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

HARNEY DISTRICT HOSPITAL

Burns, OR · CCN 381307 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC EC TRANSTHORACIC ECHO COMPLETE

This hospital’s price: $1,647 across 9 payers · range $156-$2,320

Source: https://machine-readable-files.com/harney-county-health-district/936002332_Harney-District-Hospital_standardcharges.csv · observed 2026-03-20

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,494 distinct procedures filed
9 distinct payers
171,219 rate rows
2026-03-20 last MRF observed
Data quality

117,636 of 171,219 rate rows are consumer-grade (68.7%)

53,583 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
professional (physician) fee — not the facility price 40,659
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12,510
per-diem day rate — not a per-procedure price 252
percent-of-charges filed in the dollar field — excluded from medians 153
placeholder amount (≤ $0.02) — excluded from medians 6
exceeds 10× this hospital's gross charge — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricetransparencyfiles.com/harney-district-hospital/936002332_Harney-District-Hospital_standardcharges.csv
Found on page https://www.harneydh.com/services/patient-financial-services/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 86559f9773d0b5de… · 17,274,297 bytes · first seen 2026-08-03

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
36224
CPT 		Hc Hs Internal Caroted Unilat Shsect (50) 9 $277.30 $46,405.00 $32,947.55 nat. median
$7,122
outlier · 4.6×
J3357
HCPCS 		Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 9 $121.91 $42,812.16 $30,396.63 nat. median
$14,697
outlier · 2.1×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 9 $46.25 $32,528.73 $23,095.40 nat. median
$414
outlier · 55.7×
3600700000
CDM 		Hc Or Level 5/1st 30 Min 9 $8,670.80 $21,677.00 $18,425.45 nat. median
$18,425
1.0× median
J9307
HCPCS 		Pralatrexate 40 Mg/2 Ml (20 Mg/ml) Intravenous Solution 9 $299.02 $23,505.08 $16,688.61 nat. median
$897
outlier · 18.6×
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 9 $177.37 $23,341.78 $16,572.66 nat. median
$735
outlier · 22.6×
J0896
HCPCS 		Luspatercept-aamt 75 Mg Subcutaneous Solution 9 $7,674.26 $19,185.66 $16,307.81 nat. median
$4,569
outlier · 3.6×
3607700000
CDM 		Hc Or Level 4/1st 30 Min - Harney Only 9 $6,423.20 $16,058.00 $13,649.30 nat. median
$13,649
1.0× median
J9144
HCPCS 		Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 9 $6,397.43 $15,993.58 $13,594.54 nat. median
$211
outlier · 64.3×
J2356
HCPCS 		Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subcutaneous Syringe 9 $5,492.40 $13,731.01 $11,671.36 nat. median
$76
outlier · 154.1×
J2327
HCPCS 		Risankizumab-rzaa 60 Mg/ml Intravenous Solution 9 $14.94 $15,077.94 $10,705.34 nat. median
$1,767
outlier · 6.1×
J3380
HCPCS 		Vedolizumab 300 Mg Intravenous Solution 9 $16.93 $14,299.86 $10,152.90 nat. median
$155
outlier · 65.7×
3600300000
CDM 		Hc Or Level 3/1st 30 Min 9 $4,550.40 $11,376.00 $9,669.60 nat. median
$9,670
1.0× median
J3101
HCPCS 		Tenecteplase 50 Mg Intravenous Solution 9 $129.97 $13,517.90 $9,597.71 nat. median
$3,787
outlier · 2.5×
J9306
HCPCS 		Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 9 $12.98 $10,769.20 $7,646.13 nat. median
$75
outlier · 101.8×
J0717
HCPCS 		Certolizumab Pegol 400 Mg (200 Mg X 2 Vials) Subcutaneous Kit 9 $3.18 $9,436.67 $7,362.81 nat. median
$1,635
outlier · 4.5×
2000100000
CDM 		Hc Rb Ic Daily Serv 2-1 Rn (erovrf) 8 $3,027.20 $7,568.00 $7,113.92 nat. median
$7,114
1.0× median
1910100000
CDM 		Hc (h)rb Acuity Level V 8 $3,027.20 $7,568.00 $7,113.92 nat. median
$7,114
1.0× median
J9271
HCPCS 		Pembrolizumab 25 Mg/ml Intravenous Solution 9 $47.48 $9,353.33 $6,640.86 nat. median
$275
outlier · 24.2×
J2353
HCPCS 		Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release 9 $163.67 $11,589.85 $6,606.21 nat. median
$5,623
1.2× median
3606300000
CDM 		Hc Or Level 2/1st 30 Min 9 $3,105.20 $7,763.00 $6,598.55 nat. median
$6,599
1.0× median
31276
CPT 		Hc (h) ER Nasal/sinus Ndsc W/rmvl Tiss From Frontal Sinus 9 $1,940.67 $8,086.00 $5,741.06 nat. median
$6,628
0.9× median
1910000000
CDM 		Hc (h)rb Acuity Level IV 8 $2,399.20 $5,998.00 $5,638.12 nat. median
$2,399
outlier · 2.4×
2000000000
CDM 		Hc (h) Rb Acuity Level IV 8 $2,399.20 $5,998.00 $5,638.12 nat. median
$5,638
1.0× median
66982
CPT 		Hc (h)cataract Remv Complx 9 $971.45 $7,571.00 $5,375.41 nat. median
$2,954
1.8× median
A0434
HCPCS 		Hc Specialty Care Trans 9 $2,860.62 $7,473.00 $5,305.83 nat. median
$1,267
outlier · 4.2×
J2506
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 9 $15.98 $7,436.27 $5,279.75 nat. median
$1,659
outlier · 3.2×
1310100000
CDM 		Hc (h) Rb Med Daily Service 3-4 Patients 8 $2,168.40 $5,421.00 $5,095.74 nat. median
$5,096
1.0× median
1210000000
CDM 		Hc (h)rb Med Daily Service 8 $2,168.40 $5,421.00 $5,095.74 nat. median
$5,096
1.0× median
J9299
HCPCS 		Nivolumab 100 Mg/10 Ml Intravenous Solution 9 $25.88 $12,350.18 $4,940.07 nat. median
$2,849
1.7× median
66984
CPT 		Hc (h)cataract Surg W/iol, 1s 9 $971.45 $6,819.00 $4,841.49 nat. median
$2,917
1.7× median
J9173
HCPCS 		Durvalumab 50 Mg/ml Intravenous Solution 9 $67.10 $6,644.92 $4,717.89 nat. median
$1,119
outlier · 4.2×
59409
CPT 		Hc ER Vaginal Delivery 9 $2,515.60 $6,289.00 $4,522.82 nat. median
$3,148
1.4× median
185688
CDM 		Rituximab-arrx 10 Mg/ml Intravenous Solution 9 $1,763.49 $4,408.72 $3,747.41 nat. median
$242
outlier · 15.5×
3600000000
CDM 		Hc Or Level 1/1st 30 Min 9 $1,713.20 $4,283.00 $3,640.55 nat. median
$3,769
1.0× median
C8902
HCPCS 		Hc MRA Abdomen W/wo Cont 9 $1,676.00 $4,190.00 $3,561.50 nat. median
$1,044
outlier · 3.4×
A0433
HCPCS 		Hc Als Level 2 9 $376.77 $4,973.00 $3,530.83 nat. median
$1,091
outlier · 3.2×
3610000079
CDM 		Hc Xr Inj, Single Diag/therap 9 $1,649.60 $4,124.00 $3,505.40 nat. median
$3,505
1.0× median
25248
CPT 		Hc ER Rmvl Fb, Wrist/forearm 9 $670.63 $4,917.00 $3,491.07 nat. median
$2,058
1.7× median
J2182
HCPCS 		Mepolizumab 100 Mg Subcutaneous Solution 9 $24.43 $4,869.42 $3,457.29 nat. median
$2,791
1.2× median
3616600000
CDM 		Hc Du Procedure Lvl 2 9 $1,621.60 $4,054.00 $3,445.90 nat. median
$3,446
1.0× median
130445
CDM 		Idarucizumab 2.5 Gram/50 Ml Intravenous Solution 9 $1,610.93 $4,027.32 $3,423.22 nat. median
$2,255
1.5× median
28192
CPT 		Hc ER Remove Fb Foot Deep 9 $566.62 $4,779.00 $3,393.09 nat. median
$1,863
1.8× median
1220200000
CDM 		Hc (h)rb OB Daily Service 8 $1,443.20 $3,608.00 $3,391.52 nat. median
$3,392
1.0× median
1320000000
CDM 		Hc (h) Rb OB Daily Service 3-4 Patients 8 $1,443.20 $3,608.00 $3,391.52 nat. median
$3,392
1.0× median
J9317
HCPCS 		Sacituzumab Govitecan-hziy 180 Mg Intravenous Solution 9 $1,586.55 $3,966.37 $3,371.41 nat. median
$109
outlier · 30.8×
126579
CDM 		Dantrolene 250 Mg Intravenous Suspension 9 $1,536.30 $3,840.76 $3,264.65 nat. median
$40
outlier · 82.0×
74178
CPT 		Hc CT Abdomen With & Pelvis W/wo 9 $275.80 $4,545.00 $3,226.95 nat. median
$1,027
outlier · 3.1×
J9358
HCPCS 		Fam-trastuzumab Deruxtecan-nxki 100 Mg Intravenous Solution 9 $29.98 $4,458.09 $3,165.24 nat. median
$95
outlier · 33.2×
Q5115
HCPCS 		Rituximab-abbs 10 Mg/ml Intravenous Solution 9 $30.15 $4,225.49 $3,000.10 nat. median
$839
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 2,494 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
             
36224 CPT Hc Hs Internal Caroted Unilat Shsect (50) 48 9 $46,405.00 $37,124.00 20% off $277.30 $46,405.00 $32,947.55 2026-03-20
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 48 9 $42,812.16 $34,249.73 $121.91 $42,812.16 $30,396.63 2026-03-20
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 48 9 $32,528.73 $26,022.98 20% off $46.25 $32,528.73 $23,095.40 2026-03-20
3600700000 CDM Hc Or Level 5/1st 30 Min 45 9 $21,677.00 $17,341.60 20% off $8,670.80 $21,677.00 $18,425.45 2026-03-20
J9307 HCPCS Pralatrexate 40 Mg/2 Ml (20 Mg/ml) Intravenous Solution 48 9 $23,505.08 $18,804.06 20% off $299.02 $23,505.08 $16,688.61 2026-03-20
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 48 9 $23,341.78 $18,673.42 20% off $177.37 $23,341.78 $16,572.66 2026-03-20
J0896 HCPCS Luspatercept-aamt 75 Mg Subcutaneous Solution 45 9 $19,185.66 $15,348.53 $7,674.26 $19,185.66 $16,307.81 2026-03-20
3607700000 CDM Hc Or Level 4/1st 30 Min - Harney Only 45 9 $16,058.00 $12,846.40 20% off $6,423.20 $16,058.00 $13,649.30 2026-03-20
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 45 9 $15,993.58 $12,794.86 20% off $6,397.43 $15,993.58 $13,594.54 2026-03-20
J2356 HCPCS Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subcutaneous Syringe 45 9 $13,731.01 $10,984.81 $5,492.40 $13,731.01 $11,671.36 2026-03-20
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 48 9 $15,077.94 $12,062.35 20% off $14.94 $15,077.94 $10,705.34 2026-03-20
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 48 9 $14,299.86 $11,439.89 $16.93 $14,299.86 $10,152.90 2026-03-20
3600300000 CDM Hc Or Level 3/1st 30 Min 45 9 $11,376.00 $9,100.80 20% off $4,550.40 $11,376.00 $9,669.60 2026-03-20
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 48 9 $13,517.90 $10,814.32 20% off $129.97 $13,517.90 $9,597.71 2026-03-20
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 48 9 $10,769.20 $8,615.36 20% off $12.98 $10,769.20 $7,646.13 2026-03-20
J0717 HCPCS Certolizumab Pegol 400 Mg (200 Mg X 2 Vials) Subcutaneous Kit 93 9 $9,436.67 $7,549.34 $3.18 $9,436.67 $7,362.81 2026-03-20
2000100000 CDM Hc Rb Ic Daily Serv 2-1 Rn (erovrf) 27 8 $7,568.00 $6,054.40 20% off $3,027.20 $7,568.00 $7,113.92 2026-03-20
1910100000 CDM Hc (h)rb Acuity Level V 27 8 $7,568.00 $6,054.40 20% off $3,027.20 $7,568.00 $7,113.92 2026-03-20
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 48 9 $9,353.33 $7,482.66 20% off $47.48 $9,353.33 $6,640.86 2026-03-20
J2353 HCPCS Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release 93 9 $7,747.49 $6,197.99 20% off $163.67 $11,589.85 $6,606.21 2026-03-20
3606300000 CDM Hc Or Level 2/1st 30 Min 45 9 $7,763.00 $6,210.40 20% off $3,105.20 $7,763.00 $6,598.55 2026-03-20
31276 CPT Hc (h) ER Nasal/sinus Ndsc W/rmvl Tiss From Frontal Sinus 48 9 $8,086.00 $6,468.80 20% off $1,940.67 $8,086.00 $5,741.06 2026-03-20
1910000000 CDM Hc (h)rb Acuity Level IV 27 8 $5,998.00 $4,798.40 20% off $2,399.20 $5,998.00 $5,638.12 2026-03-20
2000000000 CDM Hc (h) Rb Acuity Level IV 27 8 $5,998.00 $4,798.40 20% off $2,399.20 $5,998.00 $5,638.12 2026-03-20
66982 CPT Hc (h)cataract Remv Complx 48 9 $7,571.00 $6,056.80 20% off $971.45 $7,571.00 $5,375.41 2026-03-20
A0434 HCPCS Hc Specialty Care Trans 48 9 $7,473.00 $5,978.40 20% off $2,860.62 $7,473.00 $5,305.83 2026-03-20
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 48 9 $7,436.27 $5,949.02 $15.98 $7,436.27 $5,279.75 2026-03-20
1310100000 CDM Hc (h) Rb Med Daily Service 3-4 Patients 27 8 $5,421.00 $4,336.80 $2,168.40 $5,421.00 $5,095.74 2026-03-20
1210000000 CDM Hc (h)rb Med Daily Service 27 8 $5,421.00 $4,336.80 $2,168.40 $5,421.00 $5,095.74 2026-03-20
J9299 HCPCS Nivolumab 100 Mg/10 Ml Intravenous Solution 93 9 $5,145.89 $4,116.71 20% off $25.88 $12,350.18 $4,940.07 2026-03-20
66984 CPT Hc (h)cataract Surg W/iol, 1s 48 9 $6,819.00 $5,455.20 20% off $971.45 $6,819.00 $4,841.49 2026-03-20
J9173 HCPCS Durvalumab 50 Mg/ml Intravenous Solution 48 9 $6,644.92 $5,315.94 $67.10 $6,644.92 $4,717.89 2026-03-20
59409 CPT Hc ER Vaginal Delivery 48 9 $6,289.00 $5,031.20 20% off $2,515.60 $6,289.00 $4,522.82 2026-03-20
185688 CDM Rituximab-arrx 10 Mg/ml Intravenous Solution 45 9 $4,408.72 $3,526.98 $1,763.49 $4,408.72 $3,747.41 2026-03-20
3600000000 CDM Hc Or Level 1/1st 30 Min 45 9 $4,283.00 $3,426.40 20% off $1,713.20 $4,283.00 $3,640.55 2026-03-20
C8902 HCPCS Hc MRA Abdomen W/wo Cont 45 9 $4,190.00 $3,352.00 20% off $1,676.00 $4,190.00 $3,561.50 2026-03-20
A0433 HCPCS Hc Als Level 2 48 9 $4,973.00 $3,978.40 20% off $376.77 $4,973.00 $3,530.83 2026-03-20
3610000079 CDM Hc Xr Inj, Single Diag/therap 45 9 $4,124.00 $3,299.20 20% off $1,649.60 $4,124.00 $3,505.40 2026-03-20
25248 CPT Hc ER Rmvl Fb, Wrist/forearm 48 9 $4,917.00 $3,933.60 20% off $670.63 $4,917.00 $3,491.07 2026-03-20
J2182 HCPCS Mepolizumab 100 Mg Subcutaneous Solution 48 9 $4,869.42 $3,895.54 $24.43 $4,869.42 $3,457.29 2026-03-20
3616600000 CDM Hc Du Procedure Lvl 2 45 9 $4,054.00 $3,243.20 20% off $1,621.60 $4,054.00 $3,445.90 2026-03-20
130445 CDM Idarucizumab 2.5 Gram/50 Ml Intravenous Solution 45 9 $4,027.32 $3,221.86 $1,610.93 $4,027.32 $3,423.22 2026-03-20
28192 CPT Hc ER Remove Fb Foot Deep 48 9 $4,779.00 $3,823.20 20% off $566.62 $4,779.00 $3,393.09 2026-03-20
1320000000 CDM Hc (h) Rb OB Daily Service 3-4 Patients 27 8 $3,608.00 $2,886.40 20% off $1,443.20 $3,608.00 $3,391.52 2026-03-20
1220200000 CDM Hc (h)rb OB Daily Service 27 8 $3,608.00 $2,886.40 20% off $1,443.20 $3,608.00 $3,391.52 2026-03-20
J9317 HCPCS Sacituzumab Govitecan-hziy 180 Mg Intravenous Solution 45 9 $3,966.37 $3,173.10 $1,586.55 $3,966.37 $3,371.41 2026-03-20
126579 CDM Dantrolene 250 Mg Intravenous Suspension 45 9 $3,840.76 $3,072.61 $1,536.30 $3,840.76 $3,264.65 2026-03-20
74178 CPT Hc CT Abdomen With & Pelvis W/wo 48 9 $4,545.00 $3,636.00 20% off $275.80 $4,545.00 $3,226.95 2026-03-20
J9358 HCPCS Fam-trastuzumab Deruxtecan-nxki 100 Mg Intravenous Solution 48 9 $4,458.09 $3,566.47 20% off $29.98 $4,458.09 $3,165.24 2026-03-20
Q5115 HCPCS Rituximab-abbs 10 Mg/ml Intravenous Solution 48 9 $4,225.49 $3,380.39 20% off $30.15 $4,225.49 $3,000.10 2026-03-20
70553 CPT Hc MRI Brain Pituitary 48 9 $4,190.00 $3,352.00 20% off $259.74 $4,190.00 $2,974.90 2026-03-20
73723 CPT Hc MRI Ankle W/wo Cont Rt 48 9 $4,190.00 $3,352.00 20% off $312.81 $4,190.00 $2,974.90 2026-03-20
73720 CPT Hc MRI Femur W/wo Cont Rt 48 9 $4,190.00 $3,352.00 20% off $274.47 $4,190.00 $2,974.90 2026-03-20
71552 CPT Hc MRI Chest W/wo Cont 48 9 $4,190.00 $3,352.00 20% off $382.78 $4,190.00 $2,974.90 2026-03-20
70549 CPT Hc MRA Neck W/wo Cont Incl Arch 48 9 $4,190.00 $3,352.00 20% off $282.19 $4,190.00 $2,974.90 2026-03-20
74183 CPT Hc MRI Abdomen W/wo Cont 48 9 $4,190.00 $3,352.00 20% off $275.26 $4,190.00 $2,974.90 2026-03-20
73220 CPT Hc MRI Forearm W/wo Cont Lt 48 9 $4,190.00 $3,352.00 20% off $333.24 $4,190.00 $2,974.90 2026-03-20
70546 CPT Hc Mrv Brain W/wo Contrast 48 9 $4,190.00 $3,352.00 20% off $269.45 $4,190.00 $2,974.90 2026-03-20
73223 CPT Hc MRI Wrist W/wo Cont Rt 48 9 $4,190.00 $3,352.00 20% off $313.62 $4,190.00 $2,974.90 2026-03-20
70543 CPT Hc MRI Neck Soft Tissues W/wo Cont 48 9 $4,190.00 $3,352.00 20% off $276.09 $4,190.00 $2,974.90 2026-03-20
A0427 HCPCS Hc Als Emergency 48 9 $4,085.00 $3,268.00 20% off $420.62 $4,085.00 $2,900.35 2026-03-20
3601100000 CDM Hc Orf Blepharoplasty 2 Lid 45 9 $3,241.00 $2,592.80 $1,296.40 $3,241.00 $2,754.85 2026-03-20
72197 CPT Hc MRI Pelvis W/wo Cont 48 9 $3,831.00 $3,064.80 $274.18 $3,831.00 $2,720.01 2026-03-20
72156 CPT Hc MRI Cervical Sp W/wo Cont 48 9 $3,831.00 $3,064.80 $260.55 $3,831.00 $2,720.01 2026-03-20
72158 CPT Hc MRI Lumbar Sp W/wo Cont 48 9 $3,831.00 $3,064.80 $260.01 $3,831.00 $2,720.01 2026-03-20
72157 CPT Hc MRI Thoracic Spine W/wo Cont 48 9 $3,831.00 $3,064.80 $261.09 $3,831.00 $2,720.01 2026-03-20
Q5118 HCPCS Bevacizumab-bvzr 25 Mg/ml Intravenous Solution 45 9 $3,123.47 $2,498.78 $1,249.39 $3,123.47 $2,654.95 2026-03-20
25605 CPT Hc ER Clsd Tx Distal Radial Fx W/mnp 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
27252 CPT Hc (h)er Clsd Tx Hip Disloc W/anes 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
27810 CPT Hc ER Clsd Tx Bimall Ankle Fx W/mnp 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
26705 CPT Hc (h)er Clsd Tx Mcp Dislocation 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
24655 CPT Hc ER Clsd Tx Radial Head Fx W/mnp 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
24605 CPT Hc ER Treat Elbow Disloc W/anes 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
23655 CPT Hc ER Clsd Tx Shoulder Disloc W/anesthesia 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
27266 CPT Hc ER Clsd Tx Hip Reduc Disloc W/anesthesia 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
25505 CPT Hc ER Clsd Tx Radial Shaft Fx W/mnp 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
27257 CPT Hc ER Tx Spon Hip Disloc W/anesthes 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
25565 CPT Hc ER Clsd Tx Radius/ulnar Fx W/mnp 48 9 $3,706.00 $2,964.80 $670.63 $3,706.00 $2,631.26 2026-03-20
30310 CPT Hc ER Removal Foreign Body Intranasal Gen Anes 48 9 $3,688.00 $2,950.40 20% off $1,115.56 $3,688.00 $2,618.48 2026-03-20
71275 CPT Hc CT Chest Pulm Arteries W/cont 93 9 $3,381.00 $2,704.80 $229.97 $3,381.00 $2,618.00 2026-03-20
J0897 HCPCS Denosumab 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution 93 9 $5,051.35 $4,041.08 20% off $22.25 $5,051.35 $2,608.53 2026-03-20
74176 CPT Hc CT Abdomen And Pelvis Without Cont 48 9 $3,583.00 $2,866.40 20% off $149.29 $3,583.00 $2,543.93 2026-03-20
J1569 HCPCS Immune Glob,gamma (igg) 10 %-gly-iga Over 50 Mcg/ml Injection Solution 48 9 $3,507.90 $2,806.32 20% off $36.10 $3,507.90 $2,490.61 2026-03-20
73718 CPT Hc MRI Tib-fib Without Cont Lt 93 9 $2,934.00 $2,347.20 20% off $181.49 $2,934.00 $2,488.80 2026-03-20
27762 CPT Hc ER Clsd Tx Ankle Fx W/mnp 48 9 $3,404.00 $2,723.20 20% off $670.63 $3,404.00 $2,416.84 2026-03-20
Q5108 HCPCS Pegfilgrastim-jmdb 6 Mg/0.6 Ml Subcutaneous Syringe 45 9 $2,824.53 $2,259.62 20% off $1,129.81 $2,824.53 $2,400.85 2026-03-20
74177 CPT Hc CT Abdomen And Pelvis W/cont 183 9 $4,194.00 $3,355.20 20% off $246.27 $4,463.00 $2,390.58 2026-03-20
J9034 HCPCS Bendamustine 25 Mg/ml Intravenous Solution 48 9 $3,347.35 $2,677.88 $10.86 $3,347.35 $2,376.62 2026-03-20
A0426 HCPCS Hc Als Non Emergency 48 9 $3,283.00 $2,626.40 20% off $139.87 $3,283.00 $2,330.93 2026-03-20
3616500000 CDM Hc Du Procedure Lvl 1 45 9 $2,701.00 $2,160.80 $1,080.40 $2,701.00 $2,295.85 2026-03-20
20103 CPT Hc ER Explore Wound Extremity 48 9 $3,185.00 $2,548.00 20% off $269.72 $3,185.00 $2,261.35 2026-03-20
26011 CPT Hc ER Drain Finger Abscess Complicated 48 9 $3,185.00 $2,548.00 20% off $566.62 $3,185.00 $2,261.35 2026-03-20
72149 CPT Hc MRI Lumbar Sp W/cont 48 9 $3,162.00 $2,529.60 20% off $220.27 $3,162.00 $2,245.02 2026-03-20
70548 CPT Hc MRA Neck W/cont 48 9 $3,162.00 $2,529.60 20% off $200.96 $3,162.00 $2,245.02 2026-03-20
70542 CPT Hc MRI Face With Cont 48 9 $3,162.00 $2,529.60 20% off $217.92 $3,162.00 $2,245.02 2026-03-20
70552 CPT Hc MRI Brain W/cont 48 9 $3,162.00 $2,529.60 20% off $220.73 $3,162.00 $2,245.02 2026-03-20
72147 CPT Hc MRI Thoracic Spine W/cont 48 9 $3,162.00 $2,529.60 20% off $222.08 $3,162.00 $2,245.02 2026-03-20
73222 CPT Hc MRI Arth Elbow Lt 48 9 $3,162.00 $2,529.60 20% off $253.56 $3,162.00 $2,245.02 2026-03-20
74185 CPT Hc MRA Abdomen With Run-off 48 9 $3,162.00 $2,529.60 20% off $274.71 $3,162.00 $2,245.02 2026-03-20
73722 CPT Hc MRI Arth Ankle Rt 48 9 $3,162.00 $2,529.60 20% off $254.91 $3,162.00 $2,245.02 2026-03-20
74182 CPT Hc MRI Abdomen With Contrast 48 9 $3,162.00 $2,529.60 20% off $246.40 $3,162.00 $2,245.02 2026-03-20
72142 CPT Hc MRI Cervical Sp W/cont 48 9 $3,162.00 $2,529.60 20% off $224.32 $3,162.00 $2,245.02 2026-03-20
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe 48 9 $3,126.23 $2,500.98 20% off $106.33 $3,126.23 $2,219.62 2026-03-20
74174 CPT Hc CTA Abdomen Pelvis 48 9 $3,080.00 $2,464.00 20% off $309.90 $3,080.00 $2,186.80 2026-03-20
70496 CPT Hc CTA Brain W Cont 48 9 $3,080.00 $2,464.00 20% off $225.60 $3,080.00 $2,186.80 2026-03-20
72191 CPT Hc CTA Pelvis W/wo Cont 48 9 $3,080.00 $2,464.00 20% off $248.34 $3,080.00 $2,186.80 2026-03-20
74175 CPT Hc CTA Abdomen W/wo Cont 48 9 $3,080.00 $2,464.00 20% off $249.41 $3,080.00 $2,186.80 2026-03-20
75635 CPT Hc CTA Abd Aorta/bilat Iliac Low Ex 48 9 $3,080.00 $2,464.00 20% off $335.21 $3,080.00 $2,186.80 2026-03-20
73706 CPT Hc CTA Ext Lower W/cont Right 48 9 $3,080.00 $2,464.00 20% off $263.33 $3,080.00 $2,186.80 2026-03-20
73206 CPT Hc CTA Ext Upper W/con Lt 48 9 $3,080.00 $2,464.00 20% off $242.30 $3,080.00 $2,186.80 2026-03-20
70498 CPT Hc CTA Carotid 48 9 $3,080.00 $2,464.00 20% off $225.33 $3,080.00 $2,186.80 2026-03-20
J1602 HCPCS Golimumab 12.5 Mg/ml Intravenous Solution 48 9 $3,072.49 $2,457.99 20% off $8.62 $3,072.49 $2,181.47 2026-03-20
1250000000 CDM Hc (h)rb Hospice Gip 27 8 $2,269.00 $1,815.20 20% off $907.60 $2,269.00 $2,132.86 2026-03-20
1350000000 CDM Hc (h) Rb Hospice Gip 3-4 Patients 27 8 $2,269.00 $1,815.20 20% off $907.60 $2,269.00 $2,132.86 2026-03-20
J0875 HCPCS Dalbavancin 500 Mg Intravenous Solution 48 9 $2,936.88 $2,349.50 20% off $12.46 $2,936.88 $2,085.18 2026-03-20
72148 CPT Hc MRI Lumbar Sp Without Cont 48 9 $2,928.00 $2,342.40 $155.70 $2,928.00 $2,078.88 2026-03-20
72195 CPT Hc MRI Pelvis Without Cont 48 9 $2,928.00 $2,342.40 $185.95 $2,928.00 $2,078.88 2026-03-20
72146 CPT Hc MRI Thoracic Spine Without Cont 48 9 $2,928.00 $2,342.40 $155.43 $2,928.00 $2,078.88 2026-03-20
70547 CPT Hc MRA Neck Without Cont 48 9 $2,928.00 $2,342.40 $176.43 $2,928.00 $2,078.88 2026-03-20
73721 CPT Hc MRI Knee Without Cont Rt 48 9 $2,928.00 $2,342.40 $165.74 $2,928.00 $2,078.88 2026-03-20
73221 CPT Hc MRI Wrist Without Cont Lt 48 9 $2,928.00 $2,342.40 $166.01 $2,928.00 $2,078.88 2026-03-20
73218 CPT Hc MRI Hand Without Cont Lt 48 9 $2,928.00 $2,342.40 $245.93 $2,928.00 $2,078.88 2026-03-20
70551 CPT Hc MRI Brain Without Cont 48 9 $2,928.00 $2,342.40 $160.02 $2,928.00 $2,078.88 2026-03-20
70544 CPT Hc MRA Brain Without Cont 48 9 $2,928.00 $2,342.40 $175.89 $2,928.00 $2,078.88 2026-03-20
74181 CPT Hc MRI Abdomen Without Cont 48 9 $2,928.00 $2,342.40 $159.21 $2,928.00 $2,078.88 2026-03-20
70540 CPT Hc MRI Brachial Plexus Without Cont 48 9 $2,928.00 $2,342.40 $184.19 $2,928.00 $2,078.88 2026-03-20
70336 CPT Hc MRI Temporomandibular Joint 48 9 $2,928.00 $2,342.40 $213.65 $2,928.00 $2,078.88 2026-03-20
72141 CPT Hc MRI Cervical Sp Without Cont 48 9 $2,928.00 $2,342.40 $155.16 $2,928.00 $2,078.88 2026-03-20
99291 CPT Hc ER Critical Care E/m 30-74 48 9 $2,907.00 $2,325.60 20% off $165.74 $2,907.00 $2,063.97 2026-03-20
20520 CPT Hc ER Removal Fb Muscle/tendon 48 9 $2,834.00 $2,267.20 20% off $118.26 $2,834.00 $2,012.14 2026-03-20
74170 CPT Hc CT Abdomen W/wo Cont 48 9 $2,805.00 $2,244.00 20% off $211.72 $2,805.00 $1,991.55 2026-03-20
72127 CPT Hc Cervical Spine CT W/wo Con 48 9 $2,805.00 $2,244.00 20% off $160.20 $2,805.00 $1,991.55 2026-03-20
71270 CPT Hc CT Chest W/wo Cont 48 9 $2,805.00 $2,244.00 20% off $159.93 $2,805.00 $1,991.55 2026-03-20
70488 CPT Hc CT Maxillofacial W/wo Cont 48 9 $2,805.00 $2,244.00 20% off $149.94 $2,805.00 $1,991.55 2026-03-20
72130 CPT Hc (h)ct Thoracic Spine W/wo Cont 48 9 $2,805.00 $2,244.00 20% off $162.09 $2,805.00 $1,991.55 2026-03-20
72133 CPT Hc CT Lumbar Spine W/wo Cont 48 9 $2,805.00 $2,244.00 20% off $160.47 $2,805.00 $1,991.55 2026-03-20
70492 CPT Hc CT Neck W/wo Cont 48 9 $2,805.00 $2,244.00 20% off $179.94 $2,805.00 $1,991.55 2026-03-20
70482 CPT Hc CT Orbits W/wo Cont 48 9 $2,805.00 $2,244.00 20% off $171.27 $2,805.00 $1,991.55 2026-03-20
72193 CPT Hc CT Pelvis W/cont 48 9 $2,805.00 $2,244.00 20% off $185.18 $2,805.00 $1,991.55 2026-03-20
70470 CPT Hc CT Brain W/wo Cont 48 9 $2,805.00 $2,244.00 20% off $141.29 $2,805.00 $1,991.55 2026-03-20
72194 CPT Hc CT Pelvis W/wo Cont 48 9 $2,805.00 $2,244.00 20% off $204.59 $2,805.00 $1,991.55 2026-03-20
51102 CPT Hc ER Drain Bladder W/cath Insertion 48 9 $2,638.00 $2,110.40 $767.90 $2,638.00 $1,872.98 2026-03-20
6840000390 CDM Hc ER Trauma Response Full Team (prn/madras/redmond/harney/santiam Only) 45 9 $2,176.00 $1,740.80 20% off $870.40 $2,176.00 $1,849.60 2026-03-20
J7326 HCPCS Hyaluronate Sodium, Cross-linked 30 Mg/3 Ml Intra-articular Syringe 45 9 $2,150.50 $1,720.40 $860.20 $2,150.50 $1,827.93 2026-03-20
67715 CPT (h) ER Canthotomy Separate Procedure (aka H67715) 48 9 $2,566.00 $2,052.80 $820.80 $2,566.00 $1,821.86 2026-03-20
3607900000 CDM Hc Or Minor Procedure/1st 30 Min - Harney Only 45 9 $2,142.00 $1,713.60 20% off $856.80 $2,142.00 $1,820.70 2026-03-20
14040 CPT Hc ER Adjacent Tissue Transfer 10cm 48 9 $2,564.00 $2,051.20 20% off $784.87 $2,564.00 $1,820.44 2026-03-20
27818 CPT Hc ER Clsd Tx Trimall Ankle Fx W/mnp 93 9 $2,051.00 $1,640.80 20% off $670.63 $2,051.00 $1,731.45 2026-03-20
A0429 HCPCS Hc Amb Airport Transfer 93 9 $2,160.00 $1,728.00 20% off $311.42 $2,160.00 $1,731.45 2026-03-20
J9264 HCPCS Paclitaxel Protein-bound 100 Mg Intravenous Suspension 48 9 $2,429.56 $1,943.65 $10.45 $2,429.56 $1,724.99 2026-03-20
33016 CPT Hc ER Pericardiocentesis W/img Guidance When Performed 48 9 $2,401.00 $1,920.80 20% off $175.07 $2,401.00 $1,704.71 2026-03-20
14021 CPT Hc ER Adjt/rearrgmt Scalp/arm/leg 10.1-30.0 Sq Cm 48 9 $2,390.00 $1,912.00 20% off $784.87 $2,390.00 $1,696.90 2026-03-20
74160 CPT Hc CT Abdomen W/cont 48 9 $2,365.00 $1,892.00 20% off $188.28 $2,365.00 $1,679.15 2026-03-20
72132 CPT Hc CT Lumbar Spine Post Myelo 48 9 $2,365.00 $1,892.00 20% off $137.90 $2,365.00 $1,679.15 2026-03-20
77012 CPT Hc CT Guidance Needle Placement 48 9 $2,365.00 $1,892.00 20% off $100.60 $2,365.00 $1,679.15 2026-03-20
72126 CPT Hc CT Cervical Spine W/cont 48 9 $2,365.00 $1,892.00 20% off $137.36 $2,365.00 $1,679.15 2026-03-20
73701 CPT Hc CT Knee W/cont Lt 48 9 $2,365.00 $1,892.00 20% off $135.76 $2,365.00 $1,679.15 2026-03-20
71260 CPT Hc CT Chest W/cont 48 9 $2,365.00 $1,892.00 20% off $136.03 $2,365.00 $1,679.15 2026-03-20
73201 CPT Hc CT Forearm W/cont Lt 48 9 $2,365.00 $1,892.00 20% off $163.04 $2,365.00 $1,679.15 2026-03-20
70491 CPT Hc CT Neck W/cont 48 9 $2,365.00 $1,892.00 20% off $149.89 $2,365.00 $1,679.15 2026-03-20
70487 CPT Hc CT Maxillofacial W/cont 48 9 $2,365.00 $1,892.00 20% off $123.90 $2,365.00 $1,679.15 2026-03-20
70481 CPT Hc CT Orbits W/cont 48 9 $2,365.00 $1,892.00 20% off $147.12 $2,365.00 $1,679.15 2026-03-20
70460 CPT Hc CT Brain W/cont 48 9 $2,365.00 $1,892.00 20% off $120.93 $2,365.00 $1,679.15 2026-03-20
72129 CPT Hc CT Thoracic Spine W/cont 48 9 $2,365.00 $1,892.00 20% off $138.62 $2,365.00 $1,679.15 2026-03-20
20100 CPT Hc (h)er Exploration Neck Wound 48 9 $2,332.00 $1,865.60 20% off $74.14 $2,332.00 $1,655.72 2026-03-20
93306 CPT Hc Ec Transthoracic Echo Complete 48 9 $2,320.00 $1,856.00 20% off $155.62 $2,320.00 $1,647.20 2026-03-20
J1459 HCPCS Immune Glob,gamm(igg) 10 %-pro-iga 0 To 50 Mcg/ml Intravenous Solution 48 9 $2,316.60 $1,853.28 20% off $39.34 $2,316.60 $1,644.78 2026-03-20
140809 CDM Poractant Alfa 240 Mg/3 Ml Intratracheal Suspension 45 9 $1,934.98 $1,547.98 20% off $773.99 $1,934.98 $1,644.73 2026-03-20
3610000007 CDM Hc US Bx Breast Lt 45 9 $1,907.00 $1,525.60 20% off $762.80 $1,907.00 $1,620.95 2026-03-20
3610000009 CDM Hc US Bx Breast Rt 45 9 $1,907.00 $1,525.60 20% off $762.80 $1,907.00 $1,620.95 2026-03-20
11044 CPT Hc ER Debride Tissue Muscle Bone 48 9 $2,275.00 $1,820.00 20% off $566.62 $2,275.00 $1,615.25 2026-03-20
64495 CPT Hc CT Facet Block Lumbar 3rd + Level 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
64494 CPT Hc CT Facet Block Lumbar 2nd Lvl 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
3615500000 CDM Hc CT Nerve Inj Lumbar Bilat 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
3614000000 CDM Hc CT Epidural Lumb Sacral Transf 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
3614400000 CDM Hc CT Facet Block Lumbar Sng Level 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
3616100000 CDM Hc CT Sacroiliac Joint Inj Bilat 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
3615300000 CDM Hc CT Nerve Inj Lumbar 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
3615400000 CDM Hc CT Nerve Inj Lumbar Add 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
3614100000 CDM Hc CT Epidural Lumbar Sacral 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
3614500000 CDM Hc CT Facet Block Lumbar Sngl Bilat 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
3616200000 CDM Hc CT Sacroiliac Joint Inj Lt 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
3616300000 CDM Hc CT Sacroiliac Joint Inj Rt 45 9 $1,870.00 $1,496.00 20% off $748.00 $1,870.00 $1,589.50 2026-03-20
27842 CPT Hc ER Treat Ankle Dislocation 48 9 $2,234.00 $1,787.20 20% off $670.63 $2,234.00 $1,586.14 2026-03-20
27752 CPT Hc ER Clsd Tx Tibial Shaft Fx W Without Mnp 48 9 $2,234.00 $1,787.20 20% off $670.63 $2,234.00 $1,586.14 2026-03-20
32551 CPT Hc Chest Tube Insertion 93 9 $2,848.00 $2,278.40 $118.23 $2,848.00 $1,551.35 2026-03-20
32556 CPT Hc ER Insert Cath Pleura Without Image 48 9 $2,175.00 $1,740.00 20% off $691.32 $2,175.00 $1,544.25 2026-03-20
A0428 HCPCS Hc Bls Non Emergency 138 9 $1,860.00 $1,488.00 20% off $144.91 $2,160.00 $1,535.95 2026-03-20
J7298 HCPCS Levonorgestrel 21 Mcg/24 Hr (up To 8 Years) 52 Mg Intrauterine Device 48 9 $2,163.07 $1,730.46 $865.23 $2,163.07 $1,535.78 2026-03-20
55100 CPT Hc ER Drainage Of Scrotal Wall Abscess 48 9 $2,147.00 $1,717.60 20% off $566.62 $2,147.00 $1,524.37 2026-03-20
36573 CPT Hc Md Insertion Picc W/rs&i 5 Yr/> 93 9 $1,882.00 $1,505.60 20% off $505.92 $1,882.00 $1,508.75 2026-03-20
24620 CPT Hc ER Clsd Tx Elbow Fract W/mnp 48 9 $2,114.00 $1,691.20 20% off $670.63 $2,114.00 $1,500.94 2026-03-20
73040 CPT Hc Xr Shoulder Arth Rt 48 9 $2,080.00 $1,664.00 20% off $104.17 $2,080.00 $1,476.80 2026-03-20
24535 CPT Hc ER Clsd Tx Humerus Fx W/mnp 48 9 $2,051.00 $1,640.80 20% off $670.63 $2,051.00 $1,456.21 2026-03-20
111437 CDM Hydroxocobalamin 5 Gram Intravenous Solution 45 9 $1,693.57 $1,354.86 $677.43 $1,693.57 $1,439.53 2026-03-20
408111437 CDM Hydroxocobalamin 5 G/200ml IV (wet Solr Vial) 45 9 $1,693.57 $1,354.86 $677.43 $1,693.57 $1,439.53 2026-03-20
J0630 HCPCS Calcitonin (salmon) 200 Unit/ml Injection Solution 48 9 $1,988.04 $1,590.43 20% off $719.37 $1,988.04 $1,411.51 2026-03-20
J7168 HCPCS Hum Prothrombin Cplx, 4-factor 1,000 Unit (800-1,240 Unit) IV Solution 93 9 $2,970.00 $2,376.00 20% off $1.74 $2,970.00 $1,410.75 2026-03-20
1920000000 CDM Hc (h)rb Swing 27 8 $1,497.00 $1,197.60 20% off $598.80 $1,497.00 $1,407.18 2026-03-20
74430 CPT Hc CT Cystogram 93 9 $3,381.00 $2,704.80 $33.07 $3,381.00 $1,352.40 2026-03-20
1710300000 CDM Hc (h)rb Newborn 27 8 $1,435.00 $1,148.00 20% off $574.00 $1,435.00 $1,348.90 2026-03-20
J1950 HCPCS Leuprolide Acetate 11.25 Mg (3 Month) Intramuscular Syringe Kit 36 9 — — $1,336.24 $1,336.24 $1,336.24 2026-03-20
74150 CPT Hc CT Abdomen Without Cont 48 9 $1,870.00 $1,496.00 20% off $111.00 $1,870.00 $1,327.70 2026-03-20
73700 CPT Hc CT Hip Without Cont Rt 48 9 $1,870.00 $1,496.00 20% off $105.78 $1,870.00 $1,327.70 2026-03-20
72125 CPT Hc CT Cervical Spine Post Myelo 48 9 $1,870.00 $1,496.00 20% off $106.05 $1,870.00 $1,327.70 2026-03-20
72131 CPT Hc CT Lumbar Spine Without Cont 48 9 $1,870.00 $1,496.00 20% off $105.51 $1,870.00 $1,327.70 2026-03-20
71271 CPT Hc CT Thorax Lung Cancer Scr C- 48 9 $1,870.00 $1,496.00 20% off $112.04 $1,870.00 $1,327.70 2026-03-20
71250 CPT Hc CT Chest Without Cont 48 9 $1,870.00 $1,496.00 20% off $108.35 $1,870.00 $1,327.70 2026-03-20
73200 CPT Hc CT Forearm Without Cont Rt 48 9 $1,870.00 $1,496.00 20% off $131.06 $1,870.00 $1,327.70 2026-03-20
72128 CPT Hc CT Thoracic Spine Without Cont 48 9 $1,870.00 $1,496.00 20% off $105.78 $1,870.00 $1,327.70 2026-03-20
70490 CPT Hc CT Neck Without Cont 48 9 $1,870.00 $1,496.00 20% off $122.21 $1,870.00 $1,327.70 2026-03-20
70486 CPT Hc CT Maxillofacial Without Cont 48 9 $1,870.00 $1,496.00 20% off $104.49 $1,870.00 $1,327.70 2026-03-20
70480 CPT Hc CT Iacs Without Cont 48 9 $1,870.00 $1,496.00 20% off $129.41 $1,870.00 $1,327.70 2026-03-20
70450 CPT Hc CT Brain Without Cont 48 9 $1,870.00 $1,496.00 20% off $86.94 $1,870.00 $1,327.70 2026-03-20
72192 CPT Hc CT Pelvis Without Cont 48 9 $1,870.00 $1,496.00 20% off $108.35 $1,870.00 $1,327.70 2026-03-20
23605 CPT Hc ER Clsd Tx Prox Humeral Fx W/mnp 48 9 $1,866.00 $1,492.80 20% off $348.67 $1,866.00 $1,324.86 2026-03-20
49083 CPT Hc Abd Paracentesis W/imaging 48 9 $1,841.00 $1,472.80 20% off $402.71 $1,841.00 $1,307.11 2026-03-20
J1745 HCPCS Infliximab 100 Mg Intravenous Solution 48 9 $1,794.79 $1,435.83 20% off $24.42 $1,794.79 $1,274.30 2026-03-20
24565 CPT Hc ER Clsd Tx Humeral Epicond Fx W 48 9 $1,773.00 $1,418.40 $670.63 $1,773.00 $1,258.83 2026-03-20
26418 CPT Hc ER Repair Finger Tendon Without Graft 48 9 $1,760.00 $1,408.00 20% off $670.63 $1,760.00 $1,249.60 2026-03-20
93351 CPT Hc Ec Stress Echo 48 9 $1,753.00 $1,402.40 $184.21 $1,753.00 $1,244.63 2026-03-20
J9305 HCPCS Pemetrexed Disodium 100 Mg Intravenous Powder For Solution 93 9 $1,243.33 $994.66 20% off $3.02 $6,216.66 $1,243.33 2026-03-20
J1439 HCPCS Ferric Carboxymaltose 50 Mg Iron/ml Intravenous Solution 48 9 $1,748.67 $1,398.94 $1.11 $1,748.67 $1,241.55 2026-03-20
P9052 HCPCS Hc Plateletpheresis L/r Hla Matched 45 9 $1,459.00 $1,167.20 $583.60 $1,459.00 $1,240.15 2026-03-20
J0841 HCPCS Crotalidae Immune Fab (equine) IV (wet Solr Vial) 81 9 $2,210.26 $1,768.21 $834.84 $2,210.26 $1,237.75 2026-03-20
94002 CPT Hc (h)ventilator 1st Day 48 9 $1,724.00 $1,379.20 20% off $71.12 $1,724.00 $1,224.04 2026-03-20
3610000094 CDM **termed 1/6/2022** Hc Xr Myelography Lumbar 45 9 $1,440.00 $1,152.00 20% off $576.00 $1,440.00 $1,224.00 2026-03-20
3610000029 CDM Hc Xr Myelography Thoracic 45 9 $1,440.00 $1,152.00 20% off $576.00 $1,440.00 $1,224.00 2026-03-20
J3262 HCPCS Tocilizumab 20 Mg/ml Intravenous Solution 138 9 $1,653.90 $1,323.12 20% off $4.70 $4,382.11 $1,174.27 2026-03-20
36556 CPT Hc An Insert Central Cath 5yo + 93 9 $2,917.00 $2,333.60 20% off $194.40 $2,917.00 $1,166.80 2026-03-20
49451 CPT Hc ER Replace Duod Jej Tube Perc 48 9 $1,633.00 $1,306.40 $402.71 $1,633.00 $1,159.43 2026-03-20
3610000041 CDM Hc Xr Cystogram Injection 45 9 $1,363.00 $1,090.40 $545.20 $1,363.00 $1,158.55 2026-03-20
3610100037 CDM Hc Xr Voiding Cystourethrogram 45 9 $1,363.00 $1,090.40 $545.20 $1,363.00 $1,158.55 2026-03-20
74740 CPT Hc Xr Hysterosalpingogram 45 9 $1,363.00 $1,090.40 $545.20 $1,363.00 $1,158.55 2026-03-20
93925 CPT Hc US Ext Art Lower Bilat 48 9 $1,598.00 $1,278.40 $189.90 $1,598.00 $1,134.58 2026-03-20
93350 CPT Hc (h)ec Stress Int & Rept 48 9 $1,587.00 $1,269.60 20% off $146.54 $1,587.00 $1,126.77 2026-03-20
81420 CPT Hc Fmt21 Maternit21 Plus(fetal Chrmoml Aneuploidy), Mayo 48 9 $1,577.00 $1,261.60 20% off $607.24 $1,577.00 $1,119.67 2026-03-20
7611000000 CDM Hc (h) Facility Fee 45 9 $1,305.00 $1,044.00 20% off $522.00 $1,305.00 $1,109.25 2026-03-20
G0379 HCPCS Hc Direct Adm Of Pt To Obs 45 9 $1,296.00 $1,036.80 20% off $518.40 $1,296.00 $1,101.60 2026-03-20
J9312 HCPCS Rituximab 10 Mg/ml Concentrate,intravenous 48 9 $1,550.21 $1,240.17 $61.14 $1,550.21 $1,100.65 2026-03-20
81275 CPT Hc Kras Gene Clarient 48 9 $1,512.00 $1,209.60 20% off $154.60 $1,512.00 $1,073.52 2026-03-20
J9395 HCPCS Fulvestrant 250 Mg/5 Ml Intramuscular Syringe 48 9 $1,490.78 $1,192.62 20% off $5.52 $1,490.78 $1,058.45 2026-03-20
5100100000 CDM Hc (h) Clinic Procedure Room Facility Fee 45 9 $1,231.00 $984.80 20% off $492.40 $1,231.00 $1,046.35 2026-03-20
5100000000 CDM Hc (h)clinic Procedure Facility Fee 45 9 $1,231.00 $984.80 20% off $492.40 $1,231.00 $1,046.35 2026-03-20
7610000000 CDM Hc Ic Iabp Per Day 45 9 $1,231.00 $984.80 20% off $492.40 $1,231.00 $1,046.35 2026-03-20
99285 CPT Hc ER Major Serv 1hr 48 9 $1,472.00 $1,177.60 20% off $135.25 $1,472.00 $1,045.12 2026-03-20
66821 CPT Hc (h)cataract Laser Surgery 48 9 $1,458.00 $1,166.40 $235.62 $1,458.00 $1,035.18 2026-03-20
11000 CPT Hc ER Debride Infected Skin Up To 10cm 48 9 $1,451.00 $1,160.80 20% off $20.98 $1,451.00 $1,030.21 2026-03-20
62303 CPT Hc Xr Myelography Thoracic 48 9 $1,440.00 $1,152.00 20% off $92.40 $1,440.00 $1,022.40 2026-03-20
62302 CPT Hc Xr Myelography Cervical Sp 48 9 $1,440.00 $1,152.00 20% off $92.40 $1,440.00 $1,022.40 2026-03-20
62284 CPT Hc Injection Procedure Myelography/ct Lumbar 48 9 $1,440.00 $1,152.00 20% off $64.55 $1,440.00 $1,022.40 2026-03-20
J2597 HCPCS Desmopressin 4 Mcg/ml Injection Solution 48 9 $1,439.31 $1,151.45 $3.59 $1,439.31 $1,021.91 2026-03-20
P9037 HCPCS Hc Plateletpheresis Pas-c Lr Irr 90 9 $1,188.50 $950.80 20% off $475.20 $1,189.00 $1,010.22 2026-03-20
74455 CPT Hc Xr Urethrogram 48 9 $1,363.00 $1,090.40 $81.76 $1,363.00 $967.73 2026-03-20
46040 CPT Hc ER I&d Of Rectal Abscess 48 9 $1,359.00 $1,087.20 $506.37 $1,359.00 $964.89 2026-03-20
P9073 HCPCS Hc Plateletpheresis Pathogen-reduced 45 9 $1,135.00 $908.00 20% off $454.00 $1,135.00 $964.75 2026-03-20
J9035 HCPCS Bevacizumab 25 Mg/ml Intravenous Solution 48 9 $1,314.96 $1,051.97 $58.18 $1,314.96 $933.62 2026-03-20
P9035 HCPCS Hc Plateletpheresis Pas-c Lr 90 9 $1,090.50 $872.40 20% off $436.00 $1,091.00 $926.92 2026-03-20
36569 CPT Hc Insert Picc Cath 5 Yrs And Over 138 9 $1,625.00 $1,300.00 20% off $172.00 $1,775.00 $926.25 2026-03-20
3610100012 CDM Hc Xr Nerve Inj Lumbar Bilat 45 9 $1,074.00 $859.20 $429.60 $1,074.00 $912.90 2026-03-20
3610000048 CDM Hc Xr Epidural Block Lumbar W/guidance 45 9 $1,074.00 $859.20 $429.60 $1,074.00 $912.90 2026-03-20
3610000058 CDM Hc Xr Facet Blk Lumbar Bilateral 45 9 $1,074.00 $859.20 $429.60 $1,074.00 $912.90 2026-03-20
3610100008 CDM Hc Xr Nerve Inj Lumbar 45 9 $1,074.00 $859.20 $429.60 $1,074.00 $912.90 2026-03-20
3610000061 CDM Hc Xr Facet Block Lumbar Sngl Level 45 9 $1,074.00 $859.20 $429.60 $1,074.00 $912.90 2026-03-20
3610100016 CDM Hc Xr Sacroiliac Joint Injection 45 9 $1,074.00 $859.20 $429.60 $1,074.00 $912.90 2026-03-20
3610100031 CDM Hc Xr Transfor Epi Lumbar 45 9 $1,074.00 $859.20 $429.60 $1,074.00 $912.90 2026-03-20
3610100033 CDM Hc Xr Transfor Epi Lumbar Bilat 45 9 $1,074.00 $859.20 $429.60 $1,074.00 $912.90 2026-03-20
3610100017 CDM Hc Xr Sacroiliac Joint Injection Bilat 50 45 9 $1,074.00 $859.20 $429.60 $1,074.00 $912.90 2026-03-20
93930 CPT Hc US Ext Art Graft Upper Bilat 93 9 $1,598.00 $1,278.40 $157.94 $1,598.00 $910.86 2026-03-20
3610000012 CDM Hc US Drain/inj Joint/bursa W/us 45 9 $1,068.00 $854.40 20% off $427.20 $1,068.00 $907.80 2026-03-20
P9040 HCPCS Hc Rbc L/r Irradiated 45 9 $1,046.00 $836.80 20% off $418.40 $1,046.00 $889.10 2026-03-20
74280 CPT Hc Xr Barium Enema With Air 48 9 $1,249.00 $999.20 $172.89 $1,249.00 $886.79 2026-03-20
7102000000 CDM Hc Rr Recovery 1 Rn 1 Pt First 30 Min Ph1 (harney Only After 3/31/2019) 45 9 $1,038.00 $830.40 20% off $415.20 $1,038.00 $882.30 2026-03-20
93970 CPT Hc US Ext Venous Lower Bilat 48 9 $1,224.00 $979.20 $148.28 $1,224.00 $869.04 2026-03-20
92960 CPT Hc Cardioversion Elective Arrhythmia External 138 9 $1,522.00 $1,217.60 20% off $84.35 $1,579.00 $867.54 2026-03-20
27047 CDM Poractant Alfa 120 Mg/1.5 Ml Intratracheal Suspension 45 9 $1,005.41 $804.33 $402.16 $1,005.41 $854.60 2026-03-20
6840100390 CDM Hc ER Trauma Response Partial Team (prn/madras/redmond/harney Only) 45 9 $995.00 $796.00 20% off $398.00 $995.00 $845.75 2026-03-20
93880 CPT Hc US Carotid Bilat Dopp 48 9 $1,188.00 $950.40 20% off $150.57 $1,188.00 $843.48 2026-03-20
49082 CPT Hc ER Puncture Peritoneal Cavity 48 9 $1,188.00 $950.40 20% off $402.71 $1,188.00 $843.48 2026-03-20
93882 CPT Hc US Carotid Lt Dopp 48 9 $1,188.00 $950.40 20% off $98.50 $1,188.00 $843.48 2026-03-20
92950 CPT Hc ER Code Blue 93 9 $1,055.00 $844.00 20% off $141.21 $1,055.00 $836.40 2026-03-20
45900 CPT Hc ER Rdctj Procidentia Under Anes Separate Procedure 48 9 $1,169.00 $935.20 $391.58 $1,169.00 $829.99 2026-03-20
45300 CPT Hc ER Proctosgmdsc Rgd Dx W/wo Collj Spec Br/wa Spx 48 9 $1,169.00 $935.20 $76.34 $1,169.00 $829.99 2026-03-20
28495 CPT Hc ER Clsd Tx Great Toe Fx W/mnp 48 9 $1,165.00 $932.00 20% off $124.52 $1,165.00 $827.15 2026-03-20
3610100027 CDM Hc Xr T Tube Cholangiogram 45 9 $960.00 $768.00 20% off $384.00 $960.00 $816.00 2026-03-20
J0248 HCPCS Remdesivir 100 Mg Intravenous Powder For Solution 48 9 $1,132.04 $905.63 20% off $6.73 $1,132.04 $803.75 2026-03-20
1250100000 CDM Hc (h)rb Hospice Respite 27 8 $847.00 $677.60 20% off $338.80 $847.00 $796.18 2026-03-20
1350100000 CDM Hc (h) Rb Hospice Respite 3-4 Patients 27 8 $847.00 $677.60 20% off $338.80 $847.00 $796.18 2026-03-20
10121 CPT Hc ER Removal Fb Sq Tissue Complicated 48 9 $1,111.00 $888.80 20% off $444.40 $1,111.00 $788.81 2026-03-20
46050 CPT Hc ER I&d Of Anal Abscess 48 9 $1,102.00 $881.60 20% off $391.58 $1,102.00 $782.42 2026-03-20
J7325 HCPCS Hylan G-f 20 48 Mg/6 Ml Intra-articular Syringe 15 4 — — $462.69 $1,474.04 $781.57 2026-03-20
3700200000 CDM Hc An Level 1/1st 30 Min 45 9 $918.00 $734.40 20% off $367.20 $918.00 $780.30 2026-03-20
3700800000 CDM Hc An Level 4/1st 30 Min 45 9 $918.00 $734.40 20% off $367.20 $918.00 $780.30 2026-03-20
3700400000 CDM Hc An Level 2/1st 30 Min 45 9 $918.00 $734.40 20% off $367.20 $918.00 $780.30 2026-03-20
3700600000 CDM Hc An Level 3/1st 30 Min 45 9 $918.00 $734.40 20% off $367.20 $918.00 $780.30 2026-03-20
3701000000 CDM Hc An Level 5/1st 30 Min 45 9 $918.00 $734.40 20% off $367.20 $918.00 $780.30 2026-03-20
3619200000 CDM Hc US Aspiration Fine Needle 45 9 $916.00 $732.80 20% off $366.40 $916.00 $778.60 2026-03-20
3610000002 CDM Hc US Biopsy Soft Tissue Thigh/knee 45 9 $916.00 $732.80 20% off $366.40 $916.00 $778.60 2026-03-20
3610000017 CDM Hc US Guided Placement Loc Clip Rt 45 9 $916.00 $732.80 20% off $366.40 $916.00 $778.60 2026-03-20
3618600000 CDM Hc US Asp Breast Cyst Rt 45 9 $916.00 $732.80 20% off $366.40 $916.00 $778.60 2026-03-20
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