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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

SULLIVAN COUNTY COMMUNITY HOSPITAL

Sullivan, IN · CCN 151327 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $872 across 19 payers · range $558-$1,984

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSCCHSullivanIN&type=CDMWithoutLabel&fileType=CSV · observed 2026-01-02

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.

2,859 distinct procedures filed
22 distinct payers
67,805 rate rows
2026-01-02 last MRF observed
Data quality

67,560 of 67,805 rate rows are consumer-grade (99.6%)

245 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 133
percent-of-charges filed in the dollar field — excluded from medians 60
placeholder amount (≤ $0.02) — excluded from medians 28
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 15
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSCCHSullivanIN&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Sullivan.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-26
Content fingerprint 584e4e50d3b16db9… · 24,857,969 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
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 19 $21.31 $26,298.75 $9,374.73 nat. median
$162
outlier · 57.9×
C1776
HCPCS 		Joint Device (implantable) 18 $5,387.99 $17,959.97 $7,949.98 nat. median
$3,394
outlier · 2.3×
395000950
CDM 		Operating Room Services - Minor Surgery 15 $6,607.50 $18,721.25 $7,849.71 nat. median
$7,850
1.0× median
J0600
HCPCS 		Injection, Edetate Calcium Disodium, Up To 1000 Mg 19 $5,654.74 $19,707.95 $7,025.30 nat. median
$6,729
1.0× median
J9332
HCPCS 		Injection, Efgartigimod Alfa-fcab, 2mg 19 $32.15 $18,416.38 $6,564.90 nat. median
$112
outlier · 58.4×
J0517
HCPCS 		Injection, Benralizumab, 1 Mg 19 $164.59 $17,226.10 $6,140.60 nat. median
$919
outlier · 6.7×
65820
HCPCS 		Incision To Improve Eye Fluid Flow 19 $3,981.60 $13,272.00 $5,837.03 nat. median
$4,095
1.4× median
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 19 $89.34 $15,644.82 $5,576.92 nat. median
$1,646
outlier · 3.4×
J9312
HCPCS 		Injection, Rituximab, 10 Mg 19 $75.22 $14,254.87 $5,081.44 nat. median
$1,071
outlier · 4.7×
J0480
HCPCS 		Injection, Basiliximab, 20 Mg 19 $3,621.98 $10,262.27 $4,693.26 nat. median
$6,695
0.7× median
C1889
HCPCS 		Implantable/insertable Device, Not Otherwise Classified 18 $3,117.00 $10,390.00 $4,599.14 nat. median
$2,369
1.9× median
Q5111
HCPCS 		Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 19 $106.33 $12,669.04 $4,516.14 nat. median
$1,982
outlier · 2.3×
90375
HCPCS 		Rabies Immune Globulin For Injection 19 $279.85 $10,172.22 $4,123.91 nat. median
$1,056
outlier · 3.9×
Q5119
HCPCS 		Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 19 $27.85 $10,875.65 $3,876.85 nat. median
$826
outlier · 4.7×
J2182
HCPCS 		Injection, Mepolizumab, 1 Mg 19 $31.27 $10,867.73 $3,874.03 nat. median
$2,791
1.4× median
J0630
HCPCS 		Injection, Calcitonin Salmon, Up To 400 Units 18 $1,575.00 $9,504.36 $3,686.57 nat. median
$1,894
1.9× median
66982
HCPCS 		Complex Removal Of Cataract With Insertion Of Prosthetic Lens 19 $2,357.81 $8,317.00 $3,657.82 nat. median
$2,954
1.2× median
27691
HCPCS 		Transfer Of Deep Tendon Of Foot With Muscle Rerouting 19 $555.77 $17,948.00 $3,632.70 nat. median
$6,958
0.5× median
36571
HCPCS 		Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 19 $2,476.80 $8,256.00 $3,630.99 nat. median
$3,396
1.1× median
C1763
HCPCS 		Connective Tissue, Non-human (includes Synthetic) 18 $2,176.94 $7,256.45 $3,212.07 nat. median
$2,299
1.4× median
J7336
HCPCS 		Capsaicin 8% Patch, Per Square Centimeter 19 $3.42 $10,082.16 $3,054.89 nat. median
$6
outlier · 518.7×
66986
HCPCS 		Exchange Of Prosthetic Lens 19 $1,852.50 $6,175.00 $2,715.77 nat. median
$2,898
0.9× median
49320
HCPCS 		Diagnostic Exam Of Abdomen Using An Endoscope 19 $239.74 $14,796.00 $2,687.40 nat. median
$5,645
outlier · 0.5×
J1569
HCPCS 		Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 19 $45.31 $7,502.63 $2,674.47 nat. median
$1,070
outlier · 2.5×
15110
HCPCS 		Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area… 19 $1,768.80 $5,896.00 $2,593.06 nat. median
$2,190
1.2× median
15115
HCPCS 		Outer Layer Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around E… 19 $1,768.80 $5,896.00 $2,593.06 nat. median
$2,169
1.2× median
P9073
HCPCS 		Platelets, Pheresis, Pathogen-reduced, Each Unit 19 $607.43 $5,786.00 $2,544.68 nat. median
$830
outlier · 3.1×
58561
HCPCS 		Removal Of Growth Of Muscle Of Uterus Using An Endoscope 19 $289.81 $13,289.00 $2,518.35 nat. median
$5,028
0.5× median
05912
HCPCS 		Union Vag Del Only After Prev 4 $1,855.50 $2,474.00 $2,474.00 nat. median
$2,474
1.0× median
315120001
CDM 		Operating Room Services - General Classification 15 $2,070.30 $5,865.85 $2,459.52 nat. median
$2,460
1.0× median
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 19 $12.07 $6,774.50 $2,414.91 nat. median
$681
outlier · 3.5×
Q5115
HCPCS 		Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 19 $29.38 $12,829.11 $2,414.89 nat. median
$840
outlier · 2.9×
10180
HCPCS 		Complex Drainage Of Wound Infection After Surgery 19 $128.37 $8,033.00 $2,409.90 nat. median
$2,863
0.8× median
C1788
HCPCS 		Port, Indwelling (implantable) 18 $1,624.20 $5,414.00 $2,396.51 nat. median
$663
outlier · 3.6×
315010008
CDM 		Operating Room Services - General Classification 15 $1,983.90 $5,621.05 $2,356.87 nat. median
$2,357
1.0× median
A2007
HCPCS 		Restrata, Per Square Centimeter 19 $47.71 $6,375.00 $2,345.56 nat. median
$346
outlier · 6.8×
59400
HCPCS 		Vaginal Delivery With Care Before And After Delivery 19 $1,336.57 $5,319.00 $2,263.19 nat. median
$3,137
0.7× median
59510
HCPCS 		Cesarean Delivery With Care Before And After Delivery 19 $1,513.47 $5,903.00 $2,263.19 nat. median
$3,648
0.6× median
J1602
HCPCS 		Injection, Golimumab, 1 Mg, For Intravenous Use 19 $11.04 $6,066.54 $2,162.54 nat. median
$273
outlier · 7.9×
315010006
CDM 		Operating Room Services - General Classification 15 $1,817.10 $5,148.45 $2,158.71 nat. median
$2,159
1.0× median
395002300
CDM 		Operating Room Services - Minor Surgery 15 $1,795.46 $5,087.14 $2,133.01 nat. median
$2,133
1.0× median
395002350
CDM 		Operating Room Services - Minor Surgery 15 $1,790.39 $5,072.77 $2,126.98 nat. median
$2,127
1.0× median
19103
HCPCS 		Operating Room Services - General Classification 18 $1,420.20 $4,734.00 $2,095.51 nat. median
$2,060
1.0× median
15120
HCPCS 		Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 19 $569.99 $10,188.00 $2,091.00 nat. median
$3,640
0.6× median
27447
HCPCS 		Replacement Of Knee Joint, Both Sides Of Knee 19 $1,062.40 $2,941.00 $2,089.40 nat. median
$12,734
outlier · 0.2×
27828
HCPCS 		Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 19 $961.24 $3,415.00 $2,057.50 nat. median
$10,568
outlier · 0.2×
C1897
HCPCS 		Lead, Neurostimulator Test Kit (implantable) 18 $1,379.27 $4,597.55 $2,035.11 nat. median
$1,177
1.7× median
J3032
HCPCS 		Injection, Eptinezumab-jjmr, 1 Mg 19 $19.19 $5,706.83 $2,034.32 nat. median
$76
outlier · 26.9×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 19 $28.75 $5,691.01 $2,028.68 nat. median
$1,972
1.0× median
315010004
CDM 		Operating Room Services - General Classification 15 $1,687.20 $4,780.40 $2,004.39 nat. median
$2,004
1.0× median

Other procedures at this hospital

Browse this hospital's 2,859 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
             
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 19 19 $30,939.70 $23,204.78 25% off $21.31 $26,298.75 $9,374.73 2026-01-02
C1776 HCPCS Joint Device (implantable) 18 18 $17,959.97 $13,469.98 25% off $5,387.99 $17,959.97 $7,949.98 2026-01-02
395000950 CDM Operating Room Services - Minor Surgery 15 15 $22,025.00 $16,518.75 25% off $6,607.50 $18,721.25 $7,849.71 2026-01-02
J0600 HCPCS Injection, Edetate Calcium Disodium, Up To 1000 Mg 19 19 $23,185.82 $17,389.37 25% off $5,654.74 $19,707.95 $7,025.30 2026-01-02
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 19 19 $21,666.33 $16,249.75 25% off $32.15 $18,416.38 $6,564.90 2026-01-02
J0517 HCPCS Injection, Benralizumab, 1 Mg 19 19 $20,266.00 $15,199.50 25% off $164.59 $17,226.10 $6,140.60 2026-01-02
65820 HCPCS Incision To Improve Eye Fluid Flow 19 19 $13,272.00 $9,954.00 25% off $3,981.60 $13,272.00 $5,837.03 2026-01-02
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 19 19 $18,405.67 $13,804.25 25% off $89.34 $15,644.82 $5,576.92 2026-01-02
J9312 HCPCS Injection, Rituximab, 10 Mg 19 19 $16,770.43 $12,577.82 25% off $75.22 $14,254.87 $5,081.44 2026-01-02
J0480 HCPCS Injection, Basiliximab, 20 Mg 19 19 $12,073.26 $9,054.95 25% off $3,621.98 $10,262.27 $4,693.26 2026-01-02
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 18 18 $10,390.00 $7,792.50 25% off $3,117.00 $10,390.00 $4,599.14 2026-01-02
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 19 19 $14,904.75 $11,178.56 25% off $106.33 $12,669.04 $4,516.14 2026-01-02
90375 HCPCS Rabies Immune Globulin For Injection 34 19 $11,571.02 $8,678.27 25% off $279.85 $10,172.22 $4,123.91 2026-01-02
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 19 19 $12,794.88 $9,596.16 25% off $27.85 $10,875.65 $3,876.85 2026-01-02
J2182 HCPCS Injection, Mepolizumab, 1 Mg 19 19 $12,785.57 $9,589.18 25% off $31.27 $10,867.73 $3,874.03 2026-01-02
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 18 18 $11,181.60 $8,386.20 25% off $1,575.00 $9,504.36 $3,686.57 2026-01-02
66982 HCPCS Complex Removal Of Cataract With Insertion Of Prosthetic Lens 19 19 $8,317.00 $6,237.75 25% off $2,357.81 $8,317.00 $3,657.82 2026-01-02
27691 HCPCS Transfer Of Deep Tendon Of Foot With Muscle Rerouting 38 19 $9,914.50 $7,435.88 25% off $555.77 $17,948.00 $3,632.70 2026-01-02
36571 HCPCS Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 19 19 $8,256.00 $6,192.00 25% off $2,476.80 $8,256.00 $3,630.99 2026-01-02
C1763 HCPCS Connective Tissue, Non-human (includes Synthetic) 18 18 $7,256.45 $5,442.34 25% off $2,176.94 $7,256.45 $3,212.07 2026-01-02
J7336 HCPCS Capsaicin 8% Patch, Per Square Centimeter 37 19 $5,041.08 $3,780.81 25% off $3.42 $10,082.16 $3,054.89 2026-01-02
66986 HCPCS Exchange Of Prosthetic Lens 19 19 $6,175.00 $4,631.25 25% off $1,852.50 $6,175.00 $2,715.77 2026-01-02
49320 HCPCS Diagnostic Exam Of Abdomen Using An Endoscope 38 19 $7,866.00 $5,899.50 25% off $239.74 $14,796.00 $2,687.40 2026-01-02
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 19 19 $8,826.62 $6,619.97 25% off $45.31 $7,502.63 $2,674.47 2026-01-02
15110 HCPCS Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area… 19 19 $5,896.00 $4,422.00 25% off $1,768.80 $5,896.00 $2,593.06 2026-01-02
15115 HCPCS Outer Layer Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around E… 19 19 $5,896.00 $4,422.00 25% off $1,768.80 $5,896.00 $2,593.06 2026-01-02
P9073 HCPCS Platelets, Pheresis, Pathogen-reduced, Each Unit 19 19 $5,786.00 $4,339.50 25% off $607.43 $5,786.00 $2,544.68 2026-01-02
58561 HCPCS Removal Of Growth Of Muscle Of Uterus Using An Endoscope 38 19 $7,169.50 $5,377.12 25% off $289.81 $13,289.00 $2,518.35 2026-01-02
05912 HCPCS Union Vag Del Only After Prev 4 4 $2,474.00 $1,855.50 25% off $1,855.50 $2,474.00 $2,474.00 2026-01-02
315120001 CDM Operating Room Services - General Classification 15 15 $6,901.00 $5,175.75 25% off $2,070.30 $5,865.85 $2,459.52 2026-01-02
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 19 19 $7,970.00 $5,977.50 25% off $12.07 $6,774.50 $2,414.91 2026-01-02
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 34 19 $15,093.07 $11,319.80 25% off $29.38 $12,829.11 $2,414.89 2026-01-02
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 60 19 $7,650.00 $5,737.50 25% off $128.37 $8,033.00 $2,409.90 2026-01-02
C1788 HCPCS Port, Indwelling (implantable) 18 18 $5,414.00 $4,060.50 25% off $1,624.20 $5,414.00 $2,396.51 2026-01-02
315010008 CDM Operating Room Services - General Classification 15 15 $6,613.00 $4,959.75 25% off $1,983.90 $5,621.05 $2,356.87 2026-01-02
A2007 HCPCS Restrata, Per Square Centimeter 34 19 $6,581.25 $4,935.94 25% off $47.71 $6,375.00 $2,345.56 2026-01-02
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 19 19 $5,319.00 $3,989.25 25% off $1,336.57 $5,319.00 $2,263.19 2026-01-02
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 19 19 $5,903.00 $4,427.25 25% off $1,513.47 $5,903.00 $2,263.19 2026-01-02
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 19 19 $7,137.11 $5,352.83 25% off $11.04 $6,066.54 $2,162.54 2026-01-02
315010006 CDM Operating Room Services - General Classification 15 15 $6,057.00 $4,542.75 25% off $1,817.10 $5,148.45 $2,158.71 2026-01-02
395002300 CDM Operating Room Services - Minor Surgery 15 15 $5,984.87 $4,488.65 25% off $1,795.46 $5,087.14 $2,133.01 2026-01-02
395002350 CDM Operating Room Services - Minor Surgery 15 15 $5,967.96 $4,475.97 25% off $1,790.39 $5,072.77 $2,126.98 2026-01-02
19103 HCPCS Operating Room Services - General Classification 18 18 $4,734.00 $3,550.50 25% off $1,420.20 $4,734.00 $2,095.51 2026-01-02
15120 HCPCS Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 42 19 $2,091.00 $1,568.25 25% off $569.99 $10,188.00 $2,091.00 2026-01-02
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 19 19 $2,941.00 $2,205.75 25% off $1,062.40 $2,941.00 $2,089.40 2026-01-02
27828 HCPCS Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 19 19 $3,415.00 $2,561.25 25% off $961.24 $3,415.00 $2,057.50 2026-01-02
C1897 HCPCS Lead, Neurostimulator Test Kit (implantable) 18 18 $4,597.55 $3,448.16 25% off $1,379.27 $4,597.55 $2,035.11 2026-01-02
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 19 19 $6,713.92 $5,035.44 25% off $19.19 $5,706.83 $2,034.32 2026-01-02
J0897 HCPCS Injection, Denosumab, 1 Mg 19 19 $6,695.30 $5,021.48 25% off $28.75 $5,691.01 $2,028.68 2026-01-02
315010004 CDM Operating Room Services - General Classification 15 15 $5,624.00 $4,218.00 25% off $1,687.20 $4,780.40 $2,004.39 2026-01-02
57065 HCPCS Extensive Destruction Of Growth Of Vagina 31 19 $6,624.00 $4,968.00 25% off $130.22 $6,624.00 $1,987.20 2026-01-02
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 19 19 $2,984.00 $2,238.00 25% off $1,063.97 $2,984.00 $1,975.00 2026-01-02
58563 HCPCS Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope 38 19 $5,634.50 $4,225.88 25% off $200.40 $10,546.00 $1,943.40 2026-01-02
28005 HCPCS Incision Of Foot Bone 38 19 $4,762.00 $3,571.50 25% off $465.98 $8,072.00 $1,936.80 2026-01-02
315000004 CDM Operating Room Services - General Classification 15 15 $5,367.00 $4,025.25 25% off $1,610.10 $4,561.95 $1,912.80 2026-01-02
C1713 HCPCS Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 18 18 $4,303.04 $3,227.28 25% off $1,290.91 $4,303.04 $1,904.74 2026-01-02
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 19 19 $2,872.00 $2,154.00 25% off $802.15 $2,872.00 $1,887.30 2026-01-02
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 19 19 $6,082.68 $4,562.01 25% off $192.64 $5,170.28 $1,843.05 2026-01-02
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 18 18 $4,139.47 $3,104.60 25% off $1,241.84 $4,139.47 $1,832.34 2026-01-02
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 19 19 $6,039.00 $4,529.25 25% off $301.88 $5,133.15 $1,829.82 2026-01-02
315010002 CDM Operating Room Services - General Classification 15 15 $5,130.00 $3,847.50 25% off $1,539.00 $4,360.50 $1,828.33 2026-01-02
J0875 HCPCS Injection, Dalbavancin, 5 Mg 19 19 $5,986.89 $4,490.17 25% off $15.61 $5,088.86 $1,814.03 2026-01-02
395002778 CDM Operating Room Services - Minor Surgery 15 15 $5,043.00 $3,782.25 25% off $1,512.90 $4,286.55 $1,797.33 2026-01-02
J2315 HCPCS Injection, Naltrexone, Depot Form, 1 Mg 19 19 $5,858.76 $4,394.07 25% off $4.24 $4,979.95 $1,775.20 2026-01-02
15002 HCPCS Preparation Of Skin Graft Site Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body A… 31 19 $5,896.00 $4,422.00 25% off $169.58 $5,896.00 $1,768.80 2026-01-02
15100 HCPCS Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod… 42 19 $2,072.00 $1,554.00 25% off $521.07 $5,896.00 $1,768.80 2026-01-02
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 19 19 $5,832.16 $4,374.12 25% off $1,073.15 $4,957.34 $1,767.14 2026-01-02
315189017 CDM Operating Room Services - General Classification 15 15 $4,873.00 $3,654.75 25% off $1,461.90 $4,142.05 $1,736.74 2026-01-02
J0139 HCPCS Injection, Adalimumab, 1 Mg 18 18 $5,200.87 $3,900.65 25% off $90.86 $4,420.74 $1,714.72 2026-01-02
28060 HCPCS Partial Removal Of Connective Tissue At Sole Of Foot 38 19 $4,576.50 $3,432.38 25% off $276.62 $8,248.00 $1,689.70 2026-01-02
J3262 HCPCS Injection, Tocilizumab, 1 Mg 49 19 $4,740.63 $3,555.47 25% off $5.71 $8,059.08 $1,689.56 2026-01-02
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 19 19 $5,552.32 $4,164.24 25% off $179.20 $4,719.47 $1,682.35 2026-01-02
28124 HCPCS Partial Removal Of Toe Bone 38 19 $4,564.50 $3,423.38 25% off $258.28 $8,248.00 $1,677.70 2026-01-02
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 19 19 $3,363.00 $2,522.25 25% off $1,126.33 $3,363.00 $1,673.90 2026-01-02
28575 HCPCS Closed Treatment Of Dislocated Ankle Joint Under Anesthesia 38 19 $4,545.00 $3,408.75 25% off $218.88 $8,248.00 $1,658.20 2026-01-02
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 94 19 $5,526.36 $4,144.77 25% off $2.93 $7,283.86 $1,657.91 2026-01-02
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 19 19 $5,441.93 $4,081.45 25% off $162.17 $4,625.64 $1,648.90 2026-01-02
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 19 19 $5,403.79 $4,052.84 25% off $44.11 $4,593.22 $1,637.35 2026-01-02
J7327 HCPCS Hyaluronan Or Derivative, Monovisc, For Intra-articular Injection, Per Dose 19 19 $5,355.00 $4,016.25 25% off $636.59 $4,551.75 $1,622.57 2026-01-02
J1451 HCPCS Injection, Fomepizole, 15 Mg 19 19 $5,355.00 $4,016.25 25% off $6.28 $4,551.75 $1,622.57 2026-01-02
19083 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth 19 19 $4,523.00 $3,392.25 25% off $702.08 $3,844.55 $1,612.00 2026-01-02
56740 HCPCS Removal Of Cyst Of Female Genital Gland 38 19 $4,240.00 $3,180.00 25% off $226.75 $7,602.00 $1,579.30 2026-01-02
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 19 19 $5,161.83 $3,871.37 25% off $1.11 $4,387.56 $1,564.03 2026-01-02
27766 HCPCS Treatment Of Inside Portion Of Broken Shin Bone At Ankle 42 19 $1,564.00 $1,173.00 25% off $446.06 $19,616.00 $1,564.00 2026-01-02
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 19 19 $2,176.00 $1,632.00 25% off $626.12 $2,176.00 $1,551.90 2026-01-02
315000020 CDM Operating Room Services - General Classification 15 15 $4,335.00 $3,251.25 25% off $1,300.50 $3,684.75 $1,544.99 2026-01-02
302100015 CDM Intensive Care Unit - General Classification 12 12 $3,329.00 $2,496.75 25% off $954.42 $2,829.65 $1,523.35 2026-01-02
20220 HCPCS Biopsy Of Bone Using Needle Or Trocar 56 19 $4,012.00 $3,009.00 25% off $60.95 $5,069.00 $1,520.70 2026-01-02
28001 HCPCS Drainage Of Fluid Filled Sac In Foot 31 19 $5,069.00 $3,801.75 25% off $82.61 $5,069.00 $1,520.70 2026-01-02
27236 HCPCS Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device… 19 19 $2,700.00 $2,025.00 25% off $885.42 $2,700.00 $1,514.40 2026-01-02
58558 HCPCS Biopsy Of Lining Of Uterus And/or Removal Of Polyp Using An Endoscope 38 19 $4,139.50 $3,104.62 25% off $188.81 $7,605.00 $1,477.75 2026-01-02
042011426 CDM Paxlovid 150-100 Mg Pack (eua) 15 15 $4,139.77 $3,104.83 25% off $1,241.93 $3,518.80 $1,475.41 2026-01-02
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 19 19 $4,852.00 $3,639.00 25% off $262.99 $4,124.20 $1,470.16 2026-01-02
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 19 19 $4,852.00 $3,639.00 25% off $277.61 $4,124.20 $1,470.16 2026-01-02
58120 HCPCS Dilation And Scraping Of Uterus 38 19 $4,124.00 $3,093.00 25% off $164.93 $7,602.00 $1,463.30 2026-01-02
28008 HCPCS Incision Of Connective Tissue Of Foot And/or Toe 38 19 $3,816.00 $2,862.00 25% off $232.57 $6,726.00 $1,461.90 2026-01-02
23474 HCPCS Revision Of Total Shoulder Repair, Total Shoulder 12 12 $3,980.00 $2,985.00 25% off $1,424.27 $3,980.00 $1,461.07 2026-01-02
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 19 19 $4,816.50 $3,612.38 25% off $283.55 $4,094.03 $1,459.40 2026-01-02
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 19 19 $4,795.20 $3,596.40 25% off $282.31 $4,075.92 $1,452.95 2026-01-02
70553 HCPCS MRI Scan Of Brain Before And After Contrast 19 19 $4,789.75 $3,592.31 25% off $193.88 $4,071.29 $1,451.29 2026-01-02
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 19 19 $4,781.00 $3,585.75 25% off $194.13 $4,063.85 $1,448.64 2026-01-02
73720 HCPCS MRI Scan Of Leg Before And After Contrast 19 19 $4,781.00 $3,585.75 25% off $284.54 $4,063.85 $1,448.64 2026-01-02
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 19 19 $4,763.25 $3,572.44 25% off $194.37 $4,048.76 $1,443.26 2026-01-02
28705 HCPCS Fusion Of All Bones Of Ankle And Hindfoot 19 19 $3,139.00 $2,354.25 25% off $992.69 $3,139.00 $1,438.11 2026-01-02
28010 HCPCS Repair Of Toe Tendon 60 19 $4,026.00 $3,019.50 25% off $160.50 $5,075.00 $1,434.87 2026-01-02
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 19 19 $4,700.00 $3,525.00 25% off $262.00 $3,995.00 $1,424.10 2026-01-02
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 60 19 $4,504.00 $3,378.00 25% off $186.72 $4,729.00 $1,418.70 2026-01-02
042011428 CDM Paxlovid 300-100 Mg Dose Pack 15 15 $3,961.50 $2,971.13 25% off $1,188.45 $3,367.28 $1,411.88 2026-01-02
312000008 CDM Intensive Care Unit - General Classification 12 12 $3,076.00 $2,307.00 25% off $881.89 $2,614.60 $1,407.58 2026-01-02
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 19 19 $4,612.44 $3,459.33 25% off $6.50 $3,920.57 $1,397.57 2026-01-02
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 19 19 $2,213.00 $1,659.75 25% off $737.68 $2,213.00 $1,381.20 2026-01-02
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 73 19 $3,788.00 $2,841.00 25% off $441.90 $3,902.00 $1,371.71 2026-01-02
27870 HCPCS Fusion Of Ankle Joint, Open Procedure 19 19 $2,525.00 $1,893.75 25% off $782.51 $2,525.00 $1,352.60 2026-01-02
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 65 19 $4,504.00 $3,378.00 25% off $75.80 $4,729.00 $1,351.20 2026-01-02
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 19 19 $4,457.09 $3,342.82 25% off $89.84 $3,788.53 $1,350.50 2026-01-02
49020 HCPCS Drainage Of Abdominal Abscess Or Infection 19 19 $4,447.00 $3,335.25 25% off $1,153.38 $4,447.00 $1,349.39 2026-01-02
56441 HCPCS Removal Of Scar Tissue Of Female Genitals 38 19 $4,010.00 $3,007.50 25% off $108.02 $7,602.00 $1,349.30 2026-01-02
28415 HCPCS Treatment Of Broken Heel Bone 19 19 $2,789.00 $2,091.75 25% off $850.42 $2,789.00 $1,348.49 2026-01-02
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 19 19 $4,424.00 $3,318.00 25% off $231.04 $3,760.40 $1,340.47 2026-01-02
74182 HCPCS MRI Scan Of Abdomen With Contrast 19 19 $4,424.00 $3,318.00 25% off $263.24 $3,760.40 $1,340.47 2026-01-02
73722 HCPCS MRI Scan Of Leg Joint With Contrast 19 19 $4,424.00 $3,318.00 25% off $218.40 $3,760.40 $1,340.47 2026-01-02
58552 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.… 19 19 $2,792.00 $2,094.00 25% off $747.69 $2,792.00 $1,327.01 2026-01-02
302100014 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,890.00 $2,167.50 25% off $828.56 $2,456.50 $1,322.46 2026-01-02
315010000 CDM Operating Room Services - General Classification 15 15 $3,708.00 $2,781.00 25% off $1,112.40 $3,151.80 $1,321.53 2026-01-02
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 19 19 $4,359.50 $3,269.63 25% off $167.37 $3,705.58 $1,320.93 2026-01-02
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 19 19 $4,359.50 $3,269.63 25% off $168.36 $3,705.58 $1,320.93 2026-01-02
15738 HCPCS Creation Of Muscle Graft To Leg 19 19 $3,261.00 $2,445.75 25% off $934.22 $3,261.00 $1,318.90 2026-01-02
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 19 19 $4,338.00 $3,253.50 25% off $170.59 $3,687.30 $1,314.41 2026-01-02
73222 HCPCS MRI Scan Of Arm Joint With Contrast 19 19 $4,338.00 $3,253.50 25% off $214.93 $3,687.30 $1,314.41 2026-01-02
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 18 18 $2,944.33 $2,208.25 25% off $883.30 $2,502.68 $1,311.70 2026-01-02
28420 HCPCS Treatment Of Broken Heel Bone With Graft 19 19 $3,195.00 $2,396.25 25% off $896.57 $3,195.00 $1,311.18 2026-01-02
70552 HCPCS MRI Scan Of Brain With Contrast 19 19 $4,295.00 $3,221.25 25% off $169.60 $3,650.75 $1,301.39 2026-01-02
73719 HCPCS MRI Scan Of Leg With Contrast 19 19 $4,295.00 $3,221.25 25% off $235.25 $3,650.75 $1,301.39 2026-01-02
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 19 19 $4,281.00 $3,210.75 25% off $877.34 $3,638.85 $1,297.14 2026-01-02
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 19 19 $4,281.00 $3,210.75 25% off $877.34 $3,638.85 $1,297.14 2026-01-02
29827 HCPCS Repair Of Shoulder Rotator Cuff Using An Endoscope 19 19 $2,465.00 $1,848.75 25% off $808.30 $2,465.00 $1,294.10 2026-01-02
11422 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2… 60 19 $4,032.00 $3,024.00 25% off $95.46 $4,234.00 $1,270.20 2026-01-02
20692 HCPCS Placement Of Multiple Direction External Bone Stabilizing Device To Arm Or Leg 19 19 $2,907.00 $2,180.25 25% off $752.94 $2,907.00 $1,264.46 2026-01-02
307130000 CDM Vaginal Delivery 15 15 $3,536.00 $2,652.00 25% off $1,060.80 $3,005.60 $1,260.23 2026-01-02
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 34 19 $4,169.11 $3,126.83 25% off $31.09 $3,543.74 $1,250.73 2026-01-02
J1571 HCPCS Injection, Hepatitis B Immune Globulin (hepagam B), Intramuscular, 0.5 Ml 19 19 $2,828.23 $2,121.17 25% off $66.64 $2,828.23 $1,243.86 2026-01-02
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 49 19 $2,355.00 $1,766.25 25% off $72.61 $8,469.00 $1,242.50 2026-01-02
58544 HCPCS Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using … 19 19 $2,571.00 $1,928.25 25% off $741.76 $2,571.00 $1,240.63 2026-01-02
28262 HCPCS Extensive Repair Of Foot Defect With Tendon Lengthening And Relief Of Tension In… 19 19 $2,788.00 $2,091.00 25% off $853.17 $2,788.00 $1,235.72 2026-01-02
26590 HCPCS Repair Of Enlarged Finger 12 12 $3,300.00 $2,475.00 25% off $929.76 $3,300.00 $1,235.42 2026-01-02
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 19 19 $3,447.88 $2,585.91 25% off $280.83 $2,930.70 $1,228.82 2026-01-02
307130001 CDM C-section Delivery 15 15 $3,444.00 $2,583.00 25% off $1,033.20 $2,927.40 $1,227.44 2026-01-02
27842 HCPCS Closed Treatment Of Dislocated Ankle Under Anesthesia 38 19 $2,646.00 $1,984.50 25% off $353.16 $4,057.00 $1,217.10 2026-01-02
58550 HCPCS Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less 19 19 $2,738.00 $2,053.50 25% off $677.00 $2,738.00 $1,213.60 2026-01-02
J7318 HCPCS Hyaluronan Or Derivative, Durolane, For Intra-articular Injection, 1 Mg 19 19 $3,980.55 $2,985.41 25% off $6.77 $3,383.47 $1,206.11 2026-01-02
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 19 19 $2,864.00 $2,148.00 25% off $758.85 $2,864.00 $1,202.18 2026-01-02
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 19 19 $3,965.00 $2,973.75 25% off $356.43 $3,370.25 $1,201.40 2026-01-02
302100013 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,613.00 $1,959.75 25% off $749.15 $2,221.05 $1,195.71 2026-01-02
27640 HCPCS Partial Removal Of Shin Bone 19 19 $2,096.00 $1,572.00 25% off $641.49 $2,096.00 $1,195.50 2026-01-02
58180 HCPCS Removal Of Uterus Through Abdomen 19 19 $2,729.00 $2,046.75 25% off $728.73 $2,729.00 $1,193.37 2026-01-02
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 19 19 $3,935.75 $2,951.81 25% off $192.89 $3,345.39 $1,192.53 2026-01-02
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 19 19 $3,922.76 $2,942.07 25% off $144.34 $3,334.35 $1,188.60 2026-01-02
70488 HCPCS CT Scan Of Face Before And After Contrast 19 19 $3,916.00 $2,937.00 25% off $159.20 $3,328.60 $1,186.55 2026-01-02
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 19 19 $3,889.25 $2,916.94 25% off $152.51 $3,305.86 $1,178.44 2026-01-02
27486 HCPCS Revision Of Component Of Total Knee Joint Prosthesis 12 12 $3,221.00 $2,415.75 25% off $1,055.28 $3,221.00 $1,173.81 2026-01-02
58262 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less 19 19 $2,443.00 $1,832.25 25% off $707.70 $2,443.00 $1,171.84 2026-01-02
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 19 19 $3,858.52 $2,893.89 25% off $179.20 $3,279.74 $1,169.13 2026-01-02
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 19 19 $3,855.98 $2,891.99 25% off $179.20 $3,277.58 $1,168.36 2026-01-02
29907 HCPCS Fusion Of Foot Joint Using An Endoscope 19 19 $2,162.00 $1,621.50 25% off $632.14 $2,162.00 $1,167.52 2026-01-02
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 19 19 $3,850.35 $2,887.76 25% off $97.02 $3,272.80 $1,166.66 2026-01-02
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 19 19 $3,839.33 $2,879.50 25% off $179.20 $3,263.43 $1,163.32 2026-01-02
58140 HCPCS Removal Of Growth Of Uterus Through Abdomen, 1-4 Growths 19 19 $2,316.00 $1,737.00 25% off $699.88 $2,316.00 $1,150.79 2026-01-02
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 36 19 $3,874.00 $2,905.50 25% off $75.80 $3,874.00 $1,149.10 2026-01-02
23120 HCPCS Partial Removal Of Collar Bone 19 19 $1,352.00 $1,014.00 25% off $417.60 $1,352.00 $1,148.10 2026-01-02
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 19 19 $3,772.00 $2,829.00 25% off $179.20 $3,206.20 $1,142.92 2026-01-02
315189400 CDM Operating Room Services - General Classification 15 15 $3,199.00 $2,399.25 25% off $959.70 $2,719.15 $1,140.12 2026-01-02
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 19 19 $3,736.00 $2,802.00 25% off $179.20 $3,175.60 $1,132.01 2026-01-02
95805 HCPCS Sleep Study, Multiple Trials 19 19 $3,724.00 $2,793.00 25% off $142.03 $3,165.40 $1,128.37 2026-01-02
58542 HCPCS Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using … 19 19 $2,255.00 $1,691.25 25% off $678.85 $2,255.00 $1,127.15 2026-01-02
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 19 19 $3,711.00 $2,783.25 25% off $156.47 $3,154.35 $1,124.43 2026-01-02
315189173 CDM Operating Room Services - General Classification 15 15 $3,147.00 $2,360.25 25% off $944.10 $2,674.95 $1,121.59 2026-01-02
58740 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes 19 19 $2,531.00 $1,898.25 25% off $668.77 $2,531.00 $1,117.99 2026-01-02
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 19 19 $3,677.00 $2,757.75 25% off $171.09 $3,125.45 $1,114.13 2026-01-02
26236 HCPCS Partial Removal Of Finger Bone At End Of Finger 38 19 $2,482.50 $1,861.88 25% off $316.00 $3,914.00 $1,112.60 2026-01-02
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 19 19 $3,656.50 $2,742.38 25% off $154.49 $3,108.03 $1,107.92 2026-01-02
315180098 CDM Echelon 15 15 $3,096.00 $2,322.00 25% off $928.80 $2,631.60 $1,103.41 2026-01-02
71270 HCPCS CT Scan Of Chest Before And After Contrast 19 19 $3,635.17 $2,726.38 25% off $153.25 $3,089.89 $1,101.46 2026-01-02
20680 HCPCS Removal Of Deep Implant From Bone 42 19 $1,093.00 $819.75 25% off $304.01 $7,650.00 $1,093.00 2026-01-02
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 19 19 $3,602.00 $2,701.50 25% off $154.24 $3,061.70 $1,091.41 2026-01-02
28192 HCPCS Removal Of Foreign Body Of Foot Tissue, Deep 38 19 $2,667.00 $2,000.25 25% off $246.73 $4,504.00 $1,090.60 2026-01-02
315199999 CDM Operating Room Services - General Classification 15 15 $3,053.39 $2,290.04 25% off $916.02 $2,595.38 $1,088.23 2026-01-02
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 19 19 $3,589.80 $2,692.35 25% off $255.31 $3,051.33 $1,087.71 2026-01-02
99291 HCPCS Critical Care, First 30-74 Minutes 70 19 $2,285.64 $1,714.23 25% off $75.80 $3,666.71 $1,084.83 2026-01-02
27880 HCPCS Amputation Of Both Lower Leg Bones 19 19 $2,055.00 $1,541.25 25% off $695.96 $2,055.00 $1,082.00 2026-01-02
23665 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Upper Arm Bone At Shoulder Jo… 19 19 $2,457.00 $1,842.75 25% off $75.80 $2,457.00 $1,080.59 2026-01-02
315189174 CDM Operating Room Services - General Classification 15 15 $3,031.00 $2,273.25 25% off $909.30 $2,576.35 $1,080.25 2026-01-02
28820 HCPCS Amputation Of Toe At Joint Between Forefoot And Toes 38 19 $2,392.00 $1,794.00 25% off $152.01 $3,751.00 $1,079.15 2026-01-02
J2407 HCPCS Injection, Oritavancin (orbactiv), 10 Mg 19 19 $3,554.53 $2,665.90 25% off $28.68 $3,021.35 $1,077.02 2026-01-02
59620 HCPCS Cesarean Delivery Following Vaginal Delivery Attempt After Previous Cesarean Del… 19 19 $2,684.00 $2,013.00 25% off $752.12 $2,684.00 $1,072.59 2026-01-02
59612 HCPCS Vaginal Delivery After Previous Cesarean Delivery 19 19 $2,474.00 $1,855.50 25% off $664.33 $2,474.00 $1,072.59 2026-01-02
302100012 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,333.00 $1,749.75 25% off $668.87 $1,983.05 $1,067.58 2026-01-02
28715 HCPCS Fusion Of 3 Bones Of Ankle 19 19 $2,375.00 $1,781.25 25% off $733.75 $2,375.00 $1,064.47 2026-01-02
56515 HCPCS Extensive Destruction Of Growth Of External Female Genitals 38 19 $2,855.50 $2,141.62 25% off $149.61 $5,121.00 $1,063.15 2026-01-02
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 19 19 $3,488.00 $2,616.00 25% off $204.78 $2,964.80 $1,056.86 2026-01-02
74181 HCPCS MRI Scan Of Abdomen Without Contrast 19 19 $3,466.14 $2,599.61 25% off $183.97 $2,946.22 $1,050.24 2026-01-02
27705 HCPCS Incision Or Partial Removal Of Shin Bone 19 19 $1,811.00 $1,358.25 25% off $569.90 $1,811.00 $1,049.60 2026-01-02
315189005 CDM Operating Room Services - General Classification 15 15 $2,932.00 $2,199.00 25% off $879.60 $2,492.20 $1,044.96 2026-01-02
70551 HCPCS MRI Scan Of Brain Without Contrast 19 19 $3,441.39 $2,581.04 25% off $119.07 $2,925.18 $1,042.74 2026-01-02
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 19 19 $3,440.00 $2,580.00 25% off $240.45 $2,924.00 $1,042.32 2026-01-02
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 19 19 $3,438.98 $2,579.24 25% off $129.47 $2,923.13 $1,042.01 2026-01-02
73218 HCPCS MRI Scan Of Arm Without Contrast 19 19 $3,437.00 $2,577.75 25% off $208.99 $2,921.45 $1,041.41 2026-01-02
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 19 19 $3,437.00 $2,577.75 25% off $241.19 $2,921.45 $1,041.41 2026-01-02
73718 HCPCS MRI Scan Of Leg Without Contrast 19 19 $3,433.60 $2,575.20 25% off $208.99 $2,918.56 $1,040.38 2026-01-02
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 19 19 $3,433.17 $2,574.88 25% off $117.33 $2,918.19 $1,040.25 2026-01-02
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 19 19 $3,432.68 $2,574.51 25% off $129.22 $2,917.78 $1,040.10 2026-01-02
72195 HCPCS MRI Scan Of Pelvis Without Contrast 19 19 $3,431.33 $2,573.50 25% off $211.96 $2,916.63 $1,039.69 2026-01-02
58260 HCPCS Removal Of Uterus Through Vagina, 250.0 G Or Less 19 19 $2,324.00 $1,743.00 25% off $633.12 $2,324.00 $1,039.67 2026-01-02
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 19 19 $3,427.44 $2,570.58 25% off $117.33 $2,913.32 $1,038.51 2026-01-02
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 19 19 $3,420.00 $2,565.00 25% off $117.33 $2,907.00 $1,036.26 2026-01-02
395002075 CDM Operating Room Services - Minor Surgery 15 15 $2,906.00 $2,179.50 25% off $871.80 $2,470.10 $1,035.70 2026-01-02
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 19 19 $1,986.00 $1,489.50 25% off $572.65 $1,986.00 $1,035.60 2026-01-02
27725 HCPCS Fusion Of Nonhealed Broken Shin Bone With Outer Lower Leg Bone 12 12 $2,802.00 $2,101.50 25% off $892.31 $2,802.00 $1,034.94 2026-01-02
27829 HCPCS Treatment Of Ligament Tear At Ankle Joint 19 19 $1,814.00 $1,360.50 25% off $480.45 $1,814.00 $1,027.60 2026-01-02
Q5103 HCPCS Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 19 19 $3,378.23 $2,533.67 25% off $19.99 $2,871.50 $1,023.60 2026-01-02
395001800 CDM Operating Room Services - Minor Surgery 15 15 $2,869.26 $2,151.95 25% off $860.78 $2,438.87 $1,022.60 2026-01-02
395001875 CDM Operating Room Services - Minor Surgery 15 15 $2,865.90 $2,149.43 25% off $859.77 $2,436.02 $1,021.41 2026-01-02
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 19 19 $3,365.71 $2,524.28 25% off $122.78 $2,860.85 $1,019.81 2026-01-02
58541 HCPCS Partial Removal Of Uterus With Retention Of Cervix Using An Endoscope, 250.0 G O… 19 19 $1,983.00 $1,487.25 25% off $601.63 $1,983.00 $1,014.37 2026-01-02
27488 HCPCS Removal Of Total Knee Joint Prosthesis 12 12 $2,761.00 $2,070.75 25% off $891.80 $2,761.00 $1,013.01 2026-01-02
27745 HCPCS Placement Of Stabilizing Device For Shin Bone 19 19 $1,753.00 $1,314.75 25% off $559.05 $1,753.00 $1,001.80 2026-01-02
59150 HCPCS Removal Of Ovarian Or Tubal Pregnancy Using An Endoscope 19 19 $2,155.00 $1,616.25 25% off $581.41 $2,155.00 $1,000.52 2026-01-02
27654 HCPCS Secondary Repair Of Ruptured Achilles Tendon 19 19 $1,780.00 $1,335.00 25% off $538.45 $1,780.00 $999.00 2026-01-02
27652 HCPCS Repair Of Ruptured Achilles Tendon With Graft 19 19 $1,660.00 $1,245.00 25% off $551.68 $1,660.00 $996.20 2026-01-02
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 34 19 $2,872.00 $2,154.00 25% off $155.48 $2,441.20 $993.64 2026-01-02
59151 HCPCS Removal Of Ovarian Or Tubal Pregnancy With Removal Of Ovary And/or Tube Using An… 19 19 $2,104.00 $1,578.00 25% off $568.23 $2,104.00 $992.19 2026-01-02
59409 HCPCS Vaginal Delivery 19 19 $2,238.00 $1,678.50 25% off $593.11 $2,238.00 $987.53 2026-01-02
59514 HCPCS Cesarean Delivery 19 19 $2,490.00 $1,867.50 25% off $702.28 $2,490.00 $987.53 2026-01-02
27641 HCPCS Partial Removal Of Outer Lower Leg Bone 19 19 $1,674.00 $1,255.50 25% off $514.22 $1,674.00 $982.60 2026-01-02
28309 HCPCS Incision Or Partial Removal Of Multiple Foot Bones To Straighten Toes 19 19 $2,221.00 $1,665.75 25% off $680.34 $2,221.00 $977.75 2026-01-02
27709 HCPCS Incision Or Partial Removal Of Shin And Outer Lower Leg Bones 12 12 $2,641.00 $1,980.75 25% off $836.48 $2,641.00 $971.13 2026-01-02
27888 HCPCS Amputation Of Foot At Ankle With Reconstruction Of Skin And Tissue 19 19 $1,609.00 $1,206.75 25% off $480.81 $1,609.00 $970.80 2026-01-02
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 19 19 $3,183.00 $2,387.25 25% off $97.76 $2,705.55 $964.45 2026-01-02
27446 HCPCS Replacement Of Knee Joint On Side Of Knee 12 12 $2,638.00 $1,978.50 25% off $834.04 $2,638.00 $964.35 2026-01-02
27428 HCPCS Reconstruction Ligaments Inside Knee Joint 12 12 $2,581.00 $1,935.75 25% off $813.19 $2,581.00 $958.72 2026-01-02
A6260 HCPCS Wound Cleansers, Any Type, Any Size 36 18 $2,368.56 $1,776.41 25% off $615.93 $2,684.00 $956.58 2026-01-02
58700 HCPCS Removal Of Uterine Tubes 19 19 $2,100.00 $1,575.00 25% off $583.47 $2,100.00 $956.46 2026-01-02
28011 HCPCS Repair Of Multiple Toe Tendons 38 19 $2,363.00 $1,772.25 25% off $226.53 $4,026.00 $953.90 2026-01-02
315000012 CDM Operating Room Services - General Classification 15 15 $2,673.00 $2,004.75 25% off $801.90 $2,272.05 $952.66 2026-01-02
308000103 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,070.00 $1,552.50 25% off $593.47 $1,759.50 $947.23 2026-01-02
302200003 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,069.00 $1,551.75 25% off $593.18 $1,758.65 $946.78 2026-01-02
302200005 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,069.00 $1,551.75 25% off $593.18 $1,758.65 $946.78 2026-01-02
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 19 19 $1,028.00 $771.00 25% off $671.22 $1,028.00 $944.63 2026-01-02
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 19 19 $3,117.06 $2,337.80 25% off $0.32 $2,649.50 $944.47 2026-01-02
56501 HCPCS Simple Destruction Of Growth Of External Female Genitals 38 19 $2,735.00 $2,051.25 25% off $85.72 $5,121.00 $942.65 2026-01-02
302100011 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,057.00 $1,542.75 25% off $589.74 $1,748.45 $941.28 2026-01-02
27698 HCPCS Secondary Repair Of Disrupted Collateral Ligament Of Ankle 19 19 $1,590.00 $1,192.50 25% off $492.13 $1,590.00 $939.40 2026-01-02
20225 HCPCS Deep Biopsy Of Bone Using Needle Or Trocar 38 19 $2,731.00 $2,048.25 25% off $92.33 $5,132.00 $934.80 2026-01-02
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 19 19 $2,125.24 $1,593.93 25% off $184.91 $2,125.24 $934.68 2026-01-02
28445 HCPCS Treatment Of Broken Bone Between Foot And Ankle 19 19 $2,547.00 $1,910.25 25% off $803.11 $2,547.00 $931.90 2026-01-02
58662 HCPCS Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope 19 19 $1,989.00 $1,491.75 25% off $542.09 $1,989.00 $930.03 2026-01-02
27650 HCPCS Repair Of Ruptured Achilles Tendon 19 19 $1,715.00 $1,286.25 25% off $499.29 $1,715.00 $926.70 2026-01-02
70487 HCPCS CT Scan Of Face With Contrast 34 19 $2,646.50 $1,984.88 25% off $128.98 $2,249.53 $922.36 2026-01-02
315190012 CDM Operating Room Services - General Classification 15 15 $2,581.00 $1,935.75 25% off $774.30 $2,193.85 $919.87 2026-01-02
49000 HCPCS Exploration Of Abdominal Cavity 19 19 $1,988.00 $1,491.00 25% off $561.54 $1,988.00 $919.20 2026-01-02
J2792 HCPCS Injection, Rho D Immune Globulin, Intravenous, Human, Solvent Detergent, 100 Iu 19 19 $2,089.16 $1,566.87 25% off $25.46 $2,089.16 $918.81 2026-01-02
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 38 19 $2,494.50 $1,870.88 25% off $136.42 $4,504.00 $918.10 2026-01-02
74160 HCPCS CT Scan Of Abdomen With Contrast 19 19 $3,028.00 $2,271.00 25% off $122.78 $2,573.80 $917.48 2026-01-02
71260 HCPCS CT Scan Of Chest With Contrast 19 19 $3,023.09 $2,267.32 25% off $123.28 $2,569.63 $916.00 2026-01-02
28730 HCPCS Fusion Of Multiple Foot Joints 19 19 $1,865.00 $1,398.75 25% off $630.42 $1,865.00 $912.77 2026-01-02
72193 HCPCS CT Scan Of Pelvis With Contrast 19 19 $3,010.00 $2,257.50 25% off $123.28 $2,558.50 $912.03 2026-01-02
395002050 CDM Operating Room Services - Minor Surgery 15 15 $2,547.08 $1,910.31 25% off $764.12 $2,165.02 $907.78 2026-01-02
58720 HCPCS Removal Of Uterine Tubes And Ovaries 19 19 $1,989.00 $1,491.75 25% off $548.39 $1,989.00 $906.53 2026-01-02
29905 HCPCS Removal Of Lining Of Ankle Joint Using An Endoscope 19 19 $1,258.00 $943.50 25% off $453.10 $1,258.00 $905.20 2026-01-02
58925 HCPCS Removal Of Cysts Of Ovaries 19 19 $2,014.00 $1,510.50 25% off $559.52 $2,014.00 $903.11 2026-01-02
315189490 CDM Operating Room Services - General Classification 15 15 $2,533.11 $1,899.83 25% off $759.93 $2,153.14 $902.80 2026-01-02
27871 HCPCS Fusion Of Lower Leg Bone At Knee Or Ankle Joint 19 19 $1,732.00 $1,299.00 25% off $512.45 $1,732.00 $899.10 2026-01-02
28232 HCPCS Incision To Lengthen Toe Tendon 38 19 $2,288.50 $1,716.38 25% off $192.31 $3,971.00 $898.65 2026-01-02
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 12 12 $2,443.00 $1,832.25 25% off $756.87 $2,443.00 $895.74 2026-01-02
28890 HCPCS Shock Wave Therapy To Arch Of Foot Using Ultrasound Guidance Under Anesthesia 38 19 $2,286.50 $1,714.88 25% off $171.33 $3,982.00 $892.80 2026-01-02
27700 HCPCS Reconstruction Of Ankle Joint 19 19 $1,530.00 $1,147.50 25% off $466.90 $1,530.00 $889.70 2026-01-02
28725 HCPCS Fusion Of Foot Below Ankle 19 19 $1,971.00 $1,478.25 25% off $604.21 $1,971.00 $889.30 2026-01-02
308000100 CDM Room & Board - Semi-private (two Beds) - Obstetrics (ob) 12 12 $1,936.00 $1,452.00 25% off $555.05 $1,645.60 $885.91 2026-01-02
Q5104 HCPCS Injection, Infliximab-abda, Biosimilar, (renflexis), 10 Mg 19 19 $2,915.63 $2,186.72 25% off $27.00 $2,478.29 $883.44 2026-01-02
315120000 CDM Operating Room Services - General Classification 15 15 $2,472.00 $1,854.00 25% off $741.60 $2,101.20 $881.02 2026-01-02
58660 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes Using An Endoscope 19 19 $1,887.00 $1,415.25 25% off $515.70 $1,887.00 $878.14 2026-01-02
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 34 19 $2,462.63 $1,846.97 25% off $106.81 $2,093.24 $877.03 2026-01-02
70486 HCPCS CT Scan Of Face Without Contrast 34 19 $2,454.98 $1,841.24 25% off $104.21 $2,094.34 $874.95 2026-01-02
312000108 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $1,912.00 $1,434.00 25% off $548.17 $1,625.20 $874.93 2026-01-02
395001550 CDM Operating Room Services - Minor Surgery 15 15 $2,451.67 $1,838.75 25% off $735.50 $2,083.92 $873.78 2026-01-02
395001700 CDM Operating Room Services - Minor Surgery 15 15 $2,451.67 $1,838.75 25% off $735.50 $2,083.92 $873.78 2026-01-02
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 19 19 $1,983.75 $1,487.81 25% off $558.25 $1,983.75 $872.45 2026-01-02
395001750 CDM Operating Room Services - Minor Surgery 15 15 $2,436.84 $1,827.63 25% off $731.05 $2,071.31 $868.49 2026-01-02
27726 HCPCS Repair Of Nonhealed Broken Outer Lower Leg Bone With Placement Of Stabilizing De… 19 19 $2,381.00 $1,785.75 25% off $683.07 $1,785.75 $868.40 2026-01-02
315189200 CDM Operating Room Services - General Classification 15 15 $2,431.00 $1,823.25 25% off $729.30 $2,066.35 $866.41 2026-01-02
395000775 CDM Operating Room Services - Minor Surgery 15 15 $2,421.31 $1,815.98 25% off $726.39 $2,058.11 $862.95 2026-01-02
29880 HCPCS Removal Of Both Knee Cartilages Using An Endoscope 19 19 $1,324.00 $993.00 25% off $490.09 $1,324.00 $860.60 2026-01-02
73701 HCPCS CT Scan Of Leg With Contrast Material 19 19 $2,834.67 $2,126.00 25% off $124.02 $2,409.47 $858.91 2026-01-02
27607 HCPCS Incision Of Leg Or Ankle Bone 19 19 $1,486.00 $1,114.50 25% off $453.24 $1,486.00 $857.80 2026-01-02
70460 HCPCS CT Scan Head Or Brain With Contrast 19 19 $2,830.00 $2,122.50 25% off $78.44 $2,405.50 $857.49 2026-01-02
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 19 19 $1,826.00 $1,369.50 25% off $495.98 $1,826.00 $856.61 2026-01-02
26530 HCPCS Repair Of Joint Connecting Hand And Finger Bones With Implant 19 19 $1,272.00 $954.00 25% off $386.19 $1,272.00 $854.50 2026-01-02
62281 HCPCS Injection Of Substance Into Spinal Canal For Removal Of Upper Spine Nerve Tissue 19 19 $1,916.00 $1,437.00 25% off $574.80 $1,916.00 $853.58 2026-01-02
64449 HCPCS Injection By Continuous Infusion Of Anesthetic Agent Into Lower Back Nerve Bundl… 19 19 $1,916.00 $1,437.00 25% off $574.80 $1,916.00 $853.58 2026-01-02
62324 HCPCS Insertion Of Tube And Injection Of Substance Into Middle Or Upper Spine Canal 19 19 $1,916.00 $1,437.00 25% off $574.80 $1,916.00 $853.58 2026-01-02
64446 HCPCS Continuous Infusion Of Anesthetic Agent And/or Steroid Into Lower Back And Leg N… 19 19 $1,916.00 $1,437.00 25% off $574.80 $1,916.00 $853.58 2026-01-02
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