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

VIRGINIA GAY HOSPITAL

Vinton, IA · CCN 161349 · Rates published

2,132 distinct procedures filed
18 distinct payers
38,491 rate rows
2026-03-12 last MRF observed
Data quality

37,474 of 38,491 rate rows are consumer-grade (97.4%)

1,017 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 670
per-diem day rate — not a per-procedure price 292
percent-of-charges filed in the dollar field — excluded from medians 48
exceeds 3× this hospital's gross charge for a DRG stay — excluded 4
exceeds 10× this hospital's gross charge — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbVGHVINTONIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://myvgh.org/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-09
Content fingerprint 9348b23feead8f15… · 16,351,405 bytes · first seen 2026-05-07

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
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 14 $17,205.00 $68,895.00 $44,652.14 nat. median
$14,126
outlier · 3.2×
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 14 $10,323.00 $41,915.43 $33,150.25 nat. median
$10,772
outlier · 3.1×
540
MS_DRG 		Osteomyelitis With Cc 14 $13,099.55 $59,709.00 $30,283.14 nat. median
$9,457
outlier · 3.2×
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 14 $8,029.00 $38,039.43 $30,084.78 nat. median
$12,953
outlier · 2.3×
415
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 14 $4,588.00 $32,374.12 $25,604.18 nat. median
$14,731
1.7× median
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 14 $4,588.00 $26,495.91 $20,955.19 nat. median
$6,349
outlier · 3.3×
558
MS_DRG 		Tendonitis, Myositis And Bursitis Without Mcc 14 $7,905.90 $45,930.00 $20,570.94 nat. median
$6,561
outlier · 3.1×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 14 $5,735.00 $25,938.33 $20,514.22 nat. median
$7,418
outlier · 2.8×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 14 $5,735.00 $25,043.43 $19,806.45 nat. median
$11,701
1.7× median
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 14 $3,441.00 $22,792.40 $18,026.15 nat. median
$6,771
outlier · 2.7×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 14 $11,379.38 $64,302.00 $17,961.72 nat. median
$8,924
outlier · 2.0×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 14 $3,441.00 $22,293.65 $17,631.70 nat. median
$9,802
1.8× median
682
MS_DRG 		Renal Failure With Mcc 14 $6,882.00 $27,558.00 $17,555.25 nat. median
$11,096
1.6× median
437
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 14 $3,441.00 $22,022.90 $17,417.56 nat. median
$6,196
outlier · 2.8×
92
MS_DRG 		Other Disorders Of Nervous System With Cc 14 $4,588.00 $21,933.60 $17,346.94 nat. median
$7,741
outlier · 2.2×
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 14 $3,441.00 $21,182.63 $16,753.01 nat. median
$6,417
outlier · 2.6×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 14 $3,441.00 $21,090.48 $16,680.13 nat. median
$8,963
1.9× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 $5,735.00 $22,965.00 $15,918.64 nat. median
$14,700
1.1× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 $4,588.00 $21,180.01 $15,687.80 nat. median
$14,442
1.1× median
206
MS_DRG 		Other Respiratory System Diagnoses Without Mcc 14 $3,441.00 $19,262.68 $15,234.55 nat. median
$6,811
outlier · 2.2×
700
MS_DRG 		Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 14 $2,294.00 $18,566.33 $14,683.82 nat. median
$5,211
outlier · 2.8×
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 14 $3,441.00 $18,418.13 $14,566.61 nat. median
$7,364
2.0× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 14 $4,588.00 $18,372.00 $14,429.86 nat. median
$9,697
1.5× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 14 $3,441.00 $18,121.96 $14,332.38 nat. median
$9,511
1.5× median
291
MS_DRG 		Heart Failure And Shock With Mcc 14 $4,588.00 $18,372.00 $14,150.15 nat. median
$9,572
1.5× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 14 $5,735.00 $22,965.00 $13,939.61 nat. median
$7,999
1.7× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 14 $3,441.00 $17,546.03 $13,876.88 nat. median
$5,890
outlier · 2.4×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 14 $4,588.00 $18,372.00 $13,786.21 nat. median
$8,710
1.6× median
551
MS_DRG 		Medical Back Problems With Mcc 14 $5,735.00 $22,965.00 $13,176.37 nat. median
$11,966
1.1× median
310
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 14 $6,084.35 $41,337.00 $13,004.19 nat. median
$4,383
outlier · 3.0×
638
MS_DRG 		Diabetes With Cc 14 $5,735.00 $22,965.00 $12,962.12 nat. median
$6,741
1.9× median
440
MS_DRG 		Disorders Of Pancreas Except Malignancy Without Cc/mcc 14 $4,588.00 $18,372.00 $12,937.64 nat. median
$4,897
outlier · 2.6×
864
MS_DRG 		Fever And Inflammatory Conditions 14 $3,441.00 $16,100.13 $12,733.34 nat. median
$6,608
1.9× median
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 14 $4,588.00 $18,372.00 $12,590.20 nat. median
$7,653
1.6× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 14 $4,588.00 $18,372.00 $12,155.69 nat. median
$6,156
2.0× median
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 14 $21.31 $17,589.98 $12,031.06 nat. median
$59
outlier · 204.6×
552
MS_DRG 		Medical Back Problems Without Mcc 14 $7,621.16 $36,744.00 $12,029.58 nat. median
$7,205
1.7× median
918
MS_DRG 		Poisoning And Toxic Effects Of Drugs Without Mcc 14 $3,441.00 $15,132.55 $11,968.09 nat. median
$5,899
outlier · 2.0×
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 14 $6,882.00 $27,558.00 $11,903.11 nat. median
$5,324
outlier · 2.2×
728
MS_DRG 		Inflammation Of The Male Reproductive System Without Mcc 14 $1,147.00 $15,008.10 $11,869.67 nat. median
$5,965
2.0× median
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc/mcc 14 $3,441.00 $15,769.91 $11,864.62 nat. median
$5,010
outlier · 2.4×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 14 $3,441.00 $15,620.11 $11,758.76 nat. median
$8,303
1.4× median
389
MS_DRG 		Gastrointestinal Obstruction With Cc 14 $4,588.00 $18,372.00 $11,465.08 nat. median
$5,994
1.9× median
153
MS_DRG 		Otitis Media And Uri Without Mcc 14 $2,294.00 $14,218.18 $11,244.93 nat. median
$5,379
outlier · 2.1×
292
MS_DRG 		Heart Failure And Shock With Cc 14 $1,147.00 $13,950.43 $11,033.18 nat. median
$6,415
1.7× median
563
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 14 $7,307.20 $32,151.00 $11,026.35 nat. median
$6,710
1.6× median
176
MS_DRG 		Pulmonary Embolism Without Mcc 14 $2,294.00 $13,668.13 $10,809.91 nat. median
$6,115
1.8× median
HB_27100152
CDM 		Rhc Misc Implant Charge Level 31 13 $7,393.64 $21,093.62 $10,572.27 —
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 14 $6,595.93 $50,523.00 $10,023.20 nat. median
$5,841
1.7× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 14 $6,002.24 $27,558.00 $9,976.99 nat. median
$6,111
1.6× median

Other procedures at this hospital

Browse this hospital's 2,132 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 16 14 $59,430.00 $47,544.00 20% off $17,205.00 $68,895.00 $44,652.14 2026-03-12
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 16 14 $44,121.50 $35,297.20 20% off $10,323.00 $41,915.43 $33,150.25 2026-03-12
540 MS_DRG Osteomyelitis With Cc 16 14 $40,305.50 $32,244.40 $13,099.55 $59,709.00 $30,283.14 2026-03-12
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 16 14 $40,041.50 $32,033.20 20% off $8,029.00 $38,039.43 $30,084.78 2026-03-12
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 16 14 $34,078.02 $27,262.42 $4,588.00 $32,374.12 $25,604.18 2026-03-12
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 16 14 $27,890.43 $22,312.34 20% off $4,588.00 $26,495.91 $20,955.19 2026-03-12
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 16 14 $27,379.00 $21,903.20 20% off $7,905.90 $45,930.00 $20,570.94 2026-03-12
178 MS_DRG Respiratory Infections And Inflammations With Cc 16 14 $27,303.50 $21,842.80 20% off $5,735.00 $25,938.33 $20,514.22 2026-03-12
177 MS_DRG Respiratory Infections And Inflammations With Mcc 16 14 $26,361.50 $21,089.20 20% off $5,735.00 $25,043.43 $19,806.45 2026-03-12
812 MS_DRG Red Blood Cell Disorders Without Mcc 16 14 $23,992.00 $19,193.60 20% off $3,441.00 $22,792.40 $18,026.15 2026-03-12
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 16 14 $23,906.25 $19,125.00 20% off $11,379.38 $64,302.00 $17,961.72 2026-03-12
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 16 14 $23,467.00 $18,773.60 20% off $3,441.00 $22,293.65 $17,631.70 2026-03-12
682 MS_DRG Renal Failure With Mcc 16 14 $23,365.25 $18,692.20 $6,882.00 $27,558.00 $17,555.25 2026-03-12
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 16 14 $23,182.00 $18,545.60 20% off $3,441.00 $22,022.90 $17,417.56 2026-03-12
92 MS_DRG Other Disorders Of Nervous System With Cc 16 14 $23,088.00 $18,470.40 $4,588.00 $21,933.60 $17,346.94 2026-03-12
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 16 14 $22,297.50 $17,838.00 20% off $3,441.00 $21,182.63 $16,753.01 2026-03-12
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 16 14 $22,200.50 $17,760.40 $3,441.00 $21,090.48 $16,680.13 2026-03-12
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 16 14 $21,187.00 $16,949.60 20% off $5,735.00 $22,965.00 $15,918.64 2026-03-12
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 16 14 $22,294.75 $17,835.80 20% off $4,588.00 $21,180.01 $15,687.80 2026-03-12
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 16 14 $20,276.50 $16,221.20 $3,441.00 $19,262.68 $15,234.55 2026-03-12
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 16 14 $19,543.50 $15,634.80 20% off $2,294.00 $18,566.33 $14,683.82 2026-03-12
378 MS_DRG Gastrointestinal Hemorrhage With Cc 16 14 $19,387.50 $15,510.00 20% off $3,441.00 $18,418.13 $14,566.61 2026-03-12
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 16 14 $19,205.50 $15,364.40 20% off $4,588.00 $18,372.00 $14,429.86 2026-03-12
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 16 14 $19,075.75 $15,260.60 20% off $3,441.00 $18,121.96 $14,332.38 2026-03-12
291 MS_DRG Heart Failure And Shock With Mcc 16 14 $18,833.22 $15,066.58 $4,588.00 $18,372.00 $14,150.15 2026-03-12
300 MS_DRG Peripheral Vascular Disorders With Cc 16 14 $18,553.00 $14,842.40 20% off $5,735.00 $22,965.00 $13,939.61 2026-03-12
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 16 14 $18,469.50 $14,775.60 20% off $3,441.00 $17,546.03 $13,876.88 2026-03-12
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 16 14 $18,348.83 $14,679.07 $4,588.00 $18,372.00 $13,786.21 2026-03-12
551 MS_DRG Medical Back Problems With Mcc 16 14 $17,537.17 $14,029.73 20% off $5,735.00 $22,965.00 $13,176.37 2026-03-12
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 16 14 $17,308.00 $13,846.40 20% off $6,084.35 $41,337.00 $13,004.19 2026-03-12
638 MS_DRG Diabetes With Cc 16 14 $17,252.00 $13,801.60 20% off $5,735.00 $22,965.00 $12,962.12 2026-03-12
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 16 14 $17,894.75 $14,315.80 20% off $4,588.00 $18,372.00 $12,937.64 2026-03-12
864 MS_DRG Fever And Inflammatory Conditions 16 14 $16,947.50 $13,558.00 20% off $3,441.00 $16,100.13 $12,733.34 2026-03-12
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 16 14 $16,757.00 $13,405.60 20% off $4,588.00 $18,372.00 $12,590.20 2026-03-12
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 16 14 $17,161.28 $13,729.03 $4,588.00 $18,372.00 $12,155.69 2026-03-12
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 16 14 $18,134.00 $14,507.20 $21.31 $17,589.98 $12,031.06 2026-03-12
552 MS_DRG Medical Back Problems Without Mcc 16 14 $16,010.83 $12,808.67 $7,621.16 $36,744.00 $12,029.58 2026-03-12
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 16 14 $15,929.00 $12,743.20 $3,441.00 $15,132.55 $11,968.09 2026-03-12
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 16 14 $15,842.50 $12,674.00 20% off $6,882.00 $27,558.00 $11,903.11 2026-03-12
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 16 14 $15,798.00 $12,638.40 20% off $1,147.00 $15,008.10 $11,869.67 2026-03-12
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 16 14 $16,599.90 $13,279.92 20% off $3,441.00 $15,769.91 $11,864.62 2026-03-12
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 16 14 $16,442.22 $13,153.78 $3,441.00 $15,620.11 $11,758.76 2026-03-12
389 MS_DRG Gastrointestinal Obstruction With Cc 16 14 $15,259.50 $12,207.60 20% off $4,588.00 $18,372.00 $11,465.08 2026-03-12
153 MS_DRG Otitis Media And Uri Without Mcc 16 14 $14,966.50 $11,973.20 $2,294.00 $14,218.18 $11,244.93 2026-03-12
292 MS_DRG Heart Failure And Shock With Cc 16 14 $14,684.67 $11,747.73 20% off $1,147.00 $13,950.43 $11,033.18 2026-03-12
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 16 14 $15,351.25 $12,281.00 20% off $7,307.20 $32,151.00 $11,026.35 2026-03-12
176 MS_DRG Pulmonary Embolism Without Mcc 16 14 $14,387.50 $11,510.00 20% off $2,294.00 $13,668.13 $10,809.91 2026-03-12
HB_27100152 CDM Rhc Misc Implant Charge Level 31 15 13 $21,746.00 $17,396.80 20% off $7,393.64 $21,093.62 $10,572.27 2026-03-12
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 16 14 $13,857.00 $11,085.60 20% off $6,595.93 $50,523.00 $10,023.20 2026-03-12
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 16 14 $12,609.75 $10,087.80 20% off $6,002.24 $27,558.00 $9,976.99 2026-03-12
202 MS_DRG Bronchitis And Asthma With Cc/mcc 16 14 $13,235.00 $10,588.00 20% off $1,147.00 $12,573.25 $9,943.99 2026-03-12
HB_27100151 CDM Rhc Misc Implant Charge Level 30 15 13 $20,389.00 $16,311.20 $6,932.26 $19,777.33 $9,929.43 2026-03-12
603 MS_DRG Cellulitis Without Mcc 16 14 $13,524.20 $10,819.36 20% off $3,441.00 $13,779.00 $9,799.77 2026-03-12
683 MS_DRG Renal Failure With Cc 16 14 $12,257.75 $9,806.20 $3,441.00 $13,779.00 $9,780.10 2026-03-12
293 MS_DRG Heart Failure And Shock Without Cc/mcc 16 14 $13,010.33 $10,408.27 $3,441.00 $13,779.00 $9,775.18 2026-03-12
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 16 14 $12,648.30 $10,118.64 20% off $4,588.00 $18,372.00 $9,503.18 2026-03-12
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 16 14 $12,622.00 $10,097.60 20% off $3,441.00 $13,779.00 $9,483.41 2026-03-12
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 16 14 $12,518.50 $10,014.80 20% off $5,958.81 $27,558.00 $9,405.65 2026-03-12
HB_27100150 CDM Rhc Misc Implant Charge Level 29 15 13 $19,028.00 $15,222.40 20% off $6,469.52 $18,457.16 $9,284.70 2026-03-12
445 MS_DRG Disorders Of The Biliary Tract With Cc 16 14 $12,113.25 $9,690.60 20% off $1,147.00 $13,134.68 $9,101.17 2026-03-12
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 16 14 $12,453.90 $9,963.12 $2,294.00 $11,831.21 $9,081.24 2026-03-12
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 16 14 $11,987.25 $9,589.80 20% off $2,294.00 $11,387.89 $9,006.50 2026-03-12
811 MS_DRG Red Blood Cell Disorders With Mcc 16 14 $11,662.58 $9,330.06 20% off $1,147.00 $15,741.54 $8,762.56 2026-03-12
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 16 14 $11,607.50 $9,286.00 20% off $4,588.00 $18,372.00 $8,721.18 2026-03-12
HB_27100149 CDM Rhc Misc Implant Charge Level 28 15 13 $17,671.00 $14,136.80 20% off $6,008.14 $17,140.87 $8,641.86 2026-03-12
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 16 14 $11,440.75 $9,152.60 $2,294.00 $10,868.71 $8,401.07 2026-03-12
HB_27100148 CDM Rhc Misc Implant Charge Level 27 15 13 $16,310.00 $13,048.00 20% off $5,545.40 $15,820.70 $7,997.13 2026-03-12
HB_27100147 CDM Rhc Misc Implant Charge Level 26 15 13 $14,951.00 $11,960.80 20% off $5,083.34 $14,502.47 $7,353.34 2026-03-12
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 16 14 $11,728.00 $9,382.40 20% off $19.97 $11,376.16 $7,246.99 2026-03-12
J0875 HCPCS Injection, Dalbavancin, 5 Mg 16 14 $10,762.50 $8,610.00 20% off $15.61 $10,439.63 $7,004.27 2026-03-12
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 16 14 $9,096.00 $7,276.80 20% off $2,294.00 $9,368.65 $6,834.19 2026-03-12
HB_27100146 CDM Rhc Misc Implant Charge Level 25 15 13 $13,592.00 $10,873.60 20% off $4,621.28 $13,184.24 $6,709.56 2026-03-12
HB_50000071 CDM Operating Room Services - General Classification 15 13 $10,957.00 $8,765.60 $3,725.38 $10,628.29 $6,635.96 2026-03-12
HB_27100145 CDM Rhc Misc Implant Charge Level 24 15 13 $12,912.00 $10,329.60 20% off $4,390.08 $12,524.64 $6,387.43 2026-03-12
HB_27100144 CDM Rhc Misc Implant Charge Level 23 15 13 $12,232.00 $9,785.60 20% off $4,158.88 $11,865.04 $6,065.30 2026-03-12
HB_27100143 CDM Rhc Misc Implant Charge Level 22 15 13 $11,554.00 $9,243.20 $3,928.36 $11,207.38 $5,744.12 2026-03-12
HB_27100142 CDM Rhc Misc Implant Charge Level 21 15 13 $10,873.00 $8,698.40 20% off $3,696.82 $10,546.81 $5,421.51 2026-03-12
HB_50000070 CDM Operating Room Services - General Classification 15 13 $8,521.00 $6,816.80 20% off $2,897.14 $8,265.37 $5,191.94 2026-03-12
J2182 HCPCS Injection, Mepolizumab, 1 Mg 16 14 $7,762.50 $6,210.00 20% off $31.27 $7,529.63 $5,150.06 2026-03-12
HB_27100141 CDM Rhc Misc Implant Charge Level 20 15 13 $10,194.00 $8,155.20 20% off $3,465.96 $9,888.18 $5,099.86 2026-03-12
HB_50000070{2} CDM Operating Room Services - General Classification 15 13 $8,273.00 $6,618.40 20% off $2,812.82 $8,024.81 $5,044.93 2026-03-12
HB0010106 CDM Operating Room Services - General Classification 15 13 $8,271.00 $6,616.80 20% off $2,812.14 $8,022.87 $5,043.74 2026-03-12
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 16 14 $7,938.00 $6,350.40 20% off $131.16 $7,699.86 $4,917.22 2026-03-12
J1306 HCPCS Injection, Inclisiran, 1 Mg 16 14 $7,263.00 $5,810.40 20% off $12.32 $7,045.11 $4,818.66 2026-03-12
HB_27100140 CDM Rhc Misc Implant Charge Level 19 15 13 $9,515.00 $7,612.00 20% off $3,235.10 $9,229.55 $4,778.20 2026-03-12
639 MS_DRG Diabetes Without Cc/mcc 16 14 $6,077.50 $4,862.00 20% off $1,147.00 $7,001.40 $4,566.27 2026-03-12
HB_27100139 CDM Rhc Misc Implant Charge Level 18 15 13 $8,834.00 $7,067.20 20% off $3,003.56 $8,568.98 $4,455.60 2026-03-12
HB0010105 CDM Operating Room Services - General Classification 15 13 $7,053.00 $5,642.40 20% off $2,398.02 $6,841.41 $4,321.73 2026-03-12
HB_27100138{2} CDM Rhc Misc Implant Charge Level 17 15 13 $8,156.00 $6,524.80 20% off $2,773.04 $7,911.32 $4,134.41 2026-03-12
HB_27100138 CDM Rhc Misc Implant Charge Level 17 15 13 $8,156.00 $6,524.80 20% off $2,773.04 $7,911.32 $4,134.41 2026-03-12
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 16 14 $5,283.50 $4,226.80 $2,294.00 $9,186.00 $3,969.71 2026-03-12
J2357 HCPCS Injection, Omalizumab, 5 Mg 16 14 $5,979.00 $4,783.20 20% off $44.60 $5,799.63 $3,850.59 2026-03-12
HB_27100137 CDM Rhc Misc Implant Charge Level 16 15 13 $7,476.00 $5,980.80 20% off $2,541.84 $7,251.72 $3,812.29 2026-03-12
67413 HCPCS Removal Of Foreign Body In Cavity Behind Eye 10 10 $4,073.00 $3,258.40 20% off $70.00 $4,154.46 $3,787.89 2026-03-12
20525 HCPCS Complicated Removal Of Foreign Body In Deep Muscle Or Tendon 26 15 $6,056.00 $4,844.80 20% off $70.00 $5,874.32 $3,757.44 2026-03-12
52317 HCPCS Crushing, Fragmenting, And Removal Of Bladder Stones, Less Than 2.5 Cm 10 10 $3,949.00 $3,159.20 20% off $70.00 $4,027.98 $3,672.57 2026-03-12
HB0010104 CDM Operating Room Services - General Classification 15 13 $5,710.00 $4,568.00 20% off $1,941.40 $5,538.70 $3,525.61 2026-03-12
HB_27100136{2} CDM Rhc Misc Implant Charge Level 15 15 13 $6,796.00 $5,436.80 20% off $2,310.64 $6,592.12 $3,490.16 2026-03-12
HB_27100136 CDM Rhc Misc Implant Charge Level 15 15 13 $6,796.00 $5,436.80 20% off $2,310.64 $6,592.12 $3,490.16 2026-03-12
23585 HCPCS Treatment Of Broken Shoulder Blade 10 10 $3,645.00 $2,916.00 20% off $70.00 $3,717.90 $3,389.85 2026-03-12
607 MS_DRG Minor Skin Disorders Without Mcc 16 14 $4,451.00 $3,560.80 $2,118.68 $9,186.00 $3,344.22 2026-03-12
HB_40000036 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $5,113.00 $4,090.40 20% off $1,738.42 $4,959.61 $3,310.00 2026-03-12
HB_27100135 CDM Rhc Misc Implant Charge Level 14 15 13 $6,381.00 $5,104.80 20% off $2,169.54 $6,189.57 $3,293.56 2026-03-12
HB_27100135{2} CDM Rhc Misc Implant Charge Level 14 15 13 $6,381.00 $5,104.80 20% off $2,169.54 $6,189.57 $3,293.56 2026-03-12
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 29 14 $5,242.00 $4,193.60 $368.22 $4,979.90 $3,206.32 2026-03-12
HB_40000036{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $4,964.00 $3,971.20 20% off $1,687.76 $4,744.76 $3,202.67 2026-03-12
Q5130 HCPCS Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg 16 14 $5,088.00 $4,070.40 20% off $137.97 $4,935.36 $3,151.78 2026-03-12
HB_40000027 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $4,750.00 $3,800.00 20% off $1,615.00 $4,607.50 $3,114.56 2026-03-12
HB_40000027{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $4,602.07 $3,681.66 $1,564.70 $4,464.01 $3,034.92 2026-03-12
46050 HCPCS Drainage Of Superficial Rectal Abscess Surrounding Anus 26 15 $4,870.00 $3,896.00 20% off $70.00 $4,723.90 $3,023.29 2026-03-12
43249 HCPCS Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 13 10 $3,254.00 $2,603.20 20% off $70.00 $3,319.08 $2,973.49 2026-03-12
HB_27100119 CDM Rhc Misc Implant Charge Level 13 15 13 $5,673.00 $4,538.40 20% off $1,928.82 $5,502.81 $2,958.17 2026-03-12
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 29 14 $4,700.00 $3,760.00 20% off $333.66 $4,465.00 $2,871.68 2026-03-12
HB_40000035 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $4,260.00 $3,408.00 20% off $1,448.40 $4,132.20 $2,850.75 2026-03-12
59409 HCPCS Vaginal Delivery 26 15 $4,344.00 $3,475.20 20% off $70.00 $4,441.18 $2,846.05 2026-03-12
HB_40000026 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $4,229.00 $3,383.20 20% off $1,437.86 $4,102.13 $2,834.06 2026-03-12
HB_40000040 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $4,220.00 $3,376.00 20% off $1,434.80 $4,093.40 $2,829.22 2026-03-12
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 29 14 $4,608.00 $3,686.40 20% off $334.74 $4,377.60 $2,823.72 2026-03-12
HB_50050012 CDM Room & Board - Semi-private (two Beds) - General Classification 16 14 $1,235.00 $988.00 20% off $587.86 $4,593.00 $2,818.04 2026-03-12
HB_50050012{2} CDM Room & Board - Semi-private (two Beds) - General Classification 16 14 $1,175.00 $940.00 20% off $559.30 $4,593.00 $2,789.02 2026-03-12
HB_40000035{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $4,136.00 $3,308.80 $1,406.24 $4,011.92 $2,783.99 2026-03-12
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 29 14 $4,532.00 $3,625.60 20% off $334.74 $4,305.40 $2,778.02 2026-03-12
HB_40000026{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $4,089.56 $3,271.65 $1,390.45 $3,966.87 $2,758.99 2026-03-12
HB0010103 CDM Operating Room Services - General Classification 15 13 $4,399.00 $3,519.20 20% off $1,495.66 $4,267.03 $2,748.47 2026-03-12
HB_50050096 CDM Room & Board - Semi-private (two Beds) - General Classification 16 14 $1,065.00 $852.00 20% off $506.94 $4,593.00 $2,735.80 2026-03-12
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 29 14 $4,453.00 $3,562.40 20% off $330.54 $4,230.35 $2,723.51 2026-03-12
52330 HCPCS Manipulation Of Stone In Ureter Using An Endoscope 42 15 $4,093.00 $3,274.40 20% off $70.00 $5,421.22 $2,649.93 2026-03-12
HB_50050093 CDM Room & Board - Semi-private (two Beds) - General Classification 16 14 $872.00 $697.60 20% off $415.07 $4,593.00 $2,642.44 2026-03-12
HB_50050093{2} CDM Room & Board - Semi-private (two Beds) - General Classification 16 14 $836.94 $669.55 20% off $398.38 $4,593.00 $2,625.48 2026-03-12
HB_27100118{2} CDM Rhc Misc Implant Charge Level 12 15 13 $4,964.00 $3,971.20 20% off $1,687.76 $4,815.08 $2,622.30 2026-03-12
HB_27100118 CDM Rhc Misc Implant Charge Level 12 15 13 $4,964.00 $3,971.20 20% off $1,687.76 $4,815.08 $2,622.30 2026-03-12
25520 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side And Dislocated … 10 10 $2,778.00 $2,222.40 $70.00 $2,833.56 $2,583.54 2026-03-12
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 29 14 $4,218.00 $3,374.40 20% off $354.60 $4,007.10 $2,581.54 2026-03-12
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 17 14 $3,893.00 $3,114.40 20% off $262.77 $3,698.35 $2,569.96 2026-03-12
44970 HCPCS Removal Of Appendix Using An Endoscope 10 10 $2,763.00 $2,210.40 $70.00 $2,818.26 $2,569.59 2026-03-12
HB_40000039 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $3,707.00 $2,965.60 20% off $1,260.38 $3,595.79 $2,553.02 2026-03-12
49000 HCPCS Exploration Of Abdominal Cavity 10 10 $2,724.00 $2,179.20 20% off $70.00 $2,533.32 $2,533.32 2026-03-12
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 29 14 $3,894.00 $3,115.20 20% off $262.77 $3,699.30 $2,497.02 2026-03-12
45398 HCPCS Banding Of Hemorrhoids Using A Flexible Endoscope (colonoscope) 10 10 $2,684.00 $2,147.20 20% off $70.00 $2,737.68 $2,496.12 2026-03-12
24600 HCPCS Repair Of Dislocated Elbow 26 15 $3,934.00 $3,147.20 20% off $70.00 $3,815.98 $2,488.04 2026-03-12
21933 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More 10 10 $2,673.00 $2,138.40 $70.00 $2,726.46 $2,485.89 2026-03-12
HB_40000025 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $3,535.00 $2,828.00 20% off $1,201.90 $3,428.95 $2,460.42 2026-03-12
46260 HCPCS Removal Of Multiple Hemorrhoid Groups 10 10 $2,633.00 $2,106.40 $70.00 $2,685.66 $2,448.69 2026-03-12
Q5157 HCPCS Injection, Denosumab-bmwo (stoboclo/osenvelt), Biosimilar, 1 Mg 16 14 $3,651.00 $2,920.80 $28.13 $3,541.47 $2,422.27 2026-03-12
27310 HCPCS Incision Of Knee Joint For Exploration, Fluid Drainage, Or Removal Of Foreign Bo… 10 10 $2,588.00 $2,070.40 $70.00 $2,639.76 $2,406.84 2026-03-12
70553 HCPCS MRI Scan Of Brain Before And After Contrast 29 14 $4,416.00 $3,532.80 $333.66 $4,195.20 $2,400.40 2026-03-12
HB_40000025{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $3,425.75 $2,740.60 20% off $1,163.08 $3,318.20 $2,399.46 2026-03-12
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 17 14 $3,563.00 $2,850.40 20% off $175.14 $3,384.85 $2,352.11 2026-03-12
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 29 14 $3,831.00 $3,064.80 $230.76 $3,639.45 $2,325.40 2026-03-12
57170 HCPCS Fitting And Insertion Of Pregnancy Prevention Device 10 10 $2,497.00 $1,997.60 20% off $37.66 $2,546.94 $2,322.21 2026-03-12
27508 HCPCS Closed Treatment Of Broken Inside Or Outside Portion Of Lower End Of Thigh Bone 10 10 $2,494.00 $1,995.20 20% off $70.00 $2,543.88 $2,319.42 2026-03-12
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 29 14 $3,980.00 $3,184.00 20% off $293.49 $3,781.00 $2,313.93 2026-03-12
HB_27100117 CDM Rhc Misc Implant Charge Level 11 15 13 $4,254.00 $3,403.20 20% off $1,446.36 $4,126.38 $2,285.96 2026-03-12
HB_27100117{2} CDM Rhc Misc Implant Charge Level 11 15 13 $4,240.22 $3,392.18 $1,441.67 $4,113.01 $2,279.43 2026-03-12
HB_40000038 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $3,197.00 $2,557.60 20% off $1,086.98 $3,101.09 $2,278.45 2026-03-12
26735 HCPCS Treatment Of Broken Finger At Midportion Or Part Near Hand 10 10 $2,419.00 $1,935.20 20% off $70.00 $2,467.38 $2,249.67 2026-03-12
HB_40000034 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $3,132.00 $2,505.60 20% off $1,064.88 $3,038.04 $2,243.45 2026-03-12
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 29 14 $3,654.00 $2,923.20 20% off $179.20 $3,471.30 $2,238.15 2026-03-12
23073 HCPCS Removal Of Growth Of Muscle Of Shoulder, 5.0 Cm Or More 10 10 $2,403.00 $1,922.40 $70.00 $2,451.06 $2,234.79 2026-03-12
24073 HCPCS Removal Of Growth Of Muscle Of Upper Arm Or Elbow, 5.0 Cm Or More 10 10 $2,403.00 $1,922.40 $70.00 $2,451.06 $2,234.79 2026-03-12
27842 HCPCS Closed Treatment Of Dislocated Ankle Under Anesthesia 26 15 $3,461.00 $2,768.80 $70.00 $3,357.17 $2,233.29 2026-03-12
HB_50050122 CDM Room & Board - Private (one Bed) - General Classification 16 14 $1,485.00 $1,188.00 20% off $706.86 $4,593.00 $2,230.92 2026-03-12
23675 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Neck Of Upper Arm Bone With M… 10 10 $2,393.00 $1,914.40 $70.00 $2,440.86 $2,225.49 2026-03-12
11772 HCPCS Complicated Removal Of Cyst Of Tailbone 10 10 $2,389.00 $1,911.20 20% off $70.00 $2,436.78 $2,221.77 2026-03-12
11646 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More… 10 10 $2,374.00 $1,899.20 20% off $70.00 $2,421.48 $2,207.82 2026-03-12
HB_50050122{2} CDM Room & Board - Private (one Bed) - General Classification 16 14 $1,423.75 $1,139.00 20% off $677.71 $4,593.00 $2,192.87 2026-03-12
HB_40000034{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $3,026.60 $2,421.28 $1,029.04 $2,935.80 $2,186.70 2026-03-12
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 10 10 $2,322.00 $1,857.60 20% off $70.00 $2,368.44 $2,159.46 2026-03-12
22901 HCPCS Removal Of Growth Of Muscle Of Abdomen, 5.0 Cm Or More 10 10 $2,319.00 $1,855.20 20% off $70.00 $2,365.38 $2,156.67 2026-03-12
27532 HCPCS Closed Treatment Of Broken Shin Bone With Traction 42 15 $3,372.00 $2,697.60 20% off $70.00 $3,346.57 $2,142.86 2026-03-12
47562 HCPCS Removal Of Gallbladder Using An Endoscope 10 10 $2,281.00 $1,824.80 20% off $70.00 $2,326.62 $2,121.33 2026-03-12
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 29 14 $3,030.00 $2,424.00 20% off $179.20 $2,878.50 $2,119.96 2026-03-12
70552 HCPCS MRI Scan Of Brain With Contrast 17 14 $3,191.00 $2,552.80 $260.61 $3,031.45 $2,106.54 2026-03-12
HB_40000024 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $2,864.00 $2,291.20 20% off $973.76 $2,778.08 $2,099.16 2026-03-12
20520 HCPCS Removal Of Foreign Body In Muscle Or Tendon 26 15 $3,331.00 $2,664.80 $70.00 $3,231.07 $2,094.62 2026-03-12
HB_50050001 CDM Room & Board - Private (one Bed) - General Classification 16 14 $1,235.00 $988.00 20% off $587.86 $4,593.00 $2,075.61 2026-03-12
HB_27100158 CDM Rhc Sterile Med/surg Supply Level 50 15 13 $5,673.00 $4,538.40 20% off $1,928.82 $5,502.81 $2,073.53 2026-03-12
27301 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 10 10 $2,221.00 $1,776.80 20% off $70.00 $2,265.42 $2,065.53 2026-03-12
55250 HCPCS Removal Of Sperm Duct 42 15 $3,277.00 $2,621.60 20% off $70.00 $3,386.81 $2,062.42 2026-03-12
HB_40000024{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $2,774.61 $2,219.69 $943.37 $2,691.37 $2,051.04 2026-03-12
J0897 HCPCS Injection, Denosumab, 1 Mg 16 14 $3,838.50 $3,070.80 $29.38 $3,723.35 $2,045.34 2026-03-12
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 29 14 $3,579.00 $2,863.20 20% off $266.40 $3,400.05 $2,045.00 2026-03-12
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 84 15 $3,924.00 $3,139.20 20% off $70.00 $3,806.28 $2,044.12 2026-03-12
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 41 14 $3,278.00 $2,622.40 20% off $262.98 $3,114.10 $2,014.56 2026-03-12
HB_40000037 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $2,686.00 $2,148.80 $913.24 $2,605.42 $2,003.33 2026-03-12
45382 HCPCS Control Of Bleeding Of Upper Large Bowel Using A Flexible Endoscope 10 10 $2,147.00 $1,717.60 20% off $70.00 $2,189.94 $1,996.71 2026-03-12
50590 HCPCS Shock Wave Crushing Of Kidney Stones 13 10 $2,151.00 $1,720.80 20% off $70.00 $2,194.02 $1,971.13 2026-03-12
HB_40000037{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $2,608.00 $2,086.40 $886.72 $2,529.76 $1,961.34 2026-03-12
HB0010102 CDM Operating Room Services - General Classification 15 13 $3,071.00 $2,456.80 $1,044.14 $2,978.87 $1,961.25 2026-03-12
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 29 14 $3,030.00 $2,424.00 20% off $179.20 $2,878.50 $1,957.18 2026-03-12
27372 HCPCS Removal Of Foreign Body Deep In Tissue Of Thigh Or Knee 10 10 $2,101.00 $1,680.80 20% off $70.00 $2,143.02 $1,953.93 2026-03-12
HB_27100116 CDM Rhc Misc Implant Charge Level 10 15 13 $3,546.00 $2,836.80 $1,205.64 $3,439.62 $1,950.57 2026-03-12
45350 HCPCS Banding Of Hemorrhoids Using A Flexible Endoscope (sigmoidoscope) 10 10 $2,091.00 $1,672.80 20% off $70.00 $2,132.82 $1,944.63 2026-03-12
HB_27100116{2} CDM Rhc Misc Implant Charge Level 10 15 13 $3,546.00 $2,836.80 $1,191.63 $3,399.66 $1,933.38 2026-03-12
49520 HCPCS Repair Of Groin Hernia That Is Not Trapped 10 10 $2,061.00 $1,648.80 20% off $70.00 $2,102.22 $1,916.73 2026-03-12
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 68 15 $3,924.00 $3,139.20 20% off $70.00 $3,806.28 $1,914.99 2026-03-12
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 29 14 $3,030.00 $2,424.00 20% off $179.20 $2,878.50 $1,869.86 2026-03-12
HB_97000017 CDM Specialty Services - Treatment Room 15 13 $3,419.00 $2,735.20 20% off $1,162.46 $3,316.43 $1,859.96 2026-03-12
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 29 14 $3,185.00 $2,548.00 20% off $175.14 $3,025.75 $1,851.92 2026-03-12
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 29 14 $3,030.00 $2,424.00 20% off $179.20 $2,878.50 $1,822.61 2026-03-12
HB_27100157 CDM Rhc Sterile Med/surg Supply Level 49 15 13 $4,964.00 $3,971.20 20% off $1,687.76 $4,815.08 $1,815.66 2026-03-12
HB_40000033 CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $2,328.00 $1,862.40 $791.52 $2,258.16 $1,810.59 2026-03-12
12057 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More … 10 10 $1,944.00 $1,555.20 20% off $70.00 $1,982.88 $1,807.92 2026-03-12
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 17 14 $2,732.00 $2,185.60 20% off $174.60 $2,595.40 $1,803.53 2026-03-12
43255 HCPCS Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex… 10 10 $1,936.00 $1,548.80 20% off $70.00 $1,974.72 $1,800.48 2026-03-12
HB_97000017{2} CDM Specialty Services - Treatment Room 15 13 $3,319.00 $2,655.20 20% off $1,123.75 $3,205.99 $1,798.66 2026-03-12
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 29 14 $3,137.00 $2,509.60 20% off $243.77 $2,980.15 $1,796.45 2026-03-12
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 17 14 $2,696.00 $2,156.80 $195.84 $2,561.20 $1,779.77 2026-03-12
HB_40000033{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 13 $2,260.00 $1,808.00 20% off $768.40 $2,192.20 $1,773.98 2026-03-12
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 29 14 $3,013.00 $2,410.40 20% off $319.83 $2,862.35 $1,758.05 2026-03-12
57461 HCPCS Cone Biopsy Of Cervix And Vagina Using An Endoscope With Loop Electrode 10 10 $1,875.00 $1,500.00 20% off $70.00 $1,912.50 $1,743.75 2026-03-12
23076 HCPCS Removal Of Growth Of Muscle Of Shoulder, Less Than 5.0 Cm 10 10 $1,870.00 $1,496.00 20% off $70.00 $1,907.40 $1,739.10 2026-03-12
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 17 14 $2,632.00 $2,105.60 20% off $143.01 $2,500.40 $1,737.52 2026-03-12
49651 HCPCS Repair Of Recurrent Groin Hernia Using An Endoscope 10 10 $1,865.00 $1,492.00 20% off $70.00 $1,902.30 $1,734.45 2026-03-12
HB_27100115 CDM Rhc Misc Implant Charge Level 9 15 13 $3,072.00 $2,457.60 20% off $1,044.48 $2,979.84 $1,726.02 2026-03-12
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 16 14 $2,716.50 $2,173.20 20% off $12.07 $2,635.01 $1,725.78 2026-03-12
12056 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.1-… 10 10 $1,855.00 $1,484.00 20% off $70.00 $1,892.10 $1,725.15 2026-03-12
HB_27100115{2} CDM Rhc Misc Implant Charge Level 9 15 13 $3,072.00 $2,457.60 20% off $1,043.59 $2,977.29 $1,725.00 2026-03-12
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 29 14 $2,640.00 $2,112.00 20% off $312.36 $2,508.00 $1,717.38 2026-03-12
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 29 14 $2,640.00 $2,112.00 20% off $313.86 $2,508.00 $1,717.38 2026-03-12
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 29 14 $2,640.00 $2,112.00 20% off $313.86 $2,508.00 $1,717.38 2026-03-12
27530 HCPCS Closed Treatment Of Broken Shin Bone 10 10 $1,844.00 $1,475.20 20% off $70.00 $1,880.88 $1,714.92 2026-03-12
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 29 14 $2,646.00 $2,116.80 $330.54 $2,513.70 $1,711.02 2026-03-12
73720 HCPCS MRI Scan Of Leg Before And After Contrast 29 14 $2,640.00 $2,112.00 20% off $313.86 $2,508.00 $1,707.07 2026-03-12
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 17 14 $2,575.00 $2,060.00 20% off $260.61 $2,446.25 $1,699.89 2026-03-12
46320 HCPCS Removal Of External Hemorrhoid With Blood Clot 26 15 $2,694.00 $2,155.20 20% off $70.00 $4,199.07 $1,690.43 2026-03-12
43245 HCPCS Dilation Of Stomach Outlet Using A Flexible Endoscope 13 10 $1,844.00 $1,475.20 20% off $70.00 $1,880.88 $1,689.81 2026-03-12
52310 HCPCS Simple Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using An E… 42 15 $2,681.00 $2,144.80 $70.00 $2,600.57 $1,679.82 2026-03-12
23600 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone 10 10 $1,774.00 $1,419.20 20% off $70.00 $1,809.48 $1,649.82 2026-03-12
11626 HCPCS Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha… 10 10 $1,762.00 $1,409.60 20% off $70.00 $1,797.24 $1,638.66 2026-03-12
HB_27100132 CDM Rhc Med/surg Supply Level 46 15 13 $2,955.00 $2,364.00 20% off $1,004.70 $2,866.35 $1,635.56 2026-03-12
57288 HCPCS Creation Of Sling Around Urethra In Female To Control Leakage 16 10 $2,497.00 $1,997.60 20% off $70.00 $2,546.94 $1,635.25 2026-03-12
72196 HCPCS MRI Scan Of Pelvis With Contrast 17 14 $2,474.00 $1,979.20 20% off $253.32 $2,350.30 $1,633.21 2026-03-12
26765 HCPCS Treatment Of Broken End Of Finger Or Thumb 10 10 $1,756.00 $1,404.80 20% off $70.00 $1,791.12 $1,633.08 2026-03-12
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 53 14 $2,732.00 $2,185.60 20% off $260.82 $2,595.40 $1,624.79 2026-03-12
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 10 10 $1,742.00 $1,393.60 20% off $70.00 $1,776.84 $1,620.06 2026-03-12
46280 HCPCS Repair Of Abnormal Drainage Tract Around Anal Sphincter 10 10 $1,737.00 $1,389.60 20% off $70.00 $1,771.74 $1,615.41 2026-03-12
12047 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, More Than 30.0 C… 10 10 $1,726.00 $1,380.80 20% off $70.00 $1,760.52 $1,605.18 2026-03-12
25075 HCPCS Removal Of Growth Under Skin Of Forearm Or Wrist, Less Than 3.0 Cm 10 10 $1,714.00 $1,371.20 20% off $70.00 $1,748.28 $1,594.02 2026-03-12
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 26 15 $2,548.00 $2,038.40 $165.36 $2,471.56 $1,593.35 2026-03-12
73220 HCPCS MRI Scan Of Arm Before And After Contrast 29 14 $2,640.00 $2,112.00 20% off $313.86 $2,508.00 $1,592.12 2026-03-12
74181 HCPCS MRI Scan Of Abdomen Without Contrast 17 14 $2,397.00 $1,917.60 20% off $212.22 $2,277.15 $1,582.38 2026-03-12
46080 HCPCS Incision Of Sphincter Of Anus 10 10 $1,701.00 $1,360.80 20% off $70.00 $1,735.02 $1,581.93 2026-03-12
21931 HCPCS Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More 10 10 $1,701.00 $1,360.80 20% off $70.00 $1,735.02 $1,581.93 2026-03-12
78473 HCPCS Nuclear Medicine Studies Of Heart Pumping Function By Labeling Red Blood Cells W… 17 14 $2,394.00 $1,915.20 20% off $207.42 $2,274.30 $1,580.40 2026-03-12
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 17 14 $2,394.00 $1,915.20 20% off $139.92 $2,274.30 $1,580.40 2026-03-12
57456 HCPCS Scraping Of Cervix Using An Endoscope 10 10 $1,698.00 $1,358.40 $70.00 $1,731.96 $1,579.14 2026-03-12
57460 HCPCS Biopsy Of Cervix Using An Endoscope With Loop Electrode 10 10 $1,698.00 $1,358.40 $70.00 $1,731.96 $1,579.14 2026-03-12
25670 HCPCS Treatment Of Dislocated Wrist Bones 10 10 $1,689.00 $1,351.20 20% off $70.00 $1,722.78 $1,570.77 2026-03-12
27750 HCPCS Closed Treatment Of Broken Middle Part Of Shin Bone 10 10 $1,688.00 $1,350.40 $70.00 $1,721.76 $1,569.84 2026-03-12
27786 HCPCS Closed Treatment Of Broken Outside Lower Leg Bone At Ankle 10 10 $1,677.00 $1,341.60 20% off $70.00 $1,710.54 $1,559.61 2026-03-12
57520 HCPCS Removal Or Destruction Of Cervix With Cold Knife Or Laser 10 10 $1,677.00 $1,341.60 20% off $70.00 $1,710.54 $1,559.61 2026-03-12
25680 HCPCS Closed Treatment Of Broken And Dislocated Wrist Bones With Manipulation 10 10 $1,677.00 $1,341.60 20% off $70.00 $1,710.54 $1,559.61 2026-03-12
11644 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-… 10 10 $1,677.00 $1,341.60 20% off $70.00 $1,710.54 $1,559.61 2026-03-12
HB_27100156 CDM Rhc Sterile Med/surg Supply Level 48 15 13 $4,254.00 $3,403.20 20% off $1,446.36 $4,126.38 $1,557.41 2026-03-12
HB_27100045 CDM Rhc Med/surg Supply Level 45 15 13 $2,807.00 $2,245.60 20% off $954.38 $2,722.79 $1,555.72 2026-03-12
72132 HCPCS CT Scan Of Lower Spine With Contrast 29 14 $2,404.00 $1,923.20 20% off $177.81 $2,283.80 $1,554.51 2026-03-12
52332 HCPCS Insertion Of Stent In Ureter Using An Endoscope 13 10 $1,694.00 $1,355.20 20% off $70.00 $1,727.88 $1,552.63 2026-03-12
46255 HCPCS Removal Of Single External And Internal Hemorrhoid Group 10 10 $1,666.00 $1,332.80 20% off $70.00 $1,699.32 $1,549.38 2026-03-12
24358 HCPCS Incision Of Elbow Tendon With Removal Of Tissue 10 10 $1,651.00 $1,320.80 20% off $70.00 $1,684.02 $1,535.43 2026-03-12
21554 HCPCS Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 10 10 $1,641.00 $1,312.80 20% off $70.00 $1,673.82 $1,526.13 2026-03-12
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 17 14 $2,304.00 $1,843.20 20% off $179.20 $2,188.80 $1,520.98 2026-03-12
27618 HCPCS Removal Of Growth Under Skin Of Leg Or Ankle, Less Than 3.0 Cm 10 10 $1,629.00 $1,303.20 20% off $70.00 $1,661.58 $1,514.97 2026-03-12
52287 HCPCS Exam With Injections Of Chemical For Destruction Of Bladder Using An Endoscope 42 15 $2,393.00 $1,914.40 $70.00 $2,321.21 $1,514.77 2026-03-12
74160 HCPCS CT Scan Of Abdomen With Contrast 29 14 $2,473.00 $1,978.40 $179.20 $2,349.35 $1,511.33 2026-03-12
19120 HCPCS Removal Of Growth And Tissue Of Breast, Duct, Or Nipple 10 10 $1,625.00 $1,300.00 20% off $70.00 $1,657.50 $1,511.25 2026-03-12
73722 HCPCS MRI Scan Of Leg Joint With Contrast 17 14 $2,281.00 $1,824.80 20% off $237.69 $2,166.95 $1,505.80 2026-03-12
24500 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone 10 10 $1,615.00 $1,292.00 20% off $70.00 $1,647.30 $1,501.95 2026-03-12
11446 HCPCS Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, M… 10 10 $1,607.00 $1,285.60 20% off $70.00 $1,639.14 $1,494.51 2026-03-12
27780 HCPCS Closed Treatment Of Broken Middle Or Upper End Of Outside Lower Leg Bone 10 10 $1,598.00 $1,278.40 $70.00 $1,629.96 $1,486.14 2026-03-12
J7326 HCPCS Hyaluronan Or Derivative, Gel-one, For Intra-articular Injection, Per Dose 7 7 $2,076.00 $1,660.80 20% off $70.00 $2,595.00 $1,484.34 2026-03-12
45390 HCPCS Removal Of Large Bowel Tissue Using A Flexible Endoscope 10 10 $1,591.00 $1,272.80 20% off $70.00 $1,622.82 $1,479.63 2026-03-12
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 29 14 $2,451.00 $1,960.80 20% off $215.31 $2,328.45 $1,477.18 2026-03-12
HB_27100044 CDM Rhc Med/surg Supply Level 44 15 13 $2,659.00 $2,127.20 20% off $904.06 $2,579.23 $1,475.88 2026-03-12
22903 HCPCS Removal Of Growth Of Soft Tissue Of Abdominal Wall, 3.0 Cm Or More 10 10 $1,586.00 $1,268.80 20% off $70.00 $1,617.72 $1,474.98 2026-03-12
12046 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 20.1-30.0 Cm 10 10 $1,571.00 $1,256.80 20% off $70.00 $1,602.42 $1,461.03 2026-03-12
27520 HCPCS Closed Treatment Of Broken Kneecap 10 10 $1,570.00 $1,256.00 20% off $70.00 $1,601.40 $1,460.10 2026-03-12
24071 HCPCS Removal Of Growth Under Skin Of Upper Arm Or Elbow, 3.0 Cm Or More 10 10 $1,570.00 $1,256.00 20% off $70.00 $1,601.40 $1,460.10 2026-03-12
45388 HCPCS Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope 10 10 $1,568.00 $1,254.40 $70.00 $1,599.36 $1,458.24 2026-03-12
45384 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec… 10 10 $1,568.00 $1,254.40 $70.00 $1,599.36 $1,458.24 2026-03-12
12037 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha… 10 10 $1,567.00 $1,253.60 20% off $70.00 $1,598.34 $1,457.31 2026-03-12
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 29 14 $2,415.00 $1,932.00 20% off $215.31 $2,294.25 $1,449.79 2026-03-12
12055 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.6-… 10 10 $1,558.00 $1,246.40 $70.00 $1,589.16 $1,448.94 2026-03-12
71550 HCPCS MRI Scan Of Chest Without Contrast 17 14 $2,190.00 $1,752.00 20% off $212.22 $2,080.50 $1,445.73 2026-03-12
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 42 15 $2,057.00 $1,645.60 20% off $70.00 $3,346.57 $1,445.19 2026-03-12
55700 HCPCS Biopsy Of Prostate Gland 40 15 $2,737.00 $2,189.60 20% off $70.00 $3,389.54 $1,445.17 2026-03-12
52353 HCPCS Crushing Of Stone Of Ureter Using An Endoscope 10 10 $1,552.00 $1,241.60 20% off $70.00 $1,583.04 $1,443.36 2026-03-12
21552 HCPCS Removal Of Growth Of Soft Tissue Under Skin Of Neck Or Front Of Chest, 3.0 Cm Or… 10 10 $1,551.00 $1,240.80 20% off $70.00 $1,582.02 $1,442.43 2026-03-12
27760 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle 10 10 $1,551.00 $1,240.80 20% off $70.00 $1,582.02 $1,442.43 2026-03-12
27808 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle 10 10 $1,550.00 $1,240.00 20% off $70.00 $1,581.00 $1,441.50 2026-03-12
78469 HCPCS Nuclear Medicine Study Of Heart Muscle Following Heart Attack With Spect 17 14 $2,178.00 $1,742.40 $132.96 $2,069.10 $1,437.81 2026-03-12
52240 HCPCS Destruction And/or Removal Of Large Growth Of Bladder Using An Endoscope 10 10 $1,546.00 $1,236.80 20% off $70.00 $1,576.92 $1,437.78 2026-03-12
19112 HCPCS Removal Of Abnormal Drainage Of Breast Duct 10 10 $1,546.00 $1,236.80 20% off $70.00 $1,576.92 $1,437.78 2026-03-12
52281 HCPCS Dilation Of Urethra Using An Endoscope 29 15 $2,263.00 $1,810.40 $70.00 $2,195.11 $1,433.69 2026-03-12
25071 HCPCS Removal Of Growth Under Skin Of Forearm Or Wrist, 3.0 Cm Or More 10 10 $1,536.00 $1,228.80 20% off $70.00 $1,566.72 $1,428.48 2026-03-12
72195 HCPCS MRI Scan Of Pelvis Without Contrast 29 14 $2,191.00 $1,752.80 20% off $213.18 $2,081.45 $1,425.26 2026-03-12
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 17 14 $2,158.00 $1,726.40 $195.06 $2,050.10 $1,424.60 2026-03-12
43251 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 10 10 $1,521.00 $1,216.80 20% off $70.00 $1,551.42 $1,414.53 2026-03-12
24576 HCPCS Closed Treatment Of Broken Elbow 10 10 $1,519.00 $1,215.20 20% off $70.00 $1,549.38 $1,412.67 2026-03-12
27337 HCPCS Removal Of Growth Under Skin Of Thigh Or Knee, Less Than 3.0 Cm 10 10 $1,514.00 $1,211.20 20% off $70.00 $1,544.28 $1,408.02 2026-03-12
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