Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CASCADE MEDICAL CENTER

Leavenworth, WA · CCN 501313 · Rates published

1,840 distinct procedures filed
23 distinct payers
63,310 rate rows
2026-03-17 last MRF observed
Data quality

63,153 of 63,310 rate rows are consumer-grade (99.8%)

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

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 114
per-diem day rate — not a per-procedure price 24
exceeds 10× this hospital's gross charge — excluded from medians 15
placeholder amount (≤ $0.02) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cascademedical.org/price-transparency/910856279_chelan-county-public-hospital-district-no-1_standardcharges.csv
Found on page https://cascademedical.org/sites/default/files/pdfs/Financial%20Assistance/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 47e5b5c608486604… · 38,408,047 bytes · first seen 2026-05-14

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
J3101
HCPCS 		Tenecteplse (tnkase) 50mg Vial 18 $7,011.50 $21,151.80 $13,588.86 nat. median
$5,957
outlier · 2.3×
J9312
HCPCS 		Rituximab 500mg/50ml 18 $773.10 $11,631.06 $7,472.31 nat. median
$1,242
outlier · 6.0×
Q4187
HCPCS 		Epicord Skin Replace Graf 3x5 16 $244.90 $10,206.90 $6,622.94 nat. median
$472
outlier · 14.0×
J2505
HCPCS 		Nulsta/pegflgrastm Inj Upto 6m 18 $3,807.30 $9,268.65 $5,954.60 nat. median
$6,803
0.9× median
Q4186
HCPCS 		Epifix Micronized 160mg 18 $158.49 $8,010.90 $5,146.56 nat. median
$398
outlier · 12.9×
J1561
HCPCS 		Gamunex-c(ivig)[1gm/10ml]1gm 18 $45.77 $7,583.40 $4,871.91 nat. median
$999
outlier · 4.9×
J0881
HCPCS 		Aranesp 300mcg Inj (non-esrd) 18 $3.04 $5,746.95 $3,692.10 nat. median
$751
outlier · 4.9×
0110
RC 		12 $2,124.00 $5,577.77 $3,186.00 nat. median
$979
outlier · 3.3×
J0897
HCPCS 		Denosumab (prolia)[60 Mg] 18 $1,309.80 $4,780.94 $3,071.49 nat. median
$2,502
1.2× median
J1826
HCPCS 		Interferon Beta-1a 30mcg Syr 18 $826.98 $4,535.10 $2,913.55 nat. median
$2,382
1.2× median
15100
HCPCS 		Spl Th Atgrft Tr/Am/Lg 1st 100 18 $748.11 $5,747.40 $2,845.80 nat. median
$2,324
1.2× median
15110
HCPCS 		Epid Atgrft, T/a/l 1st 100sqcm 18 $756.54 $5,747.40 $2,842.20 nat. median
$2,187
1.3× median
15115
HCPCS 		Epid Atgrft F/H/Ft 1st 100sqcm 18 $734.98 $5,747.40 $2,765.70 nat. median
$2,167
1.3× median
15120
HCPCS 		Spl Th Atgrft F/H/Ft 1st 100 18 $696.92 $11,306.70 $2,743.20 nat. median
$3,667
0.7× median
J1745
HCPCS 		Infliximab 100mg Vial 18 $32.22 $4,243.95 $2,726.51 nat. median
$451
outlier · 6.1×
J7307
HCPCS 		Nexplanon 16 $1,125.00 $4,169.70 $2,705.58 nat. median
$1,689
1.6× median
A0434
HCPCS 		Amb Svc, Spclty Care Transport 16 $942.60 $4,203.45 $2,598.20 nat. median
$1,373
1.9× median
J1439
HCPCS 		Injectafer 750 Mg 18 $825.00 $4,018.24 $2,581.50 nat. median
$63
outlier · 40.8×
J7300
HCPCS 		Paragard Iud/supplies 16 $1,057.00 $3,970.35 $2,576.24 nat. median
$1,690
1.5× median
0120
RC 		12 $1,710.60 $4,492.15 $2,565.90 nat. median
$1,017
outlier · 2.5×
77295
HCPCS 		3-d Radiotherapy Plan 18 $492.53 $3,955.50 $2,541.19 nat. median
$1,863
1.4× median
J7298
HCPCS 		Mirena Iud/supplies 16 $1,121.00 $3,799.35 $2,465.29 nat. median
$1,692
1.5× median
93312
HCPCS 		Echo Transesophageal/cwh 18 $241.02 $3,713.40 $2,385.65 nat. median
$966
outlier · 2.5×
J7326
HCPCS 		Hyaluronan Sod, CrossLink 30mg 16 $2,027.18 $16,034.40 $2,369.81 nat. median
$787
outlier · 3.0×
A0433
HCPCS 		Als2 Amb Svc Emergent 16 $762.25 $3,503.25 $2,165.40 nat. median
$1,173
1.8× median
J7301
HCPCS 		Skyla Iud/device Chrg 16 $946.00 $3,322.80 $2,156.06 nat. median
$1,675
1.3× median
73706
HCPCS 		CTA Lower Extremity Lt 18 $98.95 $3,459.60 $2,116.79 nat. median
$760
outlier · 2.8×
J3489
HCPCS 		Zoledronc Acd 5mg/100ml Inf Bt 18 $32.35 $3,163.92 $2,032.65 nat. median
$116
outlier · 17.5×
73206
HCPCS 		CTA Upper Extremity 18 $94.05 $3,160.80 $1,933.50 nat. median
$697
outlier · 2.8×
81162
HCPCS 		Brca1&2 Gen Full Seq Dup/del 17 $1,484.54 $2,667.60 $1,815.58 nat. median
$1,825
1.0× median
14020
HCPCS 		Adj Tiss Trns Sclp/ext 10sqcm< 18 $577.34 $2,880.00 $1,780.16 nat. median
$2,316
0.8× median
A0427
HCPCS 		Als1 Amb Svc Emergent 18 $409.93 $2,760.30 $1,706.17 nat. median
$864
2.0× median
A0426
HCPCS 		Als1 Amb Svc Non-emergent 18 $330.64 $2,760.30 $1,706.17 nat. median
$525
outlier · 3.2×
J7296
HCPCS 		Kyleena;Levonrgstrl IUD,19.5mg 16 $1,135.00 $2,602.76 $1,688.84 nat. median
$1,626
1.0× median
78264
HCPCS 		Gastric Emptying Imag Study 18 $311.99 $2,586.60 $1,661.75 nat. median
$709
outlier · 2.3×
27232
HCPCS 		Cltx Femoral Neck Fx W/man Rt 18 $728.50 $3,750.30 $1,551.82 nat. median
$1,733
0.9× median
99291
HCPCS 		Critical Care E&m 30-74min Fac 18 $224.41 $2,645.10 $1,543.50 nat. median
$1,610
1.0× median
55250
HCPCS 		Removal Of Sperm Duct(s) 18 $342.45 $2,399.40 $1,541.48 nat. median
$2,139
0.7× median
C8906
HCPCS 		MRI Breast, With Contrast, Bil 15 $340.27 $2,799.00 $1,462.03 nat. median
$755
1.9× median
93268
HCPCS 		ECG Extpat Trnsmsn W/recd/rvw 18 $180.86 $2,174.40 $1,396.93 nat. median
$333
outlier · 4.2×
26742
HCPCS 		CldTrt Artcl Frt Met/Intph W/m 18 $389.66 $4,559.40 $1,381.50 nat. median
$1,613
0.9× median
72148
HCPCS 		MRI Spinal & Cnts Lmbr Without Cont 18 $78.21 $2,252.70 $1,378.43 nat. median
$770
1.8× median
70471
HCPCS 		CTA Head& Neck 18 $134.91 $3,940.00 $1,369.82 nat. median
$729
1.9× median
45382
HCPCS 		Colonoscopy Flex W/cntrl Bldng 18 $256.81 $3,011.40 $1,363.50 nat. median
$1,771
0.8× median
27252
HCPCS 		Cltx Hip Disloc Trau W/ane Rt 18 $755.91 $3,787.20 $1,361.84 nat. median
$2,058
0.7× median
45385
HCPCS 		Colonoscopy W/les Rmvl Snare 18 $252.85 $3,011.40 $1,341.00 nat. median
$1,686
0.8× median
P9019
HCPCS 		Platelets, Each Unit 16 $20.21 $2,043.90 $1,326.22 nat. median
$143
outlier · 9.3×
73701
HCPCS 		CT Lower Extrmty W/cntrst Lt 18 $60.95 $2,159.10 $1,320.61 nat. median
$710
1.9× median
73202
HCPCS 		CT Upper Extr W/wo Contrst 18 $63.63 $2,225.70 $1,320.61 nat. median
$725
1.8× median
73702
HCPCS 		CT Lowr Extrmty W/wo Cntrst 18 $63.63 $2,135.70 $1,320.10 nat. median
$710
1.9× median

Other procedures at this hospital

Browse this hospital's 1,840 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
             
0110 RC — 14 12 $3,540.00 $2,832.00 20% off $2,124.00 $5,577.77 $3,186.00 2026-03-17
0120 RC — 14 12 $2,851.00 $2,280.80 $1,710.60 $4,492.15 $2,565.90 2026-03-17
0145 RC — 14 12 $1,032.00 $825.60 20% off $619.20 $1,626.06 $928.80 2026-03-17
10061 HCPCS Incision & Drnge-cplx/mult Fac 96 18 $858.00 $686.40 20% off $198.50 $1,320.30 $585.01 2026-03-17
10180 HCPCS I&d Post-op Infection 63 18 $833.00 $666.40 20% off $199.63 $9,403.20 $534.20 2026-03-17
11010 HCPCS Debrid Open Fx/disloc Skin 43 18 $1,652.00 $1,321.60 20% off $281.69 $1,486.80 $955.19 2026-03-17
11044 HCPCS Deb Sk,SQ Tis,Ms,Bn;1st 20sqcm 56 18 $1,344.00 $1,075.20 $225.56 $5,365.80 $935.10 2026-03-17
11424 HCPCS Exc H-f-nk-sp B9+marg 3.1-4 23 18 $844.00 $675.20 $242.92 $759.60 $488.00 2026-03-17
11426 HCPCS Exc H-f-nk-sp B9+marg >4 Cm 23 18 $1,191.00 $952.80 20% off $332.92 $1,071.90 $688.64 2026-03-17
11443 HCPCS Exc Face-mm B9+marg 2.1-3 Cm 23 18 $860.00 $688.00 20% off $233.09 $774.00 $497.25 2026-03-17
11446 HCPCS Exc Face-mm B9+marg >4 Cm 23 18 $1,353.00 $1,082.40 $389.91 $1,217.70 $782.30 2026-03-17
11604 HCPCS Exc Tr-ext Mal+marg 3.1-4 Cm 23 18 $880.00 $704.00 20% off $316.89 $792.00 $508.82 2026-03-17
11606 HCPCS Exc Tr-ext Mal+marg >4 Cm 23 18 $789.00 $631.20 $421.46 $710.10 $492.70 2026-03-17
11623 HCPCS Exc S/n/h/f/g Mal+mrg 2.1-3 23 18 $931.00 $744.80 20% off $301.88 $837.90 $538.30 2026-03-17
11624 HCPCS Exc S/n/h/f/g Mal+mrg 3.1-4 23 18 $978.00 $782.40 20% off $343.31 $880.20 $565.48 2026-03-17
11626 HCPCS Exc S/n/h/f/g Mal+mrg >4 Cm 23 18 $1,394.00 $1,115.20 $411.56 $1,254.60 $806.01 2026-03-17
11642 HCPCS Exc F/e/e/n/l Mal+mrg 1.1-2 23 18 $936.00 $748.80 20% off $274.16 $842.40 $541.20 2026-03-17
11643 HCPCS Exc F/e/e/n/l Mal+mrg 2.1-3 23 18 $1,304.00 $1,043.20 $320.81 $1,173.60 $753.97 2026-03-17
11644 HCPCS Exc F/e/e/n/l Mal+mrg 3.1-4 23 18 $1,372.00 $1,097.60 20% off $395.38 $1,234.80 $793.29 2026-03-17
12006 HCPCS Rpr S/n/a/gen/trk20.1-30.0cm 63 18 $998.00 $798.40 20% off $120.50 $985.50 $611.67 2026-03-17
12007 HCPCS Rpr S/n/ax/gen/trnk>30.0cm 43 18 $1,251.00 $1,000.80 20% off $147.87 $1,125.90 $723.33 2026-03-17
12015 HCPCS Rpr F/e/e/n/l/m 7.6-12.5 Cm 63 18 $929.00 $743.20 $99.27 $859.50 $537.15 2026-03-17
12016 HCPCS Rpr Fe/e/en/l/m 12.6-20.0 Cm 63 18 $1,126.00 $900.80 20% off $134.44 $1,249.20 $708.09 2026-03-17
12017 HCPCS Smp Rpr F/e/e/n/l/m 20.1-30cm 23 18 $1,185.00 $948.00 20% off $150.31 $1,066.50 $685.17 2026-03-17
12018 HCPCS Smp Rpr F/e/e/n/l/m > 30cm 23 18 $1,325.00 $1,060.00 20% off $169.29 $1,192.50 $766.12 2026-03-17
12020 HCPCS Simple Clsr Of Wnd Deshiscence 63 18 $832.00 $665.60 20% off $203.43 $1,979.10 $624.49 2026-03-17
12032 HCPCS Intmd Rpr S/a/t/ext 2.6-7.5 63 18 $818.00 $654.40 20% off $189.25 $991.80 $497.21 2026-03-17
12034 HCPCS Intmd Rpr S/tr/ext 7.6-12.5 63 18 $892.00 $713.60 20% off $204.99 $1,043.10 $532.32 2026-03-17
12035 HCPCS Intmd Rpr S/a/t/ext 12.6-20 63 18 $1,209.00 $967.20 $254.42 $1,208.70 $699.04 2026-03-17
12036 HCPCS Intmd Rpr S/a/t/ext 20.1-30 63 18 $1,466.00 $1,172.80 20% off $304.57 $1,394.10 $847.64 2026-03-17
12037 HCPCS Intmd Rpr S/a/t/ext >30cm 23 18 $1,447.00 $1,157.60 20% off $493.65 $1,302.30 $836.66 2026-03-17
12042 HCPCS Intmd Rpr N-hf/genit2.6-7.5 63 18 $873.00 $698.40 20% off $192.38 $1,016.10 $509.60 2026-03-17
12044 HCPCS Intmd Rpr N-hf/genit7.6-12.5 63 18 $1,032.00 $825.60 20% off $216.82 $1,084.50 $596.70 2026-03-17
12045 HCPCS Intmd Rpr N-hf/genit12.6-20 63 18 $1,349.00 $1,079.20 $305.49 $1,367.10 $779.99 2026-03-17
12046 HCPCS Intmd Rpr N-hf/genit20.1-30 63 18 $1,709.00 $1,367.20 20% off $353.18 $1,570.50 $974.76 2026-03-17
12047 HCPCS Intmd Rpr N-hf/genit >30cm 23 18 $1,636.00 $1,308.80 20% off $555.75 $1,472.40 $945.94 2026-03-17
12051 HCPCS Intmd Rpr Face/mm 2.5 Cm/< 63 18 $857.00 $685.60 20% off $170.57 $869.40 $495.52 2026-03-17
12052 HCPCS Intmd Rpr Face/mm 2.6-5cm Fac 63 18 $990.00 $792.00 20% off $196.98 $1,032.30 $572.42 2026-03-17
12053 HCPCS Intmd Rpr Face/mm 5.1-7.5 Cm 63 18 $1,150.00 $920.00 20% off $213.03 $1,101.60 $664.93 2026-03-17
12054 HCPCS Intmd Rpr Face/mm 7.6-12.5cm 63 18 $1,062.00 $849.60 20% off $223.13 $1,121.40 $614.05 2026-03-17
12055 HCPCS Intmd Rpr Face/mm 12.6-20cm 43 18 $1,341.00 $1,072.80 20% off $332.93 $1,546.20 $840.81 2026-03-17
12056 HCPCS Intmd Rpr Face/mm 20.1-30cm 23 18 $1,746.00 $1,396.80 20% off $589.51 $1,571.40 $1,009.54 2026-03-17
12057 HCPCS Intmd Rpr Face/mm >30cm 23 18 $1,774.00 $1,419.20 20% off $615.68 $1,596.60 $1,025.73 2026-03-17
13101 HCPCS Cmplx Rpr Trunk 2.6-7.5 Cm 43 18 $1,095.00 $876.00 20% off $239.80 $1,287.00 $686.56 2026-03-17
13120 HCPCS Cmplx Rpr S/a/l 1.1-2.5 Cm 43 18 $925.00 $740.00 20% off $226.53 $1,197.90 $579.98 2026-03-17
13121 HCPCS Cmplx Rpr S/a/l 2.6-7.5 Cm 65 18 $1,367.00 $1,093.60 20% off $244.95 $1,354.50 $730.21 2026-03-17
13131 HCPCS Cmplx Rpr F/c/c/m/n/ax/g/h/f 63 18 $1,075.00 $860.00 20% off $231.99 $1,265.40 $633.27 2026-03-17
13132 HCPCS Cmplx Rpr F/c/c/m/n/ax/g/h/f 63 18 $1,771.00 $1,416.80 20% off $285.45 $1,704.60 $1,057.99 2026-03-17
13151 HCPCS Cmplx Rpr E/n/e/l 1.1-2.5 Cm 63 18 $1,325.00 $1,060.00 20% off $264.82 $1,453.50 $795.66 2026-03-17
13152 HCPCS Cmplx Rpr E/n/e/l 2.6-7.5 Cm 63 18 $1,915.00 $1,532.00 20% off $316.03 $1,761.30 $1,088.68 2026-03-17
14020 HCPCS Adj Tiss Trns Sclp/ext 10sqcm< 23 18 $3,200.00 $2,560.00 20% off $577.34 $2,880.00 $1,780.16 2026-03-17
15002 HCPCS Surg Prp-tk/am/lg,1st 100sqcm 43 18 $6,386.00 $5,108.80 20% off $221.35 $5,747.40 $864.00 2026-03-17
15004 HCPCS Surg Prp-fc/hds/ft,1st 100sqcm 43 18 $2,199.00 $1,759.20 20% off $257.98 $1,979.10 $1,019.70 2026-03-17
15100 HCPCS Spl Th Atgrft Tr/Am/Lg 1st 100 43 18 $6,386.00 $5,108.80 20% off $748.11 $5,747.40 $2,845.80 2026-03-17
15110 HCPCS Epid Atgrft, T/a/l 1st 100sqcm 43 18 $6,386.00 $5,108.80 20% off $756.54 $5,747.40 $2,842.20 2026-03-17
15115 HCPCS Epid Atgrft F/H/Ft 1st 100sqcm 43 18 $6,386.00 $5,108.80 20% off $734.98 $5,747.40 $2,765.70 2026-03-17
15120 HCPCS Spl Th Atgrft F/H/Ft 1st 100 43 18 $12,563.00 $10,050.40 20% off $696.92 $11,306.70 $2,743.20 2026-03-17
15273 HCPCS Skin Grft T/a/lg 100+cm Fac Fe 78 18 $1,000.00 $800.00 20% off $154.38 $5,747.40 $555.38 2026-03-17
15277 HCPCS Skin Grft F/h/f 100+cm Fac Fee 78 18 $1,130.00 $904.00 20% off $154.38 $1,979.10 $628.62 2026-03-17
16030 HCPCS Dbrdmnt/Drsng Part Th Brn Lrg 56 18 $745.00 $596.00 20% off $138.08 $1,257.30 $522.90 2026-03-17
17004 HCPCS Destroy Premal Lesions 15/> 23 18 $866.00 $692.80 20% off $171.79 $779.40 $500.72 2026-03-17
17286 HCPCS Dest Mal Les F/e/n/mm>4.cm 23 18 $815.00 $652.00 20% off $360.76 $733.50 $485.45 2026-03-17
20225 HCPCS Biopsy Bone Deep, Needle 45 18 $5,678.00 $4,542.40 20% off $127.92 $5,110.20 $560.00 2026-03-17
23333 HCPCS Fb Removal Shoulder Deep Bl 43 18 $1,505.00 $1,204.00 20% off $485.34 $1,354.50 $870.19 2026-03-17
23505 HCPCS Cltx Fx Clavicle W/man Rt 83 18 $857.00 $685.60 20% off $378.83 $1,676.70 $680.91 2026-03-17
23600 HCPCS Cltx Fx Prox Humrl Without Man Rt 43 18 $893.00 $714.40 20% off $353.81 $803.70 $516.33 2026-03-17
23605 HCPCS Cltx Fx Prox Humrl W/man Rt 43 18 $1,512.00 $1,209.60 20% off $492.28 $1,360.80 $874.24 2026-03-17
23650 HCPCS Treat Shoulder Dislocation, Rt 83 18 $1,141.00 $912.80 20% off $351.10 $1,450.80 $708.87 2026-03-17
23655 HCPCS Disloc Shoulder w/mani&anes,RT 83 18 $1,710.00 $1,368.00 20% off $423.32 $2,016.00 $890.10 2026-03-17
24075 HCPCS Exc Tumor Arm/elb Subc <3cm Rt 23 18 $1,966.00 $1,572.80 20% off $542.84 $1,769.40 $1,136.74 2026-03-17
24201 HCPCS Fb Removal Elbow Deep Bl 43 18 $1,348.00 $1,078.40 $447.97 $1,213.20 $779.41 2026-03-17
24500 HCPCS Cltx Fx Hmrl Shft Without Man Rt 43 18 $989.00 $791.20 $384.77 $1,646.10 $620.10 2026-03-17
24605 HCPCS Cltx Elbow Disloc W/ane Rt 43 18 $1,831.00 $1,464.80 20% off $494.94 $2,359.80 $1,148.04 2026-03-17
25075 HCPCS Exc Tumor St Ts Frm/wrt Sq<3cm 23 18 $886.00 $708.80 20% off $473.27 $797.40 $553.27 2026-03-17
25248 HCPCS Expl W/rmvl Dp Fb Frrm/wrt Rt 43 18 $1,342.00 $1,073.60 20% off $435.91 $2,079.00 $841.43 2026-03-17
25505 HCPCS Cltx Fx Rad Shft W/man Rt 43 18 $1,403.00 $1,122.40 $533.46 $2,314.80 $879.68 2026-03-17
25535 HCPCS Cltx Fx Ulnar Shft W/man Rt 43 18 $1,394.00 $1,115.20 $518.14 $1,254.60 $806.01 2026-03-17
25560 HCPCS Cltx Rad/uln Fx Without Man Rt 43 18 $789.00 $631.20 $309.20 $1,269.00 $494.70 2026-03-17
25565 HCPCS Clsd Fx Rad&ulna W/man, Rt 45 18 $377.00 $301.60 $201.38 $2,357.10 $542.78 2026-03-17
25600 HCPCS Cltx Fx Dist Rad Without Man Rt 43 18 $1,423.00 $1,138.40 $361.03 $1,573.20 $892.22 2026-03-17
25605 HCPCS Cltx Fx Dist Rad W/man Rt 85 18 $2,167.00 $1,733.60 20% off $227.02 $2,576.70 $1,314.59 2026-03-17
25650 HCPCS Cltx Fx Ulnar Styloid Rt 43 18 $1,469.00 $1,175.20 $349.44 $1,514.70 $917.33 2026-03-17
25660 HCPCS Cltx Rdcrpl/intrcr Dis W/mn Rt 43 18 $1,145.00 $916.00 20% off $468.56 $1,030.50 $662.04 2026-03-17
25675 HCPCS Cltx Dist Raduln Disl W/man Rt 43 18 $1,706.00 $1,364.80 20% off $479.83 $1,535.40 $986.41 2026-03-17
25680 HCPCS Cltx Dislo Fx Wrst w/man,RT 45 18 $539.00 $431.20 20% off $287.92 $2,380.50 $549.77 2026-03-17
26410 HCPCS Repair Ext Tendn Hnd W/grft Rt 43 18 $1,892.00 $1,513.60 20% off $621.37 $2,837.70 $1,186.28 2026-03-17
26605 HCPCS Cltx Metacarpal Fx W/man Rt 83 18 $930.00 $744.00 20% off $349.97 $1,478.70 $690.95 2026-03-17
26615 HCPCS Optx Metacarpal Fx W/wo Fix Rt 43 18 $1,759.00 $1,407.20 20% off $591.92 $2,894.40 $1,102.89 2026-03-17
26641 HCPCS Cltx Crpmtcrpl Dis Thb With Rt 43 18 $956.00 $764.80 20% off $440.32 $1,688.40 $599.41 2026-03-17
26670 HCPCS Cltx Crpmtcrpl Dis Nonthb W/rt 43 18 $1,349.00 $1,079.20 $369.84 $1,214.10 $779.99 2026-03-17
26700 HCPCS Clsd Disloc Fngr W/man, Rt 83 18 $999.00 $799.20 $295.40 $1,521.90 $497.70 2026-03-17
26742 HCPCS CldTrt Artcl Frt Met/Intph W/m 43 18 $5,066.00 $4,052.80 $389.66 $4,559.40 $1,381.50 2026-03-17
26770 HCPCS Cld Tx Dislo Ip Jnt W/man, Rt 83 18 $999.00 $799.20 $286.85 $974.70 $577.62 2026-03-17
26775 HCPCS Cltx Ip Jnt Disl W/man/ane Rt 43 18 $960.00 $768.00 20% off $410.05 $1,743.30 $601.92 2026-03-17
27087 HCPCS Fb Removal Hip/Pelvis Deep Bl 43 18 $1,684.00 $1,347.20 20% off $620.89 $1,515.60 $973.69 2026-03-17
27232 HCPCS Cltx Femoral Neck Fx W/man Rt 43 18 $2,475.00 $1,980.00 20% off $728.50 $3,750.30 $1,551.82 2026-03-17
27250 HCPCS Cltx Hip Dislc Trau Without Ane Rt 43 18 $1,097.00 $877.60 20% off $175.47 $1,072.80 $663.11 2026-03-17
27252 HCPCS Cltx Hip Disloc Trau W/ane Rt 43 18 $2,172.00 $1,737.60 20% off $755.91 $3,787.20 $1,361.84 2026-03-17
27265 HCPCS Cltx Hip Disl Postarth w/oanRT 43 18 $1,374.00 $1,099.20 $432.07 $1,782.90 $861.50 2026-03-17
27266 HCPCS Cltx Hip Disl Postarth W/an Rt 43 18 $1,768.00 $1,414.40 $594.78 $2,858.40 $1,108.54 2026-03-17
27301 HCPCS I&d Dp Abs/brs/hmta Thg/kn Rt 45 18 $868.00 $694.40 20% off $463.66 $1,932.30 $868.00 2026-03-17
27372 HCPCS Fb Removal Knee Deep Bl 43 18 $1,894.00 $1,515.20 20% off $445.15 $2,100.60 $1,187.54 2026-03-17
27520 HCPCS Cltx Patellar Fx Without Man Rt 43 18 $903.00 $722.40 20% off $345.39 $812.70 $522.11 2026-03-17
27530 HCPCS Cltx Tibial Fx Prox Without Man Rt 43 18 $1,110.00 $888.00 20% off $327.06 $999.00 $641.80 2026-03-17
27532 HCPCS Cltx Tibial Fx Prox W/man Rt 43 18 $1,761.00 $1,408.80 20% off $631.56 $1,584.90 $1,018.21 2026-03-17
27550 HCPCS Cltx Knee Disloc Without Ane Rt 43 18 $1,254.00 $1,003.20 $531.40 $1,128.60 $725.06 2026-03-17
27552 HCPCS Cltx Knee Disloc W/ane Rt 43 18 $2,171.00 $1,736.80 20% off $649.79 $1,953.90 $1,255.27 2026-03-17
27560 HCPCS Cltx Patellar Dislo Without Ane Rt 43 18 $950.00 $760.00 20% off $393.16 $1,681.20 $595.65 2026-03-17
27562 HCPCS Cltx Patellar Dislo W/ane Rt 43 18 $1,584.00 $1,267.20 20% off $506.47 $1,840.50 $993.17 2026-03-17
27603 HCPCS I&d Deep Abs/hmtma Lwr Leg Rt 43 18 $1,604.00 $1,283.20 20% off $535.12 $1,443.60 $927.43 2026-03-17
27750 HCPCS Cltx Tibial Shft Fx Without Man Rt 43 18 $1,080.00 $864.00 20% off $367.67 $1,605.60 $677.16 2026-03-17
27752 HCPCS Cltx Tibial Shft Fx Without Man Rt 43 18 $1,790.00 $1,432.00 20% off $421.46 $1,611.00 $729.60 2026-03-17
27762 HCPCS Cltx Medial Mall Fx W/man, Rt 45 18 $383.00 $306.40 20% off $204.59 $2,121.30 $510.25 2026-03-17
27768 HCPCS Cltx Post Mall Fx W/man, Rt 45 18 $562.00 $449.60 $300.20 $2,211.30 $505.50 2026-03-17
27781 HCPCS Clsd Trt Fx Prox/Shft Fib, Rt 23 18 $1,932.00 $1,545.60 20% off $459.90 $1,738.80 $1,117.08 2026-03-17
27786 HCPCS Cltx Distal Fib Fx Without Man Rt 43 18 $1,090.00 $872.00 20% off $331.69 $981.00 $630.24 2026-03-17
27788 HCPCS Cltx Distal Fib Fx W/man Rt 43 18 $1,260.00 $1,008.00 20% off $445.73 $1,967.40 $790.02 2026-03-17
27808 HCPCS Cltx Bimall Ankl Fx Without Man Rt 43 18 $957.00 $765.60 20% off $356.36 $1,027.80 $600.04 2026-03-17
27810 HCPCS Cltx Bimall Ankle Fx W/man Rt 43 18 $1,606.00 $1,284.80 20% off $496.45 $2,131.20 $1,006.96 2026-03-17
27818 HCPCS Cltx Trimall Ank Fx W/man, Rt 43 18 $1,141.00 $912.80 20% off $514.53 $1,438.20 $715.41 2026-03-17
27825 HCPCS Cltx Dist Tib Frx W/man/trax 23 18 $1,764.00 $1,411.20 20% off $564.53 $1,587.60 $1,019.94 2026-03-17
27831 HCPCS Cltx Tib/fib Jnt Disl W/ane Rt 43 18 $1,657.00 $1,325.60 20% off $425.01 $1,491.30 $958.08 2026-03-17
27840 HCPCS Cltx Ank Disloc Without Anes, Rt 43 18 $1,432.00 $1,145.60 20% off $402.54 $1,857.60 $897.86 2026-03-17
28010 HCPCS Tenotomy, Toe, Sngl 43 18 $5,628.00 $4,502.40 20% off $227.82 $5,065.20 $837.00 2026-03-17
28192 HCPCS Removal Fb Foot Deep Rt 43 18 $932.00 $745.60 20% off $336.35 $1,790.10 $642.68 2026-03-17
28193 HCPCS Fb Removal Foot Complicated Bl 43 18 $1,277.00 $1,021.60 20% off $390.23 $1,149.30 $738.36 2026-03-17
28405 HCPCS Cl Tx Calcaneal Frax W/man 23 18 $1,028.00 $822.40 20% off $471.73 $925.20 $594.39 2026-03-17
28470 HCPCS Cltx Metatasal Fx Without Man Rt 43 18 $916.00 $732.80 20% off $229.86 $1,050.30 $574.33 2026-03-17
30124 HCPCS Exc Derm Cyst Nose Smpl Subc 23 18 $930.00 $744.00 20% off $313.08 $837.00 $537.73 2026-03-17
31525 HCPCS Lrynspy Drt, W/w/out Trch;diag 43 18 $5,349.00 $4,279.20 20% off $155.28 $4,814.10 $634.50 2026-03-17
31605 HCPCS Tracheostmy Cricothyrd Emerg 43 18 $1,173.00 $938.40 20% off $321.89 $1,055.70 $678.23 2026-03-17
32551 HCPCS Tube Thoracostomy W/wo Rt 43 18 $1,006.00 $804.80 20% off $151.38 $905.40 $531.90 2026-03-17
32555 HCPCS Aspirate Pleura With Imaging Rt 43 18 $1,262.00 $1,009.60 20% off $319.46 $1,135.80 $729.69 2026-03-17
36590 HCPCS Removal Tunneled Cv Cath 43 18 $1,441.00 $1,152.80 20% off $194.55 $1,296.90 $804.94 2026-03-17
43202 HCPCS Esophagoscopy Diag W/biopsy 43 18 $5,381.00 $4,304.80 $105.74 $4,842.90 $544.50 2026-03-17
43235 HCPCS Egd Diag W/spec Collection 43 18 $2,551.00 $2,040.80 20% off $125.49 $2,295.90 $648.00 2026-03-17
43239 HCPCS Egd Diag W/biopsy 43 18 $2,551.00 $2,040.80 20% off $140.19 $2,295.90 $729.00 2026-03-17
43249 HCPCS Egd Diag W/balloon Dialation 45 18 $5,381.00 $4,304.80 $154.52 $4,842.90 $1,103.58 2026-03-17
43251 HCPCS Egd Diag W/les Rmvl By Snare 43 18 $5,381.00 $4,304.80 $195.95 $4,842.90 $1,035.00 2026-03-17
45333 HCPCS Sigmdspy Dg W/les Rmvl Htfrsp 43 18 $2,568.00 $2,054.40 $97.97 $2,311.20 $495.00 2026-03-17
45378 HCPCS Colonoscopy Flexible Diag 43 18 $2,568.00 $2,054.40 $186.12 $2,311.20 $486.00 2026-03-17
45380 HCPCS Colonoscopy Flexible Diag W/bx 43 18 $3,346.00 $2,676.80 $201.04 $3,011.40 $1,057.50 2026-03-17
45381 HCPCS Colonscpy Flxble Dx W/sub Inj 43 18 $3,346.00 $2,676.80 $201.04 $3,011.40 $1,057.50 2026-03-17
45382 HCPCS Colonoscopy Flex W/cntrl Bldng 43 18 $3,346.00 $2,676.80 $256.81 $3,011.40 $1,363.50 2026-03-17
45384 HCPCS Colonscpy W/les Rmvl Hotforcps 43 18 $3,346.00 $2,676.80 $228.71 $3,011.40 $1,201.50 2026-03-17
45385 HCPCS Colonoscopy W/les Rmvl Snare 43 18 $3,346.00 $2,676.80 $252.85 $3,011.40 $1,341.00 2026-03-17
46040 HCPCS I&d Ischiorectl/Perirectl Abce 23 18 $1,102.00 $881.60 20% off $564.74 $991.80 $688.15 2026-03-17
46250 HCPCS Remove Ext Hem Groups 2+ 23 18 $1,485.00 $1,188.00 20% off $487.72 $1,336.50 $858.63 2026-03-17
46255 HCPCS Hemrdctmy Inter/exte 1 Col/grp 23 18 $1,311.00 $1,048.80 20% off $529.00 $1,179.90 $758.02 2026-03-17
46924 HCPCS Destruct Anal Lesion Extensive 43 18 $1,189.00 $951.20 $195.28 $1,070.10 $687.48 2026-03-17
46930 HCPCS Destroy Internal Hemorrhoids 23 18 $896.00 $716.80 20% off $222.13 $806.40 $518.07 2026-03-17
49083 HCPCS Paracntsis Abdom Dx/ther W/gui 43 18 $1,011.00 $808.80 20% off $104.95 $909.90 $584.56 2026-03-17
49421 HCPCS Insert Tun Intrpr Cath Dial Op 43 18 $1,249.00 $999.20 $220.39 $1,132.20 $722.17 2026-03-17
49520 HCPCS Repr Recrrnt Ingnl Hrnia Redcb 23 18 $2,019.00 $1,615.20 20% off $631.67 $1,817.10 $1,167.39 2026-03-17
55250 HCPCS Removal Of Sperm Duct(s) 23 18 $2,666.00 $2,132.80 $342.45 $2,399.40 $1,541.48 2026-03-17
56405 HCPCS I&d Vulva Or Perineal Absc Fac 43 18 $1,012.00 $809.60 20% off $133.69 $910.80 $509.40 2026-03-17
59409 HCPCS Vag Delivry W/&without Epis/frcps 45 18 $446.00 $356.80 20% off $238.24 $3,395.70 $790.75 2026-03-17
64421 HCPCS Inj Aa/strd Intrnrv Adl Lvl Rt 43 18 $938.00 $750.40 20% off $24.48 $844.20 $542.35 2026-03-17
69000 HCPCS Drnage Ext Ear, Abs/Hem;Simple 43 18 $1,938.00 $1,550.40 $134.80 $1,744.20 $566.10 2026-03-17
69005 HCPCS Drainage Ext Ear,Abs/Hem; Comp 43 18 $4,466.00 $3,572.80 $166.81 $4,019.40 $694.53 2026-03-17
70471 HCPCS CTA Head& Neck 46 18 $2,287.50 $1,830.00 20% off $134.91 $3,940.00 $1,369.82 2026-03-17
70482 HCPCS CT Orbit/ear/fossa W/wo Cntrst 42 18 $2,380.00 $1,904.00 20% off $66.34 $2,142.00 $501.71 2026-03-17
70492 HCPCS CT Soft Tiss Neck W/wo Cntrst 42 18 $3,184.00 $2,547.20 20% off $84.35 $2,865.60 $499.10 2026-03-17
70496 HCPCS CTA Head 42 18 $3,881.00 $3,104.80 $91.57 $3,492.90 $556.95 2026-03-17
70498 HCPCS CTA Neck 42 18 $3,881.00 $3,104.80 $91.57 $3,492.90 $555.91 2026-03-17
70542 HCPCS MRI Orbit, Face, Neck With Cont 42 18 $3,133.00 $2,506.40 20% off $85.13 $2,819.70 $557.25 2026-03-17
70543 HCPCS MRI Orbit, Face, Neck W & Without Cont 42 18 $3,356.00 $2,684.80 $112.85 $3,020.40 $619.20 2026-03-17
70545 HCPCS Mra/mrv Head With Contrast 42 18 $2,938.00 $2,350.40 $62.88 $2,644.20 $522.53 2026-03-17
70546 HCPCS Mra/mrv Head W&w/out Contrast 42 18 $3,182.00 $2,545.60 20% off $77.41 $2,863.80 $587.70 2026-03-17
70549 HCPCS Mra/mrv Neck, W&w/out Contrast 43 18 $2,835.00 $2,268.00 20% off $94.27 $2,551.50 $570.95 2026-03-17
70552 HCPCS MRI Brain, With Contrast 42 18 $2,876.00 $2,300.80 $93.51 $2,588.40 $530.10 2026-03-17
70553 HCPCS MRI Brain, W & Without Contrast 42 18 $3,281.00 $2,624.80 $120.07 $2,952.90 $604.80 2026-03-17
70555 HCPCS MRI Brain, Functnl Mri, Req Phy 43 17 $1,791.00 $1,432.80 20% off $130.51 $1,611.90 $556.07 2026-03-17
71275 HCPCS CTA Chest 42 18 $4,351.00 $3,480.80 $95.22 $3,915.90 $566.67 2026-03-17
71552 HCPCS MRI Chest, W & Without Contrast 45 18 $2,615.00 $2,092.00 20% off $118.54 $2,353.50 $536.00 2026-03-17
71555 HCPCS MRA Chest With & W/out Cntrst 42 18 $4,120.00 $3,296.00 20% off $94.27 $3,708.00 $732.59 2026-03-17
72142 HCPCS MRI Spinal & Cnts Cerv With Cont 42 18 $2,841.00 $2,272.80 $94.47 $2,556.90 $523.80 2026-03-17
72147 HCPCS MRI Spinal & Cnts Thrc With Cont 42 18 $2,855.00 $2,284.00 20% off $93.90 $2,569.50 $526.50 2026-03-17
72148 HCPCS MRI Spinal & Cnts Lmbr Without Cont 61 18 $2,384.00 $1,907.20 20% off $78.21 $2,252.70 $1,378.43 2026-03-17
72149 HCPCS MRI Spinal & Cnts Lmbr With Cont 42 18 $2,999.00 $2,399.20 20% off $93.90 $2,699.10 $543.34 2026-03-17
72156 HCPCS MRI Spinal & Cnts Cerv W&without Cont 42 18 $3,639.00 $2,911.20 20% off $120.46 $3,275.10 $651.26 2026-03-17
72157 HCPCS MRI Spinal & Cnts Thrc W&without Cont 43 18 $3,204.00 $2,563.20 20% off $120.46 $2,883.60 $508.50 2026-03-17
72158 HCPCS MRI Spinal & Cnts Lmbr W&without Cont 42 18 $3,406.00 $2,724.80 $120.46 $3,065.40 $628.20 2026-03-17
72159 HCPCS Mra/mrv Spnl&Cntnts W&w/out 42 18 $3,417.00 $2,733.60 20% off $94.27 $3,075.30 $630.90 2026-03-17
72196 HCPCS MRI Pelvis, With Contrast 42 18 $2,982.00 $2,385.60 20% off $90.81 $2,683.80 $540.50 2026-03-17
72197 HCPCS MRI Pelvis, W & Without Contrast 42 18 $3,309.00 $2,647.20 20% off $115.84 $2,978.10 $609.30 2026-03-17
72198 HCPCS Mra/mrv Pelvis, With & W/out 42 18 $4,849.00 $3,879.20 20% off $93.47 $4,364.10 $610.20 2026-03-17
73200 HCPCS CT Up Extrmty Without Cntrst Rd 73 18 $1,819.00 $1,455.20 20% off $52.96 $2,034.00 $1,011.91 2026-03-17
73201 HCPCS CT Up Extrmty W/cntrst Rd 75 18 $1,732.00 $1,385.60 20% off $60.95 $2,055.60 $925.18 2026-03-17
73202 HCPCS CT Upper Extr W/wo Contrst 113 18 $2,284.00 $1,827.20 20% off $63.63 $2,225.70 $1,320.61 2026-03-17
73206 HCPCS CTA Upper Extremity 98 18 $3,344.00 $2,675.20 20% off $94.05 $3,160.80 $1,933.50 2026-03-17
73220 HCPCS MRI Ue Not Joint, W & Without Cont 45 18 $2,993.00 $2,394.40 20% off $113.63 $2,693.70 $613.00 2026-03-17
73222 HCPCS MRI Ue Any Joint, With Cont 43 18 $2,940.00 $2,352.00 20% off $85.93 $2,646.00 $541.80 2026-03-17
73223 HCPCS MRI Ue Any Joint, W & Without Cont 43 18 $3,168.00 $2,534.40 20% off $113.63 $2,851.20 $617.03 2026-03-17
73225 HCPCS MRA Ue Any Joint, W/& W/out 43 18 $2,988.00 $2,390.40 20% off $89.00 $2,689.20 $551.70 2026-03-17
73700 HCPCS CT Lower Extrmty Without Cntrst Lt 61 18 $1,955.00 $1,564.00 20% off $52.96 $1,945.80 $1,130.38 2026-03-17
73701 HCPCS CT Lower Extrmty W/cntrst Lt 61 18 $2,284.00 $1,827.20 20% off $60.95 $2,159.10 $1,320.61 2026-03-17
73702 HCPCS CT Lowr Extrmty W/wo Cntrst 61 18 $2,284.00 $1,827.20 20% off $63.63 $2,135.70 $1,320.10 2026-03-17
73706 HCPCS CTA Lower Extremity Lt 62 18 $3,661.00 $2,928.80 $98.95 $3,459.60 $2,116.79 2026-03-17
73720 HCPCS MRI Le Not Joint, W & Without Cont 43 18 $3,156.00 $2,524.80 $113.24 $2,840.40 $582.30 2026-03-17
73722 HCPCS MRI Le Any Joint, With Cont 43 18 $2,525.00 $2,020.00 20% off $85.93 $2,272.50 $499.70 2026-03-17
73723 HCPCS MRI Le Any Joint, W & Without Cont 43 18 $3,660.00 $2,928.00 20% off $113.24 $3,294.00 $675.00 2026-03-17
73725 HCPCS MRA Le Not Joint, W/and W/out 42 18 $3,409.00 $2,727.20 20% off $94.43 $3,068.10 $629.10 2026-03-17
74174 HCPCS CTA Abdomen/pelvis 42 18 $5,687.00 $4,549.60 $115.04 $5,118.30 $802.03 2026-03-17
74175 HCPCS CTA Abdomen 43 18 $3,880.00 $3,104.00 20% off $94.82 $3,492.00 $543.60 2026-03-17
74181 HCPCS MRI Abd, Without Contrast 42 18 $3,237.00 $2,589.60 20% off $75.97 $2,913.30 $576.35 2026-03-17
74182 HCPCS MRI Abd, With Contrast 42 18 $3,586.00 $2,868.80 $90.40 $3,227.40 $637.98 2026-03-17
74183 HCPCS MRI Abd, W & Without Contrast 42 18 $4,109.00 $3,287.20 20% off $115.84 $3,698.10 $730.86 2026-03-17
74185 HCPCS MRA Abd, With And W/out 43 18 $3,213.00 $2,570.40 20% off $94.05 $2,891.70 $597.60 2026-03-17
74220 HCPCS Xray Xm Esophagus 1cntrst Stdy 23 18 $878.00 $702.40 20% off $100.11 $790.20 $507.66 2026-03-17
74240 HCPCS Xray Xm Upr Gi Trc 1cntrt Stdy 23 18 $842.00 $673.60 20% off $126.13 $757.80 $486.84 2026-03-17
74246 HCPCS Xray Xm Upr Gi Trc 2cntrt Stdy 23 18 $1,491.00 $1,192.80 20% off $142.90 $1,341.90 $862.10 2026-03-17
74270 HCPCS Xray Xm Colon 1cntrst Stdy 23 18 $1,423.00 $1,138.40 $157.63 $1,280.70 $822.78 2026-03-17
74280 HCPCS Xray Xm Coln 1cntrst Std W/air 23 18 $1,938.00 $1,550.40 $226.04 $1,744.20 $1,120.55 2026-03-17
74400 HCPCS Urography IV +-kub Tomog 23 18 $952.00 $761.60 20% off $139.27 $856.80 $550.45 2026-03-17
74415 HCPCS Urography Nfs Drip&/bls W/nf 23 18 $1,148.00 $918.40 20% off $155.97 $1,033.20 $663.77 2026-03-17
75635 HCPCS CTA Abd Art & Bilat Iliofm 45 18 $3,188.00 $2,550.40 20% off $124.84 $2,869.20 $525.00 2026-03-17
76000 HCPCS Fluoroscopy <1 Hr Phys/qhp 23 18 $892.00 $713.60 20% off $43.67 $802.80 $515.75 2026-03-17
76812 HCPCS U/s PrgUt W/det Exm;ea Add Ges 42 18 $942.00 $753.60 20% off $97.97 $847.80 $499.47 2026-03-17
77048 HCPCS MRI Breast, W & Without Contrast, Unilat 43 18 $2,630.00 $2,104.00 20% off $110.54 $2,367.00 $529.63 2026-03-17
77049 HCPCS MRI Breast, W & Without Contrast, Bil 42 18 $3,327.00 $2,661.60 20% off $120.84 $2,994.30 $683.18 2026-03-17
77280 HCPCS Set Radiation Therapy Field 23 18 $1,540.00 $1,232.00 20% off $278.63 $1,386.00 $890.43 2026-03-17
77295 HCPCS 3-d Radiotherapy Plan 23 18 $4,395.00 $3,516.00 20% off $492.53 $3,955.50 $2,541.19 2026-03-17
78264 HCPCS Gastric Emptying Imag Study 23 18 $2,874.00 $2,299.20 20% off $311.99 $2,586.60 $1,661.75 2026-03-17
78305 HCPCS Bone/jnt Imaging mult/CWHsvcs 23 18 $1,481.00 $1,184.80 20% off $257.41 $1,332.90 $856.31 2026-03-17
81162 HCPCS Brca1&2 Gen Full Seq Dup/del 22 17 $2,964.00 $2,371.20 20% off $1,484.54 $2,667.60 $1,815.58 2026-03-17
81295 HCPCS Msh2 Gene Full Seg 22 17 $900.50 $720.40 20% off $310.51 $810.45 $510.81 2026-03-17
81298 HCPCS Msh6 Gene Full Seq 22 17 $1,027.00 $821.60 20% off $522.14 $924.30 $629.01 2026-03-17
81317 HCPCS Pms2 Gene Full Seq Analysis 22 17 $1,062.00 $849.60 20% off $550.33 $955.80 $662.97 2026-03-17
81405 HCPCS Rth Gene Squencing 22 17 $1,449.00 $1,159.20 $271.22 $1,304.10 $821.94 2026-03-17
81418 HCPCS Pharmacogenomics Panel 22 17 $1,252.00 $1,001.60 20% off $668.78 $1,126.80 $799.40 2026-03-17
86711 HCPCS Jcv Antibody (with Index) 22 17 $1,288.00 $1,030.40 $13.74 $1,159.20 $730.62 2026-03-17
87633 HCPCS Resprtry Virs,AmpPrb Tec,12-25 23 18 $1,200.00 $960.00 20% off $339.05 $1,080.00 $667.56 2026-03-17
87902 HCPCS Genotype Dna/rna Hep C 23 18 $1,173.00 $938.40 20% off $209.44 $1,055.70 $652.54 2026-03-17
87910 HCPCS Genotype Cytomegalovirus 23 18 $944.00 $755.20 $209.44 $849.60 $525.15 2026-03-17
88112 HCPCS Cytopatholgy/ Cellular 23 18 $975.00 $780.00 20% off $66.65 $877.50 $520.82 2026-03-17
88173 HCPCS Cytopath Eval Fna Report 23 18 $974.00 $779.20 $169.74 $876.60 $520.28 2026-03-17
88184 HCPCS Flow Cytometry; Cell Surface 23 18 $1,138.00 $910.40 20% off $80.85 $1,024.20 $607.89 2026-03-17
90375 HCPCS Rabies Immune Globulin Per Ml 23 18 $2,007.00 $1,605.60 20% off $287.71 $1,806.30 $1,160.45 2026-03-17
90376 HCPCS Rabies Immune Globulin/PF 150 23 18 $2,050.45 $1,640.36 20% off $411.35 $1,845.40 $1,185.57 2026-03-17
90675 HCPCS Rabies Vaccine Vial 23 18 $1,434.21 $1,147.37 $766.11 $1,290.79 $895.60 2026-03-17
92612 HCPCS St Flex Endo Eval Swallow 23 18 $1,025.00 $820.00 20% off $204.46 $922.50 $592.66 2026-03-17
92950 HCPCS Cpr 23 18 $893.00 $714.40 20% off $328.60 $803.70 $516.33 2026-03-17
92960 HCPCS Cardionversion Elective Ext 63 18 $870.00 $696.00 20% off $107.99 $822.60 $510.56 2026-03-17
93268 HCPCS ECG Extpat Trnsmsn W/recd/rvw 23 18 $2,416.00 $1,932.80 20% off $180.86 $2,174.40 $1,396.93 2026-03-17
93271 HCPCS ECG Extpat W/trnsmsn/analysis 23 18 $1,817.00 $1,453.60 20% off $148.43 $1,635.30 $1,050.59 2026-03-17
93306 HCPCS Echo, Transthoracic; Complete 63 18 $1,872.00 $1,497.60 20% off $77.38 $3,719.70 $1,082.39 2026-03-17
93312 HCPCS Echo Transesophageal/cwh 23 18 $4,126.00 $3,300.80 $241.02 $3,713.40 $2,385.65 2026-03-17
99205 HCPCS Intl Vst High Lvl Mdm 60-74mn 63 18 $794.00 $635.20 $181.03 $837.00 $496.78 2026-03-17
99236 HCPCS Obs/ip Adm & D/c Same Day 85mn 23 18 $948.00 $758.40 20% off $206.70 $853.20 $548.13 2026-03-17
99245 HCPCS Office Consultation 23 18 $944.00 $755.20 $202.81 $849.60 $545.82 2026-03-17
99284 HCPCS ER Visit Mod Level Mdm Fac 43 18 $1,904.00 $1,523.20 20% off $118.98 $1,713.60 $713.70 2026-03-17
99285 HCPCS ER Visit High Level Mdm Fac 43 18 $2,496.00 $1,996.80 20% off $172.32 $2,246.40 $1,084.50 2026-03-17
99291 HCPCS Critical Care E&m 30-74min Fac 43 18 $2,939.00 $2,351.20 20% off $224.41 $2,645.10 $1,543.50 2026-03-17
99292 HCPCS Crit Care, Ea Add'l 30min Fac 43 18 $879.00 $703.20 $112.99 $791.10 $508.24 2026-03-17
A0426 HCPCS Als1 Amb Svc Non-emergent 23 18 $3,067.00 $2,453.60 20% off $330.64 $2,760.30 $1,706.17 2026-03-17
A0427 HCPCS Als1 Amb Svc Emergent 23 18 $3,067.00 $2,453.60 20% off $409.93 $2,760.30 $1,706.17 2026-03-17
A0428 HCPCS Bls Amb Svc Non-emergent 23 18 $2,043.00 $1,634.40 $269.70 $1,838.70 $1,136.52 2026-03-17
A0429 HCPCS Bls Amb Svc Emergent 23 18 $2,191.50 $1,753.20 20% off $355.78 $1,972.35 $1,219.13 2026-03-17
A0433 HCPCS Als2 Amb Svc Emergent 21 16 $3,892.50 $3,114.00 20% off $762.25 $3,503.25 $2,165.40 2026-03-17
A0434 HCPCS Amb Svc, Spclty Care Transport 21 16 $4,670.50 $3,736.40 20% off $942.60 $4,203.45 $2,598.20 2026-03-17
C8900 HCPCS MRA Abd, w/Contrast 39 15 $2,730.00 $2,184.00 20% off $308.75 $2,457.00 $1,128.60 2026-03-17
C8901 HCPCS MRA Abd, W/out Contrast 39 15 $2,373.00 $1,898.40 $261.21 $2,135.70 $1,267.59 2026-03-17
C8903 HCPCS MRI Breast, With Contrast, Unilat 39 15 $2,239.00 $1,791.20 20% off $245.18 $2,122.41 $1,196.01 2026-03-17
C8906 HCPCS MRI Breast, With Contrast, Bil 39 15 $3,110.00 $2,488.00 20% off $340.27 $2,799.00 $1,462.03 2026-03-17
C8909 HCPCS MRA Chest, w/Contrast 39 15 $2,202.00 $1,761.60 20% off $241.44 $1,981.80 $1,176.24 2026-03-17
C8910 HCPCS MRA Chest, W/out Contrast 39 15 $2,615.00 $2,092.00 20% off $286.32 $2,353.50 $1,014.08 2026-03-17
C8912 HCPCS MRA Le w/Contrast 39 15 $2,535.00 $2,028.00 20% off $277.23 $2,281.50 $925.03 2026-03-17
C8913 HCPCS MRA Le W/out Contrast 39 15 $2,211.00 $1,768.80 20% off $241.98 $1,989.90 $864.10 2026-03-17
C8918 HCPCS Mra/mrv Pelvis, w/Contrast 39 15 $2,982.00 $2,385.60 20% off $326.91 $2,683.80 $652.88 2026-03-17
C8919 HCPCS Mra/mrv Pelvis, W/out Contrast 39 15 $2,325.00 $1,860.00 20% off $254.26 $2,092.50 $1,220.09 2026-03-17
C8931 HCPCS Mra/mrv Spnl&Cntnts w/Cntrst 40 15 $1,746.00 $1,396.80 20% off $317.30 $2,898.00 $1,071.01 2026-03-17
C8932 HCPCS Mra/mrv Spnl&Cntnts W/out Cont 40 15 $1,489.50 $1,191.60 20% off $270.82 $2,472.00 $913.74 2026-03-17
C8934 HCPCS MRA Ue, With Contrast 39 15 $2,560.00 $2,048.00 20% off $279.91 $2,304.00 $775.50 2026-03-17
C8935 HCPCS MRA Ue, W/out Contrast 39 15 $2,152.00 $1,721.60 20% off $235.57 $2,182.62 $1,209.10 2026-03-17
G0105 HCPCS Colon Cancer Scrnng High Risk 43 18 $2,568.00 $2,054.40 $186.12 $2,311.20 $976.50 2026-03-17
G0121 HCPCS Colon Cancer Scrnng Low Risk 43 18 $2,568.00 $2,054.40 $186.41 $2,311.20 $976.50 2026-03-17
J0248 HCPCS Remdesivir 100mg IV 22 17 $1,948.73 $1,558.98 20% off $635.00 $1,753.86 $1,153.63 2026-03-17
J0561 HCPCS Bicln La Pfs 1.2 Mu 2ml Syr 23 18 $1,116.34 $893.07 20% off $16.45 $1,004.71 $645.47 2026-03-17
J0881 HCPCS Aranesp 300mcg Inj (non-esrd) 23 18 $6,385.50 $5,108.40 20% off $3.04 $5,746.95 $3,692.10 2026-03-17
J0897 HCPCS Denosumab (prolia)[60 Mg] 23 18 $5,312.15 $4,249.72 $1,309.80 $4,780.94 $3,071.49 2026-03-17
J1439 HCPCS Injectafer 750 Mg 23 18 $4,464.71 $3,571.77 $825.00 $4,018.24 $2,581.50 2026-03-17
J1561 HCPCS Gamunex-c(ivig)[1gm/10ml]1gm 23 18 $8,426.00 $6,740.80 20% off $45.77 $7,583.40 $4,871.91 2026-03-17
J1745 HCPCS Infliximab 100mg Vial 23 18 $4,715.50 $3,772.40 20% off $32.22 $4,243.95 $2,726.51 2026-03-17
J1826 HCPCS Interferon Beta-1a 30mcg Syr 23 18 $5,039.00 $4,031.20 20% off $826.98 $4,535.10 $2,913.55 2026-03-17
J2505 HCPCS Nulsta/pegflgrastm Inj Upto 6m 23 18 $10,298.50 $8,238.80 20% off $3,807.30 $9,268.65 $5,954.60 2026-03-17
J3101 HCPCS Tenecteplse (tnkase) 50mg Vial 23 18 $23,502.00 $18,801.60 20% off $7,011.50 $21,151.80 $13,588.86 2026-03-17
J3489 HCPCS Zoledronc Acd 5mg/100ml Inf Bt 23 18 $3,515.47 $2,812.38 $32.35 $3,163.92 $2,032.65 2026-03-17
J7296 HCPCS Kyleena;Levonrgstrl IUD,19.5mg 21 16 $2,891.95 $2,313.56 $1,135.00 $2,602.76 $1,688.84 2026-03-17
J7298 HCPCS Mirena Iud/supplies 21 16 $4,221.50 $3,377.20 20% off $1,121.00 $3,799.35 $2,465.29 2026-03-17
J7300 HCPCS Paragard Iud/supplies 21 16 $4,411.50 $3,529.20 20% off $1,057.00 $3,970.35 $2,576.24 2026-03-17
J7301 HCPCS Skyla Iud/device Chrg 21 16 $3,692.00 $2,953.60 20% off $946.00 $3,322.80 $2,156.06 2026-03-17
J7307 HCPCS Nexplanon 21 16 $4,633.00 $3,706.40 20% off $1,125.00 $4,169.70 $2,705.58 2026-03-17
J7324 HCPCS OrthVisc(Hyaluron)inj 30mg/2ml 23 18 $1,314.50 $1,051.60 20% off $702.17 $3,687.30 $824.19 2026-03-17
J7326 HCPCS Hyaluronan Sod, CrossLink 30mg 21 16 $3,795.00 $3,036.00 20% off $2,027.18 $16,034.40 $2,369.81 2026-03-17
J9312 HCPCS Rituximab 500mg/50ml 23 18 $12,923.40 $10,338.72 20% off $773.10 $11,631.06 $7,472.31 2026-03-17
P9016 HCPCS Rbc Leuko Redcd Bld Stor Proc 21 16 $986.00 $788.80 20% off $198.82 $887.40 $575.81 2026-03-17
P9019 HCPCS Platelets, Each Unit 21 16 $2,271.00 $1,816.80 20% off $20.21 $2,043.90 $1,326.22 2026-03-17
Q4186 HCPCS Epifix Micronized 160mg 23 18 $8,901.00 $7,120.80 20% off $158.49 $8,010.90 $5,146.56 2026-03-17
Q4187 HCPCS Epicord Skin Replace Graf 3x5 21 16 $11,341.00 $9,072.80 20% off $244.90 $10,206.90 $6,622.94 2026-03-17
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