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

SLEEPY EYE MEDICAL CENTER

Sleepy Eye, MN · CCN 241327 · Rates published

1,712 distinct procedures filed
26 distinct payers
149,896 rate rows
2026-03-31 last MRF observed
Data quality

148,094 of 149,896 rate rows are consumer-grade (98.8%)

1,802 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
placeholder amount (≤ $0.02) — excluded from medians 948
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 591
per-diem day rate — not a per-procedure price 136
exceeds 10× this hospital's gross charge — excluded from medians 127
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://semedicalcenter.org/wp-content/uploads/2026/04/416005545_city-of-sleepy-eye_standardcharges.csv
Found on page https://semedicalcenter.org/patients/billing-and-financial-assistance/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint bbd59ede586c860b… · 31,666,221 bytes · first seen 2026-05-18

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
Q5123
HCPCS 		Rituximab-arrx 500mg Vial,340b Drug Pricing Program Discount 26 $10,239.04 $69,539.30 $31,421.84 nat. median
$753
outlier · 41.8×
Q5119
HCPCS 		Ruxience (rituximab)500mg/50ml,340b Drug Pricing Program Discount 26 $6,502.30 $69,539.30 $31,421.84 nat. median
$933
outlier · 33.7×
J3380
HCPCS 		Entyvio 300mg,340b Drug Pricing Program Discount 26 $4,962.75 $21,799.59 $9,850.31 nat. median
$280
outlier · 35.1×
J3101
HCPCS 		Tenecteplase Inj [50 Mg],340b Drug Pricing Program Discount 26 $6,200.64 $19,316.10 $9,161.63 nat. median
$5,957
1.5× median
J0717
HCPCS 		Cimzia 200mg/ml Pfs 2 Pack,340b Drug Pricing Program Discount 26 $5.97 $13,966.74 $6,310.96 nat. median
$1,372
outlier · 4.6×
J0517
HCPCS 		Fasenra 30mg Prefilled Syringe 26 $126.66 $13,612.01 $6,150.68 nat. median
$914
outlier · 6.7×
59510
HCPCS 		Antepartum, Cesarean, Postpart 26 $1,352.65 $14,492.77 $6,149.72 nat. median
$3,677
1.7× median
J9217
HCPCS 		Lupron 22.5mg 25 $144.93 $15,862.22 $5,375.59 nat. median
$1,521
outlier · 3.5×
49505
HCPCS 		Repair Inguinal Hernia 26 $351.53 $12,444.13 $4,944.09 nat. median
$3,829
1.3× median
J7169
HCPCS 		Andexxa 200mg Vial 24 $2,410.80 $38,938.50 $3,811.20 nat. median
$280
outlier · 13.6×
47562
HCPCS 		Laparoscopic Cholecystectomy 26 $440.68 $8,623.30 $3,659.12 nat. median
$5,956
0.6× median
90378
HCPCS 		Synagis (palivizumab)50mg/.5ml,340b Drug Pricing Program Discount 25 $1,338.68 $8,003.47 $3,616.42 nat. median
$1,994
1.8× median
47600
HCPCS 		Cholecystectomy 26 $710.07 $8,153.82 $3,459.91 nat. median
$2,752
1.3× median
59400
HCPCS 		Total Obstetric Care 26 $1,352.65 $7,755.15 $3,355.35 nat. median
$3,198
1.0× median
0720
RC 		25 $479.69 $11,416.90 $3,293.83 nat. median
$1,188
outlier · 2.8×
J1306
HCPCS 		Leqvio 284 Mg/1.5ml Syringe,340b Drug Pricing Program Discount 25 $14.07 $6,626.26 $2,994.13 nat. median
$57
outlier · 53.0×
44120
HCPCS 		Enterectomy, Resec Of Small In 26 $804.79 $6,892.82 $2,924.83 nat. median
$3,012
1.0× median
95811
HCPCS 		Sleep Study W/pap Titrate 26 $632.06 $6,244.86 $2,821.77 nat. median
$2,026
1.4× median
J3111
HCPCS 		Evenity 105mg/1.17mls (2) Inj,340b Drug Pricing Program Discount 26 $20.53 $6,120.12 $2,765.42 nat. median
$1,003
outlier · 2.8×
59610
HCPCS 		Routine OB Care After Prev C-s 26 $1,352.65 $6,375.81 $2,760.66 nat. median
$3,356
0.8× median
59514
HCPCS 		Caesarean Delivery Only 26 $526.29 $6,428.19 $2,727.67 nat. median
$2,550
1.1× median
44960
HCPCS 		Appendectomy;ruptured W/absces 26 $580.08 $6,333.13 $2,687.34 nat. median
$3,012
0.9× median
J0897
HCPCS 		Prolia Inj 60mg/ml,340b Drug Pricing Program Discount 26 $21.12 $6,373.87 $2,640.23 nat. median
$2,502
1.1× median
95810
HCPCS 		Baseline Sleep Study 26 $603.68 $5,785.08 $2,614.03 nat. median
$1,870
1.4× median
J0129
HCPCS 		Orencia 250mg Vial 25 $1,303.52 $22,294.20 $2,605.09 nat. median
$1,082
outlier · 2.4×
95805
HCPCS 		Mslt Or Mwt 26 $422.73 $5,330.15 $2,408.47 nat. median
$1,268
1.9× median
0112
RC 		18 $417.31 $3,328.07 $2,383.84 nat. median
$913
outlier · 2.6×
74185
HCPCS 		Angio Abdomen W/wo Contrast,technical Component 26 $250.24 $5,188.53 $2,344.48 nat. median
$1,240
1.9× median
74178
HCPCS 		Abdomen/pelvis W/wo Contrast,technical Component 26 $241.70 $5,343.73 $2,341.05 nat. median
$979
outlier · 2.4×
L8641
HCPCS 		Metatarsal Toe Joint Impl 25 $812.16 $4,786.95 $2,306.62 nat. median
$691
outlier · 3.3×
73220
HCPCS 		Forearm Lt Wo/w Contrast,technical Component, Left 26 $303.86 $5,077.95 $2,294.51 nat. median
$1,185
1.9× median
73723
HCPCS 		Ankle Lt Wo/w Contrast,technical Component, Left 26 $279.39 $5,077.95 $2,294.51 nat. median
$1,264
1.8× median
73223
HCPCS 		Elbow Lt Wo/w Contrast,technical Component, Left 26 $280.37 $5,077.95 $2,294.51 nat. median
$1,225
1.9× median
71555
HCPCS 		Angio Chest W/wo Contrast,technical Component 26 $246.34 $5,221.51 $2,287.51 nat. median
$1,140
outlier · 2.0×
70543
HCPCS 		Neck Wo/w Contrast,technical Component 26 $235.52 $5,188.53 $2,273.07 nat. median
$1,079
outlier · 2.1×
72156
HCPCS 		Cervical Spine Wo/w Contrast,technical Component 26 $210.18 $5,188.53 $2,273.07 nat. median
$1,092
outlier · 2.1×
70553
HCPCS 		Brain Wo/w Contrast,technical Component 26 $209.53 $5,188.53 $2,273.07 nat. median
$1,122
outlier · 2.0×
72157
HCPCS 		Thoracic Spine Wo/w Contrast,technical Component 26 $210.84 $5,188.53 $2,273.07 nat. median
$1,094
outlier · 2.1×
72197
HCPCS 		Pelvis Wo/w Contrast,technical Component 26 $230.98 $5,188.53 $2,273.07 nat. median
$1,065
outlier · 2.1×
72158
HCPCS 		Lumbar Spine Wo/w Contrast,technical Component 26 $209.53 $5,188.53 $2,273.07 nat. median
$1,081
outlier · 2.1×
74183
HCPCS 		Abdomen Wo/w Contrast,technical Component 26 $232.28 $5,188.53 $2,273.07 nat. median
$1,102
outlier · 2.1×
73720
HCPCS 		Femur Lt Wo/w Contrast,technical Component, Left 26 $233.25 $5,077.95 $2,224.62 nat. median
$1,190
1.9× median
70549
HCPCS 		Angio Neck Wo/w Contrast,technical Component 26 $258.69 $4,893.65 $2,211.24 nat. median
$1,051
outlier · 2.1×
73225
HCPCS 		Angio Ue Lt W/wo Contrast,technical Component, Left 26 $243.75 $4,893.65 $2,211.24 nat. median
$1,201
1.8× median
73725
HCPCS 		Angio Le Bi W/wo Contrast,technical Component 26 $249.60 $4,893.65 $2,211.24 nat. median
$1,228
1.8× median
44950
HCPCS 		Appendectomy 26 $426.18 $5,132.27 $2,177.78 nat. median
$6,086
outlier · 0.4×
74177
HCPCS 		Abdomen Pelvis W/contrast,technical Component 26 $214.32 $4,953.79 $2,170.22 nat. median
$928
outlier · 2.3×
58150
HCPCS 		Total Abd Hysterectomy 26 $696.79 $4,883.95 $2,072.41 nat. median
$3,282
0.6× median
70547
HCPCS 		Angio Neck Wo Contrast,technical Component 26 $158.20 $4,718.08 $2,066.97 nat. median
$751
outlier · 2.8×
70544
HCPCS 		Angio Head Wo Contrast,technical Component 26 $157.87 $4,718.08 $2,066.97 nat. median
$817
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 1,712 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
             
Q5119 HCPCS Ruxience (rituximab)500mg/50ml,340b Drug Pricing Program Discount 71 26 $71,690.00 $24,014.62 67% off $6,502.30 $69,539.30 $31,421.84 2026-03-31
Q5123 HCPCS Rituximab-arrx 500mg Vial,340b Drug Pricing Program Discount 71 26 $71,690.00 $28,081.53 61% off $10,239.04 $69,539.30 $31,421.84 2026-03-31
J3380 HCPCS Entyvio 300mg,340b Drug Pricing Program Discount 71 26 $22,473.80 $13,236.04 41% off $4,962.75 $21,799.59 $9,850.31 2026-03-31
J3101 HCPCS Tenecteplase Inj [50 Mg],340b Drug Pricing Program Discount 71 26 $19,913.50 $12,961.70 35% off $6,200.64 $19,316.10 $9,161.63 2026-03-31
J0717 HCPCS Cimzia 200mg/ml Pfs 2 Pack,340b Drug Pricing Program Discount 70 26 $14,398.00 $15.88 100% off $5.97 $13,966.74 $6,310.96 2026-03-31
J0517 HCPCS Fasenra 30mg Prefilled Syringe 70 26 $14,033.00 $337.75 98% off $126.66 $13,612.01 $6,150.68 2026-03-31
59510 HCPCS Antepartum, Cesarean, Postpart 36 26 $14,941.00 $14,941.00 $1,352.65 $14,492.77 $6,149.72 2025-07-31
J9217 HCPCS Lupron 22.5mg 97 25 $12,264.60 $9,612.99 22% off $144.93 $15,862.22 $5,375.59 2026-03-31
49505 HCPCS Repair Inguinal Hernia 71 26 $5,097.00 $5,097.00 $351.53 $12,444.13 $4,944.09 2026-03-31
J7169 HCPCS Andexxa 200mg Vial 34 24 $6,000.00 $4,476.00 25% off $2,410.80 $38,938.50 $3,811.20 2026-03-31
47562 HCPCS Laparoscopic Cholecystectomy 36 26 $8,890.00 $8,890.00 $440.68 $8,623.30 $3,659.12 2025-07-31
90378 HCPCS Synagis (palivizumab)50mg/.5ml,340b Drug Pricing Program Discount 125 25 $4,369.60 $3,508.79 $1,338.68 $8,003.47 $3,616.42 2026-03-31
47600 HCPCS Cholecystectomy 36 26 $8,406.00 $8,406.00 $710.07 $8,153.82 $3,459.91 2025-07-31
59400 HCPCS Total Obstetric Care 36 26 $7,995.00 $7,995.00 $1,352.65 $7,755.15 $3,355.35 2025-07-31
0720 RC — 260 25 $3,635.00 $2,299.86 37% off $479.69 $11,416.90 $3,293.83 2026-03-31
J1306 HCPCS Leqvio 284 Mg/1.5ml Syringe,340b Drug Pricing Program Discount 35 25 $6,831.20 $5,096.08 25% off $14.07 $6,626.26 $2,994.13 2026-03-31
44120 HCPCS Enterectomy, Resec Of Small In 36 26 $7,106.00 $7,106.00 $804.79 $6,892.82 $2,924.83 2025-07-31
95811 HCPCS Sleep Study W/pap Titrate 71 26 $6,131.00 $3,879.08 37% off $632.06 $6,244.86 $2,821.77 2026-03-31
J3111 HCPCS Evenity 105mg/1.17mls (2) Inj,340b Drug Pricing Program Discount 70 26 $6,290.00 $54.74 99% off $20.53 $6,120.12 $2,765.42 2026-03-31
59610 HCPCS Routine OB Care After Prev C-s 36 26 $6,573.00 $6,573.00 $1,352.65 $6,375.81 $2,760.66 2025-07-31
59514 HCPCS Caesarean Delivery Only 36 26 $6,627.00 $6,627.00 $526.29 $6,428.19 $2,727.67 2025-07-31
44960 HCPCS Appendectomy;ruptured W/absces 36 26 $6,529.00 $6,529.00 $580.08 $6,333.13 $2,687.34 2025-07-31
J0897 HCPCS Prolia Inj 60mg/ml,340b Drug Pricing Program Discount 105 26 $4,636.10 $56.32 99% off $21.12 $6,373.87 $2,640.23 2026-03-31
95810 HCPCS Baseline Sleep Study 71 26 $5,680.00 $3,593.74 37% off $603.68 $5,785.08 $2,614.03 2026-03-31
J0129 HCPCS Orencia 250mg Vial 35 25 $3,244.20 $2,420.17 25% off $1,303.52 $22,294.20 $2,605.09 2026-03-31
95805 HCPCS Mslt Or Mwt 71 26 $5,233.00 $3,310.92 37% off $422.73 $5,330.15 $2,408.47 2026-03-31
0112 RC — 72 18 $3,267.00 $2,067.03 37% off $417.31 $3,328.07 $2,383.84 2026-03-31
74185 HCPCS Angio Abdomen W/wo Contrast,technical Component 71 26 $5,094.00 $1,176.91 77% off $250.24 $5,188.53 $2,344.48 2026-03-31
74178 HCPCS Abdomen/pelvis W/wo Contrast,technical Component 70 26 $5,246.00 $1,237.38 76% off $241.70 $5,343.73 $2,341.05 2026-03-31
L8641 HCPCS Metatarsal Toe Joint Impl 65 25 $4,935.00 $3,122.37 37% off $812.16 $4,786.95 $2,306.62 2026-03-31
73723 HCPCS Ankle Lt Wo/w Contrast,technical Component, Left 142 26 $4,985.00 $1,237.38 75% off $279.39 $5,077.95 $2,294.51 2026-03-31
73223 HCPCS Elbow Lt Wo/w Contrast,technical Component, Left 71 26 $4,985.00 $1,237.38 75% off $280.37 $5,077.95 $2,294.51 2026-03-31
73220 HCPCS Forearm Lt Wo/w Contrast,technical Component, Left 142 26 $4,985.00 $1,237.38 75% off $303.86 $5,077.95 $2,294.51 2026-03-31
71555 HCPCS Angio Chest W/wo Contrast,technical Component 70 26 $5,126.00 $1,176.91 77% off $246.34 $5,221.51 $2,287.51 2026-03-31
74183 HCPCS Abdomen Wo/w Contrast,technical Component 70 26 $5,094.00 $1,237.38 76% off $232.28 $5,188.53 $2,273.07 2026-03-31
72156 HCPCS Cervical Spine Wo/w Contrast,technical Component 70 26 $5,094.00 $1,237.38 76% off $210.18 $5,188.53 $2,273.07 2026-03-31
72158 HCPCS Lumbar Spine Wo/w Contrast,technical Component 70 26 $5,094.00 $1,237.38 76% off $209.53 $5,188.53 $2,273.07 2026-03-31
70553 HCPCS Brain Wo/w Contrast,technical Component 70 26 $5,094.00 $1,237.38 76% off $209.53 $5,188.53 $2,273.07 2026-03-31
70543 HCPCS Neck Wo/w Contrast,technical Component 70 26 $5,094.00 $1,237.38 76% off $235.52 $5,188.53 $2,273.07 2026-03-31
72197 HCPCS Pelvis Wo/w Contrast,technical Component 70 26 $5,094.00 $1,237.38 76% off $230.98 $5,188.53 $2,273.07 2026-03-31
72157 HCPCS Thoracic Spine Wo/w Contrast,technical Component 70 26 $5,094.00 $1,237.38 76% off $210.84 $5,188.53 $2,273.07 2026-03-31
73720 HCPCS Femur Lt Wo/w Contrast,technical Component, Left 140 26 $4,985.00 $1,237.38 75% off $233.25 $5,077.95 $2,224.62 2026-03-31
73725 HCPCS Angio Le Bi W/wo Contrast,technical Component 213 26 $4,804.00 $1,176.91 76% off $249.60 $4,893.65 $2,211.24 2026-03-31
73225 HCPCS Angio Ue Lt W/wo Contrast,technical Component, Left 142 26 $4,804.00 $1,176.91 76% off $243.75 $4,893.65 $2,211.24 2026-03-31
70549 HCPCS Angio Neck Wo/w Contrast,technical Component 71 26 $4,804.00 $1,237.38 74% off $258.69 $4,893.65 $2,211.24 2026-03-31
44950 HCPCS Appendectomy 36 26 $5,291.00 $5,291.00 $426.18 $5,132.27 $2,177.78 2025-07-31
74177 HCPCS Abdomen Pelvis W/contrast,technical Component 70 26 $4,863.00 $1,237.38 75% off $214.32 $4,953.79 $2,170.22 2026-03-31
58150 HCPCS Total Abd Hysterectomy 36 26 $5,035.00 $5,035.00 $696.79 $4,883.95 $2,072.41 2025-07-31
72147 HCPCS Thoracic Spine W/contrast,technical Component 70 26 $4,632.00 $1,237.38 73% off $187.11 $4,718.08 $2,066.97 2026-03-31
72142 HCPCS Cervical Spine W/contrast,technical Component 70 26 $4,632.00 $1,237.38 73% off $189.06 $4,718.08 $2,066.97 2026-03-31
70336 HCPCS Tmj Wo Contrast,technical Component 70 26 $4,632.00 $1,176.91 75% off $191.01 $4,718.08 $2,066.97 2026-03-31
70547 HCPCS Angio Neck Wo Contrast,technical Component 70 26 $4,632.00 $1,176.91 75% off $158.20 $4,718.08 $2,066.97 2026-03-31
72196 HCPCS Pelvis W/contrast,technical Component 70 26 $4,632.00 $1,237.38 73% off $185.82 $4,718.08 $2,066.97 2026-03-31
70544 HCPCS Angio Head Wo Contrast,technical Component 70 26 $4,632.00 $1,176.91 75% off $157.87 $4,718.08 $2,066.97 2026-03-31
72149 HCPCS Lumbar Spine W/contrast,technical Component 70 26 $4,632.00 $1,237.38 73% off $184.51 $4,718.08 $2,066.97 2026-03-31
70548 HCPCS Angio Neck W/contrast,technical Component 70 26 $4,632.00 $1,237.38 73% off $174.44 $4,718.08 $2,066.97 2026-03-31
70552 HCPCS Brain W/contrast,technical Component 70 26 $4,632.00 $1,237.38 73% off $185.49 $4,718.08 $2,066.97 2026-03-31
26952 HCPCS Amputation,finger/thumb,single 36 26 $4,942.00 $4,942.00 $489.49 $4,793.74 $2,034.13 2025-07-31
73222 HCPCS Elbow Lt W/contrast,technical Component, Left 71 26 $4,414.00 $1,244.10 72% off $231.96 $4,495.95 $2,031.52 2026-03-31
99468 HCPCS Init Inpt Neonatal Critical 36 26 $4,934.00 $4,934.00 $637.69 $4,785.98 $2,030.83 2025-07-31
52000 HCPCS Cysto Surgery 70 26 $4,360.00 $2,758.57 37% off $208.77 $4,440.66 $2,006.54 2026-03-31
45384 HCPCS Colonoscopy W/rmvl Hot Forcep 36 26 $4,861.00 $4,861.00 $348.64 $4,715.17 $2,000.79 2025-07-31
74176 HCPCS Abdomen Pelvis Wo Contrast,technical Component 70 26 $4,481.00 $1,176.91 74% off $101.57 $4,564.82 $1,999.82 2026-03-31
74174 HCPCS CT Angio Abdomen Pelvis,technical Component 71 26 $4,340.00 $1,237.38 71% off $274.29 $4,420.29 $1,997.35 2026-03-31
73719 HCPCS Femur Lt W/contrast,technical Component, Left 140 26 $4,414.00 $1,237.38 72% off $184.84 $4,495.95 $1,969.64 2026-03-31
49520 HCPCS Repair Recur Inguinal Hernia 36 26 $4,678.00 $4,678.00 $423.53 $4,537.66 $1,925.46 2025-07-31
71550 HCPCS Chest Wo Contrast,technical Component 71 26 $4,170.00 $1,176.91 72% off $263.47 $4,247.63 $1,919.33 2026-03-31
59426 HCPCS Antepartum Care Only; 7+ Vis 36 26 $4,578.00 $4,578.00 $708.75 $4,440.66 $1,884.30 2025-07-31
57240 HCPCS Ant Colporrhaphy, Repair Of Cy 36 26 $4,565.00 $4,565.00 $424.74 $4,428.05 $1,878.95 2025-07-31
J2407 HCPCS Oritavancin Inj [400 Mg] 35 25 $2,331.70 $1,739.45 25% off $936.88 $17,428.16 $1,872.36 2026-03-31
70540 HCPCS Face Wo Contrast,technical Component 70 26 $4,170.00 $1,176.91 72% off $161.35 $4,247.63 $1,860.87 2026-03-31
72141 HCPCS Cervical Spine Wo Contrast,technical Component 70 26 $4,170.00 $1,176.91 72% off $120.09 $4,247.63 $1,860.87 2026-03-31
72146 HCPCS Thoracic Spine Wo Contrast,technical Component 70 26 $4,170.00 $1,176.91 72% off $120.41 $4,247.63 $1,860.87 2026-03-31
72148 HCPCS Lumbar Spine Wo Contrast,technical Component 70 26 $4,170.00 $1,176.91 72% off $120.74 $4,247.63 $1,860.87 2026-03-31
74181 HCPCS Abdomen Wo Contrast,technical Component 70 26 $4,170.00 $1,176.91 72% off $126.26 $4,247.63 $1,860.87 2026-03-31
72195 HCPCS Pelvis Wo Contrast,technical Component 70 26 $4,170.00 $1,176.91 72% off $158.10 $4,247.63 $1,860.87 2026-03-31
70551 HCPCS Brain Wo Contrast,technical Component 70 26 $4,170.00 $1,176.91 72% off $126.26 $4,247.63 $1,860.87 2026-03-31
64625 HCPCS Rfa;nerves Sacroiliac Jt W/ima 71 26 $4,026.00 $2,547.25 37% off $443.32 $4,101.16 $1,853.14 2026-03-31
55041 HCPCS Excision Of Hydrocele;bilate 36 26 $4,487.00 $4,487.00 $356.85 $4,352.39 $1,846.85 2025-07-31
52281 HCPCS Cysto W/dilitation 71 26 $3,985.00 $2,521.31 37% off $288.29 $4,059.45 $1,834.29 2026-03-31
59620 HCPCS C-sect Delivery Fol Att Vag De 36 26 $4,456.00 $4,456.00 $613.18 $4,322.32 $1,834.09 2025-07-31
Q5108 HCPCS Fulphila(pegfilgrastim) 6mg/.6,340b Drug Pricing Program Discount 35 25 $4,175.00 $255.11 94% off $95.67 $4,049.75 $1,829.92 2026-03-31
J7298 HCPCS Levonorgestrel, 52 Mg (mirena),340b Drug Pricing Program Discount 73 25 $2,024.00 $1,707.18 $833.08 $2,522.46 $1,821.60 2026-03-31
J7301 HCPCS Skyla IUD 75 25 $2,023.00 $1,706.38 $787.64 $13,237.53 $1,820.70 2026-03-31
72198 HCPCS Angio Pelvis W/wo Contrast,technical Component 71 26 $3,846.00 $1,176.91 69% off $251.55 $3,917.83 $1,770.30 2026-03-31
58605 HCPCS Ligation/trans Fallopian Tubes 36 26 $4,287.00 $4,287.00 $233.87 $4,158.39 $1,764.53 2025-07-31
45388 HCPCS Colonoscopy,flexible W/ablatio 36 26 $1,839.00 $1,839.00 $756.93 $1,860.66 $1,756.24 2025-07-31
J1602 HCPCS Simponi Aria 50mg/4ml Vial 35 25 $3,998.40 $2,982.81 25% off $32.21 $3,878.45 $1,752.51 2026-03-31
78452 HCPCS Myo Infarct Avid Spect,technical Component 71 26 $3,517.00 $3,151.23 $336.63 $5,514.51 $1,726.11 2026-03-31
64721 HCPCS Carpal Tunnel Release 36 26 $4,170.00 $4,170.00 $316.02 $4,044.90 $1,716.37 2025-07-31
73218 HCPCS Forearm Lt Wo Contrast,technical Component, Left 142 26 $3,703.00 $1,176.91 68% off $234.88 $3,772.33 $1,704.56 2026-03-31
59410 HCPCS Vag Delivery Only W/post Part 36 26 $4,040.00 $4,040.00 $679.04 $3,918.80 $1,679.83 2025-07-31
73221 HCPCS Elbow Lt Wo Contrast,technical Component, Left 140 26 $3,703.00 $1,176.91 68% off $138.70 $3,772.33 $1,652.63 2026-03-31
73718 HCPCS Femur Lt Wo Contrast,technical Component, Left 140 26 $3,703.00 $1,176.91 68% off $157.78 $3,772.33 $1,652.63 2026-03-31
73721 HCPCS Ankle Lt Wo Contrast,technical Component, Left 140 26 $3,703.00 $1,176.91 68% off $138.38 $3,772.33 $1,652.63 2026-03-31
64633 HCPCS Destrct Vertebral,cer/thor;sgl 71 26 $3,556.00 $2,249.88 37% off $409.30 $3,621.98 $1,636.63 2026-03-31
64624 HCPCS Destruct Genicular Nerve W/ima 35 25 $3,707.00 $2,345.42 37% off $407.03 $3,595.79 $1,624.79 2026-03-31
0170 RC — 72 18 $1,704.00 $1,078.12 37% off $280.28 $2,516.18 $1,624.47 2026-03-31
45385 HCPCS Colonoscopy W/rmvl By Snare 36 26 $3,806.00 $3,806.00 $323.98 $3,691.82 $1,566.55 2025-07-31
J0881 HCPCS Aranesp 500mcg/ml (non-esrd) 436 26 $2,786.40 $6.05 100% off $2.27 $9,009.36 $1,559.09 2026-03-31
C8929 HCPCS Echo Doppler Complete W/contra,technical Component 65 25 $3,227.00 $2,041.72 37% off $531.01 $3,130.19 $1,508.30 2026-03-31
64635 HCPCS Destrct Vertebral,lumb/sac;sgl 71 26 $3,251.00 $2,056.91 37% off $413.10 $3,311.58 $1,496.36 2026-03-31
59409 HCPCS Vaginal Delivery Only 36 26 $3,527.00 $3,527.00 $526.29 $3,421.19 $1,451.71 2025-07-31
58558 HCPCS Hysteroscopy, Surgical 36 26 $3,363.00 $3,363.00 $964.25 $3,262.11 $1,412.46 2025-07-31
J2357 HCPCS Xolair 150mg Syringe 71 26 $1,562.40 $1,016.97 35% off $643.09 $11,531.90 $1,406.63 2026-03-31
J3262 HCPCS Actemra 200 Mg/10ml Vial,340b Drug Pricing Program Discount 35 25 $3,186.00 $2,376.76 25% off $912.13 $3,090.42 $1,396.42 2026-03-31
74170 HCPCS Abdomen Wo/w Contrast,technical Component 71 26 $2,992.00 $891.77 70% off $192.22 $3,047.74 $1,377.14 2026-03-31
J7168 HCPCS Kcentra 500 Unit Vial,340b Drug Pricing Program Discount 65 25 $3,140.00 $123.79 96% off $46.42 $3,045.80 $1,376.27 2026-03-31
55040 HCPCS Exc Of Hydrocele;unilateral 36 26 $3,339.00 $3,339.00 $237.25 $3,238.83 $1,374.33 2025-07-31
59612 HCPCS Vag Del Only After Prev C-sec 36 26 $3,295.00 $3,295.00 $526.29 $3,196.15 $1,370.06 2025-07-31
81229 HCPCS Chromosomal Micro Array Poc 71 26 $2,740.00 $1,733.60 37% off $473.47 $2,790.69 $1,350.97 2026-03-31
0120 RC — 144 18 $2,408.00 $1,523.54 37% off $173.32 $2,459.92 $1,326.48 2026-03-31
93306 HCPCS Echo Doppler Complete,technical Component 70 26 $2,870.00 $1,730.09 40% off $122.45 $2,923.58 $1,321.04 2026-03-31
23035 HCPCS Incision;bone Cortex;shoulder 36 26 $3,192.00 $3,192.00 $472.10 $3,096.24 $1,313.83 2025-07-31
43830 HCPCS GASTROSTOMY,OPEN,without Construct 36 26 $3,186.00 $3,186.00 $471.37 $3,090.42 $1,311.36 2025-07-31
15220 HCPCS Full Thickness Skin Graft 84 26 $2,839.00 $1,886.08 34% off $490.58 $2,891.57 $1,306.57 2026-03-31
P9035 HCPCS Platelet, Leukored;aph 65 25 $2,791.00 $1,765.87 37% off $459.30 $2,707.27 $1,304.51 2026-03-31
28292 HCPCS Correct;hallux Valgus W/sesamo 36 26 $3,165.00 $3,165.00 $503.02 $3,070.05 $1,302.71 2025-07-31
J7296 HCPCS Kyleena 19.5mg(levonorgesterol 62 25 $1,499.00 $1,203.70 $587.35 $2,522.46 $1,301.10 2026-03-31
J1439 HCPCS Injectafer 750mg/15ml Vial 70 26 $2,955.20 $33.90 99% off $12.67 $2,866.54 $1,295.26 2026-03-31
70482 HCPCS Orbit Bi Wo/w Contrast,technical Component 71 26 $2,786.00 $891.77 68% off $149.33 $2,838.22 $1,282.46 2026-03-31
70492 HCPCS Soft Tissue Neck Wo/w Contrast,technical Component 71 26 $2,786.00 $891.77 68% off $144.13 $2,838.22 $1,282.46 2026-03-31
73702 HCPCS Ankle Lt Wo/w Contrast,technical Component, Left 142 26 $2,786.00 $891.77 68% off $137.31 $2,838.22 $1,282.46 2026-03-31
73202 HCPCS Elbow Lt Wo/w Contrast,technical Component, Left 142 26 $2,786.00 $891.77 68% off $187.43 $2,838.22 $1,282.46 2026-03-31
71270 HCPCS Chest Wo/w Contrast,technical Component 71 26 $2,786.00 $891.77 68% off $136.33 $2,838.22 $1,282.46 2026-03-31
74160 HCPCS Abdomen W/contrast,technical Component 71 26 $2,786.00 $891.77 68% off $169.47 $2,838.22 $1,282.46 2026-03-31
45380 HCPCS Colonoscopy W/biopsy Sing/mult 36 26 $3,097.00 $3,097.00 $311.67 $3,004.09 $1,274.73 2025-07-31
99291 HCPCS Critical Care 1st Hour 102 26 $3,005.00 $1,901.26 37% off $191.15 $3,061.32 $1,265.09 2026-03-31
44394 HCPCS Colonoscopy Through Stoma;w/re 36 26 $3,054.00 $3,054.00 $313.11 $2,962.38 $1,257.03 2025-07-31
71275 HCPCS Angio Chest Pe Protocol,technical Component 130 26 $2,788.00 $891.77 68% off $194.91 $2,838.22 $1,253.34 2026-03-31
70491 HCPCS Soft Tissue Neck W/contrast,technical Component 70 26 $2,786.00 $891.77 68% off $118.46 $2,838.22 $1,243.40 2026-03-31
70487 HCPCS Facial Bones W/contrast,technical Component 70 26 $2,786.00 $891.77 68% off $98.31 $2,838.22 $1,243.40 2026-03-31
70470 HCPCS Head/brain Wo/w Contrast,technical Component 70 26 $2,786.00 $891.77 68% off $112.94 $2,838.22 $1,243.40 2026-03-31
13152 HCPCS Cmplx Rep Eyelids/nose/ear/lip 84 26 $2,826.00 $1,877.85 34% off $354.20 $2,878.96 $1,219.26 2026-03-31
58600 HCPCS Ligation Fallopian Tube;ab/vag 36 26 $2,952.00 $2,952.00 $256.83 $2,863.44 $1,215.04 2025-07-31
72194 HCPCS Pelvis Wo/w Contrast,technical Component 130 26 $2,786.00 $891.77 68% off $191.57 $2,838.22 $1,202.00 2026-03-31
70471 HCPCS CT Angio Head Neck,technical Component 35 25 $2,737.00 $1,731.70 37% off $259.98 $2,654.89 $1,199.63 2026-03-31
26236 HCPCS Part Excsn Bone Distal Phalanx 36 26 $2,907.00 $2,907.00 $314.08 $2,819.79 $1,196.52 2025-07-31
0110 RC — 216 18 $1,395.00 $882.62 37% off $148.26 $2,719.40 $1,189.22 2026-03-31
73201 HCPCS Elbow Lt W/contrast,technical Component, Left 142 26 $2,582.00 $1,237.38 52% off $144.13 $2,630.64 $1,188.68 2026-03-31
74175 HCPCS Angio Abdomen,technical Component 71 26 $2,582.00 $891.77 65% off $218.63 $2,630.64 $1,188.68 2026-03-31
72193 HCPCS Pelvis W/contrast,technical Component 71 26 $2,582.00 $891.77 65% off $170.77 $2,630.64 $1,188.68 2026-03-31
13160 HCPCS Secondary Surgical Wnd Closure 36 26 $2,846.00 $2,846.00 $547.95 $2,760.62 $1,183.37 2025-07-31
70481 HCPCS Orbit, Sella W/contrast,technical Component 70 26 $2,635.00 $891.77 66% off $126.26 $2,683.99 $1,175.84 2026-03-31
27818 HCPCS Clsd Trtmt Of Trim Ankle W/man 36 26 $2,810.00 $2,810.00 $355.15 $2,725.70 $1,156.60 2025-07-31
73701 HCPCS Ankle Lt W/contrast,technical Component, Left 140 26 $2,582.00 $891.77 65% off $111.31 $2,630.64 $1,152.47 2026-03-31
74150 HCPCS Abdomen Wo Contrast,technical Component 70 26 $2,582.00 $533.43 79% off $80.35 $2,630.64 $1,152.47 2026-03-31
70480 HCPCS Orbit Bi Wo Contrast,technical Component 70 26 $2,582.00 $533.43 79% off $97.99 $2,630.64 $1,152.47 2026-03-31
70490 HCPCS Soft Tisssue Neck Wo Contrast,technical Component 70 26 $2,582.00 $533.43 79% off $89.44 $2,630.64 $1,152.47 2026-03-31
71260 HCPCS Chest W/contrast,technical Component 70 26 $2,582.00 $891.77 65% off $111.31 $2,630.64 $1,152.47 2026-03-31
72125 HCPCS Cervical Spine Wo Contrast,technical Component 70 26 $2,582.00 $533.43 79% off $82.95 $2,630.64 $1,152.47 2026-03-31
70486 HCPCS Facial Bones Wo Contrast,technical Component 70 26 $2,582.00 $533.43 79% off $87.17 $2,630.64 $1,152.47 2026-03-31
70460 HCPCS Head/brain W/contrast,technical Component 70 26 $2,582.00 $891.77 65% off $94.75 $2,630.64 $1,152.47 2026-03-31
72128 HCPCS Thoracic Spine Wo Contrast,technical Component 70 26 $2,582.00 $533.43 79% off $82.62 $2,630.64 $1,152.47 2026-03-31
72131 HCPCS Lumbar Spine Wo Contrast,technical Component 70 26 $2,582.00 $533.43 79% off $82.30 $2,630.64 $1,152.47 2026-03-31
15240 HCPCS Full Thick Graft;free;inc Clos 36 26 $2,714.00 $2,714.00 $662.00 $2,632.58 $1,139.88 2025-07-31
78803 HCPCS Nm Bone Spect,technical Component 136 26 $2,462.00 $1,557.71 37% off $280.47 $2,508.42 $1,133.44 2026-03-31
Q5103 HCPCS Inflectra 100mg/10mg,340b Drug Pricing Program Discount 71 26 $2,281.10 $1,484.77 35% off $881.59 $2,351.58 $1,131.90 2026-03-31
J7307 HCPCS Etonogestrel Implant Nexplanon 29 23 $1,211.00 $1,211.00 $498.45 $1,177.09 $1,126.92 2025-07-31
52204 HCPCS Cysto/bladder Biopsy Surg 71 26 $2,446.00 $1,547.58 37% off $335.80 $2,491.93 $1,126.00 2026-03-31
70545 HCPCS Mr Angio Head W/contrast 71 26 $2,445.00 $1,237.38 49% off $222.38 $2,490.96 $1,125.55 2026-03-31
26410 HCPCS Repair Tendon, Hand Without Graft 36 26 $2,721.00 $2,721.00 $434.41 $2,639.37 $1,119.96 2025-07-31
82139 HCPCS Amino Acid;quant;ea Spec 70 26 $2,244.00 $1,419.78 37% off $16.53 $2,286.29 $1,106.80 2026-03-31
11772 HCPCS Excsn Pilonidal Cyst/sinus;com 36 26 $2,641.00 $2,641.00 $542.65 $2,561.77 $1,106.41 2025-07-31
C8930 HCPCS Echo Stress Exercise W/contras,technical Component 65 25 $2,366.00 $1,496.97 37% off $389.32 $2,295.02 $1,105.87 2026-03-31
J7325 HCPCS Synvisc One Pfs 48mg/6ml 105 26 $2,739.30 $111.90 96% off $8.91 $2,657.12 $1,100.65 2026-03-31
J3424 HCPCS Cyanokit 34 24 $2,500.00 $38.89 98% off $19.44 $2,425.00 $1,095.74 2026-03-31
37609 HCPCS Excision Temporal Artery 71 26 $2,376.00 $1,503.30 37% off $280.83 $2,420.15 $1,093.57 2026-03-31
78315 HCPCS Bone 3 Phase,technical Component 71 26 $2,373.00 $1,501.40 37% off $255.21 $2,417.24 $1,092.24 2026-03-31
42821 HCPCS Tonsillectomy & Adenoidectomy 36 26 $2,646.00 $2,646.00 $215.03 $2,566.62 $1,089.09 2025-07-31
25605 HCPCS Clsd Trtmnt Distal Radial Frac 36 26 $2,646.00 $2,646.00 $388.99 $2,566.62 $1,089.09 2025-07-31
73200 HCPCS Elbow Lt Wo Contrast,technical Component, Left 140 26 $2,377.00 $533.43 78% off $112.94 $2,421.12 $1,060.67 2026-03-31
73700 HCPCS Ankle Lt Wo Contrast,technical Component, Left 140 26 $2,377.00 $533.43 78% off $82.62 $2,421.12 $1,060.67 2026-03-31
72192 HCPCS Pelvis Wo Contrast,technical Component 70 26 $2,377.00 $533.43 78% off $81.65 $2,421.12 $1,060.67 2026-03-31
70450 HCPCS Head/brain Wo Contrast,technical Component 70 26 $2,377.00 $533.43 78% off $66.38 $2,421.12 $1,060.67 2026-03-31
Q0138 HCPCS Ferumoxytol Inj Non- Esrd,340b Drug Pricing Program Discount 70 26 $2,397.30 $13.15 99% off $5.02 $2,325.38 $1,050.74 2026-03-31
75635 HCPCS CT Angio Abd Aorta Runoff,technical Component 71 26 $2,278.00 $1,441.29 37% off $297.03 $2,320.24 $1,048.43 2026-03-31
46250 HCPCS Hemorrhoidectomy, External 36 26 $2,518.00 $2,518.00 $339.69 $2,442.46 $1,036.41 2025-07-31
64490 HCPCS Inj Cerv/thoracic W/image;sgle 71 26 $2,240.00 $1,417.25 37% off $181.81 $2,281.44 $1,030.87 2026-03-31
71250 HCPCS Chest Wo Contrast,technical Component 130 26 $2,377.00 $533.43 78% off $81.98 $2,421.12 $1,023.36 2026-03-31
45378 HCPCS Colonoscopy 36 26 $2,470.00 $2,470.00 $242.81 $2,395.90 $1,016.65 2025-07-31
G0105 HCPCS Colonoscopy Scrn;high Risk Med 36 26 $2,470.00 $2,470.00 $242.81 $2,395.90 $1,016.65 2025-07-31
G0121 HCPCS Colonoscopy Scrn;not High Risk 36 26 $2,470.00 $2,470.00 $243.05 $2,395.90 $1,016.65 2025-07-31
27788 HCPCS Clsd Trmt Distal Fib Fx W/mani 36 26 $2,455.00 $2,455.00 $308.77 $2,381.35 $1,010.48 2025-07-31
22903 HCPCS Exc Tumor Of Abd Wall 3cm Or > 36 26 $2,397.00 $2,397.00 $299.35 $2,325.09 $986.61 2025-07-31
46270 HCPCS Surgical Trtmnt Anal Fistula 36 26 $2,391.00 $2,391.00 $378.36 $2,319.27 $984.14 2025-07-31
78306 HCPCS Bone Scan Whole Body,technical Component 71 26 $2,135.00 $1,350.81 37% off $217.76 $2,174.74 $982.68 2026-03-31
78305 HCPCS Bone/joint Multiple,technical Component 71 26 $2,135.00 $1,350.81 37% off $202.15 $2,174.74 $982.68 2026-03-31
J7336 HCPCS Qutenza 8% Patch 70 26 $2,180.00 $6.78 100% off $2.54 $2,167.76 $979.52 2026-03-31
45381 HCPCS Colonoscopy;flexible W/dir Inj 36 26 $2,355.00 $2,355.00 $318.43 $2,284.35 $969.32 2025-07-31
67961 HCPCS Excision Eyelid Lesion 71 26 $2,105.00 $1,331.83 37% off $363.74 $2,144.67 $969.09 2026-03-31
27266 HCPCS Clsd Trtmnt Post Hip Dislocate 36 26 $2,326.00 $2,326.00 $407.83 $2,256.22 $967.15 2025-07-31
78709 HCPCS Renal Flow W/wo Pharm Int,technical Component 71 26 $2,088.00 $1,321.08 37% off $259.44 $2,127.21 $961.20 2026-03-31
0761 RC — 325 25 $1,381.00 $873.76 37% off $70.50 $3,129.22 $957.89 2026-03-31
43270 HCPCS Egd,flexible,trans W/ablation 36 26 $2,272.00 $2,272.00 $528.39 $2,203.84 $954.24 2025-07-31
78290 HCPCS Meckel's,technical Component 71 26 $2,064.00 $1,305.89 37% off $255.86 $2,102.96 $950.24 2026-03-31
43239 HCPCS Uppper Gi Endo With Biopsy 36 26 $2,296.00 $2,296.00 $272.53 $2,227.12 $945.03 2025-07-31
93350 HCPCS Echo Stress Exercise,technical Component 71 26 $2,049.00 $1,296.40 37% off $111.64 $2,087.44 $943.23 2026-03-31
46260 HCPCS Hemorrhoidectomy, Int And Ext 36 26 $2,277.00 $2,277.00 $333.16 $2,208.69 $937.21 2025-07-31
78216 HCPCS Liver Spleen W/vasc Flow,technical Component 71 26 $2,019.00 $1,277.42 37% off $105.01 $2,056.40 $929.20 2026-03-31
99285 HCPCS Level 5 ER 102 26 $2,205.00 $1,395.10 37% off $118.14 $2,246.52 $928.34 2026-03-31
46200 HCPCS Fissurectomy W Or Without Sphincte 36 26 $2,250.00 $2,250.00 $341.86 $2,182.50 $926.10 2025-07-31
62321 HCPCS Inj Cervical/thoracic W/image 71 26 $2,006.00 $1,269.20 37% off $246.46 $2,043.79 $923.50 2026-03-31
24105 HCPCS Excision, Olecranon Bursa 36 26 $2,240.00 $2,240.00 $259.71 $2,172.80 $921.98 2025-07-31
G0260 HCPCS Inj Sacroiliac Joint (medicare 65 25 $1,965.00 $1,243.26 37% off $323.31 $1,906.05 $918.44 2026-03-31
62323 HCPCS Inj Lumbar/sacral W/image Guid 71 26 $1,975.00 $1,249.58 37% off $242.58 $2,011.78 $909.04 2026-03-31
C1729 HCPCS Pleur-x Catheter 65 25 $1,934.00 $1,223.64 37% off $318.12 $1,875.98 $903.95 2026-03-31
78202 HCPCS Liver W/vasc Flow,technical Component 71 26 $1,963.00 $1,241.99 37% off $165.44 $2,000.14 $903.78 2026-03-31
13132 HCPCS Rep Cmplx Head/chin/neck/hand 36 26 $2,190.00 $2,190.00 $337.04 $2,124.30 $901.40 2025-07-31
28820 HCPCS Amputation Toe; Metatars 36 26 $2,172.00 $2,172.00 $210.67 $2,106.84 $894.00 2025-07-31
78580 HCPCS Pul Perfusion,technical Component 71 26 $1,922.00 $1,216.05 37% off $173.23 $1,958.43 $884.94 2026-03-31
11771 HCPCS Excsn Pilonidal Cyst;extensive 36 26 $2,090.00 $2,090.00 $442.13 $2,027.30 $877.80 2025-07-31
32555 HCPCS Thoracentesis W/us Guidance 102 26 $1,900.00 $1,262.24 34% off $226.13 $1,935.15 $874.41 2026-03-31
J2760 HCPCS Phentolamine 5mg 71 26 $980.00 $637.88 35% off $393.76 $3,013.03 $865.34 2026-03-31
27096 HCPCS Inj Sacroiliac Jt W/image 71 26 $1,466.00 $927.54 37% off $155.24 $1,906.05 $861.26 2026-03-31
64483 HCPCS Epi Inj Lumbar/sacral W/image 71 26 $1,870.00 $1,183.15 37% off $232.01 $1,905.08 $860.82 2026-03-31
64454 HCPCS Genicular Nerve Block 71 26 $1,869.00 $1,182.52 37% off $207.85 $1,904.11 $860.39 2026-03-31
87902 HCPCS Hcv Genotype Ser 132 26 $1,107.00 $700.40 37% off $182.13 $1,835.24 $857.38 2026-03-31
26111 HCPCS Exc Tumor Hand/finger >1.5cm 36 26 $2,063.00 $2,063.00 $293.07 $2,001.11 $849.13 2025-07-31
69110 HCPCS Exc Ext Ear;partial, Simple 36 26 $2,036.00 $2,036.00 $339.45 $1,974.92 $842.25 2025-07-31
12047 HCPCS Repair Wounds Over 30 Cm 36 26 $2,015.00 $2,015.00 $383.17 $1,954.55 $837.84 2025-07-31
99477 HCPCS Initial Hosp Care;e&m/neonate 36 26 $2,029.00 $2,029.00 $241.61 $1,968.13 $835.14 2025-07-31
78579 HCPCS Pul Ventilation,technical Component 71 26 $1,812.00 $1,146.45 37% off $141.95 $1,845.91 $834.09 2026-03-31
78300 HCPCS Bone Scan Limited Area,technical Component 71 26 $1,804.00 $1,141.39 37% off $168.59 $1,838.15 $830.58 2026-03-31
93925 HCPCS Arterial Duplex Le Bi,technical Component 71 26 $1,802.00 $1,140.13 37% off $193.38 $1,836.21 $829.71 2026-03-31
93970 HCPCS Venous Duplex Le Bi,technical Component 71 26 $1,802.00 $1,140.13 37% off $147.80 $1,836.21 $829.71 2026-03-31
93930 HCPCS Arterial Duplex Ue Bi,technical Component 71 26 $1,802.00 $1,140.13 37% off $154.39 $1,836.21 $829.71 2026-03-31
93303 HCPCS Echo Congenital Cardiac Anomal,technical Component 35 25 $1,875.00 $1,186.31 37% off $160.96 $1,818.75 $821.81 2026-03-31
25075 HCPCS Exc Tumor/lesion;forearm;<3cm 71 26 $1,785.00 $1,129.37 37% off $308.45 $1,818.75 $821.81 2026-03-31
78014 HCPCS Thyroid W/uptake,technical Component 71 26 $1,777.00 $1,124.31 37% off $184.94 $1,810.02 $817.87 2026-03-31
27047 HCPCS Exc Tumor Pelvis/hip <3cm 36 26 $1,964.00 $1,964.00 $348.64 $1,905.08 $816.63 2025-07-31
59812 HCPCS Trtmnt Of Incomplete Abortion 36 26 $1,982.00 $1,982.00 $252.50 $1,922.54 $815.79 2025-07-31
58120 HCPCS Dilation & Curettage;diag 36 26 $1,981.00 $1,981.00 $210.67 $1,921.57 $815.38 2025-07-31
12055 HCPCS Layer Closure Of Face To 20 Cm 36 26 $1,958.00 $1,958.00 $357.57 $1,899.26 $814.13 2025-07-31
11646 HCPCS Excision Malignant Lesion 84 26 $1,766.00 $1,173.66 34% off $305.16 $1,799.35 $813.06 2026-03-31
64493 HCPCS Inj Lumbar/sacral W/image;sgle 71 26 $1,748.00 $1,105.96 37% off $167.97 $1,780.92 $804.72 2026-03-31
0360 RC — 684 25 $1,005.00 $635.86 37% off $60.48 $5,823.88 $801.10 2026-03-31
45382 HCPCS Colonoscopy,flex W/contr Bleed 36 26 $1,895.00 $1,895.00 $479.34 $1,838.15 $795.90 2025-07-31
43247 HCPCS Esophagogastroduodenoscopy 36 26 $1,931.00 $1,931.00 $275.43 $1,873.07 $794.80 2025-07-31
J2792 HCPCS WinRho Sdf 2500 Iu/2.2 Ml Sdv 35 25 $1,810.70 $1,350.78 25% off $55.21 $1,756.38 $793.63 2026-03-31
C8924 HCPCS Echo Limited W/contrast,technical Component 65 25 $1,689.00 $1,068.63 37% off $277.86 $1,638.33 $789.44 2026-03-31
28192 HCPCS Removal Of Foreign Body;foot 36 26 $1,892.00 $1,892.00 $329.79 $1,835.24 $786.69 2025-07-31
25111 HCPCS Excision Of Ganglion;wrist 36 26 $1,907.00 $1,907.00 $234.36 $1,849.79 $784.92 2025-07-31
84260 HCPCS Serotonin,whole Blood 70 26 $1,591.00 $1,006.63 37% off $30.36 $1,620.87 $784.66 2026-03-31
78708 HCPCS Renal Flow W/pharm Int,technical Component 71 26 $1,701.00 $1,076.22 37% off $116.38 $1,733.39 $783.25 2026-03-31
36590 HCPCS Removal Tunneled Cvad W/port 36 26 $1,901.00 $1,901.00 $152.93 $1,843.97 $782.45 2025-07-31
78582 HCPCS Pul Vent And Perfuse,technical Component 71 26 $1,700.00 $1,075.59 37% off $240.17 $1,731.45 $782.36 2026-03-31
13121 HCPCS Complex Repair Scalp/arm/leg 84 26 $1,728.00 $1,148.35 34% off $298.60 $1,760.55 $778.88 2026-03-31
64466 HCPCS Inj Thoracic Fascial Plane Blk 71 26 $1,688.00 $1,068.00 37% off $115.90 $1,719.81 $777.10 2026-03-31
81220 HCPCS Cystic Fibrosis Mutation Anlys 71 26 $1,570.00 $993.34 37% off $271.30 $1,599.53 $774.33 2026-03-31
12037 HCPCS Layer Closure Of Wounds 36 26 $1,843.00 $1,843.00 $341.38 $1,787.71 $766.32 2025-07-31
11624 HCPCS Exc Malig Scalp/hand/feet 3.1- 36 26 $1,850.00 $1,850.00 $239.91 $1,794.50 $761.46 2025-07-31
78707 HCPCS Renal Flow And Function,technical Component 71 26 $1,646.00 $1,041.42 37% off $163.49 $1,677.13 $757.83 2026-03-31
93017 HCPCS Treadmill Stress EKG 104 26 $1,644.00 $1,092.67 34% off $36.91 $1,675.19 $756.94 2026-03-31
49999 HCPCS Abdominal Procedure 19 17 $840.00 $840.00 $345.74 $814.80 $756.25 2025-07-31
11643 HCPCS Excision Malignant Lesion 36 26 $1,837.00 $1,837.00 $224.44 $1,781.89 $756.11 2025-07-31
26725 HCPCS Phalangeal Shaft Fracture 36 26 $1,833.00 $1,833.00 $251.02 $1,778.01 $754.46 2025-07-31
25600 HCPCS Treat Distal Radial Fracture 84 26 $1,733.00 $1,151.51 34% off $252.24 $1,765.40 $754.31 2026-03-31
76700 HCPCS Abdomen Complete,technical Component 70 26 $1,636.00 $1,035.10 37% off $74.92 $1,666.46 $752.99 2026-03-31
13151 HCPCS Cmplx Rep Eyelids/nose/ear/lip 36 26 $1,756.00 $1,756.00 $301.99 $1,703.32 $730.14 2025-07-31
90675 HCPCS Rabavert Rabies Vac 2.5 Unit 106 26 $1,043.10 $667.36 36% off $250.27 $1,011.81 $726.42 2026-03-31
78227 HCPCS Hida,technical Component 71 26 $1,572.00 $994.60 37% off $271.64 $1,601.47 $723.65 2026-03-31
11626 HCPCS Exc Malignant Lesion >4.0cm 84 26 $1,568.00 $1,042.06 34% off $270.95 $1,597.59 $721.88 2026-03-31
86366 HCPCS Musk Antibody 70 26 $1,462.00 $925.01 37% off $18.03 $1,489.92 $721.27 2026-03-31
24605 HCPCS Trtmnt Clsd Elbow Dislocation 36 26 $1,731.00 $1,731.00 $341.15 $1,679.07 $719.75 2025-07-31
27340 HCPCS Excision, Prepatellar Bursa 36 26 $1,746.00 $1,746.00 $267.94 $1,693.62 $718.65 2025-07-31
90371 HCPCS Hep B Immune Glob-hbig [5 71 26 $1,580.80 $1,028.94 35% off $558.53 $1,533.38 $716.93 2026-03-31
55250 HCPCS Vasectomy,unilateral Or Bilate 84 26 $1,629.00 $1,082.55 34% off $240.63 $1,659.67 $714.79 2026-03-31
32550 HCPCS Insert Indwelling Pleural Cath 84 26 $1,378.00 $915.52 34% off $238.12 $1,403.59 $706.91 2026-03-31
12017 HCPCS Simple Repair;superficial Woun 36 26 $1,716.00 $1,716.00 $99.78 $1,664.52 $706.31 2025-07-31
13101 HCPCS Complex Repair Trunk 84 26 $1,526.00 $1,014.22 34% off $263.69 $1,554.91 $702.60 2026-03-31
58555 HCPCS Hysteroscopy, Diagnostic 36 26 $1,692.00 $1,692.00 $259.00 $1,641.24 $696.43 2025-07-31
12007 HCPCS Repair Open Wounds Over 30 Cm 36 26 $1,687.00 $1,687.00 $161.15 $1,636.39 $694.37 2025-07-31
J0248 HCPCS Remdesivir 100mg Vial 71 26 $1,279.70 $832.96 35% off $484.57 $1,524.65 $688.93 2026-03-31
11606 HCPCS Excision Malig Trk Extr >4cm 84 26 $1,494.00 $992.71 34% off $258.16 $1,521.93 $687.70 2026-03-31
54161 HCPCS Circumcision;surg Exc <28 Days 36 26 $1,666.00 $1,666.00 $143.59 $1,616.02 $685.73 2025-07-31
19300 HCPCS Mastectomy For Gynecomastia 36 26 $1,623.00 $1,623.00 $406.14 $1,574.31 $681.66 2025-07-31
46040 HCPCS I&d Ischiorectal/perirectal Ab 36 26 $1,621.00 $1,621.00 $390.92 $1,572.37 $680.82 2025-07-31
J0585 HCPCS Botox 100 Unit Vial 71 26 $1,550.40 $1,009.16 35% off $493.73 $1,503.89 $679.56 2026-03-31
71271 HCPCS Lung Cancer Screening,technical Component 71 26 $1,470.00 $930.07 37% off $86.30 $1,497.68 $676.74 2026-03-31
J1410 HCPCS Conjugated Estrogens Inj 67 26 $753.80 $490.65 35% off $302.88 $7,308.73 $662.51 2026-03-31
77075 HCPCS Bone Survey,technical Component 71 26 $1,435.00 $907.92 37% off $70.70 $1,461.79 $660.52 2026-03-31
12046 HCPCS Layer Closure Wnd Ext 20.1-30 36 26 $1,561.00 $1,561.00 $350.82 $1,514.17 $655.62 2025-07-31
93978 HCPCS Duplex Aorta,technical Component 71 26 $1,420.00 $898.43 37% off $137.07 $1,446.27 $653.52 2026-03-31
19120 HCPCS Excision Tumor, Lesion, Breast 102 26 $1,418.00 $897.17 37% off $245.03 $1,444.33 $653.23 2026-03-31
93880 HCPCS Carotid Duplex Bi,technical Component 71 26 $1,415.00 $895.27 37% off $145.52 $1,441.42 $651.31 2026-03-31
36430 HCPCS Sched Bld Product Admin 135 26 $1,083.00 $685.21 37% off $41.23 $1,438.51 $649.99 2026-03-31
27301 HCPCS Incision/drain Deep Thigh/knee 36 26 $1,231.00 $1,231.00 $475.96 $1,231.00 $649.53 2025-07-31
43235 HCPCS Egd;flexible W/collect Of Spec 36 26 $1,575.00 $1,575.00 $207.78 $1,527.75 $648.27 2025-07-31
L0472 HCPCS Jewitt Brace 65 25 $1,383.00 $875.02 37% off $227.58 $1,341.51 $646.41 2026-03-31
26160 HCPCS Excision Lesion Tendon Sheath 84 26 $1,402.00 $931.97 34% off $242.27 $1,428.81 $645.63 2026-03-31
P9040 HCPCS Lrbc;irradiated;each 65 25 $1,380.00 $873.13 37% off $227.06 $1,338.60 $645.01 2026-03-31
1967 HCPCS Epidural 123 24 $1,944.00 $1,291.97 34% off $1.91 $1,980.74 $642.96 2026-03-31
58611 HCPCS Ligation Of Fall Tubes W/c-sec 35 26 $1,552.00 $1,552.00 $50.49 $1,505.44 $638.80 2025-07-31
93308 HCPCS Echo Limited,technical Component 71 26 $1,385.00 $876.29 37% off $70.70 $1,411.35 $637.74 2026-03-31
12054 HCPCS Layer Closure Face/ears/mucmem 36 26 $1,531.00 $1,531.00 $273.74 $1,485.07 $636.59 2025-07-31
11044 HCPCS Debride,bone,1st 20 Sq Cm Or < 36 26 $1,539.00 $1,539.00 $217.45 $1,492.83 $633.45 2025-07-31
26605 HCPCS Clsd Trmtmt Metacarpal Fx W/ma 36 26 $1,539.00 $1,539.00 $243.78 $1,492.83 $633.45 2025-07-31
11642 HCPCS Exc Malign Les Face Ear 1.1-2c 83 26 $1,465.00 $973.73 34% off $192.56 $1,492.83 $630.99 2026-03-31
70496 HCPCS CT Angio Head,technical Component 71 26 $1,361.00 $891.77 34% off $192.96 $1,387.10 $626.76 2026-03-31
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