Hospital

ST MARY'S HOSPITAL

Cottonwood, ID · CCN 131321 · Rates published

2,980 distinct procedures filed

23 distinct payers

161,923 rate rows

2026-06-12 last MRF observed

Data quality

161,372 of 161,923 rate rows are consumer-grade (99.7%)

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

Excluded — reason	Rows
percent-of-charges filed in the dollar field — excluded from medians	473
per-diem day rate — not a per-procedure price	70
exceeds 10× this hospital's gross charge — excluded from medians	8

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

Source MRF file	https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSMHCCottonwoodID&type=CDMWithoutLabel
Found on page	https://apps.para-hcfs.com/PTT/FinalLinks/StMarys_V2.aspx
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-11-04
Content fingerprint	629ed0fd306f089b… · 28,190,792 bytes · first seen 2026-05-07

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
J2507 HCPCS	Injection, Pegloticase, 1 Mg	21	$79,176.73	$110,674.77	$102,927.54	nat. median $9,222 outlier · 11.2×
J3101 HCPCS	Injection, Tenecteplase, 1 Mg	21	$122.07	$24,891.78	$22,402.60	nat. median $3,824 outlier · 5.9×
3600000005 CDM	Operating Room Services - General Classification	19	$14,476.12	$20,235.00	$18,211.50	nat. median $4,562 outlier · 4.0×
J0717 HCPCS	Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…	21	$12,875.98	$17,998.29	$16,738.41	nat. median $1,573 outlier · 10.6×
J2356 HCPCS	Injection, Tezepelumab-ekko, 1 Mg	21	$12,502.22	$17,475.84	$16,252.53	nat. median $81 outlier · 200.1×
3600000003 CDM	Operating Room Services - General Classification	19	$12,096.70	$16,909.00	$15,218.10	nat. median $4,271 outlier · 3.6×
J0840 HCPCS	Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram	21	$10,981.68	$15,350.40	$14,275.87	nat. median $3,445 outlier · 4.1×
3600000001 CDM	Operating Room Services - General Classification	19	$9,454.73	$13,216.00	$11,894.40	nat. median $2,847 outlier · 4.2×
J2802 HCPCS	Injection, Romiplostim, 1 Microgram	21	$7,878.04	$11,012.08	$10,241.23	nat. median $2,854 outlier · 3.6×
J1568 HCPCS	Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui…	21	$5,558.66	$17,483.40	$10,138.81	nat. median $710 outlier · 14.3×
J1602 HCPCS	Injection, Golimumab, 1 Mg, For Intravenous Use	21	$6,865.06	$9,596.12	$8,924.39	nat. median $273 outlier · 32.7×
Q5108 HCPCS	Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg	21	$5,973.59	$8,350.00	$7,765.50	nat. median $1,244 outlier · 6.2×
3600000008 CDM	Operating Room Services - General Classification	19	$5,741.09	$8,025.00	$7,222.50	nat. median $1,288 outlier · 5.6×
J2426 HCPCS	Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg	21	$1,702.11	$14,276.60	$7,138.20	nat. median $2,499 outlier · 2.9×
J0897 HCPCS	Injection, Denosumab, 1 Mg	21	$24.63	$7,501.72	$6,751.55	nat. median $1,973 outlier · 3.4×
J2315 HCPCS	Injection, Naltrexone, Depot Form, 1 Mg	21	$4,837.08	$6,761.36	$6,288.06	nat. median $10 outlier · 616.2×
3600000007 CDM	Operating Room Services - General Classification	19	$4,593.58	$6,421.00	$5,778.90	nat. median $3,432 1.7× median
J7298 HCPCS	Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg	21	$4,170.95	$5,830.24	$5,422.12	nat. median $1,679 outlier · 3.2×
J7307 HCPCS	Etonogestrel (contraceptive) Implant System, Including Implant And Supplies	21	$4,170.95	$5,830.24	$5,422.12	nat. median $1,630 outlier · 3.3×
J7296 HCPCS	Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg	21	$4,170.95	$5,830.24	$5,422.12	nat. median $1,659 outlier · 3.3×
J9202 HCPCS	Goserelin Acetate Implant, Per 3.6 Mg	21	$3,859.55	$5,394.96	$5,017.31	nat. median $1,836 outlier · 2.7×
93229 HCPCS	Electrocardiogram (ecg) Up To 30 Days Continuous With Transmission Of Patient Tr…	21	$3,720.08	$5,200.00	$4,836.00	nat. median $637 outlier · 7.6×
J0485 HCPCS	Injection, Belatacept, 1 Mg	21	$3,330.50	$4,655.44	$4,329.56	nat. median $24 outlier · 182.8×
Q0138 HCPCS	Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd…	21	$3,108.90	$4,345.68	$4,041.48	nat. median $177 outlier · 22.9×
J7300 HCPCS	Intrauterine Copper Contraceptive	21	$3,037.30	$4,245.60	$3,948.41	nat. median $1,618 outlier · 2.4×
3600000026 CDM	Operating Room Services - General Classification	19	$3,084.09	$4,311.00	$3,879.90	nat. median $5,628 0.7× median
3600000000 CDM	Operating Room Services - General Classification	19	$3,056.90	$4,273.00	$3,845.70	nat. median $3,769 1.0× median
3600000049 CDM	Operating Room Services - General Classification	19	$2,926.70	$4,091.00	$3,681.90	nat. median $88 outlier · 42.1×
3600000024 CDM	Operating Room Services - General Classification	19	$2,926.70	$4,091.00	$3,681.90	nat. median $5,473 0.7× median
3600000025 CDM	Operating Room Services - General Classification	19	$2,871.62	$4,014.00	$3,612.60	nat. median $82 outlier · 44.1×
3600000004 CDM	Operating Room Services - General Classification	19	$2,871.62	$4,014.00	$3,612.60	nat. median $1,041 outlier · 3.5×
59618 HCPCS	Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal…	20	$2,024.11	$4,746.14	$3,539.15	nat. median $3,519 1.0× median
Q5103 HCPCS	Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg	21	$2,707.87	$3,785.12	$3,520.16	nat. median $283 outlier · 12.4×
59510 HCPCS	Cesarean Delivery With Care Before And After Delivery	20	$2,004.58	$4,688.32	$3,505.71	nat. median $3,663 1.0× median
81448 HCPCS	Gene Analysis Panel For Hereditary Disorders Of The Peripheral Nervous System	21	$2,682.75	$3,750.00	$3,487.50	nat. median $1,053 outlier · 3.3×
3600000023 CDM	Operating Room Services - General Classification	19	$2,769.31	$3,871.00	$3,483.90	nat. median $66 outlier · 53.2×
81435 HCPCS	Test For Detecting Genes Associated With Inherited Colon Cancer-related Disorder…	21	$2,624.80	$3,669.00	$3,412.17	nat. median $1,395 outlier · 2.4×
3600000032 CDM	Operating Room Services - General Classification	19	$2,634.10	$3,682.00	$3,313.80	nat. median $4,390 0.8× median
59610 HCPCS	Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…	20	$1,888.57	$4,444.30	$3,299.14	nat. median $3,340 1.0× median
95805 HCPCS	Sleep Study, Multiple Trials	23	$55.54	$4,440.00	$3,241.20	nat. median $1,234 outlier · 2.6×
95810 HCPCS	Sleep Study In Sleep Lab (6 Years Or Older)	23	$114.89	$4,440.00	$3,241.20	nat. median $1,827 1.8× median
81479 HCPCS	Molecular Pathology Procedure	21	$63.75	$3,544.00	$3,189.60	nat. median $447 outlier · 7.1×
59400 HCPCS	Vaginal Delivery With Care Before And After Delivery	20	$1,817.36	$4,250.26	$3,166.11	nat. median $3,152 1.0× median
3600000031 CDM	Operating Room Services - General Classification	19	$2,500.32	$3,495.00	$3,145.50	nat. median $33 outlier · 95.3×
3600000030 CDM	Operating Room Services - General Classification	19	$2,500.32	$3,495.00	$3,145.50	nat. median $3,604 0.9× median
3600000052 CDM	Operating Room Services - General Classification	19	$2,489.59	$3,480.00	$3,132.00	nat. median $5,476 0.6× median
95811 HCPCS	Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)	23	$119.15	$4,752.00	$3,103.41	nat. median $1,894 1.6× median
1200000001 CDM	Room & Board - Semi-private (two Beds) - Medical/surgical/gyn	12	$2,266.39	$3,168.00	$3,041.28	nat. median $1,361 outlier · 2.2×
3600000002 CDM	Operating Room Services - General Classification	19	$2,292.14	$3,204.00	$2,883.60	nat. median $808 outlier · 3.6×
47400 HCPCS	Incision Or Creation Of Opening Of Liver With Drainage Or Removal Of Bile Duct S…	20	$1,615.98	$4,987.22	$2,859.09	nat. median $3,385 0.8× median

Other procedures at this hospital

Browse this hospital's 2,980 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

1200000000	CDM	Room & Board - Semi-private (two Beds) - General Classification	22	12	$2,114.00	$1,585.50 25% off	$1,512.36	$2,114.00	$2,029.44	2026-06-12
1200000001	CDM	Room & Board - Semi-private (two Beds) - Medical/surgical/gyn	22	12	$3,168.00	$2,376.00 25% off	$2,266.39	$3,168.00	$3,041.28	2026-06-12
15734	HCPCS	Creation Of Muscle Graft To Trunk	32	20	$3,111.00	$2,333.25 25% off	$1,147.73	$3,048.78	$2,018.30	2026-06-12
15738	HCPCS	Creation Of Muscle Graft To Leg	32	20	$2,682.00	$2,011.50 25% off	$970.69	$2,628.36	$1,683.20	2026-06-12
15830	HCPCS	Removal Of Extra Skin And Tissue Of Abdomen	32	20	$2,430.00	$1,822.50 25% off	$905.28	$2,381.40	$1,562.14	2026-06-12
15945	HCPCS	Removal Of Pressure Sore And Lower Pelvic Bone With Skin Graft	32	20	$2,100.00	$1,575.00 25% off	$789.51	$2,058.00	$1,362.21	2026-06-12
15946	HCPCS	Removal Of Pressure Sore And Lower Pelvic Bone In Preparation Of Muscle Flap Or …	32	20	$3,369.00	$2,526.75 25% off	$1,230.89	$3,301.62	$2,134.02	2026-06-12
1700000002	CDM	Nursery - General Classification	22	12	$1,879.00	$1,409.25 25% off	$1,344.24	$1,879.00	$1,803.84	2026-06-12
19302	HCPCS	Partial Removal Of Breast And Underarm Lymph Nodes	32	20	$1,852.00	$1,389.00 25% off	$689.84	$1,814.96	$1,251.31	2026-06-12
19303	HCPCS	Simple Complete Removal Of Breast	32	20	$1,969.00	$1,476.75 25% off	$729.53	$1,929.62	$1,321.10	2026-06-12
19305	HCPCS	Extensive Removal Of Breast, Chest Muscle, And Underarm Lymph Nodes	32	20	$2,226.00	$1,669.50 25% off	$870.48	$2,181.48	$1,582.02	2026-06-12
19306	HCPCS	Extensive Removal Of Breast, Chest Muscle, Underarm Lymph Nodes, And Breast Lymp…	32	20	$2,480.00	$1,860.00 25% off	$927.95	$2,430.40	$1,695.22	2026-06-12
19307	HCPCS	Removal Of Breast And Underarm Lymph Nodes	32	20	$2,474.00	$1,855.50 25% off	$896.23	$2,424.52	$1,625.15	2026-06-12
21016	HCPCS	Extensive Removal Of Growth Of Face Or Scalp, 2.0 Cm Or More	32	20	$2,376.00	$1,782.00 25% off	$775.32	$2,328.48	$1,324.91	2026-06-12
21557	HCPCS	Extensive Removal Of Growth Of Neck Or Front Of Chest, Less Than 5.0 Cm	32	20	$2,233.00	$1,674.75 25% off	$732.18	$2,188.34	$1,285.92	2026-06-12
24538	HCPCS	Placement Of Stabilizing Device To Upper Arm Broken At Elbow	32	20	$1,745.00	$1,308.75 25% off	$613.35	$1,710.10	$1,098.74	2026-06-12
25927	HCPCS	Amputation Of Fingers And Part Of Hand At Midhand Bones	32	20	$1,900.00	$1,425.00 25% off	$663.23	$1,862.00	$1,229.02	2026-06-12
25931	HCPCS	Re-amputation Of Remaining Hand At Midhand Bones	32	20	$1,745.00	$1,308.75 25% off	$613.02	$1,710.10	$1,145.09	2026-06-12
26123	HCPCS	Removal Of Connective Tissue Of Palm And Release Of Finger, First Digit	32	20	$1,905.00	$1,428.75 25% off	$657.71	$1,866.90	$1,147.10	2026-06-12
26350	HCPCS	Repair Of Finger Tendon Of Under Side Of Hand Other Than Upper Most Part Of Palm…	32	20	$1,644.00	$1,233.00 25% off	$574.72	$1,611.12	$1,084.99	2026-06-12
26356	HCPCS	Primary Repair Of Finger Tendon On Underside Of The Hand Without A Graft In Zone…	32	20	$1,858.00	$1,393.50 25% off	$623.05	$1,852.52	$1,106.27	2026-06-12
2700000011	CDM	Bowel Stapler Linear Open Ila	33	19	$1,257.00	$942.75 25% off	$899.26	$1,257.00	$1,131.30	2026-06-12
2700000120	CDM	Power Picc Catheter	33	19	$1,207.00	$905.25 25% off	$863.49	$1,207.00	$1,086.30	2026-06-12
2700000174	CDM	Kit Drainage Aspira Starter	33	19	$2,316.00	$1,737.00 25% off	$1,656.87	$2,316.00	$2,084.40	2026-06-12
2700000258	CDM	Smart Tip Gen2 Nrv Inj 1x90mm	33	19	$1,200.00	$900.00 25% off	$858.48	$1,200.00	$1,080.00	2026-06-12
2700000288	CDM	Hi-flow Oxygen Usage Per Day	33	19	$1,440.00	$1,080.00 25% off	$1,030.18	$1,440.00	$1,296.00	2026-06-12
27137	HCPCS	Revision Of Hip Socket Part Of Hip Prosthesis	32	20	$3,465.00	$2,598.75 25% off	$1,125.71	$3,395.70	$1,921.70	2026-06-12
27226	HCPCS	Treatment Of Broken Hip Socket With Placement Of Stabilizing Device	32	20	$2,473.00	$1,854.75 25% off	$812.99	$2,423.54	$1,411.36	2026-06-12
27235	HCPCS	Placement Of Stabilizing Device For Upper End Of Broken Thigh Bone	32	20	$2,134.00	$1,600.50 25% off	$702.35	$2,091.32	$1,222.27	2026-06-12
27236	HCPCS	Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device…	32	20	$2,810.00	$2,107.50 25% off	$920.95	$2,753.80	$1,591.46	2026-06-12
27502	HCPCS	Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation	32	20	$1,779.00	$1,334.25 25% off	$584.52	$1,743.42	$1,094.88	2026-06-12
27503	HCPCS	Closed Treatment Of Broken Thigh Bone At Far End With Manipulation	32	20	$1,334.00	$1,000.50 25% off	$622.21	$1,363.00	$1,095.38	2026-06-12
27513	HCPCS	Treatment Of Broken Thigh Bone In Knee Area	32	20	$2,916.00	$2,187.00 25% off	$948.20	$2,857.68	$1,615.01	2026-06-12
27880	HCPCS	Amputation Of Both Lower Leg Bones	32	20	$2,155.00	$1,616.25 25% off	$676.92	$2,111.90	$1,187.38	2026-06-12
32100	HCPCS	Incision And Exploration Of Chest Cavity	32	20	$1,904.00	$1,428.00 25% off	$610.50	$1,865.92	$1,122.35	2026-06-12
32110	HCPCS	Repair Of Tear Of Lung And/or Control Of Traumatic Bleeding Through Chest	32	20	$3,448.00	$2,586.00 25% off	$1,110.15	$3,379.04	$2,014.32	2026-06-12
34203	HCPCS	Removal Of Blood Clot In Artery Of Lower Leg	102	23	$1,363.66	$1,022.75 25% off	$698.31	$2,259.00	$1,322.75	2026-06-12
35221	HCPCS	Repair Of Blood Vessel Of Abdomen	32	20	$3,458.00	$2,593.50 25% off	$1,091.61	$3,388.84	$1,924.80	2026-06-12
35226	HCPCS	Repair Of Blood Vessel Of Leg	32	20	$1,977.00	$1,482.75 25% off	$612.29	$1,937.46	$1,087.82	2026-06-12
35840	HCPCS	Exploration Of Abdomen For Bleeding, Blood Clot, Or Infection After Surgery	32	20	$2,828.00	$2,121.00 25% off	$917.00	$2,771.44	$1,620.03	2026-06-12
3600000000	CDM	Operating Room Services - General Classification	33	19	$4,273.00	$3,204.75 25% off	$3,056.90	$4,273.00	$3,845.70	2026-06-12
3600000001	CDM	Operating Room Services - General Classification	33	19	$13,216.00	$9,912.00 25% off	$9,454.73	$13,216.00	$11,894.40	2026-06-12
3600000002	CDM	Operating Room Services - General Classification	33	19	$3,204.00	$2,403.00 25% off	$2,292.14	$3,204.00	$2,883.60	2026-06-12
3600000003	CDM	Operating Room Services - General Classification	33	19	$16,909.00	$12,681.75 25% off	$12,096.70	$16,909.00	$15,218.10	2026-06-12
3600000004	CDM	Operating Room Services - General Classification	33	19	$4,014.00	$3,010.50 25% off	$2,871.62	$4,014.00	$3,612.60	2026-06-12
3600000005	CDM	Operating Room Services - General Classification	33	19	$20,235.00	$15,176.25 25% off	$14,476.12	$20,235.00	$18,211.50	2026-06-12
3600000006	CDM	Operating Room Services - General Classification	33	19	$2,349.00	$1,761.75 25% off	$1,680.47	$2,349.00	$2,114.10	2026-06-12
3600000007	CDM	Operating Room Services - General Classification	33	19	$6,421.00	$4,815.75 25% off	$4,593.58	$6,421.00	$5,778.90	2026-06-12
3600000008	CDM	Operating Room Services - General Classification	33	19	$8,025.00	$6,018.75 25% off	$5,741.09	$8,025.00	$7,222.50	2026-06-12
3600000011	CDM	Operating Room Services - General Classification	33	19	$1,401.00	$1,050.75 25% off	$1,002.28	$1,401.00	$1,260.90	2026-06-12
3600000015	CDM	Operating Room Services - General Classification	33	19	$1,510.00	$1,132.50 25% off	$1,080.25	$1,510.00	$1,359.00	2026-06-12
3600000017	CDM	Operating Room Services - General Classification	33	19	$1,456.00	$1,092.00 25% off	$1,041.62	$1,456.00	$1,310.40	2026-06-12
3600000023	CDM	Operating Room Services - General Classification	33	19	$3,871.00	$2,903.25 25% off	$2,769.31	$3,871.00	$3,483.90	2026-06-12
3600000024	CDM	Operating Room Services - General Classification	33	19	$4,091.00	$3,068.25 25% off	$2,926.70	$4,091.00	$3,681.90	2026-06-12
3600000025	CDM	Operating Room Services - General Classification	33	19	$4,014.00	$3,010.50 25% off	$2,871.62	$4,014.00	$3,612.60	2026-06-12
3600000026	CDM	Operating Room Services - General Classification	33	19	$4,311.00	$3,233.25 25% off	$3,084.09	$4,311.00	$3,879.90	2026-06-12
3600000027	CDM	Operating Room Services - General Classification	33	19	$2,771.00	$2,078.25 25% off	$1,982.37	$2,771.00	$2,493.90	2026-06-12
3600000028	CDM	Operating Room Services - General Classification	33	19	$2,750.00	$2,062.50 25% off	$1,967.35	$2,750.00	$2,475.00	2026-06-12
3600000029	CDM	Operating Room Services - General Classification	33	19	$3,052.00	$2,289.00 25% off	$2,183.40	$3,052.00	$2,746.80	2026-06-12
3600000030	CDM	Operating Room Services - General Classification	33	19	$3,495.00	$2,621.25 25% off	$2,500.32	$3,495.00	$3,145.50	2026-06-12
3600000031	CDM	Operating Room Services - General Classification	33	19	$3,495.00	$2,621.25 25% off	$2,500.32	$3,495.00	$3,145.50	2026-06-12
3600000032	CDM	Operating Room Services - General Classification	33	19	$3,682.00	$2,761.50 25% off	$2,634.10	$3,682.00	$3,313.80	2026-06-12
3600000044	CDM	Operating Room Services - General Classification	33	19	$1,806.00	$1,354.50 25% off	$1,292.01	$1,806.00	$1,625.40	2026-06-12
3600000049	CDM	Operating Room Services - General Classification	33	19	$4,091.00	$3,068.25 25% off	$2,926.70	$4,091.00	$3,681.90	2026-06-12
3600000050	CDM	Operating Room Services - General Classification	33	19	$3,039.00	$2,279.25 25% off	$2,174.10	$3,039.00	$2,735.10	2026-06-12
3600000051	CDM	Operating Room Services - General Classification	33	19	$1,834.00	$1,375.50 25% off	$1,312.04	$1,834.00	$1,650.60	2026-06-12
3600000052	CDM	Operating Room Services - General Classification	33	19	$3,480.00	$2,610.00 25% off	$2,489.59	$3,480.00	$3,132.00	2026-06-12
3600000057	CDM	Operating Room Services - General Classification	33	19	$2,548.00	$1,911.00 25% off	$1,822.84	$2,548.00	$2,293.20	2026-06-12
3600000058	CDM	Operating Room Services - General Classification	33	19	$2,989.00	$2,241.75 25% off	$2,138.33	$2,989.00	$2,690.10	2026-06-12
3600000059	CDM	Operating Room Services - General Classification	33	19	$2,989.00	$2,241.75 25% off	$2,138.33	$2,989.00	$2,690.10	2026-06-12
3600000061	CDM	Operating Room Services - General Classification	33	19	$1,938.00	$1,453.50 25% off	$1,386.45	$1,938.00	$1,744.20	2026-06-12
3600000062	CDM	Operating Room Services - General Classification	33	19	$1,213.00	$909.75 25% off	$867.78	$1,213.00	$1,091.70	2026-06-12
3600000070	CDM	Operating Room Services - General Classification	33	19	$1,495.00	$1,121.25 25% off	$1,069.52	$1,495.00	$1,345.50	2026-06-12
36430	HCPCS	Transfusion Of Blood Or Blood Products	35	21	$1,753.00	$1,314.75 25% off	$1,254.10	$1,753.00	$1,630.29	2026-06-12
36569	HCPCS	Insertion Of Tube For Infusion (5 Years Or Older)	67	23	$1,552.00	$1,164.00 25% off	$72.57	$1,552.00	$1,132.96	2026-06-12
38745	HCPCS	Removal Of Lymph Nodes Of Underarm	32	20	$1,809.00	$1,356.75 25% off	$672.52	$1,772.82	$1,212.86	2026-06-12
38760	HCPCS	Removal Of Lymph Nodes Of Groin	32	20	$1,734.00	$1,300.50 25% off	$641.57	$1,699.32	$1,135.79	2026-06-12
38765	HCPCS	Partial Removal Of Lymph Nodes Of Groin And Pelvis	32	20	$2,697.00	$2,022.75 25% off	$1,002.12	$2,643.06	$1,779.84	2026-06-12
39541	HCPCS	Repair Of Chronic Injury To Muscle Separating Chest And Abdominal Cavities	32	20	$1,938.00	$1,453.50 25% off	$706.62	$1,899.24	$1,277.92	2026-06-12
43280	HCPCS	Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac…	32	20	$2,551.00	$1,913.25 25% off	$814.80	$2,499.98	$1,455.31	2026-06-12
43281	HCPCS	Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope	32	20	$2,792.00	$2,094.00 25% off	$1,155.29	$2,736.16	$2,047.09	2026-06-12
43282	HCPCS	Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us…	32	20	$4,097.00	$3,072.75 25% off	$1,301.88	$4,015.06	$2,299.55	2026-06-12
43320	HCPCS	Repair Of Muscle At Lower Esophagus And Stomach Through Abdomen Or Chest	32	20	$3,297.00	$2,472.75 25% off	$1,055.60	$3,231.06	$1,877.28	2026-06-12
43500	HCPCS	Exploration Of Stomach Or Removal Of Foreign Body In Stomach	32	20	$1,851.00	$1,388.25 25% off	$599.01	$1,813.98	$1,082.40	2026-06-12
43501	HCPCS	Suture Of Bleeding Stomach Ulcer	32	20	$3,171.00	$2,378.25 25% off	$1,019.05	$3,107.58	$1,822.29	2026-06-12
43832	HCPCS	Creation Of Stomach Feeding Tube	32	20	$2,444.00	$1,833.00 25% off	$794.02	$2,395.12	$1,419.06	2026-06-12
43840	HCPCS	Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel	32	20	$3,207.00	$2,405.25 25% off	$1,030.06	$3,142.86	$1,831.52	2026-06-12
43848	HCPCS	Revision Of Upper Stomach Bypass	32	20	$4,541.00	$3,405.75 25% off	$1,462.56	$4,450.18	$2,575.52	2026-06-12
43880	HCPCS	Closure Of Abnormal Drainage Tract From Stomach To Large Bowel	32	20	$3,771.00	$2,828.25 25% off	$1,212.41	$3,695.58	$2,147.06	2026-06-12
43999	HCPCS	Other Procedure On Stomach	12	7	$1,674.00	$1,255.50 25% off	$885.17	$1,640.52	$1,590.30	2026-06-12
44005	HCPCS	Release Of Intestinal Scar Tissue	32	20	$2,586.00	$1,939.50 25% off	$826.88	$2,534.28	$1,470.53	2026-06-12
44010	HCPCS	Exploration, Biopsy, Or Removal Of Foreign Body In Small Bowel	32	20	$2,029.00	$1,521.75 25% off	$652.50	$1,988.42	$1,148.32	2026-06-12
44020	HCPCS	Incision Of Small Bowel For Exploration, Biopsy, Or Removal Of Foreign Body	32	20	$2,296.00	$1,722.00 25% off	$739.06	$2,250.08	$1,318.48	2026-06-12
44021	HCPCS	Incision Of Small Bowel For Insertion Of Tube For Relief Of Pressure	32	20	$2,300.00	$1,725.00 25% off	$738.53	$2,254.00	$1,311.18	2026-06-12
44025	HCPCS	Biopsy Or Removal Of Foreign Body In Large Bowel	32	20	$2,319.00	$1,739.25 25% off	$746.63	$2,272.62	$1,328.50	2026-06-12
44050	HCPCS	Repair Of Twisted Or Herniated Small Bowel	32	20	$2,204.00	$1,653.00 25% off	$710.32	$2,159.92	$1,269.73	2026-06-12
44055	HCPCS	Correction Of Abnormal Rotation Of Small Bowel	32	20	$3,518.00	$2,638.50 25% off	$1,127.86	$3,447.64	$1,983.49	2026-06-12
44110	HCPCS	Removal Of Growth Of Small Or Large Bowels	32	20	$2,005.00	$1,503.75 25% off	$648.13	$1,964.90	$1,156.16	2026-06-12
44120	HCPCS	Partial Removal Of Small Bowel With Reconnection	32	20	$2,889.00	$2,166.75 25% off	$924.79	$2,831.22	$1,637.58	2026-06-12
44140	HCPCS	Partial Removal Of Large Bowel With Connection	32	20	$3,167.00	$2,375.25 25% off	$1,016.94	$3,103.66	$1,805.47	2026-06-12
44141	HCPCS	Partial Removal Of Large Bowel With Creation Of Opening To Skin	32	20	$4,313.00	$3,234.75 25% off	$1,367.50	$4,226.74	$2,442.91	2026-06-12
44143	HCPCS	Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin	32	20	$3,931.00	$2,948.25 25% off	$1,246.63	$3,852.38	$2,211.49	2026-06-12
44144	HCPCS	Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B…	32	20	$4,177.00	$3,132.75 25% off	$1,332.97	$4,093.46	$2,363.17	2026-06-12
44145	HCPCS	Partial Removal Of Large Bowel And Reattachment To Rectum	32	20	$3,913.00	$2,934.75 25% off	$1,252.12	$3,834.74	$2,202.43	2026-06-12
44147	HCPCS	Partial Removal Of Large Bowel Through Abdomen And Anus	32	20	$4,584.00	$3,438.00 25% off	$1,462.63	$4,492.32	$2,553.95	2026-06-12
44150	HCPCS	Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O…	32	20	$4,415.00	$3,311.25 25% off	$1,402.92	$4,326.70	$2,510.91	2026-06-12
44160	HCPCS	Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…	32	20	$2,931.00	$2,198.25 25% off	$942.18	$2,872.38	$1,673.65	2026-06-12
44180	HCPCS	Release Of Small Bowel Scar Tissue Using An Endoscope	32	20	$2,169.00	$1,626.75 25% off	$698.37	$2,125.62	$1,245.54	2026-06-12
44204	HCPCS	Partial Removal Of Large Bowel Using An Endoscope	32	20	$3,632.00	$2,724.00 25% off	$1,164.65	$3,559.36	$2,052.99	2026-06-12
44205	HCPCS	Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…	32	20	$3,159.00	$2,369.25 25% off	$1,013.58	$3,095.82	$1,786.38	2026-06-12
44238	HCPCS	Other Procedure On Bowel Using An Endoscope	12	7	$2,169.00	$1,626.75 25% off	$1,518.30	$2,226.02	$2,082.24	2026-06-12
44300	HCPCS	Insertion Of Tube Into Small Bowel	32	20	$1,988.00	$1,491.00 25% off	$638.45	$1,948.24	$1,148.46	2026-06-12
44310	HCPCS	Creation Of Opening From Small Bowel To Skin	32	20	$2,466.00	$1,849.50 25% off	$791.52	$2,416.68	$1,405.70	2026-06-12
44314	HCPCS	Reconstruction Of Opening From Small Bowel To Skin	32	20	$2,372.00	$1,779.00 25% off	$768.16	$2,324.56	$1,366.66	2026-06-12
44320	HCPCS	Creation Of Opening From Large Bowel To Skin	32	20	$2,837.00	$2,127.75 25% off	$913.07	$2,780.26	$1,626.98	2026-06-12
44345	HCPCS	Complicated Reconstruction Of Opening From Large Bowel To Skin	32	20	$2,485.00	$1,863.75 25% off	$801.96	$2,435.30	$1,434.58	2026-06-12
44346	HCPCS	Revision Of Opening From Large Bowel To Skin With Repair Of Hernia	32	20	$2,795.00	$2,096.25 25% off	$900.77	$2,739.10	$1,600.56	2026-06-12
44602	HCPCS	Suture Of Tear Of Hole In Small Bowel	32	20	$3,333.00	$2,499.75 25% off	$1,060.46	$3,266.34	$1,858.99	2026-06-12
44603	HCPCS	Suture Of Multiple Tears Or Holes In Small Bowel	32	20	$3,827.00	$2,870.25 25% off	$1,222.59	$3,750.46	$2,143.25	2026-06-12
44604	HCPCS	Suture Of Tear Or Hole In Large Bowel	32	20	$2,498.00	$1,873.50 25% off	$798.38	$2,448.04	$1,408.38	2026-06-12
44605	HCPCS	Suture Of Tear Or Hole In Large Bowel And Creation Of Opening From Large Bowel T…	32	20	$2,859.00	$2,144.25 25% off	$975.00	$2,801.82	$1,747.28	2026-06-12
44620	HCPCS	Closure Of Surgically Created Large Or Small Bowel Opening	32	20	$2,049.00	$1,536.75 25% off	$658.65	$2,008.02	$1,170.96	2026-06-12
44625	HCPCS	Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An…	32	20	$2,400.00	$1,800.00 25% off	$770.48	$2,352.00	$1,363.10	2026-06-12
44626	HCPCS	Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An…	32	20	$3,783.00	$2,837.25 25% off	$1,202.81	$3,707.34	$2,111.34	2026-06-12
44960	HCPCS	Removal Of Ruptured Infected Appendix	32	20	$2,062.00	$1,546.50 25% off	$664.78	$2,020.76	$1,186.94	2026-06-12
45110	HCPCS	Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo…	32	20	$4,358.00	$3,268.50 25% off	$1,386.89	$4,270.84	$2,457.86	2026-06-12
45121	HCPCS	Removal Of Rectum For Congenital Defect And Large Bowel Through Abdomen And Peri…	32	20	$4,150.00	$3,112.50 25% off	$1,317.74	$4,067.00	$2,339.70	2026-06-12
45123	HCPCS	Partial Removal Of Rectum Through Perineum	32	20	$2,568.00	$1,926.00 25% off	$855.82	$2,516.64	$1,520.48	2026-06-12
45172	HCPCS	Removal Of Growth Of Rectum Through Anus With Removal Of A Portion Of Muscle	32	20	$1,917.00	$1,437.75 25% off	$635.69	$1,878.66	$1,169.14	2026-06-12
47100	HCPCS	Partial Removal Of Liver Tissue	32	20	$1,990.00	$1,492.50 25% off	$645.75	$1,950.20	$1,177.02	2026-06-12
47400	HCPCS	Incision Or Creation Of Opening Of Liver With Drainage Or Removal Of Bile Duct S…	32	20	$5,089.00	$3,816.75 25% off	$1,615.98	$4,987.22	$2,859.09	2026-06-12
47480	HCPCS	Drainage Or Removal Of Stone From Gallbladder	32	20	$2,068.00	$1,551.00 25% off	$669.23	$2,026.64	$1,212.35	2026-06-12
47564	HCPCS	Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope	32	20	$2,624.00	$1,968.00 25% off	$849.30	$2,571.52	$1,527.65	2026-06-12
47600	HCPCS	Removal Of Gallbladder	32	20	$2,517.00	$1,887.75 25% off	$813.29	$2,466.66	$1,456.21	2026-06-12
47605	HCPCS	Removal Of Gallbladder With X-ray Study Of Bile Ducts	32	20	$2,652.00	$1,989.00 25% off	$854.62	$2,598.96	$1,528.22	2026-06-12
47610	HCPCS	Removal Of Gallbladder With Exploration Of Common Bile Duct	32	20	$2,959.00	$2,219.25 25% off	$949.32	$2,899.82	$1,688.30	2026-06-12
47620	HCPCS	Removal Of Gallbladder And Incision Or Repair Of Gallbladder Sphincter	32	20	$3,255.00	$2,441.25 25% off	$1,036.68	$3,189.90	$1,840.82	2026-06-12
49002	HCPCS	Reopening Of Recent Abdominal Incision	32	20	$2,466.00	$1,849.50 25% off	$790.18	$2,416.68	$1,405.66	2026-06-12
49020	HCPCS	Drainage Of Abdominal Abscess Or Infection	32	20	$3,749.00	$2,811.75 25% off	$1,209.44	$3,674.02	$2,150.06	2026-06-12
49060	HCPCS	Drainage Of Abscess Behind Abdominal Cavity	32	20	$2,592.00	$1,944.00 25% off	$840.46	$2,540.16	$1,486.35	2026-06-12
49255	HCPCS	Removal Of Lining Covering Abdominal Organs	32	20	$1,866.00	$1,399.50 25% off	$608.11	$1,828.68	$1,090.78	2026-06-12
49402	HCPCS	Removal Of Foreign Body In Abdominal Cavity	32	20	$2,021.00	$1,515.75 25% off	$650.62	$1,980.58	$1,156.46	2026-06-12
49606	HCPCS	Repair Of Defect Of Abdominal Wall At Navel With Removal Of Prosthesis	32	20	$2,672.00	$2,004.00 25% off	$859.18	$2,618.56	$1,521.74	2026-06-12
49900	HCPCS	Suture Of Postsurgical Opening In Abdominal Wall	32	20	$1,919.00	$1,439.25 25% off	$631.36	$1,880.62	$1,157.14	2026-06-12
50220	HCPCS	Removal Of Kidney And Partial Removal Of Ureter	32	20	$1,919.00	$1,439.25 25% off	$816.61	$1,880.62	$1,423.18	2026-06-12
50230	HCPCS	Removal Of Kidney, Lymph Nodes, And/or Blood Clot From Major Vein With Partial R…	32	20	$2,349.00	$1,761.75 25% off	$992.13	$2,302.02	$1,703.09	2026-06-12
50234	HCPCS	Removal Of Kidney And Ureter With Partial Removal Of Bladder Through Same Incisi…	32	20	$2,385.00	$1,788.75 25% off	$1,010.76	$2,337.30	$1,733.30	2026-06-12
51841	HCPCS	Resuture Of Bladder Neck To Vaginal Wall And Pubic Bone With Urethra Suspension	32	20	$1,672.00	$1,254.00 25% off	$627.40	$1,638.56	$1,073.74	2026-06-12
55845	HCPCS	Removal Of Prostate Gland And Surrounding Lymph Nodes On Both Sides Of Pelvis Th…	32	20	$2,892.00	$2,169.00 25% off	$1,059.21	$2,834.16	$1,809.54	2026-06-12
57265	HCPCS	Repair Of Bulging Of Rectum And Bladder Into Vaginal Wall	32	20	$1,825.00	$1,368.75 25% off	$673.45	$1,788.50	$1,134.13	2026-06-12
57280	HCPCS	Attachment Of Vagina To Rear Pelvic Bone	32	20	$2,026.00	$1,519.50 25% off	$747.56	$1,985.48	$1,266.54	2026-06-12
58140	HCPCS	Removal Of Growth Of Uterus Through Abdomen, 1-4 Growths	32	20	$1,955.00	$1,466.25 25% off	$710.67	$1,915.90	$1,198.05	2026-06-12
58150	HCPCS	Removal Of Uterus And Cervix Through Abdomen	32	20	$2,117.00	$1,587.75 25% off	$787.32	$2,074.66	$1,364.42	2026-06-12
58152	HCPCS	Removal Of Uterus And Cervix Through Abdomen With Repair Of Vagina	32	20	$2,631.00	$1,973.25 25% off	$954.23	$2,578.38	$1,606.54	2026-06-12
58180	HCPCS	Removal Of Uterus Through Abdomen	32	20	$2,015.00	$1,511.25 25% off	$742.98	$1,974.70	$1,272.70	2026-06-12
58550	HCPCS	Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less	32	20	$1,853.00	$1,389.75 25% off	$682.61	$1,815.94	$1,158.21	2026-06-12
58578	HCPCS	Other Procedure On Uterus Using An Endoscope	8	5	$1,419.00	$1,064.25 25% off	$993.30	$1,390.62	$1,362.24	2026-06-12
58672	HCPCS	Repair Of Uterine Tube Tissue Near Ovary Using An Endoscope	32	20	$1,544.00	$1,158.00 25% off	$593.86	$2,007.20	$1,127.12	2026-06-12
58740	HCPCS	Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes	32	20	$1,869.00	$1,401.75 25% off	$696.35	$1,831.62	$1,206.77	2026-06-12
58950	HCPCS	Removal Of Lining Of Abdomen, Ovaries, And Fallopian Tubes	32	20	$2,362.00	$1,771.50 25% off	$890.58	$2,314.76	$1,555.98	2026-06-12
59400	HCPCS	Vaginal Delivery With Care Before And After Delivery	32	20	$4,337.00	$3,252.75 25% off	$1,817.36	$4,250.26	$3,166.11	2026-06-12
59410	HCPCS	Vaginal Delivery With Post Delivery Care	32	20	$2,137.00	$1,602.75 25% off	$808.75	$2,094.26	$1,389.76	2026-06-12
59510	HCPCS	Cesarean Delivery With Care Before And After Delivery	32	20	$4,784.00	$3,588.00 25% off	$2,004.58	$4,688.32	$3,505.71	2026-06-12
59514	HCPCS	Cesarean Delivery	32	20	$1,867.00	$1,400.25 25% off	$672.62	$1,829.66	$1,161.71	2026-06-12
59515	HCPCS	Cesarean Delivery With Care After Delivery	32	20	$2,588.00	$1,941.00 25% off	$995.81	$2,536.24	$1,726.93	2026-06-12
59610	HCPCS	Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…	32	20	$4,535.00	$3,401.25 25% off	$1,888.57	$4,444.30	$3,299.14	2026-06-12
59612	HCPCS	Vaginal Delivery After Previous Cesarean Delivery	32	20	$1,863.00	$1,397.25 25% off	$670.26	$1,825.74	$1,157.71	2026-06-12
59614	HCPCS	Vaginal Delivery And Care After Delivery After Prior Cesarean Delivery	32	20	$2,315.00	$1,736.25 25% off	$866.55	$2,268.70	$1,500.48	2026-06-12
59618	HCPCS	Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal…	32	20	$4,843.00	$3,632.25 25% off	$2,024.11	$4,746.14	$3,539.15	2026-06-12
59620	HCPCS	Cesarean Delivery Following Vaginal Delivery Attempt After Previous Cesarean Del…	32	20	$1,929.00	$1,446.75 25% off	$693.96	$1,890.42	$1,198.62	2026-06-12
59622	HCPCS	Cesarean Delivery With Care After Delivery Following Vaginal Delivery Attempt Af…	32	20	$2,671.00	$2,003.25 25% off	$1,029.95	$2,617.58	$1,780.72	2026-06-12
60212	HCPCS	Partial Removal Of Thyroid Lobes On Both Sides Of Neck And Connecting Tissue	32	20	$2,110.00	$1,582.50 25% off	$777.46	$2,067.80	$1,398.46	2026-06-12
60225	HCPCS	Removal Of Thyroid Lobe On Side Of Neck And Partial Removal Of Thyroid Lobe On O…	32	20	$1,930.00	$1,447.50 25% off	$722.49	$1,891.40	$1,242.67	2026-06-12
60270	HCPCS	Removal Of Thyroid From Under Breastbone	32	20	$2,831.00	$2,123.25 25% off	$1,040.47	$2,774.38	$1,793.49	2026-06-12
64491	HCPCS	Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Second Le…	109	23	$1,440.00	$1,080.00 25% off	$48.08	$2,880.00	$1,270.08	2026-06-12
64492	HCPCS	Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Third And…	109	23	$1,440.00	$1,080.00 25% off	$48.69	$2,880.00	$1,270.08	2026-06-12
64494	HCPCS	Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Second Le…	109	23	$1,507.00	$1,130.25 25% off	$41.68	$3,014.00	$1,329.17	2026-06-12
64495	HCPCS	Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Third And…	109	23	$1,507.00	$1,130.25 25% off	$42.91	$3,014.00	$1,329.17	2026-06-12
64640	HCPCS	Destruction Of Peripheral Nerve Or Branch	109	23	$1,850.00	$1,387.50 25% off	$104.51	$3,700.00	$1,631.70	2026-06-12
64792	HCPCS	Removal Of Growth Of Major Peripheral Nerve Or Nerve Lining, Extensive Including…	32	20	$2,835.00	$2,126.25 25% off	$822.38	$2,778.30	$1,644.66	2026-06-12
70336	HCPCS	MRI Scan Of Jaw Joint	67	23	$1,761.00	$1,320.75 25% off	$64.26	$1,761.00	$1,285.53	2026-06-12
70470	HCPCS	CT Scan Of Head Or Brain Before And After Contrast	67	23	$2,005.00	$1,503.75 25% off	$56.04	$2,005.00	$1,076.00	2026-06-12
70482	HCPCS	CT Scan Of Cranial Cavity Before And After Contrast	67	23	$1,909.00	$1,431.75 25% off	$55.74	$1,909.00	$1,076.00	2026-06-12
70488	HCPCS	CT Scan Of Face Before And After Contrast	67	23	$2,105.00	$1,578.75 25% off	$56.04	$2,105.00	$1,076.00	2026-06-12
70492	HCPCS	CT Scan Of Soft Tissue Of Neck Before And After Contrast	67	23	$2,005.00	$1,503.75 25% off	$70.94	$2,005.00	$1,076.00	2026-06-12
70496	HCPCS	CT Scan Of Blood Vessels Of Head With Contrast	67	23	$2,069.00	$1,551.75 25% off	$76.97	$2,069.00	$1,085.40	2026-06-12
70498	HCPCS	CT Scan Of Blood Vessels Of Neck With Contrast	67	23	$2,069.00	$1,551.75 25% off	$76.97	$2,069.00	$1,085.40	2026-06-12
70540	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast	67	23	$1,761.00	$1,320.75 25% off	$59.33	$1,761.00	$1,285.53	2026-06-12
70542	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast	67	23	$2,076.00	$1,557.00 25% off	$71.55	$2,076.00	$1,515.48	2026-06-12
70543	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast	67	23	$3,241.00	$2,430.75 25% off	$94.78	$3,241.00	$1,981.90	2026-06-12
70544	HCPCS	MRI Scan Of Blood Vessels Of Head Without Contrast	67	23	$2,180.00	$1,635.00 25% off	$52.78	$2,180.00	$1,369.24	2026-06-12
70545	HCPCS	MRI Scan Of Blood Vessels Of Head With Contrast	67	23	$2,076.00	$1,557.00 25% off	$52.78	$2,076.00	$1,515.48	2026-06-12
70546	HCPCS	MRI Scan Of Blood Vessels Of Head Before And After Contrast	67	23	$2,678.00	$2,008.50 25% off	$65.03	$2,678.00	$1,954.94	2026-06-12
70547	HCPCS	MRI Scan Of Blood Vessels Of Neck Without Contrast	67	23	$1,761.00	$1,320.75 25% off	$52.78	$1,761.00	$1,285.53	2026-06-12
70548	HCPCS	MRI Scan Of Blood Vessels Of Neck With Contrast	67	23	$3,171.00	$2,378.25 25% off	$66.01	$3,171.00	$1,613.05	2026-06-12
70549	HCPCS	MRI Scan Of Blood Vessels Of Neck Before And After Contrast	67	23	$2,991.00	$2,243.25 25% off	$79.26	$2,991.00	$1,981.90	2026-06-12
70551	HCPCS	MRI Scan Of Brain Without Contrast	67	23	$1,934.00	$1,450.50 25% off	$65.03	$1,934.00	$1,369.24	2026-06-12
70552	HCPCS	MRI Scan Of Brain With Contrast	67	23	$2,076.00	$1,557.00 25% off	$78.59	$2,076.00	$1,515.48	2026-06-12
70553	HCPCS	MRI Scan Of Brain Before And After Contrast	67	23	$3,031.00	$2,273.25 25% off	$100.81	$3,031.00	$1,981.90	2026-06-12
71270	HCPCS	CT Scan Of Chest Before And After Contrast	67	23	$2,107.00	$1,580.25 25% off	$55.07	$2,107.00	$1,076.00	2026-06-12
71271	HCPCS	Low Dose CT Scan Of Chest For Lung Cancer Screening	67	23	$1,564.00	$1,173.00 25% off	$47.39	$1,564.00	$1,141.72	2026-06-12
71275	HCPCS	CT Scan Of Blood Vessels Of Chest With Contrast	67	23	$2,069.00	$1,551.75 25% off	$79.91	$2,069.00	$1,085.40	2026-06-12
71550	HCPCS	MRI Scan Of Chest Without Contrast	67	23	$2,179.00	$1,634.25 25% off	$63.90	$2,179.00	$1,369.24	2026-06-12
71551	HCPCS	MRI Scan Of Chest With Contrast	67	23	$2,179.00	$1,634.25 25% off	$76.31	$2,179.00	$1,590.67	2026-06-12
71552	HCPCS	MRI Scan Of Chest Before And After Contrast	67	23	$2,687.00	$2,015.25 25% off	$99.50	$2,687.00	$1,961.51	2026-06-12
71555	HCPCS	MRI Scan Of Blood Vessels Of Chest	67	23	$2,190.00	$1,642.50 25% off	$79.26	$2,190.00	$1,598.70	2026-06-12
7200000004	CDM	Labor Room/delivery - General Classification	33	19	$1,227.00	$920.25 25% off	$877.80	$1,227.00	$1,104.30	2026-06-12
7200000005	CDM	Labor Room/delivery - General Classification	33	19	$1,803.00	$1,352.25 25% off	$1,289.87	$1,803.00	$1,622.70	2026-06-12
7200000010	CDM	Labor Room/delivery - General Classification	33	19	$2,545.00	$1,908.75 25% off	$1,820.69	$2,545.00	$2,290.50	2026-06-12
7200000011	CDM	Labor Room/delivery - General Classification	33	19	$2,982.00	$2,236.50 25% off	$2,133.32	$2,982.00	$2,683.80	2026-06-12
72141	HCPCS	MRI Scan Of Upper Spinal Canal Without Contrast	67	23	$1,860.00	$1,395.00 25% off	$65.34	$1,860.00	$1,357.80	2026-06-12
72142	HCPCS	MRI Scan Of Upper Spinal Canal With Contrast	67	23	$2,562.00	$1,921.50 25% off	$79.21	$2,562.00	$1,613.05	2026-06-12
72146	HCPCS	MRI Scan Of Middle Spinal Canal Without Contrast	67	23	$2,077.00	$1,557.75 25% off	$65.34	$2,077.00	$1,369.24	2026-06-12
72147	HCPCS	MRI Scan Of Middle Spinal Canal With Contrast	67	23	$2,076.00	$1,557.00 25% off	$78.90	$2,076.00	$1,515.48	2026-06-12
72148	HCPCS	MRI Scan Of Lower Spinal Canal Without Contrast	67	23	$2,024.00	$1,518.00 25% off	$65.65	$2,024.00	$1,369.24	2026-06-12
72149	HCPCS	MRI Scan Of Lower Spinal Canal With Contrast	67	23	$1,844.00	$1,383.00 25% off	$78.90	$1,844.00	$1,346.12	2026-06-12
72156	HCPCS	MRI Scan Of Upper Spinal Canal Before And After Contrast	67	23	$3,394.00	$2,545.50 25% off	$101.12	$3,394.00	$1,981.90	2026-06-12
72157	HCPCS	MRI Scan Of Middle Spinal Canal Before And After Contrast	67	23	$3,448.00	$2,586.00 25% off	$101.12	$3,448.00	$1,981.90	2026-06-12
72158	HCPCS	MRI Scan Of Lower Spinal Canal Before And After Contrast	67	23	$3,034.00	$2,275.50 25% off	$101.12	$3,034.00	$1,981.90	2026-06-12
72194	HCPCS	CT Scan Of Pelvis Before And After Contrast	67	23	$2,105.00	$1,578.75 25% off	$53.76	$2,105.00	$1,076.00	2026-06-12
72195	HCPCS	MRI Scan Of Pelvis Without Contrast	67	23	$1,989.00	$1,491.75 25% off	$64.21	$1,989.00	$1,369.24	2026-06-12
72196	HCPCS	MRI Scan Of Pelvis With Contrast	67	23	$1,596.00	$1,197.00 25% off	$76.31	$1,792.28	$1,228.92	2026-06-12
72197	HCPCS	MRI Scan Of Pelvis Before And After Contrast	67	23	$2,098.00	$1,573.50 25% off	$97.22	$2,202.11	$1,607.54	2026-06-12
73202	HCPCS	CT Scan Of Arm Before And After Contrast	106	23	$1,384.00	$1,038.00 25% off	$53.45	$2,768.00	$1,140.56	2026-06-12
73206	HCPCS	CT Scan Of Blood Vessels Of Arm With Contrast	106	23	$1,970.00	$1,477.50 25% off	$78.96	$3,940.00	$1,615.40	2026-06-12
73218	HCPCS	MRI Scan Of Arm Without Contrast	106	23	$1,440.00	$1,080.00 25% off	$60.25	$2,880.00	$1,192.61	2026-06-12
73219	HCPCS	MRI Scan Of Arm With Contrast	106	23	$2,076.00	$1,557.00 25% off	$71.86	$4,152.00	$1,710.83	2026-06-12
73220	HCPCS	MRI Scan Of Arm Before And After Contrast	106	23	$2,550.00	$1,912.50 25% off	$95.39	$5,099.00	$2,101.45	2026-06-12
73221	HCPCS	MRI Scan Of Arm Joint Without Contrast	106	23	$1,909.00	$1,431.75 25% off	$60.56	$3,818.00	$1,565.38	2026-06-12
73222	HCPCS	MRI Scan Of Arm Joint With Contrast	106	23	$2,076.00	$1,557.00 25% off	$72.17	$4,152.00	$1,710.83	2026-06-12
73223	HCPCS	MRI Scan Of Arm Joint Before And After Contrast	106	23	$2,550.00	$1,912.50 25% off	$95.39	$5,099.00	$2,101.45	2026-06-12
73225	HCPCS	MRI Scan Of Blood Vessels Of Arm	106	23	$2,085.00	$1,563.75 25% off	$74.78	$4,169.00	$1,718.25	2026-06-12
73702	HCPCS	CT Scan Of Leg Before And After Contrast	106	23	$1,909.00	$1,431.75 25% off	$53.45	$3,818.00	$1,565.38	2026-06-12
73706	HCPCS	CT Scan Of Blood Vessels Of Lower Leg With Contrast	106	23	$2,151.00	$1,613.25 25% off	$83.05	$4,301.00	$1,763.82	2026-06-12
73718	HCPCS	MRI Scan Of Leg Without Contrast	106	23	$2,312.00	$1,734.00 25% off	$59.64	$4,623.00	$1,895.84	2026-06-12
73719	HCPCS	MRI Scan Of Leg With Contrast	106	23	$2,180.00	$1,635.00 25% off	$71.25	$4,360.00	$1,789.94	2026-06-12
73720	HCPCS	MRI Scan Of Leg Before And After Contrast	106	23	$2,502.00	$1,876.50 25% off	$95.08	$5,003.00	$2,061.90	2026-06-12
73721	HCPCS	MRI Scan Of Leg Joint Without Contrast	106	23	$1,929.00	$1,446.75 25% off	$60.25	$3,858.00	$1,581.78	2026-06-12
73722	HCPCS	MRI Scan Of Leg Joint With Contrast	106	23	$2,076.00	$1,557.00 25% off	$72.17	$4,152.00	$1,710.83	2026-06-12
73723	HCPCS	MRI Scan Of Leg Joint Before And After Contrast	106	23	$2,531.00	$1,898.25 25% off	$95.08	$5,061.00	$2,085.80	2026-06-12
73725	HCPCS	MRI Scan Of Blood Vessels Of Leg	106	23	$1,921.00	$1,440.75 25% off	$79.29	$3,841.00	$1,590.97	2026-06-12
74170	HCPCS	CT Scan Of Abdomen Before And After Contrast	67	23	$1,679.00	$1,259.25 25% off	$61.61	$1,679.00	$1,076.00	2026-06-12
74174	HCPCS	CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast	67	23	$2,239.00	$1,679.25 25% off	$96.61	$2,239.00	$1,634.47	2026-06-12
74175	HCPCS	CT Scan Of Blood Vessels Of Abdomen With Contrast	67	23	$2,069.00	$1,551.75 25% off	$79.60	$2,069.00	$1,085.40	2026-06-12
74176	HCPCS	CT Scan Of Abdomen And Pelvis Without Contrast	67	23	$2,062.00	$1,546.50 25% off	$76.64	$2,062.00	$1,223.02	2026-06-12
74177	HCPCS	CT Scan Of Abdomen And Pelvis With Contrast	67	23	$2,560.00	$1,920.00 25% off	$80.22	$2,560.00	$1,657.18	2026-06-12
74178	HCPCS	CT Scan Of Abdomen And Pelvis Before And After Contrast	67	23	$3,091.00	$2,318.25 25% off	$88.87	$3,091.00	$1,657.18	2026-06-12
74181	HCPCS	MRI Scan Of Abdomen Without Contrast	67	23	$1,947.00	$1,460.25 25% off	$63.90	$1,947.00	$1,369.24	2026-06-12
74182	HCPCS	MRI Scan Of Abdomen With Contrast	67	23	$2,076.00	$1,557.00 25% off	$76.00	$2,076.00	$1,515.48	2026-06-12
74183	HCPCS	MRI Scan Of Abdomen Before And After Contrast	67	23	$3,358.00	$2,518.50 25% off	$97.22	$3,358.00	$1,981.90	2026-06-12
74185	HCPCS	MRI Scan Of Blood Vessels Of Abdomen	67	23	$2,504.00	$1,878.00 25% off	$78.96	$2,504.00	$1,618.48	2026-06-12
75635	HCPCS	CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast	67	23	$3,091.00	$2,318.25 25% off	$104.80	$3,091.00	$1,085.40	2026-06-12
81401	HCPCS	Molecular Pathology Procedure Level 2	35	21	$1,215.00	$911.25 25% off	$222.90	$1,215.00	$1,093.50	2026-06-12
81435	HCPCS	Test For Detecting Genes Associated With Inherited Colon Cancer-related Disorder…	35	21	$3,669.00	$2,751.75 25% off	$2,624.80	$3,669.00	$3,412.17	2026-06-12
81448	HCPCS	Gene Analysis Panel For Hereditary Disorders Of The Peripheral Nervous System	35	21	$3,750.00	$2,812.50 25% off	$2,682.75	$3,750.00	$3,487.50	2026-06-12
81479	HCPCS	Molecular Pathology Procedure	35	21	$3,544.00	$2,658.00 25% off	$63.75	$3,544.00	$3,189.60	2026-06-12
86711	HCPCS	Analysis For Antibody To John Cunningham Virus	70	21	$1,610.00	$1,207.50 25% off	$691.08	$2,254.00	$1,289.26	2026-06-12
87507	HCPCS	Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S…	35	21	$1,216.00	$912.00 25% off	$869.93	$1,216.00	$1,130.88	2026-06-12
87633	HCPCS	Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple…	35	21	$1,546.00	$1,159.50 25% off	$1,106.01	$1,546.00	$1,437.78	2026-06-12
90377	HCPCS	Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle	35	21	$2,982.48	$2,236.86 25% off	$2,133.67	$2,982.48	$2,773.71	2026-06-12
90380	HCPCS	Respiratory Syncytial Virus Antibody, 0.5 Ml Dosage For Injection Into Muscle	35	21	$2,224.52	$1,668.39 25% off	$1,591.42	$2,224.52	$2,068.80	2026-06-12
90381	HCPCS	Respiratory Syncytial Virus Antibody, 1.0 Ml Dosage For Injection Into Muscle	35	21	$2,224.52	$1,668.39 25% off	$1,591.42	$2,224.52	$2,068.80	2026-06-12
90675	HCPCS	Rabies Vaccine For Injection Into Muscle	35	21	$1,986.76	$1,490.07 25% off	$359.98	$2,011.94	$1,847.69	2026-06-12
93229	HCPCS	Electrocardiogram (ecg) Up To 30 Days Continuous With Transmission Of Patient Tr…	35	21	$5,200.00	$3,900.00 25% off	$3,720.08	$5,200.00	$4,836.00	2026-06-12
93306	HCPCS	Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…	35	21	$2,200.00	$1,650.00 25% off	$1,276.99	$2,200.00	$1,980.00	2026-06-12
93351	HCPCS	Ultrasound Of Heart With Continuous Electrocardiogram (ecg) During Rest, Exercis…	35	21	$2,933.00	$2,199.75 25% off	$1,761.06	$2,933.00	$2,639.70	2026-06-12
95805	HCPCS	Sleep Study, Multiple Trials	67	23	$4,440.00	$3,330.00 25% off	$55.54	$4,440.00	$3,241.20	2026-06-12
95810	HCPCS	Sleep Study In Sleep Lab (6 Years Or Older)	67	23	$4,440.00	$3,330.00 25% off	$114.89	$4,440.00	$3,241.20	2026-06-12
95811	HCPCS	Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)	99	23	$3,337.00	$2,502.75 25% off	$119.15	$4,752.00	$3,103.41	2026-06-12
99285	HCPCS	Emergency Department Visit With High Level Of Medical Decision Making	67	23	$1,759.00	$1,319.25 25% off	$137.38	$1,759.00	$1,284.07	2026-06-12
99291	HCPCS	Critical Care, First 30-74 Minutes	67	23	$2,457.00	$1,842.75 25% off	$188.30	$2,457.00	$1,793.61	2026-06-12
99468	HCPCS	Initial Inpatient Hospital Critical Care Of Newborn Per Day (28 Days Or Younger)	32	20	$1,950.00	$1,462.50 25% off	$700.90	$1,911.00	$1,197.74	2026-06-12
A0427	HCPCS	Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - …	35	21	$1,331.00	$998.25 25% off	$952.20	$1,331.00	$1,237.83	2026-06-12
J0256	HCPCS	Injection, Alpha 1 Proteinase Inhibitor (human), Not Otherwise Specified, 10 Mg	35	21	$2,360.00	$1,770.00 25% off	$1,688.34	$2,360.00	$2,194.80	2026-06-12
J0485	HCPCS	Injection, Belatacept, 1 Mg	35	21	$4,655.44	$3,491.58 25% off	$3,330.50	$4,655.44	$4,329.56	2026-06-12
J0717	HCPCS	Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…	35	21	$17,998.29	$13,498.72 25% off	$12,875.98	$17,998.29	$16,738.41	2026-06-12
J0840	HCPCS	Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram	35	21	$15,350.40	$11,512.80 25% off	$10,981.68	$15,350.40	$14,275.87	2026-06-12
J0897	HCPCS	Injection, Denosumab, 1 Mg	35	21	$7,501.72	$5,626.29 25% off	$24.63	$7,501.72	$6,751.55	2026-06-12
J1568	HCPCS	Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui…	70	21	$12,626.70	$9,470.02 25% off	$5,558.66	$17,483.40	$10,138.81	2026-06-12
J1602	HCPCS	Injection, Golimumab, 1 Mg, For Intravenous Use	35	21	$9,596.12	$7,197.09 25% off	$6,865.06	$9,596.12	$8,924.39	2026-06-12
J1745	HCPCS	Injection, Infliximab, Excludes Biosimilar, 10 Mg	35	21	$1,900.00	$1,425.00 25% off	$123.49	$1,900.00	$1,710.00	2026-06-12
J2315	HCPCS	Injection, Naltrexone, Depot Form, 1 Mg	35	21	$6,761.36	$5,071.02 25% off	$4,837.08	$6,761.36	$6,288.06	2026-06-12
J2356	HCPCS	Injection, Tezepelumab-ekko, 1 Mg	35	21	$17,475.84	$13,106.88 25% off	$12,502.22	$17,475.84	$16,252.53	2026-06-12
J2426	HCPCS	Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg	140	21	$8,328.08	$6,246.06 25% off	$1,702.11	$14,276.60	$7,138.20	2026-06-12
J2507	HCPCS	Injection, Pegloticase, 1 Mg	35	21	$110,674.77	$83,006.08 25% off	$79,176.73	$110,674.77	$102,927.54	2026-06-12
J2690	HCPCS	Injection, Procainamide Hcl, Up To 1 Gm	35	21	$1,200.00	$900.00 25% off	$858.48	$1,200.00	$1,116.00	2026-06-12
J2802	HCPCS	Injection, Romiplostim, 1 Microgram	35	21	$11,012.08	$8,259.06 25% off	$7,878.04	$11,012.08	$10,241.23	2026-06-12
J3101	HCPCS	Injection, Tenecteplase, 1 Mg	35	21	$24,891.78	$18,668.84 25% off	$122.07	$24,891.78	$22,402.60	2026-06-12
J3489	HCPCS	Injection, Zoledronic Acid, 1 Mg	35	21	$1,400.00	$1,050.00 25% off	$1,001.56	$1,400.00	$1,302.00	2026-06-12
J7296	HCPCS	Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg	35	21	$5,830.24	$4,372.68 25% off	$4,170.95	$5,830.24	$5,422.12	2026-06-12
J7298	HCPCS	Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg	35	21	$5,830.24	$4,372.68 25% off	$4,170.95	$5,830.24	$5,422.12	2026-06-12
J7300	HCPCS	Intrauterine Copper Contraceptive	35	21	$4,245.60	$3,184.20 25% off	$3,037.30	$4,245.60	$3,948.41	2026-06-12
J7307	HCPCS	Etonogestrel (contraceptive) Implant System, Including Implant And Supplies	35	21	$5,830.24	$4,372.68 25% off	$4,170.95	$5,830.24	$5,422.12	2026-06-12
J9202	HCPCS	Goserelin Acetate Implant, Per 3.6 Mg	35	21	$5,394.96	$4,046.22 25% off	$3,859.55	$5,394.96	$5,017.31	2026-06-12
Q0138	HCPCS	Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd …	35	21	$4,345.68	$3,259.26 25% off	$3,108.90	$4,345.68	$4,041.48	2026-06-12
Q4101	HCPCS	Apligraf, Per Square Centimeter	35	21	$2,009.00	$1,506.75 25% off	$1,437.24	$2,009.00	$1,868.37	2026-06-12
Q5103	HCPCS	Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg	35	21	$3,785.12	$2,838.84 25% off	$2,707.87	$3,785.12	$3,520.16	2026-06-12
Q5104	HCPCS	Injection, Infliximab-abda, Biosimilar, (renflexis), 10 Mg	35	21	$3,013.56	$2,260.17 25% off	$2,155.90	$3,013.56	$2,802.61	2026-06-12
Q5108	HCPCS	Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg	35	21	$8,350.00	$6,262.50 25% off	$5,973.59	$8,350.00	$7,765.50	2026-06-12
Q9957	HCPCS	Injection, Perflutren Lipid Microspheres, Per Ml	35	21	$1,346.17	$1,009.63 25% off	$95.78	$1,346.17	$1,071.44	2026-06-12

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