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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

LOST RIVERS MEDICAL CENTER

Arco, ID · CCN 131324 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

Ultrasound of heart during rest, exercise and/or drug-induced stress with report

This hospital’s price: $424 across 22 payers · range $238-$1,005

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbLRMCARCOID&type=CDMWithoutLabel&fileType=CSV · observed 2026-05-07

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

2,344 distinct procedures filed
29 distinct payers
76,640 rate rows
2026-05-07 last MRF observed
Data quality

75,296 of 76,640 rate rows are consumer-grade (98.2%)

1,344 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
exceeds 10× this hospital's gross charge — excluded from medians 713
percent-of-charges filed in the dollar field — excluded from medians 538
per-diem day rate — not a per-procedure price 84
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbLRMCARCOID&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/LostRivers_V3.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint 0c00479fcd64ca48… · 29,472,597 bytes · first seen 2026-05-14

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
3600001_1
CDM 		Operating Room Services - General Classification 26 $20,412.00 $36,000.00 $23,040.00 nat. median
$3,376
outlier · 6.8×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 26 $37.76 $22,464.00 $14,506.13 nat. median
$155
outlier · 93.9×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 26 $355.39 $19,913.00 $12,858.82 nat. median
$3,787
outlier · 3.4×
Q4226
HCPCS 		Myown Skin, Includes Harvesting And Preparation Procedures, Per Square Centimete… 25 $8,505.00 $15,000.00 $9,922.50 nat. median
$1,224
outlier · 8.1×
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 26 $6.82 $14,398.00 $9,297.51 nat. median
$1,635
outlier · 5.7×
49505
HCPCS 		Repair Of Groin Hernia (5 Years Or Older) 26 $6,436.58 $11,352.00 $7,614.35 nat. median
$3,855
2.0× median
81162
HCPCS 		Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 24 $3,284.78 $11,721.00 $7,384.23 nat. median
$1,825
outlier · 4.0×
49591
HCPCS 		Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length 26 $4,915.89 $8,670.00 $6,239.95 nat. median
$3,840
1.6× median
J7168
HCPCS 		Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 26 $3.70 $9,164.80 $5,918.17 nat. median
$20
outlier · 291.0×
Q5119
HCPCS 		Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 26 $24.63 $8,600.00 $5,553.45 nat. median
$831
outlier · 6.7×
49615
HCPCS 		Repair Of Recurrent Sliding Hernia Of Abdomen, 3-10 Cm In Length 26 $3,874.88 $11,905.27 $5,398.86 nat. median
$6,018
0.9× median
C1764
HCPCS 		Event Recorder, Cardiac (implantable) 25 $4,593.83 $8,102.00 $5,359.47 nat. median
$7,735
0.7× median
81432
HCPCS 		Test For Detecting Genes Associated With Inherited Breast Cancer-related Disorde… 24 $2,347.11 $8,500.00 $5,355.00 nat. median
$1,408
outlier · 3.8×
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 26 $22.70 $8,279.38 $5,346.41 nat. median
$44
outlier · 122.3×
90375
HCPCS 		Rabies Immune Globulin For Injection 26 $495.32 $8,045.26 $5,195.23 nat. median
$1,052
outlier · 4.9×
24341
HCPCS 		Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 26 $3,657.72 $13,344.08 $5,096.29 nat. median
$7,021
0.7× median
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 26 $229.28 $7,700.00 $4,972.27 nat. median
$1,659
outlier · 3.0×
21552
HCPCS 		Removal Of Growth Of Soft Tissue Under Skin Of Neck Or Front Of Chest, 3.0 Cm Or… 26 $3,757.51 $6,627.00 $4,924.05 nat. median
$3,005
1.6× median
4305938_1
CDM 		Neulasta Onpro 6 Mg/0.6 Ml Kit 26 $4,241.16 $7,480.00 $4,787.20 nat. median
$4,787
1.0× median
3758057_1
CDM 		Pcm-2000 Axiofill 2000 26 $4,070.49 $7,179.00 $4,594.56 nat. median
$4,595
1.0× median
J0897
HCPCS 		Injection, Denosumab, 1 Mg 26 $53.11 $6,560.64 $4,133.20 nat. median
$1,982
outlier · 2.1×
27532
HCPCS 		Closed Treatment Of Broken Shin Bone With Traction 26 $2,759.59 $6,017.17 $3,844.93 nat. median
$3,314
1.2× median
26350
HCPCS 		Repair Of Finger Tendon Of Under Side Of Hand Other Than Upper Most Part Of Palm… 26 $2,759.59 $6,017.17 $3,844.93 nat. median
$3,386
1.1× median
25040
HCPCS 		Incision Of Wrist Joint For Exploration, Fluid Drainage, Or Removal Of Foreign B… 26 $2,759.59 $6,017.17 $3,844.93 nat. median
$3,536
1.1× median
78452
HCPCS 		Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 26 $2,380.84 $19,688.00 $3,454.77 nat. median
$1,822
1.9× median
J3247
HCPCS 		Injection, Secukinumab, Intravenous, 1 Mg 26 $32.48 $5,282.00 $3,410.85 nat. median
$50
outlier · 68.6×
3100002_1
CDM 		Room & Board - Semi-private (two Beds) - General Classification 10 $3,150.00 $3,500.00 $3,307.50 nat. median
$401
outlier · 8.2×
81324
HCPCS 		Gene Analysis (peripheral Myelin Protein 22), Duplication Or Deletion Analysis 26 $1,365.05 $37,387.15 $3,183.55 nat. median
$779
outlier · 4.1×
31600
HCPCS 		Incision Of Windpipe For Insertion Of Breathing Tube (older Than 2 Years) 26 $2,240.78 $6,097.09 $3,122.08 nat. median
$3,330
0.9× median
28150
HCPCS 		Removal Of Toe 26 $2,232.85 $6,017.17 $3,111.02 nat. median
$3,225
1.0× median
43253
HCPCS 		Injection Of Diagnostic Or Therapeutic Substance Or Marker In Esophagus, Stomach… 26 $2,183.52 $3,851.00 $3,042.29 nat. median
$2,263
1.3× median
43240
HCPCS 		Drainage Of Fluid Collection Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 26 $2,137.59 $11,164.30 $2,978.30 nat. median
$5,646
0.5× median
21012
HCPCS 		Removal Of Growth Under Skin Of Face Or Scalp, 2.0 Cm Or More 26 $397.84 $4,938.00 $2,955.39 nat. median
$1,788
1.7× median
46614
HCPCS 		Control Of Bleeding Of Anus Using An Endoscope 26 $183.71 $5,138.00 $2,913.25 nat. median
$1,263
outlier · 2.3×
26951
HCPCS 		Amputation Of Finger Or Thumb With Direct Closure 26 $397.84 $6,017.17 $2,912.90 nat. median
$3,320
0.9× median
25260
HCPCS 		Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist 26 $397.84 $6,017.17 $2,912.90 nat. median
$3,452
0.8× median
28240
HCPCS 		Release Or Lengthening Of Tendon In Foot 26 $397.84 $6,017.17 $2,912.90 nat. median
$3,322
0.9× median
11012
HCPCS 		Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Broken A… 26 $1,800.79 $5,341.73 $2,858.40 nat. median
$2,794
1.0× median
22903
HCPCS 		Removal Of Growth Of Soft Tissue Of Abdominal Wall, 3.0 Cm Or More 26 $2,044.60 $5,341.73 $2,848.74 nat. median
$2,993
1.0× median
28220
HCPCS 		Removal Of Scar Tissue Of Tendon On Bottom Side Of Foot 26 $2,214.14 $3,905.00 $2,806.24 nat. median
$1,935
1.5× median
45386
HCPCS 		Balloon Dilation Of Large Bowel Using A Flexible Endoscope 26 $2,200.61 $4,150.00 $2,783.61 nat. median
$1,638
1.7× median
46250
HCPCS 		Removal Of Multiple External Hemorrhoids 26 $397.84 $5,104.40 $2,768.66 nat. median
$2,857
1.0× median
43249
HCPCS 		Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 26 $1,984.50 $3,528.85 $2,765.00 nat. median
$2,124
1.3× median
J0875
HCPCS 		Injection, Dalbavancin, 5 Mg 26 $27.01 $4,269.60 $2,757.10 nat. median
$435
outlier · 6.3×
36512
HCPCS 		Mechanical Separation Of Red Blood Cells From Blood 26 $2,131.35 $3,759.00 $2,710.11 nat. median
$2,197
1.2× median
3600002_1
CDM 		Operating Room Services - General Classification 26 $2,381.40 $4,200.00 $2,688.00 nat. median
$776
outlier · 3.5×
43254
HCPCS 		Removal Of Tissue Lining Of Esophagus, Stomach, And/or Upper Small Bowel Using A… 26 $1,889.81 $3,528.85 $2,633.07 nat. median
$2,370
1.1× median
3100004_1
CDM 		Room & Board - Semi-private (two Beds) - General Classification 10 $2,475.00 $2,750.00 $2,598.75 nat. median
$843
outlier · 3.1×
J0256
HCPCS 		Injection, Alpha 1 Proteinase Inhibitor (human), Not Otherwise Specified, 10 Mg 26 $9.25 $4,816.00 $2,572.15 nat. median
$16
outlier · 160.8×
45390
HCPCS 		Removal Of Large Bowel Tissue Using A Flexible Endoscope 26 $1,843.32 $5,104.40 $2,568.29 nat. median
$3,019
0.9× median

Other procedures at this hospital

Browse this hospital's 2,344 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
3600001_1 CDM Operating Room Services - General Classification 26 26 $36,000.00 $28,800.00 20% off $20,412.00 $36,000.00 $23,040.00 2026-05-07
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 26 26 $22,464.00 $17,971.20 $37.76 $22,464.00 $14,506.13 2026-05-07
J3101 HCPCS Injection, Tenecteplase, 1 Mg 26 26 $19,913.00 $15,930.40 20% off $355.39 $19,913.00 $12,858.82 2026-05-07
Q4226 HCPCS Myown Skin, Includes Harvesting And Preparation Procedures, Per Square Centimete… 25 25 $15,000.00 $12,000.00 20% off $8,505.00 $15,000.00 $9,922.50 2026-05-07
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 26 26 $14,398.00 $11,518.40 20% off $6.82 $14,398.00 $9,297.51 2026-05-07
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 26 26 $11,352.00 $9,081.60 $6,436.58 $11,352.00 $7,614.35 2026-05-07
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 24 24 $11,721.00 $9,376.80 20% off $3,284.78 $11,721.00 $7,384.23 2026-05-07
49591 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length 26 26 $8,670.00 $6,936.00 20% off $4,915.89 $8,670.00 $6,239.95 2026-05-07
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 26 26 $9,164.80 $7,331.84 $3.70 $9,164.80 $5,918.17 2026-05-07
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 26 26 $8,600.00 $6,880.00 20% off $24.63 $8,600.00 $5,553.45 2026-05-07
49615 HCPCS Repair Of Recurrent Sliding Hernia Of Abdomen, 3-10 Cm In Length 26 26 $6,834.00 $5,467.20 20% off $3,874.88 $11,905.27 $5,398.86 2026-05-07
C1764 HCPCS Event Recorder, Cardiac (implantable) 25 25 $8,102.00 $6,481.60 $4,593.83 $8,102.00 $5,359.47 2026-05-07
81432 HCPCS Test For Detecting Genes Associated With Inherited Breast Cancer-related Disorde… 24 24 $8,500.00 $6,800.00 20% off $2,347.11 $8,500.00 $5,355.00 2026-05-07
J1306 HCPCS Injection, Inclisiran, 1 Mg 26 26 $8,279.38 $6,623.50 20% off $22.70 $8,279.38 $5,346.41 2026-05-07
90375 HCPCS Rabies Immune Globulin For Injection 26 26 $8,045.26 $6,436.21 $495.32 $8,045.26 $5,195.23 2026-05-07
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 26 26 $6,451.00 $5,160.80 20% off $3,657.72 $13,344.08 $5,096.29 2026-05-07
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 26 26 $7,700.00 $6,160.00 20% off $229.28 $7,700.00 $4,972.27 2026-05-07
21552 HCPCS Removal Of Growth Of Soft Tissue Under Skin Of Neck Or Front Of Chest, 3.0 Cm Or… 26 26 $6,627.00 $5,301.60 $3,757.51 $6,627.00 $4,924.05 2026-05-07
4305938_1 CDM Neulasta Onpro 6 Mg/0.6 Ml Kit 26 26 $7,480.00 $5,984.00 20% off $4,241.16 $7,480.00 $4,787.20 2026-05-07
3758057_1 CDM Pcm-2000 Axiofill 2000 26 26 $7,179.00 $5,743.20 20% off $4,070.49 $7,179.00 $4,594.56 2026-05-07
J0897 HCPCS Injection, Denosumab, 1 Mg 51 26 $4,500.00 $3,600.00 20% off $53.11 $6,560.64 $4,133.20 2026-05-07
25040 HCPCS Incision Of Wrist Joint For Exploration, Fluid Drainage, Or Removal Of Foreign B… 26 26 $4,867.00 $3,893.60 20% off $2,759.59 $6,017.17 $3,844.93 2026-05-07
26350 HCPCS Repair Of Finger Tendon Of Under Side Of Hand Other Than Upper Most Part Of Palm… 26 26 $4,867.00 $3,893.60 20% off $2,759.59 $6,017.17 $3,844.93 2026-05-07
27532 HCPCS Closed Treatment Of Broken Shin Bone With Traction 26 26 $4,867.00 $3,893.60 20% off $2,759.59 $6,017.17 $3,844.93 2026-05-07
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 26 26 $5,350.00 $4,280.00 20% off $2,380.84 $19,688.00 $3,454.77 2026-05-07
J3247 HCPCS Injection, Secukinumab, Intravenous, 1 Mg 26 26 $5,282.00 $4,225.60 $32.48 $5,282.00 $3,410.85 2026-05-07
3100002_1 CDM Room & Board - Semi-private (two Beds) - General Classification 10 10 $3,500.00 $2,800.00 20% off $3,150.00 $3,500.00 $3,307.50 2026-05-07
81324 HCPCS Gene Analysis (peripheral Myelin Protein 22), Duplication Or Deletion Analysis 26 26 $4,930.00 $3,944.00 20% off $1,365.05 $37,387.15 $3,183.55 2026-05-07
31600 HCPCS Incision Of Windpipe For Insertion Of Breathing Tube (older Than 2 Years) 26 26 $3,952.00 $3,161.60 20% off $2,240.78 $6,097.09 $3,122.08 2026-05-07
28150 HCPCS Removal Of Toe 26 26 $3,938.00 $3,150.40 20% off $2,232.85 $6,017.17 $3,111.02 2026-05-07
43253 HCPCS Injection Of Diagnostic Or Therapeutic Substance Or Marker In Esophagus, Stomach… 26 26 $3,851.00 $3,080.80 $2,183.52 $3,851.00 $3,042.29 2026-05-07
43240 HCPCS Drainage Of Fluid Collection Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 26 26 $3,770.00 $3,016.00 20% off $2,137.59 $11,164.30 $2,978.30 2026-05-07
21012 HCPCS Removal Of Growth Under Skin Of Face Or Scalp, 2.0 Cm Or More 47 26 $4,938.00 $3,950.40 20% off $397.84 $4,938.00 $2,955.39 2026-05-07
46614 HCPCS Control Of Bleeding Of Anus Using An Endoscope 47 26 $5,138.00 $4,110.40 20% off $183.71 $5,138.00 $2,913.25 2026-05-07
26951 HCPCS Amputation Of Finger Or Thumb With Direct Closure 47 26 $4,867.00 $3,893.60 20% off $397.84 $6,017.17 $2,912.90 2026-05-07
28240 HCPCS Release Or Lengthening Of Tendon In Foot 47 26 $4,867.00 $3,893.60 20% off $397.84 $6,017.17 $2,912.90 2026-05-07
25260 HCPCS Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist 47 26 $4,867.00 $3,893.60 20% off $397.84 $6,017.17 $2,912.90 2026-05-07
11012 HCPCS Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Broken A… 51 26 $3,176.00 $2,540.80 $1,800.79 $5,341.73 $2,858.40 2026-05-07
22903 HCPCS Removal Of Growth Of Soft Tissue Of Abdominal Wall, 3.0 Cm Or More 26 26 $3,606.00 $2,884.80 $2,044.60 $5,341.73 $2,848.74 2026-05-07
28220 HCPCS Removal Of Scar Tissue Of Tendon On Bottom Side Of Foot 26 26 $3,905.00 $3,124.00 20% off $2,214.14 $3,905.00 $2,806.24 2026-05-07
45386 HCPCS Balloon Dilation Of Large Bowel Using A Flexible Endoscope 26 26 $4,150.00 $3,320.00 20% off $2,200.61 $4,150.00 $2,783.61 2026-05-07
46250 HCPCS Removal Of Multiple External Hemorrhoids 47 26 $4,626.00 $3,700.80 $397.84 $5,104.40 $2,768.66 2026-05-07
43249 HCPCS Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 26 26 $3,500.00 $2,800.00 20% off $1,984.50 $3,528.85 $2,765.00 2026-05-07
J0875 HCPCS Injection, Dalbavancin, 5 Mg 26 26 $4,269.60 $3,415.68 20% off $27.01 $4,269.60 $2,757.10 2026-05-07
36512 HCPCS Mechanical Separation Of Red Blood Cells From Blood 26 26 $3,759.00 $3,007.20 20% off $2,131.35 $3,759.00 $2,710.11 2026-05-07
3600002_1 CDM Operating Room Services - General Classification 26 26 $4,200.00 $3,360.00 20% off $2,381.40 $4,200.00 $2,688.00 2026-05-07
43254 HCPCS Removal Of Tissue Lining Of Esophagus, Stomach, And/or Upper Small Bowel Using A… 26 26 $3,333.00 $2,666.40 20% off $1,889.81 $3,528.85 $2,633.07 2026-05-07
3100004_1 CDM Room & Board - Semi-private (two Beds) - General Classification 10 10 $2,750.00 $2,200.00 20% off $2,475.00 $2,750.00 $2,598.75 2026-05-07
J0256 HCPCS Injection, Alpha 1 Proteinase Inhibitor (human), Not Otherwise Specified, 10 Mg 76 26 $3,983.20 $3,186.56 20% off $9.25 $4,816.00 $2,572.15 2026-05-07
45390 HCPCS Removal Of Large Bowel Tissue Using A Flexible Endoscope 26 26 $3,251.00 $2,600.80 $1,843.32 $5,104.40 $2,568.29 2026-05-07
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 26 26 $3,950.00 $3,160.00 20% off $641.57 $14,536.00 $2,550.72 2026-05-07
28124 HCPCS Partial Removal Of Toe Bone 99 27 $4,395.00 $3,516.00 20% off $73.00 $6,017.17 $2,491.97 2026-05-07
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 26 26 $3,850.00 $3,080.00 20% off $641.57 $14,168.00 $2,486.14 2026-05-07
43244 HCPCS Tying Of Dilated Veins Of Stomach And/or Esophagus Using A Flexible Endoscope 26 26 $3,139.00 $2,511.20 20% off $1,779.81 $3,528.85 $2,479.81 2026-05-07
28022 HCPCS Incision Of Midfoot Joint For Exploration, Fluid Drainage, Or Removal Of Foreign… 47 26 $4,009.00 $3,207.20 20% off $397.84 $6,017.17 $2,399.39 2026-05-07
81435 HCPCS Test For Detecting Genes Associated With Inherited Colon Cancer-related Disorder… 24 24 $3,757.00 $3,005.60 20% off $2,130.22 $3,757.00 $2,366.91 2026-05-07
43255 HCPCS Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex… 26 26 $2,953.00 $2,362.40 $1,674.35 $3,528.85 $2,332.87 2026-05-07
J1568 HCPCS Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 101 26 $4,320.00 $3,456.00 20% off $84.66 $9,324.00 $2,331.00 2026-05-07
3758056_1 CDM Pcm-1000 Axiofill 1000mg 26 26 $3,588.00 $2,870.40 20% off $2,034.40 $3,588.00 $2,296.32 2026-05-07
28230 HCPCS Incision To Lengthen Foot Tendon 26 26 $2,906.00 $2,324.80 $1,647.70 $2,957.08 $2,295.74 2026-05-07
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 26 26 $3,550.00 $2,840.00 20% off $1,441.62 $3,550.00 $2,292.41 2026-05-07
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 26 26 $3,550.00 $2,840.00 20% off $641.57 $13,064.00 $2,292.41 2026-05-07
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 26 26 $3,500.00 $2,800.00 20% off $641.57 $12,880.00 $2,260.12 2026-05-07
43245 HCPCS Dilation Of Stomach Outlet Using A Flexible Endoscope 26 26 $2,817.00 $2,253.60 20% off $1,597.24 $3,528.85 $2,225.43 2026-05-07
Q4231 HCPCS Corplex P, Per Cc 75 25 $3,359.00 $2,687.20 20% off $1,037.04 $4,889.00 $2,221.98 2026-05-07
28296 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Toe Area 53 27 $2,375.00 $1,900.00 20% off $73.00 $6,623.00 $2,208.75 2026-05-07
45384 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec… 26 26 $3,227.00 $2,581.60 20% off $1,829.71 $3,227.00 $2,197.49 2026-05-07
44392 HCPCS Removal Of Growths Or Polyps Of Large Bowel By Electrical Cautery Using An Endos… 26 26 $3,135.00 $2,508.00 20% off $1,777.55 $3,135.00 $2,166.20 2026-05-07
28225 HCPCS Removal Of Scar Tissue Of Tendon On Top Side Of Foot 47 26 $3,596.00 $2,876.80 $397.84 $6,017.17 $2,152.21 2026-05-07
43251 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 26 26 $2,706.00 $2,164.80 $1,534.30 $3,528.85 $2,137.74 2026-05-07
45398 HCPCS Banding Of Hemorrhoids Using A Flexible Endoscope (colonoscope) 26 26 $2,898.00 $2,318.40 $1,643.17 $2,898.00 $2,085.62 2026-05-07
3100001_1 CDM Room & Board - Semi-private (two Beds) - General Classification 10 10 $2,200.00 $1,760.00 20% off $1,980.00 $2,200.00 $2,079.00 2026-05-07
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 26 26 $3,200.00 $2,560.00 20% off $560.32 $11,776.00 $2,066.40 2026-05-07
43250 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 26 26 $2,609.00 $2,087.20 20% off $1,479.30 $3,528.85 $2,061.11 2026-05-07
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 26 26 $3,175.00 $2,540.00 20% off $641.57 $11,684.00 $2,050.26 2026-05-07
45379 HCPCS Removal Of Foreign Bodies In Large Bowel Using A Flexible Endoscope 26 26 $2,778.00 $2,222.40 $1,575.13 $2,778.00 $2,044.83 2026-05-07
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 26 26 $3,161.48 $2,529.18 20% off $20.32 $3,161.48 $2,041.53 2026-05-07
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 26 26 $3,150.00 $2,520.00 20% off $641.57 $11,592.00 $2,034.12 2026-05-07
70553 HCPCS MRI Scan Of Brain Before And After Contrast 26 26 $3,150.00 $2,520.00 20% off $641.57 $11,592.00 $2,034.12 2026-05-07
45380 HCPCS Biopsy Of Large Bowel Using A Flexible Endoscope 47 26 $3,378.00 $2,702.40 20% off $397.84 $3,378.00 $2,021.73 2026-05-07
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 26 26 $3,125.00 $2,500.00 20% off $641.57 $11,500.00 $2,017.97 2026-05-07
45382 HCPCS Control Of Bleeding Of Upper Large Bowel Using A Flexible Endoscope 26 26 $2,682.00 $2,145.60 20% off $1,520.69 $2,682.00 $2,012.18 2026-05-07
45393 HCPCS Decompression Of Twisted Or Abnormally Dilated Large Bowel Using A Flexible Endo… 26 26 $2,635.00 $2,108.00 20% off $1,494.05 $2,635.00 $1,996.20 2026-05-07
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 26 26 $3,075.00 $2,460.00 20% off $641.57 $11,316.00 $1,985.68 2026-05-07
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 47 26 $3,307.00 $2,645.60 20% off $397.84 $3,307.00 $1,979.24 2026-05-07
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 26 26 $3,050.00 $2,440.00 20% off $641.57 $11,224.00 $1,969.54 2026-05-07
71552 HCPCS MRI Scan Of Chest Before And After Contrast 26 26 $3,025.00 $2,420.00 20% off $641.57 $11,132.00 $1,953.39 2026-05-07
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 26 26 $3,025.00 $2,420.00 20% off $641.57 $11,132.00 $1,953.39 2026-05-07
Q4131 HCPCS Epifix Or Epicord 46 25 $3,350.00 $2,680.00 20% off $73.71 $3,350.00 $1,952.22 2026-05-07
11403 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm 47 26 $3,432.00 $2,745.60 20% off $210.36 $3,432.00 $1,945.94 2026-05-07
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 26 26 $2,950.00 $2,360.00 20% off $641.57 $10,856.00 $1,904.97 2026-05-07
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 52 26 $2,950.00 $2,360.00 20% off $641.57 $10,856.00 $1,904.97 2026-05-07
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 52 26 $2,950.00 $2,360.00 20% off $641.57 $10,856.00 $1,904.97 2026-05-07
28045 HCPCS Removal Of Growth Of Muscle Of Foot Or Toe, Less Than 1.5 Cm 99 27 $3,358.00 $2,686.40 20% off $73.00 $5,341.73 $1,903.99 2026-05-07
45378 HCPCS Diagnostic Exam Of Large Bowel Using A Flexible Endoscope 47 26 $3,355.00 $2,684.00 20% off $376.49 $3,355.00 $1,902.29 2026-05-07
43247 HCPCS Removal Of Foreign Bodies Of Esophagus, Stomach, And/or Upper Small Bowel Using … 26 26 $2,817.00 $2,253.60 20% off $1,597.24 $2,817.00 $1,889.51 2026-05-07
73720 HCPCS MRI Scan Of Leg Before And After Contrast 52 26 $2,925.00 $2,340.00 20% off $641.57 $10,764.00 $1,888.82 2026-05-07
73220 HCPCS MRI Scan Of Arm Before And After Contrast 52 26 $2,925.00 $2,340.00 20% off $641.57 $10,764.00 $1,888.82 2026-05-07
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 26 26 $2,922.00 $2,337.60 20% off $21.94 $2,922.00 $1,886.88 2026-05-07
45338 HCPCS Removal Of Polyps Or Growths Of Lower Large Bowel Using A Flexible Endoscope Wit… 26 26 $2,377.00 $1,901.60 20% off $1,347.76 $2,377.00 $1,877.83 2026-05-07
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 26 26 $2,900.00 $2,320.00 20% off $322.56 $10,672.00 $1,872.67 2026-05-07
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 26 26 $2,900.00 $2,320.00 20% off $562.57 $10,672.00 $1,872.67 2026-05-07
Q4187 HCPCS Epicord, Per Square Centimeter 76 26 $2,010.00 $1,608.00 20% off $210.74 $3,341.00 $1,868.76 2026-05-07
43243 HCPCS Injection Of Dilated Vein Of Stomach And/or Esophagus Using A Flexible Endoscope 26 26 $2,364.00 $1,891.20 20% off $1,340.39 $3,528.85 $1,867.56 2026-05-07
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 26 26 $2,330.00 $1,864.00 20% off $1,321.11 $2,894.85 $1,840.70 2026-05-07
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 26 26 $2,850.00 $2,280.00 20% off $438.79 $10,488.00 $1,840.39 2026-05-07
G0105 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual At High Risk 47 26 $3,234.00 $2,587.20 20% off $376.49 $3,234.00 $1,833.68 2026-05-07
Q4232 HCPCS Corplex, Per Square Centimeter 51 26 $1,829.00 $1,463.20 20% off $210.74 $4,583.00 $1,829.00 2026-05-07
21320 HCPCS Closed Treatment Of Broken Nose Bone With Placement Of Stabilizing Device 46 25 $3,122.00 $2,497.60 20% off $292.57 $3,122.00 $1,819.35 2026-05-07
G0121 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For … 47 26 $3,196.00 $2,556.80 $377.06 $3,196.00 $1,812.13 2026-05-07
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 26 26 $2,800.00 $2,240.00 20% off $322.56 $10,304.00 $1,808.10 2026-05-07
43239 HCPCS Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 47 26 $3,179.00 $2,543.20 20% off $397.84 $3,179.00 $1,802.49 2026-05-07
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 26 26 $2,775.00 $2,220.00 20% off $641.57 $10,212.00 $1,791.95 2026-05-07
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 51 26 $3,720.00 $2,976.00 20% off $80.49 $3,720.00 $1,784.00 2026-05-07
3758054_1 CDM Ac-5350 Amniocord 3x5 26 26 $2,775.00 $2,220.00 20% off $1,573.43 $2,775.00 $1,776.00 2026-05-07
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 26 26 $2,750.00 $2,200.00 20% off $322.56 $10,120.00 $1,775.82 2026-05-07
C8923 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 26 26 $2,750.00 $2,200.00 20% off $1,441.62 $2,750.00 $1,775.82 2026-05-07
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 26 26 $2,725.00 $2,180.00 20% off $641.57 $10,028.00 $1,759.67 2026-05-07
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 26 26 $2,725.00 $2,180.00 20% off $641.57 $10,028.00 $1,759.67 2026-05-07
74182 HCPCS MRI Scan Of Abdomen With Contrast 26 26 $2,700.00 $2,160.00 20% off $641.57 $9,936.00 $1,743.53 2026-05-07
77047 HCPCS MRI Scan Of Both Breasts Without Contrast 27 27 $2,750.00 $2,200.00 20% off $231.05 $10,120.00 $1,732.50 2026-05-07
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 26 26 $2,678.00 $2,142.40 $750.20 $11,161.37 $1,729.32 2026-05-07
70552 HCPCS MRI Scan Of Brain With Contrast 26 26 $2,675.00 $2,140.00 20% off $641.57 $9,844.00 $1,727.38 2026-05-07
72196 HCPCS MRI Scan Of Pelvis With Contrast 26 26 $2,675.00 $2,140.00 20% off $641.57 $9,844.00 $1,727.38 2026-05-07
73722 HCPCS MRI Scan Of Leg Joint With Contrast 52 26 $2,650.00 $2,120.00 20% off $1,441.62 $9,752.00 $1,711.24 2026-05-07
73222 HCPCS MRI Scan Of Arm Joint With Contrast 52 26 $2,650.00 $2,120.00 20% off $1,441.62 $9,752.00 $1,711.24 2026-05-07
73719 HCPCS MRI Scan Of Leg With Contrast 52 26 $2,650.00 $2,120.00 20% off $641.57 $9,752.00 $1,711.24 2026-05-07
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 26 26 $2,650.00 $2,120.00 20% off $641.57 $9,752.00 $1,711.24 2026-05-07
99291 HCPCS Critical Care, First 30-74 Minutes 103 27 $2,081.00 $1,664.80 20% off $61.00 $4,250.00 $1,701.00 2026-05-07
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 26 26 $2,625.00 $2,100.00 20% off $322.56 $9,660.00 $1,695.10 2026-05-07
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 26 26 $2,625.00 $2,100.00 20% off $322.56 $9,660.00 $1,695.10 2026-05-07
G0104 HCPCS Colorectal Cancer Screening; Flexible Sigmoidoscopy 26 26 $2,511.00 $2,008.80 20% off $1,423.74 $2,511.00 $1,684.26 2026-05-07
71270 HCPCS CT Scan Of Chest Before And After Contrast 26 26 $2,600.00 $2,080.00 20% off $322.56 $9,568.00 $1,678.95 2026-05-07
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 26 26 $2,600.00 $2,080.00 20% off $322.56 $9,568.00 $1,678.95 2026-05-07
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 76 26 $2,600.00 $2,080.00 20% off $89.16 $8,040.00 $1,678.95 2026-05-07
Q4180 HCPCS Revita, Per Square Centimeter 76 26 $2,219.00 $1,775.20 20% off $210.74 $5,654.00 $1,676.00 2026-05-07
Q4186 HCPCS Epifix, Per Square Centimeter 251 26 $2,035.00 $1,628.00 20% off $210.74 $9,016.00 $1,664.52 2026-05-07
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 26 26 $2,575.00 $2,060.00 20% off $641.57 $9,476.00 $1,662.80 2026-05-07
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 26 26 $2,575.00 $2,060.00 20% off $322.56 $9,476.00 $1,662.80 2026-05-07
73219 HCPCS MRI Scan Of Arm With Contrast 52 26 $2,550.00 $2,040.00 20% off $641.57 $9,384.00 $1,646.66 2026-05-07
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 26 26 $2,550.00 $2,040.00 20% off $322.56 $9,384.00 $1,646.66 2026-05-07
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 26 26 $2,550.00 $2,040.00 20% off $750.20 $10,627.89 $1,646.66 2026-05-07
43236 HCPCS Injection Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endos… 26 26 $2,364.00 $1,891.20 20% off $1,340.39 $2,364.00 $1,637.72 2026-05-07
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 26 26 $2,500.00 $2,000.00 20% off $1,004.85 $2,500.00 $1,614.38 2026-05-07
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 26 26 $2,500.00 $2,000.00 20% off $322.56 $9,200.00 $1,614.38 2026-05-07
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 26 26 $2,500.00 $2,000.00 20% off $998.51 $9,200.00 $1,614.38 2026-05-07
45330 HCPCS Diagnostic Exam Of Lower Portion Of Large Bowel Using A Flexible Endoscope 26 26 $2,198.00 $1,758.40 $1,246.27 $2,198.00 $1,602.41 2026-05-07
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 26 26 $2,475.00 $1,980.00 20% off $438.79 $9,108.00 $1,598.23 2026-05-07
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 26 26 $2,450.00 $1,960.00 20% off $322.56 $9,016.00 $1,582.09 2026-05-07
71551 HCPCS MRI Scan Of Chest With Contrast 26 26 $2,450.00 $1,960.00 20% off $1,389.15 $9,016.00 $1,582.09 2026-05-07
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 26 26 $2,425.00 $1,940.00 20% off $322.56 $8,924.00 $1,565.95 2026-05-07
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 26 26 $2,425.00 $1,940.00 20% off $322.56 $8,924.00 $1,565.95 2026-05-07
G2082 HCPCS Office Or Other Outpatient Visit For The Evaluation And Management Of An Establi… 26 26 $2,327.00 $1,861.60 20% off $1,319.41 $2,327.00 $1,560.84 2026-05-07
43235 HCPCS Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible… 47 26 $2,585.00 $2,068.00 20% off $329.43 $2,585.00 $1,547.12 2026-05-07
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 51 26 $1,521.00 $1,216.80 20% off $89.51 $3,042.00 $1,521.00 2026-05-07
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 26 26 $2,350.00 $1,880.00 20% off $998.51 $8,648.00 $1,517.51 2026-05-07
3753097_1 CDM Ventralex St Medium Circle 26 26 $2,369.00 $1,895.20 20% off $1,343.22 $2,369.00 $1,516.16 2026-05-07
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 26 26 $2,300.00 $1,840.00 20% off $322.56 $8,464.00 $1,485.22 2026-05-07
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 26 26 $2,275.00 $1,820.00 20% off $322.56 $8,372.00 $1,469.08 2026-05-07
28153 HCPCS Removal Of End Of Toe At Joint 99 27 $2,589.00 $2,071.20 20% off $73.00 $6,017.17 $1,467.96 2026-05-07
C1781 HCPCS Mesh (implantable) 25 25 $2,219.00 $1,775.20 20% off $1,258.17 $2,219.00 $1,467.87 2026-05-07
73702 HCPCS CT Scan Of Leg Before And After Contrast 52 26 $2,250.00 $1,800.00 20% off $322.56 $8,280.00 $1,452.94 2026-05-07
73202 HCPCS CT Scan Of Arm Before And After Contrast 52 26 $2,250.00 $1,800.00 20% off $322.56 $8,280.00 $1,452.94 2026-05-07
27762 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle With Manipulation 47 26 $2,401.00 $1,920.80 20% off $397.84 $2,957.08 $1,437.00 2026-05-07
26418 HCPCS Repair Of Tendon On Top Side Of Finger 47 26 $2,401.00 $1,920.80 20% off $397.84 $2,957.08 $1,437.00 2026-05-07
26410 HCPCS Repair Of Tendon On Top Of Hand 47 26 $2,401.00 $1,920.80 20% off $397.84 $2,957.08 $1,437.00 2026-05-07
26080 HCPCS Incision Of Finger Joint For Exploration, Fluid Drainage, Or Removal Of Foreign … 47 26 $2,401.00 $1,920.80 20% off $397.84 $2,957.08 $1,437.00 2026-05-07
71260 HCPCS CT Scan Of Chest With Contrast 26 26 $2,200.00 $1,760.00 20% off $322.56 $8,096.00 $1,420.65 2026-05-07
72132 HCPCS CT Scan Of Lower Spine With Contrast 26 26 $2,200.00 $1,760.00 20% off $641.57 $8,096.00 $1,420.65 2026-05-07
3100003_1 CDM Room & Board - Semi-private (two Beds) - General Classification 10 10 $1,500.00 $1,200.00 20% off $1,350.00 $1,500.00 $1,417.50 2026-05-07
3100009_1 CDM All Inclusive Rate - All-inclusive Room And Board Plus Ancillary 10 10 $1,500.00 $1,200.00 20% off $1,350.00 $1,500.00 $1,417.50 2026-05-07
11420 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.5 C… 46 25 $2,430.00 $1,944.00 20% off $140.62 $2,430.00 $1,416.09 2026-05-07
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 26 26 $2,175.00 $1,740.00 20% off $322.56 $8,004.00 $1,404.51 2026-05-07
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 26 26 $2,172.00 $1,737.60 20% off $0.41 $2,172.00 $1,402.57 2026-05-07
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 26 26 $2,150.00 $1,720.00 20% off $438.79 $7,912.00 $1,388.37 2026-05-07
72126 HCPCS CT Scan Of Upper Spine With Contrast 26 26 $2,150.00 $1,720.00 20% off $641.57 $7,912.00 $1,388.37 2026-05-07
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 26 26 $2,150.00 $1,720.00 20% off $438.79 $7,912.00 $1,388.37 2026-05-07
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 26 26 $2,150.00 $1,720.00 20% off $438.79 $7,912.00 $1,388.37 2026-05-07
70488 HCPCS CT Scan Of Face Before And After Contrast 26 26 $2,150.00 $1,720.00 20% off $322.56 $7,912.00 $1,388.37 2026-05-07
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 52 26 $2,150.00 $1,720.00 20% off $438.79 $7,912.00 $1,388.37 2026-05-07
28126 HCPCS Removal Of Toe Bone At Foot 47 26 $2,311.00 $1,848.80 20% off $397.84 $6,017.17 $1,383.13 2026-05-07
J2426 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg 51 26 $1,378.00 $1,102.40 $27.14 $4,247.92 $1,378.00 2026-05-07
70551 HCPCS MRI Scan Of Brain Without Contrast 26 26 $2,125.00 $1,700.00 20% off $438.79 $7,820.00 $1,372.22 2026-05-07
72129 HCPCS CT Scan Of Middle Spine With Contrast 26 26 $2,125.00 $1,700.00 20% off $322.56 $7,820.00 $1,372.22 2026-05-07
74181 HCPCS MRI Scan Of Abdomen Without Contrast 26 26 $2,100.00 $1,680.00 20% off $438.79 $7,728.00 $1,356.08 2026-05-07
74160 HCPCS CT Scan Of Abdomen With Contrast 26 26 $2,100.00 $1,680.00 20% off $322.56 $7,728.00 $1,356.08 2026-05-07
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 52 26 $2,100.00 $1,680.00 20% off $438.79 $7,728.00 $1,356.08 2026-05-07
15240 HCPCS Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen… 53 27 $1,436.00 $1,148.80 20% off $54.00 $3,794.35 $1,347.35 2026-05-07
59409 HCPCS Vaginal Delivery 74 27 $1,591.00 $1,272.80 20% off $59.00 $5,953.03 $1,347.12 2026-05-07
36430 HCPCS Transfusion Of Blood Or Blood Products 101 26 $1,664.00 $1,331.20 20% off $800.60 $2,830.00 $1,341.40 2026-05-07
72193 HCPCS CT Scan Of Pelvis With Contrast 26 26 $2,075.00 $1,660.00 20% off $322.56 $7,636.00 $1,339.93 2026-05-07
73718 HCPCS MRI Scan Of Leg Without Contrast 52 26 $2,050.00 $1,640.00 20% off $438.79 $7,544.00 $1,323.79 2026-05-07
73218 HCPCS MRI Scan Of Arm Without Contrast 52 26 $2,050.00 $1,640.00 20% off $438.79 $7,544.00 $1,323.79 2026-05-07
72195 HCPCS MRI Scan Of Pelvis Without Contrast 26 26 $2,050.00 $1,640.00 20% off $438.79 $7,544.00 $1,323.79 2026-05-07
0202U OTHER Test For Detection Of Respiratory Disease-causing Organisms From Back Of Nose An… 26 26 $2,040.00 $1,632.00 20% off $750.20 $8,502.31 $1,317.33 2026-05-07
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 26 26 $2,025.00 $1,620.00 20% off $322.56 $7,452.00 $1,307.64 2026-05-07
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 26 26 $2,000.00 $1,600.00 20% off $998.51 $7,360.00 $1,291.50 2026-05-07
78709 HCPCS Nuclear Medicine Studies Of Kidney, Blood Flow, And Function 26 26 $2,000.00 $1,600.00 20% off $998.51 $7,360.00 $1,291.50 2026-05-07
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 26 26 $2,000.00 $1,600.00 20% off $438.79 $7,360.00 $1,291.50 2026-05-07
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 25 25 $1,945.00 $1,556.00 20% off $1,102.82 $1,945.00 $1,286.62 2026-05-07
71550 HCPCS MRI Scan Of Chest Without Contrast 26 26 $1,975.00 $1,580.00 20% off $438.79 $7,268.00 $1,275.36 2026-05-07
72131 HCPCS CT Scan Of Lower Spine Without Contrast 26 26 $1,975.00 $1,580.00 20% off $192.26 $7,268.00 $1,275.36 2026-05-07
3753096_1 CDM Ventralex St Small Circle 26 26 $1,976.00 $1,580.80 20% off $1,120.39 $1,976.00 $1,264.64 2026-05-07
72125 HCPCS CT Scan Of Upper Spine Without Contrast 26 26 $1,950.00 $1,560.00 20% off $192.26 $7,176.00 $1,259.22 2026-05-07
73701 HCPCS CT Scan Of Leg With Contrast Material 52 26 $1,950.00 $1,560.00 20% off $322.56 $7,176.00 $1,259.22 2026-05-07
J3262 HCPCS Injection, Tocilizumab, 1 Mg 101 26 $1,276.00 $1,020.80 20% off $9.95 $3,188.00 $1,256.85 2026-05-07
78216 HCPCS Nuclear Medicine Study Of Liver, Spleen, And Blood Flow 26 26 $1,925.00 $1,540.00 20% off $735.17 $7,084.00 $1,243.07 2026-05-07
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 26 26 $1,925.00 $1,540.00 20% off $735.17 $7,084.00 $1,243.07 2026-05-07
78070 HCPCS Nuclear Medicine Study Of Parathyroid 26 26 $1,925.00 $1,540.00 20% off $735.17 $7,084.00 $1,243.07 2026-05-07
72128 HCPCS CT Scan Of Middle Spine Without Contrast 26 26 $1,925.00 $1,540.00 20% off $192.26 $7,084.00 $1,243.07 2026-05-07
73201 HCPCS CT Scan Of Arm With Contrast 52 26 $1,925.00 $1,540.00 20% off $641.57 $7,084.00 $1,243.07 2026-05-07
70336 HCPCS MRI Scan Of Jaw Joint 26 26 $1,925.00 $1,540.00 20% off $438.79 $7,084.00 $1,243.07 2026-05-07
32556 HCPCS Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube 53 27 $1,574.00 $1,259.20 20% off $66.00 $3,528.85 $1,240.09 2026-05-07
81311 HCPCS Gene Analysis For Cancer (neuroblastoma) 26 26 $1,900.00 $1,520.00 20% off $532.42 $5,620.01 $1,226.92 2026-05-07
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 26 26 $1,900.00 $1,520.00 20% off $322.56 $6,992.00 $1,226.92 2026-05-07
70487 HCPCS CT Scan Of Face With Contrast 26 26 $1,850.00 $1,480.00 20% off $322.56 $6,808.00 $1,194.64 2026-05-07
72192 HCPCS CT Scan Of Pelvis Without Contrast 26 26 $1,850.00 $1,480.00 20% off $192.26 $6,808.00 $1,194.64 2026-05-07
4305135_1 CDM Spravato 56 Mg Dose Pack 26 26 $1,852.90 $1,482.32 20% off $1,050.59 $1,852.90 $1,185.86 2026-05-07
71250 HCPCS CT Scan Of Chest Without Contrast 26 26 $1,825.00 $1,460.00 20% off $192.26 $6,716.00 $1,178.49 2026-05-07
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 26 26 $1,825.00 $1,460.00 20% off $322.56 $6,716.00 $1,178.49 2026-05-07
70460 HCPCS CT Scan Head Or Brain With Contrast 26 26 $1,825.00 $1,460.00 20% off $322.56 $6,716.00 $1,178.49 2026-05-07
14040 HCPCS Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 74 27 $1,856.00 $1,484.80 20% off $54.00 $4,037.00 $1,173.07 2026-05-07
81479 HCPCS Molecular Pathology Procedure 100 25 $1,775.00 $1,420.00 20% off $192.21 $3,757.00 $1,166.63 2026-05-07
3758055_1 CDM Pcm-0500 Axiofill 500mg 26 26 $1,796.00 $1,436.80 20% off $1,018.33 $1,796.00 $1,149.44 2026-05-07
28292 HCPCS Correction Of Bunion 74 27 $1,489.00 $1,191.20 $73.00 $6,017.17 $1,145.74 2026-05-07
28289 HCPCS Correction Of Rigid Deformity Of First Joint Of Big Toe 74 27 $1,470.00 $1,176.00 20% off $73.00 $6,202.00 $1,111.99 2026-05-07
70450 HCPCS CT Scan Head Or Brain Without Contrast 26 26 $1,700.00 $1,360.00 20% off $192.26 $6,256.00 $1,097.78 2026-05-07
86833 HCPCS Assessment Of Antibody To Human Leukocyte Antigens (hla) With High Definition Qu… 26 26 $1,696.00 $1,356.80 20% off $586.44 $5,525.57 $1,095.19 2026-05-07
74150 HCPCS CT Scan Of Abdomen Without Contrast 26 26 $1,675.00 $1,340.00 20% off $192.26 $6,164.00 $1,081.63 2026-05-07
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 53 27 $893.00 $714.40 20% off $73.00 $2,957.08 $1,079.15 2026-05-07
Q4133 HCPCS Grafix Prime, Grafixpl Prime, Stravix And Stravixpl, Per Square Centimeter 126 26 $1,350.00 $1,080.00 20% off $210.74 $3,000.00 $1,077.30 2026-05-07
3780007_1 CDM Trauma Level 1 No Cc 26 26 $1,692.00 $1,353.60 20% off $432.00 $1,658.16 $1,065.96 2026-05-07
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 49 26 $1,692.00 $1,353.60 20% off $432.00 $2,451.20 $1,065.96 2026-05-07
46320 HCPCS Removal Of External Hemorrhoid With Blood Clot 47 26 $1,769.00 $1,415.20 20% off $232.47 $2,200.61 $1,058.75 2026-05-07
28010 HCPCS Repair Of Toe Tendon 47 26 $1,769.00 $1,415.20 20% off $282.37 $2,957.08 $1,058.75 2026-05-07
73700 HCPCS CT Scan Of Leg Without Contrast 52 26 $1,625.00 $1,300.00 20% off $192.26 $5,980.00 $1,049.35 2026-05-07
73200 HCPCS CT Scan Of Arm Without Contrast 52 26 $1,625.00 $1,300.00 20% off $192.26 $5,980.00 $1,049.35 2026-05-07
70486 HCPCS CT Scan Of Face Without Contrast 26 26 $1,600.00 $1,280.00 20% off $192.26 $5,888.00 $1,033.20 2026-05-07
J2357 HCPCS Injection, Omalizumab, 5 Mg 51 26 $3,398.68 $2,718.94 20% off $75.28 $3,398.68 $1,030.00 2026-05-07
25565 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 53 27 $852.00 $681.60 20% off $73.00 $2,957.08 $1,017.55 2026-05-07
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 81 28 $1,615.00 $1,292.00 20% off $61.00 $3,165.00 $1,017.45 2026-05-07
25505 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 53 27 $1,079.00 $863.20 $73.00 $2,957.08 $1,004.62 2026-05-07
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 26 26 $1,550.00 $1,240.00 20% off $735.17 $5,704.00 $1,000.91 2026-05-07
78014 HCPCS Nuclear Medicine Study Of Thyroid And Thyroid Function 26 26 $1,550.00 $1,240.00 20% off $735.17 $5,704.00 $1,000.91 2026-05-07
28041 HCPCS Removal Of Growth Of Muscle Of Foot Or Toe, 1.5 Cm Or More 53 27 $1,066.00 $852.80 20% off $73.00 $6,454.00 $993.97 2026-05-07
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 26 26 $1,525.00 $1,220.00 20% off $192.26 $5,612.00 $984.77 2026-05-07
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 26 26 $1,518.98 $1,215.18 20% off $1.99 $1,518.98 $980.88 2026-05-07
3780008_1 CDM Trauma Level 2 No Cc 26 26 $1,550.00 $1,240.00 20% off $432.00 $1,519.00 $976.50 2026-05-07
92953 HCPCS Temporary Pacemaker To Regulate Heart Beat 26 26 $1,451.00 $1,160.80 20% off $822.72 $1,451.00 $973.26 2026-05-07
28113 HCPCS Complete Removal Of Foot Bone At Fifth Toe Joint 74 27 $1,213.00 $970.40 20% off $73.00 $6,017.17 $972.54 2026-05-07
81515 HCPCS Test For Detection Of Bacteria Causing Vaginosis And Vaginitis 51 26 $923.00 $738.40 20% off $473.38 $4,497.13 $969.57 2026-05-07
81263 HCPCS Gene Rearrangement Analysis (immunoglobulin Heavy Chain Locus), Variable Region … 26 26 $1,500.00 $1,200.00 20% off $530.14 $4,417.80 $968.62 2026-05-07
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 26 26 $1,500.00 $1,200.00 20% off $192.26 $5,520.00 $968.62 2026-05-07
27818 HCPCS Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation 53 27 $808.00 $646.40 20% off $73.00 $2,957.08 $953.67 2026-05-07
87506 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 26 26 $1,471.00 $1,176.80 20% off $473.38 $3,868.58 $949.90 2026-05-07
32960 HCPCS Injection Of Air Into Chest Cavity To Collapse Lung 26 26 $1,200.00 $960.00 20% off $680.40 $1,200.00 $948.00 2026-05-07
3753053_1 CDM Surgimesh Xb 7cm 26 26 $1,454.00 $1,163.20 $824.42 $1,454.00 $930.56 2026-05-07
81350 HCPCS Gene Analysis (udp Glucuronosyltransferase 1 Family, Polypeptide A1) For Detecti… 26 26 $1,433.00 $1,146.40 $421.20 $3,353.22 $925.36 2026-05-07
81404 HCPCS Molecular Pathology Procedure Level 5 Genetic Analysis 26 26 $1,431.00 $1,144.80 20% off $494.69 $3,932.82 $924.07 2026-05-07
3758039_1 CDM Ac-5230 Amnicord 2x3 Cm 26 26 $1,428.00 $1,142.40 $809.68 $1,428.00 $913.92 2026-05-07
3758053_1 CDM Ac-5230 Amniocord 2x3 26 26 $1,428.00 $1,142.40 $809.68 $1,428.00 $913.92 2026-05-07
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 26 26 $1,401.38 $1,121.10 20% off $55.87 $1,401.38 $904.94 2026-05-07
93307 HCPCS Ultrasound Of Heart 26 26 $1,400.00 $1,120.00 20% off $438.79 $1,400.00 $904.05 2026-05-07
93017 HCPCS Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg) 26 26 $1,400.00 $1,120.00 20% off $397.08 $1,400.00 $904.05 2026-05-07
87154 HCPCS Amplifed Nucleic Acid Probe Typing Of Disease Agent In Blood Culture Specimen 26 26 $1,400.00 $1,120.00 20% off $392.51 $3,052.84 $904.05 2026-05-07
24505 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation 74 27 $1,064.00 $851.20 $73.00 $2,957.08 $892.92 2026-05-07
28525 HCPCS Treatment Of Broken Toe 53 27 $957.00 $765.60 20% off $73.00 $6,017.17 $890.01 2026-05-07
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 74 27 $1,026.00 $820.80 20% off $73.00 $2,957.08 $886.42 2026-05-07
49082 HCPCS Drainage Of Fluid From Abdominal Cavity 78 27 $1,406.00 $1,124.80 20% off $59.13 $1,667.93 $885.78 2026-05-07
Q5104 HCPCS Injection, Infliximab-abda, Biosimilar, (renflexis), 10 Mg 26 26 $1,356.10 $1,084.88 $48.25 $1,356.10 $875.70 2026-05-07
86711 HCPCS Analysis For Antibody To John Cunningham Virus 26 26 $1,388.00 $1,110.40 $30.40 $1,388.00 $874.44 2026-05-07
28232 HCPCS Incision To Lengthen Toe Tendon 53 27 $934.00 $747.20 $73.00 $2,957.08 $868.62 2026-05-07
23665 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Upper Arm Bone At Shoulder Jo… 53 27 $738.00 $590.40 20% off $73.00 $2,957.08 $867.73 2026-05-07
28270 HCPCS Incision Of Joint Capsule Of Foot And Toe 74 27 $1,194.00 $955.20 $73.00 $6,017.17 $848.96 2026-05-07
90371 HCPCS Hepatitis B Immune Globulin For Injection Into Muscle 26 26 $1,300.36 $1,040.29 $252.38 $1,300.36 $839.71 2026-05-07
3753055_1 CDM Surgimesh Xb 15cm 26 26 $1,311.00 $1,048.80 20% off $743.34 $1,311.00 $839.04 2026-05-07
28285 HCPCS Correction Of Toe Joint Deformity 53 27 $714.00 $571.20 $73.00 $6,017.17 $831.99 2026-05-07
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 26 26 $1,250.00 $1,000.00 20% off $438.79 $1,250.00 $807.19 2026-05-07
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 26 26 $1,250.00 $1,000.00 20% off $438.79 $1,250.00 $807.19 2026-05-07
A9500 HCPCS Technetium Tc-99m Sestamibi, Diagnostic, Per Study Dose 25 25 $1,200.00 $960.00 20% off $680.40 $1,200.00 $793.80 2026-05-07
28160 HCPCS Partial Removal Of Toe At Joint 53 27 $844.00 $675.20 $73.00 $6,017.17 $784.92 2026-05-07
81279 HCPCS Gene Analysis (Janus Kinase 2) Targeted Sequence Analysis 26 26 $1,204.00 $963.20 $333.36 $2,229.81 $777.49 2026-05-07
81276 HCPCS Gene Analysis (Kirsten Rat Sarcoma Viral Oncogene Homolog), Additional Variants 26 26 $1,200.00 $960.00 20% off $347.85 $2,319.00 $774.90 2026-05-07
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 26 26 $1,200.00 $960.00 20% off $438.79 $1,200.00 $774.90 2026-05-07
93799 HCPCS Other Cardiovascular Service Or Procedure 26 26 $1,197.00 $957.60 20% off $236.63 $1,197.00 $772.97 2026-05-07
28110 HCPCS Removal Of Bunion At Fifth Toe Joint 74 27 $1,119.00 $895.20 $73.00 $6,017.17 $772.46 2026-05-07
93978 HCPCS Complete Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 26 26 $1,175.00 $940.00 20% off $438.79 $1,175.00 $758.75 2026-05-07
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 81 28 $1,200.00 $960.00 20% off $61.00 $2,750.00 $756.00 2026-05-07
23505 HCPCS Closed Treatment Of Broken Collar Bone With Manipulation 47 26 $1,249.00 $999.20 $397.84 $2,957.08 $754.00 2026-05-07
40652 HCPCS Repair Of Vertical Lip Wound Extending To Half Of Lip 53 27 $656.00 $524.80 20% off $65.00 $1,550.00 $746.57 2026-05-07
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 26 26 $1,150.00 $920.00 20% off $438.79 $1,150.00 $742.62 2026-05-07
28122 HCPCS Partial Removal Of Foot Or Heel Bone 74 27 $1,142.00 $913.60 20% off $73.00 $6,017.17 $725.89 2026-05-07
13101 HCPCS Complicated Repair Of Wound Of Trunk, 2.6-7.5 Cm 26 26 $918.00 $734.40 20% off $520.51 $1,359.14 $725.22 2026-05-07
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 74 27 $1,011.00 $808.80 20% off $73.00 $2,957.08 $724.24 2026-05-07
59612 HCPCS Vaginal Delivery After Previous Cesarean Delivery 27 27 $1,754.00 $1,403.20 20% off $59.00 $1,729.68 $723.57 2026-05-07
G0483 HCPCS Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able To Iden… 26 26 $1,120.00 $896.00 20% off $444.46 $2,765.50 $723.24 2026-05-07
81210 HCPCS Gene Analysis (v-raf Murine Sarcoma Viral Oncogene Homolog B1) 26 26 $1,100.00 $880.00 20% off $315.72 $1,929.40 $710.33 2026-05-07
Q4130 HCPCS Strattice Tm, Per Square Centimeter 26 26 $1,100.00 $880.00 20% off $210.74 $1,100.00 $710.33 2026-05-07
88374 HCPCS Microscopic Genetic Analysis Of Tissue, Computer-assisted Technology, Initial Pr… 26 26 $1,100.00 $880.00 20% off $313.31 $1,100.00 $710.33 2026-05-07
76000 HCPCS Imaging Guidance For Procedure, 60 Minutes Or Less 26 26 $1,100.00 $880.00 20% off $438.79 $4,048.00 $710.33 2026-05-07
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