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 →

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Hospital

CHOCTAW MEMORIAL HOSPITAL

Hugo, OK · CCN 370100 · Rates published

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You selected 93306 (HCPCS)

US ECHO COMPLETE

This hospital’s price: $193 across 3 payers · range $138-$516

Source: https://choctawmemorial.com/wp-content/uploads/2026/04/736060815_choctaw-county-city-of-hugo-hospital-trust-authority-_standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,506 distinct procedures filed
5 distinct payers
17,463 rate rows
2026-04-01 last MRF observed
Data quality

12,801 of 17,463 rate rows are consumer-grade (73.3%)

4,662 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 4,372
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 278
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 8
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://choctawmemorial.com/wp-content/uploads/2026/04/736060815_choctaw-county-city-of-hugo-hospital-trust-authority-_standardcharges.csv
Found on page https://choctawmemorial.com/financial/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 627a3a79fc6a3e9c… · 164,286 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
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 2 $2,945.00 $4,415.00 $4,415.00 nat. median
$19,970
outlier · 0.2×
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 2 $2,540.00 $3,605.00 $3,605.00 nat. median
$9,958
outlier · 0.4×
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Dis 2 $2,496.50 $3,518.00 $3,518.00 nat. median
$12,544
outlier · 0.3×
813
MS_DRG 		Coagulation Disorders 3 $1,475.00 $5,204.00 $3,339.50 nat. median
$14,899
outlier · 0.2×
190
MS_DRG 		Blood Bank Forms 3 $1,475.00 $4,900.00 $3,284.00 nat. median
$11,073
outlier · 0.3×
394
MS_DRG 		Other Diestive System Diagnoses With Mcc 2 $2,332.50 $3,190.00 $3,190.00 nat. median
$9,688
outlier · 0.3×
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 3 $1,475.00 $4,760.00 $3,117.50 nat. median
$29,848
outlier · 0.1×
313
MS_DRG 		Chest Pain 3 $1,475.00 $4,224.00 $2,849.50 nat. median
$7,729
outlier · 0.4×
595
MS_DRG 		Major Skin Disorers With Mcc 3 $1,475.00 $4,169.00 $2,822.00 nat. median
$20,206
outlier · 0.1×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And 3 $1,475.00 $3,846.00 $2,660.50 nat. median
$12,851
outlier · 0.2×
637
MS_DRG 		Diabetes With Mcc 3 $1,475.00 $3,802.00 $2,638.50 nat. median
$13,970
outlier · 0.2×
204
MS_DRG 		Respiratory Signs And Symptoms 3 $1,475.00 $3,770.00 $2,622.50 nat. median
$8,484
outlier · 0.3×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation The 3 $1,475.00 $3,689.00 $2,582.00 nat. median
$15,491
outlier · 0.2×
206
MS_DRG 		Other Resiratory System Diagnoses Without Mcc 3 $1,475.00 $3,688.00 $2,581.50 nat. median
$9,496
outlier · 0.3×
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur Hip 3 $1,475.00 $3,649.00 $2,562.00 nat. median
$13,965
outlier · 0.2×
947
MS_DRG 		Signs And Symptoms With Mcc 3 $1,475.00 $3,630.00 $2,552.50 nat. median
$12,113
outlier · 0.2×
149
MS_DRG 		Dysequilibrium 3 $1,475.00 $3,630.00 $2,552.50 nat. median
$7,946
outlier · 0.3×
312
MS_DRG 		Syncope And Collapse 3 $1,475.00 $3,592.00 $2,533.50 nat. median
$8,953
outlier · 0.3×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 3 $1,475.00 $3,573.00 $2,524.00 nat. median
$11,997
outlier · 0.2×
305
MS_DRG 		Hypertension Without Mcc 3 $1,475.00 $3,565.00 $2,520.00 nat. median
$8,040
outlier · 0.3×
291
MS_DRG 		Heart Failure And Shock With Mcc 3 $1,475.00 $3,550.00 $2,512.50 nat. median
$12,775
outlier · 0.2×
918
MS_DRG 		Poisoning And Toxic Effects Of Drugs Without Mcc 3 $1,475.00 $3,530.00 $2,502.50 nat. median
$8,386
outlier · 0.3×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 3 $1,475.00 $3,515.00 $2,495.00 nat. median
$15,405
outlier · 0.2×
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 3 $1,475.00 $3,413.00 $2,444.00 nat. median
$9,313
outlier · 0.3×
687
MS_DRG 		Kidney And Urinary Tract Neoplasms With Cc 3 $1,475.00 $3,398.00 $2,436.50 nat. median
$10,775
outlier · 0.2×
605
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast Without M 3 $1,475.00 $3,391.00 $2,433.00 nat. median
$9,370
outlier · 0.3×
378
MS_DRG 		Gastroinestinal Hemorrhage With Cc 3 $1,475.00 $3,388.00 $2,431.50 nat. median
$10,031
outlier · 0.2×
159
MS_DRG 		Dental And Oral Diseases Without Cc/mcc 3 $1,475.00 $3,313.00 $2,394.00 nat. median
$7,482
outlier · 0.3×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 3 $1,475.00 $3,303.00 $2,389.00 nat. median
$12,877
outlier · 0.2×
155
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 3 $1,475.00 $3,238.00 $2,356.50 nat. median
$9,528
outlier · 0.2×
699
MS_DRG 		Other Kidnwy And Urinary Tract Diagnoses With Cc 3 $1,475.00 $3,237.00 $2,356.00 nat. median
$10,325
outlier · 0.2×
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 3 $1,475.00 $3,205.00 $2,340.00 nat. median
$8,851
outlier · 0.3×
310
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 3 $1,475.00 $3,205.00 $2,340.00 nat. median
$6,289
outlier · 0.4×
203
MS_DRG 		Bronchitis And Asthma Without Cc/mcc 3 $1,475.00 $3,182.00 $2,328.50 nat. median
$7,248
outlier · 0.3×
884
MS_DRG 		Organic Disturbances And Intellectual Disability 3 $1,475.00 $3,181.00 $2,328.00 nat. median
$14,262
outlier · 0.2×
638
MS_DRG 		Diabetes With Cc 3 $1,475.00 $3,177.00 $2,326.00 nat. median
$9,230
outlier · 0.3×
816
MS_DRG 		Reticuloendothelial & Immunity Disorders Without Cc/mcc 3 $1,475.00 $3,167.00 $2,321.00 nat. median
$7,128
outlier · 0.3×
556
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective 3 $1,475.00 $3,123.00 $2,299.00 nat. median
$8,636
outlier · 0.3×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 3 $1,475.00 $3,116.00 $2,295.50 nat. median
$10,207
outlier · 0.2×
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metablosim, Fluids And 3 $1,475.00 $3,106.00 $2,290.50 nat. median
$8,119
outlier · 0.3×
948
MS_DRG 		Signs And Symptoms Without Mcc 3 $1,475.00 $3,097.00 $2,286.00 nat. median
$7,971
outlier · 0.3×
683
MS_DRG 		Renal Failure With Cc 3 $1,475.00 $3,048.00 $2,261.50 nat. median
$9,113
outlier · 0.2×
392
MS_DRG 		Esophagitis, Gastroenteritis And Misc Digestive Dis 3 $1,475.00 $3,044.00 $2,259.50 nat. median
$8,186
outlier · 0.3×
863
MS_DRG 		Postoperative And Post-traumatic Infections Without Mcc 3 $1,475.00 $3,028.00 $2,251.50 nat. median
$10,225
outlier · 0.2×
49205
HCPCS 		Excision Endometrioma >10.0cm 5 $2,235.54 $2,235.54 $2,235.54 nat. median
$4,203
0.5× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 3 $1,475.00 $2,996.00 $2,235.50 nat. median
$11,515
outlier · 0.2×
563
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip 3 $1,475.00 $2,971.00 $2,223.00 nat. median
$9,158
outlier · 0.2×
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 3 $1,475.00 $2,971.00 $2,223.00 nat. median
$8,522
outlier · 0.3×
292
MS_DRG 		Heart Failure And Shock With Cc 3 $1,475.00 $2,965.00 $2,220.00 nat. median
$8,955
outlier · 0.2×
179
MS_DRG 		Respiratory Infectins And Inflammations Without Cc/mcc 3 $1,475.00 $2,961.00 $2,218.00 nat. median
$8,200
outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 1,506 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
             
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 2 $11,348.61 $5,674.31 50% off $2,945.00 $4,415.00 $4,415.00 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 3 2 $7,791.23 $3,895.62 50% off $2,540.00 $3,605.00 $3,605.00 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Dis 3 2 $7,893.45 $3,946.73 50% off $2,496.50 $3,518.00 $3,518.00 2026-04-01
813 MS_DRG Coagulation Disorders 5 3 $12,224.13 $6,112.07 50% off $1,475.00 $5,204.00 $3,339.50 2026-04-01
190 MS_DRG Blood Bank Forms 6 3 $8,028.03 $4,014.02 50% off $1,475.00 $4,900.00 $3,284.00 2026-04-01
394 MS_DRG Other Diestive System Diagnoses With Mcc 3 2 $7,601.76 $3,800.88 50% off $2,332.50 $3,190.00 $3,190.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 3 $21,851.07 $10,925.54 50% off $1,475.00 $4,760.00 $3,117.50 2026-04-01
313 MS_DRG Chest Pain 5 3 $5,970.07 $2,985.04 50% off $1,475.00 $4,224.00 $2,849.50 2026-04-01
595 MS_DRG Major Skin Disorers With Mcc 5 3 $14,938.20 $7,469.10 50% off $1,475.00 $4,169.00 $2,822.00 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And 5 3 $8,428.53 $4,214.27 50% off $1,475.00 $3,846.00 $2,660.50 2026-04-01
637 MS_DRG Diabetes With Mcc 5 3 $5,798.41 $2,899.21 50% off $1,475.00 $3,802.00 $2,638.50 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 5 3 $7,262.53 $3,631.27 50% off $1,475.00 $3,770.00 $2,622.50 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation The 5 3 $2,906.78 $1,453.39 50% off $1,475.00 $3,689.00 $2,582.00 2026-04-01
206 MS_DRG Other Resiratory System Diagnoses Without Mcc 5 3 $6,210.10 $3,105.05 50% off $1,475.00 $3,688.00 $2,581.50 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur Hip 5 3 $11,940.86 $5,970.43 50% off $1,475.00 $3,649.00 $2,562.00 2026-04-01
149 MS_DRG Dysequilibrium 5 3 $4,636.87 $2,318.44 50% off $1,475.00 $3,630.00 $2,552.50 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 5 3 $8,904.11 $4,452.06 50% off $1,475.00 $3,630.00 $2,552.50 2026-04-01
312 MS_DRG Syncope And Collapse 5 3 $6,014.73 $3,007.37 50% off $1,475.00 $3,592.00 $2,533.50 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 5 3 $9,363.78 $4,681.89 50% off $1,475.00 $3,573.00 $2,524.00 2026-04-01
305 MS_DRG Hypertension Without Mcc 5 3 $6,135.03 $3,067.52 50% off $1,475.00 $3,565.00 $2,520.00 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 5 3 $5,026.41 $2,513.21 50% off $1,475.00 $3,550.00 $2,512.50 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 5 3 $5,102.75 $2,551.38 50% off $1,475.00 $3,530.00 $2,502.50 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 3 $11,054.76 $5,527.38 50% off $1,475.00 $3,515.00 $2,495.00 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 5 3 $3,784.69 $1,892.35 50% off $1,475.00 $3,413.00 $2,444.00 2026-04-01
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 5 3 $6,753.00 $3,376.50 50% off $1,475.00 $3,398.00 $2,436.50 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without M 5 3 $5,730.10 $2,865.05 50% off $1,475.00 $3,391.00 $2,433.00 2026-04-01
378 MS_DRG Gastroinestinal Hemorrhage With Cc 5 3 $6,345.82 $3,172.91 50% off $1,475.00 $3,388.00 $2,431.50 2026-04-01
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 5 3 $4,598.97 $2,299.49 50% off $1,475.00 $3,313.00 $2,394.00 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 5 3 $8,676.71 $4,338.36 50% off $1,475.00 $3,303.00 $2,389.00 2026-04-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 5 3 $7,425.66 $3,712.83 50% off $1,475.00 $3,238.00 $2,356.50 2026-04-01
699 MS_DRG Other Kidnwy And Urinary Tract Diagnoses With Cc 5 3 $7,092.07 $3,546.04 50% off $1,475.00 $3,237.00 $2,356.00 2026-04-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 5 3 $3,059.28 $1,529.64 50% off $1,475.00 $3,205.00 $2,340.00 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 5 3 $7,016.25 $3,508.13 50% off $1,475.00 $3,205.00 $2,340.00 2026-04-01
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 5 3 $4,132.55 $2,066.28 50% off $1,475.00 $3,182.00 $2,328.50 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 5 3 $10,169.22 $5,084.61 50% off $1,475.00 $3,181.00 $2,328.00 2026-04-01
638 MS_DRG Diabetes With Cc 5 3 $7,103.92 $3,551.96 50% off $1,475.00 $3,177.00 $2,326.00 2026-04-01
816 MS_DRG Reticuloendothelial & Immunity Disorders Without Cc/mcc 5 3 $2,722.23 $1,361.12 50% off $1,475.00 $3,167.00 $2,321.00 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective 5 3 $6,598.67 $3,299.34 50% off $1,475.00 $3,123.00 $2,299.00 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 3 $7,103.72 $3,551.86 50% off $1,475.00 $3,116.00 $2,295.50 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metablosim, Fluids And 5 3 $3,650.56 $1,825.28 50% off $1,475.00 $3,106.00 $2,290.50 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 5 3 $4,804.79 $2,402.40 50% off $1,475.00 $3,097.00 $2,286.00 2026-04-01
683 MS_DRG Renal Failure With Cc 5 3 $5,676.37 $2,838.19 50% off $1,475.00 $3,048.00 $2,261.50 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Misc Digestive Dis 5 3 $6,447.10 $3,223.55 50% off $1,475.00 $3,044.00 $2,259.50 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 5 3 $6,679.61 $3,339.81 50% off $1,475.00 $3,028.00 $2,251.50 2026-04-01
49205 HCPCS Excision Endometrioma >10.0cm 10 5 $5,662.00 $2,831.00 50% off $2,235.54 $2,235.54 $2,235.54 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 5 3 $7,550.27 $3,775.14 50% off $1,475.00 $2,996.00 $2,235.50 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 5 3 $6,869.92 $3,434.96 50% off $1,475.00 $2,971.00 $2,223.00 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip 5 3 $5,449.55 $2,724.78 50% off $1,475.00 $2,971.00 $2,223.00 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 5 3 $7,005.84 $3,502.92 50% off $1,475.00 $2,965.00 $2,220.00 2026-04-01
179 MS_DRG Respiratory Infectins And Inflammations Without Cc/mcc 5 3 $1,641.50 $820.75 50% off $1,475.00 $2,961.00 $2,218.00 2026-04-01
684 MS_DRG Renal Failure Without Cc/mcc 5 3 $2,769.73 $1,384.87 50% off $1,475.00 $2,958.00 $2,216.50 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic 5 3 $4,144.54 $2,072.27 50% off $1,475.00 $2,939.00 $2,207.00 2026-04-01
538 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh 5 3 $4,199.97 $2,099.99 50% off $1,475.00 $2,929.00 $2,202.00 2026-04-01
293 MS_DRG Heart Failure And Shock Without Cc/mcc 5 3 $4,693.84 $2,346.92 50% off $1,475.00 $2,917.00 $2,196.00 2026-04-01
558 MS_DRG Tendonitis, Myositis And Buristis Without Mcc 5 3 $5,483.93 $2,741.97 50% off $1,475.00 $2,898.00 $2,186.50 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 5 3 $5,722.53 $2,861.27 50% off $1,475.00 $2,867.00 $2,171.00 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 5 3 $3,795.77 $1,897.89 50% off $1,475.00 $2,846.00 $2,160.50 2026-04-01
603 MS_DRG Cellulitis Without Mcc 5 3 $6,047.75 $3,023.88 50% off $1,475.00 $2,789.00 $2,132.00 2026-04-01
758 MS_DRG Infections, Female Reproductive System W Cc 5 3 $3,320.86 $1,660.43 50% off $1,475.00 $2,784.00 $2,129.50 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 5 3 $2,863.79 $1,431.90 50% off $1,475.00 $2,763.00 $2,119.00 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 5 3 $4,801.07 $2,400.54 50% off $1,475.00 $2,722.00 $2,098.50 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 5 3 $3,101.80 $1,550.90 50% off $1,475.00 $2,718.00 $2,096.50 2026-04-01
27364 HCPCS Resection Tumor Thigh/knee 5cm Or More 10 5 $6,447.00 $3,223.50 50% off $1,995.01 $1,995.01 $1,995.01 2026-04-01
885 MS_DRG Psychoses 5 3 $10,220.93 $5,110.47 50% off $1,475.00 $2,190.00 $1,832.50 2026-04-01
44160 HCPCS Colectomy Partial Removal Terminal Ileum 10 5 $4,021.00 $2,010.50 50% off $1,584.49 $1,584.49 $1,584.49 2026-04-01
44320 HCPCS Colostomy Or Skin Level Cecostomy 10 5 $3,796.00 $1,898.00 50% off $1,529.91 $1,529.91 $1,529.91 2026-04-01
42420 HCPCS Excision Parotid Tumor W/preserv. Facial 10 5 $12,393.00 $6,196.50 50% off $1,527.20 $1,527.20 $1,527.20 2026-04-01
58290 HCPCS Hysterectomy Vag. 250g> Uterus 10 5 $17,599.00 $8,799.50 50% off $1,487.76 $1,487.76 $1,487.76 2026-04-01
101 MS_DRG Seizures Without Mcc 3 2 $5,725.40 $2,862.70 50% off $1,475.00 $1,475.00 $1,475.00 2026-04-01
69 MS_DRG Transient Ischemia Without Thrombolytic 3 2 $4,955.62 $2,477.81 50% off $1,475.00 $1,475.00 $1,475.00 2026-04-01
174 MS_DRG G.i. Hemorrhage W Cc 3 2 $3,737.24 $1,868.62 50% off $1,475.00 $1,475.00 $1,475.00 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 3 2 $6,053.47 $3,026.74 50% off $1,475.00 $1,475.00 $1,475.00 2026-04-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 3 2 $6,532.93 $3,266.47 50% off $1,475.00 $1,475.00 $1,475.00 2026-04-01
47600 HCPCS Cholecystectomy Open 10 5 $3,450.00 $1,725.00 50% off $1,366.68 $1,366.68 $1,366.68 2026-04-01
58150 HCPCS Hysterectomy Total Abdominal 10 5 $7,035.00 $3,517.50 50% off $1,305.05 $1,305.05 $1,305.05 2026-04-01
21016 HCPCS Excision Tumor Facial Radical >2cm 10 5 $6,447.00 $3,223.50 50% off $1,287.97 $1,287.97 $1,287.97 2026-04-01
44180 HCPCS Lap Surgical Enterolysis 10 5 $12,598.00 $6,299.00 50% off $1,174.77 $1,174.77 $1,174.77 2026-04-01
58571 HCPCS Lap Surgical Total Hyst W/tube Removal 10 5 $20,910.00 $10,455.00 50% off $1,167.59 $1,167.59 $1,167.59 2026-04-01
0120 RC — 1 1 $348.00 $174.00 50% off $1,153.73 $1,153.73 $1,153.73 2026-04-01
27880 HCPCS Amputation Leg Thru Tibia And Fibula 10 5 $2,855.00 $1,427.50 50% off $1,147.28 $1,147.28 $1,147.28 2026-04-01
58260 HCPCS Hysterectomy Vag. 250g Or Less Uterus 10 5 $5,993.00 $2,996.50 50% off $1,082.93 $1,082.93 $1,082.93 2026-04-01
15260 HCPCS Skin Graft Full Thick Nose <20sq. Cm 10 5 $4,284.00 $2,142.00 50% off $1,070.18 $1,070.18 $1,070.18 2026-04-01
49900 HCPCS Abdominal Wall Repair -dehiscence/evisc. 10 5 $2,607.00 $1,303.50 50% off $1,045.52 $1,045.52 $1,045.52 2026-04-01
58570 HCPCS Lap Surgical Total Hyst 10 5 $20,910.00 $10,455.00 50% off $1,039.61 $1,039.61 $1,039.61 2026-04-01
13160 HCPCS Secondary Closure Of Surgical Wound Comp 10 5 $4,784.00 $2,392.00 50% off $1,014.42 $1,014.42 $1,014.42 2026-04-01
15240 HCPCS Skin Graft Full Thick Neck <20sq. Cm 10 5 $4,284.00 $2,142.00 50% off $1,004.60 $1,004.60 $1,004.60 2026-04-01
27590 HCPCS Amputation Thigh Thru Femur Any Level 10 5 $2,314.00 $1,157.00 50% off $999.95 $999.95 $999.95 2026-04-01
58925 HCPCS Cystectomy Ovarian 10 5 $12,158.00 $6,079.00 50% off $987.68 $987.68 $987.68 2026-04-01
11005 HCPCS Debridement Necrotizing Tissue Abd Wall 10 5 $2,450.00 $1,225.00 50% off $986.41 $986.41 $986.41 2026-04-01
49000 HCPCS Laparotomy Exploratory 10 5 $2,492.00 $1,246.00 50% off $981.72 $981.72 $981.72 2026-04-01
57288 HCPCS Sling Operation For Stress Incontinence 10 5 $3,026.00 $1,513.00 50% off $955.31 $955.31 $955.31 2026-04-01
57287 HCPCS Removal Or Revision Bladder Sling 10 5 $6,880.00 $3,440.00 50% off $951.66 $951.66 $951.66 2026-04-01
47563 HCPCS Lap Cholecystectomy With Cholangio 10 5 $12,598.00 $6,299.00 50% off $919.00 $919.00 $919.00 2026-04-01
57285 HCPCS Paravaginal Defect Repair - Vag Approach 10 5 $17,599.00 $8,799.50 50% off $892.85 $892.85 $892.85 2026-04-01
23073 HCPCS Excision Soft Tissue Shoulder IM 5cm+ 10 5 $6,447.00 $3,223.50 50% off $890.14 $890.14 $890.14 2026-04-01
24073 HCPCS Excision Tumor Soft Up. Arm >5cm Subfas 10 5 $6,447.00 $3,223.50 50% off $885.49 $885.49 $885.49 2026-04-01
43999 HCPCS Removal Of Peg Tube 1 1 $3,000.00 $1,500.00 50% off $879.90 $879.90 $879.90 2026-04-01
26952 HCPCS Amputation Finger With Local Adv. Flaps 10 5 $4,243.00 $2,121.50 50% off $871.29 $871.29 $871.29 2026-04-01
G0121 HCPCS Colonoscopy Screening Low Risk Pt 1 1 $1,965.00 $982.50 50% off $858.57 $858.57 $858.57 2026-04-01
22901 HCPCS Excision Tumor Abdominal Wall Subfa >5cm 10 5 $6,447.00 $3,223.50 50% off $850.67 $850.67 $850.67 2026-04-01
47562 HCPCS Lap Cholecystectomy 10 5 $12,598.00 $6,299.00 50% off $842.93 $842.93 $842.93 2026-04-01
19301 HCPCS Mastectomy Partial - Lumpectomy 10 5 $7,499.00 $3,749.50 50% off $842.32 $842.32 $842.32 2026-04-01
58661 HCPCS Lap Oophorectomy 10 5 $12,598.00 $6,299.00 50% off $842.08 $842.08 $842.08 2026-04-01
44950 HCPCS Appendectomy - Open 10 5 $8,589.00 $4,294.50 50% off $821.42 $821.42 $821.42 2026-04-01
49553 HCPCS Hernia Repair Femoral Initial I/s 10 5 $8,589.00 $4,294.50 50% off $809.83 $809.83 $809.83 2026-04-01
57250 HCPCS Rectocele Repair With/without Peri. 10 5 $11,433.00 $5,716.50 50% off $793.82 $793.82 $793.82 2026-04-01
14040 HCPCS Tissue Transfer/rearrangement Neck <10cm 10 5 $4,284.00 $2,142.00 50% off $789.75 $789.75 $789.75 2026-04-01
45171 HCPCS Excision Rectal Tumor Transanal Approach 10 5 $6,672.00 $3,336.00 50% off $785.14 $785.14 $785.14 2026-04-01
15220 HCPCS Skin Graft Full Thick Extrem <20sq. Cm 10 5 $4,284.00 $2,142.00 50% off $770.81 $770.81 $770.81 2026-04-01
49507 HCPCS Hernia Repair Inguinal Initial Incar. 10 5 $8,589.00 $4,294.50 50% off $752.16 $752.16 $752.16 2026-04-01
11772 HCPCS Excision Pilonidal Cyst Complicated 10 5 $6,447.00 $3,223.50 50% off $734.31 $734.31 $734.31 2026-04-01
11004 HCPCS Debridement Necrotizing Tissue Genitalia 10 5 $1,853.00 $926.50 50% off $727.08 $727.08 $727.08 2026-04-01
49651 HCPCS Lap Hernia Repair Recurrent Inguinal 10 5 $12,598.00 $6,299.00 50% off $721.62 $721.62 $721.62 2026-04-01
24076 HCPCS Excision Tumor Soft Up. Arm <5cm Subfas 10 5 $6,447.00 $3,223.50 50% off $699.73 $699.73 $699.73 2026-04-01
59409 HCPCS Delivery - Vaginal (er Only) 12 5 $6,257.00 $3,128.50 50% off $300.00 $1,080.03 $690.01 2026-04-01
25073 HCPCS Excision Tumor Forearm/wrist Subfa >3cm 10 5 $6,447.00 $3,223.50 50% off $686.11 $686.11 $686.11 2026-04-01
21556 HCPCS Excision Tumor Neck/thorax Subfa <5cm 10 5 $6,447.00 $3,223.50 50% off $679.44 $679.44 $679.44 2026-04-01
49505 HCPCS Hernia Repair Inguinal Initial Reduc. 10 5 $8,589.00 $4,294.50 50% off $668.17 $668.17 $668.17 2026-04-01
87903 HCPCS Charge Component For HIV-1 Phenosense 1 10 5 $1,467.00 $733.50 50% off $614.45 $614.45 $614.45 2026-04-01
46280 HCPCS Fistulotomy Anal Suprasphincteric 10 5 $6,503.00 $3,251.50 50% off $612.89 $612.89 $612.89 2026-04-01
21931 HCPCS Excision Tumor Soft Tissue Back Sq >3cm 10 5 $4,115.00 $2,057.50 50% off $599.72 $599.72 $599.72 2026-04-01
37722 HCPCS Ligation/stripping Long Saphenous Vein 10 5 $7,082.00 $3,541.00 50% off $587.48 $587.48 $587.48 2026-04-01
21552 HCPCS Excision Tumor Soft Tissue Neck 3cm Or > 10 5 $6,447.00 $3,223.50 50% off $571.10 $571.10 $571.10 2026-04-01
22903 HCPCS Excision Tumor Abdominal Wall Subq >3cm 10 5 $6,447.00 $3,223.50 50% off $562.65 $562.65 $562.65 2026-04-01
64721 HCPCS Carpal Tunnel Release 10 5 $4,691.00 $2,345.50 50% off $555.53 $555.53 $555.53 2026-04-01
49650 HCPCS Lap Hernia Repair Initial Inguinal 10 5 $12,598.00 $6,299.00 50% off $552.30 $552.30 $552.30 2026-04-01
19300 HCPCS Mastectomy For Gynecomastia - Male Only 10 5 $7,499.00 $3,749.50 50% off $549.39 $549.39 $549.39 2026-04-01
64774 HCPCS Excision Neuroma Surgical Identified 10 5 $4,691.00 $2,345.50 50% off $544.74 $544.74 $544.74 2026-04-01
46040 HCPCS I & D Abcess Perirectal Or Ischiorectal 10 5 $1,673.00 $836.50 50% off $539.99 $539.99 $539.99 2026-04-01
28810 HCPCS Amputation Metatarsal With Toe - Single 10 5 $7,316.00 $3,658.00 50% off $539.52 $539.52 $539.52 2026-04-01
27337 HCPCS Excision Tumor Thigh/knee Subq 3cm Or > 10 5 $6,447.00 $3,223.50 50% off $535.50 $535.50 $535.50 2026-04-01
24071 HCPCS Excision Tumor Soft Up. Arm >3cm Subq 10 5 $3,300.00 $1,650.00 50% off $517.67 $517.67 $517.67 2026-04-01
87633 HCPCS Respiratory Virus Profile,pcr 10 5 $1,876.00 $938.00 50% off $515.62 $515.62 $515.62 2026-04-01
87507 HCPCS Gastrointestinal Profile Stool Pcr 10 5 $1,697.00 $848.50 50% off $510.46 $510.46 $510.46 2026-04-01
0202U OTHER Respiratory Pathogen Panel 10 5 $1,251.00 $625.50 50% off $500.14 $500.14 $500.14 2026-04-01
11646 HCPCS Excision Skin Lesion Face Malig >4.0cm 10 5 $6,447.00 $3,223.50 50% off $496.40 $496.40 $496.40 2026-04-01
46947 HCPCS Hemorrhoidopexy By Stapling 10 5 $7,112.00 $3,556.00 50% off $495.93 $495.93 $495.93 2026-04-01
21925 HCPCS Biopsy Soft Tissue Back/flank Deep 10 5 $3,771.00 $1,885.50 50% off $479.34 $479.34 $479.34 2026-04-01
58670 HCPCS Laparoscopic Tubal Ligation W/wo Trans. 10 5 $12,729.00 $6,364.50 50% off $478.76 $478.76 $478.76 2026-04-01
58600 HCPCS Ligation Of Tubes Abd Or Vag Approach 10 5 $7,569.00 $3,784.50 50% off $477.96 $477.96 $477.96 2026-04-01
21930 HCPCS Excision Tumor Soft Tissue Back Sq <3cm 10 5 $1,772.00 $886.00 50% off $463.74 $463.74 $463.74 2026-04-01
24105 HCPCS Excision Olecranon Bursa 10 5 $7,316.00 $3,658.00 50% off $459.72 $459.72 $459.72 2026-04-01
27550 HCPCS Closed Tx Knee Dislocation Without Anesth. 10 5 $966.00 $483.00 50% off $300.00 $609.21 $454.61 2026-04-01
90675 HCPCS Rabies Vac 2.5un Kit 10 5 $1,158.00 $579.00 50% off $452.40 $452.40 $452.40 2026-04-01
25505 HCPCS Closed Tx Radial Fracture With Manip. 10 5 $1,428.00 $714.00 50% off $300.00 $595.18 $447.59 2026-04-01
25660 HCPCS Closed Tx Radiocarpal/intercarpal Disloc 10 5 $1,402.00 $701.00 50% off $300.00 $576.48 $438.24 2026-04-01
21012 HCPCS Excision Tumor Facial Subq >2cm 10 5 $3,834.00 $1,917.00 50% off $431.84 $431.84 $431.84 2026-04-01
55040 HCPCS Exicision Hydrocele Unilateral 10 5 $8,589.00 $4,294.50 50% off $431.10 $431.10 $431.10 2026-04-01
22902 HCPCS Excision Tumor Abd Wall Subq <3cm 10 5 $3,834.00 $1,917.00 50% off $424.34 $424.34 $424.34 2026-04-01
36561 HCPCS Bard Port Insertion > 5 Yrs Old (or) 10 5 $7,338.00 $3,669.00 50% off $422.89 $422.89 $422.89 2026-04-01
49320 HCPCS Laparoscopy Diagnostic Abdomen/peri 10 5 $12,598.00 $6,299.00 50% off $419.75 $419.75 $419.75 2026-04-01
12057 HCPCS Wound Repair Inter. Face >30.0cm 12 5 $660.00 $330.00 50% off $300.00 $532.16 $416.08 2026-04-01
69110 HCPCS Excision External Ear Partial Simple 10 5 $6,447.00 $3,223.50 50% off $415.68 $415.68 $415.68 2026-04-01
25111 HCPCS Excision Ganglion Wrist Primary 10 5 $3,375.00 $1,687.50 50% off $415.49 $415.49 $415.49 2026-04-01
56740 HCPCS Excision Bartholin's Cyst/gland 10 5 $7,569.00 $3,784.50 50% off $405.29 $405.29 $405.29 2026-04-01
74174 HCPCS CTA Abdomen / Pelvis W/wo Contrast 10 5 $1,850.00 $925.00 50% off $275.00 $532.85 $403.93 2026-04-01
11446 HCPCS Excision Skin Lesion Face Benign >4.0cm 10 5 $6,447.00 $3,223.50 50% off $402.74 $402.74 $402.74 2026-04-01
11606 HCPCS Excision Skin Lesion Leg Malig >4.0cm 10 5 $4,257.00 $2,128.50 50% off $402.35 $402.35 $402.35 2026-04-01
99291 HCPCS Critical Care 30-74 Minutes 12 5 $2,062.00 $1,031.00 50% off $300.00 $401.14 $401.14 2026-04-01
27327 HCPCS Excision Tumor Thigh Subq <3cm 10 5 $5,210.00 $2,605.00 50% off $400.88 $400.88 $400.88 2026-04-01
28192 HCPCS Foreign Body Removal Foot - Deep 12 5 $3,834.00 $1,917.00 50% off $300.00 $396.20 $396.20 2026-04-01
26641 HCPCS Closed Tx Thumb Dislocation With Manip. 10 5 $587.00 $293.50 50% off $300.00 $491.54 $395.77 2026-04-01
12056 HCPCS Wound Repair Inter. Face 20.1cm-30.0cm 12 5 $878.00 $439.00 50% off $300.00 $487.40 $393.70 2026-04-01
42821 HCPCS Tonsil & Adenoid Removal >12yrs Old 10 5 $6,522.00 $3,261.00 50% off $391.19 $391.19 $391.19 2026-04-01
21555 HCPCS Excision Tumor Soft Tissue Neck <3cm 10 5 $3,834.00 $1,917.00 50% off $390.93 $1,516.28 $390.93 2026-04-01
24201 HCPCS Removal Of Foreign Body-upper Arm Deep 12 5 $1,125.00 $562.50 50% off $300.00 $468.84 $384.42 2026-04-01
74178 HCPCS CT Abdomen W/wo & Pelvis W Contrast 10 5 $3,152.00 $1,576.00 50% off $275.00 $479.22 $377.11 2026-04-01
37195 HCPCS Admin. Thrombolysis Cerebral IV Inf - ER 10 5 $839.00 $419.50 50% off $374.71 $374.71 $374.71 2026-04-01
42820 HCPCS Tonsil & Adenoid Removal <12yrs Old 10 5 $12,393.00 $6,196.50 50% off $373.68 $373.68 $373.68 2026-04-01
12047 HCPCS Wound Repair Inter. Neck >30.0cm 12 5 $4,284.00 $2,142.00 50% off $300.00 $447.19 $373.60 2026-04-01
24600 HCPCS Closed Tx Elbow Dislocation Without Anesth. 10 5 $966.00 $483.00 50% off $300.00 $444.00 $372.00 2026-04-01
11626 HCPCS Excision Skin Lesion Hand Malig >4.0cm 10 5 $6,447.00 $3,223.50 50% off $371.03 $371.03 $371.03 2026-04-01
13152 HCPCS Wound Repair Complex Eyelid 2.6cm-7.5cm 12 5 $1,360.00 $680.00 50% off $300.00 $426.97 $363.49 2026-04-01
11644 HCPCS Excision Skin Lesion Face Malig 3.1-4.0c 10 5 $3,710.00 $1,855.00 50% off $358.10 $358.10 $358.10 2026-04-01
12037 HCPCS Wound Repair Inter. Scalp >30.0cm 12 5 $7,515.00 $3,757.50 50% off $300.00 $415.67 $357.83 2026-04-01
26670 HCPCS Closed Tx Finger Dislocation With Manip. 10 5 $900.00 $450.00 50% off $300.00 $404.16 $352.08 2026-04-01
74177 HCPCS CT Abdomen/pelvis With Contrast 10 5 $3,004.00 $1,502.00 50% off $275.00 $428.06 $351.53 2026-04-01
12046 HCPCS Wound Repair Inter. Neck 20.1cm-30.0cm 12 5 $878.00 $439.00 50% off $300.00 $401.64 $350.82 2026-04-01
G0379 HCPCS Observation-direct Admit 10 5 $1,467.00 $733.50 50% off $350.00 $1,443.53 $350.00 2026-04-01
G0378 HCPCS Observation Per Hour 8 4 $17.00 $8.50 50% off $16.73 $350.00 $350.00 2026-04-01
23650 HCPCS Closed Tx Shoulder Disloc W/man Without Anes 12 5 $558.00 $279.00 50% off $300.00 $387.77 $343.88 2026-04-01
11426 HCPCS Excision Skin Lesion Scalp Benign >4.0cm 10 5 $6,447.00 $3,223.50 50% off $343.66 $343.66 $343.66 2026-04-01
13132 HCPCS Wound Repair Complex Forehead 2.6cm-7.5c 12 5 $1,360.00 $680.00 50% off $300.00 $385.24 $342.62 2026-04-01
12055 HCPCS Wound Repair Inter. Face 12.6cm-20.0cm 12 5 $878.00 $439.00 50% off $300.00 $381.49 $340.75 2026-04-01
75635 HCPCS CTA Aorto-iliofemoral Runoff 10 5 $1,963.00 $981.50 50% off $275.00 $398.73 $336.87 2026-04-01
36558 HCPCS Central Line Placement 12 5 $7,082.00 $3,541.00 50% off $300.00 $330.50 $330.50 2026-04-01
12036 HCPCS Wound Repair Inter. Scalp 20.1cm-30.0cm 12 5 $1,360.00 $680.00 50% off $300.00 $357.36 $328.68 2026-04-01
42826 HCPCS Tonsil Removal >12yrs Old 10 5 $6,522.00 $3,261.00 50% off $327.60 $327.60 $327.60 2026-04-01
13151 HCPCS Wound Repair Complex Eyelid 1.1cm-2.5cm 12 5 $1,360.00 $680.00 50% off $300.00 $353.89 $326.94 2026-04-01
57522 HCPCS Conization Cervix Leep 10 5 $6,257.00 $3,128.50 50% off $326.76 $326.76 $326.76 2026-04-01
38500 HCPCS Biopsy/excision Lymph Node Open Super. 10 5 $7,499.00 $3,749.50 50% off $325.38 $325.38 $325.38 2026-04-01
12045 HCPCS Wound Repair Inter. Neck 12.6cm-20.0cm 12 5 $1,360.00 $680.00 50% off $300.00 $347.87 $323.94 2026-04-01
73706 HCPCS CTA Lower Ext W/wo Contrast 10 5 $1,411.00 $705.50 50% off $275.00 $366.95 $320.98 2026-04-01
71275 HCPCS CTA Chest W/wo Contrast 10 5 $1,570.00 $785.00 50% off $275.00 $362.10 $318.55 2026-04-01
74175 HCPCS CTA Abdomen W/wo Contrast 10 5 $1,531.00 $765.50 50% off $275.00 $361.67 $318.33 2026-04-01
72191 HCPCS CTA Pelvis W/wo Contrast 10 5 $1,531.00 $765.50 50% off $275.00 $360.29 $317.64 2026-04-01
73206 HCPCS CTA Upper Ext W/wo Contrast 10 5 $1,411.00 $705.50 50% off $275.00 $360.29 $317.64 2026-04-01
58563 HCPCS Endometrial Ablation With Hysterocscopy 10 5 $11,433.00 $5,716.50 50% off $316.57 $316.57 $316.57 2026-04-01
70498 HCPCS CTA Neck W/wo Contrast 10 5 $1,381.00 $690.50 50% off $275.00 $357.75 $316.38 2026-04-01
70496 HCPCS CTA Head W/wo Contrast 10 5 $1,381.00 $690.50 50% off $275.00 $357.75 $316.38 2026-04-01
90377 HCPCS Rabies Immune Globulin 300iu/2ml 10 5 $2,021.00 $1,010.50 50% off $314.94 $314.94 $314.94 2026-04-01
11406 HCPCS Excision Skin Lesion Trunk Benign >4.0cm 10 5 $4,040.00 $2,020.00 50% off $314.82 $314.82 $314.82 2026-04-01
11462 HCPCS Excision Skin Hidradenitis Inguinal Reg 10 5 $6,447.00 $3,223.50 50% off $313.74 $313.74 $313.74 2026-04-01
13121 HCPCS Wound Repair Complex Scalp 2.6cm-7.5cm 12 5 $1,360.00 $680.00 50% off $300.00 $327.06 $313.53 2026-04-01
62264 HCPCS Epidural Lysis Bilat On Single Day,bilateral Procedure 20 5 $2,229.00 $1,114.50 50% off $313.08 $313.08 $313.08 2026-04-01
13101 HCPCS Wound Repair Complex Trunk 2.6cm-7.5cm 12 5 $1,360.00 $680.00 50% off $300.00 $313.26 $306.63 2026-04-01
74170 HCPCS CT Abdomen W/wo Contrast 10 5 $2,059.00 $1,029.50 50% off $167.65 $333.98 $304.49 2026-04-01
13131 HCPCS Wound Repair Complex Forehead 1.1cm-2.5c 12 5 $1,162.00 $581.00 50% off $300.00 $307.06 $303.53 2026-04-01
12035 HCPCS Wound Repair Inter. Scalp 12.6cm-20.0cm 12 5 $878.00 $439.00 50% off $300.00 $305.86 $302.93 2026-04-01
11624 HCPCS Excision Skin Lesion Scalp Malig 3.1-4.0 10 5 $4,040.00 $2,020.00 50% off $302.16 $302.16 $302.16 2026-04-01
74160 HCPCS CT Abdomen With Contrast 10 5 $2,059.00 $1,029.50 50% off $275.00 $325.77 $300.38 2026-04-01
99499 HCPCS Emergency Room Assessment 10 5 $75.00 $37.50 50% off $300.00 $300.00 $300.00 2026-04-01
0450 RC — 10 5 $171.00 $85.50 50% off $300.00 $300.00 $300.00 2026-04-01
P9612 HCPCS Insertion Cath - Ua Only ER 13 5 $46.00 $23.00 50% off $2.70 $300.00 $300.00 2026-04-01
58120 HCPCS Dilation & Curettage Non-OB 10 5 $6,257.00 $3,128.50 50% off $299.67 $299.67 $299.67 2026-04-01
73202 HCPCS CT Upper Ext Lt W/wo Contrast,procedure Performed On The Lt Side Of The Body 20 5 $1,324.00 $662.00 50% off $275.00 $322.02 $298.51 2026-04-01
72194 HCPCS CT Pelvis W/wo Contrast 10 5 $2,159.00 $1,079.50 50% off $275.00 $322.02 $298.51 2026-04-01
58353 HCPCS Endometrial Ablation Without Hysterocscopy 10 5 $9,527.00 $4,763.50 50% off $297.69 $297.69 $297.69 2026-04-01
13120 HCPCS Wound Repair Complex Scalp 1.1cm-2.5cm 12 5 $1,360.00 $680.00 50% off $293.71 $300.00 $296.86 2026-04-01
72193 HCPCS CT Pelvis With Contrast 10 5 $2,059.00 $1,029.50 50% off $275.00 $318.17 $296.58 2026-04-01
70492 HCPCS CT Soft Tissue Neck W/wo Contrast 10 5 $1,700.00 $850.00 50% off $275.00 $311.46 $293.23 2026-04-01
55250 HCPCS Vasectomy Unilateral Or Bilateral 10 5 $5,207.00 $2,603.50 50% off $290.79 $290.79 $290.79 2026-04-01
87902 HCPCS Hepatitis C Genotype 10 5 $1,159.00 $579.50 50% off $257.45 $323.72 $290.58 2026-04-01
87901 HCPCS Charge Component For CPT Code 87901 10 5 $243.00 $121.50 50% off $257.45 $323.72 $290.58 2026-04-01
12054 HCPCS Wound Repair Inter. Face 7.6cm-12.5cm 12 5 $878.00 $439.00 50% off $280.40 $300.00 $290.20 2026-04-01
11643 HCPCS Excision Skin Lesion Nose Malig 2.1-3.0c 10 5 $3,710.00 $1,855.00 50% off $288.48 $288.48 $288.48 2026-04-01
12053 HCPCS Wound Repair Inter. Face 5.1cm-7.5cm 12 5 $878.00 $439.00 50% off $273.54 $300.00 $286.77 2026-04-01
11444 HCPCS Excision Skin Lesion Face Benign 3.1-4.0 10 5 $3,710.00 $1,855.00 50% off $286.46 $286.46 $286.46 2026-04-01
99285 HCPCS Emergency Room Level V 20 5 $1,213.00 $606.50 50% off $286.31 $300.00 $286.31 2026-04-01
12044 HCPCS Wound Repair Inter. Neck 7.6cm-12.5cm 12 5 $1,360.00 $680.00 50% off $271.52 $300.00 $285.76 2026-04-01
70482 HCPCS CT Orb/sella/ear W/wo Contrast 10 5 $1,482.00 $741.00 50% off $275.00 $295.02 $285.01 2026-04-01
19101 HCPCS Biopsy Breast Incisional Left,procedure Performed On The Lt Side Of The Body 20 5 $7,499.00 $3,749.50 50% off $284.94 $284.94 $284.94 2026-04-01
12034 HCPCS Wound Repair Inter. Scalp 7.6cm-12.5cm 12 5 $878.00 $439.00 50% off $260.42 $300.00 $280.21 2026-04-01
73201 HCPCS CT Upper Ext Lt With Contrast,procedure Performed On The Lt Side Of The Body 20 5 $1,166.00 $583.00 50% off $275.00 $282.14 $278.57 2026-04-01
54162 HCPCS Lysis Penile Post-circumcision Adhesion 12 5 $5,207.00 $2,603.50 50% off $255.77 $300.00 $277.88 2026-04-01
13100 HCPCS Wound Repair Complex Trunk 1.1cm-2.5cm 12 5 $3,826.00 $1,913.00 50% off $254.64 $300.00 $277.32 2026-04-01
72130 HCPCS CT T-spine W/wo Contrast 10 5 $1,645.00 $822.50 50% off $275.00 $279.20 $277.10 2026-04-01
12052 HCPCS Wound Repair Inter. Face 2.6cm-5cm 12 5 $878.00 $439.00 50% off $253.23 $300.00 $276.62 2026-04-01
72133 HCPCS CT L-spine W/wo Contrast 10 5 $1,645.00 $822.50 50% off $275.00 $277.44 $276.22 2026-04-01
72127 HCPCS CT C-spine W/wo Contrast 10 5 $1,876.00 $938.00 50% off $275.00 $276.57 $275.79 2026-04-01
71270 HCPCS CT Thorax W/wo Contrast 10 5 $1,755.00 $877.50 50% off $275.00 $407.04 $275.09 2026-04-01
75571 HCPCS CT Calcium Scoring 10 5 $180.00 $90.00 50% off $275.00 $275.00 $275.00 2026-04-01
73702 HCPCS CT Low Ext Lt W/wo Contrast,procedure Performed On The Lt Side Of The Body 20 5 $1,315.00 $657.50 50% off $273.26 $275.00 $274.13 2026-04-01
12042 HCPCS Wound Repair Inter. Neck 2.6cm-7.5cm 12 5 $878.00 $439.00 50% off $247.72 $300.00 $273.86 2026-04-01
11604 HCPCS Excision Skin Lesion Arm Malig 3.1-4.0cm 10 5 $1,747.00 $873.50 50% off $270.27 $270.27 $270.27 2026-04-01
12032 HCPCS Wound Repair Inter. Scalp 2.6cm-7.5cm 12 5 $878.00 $439.00 50% off $239.93 $300.00 $269.96 2026-04-01
45386 HCPCS Colonoscopy With Balloon Dilation 10 5 $1,876.00 $938.00 50% off $268.74 $268.74 $268.74 2026-04-01
70491 HCPCS CT Soft Tissue Neck With Contrast 10 5 $1,240.00 $620.00 50% off $259.61 $275.00 $267.31 2026-04-01
70488 HCPCS CT Maxillofacial W/wo Contrast 10 5 $1,466.00 $733.00 50% off $259.43 $275.00 $267.21 2026-04-01
74176 HCPCS CT Renal For Calculi 10 5 $2,642.00 $1,321.00 50% off $225.33 $275.00 $266.94 2026-04-01
11623 HCPCS Excision Skin Lesion Neck Malig 2.1 - 3. 10 5 $3,771.00 $1,885.50 50% off $266.00 $266.00 $266.00 2026-04-01
30310 HCPCS Removal Foreign Body Intranasal W/anest 10 5 $6,522.00 $3,261.00 50% off $264.04 $264.04 $264.04 2026-04-01
70481 HCPCS CT Orb/sella/ear With Contrast 10 5 $1,240.00 $620.00 50% off $252.98 $275.00 $263.99 2026-04-01
12018 HCPCS Wound Repair Simple Face >30.0cm 12 5 $690.00 $345.00 50% off $224.35 $300.00 $262.18 2026-04-01
37609 HCPCS Biopsy/ligation Temporal Artery 10 5 $2,887.00 $1,443.50 50% off $259.83 $259.83 $259.83 2026-04-01
70470 HCPCS CT Head W/wo Contrast 10 5 $1,580.00 $790.00 50% off $243.62 $275.00 $259.31 2026-04-01
36578 HCPCS Replacement Of Picc Line - Cath Only 10 5 $7,082.00 $3,541.00 50% off $257.85 $257.85 $257.85 2026-04-01
12051 HCPCS Wound Repair Inter. Face <2.5cm 12 5 $660.00 $330.00 50% off $214.65 $300.00 $257.32 2026-04-01
72129 HCPCS CT T-spine With Contrast 10 5 $1,480.00 $740.00 50% off $238.50 $275.00 $256.75 2026-04-01
27086 HCPCS Foreign Body Removal Pelivs/hip Subq 12 5 $1,728.00 $864.00 50% off $213.40 $300.00 $256.70 2026-04-01
72132 HCPCS CT L-spine With Contrast 10 5 $1,680.00 $840.00 50% off $237.23 $275.00 $256.12 2026-04-01
72126 HCPCS CT C-spine With Contrast 10 5 $1,362.00 $681.00 50% off $236.78 $275.00 $255.89 2026-04-01
45380 HCPCS Colonoscopy With Biopsy 10 5 $2,130.00 $1,065.00 50% off $254.84 $1,099.13 $254.84 2026-04-01
43246 HCPCS Placement Of Peg Tube 10 5 $4,005.00 $2,002.50 50% off $254.43 $254.43 $254.43 2026-04-01
73701 HCPCS CT Low Ext Lt With Contrast,procedure Performed On The Lt Side Of The Body 20 5 $1,209.00 $604.50 50% off $233.81 $275.00 $254.41 2026-04-01
71260 HCPCS CT Thorax With Contrast 10 5 $1,430.00 $715.00 50% off $233.81 $405.61 $254.41 2026-04-01
54161 HCPCS Circumcision Surgical Excis >28 Days Old 10 5 $5,207.00 $2,603.50 50% off $251.73 $251.73 $251.73 2026-04-01
88309 HCPCS Pathology Surgical 88309 10 5 $1,363.00 $681.50 50% off $31.34 $470.39 $250.87 2026-04-01
12017 HCPCS Wound Repair Simple Face 20.1cm-30.0cm 12 5 $878.00 $439.00 50% off $198.62 $300.00 $249.31 2026-04-01
70480 HCPCS CT Orb/sella/ear Without Contrast 10 5 $1,061.00 $530.50 50% off $223.07 $275.00 $249.03 2026-04-01
12031 HCPCS Wound Repair Inter. Scalp <2.5cm 12 5 $878.00 $439.00 50% off $191.71 $300.00 $245.85 2026-04-01
11603 HCPCS Excision Skin Lesion Arm Malig 2.1 - 3.0 10 5 $1,588.00 $794.00 50% off $245.28 $245.28 $245.28 2026-04-01
64635 HCPCS Destruct Bilat Paravert F Jnt L/s W/imag,bilateral Procedure 22 5 $4,691.00 $2,345.50 50% off $244.85 $1,850.18 $244.85 2026-04-01
64633 HCPCS Destruct Bilat Paravert F Jnt C/t W/imag,bilateral Procedure 21 5 $4,691.00 $2,345.50 50% off $244.45 $1,850.18 $244.45 2026-04-01
70487 HCPCS CT Maxillofacial With Contrast 10 5 $1,240.00 $620.00 50% off $213.47 $275.00 $244.24 2026-04-01
46221 HCPCS Hemorrhoidectomy Internal Band Ligation 10 5 $2,004.00 $1,002.00 50% off $244.11 $244.11 $244.11 2026-04-01
12007 HCPCS Wound Repair Simple Scalp >30.0cm 12 5 $612.00 $306.00 50% off $186.66 $300.00 $243.33 2026-04-01
70490 HCPCS CT Soft Tissue Neck Without Contrast 10 5 $1,061.00 $530.50 50% off $99.13 $275.00 $243.32 2026-04-01
12041 HCPCS Wound Repair Inter. Neck <2.5cm 12 5 $878.00 $439.00 50% off $184.46 $300.00 $242.23 2026-04-01
73200 HCPCS CT Upper Ext Lt Without Contrast,procedure Performed On The Lt Side Of The Body 20 5 $1,054.00 $527.00 50% off $98.06 $275.00 $241.93 2026-04-01
70460 HCPCS CT Head With Contrast 10 5 $1,580.00 $790.00 50% off $207.75 $275.00 $241.38 2026-04-01
36590 HCPCS Removal Of Port 10 5 $2,549.00 $1,274.50 50% off $241.13 $241.13 $241.13 2026-04-01
57135 HCPCS Excision Vaginal Cyst Or Tumor 10 5 $6,257.00 $3,128.50 50% off $241.07 $241.07 $241.07 2026-04-01
13153 HCPCS Wound Repair Complex Eyelid Ea Add'l 5cm 12 5 $577.00 $288.50 50% off $174.64 $300.00 $237.32 2026-04-01
45378 HCPCS Colonoscopy W/suction Diagnostic 10 5 $1,965.00 $982.50 50% off $234.37 $1,670.25 $234.37 2026-04-01
0710 RC — 1 1 $275.00 $137.50 50% off $233.75 $233.75 $233.75 2026-04-01
74150 HCPCS CT Abdomen Without Contrast 10 5 $2,059.00 $1,029.50 50% off $99.53 $275.00 $233.65 2026-04-01
40812 HCPCS Excision Mucosa/sub. Vestible Simple 10 5 $6,522.00 $3,261.00 50% off $233.61 $233.61 $233.61 2026-04-01
12016 HCPCS Wound Repair Simple Face 12.6cm-20.0cm 12 5 $460.00 $230.00 50% off $165.50 $300.00 $232.75 2026-04-01
10061 HCPCS I & D Abcess Complicated/multiple 13 5 $878.00 $439.00 50% off $232.65 $383.57 $232.65 2026-04-01
46500 HCPCS Injection Sclerosing Sol. Hemorrhoids 10 5 $2,004.00 $1,002.00 50% off $232.35 $232.35 $232.35 2026-04-01
72192 HCPCS CT Pelvis Without Contrast 10 5 $1,959.00 $979.50 50% off $187.32 $275.00 $231.16 2026-04-01
71250 HCPCS CT Thorax Without Contrast 10 5 $1,399.00 $699.50 50% off $100.14 $275.00 $231.13 2026-04-01
42809 HCPCS Foreign Body Removal Pharynx 12 5 $789.00 $394.50 50% off $161.71 $300.00 $230.85 2026-04-01
46924 HCPCS Destruction Of Lesion(s) Anus Surg Exten 10 5 $7,309.00 $3,654.50 50% off $230.76 $230.76 $230.76 2026-04-01
11642 HCPCS Excision Skin Lesion Face Malig 1.1-2.0c 10 5 $1,922.00 $961.00 50% off $230.27 $230.27 $230.27 2026-04-01
28820 HCPCS Amputation Toe Metatarsophalangeal Joint 10 5 $7,316.00 $3,658.00 50% off $230.00 $230.00 $230.00 2026-04-01
13133 HCPCS Wound Repair Complex Forehead Ea Addl 5c 12 5 $489.00 $244.50 50% off $159.47 $300.00 $229.74 2026-04-01
72125 HCPCS CT C-spine Without Contrast 10 5 $1,329.00 $664.50 50% off $99.13 $275.00 $228.53 2026-04-01
72128 HCPCS CT T-spine Without Contrast 10 5 $1,476.00 $738.00 50% off $181.62 $275.00 $228.31 2026-04-01
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