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

PAWNEE COUNTY MEMORIAL HOSPITAL

Pawnee City, NE · CCN 281302 · Rates published

3,765 distinct procedures filed
14 distinct payers
50,156 rate rows
2026-05-22 last MRF observed
Data quality

49,097 of 50,156 rate rows are consumer-grade (97.9%)

1,059 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,002
exceeds 10× this hospital's gross charge — excluded from medians 46
per-diem day rate — not a per-procedure price 7
placeholder amount (≤ $0.02) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/VVKZ-1769396935421/machine-readable/363169688_pawnee-county-memorial-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/pawnee-county-memorial-hospital-ne
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 97380c54f6aaab88… · 106,340 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
J9228
HCPCS 		Ipilimumab 5mg/ml 10ml Vial 7 $9,308.00 $51,801.00 $25,091.00 nat. median
$9,906
outlier · 2.5×
J9272
HCPCS 		Dostarlimab 50mg/ml 10ml Vial 7 $12,614.00 $17,550.00 $17,001.00 nat. median
$742
outlier · 22.9×
17308
CPT 		Dostarlimab 50mg/ml 10ml Vial 7 $12,614.00 $17,550.00 $17,001.00 nat. median
$173
outlier · 98.3×
J9144
HCPCS 		Daratumumab-hylds120mg-2000u/ml 15mlvial 7 $9,286.00 $12,920.00 $12,516.00 nat. median
$233
outlier · 53.7×
4305556
CDM 		Tenecteplase 50mg IV Inj 7 $8,948.00 $12,449.00 $12,060.00 nat. median
$12,060
1.0× median
J3101
HCPCS 		Tenecteplase 50mg IV Inj 7 $8,948.00 $12,449.00 $12,060.00 nat. median
$5,949
outlier · 2.0×
33734
CPT 		Nivolumab 10mg/ml 24ml Vial 7 $8,495.00 $11,820.00 $11,450.00 nat. median
$13,054
0.9× median
J9271
HCPCS 		Pembrolizumab 25mg/ml 4ml Sdv 7 $6,434.00 $8,951.00 $8,671.00 nat. median
$736
outlier · 11.8×
63026
CPT 		Pembrolizumab 25mg/ml 4ml Sdv 7 $6,434.00 $8,951.00 $8,671.00 nat. median
$1,968
outlier · 4.4×
78816
CPT 		Nm PET Scan 7 $5,382.00 $7,488.00 $7,254.00 nat. median
$2,707
outlier · 2.7×
J0517
HCPCS 		Benralizumab 30mg/ml 1ml 7 $5,261.00 $7,320.00 $7,091.00 nat. median
$919
outlier · 7.7×
J9299
HCPCS 		Nivolumab 10mg/ml 10ml Vial 7 $3,402.00 $11,820.00 $6,614.50 nat. median
$2,947
outlier · 2.2×
J2353
HCPCS 		Octreotide Acetate 20mg 7 $4,785.00 $8,828.00 $6,553.50 nat. median
$5,975
1.1× median
4301289
CDM 		Pegfilgrastim 6mg/0.6ml 7 $4,853.00 $6,752.00 $6,541.00 nat. median
$2
outlier · 2626.9×
J2506
HCPCS 		Neulasta Onpro Kit 6mg/0.6ml 7 $4,833.00 $6,752.00 $6,528.00 nat. median
$2,076
outlier · 3.1×
120
OTHER 		Acute Daily Room 7 $6,511.98 $6,511.98 $6,511.98 nat. median
$1,852
outlier · 3.5×
78081
CPT 		Octreotide Acetate 20mg 7 $4,802.00 $6,681.00 $6,472.00 nat. median
$1,359
outlier · 4.8×
78815
CPT 		Nm PET Skull Base To Mid Thi 7 $4,306.00 $5,990.00 $5,803.00 nat. median
$2,794
outlier · 2.1×
74174
CPT 		CT Angio Abd&plvis Cntrst Mtrl W/wo Cnt 7 $3,933.00 $5,472.00 $5,301.00 nat. median
$958
outlier · 5.5×
74178
CPT 		CT Abd/pelv Combo W W/out 7 $3,732.00 $5,192.00 $5,029.00 nat. median
$977
outlier · 5.1×
J1306
HCPCS 		Inclisiran Sod 284mg/1.5ml Syringe 7 $3,626.00 $5,045.00 $4,887.00 nat. median
$57
outlier · 86.4×
78100
CPT 		Inclisiran Sod 284mg/1.5ml Syringe 7 $3,626.00 $5,045.00 $4,887.00 nat. median
$2,173
outlier · 2.2×
4309943
CDM 		Denosumab 120mg Inj 7 $3,543.00 $4,930.00 $4,776.00 nat. median
$4,776
1.0× median
J2997
HCPCS 		Alteplase 100mg IV Vial 7 $194.00 $12,708.00 $4,702.00 nat. median
$545
outlier · 8.6×
4301943
CDM 		Hyperrab 1500 Iu5 Ml 7 $3,456.00 $4,809.00 $4,658.00 nat. median
$6
outlier · 729.0×
33774
CPT 		Nivolumab 10mg/ml 10ml Vial 7 $3,402.00 $4,734.00 $4,586.00 nat. median
$3,824
1.2× median
74177
CPT 		CT Scan Of Abdomen And Pelvis With Contrast 7 $3,284.00 $4,569.00 $4,426.00 nat. median
$928
outlier · 4.8×
74183
CPT 		MRI Abdomen W Without 7 $3,105.00 $4,320.00 $4,185.00 nat. median
$1,101
outlier · 3.8×
72158
CPT 		MRI Lumbar Spine W & Without 7 $2,985.00 $4,153.00 $4,023.00 nat. median
$1,080
outlier · 3.7×
72156
CPT 		MRI Cervical Spine W& Without 7 $2,985.00 $4,153.00 $4,023.00 nat. median
$1,092
outlier · 3.7×
72157
CPT 		MRI Thoracic Spine W&without 7 $2,985.00 $4,153.00 $4,023.00 nat. median
$1,093
outlier · 3.7×
4309629
CDM 		Romosozumab-aqqg 210mg Inj 7 $2,952.00 $4,107.00 $3,979.00 nat. median
$3,979
1.0× median
78452
CPT 		Nm Spect Cardiac Scan 7 $2,910.00 $4,049.00 $3,923.00 nat. median
$1,765
outlier · 2.2×
70553
CPT 		MRI Scan 7 $2,910.00 $4,049.00 $3,923.00 nat. median
$1,122
outlier · 3.5×
Q5119
HCPCS 		Rituximab-pvvr 100mg/10ml 50ml Vial 7 $2,840.00 $3,951.00 $3,828.00 nat. median
$934
outlier · 4.1×
69024
CPT 		Rituximab-pvvr 100mg/10ml 50ml Vial 7 $2,840.00 $3,951.00 $3,828.00 nat. median
$236
outlier · 16.2×
4301490
CDM 		Zoladex 10.8mg 7 $2,838.00 $3,948.00 $3,825.00 nat. median
$3,825
1.0× median
J9202
HCPCS 		Zoladex 10.8mg 7 $2,838.00 $3,948.00 $3,825.00 nat. median
$1,882
outlier · 2.0×
J1449
HCPCS 		Eflapegrastim-xnst 13.2mg/0.6ml Syr 7 $2,835.00 $3,944.00 $3,820.00 nat. median
$29
outlier · 132.6×
4306824
CDM 		Eflapegrastim-xnst 13.2mg/0.6ml Syr 7 $2,835.00 $3,944.00 $3,820.00 nat. median
$3,820
1.0× median
J3111
HCPCS 		Romosozumab-aqqg 210mg Inj 7 $2,811.00 $3,911.00 $3,789.00 nat. median
$1,003
outlier · 3.8×
74176
CPT 		CT Combo Abd/pelv Without Con 7 $2,761.00 $3,842.00 $3,722.00 nat. median
$685
outlier · 5.4×
4301150
CDM 		Abilify Maintena 400mg Injection ER 7 $2,745.00 $3,819.00 $3,700.00 nat. median
$1
outlier · 3303.6×
74182
CPT 		MRI Abdomen With Contrast 7 $2,691.00 $3,744.00 $3,627.00 nat. median
$990
outlier · 3.7×
70552
CPT 		MRI Brain With Contrast 7 $2,691.00 $3,744.00 $3,627.00 nat. median
$959
outlier · 3.8×
81455
OTHER 		Myeloid Mutations Panel 10 $1,751.76 $5,353.38 $3,552.57 nat. median
$3,058
1.2× median
73723
CPT 		MRI Low Extrm Joint W&without 7 $2,574.00 $3,582.00 $3,470.00 nat. median
$1,263
outlier · 2.7×
J9218
HCPCS 		Leuprolide 45mg IM Inj 7 $698.00 $8,281.00 $3,461.50 nat. median
$502
outlier · 6.9×
70551
CPT 		MRI Brain Without Contrast 7 $2,545.00 $3,540.00 $3,430.00 nat. median
$772
outlier · 4.4×
72142
CPT 		MRI Cervical Spine W/cont 7 $2,537.00 $3,530.00 $3,420.00 nat. median
$958
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 3,765 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
             
69031 CPT Bevacizumab-bvzr 25mg/ml 4ml Vial 11 7 $701.00 $561.00 $484.00 $673.00 $652.00 2026-05-22
87902 CPT Hcv Genotyping 11 7 $703.00 $562.00 20% off $485.00 $675.00 $654.00 2026-05-22
93976 CPT Vas Abd Org Scn/renal Lim 11 7 $703.00 $562.00 20% off $485.00 $675.00 $654.00 2026-05-22
76705 CPT US Abdomen Limited 11 7 $703.00 $562.00 20% off $485.00 $675.00 $654.00 2026-05-22
78452 OTHER Nm Spect Cardiac Scan 14 10 $4,056.00 $3,244.80 $375.37 $2,406.84 $654.21 2026-05-08
11426 CPT Exc B L Sc Nk H/f >4cm 11 7 $709.00 $567.00 20% off $489.00 $681.00 $659.00 2026-05-22
72114 CPT Xray Spine, Lumbar Minimum 6 Vies 11 7 $709.00 $567.00 20% off $489.00 $681.00 $659.00 2026-05-22
27520 CPT C Tx Fx Patella 11 7 $714.00 $571.00 20% off $493.00 $685.00 $664.00 2026-05-22
J1745 HCPCS Infliximab 100mg IV Vial 11 7 $717.00 $574.00 $495.00 $688.00 $667.00 2026-05-22
4300559 CDM Infliximab 100mg IV Vial 11 7 $717.00 $574.00 $495.00 $688.00 $667.00 2026-05-22
87507 CPT Enteric Path Panel 12-25 Targets 33 7 $757.00 $606.00 $485.00 $769.00 $668.00 2026-05-22
87633 CPT Resp Virus 12-25 Targets 11 7 $723.00 $578.00 20% off $499.00 $694.00 $672.00 2026-05-22
12034 CPT Rep L Scaxtkarlg 7.6-12.5 11 7 $725.00 $580.00 20% off $500.00 $696.00 $674.00 2026-05-22
26605 CPT C Tx Fx Metacarpal Ea With Manip 11 7 $725.00 $580.00 20% off $500.00 $696.00 $674.00 2026-05-22
11624 CPT Exc M L Sc Nk H/f G 3.1-4cm 11 7 $728.00 $582.00 20% off $502.00 $699.00 $677.00 2026-05-22
23600 CPT C Tx Fx Humer Prox 11 7 $731.00 $585.00 $504.00 $702.00 $680.00 2026-05-22
76870 CPT US Genetalia 11 7 $735.00 $588.00 20% off $507.00 $706.00 $684.00 2026-05-22
10081 CPT I&d Pilo Cyst Comp 11 7 $740.00 $592.00 20% off $511.00 $710.00 $688.00 2026-05-22
13100 CPT Rep C Trunk 1.1-2.5 11 7 $742.00 $594.00 $512.00 $712.00 $690.00 2026-05-22
26700 CPT C Tx Dis Metacarp Phal 11 7 $744.00 $595.00 20% off $513.00 $714.00 $692.00 2026-05-22
25600 CPT C Tx Fx Rad Dist-colles 11 7 $745.00 $596.00 20% off $514.00 $715.00 $693.00 2026-05-22
17106 CPT Destruc Vas Lesion <10 11 7 $745.00 $596.00 20% off $514.00 $715.00 $693.00 2026-05-22
3780033 CDM Tx Rmlv 5 11 7 $747.00 $598.00 $515.00 $717.00 $695.00 2026-05-22
93923 CPT Vas Art Seg Lower 11 7 $750.00 $600.00 20% off $518.00 $720.00 $698.00 2026-05-22
96416 CPT Chemo Prolng Infus W/pump 11 7 $750.00 $600.00 20% off $518.00 $720.00 $698.00 2026-05-22
26951 OTHER Fin Jt Amputation 14 10 $831.00 $664.80 20% off $389.02 $1,614.19 $698.26 2026-05-08
85117 CPT Integrilin 20mg/10ml 22 7 $976.50 $781.50 $139.00 $1,681.00 $701.00 2026-05-22
J1327 HCPCS Integrilin 20mg/10ml 22 7 $976.50 $781.50 $139.00 $1,681.00 $701.00 2026-05-22
71271 CPT CT Chest Low Dose Screen 11 7 $757.00 $606.00 $522.00 $727.00 $704.00 2026-05-22
76856 CPT US Pelvis Non OB Complet 11 7 $757.00 $606.00 $522.00 $727.00 $704.00 2026-05-22
76770 CPT US Renal 11 7 $757.00 $606.00 $522.00 $727.00 $704.00 2026-05-22
92975 CPT Thrombolysis Intrcornary 11 7 $758.00 $606.00 20% off $523.00 $728.00 $705.00 2026-05-22
76805 CPT Abdomial Ultrasound Of Pregnant Uterus 11 7 $758.00 $606.00 20% off $523.00 $728.00 $705.00 2026-05-22
4309725 CDM Hyaluronate Sod 30mg Inj 11 7 $760.00 $608.00 20% off $524.00 $730.00 $707.00 2026-05-22
J7326 HCPCS Hyaluronate Sod 30mg Inj 11 7 $760.00 $608.00 20% off $524.00 $730.00 $707.00 2026-05-22
27750 CPT C Tx Fx Tibial Shaft 11 7 $761.00 $609.00 $525.00 $731.00 $708.00 2026-05-22
30905 CPT Nasal Hem Cont Post Initi 11 7 $763.00 $610.00 20% off $526.00 $732.00 $710.00 2026-05-22
62322 CPT Injection(s) Of Therapeutic Substance 11 7 $784.00 $627.00 20% off $252.00 $753.00 $713.00 2026-05-22
17286 CPT Dest M L Fcereynslpm>4 11 7 $770.00 $616.00 20% off $531.00 $739.00 $716.00 2026-05-22
J9155 HCPCS Degarelix 80mg Inj 22 7 $949.50 $759.50 20% off $318.00 $1,380.00 $717.50 2026-05-22
13120 CPT Rep C Sc Ar Lg 1.1-2.5 11 7 $774.00 $619.00 20% off $534.00 $743.00 $720.00 2026-05-22
27252 OTHER C Tx Traum Hip Dis W Anes 14 10 $1,435.00 $1,148.00 20% off $296.40 $1,693.70 $731.63 2026-05-08
12053 CPT Rep L Fcereynslpm 5.1-7.5 11 7 $787.00 $630.00 $543.00 $756.00 $732.00 2026-05-22
93229 CPT Mobile Cardiac Telemetry Monitor 11 7 $788.00 $630.00 20% off $544.00 $756.00 $733.00 2026-05-22
93308 CPT US Echo Limited (Quick Lo 11 7 $792.00 $634.00 $546.00 $760.00 $737.00 2026-05-22
24500 CPT C Tx Fx Humer Shaft 11 7 $794.00 $635.00 20% off $548.00 $762.00 $738.00 2026-05-22
51710 CPT Bladder Instillation Complicated 11 7 $800.00 $640.00 20% off $552.00 $768.00 $744.00 2026-05-22
4300426 CDM Filgrastim 480 Mcg 11 7 $802.00 $642.00 $553.00 $770.00 $746.00 2026-05-22
30906 CPT Nasal Hem Contr Post Subs 11 7 $811.00 $649.00 $560.00 $779.00 $754.00 2026-05-22
93924 CPT Vas Ankle/arm Index W/exr 11 7 $811.00 $649.00 $560.00 $779.00 $754.00 2026-05-22
A0427 HCPCS Amb Als Emergent Trnsprt 11 7 $812.00 $650.00 $560.00 $780.00 $755.00 2026-05-22
93882 CPT Vas Carotid Dup Limited 11 7 $816.00 $653.00 $563.00 $783.00 $759.00 2026-05-22
80418 OTHER Fsh/lh Profile 14 10 $163.00 $130.40 $347.69 $1,180.55 $764.12 2026-05-08
12044 CPT Rep L Nk H/f Gn 7.6-12.5 11 7 $826.00 $661.00 $570.00 $793.00 $768.00 2026-05-22
11446 CPT Exc B L Fcereynslpm 4>cm 11 7 $827.00 $662.00 $571.00 $794.00 $769.00 2026-05-22
12035 CPT Rep L Scaxtkarlg 12.6-20 11 7 $828.00 $662.00 20% off $571.00 $795.00 $770.00 2026-05-22
12054 CPT Rep L Fcereynslpm 7.6-12. 11 7 $833.00 $666.00 20% off $575.00 $800.00 $775.00 2026-05-22
27840 CPT C Tx Dis Ankle 11 7 $837.00 $670.00 $578.00 $804.00 $778.00 2026-05-22
11644 CPT Exc M L Fcereynslp 3.1-4cm 11 7 $839.00 $671.00 20% off $579.00 $805.00 $780.00 2026-05-22
13131 CPT Rep C Fhckchnkaxh/f 1.1-2 11 7 $845.00 $676.00 20% off $583.00 $811.00 $786.00 2026-05-22
81206 CPT Bcr/abl1 Gen Maj Bp 11 7 $845.00 $676.00 20% off $583.00 $811.00 $786.00 2026-05-22
93229 OTHER Mobile Cardiac Telemetry Monitor 14 10 $758.00 $606.40 20% off $623.34 $2,027.96 $786.76 2026-05-08
69145 CPT Exc Soft Tissue Les, External 11 7 $850.00 $680.00 20% off $587.00 $816.00 $791.00 2026-05-22
13101 CPT Rep C Trunk 2.6-7.5 11 7 $865.00 $692.00 20% off $597.00 $830.00 $804.00 2026-05-22
99284 CPT ER Serv Fee Lvl 4 11 7 $865.00 $692.00 20% off $597.00 $830.00 $804.00 2026-05-22
77075 CPT Xr Skeletal Survey X-ray 11 7 $865.00 $692.00 20% off $597.00 $830.00 $804.00 2026-05-22
4300234 CDM Procrit 40,000 Units Sdv 11 7 $872.00 $698.00 $602.00 $837.00 $811.00 2026-05-22
11626 CPT Exc M L Sc Nk H/f G 4>cm 11 7 $872.00 $698.00 $602.00 $837.00 $811.00 2026-05-22
P9035 HCPCS Plts Pheresis Lekuoredu 11 7 $875.00 $700.00 20% off $604.00 $840.00 $814.00 2026-05-22
76700 CPT Ultrasound Of Abdomen 11 7 $887.00 $710.00 $612.00 $852.00 $825.00 2026-05-22
12045 CPT Rep L Nk H/f Gn 12.6-20.0 11 7 $891.00 $713.00 $615.00 $855.00 $829.00 2026-05-22
A9552 HCPCS Fdg / PET-hida Scan 11 7 $895.00 $716.00 20% off $618.00 $859.00 $832.00 2026-05-22
J2325 HCPCS Natrecor 1.5mg 11 7 $902.00 $722.00 $622.00 $866.00 $839.00 2026-05-22
J9025 HCPCS Azacitidine 100mg Sdv 11 7 $907.00 $726.00 $626.00 $871.00 $844.00 2026-05-22
26641 CPT C Tx Dis Car[metacarp Thu 11 7 $915.00 $732.00 20% off $631.00 $878.00 $851.00 2026-05-22
J9202 OTHER Zoladex 10.8mg 28 10 $4,113.08 $3,290.46 20% off $784.84 $920.35 $852.60 2026-05-08
36430 CPT Blood Administration 11 7 $919.00 $735.00 20% off $634.00 $882.00 $855.00 2026-05-22
13151 CPT Rep C Ereynslp 1.1-2.5 11 7 $921.00 $737.00 $635.00 $884.00 $857.00 2026-05-22
13121 CPT Rep C Sc Ar Lg 2.6-7.5 11 7 $926.00 $741.00 $639.00 $889.00 $861.00 2026-05-22
21555 CPT Exc Neck Les Sc <3 Cm 11 7 $931.00 $745.00 $642.00 $894.00 $866.00 2026-05-22
78761 CPT Nm Testicular Imaging 11 7 $956.00 $765.00 $660.00 $918.00 $889.00 2026-05-22
11606 CPT Exc M L Tk Ar Lg 4>cm 11 7 $958.00 $766.00 20% off $661.00 $920.00 $891.00 2026-05-22
93926 CPT Vas Limited Art Dup Lower 11 7 $973.00 $778.00 20% off $671.00 $934.00 $905.00 2026-05-22
24655 CPT C Tx Fx Rad/head/neck Man 11 7 $977.00 $782.00 $674.00 $938.00 $909.00 2026-05-22
3780034 CDM Tx Rmlv 6 11 7 $982.00 $786.00 $678.00 $943.00 $913.00 2026-05-22
4307000 CDM Synviscone 48mg/6ml 20610 11 7 $993.00 $794.00 20% off $685.00 $953.00 $923.00 2026-05-22
J7325 HCPCS Synviscone 48mg/6ml 20610 11 7 $993.00 $794.00 20% off $685.00 $953.00 $923.00 2026-05-22
81539 OTHER 4k Score Assay 14 10 $1,248.00 $998.40 20% off $456.00 $1,393.53 $924.76 2026-05-08
93307 CPT Echocardiogram/m & S 11 7 $997.00 $798.00 $688.00 $957.00 $927.00 2026-05-22
93931 CPT Vas Limited Art Dup Upper 11 7 $1,000.00 $800.00 20% off $690.00 $960.00 $930.00 2026-05-22
20525 CPT Rem Fb Musc Ten S Comp 11 7 $1,001.00 $801.00 $691.00 $961.00 $931.00 2026-05-22
4301941 CDM Hyperrab 300 Iu1 Ml 11 7 $1,002.00 $802.00 $691.00 $962.00 $932.00 2026-05-22
J0248 HCPCS Remdesivir 100 Mg Inj Sdv 11 7 $1,009.00 $807.00 20% off $696.00 $969.00 $938.00 2026-05-22
4309730 CDM Remdesivir 100 Mg Inj Sdv 11 7 $1,009.00 $807.00 20% off $696.00 $969.00 $938.00 2026-05-22
78579 CPT Nm Pulmonary Ventilation 11 7 $1,020.00 $816.00 20% off $704.00 $979.00 $949.00 2026-05-22
13132 CPT Rep C Fhckchnkaxh/f 2.6-7 11 7 $1,026.00 $821.00 $708.00 $985.00 $954.00 2026-05-22
78013 CPT Nm Parathyroid Study 11 7 $1,067.00 $854.00 $736.00 $1,024.00 $992.00 2026-05-22
25624 CPT C Tx Fx Navicular 11 7 $1,070.00 $856.00 20% off $738.00 $1,027.00 $995.00 2026-05-22
60100 CPT Percutaneous Core Ne Biopsy Of Thyroid 11 7 $1,071.00 $857.00 $739.00 $1,028.00 $996.00 2026-05-22
78580 CPT Nm Pulmonary Perfusion/ Vq 11 7 $1,076.00 $861.00 $742.00 $1,033.00 $1,001.00 2026-05-22
78700 CPT Nm Renal Imaging 11 7 $1,076.00 $861.00 $742.00 $1,033.00 $1,001.00 2026-05-22
25535 CPT C Tx Fx Ulnar Shaft W/man 11 7 $1,079.00 $863.00 20% off $745.00 $1,036.00 $1,003.00 2026-05-22
13152 CPT Rep C Ereynslp 2.6-7.5 11 7 $1,080.00 $864.00 20% off $745.00 $1,037.00 $1,004.00 2026-05-22
93978 CPT Vas Abd Dup Scn Complete 11 7 $1,082.00 $866.00 $747.00 $1,039.00 $1,006.00 2026-05-22
78012 CPT Nm Thyroid Scan 11 7 $1,082.00 $866.00 $747.00 $1,039.00 $1,006.00 2026-05-22
11646 CPT Exc M L Fcereynslp 4>cm 11 7 $1,086.00 $869.00 $749.00 $1,043.00 $1,010.00 2026-05-22
12055 CPT Rep L Fcereynslpm 12.6-20 11 7 $1,092.00 $874.00 $753.00 $1,048.00 $1,016.00 2026-05-22
19120 CPT Removal Of One Or More Breast Growth, Open Procedure 11 7 $1,093.00 $874.00 20% off $754.00 $1,049.00 $1,016.00 2026-05-22
25505 CPT C Tx Fx Rad Shaft W/manip 11 7 $1,105.00 $884.00 20% off $762.00 $1,061.00 $1,028.00 2026-05-22
78215 CPT Nm Liver And Spleen 11 7 $1,109.00 $887.00 20% off $765.00 $1,065.00 $1,031.00 2026-05-22
43249 OTHER Egd Balloon Dilation Eso <30 Mm 14 10 $2,080.00 $1,664.00 20% off $277.87 $2,635.18 $1,040.45 2026-05-08
25565 CPT C Trt Rad/uln Sht W Manip 11 7 $1,132.00 $906.00 $781.00 $1,087.00 $1,053.00 2026-05-22
78290 CPT Nm Meckel's Imaging 11 7 $1,136.00 $909.00 $784.00 $1,091.00 $1,056.00 2026-05-22
93971 CPT Vas Venous Unilateral 11 7 $1,136.00 $909.00 $784.00 $1,091.00 $1,056.00 2026-05-22
24075 CPT Exc Arm/elbow Les Sc <3 Cm 11 7 $1,146.00 $917.00 $791.00 $1,100.00 $1,066.00 2026-05-22
3300070 CDM Swingbed Daily Room 11 7 $1,150.00 $920.00 20% off $793.00 $1,104.00 $1,070.00 2026-05-22
A0433 HCPCS Amb Als2 Advance Life 11 7 $1,156.00 $925.00 $798.00 $1,110.00 $1,075.00 2026-05-22
93930 CPT Vas Bilat Art Dup Upper 11 7 $1,163.00 $930.00 20% off $802.00 $1,116.00 $1,082.00 2026-05-22
32555 CPT Thoracentesis With Imaging 11 7 $1,176.00 $941.00 $811.00 $1,129.00 $1,094.00 2026-05-22
93925 CPT Vas Bilat Art Dup Lower 11 7 $1,190.00 $952.00 20% off $821.00 $1,142.00 $1,107.00 2026-05-22
93975 CPT Vas Abd Org Scn/renals Co 11 7 $1,190.00 $952.00 20% off $821.00 $1,142.00 $1,107.00 2026-05-22
25071 CPT Excision Of Tumor Forarm Wrist +3cm 11 7 $1,200.00 $960.00 20% off $828.00 $1,152.00 $1,116.00 2026-05-22
78305 CPT Nm Bone Multi Imaging 11 7 $1,222.00 $978.00 $843.00 $1,173.00 $1,136.00 2026-05-22
36589 CPT Minor Procedure 11 7 $1,256.00 $1,005.00 $867.00 $1,206.00 $1,168.00 2026-05-22
4309684 CDM Hyaluronan 88mg/4ml Inj 11 7 $1,258.00 $1,006.00 20% off $868.00 $1,208.00 $1,170.00 2026-05-22
81539 CPT 4k Score Assay 11 7 $1,298.00 $1,038.00 20% off $896.00 $1,246.00 $1,207.00 2026-05-22
38525 CPT Biopsy/removal Lymph Nodes 11 7 $1,298.00 $1,038.00 20% off $896.00 $1,246.00 $1,207.00 2026-05-22
93350 CPT Stress Echo 11 7 $1,346.00 $1,077.00 $929.00 $1,292.00 $1,252.00 2026-05-22
J7307 OTHER Etonogestrel 68mg Implant 13 9 $1,379.97 $1,103.98 $1,190.97 $1,332.04 $1,261.51 2026-05-08
78708 CPT Nm Renal Imaging Static Fx 11 7 $1,376.00 $1,101.00 $949.00 $1,321.00 $1,280.00 2026-05-22
J7307 HCPCS Etonogestrel 68mg Implant 11 7 $1,380.00 $1,104.00 20% off $952.00 $1,325.00 $1,283.00 2026-05-22
J1439 HCPCS Ferric Carboxymaltose 750mg 11 7 $1,388.00 $1,110.00 20% off $958.00 $1,332.00 $1,291.00 2026-05-22
51706 CPT Ferric Carboxymaltose 750mg 11 7 $1,388.00 $1,110.00 20% off $958.00 $1,332.00 $1,291.00 2026-05-22
Q5118 HCPCS Bevacizumab-bvzr 25mg/ml 16ml Vial 22 7 $1,746.50 $1,397.50 $484.00 $2,680.00 $1,299.50 2026-05-22
93880 CPT Vas Carotid Dup Bilat 11 7 $1,400.00 $1,120.00 20% off $966.00 $1,344.00 $1,302.00 2026-05-22
93970 CPT Vas Venous Bilateral 11 7 $1,406.00 $1,125.00 $970.00 $1,350.00 $1,308.00 2026-05-22
J9217 HCPCS Leuprolide 22.5 Mg Subq 22 7 $1,789.50 $1,431.50 20% off $417.00 $2,855.00 $1,316.50 2026-05-22
46604 CPT Anoscopy W/dilaiton 11 7 $1,426.00 $1,141.00 $984.00 $1,369.00 $1,326.00 2026-05-22
4309759 CDM Nesiritide 1.5 Mg Inj 11 7 $1,450.00 $1,160.00 20% off $1,000.00 $1,392.00 $1,349.00 2026-05-22
99285 CPT ER Serv Fee Lvl 5 11 7 $1,460.00 $1,168.00 20% off $1,007.00 $1,402.00 $1,358.00 2026-05-22
3100065 CDM Acute Daily Room 11 7 $1,512.00 $1,210.00 $1,043.00 $1,452.00 $1,406.00 2026-05-22
78226 CPT Nm Gall Bladder Ejection Fx 11 7 $1,575.00 $1,260.00 20% off $1,087.00 $1,512.00 $1,465.00 2026-05-22
27252 CPT C Tx Traum Hip Dis W Anes 11 7 $1,597.00 $1,278.00 $1,102.00 $1,533.00 $1,485.00 2026-05-22
36590 CPT Port Cath Removal 11 7 $1,600.00 $1,280.00 20% off $1,104.00 $1,536.00 $1,488.00 2026-05-22
78306 CPT Nm Bone Survey/scan 11 7 $1,731.00 $1,385.00 $1,194.00 $1,662.00 $1,610.00 2026-05-22
94427 CPT Immune Globulin 10%iv 2.5 Gm 55 7 $1,740.00 $1,392.00 20% off $234.00 $5,012.00 $1,618.00 2026-05-22
J1569 HCPCS Immune Globulin 10%iv 2.5 Gm 55 7 $1,740.00 $1,392.00 20% off $234.00 $5,012.00 $1,618.00 2026-05-22
21556 CPT Excision Of Nk Tiss &Thx <5cm 11 7 $1,800.00 $1,440.00 20% off $1,242.00 $1,728.00 $1,674.00 2026-05-22
46230 CPT Exc Of Multi Papilla Tags, Anus 11 7 $1,800.00 $1,440.00 20% off $1,242.00 $1,728.00 $1,674.00 2026-05-22
G0390 HCPCS Trauma Response Team 11 7 $1,800.00 $1,440.00 20% off $1,242.00 $1,728.00 $1,674.00 2026-05-22
38505 CPT Bx Lymph Nodes By Needle 11 7 $1,846.00 $1,477.00 $1,274.00 $1,772.00 $1,717.00 2026-05-22
45338 CPT Removal Of Tum/plyp/lesi Snare Tech Flex 11 7 $1,872.00 $1,498.00 $1,292.00 $1,797.00 $1,741.00 2026-05-22
70486 CPT CT Max Fac Sinus Without Cont 11 7 $1,893.00 $1,514.00 20% off $1,306.00 $1,817.00 $1,760.00 2026-05-22
45331 CPT Sigmoidospy Flex Dx With Bx Si Or Multi 11 7 $1,924.00 $1,539.00 20% off $1,328.00 $1,847.00 $1,789.00 2026-05-22
78815 OTHER Nm PET Skull Base To Mid Thi,technical Component 14 10 $6,000.00 $4,800.00 20% off $662.35 $2,918.24 $1,790.30 2026-05-08
78816 OTHER Nm PET Scan,technical Component 14 10 $7,500.00 $6,000.00 20% off $664.47 $2,918.24 $1,791.36 2026-05-08
78320 CPT Nm Bone-tomograph (Spect) 11 7 $1,944.00 $1,555.00 20% off $1,341.00 $1,866.00 $1,808.00 2026-05-22
78227 CPT Nm Gb Ejection Fraction Hida 11 7 $1,947.00 $1,558.00 $1,343.00 $1,869.00 $1,811.00 2026-05-22
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 11 7 $1,947.00 $1,558.00 $1,343.00 $1,869.00 $1,811.00 2026-05-22
G0121 HCPCS Colonoscopy Medicare Screening 11 7 $2,001.00 $1,601.00 $1,381.00 $1,921.00 $1,861.00 2026-05-22
45330 CPT Sigmoidoscopy 11 7 $2,001.00 $1,601.00 $1,381.00 $1,921.00 $1,861.00 2026-05-22
70490 CPT CT Neck Without Cont 11 7 $2,045.00 $1,636.00 20% off $1,411.00 $1,963.00 $1,902.00 2026-05-22
93306 CPT Echo 2d Mmode Doppler 11 7 $2,048.00 $1,638.00 20% off $1,413.00 $1,966.00 $1,905.00 2026-05-22
78315 CPT Nm Bone 3 Phase 11 7 $2,055.00 $1,644.00 20% off $1,418.00 $1,973.00 $1,911.00 2026-05-22
70450 CPT CT Scan 11 7 $2,055.00 $1,644.00 20% off $1,418.00 $1,973.00 $1,911.00 2026-05-22
J2315 HCPCS Naltrexone 380 Mg Inj 11 7 $2,059.00 $1,647.00 20% off $1,421.00 $1,977.00 $1,915.00 2026-05-22
55250 CPT Vasectomy 11 7 $2,080.00 $1,664.00 20% off $1,435.00 $1,997.00 $1,934.00 2026-05-22
70480 CPT CT Orb Pos Fos Without Cont 11 7 $2,112.00 $1,690.00 $1,457.00 $2,028.00 $1,964.00 2026-05-22
70487 CPT CT Max Fac Sinus W Cont 11 7 $2,143.00 $1,714.00 20% off $1,479.00 $2,057.00 $1,993.00 2026-05-22
70488 CPT CT Max Facial W Without Cont 11 7 $2,154.00 $1,723.00 20% off $1,486.00 $2,068.00 $2,003.00 2026-05-22
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 11 7 $2,163.00 $1,730.00 20% off $1,492.00 $2,076.00 $2,012.00 2026-05-22
45381 CPT Colonoscopy Submucous Njx 11 7 $2,163.00 $1,730.00 20% off $1,492.00 $2,076.00 $2,012.00 2026-05-22
G0105 HCPCS Colonoscopy Medicare Hi-risk Screening 11 7 $2,163.00 $1,730.00 20% off $1,492.00 $2,076.00 $2,012.00 2026-05-22
43249 CPT Egd Balloon Dilation Eso <30 Mm 11 7 $2,163.00 $1,730.00 20% off $1,492.00 $2,076.00 $2,012.00 2026-05-22
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 11 7 $2,163.00 $1,730.00 20% off $1,492.00 $2,076.00 $2,012.00 2026-05-22
70460 CPT CT Head W Cont 11 7 $2,211.00 $1,769.00 $1,526.00 $2,123.00 $2,056.00 2026-05-22
73200 CPT CT Upper Extrm Without Cont 11 7 $2,217.00 $1,774.00 $1,530.00 $2,128.00 $2,062.00 2026-05-22
73221 CPT MRI Up Extrm Joint Without 11 7 $2,229.00 $1,783.00 20% off $1,538.00 $2,140.00 $2,073.00 2026-05-22
74150 CPT CT Abd Without Cont 11 7 $2,271.00 $1,817.00 $1,567.00 $2,180.00 $2,112.00 2026-05-22
72192 CPT CT Pelvis Without Cont 11 7 $2,271.00 $1,817.00 $1,567.00 $2,180.00 $2,112.00 2026-05-22
73700 CPT CT Low Extrm Without Cont 11 7 $2,271.00 $1,817.00 $1,567.00 $2,180.00 $2,112.00 2026-05-22
64721 CPT Carpal Tunnel Release 11 7 $2,288.00 $1,830.00 20% off $1,579.00 $2,196.00 $2,128.00 2026-05-22
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 11 7 $2,325.00 $1,860.00 20% off $1,604.00 $2,232.00 $2,162.00 2026-05-22
44388 CPT Endoscopic Stomal Prodedures 11 7 $2,325.00 $1,860.00 20% off $1,604.00 $2,232.00 $2,162.00 2026-05-22
70481 CPT CT Orb Pos Fos With Cont 11 7 $2,328.00 $1,862.00 20% off $1,606.00 $2,235.00 $2,165.00 2026-05-22
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 11 7 $2,380.00 $1,904.00 20% off $1,642.00 $2,285.00 $2,213.00 2026-05-22
71250 CPT CT Chest Without Con 11 7 $2,380.00 $1,904.00 20% off $1,642.00 $2,285.00 $2,213.00 2026-05-22
4309870 CDM Certolizumab 400mg Inj 11 7 $2,433.00 $1,946.00 20% off $1,679.00 $2,336.00 $2,263.00 2026-05-22
32187 CPT Orencia 250mg Vial 11 7 $2,434.00 $1,947.00 20% off $1,679.00 $2,337.00 $2,264.00 2026-05-22
J0129 HCPCS Orencia 250mg Vial 11 7 $2,434.00 $1,947.00 20% off $1,679.00 $2,337.00 $2,264.00 2026-05-22
70336 CPT MRI Temporomandibular Jnt 11 7 $2,475.00 $1,980.00 20% off $1,708.00 $2,376.00 $2,302.00 2026-05-22
72131 CPT CT Lumbar Spine Without Cont 11 7 $2,488.00 $1,990.00 20% off $1,717.00 $2,388.00 $2,314.00 2026-05-22
72128 CPT CT Thor Spine Without Cont 11 7 $2,488.00 $1,990.00 20% off $1,717.00 $2,388.00 $2,314.00 2026-05-22
72125 CPT CT C Spine Without Con 11 7 $2,488.00 $1,990.00 20% off $1,717.00 $2,388.00 $2,314.00 2026-05-22
70491 CPT CT Neck W Cont 11 7 $2,488.00 $1,990.00 20% off $1,717.00 $2,388.00 $2,314.00 2026-05-22
73701 CPT CT Low Extrm W Cont 11 7 $2,500.00 $2,000.00 20% off $1,725.00 $2,400.00 $2,325.00 2026-05-22
70540 CPT MRI Orbit Face Neck Without 11 7 $2,503.00 $2,002.00 20% off $1,727.00 $2,403.00 $2,328.00 2026-05-22
70542 CPT MRI Orbit Face Neck W/con 11 7 $2,542.00 $2,034.00 $1,754.00 $2,440.00 $2,364.00 2026-05-22
81455 CPT Myeloid Mutations Panel 11 7 $2,556.00 $2,045.00 $1,764.00 $2,454.00 $2,377.00 2026-05-22
71260 CPT CT Chest W Cont 11 7 $2,596.00 $2,077.00 $1,791.00 $2,492.00 $2,414.00 2026-05-22
73222 CPT MRI Up Extrm Joint W/cont 11 7 $2,596.00 $2,077.00 $1,791.00 $2,492.00 $2,414.00 2026-05-22
70482 CPT CT Orb/ear/fos With & Without Cont 11 7 $2,596.00 $2,077.00 $1,791.00 $2,492.00 $2,414.00 2026-05-22
72193 CPT CT Scan Of Pelvis With Contrast 11 7 $2,650.00 $2,120.00 20% off $1,828.00 $2,544.00 $2,465.00 2026-05-22
45384 CPT Colonoscopy With Hot Bx Forcep 11 7 $2,667.00 $2,134.00 $1,840.00 $2,560.00 $2,480.00 2026-05-22
74160 CPT CT Abd W Cont 11 7 $2,704.00 $2,163.00 20% off $1,866.00 $2,596.00 $2,515.00 2026-05-22
70470 CPT CT Head W Without Con 11 7 $2,704.00 $2,163.00 20% off $1,866.00 $2,596.00 $2,515.00 2026-05-22
4302589 CDM Fulphila 6mg/0.6ml Syr 11 7 $2,720.00 $2,176.00 20% off $1,877.00 $2,611.00 $2,530.00 2026-05-22
Q5108 HCPCS Fulphila 6mg/0.6ml Syr 11 7 $2,720.00 $2,176.00 20% off $1,877.00 $2,611.00 $2,530.00 2026-05-22
73718 CPT MRI Le Non Joint Without 11 7 $2,758.00 $2,206.00 20% off $1,903.00 $2,648.00 $2,565.00 2026-05-22
73721 CPT MRI Scan Of Leg Joint 11 7 $2,758.00 $2,206.00 20% off $1,903.00 $2,648.00 $2,565.00 2026-05-22
45390 CPT Colonoscopy, Flex With Endo Mus Resc 11 7 $2,758.00 $2,206.00 20% off $1,903.00 $2,648.00 $2,565.00 2026-05-22
4309813 CDM Denosumab 60mg Inj 11 7 $2,791.00 $2,233.00 $1,926.00 $2,679.00 $2,596.00 2026-05-22
69034 CPT Bevacizumab-bvzr 25mg/ml 16ml Vial 11 7 $2,792.00 $2,234.00 $1,926.00 $2,680.00 $2,597.00 2026-05-22
72130 CPT CT Thoracic Spine Without Contrast 11 7 $2,808.00 $2,246.00 20% off $1,938.00 $2,696.00 $2,611.00 2026-05-22
73218 CPT MRI Ue Non Joint Without 11 7 $2,812.00 $2,250.00 $1,940.00 $2,700.00 $2,615.00 2026-05-22
73719 CPT MRI Le Non Joint With 11 7 $2,812.00 $2,250.00 $1,940.00 $2,700.00 $2,615.00 2026-05-22
70492 CPT CT Neck W Without Cont 11 7 $2,812.00 $2,250.00 $1,940.00 $2,700.00 $2,615.00 2026-05-22
72195 CPT MRI Pelvis Without 11 7 $2,849.00 $2,279.00 20% off $1,966.00 $2,735.00 $2,650.00 2026-05-22
72196 CPT MRI Pelvis With 11 7 $2,893.00 $2,314.00 20% off $1,996.00 $2,777.00 $2,690.00 2026-05-22
73720 CPT MRI Le Non Joint W/&without 11 7 $2,893.00 $2,314.00 20% off $1,996.00 $2,777.00 $2,690.00 2026-05-22
71551 CPT MRI Chest W Cont 11 7 $2,893.00 $2,314.00 20% off $1,996.00 $2,777.00 $2,690.00 2026-05-22
73219 CPT MRI Ue Non Joint With 11 7 $2,920.00 $2,336.00 20% off $2,015.00 $2,803.00 $2,716.00 2026-05-22
72194 CPT CT Pelvis W & Without 11 7 $2,920.00 $2,336.00 20% off $2,015.00 $2,803.00 $2,716.00 2026-05-22
74364 CPT Leuprolide 7.5mg IM Inj 11 7 $2,974.00 $2,379.00 20% off $2,052.00 $2,855.00 $2,766.00 2026-05-22
90375 CPT Hyperrab 1500 Iu5 Ml 33 7 $3,005.00 $2,404.00 20% off $691.00 $4,809.00 $2,795.00 2026-05-22
73702 CPT CT Low Extrm With Out Cont 11 7 $3,016.00 $2,413.00 $2,081.00 $2,895.00 $2,805.00 2026-05-22
78466 CPT Nm Myocardial Infarct Imagng 11 7 $3,039.00 $2,431.00 20% off $2,097.00 $2,917.00 $2,826.00 2026-05-22
78454 CPT Nm Myocardial Perfusion 11 7 $3,039.00 $2,431.00 20% off $2,097.00 $2,917.00 $2,826.00 2026-05-22
J0401 HCPCS Abilify Maintena 300mg Injection ER 22 7 $3,494.50 $2,795.50 20% off $2,078.00 $3,819.00 $2,845.00 2026-05-22
4301149 CDM Abilify Maintena 300mg Injection ER 11 7 $3,113.00 $2,490.00 20% off $2,148.00 $2,988.00 $2,895.00 2026-05-22
74170 CPT CT Abd W Without Cont 11 7 $3,137.00 $2,510.00 $2,165.00 $3,012.00 $2,917.00 2026-05-22
70544 CPT MRA Head Without Contrast 11 7 $3,191.00 $2,553.00 $2,202.00 $3,063.00 $2,968.00 2026-05-22
71270 CPT CT Chest W Without Con 11 7 $3,245.00 $2,596.00 20% off $2,239.00 $3,115.00 $3,018.00 2026-05-22
95810 CPT Sleep Study 11 7 $3,299.00 $2,639.00 20% off $2,276.00 $3,167.00 $3,068.00 2026-05-22
72146 CPT MRI Thoracic Spine Without 11 7 $3,319.00 $2,655.00 20% off $2,290.00 $3,186.00 $3,087.00 2026-05-22
72148 CPT MRI Scan Of Lower Spinal Canal 11 7 $3,319.00 $2,655.00 20% off $2,290.00 $3,186.00 $3,087.00 2026-05-22
72141 CPT MRI Cervical Spine Without 11 7 $3,319.00 $2,655.00 20% off $2,290.00 $3,186.00 $3,087.00 2026-05-22
J0897 HCPCS Denosumab 120mg Inj 22 7 $3,953.50 $3,163.00 $1,926.00 $4,911.00 $3,104.50 2026-05-22
71275 CPT CTA Chest 11 7 $3,407.00 $2,726.00 $2,351.00 $3,271.00 $3,169.00 2026-05-22
70549 CPT MRA Of Neck W/wo 11 7 $3,434.00 $2,747.00 20% off $2,369.00 $3,297.00 $3,194.00 2026-05-22
72149 CPT MRI Lumbar Spine W/cont 11 7 $3,461.00 $2,769.00 $2,388.00 $3,323.00 $3,219.00 2026-05-22
73722 CPT MRI Low Extrm Joint W/con 11 7 $3,463.00 $2,770.00 20% off $2,389.00 $3,324.00 $3,221.00 2026-05-22
72197 CPT MRI Pelvis W/&without 11 7 $3,488.00 $2,790.00 20% off $2,407.00 $3,348.00 $3,244.00 2026-05-22
73223 CPT MRI Up Extrm Joint W&without 11 7 $3,488.00 $2,790.00 20% off $2,407.00 $3,348.00 $3,244.00 2026-05-22
70543 CPT MRI Orbit Face Neck W&without 11 7 $3,489.00 $2,791.00 20% off $2,407.00 $3,349.00 $3,245.00 2026-05-22
74181 CPT MRI Abdomen Without Contrast 11 7 $3,500.00 $2,800.00 20% off $2,415.00 $3,360.00 $3,255.00 2026-05-22
78451 CPT Nm Thalium Scan 11 7 $3,550.00 $2,840.00 20% off $2,450.00 $3,408.00 $3,302.00 2026-05-22
36561 CPT Insert Central Venous Access Device 11 7 $3,552.00 $2,842.00 $2,451.00 $3,410.00 $3,303.00 2026-05-22
95811 CPT Polysomn W Cpap 11 7 $3,640.00 $2,912.00 20% off $2,512.00 $3,494.00 $3,385.00 2026-05-22
72142 CPT MRI Cervical Spine W/cont 11 7 $3,677.00 $2,942.00 $2,537.00 $3,530.00 $3,420.00 2026-05-22
72147 CPT MRI Thoracic Spine W/cont 11 7 $3,677.00 $2,942.00 $2,537.00 $3,530.00 $3,420.00 2026-05-22
70551 CPT MRI Brain Without Contrast 11 7 $3,688.00 $2,950.00 20% off $2,545.00 $3,540.00 $3,430.00 2026-05-22
J9218 HCPCS Leuprolide 45mg IM Inj 22 7 $4,818.50 $3,855.00 $698.00 $8,281.00 $3,461.50 2026-05-22
73723 CPT MRI Low Extrm Joint W&without 11 7 $3,731.00 $2,985.00 $2,574.00 $3,582.00 $3,470.00 2026-05-22
81455 OTHER Myeloid Mutations Panel 14 10 $2,458.00 $1,966.40 $1,751.76 $5,353.38 $3,552.57 2026-05-08
70552 CPT MRI Brain With Contrast 11 7 $3,900.00 $3,120.00 20% off $2,691.00 $3,744.00 $3,627.00 2026-05-22
74182 CPT MRI Abdomen With Contrast 11 7 $3,900.00 $3,120.00 20% off $2,691.00 $3,744.00 $3,627.00 2026-05-22
4301150 CDM Abilify Maintena 400mg Injection ER 11 7 $3,978.00 $3,182.00 20% off $2,745.00 $3,819.00 $3,700.00 2026-05-22
74176 CPT CT Combo Abd/pelv Without Con 11 7 $4,002.00 $3,202.00 $2,761.00 $3,842.00 $3,722.00 2026-05-22
J3111 HCPCS Romosozumab-aqqg 210mg Inj 11 7 $4,074.00 $3,259.00 20% off $2,811.00 $3,911.00 $3,789.00 2026-05-22
J1449 HCPCS Eflapegrastim-xnst 13.2mg/0.6ml Syr 11 7 $4,108.00 $3,286.00 20% off $2,835.00 $3,944.00 $3,820.00 2026-05-22
4306824 CDM Eflapegrastim-xnst 13.2mg/0.6ml Syr 11 7 $4,108.00 $3,286.00 20% off $2,835.00 $3,944.00 $3,820.00 2026-05-22
J9202 HCPCS Zoladex 10.8mg 11 7 $4,113.00 $3,290.00 20% off $2,838.00 $3,948.00 $3,825.00 2026-05-22
4301490 CDM Zoladex 10.8mg 11 7 $4,113.00 $3,290.00 20% off $2,838.00 $3,948.00 $3,825.00 2026-05-22
69024 CPT Rituximab-pvvr 100mg/10ml 50ml Vial 11 7 $4,116.00 $3,293.00 $2,840.00 $3,951.00 $3,828.00 2026-05-22
Q5119 HCPCS Rituximab-pvvr 100mg/10ml 50ml Vial 11 7 $4,116.00 $3,293.00 $2,840.00 $3,951.00 $3,828.00 2026-05-22
70553 CPT MRI Scan 11 7 $4,218.00 $3,374.00 20% off $2,910.00 $4,049.00 $3,923.00 2026-05-22
78452 CPT Nm Spect Cardiac Scan 11 7 $4,218.00 $3,374.00 20% off $2,910.00 $4,049.00 $3,923.00 2026-05-22
4309629 CDM Romosozumab-aqqg 210mg Inj 11 7 $4,278.00 $3,422.00 20% off $2,952.00 $4,107.00 $3,979.00 2026-05-22
72158 CPT MRI Lumbar Spine W & Without 11 7 $4,326.00 $3,461.00 $2,985.00 $4,153.00 $4,023.00 2026-05-22
72156 CPT MRI Cervical Spine W& Without 11 7 $4,326.00 $3,461.00 $2,985.00 $4,153.00 $4,023.00 2026-05-22
72157 CPT MRI Thoracic Spine W&without 11 7 $4,326.00 $3,461.00 $2,985.00 $4,153.00 $4,023.00 2026-05-22
74183 CPT MRI Abdomen W Without 11 7 $4,500.00 $3,600.00 20% off $3,105.00 $4,320.00 $4,185.00 2026-05-22
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 11 7 $4,759.00 $3,807.00 20% off $3,284.00 $4,569.00 $4,426.00 2026-05-22
33774 CPT Nivolumab 10mg/ml 10ml Vial 11 7 $4,931.00 $3,945.00 $3,402.00 $4,734.00 $4,586.00 2026-05-22
4301943 CDM Hyperrab 1500 Iu5 Ml 11 7 $5,009.00 $4,007.00 20% off $3,456.00 $4,809.00 $4,658.00 2026-05-22
J2997 HCPCS Alteplase 100mg IV Vial 22 7 $6,759.00 $5,407.50 $194.00 $12,708.00 $4,702.00 2026-05-22
4309943 CDM Denosumab 120mg Inj 11 7 $5,135.00 $4,108.00 20% off $3,543.00 $4,930.00 $4,776.00 2026-05-22
J1306 HCPCS Inclisiran Sod 284mg/1.5ml Syringe 11 7 $5,255.00 $4,204.00 20% off $3,626.00 $5,045.00 $4,887.00 2026-05-22
78100 CPT Inclisiran Sod 284mg/1.5ml Syringe 11 7 $5,255.00 $4,204.00 20% off $3,626.00 $5,045.00 $4,887.00 2026-05-22
74178 CPT CT Abd/pelv Combo W W/out 11 7 $5,408.00 $4,326.00 20% off $3,732.00 $5,192.00 $5,029.00 2026-05-22
74174 CPT CT Angio Abd&plvis Cntrst Mtrl W/wo Cnt 11 7 $5,700.00 $4,560.00 20% off $3,933.00 $5,472.00 $5,301.00 2026-05-22
78815 CPT Nm PET Skull Base To Mid Thi 11 7 $6,240.00 $4,992.00 20% off $4,306.00 $5,990.00 $5,803.00 2026-05-22
78081 CPT Octreotide Acetate 20mg 11 7 $6,959.00 $5,567.00 20% off $4,802.00 $6,681.00 $6,472.00 2026-05-22
120 OTHER Acute Daily Room 7 7 $1,440.00 $1,152.00 20% off $6,511.98 $6,511.98 $6,511.98 2026-05-08
J2506 HCPCS Neulasta Onpro Kit 6mg/0.6ml 22 7 $7,019.00 $5,615.00 20% off $4,833.00 $6,752.00 $6,528.00 2026-05-22
4301289 CDM Pegfilgrastim 6mg/0.6ml 11 7 $7,033.00 $5,626.00 20% off $4,853.00 $6,752.00 $6,541.00 2026-05-22
J2353 HCPCS Octreotide Acetate 20mg 22 7 $8,065.50 $6,452.50 $4,785.00 $8,828.00 $6,553.50 2026-05-22
J9299 HCPCS Nivolumab 10mg/ml 10ml Vial 22 7 $8,621.50 $6,897.50 $3,402.00 $11,820.00 $6,614.50 2026-05-22
J0517 HCPCS Benralizumab 30mg/ml 1ml 11 7 $7,625.00 $6,100.00 20% off $5,261.00 $7,320.00 $7,091.00 2026-05-22
78816 CPT Nm PET Scan 11 7 $7,800.00 $6,240.00 20% off $5,382.00 $7,488.00 $7,254.00 2026-05-22
J9271 HCPCS Pembrolizumab 25mg/ml 4ml Sdv 11 7 $9,324.00 $7,459.00 20% off $6,434.00 $8,951.00 $8,671.00 2026-05-22
63026 CPT Pembrolizumab 25mg/ml 4ml Sdv 11 7 $9,324.00 $7,459.00 20% off $6,434.00 $8,951.00 $8,671.00 2026-05-22
33734 CPT Nivolumab 10mg/ml 24ml Vial 11 7 $12,312.00 $9,850.00 $8,495.00 $11,820.00 $11,450.00 2026-05-22
4305556 CDM Tenecteplase 50mg IV Inj 11 7 $12,968.00 $10,374.00 20% off $8,948.00 $12,449.00 $12,060.00 2026-05-22
J3101 HCPCS Tenecteplase 50mg IV Inj 11 7 $12,968.00 $10,374.00 20% off $8,948.00 $12,449.00 $12,060.00 2026-05-22
J9144 HCPCS Daratumumab-hylds120mg-2000u/ml 15mlvial 11 7 $13,458.00 $10,766.00 20% off $9,286.00 $12,920.00 $12,516.00 2026-05-22
J9272 HCPCS Dostarlimab 50mg/ml 10ml Vial 11 7 $18,281.00 $14,625.00 $12,614.00 $17,550.00 $17,001.00 2026-05-22
17308 CPT Dostarlimab 50mg/ml 10ml Vial 11 7 $18,281.00 $14,625.00 $12,614.00 $17,550.00 $17,001.00 2026-05-22
J9228 HCPCS Ipilimumab 5mg/ml 10ml Vial 22 7 $33,724.50 $26,979.50 20% off $9,308.00 $51,801.00 $25,091.00 2026-05-22
See an error in this hospital's data? Submit a correction