Hospital

ELECTRA MEMORIAL HOSPITAL

Electra, TX · CCN 451343 · Rates published

4,358 distinct procedures filed

14 distinct payers

60,774 rate rows

2026-03-11 last MRF observed

Data quality

60,026 of 60,774 rate rows are consumer-grade (98.8%)

748 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
exceeds 10× this hospital's gross charge — excluded from medians	300
per-diem day rate — not a per-procedure price	216
percent-of-charges filed in the dollar field — excluded from medians	154
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	57
exceeds 3× this hospital's gross charge for a DRG stay — excluded	21

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

Source MRF file	https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbEMHELECTRATX&type=CDMWithoutLabel&fileType=CSV
Found on page	https://apps.para-hcfs.com/PTT/FinalLinks/Electra.aspx
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	51239d3581aa4e1e… · 25,890,234 bytes · first seen 2026-05-08

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
539 MS_DRG	Osteomyelitis With Mcc	8	$22,220.19	$234,615.08	$196,860.92	nat. median $19,718 outlier · 10.0×
863 MS_DRG	Postoperative And Post-traumatic Infections Without Mcc	8	$11,257.31	$214,025.22	$179,584.38	nat. median $10,815 outlier · 16.6×
593 MS_DRG	Skin Ulcers With Cc	8	$13,382.65	$159,098.49	$133,496.43	nat. median $12,573 outlier · 10.6×
949 MS_DRG	Aftercare With Cc/mcc	8	$13,421.01	$131,145.54	$110,041.66	nat. median $12,475 outlier · 8.8×
441 MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	8	$20,246.01	$129,687.42	$108,818.18	nat. median $18,509 outlier · 5.9×
562 MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	8	$16,073.17	$90,610.50	$76,029.50	nat. median $14,858 outlier · 5.1×
178 MS_DRG	Respiratory Infections And Inflammations With Cc	8	$11,010.26	$84,004.90	$70,486.87	nat. median $10,875 outlier · 6.5×
561 MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	8	$9,068.80	$81,130.83	$68,075.29	nat. median $9,193 outlier · 7.4×
374 MS_DRG	Digestive Malignancy With Mcc	8	$24,126.67	$77,960.70	$65,415.30	nat. median $21,277 outlier · 3.1×
154 MS_DRG	Other Ear, Nose, Mouth And Throat Diagnoses With Mcc	8	$17,637.84	$70,188.12	$58,893.48	nat. median $16,089 outlier · 3.7×
300 MS_DRG	Peripheral Vascular Disorders With Cc	8	$12,042.47	$64,842.59	$54,408.15	nat. median $11,433 outlier · 4.8×
27279 HCPCS	Fusion Of Pelvic Joint Using Imaging Guidance	10	$18,393.98	$60,831.53	$53,183.66	nat. median $17,268 outlier · 3.1×
302 MS_DRG	Atherosclerosis With Mcc	8	$13,498.84	$62,436.42	$52,389.18	nat. median $12,444 outlier · 4.2×
J0202 HCPCS	Injection, Alemtuzumab, 1 Mg	10	$5,476.65	$62,699.46	$48,852.76	nat. median $4,053 outlier · 12.1×
602 MS_DRG	Cellulitis With Mcc	8	$16,033.69	$57,142.09	$47,946.81	nat. median $14,838 outlier · 3.2×
22612 HCPCS	Fusion Of Spine In Lower Back	10	$18,393.98	$60,831.53	$47,397.35	nat. median $15,589 outlier · 3.0×
536 MS_DRG	Fractures Of Hip And Pelvis Without Mcc	8	$9,110.54	$51,351.17	$43,087.76	nat. median $8,981 outlier · 4.8×
281 MS_DRG	Acute Myocardial Infarction, Discharged Alive With Cc	8	$10,368.37	$47,668.17	$39,997.43	nat. median $10,382 outlier · 3.9×
921 MS_DRG	Complications Of Treatment Without Cc/mcc	8	$7,765.84	$44,075.07	$36,982.53	nat. median $7,909 outlier · 4.7×
920 MS_DRG	Complications Of Treatment With Cc	8	$11,306.95	$43,794.06	$36,746.74	nat. median $10,965 outlier · 3.4×
950 MS_DRG	Aftercare Without Cc/mcc	8	$7,081.08	$43,749.69	$36,709.51	nat. median $7,554 outlier · 4.9×
304 MS_DRG	Hypertension With Mcc	8	$13,424.39	$42,557.79	$35,709.41	nat. median $12,521 outlier · 2.9×
J2350 HCPCS	Injection, Ocrelizumab, 1 Mg	10	$196.34	$45,696.25	$35,604.58	nat. median $712 outlier · 50.0×
436 MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas With Cc	8	$12,759.94	$41,713.89	$35,001.31	nat. median $12,086 outlier · 2.9×
175 MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	8	$15,495.58	$40,406.86	$33,904.61	nat. median $14,625 outlier · 2.3×
308 MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Mcc	8	$13,582.32	$38,784.89	$32,543.64	nat. median $12,751 outlier · 2.6×
378 MS_DRG	Gastrointestinal Hemorrhage With Cc	8	$11,063.28	$38,729.50	$32,497.17	nat. median $10,714 outlier · 3.0×
71 MS_DRG	Other Cerebrovascular Disorders With Cc	8	$11,574.31	$38,330.98	$32,162.78	nat. median $11,209 outlier · 2.9×
534 MS_DRG	Fractures Of Femur Without Mcc	9	$9,093.61	$87,011.00	$32,050.14	nat. median $8,991 outlier · 3.6×
64 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	8	$22,686.09	$36,742.71	$30,830.09	nat. median $20,254 1.5× median
J9334 HCPCS	Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc	10	$11,703.16	$38,704.02	$30,783.49	nat. median $73 outlier · 419.6×
595 MS_DRG	Major Skin Disorders With Mcc	8	$23,923.62	$36,105.44	$30,295.36	nat. median $21,126 1.4× median
64628 HCPCS	Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower…	10	$10,960.32	$36,247.34	$28,829.56	nat. median $12,591 outlier · 2.3×
897 MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	8	$9,958.87	$34,273.65	$28,758.35	nat. median $8,726 outlier · 3.3×
947 MS_DRG	Signs And Symptoms With Mcc	8	$14,320.10	$33,512.40	$28,119.60	nat. median $12,688 outlier · 2.2×
683 MS_DRG	Renal Failure With Cc	8	$9,879.90	$33,051.30	$27,732.70	nat. median $9,664 outlier · 2.9×
640 MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	8	$15,066.90	$32,968.94	$27,663.60	nat. median $13,400 outlier · 2.1×
389 MS_DRG	Gastrointestinal Obstruction With Cc	8	$8,909.73	$32,762.03	$27,489.97	nat. median $8,897 outlier · 3.1×
813 MS_DRG	Coagulation Disorders	8	$17,206.91	$32,357.91	$27,150.89	nat. median $15,711 1.7× median
303 MS_DRG	Atherosclerosis Without Mcc	8	$7,594.37	$31,880.28	$26,750.12	nat. median $7,838 outlier · 3.4×
92 MS_DRG	Other Disorders Of Nervous System With Cc	8	$11,540.46	$30,725.79	$25,781.41	nat. median $11,294 outlier · 2.3×
194 MS_DRG	Simple Pneumonia And Pleurisy With Cc	8	$9,091.36	$30,164.33	$25,310.29	nat. median $9,125 outlier · 2.8×
191 MS_DRG	Chronic Obstructive Pulmonary Disease With Cc	8	$9,509.88	$29,481.47	$24,737.33	nat. median $9,408 outlier · 2.6×
291 MS_DRG	Heart Failure And Shock With Mcc	8	$14,482.55	$28,447.58	$23,869.81	nat. median $13,522 1.8× median
433 MS_DRG	Cirrhosis And Alcoholic Hepatitis With Cc	8	$11,914.99	$27,952.23	$23,454.17	nat. median $11,437 outlier · 2.1×
560 MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	8	$12,703.53	$26,879.09	$22,553.71	nat. median $12,148 1.9× median
195 MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	8	$7,090.11	$26,078.74	$21,882.17	nat. median $7,339 outlier · 3.0×
390 MS_DRG	Gastrointestinal Obstruction Without Cc/mcc	9	$6,136.86	$59,762.00	$21,727.88	nat. median $6,565 outlier · 3.3×
834 MS_DRG	Acute Leukemia With Mcc	8	$19,282.32	$72,856.46	$21,558.71	nat. median $53,173 outlier · 0.4×
948 MS_DRG	Signs And Symptoms Without Mcc	8	$9,030.44	$25,609.93	$21,488.78	nat. median $8,516 outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 4,358 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

539	MS_DRG	Osteomyelitis With Mcc	8	8	$269,672.50	$188,770.75 30% off	$22,220.19	$234,615.08	$196,860.92	2026-03-11
863	MS_DRG	Postoperative And Post-traumatic Infections Without Mcc	8	8	$246,006.00	$172,204.20 30% off	$11,257.31	$214,025.22	$179,584.38	2026-03-11
593	MS_DRG	Skin Ulcers With Cc	8	8	$182,871.83	$128,010.28 30% off	$13,382.65	$159,098.49	$133,496.43	2026-03-11
949	MS_DRG	Aftercare With Cc/mcc	8	8	$150,742.00	$105,519.40 30% off	$13,421.01	$131,145.54	$110,041.66	2026-03-11
441	MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	8	8	$149,066.00	$104,346.20 30% off	$20,246.01	$129,687.42	$108,818.18	2026-03-11
562	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	8	8	$104,150.00	$72,905.00 30% off	$16,073.17	$90,610.50	$76,029.50	2026-03-11
534	MS_DRG	Fractures Of Femur Without Mcc	9	9	$43,311.00	$30,317.70 30% off	$9,093.61	$87,011.00	$32,050.14	2026-03-11
178	MS_DRG	Respiratory Infections And Inflammations With Cc	8	8	$96,557.36	$67,590.15 30% off	$11,010.26	$84,004.90	$70,486.87	2026-03-11
561	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	8	8	$93,253.83	$65,277.68 30% off	$9,068.80	$81,130.83	$68,075.29	2026-03-11
374	MS_DRG	Digestive Malignancy With Mcc	8	8	$89,610.00	$62,727.00 30% off	$24,126.67	$77,960.70	$65,415.30	2026-03-11
834	MS_DRG	Acute Leukemia With Mcc	8	8	$26,781.00	$18,746.70 30% off	$19,282.32	$72,856.46	$21,558.71	2026-03-11
154	MS_DRG	Other Ear, Nose, Mouth And Throat Diagnoses With Mcc	8	8	$80,676.00	$56,473.20 30% off	$17,637.84	$70,188.12	$58,893.48	2026-03-11
300	MS_DRG	Peripheral Vascular Disorders With Cc	8	8	$74,531.71	$52,172.20 30% off	$12,042.47	$64,842.59	$54,408.15	2026-03-11
J0202	HCPCS	Injection, Alemtuzumab, 1 Mg	10	10	$67,710.00	$47,397.00 30% off	$5,476.65	$62,699.46	$48,852.76	2026-03-11
302	MS_DRG	Atherosclerosis With Mcc	8	8	$71,766.00	$50,236.20 30% off	$13,498.84	$62,436.42	$52,389.18	2026-03-11
27279	HCPCS	Fusion Of Pelvic Joint Using Imaging Guidance	10	10	$65,692.80	$45,984.96 30% off	$18,393.98	$60,831.53	$53,183.66	2026-03-11
22612	HCPCS	Fusion Of Spine In Lower Back	10	10	$65,692.80	$45,984.96 30% off	$18,393.98	$60,831.53	$47,397.35	2026-03-11
390	MS_DRG	Gastrointestinal Obstruction Without Cc/mcc	9	9	$29,362.00	$20,553.40 30% off	$6,136.86	$59,762.00	$21,727.88	2026-03-11
602	MS_DRG	Cellulitis With Mcc	8	8	$65,680.56	$45,976.39 30% off	$16,033.69	$57,142.09	$47,946.81	2026-03-11
536	MS_DRG	Fractures Of Hip And Pelvis Without Mcc	8	8	$59,024.33	$41,317.03 30% off	$9,110.54	$51,351.17	$43,087.76	2026-03-11
281	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Cc	8	8	$54,791.00	$38,353.70 30% off	$10,368.37	$47,668.17	$39,997.43	2026-03-11
J2350	HCPCS	Injection, Ocrelizumab, 1 Mg	10	10	$49,348.00	$34,543.60 30% off	$196.34	$45,696.25	$35,604.58	2026-03-11
921	MS_DRG	Complications Of Treatment Without Cc/mcc	8	8	$50,661.00	$35,462.70 30% off	$7,765.84	$44,075.07	$36,982.53	2026-03-11
920	MS_DRG	Complications Of Treatment With Cc	8	8	$50,338.00	$35,236.60 30% off	$11,306.95	$43,794.06	$36,746.74	2026-03-11
950	MS_DRG	Aftercare Without Cc/mcc	8	8	$50,287.00	$35,200.90 30% off	$7,081.08	$43,749.69	$36,709.51	2026-03-11
304	MS_DRG	Hypertension With Mcc	8	8	$48,917.00	$34,241.90 30% off	$13,424.39	$42,557.79	$35,709.41	2026-03-11
436	MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas With Cc	8	8	$47,947.00	$33,562.90 30% off	$12,759.94	$41,713.89	$35,001.31	2026-03-11
175	MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	8	8	$46,444.67	$32,511.27 30% off	$15,495.58	$40,406.86	$33,904.61	2026-03-11
308	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Mcc	8	8	$44,580.33	$31,206.23 30% off	$13,582.32	$38,784.89	$32,543.64	2026-03-11
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	8	8	$44,516.67	$31,161.67 30% off	$11,063.28	$38,729.50	$32,497.17	2026-03-11
J9334	HCPCS	Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc	10	10	$41,797.00	$29,257.90 30% off	$11,703.16	$38,704.02	$30,783.49	2026-03-11
71	MS_DRG	Other Cerebrovascular Disorders With Cc	8	8	$44,058.60	$30,841.02 30% off	$11,574.31	$38,330.98	$32,162.78	2026-03-11
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	8	8	$42,233.00	$29,563.10 30% off	$22,686.09	$36,742.71	$30,830.09	2026-03-11
64628	HCPCS	Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower …	10	10	$39,144.00	$27,400.80 30% off	$10,960.32	$36,247.34	$28,829.56	2026-03-11
595	MS_DRG	Major Skin Disorders With Mcc	8	8	$41,500.50	$29,050.35 30% off	$23,923.62	$36,105.44	$30,295.36	2026-03-11
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	8	8	$39,395.00	$27,576.50 30% off	$9,958.87	$34,273.65	$28,758.35	2026-03-11
947	MS_DRG	Signs And Symptoms With Mcc	8	8	$38,520.00	$26,964.00 30% off	$14,320.10	$33,512.40	$28,119.60	2026-03-11
683	MS_DRG	Renal Failure With Cc	8	8	$37,990.00	$26,593.00 30% off	$9,879.90	$33,051.30	$27,732.70	2026-03-11
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	8	8	$37,895.33	$26,526.73 30% off	$15,066.90	$32,968.94	$27,663.60	2026-03-11
389	MS_DRG	Gastrointestinal Obstruction With Cc	8	8	$37,657.51	$26,360.25 30% off	$8,909.73	$32,762.03	$27,489.97	2026-03-11
813	MS_DRG	Coagulation Disorders	8	8	$37,193.00	$26,035.10 30% off	$17,206.91	$32,357.91	$27,150.89	2026-03-11
303	MS_DRG	Atherosclerosis Without Mcc	8	8	$36,644.00	$25,650.80 30% off	$7,594.37	$31,880.28	$26,750.12	2026-03-11
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	8	8	$10,540.00	$7,378.00 30% off	$7,588.80	$30,829.86	$8,484.70	2026-03-11
92	MS_DRG	Other Disorders Of Nervous System With Cc	8	8	$35,317.00	$24,721.90 30% off	$11,540.46	$30,725.79	$25,781.41	2026-03-11
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	8	8	$34,671.64	$24,270.15 30% off	$9,091.36	$30,164.33	$25,310.29	2026-03-11
191	MS_DRG	Chronic Obstructive Pulmonary Disease With Cc	8	8	$33,886.75	$23,720.73 30% off	$9,509.88	$29,481.47	$24,737.33	2026-03-11
543	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	9	9	$13,877.30	$9,714.11 30% off	$9,991.66	$29,077.30	$11,596.87	2026-03-11
291	MS_DRG	Heart Failure And Shock With Mcc	8	8	$32,698.37	$22,888.86 30% off	$14,482.55	$28,447.58	$23,869.81	2026-03-11
433	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Cc	8	8	$32,129.00	$22,490.30 30% off	$11,914.99	$27,952.23	$23,454.17	2026-03-11
560	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	8	8	$30,895.50	$21,626.85 30% off	$12,703.53	$26,879.09	$22,553.71	2026-03-11
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	8	8	$29,975.57	$20,982.90 30% off	$7,090.11	$26,078.74	$21,882.17	2026-03-11
948	MS_DRG	Signs And Symptoms Without Mcc	8	8	$29,436.70	$20,605.69 30% off	$9,030.44	$25,609.93	$21,488.78	2026-03-11
723	MS_DRG	Malignancy, Male Reproductive System With Cc	8	8	$28,875.00	$20,212.50 30% off	$12,890.80	$25,121.25	$21,078.75	2026-03-11
J1300	HCPCS	Injection, Eculizumab, 10 Mg	10	10	$27,040.00	$18,928.00 30% off	$671.86	$25,039.04	$19,509.36	2026-03-11
559	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	8	8	$21,448.71	$15,014.10 30% off	$15,443.07	$24,749.09	$17,266.22	2026-03-11
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	8	8	$28,360.00	$19,852.00 30% off	$14,615.66	$24,673.20	$20,702.80	2026-03-11
554	MS_DRG	Bone Diseases And Arthropathies Without Mcc	8	8	$27,675.83	$19,373.08 30% off	$9,364.36	$24,077.97	$20,203.36	2026-03-11
J2329	HCPCS	Injection, Ublituximab-xiiy, 1mg	10	10	$25,547.00	$17,882.90 30% off	$7,153.16	$23,656.52	$18,815.36	2026-03-11
99	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc	8	8	$26,969.00	$18,878.30 30% off	$15,369.23	$23,463.03	$19,687.37	2026-03-11
199	MS_DRG	Pneumothorax With Mcc	8	8	$15,079.00	$10,555.30 30% off	$10,856.88	$23,411.37	$12,138.59	2026-03-11
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	8	8	$26,755.62	$18,728.93 30% off	$9,131.97	$23,277.39	$19,531.60	2026-03-11
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/mcc	8	8	$26,516.84	$18,561.78 30% off	$7,242.40	$23,069.65	$19,357.29	2026-03-11
865	MS_DRG	Viral Illness With Mcc	8	8	$25,671.00	$17,969.70 30% off	$16,902.32	$22,333.77	$18,996.54	2026-03-11
551	MS_DRG	Medical Back Problems With Mcc	9	9	$8,798.00	$6,158.60 30% off	$6,334.56	$22,243.52	$7,654.26	2026-03-11
J9217	HCPCS	Leuprolide Acetate (for Depot Suspension), 7.5 Mg	10	10	$23,724.00	$16,606.80 30% off	$1,376.60	$21,968.42	$17,116.86	2026-03-11
698	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Mcc	8	8	$22,265.50	$15,585.85 30% off	$16,031.16	$21,955.54	$17,569.88	2026-03-11
435	MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	7	7	$7,883.00	$5,518.10 30% off	$5,675.76	$21,937.54	$5,833.42	2026-03-11
J9332	HCPCS	Injection, Efgartigimod Alfa-fcab, 2mg	10	10	$23,400.00	$16,380.00 30% off	$6,552.00	$21,668.40	$17,234.10	2026-03-11
566	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc	8	8	$24,383.00	$17,068.10 30% off	$8,452.85	$21,213.21	$17,799.59	2026-03-11
385	MS_DRG	Inflammatory Bowel Disease With Mcc	8	8	$17,610.00	$12,327.00 30% off	$12,679.20	$20,998.70	$14,176.05	2026-03-11
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	8	8	$17,674.43	$12,372.10 30% off	$12,725.59	$20,738.59	$14,227.92	2026-03-11
555	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc	8	8	$23,828.11	$16,679.68 30% off	$14,911.23	$20,730.46	$17,587.21	2026-03-11
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Cc	8	8	$23,480.00	$16,436.00 30% off	$8,299.43	$20,427.60	$17,140.40	2026-03-11
J1561	HCPCS	Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)…	41	10	$11,000.00	$7,700.00 30% off	$129.25	$20,372.00	$4,630.00	2026-03-11
606	MS_DRG	Minor Skin Disorders With Mcc	8	8	$20,882.00	$14,617.40 30% off	$15,035.04	$20,081.68	$16,261.55	2026-03-11
J2323	HCPCS	Injection, Natalizumab, 1 Mg	10	10	$21,327.89	$14,929.52 30% off	$61.71	$19,749.63	$15,388.07	2026-03-11
66	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc	8	8	$22,471.50	$15,730.05 30% off	$7,720.72	$19,550.21	$16,404.19	2026-03-11
699	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Cc	8	8	$21,897.00	$15,327.90 30% off	$11,450.22	$19,050.39	$15,984.81	2026-03-11
301	MS_DRG	Peripheral Vascular Disorders Without Cc/mcc	8	8	$21,746.00	$15,222.20 30% off	$8,118.94	$18,919.02	$15,874.58	2026-03-11
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	8	8	$21,282.36	$14,897.65 30% off	$8,778.87	$18,515.65	$15,536.12	2026-03-11
603	MS_DRG	Cellulitis Without Mcc	8	8	$21,011.64	$14,708.15 30% off	$9,824.62	$18,280.13	$15,338.49	2026-03-11
189	MS_DRG	Pulmonary Edema And Respiratory Failure	8	8	$20,812.43	$14,568.70 30% off	$13,936.55	$18,106.81	$15,401.20	2026-03-11
16520037_1	CDM	Ivpb Tysabri 300mg + Ns 100ml	10	10	$19,441.00	$13,608.70 30% off	$5,443.48	$18,002.37	$14,318.30	2026-03-11
J3101	HCPCS	Injection, Tenecteplase, 1 Mg	10	10	$19,168.71	$13,418.10 30% off	$332.36	$17,750.23	$13,830.22	2026-03-11
391	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	8	8	$20,192.00	$14,134.40 30% off	$14,307.69	$17,567.04	$14,942.08	2026-03-11
38760	HCPCS	Removal Of Lymph Nodes Of Groin	16	10	$2,917.00	$2,041.90 30% off	$336.00	$17,515.24	$2,104.61	2026-03-11
19307	HCPCS	Removal Of Breast And Underarm Lymph Nodes	9	9	$2,200.00	$1,540.00 30% off	$616.00	$17,515.24	$2,037.20	2026-03-11
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	8	8	$17,547.34	$12,283.14 30% off	$12,634.09	$17,443.40	$13,906.39	2026-03-11
J2353	HCPCS	Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg	17	10	$12,963.00	$9,074.10 30% off	$542.57	$17,282.86	$12,003.74	2026-03-11
540	MS_DRG	Osteomyelitis With Cc	8	8	$14,668.33	$10,267.83 30% off	$10,561.19	$17,203.20	$11,808.00	2026-03-11
563	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	8	8	$19,695.57	$13,786.90 30% off	$10,102.14	$17,135.15	$14,377.76	2026-03-11
552	MS_DRG	Medical Back Problems Without Mcc	8	8	$19,621.13	$13,734.79 30% off	$10,844.43	$17,070.38	$14,323.42	2026-03-11
535	MS_DRG	Fractures Of Hip And Pelvis With Mcc	8	8	$17,105.53	$11,973.87 30% off	$12,315.98	$17,013.42	$13,560.17	2026-03-11
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	8	8	$19,229.80	$13,460.86 30% off	$13,089.34	$16,729.93	$14,230.05	2026-03-11
999	MS_DRG	Ungroupable	8	8	$19,225.00	$13,457.50 30% off	$12,304.00	$16,725.75	$14,226.50	2026-03-11
312	MS_DRG	Syncope And Collapse	8	8	$19,205.00	$13,443.50 30% off	$9,832.52	$16,708.35	$14,019.65	2026-03-11
47562	HCPCS	Removal Of Gallbladder Using An Endoscope	16	10	$4,752.00	$3,326.40 30% off	$840.00	$16,338.80	$3,428.57	2026-03-11
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	8	8	$18,482.50	$12,937.75 30% off	$11,543.85	$16,079.78	$13,628.63	2026-03-11
815	MS_DRG	Reticuloendothelial And Immunity Disorders With Cc	8	8	$18,369.00	$12,858.30 30% off	$11,438.93	$15,981.03	$13,524.92	2026-03-11
60271	HCPCS	Removal Of Thyroid Through Chest Or Back	15	9	$2,852.00	$1,996.40 30% off	$504.00	$15,793.20	$2,053.44	2026-03-11
60500	HCPCS	Removal Or Exploration Of Parathyroid Glands	15	9	$2,377.00	$1,663.90 30% off	$420.00	$15,793.20	$1,711.44	2026-03-11
293	MS_DRG	Heart Failure And Shock Without Cc/mcc	8	8	$17,897.71	$12,528.40 30% off	$6,385.05	$15,571.01	$13,065.33	2026-03-11
638	MS_DRG	Diabetes With Cc	8	8	$17,675.00	$12,372.50 30% off	$10,110.03	$15,377.25	$12,902.75	2026-03-11
J1459	HCPCS	Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…	34	10	$3,856.00	$2,699.20 30% off	$141.21	$14,850.26	$3,071.30	2026-03-11
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	8	8	$7,184.00	$5,028.80 30% off	$5,172.48	$14,700.29	$5,783.12	2026-03-11
176	MS_DRG	Pulmonary Embolism Without Mcc	8	8	$16,508.33	$11,555.83 30% off	$9,081.21	$14,362.24	$12,051.08	2026-03-11
386	MS_DRG	Inflammatory Bowel Disease With Cc	8	8	$16,299.00	$11,409.30 30% off	$11,013.64	$14,180.13	$12,061.26	2026-03-11
812	MS_DRG	Red Blood Cell Disorders Without Mcc	8	8	$16,268.00	$11,387.60 30% off	$10,358.21	$14,153.16	$12,038.32	2026-03-11
379	MS_DRG	Gastrointestinal Hemorrhage Without Cc/mcc	8	8	$16,101.00	$11,270.70 30% off	$7,111.54	$14,007.87	$11,753.73	2026-03-11
684	MS_DRG	Renal Failure Without Cc/mcc	8	8	$16,022.00	$11,215.40 30% off	$6,771.98	$13,939.14	$11,696.06	2026-03-11
880	MS_DRG	Acute Adjustment Reaction And Psychosocial Dysfunction	8	8	$16,001.00	$11,200.70 30% off	$10,832.02	$13,920.87	$11,840.74	2026-03-11
439	MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	8	8	$15,767.00	$11,036.90 30% off	$9,489.58	$13,717.29	$11,509.91	2026-03-11
760	MS_DRG	Menstrual And Other Female Reproductive System Disorders With Cc/mcc	8	8	$8,896.00	$6,227.20 30% off	$6,405.12	$13,370.53	$7,161.28	2026-03-11
315	MS_DRG	Other Circulatory System Diagnoses With Cc	8	8	$11,542.00	$8,079.40 30% off	$8,310.24	$12,783.95	$9,291.31	2026-03-11
598	MS_DRG	Malignant Breast Disorders With Cc	6	6	$4,399.00	$3,079.30 30% off	$3,167.28	$12,762.20	$3,255.26	2026-03-11
307	MS_DRG	Cardiac Congenital And Valvular Disorders Without Mcc	8	8	$14,639.00	$10,247.30 30% off	$10,301.81	$12,735.93	$10,832.86	2026-03-11
J0491	HCPCS	Injection, Anifrolumab-fnia, 1 Mg	10	10	$12,995.00	$9,096.50 30% off	$3,638.60	$12,033.37	$9,570.82	2026-03-11
J9312	HCPCS	Injection, Rituximab, 10 Mg	10	10	$12,200.00	$8,540.00 30% off	$328.16	$11,297.20	$8,802.30	2026-03-11
J0840	HCPCS	Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram	10	10	$12,184.00	$8,528.80 30% off	$3,411.52	$11,282.38	$10,172.48	2026-03-11
292	MS_DRG	Heart Failure And Shock With Cc	8	8	$8,297.80	$5,808.46 30% off	$5,974.42	$11,267.08	$6,679.73	2026-03-11
556	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	8	8	$10,493.98	$7,345.78 30% off	$7,555.66	$11,022.89	$8,447.65	2026-03-11
J1569	HCPCS	Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…	34	10	$6,148.50	$4,303.95 30% off	$135.62	$10,821.24	$3,152.17	2026-03-11
726	MS_DRG	Benign Prostatic Hypertrophy Without Mcc	8	8	$12,414.00	$8,689.80 30% off	$8,144.88	$10,800.18	$9,186.36	2026-03-11
J7336	HCPCS	Capsaicin 8% Patch, Per Square Centimeter	58	10	$2,913.00	$2,039.10 30% off	$9.33	$10,789.75	$2,697.44	2026-03-11
69	MS_DRG	Transient Ischemia Without Thrombolytic	8	8	$10,580.00	$7,406.00 30% off	$7,617.60	$10,600.87	$8,420.23	2026-03-11
49525	HCPCS	Repair Of Sliding Groin Hernia	16	10	$2,219.00	$1,553.30 30% off	$392.00	$10,596.62	$1,601.01	2026-03-11
J0630	HCPCS	Injection, Calcitonin Salmon, Up To 400 Units	10	10	$11,261.00	$7,882.70 30% off	$3,153.08	$10,427.69	$8,170.29	2026-03-11
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	8	8	$8,198.92	$5,739.25 30% off	$5,903.23	$10,346.07	$6,600.13	2026-03-11
373	MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc	8	8	$11,881.82	$8,317.27 30% off	$8,205.80	$10,337.18	$8,792.55	2026-03-11
305	MS_DRG	Hypertension Without Mcc	8	8	$9,162.53	$6,413.77 30% off	$6,597.02	$10,020.93	$7,375.84	2026-03-11
179	MS_DRG	Respiratory Infections And Inflammations Without Cc/mcc	8	8	$11,332.50	$7,932.75 30% off	$8,159.40	$10,019.61	$8,451.60	2026-03-11
19304	HCPCS	Mastectomy, Subcutaneous	9	9	$2,200.00	$1,540.00 30% off	$616.00	$9,929.34	$2,037.20	2026-03-11
310	MS_DRG	Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc	8	8	$11,364.25	$7,954.98 30% off	$6,386.17	$9,886.90	$8,295.90	2026-03-11
313	MS_DRG	Chest Pain	8	8	$5,011.75	$3,508.23 30% off	$3,608.46	$9,555.12	$4,034.46	2026-03-11
203	MS_DRG	Bronchitis And Asthma Without Cc/mcc	8	8	$10,719.44	$7,503.61 30% off	$7,558.27	$9,325.91	$7,932.39	2026-03-11
36478	HCPCS	Laser Destruction Of Incompetent Vein Of Arm Or Leg Using Imaging Guidance	22	10	$4,680.00	$3,276.00 30% off	$1,260.00	$9,073.57	$4,333.68	2026-03-11
36571	HCPCS	Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older)	10	10	$2,371.00	$1,659.70 30% off	$663.88	$9,073.57	$2,195.55	2026-03-11
36561	HCPCS	Insertion Of Central Venous Tube With Port (5 Years Or Older)	15	9	$2,377.00	$1,663.90 30% off	$420.00	$9,073.57	$1,711.44	2026-03-11
153	MS_DRG	Otitis Media And Uri Without Mcc	7	7	$3,253.86	$2,277.70 30% off	$2,342.78	$8,817.06	$2,407.86	2026-03-11
J0881	HCPCS	Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)	34	10	$3,689.00	$2,582.30 30% off	$23.02	$8,468.27	$2,313.28	2026-03-11
28045	HCPCS	Removal Of Growth Of Muscle Of Foot Or Toe, Less Than 1.5 Cm	10	10	$2,563.00	$1,794.10 30% off	$717.64	$8,462.53	$2,373.34	2026-03-11
22900	HCPCS	Removal Of Growth Of Muscle Of Abdomen, Less Than 5.0 Cm	15	9	$2,500.00	$1,750.00 30% off	$700.00	$8,462.53	$2,315.00	2026-03-11
24076	HCPCS	Removal Of Growth Of Muscle Of Upper Arm Or Elbow, Less Than 5.0 Cm	21	9	$1,664.00	$1,164.80 30% off	$448.00	$8,462.53	$1,540.86	2026-03-11
46080	HCPCS	Incision Of Sphincter Of Anus	16	10	$2,377.00	$1,663.90 30% off	$420.00	$8,428.89	$1,715.01	2026-03-11
46230	HCPCS	Removal Of Multiple External Noncancer Growths Of Anus	10	10	$1,754.00	$1,227.80 30% off	$491.12	$8,428.89	$1,624.20	2026-03-11
44140	HCPCS	Partial Removal Of Large Bowel With Connection	15	9	$4,752.00	$3,326.40 30% off	$840.00	$7,867.74	$3,421.44	2026-03-11
81443	HCPCS	Genomic Sequence Analysis Panel For Severe Inherited Conditions With Sequencing …	10	10	$2,701.00	$1,890.70 30% off	$756.28	$7,639.51	$2,501.13	2026-03-11
47610	HCPCS	Removal Of Gallbladder With Exploration Of Common Bile Duct	9	9	$2,500.00	$1,750.00 30% off	$700.00	$7,351.63	$2,315.00	2026-03-11
44160	HCPCS	Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…	9	9	$1,750.00	$1,225.00 30% off	$490.00	$7,282.82	$1,620.50	2026-03-11
J1306	HCPCS	Injection, Inclisiran, 1 Mg	10	10	$7,500.00	$5,250.00 30% off	$2,100.00	$6,945.00	$5,523.75	2026-03-11
01617097_1	CDM	Ivpb Simponi Aria + Ns 100ml	10	10	$7,197.00	$5,037.90 30% off	$2,015.16	$6,664.42	$5,300.59	2026-03-11
J1602	HCPCS	Injection, Golimumab, 1 Mg, For Intravenous Use	10	10	$7,197.00	$5,037.90 30% off	$100.73	$6,664.42	$5,192.64	2026-03-11
44005	HCPCS	Release Of Intestinal Scar Tissue	16	10	$1,968.00	$1,377.60 30% off	$347.76	$6,422.55	$1,419.91	2026-03-11
47600	HCPCS	Removal Of Gallbladder	9	9	$2,500.00	$1,750.00 30% off	$700.00	$6,252.50	$2,315.00	2026-03-11
64633	HCPCS	Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…	10	10	$5,400.00	$3,780.00 30% off	$1,512.00	$5,862.22	$4,988.42	2026-03-11
64635	HCPCS	Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…	17	10	$5,392.00	$3,774.40 30% off	$1,509.76	$5,862.22	$4,976.45	2026-03-11
922	MS_DRG	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	5	5	$6,217.00	$4,351.90 30% off	$4,476.24	$5,408.79	$4,600.58	2026-03-11
43251	HCPCS	Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…	16	10	$2,377.00	$1,663.90 30% off	$420.00	$5,195.70	$1,715.01	2026-03-11
43246	HCPCS	Insertion Of Stomach Tube Using A Flexible Endoscope	9	9	$1,800.00	$1,260.00 30% off	$504.00	$5,195.70	$1,666.80	2026-03-11
64624	HCPCS	Destruction Of Nerve Branches Of Knee Using Imaging Guidance	10	10	$5,392.56	$3,774.79 30% off	$1,509.92	$4,993.51	$3,971.62	2026-03-11
64625	HCPCS	Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui…	10	10	$5,300.00	$3,710.00 30% off	$1,484.00	$4,907.80	$3,903.45	2026-03-11
11644	HCPCS	Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-…	29	10	$1,985.00	$1,389.50 30% off	$110.60	$4,906.83	$1,429.20	2026-03-11
J3247	HCPCS	Injection, Secukinumab, Intravenous, 1 Mg	10	10	$5,180.00	$3,626.00 30% off	$1,450.40	$4,796.68	$3,815.07	2026-03-11
J7325	HCPCS	Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,…	20	10	$4,900.50	$3,430.35 30% off	$39.37	$4,716.12	$3,535.42	2026-03-11
J3489	HCPCS	Injection, Zoledronic Acid, 1 Mg	10	10	$5,087.00	$3,560.90 30% off	$25.03	$4,710.56	$3,670.27	2026-03-11
J0490	HCPCS	Injection, Belimumab, 10 Mg	17	10	$5,078.00	$3,554.60 30% off	$126.44	$4,702.23	$1,481.60	2026-03-11
49255	HCPCS	Removal Of Lining Covering Abdominal Organs	9	9	$1,600.00	$1,120.00 30% off	$448.00	$4,635.23	$1,481.60	2026-03-11
74178	HCPCS	CT Scan Of Abdomen And Pelvis Before And After Contrast	10	10	$4,689.00	$3,282.30 30% off	$1,005.91	$4,342.01	$3,383.11	2026-03-11
J0172	HCPCS	Injection, Aducanumab-avwa, 2 Mg	20	10	$3,556.00	$2,489.20 30% off	$720.16	$4,204.04	$2,381.67	2026-03-11
J0875	HCPCS	Injection, Dalbavancin, 5 Mg	10	10	$4,443.00	$3,110.10 30% off	$47.43	$4,114.22	$3,205.62	2026-03-11
J3032	HCPCS	Injection, Eptinezumab-jjmr, 1 Mg	10	10	$4,370.00	$3,059.00 30% off	$1,223.60	$4,046.62	$3,218.51	2026-03-11
95811	HCPCS	Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)	10	10	$4,365.00	$3,055.50 30% off	$1,222.20	$4,041.99	$3,149.35	2026-03-11
74183	HCPCS	MRI Scan Of Abdomen Before And After Contrast	10	10	$4,065.00	$2,845.50 30% off	$846.20	$3,764.19	$2,531.31	2026-03-11
C8902	HCPCS	Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom…	16	10	$2,692.00	$1,884.40 30% off	$753.76	$3,764.19	$2,417.41	2026-03-11
J0897	HCPCS	Injection, Denosumab, 1 Mg	10	10	$4,064.00	$2,844.80 30% off	$54.85	$3,763.26	$2,932.18	2026-03-11
72158	HCPCS	MRI Scan Of Lower Spinal Canal Before And After Contrast	10	10	$4,044.00	$2,830.80 30% off	$846.20	$3,744.74	$2,523.74	2026-03-11
72157	HCPCS	MRI Scan Of Middle Spinal Canal Before And After Contrast	10	10	$4,044.00	$2,830.80 30% off	$846.20	$3,744.74	$2,523.74	2026-03-11
72156	HCPCS	MRI Scan Of Upper Spinal Canal Before And After Contrast	10	10	$4,044.00	$2,830.80 30% off	$846.20	$3,744.74	$2,523.74	2026-03-11
70553	HCPCS	MRI Scan Of Brain Before And After Contrast	10	10	$3,962.00	$2,773.40 30% off	$846.20	$3,668.81	$2,494.22	2026-03-11
37766	HCPCS	Removal Of Varicose Veins Of Arm Or Leg, More Than 20 Incisions	15	9	$3,960.00	$2,772.00 30% off	$700.00	$3,666.96	$2,315.00	2026-03-11
81229	HCPCS	Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi…	10	10	$2,934.00	$2,053.80 30% off	$821.52	$3,619.20	$2,716.88	2026-03-11
74177	HCPCS	CT Scan Of Abdomen And Pelvis With Contrast	10	10	$3,887.00	$2,720.90 30% off	$1,005.91	$3,599.36	$2,804.47	2026-03-11
74174	HCPCS	CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast	10	10	$3,882.00	$2,717.40 30% off	$1,002.72	$3,594.73	$2,800.86	2026-03-11
73723	HCPCS	MRI Scan Of Leg Joint Before And After Contrast	10	10	$3,815.00	$2,670.50 30% off	$846.20	$3,532.69	$2,441.31	2026-03-11
70543	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast	10	10	$3,708.00	$2,595.60 30% off	$846.20	$3,433.61	$2,402.78	2026-03-11
70549	HCPCS	MRI Scan Of Blood Vessels Of Neck Before And After Contrast	10	10	$3,697.00	$2,587.90 30% off	$846.20	$3,423.42	$2,398.82	2026-03-11
46040	HCPCS	Drainage Of Deep Abscess In Rectum	16	10	$3,120.00	$2,184.00 30% off	$182.00	$3,408.46	$2,251.08	2026-03-11
11004	HCPCS	Removal Of Infected Skin, Tissue Or Muscle Of Genitals	10	10	$1,615.00	$1,130.50 30% off	$452.20	$3,378.25	$1,495.49	2026-03-11
J1745	HCPCS	Injection, Infliximab, Excludes Biosimilar, 10 Mg	17	10	$3,642.00	$2,549.40 30% off	$335.60	$3,372.49	$2,633.17	2026-03-11
71275	HCPCS	CT Scan Of Blood Vessels Of Chest With Contrast	10	10	$3,629.00	$2,540.30 30% off	$1,005.91	$3,360.45	$2,618.32	2026-03-11
Q5103	HCPCS	Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg	10	10	$3,551.00	$2,485.70 30% off	$239.81	$3,288.23	$2,562.05	2026-03-11
73223	HCPCS	MRI Scan Of Arm Joint Before And After Contrast	30	10	$3,511.00	$2,457.70 30% off	$846.20	$3,251.19	$2,331.86	2026-03-11
74176	HCPCS	CT Scan Of Abdomen And Pelvis Without Contrast	10	10	$3,500.00	$2,450.00 30% off	$924.59	$3,241.00	$2,525.25	2026-03-11
73720	HCPCS	MRI Scan Of Leg Before And After Contrast	30	10	$3,489.00	$2,442.30 30% off	$846.20	$3,230.81	$2,323.94	2026-03-11
73722	HCPCS	MRI Scan Of Leg Joint With Contrast	10	10	$3,155.00	$2,208.50 30% off	$883.40	$3,191.20	$2,807.78	2026-03-11
73222	HCPCS	MRI Scan Of Arm Joint With Contrast	10	10	$2,950.00	$2,065.00 30% off	$826.00	$3,191.20	$2,722.79	2026-03-11
71551	HCPCS	MRI Scan Of Chest With Contrast	10	10	$2,458.00	$1,720.60 30% off	$688.24	$3,191.20	$2,276.11	2026-03-11
J0129	HCPCS	Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…	10	10	$3,435.00	$2,404.50 30% off	$120.32	$3,180.81	$2,478.36	2026-03-11
J7298	HCPCS	Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg	10	10	$2,725.00	$1,907.50 30% off	$763.00	$3,124.32	$2,523.35	2026-03-11
72197	HCPCS	MRI Scan Of Pelvis Before And After Contrast	10	10	$3,371.00	$2,359.70 30% off	$846.20	$3,121.55	$2,281.47	2026-03-11
70552	HCPCS	MRI Scan Of Brain With Contrast	10	10	$3,371.00	$2,359.70 30% off	$846.20	$3,121.55	$1,804.97	2026-03-11
73220	HCPCS	MRI Scan Of Arm Before And After Contrast	10	10	$3,230.00	$2,261.00 30% off	$846.20	$2,990.98	$2,230.70	2026-03-11
G0390	HCPCS	Trauma Response Team Associated With Hospital Critical Care Service	10	10	$2,926.00	$2,048.20 30% off	$819.28	$2,987.62	$2,618.19	2026-03-11
75635	HCPCS	CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast	10	10	$3,126.00	$2,188.20 30% off	$875.28	$2,894.68	$2,255.41	2026-03-11
Q0138	HCPCS	Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd …	10	10	$3,101.00	$2,170.70 30% off	$4.57	$2,871.53	$2,237.37	2026-03-11
73719	HCPCS	MRI Scan Of Leg With Contrast	10	10	$3,075.00	$2,152.50 30% off	$846.20	$2,847.45	$1,698.41	2026-03-11
95165	HCPCS	Professional Service For Preparation And Provision Of 1 Or More Antigens	3	3	$2,812.00	$1,968.40 30% off	$2,812.00	$2,812.00	$2,812.00	2026-03-11
73206	HCPCS	CT Scan Of Blood Vessels Of Arm With Contrast	10	10	$3,007.00	$2,104.90 30% off	$841.96	$2,784.48	$2,169.55	2026-03-11
72194	HCPCS	CT Scan Of Pelvis Before And After Contrast	10	10	$3,004.00	$2,102.80 30% off	$841.12	$2,781.70	$2,167.39	2026-03-11
71270	HCPCS	CT Scan Of Chest Before And After Contrast	10	10	$3,002.00	$2,101.40 30% off	$840.56	$2,779.85	$2,165.94	2026-03-11
72147	HCPCS	MRI Scan Of Middle Spinal Canal With Contrast	10	10	$3,000.00	$2,100.00 30% off	$840.00	$2,778.00	$2,147.90	2026-03-11
72149	HCPCS	MRI Scan Of Lower Spinal Canal With Contrast	10	10	$3,000.00	$2,100.00 30% off	$840.00	$2,778.00	$2,147.90	2026-03-11
70546	HCPCS	MRI Scan Of Blood Vessels Of Head Before And After Contrast	10	10	$3,000.00	$2,100.00 30% off	$840.00	$2,778.00	$2,147.90	2026-03-11
72142	HCPCS	MRI Scan Of Upper Spinal Canal With Contrast	10	10	$3,000.00	$2,100.00 30% off	$840.00	$2,778.00	$2,147.90	2026-03-11
01617164_1	CDM	Humulin R 500 Unit/ml Kwikpen	10	10	$2,985.00	$2,089.50 30% off	$835.80	$2,764.11	$2,198.45	2026-03-11
74170	HCPCS	CT Scan Of Abdomen Before And After Contrast	10	10	$2,982.00	$2,087.40 30% off	$834.96	$2,761.33	$2,151.51	2026-03-11
70542	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast	10	10	$2,950.00	$2,065.00 30% off	$826.00	$2,731.70	$2,129.90	2026-03-11
74182	HCPCS	MRI Scan Of Abdomen With Contrast	10	10	$2,950.00	$2,065.00 30% off	$826.00	$2,731.70	$2,129.90	2026-03-11
72127	HCPCS	CT Scan Of Upper Spine Before And After Contrast	10	10	$2,938.00	$2,056.60 30% off	$822.64	$2,720.59	$2,119.77	2026-03-11
72130	HCPCS	CT Scan Of Middle Spine Before And After Contrast	10	10	$2,906.00	$2,034.20 30% off	$813.68	$2,690.96	$2,096.68	2026-03-11
70482	HCPCS	CT Scan Of Cranial Cavity Before And After Contrast	10	10	$2,832.00	$1,982.40 30% off	$792.96	$2,622.43	$2,043.29	2026-03-11
J0585	HCPCS	Injection, Onabotulinumtoxina, 1 Unit	17	10	$2,617.00	$1,831.90 30% off	$18.54	$2,621.51	$2,046.81	2026-03-11
J1950	HCPCS	Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg	10	10	$2,811.00	$1,967.70 30% off	$787.08	$2,602.99	$2,311.18	2026-03-11
C8900	HCPCS	Magnetic Resonance Angiography With Contrast, Abdomen	16	10	$2,225.00	$1,557.50 30% off	$623.00	$2,594.65	$1,976.60	2026-03-11
71552	HCPCS	MRI Scan Of Chest Before And After Contrast	10	10	$2,780.00	$1,946.00 30% off	$778.40	$2,574.28	$2,068.70	2026-03-11
70488	HCPCS	CT Scan Of Face Before And After Contrast	10	10	$2,753.00	$1,927.10 30% off	$770.84	$2,549.28	$1,986.29	2026-03-11
70548	HCPCS	MRI Scan Of Blood Vessels Of Neck With Contrast	10	10	$2,726.00	$1,908.20 30% off	$763.28	$2,524.28	$1,572.77	2026-03-11
72141	HCPCS	MRI Scan Of Upper Spinal Canal Without Contrast	10	10	$2,711.00	$1,897.70 30% off	$528.75	$2,510.39	$1,519.57	2026-03-11
70498	HCPCS	CT Scan Of Blood Vessels Of Neck With Contrast	10	10	$2,710.00	$1,897.00 30% off	$758.80	$2,509.46	$1,955.26	2026-03-11
70551	HCPCS	MRI Scan Of Brain Without Contrast	10	10	$2,707.00	$1,894.90 30% off	$528.75	$2,506.68	$1,518.12	2026-03-11
C8901	HCPCS	Magnetic Resonance Angiography Without Contrast, Abdomen	22	10	$2,357.00	$1,649.90 30% off	$528.75	$2,492.79	$1,994.41	2026-03-11
72191	HCPCS	CT Scan Of Blood Vessels Of Pelvis With Contrast	10	10	$2,668.00	$1,867.60 30% off	$747.04	$2,470.57	$1,924.96	2026-03-11
64483	HCPCS	Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I…	10	10	$2,605.00	$1,823.50 30% off	$729.40	$2,446.74	$2,235.55	2026-03-11
64415	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Arm Nerve Bundle (brachial Ple…	10	10	$2,556.54	$1,789.58 30% off	$715.83	$2,446.74	$2,214.47	2026-03-11
64416	HCPCS	Continuous Infusion Of Anesthetic Agent And/or Steroid Into Arm Nerve Bundle Thr…	10	10	$2,556.54	$1,789.58 30% off	$715.83	$2,446.74	$2,214.47	2026-03-11
64446	HCPCS	Continuous Infusion Of Anesthetic Agent And/or Steroid Into Lower Back And Leg N…	10	10	$2,556.54	$1,789.58 30% off	$715.83	$2,446.74	$2,214.47	2026-03-11
64448	HCPCS	Continuous Infusion Of Anesthetic Agent And/or Steroid Into Thigh Nerve (femoral…	10	10	$2,556.54	$1,789.58 30% off	$715.83	$2,446.74	$2,214.47	2026-03-11
64417	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Upper Arm And Shoulder Nerve (…	10	10	$2,556.54	$1,789.58 30% off	$715.83	$2,446.74	$2,214.47	2026-03-11
64510	HCPCS	Injection Of Anesthetic Agent Into Sympathetic Nerve Bundle	10	10	$2,500.00	$1,750.00 30% off	$700.00	$2,446.74	$2,189.88	2026-03-11
64520	HCPCS	Injection Of Anesthetic Agent Into Middle Or Lower Spine Sympathetic Nerve	10	10	$2,500.00	$1,750.00 30% off	$700.00	$2,446.74	$2,189.88	2026-03-11
64493	HCPCS	Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le…	16	10	$2,600.00	$1,820.00 30% off	$67.20	$2,446.74	$1,875.90	2026-03-11
64490	HCPCS	Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le…	16	10	$2,500.00	$1,750.00 30% off	$70.00	$2,446.74	$1,803.75	2026-03-11
64421	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Multiple Rib Nerves For Region…	23	10	$1,933.00	$1,353.10 30% off	$58.80	$2,446.74	$1,789.96	2026-03-11
70545	HCPCS	MRI Scan Of Blood Vessels Of Head With Contrast	10	10	$2,635.00	$1,844.50 30% off	$737.80	$2,440.01	$1,540.01	2026-03-11
72129	HCPCS	CT Scan Of Middle Spine With Contrast	10	10	$2,624.00	$1,836.80 30% off	$734.72	$2,429.82	$1,893.22	2026-03-11
72146	HCPCS	MRI Scan Of Middle Spinal Canal Without Contrast	10	10	$2,623.00	$1,836.10 30% off	$528.75	$2,428.90	$1,487.88	2026-03-11
73721	HCPCS	MRI Scan Of Leg Joint Without Contrast	30	10	$2,611.00	$1,827.70 30% off	$528.75	$2,417.79	$1,483.57	2026-03-11
72148	HCPCS	MRI Scan Of Lower Spinal Canal Without Contrast	10	10	$2,610.00	$1,827.00 30% off	$528.75	$2,416.86	$1,483.20	2026-03-11
73702	HCPCS	CT Scan Of Leg Before And After Contrast	10	10	$2,604.00	$1,822.80 30% off	$729.12	$2,411.30	$1,878.79	2026-03-11
31605	HCPCS	Emergent Incision Of Windpipe For Insertion Of Breathing Tube	20	10	$2,369.00	$1,658.30 30% off	$183.68	$2,369.00	$1,591.15	2026-03-11
64640	HCPCS	Destruction Of Peripheral Nerve Or Branch	17	10	$2,500.00	$1,750.00 30% off	$271.43	$2,367.36	$1,848.38	2026-03-11
73219	HCPCS	MRI Scan Of Arm With Contrast	10	10	$2,541.00	$1,778.70 30% off	$711.48	$2,352.97	$2,028.57	2026-03-11
70470	HCPCS	CT Scan Of Head Or Brain Before And After Contrast	10	10	$2,532.00	$1,772.40 30% off	$708.96	$2,344.63	$1,826.84	2026-03-11
72133	HCPCS	CT Scan Of Lower Spine Before And After Contrast	10	10	$2,528.00	$1,769.60 30% off	$707.84	$2,340.93	$1,823.95	2026-03-11
70492	HCPCS	CT Scan Of Soft Tissue Of Neck Before And After Contrast	10	10	$2,522.00	$1,765.40 30% off	$706.16	$2,335.37	$1,819.62	2026-03-11
72196	HCPCS	MRI Scan Of Pelvis With Contrast	10	10	$2,506.00	$1,754.20 30% off	$701.68	$2,320.56	$2,028.57	2026-03-11
62323	HCPCS	Injection Of Substance Into Lower Spine Canal Using Imaging Guidance	10	10	$2,500.00	$1,750.00 30% off	$700.00	$2,315.00	$1,892.70	2026-03-11
49568	HCPCS	Implantation Of Mesh Or Other Prosthesis For Open Incisional Or Ventral Hernia R…	9	9	$2,500.00	$1,750.00 30% off	$700.00	$2,315.00	$1,875.00	2026-03-11
73221	HCPCS	MRI Scan Of Arm Joint Without Contrast	10	10	$2,493.00	$1,745.10 30% off	$528.75	$2,308.52	$1,441.09	2026-03-11
70544	HCPCS	MRI Scan Of Blood Vessels Of Head Without Contrast	10	10	$2,473.00	$1,731.10 30% off	$528.75	$2,290.00	$1,433.88	2026-03-11
72193	HCPCS	CT Scan Of Pelvis With Contrast	10	10	$2,470.00	$1,729.00 30% off	$691.60	$2,287.22	$1,782.11	2026-03-11
71260	HCPCS	CT Scan Of Chest With Contrast	10	10	$2,446.00	$1,712.20 30% off	$684.88	$2,265.00	$1,764.79	2026-03-11
74175	HCPCS	CT Scan Of Blood Vessels Of Abdomen With Contrast	10	10	$2,431.00	$1,701.70 30% off	$680.68	$2,251.11	$1,753.96	2026-03-11
32554	HCPCS	Aspiration Of Fluid From Chest Cavity	10	10	$1,620.00	$1,134.00 30% off	$453.60	$2,229.75	$1,500.12	2026-03-11
74160	HCPCS	CT Scan Of Abdomen With Contrast	10	10	$2,382.00	$1,667.40 30% off	$666.96	$2,205.73	$1,718.62	2026-03-11
70496	HCPCS	CT Scan Of Blood Vessels Of Head With Contrast	10	10	$2,347.00	$1,642.90 30% off	$657.16	$2,173.32	$1,693.36	2026-03-11
70487	HCPCS	CT Scan Of Face With Contrast	10	10	$2,309.00	$1,616.30 30% off	$646.52	$2,138.13	$1,665.95	2026-03-11
72132	HCPCS	CT Scan Of Lower Spine With Contrast	10	10	$2,300.00	$1,610.00 30% off	$644.00	$2,135.81	$1,961.16	2026-03-11
72126	HCPCS	CT Scan Of Upper Spine With Contrast	10	10	$2,224.00	$1,556.80 30% off	$622.72	$2,135.81	$1,928.10	2026-03-11
73202	HCPCS	CT Scan Of Arm Before And After Contrast	10	10	$2,300.00	$1,610.00 30% off	$644.00	$2,129.80	$1,659.45	2026-03-11
70491	HCPCS	CT Scan Of Soft Tissue Of Neck With Contrast	10	10	$2,240.00	$1,568.00 30% off	$627.20	$2,074.24	$1,616.16	2026-03-11
C8935	HCPCS	Magnetic Resonance Angiography Without Contrast, Upper Extremity	16	10	$2,225.00	$1,557.50 30% off	$491.68	$2,060.35	$1,564.86	2026-03-11
70481	HCPCS	CT Scan Of Cranial Cavity With Contrast	10	10	$2,224.00	$1,556.80 30% off	$622.72	$2,059.42	$1,604.62	2026-03-11
72192	HCPCS	CT Scan Of Pelvis Without Contrast	10	10	$2,224.00	$1,556.80 30% off	$455.55	$2,059.42	$1,604.62	2026-03-11
864	MS_DRG	Fever And Inflammatory Conditions	5	5	$2,364.80	$1,655.36 30% off	$1,702.66	$2,057.38	$1,749.95	2026-03-11
19240	HCPCS	Rev - Fs-rural/clinic	9	9	$2,200.00	$1,540.00 30% off	$616.00	$2,037.20	$1,650.00	2026-03-11
70460	HCPCS	CT Scan Head Or Brain With Contrast	10	10	$2,196.00	$1,537.20 30% off	$614.88	$2,033.50	$1,584.41	2026-03-11
22840	HCPCS	Placement Of Stabilizing Device To Back Of 1 Spine Bone In Neck	10	10	$2,168.00	$1,517.60 30% off	$607.04	$2,007.57	$1,596.73	2026-03-11
93306	HCPCS	Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…	10	10	$2,153.00	$1,507.10 30% off	$367.10	$1,993.68	$1,553.39	2026-03-11
62321	HCPCS	Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance	10	10	$2,000.00	$1,400.00 30% off	$560.00	$1,977.90	$1,761.14	2026-03-11
62273	HCPCS	Injection Of Blood Or Blood Clot Into Spinal Canal	10	10	$1,933.00	$1,353.10 30% off	$541.24	$1,977.90	$1,732.00	2026-03-11
64420	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Rib Nerve	23	10	$1,933.00	$1,353.10 30% off	$49.00	$1,977.90	$1,406.64	2026-03-11
73201	HCPCS	CT Scan Of Arm With Contrast	10	10	$2,106.00	$1,474.20 30% off	$589.68	$1,950.16	$1,519.48	2026-03-11
J1442	HCPCS	Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram	17	10	$2,089.00	$1,462.30 30% off	$3.03	$1,934.41	$1,510.35	2026-03-11
72131	HCPCS	CT Scan Of Lower Spine Without Contrast	10	10	$2,074.00	$1,451.80 30% off	$455.55	$1,920.52	$1,496.39	2026-03-11
C8914	HCPCS	Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower…	10	10	$1,990.00	$1,393.00 30% off	$557.20	$1,898.50	$1,719.06	2026-03-11
C8912	HCPCS	Magnetic Resonance Angiography With Contrast, Lower Extremity	10	10	$1,990.00	$1,393.00 30% off	$557.20	$1,898.50	$1,719.06	2026-03-11
72125	HCPCS	CT Scan Of Upper Spine Without Contrast	10	10	$2,046.00	$1,432.20 30% off	$455.55	$1,894.60	$1,476.19	2026-03-11
74150	HCPCS	CT Scan Of Abdomen Without Contrast	10	10	$2,001.00	$1,400.70 30% off	$455.55	$1,852.93	$1,443.72	2026-03-11
73701	HCPCS	CT Scan Of Leg With Contrast Material	10	10	$2,000.00	$1,400.00 30% off	$560.00	$1,852.00	$1,443.00	2026-03-11
72128	HCPCS	CT Scan Of Middle Spine Without Contrast	10	10	$1,985.00	$1,389.50 30% off	$455.55	$1,838.11	$1,432.18	2026-03-11
73200	HCPCS	CT Scan Of Arm Without Contrast	10	10	$1,975.00	$1,382.50 30% off	$455.55	$1,828.85	$1,424.97	2026-03-11
71250	HCPCS	CT Scan Of Chest Without Contrast	10	10	$1,952.00	$1,366.40 30% off	$455.55	$1,807.55	$1,408.37	2026-03-11
64451	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Spine And Pelvis Nerve Using I…	10	10	$1,945.56	$1,361.89 30% off	$544.76	$1,801.59	$1,432.91	2026-03-11
64425	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Lower Abdomen And Groin Nerve	17	10	$1,945.56	$1,361.89 30% off	$211.36	$1,801.59	$1,406.64	2026-03-11
64447	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Thigh Nerve (femoral Nerve)	17	10	$1,945.56	$1,361.89 30% off	$204.68	$1,801.59	$1,406.64	2026-03-11
64454	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin…	10	10	$1,933.00	$1,353.10 30% off	$541.24	$1,789.96	$1,423.65	2026-03-11
642	MS_DRG	Inborn And Other Disorders Of Metabolism	5	5	$2,050.53	$1,435.37 30% off	$1,476.38	$1,783.96	$1,517.39	2026-03-11
204	MS_DRG	Respiratory Signs And Symptoms	5	5	$2,011.88	$1,408.32 30% off	$1,448.56	$1,750.34	$1,488.79	2026-03-11
87507	HCPCS	Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S…	10	10	$1,860.00	$1,302.00 30% off	$520.80	$1,722.36	$1,525.64	2026-03-11

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