Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

ST LUKES HOSPITAL

Columbus, NC · CCN 341322 · Rates published

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

6,104 of 7,941 rate rows are consumer-grade (76.9%)

1,837 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 9
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://www.machine-readable-files.com/saint-lukes-hospital/560554222_Saint-Lukes-Hospital_standardcharges.csv
Found on page https://www.adventhealth.com/pricelist
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 22fa1b23858b792a… · 24,156,315 bytes · first seen 2026-05-05

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
$13,292
outlier · 2.8×
1490
OTHER 		Inj Pembrolizumab 1 $26,613.16 $26,613.16 $26,613.16 nat. median
$61
outlier · 435.4×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 $24,970.60 $24,970.60 $24,970.60 nat. median
$19,623
1.3× median
5375
OTHER 		Level 5 Urology And Related Services 2 $15,195.57 $29,698.97 $22,447.27 nat. median
$5,279
outlier · 4.3×
5114
OTHER 		Level 4 Musculoskeletal Procedures 6 $300.00 $41,074.08 $20,258.13 nat. median
$7,377
outlier · 2.7×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 1 $14,869.62 $14,869.62 $14,869.62 nat. median
$21,963
0.7× median
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 2 $9,988.24 $17,479.42 $13,733.83 nat. median
$8,963
1.5× median
5361
OTHER 		Level 1 Laparoscopy And Related Services 4 $300.00 $18,585.81 $13,095.00 nat. median
$6,026
outlier · 2.2×
552
MS_DRG 		Medical Back Problems Without Mcc 1 $12,485.30 $12,485.30 $12,485.30 nat. median
$7,205
1.7× median
682
MS_DRG 		Renal Failure With Mcc 1 $12,485.30 $12,485.30 $12,485.30 nat. median
$11,096
1.1× median
602
MS_DRG 		Cellulitis With Mcc 1 $12,485.30 $12,485.30 $12,485.30 nat. median
$10,595
1.2× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $12,382.67 $12,382.67 $12,382.67 nat. median
$14,442
0.9× 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
$12,280
1.0× median
186
MS_DRG 		Pleural Effusion With Mcc 1 $11,907.29 $11,907.29 $11,907.29 nat. median
$11,243
1.1× median
5374
OTHER 		Level 4 Urology And Related Services 2 $7,652.18 $14,436.66 $11,044.42 nat. median
$3,530
outlier · 3.1×
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 2 $2,481.48 $18,724.41 $10,602.94 nat. median
$11,829
0.9× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 $9,988.24 $9,988.24 $9,988.24 nat. median
$9,511
1.1× median
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $9,988.24 $9,988.24 $9,988.24 nat. median
$9,572
1.0× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 3 $4,565.94 $12,377.40 $9,988.24 nat. median
$9,802
1.0× median
9133
OTHER 		Rabies Ig, Im/sc 4 $3,554.60 $12,242.00 $9,808.02 nat. median
$295
outlier · 33.2×
9453
OTHER 		Injection, Nivolumab 1 $9,498.27 $9,498.27 $9,498.27 nat. median
$33
outlier · 284.9×
5113
OTHER 		Level 3 Musculoskeletal Procedures 4 $3,332.78 $31,734.95 $9,376.47 nat. median
$3,362
outlier · 2.8×
9388
OTHER 		Inj. Fe Derisomaltose 10 Mg 2 $3,640.09 $14,812.93 $9,226.51 nat. median
$22
outlier · 425.6×
9235
OTHER 		Panitumumab Injection 1 $8,721.31 $8,721.31 $8,721.31 nat. median
$167
outlier · 52.1×
22515
CPT 		Hc Kyphoplasty Ea Addl Thor/lumb 1 $8,457.49 $8,457.49 $8,457.49 nat. median
$3,448
outlier · 2.5×
22513
CPT 		Hc Kyphoplasty Thoracic W Imaging 1 $8,457.49 $8,457.49 $8,457.49 nat. median
$7,738
1.1× median
5341
OTHER 		Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 3 $4,572.06 $10,993.81 $8,333.14 nat. median
$3,678
outlier · 2.3×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 1 $7,491.18 $7,491.18 $7,491.18 nat. median
$8,710
0.9× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 1 $7,491.18 $7,491.18 $7,491.18 nat. median
$16,612
outlier · 0.5×
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
$14,550
0.5× median
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
$34,733
outlier · 0.2×
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 1 $7,013.06 $7,013.06 $7,013.06 nat. median
$6,111
1.1× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 1 $7,013.06 $7,013.06 $7,013.06 nat. median
$9,470
0.7× median
0702
OTHER 		Inj, Human-lans, Per I.u 1 $6,995.23 $6,995.23 $6,995.23 nat. median
$4
outlier · 1757.6×
310
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 1 $6,949.36 $6,949.36 $6,949.36 nat. median
$4,383
1.6× median
638
MS_DRG 		Diabetes With Cc 1 $6,949.36 $6,949.36 $6,949.36 nat. median
$6,741
1.0× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 2 $2,497.06 $9,460.18 $5,978.62 nat. median
$11,701
0.5× median
309
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Cc 2 $3,995.33 $7,491.18 $5,743.26 nat. median
$5,574
1.0× median
9381
OTHER 		Inj. Avsola, 10 Mg 1 $5,286.52 $5,286.52 $5,286.52 nat. median
$22
outlier · 236.5×
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
$5,562
0.9× median
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 $4,965.92 $4,994.12 $4,980.02 nat. median
$5,850
0.9× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 1 $4,962.96 $4,962.96 $4,962.96 nat. median
$6,156
0.8× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 $4,962.96 $4,962.96 $4,962.96 nat. median
$15,839
outlier · 0.3×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $4,955.00 $4,955.00 $4,955.00 nat. median
$24,822
outlier · 0.2×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 $4,906.63 $4,987.16 $4,946.90 nat. median
$9,938
outlier · 0.5×
5183
OTHER 		Level 3 Vascular Procedures 1 $4,738.41 $4,738.41 $4,738.41 nat. median
$3,242
1.5× median
5781
OTHER 		Resuscitation And Cardioversion 4 $1,516.84 $7,738.70 $4,676.09 nat. median
$693
outlier · 6.8×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 $4,565.94 $4,565.94 $4,565.94 nat. median
$9,697
outlier · 0.5×
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 1 $4,502.24 $4,502.24 $4,502.24 nat. median
$7,611
0.6× median

Other procedures at this hospital

Browse this hospital's 935 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
             
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
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
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
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
74177 CPT Hc CT Scan Abdomen And Pelvis W Contrast 25 25 $4,939.90 $2,469.95 50% off $120.00 $4,480.01 $3,218.84 2025-09-23
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
93306 CPT Hc Echocardiogram/doppler/complete 20 20 $2,347.40 $1,173.70 50% off $498.82 $2,089.19 $1,509.10 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
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
74176 CPT Hc CT Scan Abdomen And Pelvis Without Contrast 18 18 $4,273.40 $2,136.70 50% off $98.70 $4,079.60 $2,784.55 2025-09-23
93971 CPT Hc Duplex Extrem Venous Uni Or Ltd 18 18 $1,269.60 $634.80 50% off $8.91 $1,129.94 $344.20 2025-09-23
72100 CPT Hc Dx Spine Lumbar 2 Or 3 Views 18 18 $525.30 $262.65 50% off $27.33 $467.52 $328.70 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
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
71260 CPT Hc CT Chest With Contrast 16 16 $2,661.40 $1,330.70 50% off $108.99 $2,368.65 $1,209.35 2025-09-23
76700 CPT Hc US Abdom B-scan &/or Real Time Complete 16 16 $1,075.20 $537.60 50% off $228.48 $956.93 $700.60 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
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
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
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
77066 CPT Hc Diagnostic Mammography Computer-aided Detcj Bi 15 15 $523.90 $261.95 50% off $75.00 $466.27 $341.37 2025-09-23
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
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
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
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
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
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
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
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
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
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
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
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
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
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
5312 OTHER Level 2 Lower Gi Procedures 10 9 — — $1,766.47 $14,287.31 $3,801.32 2026-01-01
5025 OTHER Level 5 Type A Ed Visits 10 10 — — $1,351.48 $5,414.08 $2,818.17 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
5024 OTHER Level 4 Type A Ed Visits 10 9 — — $394.42 $5,049.76 $1,698.13 2026-01-01
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
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 10 10 $5,068.30 $2,534.15 50% off $120.00 $4,510.79 $1,289.38 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
76870 CPT Hc US Echo Scrotum & Contents 10 10 $856.90 $428.45 50% off $110.00 $762.64 $524.25 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
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
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
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
5523 OTHER Level 3 Imaging Without Contrast 9 9 — — $300.00 $2,886.12 $860.44 2026-01-01
5524 OTHER Level 4 Imaging Without Contrast 9 9 — — $579.71 $2,698.61 $705.59 2026-01-01
96368 CPT Hc IV Infusion Concurrent 9 9 $737.10 $368.55 50% off $156.63 $737.10 $507.30 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
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
5023 OTHER Level 3 Type A Ed Visits 9 9 — — $340.04 $1,232.68 $428.55 2026-01-01
5442 OTHER Level 2 Nerve Injections 9 9 — — $186.51 $1,000.45 $419.60 2026-01-01
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
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
5572 OTHER Level 2 Imaging With Contrast 8 8 — — $64.67 $4,488.35 $2,242.76 2026-01-01
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
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
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
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
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
72072 CPT Hc Dx Spine Thoracic 3 Views 8 8 $524.10 $262.05 50% off $110.00 $513.62 $338.15 2025-09-23
5041 OTHER Critical Care 7 7 — — $1,993.69 $4,678.32 $4,030.92 2026-01-01
5431 OTHER Level 1 Nerve Procedures 7 7 — — $1,168.93 $12,461.46 $3,325.27 2026-01-01
5571 OTHER Level 1 Imaging With Contrast 7 7 — — $300.00 $2,947.82 $2,312.08 2026-01-01
5573 OTHER Level 3 Imaging With Contrast 7 7 — — $104.46 $4,689.53 $1,313.58 2026-01-01
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
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
73221 CPT Hc MRI Upper Extremity Combo Wo Contrast 7 7 $3,151.80 $1,575.90 50% off $669.76 $2,053.71 $893.20 2025-09-23
5443 OTHER Level 3 Nerve Injections 7 7 — — $530.45 $1,528.04 $709.35 2026-01-01
5115 OTHER Level 5 Musculoskeletal Procedures 6 6 — — $25,716.00 $86,668.34 $36,916.17 2026-01-01
5114 OTHER Level 4 Musculoskeletal Procedures 6 6 — — $300.00 $41,074.08 $20,258.13 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
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
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
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
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
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
76830 CPT Hc Transvaginal Ultrasound 6 6 $1,216.20 $608.10 50% off $258.44 $868.37 $740.14 2025-09-23
5722 OTHER Level 2 Diagnostic Tests And Related Services 6 6 — — $416.43 $1,274.78 $656.19 2026-01-01
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
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
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
74220 CPT Hc Dx Esophagram 6 6 $864.10 $432.05 50% off $95.00 $769.05 $399.36 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
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
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
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
5052 OTHER Level 2 Skin Procedures 5 5 — — $264.54 $2,461.60 $1,529.31 2026-01-01
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
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
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
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
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
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
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
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
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
5693 OTHER Level 3 Drug Administration 5 5 — — $374.03 $10,057.15 $577.18 2026-01-01
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
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
5734 OTHER Level 4 Minor Procedures 5 5 — — $120.27 $726.48 $519.26 2026-01-01
G0260 HCPCS Hc Injection Sacroiliac Joint 5 5 $1,314.30 $657.15 50% off $328.58 $928.98 $515.06 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
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
5361 OTHER Level 1 Laparoscopy And Related Services 4 4 — — $300.00 $18,585.81 $13,095.00 2026-01-01
9133 OTHER Rabies Ig, Im/sc 4 4 — — $3,554.60 $12,242.00 $9,808.02 2026-01-01
5113 OTHER Level 3 Musculoskeletal Procedures 4 4 — — $3,332.78 $31,734.95 $9,376.47 2026-01-01
5781 OTHER Resuscitation And Cardioversion 4 4 — — $1,516.84 $7,738.70 $4,676.09 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
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 4 4 — — $374.00 $3,192.70 $1,918.16 2026-01-01
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
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
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
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
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
76817 CPT Hc US Pregnant Uterus Transvaginal 4 4 $958.00 $479.00 50% off $203.58 $814.30 $618.10 2025-09-23
76857 CPT Hc US Sono Pelvis Limited 4 4 $868.80 $434.40 50% off $95.00 $773.23 $419.24 2025-09-23
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 3 3 — — $4,565.94 $12,377.40 $9,988.24 2026-01-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 3 3 — — $4,572.06 $10,993.81 $8,333.14 2026-01-01
9327 OTHER Inj. Romosozumab-aqqg 1 Mg 3 3 — — $3,373.41 $4,670.50 $3,428.60 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
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
5301 OTHER Level 1 Upper Gi Procedures 3 3 — — $1,989.09 $5,232.16 $2,120.52 2026-01-01
1237 OTHER Inj Iron Dextran 3 3 — — $1,150.66 $1,984.57 $1,679.85 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
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
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
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
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
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
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
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
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
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
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
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
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
38792 CPT Hc Injection Id Sentinel Node 3 3 $491.00 $245.50 50% off $319.94 $488.68 $344.49 2025-09-23
29515 CPT Hc ER Application Short Leg Splint 3 3 $518.60 $259.30 50% off $110.20 $461.55 $337.92 2025-09-23
5375 OTHER Level 5 Urology And Related Services 2 2 — — $15,195.57 $29,698.97 $22,447.27 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
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
9388 OTHER Inj. Fe Derisomaltose 10 Mg 2 2 — — $3,640.09 $14,812.93 $9,226.51 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
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 2 — — $4,965.92 $4,994.12 $4,980.02 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
5112 OTHER Level 2 Musculoskeletal Procedures 2 2 — — $2,008.26 $5,413.60 $3,710.93 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
5053 OTHER Level 3 Skin Procedures 2 2 — — $1,209.75 $5,053.40 $3,131.57 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
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
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
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
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
5592 OTHER Level 2 Nuclear Medicine And Related Services 2 2 — — $885.17 $2,298.95 $1,592.06 2026-01-01
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
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
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
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
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
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 2 2 — — $766.70 $1,558.98 $1,162.84 2026-01-01
N905 OTHER Not Recognized By Opps 2 2 — — $839.83 $916.35 $878.09 2026-01-01
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
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
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
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
P9040 HCPCS Hc Rbc Leukoreduced Irradiated 2 2 $1,078.80 $539.40 50% off $279.19 $960.13 $619.66 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
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
88184 CPT Hc Flowcytometry 1st Marker Tc 2 2 $689.00 $344.50 50% off $448.95 $613.21 $531.08 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
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
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
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
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
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
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
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
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
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
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
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
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 — — $12,382.67 $12,382.67 $12,382.67 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
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
291 MS_DRG Heart Failure And Shock With Mcc 1 1 — — $9,988.24 $9,988.24 $9,988.24 2026-01-01
9453 OTHER Injection, Nivolumab 1 1 — — $9,498.27 $9,498.27 $9,498.27 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
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 — — $7,491.18 $7,491.18 $7,491.18 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
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
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
638 MS_DRG Diabetes With Cc 1 1 — — $6,949.36 $6,949.36 $6,949.36 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
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
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
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 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
5183 OTHER Level 3 Vascular Procedures 1 1 — — $4,738.41 $4,738.41 $4,738.41 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
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
9264 OTHER Tocilizumab Injection 1 1 — — $3,303.96 $3,303.96 $3,303.96 2026-01-01
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
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
5311 OTHER Level 1 Lower Gi Procedures 1 1 — — $2,299.11 $2,299.11 $2,299.11 2026-01-01
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
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
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
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
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $1,800.00 $1,800.00 $1,800.00 2026-01-01
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
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
9215 OTHER Cetuximab Injection 1 1 — — $1,520.46 $1,520.46 $1,520.46 2026-01-01
0874 RC Synvisc Or Synvisc-one 1 1 — — $1,390.26 $1,390.26 $1,390.26 2026-01-01
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
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
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
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
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
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
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
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
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
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
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
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
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
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
5591 OTHER Level 1 Nuclear Medicine And Related Services 1 1 — — $661.21 $661.21 $661.21 2026-01-01
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
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
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
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
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
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
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
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
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
20526 CPT Hc Injection Therapeutic Carpal Tunnel 1 1 $703.70 $351.85 50% off $446.21 $446.21 $446.21 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
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
86945 CPT Hc Blood Product Irradiation 1 1 $433.00 $216.50 50% off $405.03 $405.03 $405.03 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
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
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
J9309 HCPCS Polatuzumab Vedotin-piiq 30 Mg Intravenous Solution [57673] 1 1 $1,548.85 $774.43 50% off $344.95 $344.95 $344.95 2025-09-23
72082 CPT Hc Dx Entire Thrc Lmbr Crv Sac Spi W/skull 2/3 Vw 1 1 $349.40 $174.70 50% off $344.91 $344.91 $344.91 2025-09-23
19285 CPT Hc Breast Localization 1st Lesion Ultrasound 1 1 $2,395.90 $1,197.95 50% off $344.49 $344.49 $344.49 2025-09-23
See an error in this hospital's data? Submit a correction