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Hospital

NEWMAN MEMORIAL HOSPITAL

Shattuck, OK · CCN 371336 · Rates published

1,791 distinct procedures filed
16 distinct payers
42,225 rate rows
2024-01-30 last MRF observed · ⚠ 29 mo old
Data quality

41,101 of 42,225 rate rows are consumer-grade (97.3%)

1,124 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,032
per-diem day rate — not a per-procedure price 82
exceeds 10× this hospital's gross charge — excluded from medians 10

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 29 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://newmanmemorialhospital.org/wp-content/uploads/2024/08/730570773_newman-memorial-hospital_standardcharges.csv
Found on page https://newmanmemorialhospital.org/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 60552f3f7f7e444d… · 13,378,281 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
914
MS_DRG 		Traumatic Injury Without Mcc 14 $5,602.19 $24,690.35 $17,739.75 nat. median
$9,745
1.8× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 14 $6,957.86 $22,867.04 $16,872.07 nat. median
$11,174
1.5× median
291
MS_DRG 		Heart Failure And Shock With Mcc 14 $9,959.37 $19,140.13 $15,762.46 nat. median
$13,522
1.2× median
947
MS_DRG 		Signs And Symptoms With Mcc 14 $7,921.48 $18,016.02 $13,925.29 nat. median
$12,688
1.1× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 14 $11,061.73 $16,745.50 $13,647.58 nat. median
$16,235
0.8× median
J1568
HCPCS 		Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 13 $18.89 $18,861.42 $12,870.14 nat. median
$848
outlier · 15.2×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 14 $9,265.68 $15,222.19 $12,521.66 nat. median
$13,648
0.9× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 14 $8,740.01 $14,527.78 $12,224.89 nat. median
$10,875
1.1× median
603
MS_DRG 		Cellulitis Without Mcc 14 $5,737.82 $15,574.68 $11,741.23 nat. median
$9,571
1.2× median
33216
HCPCS 		Insertion Of 1 Electrode For Permanent Pacemaker Or Defibrillator 16 $1,430.49 $21,610.40 $11,520.44 nat. median
$8,538
1.3× median
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 14 $5,034.68 $15,461.24 $11,490.37 nat. median
$8,665
1.3× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 14 $9,084.65 $12,978.08 $11,031.36 nat. median
$16,529
0.7× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 14 $9,019.22 $12,884.60 $10,951.91 nat. median
$17,809
0.6× median
390
MS_DRG 		Gastrointestinal Obstruction Without Cc/mcc 14 $4,025.86 $14,995.02 $10,929.64 nat. median
$6,565
1.7× median
552
MS_DRG 		Medical Back Problems Without Mcc 14 $6,031.36 $14,095.38 $10,835.67 nat. median
$10,424
1.0× median
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 14 $5,957.13 $14,076.60 $10,689.60 nat. median
$9,870
1.1× median
293
MS_DRG 		Heart Failure And Shock Without Cc/mcc 14 $4,545.45 $13,995.09 $10,397.82 nat. median
$6,793
1.5× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 14 $8,229.86 $13,401.47 $10,357.90 nat. median
$13,021
0.8× median
643
MS_DRG 		Endocrine Disorders With Mcc 14 $8,295.42 $11,850.60 $10,073.01 nat. median
$16,783
0.6× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 14 $6,297.23 $12,014.58 $9,894.36 nat. median
$9,125
1.1× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 $7,467.54 $11,349.78 $9,647.32 nat. median
$19,635
outlier · 0.5×
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 14 $6,517.22 $11,631.06 $9,578.52 nat. median
$10,515
0.9× median
638
MS_DRG 		Diabetes With Cc 14 $5,743.90 $11,545.72 $9,472.32 nat. median
$9,826
1.0× median
179
MS_DRG 		Respiratory Infections And Inflammations Without Cc/mcc 14 $6,275.64 $11,449.50 $9,429.00 nat. median
$8,707
1.1× median
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 14 $5,361.29 $12,101.21 $9,386.76 nat. median
$8,979
1.0× median
71
MS_DRG 		Nonspecific Cerebrovascular Disorders With Cc 14 $6,677.82 $11,040.91 $9,316.12 nat. median
$11,209
0.8× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 14 $7,116.44 $11,691.30 $9,314.27 nat. median
$11,105
0.8× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 14 $5,123.76 $10,999.81 $8,738.14 nat. median
$8,731
1.0× median
J1162
HCPCS 		Injection, Digoxin Immune Fab (ovine), Per Vial 16 $1,831.43 $15,480.29 $8,655.86 nat. median
$7,316
1.2× median
36557
HCPCS 		Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years) 16 $3,117.57 $13,503.95 $8,310.76 nat. median
$5,277
1.6× median
36563
HCPCS 		Insertion Of Central Venous Tube With Pump 16 $3,117.57 $13,503.95 $8,310.76 nat. median
$5,439
1.5× median
36566
HCPCS 		Insertion Of 2 Central Venous Tubes In 2 Veins With Port 16 $3,117.57 $13,503.95 $8,310.76 nat. median
$5,685
1.5× median
948
MS_DRG 		Signs And Symptoms Without Mcc 14 $5,213.50 $10,034.59 $8,263.78 nat. median
$8,516
1.0× median
292
MS_DRG 		Heart Failure And Shock With Cc 14 $6,469.98 $10,629.26 $8,199.33 nat. median
$9,636
0.9× median
204
MS_DRG 		Respiratory Signs And Symptoms 14 $5,170.32 $9,859.75 $8,119.79 nat. median
$8,989
0.9× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 13 $85.86 $11,288.77 $7,702.92 nat. median
$5,949
1.3× median
683
MS_DRG 		Renal Failure With Cc 14 $6,270.24 $9,428.97 $7,578.98 nat. median
$9,664
0.8× median
36583
HCPCS 		Replacement Of Tunneled Central Venous Tube With Pump 16 $1,119.43 $13,503.95 $7,311.69 nat. median
$5,471
1.3× median
309
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Cc 14 $5,209.46 $8,558.39 $7,144.81 nat. median
$8,437
0.8× median
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc/mcc 14 $4,790.41 $8,661.59 $7,133.07 nat. median
$7,339
1.0× median
70
MS_DRG 		Nonspecific Cerebrovascular Disorders With Mcc 14 $5,628.11 $8,040.15 $6,834.13 nat. median
$17,286
outlier · 0.4×
913
MS_DRG 		Traumatic Injury With Mcc 14 $5,598.95 $7,998.50 $6,798.73 nat. median
$16,480
outlier · 0.4×
815123_1
CDM 		Operating Room Services - General Classification 16 $4,892.04 $8,434.55 $6,663.30 nat. median
$6,663
1.0× median
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 14 $5,365.15 $7,664.50 $6,514.83 nat. median
$10,714
0.6× median
312
MS_DRG 		Syncope And Collapse 14 $5,374.78 $7,914.20 $6,429.34 nat. median
$9,479
0.7× median
36571
HCPCS 		Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 16 $3,117.57 $8,858.70 $5,988.14 nat. median
$3,384
1.8× median
36570
HCPCS 		Insertion Of Central Venous Tube With Port For Infusion (younger Than 5 Years) 16 $3,117.57 $8,858.70 $5,988.14 nat. median
$3,437
1.7× median
36560
HCPCS 		Insertion Of Central Venous Tube With Port (younger Than 5 Years) 16 $3,117.57 $8,858.70 $5,988.14 nat. median
$3,652
1.6× median
36561
HCPCS 		Insertion Of Central Venous Tube With Port (5 Years Or Older) 16 $3,117.57 $8,858.70 $5,988.14 nat. median
$3,693
1.6× median
36582
HCPCS 		Replacement Of Tunneled Central Venous Tube With Port 16 $3,117.57 $8,858.70 $5,988.14 nat. median
$3,780
1.6× median

Other procedures at this hospital

Browse this hospital's 1,791 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
914 MS_DRG Traumatic Injury Without Mcc 14 14 $29,047.47 $23,237.98 $5,602.19 $24,690.35 $17,739.75 2024-01-30
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 14 14 $26,902.40 $21,521.92 20% off $6,957.86 $22,867.04 $16,872.07 2024-01-30
291 MS_DRG Heart Failure And Shock With Mcc 14 14 $22,517.80 $18,014.24 $9,959.37 $19,140.13 $15,762.46 2024-01-30
947 MS_DRG Signs And Symptoms With Mcc 14 14 $21,195.32 $16,956.26 $7,921.48 $18,016.02 $13,925.29 2024-01-30
177 MS_DRG Respiratory Infections And Inflammations With Mcc 14 14 $16,745.50 $13,396.40 20% off $11,061.73 $16,745.50 $13,647.58 2024-01-30
J1568 HCPCS Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 13 13 $22,189.90 $17,751.92 20% off $18.89 $18,861.42 $12,870.14 2024-01-30
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 14 14 $16,866.63 $13,493.31 $9,265.68 $15,222.19 $12,521.66 2024-01-30
178 MS_DRG Respiratory Infections And Inflammations With Cc 14 14 $17,091.50 $13,673.20 $8,740.01 $14,527.78 $12,224.89 2024-01-30
603 MS_DRG Cellulitis Without Mcc 14 14 $18,323.15 $14,658.52 20% off $5,737.82 $15,574.68 $11,741.23 2024-01-30
33216 HCPCS Insertion Of 1 Electrode For Permanent Pacemaker Or Defibrillator 26 16 $25,424.00 $20,339.20 20% off $1,430.49 $21,610.40 $11,520.44 2024-01-30
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 14 14 $18,189.69 $14,551.75 20% off $5,034.68 $15,461.24 $11,490.37 2024-01-30
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 14 14 $12,978.08 $10,382.46 20% off $9,084.65 $12,978.08 $11,031.36 2024-01-30
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 14 14 $12,884.60 $10,307.68 20% off $9,019.22 $12,884.60 $10,951.91 2024-01-30
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 14 14 $17,641.20 $14,112.96 20% off $4,025.86 $14,995.02 $10,929.64 2024-01-30
552 MS_DRG Medical Back Problems Without Mcc 14 14 $16,582.80 $13,266.24 20% off $6,031.36 $14,095.38 $10,835.67 2024-01-30
812 MS_DRG Red Blood Cell Disorders Without Mcc 14 14 $16,560.70 $13,248.56 20% off $5,957.13 $14,076.60 $10,689.60 2024-01-30
293 MS_DRG Heart Failure And Shock Without Cc/mcc 14 14 $16,464.81 $13,171.85 $4,545.45 $13,995.09 $10,397.82 2024-01-30
189 MS_DRG Pulmonary Edema And Respiratory Failure 14 14 $13,401.47 $10,721.17 20% off $8,229.86 $13,401.47 $10,357.90 2024-01-30
643 MS_DRG Endocrine Disorders With Mcc 14 14 $11,850.60 $9,480.48 20% off $8,295.42 $11,850.60 $10,073.01 2024-01-30
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 14 14 $14,134.80 $11,307.84 $6,297.23 $12,014.58 $9,894.36 2024-01-30
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 14 $11,349.78 $9,079.83 $7,467.54 $11,349.78 $9,647.32 2024-01-30
315 MS_DRG Other Circulatory System Diagnoses With Cc 14 14 $13,683.60 $10,946.88 20% off $6,517.22 $11,631.06 $9,578.52 2024-01-30
638 MS_DRG Diabetes With Cc 14 14 $13,583.20 $10,866.56 20% off $5,743.90 $11,545.72 $9,472.32 2024-01-30
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 14 14 $13,470.00 $10,776.00 20% off $6,275.64 $11,449.50 $9,429.00 2024-01-30
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 14 14 $14,236.72 $11,389.38 $5,361.29 $12,101.21 $9,386.76 2024-01-30
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 14 14 $12,989.30 $10,391.44 $6,677.82 $11,040.91 $9,316.12 2024-01-30
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 14 14 $12,419.03 $9,935.23 $7,116.44 $11,691.30 $9,314.27 2024-01-30
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 14 14 $12,940.95 $10,352.76 20% off $5,123.76 $10,999.81 $8,738.14 2024-01-30
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 25 16 $18,212.10 $14,569.68 $1,831.43 $15,480.29 $8,655.86 2024-01-30
36557 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years) 26 16 $15,887.00 $12,709.60 20% off $3,117.57 $13,503.95 $8,310.76 2024-01-30
36566 HCPCS Insertion Of 2 Central Venous Tubes In 2 Veins With Port 26 16 $15,887.00 $12,709.60 20% off $3,117.57 $13,503.95 $8,310.76 2024-01-30
36563 HCPCS Insertion Of Central Venous Tube With Pump 26 16 $15,887.00 $12,709.60 20% off $3,117.57 $13,503.95 $8,310.76 2024-01-30
948 MS_DRG Signs And Symptoms Without Mcc 14 14 $11,805.40 $9,444.32 20% off $5,213.50 $10,034.59 $8,263.78 2024-01-30
292 MS_DRG Heart Failure And Shock With Cc 14 14 $10,676.60 $8,541.28 $6,469.98 $10,629.26 $8,199.33 2024-01-30
204 MS_DRG Respiratory Signs And Symptoms 14 14 $11,599.70 $9,279.76 20% off $5,170.32 $9,859.75 $8,119.79 2024-01-30
J3101 HCPCS Injection, Tenecteplase, 1 Mg 13 13 $13,280.90 $10,624.72 20% off $85.86 $11,288.77 $7,702.92 2024-01-30
683 MS_DRG Renal Failure With Cc 14 14 $9,428.97 $7,543.17 20% off $6,270.24 $9,428.97 $7,578.98 2024-01-30
36583 HCPCS Replacement Of Tunneled Central Venous Tube With Pump 26 16 $15,887.00 $12,709.60 20% off $1,119.43 $13,503.95 $7,311.69 2024-01-30
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 14 14 $9,782.20 $7,825.76 20% off $5,209.46 $8,558.39 $7,144.81 2024-01-30
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 14 14 $10,190.10 $8,152.08 20% off $4,790.41 $8,661.59 $7,133.07 2024-01-30
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 14 14 $8,040.15 $6,432.12 20% off $5,628.11 $8,040.15 $6,834.13 2024-01-30
913 MS_DRG Traumatic Injury With Mcc 14 14 $7,998.50 $6,398.80 20% off $5,598.95 $7,998.50 $6,798.73 2024-01-30
815123_1 CDM Operating Room Services - General Classification 20 16 $9,923.00 $7,938.40 20% off $4,892.04 $8,434.55 $6,663.30 2024-01-30
378 MS_DRG Gastrointestinal Hemorrhage With Cc 14 14 $7,664.50 $6,131.60 $5,365.15 $7,664.50 $6,514.83 2024-01-30
312 MS_DRG Syncope And Collapse 14 14 $7,914.20 $6,331.36 20% off $5,374.78 $7,914.20 $6,429.34 2024-01-30
36582 HCPCS Replacement Of Tunneled Central Venous Tube With Port 26 16 $10,422.00 $8,337.60 $3,117.57 $8,858.70 $5,988.14 2024-01-30
36560 HCPCS Insertion Of Central Venous Tube With Port (younger Than 5 Years) 26 16 $10,422.00 $8,337.60 $3,117.57 $8,858.70 $5,988.14 2024-01-30
36570 HCPCS Insertion Of Central Venous Tube With Port For Infusion (younger Than 5 Years) 26 16 $10,422.00 $8,337.60 $3,117.57 $8,858.70 $5,988.14 2024-01-30
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 26 16 $10,422.00 $8,337.60 $3,117.57 $8,858.70 $5,988.14 2024-01-30
36585 HCPCS Replacement Of Peripherally Inserted Central Venous Tube (picc) With Port 26 16 $10,422.00 $8,337.60 $3,117.57 $8,858.70 $5,988.14 2024-01-30
36581 HCPCS Replacement Of Tunneled Central Venous Tube 26 16 $10,422.00 $8,337.60 $3,117.57 $8,858.70 $5,988.14 2024-01-30
36565 HCPCS Insertion Of 2 Central Venous Tubes In 2 Veins For Infusion 26 16 $10,422.00 $8,337.60 $3,117.57 $8,858.70 $5,988.14 2024-01-30
36571 HCPCS Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 26 16 $10,422.00 $8,337.60 $3,117.57 $8,858.70 $5,988.14 2024-01-30
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 26 16 $10,422.00 $8,337.60 $3,117.57 $8,858.70 $5,988.14 2024-01-30
92977 HCPCS Removal Of Heart Artery Blood Clot By Dissolving 26 16 $8,191.00 $6,552.80 20% off $4,038.16 $7,800.70 $5,919.43 2024-01-30
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 25 16 $12,403.20 $9,922.56 20% off $600.94 $10,542.72 $5,571.83 2024-01-30
27372 HCPCS Removal Of Foreign Body Deep In Tissue Of Thigh Or Knee 26 16 $9,427.00 $7,541.60 $2,732.57 $8,012.95 $5,372.76 2024-01-30
24201 HCPCS Removal Of Foreign Body, Upper Arm Or Elbow Area 26 16 $9,427.00 $7,541.60 $2,732.57 $8,012.95 $5,372.76 2024-01-30
11012 HCPCS Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Broken A… 26 16 $9,427.00 $7,541.60 $2,732.57 $8,012.95 $5,372.76 2024-01-30
11011 HCPCS Removal Of Foreign Material From Skin, Tissue, And Muscle At Open Broken And/or … 26 16 $7,269.00 $5,815.20 20% off $3,583.62 $6,922.84 $5,253.23 2024-01-30
36578 HCPCS Replacement Of Central Venous Tube, Tube Only 26 16 $10,422.00 $8,337.60 $1,042.47 $8,858.70 $4,950.59 2024-01-30
811386_1 CDM Operating Room Services - General Classification 20 16 $7,088.00 $5,670.40 20% off $3,494.38 $6,024.80 $4,759.59 2024-01-30
20525 HCPCS Complicated Removal Of Foreign Body In Deep Muscle Or Tendon 26 16 $9,592.00 $7,673.60 $1,323.87 $8,153.20 $4,738.53 2024-01-30
14040 HCPCS Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 26 16 $6,488.00 $5,190.40 20% off $3,198.58 $6,178.19 $4,688.39 2024-01-30
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 20 16 $6,763.60 $5,410.88 20% off $3,334.45 $5,749.06 $4,541.76 2024-01-30
23030 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Shoulder 26 16 $9,592.00 $7,673.60 $843.04 $8,153.20 $4,498.12 2024-01-30
27301 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 26 16 $9,592.00 $7,673.60 $843.04 $8,153.20 $4,498.12 2024-01-30
21501 HCPCS Drainage Of Deep Abscess Or Blood Accumulation In Soft Tissue Of Neck Or Chest 26 16 $9,592.00 $7,673.60 $843.04 $8,153.20 $4,498.12 2024-01-30
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 26 16 $9,592.00 $7,673.60 $843.04 $8,153.20 $4,498.12 2024-01-30
27086 HCPCS Removal Of Foreign Body In Tissue Of Pelvis Or Hip, Accessed Beneath The Skin 26 16 $7,071.00 $5,656.80 20% off $2,732.57 $6,010.35 $4,371.46 2024-01-30
59409 HCPCS Vaginal Delivery 26 16 $7,438.00 $5,950.40 20% off $1,923.00 $6,322.30 $4,122.65 2024-01-30
36010 HCPCS Insertion Of Tube Into Vena Cava 26 16 $5,454.00 $4,363.20 20% off $2,688.82 $5,193.79 $3,941.30 2024-01-30
36011 HCPCS Insertion Of Tube Into Vein, First Order Branch 26 16 $5,454.00 $4,363.20 20% off $2,688.82 $5,193.79 $3,941.30 2024-01-30
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 26 16 $5,378.00 $4,302.40 20% off $2,651.35 $5,121.37 $3,886.36 2024-01-30
36555 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (younger Than 5 Years… 26 16 $5,378.00 $4,302.40 20% off $2,651.35 $5,121.37 $3,886.36 2024-01-30
811385_1 CDM Operating Room Services - General Classification 20 16 $5,670.00 $4,536.00 20% off $2,795.31 $4,819.50 $3,807.41 2024-01-30
41805 HCPCS Removal Of Embedded Foreign Body In Soft Tissue Of Tooth Bearing Bone 26 16 $6,127.00 $4,901.60 $2,367.68 $5,207.95 $3,787.82 2024-01-30
J0897 HCPCS Injection, Denosumab, 1 Mg 13 13 $6,433.20 $5,146.56 $9.15 $5,468.22 $3,731.26 2024-01-30
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 14 14 $4,361.80 $3,489.44 20% off $3,053.26 $4,361.80 $3,707.53 2024-01-30
11047 HCPCS Removal Of Bone, Each Additional 20.0 Sq Cm Or Less 26 16 $4,907.00 $3,925.60 20% off $2,419.15 $4,672.71 $3,545.93 2024-01-30
12047 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, More Than 30.0 C… 26 16 $4,880.00 $3,904.00 20% off $2,405.84 $4,458.53 $3,432.18 2024-01-30
12037 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha… 26 16 $4,880.00 $3,904.00 20% off $2,405.84 $4,458.53 $3,432.18 2024-01-30
11010 HCPCS Removal Of Foreign Material From Skin And Tissue At Open Broken And/or Dislocate… 26 16 $4,714.00 $3,771.20 20% off $2,324.00 $4,488.91 $3,406.45 2024-01-30
12018 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, Mor… 26 16 $4,682.00 $3,745.60 20% off $2,308.23 $4,458.53 $3,383.38 2024-01-30
12057 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More … 26 16 $4,682.00 $3,745.60 20% off $2,308.23 $4,458.53 $3,383.38 2024-01-30
20670 HCPCS Removal Of Surface Implant From Bone 26 16 $4,334.00 $3,467.20 20% off $2,136.66 $4,488.91 $3,312.78 2024-01-30
43215 HCPCS Removal Of Foreign Bodies In Esophagus Using A Flexible Endoscope 26 16 $5,298.00 $4,238.40 20% off $2,047.11 $4,503.30 $3,275.20 2024-01-30
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 13 13 $5,559.00 $4,447.20 20% off $0.87 $4,725.15 $3,224.22 2024-01-30
46050 HCPCS Drainage Of Superficial Rectal Abscess Surrounding Anus 26 16 $4,438.00 $3,550.40 20% off $2,187.93 $4,225.72 $3,206.82 2024-01-30
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 13 13 $5,423.70 $4,338.96 $9.15 $4,610.15 $3,145.75 2024-01-30
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 26 16 $5,328.00 $4,262.40 20% off $1,544.23 $4,528.80 $3,036.51 2024-01-30
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 26 16 $5,328.00 $4,262.40 20% off $1,544.23 $4,528.80 $3,036.51 2024-01-30
27252 HCPCS Closed Treatment Of Dislocated Hip Under Anesthesia 26 16 $5,328.00 $4,262.40 20% off $1,544.23 $4,528.80 $3,036.51 2024-01-30
27842 HCPCS Closed Treatment Of Dislocated Ankle Under Anesthesia 26 16 $5,328.00 $4,262.40 20% off $1,544.23 $4,528.80 $3,036.51 2024-01-30
31622 HCPCS Diagnostic Exam Of Lung Airway Using An Endoscope 26 16 $4,816.00 $3,852.80 $1,860.87 $4,093.60 $2,977.24 2024-01-30
54160 HCPCS Removal Of Foreskin (28 Days Or Younger) 25 16 $3,992.00 $3,193.60 20% off $1,968.06 $3,801.36 $2,884.71 2024-01-30
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 26 16 $4,818.00 $3,854.40 20% off $1,396.39 $4,095.30 $2,745.84 2024-01-30
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 14 14 $3,097.00 $2,477.60 20% off $2,167.90 $3,097.00 $2,632.45 2024-01-30
24200 HCPCS Removal Of Foreign Body Of Upper Arm Or Elbow Area, Accessed Beneath The Skin 26 16 $4,568.00 $3,654.40 20% off $1,323.87 $3,882.80 $2,603.34 2024-01-30
11420 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.5 C… 26 16 $4,568.00 $3,654.40 20% off $1,323.87 $3,882.80 $2,603.34 2024-01-30
20520 HCPCS Removal Of Foreign Body In Muscle Or Tendon 26 16 $4,568.00 $3,654.40 20% off $1,323.87 $3,882.80 $2,603.34 2024-01-30
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 26 16 $4,568.00 $3,654.40 20% off $1,323.87 $3,882.80 $2,603.34 2024-01-30
36590 HCPCS Removal Of Central Venous Tube With Port Or Pump 26 16 $1,303.00 $1,042.40 $642.38 $4,488.91 $2,565.64 2024-01-30
811384_1 CDM Operating Room Services - General Classification 20 16 $3,780.00 $3,024.00 20% off $1,863.54 $3,213.00 $2,538.27 2024-01-30
J0841 HCPCS Injection, Crotalidae Immune F(ab')2 (equine), 120 Mg 25 16 $5,227.20 $4,181.76 $600.94 $4,443.12 $2,522.03 2024-01-30
12007 HCPCS Simple Repair Of Surface Wound To Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 20 11 $309.00 $247.20 20% off $152.34 $3,979.70 $2,511.15 2024-01-30
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 26 16 $4,133.00 $3,306.40 20% off $1,197.87 $3,513.05 $2,355.46 2024-01-30
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 26 16 $4,133.00 $3,306.40 20% off $1,197.87 $3,513.05 $2,355.46 2024-01-30
816100_1 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 14 14 $3,252.00 $2,601.60 20% off $2,276.40 $2,764.20 $2,278.43 2024-01-30
814735_1 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 14 14 $3,252.00 $2,601.60 20% off $2,276.40 $2,764.20 $2,278.43 2024-01-30
23931 HCPCS Drainage Of Fluid Filled Sac In Elbow Joint 26 16 $4,334.00 $3,467.20 20% off $843.04 $3,683.90 $2,263.47 2024-01-30
23031 HCPCS Drainage Of Infected Fluid-filled Sac (bursa) Of Shoulder Joint 26 16 $4,334.00 $3,467.20 20% off $843.04 $3,683.90 $2,263.47 2024-01-30
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 26 16 $3,862.00 $3,089.60 20% off $1,119.43 $3,282.70 $2,201.07 2024-01-30
32554 HCPCS Aspiration Of Fluid From Chest Cavity 26 16 $3,862.00 $3,089.60 20% off $1,119.43 $3,282.70 $2,201.07 2024-01-30
32551 HCPCS Removal Of Fluid From Between Lung And Chest Cavity 26 16 $3,862.00 $3,089.60 20% off $1,119.43 $3,282.70 $2,201.07 2024-01-30
49082 HCPCS Drainage Of Fluid From Abdominal Cavity 26 16 $3,862.00 $3,089.60 20% off $1,119.43 $3,282.70 $2,201.07 2024-01-30
49084 HCPCS Irrigation Of Abdominal Cavity 26 16 $3,862.00 $3,089.60 20% off $1,119.43 $3,282.70 $2,201.07 2024-01-30
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 26 16 $3,862.00 $3,089.60 20% off $1,119.43 $3,282.70 $2,201.07 2024-01-30
810715_1 CDM Gastro - Intestinal (gi) Services - General Classification 20 16 $3,255.00 $2,604.00 20% off $1,604.72 $2,766.75 $2,185.74 2024-01-30
25565 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
24675 HCPCS Closed Treatment Of Broken Forearm Bone On Small Finger Side At Elbow With Manip… 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
25624 HCPCS Closed Treatment Of Broken Wrist Bone Near Base Of Thumb With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
24505 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
23605 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
25505 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
24577 HCPCS Closed Treatment Of Broken Elbow With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
23625 HCPCS Closed Treatment Of Upper Arm Bone Broken At Shoulder Joint With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
27825 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint With Manipula… 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
27818 HCPCS Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
27781 HCPCS Closed Treatment Of Broken Middle Or Upper End Of Outside Lower Leg Bone With Ma… 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
27762 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
26742 HCPCS Closed Treatment Of Broken Finger Or Hand At Base Of Finger With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
24655 HCPCS Closed Treatment Of Broken Forearm Bone On Thumb Side At Elbow With Manipulation 26 16 $4,138.00 $3,310.40 20% off $827.29 $3,517.30 $2,172.30 2024-01-30
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 35 16 $4,498.65 $3,598.92 $424.84 $3,823.85 $2,136.66 2024-01-30
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 26 16 $3,426.00 $2,740.80 $1,323.87 $2,912.10 $2,117.99 2024-01-30
23330 HCPCS Removal Of Foreign Body Of Shoulder Joint, Accessed Beneath The Skin 26 16 $3,425.00 $2,740.00 20% off $1,323.87 $2,911.25 $2,117.56 2024-01-30
814755_1 CDM Room & Board - Private (one Bed) - Other 14 14 $2,824.00 $2,259.20 20% off $1,976.80 $2,400.40 $2,096.53 2024-01-30
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 13 13 $3,585.20 $2,868.16 20% off $0.87 $3,047.42 $2,079.42 2024-01-30
90376 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle, Heat-t… 13 13 $3,584.40 $2,867.52 20% off $37.56 $3,046.74 $2,078.95 2024-01-30
23575 HCPCS Closed Treatment Of Broken Shoulder Blade With Manipulation 26 16 $4,138.00 $3,310.40 20% off $618.61 $3,517.30 $2,067.95 2024-01-30
23505 HCPCS Closed Treatment Of Broken Collar Bone With Manipulation 26 16 $4,138.00 $3,310.40 20% off $618.61 $3,517.30 $2,067.95 2024-01-30
62273 HCPCS Injection Of Blood Or Blood Clot Into Spinal Canal 26 16 $3,319.00 $2,655.20 20% off $1,282.56 $2,821.15 $2,051.86 2024-01-30
36580 HCPCS Replacement Of Nontunneled Central Venous Tube 26 16 $3,598.00 $2,878.40 20% off $1,042.47 $3,058.30 $2,050.39 2024-01-30
36576 HCPCS Repair Of Central Venous Tube For Infusion With Port Or Pump 26 16 $3,598.00 $2,878.40 20% off $1,042.47 $3,058.30 $2,050.39 2024-01-30
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 26 16 $3,598.00 $2,878.40 20% off $1,042.47 $3,058.30 $2,050.39 2024-01-30
36568 HCPCS Insertion Of Tube For Infusion (younger Than 5 Years) 26 16 $3,598.00 $2,878.40 20% off $1,042.47 $3,058.30 $2,050.39 2024-01-30
20103 HCPCS Exploration Of Wound Of Arm Or Leg 26 16 $3,598.00 $2,878.40 20% off $1,042.47 $3,058.30 $2,050.39 2024-01-30
C8936 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Upper… 26 16 $2,513.00 $2,010.40 $1,238.91 $2,392.65 $1,815.78 2024-01-30
C8901 HCPCS Magnetic Resonance Angiography Without Contrast, Abdomen 26 16 $2,513.00 $2,010.40 $1,238.91 $2,392.65 $1,815.78 2024-01-30
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 26 16 $3,051.00 $2,440.80 $883.96 $2,593.35 $1,738.65 2024-01-30
74182 HCPCS MRI Scan Of Abdomen With Contrast 26 16 $3,051.00 $2,440.80 $883.96 $2,593.35 $1,738.65 2024-01-30
C8910 HCPCS Magnetic Resonance Angiography Without Contrast, Chest (excluding Myocardium) 26 16 $2,363.00 $1,890.40 $1,164.96 $2,250.00 $1,707.48 2024-01-30
62270 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test 26 16 $2,958.00 $2,366.40 $857.32 $2,514.30 $1,685.81 2024-01-30
62272 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap 26 16 $2,958.00 $2,366.40 $857.32 $2,514.30 $1,685.81 2024-01-30
36430 HCPCS Transfusion Of Blood Or Blood Products 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9017 HCPCS Fresh Frozen Plasma (single Donor), Frozen Within 8 Hours Of Collection, Each Un… 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9033 HCPCS Platelets, Leukocytes Reduced, Irradiated, Each Unit 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9044 HCPCS Plasma, Cryoprecipitate Reduced, Each Unit 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9058 HCPCS Red Blood Cells, Leukocytes Reduced, Cmv-negative, Irradiated, Each Unit 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9019 HCPCS Platelets, Each Unit 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9031 HCPCS Platelets, Leukocytes Reduced, Each Unit 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9059 HCPCS Fresh Frozen Plasma Between 8-24 Hours Of Collection, Each Unit 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
P9040 HCPCS Red Blood Cells, Leukocytes Reduced, Irradiated, Each Unit 26 16 $2,301.00 $1,840.80 20% off $1,134.39 $2,190.32 $1,662.36 2024-01-30
10081 HCPCS Complicated Drainage Of Cyst Of Tailbone 26 16 $2,909.00 $2,327.20 20% off $843.04 $2,472.65 $1,657.85 2024-01-30
36584 HCPCS Replacement Of Peripherally Inserted Central Venous Tube (picc) With Review By R… 26 16 $3,445.00 $2,756.00 20% off $208.81 $2,928.25 $1,568.53 2024-01-30
99291 HCPCS Critical Care, First 30-74 Minutes 26 16 $2,332.00 $1,865.60 20% off $1,149.68 $1,982.20 $1,565.94 2024-01-30
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 26 16 $2,139.00 $1,711.20 20% off $1,054.53 $2,036.63 $1,545.58 2024-01-30
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 26 16 $2,139.00 $1,711.20 20% off $1,054.53 $2,036.63 $1,545.58 2024-01-30
64450 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch 26 16 $2,711.00 $2,168.80 $785.71 $2,304.35 $1,545.03 2024-01-30
811383_1 CDM Operating Room Services - General Classification 20 16 $2,280.00 $1,824.00 20% off $1,124.04 $1,938.00 $1,531.02 2024-01-30
71551 HCPCS MRI Scan Of Chest With Contrast 26 16 $2,673.00 $2,138.40 $774.58 $2,272.05 $1,523.32 2024-01-30
71552 HCPCS MRI Scan Of Chest Before And After Contrast 26 16 $2,673.00 $2,138.40 $774.58 $2,272.05 $1,523.32 2024-01-30
67938 HCPCS Removal Of Embedded Foreign Body In Eyelid 26 16 $2,103.00 $1,682.40 $1,036.78 $2,002.91 $1,519.85 2024-01-30
67700 HCPCS Incision And Drainage Of Abscess Of Eyelid 26 16 $2,103.00 $1,682.40 $1,036.78 $2,002.91 $1,519.85 2024-01-30
11750 HCPCS Permanent Removal Fingernail Or Toenail 26 16 $1,619.21 $1,295.37 $798.27 $2,174.79 $1,486.53 2024-01-30
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 26 16 $2,605.00 $2,084.00 20% off $755.11 $2,214.25 $1,484.68 2024-01-30
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 26 16 $2,605.00 $2,084.00 20% off $755.11 $2,214.25 $1,484.68 2024-01-30
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 26 16 $2,605.00 $2,084.00 20% off $755.11 $2,214.25 $1,484.68 2024-01-30
810714_1 CDM Gastro - Intestinal (gi) Services - General Classification 20 16 $2,205.00 $1,764.00 20% off $1,087.07 $1,874.25 $1,480.66 2024-01-30
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 26 16 $2,558.00 $2,046.40 $741.17 $2,174.30 $1,457.73 2024-01-30
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 26 16 $2,558.00 $2,046.40 $741.17 $2,174.30 $1,457.73 2024-01-30
72196 HCPCS MRI Scan Of Pelvis With Contrast 26 16 $2,558.00 $2,046.40 $741.17 $2,174.30 $1,457.73 2024-01-30
73720 HCPCS MRI Scan Of Leg Before And After Contrast 26 16 $2,558.00 $2,046.40 $741.17 $2,174.30 $1,457.73 2024-01-30
73220 HCPCS MRI Scan Of Arm Before And After Contrast 26 16 $2,558.00 $2,046.40 $741.17 $2,174.30 $1,457.73 2024-01-30
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 26 16 $2,558.00 $2,046.40 $741.17 $2,174.30 $1,457.73 2024-01-30
73719 HCPCS MRI Scan Of Leg With Contrast 26 16 $2,558.00 $2,046.40 $741.17 $2,174.30 $1,457.73 2024-01-30
73219 HCPCS MRI Scan Of Arm With Contrast 26 16 $2,558.00 $2,046.40 $741.17 $2,174.30 $1,457.73 2024-01-30
J1301 HCPCS Injection, Edaravone, 1 Mg 13 13 $2,470.10 $1,976.08 20% off $9.15 $2,099.59 $1,432.66 2024-01-30
28665 HCPCS Closed Treatment Of Dislocated Joint In Toe Under Anesthesia 26 16 $496.00 $396.80 20% off $244.53 $2,536.78 $1,390.65 2024-01-30
26775 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation Under Anesthesia 26 16 $496.00 $396.80 20% off $244.53 $2,536.78 $1,390.65 2024-01-30
31511 HCPCS Removal Of Foreign Body In Voice Box Using An Endoscope With Mirror 26 16 $1,878.00 $1,502.40 $925.85 $1,787.07 $1,356.46 2024-01-30
12055 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.6-… 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
12046 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 20.1-30.0 Cm 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
12045 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 12.6-20.0 Cm 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
12036 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.… 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
12035 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.… 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
12020 HCPCS Simple Closure Of Surface Wound Reopening 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
12017 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.… 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
13152 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
13133 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
12006 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
13102 HCPCS Complicated Repair Of Wound Of Trunk, Each Additional 5.0 Cm Or Less 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
13101 HCPCS Complicated Repair Of Wound Of Trunk, 2.6-7.5 Cm 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
13100 HCPCS Complicated Repair Of Wound Of Trunk, 1.1-2.5 Cm 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
12056 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.1-… 26 16 $1,799.00 $1,439.20 20% off $886.91 $1,712.52 $1,299.71 2024-01-30
P9047 HCPCS Infusion, Albumin (human), 25%, 50 Ml 25 16 $712.80 $570.24 $351.41 $2,190.32 $1,270.87 2024-01-30
92953 HCPCS Temporary Pacemaker To Regulate Heart Beat 26 16 $1,754.00 $1,403.20 20% off $864.72 $1,669.82 $1,267.27 2024-01-30
92960 HCPCS External Shock To Heart To Regulate Heart Beat 26 16 $1,754.00 $1,403.20 20% off $864.72 $1,669.82 $1,267.27 2024-01-30
133412_ERX_1 CDM Combivent Respimat 20-100 Mcg 19 16 $1,881.40 $1,505.12 20% off $927.53 $1,599.19 $1,263.36 2024-01-30
41142_ERX_1 CDM Atrovent 17 Mcg Hfa Inhaler 19 16 $1,814.90 $1,451.92 20% off $894.75 $1,542.67 $1,218.71 2024-01-30
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
23570 HCPCS Closed Treatment Of Broken Shoulder Blade 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
23500 HCPCS Closed Treatment Of Broken Collar Bone 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
28660 HCPCS Closed Treatment Of Dislocated Joint In Toe 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
28515 HCPCS Closed Treatment Of Broken Toe With Manipulation 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
28510 HCPCS Closed Treatment Of Broken Toe 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
28495 HCPCS Closed Treatment Of Broken Great Toe With Manipulation 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
28490 HCPCS Closed Treatment Of Broken Great Toe 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
26770 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
26755 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb With Manipulation 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
26750 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
26740 HCPCS Closed Treatment Of Broken Finger Or Hand At Base Of Finger 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
26725 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With … 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
26720 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
26700 HCPCS Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manipulation 26 16 $2,135.00 $1,708.00 20% off $618.61 $1,814.75 $1,216.68 2024-01-30
70552 HCPCS MRI Scan Of Brain With Contrast 26 16 $2,040.00 $1,632.00 20% off $591.37 $1,734.00 $1,162.68 2024-01-30
70551 HCPCS MRI Scan Of Brain Without Contrast 26 16 $2,040.00 $1,632.00 20% off $591.37 $1,734.00 $1,162.68 2024-01-30
70553 HCPCS MRI Scan Of Brain Before And After Contrast 26 16 $2,040.00 $1,632.00 20% off $591.37 $1,734.00 $1,162.68 2024-01-30
9977_ERX_1 CDM Premarin Vaginal Cream-appl 19 16 $1,730.40 $1,384.32 20% off $853.09 $1,470.84 $1,161.96 2024-01-30
11043 HCPCS Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less 26 16 $2,036.00 $1,628.80 20% off $590.04 $1,730.60 $1,160.32 2024-01-30
11046 HCPCS Removal Of Muscle And/or Tissue, Each Additional 20.0 Sq Cm Or Less 26 16 $2,036.00 $1,628.80 20% off $590.04 $1,730.60 $1,160.32 2024-01-30
73722 HCPCS MRI Scan Of Leg Joint With Contrast 26 16 $2,180.00 $1,744.00 20% off $376.72 $1,853.00 $1,114.86 2024-01-30
73222 HCPCS MRI Scan Of Arm Joint With Contrast 26 16 $2,180.00 $1,744.00 20% off $376.72 $1,853.00 $1,114.86 2024-01-30
G0379 HCPCS Direct Admission Of Patient For Hospital Observation Care 16 16 $1,655.00 $1,324.00 20% off $815.92 $1,406.75 $1,111.34 2024-01-30
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 26 16 $1,655.00 $1,324.00 20% off $815.92 $1,406.75 $1,111.34 2024-01-30
74181 HCPCS MRI Scan Of Abdomen Without Contrast 26 16 $1,526.00 $1,220.80 20% off $752.32 $1,452.11 $1,102.21 2024-01-30
G0260 HCPCS Injection Procedure For Sacroiliac Joint; Provision Of Anesthetic, Steroid And/o… 26 16 $1,887.00 $1,509.60 20% off $533.39 $1,603.95 $1,068.67 2024-01-30
20610 HCPCS Aspiration And/or Injection Of Fluid From Large Joint 26 16 $1,841.00 $1,472.80 20% off $533.39 $1,564.85 $1,049.12 2024-01-30
20605 HCPCS Aspiration And/or Injection Of Fluid From Medium Joint 26 16 $1,841.00 $1,472.80 20% off $533.39 $1,564.85 $1,049.12 2024-01-30
20600 HCPCS Aspiration And/or Injection Of Fluid From Small Joint 26 16 $1,841.00 $1,472.80 20% off $533.39 $1,564.85 $1,049.12 2024-01-30
20552 HCPCS Injection Of Trigger Points, 1-2 Muscles 26 16 $1,841.00 $1,472.80 20% off $533.39 $1,564.85 $1,049.12 2024-01-30
25600 HCPCS Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb … 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
25560 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
25535 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side With Man… 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
25530 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
25500 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
24670 HCPCS Closed Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
24650 HCPCS Closed Treatment Of Broken Forearm Bone On Thumb Side At Elbow 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
24640 HCPCS Closed Treatment Of Dislocated Forearm Bone On Thumb Side At Elbow With Manipula… 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
24600 HCPCS Repair Of Dislocated Elbow 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
24576 HCPCS Closed Treatment Of Broken Elbow 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
24500 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
23620 HCPCS Closed Treatment Of Upper Arm Bone Broken At Shoulder Joint 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
23600 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
28475 HCPCS Closed Treatment Of Broken Foot With Manipulation 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
28470 HCPCS Closed Treatment Of Broken Bone In Forefoot Or Midfoot 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
28400 HCPCS Closed Treatment Of Broken Heel Bone 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27840 HCPCS Closed Treatment Of Dislocated Ankle 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27824 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27816 HCPCS Closed Treatment Of 3 Broken Lower Leg Bones At Ankle 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27808 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27788 HCPCS Closed Treatment Of Broken Outside Lower Leg Bone At Ankle With Manipulation 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27786 HCPCS Closed Treatment Of Broken Outside Lower Leg Bone At Ankle 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27780 HCPCS Closed Treatment Of Broken Middle Or Upper End Of Outside Lower Leg Bone 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27767 HCPCS Closed Treatment Of Back Portion Of Shin Bone At Ankle 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27760 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27750 HCPCS Closed Treatment Of Broken Middle Part Of Shin Bone 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27560 HCPCS Closed Treatment Of Dislocated Kneecap 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27530 HCPCS Closed Treatment Of Broken Shin Bone 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
27520 HCPCS Closed Treatment Of Broken Kneecap 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
26641 HCPCS Closed Treatment Of Dislocated Thumb At Wrist With Manipulation 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
26605 HCPCS Closed Treatment Of Broken Hand Bone With Manipulation 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
26600 HCPCS Closed Treatment Of Broken Hand Bone 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
25675 HCPCS Closed Treatment Of Dislocated Forearm Bone At Wrist With Manipulation 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
25650 HCPCS Closed Treatment Of Broken Base Of Forearm Bone On Small Finger Side At Wrist 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
25622 HCPCS Closed Treatment Of Broken Wrist Bone Near Base Of Thumb 26 16 $1,428.00 $1,142.40 $704.00 $1,359.03 $1,031.52 2024-01-30
36575 HCPCS Repair Of Central Venous Tube For Infusion 26 16 $1,954.00 $1,563.20 20% off $392.20 $1,660.90 $1,026.55 2024-01-30
Q5105 HCPCS Injection, Epoetin Alfa-epbx, Biosimilar, (retacrit) (for Esrd On Dialysis), 100… 13 13 $1,747.20 $1,397.76 20% off $0.87 $1,485.12 $1,013.38 2024-01-30
76098 HCPCS X-ray Of Surgical Specimen 14 14 $1,568.00 $1,254.40 $44.76 $1,332.80 $1,003.52 2024-01-30
10080 HCPCS Simple Drainage Of Cyst Of Tailbone 26 16 $1,826.00 $1,460.80 20% off $424.84 $1,552.10 $988.47 2024-01-30
69000 HCPCS Simple Drainage Of Abscess Or Blood Accumulation Of External Ear 26 16 $1,826.00 $1,460.80 20% off $424.84 $1,552.10 $988.47 2024-01-30
64400 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Face Nerve 26 16 $1,356.00 $1,084.80 20% off $668.51 $1,290.71 $979.61 2024-01-30
71550 HCPCS MRI Scan Of Chest Without Contrast 26 16 $1,337.00 $1,069.60 20% off $659.14 $1,272.45 $965.79 2024-01-30
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 26 16 $1,303.00 $1,042.40 $642.38 $1,240.46 $941.42 2024-01-30
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 26 16 $1,303.00 $1,042.40 $642.38 $1,240.46 $941.42 2024-01-30
78740 HCPCS Nuclear Medicine Study To Assess Urine Flow 26 16 $1,644.00 $1,315.20 20% off $476.33 $1,397.40 $936.87 2024-01-30
36589 HCPCS Removal Of Tunneled Central Venous Tube 26 16 $1,954.00 $1,563.20 20% off $208.81 $1,660.90 $934.86 2024-01-30
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 26 16 $1,636.00 $1,308.80 20% off $474.04 $1,390.60 $932.32 2024-01-30
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 26 16 $1,636.00 $1,308.80 20% off $474.04 $1,390.60 $932.32 2024-01-30
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 26 16 $1,636.00 $1,308.80 20% off $474.04 $1,390.60 $932.32 2024-01-30
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 26 16 $1,636.00 $1,308.80 20% off $474.04 $1,390.60 $932.32 2024-01-30
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 26 16 $1,636.00 $1,308.80 20% off $474.04 $1,390.60 $932.32 2024-01-30
73218 HCPCS MRI Scan Of Arm Without Contrast 26 16 $1,279.00 $1,023.20 $630.55 $1,217.56 $924.05 2024-01-30
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