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

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Hospital

CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL

Carnegie, OK · CCN 371334 · Rates published

1,889 distinct procedures filed
25 distinct payers
42,292 rate rows
2026-01-19 last MRF observed
Data quality

40,835 of 42,292 rate rows are consumer-grade (96.6%)

1,457 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 930
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 431
exceeds 10× this hospital's gross charge — excluded from medians 60
percent-of-charges filed in the dollar field — excluded from medians 29
exceeds 3× this hospital's gross charge for a DRG stay — excluded 5
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbCTMHCARNEGIEOK&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/CarnegieTriCounty_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 01aa733312a3790a… · 14,909,906 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
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 $18,624.56 $517,614.64 $54,422.92 nat. median
$49,182
1.1× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 $13,027.92 $109,441.87 $38,068.95 nat. median
$33,845
1.1× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 $9,342.30 $297,483.07 $27,299.18 nat. median
$24,493
1.1× median
539
MS_DRG 		Osteomyelitis With Mcc 15 $7,484.86 $102,112.76 $21,871.55 nat. median
$19,718
1.1× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 15 $6,957.80 $129,665.96 $20,331.42 nat. median
$18,292
1.1× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 24 $105.42 $38,278.50 $20,287.61 nat. median
$5,957
outlier · 3.4×
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 $8,390.02 $28,194.88 $20,086.25 nat. median
$22,208
0.9× median
52
MS_DRG 		Spinal Disorders And Injuries With Cc/mcc 15 $6,767.04 $120,217.07 $19,774.00 nat. median
$19,131
1.0× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 15 $6,673.56 $114,721.57 $19,500.84 nat. median
$17,985
1.1× median
571
MS_DRG 		Skin Debridement With Cc 15 $6,420.10 $57,813.67 $18,760.21 nat. median
$17,260
1.1× median
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 15 $6,326.24 $215,498.83 $18,485.94 nat. median
$17,281
1.1× median
913
MS_DRG 		Traumatic Injury With Mcc 15 $6,211.48 $44,962.07 $18,150.60 nat. median
$16,480
1.1× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 15 $6,199.32 $71,789.23 $18,115.07 nat. median
$16,645
1.1× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 15 $6,107.34 $40,627.66 $17,865.23 nat. median
$14,858
1.2× median
186
MS_DRG 		Pleural Effusion With Mcc 15 $5,922.30 $24,422.72 $17,305.58 nat. median
$15,980
1.1× median
183
MS_DRG 		Major Chest Trauma With Mcc 15 $5,813.62 $91,315.20 $16,988.01 nat. median
$15,867
1.1× median
865
MS_DRG 		Viral Illness With Mcc 15 $4,792.88 $75,617.03 $16,637.12 nat. median
$15,232
1.1× median
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 15 $5,650.22 $143,586.96 $16,510.54 nat. median
$15,338
1.1× median
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 15 $5,414.24 $112,664.93 $15,820.98 nat. median
$14,855
1.1× median
602
MS_DRG 		Cellulitis With Mcc 15 $5,400.94 $30,167.67 $15,782.12 nat. median
$14,837
1.1× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 15 $5,075.28 $69,688.24 $14,830.50 nat. median
$13,400
1.1× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 15 $4,994.72 $28,932.05 $14,595.10 nat. median
$13,648
1.1× median
553
MS_DRG 		Bone Diseases And Arthropathies With Mcc 15 $4,925.94 $101,529.28 $14,394.12 nat. median
$13,586
1.1× median
291
MS_DRG 		Heart Failure And Shock With Mcc 15 $4,878.44 $31,996.61 $14,255.32 nat. median
$13,521
1.1× median
535
MS_DRG 		Fractures Of Hip And Pelvis With Mcc 15 $4,871.60 $28,497.74 $14,235.33 nat. median
$13,516
1.1× median
947
MS_DRG 		Signs And Symptoms With Mcc 15 $4,823.72 $68,660.48 $14,095.42 nat. median
$12,688
1.1× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 15 $4,819.54 $22,110.61 $14,083.20 nat. median
$13,245
1.1× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 15 $4,694.52 $65,970.87 $13,717.88 nat. median
$13,017
1.1× median
593
MS_DRG 		Skin Ulcers With Cc 15 $4,507.94 $322,193.99 $13,172.68 nat. median
$12,572
1.0× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 15 $4,409.14 $27,959.58 $12,883.97 nat. median
$12,152
1.1× median
436
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Cc 15 $4,298.18 $21,253.51 $12,559.73 nat. median
$12,085
1.0× median
374
MS_DRG 		Digestive Malignancy With Mcc 15 $8,127.06 $27,311.20 $12,519.17 nat. median
$21,276
0.6× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 15 $4,279.18 $107,114.82 $12,504.21 nat. median
$12,148
1.0× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 15 $4,209.26 $32,556.39 $12,299.90 nat. median
$11,699
1.1× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 15 $5,938.26 $19,955.68 $11,767.21 nat. median
$16,234
0.7× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 15 $3,888.54 $21,369.21 $11,362.72 nat. median
$11,103
1.0× median
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 15 $3,879.80 $76,312.82 $11,337.18 nat. median
$11,087
1.0× median
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 15 $3,857.00 $71,354.00 $11,270.56 nat. median
$10,935
1.0× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 15 $3,839.14 $69,540.36 $11,218.37 nat. median
$11,174
1.0× median
187
MS_DRG 		Pleural Effusion With Cc 15 $3,758.58 $29,763.44 $10,982.97 nat. median
$10,854
1.0× median
386
MS_DRG 		Inflammatory Bowel Disease With Cc 15 $3,709.94 $13,344.87 $10,840.84 nat. median
$10,778
1.0× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 15 $3,708.80 $28,888.16 $10,837.50 nat. median
$10,873
1.0× median
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 15 $3,660.54 $38,984.91 $10,696.48 nat. median
$10,513
1.0× median
552
MS_DRG 		Medical Back Problems Without Mcc 15 $3,652.94 $32,371.68 $10,674.28 nat. median
$10,422
1.0× median
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 15 $3,489.16 $20,582.47 $10,195.69 nat. median
$9,870
1.0× median
605
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 15 $3,480.80 $23,373.81 $10,171.26 nat. median
$9,920
1.0× median
638
MS_DRG 		Diabetes With Cc 15 $3,405.56 $27,708.18 $9,951.40 nat. median
$9,824
1.0× median
558
MS_DRG 		Tendonitis, Myositis And Bursitis Without Mcc 15 $3,394.16 $15,559.42 $9,918.09 nat. median
$9,623
1.0× median
683
MS_DRG 		Renal Failure With Cc 15 $3,328.04 $107,875.76 $9,724.88 nat. median
$9,664
1.0× median
550
MS_DRG 		Septic Arthritis Without Cc/mcc 15 $3,321.58 $56,924.06 $9,706.01 nat. median
$9,690
1.0× median

Other procedures at this hospital

Browse this hospital's 1,889 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
             
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 15 $562,624.61 — $18,624.56 $517,614.64 $54,422.92 2026-01-19
593 MS_DRG Skin Ulcers With Cc 15 15 $350,210.86 — $4,507.94 $322,193.99 $13,172.68 2026-01-19
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 15 $323,351.16 — $9,342.30 $297,483.07 $27,299.18 2026-01-19
70 MS_DRG Other Cerebrovascular Disorders With Mcc 15 15 $234,237.86 — $6,326.24 $215,498.83 $18,485.94 2026-01-19
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 15 15 $156,072.79 — $5,650.22 $143,586.96 $16,510.54 2026-01-19
205 MS_DRG Other Respiratory System Diagnoses With Mcc 15 15 $140,941.26 — $6,957.80 $129,665.96 $20,331.42 2026-01-19
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 15 15 $130,670.73 — $6,767.04 $120,217.07 $19,774.00 2026-01-19
91 MS_DRG Other Disorders Of Nervous System With Mcc 15 15 $124,697.36 — $6,673.56 $114,721.57 $19,500.84 2026-01-19
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 15 15 $122,461.88 — $5,414.24 $112,664.93 $15,820.98 2026-01-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 15 $118,958.55 — $13,027.92 $109,441.87 $38,068.95 2026-01-19
683 MS_DRG Renal Failure With Cc 15 15 $117,256.26 — $3,328.04 $107,875.76 $9,724.88 2026-01-19
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 15 15 $116,429.15 — $4,279.18 $107,114.82 $12,504.21 2026-01-19
539 MS_DRG Osteomyelitis With Mcc 15 15 $110,992.13 — $7,484.86 $102,112.76 $21,871.55 2026-01-19
553 MS_DRG Bone Diseases And Arthropathies With Mcc 15 15 $110,357.91 — $4,925.94 $101,529.28 $14,394.12 2026-01-19
183 MS_DRG Major Chest Trauma With Mcc 15 15 $99,255.65 — $5,813.62 $91,315.20 $16,988.01 2026-01-19
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 15 15 $82,948.72 $4,840,887.30 $3,879.80 $76,312.82 $11,337.18 2026-01-19
865 MS_DRG Viral Illness With Mcc 15 15 $82,192.42 $4,796,749.63 $4,792.88 $75,617.03 $16,637.12 2026-01-19
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 15 15 $78,031.77 $4,553,934.10 $6,199.32 $71,789.23 $18,115.07 2026-01-19
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 15 15 $77,558.70 $4,526,325.44 $3,857.00 $71,354.00 $11,270.56 2026-01-19
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 15 15 $75,748.09 $4,420,658.24 $5,075.28 $69,688.24 $14,830.50 2026-01-19
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 15 15 $75,587.35 $4,411,277.72 $3,839.14 $69,540.36 $11,218.37 2026-01-19
947 MS_DRG Signs And Symptoms With Mcc 15 15 $74,630.96 $4,355,462.59 $4,823.72 $68,660.48 $14,095.42 2026-01-19
189 MS_DRG Pulmonary Edema And Respiratory Failure 15 15 $71,707.47 $4,184,847.96 $4,694.52 $65,970.87 $13,717.88 2026-01-19
603 MS_DRG Cellulitis Without Mcc 15 15 $64,065.83 $3,738,881.69 $3,309.42 $58,940.56 $9,670.47 2026-01-19
571 MS_DRG Skin Debridement With Cc 15 15 $62,840.95 $3,667,397.84 $6,420.10 $57,813.67 $18,760.21 2026-01-19
594 MS_DRG Skin Ulcers Without Cc/mcc 15 15 $62,193.03 $3,629,584.94 $3,293.84 $57,217.58 $9,624.95 2026-01-19
550 MS_DRG Septic Arthritis Without Cc/mcc 15 15 $61,873.98 $3,610,965.47 $3,321.58 $56,924.06 $9,706.01 2026-01-19
913 MS_DRG Traumatic Injury With Mcc 15 15 $48,871.82 $2,852,159.42 $6,211.48 $44,962.07 $18,150.60 2026-01-19
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 15 15 $47,867.10 $2,793,523.96 $3,068.88 $44,037.73 $8,967.59 2026-01-19
Q4196 HCPCS Puraply Am, Per Square Centimeter 152 19 $4,572.00 $2,423.16 47% off $675.00 $42,055.68 $3,009.00 2026-01-19
884 MS_DRG Organic Disturbances And Intellectual Disability 15 15 $44,160.51 $2,577,207.07 $6,107.34 $40,627.66 $17,865.23 2026-01-19
315 MS_DRG Other Circulatory System Diagnoses With Cc 15 15 $42,374.90 $2,472,999.16 $3,660.54 $38,984.91 $10,696.48 2026-01-19
948 MS_DRG Signs And Symptoms Without Mcc 15 15 $42,063.31 $2,454,815.05 $3,041.90 $38,698.25 $8,888.75 2026-01-19
J3101 HCPCS Injection, Tenecteplase, 1 Mg 24 24 $38,278.50 $20,287.61 47% off $105.42 $38,278.50 $20,287.61 2026-01-19
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 15 15 $40,365.14 $2,355,709.75 $2,957.16 $37,135.93 $8,641.13 2026-01-19
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 15 15 $37,213.52 $2,171,780.74 $2,067.20 $34,236.43 $6,040.58 2026-01-19
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 15 15 $35,387.38 $2,065,207.46 $4,209.26 $32,556.39 $12,299.90 2026-01-19
552 MS_DRG Medical Back Problems Without Mcc 15 15 $35,186.61 $2,053,490.56 $3,652.94 $32,371.68 $10,674.28 2026-01-19
291 MS_DRG Heart Failure And Shock With Mcc 15 15 $34,778.92 $2,029,697.89 $4,878.44 $31,996.61 $14,255.32 2026-01-19
951 MS_DRG Other Factors Influencing Health Status 15 15 $34,766.25 $2,028,958.35 $2,112.80 $31,984.95 $6,173.82 2026-01-19
313 MS_DRG Chest Pain 15 15 $33,475.15 $1,953,609.75 $2,736.00 $30,797.14 $7,994.88 2026-01-19
602 MS_DRG Cellulitis With Mcc 15 15 $32,790.95 $1,913,679.70 $5,400.94 $30,167.67 $15,782.12 2026-01-19
187 MS_DRG Pleural Effusion With Cc 15 15 $32,351.57 $1,888,037.63 $3,758.58 $29,763.44 $10,982.97 2026-01-19
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 15 15 $31,447.88 $1,835,298.54 $4,994.72 $28,932.05 $14,595.10 2026-01-19
178 MS_DRG Respiratory Infections And Inflammations With Cc 15 15 $31,400.18 $1,832,514.27 $3,708.80 $28,888.16 $10,837.50 2026-01-19
204 MS_DRG Respiratory Signs And Symptoms 15 15 $30,984.76 $1,808,270.73 $2,852.90 $28,505.98 $8,965.37 2026-01-19
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 15 15 $30,975.80 $1,807,747.69 $4,871.60 $28,497.74 $14,235.33 2026-01-19
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 15 $25,107.81 $1,465,291.79 $8,390.02 $28,194.88 $20,086.25 2026-01-19
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 15 15 $30,559.27 $1,783,438.88 $3,203.40 $28,114.53 $9,360.67 2026-01-19
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 15 15 $30,390.85 $1,773,609.88 $4,409.14 $27,959.58 $12,883.97 2026-01-19
638 MS_DRG Diabetes With Cc 15 15 $30,117.59 $1,757,662.51 $3,405.56 $27,708.18 $9,951.40 2026-01-19
374 MS_DRG Digestive Malignancy With Mcc 15 15 $13,910.19 $811,798.69 $8,127.06 $27,311.20 $12,519.17 2026-01-19
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 15 15 $28,523.27 $1,664,617.75 $3,062.42 $26,241.40 $8,948.71 2026-01-19
186 MS_DRG Pleural Effusion With Mcc 15 15 $26,546.44 $1,549,250.24 $5,922.30 $24,422.72 $17,305.58 2026-01-19
292 MS_DRG Heart Failure And Shock With Cc 15 15 $25,968.47 $1,515,519.62 $3,226.20 $23,890.99 $9,427.30 2026-01-19
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 15 15 $25,406.32 $1,482,712.84 $3,480.80 $23,373.81 $10,171.26 2026-01-19
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 15 15 $25,141.11 $1,467,235.12 $2,388.30 $23,129.82 $6,978.86 2026-01-19
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 15 15 $24,033.27 $1,402,581.64 $4,819.54 $22,110.61 $14,083.20 2026-01-19
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 15 15 $23,227.40 $1,355,551.03 $3,888.54 $21,369.21 $11,362.72 2026-01-19
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 15 15 $23,101.64 $1,348,211.71 $4,298.18 $21,253.51 $12,559.73 2026-01-19
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 15 15 $22,778.00 $1,329,323.79 $2,962.48 $20,955.76 $8,656.68 2026-01-19
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 15 15 $22,704.97 $1,325,061.76 $3,154.38 $20,888.57 $9,217.43 2026-01-19
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 15 15 $22,678.50 $1,323,517.26 $2,795.66 $20,864.22 $8,169.21 2026-01-19
812 MS_DRG Red Blood Cell Disorders Without Mcc 15 15 $22,372.25 $1,305,644.22 $3,489.16 $20,582.47 $10,195.69 2026-01-19
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 15 15 $22,303.76 $1,301,647.66 $3,076.10 $20,519.46 $8,988.69 2026-01-19
177 MS_DRG Respiratory Infections And Inflammations With Mcc 15 15 $13,843.78 $807,922.77 $5,938.26 $19,955.68 $11,767.21 2026-01-19
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 13 13 $6,689.81 $390,417.31 $5,351.85 $19,928.35 $6,819.86 2026-01-19
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 15 15 $19,466.68 $1,136,075.23 $2,439.60 $17,909.34 $7,128.77 2026-01-19
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 15 15 $18,278.08 $1,066,708.75 $2,869.00 $16,815.83 $8,383.52 2026-01-19
199 MS_DRG Pneumothorax With Mcc 12 12 $5,962.46 $347,969.17 $4,769.97 $16,653.10 $6,333.02 2026-01-19
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 15 15 $16,912.41 $987,008.25 $3,394.16 $15,559.42 $9,918.09 2026-01-19
541 MS_DRG Osteomyelitis Without Cc/mcc 15 15 $16,827.67 $982,062.82 $2,931.70 $15,481.46 $8,566.74 2026-01-19
293 MS_DRG Heart Failure And Shock Without Cc/mcc 15 15 $16,537.51 $965,129.08 $2,150.80 $15,214.51 $6,284.86 2026-01-19
684 MS_DRG Renal Failure Without Cc/mcc 15 15 $15,762.69 $919,910.73 $2,281.14 $14,501.68 $6,665.73 2026-01-19
639 MS_DRG Diabetes Without Cc/mcc 15 15 $15,409.73 $899,311.84 $2,360.56 $14,176.95 $6,897.80 2026-01-19
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 15 15 $14,759.15 $861,343.99 $2,734.86 $13,578.42 $7,991.55 2026-01-19
386 MS_DRG Inflammatory Bowel Disease With Cc 15 15 $14,505.29 $846,528.72 $3,709.94 $13,344.87 $10,840.84 2026-01-19
305 MS_DRG Hypertension Without Mcc 15 15 $14,439.09 $842,665.29 $2,869.38 $13,283.96 $8,384.63 2026-01-19
92 MS_DRG Other Disorders Of Nervous System With Cc 15 15 $11,670.91 $681,114.31 $3,887.40 $13,063.71 $9,336.73 2026-01-19
312 MS_DRG Syncope And Collapse 15 15 $14,178.03 $827,429.83 $3,312.08 $13,043.79 $9,678.25 2026-01-19
Q4197 HCPCS Puraply Xt, Per Square Centimeter 19 19 $12,750.00 $6,757.50 47% off $6,375.00 $12,750.00 $8,784.75 2026-01-19
202 MS_DRG Bronchitis And Asthma With Cc/mcc 16 16 $10,736.08 $626,557.63 $2,996.25 $12,402.22 $8,588.86 2026-01-19
756 MS_DRG Malignancy, Female Reproductive System Without Cc/mcc 15 15 $10,827.93 $631,917.99 $3,649.90 $12,265.59 $8,662.34 2026-01-19
Q4100 HCPCS Skin Substitute, Not Otherwise Specified 304 19 $3,168.00 $1,679.04 47% off $127.50 $11,990.00 $2,305.50 2026-01-19
59414 HCPCS Delivery Of Placenta 44 25 $11,915.00 $6,314.95 47% off $77.19 $11,915.00 $3,429.84 2026-01-19
101 MS_DRG Seizures Without Mcc 15 15 $10,906.04 $636,476.49 $3,429.88 $11,526.20 $8,724.83 2026-01-19
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 44 25 $11,313.14 $5,995.96 47% off $163.10 $11,313.14 $3,986.43 2026-01-19
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 15 15 $9,970.27 $581,864.96 $2,737.35 $11,273.36 $7,976.22 2026-01-19
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 15 15 $12,132.21 $708,035.78 $2,151.18 $11,161.63 $6,285.97 2026-01-19
153 MS_DRG Otitis Media And Uri Without Mcc 15 15 $12,027.05 $701,898.64 $2,237.75 $11,064.89 $8,196.97 2026-01-19
Q4160 HCPCS Nushield, Per Square Centimeter 171 19 $5,485.65 $2,907.39 47% off $592.50 $10,650.00 $3,360.00 2026-01-19
176 MS_DRG Pulmonary Embolism Without Mcc 15 15 $6,094.52 $355,676.19 $3,059.00 $10,279.85 $5,485.07 2026-01-19
Q4194 HCPCS Novachor, Per Square Centimeter 19 19 $9,750.00 $5,167.50 47% off $4,875.00 $9,750.00 $6,717.75 2026-01-19
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 24 24 $9,750.00 $5,167.50 47% off $2,248.58 $9,750.00 $5,167.50 2026-01-19
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 15 15 $9,613.15 $561,023.43 $2,658.86 $8,935.17 $7,690.52 2026-01-19
Q4195 HCPCS Puraply, Per Square Centimeter 38 19 $5,103.45 $2,704.83 47% off $1,237.20 $7,732.50 $3,170.32 2026-01-19
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 45 25 $6,903.44 $3,658.82 47% off $187.46 $6,903.44 $3,451.72 2026-01-19
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 44 25 $6,737.64 $3,570.95 47% off $80.75 $6,737.64 $3,350.54 2026-01-19
31605 HCPCS Emergent Incision Of Windpipe For Insertion Of Breathing Tube 45 25 $928.88 $492.31 47% off $139.00 $6,586.45 $492.31 2026-01-19
J2802 HCPCS Injection, Romiplostim, 1 Microgram 19 19 $6,241.75 $3,308.13 47% off $3,120.88 $6,241.75 $4,300.57 2026-01-19
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 25 25 $4,303.00 $2,280.59 47% off $900.00 $6,108.68 $3,442.40 2026-01-19
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 25 25 $2,924.00 $1,549.72 47% off $1,243.00 $6,108.68 $2,339.20 2026-01-19
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 25 25 $2,924.00 $1,549.72 47% off $223.00 $6,108.68 $2,339.20 2026-01-19
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 44 25 $5,982.89 $3,170.93 47% off $71.52 $5,982.89 $3,170.93 2026-01-19
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 25 25 $1,401.81 $742.96 47% off $70.95 $5,842.46 $742.96 2026-01-19
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 24 24 $1,377.41 $730.03 47% off $70.95 $5,740.77 $730.03 2026-01-19
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 24 24 $5,347.50 $2,834.18 47% off $737.81 $5,347.50 $2,834.18 2026-01-19
C5273 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 25 25 $3,137.00 $1,662.61 47% off $416.00 $5,318.06 $2,509.60 2026-01-19
C5274 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 24 24 $1,568.00 $831.04 47% off $139.00 $5,318.06 $1,254.40 2026-01-19
C5271 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 25 25 $1,122.00 $594.66 47% off $139.00 $5,318.06 $897.60 2026-01-19
C5277 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 25 25 $976.00 $517.28 47% off $139.00 $5,318.06 $780.80 2026-01-19
C5275 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 25 25 $976.00 $517.28 47% off $139.00 $5,318.06 $780.80 2026-01-19
11043 HCPCS Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less 45 25 $5,115.49 $2,711.21 47% off $131.26 $5,115.49 $965.60 2026-01-19
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 45 25 $5,032.54 $2,667.25 47% off $191.37 $5,032.54 $2,285.19 2026-01-19
81443 HCPCS Genomic Sequence Analysis Panel For Severe Inherited Conditions With Sequencing … 23 23 $5,009.00 $2,654.77 47% off $953.31 $5,009.00 $2,654.77 2026-01-19
59409 HCPCS Vaginal Delivery 45 25 $3,924.00 $2,079.72 47% off $680.34 $4,996.20 $2,079.72 2026-01-19
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 24 24 $4,804.00 $2,546.12 47% off $953.31 $4,804.00 $2,546.12 2026-01-19
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 25 25 $4,731.00 $2,507.43 47% off $120.00 $4,731.00 $2,507.43 2026-01-19
C5278 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 23 23 $488.00 $258.64 47% off $139.00 $4,441.60 $390.40 2026-01-19
C5276 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 23 23 $488.00 $258.64 47% off $139.00 $4,441.60 $390.40 2026-01-19
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 25 25 $4,126.00 $2,186.78 47% off $120.00 $4,126.00 $2,186.78 2026-01-19
Q4159 HCPCS Affinity, Per Square Centimeter 23 23 $4,050.00 $2,146.50 47% off $737.81 $4,050.00 $2,146.50 2026-01-19
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 25 25 $3,918.25 $2,076.67 47% off $55.00 $3,918.25 $2,076.67 2026-01-19
Q4101 HCPCS Apligraf, Per Square Centimeter 20 20 $3,884.76 $2,058.92 47% off $37.77 $3,884.76 $2,367.76 2026-01-19
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 25 25 $3,870.18 $2,051.20 47% off $120.00 $3,870.18 $2,051.20 2026-01-19
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 25 25 $3,859.26 $2,045.41 47% off $120.00 $3,859.26 $2,045.41 2026-01-19
Q4106 HCPCS Dermagraft, Per Square Centimeter 20 20 $3,678.78 $1,949.75 47% off $39.69 $3,678.78 $2,242.22 2026-01-19
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 25 25 $3,445.10 $1,825.90 47% off $120.00 $3,445.10 $1,825.90 2026-01-19
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 25 25 $2,487.00 $1,318.11 47% off $223.00 $3,262.26 $1,706.01 2026-01-19
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 25 25 $1,189.13 $630.24 47% off $70.95 $3,061.42 $630.24 2026-01-19
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 45 25 $1,866.00 $988.98 47% off $120.13 $2,984.39 $988.98 2026-01-19
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 25 25 $2,915.00 $1,544.95 47% off $120.00 $2,915.00 $1,544.95 2026-01-19
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 64 25 $853.72 $296.80 65% off $139.00 $2,794.81 $452.47 2026-01-19
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 83 25 $431.00 $187.62 56% off $127.32 $2,794.81 $354.00 2026-01-19
11042 HCPCS Removal Of Skin And Tissue, 20.0 Sq Cm Or Less 45 25 $2,677.96 $1,419.32 47% off $52.81 $2,677.96 $617.47 2026-01-19
94660 HCPCS Therapy Procedure Using A Positive Pressure Ventilator 25 25 $2,620.01 $1,388.61 47% off $36.00 $2,620.01 $1,388.61 2026-01-19
P9020 HCPCS Platelet Rich Plasma, Each Unit 23 23 $2,192.00 $1,161.76 47% off $1,096.00 $2,612.57 $1,734.78 2026-01-19
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 24 24 $2,173.95 $1,152.19 47% off $874.32 $2,612.57 $1,685.90 2026-01-19
36430 HCPCS Transfusion Of Blood Or Blood Products 82 25 $1,100.00 $583.00 47% off $139.00 $2,612.57 $664.00 2026-01-19
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 24 24 $750.00 $397.50 47% off $329.61 $2,612.57 $600.00 2026-01-19
P9047 HCPCS Infusion, Albumin (human), 25%, 50 Ml 24 24 $530.77 $281.31 47% off $91.79 $2,612.57 $424.62 2026-01-19
11106 HCPCS Incision Biopsy, First Skin Growth 25 25 $622.00 $329.66 47% off $139.00 $2,594.05 $497.60 2026-01-19
11104 HCPCS Punch Biopsy, First Skin Growth 25 25 $622.00 $329.66 47% off $139.00 $2,594.05 $497.60 2026-01-19
11102 HCPCS Biopsy Of Related Skin Growth, First Growth 25 25 $622.00 $329.66 47% off $139.00 $2,594.05 $497.60 2026-01-19
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 25 25 $2,581.00 $1,367.93 47% off $120.00 $2,581.00 $1,367.93 2026-01-19
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 25 25 $2,581.00 $1,367.93 47% off $120.00 $2,581.00 $1,367.93 2026-01-19
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 25 25 $2,572.50 $1,363.43 47% off $120.00 $2,572.50 $1,363.43 2026-01-19
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 25 25 $2,562.19 $1,357.96 47% off $120.00 $2,562.19 $1,357.96 2026-01-19
71270 HCPCS CT Scan Of Chest Before And After Contrast 25 25 $2,290.00 $1,213.70 47% off $120.00 $2,290.00 $1,213.70 2026-01-19
74160 HCPCS CT Scan Of Abdomen With Contrast 25 25 $2,290.00 $1,213.70 47% off $120.00 $2,290.00 $1,213.70 2026-01-19
90945 HCPCS Dialysis Procedure Including 1 Evaluation 24 24 $2,279.00 $1,207.87 47% off $349.49 $2,279.00 $1,207.87 2026-01-19
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 25 25 $2,226.88 $1,180.25 47% off $55.00 $2,226.88 $1,180.25 2026-01-19
00100015 CDM Room & Board - Private (one Bed) - General Classification 8 8 $2,118.00 $5,836.00 $1,694.40 $2,167.77 $1,927.38 2026-01-19
92511 HCPCS Exam Of The Nose And Throat Using An Endoscope 25 25 $442.00 $234.26 47% off $35.19 $2,131.59 $353.60 2026-01-19
04400121 CDM Puraply Mz 1000mg 15 15 $2,315.00 $1,226.95 47% off $1,157.50 $2,129.80 $1,226.95 2026-01-19
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 25 25 $2,108.55 $1,117.53 47% off $55.00 $2,108.55 $1,117.53 2026-01-19
00100014 CDM Room & Board - Private (one Bed) - General Classification 8 8 $2,035.00 $5,836.00 $1,628.00 $2,082.82 $1,851.85 2026-01-19
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 25 25 $2,063.26 $1,093.53 47% off $120.00 $2,063.26 $1,093.53 2026-01-19
00100017 CDM Room & Board - Semi-private (two Beds) - General Classification 8 8 $1,980.00 $5,836.00 $1,584.00 $2,026.53 $1,801.80 2026-01-19
71260 HCPCS CT Scan Of Chest With Contrast 25 25 $2,005.00 $1,062.65 47% off $120.00 $2,005.00 $1,062.65 2026-01-19
70460 HCPCS CT Scan Head Or Brain With Contrast 25 25 $1,989.00 $1,054.17 47% off $120.00 $1,989.00 $1,054.17 2026-01-19
00100018 CDM Room & Board - Semi-private (two Beds) - General Classification 8 8 $1,925.00 $5,836.00 $1,540.00 $1,970.24 $1,751.75 2026-01-19
00100002 CDM Room & Board - Private (one Bed) - General Classification 8 8 $1,898.00 $5,836.00 $1,518.40 $1,942.60 $1,727.18 2026-01-19
00100016 CDM Room & Board - Semi-private (two Beds) - General Classification 8 8 $1,898.00 $5,836.00 $1,518.40 $1,942.60 $1,727.18 2026-01-19
05501407 CDM Cricothyrotomy Cath Set 15 15 $2,085.55 $1,105.34 47% off $1,042.78 $1,918.71 $1,105.34 2026-01-19
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 50 25 $1,513.49 $802.15 47% off $55.00 $1,898.98 $930.60 2026-01-19
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 25 25 $1,870.00 $991.10 47% off $120.00 $1,870.00 $991.10 2026-01-19
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 25 25 $1,866.00 $988.98 47% off $120.00 $1,866.00 $988.98 2026-01-19
97608 HCPCS Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq… 45 25 $1,865.35 $988.64 47% off $16.55 $1,865.35 $663.48 2026-01-19
97607 HCPCS Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq… 45 25 $660.88 $17.90 97% off $14.32 $1,865.35 $660.88 2026-01-19
00100003 CDM Room & Board - Semi-private (two Beds) - General Classification 8 8 $1,760.00 $5,836.00 $1,408.00 $1,801.36 $1,601.60 2026-01-19
74150 HCPCS CT Scan Of Abdomen Without Contrast 25 25 $1,720.00 $911.60 47% off $120.00 $1,720.00 $911.60 2026-01-19
72193 HCPCS CT Scan Of Pelvis With Contrast 25 25 $1,696.00 $898.88 47% off $120.00 $1,696.00 $898.88 2026-01-19
90935 HCPCS Hemodialysis Procedure With Physician Evaluation 24 24 $1,657.75 $878.61 47% off $525.74 $1,657.75 $878.61 2026-01-19
70450 HCPCS CT Scan Head Or Brain Without Contrast 25 25 $1,650.00 $874.50 47% off $120.00 $1,650.00 $874.50 2026-01-19
00100013 CDM Room & Board - Semi-private (two Beds) - General Classification 8 8 $1,568.00 $5,836.00 $1,254.40 $1,604.85 $1,426.88 2026-01-19
99291 HCPCS Critical Care, First 30-74 Minutes 41 22 $1,603.00 $849.59 47% off $180.92 $1,603.00 $849.59 2026-01-19
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 25 25 $1,594.00 $844.82 47% off $120.00 $1,594.00 $844.82 2026-01-19
90937 HCPCS Hemodialysis Procedure Requiring Repeated Evaluation 23 23 $1,530.00 $810.90 47% off $525.74 $1,530.00 $810.90 2026-01-19
90677 HCPCS Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use 19 19 $1,443.32 $764.96 47% off $721.66 $1,443.32 $994.45 2026-01-19
71250 HCPCS CT Scan Of Chest Without Contrast 25 25 $1,436.00 $761.08 47% off $120.00 $1,436.00 $761.08 2026-01-19
51700 HCPCS Simple Bladder Irrigation And/or Instillation 25 25 $459.00 $243.27 47% off $139.00 $1,415.07 $390.15 2026-01-19
90947 HCPCS Dialysis Procedure Requiring Repeat Evaluation 23 23 $1,407.00 $745.71 47% off $349.49 $1,407.00 $745.71 2026-01-19
26755 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb With Manipulation 45 25 $515.44 $273.18 47% off $139.00 $1,394.53 $365.08 2026-01-19
11046 HCPCS Removal Of Muscle And/or Tissue, Each Additional 20.0 Sq Cm Or Less 44 25 $627.28 $332.46 47% off $45.49 $1,330.12 $332.46 2026-01-19
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 45 25 $1,322.00 $700.66 47% off $139.00 $1,322.00 $641.83 2026-01-19
05675209 CDM Trelegy Ellipta 100-62.5-25 15 15 $1,428.00 $756.84 47% off $714.00 $1,313.76 $756.84 2026-01-19
72125 HCPCS CT Scan Of Upper Spine Without Contrast 25 25 $1,305.00 $691.65 47% off $120.00 $1,305.00 $691.65 2026-01-19
73700 HCPCS CT Scan Of Leg Without Contrast 50 25 $1,290.00 $683.70 47% off $120.00 $1,290.00 $683.70 2026-01-19
73200 HCPCS CT Scan Of Arm Without Contrast 50 25 $1,290.00 $683.70 47% off $120.00 $1,290.00 $683.70 2026-01-19
72192 HCPCS CT Scan Of Pelvis Without Contrast 25 25 $1,290.00 $683.70 47% off $120.00 $1,290.00 $683.70 2026-01-19
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 25 25 $1,231.00 $652.43 47% off $55.00 $1,231.00 $652.43 2026-01-19
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 40 22 $1,229.00 $651.37 47% off $148.66 $1,229.00 $651.37 2026-01-19
05605299 CDM Combivent Respimat 20-100 Mcg 15 15 $1,279.00 $677.87 47% off $639.50 $1,176.68 $677.87 2026-01-19
70486 HCPCS CT Scan Of Face Without Contrast 25 25 $1,145.00 $606.85 47% off $120.00 $1,145.00 $606.85 2026-01-19
72131 HCPCS CT Scan Of Lower Spine Without Contrast 25 25 $1,145.00 $606.85 47% off $120.00 $1,145.00 $606.85 2026-01-19
72128 HCPCS CT Scan Of Middle Spine Without Contrast 25 25 $1,145.00 $606.85 47% off $120.00 $1,145.00 $606.85 2026-01-19
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 25 25 $1,128.00 $597.84 47% off $55.00 $1,128.00 $597.84 2026-01-19
20610 HCPCS Aspiration And/or Injection Of Fluid From Large Joint 25 25 $485.00 $257.05 47% off $139.00 $1,045.15 $412.25 2026-01-19
31502 HCPCS Change Of Breathing Tube In Windpipe 25 25 $1,039.15 $550.75 47% off $139.00 $1,039.15 $618.93 2026-01-19
93930 HCPCS Ultrasound Of Arm Arteries Or Artery Grafts 25 25 $1,025.00 $543.25 47% off $55.00 $1,025.00 $543.25 2026-01-19
J0561 HCPCS Injection, Penicillin G Benzathine, 100,000 Units 24 24 $999.00 $529.47 47% off $11.23 $999.00 $529.47 2026-01-19
11000 HCPCS Removal Of Inflamed Or Infected Skin, Up To 10% Of Body Surface 25 25 $524.17 $277.81 47% off $139.00 $994.04 $419.34 2026-01-19
05605400 CDM Stiolto Respimat Inhaler (10) 15 15 $1,080.00 $572.40 47% off $540.00 $993.60 $572.40 2026-01-19
97606 HCPCS Therapy Procedure Using A Special Bandage And Vacuum Pump, Surface Area More Tha… 63 25 $622.00 $329.66 47% off $18.12 $967.00 $497.60 2026-01-19
43752 HCPCS Insertion Of Stomach Tube Through Nose Or Mouth Using Fluoroscopic Guidance 25 25 $959.85 $508.72 47% off $139.00 $959.85 $614.31 2026-01-19
10061 HCPCS Complicated Or Multiple Drainage Of Skin Abscess 45 25 $833.25 $441.62 47% off $139.00 $957.71 $441.62 2026-01-19
10120 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Simple 45 25 $591.00 $313.23 47% off $94.98 $957.71 $390.24 2026-01-19
51705 HCPCS Simple Change Of Bladder Tube 25 25 $399.00 $211.47 47% off $139.00 $932.11 $319.20 2026-01-19
12032 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 … 45 25 $618.00 $327.54 47% off $139.00 $930.10 $425.80 2026-01-19
93307 HCPCS Ultrasound Of Heart 25 25 $924.00 $489.72 47% off $55.00 $924.00 $489.72 2026-01-19
84145 HCPCS Procalcitonin (hormone) Level 25 25 $922.77 $489.07 47% off $11.66 $922.77 $489.07 2026-01-19
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 25 25 $918.00 $486.54 47% off $55.00 $918.00 $486.54 2026-01-19
05605378 CDM Trelegy Ellipta 100-62.5-25 15 15 $989.40 $524.38 47% off $494.70 $910.25 $524.38 2026-01-19
11730 HCPCS Simple Separation Of Fingernail Or Toenail From Nail Bed, First Nail 45 25 $902.90 $478.54 47% off $46.88 $902.90 $478.54 2026-01-19
97610 HCPCS Therapy Procedure Using Ultrasound 45 25 $902.90 $478.54 47% off $12.06 $902.90 $478.54 2026-01-19
17000 HCPCS Destruction Of Precancer Skin Growth, 1 Growth 45 25 $902.90 $478.54 47% off $44.53 $902.90 $463.25 2026-01-19
36680 HCPCS Insertion Of Needle For Infusion Into Bone 22 21 $660.00 $349.80 47% off $139.00 $900.00 $491.37 2026-01-19
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 40 22 $839.00 $444.67 47% off $102.34 $900.00 $444.67 2026-01-19
12014 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1… 45 25 $726.23 $384.90 47% off $68.50 $900.00 $384.90 2026-01-19
29505 HCPCS Application Of Long Leg Splint From Thigh To Ankle Or Toe 25 25 $480.86 $254.86 47% off $139.00 $900.00 $384.69 2026-01-19
37195 HCPCS Infusion Of Drug To Dissolve Blood Clot In Brain 44 25 $591.00 $313.23 47% off $139.00 $900.00 $380.88 2026-01-19
12005 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 45 25 $717.26 $380.15 47% off $85.43 $900.00 $380.15 2026-01-19
99292 HCPCS Critical Care, Each Additional 30 Minutes 41 22 $700.00 $371.00 47% off $90.84 $900.00 $371.00 2026-01-19
12041 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.5 Cm Or Less 45 25 $537.00 $284.61 47% off $121.79 $900.00 $369.99 2026-01-19
12031 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm O… 45 25 $537.00 $284.61 47% off $125.09 $900.00 $369.99 2026-01-19
96374 HCPCS Injection Of Drug Or Substance Into Vein 22 21 $363.00 $192.39 47% off $181.50 $900.00 $290.40 2026-01-19
16020 HCPCS Dressing Change Or Removal Of Burn Tissue, Less Than 5% Of Total Body Surface 25 25 $352.00 $186.56 47% off $139.00 $900.00 $281.60 2026-01-19
12015 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6… 45 25 $405.00 $214.65 47% off $85.73 $900.00 $279.05 2026-01-19
12004 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 45 25 $405.00 $214.65 47% off $68.15 $900.00 $279.05 2026-01-19
86352 HCPCS Analysis Of Cell Function And Analysis For Genetic Marker 25 25 $661.50 $350.60 47% off $36.28 $898.71 $350.60 2026-01-19
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 24 24 $889.74 $471.56 47% off $52.71 $889.74 $471.56 2026-01-19
J0885 HCPCS Injection, Epoetin Alfa, (for Non-esrd Use), 1000 Units 24 24 $889.00 $471.17 47% off $11.23 $889.00 $471.17 2026-01-19
Q4081 HCPCS Injection, Epoetin Alfa, 100 Units (for Esrd On Dialysis) 62 24 $656.00 $347.68 47% off $1.06 $889.00 $444.75 2026-01-19
86039 HCPCS Measurement Of Antibody For Assessment Of Autoimmune Disorder, Titer 25 25 $881.81 $467.36 47% off $6.55 $881.81 $467.36 2026-01-19
87497 HCPCS Detection Test By Nucleic Acid For Cytomegalovirus, Quantification 25 25 $876.58 $464.59 47% off $25.14 $876.58 $464.59 2026-01-19
29580 HCPCS Strapping, Unna Boot 25 25 $862.25 $456.99 47% off $139.00 $862.25 $468.50 2026-01-19
92611 HCPCS Evaluation Of Swallowing Function Image 25 25 $857.06 $454.24 47% off $54.95 $857.06 $454.24 2026-01-19
05500873 CDM Fecal Mgmt System 15 15 $916.00 $485.48 47% off $458.00 $842.72 $485.48 2026-01-19
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 50 25 $823.00 $436.19 47% off $55.00 $823.00 $436.19 2026-01-19
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 75 25 $823.00 $436.19 47% off $55.00 $823.00 $436.19 2026-01-19
93926 HCPCS Ultrasound Of One Leg Arteries Or Artery Grafts 50 25 $823.00 $436.19 47% off $55.00 $823.00 $436.19 2026-01-19
96125 HCPCS Test To Assess The Ability To Complete Specific Functional Tasks Applicable To E… 21 21 $816.84 $432.93 47% off $55.00 $816.84 $432.93 2026-01-19
94640 HCPCS Inhalation Treatment For Airway Obstruction Or Sputum Production 25 25 $610.71 $323.68 47% off $9.83 $793.89 $488.57 2026-01-19
93976 HCPCS Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 25 25 $791.73 $419.62 47% off $55.00 $791.73 $419.62 2026-01-19
86255 HCPCS Screening Test For Antibody To Noninfectious Agent 44 25 $783.32 $415.16 47% off $7.07 $783.32 $415.16 2026-01-19
05605082 CDM Symbicort 160-4.5 Mcg Inhaler 15 15 $846.00 $448.38 47% off $423.00 $778.32 $448.38 2026-01-19
J0712 HCPCS Injection, Ceftaroline Fosamil, 10 Mg 24 24 $767.00 $406.51 47% off $1.06 $767.00 $406.51 2026-01-19
76700 HCPCS Complete Ultrasound Scan Of Abdomen 25 25 $765.00 $405.45 47% off $150.00 $765.00 $405.45 2026-01-19
C1751 HCPCS Catheter, Infusion, Inserted Peripherally, Centrally Or Midline (other Than Hemo… 19 19 $738.70 $391.51 47% off $369.35 $738.70 $508.96 2026-01-19
94664 HCPCS Evaluation Of Use Of Breathing Device 25 25 $736.96 $390.59 47% off $14.91 $736.96 $390.59 2026-01-19
92522 HCPCS Evaluation Of Speech Sound Production 25 25 $731.50 $387.70 47% off $55.00 $731.50 $387.70 2026-01-19
93229 HCPCS Electrocardiogram (ecg) Up To 30 Days Continuous With Transmission Of Patient Tr… 25 25 $727.15 $385.39 47% off $55.00 $727.15 $385.39 2026-01-19
80197 HCPCS Tacrolimus Level 25 25 $719.93 $381.56 47% off $8.05 $719.93 $381.56 2026-01-19
29584 HCPCS Application Of Vein Wound Compression Bandages On Upper Arm, Forearm, Hand, And … 25 25 $593.00 $314.29 47% off $139.00 $705.56 $442.10 2026-01-19
Q5110 HCPCS Injection, Filgrastim-aafi, Biosimilar, (nivestym), 1 Microgram 43 24 $698.40 $370.15 47% off $0.47 $698.40 $370.15 2026-01-19
05605196 CDM Dulera 200 Mcg-5 Mcg Inhaler 15 15 $745.00 $394.85 47% off $372.50 $685.40 $394.85 2026-01-19
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 25 25 $685.13 $363.12 47% off $25.14 $685.13 $363.12 2026-01-19
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 25 25 $682.00 $361.46 47% off $150.00 $682.00 $361.46 2026-01-19
05501262 CDM Vest Med Percussion Hfcwo 15 15 $723.25 $383.32 47% off $361.63 $665.39 $383.32 2026-01-19
05501263 CDM Vest Large Percussion Hfcwo 15 15 $723.25 $383.32 47% off $361.63 $665.39 $383.32 2026-01-19
05501320 CDM Vest Small Percussion Hfcwo 15 15 $723.25 $383.32 47% off $361.63 $665.39 $383.32 2026-01-19
80074 HCPCS Acute Hepatitis Panel 25 25 $655.65 $347.49 47% off $27.13 $655.65 $347.49 2026-01-19
G0482 HCPCS Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able To Iden… 24 24 $651.00 $345.03 47% off $76.02 $651.00 $345.03 2026-01-19
05501167 CDM Trach Speaking Valve Purple 15 15 $703.75 $372.99 47% off $351.88 $647.45 $372.99 2026-01-19
G0483 HCPCS Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able To Iden… 24 24 $638.00 $338.14 47% off $76.02 $638.00 $338.14 2026-01-19
86258 HCPCS Detection Of Gliadin (deamidated) (dgp) Antibody 19 19 $627.90 $332.79 47% off $75.66 $627.90 $432.62 2026-01-19
05605015 CDM Advair 500-50 Diskus 15 15 $682.00 $361.46 47% off $341.00 $627.44 $361.46 2026-01-19
90001162 CDM Mask Cpap Nasal 15 15 $680.20 $360.51 47% off $340.10 $625.78 $360.51 2026-01-19
92523 HCPCS Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension … 25 25 $620.80 $329.02 47% off $55.00 $620.80 $329.02 2026-01-19
92977 HCPCS Removal Of Heart Artery Blood Clot By Dissolving 39 21 $514.00 $272.42 47% off $39.33 $619.20 $401.00 2026-01-19
36593 HCPCS Declotting Of Central Venous Tube 25 25 $595.00 $315.35 47% off $117.64 $619.20 $315.35 2026-01-19
J1611 HCPCS Injection, Glucagon Hydrochloride (fresenius Kabi), Not Therapeutically Equivale… 19 19 $619.15 $328.15 47% off $309.58 $619.15 $426.59 2026-01-19
05618057 CDM Santyl Ointment 15 15 $669.00 $354.57 47% off $334.50 $615.48 $354.57 2026-01-19
92612 HCPCS Evaluation And Recording Of Swallowing Using An Endoscope 25 25 $576.00 $305.28 47% off $55.00 $614.31 $396.86 2026-01-19
92616 HCPCS Evaluation And Recording Of Swallowing And Voice Box Sensory Function Using An E… 25 25 $379.72 $201.25 47% off $55.00 $614.31 $303.78 2026-01-19
J0248 HCPCS Injection, Remdesivir, 1 Mg 19 19 $605.80 $321.07 47% off $302.90 $605.80 $417.40 2026-01-19
87799 HCPCS Detection Test By Nucleic Acid For Organism, Quantification 25 25 $605.76 $321.05 47% off $25.14 $605.76 $321.05 2026-01-19
05618125 CDM Cardene-nacl 40 Mg/200 Ml IV 15 15 $650.00 $344.50 47% off $325.00 $598.00 $344.50 2026-01-19
80053 HCPCS Blood Test, Comprehensive Group Of Blood Chemicals 25 25 $586.18 $310.68 47% off $6.20 $586.18 $310.68 2026-01-19
05605236 CDM Combigan 0.2%-0.5% Eye Drops 15 15 $622.00 $329.66 47% off $311.00 $572.24 $329.66 2026-01-19
J0209 HCPCS Injection, Sodium Thiosulfate (hope), 100 Mg 19 19 $570.00 $302.10 47% off $285.00 $570.00 $392.73 2026-01-19
74022 HCPCS X-ray Series Of Abdomen With Single X-ray Of Chest 25 25 $570.00 $302.10 47% off $54.95 $570.00 $302.10 2026-01-19
83970 HCPCS Parathormone (parathyroid Hormone) Level 25 25 $566.10 $300.03 47% off $24.22 $566.10 $300.03 2026-01-19
05675064 CDM Pulmozyme 1 Mg/ml Ampul 15 15 $613.33 $325.06 47% off $306.67 $564.26 $325.06 2026-01-19
05675432 CDM Cresemba 186 Mg Capsule 15 15 $606.00 $321.18 47% off $303.00 $557.52 $321.18 2026-01-19
05501373 CDM Sling Bariactric Sit To Stand # Mdsmsa4 15 15 $586.10 $310.63 47% off $293.05 $539.21 $310.63 2026-01-19
86225 HCPCS Measurement Of DNA Antibody, Native Or Double Stranded 25 25 $533.60 $282.81 47% off $8.06 $533.60 $282.81 2026-01-19
90001019 CDM Extractor Katz 15 15 $572.85 $303.61 47% off $286.43 $527.02 $303.61 2026-01-19
83993 HCPCS Stool Calprotectin (protein) Level 25 25 $523.10 $277.24 47% off $11.52 $523.10 $277.24 2026-01-19
05501384 CDM Airvo Heated Tubing 15 15 $563.15 $298.47 47% off $281.58 $518.10 $298.47 2026-01-19
81596 HCPCS Biochemical Assays For Evaluation Of Chronic Hepatitis C Virus Infection 25 25 $505.00 $267.65 47% off $30.32 $505.00 $309.53 2026-01-19
05605399 CDM Fluticasone-salmeterol 250-50 15 15 $546.00 $289.38 47% off $273.00 $502.32 $289.38 2026-01-19
90837 HCPCS Psychotherapy, 1 Hour 39 20 $500.00 $265.00 47% off $248.00 $500.00 $341.74 2026-01-19
Q9967 HCPCS Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml 20 20 $500.00 $265.00 47% off $0.12 $500.00 $304.75 2026-01-19
05501372 CDM Sling Large Sit To Stand # Mdsma3 15 15 $543.05 $287.82 47% off $271.53 $499.61 $287.82 2026-01-19
90847 HCPCS Family Psychotherapy With Patient, 50 Minutes 43 24 $420.00 $222.60 47% off $210.00 $496.00 $285.83 2026-01-19
90846 HCPCS Family Psychotherapy Without Patient, 50 Minutes 42 23 $402.00 $213.06 47% off $201.00 $496.00 $281.40 2026-01-19
82653 HCPCS Measurement Of Pancreatic Elastase (enzyme) In Stool 19 19 $484.00 $256.52 47% off $111.17 $484.00 $333.48 2026-01-19
90707 HCPCS Measles, Mumps, And Rubella Vaccine 20 20 $455.00 $241.15 47% off $103.36 $455.00 $277.32 2026-01-19
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