Price Transparency 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

WICHITA COUNTY HEALTH CENTER

Leoti, KS · CCN 171306 · Rates published

1,435 distinct procedures filed
3 distinct payers
4,910 rate rows
2026-03-16 last MRF observed
Data quality

4,891 of 4,910 rate rows are consumer-grade (99.6%)

19 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 11
exceeds 10× this hospital's gross charge — excluded from medians 6
per-diem day rate — not a per-procedure price 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWCHCLEOTIKS&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Wichita_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 51d370850b5451e9… · 2,554,498 bytes · first seen 2026-05-05

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
J1561
HCPCS 		Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 2 $31,211.73 $603,694.80 $267,940.30 nat. median
$999
outlier · 268.2×
6265169_1
CDM 		Disposable High Flow Circet Set 1 $30,660.30 $30,660.30 $30,660.30 nat. median
$30,660
1.0× median
Q4309
HCPCS 		Via Matrix, Per Square Centimeter 2 $17,160.00 $20,800.00 $18,980.00 nat. median
$1,750
outlier · 10.8×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 2 $2,639.81 $18,797.27 $14,649.06 nat. median
$5,957
outlier · 2.5×
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 2 $8,787.37 $13,592.39 $10,932.54 nat. median
$1,372
outlier · 8.0×
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 2 $9,557.53 $11,584.89 $10,571.21 nat. median
$57
outlier · 187.0×
J9217
HCPCS 		Leuprolide Acetate (for Depot Suspension), 7.5 Mg 2 $8,760.94 $10,619.32 $9,690.13 nat. median
$1,521
outlier · 6.4×
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 2 $368.87 $19,936.84 $9,097.55 nat. median
$545
outlier · 16.7×
Q5111
HCPCS 		Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 2 $6,087.96 $7,379.34 $6,733.65 nat. median
$2,102
outlier · 3.2×
J2182
HCPCS 		Injection, Mepolizumab, 1 Mg 2 $5,636.14 $6,831.68 $6,233.91 nat. median
$3,087
outlier · 2.0×
J2002
HCPCS 		Injection, Lidocaine Hcl In 5% Dextrose, 1 Mg 2 $5,093.55 $6,174.00 $5,633.77 nat. median
$31
outlier · 181.0×
J3590
HCPCS 		Unclassified Biologics 2 $4,255.00 $5,157.58 $4,706.29 nat. median
$683
outlier · 6.9×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 2 $4,226.61 $5,123.16 $4,674.89 nat. median
$2,076
outlier · 2.3×
Q4197
HCPCS 		Puraply Xt, Per Square Centimeter 2 $2,963.40 $6,375.00 $4,425.69 nat. median
$194
outlier · 22.9×
J3262
HCPCS 		Injection, Tocilizumab, 1 Mg 2 $3,980.21 $4,824.50 $4,402.35 nat. median
$1,425
outlier · 3.1×
Q4196
HCPCS 		Puraply Am, Per Square Centimeter 2 $928.13 $8,910.00 $4,237.88 nat. median
$286
outlier · 14.8×
70471
HCPCS 		Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 2 $3,665.48 $4,443.00 $4,054.24 nat. median
$729
outlier · 5.6×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 2 $1,252.30 $7,514.50 $3,858.70 nat. median
$2,502
1.5× median
J2426
HCPCS 		Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg 2 $3,484.30 $4,223.39 $3,853.85 nat. median
$2,742
1.4× median
Q4159
HCPCS 		Affinity, Per Square Centimeter 2 $2,784.38 $4,725.00 $3,636.57 nat. median
$638
outlier · 5.7×
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 2 $2,977.10 $3,608.61 $3,292.86 nat. median
$1,003
outlier · 3.3×
36571
HCPCS 		Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 3 $280.69 $5,000.00 $3,087.50 nat. median
$3,384
0.9× median
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 2 $2,694.45 $3,266.00 $2,980.22 nat. median
$959
outlier · 3.1×
15273
HCPCS 		Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 2 $2,614.43 $3,169.00 $2,891.72 nat. median
$3,195
0.9× median
J0841
HCPCS 		Injection, Crotalidae Immune F(ab')2 (equine), 120 Mg 2 $2,373.29 $2,876.72 $2,625.01 nat. median
$1,767
1.5× median
15275
HCPCS 		Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 2 $466.13 $5,325.00 $2,479.07 nat. median
$1,737
1.4× median
6507965_1
CDM 		Promethazine-dm 6.25-15 Mg/5ml 1 $2,446.69 $2,446.69 $2,446.69 nat. median
$2,447
1.0× median
93306
HCPCS 		Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 2 $2,018.78 $2,936.00 $2,434.60 nat. median
$1,008
outlier · 2.4×
J0129
HCPCS 		Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 2 $1,639.48 $3,431.61 $2,409.16 nat. median
$1,082
outlier · 2.2×
Q4160
HCPCS 		Nushield, Per Square Centimeter 2 $983.81 $5,325.00 $2,200.88 nat. median
$301
outlier · 7.3×
36590
HCPCS 		Removal Of Central Venous Tube With Port Or Pump 2 $1,980.00 $2,400.00 $2,190.00 nat. median
$1,781
1.2× median
75635
HCPCS 		CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 2 $1,975.88 $2,395.00 $2,185.44 nat. median
$706
outlier · 3.1×
Q5108
HCPCS 		Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 2 $1,916.65 $2,323.21 $2,119.93 nat. median
$1,257
1.7× median
Q0138
HCPCS 		Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd… 2 $1,904.48 $2,308.46 $2,106.47 nat. median
$243
outlier · 8.7×
74175
HCPCS 		CT Scan Of Blood Vessels Of Abdomen With Contrast 2 $1,876.05 $2,274.00 $2,075.03 nat. median
$710
outlier · 2.9×
70496
HCPCS 		CT Scan Of Blood Vessels Of Head With Contrast 2 $1,833.15 $2,222.00 $2,027.58 nat. median
$729
outlier · 2.8×
70498
HCPCS 		CT Scan Of Blood Vessels Of Neck With Contrast 2 $1,833.15 $2,222.00 $2,027.58 nat. median
$722
outlier · 2.8×
15276
HCPCS 		Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 2 $1,831.50 $2,220.00 $2,025.75 nat. median
$454
outlier · 4.5×
71275
HCPCS 		CT Scan Of Blood Vessels Of Chest With Contrast 2 $1,808.40 $2,192.00 $2,000.20 nat. median
$736
outlier · 2.7×
J1745
HCPCS 		Injection, Infliximab, Excludes Biosimilar, 10 Mg 2 $1,803.57 $2,186.15 $1,994.86 nat. median
$451
outlier · 4.4×
Q4186
HCPCS 		Epifix, Per Square Centimeter 2 $1,782.00 $2,160.00 $1,971.00 nat. median
$398
outlier · 5.0×
4662709_1
CDM 		Glycerin 99.5% Liquid 1 $1,965.55 $1,965.55 $1,965.55 nat. median
$1,966
1.0× median
11423
HCPCS 		Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3… 2 $1,701.15 $2,062.00 $1,881.58 nat. median
$1,605
1.2× median
Q4101
HCPCS 		Apligraf, Per Square Centimeter 2 $1,602.56 $1,942.50 $1,772.53 nat. median
$92
outlier · 19.3×
J2785
HCPCS 		Injection, Regadenoson, 0.1 Mg 2 $1,596.82 $1,935.54 $1,766.18 nat. median
$74
outlier · 23.9×
90377
HCPCS 		Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 2 $1,581.73 $1,917.25 $1,749.49 nat. median
$504
outlier · 3.5×
11404
HCPCS 		Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm 2 $1,570.80 $1,904.00 $1,737.40 nat. median
$1,615
1.1× median
26765
HCPCS 		Treatment Of Broken End Of Finger Or Thumb 2 $338.56 $2,634.00 $1,716.53 nat. median
$3,497
outlier · 0.5×
10061
HCPCS 		Complicated Or Multiple Drainage Of Skin Abscess 2 $1,540.28 $1,867.00 $1,703.64 nat. median
$502
outlier · 3.4×
J7307
HCPCS 		Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 2 $1,259.13 $2,186.33 $1,664.97 nat. median
$1,689
1.0× median

Other procedures at this hospital

Browse this hospital's 1,435 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
             
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 4 2 $320,763.60 $256,610.88 20% off $31,211.73 $603,694.80 $267,940.30 2026-03-16
6265169_1 CDM Disposable High Flow Circet Set 1 1 $61,320.60 $49,056.48 $30,660.30 $30,660.30 $30,660.30 2026-03-16
Q4309 HCPCS Via Matrix, Per Square Centimeter 2 2 $20,800.00 $16,640.00 20% off $17,160.00 $20,800.00 $18,980.00 2026-03-16
J3101 HCPCS Injection, Tenecteplase, 1 Mg 6 2 $16,715.61 $13,372.49 $2,639.81 $18,797.27 $14,649.06 2026-03-16
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 4 2 $12,121.88 $9,697.50 20% off $8,787.37 $13,592.39 $10,932.54 2026-03-16
J1306 HCPCS Injection, Inclisiran, 1 Mg 2 2 $11,584.89 $9,267.91 20% off $9,557.53 $11,584.89 $10,571.21 2026-03-16
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 2 2 $10,619.32 $8,495.46 $8,760.94 $10,619.32 $9,690.13 2026-03-16
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 6 2 $9,969.91 $7,975.93 $368.87 $19,936.84 $9,097.55 2026-03-16
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 2 2 $7,379.34 $5,903.47 20% off $6,087.96 $7,379.34 $6,733.65 2026-03-16
J2182 HCPCS Injection, Mepolizumab, 1 Mg 2 2 $6,831.68 $5,465.34 20% off $5,636.14 $6,831.68 $6,233.91 2026-03-16
J2002 HCPCS Injection, Lidocaine Hcl In 5% Dextrose, 1 Mg 2 2 $6,174.00 $4,939.20 20% off $5,093.55 $6,174.00 $5,633.77 2026-03-16
J3590 HCPCS Unclassified Biologics 2 2 $5,157.58 $4,126.06 20% off $4,255.00 $5,157.58 $4,706.29 2026-03-16
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 2 2 $5,123.16 $4,098.53 $4,226.61 $5,123.16 $4,674.89 2026-03-16
Q4197 HCPCS Puraply Xt, Per Square Centimeter 4 2 $4,983.50 $3,986.80 $2,963.40 $6,375.00 $4,425.69 2026-03-16
J3262 HCPCS Injection, Tocilizumab, 1 Mg 2 2 $4,824.50 $3,859.60 20% off $3,980.21 $4,824.50 $4,402.35 2026-03-16
Q4196 HCPCS Puraply Am, Per Square Centimeter 4 2 $5,017.50 $4,014.00 20% off $928.13 $8,910.00 $4,237.88 2026-03-16
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 2 2 $4,443.00 $3,554.40 20% off $3,665.48 $4,443.00 $4,054.24 2026-03-16
J0897 HCPCS Injection, Denosumab, 1 Mg 4 2 $4,516.22 $3,612.97 20% off $1,252.30 $7,514.50 $3,858.70 2026-03-16
J2426 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg 2 2 $4,223.39 $3,378.71 20% off $3,484.30 $4,223.39 $3,853.85 2026-03-16
Q4159 HCPCS Affinity, Per Square Centimeter 4 2 $4,050.00 $3,240.00 20% off $2,784.38 $4,725.00 $3,636.57 2026-03-16
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 2 2 $3,608.61 $2,886.89 $2,977.10 $3,608.61 $3,292.86 2026-03-16
36571 HCPCS Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 5 3 $5,000.00 $4,000.00 20% off $280.69 $5,000.00 $3,087.50 2026-03-16
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 2 2 $3,266.00 $2,612.80 $2,694.45 $3,266.00 $2,980.22 2026-03-16
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 2 2 $3,169.00 $2,535.20 20% off $2,614.43 $3,169.00 $2,891.72 2026-03-16
J0841 HCPCS Injection, Crotalidae Immune F(ab')2 (equine), 120 Mg 2 2 $2,876.72 $2,301.38 $2,373.29 $2,876.72 $2,625.01 2026-03-16
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 4 2 $2,945.00 $2,356.00 20% off $466.13 $5,325.00 $2,479.07 2026-03-16
6507965_1 CDM Promethazine-dm 6.25-15 Mg/5ml 1 1 $2,965.68 $2,372.54 20% off $2,446.69 $2,446.69 $2,446.69 2026-03-16
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 4 2 $2,691.50 $2,153.20 20% off $2,018.78 $2,936.00 $2,434.60 2026-03-16
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 4 2 $2,709.43 $2,167.55 $1,639.48 $3,431.61 $2,409.16 2026-03-16
Q4160 HCPCS Nushield, Per Square Centimeter 12 2 $2,445.00 $1,956.00 20% off $983.81 $5,325.00 $2,200.88 2026-03-16
36590 HCPCS Removal Of Central Venous Tube With Port Or Pump 2 2 $2,400.00 $1,920.00 20% off $1,980.00 $2,400.00 $2,190.00 2026-03-16
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 2 2 $2,395.00 $1,916.00 20% off $1,975.88 $2,395.00 $2,185.44 2026-03-16
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 2 2 $2,323.21 $1,858.57 $1,916.65 $2,323.21 $2,119.93 2026-03-16
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 2 2 $2,308.46 $1,846.77 $1,904.48 $2,308.46 $2,106.47 2026-03-16
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 2 2 $2,274.00 $1,819.20 20% off $1,876.05 $2,274.00 $2,075.03 2026-03-16
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 2 2 $2,222.00 $1,777.60 20% off $1,833.15 $2,222.00 $2,027.58 2026-03-16
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 2 2 $2,222.00 $1,777.60 20% off $1,833.15 $2,222.00 $2,027.58 2026-03-16
15276 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 2 2 $2,220.00 $1,776.00 20% off $1,831.50 $2,220.00 $2,025.75 2026-03-16
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 2 2 $2,192.00 $1,753.60 20% off $1,808.40 $2,192.00 $2,000.20 2026-03-16
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 2 2 $2,186.15 $1,748.92 20% off $1,803.57 $2,186.15 $1,994.86 2026-03-16
Q4186 HCPCS Epifix, Per Square Centimeter 2 2 $2,160.00 $1,728.00 20% off $1,782.00 $2,160.00 $1,971.00 2026-03-16
4662709_1 CDM Glycerin 99.5% Liquid 1 1 $2,382.48 $1,905.98 20% off $1,965.55 $1,965.55 $1,965.55 2026-03-16
11423 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3… 2 2 $2,062.00 $1,649.60 20% off $1,701.15 $2,062.00 $1,881.58 2026-03-16
Q4101 HCPCS Apligraf, Per Square Centimeter 2 2 $1,942.50 $1,554.00 20% off $1,602.56 $1,942.50 $1,772.53 2026-03-16
J2785 HCPCS Injection, Regadenoson, 0.1 Mg 2 2 $1,935.54 $1,548.43 20% off $1,596.82 $1,935.54 $1,766.18 2026-03-16
90377 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 2 2 $1,917.25 $1,533.80 20% off $1,581.73 $1,917.25 $1,749.49 2026-03-16
11404 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm 2 2 $1,904.00 $1,523.20 20% off $1,570.80 $1,904.00 $1,737.40 2026-03-16
26765 HCPCS Treatment Of Broken End Of Finger Or Thumb 4 2 $1,947.00 $1,557.60 20% off $338.56 $2,634.00 $1,716.53 2026-03-16
10061 HCPCS Complicated Or Multiple Drainage Of Skin Abscess 2 2 $1,867.00 $1,493.60 20% off $1,540.28 $1,867.00 $1,703.64 2026-03-16
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 4 2 $1,856.28 $1,485.02 20% off $1,259.13 $2,186.33 $1,664.97 2026-03-16
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 2 2 $1,803.00 $1,442.40 $1,487.48 $1,803.00 $1,645.24 2026-03-16
15272 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, Each Addi… 2 2 $1,791.00 $1,432.80 20% off $1,477.58 $1,791.00 $1,634.29 2026-03-16
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 4 2 $1,887.50 $1,510.00 20% off $156.75 $3,585.00 $1,573.82 2026-03-16
6366992_1 CDM Ozempic 0.25-0.5 Mg/dose Pen 1 1 $1,821.80 $1,457.44 $1,502.99 $1,502.99 $1,502.99 2026-03-16
12036 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.… 2 2 $1,600.00 $1,280.00 20% off $1,320.00 $1,600.00 $1,460.00 2026-03-16
11441 HCPCS Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0… 2 2 $1,536.00 $1,228.80 20% off $1,267.20 $1,536.00 $1,401.60 2026-03-16
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 2 2 $1,451.21 $1,160.97 $1,197.25 $1,451.21 $1,324.23 2026-03-16
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 4 2 $1,470.09 $1,176.08 $1,050.23 $1,667.17 $1,324.22 2026-03-16
43245 HCPCS Dilation Of Stomach Outlet Using A Flexible Endoscope 4 2 $1,495.00 $1,196.00 20% off $338.56 $2,090.00 $1,312.12 2026-03-16
5412942_1 CDM Victoza 3-pak 18 Mg/3 Ml Pen 1 1 $1,579.25 $1,263.40 $1,302.88 $1,302.88 $1,302.88 2026-03-16
12007 HCPCS Simple Repair Of Surface Wound To Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 2 2 $1,400.00 $1,120.00 20% off $1,155.00 $1,400.00 $1,277.50 2026-03-16
4440083_1 CDM Nitroprusside 25 mg/mL IV Sol 2 Ml [wcks] 1 1 $1,530.25 $1,224.20 20% off $1,262.46 $1,262.46 $1,262.46 2026-03-16
46221 HCPCS Removal Of External Hemorrhoids By Rubber Banding 4 2 $1,425.00 $1,140.00 20% off $338.56 $1,950.00 $1,254.38 2026-03-16
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 4 2 $1,385.00 $1,108.00 20% off $338.56 $1,870.00 $1,221.38 2026-03-16
2120840_1 CDM Room & Board - Semi-private (two Beds) - General Classification 1 1 $1,200.00 $960.00 20% off $1,200.00 $1,200.00 $1,200.00 2026-03-16
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 6 2 $1,400.00 $1,120.00 20% off $320.00 $1,492.00 $1,192.95 2026-03-16
Q4187 HCPCS Epicord, Per Square Centimeter 6 2 $1,295.00 $1,036.00 20% off $605.06 $3,885.00 $1,181.69 2026-03-16
45380 HCPCS Biopsy Of Large Bowel Using A Flexible Endoscope 4 2 $1,314.00 $1,051.20 $338.56 $1,728.00 $1,162.80 2026-03-16
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 2 2 $1,272.00 $1,017.60 20% off $1,049.40 $1,272.00 $1,160.70 2026-03-16
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 2 2 $1,272.00 $1,017.60 20% off $1,049.40 $1,272.00 $1,160.70 2026-03-16
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 2 2 $1,272.00 $1,017.60 20% off $1,049.40 $1,272.00 $1,160.70 2026-03-16
13151 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm 4 2 $1,292.50 $1,034.00 20% off $338.56 $1,650.00 $1,148.12 2026-03-16
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
71260 HCPCS CT Scan Of Chest With Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
73201 HCPCS CT Scan Of Arm With Contrast 4 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
72193 HCPCS CT Scan Of Pelvis With Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70488 HCPCS CT Scan Of Face Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
71270 HCPCS CT Scan Of Chest Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
73701 HCPCS CT Scan Of Leg With Contrast Material 6 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70450 HCPCS CT Scan Head Or Brain Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
73200 HCPCS CT Scan Of Arm Without Contrast 4 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
72128 HCPCS CT Scan Of Middle Spine Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
73700 HCPCS CT Scan Of Leg Without Contrast 6 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
72125 HCPCS CT Scan Of Upper Spine Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
74160 HCPCS CT Scan Of Abdomen With Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
73202 HCPCS CT Scan Of Arm Before And After Contrast 4 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
74150 HCPCS CT Scan Of Abdomen Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
72131 HCPCS CT Scan Of Lower Spine Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70486 HCPCS CT Scan Of Face Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
72126 HCPCS CT Scan Of Upper Spine With Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
73702 HCPCS CT Scan Of Leg Before And After Contrast 6 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
72192 HCPCS CT Scan Of Pelvis Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70460 HCPCS CT Scan Head Or Brain With Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
71250 HCPCS CT Scan Of Chest Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70487 HCPCS CT Scan Of Face With Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 2 2 $1,254.00 $1,003.20 $1,034.55 $1,254.00 $1,144.28 2026-03-16
12045 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 12.6-20.0 Cm 5 2 $1,377.00 $1,101.60 20% off $338.56 $1,377.00 $1,136.03 2026-03-16
45384 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec… 4 2 $1,280.50 $1,024.40 $338.56 $1,661.00 $1,135.16 2026-03-16
45378 HCPCS Diagnostic Exam Of Large Bowel Using A Flexible Endoscope 4 2 $1,280.50 $1,024.40 $338.56 $1,661.00 $1,135.16 2026-03-16
93930 HCPCS Ultrasound Of Arm Arteries Or Artery Grafts 2 2 $1,241.00 $992.80 20% off $1,023.83 $1,241.00 $1,132.41 2026-03-16
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 2 2 $1,241.00 $992.80 20% off $1,023.83 $1,241.00 $1,132.41 2026-03-16
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 2 2 $1,241.00 $992.80 20% off $1,023.83 $1,241.00 $1,132.41 2026-03-16
36589 HCPCS Removal Of Tunneled Central Venous Tube 2 2 $1,206.00 $964.80 20% off $994.95 $1,206.00 $1,100.47 2026-03-16
4441941_1 CDM Room & Board - Semi-private (two Beds) - General Classification 1 1 $1,100.00 $880.00 20% off $1,100.00 $1,100.00 $1,100.00 2026-03-16
G0121 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For … 4 2 $1,235.00 $988.00 20% off $338.56 $1,570.00 $1,097.62 2026-03-16
12017 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.… 2 2 $1,200.00 $960.00 20% off $990.00 $1,200.00 $1,095.00 2026-03-16
12006 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 2 2 $1,200.00 $960.00 20% off $990.00 $1,200.00 $1,095.00 2026-03-16
12055 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.6-… 2 2 $1,200.00 $960.00 20% off $990.00 $1,200.00 $1,095.00 2026-03-16
77075 HCPCS Complete X-ray Of Body Bones 2 2 $1,200.00 $960.00 20% off $990.00 $1,200.00 $1,095.00 2026-03-16
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 2 2 $1,200.00 $960.00 20% off $990.00 $1,200.00 $1,095.00 2026-03-16
J0248 HCPCS Injection, Remdesivir, 1 Mg 4 2 $1,188.47 $950.78 $772.20 $1,440.95 $1,062.39 2026-03-16
11440 HCPCS Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0… 2 2 $1,154.00 $923.20 $952.05 $1,154.00 $1,053.03 2026-03-16
43239 HCPCS Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 4 2 $1,175.00 $940.00 20% off $338.56 $1,450.00 $1,048.12 2026-03-16
71552 HCPCS MRI Scan Of Chest Before And After Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
71551 HCPCS MRI Scan Of Chest With Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
71550 HCPCS MRI Scan Of Chest Without Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
74181 HCPCS MRI Scan Of Abdomen Without Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 6 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
70553 HCPCS MRI Scan Of Brain Before And After Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
70551 HCPCS MRI Scan Of Brain Without Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
70336 HCPCS MRI Scan Of Jaw Joint 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73722 HCPCS MRI Scan Of Leg Joint With Contrast 6 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 8 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
74182 HCPCS MRI Scan Of Abdomen With Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73718 HCPCS MRI Scan Of Leg Without Contrast 6 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73218 HCPCS MRI Scan Of Arm Without Contrast 4 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73220 HCPCS MRI Scan Of Arm Before And After Contrast 4 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 4 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73222 HCPCS MRI Scan Of Arm Joint With Contrast 4 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73219 HCPCS MRI Scan Of Arm With Contrast 4 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 6 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72196 HCPCS MRI Scan Of Pelvis With Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72195 HCPCS MRI Scan Of Pelvis Without Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73719 HCPCS MRI Scan Of Leg With Contrast 6 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
73720 HCPCS MRI Scan Of Leg Before And After Contrast 6 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
70552 HCPCS MRI Scan Of Brain With Contrast 2 2 $1,148.00 $918.40 20% off $947.10 $1,148.00 $1,047.55 2026-03-16
59426 HCPCS Predelivery Care, 7 Or More Visits 2 2 $1,730.00 $1,384.00 20% off $338.56 $1,730.00 $1,034.28 2026-03-16
4662437_1 CDM Nitroprusside 25 mg/mL IV Sol 2 Ml [wcks] 1 1 $1,245.46 $996.37 $1,027.50 $1,027.50 $1,027.50 2026-03-16
11402 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm 2 2 $1,116.00 $892.80 20% off $920.70 $1,116.00 $1,018.35 2026-03-16
13152 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm 2 2 $1,100.00 $880.00 20% off $907.50 $1,100.00 $1,003.75 2026-03-16
12035 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.… 2 2 $1,100.00 $880.00 20% off $907.50 $1,100.00 $1,003.75 2026-03-16
43235 HCPCS Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible… 4 2 $1,100.00 $880.00 20% off $338.56 $1,300.00 $986.25 2026-03-16
27560 HCPCS Closed Treatment Of Dislocated Kneecap 4 2 $1,061.50 $849.20 $338.56 $1,070.00 $967.88 2026-03-16
24600 HCPCS Repair Of Dislocated Elbow 4 2 $1,099.50 $879.60 20% off $338.56 $1,182.00 $928.01 2026-03-16
12046 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 20.1-30.0 Cm 2 2 $1,512.00 $1,209.60 20% off $338.56 $1,512.00 $925.28 2026-03-16
93308 HCPCS Ultrasound Of Heart, Follow-up 4 2 $1,012.00 $809.60 20% off $759.00 $1,104.00 $915.40 2026-03-16
12044 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm 4 2 $995.00 $796.00 20% off $338.56 $1,025.00 $905.32 2026-03-16
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 2 2 $990.00 $792.00 20% off $816.75 $990.00 $903.38 2026-03-16
43251 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 4 2 $992.50 $794.00 20% off $338.56 $1,085.00 $897.57 2026-03-16
17004 HCPCS Destruction Of Precancer Skin Growth, 15 Or More Growths 2 2 $960.00 $768.00 20% off $792.00 $960.00 $876.00 2026-03-16
45350 HCPCS Banding Of Hemorrhoids Using A Flexible Endoscope (sigmoidoscope) 4 2 $958.00 $766.40 20% off $338.56 $1,016.00 $869.10 2026-03-16
93799 HCPCS Other Cardiovascular Service Or Procedure 2 2 $935.00 $748.00 20% off $771.38 $935.00 $853.19 2026-03-16
74400 HCPCS Imaging Of Urinary Tract With Injection Of Contrast Into A Vein 2 2 $923.00 $738.40 20% off $761.48 $923.00 $842.24 2026-03-16
93978 HCPCS Complete Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 2 2 $922.00 $737.60 20% off $760.65 $922.00 $841.33 2026-03-16
76536 HCPCS Ultrasound Scan Of Head And Neck Soft Tissue 2 2 $922.00 $737.60 20% off $760.65 $922.00 $841.33 2026-03-16
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 4 2 $922.00 $737.60 20% off $760.65 $922.00 $841.33 2026-03-16
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 4 2 $922.00 $737.60 20% off $760.65 $922.00 $841.33 2026-03-16
93922 HCPCS Ultrasound Study Of Arm And Leg Arteries 2 2 $922.00 $737.60 20% off $760.65 $922.00 $841.33 2026-03-16
93926 HCPCS Ultrasound Of One Leg Arteries Or Artery Grafts 4 2 $922.00 $737.60 20% off $760.65 $922.00 $841.33 2026-03-16
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 2 2 $922.00 $737.60 20% off $760.65 $922.00 $841.33 2026-03-16
10120 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Simple 6 2 $900.00 $720.00 20% off $250.00 $1,200.00 $821.25 2026-03-16
99291 HCPCS Critical Care, First 30-74 Minutes 4 2 $890.00 $712.00 20% off $338.56 $1,215.00 $783.69 2026-03-16
77074 HCPCS Limited X-ray Of Body Bones 2 2 $840.00 $672.00 20% off $693.00 $840.00 $766.50 2026-03-16
J2150 HCPCS Injection, Mannitol, 25% In 50 Ml 4 2 $920.00 $736.00 20% off $33.00 $1,800.00 $762.50 2026-03-16
73523 HCPCS X-ray Of Both Hips, Minimum Of 5 Views 2 2 $833.00 $666.40 20% off $687.23 $833.00 $760.12 2026-03-16
73522 HCPCS X-ray Of Both Hips, 3-4 Views 4 2 $833.00 $666.40 20% off $687.23 $833.00 $760.12 2026-03-16
70330 HCPCS X-ray Of Jaw Joints On Both Sides Of Mouth 2 2 $833.00 $666.40 20% off $687.23 $833.00 $760.12 2026-03-16
0097U HCPCS Gastrointestinal Pathogen, Multiplex Reverse Transcription And Multiplex Amplifi… 2 2 $832.00 $665.60 20% off $686.40 $832.00 $759.20 2026-03-16
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 4 2 $870.00 $696.00 20% off $338.56 $1,360.00 $751.00 2026-03-16
11106 HCPCS Incision Biopsy, First Skin Growth 2 2 $810.00 $648.00 20% off $668.25 $810.00 $739.12 2026-03-16
11200 HCPCS Removal Of Skin Tag, 1-15 Skin Tags 2 2 $804.00 $643.20 $663.30 $804.00 $733.65 2026-03-16
11103 HCPCS Biopsy Of Related Skin Growth, Each Additional Growth 2 2 $804.00 $643.20 $663.30 $804.00 $733.65 2026-03-16
11102 HCPCS Biopsy Of Related Skin Growth, First Growth 2 2 $804.00 $643.20 $663.30 $804.00 $733.65 2026-03-16
90649 HCPCS Human Papillomavirus Vaccine, Types 6, 11, 16, 18, Quadrivalent 2 2 $802.03 $641.62 20% off $661.67 $802.03 $731.85 2026-03-16
12016 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.… 2 2 $800.00 $640.00 20% off $660.00 $800.00 $730.00 2026-03-16
26725 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With … 4 2 $892.50 $714.00 20% off $338.56 $985.00 $730.00 2026-03-16
26605 HCPCS Closed Treatment Of Broken Hand Bone With Manipulation 2 2 $800.00 $640.00 20% off $660.00 $800.00 $730.00 2026-03-16
90675 HCPCS Rabies Vaccine For Injection Into Muscle 4 2 $801.35 $641.08 20% off $572.19 $909.14 $721.80 2026-03-16
12054 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6-1… 4 2 $800.00 $640.00 20% off $338.56 $900.00 $721.25 2026-03-16
12005 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 4 2 $806.00 $644.80 20% off $338.56 $1,017.00 $717.01 2026-03-16
4490377_1 CDM Labor Room/delivery - General Classification 1 1 $840.00 $672.00 20% off $693.00 $693.00 $693.00 2026-03-16
17110 HCPCS Destruction Of Skin Growth, 1-14 Growths 4 2 $725.00 $580.00 20% off $200.00 $1,250.00 $684.90 2026-03-16
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 2 2 $750.00 $600.00 20% off $618.75 $750.00 $684.38 2026-03-16
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 2 2 $1,025.00 $820.00 20% off $338.56 $1,025.00 $681.78 2026-03-16
30903 HCPCS Complex Control Of Nose Bleed 2 2 $747.00 $597.60 20% off $616.28 $747.00 $681.64 2026-03-16
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 4 2 $754.00 $603.20 $338.56 $1,018.00 $664.92 2026-03-16
10160 HCPCS Aspiration Of Abscess, Blood, Or Cyst 4 2 $711.00 $568.80 20% off $222.00 $1,200.00 $664.28 2026-03-16
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 4 2 $722.50 $578.00 20% off $338.56 $800.00 $652.50 2026-03-16
J1442 HCPCS Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram 2 2 $714.00 $571.20 $589.05 $714.00 $651.52 2026-03-16
12015 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6… 2 2 $700.00 $560.00 20% off $577.50 $700.00 $638.75 2026-03-16
12053 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7… 2 2 $700.00 $560.00 20% off $577.50 $700.00 $638.75 2026-03-16
J2760 HCPCS Injection, Phentolamine Mesylate, Up To 5 Mg 4 2 $724.76 $579.82 $277.79 $1,112.81 $627.39 2026-03-16
11043 HCPCS Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less 2 2 $685.54 $548.43 20% off $565.57 $685.54 $625.56 2026-03-16
11042 HCPCS Removal Of Skin And Tissue, 20.0 Sq Cm Or Less 2 2 $685.54 $548.43 20% off $565.57 $685.54 $625.56 2026-03-16
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 4 2 $686.34 $549.07 20% off $548.36 $708.00 $624.39 2026-03-16
26600 HCPCS Closed Treatment Of Broken Hand Bone 2 2 $900.00 $720.00 20% off $338.56 $900.00 $619.28 2026-03-16
69005 HCPCS Complicated Drainage Of External Ear Abscess Or Blood Accumulation 2 2 $675.00 $540.00 20% off $556.88 $675.00 $615.94 2026-03-16
13101 HCPCS Complicated Repair Of Wound Of Trunk, 2.6-7.5 Cm 2 2 $668.00 $534.40 20% off $551.10 $668.00 $609.55 2026-03-16
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 2 2 $662.00 $529.60 $546.15 $662.00 $604.08 2026-03-16
P9040 HCPCS Red Blood Cells, Leukocytes Reduced, Irradiated, Each Unit 2 2 $662.00 $529.60 $546.15 $662.00 $604.08 2026-03-16
J1410 HCPCS Injection, Estrogen Conjugated, Per 25 Mg 2 2 $660.00 $528.00 20% off $544.50 $660.00 $602.25 2026-03-16
59425 HCPCS Predelivery Care, 4 To 6 Visits 2 2 $860.00 $688.00 20% off $338.56 $860.00 $599.28 2026-03-16
72114 HCPCS X-ray Lower And Sacral Spine, Minimum Of 6 Views 2 2 $655.20 $524.16 20% off $540.54 $655.20 $597.87 2026-03-16
72052 HCPCS X-ray Of Upper Spine, 6 Or More Views 2 2 $655.00 $524.00 20% off $540.38 $655.00 $597.69 2026-03-16
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 4 2 $655.00 $524.00 20% off $338.56 $725.00 $591.57 2026-03-16
J1729 HCPCS Injection, Hydroxyprogesterone Caproate, Not Otherwise Specified, 10 Mg 2 2 $646.70 $517.36 20% off $533.53 $646.70 $590.12 2026-03-16
26720 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand 2 2 $841.00 $672.80 20% off $338.56 $841.00 $589.78 2026-03-16
J2404 HCPCS Injection, Nicardipine, 0.1 Mg 2 2 $645.60 $516.48 20% off $532.62 $645.60 $589.11 2026-03-16
11750 HCPCS Permanent Removal Fingernail Or Toenail 4 2 $632.00 $505.60 $338.56 $649.00 $575.21 2026-03-16
84445 HCPCS Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level 2 2 $625.00 $500.00 20% off $515.63 $625.00 $570.32 2026-03-16
24640 HCPCS Closed Treatment Of Dislocated Forearm Bone On Thumb Side At Elbow With Manipula… 4 2 $637.50 $510.00 20% off $338.56 $800.00 $567.50 2026-03-16
11401 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 0.6-1.0 Cm 4 2 $607.64 $486.11 20% off $275.00 $940.28 $557.14 2026-03-16
81256 HCPCS Gene Analysis (hemochromatosis) Common Variants 2 2 $606.00 $484.80 20% off $499.95 $606.00 $552.98 2026-03-16
71111 HCPCS X-ray Of Ribs On Both Sides Of Body, Minimum Of 4 Views 2 2 $605.00 $484.00 20% off $499.13 $605.00 $552.07 2026-03-16
25600 HCPCS Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb … 2 2 $765.00 $612.00 20% off $338.56 $765.00 $551.78 2026-03-16
95905 HCPCS Nerve Conduction Study Of Arm Or Leg Movement And/or Feeling With Review And Rep… 2 2 $600.00 $480.00 20% off $495.00 $600.00 $547.50 2026-03-16
13132 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 4 2 $620.00 $496.00 20% off $338.56 $640.00 $547.50 2026-03-16
30300 HCPCS Removal Of Foreign Body In Nose 4 2 $632.50 $506.00 20% off $338.56 $665.00 $547.50 2026-03-16
C1751 HCPCS Catheter, Infusion, Inserted Peripherally, Centrally Or Midline (other Than Hemo… 2 2 $598.90 $479.12 $494.09 $598.90 $546.50 2026-03-16
12032 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 … 4 2 $607.50 $486.00 20% off $315.00 $900.00 $540.53 2026-03-16
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 4 2 $590.00 $472.00 20% off $338.56 $600.00 $537.50 2026-03-16
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 4 2 $565.00 $452.00 20% off $255.00 $875.00 $530.22 2026-03-16
11765 HCPCS Removal Of Skin Of Fingernail Or Toenail 4 2 $533.50 $426.80 20% off $195.00 $872.00 $528.98 2026-03-16
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 4 2 $601.55 $481.24 $248.14 $902.32 $522.59 2026-03-16
76802 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Each Additional Fetus 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76817 HCPCS Vaginal Ultrasound Of Pregnant Uterus 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76805 HCPCS Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More), Single Or First Fetus 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76705 HCPCS Limited Ultrasound Scan Of Abdomen 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76700 HCPCS Complete Ultrasound Scan Of Abdomen 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76641 HCPCS Complete Ultrasound Scan Of 1 Breast 4 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76604 HCPCS Ultrasound Scan Of Chest 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76818 HCPCS Ultrasound And Monitoring Of Heart Of Fetus 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76810 HCPCS Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More), Each Additional Fetus 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76819 HCPCS Ultrasound Scan Of Fetus 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76775 HCPCS Limited Ultrasound Scan Behind Abdominal Cavity 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76882 HCPCS Limited Ultrasound Scan Of Joint Or Other Extremity Structure Except Blood Vesse… 6 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76881 HCPCS Complete Ultrasound Scan Of Joint 4 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76830 HCPCS Ultrasound Scan Of Uterus, Ovaries, Tubes, Cervix And Pelvic Area Through Vagina 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76706 HCPCS Ultrasound Scan Of Abdominal Aorta 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76856 HCPCS Complete Ultrasound Scan Of Pelvis 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76816 HCPCS Follow-up Ultrasound Scan Of Pregnant Uterus 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76642 HCPCS Limited Ultrasound Scan Of 1 Breast 4 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76815 HCPCS Limited Ultrasound Of Pregnant Uterus 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76857 HCPCS Limited Ultrasound Scan Of Pelvis 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76801 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Single Or First Fetus 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
76870 HCPCS Ultrasound Scan Of Scrotum 2 2 $569.00 $455.20 20% off $469.43 $569.00 $519.22 2026-03-16
64450 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch 4 2 $852.12 $681.70 $338.56 $1,136.00 $518.53 2026-03-16
92960 HCPCS External Shock To Heart To Regulate Heart Beat 2 2 $554.00 $443.20 20% off $457.05 $554.00 $505.52 2026-03-16
26770 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation 4 2 $675.00 $540.00 20% off $338.56 $800.00 $501.88 2026-03-16
62270 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test 4 2 $549.50 $439.60 $449.63 $554.00 $501.02 2026-03-16
11104 HCPCS Punch Biopsy, First Skin Growth 4 2 $459.50 $367.60 $115.00 $804.00 $500.93 2026-03-16
29085 HCPCS Application Of Hand And Lower Forearm Cast 2 2 $544.00 $435.20 20% off $448.80 $544.00 $496.40 2026-03-16
29075 HCPCS Application Of Elbow To Finger Cast 2 2 $544.00 $435.20 20% off $448.80 $544.00 $496.40 2026-03-16
26750 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb 2 2 $544.00 $435.20 20% off $448.80 $544.00 $496.40 2026-03-16
11400 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 0.5 Cm Or Less 4 2 $480.00 $384.00 20% off $170.00 $790.00 $495.15 2026-03-16
72050 HCPCS X-ray Of Upper Spine, 4-5 Views 2 2 $523.00 $418.40 20% off $431.48 $523.00 $477.24 2026-03-16
71110 HCPCS X-ray Of Ribs On Both Sides Of Body, 3 Views 2 2 $523.00 $418.40 20% off $431.48 $523.00 $477.24 2026-03-16
72110 HCPCS X-ray Of Lower And Sacral Spine, Minimum Of 4 Views 2 2 $523.00 $418.40 20% off $431.48 $523.00 $477.24 2026-03-16
72074 HCPCS X-ray Of Middle Spine, Minimum Of 4 Views 2 2 $523.00 $418.40 20% off $431.48 $523.00 $477.24 2026-03-16
12031 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm O… 4 2 $532.50 $426.00 20% off $338.56 $700.00 $471.25 2026-03-16
29065 HCPCS Application Of Shoulder To Hand Cast 2 2 $515.00 $412.00 20% off $424.88 $515.00 $469.94 2026-03-16
69000 HCPCS Simple Drainage Of Abscess Or Blood Accumulation Of External Ear 2 2 $515.00 $412.00 20% off $424.88 $515.00 $469.94 2026-03-16
36430 HCPCS Transfusion Of Blood Or Blood Products 8 2 $527.00 $421.60 $72.05 $682.00 $469.07 2026-03-16
36468 HCPCS Injection Of Chemical Agent Into Spider Vein Of Arm, Leg, Or Trunk 2 2 $507.00 $405.60 $418.28 $507.00 $462.64 2026-03-16
74022 HCPCS X-ray Series Of Abdomen With Single X-ray Of Chest 2 2 $506.00 $404.80 20% off $417.45 $506.00 $461.73 2026-03-16
65222 HCPCS Removal Of Foreign Body In Cornea Using Slit Lamp 4 2 $506.50 $405.20 $338.56 $557.00 $457.76 2026-03-16
10060 HCPCS Simple Or Single Drainage Of Skin Abscess 6 2 $500.00 $400.00 20% off $210.00 $997.00 $456.25 2026-03-16
90677 HCPCS Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use 2 2 $500.00 $400.00 20% off $412.50 $500.00 $456.25 2026-03-16
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 4 2 $570.00 $456.00 20% off $338.56 $640.00 $456.25 2026-03-16
12051 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 C… 2 2 $500.00 $400.00 20% off $412.50 $500.00 $456.25 2026-03-16
65220 HCPCS Removal Of Foreign Body In Cornea 4 2 $469.00 $375.20 $258.00 $680.00 $449.78 2026-03-16
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