Hospital

JOHNSON COUNTY COMMUNITY HOSPITAL

Mountain City, TN · CCN 441304 · Rates published

2,171 distinct procedures filed

19 distinct payers

351,514 rate rows

2026-03-23 last MRF observed

Data quality

350,904 of 351,514 rate rows are consumer-grade (99.8%)

610 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	579
exceeds 10× this hospital's gross charge — excluded from medians	16
placeholder amount (≤ $0.02) — excluded from medians	9
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	6

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

Source MRF file	https://www.balladhealth.org/sites/default/files/2026-03/620476282_johnson-county-community-hospital_standardcharges.zip
Found on page	https://www.balladhealth.org/patients-visitors/price-estimator-standard-charges
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-19
Content fingerprint	053fca9aad98bec3… · 6,096,079 bytes · first seen 2026-05-15

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
C1825 HCPCS	System Barostim Neo2	18	$52,269.84	$326,686.50	$99,002.35	nat. median $52,021 1.9× median
C2624 HCPCS	Delivery Sys & Sensor Cardiomems Pa	18	$31,527.84	$197,049.00	$59,715.70	nat. median $32,760 1.8× median
C1822 HCPCS	Kit Nevro Stim Hf10c	18	$27,379.44	$171,121.50	$51,858.38	nat. median $31,540 1.6× median
C1875 HCPCS	Stent Thoracic 40 X 36 X 154	18	$26,466.79	$165,417.45	$50,129.76	nat. median $4,471 outlier · 11.2×
C1820 HCPCS	Cap Code Ipg Iq Stimulator	18	$365.06	$191,863.50	$46,016.13	nat. median $22,013 outlier · 2.1×
C1882 HCPCS	Aicd, Other Than Sing/dual	18	$19,041.16	$174,449.87	$45,650.46	nat. median $27,114 1.7× median
C2622 HCPCS	Prosthesis Malleable Penile Tactra 9.5 X 14-23cm	18	$23,222.74	$145,142.15	$43,985.32	nat. median $10,427 outlier · 4.2×
C1767 HCPCS	Pulse Generator	18	$290.39	$189,011.48	$43,610.06	nat. median $22,481 1.9× median
C1772 HCPCS	Infusion Pump, Programmable	18	$174.23	$126,567.68	$35,148.96	nat. median $8,330 outlier · 4.2×
C1721 HCPCS	Aicd, Dual Chamber	18	$12,984.43	$128,081.85	$31,880.45	nat. median $22,213 1.4× median
C1722 HCPCS	Aicd, Single Chamber	18	$11,361.37	$197,049.00	$30,210.92	nat. median $20,770 1.5× median
C1815 HCPCS	Ams S.t. Cuff Belt Fgs 4.5cm Iz	18	$5,716.50	$81,930.90	$22,887.76	nat. median $7,760 outlier · 2.9×
C1813 HCPCS	Prosthesis, Penile, Inflatab	18	$1,239.54	$150,016.52	$20,849.63	nat. median $10,611 2.0× median
33276 CPT	Hc Insertion Phrenic Nerve Stimulator System	19	$14,303.00	$59,627.00	$20,055.22	nat. median $43,787 outlier · 0.5×
C1817 HCPCS	Septal Defect Imp Sys	18	$1,294.30	$103,658.15	$19,392.94	nat. median $11,925 1.6× median
C1786 HCPCS	Pmkr, Single, Rate-resp	18	$3,197.47	$126,733.62	$18,771.51	nat. median $7,726 outlier · 2.4×
33287 CPT	Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator	19	$14,200.00	$59,627.00	$18,156.42	nat. median $29,698 0.6× median
20983 CPT	Hc Ablation Bone Tumor(s) Cryo Perq W Img Guid When Prfmd	19	$890.00	$59,453.00	$17,241.37	nat. median $7,663 outlier · 2.2×
C2621 HCPCS	Pmkr, Other Than Sing/dual	18	$7,716.02	$56,277.19	$16,194.07	nat. median $10,188 1.6× median
C1761 HCPCS	Cath, Trans Intra Litho/coro	18	$7,798.99	$48,743.70	$14,771.78	nat. median $7,414 2.0× median
C1877 HCPCS	Implant Right Frontal Sphenoid Parietal Temporal	18	$1,899.14	$129,637.50	$14,457.49	nat. median $1,988 outlier · 7.3×
J3101 HCPCS	Tenecteplase For IV Soln Kit 50 Mg	19	$46.74	$49,645.79	$14,397.28	nat. median $5,957 outlier · 2.4×
0278 RC		18	$154.84	$176,825.55	$14,170.16	nat. median $1,035 outlier · 13.7×
C1764 HCPCS	Biomonitor 2-af Loop Recorder	18	$5,475.89	$48,743.70	$13,916.85	nat. median $7,664 1.8× median
J2506 HCPCS	Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml	19	$27.49	$47,371.18	$13,737.64	nat. median $2,076 outlier · 6.6×
C1737 HCPCS	Si&pelvis Fusn&fixn Dev	18	$739.63	$44,076.75	$13,357.46	nat. median $8,323 1.6× median
L8690 HCPCS	Aud Osseo Dev, Int/ext Comp	18	$254.80	$49,210.40	$13,067.98	nat. median $5,743 outlier · 2.3×
J1459 HCPCS	Inj Ivig Privigen 500 Mg	19	$30.96	$43,376.67	$12,579.23	nat. median $1,227 outlier · 10.2×
C1896 HCPCS	Electrode Sub-q Emblem 45cm	18	$6,637.44	$41,484.00	$12,571.72	nat. median $5,175 outlier · 2.4×
C1714 HCPCS	Device Atherectomy Hawkone 7fr	18	$9,624.29	$38,759.02	$11,745.92	nat. median $4,700 outlier · 2.5×
81529 CPT	Hc Onc Cutan Mlnma Mrna Gene Xprs Prfl 31 Genes Alg	19	$2,664.57	$39,386.00	$11,604.69	nat. median $7,553 1.5× median
563 MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	6	$11,310.00	$11,310.00	$11,310.00	nat. median $9,671 1.2× median
C1874 HCPCS	Stent, Coated/cov W/del Sys	18	$0.29	$352,614.00	$11,292.30	nat. median $4,694 outlier · 2.4×
C9774 HCPCS	Hc Revasc Lithotr-ather Tib/per	19	$948.00	$32,531.00	$10,912.50	nat. median $19,518 0.6× median
C9773 HCPCS	Hc Revasc Lithotr-stent Tib/per	19	$948.00	$32,531.00	$10,912.50	nat. median $19,390 0.6× median
C9775 HCPCS	Hc Revasc Lith-sten-ath Tib/per	19	$948.00	$32,531.00	$10,912.50	nat. median $19,467 0.6× median
392 MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	6	$10,715.50	$10,715.50	$10,715.50	nat. median $8,728 1.2× median
92 MS_DRG	Other Disorders Of Nervous System With Cc	6	$10,608.50	$10,608.50	$10,608.50	nat. median $11,294 0.9× median
C1747 HCPCS	Endo, Single, Urinary Tract	18	$4,511.39	$36,246.65	$10,511.53	nat. median $2,424 outlier · 4.3×
C1821 HCPCS	Interspinous Implant	18	$82.97	$95,413.20	$10,319.15	nat. median $3,460 outlier · 3.0×
C1724 HCPCS	Cath, Trans Atherec,rotation	18	$1,451.94	$41,432.15	$10,210.77	nat. median $4,574 outlier · 2.2×
854 MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Cc	6	$10,054.50	$10,054.50	$10,054.50	nat. median $20,421 outlier · 0.5×
C1885 HCPCS	Cath, Translumin Angio Laser	18	$4,471.98	$34,172.45	$9,888.15	nat. median $4,498 outlier · 2.2×
C9353 HCPCS	Neurawrap Nerve Protector,cm	18	$4,077.05	$38,746.06	$9,878.13	nat. median $3,495 outlier · 2.8×
191 MS_DRG	Chronic Obstructive Pulmonary Disease With Cc	6	$9,569.50	$9,569.50	$9,569.50	nat. median $9,406 1.0× median
J1162 HCPCS	Digoxin Immune Fab For Inj 40 Mg	19	$540.91	$32,638.78	$9,465.25	nat. median $7,308 1.3× median
193 MS_DRG	Simple Pneumonia And Pleurisy With Mcc	6	$4,958.00	$9,268.50	$9,268.50	nat. median $13,648 0.7× median
C1886 HCPCS	Catheter, Ablation	18	$269.41	$45,901.53	$9,265.37	nat. median $2,850 outlier · 3.3×
690 MS_DRG	Kidney And Urinary Tract Infections Without Mcc	6	$9,126.50	$9,126.50	$9,126.50	nat. median $8,979 1.0× median
603 MS_DRG	Cellulitis Without Mcc	6	$8,907.50	$8,907.50	$8,907.50	nat. median $9,571 0.9× median

Other procedures at this hospital

Browse this hospital's 2,171 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

0035U	CPT	Hc Neuro Csf Detcj Prion Prtn Quakg Conf Conv Qual	39	19	$2,000.00	$460.00 77% off	$405.25	$2,374.40	$2,000.00	2026-03-23
0084U	CPT	Hc Rbc DNA Gnotyp 10 Bld Groups	39	19	$3,943.00	$906.89 77% off	$648.00	$4,681.13	$3,002.40	2026-03-23
0110	RC	—	3	3	$1,581.00	$363.63 77% off	$916.98	$1,581.00	$961.25	2026-03-23
0152U	CPT	Hc Karius Test-nfct Ds Mcrb Cll Fr DNA Untrgt Next Genrj Seq	39	19	$7,861.00	$1,808.03 77% off	$1,913.58	$9,332.58	$7,861.00	2026-03-23
0206	RC	—	3	3	$2,296.00	$528.08 77% off	$1,331.68	$2,296.00	$1,395.97	2026-03-23
0278	RC	—	496	18	$44,024.90	$10,125.73 77% off	$154.84	$176,825.55	$14,170.16	2026-03-23
0644T	CPT	Hc Tcat Rmvl/dbulk Icar Mass Suction Device Perq	40	19	$10,251.00	$2,357.73 77% off	$2,972.79	$12,234.58	$3,987.64	2026-03-23
0823T	CPT	Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial	40	19	$17,174.00	$3,950.02 77% off	$1,279.00	$17,174.00	$5,919.02	2026-03-23
0824T	CPT	Hc Tcat Rmvl Perm 1chmbr Ldls Pacemaker R Atrial	40	19	$6,033.00	$1,387.59 77% off	$1,279.00	$10,321.74	$2,079.28	2026-03-23
0825T	CPT	Hc Tcat Rmvl&rplcmt Perm 1chmbr Ldls Pm R Atrial	40	19	$17,174.00	$3,950.02 77% off	$1,279.00	$17,174.00	$5,919.02	2026-03-23
0913T	CPT	Hc Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art	29	18	$10,473.00	$2,408.79 77% off	$3,037.17	$10,473.00	$3,189.03	2026-03-23
0914T	CPT	Hc Perq Tcat Ther Rx Dlvr Ntrac Rx Balo Separate	28	18	$10,473.00	$2,408.79 77% off	$410.00	$10,473.00	$3,189.03	2026-03-23
10121	CPT	Hc Removal Foreign Bdy Skin/subq Complicated	33	19	$3,061.00	$704.03 77% off	$157.00	$3,061.00	$914.32	2026-03-23
10180	CPT	Hc I&d Complx Postop Wound Infec	33	19	$3,229.00	$742.67 77% off	$131.08	$3,229.00	$964.50	2026-03-23
11606	CPT	Hc Exc Malig Lesion Over 4.0 Cm	42	19	$2,616.00	$601.68 77% off	$758.64	$2,616.00	$1,027.50	2026-03-23
15110	CPT	Hc Epidermal Autograft Trunk/arms/legs 1st 100 Sq Cm	40	19	$3,021.00	$694.83 77% off	$387.11	$3,021.00	$1,116.26	2026-03-23
15115	CPT	Hc Epidermal Autograft Face/neck/hf/g 1st 100 Sq Cm	40	19	$3,021.00	$694.83 77% off	$707.41	$3,021.00	$1,175.17	2026-03-23
15273	CPT	Hc Appl Skn Sub Grft T/a/l Area/100sq Cm 1st 100sq Cm Wsa Or 1% Ba Inf/child	40	19	$3,673.00	$844.79 77% off	$1,065.17	$3,673.00	$1,432.47	2026-03-23
15851	CPT	Hc Removal Sutures/staples Requiring Anes	33	19	$3,543.00	$814.89 77% off	$53.95	$3,543.00	$1,058.29	2026-03-23
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	14	6	—	—	$5,374.00	$5,374.00	$5,374.00	2026-03-23
191	MS_DRG	Chronic Obstructive Pulmonary Disease With Cc	14	6	—	—	$9,569.50	$9,569.50	$9,569.50	2026-03-23
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/mcc	14	6	—	—	$6,712.25	$7,992.90	$6,712.25	2026-03-23
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	14	6	—	—	$4,958.00	$9,268.50	$9,268.50	2026-03-23
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	14	6	—	—	$8,188.52	$8,616.00	$8,616.00	2026-03-23
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	14	6	—	—	$8,048.75	$8,048.75	$8,048.75	2026-03-23
20205	CPT	Hc CT Muscle Deep Biopsy	42	19	$4,800.00	$1,104.00 77% off	$890.00	$4,800.00	$1,624.82	2026-03-23
20525	CPT	Hc Remove Fb Muscle Tendon Deep Or Complicated	33	19	$3,463.00	$796.49 77% off	$171.00	$3,463.00	$1,034.40	2026-03-23
20983	CPT	Hc Ablation Bone Tumor(s) Cryo Perq W Img Guid When Prfmd	42	19	$59,453.00	$13,674.19 77% off	$890.00	$59,453.00	$17,241.37	2026-03-23
22513	CPT	Hc Percu Vert Augmentation 1 Vert Body Unil Bil Thor	42	19	$14,739.00	$3,389.97 77% off	$890.00	$14,739.00	$4,488.03	2026-03-23
23575	CPT	Hc Clsd Tx Scapular Fx W Manip W/wo Skeletal Trctn	33	19	$3,087.00	$710.01 77% off	$171.00	$3,087.00	$895.23	2026-03-23
24605	CPT	Hc Tx Clsd Elbow Disloc Req Anes	33	19	$3,087.00	$710.01 77% off	$171.00	$3,087.00	$922.09	2026-03-23
24620	CPT	Hc Clsd Tx Monteggia Fx Disloc Elbow W Manip	33	19	$3,087.00	$710.01 77% off	$171.00	$3,087.00	$895.23	2026-03-23
26011	CPT	Hc Drain Finger Abscess Complicat	33	19	$3,028.00	$696.44 77% off	$159.67	$3,028.00	$904.46	2026-03-23
26236	CPT	Hc Partial Excision Distal Phalanx Finger	42	19	$2,954.00	$679.42 77% off	$856.66	$2,954.00	$1,094.50	2026-03-23
26952	CPT	Hc Amp F/th 1/2 Jt/phalanx Sngl W/neurect Local Flap	33	19	$6,477.00	$1,489.71 77% off	$171.00	$6,477.00	$1,934.68	2026-03-23
27266	CPT	Hc Clsd Tx Post Hip Arthroplasty Disloc Req Anes	33	19	$3,086.00	$709.78 77% off	$171.00	$3,086.00	$921.79	2026-03-23
27267	CPT	Hc Clsd Tx Fem Fx Prox End Head Without Manip	33	19	$6,166.00	$1,418.18 77% off	$171.00	$6,166.00	$1,788.14	2026-03-23
27502	CPT	Hc Close Reduct Femur Shaft Fract	33	19	$3,690.00	$848.70 77% off	$171.00	$3,690.00	$1,070.10	2026-03-23
27605	CPT	Hc Tentomy Perc Achilles Tendon Local Anes	42	19	$2,948.00	$678.04 77% off	$704.00	$3,128.66	$1,148.90	2026-03-23
27814	CPT	Hc Open Treatment Bimalleolar Ankle Fracture	42	19	$13,146.00	$3,023.58 77% off	$890.00	$13,146.00	$4,002.96	2026-03-23
28010	CPT	Hc Tenotomy Single Tendon	42	19	$3,215.00	$739.45 77% off	$775.00	$3,215.00	$1,371.62	2026-03-23
28060	CPT	Hc Fasciectomy Plantar Fascia Partial Spx	42	19	$5,858.00	$1,347.34 77% off	$775.00	$5,858.00	$1,829.16	2026-03-23
28208	CPT	Hc Repair Tendon Extensor Foot 1/2 Each Tendon	33	19	$5,665.00	$1,302.95 77% off	$171.00	$5,665.00	$1,692.14	2026-03-23
28820	CPT	Hc Amputation Toe Metatarsophalangeal Joint	40	19	$5,732.00	$1,318.36 77% off	$291.15	$5,732.00	$2,117.97	2026-03-23
28825	CPT	Hc Amputation Toe Ip Joint	33	19	$3,565.00	$819.95 77% off	$171.00	$3,565.00	$1,064.87	2026-03-23
312	MS_DRG	Syncope And Collapse	14	6	—	—	$8,352.00	$8,352.00	$8,352.00	2026-03-23
31238	CPT	Hc Nasal/sinus Endoscopy W/control Nasal Hem	33	19	$3,237.00	$744.51 77% off	$171.00	$3,237.00	$966.89	2026-03-23
313	MS_DRG	Chest Pain	14	6	—	—	$3,773.50	$3,773.50	$3,773.50	2026-03-23
31600	CPT	Hc Tracheostomy Planned Separate Procedure	42	19	$5,541.00	$1,274.43 77% off	$775.00	$5,541.00	$1,734.06	2026-03-23
31623	CPT	Hc Brnchsc Brushing/protected Brushings	42	19	$3,030.00	$696.90 77% off	$775.00	$3,030.00	$1,083.75	2026-03-23
32160	CPT	Hc Thoracotomy W Cardiac Massage	33	19	$8,163.00	$1,877.49 77% off	$171.00	$8,163.00	$2,438.29	2026-03-23
32551	CPT	Hc Tube Thoracostomy Sep Proc	42	19	$2,095.00	$481.85 77% off	$607.55	$2,095.00	$913.50	2026-03-23
32556	CPT	Hc Pleural Drain Cath Wo Img Guid	66	19	$3,767.00	$866.41 77% off	$171.00	$4,520.00	$1,310.80	2026-03-23
33276	CPT	Hc Insertion Phrenic Nerve Stimulator System	40	19	$59,627.00	$13,714.21 77% off	$14,303.00	$59,627.00	$20,055.22	2026-03-23
33277	CPT	Hc Insj Phrenic Nrv Stimulator Transvns Sensing Ld	39	19	$22,755.00	$5,233.65 77% off	$157.00	$22,755.00	$6,598.95	2026-03-23
33278	CPT	Hc Removal Phrenic Nerve Stimulator System	40	19	$6,633.00	$1,525.59 77% off	$1,923.57	$6,633.00	$2,580.24	2026-03-23
33279	CPT	Hc Rmvl Phrnc Nrv Stimulator Transvns Stimj/snsg Ld	40	19	$6,633.00	$1,525.59 77% off	$1,923.57	$6,633.00	$2,580.24	2026-03-23
33280	CPT	Hc Rmvl Phrenic Nrv Stimulator Pulse Generator Only	40	19	$6,633.00	$1,525.59 77% off	$1,923.57	$6,633.00	$2,580.24	2026-03-23
33281	CPT	Hc Repositioning Phrenic Nrv Stimulator Transvns Ld	40	19	$6,633.00	$1,525.59 77% off	$1,923.57	$6,633.00	$2,580.24	2026-03-23
33287	CPT	Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator	40	19	$59,627.00	$13,714.21 77% off	$14,200.00	$59,627.00	$18,156.42	2026-03-23
33288	CPT	Hc Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stimj/snsg Ld	40	19	$22,755.00	$5,233.65 77% off	$948.00	$22,755.00	$8,273.76	2026-03-23
33948	CPT	Hc Ecmo/ecls Daily Management Each Day Veno-venous	39	19	$1,764.00	$405.72 77% off	$511.56	$11,393.49	$1,125.43	2026-03-23
33949	CPT	Hc Ecmo/ecls Daily Management Ea Day Veno-arterial	39	19	$1,764.00	$405.72 77% off	$511.56	$11,393.49	$1,125.43	2026-03-23
33951	CPT	Hc Ecmo/ecls Insj Of Prph Cannula Birth-5 Yrs Perq	39	19	$1,976.00	$454.48 77% off	$573.04	$11,393.49	$1,260.69	2026-03-23
33952	CPT	Hc Ecmo/ecls Insj Of Prph Cannula 6 Yrs&older Perq	39	19	$1,976.00	$454.48 77% off	$573.04	$11,393.49	$1,260.69	2026-03-23
33953	CPT	Hc Ecmo/ecls Insj Of Prph Cannula Birth-5 Yrs Open	39	19	$1,976.00	$454.48 77% off	$573.04	$11,393.49	$1,260.69	2026-03-23
33954	CPT	Hc Ecmo/ecls Insj Of Prph Cannula 6 Yrs&older Open	39	19	$1,976.00	$454.48 77% off	$573.04	$11,393.49	$1,260.69	2026-03-23
33955	CPT	Hc Ecmo/ecls Insj Of Central Cannula Birth-5 Yrs	39	19	$1,976.00	$454.48 77% off	$573.04	$11,393.49	$1,260.69	2026-03-23
33956	CPT	Hc Ecmo/ecls Insj Of Central Cannula 6 Yrs & Older	39	19	$1,976.00	$454.48 77% off	$573.04	$11,393.49	$1,260.69	2026-03-23
33957	CPT	Hc Ecmo/ecls Repos Periph Cannula Perq Birth-5 Yrs	39	19	$1,581.00	$363.63 77% off	$458.49	$11,393.49	$1,107.00	2026-03-23
33958	CPT	Hc Ecmo/ecls Repos Perph Cannula Prq 6 Yrs & Older	39	19	$1,581.00	$363.63 77% off	$458.49	$11,393.49	$1,107.00	2026-03-23
33959	CPT	Hc Ecmo/ecls Repos Perph Cannula Open Birth-5 Yrs	39	19	$1,581.00	$363.63 77% off	$458.49	$11,393.49	$1,107.00	2026-03-23
33962	CPT	Hc Ecmo/ecls Repos Perph Cannula Open 6 Yrs & Older	39	19	$1,581.00	$363.63 77% off	$458.49	$11,393.49	$1,107.00	2026-03-23
33963	CPT	Hc Ecmo/ecls Repos Central Perph Cannula Birth-5yrs	39	19	$1,581.00	$363.63 77% off	$458.49	$11,393.49	$1,107.00	2026-03-23
33964	CPT	Hc Ecmo/ecls Ecls Repos Central Cnula 6yrs & Older	39	19	$1,581.00	$363.63 77% off	$458.49	$11,393.49	$1,107.00	2026-03-23
33965	CPT	Hc Ecmo/ecls Rmvl Of Perph Cannula Perq Birth-5 Yrs	39	19	$1,264.00	$290.72 77% off	$366.56	$11,393.49	$948.00	2026-03-23
33966	CPT	Hc Ecmo/ecls Rmvl Of Prph Cannula Prq 6 Yrs & Older	39	19	$1,264.00	$290.72 77% off	$366.56	$11,393.49	$948.00	2026-03-23
33969	CPT	Hc Ecmo/ecls Rmvl Of Perph Cannula Open Birth-5 Yrs	39	19	$1,264.00	$290.72 77% off	$366.56	$11,393.49	$948.00	2026-03-23
33984	CPT	Hc Ecmo/ecls Rmvl Prph Cannula Open 6 Yrs & Older	39	19	$1,264.00	$290.72 77% off	$366.56	$11,393.49	$948.00	2026-03-23
33985	CPT	Hc Ecmo/ecls Removal Of Central Cannula Birth-5 Yrs	39	19	$1,264.00	$290.72 77% off	$366.56	$11,393.49	$948.00	2026-03-23
33986	CPT	Hc Ecmo/ecls Rmvl Of Central Cannula 6 Yrs & Older	39	19	$1,264.00	$290.72 77% off	$366.56	$11,393.49	$948.00	2026-03-23
33988	CPT	Hc Insert Left Heart Vent By Thoracic Inc Ecmo/ecls	39	19	$1,976.00	$454.48 77% off	$573.04	$11,393.49	$1,260.69	2026-03-23
33989	CPT	Hc Rmvl Left Heart Vent By Thoracic Incis Ecmo/ecls	39	19	$1,264.00	$290.72 77% off	$366.56	$11,393.49	$948.00	2026-03-23
35201	CPT	Hc Repair Blood Vessel Direct Neck	33	19	$5,286.00	$1,215.78 77% off	$171.00	$5,286.00	$1,578.93	2026-03-23
35226	CPT	Hc Repr Bld Vessel Dir Lower Ext	33	19	$2,978.00	$684.94 77% off	$171.00	$3,046.27	$889.53	2026-03-23
36572	CPT	Hc Insert Picc Incl Img Guid S&i <5 Yrs	42	19	$4,385.00	$1,008.55 77% off	$578.00	$4,385.00	$1,369.22	2026-03-23
36573	CPT	Hc Insert Picc Incl Img Guid Rad S&i 5 Yrs+	42	19	$4,468.00	$1,027.64 77% off	$578.00	$4,468.00	$1,519.49	2026-03-23
36576	CPT	Hc Cvad Repair W Sub Port	42	19	$25,165.00	$5,787.95 77% off	$578.00	$25,165.00	$7,297.85	2026-03-23
36580	CPT	Hc Rplcmt Compl Nontun Cvc Without Subq Port/pump	42	19	$3,163.00	$727.49 77% off	$578.00	$3,163.00	$1,063.61	2026-03-23
36836	CPT	Hc Perq Av Fistula Creation Uxtr Single Access	39	19	$14,476.00	$3,329.48 77% off	$578.00	$14,476.00	$4,365.96	2026-03-23
36837	CPT	Hc Perq Av Fistula Creation Uxtr Sep Access Sites	39	19	$14,476.00	$3,329.48 77% off	$578.00	$14,476.00	$4,365.96	2026-03-23
37195	CPT	Hc Thrombolysis Cerebral IV Infusion	33	19	$6,454.00	$1,484.42 77% off	$171.00	$6,454.00	$1,871.66	2026-03-23
37618	CPT	Hc Ligation Major Artery Extremity	41	19	$2,750.00	$632.50 77% off	$775.00	$3,046.27	$962.50	2026-03-23
37785	CPT	Hc Ligation/div/excision Of Vein	42	19	$1,348.00	$310.04 77% off	$390.92	$3,786.00	$950.50	2026-03-23
38220	CPT	Hc Dx Bone Marrow Aspiration(s)	42	19	$1,768.00	$406.64 77% off	$512.72	$2,690.59	$966.50	2026-03-23
38221	CPT	Hc Dx Bone Marrow Biopsy(ies)	42	19	$2,367.00	$544.41 77% off	$578.00	$2,690.59	$966.50	2026-03-23
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	14	6	—	—	$10,715.50	$10,715.50	$10,715.50	2026-03-23
42720	CPT	Hc I&d Absc Rtrphrngl/parapharyngeal Intraoral	40	19	$5,658.00	$1,301.34 77% off	$360.21	$5,658.00	$1,969.35	2026-03-23
43763	CPT	Hc Rplc Gtube Revj Gstrst Trc	33	19	$4,982.00	$1,145.86 77% off	$171.00	$4,982.00	$1,444.78	2026-03-23
440	MS_DRG	Disorders Of Pancreas Except Malignancy Without Cc/mcc	14	6	—	—	$6,558.00	$6,558.00	$6,558.00	2026-03-23
44120	CPT	Hc Entrc Rescj Small Intestine 1 Resct & Anast	41	19	$2,552.00	$586.96 77% off	$740.08	$5,799.67	$1,628.18	2026-03-23
44799	CPT	Hc Unlisted Proc Small Intst	40	19	$4,697.00	$1,080.31 77% off	$704.00	$4,697.00	$1,607.35	2026-03-23
44970	CPT	Hc Laproscopic Appendectomy	42	19	$10,248.00	$2,357.04 77% off	$1,248.00	$10,248.00	$3,120.52	2026-03-23
45100	CPT	Hc Bx Anorectal Wall Anal Approach	33	19	$4,948.00	$1,138.04 77% off	$171.00	$4,948.00	$1,477.97	2026-03-23
45349	CPT	Hc Sgmdsc Flx With Endoscopic Mucosal Resection	40	19	$4,948.00	$1,138.04 77% off	$1,107.00	$4,948.00	$1,705.33	2026-03-23
45380	CPT	Hc Colonoscopy W/biopsy Single/multiple	42	19	$2,065.00	$474.95 77% off	$598.85	$2,065.00	$1,027.50	2026-03-23
45900	CPT	Hc Reduction Of Rectal Prolapse W/anes	33	19	$5,231.00	$1,203.13 77% off	$106.92	$5,231.00	$1,562.50	2026-03-23
46040	CPT	Hc I&d Perirectal Abscess	33	19	$3,762.00	$865.26 77% off	$171.00	$3,762.00	$1,123.71	2026-03-23
47000	CPT	Hc Bx Liver Perc	42	19	$2,952.00	$678.96 77% off	$704.00	$2,952.00	$1,023.46	2026-03-23
47543	CPT	Hc Endoluminal Bx Biliary Tree Prq Any Meth 1/mlt	37	19	$3,589.00	$825.47 77% off	$157.00	$8,150.06	$1,057.46	2026-03-23
47544	CPT	Hb Removal Biliary Duct &/glbldr Calculi Perq Rs&i	37	19	$3,589.00	$825.47 77% off	$157.00	$8,150.06	$1,057.46	2026-03-23
49441	CPT	Hc Insert Duodenostomy/jejunostomy Tube Perq	42	19	$3,291.00	$756.93 77% off	$494.01	$3,291.00	$1,002.11	2026-03-23
49999	CPT	Hc Unlisted Procedure Abdomen Peritoneum & Omentum	32	19	$13,396.00	$3,081.08 77% off	$171.00	$13,396.00	$3,884.84	2026-03-23
51102	CPT	Hc Asp Of Blddr Ins Suprapubic Cath	33	19	$3,880.00	$892.40 77% off	$171.00	$3,880.00	$1,158.96	2026-03-23
53060	CPT	Hc DRG Of Skene's Gland Abscess Or Cyst	33	19	$3,743.00	$860.89 77% off	$72.27	$4,315.26	$1,118.03	2026-03-23
54235	CPT	Hc Njx C/p/a Cavernosa W/pharmacologic Agt	33	19	$6,028.00	$1,386.44 77% off	$69.64	$6,028.00	$1,748.12	2026-03-23
563	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	14	6	—	—	$11,310.00	$11,310.00	$11,310.00	2026-03-23
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	14	6	—	—	$6,543.50	$6,543.50	$6,543.50	2026-03-23
57105	CPT	Hc Biopsy Vaginal Mucosa Extensive	40	19	$5,313.00	$1,221.99 77% off	$189.18	$5,313.00	$1,963.16	2026-03-23
57295	CPT	Hc Revj/rmvl Prosthetic Vaginal Graft Vaginal App	42	19	$5,313.00	$1,221.99 77% off	$1,082.00	$5,313.00	$1,831.12	2026-03-23
57415	CPT	Hc Rmvl Impacted Vag Fb W Anes Oth/thn Local	42	19	$1,923.00	$442.29 77% off	$557.67	$3,647.48	$1,087.43	2026-03-23
57800	CPT	Hc Dilation Cervical Canal Instrumental Spx	42	19	$5,745.00	$1,321.35 77% off	$578.00	$5,745.00	$1,749.35	2026-03-23
58120	CPT	Hc Dilation & Curettage Dx&/ther Nonobstetric	33	19	$5,426.00	$1,247.98 77% off	$171.00	$5,426.00	$1,620.75	2026-03-23
603	MS_DRG	Cellulitis Without Mcc	14	6	—	—	$8,907.50	$8,907.50	$8,907.50	2026-03-23
60660	CPT	Hc Abltj 1/+thyroid Nodule 1 Lobe/isthmus Perq Rf	30	18	$3,125.00	$718.75 77% off	$320.00	$3,125.00	$947.03	2026-03-23
639	MS_DRG	Diabetes Without Cc/mcc	14	6	—	—	$3,630.00	$3,630.00	$3,630.00	2026-03-23
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	14	6	—	—	$7,946.50	$7,946.50	$7,946.50	2026-03-23
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	14	6	—	—	$4,306.25	$4,306.25	$4,306.25	2026-03-23
64624	CPT	Hc Destruction Neurolytic Agt Genicular Nerve W/img	42	19	$3,548.00	$816.04 77% off	$578.00	$3,548.00	$1,570.50	2026-03-23
64999	CPT	Hc Unlisted Procedure Nervous System	39	19	$10,556.00	$2,427.88 77% off	$190.09	$10,556.00	$3,214.30	2026-03-23
67715	CPT	Hc Canthotomy Seperate Procedure	33	19	$4,055.00	$932.65 77% off	$79.35	$4,055.00	$1,211.23	2026-03-23
683	MS_DRG	Renal Failure With Cc	14	6	—	—	$7,047.75	$7,047.75	$7,047.75	2026-03-23
684	MS_DRG	Renal Failure Without Cc/mcc	14	6	—	—	$4,382.00	$4,382.00	$4,382.00	2026-03-23
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	14	6	—	—	$9,126.50	$9,126.50	$9,126.50	2026-03-23
75580	CPT	Hc Noninvas Est C Ffr Augmnt Sw Alys CTA I&r Phy/qhp	42	19	$5,856.00	$1,346.88 77% off	$544.04	$5,856.00	$1,737.30	2026-03-23
81162	CPT	Hc Brca1 Brca2 Gene Analysis Full Seq And Full Dup/del	42	19	$9,190.00	$2,113.70 77% off	$1,824.88	$9,190.00	$2,771.15	2026-03-23
81220	CPT	Hc Anlys Gene Cftr Common Variants	42	19	$6,571.00	$1,511.33 77% off	$405.25	$6,571.00	$1,905.59	2026-03-23
81223	CPT	Hc Anlys Gene Cftr Full Gene Seq	42	19	$4,436.00	$1,020.28 77% off	$405.25	$4,436.00	$1,286.44	2026-03-23
81259	CPT	Hc Analys Gene Hba1/hba2 Full Sequence	42	19	$3,285.00	$755.55 77% off	$540.00	$3,285.00	$974.56	2026-03-23
81292	CPT	Hc Anlys Gene Mlh1 Full Sequence	42	19	$11,091.00	$2,550.93 77% off	$581.62	$11,091.00	$3,216.39	2026-03-23
81295	CPT	Hc Anlys Gene Msh2 Full Sequence	42	19	$9,864.00	$2,268.72 77% off	$136.54	$9,864.00	$2,860.56	2026-03-23
81298	CPT	Hc Anlys Gene Msh6 Full Sequence	42	19	$11,091.00	$2,550.93 77% off	$259.05	$11,091.00	$3,216.39	2026-03-23
81302	CPT	Hc Anlys Gene Mecp2 Full Sequence	42	19	$5,584.00	$1,284.32 77% off	$115.92	$5,584.00	$1,619.36	2026-03-23
81317	CPT	Hc Pms2 Gene Analysis Full Sequence	42	19	$4,279.00	$984.17 77% off	$676.50	$4,279.00	$1,250.84	2026-03-23
81351	CPT	Hc Tp53 Gene Analysis Full Gene Sequence	41	19	$3,514.00	$808.22 77% off	$577.67	$3,514.00	$1,035.37	2026-03-23
81407	CPT	Hc Molecular Pathology Procedure Level 8	42	19	$3,186.00	$732.78 77% off	$741.65	$3,186.00	$965.52	2026-03-23
81408	CPT	Hc Molecular Pathology Procedure Level 9	42	19	$5,533.00	$1,272.59 77% off	$1,604.57	$5,533.00	$2,000.00	2026-03-23
81418	CPT	Hc Rx Metab Genomic Seq Alys Panel At Least 6 Genes	39	19	$3,457.00	$795.11 77% off	$741.65	$3,457.00	$1,032.61	2026-03-23
81419	CPT	Hc Epilepsy Genomic Sequence Analysis Panel	41	19	$13,407.00	$3,083.61 77% off	$2,203.70	$13,407.00	$3,950.24	2026-03-23
81432	CPT	Hc Hereditary Brst Ca-rlatd Do Gen Seq Alys 5+ Gen	42	19	$3,123.00	$718.29 77% off	$679.05	$3,123.00	$926.50	2026-03-23
81435	CPT	Hc Hereditary Colon Ca Genomic Seq Analysis	42	19	$4,363.00	$1,003.49 77% off	$405.25	$4,363.00	$1,275.39	2026-03-23
81440	CPT	Hc Mitochondrial Genes Genomic Seq Panel	42	19	$18,200.00	$4,186.00 77% off	$2,664.57	$18,200.00	$5,399.40	2026-03-23
81441	CPT	Hc Ibmfs Sequence Analysis Panel At Least 30 Genes	41	19	$4,691.00	$1,078.93 77% off	$1,360.39	$4,691.00	$2,203.70	2026-03-23
81443	CPT	Hc Genetic Testing For Severe Inherited Conditions	41	19	$13,407.00	$3,083.61 77% off	$2,203.70	$13,407.00	$3,950.24	2026-03-23
81450	CPT	Hc Target Genomic Seq Analys Hl Neopl/disorder 5-50 Genes	42	19	$3,550.00	$816.50 77% off	$80.85	$3,550.00	$1,053.18	2026-03-23
81455	CPT	Hc Target Genomic Seq Analys Hl Neopl/disorder 51/more Genes	42	19	$15,986.00	$3,676.78 77% off	$2,627.64	$15,986.00	$4,742.57	2026-03-23
81456	CPT	Hc Tgsap So/hematolymphoid Neo/do 51/>rna Analysis	41	19	$4,121.00	$947.83 77% off	$1,195.09	$4,121.00	$1,990.44	2026-03-23
81460	CPT	Hc Whole Mitochondrial Genome	42	19	$7,048.00	$1,621.04 77% off	$1,158.30	$7,048.00	$2,163.80	2026-03-23
81465	CPT	Hc Whole Mitochondrial Genome Large Del Analy Panel	42	19	$5,124.00	$1,178.52 77% off	$741.65	$5,124.00	$1,520.14	2026-03-23
81529	CPT	Hc Onc Cutan Mlnma Mrna Gene Xprs Prfl 31 Genes Alg	41	19	$39,386.00	$9,058.78 77% off	$2,664.57	$39,386.00	$11,604.69	2026-03-23
81540	CPT	Hc Oncology Tum Unknown Origin Mrna 92 Genes	42	19	$10,796.00	$2,483.08 77% off	$2,628.27	$10,796.00	$3,287.38	2026-03-23
81546	CPT	Hc Onc Thyr Mrna 10 196 Genes Fine Ndl Asp Alg	41	19	$19,712.00	$4,533.76 77% off	$2,664.57	$19,712.00	$5,807.94	2026-03-23
81554	CPT	Hc Pulm Ds Ipf Mrna 190 Gene Transbronch Bx Alg	41	19	$30,115.00	$6,926.45 77% off	$2,664.57	$30,115.00	$8,873.08	2026-03-23
854	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Cc	14	6	—	—	$10,054.50	$10,054.50	$10,054.50	2026-03-23
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	14	6	—	—	$7,672.75	$7,672.75	$7,672.75	2026-03-23
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	14	6	—	—	$8,370.50	$8,370.50	$8,370.50	2026-03-23
87483	CPT	Hc Cns DNA Amp Probe Type 12-25	42	19	$3,131.00	$720.13 77% off	$204.38	$3,131.00	$913.41	2026-03-23
90375	CPT	Rabies Ig Im/sc	86	19	$23,923.15	$5,502.32 77% off	$115.76	$24,742.51	$6,937.71	2026-03-23
90675	CPT	Rabies Vaccine Pcec For Inj	64	19	$3,644.47	$838.23 77% off	$53.19	$3,895.71	$1,119.76	2026-03-23
92	MS_DRG	Other Disorders Of Nervous System With Cc	14	6	—	—	$10,608.50	$10,608.50	$10,608.50	2026-03-23
92972	CPT	Hc Perq Trluml Coronary Lithitrp Add On	35	19	$9,750.00	$2,242.50 77% off	$401.00	$12,234.58	$2,968.88	2026-03-23
93503	CPT	Hc Insertion Swan Cath Flow Dir	42	19	$7,757.00	$1,784.11 77% off	$185.47	$7,757.00	$2,267.53	2026-03-23
948	MS_DRG	Signs And Symptoms Without Mcc	14	6	—	—	$6,024.25	$6,024.25	$6,024.25	2026-03-23
951	MS_DRG	Other Factors Influencing Health Status	14	6	—	—	$4,856.00	$4,856.00	$4,856.00	2026-03-23
99291	CPT	Hc Fac Critical Care 30 To 74min	34	18	$2,984.00	$686.32 77% off	$51.00	$2,984.00	$904.30	2026-03-23
A2006	HCPCS	Wound Matrix 10 X 10 Novosorb Btm	90	18	$23,645.88	$5,438.55 77% off	$1,891.67	$89,854.34	$7,554.86	2026-03-23
A6010	HCPCS	Heliogen Fibillar Bollagen Matrix 2000 Mg	91	18	$15,504.65	$3,566.07 77% off	$17.15	$30,905.58	$4,721.17	2026-03-23
A9521	HCPCS	Technetium Tc 99m Exametazime IV For Soln Kit	30	18	$3,100.00	$713.00 77% off	$708.40	$3,100.00	$943.95	2026-03-23
A9542	HCPCS	Ibritumomab Tiuxetan For Yttrium-90 (y-90) Kit 3.2 Mg/2ml	28	18	$9,647.00	$2,218.81 77% off	$718.22	$9,647.00	$2,937.51	2026-03-23
A9548	HCPCS	Pentetate Indium Disodium In 111 Intrathecal Inj	30	18	$3,586.00	$824.78 77% off	$640.78	$3,586.00	$1,091.94	2026-03-23
A9569	HCPCS	Technetium Tc 99m Exametazime IV For Soln Kit	30	18	$5,458.00	$1,255.34 77% off	$936.29	$5,458.00	$1,661.96	2026-03-23
A9570	HCPCS	Indium In-111 Oxyquinoline IV Soln 1 Mci/ml	28	18	$3,956.00	$909.88 77% off	$928.25	$3,956.00	$1,204.60	2026-03-23
A9572	HCPCS	Indium In-111 Pentetreotide Kit	30	18	$7,133.00	$1,640.59 77% off	$1,723.15	$7,133.00	$2,172.00	2026-03-23
A9582	HCPCS	Iobenguane Sulfate I 123 IV Soln 10 Mci/5ml (2 Mci/ml)	30	18	$6,710.00	$1,543.30 77% off	$1,867.33	$6,710.00	$2,043.20	2026-03-23
A9584	HCPCS	Ioflupane I 123 IV Soln 185 Mbq/2.5ml (2 Mci/ml)	29	18	$6,868.00	$1,579.64 77% off	$1,991.72	$6,868.00	$2,091.31	2026-03-23
A9588	HCPCS	Fluciclovine F 18 IV Soln 9-221 Mci/ml (335-8200 Mbq/ml)	34	18	$5,456.00	$1,254.88 77% off	$350.60	$5,456.00	$1,594.90	2026-03-23
A9600	HCPCS	Strontium-89 Chloride Inj 1 Mci/ml	42	19	$3,531.00	$812.13 77% off	$837.39	$19,563.22	$1,216.96	2026-03-23
A9604	HCPCS	Samarium Sm 153 Lexidronam Inj 1850 Mbq/ml (50 Mci/ml)	42	19	$17,734.00	$4,078.82 77% off	$5,142.86	$19,563.22	$6,898.53	2026-03-23
C1052	HCPCS	Hemostatic Agent, Gi, Topic	30	18	$23,853.30	$5,486.26 77% off	$6,917.46	$23,853.30	$7,448.19	2026-03-23
C1713	HCPCS	Anchor/screw Bn/bn,tis/bn	72,314	18	$5,170.98	$1,191.43 77% off	$0.03	$180,662.82	$1,731.10	2026-03-23
C1714	HCPCS	Device Atherectomy Hawkone 7fr	120	18	$37,931.93	$8,724.34 77% off	$9,624.29	$38,759.02	$11,745.92	2026-03-23
C1721	HCPCS	Aicd, Dual Chamber	330	18	$98,366.86	$22,624.38 77% off	$12,984.43	$128,081.85	$31,880.45	2026-03-23
C1722	HCPCS	Aicd, Single Chamber	330	18	$95,413.20	$21,945.04 77% off	$11,361.37	$197,049.00	$30,210.92	2026-03-23
C1724	HCPCS	Cath, Trans Atherec,rotation	240	18	$34,328.01	$7,895.44 77% off	$1,451.94	$41,432.15	$10,210.77	2026-03-23
C1725	HCPCS	Cath, Translumin Non-laser	4,016	18	$3,246.12	$746.61 77% off	$49.78	$93,339.00	$1,134.02	2026-03-23
C1726	HCPCS	Cath, Bal Dil, Non-vascular	2,162	18	$4,325.74	$994.92 77% off	$33.13	$35,520.68	$1,458.26	2026-03-23
C1727	HCPCS	Spacemaker Pro With Blunt Tip Trocar Dissection Kit	120	18	$9,083.85	$2,089.28 77% off	$1,375.69	$10,094.30	$2,927.35	2026-03-23
C1729	HCPCS	Cath, Drainage	2,340	18	$2,868.93	$659.86 77% off	$28.64	$75,881.60	$1,115.11	2026-03-23
C1730	HCPCS	Cath, Ep, 19 Or Few Elect	810	18	$3,308.35	$760.92 77% off	$41.48	$26,311.23	$1,085.74	2026-03-23
C1731	HCPCS	Cath Ep Diag Superlarge Curl 7fr X 95cm Reprocessed	360	18	$10,127.28	$2,329.27 77% off	$398.25	$20,887.19	$3,191.05	2026-03-23
C1732	HCPCS	Cath, Ep, Diag/abl, 3d/vect	450	18	$28,789.90	$6,621.68 77% off	$691.95	$43,423.38	$8,602.45	2026-03-23
C1733	HCPCS	Cath, Ep, Othr Than Cool-tip	510	18	$8,898.32	$2,046.61 77% off	$836.32	$87,634.95	$3,679.43	2026-03-23
C1737	HCPCS	Si&pelvis Fusn&fixn Dev	32	18	$44,076.75	$10,137.65 77% off	$739.63	$44,076.75	$13,357.46	2026-03-23
C1747	HCPCS	Endo, Single, Urinary Tract	62	18	$25,901.58	$5,957.36 77% off	$4,511.39	$36,246.65	$10,511.53	2026-03-23
C1753	HCPCS	Cath, Intravas Ultrasound	158	18	$9,243.57	$2,126.02 77% off	$1,078.58	$27,483.15	$2,924.88	2026-03-23
C1754	HCPCS	Catheter, Intradiscal	60	18	$19,134.50	$4,400.93 77% off	$2,464.15	$22,868.06	$6,631.74	2026-03-23
C1755	HCPCS	Cath Navicross Support .018x135cm Straight Tip	90	18	$6,627.07	$1,524.23 77% off	$404.42	$10,837.70	$2,008.33	2026-03-23
C1757	HCPCS	Cath, Thrombectomy/embolect	1,876	18	$17,682.56	$4,066.99 77% off	$59.74	$124,452.00	$5,502.51	2026-03-23
C1759	HCPCS	Cath Set Throm Avx 6fr X 50cm 105039-001	270	18	$21,747.99	$5,002.04 77% off	$1,078.58	$35,261.40	$6,622.27	2026-03-23
C1761	HCPCS	Cath, Trans Intra Litho/coro	30	18	$48,743.70	$11,211.05 77% off	$7,798.99	$48,743.70	$14,771.78	2026-03-23
C1762	HCPCS	Conn Tiss, Human(inc Fascia)	2,100	18	$22,634.71	$5,205.99 77% off	$123.94	$187,965.25	$7,305.75	2026-03-23
C1763	HCPCS	Conn Tiss, Non-human	540	18	$22,017.63	$5,064.06 77% off	$462.56	$148,201.59	$7,780.73	2026-03-23
C1764	HCPCS	Biomonitor 2-af Loop Recorder	270	18	$45,290.16	$10,416.74 77% off	$5,475.89	$48,743.70	$13,916.85	2026-03-23
C1765	HCPCS	Barrier Adhesion Interceed 3x4	90	18	$3,552.90	$817.17 77% off	$563.97	$9,746.52	$1,254.17	2026-03-23
C1766	HCPCS	Cath Flex Pro Contour 10fr 20mm	240	18	$12,185.92	$2,802.77 77% off	$2,157.17	$25,927.50	$4,307.06	2026-03-23
C1767	HCPCS	Pulse Generator	330	18	$134,823.00	$31,009.29 77% off	$290.39	$189,011.48	$43,610.06	2026-03-23
C1768	HCPCS	Graft, Vascular	5,880	18	$16,457.22	$3,785.16 77% off	$13.97	$331,872.00	$5,556.84	2026-03-23
C1771	HCPCS	Rep Dev, Urinary, W/sling	360	18	$12,286.47	$2,825.89 77% off	$1,242.64	$108,325.10	$4,144.33	2026-03-23
C1772	HCPCS	Infusion Pump, Programmable	90	18	$120,241.37	$27,655.52 77% off	$174.23	$126,567.68	$35,148.96	2026-03-23
C1773	HCPCS	Ret Dev, Insertable	671	18	$6,274.46	$1,443.13 77% off	$93.08	$66,872.21	$2,068.39	2026-03-23
C1776	HCPCS	Joint Device (implantable)	22,492	18	$23,002.88	$5,366.99 77% off	$0.03	$221,420.85	$7,585.20	2026-03-23
C1777	HCPCS	Lead, Aicd, Endo Single Coil	150	18	$23,853.30	$5,486.26 77% off	$2,125.66	$29,793.81	$8,045.30	2026-03-23
C1778	HCPCS	Lead, Neurostimulator	660	18	$24,579.27	$5,653.24 77% off	$66.37	$181,492.50	$7,791.73	2026-03-23
C1781	HCPCS	Mesh (implantable)	6,780	18	$9,393.01	$2,160.39 77% off	$18.80	$172,417.88	$3,172.00	2026-03-23
C1782	HCPCS	Morcellator Laparoscopic Xcise	60	18	$7,884.55	$1,813.44 77% off	$2,207.57	$8,156.79	$2,483.74	2026-03-23
C1783	HCPCS	Valve Ahmed Glaucoma	120	18	$9,463.54	$2,176.61 77% off	$99.56	$20,482.73	$3,458.73	2026-03-23
C1785	HCPCS	Pmkr, Dual, Rate-resp	210	18	$26,964.60	$6,201.86 77% off	$3,318.72	$47,250.28	$8,727.57	2026-03-23
C1786	HCPCS	Pmkr, Single, Rate-resp	300	18	$52,369.40	$12,044.97 77% off	$3,197.47	$126,733.62	$18,771.51	2026-03-23
C1787	HCPCS	Sleep Remote	90	18	$14,519.40	$3,339.46 77% off	$3,915.88	$133,938.25	$6,427.45	2026-03-23
C1788	HCPCS	Port, Indwelling, Imp	390	18	$2,642.53	$607.78 77% off	$226.50	$9,074.63	$919.37	2026-03-23
C1789	HCPCS	Prosthesis, Breast, Imp	1,020	18	$11,978.51	$2,755.06 77% off	$300.34	$21,934.67	$3,729.41	2026-03-23
C1813	HCPCS	Prosthesis, Penile, Inflatab	330	18	$57,766.47	$13,286.29 77% off	$1,239.54	$150,016.52	$20,849.63	2026-03-23
C1815	HCPCS	Ams S.t. Cuff Belt Fgs 4.5cm Iz	180	18	$76,563.91	$17,609.70 77% off	$5,716.50	$81,930.90	$22,887.76	2026-03-23
C1817	HCPCS	Septal Defect Imp Sys	240	18	$65,586.21	$15,084.83 77% off	$1,294.30	$103,658.15	$19,392.94	2026-03-23
C1820	HCPCS	Cap Code Ipg Iq Stimulator	300	18	$134,558.54	$30,948.47 77% off	$365.06	$191,863.50	$46,016.13	2026-03-23
C1821	HCPCS	Interspinous Implant	840	18	$32,943.48	$7,577.00 77% off	$82.97	$95,413.20	$10,319.15	2026-03-23
C1822	HCPCS	Kit Nevro Stim Hf10c	30	18	$171,121.50	$39,357.95 77% off	$27,379.44	$171,121.50	$51,858.38	2026-03-23
C1825	HCPCS	System Barostim Neo2	30	18	$326,686.50	$75,137.90 77% off	$52,269.84	$326,686.50	$99,002.35	2026-03-23
C1874	HCPCS	Stent, Coated/cov W/del Sys	2,430	18	$33,570.93	$7,721.31 77% off	$0.29	$352,614.00	$11,292.30	2026-03-23
C1875	HCPCS	Stent Thoracic 40 X 36 X 154	30	18	$165,417.45	$38,046.01 77% off	$26,466.79	$165,417.45	$50,129.76	2026-03-23
C1876	HCPCS	Stent, Non-coa/non-cov W/del	2,100	18	$13,414.89	$3,085.43 77% off	$66.36	$176,244.77	$5,036.97	2026-03-23
C1877	HCPCS	Implant Right Frontal Sphenoid Parietal Temporal	90	18	$47,706.60	$10,972.52 77% off	$1,899.14	$129,637.50	$14,457.49	2026-03-23
C1878	HCPCS	Kit Thyroplasty Male Single Procedure	30	18	$7,902.70	$1,817.62 77% off	$1,264.43	$7,902.70	$2,394.91	2026-03-23
C1880	HCPCS	Vena Cava Filter	300	18	$9,178.34	$2,111.01 77% off	$147.68	$49,263.60	$2,812.92	2026-03-23
C1882	HCPCS	Aicd, Other Than Sing/dual	420	18	$149,964.66	$34,491.88 77% off	$19,041.16	$174,449.87	$45,650.46	2026-03-23
C1884	HCPCS	Embolization Protect Syst	300	18	$16,164.87	$3,717.92 77% off	$0.29	$41,369.92	$4,812.14	2026-03-23
C1885	HCPCS	Cath, Translumin Angio Laser	90	18	$30,024.05	$6,905.53 77% off	$4,471.98	$34,172.45	$9,888.15	2026-03-23
C1886	HCPCS	Catheter, Ablation	210	18	$30,573.71	$7,031.95 77% off	$269.41	$45,901.53	$9,265.37	2026-03-23
C1888	HCPCS	Cath Closure Fast 7fr X 60cm	90	18	$17,676.33	$4,065.56 77% off	$1,244.52	$20,742.00	$5,519.44	2026-03-23
C1889	HCPCS	Implant/insert Device, Noc	10,230	18	$17,278.09	$3,973.96 77% off	$11.60	$352,614.00	$5,810.66	2026-03-23
C1893	HCPCS	Intro/sheath, Fixed,non-peel	210	18	$3,783.34	$870.17 77% off	$496.25	$14,425.96	$1,283.56	2026-03-23
C1895	HCPCS	Lead 58cm Df4 Dual Coil Icd	120	18	$26,819.40	$6,168.47 77% off	$3,662.01	$29,793.81	$8,637.80	2026-03-23
C1896	HCPCS	Electrode Sub-q Emblem 45cm	30	18	$41,484.00	$9,541.32 77% off	$6,637.44	$41,484.00	$12,571.72	2026-03-23
C1898	HCPCS	Lead, Pmkr, Other Than Trans	240	18	$3,733.56	$858.72 77% off	$462.96	$4,563.24	$1,233.11	2026-03-23
C1900	HCPCS	Lead, Coronary Venous	150	18	$16,593.60	$3,816.53 77% off	$1,886.69	$57,040.50	$5,857.54	2026-03-23
C2615	HCPCS	Sealant Progel	30	18	$12,569.65	$2,891.02 77% off	$2,011.14	$12,569.65	$3,809.24	2026-03-23
C2618	HCPCS	Needle Icepearl 2.1c X 90 Deg Fprpr3601	60	18	$15,815.77	$3,637.63 77% off	$3,909.87	$18,149.25	$5,309.53	2026-03-23
C2621	HCPCS	Pmkr, Other Than Sing/dual	150	18	$52,564.89	$12,089.92 77% off	$7,716.02	$56,277.19	$16,194.07	2026-03-23
C2622	HCPCS	Prosthesis Malleable Penile Tactra 9.5 X 14-23cm	30	18	$145,142.15	$33,382.69 77% off	$23,222.74	$145,142.15	$43,985.32	2026-03-23
C2623	HCPCS	Cath, Translumin, Drug-coat	593	18	$18,667.80	$4,293.59 77% off	$1,982.94	$29,909.96	$6,040.74	2026-03-23
C2624	HCPCS	Delivery Sys & Sensor Cardiomems Pa	30	18	$197,049.00	$45,321.27 77% off	$31,527.84	$197,049.00	$59,715.70	2026-03-23
C2628	HCPCS	Catheter, Occlusion	540	18	$3,479.47	$800.28 77% off	$118.80	$45,881.30	$1,417.51	2026-03-23
C2630	HCPCS	Cath, Ep, Cool-tip	30	18	$21,913.92	$5,040.20 77% off	$6,355.04	$21,913.92	$6,842.62	2026-03-23
C2631	HCPCS	Device Suture Capuring Capio Slim Single	90	18	$5,762.96	$1,325.48 77% off	$320.26	$19,489.18	$1,754.82	2026-03-23
C7557	HCPCS	Hc Cor Angio Vent W Ffr	39	19	$5,793.00	$1,332.39 77% off	$1,279.00	$5,793.00	$1,965.56	2026-03-23
C9353	HCPCS	Neurawrap Nerve Protector,cm	120	18	$32,118.99	$7,387.36 77% off	$4,077.05	$38,746.06	$9,878.13	2026-03-23
C9355	HCPCS	Neuromatrix Nerve Cuff, Cm	30	18	$10,883.02	$2,503.09 77% off	$1,741.28	$10,883.02	$3,298.10	2026-03-23
C9359	HCPCS	Paste Allosync Dbm Paste 8cc	60	18	$7,489.16	$1,722.51 77% off	$331.87	$12,904.12	$2,069.43	2026-03-23
C9361	HCPCS	Neuromend Nerve Wrap	150	18	$15,867.01	$3,649.41 77% off	$1,603.19	$24,689.20	$5,106.40	2026-03-23
C9772	HCPCS	Hc Revasc Lithotrip Tibi/perone	40	19	$20,337.00	$4,677.51 77% off	$948.00	$20,337.00	$7,546.05	2026-03-23
C9773	HCPCS	Hc Revasc Lithotr-stent Tib/per	40	19	$32,531.00	$7,482.13 77% off	$948.00	$32,531.00	$10,912.50	2026-03-23
C9774	HCPCS	Hc Revasc Lithotr-ather Tib/per	40	19	$32,531.00	$7,482.13 77% off	$948.00	$32,531.00	$10,912.50	2026-03-23
C9775	HCPCS	Hc Revasc Lith-sten-ath Tib/per	40	19	$32,531.00	$7,482.13 77% off	$948.00	$32,531.00	$10,912.50	2026-03-23
C9809	HCPCS	Tip Iovera Gen 2 Smart 190 1 X 90mm	64	18	$3,658.78	$841.52 77% off	$61.39	$3,659.20	$1,142.45	2026-03-23
J0248	HCPCS	Remdesivir For IV Soln 100 Mg	42	19	$4,999.80	$1,149.95 77% off	$4.96	$4,999.80	$1,449.94	2026-03-23
J0597	HCPCS	C1 Esterase Inhibitor (human) For IV Inj Kit 500 Unit	42	19	$25,211.65	$5,798.68 77% off	$27.21	$25,211.65	$7,311.38	2026-03-23
J0840	HCPCS	Crotalidae Polyvalent Immune Fab (ovine) For IV Infusion	42	19	$23,604.44	$5,429.02 77% off	$1,894.15	$23,604.44	$6,845.29	2026-03-23
J0881	HCPCS	Darbepoetin Alfa Soln Prefilled Syringe 500 Mcg/ml	64	19	$8,569.34	$1,970.95 77% off	$2.84	$8,569.34	$1,038.77	2026-03-23
J0885	HCPCS	Epoetin Alfa Inj 40000 Unit/ml	42	19	$7,890.29	$1,814.77 77% off	$8.13	$7,890.29	$2,288.18	2026-03-23
J0897	HCPCS	Denosumab Inj Soln Prefilled Syringe 60 Mg/ml	65	19	$10,936.35	$2,515.36 77% off	$12.99	$13,216.78	$3,330.12	2026-03-23
J1162	HCPCS	Digoxin Immune Fab For Inj 40 Mg	42	19	$32,638.78	$7,506.92 77% off	$540.91	$32,638.78	$9,465.25	2026-03-23
J1439	HCPCS	Ferric Carboxymaltose IV Soln 750 Mg/15ml (fe Equivalent)	42	19	$18,551.37	$4,266.82 77% off	$0.95	$18,551.37	$5,379.90	2026-03-23
J1451	HCPCS	Fomepizole Inj 1 Gm/ml (for IV Infusion)	42	19	$11,071.50	$2,546.45 77% off	$6.58	$11,071.50	$3,210.74	2026-03-23
J1459	HCPCS	Inj Ivig Privigen 500 Mg	42	19	$43,376.67	$9,976.63 77% off	$30.96	$43,376.67	$12,579.23	2026-03-23
J1670	HCPCS	Tetanus Immune Globulin (human) IM Soln Pref Syr 250 Unit/ml	42	19	$4,516.43	$1,038.78 77% off	$39.14	$4,516.43	$1,309.76	2026-03-23
J2506	HCPCS	Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml	42	19	$47,371.18	$10,895.37 77% off	$27.49	$47,371.18	$13,737.64	2026-03-23
J2760	HCPCS	Phentolamine Mesylate For Inj 5 Mg	42	19	$4,710.98	$1,083.53 77% off	$25.53	$4,710.98	$1,366.18	2026-03-23
J3101	HCPCS	Tenecteplase For IV Soln Kit 50 Mg	42	19	$49,645.79	$11,418.53 77% off	$46.74	$49,645.79	$14,397.28	2026-03-23
J7168	HCPCS	Prothrombin Complex Kcentra	65	19	$10,406.91	$2,393.59 77% off	$2.01	$11,183.31	$3,168.90	2026-03-23
L8509	HCPCS	Trach-esoph Voice Pros Md In	124	18	$4,078.40	$938.03 77% off	$496.80	$7,360.71	$1,349.84	2026-03-23
L8606	HCPCS	Agent Bulking Coaptite 1 Ml	90	18	$5,501.82	$1,265.42 77% off	$618.43	$10,889.55	$1,813.67	2026-03-23
L8607	HCPCS	Inj Vocal Cord Bulking Agent	30	18	$7,622.69	$1,753.22 77% off	$1,219.63	$7,622.69	$2,310.06	2026-03-23
L8613	HCPCS	Ossicular Implant	510	18	$4,269.95	$982.09 77% off	$236.13	$111,861.61	$1,293.59	2026-03-23
L8690	HCPCS	Aud Osseo Dev, Int/ext Comp	180	18	$43,973.04	$10,113.80 77% off	$254.80	$49,210.40	$13,067.98	2026-03-23
L8699	HCPCS	Implant Cranial Ips Lp	150	18	$23,853.30	$5,486.26 77% off	$275.45	$180,662.82	$7,228.74	2026-03-23
Q4115	HCPCS	Skin Meshed 120cm	28	18	$12,289.64	$2,826.62 77% off	$8.65	$12,289.64	$3,564.00	2026-03-23
Q4116	HCPCS	Tissue Aloderm 16 X 20cm	327	18	$3,909.87	$899.27 77% off	$28.41	$174,813.58	$1,133.86	2026-03-23
Q9982	HCPCS	Flutemetamol F 18 IV Soln 4.05 Mci/ml (150 Mbq/ml)	34	18	$10,838.00	$2,492.74 77% off	$2,821.50	$10,838.00	$3,572.74	2026-03-23
V2787	HCPCS	Astigmatism-correct Function	180	18	$4,926.23	$1,133.03 77% off	$75.67	$10,938.30	$2,132.57	2026-03-23
V2788	HCPCS	Presbyopia-correct Function	210	18	$9,282.05	$2,134.87 77% off	$257.20	$10,526.57	$2,786.00	2026-03-23

See an error in this hospital's data? Submit a correction