Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

CORDELL MEMORIAL HOSPITAL

Cordell, OK · CCN 371325 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $465 across 16 payers · range $65-$1,906

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbCMHCORDELLOK&type=CDMWithoutLabel&fileType=CSV · observed 2026-02-04

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.

1,564 distinct procedures filed
16 distinct payers
21,922 rate rows
2026-02-04 last MRF observed
Data quality

21,574 of 21,922 rate rows are consumer-grade (98.4%)

348 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 188
exceeds 3× this hospital's gross charge for a DRG stay — excluded 42
exceeds 10× this hospital's gross charge — excluded from medians 39
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 34
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
percent-of-charges filed in the dollar field — excluded from medians 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbCMHCORDELLOK&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/CordellMemorial.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-25
Content fingerprint daac900a3a317b6f… · 7,619,543 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
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 8 $11,717.40 $19,553.48 $13,003.62 nat. median
$18,115
0.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 $9,141.82 $20,367.11 $12,398.98 nat. median
$18,642
0.7× median
J0517
HCPCS 		Injection, Benralizumab, 1 Mg 15 $82.08 $29,497.80 $10,619.21 nat. median
$919
outlier · 11.6×
J2356
HCPCS 		Injection, Tezepelumab-ekko, 1 Mg 10 $5,732.53 $22,048.20 $10,516.99 nat. median
$81
outlier · 129.3×
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 9 $8,787.61 $36,674.50 $10,405.57 nat. median
$15,974
0.7× median
291
MS_DRG 		Heart Failure And Shock With Mcc 8 $6,553.20 $13,460.64 $8,538.95 nat. median
$12,770
0.7× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 8 $4,849.20 $14,003.77 $8,525.13 nat. median
$12,850
0.7× median
555
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 8 $6,245.50 $13,859.07 $8,437.05 nat. median
$13,173
0.6× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 9 $5,107.65 $26,479.92 $8,389.82 nat. median
$12,868
0.7× median
949
MS_DRG 		Aftercare With Cc/mcc 8 $7,593.86 $12,474.00 $8,334.15 nat. median
$11,796
0.7× median
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 10 $4,528.00 $17,415.40 $8,307.15 nat. median
$44
outlier · 188.1×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 9 $5,563.72 $34,877.53 $7,885.56 nat. median
$12,282
0.6× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 8 $6,770.95 $11,807.16 $7,187.90 nat. median
$11,479
0.6× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 9 $5,404.57 $30,116.00 $7,070.45 nat. median
$11,062
0.6× median
181
MS_DRG 		Respiratory Neoplasms With Cc 8 $5,587.21 $11,229.44 $6,836.19 nat. median
$11,134
0.6× median
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 8 $4,406.70 $10,807.94 $6,579.60 nat. median
$10,485
0.6× median
71
MS_DRG 		Other Cerebrovascular Disorders With Cc 8 $4,115.60 $10,757.61 $6,548.96 nat. median
$10,551
0.6× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 8 $4,344.99 $10,729.30 $6,531.72 nat. median
$10,401
0.6× median
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 16 $41.04 $22,205.60 $6,487.40 nat. median
$500
outlier · 13.0×
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 8 $4,920.21 $10,642.28 $6,478.75 nat. median
$10,316
0.6× median
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 8 $5,055.09 $10,282.64 $6,259.81 nat. median
$10,022
0.6× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 8 $5,013.33 $10,233.36 $6,229.81 nat. median
$10,198
0.6× median
603
MS_DRG 		Cellulitis Without Mcc 10 $3,895.20 $52,317.68 $6,154.22 nat. median
$8,986
0.7× median
638
MS_DRG 		Diabetes With Cc 8 $4,036.78 $9,396.66 $5,720.44 nat. median
$9,225
0.6× median
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 10 $3,537.18 $19,986.50 $5,720.34 nat. median
$8,376
0.7× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 10 $4,158.75 $30,523.90 $5,694.90 nat. median
$8,516
0.7× median
683
MS_DRG 		Renal Failure With Cc 8 $3,940.77 $9,182.76 $5,590.23 nat. median
$9,108
0.6× median
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 10 $3,194.05 $17,120.13 $5,499.15 nat. median
$8,109
0.7× median
292
MS_DRG 		Heart Failure And Shock With Cc 8 $3,869.60 $8,901.77 $5,419.17 nat. median
$8,952
0.6× median
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 9 $4,403.96 $19,824.50 $5,369.38 nat. median
$8,937
0.6× median
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 8 $4,368.53 $7,175.93 $5,317.52 nat. median
$7,559
0.7× median
556
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 8 $4,052.79 $8,708.84 $5,301.72 nat. median
$8,633
0.6× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 9 $4,884.80 $29,487.40 $5,154.91 nat. median
$8,433
0.6× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 8 $4,301.32 $8,428.89 $5,131.29 nat. median
$8,655
0.6× median
544
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 8 $4,698.21 $7,911.98 $4,816.61 nat. median
$8,141
0.6× median
15274
HCPCS 		Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each… 15 $2,594.67 $10,788.66 $3,883.92 nat. median
$797
outlier · 4.9×
15273
HCPCS 		Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 15 $2,594.67 $10,788.66 $3,883.92 nat. median
$3,108
1.2× median
684
MS_DRG 		Renal Failure Without Cc/mcc 9 $2,587.37 $12,017.40 $3,831.71 nat. median
$6,645
0.6× median
390
MS_DRG 		Gastrointestinal Obstruction Without Cc/mcc 9 $2,584.05 $24,462.40 $3,472.35 nat. median
$6,116
0.6× median
J1459
HCPCS 		Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 15 $18.06 $9,518.10 $3,426.52 nat. median
$1,388
outlier · 2.5×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 15 $8.75 $9,480.80 $3,413.09 nat. median
$1,972
1.7× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 2 $3,076.50 $3,076.50 $3,076.50 nat. median
$29,838
outlier · 0.1×
J1439
HCPCS 		Injection, Ferric Carboxymaltose, 1 Mg 15 $0.82 $7,759.80 $2,793.53 nat. median
$14
outlier · 197.1×
11047
HCPCS 		Removal Of Bone, Each Additional 20.0 Sq Cm Or Less 15 $1,120.85 $4,465.93 $2,719.32 nat. median
$937
outlier · 2.9×
15271
HCPCS 		Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 15 $1,364.42 $5,247.78 $2,594.67 nat. median
$1,725
1.5× median
C5273
HCPCS 		Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound… 15 $1,364.42 $5,247.78 $2,594.67 nat. median
$2,424
1.1× median
15278
HCPCS 		Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 15 $1,364.42 $5,247.78 $2,594.67 nat. median
$854
outlier · 3.0×
15275
HCPCS 		Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 15 $1,364.42 $5,247.78 $2,594.67 nat. median
$1,713
1.5× median
C5274
HCPCS 		Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound… 15 $1,364.42 $5,247.78 $2,594.67 nat. median
$1,322
2.0× median
15277
HCPCS 		Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 15 $1,364.42 $5,247.78 $2,594.67 nat. median
$2,073
1.3× median

Other procedures at this hospital

Browse this hospital's 1,564 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
             
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 8 8 $11,717.40 $9,373.92 $11,717.40 $19,553.48 $13,003.62 2026-02-04
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 8 $13,806.60 $11,045.28 20% off $9,141.82 $20,367.11 $12,398.98 2026-02-04
J0517 HCPCS Injection, Benralizumab, 1 Mg 15 15 $29,497.80 $23,598.24 $82.08 $29,497.80 $10,619.21 2026-02-04
J2356 HCPCS Injection, Tezepelumab-ekko, 1 Mg 10 10 $22,048.20 $17,638.56 $5,732.53 $22,048.20 $10,516.99 2026-02-04
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 9 9 $16,690.90 $13,352.72 20% off $8,787.61 $36,674.50 $10,405.57 2026-02-04
291 MS_DRG Heart Failure And Shock With Mcc 8 8 $6,553.20 $5,242.56 $6,553.20 $13,460.64 $8,538.95 2026-02-04
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 8 8 $4,849.20 $3,879.36 $4,849.20 $14,003.77 $8,525.13 2026-02-04
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 8 8 $6,245.50 $4,996.40 20% off $6,245.50 $13,859.07 $8,437.05 2026-02-04
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 9 9 $13,157.52 $10,526.02 $5,107.65 $26,479.92 $8,389.82 2026-02-04
949 MS_DRG Aftercare With Cc/mcc 8 8 $21,533.70 $17,226.96 20% off $7,593.86 $12,474.00 $8,334.15 2026-02-04
J1306 HCPCS Injection, Inclisiran, 1 Mg 10 10 $17,415.40 $13,932.32 20% off $4,528.00 $17,415.40 $8,307.15 2026-02-04
189 MS_DRG Pulmonary Edema And Respiratory Failure 9 9 $11,819.53 $9,455.62 20% off $5,563.72 $34,877.53 $7,885.56 2026-02-04
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 8 8 $21,340.60 $17,072.48 $6,770.95 $11,807.16 $7,187.90 2026-02-04
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 9 9 $13,463.00 $10,770.40 20% off $5,404.57 $30,116.00 $7,070.45 2026-02-04
181 MS_DRG Respiratory Neoplasms With Cc 8 8 $5,861.65 $4,689.32 20% off $5,587.21 $11,229.44 $6,836.19 2026-02-04
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 8 8 $4,406.70 $3,525.36 $4,406.70 $10,807.94 $6,579.60 2026-02-04
71 MS_DRG Other Cerebrovascular Disorders With Cc 8 8 $4,115.60 $3,292.48 20% off $4,115.60 $10,757.61 $6,548.96 2026-02-04
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 8 8 $8,838.10 $7,070.48 20% off $4,344.99 $10,729.30 $6,531.72 2026-02-04
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 41 16 $6,487.40 $5,189.92 $41.04 $22,205.60 $6,487.40 2026-02-04
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 8 8 $6,184.30 $4,947.44 20% off $4,920.21 $10,642.28 $6,478.75 2026-02-04
378 MS_DRG Gastrointestinal Hemorrhage With Cc 8 8 $17,304.90 $13,843.92 20% off $5,055.09 $10,282.64 $6,259.81 2026-02-04
178 MS_DRG Respiratory Infections And Inflammations With Cc 8 8 $7,985.53 $6,388.43 $5,013.33 $10,233.36 $6,229.81 2026-02-04
603 MS_DRG Cellulitis Without Mcc 10 10 $19,011.68 $15,209.34 20% off $3,895.20 $52,317.68 $6,154.22 2026-02-04
638 MS_DRG Diabetes With Cc 8 8 $4,980.90 $3,984.72 20% off $4,036.78 $9,396.66 $5,720.44 2026-02-04
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 10 10 $6,664.10 $5,331.28 20% off $3,537.18 $19,986.50 $5,720.34 2026-02-04
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 10 10 $10,540.30 $8,432.24 $4,158.75 $30,523.90 $5,694.90 2026-02-04
683 MS_DRG Renal Failure With Cc 8 8 $12,754.20 $10,203.36 20% off $3,940.77 $9,182.76 $5,590.23 2026-02-04
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 10 10 $7,128.33 $5,702.67 $3,194.05 $17,120.13 $5,499.15 2026-02-04
292 MS_DRG Heart Failure And Shock With Cc 8 8 $3,869.60 $3,095.68 20% off $3,869.60 $8,901.77 $5,419.17 2026-02-04
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 9 9 $9,832.70 $7,866.16 20% off $4,403.96 $19,824.50 $5,369.38 2026-02-04
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 8 8 $15,347.78 $12,278.22 20% off $4,368.53 $7,175.93 $5,317.52 2026-02-04
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 8 8 $12,558.90 $10,047.12 $4,052.79 $8,708.84 $5,301.72 2026-02-04
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 9 9 $11,553.40 $9,242.72 20% off $4,884.80 $29,487.40 $5,154.91 2026-02-04
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 8 8 $8,114.90 $6,491.92 $4,301.32 $8,428.89 $5,131.29 2026-02-04
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 8 8 $9,963.30 $7,970.64 $4,698.21 $7,911.98 $4,816.61 2026-02-04
15274 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each… 15 15 $10,788.66 $8,630.93 $2,594.67 $10,788.66 $3,883.92 2026-02-04
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 15 15 $10,788.66 $8,630.93 $2,594.67 $10,788.66 $3,883.92 2026-02-04
684 MS_DRG Renal Failure Without Cc/mcc 9 9 $4,331.40 $3,465.12 $2,587.37 $12,017.40 $3,831.71 2026-02-04
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 9 9 $9,090.40 $7,272.32 20% off $2,584.05 $24,462.40 $3,472.35 2026-02-04
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 15 15 $9,518.10 $7,614.48 20% off $18.06 $9,518.10 $3,426.52 2026-02-04
J0897 HCPCS Injection, Denosumab, 1 Mg 15 15 $9,480.80 $7,584.64 $8.75 $9,480.80 $3,413.09 2026-02-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 $3,076.50 $2,461.20 20% off $3,076.50 $3,076.50 $3,076.50 2026-02-04
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 15 15 $7,759.80 $6,207.84 20% off $0.82 $7,759.80 $2,793.53 2026-02-04
11047 HCPCS Removal Of Bone, Each Additional 20.0 Sq Cm Or Less 15 15 $4,310.97 $3,448.78 $1,120.85 $4,465.93 $2,719.32 2026-02-04
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 15 15 $5,247.78 $4,198.22 20% off $1,364.42 $5,247.78 $2,594.67 2026-02-04
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 15 15 $5,247.78 $4,198.22 20% off $1,364.42 $5,247.78 $2,594.67 2026-02-04
C5274 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 15 15 $5,247.78 $4,198.22 20% off $1,364.42 $5,247.78 $2,594.67 2026-02-04
15278 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 15 15 $5,247.78 $4,198.22 20% off $1,364.42 $5,247.78 $2,594.67 2026-02-04
C5273 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 15 15 $5,247.78 $4,198.22 20% off $1,364.42 $5,247.78 $2,594.67 2026-02-04
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 15 15 $5,247.78 $4,198.22 20% off $1,364.42 $5,247.78 $2,594.67 2026-02-04
15272 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, Each Addi… 15 15 $5,247.78 $4,198.22 20% off $1,364.42 $5,247.78 $2,594.67 2026-02-04
15276 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 15 15 $5,247.78 $4,198.22 20% off $1,364.42 $5,247.78 $2,594.67 2026-02-04
J0490 HCPCS Injection, Belimumab, 10 Mg 25 15 $3,227.80 $2,582.24 20% off $18.06 $8,378.20 $2,582.24 2026-02-04
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 15 15 $6,653.50 $5,322.80 20% off $3.83 $6,653.50 $2,395.26 2026-02-04
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 15 15 $6,044.50 $4,835.60 $0.82 $6,044.50 $2,176.02 2026-02-04
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 15 15 $5,914.50 $4,731.60 $41.04 $5,914.50 $2,129.22 2026-02-04
21933 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More 15 15 $2,038.32 $1,630.66 $529.96 $4,290.25 $2,038.32 2026-02-04
26951 HCPCS Amputation Of Finger Or Thumb With Direct Closure 15 15 $2,000.00 $1,600.00 20% off $520.00 $3,905.56 $2,000.00 2026-02-04
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 15 15 $4,310.97 $3,448.78 $1,120.85 $4,310.97 $1,906.57 2026-02-04
59409 HCPCS Vaginal Delivery 15 15 $2,063.00 $1,650.40 $536.38 $3,019.20 $1,838.40 2026-02-04
C5277 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 15 15 $1,604.67 $1,283.74 $417.21 $4,261.22 $1,604.67 2026-02-04
C5272 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 15 15 $1,604.67 $1,283.74 $417.21 $4,261.22 $1,604.67 2026-02-04
C5276 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 15 15 $1,604.67 $1,283.74 $417.21 $4,261.22 $1,604.67 2026-02-04
C5275 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 15 15 $1,604.67 $1,283.74 $417.21 $4,261.22 $1,604.67 2026-02-04
C5271 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 15 15 $1,604.67 $1,283.74 $417.21 $4,261.22 $1,604.67 2026-02-04
C5278 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 15 15 $1,604.67 $1,283.74 $417.21 $4,261.22 $1,604.67 2026-02-04
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 15 15 $4,310.97 $3,448.78 $406.15 $4,310.97 $1,551.95 2026-02-04
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 15 15 $3,956.00 $3,164.80 $412.36 $3,956.00 $1,424.16 2026-02-04
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 15 15 $3,956.00 $3,164.80 $412.36 $3,956.00 $1,424.16 2026-02-04
C8902 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 15 15 $2,541.00 $2,032.80 20% off $660.66 $2,541.00 $1,392.42 2026-02-04
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 15 15 $3,655.00 $2,924.00 20% off $335.76 $3,655.00 $1,315.80 2026-02-04
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 15 15 $3,655.00 $2,924.00 20% off $453.18 $3,655.00 $1,315.80 2026-02-04
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 15 15 $3,655.00 $2,924.00 20% off $281.54 $3,655.00 $1,315.80 2026-02-04
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 15 15 $3,643.89 $2,915.11 20% off $287.25 $3,643.89 $1,311.80 2026-02-04
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 15 15 $3,643.89 $2,915.11 20% off $287.25 $3,643.89 $1,311.80 2026-02-04
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 15 15 $3,643.89 $2,915.11 20% off $287.25 $3,643.89 $1,311.80 2026-02-04
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 15 15 $3,100.00 $2,480.00 20% off $806.00 $3,100.00 $1,266.88 2026-02-04
11106 HCPCS Incision Biopsy, First Skin Growth 15 15 $1,604.97 $1,283.98 $417.29 $2,078.53 $1,265.62 2026-02-04
11107 HCPCS Incision Biopsy, Each Additional Skin Growth 15 15 $1,604.97 $1,283.98 $417.29 $2,078.53 $1,265.62 2026-02-04
J0248 HCPCS Injection, Remdesivir, 1 Mg 10 10 $2,649.50 $2,119.60 20% off $688.87 $2,649.50 $1,263.82 2026-02-04
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 15 15 $3,408.00 $2,726.40 20% off $335.76 $3,408.00 $1,226.88 2026-02-04
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 15 15 $2,934.00 $2,347.20 20% off $762.84 $2,934.00 $1,206.93 2026-02-04
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 15 15 $3,350.00 $2,680.00 20% off $412.36 $3,350.00 $1,206.00 2026-02-04
24300 HCPCS Manipulation Of Elbow Under Anesthesia 15 15 $1,171.20 $936.96 20% off $304.51 $2,424.51 $1,171.20 2026-02-04
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 15 15 $2,497.98 $1,998.38 20% off $649.47 $2,497.98 $1,169.05 2026-02-04
78454 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress With Single 2d … 15 15 $2,489.16 $1,991.33 $647.18 $2,489.16 $1,164.93 2026-02-04
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 15 15 $2,283.00 $1,826.40 $593.58 $2,283.00 $1,109.54 2026-02-04
74182 HCPCS MRI Scan Of Abdomen With Contrast 15 15 $2,310.00 $1,848.00 20% off $600.60 $2,310.00 $1,081.08 2026-02-04
49082 HCPCS Drainage Of Fluid From Abdominal Cavity 15 15 $1,800.00 $1,440.00 20% off $468.00 $1,800.00 $1,070.18 2026-02-04
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 15 15 $2,197.80 $1,758.24 20% off $571.43 $2,197.80 $1,068.13 2026-02-04
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 15 15 $2,946.00 $2,356.80 $335.76 $2,946.00 $1,060.56 2026-02-04
11105 HCPCS Punch Biopsy, Each Additional Skin Growth 15 15 $1,059.00 $847.20 $275.34 $2,078.53 $1,059.00 2026-02-04
26775 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation Under Anesthesia 15 15 $1,050.00 $840.00 20% off $273.00 $2,424.51 $1,050.00 2026-02-04
A0434 HCPCS Specialty Care Transport (sct) 10 10 $2,195.00 $1,756.00 20% off $570.70 $2,195.00 $1,047.01 2026-02-04
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 15 15 $2,888.00 $2,310.40 $708.57 $2,888.00 $1,039.68 2026-02-04
72195 HCPCS MRI Scan Of Pelvis Without Contrast 15 15 $2,177.00 $1,741.60 20% off $566.02 $2,177.00 $1,011.98 2026-02-04
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 15 15 $2,310.00 $1,848.00 20% off $600.60 $2,310.00 $1,011.98 2026-02-04
73220 HCPCS MRI Scan Of Arm Before And After Contrast 15 15 $2,541.00 $2,032.80 20% off $660.66 $2,541.00 $1,011.98 2026-02-04
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 15 15 $2,541.00 $2,032.80 20% off $660.66 $2,541.00 $1,011.98 2026-02-04
72196 HCPCS MRI Scan Of Pelvis With Contrast 15 15 $2,310.00 $1,848.00 20% off $600.60 $2,310.00 $1,011.98 2026-02-04
73219 HCPCS MRI Scan Of Arm With Contrast 15 15 $2,310.00 $1,848.00 20% off $600.60 $2,310.00 $1,011.98 2026-02-04
21930 HCPCS Removal Of Growth Under Skin Of Back Or Lower Sides, Less Than 3.0 Cm 15 15 $1,009.29 $807.43 20% off $262.42 $4,290.25 $1,009.29 2026-02-04
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 15 15 $2,772.00 $2,217.60 20% off $453.18 $2,772.00 $997.92 2026-02-04
70553 HCPCS MRI Scan Of Brain Before And After Contrast 15 15 $2,772.00 $2,217.60 20% off $565.35 $2,772.00 $997.92 2026-02-04
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 15 15 $2,772.00 $2,217.60 20% off $412.36 $2,772.00 $997.92 2026-02-04
12036 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.… 15 15 $1,495.00 $1,196.00 20% off $388.70 $1,636.72 $996.60 2026-02-04
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 15 15 $1,000.00 $800.00 20% off $260.00 $1,636.72 $996.60 2026-02-04
36572 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 15 15 $1,000.00 $800.00 20% off $260.00 $1,636.72 $996.60 2026-02-04
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 15 15 $1,500.00 $1,200.00 20% off $390.00 $1,636.72 $996.60 2026-02-04
78195 HCPCS Nuclear Medicine Study Of Lymphatic System 15 15 $2,032.68 $1,626.14 20% off $528.50 $2,032.68 $987.88 2026-02-04
12037 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha… 15 15 $975.00 $780.00 20% off $253.50 $4,261.22 $975.00 2026-02-04
73218 HCPCS MRI Scan Of Arm Without Contrast 15 15 $2,079.00 $1,663.20 20% off $540.54 $2,079.00 $972.97 2026-02-04
73718 HCPCS MRI Scan Of Leg Without Contrast 15 15 $2,079.00 $1,663.20 20% off $540.54 $2,079.00 $972.97 2026-02-04
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 15 15 $2,079.00 $1,663.20 20% off $540.54 $2,079.00 $972.97 2026-02-04
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 15 15 $1,995.18 $1,596.14 20% off $518.75 $1,995.18 $969.66 2026-02-04
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 15 15 $2,686.00 $2,148.80 $412.36 $2,686.00 $966.96 2026-02-04
12035 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.… 15 15 $966.00 $772.80 20% off $251.16 $1,636.72 $966.00 2026-02-04
12057 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More … 15 15 $964.00 $771.20 $250.64 $4,261.22 $964.00 2026-02-04
12056 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.1-… 15 15 $964.00 $771.20 $250.64 $1,636.72 $964.00 2026-02-04
12055 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.6-… 15 15 $964.00 $771.20 $250.64 $1,636.72 $964.00 2026-02-04
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 15 15 $1,959.54 $1,567.63 20% off $509.48 $1,959.54 $952.34 2026-02-04
28192 HCPCS Removal Of Foreign Body Of Foot Tissue, Deep 15 15 $950.00 $760.00 20% off $247.00 $4,290.25 $950.00 2026-02-04
28193 HCPCS Complicated Removal Of Foreign Body In Foot 15 15 $950.00 $760.00 20% off $247.00 $4,290.25 $950.00 2026-02-04
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 15 15 $1,907.46 $1,525.97 $495.94 $1,907.46 $927.03 2026-02-04
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 15 15 $2,570.00 $2,056.00 20% off $453.18 $2,570.00 $925.20 2026-02-04
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 15 15 $1,889.82 $1,511.86 $491.35 $1,889.82 $918.45 2026-02-04
A9500 HCPCS Technetium Tc-99m Sestamibi, Diagnostic, Per Study Dose 10 10 $1,921.10 $1,536.88 $499.49 $1,921.10 $916.36 2026-02-04
70552 HCPCS MRI Scan Of Brain With Contrast 15 15 $2,541.00 $2,032.80 20% off $565.35 $2,541.00 $914.76 2026-02-04
70488 HCPCS CT Scan Of Face Before And After Contrast 15 15 $2,541.00 $2,032.80 20% off $335.76 $2,541.00 $914.76 2026-02-04
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 15 15 $2,541.00 $2,032.80 20% off $360.13 $2,541.00 $914.76 2026-02-04
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 15 15 $2,541.00 $2,032.80 20% off $319.00 $2,541.00 $914.76 2026-02-04
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 15 15 $2,541.00 $2,032.80 20% off $319.00 $2,541.00 $914.76 2026-02-04
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 15 15 $1,858.50 $1,486.80 20% off $483.21 $1,858.50 $903.23 2026-02-04
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 15 15 $2,426.00 $1,940.80 20% off $335.76 $2,426.00 $873.36 2026-02-04
71270 HCPCS CT Scan Of Chest Before And After Contrast 15 15 $2,385.00 $1,908.00 20% off $335.76 $2,385.00 $858.60 2026-02-04
13151 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm 15 15 $850.32 $680.26 $221.08 $1,636.72 $850.32 2026-02-04
26160 HCPCS Removal Of Growth Of Tendon Finger Or Hand 15 15 $850.00 $680.00 20% off $221.00 $3,905.56 $850.00 2026-02-04
78598 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation And Blood Flow To Lun… 15 15 $1,739.82 $1,391.86 $452.35 $1,739.82 $845.55 2026-02-04
78579 HCPCS Nuclear Medicine Study Of Lung Ventilation 15 15 $1,071.06 $856.85 $278.48 $1,367.60 $832.74 2026-02-04
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 15 15 $1,357.14 $1,085.71 20% off $352.86 $1,367.60 $832.74 2026-02-04
78013 HCPCS Nuclear Medicine Study Of Thyroid 15 15 $1,108.08 $886.46 20% off $288.10 $1,367.60 $832.74 2026-02-04
78014 HCPCS Nuclear Medicine Study Of Thyroid And Thyroid Function 15 15 $1,361.16 $1,088.93 $353.90 $1,367.60 $832.74 2026-02-04
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 15 15 $2,310.00 $1,848.00 20% off $319.00 $2,310.00 $831.60 2026-02-04
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 15 15 $2,310.00 $1,848.00 20% off $319.00 $2,310.00 $831.60 2026-02-04
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 15 15 $2,310.00 $1,848.00 20% off $319.00 $2,310.00 $831.60 2026-02-04
J0878 HCPCS Injection, Daptomycin, 1 Mg 15 15 $2,273.70 $1,818.96 $0.82 $2,273.70 $818.53 2026-02-04
70551 HCPCS MRI Scan Of Brain Without Contrast 15 15 $2,177.00 $1,741.60 20% off $565.35 $2,177.00 $807.43 2026-02-04
10081 HCPCS Complicated Drainage Of Cyst Of Tailbone 15 15 $950.00 $760.00 20% off $247.00 $1,323.60 $805.95 2026-02-04
P9017 HCPCS Fresh Frozen Plasma (single Donor), Frozen Within 8 Hours Of Collection, Each Un… 15 15 $800.00 $640.00 20% off $208.00 $2,093.37 $800.00 2026-02-04
27550 HCPCS Closed Treatment Of Dislocated Knee 15 15 $1,515.00 $1,212.00 20% off $393.90 $1,515.00 $790.90 2026-02-04
25565 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 15 15 $1,300.00 $1,040.00 20% off $338.00 $1,300.00 $790.90 2026-02-04
23665 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Upper Arm Bone At Shoulder Jo… 15 15 $1,150.29 $920.23 20% off $299.08 $1,298.89 $790.90 2026-02-04
59426 HCPCS Predelivery Care, 7 Or More Visits 10 10 $1,627.00 $1,301.60 20% off $423.02 $1,627.00 $776.08 2026-02-04
78709 HCPCS Nuclear Medicine Studies Of Kidney, Blood Flow, And Function 15 15 $2,127.84 $1,702.27 20% off $455.37 $2,127.84 $766.02 2026-02-04
36430 HCPCS Transfusion Of Blood Or Blood Products 15 15 $756.00 $604.80 20% off $196.56 $2,093.37 $756.00 2026-02-04
64415 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Arm Nerve Bundle (brachial Ple… 15 15 $775.00 $620.00 20% off $201.50 $1,233.59 $751.14 2026-02-04
11046 HCPCS Removal Of Muscle And/or Tissue, Each Additional 20.0 Sq Cm Or Less 15 15 $1,604.67 $1,283.74 $417.21 $1,604.67 $750.99 2026-02-04
11043 HCPCS Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less 15 15 $1,604.67 $1,283.74 $417.21 $1,604.67 $750.99 2026-02-04
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 15 15 $750.00 $600.00 20% off $195.00 $2,078.53 $750.00 2026-02-04
12045 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 12.6-20.0 Cm 15 15 $750.00 $600.00 20% off $195.00 $1,636.72 $750.00 2026-02-04
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 15 15 $2,079.00 $1,663.20 20% off $319.00 $2,079.00 $748.44 2026-02-04
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 15 15 $2,079.00 $1,663.20 20% off $319.00 $2,079.00 $748.44 2026-02-04
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 15 15 $2,079.00 $1,663.20 20% off $360.13 $2,079.00 $748.44 2026-02-04
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 15 15 $2,079.00 $1,663.20 20% off $360.13 $2,079.00 $748.44 2026-02-04
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 15 15 $2,079.00 $1,663.20 20% off $319.00 $2,079.00 $748.44 2026-02-04
73202 HCPCS CT Scan Of Arm Before And After Contrast 15 15 $2,037.00 $1,629.60 20% off $335.76 $2,037.00 $733.32 2026-02-04
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 15 15 $2,022.00 $1,617.60 20% off $159.23 $2,022.00 $727.92 2026-02-04
78071 HCPCS Nuclear Medicine Study Of Parathyroid With Spect 15 15 $2,010.66 $1,608.53 $455.37 $2,010.66 $723.84 2026-02-04
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 15 15 $1,982.04 $1,585.63 20% off $455.37 $1,982.04 $713.53 2026-02-04
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 15 15 $705.00 $564.00 20% off $183.30 $1,323.60 $705.00 2026-02-04
71260 HCPCS CT Scan Of Chest With Contrast 15 15 $1,936.00 $1,548.80 20% off $335.76 $1,936.00 $696.96 2026-02-04
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 15 15 $1,936.00 $1,548.80 20% off $412.36 $1,936.00 $696.96 2026-02-04
A9562 HCPCS Technetium Tc-99m Mertiatide, Diagnostic, Per Study Dose, Up To 15 Millicuries 10 10 $1,448.50 $1,158.80 20% off $376.61 $1,448.50 $690.93 2026-02-04
45915 HCPCS Removal Of Impacted Stool Or Foreign Body In Rectum Under Anesthesia 15 15 $680.00 $544.00 20% off $176.80 $4,038.71 $680.00 2026-02-04
78290 HCPCS Nuclear Medicine Study Of Intestine 15 15 $1,880.94 $1,504.75 20% off $455.37 $1,880.94 $677.14 2026-02-04
26605 HCPCS Closed Treatment Of Broken Hand Bone With Manipulation 15 15 $675.00 $540.00 20% off $175.50 $1,298.89 $675.00 2026-02-04
70487 HCPCS CT Scan Of Face With Contrast 15 15 $1,849.00 $1,479.20 20% off $335.76 $1,849.00 $665.64 2026-02-04
72132 HCPCS CT Scan Of Lower Spine With Contrast 15 15 $1,835.00 $1,468.00 20% off $279.11 $1,835.00 $660.60 2026-02-04
72193 HCPCS CT Scan Of Pelvis With Contrast 15 15 $1,835.00 $1,468.00 20% off $412.36 $1,835.00 $660.60 2026-02-04
78070 HCPCS Nuclear Medicine Study Of Parathyroid 15 15 $1,676.58 $1,341.26 20% off $435.91 $1,676.58 $650.36 2026-02-04
78305 HCPCS Nuclear Medicine Study Of Bone And/or Joint Multiple Areas 15 15 $1,579.44 $1,263.55 20% off $410.65 $1,579.44 $650.36 2026-02-04
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 15 15 $1,698.18 $1,358.54 20% off $441.53 $1,698.18 $650.36 2026-02-04
26641 HCPCS Closed Treatment Of Dislocated Thumb At Wrist With Manipulation 15 15 $645.00 $516.00 20% off $167.70 $1,298.89 $645.00 2026-02-04
27265 HCPCS Closed Treatment Of Dislocated Hip Prosthesis 15 15 $642.00 $513.60 $166.92 $1,298.89 $642.00 2026-02-04
27250 HCPCS Closed Treatment Of Dislocated Hip 15 15 $642.00 $513.60 $166.92 $1,298.89 $642.00 2026-02-04
25600 HCPCS Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb … 15 15 $642.00 $513.60 $166.92 $1,298.89 $642.00 2026-02-04
26670 HCPCS Closed Treatment Of Dislocated Hand Bone At Wrist Joint With Manipulation 15 15 $642.00 $513.60 $166.92 $1,298.89 $642.00 2026-02-04
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 15 15 $636.00 $508.80 20% off $165.36 $1,946.50 $636.00 2026-02-04
J2785 HCPCS Injection, Regadenoson, 0.1 Mg 10 10 $1,327.80 $1,062.24 $345.23 $1,327.80 $633.36 2026-02-04
78707 HCPCS Nuclear Medicine Study Of Kidney, Blood Flow, And Function 15 15 $1,339.14 $1,071.31 20% off $348.18 $1,339.14 $626.72 2026-02-04
J1611 HCPCS Injection, Glucagon Hydrochloride (fresenius Kabi), Not Therapeutically Equivale… 10 10 $1,302.20 $1,041.76 20% off $338.57 $1,302.20 $621.15 2026-02-04
41252 HCPCS Repair Of Lacerated Tongue Or Floor Of Mouth, More Than 2.6 Cm 15 15 $618.00 $494.40 20% off $160.68 $3,717.36 $618.00 2026-02-04
41251 HCPCS Repair Of Lacerated Back 1/3 Of Tongue, 2.5 Cm Or Less 15 15 $618.00 $494.40 20% off $160.68 $3,717.36 $618.00 2026-02-04
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 15 15 $1,319.64 $1,055.71 20% off $343.11 $1,319.64 $617.59 2026-02-04
74160 HCPCS CT Scan Of Abdomen With Contrast 15 15 $1,705.00 $1,364.00 20% off $412.36 $1,705.00 $613.80 2026-02-04
78300 HCPCS Nuclear Medicine Study Of Bone And/or Joint Limited Area 15 15 $1,307.94 $1,046.35 20% off $340.06 $1,307.94 $612.12 2026-02-04
73701 HCPCS CT Scan Of Leg With Contrast Material 15 15 $1,682.00 $1,345.60 20% off $335.76 $1,682.00 $605.52 2026-02-04
64450 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch 15 15 $600.00 $480.00 20% off $156.00 $1,233.59 $600.00 2026-02-04
78701 HCPCS Nuclear Medicine Study Of Kidney And Blood Flow 15 15 $1,264.92 $1,011.94 $328.88 $1,264.92 $591.98 2026-02-04
26770 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation 15 15 $775.00 $620.00 20% off $201.50 $971.24 $591.39 2026-02-04
26755 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb With Manipulation 15 15 $915.00 $732.00 20% off $237.90 $971.24 $591.39 2026-02-04
74150 HCPCS CT Scan Of Abdomen Without Contrast 15 15 $1,553.00 $1,242.40 $403.78 $1,553.00 $588.93 2026-02-04
72192 HCPCS CT Scan Of Pelvis Without Contrast 15 15 $1,538.00 $1,230.40 $399.88 $1,538.00 $588.93 2026-02-04
72125 HCPCS CT Scan Of Upper Spine Without Contrast 15 15 $1,620.00 $1,296.00 20% off $279.11 $1,620.00 $583.20 2026-02-04
72128 HCPCS CT Scan Of Middle Spine Without Contrast 15 15 $1,617.00 $1,293.60 20% off $279.11 $1,617.00 $582.12 2026-02-04
71250 HCPCS CT Scan Of Chest Without Contrast 15 15 $1,617.00 $1,293.60 20% off $335.76 $1,617.00 $582.12 2026-02-04
70460 HCPCS CT Scan Head Or Brain With Contrast 15 15 $1,617.00 $1,293.60 20% off $159.23 $1,617.00 $582.12 2026-02-04
72131 HCPCS CT Scan Of Lower Spine Without Contrast 15 15 $1,615.00 $1,292.00 20% off $279.11 $1,615.00 $581.40 2026-02-04
ERX160442 CDM Phenobarbital-belladonna Alk 16.2 Mg/5ml Po Elix 7 7 $1,614.90 $1,291.92 20% off $419.87 $1,291.92 $581.36 2026-02-04
70486 HCPCS CT Scan Of Face Without Contrast 15 15 $1,595.00 $1,276.00 20% off $335.76 $1,595.00 $574.20 2026-02-04
73702 HCPCS CT Scan Of Leg Before And After Contrast 15 15 $1,572.00 $1,257.60 20% off $335.76 $1,572.00 $565.92 2026-02-04
73700 HCPCS CT Scan Of Leg Without Contrast 15 15 $1,535.00 $1,228.00 20% off $335.76 $1,535.00 $552.60 2026-02-04
73200 HCPCS CT Scan Of Arm Without Contrast 15 15 $1,532.00 $1,225.60 20% off $335.76 $1,532.00 $551.52 2026-02-04
ERX103895 CDM Diazepam 10mg Rectal Gel (2pk) 7 7 $1,531.20 $1,224.96 20% off $398.11 $1,224.96 $551.23 2026-02-04
11102 HCPCS Biopsy Of Related Skin Growth, First Growth 15 15 $550.20 $440.16 20% off $143.05 $2,078.53 $550.20 2026-02-04
11604 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm 15 15 $550.00 $440.00 20% off $143.00 $2,078.53 $550.00 2026-02-04
78215 HCPCS Nuclear Medicine Study Of Liver And Spleen 15 15 $1,125.06 $900.05 $292.52 $1,125.06 $546.78 2026-02-04
J7300 HCPCS Intrauterine Copper Contraceptive 15 15 $1,500.00 $1,200.00 20% off $287.25 $1,500.00 $540.00 2026-02-04
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 15 15 $1,225.00 $980.00 20% off $318.50 $1,225.00 $535.49 2026-02-04
ERX119489 CDM Fluticasone-salmeterol 250-50 7 7 $1,482.10 $1,185.68 $385.35 $1,185.68 $533.56 2026-02-04
26600 HCPCS Closed Treatment Of Broken Hand Bone 15 15 $525.00 $420.00 20% off $136.50 $1,298.89 $525.00 2026-02-04
11103 HCPCS Biopsy Of Related Skin Growth, Each Additional Growth 15 15 $524.19 $419.35 20% off $136.29 $2,078.53 $524.19 2026-02-04
G0379 HCPCS Direct Admission Of Patient For Hospital Observation Care 10 10 $1,098.00 $878.40 20% off $285.48 $1,098.00 $523.75 2026-02-04
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 15 15 $1,065.66 $852.53 $277.07 $1,065.66 $517.91 2026-02-04
P9047 HCPCS Infusion, Albumin (human), 25%, 50 Ml 15 15 $512.50 $410.00 20% off $133.25 $2,093.37 $512.50 2026-02-04
78481 HCPCS Nuclear Medicine Study Of Heart Pumping Function With Measurement Of Internal Bl… 15 15 $1,037.88 $830.30 20% off $269.85 $1,037.88 $504.41 2026-02-04
11603 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm 15 15 $500.00 $400.00 20% off $130.00 $2,078.53 $500.00 2026-02-04
70450 HCPCS CT Scan Head Or Brain Without Contrast 15 15 $1,386.00 $1,108.80 20% off $159.23 $1,386.00 $498.96 2026-02-04
A0429 HCPCS Ambulance Service, Basic Life Support, Emergency Transport (bls-emergency) 10 10 $1,040.00 $832.00 20% off $270.40 $1,040.00 $496.08 2026-02-04
10061 HCPCS Complicated Or Multiple Drainage Of Skin Abscess 25 15 $1,059.00 $847.20 $247.00 $1,059.00 $493.11 2026-02-04
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 15 15 $485.00 $388.00 20% off $126.10 $2,093.37 $485.00 2026-02-04
78012 HCPCS Nuclear Medicine Study Of Thyroid Function 15 15 $481.68 $385.34 20% off $125.24 $1,367.60 $481.68 2026-02-04
21315 HCPCS Closed Treatment Of Broken Nose Bone With Manipulation 15 15 $480.00 $384.00 20% off $124.80 $3,717.36 $480.00 2026-02-04
73201 HCPCS CT Scan Of Arm With Contrast 15 15 $1,200.00 $960.00 20% off $312.00 $1,200.00 $479.53 2026-02-04
11602 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm 15 15 $475.00 $380.00 20% off $123.50 $2,078.53 $475.00 2026-02-04
A9541 HCPCS Technetium Tc-99m Sulfur Colloid, Diagnostic, Per Study Dose, Up To 20 Millicuri… 10 10 $983.00 $786.40 20% off $255.58 $983.00 $468.89 2026-02-04
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 30 16 $1,872.00 $1,497.60 20% off $65.13 $1,906.00 $465.17 2026-02-04
ERX103893 CDM Diazepam 2.5mg Rectal Gel(2pk) 7 7 $1,291.10 $1,032.88 $335.69 $1,032.88 $464.80 2026-02-04
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 15 15 $985.00 $788.00 20% off $256.10 $985.00 $460.98 2026-02-04
12053 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7… 15 15 $964.00 $771.20 $250.64 $964.00 $455.21 2026-02-04
ERX9682 CDM Santyl Ointment 7 7 $1,257.30 $1,005.84 $326.90 $1,005.84 $452.63 2026-02-04
13132 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 15 15 $931.05 $744.84 $242.07 $931.05 $452.49 2026-02-04
11601 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 0.6-1.0 Cm 15 15 $450.00 $360.00 20% off $117.00 $2,078.53 $450.00 2026-02-04
110017 CDM Room & Board - Private (one Bed) - General Classification 4 4 $838.00 $670.40 20% off $440.37 $670.40 $440.37 2026-02-04
814038 CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $838.00 $670.40 20% off $440.37 $670.40 $440.37 2026-02-04
59425 HCPCS Predelivery Care, 4 To 6 Visits 10 10 $914.00 $731.20 $237.64 $914.00 $435.98 2026-02-04
12054 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6-1… 15 15 $865.00 $692.00 20% off $224.90 $865.00 $420.39 2026-02-04
10080 HCPCS Simple Drainage Of Cyst Of Tailbone 15 15 $525.00 $420.00 20% off $136.50 $667.02 $406.15 2026-02-04
11750 HCPCS Permanent Removal Fingernail Or Toenail 15 15 $400.00 $320.00 20% off $104.00 $2,078.53 $400.00 2026-02-04
90675 HCPCS Rabies Vaccine For Injection Into Muscle 25 15 $400.00 $320.00 20% off $35.91 $2,302.50 $400.00 2026-02-04
11600 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 0.5 Cm Or Less 15 15 $400.00 $320.00 20% off $104.00 $2,078.53 $400.00 2026-02-04
815072 CDM Room & Board - Semi-private (two Beds) - Pediatric 4 4 $745.00 $596.00 20% off $391.50 $596.00 $391.50 2026-02-04
815071 CDM Room & Board - Private (one Bed) - Pediatric 4 4 $745.00 $596.00 20% off $391.50 $596.00 $391.50 2026-02-04
816100 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 4 4 $745.00 $596.00 20% off $391.50 $596.00 $391.50 2026-02-04
814735 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 4 4 $745.00 $596.00 20% off $391.50 $596.00 $391.50 2026-02-04
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 15 15 $1,080.00 $864.00 20% off $150.63 $1,080.00 $388.80 2026-02-04
16030 HCPCS Dressing Change Or Removal Of Burn Tissue, More Than 10% Of Total Body Surface 25 15 $1,059.00 $847.20 $145.60 $1,059.00 $381.24 2026-02-04
11104 HCPCS Punch Biopsy, First Skin Growth 25 15 $284.00 $227.20 20% off $73.84 $2,078.53 $381.24 2026-02-04
10160 HCPCS Aspiration Of Abscess, Blood, Or Cyst 25 15 $1,059.00 $847.20 $91.00 $1,059.00 $381.24 2026-02-04
ERX119494 CDM Advair 500-50 Diskus 7 7 $1,050.40 $840.32 20% off $273.10 $840.32 $378.14 2026-02-04
A9540 HCPCS Technetium Tc-99m Macroaggregated Albumin, Diagnostic, Per Study Dose, Up To 10 … 10 10 $786.70 $629.36 20% off $204.54 $786.70 $375.26 2026-02-04
11980 HCPCS Placement Of Hormone Pellet Under Skin 14 14 $375.00 $300.00 20% off $135.00 $615.76 $374.94 2026-02-04
11760 HCPCS Repair Of Fingernail Or Toenail Bed 15 15 $495.00 $396.00 20% off $128.70 $615.76 $374.94 2026-02-04
11732 HCPCS Simple Separation Of Fingernail Or Toenail From Nail Bed, Each Additional Nail 15 15 $550.20 $440.16 20% off $143.05 $615.76 $374.94 2026-02-04
11730 HCPCS Simple Separation Of Fingernail Or Toenail From Nail Bed, First Nail 25 15 $550.20 $440.16 20% off $131.82 $615.76 $374.94 2026-02-04
13122 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, Each Additional 5.0 Cm Or L… 15 15 $400.00 $320.00 20% off $104.00 $615.76 $374.94 2026-02-04
13120 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 1.1-2.5 Cm 15 15 $443.00 $354.40 20% off $115.18 $615.76 $374.94 2026-02-04
12051 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 C… 15 15 $506.00 $404.80 20% off $131.56 $615.76 $374.94 2026-02-04
12042 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.6-7.5 Cm 15 15 $549.00 $439.20 20% off $142.74 $615.76 $374.94 2026-02-04
90837 HCPCS Psychotherapy, 1 Hour 9 9 $770.00 $616.00 20% off $277.20 $770.00 $374.22 2026-02-04
11983 HCPCS Removal With Reinsertion Of Drug Delivery Implant Into Tissue 15 15 $372.72 $298.18 $96.91 $1,636.72 $372.72 2026-02-04
11042 HCPCS Removal Of Skin And Tissue, 20.0 Sq Cm Or Less 30 16 $722.00 $577.60 $52.81 $1,059.00 $370.98 2026-02-04
24600 HCPCS Repair Of Dislocated Elbow 25 16 $110.00 $88.00 20% off $28.60 $960.23 $370.39 2026-02-04
90834 HCPCS Psychotherapy, 45 Minutes 9 9 $755.00 $604.00 20% off $271.80 $755.00 $366.93 2026-02-04
C7901 HCPCS Service For Diagnosis, Evaluation, Or Treatment Of A Mental Health Or Substance … 9 9 $755.00 $604.00 20% off $271.80 $755.00 $366.93 2026-02-04
81219 HCPCS Gene Analysis (calreticulin), Common Variants 15 15 $753.64 $602.91 20% off $195.95 $753.64 $366.27 2026-02-04
17250 HCPCS Application Of Chemical To Stop Tissue Regrowth In Wound 15 15 $550.20 $440.16 20% off $143.05 $592.39 $360.71 2026-02-04
17004 HCPCS Destruction Of Precancer Skin Growth, 15 Or More Growths 15 15 $413.00 $330.40 20% off $107.38 $592.39 $360.71 2026-02-04
11057 HCPCS Removal Of Noncancer Thickened Skin Growth, More Than 4 Growths 15 15 $550.20 $440.16 20% off $143.05 $592.39 $360.71 2026-02-04
11056 HCPCS Removal Of Noncancer Thickened Skin Growth, 2-4 Growths 15 15 $550.20 $440.16 20% off $143.05 $592.39 $360.71 2026-02-04
ERX80582 CDM Pulmicort 90 Mcg Flexhaler 7 7 $998.00 $798.40 20% off $259.48 $798.40 $359.28 2026-02-04
17111 HCPCS Destruction Of Skin Growth, 15 Or More Growths 15 15 $359.00 $287.20 20% off $93.34 $592.39 $359.00 2026-02-04
93307 HCPCS Ultrasound Of Heart 15 15 $728.00 $582.40 20% off $189.28 $728.00 $358.11 2026-02-04
93325 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate And Valve Function 15 15 $395.00 $316.00 20% off $102.70 $588.12 $358.11 2026-02-04
93320 HCPCS Ultrasound Of Heart Blood Flow, Valves And Chambers 15 15 $443.00 $354.40 20% off $115.18 $588.12 $358.11 2026-02-04
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 15 15 $888.00 $710.40 20% off $230.88 $888.00 $357.66 2026-02-04
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 15 15 $849.00 $679.20 $220.74 $849.00 $357.66 2026-02-04
C7903 HCPCS Group Psychotherapy Service For Diagnosis, Evaluation, Or Treatment Of A Mental … 9 9 $735.00 $588.00 20% off $264.60 $735.00 $357.21 2026-02-04
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 15 15 $980.00 $784.00 20% off $55.25 $980.00 $352.80 2026-02-04
64408 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Vagus Nerve 15 15 $350.00 $280.00 20% off $91.00 $1,233.59 $350.00 2026-02-04
814755 CDM Room & Board - Private (one Bed) - Other 4 4 $661.00 $528.80 20% off $347.36 $528.80 $347.36 2026-02-04
814740 CDM Room & Board - Semi-private (two Beds) - Other 4 4 $661.00 $528.80 20% off $347.36 $528.80 $347.36 2026-02-04
94667 HCPCS Initial Therapy Service To Facilitate Lung Function 15 15 $346.00 $276.80 $89.96 $636.11 $346.00 2026-02-04
94668 HCPCS Follow-up Therapy Service To Facilitate Lung Function 15 15 $346.00 $276.80 $89.96 $636.11 $346.00 2026-02-04
29581 HCPCS Application Of Vein Wound Compression Bandages On Lower Leg, Ankle, And Foot 15 15 $432.87 $346.30 $112.55 $565.35 $344.24 2026-02-04
29580 HCPCS Strapping, Unna Boot 30 15 $491.44 $393.15 $112.55 $565.35 $344.24 2026-02-04
A0428 HCPCS Ambulance Service, Basic Life Support, Non-emergency Transport, (bls) 10 10 $693.00 $554.40 20% off $180.18 $693.00 $330.56 2026-02-04
81206 HCPCS Translocation Analysis (bcr/abl1) Major Breakpoint 15 15 $616.25 $493.00 20% off $160.23 $616.25 $321.43 2026-02-04
12031 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm O… 15 15 $311.00 $248.80 $80.86 $615.76 $311.00 2026-02-04
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 40 16 $650.00 $520.00 20% off $120.13 $2,078.53 $310.05 2026-02-04
See an error in this hospital's data? Submit a correction