Price Transparencybeta Hospital negotiated rates

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

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Hospital

HAMPSHIRE MEMORIAL HOSPITAL

Romney, WV · CCN 511311 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC ECHO TTE 2D COMP WO CTRST W/CLR/DPLR

This hospital’s price: $1,939 across 10 payers · range $646-$5,633

Source: https://www.valleyhealthlink.com/app/files/public/811c265a-f05c-49e7-aff9-a71562bdd90e/Price%20Transparency/208241398_hampshire-memorial-hospital-inc_standardcharges.csv · observed 2026-03-25

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,337 distinct procedures filed
10 distinct payers
274,765 rate rows
2026-03-25 last MRF observed
Data quality

272,641 of 274,765 rate rows are consumer-grade (99.2%)

2,124 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 1,454
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 658
placeholder amount (≤ $0.02) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.valleyhealthlink.com/app/files/public/811c265a-f05c-49e7-aff9-a71562bdd90e/Price%20Transparency/208241398_hampshire-memorial-hospital-inc_standardcharges.csv
Found on page https://valleyhealthlink.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch success · 2026-10-10
Content fingerprint 1b5f47d2aa25387a… · 123,988,903 bytes · first seen 2026-10-10

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
J7330
HCPCS 		Membrane Maci Auto Cultured 9 $50,761.07 $132,457.34 $91,018.65 nat. median
$75,000
1.2× median
C1712
HCPCS 		System Icd Dynagen El Dr Df4 9 $25,839.00 $67,425.00 $45,192.88 nat. median
$7,218
outlier · 6.3×
C1820
HCPCS 		Battery Prime Advanced MRI 9 $13,112.67 $157,437.00 $43,887.55 nat. median
$22,986
1.9× median
C1882
HCPCS 		Aicd, Other Than Sing/dual 9 $14,603.49 $89,140.50 $38,349.62 nat. median
$27,360
1.4× median
C1722
HCPCS 		Aicd, Single Chamber 9 $14,915.34 $102,300.00 $38,261.03 nat. median
$20,901
1.8× median
C1767
HCPCS 		Generator, Neuro Non-recharg 9 $954.26 $117,540.33 $36,465.88 nat. median
$23,896
1.5× median
C1721
HCPCS 		Aicd, Dual Chamber 9 $16,929.00 $82,049.25 $35,421.75 nat. median
$22,344
1.6× median
C2616
HCPCS 		Brachytx, Non-str,yttrium-90 10 $16,686.66 $55,364.62 $34,052.22 nat. median
$26,836
1.3× median
23472
CPT 		Reconstruct Shoulder Joint 10 $30,675.36 $30,675.36 $30,675.36 nat. median
$16,660
1.8× median
C9610
HCPCS 		Cath Coronary Drug-delivery 10 $16,109.28 $42,036.00 $30,496.44 nat. median
$9,888
outlier · 3.1×
C1772
HCPCS 		Infusion Pump, Programmable 9 $15,373.71 $44,528.40 $28,245.65 nat. median
$10,870
outlier · 2.6×
C2624
HCPCS 		System Cardio Mems Pa Sensor 8 $21,891.87 $57,125.25 $27,088.43 nat. median
$32,662
0.8× median
27130
CPT 		Total Hip Arthroplasty 10 $10,158.04 $22,299.38 $22,299.38 nat. median
$13,098
1.7× median
27447
CPT 		Total Knee Arthroplasty 10 $3,446.79 $20,948.11 $20,948.11 nat. median
$12,734
1.6× median
C1786
HCPCS 		Pmkr, Single, Rate-resp 9 $4,455.00 $66,123.00 $18,747.37 nat. median
$7,852
outlier · 2.4×
C2621
HCPCS 		Pmkr, Other Than Sing/dual 9 $8,419.95 $45,095.70 $18,649.45 nat. median
$10,636
1.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $17,560.29 $17,560.29 $17,560.29 nat. median
$45,430
outlier · 0.4×
988
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 $16,813.71 $16,813.71 $16,813.71 nat. median
$16,246
1.0× median
607
MS_DRG 		Minor Skin Disorders Without Mcc 1 $16,139.32 $16,139.32 $16,139.32 nat. median
$9,190
1.8× median
Q4130
HCPCS 		Matrix Tissue Strattice 10x16 10 $343.28 $81,560.21 $15,628.55 nat. median
$3,472
outlier · 4.5×
C1982
HCPCS 		Cath, Pressure,valve-occlu 9 $8,700.62 $22,703.63 $15,217.53 nat. median
$13,950
1.1× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 $14,919.78 $14,919.78 $14,919.78 nat. median
$19,252
0.8× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 $14,911.40 $14,911.40 $14,911.40 nat. median
$33,408
outlier · 0.4×
C1761
HCPCS 		Cath, Trans Intra Litho/coro 9 $6,147.90 $34,968.00 $14,200.20 nat. median
$7,682
1.8× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 $14,102.19 $14,102.19 $14,102.19 nat. median
$17,429
0.8× median
184
MS_DRG 		Major Chest Trauma With Cc 1 $13,867.95 $13,867.95 $13,867.95 nat. median
$10,699
1.3× median
565
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 $13,653.77 $13,653.77 $13,653.77 nat. median
$10,094
1.4× median
L8614
HCPCS 		Cochlear Device 9 $4,730.05 $50,409.20 $13,592.40 nat. median
$22,351
0.6× median
949
MS_DRG 		Aftercare With Cc/mcc 1 $13,313.86 $13,313.86 $13,313.86 nat. median
$11,796
1.1× median
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 1 $13,271.25 $13,271.25 $13,271.25 nat. median
$16,327
0.8× median
C1821
HCPCS 		Spacer Rise-l 18x60mm 3-15d 9 $7,353.42 $19,188.23 $12,861.27 nat. median
$3,538
outlier · 3.6×
23412
CPT 		Repair Rotator Cuff Chronic 10 $12,751.15 $12,751.15 $12,751.15 nat. median
$6,943
1.8× median
C1813
HCPCS 		Prosthesis, Penile, Inflatab 8 $2,420.74 $32,900.83 $12,735.81 nat. median
$10,463
1.2× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 1 $12,588.52 $12,588.52 $12,588.52 nat. median
$29,690
outlier · 0.4×
C1896
HCPCS 		Electrode Emblem S-icd 45cm 9 $7,128.00 $18,600.00 $12,467.00 nat. median
$5,296
outlier · 2.4×
68
MS_DRG 		Precerebral Occlusion Without Infarction Without Mcc 1 $12,143.56 $12,143.56 $12,143.56 nat. median
$9,206
1.3× median
604
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 $11,938.48 $11,938.48 $11,938.48 nat. median
$14,404
0.8× median
947
MS_DRG 		Signs And Symptoms With Mcc 1 $11,893.52 $11,893.52 $11,893.52 nat. median
$12,117
1.0× median
23410
CPT 		Repair Rotator Cuff Acute 10 $11,776.83 $11,776.83 $11,776.83 nat. median
$6,849
1.7× median
964
MS_DRG 		Other Multiple Significant Trauma With Cc 1 $11,493.93 $11,493.93 $11,493.93 nat. median
$14,937
0.8× median
313
MS_DRG 		Chest Pain 1 $11,443.84 $11,443.84 $11,443.84 nat. median
$7,723
1.5× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $11,361.67 $11,361.67 $11,361.67 nat. median
$18,284
0.6× median
E0749
HCPCS 		Stimulator Osteogen-20 8 $8,981.28 $23,664.50 $11,167.38 nat. median
$2,843
outlier · 3.9×
C1785
HCPCS 		Pmkr, Dual, Rate-resp 9 $4,971.78 $28,685.85 $11,104.20 nat. median
$6,720
1.7× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 1 $11,027.45 $11,027.45 $11,027.45 nat. median
$14,244
0.8× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 1 $11,021.34 $11,021.34 $11,021.34 nat. median
$15,388
0.7× median
29807
CPT 		Sho Arthrs Srg Rpr Slap Les 10 $10,913.77 $10,913.77 $10,913.77 nat. median
$7,098
1.5× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 1 $10,900.89 $10,900.89 $10,900.89 nat. median
$22,204
outlier · 0.5×
552
MS_DRG 		Medical Back Problems Without Mcc 1 $10,605.78 $10,605.78 $10,605.78 nat. median
$9,830
1.1× median
27630
CPT 		Removal Of Tendon Lesion 10 $10,540.95 $10,540.95 $10,540.95 nat. median
$3,267
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 2,337 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
             
J7330 HCPCS Membrane Maci Auto Cultured 30 9 $142,427.25 $99,699.08 30% off $50,761.07 $132,457.34 $91,018.65 2026-03-25
C1712 HCPCS System Icd Dynagen El Dr Df4 30 9 $72,500.00 $50,750.00 30% off $25,839.00 $67,425.00 $45,192.88 2026-03-25
C1820 HCPCS Battery Prime Advanced MRI 600 9 $62,393.62 $43,675.54 30% off $13,112.67 $157,437.00 $43,887.55 2026-03-25
C1882 HCPCS Aicd, Other Than Sing/dual 330 9 $75,000.00 $52,500.00 30% off $14,603.49 $89,140.50 $38,349.62 2026-03-25
C1722 HCPCS Aicd, Single Chamber 360 9 $60,937.50 $42,656.25 30% off $14,915.34 $102,300.00 $38,261.03 2026-03-25
C1767 HCPCS Generator, Neuro Non-recharg 930 9 $71,432.55 $50,002.79 30% off $954.26 $117,540.33 $36,465.88 2026-03-25
C1721 HCPCS Aicd, Dual Chamber 240 9 $55,987.50 $39,191.25 30% off $16,929.00 $82,049.25 $35,421.75 2026-03-25
C2616 HCPCS Brachytx, Non-str,yttrium-90 66 10 $59,531.85 $41,672.30 30% off $16,686.66 $55,364.62 $34,052.22 2026-03-25
23472 CPT Reconstruct Shoulder Joint 66 10 — — $30,675.36 $30,675.36 $30,675.36 2026-03-25
C9610 HCPCS Cath Coronary Drug-delivery 31 10 $45,200.00 $31,640.00 30% off $16,109.28 $42,036.00 $30,496.44 2026-03-25
C1772 HCPCS Infusion Pump, Programmable 60 9 $45,508.05 $31,855.64 30% off $15,373.71 $44,528.40 $28,245.65 2026-03-25
C2624 HCPCS System Cardio Mems Pa Sensor 26 8 $61,425.00 $42,997.50 30% off $21,891.87 $57,125.25 $27,088.43 2026-03-25
27130 CPT Total Hip Arthroplasty 132 10 — — $10,158.04 $22,299.38 $22,299.38 2026-03-25
27447 CPT Total Knee Arthroplasty 66 10 — — $3,446.79 $20,948.11 $20,948.11 2026-03-25
C1786 HCPCS Pmkr, Single, Rate-resp 330 9 $42,000.00 $29,400.00 30% off $4,455.00 $66,123.00 $18,747.37 2026-03-25
C2621 HCPCS Pmkr, Other Than Sing/dual 210 9 $37,500.00 $26,250.00 30% off $8,419.95 $45,095.70 $18,649.45 2026-03-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 — — $17,560.29 $17,560.29 $17,560.29 2026-03-25
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — — $16,813.71 $16,813.71 $16,813.71 2026-03-25
607 MS_DRG Minor Skin Disorders Without Mcc 2 1 — — $16,139.32 $16,139.32 $16,139.32 2026-03-25
Q4130 HCPCS Matrix Tissue Strattice 10x16 151 10 $28,069.65 $19,648.76 30% off $343.28 $81,560.21 $15,628.55 2026-03-25
C1982 HCPCS Cath, Pressure,valve-occlu 30 9 $24,412.50 $17,088.75 30% off $8,700.62 $22,703.63 $15,217.53 2026-03-25
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 — — $14,919.78 $14,919.78 $14,919.78 2026-03-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — — $14,911.40 $14,911.40 $14,911.40 2026-03-25
C1761 HCPCS Cath, Trans Intra Litho/coro 60 9 $27,425.00 $19,197.50 30% off $6,147.90 $34,968.00 $14,200.20 2026-03-25
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 1 — — $14,102.19 $14,102.19 $14,102.19 2026-03-25
184 MS_DRG Major Chest Trauma With Cc 2 1 — — $13,867.95 $13,867.95 $13,867.95 2026-03-25
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 2 1 — — $13,653.77 $13,653.77 $13,653.77 2026-03-25
L8614 HCPCS Cochlear Device 120 9 $26,711.59 $18,698.11 30% off $4,730.05 $50,409.20 $13,592.40 2026-03-25
949 MS_DRG Aftercare With Cc/mcc 2 1 — — $13,313.86 $13,313.86 $13,313.86 2026-03-25
70 MS_DRG Other Cerebrovascular Disorders With Mcc 2 1 — — $13,271.25 $13,271.25 $13,271.25 2026-03-25
C1821 HCPCS Spacer Rise-l 18x60mm 3-15d 30 9 $20,632.50 $14,442.75 30% off $7,353.42 $19,188.23 $12,861.27 2026-03-25
23412 CPT Repair Rotator Cuff Chronic 33 10 — — $12,751.15 $12,751.15 $12,751.15 2026-03-25
C1813 HCPCS Prosthesis, Penile, Inflatab 182 8 $27,171.90 $19,020.33 30% off $2,420.74 $32,900.83 $12,735.81 2026-03-25
500 MS_DRG Soft Tissue Procedures With Mcc 2 1 — — $12,588.52 $12,588.52 $12,588.52 2026-03-25
C1896 HCPCS Electrode Emblem S-icd 45cm 30 9 $20,000.00 $14,000.00 30% off $7,128.00 $18,600.00 $12,467.00 2026-03-25
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 2 1 — — $12,143.56 $12,143.56 $12,143.56 2026-03-25
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 2 1 — — $11,938.48 $11,938.48 $11,938.48 2026-03-25
947 MS_DRG Signs And Symptoms With Mcc 2 1 — — $11,893.52 $11,893.52 $11,893.52 2026-03-25
23410 CPT Repair Rotator Cuff Acute 33 10 — — $11,776.83 $11,776.83 $11,776.83 2026-03-25
964 MS_DRG Other Multiple Significant Trauma With Cc 2 1 — — $11,493.93 $11,493.93 $11,493.93 2026-03-25
313 MS_DRG Chest Pain 2 1 — — $11,443.84 $11,443.84 $11,443.84 2026-03-25
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $11,361.67 $11,361.67 $11,361.67 2026-03-25
E0749 HCPCS Stimulator Osteogen-20 52 8 $25,322.85 $17,726.00 30% off $8,981.28 $23,664.50 $11,167.38 2026-03-25
C1785 HCPCS Pmkr, Dual, Rate-resp 210 9 $17,500.00 $12,250.00 30% off $4,971.78 $28,685.85 $11,104.20 2026-03-25
884 MS_DRG Organic Disturbances And Intellectual Disability 2 1 — — $11,027.45 $11,027.45 $11,027.45 2026-03-25
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 1 — — $11,021.34 $11,021.34 $11,021.34 2026-03-25
29807 CPT Sho Arthrs Srg Rpr Slap Les 33 10 — — $10,913.77 $10,913.77 $10,913.77 2026-03-25
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 1 — — $10,900.89 $10,900.89 $10,900.89 2026-03-25
552 MS_DRG Medical Back Problems Without Mcc 2 1 — — $10,605.78 $10,605.78 $10,605.78 2026-03-25
27630 CPT Removal Of Tendon Lesion 33 10 — — $10,540.95 $10,540.95 $10,540.95 2026-03-25
866 MS_DRG Viral Illness Without Mcc 2 1 — — $10,436.64 $10,436.64 $10,436.64 2026-03-25
24685 CPT Optx Ulnar Fx Prox End W/fix 33 10 — — $10,387.51 $10,387.51 $10,387.51 2026-03-25
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 1 — — $10,249.56 $10,249.56 $10,249.56 2026-03-25
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 1 — — $10,161.15 $10,161.15 $10,161.15 2026-03-25
303 MS_DRG Atherosclerosis Without Mcc 2 1 — — $10,123.33 $10,123.33 $10,123.33 2026-03-25
C1817 HCPCS Septal Defect Imp Sys 156 8 $24,365.25 $17,055.67 30% off $390.68 $30,452.15 $9,965.59 2026-03-25
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 1 — — $9,733.71 $9,733.71 $9,733.71 2026-03-25
638 MS_DRG Diabetes With Cc 2 1 — — $9,720.51 $9,720.51 $9,720.51 2026-03-25
811 MS_DRG Red Blood Cell Disorders With Mcc 2 1 — — $9,665.15 $9,665.15 $9,665.15 2026-03-25
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 — — $9,607.57 $9,607.57 $9,607.57 2026-03-25
C1764 HCPCS Event Recorder, Cardiac 120 9 $15,427.12 $10,798.99 30% off $4,385.11 $22,529.25 $9,552.20 2026-03-25
C1895 HCPCS Lead, Aicd, Endo Dual Coil 90 9 $16,000.00 $11,200.00 30% off $4,989.60 $15,810.00 $9,445.80 2026-03-25
694 MS_DRG Urinary Stones Without Mcc 2 1 — — $9,330.52 $9,330.52 $9,330.52 2026-03-25
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 1 — — $9,287.42 $9,287.42 $9,287.42 2026-03-25
C1777 HCPCS Lead, Aicd, Endo Single Coil 120 9 $14,500.00 $10,150.00 30% off $4,918.32 $14,880.00 $9,231.43 2026-03-25
C1878 HCPCS Kit Depth Lead 30cm X 10mm 30 9 $14,710.50 $10,297.35 30% off $5,242.82 $13,680.77 $9,169.79 2026-03-25
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 1 — — $8,863.52 $8,863.52 $8,863.52 2026-03-25
Q4128 HCPCS Kit Flexhd 2pc Breast 8x16 397 10 $17,957.99 $12,570.59 30% off $46.10 $37,497.60 $8,790.59 2026-03-25
29879 CPT Arthrs Kne Srg Abrasj Arthrp 33 10 — — $3,403.08 $8,744.25 $8,744.25 2026-03-25
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 1 — — $8,741.33 $8,741.33 $8,741.33 2026-03-25
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 1 — — $8,699.93 $8,699.93 $8,699.93 2026-03-25
291 MS_DRG Heart Failure And Shock With Mcc 2 1 — — $8,699.65 $8,699.65 $8,699.65 2026-03-25
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 2 1 — — $8,686.36 $8,686.36 $8,686.36 2026-03-25
864 MS_DRG Fever And Inflammatory Conditions 2 1 — — $8,666.62 $8,666.62 $8,666.62 2026-03-25
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 2 1 — — $8,647.17 $8,647.17 $8,647.17 2026-03-25
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 1 — — $8,633.30 $8,633.30 $8,633.30 2026-03-25
176 MS_DRG Pulmonary Embolism Without Mcc 2 1 — — $8,579.26 $8,579.26 $8,579.26 2026-03-25
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 1 — — $8,570.75 $8,570.75 $8,570.75 2026-03-25
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 1 — — $8,548.03 $8,548.03 $8,548.03 2026-03-25
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 2 1 — — $8,531.47 $8,531.47 $8,531.47 2026-03-25
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 2 1 — — $8,418.25 $8,418.25 $8,418.25 2026-03-25
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 2 1 — — $8,393.61 $8,393.61 $8,393.61 2026-03-25
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 1 — — $8,308.46 $8,308.46 $8,308.46 2026-03-25
682 MS_DRG Renal Failure With Mcc 2 1 — — $8,302.40 $8,302.40 $8,302.40 2026-03-25
81223 CPT Hc Cftr Gene Analy Full Gene Seq 33 10 $19,250.00 $13,475.00 30% off $405.25 $17,902.50 $8,277.50 2026-03-25
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 1 — — $8,260.89 $8,260.89 $8,260.89 2026-03-25
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 1 — — $8,160.52 $8,160.52 $8,160.52 2026-03-25
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 1 — — $8,048.28 $8,048.28 $8,048.28 2026-03-25
603 MS_DRG Cellulitis Without Mcc 2 1 — — $7,957.31 $7,957.31 $7,957.31 2026-03-25
378 MS_DRG Gastrointestinal Hemorrhage With Cc 2 1 — — $7,915.65 $7,915.65 $7,915.65 2026-03-25
69 MS_DRG Transient Ischemia Without Thrombolytic 2 1 — — $7,860.14 $7,860.14 $7,860.14 2026-03-25
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 2 1 — — $7,634.56 $7,634.56 $7,634.56 2026-03-25
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 1 — — $7,632.40 $7,632.40 $7,632.40 2026-03-25
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 1 — — $7,620.60 $7,620.60 $7,620.60 2026-03-25
C1815 HCPCS Balloon Sphincter Urinary 120 9 $15,075.60 $10,552.92 30% off $1,507.56 $19,743.63 $7,604.49 2026-03-25
312 MS_DRG Syncope And Collapse 2 1 — — $7,488.15 $7,488.15 $7,488.15 2026-03-25
540 MS_DRG Osteomyelitis With Cc 2 1 — — $7,467.92 $7,467.92 $7,467.92 2026-03-25
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 1 — — $7,462.12 $7,462.12 $7,462.12 2026-03-25
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 1 — — $7,417.64 $7,417.64 $7,417.64 2026-03-25
683 MS_DRG Renal Failure With Cc 2 1 — — $7,387.20 $7,387.20 $7,387.20 2026-03-25
Q4104 HCPCS Drsg Bilayer Matrix Wound 2x2 143 10 $15,446.97 $10,812.88 30% off $74.30 $22,959.08 $7,292.43 2026-03-25
92 MS_DRG Other Disorders Of Nervous System With Cc 2 1 — — $7,243.17 $7,243.17 $7,243.17 2026-03-25
26615 CPT Treat Metacarpal Fracture 33 10 — — $7,226.98 $7,226.98 $7,226.98 2026-03-25
948 MS_DRG Signs And Symptoms Without Mcc 2 1 — — $7,161.80 $7,161.80 $7,161.80 2026-03-25
27814 CPT Treatment Of Ankle Fracture 33 10 — — $7,018.01 $7,018.01 $7,018.01 2026-03-25
202 MS_DRG Bronchitis And Asthma With Cc/mcc 2 1 — — $6,958.52 $6,958.52 $6,958.52 2026-03-25
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 2 1 — — $6,930.41 $6,930.41 $6,930.41 2026-03-25
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 1 — — $6,916.69 $6,916.69 $6,916.69 2026-03-25
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 1 — — $6,804.68 $6,804.68 $6,804.68 2026-03-25
101 MS_DRG Seizures Without Mcc 2 1 — — $6,775.48 $6,775.48 $6,775.48 2026-03-25
149 MS_DRG Dysequilibrium 2 1 — — $6,626.02 $6,626.02 $6,626.02 2026-03-25
J0517 HCPCS Benralizumab 30 Mg/ml Sc Wrap 66 10 $15,364.44 $10,755.11 30% off $254.25 $14,288.93 $6,606.71 2026-03-25
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 1 — — $6,604.85 $6,604.85 $6,604.85 2026-03-25
684 MS_DRG Renal Failure Without Cc/mcc 2 1 — — $6,584.38 $6,584.38 $6,584.38 2026-03-25
C1874 HCPCS Stent, Coated/cov W/del Sys 2,010 9 $12,875.00 $9,012.50 30% off $45.89 $56,218.50 $6,507.39 2026-03-25
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 1 — — $6,504.52 $6,504.52 $6,504.52 2026-03-25
C1778 HCPCS Lead, Neurostimulator 930 9 $13,190.63 $9,233.44 30% off $29.64 $27,004.13 $6,486.90 2026-03-25
71 MS_DRG Other Cerebrovascular Disorders With Cc 2 1 — — $6,423.12 $6,423.12 $6,423.12 2026-03-25
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $6,251.24 $6,251.24 $6,251.24 2026-03-25
A2008 HCPCS Drsg Bilayer Matrix 8.2cmx12cm 115 10 $8,688.36 $6,081.85 30% off $226.91 $22,942.52 $6,216.53 2026-03-25
C1885 HCPCS Cath, Translumin Angio Laser 104 8 $13,450.00 $9,415.00 30% off $2,975.05 $14,345.25 $6,124.20 2026-03-25
25447 CPT Arthrp Ntrcrp/crp/mtcr Ntrps 33 10 — — $2,382.12 $6,083.60 $6,083.60 2026-03-25
28124 CPT Partial Removal Of Toe 132 10 — — $6,017.04 $6,017.04 $6,017.04 2026-03-25
Q4114 HCPCS Drsg Flowable Wound Matrix 30 9 $13,595.81 $9,517.07 30% off $2,260.50 $12,644.10 $5,995.75 2026-03-25
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 2 1 — — $5,954.13 $5,954.13 $5,954.13 2026-03-25
28825 CPT Partial Amputation Of Toe 264 10 — — $5,895.60 $5,895.60 $5,895.60 2026-03-25
29880 CPT Arthrs Kne Srg Mnisectmy M&l 33 10 — — $5,796.73 $5,796.73 $5,796.73 2026-03-25
644 MS_DRG Endocrine Disorders With Cc 2 1 — — $5,765.77 $5,765.77 $5,765.77 2026-03-25
C1900 HCPCS Lead, Coronary Venous 156 8 $9,125.00 $6,387.50 30% off $2,673.00 $14,880.00 $5,760.00 2026-03-25
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 1 — — $5,734.31 $5,734.31 $5,734.31 2026-03-25
J2506 HCPCS Pegfilgrastim 6 Mg/0.6ml Sc Sosy 33 10 $13,113.58 $9,179.51 30% off $76.02 $12,195.63 $5,638.84 2026-03-25
23120 CPT Claviculectomy Partial 33 10 — — $5,447.11 $5,491.81 $5,491.81 2026-03-25
Q4107 HCPCS Graftjacket Std 4x7cm 59 10 $6,838.65 $4,787.06 30% off $128.94 $13,505.00 $5,430.81 2026-03-25
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $5,254.73 $5,254.73 $5,254.73 2026-03-25
81292 CPT Hc Mlh1 Gene Analy Full Seq Analy 33 10 $12,185.00 $8,529.50 30% off $741.65 $11,332.05 $5,239.55 2026-03-25
C1768 HCPCS Graft, Vascular 3,172 8 $10,938.38 $7,656.86 30% off $224.53 $93,744.00 $5,048.57 2026-03-25
637 MS_DRG Diabetes With Mcc 2 1 — — $5,004.24 $5,004.24 $5,004.24 2026-03-25
C1575 HCPCS Balloon Gateway Pta 1.5x15 30 9 $7,985.00 $5,589.50 30% off $2,845.85 $7,426.05 $4,977.45 2026-03-25
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 1 — — $4,925.39 $4,925.39 $4,925.39 2026-03-25
49592 CPT Rpr Aa Hrn 1st < 3 Ncr/strn 66 10 — — $4,882.70 $6,186.32 $4,882.70 2026-03-25
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 1 — — $4,741.06 $4,741.06 $4,741.06 2026-03-25
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 2 1 — — $4,728.49 $4,728.49 $4,728.49 2026-03-25
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 1 — — $4,688.86 $4,688.86 $4,688.86 2026-03-25
81295 CPT Hc Msh2 Gene Analy Full Seq Analy 33 10 $10,836.00 $7,585.20 30% off $405.25 $10,077.48 $4,659.48 2026-03-25
64718 CPT Revise Ulnar Nerve At Elbow 33 10 — — $2,129.87 $4,524.70 $4,524.70 2026-03-25
C1760 HCPCS Closure Dev, Vasc 390 9 $10,750.00 $7,525.00 30% off $93.88 $17,437.50 $4,500.00 2026-03-25
C9356 HCPCS Protector Tendon Tenoglide 2x2 52 8 $8,600.35 $6,020.25 30% off $2,470.55 $9,549.94 $4,472.04 2026-03-25
81407 CPT Hc Molecular Pathology Proc Level 8 36 10 $9,893.00 $6,925.10 30% off $741.65 $9,200.49 $4,308.40 2026-03-25
100 MS_DRG Seizures With Mcc 2 1 — — $4,267.36 $4,267.36 $4,267.36 2026-03-25
21552 CPT Hc Exc Soft Tis Neck/chest Sq >=3cm 33 10 $7,410.00 $5,187.00 30% off $2,640.92 $7,410.00 $4,238.52 2026-03-25
C2623 HCPCS Cath, Translumin, Drug-coat 702 8 $8,500.00 $5,950.00 30% off $364.86 $11,829.60 $4,161.60 2026-03-25
J3590 HCPCS Idarucizumab 2.5 Gm/50ml IV Soln 28 8 $7,392.89 $5,175.02 30% off $2,634.83 $6,875.39 $4,124.12 2026-03-25
20680 CPT Removal Of Implant Deep 99 10 — — $1,931.04 $4,119.80 $4,119.80 2026-03-25
78452 CPT Hc Cardiac Perf Spect Mult/ef/wm Rst/strs 132 10 $6,097.00 $4,267.90 30% off $1,252.56 $11,950.12 $4,113.65 2026-03-25
394 MS_DRG Other Digestive System Diagnoses With Cc 2 1 — — $4,048.41 $4,048.41 $4,048.41 2026-03-25
28899 CPT Unlisted Px Foot/toes 66 10 — — $2,326.37 $4,004.74 $4,004.74 2026-03-25
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 2 1 — — $3,966.78 $3,966.78 $3,966.78 2026-03-25
C1886 HCPCS Catheter, Ablation 130 8 $6,536.25 $4,575.38 30% off $1,832.35 $9,640.98 $3,918.59 2026-03-25
C1884 HCPCS Embolization Protect Syst 182 8 $6,307.45 $4,415.22 30% off $1,416.22 $15,568.20 $3,914.32 2026-03-25
951 MS_DRG Other Factors Influencing Health Status 2 1 — — $3,909.47 $3,909.47 $3,909.47 2026-03-25
C1724 HCPCS Cath, Trans Atherec,rotation 182 8 $8,797.95 $6,158.57 30% off $1,055.30 $10,786.42 $3,849.93 2026-03-25
81323 CPT Hc Pten Gene Dup/delet Variant 33 10 $8,844.00 $6,190.80 30% off $181.79 $8,224.92 $3,802.92 2026-03-25
J2426 HCPCS Paliperidone Palmitate ER 117 Mg/0.75ml IM Susy 61 10 $5,112.83 $3,578.98 30% off $21.48 $9,509.98 $3,783.49 2026-03-25
70549 CPT Hc MRA Neck Wwo IV Cont 99 10 $5,600.00 $3,920.00 30% off $703.41 $10,976.00 $3,778.32 2026-03-25
C1714 HCPCS Cath Crosser 14s (otw) 52 8 $7,536.38 $5,275.47 30% off $1,841.16 $9,213.28 $3,744.75 2026-03-25
C1732 HCPCS Cath, Ep, Diag/abl, 3d/vect 442 8 $7,377.30 $5,164.11 30% off $415.38 $11,937.71 $3,740.88 2026-03-25
Q4125 HCPCS Aflex Dermis 3.0x40x70 28 Unit 151 10 $8,434.13 $5,903.89 30% off $343.28 $11,675.02 $3,719.45 2026-03-25
C9359 HCPCS Filler Osteovatex 5cc=10unit 104 8 $8,032.50 $5,622.75 30% off $1,934.34 $7,909.65 $3,659.53 2026-03-25
305 MS_DRG Hypertension Without Mcc 2 1 — — $3,654.80 $3,654.80 $3,654.80 2026-03-25
81162 CPT Hc Brca 1&2 DNA Seq & Full Dup/del 66 10 $4,468.00 $3,127.60 30% off $1,592.40 $8,757.28 $3,613.13 2026-03-25
C1716 HCPCS Insert Rot Tibial Sz2 12.5 Gvf 33 10 $8,155.44 $5,708.81 30% off $357.31 $7,584.56 $3,596.54 2026-03-25
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 1 — — $3,568.84 $3,568.84 $3,568.84 2026-03-25
28113 CPT Part Removal Of Metatarsal 66 10 — — $3,523.99 $3,523.99 $3,523.99 2026-03-25
C1759 HCPCS Cath, Intra Echocardiography 78 8 $8,262.45 $5,783.72 30% off $1,566.11 $8,202.60 $3,521.24 2026-03-25
Q4100 HCPCS Tutopatch 10x12.5cm 240 9 $6,136.51 $4,295.57 30% off $829.87 $12,632.00 $3,514.14 2026-03-25
C1974 HCPCS Stent Synergy Xd Mr US 3.50x48 30 9 $5,600.00 $3,920.00 30% off $1,995.84 $5,208.00 $3,490.76 2026-03-25
81413 CPT Hc Cardiac Ion Chnnlpath Gnmc Seq Pnl 10 Gns 33 10 $8,114.00 $5,679.80 30% off $405.25 $7,546.02 $3,489.02 2026-03-25
81414 CPT Hc Cardiac Ion Chnnlpath Dplctn Pnl 2 Gns 33 10 $8,114.00 $5,679.80 30% off $405.25 $7,546.02 $3,489.02 2026-03-25
J3262 HCPCS Vh Tocilizumab 20 Mg/ml IV Soln 33 10 $8,099.41 $5,669.59 30% off $9.18 $7,532.45 $3,482.75 2026-03-25
Q4158 HCPCS Kerecis Omega3, Per Sq Cm 759 10 $5,166.00 $3,616.20 30% off $261.38 $33,352.36 $3,443.60 2026-03-25
C1733 HCPCS Cath, Ep, Othr Than Cool-tip 312 8 $7,261.25 $5,082.88 30% off $661.43 $32,224.50 $3,417.75 2026-03-25
C2618 HCPCS Probe Cryosphere+ 11in 8mm 26 8 $7,717.50 $5,402.25 30% off $2,750.52 $7,177.28 $3,403.42 2026-03-25
33016 CPT Hc Pericardiocentesis Wwo Imaging 33 10 $5,921.00 $4,144.70 30% off $1,390.68 $5,506.53 $3,386.81 2026-03-25
C2630 HCPCS Cath, Ep, Cool-tip 234 8 $5,355.00 $3,748.50 30% off $224.53 $24,754.28 $3,371.00 2026-03-25
11426 CPT Exc H-f-nk-sp B9+marg >4 Cm 33 10 — — $3,348.71 $4,415.64 $3,348.71 2026-03-25
51040 CPT Hc Cystostomy W/drainage 33 10 $5,807.00 $4,064.90 30% off $2,069.61 $5,766.28 $3,321.60 2026-03-25
54700 CPT Hc I&d Epididymis Testis/scrotal Space 33 10 $4,883.00 $3,418.10 30% off $1,740.30 $4,883.00 $3,294.56 2026-03-25
20650 CPT Hc Insert Wire/pin W/appl Skeletal Tract Sep Proc 33 10 $4,845.00 $3,391.50 30% off $1,726.76 $4,845.00 $3,268.92 2026-03-25
81415 CPT Hc Exome Sequence Analysis 33 10 $4,820.00 $3,374.00 30% off $1,717.85 $4,820.00 $3,252.05 2026-03-25
21931 CPT Exc Back Les Sc 3 Cm/> 33 10 — — $1,141.92 $3,102.07 $3,102.07 2026-03-25
Q4126 HCPCS Dermaspan 4cm-4cm 87 10 $6,930.00 $4,851.00 30% off $117.51 $8,202.60 $3,056.13 2026-03-25
C1052 HCPCS Hemostatic Agent, Gi, Topic 30 9 $4,882.50 $3,417.75 30% off $1,740.12 $4,540.73 $3,043.51 2026-03-25
26055 CPT Incise Finger Tendon Sheath 66 10 — — $1,169.28 $3,040.60 $3,040.60 2026-03-25
C1776 HCPCS Joint Device (implantable) 11,640 9 $5,511.87 $3,858.31 30% off $18.71 $473,430.64 $3,030.06 2026-03-25
C1889 HCPCS Implant/insert Device, Noc 2,310 9 $5,323.50 $3,726.45 30% off $68.48 $209,250.00 $3,024.39 2026-03-25
25000 CPT Incision Of Tendon Sheath 33 10 — — $3,006.68 $3,006.68 $3,006.68 2026-03-25
C1757 HCPCS Cath, Thrombectomy/embolect 1,326 8 $5,985.00 $4,189.50 30% off $37.05 $29,295.00 $2,951.95 2026-03-25
C1747 HCPCS Endo, Single, Urinary Tract 30 9 $4,725.00 $3,307.50 30% off $1,683.99 $4,394.25 $2,945.33 2026-03-25
C1763 HCPCS Conn Tiss, Non-human 390 9 $7,182.00 $5,027.40 30% off $71.85 $9,327.53 $2,904.25 2026-03-25
81419 CPT Hc Epilepsy Genomic Sequence Analysis Panel 33 10 $4,304.00 $3,012.80 30% off $1,533.95 $4,304.00 $2,903.91 2026-03-25
C9352 HCPCS Neuragen Nerve Guide, Per Cm 130 8 $4,614.91 $3,230.44 30% off $1,200.72 $8,454.54 $2,898.70 2026-03-25
11422 CPT Exc H-f-nk-sp B9+marg 1.1-2 33 10 — — $2,037.51 $2,850.22 $2,850.22 2026-03-25
36573 CPT Hc Ins Picc Wo Subq Prt/pmp W Image Guidnc 5yr> 33 10 $4,180.00 $2,926.00 30% off $1,489.75 $4,180.00 $2,820.25 2026-03-25
72156 CPT Hc MRI Cerv Spine Wwo IV Cont 66 10 $6,545.00 $4,581.50 30% off $555.00 $6,086.85 $2,814.35 2026-03-25
70553 CPT Hc MRI Brain Wwo IV Cont 132 10 $6,545.00 $4,581.50 30% off $277.50 $6,086.85 $2,814.35 2026-03-25
72158 CPT Hc MRI Lumb Spine Wwo IV Cont 99 10 $6,545.00 $4,581.50 30% off $277.50 $6,086.85 $2,814.35 2026-03-25
72157 CPT Hc MRI Thor Spine Wwo IV Cont 66 10 $6,545.00 $4,581.50 30% off $555.00 $6,086.85 $2,814.35 2026-03-25
C8908 HCPCS Hc MRI Breast Wwo IV Cont Bi 62 9 $6,363.00 $4,454.10 30% off $555.00 $5,917.59 $2,806.08 2026-03-25
51102 CPT Hc Incisn W/suprpb Cath 33 10 $6,335.00 $4,434.50 30% off $2,164.45 $5,891.55 $2,793.74 2026-03-25
31603 CPT Hc Tracheostomy Emerg Proc Transtracheal 33 10 $4,106.00 $2,874.20 30% off $1,463.38 $4,106.00 $2,770.32 2026-03-25
71552 CPT Hc MRI Chest Wwo IV Cont 66 10 $6,240.00 $4,368.00 30% off $555.00 $5,803.20 $2,751.84 2026-03-25
43248 CPT Egd Guide Wire Insertion 33 10 — — $2,716.39 $2,716.39 $2,716.39 2026-03-25
C1876 HCPCS Stent, Non-coa/non-cov W/del 1,248 8 $5,075.00 $3,552.50 30% off $718.50 $43,668.07 $2,715.93 2026-03-25
74183 CPT Hc MRI Abd Wwo IV Cont 66 10 $6,292.00 $4,404.40 30% off $555.00 $5,851.56 $2,705.56 2026-03-25
64721 CPT Carpal Tunnel Surgery 99 10 — — $1,169.28 $2,700.81 $2,700.81 2026-03-25
72197 CPT Hc MRI Pelvis Wwo IV Cont 66 10 $6,276.00 $4,393.20 30% off $555.00 $5,836.68 $2,698.68 2026-03-25
73223 CPT Hc MRI Upex Jt Wwo IV Cont 33 10 $6,275.00 $4,392.50 30% off $555.00 $5,835.75 $2,698.25 2026-03-25
73723 CPT Hc MRI Loex Jt Wwo IV Cont 99 10 $6,275.00 $4,392.50 30% off $555.00 $5,835.75 $2,698.25 2026-03-25
52332 CPT Hc Ureteral Stent Retro 33 10 $5,698.00 $3,988.60 30% off $2,030.77 $5,698.00 $2,691.00 2026-03-25
70543 CPT Hc MRI Orbit Fac&nck Wwo IV Cont 99 10 $6,257.00 $4,379.90 30% off $277.50 $5,819.01 $2,690.51 2026-03-25
40820 CPT Hc Destruc Lesn/scar Vestibule Mouth Physical Meths 33 10 $3,995.00 $2,796.50 30% off $1,423.82 $3,995.00 $2,665.16 2026-03-25
77047 CPT Hc MRI Breast Without Cont Bi 33 10 $6,185.00 $4,329.50 30% off $330.04 $5,752.05 $2,659.55 2026-03-25
C1727 HCPCS Balloon Oval Structural Trocar 26 8 $5,990.39 $4,193.27 30% off $2,134.97 $5,571.06 $2,641.76 2026-03-25
V2790 HCPCS Patch Sterishield Ii Dual 2x3 30 9 $4,235.43 $2,964.80 30% off $1,509.50 $3,938.95 $2,640.15 2026-03-25
Q4116 HCPCS Alloderm 4x7 Thin 311 10 $3,896.55 $2,727.59 30% off $46.67 $26,948.47 $2,629.00 2026-03-25
81321 CPT Hc Pten Gene Full Seq 33 10 $6,099.00 $4,269.30 30% off $741.65 $5,672.07 $2,622.57 2026-03-25
19083 CPT Hc Bx Breast Pq W/device Plc 1st Lesion US Guide 66 10 $3,855.00 $2,698.50 30% off $1,373.92 $3,855.00 $2,600.97 2026-03-25
Q4196 HCPCS Nushield 2x3cm 227 10 $3,937.50 $2,756.25 30% off $155.66 $46,725.53 $2,596.61 2026-03-25
C1787 HCPCS Kit Freelink Rmt Ctrl Sc5572-1 156 8 $4,520.25 $3,164.18 30% off $1,122.66 $75,112.38 $2,593.08 2026-03-25
53040 CPT Hc Drainage Deep Periurethral Abscess 33 10 $3,488.00 $2,441.60 30% off $1,243.12 $3,488.00 $2,581.12 2026-03-25
26020 CPT Hc Drng Tendon Shth Digit&/palm Ea 33 10 $3,731.00 $2,611.70 30% off $1,329.73 $3,731.00 $2,517.31 2026-03-25
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 1 — — $2,479.65 $2,479.65 $2,479.65 2026-03-25
C8929 HCPCS Hc Echo Tte 2d Comp W/ctrst W/clr/dplr 99 10 $3,660.00 $2,562.00 30% off $646.27 $7,173.60 $2,469.40 2026-03-25
C8920 HCPCS Hc MRA Pelvis Wwo IV Cont 31 9 $5,594.00 $3,915.80 30% off $703.41 $5,202.42 $2,466.95 2026-03-25
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 1 — — $2,454.74 $2,454.74 $2,454.74 2026-03-25
11403 CPT Exc Tr-ext B9+marg 2.1-3cm 33 10 — — $1,018.75 $2,442.29 $2,442.29 2026-03-25
67715 CPT Hc Canthotomy (separate Procedure) 33 10 $4,269.00 $2,988.30 30% off $1,521.47 $4,269.00 $2,441.87 2026-03-25
C1771 HCPCS Device Obtryx Ii Halo Sngl 180 9 $3,970.72 $2,779.50 30% off $825.16 $20,453.71 $2,429.09 2026-03-25
L8630 HCPCS Implant Silicone Mcp Sz 20 60 9 $3,977.82 $2,784.47 30% off $1,272.70 $4,077.72 $2,409.35 2026-03-25
70546 CPT Hc MRA Head Wwo IV Cont 66 10 $5,600.00 $3,920.00 30% off $703.41 $5,208.00 $2,408.00 2026-03-25
35226 CPT Hc Repair Blood Vessel Dir Lower Extr 33 10 $3,568.00 $2,497.60 30% off $1,271.64 $3,318.24 $2,407.33 2026-03-25
C2629 HCPCS Intro/sheath, Laser 52 8 $5,922.00 $4,145.40 30% off $336.80 $10,136.07 $2,381.62 2026-03-25
27654 CPT Repair Of Achilles Tendon 33 10 — — $2,311.30 $2,311.30 $2,311.30 2026-03-25
0250U CPT Hc Onc Sld Org Neo Trgt Gen Seq DNA Alys 505 Genes 33 10 $3,122.00 $2,185.40 30% off $1,112.68 $3,122.00 $2,310.28 2026-03-25
12047 CPT Hc Repair Intmd N/h/f/genit >30.0cm 33 10 $3,984.00 $2,788.80 30% off $539.27 $3,984.00 $2,278.85 2026-03-25
99291 CPT Hc E&m Cc 30-74min 62 10 $3,765.00 $2,635.50 30% off $1,341.85 $3,501.45 $2,278.58 2026-03-25
12037 CPT Hc Repair Intmd S/a/t/ext Excl Hands/feet >30.0 Cm 33 10 $3,976.00 $2,783.20 30% off $539.27 $3,976.00 $2,274.27 2026-03-25
21315 CPT Hc Tx Closed Nasal Fx W/manip Without Stabilize 33 10 $3,960.00 $2,772.00 30% off $669.87 $3,960.00 $2,265.12 2026-03-25
45380 CPT Colonoscopy And Biopsy 33 10 — — $2,260.21 $2,260.21 $2,260.21 2026-03-25
52281 CPT Hc Cysto Calibration Dilat Urtl Strix/stenosis 33 10 $3,947.00 $2,762.90 30% off $1,406.71 $3,947.00 $2,257.68 2026-03-25
L8693 HCPCS Impl Cochlear 4mm Mdl Bi300 27 9 $5,087.25 $3,561.08 30% off $1,813.10 $5,087.25 $2,243.48 2026-03-25
45381 CPT Colonoscopy Submucous Njx 33 10 — — $2,193.64 $2,193.64 $2,193.64 2026-03-25
36571 CPT Hc Ins Picad W Subq Port 5yr> 33 10 $3,245.00 $2,271.50 30% off $1,156.52 $3,245.00 $2,189.40 2026-03-25
53060 CPT Hc Drainage Of Skene's Gland Abscess Or Cyst 33 10 $3,231.00 $2,261.70 30% off $1,151.53 $3,231.00 $2,179.96 2026-03-25
Q4199 HCPCS Allograft Cygnus Matrix 4x4cm 87 10 $3,937.50 $2,756.25 30% off $343.28 $7,616.70 $2,173.50 2026-03-25
52310 CPT Hc Cystouret Removal Fb 33 10 $3,112.00 $2,178.40 30% off $1,109.12 $3,112.00 $2,164.45 2026-03-25
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 1 — — $2,145.39 $2,145.39 $2,145.39 2026-03-25
95811 CPT Hc Polysom 6yrs+ 4+prm Cpap/bipap 132 10 $3,732.00 $2,612.40 30% off $1,056.04 $3,470.76 $2,134.70 2026-03-25
C8905 HCPCS Hc MRI Breast Wwo IV Cont Uni 31 9 $4,814.00 $3,369.80 30% off $555.00 $4,477.02 $2,122.97 2026-03-25
Q4121 HCPCS Theraskin 1in X 1in 87 10 $2,819.25 $1,973.48 30% off $67.50 $8,210.04 $2,122.70 2026-03-25
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 2 1 — — $2,109.43 $2,109.43 $2,109.43 2026-03-25
28820 CPT Amputation Of Toe 231 10 — — $2,097.05 $4,259.75 $2,097.05 2026-03-25
74178 CPT Hc CT Abd-pel Wwo IV Cont 99 10 $4,859.00 $3,401.30 30% off $220.78 $4,518.87 $2,089.37 2026-03-25
C8911 HCPCS Hc MRA Chest Wwo IV Cont 31 9 $4,712.00 $3,298.40 30% off $703.41 $4,382.16 $2,077.99 2026-03-25
C8902 HCPCS Hc MRA Abd Wwo IV Cont 31 9 $4,712.00 $3,298.40 30% off $703.41 $4,382.16 $2,077.99 2026-03-25
C1789 HCPCS Prosthesis, Breast, Imp 240 9 $3,504.38 $2,453.07 30% off $449.06 $39,060.00 $2,069.55 2026-03-25
26160 CPT Hc Rmvl Lesion Tendon Sheath/jt Capsule 33 10 $3,587.00 $2,510.90 30% off $1,278.41 $3,587.00 $2,051.76 2026-03-25
C1880 HCPCS Vena Cava Filter 26 8 $4,649.95 $3,254.97 30% off $1,657.24 $4,324.45 $2,050.63 2026-03-25
27842 CPT Hc Clsd Tx Ankle Dislocatn With Anesth 33 10 $3,570.00 $2,499.00 30% off $1,272.35 $3,570.00 $2,042.04 2026-03-25
95810 CPT Hc Polysom 6yrs+ 4+prm 132 10 $3,560.00 $2,492.00 30% off $1,056.04 $3,310.80 $2,036.32 2026-03-25
73220 CPT Hc MRI Upex Nonjt Wwo IV Cont 66 10 $4,611.00 $3,227.70 30% off $555.00 $4,288.23 $2,033.45 2026-03-25
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 2 1 — — $2,028.66 $2,028.66 $2,028.66 2026-03-25
46320 CPT Hc Excision Thrombosed Hemorr Extrnl 33 10 $3,145.00 $2,201.50 30% off $1,120.88 $3,145.00 $2,025.66 2026-03-25
43239 CPT Egd Biopsy Single/multiple 33 10 — — $2,011.35 $2,011.35 $2,011.35 2026-03-25
C1781 HCPCS Mesh (implantable) 3,750 9 $3,316.95 $2,321.87 30% off $90.16 $75,361.39 $1,994.45 2026-03-25
77046 CPT Hc MRI Breast Without Cont Uni 33 10 $4,628.00 $3,239.60 30% off $330.04 $4,304.04 $1,990.04 2026-03-25
73720 CPT Hc MRI Loex Nonjt Wwo IV Cont 66 10 $4,611.00 $3,227.70 30% off $555.00 $4,288.23 $1,989.89 2026-03-25
87633 CPT Hc Infect Ag Na Resp Virus 12-25 Targets 66 10 $2,945.00 $2,061.50 30% off $204.38 $5,772.20 $1,986.99 2026-03-25
81372 CPT Hc Hla I Typing Low Res Comp 33 10 $4,609.00 $3,226.30 30% off $405.25 $4,286.37 $1,981.87 2026-03-25
C1762 HCPCS Conn Tiss, Human(inc Fascia) 1,980 9 $3,895.01 $2,726.51 30% off $115.63 $32,341.53 $1,980.13 2026-03-25
23065 CPT Hc Bx St Shoulder Superficial 33 10 $2,920.00 $2,044.00 30% off $1,040.69 $2,920.00 $1,970.12 2026-03-25
93306 CPT Hc Echo Tte 2d Comp Wo Ctrst W/clr/dplr 165 10 $2,874.00 $2,011.80 30% off $646.27 $5,633.04 $1,939.09 2026-03-25
45385 CPT Colonoscopy W/lesion Removal 33 10 — — $1,927.59 $1,927.59 $1,927.59 2026-03-25
33017 CPT Prcrd DRG 6yr+ Without Cgen Car 30 8 — — $1,919.95 $1,919.95 $1,919.95 2026-03-25
C9353 HCPCS Neurawrap Nerve Protector,cm 156 8 $3,902.45 $2,731.72 30% off $1,212.16 $4,461.54 $1,908.09 2026-03-25
Q4159 HCPCS Affinity Amntc Memb 1 Sq Cm 31 10 $4,252.50 $2,976.75 30% off $343.28 $3,954.83 $1,875.35 2026-03-25
C1753 HCPCS Cath, Intravas Ultrasound 182 8 $2,252.25 $1,576.58 30% off $534.39 $7,968.24 $1,854.06 2026-03-25
C1883 HCPCS Extension Neurostimulator 60cm 210 9 $3,150.00 $2,205.00 30% off $880.17 $4,312.22 $1,853.21 2026-03-25
71551 CPT Hc MRI Chest W IV Cont 33 10 $3,786.00 $2,650.20 30% off $555.00 $3,520.98 $1,851.05 2026-03-25
V2788 HCPCS Presbyopia-correct Function 90 9 $3,134.25 $2,193.98 30% off $982.33 $2,973.44 $1,844.24 2026-03-25
J2357 HCPCS Omalizumab 300 Mg/2ml Sc Soaj 356 10 $4,038.96 $2,827.27 30% off $59.19 $8,628.93 $1,843.77 2026-03-25
10009 CPT Hc Fna Bx W/ct Guid 1st Les 62 10 $2,727.00 $1,908.90 30% off $971.90 $2,536.11 $1,837.95 2026-03-25
36568 CPT Hc Ins Picc Wo Subq Prt/pmp Wo Image Guidnc <5yr 33 10 $3,775.00 $2,642.50 30% off $1,345.41 $3,775.00 $1,836.00 2026-03-25
36569 CPT Hc Ins Picc Wo Subq Prt/pmp Wo Image Guidnc 5yr> 33 10 $3,788.00 $2,651.60 30% off $1,350.04 $3,788.00 $1,836.00 2026-03-25
36555 CPT Hc Ins Non-tun Cv Cath<5yr 33 10 $3,788.00 $2,651.60 30% off $1,350.04 $3,788.00 $1,836.00 2026-03-25
36556 CPT Hc Ins Non-tun Cv Cath 5yr> 33 10 $3,776.00 $2,643.20 30% off $1,345.77 $3,776.00 $1,836.00 2026-03-25
62302 CPT Hc Myelography Via Inj W/s&i Cervical 33 10 $2,709.00 $1,896.30 30% off $766.83 $2,709.00 $1,827.76 2026-03-25
62303 CPT Hc Myelography Via Inj W/s&i Thoracic 33 10 $2,709.00 $1,896.30 30% off $766.83 $2,709.00 $1,827.76 2026-03-25
62305 CPT Hc Myelography Via Inj W/s&i 2+ Regions 33 10 $2,709.00 $1,896.30 30% off $766.83 $2,709.00 $1,827.76 2026-03-25
62304 CPT Hc Myelography Via Inj W/s&i Lumbosacral 33 10 $2,709.00 $1,896.30 30% off $766.83 $2,709.00 $1,827.76 2026-03-25
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