Price Transparencybeta Hospital negotiated rates

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

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Hospital

LASALLE GENERAL HOSPITAL

Jena, LA · CCN 190145 · Rates published

1,543 distinct procedures filed
20 distinct payers
74,794 rate rows
2026-03-31 last MRF observed
Data quality

72,306 of 74,794 rate rows are consumer-grade (96.7%)

2,488 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
per-diem day rate — not a per-procedure price 1,624
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 466
placeholder amount (≤ $0.02) — excluded from medians 320
exceeds 10× this hospital's gross charge — excluded from medians 78
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.lasallegeneralhospital.com/wp-content/uploads/2026/03/720690217_hospital-services-district-2-of-lasalle-parish_standardcharges.csv
Found on page https://www.lasallegeneralhospital.com/price-transparency/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint db38be6103f629a0… · 36,731,964 bytes · first seen 2026-05-14

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
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Ho 13 $18,413.03 $18,413.03 $18,413.03 nat. median
$26,748
0.7× median
539
MS_DRG 		Osteomyelitis With Mcc 13 $13,436.35 $13,436.35 $13,436.35 nat. median
$19,718
0.7× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 13 $13,426.78 $13,426.78 $13,426.78 nat. median
$19,681
0.7× median
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 13 $13,388.44 $13,388.44 $13,388.44 nat. median
$19,314
0.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 13 $13,262.58 $13,262.58 $13,262.58 nat. median
$19,634
0.7× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 13 $12,909.30 $12,909.30 $12,909.30 nat. median
$18,723
0.7× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 13 $12,550.26 $12,550.26 $12,550.26 nat. median
$18,292
0.7× median
686
MS_DRG 		Kidney And Urinary Tract Neoplasms With Mcc 13 $12,375.85 $12,375.85 $12,375.85 nat. median
$18,574
0.7× median
180
MS_DRG 		Respiratory Neoplasms With Mcc 13 $12,135.00 $12,135.00 $12,135.00 nat. median
$17,981
0.7× median
199
MS_DRG 		Pneumothorax With Mcc 13 $12,122.85 $12,122.85 $12,122.85 nat. median
$17,612
0.7× median
551
MS_DRG 		Medical Back Problems With Mcc 13 $11,560.67 $11,560.67 $11,560.67 nat. median
$16,881
0.7× median
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 13 $11,283.41 $11,283.41 $11,283.41 nat. median
$16,470
0.7× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 13 $11,100.70 $11,100.70 $11,100.70 nat. median
$16,529
0.7× median
533
MS_DRG 		Fractures Of Femur With Mcc 13 $10,868.15 $10,868.15 $10,868.15 nat. median
$16,040
0.7× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 13 $10,836.21 $10,836.21 $10,836.21 nat. median
$16,234
0.7× median
682
MS_DRG 		Renal Failure With Mcc 13 $10,314.26 $10,314.26 $10,314.26 nat. median
$15,223
0.7× median
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 13 $10,287.43 $10,287.43 $10,287.43 nat. median
$15,091
0.7× median
602
MS_DRG 		Cellulitis With Mcc 13 $9,932.87 $9,932.87 $9,932.87 nat. median
$14,837
0.7× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 13 $9,824.26 $9,824.26 $9,824.26 nat. median
$14,380
0.7× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 13 $9,249.94 $9,249.94 $9,249.94 nat. median
$13,648
0.7× median
540
MS_DRG 		Osteomyelitis With Cc 13 $9,134.30 $9,134.30 $9,134.30 nat. median
$13,477
0.7× median
291
MS_DRG 		Heart Failure And Shock With Mcc 13 $9,054.44 $9,054.44 $9,054.44 nat. median
$13,521
0.7× median
947
MS_DRG 		Signs And Symptoms With Mcc 13 $8,962.43 $8,962.43 $8,962.43 nat. median
$12,688
0.7× median
809
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickl 13 $8,940.07 $8,940.07 $8,940.07 nat. median
$13,226
0.7× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 13 $8,745.24 $8,745.24 $8,745.24 nat. median
$13,017
0.7× median
375
MS_DRG 		Digestive Malignancy With Cc 13 $8,580.41 $8,580.41 $8,580.41 nat. median
$12,916
0.7× median
549
MS_DRG 		Septic Arthritis With Cc 13 $8,565.08 $8,565.08 $8,565.08 nat. median
$12,849
0.7× median
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 13 $8,544.64 $8,544.64 $8,544.64 nat. median
$12,751
0.7× median
949
MS_DRG 		Aftercare With Cc/mcc 13 $8,453.27 $8,453.27 $8,453.27 nat. median
$12,475
0.7× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 13 $8,265.46 $8,265.46 $8,265.46 nat. median
$12,152
0.7× median
695
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms With Mcc 13 $8,160.04 $8,160.04 $8,160.04 nat. median
$12,068
0.7× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With 13 $8,046.97 $8,046.97 $8,046.97 nat. median
$12,148
0.7× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 13 $7,929.42 $7,929.42 $7,929.42 nat. median
$11,699
0.7× median
644
MS_DRG 		Endocrine Disorders With Cc 13 $7,401.09 $7,401.09 $7,401.09 nat. median
$11,068
0.7× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 13 $7,390.22 $7,390.22 $7,390.22 nat. median
$11,103
0.7× median
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections W 13 $7,375.52 $7,375.52 $7,375.52 nat. median
$11,087
0.7× median
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 13 $7,337.19 $7,337.19 $7,337.19 nat. median
$10,935
0.7× median
187
MS_DRG 		Pleural Effusion With Cc 13 $7,171.73 $7,171.73 $7,171.73 nat. median
$10,854
0.7× median
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 13 $7,118.07 $7,118.07 $7,118.07 nat. median
$10,712
0.7× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 13 $7,088.05 $7,088.05 $7,088.05 nat. median
$10,873
0.7× median
202
MS_DRG 		Bronchitis And Asthma With Cc/mcc 13 $7,057.37 $7,057.37 $7,057.37 nat. median
$10,377
0.7× median
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 13 $7,006.91 $7,006.91 $7,006.91 nat. median
$10,513
0.7× median
552
MS_DRG 		Medical Back Problems Without Mcc 13 $6,994.13 $6,994.13 $6,994.13 nat. median
$10,422
0.7× median
197
MS_DRG 		Interstitial Lung Disease With Cc 13 $6,916.18 $6,916.18 $6,916.18 nat. median
$10,548
0.7× median
206
MS_DRG 		Other Respiratory System Diagnoses Without Mcc 13 $6,865.08 $6,865.08 $6,865.08 nat. median
$10,000
0.7× median
394
MS_DRG 		Other Digestive System Diagnoses With Cc 13 $6,830.58 $6,830.58 $6,830.58 nat. median
$10,259
0.7× median
281
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Cc 13 $6,724.53 $6,724.53 $6,724.53 nat. median
$10,381
0.6× median
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 13 $6,718.77 $6,718.77 $6,718.77 nat. median
$9,870
0.7× median
607
MS_DRG 		Minor Skin Disorders Without Mcc 13 $6,643.39 $6,643.39 $6,643.39 nat. median
$9,674
0.7× median
638
MS_DRG 		Diabetes With Cc 13 $6,578.23 $6,578.23 $6,578.23 nat. median
$9,824
0.7× median

Other procedures at this hospital

Browse this hospital's 1,543 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
10061 HCPCS I&d Of Skin Abscess Multi 84 20 $405.00 $243.00 40% off $142.56 $469.89 $355.19 2026-03-31
10080 HCPCS I&d Of Pilonidal Cyst 40 20 $600.00 $360.00 40% off $349.65 $628.39 $628.39 2026-03-31
10121 HCPCS Fb Rem; Subq Tissue Compl 68 20 $2,314.00 $1,388.40 40% off $161.74 $1,479.34 $1,465.61 2026-03-31
10140 HCPCS Drainage Of Hematoma/fluid 54 20 $590.00 $354.00 40% off $133.55 $1,465.61 $377.19 2026-03-31
11000 HCPCS Debride Infected Skin 26 13 $570.00 $342.00 40% off $360.74 $360.74 $360.74 2026-03-31
11004 HCPCS Debride Genitalia & Perin 40 20 $3,084.00 $1,850.40 40% off $481.27 $481.27 $481.27 2026-03-31
11005 HCPCS Debride Abdom Wall 40 20 $3,275.00 $1,965.00 40% off $481.27 $481.27 $481.27 2026-03-31
11042 HCPCS Debridment Subq Tissue 1st 20cm Or Less 68 20 $760.00 $456.00 40% off $100.99 $468.30 $360.74 2026-03-31
11401 HCPCS IM B9 Trunk/arms/legs 0.6-1.0 Cm 11401 68 20 $112.00 $67.20 40% off $71.60 $360.74 $349.65 2026-03-31
11402 HCPCS Exc Tr-ext B9+marg 1.1-2 Cm 70 20 $1,341.00 $804.60 40% off $124.02 $628.39 $349.65 2026-03-31
11404 HCPCS Exc Tr-ext B9+marg 3.1-4 82 20 $623.00 $373.80 40% off $19.82 $1,465.61 $349.65 2026-03-31
11406 HCPCS Exc Tr-ext B9+marg > 4.0 54 20 $564.00 $338.40 40% off $253.78 $1,465.61 $360.57 2026-03-31
11424 HCPCS Exc H-f-nk-sp B9+marg 3.1 54 20 $692.00 $415.20 40% off $188.39 $1,465.61 $442.40 2026-03-31
11442 HCPCS IM B9 Face/ear/eye/nose/lop 1.1-1.2 Cm 54 20 $556.00 $333.60 40% off $152.22 $628.39 $355.45 2026-03-31
11444 HCPCS Exc Face-mm B9+marg 3.1-4 Cm 54 20 $1,040.00 $624.00 40% off $224.88 $1,465.61 $664.87 2026-03-31
11601 HCPCS Trunk/arms/legs 0.6-1.0 Cm 11601 68 20 $600.00 $360.00 40% off $159.82 $628.39 $468.30 2026-03-31
11646 HCPCS Exc F/e/e/n/l Mal+mrg Over 4 Cm 54 20 $795.00 $477.00 40% off $402.06 $2,577.61 $508.24 2026-03-31
11750 HCPCS Removal Of Nail Bed 11750 68 20 $760.00 $456.00 40% off $154.19 $360.74 $349.65 2026-03-31
11760 HCPCS Repair Of Nail Bed 26 13 $515.00 $309.00 40% off $655.85 $655.85 $655.85 2026-03-31
12005 HCPCS Lac Simple 12.6 - 20cm 40 20 $591.00 $354.60 40% off $360.74 $377.83 $360.74 2026-03-31
12006 HCPCS Lac Simple 20.1 - 30cm 40 20 $717.00 $430.20 40% off $360.74 $458.38 $360.74 2026-03-31
12016 HCPCS Lac Simple 12.6 - 20cm 40 20 $804.00 $482.40 40% off $360.74 $514.00 $360.74 2026-03-31
12017 HCPCS Lac Simple 20.1 - 30cm 40 20 $954.00 $572.40 40% off $360.74 $609.89 $360.74 2026-03-31
12020 HCPCS Wound Dehiscence; Simple 40 20 $801.00 $480.60 40% off $512.08 $655.85 $655.85 2026-03-31
12021 HCPCS Repair Wound Dehis; Simpl 40 20 $567.00 $340.20 40% off $360.74 $362.48 $360.74 2026-03-31
12031 HCPCS Lac Inter 2.5cm Or Less 68 20 $600.00 $360.00 40% off $191.79 $360.74 $349.65 2026-03-31
12032 HCPCS Lac Inter 2.6 - 7.5cm 68 20 $756.00 $453.60 40% off $159.19 $483.31 $360.74 2026-03-31
12034 HCPCS Lac Inter 7.6 - 12.5cm 40 20 $891.00 $534.60 40% off $360.74 $569.62 $360.74 2026-03-31
12035 HCPCS Lac Inter 12.6 - 20cm 40 20 $1,050.00 $630.00 40% off $360.74 $671.26 $360.74 2026-03-31
12036 HCPCS Lac Inter 20.1 - 30cm 40 20 $1,269.00 $761.40 40% off $655.85 $811.27 $655.85 2026-03-31
12037 HCPCS Lac Inter Over 30cm 40 20 $1,500.00 $900.00 40% off $958.95 $1,830.92 $1,830.92 2026-03-31
12041 HCPCS Lac Inter 2.5cm Or Less 68 20 $630.00 $378.00 40% off $205.49 $407.23 $360.74 2026-03-31
12042 HCPCS Lac Inter 2.6 - 7.5cm 40 20 $837.00 $502.20 40% off $360.74 $535.09 $360.74 2026-03-31
12044 HCPCS Lac Inter 7.6 - 12.5cm 40 20 $957.00 $574.20 40% off $611.81 $655.85 $655.85 2026-03-31
12045 HCPCS Lac Inter 12.6 - 20cm 40 20 $1,125.00 $675.00 40% off $655.85 $719.21 $655.85 2026-03-31
12046 HCPCS Lac Inter 20.1 - 30cm 40 20 $1,290.00 $774.00 40% off $655.85 $824.70 $655.85 2026-03-31
12047 HCPCS Lac Inter Over 30 Cm 40 20 $1,485.00 $891.00 40% off $949.36 $1,830.92 $1,830.92 2026-03-31
12051 HCPCS Lac Inter 2.5cm Or Less 68 20 $699.00 $419.40 40% off $210.97 $446.87 $360.74 2026-03-31
12052 HCPCS Lac Inter 2.6 - 5.0cm 40 20 $861.00 $516.60 40% off $360.74 $550.44 $360.74 2026-03-31
12053 HCPCS Lac Inter 5.1 - 7.5cm 40 20 $951.00 $570.60 40% off $360.74 $607.97 $360.74 2026-03-31
12054 HCPCS Lac Inter 7.6 - 12.5cm 40 20 $1,050.00 $630.00 40% off $360.74 $671.26 $360.74 2026-03-31
12055 HCPCS Lac Inter 12.6 - 20cm 40 20 $1,350.00 $810.00 40% off $360.74 $863.06 $360.74 2026-03-31
12056 HCPCS Lac Inter 20.1 - 30cm 40 20 $1,590.00 $954.00 40% off $360.74 $1,016.49 $360.74 2026-03-31
12057 HCPCS Lac Inter Over 30cm 40 20 $1,800.00 $1,080.00 40% off $360.74 $1,150.74 $360.74 2026-03-31
13100 HCPCS Lac Complex 1.1 - 2.5cm 68 20 $900.00 $540.00 40% off $239.74 $655.85 $575.37 2026-03-31
13101 HCPCS Lac Complex 2.6 - 7.5cm 40 20 $1,050.00 $630.00 40% off $655.85 $671.26 $655.85 2026-03-31
13120 HCPCS Lac Complex 1.1 - 2.5cm 40 20 $969.00 $581.40 40% off $360.74 $619.48 $360.74 2026-03-31
13121 HCPCS Lac Complex 2.6 - 7.5cm 40 20 $1,200.00 $720.00 40% off $360.74 $767.16 $360.74 2026-03-31
13131 HCPCS Lac Complex 1.1 - 2.5cm 40 20 $1,119.00 $671.40 40% off $360.74 $715.38 $360.74 2026-03-31
13132 HCPCS Lac Complex 2.6 - 7.5cm 40 20 $1,434.00 $860.40 40% off $360.74 $916.76 $360.74 2026-03-31
13133 HCPCS Lac Complex Ea Add'l 5cm 40 20 $657.00 $394.20 40% off $420.02 $420.02 $420.02 2026-03-31
13151 HCPCS Lac Complex 1.1 - 2.5cm 40 20 $1,302.00 $781.20 40% off $655.85 $832.37 $655.85 2026-03-31
13152 HCPCS Lac Complex 2.6 - 7.5cm 40 20 $1,602.00 $961.20 40% off $655.85 $1,024.16 $655.85 2026-03-31
13153 HCPCS Lac Complex Ea Add'l5 Cm 40 20 $714.00 $428.40 40% off $456.46 $456.46 $456.46 2026-03-31
13160 HCPCS Second Wound Dehiscence; Complex 40 20 $3,612.00 $2,167.20 40% off $2,309.15 $3,144.65 $3,144.65 2026-03-31
149 MS_DRG Dysequilibrium 26 13 $6,873.58 $4,124.15 40% off $5,654.45 $5,654.45 $5,654.45 2026-03-31
153 MS_DRG Otitis Media And Uri Without Mcc 26 13 $6,749.10 $4,049.46 40% off $5,568.84 $5,568.84 $5,568.84 2026-03-31
16030 HCPCS Dress Debrid P-thich Burn 1 40 20 $760.00 $456.00 40% off $360.74 $468.30 $360.74 2026-03-31
176 MS_DRG Pulmonary Embolism Without Mcc 26 13 $7,331.70 $4,399.02 40% off $5,995.60 $5,995.60 $5,995.60 2026-03-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 26 13 $14,421.00 $8,652.60 40% off $10,836.21 $10,836.21 $10,836.21 2026-03-31
178 MS_DRG Respiratory Infections And Inflammations With Cc 26 13 $8,791.03 $5,274.62 40% off $7,088.05 $7,088.05 $7,088.05 2026-03-31
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 26 13 $6,973.72 $4,184.23 40% off $5,676.16 $5,676.16 $5,676.16 2026-03-31
180 MS_DRG Respiratory Neoplasms With Mcc 26 13 $17,291.91 $10,375.15 40% off $12,135.00 $12,135.00 $12,135.00 2026-03-31
185 MS_DRG Major Chest Trauma Without Cc/mcc 26 13 $7,113.46 $4,268.08 40% off $5,877.41 $5,877.41 $5,877.41 2026-03-31
187 MS_DRG Pleural Effusion With Cc 26 13 $8,821.84 $5,293.10 40% off $7,171.73 $7,171.73 $7,171.73 2026-03-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 26 13 $10,736.98 $6,442.19 40% off $8,745.24 $8,745.24 $8,745.24 2026-03-31
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 26 13 $9,643.34 $5,786.00 40% off $7,929.42 $7,929.42 $7,929.42 2026-03-31
19000 HCPCS Drain Fluid From Breast Cyst 54 20 $575.00 $345.00 40% off $80.89 $628.39 $367.60 2026-03-31
19020 HCPCS Incision Of Breast Lesion 40 20 $2,886.00 $1,731.60 40% off $468.30 $1,465.61 $1,465.61 2026-03-31
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 26 13 $7,760.01 $4,656.01 40% off $6,238.37 $6,238.37 $6,238.37 2026-03-31
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 26 13 $6,076.90 $3,646.14 40% off $4,954.27 $4,954.27 $4,954.27 2026-03-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 26 13 $11,487.41 $6,892.45 40% off $9,249.94 $9,249.94 $9,249.94 2026-03-31
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 26 13 $7,486.06 $4,491.64 40% off $6,001.35 $6,001.35 $6,001.35 2026-03-31
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 26 13 $5,919.68 $3,551.81 40% off $4,868.01 $4,868.01 $4,868.01 2026-03-31
196 MS_DRG Interstitial Lung Disease With Mcc 26 13 $15,896.87 $9,538.12 40% off $12,909.30 $12,909.30 $12,909.30 2026-03-31
197 MS_DRG Interstitial Lung Disease With Cc 26 13 $8,876.71 $5,326.03 40% off $6,916.18 $6,916.18 $6,916.18 2026-03-31
199 MS_DRG Pneumothorax With Mcc 26 13 $15,037.39 $9,022.43 40% off $12,122.85 $12,122.85 $12,122.85 2026-03-31
20103 HCPCS Explore Wound Extremity 68 20 $2,022.00 $1,213.20 40% off $358.01 $1,465.61 $535.50 2026-03-31
202 MS_DRG Bronchitis And Asthma With Cc/mcc 26 13 $8,504.39 $5,102.63 40% off $7,057.37 $7,057.37 $7,057.37 2026-03-31
20206 HCPCS Needle Biopsy Muscle 54 20 $625.00 $375.00 40% off $183.12 $1,465.61 $399.56 2026-03-31
205 MS_DRG Other Respiratory System Diagnoses With Mcc 26 13 $15,226.11 $9,135.67 40% off $12,550.26 $12,550.26 $12,550.26 2026-03-31
20520 HCPCS Fb Rem: Muscle/tendon Sim 68 20 $652.00 $391.20 40% off $171.25 $1,465.61 $416.82 2026-03-31
20525 HCPCS Fb Rem: Muscle/tendon Dee 40 20 $3,178.00 $1,906.80 40% off $2,031.70 $2,577.61 $2,577.61 2026-03-31
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 26 13 $8,157.59 $4,894.55 40% off $6,865.08 $6,865.08 $6,865.08 2026-03-31
20606 HCPCS Artho Intermediate W/us Guidance 40 20 $575.00 $345.00 40% off $349.65 $626.39 $626.39 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Ho 26 13 $22,412.60 $13,447.56 40% off $18,413.03 $18,413.03 $18,413.03 2026-03-31
21555 HCPCS Exc Neck Les Sc < 3 Cm 54 20 $610.00 $366.00 40% off $342.69 $1,465.61 $389.97 2026-03-31
23330 HCPCS Foreign Body Removal - Shoulder 54 20 $561.00 $336.60 40% off $234.35 $1,465.61 $358.65 2026-03-31
23655 HCPCS Realign Dislocated Shoulder\requiring An 40 20 $800.00 $480.00 40% off $349.65 $1,426.91 $1,426.91 2026-03-31
24200 HCPCS Fb Rem: Upper Arm/elbow S 40 20 $652.00 $391.20 40% off $416.82 $1,465.61 $1,465.61 2026-03-31
24620 HCPCS Treat Elbow Fracture 40 20 $1,750.00 $1,050.00 40% off $468.30 $1,426.91 $1,426.91 2026-03-31
25505 HCPCS Treat Fracture Of Radius 40 20 $786.00 $471.60 40% off $502.49 $1,426.91 $1,426.91 2026-03-31
25605 HCPCS Treat Fracture Radius/ulna 54 20 $985.00 $591.00 40% off $442.73 $1,426.91 $629.71 2026-03-31
26045 HCPCS Rels Dupuytren's Contract 40 20 $2,962.00 $1,777.20 40% off $535.50 $2,903.53 $2,903.53 2026-03-31
27301 HCPCS Drain Thigh/knee Lesion 54 20 $715.00 $429.00 40% off $457.10 $2,577.61 $535.98 2026-03-31
27347 HCPCS Remove Knee Cyst 54 20 $1,346.00 $807.60 40% off $428.82 $2,903.53 $860.50 2026-03-31
27892 HCPCS Decompression Of Leg With Debridement 40 20 $5,205.00 $3,123.00 40% off $535.50 $2,903.53 $2,903.53 2026-03-31
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 26 13 $6,912.17 $4,147.30 40% off $11,100.70 $11,100.70 $11,100.70 2026-03-31
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 26 13 $8,153.64 $4,892.18 40% off $6,724.53 $6,724.53 $6,724.53 2026-03-31
28190 HCPCS Fb Rem; Foot Subcutaneous 68 20 $1,203.00 $721.80 40% off $170.69 $769.08 $628.39 2026-03-31
28820 HCPCS Amputation Of Toe 40 20 $3,408.00 $2,044.80 40% off $468.30 $2,903.53 $2,903.53 2026-03-31
291 MS_DRG Heart Failure And Shock With Mcc 26 13 $11,300.18 $6,780.11 40% off $9,054.44 $9,054.44 $9,054.44 2026-03-31
292 MS_DRG Heart Failure And Shock With Cc 26 13 $7,708.34 $4,625.00 40% off $6,276.69 $6,276.69 $6,276.69 2026-03-31
299 MS_DRG Peripheral Vascular Disorders With Mcc 26 13 $13,552.81 $8,131.69 40% off $11,283.41 $11,283.41 $11,283.41 2026-03-31
303 MS_DRG Atherosclerosis Without Mcc 26 13 $6,184.28 $3,710.57 40% off $5,153.58 $5,153.58 $5,153.58 2026-03-31
305 MS_DRG Hypertension Without Mcc 26 13 $6,782.93 $4,069.76 40% off $5,676.81 $5,676.81 $5,676.81 2026-03-31
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 26 13 $10,500.56 $6,300.34 40% off $8,544.64 $8,544.64 $8,544.64 2026-03-31
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 26 13 $6,693.92 $4,016.35 40% off $5,552.88 $5,552.88 $5,552.88 2026-03-31
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 26 13 $5,344.58 $3,206.75 40% off $4,469.37 $4,469.37 $4,469.37 2026-03-31
311 MS_DRG Angina Pectoris 26 13 $6,459.82 $3,875.89 40% off $5,336.93 $5,336.93 $5,336.93 2026-03-31
312 MS_DRG Syncope And Collapse 26 13 $7,763.49 $4,658.09 40% off $6,421.08 $6,421.08 $6,421.08 2026-03-31
313 MS_DRG Chest Pain 26 13 $6,660.82 $3,996.49 40% off $5,452.57 $5,452.57 $5,452.57 2026-03-31
315 MS_DRG Other Circulatory System Diagnoses With Cc 26 13 $8,637.13 $5,182.28 40% off $7,006.91 $7,006.91 $7,006.91 2026-03-31
32551 HCPCS Chest Tube Insertion 40 20 $500.00 $300.00 40% off $319.65 $1,396.88 $1,396.88 2026-03-31
32557 HCPCS US Thoracentesis; Pleural Drainage W Ima 40 20 $765.00 $459.00 40% off $489.06 $1,396.88 $1,396.88 2026-03-31
36425 HCPCS Venipuncture Cutdown Over 40 20 $135.00 $81.00 40% off $86.31 $396.42 $396.42 2026-03-31
36430 HCPCS .transfusion; Blood 58 20 $489.00 $293.40 40% off $265.95 $391.49 $391.49 2026-03-31
36556 HCPCS Catheter Insertion Into Vein 40 20 $2,600.00 $1,560.00 40% off $349.65 $2,801.91 $2,801.91 2026-03-31
36561 HCPCS Vascular Device Placemnt 40 20 $975.00 $585.00 40% off $535.50 $2,801.91 $2,801.91 2026-03-31
36569 HCPCS Picc Over Age 5 40 20 $1,532.00 $919.20 40% off $349.65 $1,396.88 $1,396.88 2026-03-31
36680 HCPCS Intraosseous Infusion 40 20 $209.00 $125.40 40% off $133.61 $396.42 $396.42 2026-03-31
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections W 26 13 $9,232.10 $5,539.26 40% off $7,375.52 $7,375.52 $7,375.52 2026-03-31
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections W 26 13 $9,232.10 $5,539.26 40% off $5,499.84 $5,499.84 $5,499.84 2026-03-31
375 MS_DRG Digestive Malignancy With Cc 26 13 $10,469.63 $6,281.78 40% off $8,580.41 $8,580.41 $8,580.41 2026-03-31
37609 HCPCS Biospy Of Temporal Artery 40 20 $586.00 $351.60 40% off $468.30 $1,465.61 $1,465.61 2026-03-31
378 MS_DRG Gastrointestinal Hemorrhage With Cc 26 13 $8,768.03 $5,260.82 40% off $7,118.07 $7,118.07 $7,118.07 2026-03-31
380 MS_DRG Complicated Peptic Ulcer With Mcc 26 13 $6,931.47 $4,158.88 40% off $13,388.44 $13,388.44 $13,388.44 2026-03-31
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 26 13 $7,859.66 $4,715.80 40% off $6,313.75 $6,313.75 $6,313.75 2026-03-31
388 MS_DRG Gastrointestinal Obstruction With Mcc 26 13 $12,485.44 $7,491.26 40% off $10,287.43 $10,287.43 $10,287.43 2026-03-31
389 MS_DRG Gastrointestinal Obstruction With Cc 26 13 $7,281.39 $4,368.83 40% off $5,898.49 $5,898.49 $5,898.49 2026-03-31
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Dis 26 13 $7,149.49 $4,289.69 40% off $5,833.33 $5,833.33 $5,833.33 2026-03-31
394 MS_DRG Other Digestive System Diagnoses With Cc 26 13 $8,328.80 $4,997.28 40% off $6,830.58 $6,830.58 $6,830.58 2026-03-31
40650 HCPCS Repair Lip Fth Vermillion Only 40 20 $1,050.00 $630.00 40% off $478.59 $535.50 $478.59 2026-03-31
42809 HCPCS Fb Removal; Pharynx 40 20 $233.00 $139.80 40% off $148.96 $396.42 $396.42 2026-03-31
42821 HCPCS T&a Over 12 Year Old 40 20 $2,000.00 $1,200.00 40% off $752.85 $2,942.10 $2,942.10 2026-03-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 26 13 $16,142.01 $9,685.21 40% off $13,426.78 $13,426.78 $13,426.78 2026-03-31
43235 HCPCS Egd Diagnostic 40 20 $1,303.00 $781.80 40% off $349.65 $804.84 $804.84 2026-03-31
43239 HCPCS Egd W/biopsy 40 20 $1,542.00 $925.20 40% off $468.30 $804.84 $804.84 2026-03-31
43250 HCPCS Gastro W/polyp Removal Rm 40 20 $2,135.00 $1,281.00 40% off $468.30 $1,702.81 $1,702.81 2026-03-31
43752 HCPCS Nasal-orogastric W/tube Plmt 26 13 $755.00 $453.00 40% off $396.42 $396.42 $396.42 2026-03-31
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 26 13 $5,809.56 $3,485.74 40% off $4,822.66 $4,822.66 $4,822.66 2026-03-31
44950 HCPCS Appendectomy 40 20 $4,223.00 $2,533.80 40% off $1,405.95 $5,744.78 $5,744.78 2026-03-31
45330 HCPCS Sigmoidoscopy Wo Biopsy 40 20 $1,338.00 $802.80 40% off $349.65 $825.23 $825.23 2026-03-31
45331 HCPCS Sigmoidoscopy W Biopsy 40 20 $1,235.00 $741.00 40% off $349.65 $825.23 $825.23 2026-03-31
45378 HCPCS Colonoscopy 40 20 $1,246.00 $747.60 40% off $468.30 $825.23 $825.23 2026-03-31
45380 HCPCS Colonoscopy With Biopsy 40 20 $1,445.00 $867.00 40% off $468.30 $1,061.88 $1,061.88 2026-03-31
45384 HCPCS Colonoscopy By Hot Biopsy 40 20 $1,445.00 $867.00 40% off $468.30 $1,061.88 $1,061.88 2026-03-31
45385 HCPCS Colonoscopy-biopsy By Sna 40 20 $1,445.00 $867.00 40% off $468.30 $1,061.88 $1,061.88 2026-03-31
46040 HCPCS Incision Of Rectal Abscess 68 20 $2,250.00 $1,350.00 40% off $438.96 $1,061.88 $952.88 2026-03-31
46050 HCPCS Incision Of Anal Abscess 40 20 $1,825.00 $1,095.00 40% off $349.65 $825.23 $825.23 2026-03-31
47562 HCPCS Lap Chole 40 20 $3,304.00 $1,982.40 40% off $535.50 $5,364.73 $5,364.73 2026-03-31
47563 HCPCS Lap Chole W/cholangiogram 40 20 $6,955.00 $4,173.00 40% off $535.50 $5,364.73 $5,364.73 2026-03-31
49060 HCPCS Drain Open Retroperi Abscess 54 20 $2,150.00 $1,290.00 40% off $892.23 $1,374.50 $1,374.50 2026-03-31
49082 HCPCS US Abdominal Paracentesis 40 20 $600.00 $360.00 40% off $383.58 $804.84 $804.84 2026-03-31
49083 HCPCS Abd Paracentesis W/imagin 26 13 $850.00 $510.00 40% off $804.84 $804.84 $804.84 2026-03-31
49505 HCPCS Prp I/hern Init Reduc >5 40 20 $5,082.00 $3,049.20 40% off $661.50 $3,177.20 $3,177.20 2026-03-31
49520 HCPCS Rerepair Ing Hernia Reduce 40 20 $5,727.00 $3,436.20 40% off $1,044.75 $3,177.20 $3,177.20 2026-03-31
51040 HCPCS Incise & Drain Bladder 40 20 $3,881.00 $2,328.60 40% off $661.50 $1,854.98 $1,854.98 2026-03-31
52265 HCPCS Urethral Dilatat W/cysto 40 20 $1,095.00 $657.00 40% off $468.30 $1,854.98 $1,854.98 2026-03-31
533 MS_DRG Fractures Of Femur With Mcc 26 13 $25,561.78 $15,337.07 40% off $10,868.15 $10,868.15 $10,868.15 2026-03-31
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 26 13 $7,377.17 $4,426.30 40% off $6,012.20 $6,012.20 $6,012.20 2026-03-31
539 MS_DRG Osteomyelitis With Mcc 26 13 $13,177.69 $7,906.61 40% off $13,436.35 $13,436.35 $13,436.35 2026-03-31
540 MS_DRG Osteomyelitis With Cc 26 13 $26,538.80 $15,923.28 40% off $9,134.30 $9,134.30 $9,134.30 2026-03-31
541 MS_DRG Osteomyelitis Without Cc/mcc 26 13 $7,769.28 $4,661.57 40% off $5,883.16 $5,883.16 $5,883.16 2026-03-31
54115 HCPCS Treatment Of Penis Lesion 40 20 $3,881.00 $2,328.60 40% off $349.65 $2,577.61 $2,577.61 2026-03-31
54150 HCPCS Circumcision W/regionl Block 56 20 $570.00 $342.00 40% off $137.82 $1,854.98 $1,109.69 2026-03-31
54160 HCPCS Circumcision Neonate 54 20 $570.00 $342.00 40% off $190.26 $618.77 $364.40 2026-03-31
54161 HCPCS Circumcision(over 3y 40 20 $4,455.06 $2,673.04 40% off $468.30 $1,854.98 $1,854.98 2026-03-31
54162 HCPCS Excision Post-circumcision Adhesions 54 20 $600.00 $360.00 40% off $221.79 $1,854.98 $383.58 2026-03-31
54163 HCPCS Repair Incomplete Circumcision 54 20 $650.00 $390.00 40% off $181.47 $1,854.98 $415.54 2026-03-31
54164 HCPCS Surgical Removal Frenulum 54 20 $570.00 $342.00 40% off $159.38 $1,854.98 $364.40 2026-03-31
54700 HCPCS Drainage Of Scrotum 40 20 $5,415.00 $3,249.00 40% off $468.30 $1,854.98 $1,854.98 2026-03-31
549 MS_DRG Septic Arthritis With Cc 26 13 $5,746.44 $3,447.86 40% off $8,565.08 $8,565.08 $8,565.08 2026-03-31
551 MS_DRG Medical Back Problems With Mcc 26 13 $14,345.15 $8,607.09 40% off $11,560.67 $11,560.67 $11,560.67 2026-03-31
55100 HCPCS Drainage Of Scrotum Abscess 68 20 $3,090.00 $1,854.00 40% off $147.04 $1,465.61 $349.65 2026-03-31
552 MS_DRG Medical Back Problems Without Mcc 26 13 $8,591.64 $5,154.98 40% off $6,994.13 $6,994.13 $6,994.13 2026-03-31
55250 HCPCS Vasectomy 40 20 $2,352.00 $1,411.20 40% off $468.30 $1,854.98 $1,854.98 2026-03-31
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 26 13 $7,482.88 $4,489.73 40% off $6,155.94 $6,155.94 $6,155.94 2026-03-31
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 26 13 $7,880.95 $4,728.57 40% off $6,559.05 $6,559.05 $6,559.05 2026-03-31
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With 26 13 $9,880.59 $5,928.35 40% off $8,046.97 $8,046.97 $8,046.97 2026-03-31
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, 26 13 $8,016.52 $4,809.91 40% off $6,573.77 $6,573.77 $6,573.77 2026-03-31
56605 HCPCS Biopsy Of Vulva Perineum 54 20 $1,535.00 $921.00 40% off $76.76 $981.33 $817.33 2026-03-31
58340 HCPCS Catheter For Hysterograph 40 20 $167.00 $100.20 40% off $468.30 $468.30 $468.30 2026-03-31
58555 HCPCS Hysteroscopy Dx Sep Proc 40 20 $3,549.00 $2,129.40 40% off $349.65 $2,872.59 $2,872.59 2026-03-31
58558 HCPCS Hysterscopy; Biopsey 40 20 $3,353.00 $2,011.80 40% off $535.50 $2,872.59 $2,872.59 2026-03-31
58600 HCPCS Tubal Ligation 40 20 $3,144.00 $1,886.40 40% off $535.50 $2,872.59 $2,872.59 2026-03-31
58720 HCPCS Salingo-oophorectomy 40 20 $6,607.00 $3,964.20 40% off $679.83 $679.83 $679.83 2026-03-31
59409 HCPCS Vaginal Delivery 40 20 $2,284.00 $1,370.40 40% off $1,460.16 $2,872.59 $2,872.59 2026-03-31
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 26 13 $5,950.65 $3,570.39 40% off $4,717.89 $4,717.89 $4,717.89 2026-03-31
602 MS_DRG Cellulitis With Mcc 26 13 $12,606.00 $7,563.60 40% off $9,932.87 $9,932.87 $9,932.87 2026-03-31
603 MS_DRG Cellulitis Without Mcc 26 13 $7,930.60 $4,758.36 40% off $6,416.60 $6,416.60 $6,416.60 2026-03-31
607 MS_DRG Minor Skin Disorders Without Mcc 26 13 $8,051.69 $4,831.01 40% off $6,643.39 $6,643.39 $6,643.39 2026-03-31
638 MS_DRG Diabetes With Cc 26 13 $8,098.49 $4,859.09 40% off $6,578.23 $6,578.23 $6,578.23 2026-03-31
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And 26 13 $7,142.84 $4,285.70 40% off $5,824.38 $5,824.38 $5,824.38 2026-03-31
644 MS_DRG Endocrine Disorders With Cc 26 13 $9,325.70 $5,595.42 40% off $7,401.09 $7,401.09 $7,401.09 2026-03-31
64420 HCPCS Njx Aa Strd Ntrcost Nrv 1 40 20 $1,318.00 $790.80 40% off $349.65 $626.39 $626.39 2026-03-31
64421 HCPCS Njx Aa Strd Ntrcost Nrv Ea Add 40 20 $1,737.00 $1,042.20 40% off $349.65 $784.87 $784.87 2026-03-31
64450 HCPCS Inject Nerve For Pain Control 40 20 $1,302.00 $781.20 40% off $626.39 $832.37 $626.39 2026-03-31
645 MS_DRG Endocrine Disorders Without Cc/mcc 26 13 $7,001.60 $4,200.96 40% off $5,761.14 $5,761.14 $5,761.14 2026-03-31
64721 HCPCS Carpal Tunnel Release O/r 40 20 $2,912.00 $1,747.20 40% off $468.30 $1,732.83 $1,732.83 2026-03-31
682 MS_DRG Renal Failure With Mcc 26 13 $12,786.65 $7,671.99 40% off $10,314.26 $10,314.26 $10,314.26 2026-03-31
683 MS_DRG Renal Failure With Cc 26 13 $8,109.59 $4,865.75 40% off $6,447.90 $6,447.90 $6,447.90 2026-03-31
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 26 13 $15,755.09 $9,453.05 40% off $12,375.85 $12,375.85 $12,375.85 2026-03-31
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 26 13 $10,214.00 $6,128.40 40% off $8,265.46 $8,265.46 $8,265.46 2026-03-31
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 26 13 $7,317.38 $4,390.43 40% off $6,024.34 $6,024.34 $6,024.34 2026-03-31
69000 HCPCS Drain External Ear Lesion 68 20 $1,341.00 $804.60 40% off $127.86 $628.39 $349.65 2026-03-31
69145 HCPCS Remove Ear Canal Lesion 54 20 $415.00 $249.00 40% off $265.31 $2,577.61 $319.58 2026-03-31
694 MS_DRG Urinary Stones Without Mcc 26 13 $7,172.71 $4,303.63 40% off $5,846.75 $5,846.75 $5,846.75 2026-03-31
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 26 13 $10,384.24 $6,230.54 40% off $8,160.04 $8,160.04 $8,160.04 2026-03-31
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 26 13 $9,003.33 $5,402.00 40% off $7,337.19 $7,337.19 $7,337.19 2026-03-31
70543 HCPCS MRI Soft Tissue Neck W/wo 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
70552 HCPCS MRI Brain With 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
70553 HCPCS MRI Brain W/wo 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
72131 HCPCS CT Sacrum Coccyx Without 54 20 $1,102.00 $661.20 40% off $92.78 $704.51 $402.76 2026-03-31
72132 HCPCS CT L-spine With 40 20 $995.00 $597.00 40% off $309.58 $636.10 $309.58 2026-03-31
72142 HCPCS MRI C-spine With 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
72149 HCPCS MRI Lumbar With 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
72156 HCPCS MRI C-spine W/wo 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
72157 HCPCS MRI T Spine W/wo 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
72158 HCPCS MRI Lumbar W/wo 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
72197 HCPCS MRI Pelvis W/wo 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 26 13 $6,718.36 $4,031.02 40% off $5,465.35 $5,465.35 $5,465.35 2026-03-31
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 26 13 $7,426.42 $4,455.85 40% off $6,035.19 $6,035.19 $6,035.19 2026-03-31
73201 HCPCS CT Elbow Rt With 40 20 $995.00 $597.00 40% off $309.58 $636.10 $309.58 2026-03-31
73220 HCPCS MRI Hand Lt W/WO,Left Side (Used To Identify Procedures Performed On The Left Si… 80 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
73222 HCPCS MRI Joint Upr Extrem With 40 20 $1,433.00 $859.80 40% off $695.64 $916.12 $695.64 2026-03-31
73223 HCPCS MRI Elbow Rt W/WO,Right Side (Used To Identify Procedures Performed On The Right… 80 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
73719 HCPCS MRI Lower Extremity With 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
73720 HCPCS MRI Femur Rt W/WO,Right Side (Used To Identify Procedures Performed On The Right… 80 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
73722 HCPCS MRI Joint Lwr Extr With 40 20 $1,433.00 $859.80 40% off $695.64 $916.12 $695.64 2026-03-31
73723 HCPCS MRI Ankle Rt W/WO,Right Side (Used To Identify Procedures Performed On The Right… 80 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
74174 HCPCS CTA Abdomen/pelvis With 40 20 $2,975.00 $1,785.00 40% off $309.58 $1,901.92 $309.58 2026-03-31
74175 HCPCS CTA Abdomen With 54 20 $2,000.00 $1,200.00 40% off $155.64 $1,310.56 $1,278.60 2026-03-31
74177 HCPCS CT Abd/pel With IV Only 40 20 $995.00 $597.00 40% off $309.58 $636.10 $309.58 2026-03-31
74178 HCPCS CT Hematuria Protocol 40 20 $1,102.00 $661.20 40% off $309.58 $704.51 $309.58 2026-03-31
74183 HCPCS MRI Abdomen W/wo 40 20 $1,433.00 $859.80 40% off $309.58 $916.12 $309.58 2026-03-31
77001 HCPCS Xr Insert Guideance For Pac 40 20 $1,055.00 $633.00 40% off $674.46 $674.46 $674.46 2026-03-31
78013 HCPCS Tc-99 M Thyroid Scan 40 20 $696.00 $417.60 40% off $354.75 $444.95 $354.75 2026-03-31
78070 HCPCS Nm Parathyroid Scan 40 20 $841.00 $504.60 40% off $354.75 $537.65 $354.75 2026-03-31
78216 HCPCS Nm Liver/spleen Scan 40 20 $916.00 $549.60 40% off $354.75 $585.60 $354.75 2026-03-31
78227 HCPCS Nm Hepatobiliary (hida) 40 20 $1,088.00 $652.80 40% off $481.83 $695.56 $481.83 2026-03-31
78264 HCPCS Nm Gastric Emptying 40 20 $1,147.00 $688.20 40% off $354.75 $733.28 $354.75 2026-03-31
78300 HCPCS Nm Bone Scan Limited 40 20 $1,088.00 $652.80 40% off $354.75 $695.56 $354.75 2026-03-31
78306 HCPCS Nm Bone Scan-whole Body 40 20 $1,237.00 $742.20 40% off $354.75 $790.81 $354.75 2026-03-31
78315 HCPCS Nm Bone Scan 3 Phase 40 20 $1,285.00 $771.00 40% off $354.75 $821.50 $354.75 2026-03-31
78452 HCPCS Nm Myocardial Stress/rest 42 20 $3,159.00 $1,895.40 40% off $1,148.85 $2,019.55 $1,148.85 2026-03-31
78597 HCPCS Nm Lung Scan Perfusion 40 20 $828.00 $496.80 40% off $354.75 $529.34 $354.75 2026-03-31
78598 HCPCS Nm Lung Perfus/ventilat 40 20 $1,385.00 $831.00 40% off $481.83 $885.43 $481.83 2026-03-31
78707 HCPCS Nm Renal Scan 40 20 $1,281.00 $768.60 40% off $481.83 $818.94 $481.83 2026-03-31
78709 HCPCS Nm Renal Scan Multiple Studies 40 20 $2,065.00 $1,239.00 40% off $481.83 $1,320.15 $481.83 2026-03-31
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickl 26 13 $8,132.32 $4,879.39 40% off $8,940.07 $8,940.07 $8,940.07 2026-03-31
811 MS_DRG Red Blood Cell Disorders With Mcc 26 13 $12,098.25 $7,258.95 40% off $9,824.26 $9,824.26 $9,824.26 2026-03-31
812 MS_DRG Red Blood Cell Disorders Without Mcc 26 13 $8,108.79 $4,865.27 40% off $6,718.77 $6,718.77 $6,718.77 2026-03-31
81223 HCPCS Cystic Fibrosis GeneSeq Plus 40 20 $835.00 $501.00 40% off $489.02 $533.82 $489.02 2026-03-31
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/mcc 26 13 $6,555.19 $3,933.11 40% off $4,890.38 $4,890.38 $4,890.38 2026-03-31
866 MS_DRG Viral Illness Without Mcc 26 13 $7,964.15 $4,778.49 40% off $6,408.29 $6,408.29 $6,408.29 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 26 13 $16,521.07 $9,912.64 40% off $13,262.58 $13,262.58 $13,262.58 2026-03-31
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 26 13 $9,133.71 $5,480.23 40% off $7,390.22 $7,390.22 $7,390.22 2026-03-31
87507 HCPCS Gi Profile, Stool 42 20 $450.00 $270.00 40% off $408.44 $416.78 $408.44 2026-03-31
87633 HCPCS Resp Virus 12-25 Targets 40 20 $500.00 $300.00 40% off $408.44 $416.78 $408.44 2026-03-31
90380 HCPCS Vfc Nirsevimab-alip 50mg/0.5ml Rsv Vac 14 7 $600.00 $360.00 40% off $383.58 $383.58 $383.58 2026-03-31
90670 HCPCS Vac - Pneumococcal 13-valent Vaccine 40 20 $587.00 $352.20 40% off $375.27 $375.27 $375.27 2026-03-31
90675 HCPCS Vac - Rabies Vaccinne Absorb [2.5iu] 40 20 $354.00 $212.40 40% off $226.31 $313.36 $313.36 2026-03-31
92953 HCPCS Temp External Pacing 40 20 $352.00 $211.20 40% off $225.03 $586.51 $586.51 2026-03-31
92960 HCPCS Cardioversion-external 40 20 $799.00 $479.40 40% off $510.80 $586.51 $586.51 2026-03-31
93306 HCPCS Echo Comp- INTERPERTATION,Professional Component 98 20 $80.00 $48.00 40% off $51.14 $484.88 $484.88 2026-03-31
93351 HCPCS Echo Stress- INTERPERTATION,Professional Component 94 20 $165.00 $99.00 40% off $105.48 $691.08 $484.88 2026-03-31
94002 HCPCS Vent Init Setup -first Day 40 20 $608.00 $364.80 40% off $388.69 $548.22 $548.22 2026-03-31
94003 HCPCS Vent Mgmt Subsequent 40 20 $442.00 $265.20 40% off $282.57 $548.22 $548.22 2026-03-31
94060 HCPCS Spirometry Pre And Post 40 20 $250.00 $150.00 40% off $159.82 $331.13 $331.13 2026-03-31
947 MS_DRG Signs And Symptoms With Mcc 26 13 $10,822.46 $6,493.48 40% off $8,962.43 $8,962.43 $8,962.43 2026-03-31
948 MS_DRG Signs And Symptoms Without Mcc 26 13 $7,270.86 $4,362.52 40% off $5,966.85 $5,966.85 $5,966.85 2026-03-31
949 MS_DRG Aftercare With Cc/mcc 26 13 $9,474.05 $5,684.43 40% off $8,453.27 $8,453.27 $8,453.27 2026-03-31
950 MS_DRG Aftercare Without Cc/mcc 26 13 $5,591.60 $3,354.96 40% off $4,862.91 $4,862.91 $4,862.91 2026-03-31
98015 HCPCS Synch Audio-only Est High 40 40 20 $520.00 $312.00 40% off $332.44 $332.44 $332.44 2026-03-31
99284 HCPCS Level 4 O/p ER * 54 20 $421.00 $252.60 40% off $269.15 $1,759.99 $370.27 2026-03-31
99285 HCPCS ER Procedure Level 5 54 20 $3,524.00 $2,114.40 40% off $400.20 $2,252.89 $528.46 2026-03-31
99291 HCPCS Crit Care-30 To 74 Min * 40 20 $935.00 $561.00 40% off $597.75 $733.01 $733.01 2026-03-31
A0426 HCPCS Amb Als Level 1 Non-emerg 40 20 $675.00 $405.00 40% off $313.85 $431.53 $313.85 2026-03-31
A0427 HCPCS Amb Als-level 1 Emergency 40 20 $1,069.00 $641.40 40% off $496.94 $683.41 $496.94 2026-03-31
A0429 HCPCS Amb Bls -emergency 40 20 $899.00 $539.40 40% off $418.48 $574.73 $418.48 2026-03-31
A0433 HCPCS Amb Als-level 2 Emergency 40 20 $1,547.00 $928.20 40% off $719.26 $989.00 $719.26 2026-03-31
A0434 HCPCS Amb-special Care Transprt 40 20 $1,826.00 $1,095.60 40% off $850.03 $1,167.36 $850.03 2026-03-31
A9562 HCPCS Mag 3 40 20 $850.00 $510.00 40% off $543.40 $543.40 $543.40 2026-03-31
C1785 HCPCS Pmkr Dual Rate-resp 40 20 $5,397.00 $3,238.20 40% off $3,450.30 $3,450.30 $3,450.30 2026-03-31
C1788 HCPCS Access Port Single 40 20 $1,273.00 $763.80 40% off $813.83 $813.83 $813.83 2026-03-31
G0278 HCPCS Xr Iliac Artery Angio Cardia 40 20 $1,432.00 $859.20 40% off $915.48 $915.48 $915.48 2026-03-31
G0379 HCPCS Obs -direct Admit 40 20 $400.00 $240.00 40% off $255.72 $528.46 $528.46 2026-03-31
J0139 HCPCS Adalimumab (humira) 40mg Inj 40 20 $4,120.00 $2,472.00 40% off $2,633.92 $2,633.92 $2,633.92 2026-03-31
J0630 HCPCS Calcitonin (salmon) Inj [200iu] 40 20 $1,374.00 $824.40 40% off $878.40 $878.40 $878.40 2026-03-31
J0840 HCPCS Antivenin- Crotalidae Fab Inj 40 20 $3,381.00 $2,028.60 40% off $1,789.99 $2,161.47 $1,789.99 2026-03-31
J0897 HCPCS Xgeva 120mg Injection 40 20 $2,500.00 $1,500.00 40% off $1,598.25 $3,464.14 $3,464.14 2026-03-31
J1410 HCPCS Conjugated Estrogens Inj 25mg 40 20 $454.00 $272.40 40% off $290.24 $383.92 $383.92 2026-03-31
J1439 HCPCS Ferric Carboxy (injectafer) 750mg/15ml 40 20 $1,671.00 $1,002.60 40% off $819.52 $1,068.27 $819.52 2026-03-31
J1568 HCPCS Octagam Immune Globulin 40 20 $500.00 $300.00 40% off $319.65 $1,857.49 $1,857.49 2026-03-31
J1670 HCPCS Tetanus Immune Globu Inj Nf 26 13 — — $576.77 $576.77 $576.77 2026-03-31
J2690 HCPCS Procainamide Hcl 1000mg/10ml 40 20 $35.00 $21.00 40% off $22.38 $337.64 $337.64 2026-03-31
J2760 HCPCS Phentolamine Inj [5mg] 40 20 $618.00 $370.80 40% off $395.09 $412.15 $412.15 2026-03-31
J2997 HCPCS Activase (alteplase) 50mg Vial 146 20 $6,075.00 $3,645.00 40% off $91.95 $9,195.54 $3,883.75 2026-03-31
J3262 HCPCS Tocilizumab (actemra) 400mg/20ml Inj 40 20 $500.00 $300.00 40% off $319.65 $2,198.73 $2,198.73 2026-03-31
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