Price Transparencybeta Hospital negotiated rates

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

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Hospital

NEWMAN MEMORIAL HOSPITAL

Shattuck, OK · CCN 371336 · Rates published

2,359 distinct procedures filed
24 distinct payers
72,635 rate rows
2026-07-10 last MRF observed
Data quality

69,564 of 72,635 rate rows are consumer-grade (95.8%)

3,071 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 2,412
placeholder amount (≤ $0.02) — excluded from medians 349
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 180
per-diem day rate — not a per-procedure price 118
exceeds 10× this hospital's gross charge — excluded from medians 11
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://newmanmemorialhospital.org/wp-content/uploads/2026/07/730570773_newman-memorial-hospital-inc_standardcharges.csv
Found on page https://newmanmemorialhospital.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-23
Content fingerprint 1a6e0b694f99b2b8… · 19,384,690 bytes · first seen 2026-08-24

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
J7330
HCPCS 		Hc Cultured Chondrocytes Implnt 7 $28,536.82 $60,665.00 $37,109.99 nat. median
$92,809
outlier · 0.4×
C1767
HCPCS 		Hc Stim Neuro Generator Non-recharge 5 $9,908.33 $45,540.00 $27,724.17 nat. median
$25,172
1.1× median
914
MS_DRG 		Traumatic Injury Without Mcc 11 $5,602.19 $24,109.40 $15,146.27 nat. median
$6,473
outlier · 2.3×
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 11 $6,957.86 $22,328.99 $14,912.45 nat. median
$7,677
1.9× median
291
MS_DRG 		Heart Failure And Shock With Mcc 14 $2,407.86 $18,689.77 $13,155.36 nat. median
$9,572
1.4× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 11 $11,061.73 $16,745.50 $12,488.52 nat. median
$11,701
1.1× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 11 $8,740.01 $14,358.59 $11,964.05 nat. median
$7,418
1.6× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 2 $9,928.32 $13,862.42 $11,895.37 nat. median
$14,330
0.8× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 3 $2,407.86 $11,762.29 $11,762.29 nat. median
$14,126
0.8× median
33216
HCPCS 		Insertion Of 1 Electrode For Permanent Pacemaker Or Defibrillator 16 $1,430.49 $21,610.40 $11,520.44 nat. median
$8,685
1.3× median
947
MS_DRG 		Signs And Symptoms With Mcc 14 $2,407.86 $17,592.12 $11,506.69 nat. median
$8,698
1.3× median
J1568
HCPCS 		Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 18 $18.89 $18,861.42 $11,278.67 nat. median
$383
outlier · 29.5×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 14 $2,407.86 $15,222.19 $10,776.31 nat. median
$9,802
1.1× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 11 $9,084.65 $12,978.08 $10,771.80 nat. median
$11,829
0.9× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 14 $2,407.86 $12,884.60 $10,500.95 nat. median
$12,655
0.8× median
552
MS_DRG 		Medical Back Problems Without Mcc 11 $6,031.36 $13,763.72 $10,063.37 nat. median
$7,205
1.4× median
643
MS_DRG 		Endocrine Disorders With Mcc 11 $8,295.42 $11,850.60 $9,836.00 nat. median
$11,920
0.8× median
390
MS_DRG 		Gastrointestinal Obstruction Without Cc/mcc 11 $4,025.86 $14,642.20 $9,510.44 nat. median
$4,287
outlier · 2.2×
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 11 $6,517.22 $11,357.39 $9,310.31 nat. median
$7,244
1.3× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 $2,407.86 $11,891.70 $9,281.07 nat. median
$14,442
0.6× median
71
MS_DRG 		Nonspecific Cerebrovascular Disorders With Cc 11 $6,677.82 $10,970.71 $9,092.51 nat. median
$7,755
1.2× median
179
MS_DRG 		Respiratory Infections And Inflammations Without Cc/mcc 11 $6,275.64 $11,180.10 $8,965.20 nat. median
$5,691
1.6× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 14 $2,407.86 $13,401.47 $8,937.21 nat. median
$9,470
0.9× median
603
MS_DRG 		Cellulitis Without Mcc 14 $2,407.86 $15,208.21 $8,811.66 nat. median
$6,621
1.3× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 14 $2,407.86 $11,731.88 $8,696.26 nat. median
$6,156
1.4× median
638
MS_DRG 		Diabetes With Cc 11 $5,743.90 $11,274.06 $8,461.83 nat. median
$6,741
1.3× 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
$5,811
1.4× median
36563
HCPCS 		Insertion Of Central Venous Tube With Pump 16 $3,117.57 $13,503.95 $8,310.76 nat. median
$5,718
1.5× 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
$5,811
1.4× median
J1162
HCPCS 		Injection, Digoxin Immune Fab (ovine), Per Vial 23 $1,831.43 $15,480.29 $8,240.21 nat. median
$6,265
1.3× median
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 14 $2,407.86 $11,816.48 $8,195.11 nat. median
$6,107
1.3× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 14 $2,407.86 $11,691.30 $8,140.38 nat. median
$7,744
1.1× median
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 14 $2,407.86 $13,745.38 $7,934.62 nat. median
$6,771
1.2× median
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 14 $2,407.86 $15,097.44 $7,731.83 nat. median
$5,850
1.3× median
948
MS_DRG 		Signs And Symptoms Without Mcc 14 $2,407.86 $9,798.48 $7,535.95 nat. median
$5,562
1.4× median
204
MS_DRG 		Respiratory Signs And Symptoms 11 $5,170.32 $9,627.75 $7,515.03 nat. median
$6,018
1.2× median
292
MS_DRG 		Heart Failure And Shock With Cc 11 $6,469.98 $10,629.26 $7,473.62 nat. median
$6,415
1.2× median
36583
HCPCS 		Replacement Of Tunneled Central Venous Tube With Pump 16 $1,119.43 $13,503.95 $7,311.69 nat. median
$5,708
1.3× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 3 $2,407.86 $7,237.60 $7,237.60 nat. median
$13,403
0.5× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 18 $85.86 $11,288.77 $7,130.84 nat. median
$498
outlier · 14.3×
293
MS_DRG 		Heart Failure And Shock Without Cc/mcc 14 $2,407.86 $13,665.79 $6,980.51 nat. median
$4,186
1.7× median
309
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Cc 11 $5,209.46 $8,558.39 $6,847.54 nat. median
$5,574
1.2× median
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc/mcc 11 $4,790.41 $8,457.78 $6,843.44 nat. median
$4,710
1.5× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 3 $2,407.86 $7,268.95 $6,770.95 nat. median
$8,402
0.8× median
70
MS_DRG 		Nonspecific Cerebrovascular Disorders With Mcc 11 $5,628.11 $8,040.15 $6,673.32 nat. median
$12,172
0.5× median
815123_1
CDM 		Operating Room Services - General Classification 16 $4,892.04 $8,434.55 $6,663.30 —
913
MS_DRG 		Traumatic Injury With Mcc 11 $5,598.95 $7,998.50 $6,638.76 nat. median
$11,391
0.6× median
683
MS_DRG 		Renal Failure With Cc 11 $6,270.24 $9,428.97 $6,600.28 nat. median
$6,692
1.0× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 14 $2,407.86 $10,740.99 $6,396.23 nat. median
$5,890
1.1× median
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 11 $5,365.15 $7,664.50 $6,361.54 nat. median
$7,364
0.9× median

Other procedures at this hospital

Browse this hospital's 2,359 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
             
J7330 HCPCS Hc Cultured Chondrocytes Implnt 7 7 $60,665.00 $48,532.00 20% off $28,536.82 $60,665.00 $37,109.99 2026-07-10
C1767 HCPCS Hc Stim Neuro Generator Non-recharge 5 5 $82,500.00 $66,000.00 20% off $9,908.33 $45,540.00 $27,724.17 2026-07-10
914 MS_DRG Traumatic Injury Without Mcc 11 11 $29,047.47 $23,237.98 $5,602.19 $24,109.40 $15,146.27 2024-01-30
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 11 11 $26,902.40 $21,521.92 20% off $6,957.86 $22,328.99 $14,912.45 2024-01-30
291 MS_DRG Heart Failure And Shock With Mcc 14 14 $22,517.80 $18,014.24 $2,407.86 $18,689.77 $13,155.36 2026-07-10
177 MS_DRG Respiratory Infections And Inflammations With Mcc 11 11 $16,745.50 $13,396.40 20% off $11,061.73 $16,745.50 $12,488.52 2024-01-30
178 MS_DRG Respiratory Infections And Inflammations With Cc 11 11 $17,091.50 $13,673.20 $8,740.01 $14,358.59 $11,964.05 2024-01-30
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 2 $68,077.15 $54,461.72 $9,928.32 $13,862.42 $11,895.37 2026-07-10
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 3 3 $11,762.29 $9,409.83 20% off $2,407.86 $11,762.29 $11,762.29 2026-07-10
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
947 MS_DRG Signs And Symptoms With Mcc 14 14 $21,195.32 $16,956.26 $2,407.86 $17,592.12 $11,506.69 2026-07-10
J1568 HCPCS Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 18 18 $22,189.90 $17,751.92 20% off $18.89 $18,861.42 $11,278.67 2026-07-10
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 14 14 $16,866.63 $13,493.31 $2,407.86 $15,222.19 $10,776.31 2026-07-10
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 11 11 $12,978.08 $10,382.46 20% off $9,084.65 $12,978.08 $10,771.80 2024-01-30
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 14 14 $12,884.60 $10,307.68 20% off $2,407.86 $12,884.60 $10,500.95 2026-07-10
552 MS_DRG Medical Back Problems Without Mcc 11 11 $16,582.80 $13,266.24 20% off $6,031.36 $13,763.72 $10,063.37 2024-01-30
643 MS_DRG Endocrine Disorders With Mcc 11 11 $11,850.60 $9,480.48 20% off $8,295.42 $11,850.60 $9,836.00 2024-01-30
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 11 11 $17,641.20 $14,112.96 20% off $4,025.86 $14,642.20 $9,510.44 2024-01-30
315 MS_DRG Other Circulatory System Diagnoses With Cc 11 11 $13,683.60 $10,946.88 20% off $6,517.22 $11,357.39 $9,310.31 2024-01-30
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 14 $11,349.78 $9,079.83 $2,407.86 $11,891.70 $9,281.07 2026-07-10
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 11 11 $12,989.30 $10,391.44 $6,677.82 $10,970.71 $9,092.51 2024-01-30
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 11 11 $13,470.00 $10,776.00 20% off $6,275.64 $11,180.10 $8,965.20 2024-01-30
189 MS_DRG Pulmonary Edema And Respiratory Failure 14 14 $13,401.47 $10,721.17 20% off $2,407.86 $13,401.47 $8,937.21 2026-07-10
603 MS_DRG Cellulitis Without Mcc 14 14 $18,323.15 $14,658.52 20% off $2,407.86 $15,208.21 $8,811.66 2026-07-10
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 14 14 $14,134.80 $11,307.84 $2,407.86 $11,731.88 $8,696.26 2026-07-10
638 MS_DRG Diabetes With Cc 11 11 $13,583.20 $10,866.56 20% off $5,743.90 $11,274.06 $8,461.83 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
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
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
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 60 23 $21,621.60 $17,297.28 20% off $1,831.43 $15,480.29 $8,240.21 2026-07-10
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 14 14 $14,236.72 $11,389.38 $2,407.86 $11,816.48 $8,195.11 2026-07-10
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 14 14 $12,419.03 $9,935.23 $2,407.86 $11,691.30 $8,140.38 2026-07-10
812 MS_DRG Red Blood Cell Disorders Without Mcc 14 14 $16,560.70 $13,248.56 20% off $2,407.86 $13,745.38 $7,934.62 2026-07-10
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 14 14 $18,189.69 $14,551.75 20% off $2,407.86 $15,097.44 $7,731.83 2026-07-10
948 MS_DRG Signs And Symptoms Without Mcc 14 14 $11,805.40 $9,444.32 20% off $2,407.86 $9,798.48 $7,535.95 2026-07-10
204 MS_DRG Respiratory Signs And Symptoms 11 11 $11,599.70 $9,279.76 20% off $5,170.32 $9,627.75 $7,515.03 2024-01-30
292 MS_DRG Heart Failure And Shock With Cc 11 11 $10,676.60 $8,541.28 $6,469.98 $10,629.26 $7,473.62 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
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 3 3 $7,237.60 $5,790.08 20% off $2,407.86 $7,237.60 $7,237.60 2026-07-10
J3101 HCPCS Injection, Tenecteplase, 1 Mg 20 18 $13,280.90 $10,624.72 20% off $85.86 $11,288.77 $7,130.84 2026-07-10
293 MS_DRG Heart Failure And Shock Without Cc/mcc 14 14 $16,464.81 $13,171.85 $2,407.86 $13,665.79 $6,980.51 2026-07-10
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 11 11 $9,782.20 $7,825.76 20% off $5,209.46 $8,558.39 $6,847.54 2024-01-30
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 11 11 $10,190.10 $8,152.08 20% off $4,790.41 $8,457.78 $6,843.44 2024-01-30
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 3 3 $13,227.79 $10,582.23 20% off $2,407.86 $7,268.95 $6,770.95 2026-07-10
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 11 11 $8,040.15 $6,432.12 20% off $5,628.11 $8,040.15 $6,673.32 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
913 MS_DRG Traumatic Injury With Mcc 11 11 $7,998.50 $6,398.80 20% off $5,598.95 $7,998.50 $6,638.76 2024-01-30
683 MS_DRG Renal Failure With Cc 11 11 $9,428.97 $7,543.17 20% off $6,270.24 $9,428.97 $6,600.28 2024-01-30
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 14 14 $12,940.95 $10,352.76 20% off $2,407.86 $10,740.99 $6,396.23 2026-07-10
378 MS_DRG Gastrointestinal Hemorrhage With Cc 11 11 $7,664.50 $6,131.60 $5,365.15 $7,664.50 $6,361.54 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
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
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
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
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
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
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
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
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
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
312 MS_DRG Syncope And Collapse 11 11 $7,914.20 $6,331.36 20% off $5,374.78 $7,914.20 $5,749.75 2024-01-30
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 3 3 $8,137.91 $6,510.33 $2,407.86 $6,339.07 $5,749.60 2026-07-10
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 34 23 $12,403.20 $9,922.56 20% off $600.94 $10,542.72 $5,571.83 2026-07-10
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 3 3 $11,194.45 $8,955.56 20% off $2,407.86 $5,708.13 $5,388.35 2026-07-10
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
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
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
534 MS_DRG Fractures Of Femur Without Mcc 3 3 $16,661.98 $13,329.58 20% off $2,407.86 $5,672.71 $5,134.55 2026-07-10
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 3 3 $12,241.00 $9,792.80 20% off $2,407.86 $5,308.21 $5,071.80 2026-07-10
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 3 $7,796.54 $6,237.23 20% off $2,407.86 $5,556.98 $5,026.66 2026-07-10
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
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 3 3 $13,149.70 $10,519.76 20% off $2,407.86 $6,428.82 $4,858.84 2026-07-10
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
103 MS_DRG Headaches Without Mcc 3 3 $10,711.49 $8,569.19 20% off $2,407.86 $5,058.98 $4,603.75 2026-07-10
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 25 21 $6,763.60 $5,410.88 20% off $20.09 $5,749.06 $4,541.76 2026-07-10
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
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
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
J0840 HCPCS Crotalidae Polyval Immune Fab IV Solr [29313] 45 7 $12,664.08 $10,131.26 20% off $1,789.99 $27,962.29 $4,390.28 2026-07-10
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
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 3 3 $21,963.82 $17,571.06 $2,407.86 $5,135.90 $4,301.32 2026-07-10
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 3 3 $33,435.70 $26,748.56 $2,407.86 $6,191.96 $4,294.48 2026-07-10
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
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 14 14 $4,361.80 $3,489.44 20% off $2,407.86 $7,777.74 $3,991.05 2026-07-10
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
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
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 44 24 $5,378.00 $4,302.40 20% off $83.87 $5,378.00 $3,764.60 2026-07-10
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
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
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
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
951 MS_DRG Other Factors Influencing Health Status 3 3 $3,291.00 $2,632.80 $2,407.86 $3,291.00 $3,291.00 2026-07-10
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
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
C1776 HCPCS Hc Rev Code 278 HCPCS C1776 2 2 $0.01 — $1,729.26 $4,490.99 $3,110.12 2026-07-10
63650 HCPCS Hp Percut Implant Neurostim Elec Array 13 8 $6,607.71 $5,286.17 $402.46 $6,607.71 $3,108.27 2026-07-10
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 3 3 $11,458.33 $9,166.66 20% off $2,407.86 $4,245.84 $3,046.47 2026-07-10
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
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
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 44 24 $5,328.00 $4,262.40 20% off $415.55 $4,528.80 $2,988.79 2026-07-10
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
27134 HCPCS Hp Revise Total Hip Arthropl Both Comp 24 8 $5,756.22 $4,604.98 $1,563.29 $5,756.22 $2,603.86 2026-07-10
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
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
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
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
J3111 HCPCS Romosozumab-aqqg 105 Mg/1.17ml Sc Sosy [165123] 7 5 $5,465.56 $4,372.45 $8.45 $3,016.99 $2,570.98 2026-07-10
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 11 11 $3,097.00 $2,477.60 20% off $2,167.90 $3,097.00 $2,570.51 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 50 21 $52,272.00 $41,817.60 20% off $600.94 $28,854.14 $2,522.03 2026-07-10
69631 HCPCS Hp Tympanopl Wo Mastiod Wo OCR,Bilateral Procedure 13 8 $5,352.66 $4,282.13 $748.04 $5,352.66 $2,517.89 2026-07-10
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
90375 HCPCS Rabies Immune Globulin 300 Unit/ml Ij Soln Ssm So [903290] 5 5 $13,743.38 $10,994.70 20% off $274.35 $7,586.35 $2,500.00 2026-07-10
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln [181342] 5 5 $43,155.36 $34,524.29 $14.63 $23,821.76 $2,500.00 2026-07-10
C1762 HCPCS Hc Rev Code 278 HCPCS C1762 5 5 $4,950.00 $3,960.00 20% off $2,241.86 $2,732.40 $2,487.13 2026-07-10
23474 HCPCS Hp Revise Shoulder Plasty Total Hum Glen 60 8 $5,257.05 $4,205.64 $1,430.83 $5,257.05 $2,486.45 2026-07-10
946 MS_DRG Rehabilitation Without Cc/mcc 3 3 $47,578.96 $38,063.17 $1,200.00 $7,140.11 $2,407.86 2026-07-10
945 MS_DRG Rehabilitation With Cc/mcc 3 3 $46,837.52 $37,470.02 $1,500.00 $9,641.84 $2,407.86 2026-07-10
27132 HCPCS Hp Conv To Tot Hip Arthroplasty 24 8 $5,052.69 $4,042.15 20% off $1,383.82 $5,052.69 $2,393.45 2026-07-10
44145 HCPCS Hp Colectomy Partial W Coloproctostomy 12 8 $4,989.48 $3,991.58 20% off $1,400.37 $4,989.48 $2,363.52 2026-07-10
27412 HCPCS Hp Autolog Chondrocyte Implant Knee 60 8 $4,986.60 $3,989.28 20% off $1,373.06 $4,986.60 $2,362.15 2026-07-10
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 51 23 $4,133.00 $3,306.40 20% off $484.36 $3,513.05 $2,355.46 2026-07-10
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 52 23 $4,133.00 $3,306.40 20% off $510.31 $3,513.05 $2,355.46 2026-07-10
23473 HCPCS Hp Revise Arthroplasty Shldr Ttl Hum Glen 60 8 $4,868.82 $3,895.06 $1,327.24 $4,868.82 $2,306.36 2026-07-10
27091 HCPCS Hp Removal Of Hip Prosthesis Complex 24 8 $4,817.43 $3,853.94 20% off $1,321.83 $4,817.43 $2,282.01 2026-07-10
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
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
0121 RC — 3 3 $3,252.00 $2,601.60 20% off $1,795.10 $2,407.86 $2,276.40 2026-07-10
0111 RC — 3 3 $3,252.00 $2,601.60 20% off $1,795.10 $2,407.86 $2,276.40 2026-07-10
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
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
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
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
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
44204 HCPCS Hp Lap Colectomy Partial W Anastomosis 12 8 $4,640.55 $3,712.44 20% off $1,305.13 $4,640.55 $2,198.22 2026-07-10
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
27138 HCPCS Hp Revise Total Hip Arthropl Femoral 24 8 $4,604.46 $3,683.57 $1,258.74 $4,604.46 $2,181.14 2026-07-10
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
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
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
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
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
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
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
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
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
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
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
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
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
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
32551 HCPCS Removal Of Fluid From Between Lung And Chest Cavity 44 24 $3,862.00 $3,089.60 20% off $133.18 $3,282.70 $2,166.44 2026-07-10
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 53 24 $4,498.65 $3,598.92 $121.59 $3,823.85 $2,124.34 2026-07-10
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
27487 HCPCS Hp Revise Tot Knee Arthropl Fem & Tib Comp 60 8 $4,249.89 $3,399.91 20% off $1,449.23 $4,249.89 $2,102.74 2026-07-10
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
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
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
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
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 45 24 $3,598.00 $2,878.40 20% off $335.16 $3,240.48 $1,986.10 2026-07-10
27372 HCPCS Removal Of Foreign Body Deep In Tissue Of Thigh Or Knee 52 24 $5,330.00 $4,264.00 20% off $409.76 $8,012.95 $1,982.79 2026-07-10
0119 RC — 3 3 $2,824.00 $2,259.20 20% off $1,558.85 $2,407.86 $1,976.80 2026-07-10
27447 HCPCS Hp Arthroplasty Total Knee 140 8 $3,983.55 $3,186.84 20% off $1,066.26 $7,967.10 $1,900.15 2026-07-10
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 20 18 $3,585.20 $2,868.16 20% off $0.35 $3,047.42 $1,873.26 2026-07-10
J7298 HCPCS Levonorgestrel 21 Mcg/day Iu IUD [29280] 6 6 $5,038.87 $4,031.10 $953.51 $2,781.46 $1,867.48 2026-07-10
J7307 HCPCS Etonogestrel 68 Mg Sc Impl [77024] 6 6 $5,050.42 $4,040.34 $934.82 $2,787.83 $1,861.33 2026-07-10
27130 HCPCS Hp Arthroplasty Total Hip 65 8 $3,889.44 $3,111.55 20% off $1,068.48 $3,889.44 $1,855.26 2026-07-10
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
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
23472 HCPCS Hp Reconstruct Shoulder Joint 65 8 $3,413.00 $2,730.40 20% off $1,196.97 $3,413.00 $1,797.64 2026-07-10
29888 HCPCS Hp Arthroscopy Acl Reconstruction 65 8 $3,766.77 $3,013.42 $816.83 $3,766.77 $1,796.75 2026-07-10
27244 HCPCS Hp Tx Fx Femur Trochanter W Plate Screw 60 8 $3,719.52 $2,975.62 $1,029.13 $3,719.52 $1,761.93 2026-07-10
27245 HCPCS Hp Trtmt Of Femoral Fracture W Int I 24 8 $3,714.93 $2,971.94 20% off $1,026.65 $3,714.93 $1,759.76 2026-07-10
44120 HCPCS Hp Resect Small Intest Sngl Resec Anas 12 8 $3,699.99 $2,959.99 20% off $1,046.15 $3,699.99 $1,752.69 2026-07-10
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 42 24 $3,051.00 $2,440.80 $193.41 $2,593.35 $1,738.65 2026-07-10
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
27488 HCPCS Hp Removal Of Knee Prosthesis 60 8 $3,638.13 $2,910.50 20% off $1,008.88 $3,638.13 $1,723.38 2026-07-10
27513 HCPCS Hp Tx Fx Fem Supracondy W Extens Open 24 8 $3,738.81 $2,991.05 $703.39 $3,738.81 $1,709.51 2026-07-10
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
81162 HCPCS Lchg Brca 1/2 Gene Full Seq Dup/del 16 8 $2,602.00 $2,081.60 20% off $1,186.17 $2,463.59 $1,705.80 2026-07-10
90376 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle, Heat-t… 20 20 $3,584.40 $2,867.52 20% off $37.56 $3,046.74 $1,697.90 2026-07-10
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
27236 HCPCS Hp Orif Femoral Fracture 24 8 $3,517.68 $2,814.14 20% off $1,000.22 $3,517.68 $1,666.33 2026-07-10
P9017 HCPCS Fresh Frozen Plasma (single Donor), Frozen Within 8 Hours Of Collection, Each Un… 32 22 $2,301.00 $1,840.80 20% off $95.02 $2,190.32 $1,662.36 2026-07-10
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 32 22 $2,301.00 $1,840.80 20% off $424.17 $2,190.32 $1,662.36 2026-07-10
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
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
36430 HCPCS Transfusion Of Blood Or Blood Products 33 23 $2,301.00 $1,840.80 20% off $41.40 $2,190.32 $1,662.36 2026-07-10
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 32 22 $2,301.00 $1,840.80 20% off $197.09 $2,190.32 $1,662.36 2026-07-10
P9059 HCPCS Fresh Frozen Plasma Between 8-24 Hours Of Collection, Each Unit 31 21 $2,301.00 $1,840.80 20% off $56.38 $2,190.32 $1,662.36 2026-07-10
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
P9033 HCPCS Platelets, Leukocytes Reduced, Irradiated, Each Unit 32 22 $2,301.00 $1,840.80 20% off $176.65 $2,190.32 $1,662.36 2026-07-10
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
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
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
27446 HCPCS Hp Arthroplsty Medil/laterl Cmprt Knee 26 8 $3,478.53 $2,782.82 20% off $961.75 $3,478.53 $1,659.26 2026-07-10
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
23466 HCPCS Hc Repair Capsule Glenohumeral Jt 65 8 $3,406.23 $2,724.98 20% off $947.61 $3,406.23 $1,624.77 2026-07-10
29806 HCPCS Hp Arthroscopy Shldr Capsulorrhphy 78 8 $3,307.58 $2,646.06 20% off $891.71 $3,307.58 $1,577.72 2026-07-10
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 45 24 $2,332.00 $1,865.60 20% off $216.46 $1,982.20 $1,565.94 2026-07-10
27301 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 52 24 $5,577.00 $4,461.60 $508.42 $8,153.20 $1,562.00 2026-07-10
J7301 HCPCS Levonorgestrel 13.5 Mg Iu IUD [136673] 6 6 $4,195.69 $3,356.55 20% off $793.96 $2,316.02 $1,554.99 2026-07-10
29827 HCPCS Hp Arthroscopy Rotator Cuff Repair 65 8 $3,241.41 $2,593.13 $896.06 $3,241.41 $1,546.15 2026-07-10
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
25609 HCPCS Hp Tx Fx Rad Distal Opn W Interm Fix 3+frag 65 8 $3,199.11 $2,559.29 $886.06 $3,199.11 $1,525.98 2026-07-10
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
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
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
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 45 24 $2,139.00 $1,711.20 20% off $105.24 $2,036.63 $1,497.30 2026-07-10
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 45 24 $2,139.00 $1,711.20 20% off $185.22 $2,036.63 $1,497.30 2026-07-10
29807 HCPCS Hp Arthroscopy Shldr W Repair Slap Le 65 8 $3,137.16 $2,509.73 $872.02 $3,137.16 $1,496.43 2026-07-10
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 34 24 $2,605.00 $2,084.00 20% off $215.51 $2,214.25 $1,484.68 2026-07-10
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
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 34 24 $2,605.00 $2,084.00 20% off $145.38 $2,214.25 $1,484.68 2026-07-10
29876 HCPCS Hp Arthroscopy Knee W Lateral Releas 39 8 $2,682.44 $2,145.95 20% off $561.71 $5,364.88 $1,480.71 2026-07-10
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
26546 HCPCS Hp Repair Nonunion Hand 26 8 $3,079.05 $2,463.24 20% off $887.16 $3,079.05 $1,468.71 2026-07-10
32554 HCPCS Aspiration Of Fluid From Chest Cavity 60 24 $3,862.00 $3,089.60 20% off $85.88 $3,282.70 $1,468.40 2026-07-10
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 34 24 $2,558.00 $2,046.40 $192.33 $2,174.30 $1,457.73 2026-07-10
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 42 24 $2,558.00 $2,046.40 $196.11 $2,174.30 $1,457.73 2026-07-10
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
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
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
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
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 34 24 $2,558.00 $2,046.40 $157.79 $2,174.30 $1,457.73 2026-07-10
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 64 24 $4,138.00 $3,310.40 20% off $416.03 $3,517.30 $1,448.00 2026-07-10
J7297 HCPCS Levonorgestrel 20.1 Mcg/day Iu IUD [180509] 6 6 $3,874.14 $3,099.31 20% off $749.40 $2,138.53 $1,443.96 2026-07-10
31253 HCPCS Hp Nasal Endoscopy W Total ETHMOIDECTOMY,Bilateral Procedure 12 8 $3,034.32 $2,427.46 $429.25 $3,034.32 $1,437.36 2026-07-10
S2300 HCPCS Hp Scope Shld Thermally Ind Capsul 54 6 $2,990.34 $2,392.27 20% off $779.03 $2,990.34 $1,436.13 2026-07-10
27486 HCPCS Hp Revise Replace Knee Joint 1 Component 24 8 $2,583.00 $2,066.40 $1,171.33 $2,583.00 $1,429.42 2026-07-10
27823 HCPCS Hp Tx Fx Ankle Malleolus W Fix Post Lip Opn 26 8 $2,983.14 $2,386.51 20% off $843.26 $2,983.14 $1,422.96 2026-07-10
26442 HCPCS Hp Tenolysis Tendon Flex Palm Finger Ea 39 8 $2,974.08 $2,379.26 20% off $839.27 $2,974.08 $1,418.64 2026-07-10
27759 HCPCS Hp Orif Tibia 78 8 $2,949.03 $2,359.22 20% off $420.81 $2,949.03 $1,406.69 2026-07-10
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 104 24 $2,571.57 $2,057.26 $215.68 $4,095.30 $1,393.62 2026-07-10
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
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
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
60240 HCPCS Hp Thyroidectomy Total Or Complete 13 8 $2,788.59 $2,230.87 20% off $765.93 $2,788.59 $1,330.16 2026-07-10
29828 HCPCS Hp Arthroscopic Biceps Tenodesis 65 8 $2,781.93 $2,225.54 20% off $773.50 $2,781.93 $1,326.98 2026-07-10
J0248 HCPCS Remdesivir 100 Mg IV Solr [169692] 5 5 $2,806.19 $2,244.95 20% off $6.76 $1,549.02 $1,320.03 2026-07-10
25575 HCPCS Hp Open Tx Radial And Ulnar Shaft Fx 65 8 $2,750.82 $2,200.66 $772.66 $2,750.82 $1,312.14 2026-07-10
27030 HCPCS Hp Arthrotomy Hip W Drainage 24 8 $2,842.41 $2,273.93 $544.53 $2,842.41 $1,302.09 2026-07-10
23412 HCPCS Hp Repair Rotator Cuff Chronic 78 8 $2,726.61 $2,181.29 $724.35 $2,726.61 $1,300.59 2026-07-10
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
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
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
27758 HCPCS Hp Tx Fx Tibia Shaft Open 26 8 $2,723.28 $2,178.62 20% off $762.38 $2,723.28 $1,299.00 2026-07-10
27566 HCPCS Hp Tx Patellar Dislocation Open 26 8 $2,714.16 $2,171.33 $756.86 $2,714.16 $1,294.65 2026-07-10
27535 HCPCS Hp Tx Fibular Fx Open Proxml Unicond 24 8 $2,719.33 $2,175.46 20% off $748.85 $2,719.33 $1,288.14 2026-07-10
23615 HCPCS Hp Open Tx Proximal Humeral Fx 65 8 $2,684.88 $2,147.90 20% off $753.37 $2,684.88 $1,280.69 2026-07-10
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
92953 HCPCS Temporary Pacemaker To Regulate Heart Beat 33 23 $1,754.00 $1,403.20 20% off $0.87 $1,669.82 $1,267.27 2026-07-10
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
12035 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.… 44 24 $1,799.00 $1,439.20 20% off $236.92 $1,712.52 $1,259.30 2026-07-10
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 44 24 $1,799.00 $1,439.20 20% off $191.16 $1,712.52 $1,259.30 2026-07-10
24515 HCPCS Pr Optx Humeral Shft Fx Plate/screws W/wo Cerclage 71 8 $2,490.39 $1,992.31 20% off $751.67 $2,676.33 $1,258.95 2026-07-10
29999 HCPCS Hp Unlisted Proc Arthroscopy 50 7 $3,213.60 $2,570.88 $222.13 $3,213.60 $1,254.85 2026-07-10
31255 HCPCS Hp Endo Nasal Sinus Ethmoidectomy TOTAL,Bilateral Procedure 13 8 $2,600.70 $2,080.56 $277.72 $2,600.70 $1,240.53 2026-07-10
27386 HCPCS Hp Fix Quad/hamstr Musc Rupt Second 26 8 $2,597.67 $2,078.14 $736.07 $2,597.67 $1,239.09 2026-07-10
29877 HCPCS Hp Arthroscopy With Patellar Shave 78 8 $2,575.50 $2,060.40 $535.61 $2,575.50 $1,228.51 2026-07-10
73720 HCPCS MRI Scan Of Leg Before And After Contrast 66 24 $2,600.00 $2,080.00 20% off $194.22 $2,174.30 $1,223.04 2026-07-10
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
26123 HCPCS Hp Fasciectomy Palmar Partial 65 8 $2,552.28 $2,041.82 20% off $713.20 $2,552.28 $1,217.44 2026-07-10
0278 RC — 17 5 $1,510.21 $2,070.00 $96.90 $7,963.70 $1,217.16 2026-07-10
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
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
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