Price Transparencybeta Hospital negotiated rates

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

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Hospital

Hshs Good Shepherd Hospital Inc

Shelbyville, IL · CCN 140019 · Rates published

1,476 distinct procedures filed
24 distinct payers
185,078 rate rows
2026-03-24 last MRF observed
Data quality

181,750 of 185,078 rate rows are consumer-grade (98.2%)

3,328 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,663
per-diem day rate — not a per-procedure price 933
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 442
placeholder amount (≤ $0.02) — excluded from medians 187
percent-of-charges filed in the dollar field — excluded from medians 56
exceeds 10× this hospital's gross charge — excluded from medians 47
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hshs.org/getmedia/f39ae893-96e3-4a40-b5ac-05a580323a91/370512290_hshs-good-shepherd-hospital-inc_standardcharges.zip
Found on page https://www.hshs.org/patients/billing/price
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint ecb2b47fbb39b9c7… · 2,152,806 bytes · first seen 2026-07-17

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
23552
CPT 		Hc Tx Clavical Disc 24 $5,357.75 $21,431.00 $17,709.05 nat. median
$6,837
outlier · 2.6×
C1762
HCPCS 		Decellularized Arthroflex Dermis Lifenet 40x70 2.5-3.5mm 22 $3,075.00 $12,300.00 $10,258.20 nat. median
$2,848
outlier · 3.6×
49505
CPT 		Prp I/hern Init Reduc >5 Yr 24 $7,053.75 $9,781.83 $8,417.79 nat. median
$4,049
outlier · 2.1×
29824
CPT 		Hc Surgical Arthroscopy Shoulder Dstl Claviculc 24 $2,433.50 $9,734.00 $7,758.00 nat. median
$3,660
outlier · 2.1×
36558
CPT 		Hc Insert Tunneled Cvc > 5 Years Old 24 $2,360.50 $9,442.00 $7,525.27 nat. median
$3,467
outlier · 2.2×
59612
CPT 		Hc Vaginal Delivery After Cesarean Delivery 24 $2,234.00 $8,936.00 $7,307.87 nat. median
$3,307
outlier · 2.2×
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 1 $7,273.50 $7,273.50 $7,273.50 nat. median
$7,611
1.0× median
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 1 $7,264.50 $7,264.50 $7,264.50 nat. median
$5,324
1.4× median
440
MS_DRG 		Disorders Of Pancreas Except Malignancy Without Cc/mcc 1 $7,164.68 $7,164.68 $7,164.68 nat. median
$4,897
1.5× median
24071
CPT 		Hc Exc Arm/elbow Les Cm 3cm/> 24 $2,231.75 $8,927.00 $7,114.82 nat. median
$2,932
outlier · 2.4×
947
MS_DRG 		Signs And Symptoms With Mcc 1 $7,035.95 $7,035.95 $7,035.95 nat. median
$8,698
0.8× median
22901
CPT 		Hc Exc Tumor 5cm> Abd Wall 24 $2,146.50 $8,586.00 $6,843.04 nat. median
$2,989
outlier · 2.3×
292
MS_DRG 		Heart Failure And Shock With Cc 1 $6,783.75 $6,783.75 $6,783.75 nat. median
$6,415
1.1× median
390
MS_DRG 		Gastrointestinal Obstruction Without Cc/mcc 1 $6,695.50 $6,695.50 $6,695.50 nat. median
$4,287
1.6× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 1 $6,644.75 $6,644.75 $6,644.75 nat. median
$8,924
0.7× median
555
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 1 $6,587.00 $6,587.00 $6,587.00 nat. median
$9,426
0.7× median
36556
CPT 		Hc Ins Cath Cv Non-tunl >5 Yr 24 $2,052.75 $8,211.00 $6,544.17 nat. median
$2,885
outlier · 2.3×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 1 $6,402.64 $6,402.64 $6,402.64 nat. median
$9,470
0.7× median
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 1 $6,258.25 $6,258.25 $6,258.25 nat. median
$6,349
1.0× median
95811
CPT 		Hc Sleep Study W/cpap 24 $1,943.00 $7,772.00 $6,194.28 nat. median
$1,412
outlier · 4.4×
78452
CPT 		Hc Ht Muscle Image Spect Multi 24 $1,851.75 $18,517.50 $6,177.44 nat. median
$1,464
outlier · 4.2×
963
MS_DRG 		Other Multiple Significant Trauma With Mcc 1 $6,159.00 $6,159.00 $6,159.00 nat. median
$19,227
outlier · 0.3×
683
MS_DRG 		Renal Failure With Cc 1 $6,127.06 $10,353.91 $6,127.06 nat. median
$6,692
0.9× median
918
MS_DRG 		Poisoning And Toxic Effects Of Drugs Without Mcc 1 $5,730.88 $5,730.88 $5,730.88 nat. median
$5,899
1.0× median
10140
CPT 		Hc I&d Hematoma/seroma/fluid 24 $1,775.75 $7,103.00 $5,661.09 nat. median
$1,664
outlier · 3.4×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 1 $5,656.00 $5,656.00 $5,656.00 nat. median
$8,963
0.6× median
74178
CPT 		Hc CT Abdomen/pelvis W&without Contr 24 $962.88 $7,278.00 $5,585.86 nat. median
$539
outlier · 10.4×
75635
CPT 		Hc CTA Abdomen Aorta Iliofem Runoff 24 $1,176.47 $7,273.00 $5,582.02 nat. median
$355
outlier · 15.7×
811
MS_DRG 		Red Blood Cell Disorders With Mcc 1 $5,479.75 $5,479.75 $5,479.75 nat. median
$10,250
0.5× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 1 $5,469.00 $5,469.00 $5,469.00 nat. median
$13,273
outlier · 0.4×
92
MS_DRG 		Other Disorders Of Nervous System With Cc 1 $5,354.00 $5,354.00 $5,354.00 nat. median
$7,741
0.7× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 $5,345.59 $5,345.59 $5,345.59 nat. median
$5,890
0.9× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 1 $5,336.55 $5,336.55 $5,336.55 nat. median
$6,156
0.9× median
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 1 $5,178.77 $5,178.77 $5,178.77 nat. median
$5,850
0.9× median
95810
CPT 		Hc Sleep Study 24 $1,590.00 $6,360.00 $5,068.92 nat. median
$1,446
outlier · 3.5×
74177
CPT 		Hc CT Abdomen/pelvis W/contrast 24 $481.44 $6,560.00 $5,034.80 nat. median
$501
outlier · 10.0×
74174
CPT 		Hc CT Angio Abd/pelv W & Wo Contrast 24 $1,176.47 $6,489.00 $4,980.31 nat. median
$549
outlier · 9.1×
27337
CPT 		Exc Thigh/knee Les Sc 3 Cm/> 24 $4,878.75 $6,322.86 $4,878.75 nat. median
$2,940
1.7× median
72156
CPT 		Hc MRI C-spine W&without Con 24 $1,289.52 $6,345.00 $4,869.79 nat. median
$625
outlier · 7.8×
293
MS_DRG 		Heart Failure And Shock Without Cc/mcc 1 $4,868.88 $4,868.88 $4,868.88 nat. median
$4,186
1.2× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 1 $4,809.88 $4,809.88 $4,809.88 nat. median
$5,841
0.8× median
179
MS_DRG 		Respiratory Infections And Inflammations Without Cc/mcc 1 $4,710.25 $4,710.25 $4,710.25 nat. median
$5,691
0.8× median
64831
CPT 		Hc Repair Nerve Digital Hand/foot Init 24 $1,464.50 $5,858.00 $4,680.07 nat. median
$2,265
outlier · 2.1×
72197
CPT 		Hc MRI Pelvis W&without Con 24 $1,289.52 $6,074.00 $4,661.80 nat. median
$606
outlier · 7.7×
73723
CPT 		Hc MRI Lwr Ext Joint W&without Contrast 24 $1,289.52 $6,046.00 $4,640.31 nat. median
$756
outlier · 6.1×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 1 $4,628.12 $4,628.12 $4,628.12 nat. median
$8,710
0.5× median
C1763
HCPCS 		Hc Allograft Paste 22 $1,384.50 $5,538.00 $4,618.69 nat. median
$2,550
1.8× median
14041
CPT 		Hc Tiss Trans Wnd 10.1-30 Sq Cm 24 $1,374.25 $6,150.31 $4,584.50 nat. median
$2,416
1.9× median
11402
CPT 		Exc Tr-ext B9+marg 1.1-2 Cm 24 $299.75 $4,493.91 $4,493.91 nat. median
$732
outlier · 6.1×
728
MS_DRG 		Inflammation Of The Male Reproductive System Without Mcc 1 $4,469.25 $4,469.25 $4,469.25 nat. median
$5,965
0.7× median

Other procedures at this hospital

Browse this hospital's 1,476 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0035U CPT Hc Neuro Csf Detect Prion Protein Quaking Conf Ql -90 40 24 $1,459.00 $1,050.48 28% off $2.48 $1,459.00 $1,162.82 2026-03-24
0120 RC — 45 11 $1,559.00 $1,122.48 28% off $212.24 $3,316.00 $1,262.79 2026-03-24
0121 RC — 15 11 $1,559.00 $1,122.48 28% off $436.52 $1,559.00 $1,403.10 2026-03-24
0125 RC — 15 11 $1,559.00 $1,122.48 28% off $436.52 $1,559.00 $1,403.10 2026-03-24
0126 RC — 15 11 $1,559.00 $1,122.48 28% off $436.52 $1,559.00 $1,403.10 2026-03-24
0202U CPT Nfct Ds 22 Trgt Sars-cov-2 160 24 $1,497.00 $1,077.84 28% off $374.25 $1,497.00 $1,193.11 2026-03-24
0340 RC — 40 12 $2,021.00 $1,455.12 28% off $444.64 $2,454.00 $1,588.00 2026-03-24
0360 RC — 444 22 $2,894.50 $2,084.04 28% off $125.00 $7,634.00 $1,628.00 2026-03-24
0750 RC — 518 22 $3,255.50 $2,343.96 28% off $264.50 $8,803.00 $2,570.61 2026-03-24
10080 CPT Hc I&d Cyst Pilonidal Smp 80 24 $2,111.00 $1,519.92 28% off $522.95 $2,111.00 $1,682.47 2026-03-24
10121 CPT Hc Incision & Removal Foreign Body Subq Tiss Comp 40 24 $4,836.00 $3,481.92 28% off $1,209.00 $4,836.00 $4,027.78 2026-03-24
10140 CPT Hc I&d Hematoma/seroma/fluid 80 24 $7,103.00 $5,114.16 28% off $1,775.75 $7,103.00 $5,661.09 2026-03-24
10160 CPT Hc Asp Absc/hema/cyst/bulla Fac 120 24 $1,199.00 $863.28 28% off $299.75 $2,997.50 $999.97 2026-03-24
11043 CPT Hc Debridement, Muscle And/or Fascia 160 24 $2,252.00 $1,621.44 28% off $563.00 $2,252.00 $1,794.84 2026-03-24
11400 CPT Hc Exc Lesion 0.5< 40 24 $2,111.00 $1,519.92 28% off $527.75 $2,111.00 $1,682.47 2026-03-24
11402 CPT Exc Tr-ext B9+marg 1.1-2 Cm 160 24 $1,199.00 $863.28 28% off $299.75 $4,493.91 $4,493.91 2026-03-24
11750 CPT Hc Remove Nail Bed 480 24 $1,199.00 $863.28 28% off $299.75 $2,997.50 $1,019.15 2026-03-24
11760 CPT Hc Repair Nail Bed 120 24 $1,836.00 $1,321.92 28% off $210.41 $1,836.00 $1,463.29 2026-03-24
12020 CPT Hc Simp Superficial Dehiscence 80 24 $1,836.00 $1,321.92 28% off $459.00 $1,836.00 $1,463.29 2026-03-24
12021 CPT Hc Simp Superficial Dehiscenc/pak 40 24 $1,199.00 $863.28 28% off $299.75 $1,209.23 $999.97 2026-03-24
12041 CPT Hc Intrm N/h/f/gen 2.5cm Or < 160 24 $1,235.00 $889.20 28% off $308.75 $1,235.00 $1,029.99 2026-03-24
12055 CPT Hc Intrm F/e/e/n/l/mm 12.6-20.0cm 40 24 $1,237.00 $890.64 28% off $309.25 $1,237.00 $1,031.66 2026-03-24
13121 CPT Hc Repair Complex Scalp/arm/leg 2.6-7.5 Cm 80 24 $2,271.00 $1,635.12 28% off $567.75 $2,271.00 $1,809.99 2026-03-24
13122 CPT Hc Repair Complex Scalp/arm/leg Ea Addl 5 Cm/< 80 24 $2,783.00 $2,003.76 28% off $695.75 $2,783.00 $2,218.05 2026-03-24
13132 CPT Hc Cmplx F/c/c/m/n/a/g/h/f 2.6-7.5 Cm 80 24 $2,040.00 $1,468.80 28% off $510.00 $2,040.00 $1,625.88 2026-03-24
137 APR_DRG Major Respiratory Infections And Inflammations 2 2 — — $4,352.01 $4,352.01 $4,352.01 2026-03-24
139 APR_DRG Other Pneumonia 3 3 — — $3,180.70 $3,180.70 $3,180.70 2026-03-24
14041 CPT Hc Tiss Trans Wnd 10.1-30 Sq Cm 40 24 $5,497.00 $3,957.84 28% off $1,374.25 $6,150.31 $4,584.50 2026-03-24
141 APR_DRG Asthma 3 3 — — $2,671.89 $2,671.89 $2,671.89 2026-03-24
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 3 1 — — $4,710.25 $4,710.25 $4,710.25 2026-03-24
189 MS_DRG Pulmonary Edema And Respiratory Failure 3 1 — — $6,402.64 $6,402.64 $6,402.64 2026-03-24
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 3 1 — — $3,043.00 $3,043.00 $3,043.00 2026-03-24
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 3 1 — — $6,258.25 $6,258.25 $6,258.25 2026-03-24
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 3 1 — — $5,336.55 $5,336.55 $5,336.55 2026-03-24
194 APR_DRG Heart Failure 3 3 — — $3,650.89 $3,650.89 $3,650.89 2026-03-24
196 MS_DRG Interstitial Lung Disease With Mcc 3 1 — — $5,469.00 $5,469.00 $5,469.00 2026-03-24
202 MS_DRG Bronchitis And Asthma With Cc/mcc 3 1 — — $3,670.25 $3,670.25 $3,670.25 2026-03-24
20520 CPT Hc Muscle Fb Rem With Inc 40 24 $4,861.00 $3,499.92 28% off $1,215.25 $5,668.30 $4,054.07 2026-03-24
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 1 — — $3,045.36 $3,045.36 $3,045.36 2026-03-24
22901 CPT Hc Exc Tumor 5cm> Abd Wall 40 24 $8,586.00 $6,181.92 28% off $2,146.50 $8,586.00 $6,843.04 2026-03-24
23552 CPT Hc Tx Clavical Disc 40 24 $21,431.00 $15,430.32 28% off $5,357.75 $21,431.00 $17,709.05 2026-03-24
24071 CPT Hc Exc Arm/elbow Les Cm 3cm/> 40 24 $8,927.00 $6,427.44 28% off $2,231.75 $8,927.00 $7,114.82 2026-03-24
247 APR_DRG Intestinal Obstruction 3 3 — — $3,344.02 $3,344.02 $3,344.02 2026-03-24
25520 CPT Hc Tx Fx Radius Shaft W/disloc Closed 40 24 $4,801.00 $3,456.72 28% off $1,200.25 $4,801.00 $3,826.40 2026-03-24
25605 CPT Hc Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Perf 200 24 $4,801.00 $3,456.72 28% off $1,200.25 $4,801.00 $3,826.40 2026-03-24
26742 CPT Hc Tx Fx (m-p)(i-p) Jt W/man 440 24 $4,801.00 $3,456.72 28% off $1,200.25 $4,801.00 $3,826.40 2026-03-24
27265 CPT Hc Cl Tx Post Hip Arthroplasty Dislocat 120 24 $1,450.00 $1,044.00 28% off $362.50 $1,456.94 $1,209.30 2026-03-24
27337 CPT Exc Thigh/knee Les Sc 3 Cm/> 120 24 — — $4,878.75 $6,322.86 $4,878.75 2026-03-24
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 3 1 — — $3,045.36 $3,045.36 $3,045.36 2026-03-24
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 3 1 — — $4,204.62 $4,204.62 $4,204.62 2026-03-24
28190 CPT Hc Rem Fb Foot Subq 160 24 $1,835.00 $1,321.20 28% off $458.75 $1,835.00 $1,463.76 2026-03-24
282 APR_DRG Disorders Of Pancreas Except Malignancy 3 3 — — $3,712.36 $3,712.36 $3,712.36 2026-03-24
292 MS_DRG Heart Failure And Shock With Cc 3 1 — — $6,783.75 $6,783.75 $6,783.75 2026-03-24
293 MS_DRG Heart Failure And Shock Without Cc/mcc 3 1 — — $4,868.88 $4,868.88 $4,868.88 2026-03-24
29824 CPT Hc Surgical Arthroscopy Shoulder Dstl Claviculc 40 24 $9,734.00 $7,008.48 28% off $2,433.50 $9,734.00 $7,758.00 2026-03-24
304 MS_DRG Hypertension With Mcc 3 1 — — $3,245.75 $3,245.75 $3,245.75 2026-03-24
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 1 — — $5,656.00 $5,656.00 $5,656.00 2026-03-24
30801 CPT Hc Ablation Soft Tissue Inf Turbinates Uni/bil 40 24 $4,444.00 $3,199.68 28% off $1,111.00 $4,444.00 $3,706.30 2026-03-24
31500 CPT Hc Intubation Endotracheal 240 24 $1,010.00 $727.20 28% off $252.50 $2,987.15 $1,239.37 2026-03-24
32551 CPT Hc Chest Tube Insertion 32551 200 24 $4,052.00 $2,917.44 28% off $1,013.00 $4,733.52 $3,379.37 2026-03-24
36430 CPT Hc Blood Prod Admin 240 24 $1,806.00 $1,300.32 28% off $451.50 $1,806.00 $1,439.38 2026-03-24
36556 CPT Hc Ins Cath Cv Non-tunl >5 Yr 80 24 $8,211.00 $5,911.92 28% off $2,052.75 $8,211.00 $6,544.17 2026-03-24
36558 CPT Hc Insert Tunneled Cvc > 5 Years Old 40 24 $9,442.00 $6,798.24 28% off $2,360.50 $9,442.00 $7,525.27 2026-03-24
36569 CPT Hc Ins Per Cv Cath Without Port 5> 160 24 $4,052.00 $2,917.44 28% off $1,013.00 $4,052.00 $1,926.25 2026-03-24
36573 CPT Hc Ins Per Cv Cath Without Port W/guidance 5> 200 24 $5,010.00 $3,607.20 28% off $1,252.50 $5,010.00 $3,992.97 2026-03-24
36590 CPT Removal Tunneled Cv Cath 40 24 — — $4,028.75 $4,028.75 $4,028.75 2026-03-24
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 3 1 — — $6,695.50 $6,695.50 $6,695.50 2026-03-24
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 3 1 — — $5,345.59 $5,345.59 $5,345.59 2026-03-24
393 MS_DRG Other Digestive System Diagnoses With Mcc 3 1 — — $3,045.36 $3,045.36 $3,045.36 2026-03-24
40650 CPT Hc Rpr Lip Full Thick Vermiln 40 24 $2,542.00 $1,830.24 28% off $536.60 $2,542.00 $2,025.97 2026-03-24
43235 CPT Egd Diagnostic Brush Wash 240 24 — — $1,914.07 $1,914.07 $1,914.07 2026-03-24
43239 CPT Egd Biopsy Single/multiple 280 24 — — $1,884.26 $3,912.73 $1,884.26 2026-03-24
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 1 1 — — $7,164.68 $7,164.68 $7,164.68 2026-03-24
45378 CPT Diagnostic Colonoscopy 280 24 — — $1,092.77 $3,019.73 $1,850.84 2026-03-24
45380 CPT Colonoscopy And Biopsy 280 24 — — $827.85 $3,998.10 $2,241.43 2026-03-24
45381 CPT Colonoscopy Submucous Njx 200 24 — — $1,902.78 $1,902.78 $1,902.78 2026-03-24
45385 CPT Colonoscopy W/lesion Removal 280 24 — — $1,092.77 $3,998.10 $2,563.36 2026-03-24
463 APR_DRG Kidney And Urinary Tract Infections 3 3 — — $3,312.86 $3,312.86 $3,312.86 2026-03-24
49083 CPT Hc Paracentesis W/imaging 80 24 $2,813.00 $2,025.36 28% off $703.25 $2,813.00 $2,346.04 2026-03-24
49405 CPT Hc Perc Drn Absc/hem/cyst Visceral 40 24 $4,861.00 $3,499.92 28% off $1,215.25 $4,861.00 $3,874.22 2026-03-24
49505 CPT Prp I/hern Init Reduc >5 Yr 80 24 — — $7,053.75 $9,781.83 $8,417.79 2026-03-24
53 APR_DRG Seizure 3 3 — — $3,419.53 $3,419.53 $3,419.53 2026-03-24
552 MS_DRG Medical Back Problems Without Mcc 3 1 — — $3,584.00 $3,584.00 $3,584.00 2026-03-24
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 3 1 — — $6,587.00 $6,587.00 $6,587.00 2026-03-24
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 3 1 — — $3,914.00 $3,914.00 $3,914.00 2026-03-24
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 3 1 — — $4,809.88 $4,809.88 $4,809.88 2026-03-24
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 3 1 — — $6,644.75 $6,644.75 $6,644.75 2026-03-24
59612 CPT Hc Vaginal Delivery After Cesarean Delivery 40 24 $8,936.00 $6,433.92 28% off $2,234.00 $8,936.00 $7,307.87 2026-03-24
603 MS_DRG Cellulitis Without Mcc 3 1 — — $4,057.09 $4,057.09 $4,057.09 2026-03-24
62270 CPT Hc Lumbar Puncture 40 24 $2,078.00 $1,496.16 28% off $519.50 $2,419.82 $1,733.05 2026-03-24
62273 CPT Hc Inj Epidural Bld/clot Patch 40 24 $2,163.00 $1,557.36 28% off $540.75 $2,419.82 $1,803.94 2026-03-24
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 3 1 — — $3,045.36 $3,045.36 $3,045.36 2026-03-24
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 3 1 — — $5,178.77 $5,178.77 $5,178.77 2026-03-24
64415 CPT Hc Intrascalene Block Single W/imaging Guidance 160 24 $2,671.00 $1,923.12 28% off $667.75 $4,053.04 $2,227.61 2026-03-24
64417 CPT Hc Nerve Block Axillary Nerve W/img Guid If Performed 200 24 $2,929.00 $2,108.88 28% off $732.25 $2,929.00 $2,334.41 2026-03-24
64450 CPT Hc Inj Anes Nerve Peripheral 280 24 $2,078.00 $1,496.16 28% off $519.50 $5,195.00 $1,733.05 2026-03-24
64831 CPT Hc Repair Nerve Digital Hand/foot Init 40 24 $5,858.00 $4,217.76 28% off $1,464.50 $5,858.00 $4,680.07 2026-03-24
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 3 1 — — $7,264.50 $7,264.50 $7,264.50 2026-03-24
66982 CPT Xcapsl Ctrc Rmvl Cplx Wo Ecp 40 24 — — $4,028.75 $4,028.75 $4,028.75 2026-03-24
66984 CPT Xcapsl Ctrc Rmvl Without Ecp 120 24 — — $1,646.71 $7,311.20 $4,067.10 2026-03-24
683 MS_DRG Renal Failure With Cc 3 1 — — $6,127.06 $10,353.91 $6,127.06 2026-03-24
684 MS_DRG Renal Failure Without Cc/mcc 3 1 — — $4,372.75 $4,372.75 $4,372.75 2026-03-24
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 1 — — $4,628.12 $4,628.12 $4,628.12 2026-03-24
694 MS_DRG Urinary Stones Without Mcc 3 1 — — $3,508.25 $3,508.25 $3,508.25 2026-03-24
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 3 1 — — $3,400.50 $3,400.50 $3,400.50 2026-03-24
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 3 1 — — $7,273.50 $7,273.50 $7,273.50 2026-03-24
70450 CPT Hc CT Head/brain Without Contrast 440 24 $2,391.00 $1,721.52 28% off $597.75 $2,391.00 $1,905.63 2026-03-24
70460 CPT Hc CT Head/brain W/contrast 80 24 $2,520.00 $1,814.40 28% off $630.00 $2,520.00 $2,008.44 2026-03-24
70470 CPT Hc CT Head/brain W&without Contrast 120 24 $2,784.00 $2,004.48 28% off $696.00 $2,784.00 $2,218.85 2026-03-24
70480 CPT Hc CT Orbit/iac/ear Without Contrast 240 24 $2,174.00 $1,565.28 28% off $338.02 $2,174.00 $1,732.68 2026-03-24
70481 CPT Hc CT Orbit/iac/ear W/contrast 120 24 $2,400.00 $1,728.00 28% off $600.00 $2,400.00 $1,912.80 2026-03-24
70482 CPT Hc CT Orbit/iac/ear W&without Contrast 80 24 $2,812.00 $2,024.64 28% off $703.00 $2,812.00 $2,241.16 2026-03-24
70486 CPT Hc CT Max/facial Without Contrast 120 24 $1,635.00 $1,177.20 28% off $338.02 $1,635.00 $1,303.10 2026-03-24
70487 CPT Hc CT Max/facial W/contrast 120 24 $2,174.00 $1,565.28 28% off $543.50 $2,174.00 $1,732.68 2026-03-24
70488 CPT Hc CT Max/facial W&without Contrast 40 24 $2,812.00 $2,024.64 28% off $703.00 $2,812.00 $2,241.16 2026-03-24
70490 CPT Hc CT Neck Sft Tiss Without Contrast 160 24 $2,317.00 $1,668.24 28% off $338.02 $2,317.00 $1,846.65 2026-03-24
70491 CPT Hc CT Neck Sft Tiss W/contrast 320 24 $2,450.00 $1,764.00 28% off $612.50 $2,450.00 $1,952.65 2026-03-24
70492 CPT Hc CT Neck Sft Tiss W&wo Contrast 80 24 $2,525.00 $1,818.00 28% off $631.25 $2,525.00 $2,012.43 2026-03-24
70496 CPT Hc CT Angio Head W/wo 400 24 $3,557.00 $2,561.04 28% off $889.25 $3,557.00 $2,730.00 2026-03-24
70498 CPT Hc CT Angio Neck W/wo Contrast 280 24 $2,961.00 $2,131.92 28% off $740.25 $2,961.00 $2,324.96 2026-03-24
70540 CPT Hc MRI Orbit/face/neck Without Con 120 24 $4,122.00 $2,967.84 28% off $764.30 $4,122.00 $3,163.64 2026-03-24
70542 CPT Hc MRI Orbit/face/neck W/contrast 40 24 $5,028.00 $3,620.16 28% off $1,257.00 $5,028.00 $3,858.99 2026-03-24
70543 CPT Hc MRI Orbit/face/neck W&without Con 80 24 $5,501.00 $3,960.72 28% off $1,289.52 $5,501.00 $4,222.02 2026-03-24
70544 CPT Hc MRA Head Without Contrast 240 24 $3,848.00 $2,770.56 28% off $962.00 $3,848.00 $2,964.43 2026-03-24
70545 CPT Hc MRA Head W/contrast 40 24 $4,869.00 $3,505.68 28% off $1,217.25 $4,869.00 $3,736.95 2026-03-24
70546 CPT Hc MRA Head W&without Contrast 200 24 $5,348.00 $3,850.56 28% off $1,337.00 $5,348.00 $4,104.59 2026-03-24
70547 CPT Hc MRA Neck Without Contrast 120 24 $3,964.00 $2,854.08 28% off $991.00 $3,964.00 $3,042.37 2026-03-24
70548 CPT Hc MRA Neck W/contrast 40 24 $4,869.00 $3,505.68 28% off $1,217.25 $4,869.00 $3,736.95 2026-03-24
70549 CPT Hc MRA Neck W&without Contrast 80 24 $5,348.00 $3,850.56 28% off $1,337.00 $5,348.00 $4,104.59 2026-03-24
70551 CPT Hc MRI Brain Without Contrast 280 24 $4,002.00 $2,881.44 28% off $764.30 $4,002.00 $3,071.53 2026-03-24
70552 CPT Hc MRI Brain W/con 40 24 $4,948.00 $3,562.56 28% off $1,237.00 $4,948.00 $3,797.59 2026-03-24
70553 CPT MRI Brain Stem Without & With Contrast 280 24 $5,501.00 $3,960.72 28% off $1,289.52 $5,501.00 $4,222.02 2026-03-24
71 MS_DRG Other Cerebrovascular Disorders With Cc 3 1 — — $4,271.00 $4,271.00 $4,271.00 2026-03-24
71250 CPT Hc CT Chest Without Contrast 320 24 $2,628.00 $1,892.16 28% off $338.02 $2,628.00 $2,094.52 2026-03-24
71260 CPT Hc CT Chest W/contrast 360 24 $3,412.00 $2,456.64 28% off $853.00 $3,412.00 $2,618.71 2026-03-24
71270 CPT Hc CT Chest W&without Contrast 80 24 $3,990.00 $2,872.80 28% off $962.88 $3,990.00 $3,062.32 2026-03-24
71275 CPT Hc CTA Chest W&without Contrast 440 24 $3,502.00 $2,521.44 28% off $875.50 $3,502.00 $2,687.78 2026-03-24
71552 CPT Hc MRI Chest W&without Contrast 80 24 $5,666.00 $4,079.52 28% off $1,289.52 $5,666.00 $4,348.66 2026-03-24
720 APR_DRG Septicemia And Disseminated Infections 2 2 — — $4,031.53 $4,031.53 $4,031.53 2026-03-24
72125 CPT Hc CT C-spine Without Contrast 200 24 $2,743.00 $1,974.96 28% off $338.02 $2,743.00 $2,186.17 2026-03-24
72126 CPT Hc CT C-spine W/contrast 40 24 $3,287.00 $2,366.64 28% off $821.75 $3,287.00 $2,522.77 2026-03-24
72127 CPT Hc CT C-spine W&without Contrast 40 24 $4,072.00 $2,931.84 28% off $962.88 $4,072.00 $3,125.26 2026-03-24
72128 CPT Hc CT T-spine Without Contrast 120 24 $2,678.00 $1,928.16 28% off $338.02 $2,678.00 $2,134.37 2026-03-24
72129 CPT Hc CT T-spine W/contrast 40 24 $3,268.00 $2,352.96 28% off $817.00 $3,268.00 $2,508.19 2026-03-24
72130 CPT Hc CT T-spine W&without Contrast 40 24 $4,066.00 $2,927.52 28% off $962.88 $4,066.00 $3,120.65 2026-03-24
72131 CPT Hc CT L-spine Without Contrast 120 24 $2,753.00 $1,982.16 28% off $338.02 $2,753.00 $2,194.14 2026-03-24
72132 CPT Hc CT L-spine W/contrast 80 24 $3,315.00 $2,386.80 28% off $828.75 $3,315.00 $2,544.26 2026-03-24
72133 CPT Hc CT L-spine W&without Contrast 40 24 $4,247.00 $3,057.84 28% off $962.88 $4,247.00 $3,259.57 2026-03-24
72141 CPT Hc MRI C-spine Without Contrast 200 24 $5,028.00 $3,620.16 28% off $382.15 $5,028.00 $3,858.99 2026-03-24
72142 CPT Hc MRI C-spine W/con 40 24 $5,390.00 $3,880.80 28% off $1,289.52 $5,390.00 $4,136.82 2026-03-24
72146 CPT Hc MRI T-spine Without Contrast 200 24 $4,002.00 $2,881.44 28% off $382.15 $4,002.00 $3,071.53 2026-03-24
72147 CPT Hc MRI T-spine W/con 40 24 $5,181.00 $3,730.32 28% off $1,289.52 $5,181.00 $3,976.42 2026-03-24
72148 CPT Hc MRI L-spine Without Contrast 200 24 $4,002.00 $2,881.44 28% off $382.15 $4,002.00 $3,071.53 2026-03-24
72149 CPT Hc MRI L-spine W/con 40 24 $4,881.00 $3,514.32 28% off $1,220.25 $4,881.00 $3,746.17 2026-03-24
72156 CPT Hc MRI C-spine W&without Con 200 24 $6,345.00 $4,568.40 28% off $1,289.52 $6,345.00 $4,869.79 2026-03-24
72157 CPT Hc MRI T-spine W&without Con 200 24 $5,673.00 $4,084.56 28% off $1,289.52 $5,673.00 $4,354.02 2026-03-24
72158 CPT Hc MRI L-spine W&without Con 160 24 $5,673.00 $4,084.56 28% off $1,289.52 $5,673.00 $4,354.02 2026-03-24
72191 CPT Hc CTA Pelvis W&without Contrast 40 24 $3,772.00 $2,715.84 28% off $943.00 $3,772.00 $2,895.01 2026-03-24
72192 CPT Hc CT Pelvis Without Contrast 200 24 $2,977.00 $2,143.44 28% off $338.02 $2,977.00 $2,331.34 2026-03-24
72193 CPT Hc CT Pelvis W/contrast 80 24 $3,714.00 $2,674.08 28% off $928.50 $3,714.00 $2,850.49 2026-03-24
72194 CPT Hc CT Pelvis W&without Contrast 40 24 $4,389.00 $3,160.08 28% off $962.88 $4,389.00 $3,368.56 2026-03-24
72195 CPT Hc MRI Pelvis Without Con 160 24 $4,228.00 $3,044.16 28% off $764.30 $4,228.00 $3,244.99 2026-03-24
72196 CPT Hc MRI Pelvis W/con 80 24 $5,000.00 $3,600.00 28% off $1,250.00 $5,000.00 $3,837.50 2026-03-24
72197 CPT Hc MRI Pelvis W&without Con 120 24 $6,074.00 $4,373.28 28% off $1,289.52 $6,074.00 $4,661.80 2026-03-24
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 3 1 — — $4,469.25 $4,469.25 $4,469.25 2026-03-24
73200 CPT Hc CT Upper Extrm Wo Cont 80 24 $2,406.00 $1,732.32 28% off $338.02 $2,406.00 $1,917.58 2026-03-24
73201 CPT Hc CT Upper Extrm W Cont 40 24 $2,730.00 $1,965.60 28% off $682.50 $2,730.00 $2,175.81 2026-03-24
73202 CPT Hc CT Upper Extr W/wo Contr 40 24 $3,465.00 $2,494.80 28% off $866.25 $3,465.00 $2,659.39 2026-03-24
73206 CPT Hc CT Angio Upper Extrem W/wo Cont 80 24 $3,502.00 $2,521.44 28% off $875.50 $3,502.00 $2,687.78 2026-03-24
73218 CPT Hc MRI Uppr Ext Nonjoint Without Contrast 40 24 $4,002.00 $2,881.44 28% off $764.30 $4,002.00 $3,071.53 2026-03-24
73219 CPT Hc MRI Uppr Ext Nonjoint W/contrast 40 24 $4,739.00 $3,412.08 28% off $1,184.75 $4,739.00 $3,637.18 2026-03-24
73220 CPT Hc MRI Uppr Ext Nonjoint W&without Contrast 40 24 $5,357.00 $3,857.04 28% off $1,289.52 $5,357.00 $4,111.50 2026-03-24
73221 CPT Hc MRI Uppr Ext Joint Without Contrast 40 24 $4,002.00 $2,881.44 28% off $764.30 $4,002.00 $3,071.53 2026-03-24
73222 CPT Hc MRI Uppr Ext Joint W/contrast 40 24 $5,357.00 $3,857.04 28% off $1,289.52 $5,357.00 $4,111.50 2026-03-24
73223 CPT Hc MRI Uppr Ext Joint W&without Contrast 40 24 $5,501.00 $3,960.72 28% off $1,289.52 $5,501.00 $4,222.02 2026-03-24
73700 CPT Hc CT Lower Extrm Wo Cont 40 24 $2,471.00 $1,779.12 28% off $338.02 $2,471.00 $1,969.39 2026-03-24
73701 CPT Hc CT Lower Extremity W/con 40 24 $2,730.00 $1,965.60 28% off $682.50 $2,730.00 $2,175.81 2026-03-24
73702 CPT Hc CT Lower Extr W/wo Contr 40 24 $3,465.00 $2,494.80 28% off $866.25 $3,465.00 $2,659.39 2026-03-24
73706 CPT Hc CT Angio Lower Extrem W/wo Contr 80 24 $3,502.00 $2,521.44 28% off $875.50 $3,502.00 $2,687.78 2026-03-24
73718 CPT Hc MRI Le Nonjoint Wo Contrast 80 24 $4,002.00 $2,881.44 28% off $764.30 $4,002.00 $3,071.53 2026-03-24
73720 CPT Hc MRI Le Nonjoint W/wo Contrast 40 24 $5,202.00 $3,745.44 28% off $1,289.52 $5,202.00 $3,992.53 2026-03-24
73721 CPT Hc MRI Lwr Ext Joint Without Contrast 40 24 $4,002.00 $2,881.44 28% off $764.30 $4,002.00 $3,071.53 2026-03-24
73722 CPT Hc MRI Lwr Ext Joint W/contrast 40 24 $4,992.00 $3,594.24 28% off $1,248.00 $4,992.00 $3,831.36 2026-03-24
73723 CPT Hc MRI Lwr Ext Joint W&without Contrast 40 24 $6,046.00 $4,353.12 28% off $1,289.52 $6,046.00 $4,640.31 2026-03-24
74150 CPT Hc CT Abd Without Contrast 80 24 $2,812.00 $2,024.64 28% off $338.02 $2,812.00 $2,241.16 2026-03-24
74160 CPT Hc CT Abdomen W/contrast 120 24 $3,132.00 $2,255.04 28% off $783.00 $3,132.00 $2,403.81 2026-03-24
74170 CPT Hc CT Abdomen W&without Contrast 80 24 $4,034.00 $2,904.48 28% off $962.88 $4,034.00 $3,096.10 2026-03-24
74174 CPT Hc CT Angio Abd/pelv W & Wo Contrast 320 24 $6,489.00 $4,672.08 28% off $1,176.47 $6,489.00 $4,980.31 2026-03-24
74175 CPT Hc CTA Abdomen W&without Contrast 80 24 $3,502.00 $2,521.44 28% off $875.50 $3,502.00 $2,687.78 2026-03-24
74176 CPT Hc CT Abdomen/pelvis Without Contrast 400 24 $5,388.00 $3,879.36 28% off $962.88 $5,388.00 $4,135.29 2026-03-24
74177 CPT Hc CT Abdomen/pelvis W/contrast 480 24 $6,560.00 $4,723.20 28% off $481.44 $6,560.00 $5,034.80 2026-03-24
74178 CPT Hc CT Abdomen/pelvis W&without Contr 360 24 $7,278.00 $5,240.16 28% off $962.88 $7,278.00 $5,585.86 2026-03-24
74181 CPT Hc MRI Abdomen Without Con 240 24 $4,002.00 $2,881.44 28% off $764.30 $4,002.00 $3,071.53 2026-03-24
74182 CPT Hc MRI Abdomen W/con 40 24 $5,028.00 $3,620.16 28% off $1,257.00 $5,028.00 $3,858.99 2026-03-24
74183 CPT Hc MRI Abdomen W&without Con 200 24 $5,202.00 $3,745.44 28% off $1,289.52 $5,202.00 $3,992.53 2026-03-24
74248 CPT Hc Xray Small Intestine Follow Thru Study 40 24 $2,088.00 $1,503.36 28% off $374.87 $2,088.00 $1,664.14 2026-03-24
74280 CPT Hc Xray Colon Barium Air Contrast 40 24 $1,454.00 $1,046.88 28% off $363.50 $1,454.00 $1,158.84 2026-03-24
75635 CPT Hc CTA Abdomen Aorta Iliofem Runoff 200 24 $7,273.00 $5,236.56 28% off $1,176.47 $7,273.00 $5,582.02 2026-03-24
76700 CPT Hc US Abdomen Cmpl 160 24 $1,280.00 $921.60 28% off $320.00 $1,280.00 $1,020.16 2026-03-24
76942 CPT Hc US Guided Needle Plcmt 280 24 $1,280.00 $921.60 28% off $320.00 $1,280.00 $1,020.16 2026-03-24
77075 CPT Hc Bone Survey Complete 40 24 $1,597.00 $1,149.84 28% off $374.87 $1,597.00 $1,272.81 2026-03-24
77076 CPT Hc Osseous Survey Infant 40 24 $1,597.00 $1,149.84 28% off $177.88 $1,597.00 $1,272.81 2026-03-24
772 APR_DRG Alcohol And Drug Dependence With Rehab Or Rehab/detox Therapy 3 3 — — $3,235.59 $3,235.59 $3,235.59 2026-03-24
775 APR_DRG Alcohol Abuse And Dependence 3 3 — — $2,657.39 $2,657.39 $2,657.39 2026-03-24
78013 CPT Hc Nm Thyroid Scan 40 24 $1,205.00 $867.60 28% off $301.25 $1,205.00 $1,004.97 2026-03-24
78014 CPT Hc Nm Thyroid Imaging Sgl Or Mult Uptake 78014 40 24 $1,205.00 $867.60 28% off $301.25 $1,205.00 $1,004.97 2026-03-24
78070 CPT Hc Parathryoid Imaging 78070 40 24 $1,205.00 $867.60 28% off $301.25 $2,787.86 $1,004.97 2026-03-24
78071 CPT Hc Parathyroid Img W/spect 78071 40 24 $1,205.00 $867.60 28% off $301.25 $1,205.00 $1,004.97 2026-03-24
78215 CPT Hc Liver Spleen Static 40 24 $1,600.00 $1,152.00 28% off $400.00 $2,787.86 $1,334.40 2026-03-24
78226 CPT Hc Hepatobiliary Scan 80 24 $1,625.00 $1,170.00 28% off $406.25 $1,625.00 $1,295.13 2026-03-24
78227 CPT Hc Nm Hepatobiliary Ducts W/pharm 40 24 $1,625.00 $1,170.00 28% off $406.25 $1,625.00 $1,295.13 2026-03-24
78264 CPT Hc Gastric Emptying Study 40 24 $2,762.00 $1,988.64 28% off $690.50 $2,762.00 $2,201.31 2026-03-24
78278 CPT Hc Gi Bleed Scan 40 24 $1,398.00 $1,006.56 28% off $349.50 $2,787.86 $1,165.93 2026-03-24
78290 CPT Hc Sm Bowel Meckel's Scan 40 24 $1,205.00 $867.60 28% off $301.25 $1,205.00 $1,004.97 2026-03-24
78300 CPT Hc Bone Scan Limited 40 24 $1,398.00 $1,006.56 28% off $349.50 $1,398.00 $1,165.93 2026-03-24
78305 CPT Hc Bone Scan Multiple 40 24 $1,828.00 $1,316.16 28% off $457.00 $1,828.00 $1,456.92 2026-03-24
78306 CPT Hc Bone Scan Whole Body 40 24 $2,127.00 $1,531.44 28% off $531.75 $2,127.00 $1,695.22 2026-03-24
78315 CPT Hc Bone Scan/3 Phase 40 24 $2,375.00 $1,710.00 28% off $593.75 $2,375.00 $1,892.88 2026-03-24
78451 CPT Hc Ht Muscle Image Spect Single 40 24 $5,322.00 $3,831.84 28% off $1,330.50 $5,322.00 $4,241.63 2026-03-24
78452 CPT Hc Ht Muscle Image Spect Multi 160 24 $7,407.00 $5,333.04 28% off $1,851.75 $18,517.50 $6,177.44 2026-03-24
78472 CPT Hc Muga Resting Sgl 40 24 $2,109.00 $1,518.48 28% off $527.25 $2,109.00 $1,680.87 2026-03-24
78580 CPT Hc Lung Perfus 40 24 $1,625.00 $1,170.00 28% off $406.25 $2,787.86 $1,355.25 2026-03-24
78707 CPT Hc Kidney Scan W/flow&function 40 24 $2,646.00 $1,905.12 28% off $661.50 $2,646.00 $2,108.86 2026-03-24
78708 CPT Hc Kidney W/pharmaclgcl Inter 40 24 $2,819.00 $2,029.68 28% off $704.75 $2,819.00 $2,246.74 2026-03-24
78709 CPT Hc Kidney W&without Pharm Interven 40 24 $3,311.00 $2,383.92 28% off $827.75 $3,311.00 $2,638.87 2026-03-24
78803 CPT Hc Tumor Imaging (spect) 40 24 $3,916.00 $2,819.52 28% off $979.00 $3,916.00 $3,121.05 2026-03-24
811 MS_DRG Red Blood Cell Disorders With Mcc 3 1 — — $5,479.75 $5,479.75 $5,479.75 2026-03-24
81162 CPT Hc Brca1 & Brca2 Full Seq/dupe/del Analysis -90 40 24 $5,188.00 $3,735.36 28% off $1,297.00 $5,984.48 $4,326.79 2026-03-24
812 MS_DRG Red Blood Cell Disorders Without Mcc 3 1 — — $3,045.36 $3,045.36 $3,045.36 2026-03-24
81220 CPT Cftr Gene Com Variants 40 24 $1,529.00 $1,100.88 28% off $382.25 $1,529.00 $1,218.61 2026-03-24
81270 CPT Hc Jak2 Gene Analysis-90 40 24 $1,573.00 $1,132.56 28% off $119.65 $1,573.00 $1,253.68 2026-03-24
81321 CPT Hc Pten Gene Analysis Full Sequence -90 40 24 $1,800.00 $1,296.00 28% off $450.00 $1,800.00 $1,501.20 2026-03-24
81340 CPT Hc Trb Gene Analysis-90 40 24 $1,272.00 $915.84 28% off $318.00 $1,272.00 $1,013.78 2026-03-24
81351 CPT Hc Tp52 Gene Analysis Full Gene Sequence -90 40 24 $1,923.00 $1,384.56 28% off $480.75 $1,923.00 $1,603.78 2026-03-24
81405 CPT Hc Molecular Path Proc Level 6-90 40 24 $1,651.00 $1,188.72 28% off $412.75 $1,651.00 $1,315.85 2026-03-24
81406 CPT Hc Molecular Path Proc Level 7-90 40 24 $2,887.00 $2,078.64 28% off $423.09 $2,887.00 $2,300.94 2026-03-24
81432 CPT Hc Inherited Breast Cancer Genomic Seq Analysis >10 Genes-90 80 24 $2,364.00 $1,702.08 28% off $591.00 $2,364.00 $1,884.11 2026-03-24
81435 CPT Hc Hereditary Colon Ca Gen Seq Analysis 10 Genes - 90 40 24 $2,364.00 $1,702.08 28% off $591.00 $2,364.00 $1,884.11 2026-03-24
81449 CPT Hc Solid Tumor Gene Fusion Assay-90 40 24 $3,132.00 $2,255.04 28% off $783.00 $5,984.48 $2,612.09 2026-03-24
81479 CPT Hc Idh Gene Mutation Assay - 90 40 24 $1,485.00 $1,069.20 28% off $119.65 $1,485.00 $1,183.55 2026-03-24
81512 CPT Hc Fetal Congenital Abnormal Assay 5 Analytes-90 40 24 $1,335.00 $961.20 28% off $119.65 $1,335.00 $1,064.00 2026-03-24
82009 CPT Hc Acetone Serum 80 24 $2,309.00 $1,662.48 28% off $13.88 $2,309.00 $1,840.27 2026-03-24
82040 CPT Hc Albumin Serum 240 24 $1,836.00 $1,321.92 28% off $13.88 $1,836.00 $1,160.90 2026-03-24
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 3 1 — — $3,045.36 $3,045.36 $3,045.36 2026-03-24
86711 CPT Hc Ab John Cunningham Virus-90 40 24 $1,685.00 $1,213.20 28% off $29.57 $1,685.00 $1,342.95 2026-03-24
87483 CPT Cns DNA Amp Probe Type 12-25 120 24 $1,863.00 $1,341.36 28% off $465.75 $1,863.00 $1,484.81 2026-03-24
87521 CPT Hc Hepatitis C Probe&rvrs Trnsc-90 40 24 $1,279.00 $920.88 28% off $110.10 $1,279.00 $1,019.36 2026-03-24
87632 CPT Hc Resp Virus Pcr 6-11 Targets -90 80 24 $1,320.00 $950.40 28% off $330.00 $1,320.00 $1,052.04 2026-03-24
88120 CPT Hc Cytopath Urine 3-5 Mol Probes Ea Spec-90 40 24 $1,520.00 $1,094.40 28% off $380.00 $1,520.00 $1,211.44 2026-03-24
88309 CPT Hc Gross & Micro Level Vi 160 24 $1,430.00 $1,029.60 28% off $357.50 $1,430.00 $1,139.71 2026-03-24
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 3 1 — — $4,187.25 $4,187.25 $4,187.25 2026-03-24
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 3 1 — — $4,456.03 $4,456.03 $4,456.03 2026-03-24
90377 CPT Rabies Immune Globulin 300 Unit/2ml Soln Per 1 Ml 200 24 $1,454.00 $1,046.88 28% off $363.50 $3,994.13 $1,212.64 2026-03-24
91 MS_DRG Other Disorders Of Nervous System With Mcc 3 1 — — $4,177.00 $4,177.00 $4,177.00 2026-03-24
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 3 1 — — $5,730.88 $5,730.88 $5,730.88 2026-03-24
92 MS_DRG Other Disorders Of Nervous System With Cc 3 1 — — $5,354.00 $5,354.00 $5,354.00 2026-03-24
92960 CPT Hc Cardioversion External 120 24 $1,963.00 $1,413.36 28% off $490.75 $1,963.00 $1,637.14 2026-03-24
93017 CPT Hc Stress Test Tracing Only 320 24 $1,877.00 $1,351.44 28% off $262.50 $1,877.00 $1,495.97 2026-03-24
93225 CPT Hc Holter Monitor Recording 160 24 $1,967.00 $1,416.24 28% off $195.62 $1,967.00 $1,567.70 2026-03-24
93306 CPT Hc Echo/cardiac Dop/color Flow 280 24 $3,646.00 $2,625.12 28% off $911.50 $9,115.00 $3,040.76 2026-03-24
93880 CPT Hc Duplex Carotid Bilat 320 24 $1,251.00 $900.72 28% off $312.75 $3,127.50 $1,043.33 2026-03-24
93882 CPT Hc Duplex Carotid Uni 40 24 $1,436.00 $1,033.92 28% off $346.21 $1,436.00 $1,144.49 2026-03-24
93925 CPT Hc Duplex Arterial Lwr Ext Bi 120 24 $2,454.00 $1,766.88 28% off $533.41 $6,135.00 $2,046.64 2026-03-24
93926 CPT Hc Duplex Artrl Lwr Ext Uni/lmt 120 24 $1,527.00 $1,099.44 28% off $346.21 $3,817.50 $1,273.52 2026-03-24
93930 CPT Hc Duplex Arterial Upr Ext Bi 40 24 $1,972.00 $1,419.84 28% off $346.21 $1,972.00 $1,571.68 2026-03-24
93931 CPT Upper Extremity Study 40 24 $1,337.00 $962.64 28% off $334.25 $1,337.00 $1,065.59 2026-03-24
93970 CPT Hc Duplex Venous Ext Bi 200 24 $2,154.00 $1,550.88 28% off $533.41 $5,385.00 $1,796.44 2026-03-24
93975 CPT Hc Duplex Abd/pel/retro Cmpl 120 24 $2,366.00 $1,703.52 28% off $533.41 $5,915.00 $1,973.24 2026-03-24
947 MS_DRG Signs And Symptoms With Mcc 3 1 — — $7,035.95 $7,035.95 $7,035.95 2026-03-24
951 MS_DRG Other Factors Influencing Health Status 3 1 — — $3,045.36 $3,045.36 $3,045.36 2026-03-24
95713 CPT Hc Veeg W/video By Tech 2-12 Hours W/continuous Real-time Monitoring 40 24 $3,840.00 $2,764.80 28% off $960.00 $3,840.00 $3,060.48 2026-03-24
95810 CPT Hc Sleep Study 80 24 $6,360.00 $4,579.20 28% off $1,590.00 $6,360.00 $5,068.92 2026-03-24
95811 CPT Hc Sleep Study W/cpap 80 24 $7,772.00 $5,595.84 28% off $1,943.00 $7,772.00 $6,194.28 2026-03-24
95813 CPT Hc EEG Extended Monitoring 61-119 Minutes 80 24 $2,368.00 $1,704.96 28% off $592.00 $2,368.00 $1,887.30 2026-03-24
95819 CPT Hc EEG Awake/asleep 80 24 $1,661.00 $1,195.92 28% off $415.25 $1,661.00 $1,323.82 2026-03-24
95911 CPT Hc Nvr Cndj Tst 9-10 Studies 80 24 $1,592.00 $1,146.24 28% off $398.00 $1,592.00 $1,268.82 2026-03-24
95912 CPT Hc Nvr Cndj Tst 11-12 Studies 40 24 $1,592.00 $1,146.24 28% off $398.00 $1,592.00 $1,268.82 2026-03-24
95913 CPT Hc Nvr Cndj Tst 13 And > Studies 40 24 $1,592.00 $1,146.24 28% off $398.00 $1,592.00 $1,268.82 2026-03-24
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 1 — — $6,159.00 $6,159.00 $6,159.00 2026-03-24
99285 CPT Hc ER Level 5 120 24 $1,495.00 $1,076.40 28% off $373.75 $1,495.00 $1,147.41 2026-03-24
99291 CPT Hc Critical Care 30-74 Min 37 22 $4,248.00 $3,058.56 28% off $1,062.00 $4,248.00 $3,542.83 2026-03-24
C1713 HCPCS Anchor/screw Bn/bn,tis/bn 629 22 $1,350.00 $972.00 28% off $37.50 $7,500.00 $1,050.00 2026-03-24
C1762 HCPCS Decellularized Arthroflex Dermis Lifenet 40x70 2.5-3.5mm 37 22 $12,300.00 $8,856.00 28% off $3,075.00 $12,300.00 $10,258.20 2026-03-24
C1763 HCPCS Hc Allograft Paste 37 22 $5,538.00 $3,987.36 28% off $1,384.50 $5,538.00 $4,618.69 2026-03-24
C8900 HCPCS Hc MRA Abdomen W/contrast 40 24 $4,550.00 $3,276.00 28% off $1,137.50 $4,550.00 $3,492.12 2026-03-24
C8901 HCPCS Hc MRA Abdomen Without Contrast 40 24 $4,466.00 $3,215.52 28% off $1,116.50 $4,466.00 $3,427.65 2026-03-24
C8902 HCPCS Hc MRA Abdomen W&without Con 40 24 $5,415.00 $3,898.80 28% off $1,353.75 $5,415.00 $4,156.02 2026-03-24
C8929 HCPCS Hc Echo Tte 2d W/doppler W/without Cont & W/cont 160 24 $2,485.00 $1,789.20 28% off $621.25 $2,485.00 $1,980.55 2026-03-24
G0104 HCPCS Hc Colonoscopy Screen W/flex Sigmoid - G0104 40 24 $3,471.00 $2,499.12 28% off $867.75 $3,471.00 $2,894.81 2026-03-24
G0105 HCPCS Hc Colon Screening High Risk- G0105 316 24 $3,471.00 $2,499.12 28% off $867.75 $3,486.00 $2,288.75 2026-03-24
G0121 HCPCS Colon Ca Scrn Not Hi Rsk Ind 200 24 — — $1,092.77 $3,998.10 $2,130.73 2026-03-24
G0260 HCPCS Hc Injection Sacro Joint With Anesth 40 24 $2,309.00 $1,662.48 28% off $577.25 $2,309.00 $1,840.27 2026-03-24
P9022 HCPCS Hc Red Cells Washed Ea Unit T1 40 24 $1,597.00 $1,149.84 28% off $399.25 $1,597.00 $1,272.81 2026-03-24
P9031 HCPCS Hc Platelets Leuko Rd Ea Unit 80 24 $2,422.00 $1,743.84 28% off $605.50 $2,422.00 $1,930.33 2026-03-24
P9033 HCPCS Hc Platelets L/r Irr Ea 40 24 $1,483.00 $1,067.76 28% off $370.75 $1,483.00 $1,181.95 2026-03-24
P9035 HCPCS Hc Platelets Pher L/r Ea T1 120 24 $2,502.00 $1,801.44 28% off $625.50 $2,502.00 $1,994.09 2026-03-24
P9037 HCPCS Hc Platelets Pher L/r Irr Ea T1 120 24 $2,499.00 $1,799.28 28% off $624.75 $2,499.00 $1,991.70 2026-03-24
P9053 HCPCS Hc Platelets Leukocutes Red Cmv Neg Irr 40 24 $2,561.00 $1,843.92 28% off $640.25 $2,561.00 $2,041.12 2026-03-24
P9073 HCPCS Hc Platelets Pheresis Path Reduced Ea Un T1 120 24 $2,211.00 $1,591.92 28% off $552.75 $2,211.00 $1,762.17 2026-03-24
V2787 HCPCS Hc Cataract Lens 191 22 $2,100.00 $1,512.00 28% off $0.03 $5,250.00 $1,673.70 2026-03-24
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