Price Transparency Hospital negotiated rates

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

Export CSV
Hospital

TALLAHATCHIE GENERAL HOSPITAL-CAH

Charleston, MS · CCN 251304 · Rates published

3,505 distinct procedures filed
11 distinct payers
53,420 rate rows
2026-05-08 last MRF observed
Data quality

53,236 of 53,420 rate rows are consumer-grade (99.7%)

184 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 145
placeholder amount (≤ $0.02) — excluded from medians 21
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mytgh.com/wp-content/uploads/2026/03/646010664_tallahatchie-general-hospital_standardcharges.csv
Found on page https://mytgh.com/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint cdf9ae621017884c… · 12,357,310 bytes · first seen 2026-05-09

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
637
CPT 		Diabetes With Mcc 2 $13,393.60 $13,393.60 $13,393.60 —
637
APR_DRG 		Diabetes With Mcc 1 $13,393.60 $13,393.60 $13,393.60 nat. median
$11,848
1.1× median
J3101
CPT 		Tnkase (tenecteplace) Inj 50 Mg 6 $153.11 $18,122.18 $13,134.23 nat. median
$5,949
outlier · 2.2×
195
APR_DRG 		Simple Pneumonia And Pleurisy Without Cc/mcc 1 $10,990.25 $10,990.25 $10,990.25 nat. median
$4,845
outlier · 2.3×
195
CPT 		Simple Pneumonia And Pleurisy Without Cc/mcc 2 $10,990.25 $10,990.25 $10,990.25 —
J2997
CPT 		Activase (alteplase) Inj 100 Mg 6 $88.97 $20,939.23 $10,681.87 nat. median
$545
outlier · 19.6×
J9310
HCPCS 		Rituximab (rituxan) 10mg/ml 50ml Vial 2 $9,943.88 $11,274.24 $10,609.06 nat. median
$2,746
outlier · 3.9×
J9310
CPT 		Rituximab (rituxan) 10mg/ml 50ml Vial 6 $9,529.55 $11,274.24 $10,401.90 nat. median
$2,746
outlier · 3.8×
4421
CPT 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic 5 $9,360.20 $12,079.55 $9,360.20 —
4421
APR_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic 5 $9,360.20 $12,079.55 $9,360.20 nat. median
$11,385
0.8× median
1781
APR_DRG 		Respiratory Infections And Inflammations With Cc 4 $8,321.58 $8,321.58 $8,321.58 nat. median
$36,550
outlier · 0.2×
1781
CPT 		Respiratory Infections And Inflammations With Cc 3 $8,321.58 $8,321.58 $8,321.58 —
1771
APR_DRG 		Respiratory Infections And Inflammations With Mcc 5 $8,038.82 $11,290.20 $8,038.82 nat. median
$10,558
0.8× median
1771
CPT 		Respiratory Infections And Inflammations With Mcc 5 $8,038.82 $11,290.20 $8,038.82 —
J2505
CPT 		Pegfilgrastim (neulasta) 6mg Syringe 6 $3,079.49 $11,818.80 $6,534.67 nat. median
$6,803
1.0× median
71
APR_DRG 		Nonspecific Cerebrovascular Disorders With Cc 4 $6,200.90 $6,200.90 $6,200.90 nat. median
$50,717
outlier · 0.1×
71
CPT 		Nonspecific Cerebrovascular Disorders With Cc 3 $6,200.90 $6,200.90 $6,200.90 —
J3101
HCPCS 		Tnkase (tenecteplace) Inj 50 Mg 6 $162.43 $18,122.18 $5,873.41 nat. median
$5,949
1.0× median
6901
APR_DRG 		Kidney And Urinary Tract Infections Without Mcc 4 $5,708.93 $5,708.93 $5,708.93 nat. median
$14,809
outlier · 0.4×
6901
CPT 		Kidney And Urinary Tract Infections Without Mcc 3 $5,708.93 $5,708.93 $5,708.93 —
1901
APR_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 4 $5,240.97 $5,240.97 $5,240.97 nat. median
$6,420
0.8× median
1901
CPT 		Chronic Obstructive Pulmonary Disease With Mcc 3 $5,240.97 $5,240.97 $5,240.97 —
1931
APR_DRG 		Simple Pneumonia And Pleurisy With Mcc 4 $5,093.44 $5,093.44 $5,093.44 nat. median
$8,612
0.6× median
1931
CPT 		Simple Pneumonia And Pleurisy With Mcc 3 $5,093.44 $5,093.44 $5,093.44 —
J2997
HCPCS 		Activase (alteplase) Inj 100 Mg 6 $91.48 $20,939.23 $4,826.90 nat. median
$545
outlier · 8.9×
1942
APR_DRG 		Simple Pneumonia And Pleurisy With Cc 4 $4,580.01 $4,580.01 $4,580.01 nat. median
$5,988
0.8× median
1942
CPT 		Simple Pneumonia And Pleurisy With Cc 3 $4,580.01 $4,580.01 $4,580.01 —
5401
APR_DRG 		Osteomyelitis With Cc 4 $4,009.18 $4,009.18 $4,009.18 nat. median
$5,394
0.7× median
5401
CPT 		Osteomyelitis With Cc 3 $4,009.18 $4,009.18 $4,009.18 —
561
CPT 		Aftercare, Musculoskeletal System And Connective Tissue 3 $4,005.23 $4,005.23 $4,005.23 —
561
APR_DRG 		Aftercare, Musculoskeletal System And Connective Tissue 4 $4,005.23 $4,005.23 $4,005.23 nat. median
$4,958
0.8× median
J0840
CPT 		Crofab 1gm Vial 6 $1,949.92 $5,963.33 $3,495.21 nat. median
$3,427
1.0× median
1941
CPT 		Simple Pneumonia And Pleurisy With Cc 3 $3,489.70 $3,489.70 $3,489.70 —
1941
APR_DRG 		Simple Pneumonia And Pleurisy With Cc 4 $3,489.70 $3,489.70 $3,489.70 nat. median
$4,485
0.8× median
81211
CPT 		Brca 1 And 2 6 $2,347.92 $4,055.20 $3,201.56 nat. median
$1,691
1.9× median
81211
HCPCS 		Brca 1 And 2 2 $2,347.92 $4,055.20 $3,201.56 nat. median
$1,691
1.9× median
J2505
HCPCS 		Pegfilgrastim (neulasta) 6mg Syringe 6 $3,079.49 $11,818.80 $3,079.49 nat. median
$6,803
outlier · 0.5×
2491
APR_DRG 		Other Gastroenteritis, Nausea And Vomiting 4 $2,986.42 $2,986.42 $2,986.42 nat. median
$3,943
0.8× median
2491
CPT 		Other Gastroenteritis, Nausea And Vomiting 3 $2,986.42 $2,986.42 $2,986.42 —
81228
CPT 		Chromosome Microarray 6 $882.00 $4,740.00 $2,811.00 nat. median
$990
outlier · 2.8×
81228
HCPCS 		Chromosome Microarray 2 $882.00 $4,740.00 $2,811.00 nat. median
$990
outlier · 2.8×
Q4101
CPT 		Apligraf 6 $69.66 $2,589.60 $2,389.23 nat. median
$92
outlier · 26.1×
J0897
CPT 		Prolia (denosumab) Inj 60 Mg 6 $25.20 $5,200.80 $2,210.59 nat. median
$2,506
0.9× median
J1459
CPT 		Immune Globulin (privigen) 10gm/100ml 6 $48.29 $9,389.86 $1,963.15 nat. median
$1,228
1.6× median
J0840
HCPCS 		Crofab 1gm Vial 6 $1,779.64 $5,963.33 $1,779.64 nat. median
$3,427
0.5× median
81162
CPT 		Brca 1 & 2 6 $1,642.39 $3,600.00 $1,715.39 nat. median
$1,825
0.9× median
81162
HCPCS 		Brca 1 & 2 6 $1,642.39 $3,600.00 $1,642.39 nat. median
$1,825
0.9× median
59409
CPT 		Pf Vag Deliv Only 6 $655.85 $1,960.00 $1,550.00 nat. median
$3,185
outlier · 0.5×
59409
HCPCS 		Pf Vag Deliv Only 6 $647.51 $2,167.02 $1,550.00 nat. median
$3,185
outlier · 0.5×
Q4160
HCPCS 		Nushield 2x3 Cm 2 $1,402.38 $1,590.00 $1,496.19 nat. median
$301
outlier · 5.0×

Other procedures at this hospital

Browse this hospital's 3,505 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
             
0305 RC — 8 2 $776.00 — $290.71 $912.00 $566.99 2026-03-12
0444 RC — 4 2 $450.00 — $317.52 $360.00 $338.76 2026-03-12
10121 HCPCS Pf Remove Foreign Body 38 6 $445.00 $939.75 $178.81 $1,260.00 $445.00 2026-03-12
10121 CPT Pf Remove Foreign Body 19 6 $445.00 $356.00 20% off $180.98 $1,260.00 $356.00 2026-05-08
11012 HCPCS Deb Skin/bone At Fx Site 12 6 $1,329.58 $930.71 30% off $506.84 $1,329.58 $722.50 2026-03-12
11012 CPT Deb Skin/bone At Fx Site 6 6 $1,329.58 $930.71 30% off $517.27 $1,063.66 $708.16 2026-05-08
11043 HCPCS Pf Debride, Muscle/fascia 34 6 $641.00 $256.99 60% off $146.01 $754.80 $466.46 2026-03-12
11043 CPT Pf Debride, Muscle/fascia 19 6 $641.00 $512.80 20% off $151.85 $754.80 $465.33 2026-05-08
11100 CPT Biopsy Skin 9 6 $481.00 $336.70 30% off $77.76 $384.80 $355.02 2026-05-08
11604 HCPCS Exc Malig Les 3.1to 4.0cm 24 6 $838.35 $624.35 26% off $176.40 $1,141.36 $393.08 2026-03-12
11604 CPT Exc Malig Les 3.1to 4.0cm 12 6 $838.35 $624.35 26% off $169.05 $1,141.36 $385.64 2026-05-08
11646 HCPCS Exc Malgi Lesion >4cm Fac Ear Nse Lip Ey 12 6 $420.00 — $296.35 $420.00 $420.00 2026-03-12
11646 CPT Exc Malgi Lesion >4cm Fac Ear Nse Lip Ey 6 6 $420.00 $336.00 20% off $284.00 $420.00 $378.00 2026-05-08
12020 CPT Tx Wound/dehiscense Simpl 6 6 $856.90 $599.83 30% off $465.33 $685.52 $522.38 2026-05-08
12020 HCPCS Tx Wound/dehiscense Simpl 12 6 $856.90 $599.83 30% off $466.46 $685.52 $466.46 2026-03-12
12046 CPT Layer Clo Neck/ft/genit 20.1-30.0 16 6 $520.00 $416.00 20% off $250.19 $465.33 $382.18 2026-05-08
12046 HCPCS Layer Clo Neck/ft/genit 20.1-30.0 32 6 $520.00 $445.00 $261.07 $466.46 $379.31 2026-03-12
12056 CPT Repair Int 20.1cm To 30.0 6 6 $561.00 $392.70 30% off $295.43 $448.80 $337.39 2026-05-08
13121 CPT Rep Compl Sc/arm/leg 2.6 19 6 $511.00 $511.00 $236.67 $620.80 $350.00 2026-05-08
13121 HCPCS Rep Compl Sc/arm/leg 2.6 36 6 $511.00 $511.00 $227.43 $620.80 $350.00 2026-03-12
13132 HCPCS Repair Complex 2.6 To 7.5 24 6 $909.50 $679.70 25% off $265.77 $776.80 $466.46 2026-03-12
13132 CPT Repair Complex 2.6 To 7.5 13 6 $848.00 $679.70 $296.78 $776.80 $465.33 2026-05-08
13151 HCPCS Repair Comp 1.1-2.5cm Nose/ear/lip/eyeli 12 6 $340.00 $340.00 $239.90 $340.00 $340.00 2026-03-12
13152 HCPCS Pf Repr Complx Lids/lips 2.6-7.5 Cm 28 6 $848.00 $848.00 $294.76 $708.00 $466.46 2026-03-12
13152 CPT Pf Repr Complx Lids/lips 2.6-7.5 Cm 16 6 $848.00 $708.00 $328.64 $708.00 $465.33 2026-05-08
15271 HCPCS App Of Skin Product Legs Trunk Arms 25sq 24 6 $870.00 $609.00 30% off $98.78 $1,393.94 $634.48 2026-03-12
15271 CPT App Of Skin Product Legs Trunk Arms 25sq 12 6 $870.00 $609.00 30% off $94.67 $1,351.14 $602.09 2026-05-08
15273 HCPCS Skin Graft Leg Arm Trunk First 100 Sq Cm 24 6 $745.18 $521.63 30% off $239.74 $818.42 $616.11 2026-03-12
15273 CPT Skin Graft Leg Arm Trunk First 100 Sq Cm 12 6 $745.18 $521.63 30% off $246.19 $818.42 $545.49 2026-05-08
15275 HCPCS Sub Graft 12 6 $550.10 $385.07 30% off $388.15 $550.10 $550.10 2026-03-12
15275 CPT Sub Graft 6 6 $550.10 $385.07 30% off $371.98 $550.10 $495.09 2026-05-08
1771 CPT Respiratory Infections And Inflammations With Mcc 5 5 $16,128.86 $16,128.86 $8,038.82 $11,290.20 $8,038.82 2026-05-08
1771 APR_DRG Respiratory Infections And Inflammations With Mcc 10 5 $16,128.86 $16,128.86 $8,038.82 $11,290.20 $8,038.82 2026-03-12
1781 CPT Respiratory Infections And Inflammations With Cc 3 3 $8,321.58 $8,321.58 $8,321.58 $8,321.58 $8,321.58 2026-05-08
1781 APR_DRG Respiratory Infections And Inflammations With Cc 8 4 $8,321.58 $8,321.58 $8,321.58 $8,321.58 $8,321.58 2026-03-12
1901 CPT Chronic Obstructive Pulmonary Disease With Mcc 3 3 $12,529.75 $12,529.75 $5,240.97 $5,240.97 $5,240.97 2026-05-08
1901 APR_DRG Chronic Obstructive Pulmonary Disease With Mcc 8 4 $12,529.75 $12,529.75 $5,240.97 $5,240.97 $5,240.97 2026-03-12
19120 HCPCS Exc Cyst Fibro Benign Breast 12 6 $400.00 — $282.24 $400.00 $400.00 2026-03-12
19120 CPT Exc Cyst Fibro Benign Breast 6 6 $400.00 $320.00 20% off $270.48 $400.00 $360.00 2026-05-08
1931 APR_DRG Simple Pneumonia And Pleurisy With Mcc 8 4 $12,981.47 $12,981.47 $5,093.44 $5,093.44 $5,093.44 2026-03-12
1931 CPT Simple Pneumonia And Pleurisy With Mcc 3 3 $12,981.47 $12,981.47 $5,093.44 $5,093.44 $5,093.44 2026-05-08
1941 APR_DRG Simple Pneumonia And Pleurisy With Cc 8 4 $14,639.31 $14,639.31 $3,489.70 $3,489.70 $3,489.70 2026-03-12
1941 CPT Simple Pneumonia And Pleurisy With Cc 3 3 $14,639.31 $14,639.31 $3,489.70 $3,489.70 $3,489.70 2026-05-08
1942 CPT Simple Pneumonia And Pleurisy With Cc 3 3 $14,639.31 $14,639.31 $4,580.01 $4,580.01 $4,580.01 2026-05-08
1942 APR_DRG Simple Pneumonia And Pleurisy With Cc 8 4 $14,639.31 $14,639.31 $4,580.01 $4,580.01 $4,580.01 2026-03-12
195 CPT Simple Pneumonia And Pleurisy Without Cc/mcc 2 2 $15,700.36 $15,700.36 $10,990.25 $10,990.25 $10,990.25 2026-05-08
195 APR_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 2 1 $15,700.36 $15,700.36 $10,990.25 $10,990.25 $10,990.25 2026-03-12
21450 CPT Pf Treatment Lower Jaw Fracture 13 6 $720.00 $576.00 20% off $407.65 $576.00 $460.95 2026-05-08
21450 HCPCS Pf Treatment Lower Jaw Fracture 24 6 $715.00 $710.00 $388.07 $576.00 $454.37 2026-03-12
23330 CPT Pf Remove Shoulder Foreign Body 16 6 $390.00 $312.00 20% off $165.86 $820.00 $390.00 2026-05-08
23330 HCPCS Pf Remove Shoulder Foreign Body 32 6 $390.00 $820.00 $169.25 $820.00 $390.00 2026-03-12
23331 HCPCS Foreign Body Shoulder 4 2 $470.00 — $331.63 $376.00 $353.81 2026-03-12
23331 CPT Foreign Body Shoulder 6 6 $470.00 $376.00 20% off $317.81 $376.00 $346.90 2026-05-08
23520 HCPCS Treat Clavicle Dislocation Without Mani 12 6 $610.00 $610.00 $430.42 $610.00 $610.00 2026-03-12
23520 CPT Treat Clavicle Dislocation Without Mani 6 6 $610.00 $610.00 $412.48 $610.00 $549.00 2026-05-08
23655 HCPCS Manip Shoulder With Anes 12 6 $896.00 $627.20 30% off $332.89 $896.00 $482.56 2026-03-12
23655 CPT Manip Shoulder With Anes 6 6 $896.00 $627.20 30% off $334.73 $716.80 $470.31 2026-05-08
24620 HCPCS Closed Tx Monteddia Fx Dislocation Elbow 12 6 $1,349.34 $944.54 30% off $480.42 $1,219.57 $716.25 2026-03-12
24620 CPT Closed Tx Monteddia Fx Dislocation Elbow 6 6 $1,349.34 $944.54 30% off $481.99 $1,079.47 $697.20 2026-05-08
2491 APR_DRG Other Gastroenteritis, Nausea And Vomiting 8 4 $12,613.87 $12,613.87 $2,986.42 $2,986.42 $2,986.42 2026-03-12
2491 CPT Other Gastroenteritis, Nausea And Vomiting 3 3 $12,613.87 $12,613.87 $2,986.42 $2,986.42 $2,986.42 2026-05-08
25505 HCPCS E R Physician Fee 12 6 $1,046.00 $732.20 30% off $415.88 $1,046.00 $576.97 2026-03-12
25505 CPT E R Physician Fee 6 6 $1,046.00 $732.20 30% off $418.69 $836.80 $563.00 2026-05-08
25565 HCPCS Tx Radial/ulnar Fx Manip 12 6 $1,085.00 $759.50 30% off $425.65 $1,085.00 $595.62 2026-03-12
25565 CPT Tx Radial/ulnar Fx Manip 6 6 $1,085.00 $759.50 30% off $427.77 $868.00 $580.72 2026-05-08
25605 CPT Pf Closed Trmt Distal Radial Fx 13 6 $475.00 $380.00 20% off $321.20 $1,073.60 $475.00 2026-05-08
25605 HCPCS Pf Closed Trmt Distal Radial Fx 26 6 $475.00 $939.40 $335.16 $1,219.57 $475.00 2026-03-12
26641 CPT Treat Thumb Dislocation 13 6 $610.00 $488.00 20% off $169.05 $488.00 $344.55 2026-05-08
26725 CPT Dr Fe Cld Tx Phal Fx W/mn 6 6 $686.00 $480.20 30% off $282.38 $548.80 $373.12 2026-05-08
27193 HCPCS Treat Pelvic Ring Fracture 6 2 $800.00 $800.00 $564.48 $640.00 $640.00 2026-03-12
27193 CPT Treat Pelvic Ring Fracture 7 6 $800.00 $800.00 $540.96 $640.00 $590.48 2026-05-08
27230 CPT Treat Thigh Fracture 6 6 $815.00 $815.00 $174.72 $652.00 $362.91 2026-05-08
27265 CPT Cl'd Tx P-hip Arth Disw/o 6 6 $910.00 $637.00 30% off $344.01 $728.00 $479.68 2026-05-08
27265 HCPCS Cl'd Tx P-hip Arth Disw/o 12 6 $910.00 $637.00 30% off $182.80 $728.00 $342.58 2026-03-12
27500 CPT Tx Thigh Fx Fem Shaft Closed Without Manip 10 6 $890.00 $890.00 $174.72 $712.00 $427.77 2026-05-08
27500 HCPCS Tx Thigh Fx Fem Shaft Closed Without Manip 20 6 $890.00 $890.00 $182.80 $712.00 $425.36 2026-03-12
27508 CPT Tx Thigh Fracture Closed Without Manipulatio 10 6 $900.00 $900.00 $174.72 $720.00 $430.70 2026-05-08
27508 HCPCS Tx Thigh Fracture Closed Without Manipulatio 20 6 $900.00 $900.00 $182.80 $720.00 $429.19 2026-03-12
27603 HCPCS I&d Leg Or Ankle Abscess 12 6 $350.00 — $246.96 $350.00 $350.00 2026-03-12
27840 CPT Closed Treatment Of Ankle 13 6 $610.00 $578.90 $174.72 $661.60 $389.58 2026-05-08
31603 CPT Pf Incision Of Windpipe 22 6 $500.00 $400.00 20% off $262.18 $750.00 $450.00 2026-05-08
31603 HCPCS Pf Incision Of Windpipe 44 6 $500.00 $750.00 $259.16 $750.00 $450.00 2026-03-12
32554 HCPCS Thoracentesis-emergency Room 12 6 $670.00 $469.00 30% off $471.14 $536.00 $471.14 2026-03-12
32554 CPT Thoracentesis-emergency Room 6 6 $670.00 $469.00 30% off $453.05 $536.00 $465.44 2026-05-08
36556 HCPCS Pf Insert Non-tunnel Cv Cath 44 6 $560.00 $1,338.26 $77.62 $1,911.80 $421.57 2026-03-12
36556 CPT Pf Insert Non-tunnel Cv Cath 22 6 $560.00 $448.00 20% off $74.38 $1,911.80 $413.34 2026-05-08
36569 CPT Insertion Of Picc Line W/out Imaging 6 6 $1,750.00 $1,225.00 30% off $1,183.35 $1,400.00 $1,186.60 2026-05-08
36569 HCPCS Insertion Of Picc Line W/out Imaging 12 6 $1,750.00 $1,225.00 30% off $1,183.78 $1,400.00 $1,183.78 2026-03-12
36573 CPT Insertion Of 0picc With Imaging 6 6 $1,750.00 $1,225.00 30% off $1,183.35 $1,400.00 $1,186.60 2026-05-08
36573 HCPCS Insertion Of 0picc With Imaging 12 6 $1,750.00 $1,225.00 30% off $1,183.78 $1,400.00 $1,183.78 2026-03-12
36584 HCPCS Replacement Of Picc Line W/out Imaging 12 6 $850.00 $595.00 30% off $599.76 $850.00 $850.00 2026-03-12
36584 CPT Replacement Of Picc Line W/out Imaging 6 6 $850.00 $595.00 30% off $574.77 $850.00 $765.00 2026-05-08
36589 HCPCS Removal Of Tunneled Central Venous Cathe 12 6 $625.90 $438.13 30% off $441.64 $500.72 $471.14 2026-03-12
36589 CPT Removal Of Tunneled Central Venous Cathe 6 6 $625.90 $438.13 30% off $423.23 $500.72 $465.44 2026-05-08
38221 HCPCS Bone Marrow Biopsy 12 6 $616.00 $431.20 30% off $434.65 $616.00 $616.00 2026-03-12
38221 CPT Bone Marrow Biopsy 6 6 $616.00 $431.20 30% off $416.54 $616.00 $554.40 2026-05-08
41112 HCPCS Excision 12 6 $360.00 $360.00 $254.02 $360.00 $360.00 2026-03-12
43235 CPT Egd Diagnostic 6 6 $1,374.00 $961.80 30% off $671.62 $1,099.20 $800.36 2026-05-08
43235 HCPCS Egd Diagnostic 12 6 $1,374.00 $961.80 30% off $714.45 $1,099.20 $714.45 2026-03-12
43239 CPT Egd With Biopsy 6 6 $1,760.00 $1,232.00 30% off $671.62 $1,408.00 $930.87 2026-05-08
43239 HCPCS Egd With Biopsy 12 6 $1,760.00 $1,232.00 30% off $714.45 $1,408.00 $714.45 2026-03-12
43247 CPT Egd With Removal Of Foreign Body 6 6 $1,785.00 $1,249.50 30% off $671.62 $1,428.00 $939.32 2026-05-08
43247 HCPCS Egd With Removal Of Foreign Body 12 6 $1,785.00 $1,249.50 30% off $714.45 $1,428.00 $714.45 2026-03-12
43251 CPT Egd With Removal Of Tumor Etc 6 6 $2,213.00 $1,549.10 30% off $1,409.82 $1,770.40 $1,453.12 2026-05-08
43251 HCPCS Egd With Removal Of Tumor Etc 12 6 $2,213.00 $1,549.10 30% off $1,445.58 $1,770.40 $1,445.58 2026-03-12
4421 CPT Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic 5 5 $17,256.50 $17,256.50 $9,360.20 $12,079.55 $9,360.20 2026-05-08
4421 APR_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic 10 5 $17,256.50 $17,256.50 $9,360.20 $12,079.55 $9,360.20 2026-03-12
44388 HCPCS Colonoscopy Through Stoma; Diagnostic 24 6 $1,135.12 $794.59 30% off $244.84 $1,420.00 $595.00 2026-03-12
44388 CPT Colonoscopy Through Stoma; Diagnostic 12 6 $1,135.12 $794.59 30% off $248.88 $1,420.00 $536.68 2026-05-08
45330 HCPCS Sigmoidoscopy Diagnostic 12 6 $1,004.00 $702.80 30% off $694.75 $803.20 $694.75 2026-03-12
45330 CPT Sigmoidoscopy Diagnostic 6 6 $1,004.00 $702.80 30% off $677.16 $803.20 $678.03 2026-05-08
45331 HCPCS Sigmoidoscopy With Biopsy 12 6 $713.00 $499.10 30% off $503.09 $694.75 $694.75 2026-03-12
45331 CPT Sigmoidoscopy With Biopsy 6 6 $713.00 $499.10 30% off $482.13 $677.16 $623.78 2026-05-08
45378 CPT Colonoscopy Diagnostic 6 6 $1,689.00 $1,182.30 30% off $677.16 $1,351.20 $909.63 2026-05-08
45378 HCPCS Colonoscopy Diagnostic 12 6 $1,689.00 $1,182.30 30% off $694.75 $1,351.20 $694.75 2026-03-12
45380 CPT Colonoscopy With Biopsy 12 6 $1,700.00 $1,190.00 30% off $340.60 $1,608.00 $907.12 2026-05-08
45380 HCPCS Colonoscopy With Submucosal Injection 22 6 $1,390.00 $973.00 30% off $332.16 $1,608.00 $898.50 2026-03-12
45381 HCPCS Colonoscopy With Submucosal Injection 12 6 $638.54 $446.98 30% off $450.56 $638.54 $638.54 2026-03-12
45381 CPT Colonoscopy With Submucosal Injection 6 6 $638.54 $446.98 30% off $431.78 $638.54 $574.68 2026-05-08
45385 CPT Colonoscopy With Removal Of Tumor Etc 6 6 $2,268.00 $1,587.60 30% off $874.33 $1,814.40 $1,203.97 2026-05-08
45385 HCPCS Colonoscopy With Removal Of Tumor Etc 12 6 $2,268.00 $1,587.60 30% off $898.50 $1,814.40 $898.50 2026-03-12
49082 HCPCS Abdom Paracentesis Dx/ther Without Imaging 24 6 $772.70 $540.89 30% off $158.44 $714.45 $645.66 2026-03-12
49082 CPT Abdom Paracentesis Dx/ther Without Imaging 12 6 $772.70 $540.89 30% off $164.38 $690.40 $564.74 2026-05-08
51710 HCPCS Replacement Of Superpubic Catheter 12 6 $745.00 $521.50 30% off $508.63 $596.00 $508.63 2026-03-12
51710 CPT Replacement Of Superpubic Catheter 6 6 $745.00 $521.50 30% off $503.77 $596.00 $506.12 2026-05-08
5401 CPT Osteomyelitis With Cc 3 3 $9,535.82 $9,535.82 $4,009.18 $4,009.18 $4,009.18 2026-05-08
5401 APR_DRG Osteomyelitis With Cc 8 4 $9,535.82 $9,535.82 $4,009.18 $4,009.18 $4,009.18 2026-03-12
561 APR_DRG Aftercare, Musculoskeletal System And Connective Tissue 8 4 $8,745.33 $8,745.33 $4,005.23 $4,005.23 $4,005.23 2026-03-12
561 CPT Aftercare, Musculoskeletal System And Connective Tissue 3 3 $8,745.33 $8,745.33 $4,005.23 $4,005.23 $4,005.23 2026-05-08
59409 HCPCS Pf Vag Deliv Only 38 6 $1,960.00 $1,516.91 23% off $647.51 $2,167.02 $1,550.00 2026-03-12
59409 CPT Pf Vag Deliv Only 19 6 $1,960.00 $1,516.91 23% off $655.85 $1,960.00 $1,550.00 2026-05-08
6031 CPT Cellulitis Without Mcc 3 3 $10,232.78 $10,232.78 $1,026.43 $1,026.43 $1,026.43 2026-05-08
6031 APR_DRG Cellulitis Without Mcc 8 4 $10,232.78 $10,232.78 $1,026.43 $1,026.43 $1,026.43 2026-03-12
637 CPT Diabetes With Mcc 2 2 $19,133.72 $19,133.72 $13,393.60 $13,393.60 $13,393.60 2026-05-08
637 APR_DRG Diabetes With Mcc 2 1 $19,133.72 $19,133.72 $13,393.60 $13,393.60 $13,393.60 2026-03-12
65235 CPT Removal Of Foreign Body 6 6 $2,864.00 $2,004.80 30% off $585.13 $2,291.20 $1,260.89 2026-05-08
65235 HCPCS Removal Of Foreign Body 12 6 $2,864.00 $2,004.80 30% off $572.81 $2,291.20 $1,155.40 2026-03-12
69000 HCPCS Drainage External Ear Abscess/hematoma S 12 6 $526.44 $368.51 30% off $371.46 $526.44 $526.44 2026-03-12
69000 CPT Drainage External Ear Abscess/hematoma S 6 6 $526.44 $368.51 30% off $355.98 $521.29 $471.22 2026-05-08
6901 CPT Kidney And Urinary Tract Infections Without Mcc 3 3 $13,027.03 $13,027.03 $5,708.93 $5,708.93 $5,708.93 2026-05-08
6901 APR_DRG Kidney And Urinary Tract Infections Without Mcc 8 4 $13,027.03 $13,027.03 $5,708.93 $5,708.93 $5,708.93 2026-03-12
70481 CPT CT Orbit/sella/post Fossa W/cont 9 6 $775.00 $620.00 20% off $136.13 $1,096.90 $620.00 2026-05-08
70481 HCPCS CT Orbit/sella/post Fossa W/cont 16 6 $775.00 $959.79 $135.66 $1,096.90 $341.25 2026-03-12
70488 CPT CT Maxillofacial Sinus Wo / W Contrast 6 6 $900.00 $720.00 20% off $136.13 $720.00 $372.36 2026-05-08
70496 CPT CTA Head 9 6 $1,347.00 $1,077.60 20% off $136.13 $1,674.98 $1,077.60 2026-05-08
70496 HCPCS CTA Head 16 6 $1,347.00 $1,465.61 $135.66 $1,674.98 $543.05 2026-03-12
70498 CPT CTA Neck W/contrast 6 6 $1,549.50 $1,084.65 30% off $136.13 $1,239.60 $591.95 2026-05-08
70542 CPT MRI Orbit Face And Neck Wo/w 6 6 $1,407.00 $1,125.60 20% off $284.93 $1,125.60 $618.17 2026-05-08
70545 CPT MRA Head With Contrast 6 6 $1,527.00 $1,527.00 $284.93 $1,221.60 $658.74 2026-05-08
70546 CPT MRA Head Without And With Contrast 6 6 $2,405.00 $2,405.00 $284.93 $1,924.00 $955.60 2026-05-08
70549 CPT MRA Neck With And Without 6 6 $2,406.00 $2,406.00 $284.93 $1,924.80 $955.93 2026-05-08
70552 CPT MRI Brain Contrast Only 6 6 $1,626.00 $1,300.80 20% off $284.93 $1,300.80 $692.21 2026-05-08
71 CPT Nonspecific Cerebrovascular Disorders With Cc 3 3 $6,200.90 $6,200.90 $6,200.90 $6,200.90 $6,200.90 2026-05-08
71 APR_DRG Nonspecific Cerebrovascular Disorders With Cc 8 4 $6,200.90 $6,200.90 $6,200.90 $6,200.90 $6,200.90 2026-03-12
71275 CPT CTA Pulmonary Angiogram 6 6 $1,549.50 $1,084.65 30% off $136.13 $1,239.60 $591.95 2026-05-08
71551 CPT MRI Chest With 6 6 $1,792.00 $1,792.00 $593.23 $1,433.60 $902.49 2026-05-08
71551 HCPCS MRI Chest With 12 6 $1,792.00 $1,792.00 $602.05 $1,433.60 $602.05 2026-03-12
71552 CPT MRI Chest W/wout Contrast 6 6 $2,361.00 $2,361.00 $284.93 $1,888.80 $940.72 2026-05-08
72126 CPT CT Cervical Spine With Contrast 9 6 $975.00 $780.00 20% off $284.93 $1,095.40 $780.00 2026-05-08
72126 HCPCS CT Cervical Spine With Contrast 16 6 $975.00 $958.48 $272.15 $1,095.40 $480.06 2026-03-12
72127 CPT CT Cervical Spine With And Without 6 6 $1,025.00 $820.00 20% off $136.13 $820.00 $414.62 2026-05-08
72129 CPT CT Thoracic Spine With Contrast 9 6 $875.00 $700.00 20% off $136.13 $1,095.46 $700.00 2026-05-08
72129 HCPCS CT Thoracic Spine With Contrast 16 6 $875.00 $958.53 $135.66 $1,095.46 $376.53 2026-03-12
72130 CPT CT Thoracic Spine With And Without 15 6 $1,025.00 $893.97 $136.13 $1,021.68 $500.00 2026-05-08
72132 CPT CT Lumbar Spine W Contrast 9 6 $1,020.00 $816.00 20% off $284.93 $944.00 $797.92 2026-05-08
72132 HCPCS CT Lumbar Spine W Contrast 16 6 $1,020.00 $826.00 $272.15 $944.00 $495.93 2026-03-12
72133 CPT CT L-spine With Contrast 6 6 $1,354.92 $948.44 30% off $136.13 $1,083.94 $526.16 2026-05-08
72142 CPT MRI C-spine With 6 6 $1,646.00 $1,316.80 20% off $284.93 $1,316.80 $698.98 2026-05-08
72147 CPT MRI T-spine With 6 6 $1,486.00 $1,188.80 20% off $284.93 $1,188.80 $644.88 2026-05-08
72149 CPT MRI Other Hospital 9 6 $2,000.00 $1,600.00 20% off $284.93 $1,600.00 $934.40 2026-05-08
72149 HCPCS MRI Other Hospital 16 6 $2,000.00 — $272.15 $1,600.00 $548.14 2026-03-12
72157 CPT MRI T-spine With And Without 6 6 $1,925.00 $1,540.00 20% off $284.93 $1,540.00 $793.31 2026-05-08
72191 CPT CTA Pelvis W/contrast 6 6 $1,950.00 $1,365.00 30% off $136.13 $1,560.00 $727.36 2026-05-08
72193 CPT CT Pelvis With Contrast 9 6 $950.00 $760.00 20% off $136.13 $1,350.60 $760.00 2026-05-08
72193 HCPCS CT Pelvis With Contrast 16 6 $950.00 $1,181.78 $135.66 $1,350.60 $402.99 2026-03-12
72194 CPT CT Pelvis Wo & W Contrast 9 6 $1,100.00 $880.00 20% off $136.13 $1,353.50 $880.00 2026-05-08
72194 HCPCS CT Pelvis Wo & W Contrast 16 6 $1,100.00 $1,184.32 $135.66 $1,353.50 $455.91 2026-03-12
72196 CPT MRI Pelvis W 6 6 $1,605.00 $1,605.00 $284.93 $1,284.00 $685.12 2026-05-08
73206 CPT CTA Upper Ext W/contrast 6 6 $1,672.56 $1,170.79 30% off $136.13 $1,338.05 $633.56 2026-05-08
73702 CPT CT Lower Ext Rt W&without Cont 24 6 $900.00 $750.00 $136.13 $944.00 $600.00 2026-05-08
73706 CPT CTA Leg Bilateral 6 6 $2,213.92 $1,549.74 30% off $136.13 $1,771.14 $816.59 2026-05-08
73725 CPT MRA Lower Extremity Wo/o Contrast Lt 12 6 $1,561.00 $1,404.90 $196.75 $1,248.80 $626.15 2026-05-08
74174 CPT CTA Abd And Pelvis W Contrast 6 6 $2,250.00 $1,575.00 30% off $284.93 $1,800.00 $903.19 2026-05-08
74175 CPT CTA Abd/pelvis Wo/w Contrast 9 6 $1,560.00 $1,248.00 20% off $136.13 $1,560.00 $1,248.00 2026-05-08
74175 HCPCS CTA Abd/pelvis Wo/w Contrast 16 6 $1,560.00 $1,365.00 $135.66 $1,560.00 $618.20 2026-03-12
74183 CPT MRI Abd With And Without Contrast 6 6 $2,094.00 $1,675.20 20% off $284.93 $1,675.20 $850.44 2026-05-08
75635 CPT CTA Aorta W/runoffs 6 6 $1,549.50 $1,084.65 30% off $136.13 $1,239.60 $591.95 2026-05-08
75820 HCPCS Xr Venography Extrem Unilat-rad S&i 12 6 $1,025.00 — $723.24 $1,025.00 $1,025.00 2026-03-12
75820 CPT Xr Venography Extrem Unilat-rad S&i 6 6 $1,025.00 $820.00 20% off $693.10 $1,025.00 $922.50 2026-05-08
77012 HCPCS CT Guidance For Biopsy Localization 4 2 $960.00 — $677.38 $768.00 $722.69 2026-03-12
77012 CPT CT Guidance For Biopsy Localization 6 6 $960.00 $768.00 20% off $649.15 $768.00 $708.58 2026-05-08
80339 HCPCS Perampanel, Serum/plasma 8 2 $900.00 — $4.90 $939.20 $664.80 2026-03-12
80339 CPT Perampanel, Serum/plasma 5 3 $900.00 $720.00 20% off $4.90 $720.00 $609.60 2026-05-08
80377 CPT Sulfonylurea Screen 3 3 $711.00 $568.80 20% off $7.61 $568.80 $568.80 2026-05-08
81162 CPT Brca 1 & 2 6 6 $4,500.00 $3,600.00 20% off $1,642.39 $3,600.00 $1,715.39 2026-05-08
81162 HCPCS Brca 1 & 2 12 6 $4,500.00 — $1,642.39 $3,600.00 $1,642.39 2026-03-12
81211 CPT Brca 1 And 2 6 6 $5,069.00 $3,548.30 30% off $2,347.92 $4,055.20 $3,201.56 2026-05-08
81211 HCPCS Brca 1 And 2 4 2 $5,069.00 $3,548.30 30% off $2,347.92 $4,055.20 $3,201.56 2026-03-12
81213 HCPCS Uncommon Duplication/deletion Variants 4 2 $1,353.00 $947.10 30% off $541.94 $1,082.40 $812.17 2026-03-12
81213 CPT Uncommon Duplication/deletion Variants 6 6 $1,353.00 $947.10 30% off $541.94 $1,082.40 $812.17 2026-05-08
81228 HCPCS Chromosome Microarray 4 2 $5,925.00 — $882.00 $4,740.00 $2,811.00 2026-03-12
81228 CPT Chromosome Microarray 6 6 $5,925.00 $4,740.00 20% off $882.00 $4,740.00 $2,811.00 2026-05-08
81400 CPT Plasminogen Activator Inhibitor-1 Genoty 8 6 $1,188.00 $950.40 20% off $62.68 $950.40 $506.54 2026-05-08
81400 HCPCS Plasminogen Activator Inhibitor-1 Genoty 6 2 $1,188.00 $363.83 69% off $62.68 $950.40 $415.80 2026-03-12
81401 HCPCS Huntington Disease 4 2 $960.00 — $134.26 $768.00 $451.13 2026-03-12
81401 CPT Huntington Disease 6 6 $960.00 $768.00 20% off $134.26 $768.00 $451.13 2026-05-08
81403 HCPCS Jak2 Exon 12 Mutation 4 2 $1,225.00 $857.50 30% off $181.50 $980.00 $580.75 2026-03-12
81403 CPT Jak2 Exon 12 Mutation 6 6 $1,225.00 $857.50 30% off $181.50 $980.00 $580.75 2026-05-08
81420 CPT Neonatal Nipt W/fetal Sex 6 6 $1,794.00 $1,435.20 20% off $683.15 $1,435.20 $713.51 2026-05-08
81420 HCPCS Neonatal Nipt W/fetal Sex 12 6 $1,794.00 — $683.15 $1,435.20 $683.15 2026-03-12
81596 HCPCS Fibro Act 6 2 $504.00 $404.25 $70.75 $462.00 $403.20 2026-03-12
81599 HCPCS Hcv Fibrometer 4 2 $612.50 $428.75 30% off $432.18 $490.00 $461.09 2026-03-12
81599 CPT Hcv Fibrometer 6 6 $612.50 $428.75 30% off $414.18 $490.00 $452.09 2026-05-08
82653 CPT Pancreatic Elastase 3 3 $960.00 $960.00 $22.51 $768.00 $768.00 2026-05-08
82653 HCPCS Pancreatic Elastase 4 2 $960.00 — $22.51 $768.00 $395.25 2026-03-12
82965 CPT Anti-gad65 Ab 3 3 $584.00 $467.20 20% off $12.89 $467.20 $467.20 2026-05-08
83529 HCPCS Interleukin 6, Serum 4 2 $823.00 — $16.92 $658.40 $337.66 2026-03-12
86341 CPT Glutanin Acid & Decarboxylase Antibody 7 3 $584.00 $467.20 20% off $23.10 $540.00 $467.20 2026-05-08
87497 CPT Cmv Quantitative Pcr Viral Load 10 6 $641.25 $513.00 20% off $38.56 $513.00 $384.00 2026-05-08
87507 CPT Gi Molecular Pcr Stool Pathogen Panel 6 6 $675.00 $540.00 20% off $375.10 $540.00 $391.77 2026-05-08
87507 HCPCS Gi Molecular Pcr Stool Pathogen Panel 12 6 $675.00 — $375.10 $540.00 $375.10 2026-03-12
87621 CPT Thin Prep Pap Smear W/hpv, Gc, Chl, Tric 9 6 $1,164.00 $931.20 $56.80 $931.20 $859.15 2026-05-08
87621 HCPCS Thin Prep Pap Smear With Hpv 8 2 $624.00 $499.20 20% off $59.27 $931.20 $444.26 2026-03-12
87633 HCPCS Respiratory Virus 26 6 $575.00 $402.50 30% off $64.00 $504.00 $375.10 2026-03-12
87633 CPT Respiratory Virus 13 6 $575.00 $402.50 30% off $64.00 $504.00 $375.10 2026-05-08
87799 CPT Bk Polyoma Virus Pcr Urine 10 6 $450.00 $360.00 20% off $38.56 $872.80 $360.00 2026-05-08
87902 CPT Hcv Genotype 8 6 $900.00 $720.00 20% off $231.71 $776.80 $486.15 2026-05-08
88175 CPT Thin Prep Pap Smear W/gc, Chl, Trich 8 6 $813.00 $650.40 20% off $23.95 $931.20 $338.24 2026-05-08
88185 CPT Leukemia/lymphoma Panel 7 3 $2,787.00 $2,229.60 20% off $18.37 $2,229.60 $720.00 2026-05-08
88185 HCPCS Leukemia/lymphoma Panel 8 2 $1,843.50 $2,229.60 $19.44 $2,229.60 $432.00 2026-03-12
88189 CPT Leukemia/lymphoma Panel 10 6 $2,787.00 $2,229.60 20% off $68.73 $2,229.60 $409.20 2026-05-08
90670 CPT Vac Prevnar 13 9 6 $746.00 $522.20 30% off $257.99 $596.80 $484.62 2026-05-08
90670 HCPCS Vac Prevnar 13 16 6 $746.00 $522.20 30% off $257.99 $596.80 $342.71 2026-03-12
90671 HCPCS Cl- Pneumococcal 15 Vaccine(vaxneuvance) 4 2 $572.99 — $404.30 $458.39 $431.35 2026-03-12
90677 CPT Prevnar 20 9 6 $945.00 $661.50 30% off $477.96 $756.00 $697.50 2026-05-08
90677 HCPCS Cl- Pneumococcal 20 Vaccine 8 2 $825.91 $661.50 $498.74 $756.00 $616.12 2026-03-12
90736 HCPCS Cl- Zoster Vaccine Live (zostavax) 4 2 $619.62 — $437.21 $495.70 $466.45 2026-03-12
90736 CPT Cl- Zoster Vaccine Live (zostavax) 6 6 $619.62 $495.70 $418.99 $495.70 $457.35 2026-05-08
92506 HCPCS St Eval Speech Language,service Delivered Personally By A Speech-language Pathol… 4 2 $450.00 — $317.52 $360.00 $338.76 2026-03-12
92523 CPT St Eval Sp Sound Pro With Eval Of Lang C,Service Delivered Personally By A Speec… 9 6 $542.00 $433.60 $188.24 $433.60 $366.50 2026-05-08
93306 HCPCS Echo Complete 24 6 $642.52 $639.84 $261.78 $731.24 $394.41 2026-03-12
93306 CPT Echo Complete 12 6 $642.52 $468.32 27% off $250.87 $731.24 $389.87 2026-05-08
93320 HCPCS US Doppler Echo Cont Wave Complt 4 2 $450.00 $450.00 $317.52 $360.00 $338.76 2026-03-12
93325 HCPCS US Dopplr Echo Color Flow Velocity Map 4 2 $450.00 — $317.52 $360.00 $338.76 2026-03-12
93351 HCPCS Cardiac Echo Tthrc R-t 2d W/wo Mode 12 6 $368.00 — $259.66 $368.00 $368.00 2026-03-12
93975 CPT US Renal Doppler 6 6 $785.78 $550.05 30% off $181.55 $628.62 $356.45 2026-05-08
96105 HCPCS St Assess Aphasia W/i&r Per Hr,service Delivered Personally By A Speech-language… 4 2 $478.50 — $337.63 $382.80 $360.22 2026-03-12
96105 CPT St Assess Aphasia W/i&r Per HR,Service Delivered Personally By A Speech-language… 6 6 $478.50 $382.80 20% off $323.57 $382.80 $353.19 2026-05-08
96116 HCPCS St Newrobehav Status Exam W/i&r Per Hr 4 2 $568.50 — $401.13 $454.80 $427.97 2026-03-12
96116 CPT St Newrobehav Status Exam W/i&r Per Hr 6 6 $568.50 $454.80 20% off $384.42 $454.80 $419.61 2026-05-08
99236 CPT Pf Obs Or Inpatient Care Same Day Adm/dc 16 6 $624.00 $499.20 20% off $155.53 $550.98 $352.60 2026-05-08
99285 HCPCS Pf ER E&m Severity Signif Threat 42 6 $480.60 $338.98 29% off $145.66 $467.20 $339.11 2026-03-12
99291 CPT E/m Critical Care E&m 1st Hour 25 6 $571.00 $399.70 30% off $212.27 $683.20 $454.00 2026-05-08
99291 HCPCS E/m Critical Care E&m 1st Hour 52 6 $571.00 $399.70 30% off $214.60 $683.20 $454.00 2026-03-12
99350 CPT Home Vst Est Pt Unstable/sig New Prob 60 9 6 $555.03 $388.52 30% off $153.70 $444.02 $375.31 2026-05-08
99350 HCPCS Home Vst Est Pt Unstable/sig New Prob 60 14 5 $555.03 $388.52 30% off $168.18 $444.02 $368.03 2026-03-12
A0426 HCPCS Als1-non Emergency 4 2 $542.90 $380.03 30% off $308.12 $434.32 $371.22 2026-03-12
A0426 CPT Als1-non Emergency 6 6 $542.90 $380.03 30% off $299.98 $434.32 $367.15 2026-05-08
A0429 HCPCS Bls-emergency 4 2 $723.40 $506.38 30% off $410.84 $578.72 $494.78 2026-03-12
A0429 CPT Bls-emergency 6 6 $723.40 $506.38 30% off $399.97 $578.72 $489.35 2026-05-08
A0433 HCPCS Als2-emergency 4 2 $1,244.80 $871.36 30% off $706.12 $995.84 $850.98 2026-03-12
A0433 CPT Als2-emergency 6 6 $1,244.80 $871.36 30% off $687.44 $995.84 $841.64 2026-05-08
G0105 HCPCS Colorectal Screening High Risk 24 6 $1,077.50 $754.25 30% off $264.25 $1,310.40 $605.88 2026-03-12
G0105 CPT Colorectal Screening High Risk 12 6 $1,077.50 $754.25 30% off $269.03 $1,310.40 $545.38 2026-05-08
G0121 HCPCS Colorectal Cancer Screening 24 6 $1,078.00 $754.60 30% off $264.47 $1,310.40 $606.38 2026-03-12
G0121 CPT Colorectal Cancer Screening 12 6 $1,078.00 $754.60 30% off $269.26 $1,310.40 $545.78 2026-05-08
J0712 CPT Teflaro (ceftaroline) 600mg Vial 9 6 $707.40 $565.92 20% off $3.84 $565.92 $478.35 2026-05-08
J0714 CPT Ceftazidime/avibactam (avycaz)2.5gm Vial 6 6 $1,175.96 $940.77 $95.45 $940.77 $445.31 2026-05-08
J0840 CPT Crofab 1gm Vial 6 6 $7,454.16 $5,963.33 $1,949.92 $5,963.33 $3,495.21 2026-05-08
J0840 HCPCS Crofab 1gm Vial 12 6 $7,454.16 — $1,779.64 $5,963.33 $1,779.64 2026-03-12
J0897 CPT Prolia (denosumab) Inj 60 Mg 6 6 $6,501.00 $4,550.70 30% off $25.20 $5,200.80 $2,210.59 2026-05-08
J1335 CPT Invanz (ertapenem Sodium) Inj 1 Gm 9 6 $600.00 $420.00 30% off $199.97 $480.00 $442.86 2026-05-08
J1439 CPT Injectafer (ferric Carboxyma) Inj 750 Mg 12 6 $2,755.78 $2,046.43 26% off $1.15 $2,531.20 $819.31 2026-05-08
J1442 CPT Filgrastim (neupogen) 480mcg/0.8ml Syr 6 6 $1,514.41 $1,211.53 $0.99 $1,211.53 $512.51 2026-05-08
J1459 CPT Immune Globulin (privigen) 10gm/100ml 15 6 $2,453.94 $1,963.15 20% off $48.29 $9,389.86 $1,963.15 2026-05-08
J1459 HCPCS Immune Globulin (privigen) 10gm/100ml 24 6 $2,453.94 — $49.28 $9,389.86 $1,356.30 2026-03-12
J1610 CPT Glucagon For Inj 1mg 12 6 $729.23 $542.43 26% off $188.37 $655.20 $372.19 2026-05-08
J2505 CPT Pegfilgrastim (neulasta) 6mg Syringe 6 6 $14,773.50 $11,818.80 20% off $3,079.49 $11,818.80 $6,534.67 2026-05-08
J2505 HCPCS Pegfilgrastim (neulasta) 6mg Syringe 12 6 $14,773.50 — $3,079.49 $11,818.80 $3,079.49 2026-03-12
J2785 HCPCS Regadenoson Inj 0.4mg/5ml Syr 4 2 $724.50 — $511.21 $579.60 $545.40 2026-03-12
J2785 CPT Regadenoson Inj 0.4mg/5ml Syr 6 6 $724.50 $579.60 $489.91 $579.60 $534.75 2026-05-08
J2997 CPT Activase (alteplase) Inj 100 Mg 15 6 $23,232.95 $16,263.07 30% off $88.97 $20,939.23 $10,681.87 2026-05-08
J2997 HCPCS Activase (alteplase) Inj 100 Mg 24 6 $23,232.95 $16,263.07 30% off $91.48 $20,939.23 $4,826.90 2026-03-12
J3101 CPT Tnkase (tenecteplace) Inj 50 Mg 9 6 $16,417.79 $11,492.45 30% off $153.11 $18,122.18 $13,134.23 2026-05-08
J3101 HCPCS Tnkase (tenecteplace) Inj 50 Mg 16 6 $16,417.79 $11,492.45 30% off $162.43 $18,122.18 $5,873.41 2026-03-12
J3489 CPT Reclast (zoledronec Ac) Inj 5 Mg/100 Ml 9 6 $1,200.00 $840.00 30% off $391.31 $960.00 $885.72 2026-05-08
J3489 HCPCS Reclast (zoledronec Ac) Inj 5 Mg/100 Ml 8 2 $889.35 $840.00 $408.33 $960.00 $654.84 2026-03-12
J3590 HCPCS Nf-dulaglutide(trulicity)0.75mg/0.5ml 8 2 $685.62 — $468.56 $565.74 $515.12 2026-03-12
J9310 HCPCS Rituximab (rituxan) 10mg/ml 50ml Vial 4 2 $14,092.80 — $9,943.88 $11,274.24 $10,609.06 2026-03-12
J9310 CPT Rituximab (rituxan) 10mg/ml 50ml Vial 6 6 $14,092.80 $11,274.24 20% off $9,529.55 $11,274.24 $10,401.90 2026-05-08
P9016 CPT Bb Blood GIVEN,Special Acquisition Of Blood And Blood Products. 9 6 $750.00 $600.00 20% off $140.61 $728.00 $600.00 2026-05-08
P9016 HCPCS Bb Blood Given,specal Acquisition Of Blood And Blood Products 16 6 $750.00 $637.00 $138.69 $728.00 $333.95 2026-03-12
P9019 CPT Bb Platelets Ea Unit 6 6 $2,062.00 $1,649.60 20% off $50.58 $1,649.60 $722.45 2026-05-08
Q4101 CPT Apligraf 9 6 $3,237.00 $2,265.90 30% off $69.66 $2,589.60 $2,389.23 2026-05-08
Q4101 HCPCS Apligraf 8 2 $1,670.01 $1,169.00 30% off $72.69 $2,589.60 $1,183.23 2026-03-12
Q4159 HCPCS Affinity 6.25 Cm 7 Units 4 2 $1,575.00 $1,102.50 30% off $1,111.32 $1,260.00 $1,185.66 2026-03-12
Q4159 CPT Affinity 6.25 Cm 7 Units 6 6 $1,575.00 $1,102.50 30% off $1,065.02 $1,260.00 $1,162.51 2026-05-08
Q4160 HCPCS Nushield 2x3 Cm 4 2 $1,987.50 $1,391.25 30% off $1,402.38 $1,590.00 $1,496.19 2026-03-12
Q4160 CPT Nushield 2x3 Cm 6 6 $1,987.50 $1,391.25 30% off $1,343.95 $1,590.00 $1,466.97 2026-05-08
Q4196 CPT Puraply 1.6 Disc 2 Units 24 6 $505.31 $353.72 30% off $193.28 $630.00 $367.42 2026-05-08
See an error in this hospital's data? Submit a correction