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 →

Export CSV
Hospital

DECATUR COUNTY HOSPITAL

Leon, IA · CCN 161340 · Rates published

4,121 distinct procedures filed
44 distinct payers
359,872 rate rows
2026-03-04 last MRF observed
Data quality

357,320 of 359,872 rate rows are consumer-grade (99.3%)

2,552 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 870
percent-of-charges filed in the dollar field — excluded from medians 776
exceeds 10× this hospital's gross charge — excluded from medians 444
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 370
per-diem day rate — not a per-procedure price 92
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbDCHLEONIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/DecaturCounty_V2.aspx
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint d073ebf9d4072f3d… · 71,676,245 bytes · first seen 2026-05-16

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
J9347
HCPCS 		Injection, Tremelimumab-actl, 1 Mg 39 $41,344.00 $135,660.00 $103,360.00 nat. median
$3,461
outlier · 29.9×
J3245
HCPCS 		Injection, Tildrakizumab, 1 Mg 39 $13,788.91 $45,244.87 $34,472.28 nat. median
$256
outlier · 134.7×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 $14,796.09 $32,880.21 $27,126.17 nat. median
$38,489
0.7× median
J9022
HCPCS 		Injection, Atezolizumab, 10 Mg 39 $9,537.85 $31,296.07 $23,844.62 nat. median
$6,911
outlier · 3.5×
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 39 $8,921.68 $29,274.25 $22,304.19 nat. median
$232
outlier · 96.1×
8559320_1
CDM 		Strattice 20 X 25 Tissue #2025002 37 $8,542.08 $26,694.00 $21,355.20 nat. median
$21,355
1.0× median
L8687
HCPCS 		Implantable Neurostimulator Pulse Generator, Dual Array, Rechargeable, Includes… 39 $7,392.00 $24,255.00 $18,480.00 nat. median
$14,605
1.3× median
J9223
HCPCS 		Injection, Lurbinectedin, 0.1 Mg 39 $7,164.45 $23,508.35 $17,911.12 nat. median
$626
outlier · 28.6×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 33 $9,885.16 $21,967.02 $17,573.62 nat. median
$53,167
outlier · 0.3×
J9303
HCPCS 		Injection, Panitumumab, 10 Mg 39 $6,789.38 $22,277.64 $16,973.44 nat. median
$1,888
outlier · 9.0×
J9228
HCPCS 		Injection, Ipilimumab, 1 Mg 39 $6,649.14 $21,817.48 $16,622.84 nat. median
$9,890
1.7× median
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 39 $5,871.16 $22,115.61 $15,787.82 nat. median
$2,076
outlier · 7.6×
6
MS_DRG 		Liver Transplant Without Mcc 33 $7,947.18 $17,660.39 $14,128.31 nat. median
$46,260
outlier · 0.3×
J9306
HCPCS 		Injection, Pertuzumab, 1 Mg 39 $5,453.26 $17,893.52 $13,633.16 nat. median
$85
outlier · 160.6×
J9271
HCPCS 		Injection, Pembrolizumab, 1 Mg 39 $4,839.08 $15,878.25 $12,097.71 nat. median
$736
outlier · 16.4×
Q5108
HCPCS 		Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 39 $3,834.00 $24,635.63 $12,090.88 nat. median
$1,257
outlier · 9.6×
J9299
HCPCS 		Injection, Nivolumab, 1 Mg 39 $4,112.04 $22,917.64 $11,804.16 nat. median
$2,944
outlier · 4.0×
Q5111
HCPCS 		Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 39 $4,568.80 $14,991.38 $11,422.00 nat. median
$2,102
outlier · 5.4×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 33 $6,415.02 $14,255.60 $11,404.48 nat. median
$56,918
outlier · 0.2×
J9173
HCPCS 		Injection, Durvalumab, 10 Mg 39 $4,088.30 $13,414.73 $10,220.74 nat. median
$1,151
outlier · 8.9×
L8680
HCPCS 		Implantable Neurostimulator Electrode, Each 39 $3,920.00 $12,862.50 $9,800.00 nat. median
$1,832
outlier · 5.3×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 $5,282.38 $11,738.63 $9,684.38 nat. median
$52,857
outlier · 0.2×
9052324_1
CDM 		Acellular Dermal Allograft #aflex601 37 $3,829.76 $11,968.00 $9,574.40 nat. median
$9,574
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 $5,181.73 $11,514.95 $9,499.83 nat. median
$133,161
outlier · 0.1×
J1950
HCPCS 		Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 39 $3,715.85 $12,192.64 $9,289.63 nat. median
$4,344
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 33 $5,141.80 $11,426.22 $9,140.98 nat. median
$265,286
outlier · 0.0×
Q4130
HCPCS 		Strattice Tm, Per Square Centimeter 39 $1,881.08 $11,880.75 $9,052.00 nat. median
$405
outlier · 22.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 $4,844.69 $10,765.98 $8,881.94 nat. median
$370,174
outlier · 0.0×
C1831
HCPCS 		Interbody Cage, Anterior, Lateral Or Posterior, Personalized (implantable) 39 $2,592.00 $30,376.50 $8,881.30 nat. median
$11,688
0.8× median
8560072_1
CDM 		Graft, Amnion 3x8 Thk #abs-4200-038 37 $3,520.00 $11,000.00 $8,800.00 nat. median
$8,800
1.0× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 33 $4,843.49 $10,763.32 $8,610.66 nat. median
$53,807
outlier · 0.2×
8924980_1
CDM 		Quickset Kit 16cc #abs-3016 37 $3,420.16 $10,688.00 $8,550.40 nat. median
$8,550
1.0× median
Q4197
HCPCS 		Puraply Xt, Per Square Centimeter 39 $1,881.08 $11,156.25 $8,500.00 nat. median
$194
outlier · 43.9×
8560071_1
CDM 		Graft, Amnion 3x6 Thk #abs-4200-036 37 $2,960.00 $9,250.00 $7,400.00 nat. median
$7,400
1.0× median
7
MS_DRG 		Lung Transplant 33 $4,142.89 $9,206.41 $7,365.13 nat. median
$122,708
outlier · 0.1×
J9217
HCPCS 		Leuprolide Acetate (for Depot Suspension), 7.5 Mg 39 $1,590.95 $14,428.66 $7,283.04 nat. median
$1,521
outlier · 4.8×
8560627_1
CDM 		Esphyx Hd *order As Needed* 37 $2,860.16 $8,938.00 $7,150.40 nat. median
$7,150
1.0× median
8560339_1
CDM 		Catheter, Hawk One Atherectomy H1-ls 37 $2,796.16 $8,738.00 $6,990.40 nat. median
$6,990
1.0× median
Q5116
HCPCS 		Injection, Trastuzumab-qyyp, Biosimilar, (trazimera), 10 Mg 39 $2,772.61 $9,097.63 $6,931.53 nat. median
$429
outlier · 16.1×
J0896
HCPCS 		Injection, Luspatercept-aamt, 0.25 Mg 39 $2,126.48 $20,406.08 $6,877.82 nat. median
$4,606
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 33 $3,754.33 $8,342.96 $6,674.36 nat. median
$100,136
outlier · 0.1×
C1889
HCPCS 		Implantable/insertable Device, Not Otherwise Classified 39 $1,993.60 $14,592.90 $6,567.27 nat. median
$2,392
outlier · 2.7×
C9757
HCPCS 		Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 39 $2,592.00 $8,505.00 $6,480.00 nat. median
$13,675
outlier · 0.5×
C1757
HCPCS 		Catheter, Thrombectomy/embolectomy 39 $2,560.00 $8,400.00 $6,400.00 nat. median
$2,476
outlier · 2.6×
Q4282
HCPCS 		Cygnus Dual, Per Square Centimeter 39 $1,600.00 $23,058.00 $6,360.00 nat. median
$657
outlier · 9.7×
10
MS_DRG 		Pancreas Transplant 34 $3,365.52 $7,478.93 $6,170.11 nat. median
$68,884
outlier · 0.1×
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 39 $2,413.24 $7,918.43 $6,033.09 nat. median
$1,372
outlier · 4.4×
36475
HCPCS 		Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima… 39 $220.33 $8,610.00 $5,986.00 nat. median
$4,179
1.4× median
8560128_1
CDM 		Achilles Speedb/jump Implt#ar-8928bcj-cp 37 $2,280.00 $7,125.00 $5,700.00 nat. median
$5,700
1.0× median
8559232_1
CDM 		Jetstream Catheter 2.1mm 37 $2,234.56 $6,983.00 $5,586.40 nat. median
$5,586
1.0× median

Other procedures at this hospital

Browse this hospital's 4,121 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
             
95713 HCPCS Measurement Of Brain Wave Activity With Video (veeg), 2-12 Hours With Continuous… 78 39 $2,369.00 $1,895.20 20% off $758.08 $2,487.45 $1,895.20 2026-03-04
8560342_1 CDM Express Vascular 7.0 X 40 X 135cm 74 37 $2,373.00 $1,898.40 $759.36 $2,373.00 $1,898.40 2026-03-04
8779574_1 CDM Nushield 2 X 4 Graft **(8/1/22 Obsolete** 74 37 $2,375.00 $1,900.00 20% off $760.00 $2,375.00 $1,900.00 2026-03-04
8559538_1 CDM Epic Vascular 10 X 40 X 120 74 37 $2,375.00 $1,900.00 20% off $760.00 $2,375.00 $1,900.00 2026-03-04
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 78 39 $2,405.00 $1,924.00 20% off $769.60 $2,525.25 $1,924.00 2026-03-04
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 78 39 $2,405.00 $1,924.00 20% off $769.60 $2,525.25 $1,924.00 2026-03-04
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 78 39 $2,405.00 $1,924.00 20% off $769.60 $2,525.25 $1,924.00 2026-03-04
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 78 39 $2,405.00 $1,924.00 20% off $709.28 $2,525.25 $1,924.00 2026-03-04
73718 HCPCS MRI Scan Of Leg Without Contrast 78 39 $2,405.00 $1,924.00 20% off $769.60 $2,525.25 $1,924.00 2026-03-04
34201 HCPCS Removal Of Blood Clot In Artery Of Groin And Leg 38 19 $2,405.00 $1,924.00 20% off $818.57 $2,453.10 $1,881.00 2026-03-04
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 78 39 $2,435.00 $1,948.00 20% off $779.20 $2,556.75 $1,948.00 2026-03-04
8979648_1 CDM Tx2 Procedure Pack #554-2003-001 74 37 $2,438.00 $1,950.40 $780.16 $2,438.00 $1,950.40 2026-03-04
8877113_1 CDM Insert, Lgn Xlpe Ps Sz 3-4 13mm #71453248 74 37 $2,439.00 $1,951.20 20% off $780.48 $2,439.00 $1,951.20 2026-03-04
8952542_1 CDM R3 0 Deg Xlpe Acet Lnr 36mmx54mm #71332754 74 37 $2,439.00 $1,951.20 20% off $780.48 $2,439.00 $1,951.20 2026-03-04
8937262_1 CDM Lgn Xlpe Ps Insert Sz 3-4 11mm #71453247 74 37 $2,439.00 $1,951.20 20% off $780.48 $2,439.00 $1,951.20 2026-03-04
71550 HCPCS MRI Scan Of Chest Without Contrast 78 39 $2,460.00 $1,968.00 20% off $787.20 $2,583.00 $1,968.00 2026-03-04
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 78 39 $2,463.00 $1,970.40 $709.28 $2,586.15 $1,970.40 2026-03-04
43840 HCPCS Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel 38 19 $2,472.00 $1,977.60 20% off $1,128.46 $2,827.17 $1,977.60 2026-03-04
8560155_1 CDM X-plate, Small 2.4mm, Ti Ar-8952xp 74 37 $2,483.00 $1,986.40 $794.56 $2,483.00 $1,986.40 2026-03-04
8559113_1 CDM Scrw, Compr Ft 730x80mm #ar-8770-80h 74 37 $2,483.00 $1,986.40 $794.56 $2,483.00 $1,986.40 2026-03-04
81479 HCPCS Molecular Pathology Procedure 78 39 $2,494.00 $1,995.20 20% off $143.22 $2,618.70 $2,119.90 2026-03-04
8559108_1 CDM Standard Procedure Pack #st6100 74 37 $2,500.00 $2,000.00 20% off $800.00 $2,500.00 $2,000.00 2026-03-04
58573 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, Mor… 38 19 $2,500.00 $2,000.00 20% off $998.38 $2,550.00 $2,000.00 2026-03-04
8559769_1 CDM Optease, Filter Jugular, 55cm *do Not Reorder/no Usage* 74 37 $2,513.00 $2,010.40 $804.16 $2,513.00 $2,010.40 2026-03-04
72196 HCPCS MRI Scan Of Pelvis With Contrast 78 39 $2,536.00 $2,028.80 20% off $811.52 $2,662.80 $2,028.80 2026-03-04
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 78 39 $2,547.00 $2,037.60 20% off $815.04 $2,674.35 $2,037.60 2026-03-04
15830 HCPCS Removal Of Extra Skin And Tissue Of Abdomen 38 19 $2,569.00 $2,055.20 20% off $965.85 $2,620.38 $2,006.00 2026-03-04
95700 HCPCS Measurement Of Brain Wave Activity (eeg), Continuous 78 39 $2,575.00 $2,060.00 20% off $824.00 $2,703.75 $2,060.00 2026-03-04
37799 HCPCS Other Procedure On Blood Vessel 102 39 $2,575.00 $2,060.00 20% off $328.00 $5,385.75 $1,982.75 2026-03-04
26587 HCPCS Removal Of Extra Finger 38 19 $2,575.00 $2,060.00 20% off $876.80 $2,626.50 $1,935.00 2026-03-04
81450 HCPCS Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 5-50 Genes Ass… 78 39 $2,580.00 $2,064.00 20% off $628.68 $19,595.87 $2,193.00 2026-03-04
44005 HCPCS Release Of Intestinal Scar Tissue 38 19 $2,580.00 $2,064.00 20% off $783.42 $2,580.00 $1,986.60 2026-03-04
74181 HCPCS MRI Scan Of Abdomen Without Contrast 78 39 $2,590.00 $2,072.00 20% off $828.80 $2,719.50 $2,072.00 2026-03-04
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 78 39 $2,618.00 $2,094.40 $837.76 $2,748.90 $2,094.40 2026-03-04
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 78 39 $2,623.00 $2,098.40 $709.28 $2,754.15 $2,098.40 2026-03-04
45400 HCPCS Repair Of Rectal Prolapse Using An Endoscope 38 19 $2,623.00 $2,098.40 $456.65 $2,623.00 $2,019.71 2026-03-04
49652 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 30 15 $2,623.00 $2,098.40 $1,049.20 $2,675.46 $2,019.71 2026-03-04
27880 HCPCS Amputation Of Both Lower Leg Bones 38 19 $2,623.00 $2,098.40 $731.80 $2,675.46 $1,901.92 2026-03-04
8560682_1 CDM Smart Toe19mm Angled 74 37 $2,640.00 $2,112.00 20% off $844.80 $2,640.00 $2,112.00 2026-03-04
95805 HCPCS Sleep Study, Multiple Trials 190 39 $2,678.00 $2,142.40 $55.33 $3,554.25 $2,276.30 2026-03-04
36476 HCPCS Destruction Of Subsequent Incompetent Veins Of Arm Or Leg Using Radiofrequency A… 116 39 $2,700.00 $2,160.00 20% off $105.04 $7,760.48 $1,998.00 2026-03-04
73219 HCPCS MRI Scan Of Arm With Contrast 152 39 $2,704.00 $2,163.20 20% off $865.28 $3,071.25 $2,298.40 2026-03-04
8968998_1 CDM Smartstitch Perfectpasser Suture #om-8178 74 37 $2,707.00 $2,165.60 20% off $866.24 $2,707.00 $2,165.60 2026-03-04
44320 HCPCS Creation Of Opening From Large Bowel To Skin 38 19 $2,717.00 $2,173.60 20% off $793.49 $2,717.00 $2,092.09 2026-03-04
63030 HCPCS Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves And/or… 38 19 $2,732.00 $2,185.60 20% off $788.59 $2,786.64 $1,994.36 2026-03-04
43772 HCPCS Removal Of Stomach Reduction Device Using An Endoscope 38 19 $2,732.00 $2,185.60 20% off $793.53 $2,786.64 $1,984.88 2026-03-04
8560344_1 CDM Express Vascular 8.0 X 40 X 135cm 74 37 $2,735.00 $2,188.00 20% off $875.20 $2,735.00 $2,188.00 2026-03-04
L8681 HCPCS Patient Programmer (external) For Use With Implantable Programmable Neurostimula… 78 39 $2,738.00 $2,190.40 $876.16 $2,874.90 $2,190.40 2026-03-04
8795563_1 CDM Nanoscope Handpiece #ar-3210-0040 74 37 $2,748.00 $2,198.40 $879.36 $2,748.00 $2,198.40 2026-03-04
Q4125 HCPCS Arthroflex, Per Square Centimeter 152 39 $2,750.00 $2,200.00 20% off $880.00 $11,510.10 $2,846.25 2026-03-04
8941912_1 CDM Filter Set, Cook Celect Platinum Novalign Uniset Vena Cara #g34505 74 37 $2,750.00 $2,200.00 20% off $880.00 $2,750.00 $2,200.00 2026-03-04
8967249_1 CDM Arc Wrist Tower Single #75-0100 74 37 $2,750.00 $2,200.00 20% off $880.00 $2,750.00 $2,200.00 2026-03-04
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 78 39 $2,761.00 $2,208.80 $883.52 $2,899.05 $2,208.80 2026-03-04
70552 HCPCS MRI Scan Of Brain With Contrast 78 39 $2,771.00 $2,216.80 $886.72 $2,909.55 $2,216.80 2026-03-04
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 78 39 $2,772.00 $2,217.60 20% off $709.28 $2,910.60 $2,217.60 2026-03-04
J3262 HCPCS Injection, Tocilizumab, 1 Mg 156 39 $2,776.16 $2,220.93 $632.81 $3,753.55 $1,912.53 2026-03-04
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 152 39 $2,781.00 $2,224.80 $709.28 $2,920.05 $2,227.18 2026-03-04
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 78 39 $2,781.00 $2,224.80 $889.92 $2,920.05 $2,224.80 2026-03-04
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 78 39 $2,788.00 $2,230.40 $709.28 $2,927.40 $2,230.40 2026-03-04
74182 HCPCS MRI Scan Of Abdomen With Contrast 78 39 $2,788.00 $2,230.40 $892.16 $2,927.40 $2,230.40 2026-03-04
8560348_1 CDM Wall Stent 14 X 40 X 75cm 74 37 $2,813.00 $2,250.40 $900.16 $2,813.00 $2,250.40 2026-03-04
8560350_1 CDM Wall Stent 16 X 40 X 75cm 74 37 $2,813.00 $2,250.40 $900.16 $2,813.00 $2,250.40 2026-03-04
8560349_1 CDM Wall Stent 14 X 60 X 75cm 74 37 $2,813.00 $2,250.40 $900.16 $2,813.00 $2,250.40 2026-03-04
8830682_1 CDM Express Ld Iliac/ Biliary 8mm X 57mm X75cm 74 37 $2,813.00 $2,250.40 $900.16 $2,813.00 $2,250.40 2026-03-04
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 38 19 $2,822.00 $2,257.60 20% off $767.64 $2,878.44 $1,914.02 2026-03-04
49565 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Reducible 30 15 $2,841.00 $2,272.80 $1,136.40 $2,897.82 $2,187.57 2026-03-04
95714 HCPCS Measurement Of Brain Wave Activity With Video (veeg), 12-26 Hours 78 39 $2,884.00 $2,307.20 20% off $922.88 $3,028.20 $2,307.20 2026-03-04
29827 HCPCS Repair Of Shoulder Rotator Cuff Using An Endoscope 38 19 $2,884.00 $2,307.20 20% off $883.71 $2,941.68 $2,105.32 2026-03-04
32651 HCPCS Partial Removal Of Chest Cavity Lining And Lung Lining Using An Endoscope 38 19 $2,884.00 $2,307.20 20% off $893.54 $2,884.00 $2,020.00 2026-03-04
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 152 39 $2,897.00 $2,317.60 20% off $922.88 $3,041.85 $2,384.50 2026-03-04
15734 HCPCS Creation Of Muscle Graft To Trunk 38 19 $2,897.00 $2,317.60 20% off $1,246.45 $2,954.94 $2,317.60 2026-03-04
44140 HCPCS Partial Removal Of Large Bowel With Connection 38 19 $2,899.00 $2,319.20 20% off $1,044.30 $2,899.00 $2,232.23 2026-03-04
9054385_1 CDM Novasure V5 Combo Kit #nsv5kitus-003 74 37 $2,901.00 $2,320.80 $928.32 $2,901.00 $2,320.80 2026-03-04
70551 HCPCS MRI Scan Of Brain Without Contrast 78 39 $2,905.00 $2,324.00 20% off $929.60 $3,050.25 $2,324.00 2026-03-04
73722 HCPCS MRI Scan Of Leg Joint With Contrast 78 39 $2,907.00 $2,325.60 20% off $930.24 $3,052.35 $2,325.60 2026-03-04
J9075 HCPCS Injection, Cyclophosphamide, Not Otherwise Specified, 5 Mg 78 39 $2,917.25 $2,333.80 $933.52 $3,063.11 $2,333.80 2026-03-04
8924932_1 CDM Oxinium Fem He 12/14 28mm+0 #71342800 74 37 $2,925.00 $2,340.00 20% off $936.00 $2,925.00 $2,340.00 2026-03-04
8560345_1 CDM Express Vascular 8.0 X 57 X 135cm 74 37 $2,931.00 $2,344.80 $937.92 $2,931.00 $2,344.80 2026-03-04
Q4106 HCPCS Dermagraft, Per Square Centimeter 78 39 $2,938.00 $2,350.40 $940.16 $3,084.90 $2,350.40 2026-03-04
8816607_1 CDM Balloon, Ranger Otw 6.0 X 100mm X 135cm 74 37 $2,938.00 $2,350.40 $940.16 $2,938.00 $2,350.40 2026-03-04
8816613_1 CDM Balloon, Ranger Otw 7.0 X 100m X 135cm 74 37 $2,938.00 $2,350.40 $940.16 $2,938.00 $2,350.40 2026-03-04
49654 HCPCS Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion, When … 30 15 $2,980.00 $2,384.00 20% off $1,192.00 $3,039.60 $2,294.60 2026-03-04
Q5104 HCPCS Injection, Infliximab-abda, Biosimilar, (renflexis), 10 Mg 78 39 $2,986.19 $2,388.95 20% off $955.58 $3,135.50 $2,388.95 2026-03-04
45111 HCPCS Partial Removal Of Rectum Through Abdomen 38 19 $2,987.00 $2,389.60 20% off $911.85 $2,987.00 $2,009.00 2026-03-04
8560080_1 CDM Graft, 30mmx40mmx.5mm #aflex500 74 37 $2,988.00 $2,390.40 20% off $956.16 $2,988.00 $2,390.40 2026-03-04
Q4196 HCPCS Puraply Am, Per Square Centimeter 596 39 $3,000.00 $2,400.00 20% off $320.00 $9,355.50 $2,475.00 2026-03-04
36465 HCPCS Injection Of Chemical Agent Into Single Incompetent Vein Of Leg Using Ultrasound… 232 39 $3,000.00 $2,400.00 20% off $94.77 $3,244.50 $2,190.00 2026-03-04
19318 HCPCS Breast Reduction 38 19 $3,008.00 $2,406.40 20% off $890.15 $3,068.16 $2,195.84 2026-03-04
8805470_1 CDM Stent, Express Sd Renal/biliary 5mm X 15mm X 150cm H74937911515150 74 37 $3,025.00 $2,420.00 20% off $968.00 $3,025.00 $2,420.00 2026-03-04
51992 HCPCS Creation Of Sling Around Urethra To Control Leakage Using An Endoscope 38 19 $3,030.00 $2,424.00 20% off $683.05 $3,090.60 $1,969.50 2026-03-04
L5702 HCPCS Replacement, Socket, Hip Disarticulation, Including Hip Joint, Molded To Patient… 156 39 $3,031.50 $2,425.20 20% off $900.16 $3,412.50 $2,428.34 2026-03-04
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 78 39 $3,034.00 $2,427.20 20% off $675.80 $3,185.70 $2,427.20 2026-03-04
73222 HCPCS MRI Scan Of Arm Joint With Contrast 78 39 $3,038.00 $2,430.40 20% off $972.16 $3,189.90 $2,430.40 2026-03-04
9001569_1 CDM Cubital Tunnel Blade 74 37 $3,038.00 $2,430.40 20% off $972.16 $3,038.00 $2,430.40 2026-03-04
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 38 19 $3,038.00 $2,430.40 20% off $1,225.10 $3,352.44 $2,339.26 2026-03-04
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 38 19 $3,061.00 $2,448.80 $750.11 $3,122.22 $1,989.65 2026-03-04
C1880 HCPCS Vena Cava Filter 78 39 $3,082.00 $2,465.60 20% off $986.24 $3,236.10 $2,465.60 2026-03-04
27536 HCPCS Treatment Of Broken Shin Bone On Both Sides Of Upper End 38 19 $3,090.00 $2,472.00 20% off $984.01 $3,151.80 $2,255.70 2026-03-04
63047 HCPCS Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves, 1… 38 19 $3,104.00 $2,483.20 20% off $933.05 $3,166.08 $2,265.92 2026-03-04
8560074_1 CDM Balloon, In.pact Drug Coatd Adm06006013p 74 37 $3,125.00 $2,500.00 20% off $1,000.00 $3,125.00 $2,500.00 2026-03-04
C2623 HCPCS Catheter, Transluminal Angioplasty, Drug-coated, Non-laser 78 39 $3,125.00 $2,500.00 20% off $1,000.00 $3,281.25 $2,500.00 2026-03-04
44346 HCPCS Revision Of Opening From Large Bowel To Skin With Repair Of Hernia 38 19 $3,170.00 $2,536.00 20% off $988.03 $3,233.40 $2,314.10 2026-03-04
27236 HCPCS Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device… 38 19 $3,193.00 $2,554.40 20% off $983.52 $3,256.86 $2,330.89 2026-03-04
J7318 HCPCS Hyaluronan Or Derivative, Durolane, For Intra-articular Injection, 1 Mg 78 39 $3,195.28 $2,556.22 20% off $1,022.49 $3,355.04 $2,556.22 2026-03-04
8560151_1 CDM Plate, Lo-pro,mtp-r- Ar-8944cr-p 74 37 $3,198.00 $2,558.40 20% off $1,023.36 $3,198.00 $2,558.40 2026-03-04
75736 HCPCS Review By Radiologist Of Pelvis Artery Image 116 39 $3,237.00 $2,589.60 20% off $47.61 $4,887.89 $2,395.38 2026-03-04
Q4101 HCPCS Apligraf, Per Square Centimeter 78 39 $3,238.00 $2,590.40 20% off $1,036.16 $3,399.90 $2,590.40 2026-03-04
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 78 39 $3,244.00 $2,595.20 20% off $1,038.08 $3,406.20 $2,595.20 2026-03-04
73220 HCPCS MRI Scan Of Arm Before And After Contrast 78 39 $3,246.00 $2,596.80 $1,038.72 $3,408.30 $2,596.80 2026-03-04
8927598_1 CDM Gns Ii Cmt Tib Size 4() Right #71420184 74 37 $3,250.00 $2,600.00 20% off $1,040.00 $3,250.00 $2,600.00 2026-03-04
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 78 39 $3,273.00 $2,618.40 20% off $1,047.36 $3,436.65 $2,618.40 2026-03-04
44602 HCPCS Suture Of Tear Of Hole In Small Bowel 38 19 $3,279.00 $2,623.20 20% off $1,145.21 $3,344.58 $2,611.00 2026-03-04
49653 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 30 15 $3,279.00 $2,623.20 20% off $1,311.60 $3,344.58 $2,524.83 2026-03-04
73719 HCPCS MRI Scan Of Leg With Contrast 152 39 $3,279.00 $2,623.20 20% off $930.24 $3,442.95 $2,485.48 2026-03-04
63042 HCPCS Partial Removal Of Spine Bone With Re-exploration, Release Of Lower Spinal Cord … 38 19 $3,289.00 $2,631.20 20% off $1,072.89 $3,354.78 $2,404.00 2026-03-04
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 38 19 $3,294.00 $2,635.20 20% off $953.69 $3,359.88 $2,263.21 2026-03-04
78802 HCPCS Nuclear Medicine Study, Whole Body 78 39 $3,296.00 $2,636.80 $1,054.72 $3,460.80 $2,636.80 2026-03-04
J0485 HCPCS Injection, Belatacept, 1 Mg 78 39 $3,302.52 $2,642.02 $1,056.81 $3,467.65 $2,642.02 2026-03-04
73720 HCPCS MRI Scan Of Leg Before And After Contrast 78 39 $3,304.00 $2,643.20 20% off $1,057.28 $3,469.20 $2,643.20 2026-03-04
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 78 39 $3,304.17 $2,643.34 $1,057.33 $3,469.38 $2,643.34 2026-03-04
8944104_1 CDM Coolief Mcka2-17-50-2 74 37 $3,325.00 $2,660.00 20% off $1,064.00 $3,325.00 $2,660.00 2026-03-04
8899838_1 CDM Coolief Kit Mcka2-17-75-4 74 37 $3,325.00 $2,660.00 20% off $1,064.00 $3,325.00 $2,660.00 2026-03-04
8944106_1 CDM Coolief Mcka2-17-75-2 74 37 $3,325.00 $2,660.00 20% off $1,064.00 $3,325.00 $2,660.00 2026-03-04
8805577_1 CDM Coolief Multi-cooled Rf Kit, Mcka2-17-100-4 74 37 $3,325.00 $2,660.00 20% off $1,064.00 $3,325.00 $2,660.00 2026-03-04
8944108_1 CDM Coolief Mcka2-17-150-4 74 37 $3,325.00 $2,660.00 20% off $1,064.00 $3,325.00 $2,660.00 2026-03-04
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 38 19 $3,340.00 $2,672.00 20% off $1,266.72 $3,340.00 $2,571.80 2026-03-04
J7336 HCPCS Capsaicin 8% Patch, Per Square Centimeter 78 39 $3,375.39 $2,700.31 20% off $1,080.12 $3,544.16 $2,700.31 2026-03-04
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 116 39 $3,390.00 $2,712.00 20% off $114.44 $3,559.50 $2,474.70 2026-03-04
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 38 19 $3,394.00 $2,715.20 20% off $954.24 $3,394.00 $2,302.00 2026-03-04
27446 HCPCS Replacement Of Knee Joint On Side Of Knee 38 19 $3,395.00 $2,716.00 20% off $944.76 $3,462.90 $2,351.86 2026-03-04
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 152 39 $3,421.00 $2,736.80 $1,038.72 $3,592.05 $2,747.95 2026-03-04
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 78 39 $3,421.00 $2,736.80 $1,094.72 $3,592.05 $2,736.80 2026-03-04
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 78 39 $3,487.66 $2,790.13 $1,116.05 $3,662.04 $2,790.13 2026-03-04
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 78 39 $3,495.15 $2,796.12 20% off $1,118.45 $3,669.91 $2,796.12 2026-03-04
8906637_1 CDM Microport Tri-peg Patella 32mm #kpontp32wd 74 37 $3,500.00 $2,800.00 20% off $1,120.00 $3,500.00 $2,800.00 2026-03-04
44150 HCPCS Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O… 38 19 $3,500.00 $2,800.00 20% off $1,281.14 $3,909.85 $2,695.00 2026-03-04
47610 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct 38 19 $3,501.00 $2,800.80 $899.99 $3,501.00 $2,337.00 2026-03-04
8560602_1 CDM Anchorage Mtp Cp Plate Left Plp14341 74 37 $3,595.00 $2,876.00 20% off $1,150.40 $3,595.00 $2,876.00 2026-03-04
8560603_1 CDM Anchorage Mtp Cp Plate Right Plp14342 74 37 $3,595.00 $2,876.00 20% off $1,150.40 $3,595.00 $2,876.00 2026-03-04
43281 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 38 19 $3,605.00 $2,884.00 20% off $1,260.63 $3,677.10 $2,790.00 2026-03-04
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 38 19 $3,605.00 $2,884.00 20% off $1,298.11 $3,605.00 $2,775.85 2026-03-04
36466 HCPCS Injection Of Chemical Agent Into Multiple Incompetent Veins Of Same Leg Using Ul… 232 39 $3,605.00 $2,884.00 20% off $120.05 $4,725.00 $2,701.88 2026-03-04
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 78 39 $3,622.98 $2,898.38 20% off $1,159.35 $3,804.13 $2,898.38 2026-03-04
8559768_1 CDM Optease, Filter Femoral, 55cm 74 37 $3,641.00 $2,912.80 $1,165.12 $3,641.00 $2,912.80 2026-03-04
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 38 19 $3,652.00 $2,921.60 20% off $1,047.43 $3,725.04 $2,665.96 2026-03-04
49020 HCPCS Drainage Of Abdominal Abscess Or Infection 38 19 $3,667.00 $2,933.60 20% off $853.74 $3,667.00 $2,823.59 2026-03-04
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 78 39 $3,672.00 $2,937.60 20% off $1,175.04 $3,855.60 $2,937.60 2026-03-04
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 78 39 $3,672.00 $2,937.60 20% off $1,175.04 $3,855.60 $2,937.60 2026-03-04
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 78 39 $3,672.00 $2,937.60 20% off $1,175.04 $3,855.60 $2,937.60 2026-03-04
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 78 39 $3,683.00 $2,946.40 20% off $1,178.56 $3,867.15 $2,946.40 2026-03-04
8816609_1 CDM Balloon, Ranger Otw 6.0 X 150mm X 150cm 74 37 $3,688.00 $2,950.40 20% off $1,180.16 $3,688.00 $2,950.40 2026-03-04
8951810_1 CDM Tx Bone Kit #1554-3003-001 74 37 $3,688.00 $2,950.40 20% off $1,180.16 $3,688.00 $2,950.40 2026-03-04
Q2050 HCPCS Injection, Doxorubicin Hydrochloride, Liposomal, Not Otherwise Specified, 10 Mg 78 39 $3,697.70 $2,958.16 20% off $1,183.26 $3,882.59 $2,958.16 2026-03-04
22856 HCPCS Insertion Of Artificial Upper Spine Disc, Anterior Approach 38 19 $3,700.00 $2,960.00 20% off $1,331.25 $3,774.00 $2,960.00 2026-03-04
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 78 39 $3,716.00 $2,972.80 $709.28 $3,901.80 $2,972.80 2026-03-04
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 78 39 $3,716.00 $2,972.80 $1,042.22 $3,901.80 $2,972.80 2026-03-04
8560121_1 CDM Endoscopic, Plantar Fasciotomy Kit #ar-8856ds 74 37 $3,730.00 $2,984.00 20% off $1,193.60 $3,730.00 $2,984.00 2026-03-04
A4649 HCPCS Surgical Supply; Miscellaneous 234 39 $3,730.00 $2,984.00 20% off $400.00 $4,068.75 $2,722.90 2026-03-04
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 78 39 $3,734.00 $2,987.20 20% off $1,042.22 $3,920.70 $2,987.20 2026-03-04
8816514_1 CDM Balloon, Ranger Otw 4.0 X 60mm X 135cm 74 37 $3,738.00 $2,990.40 20% off $1,196.16 $3,738.00 $2,990.40 2026-03-04
8816522_1 CDM Balloon, Ranger Otw 5.0 X 40mm X 135cm 74 37 $3,738.00 $2,990.40 20% off $1,196.16 $3,738.00 $2,990.40 2026-03-04
8816532_1 CDM Balloon, Ranger Otw 6.0 X 40mm X 135cm 74 37 $3,738.00 $2,990.40 20% off $1,196.16 $3,738.00 $2,990.40 2026-03-04
8816516_1 CDM Balloon, Ranger Otw 4.0 X 100mm X 135cm 74 37 $3,738.00 $2,990.40 20% off $1,196.16 $3,738.00 $2,990.40 2026-03-04
8816534_1 CDM Balloon, Ranger Otw 6.0 X 60mm X 135cm 74 37 $3,738.00 $2,990.40 20% off $1,196.16 $3,738.00 $2,990.40 2026-03-04
8816524_1 CDM Balloon, Ranger Otw 5.0 X 60mm X135cm 74 37 $3,738.00 $2,990.40 20% off $1,196.16 $3,738.00 $2,990.40 2026-03-04
8944524_1 CDM Crpa-17-50 Coolief Size 50 Individually Cooled Probe, Ea 74 37 $3,750.00 $3,000.00 20% off $1,200.00 $3,750.00 $3,000.00 2026-03-04
L8689 HCPCS External Recharging System For Battery (internal) For Use With Implantable Neuro… 78 39 $3,750.00 $3,000.00 20% off $1,200.00 $3,937.50 $3,000.00 2026-03-04
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 38 19 $3,820.00 $3,056.00 20% off $1,045.50 $3,896.40 $2,788.60 2026-03-04
8560340_1 CDM Graft, Vascular 4-7mmx45cm 74 37 $3,840.00 $3,072.00 20% off $1,228.80 $3,840.00 $3,072.00 2026-03-04
8560096_1 CDM Internal Brace Ligament#ar-1688-cp 74 37 $3,840.00 $3,072.00 20% off $1,228.80 $3,840.00 $3,072.00 2026-03-04
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 78 39 $3,840.00 $3,072.00 20% off $675.80 $4,032.00 $3,072.00 2026-03-04
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 116 39 $3,890.00 $3,112.00 20% off $118.69 $4,084.50 $2,839.70 2026-03-04
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 78 39 $3,895.46 $3,116.37 $1,246.55 $4,090.23 $3,116.37 2026-03-04
95712 HCPCS Measurement Of Brain Wave Activity With Video (veeg), 2-12 Hours With Intermitte… 78 39 $3,914.00 $3,131.20 20% off $1,252.48 $4,109.70 $3,131.20 2026-03-04
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 38 19 $3,914.00 $3,131.20 20% off $1,175.60 $3,992.28 $2,857.22 2026-03-04
J1568 HCPCS Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 468 39 $3,963.56 $3,170.85 $535.91 $7,940.14 $2,632.77 2026-03-04
8816528_1 CDM Balloon, Ranger Otw 5.0 X 100mm X 135cm 74 37 $3,988.00 $3,190.40 20% off $1,276.16 $3,988.00 $3,190.40 2026-03-04
8999085_1 CDM Legion Hk 11mm Bolt - Sleeve 74 37 $3,990.00 $3,192.00 20% off $1,276.80 $3,990.00 $3,192.00 2026-03-04
63081 HCPCS Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior … 38 19 $4,000.00 $3,200.00 20% off $1,441.69 $4,000.00 $3,080.00 2026-03-04
Q4133 HCPCS Grafix Prime, Grafixpl Prime, Stravix And Stravixpl, Per Square Centimeter 78 39 $4,002.00 $3,201.60 20% off $1,280.64 $4,202.10 $3,201.60 2026-03-04
70553 HCPCS MRI Scan Of Brain Before And After Contrast 78 39 $4,069.00 $3,255.20 20% off $1,233.80 $4,272.45 $3,255.20 2026-03-04
8559229_1 CDM Proxi Thrombectomy Set **disct'd 2/20 Per Or ** 74 37 $4,075.00 $3,260.00 20% off $1,304.00 $4,075.00 $3,260.00 2026-03-04
35556 HCPCS Bypass Of Diseased Or Blocked Upper To Lower Leg Artery With Vein 38 19 $4,099.00 $3,279.20 20% off $1,114.13 $4,099.00 $2,664.35 2026-03-04
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 78 39 $4,120.00 $3,296.00 20% off $1,318.40 $4,326.00 $3,296.00 2026-03-04
8559326_1 CDM Bbtrauma Foam Pack 2.5cc #2102-2202 74 37 $4,148.00 $3,318.40 20% off $1,327.36 $4,148.00 $3,318.40 2026-03-04
J0897 HCPCS Injection, Denosumab, 1 Mg 156 39 $4,156.46 $3,325.17 $1,241.54 $4,654.76 $3,324.83 2026-03-04
36821 HCPCS Relocation Of Arm Vein With Connection To Arm Artery For Hemodialysis 38 19 $4,214.00 $3,371.20 20% off $531.70 $4,298.28 $2,739.10 2026-03-04
8877160_1 CDM Legion Narrow Ps Oxin Sz 5n Lt #71421265 74 37 $4,230.00 $3,384.00 20% off $1,353.60 $4,230.00 $3,384.00 2026-03-04
8877158_1 CDM Legion Narrow Ps Oxin Sz 5n Rt #71421275 74 37 $4,230.00 $3,384.00 20% off $1,353.60 $4,230.00 $3,384.00 2026-03-04
8619034_1 CDM Smart Toe St0-15p 74 37 $4,312.00 $3,449.60 20% off $1,379.84 $4,312.00 $3,449.60 2026-03-04
8559900_1 CDM Plate, Polyaxial X-plate #626891 74 37 $4,350.00 $3,480.00 20% off $1,392.00 $4,350.00 $3,480.00 2026-03-04
8560621_1 CDM Procima Posterior System 74 37 $4,350.00 $3,480.00 20% off $1,392.00 $4,350.00 $3,480.00 2026-03-04
95716 HCPCS Measurement Of Brain Wave Activity With Video (veeg), 12-26 Hours With Continuou… 78 39 $4,429.00 $3,543.20 20% off $1,417.28 $4,650.45 $3,543.20 2026-03-04
9005242_1 CDM Duraseal Exact Spine Sealant System 5ml 74 37 $4,458.00 $3,566.40 20% off $1,426.56 $4,458.00 $3,566.40 2026-03-04
8924982_1 CDM Bonesync 3cc #abs-3103 74 37 $4,465.00 $3,572.00 20% off $1,428.80 $4,465.00 $3,572.00 2026-03-04
8816518_1 CDM Balloon, Ranger Otw 4.0 X 150mm X 150cm 74 37 $4,488.00 $3,590.40 20% off $1,436.16 $4,488.00 $3,590.40 2026-03-04
8816615_1 CDM Balloon, Ranger Otw 7.0 X 150mm X 150cm 74 37 $4,488.00 $3,590.40 20% off $1,436.16 $4,488.00 $3,590.40 2026-03-04
8816526_1 CDM Balloon, Ranger Otw 5.0 X 150mm X 150cm 74 37 $4,488.00 $3,590.40 20% off $1,436.16 $4,488.00 $3,590.40 2026-03-04
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 78 39 $4,500.00 $3,600.00 20% off $1,440.00 $4,725.00 $3,600.00 2026-03-04
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 78 39 $4,555.67 $3,644.54 $1,457.81 $4,783.45 $3,644.54 2026-03-04
8560107_1 CDM Mini Scorpion Dx Implant #ar-8690ds 74 37 $4,563.00 $3,650.40 20% off $1,460.16 $4,563.00 $3,650.40 2026-03-04
C9359 HCPCS Porous Purified Collagen Matrix Bone Void Filler (integra Mozaik Osteoconductive… 78 39 $4,588.00 $3,670.40 20% off $1,468.16 $4,817.40 $3,670.40 2026-03-04
71552 HCPCS MRI Scan Of Chest Before And After Contrast 78 39 $4,590.00 $3,672.00 20% off $1,233.80 $4,819.50 $3,672.00 2026-03-04
95715 HCPCS Measurement Of Brain Wave Activity With Video (veeg), 12-26 Hours With Intermitt… 78 39 $4,635.00 $3,708.00 20% off $1,483.20 $4,866.75 $3,708.00 2026-03-04
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 78 39 $4,738.00 $3,790.40 20% off $1,516.16 $4,974.90 $3,790.40 2026-03-04
8559230_1 CDM Omni Thrombectomy Set 74 37 $4,750.00 $3,800.00 20% off $1,520.00 $4,750.00 $3,800.00 2026-03-04
C1734 HCPCS Orthopedic/device/drug Matrix For Opposing Bone-to-bone Or Soft Tissue-to Bone (… 78 39 $4,750.00 $3,800.00 20% off $1,520.00 $4,987.50 $3,800.00 2026-03-04
8993160_1 CDM Coolief Kit 3 Probe Size 150 #mcka3-17-150-4 74 37 $4,775.00 $3,820.00 20% off $1,528.00 $4,775.00 $3,820.00 2026-03-04
8993162_1 CDM 3 Probe Coolief Kit Size 100 #mcka3-17-100-4 74 37 $4,775.00 $3,820.00 20% off $1,528.00 $4,775.00 $3,820.00 2026-03-04
8998876_1 CDM Coolief Size 75, 3 Probe/6 Introducer Kits For Cooled Rfa, Ea 74 37 $4,775.00 $3,820.00 20% off $1,528.00 $4,775.00 $3,820.00 2026-03-04
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 78 39 $4,788.19 $3,830.55 20% off $1,532.22 $5,027.60 $3,830.55 2026-03-04
36483 HCPCS Chemical Destruction Of Subsequent Incompetent Veins Of Arm Or Leg Using Imaging… 116 39 $4,800.00 $3,840.00 20% off $70.67 $7,760.48 $3,552.00 2026-03-04
22551 HCPCS Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 38 19 $5,150.00 $4,120.00 20% off $1,395.15 $5,253.00 $3,564.20 2026-03-04
8560075_1 CDM Balloon, In.pact Drug Coatd Adm06015013p 74 37 $5,238.00 $4,190.40 20% off $1,676.16 $5,238.00 $4,190.40 2026-03-04
Q4159 HCPCS Affinity, Per Square Centimeter 78 39 $5,250.00 $4,200.00 20% off $1,680.00 $5,512.50 $4,200.00 2026-03-04
8560604_1 CDM Lapidus Cp Plate, Left Plp29371 74 37 $5,290.00 $4,232.00 20% off $1,692.80 $5,290.00 $4,232.00 2026-03-04
Q5126 HCPCS Injection, Bevacizumab-maly, Biosimilar, (alymsys), 10 Mg 78 39 $5,325.61 $4,260.49 $1,704.20 $5,591.89 $4,260.49 2026-03-04
8560154_1 CDM Screw Ti,3.01m X 22mm 74 37 $5,340.00 $4,272.00 20% off $1,708.80 $5,340.00 $4,272.00 2026-03-04
8560147_1 CDM Plate, Plantar Lapidus-r- Ar-8941pr 74 37 $5,340.00 $4,272.00 20% off $1,708.80 $5,340.00 $4,272.00 2026-03-04
Q4160 HCPCS Nushield, Per Square Centimeter 226 39 $5,373.00 $4,298.40 20% off $636.16 $17,640.00 $4,298.40 2026-03-04
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 468 39 $5,403.50 $4,322.80 20% off $880.00 $10,463.25 $4,244.90 2026-03-04
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 78 39 $5,433.50 $4,346.80 $1,738.72 $5,705.18 $4,346.80 2026-03-04
A9584 HCPCS Iodine 1-123 Ioflupane, Diagnostic, Per Study Dose, Up To 5 Millicuries 78 39 $5,459.00 $4,367.20 20% off $1,746.88 $5,731.95 $4,367.20 2026-03-04
8816611_1 CDM Balloon, Ranger Otw 6.0 X 200mm X 150cm 74 37 $5,488.00 $4,390.40 20% off $1,756.16 $5,488.00 $4,390.40 2026-03-04
8816617_1 CDM Balloon, Ranger Otw 7.0 X 200mm X 150cm 74 37 $5,488.00 $4,390.40 20% off $1,756.16 $5,488.00 $4,390.40 2026-03-04
8816530_1 CDM Balloon, Ranger Otw 5.0 X 200mm X 150cm 74 37 $5,488.00 $4,390.40 20% off $1,756.16 $5,488.00 $4,390.40 2026-03-04
8816520_1 CDM Balloon, Ranger Otw 4.0 X 200mm X 150cm 74 37 $5,488.00 $4,390.40 20% off $1,756.16 $5,488.00 $4,390.40 2026-03-04
8560070_1 CDM Quickset Kit, Abs-3005 74 37 $5,500.00 $4,400.00 20% off $1,760.00 $5,500.00 $4,400.00 2026-03-04
35661 HCPCS Bypass Of Diseased Or Blocked Upper Leg To Opposite Upper Leg Artery With Other … 38 19 $5,532.00 $4,425.60 $867.95 $5,532.00 $2,876.64 2026-03-04
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 38 19 $5,607.00 $4,485.60 $1,149.29 $5,607.00 $3,644.55 2026-03-04
J0875 HCPCS Injection, Dalbavancin, 5 Mg 78 39 $5,716.45 $4,573.16 20% off $1,829.26 $6,002.27 $4,573.16 2026-03-04
78608 HCPCS Nuclear Medicine Study Of Brain With Metabolic Evaluation 78 39 $5,768.00 $4,614.40 20% off $1,845.76 $6,056.40 $4,614.40 2026-03-04
8877164_1 CDM Offset Coupler, Lgn 6mm #71424227 74 37 $5,924.00 $4,739.20 20% off $1,895.68 $5,924.00 $4,739.20 2026-03-04
8999081_1 CDM Lgn Pressfit Stem 13mmx160mm 74 37 $5,940.00 $4,752.00 20% off $1,900.80 $5,940.00 $4,752.00 2026-03-04
C1768 HCPCS Graft, Vascular 234 39 $5,950.00 $4,760.00 20% off $1,002.56 $7,783.65 $4,447.80 2026-03-04
8560620_1 CDM Procima Combined System 74 37 $6,025.00 $4,820.00 20% off $1,928.00 $6,025.00 $4,820.00 2026-03-04
78816 HCPCS Nuclear Medicine Study Whole Body With CT Scan 78 39 $6,077.00 $4,861.60 $1,944.64 $6,380.85 $4,861.60 2026-03-04
43282 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us… 38 19 $6,120.00 $4,896.00 20% off $1,415.85 $6,242.40 $3,978.00 2026-03-04
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 78 39 $6,262.35 $5,009.88 20% off $2,003.95 $6,575.47 $5,009.88 2026-03-04
Q5107 HCPCS Injection, Bevacizumab-awwb, Biosimilar, (mvasi), 10 Mg 78 39 $6,294.45 $5,035.56 $2,014.22 $6,609.17 $5,035.56 2026-03-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 34 $6,393.22 $5,114.58 $2,876.95 $6,393.22 $5,274.41 2026-03-04
J9171 HCPCS Injection, Docetaxel, 1 Mg 78 39 $6,399.81 $5,119.85 $2,047.94 $6,719.80 $5,119.85 2026-03-04
8559233_1 CDM Jetstream Catheter 2.4mm 74 37 $6,500.00 $5,200.00 20% off $2,080.00 $6,500.00 $5,200.00 2026-03-04
C1729 HCPCS Catheter, Drainage 78 39 $6,540.00 $5,232.00 20% off $2,092.80 $6,867.00 $5,232.00 2026-03-04
J3358 HCPCS Ustekinumab, For Intravenous Injection, 1 Mg 78 39 $6,618.01 $5,294.41 $2,117.76 $6,948.91 $5,294.41 2026-03-04
C1776 HCPCS Joint Device (implantable) 5,928 39 $6,662.50 $5,330.00 20% off $88.00 $38,693.55 $5,091.88 2026-03-04
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 78 39 $6,695.00 $5,356.00 20% off $2,142.40 $7,029.75 $5,356.00 2026-03-04
8769477_1 CDM Staple, Dynanite Niti 15w X 12l #ar-8718ds-1512 74 37 $6,770.00 $5,416.00 20% off $2,166.40 $6,770.00 $5,416.00 2026-03-04
36482 HCPCS Chemical Destruction Of First Incompetent Vein Of Arm Or Leg Using Imaging Guida… 116 39 $6,800.00 $5,440.00 20% off $141.87 $7,140.00 $4,964.00 2026-03-04
8559232_1 CDM Jetstream Catheter 2.1mm 74 37 $6,983.00 $5,586.40 20% off $2,234.56 $6,983.00 $5,586.40 2026-03-04
8560128_1 CDM Achilles Speedb/jump Implt#ar-8928bcj-cp 74 37 $7,125.00 $5,700.00 20% off $2,280.00 $7,125.00 $5,700.00 2026-03-04
10 MS_DRG Pancreas Transplant 68 34 $7,478.93 $5,983.14 20% off $3,365.52 $7,478.93 $6,170.11 2026-03-04
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 78 39 $7,541.36 $6,033.09 $2,413.24 $7,918.43 $6,033.09 2026-03-04
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 156 39 $7,596.32 $6,077.06 20% off $916.94 $12,943.56 $3,476.70 2026-03-04
Q4282 HCPCS Cygnus Dual, Per Square Centimeter 234 39 $7,950.00 $6,360.00 20% off $1,600.00 $23,058.00 $6,360.00 2026-03-04
C1757 HCPCS Catheter, Thrombectomy/embolectomy 78 39 $8,000.00 $6,400.00 20% off $2,560.00 $8,400.00 $6,400.00 2026-03-04
C9757 HCPCS Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 78 39 $8,100.00 $6,480.00 20% off $2,592.00 $8,505.00 $6,480.00 2026-03-04
36475 HCPCS Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima… 116 39 $8,200.00 $6,560.00 20% off $220.33 $8,610.00 $5,986.00 2026-03-04
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 312 39 $8,206.50 $6,565.20 20% off $1,993.60 $14,592.90 $6,567.27 2026-03-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 66 33 $8,342.96 $6,674.36 20% off $3,754.33 $8,342.96 $6,674.36 2026-03-04
Q5116 HCPCS Injection, Trastuzumab-qyyp, Biosimilar, (trazimera), 10 Mg 78 39 $8,664.41 $6,931.53 $2,772.61 $9,097.63 $6,931.53 2026-03-04
8560339_1 CDM Catheter, Hawk One Atherectomy H1-ls 74 37 $8,738.00 $6,990.40 20% off $2,796.16 $8,738.00 $6,990.40 2026-03-04
8560627_1 CDM Esphyx Hd *order As Needed* 74 37 $8,938.00 $7,150.40 20% off $2,860.16 $8,938.00 $7,150.40 2026-03-04
7 MS_DRG Lung Transplant 66 33 $9,206.41 $7,365.13 $4,142.89 $9,206.41 $7,365.13 2026-03-04
8560071_1 CDM Graft, Amnion 3x6 Thk #abs-4200-036 74 37 $9,250.00 $7,400.00 20% off $2,960.00 $9,250.00 $7,400.00 2026-03-04
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 234 39 $9,443.44 $7,554.75 20% off $1,590.95 $14,428.66 $7,283.04 2026-03-04
Q4197 HCPCS Puraply Xt, Per Square Centimeter 78 39 $10,625.00 $8,500.00 20% off $1,881.08 $11,156.25 $8,500.00 2026-03-04
8924980_1 CDM Quickset Kit 16cc #abs-3016 74 37 $10,688.00 $8,550.40 20% off $3,420.16 $10,688.00 $8,550.40 2026-03-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 66 33 $10,763.32 $8,610.66 $4,843.49 $10,763.32 $8,610.66 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 68 34 $10,765.98 $8,612.79 $4,844.69 $10,765.98 $8,881.94 2026-03-04
8560072_1 CDM Graft, Amnion 3x8 Thk #abs-4200-038 74 37 $11,000.00 $8,800.00 20% off $3,520.00 $11,000.00 $8,800.00 2026-03-04
Q4130 HCPCS Strattice Tm, Per Square Centimeter 78 39 $11,315.00 $9,052.00 20% off $1,881.08 $11,880.75 $9,052.00 2026-03-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 66 33 $11,426.22 $9,140.98 $5,141.80 $11,426.22 $9,140.98 2026-03-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 68 34 $11,514.95 $9,211.96 20% off $5,181.73 $11,514.95 $9,499.83 2026-03-04
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 78 39 $11,612.04 $9,289.63 20% off $3,715.85 $12,192.64 $9,289.63 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 68 34 $11,738.63 $9,390.91 $5,282.38 $11,738.63 $9,684.38 2026-03-04
9052324_1 CDM Acellular Dermal Allograft #aflex601 74 37 $11,968.00 $9,574.40 20% off $3,829.76 $11,968.00 $9,574.40 2026-03-04
L8680 HCPCS Implantable Neurostimulator Electrode, Each 78 39 $12,250.00 $9,800.00 20% off $3,920.00 $12,862.50 $9,800.00 2026-03-04
J9173 HCPCS Injection, Durvalumab, 10 Mg 78 39 $12,775.93 $10,220.74 20% off $4,088.30 $13,414.73 $10,220.74 2026-03-04
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 156 39 $13,039.80 $10,431.84 $2,126.48 $20,406.08 $6,877.82 2026-03-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 66 33 $14,255.60 $11,404.48 20% off $6,415.02 $14,255.60 $11,404.48 2026-03-04
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 78 39 $14,277.50 $11,422.00 20% off $4,568.80 $14,991.38 $11,422.00 2026-03-04
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 78 39 $15,122.14 $12,097.71 20% off $4,839.08 $15,878.25 $12,097.71 2026-03-04
J9306 HCPCS Injection, Pertuzumab, 1 Mg 78 39 $17,041.45 $13,633.16 20% off $5,453.26 $17,893.52 $13,633.16 2026-03-04
J9299 HCPCS Injection, Nivolumab, 1 Mg 156 39 $17,338.22 $13,870.58 $4,112.04 $22,917.64 $11,804.16 2026-03-04
6 MS_DRG Liver Transplant Without Mcc 66 33 $17,660.39 $14,128.31 20% off $7,947.18 $17,660.39 $14,128.31 2026-03-04
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 156 39 $17,721.88 $14,177.50 20% off $3,834.00 $24,635.63 $12,090.88 2026-03-04
C1831 HCPCS Interbody Cage, Anterior, Lateral Or Posterior, Personalized (implantable) 156 39 $18,515.00 $14,812.00 20% off $2,592.00 $30,376.50 $8,881.30 2026-03-04
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 156 39 $19,704.94 $15,763.95 20% off $5,871.16 $22,115.61 $15,787.82 2026-03-04
J9228 HCPCS Injection, Ipilimumab, 1 Mg 78 39 $20,778.55 $16,622.84 $6,649.14 $21,817.48 $16,622.84 2026-03-04
J9303 HCPCS Injection, Panitumumab, 10 Mg 78 39 $21,216.80 $16,973.44 20% off $6,789.38 $22,277.64 $16,973.44 2026-03-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 66 33 $21,967.02 $17,573.62 $9,885.16 $21,967.02 $17,573.62 2026-03-04
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 78 39 $22,388.90 $17,911.12 20% off $7,164.45 $23,508.35 $17,911.12 2026-03-04
L8687 HCPCS Implantable Neurostimulator Pulse Generator, Dual Array, Rechargeable, Includes … 78 39 $23,100.00 $18,480.00 20% off $7,392.00 $24,255.00 $18,480.00 2026-03-04
8559320_1 CDM Strattice 20 X 25 Tissue #2025002 74 37 $26,694.00 $21,355.20 20% off $8,542.08 $26,694.00 $21,355.20 2026-03-04
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 78 39 $27,880.24 $22,304.19 20% off $8,921.68 $29,274.25 $22,304.19 2026-03-04
J9022 HCPCS Injection, Atezolizumab, 10 Mg 78 39 $29,805.78 $23,844.62 20% off $9,537.85 $31,296.07 $23,844.62 2026-03-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 34 $32,880.21 $26,304.17 $14,796.09 $32,880.21 $27,126.17 2026-03-04
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 78 39 $43,090.35 $34,472.28 20% off $13,788.91 $45,244.87 $34,472.28 2026-03-04
J9347 HCPCS Injection, Tremelimumab-actl, 1 Mg 78 39 $129,200.00 $103,360.00 20% off $41,344.00 $135,660.00 $103,360.00 2026-03-04
See an error in this hospital's data? Submit a correction