Price Transparency 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

MACON COMMUNITY HOSPITAL

Lafayette, TN · CCN 441305 · Rates published

1,153 distinct procedures filed
20 distinct payers
66,509 rate rows
2025-01-21 last MRF observed · ⚠ 17 mo old
Data quality

63,207 of 66,509 rate rows are consumer-grade (95.0%)

3,302 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 2,958
per-diem day rate — not a per-procedure price 172
placeholder amount (≤ $0.02) — excluded from medians 172

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://maconcommunityhospital.com/wp-content/uploads/2025/01/620988604_macon-community-hospital_standardcharges-2.csv
Found on page https://maconcommunityhospital.com/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 23735192022a30dc… · 17,968,631 bytes · first seen 2026-05-09

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
J3357
HCPCS 		Ustekinumab 90 Mg/ml 19 $60.30 $71,294.94 $22,972.81 nat. median
$14,306
1.6× median
J3380
HCPCS 		Vedolizumab 300 Mg Pow 19 $7.66 $20,959.24 $6,753.53 nat. median
$288
outlier · 23.4×
J3101
HCPCS 		Tenecteplase 50 Mg Pow 19 $31.85 $19,562.26 $6,303.39 nat. median
$5,949
1.1× median
24341
HCPCS 		Repair Tendon Or Muscle Upper Arm/elbow E 16 $5,353.38 $18,404.10 $5,930.21 nat. median
$7,079
0.8× median
27385
HCPCS 		Suture Quad/hamstring Muscle Rupture 16 $5,353.38 $18,404.10 $5,930.21 nat. median
$6,704
0.9× median
27664
HCPCS 		Repair Extensor Tendon Leg; Primary Witho 16 $5,353.38 $18,404.10 $5,930.21 nat. median
$6,466
0.9× median
27650
HCPCS 		Repair Primary Open Or Percutaneous Ruptu 16 $5,353.38 $18,404.10 $5,930.21 nat. median
$6,601
0.9× median
J1602
HCPCS 		Golimumab 100 Mg/ml Sol 19 $10.97 $17,918.50 $5,773.74 nat. median
$496
outlier · 11.6×
26045
HCPCS 		Contracture Release Fasciotomy Open 20 $761.74 $8,326.89 $2,683.11 nat. median
$3,450
0.8× median
26037
HCPCS 		Contracture Release Decompression 20 $694.00 $8,326.89 $2,683.11 nat. median
$3,257
0.8× median
26123
HCPCS 		Contracture Release Fasciotomy With Digit Re 20 $936.28 $8,326.89 $2,683.11 nat. median
$3,879
0.7× median
25260
HCPCS 		Repair Tendon Or Muscle Flexor Forearm An 16 $2,422.13 $8,326.89 $2,683.11 nat. median
$3,484
0.8× median
26420
HCPCS 		Repair/graft Finger Tendon Techfee 16 $2,422.13 $8,326.89 $2,683.11 nat. median
$3,640
0.7× median
28208
HCPCS 		Repair Tendon Extensor Foot; Primary Or S 16 $2,422.13 $8,326.89 $2,683.11 nat. median
$3,359
0.8× median
36556
HCPCS 		Insert C Venous Cath Ed Tech Fee 16 $2,385.19 $8,199.90 $2,642.19 nat. median
$2,458
1.1× median
35206
HCPCS 		Repair Blood Vessel Lesion Ed Tech Fee 16 $2,385.19 $8,199.90 $2,642.19 nat. median
$3,725
0.7× median
59612
HCPCS 		Vaginal Delivery Only After Previous Cesare 16 $2,339.45 $8,042.67 $2,591.53 nat. median
$3,498
0.7× median
59409
HCPCS 		Vaginal Delivery Only Techfee 16 $2,339.45 $8,042.67 $2,591.53 nat. median
$3,185
0.8× median
59414
HCPCS 		Delivery Placenta Separate Procedure Techfee 16 $2,339.45 $8,042.67 $2,591.53 nat. median
$2,876
0.9× median
10180
HCPCS 		Incision And Drainage Complex Postoperativ 16 $2,126.30 $7,309.89 $2,355.41 nat. median
$2,867
0.8× median
11012
HCPCS 		Dbrdmt Fx /dislc Subq T/m/f Bone Techfee 16 $2,126.30 $7,309.89 $2,355.41 nat. median
$2,818
0.8× median
23066
HCPCS 		Biopsy Soft Tissue Of Shoulder Area; Deep T 16 $2,126.30 $7,309.89 $2,355.41 nat. median
$2,958
0.8× median
11771
HCPCS 		Excision Of Pilonidal Cyst Or Sinus; Extensi 16 $2,126.30 $7,309.89 $2,355.41 nat. median
$2,973
0.8× median
11770
HCPCS 		Excision Of Pilonidal Cyst Or Sinus; Simple 16 $2,126.30 $7,309.89 $2,355.41 nat. median
$2,862
0.8× median
54001
HCPCS 		Slitting Of Prepuce Dorsal Or Lateral; Exce 16 $1,524.15 $5,239.80 $1,688.38 nat. median
$2,370
0.7× median
78452
HCPCS 		Nm Rest/ Stress Multiple Studies Charge 20 $217.02 $4,870.53 $1,569.39 nat. median
$1,765
0.9× median
78451
HCPCS 		Nm Rest/ Stress Single Study Charge 20 $112.25 $4,870.53 $1,569.39 nat. median
$1,533
1.0× median
14020
HCPCS 		Adjt Tis Trnsfr/reargmt Scalp/arm/leg 10 Sq 16 $1,364.62 $4,691.34 $1,511.65 nat. median
$2,316
0.7× median
14040
HCPCS 		Skin Plasty Techfee 16 $1,364.62 $4,691.34 $1,511.65 nat. median
$2,197
0.7× median
13160
HCPCS 		Secondary Closure Of Surgical Wound Dehiscen 16 $1,364.62 $4,691.34 $1,511.65 nat. median
$2,764
0.5× median
12037
HCPCS 		Repair Intermediate S/a/t/e >300 Cm Techfee 16 $1,364.62 $4,691.34 $1,511.65 nat. median
$1,995
0.8× median
J9217
HCPCS 		Leuprolide 7.5 Mg/month Pow 19 $96.81 $8,780.83 $1,463.48 nat. median
$1,523
1.0× median
88309
HCPCS 		Pathology Level Vi 20 $27.55 $4,424.13 $1,425.55 nat. median
$785
1.8× median
11044
HCPCS 		Debridement Bone 1st 20 Cm 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$1,747
0.8× median
26011
HCPCS 		Drainage Finger Abscess Complicated Techfee 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$1,701
0.8× median
10140
HCPCS 		I D Hematoma Seroma/fluid Collection Techfee 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$1,654
0.8× median
10121
HCPCS 		Incision Removal Foreign Body Subq Tiss Co 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$1,689
0.8× median
11606
HCPCS 		Exc Malignant Lesion Trunk/arm/leg >4cm 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$1,855
0.7× median
11420
HCPCS 		Excision Benign Lesion Including Margins Ex 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$1,519
0.9× median
38220
HCPCS 		ER- Bone Marrow Aspiration Techfee 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$1,645
0.8× median
23931
HCPCS 		Incision And Drainage Upper Arm Or Elbow Ar 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$1,809
0.7× median
20103
HCPCS 		Exploration Penetrating Wound Spx Extremity 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$1,626
0.8× median
19020
HCPCS 		Mastotomy With Exploration Or Drainage Of Ab 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$2,059
0.7× median
20520
HCPCS 		Removal Foreign Body Muscle/tendon Sheath Si 16 $1,213.22 $4,170.87 $1,343.95 nat. median
$1,547
0.9× median
25635
HCPCS 		Cltx Carpal Bone Fx W/manj Each Bone Techfee 16 $1,202.67 $4,134.60 $1,332.26 nat. median
$1,648
0.8× median
25605
HCPCS 		Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Pe 16 $1,202.67 $4,134.60 $1,332.26 nat. median
$1,664
0.8× median
27810
HCPCS 		Closed Tx Bimalleolar Ankle Fracture W/manj 16 $1,202.67 $4,134.60 $1,332.26 nat. median
$1,662
0.8× median
24675
HCPCS 		Closed Tx Ulnar Fracture Proximal End W/manj 16 $1,202.67 $4,134.60 $1,332.26 nat. median
$1,667
0.8× median
24605
HCPCS 		Treatment Closed Elbow Dislocation Req Anes 16 $1,202.67 $4,134.60 $1,332.26 nat. median
$1,930
0.7× median
24655
HCPCS 		Closed Tx Radial Head/neck Fx W/manipulation 16 $1,202.67 $4,134.60 $1,332.26 nat. median
$1,605
0.8× median

Other procedures at this hospital

Browse this hospital's 1,153 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
             
J3357 HCPCS Ustekinumab 90 Mg/ml 19 19 $79,216.60 $5.42 100% off $60.30 $71,294.94 $22,972.81 2025-01-21
J3380 HCPCS Vedolizumab 300 Mg Pow 19 19 $23,288.04 $34.34 100% off $7.66 $20,959.24 $6,753.53 2025-01-21
J3101 HCPCS Tenecteplase 50 Mg Pow 19 19 $21,735.84 $153.00 99% off $31.85 $19,562.26 $6,303.39 2025-01-21
27385 HCPCS Suture Quad/hamstring Muscle Rupture 31 16 $20,449.00 $404.46 98% off $5,353.38 $18,404.10 $5,930.21 2025-01-21
27664 HCPCS Repair Extensor Tendon Leg; Primary Witho 31 16 $20,449.00 $12,269.40 40% off $5,353.38 $18,404.10 $5,930.21 2025-01-21
27650 HCPCS Repair Primary Open Or Percutaneous Ruptu 31 16 $20,449.00 $404.46 98% off $5,353.38 $18,404.10 $5,930.21 2025-01-21
24341 HCPCS Repair Tendon Or Muscle Upper Arm/elbow E 31 16 $20,449.00 $2,780.58 86% off $5,353.38 $18,404.10 $5,930.21 2025-01-21
J1602 HCPCS Golimumab 100 Mg/ml Sol 19 19 $19,909.44 $6.98 100% off $10.97 $17,918.50 $5,773.74 2025-01-21
28208 HCPCS Repair Tendon Extensor Foot; Primary Or S 31 16 $9,252.10 $1,206.66 87% off $2,422.13 $8,326.89 $2,683.11 2025-01-21
25260 HCPCS Repair Tendon Or Muscle Flexor Forearm An 31 16 $9,252.10 $2,756.40 70% off $2,422.13 $8,326.89 $2,683.11 2025-01-21
26045 HCPCS Contracture Release Fasciotomy Open 39 20 $9,252.10 $5,551.26 40% off $761.74 $8,326.89 $2,683.11 2025-01-21
26037 HCPCS Contracture Release Decompression 39 20 $9,252.10 $2,780.58 70% off $694.00 $8,326.89 $2,683.11 2025-01-21
26420 HCPCS Repair/graft Finger Tendon Techfee 31 16 $9,252.10 $2,756.40 70% off $2,422.13 $8,326.89 $2,683.11 2025-01-21
26123 HCPCS Contracture Release Fasciotomy With Digit Re 39 20 $9,252.10 $5,551.26 40% off $936.28 $8,326.89 $2,683.11 2025-01-21
36556 HCPCS Insert C Venous Cath Ed Tech Fee 31 16 $9,111.00 $88.62 99% off $2,385.19 $8,199.90 $2,642.19 2025-01-21
35206 HCPCS Repair Blood Vessel Lesion Ed Tech Fee 31 16 $9,111.00 $2,746.68 70% off $2,385.19 $8,199.90 $2,642.19 2025-01-21
59612 HCPCS Vaginal Delivery Only After Previous Cesare 31 16 $8,936.30 $5,361.78 40% off $2,339.45 $8,042.67 $2,591.53 2025-01-21
59414 HCPCS Delivery Placenta Separate Procedure Techfee 31 16 $8,936.30 $5,361.78 40% off $2,339.45 $8,042.67 $2,591.53 2025-01-21
59409 HCPCS Vaginal Delivery Only Techfee 31 16 $8,936.30 $550.20 94% off $2,339.45 $8,042.67 $2,591.53 2025-01-21
11771 HCPCS Excision Of Pilonidal Cyst Or Sinus; Extensi 31 16 $8,122.10 $4,873.26 40% off $2,126.30 $7,309.89 $2,355.41 2025-01-21
23066 HCPCS Biopsy Soft Tissue Of Shoulder Area; Deep T 31 16 $8,122.10 $404.46 95% off $2,126.30 $7,309.89 $2,355.41 2025-01-21
10180 HCPCS Incision And Drainage Complex Postoperativ 31 16 $8,122.10 $683.88 92% off $2,126.30 $7,309.89 $2,355.41 2025-01-21
11012 HCPCS Dbrdmt Fx /dislc Subq T/m/f Bone Techfee 31 16 $8,122.10 $1,206.66 85% off $2,126.30 $7,309.89 $2,355.41 2025-01-21
11770 HCPCS Excision Of Pilonidal Cyst Or Sinus; Simple 31 16 $8,122.10 $683.88 92% off $2,126.30 $7,309.89 $2,355.41 2025-01-21
54001 HCPCS Slitting Of Prepuce Dorsal Or Lateral; Exce 31 16 $5,822.00 $104.88 98% off $1,524.15 $5,239.80 $1,688.38 2025-01-21
78452 HCPCS Nm Rest/ Stress Multiple Studies Charge 39 20 $5,411.70 $3,247.02 40% off $217.02 $4,870.53 $1,569.39 2025-01-21
78451 HCPCS Nm Rest/ Stress Single Study Charge 39 20 $5,411.70 $943.14 83% off $112.25 $4,870.53 $1,569.39 2025-01-21
14020 HCPCS Adjt Tis Trnsfr/reargmt Scalp/arm/leg 10 Sq 31 16 $5,212.60 $3,127.56 40% off $1,364.62 $4,691.34 $1,511.65 2025-01-21
14040 HCPCS Skin Plasty Techfee 31 16 $5,212.60 $3,127.56 40% off $1,364.62 $4,691.34 $1,511.65 2025-01-21
13160 HCPCS Secondary Closure Of Surgical Wound Dehiscen 31 16 $5,212.60 $1,077.12 79% off $1,364.62 $4,691.34 $1,511.65 2025-01-21
12037 HCPCS Repair Intermediate S/a/t/e >300 Cm Techfee 31 16 $5,212.60 $1,077.12 79% off $1,364.62 $4,691.34 $1,511.65 2025-01-21
J9217 HCPCS Leuprolide 7.5 Mg/month Pow 37 19 $1,626.09 $1,055.05 35% off $96.81 $8,780.83 $1,463.48 2025-01-21
88309 HCPCS Pathology Level Vi 39 20 $4,915.70 $1,232.94 75% off $27.55 $4,424.13 $1,425.55 2025-01-21
38220 HCPCS ER- Bone Marrow Aspiration Techfee 31 16 $4,634.30 $1,077.42 77% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
11044 HCPCS Debridement Bone 1st 20 Cm 31 16 $4,634.30 $1,077.12 77% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
19020 HCPCS Mastotomy With Exploration Or Drainage Of Ab 31 16 $4,634.30 $343.38 93% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
23931 HCPCS Incision And Drainage Upper Arm Or Elbow Ar 31 16 $4,634.30 $2,756.40 41% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
20103 HCPCS Exploration Penetrating Wound Spx Extremity 31 16 $4,634.30 $2,780.58 40% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
20520 HCPCS Removal Foreign Body Muscle/tendon Sheath Si 31 16 $4,634.30 $2,780.58 40% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
11420 HCPCS Excision Benign Lesion Including Margins Ex 31 16 $4,634.30 $683.88 85% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
11606 HCPCS Exc Malignant Lesion Trunk/arm/leg >4cm 31 16 $4,634.30 $2,780.58 40% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
26011 HCPCS Drainage Finger Abscess Complicated Techfee 31 16 $4,634.30 $343.38 93% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
10140 HCPCS I D Hematoma Seroma/fluid Collection Techfee 31 16 $4,634.30 $2,780.58 40% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
10121 HCPCS Incision Removal Foreign Body Subq Tiss Co 31 16 $4,634.30 $683.88 85% off $1,213.22 $4,170.87 $1,343.95 2025-01-21
25605 HCPCS Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Pe 31 16 $4,594.00 $2,756.40 40% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
24675 HCPCS Closed Tx Ulnar Fracture Proximal End W/manj 31 16 $4,594.00 $2,756.40 40% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
25565 HCPCS Closed Tx Radial Ulnar Shaft Fractures W/man 31 16 $4,594.00 $5,551.26 $1,202.67 $4,134.60 $1,332.26 2025-01-21
23675 HCPCS Cltx Shoulder Dislc W/surg/antmcl Neck Fx With 31 16 $4,594.00 $404.46 91% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
24655 HCPCS Closed Tx Radial Head/neck Fx W/manipulation 31 16 $4,594.00 $404.46 91% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
23575 HCPCS Cltx Scapular Fx W/manj W/wo Skeletal Traction 31 16 $4,594.00 $2,756.40 40% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
26645 HCPCS Cltx Carpo/metacarpal Fx Dislc Thumb W/manj 31 16 $4,594.00 $404.46 91% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
23605 HCPCS Cltx Prox Humrl Fx W/manj W/wo Skeletal Traction 31 16 $4,594.00 $2,756.40 40% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
27842 HCPCS Cltx Ankle Dislc Req Anes W/wo Prq Skel Fixj 31 16 $4,594.00 $404.46 91% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
24605 HCPCS Treatment Closed Elbow Dislocation Req Anes 31 16 $4,594.00 $404.46 91% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
27810 HCPCS Closed Tx Bimalleolar Ankle Fracture W/manj 31 16 $4,594.00 $404.46 91% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
23505 HCPCS Treat Clavicle Fracture Techfee 31 16 $4,594.00 $4,873.26 $1,202.67 $4,134.60 $1,332.26 2025-01-21
20822 HCPCS Replantation Digit Excluding Thumb Comple 31 16 $4,594.00 $507.96 89% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
25635 HCPCS Cltx Carpal Bone Fx W/manj Each Bone Techfee 31 16 $4,594.00 $2,756.40 40% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
27818 HCPCS Cltx Trimalleolar Ankle Fx W/manipulation Te 31 16 $4,594.00 $2,756.40 40% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
26418 HCPCS Repair Extensor Tendon Finger Without Graft Each 31 16 $4,594.00 $2,756.40 40% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
26742 HCPCS Cltx Artclr Fx Invg Mtcarphlngl/iphal Jt W/m 31 16 $4,594.00 $404.46 91% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
26236 HCPCS Partial Excision Distal Phalanx Of Finger 31 16 $4,594.00 $5,551.26 $1,202.67 $4,134.60 $1,332.26 2025-01-21
26410 HCPCS Repair Ext Tendon Hand Prim/second; W/out 31 16 $4,594.00 $2,756.40 40% off $1,202.67 $4,134.60 $1,332.26 2025-01-21
32551 HCPCS Chest Tube Placement Techfee 31 16 $4,577.80 $365.82 92% off $1,198.43 $4,120.02 $1,327.56 2025-01-21
36569 HCPCS Insert Picc - Age 5+ Without Port Or Pump 41 20 $4,577.80 $5,466.60 $347.00 $4,120.02 $1,327.56 2025-01-21
33016 HCPCS Pericardiocentesis Techfee 31 16 $4,577.80 $1,077.42 76% off $1,198.43 $4,120.02 $1,327.56 2025-01-21
31603 HCPCS Incision Of Windpipe Ed Tech Fee 31 16 $4,359.20 $339.72 92% off $1,141.20 $3,923.28 $1,264.17 2025-01-21
21315 HCPCS Closed Tx Nasal Fracture Without Stabilization T 31 16 $4,359.20 $2,756.40 37% off $1,141.20 $3,923.28 $1,264.17 2025-01-21
J1439 HCPCS Ferric Carboxymaltose (as Elemental Iron) 50 Mg/ml 19 19 $4,028.43 $355.66 91% off $0.47 $3,625.59 $1,168.24 2025-01-21
95810 HCPCS Npsg: Polysomnography Attended 4+ Sleep Parameter 39 20 $3,984.70 $357.18 91% off $156.45 $3,586.23 $1,155.56 2025-01-21
95811 HCPCS Split >40 Ahi: Polysomnography W/init Cpap Attend 39 20 $3,984.70 $2,390.82 40% off $209.96 $3,586.23 $1,155.56 2025-01-21
73222 HCPCS MRI Shoulder With Contrast Left 37 19 $3,814.40 $700.44 82% off $204.55 $3,432.96 $1,106.18 2025-01-21
73722 HCPCS MRI Knee With Contrast Left 37 19 $3,814.40 $700.44 82% off $204.55 $3,432.96 $1,106.18 2025-01-21
Q0138 HCPCS Ferumoxytol 510 Mg 19 19 $3,600.72 $810.90 77% off $0.29 $3,240.65 $1,044.21 2025-01-21
46040 HCPCS Incis Rectal Absces Ed Tech Fee 31 16 $3,373.10 $423.84 87% off $883.05 $3,035.79 $978.20 2025-01-21
J0885 HCPCS Epoetin Alfa 10000 Units/ml Preservative-free 37 19 $3,848.40 $6.03 100% off $4.62 $3,463.56 $865.89 2025-01-21
Q5104 HCPCS Infliximab Abda 100 Mg Powder 19 19 $2,712.21 — $31.67 $2,440.99 $786.54 2025-01-21
46050 HCPCS Inc Of Anal Abscess Ed Tech Fee 31 16 $2,612.40 $2,023.86 23% off $683.91 $2,351.16 $757.60 2025-01-21
64421 HCPCS ER Inject Intercstl Nerv Mult Charge Techfee 31 16 $2,605.40 $1,186.02 54% off $682.07 $2,344.86 $755.57 2025-01-21
64520 HCPCS Injection - Anesthetic Agent; Lumbar Or Thor 31 16 $2,605.40 $1,186.02 54% off $682.07 $2,344.86 $755.57 2025-01-21
49083 HCPCS Incision Procedures On The Abdomen Peritoneal 31 16 $2,591.10 $1,554.66 40% off $678.33 $2,331.99 $751.42 2025-01-21
49082 HCPCS Incision Procedures On The Abdomen Peritone 31 16 $2,591.10 $423.84 84% off $678.33 $2,331.99 $751.42 2025-01-21
99291 HCPCS Critical Care First Hour 39 20 $2,536.40 $1,101.60 57% off $365.31 $2,282.76 $735.56 2025-01-21
87507 HCPCS Gi Profile Stool Pcr Lc 39 20 $2,500.70 $154.20 94% off $255.23 $2,250.63 $725.20 2025-01-21
A6250 HCPCS E7001 Aph Plt Acda Pasc Lr 35 18 $2,484.60 $253.20 90% off $650.45 $2,236.14 $720.53 2025-01-21
A9500 HCPCS E7004 Aph Plt Acda Pasc Lr 3 35 18 $2,484.60 $1,490.76 40% off $650.45 $2,236.14 $720.53 2025-01-21
A9510 HCPCS E8343 Aph Plt Acda>pasc Lr Psoralen 3 35 18 $2,484.60 $1,490.76 40% off $650.45 $2,236.14 $720.53 2025-01-21
A9503 HCPCS E8342 Aph Plt Acda>pasc Lr Psoralen 2 35 18 $2,484.60 $1,490.76 40% off $650.45 $2,236.14 $720.53 2025-01-21
A9502 HCPCS E8341 Aph Plt Acda>pasc Lr Psoralen 1 35 18 $2,484.60 $1,490.76 40% off $650.45 $2,236.14 $720.53 2025-01-21
93350 HCPCS US Echocardiogram 2d + M-mode Eo 39 20 $2,102.50 $1,261.50 40% off $105.21 $1,892.25 $609.73 2025-01-21
93306 HCPCS US Echo Bubble Study Eo 39 20 $2,102.50 $64.68 97% off $148.77 $1,892.25 $609.73 2025-01-21
78707 HCPCS Nm Kidney Morphology With Vascular Flow 39 20 $2,060.00 $1,178.94 43% off $126.70 $1,854.00 $597.40 2025-01-21
78227 HCPCS Nm Hepatobiliary Imaging With Drug 39 20 $2,060.00 $943.14 54% off $141.48 $1,854.00 $597.40 2025-01-21
88361 HCPCS Tumor Immunohistochemistry Each Stain 39 20 $2,054.90 $585.84 71% off $17.15 $1,849.41 $595.92 2025-01-21
88307 HCPCS Pathology Level V 39 20 $2,054.90 $185.88 91% off $22.20 $1,849.41 $595.92 2025-01-21
88184 HCPCS Flow Cyto; First Marker 39 20 $2,054.90 $185.88 91% off $10.54 $1,849.41 $595.92 2025-01-21
86870 HCPCS Bill Only Abid Panel 70 20 $1,999.80 $185.88 91% off $11.68 $1,849.41 $595.92 2025-01-21
88344 HCPCS Immunohist/cyto Ab Multiplex 39 20 $2,054.90 $585.84 71% off $34.64 $1,849.41 $595.92 2025-01-21
95805 HCPCS Mslt: Multiple Sleep Latency Trials Charge 39 20 $2,042.70 $267.90 87% off $158.56 $1,838.43 $592.38 2025-01-21
69020 HCPCS ER- Drainage Ext Auditory Canal Abscess Tech 31 16 $2,011.10 $1,206.66 40% off $526.49 $1,809.99 $583.22 2025-01-21
35226 HCPCS ER - Repair Blood Vessel Lower Extremity Tec 31 16 $2,011.10 $5,466.60 $526.49 $1,809.99 $583.22 2025-01-21
40800 HCPCS Drain Mouth Lesion Ed Tech Fee 31 16 $2,011.10 $943.62 53% off $526.49 $1,809.99 $583.22 2025-01-21
10080 HCPCS Incision Drainage Pilonidal Cyst Simple Te 31 16 $2,011.10 $683.88 66% off $526.49 $1,809.99 $583.22 2025-01-21
11010 HCPCS Dbrdmt W/rmvl Fm Fx /dislc Skin Subq Tissus 31 16 $2,011.10 $1,077.12 46% off $526.49 $1,809.99 $583.22 2025-01-21
28190 HCPCS Removal Foreign Body Foot Subcutaneous Techf 31 16 $2,011.10 $2,756.40 $526.49 $1,809.99 $583.22 2025-01-21
69000 HCPCS Drain Externear Les Ed Tech Fee 31 16 $2,011.10 $499.62 75% off $526.49 $1,809.99 $583.22 2025-01-21
64445 HCPCS Injection Anesthetic Agent; Sciatic Nerve 31 16 $1,976.70 $1,563.24 21% off $517.48 $1,779.03 $573.24 2025-01-21
64420 HCPCS Injection(s) Anesthetic Agent(s) And/or Ste 31 16 $1,976.70 $507.96 74% off $517.48 $1,779.03 $573.24 2025-01-21
64450 HCPCS Digital Nerve Block Tech Fee 31 16 $1,976.70 $1,186.02 40% off $517.48 $1,779.03 $573.24 2025-01-21
62270 HCPCS Lumbar Puncture Diagnost Techfee 31 16 $1,976.70 $5,361.78 $517.48 $1,779.03 $573.24 2025-01-21
78582 HCPCS Nm Lung Vent/perf Imaging 39 20 $1,964.90 $943.14 52% off $151.38 $1,768.41 $569.82 2025-01-21
51710 HCPCS Change Of Cystostomy Tube; Complicated Techf 31 16 $1,952.60 $423.84 78% off $511.18 $1,757.34 $566.25 2025-01-21
0761 RC — 62 16 $1,891.53 $54.00 97% off $170.58 $1,702.38 $548.54 2025-01-21
92960 HCPCS Cardioversion Elective Arrhythmia External 35 18 $1,860.30 $1,116.18 40% off $130.97 $1,674.27 $539.49 2025-01-21
92953 HCPCS Pacing Ed Tech Fee 35 18 $1,860.30 $538.32 71% off $0.76 $1,674.27 $539.49 2025-01-21
J1327 HCPCS Eptifibatide 2 Mg/ml IV Sol 127 19 $1,760.76 $1,056.46 40% off $11.28 $5,265.00 $537.98 2025-01-21
99285 HCPCS Level 5 ER Visit 39 20 $1,836.00 $759.60 59% off $216.48 $1,652.40 $532.44 2025-01-21
74182 HCPCS MRI Abdomen With Contrast 37 19 $1,832.10 $700.44 62% off $204.55 $1,648.89 $531.31 2025-01-21
73220 HCPCS MRI Humerus With + Without Contrast Right 37 19 $1,832.10 $1,099.26 40% off $247.26 $1,648.89 $531.31 2025-01-21
70546 HCPCS MRA Brain/head With + Without Contrast 37 19 $1,832.10 $1,099.26 40% off $247.26 $1,648.89 $531.31 2025-01-21
73723 HCPCS MRI Ankle With + Without Contrast Right 37 19 $1,832.10 $2,288.64 $247.26 $1,648.89 $531.31 2025-01-21
73219 HCPCS MRI Humerus With Contrast Right 37 19 $1,832.10 $700.44 62% off $204.55 $1,648.89 $531.31 2025-01-21
72149 HCPCS MRI Spine Lumbar With Contrast 37 19 $1,832.10 $700.44 62% off $204.55 $1,648.89 $531.31 2025-01-21
70552 HCPCS MRI Brain With Contrast 37 19 $1,832.10 $700.44 62% off $204.55 $1,648.89 $531.31 2025-01-21
73719 HCPCS MRI Tibia/fibula With Contrast Right 37 19 $1,832.10 $700.44 62% off $204.55 $1,648.89 $531.31 2025-01-21
70542 HCPCS MRI Face Neck Orbit With Contrast 37 19 $1,832.10 $700.44 62% off $204.55 $1,648.89 $531.31 2025-01-21
74183 HCPCS MRI Abdomen With + Without Contrast 37 19 $1,832.10 $1,099.26 40% off $247.26 $1,648.89 $531.31 2025-01-21
73223 HCPCS MRI Elbow With + Without Contrast Right 37 19 $1,832.10 $2,288.64 $247.26 $1,648.89 $531.31 2025-01-21
72196 HCPCS MRI Pelvis With Contrast 37 19 $1,832.10 $700.44 62% off $204.55 $1,648.89 $531.31 2025-01-21
73720 HCPCS MRI Femur With + Without Contrast Bilat 37 19 $1,832.10 $1,099.26 40% off $247.26 $1,648.89 $531.31 2025-01-21
70553 HCPCS MRI Brain With + Without Contrast 37 19 $1,832.10 $1,099.26 40% off $247.26 $1,648.89 $531.31 2025-01-21
72147 HCPCS MRI Spine Thoracic With Contrast 37 19 $1,832.10 $700.44 62% off $204.55 $1,648.89 $531.31 2025-01-21
72158 HCPCS MRI Spine Lumbar With + Without Contrast 37 19 $1,832.10 $1,099.26 40% off $247.26 $1,648.89 $531.31 2025-01-21
72197 HCPCS MRI Pelvis With + Without Contrast 37 19 $1,832.10 $1,099.26 40% off $247.26 $1,648.89 $531.31 2025-01-21
72142 HCPCS MRI Spine Cervical With Contrast 37 19 $1,832.10 $700.44 62% off $204.55 $1,648.89 $531.31 2025-01-21
70545 HCPCS MRA Brain/head With Contrast 37 19 $1,832.10 $700.44 62% off $204.55 $1,648.89 $531.31 2025-01-21
70543 HCPCS MRI Face Neck Orbit With + Without Contrast 37 19 $1,832.10 $1,099.26 40% off $247.26 $1,648.89 $531.31 2025-01-21
72157 HCPCS MRI Spine Thoracic With + Without Contrast 37 19 $1,832.10 $1,099.26 40% off $247.26 $1,648.89 $531.31 2025-01-21
72156 HCPCS MRI Spine Cervical With + Without Contrast 37 19 $1,832.10 $1,099.26 40% off $247.26 $1,648.89 $531.31 2025-01-21
37799 HCPCS Unlisted Vascular Procedure 31 16 $1,795.70 $580.80 68% off $470.10 $1,616.13 $520.75 2025-01-21
36589 HCPCS Removal Of Tunneled Central Venous Catheter 31 16 $1,795.70 $2,746.68 $470.10 $1,616.13 $520.75 2025-01-21
32555 HCPCS Thoracentesis Needle Or Catheter Aspiratio 31 16 $1,795.70 $1,077.42 40% off $470.10 $1,616.13 $520.75 2025-01-21
32554 HCPCS Thoracentesis Needle/cath Pleura Without Imaging 31 16 $1,795.70 $2,746.68 $470.10 $1,616.13 $520.75 2025-01-21
13100 HCPCS Repair Complex Trunk 11-25 Cm Techfee 31 16 $1,795.20 $683.88 62% off $469.97 $1,615.68 $520.61 2025-01-21
11760 HCPCS Repair Nail Bed Tech Fee 31 16 $1,795.20 $683.88 62% off $469.97 $1,615.68 $520.61 2025-01-21
11043 HCPCS Debride Tissue/muscle Techfee 31 16 $1,795.20 $683.88 62% off $469.97 $1,615.68 $520.61 2025-01-21
12044 HCPCS Repair Intermediate N/h/f/xtrnl Gent 76-12 31 16 $1,795.20 $683.88 62% off $469.97 $1,615.68 $520.61 2025-01-21
13120 HCPCS Repair Complex Scalp/arm/leg 11-25 Cm Tech 31 16 $1,795.20 $77.52 96% off $469.97 $1,615.68 $520.61 2025-01-21
12036 HCPCS Repair Intermediate S/a/t/e 201-300 Cm Tec 31 16 $1,795.20 $683.88 62% off $469.97 $1,615.68 $520.61 2025-01-21
12020 HCPCS Simple Closure Of Wound Deshiscence 31 16 $1,795.20 $343.38 81% off $469.97 $1,615.68 $520.61 2025-01-21
11000 HCPCS Dbrdmt Extensv Eczema/infect Skn Up 10% Bdy 31 16 $1,795.20 $4,873.26 $469.97 $1,615.68 $520.61 2025-01-21
13151 HCPCS Repair Complex Eyelid/nose/ear/lip 11-25 C 31 16 $1,795.20 $75.18 96% off $469.97 $1,615.68 $520.61 2025-01-21
13152 HCPCS Repair Complex Eyelid/nose/ear/lip 26-75 C 31 16 $1,795.20 $1,077.12 40% off $469.97 $1,615.68 $520.61 2025-01-21
13132 HCPCS Repair Complex F/c/c/m/n/ax/g/h/f 26-75 Cm 31 16 $1,795.20 $683.88 62% off $469.97 $1,615.68 $520.61 2025-01-21
13121 HCPCS Com Rep 26 - 75 Cm Scalp/arm/leg 31 16 $1,795.20 $1,077.12 40% off $469.97 $1,615.68 $520.61 2025-01-21
13101 HCPCS Repair Complex Trunk 26-75 Cm Techfee 31 16 $1,795.20 $1,077.12 40% off $469.97 $1,615.68 $520.61 2025-01-21
J9155 HCPCS Degarelix 80 Mg 19 19 $1,758.42 $11.23 99% off $1.29 $1,582.58 $509.94 2025-01-21
0750 RC — 124 17 $1,300.00 $3.74 100% off $150.53 $3,510.00 $500.25 2025-01-21
J2997 HCPCS Alteplase 100 Mg IV Inj 37 19 $31,681.29 $20.91 100% off $23.36 $28,513.16 $467.70 2025-01-21
40652 HCPCS Repair Lip Full Thickness; Up To Half Verti 31 16 $1,572.70 $2,780.58 $411.72 $1,415.43 $456.08 2025-01-21
78278 HCPCS Nm Gastrointestinal Blood Loss Imaging 39 20 $1,571.90 $943.14 40% off $115.54 $1,414.71 $455.85 2025-01-21
78315 HCPCS Nm Bone Three Phase Study 39 20 $1,571.90 $943.14 40% off $117.76 $1,414.71 $455.85 2025-01-21
78300 HCPCS Nm Bone Imaging Limited 39 20 $1,571.90 $943.14 40% off $70.58 $1,414.71 $455.85 2025-01-21
78014 HCPCS Nm Thyroid Uptake 39 20 $1,571.90 $943.14 40% off $104.82 $1,414.71 $455.85 2025-01-21
78013 HCPCS Nm Thyroid Scan 39 20 $1,571.90 $715.44 54% off $67.52 $1,414.71 $455.85 2025-01-21
78070 HCPCS Nm Parathyroid Imaging 39 20 $1,571.90 $943.14 40% off $51.32 $1,414.71 $455.85 2025-01-21
78226 HCPCS Nm Hepatobiliary Imaging 39 20 $1,571.90 $943.14 40% off $141.48 $1,414.71 $455.85 2025-01-21
78305 HCPCS Nm Bone Imaging Multiple Areas 39 20 $1,571.90 $943.14 40% off $103.79 $1,414.71 $455.85 2025-01-21
78472 HCPCS Nm Cardiac Muga 39 20 $1,571.90 $3,247.02 $139.05 $1,414.71 $455.85 2025-01-21
78579 HCPCS Nm Lung Ventilation Imaging 39 20 $1,571.90 $943.14 40% off $99.43 $1,414.71 $455.85 2025-01-21
78580 HCPCS Nm Lung Perfusion Imaging 39 20 $1,571.90 $943.14 40% off $97.17 $1,414.71 $455.85 2025-01-21
78306 HCPCS Nm Bone Imaging Whole Body 39 20 $1,571.90 $943.14 40% off $117.76 $1,414.71 $455.85 2025-01-21
78264 HCPCS Nm Gastric Emptying Study 39 20 $1,571.90 $1,236.00 21% off $115.54 $1,414.71 $455.85 2025-01-21
87902 HCPCS Hepatitis C Genotype 550486 Lc 39 20 $1,544.70 $59.58 96% off $159.25 $1,390.23 $447.96 2025-01-21
J2760 HCPCS Phentolamine 5 Mg Inj 19 19 $1,530.00 $132.73 91% off $170.84 $1,377.00 $443.70 2025-01-21
74174 HCPCS CT Angio Abdomen And Pelvis 37 19 $1,465.70 $420.12 71% off $217.16 $1,319.13 $425.05 2025-01-21
74177 HCPCS CT Abdomen And Pelvis With Contrast 37 19 $1,465.70 $560.34 62% off $192.93 $1,319.13 $425.05 2025-01-21
72132 HCPCS CT Spine Lumbar With Contrast 37 19 $1,465.70 $251.40 83% off $133.72 $1,319.13 $425.05 2025-01-21
74178 HCPCS CT Abdomen And Pelvis With + Without Contrast 37 19 $1,465.70 $879.42 40% off $217.16 $1,319.13 $425.05 2025-01-21
73201 HCPCS CT Shoulder With Contrast Right 37 19 $1,465.70 $251.40 83% off $133.72 $1,319.13 $425.05 2025-01-21
72126 HCPCS CT Spine Cervical With Contrast 37 19 $1,465.70 $251.40 83% off $133.72 $1,319.13 $425.05 2025-01-21
J1670 HCPCS Tetanus Immune Globulin 250 Units IM Sol 1 Ea 19 19 $1,359.39 $17.15 99% off $125.22 $1,223.45 $394.22 2025-01-21
M0245 HCPCS IV Infusion - Bamlanivimab + Etesevimab 37 19 $1,351.50 $810.90 40% off $139.84 $1,216.35 $391.94 2025-01-21
M0243 HCPCS Administration Monoclonal Antibodies � Casirimab + 37 19 $1,351.50 $5,853.89 $139.84 $1,216.35 $391.94 2025-01-21
99284 HCPCS Level 4 ER Visit 39 20 $1,266.00 $489.36 61% off $115.01 $1,139.40 $367.14 2025-01-21
36430 HCPCS Blood Product Administration 35 18 $1,240.80 $683.34 45% off $324.83 $1,116.72 $359.83 2025-01-21
J1442 HCPCS Filgrastim 300 Mcg/0.5 Ml Inj Sol 19 19 $1,201.32 $2,417.06 $0.45 $1,081.19 $348.38 2025-01-21
93922 HCPCS Alcohol Level Flex 68 20 $839.60 $560.34 33% off $29.93 $1,073.16 $345.80 2025-01-21
73221 HCPCS MRI Wrist Without Contrast Left 37 19 $1,167.40 $1,099.26 $152.32 $1,050.66 $338.55 2025-01-21
73718 HCPCS MRI Tibia/fibula Without Contrast Bilat 37 19 $1,167.40 $420.12 64% off $152.32 $1,050.66 $338.55 2025-01-21
73218 HCPCS MRI Hand Without Contrast Bilat 37 19 $1,167.40 $420.12 64% off $152.32 $1,050.66 $338.55 2025-01-21
72195 HCPCS MRI Pelvis Without Contrast 37 19 $1,167.40 $420.12 64% off $152.32 $1,050.66 $338.55 2025-01-21
72141 HCPCS MRI Spine Cervical Without Contrast 37 19 $1,167.40 $420.12 64% off $152.32 $1,050.66 $338.55 2025-01-21
70551 HCPCS MRI Brain Without Contrast 37 19 $1,167.40 $1,099.26 $152.32 $1,050.66 $338.55 2025-01-21
70544 HCPCS MRA Brain/head Without Contrast 37 19 $1,167.40 $1,099.26 $152.32 $1,050.66 $338.55 2025-01-21
70540 HCPCS MRI Face Neck Orbit Without Contrast 37 19 $1,167.40 $420.12 64% off $152.32 $1,050.66 $338.55 2025-01-21
74181 HCPCS MRI Mrcp 37 19 $1,167.40 $879.42 25% off $152.32 $1,050.66 $338.55 2025-01-21
70336 HCPCS MRI Tmj 37 19 $1,167.40 $155.82 87% off $152.32 $1,050.66 $338.55 2025-01-21
72146 HCPCS MRI Spine Thoracic Without Contrast 37 19 $1,167.40 $1,099.26 $152.32 $1,050.66 $338.55 2025-01-21
72148 HCPCS MRI Spine Lumbar Without Contrast 37 19 $1,167.40 $1,099.26 $152.32 $1,050.66 $338.55 2025-01-21
73721 HCPCS MRI Knee Without Contrast Right 37 19 $1,167.40 $1,099.26 $152.32 $1,050.66 $338.55 2025-01-21
12055 HCPCS Repair Intermediate F/e/e/n/l /muc 126-200 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
12054 HCPCS Repair Intermediate F/e/e/n/l /muc 76-125 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
12053 HCPCS Repair Intermediate F/e/e/n/l /muc 51-75 C 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
11765 HCPCS Wedge Excision Skin Nail Fold Tech Fee 31 16 $1,139.80 $1,077.12 $298.39 $1,025.82 $330.54 2025-01-21
12052 HCPCS Repair Intermediate F/e/e/n/l /muc 26-50 C 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
12051 HCPCS Repair Intermediate F/e/e/n/l /muc 25 Cm/< 31 16 $1,139.80 $1,077.12 $298.39 $1,025.82 $330.54 2025-01-21
13131 HCPCS Repair Complex F/c/c/m/n/ax/g/h/f 11-25 Cm 31 16 $1,139.80 $76.92 93% off $298.39 $1,025.82 $330.54 2025-01-21
12042 HCPCS Repair Intermediate N/h/f/xtrnl Gent 26-75 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
11750 HCPCS Excision Nail Matrix Permanent Removal Techf 31 16 $1,139.80 $219.06 81% off $298.39 $1,025.82 $330.54 2025-01-21
10061 HCPCS Incision Drainage Abscess Complicated/mult 31 16 $1,139.80 $343.38 70% off $298.39 $1,025.82 $330.54 2025-01-21
12041 HCPCS Repair Intermediate N/h/f/xtrnl Gent 25cm/< 31 16 $1,139.80 $3,127.56 $298.39 $1,025.82 $330.54 2025-01-21
12035 HCPCS Repair Intermediate S/a/t/e 126-200cm Tech 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
12034 HCPCS Repair Intermediate S/a/t/e 76-125 Cm Tech 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
12032 HCPCS Repair Intermediate S/a/t/e 26-75 Cm Techf 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
12031 HCPCS Repair Intermediate S/a/t/e 25 Cm/< Techfee 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
12021 HCPCS Tx Superficial Wound Dehiscence W/packing Te 31 16 $1,139.80 $1,077.12 $298.39 $1,025.82 $330.54 2025-01-21
11042 HCPCS Debride Subq Tissue- 1st 20 Sq Cm 31 16 $1,139.80 $4,873.26 $298.39 $1,025.82 $330.54 2025-01-21
11313 HCPCS Shaving Epidermal/dermal Lesion Feenlm Over 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
12017 HCPCS Simple Repair F/e/e/n/l/m 201cm-300 Cm Tec 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
12016 HCPCS Simple Repair F/e/e/n/l/m 126cm-200 Cm Tec 31 16 $1,139.80 $343.38 70% off $298.39 $1,025.82 $330.54 2025-01-21
11312 HCPCS Shaving Epidermal/dermal Lesion Feenlm 11-2 31 16 $1,139.80 $343.38 70% off $298.39 $1,025.82 $330.54 2025-01-21
10120 HCPCS Incision Removal Foreign Body Subq Tiss Si 31 16 $1,139.80 $1,206.66 $298.39 $1,025.82 $330.54 2025-01-21
16030 HCPCS Drs /dbrdmt Prtl-thkns Burns 1st/sbsq Large 31 16 $1,139.80 $343.38 70% off $298.39 $1,025.82 $330.54 2025-01-21
12006 HCPCS Simple Rpr Scalp/neck/ax/genit/trunk 201-300 31 16 $1,139.80 $683.88 40% off $298.39 $1,025.82 $330.54 2025-01-21
12005 HCPCS Simple Rpr Scalp/neck/ax/genit/trunk 126-200 31 16 $1,139.80 $343.38 70% off $298.39 $1,025.82 $330.54 2025-01-21
10160 HCPCS Puncture Aspiration Abscess Hematoma Bulla/c 31 16 $1,139.80 $2,780.58 $298.39 $1,025.82 $330.54 2025-01-21
11104 HCPCS Punch Biopsy Skin Single Lesion 31 16 $1,139.80 $343.38 70% off $298.39 $1,025.82 $330.54 2025-01-21
65220 HCPCS Remove Fb Corneal Without Techfee 31 16 $1,138.90 $683.34 40% off $298.15 $1,025.01 $330.28 2025-01-21
65210 HCPCS Removal Of External Body External Eye Techfe 31 16 $1,138.90 $219.06 81% off $298.15 $1,025.01 $330.28 2025-01-21
42809 HCPCS Rmv Frgn Body-pharyn Ed Tech Fee 31 16 $1,138.90 $418.92 63% off $298.15 $1,025.01 $330.28 2025-01-21
41250 HCPCS Tongue Laceration < Ed Tech Fee 31 16 $1,138.90 $1,206.66 $298.15 $1,025.01 $330.28 2025-01-21
36680 HCPCS Placement Needle Intraosseous Infusion Techf 31 16 $1,138.90 $219.06 81% off $298.15 $1,025.01 $330.28 2025-01-21
36425 HCPCS Estabaccess To Vein Ed Tech Fee 31 16 $1,138.90 $4.50 100% off $298.15 $1,025.01 $330.28 2025-01-21
72200 HCPCS Xr Sacroiliac Joints 1 Or 2 Views 39 20 $1,105.30 $1,099.26 $15.04 $994.77 $320.54 2025-01-21
75574 HCPCS CT Angio Coronary Artery Str/mph/fnt Cnt 37 19 $1,068.25 $36.00 97% off $120.24 $961.43 $309.79 2025-01-21
J3489 HCPCS Zoledronic Acid 5 Mg/100 Ml IV Sol 19 19 $1,034.82 $107.29 90% off $47.44 $931.34 $300.10 2025-01-21
90675 HCPCS Rabies Vaccine 37 19 $1,025.80 $72.00 93% off $85.68 $923.22 $297.48 2025-01-21
88342 HCPCS Immunohisto/cyto Chemistry Initial Stain 39 20 $976.40 $186.18 81% off $9.00 $878.76 $283.16 2025-01-21
86921 HCPCS Incubation 39 20 $976.40 $585.84 40% off $8.08 $878.76 $283.16 2025-01-21
86920 HCPCS Bill Only Crossmatch 70 20 $943.50 $566.10 40% off $8.08 $878.76 $283.16 2025-01-21
86922 HCPCS Xm Gel Only 39 20 $976.40 $585.84 40% off $11.25 $878.76 $283.16 2025-01-21
86885 HCPCS Antibody Screen Tube 39 20 $976.40 $209.82 79% off $4.35 $878.76 $283.16 2025-01-21
88365 HCPCS Fish In Situ Hybridization; Initial Probe Stain 39 20 $976.40 $1,232.94 $10.69 $878.76 $283.16 2025-01-21
88374 HCPCS Morphometric Analysis Ish; Ea Multiplex Probe Stai 39 20 $976.40 $585.84 40% off $82.63 $878.76 $283.16 2025-01-21
88360 HCPCS Pathology Level Vii 39 20 $976.40 $1,232.94 $17.15 $878.76 $283.16 2025-01-21
37195 HCPCS ER Thrombolysis Cerebral By Intravenous I 31 16 $968.00 $683.34 29% off $253.41 $871.20 $280.72 2025-01-21
92977 HCPCS Tpa Administration Ed Tech Fee 35 18 $968.00 $1,116.18 $87.84 $871.20 $280.72 2025-01-21
A6196 HCPCS E0685 Aph Rbc Cp2d As3 Lr 1 35 18 $962.00 $577.20 40% off $251.84 $865.80 $278.98 2025-01-21
A6199 HCPCS E0686 Aph Rbc Cp2d As3 Lr 2 35 18 $962.00 $577.20 40% off $251.84 $865.80 $278.98 2025-01-21
A4649 HCPCS E0336 Rbc Cpd As1 500 Lr 35 18 $962.00 $7.54 99% off $251.84 $865.80 $278.98 2025-01-21
86902 HCPCS Bill Only Antigen Typing 39 20 $943.50 $137.58 85% off $3.40 $849.15 $273.62 2025-01-21
93798 HCPCS Cardiac Rehab W/cont ECG Monit Charge 35 18 $934.10 $226.62 76% off $24.53 $840.69 $270.89 2025-01-21
74176 HCPCS CT Abdomen And Pelvis Without Contrast 37 19 $933.90 $420.12 55% off $101.11 $840.51 $270.83 2025-01-21
93970 HCPCS US Upper Ext Venous Duplex Bilateral 39 20 $933.90 $251.40 73% off $69.63 $840.51 $270.83 2025-01-21
93930 HCPCS US Upper Ext Arterial Duplex Bilateral 39 20 $933.90 $251.40 73% off $69.63 $840.51 $270.83 2025-01-21
93925 HCPCS US Lower Ext Arterial Duplex Bilateral 39 20 $933.90 $357.18 62% off $69.63 $840.51 $270.83 2025-01-21
93880 HCPCS US Carotid Duplex Bilateral 39 20 $933.90 $560.46 40% off $69.63 $840.51 $270.83 2025-01-21
77080 HCPCS Acetaminophen Level Flex 68 20 $753.35 $266.86 65% off $33.24 $1,073.16 $267.16 2025-01-21
58301 HCPCS ER - Removal Intrauterine Device Tech Fee 31 16 $917.00 $60.00 93% off $240.06 $825.30 $265.93 2025-01-21
56405 HCPCS Inc Drain Abscess Ed Tech Fee 31 16 $917.00 $423.84 54% off $240.06 $825.30 $265.93 2025-01-21
0110 RC — 58 15 $871.00 $417.60 52% off $228.02 $810.00 $261.00 2025-01-21
0202 RC — 29 15 $900.00 $240.00 73% off $235.61 $810.00 $261.00 2025-01-21
99292 HCPCS Critical Care Addl 30 Min 33 17 $900.00 $1,521.84 $115.01 $810.00 $261.00 2025-01-21
94060 HCPCS Bronchodilator Response Charge 39 20 $897.20 $267.90 70% off $28.35 $807.48 $260.19 2025-01-21
43754 HCPCS Gastric Intubation And Aspiration Diagnosti 31 16 $897.20 $538.32 40% off $234.88 $807.48 $260.19 2025-01-21
43753 HCPCS Gastric Intubatj Aspiraj W/phys Skill/lava 31 16 $897.20 $683.34 24% off $234.88 $807.48 $260.19 2025-01-21
93017 HCPCS Stress Test Tracing Charge 39 20 $897.20 $104.88 88% off $51.25 $807.48 $260.19 2025-01-21
92950 HCPCS Cpr Techfee 35 18 $897.20 $167.22 81% off $107.12 $807.48 $260.19 2025-01-21
93923 HCPCS US Abi Complete Bilateral 74 20 $744.15 $715.44 $48.87 $803.70 $258.97 2025-01-21
J2785 HCPCS Regadenoson 0.4 Mg/5 Ml IV Sol 19 19 $874.65 $2.28 100% off $24.14 $787.19 $253.65 2025-01-21
77067 HCPCS Lab Drug Screen 8-14 Drug Classes 76 20 $408.80 $245.28 40% off $23.56 $845.64 $248.78 2025-01-21
87636 HCPCS Sars-cov-2 (covid-19)/flu Rt-pcr (bd Max) 33 17 $855.80 $184.74 78% off $64.22 $770.22 $248.18 2025-01-21
64400 HCPCS Nerve Block Techfee 31 16 $846.60 $1,186.02 $221.63 $761.94 $245.51 2025-01-21
64405 HCPCS ER - Injection Of Anesthetic Agent Greater 31 16 $846.60 $507.96 40% off $221.63 $761.94 $245.51 2025-01-21
20605 HCPCS Arthrocentesis Aspir /inj Interm Jt/burs Without 31 16 $846.60 $507.96 40% off $221.63 $761.94 $245.51 2025-01-21
20612 HCPCS Aspiration And/or Injection Of Ganglion Cyst 31 16 $846.60 $507.96 40% off $221.63 $761.94 $245.51 2025-01-21
20610 HCPCS Arthrocentesis Aspir /inj Major Jt/bursa Without 31 16 $846.60 $507.96 40% off $221.63 $761.94 $245.51 2025-01-21
20600 HCPCS Aspiration/injection Of Small Joint/bursa 31 16 $846.60 $51.06 94% off $221.63 $761.94 $245.51 2025-01-21
20553 HCPCS Injection Single/mlt Trigger Point 3/> Muscl 31 16 $846.60 $507.96 40% off $221.63 $761.94 $245.51 2025-01-21
20552 HCPCS Injection Single/mlt Trigger Point 1/2 Muscl 31 16 $846.60 $507.96 40% off $221.63 $761.94 $245.51 2025-01-21
20551 HCPCS Inject Single Tendon Ori Techfee 31 16 $846.60 $507.96 40% off $221.63 $761.94 $245.51 2025-01-21
20550 HCPCS Injection 1 Tendon Sheath/ligament Aponeuros 31 16 $846.60 $507.96 40% off $221.63 $761.94 $245.51 2025-01-21
20526 HCPCS Injection Therap (eg Local Anes Corticos) 31 16 $846.60 $2,780.58 $221.63 $761.94 $245.51 2025-01-21
93976 HCPCS US Renal Artery Duplex Bilateral 74 20 $838.00 $251.40 70% off $69.63 $754.20 $243.02 2025-01-21
76641 HCPCS US Breast Complete Bilat 70 20 $628.50 $251.40 60% off $41.25 $754.20 $243.02 2025-01-21
76881 HCPCS US Extremity Nonvascular Complete Bilat 70 20 $419.00 $251.40 40% off $44.69 $754.20 $243.02 2025-01-21
76882 HCPCS US Extremity Nonvascular Limited Bilat 70 20 $628.50 $251.40 60% off $7.72 $754.20 $243.02 2025-01-21
67938 HCPCS ER- Removal Foreign Body Eyelid Techfee 31 16 $832.70 $499.62 40% off $217.99 $749.43 $241.48 2025-01-21
67700 HCPCS Drain Abscess-eyelid Ed Tech Fee 31 16 $832.70 $219.06 74% off $217.99 $749.43 $241.48 2025-01-21
99283 HCPCS Level 3 ER Visit 39 20 $815.60 $280.50 66% off $74.42 $734.04 $236.52 2025-01-21
29705 HCPCS Removal/bivalving Full Arm/full Leg Cast Tec 31 16 $767.60 $270.24 65% off $200.95 $690.84 $222.60 2025-01-21
29405 HCPCS Application Short Leg Cast Below Knee-toe Te 31 16 $767.60 $104.88 86% off $200.95 $690.84 $222.60 2025-01-21
29075 HCPCS Application Cast Elbow Finger Short Arm Tech 31 16 $767.60 $460.56 40% off $200.95 $690.84 $222.60 2025-01-21
28665 HCPCS Closed Treatment Of Interphalangeal Joint Di 31 16 $767.60 $404.46 47% off $200.95 $690.84 $222.60 2025-01-21
26775 HCPCS Cltx Iphal Jt Dislc W/manj Req Anes Techfee 31 16 $767.60 $404.46 47% off $200.95 $690.84 $222.60 2025-01-21
81373 HCPCS Hla B*51 Disease Association Lc 39 20 $764.60 $330.00 57% off $68.37 $688.14 $221.73 2025-01-21
J0650 HCPCS Levothyroxine 200 Mcg (0.2 Mg) Pow 18 18 $760.17 $19.76 97% off $199.01 $684.15 $220.45 2025-01-21
86900 HCPCS Abo/rh 39 20 $730.30 $585.84 $4.35 $657.27 $211.79 2025-01-21
99195 HCPCS Lab Therapeutic Phlebotomy 39 20 $730.30 $17.10 98% off $13.42 $657.27 $211.79 2025-01-21
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