Price Transparencybeta Hospital negotiated rates

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

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Hospital

HANCOCK COUNTY HEALTH SYSTEM

Britt, IA · CCN 161307 · Rates published

2,892 distinct procedures filed
24 distinct payers
84,058 rate rows
2026-03-26 last MRF observed
Data quality

83,099 of 84,058 rate rows are consumer-grade (98.9%)

959 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
template filing: same amount across many unrelated codes — excluded 659
percent-of-charges filed in the dollar field — excluded from medians 134
exceeds 10× this hospital's gross charge — excluded from medians 129
per-diem day rate — not a per-procedure price 18
placeholder amount (≤ $0.02) — excluded from medians 11
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHCMHBRITTIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/HancockCounty_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 768ce0fdb64bcf4b… · 43,500,218 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
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 17 $9,837.68 $23,274.51 $21,594.91 nat. median
$498
outlier · 43.4×
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 17 $298.93 $37,323.15 $16,249.04 nat. median
$428
outlier · 38.0×
66989
HCPCS 		Complex Extracapsular Removal Of Cataract With Insertion Of Artificial Lens And… 19 $13.54 $14,550.00 $13,200.00 nat. median
$5,656
outlier · 2.3×
J0565
HCPCS 		Injection, Bezlotoxumab, 10 Mg 17 $5,984.98 $14,159.58 $13,137.75 nat. median
$121
outlier · 109.0×
J2505
HCPCS 		Injection, Pegfilgrastim, 6 Mg 21 $4,779.77 $22,139.20 $12,936.66 nat. median
$3,160
outlier · 4.1×
66991
HCPCS 		Extracapsular Removal Of Cataract With Insertion Of Artificial Lens And Insertio… 19 $13.54 $14,065.00 $12,760.00 nat. median
$5,656
outlier · 2.3×
65820
HCPCS 		Incision To Improve Eye Fluid Flow 19 $3.04 $11,640.00 $10,560.00 nat. median
$4,182
outlier · 2.5×
5105811_1
CDM 		Esophy X Kit Gerd Procedu 17 $4,663.75 $11,033.75 $10,237.50 —
36475
HCPCS 		Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima… 19 $7.78 $18,807.33 $8,177.10 nat. median
$3,662
outlier · 2.2×
66183
HCPCS 		Insertion Of Eye Fluid Drainage Device 19 $13.54 $11,112.24 $8,100.00 nat. median
$4,393
1.8× median
8884941_1
CDM 		Internalbrace H/w Lgmnt Augmnt Repr Kit 17 $3,065.16 $7,251.72 $6,728.40 —
8773558_1
CDM 		Tissue Expander 600cc 17 $3,049.38 $7,214.38 $6,693.75 —
8712482_1
CDM 		Tissue Expander 300cc 17 $3,049.38 $7,214.38 $6,693.75 —
8712486_1
CDM 		Tissue Expander 475cc 17 $3,049.38 $7,214.38 $6,693.75 —
8712484_1
CDM 		Tissue Expander 375cc 17 $3,049.38 $7,214.38 $6,693.75 —
8773556_1
CDM 		Tissue Expander 500cc 17 $3,049.38 $7,214.38 $6,693.75 —
15769
HCPCS 		Self Soft Tissue Graft 19 $4.40 $6,751.20 $6,124.80 nat. median
$3,874
1.6× median
J0881
HCPCS 		Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 17 $2,787.66 $6,595.19 $6,119.24 nat. median
$899
outlier · 6.8×
J1439
HCPCS 		Injection, Ferric Carboxymaltose, 1 Mg 17 $2,730.70 $6,460.43 $5,994.22 nat. median
$5
outlier · 1192.9×
8953639_1
CDM 		Galaflex 3dr Scaffold Oval W/rim 6.4x18.5 17 $2,726.50 $6,450.50 $5,985.00 —
9043015_1
CDM 		Surgimesh Xb 15 Cm 16 $2,388.75 $6,483.75 $5,289.38 —
66982
HCPCS 		Complex Removal Of Cataract With Insertion Of Prosthetic Lens 19 $6.08 $5,820.00 $5,280.00 nat. median
$2,790
1.9× median
J0875
HCPCS 		Injection, Dalbavancin, 5 Mg 17 $2,294.27 $5,427.91 $5,036.20 nat. median
$49
outlier · 101.8×
9043013_1
CDM 		Surgimesh Xb 12.5 Cm 16 $2,266.25 $6,151.25 $5,018.12 —
5106125_1
CDM 		Hernia Ventrio St 11x14 Oval 17 $2,269.45 $5,369.19 $4,981.73 —
66984
HCPCS 		Removal Of Cataract With Insertion Of Prosthetic Lens 19 $6.08 $5,335.00 $4,950.00 nat. median
$2,550
1.9× median
36471
HCPCS 		Injection Of Chemical Agent Into Multiple Incompetent Veins Of Leg 19 $1.85 $5,440.73 $4,935.92 nat. median
$445
outlier · 11.1×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 19 $1.17 $5,376.71 $4,877.84 nat. median
$539
outlier · 9.1×
8883286_1
CDM 		Ventralight St Mesh 6x10 Oval 17 $2,202.01 $5,209.63 $4,833.68 —
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 19 $1.43 $5,273.89 $4,784.56 nat. median
$616
outlier · 7.8×
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 19 $1.43 $5,160.40 $4,681.60 nat. median
$616
outlier · 7.6×
8507085_1
CDM 		Ventralight St Mesh 17 $2,108.02 $4,987.26 $4,627.35 —
8990653_1
CDM 		Coolief Multi Kit 17g 100mm 4mm 3probe 17 $2,077.68 $4,915.48 $4,560.76 —
8990657_1
CDM 		Coolief Multi Kit 17g 150mm 4mm 3probe 17 $2,017.17 $4,772.32 $4,427.93 —
74177
HCPCS 		CT Scan Of Abdomen And Pelvis With Contrast 19 $1.17 $4,830.60 $4,382.40 nat. median
$501
outlier · 8.7×
9017515_1
CDM 		Surgimesh Xb 10 Cm 17 $1,973.13 $4,668.13 $4,331.25 —
70552
HCPCS 		MRI Scan Of Brain With Contrast 19 $1.43 $4,716.14 $4,278.56 nat. median
$597
outlier · 7.2×
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 19 $1.43 $4,649.21 $4,217.84 nat. median
$624
outlier · 6.8×
8862897_1
CDM 		Coolief Multi Kit 17g 100mm 4mm 2probe 17 $1,913.10 $4,526.12 $4,199.49 —
8990700_1
CDM 		Coolief Multi Kit 17g 75mm 5.5mm 2probe 17 $1,913.10 $4,526.12 $4,199.49 —
8990651_1
CDM 		Coolief Multi Kit 17g 50mm 2mm 2probe 17 $1,913.10 $4,526.12 $4,199.49 —
8936391_1
CDM 		Breast Boost 405cc 17 $1,865.50 $4,413.50 $4,095.00 —
8955473_1
CDM 		Breast Boost 635cc 17 $1,865.50 $4,413.50 $4,095.00 —
8936383_1
CDM 		Breast Boost 260cc 17 $1,865.50 $4,413.50 $4,095.00 —
8936389_1
CDM 		Breast Boost 370cc 17 $1,865.50 $4,413.50 $4,095.00 —
8936393_1
CDM 		Breast Boost 440cc 17 $1,865.50 $4,413.50 $4,095.00 —
8955477_1
CDM 		Breast Boost 740cc 17 $1,865.50 $4,413.50 $4,095.00 —
8947855_1
CDM 		Breast Boost 480cc 17 $1,865.50 $4,413.50 $4,095.00 —
8955467_1
CDM 		Breast Boost 520cc 17 $1,865.50 $4,413.50 $4,095.00 —
8947838_1
CDM 		Breast Boost 200cc 17 $1,865.50 $4,413.50 $4,095.00 —

Other procedures at this hospital

Browse this hospital's 2,892 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
             
J3101 HCPCS Injection, Tenecteplase, 1 Mg 17 17 $23,994.34 $17,995.76 25% off $9,837.68 $23,274.51 $21,594.91 2026-03-26
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 51 17 $19,257.50 $14,443.13 25% off $298.93 $37,323.15 $16,249.04 2026-03-26
66989 HCPCS Complex Extracapsular Removal Of Cataract With Insertion Of Artificial Lens And … 19 19 $15,000.00 $11,250.00 25% off $13.54 $14,550.00 $13,200.00 2026-03-26
J0565 HCPCS Injection, Bezlotoxumab, 10 Mg 17 17 $14,597.50 $10,948.13 25% off $5,984.98 $14,159.58 $13,137.75 2026-03-26
J2505 HCPCS Injection, Pegfilgrastim, 6 Mg 34 21 $13,836.50 $10,377.38 25% off $4,779.77 $22,139.20 $12,936.66 2026-03-26
66991 HCPCS Extracapsular Removal Of Cataract With Insertion Of Artificial Lens And Insertio… 19 19 $14,500.00 $10,875.00 25% off $13.54 $14,065.00 $12,760.00 2026-03-26
65820 HCPCS Incision To Improve Eye Fluid Flow 19 19 $12,000.00 $9,000.00 25% off $3.04 $11,640.00 $10,560.00 2026-03-26
5105811_1 CDM Esophy X Kit Gerd Procedu 17 17 $11,375.00 $8,531.25 25% off $4,663.75 $11,033.75 $10,237.50 2026-03-26
36475 HCPCS Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima… 53 19 $12,926.00 $9,694.50 25% off $7.78 $18,807.33 $8,177.10 2026-03-26
66183 HCPCS Insertion Of Eye Fluid Drainage Device 19 19 $9,000.00 $6,750.00 25% off $13.54 $11,112.24 $8,100.00 2026-03-26
8884941_1 CDM Internalbrace H/w Lgmnt Augmnt Repr Kit 17 17 $7,476.00 $5,607.00 25% off $3,065.16 $7,251.72 $6,728.40 2026-03-26
8712482_1 CDM Tissue Expander 300cc 17 17 $7,437.50 $5,578.13 25% off $3,049.38 $7,214.38 $6,693.75 2026-03-26
8773558_1 CDM Tissue Expander 600cc 17 17 $7,437.50 $5,578.13 25% off $3,049.38 $7,214.38 $6,693.75 2026-03-26
8773556_1 CDM Tissue Expander 500cc 17 17 $7,437.50 $5,578.13 25% off $3,049.38 $7,214.38 $6,693.75 2026-03-26
8712484_1 CDM Tissue Expander 375cc 17 17 $7,437.50 $5,578.13 25% off $3,049.38 $7,214.38 $6,693.75 2026-03-26
8712486_1 CDM Tissue Expander 475cc 17 17 $7,437.50 $5,578.13 25% off $3,049.38 $7,214.38 $6,693.75 2026-03-26
15769 HCPCS Self Soft Tissue Graft 19 19 $6,960.00 $5,220.00 25% off $4.40 $6,751.20 $6,124.80 2026-03-26
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 17 17 $6,799.16 $5,099.37 25% off $2,787.66 $6,595.19 $6,119.24 2026-03-26
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 17 17 $6,660.24 $4,995.18 25% off $2,730.70 $6,460.43 $5,994.22 2026-03-26
8953639_1 CDM Galaflex 3dr Scaffold Oval W/rim 6.4x18.5 17 17 $6,650.00 $4,987.50 25% off $2,726.50 $6,450.50 $5,985.00 2026-03-26
9043015_1 CDM Surgimesh Xb 15 Cm 16 16 $6,825.00 $5,118.75 25% off $2,388.75 $6,483.75 $5,289.38 2026-03-26
66982 HCPCS Complex Removal Of Cataract With Insertion Of Prosthetic Lens 19 19 $6,000.00 $4,500.00 25% off $6.08 $5,820.00 $5,280.00 2026-03-26
J0875 HCPCS Injection, Dalbavancin, 5 Mg 17 17 $5,595.78 $4,196.84 25% off $2,294.27 $5,427.91 $5,036.20 2026-03-26
9043013_1 CDM Surgimesh Xb 12.5 Cm 16 16 $6,475.00 $4,856.25 25% off $2,266.25 $6,151.25 $5,018.12 2026-03-26
5106125_1 CDM Hernia Ventrio St 11x14 Oval 17 17 $5,535.25 $4,151.44 25% off $2,269.45 $5,369.19 $4,981.73 2026-03-26
66984 HCPCS Removal Of Cataract With Insertion Of Prosthetic Lens 19 19 $5,500.00 $4,125.00 25% off $6.08 $5,335.00 $4,950.00 2026-03-26
36471 HCPCS Injection Of Chemical Agent Into Multiple Incompetent Veins Of Leg 19 19 $5,609.00 $4,206.75 25% off $1.85 $5,440.73 $4,935.92 2026-03-26
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 19 19 $5,543.00 $4,157.25 25% off $1.17 $5,376.71 $4,877.84 2026-03-26
8883286_1 CDM Ventralight St Mesh 6x10 Oval 17 17 $5,370.75 $4,028.06 25% off $2,202.01 $5,209.63 $4,833.68 2026-03-26
70553 HCPCS MRI Scan Of Brain Before And After Contrast 19 19 $5,437.00 $4,077.75 25% off $1.43 $5,273.89 $4,784.56 2026-03-26
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 19 19 $5,320.00 $3,990.00 25% off $1.43 $5,160.40 $4,681.60 2026-03-26
8507085_1 CDM Ventralight St Mesh 17 17 $5,141.50 $3,856.13 25% off $2,108.02 $4,987.26 $4,627.35 2026-03-26
8990653_1 CDM Coolief Multi Kit 17g 100mm 4mm 3probe 17 17 $5,067.51 $3,800.63 25% off $2,077.68 $4,915.48 $4,560.76 2026-03-26
8990657_1 CDM Coolief Multi Kit 17g 150mm 4mm 3probe 17 17 $4,919.92 $3,689.94 25% off $2,017.17 $4,772.32 $4,427.93 2026-03-26
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 19 19 $4,980.00 $3,735.00 25% off $1.17 $4,830.60 $4,382.40 2026-03-26
9017515_1 CDM Surgimesh Xb 10 Cm 17 17 $4,812.50 $3,609.38 25% off $1,973.13 $4,668.13 $4,331.25 2026-03-26
70552 HCPCS MRI Scan Of Brain With Contrast 19 19 $4,862.00 $3,646.50 25% off $1.43 $4,716.14 $4,278.56 2026-03-26
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 19 19 $4,793.00 $3,594.75 25% off $1.43 $4,649.21 $4,217.84 2026-03-26
8990651_1 CDM Coolief Multi Kit 17g 50mm 2mm 2probe 17 17 $4,666.10 $3,499.58 25% off $1,913.10 $4,526.12 $4,199.49 2026-03-26
8862897_1 CDM Coolief Multi Kit 17g 100mm 4mm 2probe 17 17 $4,666.10 $3,499.58 25% off $1,913.10 $4,526.12 $4,199.49 2026-03-26
8990700_1 CDM Coolief Multi Kit 17g 75mm 5.5mm 2probe 17 17 $4,666.10 $3,499.58 25% off $1,913.10 $4,526.12 $4,199.49 2026-03-26
8936383_1 CDM Breast Boost 260cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8955473_1 CDM Breast Boost 635cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8936393_1 CDM Breast Boost 440cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8955479_1 CDM Breast Boost 775cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8955475_1 CDM Breast Boost 685cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8936391_1 CDM Breast Boost 405cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8955467_1 CDM Breast Boost 520cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8947853_1 CDM Breast Boost 235cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8947855_1 CDM Breast Boost 480cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8955471_1 CDM Breast Boost 585cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8955477_1 CDM Breast Boost 740cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8936387_1 CDM Breast Boost 325cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8955469_1 CDM Breast Boost 545cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8936389_1 CDM Breast Boost 370cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8947838_1 CDM Breast Boost 200cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8936385_1 CDM Breast Boost 285cc 17 17 $4,550.00 $3,412.50 25% off $1,865.50 $4,413.50 $4,095.00 2026-03-26
8976873_1 CDM Coolief Multi Kit 17g 150mm 4mm 2probe 17 17 $4,530.26 $3,397.70 25% off $1,857.41 $4,394.35 $4,077.23 2026-03-26
8990655_1 CDM Coolief Multi Kit 17g 75mm 2mm 2probe 17 17 $4,530.19 $3,397.64 25% off $1,857.38 $4,394.28 $4,077.17 2026-03-26
8862895_1 CDM Coolief Multi Kit 17g 75mm 4mm 2probe 17 17 $4,530.19 $3,397.64 25% off $1,857.38 $4,394.28 $4,077.17 2026-03-26
9019407_1 CDM Coolief Multi Kit 17g 50mm 4mm 2probe 17 17 $4,530.19 $3,397.64 25% off $1,857.38 $4,394.28 $4,077.17 2026-03-26
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 19 19 $4,492.00 $3,369.00 25% off $1.43 $4,357.24 $3,952.96 2026-03-26
1378488_1 CDM Operating Room Services - General Classification 17 17 $4,385.00 $3,288.75 25% off $1,797.85 $4,253.45 $3,946.50 2026-03-26
73720 HCPCS MRI Scan Of Leg Before And After Contrast 38 19 $4,386.00 $3,289.50 25% off $1.43 $4,254.42 $3,859.68 2026-03-26
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 19 19 $4,284.00 $3,213.00 25% off $1.43 $4,155.48 $3,769.92 2026-03-26
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 19 19 $4,279.00 $3,209.25 25% off $1.17 $4,150.63 $3,765.52 2026-03-26
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 17 17 $4,137.56 $3,103.17 25% off $1,696.40 $4,013.43 $3,723.80 2026-03-26
8066978_1 CDM Magnesium Sulf 2 G/50 Ml Bag 16 16 $4,803.80 $3,602.85 25% off $1,681.33 $4,563.61 $3,722.94 2026-03-26
8993643_1 CDM Epifix 2cm X 3cm Sheet Graft 17 17 $4,123.00 $3,092.25 25% off $1,690.43 $3,999.31 $3,710.70 2026-03-26
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 19 19 $4,207.00 $3,155.25 25% off $0.97 $4,080.79 $3,702.16 2026-03-26
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 19 19 $4,191.00 $3,143.25 25% off $3.71 $4,065.27 $3,688.08 2026-03-26
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 19 19 $4,080.00 $3,060.00 25% off $2.78 $3,957.60 $3,590.40 2026-03-26
5106124_1 CDM Hernia Ventrio St Lg Oval 17 17 $3,955.00 $2,966.25 25% off $1,621.55 $3,836.35 $3,559.50 2026-03-26
1377265_1 CDM Operating Room Services - Minor Surgery 17 17 $3,914.00 $2,935.50 25% off $1,604.74 $3,796.58 $3,522.60 2026-03-26
7745193_1 CDM Operating Room Services - General Classification 17 17 $3,914.00 $2,935.50 25% off $1,604.74 $3,796.58 $3,522.60 2026-03-26
5106925_1 CDM Hernia Ventralex St Large Circle 17 17 $3,848.95 $2,886.71 25% off $1,578.07 $3,733.48 $3,464.06 2026-03-26
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 19 19 $3,912.00 $2,934.00 25% off $2.78 $3,794.64 $3,442.56 2026-03-26
5106126_1 CDM Hernia Ventrio St 8x12 Oval 17 17 $3,721.20 $2,790.90 25% off $1,525.69 $3,609.56 $3,349.08 2026-03-26
1378484_1 CDM Operating Room Services - General Classification 17 17 $3,699.00 $2,774.25 25% off $1,516.59 $3,588.03 $3,329.10 2026-03-26
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 19 19 $3,765.00 $2,823.75 25% off $3.71 $3,652.05 $3,313.20 2026-03-26
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 19 19 $3,600.00 $2,700.00 25% off $4.87 $3,998.27 $3,240.00 2026-03-26
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 19 19 $3,676.00 $2,757.00 25% off $1.02 $3,565.72 $3,234.88 2026-03-26
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 19 19 $3,594.00 $2,695.50 25% off $1.02 $3,486.18 $3,162.72 2026-03-26
73722 HCPCS MRI Scan Of Leg Joint With Contrast 38 19 $3,593.00 $2,694.75 25% off $1.43 $3,485.21 $3,161.84 2026-03-26
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 38 19 $3,582.00 $2,686.50 25% off $1.02 $3,474.54 $3,152.16 2026-03-26
8487075_1 CDM Breast Implant Gel 350cc 17 17 $3,500.00 $2,625.00 25% off $1,435.00 $3,395.00 $3,150.00 2026-03-26
8487067_1 CDM Breast Implant Gel 250cc 17 17 $3,500.00 $2,625.00 25% off $1,435.00 $3,395.00 $3,150.00 2026-03-26
8487069_1 CDM Breast Implant Gel 275cc 17 17 $3,500.00 $2,625.00 25% off $1,435.00 $3,395.00 $3,150.00 2026-03-26
8487073_1 CDM Breast Implant Gel 325cc 17 17 $3,500.00 $2,625.00 25% off $1,435.00 $3,395.00 $3,150.00 2026-03-26
8463260_1 CDM Breast Implant Gel 200cc 17 17 $3,500.00 $2,625.00 25% off $1,435.00 $3,395.00 $3,150.00 2026-03-26
8487071_1 CDM Breast Implant Gel 300cc 17 17 $3,500.00 $2,625.00 25% off $1,435.00 $3,395.00 $3,150.00 2026-03-26
8487065_1 CDM Breast Implant Gel 225cc 17 17 $3,500.00 $2,625.00 25% off $1,435.00 $3,395.00 $3,150.00 2026-03-26
8499885_1 CDM Breast Implant Gel 375cc 17 17 $3,500.00 $2,625.00 25% off $1,435.00 $3,395.00 $3,150.00 2026-03-26
70551 HCPCS MRI Scan Of Brain Without Contrast 19 19 $3,502.00 $2,626.50 25% off $1.02 $3,396.94 $3,081.76 2026-03-26
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 19 19 $3,465.00 $2,598.75 25% off $2.15 $3,361.05 $3,049.20 2026-03-26
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 19 19 $3,436.00 $2,577.00 25% off $1.02 $3,332.92 $3,023.68 2026-03-26
64451 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Spine And Pelvis Nerve Using I… 19 19 $3,430.00 $2,572.50 25% off $3.28 $3,327.10 $3,018.40 2026-03-26
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 19 19 $3,400.00 $2,550.00 25% off $0.92 $3,298.00 $2,992.00 2026-03-26
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 38 19 $3,398.00 $2,548.50 25% off $1.43 $3,296.06 $2,990.24 2026-03-26
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 19 19 $3,350.00 $2,512.50 25% off $3.28 $3,249.50 $2,948.00 2026-03-26
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 38 19 $3,316.00 $2,487.00 25% off $1.02 $3,216.52 $2,918.08 2026-03-26
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 19 19 $3,281.00 $2,460.75 25% off $0.97 $3,182.57 $2,887.28 2026-03-26
7745190_1 CDM Operating Room Services - General Classification 17 17 $3,200.00 $2,400.00 25% off $1,312.00 $3,104.00 $2,880.00 2026-03-26
1376935_1 CDM Operating Room Services - General Classification 17 17 $3,200.00 $2,400.00 25% off $1,312.00 $3,104.00 $2,880.00 2026-03-26
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 19 19 $3,250.00 $2,437.50 25% off $0.97 $3,152.50 $2,860.00 2026-03-26
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 19 19 $3,228.00 $2,421.00 25% off $1.43 $3,131.16 $2,840.64 2026-03-26
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 19 19 $3,228.00 $2,421.00 25% off $1.43 $3,131.16 $2,840.64 2026-03-26
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 19 19 $3,228.00 $2,421.00 25% off $1.43 $3,131.16 $2,840.64 2026-03-26
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 19 19 $3,207.00 $2,405.25 25% off $0.92 $3,110.79 $2,822.16 2026-03-26
8773560_1 CDM Ventralight St Mesh 6 Circle 17 17 $3,089.63 $2,317.22 25% off $1,266.75 $2,996.94 $2,780.67 2026-03-26
J3095 HCPCS Injection, Telavancin, 10 Mg 17 17 $3,074.35 $2,305.76 25% off $1,260.48 $2,982.12 $2,766.92 2026-03-26
1378487_1 CDM Operating Room Services - General Classification 17 17 $3,059.00 $2,294.25 25% off $1,254.19 $2,967.23 $2,753.10 2026-03-26
4017851_1 CDM 00074-3024-01 - Nitroprusside 25 mg/mL Vial 2 Ml (Nipride GEq) [hc] 17 17 $3,035.48 $2,276.61 25% off $1,244.55 $2,944.42 $2,731.93 2026-03-26
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 51 17 $3,238.52 $2,428.89 25% off $671.58 $6,246.34 $2,719.41 2026-03-26
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 19 19 $3,013.00 $2,259.75 25% off $1.17 $2,922.61 $2,651.44 2026-03-26
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 19 19 $2,998.00 $2,248.50 25% off $1.43 $2,908.06 $2,638.24 2026-03-26
8895611_1 CDM Breast Implant Gel 800cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
8499891_1 CDM Breast Implant Gel 450cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
8749193_1 CDM Breast Implant Gel 550cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
8499893_1 CDM Breast Implant Gel 475cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
8499889_1 CDM Breast Implant Gel 425cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
8895609_1 CDM Breast Implant Gel 750cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
8749195_1 CDM Breast Implant Gel 600cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
8499895_1 CDM Breast Implant Gel 500cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
8749210_1 CDM Breast Implant Gel 700cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
8749197_1 CDM Breast Implant Gel 650cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
8499887_1 CDM Breast Implant Gel 400cc 17 17 $2,926.00 $2,194.50 25% off $1,199.66 $2,838.22 $2,633.40 2026-03-26
J0248 HCPCS Injection, Remdesivir, 1 Mg 17 17 $2,906.39 $2,179.79 25% off $1,191.62 $2,819.20 $2,615.75 2026-03-26
71552 HCPCS MRI Scan Of Chest Before And After Contrast 19 19 $2,944.00 $2,208.00 25% off $1.43 $2,855.68 $2,590.72 2026-03-26
71270 HCPCS CT Scan Of Chest Before And After Contrast 19 19 $2,935.00 $2,201.25 25% off $1.17 $2,846.95 $2,582.80 2026-03-26
8786913_1 CDM Coolief Probe Kit 100mm 17 17 $2,868.43 $2,151.32 25% off $1,176.06 $2,782.38 $2,581.59 2026-03-26
8777394_1 CDM Coolief Probe Kit 75mm 17 17 $2,868.43 $2,151.32 25% off $1,176.06 $2,782.38 $2,581.59 2026-03-26
8789093_1 CDM Coolief Rf Kit 17g 75mm 4mm 17 17 $2,868.43 $2,151.32 25% off $1,176.06 $2,782.38 $2,581.59 2026-03-26
8777396_1 CDM Coolief Probe Kit 50mm 17 17 $2,868.43 $2,151.32 25% off $1,176.06 $2,782.38 $2,581.59 2026-03-26
8801014_1 CDM Coolief Rf Kit 17g 50mm 2mm 17 17 $2,868.43 $2,151.32 25% off $1,176.06 $2,782.38 $2,581.59 2026-03-26
8777398_1 CDM Coolief Probe Kit 150mm 17 17 $2,868.43 $2,151.32 25% off $1,176.06 $2,782.38 $2,581.59 2026-03-26
8815209_1 CDM Coolief Rf Kit 75mm 5.5mm 17 17 $2,868.25 $2,151.19 25% off $1,175.98 $2,782.20 $2,581.43 2026-03-26
73718 HCPCS MRI Scan Of Leg Without Contrast 38 19 $2,929.00 $2,196.75 25% off $1.02 $2,841.13 $2,577.52 2026-03-26
5106930_1 CDM Tacker(sorbafix) 30 Shot ***do Not Reorder*** 17 17 $2,842.42 $2,131.82 25% off $1,165.39 $2,757.15 $2,558.18 2026-03-26
5106122_1 CDM Hernia Ventralex St Small Circle 17 17 $2,831.15 $2,123.36 25% off $1,160.77 $2,746.22 $2,548.04 2026-03-26
64640 HCPCS Destruction Of Peripheral Nerve Or Branch 19 19 $2,800.00 $2,100.00 25% off $3.28 $2,716.00 $2,520.00 2026-03-26
45330 HCPCS Diagnostic Exam Of Lower Portion Of Large Bowel Using A Flexible Endoscope 19 19 $2,800.00 $2,100.00 25% off $3.64 $2,990.08 $2,520.00 2026-03-26
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 19 19 $2,795.00 $2,096.25 25% off $1.17 $2,711.15 $2,459.60 2026-03-26
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 19 19 $2,775.00 $2,081.25 25% off $0.97 $2,691.75 $2,442.00 2026-03-26
8946197_1 CDM Dx Fibertak Suture Anchor St & Ndls 17 17 $2,712.50 $2,034.38 25% off $1,112.13 $2,631.13 $2,441.25 2026-03-26
71550 HCPCS MRI Scan Of Chest Without Contrast 19 19 $2,771.00 $2,078.25 25% off $1.02 $2,687.87 $2,438.48 2026-03-26
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 19 19 $2,764.00 $2,073.00 25% off $0.97 $2,681.08 $2,432.32 2026-03-26
5106120_1 CDM Hernia Tac Oval 6x8 17 17 $2,691.50 $2,018.63 25% off $1,103.52 $2,610.76 $2,422.35 2026-03-26
95805 HCPCS Sleep Study, Multiple Trials 19 19 $2,684.00 $2,013.00 25% off $3.71 $3,049.19 $2,415.60 2026-03-26
27328 HCPCS Removal Of Growth Of Muscle Of Thigh Or Knee, 5.0 Cm Or Less 19 19 $2,613.00 $1,959.75 25% off $5.16 $4,235.54 $2,351.70 2026-03-26
72196 HCPCS MRI Scan Of Pelvis With Contrast 19 19 $2,629.00 $1,971.75 25% off $1.43 $2,550.13 $2,313.52 2026-03-26
9042675_1 CDM Med Spa Juvederm Voluma Xc 1ml (2 Syr/bx) 16 16 $2,915.50 $2,186.63 25% off $1,020.43 $2,769.73 $2,259.52 2026-03-26
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 19 19 $2,529.00 $1,896.75 25% off $1.17 $2,453.13 $2,225.52 2026-03-26
72193 HCPCS CT Scan Of Pelvis With Contrast 19 19 $2,510.00 $1,882.50 25% off $1.17 $2,434.70 $2,208.80 2026-03-26
74160 HCPCS CT Scan Of Abdomen With Contrast 19 19 $2,468.00 $1,851.00 25% off $1.17 $2,393.96 $2,171.84 2026-03-26
72195 HCPCS MRI Scan Of Pelvis Without Contrast 19 19 $2,461.00 $1,845.75 25% off $1.02 $2,387.17 $2,165.68 2026-03-26
71260 HCPCS CT Scan Of Chest With Contrast 19 19 $2,456.00 $1,842.00 25% off $1.17 $2,382.32 $2,161.28 2026-03-26
36470 HCPCS Injection Of Chemical Agent Into Single Incompetent Vein 19 19 $2,440.00 $1,830.00 25% off $1.85 $2,366.80 $2,147.20 2026-03-26
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 36 19 $4,638.00 $3,478.50 25% off $1.43 $4,498.86 $2,123.39 2026-03-26
46040 HCPCS Drainage Of Deep Abscess In Rectum 19 19 $2,352.00 $1,764.00 25% off $5.33 $4,375.11 $2,116.80 2026-03-26
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 19 19 $2,405.00 $1,803.75 25% off $1.17 $2,332.85 $2,116.40 2026-03-26
64418 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Suprascapular Shoulder Nerve 19 19 $2,400.00 $1,800.00 25% off $1.08 $2,328.00 $2,112.00 2026-03-26
74181 HCPCS MRI Scan Of Abdomen Without Contrast 19 19 $2,394.00 $1,795.50 25% off $1.02 $2,322.18 $2,106.72 2026-03-26
73201 HCPCS CT Scan Of Arm With Contrast 55 19 $2,314.00 $1,735.50 25% off $1.17 $2,309.57 $2,082.60 2026-03-26
95807 HCPCS Sleep Study Including Heart Rate And Breathing Attended By Technician 19 19 $2,310.00 $1,732.50 25% off $3.71 $3,049.19 $2,079.00 2026-03-26
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 19 19 $2,360.00 $1,770.00 25% off $0.92 $2,289.20 $2,076.80 2026-03-26
72125 HCPCS CT Scan Of Upper Spine Without Contrast 19 19 $2,344.00 $1,758.00 25% off $0.44 $2,273.68 $2,062.72 2026-03-26
8996549_1 CDM Epifix 18mm Disk 17 17 $2,250.50 $1,687.88 25% off $922.71 $2,182.99 $2,025.45 2026-03-26
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 36 19 $4,117.00 $3,087.75 25% off $1.43 $3,993.49 $2,022.40 2026-03-26
72128 HCPCS CT Scan Of Middle Spine Without Contrast 19 19 $2,293.00 $1,719.75 25% off $0.44 $2,224.21 $2,017.84 2026-03-26
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 36 19 $2,347.00 $1,760.25 25% off $1.27 $2,276.59 $2,007.00 2026-03-26
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 19 19 $2,268.00 $1,701.00 25% off $1.27 $2,199.96 $1,995.84 2026-03-26
78494 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 19 19 $2,229.00 $1,671.75 25% off $1.27 $2,162.13 $1,961.52 2026-03-26
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 51 17 $2,330.70 $1,748.03 25% off $9.43 $4,485.18 $1,952.67 2026-03-26
73220 HCPCS MRI Scan Of Arm Before And After Contrast 91 19 $2,163.00 $1,622.25 25% off $1.43 $3,661.75 $1,946.70 2026-03-26
70487 HCPCS CT Scan Of Face With Contrast 19 19 $2,211.00 $1,658.25 25% off $1.17 $2,144.67 $1,945.68 2026-03-26
72126 HCPCS CT Scan Of Upper Spine With Contrast 19 19 $2,206.00 $1,654.50 25% off $1.17 $2,139.82 $1,941.28 2026-03-26
8511610_1 CDM Ventralight Lt St Mesh W/echo Ps 4.5 17 17 $2,156.00 $1,617.00 25% off $883.96 $2,091.32 $1,940.40 2026-03-26
5106682_1 CDM Cautery Ligasure Impact 17 17 $2,144.50 $1,608.38 25% off $879.25 $2,080.17 $1,930.05 2026-03-26
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 19 19 $2,187.00 $1,640.25 25% off $1.27 $2,121.39 $1,924.56 2026-03-26
74150 HCPCS CT Scan Of Abdomen Without Contrast 19 19 $2,186.00 $1,639.50 25% off $0.44 $2,120.42 $1,923.68 2026-03-26
Q5103 HCPCS Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 17 17 $2,122.50 $1,591.88 25% off $870.23 $2,058.83 $1,910.25 2026-03-26
73701 HCPCS CT Scan Of Leg With Contrast Material 57 19 $2,122.00 $1,591.50 25% off $1.17 $2,457.98 $1,909.80 2026-03-26
72131 HCPCS CT Scan Of Lower Spine Without Contrast 19 19 $2,167.00 $1,625.25 25% off $0.44 $2,101.99 $1,906.96 2026-03-26
8318786_1 CDM Facet Procedure Thoracic 16 16 $2,440.80 $1,830.60 25% off $854.28 $2,318.76 $1,891.62 2026-03-26
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 19 19 $2,120.00 $1,590.00 25% off $0.92 $2,056.40 $1,865.60 2026-03-26
72192 HCPCS CT Scan Of Pelvis Without Contrast 19 19 $2,092.00 $1,569.00 25% off $0.44 $2,029.24 $1,840.96 2026-03-26
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 17 17 $2,039.32 $1,529.49 25% off $836.12 $1,978.14 $1,835.39 2026-03-26
70488 HCPCS CT Scan Of Face Before And After Contrast 19 19 $2,070.00 $1,552.50 25% off $1.17 $2,007.90 $1,821.60 2026-03-26
5106929_1 CDM Marlex Mesh 10x14 17 17 $2,012.50 $1,509.38 25% off $825.13 $1,952.13 $1,811.25 2026-03-26
5106114_1 CDM Hernia Lrg V-patch Circle 17 17 $2,005.50 $1,504.13 25% off $822.26 $1,945.34 $1,804.95 2026-03-26
1376939_1 CDM Operating Room Services - General Classification 17 17 $2,002.00 $1,501.50 25% off $820.82 $1,941.94 $1,801.80 2026-03-26
73200 HCPCS CT Scan Of Arm Without Contrast 57 19 $2,042.00 $1,531.50 25% off $0.44 $3,542.44 $1,777.44 2026-03-26
5106877_1 CDM Protac Hernia Stapler 17 17 $1,961.16 $1,470.87 25% off $804.08 $1,902.33 $1,765.04 2026-03-26
8022741_1 CDM Operating Room Services - General Classification 17 17 $1,954.09 $1,465.57 25% off $801.18 $1,895.47 $1,758.68 2026-03-26
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 19 19 $1,998.00 $1,498.50 25% off $1.17 $1,938.06 $1,758.24 2026-03-26
70486 HCPCS CT Scan Of Face Without Contrast 19 19 $1,996.00 $1,497.00 25% off $0.44 $1,936.12 $1,756.48 2026-03-26
73700 HCPCS CT Scan Of Leg Without Contrast 57 19 $1,939.00 $1,454.25 25% off $0.44 $3,542.44 $1,745.10 2026-03-26
70450 HCPCS CT Scan Head Or Brain Without Contrast 19 19 $1,973.00 $1,479.75 25% off $1.17 $1,913.81 $1,736.24 2026-03-26
73222 HCPCS MRI Scan Of Arm Joint With Contrast 38 19 $1,970.00 $1,477.50 25% off $1.43 $1,910.90 $1,733.60 2026-03-26
5106117_1 CDM Hernia Tac Circle 4.5 17 17 $1,897.00 $1,422.75 25% off $777.77 $1,840.09 $1,707.30 2026-03-26
7745191_1 CDM Operating Room Services - General Classification 17 17 $1,894.00 $1,420.50 25% off $776.54 $1,837.18 $1,704.60 2026-03-26
G0121 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For … 18 18 $1,894.00 $1,420.50 25% off $776.54 $2,990.08 $1,704.60 2026-03-26
5934782_1 CDM ER Precipitous Delivery Ed Charge 17 17 $1,877.00 $1,407.75 25% off $769.57 $1,820.69 $1,689.30 2026-03-26
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 19 19 $1,908.00 $1,431.00 25% off $1.27 $1,850.76 $1,679.04 2026-03-26
64417 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Upper Arm And Shoulder Nerve (… 19 19 $1,900.00 $1,425.00 25% off $1.08 $1,843.00 $1,672.00 2026-03-26
78195 HCPCS Nuclear Medicine Study Of Lymphatic System 19 19 $1,851.00 $1,388.25 25% off $2.78 $2,278.28 $1,665.90 2026-03-26
72129 HCPCS CT Scan Of Middle Spine With Contrast 19 19 $1,886.00 $1,414.50 25% off $1.17 $1,829.42 $1,659.68 2026-03-26
25680 HCPCS Closed Treatment Of Broken And Dislocated Wrist Bones With Manipulation 19 19 $1,819.00 $1,364.25 25% off $2.57 $2,112.43 $1,637.10 2026-03-26
71250 HCPCS CT Scan Of Chest Without Contrast 36 19 $1,808.00 $1,356.00 25% off $0.44 $1,871.13 $1,633.43 2026-03-26
9019782_1 CDM Secure Strap 17 17 $1,801.80 $1,351.35 25% off $738.74 $1,747.75 $1,621.62 2026-03-26
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 19 19 $1,780.00 $1,335.00 25% off $3.45 $2,830.81 $1,602.00 2026-03-26
7745192_1 CDM Operating Room Services - General Classification 17 17 $1,779.00 $1,334.25 25% off $729.39 $1,725.63 $1,601.10 2026-03-26
90376 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle, Heat-t… 53 23 $1,775.00 $1,331.25 25% off $272.16 $2,239.53 $1,597.50 2026-03-26
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 19 19 $1,814.00 $1,360.50 25% off $1.27 $1,759.58 $1,596.32 2026-03-26
64491 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Second Le… 19 19 $1,733.00 $1,299.75 25% off $2.15 $1,765.15 $1,559.70 2026-03-26
64492 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Third And… 19 19 $1,733.00 $1,299.75 25% off $2.15 $1,765.15 $1,559.70 2026-03-26
1377271_1 CDM Operating Room Services - Minor Surgery 17 17 $1,727.00 $1,295.25 25% off $708.07 $1,675.19 $1,554.30 2026-03-26
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 19 19 $1,750.00 $1,312.50 25% off $0.44 $1,697.50 $1,540.00 2026-03-26
35226 HCPCS Repair Of Blood Vessel Of Leg 19 19 $1,709.00 $1,281.75 25% off $5.36 $4,397.28 $1,538.10 2026-03-26
9004222_1 CDM Surgimesh Wn 10x15 Cm 17 17 $1,697.50 $1,273.13 25% off $695.98 $1,646.58 $1,527.75 2026-03-26
9039044_1 CDM Securestrap Absorbable Strap 5mm 17 17 $1,694.32 $1,270.74 25% off $694.67 $1,643.49 $1,524.89 2026-03-26
5106119_1 CDM Hernia Tac Oval 4x6 17 17 $1,662.50 $1,246.88 25% off $681.63 $1,612.63 $1,496.25 2026-03-26
1378486_1 CDM Operating Room Services - General Classification 17 17 $1,626.00 $1,219.50 25% off $666.66 $1,577.22 $1,463.40 2026-03-26
59409 HCPCS Vaginal Delivery 19 19 $1,625.00 $1,218.75 25% off $7.04 $5,781.48 $1,462.50 2026-03-26
5106115_1 CDM Hernia Med V-patch Circle 17 17 $1,624.00 $1,218.00 25% off $665.84 $1,575.28 $1,461.60 2026-03-26
4020858_1 CDM 00000-0000-97 - Tpn/ppn With Amino Acids 10% Solution [hc] 17 17 $1,612.00 $1,209.00 25% off $660.92 $1,563.64 $1,450.80 2026-03-26
8946195_1 CDM Dx Fibertak Disposables Kit 17 17 $1,606.50 $1,204.88 25% off $658.67 $1,558.31 $1,445.85 2026-03-26
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 19 19 $1,641.00 $1,230.75 25% off $1.27 $1,591.77 $1,444.08 2026-03-26
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 19 19 $1,600.00 $1,200.00 25% off $3.28 $2,691.24 $1,440.00 2026-03-26
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 19 19 $1,600.00 $1,200.00 25% off $3.28 $2,691.24 $1,440.00 2026-03-26
36476 HCPCS Destruction Of Subsequent Incompetent Veins Of Arm Or Leg Using Radiofrequency A… 19 19 $1,588.00 $1,191.00 25% off $7.78 $6,389.84 $1,429.20 2026-03-26
C8900 HCPCS Magnetic Resonance Angiography With Contrast, Abdomen 19 19 $1,620.00 $1,215.00 25% off $0.92 $1,571.40 $1,425.60 2026-03-26
5107656_1 CDM Tisseel Vh Kit 5 Ml 17 17 $1,579.38 $1,184.54 25% off $647.55 $1,532.00 $1,421.44 2026-03-26
8821382_1 CDM Tlso Brace 17 17 $1,575.00 $1,181.25 25% off $645.75 $1,527.75 $1,417.50 2026-03-26
5106857_1 CDM Cautery Ligasure V Sealer 17 17 $1,573.71 $1,180.28 25% off $645.22 $1,526.50 $1,416.34 2026-03-26
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 19 19 $1,571.00 $1,178.25 25% off $3.45 $2,830.81 $1,413.90 2026-03-26
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 19 19 $1,606.00 $1,204.50 25% off $0.44 $1,557.82 $1,413.28 2026-03-26
5106121_1 CDM Hernia Ventralex St Medium Circle 17 17 $1,561.00 $1,170.75 25% off $640.01 $1,514.17 $1,404.90 2026-03-26
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 19 19 $1,589.00 $1,191.75 25% off $0.92 $1,541.33 $1,398.32 2026-03-26
5106118_1 CDM Hernia Tac Oval 3x6 17 17 $1,540.00 $1,155.00 25% off $631.40 $1,493.80 $1,386.00 2026-03-26
72132 HCPCS CT Scan Of Lower Spine With Contrast 19 19 $1,570.00 $1,177.50 25% off $1.17 $1,522.90 $1,381.60 2026-03-26
73218 HCPCS MRI Scan Of Arm Without Contrast 38 19 $1,559.00 $1,169.25 25% off $1.02 $1,512.23 $1,371.92 2026-03-26
5106123_1 CDM Hernia Ventrio Sm Circle 17 17 $1,522.50 $1,141.88 25% off $624.23 $1,476.83 $1,370.25 2026-03-26
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 36 19 $3,453.00 $2,589.75 25% off $0.97 $3,349.41 $1,358.40 2026-03-26
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 19 19 $1,541.00 $1,155.75 25% off $1.02 $1,494.77 $1,356.08 2026-03-26
5106108_1 CDM Hemorrhoid Thd Evolution 17 17 $1,501.50 $1,126.13 25% off $615.62 $1,456.46 $1,351.35 2026-03-26
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 19 19 $1,530.00 $1,147.50 25% off $1.27 $1,484.10 $1,346.40 2026-03-26
J0897 HCPCS Injection, Denosumab, 1 Mg 34 17 $3,218.47 $2,413.86 25% off $29.93 $6,173.02 $1,340.01 2026-03-26
62324 HCPCS Insertion Of Tube And Injection Of Substance Into Middle Or Upper Spine Canal 19 19 $1,487.00 $1,115.25 25% off $2.15 $1,765.15 $1,338.30 2026-03-26
J2760 HCPCS Injection, Phentolamine Mesylate, Up To 5 Mg 17 17 $1,484.40 $1,113.30 25% off $608.60 $1,439.87 $1,335.96 2026-03-26
8777404_1 CDM Coolief Probe Only 17g 150mm 17 17 $1,481.55 $1,111.16 25% off $607.44 $1,437.10 $1,333.40 2026-03-26
8777402_1 CDM Coolief Probe Only 17g 50mm 17 17 $1,481.55 $1,111.16 25% off $607.44 $1,437.10 $1,333.40 2026-03-26
8786915_1 CDM Coolief Probe Only 17g 100mm 17 17 $1,481.55 $1,111.16 25% off $607.44 $1,437.10 $1,333.40 2026-03-26
8777400_1 CDM Coolief Probe Only 17g 75mm 17 17 $1,481.55 $1,111.16 25% off $607.44 $1,437.10 $1,333.40 2026-03-26
26765 HCPCS Treatment Of Broken End Of Finger Or Thumb 19 19 $1,475.00 $1,106.25 25% off $13.80 $11,326.52 $1,327.50 2026-03-26
70336 HCPCS MRI Scan Of Jaw Joint 19 19 $1,476.00 $1,107.00 25% off $1.02 $1,431.72 $1,298.88 2026-03-26
4903016_1 CDM Room & Board - Private (one Bed) - General Classification 13 13 $1,428.00 $1,071.00 25% off $785.40 $1,385.16 $1,285.20 2026-03-26
8435513_1 CDM Pleurx Starter Kit 1000cc 17 17 $1,410.00 $1,057.50 25% off $578.10 $1,367.70 $1,269.00 2026-03-26
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 19 19 $1,433.00 $1,074.75 25% off $0.53 $1,390.01 $1,261.04 2026-03-26
4903011_1 CDM Room & Board - Other - Sterile Environment 13 13 $1,395.00 $1,046.25 25% off $767.25 $1,353.15 $1,255.50 2026-03-26
64486 HCPCS Injection Of Local Anesthetic For Abdominal Wall Pain Control On Side Using Imag… 19 19 $1,420.00 $1,065.00 25% off $1.08 $1,377.40 $1,249.60 2026-03-26
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 52 23 $1,268.00 $951.00 25% off $19.98 $14,757.99 $1,248.98 2026-03-26
76776 HCPCS Ultrasound Scan Of Transplanted Kidney 36 19 $1,652.00 $1,239.00 25% off $0.34 $1,602.44 $1,247.61 2026-03-26
5107214_1 CDM Seprafilm Barrier 17 17 $1,368.54 $1,026.41 25% off $561.10 $1,327.48 $1,231.69 2026-03-26
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 19 19 $1,389.00 $1,041.75 25% off $0.53 $1,347.33 $1,222.32 2026-03-26
70460 HCPCS CT Scan Head Or Brain With Contrast 19 19 $1,340.00 $1,005.00 25% off $1.17 $1,299.80 $1,179.20 2026-03-26
62323 HCPCS Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 19 19 $1,275.00 $956.25 25% off $2.15 $1,765.15 $1,147.50 2026-03-26
23665 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Upper Arm Bone At Shoulder Jo… 19 19 $1,270.00 $952.50 25% off $2.57 $2,112.43 $1,143.00 2026-03-26
5107199_1 CDM Salute Cartridge 30 18cm 17 17 $1,263.50 $947.63 25% off $518.04 $1,225.60 $1,137.15 2026-03-26
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 19 19 $1,292.00 $969.00 25% off $0.53 $1,253.24 $1,136.96 2026-03-26
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 36 23 $1,242.00 $931.50 25% off $188.54 $1,987.20 $1,130.22 2026-03-26
8884939_1 CDM Trapeziectomy Tool Sterile 17 17 $1,253.00 $939.75 25% off $513.73 $1,215.41 $1,127.70 2026-03-26
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 17 17 $1,250.00 $937.50 25% off $512.50 $1,212.50 $1,125.00 2026-03-26
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 19 19 $1,277.00 $957.75 25% off $0.75 $1,238.69 $1,123.76 2026-03-26
64454 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 19 19 $1,275.00 $956.25 25% off $1.08 $1,236.75 $1,122.00 2026-03-26
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 19 19 $1,269.00 $951.75 25% off $1.27 $1,230.93 $1,116.72 2026-03-26
5107805_1 CDM T-tube Silicone 12fr Sterile 17 17 $1,230.15 $922.61 25% off $504.36 $1,193.25 $1,107.14 2026-03-26
5106928_1 CDM Mesh Plug Perfix Xlrg 17 17 $1,226.40 $919.80 25% off $502.82 $1,189.61 $1,103.76 2026-03-26
5106116_1 CDM Hernia Sm V-patch Circle 17 17 $1,218.00 $913.50 25% off $499.38 $1,181.46 $1,096.20 2026-03-26
64494 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Second Le… 19 19 $1,200.00 $900.00 25% off $2.15 $1,765.15 $1,080.00 2026-03-26
64495 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Third And… 19 19 $1,200.00 $900.00 25% off $2.15 $1,765.15 $1,080.00 2026-03-26
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 19 19 $1,223.00 $917.25 25% off $0.75 $1,186.31 $1,076.24 2026-03-26
11043 HCPCS Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less 19 19 $1,195.00 $896.25 25% off $1.44 $1,185.52 $1,075.50 2026-03-26
J2785 HCPCS Injection, Regadenoson, 0.1 Mg 17 17 $1,192.92 $894.69 25% off $489.10 $1,157.13 $1,073.63 2026-03-26
5107283_1 CDM Coblation Wand Disp 17 17 $1,168.23 $876.17 25% off $478.97 $1,133.18 $1,051.41 2026-03-26
78606 HCPCS Nuclear Medicine Study Of Brain And Blood Flow, 4 Static Views Or More 19 19 $1,165.00 $873.75 25% off $1.27 $1,130.05 $1,045.95 2026-03-26
43239 HCPCS Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 19 19 $1,161.00 $870.75 25% off $3.24 $2,658.40 $1,044.90 2026-03-26
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 19 19 $1,147.00 $860.25 25% off $1.27 $1,112.59 $1,032.30 2026-03-26
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 19 19 $1,111.00 $833.25 25% off $2.78 $2,278.28 $999.90 2026-03-26
55100 HCPCS Drainage Of Abscess Of Scrotum 19 19 $1,110.00 $832.50 25% off $3.89 $3,195.33 $999.00 2026-03-26
35207 HCPCS Repair Of Blood Vessel Of Hand Or Finger 19 19 $1,109.00 $831.75 25% off $5.36 $4,397.28 $998.10 2026-03-26
76810 HCPCS Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More), Each Additional Fetus 19 19 $1,131.00 $848.25 25% off $0.35 $1,097.07 $995.28 2026-03-26
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 19 19 $1,101.00 $825.75 25% off $2.15 $1,765.15 $990.90 2026-03-26
62321 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 19 19 $1,101.00 $825.75 25% off $2.15 $1,765.15 $990.90 2026-03-26
94619 HCPCS Exercise Test For Spasm Of Lung Airways 19 19 $1,109.00 $831.75 25% off $0.26 $1,075.73 $975.92 2026-03-26
1378251_1 CDM Operating Room Services - Minor Surgery 17 17 $1,082.00 $811.50 25% off $443.62 $1,049.54 $973.80 2026-03-26
8817554_1 CDM Clinimix 5%-15% Solution 17 17 $1,066.00 $799.50 25% off $437.06 $1,034.02 $959.40 2026-03-26
4020426_1 CDM Clinimix E 5%-15% Solution 17 17 $1,066.00 $799.50 25% off $437.06 $1,034.02 $959.40 2026-03-26
5106926_1 CDM Mesh Plug Perfix Large 17 17 $1,063.65 $797.74 25% off $436.10 $1,031.74 $957.29 2026-03-26
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