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

CUERO REGIONAL HOSPITAL

Cuero, TX · CCN 450597 · Rates published

584 distinct procedures filed
22 distinct payers
25,386 rate rows
2026-07-15 last MRF observed
Data quality

22,536 of 25,386 rate rows are consumer-grade (88.8%)

2,850 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
per-diem day rate — not a per-procedure price 2,823
percent-of-charges filed in the dollar field — excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cueroregionalhospital.pg.quadax.revenuemasters.com/cdm-files/746075588_cuero-regional-hospital_standardcharges.csv
Found on page https://cueroregionalhospital.pg.quadax.revenuemasters.com/disclaimer?
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 71e99dbc49ab383d… · 4,819,547 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
0100
RC 		6 $905.87 $281,122.01 $15,405.74 nat. median
$852
outlier · 18.1×
S2900
HCPCS 		Robotic Surgical System 4 $14,460.48 $15,082.43 $15,082.43 nat. median
$1,340
outlier · 11.3×
J2407
HCPCS 		Oritavancin Disphos 400 Mg Inj 21 $22.82 $17,672.40 $10,222.80 nat. median
$89
outlier · 114.5×
54161
HCPCS 		Circumcision, Over 28 Days 7 $652.80 $8,224.05 $7,884.91 nat. median
$2,202
outlier · 3.6×
54160
HCPCS 		Circumcision, Less Than 28days 7 $238.15 $8,224.05 $7,884.91 nat. median
$853
outlier · 9.2×
J2993
HCPCS 		Retavase Inj 20 Units* 22 $2,221.71 $9,101.70 $6,088.40 nat. median
$3,172
1.9× median
L8680
HCPCS 		Neurostimulator Lead Kit 2 $4,626.19 $5,690.21 $5,158.20 nat. median
$4,367
1.2× median
J1162
HCPCS 		Digibind 40 Mg/4 Cc Inj.* 22 $926.79 $13,557.81 $5,069.97 nat. median
$6,265
0.8× median
C9359
HCPCS 		Tectoset IM Plant 16 $150.09 $6,495.00 $5,033.62 nat. median
$1,485
outlier · 3.4×
J0600
HCPCS 		Calcium Disodium Versenate 22 $207.48 $14,926.94 $4,488.34 nat. median
$6,592
0.7× median
J2353
HCPCS 		Sandostatin Lar 30mg Depot 22 $130.84 $20,744.10 $4,389.75 nat. median
$1,956
outlier · 2.2×
J7296
HCPCS 		Kyleena 19.5 IUD 16 $1,243.81 $4,289.00 $3,428.15 nat. median
$1,506
outlier · 2.3×
J0840
HCPCS 		Crofab Vial 1 Gram 22 $1,423.71 $11,913.71 $3,302.39 nat. median
$3,496
0.9× median
81162
HCPCS 		Brca1 And Brca2, Comprehensive 21 $1,177.69 $8,200.67 $3,045.75 nat. median
$1,880
1.6× median
99285
HCPCS 		Emergency Room - Intensive 5 6 $510.28 $2,979.26 $2,919.36 nat. median
$790
outlier · 3.7×
J7327
HCPCS 		Hyaluronate Sodium 88 Mg/4ml 21 $451.72 $3,683.70 $2,742.31 nat. median
$872
outlier · 3.1×
0200
RC 		11 $2,160.75 $3,225.00 $2,741.25 nat. median
$3,863
0.7× median
C1776
HCPCS 		Hip System ** 16 $189.95 $10,296.00 $2,449.78 nat. median
$3,543
0.7× median
J7300
HCPCS 		Paraguard IUD 16 $704.99 $4,145.00 $2,309.45 nat. median
$1,804
1.3× median
0206
RC 		11 $1,563.78 $2,334.00 $1,983.90 nat. median
$3,135
0.6× median
J9217
HCPCS 		Lupron 22.5 Mg Depot Inj. 22 $144.63 $3,369.60 $1,750.82 nat. median
$2,144
0.8× median
Q5108
HCPCS 		Fulphila Inj 6 Mg 21 $100.24 $2,382.30 $1,580.62 nat. median
$418
outlier · 3.8×
J7168
HCPCS 		Prothrombin Complex Kcentra 21 $1.76 $3,889.80 $1,541.66 nat. median
$589
outlier · 2.6×
J2325
HCPCS 		Natrecor 1.5 Mg Inj. 17 $53.38 $2,298.00 $1,539.66 nat. median
$1,553
1.0× median
J7307
HCPCS 		Nex Planon 68 Mg 16 $539.69 $3,400.08 $1,535.32 nat. median
$1,572
1.0× median
J7298
HCPCS 		Mirena IUD 16 $535.92 $3,441.90 $1,524.60 nat. median
$1,565
1.0× median
J2916
HCPCS 		Sodium Ferric Gluconate Inj 16 $16.94 $2,187.00 $1,498.10 nat. median
$43
outlier · 35.0×
0110
RC 		11 $1,153.07 $1,755.00 $1,477.30 nat. median
$855
1.7× median
J0630
HCPCS 		Calcimar 200u/cc Inj 21 $639.16 $9,032.28 $1,476.68 nat. median
$1,663
0.9× median
J7301
HCPCS 		Skyla IUD 16 $504.89 $2,865.95 $1,436.32 nat. median
$1,434
1.0× median
C1781
HCPCS 		Goretex Plus Mesh 1mm 285 Sqcm 16 $318.42 $2,474.00 $1,372.70 nat. median
$1,566
0.9× median
J0122
HCPCS 		Xerava 1.6 Mg 16 $3.77 $1,854.00 $1,269.99 nat. median
$67
outlier · 18.9×
0170
RC 		8 $733.65 $1,861.00 $1,170.93 nat. median
$1,043
1.1× median
59414
HCPCS 		Manual Del Placenta 3 $1,063.52 $1,308.13 $1,150.00 nat. median
$2,853
outlier · 0.4×
27369
HCPCS 		Injection Procedure Knee 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$276
outlier · 4.2×
59899
HCPCS 		Jada System Hemorrhage Control 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$310
outlier · 3.7×
51702
HCPCS 		Insertion/temp Urine Cath 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$161
outlier · 7.2×
27093
HCPCS 		Injection Procedure Hip 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$449
outlier · 2.6×
51701
HCPCS 		ER-insert Cath Residual Urine 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$150
outlier · 7.7×
23350
HCPCS 		Injection Proc Shoulder Mri/ct 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$394
outlier · 2.9×
11980
HCPCS 		Biote Pellet Tx Female 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$452
outlier · 2.5×
19286
HCPCS 		US Breast Place Loc Dev Ea Add 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$418
outlier · 2.8×
59200
HCPCS 		Insertion Cervical Dilator 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$364
outlier · 3.2×
62284
HCPCS 		Myelogram Inj Lumbar Spine 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$571
outlier · 2.0×
47532
HCPCS 		Cholangiogram -t-tube - Xray 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$3,747
outlier · 0.3×
19285
HCPCS 		US Breast Place Loc Dev 1st Le 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$906
1.3× median
43753
HCPCS 		Ng/gastric Lavage - ER 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$280
outlier · 4.1×
29280
HCPCS 		Ot Strapping Hand Or Finger 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$80
outlier · 14.4×
51600
HCPCS 		Injection Proc For Cystogram 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$394
outlier · 2.9×
36680
HCPCS 		Needle Place/intraosseous Inf 1 $1,150.00 $1,150.00 $1,150.00 nat. median
$429
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 584 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
             
0100 RC — 4,452 6 — — $905.87 $281,122.01 $15,405.74 2026-07-15
S2900 HCPCS Robotic Surgical System 4 4 — — $14,460.48 $15,082.43 $15,082.43 2026-07-15
J2407 HCPCS Oritavancin Disphos 400 Mg Inj 31 21 $19,636.00 $7,854.40 60% off $22.82 $17,672.40 $10,222.80 2026-07-15
54160 HCPCS Circumcision, Less Than 28days 7 7 — — $238.15 $8,224.05 $7,884.91 2026-07-15
54161 HCPCS Circumcision, Over 28 Days 7 7 — — $652.80 $8,224.05 $7,884.91 2026-07-15
J2993 HCPCS Retavase Inj 20 Units* 32 22 $10,113.00 $4,045.20 60% off $2,221.71 $9,101.70 $6,088.40 2026-07-15
L8680 HCPCS Neurostimulator Lead Kit 2 2 — — $4,626.19 $5,690.21 $5,158.20 2026-07-15
J1162 HCPCS Digibind 40 Mg/4 Cc Inj.* 22 22 $6,542.00 $2,616.80 60% off $926.79 $13,557.81 $5,069.97 2026-07-15
C9359 HCPCS Tectoset IM Plant 16 16 $6,495.00 $2,598.00 60% off $150.09 $6,495.00 $5,033.62 2026-07-15
J0600 HCPCS Calcium Disodium Versenate 22 22 $4,566.00 $1,826.40 60% off $207.48 $14,926.94 $4,488.34 2026-07-15
J2353 HCPCS Sandostatin Lar 30mg Depot 33 22 $23,049.00 $9,219.60 60% off $130.84 $20,744.10 $4,389.75 2026-07-15
J7296 HCPCS Kyleena 19.5 IUD 16 16 $4,289.00 $1,715.60 60% off $1,243.81 $4,289.00 $3,428.15 2026-07-15
J0840 HCPCS Crofab Vial 1 Gram 22 22 $5,527.00 $2,210.80 60% off $1,423.71 $11,913.71 $3,302.39 2026-07-15
81162 HCPCS Brca1 And Brca2, Comprehensive 21 21 $4,061.00 $1,624.40 60% off $1,177.69 $8,200.67 $3,045.75 2026-07-15
99285 HCPCS Emergency Room - Intensive 5 12 6 — — $510.28 $2,979.26 $2,919.36 2026-07-15
J7327 HCPCS Hyaluronate Sodium 88 Mg/4ml 21 21 $4,093.00 $1,637.20 60% off $451.72 $3,683.70 $2,742.31 2026-07-15
0200 RC — 11 11 $3,225.00 $1,290.00 60% off $2,160.75 $3,225.00 $2,741.25 2026-07-15
C1776 HCPCS Hip System ** 48 16 $3,161.00 $1,264.40 60% off $189.95 $10,296.00 $2,449.78 2026-07-15
J7300 HCPCS Paraguard IUD 28 16 $2,431.00 $972.40 60% off $704.99 $4,145.00 $2,309.45 2026-07-15
0206 RC — 11 11 $2,334.00 $933.60 60% off $1,563.78 $2,334.00 $1,983.90 2026-07-15
J9217 HCPCS Lupron 22.5 Mg Depot Inj. 22 22 $3,744.00 $1,497.60 60% off $144.63 $3,369.60 $1,750.82 2026-07-15
Q5108 HCPCS Fulphila Inj 6 Mg 21 21 $2,647.00 $1,058.80 60% off $100.24 $2,382.30 $1,580.62 2026-07-15
J7168 HCPCS Prothrombin Complex Kcentra 31 21 $2,388.00 $955.20 60% off $1.76 $3,889.80 $1,541.66 2026-07-15
J2325 HCPCS Natrecor 1.5 Mg Inj. 17 17 $2,298.00 $919.20 60% off $53.38 $2,298.00 $1,539.66 2026-07-15
J7307 HCPCS Nex Planon 68 Mg 16 16 $1,861.00 $744.40 60% off $539.69 $3,400.08 $1,535.32 2026-07-15
J7298 HCPCS Mirena IUD 16 16 $1,848.00 $739.20 60% off $535.92 $3,441.90 $1,524.60 2026-07-15
J2916 HCPCS Sodium Ferric Gluconate Inj 16 16 $2,187.00 $874.80 60% off $16.94 $2,187.00 $1,498.10 2026-07-15
0110 RC — 22 11 $1,738.00 $695.20 60% off $1,153.07 $1,755.00 $1,477.30 2026-07-15
J0630 HCPCS Calcimar 200u/cc Inj 21 21 $2,204.00 $881.60 60% off $639.16 $9,032.28 $1,476.68 2026-07-15
J7301 HCPCS Skyla IUD 16 16 $1,741.00 $696.40 60% off $504.89 $2,865.95 $1,436.32 2026-07-15
C1781 HCPCS Goretex Plus Mesh 1mm 285 Sqcm 48 16 $1,961.00 $784.40 60% off $318.42 $2,474.00 $1,372.70 2026-07-15
J0122 HCPCS Xerava 1.6 Mg 16 16 $1,854.00 $741.60 60% off $3.77 $1,854.00 $1,269.99 2026-07-15
0170 RC — 16 8 $1,478.00 $591.20 60% off $733.65 $1,861.00 $1,170.93 2026-07-15
51798 HCPCS US Bladder Scan 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
11980 HCPCS Biote Pellet Tx Female 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
19084 HCPCS US Guided Breast Biopsy Ea.add 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
19281 HCPCS Mammogram Place Device 1st 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
19282 HCPCS Mammogram Place Dev Ea Add 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
19285 HCPCS US Breast Place Loc Dev 1st Le 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
19286 HCPCS US Breast Place Loc Dev Ea Add 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
23350 HCPCS Injection Proc Shoulder Mri/ct 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
27093 HCPCS Injection Procedure Hip 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
27369 HCPCS Injection Procedure Knee 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
29125 HCPCS Ot Arm Splint Short Static 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
29126 HCPCS Ot Application Arm Splint Dyn 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
29130 HCPCS Ot Appl. Static Finger Splint 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
29131 HCPCS Ot Appl. Finger Splint Dynamic 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
29260 HCPCS Ot Strapping Elbow/wrist 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
29280 HCPCS Ot Strapping Hand Or Finger 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
36410 HCPCS Midline Placement 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
36556 HCPCS Cvp/subclavian Insert ER 3 3 — — $1,118.22 $1,375.41 $1,150.00 2026-07-15
36680 HCPCS Needle Place/intraosseous Inf 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
43753 HCPCS Ng/gastric Lavage - ER 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
47532 HCPCS Cholangiogram -t-tube - Xray 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
51600 HCPCS Injection Proc For Cystogram 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
51701 HCPCS ER-insert Cath Residual Urine 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
51702 HCPCS Insertion/temp Urine Cath 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
59050 HCPCS Insert Fetal Scalp Elect/iup 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
59200 HCPCS Insertion Cervical Dilator 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
59414 HCPCS Manual Del Placenta 3 3 — — $1,063.52 $1,308.13 $1,150.00 2026-07-15
59899 HCPCS Jada System Hemorrhage Control 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
62284 HCPCS Myelogram Inj Lumbar Spine 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
62302 HCPCS Myelogram Via L/s For Cervical 1 1 — — $1,150.00 $1,150.00 $1,150.00 2026-07-15
36569 HCPCS Picc Line Insertion Over Age 5 4 4 — — $446.27 $1,150.00 $846.24 2026-07-15
J2506 HCPCS Neulasta 6 Mg Prefilled Syring 21 21 $16,884.00 $6,753.60 60% off $15.98 $15,195.60 $812.59 2026-07-15
55250 HCPCS Vasectomy Removal Sperm Ducts 3 3 — — $652.80 $1,150.00 $802.94 2026-07-15
99283 HCPCS Emergency Room - Intermed.lev3 16 8 — — $146.99 $1,253.26 $783.09 2026-07-15
C9290 HCPCS Exparel 1.3% 20 Ml Vial 250 Mg 33 17 $847.00 $338.80 60% off $1.19 $1,197.00 $762.30 2026-07-15
0120 RC — 11 11 $889.00 $355.60 60% off $595.63 $889.00 $755.65 2026-07-15
72198 HCPCS MRI Angio Of Pelvis W/o-w Cont 1 1 — — $725.00 $725.00 $725.00 2026-07-15
72196 HCPCS MRI Pelvis With Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
71552 HCPCS MRI Chest With & Without Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
72149 HCPCS MRI Lumbar Spine With Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
72159 HCPCS MRI Angio Spinal Canal Without Con 1 1 — — $725.00 $725.00 $725.00 2026-07-15
77084 HCPCS MRI Bone Marrow Blood Supply 1 1 — — $725.00 $725.00 $725.00 2026-07-15
77049 HCPCS MRI Breast Bil W/wo Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
77048 HCPCS MRI Breast W/wo Contrast Left 2 1 — — $725.00 $725.00 $725.00 2026-07-15
70540 HCPCS MRI Orbit, Face And Neck Without 1 1 — — $725.00 $725.00 $725.00 2026-07-15
70542 HCPCS MRI Orbit/face/neck W/contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
73719 HCPCS Mr Femur Bi W/contrast 2 1 — — $725.00 $725.00 $725.00 2026-07-15
70545 HCPCS Mra/mrv Brain With Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
70546 HCPCS Mra/mrv Brain W & Without Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
70547 HCPCS MRA Neck Without Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
70548 HCPCS MRA Neck With Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
70549 HCPCS MRA Neck With & W/out Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
70552 HCPCS MRI Brain With Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
73225 HCPCS Mr Angio Ue Bi W/contrast 4 1 — — $725.00 $725.00 $725.00 2026-07-15
73223 HCPCS Mr Elbow Bi Wo/w Contrast 2 1 — — $725.00 $725.00 $725.00 2026-07-15
71550 HCPCS MRI Chest Without Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
71551 HCPCS MRI Chest With Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
71555 HCPCS MRI Angio Of Chest W/o-w Cont 1 1 — — $725.00 $725.00 $725.00 2026-07-15
73222 HCPCS Mr Elbow Bi W/contrast 2 1 — — $725.00 $725.00 $725.00 2026-07-15
74185 HCPCS MRI Angio Of Abdomen W Or Without 1 1 — — $725.00 $725.00 $725.00 2026-07-15
77046 HCPCS MRI Breast Without Contrast Left 2 1 — — $725.00 $725.00 $725.00 2026-07-15
72142 HCPCS MRI Cervical Spine With Cont 1 1 — — $725.00 $725.00 $725.00 2026-07-15
77047 HCPCS MRI Breast Bil Without Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
72147 HCPCS MRI Thoracic Spine With Cont 1 1 — — $725.00 $725.00 $725.00 2026-07-15
74182 HCPCS MRI Abdomen With Contrast 1 1 — — $725.00 $725.00 $725.00 2026-07-15
73725 HCPCS Mr Angio Le Bi W/contrast 4 1 — — $725.00 $725.00 $725.00 2026-07-15
73722 HCPCS Mr Ankle Bi W/contrast 2 1 — — $725.00 $725.00 $725.00 2026-07-15
75557 HCPCS MRI Cardiac Morphology Without 1 1 — — $725.00 $725.00 $725.00 2026-07-15
J1670 HCPCS Hyper-tet Inj 250 Units* 22 22 $1,096.00 $438.40 60% off $284.61 $1,997.10 $716.12 2026-07-15
90744 HCPCS Hepatitis B Vacc Child 10cmg 17 17 $941.00 $376.40 60% off $75.11 $941.00 $697.71 2026-07-15
37195 HCPCS Thrombolytic IV Admin Stroke 2 2 — — $244.18 $1,150.00 $697.09 2026-07-15
M0240 HCPCS Casirivimab-imdevimab Admin 21 21 $917.00 $366.80 60% off $265.93 $2,011.50 $687.75 2026-07-15
99282 HCPCS Emergency Room Level 2 25 Mod 14 7 — — $37.93 $713.00 $684.33 2026-07-15
M0243 HCPCS Imdevimab Admin Infusion 21 21 $900.00 $360.00 60% off $261.00 $2,011.50 $675.00 2026-07-15
M0245 HCPCS Bamlanivimab Infusion 21 21 $890.00 $356.00 60% off $258.10 $2,011.50 $667.50 2026-07-15
0276 RC — 16 16 $848.00 $339.20 60% off $245.92 $848.00 $665.68 2026-07-15
99292 HCPCS ER Critical Care Ea Add 30 Min 4 4 — — $622.62 $648.71 $648.71 2026-07-15
49083 HCPCS US Abd Paracentesis W/guidance 4 4 — — $334.95 $1,150.00 $637.37 2026-07-15
36600 HCPCS Arterial Puncture For Abg 2 2 — — $94.88 $1,150.00 $622.44 2026-07-15
C9250 HCPCS Artiss Fibrin 4ml 22 22 $1,027.00 $410.80 60% off $68.42 $924.30 $613.63 2026-07-15
58300 HCPCS Insertion Of IUD 2 2 — — $59.24 $1,150.00 $604.62 2026-07-15
19083 HCPCS US Guidance Bx, Aspir 5 5 — — $304.27 $1,192.76 $598.33 2026-07-15
11423 HCPCS Excision Benign Lesion 7 7 — — $104.38 $1,150.00 $586.66 2026-07-15
90676 HCPCS Rabavert Rabies Vaccine 22 22 $816.00 $326.40 60% off $153.85 $816.00 $579.05 2026-07-15
36430 HCPCS Blood Administration - Op 26 22 $979.00 $391.60 60% off $30.73 $1,150.00 $578.37 2026-07-15
90371 HCPCS Hepatitis B Inj. 10mg/5ml 32 22 $1,751.00 $700.40 60% off $100.08 $1,575.90 $566.58 2026-07-15
J7324 HCPCS Orthovisc 30 Mg Inj 22 22 $1,009.00 $403.60 60% off $73.70 $908.10 $563.47 2026-07-15
J1442 HCPCS Neupogen 480 Inj * 31 21 $1,388.00 $555.20 60% off $0.78 $1,249.20 $551.41 2026-07-15
72133 HCPCS CT Lumbar Spine Without - With Con 1 1 — — $550.00 $550.00 $550.00 2026-07-15
70460 HCPCS CT Head With Contrast 1 1 — — $550.00 $550.00 $550.00 2026-07-15
70481 HCPCS CT Ear, Orbit Etc. With Cont. 1 1 — — $550.00 $550.00 $550.00 2026-07-15
70488 HCPCS CT Maxillo Facial W/wo Contr. 1 1 — — $550.00 $550.00 $550.00 2026-07-15
70496 HCPCS Cta/ctv Head/cow 1 1 — — $550.00 $550.00 $550.00 2026-07-15
0350 RC — 1 1 — — $550.00 $550.00 $550.00 2026-07-15
71271 HCPCS CT Lung Screening Low-dose 1 1 — — $550.00 $550.00 $550.00 2026-07-15
72127 HCPCS CT Cervical Spine W/wo Contr. 1 1 — — $550.00 $550.00 $550.00 2026-07-15
72129 HCPCS CT Thoracic Spine With Contr. 1 1 — — $550.00 $550.00 $550.00 2026-07-15
72130 HCPCS CT Thoracic Spine W/o-w Contra 1 1 — — $550.00 $550.00 $550.00 2026-07-15
75571 HCPCS CT Coronary Calcification Scrn 1 1 — — $550.00 $550.00 $550.00 2026-07-15
72191 HCPCS CTA Pelvis Wo/w Contrast 1 1 — — $550.00 $550.00 $550.00 2026-07-15
73201 HCPCS CT Elbow Bilateral W/contrast 4 1 — — $550.00 $550.00 $550.00 2026-07-15
73202 HCPCS CT Elbow Bilateral Wo/w Con 4 1 — — $550.00 $550.00 $550.00 2026-07-15
73701 HCPCS CT Ankle Bilateral W/contrast 4 1 — — $550.00 $550.00 $550.00 2026-07-15
77012 HCPCS CT Guidance Needle 1 1 — — $550.00 $550.00 $550.00 2026-07-15
74150 HCPCS CT Abdomen - Limited 1 1 — — $550.00 $550.00 $550.00 2026-07-15
76380 HCPCS CT Chest Limited 1 1 — — $550.00 $550.00 $550.00 2026-07-15
76376 HCPCS CT 3-d Reconstruction 1 1 — — $550.00 $550.00 $550.00 2026-07-15
74175 HCPCS CTA Abdomen Wo/w Contrast 1 1 — — $550.00 $550.00 $550.00 2026-07-15
75989 HCPCS CT Imaging Abscess Drain 1 1 — — $550.00 $550.00 $550.00 2026-07-15
31603 HCPCS Tracheostomy - ER 3 3 — — $420.64 $1,150.00 $517.39 2026-07-15
70336 HCPCS MRI Tmi Wo And/or W Con 2 2 — — $294.24 $725.00 $509.62 2026-07-15
J2997 HCPCS Activase 100 Mg Vial 33 22 $18,721.00 $7,488.40 60% off $50.70 $16,848.90 $501.60 2026-07-15
72197 HCPCS MRI Pelvis With & Without Contrast 2 2 — — $262.90 $725.00 $493.95 2026-07-15
73219 HCPCS Mr Forearm Bi W/contrast 8 2 — — $262.90 $725.00 $493.95 2026-07-15
72157 HCPCS MRI T-spine W And Without Contrast 2 2 — — $262.90 $725.00 $493.95 2026-07-15
73720 HCPCS Mr Femur Bi Wo/w Contrast 4 2 — — $262.90 $725.00 $493.95 2026-07-15
70543 HCPCS MRI Orbit/face/neck W & Without 2 2 — — $262.90 $725.00 $493.95 2026-07-15
73723 HCPCS Mr Ankle Bi Wo/w Contrast 4 2 — — $262.90 $725.00 $493.95 2026-07-15
K0003 HCPCS Lightweight Wc 16 Inch Nonrent 21 21 $616.00 $246.40 60% off $141.41 $616.00 $492.80 2026-07-15
J2785 HCPCS Lexiscan 0.4 Mg/5ml Prefilled 17 17 $699.00 $279.60 60% off $55.29 $699.00 $489.30 2026-07-15
J1410 HCPCS Premarin IV 25 Mg 5cc 22 22 $657.00 $262.80 60% off $129.22 $1,155.52 $479.95 2026-07-15
Q5106 HCPCS Retacrit 10,000 Unit Vial 62 21 $1,757.00 $702.80 60% off $5.97 $4,092.30 $477.75 2026-07-15
J1110 HCPCS Dhe 45 1 Mg Inj 16 16 $537.00 $214.80 60% off $155.73 $691.73 $469.88 2026-07-15
P9036 HCPCS Plt Aphereis Irradiated 2 2 — — $417.71 $513.78 $465.75 2026-07-15
J1097 HCPCS Omidria Gtts 21 21 $1,690.00 $676.00 60% off $72.73 $1,521.00 $464.32 2026-07-15
73220 HCPCS Mr Forearm Bi Wo/w Contrast 12 3 — — $262.90 $725.00 $464.22 2026-07-15
88369 HCPCS M/Phmtrc Analys Ish Qnt/SemiQ 16 16 $639.00 $255.60 60% off $185.31 $639.00 $463.27 2026-07-15
J1645 HCPCS Fragmin/dalteparin 5000 Units 16 16 $624.00 $249.60 60% off $71.49 $624.00 $452.40 2026-07-15
72195 HCPCS MRI Pelvis Without Contrast 2 2 — — $177.94 $725.00 $451.47 2026-07-15
74181 HCPCS MRI Abdomen Without Contrast 2 2 — — $177.94 $725.00 $451.47 2026-07-15
70544 HCPCS Mra/mrv Brain Without Contrast 2 2 — — $177.94 $725.00 $451.47 2026-07-15
70551 HCPCS MRI Brain Without Contrast 2 2 — — $177.94 $725.00 $451.47 2026-07-15
73218 HCPCS Mr Forearm Bi Wo/contrast 8 2 — — $177.94 $725.00 $451.47 2026-07-15
J2760 HCPCS Phentolamine 5mg Vial 42 22 $1,557.00 $622.80 60% off $56.22 $1,692.90 $450.76 2026-07-15
74177 HCPCS CT Abdomen & Pelvis With Cont. 4 4 — — $262.90 $1,728.54 $439.31 2026-07-15
73706 HCPCS CTA Lower Extremity W/o-w Cont 8 2 — — $320.31 $550.00 $435.15 2026-07-15
72126 HCPCS CT Cervical Spine With Contr. 2 2 — — $320.31 $550.00 $435.15 2026-07-15
90671 HCPCS Pneumococal Coj Vac 15 Val.5ml 17 17 $510.00 $204.00 60% off $147.90 $994.00 $433.50 2026-07-15
J0583 HCPCS Bivalirudin 1mg 17 17 $618.00 $247.20 60% off $3.06 $618.00 $432.60 2026-07-15
J3101 HCPCS Tnkase Kit - Single Use 50 Mg 22 22 $10,119.00 $4,047.60 60% off $68.51 $9,107.10 $431.32 2026-07-15
91320 HCPCS Covid Vaccine 2024 16 16 $507.00 $202.80 60% off $147.03 $507.00 $423.35 2026-07-15
J2248 HCPCS Micafungin Sodium 100mg 17 17 $591.00 $236.40 60% off $0.97 $591.00 $413.70 2026-07-15
49082 HCPCS Paracentesis, Initial 3 3 — — $334.95 $1,150.00 $411.99 2026-07-15
72132 HCPCS CT Lumbar With Contrast 2 2 — — $262.90 $550.00 $406.45 2026-07-15
J2794 HCPCS Risperdal Consta 37.5 Mg Syrin 62 22 $1,609.00 $643.60 60% off $5.61 $1,919.70 $399.00 2026-07-15
99281 HCPCS Emergency Room Level 1 25 Mod 10 5 — — $64.82 $392.74 $392.74 2026-07-15
90697 HCPCS Diphtheria Tetanus Toxoid Vacc 16 16 $469.00 $187.60 60% off $136.01 $469.00 $391.62 2026-07-15
0370 RC — 16 16 $474.00 $189.60 60% off $137.46 $474.00 $383.94 2026-07-15
P9034 HCPCS Plt Aphereis & Processing Fee 2 2 — — $343.82 $422.90 $383.36 2026-07-15
95865 HCPCS Recurrent Laryngeal Monitoring 22 22 $525.00 $210.00 60% off $78.40 $472.50 $372.75 2026-07-15
90630 HCPCS Pneumococal Vaccine 0.5 Ml 16 16 $510.00 $204.00 60% off $69.18 $510.00 $369.75 2026-07-15
J7321 HCPCS Supartz 25 Mg/2.5ml 29 17 $408.00 $163.20 60% off $95.03 $811.00 $364.71 2026-07-15
70490 HCPCS CT Soft Tissue Neck Without Cont. 2 2 — — $165.31 $550.00 $357.65 2026-07-15
72193 HCPCS CT Pelvis With Contrast 2 2 — — $163.82 $550.00 $356.91 2026-07-15
73206 HCPCS CT Angio Forearm Bilateral 8 2 — — $163.82 $550.00 $356.91 2026-07-15
10005 HCPCS US Fine Needle Asp Biopsy 4 4 — — $257.60 $1,150.00 $356.48 2026-07-15
80346 HCPCS Alprazolam (xanax) 16 16 $440.00 $176.00 60% off $127.60 $440.00 $356.40 2026-07-15
59025 HCPCS Fetal Heart Monitor/nst 29 22 $514.00 $205.60 60% off $15.78 $1,150.00 $344.38 2026-07-15
70487 HCPCS CT Maxillo Facial With Contr. 4 2 — — $131.05 $550.00 $340.52 2026-07-15
75635 HCPCS CTA Abd Aorta With Runoff 2 2 — — $131.05 $550.00 $340.52 2026-07-15
74160 HCPCS CT Abdomen With Contras 2 2 — — $131.05 $550.00 $340.52 2026-07-15
72194 HCPCS CT Pelvis W/wo Contrast 2 2 — — $131.05 $550.00 $340.52 2026-07-15
70470 HCPCS CT Head With/without Contrast 2 2 — — $131.05 $550.00 $340.52 2026-07-15
71270 HCPCS CT Chest W/wo Contrast 2 2 — — $131.05 $550.00 $340.52 2026-07-15
71260 HCPCS CT Chest With Contrast 2 2 — — $131.05 $550.00 $340.52 2026-07-15
70482 HCPCS CT Orbits W/without Contrast 2 2 — — $131.05 $550.00 $340.52 2026-07-15
73702 HCPCS CT Ankle Bilateral Wo/w Con 8 2 — — $128.77 $550.00 $339.38 2026-07-15
75574 HCPCS CTA Angio Heart W/3d Image 3 3 — — $262.90 $550.00 $328.63 2026-07-15
J1459 HCPCS Privigen IV Each Gram 42 22 $345.00 $138.00 60% off $36.20 $3,087.00 $327.75 2026-07-15
70492 HCPCS CT Soft Tissue Neck W/wo Cont 2 2 — — $97.05 $550.00 $323.52 2026-07-15
J1652 HCPCS Fondaparinux Sodium 5mg/0.4ml 16 16 $446.00 $178.40 60% off $7.97 $446.00 $323.35 2026-07-15
62328 HCPCS Lumbar Puncture With Fluro/ct 3 3 — — $262.86 $1,150.00 $323.32 2026-07-15
62270 HCPCS Lumbar Puncture 3 3 — — $262.86 $1,150.00 $323.32 2026-07-15
96365 HCPCS IV Infusion Therapy M/s Hr 22 22 $478.00 $191.20 60% off $118.05 $430.20 $318.71 2026-07-15
J3243 HCPCS Tygacil IV - 50 Mg Vial 29 17 $474.00 $189.60 60% off $1.50 $474.00 $317.58 2026-07-15
J1447 HCPCS Granix 300 Mcg Syringe 31 21 $470.00 $188.00 60% off $0.32 $763.00 $314.90 2026-07-15
70480 HCPCS CT Ear - Canal/outer No Contra 2 2 — — $78.28 $550.00 $314.14 2026-07-15
72192 HCPCS CT Pelvis Without Contrast 2 2 — — $78.28 $550.00 $314.14 2026-07-15
72128 HCPCS CT Thoracic Spine Without Contr. 2 2 — — $78.28 $550.00 $314.14 2026-07-15
Q9968 HCPCS Methylene Blue Inj. 10 Mg. 31 21 $392.00 $156.80 60% off $4.47 $1,773.00 $313.60 2026-07-15
90734 HCPCS Menactra Vaccine 17 17 $368.00 $147.20 60% off $96.96 $368.00 $312.80 2026-07-15
P9047 HCPCS Normal Serum Albumin IV Inj. 27 17 $524.00 $209.60 60% off $52.45 $524.00 $311.40 2026-07-15
J1610 HCPCS Glucagon Kit 32 22 $519.00 $207.60 60% off $109.04 $519.00 $310.20 2026-07-15
C1780 HCPCS Lens Diopter 20.0 32 16 $566.00 $226.40 60% off $92.51 $813.00 $304.50 2026-07-15
J0714 HCPCS Avycaz Ceftazidime Inj 2.5 G 21 21 $531.00 $212.40 60% off $80.58 $531.00 $299.99 2026-07-15
J2790 HCPCS Rhogam Inj 1500 Units 17 17 $342.00 $136.80 60% off $86.29 $342.00 $290.70 2026-07-15
74176 HCPCS CT Abdomen & Pelvis Without 4 4 — — $177.94 $550.00 $290.66 2026-07-15
J1817 HCPCS Novolog Flexpen 28 16 $373.00 $149.20 60% off $26.41 $373.00 $288.27 2026-07-15
A7030 HCPCS Airfit F30i Mask Medium 21 21 $285.00 $114.00 60% off $82.65 $385.32 $285.00 2026-07-15
J2020 HCPCS Zyvox 600 Mg Premixed Bag 29 17 $473.00 $189.20 60% off $40.50 $473.00 $277.10 2026-07-15
36575 HCPCS Repair Of Central Venous Acces 3 3 — — $223.75 $1,150.00 $275.21 2026-07-15
32555 HCPCS Thoracentesis W/imaging Guide 3 3 — — $223.75 $1,150.00 $275.21 2026-07-15
32554 HCPCS Thoracentesis, Initial 3 3 — — $223.75 $1,150.00 $275.21 2026-07-15
C1894 HCPCS Introducer For Cath Kit 16 16 $332.00 $132.80 60% off $96.28 $332.00 $268.92 2026-07-15
C1751 HCPCS Catheter,goeshon For Cath Kit 16 16 $332.00 $132.80 60% off $96.28 $332.00 $268.92 2026-07-15
C1788 HCPCS Port, Indwelling For Cath Kit 16 16 $332.00 $132.80 60% off $96.28 $332.00 $268.92 2026-07-15
72156 HCPCS MRI C-spine With And Without Cont 3 3 — — $67.07 $725.00 $262.90 2026-07-15
74174 HCPCS CTA Abdomen/pelvis Wo/w Contra 3 3 — — $10.13 $550.00 $262.90 2026-07-15
70553 HCPCS MRI Brain With & Without Contrast 3 3 — — $10.13 $725.00 $262.90 2026-07-15
72158 HCPCS MRI L Spine W And Without Cont 3 3 — — $10.13 $725.00 $262.90 2026-07-15
90746 HCPCS Hepatitis B Vaccine 20 Mcg 44 18 $354.00 $141.60 60% off $68.97 $932.00 $260.24 2026-07-15
J0834 HCPCS Cortrosyn 0.25mg Inj. 16 16 $339.00 $135.60 60% off $98.31 $339.00 $245.78 2026-07-15
J3590 HCPCS Insulin Regular .9% 48 16 $298.00 $119.20 60% off $29.58 $3,327.00 $241.38 2026-07-15
90716 HCPCS Varicella Vaccine 16 16 $267.00 $106.80 60% off $77.43 $572.47 $233.62 2026-07-15
J1745 HCPCS Remicade/infliximab 10 Mg Inj* 32 22 $254.00 $101.60 60% off $24.42 $1,900.80 $228.60 2026-07-15
96372 HCPCS Therap Inj Im/subq 32 22 $298.00 $119.20 60% off $32.45 $268.20 $224.17 2026-07-15
73221 HCPCS Mr Elbow Bi Wo/contrast 6 3 — — $177.94 $725.00 $222.43 2026-07-15
72148 HCPCS MRI Lumbar Spine Without Contrast 3 3 — — $177.94 $725.00 $222.43 2026-07-15
96523 HCPCS Irrigation Drug Delivery Dev 22 22 $312.00 $124.80 60% off $39.76 $280.80 $221.52 2026-07-15
J7325 HCPCS Synvisc 2 Ml, 16 Mg Inj* 54 22 $612.00 $244.80 60% off $7.32 $2,139.30 $218.30 2026-07-15
92523 HCPCS Speech Therapy Eval 7 7 — — $174.41 $265.97 $218.01 2026-07-15
J0282 HCPCS Cordarone 150 Mg 3 Ml IV 40 16 $401.00 $160.40 60% off $0.77 $445.00 $213.70 2026-07-15
96411 HCPCS Ivp-chemo/other Complex Ea Add 22 22 $299.00 $119.60 60% off $53.45 $269.10 $212.29 2026-07-15
96360 HCPCS IV Hydration 31 Min-1 Hr Intia 22 22 $313.00 $125.20 60% off $67.76 $281.70 $210.73 2026-07-15
C1713 HCPCS 4.5 Cortical Screw S/tap 60 240 16 $260.00 $104.00 60% off $34.22 $4,278.00 $210.60 2026-07-15
P9040 HCPCS Rbc Irradiated Leuko-reduced 4 4 — — $51.16 $265.47 $208.19 2026-07-15
72141 HCPCS MRI Cervical Spine Without Cont 4 4 — — $45.40 $725.00 $200.19 2026-07-15
73721 HCPCS Mr Ankle Bi Wo/contrast 8 4 — — $45.40 $725.00 $200.19 2026-07-15
96374 HCPCS Injection IV Push Initial 42 22 $297.00 $118.80 60% off $32.45 $267.30 $197.83 2026-07-15
64632 HCPCS Destruction, Plantar Dig Nerve 7 7 — — $36.82 $1,150.00 $195.55 2026-07-15
90707 HCPCS Mmr Ii 1 Each Inj. 0.5 Ml* 16 16 $263.00 $105.20 60% off $76.27 $263.00 $190.68 2026-07-15
J1364 HCPCS Erythrocin 500 Mg Inj 16 16 $260.00 $104.00 60% off $72.30 $260.00 $188.50 2026-07-15
J1756 HCPCS Venofer Iron Inj 100 Mg/5 Ml 29 17 $239.00 $95.60 60% off $0.28 $239.00 $179.25 2026-07-15
73718 HCPCS Mr Femur Bi Wo/contrast 6 3 — — $177.94 $725.00 $177.95 2026-07-15
72146 HCPCS MRI Thoracic Spine Without Cont 3 3 — — $45.40 $725.00 $177.94 2026-07-15
82088 HCPCS Aldosterone Serum 32 22 $233.00 $93.20 60% off $32.60 $209.70 $175.42 2026-07-15
J1050 HCPCS Depo-provera 100 1cc Inj. 40 16 $301.00 $120.40 60% off $1.96 $401.00 $172.35 2026-07-15
J1335 HCPCS Invanz 1000mg Vial 28 16 $334.00 $133.60 60% off $28.42 $334.00 $171.46 2026-07-15
J1450 HCPCS Diflucan 10 Mg/ml 35 Ml Inj. 28 16 $288.00 $115.20 60% off $16.79 $288.00 $168.00 2026-07-15
96367 HCPCS IV Infusion-sequential New M/s 32 22 $288.00 $115.20 60% off $32.45 $259.20 $165.86 2026-07-15
J3489 HCPCS Reclast 5 Mg Injection Premix 52 16 $1,226.00 $490.40 60% off $28.71 $2,449.00 $165.30 2026-07-15
74178 HCPCS CT Abdomen & Pelvis W & Without 4 4 — — $10.13 $550.00 $164.98 2026-07-15
J3030 HCPCS Imitrex 12 Mg Inj 29 17 $193.00 $77.20 60% off $53.45 $338.00 $164.05 2026-07-15
70498 HCPCS CTA Neck Wo/w Contrast 3 3 — — $131.05 $550.00 $163.82 2026-07-15
J2406 HCPCS Oritavancin 1,200 Mg Vial 21 21 $8,442.00 $3,376.80 60% off $34.65 $7,597.80 $162.57 2026-07-15
70450 HCPCS CT Head Wo Cont Limited 5 5 — — $78.28 $1,098.35 $161.03 2026-07-15
J0885 HCPCS Epogen 20,000 Units Inj 53 22 $604.00 $241.60 60% off $5.16 $3,162.60 $158.25 2026-07-15
43762 HCPCS Gastrostomy Tube Replace-ER 4 4 — — $110.15 $1,150.00 $157.26 2026-07-15
J0129 HCPCS Orencia 250 Mg Single Use Vial 22 22 $2,014.00 $805.60 60% off $22.86 $1,812.60 $156.15 2026-07-15
87798 HCPCS Measles Pcr 22 22 $320.00 $128.00 60% off $28.07 $288.00 $154.69 2026-07-15
90662 HCPCS Flu Vac Trivalent Over 65 2024 18 18 $225.00 $90.00 60% off $32.47 $225.00 $154.12 2026-07-15
74183 HCPCS MRI Abdomen Without And With Cont 4 4 — — $10.13 $725.00 $151.91 2026-07-15
82024 HCPCS Acth 22 22 $213.00 $85.20 60% off $30.90 $191.70 $151.23 2026-07-15
90471 HCPCS Injection Of Vaccine Outpt 22 22 $212.00 $84.80 60% off $32.45 $260.15 $150.52 2026-07-15
82107 HCPCS Afp Total & L3 22 22 $211.00 $84.40 60% off $51.53 $289.45 $149.81 2026-07-15
70491 HCPCS CT Soft Tissue Neck With Contr. 4 4 — — $33.44 $550.00 $147.44 2026-07-15
71275 HCPCS CTA Chest Wo/w Contrast 4 4 — — $74.37 $550.00 $147.37 2026-07-15
J0515 HCPCS Cogentin 2 Mg/2ml 16 16 $203.00 $81.20 60% off $58.87 $203.00 $147.18 2026-07-15
J1650 HCPCS Lovenox 10 Mg Inj * 76 16 $197.00 $78.80 60% off $1.04 $346.00 $146.68 2026-07-15
J0153 HCPCS Adenosin/adenocard 90/30 Ml 28 16 $796.00 $318.40 60% off $4.85 $796.00 $145.35 2026-07-15
C9254 HCPCS Lacosamide 200 Mg/20 Ml 17 17 $177.00 $70.80 60% off $0.14 $177.00 $145.14 2026-07-15
G0009 HCPCS Injection Of Pneumonia Vaccine 22 22 $201.00 $80.40 60% off $23.12 $213.35 $142.71 2026-07-15
J1953 HCPCS Keppra 500 Mg Inj 16 16 $196.00 $78.40 60% off $0.92 $196.00 $142.10 2026-07-15
31500 HCPCS Endotracheal Intubation ER 4 4 — — $87.58 $1,150.00 $139.33 2026-07-15
J2185 HCPCS Merrem 500 Mg Vial 28 16 $155.00 $62.00 60% off $10.63 $228.00 $135.62 2026-07-15
73200 HCPCS CT Elbow Bilateral Wo/contrast 12 3 — — $78.28 $550.00 $134.67 2026-07-15
72125 HCPCS CT Cervical Spine Without Contr. 3 3 — — $78.28 $550.00 $134.67 2026-07-15
90715 HCPCS Adacel Vac 0.5ml Prefil >7yrs 40 16 $155.00 $62.00 60% off $35.38 $457.00 $132.14 2026-07-15
J0500 HCPCS Bentyl 20 Mg/2ml Amp 28 16 $274.00 $109.60 60% off $22.33 $274.00 $131.10 2026-07-15
74170 HCPCS CT Abdomen W/wo Contrast 3 3 — — $33.44 $550.00 $131.05 2026-07-15
90732 HCPCS Pneumococcal Vac. 0.5ml Inj* 29 17 $57.00 $22.80 60% off $16.53 $329.00 $130.80 2026-07-15
J1120 HCPCS Diamox Inj 500 Mg. 16 16 $180.00 $72.00 60% off $52.20 $180.00 $130.50 2026-07-15
92521 HCPCS Speech Fluency Eval 7 7 — — $101.96 $155.49 $127.45 2026-07-15
90700 HCPCS Adacel Vacc 0.5ml <7 Yrs Old 16 16 $175.00 $70.00 60% off $50.75 $175.00 $126.88 2026-07-15
Q9965 HCPCS Omnipaque 50 Ml Or Less 16 16 $175.00 $70.00 60% off $1.27 $175.00 $126.88 2026-07-15
80329 HCPCS Acetaminophen Repeat Same Day 16 16 $156.00 $62.40 60% off $45.24 $156.00 $126.36 2026-07-15
J0289 HCPCS Ambisome 50 Mg Vial 22 22 $800.00 $320.00 60% off $15.27 $800.00 $121.26 2026-07-15
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