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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

ST LUKES HOSPITAL

Columbus, NC · CCN 341322 · Rates published

944 distinct procedures filed
65 distinct payers
7,941 rate rows
2026-01-01 last MRF observed
Data quality

6,108 of 7,941 rate rows are consumer-grade (76.9%)

1,833 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 1,625
professional (physician) fee — not the facility price 164
exceeds 10× this hospital's gross charge — excluded from medians 13
placeholder amount (≤ $0.02) — excluded from medians 12
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=Z8jTqHwZ1ep3y2PIIVscAg*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch success · 2026-08-12
Content fingerprint 210b0e2148c30df5… · 1,484,273 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
5115
OTHER 		Level 5 Musculoskeletal Procedures 6 $25,716.00 $86,668.34 $36,916.17 nat. median
$13,671
outlier · 2.7×
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 1 $36,633.14 $36,633.14 $36,633.14 nat. median
$19,602
1.9× median
1490
OTHER 		Inj Pembrolizumab 1 $26,613.16 $26,613.16 $26,613.16 nat. median
$62
outlier · 432.6×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 $24,970.60 $24,970.60 $24,970.60 nat. median
$26,590
0.9× median
5375
OTHER 		Level 5 Urology And Related Services 2 $15,195.57 $29,698.97 $22,447.27 nat. median
$5,709
outlier · 3.9×
5114
OTHER 		Level 4 Musculoskeletal Procedures 6 $300.00 $41,074.08 $20,258.13 nat. median
$7,729
outlier · 2.6×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 $12,382.67 $23,206.77 $17,794.72 nat. median
$19,136
0.9× median
815
MS_DRG 		Reticuloendothelial And Immunity Disorders With Cc 1 $17,327.37 $17,327.37 $17,327.37 nat. median
$10,828
1.6× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 $16,222.86 $16,222.86 $16,222.86 nat. median
$11,029
1.5× median
683
MS_DRG 		Renal Failure With Cc 1 $15,164.05 $15,164.05 $15,164.05 nat. median
$9,596
1.6× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 1 $14,869.62 $14,869.62 $14,869.62 nat. median
$29,103
0.5× median
442
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 1 $14,262.76 $14,262.76 $14,262.76 nat. median
$10,419
1.4× median
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 2 $9,988.24 $17,479.42 $13,733.83 nat. median
$12,590
1.1× median
5361
OTHER 		Level 1 Laparoscopy And Related Services 4 $300.00 $18,585.81 $13,095.00 nat. median
$6,478
outlier · 2.0×
552
MS_DRG 		Medical Back Problems Without Mcc 1 $12,485.30 $12,485.30 $12,485.30 nat. median
$10,356
1.2× median
682
MS_DRG 		Renal Failure With Mcc 1 $12,485.30 $12,485.30 $12,485.30 nat. median
$15,088
0.8× median
602
MS_DRG 		Cellulitis With Mcc 1 $12,485.30 $12,485.30 $12,485.30 nat. median
$14,706
0.8× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/Mcc 1 $12,377.40 $12,377.40 $12,377.40 nat. median
$16,898
0.7× median
186
MS_DRG 		Pleural Effusion With Mcc 1 $11,907.29 $11,907.29 $11,907.29 nat. median
$15,758
0.8× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 4 $4,565.94 $16,959.41 $11,182.82 nat. median
$13,455
0.8× median
5374
OTHER 		Level 4 Urology And Related Services 2 $7,652.18 $14,436.66 $11,044.42 nat. median
$3,718
outlier · 3.0×
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 2 $2,481.48 $18,724.41 $10,602.94 nat. median
$16,417
0.6× median
305
MS_DRG 		Hypertension Without Mcc 1 $10,085.63 $10,085.63 $10,085.63 nat. median
$8,505
1.2× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 $9,988.24 $9,988.24 $9,988.24 nat. median
$13,072
0.8× median
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $9,988.24 $9,988.24 $9,988.24 nat. median
$13,359
0.7× median
9133
OTHER 		Rabies Ig, Im/sc 4 $3,554.60 $12,242.00 $9,808.02 nat. median
$293
outlier · 33.4×
9453
OTHER 		Injection, Nivolumab 1 $9,498.27 $9,498.27 $9,498.27 nat. median
$34
outlier · 280.1×
5113
OTHER 		Level 3 Musculoskeletal Procedures 4 $3,332.78 $31,734.95 $9,376.47 nat. median
$3,588
outlier · 2.6×
637
MS_DRG 		Diabetes With Mcc 1 $9,249.10 $9,249.10 $9,249.10 nat. median
$14,602
0.6× median
9388
OTHER 		Inj. Fe Derisomaltose 10 Mg 2 $3,640.09 $14,812.93 $9,226.51 nat. median
$23
outlier · 404.1×
9235
OTHER 		Panitumumab Injection 1 $8,721.31 $8,721.31 $8,721.31 nat. median
$174
outlier · 50.2×
22515
CPT 		Hc Kyphoplasty Ea Addl Thor/lumb 1 $8,457.49 $8,457.49 $8,457.49 nat. median
$5,290
1.6× median
22513
CPT 		Hc Kyphoplasty Thoracic W Imaging 1 $8,457.49 $8,457.49 $8,457.49 nat. median
$8,294
1.0× median
5341
OTHER 		Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 3 $4,572.06 $10,993.81 $8,333.14 nat. median
$3,852
outlier · 2.2×
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 1 $7,491.18 $7,491.18 $7,491.18 nat. median
$23,243
outlier · 0.3×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 1 $7,491.18 $7,491.18 $7,491.18 nat. median
$12,008
0.6× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 $7,426.44 $7,426.44 $7,426.44 nat. median
$20,254
outlier · 0.4×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $7,359.06 $7,359.06 $7,359.06 nat. median
$47,707
outlier · 0.2×
638
MS_DRG 		Diabetes With Cc 2 $6,949.36 $7,599.97 $7,274.66 nat. median
$9,750
0.7× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 1 $7,013.06 $7,013.06 $7,013.06 nat. median
$12,892
0.5× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 1 $7,013.06 $7,013.06 $7,013.06 nat. median
$8,921
0.8× median
0702
OTHER 		Inj, Human-lans, Per I.u 1 $6,995.23 $6,995.23 $6,995.23 nat. median
$3,950
1.8× median
310
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 1 $6,949.36 $6,949.36 $6,949.36 nat. median
$6,645
1.0× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 2 $2,497.06 $9,460.18 $5,978.62 nat. median
$16,167
outlier · 0.4×
309
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Cc 2 $3,995.33 $7,491.18 $5,743.26 nat. median
$8,373
0.7× median
9381
OTHER 		Inj. Avsola, 10 Mg 1 $5,286.52 $5,286.52 $5,286.52 nat. median
$24
outlier · 222.0×
9217
OTHER 		Leuprolide Acetate Suspnsion 1 $5,276.44 $5,276.44 $5,276.44 nat. median
$180
outlier · 29.3×
948
MS_DRG 		Signs And Symptoms Without Mcc 1 $4,994.12 $4,994.12 $4,994.12 nat. median
$8,463
0.6× median
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 3 $2,674.89 $4,994.12 $4,965.92 nat. median
$8,588
0.6× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 1 $4,962.96 $4,962.96 $4,962.96 nat. median
$9,038
0.5× median

Other procedures at this hospital

Browse this hospital's 944 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5115 OTHER Level 5 Musculoskeletal Procedures 6 6 — — $25,716.00 $86,668.34 $36,916.17 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 1 1 — — $36,633.14 $36,633.14 $36,633.14 2026-01-01
1490 OTHER Inj Pembrolizumab 1 1 — — $26,613.16 $26,613.16 $26,613.16 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $24,970.60 $24,970.60 $24,970.60 2026-01-01
5375 OTHER Level 5 Urology And Related Services 2 2 — — $15,195.57 $29,698.97 $22,447.27 2026-01-01
5114 OTHER Level 4 Musculoskeletal Procedures 6 6 — — $300.00 $41,074.08 $20,258.13 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 — — $12,382.67 $23,206.77 $17,794.72 2026-01-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 1 1 — — $17,327.37 $17,327.37 $17,327.37 2026-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 1 — — $16,222.86 $16,222.86 $16,222.86 2026-01-01
683 MS_DRG Renal Failure With Cc 1 1 — — $15,164.05 $15,164.05 $15,164.05 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $14,869.62 $14,869.62 $14,869.62 2026-01-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 1 1 — — $14,262.76 $14,262.76 $14,262.76 2026-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 2 2 — — $9,988.24 $17,479.42 $13,733.83 2026-01-01
5361 OTHER Level 1 Laparoscopy And Related Services 4 4 — — $300.00 $18,585.81 $13,095.00 2026-01-01
552 MS_DRG Medical Back Problems Without Mcc 1 1 — — $12,485.30 $12,485.30 $12,485.30 2026-01-01
682 MS_DRG Renal Failure With Mcc 1 1 — — $12,485.30 $12,485.30 $12,485.30 2026-01-01
602 MS_DRG Cellulitis With Mcc 1 1 — — $12,485.30 $12,485.30 $12,485.30 2026-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 1 1 — — $12,377.40 $12,377.40 $12,377.40 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $11,907.29 $11,907.29 $11,907.29 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 4 — — $4,565.94 $16,959.41 $11,182.82 2026-01-01
5374 OTHER Level 4 Urology And Related Services 2 2 — — $7,652.18 $14,436.66 $11,044.42 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 2 2 — — $2,481.48 $18,724.41 $10,602.94 2026-01-01
305 MS_DRG Hypertension Without Mcc 1 1 — — $10,085.63 $10,085.63 $10,085.63 2026-01-01
291 MS_DRG Heart Failure And Shock With Mcc 1 1 — — $9,988.24 $9,988.24 $9,988.24 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 1 — — $9,988.24 $9,988.24 $9,988.24 2026-01-01
9133 OTHER Rabies Ig, Im/sc 4 4 — — $3,554.60 $12,242.00 $9,808.02 2026-01-01
9453 OTHER Injection, Nivolumab 1 1 — — $9,498.27 $9,498.27 $9,498.27 2026-01-01
5113 OTHER Level 3 Musculoskeletal Procedures 4 4 — — $3,332.78 $31,734.95 $9,376.47 2026-01-01
637 MS_DRG Diabetes With Mcc 1 1 — — $9,249.10 $9,249.10 $9,249.10 2026-01-01
9388 OTHER Inj. Fe Derisomaltose 10 Mg 2 2 — — $3,640.09 $14,812.93 $9,226.51 2026-01-01
9235 OTHER Panitumumab Injection 1 1 — — $8,721.31 $8,721.31 $8,721.31 2026-01-01
22515 CPT Hc Kyphoplasty Ea Addl Thor/lumb 1 1 $10,287.00 $5,143.50 50% off $8,457.49 $8,457.49 $8,457.49 2025-09-23
22513 CPT Hc Kyphoplasty Thoracic W Imaging 1 1 $16,192.30 $8,096.15 50% off $8,457.49 $8,457.49 $8,457.49 2025-09-23
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 3 3 — — $4,572.06 $10,993.81 $8,333.14 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $7,491.18 $7,491.18 $7,491.18 2026-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 — — $7,491.18 $7,491.18 $7,491.18 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $7,426.44 $7,426.44 $7,426.44 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $7,359.06 $7,359.06 $7,359.06 2026-01-01
638 MS_DRG Diabetes With Cc 2 2 — — $6,949.36 $7,599.97 $7,274.66 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 — — $7,013.06 $7,013.06 $7,013.06 2026-01-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 — — $7,013.06 $7,013.06 $7,013.06 2026-01-01
0702 OTHER Inj, Human-lans, Per I.u 1 1 — — $6,995.23 $6,995.23 $6,995.23 2026-01-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 1 1 — — $6,949.36 $6,949.36 $6,949.36 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 2 — — $2,497.06 $9,460.18 $5,978.62 2026-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 2 — — $3,995.33 $7,491.18 $5,743.26 2026-01-01
9381 OTHER Inj. Avsola, 10 Mg 1 1 — — $5,286.52 $5,286.52 $5,286.52 2026-01-01
9217 OTHER Leuprolide Acetate Suspnsion 1 1 — — $5,276.44 $5,276.44 $5,276.44 2026-01-01
948 MS_DRG Signs And Symptoms Without Mcc 1 1 — — $4,994.12 $4,994.12 $4,994.12 2026-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 3 3 — — $2,674.89 $4,994.12 $4,965.92 2026-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 — — $4,962.96 $4,962.96 $4,962.96 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 — — $4,962.96 $4,962.96 $4,962.96 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $4,955.00 $4,955.00 $4,955.00 2026-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 2 — — $4,906.63 $4,987.16 $4,946.90 2026-01-01
5183 OTHER Level 3 Vascular Procedures 1 1 — — $4,738.41 $4,738.41 $4,738.41 2026-01-01
5781 OTHER Resuscitation And Cardioversion 4 4 — — $1,516.84 $7,738.70 $4,676.09 2026-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 — — $4,565.94 $4,565.94 $4,565.94 2026-01-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 — — $4,502.24 $4,502.24 $4,502.24 2026-01-01
19084 CPT Hc Bx Breast Addl Lesion Ultrasound Guide 1 1 $3,184.30 $1,592.15 50% off $4,062.58 $4,062.58 $4,062.58 2025-09-23
5041 OTHER Critical Care 7 7 — — $1,993.69 $4,678.32 $4,030.92 2026-01-01
5312 OTHER Level 2 Lower Gi Procedures 10 9 — — $1,766.47 $14,287.31 $3,801.32 2026-01-01
5112 OTHER Level 2 Musculoskeletal Procedures 2 2 — — $2,008.26 $5,413.60 $3,710.93 2026-01-01
73706 CPT Hc CT Angio Extremity Lower With Contrast 1 1 $3,663.50 $1,831.75 50% off $3,663.50 $3,663.50 $3,663.50 2025-09-23
5412 OTHER Level 2 Gynecologic Procedures 1 1 — — $3,612.28 $3,612.28 $3,612.28 2026-01-01
5302 OTHER Level 2 Upper Gi Procedures 1 1 — — $3,573.50 $3,573.50 $3,573.50 2026-01-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 2 2 — — $1,625.75 $5,452.51 $3,539.13 2026-01-01
9327 OTHER Inj. Romosozumab-aqqg 1 Mg 3 3 — — $3,373.41 $4,670.50 $3,428.60 2026-01-01
5431 OTHER Level 1 Nerve Procedures 7 7 — — $1,168.93 $12,461.46 $3,325.27 2026-01-01
9264 OTHER Tocilizumab Injection 1 1 — — $3,303.96 $3,303.96 $3,303.96 2026-01-01
5373 OTHER Level 3 Urology And Related Services 3 3 — — $2,907.30 $5,056.46 $3,300.22 2026-01-01
72156 CPT Hc MRI Cerv Spine Combo 3 3 $5,046.50 $2,523.25 50% off $1,072.38 $3,288.30 $3,288.30 2025-09-23
5053 OTHER Level 3 Skin Procedures 2 2 — — $1,209.75 $5,053.40 $3,131.57 2026-01-01
74177 CPT Hc CT Scan Abdomen And Pelvis W Contrast 26 26 $4,939.90 $2,469.95 50% off $2.60 $4,480.01 $3,049.40 2025-09-23
HCBED0026 CDM Hc ICU Room Daily 8 8 $4,631.00 $2,315.50 50% off $2,056.38 $4,121.59 $2,977.05 2025-09-23
5241 OTHER Level 1 Blood Product Exchange And Related Services 1 1 — — $2,972.15 $2,972.15 $2,972.15 2026-01-01
72133 CPT Hc CT Lumbar Spine Without & W/contrast Material 1 1 $3,324.60 $1,662.30 50% off $2,958.89 $2,958.89 $2,958.89 2025-09-23
75580 CPT Hc CT Ffr Physio Simulation Analysis W/interp And Report 1 1 $4,540.90 $2,270.45 50% off $2,958.85 $2,958.85 $2,958.85 2025-09-23
5025 OTHER Level 5 Type A Ed Visits 10 10 — — $1,351.48 $5,414.08 $2,818.17 2026-01-01
74176 CPT Hc CT Scan Abdomen And Pelvis Without Contrast 19 19 $4,273.40 $2,136.70 50% off $29.99 $4,079.60 $2,784.55 2025-09-23
70553 CPT Hc MRI Brain W & Without Contrast 13 13 $4,405.50 $2,202.75 50% off $207.48 $3,920.90 $2,568.41 2025-09-23
36573 CPT Hc Insert Picc W/guide No Port >5 1 1 $3,896.50 $1,948.25 50% off $2,538.96 $2,538.96 $2,538.96 2025-09-23
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 1 1 — — $2,497.06 $2,497.06 $2,497.06 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 — — $2,497.06 $2,497.06 $2,497.06 2026-01-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 1 1 — — $2,497.06 $2,497.06 $2,497.06 2026-01-01
5051 OTHER Level 1 Skin Procedures 3 3 — — $666.31 $2,522.11 $2,417.91 2026-01-01
5724 OTHER Level 4 Diagnostic Tests And Related Services 3 3 — — $1,341.94 $7,827.08 $2,374.82 2026-01-01
9272 OTHER Inj, Denosumab 3 3 — — $2,191.10 $7,095.27 $2,336.54 2026-01-01
5571 OTHER Level 1 Imaging With Contrast 7 7 — — $300.00 $2,947.82 $2,312.08 2026-01-01
5311 OTHER Level 1 Lower Gi Procedures 1 1 — — $2,299.11 $2,299.11 $2,299.11 2026-01-01
72157 CPT Hc MRI Dorsal Spine Combo 4 4 $5,184.00 $2,592.00 50% off $1,205.71 $3,377.89 $2,263.60 2025-09-23
HCBED0031 CDM Hc Telemetry Room Daily 9 9 $2,299.00 $1,149.50 50% off $1,486.04 $12,906.60 $2,258.92 2025-09-23
5572 OTHER Level 2 Imaging With Contrast 8 8 — — $64.67 $4,488.35 $2,242.76 2026-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 2 — — $1,610.00 $2,865.88 $2,237.94 2026-01-01
1670 OTHER Tetanus Immune Globulin Inj 2 2 — — $1,127.57 $3,312.25 $2,219.91 2026-01-01
64636 CPT Hc Destruction Parav Nerve Lum/sac Ea Addl 2 2 $2,106.60 $1,053.30 50% off $678.35 $3,688.04 $2,183.20 2025-09-23
73722 CPT Hc MRI Joint Of Leg W/contrast 1 1 $3,311.20 $1,655.60 50% off $2,157.58 $2,157.58 $2,157.58 2025-09-23
93351 CPT Hc Stress Tte Complete Without Contrast 17 17 $3,377.00 $1,688.50 50% off $800.47 $3,005.53 $2,157.23 2025-09-23
72132 CPT Hc CT Lumbar Spine W/contrast Material 1 1 $2,507.00 $1,253.50 50% off $2,130.95 $2,130.95 $2,130.95 2025-09-23
71270 CPT Hc CT Chest With & Without Contrast 5 5 $3,256.60 $1,628.30 50% off $692.03 $2,898.37 $2,122.00 2025-09-23
5301 OTHER Level 1 Upper Gi Procedures 3 3 — — $1,989.09 $5,232.16 $2,120.52 2026-01-01
62321 CPT Hc Njx Dx/ther Sbst Intrlmnr Crv/thrc W/img Gdn 6 6 $4,350.90 $2,175.45 50% off $924.57 $4,350.90 $2,117.80 2025-09-23
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 — — $1,800.00 $2,375.00 $2,087.50 2026-01-01
64495 CPT Hc Inject Facet Joint W/guide Lumbar/sac Add Lvl 1 1 $1,068.90 $534.45 50% off $2,067.84 $2,067.84 $2,067.84 2025-09-23
70487 CPT Hc CT Maxillofacial Area With Contrast 1 1 $2,296.90 $1,148.45 50% off $2,044.24 $2,044.24 $2,044.24 2025-09-23
7046 OTHER Doxorubicin Inj 10mg 1 1 — — $2,026.68 $2,026.68 $2,026.68 2026-01-01
69 MS_DRG Transient Ischemia Without Thrombolytic 1 1 — — $2,006.12 $2,006.12 $2,006.12 2026-01-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 4 4 — — $374.00 $3,192.70 $1,918.16 2026-01-01
73222 CPT Hc MRI Joint Upper Extrem W/contrast 2 2 $4,452.30 $2,226.15 50% off $946.11 $2,844.13 $1,895.12 2025-09-23
70482 CPT Hc CT Scan Skull Combo 1 1 $2,864.10 $1,432.05 50% off $1,866.25 $1,866.25 $1,866.25 2025-09-23
93319 CPT Hc 3d Echo Con Def During Tee/tte 2 2 $3,174.90 $1,587.45 50% off $742.58 $2,928.40 $1,835.49 2025-09-23
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $1,800.00 $1,800.00 $1,800.00 2026-01-01
36430 CPT Hc Blood Transfusion Service 10 10 $1,949.90 $974.95 50% off $465.35 $6,227.98 $1,735.41 2025-09-23
64640 CPT Hc Destruct By Neuro Agent Other Periph Nerve 5 5 $2,305.40 $1,152.70 50% off $1,144.42 $3,450.68 $1,702.29 2025-09-23
5024 OTHER Level 4 Type A Ed Visits 10 9 — — $394.42 $5,049.76 $1,698.13 2026-01-01
64633 CPT Hc Destruction Parav Nerv Cerv/thor Single 2 2 $3,428.10 $1,714.05 50% off $1,625.18 $1,745.87 $1,685.53 2025-09-23
1237 OTHER Inj Iron Dextran 3 3 — — $1,150.66 $1,984.57 $1,679.85 2026-01-01
70480 CPT Hc CT Orbits Pf Sella Iac Without Contrast 2 2 $2,227.30 $1,113.65 50% off $1,412.50 $1,893.21 $1,652.86 2025-09-23
71275 CPT Hc CT Angio Chest With Contrast 19 19 $2,788.00 $1,394.00 50% off $190.00 $2,738.24 $1,625.40 2025-09-23
64634 CPT Hc Destruction Parav Nerv Cerv/thor Ea Add 1 1 $1,697.30 $848.65 50% off $1,625.18 $1,625.18 $1,625.18 2025-09-23
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 — — $1,610.00 $1,610.00 $1,610.00 2026-01-01
5592 OTHER Level 2 Nuclear Medicine And Related Services 2 2 — — $885.17 $2,298.95 $1,592.06 2026-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 1 — — $1,565.00 $1,565.00 $1,565.00 2026-01-01
72131 CPT Hc CT Lumbar Spine Without Contrast Material 11 11 $2,351.50 $1,175.75 50% off $120.00 $2,092.84 $1,532.24 2025-09-23
5052 OTHER Level 2 Skin Procedures 5 5 — — $264.54 $2,461.60 $1,529.31 2026-01-01
72148 CPT Hc MRI Spinal Canal Lumbar Without Contrast Material 14 14 $3,270.80 $1,635.40 50% off $120.00 $2,911.01 $1,528.84 2025-09-23
9215 OTHER Cetuximab Injection 1 1 — — $1,520.46 $1,520.46 $1,520.46 2026-01-01
38222 CPT Hc Bone Marrow Bx And Asp Same Day 3 3 $2,332.90 $1,166.45 50% off $798.03 $2,076.28 $1,520.12 2025-09-23
64490 CPT Hc Inj Facet Joint W Guide Cerv/thorac 1st Lvl 2 2 $2,243.70 $1,121.85 50% off $843.88 $2,188.70 $1,516.29 2025-09-23
73201 CPT Hc CT Scan Of Arm Contrast 3 3 $2,312.20 $1,156.10 50% off $551.83 $2,207.30 $1,506.63 2025-09-23
93306 CPT Hc Echocardiogram/doppler/complete 21 21 $2,347.40 $1,173.70 50% off $16.46 $2,089.19 $1,488.63 2025-09-23
70496 CPT Hc CT Angio Brain With Contrast 10 10 $3,485.60 $1,742.80 50% off $187.86 $3,102.18 $1,467.09 2025-09-23
70492 CPT Hc CT Neck Tissue Combo 2 2 $3,068.80 $1,534.40 50% off $838.39 $1,999.63 $1,419.01 2025-09-23
75635 CPT Hc CT Angio Runoff With Contrast 2 2 $3,990.90 $1,995.45 50% off $287.32 $2,549.39 $1,418.35 2025-09-23
74175 CPT Hc CT Angio Abd Combo Incl Image Proc 6 6 $3,081.90 $1,540.95 50% off $154.69 $3,081.90 $1,402.89 2025-09-23
0874 RC Synvisc Or Synvisc-one 1 1 — — $1,390.26 $1,390.26 $1,390.26 2026-01-01
HCBED0029 CDM Hc Progressive Room Daily 2 2 $3,151.00 $1,575.50 50% off $295.00 $2,463.58 $1,379.29 2025-09-23
78227 CPT Hc Hepatobil Syst Imag Inc Gb W/pharma Intervenj 5 5 $2,111.00 $1,055.50 50% off $730.72 $1,507.25 $1,375.53 2025-09-23
73720 CPT Hc MRI Extremity Lower W & Without Contrast 2 2 $5,339.90 $2,669.95 50% off $1,361.57 $1,381.97 $1,371.77 2025-09-23
70543 CPT Hc MRI Orbits Face &/or Neck W&wo Contrast 1 1 $5,277.40 $2,638.70 50% off $1,365.79 $1,365.79 $1,365.79 2025-09-23
38505 CPT Hc Needle Biopsy Lymph Node(s) 2 2 $1,758.70 $879.35 50% off $1,115.29 $1,580.74 $1,348.01 2025-09-23
74183 CPT Hc MRI Abdomen Combo 5 5 $5,339.90 $2,669.95 50% off $1,134.73 $3,411.13 $1,334.98 2025-09-23
5573 OTHER Level 3 Imaging With Contrast 7 7 — — $104.46 $4,689.53 $1,313.58 2026-01-01
70491 CPT Hc CT Neck Tissue Contrast 10 10 $2,561.00 $1,280.50 50% off $544.21 $2,279.29 $1,293.37 2025-09-23
74178 CPT Hc CT Abdomen & Pelvis W/&without Contrast 11 11 $5,068.30 $2,534.15 50% off $12.32 $4,510.79 $1,267.08 2025-09-23
HCBED0015 CDM Hc Private Room Daily 7 7 $1,500.00 $750.00 50% off $120.00 $6,000.00 $1,265.26 2025-09-23
36556 CPT Hc ER Insert Non Tunl Central Vein Cath >5yr 1 1 $1,297.00 $648.50 50% off $1,238.10 $1,238.10 $1,238.10 2025-09-23
75574 CPT Hc CT Angio Hrt Cornry Art/bypass Grfts Contrst 3d Post 10 10 $3,398.90 $1,699.45 50% off $202.84 $2,214.72 $1,238.07 2025-09-23
74181 CPT Hc MRI Abdomen Without Contrast 3 3 $4,346.00 $2,173.00 50% off $1,086.50 $2,776.22 $1,234.32 2025-09-23
70486 CPT Hc CT Maxillofacial Without Contrast 13 13 $2,115.90 $1,057.95 50% off $449.63 $1,883.15 $1,233.57 2025-09-23
73200 CPT Hc CT Scan Upper Extremity Without Contrast 8 8 $1,997.60 $998.80 50% off $424.49 $1,426.29 $1,215.71 2025-09-23
73223 CPT Hc MRI Joint Upper Extrem Combo 1 1 $4,780.10 $2,390.05 50% off $1,207.35 $1,207.35 $1,207.35 2025-09-23
64483 CPT Hc Inject Anes/steroid Foramen Lumbar/sacral W Guide 1 Lvl 5 5 $2,331.30 $1,165.65 50% off $481.85 $1,276.73 $1,189.35 2025-09-23
93312 CPT Hc Echo Heart Transesophageal Complete 9 9 $1,812.10 $906.05 50% off $424.33 $1,671.35 $1,180.76 2025-09-23
74174 CPT Hc CT Angio Abd&plvis Cntrst Mtrl W/wo Cntrst Imges 4 4 $4,541.50 $2,270.75 50% off $1,083.88 $2,880.07 $1,180.03 2025-09-23
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 2 2 — — $766.70 $1,558.98 $1,162.84 2026-01-01
72125 CPT Hc CT Cervical Spine Without Contrast Material 21 21 $1,811.70 $905.85 50% off $384.99 $1,612.41 $1,157.31 2025-09-23
49083 CPT Hc Abd Paracentesis Dx/ther W Imaging Guidance 1 1 $1,775.60 $887.80 50% off $1,156.98 $1,156.98 $1,156.98 2025-09-23
J2783 HCPCS Rasburicase 1.5 Mg Intravenous Solution [34144] 1 1 $6,414.20 $3,207.10 50% off $1,115.71 $1,115.71 $1,115.71 2025-09-23
70498 CPT Hc CT Angio Neck With Contrast 12 12 $3,485.60 $1,742.80 50% off $187.54 $3,102.18 $1,113.30 2025-09-23
72158 CPT Hc MRI Lumbar Spine Combo 5 5 $4,447.10 $2,223.55 50% off $974.36 $1,420.41 $1,111.78 2025-09-23
J0840 HCPCS Crotalidae Polyval Immune Fab Solution For Injection [29970] 1 1 $10,354.65 $5,177.33 50% off $1,100.18 $1,100.18 $1,100.18 2025-09-23
72195 CPT Hc MRI Pelvis Without Contrast 5 5 $4,348.20 $2,174.10 50% off $275.00 $1,234.94 $1,087.05 2025-09-23
99291 CPT Hc ER Critical Care, E/m 30-74 Minutes 14 14 $4,422.60 $2,211.30 50% off $90.00 $4,222.00 $1,080.58 2025-09-23
78264 CPT Hc Gastric Emptying Imaging Study 3 3 $1,688.80 $844.40 50% off $598.44 $1,100.42 $1,078.81 2025-09-23
62323 CPT Hc Inj Epi Subar Lum/sac W/image 11 11 $4,164.70 $2,082.35 50% off $325.00 $3,706.58 $1,077.82 2025-09-23
70470 CPT Hc CT Scan Head Combo 6 6 $2,857.20 $1,428.60 50% off $714.30 $1,825.18 $1,072.07 2025-09-23
64494 CPT Hc Inject Facet Joint W/img Guide Lumbar/sac 2nd Lvl 5 5 $1,116.60 $558.30 50% off $818.83 $2,092.26 $1,067.09 2025-09-23
J1670 HCPCS Tetanus Immune Globulin (pf) 250 Unit/ml Intramuscular Syringe [131335] 1 1 $1,936.20 $968.10 50% off $1,055.83 $1,055.83 $1,055.83 2025-09-23
73718 CPT Hc MRI Extremity Lower Without Contrast 5 5 $3,490.80 $1,745.40 50% off $741.80 $2,274.61 $1,044.22 2025-09-23
19083 CPT Hc Bx Breast 1st Lesion Ultrasound Guide 8 8 $3,190.40 $1,595.20 50% off $677.96 $4,062.58 $1,029.90 2025-09-23
92960 CPT Hc Cardioversion Elective External 7 6 $2,391.30 $1,195.65 50% off $484.12 $2,205.60 $1,012.60 2025-09-23
73220 CPT Hc MRI Upper Extremity Combo W And Wo Contrast 1 1 $4,687.70 $2,343.85 50% off $996.14 $996.14 $996.14 2025-09-23
C8930 HCPCS Hc Tte W Or Without Contr, Cont ECG 5 5 $3,789.50 $1,894.75 50% off $794.92 $3,372.66 $980.72 2025-09-23
31500 CPT Hc Intubation Endotracheal 5 4 $1,678.80 $839.40 50% off $438.81 $1,155.47 $978.74 2025-09-23
72146 CPT Hc MRI Spinal Canal Thoracic Without Contrast Matrl 6 6 $3,550.00 $1,775.00 50% off $169.45 $2,313.18 $963.99 2025-09-23
10060 CPT Hc ER I&d Abscess Simple/single 6 6 $1,976.70 $988.35 50% off $433.09 $1,976.70 $951.63 2025-09-23
93017 CPT Hc Cardiac Stress Test Tracing Only 12 12 $1,556.50 $778.25 50% off $341.03 $1,385.29 $950.87 2025-09-23
73723 CPT Hc MRI Joint Of Leg Combo 1 1 $3,853.70 $1,926.85 50% off $945.53 $945.53 $945.53 2025-09-23
72141 CPT Hc MRI Spinal Canal Cervical Without Contrast Matrl 13 13 $3,242.00 $1,621.00 50% off $120.00 $3,242.00 $918.29 2025-09-23
27096 CPT Hc Injection Sacroiliac Joint 3 3 $1,314.30 $657.15 50% off $839.57 $1,169.73 $904.64 2025-09-23
26010 CPT Hc ER Drainage Abscess Finger Simple 1 1 $891.30 $445.65 50% off $891.30 $891.30 $891.30 2025-09-23
N905 OTHER Not Recognized By Opps 2 2 — — $839.83 $916.35 $878.09 2026-01-01
70551 CPT Hc MRI Brain Without Contrast 9 9 $3,071.70 $1,535.85 50% off $120.00 $3,071.70 $874.16 2025-09-23
C8929 HCPCS Hc Tte 2d Doppler/color Flow W/contr 8 8 $3,493.60 $1,746.80 50% off $95.00 $3,109.30 $873.40 2025-09-23
71260 CPT Hc CT Chest With Contrast 17 17 $2,661.40 $1,330.70 50% off $12.32 $2,368.65 $867.09 2025-09-23
5523 OTHER Level 3 Imaging Without Contrast 9 9 — — $300.00 $2,886.12 $860.44 2026-01-01
73221 CPT Hc MRI Upper Extremity Combo Wo Contrast 8 8 $3,151.80 $1,575.90 50% off $22.12 $2,053.71 $854.45 2025-09-23
76805 CPT Hc US OB >/= 14 Wks Sngl Fetus 1 1 $854.40 $427.20 50% off $854.40 $854.40 $854.40 2025-09-23
G0498 HCPCS Hc Chemo Admin Portable Pump 2 2 $1,134.40 $567.20 50% off $739.18 $964.24 $851.71 2025-09-23
74170 CPT Hc CT Scan Of Abdomen Combo 8 8 $3,256.60 $1,628.30 50% off $275.00 $2,898.37 $846.10 2025-09-23
64491 CPT Hc Inject Facet Joint W Guide Cerv/thorac 2nd Level 2 2 $1,131.80 $565.90 50% off $843.88 $843.88 $843.88 2025-09-23
64484 CPT Hc Inject Anes/steroid Foramen Lumbar/sacral W Guide Add Lvl 4 4 $1,392.40 $696.20 50% off $375.00 $1,213.18 $835.60 2025-09-23
78315 CPT Hc Bone Imaging 3 Phase 6 6 $1,839.60 $919.80 50% off $459.90 $1,198.68 $827.97 2025-09-23
20611 CPT Hc Inject Joint Major W/us Guid 5 5 $1,394.80 $697.40 50% off $332.88 $908.85 $819.77 2025-09-23
74160 CPT Hc CT Scan Of Abdomen Contrast 6 6 $3,028.00 $1,514.00 50% off $710.80 $1,973.04 $818.61 2025-09-23
88237 CPT Hc Tissue Culture Bone Marrow Cells 1 1 $1,243.60 $621.80 50% off $810.33 $810.33 $810.33 2025-09-23
27265 CPT Hc ER Treatment Hip Disloc Post Without Anes 1 1 $1,214.20 $607.10 50% off $803.52 $803.52 $803.52 2025-09-23
12001 CPT Hc ER Resuperf Wnd Body <2.5cm 20 20 $1,240.60 $620.30 50% off $90.00 $1,771.58 $800.43 2025-09-23
93925 CPT Hc Lower Arterial Duplex Bilateral 2 2 $1,363.50 $681.75 50% off $386.37 $1,213.52 $799.94 2025-09-23
64450 CPT Hc Inject Nerve Block Othr Peripheral Nerve 2 2 $973.80 $486.90 50% off $617.53 $963.32 $790.42 2025-09-23
72197 CPT Hc MRI Pelvis Combo 2 2 $5,234.80 $2,617.40 50% off $230.66 $1,335.87 $783.26 2025-09-23
24535 CPT Hc ER Closed Tx Humeral Supracondylar Fx W/manipu 1 1 $2,594.70 $1,297.35 50% off $764.67 $764.67 $764.67 2025-09-23
13131 CPT Hc ER Lac Repair Cmplx Forehead 1.1-2.5cm 1 1 $819.00 $409.50 50% off $764.67 $764.67 $764.67 2025-09-23
82088 CPT Hc Assay Of Aldosterone 1 1 $1,153.90 $576.95 50% off $751.88 $751.88 $751.88 2025-09-23
10061 CPT Hc ER I&d Abscess Complicated/multiple 3 3 $750.00 $375.00 50% off $488.70 $949.96 $750.00 2025-09-23
73721 CPT Hc MRI Lower Extrem Jt Without Contrast 13 13 $2,876.00 $1,438.00 50% off $120.00 $2,559.64 $744.31 2025-09-23
76830 CPT Hc Transvaginal Ultrasound 6 6 $1,216.20 $608.10 50% off $258.44 $868.37 $740.14 2025-09-23
64493 CPT Hc Inject Facet Joint W/guide Lumbar/sac 1st Lvl 4 4 $2,158.70 $1,079.35 50% off $273.09 $1,098.09 $728.96 2025-09-23
12002 CPT Hc ER Resup Npterf Wnd Body 2.6-7.5 Cm 15 15 $1,241.70 $620.85 50% off $90.00 $1,105.11 $723.91 2025-09-23
72193 CPT Hc CT Scan Of Pelvis Contrast 4 4 $2,719.70 $1,359.85 50% off $649.08 $2,311.75 $716.54 2025-09-23
5443 OTHER Level 3 Nerve Injections 7 7 — — $530.45 $1,528.04 $709.35 2026-01-01
5524 OTHER Level 4 Imaging Without Contrast 9 9 — — $579.71 $2,698.61 $705.59 2026-01-01
76942 CPT Hc US Sono Guide Needle Biopsy 17 17 $1,107.60 $553.80 50% off $26.32 $985.76 $702.36 2025-09-23
12032 CPT Hc ER Layr Clos Wnd Trunk,arm,leg 2.6-7.5 Cm 1 1 $783.60 $391.80 50% off $697.40 $697.40 $697.40 2025-09-23
74300 CPT Hc Dx Oper Cholangiogram 3 3 $1,050.90 $525.45 50% off $271.97 $684.77 $684.77 2025-09-23
64635 CPT Hc Destruction Paravert Nerve Lum/sac Sing 3 3 $3,694.10 $1,847.05 50% off $375.00 $764.67 $684.25 2025-09-23
74246 CPT Hc Dx Upper Gi W/wo Glucagon/delay Imges Without Kub 1 1 $1,028.60 $514.30 50% off $670.24 $670.24 $670.24 2025-09-23
76700 CPT Hc US Abdom B-scan &/or Real Time Complete 18 18 $1,075.20 $537.60 50% off $7.55 $956.93 $663.72 2025-09-23
5591 OTHER Level 1 Nuclear Medicine And Related Services 1 1 — — $661.21 $661.21 $661.21 2026-01-01
5722 OTHER Level 2 Diagnostic Tests And Related Services 6 6 — — $416.43 $1,274.78 $656.19 2026-01-01
12004 CPT Hc ER Resuperf Wnd Body 7.6-12.5 Cm 3 3 $1,146.60 $573.30 50% off $90.00 $747.12 $655.86 2025-09-23
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe [129657] 2 2 $6,793.95 $3,396.98 50% off $291.97 $1,004.06 $648.01 2025-09-23
P9073 HCPCS Hc Platelet Pheresis Path Red Each 1 1 $2,500.00 $1,250.00 50% off $647.00 $647.00 $647.00 2025-09-23
13132 CPT Hc ER Lac Repair Cmplx Forehead2.6-7.5cm 4 4 $819.00 $409.50 50% off $174.04 $768.36 $646.29 2025-09-23
70544 CPT Hc MRA Head Without Contrast 1 1 $3,013.20 $1,506.60 50% off $640.31 $640.31 $640.31 2025-09-23
A9520 HCPCS Tc-99m Tilmanocept Solution For Injection [51276] 3 3 $5,027.20 $2,513.60 50% off $368.01 $1,637.86 $628.40 2025-09-23
P9040 HCPCS Hc Rbc Leukoreduced Irradiated 2 2 $1,078.80 $539.40 50% off $279.19 $960.13 $619.66 2025-09-23
76817 CPT Hc US Pregnant Uterus Transvaginal 4 4 $958.00 $479.00 50% off $203.58 $814.30 $618.10 2025-09-23
74150 CPT Hc CT Scan Abdomen Without Contrast 1 1 $2,493.60 $1,246.80 50% off $612.98 $612.98 $612.98 2025-09-23
76801 CPT Hc US OB < 14 Wks Single Fetus 1 1 $930.50 $465.25 50% off $606.31 $606.31 $606.31 2025-09-23
85306 CPT Hc Clot Inhib Protein S Free 1 1 $925.90 $462.95 50% off $603.32 $603.32 $603.32 2025-09-23
96413 CPT Hc Chemo IV Infusion 1 Hr 11 11 $894.30 $447.15 50% off $190.04 $879.99 $582.73 2025-09-23
G0288 HCPCS Hc Vasc Recon, CTA For Surg Plan 1 1 $2,351.40 $1,175.70 50% off $578.44 $578.44 $578.44 2025-09-23
5693 OTHER Level 3 Drug Administration 5 5 — — $374.03 $10,057.15 $577.18 2026-01-01
99285 CPT Hc ER Level 5 Visit High Severity&threat Func 36 36 $2,071.00 $1,035.50 50% off $65.55 $2,463.60 $569.91 2025-09-23
36593 CPT Hc Declot By Thrombolytic Agent Implant Device/cath 2 2 $754.80 $377.40 50% off $491.83 $641.58 $566.71 2025-09-23
88275 CPT Hc Cytogenetics 100-300 1 1 $857.95 $428.98 50% off $559.04 $559.04 $559.04 2025-09-23
81479 CPT Hc Invitae Comprehensive Carrier 1 1 $3,980.50 $1,990.25 50% off $558.16 $558.16 $558.16 2025-09-23
72192 CPT Hc CT Scan Pelvis Without Contrast 5 5 $2,194.50 $1,097.25 50% off $275.00 $1,401.85 $552.63 2025-09-23
12052 CPT Hc ER Layr Clos Wnd Face,facial 2.5-5 Cm 2 2 $714.40 $357.20 50% off $465.50 $635.82 $550.66 2025-09-23
71250 CPT Hc CT Chest Without Contrast 13 13 $1,891.10 $945.55 50% off $80.30 $1,607.44 $540.48 2025-09-23
88184 CPT Hc Flowcytometry 1st Marker Tc 2 2 $689.00 $344.50 50% off $448.95 $613.21 $531.08 2025-09-23
12013 CPT Hc ER Resuperf Wnd Face 2.6-5 Cm 5 5 $806.60 $403.30 50% off $171.40 $685.61 $525.58 2025-09-23
76870 CPT Hc US Echo Scrotum & Contents 10 10 $856.90 $428.45 50% off $110.00 $762.64 $524.25 2025-09-23
5734 OTHER Level 4 Minor Procedures 5 5 — — $120.27 $726.48 $519.26 2026-01-01
96376 CPT Hc Injection IV Push Ea Add Same Drug 15 15 $721.50 $360.75 50% off $153.32 $2,542.87 $515.15 2025-09-23
G0260 HCPCS Hc Injection Sacroiliac Joint 5 5 $1,314.30 $657.15 50% off $328.58 $928.98 $515.06 2025-09-23
96368 CPT Hc IV Infusion Concurrent 9 9 $737.10 $368.55 50% off $156.63 $737.10 $507.30 2025-09-23
93356 CPT Hc Myocardial Strain Imaging For Myocardial Mechanics 5 5 $769.80 $384.90 50% off $163.58 $685.12 $501.60 2025-09-23
77001 CPT Hc Fluoro Guide For Central Venous Access Device 3 3 $767.90 $383.95 50% off $486.93 $652.72 $500.36 2025-09-23
A9562 HCPCS Technetium Tc 99m Mertiatide [43879] 2 2 $902.50 $451.25 50% off $233.57 $767.13 $500.35 2025-09-23
64615 CPT Hc Chemo Denervation Muscle Facial Nerv Bilat 1 1 $693.80 $346.90 50% off $495.37 $495.37 $495.37 2025-09-23
70450 CPT Hc CT Head/brain Without Contrast 26 26 $1,908.10 $954.05 50% off $65.59 $1,698.21 $492.09 2025-09-23
73700 CPT Hc CT Extremity Lower Without Contrast 9 9 $1,882.20 $941.10 50% off $399.97 $1,226.44 $487.11 2025-09-23
41800 CPT Hc ER Drainage Abscess Dentoalveolar 1 1 $747.20 $373.60 50% off $486.88 $486.88 $486.88 2025-09-23
94644 CPT Hc Rt Continuous Inhalation Tx 1st Hr 1 1 $248.90 $124.45 50% off $472.16 $472.16 $472.16 2025-09-23
29075 CPT Hc ER Application Short Arm Cast 1 1 $465.60 $232.80 50% off $458.19 $458.19 $458.19 2025-09-23
90675 CPT Rabies Vaccine, Purified Chicken Embryo Cell (pf) 2.5 Unit IM Susp [22798] 6 6 $1,092.15 $546.08 50% off $268.79 $1,072.14 $455.36 2025-09-23
J1439 HCPCS Ferric Carboxymaltose 50 Mg Iron/ml Intravenous Solution [122648] 2 2 $2,418.70 $1,209.35 50% off $0.19 $909.18 $454.68 2025-09-23
99283 CPT Hc ER Level 3 Visit Moderate Severity 34 34 $1,112.50 $556.25 50% off $65.55 $1,062.00 $453.22 2025-09-23
12034 CPT Hc ER Lac Repair Int Scalp/axil/trunk 7.6-12.5cm 1 1 $695.40 $347.70 50% off $453.12 $453.12 $453.12 2025-09-23
76770 CPT Hc US Retroperit B-scan/real Time Complete 12 12 $1,040.00 $520.00 50% off $221.00 $884.00 $451.38 2025-09-23
J7323 HCPCS Euflexxa 20 Mg/2ml Ix Sosy 1 1 $1,213.30 $606.65 50% off $449.89 $449.89 $449.89 2025-09-23
27093 CPT Hc Injection Hip Arthrogram 1 1 $688.80 $344.40 50% off $448.82 $448.82 $448.82 2025-09-23
10006 CPT Hc US Fna Bx W/guidance Ea Addl 3 3 $1,711.00 $855.50 50% off $447.53 $1,696.11 $447.53 2025-09-23
23650 CPT Hc ER Closed Tx Shoulder Disloc W/manip 2 2 $653.50 $326.75 50% off $425.82 $466.60 $446.21 2025-09-23
20526 CPT Hc Injection Therapeutic Carpal Tunnel 1 1 $703.70 $351.85 50% off $446.21 $446.21 $446.21 2025-09-23
10005 CPT Hc US Fna Bx W/guidance 1st Les 6 6 $1,711.00 $855.50 50% off $295.00 $1,696.11 $445.17 2025-09-23
74022 CPT Hc Dx Abdomen Comp Acute Series 9 9 $698.30 $349.15 50% off $130.00 $698.30 $442.82 2025-09-23
72128 CPT Hc CT Thoracic Spine Without Contrast Material 6 6 $1,760.10 $880.05 50% off $120.00 $1,496.08 $440.03 2025-09-23
73701 CPT Hc CT Scan Of Leg Contrast 2 2 $2,064.90 $1,032.45 50% off $435.64 $438.79 $437.22 2025-09-23
81270 CPT Hc Analysis Gene Jak2 1 1 $667.60 $333.80 50% off $435.01 $435.01 $435.01 2025-09-23
72083 CPT Hc Dx Entire Thrc Lmbr Crv Sac Spi W/skull 4/5 Vw 1 1 $663.70 $331.85 50% off $432.47 $432.47 $432.47 2025-09-23
96360 CPT Hc IV Infusion Hydration 31-60 Min 15 15 $737.10 $368.55 50% off $156.63 $722.36 $429.73 2025-09-23
5023 OTHER Level 3 Type A Ed Visits 9 9 — — $340.04 $1,232.68 $428.55 2026-01-01
10120 CPT Hc ER Removal Foreign Body Simple 3 3 $732.00 $366.00 50% off $160.38 $476.97 $426.76 2025-09-23
73522 CPT Hc Dx Hips Bilateral With Pelvis 3-4 Views 2 2 $769.50 $384.75 50% off $168.60 $684.86 $426.73 2025-09-23
88187 CPT Hc Flow Cytometry Interp 2-8 Mrkr 1 1 $652.60 $326.30 50% off $425.23 $425.23 $425.23 2025-09-23
5442 OTHER Level 2 Nerve Injections 9 9 — — $186.51 $1,000.45 $419.60 2026-01-01
76857 CPT Hc US Sono Pelvis Limited 4 4 $868.80 $434.40 50% off $95.00 $773.23 $419.24 2025-09-23
99284 CPT Hc ER Level 4 Visit High/urgent Severity 38 38 $1,631.00 $815.50 50% off $65.55 $2,260.60 $415.29 2025-09-23
72110 CPT Hc Dx Spine Lumbar Min 4 Views 9 9 $704.50 $352.25 50% off $176.13 $627.01 $410.72 2025-09-23
71111 CPT Hc Dx Ribs Bil W Pa Min 4 Views 2 2 $755.50 $377.75 50% off $340.44 $479.09 $409.76 2025-09-23
86945 CPT Hc Blood Product Irradiation 1 1 $433.00 $216.50 50% off $405.03 $405.03 $405.03 2025-09-23
72114 CPT Hc Dx Spine Lumbar W Bend Min 6 View 8 8 $704.50 $352.25 50% off $166.10 $649.70 $402.63 2025-09-23
74220 CPT Hc Dx Esophagram 6 6 $864.10 $432.05 50% off $95.00 $769.05 $399.36 2025-09-23
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe [52318] 3 3 $9,130.80 $4,565.40 50% off $280.25 $713.64 $394.80 2025-09-23
30903 CPT Hc ER Control Nosebleed Complex Ant 1 1 $528.30 $264.15 50% off $391.81 $391.81 $391.81 2025-09-23
78306 CPT Hc Bone Imaging Whole Body 6 6 $1,930.00 $965.00 50% off $120.00 $1,640.50 $391.09 2025-09-23
90377 CPT Rabies Immune Globulin (pf) 150 Unit/ml Intramuscular Solution [11845] 2 2 $1,920.00 $960.00 50% off $178.50 $599.76 $389.13 2025-09-23
99292 CPT Hc ER Critical Care, Addl 30 Min 1 1 $663.10 $331.55 50% off $386.59 $386.59 $386.59 2025-09-23
78226 CPT Hc Hepatobiliary Syst Imaging Including Gallbladder 1 1 $1,516.60 $758.30 50% off $379.15 $379.15 $379.15 2025-09-23
C9399 HCPCS Remdesivir 100 Mg/20 Ml (5 Mg/ml) IV Soln (for Pts 40 Kg Or More) [56214] 6 6 $3,640.00 $1,820.00 50% off $258.46 $878.77 $372.19 2025-09-23
70150 CPT Hc Dx Facial Bones 3+ Vw 1 1 $415.60 $207.80 50% off $369.88 $369.88 $369.88 2025-09-23
29580 CPT Hc Pt Strapping Unna Boot 2 2 $393.10 $196.55 50% off $240.00 $498.49 $369.25 2025-09-23
29505 CPT Hc ER Application Long Leg Splint 2 2 $639.10 $319.55 50% off $135.81 $599.80 $367.80 2025-09-23
93975 CPT Hc Vasc Duplex Abd/pel Vasc Doppler Complete 5 5 $1,269.60 $634.80 50% off $328.57 $827.27 $359.83 2025-09-23
76705 CPT Hc US Abdomen Limited 16 16 $856.90 $428.45 50% off $6.02 $762.64 $355.96 2025-09-23
93970 CPT Hc US Extremity Vein Map Bilateral 10 10 $1,328.20 $664.10 50% off $282.24 $1,128.97 $354.22 2025-09-23
71101 CPT Hc Dx Ribs Chest 3+ Vw 14 14 $577.70 $288.85 50% off $122.76 $514.15 $351.58 2025-09-23
64447 CPT Hc Inj Nerve Block Femoral Nerve One W/image 2 2 $823.70 $411.85 50% off $15.61 $675.60 $345.61 2025-09-23
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