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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

MERCY HOSPITAL LOGAN COUNTY

Guthrie, OK · CCN 371317 · Rates published

1,786 distinct procedures filed
85 distinct payers
83,464 rate rows
2026-06-11 last MRF observed
Data quality

79,783 of 83,464 rate rows are consumer-grade (95.6%)

3,681 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 3,656
exceeds 10× this hospital's gross charge — excluded from medians 14
placeholder amount (≤ $0.02) — excluded from medians 7
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/452998842_mercy-hospital-logan-county_standardcharges.zip
Found on page https://www.mercy.net/forms/items-and-services-files/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint f22a3e878c0da972… · 4,264,812 bytes · first seen 2026-07-31

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
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 84 $17,631.00 $97,763.81 $55,928.05 nat. median
$133
outlier · 420.6×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 $31,788.41 $31,788.41 $31,788.41 nat. median
$17,763
1.8× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 1 $30,037.68 $30,037.68 $30,037.68 nat. median
$14,194
outlier · 2.1×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $25,116.53 $25,116.53 $25,116.53 nat. median
$14,442
1.7× median
180
MS_DRG 		Respiratory Neoplasms With Mcc 1 $22,834.38 $22,834.38 $22,834.38 nat. median
$12,731
1.8× median
551
MS_DRG 		Medical Back Problems With Mcc 1 $21,671.97 $21,671.97 $21,671.97 nat. median
$11,966
1.8× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 1 $21,078.49 $21,078.49 $21,078.49 nat. median
$11,966
1.8× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 1 $20,205.71 $20,205.71 $20,205.71 nat. median
$11,701
1.7× median
J3101
HCPCS 		Tenecteplase Injection Kit For Acute Ischemic Stroke (kit) 84 $8,121.50 $34,612.03 $19,788.97 nat. median
$498
outlier · 39.7×
682
MS_DRG 		Renal Failure With Mcc 1 $19,149.33 $19,149.33 $19,149.33 nat. median
$11,096
1.7× median
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 1 $19,095.02 $19,095.02 $19,095.02 nat. median
$10,670
1.8× median
637
MS_DRG 		Diabetes With Mcc 1 $18,576.53 $18,576.53 $18,576.53 nat. median
$10,515
1.8× median
J0896
HCPCS 		Luspatercept-aamt 25 Mg Subcutaneous Solution 84 $4,128.00 $56,687.22 $17,877.20 nat. median
$228
outlier · 78.5×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 1 $16,995.19 $16,995.19 $16,995.19 nat. median
$9,802
1.7× median
540
MS_DRG 		Osteomyelitis With Cc 1 $16,761.16 $16,761.16 $16,761.16 nat. median
$9,457
1.8× median
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $16,599.53 $16,599.53 $16,599.53 nat. median
$9,572
1.7× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 1 $15,973.72 $15,973.72 $15,973.72 nat. median
$9,470
1.7× median
J0517
HCPCS 		Benralizumab 30 Mg/ml Subcutaneous Syringe 84 $4,976.70 $27,150.62 $15,521.61 nat. median
$404
outlier · 38.4×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 1 $15,002.68 $15,002.68 $15,002.68 nat. median
$8,710
1.7× median
J2506
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 84 $239.76 $25,992.86 $14,873.69 nat. median
$916
outlier · 16.2×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 1 $14,322.56 $14,322.56 $14,322.56 nat. median
$8,303
1.7× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 1 $13,802.78 $13,802.78 $13,802.78 nat. median
$7,999
1.7× median
433
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Cc 1 $13,656.67 $13,656.67 $13,656.67 nat. median
$7,804
1.7× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 $13,231.27 $13,231.27 $13,231.27 nat. median
$7,744
1.7× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 1 $13,063.18 $13,063.18 $13,063.18 nat. median
$7,677
1.7× median
202
MS_DRG 		Bronchitis And Asthma With Cc/mcc 1 $12,557.62 $12,557.62 $12,557.62 nat. median
$7,228
1.7× median
638
MS_DRG 		Diabetes With Cc 1 $11,587.87 $11,587.87 $11,587.87 nat. median
$6,741
1.7× median
864
MS_DRG 		Fever And Inflammatory Conditions 1 $11,477.96 $11,477.96 $11,477.96 nat. median
$6,608
1.7× median
603
MS_DRG 		Cellulitis Without Mcc 1 $11,260.74 $11,260.74 $11,260.74 nat. median
$6,621
1.7× median
437
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 1 $11,033.17 $11,033.17 $11,033.17 nat. median
$6,196
1.8× median
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 1 $10,899.99 $10,899.99 $10,899.99 nat. median
$6,349
1.7× median
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 1 $10,876.72 $10,876.72 $10,876.72 nat. median
$6,417
1.7× median
554
MS_DRG 		Bone Diseases And Arthropathies Without Mcc 1 $10,733.19 $10,733.19 $10,733.19 nat. median
$6,267
1.7× median
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 1 $10,466.84 $10,466.84 $10,466.84 nat. median
$6,107
1.7× median
694
MS_DRG 		Urinary Stones Without Mcc 1 $10,107.38 $10,107.38 $10,107.38 nat. median
$5,874
1.7× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 $10,080.23 $10,080.23 $10,080.23 nat. median
$5,890
1.7× median
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 1 $10,062.13 $10,062.13 $10,062.13 nat. median
$5,850
1.7× median
305
MS_DRG 		Hypertension Without Mcc 1 $9,763.44 $9,763.44 $9,763.44 nat. median
$5,752
1.7× median
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 1 $8,849.29 $8,849.29 $8,849.29 nat. median
$5,324
1.7× median
J1306
HCPCS 		Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe 84 $3,487.52 $15,111.52 $8,647.15 nat. median
$25
outlier · 343.1×
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc/mcc 1 $8,301.06 $8,301.06 $8,301.06 nat. median
$5,010
1.7× median
684
MS_DRG 		Renal Failure Without Cc/mcc 1 $7,761.88 $7,761.88 $7,761.88 nat. median
$4,560
1.7× median
J3111
HCPCS 		Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe 84 $2,412.90 $11,179.50 $6,397.16 nat. median
$19
outlier · 336.7×
J0881
HCPCS 		Darbepoetin Alfa 200 Mcg/0.4 Ml In Polysorbate Injection Syringe 84 $594.00 $15,673.50 $5,921.10 nat. median
$899
outlier · 6.6×
J3032
HCPCS 		Eptinezumab-jjmr 100 Mg/ml Intravenous Solution 84 $1,932.00 $9,067.91 $5,174.28 nat. median
$35
outlier · 147.8×
J7165
HCPCS 		Human Prothrombin Cmpx(pcc)-lans 1,000 Unit (800-1,280 Unit) IV Solution 83 $1,575.00 $12,757.50 $5,103.00 nat. median
$5
outlier · 1102.2×
J0897
HCPCS 		Denosumab 60 Mg/ml Subcutaneous Syringe 84 $1,659.60 $8,742.11 $4,987.85 nat. median
$86
outlier · 58.0×
Q5108
HCPCS 		Pegfilgrastim-jmdb 6 Mg/0.6 Ml Subcutaneous Syringe 84 $1,182.96 $8,454.38 $4,837.78 nat. median
$418
outlier · 11.6×
Q5157
HCPCS 		Denosumab-bmwo 60 Mg/ml Subcutaneous Syringe 80 $1,950.00 $8,066.97 $4,750.55 nat. median
$68
outlier · 70.0×
J0875
HCPCS 		Dalbavancin 500 Mg Intravenous Solution 84 $1,560.00 $7,205.48 $4,123.14 nat. median
$49
outlier · 83.4×

Other procedures at this hospital

Browse this hospital's 1,786 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
             
0001U CPT DNA Hea 35 Ag 11 Bld Grp 4 4 $866.00 $562.90 35% off $640.43 $640.43 $640.43 2026-06-11
0202U CPT Resp Pathogen Ampl Probe 22, Biofire Rp2.1 1 1 $1,052.00 $683.80 35% off $520.98 $520.98 $520.98 2026-06-11
0528U CPT Lrt Iad 18bct/8virus&7arg Amp Prb 1 1 $660.00 $429.00 35% off $793.55 $793.55 $793.55 2026-06-11
11012 CPT Debrid Open Fx/Disl Bone Mlp 47 47 $1,869.00 $1,214.85 35% off $337.62 $2,548.70 $337.62 2026-06-11
12035 CPT Int Rep Sc/Ax/Tr/Ext 12.6to20 Mlp 47 47 $1,024.00 $665.60 35% off $207.26 $348.60 $207.26 2026-06-11
12045 CPT Int Rep Nk/Hds/Ft/Eg 12.6to20 Mlp 47 47 $883.00 $573.95 35% off $246.95 $415.35 $246.95 2026-06-11
12046 CPT Int Rep Nk/Hds/Ft/Eg 20.1to30 Pf 47 47 $1,248.00 $811.20 35% off $286.31 $481.57 $286.31 2026-06-11
12055 CPT Int Rep F/Een/Lp/Muc 12.6to20 Mlp 47 47 $1,362.00 $885.30 35% off $271.18 $456.11 $271.18 2026-06-11
13121 CPT Cmplx Rep Sc/Ext 2.6 To 7.5 Pf 47 47 $1,214.00 $789.10 35% off $201.73 $366.79 $201.73 2026-06-11
13132 CPT Cmplx Rep F/Nk/Hds/Ft 2.6to7.5mlp 48 48 $1,314.00 $854.10 35% off $235.31 $1,212.50 $235.31 2026-06-11
13151 CPT Cmplx Rep Een/Lp 1.0 To 2.5cm Pf 48 48 $1,175.00 $763.75 35% off $218.25 $367.09 $218.25 2026-06-11
13152 CPT Cmplx Rep Een/Lp 2.6 To 7.5cm Mlp 48 48 $1,549.00 $1,006.85 35% off $145.67 $439.46 $261.28 2026-06-11
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 $41,692.38 $27,100.05 35% off $20,205.71 $20,205.71 $20,205.71 2026-06-11
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 $72,437.22 $47,084.19 35% off $22,834.38 $22,834.38 $22,834.38 2026-06-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 $22,707.73 $14,760.02 35% off $15,973.72 $15,973.72 $15,973.72 2026-06-11
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 1 1 $26,197.93 $17,028.65 35% off $14,322.56 $14,322.56 $14,322.56 2026-06-11
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 $9,856.58 $6,406.78 35% off $10,899.99 $10,899.99 $10,899.99 2026-06-11
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 1 1 $15,890.95 $10,329.12 35% off $8,301.06 $8,301.06 $8,301.06 2026-06-11
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 $24,441.20 $15,886.78 35% off $16,995.19 $16,995.19 $16,995.19 2026-06-11
20103 CPT Expl Penetr Wound Extr Mlp 48 48 $1,547.00 $1,005.55 35% off $126.25 $1,442.85 $293.19 2026-06-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 1 1 $15,192.68 $9,875.24 35% off $12,557.62 $12,557.62 $12,557.62 2026-06-11
20680 CPT Removal Of Implant Deep Hardware Pf 48 48 $1,949.00 $1,266.85 35% off $363.71 $2,548.70 $363.71 2026-06-11
23107 CPT Arthrotomy Glenohum Jnt W Exp Wwo Rem Fb Pf 47 47 $1,952.00 $1,268.80 35% off $574.97 $6,361.60 $574.97 2026-06-11
23455 CPT Capsulorraphy Bankart Proc Pf 47 47 $4,818.00 $3,131.70 35% off $815.10 $6,361.60 $815.10 2026-06-11
23470 CPT Arthroplasty Glenoumeral Jnt Hemiarth Pf 47 47 $3,282.00 $2,133.30 35% off $1,005.61 $11,458.10 $1,005.61 2026-06-11
23472 CPT Arthroplasty Total Shoulder Pf 47 47 $4,938.00 $3,209.70 35% off $1,204.17 $16,376.61 $1,204.17 2026-06-11
23500 CPT Cl Tx Clavicular Fx Wo Man Mlp 47 47 $627.00 $407.55 35% off $201.38 $373.38 $221.99 2026-06-11
23515 CPT Orif Clavicular Fx Pf 47 47 $2,601.00 $1,690.65 35% off $623.72 $6,361.60 $623.72 2026-06-11
23570 CPT Cl Tx Scapular Fx Wo Man Pf 47 47 $786.00 $510.90 35% off $211.54 $385.03 $228.92 2026-06-11
23600 CPT Cl Tx Prox Hum Fx Wo Man Pf 47 47 $1,061.00 $689.65 35% off $298.95 $505.08 $300.29 2026-06-11
23615 CPT Orif Prox Humerus Fx Pf 47 47 $3,008.00 $1,955.20 35% off $757.89 $11,458.10 $757.89 2026-06-11
23650 CPT Cl Tx Shld Dis W Man Wo Anes Pf 47 47 $1,103.00 $716.95 35% off $299.58 $559.68 $332.76 2026-06-11
23655 CPT Cl Tx Shld Dis W Man W Anes Mlp 47 47 $1,200.00 $780.00 35% off $381.50 $1,425.19 $381.50 2026-06-11
23665 CPT Cl Tx Shld Dis Hum Fx W Man Mlp 47 47 $1,148.00 $746.20 35% off $378.87 $1,425.19 $378.87 2026-06-11
23675 CPT Cl Tx Shld Dis Nk Fx W Man Pf 47 47 $1,415.00 $919.75 35% off $466.37 $1,425.19 $466.37 2026-06-11
24105 CPT Excision,Olecranon Bursa Pf 48 48 $1,297.00 $843.05 35% off $325.37 $2,889.37 $325.37 2026-06-11
24342 CPT Reinsert Ruptured Bi/Triceps Tendon Distal Pf 47 47 $2,770.00 $1,800.50 35% off $659.72 $6,361.60 $659.72 2026-06-11
24357 CPT Tenotomy Elbow Lat Or Med Percu Pf 47 47 $1,719.00 $1,117.35 35% off $355.06 $2,889.37 $355.06 2026-06-11
24500 CPT Cl Tx Hum Shaft Fx Wo Man Mlp 47 47 $902.00 $586.30 35% off $316.03 $531.55 $316.03 2026-06-11
24505 CPT Cl Tx Hum Shaft Fx W Man Mlp 47 47 $1,365.00 $887.25 35% off $430.97 $1,425.19 $430.97 2026-06-11
24600 CPT Cl Tx Elbow Disloc Wo Anes Pf 47 47 $1,260.00 $819.00 35% off $339.77 $614.20 $365.17 2026-06-11
24605 CPT Cl Tx Elbow Disloc W Anes Pf 47 47 $1,659.00 $1,078.35 35% off $437.06 $1,425.19 $437.06 2026-06-11
24650 CPT Cl Tx Radial Head/Neck Wo Man Pf 47 47 $748.00 $486.20 35% off $233.81 $393.26 $233.81 2026-06-11
24655 CPT Cl Tx Radial Head/Neck W Man Mlp 47 47 $1,032.00 $670.80 35% off $401.26 $1,425.19 $401.26 2026-06-11
25505 CPT Cl Tx Radial Fx Shaft W Man Mlp 47 47 $1,220.00 $793.00 35% off $446.39 $1,425.19 $446.39 2026-06-11
25535 CPT Cl Tx Ulnar Shaft Fx W Man Mlp 47 47 $1,217.00 $791.05 35% off $413.34 $695.23 $413.34 2026-06-11
25565 CPT Cl Tx Rad Ulnar Shaft Fx W Man Pf 47 47 $1,578.00 $1,025.70 35% off $464.37 $1,425.19 $464.37 2026-06-11
25600 CPT Cl Tx Dist Rad Fx Wo Man Pf 47 47 $1,066.00 $692.90 35% off $303.61 $518.99 $308.56 2026-06-11
25605 CPT Cl Tx Dist Rad Rx W Man Pf 49 49 $1,981.00 $1,287.65 35% off $334.50 $3,285.64 $500.25 2026-06-11
25630 CPT Cl Tx Carpal Fx Othr Wo Man Eamlp 47 47 $877.00 $570.05 35% off $264.31 $444.56 $264.31 2026-06-11
25675 CPT Cl Tx Distal Rad Disloc W Man Mlp 47 47 $998.00 $648.70 35% off $409.83 $745.60 $443.29 2026-06-11
26055 CPT Incision Tendon Sheath Pf 48 48 $1,824.00 $1,185.60 35% off $261.65 $2,318.00 $261.65 2026-06-11
26600 CPT Cl Tx Metcrp Fx Sgl Wo Man Ea Pf 47 47 $852.00 $553.80 35% off $270.60 $457.05 $271.74 2026-06-11
26605 CPT Cl Tx Metacrp Fx Sgl W Man Ea Pf 47 47 $894.00 $581.10 35% off $283.01 $476.01 $283.01 2026-06-11
26608 CPT Percu Skeletal Fix Metacarpal Fx Ea Pf 47 47 $2,097.00 $1,363.05 35% off $423.47 $2,889.37 $423.47 2026-06-11
26670 CPT Cl Tx Cmc Dis W Man Ea Jt Mlp 47 47 $765.00 $497.25 35% off $316.05 $545.80 $324.50 2026-06-11
26700 CPT Cl Tx Mcp Dis W Man Wo Anes Mlp 47 47 $712.00 $462.80 35% off $306.64 $532.64 $316.68 2026-06-11
26705 CPT Cl Tx Mcp Dis W Man W Anes Mlp 47 47 $1,227.00 $797.55 35% off $360.63 $1,425.19 $360.63 2026-06-11
26725 CPT Cl Tx Fx Fin Thumb W Man Ea Mlp 47 47 $840.00 $546.00 35% off $292.67 $492.26 $292.67 2026-06-11
26742 CPT Cl Tx Art Fx Mcp/IP W Man Ea Pf 48 48 $1,104.00 $717.60 35% off $116.00 $1,425.19 $310.59 2026-06-11
26755 CPT Cl Tx Dstl Fx Finger W Man Ea Mlp 47 47 $704.00 $457.60 35% off $272.28 $457.96 $272.28 2026-06-11
26765 CPT Op Tx Distal Fx Fin/Thumb Ea Mlp 47 47 $1,574.00 $1,023.10 35% off $444.29 $2,889.37 $444.29 2026-06-11
26770 CPT Cl Tx Ip Jt Dis W Man Wo Anes Mlp 47 47 $817.00 $531.05 35% off $261.35 $469.79 $279.31 2026-06-11
26775 CPT Cl Tx Ip Jt Dis W Man W Anes Pf 47 47 $1,067.00 $693.55 35% off $325.13 $546.86 $325.13 2026-06-11
27130 CPT Arthroplasty Hip Total Pf 47 47 $5,255.00 $3,415.75 35% off $1,074.65 $1,807.51 $1,074.65 2026-06-11
27245 CPT Tx Femoral Fx W Intramedulary Implant Pf 47 47 $3,955.00 $2,570.75 35% off $1,033.11 $1,737.65 $1,033.11 2026-06-11
27257 CPT Tx Hip Dis Spont W Anes W Man Mlp 47 47 $1,054.00 $685.10 35% off $304.46 $1,425.19 $304.46 2026-06-11
27266 CPT Cl Tx Post Hip Arth Dis W Anes Pf 47 47 $1,855.00 $1,205.75 35% off $511.64 $1,425.19 $511.64 2026-06-11
27447 CPT Arthroplasty Knee Total Med And Lat Pf 47 47 $4,872.00 $3,166.80 35% off $1,072.96 $11,458.10 $1,072.96 2026-06-11
27524 CPT Orif Patella Pf 47 47 $2,337.00 $1,519.05 35% off $648.32 $6,361.60 $648.32 2026-06-11
27550 CPT Cl Tx Knee Disloc Wo Anes Mlp 47 47 $1,057.00 $687.05 35% off $456.65 $800.55 $475.96 2026-06-11
27560 CPT Cl Tx Patellar Disloc Wo Anes Mlp 47 47 $849.00 $551.85 35% off $335.64 $607.27 $361.05 2026-06-11
27562 CPT Cl Tx Patellar Disloc W Anes Pf 47 47 $1,385.00 $900.25 35% off $435.10 $731.82 $435.10 2026-06-11
27650 CPT Repair Primary Ruptured Achilles Tendon Pf 48 48 $2,297.00 $1,493.05 35% off $575.70 $6,361.60 $575.70 2026-06-11
27752 CPT Cl Tx Tibia Shaft Fx W Man Mlp 47 47 $1,661.00 $1,079.65 35% off $457.20 $1,425.19 $457.20 2026-06-11
27760 CPT Cl Tx Med Mall Fx Wo Man Mlp 47 47 $907.00 $589.55 35% off $290.19 $488.09 $290.19 2026-06-11
27762 CPT Cl Tx Med Mall Fx W Man Mlp 47 47 $1,465.00 $952.25 35% off $446.43 $1,425.19 $446.43 2026-06-11
27786 CPT Cl Tx Distal Fib Fx Wo Man Mlp 47 47 $909.00 $590.85 35% off $266.77 $448.70 $266.77 2026-06-11
27792 CPT Orif Trimalleolar Fx Pf 47 47 $2,292.00 $1,489.80 35% off $559.10 $6,361.60 $559.10 2026-06-11
27808 CPT Cl Tx Bimall Ankle Fx Wo Man Pf 47 47 $1,038.00 $674.70 35% off $289.90 $487.59 $289.90 2026-06-11
27810 CPT Cl Tx Bimall Ankle Fx W Man Pf 47 47 $1,684.00 $1,094.60 35% off $422.57 $1,425.19 $422.57 2026-06-11
27814 CPT Orif Bimalleolar Ankle Fx Pf 47 47 $2,786.00 $1,810.90 35% off $657.97 $6,361.60 $657.97 2026-06-11
27818 CPT Cl Tx Trimall Ankle Fx W Man Pf 48 48 $1,579.00 $1,026.35 35% off $296.50 $1,425.19 $434.11 2026-06-11
27825 CPT Cl Tx Artc Dist Tib Fx W Man Mlp 47 47 $1,346.00 $874.90 35% off $439.50 $1,425.19 $439.50 2026-06-11
27840 CPT Cl Tx Ankle Dis Wo Anes Pf 47 47 $1,395.00 $906.75 35% off $347.09 $691.80 $411.30 2026-06-11
28192 CPT Rfb Foot Deep Tissue Pf 47 47 $1,327.00 $862.55 35% off $273.14 $1,442.85 $273.14 2026-06-11
28208 CPT Rep Exten Ten Foot Ea Pf 47 47 $1,156.00 $751.40 35% off $286.26 $2,889.37 $286.26 2026-06-11
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $23,840.08 $15,496.05 35% off $16,599.53 $16,599.53 $16,599.53 2026-06-11
29807 CPT Arthroscopy Shoulder Repair Slap Pf 47 47 $4,715.00 $3,064.75 35% off $877.56 $6,361.60 $877.56 2026-06-11
29822 CPT Arthroscopy Shoulder Debrid Limited Pf 47 47 $2,231.00 $1,450.15 35% off $473.08 $2,889.37 $473.08 2026-06-11
29824 CPT Arthroscopy Shoulder Distal Claviculectomy Pf 48 48 $2,483.00 $1,613.95 35% off $586.69 $2,889.37 $586.69 2026-06-11
29827 CPT Arthroscopy Shoulder W Rotator Cuff Repair Pf 48 48 $3,315.00 $2,154.75 35% off $901.45 $6,361.60 $901.45 2026-06-11
29830 CPT Arthroscopy Elbow Dx W/wo Synov Bx Pf 47 47 $1,881.00 $1,222.65 35% off $402.18 $2,889.37 $402.18 2026-06-11
29870 CPT Arthroscopy Knee Dx W/wo Synovial Bx Pf 47 47 $1,881.00 $1,222.65 35% off $365.88 $2,889.37 $365.88 2026-06-11
29873 CPT Arthroscopy Knee W Lat Release Pf 47 47 $2,097.00 $1,363.05 35% off $475.34 $2,889.37 $475.34 2026-06-11
29874 CPT Arthroscopy Knee W Rem Loose Body Or Fb Pf 48 48 $2,188.00 $1,422.20 35% off $464.78 $2,950.00 $464.78 2026-06-11
29875 CPT Arthroscopy Knee W Syno 2 Or More Compart Pf 47 47 $2,310.00 $1,501.50 35% off $434.73 $2,889.37 $434.73 2026-06-11
29877 CPT Arthroscopy Knee W Debride Artic Cartilage Pf 48 48 $2,933.00 $1,906.45 35% off $538.83 $2,950.00 $538.83 2026-06-11
29879 CPT Arthroscopy Knee W Abrasion Arthroplasty Pf 47 47 $2,599.00 $1,689.35 35% off $572.67 $2,889.37 $572.67 2026-06-11
29880 CPT Arthroscopy Knee Surg W Meniscus Med/Lat Pf 48 48 $3,121.00 $2,028.65 35% off $489.12 $2,889.37 $489.12 2026-06-11
29881 CPT Arthroscopy Knee Surg W Menisc Med Or Lat Pf 48 48 $2,787.00 $1,811.55 35% off $473.12 $2,889.37 $473.12 2026-06-11
29888 CPT Arthro Aid Post Cruciat Lig Repr/Aug/Recon Pf 48 48 $4,484.00 $2,914.60 35% off $821.73 $6,361.60 $821.73 2026-06-11
29914 CPT Arthroscopy Hip W Femoroplasty Pf 47 47 $3,798.00 $2,468.70 35% off $845.05 $6,361.60 $845.05 2026-06-11
29916 CPT Arthroscopy Hip W Labral Repair Pf 47 47 $3,476.00 $2,259.40 35% off $859.22 $6,361.60 $859.22 2026-06-11
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 $31,993.40 $20,795.71 35% off $13,802.78 $13,802.78 $13,802.78 2026-06-11
300000001 OTHER Amino Acid 4.25 % No.1-dextrose 5 %-electrolytes No.39 IV Solution 981 79 $498.02 $323.71 35% off $2.73 $726.84 $189.80 2026-06-11
305 MS_DRG Hypertension Without Mcc 1 1 $6,523.15 $4,240.05 35% off $9,763.44 $9,763.44 $9,763.44 2026-06-11
31603 CPT Trachstmy Emerg Transtrach Pf 47 47 $1,322.00 $859.30 35% off $261.73 $1,319.10 $261.73 2026-06-11
33016 CPT Pericardiocentesis W/Imagin Pf 48 48 $987.00 $641.55 35% off $191.01 $3,216.50 $191.01 2026-06-11
36430 CPT Blood / Products Transfusion Per Hour 6 6 $705.00 $458.25 35% off $389.32 $901.46 $389.32 2026-06-11
36558 CPT Cv Cath Tunnel Wo Sq Port >5 Pf 48 48 $1,645.00 $1,069.25 35% off $218.01 $6,451.74 $218.01 2026-06-11
36565 CPT Insert Tun Cen Ven Device W 2cath Pf 47 47 $2,189.00 $1,422.85 35% off $290.79 $2,802.90 $290.79 2026-06-11
36569 CPT Picc Plc Wo Sq Port Without Img >5 Yrs 6 6 $2,093.00 $1,360.45 35% off $632.07 $3,216.50 $1,383.36 2026-06-11
388 MS_DRG Gastrointestinal Obstruction With Mcc 1 1 $17,962.13 $11,675.38 35% off $19,095.02 $19,095.02 $19,095.02 2026-06-11
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 1 $12,995.17 $8,446.86 35% off $10,080.23 $10,080.23 $10,080.23 2026-06-11
40650 CPT Rep Lip Full Thick Vermilion Mlp 47 47 $1,027.00 $667.55 35% off $317.76 $534.45 $317.76 2026-06-11
40654 CPT Rep Lip >1/2 Complex Mlp 47 47 $1,687.00 $1,096.55 35% off $363.40 $1,319.10 $363.40 2026-06-11
41251 CPT Rep Tongue Posterior Cm 2.5/< Pf 47 47 $1,019.00 $662.35 35% off $205.82 $346.19 $205.82 2026-06-11
41899 CPT Unlisted Proc Dentoalveolar Mlp 1 1 $379.00 $246.35 35% off $1,724.00 $1,724.00 $1,724.00 2026-06-11
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 1 1 $29,288.81 $19,037.73 35% off $13,656.67 $13,656.67 $13,656.67 2026-06-11
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 1 1 $12,261.43 $7,969.93 35% off $11,033.17 $11,033.17 $11,033.17 2026-06-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 1 1 $12,704.96 $8,258.22 35% off $21,078.49 $21,078.49 $21,078.49 2026-06-11
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 1 1 $14,439.12 $9,385.43 35% off $10,876.72 $10,876.72 $10,876.72 2026-06-11
46040 CPT I/d Ischio/Perirectal Abscess Mlp 48 48 $1,335.00 $867.75 35% off $396.75 $667.31 $396.75 2026-06-11
51726 CPT Complex Cystometrogram 2 2 $1,615.00 $1,049.75 35% off $417.60 $510.52 $464.06 2026-06-11
51727 CPT Cystometrogram W/Up 5 5 $1,033.00 $671.45 35% off $311.48 $1,424.80 $311.48 2026-06-11
51728 CPT Cystometrogram W/Vp 5 5 $1,022.00 $664.30 35% off $309.63 $1,424.80 $309.63 2026-06-11
51729 CPT Cystometrogram W/Vp & Up 5 5 $1,219.00 $792.35 35% off $327.46 $1,424.80 $327.46 2026-06-11
540 MS_DRG Osteomyelitis With Cc 1 1 $41,686.21 $27,096.04 35% off $16,761.16 $16,761.16 $16,761.16 2026-06-11
551 MS_DRG Medical Back Problems With Mcc 1 1 $15,933.49 $10,356.77 35% off $21,671.97 $21,671.97 $21,671.97 2026-06-11
552 MS_DRG Medical Back Problems Without Mcc 1 1 $21,023.82 $13,665.48 35% off $570.00 $570.00 $570.00 2026-06-11
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 1 1 $21,527.06 $13,992.59 35% off $10,733.19 $10,733.19 $10,733.19 2026-06-11
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 $11,539.80 $7,500.87 35% off $30,037.68 $30,037.68 $30,037.68 2026-06-11
59409 CPT Vaginal Delivery Pf 47 47 $2,912.00 $1,892.80 35% off $670.75 $1,128.17 $670.75 2026-06-11
603 MS_DRG Cellulitis Without Mcc 1 1 $21,744.98 $14,134.24 35% off $11,260.74 $11,260.74 $11,260.74 2026-06-11
637 MS_DRG Diabetes With Mcc 1 1 $16,006.82 $10,404.43 35% off $18,576.53 $18,576.53 $18,576.53 2026-06-11
638 MS_DRG Diabetes With Cc 1 1 $18,114.91 $11,774.69 35% off $11,587.87 $11,587.87 $11,587.87 2026-06-11
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 1 1 $14,276.57 $9,279.77 35% off $10,062.13 $10,062.13 $10,062.13 2026-06-11
64721 CPT Neuroplas/ Tranposit Median Nerve At Carp Tiunn Pf 32 32 $1,832.00 $1,190.80 35% off $385.89 $459.13 $385.89 2026-06-11
64999 CPT Unlisted Inj Facial Nerve Pf 1 1 $529.00 $343.85 35% off $627.20 $627.20 $627.20 2026-06-11
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 1 1 $19,640.84 $12,766.55 35% off $13,063.18 $13,063.18 $13,063.18 2026-06-11
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 1 1 $20,316.89 $13,205.98 35% off $8,849.29 $8,849.29 $8,849.29 2026-06-11
682 MS_DRG Renal Failure With Mcc 1 1 $14,021.78 $9,114.16 35% off $19,149.33 $19,149.33 $19,149.33 2026-06-11
684 MS_DRG Renal Failure Without Cc/mcc 1 1 $15,149.48 $9,847.16 35% off $7,761.88 $7,761.88 $7,761.88 2026-06-11
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 $16,985.69 $11,040.70 35% off $15,002.68 $15,002.68 $15,002.68 2026-06-11
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 1 1 $14,915.73 $9,695.22 35% off $10,466.84 $10,466.84 $10,466.84 2026-06-11
694 MS_DRG Urinary Stones Without Mcc 1 1 $8,666.18 $5,633.02 35% off $10,107.38 $10,107.38 $10,107.38 2026-06-11
70471 CPT CTA Head&Neck +Cont W/Noncontrast Img 2 2 $3,119.00 $2,027.35 35% off $360.00 $801.97 $580.99 2026-06-11
70543 CPT MRI Orbit Face And Neck W/wo Cont 7 7 $3,751.00 $2,438.15 35% off $206.54 $2,307.00 $206.54 2026-06-11
70546 CPT MRA Head W/wo Cont 5 5 $3,251.00 $2,113.15 35% off $224.84 $801.97 $224.84 2026-06-11
70549 CPT MRA Neck W/wo Cont 5 5 $4,511.00 $2,932.15 35% off $225.95 $801.97 $225.95 2026-06-11
71550 CPT MRI Chest Wo Cont 6 6 $3,298.00 $2,143.70 35% off $191.13 $570.00 $191.13 2026-06-11
71552 CPT MRI Chest W/wo Cont 7 7 $4,270.00 $2,775.50 35% off $300.57 $2,307.00 $300.57 2026-06-11
72126 CPT CT Cervical Spine W Cont 7 7 $2,874.00 $1,868.10 35% off $318.03 $1,350.00 $318.03 2026-06-11
72132 CPT CT Lumbar Spine W Cont 7 7 $3,251.00 $2,113.15 35% off $318.03 $1,415.00 $318.03 2026-06-11
72197 CPT MRI Pelvis W/wo Cont 7 7 $5,145.00 $3,344.25 35% off $202.93 $2,306.00 $202.93 2026-06-11
72198 CPT MRA Pelvis W Or Wo Cont 5 5 $3,158.00 $2,052.70 35% off $220.12 $570.00 $220.12 2026-06-11
73218 CPT MRI Extr Uppr Non Jt Wo Cont Rt 7 7 $3,166.00 $2,057.90 35% off $191.13 $1,500.00 $191.13 2026-06-11
73220 CPT MRI Extr Uppr Non Jt W/wo Cont Rt 7 7 $4,209.00 $2,735.85 35% off $267.35 $2,064.00 $267.35 2026-06-11
73222 CPT MRI Extr Uppr Jt W Cont Rt 7 7 $3,723.00 $2,419.95 35% off $204.87 $1,802.03 $204.87 2026-06-11
73223 CPT MRI Extr Uppr Jt W/wo Cont Bi 6 6 $6,683.00 $4,343.95 35% off $247.64 $801.97 $247.64 2026-06-11
73720 CPT MRI Extr Lwr Non Jt W/wo Cont Lt 7 7 $4,501.00 $2,925.65 35% off $205.15 $2,064.00 $205.15 2026-06-11
73723 CPT MRI Extr Lwr Jt W/wo Cont Lt 7 7 $4,486.00 $2,915.90 35% off $246.53 $2,064.00 $246.53 2026-06-11
74174 CPT CTA Abd Pelvis Wwo Contrast 6 6 $4,886.00 $3,175.90 35% off $239.84 $801.97 $239.84 2026-06-11
74178 CPT CT Abd Pelvis Wo Cont Then W Cont 6 6 $3,290.00 $2,138.50 35% off $212.92 $801.97 $212.92 2026-06-11
74182 CPT MRI Abdomen W Cont 6 6 $4,069.00 $2,644.85 35% off $191.82 $801.97 $191.82 2026-06-11
74183 CPT MRI Abdomen W/wo Cont 7 7 $5,298.00 $3,443.70 35% off $204.04 $2,307.00 $204.04 2026-06-11
78070 CPT Nm Parathyroid Planar Imaging 6 6 $1,619.00 $1,052.35 35% off $193.44 $1,083.00 $193.44 2026-06-11
78226 CPT Nm Hepatobiliary System 5 5 $1,983.00 $1,288.95 35% off $218.43 $918.97 $218.43 2026-06-11
78227 CPT Nm Hepatobil Imag W Pharm Intervention 5 5 $2,661.00 $1,729.65 35% off $296.97 $1,248.14 $296.97 2026-06-11
78264 CPT Nm Gastric Emptying Study 5 5 $1,978.00 $1,285.70 35% off $221.18 $918.97 $221.18 2026-06-11
78265 CPT Nm Gastric Emptying W Sm Bowel 5 5 $1,700.00 $1,105.00 35% off $261.73 $918.97 $261.73 2026-06-11
78266 CPT Nm Gastric Empty W Sm Bowel Multi 5 5 $2,251.00 $1,463.15 35% off $300.02 $1,248.14 $300.02 2026-06-11
78278 CPT Nm Acute Gi Blood Loss Imaging 5 5 $1,847.00 $1,200.55 35% off $227.29 $918.97 $227.29 2026-06-11
78306 CPT Nm Bone And Or Jnt Imag Whol Body 6 6 $2,420.00 $1,573.00 35% off $191.52 $1,073.00 $191.52 2026-06-11
78315 CPT Nm Bone And Or Jnt Imag 3 Phase 5 5 $2,579.00 $1,676.35 35% off $224.51 $918.97 $224.51 2026-06-11
78582 CPT Nm Pulmonary Ventilation Perfusion Imag 5 5 $2,018.00 $1,311.70 35% off $211.76 $1,248.14 $211.76 2026-06-11
81121 CPT Idh2 Common Variants 4 4 $732.00 $475.80 35% off $263.10 $263.10 $263.10 2026-06-11
81208 CPT Bcr/Abl1 Transloc Analysis Other Breakpt 5 5 $587.00 $381.55 35% off $190.90 $268.28 $190.90 2026-06-11
81218 CPT Cebpa Gene Full Sequence 4 4 $747.00 $485.55 35% off $215.17 $215.17 $215.17 2026-06-11
81222 CPT Cftr Gene Dup/Delet Variants 4 4 $1,199.00 $779.35 35% off $386.99 $386.99 $386.99 2026-06-11
81223 CPT Cftr Gene Full Sequence 4 4 $1,832.00 $1,190.80 35% off $443.85 $443.85 $443.85 2026-06-11
81229 CPT Chromosomal Microarray 5 5 $2,277.00 $1,480.05 35% off $1,031.80 $1,450.00 $1,031.80 2026-06-11
81235 CPT Egfr Gene Analysis Common Variants 5 5 $991.00 $644.15 35% off $288.71 $405.73 $288.71 2026-06-11
81259 CPT Hba1/Hba2 Full Gene Sequence 4 4 $702.00 $456.30 35% off $533.69 $533.69 $533.69 2026-06-11
81263 CPT Igvh Mutation Analysis 44 43 $901.00 $585.65 35% off $288.92 $485.96 $288.92 2026-06-11
81265 CPT Maternal Cell Contamination, Molecular Analysis 4 4 $1,248.00 $811.20 35% off $207.31 $207.31 $207.31 2026-06-11
81272 CPT Gist Kit Gene Targeted Seq Analys 5 5 $751.00 $488.15 35% off $293.09 $411.89 $293.09 2026-06-11
81301 CPT Microsatellite Instability 6 6 $877.00 $570.05 35% off $296.28 $580.01 $310.04 2026-06-11
81310 CPT Nucleophsomin Mutation Analysis 51 50 $785.00 $510.25 35% off $219.28 $406.76 $241.84 2026-06-11
81311 CPT Nras Gene Variants Exon 2&3 50 49 $847.00 $550.55 35% off $263.10 $488.05 $290.17 2026-06-11
81314 CPT Pdgfra Gene Analysis 5 5 $830.00 $539.50 35% off $293.09 $411.89 $293.09 2026-06-11
81364 CPT Hbb Full Gene Sequence 5 5 $686.00 $445.90 35% off $288.71 $405.73 $288.71 2026-06-11
81404 CPT Hereditary Pancreatitis, Mol Path Level 5 4 4 $947.00 $615.55 35% off $244.46 $244.46 $244.46 2026-06-11
81405 CPT Hereditary Pancreatitis, Mol Path Level 6 4 4 $1,182.00 $768.30 35% off $268.05 $268.05 $268.05 2026-06-11
81406 CPT Noonan Spectrum Sequence Level 7 4 4 $2,050.00 $1,332.50 35% off $251.62 $251.62 $251.62 2026-06-11
81408 CPT Dmd Musc Dystrophy Mol Path Level 9 4 4 $1,737.00 $1,129.05 35% off $1,778.97 $1,778.97 $1,778.97 2026-06-11
81420 CPT Fetal Chromosomal Aneupoidy 13 18 21 Blood 4 4 $1,873.00 $1,217.45 35% off $675.16 $675.16 $675.16 2026-06-11
81435 CPT Hereditary Colon Cancer, 5 Or More Genes 5 5 $3,859.00 $2,508.35 35% off $1,159.85 $1,629.94 $1,159.85 2026-06-11
81445 CPT Gen Seq Analys Lung W Rearr 5-50 Genes 4 4 $3,604.00 $2,342.60 35% off $531.83 $531.83 $531.83 2026-06-11
81450 CPT Ngs Acute Myeloid Leukemia 5 5 $1,884.00 $1,224.60 35% off $675.59 $949.41 $675.59 2026-06-11
81511 CPT Fetal Congenital Abn 4 Analytes 1 1 $309.00 $200.85 35% off $191.88 $191.88 $191.88 2026-06-11
864 MS_DRG Fever And Inflammatory Conditions 1 1 $52,098.05 $33,863.73 35% off $11,477.96 $11,477.96 $11,477.96 2026-06-11
86581 CPT Strep Pneumo Igg Ia Quant 1 1 $163.00 $105.95 35% off $208.00 $208.00 $208.00 2026-06-11
86890 CPT Autologous Blood Collect/Process 1 1 $402.00 $261.30 35% off $304.61 $304.61 $304.61 2026-06-11
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 $21,123.14 $13,730.04 35% off $25,116.53 $25,116.53 $25,116.53 2026-06-11
87154 CPT Bld Cult Typg Nuc Acid Amp Probe, 6 Or > Trgt 5 5 $1,161.00 $754.65 35% off $193.96 $272.58 $193.96 2026-06-11
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 1 $20,480.54 $13,312.35 35% off $13,231.27 $13,231.27 $13,231.27 2026-06-11
87483 CPT Inf Agent Dna/Rna Cns Amp Probe Path 12-25 1 1 $1,095.00 $711.75 35% off $520.98 $520.98 $520.98 2026-06-11
87496 CPT Cytomegalovirus Amplified Probe 2 2 $370.00 $240.50 35% off $43.86 $372.29 $208.07 2026-06-11
87902 CPT Hepatitis C RNA Genotype 7 7 $1,246.00 $809.90 35% off $229.00 $347.56 $229.00 2026-06-11
88120 CPT Fish Bladder Cancer Urine Furo 5 5 $653.00 $424.45 35% off $304.61 $486.88 $486.88 2026-06-11
88377 CPT Her2 M/Phmtrc Anlys Ish Quant/Semiq Man Ea 5 5 $595.00 $386.75 35% off $304.61 $334.01 $334.01 2026-06-11
90375 HCPCS Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution 113 83 $3,123.50 $2,030.27 35% off $525.02 $2,811.15 $1,655.46 2026-06-11
90662 HCPCS Flu Vaccine Triv 2025-26 (65yr Up)(pf)180 Mcg/0.5 Ml IM Syringe 114 84 $575.29 $373.94 35% off $65.26 $517.76 $304.90 2026-06-11
90675 HCPCS Rabies Vaccine,human Diploid (pf) 2.5 Unit Intramuscular Solution 114 84 $2,111.45 $1,372.44 35% off $306.90 $1,900.31 $1,087.40 2026-06-11
90677 HCPCS Pneumococcal 20-valent Conj Vaccine-dip Crm (pf) 0.5 Ml IM Syringe 114 84 $2,072.04 $1,346.83 35% off $279.05 $1,864.84 $1,067.10 2026-06-11
92523 CPT Eval Spch Sound Prod W/Lang Comp Up To 105m 5 5 $607.00 $394.55 35% off $202.75 $367.05 $202.75 2026-06-11
93307 CPT Echo 2d W Or Wo M Mode Complete 6 6 $2,029.00 $1,318.85 35% off $215.26 $762.00 $215.26 2026-06-11
93325 CPT Doppler Color Flow Mapping 1 1 $1,040.00 $676.00 35% off $484.60 $484.60 $484.60 2026-06-11
93880 CPT Carotid Duplex Scan Bilat 6 6 $1,757.00 $1,142.05 35% off $215.26 $865.00 $215.26 2026-06-11
93925 CPT Art Lwr Extr Duplex Graft Comp Bi 6 6 $1,697.00 $1,103.05 35% off $202.67 $796.00 $202.67 2026-06-11
93975 CPT Art/Ven Duplex Abd/Pelv/Retr Comp 6 6 $1,497.00 $973.05 35% off $223.84 $873.94 $223.84 2026-06-11
94660 CPT Bipap Subseq Day 1 1 $1,263.00 $820.95 35% off $447.44 $447.44 $447.44 2026-06-11
94669 CPT Mechanical Chest Wall Oscillation Per Session 1 1 $229.00 $148.85 35% off $447.44 $447.44 $447.44 2026-06-11
94799 CPT High Humidity Therapy 2 2 $167.00 $108.55 35% off $127.00 $262.92 $194.96 2026-06-11
95782 CPT Polysom Attended >3 Chn <6 Yrs 5 5 $3,985.00 $2,590.25 35% off $823.89 $1,754.68 $823.89 2026-06-11
95805 CPT Multiple Sleep Latency Test 6 6 $3,304.00 $2,147.60 35% off $363.59 $1,754.68 $363.59 2026-06-11
95810 CPT Polysom Attended >3 Chn 6/> Yrs 6 6 $5,820.00 $3,783.00 35% off $527.77 $2,956.00 $527.77 2026-06-11
95811 CPT Polysom Attended W Cpap/Bip 6/> Yrs 6 6 $6,319.00 $4,107.35 35% off $551.66 $3,224.00 $551.66 2026-06-11
95819 CPT EEG W Awake And Asleep Record 6 6 $1,394.00 $906.10 35% off $382.46 $594.00 $382.46 2026-06-11
96409 CPT Chemo IV Push Single/Initial 5 5 $390.00 $253.50 35% off $295.37 $573.68 $295.37 2026-06-11
96413 CPT Chemo IV Infusion Sgl/Init<1hr 5 5 $520.00 $338.00 35% off $295.37 $573.68 $295.37 2026-06-11
97606 CPT Neg Press Wound Tx By Dme > 50 Sqcm 1 1 $671.00 $436.15 35% off $706.04 $706.04 $706.04 2026-06-11
97607 CPT Neg Press Wnd Tx Disp </=50 Sq Cm 1 1 $397.00 $258.05 35% off $706.04 $706.04 $706.04 2026-06-11
97608 CPT Neg Press Wound Tx Disp >50 Cm 1 1 $534.00 $347.10 35% off $706.04 $706.04 $706.04 2026-06-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 $46,403.08 $30,162.00 35% off $31,788.41 $31,788.41 $31,788.41 2026-06-11
99255 CPT New/Est IP/Obs Consult High > 80 Min Pf 1 1 $559.00 $363.35 35% off $209.44 $209.44 $209.44 2026-06-11
A9579 HCPCS Gadopentetate Dimeglumine 10 Mmol/20 Ml (469.01 Mg/ml) IV Syringe 110 80 $605.70 $393.70 35% off $36.00 $4,148.40 $323.44 2026-06-11
A9581 HCPCS Gadoxetate 0.25 Mmol/ml (181.43 Mg/ml) Intravenous Solution 110 80 $955.40 $621.01 35% off $182.70 $859.86 $506.36 2026-06-11
C1751 HCPCS Cath Picc Pwrpicc Hf 5fr Tl 1 1 $672.00 $436.80 35% off $738.14 $738.14 $738.14 2026-06-11
C8900 HCPCS MRA Abdomen W Cont 2 2 $2,665.00 $1,732.25 35% off $570.00 $712.86 $641.43 2026-06-11
C8902 HCPCS MRA Abdomen W/wo Cont 2 2 $3,598.00 $2,338.70 35% off $570.00 $712.86 $641.43 2026-06-11
C9399 HCPCS Baricitinib 1 Mg Tablet 109 79 $408.57 $265.57 35% off $40.86 $367.71 $219.81 2026-06-11
G0177 HCPCS Psy Train & Education Srvc (45 Min Or More Per Session) 1 1 $174.00 $113.10 35% off $410.78 $410.78 $410.78 2026-06-11
G0260 HCPCS Inj Sacroiliac Jnt Therapeutic Pf 1 1 $1,911.00 $1,242.15 35% off $1,262.05 $1,262.05 $1,262.05 2026-06-11
G0379 HCPCS Observation Dir Admit Per Encounter 2 2 $607.00 $394.55 35% off $1,064.75 $1,200.00 $1,132.38 2026-06-11
G0399 HCPCS Home Sleep Test Type 3 Porta 1 1 $1,101.00 $715.65 35% off $386.05 $386.05 $386.05 2026-06-11
J0132 HCPCS Acetylcysteine 200 Mg/ml (20 %) Intravenous Solution 114 84 $358.38 $232.95 35% off $33.00 $322.54 $189.94 2026-06-11
J0248 HCPCS Remdesivir 100 Mg Intravenous Powder For Solution 114 84 $3,188.84 $2,072.75 35% off $635.00 $2,869.96 $1,642.26 2026-06-11
J0517 HCPCS Benralizumab 30 Mg/ml Subcutaneous Syringe 228 84 $30,139.85 $19,590.90 35% off $4,976.70 $27,150.62 $15,521.61 2026-06-11
J0561 HCPCS Penicillin G Benzathine 1,200,000 Unit/2 Ml Intramuscular Syringe 114 84 $1,365.99 $887.89 35% off $160.92 $1,229.39 $703.49 2026-06-11
J0630 HCPCS Calcitonin (salmon) 200 Unit/ml Injection Solution 112 82 $3,600.00 $2,340.00 35% off $892.64 $3,240.00 $1,908.00 2026-06-11
J0712 HCPCS Ceftaroline Fosamil 400 Mg Intravenous Solution 226 83 $1,695.64 $1,102.16 35% off $158.00 $1,637.42 $909.68 2026-06-11
J0834 HCPCS Cosyntropin 0.25 Mg Solution For Injection 114 84 $717.29 $466.24 35% off $20.16 $645.56 $380.16 2026-06-11
J0875 HCPCS Dalbavancin 500 Mg Intravenous Solution 114 84 $8,006.09 $5,203.96 35% off $1,560.00 $7,205.48 $4,123.14 2026-06-11
J0881 HCPCS Darbepoetin Alfa 200 Mcg/0.4 Ml In Polysorbate Injection Syringe 228 84 $12,190.50 $7,923.82 35% off $594.00 $15,673.50 $5,921.10 2026-06-11
J0885 HCPCS Epoetin Alfa 20,000 Unit/ml Injection Solution 228 84 $3,006.57 $1,954.27 35% off $67.00 $4,329.45 $1,022.24 2026-06-11
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution 456 84 $41,981.40 $27,287.91 35% off $4,128.00 $56,687.22 $17,877.20 2026-06-11
J0897 HCPCS Denosumab 60 Mg/ml Subcutaneous Syringe 228 84 $9,685.95 $6,295.86 35% off $1,659.60 $8,742.11 $4,987.85 2026-06-11
J1306 HCPCS Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe 114 84 $16,790.58 $10,913.88 35% off $3,487.52 $15,111.52 $8,647.15 2026-06-11
J1335 HCPCS Ertapenem 1 Gram Solution For Injection 114 84 $934.13 $607.18 35% off $17.90 $840.72 $481.08 2026-06-11
J1442 HCPCS Filgrastim 480 Mcg/0.8 Ml Injection Syringe 114 84 $2,391.44 $1,554.44 35% off $470.40 $2,152.30 $1,231.59 2026-06-11
J1447 HCPCS Tbo-filgrastim 480 Mcg/0.8 Ml Subcutaneous Syringe 114 84 $1,799.51 $1,169.68 35% off $148.80 $1,619.56 $926.75 2026-06-11
J1610 HCPCS Glucagon 1 Mg Solution For Injection Emergency Kit 114 84 $1,884.40 $1,224.86 35% off $181.45 $1,695.96 $970.47 2026-06-11
J1611 HCPCS Glucagon Hcl 1 Mg/ml Solution For Injection 114 84 $1,700.54 $1,105.35 35% off $111.91 $1,530.49 $875.78 2026-06-11
J1756 HCPCS Iron Sucrose 100 Mg Iron/5 Ml Intravenous Solution 114 84 $403.20 $262.08 35% off $23.00 $362.88 $213.70 2026-06-11
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 228 84 $108,598.95 $70,589.32 35% off $17,631.00 $97,763.81 $55,928.05 2026-06-11
J2404 HCPCS Nicardipine 20 Mg/200 Ml(0.1 Mg/ml) In Sod Chlor(iso) Intravenous Soln 114 84 $547.83 $356.09 35% off $16.00 $493.05 $290.35 2026-06-11
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 114 84 $28,880.96 $18,772.62 35% off $239.76 $25,992.86 $14,873.69 2026-06-11
J2598 HCPCS Vasopressin 20 Unit/ml Intravenous Solution 114 84 $707.36 $459.78 35% off $13.20 $636.62 $374.90 2026-06-11
J2791 HCPCS Rho(d) Immune Globulin 300 Mcg (1,500 Unit)/2 Ml Injection Syringe 114 84 $796.32 $517.61 35% off $73.35 $716.69 $422.05 2026-06-11
J2997 HCPCS Alteplase 100 Mg Intravenous Solution 342 84 $5,940.00 $3,861.00 35% off $182.94 $35,641.46 $3,059.10 2026-06-11
J3032 HCPCS Eptinezumab-jjmr 100 Mg/ml Intravenous Solution 228 84 $10,047.95 $6,531.16 35% off $1,932.00 $9,067.91 $5,174.28 2026-06-11
J3101 HCPCS Tenecteplase Injection Kit For Acute Ischemic Stroke (kit) 223 84 $37,337.67 $24,269.49 35% off $8,121.50 $34,612.03 $19,788.97 2026-06-11
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe 114 84 $12,421.67 $8,074.09 35% off $2,412.90 $11,179.50 $6,397.16 2026-06-11
J3424 HCPCS Hydroxocobalamin 5 Gram Intravenous Solution 109 79 $7,053.04 $4,584.48 35% off $1,748.84 $6,347.74 $3,738.11 2026-06-11
J3473 HCPCS Hyaluronidase, Human Recombinant 150 Unit/ml Injection Solution 110 80 $375.54 $244.10 35% off $67.50 $337.99 $200.54 2026-06-11
J3489 HCPCS Zoledronic Acid 5 Mg/100 Ml In Mannitol 5 %-water Intravenous Piggybck 114 84 $450.00 $292.50 35% off $28.00 $405.00 $238.50 2026-06-11
J7165 HCPCS Human Prothrombin Cmpx(pcc)-lans 1,000 Unit (800-1,280 Unit) IV Solution 226 83 $10,631.25 $6,910.31 35% off $1,575.00 $12,757.50 $5,103.00 2026-06-11
J7528 HCPCS Mycophenolate Mofetil 200 Mg/ml Oral Powder For Suspension 109 79 $4,988.00 $3,242.20 35% off $1,236.80 $4,489.20 $2,643.64 2026-06-11
L0172 HCPCS C-collar Open Trach 2.25 Ped 1 1 $41.00 $26.65 35% off $283.43 $283.43 $283.43 2026-06-11
L1832 HCPCS Fa Brace Post-op Tele-fit Cool 1 1 $279.00 $181.35 35% off $1,222.60 $1,222.60 $1,222.60 2026-06-11
L3660 HCPCS Immob Ortho Xl Shldr 1 1 $9.00 $5.85 35% off $202.25 $202.25 $202.25 2026-06-11
L3670 HCPCS Immob Ortho Plas Shldr Str Med 1 1 $47.00 $30.55 35% off $231.04 $231.04 $231.04 2026-06-11
L4360 HCPCS Fa Boot Walk Alum Ankl Pneum Med 1 1 $98.00 $63.70 35% off $556.82 $556.82 $556.82 2026-06-11
L4361 HCPCS Boot Walk Maxtrax 2 Tall Med 1 1 $130.00 $84.50 35% off $556.82 $556.82 $556.82 2026-06-11
P9035 HCPCS Platelet Pheresis Leukoreduced Ea 6 6 $2,074.00 $1,348.10 35% off $389.81 $1,124.00 $389.81 2026-06-11
P9037 HCPCS Plt Pheresis Leukored Irrad Ea 5 5 $2,192.00 $1,424.80 35% off $483.98 $850.76 $483.98 2026-06-11
P9047 HCPCS Albumin, Human 25 % Intravenous Solution 114 84 $605.70 $393.70 35% off $49.70 $545.13 $321.02 2026-06-11
P9053 HCPCS Plt Pher Leukored Irr Cmv Neg Ea 5 5 $2,192.00 $1,424.80 35% off $459.47 $624.28 $459.47 2026-06-11
P9058 HCPCS Rbc Leukored Irrad Cmv Neg Ea 5 5 $1,000.00 $650.00 35% off $225.26 $309.26 $225.26 2026-06-11
P9073 HCPCS Platelets Pheresis Pathogen Reduced Ea 1 1 $1,610.00 $1,046.50 35% off $753.21 $753.21 $753.21 2026-06-11
Q0138 HCPCS Ferumoxytol 510 Mg/17 Ml (30 Mg/ml) Intravenous Solution 114 84 $4,971.92 $3,231.75 35% off $142.80 $4,474.73 $2,560.54 2026-06-11
Q4101 HCPCS Graft Skin Apligraf Per Sqcm(44sqcm) 1 1 $122.00 $79.30 35% off $222.50 $222.50 $222.50 2026-06-11
Q4121 HCPCS Allogrft Skin 2x3in Lg Theraskin (39 Sqcm) Per Sqcm 1 1 $131.00 $85.15 35% off $222.50 $222.50 $222.50 2026-06-11
Q4159 HCPCS Graft Affinity 2.5x2.5cm (per Sqcm) 1 1 $481.00 $312.65 35% off $222.50 $222.50 $222.50 2026-06-11
Q5108 HCPCS Pegfilgrastim-jmdb 6 Mg/0.6 Ml Subcutaneous Syringe 114 84 $9,393.76 $6,105.94 35% off $1,182.96 $8,454.38 $4,837.78 2026-06-11
Q5157 HCPCS Denosumab-bmwo 60 Mg/ml Subcutaneous Syringe 220 80 $8,935.80 $5,808.27 35% off $1,950.00 $8,066.97 $4,750.55 2026-06-11
Q9968 HCPCS Methylene Blue (antidote) 5 Mg/ml Intravenous Solution 114 84 $1,577.45 $1,025.34 35% off $29.50 $1,419.71 $812.39 2026-06-11
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