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

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Hospital

HORN MEMORIAL HOSPITAL

Ida Grove, IA · CCN 161354 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

Ultrasound of heart during rest, exercise and/or drug-induced stress with report

This hospital’s price: $154 across 13 payers · range $147-$600

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHMHIDAGROVEIA&type=CDMWithoutLabel&fileType=CSV · observed 2026-04-23

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,820 distinct procedures filed
14 distinct payers
31,893 rate rows
2026-04-23 last MRF observed
Data quality

31,782 of 31,893 rate rows are consumer-grade (99.7%)

111 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-charges filed in the dollar field — excluded from medians 60
per-diem day rate — not a per-procedure price 35
exceeds 10× this hospital's gross charge — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHMHIDAGROVEIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Horn_Memorial.aspx
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-17
Content fingerprint 7cea31325d912380… · 13,500,452 bytes · first seen 2026-05-17

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
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 13 $59.00 $30,996.95 $16,830.56 nat. median
$414
outlier · 40.6×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 13 $126.11 $15,743.68 $9,638.99 nat. median
$1,659
outlier · 5.8×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 13 $20.77 $13,778.66 $8,435.92 nat. median
$155
outlier · 54.6×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 13 $195.47 $10,611.04 $6,496.55 nat. median
$3,787
1.7× median
J9271
HCPCS 		Injection, Pembrolizumab, 1 Mg 13 $60.64 $10,265.31 $5,695.23 nat. median
$275
outlier · 20.7×
1378484_1
CDM 		Operating Room Services - General Classification 12 $5,362.80 $8,759.24 $5,630.94 nat. median
$2,442
outlier · 2.3×
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 13 $3.75 $9,191.54 $5,627.47 nat. median
$1,635
outlier · 3.4×
J9312
HCPCS 		Injection, Rituximab, 10 Mg 13 $73.42 $7,201.29 $4,408.96 nat. median
$1,063
outlier · 4.1×
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 13 $61.82 $12,956.13 $4,130.57 nat. median
$500
outlier · 8.3×
Q5122
HCPCS 		Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 13 $131.98 $6,481.72 $3,968.40 nat. median
$561
outlier · 7.1×
Q5111
HCPCS 		Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 13 $134.53 $6,402.34 $3,919.80 nat. median
$1,984
2.0× median
78816
HCPCS 		Nuclear Medicine Study Whole Body With CT Scan 13 $1,446.31 $6,209.28 $3,801.60 nat. median
$2,793
1.4× median
7633598_1
CDM 		Operating Room Services - General Classification 12 $3,501.60 $5,719.28 $3,676.68 nat. median
$3,677
1.0× median
1378487_1
CDM 		Operating Room Services - General Classification 12 $3,382.80 $5,525.24 $3,551.94 nat. median
$2,153
1.6× median
70471
HCPCS 		Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 12 $352.87 $5,642.84 $3,541.17 nat. median
$815
outlier · 4.3×
78815
HCPCS 		Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 13 $1,446.31 $5,644.80 $3,456.00 nat. median
$2,822
1.2× median
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 13 $352.87 $5,292.00 $3,240.00 nat. median
$998
outlier · 3.2×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 13 $352.87 $5,280.24 $3,232.80 nat. median
$1,027
outlier · 3.1×
74177
HCPCS 		CT Scan Of Abdomen And Pelvis With Contrast 13 $352.87 $5,020.54 $3,073.80 nat. median
$976
outlier · 3.1×
71270
HCPCS 		CT Scan Of Chest Before And After Contrast 13 $177.41 $5,149.90 $2,931.18 nat. median
$684
outlier · 4.3×
1378486_1
CDM 		Operating Room Services - General Classification 12 $2,635.80 $4,305.14 $2,767.59 nat. median
$1,548
1.8× median
J0897
HCPCS 		Injection, Denosumab, 1 Mg 13 $29.21 $4,493.11 $2,750.89 nat. median
$1,982
1.4× median
J9217
HCPCS 		Leuprolide Acetate (for Depot Suspension), 7.5 Mg 13 $174.44 $4,481.56 $2,569.30 nat. median
$1,573
1.6× median
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 13 $352.87 $4,116.98 $2,520.60 nat. median
$1,114
outlier · 2.3×
C1713
HCPCS 		Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 10 $2,453.40 $4,007.22 $2,514.74 nat. median
$862
outlier · 2.9×
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 13 $352.87 $4,103.26 $2,512.20 nat. median
$1,110
outlier · 2.3×
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 13 $352.87 $4,070.92 $2,492.40 nat. median
$1,097
outlier · 2.3×
J2426
HCPCS 		Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg 13 $14.93 $5,894.49 $2,410.53 nat. median
$2,498
1.0× median
74176
HCPCS 		CT Scan Of Abdomen And Pelvis Without Contrast 13 $241.33 $3,929.80 $2,406.00 nat. median
$694
outlier · 3.5×
70546
HCPCS 		MRI Scan Of Blood Vessels Of Head Before And After Contrast 13 $352.87 $3,890.60 $2,382.00 nat. median
$1,073
outlier · 2.2×
70549
HCPCS 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 13 $352.87 $3,874.92 $2,372.40 nat. median
$1,063
outlier · 2.2×
95811
HCPCS 		Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 13 $868.57 $3,870.02 $2,369.40 nat. median
$1,894
1.3× median
70543
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 13 $352.87 $3,859.24 $2,362.80 nat. median
$1,087
outlier · 2.2×
74185
HCPCS 		MRI Scan Of Blood Vessels Of Abdomen 13 $306.45 $3,854.34 $2,359.80 nat. median
$1,253
1.9× median
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 13 $352.87 $3,831.80 $2,346.00 nat. median
$1,105
outlier · 2.1×
8995486_1
CDM 		Endo Gia Rotic 45-3.5 12 $2,227.80 $3,638.74 $2,339.19 nat. median
$2,339
1.0× median
9118614_1
CDM 		Ambulatory Surgical Care - General Classification 12 $2,176.80 $3,555.44 $2,285.64 nat. median
$2,286
1.0× median
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 13 $352.87 $3,725.96 $2,281.20 nat. median
$1,136
outlier · 2.0×
72198
HCPCS 		MRI Scan Of Blood Vessels Of Pelvis 13 $307.10 $3,666.18 $2,244.60 nat. median
$1,136
2.0× median
72147
HCPCS 		MRI Scan Of Middle Spinal Canal With Contrast 13 $352.87 $3,664.22 $2,243.40 nat. median
$972
outlier · 2.3×
J1599
HCPCS 		Injection, Immune Globulin, Intravenous, Non-lyophilized (e.g., Liquid), Not Oth… 12 $731.28 $6,807.47 $2,238.71 nat. median
$285
outlier · 7.9×
72142
HCPCS 		MRI Scan Of Upper Spinal Canal With Contrast 13 $352.87 $3,651.48 $2,235.60 nat. median
$978
outlier · 2.3×
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 13 $352.87 $3,630.90 $2,223.00 nat. median
$1,074
outlier · 2.1×
72149
HCPCS 		MRI Scan Of Lower Spinal Canal With Contrast 13 $352.87 $3,626.00 $2,220.00 nat. median
$979
outlier · 2.3×
70552
HCPCS 		MRI Scan Of Brain With Contrast 13 $352.87 $3,575.04 $2,188.80 nat. median
$965
outlier · 2.3×
J1602
HCPCS 		Injection, Golimumab, 1 Mg, For Intravenous Use 13 $11.17 $3,546.18 $2,171.13 nat. median
$261
outlier · 8.3×
70498
HCPCS 		CT Scan Of Blood Vessels Of Neck With Contrast 13 $177.41 $3,527.02 $2,159.40 nat. median
$744
outlier · 2.9×
70496
HCPCS 		CT Scan Of Blood Vessels Of Head With Contrast 13 $177.41 $3,527.02 $2,159.40 nat. median
$752
outlier · 2.9×
74175
HCPCS 		CT Scan Of Blood Vessels Of Abdomen With Contrast 13 $177.41 $3,527.02 $2,159.40 nat. median
$718
outlier · 3.0×
75635
HCPCS 		CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 13 $177.41 $3,527.02 $2,159.40 nat. median
$727
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 1,820 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
             
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 13 13 $26,715.17 $21,372.14 $59.00 $30,996.95 $16,830.56 2026-04-23
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 23 13 $10,032.07 $8,025.66 $126.11 $15,743.68 $9,638.99 2026-04-23
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 13 13 $14,059.86 $11,247.89 $20.77 $13,778.66 $8,435.92 2026-04-23
J3101 HCPCS Injection, Tenecteplase, 1 Mg 13 13 $10,827.59 $8,662.07 20% off $195.47 $10,611.04 $6,496.55 2026-04-23
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 13 13 $9,040.04 $7,232.03 20% off $60.64 $10,265.31 $5,695.23 2026-04-23
1378484_1 CDM Operating Room Services - General Classification 12 12 $8,938.00 $7,150.40 20% off $5,362.80 $8,759.24 $5,630.94 2026-04-23
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 13 13 $9,379.12 $7,503.30 $3.75 $9,191.54 $5,627.47 2026-04-23
J9312 HCPCS Injection, Rituximab, 10 Mg 13 13 $7,348.26 $5,878.61 $73.42 $7,201.29 $4,408.96 2026-04-23
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 33 13 $6,884.29 $5,507.43 20% off $61.82 $12,956.13 $4,130.57 2026-04-23
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 13 13 $6,614.00 $5,291.20 20% off $131.98 $6,481.72 $3,968.40 2026-04-23
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 13 13 $6,533.00 $5,226.40 20% off $134.53 $6,402.34 $3,919.80 2026-04-23
78816 HCPCS Nuclear Medicine Study Whole Body With CT Scan 13 13 $6,336.00 $5,068.80 20% off $1,446.31 $6,209.28 $3,801.60 2026-04-23
7633598_1 CDM Operating Room Services - General Classification 12 12 $5,836.00 $4,668.80 $3,501.60 $5,719.28 $3,676.68 2026-04-23
1378487_1 CDM Operating Room Services - General Classification 12 12 $5,638.00 $4,510.40 20% off $3,382.80 $5,525.24 $3,551.94 2026-04-23
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 12 12 $5,758.00 $4,606.40 20% off $352.87 $5,642.84 $3,541.17 2026-04-23
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 13 13 $5,760.00 $4,608.00 20% off $1,446.31 $5,644.80 $3,456.00 2026-04-23
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 13 13 $5,400.00 $4,320.00 20% off $352.87 $5,292.00 $3,240.00 2026-04-23
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 13 13 $5,388.00 $4,310.40 20% off $352.87 $5,280.24 $3,232.80 2026-04-23
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 13 13 $5,123.00 $4,098.40 20% off $352.87 $5,020.54 $3,073.80 2026-04-23
71270 HCPCS CT Scan Of Chest Before And After Contrast 23 13 $2,991.00 $2,392.80 $177.41 $5,149.90 $2,931.18 2026-04-23
1378486_1 CDM Operating Room Services - General Classification 12 12 $4,393.00 $3,514.40 20% off $2,635.80 $4,305.14 $2,767.59 2026-04-23
J0897 HCPCS Injection, Denosumab, 1 Mg 23 13 $4,584.81 $3,667.85 $29.21 $4,493.11 $2,750.89 2026-04-23
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 23 13 $2,621.73 $2,097.38 20% off $174.44 $4,481.56 $2,569.30 2026-04-23
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 13 13 $4,201.00 $3,360.80 $352.87 $4,116.98 $2,520.60 2026-04-23
C1713 HCPCS Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 10 10 $4,089.00 $3,271.20 20% off $2,453.40 $4,007.22 $2,514.74 2026-04-23
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 13 13 $4,187.00 $3,349.60 20% off $352.87 $4,103.26 $2,512.20 2026-04-23
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 13 13 $4,154.00 $3,323.20 20% off $352.87 $4,070.92 $2,492.40 2026-04-23
J2426 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg 43 13 $4,017.55 $3,214.04 20% off $14.93 $5,894.49 $2,410.53 2026-04-23
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 13 13 $4,010.00 $3,208.00 20% off $241.33 $3,929.80 $2,406.00 2026-04-23
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 13 13 $3,970.00 $3,176.00 20% off $352.87 $3,890.60 $2,382.00 2026-04-23
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 13 13 $3,954.00 $3,163.20 20% off $352.87 $3,874.92 $2,372.40 2026-04-23
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 13 13 $3,949.00 $3,159.20 20% off $868.57 $3,870.02 $2,369.40 2026-04-23
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 13 13 $3,938.00 $3,150.40 20% off $352.87 $3,859.24 $2,362.80 2026-04-23
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 13 13 $3,933.00 $3,146.40 20% off $306.45 $3,854.34 $2,359.80 2026-04-23
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 13 13 $3,910.00 $3,128.00 20% off $352.87 $3,831.80 $2,346.00 2026-04-23
8995486_1 CDM Endo Gia Rotic 45-3.5 12 12 $3,713.00 $2,970.40 20% off $2,227.80 $3,638.74 $2,339.19 2026-04-23
9118614_1 CDM Ambulatory Surgical Care - General Classification 12 12 $3,628.00 $2,902.40 20% off $2,176.80 $3,555.44 $2,285.64 2026-04-23
70553 HCPCS MRI Scan Of Brain Before And After Contrast 13 13 $3,802.00 $3,041.60 20% off $352.87 $3,725.96 $2,281.20 2026-04-23
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 13 13 $3,741.00 $2,992.80 $307.10 $3,666.18 $2,244.60 2026-04-23
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 13 13 $3,739.00 $2,991.20 20% off $352.87 $3,664.22 $2,243.40 2026-04-23
J1599 HCPCS Injection, Immune Globulin, Intravenous, Non-lyophilized (e.g., Liquid), Not Oth… 42 12 $2,284.40 $1,827.52 20% off $731.28 $6,807.47 $2,238.71 2026-04-23
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 13 13 $3,726.00 $2,980.80 $352.87 $3,651.48 $2,235.60 2026-04-23
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 13 13 $3,705.00 $2,964.00 20% off $352.87 $3,630.90 $2,223.00 2026-04-23
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 13 13 $3,700.00 $2,960.00 20% off $352.87 $3,626.00 $2,220.00 2026-04-23
70552 HCPCS MRI Scan Of Brain With Contrast 13 13 $3,648.00 $2,918.40 20% off $352.87 $3,575.04 $2,188.80 2026-04-23
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 13 13 $3,618.55 $2,894.84 20% off $11.17 $3,546.18 $2,171.13 2026-04-23
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 13 13 $3,599.00 $2,879.20 20% off $177.41 $3,527.02 $2,159.40 2026-04-23
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 13 13 $3,599.00 $2,879.20 20% off $177.41 $3,527.02 $2,159.40 2026-04-23
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 13 13 $3,599.00 $2,879.20 20% off $177.41 $3,527.02 $2,159.40 2026-04-23
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 13 13 $3,599.00 $2,879.20 20% off $177.41 $3,527.02 $2,159.40 2026-04-23
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 13 13 $3,599.00 $2,879.20 20% off $177.41 $3,527.02 $2,159.40 2026-04-23
8995487_1 CDM Endo Gia Rotic 45 2.5 12 12 $3,395.00 $2,716.00 20% off $2,037.00 $3,327.10 $2,138.85 2026-04-23
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 13 13 $3,559.00 $2,847.20 20% off $241.33 $3,487.82 $2,135.40 2026-04-23
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 13 13 $3,557.00 $2,845.60 20% off $868.57 $3,485.86 $2,134.20 2026-04-23
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 13 13 $3,548.00 $2,838.40 20% off $241.33 $3,477.04 $2,128.80 2026-04-23
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 26 13 $3,546.00 $2,836.80 $307.69 $3,475.08 $2,127.60 2026-04-23
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 13 13 $3,531.00 $2,824.80 $352.87 $3,460.38 $2,118.60 2026-04-23
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 13 13 $3,522.00 $2,817.60 20% off $241.33 $3,451.56 $2,113.20 2026-04-23
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 13 13 $3,518.00 $2,814.40 20% off $352.87 $3,447.64 $2,110.80 2026-04-23
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 26 13 $3,511.00 $2,808.80 $352.87 $3,440.78 $2,106.60 2026-04-23
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 26 13 $3,511.00 $2,808.80 $352.87 $3,440.78 $2,106.60 2026-04-23
73720 HCPCS MRI Scan Of Leg Before And After Contrast 26 13 $3,511.00 $2,808.80 $352.87 $3,440.78 $2,106.60 2026-04-23
71552 HCPCS MRI Scan Of Chest Before And After Contrast 13 13 $3,511.00 $2,808.80 $352.87 $3,440.78 $2,106.60 2026-04-23
73220 HCPCS MRI Scan Of Arm Before And After Contrast 26 13 $3,511.00 $2,808.80 $352.87 $3,440.78 $2,106.60 2026-04-23
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 13 13 $3,504.00 $2,803.20 20% off $352.87 $3,433.92 $2,102.40 2026-04-23
70551 HCPCS MRI Scan Of Brain Without Contrast 13 13 $3,473.00 $2,778.40 20% off $241.33 $3,403.54 $2,083.80 2026-04-23
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 13 13 $3,418.67 $2,734.94 $20.34 $3,350.30 $2,051.20 2026-04-23
8995321_1 CDM Speedbrg Imp Sys W/bio-comp Swvlk 12 12 $3,250.00 $2,600.00 20% off $1,950.00 $3,185.00 $2,047.50 2026-04-23
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 13 13 $3,363.00 $2,690.40 20% off $241.33 $3,295.74 $2,017.80 2026-04-23
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 13 13 $3,351.00 $2,680.80 $241.33 $3,283.98 $2,010.60 2026-04-23
9121214_1 CDM Ambulatory Surgical Care - General Classification 12 12 $3,191.00 $2,552.80 $1,914.60 $3,127.18 $2,010.33 2026-04-23
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 13 13 $3,337.00 $2,669.60 20% off $241.33 $3,270.26 $2,002.20 2026-04-23
74181 HCPCS MRI Scan Of Abdomen Without Contrast 13 13 $3,312.00 $2,649.60 20% off $241.33 $3,245.76 $1,987.20 2026-04-23
1378485_1 CDM Operating Room Services - General Classification 12 12 $3,152.00 $2,521.60 20% off $1,891.20 $3,088.96 $1,985.76 2026-04-23
72196 HCPCS MRI Scan Of Pelvis With Contrast 13 13 $3,295.00 $2,636.00 20% off $352.87 $3,229.10 $1,977.00 2026-04-23
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 13 13 $3,241.00 $2,592.80 $177.41 $3,176.18 $1,944.60 2026-04-23
J0875 HCPCS Injection, Dalbavancin, 5 Mg 13 13 $3,038.60 $2,430.88 $14.85 $4,346.27 $1,914.32 2026-04-23
72195 HCPCS MRI Scan Of Pelvis Without Contrast 13 13 $3,139.00 $2,511.20 20% off $241.33 $3,076.22 $1,883.40 2026-04-23
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 13 13 $3,060.00 $2,448.00 20% off $177.41 $2,998.80 $1,836.00 2026-04-23
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 13 13 $3,060.00 $2,448.00 20% off $177.41 $2,998.80 $1,836.00 2026-04-23
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 13 13 $3,029.00 $2,423.20 20% off $177.41 $2,968.42 $1,817.40 2026-04-23
70336 HCPCS MRI Scan Of Jaw Joint 13 13 $2,977.00 $2,381.60 20% off $241.33 $2,917.46 $1,786.20 2026-04-23
73218 HCPCS MRI Scan Of Arm Without Contrast 26 13 $2,977.00 $2,381.60 20% off $241.33 $2,917.46 $1,786.20 2026-04-23
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 26 13 $2,977.00 $2,381.60 20% off $241.33 $2,917.46 $1,786.20 2026-04-23
71550 HCPCS MRI Scan Of Chest Without Contrast 13 13 $2,977.00 $2,381.60 20% off $241.33 $2,917.46 $1,786.20 2026-04-23
73718 HCPCS MRI Scan Of Leg Without Contrast 26 13 $2,977.00 $2,381.60 20% off $241.33 $2,917.46 $1,786.20 2026-04-23
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 26 13 $2,977.00 $2,381.60 20% off $241.33 $2,917.46 $1,786.20 2026-04-23
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 13 13 $2,906.00 $2,324.80 $177.41 $2,847.88 $1,743.60 2026-04-23
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 13 13 $2,855.00 $2,284.00 20% off $177.41 $2,797.90 $1,713.00 2026-04-23
73702 HCPCS CT Scan Of Leg Before And After Contrast 26 13 $2,855.00 $2,284.00 20% off $177.41 $2,797.90 $1,713.00 2026-04-23
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 26 13 $2,843.00 $2,274.40 $177.41 $2,786.14 $1,705.80 2026-04-23
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 13 13 $2,735.00 $2,188.00 20% off $177.41 $2,680.30 $1,641.00 2026-04-23
73202 HCPCS CT Scan Of Arm Before And After Contrast 13 13 $2,719.00 $2,175.20 20% off $177.41 $2,664.62 $1,631.40 2026-04-23
70488 HCPCS CT Scan Of Face Before And After Contrast 13 13 $2,696.00 $2,156.80 $177.41 $2,642.08 $1,617.60 2026-04-23
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 13 13 $2,691.00 $2,152.80 $177.41 $2,637.18 $1,614.60 2026-04-23
8838405_1 CDM Room & Board - Other - Sterile Environment 8 8 $1,647.00 $1,317.60 20% off $1,136.43 $1,641.56 $1,614.06 2026-04-23
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 13 13 $2,649.66 $2,119.73 $6.89 $2,596.67 $1,589.80 2026-04-23
72132 HCPCS CT Scan Of Lower Spine With Contrast 13 13 $2,590.00 $2,072.00 20% off $352.87 $2,538.20 $1,554.00 2026-04-23
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 11 11 $2,584.00 $2,067.20 20% off $1,348.16 $2,532.32 $1,550.40 2026-04-23
72193 HCPCS CT Scan Of Pelvis With Contrast 13 13 $2,561.00 $2,048.80 $177.41 $2,509.78 $1,536.60 2026-04-23
70460 HCPCS CT Scan Head Or Brain With Contrast 13 13 $2,561.00 $2,048.80 $177.41 $2,509.78 $1,536.60 2026-04-23
71260 HCPCS CT Scan Of Chest With Contrast 13 13 $2,561.00 $2,048.80 $177.41 $2,509.78 $1,536.60 2026-04-23
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 13 13 $2,561.00 $2,048.80 $177.41 $2,509.78 $1,536.60 2026-04-23
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 13 13 $2,561.00 $2,048.80 $177.41 $2,509.78 $1,536.60 2026-04-23
74160 HCPCS CT Scan Of Abdomen With Contrast 13 13 $2,561.00 $2,048.80 $177.41 $2,509.78 $1,536.60 2026-04-23
73701 HCPCS CT Scan Of Leg With Contrast Material 26 13 $2,561.00 $2,048.80 $177.41 $2,509.78 $1,536.60 2026-04-23
73201 HCPCS CT Scan Of Arm With Contrast 26 13 $2,561.00 $2,048.80 $352.87 $2,509.78 $1,536.60 2026-04-23
70487 HCPCS CT Scan Of Face With Contrast 13 13 $2,561.00 $2,048.80 $177.41 $2,509.78 $1,536.60 2026-04-23
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 23 13 $2,107.64 $1,686.11 20% off $12.07 $2,492.33 $1,525.91 2026-04-23
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 23 13 $2,418.16 $1,934.53 $44.27 $2,681.88 $1,523.44 2026-04-23
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 13 13 $2,522.00 $2,017.60 20% off $177.41 $2,471.56 $1,513.20 2026-04-23
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 13 13 $2,510.70 $2,008.56 $1.09 $2,460.49 $1,506.42 2026-04-23
9121212_1 CDM Ambulatory Surgical Care - General Classification 12 12 $2,371.00 $1,896.80 20% off $1,422.60 $2,323.58 $1,493.73 2026-04-23
72129 HCPCS CT Scan Of Middle Spine With Contrast 13 13 $2,474.00 $1,979.20 20% off $177.41 $2,424.52 $1,484.40 2026-04-23
8231157_1 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 8 8 $1,488.00 $1,190.40 $1,026.72 $1,483.09 $1,458.24 2026-04-23
9192941_1 CDM Ambulatory Surgical Care - General Classification 12 12 $2,302.00 $1,841.60 20% off $1,381.20 $2,255.96 $1,450.26 2026-04-23
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 13 13 $2,384.05 $1,907.24 20% off $0.23 $2,336.37 $1,430.43 2026-04-23
8838408_1 CDM Room & Board - Other - Sterile Environment 8 8 $1,457.00 $1,165.60 20% off $1,005.33 $1,452.19 $1,427.86 2026-04-23
20610 HCPCS Aspiration And/or Injection Of Fluid From Large Joint 28 14 $2,371.00 $1,896.80 20% off $288.99 $2,323.58 $1,422.60 2026-04-23
72131 HCPCS CT Scan Of Lower Spine Without Contrast 13 13 $2,355.00 $1,884.00 20% off $105.74 $2,307.90 $1,413.00 2026-04-23
72125 HCPCS CT Scan Of Upper Spine Without Contrast 13 13 $2,355.00 $1,884.00 20% off $105.74 $2,307.90 $1,413.00 2026-04-23
72128 HCPCS CT Scan Of Middle Spine Without Contrast 13 13 $2,331.00 $1,864.80 20% off $105.74 $2,284.38 $1,398.60 2026-04-23
71250 HCPCS CT Scan Of Chest Without Contrast 13 13 $2,302.00 $1,841.60 20% off $105.74 $2,255.96 $1,381.20 2026-04-23
9121211_1 CDM Ambulatory Surgical Care - General Classification 12 12 $2,152.00 $1,721.60 20% off $1,291.20 $2,108.96 $1,355.76 2026-04-23
J2407 HCPCS Injection, Oritavancin (orbactiv), 10 Mg 23 13 $1,992.00 $1,593.60 20% off $28.28 $2,207.39 $1,351.46 2026-04-23
74150 HCPCS CT Scan Of Abdomen Without Contrast 13 13 $2,251.00 $1,800.80 20% off $105.74 $2,205.98 $1,350.60 2026-04-23
J3262 HCPCS Injection, Tocilizumab, 1 Mg 23 13 $4,145.54 $3,316.43 20% off $5.47 $4,062.63 $1,349.44 2026-04-23
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 23 13 $2,402.35 $1,921.88 $30.73 $2,354.30 $1,349.44 2026-04-23
72192 HCPCS CT Scan Of Pelvis Without Contrast 13 13 $2,235.00 $1,788.00 20% off $105.74 $2,190.30 $1,341.00 2026-04-23
9108422_1 CDM Urolift 2 Implant Cartridge Handle Kit 12 12 $2,122.00 $1,697.60 20% off $1,273.20 $2,079.56 $1,336.86 2026-04-23
9108423_1 CDM Urolift 2 Implant Cartridge 12 12 $2,122.00 $1,697.60 20% off $1,273.20 $2,079.56 $1,336.86 2026-04-23
73700 HCPCS CT Scan Of Leg Without Contrast 39 13 $2,196.00 $1,756.80 20% off $105.74 $2,152.08 $1,317.60 2026-04-23
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 13 13 $2,196.00 $1,756.80 20% off $105.74 $2,152.08 $1,317.60 2026-04-23
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 13 13 $2,117.00 $1,693.60 20% off $442.84 $2,074.66 $1,270.20 2026-04-23
70450 HCPCS CT Scan Head Or Brain Without Contrast 13 13 $2,103.00 $1,682.40 $105.74 $2,060.94 $1,261.80 2026-04-23
J0485 HCPCS Injection, Belatacept, 1 Mg 13 13 $1,998.56 $1,598.85 $3.85 $1,958.59 $1,259.09 2026-04-23
73200 HCPCS CT Scan Of Arm Without Contrast 26 13 $2,093.00 $1,674.40 $105.74 $2,051.14 $1,255.80 2026-04-23
8995404_1 CDM Mesh Ventralex Patch Medium 12 12 $1,973.00 $1,578.40 $1,183.80 $1,933.54 $1,242.99 2026-04-23
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 13 13 $2,064.00 $1,651.20 20% off $105.74 $2,022.72 $1,238.40 2026-04-23
78707 HCPCS Nuclear Medicine Study Of Kidney, Blood Flow, And Function 13 13 $2,055.00 $1,644.00 20% off $442.84 $2,013.90 $1,233.00 2026-04-23
8838406_1 CDM Room & Board - Other - General Classification 8 8 $1,249.00 $999.20 $861.81 $1,244.88 $1,224.02 2026-04-23
81270 HCPCS Gene Analysis (Janus Kinase 2) Variant 13 13 $1,994.00 $1,595.20 20% off $49.98 $1,954.12 $1,196.40 2026-04-23
95805 HCPCS Sleep Study, Multiple Trials 13 13 $1,962.00 $1,569.60 20% off $868.57 $1,922.76 $1,177.20 2026-04-23
78014 HCPCS Nuclear Medicine Study Of Thyroid And Thyroid Function 13 13 $1,951.00 $1,560.80 20% off $404.35 $1,911.98 $1,170.60 2026-04-23
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 13 13 $1,926.00 $1,540.80 20% off $544.94 $1,887.48 $1,155.60 2026-04-23
70486 HCPCS CT Scan Of Face Without Contrast 13 13 $1,892.00 $1,513.60 20% off $105.74 $1,854.16 $1,135.20 2026-04-23
78598 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation And Blood Flow To Lun… 13 13 $1,876.00 $1,500.80 20% off $549.18 $1,838.48 $1,125.60 2026-04-23
J9394 HCPCS Injection, Fulvestrant (fresenius Kabi) Not Therapeutically Equivalent To J9395,… 33 13 $1,874.23 $1,499.38 20% off $26.84 $1,957.87 $1,124.54 2026-04-23
8838407_1 CDM Room & Board - Other - Other 8 8 $1,141.00 $912.80 20% off $787.29 $1,137.23 $1,118.18 2026-04-23
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 13 13 $1,863.00 $1,490.40 $404.35 $1,825.74 $1,117.80 2026-04-23
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 13 13 $1,805.00 $1,444.00 20% off $549.18 $1,768.90 $1,113.13 2026-04-23
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 13 13 $1,845.00 $1,476.00 20% off $442.84 $1,808.10 $1,107.00 2026-04-23
8995403_1 CDM Mesh Ventralex Patch Small 12 12 $1,655.00 $1,324.00 20% off $993.00 $1,621.90 $1,042.65 2026-04-23
C1788 HCPCS Port, Indwelling (implantable) 30 10 $1,664.00 $1,331.20 20% off $55.20 $3,102.68 $1,023.36 2026-04-23
8992988_1 CDM Endo Stitch Ld 173026 (do Not Reorder) 12 12 $1,570.00 $1,256.00 20% off $942.00 $1,538.60 $989.10 2026-04-23
77012 HCPCS Review By Radiologist Of CT Guidance For Needle Placement 13 13 $1,579.00 $1,263.20 20% off $105.07 $1,547.42 $947.40 2026-04-23
8993096_1 CDM Groshong Cath Dual Lumen 12 12 $1,482.00 $1,185.60 20% off $889.20 $1,452.36 $933.66 2026-04-23
66821 HCPCS Removal Of Recurring Cataract In Lens Capsule Using A Laser 28 14 $1,539.00 $1,231.20 20% off $556.29 $1,812.02 $915.61 2026-04-23
8993173_1 CDM Ez-io 15mm Needle 12 12 $1,449.00 $1,159.20 $869.40 $1,420.02 $912.87 2026-04-23
8993172_1 CDM Ez-io 25mm Needle 12 12 $1,449.00 $1,159.20 $869.40 $1,420.02 $912.87 2026-04-23
8993175_1 CDM Ez-io 45mm Needle 12 12 $1,449.00 $1,159.20 $869.40 $1,420.02 $912.87 2026-04-23
9121213_1 CDM Ambulatory Surgical Care - General Classification 12 12 $1,448.00 $1,158.40 $868.80 $1,419.04 $912.24 2026-04-23
8995442_1 CDM Proximal Tenodesis System 12 12 $1,433.00 $1,146.40 $859.80 $1,404.34 $902.79 2026-04-23
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 13 13 $1,455.00 $1,164.00 20% off $196.61 $1,425.90 $873.00 2026-04-23
90375 HCPCS Rabies Immune Globulin For Injection 23 13 $1,368.96 $1,095.17 $272.43 $1,801.14 $858.14 2026-04-23
8995466_1 CDM Het Disposable Foreceps 12 12 $1,359.00 $1,087.20 $815.40 $1,331.82 $856.17 2026-04-23
78013 HCPCS Nuclear Medicine Study Of Thyroid 13 13 $1,405.00 $1,124.00 20% off $404.35 $1,376.90 $843.00 2026-04-23
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 13 13 $1,389.00 $1,111.20 $404.35 $1,361.22 $833.40 2026-04-23
8995441_1 CDM Mesh Ventralex St Lg 8.0cm 12 12 $1,314.00 $1,051.20 $788.40 $1,287.72 $827.82 2026-04-23
99291 HCPCS Critical Care, First 30-74 Minutes 11 11 $1,300.00 $1,040.00 20% off $780.00 $1,274.00 $819.00 2026-04-23
8993030_1 CDM Groshong Cath 12 12 $1,294.00 $1,035.20 $776.40 $1,268.12 $815.22 2026-04-23
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 13 13 $1,318.16 $1,054.53 $6.45 $1,291.80 $790.90 2026-04-23
8905665_1 CDM Supersaturation Profile, U24 Sf 12 12 $1,248.00 $998.40 20% off $748.80 $1,223.04 $786.24 2026-04-23
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 13 13 $1,244.00 $995.20 $404.35 $1,226.17 $783.72 2026-04-23
9530887_1 CDM Post Op Telescope Knee Brace 12 12 $1,240.00 $992.00 20% off $744.00 $1,215.20 $781.20 2026-04-23
9171028_1 CDM Knotless 2.6 Fibertak Blk/Blue 12 12 $1,237.00 $989.60 20% off $742.20 $1,212.26 $779.31 2026-04-23
9171027_1 CDM Knotless 2.6 Fibertak Blue 12 12 $1,237.00 $989.60 20% off $742.20 $1,212.26 $779.31 2026-04-23
78305 HCPCS Nuclear Medicine Study Of Bone And/or Joint Multiple Areas 13 13 $1,288.00 $1,030.40 $404.35 $1,262.24 $772.80 2026-04-23
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 13 13 $1,288.00 $1,030.40 $404.35 $1,262.24 $772.80 2026-04-23
78202 HCPCS Nuclear Medicine Study Of Liver And Blood Flow 13 13 $1,224.00 $979.20 $549.18 $1,226.17 $771.12 2026-04-23
8995235_1 CDM Harmonic Lap 5mm Shear 12 12 $1,191.00 $952.80 20% off $714.60 $1,167.18 $750.33 2026-04-23
10246376_1 CDM Blakemore Esophageal Tube, Adult (or) 12 12 $1,186.00 $948.80 20% off $711.60 $1,162.28 $747.18 2026-04-23
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 13 13 $1,172.00 $937.60 20% off $404.35 $1,226.17 $738.36 2026-04-23
9954263_1 CDM SwiveLock, Sp Bc Kl 4.75mm 12 12 $1,156.00 $924.80 20% off $693.60 $1,132.88 $728.28 2026-04-23
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 13 13 $1,212.00 $969.60 20% off $404.35 $1,187.76 $727.20 2026-04-23
78606 HCPCS Nuclear Medicine Study Of Brain And Blood Flow, 4 Static Views Or More 13 13 $1,212.00 $969.60 20% off $442.84 $1,187.76 $727.20 2026-04-23
J1442 HCPCS Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram 23 13 $740.79 $592.63 20% off $1.01 $1,425.77 $725.97 2026-04-23
8995382_1 CDM Fixation Device Secure Strap 5mm 12 12 $1,129.00 $903.20 $677.40 $1,106.42 $711.27 2026-04-23
9118613_1 CDM Ambulatory Surgical Care - General Classification 12 12 $1,121.00 $896.80 20% off $672.60 $1,098.58 $706.23 2026-04-23
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 13 13 $1,155.00 $924.00 20% off $196.61 $1,131.90 $693.00 2026-04-23
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 13 13 $1,148.00 $918.40 20% off $388.46 $1,125.04 $688.80 2026-04-23
J0248 HCPCS Injection, Remdesivir, 1 Mg 13 13 $1,143.20 $914.56 20% off $6.83 $1,120.34 $685.92 2026-04-23
78070 HCPCS Nuclear Medicine Study Of Parathyroid 13 13 $1,086.00 $868.80 20% off $404.35 $1,226.17 $684.18 2026-04-23
8838411_1 CDM Room & Board - Private (one Bed) - Other 8 8 $695.00 $556.00 20% off $479.55 $692.71 $681.10 2026-04-23
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 11 11 $1,126.00 $900.80 20% off $602.35 $1,103.48 $675.60 2026-04-23
78290 HCPCS Nuclear Medicine Study Of Intestine 13 13 $1,108.00 $886.40 20% off $404.35 $1,085.84 $664.80 2026-04-23
78740 HCPCS Nuclear Medicine Study To Assess Urine Flow 13 13 $1,093.00 $874.40 20% off $404.35 $1,071.14 $655.80 2026-04-23
8995381_1 CDM Endo Clip Applier Ligamax 5mm 12 12 $1,038.00 $830.40 20% off $622.80 $1,017.24 $653.94 2026-04-23
9171030_1 CDM Fibertak Soft Anchor 1.8 12 12 $1,028.00 $822.40 20% off $616.80 $1,007.44 $647.64 2026-04-23
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 26 13 $1,045.00 $836.00 20% off $105.74 $1,024.10 $627.00 2026-04-23
78012 HCPCS Nuclear Medicine Study Of Thyroid Function 13 13 $1,036.00 $828.80 20% off $404.35 $1,015.28 $621.60 2026-04-23
8995440_1 CDM Mesh Ventralex St Med 6.4cm 12 12 $986.00 $788.80 20% off $591.60 $966.28 $621.18 2026-04-23
78215 HCPCS Nuclear Medicine Study Of Liver And Spleen 13 13 $979.00 $783.20 $404.35 $1,226.17 $616.77 2026-04-23
78201 HCPCS Nuclear Medicine Study Of Liver 13 13 $979.00 $783.20 $549.18 $1,226.17 $616.77 2026-04-23
55700 HCPCS Biopsy Of Prostate Gland 13 13 $974.00 $779.20 $584.40 $2,083.63 $613.62 2026-04-23
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 13 13 $1,019.00 $815.20 $404.35 $998.62 $611.40 2026-04-23
81241 HCPCS Gene Analysis (coagulation Factor V) Leiden Variant 13 13 $1,003.00 $802.40 20% off $49.98 $982.94 $601.80 2026-04-23
8995455_1 CDM Ligasure 5mm Blunt Tip Lf 1837 12 12 $950.00 $760.00 20% off $570.00 $931.00 $598.50 2026-04-23
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 13 13 $945.00 $756.00 20% off $549.18 $1,226.17 $595.35 2026-04-23
78300 HCPCS Nuclear Medicine Study Of Bone And/or Joint Limited Area 13 13 $992.00 $793.60 20% off $404.35 $972.16 $595.20 2026-04-23
78701 HCPCS Nuclear Medicine Study Of Kidney And Blood Flow 13 13 $992.00 $793.60 20% off $404.35 $972.16 $595.20 2026-04-23
8672829_1 CDM Istalol 0.5% Eye Drops 12 12 $929.84 $743.87 20% off $557.90 $911.24 $585.80 2026-04-23
Q5101 HCPCS Injection, Filgrastim-sndz, Biosimilar, (zarxio), 1 Microgram 13 13 $968.20 $774.56 20% off $0.35 $948.84 $580.92 2026-04-23
8992989_1 CDM Endo Stitch 173016 12 12 $906.00 $724.80 20% off $543.60 $887.88 $570.78 2026-04-23
10243286_1 CDM Mantis Clip 12 12 $905.00 $724.00 20% off $543.00 $886.90 $570.15 2026-04-23
77002 HCPCS Fluoroscopic Guidance For Needle Placement 13 13 $942.00 $753.60 20% off $110.63 $923.16 $565.20 2026-04-23
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 14 14 $897.00 $717.60 20% off $538.20 $1,266.94 $565.11 2026-04-23
Q5005 HCPCS Hospice Care Provided In Inpatient Hospital 20 10 $786.00 $628.80 20% off $278.40 $1,085.84 $559.76 2026-04-23
87799 HCPCS Detection Test By Nucleic Acid For Organism, Quantification 13 13 $918.00 $734.40 20% off $30.63 $899.64 $550.80 2026-04-23
77077 HCPCS X-ray Of Joints, Multiple 13 13 $913.00 $730.40 20% off $65.87 $894.74 $547.80 2026-04-23
78610 HCPCS Nuclear Medicine Study Of Brain With Blood Flow 13 13 $913.00 $730.40 20% off $442.84 $894.74 $547.80 2026-04-23
8838410_1 CDM Room & Board - Private (one Bed) - Other 8 8 $556.00 $444.80 20% off $383.64 $554.17 $544.88 2026-04-23
76700 HCPCS Complete Ultrasound Scan Of Abdomen 13 13 $903.00 $722.40 20% off $105.74 $884.94 $541.80 2026-04-23
8995247_1 CDM Suture Anch Biocomp Swi-velock 12 12 $849.00 $679.20 $509.40 $832.02 $534.87 2026-04-23
8995439_1 CDM Mesh Ventralex St Small 4.3cm 12 12 $848.00 $678.40 20% off $508.80 $831.04 $534.24 2026-04-23
74300 HCPCS Review By Radiologist Of Bile And/or Pancreatic Duct Image During Surgery 12 12 $887.00 $709.60 20% off $233.47 $869.26 $532.20 2026-04-23
10243287_1 CDM Speedband Superview Ligator 12 12 $832.00 $665.60 20% off $499.20 $815.36 $524.16 2026-04-23
8995490_1 CDM Versastep Plus 12 Vs101012p 12 12 $830.00 $664.00 20% off $498.00 $813.40 $522.90 2026-04-23
8671773_1 CDM 00065-0275-10 - Brinzolamide 1% Ophth Susp 10 Ml [horn] 12 12 $823.76 $659.01 $494.26 $807.28 $518.97 2026-04-23
8995494_1 CDM Endo Paddle 173046 12 12 $811.00 $648.80 20% off $486.60 $794.78 $510.93 2026-04-23
9085200_1 CDM Operating Room Services - General Classification 12 12 $801.00 $640.80 20% off $480.60 $784.98 $504.63 2026-04-23
90675 HCPCS Rabies Vaccine For Injection Into Muscle 23 13 $615.13 $492.10 20% off $131.73 $821.96 $503.24 2026-04-23
8995239_1 CDM PunchDisposable Cork-screw Swivelock 12 12 $794.00 $635.20 $476.40 $778.12 $500.22 2026-04-23
27096 HCPCS Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U… 14 14 $792.00 $633.60 20% off $68.52 $776.16 $498.96 2026-04-23
76856 HCPCS Complete Ultrasound Scan Of Pelvis 13 13 $828.00 $662.40 20% off $105.74 $811.44 $496.80 2026-04-23
8992936_1 CDM Endo Clip Ii 176657 12 12 $786.00 $628.80 20% off $471.60 $770.28 $495.18 2026-04-23
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 13 13 $825.00 $660.00 20% off $105.74 $808.50 $495.00 2026-04-23
9531790_1 CDM S-curve Urethral Dilator Set G32789 12 12 $778.00 $622.40 20% off $466.80 $762.44 $490.14 2026-04-23
8995492_1 CDM Ligasure Ls1020 12 12 $777.00 $621.60 20% off $466.20 $761.46 $489.51 2026-04-23
77001 HCPCS Fluoroscopic Guidance For Insertion Or Removal Of Central Vein Access Device 13 13 $808.00 $646.40 20% off $89.44 $791.84 $484.80 2026-04-23
8995509_1 CDM Endo Clip 5mm 12 12 $767.00 $613.60 20% off $460.20 $751.66 $483.21 2026-04-23
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 11 11 $804.00 $643.20 $422.04 $787.92 $482.40 2026-04-23
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 13 13 $802.00 $641.60 20% off $30.63 $785.96 $481.20 2026-04-23
J7323 HCPCS Hyaluronan Or Derivative, Euflexxa, For Intra-articular Injection, Per Dose 13 13 $798.96 $639.17 $104.52 $782.98 $479.38 2026-04-23
76942 HCPCS Ultrasonic Guidance For Needle Placement 23 13 $1,057.00 $845.60 20% off $59.23 $1,035.86 $473.34 2026-04-23
88344 HCPCS Special Stained Specimen Slides To Examine Tissue, Each Multiplex Procedure 13 13 $787.00 $629.60 20% off $123.37 $771.26 $472.20 2026-04-23
C9290 HCPCS Injection, Bupivacaine Liposome, 1 Mg 13 13 $785.78 $628.62 20% off $392.89 $770.06 $471.47 2026-04-23
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 13 13 $780.00 $624.00 20% off $196.61 $764.40 $468.00 2026-04-23
8682824_1 CDM Brinzolamide 1% Eye Drops 12 12 $740.56 $592.45 $444.34 $725.75 $466.55 2026-04-23
76872 HCPCS Ultrasound Scan Of Pelvic Region Through Rectum 13 13 $776.00 $620.80 20% off $105.74 $760.48 $465.60 2026-04-23
8992996_1 CDM Cricothyrotomy Cath 12 12 $736.00 $588.80 20% off $441.60 $721.28 $463.68 2026-04-23
8995485_1 CDM Endo Gia Handle (new# Egiaustnd) 12 12 $724.00 $579.20 $434.40 $709.52 $456.12 2026-04-23
81256 HCPCS Gene Analysis (hemochromatosis) Common Variants 13 13 $760.00 $608.00 20% off $49.98 $744.80 $456.00 2026-04-23
87535 HCPCS Detection Test By Nucleic Acid For HIV-1 Virus, Amplified Probe Technique 13 13 $759.00 $607.20 $30.63 $743.82 $455.40 2026-04-23
8707283_1 CDM Room & Board - Private (one Bed) - Other 8 8 $464.00 $371.20 20% off $320.16 $462.47 $454.72 2026-04-23
95806 HCPCS Sleep Study Including Heart Rate, Breathing, Airflow, And Effort 13 13 $757.00 $605.60 20% off $170.80 $741.86 $454.20 2026-04-23
76805 HCPCS Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More), Single Or First Fetus 13 13 $753.00 $602.40 20% off $105.74 $737.94 $451.80 2026-04-23
87529 HCPCS Detection Test By Nucleic Acid For Herpes Simplex Virus, Amplified Probe Techniq… 13 13 $751.00 $600.80 20% off $30.63 $735.98 $450.60 2026-04-23
8685205_1 CDM Timolol 0.5% Eye Drop 12 12 $701.86 $561.49 $421.12 $687.82 $442.17 2026-04-23
8672498_1 CDM 00065-0271-05 - Olopatadine 0.1% Ophth Soln 5 Ml [horn] 12 12 $697.46 $557.97 $418.48 $683.51 $439.40 2026-04-23
8995488_1 CDM Versastep 5mm Vs101005 12 12 $696.00 $556.80 20% off $417.60 $682.08 $438.48 2026-04-23
8838409_1 CDM Room & Board - Private (one Bed) - Other 8 8 $445.00 $356.00 20% off $307.05 $443.53 $436.10 2026-04-23
8995465_1 CDM Gia Handle Gia6038s 12 12 $691.00 $552.80 20% off $414.60 $677.18 $435.33 2026-04-23
8995252_1 CDM Suture Anch. Bio-comp S-tak 1934bcft (do Not Reorder) 12 12 $690.00 $552.00 20% off $414.00 $676.20 $434.70 2026-04-23
87497 HCPCS Detection Test By Nucleic Acid For Cytomegalovirus, Quantification 13 13 $723.00 $578.40 20% off $30.63 $708.54 $433.80 2026-04-23
8993134_1 CDM Interceed (Smith) 12 12 $683.00 $546.40 20% off $409.80 $669.34 $430.29 2026-04-23
77076 HCPCS X-ray Of Infant Body Bones 13 13 $717.00 $573.60 $65.87 $702.66 $430.20 2026-04-23
77074 HCPCS Limited X-ray Of Body Bones 13 13 $717.00 $573.60 $65.87 $702.66 $430.20 2026-04-23
8099198_1 CDM Rt Oxygen Per Day Charge 12 12 $681.00 $544.80 20% off $408.60 $667.38 $429.03 2026-04-23
76819 HCPCS Ultrasound Scan Of Fetus 13 13 $714.00 $571.20 $105.74 $699.72 $428.40 2026-04-23
8992978_1 CDM Stapler Ta 60-3.5 Ta6035 12 12 $677.00 $541.60 $406.20 $663.46 $426.51 2026-04-23
94660 HCPCS Therapy Procedure Using A Positive Pressure Ventilator 13 13 $698.00 $558.40 20% off $149.67 $684.04 $418.80 2026-04-23
8995481_1 CDM Coblating Handle ENT 12 12 $663.00 $530.40 20% off $397.80 $649.74 $417.69 2026-04-23
8672221_1 CDM Acular 0.5% Eye Drops 12 12 $661.04 $528.83 20% off $396.62 $647.82 $416.46 2026-04-23
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 30 10 $668.00 $534.40 20% off $155.86 $2,186.40 $410.82 2026-04-23
76816 HCPCS Follow-up Ultrasound Scan Of Pregnant Uterus 13 13 $680.00 $544.00 20% off $105.74 $666.40 $408.00 2026-04-23
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 14 14 $647.00 $517.60 $388.20 $952.59 $407.61 2026-04-23
76830 HCPCS Ultrasound Scan Of Uterus, Ovaries, Tubes, Cervix And Pelvic Area Through Vagina 13 13 $672.00 $537.60 $105.74 $658.56 $403.20 2026-04-23
76000 HCPCS Imaging Guidance For Procedure, 60 Minutes Or Less 13 13 $666.00 $532.80 20% off $141.80 $652.68 $399.60 2026-04-23
86317 HCPCS Detection Of Infectious Agent Antibody, Quantitative 13 13 $658.00 $526.40 20% off $11.63 $644.84 $394.80 2026-04-23
74250 HCPCS Single Contrast X-ray Of Small Intestine 13 13 $654.00 $523.20 $141.80 $640.92 $392.40 2026-04-23
76604 HCPCS Ultrasound Scan Of Chest 13 13 $632.00 $505.60 $105.74 $619.36 $379.20 2026-04-23
84445 HCPCS Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level 13 13 $632.00 $505.60 $33.61 $619.36 $379.20 2026-04-23
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 33 13 $624.80 $499.84 20% off $144.87 $614.00 $375.92 2026-04-23
8995526_1 CDM Vest Clear Chest Comfort Xlarge 12 12 $593.00 $474.40 20% off $355.80 $581.14 $373.59 2026-04-23
G0416 HCPCS Surgical Pathology, Gross And Microscopic Examinations, For Prostate Needle Biop… 13 13 $614.00 $491.20 20% off $123.37 $601.72 $368.40 2026-04-23
8672359_1 CDM Provayblue 50 Mg/10 Ml Ampule 12 12 $582.53 $466.02 20% off $349.52 $570.88 $366.99 2026-04-23
76814 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), With Measurement Of The… 13 13 $605.00 $484.00 20% off $69.65 $592.90 $363.00 2026-04-23
76813 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), With Measurement Of The… 13 13 $605.00 $484.00 20% off $105.74 $592.90 $363.00 2026-04-23
76801 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Single Or First Fetus 13 13 $605.00 $484.00 20% off $105.74 $592.90 $363.00 2026-04-23
76775 HCPCS Limited Ultrasound Scan Behind Abdominal Cavity 13 13 $605.00 $484.00 20% off $105.74 $592.90 $363.00 2026-04-23
76705 HCPCS Limited Ultrasound Scan Of Abdomen 13 13 $605.00 $484.00 20% off $105.74 $592.90 $363.00 2026-04-23
76536 HCPCS Ultrasound Scan Of Head And Neck Soft Tissue 13 13 $604.00 $483.20 20% off $105.74 $591.92 $362.40 2026-04-23
8992991_1 CDM Knife Myrinygoyomy Disp 12 12 $571.00 $456.80 20% off $342.60 $559.58 $359.73 2026-04-23
J0885 HCPCS Injection, Epoetin Alfa, (for Non-esrd Use), 1000 Units 73 13 $572.10 $457.68 20% off $7.23 $2,156.74 $358.36 2026-04-23
86043 HCPCS Test For Acetylcholine Receptor Modulating Antibody 11 11 $595.00 $476.00 20% off $11.93 $583.10 $357.00 2026-04-23
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 13 13 $594.00 $475.20 20% off $105.74 $582.12 $356.40 2026-04-23
83631 HCPCS Stool Lactoferrin (immune System Protein) Level 13 13 $591.00 $472.80 20% off $12.41 $579.18 $354.60 2026-04-23
76817 HCPCS Vaginal Ultrasound Of Pregnant Uterus 13 13 $590.00 $472.00 20% off $105.74 $578.20 $354.00 2026-04-23
72052 HCPCS X-ray Of Upper Spine, 6 Or More Views 13 13 $589.00 $471.20 20% off $65.87 $577.22 $353.40 2026-04-23
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