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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

MASSAC MEMORIAL HOSPITAL

Metropolis, IL · CCN 141323 · Rates published

2,840 distinct procedures filed
25 distinct payers
73,272 rate rows
2026-02-20 last MRF observed
Data quality

72,588 of 73,272 rate rows are consumer-grade (99.1%)

684 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
per-diem day rate — not a per-procedure price 445
percent-of-charges filed in the dollar field — excluded from medians 124
exceeds 10× this hospital's gross charge — excluded from medians 115
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMMHMETROPOLISIL&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Massac.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 65ac31ddf86ba96d… · 30,088,525 bytes · first seen 2026-05-08

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
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 10 $15,538.97 $71,247.93 $25,856.83 nat. median
$12,148
outlier · 2.1×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 9 $11,728.69 $22,519.08 $19,328.88 nat. median
$13,201
1.5× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 24 $9,960.73 $25,379.62 $15,597.89 nat. median
$5,949
outlier · 2.6×
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 24 $217.83 $21,742.08 $13,362.32 nat. median
$545
outlier · 24.5×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 9 $6,432.25 $12,349.91 $10,600.34 nat. median
$16,235
0.7× median
947
MS_DRG 		Signs And Symptoms With Mcc 9 $6,389.81 $12,268.43 $10,530.41 nat. median
$12,688
0.8× median
607
MS_DRG 		Minor Skin Disorders Without Mcc 9 $6,081.92 $11,677.28 $10,023.00 nat. median
$9,675
1.0× median
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 9 $5,939.60 $11,404.03 $9,788.46 nat. median
$8,071
1.2× median
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 24 $4,023.28 $15,214.18 $9,350.38 nat. median
$2,076
outlier · 4.5×
J0840
HCPCS 		Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 24 $5,668.70 $15,878.66 $9,296.67 nat. median
$3,427
outlier · 2.7×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 9 $5,564.90 $10,684.61 $9,170.96 nat. median
$13,021
0.7× median
948
MS_DRG 		Signs And Symptoms Without Mcc 10 $5,465.95 $23,291.90 $9,095.34 nat. median
$8,516
1.1× median
92
MS_DRG 		Other Disorders Of Nervous System With Cc 10 $5,339.04 $23,038.08 $8,884.15 nat. median
$11,294
0.8× median
639
MS_DRG 		Diabetes Without Cc/mcc 9 $5,104.05 $9,799.78 $8,411.47 nat. median
$7,257
1.2× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 9 $4,912.38 $9,431.77 $8,095.60 nat. median
$11,105
0.7× median
90377
HCPCS 		Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 24 $2,833.27 $12,976.99 $7,975.44 nat. median
$504
outlier · 15.8×
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 9 $4,783.33 $9,183.98 $7,882.92 nat. median
$8,665
0.9× median
C1764
HCPCS 		Event Recorder, Cardiac (implantable) 18 $5,625.00 $10,800.00 $7,779.38 nat. median
$7,664
1.0× median
90375
HCPCS 		Rabies Immune Globulin For Injection 24 $2,833.27 $12,433.82 $7,641.62 nat. median
$1,039
outlier · 7.4×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 9 $4,625.75 $8,881.44 $7,623.24 nat. median
$12,751
0.6× median
556
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 10 $4,536.39 $18,342.78 $7,548.55 nat. median
$9,145
0.8× median
A9521
HCPCS 		Technetium Tc-99m Exametazime, Diagnostic, Per Study Dose, Up To 25 Millicuries 18 $5,402.69 $10,373.16 $7,471.92 nat. median
$1,818
outlier · 4.1×
A9547
HCPCS 		Indium In-111 Oxyquinoline, Diagnostic, Per 0.5 Millicurie 18 $5,390.83 $10,350.38 $7,455.51 nat. median
$1,788
outlier · 4.2×
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 24 $4,023.28 $12,055.68 $7,409.22 nat. median
$57
outlier · 131.1×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 9 $4,151.72 $7,971.30 $6,842.03 nat. median
$13,400
0.5× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 9 $3,941.12 $7,566.96 $6,494.97 nat. median
$13,648
outlier · 0.5×
291
MS_DRG 		Heart Failure And Shock With Mcc 9 $3,697.79 $7,099.76 $6,093.96 nat. median
$13,522
outlier · 0.5×
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc/mcc 9 $3,486.24 $6,693.57 $5,745.32 nat. median
$7,339
0.8× median
312
MS_DRG 		Syncope And Collapse 9 $3,363.31 $6,457.56 $5,542.74 nat. median
$9,479
0.6× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 9 $3,344.69 $6,421.80 $5,512.04 nat. median
$19,635
outlier · 0.3×
95811
HCPCS 		Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 24 $1,776.06 $8,889.60 $5,463.40 nat. median
$2,026
outlier · 2.7×
J0875
HCPCS 		Injection, Dalbavancin, 5 Mg 24 $3,295.73 $8,000.40 $5,404.99 nat. median
$1,069
outlier · 5.1×
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 9 $3,109.89 $5,970.98 $5,125.09 nat. median
$8,981
0.6× median
551
MS_DRG 		Medical Back Problems With Mcc 10 $3,014.98 $12,209.95 $5,016.92 nat. median
$16,881
outlier · 0.3×
95810
HCPCS 		Sleep Study In Sleep Lab (6 Years Or Older) 24 $1,776.06 $8,137.92 $5,001.43 nat. median
$1,870
outlier · 2.7×
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 10 $2,993.10 $12,166.19 $4,980.51 nat. median
$8,731
0.6× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 9 $2,999.13 $5,758.32 $4,942.56 nat. median
$14,380
outlier · 0.3×
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 24 $2,172.99 $7,944.38 $4,882.49 nat. median
$1,003
outlier · 4.9×
3605100_1
CDM 		Operating Room Services - Minor Surgery 18 $3,485.50 $6,692.16 $4,820.44 nat. median
$4,820
1.0× median
293
MS_DRG 		Heart Failure And Shock Without Cc/mcc 9 $2,908.28 $5,583.89 $4,792.84 nat. median
$6,793
0.7× median
552
MS_DRG 		Medical Back Problems Without Mcc 10 $2,719.03 $14,708.05 $4,524.45 nat. median
$10,424
outlier · 0.4×
914
MS_DRG 		Traumatic Injury Without Mcc 9 $2,483.60 $4,768.51 $4,092.97 nat. median
$9,745
outlier · 0.4×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 24 $2,075.05 $6,413.93 $4,091.88 nat. median
$2,506
1.6× median
J7168
HCPCS 		Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 24 $2,846.15 $5,464.61 $4,023.28 nat. median
$18
outlier · 227.4×
70471
HCPCS 		Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 19 $1,282.00 $5,699.52 $3,859.05 nat. median
$729
outlier · 5.3×
3604347_1
CDM 		Operating Room Services - Minor Surgery 18 $2,730.00 $5,241.60 $3,775.59 nat. median
$3,776
1.0× median
433
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Cc 10 $2,257.75 $9,150.50 $3,756.89 nat. median
$11,437
outlier · 0.3×
3604365_1
CDM 		Operating Room Services - Minor Surgery 18 $2,603.50 $4,998.72 $3,600.64 nat. median
$3,601
1.0× median
j2783
HCPCS 		Injection, Rasburicase, 0.5 Mg 24 $2,166.00 $4,158.72 $3,552.24 —
3604402_1
CDM 		Operating Room Services - Minor Surgery 18 $2,566.00 $4,926.72 $3,548.78 nat. median
$3,549
1.0× median

Other procedures at this hospital

Browse this hospital's 2,840 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
             
3610216_1 CDM Colonoscopy/control Bleed 4 4 $1,435.00 $1,004.50 30% off $717.50 $1,076.25 $932.75 2026-02-20
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 25 25 $1,764.00 $1,234.80 30% off $825.66 $1,693.44 $934.92 2026-02-20
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 25 25 $1,764.00 $1,234.80 30% off $825.66 $1,693.44 $934.92 2026-02-20
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 47 24 $1,872.00 $1,310.40 30% off $61.24 $1,797.12 $936.00 2026-02-20
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 24 24 $1,594.00 $1,115.80 30% off $378.38 $1,530.24 $940.46 2026-02-20
64454 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 66 24 $1,781.00 $1,246.70 30% off $41.05 $2,564.64 $943.93 2026-02-20
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 24 24 $1,306.00 $914.20 30% off $653.00 $1,253.76 $944.75 2026-02-20
P9034 HCPCS Platelets, Pheresis, Each Unit 24 24 $1,604.00 $1,122.80 30% off $620.58 $1,539.84 $946.36 2026-02-20
78709 HCPCS Nuclear Medicine Studies Of Kidney, Blood Flow, And Function 25 25 $1,795.00 $1,256.50 30% off $825.66 $1,723.20 $951.35 2026-02-20
3610214_1 CDM Colonoscopy Diag W/biopsy 4 4 $1,465.00 $1,025.50 30% off $732.50 $1,098.75 $952.25 2026-02-20
3610201_1 CDM Uppr Gi Scope W/submuc In 4 4 $1,465.00 $1,025.50 30% off $732.50 $1,098.75 $952.25 2026-02-20
3750019_1 CDM Hernia Ventralex 3.2x3.2 18 18 $1,399.00 $979.30 30% off $699.50 $1,343.04 $967.41 2026-02-20
42120 HCPCS Partial Removal Of Roof Of Mouth 23 23 $1,772.00 $1,240.40 30% off $90.15 $1,703.47 $968.94 2026-02-20
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 65 24 $1,694.00 $1,185.80 30% off $38.93 $3,131.52 $972.98 2026-02-20
93351 HCPCS Ultrasound Of Heart With Continuous Electrocardiogram (ecg) During Rest, Exercis… 47 24 $3,262.00 $2,283.40 30% off $26.88 $3,131.52 $972.98 2026-02-20
93307 HCPCS Ultrasound Of Heart 47 24 $2,142.00 $1,499.40 30% off $42.61 $2,056.32 $972.98 2026-02-20
62321 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 47 24 $1,781.00 $1,246.70 30% off $90.77 $1,716.52 $979.55 2026-02-20
62320 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal 47 24 $1,781.00 $1,246.70 30% off $86.62 $1,716.52 $979.55 2026-02-20
36430 HCPCS Transfusion Of Blood Or Blood Products 60 24 $1,829.00 $1,280.30 30% off $441.50 $1,929.60 $987.18 2026-02-20
20611 HCPCS Aspiration And/or Injection Of Fluid Large Joint Using Ultrasound Guidance 66 24 $1,473.00 $1,031.10 30% off $51.89 $2,121.12 $994.18 2026-02-20
4300908_1 CDM Cyanide Antidote Kit 18 18 $1,449.02 $1,014.31 30% off $724.51 $1,391.06 $1,002.00 2026-02-20
62270 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test 42 24 $1,614.00 $1,129.80 30% off $609.50 $1,716.52 $1,003.24 2026-02-20
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 24 24 $1,243.00 $870.10 30% off $621.50 $2,375.98 $1,019.26 2026-02-20
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 25 25 $1,945.00 $1,361.50 30% off $239.78 $1,867.20 $1,030.85 2026-02-20
4120061_1 CDM Holter Monitor Rec,scan & Inte 18 18 $1,491.00 $1,043.70 30% off $745.50 $1,431.36 $1,031.03 2026-02-20
J1442 HCPCS Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram 42 24 $1,257.16 $880.01 30% off $422.92 $1,870.35 $1,032.59 2026-02-20
26770 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation 24 24 $1,364.00 $954.80 30% off $682.00 $1,309.44 $1,033.49 2026-02-20
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 24 24 $1,648.00 $1,153.60 30% off $824.00 $1,582.08 $1,033.49 2026-02-20
3604515_1 CDM Operating Room Services - Minor Surgery 18 18 $1,499.00 $1,049.30 30% off $749.50 $1,439.04 $1,036.56 2026-02-20
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 26 24 $1,288.00 $901.60 30% off $644.00 $1,579.20 $1,053.58 2026-02-20
3604418_1 CDM Operating Room Services - Minor Surgery 18 18 $1,542.00 $1,079.40 30% off $771.00 $1,480.32 $1,066.30 2026-02-20
3751320_1 CDM Hernia Patch Ventral 18 18 $1,554.00 $1,087.80 30% off $777.00 $1,491.84 $1,074.59 2026-02-20
78707 HCPCS Nuclear Medicine Study Of Kidney, Blood Flow, And Function 25 25 $2,034.00 $1,423.80 30% off $825.66 $1,952.64 $1,078.02 2026-02-20
3604440_1 CDM Operating Room Services - Minor Surgery 18 18 $1,576.00 $1,103.20 30% off $788.00 $1,512.96 $1,089.81 2026-02-20
3605106_1 CDM Operating Room Services - Minor Surgery 18 18 $1,576.00 $1,103.20 30% off $788.00 $1,512.96 $1,089.81 2026-02-20
3604454_1 CDM Operating Room Services - Minor Surgery 18 18 $1,576.00 $1,103.20 30% off $788.00 $1,512.96 $1,089.81 2026-02-20
3604513_1 CDM Operating Room Services - Minor Surgery 18 18 $1,576.00 $1,103.20 30% off $788.00 $1,512.96 $1,089.81 2026-02-20
3604511_1 CDM Operating Room Services - Minor Surgery 18 18 $1,576.00 $1,103.20 30% off $788.00 $1,512.96 $1,089.81 2026-02-20
19001 HCPCS Aspiration Of Cyst Of Breast, Each Additional Cyst 24 24 $1,341.00 $938.70 30% off $670.50 $1,534.34 $1,099.62 2026-02-20
11471 HCPCS Removal Of Skin And Tissue Of Anus Or Navel For Inflamed Sweat Glands With Compl… 24 24 $2,105.00 $1,473.50 30% off $107.40 $2,020.80 $1,105.12 2026-02-20
11470 HCPCS Removal Of Skin And Tissue Of Anus Or Navel For Inflamed Sweat Glands With Simpl… 24 24 $2,105.00 $1,473.50 30% off $107.40 $2,020.80 $1,105.12 2026-02-20
11463 HCPCS Removal Of Skin And Tissue Of Groin For Inflamed Sweat Glands With Complicated R… 24 24 $2,105.00 $1,473.50 30% off $107.40 $2,020.80 $1,105.12 2026-02-20
11462 HCPCS Removal Of Skin And Tissue Of Groin For Inflamed Sweat Glands With Simple Or Int… 24 24 $2,105.00 $1,473.50 30% off $107.40 $2,020.80 $1,105.12 2026-02-20
11451 HCPCS Removal Of Skin And Tissue Of Underarms For Inflamed Sweat Glands With Complex R… 24 24 $2,105.00 $1,473.50 30% off $107.40 $2,020.80 $1,105.12 2026-02-20
11450 HCPCS Removal Of Skin And Tissue Of Underarms For Inflamed Sweat Glands With Simple Or… 24 24 $2,105.00 $1,473.50 30% off $107.40 $2,020.80 $1,105.12 2026-02-20
11426 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More … 24 24 $2,105.00 $1,473.50 30% off $107.40 $2,020.80 $1,105.12 2026-02-20
10005 HCPCS Fine Needle Aspiration Biopsy Using Ultrasound Guidance, First Growth 42 24 $1,687.00 $1,180.90 30% off $674.00 $1,619.52 $1,105.36 2026-02-20
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 24 24 $1,354.00 $947.80 30% off $677.00 $2,238.51 $1,110.28 2026-02-20
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 24 24 $1,355.00 $948.50 30% off $677.50 $2,375.98 $1,111.10 2026-02-20
78606 HCPCS Nuclear Medicine Study Of Brain And Blood Flow, 4 Static Views Or More 25 25 $2,103.00 $1,472.10 30% off $825.66 $2,018.88 $1,114.59 2026-02-20
78610 HCPCS Nuclear Medicine Study Of Brain With Blood Flow 25 25 $2,103.00 $1,472.10 30% off $825.66 $2,018.88 $1,114.59 2026-02-20
78605 HCPCS Nuclear Medicine Study Of Brain, 4 Static Views Or More 25 25 $2,103.00 $1,472.10 30% off $825.66 $2,018.88 $1,114.59 2026-02-20
70450 HCPCS CT Scan Head Or Brain Without Contrast 25 25 $2,118.00 $1,482.60 30% off $683.02 $2,033.28 $1,122.54 2026-02-20
70486 HCPCS CT Scan Of Face Without Contrast 25 25 $2,120.00 $1,484.00 30% off $239.78 $2,035.20 $1,123.60 2026-02-20
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 25 25 $2,120.00 $1,484.00 30% off $239.78 $2,035.20 $1,123.60 2026-02-20
3751340_1 CDM Lifeport Titanium Si 18 18 $1,672.00 $1,170.40 30% off $836.00 $1,605.12 $1,156.19 2026-02-20
4300971_1 CDM Hyper-rab S/d 2ml 18 18 $1,673.74 $1,171.62 30% off $836.87 $1,606.79 $1,157.39 2026-02-20
3750251_1 CDM Single Powerport 18 18 $1,696.00 $1,187.20 30% off $848.00 $1,628.16 $1,172.79 2026-02-20
70460 HCPCS CT Scan Head Or Brain With Contrast 25 25 $2,213.00 $1,549.10 30% off $683.02 $2,124.48 $1,172.89 2026-02-20
62322 HCPCS Injection Of Substance Into Lower Spine Canal 47 24 $2,348.00 $1,643.60 30% off $69.17 $2,254.08 $1,174.00 2026-02-20
78579 HCPCS Nuclear Medicine Study Of Lung Ventilation 25 25 $1,444.00 $1,010.80 30% off $722.00 $1,977.59 $1,181.19 2026-02-20
73200 HCPCS CT Scan Of Arm Without Contrast 25 25 $2,257.00 $1,579.90 30% off $239.78 $2,166.72 $1,196.21 2026-02-20
V2787 HCPCS Astigmatism Correcting Function Of Intraocular Lens 18 18 $1,733.00 $1,213.10 30% off $866.50 $1,663.68 $1,198.37 2026-02-20
78216 HCPCS Nuclear Medicine Study Of Liver, Spleen, And Blood Flow 25 25 $1,471.00 $1,029.70 30% off $735.50 $1,977.59 $1,203.28 2026-02-20
3610217_1 CDM Colonoscopy Diag W/ablati 4 4 $1,852.00 $1,296.40 30% off $926.00 $1,389.00 $1,203.80 2026-02-20
3751388_1 CDM Ventrolex Mesh 3.2" 18 18 $1,757.00 $1,229.90 30% off $878.50 $1,686.72 $1,214.97 2026-02-20
64634 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 66 24 $2,301.00 $1,610.70 30% off $57.04 $3,313.44 $1,219.53 2026-02-20
64451 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Spine And Pelvis Nerve Using I… 66 24 $1,781.00 $1,246.70 30% off $40.42 $2,875.06 $1,231.56 2026-02-20
78800 HCPCS Nuclear Medicine Study, 1 Area 25 25 $1,511.00 $1,057.70 30% off $755.50 $1,977.59 $1,236.00 2026-02-20
92953 HCPCS Temporary Pacemaker To Regulate Heart Beat 24 24 $1,515.00 $1,060.50 30% off $757.50 $1,454.40 $1,242.30 2026-02-20
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 25 25 $2,350.00 $1,645.00 30% off $683.02 $2,256.00 $1,245.50 2026-02-20
70487 HCPCS CT Scan Of Face With Contrast 25 25 $2,350.00 $1,645.00 30% off $683.02 $2,256.00 $1,245.50 2026-02-20
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 25 25 $2,350.00 $1,645.00 30% off $683.02 $2,256.00 $1,245.50 2026-02-20
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 25 25 $1,533.00 $1,073.10 30% off $766.50 $1,977.59 $1,253.99 2026-02-20
72255 HCPCS Review By Radiologist Of Middle Spinal Canal Image 25 25 $2,164.00 $1,514.80 30% off $1,082.00 $2,077.44 $1,256.33 2026-02-20
72240 HCPCS Review By Radiologist Of Upper Spinal Canal Image 25 25 $2,232.00 $1,562.40 30% off $1,116.00 $2,142.72 $1,256.33 2026-02-20
999 MS_DRG Ungroupable 10 10 $1,511.35 $1,057.95 30% off $755.68 $3,056.35 $1,257.44 2026-02-20
72270 HCPCS Review By Radiologist Of Multiple Spinal Canals Image 25 25 $2,380.00 $1,666.00 30% off $1,190.00 $2,284.80 $1,261.40 2026-02-20
23931 HCPCS Drainage Of Fluid Filled Sac In Elbow Joint 24 24 $1,544.75 $1,081.33 30% off $772.38 $4,020.86 $1,266.69 2026-02-20
19020 HCPCS Drainage Of Abscess Of Breast 24 24 $1,545.00 $1,081.50 30% off $772.50 $2,989.14 $1,266.90 2026-02-20
A9562 HCPCS Technetium Tc-99m Mertiatide, Diagnostic, Per Study Dose, Up To 15 Millicuries 18 18 $1,840.00 $1,288.00 30% off $920.00 $1,766.40 $1,272.36 2026-02-20
J0248 HCPCS Injection, Remdesivir, 1 Mg 24 24 $2,162.93 $1,514.05 30% off $1,020.91 $2,076.41 $1,276.12 2026-02-20
71250 HCPCS CT Scan Of Chest Without Contrast 25 25 $2,413.00 $1,689.10 30% off $239.78 $2,316.48 $1,278.89 2026-02-20
73201 HCPCS CT Scan Of Arm With Contrast 25 25 $2,423.00 $1,696.10 30% off $683.02 $2,326.08 $1,284.19 2026-02-20
73701 HCPCS CT Scan Of Leg With Contrast Material 25 25 $2,423.00 $1,696.10 30% off $683.02 $2,326.08 $1,284.19 2026-02-20
3610372_1 CDM Open Charge Code 18 18 $1,875.00 $1,312.50 30% off $937.50 $1,800.00 $1,296.57 2026-02-20
74150 HCPCS CT Scan Of Abdomen Without Contrast 25 25 $2,450.00 $1,715.00 30% off $239.78 $2,352.00 $1,298.50 2026-02-20
93229 HCPCS Electrocardiogram (ecg) Up To 30 Days Continuous With Transmission Of Patient Tr… 24 24 $2,203.00 $1,542.10 30% off $93.75 $2,114.88 $1,299.77 2026-02-20
78586 HCPCS Lung Vent Sgl Projec 19 19 $2,002.00 $1,401.40 30% off $1,001.00 $1,921.92 $1,301.30 2026-02-20
31645 HCPCS Aspiration Of Initial Secretion Of Lung Airway Using An Endoscope 24 24 $1,599.00 $1,119.30 30% off $799.50 $4,026.83 $1,311.18 2026-02-20
73700 HCPCS CT Scan Of Leg Without Contrast 42 25 $2,258.00 $1,580.60 30% off $239.78 $2,167.68 $1,315.70 2026-02-20
19000 HCPCS Aspiration Of Cyst Of Breast, First Cyst 24 24 $1,622.00 $1,135.40 30% off $811.00 $1,557.12 $1,330.04 2026-02-20
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 36 18 $2,261.51 $1,583.06 30% off $448.38 $3,481.21 $1,337.01 2026-02-20
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 9 9 $1,638.36 $1,146.85 30% off $819.18 $1,572.83 $1,350.01 2026-02-20
26410 HCPCS Repair Of Tendon On Top Of Hand 24 24 $1,648.00 $1,153.60 30% off $824.00 $2,931.37 $1,351.36 2026-02-20
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 24 24 $1,648.00 $1,153.60 30% off $824.00 $2,168.64 $1,351.36 2026-02-20
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 25 25 $2,556.00 $1,789.20 30% off $825.66 $2,453.76 $1,354.68 2026-02-20
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 9 9 $1,654.55 $1,158.19 30% off $827.28 $1,588.37 $1,363.35 2026-02-20
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 24 24 $2,313.00 $1,619.10 30% off $378.38 $2,220.48 $1,364.67 2026-02-20
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 25 25 $2,584.00 $1,808.80 30% off $834.54 $2,480.64 $1,369.52 2026-02-20
78801 HCPCS Nuclear Medicine Study, Multiple Areas 44 25 $1,511.00 $1,057.70 30% off $755.50 $2,486.40 $1,372.70 2026-02-20
72265 HCPCS Review By Radiologist Of Lower Spinal Canal Image 25 25 $2,594.00 $1,815.80 30% off $1,256.33 $2,490.24 $1,374.82 2026-02-20
78070 HCPCS Nuclear Medicine Study Of Parathyroid 25 25 $1,694.00 $1,185.80 30% off $847.00 $1,977.59 $1,385.69 2026-02-20
72192 HCPCS CT Scan Of Pelvis Without Contrast 25 25 $2,630.00 $1,841.00 30% off $239.78 $2,524.80 $1,393.90 2026-02-20
72128 HCPCS CT Scan Of Middle Spine Without Contrast 25 25 $2,630.00 $1,841.00 30% off $239.78 $2,524.80 $1,393.90 2026-02-20
72125 HCPCS CT Scan Of Upper Spine Without Contrast 25 25 $2,630.00 $1,841.00 30% off $239.78 $2,524.80 $1,393.90 2026-02-20
74160 HCPCS CT Scan Of Abdomen With Contrast 25 25 $2,660.00 $1,862.00 30% off $683.02 $2,553.60 $1,409.80 2026-02-20
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 25 25 $1,731.00 $1,211.70 30% off $865.50 $1,977.59 $1,415.96 2026-02-20
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 48 25 $2,841.00 $1,988.70 30% off $44.05 $2,727.36 $1,425.47 2026-02-20
70488 HCPCS CT Scan Of Face Before And After Contrast 25 25 $2,692.00 $1,884.40 30% off $683.02 $2,584.32 $1,426.76 2026-02-20
71260 HCPCS CT Scan Of Chest With Contrast 25 25 $2,692.00 $1,884.40 30% off $683.02 $2,584.32 $1,426.76 2026-02-20
76498 HCPCS Other MRI Scan 25 25 $2,694.00 $1,885.80 30% off $542.16 $2,586.24 $1,427.82 2026-02-20
78215 HCPCS Nuclear Medicine Study Of Liver And Spleen 25 25 $1,764.00 $1,234.80 30% off $882.00 $1,977.59 $1,442.95 2026-02-20
41110 HCPCS Removal Of Growth Of Tongue Without Closure 24 24 $2,753.00 $1,927.10 30% off $107.40 $2,642.88 $1,445.33 2026-02-20
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 18 18 $2,102.00 $1,471.40 30% off $1,051.00 $2,017.92 $1,453.53 2026-02-20
3610003_1 CDM Sinus Endoscopy Surgical 4 4 $2,262.00 $1,583.40 30% off $1,131.00 $1,696.50 $1,470.30 2026-02-20
72126 HCPCS CT Scan Of Upper Spine With Contrast 25 25 $2,788.00 $1,951.60 30% off $683.02 $2,676.48 $1,477.64 2026-02-20
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 25 25 $2,850.00 $1,995.00 30% off $683.02 $2,736.00 $1,510.50 2026-02-20
C1897 HCPCS Lead, Neurostimulator Test Kit (implantable) 18 18 $2,200.00 $1,540.00 30% off $1,100.00 $2,112.00 $1,521.30 2026-02-20
J1670 HCPCS Injection, Tetanus Immune Globulin, Human, Up To 250 Units 24 24 $2,578.50 $1,804.95 30% off $422.92 $2,475.36 $1,521.32 2026-02-20
3750347_1 CDM Dual Powerport 18 18 $2,204.00 $1,542.80 30% off $1,102.00 $2,115.84 $1,524.07 2026-02-20
64445 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Lower Back And Leg Nerve (scia… 24 24 $2,827.00 $1,978.90 30% off $896.34 $2,713.92 $1,526.58 2026-02-20
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 60 24 $2,605.48 $1,823.84 30% off $521.52 $4,962.84 $1,537.23 2026-02-20
3601027_1 CDM Ventrio Hernia Mesh 3.1" 18 18 $2,234.00 $1,563.80 30% off $1,117.00 $2,144.64 $1,544.81 2026-02-20
3610001_1 CDM Repair Of Nasal Septum 4 4 $2,391.00 $1,673.70 30% off $1,195.50 $1,793.25 $1,554.15 2026-02-20
72129 HCPCS CT Scan Of Middle Spine With Contrast 25 25 $2,934.00 $2,053.80 30% off $683.02 $2,816.64 $1,555.02 2026-02-20
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 25 25 $2,934.00 $2,053.80 30% off $683.02 $2,816.64 $1,555.02 2026-02-20
72132 HCPCS CT Scan Of Lower Spine With Contrast 25 25 $2,934.00 $2,053.80 30% off $683.02 $2,816.64 $1,555.02 2026-02-20
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 25 25 $2,934.00 $2,053.80 30% off $683.02 $2,816.64 $1,555.02 2026-02-20
71550 HCPCS MRI Scan Of Chest Without Contrast 25 25 $2,936.00 $2,055.20 30% off $542.16 $2,818.56 $1,556.08 2026-02-20
11047 HCPCS Removal Of Bone, Each Additional 20.0 Sq Cm Or Less 47 24 $3,136.00 $2,195.20 30% off $42.39 $3,010.56 $1,568.00 2026-02-20
4301604_1 CDM Zovirax 15g Oint 18 18 $2,270.52 $1,589.36 30% off $1,135.26 $2,179.70 $1,570.07 2026-02-20
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 25 25 $2,963.00 $2,074.10 30% off $542.16 $2,844.48 $1,570.39 2026-02-20
72193 HCPCS CT Scan Of Pelvis With Contrast 25 25 $2,975.00 $2,082.50 30% off $683.02 $2,856.00 $1,576.75 2026-02-20
73202 HCPCS CT Scan Of Arm Before And After Contrast 25 25 $2,983.00 $2,088.10 30% off $683.02 $2,863.68 $1,580.99 2026-02-20
74181 HCPCS MRI Scan Of Abdomen Without Contrast 25 25 $3,012.00 $2,108.40 30% off $542.16 $2,891.52 $1,596.36 2026-02-20
24505 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation 24 24 $3,014.00 $2,109.80 30% off $1,033.49 $2,893.44 $1,597.42 2026-02-20
73702 HCPCS CT Scan Of Leg Before And After Contrast 25 25 $3,026.00 $2,118.20 30% off $683.02 $2,904.96 $1,603.78 2026-02-20
3751341_1 CDM Lifeport Titanium Du 18 18 $2,379.00 $1,665.30 30% off $1,189.50 $2,283.84 $1,645.08 2026-02-20
292 MS_DRG Heart Failure And Shock With Cc 9 9 $2,026.75 $1,418.73 30% off $1,013.38 $1,945.68 $1,670.04 2026-02-20
78071 HCPCS Nuclear Medicine Study Of Parathyroid With Spect 25 25 $3,172.00 $2,220.40 30% off $825.66 $3,045.12 $1,681.16 2026-02-20
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 25 25 $3,185.00 $2,229.50 30% off $825.66 $3,057.60 $1,688.05 2026-02-20
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 67 25 $2,930.00 $2,051.00 30% off $56.09 $3,066.24 $1,692.82 2026-02-20
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 47 24 $3,418.00 $2,392.60 30% off $42.39 $3,281.28 $1,709.00 2026-02-20
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 25 25 $3,230.00 $2,261.00 30% off $1,104.81 $3,100.80 $1,711.90 2026-02-20
72195 HCPCS MRI Scan Of Pelvis Without Contrast 25 25 $3,230.00 $2,261.00 30% off $542.16 $3,100.80 $1,711.90 2026-02-20
73218 HCPCS MRI Scan Of Arm Without Contrast 25 25 $3,230.00 $2,261.00 30% off $542.16 $3,100.80 $1,711.90 2026-02-20
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 25 25 $3,230.00 $2,261.00 30% off $1,104.81 $3,100.80 $1,711.90 2026-02-20
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 25 25 $3,230.00 $2,261.00 30% off $542.16 $3,100.80 $1,711.90 2026-02-20
73718 HCPCS MRI Scan Of Leg Without Contrast 25 25 $3,230.00 $2,261.00 30% off $542.16 $3,100.80 $1,711.90 2026-02-20
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 25 25 $3,230.00 $2,261.00 30% off $542.16 $3,100.80 $1,711.90 2026-02-20
70336 HCPCS MRI Scan Of Jaw Joint 25 25 $3,230.00 $2,261.00 30% off $542.16 $3,100.80 $1,711.90 2026-02-20
70551 HCPCS MRI Scan Of Brain Without Contrast 25 25 $3,261.00 $2,282.70 30% off $542.16 $3,130.56 $1,728.33 2026-02-20
603 MS_DRG Cellulitis Without Mcc 9 9 $2,097.83 $1,468.48 30% off $1,048.92 $2,013.92 $1,728.61 2026-02-20
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 42 25 $2,694.00 $1,885.80 30% off $1,104.81 $3,153.60 $1,741.05 2026-02-20
72196 HCPCS MRI Scan Of Pelvis With Contrast 25 25 $3,285.00 $2,299.50 30% off $914.73 $3,153.60 $1,741.05 2026-02-20
71555 HCPCS MRI Scan Of Blood Vessels Of Chest 42 25 $2,694.00 $1,885.80 30% off $1,104.81 $3,153.60 $1,741.05 2026-02-20
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 25 25 $3,285.00 $2,299.50 30% off $914.73 $3,153.60 $1,741.05 2026-02-20
71551 HCPCS MRI Scan Of Chest With Contrast 25 25 $3,285.00 $2,299.50 30% off $914.73 $3,153.60 $1,741.05 2026-02-20
J2357 HCPCS Injection, Omalizumab, 5 Mg 24 24 $2,156.04 $1,509.23 30% off $1,078.02 $2,833.27 $1,767.95 2026-02-20
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 42 25 $2,474.00 $1,731.80 30% off $834.54 $3,218.88 $1,777.09 2026-02-20
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 25 25 $3,353.00 $2,347.10 30% off $834.54 $3,218.88 $1,777.09 2026-02-20
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 25 25 $3,353.00 $2,347.10 30% off $834.54 $3,218.88 $1,777.09 2026-02-20
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 25 25 $3,353.00 $2,347.10 30% off $834.54 $3,218.88 $1,777.09 2026-02-20
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 66 24 $3,447.00 $2,412.90 30% off $66.81 $3,646.08 $1,826.91 2026-02-20
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 25 25 $3,459.00 $2,421.30 30% off $834.54 $3,320.64 $1,833.27 2026-02-20
73719 HCPCS MRI Scan Of Leg With Contrast 25 25 $3,485.00 $2,439.50 30% off $914.73 $3,345.60 $1,847.05 2026-02-20
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 25 25 $3,543.00 $2,480.10 30% off $683.02 $3,401.28 $1,877.79 2026-02-20
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 25 25 $3,543.00 $2,480.10 30% off $683.02 $3,401.28 $1,877.79 2026-02-20
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 25 25 $3,592.00 $2,514.40 30% off $683.02 $3,448.32 $1,903.76 2026-02-20
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 25 25 $3,614.00 $2,529.80 30% off $914.73 $3,469.44 $1,915.42 2026-02-20
74182 HCPCS MRI Scan Of Abdomen With Contrast 25 25 $3,614.00 $2,529.80 30% off $914.73 $3,469.44 $1,915.42 2026-02-20
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 25 25 $3,614.00 $2,529.80 30% off $914.73 $3,469.44 $1,915.42 2026-02-20
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 25 25 $3,614.00 $2,529.80 30% off $914.73 $3,469.44 $1,915.42 2026-02-20
70552 HCPCS MRI Scan Of Brain With Contrast 25 25 $3,614.00 $2,529.80 30% off $914.73 $3,469.44 $1,915.42 2026-02-20
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 25 25 $3,655.00 $2,558.50 30% off $834.54 $3,508.80 $1,937.15 2026-02-20
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 25 25 $3,655.00 $2,558.50 30% off $834.54 $3,508.80 $1,937.15 2026-02-20
64421 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Multiple Rib Nerves For Region… 66 24 $2,827.00 $1,978.90 30% off $20.85 $4,070.88 $1,954.87 2026-02-20
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 25 25 $3,699.00 $2,589.30 30% off $683.02 $3,551.04 $1,960.47 2026-02-20
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 25 25 $2,773.00 $1,941.10 30% off $1,386.50 $2,662.08 $1,977.59 2026-02-20
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 48 25 $8,724.00 $6,106.80 30% off $66.58 $8,375.04 $1,977.59 2026-02-20
78802 HCPCS Nuclear Medicine Study, Whole Body 44 25 $2,590.00 $1,813.00 30% off $1,295.00 $2,710.08 $1,977.59 2026-02-20
71270 HCPCS CT Scan Of Chest Before And After Contrast 25 25 $3,735.00 $2,614.50 30% off $683.02 $3,585.60 $1,979.55 2026-02-20
73219 HCPCS MRI Scan Of Arm With Contrast 25 25 $3,747.00 $2,622.90 30% off $914.73 $3,597.12 $1,985.91 2026-02-20
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 59 25 $3,300.00 $2,310.00 30% off $1,104.81 $3,609.60 $1,992.80 2026-02-20
73722 HCPCS MRI Scan Of Leg Joint With Contrast 25 25 $3,885.00 $2,719.50 30% off $914.73 $3,729.60 $2,059.05 2026-02-20
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 25 25 $3,939.00 $2,757.30 30% off $1,104.81 $3,781.44 $2,087.67 2026-02-20
73222 HCPCS MRI Scan Of Arm Joint With Contrast 25 25 $3,939.00 $2,757.30 30% off $914.73 $3,781.44 $2,087.67 2026-02-20
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 24 24 $2,552.00 $1,786.40 30% off $1,276.00 $2,449.92 $2,092.64 2026-02-20
3604415_1 CDM Operating Room Services - Minor Surgery 18 18 $3,081.00 $2,156.70 30% off $1,540.50 $2,957.76 $2,130.51 2026-02-20
3604414_1 CDM Operating Room Services - Minor Surgery 18 18 $3,081.00 $2,156.70 30% off $1,540.50 $2,957.76 $2,130.51 2026-02-20
683 MS_DRG Renal Failure With Cc 10 10 $2,611.75 $1,828.23 30% off $1,305.88 $5,701.75 $2,172.97 2026-02-20
Q5104 HCPCS Injection, Infliximab-abda, Biosimilar, (renflexis), 10 Mg 24 24 $2,874.99 $2,012.49 30% off $1,437.50 $2,759.99 $2,172.99 2026-02-20
45335 HCPCS Injection Beneath Lining Of Lower Large Bowel Using A Flexible Endoscope 24 24 $2,862.00 $2,003.40 30% off $1,431.00 $2,747.52 $2,214.30 2026-02-20
V2788 HCPCS Presbyopia Correcting Function Of Intraocular Lens 54 18 $3,296.00 $2,307.20 30% off $1,530.50 $3,259.20 $2,225.23 2026-02-20
73220 HCPCS MRI Scan Of Arm Before And After Contrast 25 25 $4,264.00 $2,984.80 30% off $914.73 $4,093.44 $2,259.92 2026-02-20
73720 HCPCS MRI Scan Of Leg Before And After Contrast 25 25 $4,264.00 $2,984.80 30% off $914.73 $4,093.44 $2,259.92 2026-02-20
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 25 25 $4,264.00 $2,984.80 30% off $914.73 $4,093.44 $2,259.92 2026-02-20
70553 HCPCS MRI Scan Of Brain Before And After Contrast 25 25 $4,264.00 $2,984.80 30% off $914.73 $4,093.44 $2,259.92 2026-02-20
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 25 25 $4,264.00 $2,984.80 30% off $914.73 $4,093.44 $2,259.92 2026-02-20
Q5103 HCPCS Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 24 24 $3,610.99 $2,527.69 30% off $1,805.50 $3,466.55 $2,260.06 2026-02-20
3601028_1 CDM Ventrio Hernia Mesh 4.3" 18 18 $3,296.00 $2,307.20 30% off $1,648.00 $3,164.16 $2,279.18 2026-02-20
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 61 24 $4,604.00 $3,222.80 30% off $161.92 $4,604.00 $2,302.00 2026-02-20
3610015_1 CDM Repair Eardrum Structures 4 4 $3,618.00 $2,532.60 30% off $1,809.00 $2,713.50 $2,351.70 2026-02-20
3605000_1 CDM Operating Room Services - Minor Surgery 18 18 $3,493.00 $2,445.10 30% off $1,746.50 $3,353.28 $2,415.41 2026-02-20
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 25 25 $4,623.00 $3,236.10 30% off $914.73 $4,438.08 $2,450.19 2026-02-20
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 25 25 $4,623.00 $3,236.10 30% off $914.73 $4,438.08 $2,450.19 2026-02-20
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 25 25 $4,623.00 $3,236.10 30% off $914.73 $4,438.08 $2,450.19 2026-02-20
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 25 25 $4,648.00 $3,253.60 30% off $914.73 $4,462.08 $2,463.44 2026-02-20
71552 HCPCS MRI Scan Of Chest Before And After Contrast 25 25 $4,648.00 $3,253.60 30% off $914.73 $4,462.08 $2,463.44 2026-02-20
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 25 25 $4,648.00 $3,253.60 30% off $914.73 $4,462.08 $2,463.44 2026-02-20
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 24 24 $3,242.00 $2,269.40 30% off $1,500.00 $3,112.32 $2,465.37 2026-02-20
C1778 HCPCS Lead, Neurostimulator (implantable) 18 18 $3,575.00 $2,502.50 30% off $1,787.50 $3,432.00 $2,472.11 2026-02-20
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 25 25 $4,694.00 $3,285.80 30% off $834.54 $4,506.24 $2,487.82 2026-02-20
3604322_1 CDM Operating Room Services - Minor Surgery 18 18 $3,616.00 $2,531.20 30% off $1,808.00 $3,471.36 $2,500.47 2026-02-20
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 42 25 $4,722.00 $3,305.40 30% off $683.02 $4,536.96 $2,504.78 2026-02-20
95805 HCPCS Sleep Study, Multiple Trials 24 24 $4,506.00 $3,154.20 30% off $1,776.06 $4,325.76 $2,658.54 2026-02-20
59409 HCPCS Vaginal Delivery 24 24 $3,275.00 $2,292.50 30% off $1,500.00 $4,839.26 $2,685.50 2026-02-20
3604510_1 CDM Operating Room Services - Minor Surgery 18 18 $3,885.00 $2,719.50 30% off $1,942.50 $3,729.60 $2,686.48 2026-02-20
3604337_1 CDM Operating Room Services - Minor Surgery 18 18 $3,911.00 $2,737.70 30% off $1,955.50 $3,754.56 $2,704.45 2026-02-20
41008 HCPCS Drainage Of Abscess, Cyst, Or Blood Accumulation Under Jaw Bone From Inside Mout… 24 24 $3,340.00 $2,338.00 30% off $1,500.00 $3,206.40 $2,738.80 2026-02-20
A9538 HCPCS Technetium Tc-99m Pyrophosphate, Diagnostic, Per Study Dose, Up To 25 Millicurie… 18 18 $4,010.00 $2,807.00 30% off $2,005.00 $3,849.60 $2,772.91 2026-02-20
57061 HCPCS Simple Destruction Of Growth Of Vagina 24 24 $5,294.00 $3,705.80 30% off $107.40 $5,082.24 $2,779.35 2026-02-20
3604374_1 CDM Operating Room Services - Minor Surgery 18 18 $4,063.00 $2,844.10 30% off $2,031.50 $3,900.48 $2,809.56 2026-02-20
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 9 9 $3,476.45 $2,433.52 30% off $1,738.23 $3,337.39 $2,864.59 2026-02-20
3604321_1 CDM Operating Room Services - Minor Surgery 18 18 $4,144.00 $2,900.80 30% off $2,072.00 $3,978.24 $2,865.57 2026-02-20
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 24 24 $3,495.88 $2,447.12 30% off $1,747.94 $9,960.73 $2,866.62 2026-02-20
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 25 25 $5,414.00 $3,789.80 30% off $683.02 $5,197.44 $2,869.42 2026-02-20
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 66 24 $4,972.00 $3,480.40 30% off $123.44 $7,159.68 $2,875.06 2026-02-20
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 24 24 $4,950.30 $3,465.21 30% off $1,020.91 $4,752.29 $2,920.68 2026-02-20
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 9 9 $3,544.78 $2,481.35 30% off $1,772.39 $3,402.99 $2,920.90 2026-02-20
315 MS_DRG Other Circulatory System Diagnoses With Cc 9 9 $3,555.30 $2,488.71 30% off $1,777.65 $3,413.09 $2,929.57 2026-02-20
3604512_1 CDM Operating Room Services - Minor Surgery 18 18 $4,312.00 $3,018.40 30% off $2,156.00 $4,139.52 $2,981.75 2026-02-20
3604346_1 CDM Operating Room Services - Minor Surgery 18 18 $4,328.00 $3,029.60 30% off $2,164.00 $4,154.88 $2,992.81 2026-02-20
21235 HCPCS Obtaining Ear Cartilage For Grafting 47 24 $6,093.00 $4,265.10 30% off $189.10 $5,874.36 $3,000.00 2026-02-20
63650 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Through Skin 47 24 $16,063.00 $11,244.10 30% off $43.87 $15,420.48 $3,000.00 2026-02-20
69645 HCPCS Extensive Repair Of Eardrum And Ear Canal With Removal Of Middle Ear Bone 47 24 $6,093.00 $4,265.10 30% off $323.63 $9,867.30 $3,000.00 2026-02-20
66984 HCPCS Removal Of Cataract With Insertion Of Prosthetic Lens 47 24 $9,332.00 $6,532.40 30% off $454.91 $8,958.72 $3,000.00 2026-02-20
3604409_1 CDM Operating Room Services - Minor Surgery 18 18 $4,450.00 $3,115.00 30% off $2,225.00 $4,272.00 $3,077.18 2026-02-20
3604423_1 CDM Operating Room Services - Minor Surgery 18 18 $4,450.00 $3,115.00 30% off $2,225.00 $4,272.00 $3,077.18 2026-02-20
3604432_1 CDM Operating Room Services - Minor Surgery 18 18 $4,450.00 $3,115.00 30% off $2,225.00 $4,272.00 $3,077.18 2026-02-20
385 MS_DRG Inflammatory Bowel Disease With Mcc 9 9 $3,845.85 $2,692.10 30% off $1,922.93 $3,692.02 $3,168.98 2026-02-20
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 42 25 $4,264.00 $2,984.80 30% off $914.73 $6,140.16 $3,389.88 2026-02-20
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 9 9 $4,115.00 $2,880.50 30% off $2,057.50 $3,950.40 $3,390.76 2026-02-20
3604323_1 CDM Operating Room Services - Minor Surgery 18 18 $4,932.00 $3,452.40 30% off $2,466.00 $4,734.72 $3,410.48 2026-02-20
44394 HCPCS Removal Of Growths Or Polyps Of Large Bowel By Mechanical Snare Using An Endosco… 24 24 $6,570.00 $4,599.00 30% off $2,214.30 $6,307.20 $3,482.10 2026-02-20
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 47 24 $20,236.53 $14,165.57 30% off $81.37 $19,427.07 $3,500.00 2026-02-20
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 25 25 $6,652.00 $4,656.40 30% off $683.02 $6,385.92 $3,525.56 2026-02-20
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 9 9 $4,295.99 $3,007.19 30% off $2,148.00 $4,124.15 $3,539.90 2026-02-20
3604360_1 CDM Operating Room Services - Minor Surgery 18 18 $5,125.00 $3,587.50 30% off $2,562.50 $4,920.00 $3,543.94 2026-02-20
3604402_1 CDM Operating Room Services - Minor Surgery 18 18 $5,132.00 $3,592.40 30% off $2,566.00 $4,926.72 $3,548.78 2026-02-20
j2783 HCPCS Injection, Rasburicase, 0.5 Mg 24 24 $4,332.00 $3,032.40 30% off $2,166.00 $4,158.72 $3,552.24 2026-02-20
3604365_1 CDM Operating Room Services - Minor Surgery 18 18 $5,207.00 $3,644.90 30% off $2,603.50 $4,998.72 $3,600.64 2026-02-20
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 10 10 $4,515.50 $3,160.85 30% off $2,257.75 $9,150.50 $3,756.89 2026-02-20
3604347_1 CDM Operating Room Services - Minor Surgery 18 18 $5,460.00 $3,822.00 30% off $2,730.00 $5,241.60 $3,775.59 2026-02-20
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 19 19 $5,937.00 $4,155.90 30% off $1,282.00 $5,699.52 $3,859.05 2026-02-20
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 24 24 $5,692.30 $3,984.61 30% off $2,846.15 $5,464.61 $4,023.28 2026-02-20
J0897 HCPCS Injection, Denosumab, 1 Mg 42 24 $6,681.18 $4,676.83 30% off $2,075.05 $6,413.93 $4,091.88 2026-02-20
914 MS_DRG Traumatic Injury Without Mcc 9 9 $4,967.20 $3,477.04 30% off $2,483.60 $4,768.51 $4,092.97 2026-02-20
552 MS_DRG Medical Back Problems Without Mcc 10 10 $5,438.05 $3,806.64 30% off $2,719.03 $14,708.05 $4,524.45 2026-02-20
293 MS_DRG Heart Failure And Shock Without Cc/mcc 9 9 $5,816.55 $4,071.59 30% off $2,908.28 $5,583.89 $4,792.84 2026-02-20
3605100_1 CDM Operating Room Services - Minor Surgery 18 18 $6,971.00 $4,879.70 30% off $3,485.50 $6,692.16 $4,820.44 2026-02-20
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 24 24 $8,275.40 $5,792.78 30% off $2,172.99 $7,944.38 $4,882.49 2026-02-20
811 MS_DRG Red Blood Cell Disorders With Mcc 9 9 $5,998.25 $4,198.78 30% off $2,999.13 $5,758.32 $4,942.56 2026-02-20
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 10 10 $5,986.19 $4,190.34 30% off $2,993.10 $12,166.19 $4,980.51 2026-02-20
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 24 24 $8,477.00 $5,933.90 30% off $1,776.06 $8,137.92 $5,001.43 2026-02-20
551 MS_DRG Medical Back Problems With Mcc 10 10 $6,029.95 $4,220.97 30% off $3,014.98 $12,209.95 $5,016.92 2026-02-20
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 9 9 $6,219.78 $4,353.84 30% off $3,109.89 $5,970.98 $5,125.09 2026-02-20
J0875 HCPCS Injection, Dalbavancin, 5 Mg 24 24 $6,591.45 $4,614.02 30% off $3,295.73 $8,000.40 $5,404.99 2026-02-20
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 24 24 $9,260.00 $6,482.00 30% off $1,776.06 $8,889.60 $5,463.40 2026-02-20
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 9 9 $6,689.37 $4,682.56 30% off $3,344.69 $6,421.80 $5,512.04 2026-02-20
312 MS_DRG Syncope And Collapse 9 9 $6,726.63 $4,708.64 30% off $3,363.31 $6,457.56 $5,542.74 2026-02-20
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 9 9 $6,972.47 $4,880.73 30% off $3,486.24 $6,693.57 $5,745.32 2026-02-20
291 MS_DRG Heart Failure And Shock With Mcc 9 9 $7,395.59 $5,176.91 30% off $3,697.79 $7,099.76 $6,093.96 2026-02-20
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 9 9 $7,882.25 $5,517.57 30% off $3,941.12 $7,566.96 $6,494.97 2026-02-20
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 9 9 $8,303.44 $5,812.40 30% off $4,151.72 $7,971.30 $6,842.03 2026-02-20
J1306 HCPCS Injection, Inclisiran, 1 Mg 24 24 $12,558.00 $8,790.60 30% off $4,023.28 $12,055.68 $7,409.22 2026-02-20
A9547 HCPCS Indium In-111 Oxyquinoline, Diagnostic, Per 0.5 Millicurie 18 18 $10,781.65 $7,547.16 30% off $5,390.83 $10,350.38 $7,455.51 2026-02-20
A9521 HCPCS Technetium Tc-99m Exametazime, Diagnostic, Per Study Dose, Up To 25 Millicuries 18 18 $10,805.38 $7,563.77 30% off $5,402.69 $10,373.16 $7,471.92 2026-02-20
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 10 10 $9,072.78 $6,350.94 30% off $4,536.39 $18,342.78 $7,548.55 2026-02-20
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 9 9 $9,251.50 $6,476.05 30% off $4,625.75 $8,881.44 $7,623.24 2026-02-20
90375 HCPCS Rabies Immune Globulin For Injection 24 24 $12,951.90 $9,066.33 30% off $2,833.27 $12,433.82 $7,641.62 2026-02-20
C1764 HCPCS Event Recorder, Cardiac (implantable) 18 18 $11,250.00 $7,875.00 30% off $5,625.00 $10,800.00 $7,779.38 2026-02-20
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 9 9 $9,566.65 $6,696.66 30% off $4,783.33 $9,183.98 $7,882.92 2026-02-20
90377 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 24 24 $13,517.70 $9,462.39 30% off $2,833.27 $12,976.99 $7,975.44 2026-02-20
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 9 9 $9,824.76 $6,877.33 30% off $4,912.38 $9,431.77 $8,095.60 2026-02-20
639 MS_DRG Diabetes Without Cc/mcc 9 9 $10,208.10 $7,145.67 30% off $5,104.05 $9,799.78 $8,411.47 2026-02-20
92 MS_DRG Other Disorders Of Nervous System With Cc 10 10 $10,678.08 $7,474.65 30% off $5,339.04 $23,038.08 $8,884.15 2026-02-20
948 MS_DRG Signs And Symptoms Without Mcc 10 10 $10,931.90 $7,652.33 30% off $5,465.95 $23,291.90 $9,095.34 2026-02-20
189 MS_DRG Pulmonary Edema And Respiratory Failure 9 9 $11,129.81 $7,790.86 30% off $5,564.90 $10,684.61 $9,170.96 2026-02-20
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 24 24 $11,337.40 $7,936.18 30% off $5,668.70 $15,878.66 $9,296.67 2026-02-20
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 24 24 $15,848.10 $11,093.67 30% off $4,023.28 $15,214.18 $9,350.38 2026-02-20
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 9 9 $11,879.20 $8,315.44 30% off $5,939.60 $11,404.03 $9,788.46 2026-02-20
607 MS_DRG Minor Skin Disorders Without Mcc 9 9 $12,163.83 $8,514.68 30% off $6,081.92 $11,677.28 $10,023.00 2026-02-20
947 MS_DRG Signs And Symptoms With Mcc 9 9 $12,779.62 $8,945.73 30% off $6,389.81 $12,268.43 $10,530.41 2026-02-20
177 MS_DRG Respiratory Infections And Inflammations With Mcc 9 9 $12,864.49 $9,005.15 30% off $6,432.25 $12,349.91 $10,600.34 2026-02-20
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 24 24 $22,648.00 $15,853.60 30% off $217.83 $21,742.08 $13,362.32 2026-02-20
J3101 HCPCS Injection, Tenecteplase, 1 Mg 24 24 $26,437.10 $18,505.97 30% off $9,960.73 $25,379.62 $15,597.89 2026-02-20
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 9 9 $23,457.38 $16,420.16 30% off $11,728.69 $22,519.08 $19,328.88 2026-02-20
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 10 10 $31,077.93 $21,754.55 30% off $15,538.97 $71,247.93 $25,856.83 2026-02-20
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