Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

GREENWOOD COUNTY HOSPITAL

Eureka, KS · CCN 171339 · Rates published

1,138 distinct procedures filed
16 distinct payers
30,702 rate rows
2026-03-03 last MRF observed
Data quality

30,532 of 30,702 rate rows are consumer-grade (99.4%)

170 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 133
per-diem day rate — not a per-procedure price 26
exceeds 10× this hospital's gross charge — excluded from medians 9
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbGCHEUREKAKS&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Greenwood_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-04
Content fingerprint f3eef2e4ef55225c… · 14,403,464 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 16 $153.82 $17,922.08 $14,248.06 nat. median
$3,824
outlier · 3.7×
Q4282
HCPCS 		Cygnus Dual, Per Square Centimeter 14 $1,700.03 $28,929.00 $9,801.48 nat. median
$638
outlier · 15.4×
J0139
HCPCS 		Injection, Adalimumab, 1 Mg 14 $3,262.22 $9,137.86 $7,721.49 nat. median
$3,555
outlier · 2.2×
64625
HCPCS 		Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 14 $3,177.30 $13,350.00 $7,565.00 nat. median
$2,481
outlier · 3.0×
64530
HCPCS 		Injection Of Anesthetic Agent Into Abdominal Sympathetic Nerve Bundle 16 $291.65 $12,094.50 $6,813.24 nat. median
$1,176
outlier · 5.8×
15275
HCPCS 		Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 16 $36.10 $10,648.50 $5,998.65 nat. median
$1,712
outlier · 3.5×
J0840
HCPCS 		Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 16 $2,466.04 $6,907.68 $5,491.60 nat. median
$3,445
1.6× median
6489059_1
CDM 		Q4197 Puraply Micronized 1000mg Finished Product 12 $2,436.24 $6,482.99 $5,425.24 nat. median
$5,425
1.0× median
64635
HCPCS 		Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 14 $2,014.91 $12,699.00 $5,220.70 nat. median
$2,392
outlier · 2.2×
26785
HCPCS 		Treatment Of Dislocated Finger Joint 16 $2,170.20 $9,118.50 $5,136.75 nat. median
$3,462
1.5× median
64490
HCPCS 		Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 16 $424.65 $12,562.50 $4,745.55 nat. median
$1,287
outlier · 3.7×
64451
HCPCS 		Injection Of Anesthetic Agent And/or Steroid Into Spine And Pelvis Nerve Using I… 14 $1,949.22 $8,190.00 $4,641.00 nat. median
$1,029
outlier · 4.5×
62321
HCPCS 		Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 16 $904.40 $8,203.50 $4,621.31 nat. median
$1,077
outlier · 4.3×
15276
HCPCS 		Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 16 $36.10 $7,800.00 $4,394.00 nat. median
$370
outlier · 11.9×
15274
HCPCS 		Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each… 16 $36.10 $7,800.00 $4,394.00 nat. median
$799
outlier · 5.5×
64420
HCPCS 		Injection Of Anesthetic Agent And/or Steroid Into Rib Nerve 16 $291.65 $11,766.00 $4,240.65 nat. median
$908
outlier · 4.7×
64520
HCPCS 		Injection Of Anesthetic Agent Into Middle Or Lower Spine Sympathetic Nerve 16 $445.55 $11,077.50 $4,184.55 nat. median
$1,220
outlier · 3.4×
64624
HCPCS 		Destruction Of Nerve Branches Of Knee Using Imaging Guidance 14 $1,601.15 $10,092.00 $4,148.62 nat. median
$2,301
1.8× median
64620
HCPCS 		Injection Of Agent To Destroy Rib Nerve 14 $1,727.17 $7,257.00 $4,112.30 nat. median
$1,164
outlier · 3.5×
64517
HCPCS 		Injection Of Anesthetic Agent Into Sacral Nerve Bundle 14 $1,727.17 $7,257.00 $4,112.30 nat. median
$1,284
outlier · 3.2×
64510
HCPCS 		Injection Of Anesthetic Agent Into Sympathetic Nerve Bundle 16 $672.60 $7,257.00 $4,088.11 nat. median
$1,209
outlier · 3.4×
62273
HCPCS 		Injection Of Blood Or Blood Clot Into Spinal Canal 14 $1,673.62 $7,032.00 $3,984.80 nat. median
$1,018
outlier · 3.9×
27096
HCPCS 		Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U… 16 $635.55 $10,501.50 $3,966.95 nat. median
$873
outlier · 4.5×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 16 $23.34 $4,951.14 $3,936.16 nat. median
$1,973
2.0× median
64493
HCPCS 		Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 16 $548.15 $10,110.00 $3,819.05 nat. median
$1,285
outlier · 3.0×
64454
HCPCS 		Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 14 $1,450.49 $9,142.50 $3,758.27 nat. median
$993
outlier · 3.8×
62323
HCPCS 		Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 16 $904.40 $6,564.00 $3,697.72 nat. median
$1,120
outlier · 3.3×
64633
HCPCS 		Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 14 $1,533.67 $8,592.00 $3,651.60 nat. median
$2,324
1.6× median
Q5136
HCPCS 		Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg 14 $1,511.86 $4,234.91 $3,578.49 nat. median
$2,424
1.5× median
Q4197
HCPCS 		Puraply Xt, Per Square Centimeter 14 $1,445.14 $6,072.00 $3,542.00 nat. median
$210
outlier · 16.9×
64483
HCPCS 		Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 16 $545.30 $9,108.00 $3,440.80 nat. median
$1,302
outlier · 2.6×
64632
HCPCS 		Destruction Of Foot Nerve 14 $1,439.42 $6,048.00 $3,427.20 nat. median
$346
outlier · 9.9×
64640
HCPCS 		Destruction Of Peripheral Nerve Or Branch 14 $1,439.42 $6,048.00 $3,427.20 nat. median
$1,194
outlier · 2.9×
11982
HCPCS 		Removal Of Drug Delivery Implant From Tissue 14 $1,350.53 $5,674.50 $3,215.55 nat. median
$454
outlier · 7.1×
J0875
HCPCS 		Injection, Dalbavancin, 5 Mg 16 $18.27 $3,842.92 $3,055.12 nat. median
$390
outlier · 7.8×
62270
HCPCS 		Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test 16 $407.55 $5,317.50 $2,995.53 nat. median
$822
outlier · 3.6×
25260
HCPCS 		Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist 14 $1,249.50 $5,250.00 $2,975.00 nat. median
$3,452
0.9× median
64405
HCPCS 		Injection Of Anesthetic Agent And/or Steroid Into Upper Neck And Back Of Head Ne… 16 $300.20 $7,875.00 $2,975.00 nat. median
$472
outlier · 6.3×
62329
HCPCS 		Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap Using Imaging Guidance 14 $1,249.50 $5,250.00 $2,975.00 nat. median
$1,047
outlier · 2.8×
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 14 $1,238.85 $3,470.17 $2,932.29 nat. median
$675
outlier · 4.3×
A6262
HCPCS 		Wound Filler, Dry Form, Per Gram, Not Otherwise Specified 14 $1,212.80 $5,095.80 $2,887.62 nat. median
$17
outlier · 171.1×
J0517
HCPCS 		Injection, Benralizumab, 1 Mg 16 $195.96 $3,600.01 $2,862.01 nat. median
$919
outlier · 3.1×
15273
HCPCS 		Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 16 $36.10 $4,950.00 $2,788.50 nat. median
$3,108
0.9× median
Q4159
HCPCS 		Affinity, Per Square Centimeter 14 $1,083.85 $4,822.50 $2,732.57 nat. median
$643
outlier · 4.3×
64479
HCPCS 		Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo… 16 $575.70 $4,785.00 $2,695.55 nat. median
$1,304
outlier · 2.1×
28190
HCPCS 		Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 16 $1,125.98 $4,731.00 $2,665.13 nat. median
$866
outlier · 3.1×
Q4101
HCPCS 		Apligraf, Per Square Centimeter 14 $1,083.85 $4,554.00 $2,656.50 nat. median
$119
outlier · 22.3×
64447
HCPCS 		Injection Of Anesthetic Agent And/or Steroid Into Thigh Nerve (femoral Nerve) 16 $291.65 $4,678.50 $2,635.56 nat. median
$953
outlier · 2.8×
J0129
HCPCS 		Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 16 $65.92 $3,280.20 $2,607.76 nat. median
$903
outlier · 2.9×
27818
HCPCS 		Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation 16 $1,083.14 $4,551.00 $2,563.73 nat. median
$1,672
1.5× median

Other procedures at this hospital

Browse this hospital's 1,138 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3101 HCPCS Injection, Tenecteplase, 1 Mg 16 16 $17,922.08 $14,337.66 20% off $153.82 $17,922.08 $14,248.06 2026-03-03
Q4282 HCPCS Cygnus Dual, Per Square Centimeter 84 14 $15,953.00 $12,762.40 20% off $1,700.03 $28,929.00 $9,801.48 2026-03-03
J0139 HCPCS Injection, Adalimumab, 1 Mg 14 14 $9,137.86 $7,310.29 $3,262.22 $9,137.86 $7,721.49 2026-03-03
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 14 14 $8,900.00 $7,120.00 20% off $3,177.30 $13,350.00 $7,565.00 2026-03-03
64530 HCPCS Injection Of Anesthetic Agent Into Abdominal Sympathetic Nerve Bundle 16 16 $8,063.00 $6,450.40 20% off $291.65 $12,094.50 $6,813.24 2026-03-03
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 16 16 $7,099.00 $5,679.20 20% off $36.10 $10,648.50 $5,998.65 2026-03-03
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 16 16 $6,907.68 $5,526.14 20% off $2,466.04 $6,907.68 $5,491.60 2026-03-03
6489059_1 CDM Q4197 Puraply Micronized 1000mg Finished Product 12 12 $6,824.20 $5,459.36 20% off $2,436.24 $6,482.99 $5,425.24 2026-03-03
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 28 14 $7,055.00 $5,644.00 20% off $2,014.91 $12,699.00 $5,220.70 2026-03-03
26785 HCPCS Treatment Of Dislocated Finger Joint 16 16 $6,079.00 $4,863.20 20% off $2,170.20 $9,118.50 $5,136.75 2026-03-03
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 32 16 $6,979.00 $5,583.20 20% off $424.65 $12,562.50 $4,745.55 2026-03-03
64451 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Spine And Pelvis Nerve Using I… 14 14 $5,460.00 $4,368.00 20% off $1,949.22 $8,190.00 $4,641.00 2026-03-03
62321 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 16 16 $5,469.00 $4,375.20 20% off $904.40 $8,203.50 $4,621.31 2026-03-03
15276 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 16 16 $5,200.00 $4,160.00 20% off $36.10 $7,800.00 $4,394.00 2026-03-03
15274 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each… 16 16 $5,200.00 $4,160.00 20% off $36.10 $7,800.00 $4,394.00 2026-03-03
64420 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Rib Nerve 32 16 $6,416.50 $5,133.20 20% off $291.65 $11,766.00 $4,240.65 2026-03-03
64520 HCPCS Injection Of Anesthetic Agent Into Middle Or Lower Spine Sympathetic Nerve 32 16 $6,154.00 $4,923.20 20% off $445.55 $11,077.50 $4,184.55 2026-03-03
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 28 14 $5,606.50 $4,485.20 20% off $1,601.15 $10,092.00 $4,148.62 2026-03-03
64620 HCPCS Injection Of Agent To Destroy Rib Nerve 14 14 $4,838.00 $3,870.40 20% off $1,727.17 $7,257.00 $4,112.30 2026-03-03
64517 HCPCS Injection Of Anesthetic Agent Into Sacral Nerve Bundle 14 14 $4,838.00 $3,870.40 20% off $1,727.17 $7,257.00 $4,112.30 2026-03-03
64510 HCPCS Injection Of Anesthetic Agent Into Sympathetic Nerve Bundle 16 16 $4,838.00 $3,870.40 20% off $672.60 $7,257.00 $4,088.11 2026-03-03
62273 HCPCS Injection Of Blood Or Blood Clot Into Spinal Canal 14 14 $4,688.00 $3,750.40 20% off $1,673.62 $7,032.00 $3,984.80 2026-03-03
27096 HCPCS Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U… 32 16 $5,834.00 $4,667.20 20% off $635.55 $10,501.50 $3,966.95 2026-03-03
J0897 HCPCS Injection, Denosumab, 1 Mg 16 16 $4,951.14 $3,960.91 20% off $23.34 $4,951.14 $3,936.16 2026-03-03
64493 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 32 16 $5,616.50 $4,493.20 20% off $548.15 $10,110.00 $3,819.05 2026-03-03
64454 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 28 14 $5,079.00 $4,063.20 20% off $1,450.49 $9,142.50 $3,758.27 2026-03-03
62323 HCPCS Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 16 16 $4,376.00 $3,500.80 $904.40 $6,564.00 $3,697.72 2026-03-03
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 42 14 $4,296.00 $3,436.80 $1,533.67 $8,592.00 $3,651.60 2026-03-03
Q5136 HCPCS Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg 14 14 $4,234.91 $3,387.93 $1,511.86 $4,234.91 $3,578.49 2026-03-03
Q4197 HCPCS Puraply Xt, Per Square Centimeter 28 14 $4,557.00 $3,645.60 $1,445.14 $6,072.00 $3,542.00 2026-03-03
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 32 16 $5,060.00 $4,048.00 20% off $545.30 $9,108.00 $3,440.80 2026-03-03
64632 HCPCS Destruction Of Foot Nerve 14 14 $4,032.00 $3,225.60 20% off $1,439.42 $6,048.00 $3,427.20 2026-03-03
64640 HCPCS Destruction Of Peripheral Nerve Or Branch 14 14 $4,032.00 $3,225.60 20% off $1,439.42 $6,048.00 $3,427.20 2026-03-03
11982 HCPCS Removal Of Drug Delivery Implant From Tissue 14 14 $3,783.00 $3,026.40 20% off $1,350.53 $5,674.50 $3,215.55 2026-03-03
J0875 HCPCS Injection, Dalbavancin, 5 Mg 16 16 $3,842.92 $3,074.34 $18.27 $3,842.92 $3,055.12 2026-03-03
62270 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test 16 16 $3,545.00 $2,836.00 20% off $407.55 $5,317.50 $2,995.53 2026-03-03
25260 HCPCS Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist 14 14 $3,500.00 $2,800.00 20% off $1,249.50 $5,250.00 $2,975.00 2026-03-03
64405 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Upper Neck And Back Of Head Ne… 32 16 $4,375.00 $3,500.00 20% off $300.20 $7,875.00 $2,975.00 2026-03-03
62329 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap Using Imaging Guidance 14 14 $3,500.00 $2,800.00 20% off $1,249.50 $5,250.00 $2,975.00 2026-03-03
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 14 14 $3,470.17 $2,776.14 $1,238.85 $3,470.17 $2,932.29 2026-03-03
A6262 HCPCS Wound Filler, Dry Form, Per Gram, Not Otherwise Specified 14 14 $3,397.20 $2,717.76 $1,212.80 $5,095.80 $2,887.62 2026-03-03
J0517 HCPCS Injection, Benralizumab, 1 Mg 16 16 $3,600.01 $2,880.01 $195.96 $3,600.01 $2,862.01 2026-03-03
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 16 16 $3,300.00 $2,640.00 20% off $36.10 $4,950.00 $2,788.50 2026-03-03
Q4159 HCPCS Affinity, Per Square Centimeter 42 14 $3,215.00 $2,572.00 20% off $1,083.85 $4,822.50 $2,732.57 2026-03-03
64479 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo… 16 16 $3,190.00 $2,552.00 20% off $575.70 $4,785.00 $2,695.55 2026-03-03
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 16 16 $3,154.00 $2,523.20 20% off $1,125.98 $4,731.00 $2,665.13 2026-03-03
Q4101 HCPCS Apligraf, Per Square Centimeter 28 14 $3,447.55 $2,758.04 20% off $1,083.85 $4,554.00 $2,656.50 2026-03-03
64447 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Thigh Nerve (femoral Nerve) 16 16 $3,119.00 $2,495.20 20% off $291.65 $4,678.50 $2,635.56 2026-03-03
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 16 16 $3,280.20 $2,624.16 20% off $65.92 $3,280.20 $2,607.76 2026-03-03
27818 HCPCS Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation 16 16 $3,034.00 $2,427.20 20% off $1,083.14 $4,551.00 $2,563.73 2026-03-03
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 16 16 $3,083.04 $2,466.43 20% off $65.10 $3,083.04 $2,451.02 2026-03-03
73220 HCPCS MRI Scan Of Arm Before And After Contrast 60 16 $2,894.50 $2,315.60 $494.95 $4,824.00 $2,251.38 2026-03-03
64430 HCPCS Injection Of Anesthetic Agent And/or Steroid Into External Genitals And Anus Ner… 32 16 $3,282.50 $2,626.00 20% off $937.48 $5,908.50 $2,232.10 2026-03-03
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 16 16 $2,772.00 $2,217.60 20% off $7.49 $2,772.00 $2,203.74 2026-03-03
64615 HCPCS Injection Of Chemical For Paralysis Of Facial And Neck Nerve Muscles On Both Sid… 16 16 $2,590.00 $2,072.00 20% off $276.18 $3,885.00 $2,188.55 2026-03-03
73720 HCPCS MRI Scan Of Leg Before And After Contrast 32 16 $2,573.00 $2,058.40 $494.95 $3,859.50 $2,174.19 2026-03-03
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 32 16 $2,573.00 $2,058.40 $494.95 $3,859.50 $2,174.19 2026-03-03
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 16 16 $2,500.00 $2,000.00 20% off $36.10 $3,750.00 $2,112.50 2026-03-03
64425 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Lower Abdomen And Groin Nerve 32 16 $3,062.50 $2,450.00 20% off $291.65 $5,512.50 $2,082.50 2026-03-03
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 16 16 $2,452.00 $1,961.60 20% off $875.36 $3,678.00 $2,071.94 2026-03-03
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 16 16 $2,402.00 $1,921.60 20% off $857.51 $3,603.00 $2,029.69 2026-03-03
64445 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Lower Back And Leg Nerve (scia… 32 16 $2,970.00 $2,376.00 20% off $291.65 $5,346.00 $2,019.60 2026-03-03
64421 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Multiple Rib Nerves For Region… 16 16 $2,363.00 $1,890.40 $712.50 $3,544.50 $1,996.74 2026-03-03
10061 HCPCS Complicated Or Multiple Drainage Of Skin Abscess 16 16 $2,351.00 $1,880.80 20% off $839.31 $3,526.50 $1,986.59 2026-03-03
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 60 16 $2,549.50 $2,039.60 20% off $494.95 $3,859.50 $1,975.38 2026-03-03
64461 HCPCS Injection Of Anesthetic Agent Into Thoracic Vertebra Using Imaging Guidance, Sin… 32 16 $2,872.50 $2,298.00 20% off $424.65 $5,170.50 $1,953.30 2026-03-03
27530 HCPCS Closed Treatment Of Broken Shin Bone 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
28470 HCPCS Closed Treatment Of Broken Bone In Forefoot Or Midfoot 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
25565 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
27510 HCPCS Closed Treatment Of Broken Thigh Bone At Knee Area With Manipulation 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
28490 HCPCS Closed Treatment Of Broken Great Toe 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
27750 HCPCS Closed Treatment Of Broken Middle Part Of Shin Bone 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
25535 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side With Man… 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
25500 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
25530 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
24530 HCPCS Closed Treatment Of Upper Arm Bone Broken At Elbow 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
23600 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
27824 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
27760 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
25600 HCPCS Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb … 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
24500 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
27808 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
27786 HCPCS Closed Treatment Of Broken Outside Lower Leg Bone At Ankle 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
25560 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones 16 16 $2,303.00 $1,842.40 $822.17 $3,454.50 $1,946.03 2026-03-03
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 16 16 $2,271.00 $1,816.80 20% off $810.75 $3,406.50 $1,918.99 2026-03-03
64505 HCPCS Injection Of Anesthetic Agent, Trigeminal Nerve Bundle 32 16 $2,625.00 $2,100.00 20% off $749.70 $4,725.00 $1,785.00 2026-03-03
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 16 16 $2,109.00 $1,687.20 20% off $752.91 $3,163.50 $1,782.11 2026-03-03
64449 HCPCS Injection By Continuous Infusion Of Anesthetic Agent Into Lower Back Nerve Bundl… 14 14 $2,079.00 $1,663.20 20% off $742.20 $3,118.50 $1,767.15 2026-03-03
12032 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 … 16 16 $2,081.00 $1,664.80 20% off $742.92 $3,121.50 $1,758.44 2026-03-03
Q4160 HCPCS Nushield, Per Square Centimeter 112 14 $2,606.00 $2,084.80 $242.40 $6,250.50 $1,750.14 2026-03-03
70336 HCPCS MRI Scan Of Jaw Joint 16 16 $2,071.00 $1,656.80 20% off $494.95 $3,106.50 $1,749.99 2026-03-03
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 16 16 $2,058.00 $1,646.40 $494.95 $3,087.00 $1,739.01 2026-03-03
73219 HCPCS MRI Scan Of Arm With Contrast 46 16 $2,254.00 $1,803.20 20% off $494.95 $3,381.00 $1,690.50 2026-03-03
28192 HCPCS Removal Of Foreign Body Of Foot Tissue, Deep 16 16 $1,973.00 $1,578.40 $704.36 $2,959.50 $1,667.18 2026-03-03
70553 HCPCS MRI Scan Of Brain Before And After Contrast 16 16 $1,963.00 $1,570.40 $494.95 $2,944.50 $1,658.74 2026-03-03
75630 HCPCS Review By Radiologist Of Abdominal Aorta And Both Leg Arteries Image 14 14 $1,950.00 $1,560.00 20% off $696.15 $2,925.00 $1,657.50 2026-03-03
64455 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Foot Nerve 16 16 $1,926.00 $1,540.80 20% off $291.65 $2,889.00 $1,627.47 2026-03-03
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 16 16 $1,890.00 $1,512.00 20% off $494.95 $2,835.00 $1,597.05 2026-03-03
J2357 HCPCS Injection, Omalizumab, 5 Mg 30 16 $1,869.28 $1,495.42 20% off $45.30 $3,738.56 $1,588.89 2026-03-03
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 16 16 $1,880.00 $1,504.00 20% off $494.95 $2,820.00 $1,588.60 2026-03-03
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 32 16 $1,879.00 $1,503.20 20% off $36.10 $2,818.50 $1,587.76 2026-03-03
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 60 16 $2,087.50 $1,670.00 20% off $508.37 $3,231.00 $1,565.62 2026-03-03
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 16 16 $1,845.00 $1,476.00 20% off $494.95 $2,767.50 $1,559.03 2026-03-03
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 16 16 $1,955.56 $1,564.45 $1.30 $1,955.56 $1,554.67 2026-03-03
73719 HCPCS MRI Scan Of Leg With Contrast 48 16 $1,803.00 $1,442.40 $494.95 $2,704.50 $1,523.53 2026-03-03
26725 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With … 16 16 $1,801.00 $1,440.80 20% off $642.96 $2,701.50 $1,521.84 2026-03-03
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 16 16 $1,788.00 $1,430.40 $494.95 $2,682.00 $1,510.86 2026-03-03
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 16 16 $1,753.00 $1,402.40 $494.95 $2,629.50 $1,481.28 2026-03-03
64415 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Arm Nerve Bundle (brachial Ple… 16 16 $1,750.00 $1,400.00 20% off $291.65 $2,625.00 $1,478.75 2026-03-03
64417 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Upper Arm And Shoulder Nerve (… 16 16 $1,750.00 $1,400.00 20% off $291.65 $2,625.00 $1,478.75 2026-03-03
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 16 16 $1,729.00 $1,383.20 20% off $494.95 $2,593.50 $1,461.01 2026-03-03
72159 HCPCS MRI Scan Of Blood Vessels Of Spinal Canal 16 16 $1,711.00 $1,368.80 20% off $595.65 $2,566.50 $1,445.80 2026-03-03
28635 HCPCS Closed Treatment Of Dislocated Joint Between Toe And Foot Under Anesthesia 16 16 $1,706.00 $1,364.80 20% off $609.04 $2,559.00 $1,441.57 2026-03-03
10120 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Simple 16 16 $1,703.00 $1,362.40 $607.97 $2,554.50 $1,439.03 2026-03-03
12031 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm O… 16 16 $1,650.00 $1,320.00 20% off $589.05 $2,475.00 $1,394.25 2026-03-03
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 16 16 $1,649.00 $1,319.20 20% off $430.35 $2,473.50 $1,393.41 2026-03-03
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 60 16 $1,880.50 $1,504.40 $476.60 $3,138.00 $1,368.48 2026-03-03
62272 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap 22 16 $3,186.00 $2,548.80 $75.35 $4,779.00 $1,338.12 2026-03-03
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 16 16 $1,573.00 $1,258.40 $494.95 $2,359.50 $1,329.18 2026-03-03
10080 HCPCS Simple Drainage Of Cyst Of Tailbone 16 16 $1,556.00 $1,244.80 20% off $555.49 $2,334.00 $1,314.82 2026-03-03
64480 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo… 16 16 $1,545.00 $1,236.00 20% off $424.65 $2,317.50 $1,305.53 2026-03-03
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 16 16 $1,538.00 $1,230.40 $430.35 $2,307.00 $1,299.61 2026-03-03
64484 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 48 16 $1,518.00 $1,214.40 $541.93 $3,036.00 $1,290.30 2026-03-03
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 16 16 $1,507.00 $1,205.60 20% off $430.35 $2,260.50 $1,273.41 2026-03-03
10160 HCPCS Aspiration Of Abscess, Blood, Or Cyst 16 16 $1,500.00 $1,200.00 20% off $535.50 $2,250.00 $1,267.50 2026-03-03
13132 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 16 16 $1,500.00 $1,200.00 20% off $535.50 $2,250.00 $1,267.50 2026-03-03
71550 HCPCS MRI Scan Of Chest Without Contrast 16 16 $1,498.00 $1,198.40 $494.95 $2,247.00 $1,265.81 2026-03-03
5404236_1 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,400.00 $1,120.00 20% off $1,050.00 $1,400.00 $1,260.00 2026-03-03
2120840_1 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,400.00 $1,120.00 20% off $1,050.00 $1,400.00 $1,260.00 2026-03-03
30300 HCPCS Removal Of Foreign Body In Nose 16 16 $1,486.00 $1,188.80 20% off $530.50 $2,229.00 $1,255.67 2026-03-03
72196 HCPCS MRI Scan Of Pelvis With Contrast 16 16 $1,473.00 $1,178.40 $494.95 $2,209.50 $1,244.68 2026-03-03
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 16 16 $1,435.00 $1,148.00 20% off $512.30 $2,152.50 $1,212.58 2026-03-03
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 16 16 $1,434.00 $1,147.20 $511.94 $2,151.00 $1,211.73 2026-03-03
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 16 16 $1,432.00 $1,145.60 20% off $511.22 $2,148.00 $1,210.04 2026-03-03
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 16 16 $1,431.00 $1,144.80 20% off $494.95 $2,146.50 $1,209.19 2026-03-03
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 16 16 $1,422.00 $1,137.60 20% off $507.65 $2,133.00 $1,201.59 2026-03-03
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 16 16 $1,416.00 $1,132.80 20% off $505.51 $2,124.00 $1,196.52 2026-03-03
73222 HCPCS MRI Scan Of Arm Joint With Contrast 62 16 $1,566.00 $1,252.80 20% off $447.32 $2,349.00 $1,182.42 2026-03-03
12052 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5… 16 16 $1,396.00 $1,116.80 20% off $498.37 $2,094.00 $1,179.62 2026-03-03
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 16 16 $1,390.00 $1,112.00 20% off $494.95 $2,085.00 $1,174.55 2026-03-03
4441941_1 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,300.00 $1,040.00 20% off $975.00 $1,300.00 $1,170.00 2026-03-03
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 60 16 $1,718.00 $1,374.40 $476.24 $3,153.00 $1,167.25 2026-03-03
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 16 16 $1,350.00 $1,080.00 20% off $481.95 $2,025.00 $1,140.75 2026-03-03
73218 HCPCS MRI Scan Of Arm Without Contrast 60 16 $1,997.00 $1,597.60 20% off $389.84 $3,943.50 $1,125.39 2026-03-03
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 16 16 $1,323.00 $1,058.40 $472.31 $1,984.50 $1,117.93 2026-03-03
Q5121 HCPCS Injection, Infliximab-axxq, Biosimilar, (avsola), 10 Mg 14 14 $1,320.00 $1,056.00 20% off $471.24 $1,320.00 $1,115.40 2026-03-03
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 16 16 $1,310.00 $1,048.00 20% off $467.67 $1,965.00 $1,106.95 2026-03-03
70460 HCPCS CT Scan Head Or Brain With Contrast 16 16 $1,303.00 $1,042.40 $430.35 $1,954.50 $1,101.03 2026-03-03
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 16 16 $1,300.00 $1,040.00 20% off $430.35 $1,950.00 $1,098.50 2026-03-03
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 16 16 $1,300.00 $1,040.00 20% off $430.35 $1,950.00 $1,098.50 2026-03-03
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 16 16 $1,300.00 $1,040.00 20% off $430.35 $1,950.00 $1,098.50 2026-03-03
64462 HCPCS Injection Of Anesthetic Agent Into Thoracic Vertebra Using Imaging Guidance, Add… 32 16 $1,607.50 $1,286.00 20% off $424.65 $2,893.50 $1,093.10 2026-03-03
70551 HCPCS MRI Scan Of Brain Without Contrast 16 16 $1,283.00 $1,026.40 $458.03 $1,924.50 $1,084.13 2026-03-03
27560 HCPCS Closed Treatment Of Dislocated Kneecap 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
26740 HCPCS Closed Treatment Of Broken Finger Or Hand At Base Of Finger 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
26720 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
26700 HCPCS Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manipulation 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
26605 HCPCS Closed Treatment Of Broken Hand Bone With Manipulation 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
27265 HCPCS Closed Treatment Of Dislocated Hip Prosthesis 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
24650 HCPCS Closed Treatment Of Broken Forearm Bone On Thumb Side At Elbow 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
24640 HCPCS Closed Treatment Of Dislocated Forearm Bone On Thumb Side At Elbow With Manipula… 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
24600 HCPCS Repair Of Dislocated Elbow 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 16 16 $1,281.00 $1,024.80 20% off $36.10 $1,921.50 $1,082.44 2026-03-03
23545 HCPCS Closed Treatment Of Dislocated Joint Between Collar Bone And Shoulder With Manip… 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
26770 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
28630 HCPCS Closed Treatment Of Dislocated Joint Between Toe And Foot 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
27840 HCPCS Closed Treatment Of Dislocated Ankle 16 16 $1,281.00 $1,024.80 20% off $457.32 $1,921.50 $1,082.44 2026-03-03
99291 HCPCS Critical Care, First 30-74 Minutes 16 16 $1,265.00 $1,012.00 20% off $451.61 $1,897.50 $1,068.92 2026-03-03
6488368_1 CDM Kedrab 300 Unit/2 Ml Vial 12 12 $1,342.12 $1,073.70 $479.14 $1,275.01 $1,066.99 2026-03-03
72195 HCPCS MRI Scan Of Pelvis Without Contrast 16 16 $1,260.00 $1,008.00 20% off $449.82 $1,890.00 $1,064.70 2026-03-03
10060 HCPCS Simple Or Single Drainage Of Skin Abscess 32 16 $1,255.50 $1,004.40 20% off $36.10 $1,884.00 $1,060.89 2026-03-03
74182 HCPCS MRI Scan Of Abdomen With Contrast 16 16 $1,255.00 $1,004.00 20% off $448.04 $1,882.50 $1,060.47 2026-03-03
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 30 16 $1,882.00 $1,505.60 20% off $428.40 $2,823.00 $1,050.00 2026-03-03
71270 HCPCS CT Scan Of Chest Before And After Contrast 16 16 $1,240.00 $992.00 20% off $430.35 $1,860.00 $1,047.80 2026-03-03
64418 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Suprascapular Shoulder Nerve 32 16 $1,531.50 $1,225.20 20% off $291.65 $2,757.00 $1,041.25 2026-03-03
97608 HCPCS Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq… 16 16 $1,220.00 $976.00 20% off $36.10 $1,830.00 $1,030.90 2026-03-03
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 16 16 $1,217.00 $973.60 20% off $430.35 $1,825.50 $1,028.37 2026-03-03
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 16 16 $1,216.00 $972.80 20% off $434.11 $1,824.00 $1,027.52 2026-03-03
78070 HCPCS Nuclear Medicine Study Of Parathyroid 14 14 $1,200.00 $960.00 20% off $428.40 $1,800.00 $1,020.00 2026-03-03
93799 HCPCS Other Cardiovascular Service Or Procedure 14 14 $1,200.00 $960.00 20% off $428.40 $1,800.00 $1,020.00 2026-03-03
78320 HCPCS Bone And/or Joint Imaging; Tomographic (spect) 14 14 $1,200.00 $960.00 20% off $428.40 $1,800.00 $1,020.00 2026-03-03
28660 HCPCS Closed Treatment Of Dislocated Joint In Toe 16 16 $1,200.00 $960.00 20% off $428.40 $1,800.00 $1,014.00 2026-03-03
28540 HCPCS Closed Treatment Of Dislocated Ankle Joint Bone 16 16 $1,200.00 $960.00 20% off $428.40 $1,800.00 $1,014.00 2026-03-03
15272 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, Each Addi… 16 16 $1,200.00 $960.00 20% off $36.10 $1,800.00 $1,014.00 2026-03-03
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 16 16 $1,195.00 $956.00 20% off $426.62 $1,792.50 $1,009.77 2026-03-03
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 16 16 $1,190.00 $952.00 20% off $424.83 $1,785.00 $1,005.55 2026-03-03
32554 HCPCS Aspiration Of Fluid From Chest Cavity 16 16 $1,175.00 $940.00 20% off $419.48 $1,762.50 $992.88 2026-03-03
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 16 16 $1,172.00 $937.60 20% off $418.40 $1,758.00 $990.34 2026-03-03
70487 HCPCS CT Scan Of Face With Contrast 16 16 $1,172.00 $937.60 20% off $418.40 $1,758.00 $990.34 2026-03-03
4634657_1 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,100.00 $880.00 20% off $825.00 $1,100.00 $990.00 2026-03-03
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 46 16 $1,400.00 $1,120.00 20% off $349.86 $2,100.00 $990.00 2026-03-03
74181 HCPCS MRI Scan Of Abdomen Without Contrast 16 16 $1,170.00 $936.00 20% off $417.69 $1,755.00 $988.65 2026-03-03
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 16 16 $1,169.00 $935.20 $417.33 $1,753.50 $987.81 2026-03-03
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 16 16 $1,165.00 $932.00 20% off $415.91 $1,747.50 $984.42 2026-03-03
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 16 16 $1,165.00 $932.00 20% off $415.91 $1,747.50 $984.42 2026-03-03
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 16 16 $1,162.00 $929.60 20% off $414.83 $1,743.00 $981.89 2026-03-03
87154 HCPCS Amplifed Nucleic Acid Probe Typing Of Disease Agent In Blood Culture Specimen 14 14 $1,150.00 $920.00 20% off $410.55 $2,507.69 $977.50 2026-03-03
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 16 16 $1,154.00 $923.20 $411.98 $1,731.00 $975.13 2026-03-03
12051 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 C… 16 16 $1,132.00 $905.60 20% off $404.12 $1,698.00 $956.54 2026-03-03
12044 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm 16 16 $1,100.00 $880.00 20% off $392.70 $1,650.00 $929.50 2026-03-03
11765 HCPCS Removal Of Skin Of Fingernail Or Toenail 16 16 $1,100.00 $880.00 20% off $36.10 $1,650.00 $929.50 2026-03-03
70488 HCPCS CT Scan Of Face Before And After Contrast 16 16 $1,088.00 $870.40 20% off $388.42 $1,632.00 $919.36 2026-03-03
Q4196 HCPCS Puraply Am, Per Square Centimeter 14 14 $1,072.00 $857.60 20% off $382.70 $1,608.00 $911.20 2026-03-03
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 16 16 $1,071.00 $856.80 20% off $382.35 $1,606.50 $905.00 2026-03-03
73718 HCPCS MRI Scan Of Leg Without Contrast 32 16 $1,182.50 $946.00 20% off $375.21 $1,971.00 $893.35 2026-03-03
72193 HCPCS CT Scan Of Pelvis With Contrast 16 16 $1,043.00 $834.40 20% off $372.35 $1,564.50 $881.34 2026-03-03
73202 HCPCS CT Scan Of Arm Before And After Contrast 60 16 $1,499.50 $1,199.60 20% off $356.29 $2,992.50 $875.80 2026-03-03
73702 HCPCS CT Scan Of Leg Before And After Contrast 32 16 $998.00 $798.40 20% off $356.29 $1,497.00 $843.31 2026-03-03
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 16 16 $993.00 $794.40 20% off $354.50 $1,489.50 $839.09 2026-03-03
71260 HCPCS CT Scan Of Chest With Contrast 16 16 $991.00 $792.80 20% off $353.79 $1,486.50 $837.39 2026-03-03
74160 HCPCS CT Scan Of Abdomen With Contrast 16 16 $983.00 $786.40 20% off $350.93 $1,474.50 $830.63 2026-03-03
64450 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch 22 16 $1,150.00 $920.00 20% off $36.13 $1,725.00 $829.73 2026-03-03
20520 HCPCS Removal Of Foreign Body In Muscle Or Tendon 16 16 $960.00 $768.00 20% off $342.72 $1,440.00 $811.20 2026-03-03
30903 HCPCS Complex Control Of Nose Bleed 16 16 $940.00 $752.00 20% off $335.58 $1,410.00 $794.30 2026-03-03
72126 HCPCS CT Scan Of Upper Spine With Contrast 16 16 $928.00 $742.40 20% off $331.30 $1,392.00 $784.16 2026-03-03
71250 HCPCS CT Scan Of Chest Without Contrast 16 16 $926.00 $740.80 20% off $330.58 $1,389.00 $782.47 2026-03-03
6394819_1 CDM Trauma Response Without Critical Care 14 14 $1,153.00 $922.40 20% off $0.95 $1,095.35 $778.27 2026-03-03
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 16 16 $920.00 $736.00 20% off $328.44 $1,380.00 $777.40 2026-03-03
12004 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 16 16 $915.00 $732.00 20% off $326.66 $1,372.50 $773.17 2026-03-03
72132 HCPCS CT Scan Of Lower Spine With Contrast 16 16 $910.00 $728.00 20% off $324.87 $1,365.00 $768.95 2026-03-03
78709 HCPCS Nuclear Medicine Studies Of Kidney, Blood Flow, And Function 14 14 $900.00 $720.00 20% off $321.30 $1,350.00 $765.00 2026-03-03
73701 HCPCS CT Scan Of Leg With Contrast Material 32 16 $903.00 $722.40 20% off $322.37 $1,354.50 $763.03 2026-03-03
73201 HCPCS CT Scan Of Arm With Contrast 32 16 $903.00 $722.40 20% off $322.37 $1,354.50 $763.03 2026-03-03
15278 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 16 16 $900.00 $720.00 20% off $36.10 $1,350.00 $760.50 2026-03-03
64492 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Third And… 32 16 $944.00 $755.20 $269.54 $1,699.50 $755.00 2026-03-03
72192 HCPCS CT Scan Of Pelvis Without Contrast 16 16 $889.00 $711.20 $317.37 $1,333.50 $751.20 2026-03-03
72125 HCPCS CT Scan Of Upper Spine Without Contrast 16 16 $886.00 $708.80 20% off $316.30 $1,329.00 $748.67 2026-03-03
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 16 16 $886.00 $708.80 20% off $316.30 $1,329.00 $748.67 2026-03-03
64636 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 28 14 $1,009.00 $807.20 $288.10 $1,816.50 $746.47 2026-03-03
28899 HCPCS Other Procedure On Foot Or Toes 14 14 $875.00 $700.00 20% off $312.38 $1,312.50 $743.75 2026-03-03
72128 HCPCS CT Scan Of Middle Spine Without Contrast 16 16 $878.00 $702.40 20% off $313.45 $1,317.00 $741.91 2026-03-03
72129 HCPCS CT Scan Of Middle Spine With Contrast 16 16 $875.00 $700.00 20% off $312.38 $1,312.50 $739.38 2026-03-03
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 16 16 $875.00 $700.00 20% off $312.38 $1,312.50 $739.38 2026-03-03
J2690 HCPCS Injection, Procainamide Hcl, Up To 1 Gm 16 16 $918.00 $734.40 20% off $85.73 $918.00 $729.81 2026-03-03
74150 HCPCS CT Scan Of Abdomen Without Contrast 16 16 $863.00 $690.40 20% off $308.09 $1,294.50 $729.23 2026-03-03
27250 HCPCS Closed Treatment Of Dislocated Hip 16 16 $857.00 $685.60 20% off $305.95 $1,285.50 $724.16 2026-03-03
26755 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb With Manipulation 16 16 $857.00 $685.60 20% off $305.95 $1,285.50 $724.16 2026-03-03
25630 HCPCS Closed Treatment Of Other Broken Wrist Bone 16 16 $857.00 $685.60 20% off $305.95 $1,285.50 $724.16 2026-03-03
25248 HCPCS Removal Of Deep Foreign Body In Forearm Or Wrist 16 16 $857.00 $685.60 20% off $305.95 $1,285.50 $724.16 2026-03-03
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 16 16 $854.00 $683.20 $304.88 $1,281.00 $721.63 2026-03-03
64491 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Second Le… 32 16 $944.00 $755.20 $269.54 $1,699.50 $720.10 2026-03-03
64495 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Third And… 32 16 $900.00 $720.00 20% off $257.04 $1,620.00 $720.00 2026-03-03
64494 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Second Le… 32 16 $900.00 $720.00 20% off $257.04 $1,620.00 $720.00 2026-03-03
70450 HCPCS CT Scan Head Or Brain Without Contrast 16 16 $848.00 $678.40 20% off $302.74 $1,272.00 $716.56 2026-03-03
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 14 14 $843.00 $674.40 20% off $300.95 $1,264.50 $716.55 2026-03-03
J0714 HCPCS Injection, Ceftazidime And Avibactam, 0.5 G/0.125 G 16 16 $897.19 $717.75 20% off $121.69 $897.19 $713.26 2026-03-03
72131 HCPCS CT Scan Of Lower Spine Without Contrast 16 16 $843.00 $674.40 20% off $300.95 $1,264.50 $712.34 2026-03-03
6463910_1 CDM Rabavert Rabies Vacc W-diluent 12 12 $894.04 $715.23 20% off $319.17 $849.34 $710.76 2026-03-03
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 16 16 $840.00 $672.00 20% off $299.88 $1,260.00 $709.80 2026-03-03
70486 HCPCS CT Scan Of Face Without Contrast 16 16 $823.00 $658.40 20% off $293.81 $1,234.50 $695.43 2026-03-03
11750 HCPCS Permanent Removal Fingernail Or Toenail 16 16 $817.00 $653.60 20% off $36.10 $1,225.50 $690.37 2026-03-03
20611 HCPCS Aspiration And/or Injection Of Fluid Large Joint Using Ultrasound Guidance 32 16 $1,100.00 $880.00 20% off $36.10 $2,100.00 $680.00 2026-03-03
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 16 16 $800.00 $640.00 20% off $285.60 $1,200.00 $680.00 2026-03-03
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 16 16 $800.00 $640.00 20% off $285.60 $1,200.00 $680.00 2026-03-03
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 14 14 $800.00 $640.00 20% off $285.60 $1,200.00 $680.00 2026-03-03
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 16 16 $795.00 $636.00 20% off $283.82 $1,192.50 $671.77 2026-03-03
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 16 16 $785.00 $628.00 20% off $280.25 $1,177.50 $663.33 2026-03-03
73700 HCPCS CT Scan Of Leg Without Contrast 60 16 $804.50 $643.60 20% off $278.10 $1,245.00 $662.15 2026-03-03
73200 HCPCS CT Scan Of Arm Without Contrast 32 16 $779.00 $623.20 $278.10 $1,168.50 $658.25 2026-03-03
30901 HCPCS Simple Control Of Nose Bleed 16 16 $774.00 $619.20 $276.32 $1,161.00 $654.03 2026-03-03
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 16 16 $760.00 $608.00 20% off $253.46 $1,140.00 $642.20 2026-03-03
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 16 16 $755.00 $604.00 20% off $269.54 $1,132.50 $637.98 2026-03-03
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 16 16 $750.00 $600.00 20% off $267.75 $1,125.00 $637.50 2026-03-03
12014 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1… 16 16 $753.00 $602.40 20% off $268.82 $1,129.50 $636.28 2026-03-03
12013 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6… 16 16 $753.00 $602.40 20% off $268.82 $1,129.50 $636.28 2026-03-03
12011 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5… 16 16 $753.00 $602.40 20% off $268.82 $1,129.50 $636.28 2026-03-03
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 16 16 $750.00 $600.00 20% off $267.75 $1,125.00 $633.75 2026-03-03
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 16 16 $742.00 $593.60 $264.89 $1,113.00 $626.99 2026-03-03
69210 HCPCS Removal Of Impacted Ear Wax 16 16 $724.00 $579.20 $258.47 $1,086.00 $611.78 2026-03-03
12002 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 16 16 $724.00 $579.20 $258.47 $1,086.00 $611.78 2026-03-03
6489058_1 CDM Q4197 Puraply Micronized 100mg Finished Product 12 12 $754.60 $603.68 20% off $269.39 $716.87 $599.90 2026-03-03
78707 HCPCS Nuclear Medicine Study Of Kidney, Blood Flow, And Function 14 14 $700.00 $560.00 20% off $249.90 $1,050.00 $595.00 2026-03-03
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 14 14 $700.00 $560.00 20% off $249.90 $1,050.00 $595.00 2026-03-03
A9540 HCPCS Technetium Tc-99m Macroaggregated Albumin, Diagnostic, Per Study Dose, Up To 10 … 16 16 $703.62 $562.90 $206.66 $1,055.43 $594.56 2026-03-03
78014 HCPCS Nuclear Medicine Study Of Thyroid And Thyroid Function 16 16 $700.00 $560.00 20% off $249.90 $1,050.00 $591.50 2026-03-03
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 16 16 $700.00 $560.00 20% off $249.90 $1,050.00 $591.50 2026-03-03
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 16 16 $690.00 $552.00 20% off $246.33 $1,035.00 $583.05 2026-03-03
26750 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb 16 16 $684.00 $547.20 $244.19 $1,026.00 $577.98 2026-03-03
26600 HCPCS Closed Treatment Of Broken Hand Bone 16 16 $684.00 $547.20 $244.19 $1,026.00 $577.98 2026-03-03
29085 HCPCS Application Of Hand And Lower Forearm Cast 16 16 $684.00 $547.20 $244.19 $1,026.00 $577.98 2026-03-03
29075 HCPCS Application Of Elbow To Finger Cast 16 16 $684.00 $547.20 $244.19 $1,026.00 $577.98 2026-03-03
29065 HCPCS Application Of Shoulder To Hand Cast 16 16 $684.00 $547.20 $244.19 $1,026.00 $577.98 2026-03-03
28510 HCPCS Closed Treatment Of Broken Toe 16 16 $684.00 $547.20 $244.19 $1,026.00 $577.98 2026-03-03
28515 HCPCS Closed Treatment Of Broken Toe With Manipulation 16 16 $684.00 $547.20 $244.19 $1,026.00 $577.98 2026-03-03
J0561 HCPCS Injection, Penicillin G Benzathine, 100,000 Units 16 16 $724.65 $579.72 $19.84 $724.65 $576.10 2026-03-03
64400 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Face Nerve 32 16 $4,036.50 $3,229.20 $204.56 $11,250.00 $573.00 2026-03-03
20610 HCPCS Aspiration And/or Injection Of Fluid From Large Joint 46 16 $660.00 $528.00 20% off $36.10 $2,250.00 $561.00 2026-03-03
78305 HCPCS Nuclear Medicine Study Of Bone And/or Joint Multiple Areas 14 14 $650.00 $520.00 20% off $232.05 $975.00 $552.50 2026-03-03
20604 HCPCS Aspiration And/or Injection Of Fluid From Small Joint Using Ultrasound Guidance 64 16 $647.50 $518.00 20% off $36.10 $1,290.00 $548.25 2026-03-03
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 16 16 $625.00 $500.00 20% off $223.13 $2,604.88 $546.88 2026-03-03
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 14 14 $640.00 $512.00 20% off $228.48 $960.00 $544.00 2026-03-03
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 16 16 $635.00 $508.00 20% off $226.70 $1,517.00 $539.75 2026-03-03
78300 HCPCS Nuclear Medicine Study Of Bone And/or Joint Limited Area 16 16 $620.00 $496.00 20% off $221.34 $930.00 $523.90 2026-03-03
6464123_1 CDM Santyl Ointment 12 12 $653.08 $522.46 20% off $233.15 $620.43 $519.20 2026-03-03
32551 HCPCS Removal Of Fluid From Between Lung And Chest Cavity 14 14 $607.00 $485.60 $216.70 $910.50 $515.95 2026-03-03
12001 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 16 16 $606.00 $484.80 20% off $216.34 $909.00 $512.07 2026-03-03
78013 HCPCS Nuclear Medicine Study Of Thyroid 16 16 $600.00 $480.00 20% off $214.20 $900.00 $507.00 2026-03-03
L3806 HCPCS Wrist Hand Finger Orthosis, Includes One Or More Nontorsion Joint(s), Turnbuckle… 14 14 $593.00 $474.40 20% off $211.70 $889.50 $504.05 2026-03-03
See an error in this hospital's data? Submit a correction