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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

PIONEER MEDICAL CENTER

Big Timber, MT · CCN 271313 · Rates published

1,684 distinct procedures filed
29 distinct payers
128,578 rate rows
2026-04-06 last MRF observed
Data quality

127,122 of 128,578 rate rows are consumer-grade (98.9%)

1,456 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-charges filed in the dollar field — excluded from medians 1,276
per-diem day rate — not a per-procedure price 120
exceeds 10× this hospital's gross charge — excluded from medians 60
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPMCBIGTIMBERMT&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Pioneer_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-02
Content fingerprint ee9731eb5314b564… · 36,070,395 bytes · first seen 2026-05-06

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
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 29 $10,177.07 $22,615.70 $21,484.92 nat. median
$1,651
outlier · 13.0×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 29 $6,283.04 $13,962.30 $13,264.19 nat. median
$3,824
outlier · 3.5×
J9317
HCPCS 		Injection, Sacituzumab Govitecan-hziy, 2.5 Mg 29 $5,285.79 $11,746.20 $11,158.89 nat. median
$109
outlier · 102.2×
J3032
HCPCS 		Injection, Eptinezumab-jjmr, 1 Mg 29 $4,518.23 $10,040.50 $9,538.48 nat. median
$75
outlier · 126.9×
J3358
HCPCS 		Ustekinumab, For Intravenous Injection, 1 Mg 29 $4,345.11 $9,655.80 $9,173.01 nat. median
$342
outlier · 26.8×
J1602
HCPCS 		Injection, Golimumab, 1 Mg, For Intravenous Use 29 $3,996.36 $8,880.80 $8,436.76 nat. median
$273
outlier · 30.9×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 29 $3,593.30 $11,435.30 $7,585.85 nat. median
$1,973
outlier · 3.8×
J0875
HCPCS 		Injection, Dalbavancin, 5 Mg 29 $3,503.12 $7,784.70 $7,395.47 nat. median
$390
outlier · 19.0×
J9179
HCPCS 		Injection, Eribulin Mesylate, 0.1 Mg 29 $3,181.50 $7,070.00 $6,716.50 nat. median
$526
outlier · 12.8×
J3262
HCPCS 		Injection, Tocilizumab, 1 Mg 29 $2,996.82 $11,260.80 $6,326.62 nat. median
$1,416
outlier · 4.5×
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 29 $2,876.40 $6,392.00 $6,072.40 nat. median
$988
outlier · 6.1×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 29 $2,867.40 $6,372.00 $6,053.40 nat. median
$1,024
outlier · 5.9×
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 29 $2,747.70 $6,106.00 $5,800.70 nat. median
$675
outlier · 8.6×
36558
HCPCS 		Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 29 $2,604.15 $5,787.00 $5,497.65 nat. median
$3,504
1.6× median
G0390
HCPCS 		Trauma Response Team Associated With Hospital Critical Care Service 29 $2,343.60 $5,208.00 $4,947.60 nat. median
$3,212
1.5× median
Q5123
HCPCS 		Injection, Rituximab-arrx, Biosimilar, (riabni), 10 Mg 29 $1,770.21 $12,250.40 $4,723.24 nat. median
$1,008
outlier · 4.7×
Q5115
HCPCS 		Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 29 $1,223.06 $14,859.40 $4,702.31 nat. median
$847
outlier · 5.6×
74177
HCPCS 		CT Scan Of Abdomen And Pelvis With Contrast 29 $2,098.80 $4,664.00 $4,430.80 nat. median
$972
outlier · 4.6×
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 29 $684.00 $16,151.10 $4,394.00 nat. median
$500
outlier · 8.8×
J3424
HCPCS 		Injection, Hydroxocobalamin, Intravenous, 25 Mg 29 $2,008.94 $4,464.30 $4,241.09 nat. median
$1,145
outlier · 3.7×
90377
HCPCS 		Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 29 $1,588.50 $10,988.80 $4,237.48 nat. median
$568
outlier · 7.5×
73220
HCPCS 		MRI Scan Of Arm Before And After Contrast 29 $1,821.60 $4,048.00 $3,845.60 nat. median
$1,128
outlier · 3.4×
J0490
HCPCS 		Injection, Belimumab, 10 Mg 29 $1,388.48 $10,183.70 $3,834.09 nat. median
$1,028
outlier · 3.7×
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 29 $1,759.50 $3,910.00 $3,714.50 nat. median
$1,103
outlier · 3.4×
75635
HCPCS 		CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 29 $1,705.95 $3,791.00 $3,601.45 nat. median
$719
outlier · 5.0×
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 29 $1,681.20 $3,736.00 $3,549.20 nat. median
$1,103
outlier · 3.2×
J1745
HCPCS 		Injection, Infliximab, Excludes Biosimilar, 10 Mg 29 $1,675.44 $3,723.20 $3,537.04 nat. median
$397
outlier · 8.9×
73720
HCPCS 		MRI Scan Of Leg Before And After Contrast 29 $1,674.90 $3,722.00 $3,535.90 nat. median
$1,125
outlier · 3.1×
8196585_1
CDM 		Room & Board - Semi-private (two Beds) - General Classification 23 $2,572.50 $3,675.00 $3,491.25 nat. median
$3,491
1.0× median
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 29 $1,601.78 $3,559.50 $3,381.53 nat. median
$1,063
outlier · 3.2×
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 29 $1,543.95 $3,431.00 $3,259.45 nat. median
$1,099
outlier · 3.0×
73223
HCPCS 		MRI Scan Of Arm Joint Before And After Contrast 29 $1,536.98 $3,415.50 $3,244.73 nat. median
$1,158
outlier · 2.8×
8196583_1
CDM 		Room & Board - Semi-private (two Beds) - General Classification 23 $2,337.30 $3,339.00 $3,172.05 nat. median
$3,172
1.0× median
73706
HCPCS 		CT Scan Of Blood Vessels Of Lower Leg With Contrast 29 $1,494.00 $3,320.00 $3,154.00 nat. median
$740
outlier · 4.3×
72191
HCPCS 		CT Scan Of Blood Vessels Of Pelvis With Contrast 29 $1,490.85 $3,313.00 $3,147.35 nat. median
$632
outlier · 5.0×
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 29 $1,490.85 $3,313.00 $3,147.35 nat. median
$1,132
outlier · 2.8×
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 29 $1,476.90 $3,282.00 $3,117.90 nat. median
$1,090
outlier · 2.9×
74175
HCPCS 		CT Scan Of Blood Vessels Of Abdomen With Contrast 29 $1,473.98 $3,275.50 $3,111.73 nat. median
$714
outlier · 4.4×
71275
HCPCS 		CT Scan Of Blood Vessels Of Chest With Contrast 29 $1,464.75 $3,255.00 $3,092.25 nat. median
$753
outlier · 4.1×
74176
HCPCS 		CT Scan Of Abdomen And Pelvis Without Contrast 29 $1,438.65 $3,197.00 $3,037.15 nat. median
$694
outlier · 4.4×
70549
HCPCS 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 29 $1,417.28 $3,149.50 $2,992.03 nat. median
$1,054
outlier · 2.8×
71270
HCPCS 		CT Scan Of Chest Before And After Contrast 29 $1,410.98 $3,135.50 $2,978.73 nat. median
$672
outlier · 4.4×
73206
HCPCS 		CT Scan Of Blood Vessels Of Arm With Contrast 29 $1,410.98 $3,135.50 $2,978.73 nat. median
$686
outlier · 4.3×
A0434
HCPCS 		Specialty Care Transport (sct) 29 $1,407.63 $3,128.06 $2,971.66 nat. median
$1,267
outlier · 2.3×
8028141_1
CDM 		Room & Board - Other - Sterile Environment 23 $2,172.80 $3,104.00 $2,948.80 nat. median
$3,498
0.8× median
71552
HCPCS 		MRI Scan Of Chest Before And After Contrast 29 $1,376.78 $3,059.50 $2,906.53 nat. median
$1,097
outlier · 2.7×
93306
HCPCS 		Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 29 $1,369.80 $3,044.00 $2,891.80 nat. median
$993
outlier · 2.9×
C8929
HCPCS 		Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 29 $1,369.80 $3,044.00 $2,891.80 nat. median
$1,358
outlier · 2.1×
71271
HCPCS 		Low Dose CT Scan Of Chest For Lung Cancer Screening 29 $1,364.40 $3,032.00 $2,880.40 nat. median
$214
outlier · 13.5×
70471
HCPCS 		Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 29 $1,358.10 $3,018.00 $2,867.10 nat. median
$835
outlier · 3.4×

Other procedures at this hospital

Browse this hospital's 1,684 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
             
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 58 29 $22,615.70 $18,092.56 $10,177.07 $22,615.70 $21,484.92 2026-04-06
J3101 HCPCS Injection, Tenecteplase, 1 Mg 58 29 $13,962.30 $11,169.84 $6,283.04 $13,962.30 $13,264.19 2026-04-06
J9317 HCPCS Injection, Sacituzumab Govitecan-hziy, 2.5 Mg 58 29 $11,746.20 $9,396.96 20% off $5,285.79 $11,746.20 $11,158.89 2026-04-06
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 58 29 $10,040.50 $8,032.40 20% off $4,518.23 $10,040.50 $9,538.48 2026-04-06
J3358 HCPCS Ustekinumab, For Intravenous Injection, 1 Mg 58 29 $9,655.80 $7,724.64 $4,345.11 $9,655.80 $9,173.01 2026-04-06
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 58 29 $8,880.80 $7,104.64 $3,996.36 $8,880.80 $8,436.76 2026-04-06
J0897 HCPCS Injection, Denosumab, 1 Mg 116 29 $9,710.20 $7,768.16 20% off $3,593.30 $11,435.30 $7,585.85 2026-04-06
J0875 HCPCS Injection, Dalbavancin, 5 Mg 58 29 $7,784.70 $6,227.76 $3,503.12 $7,784.70 $7,395.47 2026-04-06
J9179 HCPCS Injection, Eribulin Mesylate, 0.1 Mg 58 29 $7,070.00 $5,656.00 20% off $3,181.50 $7,070.00 $6,716.50 2026-04-06
J3262 HCPCS Injection, Tocilizumab, 1 Mg 116 29 $8,960.20 $7,168.16 20% off $2,996.82 $11,260.80 $6,326.62 2026-04-06
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 58 29 $6,392.00 $5,113.60 $2,876.40 $6,392.00 $6,072.40 2026-04-06
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 58 29 $6,372.00 $5,097.60 $2,867.40 $6,372.00 $6,053.40 2026-04-06
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 58 29 $6,106.00 $4,884.80 20% off $2,747.70 $6,106.00 $5,800.70 2026-04-06
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 58 29 $5,787.00 $4,629.60 $2,604.15 $5,787.00 $5,497.65 2026-04-06
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 58 29 $5,208.00 $4,166.40 20% off $2,343.60 $5,208.00 $4,947.60 2026-04-06
Q5123 HCPCS Injection, Rituximab-arrx, Biosimilar, (riabni), 10 Mg 116 29 $8,092.10 $6,473.68 $1,770.21 $12,250.40 $4,723.24 2026-04-06
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 116 29 $8,788.65 $7,030.92 $1,223.06 $14,859.40 $4,702.31 2026-04-06
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 58 29 $4,664.00 $3,731.20 20% off $2,098.80 $4,664.00 $4,430.80 2026-04-06
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 116 29 $8,835.55 $7,068.44 20% off $684.00 $16,151.10 $4,394.00 2026-04-06
J3424 HCPCS Injection, Hydroxocobalamin, Intravenous, 25 Mg 58 29 $4,464.30 $3,571.44 20% off $2,008.94 $4,464.30 $4,241.09 2026-04-06
90377 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 116 29 $7,259.40 $5,807.52 $1,588.50 $10,988.80 $4,237.48 2026-04-06
73220 HCPCS MRI Scan Of Arm Before And After Contrast 58 29 $4,048.00 $3,238.40 20% off $1,821.60 $4,048.00 $3,845.60 2026-04-06
J0490 HCPCS Injection, Belimumab, 10 Mg 116 29 $6,634.60 $5,307.68 20% off $1,388.48 $10,183.70 $3,834.09 2026-04-06
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 58 29 $3,910.00 $3,128.00 20% off $1,759.50 $3,910.00 $3,714.50 2026-04-06
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 58 29 $3,791.00 $3,032.80 $1,705.95 $3,791.00 $3,601.45 2026-04-06
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 58 29 $3,736.00 $2,988.80 $1,681.20 $3,736.00 $3,549.20 2026-04-06
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 58 29 $3,723.20 $2,978.56 20% off $1,675.44 $3,723.20 $3,537.04 2026-04-06
73720 HCPCS MRI Scan Of Leg Before And After Contrast 58 29 $3,722.00 $2,977.60 20% off $1,674.90 $3,722.00 $3,535.90 2026-04-06
8196585_1 CDM Room & Board - Semi-private (two Beds) - General Classification 46 23 $3,675.00 $2,940.00 20% off $2,572.50 $3,675.00 $3,491.25 2026-04-06
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 58 29 $3,559.50 $2,847.60 20% off $1,601.78 $3,559.50 $3,381.53 2026-04-06
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 58 29 $3,431.00 $2,744.80 $1,543.95 $3,431.00 $3,259.45 2026-04-06
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 58 29 $3,415.50 $2,732.40 20% off $1,536.98 $3,415.50 $3,244.73 2026-04-06
8196583_1 CDM Room & Board - Semi-private (two Beds) - General Classification 46 23 $3,339.00 $2,671.20 20% off $2,337.30 $3,339.00 $3,172.05 2026-04-06
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 58 29 $3,320.00 $2,656.00 20% off $1,494.00 $3,320.00 $3,154.00 2026-04-06
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 58 29 $3,313.00 $2,650.40 20% off $1,490.85 $3,313.00 $3,147.35 2026-04-06
70553 HCPCS MRI Scan Of Brain Before And After Contrast 58 29 $3,313.00 $2,650.40 20% off $1,490.85 $3,313.00 $3,147.35 2026-04-06
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 58 29 $3,282.00 $2,625.60 20% off $1,476.90 $3,282.00 $3,117.90 2026-04-06
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 58 29 $3,275.50 $2,620.40 20% off $1,473.98 $3,275.50 $3,111.73 2026-04-06
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 58 29 $3,255.00 $2,604.00 20% off $1,464.75 $3,255.00 $3,092.25 2026-04-06
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 58 29 $3,197.00 $2,557.60 20% off $1,438.65 $3,197.00 $3,037.15 2026-04-06
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 58 29 $3,149.50 $2,519.60 20% off $1,417.28 $3,149.50 $2,992.03 2026-04-06
71270 HCPCS CT Scan Of Chest Before And After Contrast 58 29 $3,135.50 $2,508.40 20% off $1,410.98 $3,135.50 $2,978.73 2026-04-06
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 58 29 $3,135.50 $2,508.40 20% off $1,410.98 $3,135.50 $2,978.73 2026-04-06
A0434 HCPCS Specialty Care Transport (sct) 58 29 $3,128.06 $2,502.45 $1,407.63 $3,128.06 $2,971.66 2026-04-06
8028141_1 CDM Room & Board - Other - Sterile Environment 46 23 $3,104.00 $2,483.20 20% off $2,172.80 $3,104.00 $2,948.80 2026-04-06
71552 HCPCS MRI Scan Of Chest Before And After Contrast 58 29 $3,059.50 $2,447.60 20% off $1,376.78 $3,059.50 $2,906.53 2026-04-06
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 58 29 $3,044.00 $2,435.20 20% off $1,369.80 $3,044.00 $2,891.80 2026-04-06
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 58 29 $3,044.00 $2,435.20 20% off $1,369.80 $3,044.00 $2,891.80 2026-04-06
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 58 29 $3,032.00 $2,425.60 20% off $1,364.40 $3,032.00 $2,880.40 2026-04-06
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 58 29 $3,018.00 $2,414.40 20% off $1,358.10 $3,018.00 $2,867.10 2026-04-06
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 58 29 $3,018.00 $2,414.40 20% off $1,358.10 $3,018.00 $2,867.10 2026-04-06
8028201_1 CDM Room & Board - Private (one Bed) - General Classification 46 23 $3,000.00 $2,400.00 20% off $2,100.00 $3,000.00 $2,850.00 2026-04-06
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 58 29 $2,996.00 $2,396.80 $1,348.20 $2,996.00 $2,846.20 2026-04-06
8028232_1 CDM Coronary Care Unit - General Classification 46 23 $2,973.00 $2,378.40 $2,081.10 $2,973.00 $2,824.35 2026-04-06
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 58 29 $2,927.00 $2,341.60 20% off $1,317.15 $2,927.00 $2,780.65 2026-04-06
74160 HCPCS CT Scan Of Abdomen With Contrast 58 29 $2,922.00 $2,337.60 20% off $1,314.90 $2,922.00 $2,775.90 2026-04-06
J0885 HCPCS Injection, Epoetin Alfa, (for Non-esrd Use), 1000 Units 58 29 $2,834.20 $2,267.36 $1,275.39 $2,834.20 $2,692.49 2026-04-06
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 58 29 $2,832.50 $2,266.00 20% off $1,274.63 $2,832.50 $2,690.88 2026-04-06
8196584_1 CDM Room & Board - Semi-private (two Beds) - General Classification 46 23 $2,783.00 $2,226.40 $1,948.10 $2,783.00 $2,643.85 2026-04-06
8028229_1 CDM Room & Board - Semi-private (two Beds) - Other 46 23 $2,775.00 $2,220.00 20% off $1,942.50 $2,775.00 $2,636.25 2026-04-06
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 58 29 $2,768.00 $2,214.40 $1,245.60 $2,768.00 $2,629.60 2026-04-06
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 58 29 $2,757.50 $2,206.00 20% off $1,240.88 $2,757.50 $2,619.63 2026-04-06
8028202_1 CDM Room & Board - Other - Sterile Environment 46 23 $2,757.00 $2,205.60 20% off $1,929.90 $2,757.00 $2,619.15 2026-04-06
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 58 29 $2,730.00 $2,184.00 20% off $1,228.50 $2,730.00 $2,593.50 2026-04-06
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 58 29 $2,645.00 $2,116.00 20% off $1,190.25 $2,645.00 $2,512.75 2026-04-06
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 58 29 $2,614.50 $2,091.60 20% off $1,176.53 $2,614.50 $2,483.78 2026-04-06
73702 HCPCS CT Scan Of Leg Before And After Contrast 58 29 $2,583.50 $2,066.80 $1,162.58 $2,583.50 $2,454.33 2026-04-06
72129 HCPCS CT Scan Of Middle Spine With Contrast 58 29 $2,576.00 $2,060.80 $1,159.20 $2,576.00 $2,447.20 2026-04-06
71260 HCPCS CT Scan Of Chest With Contrast 58 29 $2,549.00 $2,039.20 20% off $1,147.05 $2,549.00 $2,421.55 2026-04-06
A0433 HCPCS Advanced Life Support, Level 2 (als 2) 58 29 $2,537.00 $2,029.60 20% off $1,141.65 $2,537.00 $2,410.15 2026-04-06
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 58 29 $2,533.00 $2,026.40 $1,139.85 $2,533.00 $2,406.35 2026-04-06
99291 HCPCS Critical Care, First 30-74 Minutes 58 29 $2,527.00 $2,021.60 20% off $1,137.15 $2,527.00 $2,400.65 2026-04-06
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 58 29 $2,487.00 $1,989.60 20% off $1,119.15 $2,487.00 $2,362.65 2026-04-06
72132 HCPCS CT Scan Of Lower Spine With Contrast 58 29 $2,487.00 $1,989.60 20% off $1,119.15 $2,487.00 $2,362.65 2026-04-06
73718 HCPCS MRI Scan Of Leg Without Contrast 58 29 $2,422.00 $1,937.60 20% off $1,089.90 $2,422.00 $2,300.90 2026-04-06
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 58 29 $2,397.00 $1,917.60 20% off $1,078.65 $2,397.00 $2,277.15 2026-04-06
72193 HCPCS CT Scan Of Pelvis With Contrast 58 29 $2,376.00 $1,900.80 20% off $1,069.20 $2,376.00 $2,257.20 2026-04-06
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 58 29 $2,338.00 $1,870.40 $1,052.10 $2,338.00 $2,221.10 2026-04-06
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 58 29 $2,332.00 $1,865.60 20% off $1,049.40 $2,332.00 $2,215.40 2026-04-06
72125 HCPCS CT Scan Of Upper Spine Without Contrast 58 29 $2,310.00 $1,848.00 20% off $1,039.50 $2,310.00 $2,194.50 2026-04-06
72131 HCPCS CT Scan Of Lower Spine Without Contrast 58 29 $2,308.00 $1,846.40 $1,038.60 $2,308.00 $2,192.60 2026-04-06
70551 HCPCS MRI Scan Of Brain Without Contrast 58 29 $2,306.00 $1,844.80 20% off $1,037.70 $2,306.00 $2,190.70 2026-04-06
72128 HCPCS CT Scan Of Middle Spine Without Contrast 58 29 $2,293.00 $1,834.40 $1,031.85 $2,293.00 $2,178.35 2026-04-06
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 58 29 $2,242.00 $1,793.60 20% off $1,008.90 $2,242.00 $2,129.90 2026-04-06
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 58 29 $2,240.00 $1,792.00 20% off $1,008.00 $2,240.00 $2,128.00 2026-04-06
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 58 29 $2,239.00 $1,791.20 20% off $1,007.55 $2,239.00 $2,127.05 2026-04-06
73202 HCPCS CT Scan Of Arm Before And After Contrast 58 29 $2,213.50 $1,770.80 20% off $996.08 $2,213.50 $2,102.83 2026-04-06
70488 HCPCS CT Scan Of Face Before And After Contrast 58 29 $2,213.50 $1,770.80 20% off $996.08 $2,213.50 $2,102.83 2026-04-06
70460 HCPCS CT Scan Head Or Brain With Contrast 58 29 $2,213.50 $1,770.80 20% off $996.08 $2,213.50 $2,102.83 2026-04-06
Q5110 HCPCS Injection, Filgrastim-aafi, Biosimilar, (nivestym), 1 Microgram 58 29 $2,210.30 $1,768.24 20% off $994.64 $2,210.30 $2,099.79 2026-04-06
70552 HCPCS MRI Scan Of Brain With Contrast 58 29 $2,188.00 $1,750.40 $984.60 $2,188.00 $2,078.60 2026-04-06
71250 HCPCS CT Scan Of Chest Without Contrast 58 29 $2,187.00 $1,749.60 20% off $984.15 $2,187.00 $2,077.65 2026-04-06
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 58 29 $2,175.00 $1,740.00 20% off $978.75 $2,175.00 $2,066.25 2026-04-06
87154 HCPCS Amplifed Nucleic Acid Probe Typing Of Disease Agent In Blood Culture Specimen 58 29 $2,123.88 $1,699.10 20% off $955.75 $2,123.88 $2,017.69 2026-04-06
72126 HCPCS CT Scan Of Upper Spine With Contrast 58 29 $2,088.50 $1,670.80 20% off $939.83 $2,088.50 $1,984.08 2026-04-06
93307 HCPCS Ultrasound Of Heart 58 29 $2,088.50 $1,670.80 20% off $939.83 $2,088.50 $1,984.08 2026-04-06
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 58 29 $2,075.00 $1,660.00 20% off $933.75 $2,075.00 $1,971.25 2026-04-06
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 116 29 $3,178.80 $2,543.04 20% off $898.56 $4,360.80 $1,962.36 2026-04-06
73200 HCPCS CT Scan Of Arm Without Contrast 58 29 $2,050.00 $1,640.00 20% off $922.50 $2,050.00 $1,947.50 2026-04-06
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 58 29 $2,036.00 $1,628.80 20% off $916.20 $2,036.00 $1,934.20 2026-04-06
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 58 29 $2,030.50 $1,624.40 $913.73 $2,030.50 $1,928.98 2026-04-06
70450 HCPCS CT Scan Head Or Brain Without Contrast 58 29 $2,021.00 $1,616.80 20% off $909.45 $2,021.00 $1,919.95 2026-04-06
70487 HCPCS CT Scan Of Face With Contrast 58 29 $2,018.00 $1,614.40 $908.10 $2,018.00 $1,917.10 2026-04-06
74150 HCPCS CT Scan Of Abdomen Without Contrast 58 29 $2,013.00 $1,610.40 $905.85 $2,013.00 $1,912.35 2026-04-06
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 58 29 $1,971.00 $1,576.80 20% off $886.95 $1,971.00 $1,872.45 2026-04-06
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 232 29 $2,625.10 $2,100.08 20% off $684.00 $4,132.90 $1,842.91 2026-04-06
C8936 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Upper… 58 29 $1,927.00 $1,541.60 20% off $867.15 $1,927.00 $1,830.65 2026-04-06
C8934 HCPCS Magnetic Resonance Angiography With Contrast, Upper Extremity 58 29 $1,927.00 $1,541.60 20% off $867.15 $1,927.00 $1,830.65 2026-04-06
C8935 HCPCS Magnetic Resonance Angiography Without Contrast, Upper Extremity 58 29 $1,927.00 $1,541.60 20% off $867.15 $1,927.00 $1,830.65 2026-04-06
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 58 29 $1,896.00 $1,516.80 20% off $853.20 $1,896.00 $1,801.20 2026-04-06
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 58 29 $1,891.00 $1,512.80 20% off $850.95 $1,891.00 $1,796.45 2026-04-06
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 58 29 $1,882.00 $1,505.60 20% off $846.90 $1,882.00 $1,787.90 2026-04-06
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 58 29 $1,835.00 $1,468.00 20% off $825.75 $1,835.00 $1,743.25 2026-04-06
73700 HCPCS CT Scan Of Leg Without Contrast 58 29 $1,799.00 $1,439.20 20% off $809.55 $1,799.00 $1,709.05 2026-04-06
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 58 29 $1,786.00 $1,428.80 20% off $803.70 $1,786.00 $1,696.70 2026-04-06
A0427 HCPCS Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - … 58 29 $1,783.00 $1,426.40 $802.35 $1,783.00 $1,693.85 2026-04-06
73701 HCPCS CT Scan Of Leg With Contrast Material 58 29 $1,746.50 $1,397.20 20% off $785.93 $1,746.50 $1,659.18 2026-04-06
C8920 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi… 58 29 $1,743.00 $1,394.40 $784.35 $1,743.00 $1,655.85 2026-04-06
C8919 HCPCS Magnetic Resonance Angiography Without Contrast, Pelvis 58 29 $1,743.00 $1,394.40 $784.35 $1,743.00 $1,655.85 2026-04-06
C8918 HCPCS Magnetic Resonance Angiography With Contrast, Pelvis 58 29 $1,743.00 $1,394.40 $784.35 $1,743.00 $1,655.85 2026-04-06
C8900 HCPCS Magnetic Resonance Angiography With Contrast, Abdomen 58 29 $1,737.00 $1,389.60 20% off $781.65 $1,737.00 $1,650.15 2026-04-06
C8901 HCPCS Magnetic Resonance Angiography Without Contrast, Abdomen 58 29 $1,737.00 $1,389.60 20% off $781.65 $1,737.00 $1,650.15 2026-04-06
C8902 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 58 29 $1,737.00 $1,389.60 20% off $781.65 $1,737.00 $1,650.15 2026-04-06
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 58 29 $1,737.00 $1,389.60 20% off $781.65 $1,737.00 $1,650.15 2026-04-06
72195 HCPCS MRI Scan Of Pelvis Without Contrast 58 29 $1,727.00 $1,381.60 20% off $777.15 $1,727.00 $1,640.65 2026-04-06
70486 HCPCS CT Scan Of Face Without Contrast 58 29 $1,712.00 $1,369.60 20% off $770.40 $1,712.00 $1,626.40 2026-04-06
72192 HCPCS CT Scan Of Pelvis Without Contrast 58 29 $1,711.00 $1,368.80 20% off $769.95 $1,711.00 $1,625.45 2026-04-06
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 58 29 $1,638.50 $1,310.80 20% off $737.33 $1,638.50 $1,556.58 2026-04-06
71550 HCPCS MRI Scan Of Chest Without Contrast 58 29 $1,603.50 $1,282.80 20% off $721.58 $1,603.50 $1,523.33 2026-04-06
27842 HCPCS Closed Treatment Of Dislocated Ankle Under Anesthesia 58 29 $1,601.00 $1,280.80 20% off $720.45 $1,601.00 $1,520.95 2026-04-06
27762 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle With Manipulation 58 29 $1,601.00 $1,280.80 20% off $720.45 $1,601.00 $1,520.95 2026-04-06
26742 HCPCS Closed Treatment Of Broken Finger Or Hand At Base Of Finger With Manipulation 58 29 $1,601.00 $1,280.80 20% off $720.45 $1,601.00 $1,520.95 2026-04-06
Q5101 HCPCS Injection, Filgrastim-sndz, Biosimilar, (zarxio), 1 Microgram 58 29 $1,597.70 $1,278.16 20% off $718.97 $1,597.70 $1,517.82 2026-04-06
59409 HCPCS Vaginal Delivery 58 29 $1,595.00 $1,276.00 20% off $717.75 $1,595.00 $1,515.25 2026-04-06
73201 HCPCS CT Scan Of Arm With Contrast 58 29 $1,588.50 $1,270.80 20% off $714.83 $1,588.50 $1,509.08 2026-04-06
32554 HCPCS Aspiration Of Fluid From Chest Cavity 58 29 $1,570.50 $1,256.40 $706.73 $1,570.50 $1,491.98 2026-04-06
8318711_1 CDM Santyl Ointment 58 29 $1,563.30 $1,250.64 $703.49 $1,563.30 $1,485.14 2026-04-06
32551 HCPCS Removal Of Fluid From Between Lung And Chest Cavity 58 29 $1,554.00 $1,243.20 20% off $699.30 $1,554.00 $1,476.30 2026-04-06
20520 HCPCS Removal Of Foreign Body In Muscle Or Tendon 58 29 $1,545.00 $1,236.00 20% off $695.25 $1,545.00 $1,467.75 2026-04-06
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 58 29 $1,532.00 $1,225.60 20% off $689.40 $1,532.00 $1,455.40 2026-04-06
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 58 29 $1,532.00 $1,225.60 20% off $689.40 $1,532.00 $1,455.40 2026-04-06
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 58 29 $1,532.00 $1,225.60 20% off $689.40 $1,532.00 $1,455.40 2026-04-06
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 58 29 $1,520.27 $1,216.22 $684.12 $1,520.27 $1,444.26 2026-04-06
J1447 HCPCS Injection, Tbo-filgrastim, 1 Microgram 58 29 $1,520.00 $1,216.00 20% off $684.00 $1,520.00 $1,444.00 2026-04-06
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 58 29 $1,520.00 $1,216.00 20% off $684.00 $1,520.00 $1,444.00 2026-04-06
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 58 29 $1,520.00 $1,216.00 20% off $684.00 $1,520.00 $1,444.00 2026-04-06
8028231_1 CDM Room & Board - Other - Sterile Environment 46 23 $1,509.00 $1,207.20 20% off $1,056.30 $1,509.00 $1,433.55 2026-04-06
A0429 HCPCS Ambulance Service, Basic Life Support, Emergency Transport (bls-emergency) 58 29 $1,501.00 $1,200.80 20% off $675.45 $1,501.00 $1,425.95 2026-04-06
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 58 29 $1,492.00 $1,193.60 20% off $671.40 $1,492.00 $1,417.40 2026-04-06
8028192_1 CDM Room & Board - Other - Sterile Environment 46 23 $1,464.00 $1,171.20 $1,024.80 $1,464.00 $1,390.80 2026-04-06
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 112 29 $3,033.00 $2,426.40 20% off $42.50 $3,033.00 $1,364.85 2026-04-06
8028193_1 CDM Coronary Care Unit - Myocardial Infarction 46 23 $1,333.00 $1,066.40 $933.10 $1,333.00 $1,266.35 2026-04-06
74181 HCPCS MRI Scan Of Abdomen Without Contrast 58 29 $1,295.00 $1,036.00 20% off $582.75 $1,295.00 $1,230.25 2026-04-06
8333421_1 CDM Fluticasone Prop Hfa 220 Mcg 58 29 $1,292.90 $1,034.32 20% off $581.81 $1,292.90 $1,228.26 2026-04-06
76380 HCPCS Limited Or Follow-up CT Scan 116 29 $1,453.50 $1,162.80 20% off $581.40 $1,615.00 $1,227.40 2026-04-06
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 116 29 $1,267.00 $1,013.60 20% off $557.10 $1,296.00 $1,176.10 2026-04-06
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 58 29 $1,229.00 $983.20 $553.05 $1,229.00 $1,167.55 2026-04-06
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 58 29 $1,212.00 $969.60 20% off $545.40 $1,212.00 $1,151.40 2026-04-06
0202U OTHER Test For Detection Of Respiratory Disease-causing Organisms From Back Of Nose An… 58 29 $1,204.00 $963.20 $541.80 $1,204.00 $1,143.80 2026-04-06
A0426 HCPCS Ambulance Service, Advanced Life Support, Non-emergency Transport, Level 1 (als … 58 29 $1,129.96 $903.97 $508.48 $1,129.96 $1,073.46 2026-04-06
8322485_1 CDM Combigan 0.2%-0.5% Eye Drops 58 29 $1,116.50 $893.20 $502.43 $1,116.50 $1,060.68 2026-04-06
36430 HCPCS Transfusion Of Blood Or Blood Products 58 29 $1,072.00 $857.60 20% off $482.40 $1,072.00 $1,018.40 2026-04-06
93976 HCPCS Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 58 29 $1,070.50 $856.40 20% off $481.73 $1,070.50 $1,016.98 2026-04-06
76700 HCPCS Complete Ultrasound Scan Of Abdomen 58 29 $1,034.00 $827.20 $465.30 $1,034.00 $982.30 2026-04-06
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 58 29 $1,029.50 $823.60 20% off $463.28 $1,029.50 $978.03 2026-04-06
92960 HCPCS External Shock To Heart To Regulate Heart Beat 58 29 $1,010.00 $808.00 20% off $454.50 $1,010.00 $959.50 2026-04-06
99292 HCPCS Critical Care, Each Additional 30 Minutes 116 29 $1,127.50 $902.00 20% off $454.50 $1,245.00 $959.50 2026-04-06
93308 HCPCS Ultrasound Of Heart, Follow-up 58 29 $1,009.00 $807.20 $454.05 $1,009.00 $958.55 2026-04-06
81514 HCPCS Measurement Of DNA Of Bacteria In Vaginal Fluid Specimen 58 29 $995.00 $796.00 20% off $447.75 $995.00 $945.25 2026-04-06
93321 HCPCS Ultrasound Of Heart Blood Flow, Valves And Chambers, Follow-up 58 29 $984.50 $787.60 20% off $443.03 $984.50 $935.28 2026-04-06
8316455_1 CDM Phenohytro Elixir 58 29 $981.60 $785.28 20% off $441.72 $981.60 $932.52 2026-04-06
26785 HCPCS Treatment Of Dislocated Finger Joint 58 29 $975.00 $780.00 20% off $438.75 $975.00 $926.25 2026-04-06
64450 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch 58 29 $964.00 $771.20 $433.80 $964.00 $915.80 2026-04-06
13152 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm 58 29 $903.00 $722.40 20% off $406.35 $903.00 $857.85 2026-04-06
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 58 29 $877.00 $701.60 20% off $394.65 $877.00 $833.15 2026-04-06
86580 HCPCS Skin Test For Tuberculosis 58 29 $860.40 $688.32 $387.18 $860.40 $817.38 2026-04-06
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 58 29 $856.00 $684.80 20% off $385.20 $856.00 $813.20 2026-04-06
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 116 29 $1,100.00 $880.00 20% off $382.50 $1,350.00 $807.50 2026-04-06
8345260_1 CDM Sps 15 Gm/60 Ml Suspension 58 29 $844.20 $675.36 20% off $379.89 $844.20 $801.99 2026-04-06
73218 HCPCS MRI Scan Of Arm Without Contrast 112 29 $1,756.00 $1,404.80 20% off $42.50 $1,756.00 $790.20 2026-04-06
37195 HCPCS Infusion Of Drug To Dissolve Blood Clot In Brain 58 29 $822.00 $657.60 20% off $369.90 $822.00 $780.90 2026-04-06
72114 HCPCS X-ray Lower And Sacral Spine, Minimum Of 6 Views 58 29 $816.00 $652.80 20% off $367.20 $816.00 $775.20 2026-04-06
76856 HCPCS Complete Ultrasound Scan Of Pelvis 58 29 $814.00 $651.20 $366.30 $814.00 $773.30 2026-04-06
10005 HCPCS Fine Needle Aspiration Biopsy Using Ultrasound Guidance, First Growth 54 27 $814.00 $651.20 $366.30 $814.00 $773.30 2026-04-06
76705 HCPCS Limited Ultrasound Scan Of Abdomen 58 29 $783.00 $626.40 20% off $352.35 $783.00 $743.85 2026-04-06
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 58 29 $772.50 $618.00 20% off $347.63 $772.50 $733.88 2026-04-06
76870 HCPCS Ultrasound Scan Of Scrotum 58 29 $741.00 $592.80 20% off $333.45 $741.00 $703.95 2026-04-06
12053 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7… 58 29 $727.00 $581.60 $327.15 $727.00 $690.65 2026-04-06
73565 HCPCS X-ray Of Both Knees While Standing 58 29 $724.00 $579.20 $325.80 $724.00 $687.80 2026-04-06
76830 HCPCS Ultrasound Scan Of Uterus, Ovaries, Tubes, Cervix And Pelvic Area Through Vagina 58 29 $721.00 $576.80 20% off $324.45 $721.00 $684.95 2026-04-06
99283 HCPCS Emergency Department Visit With Low Level Of Medical Decision Making 116 29 $737.00 $589.60 $324.00 $754.00 $684.00 2026-04-06
77073 HCPCS X-ray For Bone Length Assessment 116 29 $729.25 $583.40 20% off $323.33 $740.00 $682.58 2026-04-06
12041 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.5 Cm Or Less 58 29 $706.00 $564.80 20% off $317.70 $706.00 $670.70 2026-04-06
76805 HCPCS Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More), Single Or First Fetus 58 29 $700.00 $560.00 20% off $315.00 $700.00 $665.00 2026-04-06
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 116 29 $1,077.00 $861.60 20% off $289.35 $1,511.00 $661.48 2026-04-06
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 58 29 $695.00 $556.00 20% off $312.75 $695.00 $660.25 2026-04-06
76536 HCPCS Ultrasound Scan Of Head And Neck Soft Tissue 58 29 $693.00 $554.40 20% off $311.85 $693.00 $658.35 2026-04-06
27788 HCPCS Closed Treatment Of Broken Outside Lower Leg Bone At Ankle With Manipulation 58 29 $691.00 $552.80 20% off $310.95 $691.00 $656.45 2026-04-06
76706 HCPCS Ultrasound Scan Of Abdominal Aorta 58 29 $688.00 $550.40 20% off $309.60 $688.00 $653.60 2026-04-06
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 58 29 $682.00 $545.60 $306.90 $682.00 $647.90 2026-04-06
90677 HCPCS Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use 58 29 $679.30 $543.44 $305.69 $679.30 $645.34 2026-04-06
72110 HCPCS X-ray Of Lower And Sacral Spine, Minimum Of 4 Views 58 29 $670.00 $536.00 20% off $301.50 $670.00 $636.50 2026-04-06
76857 HCPCS Limited Ultrasound Scan Of Pelvis 58 29 $669.00 $535.20 $301.05 $669.00 $635.55 2026-04-06
77075 HCPCS Complete X-ray Of Body Bones 58 29 $663.50 $530.80 20% off $298.58 $663.50 $630.33 2026-04-06
A0428 HCPCS Ambulance Service, Basic Life Support, Non-emergency Transport, (bls) 58 29 $659.32 $527.46 $296.69 $659.32 $626.35 2026-04-06
76801 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Single Or First Fetus 58 29 $657.00 $525.60 $295.65 $657.00 $624.15 2026-04-06
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 116 29 $803.50 $642.80 20% off $293.40 $955.00 $619.40 2026-04-06
71111 HCPCS X-ray Of Ribs On Both Sides Of Body, Minimum Of 4 Views 58 29 $650.00 $520.00 20% off $292.50 $650.00 $617.50 2026-04-06
8319670_1 CDM Symbicort 80-4.5 Mcg Inhaler 58 29 $645.90 $516.72 $290.66 $645.90 $613.61 2026-04-06
72052 HCPCS X-ray Of Upper Spine, 6 Or More Views 58 29 $640.00 $512.00 20% off $288.00 $640.00 $608.00 2026-04-06
90675 HCPCS Rabies Vaccine For Injection Into Muscle 116 29 $704.60 $563.68 $285.39 $775.00 $602.49 2026-04-06
12013 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6… 58 29 $620.00 $496.00 20% off $279.00 $620.00 $589.00 2026-04-06
J1740 HCPCS Injection, Ibandronate Sodium, 1 Mg 58 29 $618.10 $494.48 20% off $278.15 $618.10 $587.20 2026-04-06
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 58 29 $615.00 $492.00 20% off $276.75 $615.00 $584.25 2026-04-06
72050 HCPCS X-ray Of Upper Spine, 4-5 Views 58 29 $613.00 $490.40 20% off $275.85 $613.00 $582.35 2026-04-06
96360 HCPCS Infusion Into A Vein For Hydration, 31-60 Minutes 58 29 $610.00 $488.00 20% off $274.50 $610.00 $579.50 2026-04-06
0027U OTHER Gene Analysis (Janus Kinase 2) Of Targeted Sequence Exons 12-15 116 29 $634.27 $507.42 $274.30 $659.00 $579.07 2026-04-06
12044 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm 58 29 $599.00 $479.20 20% off $269.55 $599.00 $569.05 2026-04-06
87497 HCPCS Detection Test By Nucleic Acid For Cytomegalovirus, Quantification 116 29 $634.50 $507.60 20% off $269.10 $671.00 $568.10 2026-04-06
97607 HCPCS Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq… 58 29 $595.50 $476.40 20% off $267.98 $595.50 $565.73 2026-04-06
80074 HCPCS Acute Hepatitis Panel 58 29 $594.00 $475.20 20% off $267.30 $594.00 $564.30 2026-04-06
94660 HCPCS Therapy Procedure Using A Positive Pressure Ventilator 58 29 $592.00 $473.60 $266.40 $592.00 $562.40 2026-04-06
13151 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm 58 29 $580.00 $464.00 20% off $261.00 $580.00 $551.00 2026-04-06
92610 HCPCS Evaluation Of Swallowing Function 58 29 $579.50 $463.60 $260.78 $579.50 $550.53 2026-04-06
12016 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.… 58 29 $579.00 $463.20 20% off $260.55 $579.00 $550.05 2026-04-06
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 116 29 $699.75 $559.80 20% off $259.88 $822.00 $548.63 2026-04-06
76775 HCPCS Limited Ultrasound Scan Behind Abdominal Cavity 58 29 $574.00 $459.20 20% off $258.30 $574.00 $545.30 2026-04-06
74022 HCPCS X-ray Series Of Abdomen With Single X-ray Of Chest 58 29 $572.00 $457.60 $257.40 $572.00 $543.40 2026-04-06
12042 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.6-7.5 Cm 58 29 $569.00 $455.20 20% off $256.05 $569.00 $540.55 2026-04-06
71101 HCPCS X-ray Of Ribs On Side Of Body, Minimum Of 3 Views 58 29 $561.00 $448.80 20% off $252.45 $561.00 $532.95 2026-04-06
92597 HCPCS Evaluation For Use Of Voice Artificial Device To Supplement Oral Speech 58 29 $558.00 $446.40 20% off $251.10 $558.00 $530.10 2026-04-06
6821481_1 CDM Rev - Speech Therapy 58 29 $558.00 $446.40 20% off $251.10 $558.00 $530.10 2026-04-06
26755 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb With Manipulation 58 29 $557.50 $446.00 20% off $250.88 $557.50 $529.63 2026-04-06
8992489_1 CDM Quicktrach (rusch) Peds__pmc 58 29 $555.98 $444.78 20% off $250.19 $555.98 $528.18 2026-04-06
8992490_1 CDM Quicktrach (rusch) Adult__pmc 58 29 $555.98 $444.78 20% off $250.19 $555.98 $528.18 2026-04-06
76604 HCPCS Ultrasound Scan Of Chest 58 29 $555.50 $444.40 20% off $249.98 $555.50 $527.73 2026-04-06
70110 HCPCS X-ray Of Lower Jaw, Minimum Of 4 Views 58 29 $547.00 $437.60 $246.15 $547.00 $519.65 2026-04-06
70150 HCPCS X-ray Of Face Bones, Minimum Of 3 Views 58 29 $543.50 $434.80 20% off $244.58 $543.50 $516.33 2026-04-06
90670 HCPCS Pneumococcal Vaccine, 13-valent 58 29 $536.00 $428.80 20% off $241.20 $536.00 $509.20 2026-04-06
49082 HCPCS Drainage Of Fluid From Abdominal Cavity 58 29 $528.10 $422.48 20% off $237.65 $528.10 $501.70 2026-04-06
80055 HCPCS Obstetric Blood Test Panel 58 29 $528.00 $422.40 20% off $237.60 $528.00 $501.60 2026-04-06
90620 HCPCS Meningococcal Recombinant Protein And Outer Membrane Vesicle Vaccine, Serogroup … 58 29 $527.10 $421.68 20% off $237.20 $527.10 $500.75 2026-04-06
30300 HCPCS Removal Of Foreign Body In Nose 58 29 $527.00 $421.60 $237.15 $527.00 $500.65 2026-04-06
9028248_1 CDM Room & Board - Semi-private (two Beds) - General Classification 46 23 $525.00 $420.00 20% off $367.50 $525.00 $498.75 2026-04-06
96365 HCPCS Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, 1 Hour Or Less 58 29 $522.00 $417.60 $234.90 $522.00 $495.90 2026-04-06
90710 HCPCS Measles, Mumps, Rubella, And Varicella Vaccine 58 29 $520.00 $416.00 20% off $234.00 $520.00 $494.00 2026-04-06
8341543_1 CDM Oseltamivir 6 Mg/ml Suspension 58 29 $515.00 $412.00 20% off $231.75 $515.00 $489.25 2026-04-06
8335874_1 CDM Sucralfate 1 Gm/10 Ml Susp 58 29 $515.00 $412.00 20% off $231.75 $515.00 $489.25 2026-04-06
13122 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, Each Additional 5.0 Cm Or L… 58 29 $515.00 $412.00 20% off $231.75 $515.00 $489.25 2026-04-06
8345284_1 CDM Potassium Cl10%(20meq/15ml)cup 58 29 $515.00 $412.00 20% off $231.75 $515.00 $489.25 2026-04-06
8344672_1 CDM Cetacaine Spray 58 29 $510.00 $408.00 20% off $229.50 $510.00 $484.50 2026-04-06
12011 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5… 58 29 $509.00 $407.20 20% off $229.05 $509.00 $483.55 2026-04-06
26750 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb 58 29 $493.00 $394.40 20% off $221.85 $493.00 $468.35 2026-04-06
70220 HCPCS X-ray Of Paranasal Sinus, Minimum Of 3 Views 58 29 $488.50 $390.80 20% off $219.83 $488.50 $464.08 2026-04-06
72084 HCPCS X-ray Of Entire Middle And Lower Spine, Minimum Of 6 Views 58 29 $477.00 $381.60 $214.65 $477.00 $453.15 2026-04-06
72072 HCPCS X-ray Of Middle Spine, 3 Views 58 29 $477.00 $381.60 $214.65 $477.00 $453.15 2026-04-06
12032 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 … 58 29 $475.00 $380.00 20% off $213.75 $475.00 $451.25 2026-04-06
72120 HCPCS X-ray Lower And Sacral Spine, 2-3 Views Bending Views 58 29 $474.00 $379.20 20% off $213.30 $474.00 $450.30 2026-04-06
12005 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 58 29 $471.00 $376.80 20% off $211.95 $471.00 $447.45 2026-04-06
91323 HCPCS Severe Acute Respiratory Syndrome Coronavirus 2 (sars-cov-2) (coronavirus Diseas… 58 29 $470.00 $376.00 20% off $211.50 $470.00 $446.50 2026-04-06
76377 HCPCS 3d Radiographic Procedure With Computerized Image Postprocessing 58 29 $470.00 $376.00 20% off $211.50 $470.00 $446.50 2026-04-06
12002 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 58 29 $470.00 $376.00 20% off $211.50 $470.00 $446.50 2026-04-06
J0132 HCPCS Injection, Acetylcysteine, 100 Mg 58 29 $469.10 $375.28 20% off $211.10 $469.10 $445.65 2026-04-06
8322271_1 CDM Fosfomycin 3 Gm Sachet 58 29 $458.60 $366.88 20% off $206.37 $458.60 $435.67 2026-04-06
12051 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 C… 58 29 $458.00 $366.40 20% off $206.10 $458.00 $435.10 2026-04-06
G0472 HCPCS Hepatitis C Antibody Screening, For Individual At High Risk And Other Covered In… 58 29 $457.23 $365.78 20% off $205.75 $457.23 $434.37 2026-04-06
92523 HCPCS Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension … 58 29 $457.00 $365.60 $205.65 $457.00 $434.15 2026-04-06
71110 HCPCS X-ray Of Ribs On Both Sides Of Body, 3 Views 58 29 $456.00 $364.80 20% off $205.20 $456.00 $433.20 2026-04-06
81206 HCPCS Translocation Analysis (bcr/abl1) Major Breakpoint 290 29 $564.00 $451.20 20% off $103.50 $952.00 $428.40 2026-04-06
11750 HCPCS Permanent Removal Fingernail Or Toenail 58 29 $450.00 $360.00 20% off $202.50 $450.00 $427.50 2026-04-06
76815 HCPCS Limited Ultrasound Of Pregnant Uterus 58 29 $447.50 $358.00 20% off $201.38 $447.50 $425.13 2026-04-06
56420 HCPCS Incision And Drainage Of Abscess Of Female Genital Gland 58 29 $445.00 $356.00 20% off $200.25 $445.00 $422.75 2026-04-06
82139 HCPCS Amino Acid Level, 6 Or More Amino Acids, Quantitative, Each Specimen 116 29 $520.25 $416.20 20% off $200.25 $595.50 $422.75 2026-04-06
86870 HCPCS Identification Of Red Blood Cell Antibodies 58 29 $443.00 $354.40 20% off $199.35 $443.00 $420.85 2026-04-06
81263 HCPCS Gene Rearrangement Analysis (immunoglobulin Heavy Chain Locus), Variable Region … 116 29 $666.00 $532.80 20% off $198.45 $891.00 $418.95 2026-04-06
36593 HCPCS Declotting Of Central Venous Tube 58 29 $441.00 $352.80 20% off $198.45 $441.00 $418.95 2026-04-06
90750 HCPCS Shingles Vaccine For Injection Into Muscle 58 29 $440.00 $352.00 20% off $198.00 $440.00 $418.00 2026-04-06
72100 HCPCS X-ray Of Lower And Sacral Spine, 2-3 Views 58 29 $439.00 $351.20 20% off $197.55 $439.00 $417.05 2026-04-06
99282 HCPCS Emergency Department Visit With Straightforward Medical Decision Making 116 29 $448.25 $358.60 $196.88 $459.00 $415.63 2026-04-06
76642 HCPCS Limited Ultrasound Scan Of 1 Breast 58 29 $437.50 $350.00 20% off $196.88 $437.50 $415.63 2026-04-06
81208 HCPCS Translocation Analysis (bcr/abl1) Other Breakpoint 116 29 $757.11 $605.69 $120.60 $1,246.22 $414.40 2026-04-06
73080 HCPCS X-ray Of Elbow, Minimum Of 3 Views 58 29 $436.00 $348.80 20% off $196.20 $436.00 $414.20 2026-04-06
74021 HCPCS X-ray Of Abdomen, Minimum Of 3 Views 58 29 $435.50 $348.40 20% off $195.98 $435.50 $413.73 2026-04-06
72074 HCPCS X-ray Of Middle Spine, Minimum Of 4 Views 58 29 $431.50 $345.20 20% off $194.18 $431.50 $409.93 2026-04-06
76882 HCPCS Limited Ultrasound Scan Of Joint Or Other Extremity Structure Except Blood Vesse… 58 29 $428.50 $342.80 20% off $192.83 $428.50 $407.08 2026-04-06
12004 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 58 29 $425.00 $340.00 20% off $191.25 $425.00 $403.75 2026-04-06
12035 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.… 58 29 $423.50 $338.80 20% off $190.58 $423.50 $402.33 2026-04-06
28515 HCPCS Closed Treatment Of Broken Toe With Manipulation 58 29 $420.00 $336.00 20% off $189.00 $420.00 $399.00 2026-04-06
81270 HCPCS Gene Analysis (Janus Kinase 2) Variant 116 29 $487.00 $389.60 $189.00 $554.00 $399.00 2026-04-06
72070 HCPCS X-ray Of Middle Spine, 2 Views 58 29 $414.00 $331.20 20% off $186.30 $414.00 $393.30 2026-04-06
12052 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5… 58 29 $413.00 $330.40 20% off $185.85 $413.00 $392.35 2026-04-06
73130 HCPCS X-ray Of Hand, Minimum Of 3 Views 58 29 $413.00 $330.40 20% off $185.85 $413.00 $392.35 2026-04-06
20610 HCPCS Aspiration And/or Injection Of Fluid From Large Joint 58 29 $412.00 $329.60 $185.40 $412.00 $391.40 2026-04-06
16030 HCPCS Dressing Change Or Removal Of Burn Tissue, More Than 10% Of Total Body Surface 58 29 $411.00 $328.80 20% off $184.95 $411.00 $390.45 2026-04-06
8312068_1 CDM Ndl: Ez-io Yellow 45mm__pmc 58 29 $410.00 $328.00 20% off $184.50 $410.00 $389.50 2026-04-06
8319669_1 CDM Symbicort 160-4.5 Mcg Inhaler 58 29 $410.00 $328.00 20% off $184.50 $410.00 $389.50 2026-04-06
8402052_1 CDM Ndl: Ez Io Blue 25mm__pmc 58 29 $410.00 $328.00 20% off $184.50 $410.00 $389.50 2026-04-06
8316457_1 CDM Neomycin-polymyxin-hc Ear Soln 58 29 $410.00 $328.00 20% off $184.50 $410.00 $389.50 2026-04-06
73030 HCPCS X-ray Of Shoulder, Minimum Of 2 Views 58 29 $410.00 $328.00 20% off $184.50 $410.00 $389.50 2026-04-06
8345740_1 CDM Fluticasone-salmeterol 100-50 58 29 $410.00 $328.00 20% off $184.50 $410.00 $389.50 2026-04-06
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