Hospital

SEILING MUNICIPAL HOSPITAL

Seiling, OK · CCN 371332 · Rates published

2,094 distinct procedures filed

27 distinct payers

54,411 rate rows

2026-01-20 last MRF observed

Data quality

53,559 of 54,411 rate rows are consumer-grade (98.4%)

852 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 — reason	Rows
per-diem day rate — not a per-procedure price	500
exceeds 10× this hospital's gross charge — excluded from medians	188
percent-of-charges filed in the dollar field — excluded from medians	80
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	48
exceeds 3× this hospital's gross charge for a DRG stay — excluded	33
placeholder amount (≤ $0.02) — excluded from medians	3

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSMHSEILINGOK&type=CDMWithoutLabel&fileType=CSV
Found on page	https://apps.para-hcfs.com/PTT/FinalLinks/Seiling_V3.aspx
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	607270b3ddc5d3d6… · 19,303,984 bytes · first seen 2026-05-08

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
J3101 HCPCS	Injection, Tenecteplase, 1 Mg	25	$160.28	$38,278.50	$32,096.52	nat. median $5,957 outlier · 5.4×
935 MS_DRG	Non-extensive Burns	16	$6,025.22	$62,580.01	$19,926.38	nat. median $20,285 1.0× median
64 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	16	$10,055.00	$27,454.33	$19,452.40	nat. median $20,254 1.0× median
559 MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	16	$9,324.50	$105,680.62	$18,039.17	nat. median $19,047 0.9× median
J0517 HCPCS	Injection, Benralizumab, 1 Mg	24	$8,987.00	$20,900.00	$17,644.83	nat. median $914 outlier · 19.3×
180 MS_DRG	Respiratory Neoplasms With Mcc	16	$8,830.00	$68,196.37	$17,082.52	nat. median $17,981 1.0× median
377 MS_DRG	Gastrointestinal Hemorrhage With Mcc	16	$9,107.81	$21,983.53	$17,079.54	nat. median $18,249 0.9× median
551 MS_DRG	Medical Back Problems With Mcc	16	$8,079.70	$94,167.15	$16,212.92	nat. median $16,881 1.0× median
280 MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	16	$7,228.43	$52,921.55	$15,516.46	nat. median $16,529 0.9× median
205 MS_DRG	Other Respiratory System Diagnoses With Mcc	16	$8,596.58	$22,019.61	$15,495.51	nat. median $18,292 0.8× median
177 MS_DRG	Respiratory Infections And Inflammations With Mcc	16	$7,236.55	$106,089.07	$15,116.00	nat. median $16,234 0.9× median
814 MS_DRG	Reticuloendothelial And Immunity Disorders With Mcc	16	$8,608.25	$25,575.69	$14,524.30	nat. median $20,887 0.7× median
393 MS_DRG	Other Digestive System Diagnoses With Mcc	16	$7,996.50	$19,233.18	$14,387.27	nat. median $16,482 0.9× median
727 MS_DRG	Inflammation Of The Male Reproductive System With Mcc	16	$5,857.68	$67,528.18	$14,344.10	nat. median $15,223 0.9× median
811 MS_DRG	Red Blood Cell Disorders With Mcc	16	$6,884.67	$21,007.42	$13,583.80	nat. median $14,380 0.9× median
640 MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	16	$5,777.19	$18,959.22	$12,919.26	nat. median $13,400 1.0× median
193 MS_DRG	Simple Pneumonia And Pleurisy With Mcc	16	$5,107.65	$70,277.78	$12,714.19	nat. median $13,648 0.9× median
947 MS_DRG	Signs And Symptoms With Mcc	16	$6,258.73	$18,907.30	$12,278.91	nat. median $12,688 1.0× median
391 MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	16	$6,167.09	$69,896.08	$12,268.26	nat. median $13,245 0.9× median
871 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	16	$9,141.82	$23,360.51	$12,190.93	nat. median $19,634 0.6× median
189 MS_DRG	Pulmonary Edema And Respiratory Failure	16	$5,563.72	$66,429.53	$11,950.02	nat. median $13,017 0.9× median
949 MS_DRG	Aftercare With Cc/mcc	16	$5,948.50	$64,437.24	$11,507.97	nat. median $12,475 0.9× median
593 MS_DRG	Skin Ulcers With Cc	16	$5,931.50	$132,364.86	$11,475.08	nat. median $12,572 0.9× median
689 MS_DRG	Kidney And Urinary Tract Infections With Mcc	16	$5,732.74	$60,900.03	$11,223.58	nat. median $12,152 0.9× median
560 MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	16	$5,630.50	$41,205.62	$10,892.76	nat. median $12,148 0.9× median
190 MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	16	$5,404.57	$66,513.41	$10,714.78	nat. median $11,699 0.9× median
86 MS_DRG	Traumatic Stupor And Coma <1 Hour With Cc	16	$6,513.50	$15,666.27	$10,688.60	nat. median $13,527 0.8× median
J2182 HCPCS	Injection, Mepolizumab, 1 Mg	25	$35.59	$11,992.00	$10,055.29	nat. median $3,087 outlier · 3.3×
815 MS_DRG	Reticuloendothelial And Immunity Disorders With Cc	16	$5,070.00	$17,479.64	$9,808.42	nat. median $10,944 0.9× median
65 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	16	$5,051.50	$24,220.88	$9,772.63	nat. median $11,174 0.9× median
315 MS_DRG	Other Circulatory System Diagnoses With Cc	16	$4,816.50	$48,210.20	$9,318.00	nat. median $10,513 0.9× median
552 MS_DRG	Medical Back Problems Without Mcc	16	$4,806.50	$46,528.63	$9,298.66	nat. median $10,422 0.9× median
872 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	16	$4,344.99	$12,306.21	$9,149.67	nat. median $11,103 0.8× median
563 MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	16	$4,477.50	$50,753.67	$8,662.17	nat. median $9,671 0.9× median
558 MS_DRG	Tendonitis, Myositis And Bursitis Without Mcc	16	$3,568.50	$12,663.94	$8,639.92	nat. median $9,623 0.9× median
J1459 HCPCS	Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…	25	$51.46	$19,823.00	$8,523.89	nat. median $1,227 outlier · 6.9×
683 MS_DRG	Renal Failure With Cc	16	$3,940.77	$16,787.71	$8,471.61	nat. median $9,664 0.9× median
312 MS_DRG	Syncope And Collapse	16	$4,143.87	$10,515.87	$8,351.11	nat. median $9,478 0.9× median
292 MS_DRG	Heart Failure And Shock With Cc	16	$4,245.00	$22,784.49	$8,212.38	nat. median $9,635 0.9× median
J0840 HCPCS	Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram	25	$3,774.25	$9,745.00	$8,171.18	nat. median $3,427 outlier · 2.4×
690 MS_DRG	Kidney And Urinary Tract Infections Without Mcc	16	$3,537.18	$22,924.22	$7,830.30	nat. median $8,979 0.9× median
536 MS_DRG	Fractures Of Hip And Pelvis Without Mcc	16	$4,038.00	$22,673.91	$7,811.91	nat. median $8,981 0.9× median
534 MS_DRG	Fractures Of Femur Without Mcc	16	$4,030.50	$243,798.48	$7,797.41	nat. median $8,990 0.9× median
194 MS_DRG	Simple Pneumonia And Pleurisy With Cc	16	$4,029.50	$21,606.16	$7,795.47	nat. median $9,125 0.9× median
561 MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	16	$4,019.50	$56,459.62	$7,776.12	nat. median $9,193 0.8× median
948 MS_DRG	Signs And Symptoms Without Mcc	16	$4,002.50	$13,537.48	$7,743.23	nat. median $8,515 0.9× median
694 MS_DRG	Urinary Stones Without Mcc	16	$3,908.50	$29,007.74	$7,561.39	nat. median $8,711 0.9× median
641 MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	16	$3,194.05	$33,317.30	$7,527.53	nat. median $8,664 0.9× median
101 MS_DRG	Seizures Without Mcc	16	$3,760.88	$10,854.67	$7,511.09	nat. median $9,814 0.8× median
179 MS_DRG	Respiratory Infections And Inflammations Without Cc/mcc	16	$3,640.81	$93,725.13	$7,303.11	nat. median $8,705 0.8× median

Other procedures at this hospital

Browse this hospital's 2,094 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J3101	HCPCS	Injection, Tenecteplase, 1 Mg	25	25	$38,278.50	$16,459.76 57% off	$160.28	$38,278.50	$32,096.52	2026-01-20
935	MS_DRG	Non-extensive Burns	16	16	$67,290.33	$3,077,186.79	$6,025.22	$62,580.01	$19,926.38	2026-01-20
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	16	16	$29,520.79	$1,349,985.73	$10,055.00	$27,454.33	$19,452.40	2026-01-20
559	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	16	16	$113,635.07	—	$9,324.50	$105,680.62	$18,039.17	2026-01-20
J0517	HCPCS	Injection, Benralizumab, 1 Mg	24	24	$20,900.00	$8,987.00 57% off	$8,987.00	$20,900.00	$17,644.83	2026-01-20
180	MS_DRG	Respiratory Neoplasms With Mcc	16	16	$73,329.43	$3,353,354.83	$8,830.00	$68,196.37	$17,082.52	2026-01-20
377	MS_DRG	Gastrointestinal Hemorrhage With Mcc	16	16	$22,615.93	$1,034,226.48	$9,107.81	$21,983.53	$17,079.54	2026-01-20
551	MS_DRG	Medical Back Problems With Mcc	16	16	$101,255.01	$4,630,391.38	$8,079.70	$94,167.15	$16,212.92	2026-01-20
280	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	16	16	$56,904.89	$2,602,260.62	$7,228.43	$52,921.55	$15,516.46	2026-01-20
205	MS_DRG	Other Respiratory System Diagnoses With Mcc	16	16	$18,873.94	$863,105.28	$8,596.58	$22,019.61	$15,495.51	2026-01-20
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	16	16	$114,074.27	—	$7,236.55	$106,089.07	$15,116.00	2026-01-20
814	MS_DRG	Reticuloendothelial And Immunity Disorders With Mcc	16	16	$10,869.00	$497,039.37	$8,608.25	$25,575.69	$14,524.30	2026-01-20
393	MS_DRG	Other Digestive System Diagnoses With Mcc	16	16	$18,383.80	$840,691.17	$7,996.50	$19,233.18	$14,387.27	2026-01-20
727	MS_DRG	Inflammation Of The Male Reproductive System With Mcc	16	16	$72,610.95	$3,320,498.74	$5,857.68	$67,528.18	$14,344.10	2026-01-20
811	MS_DRG	Red Blood Cell Disorders With Mcc	16	16	$22,588.62	$1,032,977.59	$6,884.67	$21,007.42	$13,583.80	2026-01-20
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	16	16	$20,386.26	$932,263.44	$5,777.19	$18,959.22	$12,919.26	2026-01-20
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	16	16	$75,567.51	$3,455,702.16	$5,107.65	$70,277.78	$12,714.19	2026-01-20
947	MS_DRG	Signs And Symptoms With Mcc	16	16	$20,330.43	$929,710.68	$6,258.73	$18,907.30	$12,278.91	2026-01-20
391	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	16	16	$75,157.08	$3,436,933.27	$6,167.09	$69,896.08	$12,268.26	2026-01-20
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	16	16	$13,667.44	$625,011.80	$9,141.82	$23,360.51	$12,190.93	2026-01-20
189	MS_DRG	Pulmonary Edema And Respiratory Failure	16	16	$71,429.60	$3,266,475.65	$5,563.72	$66,429.53	$11,950.02	2026-01-20
949	MS_DRG	Aftercare With Cc/mcc	16	16	$69,287.36	$3,168,510.97	$5,948.50	$64,437.24	$11,507.97	2026-01-20
593	MS_DRG	Skin Ulcers With Cc	16	16	$142,327.81	—	$5,931.50	$132,364.86	$11,475.08	2026-01-20
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	16	16	$65,483.90	$2,994,578.86	$5,732.74	$60,900.03	$11,223.58	2026-01-20
560	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	16	16	$44,307.12	$2,026,164.71	$5,630.50	$41,205.62	$10,892.76	2026-01-20
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	16	16	$71,519.79	$3,270,600.11	$5,404.57	$66,513.41	$10,714.78	2026-01-20
86	MS_DRG	Traumatic Stupor And Coma <1 Hour With Cc	16	16	$13,019.00	$595,358.87	$6,513.50	$15,666.27	$10,688.60	2026-01-20
J2182	HCPCS	Injection, Mepolizumab, 1 Mg	25	25	$11,992.00	$5,156.56 57% off	$35.59	$11,992.00	$10,055.29	2026-01-20
815	MS_DRG	Reticuloendothelial And Immunity Disorders With Cc	16	16	$18,795.31	$859,509.53	$5,070.00	$17,479.64	$9,808.42	2026-01-20
65	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	16	16	$26,043.96	$1,190,990.29	$5,051.50	$24,220.88	$9,772.63	2026-01-20
315	MS_DRG	Other Circulatory System Diagnoses With Cc	16	16	$51,838.93	$2,370,594.09	$4,816.50	$48,210.20	$9,318.00	2026-01-20
552	MS_DRG	Medical Back Problems Without Mcc	16	16	$50,030.79	$2,287,907.84	$4,806.50	$46,528.63	$9,298.66	2026-01-20
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	16	16	$11,621.53	$531,452.57	$4,344.99	$12,306.21	$9,149.67	2026-01-20
563	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	16	16	$54,573.84	$2,495,661.70	$4,477.50	$50,753.67	$8,662.17	2026-01-20
558	MS_DRG	Tendonitis, Myositis And Bursitis Without Mcc	16	16	$13,617.14	$622,711.58	$3,568.50	$12,663.94	$8,639.92	2026-01-20
J1459	HCPCS	Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…	49	25	$9,912.00	$4,262.16 57% off	$51.46	$19,823.00	$8,523.89	2026-01-20
683	MS_DRG	Renal Failure With Cc	16	16	$18,051.30	$825,485.95	$3,940.77	$16,787.71	$8,471.61	2026-01-20
312	MS_DRG	Syncope And Collapse	16	16	$11,307.39	$517,086.78	$4,143.87	$10,515.87	$8,351.11	2026-01-20
292	MS_DRG	Heart Failure And Shock With Cc	16	16	$24,499.45	$1,120,359.85	$4,245.00	$22,784.49	$8,212.38	2026-01-20
J0840	HCPCS	Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram	25	25	$9,745.00	$4,190.35 57% off	$3,774.25	$9,745.00	$8,171.18	2026-01-20
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	16	16	$24,649.70	$1,127,230.60	$3,537.18	$22,924.22	$7,830.30	2026-01-20
536	MS_DRG	Fractures Of Hip And Pelvis Without Mcc	16	16	$24,380.55	$1,114,922.32	$4,038.00	$22,673.91	$7,811.91	2026-01-20
534	MS_DRG	Fractures Of Femur Without Mcc	16	16	$262,148.90	—	$4,030.50	$243,798.48	$7,797.41	2026-01-20
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	16	16	$23,232.43	$1,062,419.21	$4,029.50	$21,606.16	$7,795.47	2026-01-20
561	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	16	16	$60,709.27	$2,776,234.75	$4,019.50	$56,459.62	$7,776.12	2026-01-20
948	MS_DRG	Signs And Symptoms Without Mcc	16	16	$14,556.43	$665,665.50	$4,002.50	$13,537.48	$7,743.23	2026-01-20
694	MS_DRG	Urinary Stones Without Mcc	16	16	$31,191.12	$1,426,369.92	$3,908.50	$29,007.74	$7,561.39	2026-01-20
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	16	16	$35,825.05	$1,638,279.68	$3,194.05	$33,317.30	$7,527.53	2026-01-20
101	MS_DRG	Seizures Without Mcc	16	16	$9,148.70	$418,370.05	$3,760.88	$10,854.67	$7,511.09	2026-01-20
179	MS_DRG	Respiratory Infections And Inflammations Without Cc/mcc	16	16	$100,779.71	$4,608,656.14	$3,640.81	$93,725.13	$7,303.11	2026-01-20
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Cc	16	16	$28,342.00	$1,296,079.66	$3,639.33	$26,358.06	$7,116.42	2026-01-20
36571	HCPCS	Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older)	26	26	$8,584.00	$3,691.12 57% off	$1,387.18	$8,584.00	$7,032.44	2026-01-20
Q5111	HCPCS	Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg	24	24	$8,100.00	$3,483.00 57% off	$3,483.00	$8,100.00	$6,838.43	2026-01-20
379	MS_DRG	Gastrointestinal Hemorrhage Without Cc/mcc	16	16	$21,639.28	$989,564.27	$3,152.00	$20,124.53	$6,097.86	2026-01-20
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	16	16	$26,748.31	$1,223,200.40	$3,130.84	$24,875.93	$6,079.48	2026-01-20
293	MS_DRG	Heart Failure And Shock Without Cc/mcc	16	16	$20,247.19	$925,903.77	$2,830.00	$18,829.88	$5,474.92	2026-01-20
04400003	CDM	Puraply Mz 1000mg	16	16	$6,945.00	$2,986.35 57% off	$2,986.35	$6,458.85	$5,180.97	2026-01-20
15273	HCPCS	Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.…	45	26	$11,313.14	$4,864.65 57% off	$39.00	$11,313.14	$4,864.65	2026-01-20
J2802	HCPCS	Injection, Romiplostim, 1 Microgram	24	24	$5,761.62	$2,477.50 57% off	$2,477.50	$5,761.62	$4,864.25	2026-01-20
Q4101	HCPCS	Apligraf, Per Square Centimeter	26	26	$5,485.65	$2,358.83 57% off	$37.77	$5,485.65	$4,494.12	2026-01-20
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	16	16	$4,916.38	$224,826.06	$3,373.09	$9,375.47	$4,456.69	2026-01-20
74178	HCPCS	CT Scan Of Abdomen And Pelvis Before And After Contrast	26	26	$4,734.00	$2,035.62 57% off	$153.27	$4,734.00	$3,878.33	2026-01-20
36410	HCPCS	Insertion Of Needle Into Vein (3 Years Or Older)	24	24	$4,218.00	$1,813.74 57% off	$1,813.74	$4,218.00	$3,561.05	2026-01-20
72158	HCPCS	MRI Scan Of Lower Spinal Canal Before And After Contrast	26	26	$4,252.00	$1,828.36 57% off	$153.27	$4,252.00	$3,483.45	2026-01-20
70553	HCPCS	MRI Scan Of Brain Before And After Contrast	26	26	$4,252.00	$1,828.36 57% off	$153.27	$4,252.00	$3,483.45	2026-01-20
36569	HCPCS	Insertion Of Tube For Infusion (5 Years Or Older)	26	26	$4,218.00	$1,813.74 57% off	$691.57	$4,218.00	$3,455.60	2026-01-20
36584	HCPCS	Replacement Of Peripherally Inserted Central Venous Tube (picc) With Review By R…	26	26	$4,218.00	$1,813.74 57% off	$691.57	$4,218.00	$3,455.60	2026-01-20
36573	HCPCS	Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, …	26	26	$4,218.00	$1,813.74 57% off	$691.57	$4,218.00	$3,455.60	2026-01-20
74170	HCPCS	CT Scan Of Abdomen Before And After Contrast	26	26	$4,159.00	$1,788.37 57% off	$77.06	$4,159.00	$3,407.26	2026-01-20
70492	HCPCS	CT Scan Of Soft Tissue Of Neck Before And After Contrast	26	26	$4,021.00	$1,729.03 57% off	$77.06	$4,021.00	$3,294.20	2026-01-20
74177	HCPCS	CT Scan Of Abdomen And Pelvis With Contrast	26	26	$3,908.00	$1,680.44 57% off	$153.27	$3,908.00	$3,201.63	2026-01-20
15277	HCPCS	Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout…	45	26	$6,903.44	$2,968.48 57% off	$39.00	$6,903.44	$2,968.48	2026-01-20
72133	HCPCS	CT Scan Of Lower Spine Before And After Contrast	26	26	$3,619.00	$1,556.17 57% off	$77.06	$3,619.00	$2,964.86	2026-01-20
70545	HCPCS	MRI Scan Of Blood Vessels Of Head With Contrast	26	26	$3,619.00	$1,556.17 57% off	$153.27	$3,619.00	$2,964.86	2026-01-20
70548	HCPCS	MRI Scan Of Blood Vessels Of Neck With Contrast	26	26	$3,619.00	$1,556.17 57% off	$153.27	$3,619.00	$2,964.86	2026-01-20
70546	HCPCS	MRI Scan Of Blood Vessels Of Head Before And After Contrast	26	26	$3,619.00	$1,556.17 57% off	$153.27	$3,619.00	$2,964.86	2026-01-20
70552	HCPCS	MRI Scan Of Brain With Contrast	26	26	$3,555.00	$1,528.65 57% off	$153.27	$3,555.00	$2,912.43	2026-01-20
72156	HCPCS	MRI Scan Of Upper Spinal Canal Before And After Contrast	26	26	$3,537.00	$1,520.91 57% off	$153.27	$3,537.00	$2,897.68	2026-01-20
72147	HCPCS	MRI Scan Of Middle Spinal Canal With Contrast	26	26	$3,537.00	$1,520.91 57% off	$153.27	$3,537.00	$2,897.68	2026-01-20
73723	HCPCS	MRI Scan Of Leg Joint Before And After Contrast	26	26	$3,537.00	$1,520.91 57% off	$153.27	$3,537.00	$2,897.68	2026-01-20
70543	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast	26	26	$3,537.00	$1,520.91 57% off	$153.27	$3,537.00	$2,897.68	2026-01-20
72149	HCPCS	MRI Scan Of Lower Spinal Canal With Contrast	26	26	$3,537.00	$1,520.91 57% off	$153.27	$3,537.00	$2,897.68	2026-01-20
73720	HCPCS	MRI Scan Of Leg Before And After Contrast	26	26	$3,537.00	$1,520.91 57% off	$153.27	$3,537.00	$2,897.68	2026-01-20
72197	HCPCS	MRI Scan Of Pelvis Before And After Contrast	26	26	$3,537.00	$1,520.91 57% off	$153.27	$3,537.00	$2,897.68	2026-01-20
74183	HCPCS	MRI Scan Of Abdomen Before And After Contrast	26	26	$3,537.00	$1,520.91 57% off	$153.27	$3,537.00	$2,897.68	2026-01-20
70336	HCPCS	MRI Scan Of Jaw Joint	26	26	$3,536.50	$1,520.70 57% off	$104.82	$3,536.50	$2,897.28	2026-01-20
15275	HCPCS	Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne…	45	26	$6,737.64	$2,897.19 57% off	$39.00	$6,737.64	$2,897.19	2026-01-20
71270	HCPCS	CT Scan Of Chest Before And After Contrast	26	26	$3,489.00	$1,500.27 57% off	$77.06	$3,489.00	$2,858.36	2026-01-20
71552	HCPCS	MRI Scan Of Chest Before And After Contrast	26	26	$3,354.00	$1,442.22 57% off	$153.27	$3,354.00	$2,747.76	2026-01-20
72148	HCPCS	MRI Scan Of Lower Spinal Canal Without Contrast	26	26	$3,354.00	$1,442.22 57% off	$104.82	$3,354.00	$2,747.76	2026-01-20
73220	HCPCS	MRI Scan Of Arm Before And After Contrast	26	26	$3,353.00	$1,441.79 57% off	$153.27	$3,353.00	$2,746.94	2026-01-20
70491	HCPCS	CT Scan Of Soft Tissue Of Neck With Contrast	26	26	$3,338.00	$1,435.34 57% off	$77.06	$3,338.00	$2,734.65	2026-01-20
73223	HCPCS	MRI Scan Of Arm Joint Before And After Contrast	26	26	$3,257.00	$1,400.51 57% off	$153.27	$3,257.00	$2,668.30	2026-01-20
72127	HCPCS	CT Scan Of Upper Spine Before And After Contrast	26	26	$3,252.00	$1,398.36 57% off	$77.06	$3,252.00	$2,664.20	2026-01-20
72129	HCPCS	CT Scan Of Middle Spine With Contrast	26	26	$3,229.00	$1,388.47 57% off	$77.06	$3,229.00	$2,645.36	2026-01-20
04400002	CDM	Puraply Mz 500mg	16	16	$3,480.00	$1,496.40 57% off	$1,496.40	$3,236.40	$2,596.08	2026-01-20
15271	HCPCS	Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C…	45	26	$5,982.83	$2,572.62 57% off	$39.00	$5,982.83	$2,572.62	2026-01-20
TE	CDM	Room & Board - Semi-private (two Beds) - General Classification	9	9	$3,200.00	$4,573.00	$2,073.92	$2,976.00	$2,560.00	2026-01-20
70496	HCPCS	CT Scan Of Blood Vessels Of Head With Contrast	26	26	$3,120.96	$1,342.01 57% off	$77.06	$3,120.96	$2,556.85	2026-01-20
71275	HCPCS	CT Scan Of Blood Vessels Of Chest With Contrast	26	26	$3,111.52	$1,337.95 57% off	$77.06	$3,111.52	$2,549.11	2026-01-20
25000	HCPCS	Incision Or The Tendon Covering On The Top Side Of The Wrist	26	26	$3,000.00	$1,290.00 57% off	$706.44	$3,000.00	$2,532.75	2026-01-20
70470	HCPCS	CT Scan Of Head Or Brain Before And After Contrast	26	26	$3,033.00	$1,304.19 57% off	$77.06	$3,033.00	$2,484.78	2026-01-20
70551	HCPCS	MRI Scan Of Brain Without Contrast	26	26	$2,997.00	$1,288.71 57% off	$104.82	$2,997.00	$2,455.29	2026-01-20
SP	CDM	Room & Board - Semi-private (two Beds) - General Classification	9	9	$3,000.00	$4,573.00	$1,944.30	$2,790.00	$2,400.00	2026-01-20
72130	HCPCS	CT Scan Of Middle Spine Before And After Contrast	26	26	$2,925.00	$1,257.75 57% off	$77.06	$2,925.00	$2,396.31	2026-01-20
70498	HCPCS	CT Scan Of Blood Vessels Of Neck With Contrast	26	26	$2,906.42	$1,249.76 57% off	$77.06	$2,906.42	$2,381.09	2026-01-20
72132	HCPCS	CT Scan Of Lower Spine With Contrast	26	26	$2,855.00	$1,227.65 57% off	$153.27	$2,855.00	$2,338.96	2026-01-20
73222	HCPCS	MRI Scan Of Arm Joint With Contrast	26	26	$2,853.00	$1,226.79 57% off	$344.40	$2,853.00	$2,337.32	2026-01-20
72157	HCPCS	MRI Scan Of Middle Spinal Canal Before And After Contrast	26	26	$2,827.00	$1,215.61 57% off	$153.27	$2,827.00	$2,316.02	2026-01-20
74176	HCPCS	CT Scan Of Abdomen And Pelvis Without Contrast	26	26	$2,777.00	$1,194.11 57% off	$104.82	$2,777.00	$2,275.06	2026-01-20
73219	HCPCS	MRI Scan Of Arm With Contrast	26	26	$2,775.00	$1,193.25 57% off	$153.27	$2,775.00	$2,273.42	2026-01-20
70490	HCPCS	CT Scan Of Soft Tissue Of Neck Without Contrast	26	26	$2,768.00	$1,190.24 57% off	$45.93	$2,768.00	$2,267.68	2026-01-20
74160	HCPCS	CT Scan Of Abdomen With Contrast	26	26	$2,759.00	$1,186.37 57% off	$77.06	$2,759.00	$2,260.31	2026-01-20
70482	HCPCS	CT Scan Of Cranial Cavity Before And After Contrast	26	26	$2,750.00	$1,182.50 57% off	$77.06	$2,750.00	$2,252.94	2026-01-20
SW	CDM	Room & Board - Semi-private (two Beds) - General Classification	9	9	$2,800.00	$4,573.00	$1,814.68	$2,604.00	$2,240.00	2026-01-20
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	10	10	$2,277.50	$104,150.08	$1,803.78	$6,216.66	$2,197.79	2026-01-20
72196	HCPCS	MRI Scan Of Pelvis With Contrast	26	26	$2,675.00	$1,150.25 57% off	$153.27	$2,675.00	$2,191.49	2026-01-20
73722	HCPCS	MRI Scan Of Leg Joint With Contrast	26	26	$2,675.00	$1,150.25 57% off	$344.40	$2,675.00	$2,191.49	2026-01-20
70544	HCPCS	MRI Scan Of Blood Vessels Of Head Without Contrast	26	26	$2,656.00	$1,142.08 57% off	$104.82	$2,656.00	$2,175.93	2026-01-20
94660	HCPCS	Therapy Procedure Using A Positive Pressure Ventilator	26	26	$2,620.00	$1,126.60 57% off	$96.20	$2,620.00	$2,146.43	2026-01-20
70547	HCPCS	MRI Scan Of Blood Vessels Of Neck Without Contrast	26	26	$2,606.00	$1,120.58 57% off	$104.82	$2,606.00	$2,134.97	2026-01-20
J1439	HCPCS	Injection, Ferric Carboxymaltose, 1 Mg	25	25	$2,520.00	$1,083.60 57% off	$1.38	$2,520.00	$2,113.02	2026-01-20
72126	HCPCS	CT Scan Of Upper Spine With Contrast	26	26	$2,557.00	$1,099.51 57% off	$153.27	$2,557.00	$2,094.82	2026-01-20
70480	HCPCS	CT Scan Of Cranial Cavity Without Contrast	26	26	$2,440.00	$1,049.20 57% off	$45.93	$2,440.00	$1,998.97	2026-01-20
49082	HCPCS	Drainage Of Fluid From Abdominal Cavity	26	26	$2,429.00	$1,044.47 57% off	$398.47	$2,429.00	$1,989.96	2026-01-20
72131	HCPCS	CT Scan Of Lower Spine Without Contrast	26	26	$2,356.00	$1,013.08 57% off	$45.93	$2,356.00	$1,930.15	2026-01-20
71260	HCPCS	CT Scan Of Chest With Contrast	26	26	$2,353.00	$1,011.79 57% off	$77.06	$2,353.00	$1,927.70	2026-01-20
81420	HCPCS	Test For Detecting Genes Associated With Fetal Disease, Aneuploidy Genomic Seque…	26	26	$2,278.00	$979.54 57% off	$979.54	$17,291.16	$1,923.20	2026-01-20
73221	HCPCS	MRI Scan Of Arm Joint Without Contrast	26	26	$2,325.00	$999.75 57% off	$104.82	$2,325.00	$1,904.76	2026-01-20
70460	HCPCS	CT Scan Head Or Brain With Contrast	26	26	$2,271.00	$976.53 57% off	$77.06	$2,271.00	$1,860.51	2026-01-20
638	MS_DRG	Diabetes With Cc	10	10	$1,924.52	$88,008.30	$1,524.22	$5,681.01	$1,857.16	2026-01-20
94003	HCPCS	Follow-up Inpatient Or Observation Ventilation Assistance And Management	26	26	$2,226.00	$957.18 57% off	$271.42	$2,226.00	$1,823.65	2026-01-20
72142	HCPCS	MRI Scan Of Upper Spinal Canal With Contrast	26	26	$2,153.00	$925.79 57% off	$153.27	$2,153.00	$1,763.85	2026-01-20
74181	HCPCS	MRI Scan Of Abdomen Without Contrast	26	26	$2,153.00	$925.79 57% off	$104.82	$2,153.00	$1,763.85	2026-01-20
70542	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast	26	26	$2,153.00	$925.79 57% off	$153.27	$2,153.00	$1,763.85	2026-01-20
73721	HCPCS	MRI Scan Of Leg Joint Without Contrast	26	26	$2,153.00	$925.79 57% off	$104.82	$2,153.00	$1,763.85	2026-01-20
73719	HCPCS	MRI Scan Of Leg With Contrast	26	26	$2,153.00	$925.79 57% off	$153.27	$2,153.00	$1,763.85	2026-01-20
73218	HCPCS	MRI Scan Of Arm Without Contrast	26	26	$2,153.00	$925.79 57% off	$104.82	$2,153.00	$1,763.85	2026-01-20
72195	HCPCS	MRI Scan Of Pelvis Without Contrast	26	26	$2,153.00	$925.79 57% off	$104.82	$2,153.00	$1,763.85	2026-01-20
72125	HCPCS	CT Scan Of Upper Spine Without Contrast	26	26	$1,978.00	$850.54 57% off	$45.93	$1,978.00	$1,620.47	2026-01-20
72128	HCPCS	CT Scan Of Middle Spine Without Contrast	26	26	$1,900.00	$817.00 57% off	$45.93	$1,900.00	$1,556.58	2026-01-20
72146	HCPCS	MRI Scan Of Middle Spinal Canal Without Contrast	26	26	$1,887.00	$811.41 57% off	$104.82	$1,887.00	$1,545.92	2026-01-20
J0714	HCPCS	Injection, Ceftazidime And Avibactam, 0.5 G/0.125 G	25	25	$1,835.72	$789.36 57% off	$114.08	$1,835.72	$1,539.25	2026-01-20
93306	HCPCS	Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…	26	26	$1,836.00	$789.48 57% off	$240.06	$1,836.00	$1,504.14	2026-01-20
72141	HCPCS	MRI Scan Of Upper Spinal Canal Without Contrast	26	26	$1,806.00	$776.58 57% off	$104.82	$1,806.00	$1,479.57	2026-01-20
70488	HCPCS	CT Scan Of Face Before And After Contrast	26	26	$1,787.00	$768.41 57% off	$77.06	$1,787.00	$1,464.00	2026-01-20
72194	HCPCS	CT Scan Of Pelvis Before And After Contrast	26	26	$1,753.00	$753.79 57% off	$77.06	$1,753.00	$1,436.14	2026-01-20
71250	HCPCS	CT Scan Of Chest Without Contrast	26	26	$1,739.00	$747.77 57% off	$45.93	$1,739.00	$1,424.68	2026-01-20
73202	HCPCS	CT Scan Of Arm Before And After Contrast	26	26	$1,704.00	$732.72 57% off	$77.06	$1,704.00	$1,396.00	2026-01-20
73702	HCPCS	CT Scan Of Leg Before And After Contrast	26	26	$1,704.00	$732.72 57% off	$77.06	$1,704.00	$1,396.00	2026-01-20
73718	HCPCS	MRI Scan Of Leg Without Contrast	26	26	$1,664.00	$715.52 57% off	$104.82	$1,664.00	$1,363.23	2026-01-20
90935	HCPCS	Hemodialysis Procedure With Physician Evaluation	26	26	$1,600.00	$688.00 57% off	$301.52	$1,600.00	$1,310.83	2026-01-20
70450	HCPCS	CT Scan Head Or Brain Without Contrast	26	26	$1,508.00	$648.44 57% off	$45.93	$1,508.00	$1,235.43	2026-01-20
440	MS_DRG	Disorders Of Pancreas Except Malignancy Without Cc/mcc	9	9	$1,312.89	$60,038.46	$1,039.81	$3,184.53	$1,220.99	2026-01-20
93970	HCPCS	Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers	26	26	$1,482.00	$637.26 57% off	$104.82	$1,482.00	$1,214.13	2026-01-20
70487	HCPCS	CT Scan Of Face With Contrast	26	26	$1,472.00	$632.96 57% off	$77.06	$1,472.00	$1,205.93	2026-01-20
J0248	HCPCS	Injection, Remdesivir, 1 Mg	48	24	$2,002.50	$861.08 57% off	$537.50	$2,755.00	$1,184.65	2026-01-20
73701	HCPCS	CT Scan Of Leg With Contrast Material	26	26	$1,420.00	$610.60 57% off	$77.06	$1,420.00	$1,163.34	2026-01-20
73201	HCPCS	CT Scan Of Arm With Contrast	26	26	$1,420.00	$610.60 57% off	$153.27	$1,420.00	$1,163.34	2026-01-20
72193	HCPCS	CT Scan Of Pelvis With Contrast	26	26	$1,371.00	$589.53 57% off	$77.06	$1,371.00	$1,123.19	2026-01-20
93975	HCPCS	Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow	26	26	$1,342.17	$577.13 57% off	$104.82	$1,342.17	$1,099.58	2026-01-20
70540	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast	26	26	$1,307.00	$562.01 57% off	$104.82	$1,307.00	$1,070.76	2026-01-20
70486	HCPCS	CT Scan Of Face Without Contrast	50	26	$2,440.00	$1,049.20 57% off	$45.93	$2,440.00	$1,049.20	2026-01-20
24600	HCPCS	Repair Of Dislocated Elbow	26	26	$1,237.00	$531.91 57% off	$108.37	$1,237.00	$1,013.41	2026-01-20
27265	HCPCS	Closed Treatment Of Dislocated Hip Prosthesis	26	26	$1,233.00	$530.19 57% off	$108.37	$1,233.00	$1,010.13	2026-01-20
604	MS_DRG	Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc	7	7	$1,126.00	$51,491.98	$891.79	$1,126.00	$994.26	2026-01-20
81291	HCPCS	Gene Analysis (5, 10-methylenetetrahydrofolate Reductase) Common Variants	26	26	$1,200.00	$516.00 57% off	$107.81	$1,200.00	$983.10	2026-01-20
P9035	HCPCS	Platelets, Pheresis, Leukocytes Reduced, Each Unit	26	26	$1,140.00	$490.20 57% off	$219.99	$1,140.00	$933.94	2026-01-20
73200	HCPCS	CT Scan Of Arm Without Contrast	26	26	$1,136.00	$488.48 57% off	$45.93	$1,136.00	$930.67	2026-01-20
72192	HCPCS	CT Scan Of Pelvis Without Contrast	26	26	$1,133.00	$487.19 57% off	$45.93	$1,133.00	$928.21	2026-01-20
05601122	CDM	Neupogen 480mcg/0.8ml	16	16	$1,240.00	$533.20 57% off	$533.20	$1,153.20	$925.04	2026-01-20
93925	HCPCS	Ultrasound Of Leg Arteries Or Artery Grafts	26	26	$1,117.00	$480.31 57% off	$104.82	$1,117.00	$915.10	2026-01-20
93880	HCPCS	Ultrasound Of Both Sides Of Head And Neck Blood Flow	26	26	$1,103.00	$474.29 57% off	$104.82	$1,103.00	$903.63	2026-01-20
93307	HCPCS	Ultrasound Of Heart	26	26	$1,103.00	$474.29 57% off	$104.82	$1,103.00	$903.63	2026-01-20
J2997	HCPCS	Injection, Alteplase Recombinant, 1 Mg	49	25	$889.74	$382.59 57% off	$108.07	$44,487.00	$889.74	2026-01-20
93922	HCPCS	Ultrasound Study Of Arm And Leg Arteries	26	26	$1,047.00	$450.21 57% off	$58.45	$1,047.00	$857.75	2026-01-20
J7298	HCPCS	Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg	25	25	$981.00	$421.83 57% off	$421.83	$1,144.21	$833.85	2026-01-20
36430	HCPCS	Transfusion Of Blood Or Blood Products	50	26	$961.00	$413.23 57% off	$193.82	$1,246.12	$816.85	2026-01-20
76856	HCPCS	Complete Ultrasound Scan Of Pelvis	26	26	$995.00	$427.85 57% off	$45.93	$995.00	$815.15	2026-01-20
29580	HCPCS	Strapping, Unna Boot	26	26	$980.88	$421.78 57% off	$71.39	$980.88	$803.59	2026-01-20
97608	HCPCS	Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq…	45	26	$1,865.35	$802.10 57% off	$20.69	$1,865.35	$802.10	2026-01-20
97607	HCPCS	Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq…	45	26	$1,865.35	$802.10 57% off	$17.90	$1,865.35	$802.10	2026-01-20
92523	HCPCS	Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension …	25	25	$954.46	$410.42 57% off	$319.84	$954.46	$800.31	2026-01-20
76700	HCPCS	Complete Ultrasound Scan Of Abdomen	26	26	$968.00	$416.24 57% off	$45.93	$968.00	$793.03	2026-01-20
85245	HCPCS	Clotting Factor Viii (vw Factor) Measurement	26	26	$966.00	$415.38 57% off	$37.85	$966.00	$791.39	2026-01-20
94002	HCPCS	Initial Hospital Inpatient Or Observation Ventilation Assistance And Management	50	26	$3,918.00	$1,684.74 57% off	$258.43	$3,918.00	$765.03	2026-01-20
Q5101	HCPCS	Injection, Filgrastim-sndz, Biosimilar, (zarxio), 1 Microgram	49	25	$897.00	$385.71 57% off	$0.58	$930.00	$762.45	2026-01-20
73700	HCPCS	CT Scan Of Leg Without Contrast	26	26	$916.00	$393.88 57% off	$45.93	$916.00	$750.43	2026-01-20
05605606	CDM	Victoza 2-pak 18 Mg/3 Ml Pen	16	16	$1,000.00	$430.00 57% off	$430.00	$930.00	$746.00	2026-01-20
82656	HCPCS	Detection Of Pancreatic Elastase (enzyme) In Stool	26	26	$896.00	$385.28 57% off	$19.02	$896.00	$734.05	2026-01-20
93971	HCPCS	Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers	52	26	$894.00	$384.42 57% off	$45.93	$894.00	$732.41	2026-01-20
99291	HCPCS	Critical Care, First 30-74 Minutes	64	26	$496.00	$192.07 61% off	$39.00	$2,400.00	$729.11	2026-01-20
87521	HCPCS	Detection Test By Nucleic Acid For Hepatitis C Virus, Amplified Probe Technique	26	26	$884.00	$380.12 57% off	$57.90	$884.00	$724.22	2026-01-20
93930	HCPCS	Ultrasound Of Arm Arteries Or Artery Grafts	26	26	$880.00	$378.40 57% off	$104.82	$880.00	$720.94	2026-01-20
81270	HCPCS	Gene Analysis (Janus Kinase 2) Variant	26	26	$851.00	$365.93 57% off	$151.24	$851.00	$718.45	2026-01-20
305	MS_DRG	Hypertension Without Mcc	7	7	$802.99	$36,720.73	$635.97	$802.99	$709.04	2026-01-20
74400	HCPCS	Imaging Of Urinary Tract With Injection Of Contrast Into A Vein	26	26	$860.00	$369.80 57% off	$77.06	$860.00	$704.56	2026-01-20
76770	HCPCS	Complete Ultrasound Scan Behind Abdominal Cavity	26	26	$851.00	$365.93 57% off	$45.93	$851.00	$697.18	2026-01-20
81400	HCPCS	Molecular Pathology Procedure Level 1	26	26	$840.00	$361.20 57% off	$105.53	$840.00	$688.17	2026-01-20
76536	HCPCS	Ultrasound Scan Of Head And Neck Soft Tissue	26	26	$836.00	$359.48 57% off	$45.93	$836.00	$684.89	2026-01-20
87902	HCPCS	Analysis Test By Nucleic Acid For Hepatitis C Virus	26	26	$801.00	$344.43 57% off	$344.43	$2,062.17	$676.25	2026-01-20
32554	HCPCS	Aspiration Of Fluid From Chest Cavity	26	26	$800.00	$344.00 57% off	$275.59	$1,261.02	$675.40	2026-01-20
05600307	CDM	Santyl Ointment	16	16	$900.00	$387.00 57% off	$387.00	$837.00	$671.40	2026-01-20
J0881	HCPCS	Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)	25	25	$800.00	$344.00 57% off	$4.61	$800.00	$670.80	2026-01-20
26951	HCPCS	Amputation Of Finger Or Thumb With Direct Closure	19	19	$3,301.75	$641.09 81% off	$39.00	$3,301.75	$660.32	2026-01-20
54220	HCPCS	Injection Of Drug Into Erectile Tissue At Sides And Back Of Penis	26	26	$798.00	$343.14 57% off	$109.77	$798.00	$653.76	2026-01-20
25600	HCPCS	Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb …	45	26	$835.75	$359.37 57% off	$39.00	$1,051.87	$648.52	2026-01-20
23655	HCPCS	Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia	26	26	$761.00	$327.23 57% off	$327.23	$2,710.78	$646.85	2026-01-20
12018	HCPCS	Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, Mor…	26	26	$788.00	$338.84 57% off	$88.14	$788.00	$645.57	2026-01-20
12037	HCPCS	Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha…	26	26	$741.00	$318.63 57% off	$318.63	$3,245.48	$629.85	2026-01-20
13102	HCPCS	Complicated Repair Of Wound Of Trunk, Each Additional 5.0 Cm Or Less	24	24	$742.00	$319.06 57% off	$319.06	$742.00	$626.43	2026-01-20
13101	HCPCS	Complicated Repair Of Wound Of Trunk, 2.6-7.5 Cm	26	26	$742.00	$319.06 57% off	$319.06	$994.04	$626.43	2026-01-20
12057	HCPCS	Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More …	26	26	$742.00	$319.06 57% off	$178.59	$742.00	$626.43	2026-01-20
13153	HCPCS	Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, Each Additional 5.0 …	24	24	$742.00	$319.06 57% off	$319.06	$742.00	$626.43	2026-01-20
13151	HCPCS	Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm	26	26	$742.00	$319.06 57% off	$319.06	$994.04	$626.43	2026-01-20
13133	HCPCS	Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G…	24	24	$742.00	$319.06 57% off	$319.06	$742.00	$626.43	2026-01-20
13131	HCPCS	Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G…	26	26	$742.00	$319.06 57% off	$178.59	$742.00	$626.43	2026-01-20
13120	HCPCS	Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 1.1-2.5 Cm	26	26	$742.00	$319.06 57% off	$178.59	$994.04	$626.43	2026-01-20
13132	HCPCS	Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G…	27	26	$742.00	$319.06 57% off	$178.59	$994.04	$622.17	2026-01-20
P9021	HCPCS	Red Blood Cells, Each Unit	26	26	$756.00	$325.08 57% off	$64.75	$756.00	$619.36	2026-01-20
12017	HCPCS	Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.…	26	26	$722.00	$310.46 57% off	$178.59	$722.00	$609.55	2026-01-20
85246	HCPCS	Clotting Factor Viii (vw Factor) Antigen	26	26	$740.25	$318.31 57% off	$37.85	$740.25	$606.45	2026-01-20
05601293	CDM	Atrovent 17 Mcg Hfa Inhaler	16	16	$810.00	$348.30 57% off	$348.30	$753.30	$604.26	2026-01-20
94664	HCPCS	Evaluation Of Use Of Breathing Device	26	26	$736.00	$316.48 57% off	$96.20	$736.00	$602.97	2026-01-20
05601088	CDM	Trelegy Ellipta 100-62.5-25	16	16	$800.00	$344.00 57% off	$344.00	$744.00	$596.80	2026-01-20
93229	HCPCS	Electrocardiogram (ecg) Up To 30 Days Continuous With Transmission Of Patient Tr…	26	26	$727.15	$312.67 57% off	$163.94	$727.15	$595.72	2026-01-20
93926	HCPCS	Ultrasound Of One Leg Arteries Or Artery Grafts	26	26	$726.00	$312.18 57% off	$45.93	$726.00	$594.77	2026-01-20
81271	HCPCS	Gene Analysis (Huntingtin) For Abnormal Alleles	26	26	$700.00	$301.00 57% off	$226.05	$959.00	$590.98	2026-01-20
81596	HCPCS	Biochemical Assays For Evaluation Of Chronic Hepatitis C Virus Infection	26	26	$720.00	$309.60 57% off	$95.51	$720.00	$589.86	2026-01-20
J7321	HCPCS	Hyaluronan Or Derivative, Hyalgan, Supartz Or Visco-3, For Intra-articular Injec…	25	25	$700.00	$301.00 57% off	$98.96	$700.00	$586.95	2026-01-20
11044	HCPCS	Removal Of Bone, 20.0 Sq Cm Or Less	69	26	$617.00	$265.31 57% off	$39.00	$5,032.54	$583.84	2026-01-20
76705	HCPCS	Limited Ultrasound Scan Of Abdomen	26	26	$709.00	$304.87 57% off	$45.93	$709.00	$580.85	2026-01-20
25605	HCPCS	Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit…	26	26	$683.00	$293.69 57% off	$293.69	$2,710.78	$580.55	2026-01-20
26600	HCPCS	Closed Treatment Of Broken Hand Bone	45	26	$749.00	$322.07 57% off	$39.00	$935.77	$578.02	2026-01-20
72052	HCPCS	X-ray Of Upper Spine, 6 Or More Views	26	26	$699.00	$300.57 57% off	$45.93	$699.00	$572.65	2026-01-20
04400001	CDM	Puraply Mz 100mg	16	16	$765.00	$328.95 57% off	$328.95	$711.45	$570.69	2026-01-20
12034	HCPCS	Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5…	26	26	$672.00	$288.96 57% off	$178.59	$672.00	$567.34	2026-01-20
92950	HCPCS	Manual Attempt To Restore Blood Circulation And Breathing	69	26	$664.00	$285.52 57% off	$39.00	$853.00	$564.40	2026-01-20
76775	HCPCS	Limited Ultrasound Scan Behind Abdominal Cavity	26	26	$681.00	$292.83 57% off	$45.93	$681.00	$557.91	2026-01-20
12007	HCPCS	Simple Repair Of Surface Wound To Scalp, Neck, Underarms, Trunk, Arms, Or Legs, …	26	26	$673.00	$289.39 57% off	$88.14	$673.00	$551.36	2026-01-20
05605394	CDM	Advair 500-50 Diskus	16	16	$736.00	$316.48 57% off	$316.48	$684.48	$549.06	2026-01-20
25500	HCPCS	Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side	45	26	$994.00	$427.42 57% off	$39.00	$994.00	$547.76	2026-01-20
71111	HCPCS	X-ray Of Ribs On Both Sides Of Body, Minimum Of 4 Views	26	26	$662.00	$284.66 57% off	$45.93	$662.00	$542.35	2026-01-20
93017	HCPCS	Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg)	26	26	$662.00	$284.66 57% off	$94.86	$662.00	$542.35	2026-01-20
12042	HCPCS	Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.6-7.5 Cm	26	26	$637.00	$273.91 57% off	$178.59	$639.02	$537.79	2026-01-20
85302	HCPCS	Protein C, (clotting Inhibitor) Activity	26	26	$654.00	$281.22 57% off	$19.82	$654.00	$535.79	2026-01-20
06001183	CDM	Repair Scalp/arm/leg >2.6<7.	16	16	$742.00	$319.06 57% off	$319.06	$690.06	$534.98	2026-01-20
88189	HCPCS	Flow Cytometry Technique For DNA Or Cell Analysis, 16 Or More Markers	25	25	$638.00	$274.34 57% off	$149.80	$638.00	$534.96	2026-01-20
64450	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch	45	26	$1,234.69	$530.92 57% off	$34.78	$1,250.10	$530.92	2026-01-20
80074	HCPCS	Acute Hepatitis Panel	26	26	$644.00	$276.92 57% off	$78.59	$644.00	$527.60	2026-01-20
84597	HCPCS	Vitamin K Level	26	26	$642.00	$276.06 57% off	$22.64	$642.00	$525.96	2026-01-20
72110	HCPCS	X-ray Of Lower And Sacral Spine, Minimum Of 4 Views	26	26	$634.00	$272.62 57% off	$45.93	$634.00	$519.40	2026-01-20
12006	HCPCS	Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, …	26	26	$607.00	$261.01 57% off	$178.59	$639.02	$512.46	2026-01-20
05601233	CDM	Spiriva Respimat 1.25 Mcg Inh	16	16	$680.00	$292.40 57% off	$292.40	$632.40	$507.28	2026-01-20
05605130	CDM	Spiriva Handihaler 18 Mcg Cap	16	16	$679.00	$291.97 57% off	$291.97	$631.47	$506.53	2026-01-20
27520	HCPCS	Closed Treatment Of Broken Kneecap	45	26	$626.00	$269.18 57% off	$39.00	$991.49	$495.79	2026-01-20
74150	HCPCS	CT Scan Of Abdomen Without Contrast	50	26	$1,152.00	$495.36 57% off	$45.93	$1,152.00	$495.36	2026-01-20
76881	HCPCS	Complete Ultrasound Scan Of Joint	26	26	$598.00	$257.14 57% off	$45.93	$598.00	$489.91	2026-01-20
92612	HCPCS	Evaluation And Recording Of Swallowing Using An Endoscope	49	25	$576.00	$247.68 57% off	$247.68	$1,000.00	$489.60	2026-01-20
12032	HCPCS	Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 …	26	26	$579.00	$248.97 57% off	$178.59	$639.02	$488.82	2026-01-20
76801	HCPCS	Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Single Or First Fetus	26	26	$594.00	$255.42 57% off	$45.93	$594.00	$486.63	2026-01-20
72190	HCPCS	X-ray Of Pelvis, Minimum Of 3 Views	26	26	$590.00	$253.70 57% off	$45.93	$590.00	$483.36	2026-01-20
90677	HCPCS	Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use	48	24	$892.39	$383.73 57% off	$146.40	$1,444.32	$480.76	2026-01-20
17286	HCPCS	Destruction Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, …	26	26	$560.00	$240.80 57% off	$240.80	$994.04	$472.78	2026-01-20
86146	HCPCS	Beta 2 Glycoprotein 1 Antibody (autoantibody) Measurement	26	26	$576.00	$247.68 57% off	$41.99	$576.00	$471.89	2026-01-20
86022	HCPCS	Antibody Identification Test, Platelet Antibodies	26	26	$576.00	$247.68 57% off	$30.31	$576.00	$471.89	2026-01-20
56006516	CDM	Dulera 100 Mcg-5 Mcg Inhaler	16	16	$625.00	$268.75 57% off	$268.75	$581.25	$466.25	2026-01-20
76805	HCPCS	Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More), Single Or First Fetus	26	26	$564.00	$242.52 57% off	$45.93	$564.00	$462.06	2026-01-20
80187	HCPCS	Measurement Of Posaconazole	25	25	$549.00	$236.07 57% off	$148.83	$549.00	$460.34	2026-01-20
92524	HCPCS	Analysis Of Voice And Resonance Production	25	25	$548.44	$235.83 57% off	$149.57	$548.44	$459.87	2026-01-20
72050	HCPCS	X-ray Of Upper Spine, 4-5 Views	26	26	$560.00	$240.80 57% off	$45.93	$560.00	$458.78	2026-01-20
76080	HCPCS	Review By Radiologist Of Abscess Or Sinus Cavity Study	26	26	$540.00	$232.20 57% off	$232.20	$1,083.56	$455.89	2026-01-20
71110	HCPCS	X-ray Of Ribs On Both Sides Of Body, 3 Views	26	26	$556.00	$239.08 57% off	$45.93	$556.00	$455.50	2026-01-20
05601152	CDM	Combivent Respimat 20-100 Mcg	16	16	$606.00	$260.58 57% off	$260.58	$563.58	$452.07	2026-01-20
76870	HCPCS	Ultrasound Scan Of Scrotum	26	26	$551.00	$236.93 57% off	$45.93	$551.00	$451.40	2026-01-20
27780	HCPCS	Closed Treatment Of Broken Middle Or Upper End Of Outside Lower Leg Bone	26	26	$546.00	$234.78 57% off	$108.37	$546.00	$447.31	2026-01-20
26725	HCPCS	Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With …	50	26	$1,052.50	$452.58 57% off	$108.37	$1,052.50	$445.00	2026-01-20
70210	HCPCS	X-ray Of Paranasal Sinus, 1-2 Views	26	26	$540.00	$232.20 57% off	$38.23	$540.00	$442.39	2026-01-20
12016	HCPCS	Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.…	45	26	$656.00	$282.08 57% off	$39.00	$656.00	$437.70	2026-01-20
11043	HCPCS	Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less	69	26	$444.00	$190.92 57% off	$39.00	$5,115.49	$434.60	2026-01-20
M0239	HCPCS	Intravenous Infusion, Bamlanivimab-xxxx, Includes Infusion And Post Administrati…	24	24	$514.00	$221.02 57% off	$221.02	$514.00	$433.94	2026-01-20
05605653	CDM	Breo Ellipta 200-25 Mcg Inhalr	16	16	$578.00	$248.54 57% off	$248.54	$537.54	$431.19	2026-01-20
87517	HCPCS	Detection Test By Nucleic Acid For Hepatitis B Virus, Quantification	26	26	$525.00	$225.75 57% off	$70.69	$525.00	$430.11	2026-01-20
23620	HCPCS	Closed Treatment Of Upper Arm Bone Broken At Shoulder Joint	26	26	$509.00	$218.87 57% off	$108.37	$509.00	$429.04	2026-01-20
11056	HCPCS	Removal Of Noncancer Thickened Skin Growth, 2-4 Growths	26	26	$538.00	$256.57 52% off	$88.14	$538.00	$428.25	2026-01-20
94640	HCPCS	Inhalation Treatment For Airway Obstruction Or Sputum Production	67	26	$610.00	$262.30 57% off	$11.14	$610.00	$427.00	2026-01-20
08005022	CDM	Rev - Fs-rural/clinic	17	17	$2,380.50	$256.57 89% off	$353.11	$2,213.87	$423.77	2026-01-20
96365	HCPCS	Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, 1 Hour Or Less	26	26	$514.00	$221.02 57% off	$93.45	$514.00	$421.10	2026-01-20
05500589	CDM	Tracheostomy Tube 7.5mm	16	16	$563.40	$242.26 57% off	$242.26	$523.96	$420.29	2026-01-20
87522	HCPCS	Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification	26	26	$511.00	$219.73 57% off	$70.69	$511.00	$418.63	2026-01-20
56006132	CDM	Metronidazole Topical 1% Gel	16	16	$560.00	$240.80 57% off	$240.80	$520.80	$417.76	2026-01-20
87536	HCPCS	Detection Test By Nucleic Acid For HIV-1 Virus, Quantification	26	26	$494.00	$212.42 57% off	$140.42	$494.00	$417.06	2026-01-20
93882	HCPCS	Ultrasound Of One Side Of Head And Neck Blood Flow	25	25	$496.00	$213.28 57% off	$45.93	$496.00	$415.90	2026-01-20
58300	HCPCS	Insertion Of IUD For Pregnancy Prevention	24	24	$502.00	$256.57 49% off	$351.40	$502.00	$412.69	2026-01-20
81512	HCPCS	Fetal Congenital Abnormalities, Biochemical Assays Of Five Analytes (afp, Ue3, T…	26	26	$501.00	$215.43 57% off	$114.71	$501.00	$410.44	2026-01-20
96360	HCPCS	Infusion Into A Vein For Hydration, 31-60 Minutes	26	26	$501.00	$215.43 57% off	$93.45	$501.00	$410.44	2026-01-20
23650	HCPCS	Closed Treatment Of Dislocated Shoulder With Manipulation	69	26	$636.08	$337.51 47% off	$39.00	$1,715.53	$410.00	2026-01-20
90670	HCPCS	Pneumococcal Vaccine, 13-valent	26	26	$500.00	$215.00 57% off	$209.13	$500.00	$409.62	2026-01-20
92953	HCPCS	Temporary Pacemaker To Regulate Heart Beat	26	26	$485.00	$208.55 57% off	$208.55	$1,072.92	$409.46	2026-01-20
92507	HCPCS	Treatment Of Speech, Language, Voice, Communication, And/or Hearing Processing D…	25	25	$486.49	$209.19 57% off	$131.34	$486.49	$407.92	2026-01-20

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