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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

PAWHUSKA HOSPITAL, INC

Pawhuska, OK · CCN 371309 · Rates published

2,499 distinct procedures filed
34 distinct payers
62,698 rate rows
2026-09-26 last MRF observed
Data quality

60,830 of 62,698 rate rows are consumer-grade (97.0%)

1,868 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
per-diem day rate — not a per-procedure price 1,160
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 630
percent-of-charges filed in the dollar field — excluded from medians 59
exceeds 3× this hospital's gross charge for a DRG stay — excluded 11
exceeds 10× this hospital's gross charge — excluded from medians 5
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPHPPAWHUSKAOK&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Pawhuska_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-08
Content fingerprint 3ecda539a8e98247… · 21,726,993 bytes · first seen 2026-09-27

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
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 $22,535.43 $44,345.68 $29,887.64 nat. median
$24,748
1.2× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 $24,075.21 $42,093.90 $28,370.01 nat. median
$24,316
1.2× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 26 $160.28 $38,278.50 $28,134.70 nat. median
$498
outlier · 56.5×
577
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 10 $19,811.33 $32,545.29 $25,039.63 nat. median
$18,522
1.4× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 3 $8,091.91 $24,177.64 $24,177.64 nat. median
$22,339
1.1× median
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 10 $13,764.68 $33,226.72 $22,393.81 nat. median
$18,971
1.2× median
157
MS_DRG 		Dental And Oral Diseases With Mcc 10 $12,831.36 $21,078.87 $19,549.80 nat. median
$11,790
1.7× median
82
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Mcc 10 $16,173.73 $28,062.60 $18,913.34 nat. median
$16,241
1.2× median
85
MS_DRG 		Traumatic Stupor And Coma <1 Hour With Mcc 10 $11,610.18 $27,894.39 $18,799.97 nat. median
$15,978
1.2× median
814
MS_DRG 		Reticuloendothelial And Immunity Disorders With Mcc 10 $15,894.96 $26,111.62 $18,409.16 nat. median
$14,947
1.2× median
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 10 $8,146.22 $25,997.44 $17,521.49 nat. median
$14,541
1.2× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 10 $14,513.23 $24,691.06 $16,641.03 nat. median
$14,700
1.1× median
539
MS_DRG 		Osteomyelitis With Mcc 10 $13,620.49 $24,183.98 $16,299.27 nat. median
$14,058
1.2× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 10 $9,141.82 $23,850.02 $16,074.19 nat. median
$14,442
1.1× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 10 $13,938.26 $22,897.24 $15,514.71 nat. median
$13,403
1.2× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 10 $8,596.58 $22,481.02 $15,151.52 nat. median
$13,001
1.2× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 10 $9,107.81 $22,444.18 $15,126.70 nat. median
$13,124
1.2× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 10 $8,481.31 $22,391.39 $15,091.12 nat. median
$13,176
1.1× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 10 $10,117.03 $21,562.62 $14,532.56 nat. median
$12,760
1.1× median
551
MS_DRG 		Medical Back Problems With Mcc 10 $8,079.70 $20,579.16 $13,869.73 nat. median
$11,966
1.2× median
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 10 $10,922.93 $20,440.41 $13,776.22 nat. median
$12,172
1.1× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 10 $7,284.80 $20,312.72 $13,690.16 nat. median
$12,136
1.1× median
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 10 $8,051.55 $20,046.29 $13,510.59 nat. median
$11,794
1.1× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 10 $6,107.34 $19,754.07 $13,313.65 nat. median
$7,732
1.7× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 10 $7,228.43 $19,695.14 $13,273.92 nat. median
$11,829
1.1× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 10 $7,236.55 $19,186.83 $12,931.35 nat. median
$11,701
1.1× median
186
MS_DRG 		Pleural Effusion With Mcc 10 $8,371.82 $19,135.26 $12,896.59 nat. median
$11,243
1.1× median
564
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 10 $9,078.96 $18,952.32 $12,773.29 nat. median
$11,130
1.1× median
682
MS_DRG 		Renal Failure With Mcc 10 $7,008.47 $18,183.72 $12,255.27 nat. median
$11,096
1.1× median
604
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 10 $9,290.31 $18,074.44 $12,181.63 nat. median
$10,509
1.2× median
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 10 $7,594.42 $17,493.69 $11,790.22 nat. median
$10,412
1.1× median
602
MS_DRG 		Cellulitis With Mcc 10 $6,718.75 $17,450.72 $11,761.26 nat. median
$10,595
1.1× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 10 $6,884.67 $17,242.00 $11,620.58 nat. median
$10,250
1.1× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 10 $7,135.95 $16,865.06 $11,366.54 nat. median
$10,317
1.1× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 10 $5,777.19 $16,398.50 $11,052.09 nat. median
$9,697
1.1× median
J1569
HCPCS 		Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 26 $53.57 $14,907.00 $10,956.65 nat. median
$946
outlier · 11.6×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 10 $5,107.65 $16,138.20 $10,876.66 nat. median
$9,802
1.1× median
86
MS_DRG 		Traumatic Stupor And Coma <1 Hour With Cc 10 $6,629.86 $15,994.55 $10,779.84 nat. median
$9,712
1.1× median
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 6 $5,304.36 $14,515.25 $10,751.30 nat. median
$11,985
0.9× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 10 $6,083.85 $15,907.38 $10,721.09 nat. median
$8,924
1.2× median
291
MS_DRG 		Heart Failure And Shock With Mcc 10 $8,883.41 $15,762.50 $10,623.44 nat. median
$9,572
1.1× median
535
MS_DRG 		Fractures Of Hip And Pelvis With Mcc 10 $7,069.00 $15,740.40 $10,608.55 nat. median
$9,602
1.1× median
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 10 $6,505.70 $15,611.48 $10,521.66 nat. median
$8,900
1.2× median
947
MS_DRG 		Signs And Symptoms With Mcc 10 $6,258.73 $15,585.69 $10,504.28 nat. median
$8,698
1.2× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 $6,167.09 $15,572.19 $10,495.18 nat. median
$9,511
1.1× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 10 $5,563.72 $15,168.24 $10,222.93 nat. median
$9,470
1.1× median
375
MS_DRG 		Digestive Malignancy With Cc 10 $5,985.37 $14,851.47 $10,009.44 nat. median
$8,934
1.1× median
949
MS_DRG 		Aftercare With Cc/mcc 10 $8,334.15 $14,607.14 $9,844.77 nat. median
$8,367
1.2× median
593
MS_DRG 		Skin Ulcers With Cc 10 $8,253.73 $14,565.39 $9,816.64 nat. median
$8,571
1.1× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 10 $5,732.74 $14,246.16 $9,601.48 nat. median
$8,710
1.1× median

Other procedures at this hospital

Browse this hospital's 2,499 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
             
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 10 $497,936.05 $394,003.00 21% off $22,535.43 $44,345.68 $29,887.64 2026-09-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 10 $518,048.27 $349,733.00 32% off $24,075.21 $42,093.90 $28,370.01 2026-09-26
J3101 HCPCS Injection, Tenecteplase, 1 Mg 26 26 $38,278.50 $21,435.96 44% off $160.28 $38,278.50 $28,134.70 2026-09-26
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 10 10 $370,018.83 $265,620.00 28% off $19,811.33 $32,545.29 $25,039.63 2026-09-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 $8,091.91 $4,427.00 45% off $8,091.91 $24,177.64 $24,177.64 2026-09-26
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 10 $99,472.73 $115,102.00 $13,764.68 $33,226.72 $22,393.81 2026-09-26
157 MS_DRG Dental And Oral Diseases With Mcc 10 10 $322,710.67 $168,226.00 48% off $12,831.36 $21,078.87 $19,549.80 2026-09-26
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 10 10 $16,173.73 $13,281.00 $16,173.73 $28,062.60 $18,913.34 2026-09-26
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 10 10 $214,237.14 $185,934.00 $11,610.18 $27,894.39 $18,799.97 2026-09-26
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 10 10 $20,895.70 $17,708.00 $15,894.96 $26,111.62 $18,409.16 2026-09-26
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 10 10 $273,494.59 $208,069.00 24% off $8,146.22 $25,997.44 $17,521.49 2026-09-26
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 10 10 $185,446.59 $168,226.00 $14,513.23 $24,691.06 $16,641.03 2026-09-26
539 MS_DRG Osteomyelitis With Mcc 10 10 $113,146.16 $92,967.00 $13,620.49 $24,183.98 $16,299.27 2026-09-26
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 10 10 $139,708.73 $92,967.00 33% off $9,141.82 $23,850.02 $16,074.19 2026-09-26
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 10 10 $61,177.73 $66,405.00 $13,938.26 $22,897.24 $15,514.71 2026-09-26
205 MS_DRG Other Respiratory System Diagnoses With Mcc 10 10 $11,929.90 $17,708.00 $8,596.58 $22,481.02 $15,151.52 2026-09-26
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 10 10 $51,807.11 $66,405.00 $9,107.81 $22,444.18 $15,126.70 2026-09-26
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 10 10 $85,795.25 $88,540.00 $8,481.31 $22,391.39 $15,091.12 2026-09-26
91 MS_DRG Other Disorders Of Nervous System With Mcc 10 10 $145,859.88 $141,664.00 $10,117.03 $21,562.62 $14,532.56 2026-09-26
551 MS_DRG Medical Back Problems With Mcc 10 10 $118,539.19 $172,653.00 $8,079.70 $20,579.16 $13,869.73 2026-09-26
70 MS_DRG Other Cerebrovascular Disorders With Mcc 10 10 $195,342.58 $225,777.00 $10,922.93 $20,440.41 $13,776.22 2026-09-26
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 10 10 $145,033.55 $128,383.00 $7,284.80 $20,312.72 $13,690.16 2026-09-26
299 MS_DRG Peripheral Vascular Disorders With Mcc 10 10 $97,640.33 $128,383.00 $8,051.55 $20,046.29 $13,510.59 2026-09-26
884 MS_DRG Organic Disturbances And Intellectual Disability 10 10 $57,279.40 $92,967.00 $6,107.34 $19,754.07 $13,313.65 2026-09-26
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 10 10 $203,122.79 $150,518.00 26% off $7,228.43 $19,695.14 $13,273.92 2026-09-26
177 MS_DRG Respiratory Infections And Inflammations With Mcc 10 10 $79,490.98 $141,664.00 $7,236.55 $19,186.83 $12,931.35 2026-09-26
186 MS_DRG Pleural Effusion With Mcc 10 10 $8,991.39 $4,427.00 51% off $8,371.82 $19,135.26 $12,896.59 2026-09-26
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 10 10 $47,939.22 $39,843.00 $9,078.96 $18,952.32 $12,773.29 2026-09-26
682 MS_DRG Renal Failure With Mcc 10 10 $66,615.30 $70,832.00 $7,008.47 $18,183.72 $12,255.27 2026-09-26
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 10 10 $33,003.37 $26,562.00 $9,290.31 $18,074.44 $12,181.63 2026-09-26
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 10 10 $102,445.24 $159,372.00 $7,594.42 $17,493.69 $11,790.22 2026-09-26
602 MS_DRG Cellulitis With Mcc 10 10 $42,813.36 $53,124.00 $6,718.75 $17,450.72 $11,761.26 2026-09-26
811 MS_DRG Red Blood Cell Disorders With Mcc 10 10 $115,042.92 $128,383.00 $6,884.67 $17,242.00 $11,620.58 2026-09-26
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 10 10 $21,076.86 $26,562.00 $7,135.95 $16,865.06 $11,366.54 2026-09-26
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 10 10 $20,634.86 $13,281.00 36% off $5,777.19 $16,398.50 $11,052.09 2026-09-26
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 26 26 $14,907.00 $8,347.92 44% off $53.57 $14,907.00 $10,956.65 2026-09-26
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 10 10 $63,580.40 $57,551.00 $5,107.65 $16,138.20 $10,876.66 2026-09-26
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 10 10 $156,275.04 $278,901.00 $6,629.86 $15,994.55 $10,779.84 2026-09-26
393 MS_DRG Other Digestive System Diagnoses With Mcc 6 6 $5,304.36 $4,427.00 $5,304.36 $14,515.25 $10,751.30 2026-09-26
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 10 10 $126,692.51 $110,675.00 $6,083.85 $15,907.38 $10,721.09 2026-09-26
291 MS_DRG Heart Failure And Shock With Mcc 10 10 $11,521.34 $13,281.00 $8,883.41 $15,762.50 $10,623.44 2026-09-26
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 10 10 $101,409.07 $137,237.00 $7,069.00 $15,740.40 $10,608.55 2026-09-26
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 10 10 $53,145.18 $75,259.00 $6,505.70 $15,611.48 $10,521.66 2026-09-26
947 MS_DRG Signs And Symptoms With Mcc 10 10 $97,434.53 $106,248.00 $6,258.73 $15,585.69 $10,504.28 2026-09-26
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 10 $19,644.46 $13,281.00 32% off $6,167.09 $15,572.19 $10,495.18 2026-09-26
189 MS_DRG Pulmonary Edema And Respiratory Failure 10 10 $137,412.62 $106,248.00 23% off $5,563.72 $15,168.24 $10,222.93 2026-09-26
375 MS_DRG Digestive Malignancy With Cc 10 10 $60,138.43 $110,675.00 $5,985.37 $14,851.47 $10,009.44 2026-09-26
949 MS_DRG Aftercare With Cc/mcc 10 10 $97,631.95 $154,945.00 $8,334.15 $14,607.14 $9,844.77 2026-09-26
593 MS_DRG Skin Ulcers With Cc 10 10 $113,943.92 $119,529.00 $8,253.73 $14,565.39 $9,816.64 2026-09-26
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 10 10 $56,222.49 $97,394.00 $5,732.74 $14,246.16 $9,601.48 2026-09-26
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 10 10 $100,744.28 $199,215.00 $6,770.95 $13,826.26 $9,318.47 2026-09-26
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 10 10 $56,506.76 $26,562.00 53% off $5,404.57 $13,600.34 $9,166.22 2026-09-26
181 MS_DRG Respiratory Neoplasms With Cc 10 10 $350,649.49 $141,664.00 60% off $5,587.21 $13,149.74 $8,862.52 2026-09-26
300 MS_DRG Peripheral Vascular Disorders With Cc 10 10 $58,098.05 $48,697.00 $4,936.58 $13,106.77 $8,833.56 2026-09-26
184 MS_DRG Major Chest Trauma With Cc 10 10 $10,727.92 $17,708.00 $6,309.59 $13,065.02 $8,805.42 2026-09-26
729 MS_DRG Other Male Reproductive System Diagnoses With Cc/mcc 10 10 $12,535.38 $4,427.00 65% off $3,525.89 $12,998.72 $8,760.74 2026-09-26
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 10 10 $38,016.06 $48,697.00 $6,360.73 $12,621.78 $8,506.70 2026-09-26
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 10 10 $63,920.21 $75,259.00 $4,344.99 $12,564.08 $8,467.81 2026-09-26
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 10 10 $9,076.15 $13,281.00 $4,520.50 $12,535.84 $8,448.77 2026-09-26
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 10 10 $10,886.11 $13,281.00 $5,621.00 $12,449.89 $8,390.85 2026-09-26
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 25 25 $11,156.94 $6,247.89 44% off $3,520.63 $11,156.94 $8,367.71 2026-09-26
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 10 10 $4,259.32 $4,427.00 $4,259.32 $12,404.46 $8,360.23 2026-09-26
187 MS_DRG Pleural Effusion With Cc 10 10 $62,026.47 $75,259.00 $5,400.55 $12,144.17 $8,184.80 2026-09-26
178 MS_DRG Respiratory Infections And Inflammations With Cc 10 10 $55,364.50 $61,978.00 $5,013.33 $11,983.33 $8,076.40 2026-09-26
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 10 10 $165,161.54 $212,496.00 $4,858.84 $11,963.68 $8,063.16 2026-09-26
202 MS_DRG Bronchitis And Asthma With Cc/mcc 10 10 $9,957.98 $8,854.00 $2,996.25 $11,924.39 $8,036.68 2026-09-26
552 MS_DRG Medical Back Problems Without Mcc 10 10 $63,970.08 $101,821.00 $4,934.32 $11,802.84 $7,954.76 2026-09-26
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 10 10 $31,370.73 $13,281.00 58% off $4,257.65 $11,554.83 $7,787.60 2026-09-26
881 MS_DRG Depressive Neuroses 10 10 $31,241.26 $48,697.00 $2,080.15 $11,552.37 $7,785.95 2026-09-26
A2022 HCPCS Innovaburn Or Innovamatrix Xl, Per Square Centimeter 121 25 $10,278.00 $5,755.68 44% off $284.10 $30,831.00 $7,708.50 2026-09-26
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/mcc 10 10 $77,694.39 $110,675.00 $3,827.83 $11,230.69 $7,569.15 2026-09-26
638 MS_DRG Diabetes With Cc 10 10 $42,546.43 $53,124.00 $4,036.78 $11,003.54 $7,416.06 2026-09-26
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 10 10 $60,164.07 $110,675.00 $5,026.66 $10,994.95 $7,410.27 2026-09-26
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 10 10 $6,858.74 $8,854.00 $3,568.50 $10,966.71 $7,391.23 2026-09-26
864 MS_DRG Fever And Inflammatory Conditions 10 10 $7,881.61 $8,854.00 $3,174.02 $10,899.18 $7,345.72 2026-09-26
550 MS_DRG Septic Arthritis Without Cc/mcc 10 10 $30,565.71 $35,416.00 $4,080.94 $10,732.20 $7,233.18 2026-09-26
312 MS_DRG Syncope And Collapse 10 10 $5,260.36 $8,854.00 $4,143.87 $10,701.50 $7,212.49 2026-09-26
603 MS_DRG Cellulitis Without Mcc 10 10 $45,039.20 $53,124.00 $3,895.20 $10,692.91 $7,206.70 2026-09-26
11012 HCPCS Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Broken A… 26 26 $9,299.48 $5,207.71 44% off $4,637.78 $9,299.48 $7,196.84 2026-09-26
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 10 10 $59,019.44 $92,967.00 $5,312.79 $10,476.82 $7,061.06 2026-09-26
292 MS_DRG Heart Failure And Shock With Cc 10 10 $35,278.99 $22,135.00 37% off $4,300.83 $10,424.02 $7,025.48 2026-09-26
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 10 10 $59,011.99 $30,989.00 47% off $4,294.48 $10,350.35 $6,975.82 2026-09-26
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 10 10 $114,443.26 $190,361.00 $5,308.21 $10,191.97 $6,869.08 2026-09-26
541 MS_DRG Osteomyelitis Without Cc/mcc 10 10 $62,653.46 $79,686.00 $5,766.19 $9,472.48 $6,837.62 2026-09-26
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 10 10 $105,042.69 $97,394.00 $4,525.37 $9,959.91 $6,712.68 2026-09-26
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 10 10 $30,833.29 $39,843.00 $3,537.18 $9,939.04 $6,698.61 2026-09-26
204 MS_DRG Respiratory Signs And Symptoms 10 10 $69,346.06 $115,102.00 $2,852.90 $9,913.26 $6,681.24 2026-09-26
534 MS_DRG Fractures Of Femur Without Mcc 10 10 $122,633.95 $274,474.00 $5,672.71 $9,897.30 $6,670.48 2026-09-26
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 10 10 $30,790.24 $39,843.00 $4,158.75 $9,894.84 $6,668.83 2026-09-26
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 10 10 $23,455.88 $44,270.00 $4,301.32 $9,870.28 $6,652.27 2026-09-26
948 MS_DRG Signs And Symptoms Without Mcc 10 10 $46,807.94 $61,978.00 $4,301.75 $9,828.54 $6,624.14 2026-09-26
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 10 10 $21,514.80 $17,708.00 $4,962.82 $9,786.79 $6,596.00 2026-09-26
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 10 10 $14,598.22 $17,708.00 $4,172.08 $9,776.97 $6,589.39 2026-09-26
389 MS_DRG Gastrointestinal Obstruction With Cc 10 10 $6,954.32 $4,427.00 36% off $3,423.18 $9,697.16 $6,535.60 2026-09-26
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 10 10 $17,665.28 $8,854.00 50% off $3,373.09 $9,571.93 $6,451.19 2026-09-26
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 10 10 $46,015.93 $48,697.00 $3,194.05 $9,554.74 $6,439.60 2026-09-26
Q4197 HCPCS Puraply Xt, Per Square Centimeter 25 25 $8,500.00 $4,760.00 44% off $284.10 $8,500.00 $6,375.00 2026-09-26
645 MS_DRG Endocrine Disorders Without Cc/mcc 10 10 $220,184.39 $301,036.00 $3,284.35 $9,433.19 $6,357.68 2026-09-26
125 MS_DRG Other Disorders Of The Eye Without Mcc 10 10 $50,773.74 $79,686.00 $4,839.79 $9,427.05 $6,353.55 2026-09-26
57400 HCPCS Dilation Of Vagina Under Anesthesia 26 26 $7,948.00 $4,450.88 44% off $4,005.79 $8,268.10 $6,318.66 2026-09-26
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 10 10 $36,210.24 $57,551.00 $4,159.46 $9,284.62 $6,257.56 2026-09-26
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 10 10 $5,660.03 $8,854.00 $3,576.33 $8,698.96 $5,862.84 2026-09-26
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 10 10 $11,397.26 $17,708.00 $5,115.21 $8,403.06 $5,764.57 2026-09-26
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 10 10 $242,655.70 $163,799.00 32% off $3,781.62 $7,968.42 $5,370.48 2026-09-26
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 10 10 $9,034.59 $4,427.00 51% off $3,735.41 $7,882.48 $5,312.55 2026-09-26
05500415 CDM Puraply Am 4x4 16 16 $8,640.00 $4,838.40 44% off $4,354.56 $7,776.00 $5,251.39 2026-09-26
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 10 10 $48,389.98 $57,551.00 $3,130.84 $7,716.72 $5,200.84 2026-09-26
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 10 10 $5,688.01 $4,427.00 22% off $3,184.53 $7,629.55 $5,142.09 2026-09-26
639 MS_DRG Diabetes Without Cc/mcc 10 10 $42,885.75 $79,686.00 $3,160.97 $7,627.09 $5,140.43 2026-09-26
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 26 26 $6,940.00 $3,886.40 44% off $3,497.76 $6,940.00 $5,100.90 2026-09-26
684 MS_DRG Renal Failure Without Cc/mcc 10 10 $113,110.85 $119,529.00 $2,587.37 $7,370.48 $4,967.48 2026-09-26
293 MS_DRG Heart Failure And Shock Without Cc/mcc 10 10 $5,978.66 $4,427.00 26% off $3,368.93 $6,949.35 $4,683.65 2026-09-26
951 MS_DRG Other Factors Influencing Health Status 10 10 $2,769.32 $4,427.00 $2,769.32 $6,826.57 $4,600.90 2026-09-26
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 10 10 $15,269.22 $17,708.00 $2,584.05 $6,679.23 $4,501.60 2026-09-26
55000040 CDM Puraply Mz 1000mg 16 16 $6,945.00 $3,889.20 44% off $3,500.28 $6,250.50 $4,221.17 2026-09-26
05500408 CDM Puraply Am 3x4 16 16 $6,600.00 $3,696.00 44% off $3,326.40 $5,940.00 $4,011.48 2026-09-26
05500384 CDM Apligraf 44 Sq Cm 16 16 $6,475.00 $3,626.00 44% off $3,263.40 $5,827.50 $3,935.51 2026-09-26
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 50 26 $6,810.52 $3,813.89 44% off $859.16 $6,810.52 $3,813.89 2026-09-26
A2013 HCPCS Innovamatrix Fs, Per Square Centimeter 73 25 $5,100.00 $2,856.00 44% off $284.10 $7,500.00 $3,780.00 2026-09-26
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 24 24 $4,421.00 $2,475.76 44% off $2,228.18 $4,562.20 $3,735.74 2026-09-26
15274 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each… 49 25 $6,411.00 $3,590.16 44% off $92.58 $6,411.00 $3,623.55 2026-09-26
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 50 26 $6,411.00 $3,590.16 44% off $2,148.55 $6,411.00 $3,623.55 2026-09-26
Q4196 HCPCS Puraply Am, Per Square Centimeter 73 25 $4,750.00 $2,660.00 44% off $284.10 $13,000.00 $3,562.50 2026-09-26
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 26 26 $4,528.99 $2,536.23 44% off $859.16 $4,528.99 $3,328.80 2026-09-26
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 26 26 $4,263.00 $2,387.28 44% off $1,887.70 $4,263.00 $3,221.36 2026-09-26
15278 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 25 25 $4,263.00 $2,387.28 44% off $115.68 $4,263.00 $3,197.25 2026-09-26
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 26 26 $4,062.00 $2,274.72 44% off $524.34 $4,062.00 $2,985.57 2026-09-26
80000158 CDM Vac Bridge Kit 16 16 $4,747.25 $2,658.46 44% off $2,392.61 $4,272.53 $2,885.38 2026-09-26
80000157 CDM Do Not Use Vac Drape 16 16 $4,747.25 $2,658.46 44% off $2,392.61 $4,272.53 $2,885.38 2026-09-26
80000156 CDM Vac Port Extension 16 16 $4,747.25 $2,658.46 44% off $2,392.61 $4,272.53 $2,885.38 2026-09-26
80000154 CDM Peritoneal Peritx Catheter Kit 16 16 $4,747.25 $2,658.46 44% off $2,392.61 $4,272.53 $2,885.38 2026-09-26
80000155 CDM Do Not Use Vac Connector 16 16 $4,747.25 $2,658.46 44% off $2,392.61 $4,272.53 $2,885.38 2026-09-26
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 26 26 $3,918.25 $2,194.22 44% off $929.06 $3,918.25 $2,879.91 2026-09-26
36568 HCPCS Insertion Of Tube For Infusion (younger Than 5 Years) 26 26 $3,398.84 $1,903.35 44% off $1,261.02 $4,020.63 $2,702.08 2026-09-26
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 26 26 $3,589.67 $2,010.22 44% off $410.00 $3,589.67 $2,638.40 2026-09-26
59409 HCPCS Vaginal Delivery 56 32 $3,210.88 $680.34 79% off $662.10 $8,268.10 $2,408.16 2026-09-26
A2001 HCPCS Innovamatrix Ac, Per Square Centimeter 121 25 $3,405.00 $1,906.80 44% off $284.10 $4,377.00 $2,315.40 2026-09-26
05500385 CDM Puraply Am 2x2 16 16 $3,750.00 $2,100.00 44% off $1,890.00 $3,375.00 $2,279.25 2026-09-26
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 50 26 $4,263.00 $2,387.28 44% off $647.14 $5,269.93 $2,267.91 2026-09-26
55000039 CDM Operating Room Services - General Classification 16 16 $3,480.00 $1,948.80 44% off $1,753.92 $3,132.00 $2,115.14 2026-09-26
72126 HCPCS CT Scan Of Upper Spine With Contrast 26 26 $2,747.17 $1,538.42 44% off $859.16 $2,747.17 $2,019.17 2026-09-26
94660 HCPCS Therapy Procedure Using A Positive Pressure Ventilator 26 26 $2,620.01 $1,467.21 44% off $367.92 $2,620.01 $1,925.71 2026-09-26
11010 HCPCS Removal Of Foreign Material From Skin And Tissue At Open Broken And/or Dislocate… 26 26 $2,291.40 $1,283.18 44% off $1,154.87 $2,291.40 $1,763.62 2026-09-26
A2023 HCPCS Innovamatrix Pd, 1 Mg 24 24 $2,172.00 $1,216.32 44% off $1,094.69 $2,172.00 $1,726.74 2026-09-26
90945 HCPCS Dialysis Procedure Including 1 Evaluation 26 26 $2,279.00 $1,276.24 44% off $703.58 $2,279.00 $1,675.07 2026-09-26
J2760 HCPCS Injection, Phentolamine Mesylate, Up To 5 Mg 26 26 $2,233.99 $1,251.03 44% off $445.33 $2,233.99 $1,641.98 2026-09-26
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 26 26 $2,226.88 $1,247.05 44% off $929.06 $2,226.88 $1,636.76 2026-09-26
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 25 25 $2,166.73 $1,213.37 44% off $267.03 $2,166.73 $1,625.05 2026-09-26
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 26 26 $2,192.00 $1,227.52 44% off $524.34 $2,192.00 $1,611.12 2026-09-26
73220 HCPCS MRI Scan Of Arm Before And After Contrast 26 26 $2,169.00 $1,214.64 44% off $859.16 $2,169.00 $1,594.22 2026-09-26
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 58 34 $3,086.31 $82.29 97% off $82.29 $4,020.63 $1,565.28 2026-09-26
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 26 26 $2,129.00 $1,192.24 44% off $859.16 $2,129.00 $1,564.82 2026-09-26
73720 HCPCS MRI Scan Of Leg Before And After Contrast 26 26 $2,129.00 $1,192.24 44% off $859.16 $2,129.00 $1,564.82 2026-09-26
70553 HCPCS MRI Scan Of Brain Before And After Contrast 26 26 $2,129.00 $1,192.24 44% off $891.08 $2,129.00 $1,564.82 2026-09-26
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 26 26 $2,129.00 $1,192.24 44% off $859.16 $2,129.00 $1,564.82 2026-09-26
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 26 26 $2,129.00 $1,192.24 44% off $859.16 $2,129.00 $1,564.82 2026-09-26
73702 HCPCS CT Scan Of Leg Before And After Contrast 50 26 $2,650.00 $1,484.00 44% off $410.00 $2,650.00 $1,484.00 2026-09-26
73701 HCPCS CT Scan Of Leg With Contrast Material 50 26 $2,623.00 $1,468.88 44% off $410.00 $2,623.00 $1,468.88 2026-09-26
71270 HCPCS CT Scan Of Chest Before And After Contrast 26 26 $1,981.00 $1,109.36 44% off $448.00 $1,981.00 $1,456.03 2026-09-26
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 26 26 $1,978.00 $1,107.68 44% off $963.16 $1,978.00 $1,453.83 2026-09-26
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 26 26 $1,911.00 $1,070.16 44% off $410.00 $1,911.00 $1,404.59 2026-09-26
71260 HCPCS CT Scan Of Chest With Contrast 26 26 $1,895.00 $1,061.20 44% off $448.00 $1,895.00 $1,392.83 2026-09-26
05607095 CDM Spiriva Respimat 2.5 Mcg Inh 16 16 $2,289.00 $1,281.84 44% off $1,153.66 $2,060.10 $1,391.26 2026-09-26
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 26 26 $1,884.00 $1,055.04 44% off $410.00 $1,884.00 $1,384.74 2026-09-26
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 74 26 $2,428.80 $1,360.13 44% off $162.62 $2,459.56 $1,377.35 2026-09-26
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 26 26 $1,865.00 $1,044.40 44% off $448.00 $1,865.00 $1,370.78 2026-09-26
13151 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm 26 26 $1,720.48 $963.47 44% off $867.12 $1,887.70 $1,367.78 2026-09-26
05500414 CDM Puraply Am 1.6 Sq-cm 16 16 $2,250.00 $1,260.00 44% off $1,134.00 $2,025.00 $1,367.55 2026-09-26
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 26 26 $1,837.00 $1,028.72 44% off $410.00 $1,837.00 $1,350.20 2026-09-26
J0714 HCPCS Injection, Ceftazidime And Avibactam, 0.5 G/0.125 G 26 26 $1,835.72 $1,028.00 44% off $114.08 $1,835.72 $1,349.26 2026-09-26
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 26 26 $1,835.00 $1,027.60 44% off $410.00 $1,835.00 $1,348.72 2026-09-26
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 26 26 $1,822.00 $1,020.32 44% off $448.00 $1,822.00 $1,339.17 2026-09-26
90935 HCPCS Hemodialysis Procedure With Physician Evaluation 26 26 $1,657.75 $928.34 44% off $835.51 $1,752.95 $1,336.28 2026-09-26
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 58 34 $1,516.44 $386.66 75% off $386.66 $4,617.80 $1,330.58 2026-09-26
73202 HCPCS CT Scan Of Arm Before And After Contrast 50 26 $2,356.50 $1,319.64 44% off $410.00 $2,356.50 $1,319.64 2026-09-26
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 26 26 $1,791.00 $1,002.96 44% off $410.00 $1,791.00 $1,316.38 2026-09-26
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 74 26 $1,545.00 $865.20 44% off $764.06 $4,711.04 $1,313.25 2026-09-26
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 26 26 $1,624.86 $909.92 44% off $818.93 $1,624.86 $1,312.95 2026-09-26
32554 HCPCS Aspiration Of Fluid From Chest Cavity 26 26 $1,624.86 $909.92 44% off $818.93 $1,624.86 $1,312.95 2026-09-26
12 CDM Room & Board - Private (one Bed) - General Classification 9 9 $1,925.00 $4,427.00 $1,189.07 $1,732.50 $1,309.00 2026-09-26
15276 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 49 25 $4,263.00 $2,387.28 44% off $52.93 $4,263.00 $1,284.00 2026-09-26
15272 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, Each Addi… 49 25 $4,263.00 $2,387.28 44% off $35.18 $4,263.00 $1,284.00 2026-09-26
73201 HCPCS CT Scan Of Arm With Contrast 50 26 $2,282.75 $1,278.34 44% off $723.24 $2,282.75 $1,278.34 2026-09-26
73700 HCPCS CT Scan Of Leg Without Contrast 50 26 $2,275.00 $1,274.00 44% off $252.18 $2,275.00 $1,274.00 2026-09-26
74160 HCPCS CT Scan Of Abdomen With Contrast 26 26 $1,725.00 $966.00 44% off $448.00 $1,725.00 $1,267.88 2026-09-26
62270 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test 26 26 $1,518.00 $850.08 44% off $765.07 $1,802.93 $1,262.61 2026-09-26
11 CDM Room & Board - Private (one Bed) - General Classification 9 9 $1,850.00 $4,427.00 $1,142.75 $1,665.00 $1,258.00 2026-09-26
22 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,850.00 $4,427.00 $1,142.75 $1,665.00 $1,258.00 2026-09-26
72196 HCPCS MRI Scan Of Pelvis With Contrast 26 26 $1,705.96 $955.34 44% off $859.16 $1,705.96 $1,253.88 2026-09-26
70460 HCPCS CT Scan Head Or Brain With Contrast 26 26 $1,705.00 $954.80 44% off $448.00 $1,705.00 $1,253.17 2026-09-26
72193 HCPCS CT Scan Of Pelvis With Contrast 26 26 $1,700.00 $952.00 44% off $448.00 $1,700.00 $1,249.50 2026-09-26
71250 HCPCS CT Scan Of Chest Without Contrast 26 26 $1,668.00 $934.08 44% off $267.03 $1,668.00 $1,225.98 2026-09-26
72192 HCPCS CT Scan Of Pelvis Without Contrast 26 26 $1,668.00 $934.08 44% off $267.03 $1,668.00 $1,225.98 2026-09-26
15 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,800.00 $4,427.00 $1,111.86 $1,620.00 $1,224.00 2026-09-26
74150 HCPCS CT Scan Of Abdomen Without Contrast 26 26 $1,650.00 $924.00 44% off $267.03 $1,650.00 $1,212.75 2026-09-26
70450 HCPCS CT Scan Head Or Brain Without Contrast 26 26 $1,632.00 $913.92 44% off $267.03 $1,632.00 $1,199.52 2026-09-26
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 50 26 $1,628.00 $911.68 44% off $410.00 $1,628.00 $1,196.58 2026-09-26
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 26 26 $1,626.00 $910.56 44% off $410.00 $1,626.00 $1,195.11 2026-09-26
23 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,750.00 $4,427.00 $1,080.98 $1,575.00 $1,190.00 2026-09-26
16 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,750.00 $4,427.00 $1,080.98 $1,575.00 $1,190.00 2026-09-26
73200 HCPCS CT Scan Of Arm Without Contrast 50 26 $1,389.00 $777.84 44% off $252.18 $2,046.00 $1,180.65 2026-09-26
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 26 26 $1,605.00 $898.80 44% off $410.00 $1,605.00 $1,179.67 2026-09-26
13 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,725.00 $4,427.00 $1,065.53 $1,552.50 $1,173.00 2026-09-26
10 CDM Room & Board - Private (one Bed) - General Classification 9 9 $1,725.00 $4,427.00 $1,065.53 $1,552.50 $1,173.00 2026-09-26
21 CDM Room & Board - Private (one Bed) - General Classification 9 9 $1,725.00 $4,427.00 $1,065.53 $1,552.50 $1,173.00 2026-09-26
90937 HCPCS Hemodialysis Procedure Requiring Repeated Evaluation 25 25 $1,530.00 $856.80 44% off $214.75 $1,530.00 $1,147.50 2026-09-26
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 26 26 $1,544.00 $864.64 44% off $410.00 $1,544.00 $1,134.84 2026-09-26
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 26 26 $1,544.00 $864.64 44% off $410.00 $1,544.00 $1,134.84 2026-09-26
78473 HCPCS Nuclear Medicine Studies Of Heart Pumping Function By Labeling Red Blood Cells W… 26 26 $1,532.40 $858.14 44% off $772.33 $1,532.40 $1,126.32 2026-09-26
24620 HCPCS Closed Treatment Of Broken And Dislocated Forearm Bones At Elbow With Manipulati… 58 34 $893.68 $526.45 41% off $526.45 $5,008.60 $1,118.84 2026-09-26
70488 HCPCS CT Scan Of Face Before And After Contrast 26 26 $1,507.00 $843.92 44% off $448.00 $1,507.00 $1,107.64 2026-09-26
25606 HCPCS Placement Of Stabilizing Device For Broken Forearm Bone On Thumb Side At Wrist 58 34 $2,590.92 $595.38 77% off $581.85 $8,357.18 $1,100.56 2026-09-26
05607149 CDM Ozempic 0.25-0.5 Mg/dose Pen 16 16 $1,800.00 $1,008.00 44% off $907.20 $1,620.00 $1,094.04 2026-09-26
14 CDM Room & Board - Semi-private (two Beds) - General Classification 9 9 $1,600.00 $4,427.00 $988.32 $1,440.00 $1,088.00 2026-09-26
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 26 26 $1,284.00 $719.04 44% off $647.14 $3,245.48 $1,084.98 2026-09-26
72128 HCPCS CT Scan Of Middle Spine Without Contrast 26 26 $1,476.00 $826.56 44% off $252.18 $1,476.00 $1,084.86 2026-09-26
72131 HCPCS CT Scan Of Lower Spine Without Contrast 26 26 $1,476.00 $826.56 44% off $252.18 $1,476.00 $1,084.86 2026-09-26
93976 HCPCS Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 26 26 $1,475.72 $826.40 44% off $224.16 $1,475.72 $1,084.65 2026-09-26
90000119 CDM Pericardiocentesis Tray 16 16 $1,782.15 $998.00 44% off $898.20 $1,603.94 $1,083.19 2026-09-26
05607093 CDM Combivent Respimat 20-100 Mcg 16 16 $1,779.52 $996.53 44% off $896.88 $1,601.57 $1,081.60 2026-09-26
72129 HCPCS CT Scan Of Middle Spine With Contrast 26 26 $1,454.00 $814.24 44% off $410.00 $1,454.00 $1,068.69 2026-09-26
72125 HCPCS CT Scan Of Upper Spine Without Contrast 26 26 $1,447.00 $810.32 44% off $252.18 $1,447.00 $1,063.55 2026-09-26
90947 HCPCS Dialysis Procedure Requiring Repeat Evaluation 25 25 $1,407.00 $787.92 44% off $257.45 $1,407.00 $1,055.25 2026-09-26
05607361 CDM Breztri Aerosphr 160-9-4.8 Mcg 16 16 $1,715.65 $960.76 44% off $864.69 $1,544.09 $1,042.77 2026-09-26
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 26 26 $1,400.00 $784.00 44% off $524.34 $1,400.00 $1,029.00 2026-09-26
74181 HCPCS MRI Scan Of Abdomen Without Contrast 26 26 $1,400.00 $784.00 44% off $524.34 $1,400.00 $1,029.00 2026-09-26
J2265 HCPCS Injection, Minocycline Hydrochloride, 1 Mg 26 26 $1,392.00 $779.52 44% off $2.47 $1,392.00 $1,023.12 2026-09-26
43761 HCPCS Repositioning Of Oral Or Nasal Feeding Tube In Small Bowel 26 26 $1,388.85 $777.76 44% off $469.80 $1,388.85 $1,020.81 2026-09-26
36430 HCPCS Transfusion Of Blood Or Blood Products 122 26 $1,400.00 $784.00 44% off $75.60 $1,851.59 $1,008.00 2026-09-26
05601612 CDM Spiriva Respimat 2.5 Mcg Inh 16 16 $1,656.95 $927.89 44% off $835.10 $1,491.26 $1,007.10 2026-09-26
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 26 26 $1,370.20 $767.31 44% off $410.00 $1,370.20 $1,007.10 2026-09-26
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 26 26 $1,224.04 $685.46 44% off $616.92 $1,224.04 $969.56 2026-09-26
20 CDM Room & Board - Private (one Bed) - General Classification 9 9 $1,425.00 $4,427.00 $880.22 $1,282.50 $969.00 2026-09-26
J0561 HCPCS Injection, Penicillin G Benzathine, 100,000 Units 26 26 $1,303.80 $730.13 44% off $18.80 $1,303.80 $958.30 2026-09-26
70487 HCPCS CT Scan Of Face With Contrast 26 26 $1,297.00 $726.32 44% off $448.00 $1,297.00 $953.30 2026-09-26
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 26 26 $1,273.00 $712.88 44% off $609.43 $1,273.00 $935.65 2026-09-26
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 26 26 $1,273.00 $712.88 44% off $524.34 $1,273.00 $935.65 2026-09-26
70551 HCPCS MRI Scan Of Brain Without Contrast 26 26 $1,273.00 $712.88 44% off $609.43 $1,273.00 $935.65 2026-09-26
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 26 26 $1,273.00 $712.88 44% off $609.43 $1,273.00 $935.65 2026-09-26
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 26 26 $1,268.00 $710.08 44% off $252.18 $1,268.00 $931.98 2026-09-26
11011 HCPCS Removal Of Foreign Material From Skin, Tissue, And Muscle At Open Broken And/or … 82 34 $1,275.16 $714.09 44% off $250.07 $2,291.40 $920.81 2026-09-26
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 58 34 $481.12 $74.42 85% off $74.42 $8,064.68 $915.45 2026-09-26
70486 HCPCS CT Scan Of Face Without Contrast 26 26 $1,243.00 $696.08 44% off $267.03 $1,243.00 $913.61 2026-09-26
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 26 26 $1,237.29 $692.88 44% off $329.61 $1,237.29 $909.41 2026-09-26
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 26 26 $1,113.00 $623.28 44% off $560.95 $1,278.98 $904.62 2026-09-26
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 26 26 $1,220.00 $683.20 44% off $410.00 $1,220.00 $896.70 2026-09-26
44300 HCPCS Insertion Of Tube Into Small Bowel 32 32 $4,500.50 $745.87 83% off $723.41 $3,600.40 $895.04 2026-09-26
05600656 CDM Santyl Ointment 16 16 $1,429.00 $800.24 44% off $720.22 $1,286.10 $868.55 2026-09-26
J0285 HCPCS Injection, Amphotericin B, 50 Mg 25 25 $1,158.05 $648.51 44% off $48.27 $1,158.05 $868.54 2026-09-26
71550 HCPCS MRI Scan Of Chest Without Contrast 26 26 $1,179.12 $660.31 44% off $524.34 $1,179.12 $866.65 2026-09-26
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 25 25 $1,017.07 $569.56 44% off $512.60 $4,238.94 $864.51 2026-09-26
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 50 26 $850.45 $476.25 44% off $108.07 $44,487.00 $850.45 2026-09-26
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 26 26 $1,123.00 $628.88 44% off $252.18 $1,123.00 $825.40 2026-09-26
05607155 CDM Stiolto Respimat Inhaler (60) 16 16 $1,321.30 $739.93 44% off $665.94 $1,189.17 $803.09 2026-09-26
J0712 HCPCS Injection, Ceftaroline Fosamil, 10 Mg 50 26 $1,150.50 $644.28 44% off $4.12 $1,150.50 $799.37 2026-09-26
72084 HCPCS X-ray Of Entire Middle And Lower Spine, Minimum Of 6 Views 26 26 $1,083.88 $606.97 44% off $252.18 $1,083.88 $796.65 2026-09-26
05607411 CDM Mounjaro 2.5 Mg/0.5 Ml Pen 16 16 $1,285.00 $719.60 44% off $647.64 $1,156.50 $781.02 2026-09-26
05600889 CDM Fluticasone Prop Hfa 220 Mcg 16 16 $1,263.95 $707.81 44% off $637.03 $1,137.56 $768.23 2026-09-26
C1769 HCPCS Guide Wire 48 24 $1,497.48 $838.59 44% off $26.31 $2,942.75 $767.68 2026-09-26
20520 HCPCS Removal Of Foreign Body In Muscle Or Tendon 58 34 $284.68 $132.33 54% off $132.33 $4,218.43 $759.90 2026-09-26
32551 HCPCS Removal Of Fluid From Between Lung And Chest Cavity 58 34 $672.92 $136.11 80% off $136.11 $4,020.63 $758.24 2026-09-26
74400 HCPCS Imaging Of Urinary Tract With Injection Of Contrast Into A Vein 26 26 $1,030.40 $577.02 44% off $410.00 $1,030.40 $757.35 2026-09-26
05600175 CDM Combivent Respimat 20-100 Mcg 16 16 $1,235.25 $691.74 44% off $622.57 $1,111.73 $750.78 2026-09-26
36593 HCPCS Declotting Of Central Venous Tube 26 26 $936.96 $524.70 44% off $472.23 $936.96 $744.88 2026-09-26
93308 HCPCS Ultrasound Of Heart, Follow-up 26 26 $1,006.00 $563.36 44% off $466.08 $1,006.00 $739.41 2026-09-26
J2186 HCPCS Injection, Meropenem And Vaborbactam, 10mg/10mg (20mg) 26 26 $1,005.00 $562.80 44% off $2.21 $1,005.00 $738.67 2026-09-26
94060 HCPCS Test To Measure Expiratory Airflow And Volume Changes Before And After Medicatio… 26 26 $928.84 $520.15 44% off $468.14 $953.10 $738.43 2026-09-26
93017 HCPCS Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg) 26 26 $1,015.00 $568.40 44% off $204.00 $1,015.00 $725.73 2026-09-26
15050 HCPCS Skin Graft To Tip Of Finger Or Toe, 2.0 Cm Or Less 58 34 $1,697.48 $398.52 77% off $398.52 $1,887.70 $719.32 2026-09-26
05607667 CDM Ingrezza 80mg Tab 16 16 $1,172.00 $656.32 44% off $590.69 $1,054.80 $712.34 2026-09-26
05607117 CDM Brimonidine-timolol 0.2%-0.5% 16 16 $1,158.85 $648.96 44% off $584.06 $1,042.97 $704.35 2026-09-26
20103 HCPCS Exploration Of Wound Of Arm Or Leg 58 34 $1,338.80 $297.39 78% off $297.39 $4,218.43 $703.15 2026-09-26
05607669 CDM Repatha 140mg Inj 16 16 $1,130.00 $632.80 44% off $569.52 $1,017.00 $686.82 2026-09-26
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 26 26 $812.00 $454.72 44% off $409.25 $2,090.49 $686.14 2026-09-26
P9053 HCPCS Platelets, Pheresis, Leukocytes Reduced, Cmv-negative, Irradiated, Each Unit 26 26 $810.00 $453.60 44% off $408.24 $1,258.63 $684.45 2026-09-26
94375 HCPCS Test To Measure Rate Of Airflow 26 26 $928.84 $520.15 44% off $468.14 $928.84 $682.69 2026-09-26
92953 HCPCS Temporary Pacemaker To Regulate Heart Beat 26 26 $800.00 $448.00 44% off $403.20 $1,688.15 $676.00 2026-09-26
51102 HCPCS Aspiration Of Bladder With Insertion Of Bladder Tube To Skin 58 34 $569.56 $120.57 79% off $120.57 $6,130.00 $673.97 2026-09-26
Q4081 HCPCS Injection, Epoetin Alfa, 100 Units (for Esrd On Dialysis) 25 25 $889.00 $497.84 44% off $1.13 $889.00 $666.75 2026-09-26
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 26 26 $906.00 $507.36 44% off $456.62 $906.00 $665.91 2026-09-26
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 26 26 $906.00 $507.36 44% off $456.62 $906.00 $665.91 2026-09-26
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 26 26 $906.00 $507.36 44% off $456.62 $906.00 $665.91 2026-09-26
15002 HCPCS Preparation Of Skin Graft Site Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body A… 58 34 $895.00 $186.18 79% off $186.18 $3,245.48 $665.54 2026-09-26
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 58 34 $101.70 $463.75 $71.19 $6,125.32 $664.80 2026-09-26
93799 HCPCS Other Cardiovascular Service Or Procedure 26 26 $904.00 $506.24 44% off $276.70 $904.00 $664.44 2026-09-26
73523 HCPCS X-ray Of Both Hips, Minimum Of 5 Views 26 26 $903.24 $505.81 44% off $252.18 $903.24 $663.88 2026-09-26
72083 HCPCS X-ray Of Entire Middle And Lower Spine, 4-5 Views 26 26 $903.24 $505.81 44% off $252.18 $903.24 $663.88 2026-09-26
54001 HCPCS Incision Of Foreskin 58 34 $536.36 $122.47 77% off $122.47 $6,116.76 $660.69 2026-09-26
J0885 HCPCS Injection, Epoetin Alfa, (for Non-esrd Use), 1000 Units 26 26 $889.00 $497.84 44% off $11.30 $889.00 $653.41 2026-09-26
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 26 26 $885.45 $495.85 44% off $262.62 $885.45 $650.81 2026-09-26
74280 HCPCS Double Contrast X-ray Of Large Intestine 26 26 $876.00 $490.56 44% off $410.00 $876.00 $643.86 2026-09-26
05601594 CDM Breyna 160-4.5 Mcg Inhaler 16 16 $1,055.60 $591.14 44% off $532.02 $950.04 $641.60 2026-09-26
13152 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm 58 34 $1,337.04 $265.01 80% off $265.01 $1,887.70 $640.85 2026-09-26
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 50 26 $639.00 $357.84 44% off $252.18 $1,465.52 $639.00 2026-09-26
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 58 34 $1,433.85 $507.11 65% off $473.41 $4,107.05 $633.89 2026-09-26
87631 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 26 26 $749.00 $419.44 44% off $235.34 $1,068.30 $632.90 2026-09-26
97607 HCPCS Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq… 50 26 $1,243.20 $696.19 44% off $177.91 $1,243.20 $632.80 2026-09-26
05607419 CDM Mounjaro 5 Mg/0.5 Ml Pen 16 16 $1,031.00 $577.36 44% off $519.62 $927.90 $626.64 2026-09-26
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 58 34 $250.24 $107.89 57% off $107.89 $4,218.43 $604.85 2026-09-26
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 26 26 $776.00 $434.56 44% off $391.10 $776.00 $595.71 2026-09-26
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