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

RUSSELL COUNTY HOSPITAL

Russell Springs, KY · CCN 181330 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,453 across 9 payers · range $67-$2,068

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbRCHRUSSELLSPRINGSKY&type=CDMWithoutLabel · observed 2026-03-18

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

9,199 distinct procedures filed
10 distinct payers
85,722 rate rows
2026-03-18 last MRF observed
Data quality

84,651 of 85,722 rate rows are consumer-grade (98.8%)

1,071 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 778
percent-of-charges filed in the dollar field — excluded from medians 225
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 37
per-diem day rate — not a per-procedure price 22
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbRCHRUSSELLSPRINGSKY&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-17
Content fingerprint f85a2431b29162ff… · 25,912,366 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
50002475_1
CDM 		Generator Neurostim Spine 9 $18,936.64 $55,696.00 $39,265.68 nat. median
$39,266
1.0× median
J2507
HCPCS 		Injection, Pegloticase, 1 Mg 9 $14,960.00 $44,000.00 $31,020.00 nat. median
$9,200
outlier · 3.4×
J0638
HCPCS 		Injection, Canakinumab, 1 Mg 9 $11,900.00 $35,000.00 $24,675.00 nat. median
$253
outlier · 97.7×
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 9 $10,243.52 $30,128.00 $21,240.24 nat. median
$414
outlier · 51.3×
J3357
HCPCS 		Ustekinumab, For Subcutaneous Injection, 1 Mg 9 $6,478.70 $38,110.00 $15,244.00 nat. median
$14,697
1.0× median
43210
HCPCS 		Repair Of Muscle At Esophagus And Stomach Using A Flexible Endoscope 9 $6,475.30 $19,045.00 $13,426.73 nat. median
$9,695
1.4× median
J1303
HCPCS 		Injection, Ravulizumab-cwvz, 10 Mg 9 $3,997.38 $43,111.00 $13,207.37 nat. median
$5,631
outlier · 2.3×
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 9 $6,120.00 $18,000.00 $12,690.00 nat. median
$1,767
outlier · 7.2×
J1930
HCPCS 		Injection, Lanreotide, 1 Mg 9 $5,440.00 $16,000.00 $11,280.00 nat. median
$5,088
outlier · 2.2×
55008815_1
CDM 		Cosentyx Unoready 300 Mg Pen 9 $4,760.00 $14,000.00 $9,870.00 nat. median
$9,870
1.0× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 9 $4,522.00 $13,300.00 $9,376.50 nat. median
$3,787
outlier · 2.5×
J2323
HCPCS 		Injection, Natalizumab, 1 Mg 9 $3,896.06 $11,459.00 $8,078.60 nat. median
$180
outlier · 45.0×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 9 $3,677.10 $10,815.00 $7,624.58 nat. median
$155
outlier · 49.3×
54500005_1
CDM 		Bilateral Lithotripsy 9 $3,559.12 $10,468.00 $7,379.94 nat. median
$7,380
1.0× median
43499
HCPCS 		Other Procedure On Esophagus 9 $3,451.34 $10,151.00 $7,156.46 nat. median
$1,859
outlier · 3.8×
J9332
HCPCS 		Injection, Efgartigimod Alfa-fcab, 2mg 9 $3,400.00 $10,000.00 $7,050.00 nat. median
$112
outlier · 63.1×
57103520_1
CDM 		Patch, Soft Tissue 20cmx30cm 9 $3,212.66 $9,449.00 $6,661.55 nat. median
$6,662
1.0× median
J0491
HCPCS 		Injection, Anifrolumab-fnia, 1 Mg 9 $3,060.00 $9,000.00 $6,345.00 nat. median
$62
outlier · 101.8×
J9312
HCPCS 		Injection, Rituximab, 10 Mg 9 $2,976.70 $8,755.00 $6,172.28 nat. median
$1,063
outlier · 5.8×
J9217
HCPCS 		Leuprolide Acetate (for Depot Suspension), 7.5 Mg 9 $2,906.66 $8,549.00 $6,027.05 nat. median
$1,573
outlier · 3.8×
50700403_1
CDM 		Operating Room Services - Minor Surgery 9 $2,893.74 $8,511.00 $6,000.26 nat. median
$6,000
1.0× median
50003631_1
CDM 		Heli-fx Endoanchor Applier 10m 9 $2,853.22 $8,391.83 $5,916.24 nat. median
$5,916
1.0× median
93526
HCPCS 		Combined Rt. & Lt. Retro Heart 9 $2,735.64 $8,046.00 $5,672.43 nat. median
$4,894
1.2× median
54500006_1
CDM 		Unilateral Lithotripsy-left 9 $2,481.32 $7,298.00 $5,145.09 nat. median
$5,145
1.0× median
54500007_1
CDM 		Unilateral Lithotripsy-right 9 $2,481.32 $7,298.00 $5,145.09 nat. median
$5,145
1.0× median
50003508_1
CDM 		Operating Room Services - General Classification 9 $2,415.70 $7,105.00 $5,009.03 nat. median
$5,009
1.0× median
J0565
HCPCS 		Injection, Bezlotoxumab, 10 Mg 9 $2,380.00 $7,000.00 $4,935.00 nat. median
$159
outlier · 31.1×
57103954_1
CDM 		Screening Box 9 $2,306.22 $6,783.00 $4,782.02 nat. median
$4,782
1.0× median
93510
HCPCS 		Left Heart Cath (percutaneous) 9 $2,274.26 $6,689.00 $4,715.75 nat. median
$4,474
1.1× median
57103074_1
CDM 		Mesh Hernia Composix E/x 10x14 9 $2,230.06 $6,559.00 $4,624.10 nat. median
$4,624
1.0× median
50002478_1
CDM 		Lead Spinal Cord Dual 9 $2,152.54 $6,331.00 $4,463.36 nat. median
$4,463
1.0× median
50002477_1
CDM 		Lead Spinal Cord Single 9 $2,152.54 $6,331.00 $4,463.36 nat. median
$4,463
1.0× median
50003524_1
CDM 		Operating Room Services - General Classification 9 $2,122.96 $6,244.00 $4,402.02 nat. median
$4,402
1.0× median
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 9 $2,101.20 $6,180.00 $4,356.90 nat. median
$1,635
outlier · 2.7×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 9 $2,023.00 $5,950.00 $4,194.75 nat. median
$1,659
outlier · 2.5×
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 9 $1,972.00 $5,800.00 $4,089.00 nat. median
$44
outlier · 93.5×
50002255_1
CDM 		Operating Room Services - General Classification 9 $1,943.61 $5,716.50 $4,030.13 nat. median
$4,030
1.0× median
0191T
OTHER 		Insertion Of Anterior Segment Aqueous Drainage Device, Without Extraocular Reser… 9 $1,942.76 $5,714.00 $4,028.37 nat. median
$2,633
1.5× median
50003599_1
CDM 		Mesh 4x6 9 $1,931.20 $5,680.00 $4,004.40 nat. median
$4,004
1.0× median
J1950
HCPCS 		Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 9 $260.78 $21,000.00 $3,953.50 nat. median
$3,921
1.0× median
57103374_1
CDM 		Mesh, Dual 20cmx30cmx1mm 9 $1,844.84 $5,426.00 $3,825.33 nat. median
$3,825
1.0× median
J2182
HCPCS 		Injection, Mepolizumab, 1 Mg 9 $1,821.04 $5,356.00 $3,775.98 nat. median
$2,791
1.4× median
57103776_1
CDM 		Patch, Hernia Kugel Oval 9 $1,776.16 $5,224.00 $3,682.92 nat. median
$3,683
1.0× median
Q4100
HCPCS 		Skin Substitute, Not Otherwise Specified 9 $1,768.34 $5,201.00 $3,666.71 nat. median
$2,019
1.8× median
J2993
HCPCS 		Injection, Reteplase, 18.1 Mg 9 $1,763.24 $5,186.00 $3,656.13 nat. median
$3,427
1.1× median
37205
HCPCS 		Operating Room Services - Minor Surgery 9 $1,747.26 $5,139.00 $3,623.00 nat. median
$5,603
0.6× median
37206
HCPCS 		Operating Room Services - Minor Surgery 9 $1,747.26 $5,139.00 $3,623.00 nat. median
$5,466
0.7× median
50000041_1
CDM 		Operating Room Services - General Classification 9 $1,696.60 $4,990.00 $3,517.95 nat. median
$3,518
1.0× median
53300118_1
CDM 		Symphony Nitinol Stent 9 $1,688.44 $4,966.00 $3,501.03 nat. median
$3,501
1.0× median
50002254_1
CDM 		Operating Room Services - General Classification 9 $1,688.10 $4,965.00 $3,500.33 nat. median
$3,500
1.0× median

Other procedures at this hospital

Browse this hospital's 9,199 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
             
50002475_1 CDM Generator Neurostim Spine 9 9 $55,696.00 $44,556.80 $18,936.64 $55,696.00 $39,265.68 2026-03-18
J2507 HCPCS Injection, Pegloticase, 1 Mg 9 9 $44,000.00 $35,200.00 20% off $14,960.00 $44,000.00 $31,020.00 2026-03-18
J0638 HCPCS Injection, Canakinumab, 1 Mg 9 9 $35,000.00 $28,000.00 20% off $11,900.00 $35,000.00 $24,675.00 2026-03-18
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 9 9 $30,128.00 $24,102.40 $10,243.52 $30,128.00 $21,240.24 2026-03-18
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 18 9 $28,582.50 $22,866.00 20% off $6,478.70 $38,110.00 $15,244.00 2026-03-18
43210 HCPCS Repair Of Muscle At Esophagus And Stomach Using A Flexible Endoscope 9 9 $19,045.00 $15,236.00 20% off $6,475.30 $19,045.00 $13,426.73 2026-03-18
J1303 HCPCS Injection, Ravulizumab-cwvz, 10 Mg 18 9 $27,434.00 $21,947.20 $3,997.38 $43,111.00 $13,207.37 2026-03-18
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 9 9 $18,000.00 $14,400.00 20% off $6,120.00 $18,000.00 $12,690.00 2026-03-18
J1930 HCPCS Injection, Lanreotide, 1 Mg 9 9 $16,000.00 $12,800.00 20% off $5,440.00 $16,000.00 $11,280.00 2026-03-18
55008815_1 CDM Cosentyx Unoready 300 Mg Pen 9 9 $14,000.00 $11,200.00 20% off $4,760.00 $14,000.00 $9,870.00 2026-03-18
J3101 HCPCS Injection, Tenecteplase, 1 Mg 9 9 $13,300.00 $10,640.00 20% off $4,522.00 $13,300.00 $9,376.50 2026-03-18
J2323 HCPCS Injection, Natalizumab, 1 Mg 9 9 $11,459.00 $9,167.20 $3,896.06 $11,459.00 $8,078.60 2026-03-18
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 9 9 $10,815.00 $8,652.00 20% off $3,677.10 $10,815.00 $7,624.58 2026-03-18
54500005_1 CDM Bilateral Lithotripsy 9 9 $10,468.00 $8,374.40 20% off $3,559.12 $10,468.00 $7,379.94 2026-03-18
43499 HCPCS Other Procedure On Esophagus 9 9 $10,151.00 $8,120.80 20% off $3,451.34 $10,151.00 $7,156.46 2026-03-18
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 9 9 $10,000.00 $8,000.00 20% off $3,400.00 $10,000.00 $7,050.00 2026-03-18
57103520_1 CDM Patch, Soft Tissue 20cmx30cm 9 9 $9,449.00 $7,559.20 20% off $3,212.66 $9,449.00 $6,661.55 2026-03-18
J0491 HCPCS Injection, Anifrolumab-fnia, 1 Mg 9 9 $9,000.00 $7,200.00 20% off $3,060.00 $9,000.00 $6,345.00 2026-03-18
J9312 HCPCS Injection, Rituximab, 10 Mg 9 9 $8,755.00 $7,004.00 20% off $2,976.70 $8,755.00 $6,172.28 2026-03-18
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 9 9 $8,549.00 $6,839.20 20% off $2,906.66 $8,549.00 $6,027.05 2026-03-18
50700403_1 CDM Operating Room Services - Minor Surgery 9 9 $8,511.00 $6,808.80 20% off $2,893.74 $8,511.00 $6,000.26 2026-03-18
50003631_1 CDM Heli-fx Endoanchor Applier 10m 9 9 $8,391.83 $6,713.46 20% off $2,853.22 $8,391.83 $5,916.24 2026-03-18
93526 HCPCS Combined Rt. & Lt. Retro Heart 9 9 $8,046.00 $6,436.80 20% off $2,735.64 $8,046.00 $5,672.43 2026-03-18
54500007_1 CDM Unilateral Lithotripsy-right 9 9 $7,298.00 $5,838.40 20% off $2,481.32 $7,298.00 $5,145.09 2026-03-18
54500006_1 CDM Unilateral Lithotripsy-left 9 9 $7,298.00 $5,838.40 20% off $2,481.32 $7,298.00 $5,145.09 2026-03-18
50003508_1 CDM Operating Room Services - General Classification 9 9 $7,105.00 $5,684.00 20% off $2,415.70 $7,105.00 $5,009.03 2026-03-18
J0565 HCPCS Injection, Bezlotoxumab, 10 Mg 9 9 $7,000.00 $5,600.00 20% off $2,380.00 $7,000.00 $4,935.00 2026-03-18
57103954_1 CDM Screening Box 9 9 $6,783.00 $5,426.40 20% off $2,306.22 $6,783.00 $4,782.02 2026-03-18
93510 HCPCS Left Heart Cath (percutaneous) 9 9 $6,689.00 $5,351.20 20% off $2,274.26 $6,689.00 $4,715.75 2026-03-18
57103074_1 CDM Mesh Hernia Composix E/x 10x14 9 9 $6,559.00 $5,247.20 20% off $2,230.06 $6,559.00 $4,624.10 2026-03-18
50002478_1 CDM Lead Spinal Cord Dual 9 9 $6,331.00 $5,064.80 20% off $2,152.54 $6,331.00 $4,463.36 2026-03-18
50002477_1 CDM Lead Spinal Cord Single 9 9 $6,331.00 $5,064.80 20% off $2,152.54 $6,331.00 $4,463.36 2026-03-18
50003524_1 CDM Operating Room Services - General Classification 9 9 $6,244.00 $4,995.20 20% off $2,122.96 $6,244.00 $4,402.02 2026-03-18
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 9 9 $6,180.00 $4,944.00 20% off $2,101.20 $6,180.00 $4,356.90 2026-03-18
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 9 9 $5,950.00 $4,760.00 20% off $2,023.00 $5,950.00 $4,194.75 2026-03-18
J1306 HCPCS Injection, Inclisiran, 1 Mg 9 9 $5,800.00 $4,640.00 20% off $1,972.00 $5,800.00 $4,089.00 2026-03-18
50002255_1 CDM Operating Room Services - General Classification 9 9 $5,716.50 $4,573.20 20% off $1,943.61 $5,716.50 $4,030.13 2026-03-18
0191T OTHER Insertion Of Anterior Segment Aqueous Drainage Device, Without Extraocular Reser… 9 9 $5,714.00 $4,571.20 20% off $1,942.76 $5,714.00 $4,028.37 2026-03-18
50003599_1 CDM Mesh 4x6 9 9 $5,680.00 $4,544.00 20% off $1,931.20 $5,680.00 $4,004.40 2026-03-18
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 18 9 $10,883.50 $8,706.80 20% off $260.78 $21,000.00 $3,953.50 2026-03-18
57103374_1 CDM Mesh, Dual 20cmx30cmx1mm 9 9 $5,426.00 $4,340.80 $1,844.84 $5,426.00 $3,825.33 2026-03-18
J2182 HCPCS Injection, Mepolizumab, 1 Mg 9 9 $5,356.00 $4,284.80 $1,821.04 $5,356.00 $3,775.98 2026-03-18
57103776_1 CDM Patch, Hernia Kugel Oval 9 9 $5,224.00 $4,179.20 20% off $1,776.16 $5,224.00 $3,682.92 2026-03-18
Q4100 HCPCS Skin Substitute, Not Otherwise Specified 9 9 $5,201.00 $4,160.80 $1,768.34 $5,201.00 $3,666.71 2026-03-18
J2993 HCPCS Injection, Reteplase, 18.1 Mg 9 9 $5,186.00 $4,148.80 $1,763.24 $5,186.00 $3,656.13 2026-03-18
37205 HCPCS Operating Room Services - Minor Surgery 9 9 $5,139.00 $4,111.20 20% off $1,747.26 $5,139.00 $3,623.00 2026-03-18
37206 HCPCS Operating Room Services - Minor Surgery 9 9 $5,139.00 $4,111.20 20% off $1,747.26 $5,139.00 $3,623.00 2026-03-18
50000041_1 CDM Operating Room Services - General Classification 9 9 $4,990.00 $3,992.00 20% off $1,696.60 $4,990.00 $3,517.95 2026-03-18
53300118_1 CDM Symphony Nitinol Stent 9 9 $4,966.00 $3,972.80 $1,688.44 $4,966.00 $3,501.03 2026-03-18
50002254_1 CDM Operating Room Services - General Classification 9 9 $4,965.00 $3,972.00 20% off $1,688.10 $4,965.00 $3,500.33 2026-03-18
57103071_1 CDM Mesh, Hernia Composix E/x 8x10 9 9 $4,935.00 $3,948.00 20% off $1,677.90 $4,935.00 $3,479.18 2026-03-18
C1783 HCPCS Ocular Implant, Aqueous Drainage Assist Device 9 9 $4,750.00 $3,800.00 20% off $1,615.00 $4,750.00 $3,348.75 2026-03-18
J0139 HCPCS Injection, Adalimumab, 1 Mg 27 9 $4,532.00 $3,625.60 20% off $1,400.80 $13,596.00 $3,331.02 2026-03-18
C9358 HCPCS Dermal Substitute, Native, Non-denatured Collagen, Fetal Bovine Origin (surgimen… 9 9 $4,723.00 $3,778.40 20% off $1,605.82 $4,723.00 $3,329.72 2026-03-18
50002476_1 CDM Programmer-spinal Stim 9 9 $4,702.00 $3,761.60 20% off $1,598.68 $4,702.00 $3,314.91 2026-03-18
C5273 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 9 9 $4,632.00 $3,705.60 20% off $1,574.88 $4,632.00 $3,265.56 2026-03-18
15272 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, Each Addi… 9 9 $4,632.00 $3,705.60 20% off $1,574.88 $4,632.00 $3,265.56 2026-03-18
57110646_1 CDM Vas Graft Vt45070 9 9 $4,626.00 $3,700.80 $1,572.84 $4,626.00 $3,261.33 2026-03-18
J1438 HCPCS Injection, Etanercept, 25 Mg (code May Be Used For Medicare When Drug Administer… 9 9 $4,532.00 $3,625.60 20% off $1,540.88 $4,532.00 $3,195.06 2026-03-18
57103077_1 CDM Mesh, Hernia Composix 8x10 9 9 $4,483.00 $3,586.40 20% off $1,524.22 $4,483.00 $3,160.52 2026-03-18
G0032 HCPCS Two Or More Antipsychotic Prescriptions Ordered For Patients Who Had A Diagnosis… 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0330 HCPCS Facility Services For Dental Rehabilitation Procedure(s) Performed On A Patient … 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
78491 HCPCS Nuclear Medicine Study Of Blood Flow In Heart Muscle At Rest And With Stress 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0233 HCPCS PET Hbd Melanoma;gamma Cam 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0230 HCPCS PET Myocard Viability Post 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0034 HCPCS Patients Receiving Palliative Care During The Measurement Period 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
78814 HCPCS Nuclear Medicine Study Limited Area With CT Scan 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0216 HCPCS PET Img Wholebod Dx Melanoma 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0234 HCPCS PET Whbd Pulm Nod;gamma Cam 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0046 HCPCS Clinical Follow-up And Mrs Score Not Assessed At 90 Days Following Endovascular … 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0030 HCPCS Patient Screened For Tobacco Use And Received Tobacco Cessation Intervention Dur… 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0037 HCPCS On Date Of Encounter, Patient Is Not Able To Participate In Assessment Or Screen… 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0044 HCPCS Patients With Moderate Or Severe Mitral Stenosis 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0031 HCPCS Palliative Care Services Given To Patient Any Time During The Measurement Period 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0035 HCPCS Patient Has Any Emergency Department Encounter During The Performance Period Wit… 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
03882 HCPCS PET Tumor Image W/ct Full Body 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0045 HCPCS Clinical Follow-up And Mrs Score Assessed At 90 Days Following Endovascular Stro… 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
78459 HCPCS Nuclear Medicine Study Of Heart Muscle With Metabolic Evaluation 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0033 HCPCS Two Or More Benzodiazepine Prescriptions Ordered For Patients Who Had A Diagnosi… 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
78812 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0042 HCPCS Referral To Physical, Occupational, Speech, Or Recreational Therapy 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0336 HCPCS PET Imaging Brain Alzheimers 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0040 HCPCS Patient Already Receiving Physical/occupational/speech/recreational Therapy Duri… 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0231 HCPCS PET Whbd Cholorec;gamma Cam 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
78492 HCPCS Nuclear Medicine Studies Of Blood Flow In Heart Muscle At Rest And With Stress 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
78811 HCPCS Nuclear Medicine Study Limited Area 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0039 HCPCS Patient Not Referred, Reason Not Otherwise Specified 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0232 HCPCS PET Whbd Lymphoma; Gamma Cam 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0038 HCPCS Clinician Determines Patient Does Not Require Referral 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0219 HCPCS PET Imaging Whole Body; Melanoma For Non-covered Indications 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0043 HCPCS Patients With Mechanical Prosthetic Heart Valve 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0047 HCPCS Pediatric Patient With Minor Blunt Head Trauma And Pecarn Prediction Criteria Ar… 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0296 HCPCS Counseling Visit To Discuss Need For Lung Cancer Screening Using Low Dose CT Sca… 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0252 HCPCS PET Imaging, Full And Partial-ring PET Scanners Only, For Initial Diagnosis Of B… 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0041 HCPCS Patient And/or Care Partner Decline Referral 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0036 HCPCS Patient Or Care Partner Decline Assessment 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
G0331 HCPCS PET Image Restage Ovarian Ca 9 9 $4,471.00 $3,576.80 $1,520.14 $4,471.00 $3,152.06 2026-03-18
93508 HCPCS Cath Plcm Coron Art No Lhc 9 9 $4,452.00 $3,561.60 20% off $1,513.68 $4,452.00 $3,138.66 2026-03-18
93511 HCPCS Left Heart Cath (cut Down) 9 9 $4,397.00 $3,517.60 20% off $1,494.98 $4,397.00 $3,099.89 2026-03-18
50400014_1 CDM Operating Room Services - General Classification 9 9 $4,329.00 $3,463.20 20% off $1,471.86 $4,329.00 $3,051.95 2026-03-18
53300150_1 CDM Corinthian Stent 9 9 $4,319.00 $3,455.20 20% off $1,468.46 $4,319.00 $3,044.90 2026-03-18
35473 HCPCS Operating Room Services - Minor Surgery 9 9 $4,285.00 $3,428.00 20% off $1,456.90 $4,285.00 $3,020.93 2026-03-18
50700041_1 CDM Rev - Other Rx Svcs 9 9 $4,241.00 $3,392.80 $1,441.94 $4,241.00 $2,989.91 2026-03-18
57110648_1 CDM Vas Graft V08070 9 9 $4,039.00 $3,231.20 20% off $1,373.26 $4,039.00 $2,847.50 2026-03-18
57110647_1 CDM Vas Graft V06070 9 9 $4,039.00 $3,231.20 20% off $1,373.26 $4,039.00 $2,847.50 2026-03-18
50700404_1 CDM Lead Spinal Cord Single 9 9 $4,013.00 $3,210.40 20% off $1,364.42 $4,013.00 $2,829.17 2026-03-18
50700405_1 CDM Lead Spinal Cord Dual 9 9 $4,013.00 $3,210.40 20% off $1,364.42 $4,013.00 $2,829.17 2026-03-18
50003656_1 CDM Tapered Heparin Shunt 9 9 $3,986.75 $3,189.40 20% off $1,355.50 $3,986.75 $2,810.66 2026-03-18
Q4130 HCPCS Strattice Tm, Per Square Centimeter 18 9 $6,587.50 $5,270.00 20% off $579.70 $11,470.00 $2,802.40 2026-03-18
33210 HCPCS Insertion Of Temporary Pacemaker Lead In Single Heart Chamber 9 9 $3,970.00 $3,176.00 20% off $1,349.80 $3,970.00 $2,798.85 2026-03-18
57103070_1 CDM Mesh, Hernia Composix E/x 7x9 9 9 $3,958.00 $3,166.40 20% off $1,345.72 $3,958.00 $2,790.39 2026-03-18
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 18 9 $7,871.00 $6,296.80 20% off $99.28 $15,450.00 $2,772.50 2026-03-18
50000068_1 CDM Apligraf 9 9 $3,852.00 $3,081.60 20% off $1,309.68 $3,852.00 $2,715.66 2026-03-18
35475 HCPCS Repair Arterial Blockage 9 9 $3,727.00 $2,981.60 20% off $1,267.18 $3,727.00 $2,627.54 2026-03-18
35472 HCPCS Repair Arterial Blockage 9 9 $3,727.00 $2,981.60 20% off $1,267.18 $3,727.00 $2,627.54 2026-03-18
35470 HCPCS Operating Room Services - Minor Surgery 9 9 $3,727.00 $2,981.60 20% off $1,267.18 $3,727.00 $2,627.54 2026-03-18
35474 HCPCS Operating Room Services - Minor Surgery 9 9 $3,727.00 $2,981.60 20% off $1,267.18 $3,727.00 $2,627.54 2026-03-18
35471 HCPCS Repair Arterial Blockage 9 9 $3,727.00 $2,981.60 20% off $1,267.18 $3,727.00 $2,627.54 2026-03-18
50000045_1 CDM Thermachoice Balloon Catheter 9 9 $3,637.00 $2,909.60 20% off $1,236.58 $3,637.00 $2,564.09 2026-03-18
28825 HCPCS Amputation Of Toe At Toe Joint 10 9 $3,593.00 $2,874.40 20% off $156.16 $3,593.00 $2,524.09 2026-03-18
57102451_1 CDM Tray, Gastric Endoscopy Fdg13 9 9 $3,563.00 $2,850.40 20% off $1,211.42 $3,563.00 $2,511.92 2026-03-18
57103065_1 CDM Patch, Hernia Large Oval 9 9 $3,435.00 $2,748.00 20% off $1,167.90 $3,435.00 $2,421.68 2026-03-18
50002253_1 CDM Operating Room Services - General Classification 9 9 $3,432.00 $2,745.60 20% off $1,166.88 $3,432.00 $2,419.56 2026-03-18
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 9 9 $3,420.00 $2,736.00 20% off $1,162.80 $3,420.00 $2,411.10 2026-03-18
55001821_1 CDM Interceed 9 9 $3,412.00 $2,729.60 20% off $1,160.08 $3,412.00 $2,405.46 2026-03-18
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 9 9 $3,399.00 $2,719.20 20% off $1,155.66 $3,399.00 $2,396.30 2026-03-18
91035 HCPCS Monitoring And Recording Of Esophageal Function Through A Capsule Attached To Th… 10 9 $3,355.00 $2,684.00 20% off $84.03 $3,355.00 $2,356.89 2026-03-18
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 10 9 $3,337.00 $2,669.60 20% off $74.58 $3,337.00 $2,344.24 2026-03-18
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 18 9 $5,043.50 $4,034.80 20% off $627.98 $8,240.00 $2,324.30 2026-03-18
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 9 9 $3,214.00 $2,571.20 20% off $1,092.76 $3,214.00 $2,265.87 2026-03-18
J0875 HCPCS Injection, Dalbavancin, 5 Mg 9 9 $3,200.00 $2,560.00 20% off $1,088.00 $3,200.00 $2,256.00 2026-03-18
57103970_1 CDM Nail, Femoral 12 Mm X 34 Cm 9 9 $3,183.00 $2,546.40 20% off $1,082.22 $3,183.00 $2,244.02 2026-03-18
50003632_1 CDM Heli-fx Endoanchor Imp 22mm 9 9 $3,111.73 $2,489.38 20% off $1,057.99 $3,111.73 $2,193.77 2026-03-18
J3240 HCPCS Injection, Thyrotropin Alpha, 0.9 Mg, Provided In 1.1 Mg Vial 9 9 $3,090.00 $2,472.00 20% off $1,050.60 $3,090.00 $2,178.45 2026-03-18
53300096_1 CDM Vena Cava Filter 9 9 $2,990.00 $2,392.00 20% off $1,016.60 $2,990.00 $2,107.95 2026-03-18
J3358 HCPCS Ustekinumab, For Intravenous Injection, 1 Mg 9 9 $2,987.00 $2,389.60 20% off $1,015.58 $2,987.00 $2,105.84 2026-03-18
57103069_1 CDM Mesh, Hernia Composix E/x 6x8 9 9 $2,986.00 $2,388.80 $1,015.24 $2,986.00 $2,105.13 2026-03-18
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 10 9 $2,936.00 $2,348.80 $123.27 $2,936.00 $2,062.54 2026-03-18
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 36 9 $3,862.50 $3,090.00 20% off $315.18 $7,262.00 $2,060.00 2026-03-18
C1768 HCPCS Graft, Vascular 54 9 $3,419.00 $2,735.20 20% off $623.56 $5,903.00 $2,056.92 2026-03-18
90375 HCPCS Rabies Immune Globulin For Injection 9 9 $2,896.00 $2,316.80 $984.64 $2,896.00 $2,041.68 2026-03-18
91010 HCPCS Study Of Esophagus To Assess Movement 10 9 $2,883.00 $2,306.40 $66.92 $2,883.00 $2,025.31 2026-03-18
52000396_1 CDM Filter, Simonite Nall 9 9 $2,868.00 $2,294.40 $975.12 $2,868.00 $2,021.94 2026-03-18
50003655_1 CDM Hydrus Micro Stent 9 9 $2,848.39 $2,278.71 20% off $968.45 $2,848.39 $2,008.11 2026-03-18
52000828_1 CDM Operating Room Services - Minor Surgery 9 9 $2,847.00 $2,277.60 20% off $967.98 $2,847.00 $2,007.14 2026-03-18
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 9 9 $2,812.00 $2,249.60 20% off $956.08 $2,812.00 $1,982.46 2026-03-18
50400035_1 CDM Operating Room Services - General Classification 9 9 $2,809.00 $2,247.20 20% off $955.06 $2,809.00 $1,980.35 2026-03-18
55001743_1 CDM Ribavirin 6gm Vial 9 9 $2,806.00 $2,244.80 $954.04 $2,806.00 $1,978.23 2026-03-18
35456 HCPCS Operating Room Services - Minor Surgery 9 9 $2,779.00 $2,223.20 20% off $944.86 $2,779.00 $1,959.20 2026-03-18
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 10 9 $2,780.00 $2,224.00 20% off $118.90 $2,780.00 $1,952.95 2026-03-18
50002473_1 CDM Lead Ext Spinal Cord Sngl 9 9 $2,768.00 $2,214.40 $941.12 $2,768.00 $1,951.44 2026-03-18
50002474_1 CDM Lead Ext Spinal Cord Dual 9 9 $2,768.00 $2,214.40 $941.12 $2,768.00 $1,951.44 2026-03-18
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 18 9 $2,733.00 $2,186.40 $859.86 $2,937.00 $1,943.37 2026-03-18
57103092_1 CDM Assistant, Lap Hand Gelport 9 9 $2,745.00 $2,196.00 20% off $933.30 $2,745.00 $1,935.23 2026-03-18
50400016_1 CDM Labor Room/delivery - General Classification 9 9 $2,732.00 $2,185.60 20% off $928.88 $2,732.00 $1,926.06 2026-03-18
57103076_1 CDM Mesh, Hernia Composix 6x8 9 9 $2,715.00 $2,172.00 20% off $923.10 $2,715.00 $1,914.08 2026-03-18
57103064_1 CDM Patch, Hernia Medium Oval 9 9 $2,707.00 $2,165.60 20% off $920.38 $2,707.00 $1,908.44 2026-03-18
50002494_1 CDM Surgical Mesh Oval 6x8 9 9 $2,669.00 $2,135.20 20% off $907.46 $2,669.00 $1,881.65 2026-03-18
57110135_1 CDM Mesh Dual 15 X 19 9 9 $2,657.00 $2,125.60 20% off $903.38 $2,657.00 $1,873.19 2026-03-18
50000074_1 CDM Cadaver Graft 8 8 $2,604.00 $2,083.20 20% off $885.36 $2,604.00 $1,829.31 2026-03-18
57103373_1 CDM Mesh, Dual 15cmx19cmx1mm Oval 9 9 $2,593.00 $2,074.40 $881.62 $2,593.00 $1,828.07 2026-03-18
37620 HCPCS Operating Room Services - Minor Surgery 9 9 $2,593.00 $2,074.40 $881.62 $2,593.00 $1,828.07 2026-03-18
57103566_1 CDM Patch, Soft Tissue 2mm 10x15cm 9 9 $2,586.00 $2,068.80 $879.24 $2,586.00 $1,823.13 2026-03-18
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 9 9 $2,578.00 $2,062.40 $876.52 $2,578.00 $1,817.49 2026-03-18
52300115_1 CDM Operating Room Services - Minor Surgery 9 9 $2,512.00 $2,009.60 20% off $854.08 $2,512.00 $1,770.96 2026-03-18
50003594_1 CDM Pleurx Pleural Drain System 9 9 $2,492.00 $1,993.60 20% off $847.28 $2,492.00 $1,756.86 2026-03-18
50200029_1 CDM Operating Room Services - Minor Surgery 9 9 $2,475.00 $1,980.00 20% off $841.50 $2,475.00 $1,744.88 2026-03-18
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 9 9 $2,472.00 $1,977.60 20% off $840.48 $2,472.00 $1,742.76 2026-03-18
57102741_1 CDM Cath, Balloon Disp. 9 9 $2,461.00 $1,968.80 20% off $836.74 $2,461.00 $1,735.01 2026-03-18
57103582_1 CDM Fiber, Ref. Gold Tip Myriadlas 9 9 $2,461.00 $1,968.80 20% off $836.74 $2,461.00 $1,735.01 2026-03-18
56000606_1 CDM Group 6 Procedure 9 9 $2,427.00 $1,941.60 20% off $825.18 $2,427.00 $1,711.04 2026-03-18
J2315 HCPCS Injection, Naltrexone, Depot Form, 1 Mg 9 9 $2,426.00 $1,940.80 20% off $824.84 $2,426.00 $1,710.33 2026-03-18
35476 HCPCS Repair Venous Blockage 9 9 $2,385.00 $1,908.00 20% off $810.90 $2,385.00 $1,681.43 2026-03-18
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 1 1 $5,503.00 $4,402.40 20% off $1,666.24 $1,666.24 $1,666.24 2026-03-18
50001405_1 CDM Plate, Volar Ext, Dvr Hand Set 9 9 $2,291.00 $1,832.80 20% off $778.94 $2,291.00 $1,615.16 2026-03-18
57103067_1 CDM Patch, Hernia Large Circle 9 9 $2,291.00 $1,832.80 20% off $778.94 $2,291.00 $1,615.16 2026-03-18
50001406_1 CDM Plate, Volar Wide,dvr Hand Set 9 9 $2,291.00 $1,832.80 20% off $778.94 $2,291.00 $1,615.16 2026-03-18
19083 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth 9 9 $2,258.00 $1,806.40 $767.72 $2,258.00 $1,591.89 2026-03-18
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 9 9 $2,252.00 $1,801.60 20% off $765.68 $2,252.00 $1,587.66 2026-03-18
43282 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us… 1 1 $4,399.00 $3,519.20 20% off $1,585.79 $1,585.79 $1,585.79 2026-03-18
19082 HCPCS Biopsy Of Breast And Placement Of Locating Device Using X-ray With Needle, Each … 10 9 $2,257.00 $1,805.60 20% off $69.92 $2,257.00 $1,585.55 2026-03-18
19081 HCPCS Biopsy Of Breast And Placement Of Locating Device Using X-ray With Needle, First… 10 9 $2,257.00 $1,805.60 20% off $139.19 $2,257.00 $1,585.55 2026-03-18
43999 HCPCS Other Procedure On Stomach 9 9 $2,199.00 $1,759.20 20% off $747.66 $2,199.00 $1,550.30 2026-03-18
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 10 9 $2,191.00 $1,752.80 20% off $199.96 $2,191.00 $1,539.18 2026-03-18
36215 HCPCS Insertion Of Tube Into Chest Or Arm Artery, Each First Order Branch 9 9 $2,166.00 $1,732.80 20% off $736.44 $2,166.00 $1,527.03 2026-03-18
75625 HCPCS Review By Radiologist Of Abdominal Aorta Image 9 9 $2,163.00 $1,730.40 $735.42 $2,163.00 $1,524.92 2026-03-18
93501 HCPCS Right Heart Cath 9 9 $2,147.00 $1,717.60 20% off $729.98 $2,147.00 $1,513.64 2026-03-18
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 1 1 $4,210.00 $3,368.00 20% off $1,511.06 $1,511.06 $1,511.06 2026-03-18
21550 HCPCS Biopsy Of Soft Tissue Of Neck Or Chest 10 9 $2,150.00 $1,720.00 20% off $139.65 $2,150.00 $1,510.38 2026-03-18
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 1 1 $3,270.00 $2,616.00 20% off $1,499.56 $1,499.56 $1,499.56 2026-03-18
75724 HCPCS Renal Bilat 9 9 $2,109.00 $1,687.20 20% off $717.06 $2,109.00 $1,486.85 2026-03-18
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 10 9 $2,109.00 $1,687.20 20% off $72.56 $2,109.00 $1,481.57 2026-03-18
J1451 HCPCS Injection, Fomepizole, 15 Mg 18 9 $2,081.00 $1,664.80 20% off $700.40 $2,102.00 $1,476.66 2026-03-18
C1880 HCPCS Vena Cava Filter 9 9 $2,088.00 $1,670.40 $709.92 $2,088.00 $1,472.04 2026-03-18
57102454_1 CDM Kit, Endo Lap O-GYN Lavh Fd044 9 9 $2,087.00 $1,669.60 20% off $709.58 $2,087.00 $1,471.34 2026-03-18
49020 HCPCS Drainage Of Abdominal Abscess Or Infection 1 1 $4,798.00 $3,838.40 20% off $1,467.48 $1,467.48 $1,467.48 2026-03-18
57110762_1 CDM Prem Ceea 25 Srg Stp 9 9 $2,071.00 $1,656.80 20% off $704.14 $2,071.00 $1,460.06 2026-03-18
57110764_1 CDM Endoscopic Cir Ecs33 9 9 $2,071.00 $1,656.80 20% off $704.14 $2,071.00 $1,460.06 2026-03-18
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 10 9 $2,068.00 $1,654.40 $67.25 $2,068.00 $1,452.77 2026-03-18
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 1 1 $3,997.00 $3,197.60 20% off $1,442.91 $1,442.91 $1,442.91 2026-03-18
93503 HCPCS Insertion Of Tube In Pulmonary Artery For Monitoring 9 9 $2,046.00 $1,636.80 20% off $695.64 $2,046.00 $1,442.43 2026-03-18
33967 HCPCS Insertion Of Blood Flow Assist Device In Aorta Through Skin 9 9 $2,033.00 $1,626.40 $691.22 $2,033.00 $1,433.27 2026-03-18
41000024_1 CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $1,856.00 $1,484.80 20% off $1,299.20 $1,856.00 $1,424.48 2026-03-18
J0897 HCPCS Injection, Denosumab, 1 Mg 18 9 $2,908.00 $2,326.40 $576.64 $4,120.00 $1,421.81 2026-03-18
J2357 HCPCS Injection, Omalizumab, 5 Mg 9 9 $2,009.00 $1,607.20 20% off $683.06 $2,009.00 $1,416.35 2026-03-18
43281 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 1 1 $3,891.00 $3,112.80 $1,409.81 $1,409.81 $1,409.81 2026-03-18
Q4106 HCPCS Dermagraft, Per Square Centimeter 9 9 $1,997.00 $1,597.60 20% off $678.98 $1,997.00 $1,407.89 2026-03-18
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 18 9 $2,196.25 $1,757.00 20% off $597.38 $2,635.50 $1,405.60 2026-03-18
75962 HCPCS Repair Arterial Blockage 9 9 $1,986.00 $1,588.80 20% off $675.24 $1,986.00 $1,400.13 2026-03-18
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 1 1 $4,655.00 $3,724.00 20% off $1,397.53 $1,397.53 $1,397.53 2026-03-18
C9201 HCPCS Dermagraft 18 9 $1,949.00 $1,559.20 20% off $652.80 $1,978.00 $1,389.55 2026-03-18
50001404_1 CDM Plate, Volar, Dvr Hand Set 9 9 $1,963.00 $1,570.40 $667.42 $1,963.00 $1,383.92 2026-03-18
42000016_1 CDM Intensive Care Unit - General Classification 7 7 $1,873.00 $1,498.40 $1,179.99 $1,873.00 $1,376.66 2026-03-18
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 9 9 $1,937.00 $1,549.60 20% off $658.58 $1,937.00 $1,365.59 2026-03-18
50003628_1 CDM Scanlan Vascular Tunnler 9 9 $1,915.00 $1,532.00 20% off $651.10 $1,915.00 $1,350.08 2026-03-18
50003612_1 CDM Lemaitre Vascular Shunt 9 9 $1,915.00 $1,532.00 20% off $651.10 $1,915.00 $1,350.08 2026-03-18
36013 HCPCS Insertion Of Tube Into Right Heart Or Main Pulmonary Artery 9 9 $1,906.00 $1,524.80 20% off $648.04 $1,906.00 $1,343.73 2026-03-18
43631 HCPCS Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To First… 1 1 $2,931.00 $2,344.80 $1,338.18 $1,338.18 $1,338.18 2026-03-18
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 15 9 $2,625.00 $2,100.00 20% off $649.74 $2,625.00 $1,337.70 2026-03-18
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 10 9 $1,896.00 $1,516.80 20% off $133.34 $1,896.00 $1,331.94 2026-03-18
62304 HCPCS X-ray Of Lower Spinal Canal With Review By Radiologist 9 9 $1,880.00 $1,504.00 20% off $639.20 $1,880.00 $1,325.40 2026-03-18
57103781_1 CDM Surface, Art. 14mm Yellow 9 9 $1,875.00 $1,500.00 20% off $637.50 $1,875.00 $1,321.88 2026-03-18
73720 HCPCS MRI Scan Of Leg Before And After Contrast 9 9 $1,872.00 $1,497.60 20% off $636.48 $1,872.00 $1,319.76 2026-03-18
57110444_1 CDM Soft Tis Patch 10x15 9 9 $1,868.00 $1,494.40 $635.12 $1,868.00 $1,316.94 2026-03-18
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 15 9 $2,584.00 $2,067.20 20% off $638.86 $2,584.00 $1,315.30 2026-03-18
J2407 HCPCS Injection, Oritavancin (orbactiv), 10 Mg 9 9 $1,854.00 $1,483.20 20% off $630.36 $1,854.00 $1,307.07 2026-03-18
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 9 9 $1,851.00 $1,480.80 20% off $629.34 $1,851.00 $1,304.96 2026-03-18
95805 HCPCS Sleep Study, Multiple Trials 10 9 $1,856.00 $1,484.80 20% off $57.42 $1,856.00 $1,303.84 2026-03-18
57110178_1 CDM Graft Spinal 6mm X 50cm 9 9 $1,843.00 $1,474.40 $626.62 $1,843.00 $1,299.32 2026-03-18
72193 HCPCS CT Scan Of Pelvis With Contrast 15 9 $2,551.00 $2,040.80 20% off $630.70 $2,551.00 $1,298.50 2026-03-18
36011 HCPCS Insertion Of Tube Into Vein, First Order Branch 9 9 $1,839.00 $1,471.20 20% off $625.26 $1,839.00 $1,296.50 2026-03-18
75743 HCPCS Review By Radiologist Of Arteries Of Both Lungs Image 9 9 $1,835.00 $1,468.00 20% off $623.90 $1,835.00 $1,293.68 2026-03-18
75722 HCPCS Renal Rt 9 9 $1,835.00 $1,468.00 20% off $623.90 $1,835.00 $1,293.68 2026-03-18
75961 HCPCS Foreign Body Retrieval (s&i) 9 9 $1,835.00 $1,468.00 20% off $623.90 $1,835.00 $1,293.68 2026-03-18
75726 HCPCS Review By Radiologist Of Abdominal Artery Image 9 9 $1,835.00 $1,468.00 20% off $623.90 $1,835.00 $1,293.68 2026-03-18
75680 HCPCS Carotid Bilat 9 9 $1,835.00 $1,468.00 20% off $623.90 $1,835.00 $1,293.68 2026-03-18
57103063_1 CDM Patch, Hernia Small Oval 9 9 $1,833.00 $1,466.40 $623.22 $1,833.00 $1,292.27 2026-03-18
C1763 HCPCS Connective Tissue, Non-human (includes Synthetic) 9 9 $1,831.00 $1,464.80 20% off $622.54 $1,831.00 $1,290.86 2026-03-18
53300027_1 CDM Operating Room Services - General Classification 9 9 $1,816.00 $1,452.80 20% off $617.44 $1,816.00 $1,280.28 2026-03-18
44202 HCPCS Partial Removal And Reconnection Of Small Bowel Using An Endoscope 1 1 $3,487.00 $2,789.60 20% off $1,272.35 $1,272.35 $1,272.35 2026-03-18
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 15 9 $2,498.00 $1,998.40 $617.44 $2,498.00 $1,271.20 2026-03-18
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 15 9 $2,498.00 $1,998.40 $617.44 $2,498.00 $1,271.20 2026-03-18
57103261_1 CDM Cath, Groshong 9.5fr Dual Port 9 9 $1,799.00 $1,439.20 20% off $611.66 $1,799.00 $1,268.30 2026-03-18
C1781 HCPCS Mesh (implantable) 369 9 $1,896.00 $1,516.80 20% off $73.44 $25,150.50 $1,267.20 2026-03-18
37209 HCPCS Operating Room Services - Minor Surgery 9 9 $1,796.00 $1,436.80 20% off $610.64 $1,796.00 $1,266.18 2026-03-18
53300070_1 CDM Operating Room Services - Minor Surgery 9 9 $1,796.00 $1,436.80 20% off $610.64 $1,796.00 $1,266.18 2026-03-18
10005 HCPCS Fine Needle Aspiration Biopsy Using Ultrasound Guidance, First Growth 9 9 $1,791.00 $1,432.80 20% off $608.94 $1,791.00 $1,262.66 2026-03-18
57110392_1 CDM Soft Woven 19x9.5mm 9 9 $1,785.00 $1,428.00 20% off $606.90 $1,785.00 $1,258.43 2026-03-18
57110393_1 CDM Soft Woven 22 X 11mm 9 9 $1,785.00 $1,428.00 20% off $606.90 $1,785.00 $1,258.43 2026-03-18
57110390_1 CDM Soft Woven 25x12.5mm 9 9 $1,785.00 $1,428.00 20% off $606.90 $1,785.00 $1,258.43 2026-03-18
10030 HCPCS Drainage Of Fluid Collection In Soft Tissue Using Imaging Guidance 9 9 $1,784.00 $1,427.20 20% off $606.56 $1,784.00 $1,257.72 2026-03-18
43840 HCPCS Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel 1 1 $4,081.00 $3,264.80 $1,255.38 $1,255.38 $1,255.38 2026-03-18
53300059_1 CDM Operating Room Services - Minor Surgery 9 9 $1,772.00 $1,417.60 20% off $602.48 $1,772.00 $1,249.26 2026-03-18
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 9 9 $1,760.00 $1,408.00 20% off $598.40 $1,760.00 $1,240.80 2026-03-18
52000645_1 CDM Operating Room Services - Minor Surgery 9 9 $1,758.00 $1,406.40 $597.72 $1,758.00 $1,239.39 2026-03-18
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 9 9 $1,757.00 $1,405.60 20% off $597.38 $1,757.00 $1,238.69 2026-03-18
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 9 9 $1,757.00 $1,405.60 20% off $597.38 $1,757.00 $1,238.69 2026-03-18
78804 HCPCS Nuclear Medicine Study, Whole Body Requiring Multiple Imaging Days 9 9 $1,757.00 $1,405.60 20% off $597.38 $1,757.00 $1,238.69 2026-03-18
75671 HCPCS Angiogram Carotid Cereb Bilat 9 9 $1,756.00 $1,404.80 20% off $597.04 $1,756.00 $1,237.98 2026-03-18
57110802_1 CDM Gia 30v 030811 9 9 $1,756.00 $1,404.80 20% off $597.04 $1,756.00 $1,237.98 2026-03-18
J0485 HCPCS Injection, Belatacept, 1 Mg 9 9 $1,751.00 $1,400.80 20% off $595.34 $1,751.00 $1,234.46 2026-03-18
44140 HCPCS Partial Removal Of Large Bowel With Connection 1 1 $4,031.00 $3,224.80 $1,233.72 $1,233.72 $1,233.72 2026-03-18
53300183_1 CDM Operating Room Services - Minor Surgery 9 9 $1,749.00 $1,399.20 20% off $594.66 $1,749.00 $1,233.05 2026-03-18
53300125_1 CDM Operating Room Services - Minor Surgery 9 9 $1,749.00 $1,399.20 20% off $594.66 $1,749.00 $1,233.05 2026-03-18
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 9 9 $1,748.00 $1,398.40 $594.32 $1,748.00 $1,232.34 2026-03-18
36430 HCPCS Transfusion Of Blood Or Blood Products 9 9 $1,746.00 $1,396.80 20% off $593.64 $1,746.00 $1,230.93 2026-03-18
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 9 9 $1,741.00 $1,392.80 20% off $591.94 $1,741.00 $1,227.41 2026-03-18
57111130_1 CDM Port Cath Slim Por 9 9 $1,736.00 $1,388.80 20% off $590.24 $1,736.00 $1,223.88 2026-03-18
J2325 HCPCS Injection, Nesiritide, 0.1 Mg 9 9 $1,736.00 $1,388.80 20% off $590.24 $1,736.00 $1,223.88 2026-03-18
57110082_1 CDM Denver Peritone Cath 1 9 9 $1,734.00 $1,387.20 20% off $589.56 $1,734.00 $1,222.47 2026-03-18
57110705_1 CDM Rotic55 Pl200 013601 9 9 $1,734.00 $1,387.20 20% off $589.56 $1,734.00 $1,222.47 2026-03-18
75966 HCPCS Repair Arterial Blockage 9 9 $1,728.00 $1,382.40 $587.52 $1,728.00 $1,218.24 2026-03-18
75964 HCPCS Repair Artery Blockage Each 9 9 $1,728.00 $1,382.40 $587.52 $1,728.00 $1,218.24 2026-03-18
75960 HCPCS Stent (s & I) 9 9 $1,728.00 $1,382.40 $587.52 $1,728.00 $1,218.24 2026-03-18
75968 HCPCS Repair Artery Blockage Each 9 9 $1,728.00 $1,382.40 $587.52 $1,728.00 $1,218.24 2026-03-18
57110689_1 CDM Rotic55 Pl170 013602 9 9 $1,727.00 $1,381.60 20% off $587.18 $1,727.00 $1,217.54 2026-03-18
57110944_1 CDM Moss Gstrstmy TB 18f 9 9 $1,722.00 $1,377.60 20% off $585.48 $1,722.00 $1,214.01 2026-03-18
Q5103 HCPCS Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 9 9 $1,700.00 $1,360.00 20% off $578.00 $1,700.00 $1,198.50 2026-03-18
J2786 HCPCS Injection, Reslizumab, 1 Mg 9 9 $1,700.00 $1,360.00 20% off $578.00 $1,700.00 $1,198.50 2026-03-18
J3300 HCPCS Injection, Triamcinolone Acetonide, Preservative Free, 1 Mg 9 9 $1,700.00 $1,360.00 20% off $578.00 $1,700.00 $1,198.50 2026-03-18
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 18 9 $1,849.50 $1,479.60 20% off $509.32 $2,201.00 $1,198.40 2026-03-18
73718 HCPCS MRI Scan Of Leg Without Contrast 18 9 $1,872.50 $1,498.00 20% off $509.32 $2,247.00 $1,198.40 2026-03-18
77032 HCPCS Mammo Guid Ndl Plc Breast 9 9 $1,693.00 $1,354.40 $575.62 $1,693.00 $1,193.57 2026-03-18
75676 HCPCS Carotid Rt 18 9 $1,680.50 $1,344.40 $518.84 $1,835.00 $1,192.55 2026-03-18
74160 HCPCS CT Scan Of Abdomen With Contrast 15 9 $2,325.00 $1,860.00 20% off $575.28 $2,325.00 $1,184.40 2026-03-18
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 15 9 $2,325.00 $1,860.00 20% off $575.28 $2,325.00 $1,184.40 2026-03-18
71260 HCPCS CT Scan Of Chest With Contrast 15 9 $2,325.00 $1,860.00 20% off $575.28 $2,325.00 $1,184.40 2026-03-18
19180 HCPCS Profee Or-simle Mastectomy 1 1 $2,961.00 $2,368.80 $1,184.40 $1,184.40 $1,184.40 2026-03-18
19103 HCPCS Operating Room Services - Minor Surgery 19 9 $1,604.00 $1,283.20 20% off $258.00 $1,790.00 $1,178.94 2026-03-18
50000046_1 CDM Operating Room Services - General Classification 9 9 $1,664.00 $1,331.20 20% off $565.76 $1,664.00 $1,173.12 2026-03-18
49566 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated 1 1 $2,909.00 $2,327.20 20% off $1,163.60 $1,163.60 $1,163.60 2026-03-18
C1788 HCPCS Port, Indwelling (implantable) 27 9 $1,659.00 $1,327.20 20% off $407.66 $1,949.00 $1,161.30 2026-03-18
50000049_1 CDM Operating Room Services - General Classification 9 9 $1,646.00 $1,316.80 20% off $559.64 $1,646.00 $1,160.43 2026-03-18
47610 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct 1 1 $3,150.00 $2,520.00 20% off $1,157.37 $1,157.37 $1,157.37 2026-03-18
55000830_1 CDM Antivenin (black Widow Spider) 9 9 $1,641.00 $1,312.80 20% off $557.94 $1,641.00 $1,156.91 2026-03-18
J1572 HCPCS Injection, Immune Globulin, (flebogamma/flebogamma Dif), Intravenous, Non-lyophi… 27 9 $1,648.00 $1,318.40 $280.16 $3,296.00 $1,153.60 2026-03-18
57110194_1 CDM Gia 30.5 V 030813 9 9 $1,636.00 $1,308.80 20% off $556.24 $1,636.00 $1,153.38 2026-03-18
49561 HCPCS Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated 1 1 $2,879.00 $2,303.20 20% off $1,151.60 $1,151.60 $1,151.60 2026-03-18
73220 HCPCS MRI Scan Of Arm Before And After Contrast 9 9 $1,629.00 $1,303.20 20% off $553.86 $1,629.00 $1,148.45 2026-03-18
See an error in this hospital's data? Submit a correction