HCPCS Repair, Primary, Achilles Tendon 20 14 $10,730.50 $5,365.25 50% off $3,927.36 $8,316.14 $6,052.00 2024-11-01
23415 HCPCS Coracoacromial Ligament Release 20 14 $10,730.50 $5,365.25 50% off $3,927.36 $8,316.14 $6,052.00 2024-11-01
19307 HCPCS Mastectomy, Modified Radical 20 14 $10,101.50 $5,050.75 50% off $3,697.15 $7,828.66 $5,697.24 2024-11-01
55040 HCPCS Excision Hydrocele; Unilateral 20 14 $9,812.50 $4,906.25 50% off $3,591.38 $7,604.69 $5,534.25 2024-11-01
49652 HCPCS Lap Surg Repair Umbilical Hernia 20 14 $9,591.50 $4,795.75 50% off $3,510.49 $7,433.41 $5,409.60 2024-11-01
36815 HCPCS Intervascular Cannulization Or Shunt Rev 20 14 $8,364.00 $4,182.00 50% off $3,061.22 $6,482.10 $4,717.30 2024-11-01
49525 HCPCS Repair Inguinal Hernia Sliding Any Age 20 14 $8,155.00 $4,077.50 50% off $2,984.73 $6,320.12 $4,599.42 2024-11-01
27337 HCPCS Excision Tumor Soft Tiss 3cm Or > 20 14 $7,750.00 $3,875.00 50% off $2,836.50 $6,006.25 $4,371.00 2024-11-01
46020 HCPCS Placement Of Seton 20 14 $7,708.00 $3,854.00 50% off $2,821.13 $5,973.70 $4,347.32 2024-11-01
49587 HCPCS Repair Umbilical Hernia; 5 Or >; Incarce 20 14 $7,582.00 $3,791.00 50% off $2,775.01 $5,876.05 $4,276.24 2024-11-01
49500 HCPCS Repair Initial Inguinal Hernia, 6mo <5 20 14 $7,582.00 $3,791.00 50% off $2,775.01 $5,876.05 $4,276.24 2024-11-01
35207 HCPCS Repair Blood Vessel Direct Hand Finger 20 14 $7,368.50 $3,684.25 50% off $2,696.87 $5,710.59 $4,155.84 2024-11-01
25101 HCPCS Arthrotomy, Wrist Joint W/exploration 20 14 $7,200.50 $3,600.25 50% off $2,635.38 $5,580.39 $4,061.08 2024-11-01
15101 HCPCS Split Thick Auto Graft Trk Arm Legs 20 14 $7,055.50 $3,527.75 50% off $2,582.31 $5,468.01 $3,979.30 2024-11-01
15100 HCPCS Split Thick Auto Graft Trk Arm Legs 20 14 $7,055.50 $3,527.75 50% off $2,582.31 $5,468.01 $3,979.30 2024-11-01
20822 HCPCS Replantation Digit Excl Thumb 20 14 $6,956.50 $3,478.25 50% off $2,546.08 $5,391.29 $3,923.47 2024-11-01
36561 HCPCS Insertion Tunneled Cv Access Device 20 14 $6,954.50 $3,477.25 50% off $2,545.35 $5,389.74 $3,922.34 2024-11-01
29999 HCPCS Unlisted Arthroscopy 20 14 $6,591.50 $3,295.75 50% off $2,412.49 $5,108.41 $3,717.61 2024-11-01
26123 HCPCS Fasciectomy Part Palm W/rel Sgle Digit 20 14 $6,448.50 $3,224.25 50% off $2,360.15 $4,997.59 $3,636.95 2024-11-01
26045 HCPCS Fasciotomy,palmar; Open,partial 20 14 $6,448.50 $3,224.25 50% off $2,360.15 $4,997.59 $3,636.95 2024-11-01
67405 HCPCS Orbitotomy Wo Bone Flap W Drainage 20 14 $6,203.00 $3,101.50 50% off $2,270.30 $4,807.32 $3,498.49 2024-11-01
52005 HCPCS Cystourethroscopy W/ureteral Cath 20 14 $5,959.00 $2,979.50 50% off $2,180.99 $4,618.23 $3,360.88 2024-11-01
43830 HCPCS Gastrostomy, Open; Without Construct G Tube 20 14 $5,829.50 $2,914.75 50% off $2,133.60 $4,517.86 $3,287.84 2024-11-01
19120 HCPCS Excision Of Cyst,fibroadenoma Or Benign 20 14 $5,814.00 $2,907.00 50% off $2,127.92 $4,505.85 $3,279.10 2024-11-01
19301 HCPCS Mastectomy Partial 20 14 $5,814.00 $2,907.00 50% off $2,127.92 $4,505.85 $3,279.10 2024-11-01
46945 HCPCS Hemorrhoidectomy Internal Single 20 14 $5,710.00 $2,855.00 50% off $2,089.86 $4,425.25 $3,220.44 2024-11-01
46250 HCPCS Hemorrhoidectomy 2 Or More Col Grps 20 14 $5,710.00 $2,855.00 50% off $2,089.86 $4,425.25 $3,220.44 2024-11-01
21930 HCPCS Excision Tumor Soft Tiss Back/flank < 3c 20 14 $5,695.00 $2,847.50 50% off $2,084.37 $4,413.62 $3,211.98 2024-11-01
22903 HCPCS Excision Soft Tiss Abd Wall 3cm/GREAT 20 14 $5,695.00 $2,847.50 50% off $2,084.37 $4,413.62 $3,211.98 2024-11-01
38500 HCPCS Biopsy Or Excision Of Lymph Node; Open 20 14 $5,681.50 $2,840.75 50% off $2,079.43 $4,403.16 $3,204.36 2024-11-01
J0840 HCPCS Antivenin Crotalidae Ply(crofab) 1gm Inj 20 14 $5,632.00 $2,816.00 50% off $2,061.31 $4,364.80 $3,176.44 2024-11-01
42826 HCPCS Tonsillectomy,primary/secondary; 12 Or > 20 14 $5,617.50 $2,808.75 50% off $2,056.00 $4,353.56 $3,168.28 2024-11-01
36578 HCPCS Replacement Catheter Only Cva Device 20 14 $5,475.50 $2,737.75 50% off $2,004.03 $4,243.51 $3,088.18 2024-11-01
64772 HCPCS Transection Or Avuls Spinal Nerv Extradu 20 14 $5,393.00 $2,696.50 50% off $1,973.84 $4,179.58 $3,041.66 2024-11-01
55500 HCPCS Excision Hydrocele Spermatic Cord Unilat 20 14 $5,297.00 $2,648.50 50% off $1,938.70 $4,105.18 $2,987.51 2024-11-01
11451 HCPCS Excision For Hidradenitits 20 14 $5,185.00 $2,592.50 50% off $1,897.71 $4,018.38 $2,924.34 2024-11-01
11771 HCPCS Excision Pilonidal Cyst/sinus; Extensive 20 14 $5,185.00 $2,592.50 50% off $1,897.71 $4,018.38 $2,924.34 2024-11-01
11446 HCPCS Excision, Benign Lesion, Diam Over 4.0cm 20 14 $5,185.00 $2,592.50 50% off $1,897.71 $4,018.38 $2,924.34 2024-11-01
11450 HCPCS Excision Hidradenitis Axillary 20 14 $5,185.00 $2,592.50 50% off $1,897.71 $4,018.38 $2,924.34 2024-11-01
20525 HCPCS Removal Fb Muscle/tendon Sheath; Complic 20 14 $5,185.00 $2,592.50 50% off $1,897.71 $4,018.38 $2,924.34 2024-11-01
11772 HCPCS Excision Pilonidal Cyst; Complicated 20 14 $5,185.00 $2,592.50 50% off $1,897.71 $4,018.38 $2,924.34 2024-11-01
22900 HCPCS Excision Abd Wall Tumor, Subfascial 20 14 $5,185.00 $2,592.50 50% off $1,897.71 $4,018.38 $2,924.34 2024-11-01
11626 HCPCS Excision Malig Lesion Over 4.0cm 20 14 $5,185.00 $2,592.50 50% off $1,897.71 $4,018.38 $2,924.34 2024-11-01
11770 HCPCS Excision Of Pilonidal Cyst/sinus;simple 20 14 $5,185.00 $2,592.50 50% off $1,897.71 $4,018.38 $2,924.34 2024-11-01
11426 HCPCS Excision Benign Lesion Over 4.0cm 20 14 $5,185.00 $2,592.50 50% off $1,897.71 $4,018.38 $2,924.34 2024-11-01
49320 HCPCS Laparoscopy, Abdomen, Peritoneum 20 14 $5,106.50 $2,553.25 50% off $1,868.98 $3,957.54 $2,880.06 2024-11-01
21315 HCPCS Closed Tx Nasal Bone Fx Without Stabilizatio 20 14 $5,047.00 $2,523.50 50% off $1,847.20 $3,911.42 $2,846.51 2024-11-01
28080 HCPCS Excision, Interdigital Neuroma 20 14 $4,945.00 $2,472.50 50% off $1,809.87 $3,832.38 $2,788.98 2024-11-01
28289 HCPCS Repair Hallux Rigidus W/cheilectomy 20 14 $4,945.00 $2,472.50 50% off $1,809.87 $3,832.38 $2,788.98 2024-11-01
28024 HCPCS Arthrotomy Interphalangeal Joint 20 14 $4,945.00 $2,472.50 50% off $1,809.87 $3,832.38 $2,788.98 2024-11-01
28108 HCPCS Exc Bone Cyst Bengn Tum Phalanges Foot 20 14 $4,945.00 $2,472.50 50% off $1,809.87 $3,832.38 $2,788.98 2024-11-01
45378 HCPCS Colonoscopy I/p 40 14 $4,631.40 $2,315.70 50% off $1,445.70 $4,117.42 $2,788.70 2024-11-01
20694 HCPCS Removal Under Anesth Ext Fixation System 20 14 $4,855.50 $2,427.75 50% off $1,777.11 $3,763.01 $2,738.50 2024-11-01
24105 HCPCS Excision, Olecranon Bursa 20 14 $4,855.50 $2,427.75 50% off $1,777.11 $3,763.01 $2,738.50 2024-11-01
25116 HCPCS Radical Excision Bursa/synovia/tendon Sh 20 14 $4,855.50 $2,427.75 50% off $1,777.11 $3,763.01 $2,738.50 2024-11-01
54001 HCPCS Slitting Of Prepuce,dorsal Or Lat;exc Nb 20 14 $4,807.50 $2,403.75 50% off $1,759.54 $3,725.81 $2,711.43 2024-11-01
59300 HCPCS Episiotomy Or Vag Repair Not Attending 20 14 $4,541.50 $2,270.75 50% off $1,662.19 $3,519.66 $2,561.40 2024-11-01
56740 HCPCS Excision Bartholin's Gland Or Cyst 20 14 $4,541.50 $2,270.75 50% off $1,662.19 $3,519.66 $2,561.40 2024-11-01
59409 HCPCS Vaginal Delivery Only 20 14 $4,541.50 $2,270.75 50% off $1,662.19 $3,519.66 $2,561.40 2024-11-01
57200 HCPCS Colporrhaphy, Suture Of Vagina (non-ob) 20 14 $4,541.50 $2,270.75 50% off $1,662.19 $3,519.66 $2,561.40 2024-11-01
56440 HCPCS Marsupialization Batrtholin's Gland Cyst 20 14 $4,541.50 $2,270.75 50% off $1,662.19 $3,519.66 $2,561.40 2024-11-01
43214 HCPCS Esophagoscopy Dilate Balloon 30mm 20 14 $4,455.50 $2,227.75 50% off $1,630.71 $3,453.01 $2,512.90 2024-11-01
45020 HCPCS Incision & Drainage Supralevator Pelvi 20 14 $4,433.00 $2,216.50 50% off $1,622.48 $3,435.58 $2,500.22 2024-11-01
0450 RC Incision & Drainage Submucosal Abscess 20 14 $4,433.00 $2,216.50 50% off $1,622.48 $3,435.58 $2,500.22 2024-11-01
59612 HCPCS Vaginal Delivery Only After Prev C-sect 20 14 $4,314.00 $2,157.00 50% off $1,578.92 $3,343.35 $2,433.10 2024-11-01
23675 HCPCS Closed Treatment Should Dislocation W Ma 20 14 $4,304.00 $2,152.00 50% off $1,575.26 $3,335.60 $2,427.45 2024-11-01
31525 HCPCS Laryngoscopy Indirect Diagnositc 20 14 $4,292.00 $2,146.00 50% off $1,570.87 $3,326.30 $2,420.69 2024-11-01
95810 HCPCS Sleep Test Npsg 20 14 $4,266.50 $2,133.25 50% off $1,561.54 $3,306.54 $2,406.31 2024-11-01
44140 HCPCS Colectomy Partial W Anastomosis (ip Only 20 14 $4,224.00 $2,112.00 50% off $1,545.98 $3,273.60 $2,382.34 2024-11-01
64721 HCPCS Neuroplasty; Carpal Tunnel 20 14 $4,197.50 $2,098.75 50% off $1,536.28 $3,253.06 $2,367.39 2024-11-01
21501 HCPCS I & D Abcess Hematoma Soft Tiss Nck/tho 20 14 $4,118.00 $2,059.00 50% off $1,507.19 $3,191.45 $2,322.56 2024-11-01
23930 HCPCS Incision & Drainage Upper Arm/elbow 20 14 $4,118.00 $2,059.00 50% off $1,507.19 $3,191.45 $2,322.56 2024-11-01
27301 HCPCS I & D Deep Abcess, Bursa, Thigh Or Knee 20 14 $4,118.00 $2,059.00 50% off $1,507.19 $3,191.45 $2,322.56 2024-11-01
J3101 HCPCS Tenecteplase (TNKase) 50mg Injection 20 14 $4,064.00 $2,032.00 50% off $1,487.42 $3,149.60 $2,292.10 2024-11-01
45905 HCPCS Dilation Of Anal Sphincter 20 14 $3,992.50 $1,996.25 50% off $1,461.26 $3,094.19 $2,251.77 2024-11-01
45380 HCPCS Colonoscopy W/biopsy 20 14 $3,962.70 $1,981.35 50% off $1,450.35 $3,071.09 $2,234.96 2024-11-01
26111 HCPCS Exc Tumor Sft Tss Hand/fing Subq 1.5cm 20 14 $3,861.00 $1,930.50 50% off $1,413.13 $2,992.28 $2,177.61 2024-11-01
26110 HCPCS Arthrotomy W/biopsy; Interphalangeal Jt 20 14 $3,701.00 $1,850.50 50% off $1,354.57 $2,868.28 $2,087.36 2024-11-01
26418 HCPCS Repair, Ext Tendon, Finger 20 14 $3,701.00 $1,850.50 50% off $1,354.57 $2,868.28 $2,087.36 2024-11-01
26236 HCPCS Partial Excision Of Bone;distal Phalanx 20 14 $3,701.00 $1,850.50 50% off $1,354.57 $2,868.28 $2,087.36 2024-11-01
26145 HCPCS Synovectomy,tendon Sheath, Radical 20 14 $3,701.00 $1,850.50 50% off $1,354.57 $2,868.28 $2,087.36 2024-11-01
26055 HCPCS Tendon Sheath Incision 20 14 $3,701.00 $1,850.50 50% off $1,354.57 $2,868.28 $2,087.36 2024-11-01
47379 HCPCS Unlisted Laparoscopic Procedure Liver 20 14 $3,625.50 $1,812.75 50% off $1,326.93 $2,809.76 $2,044.78 2024-11-01
41112 HCPCS Excision Lesion Tongue W/closure Ant 2/3 20 14 $3,581.50 $1,790.75 50% off $1,310.83 $2,775.66 $2,019.97 2024-11-01
41113 HCPCS Excision Lesion Tongue W/closure Post 1/ 20 14 $3,581.50 $1,790.75 50% off $1,310.83 $2,775.66 $2,019.97 2024-11-01
49521 HCPCS Repair Recurr Ing Hernia, Any Age, 20 14 $3,520.00 $1,760.00 50% off $1,288.32 $2,728.00 $1,985.28 2024-11-01
22902 HCPCS Excision Tumor Soft Tissue Abd Wall <3cm 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
21555 HCPCS Excision Tumor, Soft Tissue Neck Or Thor 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
24066 HCPCS Bx Deep Upper Arm Or Elbow 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
21550 HCPCS Biopsy Soft Tissue Neck/thorax 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
11424 HCPCS Excision Benign Lesion 3.1 To 4 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
15839 HCPCS Excision, Excess Skin; Other Area 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
20205 HCPCS Biopsy Muscle Deep 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
23075 HCPCS Excision Sft Tiss Tumor Should Subc <3cm 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
28192 HCPCS Removal Fb Foot Deep 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
21552 HCPCS Excision Tumor, Soft Tissue Neck Or Thor 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
20200 HCPCS Biopsy, Muscle, Superficial 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
11624 HCPCS Ex Mal Sclp Nk Ft Hnd Gntl 3.1 4.0 Cm 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
24075 HCPCS Excision,tumor,soft Tissue Upper Arm/elb 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
11644 HCPCS Excision, Malignant Lesion 3.1cm To 4.0 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
26115 HCPCS Excision, Tumor, Hand/finger, Subcu 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
28045 HCPCS Exc Tum Foot Or Toe Subfascial<1.5 Cm 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
69110 HCPCS Excision External Ear;partial;simple 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
24076 HCPCS Excision R Superior Post Brachial Cyst 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
25076 HCPCS Excision, Tumor, Soft Tiss Forearm/wrist 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
24073 HCPCS Excision,tumor,soft Tissue Upper Arm/elb 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
26116 HCPCS Excision, Tumor, Soft Tissue Hand Or Fin 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
26113 HCPCS Excision, Tumor, Hand/finger, Subcu 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
11606 HCPCS Excision Mal Lesion Over 4.0cm 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
23073 HCPCS Excision Sft Tiss Tumor Should Subc 5cm> 20 14 $3,502.00 $1,751.00 50% off $1,281.73 $2,714.05 $1,975.12 2024-11-01
43239 HCPCS Upper Gi With Biopsy 20 14 $3,476.00 $1,738.00 50% off $1,272.22 $2,693.90 $1,960.47 2024-11-01
15240 HCPCS Full Thickness Graft,free,inc Clos Donor 20 14 $3,470.50 $1,735.25 50% off $1,270.20 $2,689.64 $1,957.36 2024-11-01
38720 HCPCS Cervical Lymphadenectomy 20 14 $3,409.00 $1,704.50 50% off $1,247.69 $2,641.98 $1,922.68 2024-11-01
45382 HCPCS Colonoscopy Flex Diag W Control Of Bleed 20 14 $3,321.00 $1,660.50 50% off $1,215.49 $2,573.78 $1,873.05 2024-11-01
0360 RC Amputation Thigh Through Femur (ip Only) 1,560 14 $3,443.25 $1,721.62 50% off $16.10 $16,596.62 $1,834.40 2024-11-01
23655 HCPCS Shoulder (closed Tx) W Manip W/anesthesi 20 14 $3,244.00 $1,622.00 50% off $1,187.30 $2,514.10 $1,829.62 2024-11-01
37200 HCPCS Transcatheter Therapy, Infusion Thrombol 20 14 $3,220.00 $1,610.00 50% off $1,178.52 $2,495.50 $1,816.08 2024-11-01
54700 HCPCS I & D Of Epididymis,testis &/or Scrotal 20 14 $3,116.00 $1,558.00 50% off $1,140.46 $2,414.90 $1,757.42 2024-11-01
11646 HCPCS Excision Malig Lesion Over 4.0cm 20 14 $3,111.00 $1,555.50 50% off $1,138.63 $2,411.02 $1,754.61 2024-11-01
45385 HCPCS Colonoscopy W/removal By Snare Technique 20 14 $3,015.00 $1,507.50 50% off $1,103.49 $2,336.62 $1,700.46 2024-11-01
0124 RC Room & Board 20 14 $3,000.00 $3,000.00 $1,098.00 $2,325.00 $1,692.00 2024-11-01
28092 HCPCS Excision Lesion Tend/sheath; Toe 20 14 $2,967.00 $1,483.50 50% off $1,085.92 $2,299.43 $1,673.38 2024-11-01
11620 HCPCS Excision Malign Lesion 0.5cm < 20 14 $2,941.00 $1,470.50 50% off $1,076.41 $2,279.28 $1,658.72 2024-11-01
46200 HCPCS Fissurectomy Include Spnicterotomy 20 14 $2,755.50 $1,377.75 50% off $1,008.51 $2,135.51 $1,554.10 2024-11-01
46615 HCPCS Anoscopy W/abalation Of Tumor,polyp,lesi 20 14 $2,755.00 $1,377.50 50% off $1,008.33 $2,135.12 $1,553.82 2024-11-01
90376 HCPCS Rabies Immune Glob 300units/ml Inj: 5 Ml 40 14 $3,700.00 $1,850.00 50% off $338.18 $5,018.90 $1,543.16 2024-11-01
49560 HCPCS Repair Initial Incisional/ventral Hernia 20 14 $2,729.50 $1,364.75 50% off $999.00 $2,115.36 $1,539.44 2024-11-01
49568 HCPCS Implantation Of Mesh For Hernia Repair 20 14 $2,729.50 $1,364.75 50% off $999.00 $2,115.36 $1,539.44 2024-11-01
49561 HCPCS Repair Initial Incisional/ventral Hernia 20 14 $2,729.50 $1,364.75 50% off $999.00 $2,115.36 $1,539.44 2024-11-01
23605 HCPCS Closed Tx Proximal Humeral W/man W/without T 20 14 $2,608.50 $1,304.25 50% off $954.71 $2,021.59 $1,471.19 2024-11-01
27825 HCPCS Closed Tx Fx Distal Tibia Without Manipulati 20 14 $2,608.50 $1,304.25 50% off $954.71 $2,021.59 $1,471.19 2024-11-01
95782 HCPCS Sleep Study Younger < 6 W/4 Or Param Att 20 14 $2,494.00 $1,247.00 50% off $912.80 $1,932.85 $1,406.62 2024-11-01
95811 HCPCS Sleep Study Pap Nap 40 14 $2,494.00 $1,247.00 50% off $912.80 $1,932.85 $1,406.62 2024-11-01
43248 HCPCS Egd Guide Wire Insertion 20 14 $2,476.50 $1,238.25 50% off $906.40 $1,919.29 $1,396.74 2024-11-01
27596 HCPCS Amputation Thigh/femor (ip Only) 20 14 $2,473.50 $1,236.75 50% off $905.30 $1,916.96 $1,395.06 2024-11-01
36576 HCPCS Repair Cv Access Device 20 14 $2,454.50 $1,227.25 50% off $898.35 $1,902.24 $1,384.34 2024-11-01
36555 HCPCS Central Venous Cath Under Age 5 20 14 $2,454.50 $1,227.25 50% off $898.35 $1,902.24 $1,384.34 2024-11-01
36590 HCPCS Removal Central Venous Access Device 20 14 $2,454.50 $1,227.25 50% off $898.35 $1,902.24 $1,384.34 2024-11-01
47605 HCPCS Cholecystectomy With Cholangiography 20 14 $2,392.00 $1,196.00 50% off $875.47 $1,853.80 $1,349.09 2024-11-01
45330 HCPCS Sigmoidoscopy 20 14 $2,390.00 $1,195.00 50% off $874.74 $1,852.25 $1,347.96 2024-11-01
31622 HCPCS Bronchoscopy Flexible; Diagnostic 20 14 $2,385.00 $1,192.50 50% off $872.91 $1,848.38 $1,345.14 2024-11-01
20103 HCPCS Exploration Penetrating Wound Extremity 20 14 $2,265.50 $1,132.75 50% off $829.17 $1,755.76 $1,277.74 2024-11-01
10081 HCPCS Incision & Drainage Pilonidal Cyst Compl 20 14 $2,265.50 $1,132.75 50% off $829.17 $1,755.76 $1,277.74 2024-11-01
55100 HCPCS I & D Scrotal Wall Abscess 20 14 $2,265.50 $1,132.75 50% off $829.17 $1,755.76 $1,277.74 2024-11-01
23931 HCPCS Incision & Drainage Upper Arm Elb Bu 20 14 $2,265.50 $1,132.75 50% off $829.17 $1,755.76 $1,277.74 2024-11-01
47600 HCPCS Removal Of Gallbladder 20 14 $2,259.00 $1,129.50 50% off $826.79 $1,750.72 $1,274.08 2024-11-01
58600 HCPCS Ligation Or Transection Fallopian Tube(s 20 14 $2,172.00 $1,086.00 50% off $794.95 $1,683.30 $1,225.01 2024-11-01
44389 HCPCS Colonoscopy Through Stoma;w/biopsy 20 14 $2,158.50 $1,079.25 50% off $790.01 $1,672.84 $1,217.39 2024-11-01
99291 HCPCS Evaluation & Management Critical Care(ed 20 14 $2,153.50 $1,076.75 50% off $788.18 $1,668.96 $1,214.58 2024-11-01
40812 HCPCS Excis Les Mouth W Simp Repair 20 14 $2,149.00 $1,074.50 50% off $786.53 $1,665.48 $1,212.03 2024-11-01
61055 HCPCS Cervical Puncture W Med Injection 20 14 $2,098.50 $1,049.25 50% off $768.05 $1,626.34 $1,183.56 2024-11-01
L0627 HCPCS Lo Sagital Control Rigid Ant Post Panl 20 14 $2,085.00 $1,042.50 50% off $763.11 $1,615.88 $1,175.94 2024-11-01
36556 HCPCS Central Venous Cath Age 5 Or Older 20 14 $1,968.50 $984.25 50% off $720.47 $1,525.59 $1,110.24 2024-11-01
43761 HCPCS Gastrostomy Tube, Reposition 20 14 $1,946.50 $973.25 50% off $712.42 $1,508.54 $1,097.83 2024-11-01
43247 HCPCS Upper Gi Endo Remove Fb 20 14 $1,946.50 $973.25 50% off $712.42 $1,508.54 $1,097.83 2024-11-01
43763 HCPCS Gastrostomy Tube Change 20 14 $1,946.50 $973.25 50% off $712.42 $1,508.54 $1,097.83 2024-11-01
J7298 HCPCS Levonorgestrel (mirena) 52mg Intrauterin 20 14 $1,930.00 $965.00 50% off $706.38 $1,495.75 $1,088.52 2024-11-01
55250 HCPCS Vasectomy, Unilateral Or Bilateral 20 14 $1,907.00 $953.50 50% off $697.96 $1,477.92 $1,075.55 2024-11-01
21012 HCPCS Excision Tumor Soft Tss Face/scalp Sq 2+ 20 14 $1,823.00 $911.50 50% off $667.22 $1,412.82 $1,028.17 2024-11-01
21011 HCPCS Excision Tumor Soft Tss Face/scalp Sq 2+ 20 14 $1,823.00 $911.50 50% off $667.22 $1,412.82 $1,028.17 2024-11-01
11422 HCPCS Excision Benign Lesion 1.1cm To 2.0cm 20 14 $1,823.00 $911.50 50% off $667.22 $1,412.82 $1,028.17 2024-11-01
11420 HCPCS Excision Benign Lesion 0.5cm Or Less 20 14 $1,823.00 $911.50 50% off $667.22 $1,412.82 $1,028.17 2024-11-01
35226 HCPCS Repair Blood Vessel, Lower Extremity 20 14 $1,823.00 $911.50 50% off $667.22 $1,412.82 $1,028.17 2024-11-01
11604 HCPCS Excision Mal Lesion 3.1cm-4.0cm 20 14 $1,823.00 $911.50 50% off $667.22 $1,412.82 $1,028.17 2024-11-01
28193 HCPCS Removal Of Foreign Body, Foot;subcutaneo 20 14 $1,823.00 $911.50 50% off $667.22 $1,412.82 $1,028.17 2024-11-01
28190 HCPCS Removal F.b.,foot; Subcutaneous 20 14 $1,823.00 $911.50 50% off $667.22 $1,412.82 $1,028.17 2024-11-01
23065 HCPCS Bx Sft Tiss Shldr Superficial 20 14 $1,823.00 $911.50 50% off $667.22 $1,412.82 $1,028.17 2024-11-01
11045 HCPCS Debridement; Skin & Subcu Tissue @ Add'l 20 14 $1,789.50 $894.75 50% off $654.96 $1,386.86 $1,009.28 2024-11-01
27818 HCPCS Trimalleolar Fx Reduction 40 14 $2,025.00 $1,012.50 50% off $462.99 $2,158.38 $999.85 2024-11-01
62322 HCPCS Injection Single Lumbar,sacral 20 14 $1,766.00 $883.00 50% off $646.36 $1,368.65 $996.03 2024-11-01
45386 HCPCS Colonoscopy Flex W Balloon Dilation 20 14 $1,754.00 $877.00 50% off $641.96 $1,359.35 $989.25 2024-11-01
75820 HCPCS Xr Venography Extremity Unilat 20 14 $1,744.50 $872.25 50% off $638.49 $1,351.99 $983.90 2024-11-01
75822 HCPCS Xr Venography Extremity Bi 20 14 $1,744.50 $872.25 50% off $638.49 $1,351.99 $983.90 2024-11-01
11004 HCPCS Debridement Skin Ext Genitalia (ip Only 20 14 $1,739.50 $869.75 50% off $636.66 $1,348.11 $981.08 2024-11-01
43246 HCPCS Upper Gi Endo W/directed Place G-tube 20 14 $1,736.00 $868.00 50% off $635.38 $1,345.40 $979.11 2024-11-01
44625 HCPCS Small Bowel Resection 20 14 $1,727.00 $863.50 50% off $632.08 $1,338.42 $974.02 2024-11-01
47563 HCPCS Laparoscope Cholecystectomy 20 14 $1,727.00 $863.50 50% off $632.08 $1,338.42 $974.02 2024-11-01
73722 HCPCS MRI Lower Extremity Joint W/contrast 20 14 $1,675.00 $837.50 50% off $613.05 $1,298.12 $944.70 2024-11-01
73222 HCPCS MRI Upper Extremity Joint W/contrast 20 14 $1,675.00 $837.50 50% off $613.05 $1,298.12 $944.70 2024-11-01
64450 HCPCS Injection Peripheral Nerve 20 14 $1,658.00 $829.00 50% off $606.83 $1,284.95 $935.12 2024-11-01
44950 HCPCS Appendectomy 20 14 $1,594.00 $797.00 50% off $583.40 $1,235.35 $899.02 2024-11-01
27327 HCPCS Excision Tumor Soft Tissue Thigh/knee L 20 14 $1,591.00 $795.50 50% off $582.31 $1,233.03 $897.33 2024-11-01
46040 HCPCS I & D Ischiorectal/perirectal Abscess 40 14 $2,196.25 $1,098.12 50% off $146.40 $3,094.19 $885.63 2024-11-01
41252 HCPCS Repair Lac Tongue Over 2.6cm 20 14 $1,557.00 $778.50 50% off $569.86 $1,206.68 $878.14 2024-11-01
41010 HCPCS Incision Of Lingual Frenum 20 14 $1,557.00 $778.50 50% off $569.86 $1,206.68 $878.14 2024-11-01
76536 HCPCS Ultrasound, Soft Tissues Head And Neck 40 14 $1,506.96 $753.48 50% off $510.39 $1,255.05 $877.73 2024-11-01
49900 HCPCS Suture, Sec, Abd Wall For Evis/dehis 20 14 $1,546.50 $773.25 50% off $566.02 $1,198.54 $872.23 2024-11-01
72148 HCPCS MRI Spine Lumbar Without Contrast 20 14 $1,490.05 $745.02 50% off $545.36 $1,154.79 $840.39 2024-11-01
95805 HCPCS Sleep Study Mslt 20 14 $1,490.00 $745.00 50% off $545.34 $1,154.75 $840.36 2024-11-01
44404 HCPCS Colonoscopy W/direct Submuc Inject 20 14 $1,479.50 $739.75 50% off $541.50 $1,146.61 $834.44 2024-11-01
45381 HCPCS Colonoscopy W/direct Submuc Inject 20 14 $1,479.50 $739.75 50% off $541.50 $1,146.61 $834.44 2024-11-01
59410 HCPCS Emergency Room Vaginal Delivery 20 14 $1,448.00 $724.00 50% off $529.97 $1,122.20 $816.67 2024-11-01
12045 HCPCS Layer Closure 12.6cm-20.0cm Nck/hnd/feet 20 14 $1,429.50 $714.75 50% off $523.20 $1,107.86 $806.24 2024-11-01
46255 HCPCS Hemorrhoidectomy, Internal & Ext, Simple 20 14 $1,427.50 $713.75 50% off $522.46 $1,106.31 $805.11 2024-11-01
J9217 HCPCS Leuprolide 45mg Subq Inj 20 14 $1,426.00 $713.00 50% off $521.92 $1,105.15 $804.26 2024-11-01
72156 HCPCS MRI Spine Cervical W & Without Contrast 20 14 $1,421.50 $710.75 50% off $520.27 $1,101.66 $801.73 2024-11-01
36589 HCPCS Rem Of Tun Cent Ven Cath Without Port 20 14 $1,373.00 $686.50 50% off $502.52 $1,064.08 $774.38 2024-11-01
46050 HCPCS Incision & Drainage Perianal Abscess 20 14 $1,372.00 $686.00 50% off $502.15 $1,063.30 $773.81 2024-11-01
46500 HCPCS Injection Sclerosing Solut, Hemmorrhoid 20 14 $1,372.00 $686.00 50% off $502.15 $1,063.30 $773.81 2024-11-01
4300305 CDM Colonoscopy 20 14 $1,356.00 $678.00 50% off $496.30 $1,050.90 $764.79 2024-11-01
49505 HCPCS Repair Of Inguinal Herina 20 14 $1,356.00 $678.00 50% off $496.30 $1,050.90 $764.79 2024-11-01
12036 HCPCS Repair Intermediate 20.1cm To 30.0cm 20 14 $1,338.50 $669.25 50% off $489.89 $1,037.34 $754.91 2024-11-01
P9034 HCPCS Platelets, Pheresis 20 14 $1,322.00 $661.00 50% off $483.85 $1,024.55 $745.61 2024-11-01
G0483 HCPCS Drug Test(s) Definitive 22 Or > Drugs 20 14 $1,321.00 $660.50 50% off $483.49 $1,023.78 $745.05 2024-11-01
45300 HCPCS Proctosigmoidoscopy,rigid;diagnostic 20 14 $1,313.00 $656.50 50% off $480.56 $1,017.58 $740.53 2024-11-01
45384 HCPCS Colonoscopy With Biopsy 20 14 $1,295.00 $647.50 50% off $473.97 $1,003.62 $730.38 2024-11-01
44388 HCPCS Colonoscopy Through Stoma 20 14 $1,295.00 $647.50 50% off $473.97 $1,003.62 $730.38 2024-11-01
32554 HCPCS Thoracentesis, Puncture Of Pleural Cavit 20 14 $1,287.50 $643.75 50% off $471.22 $997.81 $726.14 2024-11-01
32551 HCPCS Thoracostomy (chest Tube) 20 14 $1,287.50 $643.75 50% off $471.22 $997.81 $726.14 2024-11-01
49082 HCPCS Abdominal Paracentesis Without Imaging Guida 20 14 $1,287.50 $643.75 50% off $471.22 $997.81 $726.14 2024-11-01
15004 HCPCS Surg Prep Recip Site 1st 100sq Cm 20 14 $1,278.50 $639.25 50% off $467.93 $990.84 $721.08 2024-11-01
11406 HCPCS Mole Removal Over 4.0cm 20 14 $1,265.00 $632.50 50% off $462.99 $980.38 $713.46 2024-11-01
27590 HCPCS Amputation,thigh,through Femur 20 14 $1,263.00 $631.50 50% off $462.26 $978.82 $712.34 2024-11-01
72141 HCPCS MRI Spine Cervical Without Contrast 20 14 $1,260.00 $630.00 50% off $461.16 $976.50 $710.64 2024-11-01
73221 HCPCS MRI Upper Extremity Joint Without Contrast 20 14 $1,259.50 $629.75 50% off $460.98 $976.11 $710.36 2024-11-01
92960 HCPCS Cardioversion;external 20 14 $1,247.50 $623.75 50% off $456.58 $966.81 $703.60 2024-11-01
25605 HCPCS Closed Tx Distal Rad Fx, W/manipulation 20 14 $1,245.50 $622.75 50% off $455.85 $965.26 $702.46 2024-11-01
13152 HCPCS Complex 2.6cm-7.5cm Eyeld/nose/ear/lip 20 14 $1,228.50 $614.25 50% off $449.63 $952.09 $692.88 2024-11-01
13151 HCPCS Complex 1.1cm-2.5cm Eyeld/nose/ear/lip 20 14 $1,228.50 $614.25 50% off $449.63 $952.09 $692.88 2024-11-01
13132 HCPCS Complex 2.6cm-7.5cm Forehd/chk/chin/mout 20 14 $1,228.50 $614.25 50% off $449.63 $952.09 $692.88 2024-11-01
13101 HCPCS Complex 2.6cm-7.5cm Trunk 20 14 $1,228.50 $614.25 50% off $449.63 $952.09 $692.88 2024-11-01
13100 HCPCS Complex 1.1cm-2.5cm Trunk 20 14 $1,228.50 $614.25 50% off $449.63 $952.09 $692.88 2024-11-01
27615 HCPCS Skin Excision 20 14 $1,196.00 $598.00 50% off $437.74 $926.90 $674.55 2024-11-01
70551 HCPCS MRI Brain Without Contrast 20 14 $1,169.00 $584.50 50% off $427.85 $905.98 $659.32 2024-11-01
70540 HCPCS MRI Orbits Face Neck Without Contrast 20 14 $1,169.00 $584.50 50% off $427.85 $905.98 $659.32 2024-11-01
72110 HCPCS Spine, Lumbosacral; 4 Views 80 14 $1,214.50 $607.25 50% off $13.33 $941.24 $658.26 2024-11-01
0612 RC Colonoscopy W/biopsy 60 14 $1,196.00 $598.00 50% off $76.13 $1,050.90 $648.23 2024-11-01
76098 HCPCS Breast Specimen 40 14 $1,146.50 $573.25 50% off $419.62 $888.54 $646.62 2024-11-01
44005 HCPCS Lysis Of Adhesions 20 14 $1,143.00 $571.50 50% off $418.34 $885.82 $644.65 2024-11-01
70553 HCPCS MRI Brain W & Without Contrast 20 14 $1,135.00 $567.50 50% off $415.41 $879.62 $640.14 2024-11-01
73721 HCPCS MRI Lower Extremity Joint Without 20 14 $1,135.00 $567.50 50% off $415.41 $879.62 $640.14 2024-11-01
44021 HCPCS Small Bowel Decompression 20 14 $1,130.00 $565.00 50% off $413.58 $875.75 $637.32 2024-11-01
49060 HCPCS I & D Abscess Trochanteric Region 20 14 $1,130.00 $565.00 50% off $413.58 $875.75 $637.32 2024-11-01
71275 HCPCS CT Ah Angiography Chest Pe With Contrast 60 14 $1,167.84 $583.92 50% off $92.80 $942.79 $632.97 2024-11-01
49580 HCPCS Repair Of Umbilical Herina 20 14 $1,117.00 $558.50 50% off $408.82 $865.68 $629.98 2024-11-01
403573 CDM Nf-epipen Auto-injector Kit 0.3mg/0.3ml 20 14 $1,095.00 $547.50 50% off $400.77 $848.62 $617.58 2024-11-01
11444 HCPCS Excision, Benign Lesion, Diam 3.1 - 4.0 20 14 $1,094.00 $547.00 50% off $400.40 $847.85 $617.02 2024-11-01
32556 HCPCS Thoracentesis W/insertion Tube 20 14 $1,091.50 $545.75 50% off $399.49 $845.91 $615.61 2024-11-01
72149 HCPCS MRI Spine Lumbar W Contrast 20 14 $1,087.50 $543.75 50% off $398.02 $842.81 $613.36 2024-11-01
72196 HCPCS MRI Pelvis W/contrast 20 14 $1,087.50 $543.75 50% off $398.02 $842.81 $613.36 2024-11-01
72142 HCPCS MRI Spine Cervical W/contrast 20 14 $1,087.50 $543.75 50% off $398.02 $842.81 $613.36 2024-11-01
73723 HCPCS MRI Lower Extremity Joint W & Without Cont. 20 14 $1,087.50 $543.75 50% off $398.02 $842.81 $613.36 2024-11-01
73223 HCPCS MRI Upper Extremity Joint W & Without Cont 20 14 $1,087.50 $543.75 50% off $398.02 $842.81 $613.36 2024-11-01
72147 HCPCS MRI Spine Thoracic W Contrast 20 14 $1,087.50 $543.75 50% off $398.02 $842.81 $613.36 2024-11-01
74182 HCPCS MRI Abdomen W/contrast 20 14 $1,087.50 $543.75 50% off $398.02 $842.81 $613.36 2024-11-01
74183 HCPCS MRI Abdomen W & Without Contrast 20 14 $1,087.50 $543.75 50% off $398.02 $842.81 $613.36 2024-11-01
62310 HCPCS Injection Diag/thera Anest Or Antispasm 20 14 $1,082.50 $541.25 50% off $396.20 $838.94 $610.53 2024-11-01
19100 HCPCS Biopsy Breast; Percutaneous, Needle Core 20 14 $1,079.50 $539.75 50% off $395.10 $836.61 $608.84 2024-11-01
49507 HCPCS Exploratory L Inguial Herina 20 14 $1,077.00 $538.50 50% off $394.18 $834.68 $607.42 2024-11-01
27043 HCPCS Biopsy Soft Tissue Pelvis Hip 3cm Or > 20 14 $1,070.50 $535.25 50% off $391.80 $829.64 $603.76 2024-11-01
99219 HCPCS Observation Adm Moderate Complexity 20 14 $1,064.50 $532.25 50% off $389.61 $824.99 $600.38 2024-11-01
G0482 HCPCS Drug Test(s) Definitive 15-21 Drugs 20 14 $1,064.00 $532.00 50% off $389.42 $824.60 $600.10 2024-11-01
C9399 HCPCS Remdesivir (veklury) 100 Mg Injection 20 14 $1,062.00 $531.00 50% off $388.69 $823.05 $598.97 2024-11-01
77066 HCPCS Mm Diagnostic Mammo Bilateral W/cad 20 14 $1,061.88 $530.94 50% off $388.65 $822.96 $598.90 2024-11-01
11440 HCPCS Excision, Benign Lesion, Diam 0.50 Or Le 20 14 $1,051.00 $525.50 50% off $384.67 $814.52 $592.76 2024-11-01
20520 HCPCS Removal Fb Muscle/tendon Sheath; Simple 20 14 $1,051.00 $525.50 50% off $384.67 $814.52 $592.76 2024-11-01
11755 HCPCS Biopsy Nail Unit 20 14 $1,051.00 $525.50 50% off $384.67 $814.52 $592.76 2024-11-01
11750 HCPCS Excision Of Nail & Nail Matrix; Part/com 20 14 $1,051.00 $525.50 50% off $384.67 $814.52 $592.76 2024-11-01
11640 HCPCS Excis Malign Lesion F/e/e/n/l/m 0.5cm/< 20 14 $1,051.00 $525.50 50% off $384.67 $814.52 $592.76 2024-11-01
11601 HCPCS Excision, Mal Lesion; 0.6cm To 1.0cm 20 14 $1,051.00 $525.50 50% off $384.67 $814.52 $592.76 2024-11-01
74181 HCPCS MRI Abdomen Without Contrast 20 14 $1,050.00 $525.00 50% off $384.30 $813.75 $592.20 2024-11-01
99284 HCPCS Evaluation & Management Level 4 (ed) 20 14 $1,047.00 $523.50 50% off $383.20 $811.42 $590.50 2024-11-01
43235 HCPCS Esopgagus Endoscopy 20 14 $1,032.00 $516.00 50% off $377.71 $799.80 $582.05 2024-11-01
76705 HCPCS US Ah Limited (single Organ, F/up) 80 14 $1,065.50 $532.75 50% off $30.35 $1,235.33 $580.44 2024-11-01
42825 HCPCS Tonsillectomy,primary/secondary; 12 Or < 20 14 $1,017.50 $508.75 50% off $372.40 $788.56 $573.87 2024-11-01
26548 HCPCS Refashioning Of Amputation Stump 20 14 $998.00 $499.00 50% off $365.27 $773.45 $562.88 2024-11-01
58670 HCPCS Tubal Ligation 20 14 $998.00 $499.00 50% off $365.27 $773.45 $562.88 2024-11-01
76870 HCPCS Ultrasound, Scrotum And Contents 40 14 $996.00 $498.00 50% off $364.54 $771.90 $561.75 2024-11-01
26705 HCPCS Closed Tx Meacarpophalangeal Dislocation 20 14 $966.50 $483.25 50% off $353.74 $749.04 $545.11 2024-11-01
28435 HCPCS Closed Tx Talux Fx W/manipulation 20 14 $966.50 $483.25 50% off $353.74 $749.04 $545.11 2024-11-01
0121 RC Room & Board 20 14 $950.00 $475.00 50% off $347.70 $736.25 $535.80 2024-11-01
70491 HCPCS CT Ah Soft Tissue Neck W/contrast 60 14 $989.50 $494.75 50% off $70.71 $766.86 $535.32 2024-11-01
72146 HCPCS MRI Spine Thoracic Without Contrast 20 14 $946.00 $473.00 50% off $346.24 $733.15 $533.55 2024-11-01
70547 HCPCS MRA Neck Without Contrast 20 14 $946.00 $473.00 50% off $346.24 $733.15 $533.55 2024-11-01
70544 HCPCS MRA Head Without Contrast 20 14 $946.00 $473.00 50% off $346.24 $733.15 $533.55 2024-11-01
73218 HCPCS MRI Upper Extremity Other Than Joint Without 20 14 $946.00 $473.00 50% off $346.24 $733.15 $533.55 2024-11-01
76641 HCPCS US Breasts Unilateral\ Bilateral 20 14 $934.00 $467.00 50% off $341.84 $723.85 $526.78 2024-11-01
28104 HCPCS Excision Cyst Or Tumor 20 14 $926.50 $463.25 50% off $339.10 $718.04 $522.54 2024-11-01
45338 HCPCS Flex Sig With Excision Of Lesions 40 14 $1,263.50 $631.75 50% off $107.24 $1,731.35 $522.36 2024-11-01
0650 RC Room & Board 20 14 $921.21 $460.60 50% off $337.16 $713.94 $519.57 2024-11-01
49000 HCPCS Exploratory Lap 20 14 $918.00 $459.00 50% off $335.99 $711.45 $517.75 2024-11-01
73718 HCPCS MRI Lower Extremity Other Than Joint Without 20 14 $898.50 $449.25 50% off $328.85 $696.34 $506.75 2024-11-01
26765 HCPCS Open Tx Distal Phalangeal Fx 20 14 $898.00 $449.00 50% off $328.67 $695.95 $506.48 2024-11-01
25075 HCPCS Excision,tumor,soft Tissue Forearm/wrist 20 14 $898.00 $449.00 50% off $328.67 $695.95 $506.48 2024-11-01
77067 HCPCS Mm Screening Mammo 1 Breast 2 View W/cad 40 14 $893.67 $446.83 50% off $327.08 $692.59 $504.03 2024-11-01
72040 HCPCS Spine, Cervical; 2 Or 3 Views 80 14 $912.00 $456.00 50% off $11.52 $706.80 $494.30 2024-11-01
49520 HCPCS Hernia Repair 20 14 $865.00 $432.50 50% off $316.59 $670.38 $487.86 2024-11-01
0114 RC Room & Board 20 14 $850.00 $425.00 50% off $311.10 $658.75 $479.40 2024-11-01
25071 HCPCS Exc Forearm Less Sc <3cm 20 14 $844.00 $422.00 50% off $308.90 $654.10 $476.01 2024-11-01
28090 HCPCS Excision Lesion Foot 20 14 $841.50 $420.75 50% off $307.99 $652.16 $474.61 2024-11-01
94060 HCPCS Pft Employment 20 14 $838.50 $419.25 50% off $306.89 $649.84 $472.92 2024-11-01
71260 HCPCS CT Ah Thoracic Spine W/contrast 80 14 $837.00 $418.50 50% off $59.52 $1,102.75 $472.06 2024-11-01
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