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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

SWISHER MEMORIAL HOSPITAL

Tulia, TX · CCN 451349 · Rates published

1,827 distinct procedures filed
32 distinct payers
68,400 rate rows
2026-01-26 last MRF observed
Data quality

68,257 of 68,400 rate rows are consumer-grade (99.8%)

143 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
percent-of-charges filed in the dollar field — excluded from medians 52
per-diem day rate — not a per-procedure price 50
exceeds 10× this hospital's gross charge — excluded from medians 41
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSMHDTULIATX&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-09
Content fingerprint 121dc174c9f12d36… · 26,084,040 bytes · first seen 2026-05-04

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
24191019_1
CDM 		00338-0004-03 - Sterile Water - Sol 30 $2,200.00 $36,254.20 $2,200.00 nat. median
$2,200
1.0× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 30 $2,200.00 $33,682.23 $2,200.00 nat. median
$5,957
outlier · 0.4×
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 30 $2,200.00 $15,644.51 $2,200.00 nat. median
$545
outlier · 4.0×
36561
HCPCS 		Insertion Of Central Venous Tube With Port (5 Years Or Older) 31 $500.00 $6,553.50 $1,156.50 nat. median
$3,693
outlier · 0.3×
J1439
HCPCS 		Injection, Ferric Carboxymaltose, 1 Mg 30 $1,107.09 $6,273.51 $1,107.09 nat. median
$63
outlier · 17.5×
J7307
HCPCS 		Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 30 $336.28 $5,669.33 $1,000.47 nat. median
$1,689
0.6× median
J0897
HCPCS 		Injection, Denosumab, 1 Mg 30 $986.81 $5,591.94 $986.81 nat. median
$2,502
outlier · 0.4×
J0840
HCPCS 		Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 30 $869.52 $4,927.28 $869.52 nat. median
$3,427
outlier · 0.3×
Q5103
HCPCS 		Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 30 $865.65 $4,905.38 $865.65 nat. median
$335
outlier · 2.6×
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 30 $835.90 $4,736.75 $835.90 nat. median
$1,003
0.8× median
95811
HCPCS 		Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 31 $90.00 $4,455.70 $786.30 nat. median
$2,026
outlier · 0.4×
75635
HCPCS 		CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 31 $540.00 $4,305.25 $759.75 nat. median
$706
1.1× median
71552
HCPCS 		MRI Scan Of Chest Before And After Contrast 31 $759.00 $4,301.00 $759.00 nat. median
$1,093
0.7× median
95810
HCPCS 		Sleep Study In Sleep Lab (6 Years Or Older) 31 $90.00 $4,246.60 $749.40 nat. median
$1,870
outlier · 0.4×
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 31 $728.40 $4,127.60 $728.40 nat. median
$1,094
0.7× median
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 31 $540.00 $3,915.10 $690.90 nat. median
$979
0.7× median
58300
HCPCS 		Insertion Of IUD For Pregnancy Prevention 29 $159.53 $3,792.70 $669.30 nat. median
$365
1.8× median
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 31 $652.65 $3,698.35 $652.65 nat. median
$1,092
0.6× median
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 31 $633.30 $3,588.70 $633.30 nat. median
$1,081
0.6× median
73206
HCPCS 		CT Scan Of Blood Vessels Of Arm With Contrast 31 $540.00 $5,290.40 $622.35 nat. median
$697
0.9× median
77049
HCPCS 		MRI Scan Of Both Breasts 31 $619.35 $3,509.65 $619.35 nat. median
$957
0.6× median
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 31 $600.15 $3,400.85 $600.15 nat. median
$1,065
0.6× median
72127
HCPCS 		CT Scan Of Upper Spine Before And After Contrast 31 $540.00 $3,393.20 $598.80 nat. median
$595
1.0× median
72130
HCPCS 		CT Scan Of Middle Spine Before And After Contrast 31 $540.00 $3,357.50 $592.50 nat. median
$593
1.0× median
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 31 $585.75 $3,319.25 $585.75 nat. median
$1,122
0.5× median
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 31 $580.35 $3,288.65 $580.35 nat. median
$1,102
0.5× median
73223
HCPCS 		MRI Scan Of Arm Joint Before And After Contrast 31 $580.20 $3,287.80 $580.20 nat. median
$1,225
outlier · 0.5×
73720
HCPCS 		MRI Scan Of Leg Before And After Contrast 31 $577.50 $3,272.50 $577.50 nat. median
$1,190
outlier · 0.5×
74177
HCPCS 		CT Scan Of Abdomen And Pelvis With Contrast 31 $540.00 $3,179.85 $561.15 nat. median
$928
0.6× median
70552
HCPCS 		MRI Scan Of Brain With Contrast 31 $552.75 $3,132.25 $552.75 nat. median
$960
0.6× median
25505
HCPCS 		Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 31 $500.00 $3,114.40 $549.60 nat. median
$1,714
outlier · 0.3×
73723
HCPCS 		MRI Scan Of Leg Joint Before And After Contrast 31 $546.00 $3,094.00 $546.00 nat. median
$1,264
outlier · 0.4×
73702
HCPCS 		CT Scan Of Leg Before And After Contrast 31 $540.00 $4,629.95 $544.65 nat. median
$710
0.8× median
73201
HCPCS 		CT Scan Of Arm With Contrast 31 $376.65 $3,201.10 $540.00 nat. median
$827
0.7× median
73701
HCPCS 		CT Scan Of Leg With Contrast Material 31 $433.65 $3,686.45 $540.00 nat. median
$710
0.8× median
73202
HCPCS 		CT Scan Of Arm Before And After Contrast 31 $432.30 $3,674.55 $540.00 nat. median
$725
0.7× median
72142
HCPCS 		MRI Scan Of Upper Spinal Canal With Contrast 31 $532.50 $3,017.50 $532.50 nat. median
$959
0.6× median
73220
HCPCS 		MRI Scan Of Arm Before And After Contrast 31 $529.35 $2,999.65 $529.35 nat. median
$1,185
outlier · 0.4×
71551
HCPCS 		MRI Scan Of Chest With Contrast 31 $521.25 $2,953.75 $521.25 nat. median
$1,144
outlier · 0.5×
74182
HCPCS 		MRI Scan Of Abdomen With Contrast 31 $517.80 $2,934.20 $517.80 nat. median
$991
0.5× median
72194
HCPCS 		CT Scan Of Pelvis Before And After Contrast 31 $516.75 $2,928.25 $516.75 nat. median
$658
0.8× median
70549
HCPCS 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 31 $508.65 $2,882.35 $508.65 nat. median
$1,051
outlier · 0.5×
41017
HCPCS 		Drainage Of Abscess, Cyst, Or Blood Accumulation Under Jaw Bone From Outside Mou… 31 $500.00 $2,868.75 $506.25 nat. median
$3,154
outlier · 0.2×
72129
HCPCS 		CT Scan Of Middle Spine With Contrast 31 $501.90 $2,844.10 $501.90 nat. median
$584
0.9× median
59409
HCPCS 		Vaginal Delivery 31 $491.25 $2,783.75 $491.25 nat. median
$3,185
outlier · 0.2×
72133
HCPCS 		CT Scan Of Lower Spine Before And After Contrast 31 $486.75 $2,758.25 $486.75 nat. median
$616
0.8× median
36556
HCPCS 		Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 31 $486.30 $2,755.70 $486.30 nat. median
$2,458
outlier · 0.2×
72126
HCPCS 		CT Scan Of Upper Spine With Contrast 31 $482.55 $2,734.45 $482.55 nat. median
$755
0.6× median
J0248
HCPCS 		Injection, Remdesivir, 1 Mg 30 $476.87 $2,702.24 $476.87 nat. median
$588
0.8× median
74181
HCPCS 		MRI Scan Of Abdomen Without Contrast 31 $476.40 $2,699.60 $476.40 nat. median
$820
0.6× median

Other procedures at this hospital

Browse this hospital's 1,827 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
             
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 30 30 $18,405.30 $9,202.65 50% off $2,200.00 $15,644.51 $2,200.00 2026-01-26
24191019_1 CDM 00338-0004-03 - Sterile Water - Sol 30 30 $42,652.00 $21,326.00 50% off $2,200.00 $36,254.20 $2,200.00 2026-01-26
J3101 HCPCS Injection, Tenecteplase, 1 Mg 30 30 $39,626.15 $19,813.08 50% off $2,200.00 $33,682.23 $2,200.00 2026-01-26
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 31 31 $7,710.00 $3,855.00 50% off $500.00 $6,553.50 $1,156.50 2026-01-26
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 30 30 $7,380.60 $3,690.30 50% off $1,107.09 $6,273.51 $1,107.09 2026-01-26
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 60 30 $4,455.83 $2,227.91 50% off $336.28 $5,669.33 $1,000.47 2026-01-26
J0897 HCPCS Injection, Denosumab, 1 Mg 30 30 $6,578.75 $3,289.38 50% off $986.81 $5,591.94 $986.81 2026-01-26
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 30 30 $5,796.80 $2,898.40 50% off $869.52 $4,927.28 $869.52 2026-01-26
Q5103 HCPCS Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 30 30 $5,771.03 $2,885.52 50% off $865.65 $4,905.38 $865.65 2026-01-26
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 30 30 $5,572.65 $2,786.33 50% off $835.90 $4,736.75 $835.90 2026-01-26
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 31 31 $5,242.00 $2,621.00 50% off $90.00 $4,455.70 $786.30 2026-01-26
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 31 31 $5,065.00 $2,532.50 50% off $540.00 $4,305.25 $759.75 2026-01-26
71552 HCPCS MRI Scan Of Chest Before And After Contrast 31 31 $5,060.00 $2,530.00 50% off $759.00 $4,301.00 $759.00 2026-01-26
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 31 31 $4,996.00 $2,498.00 50% off $90.00 $4,246.60 $749.40 2026-01-26
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 31 31 $4,856.00 $2,428.00 50% off $728.40 $4,127.60 $728.40 2026-01-26
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 31 31 $4,606.00 $2,303.00 50% off $540.00 $3,915.10 $690.90 2026-01-26
58300 HCPCS Insertion Of IUD For Pregnancy Prevention 29 29 $4,462.00 $2,231.00 50% off $159.53 $3,792.70 $669.30 2026-01-26
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 31 31 $4,351.00 $2,175.50 50% off $652.65 $3,698.35 $652.65 2026-01-26
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 31 31 $4,222.00 $2,111.00 50% off $633.30 $3,588.70 $633.30 2026-01-26
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 93 31 $4,149.00 $2,074.50 50% off $540.00 $5,290.40 $622.35 2026-01-26
77049 HCPCS MRI Scan Of Both Breasts 31 31 $4,129.00 $2,064.50 50% off $619.35 $3,509.65 $619.35 2026-01-26
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 31 31 $4,001.00 $2,000.50 50% off $600.15 $3,400.85 $600.15 2026-01-26
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 31 31 $3,992.00 $1,996.00 50% off $540.00 $3,393.20 $598.80 2026-01-26
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 31 31 $3,950.00 $1,975.00 50% off $540.00 $3,357.50 $592.50 2026-01-26
70553 HCPCS MRI Scan Of Brain Before And After Contrast 31 31 $3,905.00 $1,952.50 50% off $585.75 $3,319.25 $585.75 2026-01-26
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 31 31 $3,869.00 $1,934.50 50% off $580.35 $3,288.65 $580.35 2026-01-26
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 62 31 $3,868.00 $1,934.00 50% off $580.20 $3,287.80 $580.20 2026-01-26
73720 HCPCS MRI Scan Of Leg Before And After Contrast 62 31 $3,850.00 $1,925.00 50% off $577.50 $3,272.50 $577.50 2026-01-26
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 31 31 $3,741.00 $1,870.50 50% off $540.00 $3,179.85 $561.15 2026-01-26
70552 HCPCS MRI Scan Of Brain With Contrast 31 31 $3,685.00 $1,842.50 50% off $552.75 $3,132.25 $552.75 2026-01-26
25505 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 31 31 $3,664.00 $1,832.00 50% off $500.00 $3,114.40 $549.60 2026-01-26
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 62 31 $3,640.00 $1,820.00 50% off $546.00 $3,094.00 $546.00 2026-01-26
73702 HCPCS CT Scan Of Leg Before And After Contrast 93 31 $3,631.00 $1,815.50 50% off $540.00 $4,629.95 $544.65 2026-01-26
73201 HCPCS CT Scan Of Arm With Contrast 93 31 $2,511.00 $1,255.50 50% off $376.65 $3,201.10 $540.00 2026-01-26
73701 HCPCS CT Scan Of Leg With Contrast Material 93 31 $2,891.00 $1,445.50 50% off $433.65 $3,686.45 $540.00 2026-01-26
73202 HCPCS CT Scan Of Arm Before And After Contrast 93 31 $2,882.00 $1,441.00 50% off $432.30 $3,674.55 $540.00 2026-01-26
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 31 31 $3,550.00 $1,775.00 50% off $532.50 $3,017.50 $532.50 2026-01-26
73220 HCPCS MRI Scan Of Arm Before And After Contrast 62 31 $3,529.00 $1,764.50 50% off $529.35 $2,999.65 $529.35 2026-01-26
71551 HCPCS MRI Scan Of Chest With Contrast 31 31 $3,475.00 $1,737.50 50% off $521.25 $2,953.75 $521.25 2026-01-26
74182 HCPCS MRI Scan Of Abdomen With Contrast 31 31 $3,452.00 $1,726.00 50% off $517.80 $2,934.20 $517.80 2026-01-26
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 31 31 $3,445.00 $1,722.50 50% off $516.75 $2,928.25 $516.75 2026-01-26
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 31 31 $3,391.00 $1,695.50 50% off $508.65 $2,882.35 $508.65 2026-01-26
41017 HCPCS Drainage Of Abscess, Cyst, Or Blood Accumulation Under Jaw Bone From Outside Mou… 31 31 $3,375.00 $1,687.50 50% off $500.00 $2,868.75 $506.25 2026-01-26
72129 HCPCS CT Scan Of Middle Spine With Contrast 31 31 $3,346.00 $1,673.00 50% off $501.90 $2,844.10 $501.90 2026-01-26
59409 HCPCS Vaginal Delivery 31 31 $3,275.00 $1,637.50 50% off $491.25 $2,783.75 $491.25 2026-01-26
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 31 31 $3,245.00 $1,622.50 50% off $486.75 $2,758.25 $486.75 2026-01-26
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 31 31 $3,242.00 $1,621.00 50% off $486.30 $2,755.70 $486.30 2026-01-26
72126 HCPCS CT Scan Of Upper Spine With Contrast 31 31 $3,217.00 $1,608.50 50% off $482.55 $2,734.45 $482.55 2026-01-26
J0248 HCPCS Injection, Remdesivir, 1 Mg 30 30 $3,179.11 $1,589.56 50% off $476.87 $2,702.24 $476.87 2026-01-26
74181 HCPCS MRI Scan Of Abdomen Without Contrast 31 31 $3,176.00 $1,588.00 50% off $476.40 $2,699.60 $476.40 2026-01-26
77048 HCPCS MRI Scan Of 1 Breast 62 31 $3,143.00 $1,571.50 50% off $471.45 $2,671.55 $471.45 2026-01-26
32557 HCPCS Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube Using Imag… 61 31 $3,077.00 $1,538.50 50% off $325.95 $2,615.45 $461.55 2026-01-26
73718 HCPCS MRI Scan Of Leg Without Contrast 62 31 $3,074.00 $1,537.00 50% off $461.10 $2,612.90 $461.10 2026-01-26
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 31 31 $3,071.00 $1,535.50 50% off $460.65 $2,610.35 $460.65 2026-01-26
74160 HCPCS CT Scan Of Abdomen With Contrast 31 31 $3,056.00 $1,528.00 50% off $458.40 $2,597.60 $458.40 2026-01-26
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 31 31 $3,030.00 $1,515.00 50% off $454.50 $2,575.50 $454.50 2026-01-26
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 31 31 $3,022.00 $1,511.00 50% off $453.30 $2,568.70 $453.30 2026-01-26
72196 HCPCS MRI Scan Of Pelvis With Contrast 31 31 $3,000.00 $1,500.00 50% off $450.00 $2,550.00 $450.00 2026-01-26
72132 HCPCS CT Scan Of Lower Spine With Contrast 31 31 $2,980.00 $1,490.00 50% off $447.00 $2,533.00 $447.00 2026-01-26
73218 HCPCS MRI Scan Of Arm Without Contrast 62 31 $2,932.00 $1,466.00 50% off $439.80 $2,492.20 $439.80 2026-01-26
71550 HCPCS MRI Scan Of Chest Without Contrast 31 31 $2,890.00 $1,445.00 50% off $433.50 $2,456.50 $433.50 2026-01-26
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 31 31 $2,860.00 $1,430.00 50% off $429.00 $2,431.00 $429.00 2026-01-26
70488 HCPCS CT Scan Of Face Before And After Contrast 31 31 $2,843.00 $1,421.50 50% off $426.45 $2,416.55 $426.45 2026-01-26
75571 HCPCS CT Scan Of Heart With Evaluation Of Blood Vessel Calcium 31 31 $2,835.00 $1,417.50 50% off $425.25 $2,409.75 $425.25 2026-01-26
73200 HCPCS CT Scan Of Arm Without Contrast 93 31 $1,881.00 $940.50 50% off $282.15 $2,398.70 $423.30 2026-01-26
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 31 31 $2,807.00 $1,403.50 50% off $421.05 $2,385.95 $421.05 2026-01-26
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 30 30 $2,806.22 $1,403.11 50% off $420.93 $2,385.29 $420.93 2026-01-26
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 31 31 $2,802.00 $1,401.00 50% off $420.30 $2,381.70 $420.30 2026-01-26
73700 HCPCS CT Scan Of Leg Without Contrast 93 31 $1,858.00 $929.00 50% off $278.70 $2,368.95 $418.05 2026-01-26
27252 HCPCS Closed Treatment Of Dislocated Hip Under Anesthesia 31 31 $2,768.00 $1,384.00 50% off $415.20 $2,352.80 $415.20 2026-01-26
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 30 30 $2,766.05 $1,383.03 50% off $414.91 $2,351.14 $414.91 2026-01-26
32551 HCPCS Removal Of Fluid From Between Lung And Chest Cavity 31 31 $2,758.00 $1,379.00 50% off $413.70 $2,344.30 $413.70 2026-01-26
71270 HCPCS CT Scan Of Chest Before And After Contrast 31 31 $2,756.00 $1,378.00 50% off $413.40 $2,342.60 $413.40 2026-01-26
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 62 31 $2,747.00 $1,373.50 50% off $412.05 $2,334.95 $412.05 2026-01-26
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 31 31 $2,734.00 $1,367.00 50% off $410.10 $2,323.90 $410.10 2026-01-26
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 62 31 $2,730.00 $1,365.00 50% off $409.50 $2,320.50 $409.50 2026-01-26
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 31 31 $2,727.00 $1,363.50 50% off $409.05 $2,317.95 $409.05 2026-01-26
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 62 31 $2,711.00 $1,355.50 50% off $406.65 $2,304.35 $406.65 2026-01-26
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 31 31 $2,701.00 $1,350.50 50% off $405.15 $2,295.85 $405.15 2026-01-26
70551 HCPCS MRI Scan Of Brain Without Contrast 31 31 $2,694.00 $1,347.00 50% off $404.10 $2,289.90 $404.10 2026-01-26
73225 HCPCS MRI Scan Of Blood Vessels Of Arm 62 31 $2,623.00 $1,311.50 50% off $393.45 $2,229.55 $393.45 2026-01-26
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 31 31 $2,615.00 $1,307.50 50% off $392.25 $2,222.75 $392.25 2026-01-26
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 31 31 $2,463.00 $1,231.50 50% off $369.45 $2,093.55 $369.45 2026-01-26
26645 HCPCS Closed Treatment Of Broken Thumb At Wrist With Manipulation 31 31 $2,446.00 $1,223.00 50% off $366.90 $2,079.10 $366.90 2026-01-26
72195 HCPCS MRI Scan Of Pelvis Without Contrast 31 31 $2,440.00 $1,220.00 50% off $366.00 $2,074.00 $366.00 2026-01-26
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 31 31 $2,416.00 $1,208.00 50% off $362.40 $2,053.60 $362.40 2026-01-26
71260 HCPCS CT Scan Of Chest With Contrast 31 31 $2,379.00 $1,189.50 50% off $356.85 $2,022.15 $356.85 2026-01-26
11426 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More … 29 29 $2,375.00 $1,187.50 50% off $159.53 $2,018.75 $356.25 2026-01-26
72193 HCPCS CT Scan Of Pelvis With Contrast 31 31 $2,340.00 $1,170.00 50% off $351.00 $1,989.00 $351.00 2026-01-26
70487 HCPCS CT Scan Of Face With Contrast 31 31 $2,321.00 $1,160.50 50% off $348.15 $1,972.85 $348.15 2026-01-26
J9312 HCPCS Injection, Rituximab, 10 Mg 30 30 $2,270.07 $1,135.04 50% off $340.51 $1,929.56 $340.51 2026-01-26
72159 HCPCS MRI Scan Of Blood Vessels Of Spinal Canal 31 31 $2,267.00 $1,133.50 50% off $340.05 $1,926.95 $340.05 2026-01-26
70336 HCPCS MRI Scan Of Jaw Joint 31 31 $2,229.00 $1,114.50 50% off $334.35 $1,894.65 $334.35 2026-01-26
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 30 30 $2,149.50 $1,074.75 50% off $322.43 $1,827.08 $322.43 2026-01-26
70460 HCPCS CT Scan Head Or Brain With Contrast 31 31 $2,148.00 $1,074.00 50% off $322.20 $1,825.80 $322.20 2026-01-26
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 31 31 $2,125.00 $1,062.50 50% off $318.75 $1,806.25 $318.75 2026-01-26
11601 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 0.6-1.0 Cm 29 29 $2,122.00 $1,061.00 50% off $159.53 $1,803.70 $318.30 2026-01-26
13132 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 60 31 $2,098.00 $1,049.00 50% off $114.90 $1,783.30 $314.70 2026-01-26
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 31 31 $2,094.00 $1,047.00 50% off $314.10 $1,779.90 $314.10 2026-01-26
99291 HCPCS Critical Care, First 30-74 Minutes 31 31 $2,038.00 $1,019.00 50% off $305.70 $1,732.30 $305.70 2026-01-26
71250 HCPCS CT Scan Of Chest Without Contrast 31 31 $1,959.00 $979.50 50% off $293.85 $1,665.15 $293.85 2026-01-26
72192 HCPCS CT Scan Of Pelvis Without Contrast 31 31 $1,946.00 $973.00 50% off $291.90 $1,654.10 $291.90 2026-01-26
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 61 31 $1,648.00 $824.00 50% off $247.20 $1,651.55 $291.45 2026-01-26
72131 HCPCS CT Scan Of Lower Spine Without Contrast 31 31 $1,917.00 $958.50 50% off $287.55 $1,629.45 $287.55 2026-01-26
72128 HCPCS CT Scan Of Middle Spine Without Contrast 31 31 $1,917.00 $958.50 50% off $287.55 $1,629.45 $287.55 2026-01-26
72125 HCPCS CT Scan Of Upper Spine Without Contrast 31 31 $1,917.00 $958.50 50% off $287.55 $1,629.45 $287.55 2026-01-26
74150 HCPCS CT Scan Of Abdomen Without Contrast 31 31 $1,858.00 $929.00 50% off $278.70 $1,579.30 $278.70 2026-01-26
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 31 31 $1,689.00 $844.50 50% off $250.00 $1,435.65 $253.35 2026-01-26
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 31 31 $1,648.00 $824.00 50% off $247.20 $1,400.80 $247.20 2026-01-26
28635 HCPCS Closed Treatment Of Dislocated Joint Between Toe And Foot Under Anesthesia 31 31 $1,648.00 $824.00 50% off $247.20 $1,400.80 $247.20 2026-01-26
27842 HCPCS Closed Treatment Of Dislocated Ankle Under Anesthesia 31 31 $1,648.00 $824.00 50% off $247.20 $1,400.80 $247.20 2026-01-26
27552 HCPCS Closed Treatment Of Dislocated Knee Under Anesthesia 31 31 $1,648.00 $824.00 50% off $247.20 $1,400.80 $247.20 2026-01-26
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 31 31 $1,648.00 $824.00 50% off $247.20 $1,400.80 $247.20 2026-01-26
13122 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, Each Additional 5.0 Cm Or L… 31 31 $1,637.00 $818.50 50% off $245.55 $1,391.45 $245.55 2026-01-26
25236352_1 CDM 00093-6138-32 - Diazepam 10 Mg Kit 30 30 $1,634.05 $817.03 50% off $245.11 $1,388.94 $245.11 2026-01-26
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 31 31 $1,631.00 $815.50 50% off $244.65 $1,386.35 $244.65 2026-01-26
75820 HCPCS Review By Radiologist Of 1 Arm Or Leg Vein Of 1 Arm Or Leg Image 93 31 $1,600.00 $800.00 50% off $160.00 $1,360.00 $240.00 2026-01-26
70450 HCPCS CT Scan Head Or Brain Without Contrast 31 31 $1,555.00 $777.50 50% off $233.25 $1,321.75 $233.25 2026-01-26
70486 HCPCS CT Scan Of Face Without Contrast 31 31 $1,523.00 $761.50 50% off $228.45 $1,294.55 $228.45 2026-01-26
93930 HCPCS Ultrasound Of Arm Arteries Or Artery Grafts 31 31 $1,501.00 $750.50 50% off $200.00 $1,275.85 $225.15 2026-01-26
12020 HCPCS Simple Closure Of Surface Wound Reopening 31 31 $1,492.00 $746.00 50% off $223.80 $1,268.20 $223.80 2026-01-26
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 31 31 $1,482.00 $741.00 50% off $222.30 $1,259.70 $222.30 2026-01-26
13152 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm 31 31 $1,406.00 $703.00 50% off $210.90 $1,195.10 $210.90 2026-01-26
90677 HCPCS Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use 62 30 $45.00 $22.50 50% off $6.75 $2,632.62 $209.86 2026-01-26
36589 HCPCS Removal Of Tunneled Central Venous Tube 29 29 $1,335.00 $667.50 50% off $159.53 $1,134.75 $200.25 2026-01-26
J0132 HCPCS Injection, Acetylcysteine, 100 Mg 30 30 $1,294.78 $647.39 50% off $194.22 $1,100.56 $194.22 2026-01-26
12035 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.… 31 31 $1,276.00 $638.00 50% off $191.40 $1,084.60 $191.40 2026-01-26
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 31 31 $1,271.00 $635.50 50% off $90.00 $1,080.35 $190.65 2026-01-26
76801 HCPCS Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks), Single Or First Fetus 31 31 $1,267.00 $633.50 50% off $190.05 $1,076.95 $190.05 2026-01-26
76377 HCPCS 3d Radiographic Procedure With Computerized Image Postprocessing 31 31 $1,266.00 $633.00 50% off $189.90 $1,076.10 $189.90 2026-01-26
12053 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7… 61 31 $1,184.00 $592.00 50% off $177.60 $1,048.05 $184.95 2026-01-26
27250 HCPCS Closed Treatment Of Dislocated Hip 31 31 $1,220.00 $610.00 50% off $183.00 $1,037.00 $183.00 2026-01-26
10120 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Simple 60 31 $1,193.00 $596.50 50% off $114.90 $1,014.05 $178.95 2026-01-26
A0433 HCPCS Advanced Life Support, Level 2 (als 2) 31 31 $1,190.00 $595.00 50% off $178.50 $1,011.50 $178.50 2026-01-26
20611 HCPCS Aspiration And/or Injection Of Fluid Large Joint Using Ultrasound Guidance 31 31 $1,190.00 $595.00 50% off $178.50 $1,011.50 $178.50 2026-01-26
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 30 30 $1,171.00 $585.50 50% off $175.65 $995.35 $175.65 2026-01-26
87506 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 30 30 $1,171.00 $585.50 50% off $175.65 $995.35 $175.65 2026-01-26
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 31 31 $1,169.00 $584.50 50% off $90.00 $993.65 $175.35 2026-01-26
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 30 30 $1,166.00 $583.00 50% off $174.90 $991.10 $174.90 2026-01-26
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 33 32 $1,162.00 $581.00 50% off $55.00 $987.70 $174.30 2026-01-26
1297322_1 CDM Intensive Care Unit - General Classification 3 3 $200.00 $100.00 50% off $160.00 $188.00 $164.00 2026-01-26
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 60 30 $1,025.50 $512.75 50% off $144.45 $924.80 $163.20 2026-01-26
93017 HCPCS Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg) 31 31 $1,056.00 $528.00 50% off $158.40 $897.60 $158.40 2026-01-26
76641 HCPCS Complete Ultrasound Scan Of 1 Breast 93 31 $698.00 $349.00 50% off $104.70 $889.95 $157.05 2026-01-26
A0427 HCPCS Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - … 31 31 $1,023.00 $511.50 50% off $153.45 $869.55 $153.45 2026-01-26
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 120 30 $1,005.50 $502.75 50% off $82.95 $1,083.75 $152.55 2026-01-26
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 31 31 $1,007.00 $503.50 50% off $151.05 $855.95 $151.05 2026-01-26
87505 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 30 30 $981.00 $490.50 50% off $147.15 $833.85 $147.15 2026-01-26
12016 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.… 31 31 $978.00 $489.00 50% off $146.70 $831.30 $146.70 2026-01-26
74400 HCPCS Imaging Of Urinary Tract With Injection Of Contrast Into A Vein 31 31 $973.00 $486.50 50% off $145.95 $827.05 $145.95 2026-01-26
33017 HCPCS Drainage Of Heart Sac Using Tube And Imaging Guidance (6 Years Or Older) 30 30 $965.00 $482.50 50% off $144.75 $820.25 $144.75 2026-01-26
12044 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm 31 31 $954.00 $477.00 50% off $143.10 $810.90 $143.10 2026-01-26
20552 HCPCS Injection Of Trigger Points, 1-2 Muscles 29 29 $953.00 $476.50 50% off $142.95 $810.05 $142.95 2026-01-26
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 61 31 $929.00 $464.50 50% off $139.35 $810.05 $142.95 2026-01-26
45900 HCPCS Manual Replacement Of Prolapsed Rectum Under Anesthesia 31 31 $952.00 $476.00 50% off $142.80 $809.20 $142.80 2026-01-26
28124448_1 CDM Infuvite Adult Vial 30 30 $949.78 $474.89 50% off $142.47 $807.31 $142.47 2026-01-26
93978 HCPCS Complete Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 31 31 $941.00 $470.50 50% off $141.15 $799.85 $141.15 2026-01-26
26700 HCPCS Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manipulation 61 31 $901.00 $450.50 50% off $135.15 $798.15 $140.85 2026-01-26
76805 HCPCS Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More), Single Or First Fetus 31 31 $928.00 $464.00 50% off $139.20 $788.80 $139.20 2026-01-26
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 62 31 $923.00 $461.50 50% off $90.00 $784.55 $138.45 2026-01-26
76856 HCPCS Complete Ultrasound Scan Of Pelvis 31 31 $922.00 $461.00 50% off $138.30 $783.70 $138.30 2026-01-26
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 31 31 $915.00 $457.50 50% off $137.25 $777.75 $137.25 2026-01-26
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 31 31 $913.00 $456.50 50% off $136.95 $776.05 $136.95 2026-01-26
76700 HCPCS Complete Ultrasound Scan Of Abdomen 31 31 $910.00 $455.00 50% off $136.50 $773.50 $136.50 2026-01-26
26605 HCPCS Closed Treatment Of Broken Hand Bone With Manipulation 31 31 $904.00 $452.00 50% off $135.60 $768.40 $135.60 2026-01-26
12007 HCPCS Simple Repair Of Surface Wound To Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 31 31 $900.00 $450.00 50% off $135.00 $765.00 $135.00 2026-01-26
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 33 32 $889.00 $444.50 50% off $55.00 $755.65 $133.35 2026-01-26
P9040 HCPCS Red Blood Cells, Leukocytes Reduced, Irradiated, Each Unit 30 30 $879.00 $439.50 50% off $131.85 $747.15 $131.85 2026-01-26
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 31 31 $878.00 $439.00 50% off $131.70 $746.30 $131.70 2026-01-26
4947570_1 CDM 00065-0644-35 - Tobramycin Opth 0.3% Oint [swis] 30 30 $873.80 $436.90 50% off $131.07 $742.73 $131.07 2026-01-26
12006 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 31 31 $873.00 $436.50 50% off $130.95 $742.05 $130.95 2026-01-26
867367_1 CDM Room & Board - Private (one Bed) - General Classification 26 26 $870.00 $435.00 50% off $130.50 $817.80 $130.50 2026-01-26
A0426 HCPCS Ambulance Service, Advanced Life Support, Non-emergency Transport, Level 1 (als … 31 31 $867.00 $433.50 50% off $130.05 $736.95 $130.05 2026-01-26
93926 HCPCS Ultrasound Of One Leg Arteries Or Artery Grafts 62 31 $859.00 $429.50 50% off $90.00 $730.15 $128.85 2026-01-26
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 62 31 $847.00 $423.50 50% off $90.00 $719.95 $127.05 2026-01-26
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 31 31 $836.00 $418.00 50% off $125.40 $710.60 $125.40 2026-01-26
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 30 30 $835.18 $417.59 50% off $125.28 $709.90 $125.28 2026-01-26
13151 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm 31 31 $833.00 $416.50 50% off $124.95 $708.05 $124.95 2026-01-26
76870 HCPCS Ultrasound Scan Of Scrotum 31 31 $832.00 $416.00 50% off $124.80 $707.20 $124.80 2026-01-26
12032 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 … 31 31 $827.00 $413.50 50% off $124.05 $702.95 $124.05 2026-01-26
27562 HCPCS Closed Treatment Of Dislocated Kneecap Under Anesthesia 31 31 $816.00 $408.00 50% off $122.40 $693.60 $122.40 2026-01-26
82657 HCPCS Enzyme Activity Measurement, Nonradioactive Substrate 30 30 $802.00 $401.00 50% off $120.30 $681.70 $120.30 2026-01-26
12005 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 31 31 $798.00 $399.00 50% off $119.70 $678.30 $119.70 2026-01-26
J2020 HCPCS Injection, Linezolid, 200 Mg 30 30 $791.67 $395.84 50% off $118.75 $672.92 $118.75 2026-01-26
76705 HCPCS Limited Ultrasound Scan Of Abdomen 31 31 $776.00 $388.00 50% off $116.40 $659.60 $116.40 2026-01-26
81206 HCPCS Translocation Analysis (bcr/abl1) Major Breakpoint 60 30 $638.50 $319.25 50% off $75.60 $657.05 $115.95 2026-01-26
12042 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.6-7.5 Cm 31 31 $769.00 $384.50 50% off $115.35 $653.65 $115.35 2026-01-26
12051 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 C… 31 31 $768.00 $384.00 50% off $115.20 $652.80 $115.20 2026-01-26
72114 HCPCS X-ray Lower And Sacral Spine, Minimum Of 6 Views 31 31 $758.00 $379.00 50% off $113.70 $644.30 $113.70 2026-01-26
4947208_1 CDM Symbicort 160-4.5 Mcg Inhaler 30 30 $753.80 $376.90 50% off $113.07 $640.73 $113.07 2026-01-26
12052 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5… 31 31 $753.00 $376.50 50% off $112.95 $640.05 $112.95 2026-01-26
82139 HCPCS Amino Acid Level, 6 Or More Amino Acids, Quantitative, Each Specimen 60 30 $499.50 $249.75 50% off $37.95 $634.10 $111.90 2026-01-26
12015 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6… 31 31 $738.00 $369.00 50% off $110.70 $627.30 $110.70 2026-01-26
36430 HCPCS Transfusion Of Blood Or Blood Products 60 30 $690.00 $345.00 50% off $96.90 $623.90 $110.10 2026-01-26
87631 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 30 30 $730.00 $365.00 50% off $109.50 $620.50 $109.50 2026-01-26
A0429 HCPCS Ambulance Service, Basic Life Support, Emergency Transport (bls-emergency) 31 31 $730.00 $365.00 50% off $109.50 $620.50 $109.50 2026-01-26
867360_1 CDM Room & Board - Private (one Bed) - General Classification 26 26 $730.00 $365.00 50% off $109.50 $686.20 $109.50 2026-01-26
10080 HCPCS Simple Drainage Of Cyst Of Tailbone 60 31 $725.00 $362.50 50% off $21.45 $616.25 $108.75 2026-01-26
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 31 31 $725.00 $362.50 50% off $108.75 $616.25 $108.75 2026-01-26
87799 HCPCS Detection Test By Nucleic Acid For Organism, Quantification 30 30 $720.00 $360.00 50% off $108.00 $612.00 $108.00 2026-01-26
10061 HCPCS Complicated Or Multiple Drainage Of Skin Abscess 60 31 $709.00 $354.50 50% off $69.75 $602.65 $106.35 2026-01-26
76830 HCPCS Ultrasound Scan Of Uterus, Ovaries, Tubes, Cervix And Pelvic Area Through Vagina 31 31 $708.00 $354.00 50% off $106.20 $601.80 $106.20 2026-01-26
76881 HCPCS Complete Ultrasound Scan Of Joint 62 31 $705.00 $352.50 50% off $105.75 $599.25 $105.75 2026-01-26
76775 HCPCS Limited Ultrasound Scan Behind Abdominal Cavity 31 31 $702.00 $351.00 50% off $105.30 $596.70 $105.30 2026-01-26
867362_1 CDM Room & Board - Semi-private - Three And Four Beds - General Classification 26 26 $700.00 $350.00 50% off $105.00 $658.00 $105.00 2026-01-26
867361_1 CDM Room & Board - Semi-private (two Beds) - General Classification 26 26 $695.00 $347.50 50% off $104.25 $653.30 $104.25 2026-01-26
71111 HCPCS X-ray Of Ribs On Both Sides Of Body, Minimum Of 4 Views 31 31 $694.00 $347.00 50% off $104.10 $589.90 $104.10 2026-01-26
A0434 HCPCS Specialty Care Transport (sct) 31 31 $693.00 $346.50 50% off $103.95 $589.05 $103.95 2026-01-26
12041 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.5 Cm Or Less 31 31 $685.00 $342.50 50% off $102.75 $582.25 $102.75 2026-01-26
12004 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 60 31 $683.00 $341.50 50% off $47.85 $580.55 $102.45 2026-01-26
90651 HCPCS Human Papillomavirus Vaccine Types 6, 11, 16, 18, 31, 33, 45, 52, 58, Nonavalent 30 30 $679.00 $339.50 50% off $101.85 $577.15 $101.85 2026-01-26
11760 HCPCS Repair Of Fingernail Or Toenail Bed 31 31 $675.00 $337.50 50% off $101.25 $573.75 $101.25 2026-01-26
12031 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm O… 61 31 $673.00 $336.50 50% off $71.25 $572.05 $100.95 2026-01-26
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 60 30 $594.50 $297.25 50% off $78.00 $568.65 $100.35 2026-01-26
99283 HCPCS Emergency Department Visit With Low Level Of Medical Decision Making 31 31 $666.00 $333.00 50% off $99.90 $566.10 $99.90 2026-01-26
76536 HCPCS Ultrasound Scan Of Head And Neck Soft Tissue 31 31 $661.00 $330.50 50% off $99.15 $561.85 $99.15 2026-01-26
97606 HCPCS Therapy Procedure Using A Special Bandage And Vacuum Pump, Surface Area More Tha… 32 32 $658.00 $329.00 50% off $75.00 $559.30 $98.70 2026-01-26
77080 HCPCS Dxa Bone Density Measurement Of Hip, Pelvis, Spine 31 31 $651.00 $325.50 50% off $97.65 $553.35 $97.65 2026-01-26
11680023_1 CDM Broselow Module Orange 31 31 $646.00 $323.00 50% off $96.90 $549.10 $96.90 2026-01-26
11680025_1 CDM Broselow Module Purple 31 31 $646.00 $323.00 50% off $96.90 $549.10 $96.90 2026-01-26
11680031_1 CDM Broselow Yellow Kit 31 31 $646.00 $323.00 50% off $96.90 $549.10 $96.90 2026-01-26
11680033_1 CDM Broselow Green Pedi Kit 31 31 $646.00 $323.00 50% off $96.90 $549.10 $96.90 2026-01-26
11680027_1 CDM Broselow White Pedi Kit 31 31 $646.00 $323.00 50% off $96.90 $549.10 $96.90 2026-01-26
11680029_1 CDM Broselow Pink/red Kit 31 31 $646.00 $323.00 50% off $96.90 $549.10 $96.90 2026-01-26
11680035_1 CDM Broselow Blue Pedi Kit 31 31 $646.00 $323.00 50% off $96.90 $549.10 $96.90 2026-01-26
10135180_1 CDM Kit, Pneumothorax 31 31 $635.00 $317.50 50% off $95.25 $539.75 $95.25 2026-01-26
76817 HCPCS Vaginal Ultrasound Of Pregnant Uterus 31 31 $634.00 $317.00 50% off $95.10 $538.90 $95.10 2026-01-26
11750 HCPCS Permanent Removal Fingernail Or Toenail 29 29 $632.00 $316.00 50% off $94.80 $537.20 $94.80 2026-01-26
99292 HCPCS Critical Care, Each Additional 30 Minutes 31 31 $630.00 $315.00 50% off $94.50 $535.50 $94.50 2026-01-26
74220 HCPCS Single Contrast X-ray Of Esophagus 31 31 $630.00 $315.00 50% off $94.50 $535.50 $94.50 2026-01-26
73564 HCPCS X-ray Of Knee, 4 Or More Views 93 31 $415.00 $207.50 50% off $62.25 $529.55 $93.45 2026-01-26
4947323_1 CDM Advair 500-50 Diskus 30 30 $620.09 $310.05 50% off $93.01 $527.08 $93.01 2026-01-26
12014 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1… 60 31 $614.00 $307.00 50% off $45.45 $521.90 $92.10 2026-01-26
70110 HCPCS X-ray Of Lower Jaw, Minimum Of 4 Views 31 31 $612.00 $306.00 50% off $91.80 $520.20 $91.80 2026-01-26
G0379 HCPCS Direct Admission Of Patient For Hospital Observation Care 31 31 $609.00 $304.50 50% off $91.35 $850.00 $91.35 2026-01-26
81240 HCPCS Gene Analysis (prothrombin, Coagulation Factor Ii) A Variant 30 30 $607.00 $303.50 50% off $91.05 $515.95 $91.05 2026-01-26
12013 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6… 60 31 $596.00 $298.00 50% off $42.45 $506.60 $89.40 2026-01-26
92523 HCPCS Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension … 31 31 $594.00 $297.00 50% off $75.00 $504.90 $89.10 2026-01-26
27663292_1 CDM Oseltamivir 6 Mg/ml Suspension 30 30 $592.25 $296.13 50% off $88.84 $503.41 $88.84 2026-01-26
9259114_1 CDM Room & Board - Semi-private (two Beds) - General Classification 26 26 $590.00 $295.00 50% off $88.50 $554.60 $88.50 2026-01-26
11074821_1 CDM O2 Max (24 Hrs) 31 31 $589.00 $294.50 50% off $88.35 $500.65 $88.35 2026-01-26
J0561 HCPCS Injection, Penicillin G Benzathine, 100,000 Units 90 30 $586.41 $293.21 50% off $54.03 $575.07 $87.96 2026-01-26
12011 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5… 60 31 $584.00 $292.00 50% off $40.20 $500.00 $87.60 2026-01-26
10060 HCPCS Simple Or Single Drainage Of Skin Abscess 60 31 $581.00 $290.50 50% off $25.35 $500.00 $87.15 2026-01-26
14692682_1 CDM Tamiflu 6 Mg/ml Suspension 30 30 $580.27 $290.14 50% off $87.04 $493.23 $87.04 2026-01-26
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 60 30 $530.50 $265.25 50% off $72.75 $489.60 $86.40 2026-01-26
72052 HCPCS X-ray Of Upper Spine, 6 Or More Views 31 31 $576.00 $288.00 50% off $86.40 $489.60 $86.40 2026-01-26
96365 HCPCS Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, 1 Hour Or Less 30 30 $572.00 $286.00 50% off $85.80 $486.20 $85.80 2026-01-26
87498 HCPCS Detection Test By Nucleic Acid For Enterovirus (intestinal Virus), Amplified Pro… 30 30 $571.00 $285.50 50% off $85.65 $485.35 $85.65 2026-01-26
70260 HCPCS X-ray Of Skull, Minimum Of 4 Views 31 31 $565.00 $282.50 50% off $84.75 $480.25 $84.75 2026-01-26
A0428 HCPCS Ambulance Service, Basic Life Support, Non-emergency Transport, (bls) 31 31 $559.00 $279.50 50% off $83.85 $475.15 $83.85 2026-01-26
36680 HCPCS Insertion Of Needle For Infusion Into Bone 31 31 $552.00 $276.00 50% off $82.80 $500.00 $82.80 2026-01-26
72110 HCPCS X-ray Of Lower And Sacral Spine, Minimum Of 4 Views 31 31 $552.00 $276.00 50% off $82.80 $469.20 $82.80 2026-01-26
17004 HCPCS Destruction Of Precancer Skin Growth, 15 Or More Growths 29 29 $546.00 $273.00 50% off $81.90 $464.10 $81.90 2026-01-26
93922 HCPCS Ultrasound Study Of Arm And Leg Arteries 31 31 $546.00 $273.00 50% off $81.90 $464.10 $81.90 2026-01-26
72072 HCPCS X-ray Of Middle Spine, 3 Views 31 31 $544.00 $272.00 50% off $81.60 $462.40 $81.60 2026-01-26
76815 HCPCS Limited Ultrasound Of Pregnant Uterus 31 31 $540.00 $270.00 50% off $81.00 $459.00 $81.00 2026-01-26
73562 HCPCS X-ray Of Knee, 3 Views 93 31 $359.00 $179.50 50% off $53.85 $458.15 $80.85 2026-01-26
12002 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 60 31 $534.00 $267.00 50% off $44.40 $500.00 $80.10 2026-01-26
87536 HCPCS Detection Test By Nucleic Acid For HIV-1 Virus, Quantification 30 30 $533.00 $266.50 50% off $79.95 $453.05 $79.95 2026-01-26
84207 HCPCS Vitamin B-6 Level 30 30 $532.00 $266.00 50% off $79.80 $452.20 $79.80 2026-01-26
96360 HCPCS Infusion Into A Vein For Hydration, 31-60 Minutes 30 30 $525.00 $262.50 50% off $78.75 $446.25 $78.75 2026-01-26
83090 HCPCS Homocysteine (amino Acid) Level 60 30 $381.78 $190.89 50% off $38.10 $433.13 $76.43 2026-01-26
16020 HCPCS Dressing Change Or Removal Of Burn Tissue, Less Than 5% Of Total Body Surface 31 31 $509.00 $254.50 50% off $76.35 $500.00 $76.35 2026-01-26
J1335 HCPCS Injection, Ertapenem Sodium, 500 Mg 30 30 $507.20 $253.60 50% off $76.08 $431.12 $76.08 2026-01-26
12001 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 60 31 $506.00 $253.00 50% off $39.90 $500.00 $75.90 2026-01-26
23500 HCPCS Closed Treatment Of Broken Collar Bone 31 31 $503.00 $251.50 50% off $75.45 $500.00 $75.45 2026-01-26
74022 HCPCS X-ray Series Of Abdomen With Single X-ray Of Chest 31 31 $498.00 $249.00 50% off $74.70 $423.30 $74.70 2026-01-26
43752 HCPCS Insertion Of Stomach Tube Through Nose Or Mouth Using Fluoroscopic Guidance 31 31 $493.00 $246.50 50% off $73.95 $500.00 $73.95 2026-01-26
80050 HCPCS General Health Panel 30 30 $491.00 $245.50 50% off $73.65 $417.35 $73.65 2026-01-26
90732 HCPCS Pneumococcal Vaccine, 23-valent 58 30 $475.83 $237.92 50% off $3.75 $475.83 $71.37 2026-01-26
20605 HCPCS Aspiration And/or Injection Of Fluid From Medium Joint 29 29 $471.00 $235.50 50% off $70.65 $400.35 $70.65 2026-01-26
86923 HCPCS Blood Unit Compatibility Test, Electronic 30 30 $468.00 $234.00 50% off $70.20 $397.80 $70.20 2026-01-26
71101 HCPCS X-ray Of Ribs On Side Of Body, Minimum Of 3 Views 62 31 $467.00 $233.50 50% off $70.05 $396.95 $70.05 2026-01-26
11171653_1 CDM Burn Sheet 31 31 $464.00 $232.00 50% off $69.60 $394.40 $69.60 2026-01-26
30903 HCPCS Complex Control Of Nose Bleed 31 31 $463.00 $231.50 50% off $69.45 $500.00 $69.45 2026-01-26
97605 HCPCS Therapy Procedure Using A Special Bandage And Vacuum Pump, Surface Area 50.0 Sq … 32 32 $462.00 $231.00 50% off $69.30 $392.70 $69.30 2026-01-26
94669 HCPCS Therapy Procedure To Clear Airway Using An Inflatable Vest 32 32 $459.00 $229.50 50% off $55.00 $390.15 $68.85 2026-01-26
94660 HCPCS Therapy Procedure Using A Positive Pressure Ventilator 32 32 $454.00 $227.00 50% off $55.00 $385.90 $68.10 2026-01-26
4947380_1 CDM Xalatan 0.005% Eye Drops 30 30 $451.90 $225.95 50% off $67.79 $384.12 $67.79 2026-01-26
73521 HCPCS X-ray Of Both Hips, 2 Views 31 31 $451.00 $225.50 50% off $67.65 $383.35 $67.65 2026-01-26
26815945_1 CDM Tranexamic Acid 1,000 Mg/10 Ml 30 30 $450.90 $225.45 50% off $67.64 $383.27 $67.64 2026-01-26
94060 HCPCS Test To Measure Expiratory Airflow And Volume Changes Before And After Medicatio… 31 31 $450.00 $225.00 50% off $67.50 $382.50 $67.50 2026-01-26
M0243 HCPCS Intravenous Infusion Or Subcutaneous Injection, Casirivimab And Imdevimab Includ… 30 30 $450.00 $225.00 50% off $67.50 $382.50 $67.50 2026-01-26
94621 HCPCS Test For Exercise-induced Heart And Lung Stress 31 31 $447.00 $223.50 50% off $67.05 $379.95 $67.05 2026-01-26
94375 HCPCS Test To Measure Rate Of Airflow 31 31 $444.00 $222.00 50% off $66.60 $377.40 $66.60 2026-01-26
25399153_1 CDM Needle, Ez-io (45mm) 31 31 $442.00 $221.00 50% off $66.30 $375.70 $66.30 2026-01-26
25040509_1 CDM Needle, Adult Ez-io (25mm) 30 30 $442.00 $221.00 50% off $66.30 $375.70 $66.30 2026-01-26
25040511_1 CDM Needle, Pediatric Ezio (15mm) 30 30 $442.00 $221.00 50% off $66.30 $375.70 $66.30 2026-01-26
25040519_1 CDM Tray, Thoracotomy 31 31 $442.00 $221.00 50% off $66.30 $375.70 $66.30 2026-01-26
92610 HCPCS Evaluation Of Swallowing Function 31 31 $440.00 $220.00 50% off $66.00 $374.00 $66.00 2026-01-26
28383084_1 CDM Glidescope Lopro S3 31 31 $439.00 $219.50 50% off $65.85 $373.15 $65.85 2026-01-26
26770 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation 31 31 $436.00 $218.00 50% off $65.40 $500.00 $65.40 2026-01-26
70130 HCPCS X-ray Of Bone Behind The Ear, Minimum Of 3 Views Per Side 31 31 $436.00 $218.00 50% off $65.40 $370.60 $65.40 2026-01-26
90620 HCPCS Meningococcal Recombinant Protein And Outer Membrane Vesicle Vaccine, Serogroup … 29 29 $434.98 $217.49 50% off $65.25 $369.73 $65.25 2026-01-26
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 29 29 $429.00 $214.50 50% off $64.35 $364.65 $64.35 2026-01-26
82175 HCPCS Arsenic Level 60 30 $319.00 $159.50 50% off $31.80 $362.10 $63.90 2026-01-26
97598 HCPCS Removal Of Tissue From Wound, Each Additional 20.0 Sq Cm 32 32 $422.00 $211.00 50% off $63.30 $358.70 $63.30 2026-01-26
83013 HCPCS Breath Test Analysis For Helicobacter Pylori 60 30 $337.50 $168.75 50% off $38.10 $357.85 $63.15 2026-01-26
26725 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With … 61 31 $420.00 $210.00 50% off $34.65 $500.00 $63.00 2026-01-26
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