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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

Evanston Regional Hospital

Evanston, WY · CCN 530032 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $2,383 across 6 payers · range $1,855-$2,426

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbERHEVANSTONWY&type=CDMWithoutLabel&fileType=CSV · observed 2026-02-24

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.

2,723 distinct procedures filed
6 distinct payers
18,183 rate rows
2026-02-24 last MRF observed
Data quality

17,537 of 18,183 rate rows are consumer-grade (96.4%)

646 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-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 630
exceeds 3× this hospital's gross charge for a DRG stay — excluded 10
percent-of-charges filed in the dollar field — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbERHEVANSTONWY&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Evanston.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-17
Content fingerprint fbf48e5dd5084f0c… · 5,897,134 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 6 $64,196.21 $83,948.89 $82,467.44 nat. median
$22,969
outlier · 3.6×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $79,174.98 $79,174.98 $79,174.98 nat. median
$46,224
1.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $78,400.28 $78,400.28 $78,400.28 nat. median
$45,474
1.7× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $72,969.44 $72,969.44 $72,969.44 nat. median
$42,662
1.7× median
L8614
HCPCS 		Cochlear Device, Includes All Internal And External Components 6 $53,534.47 $70,006.62 $68,771.21 nat. median
$22,385
outlier · 3.1×
L8690
HCPCS 		Auditory Osseointegrated Device, Includes All Internal And External Components 6 $53,534.47 $70,006.62 $68,771.21 nat. median
$5,640
outlier · 12.2×
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 6 $52,798.82 $69,044.61 $67,826.18 nat. median
$23,881
outlier · 2.8×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $55,362.48 $55,362.48 $55,362.48 nat. median
$33,758
1.6× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 $48,152.05 $48,152.05 $48,152.05 nat. median
$29,492
1.6× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 1 $46,232.76 $46,232.76 $46,232.76 nat. median
$27,846
1.7× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 $45,564.43 $45,564.43 $45,564.43 nat. median
$27,642
1.6× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 $45,251.69 $45,251.69 $45,251.69 nat. median
$26,758
1.7× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 $44,003.91 $44,003.91 $44,003.91 nat. median
$25,358
1.7× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 1 $43,624.50 $43,624.50 $43,624.50 nat. median
$25,679
1.7× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 $40,260.59 $40,260.59 $40,260.59 nat. median
$23,553
1.7× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 $39,028.69 $39,028.69 $39,028.69 nat. median
$23,195
1.7× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 1 $38,055.55 $38,055.55 $38,055.55 nat. median
$22,965
1.7× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 1 $36,917.31 $36,917.31 $36,917.31 nat. median
$21,819
1.7× median
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 $33,996.31 $33,996.31 $33,996.31 nat. median
$20,398
1.7× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 $33,618.49 $33,618.49 $33,618.49 nat. median
$20,545
1.6× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 1 $33,475.61 $33,475.61 $33,475.61 nat. median
$20,323
1.6× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 1 $33,250.19 $33,250.19 $33,250.19 nat. median
$20,312
1.6× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 1 $33,102.55 $33,102.55 $33,102.55 nat. median
$19,970
1.7× median
E0749
HCPCS 		Osteogenesis Stimulator, Electrical, Surgically Implanted 6 $25,691.59 $33,596.70 $33,003.82 nat. median
$2,843
outlier · 11.6×
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 $31,853.19 $31,853.19 $31,853.19 nat. median
$18,778
1.7× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 $31,719.84 $31,719.84 $31,719.84 nat. median
$19,254
1.6× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 1 $31,673.80 $31,673.80 $31,673.80 nat. median
$19,340
1.6× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 1 $31,245.18 $31,245.18 $31,245.18 nat. median
$18,829
1.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $30,837.19 $30,837.19 $30,837.19 nat. median
$18,659
1.7× median
592
MS_DRG 		Skin Ulcers With Mcc 1 $30,722.89 $30,722.89 $30,722.89 nat. median
$18,752
1.6× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 1 $30,621.29 $30,621.29 $30,621.29 nat. median
$18,831
1.6× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 1 $29,959.30 $29,959.30 $29,959.30 nat. median
$17,877
1.7× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 $29,605.29 $29,605.29 $29,605.29 nat. median
$18,115
1.6× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 1 $29,067.13 $29,067.13 $29,067.13 nat. median
$17,357
1.7× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 1 $28,951.24 $28,951.24 $28,951.24 nat. median
$17,367
1.7× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 $28,490.86 $28,490.86 $28,490.86 nat. median
$17,437
1.6× median
199
MS_DRG 		Pneumothorax With Mcc 1 $28,005.09 $28,005.09 $28,005.09 nat. median
$16,770
1.7× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 1 $27,879.68 $27,879.68 $27,879.68 nat. median
$17,070
1.6× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 $27,703.46 $27,703.46 $27,703.46 nat. median
$15,491
1.8× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 $27,432.00 $27,432.00 $27,432.00 nat. median
$16,866
1.6× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 $26,854.15 $26,854.15 $26,854.15 nat. median
$16,459
1.6× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 1 $26,716.04 $26,716.04 $26,716.04 nat. median
$16,542
1.6× median
551
MS_DRG 		Medical Back Problems With Mcc 1 $26,608.09 $26,608.09 $26,608.09 nat. median
$16,106
1.7× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 1 $26,263.60 $26,263.60 $26,263.60 nat. median
$15,915
1.7× median
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 1 $26,185.81 $26,185.81 $26,185.81 nat. median
$14,846
1.8× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 1 $25,892.13 $25,892.13 $25,892.13 nat. median
$15,991
1.6× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 1 $25,879.43 $25,879.43 $25,879.43 nat. median
$15,979
1.6× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 1 $25,541.29 $25,541.29 $25,541.29 nat. median
$14,262
1.8× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 1 $25,465.09 $25,465.09 $25,465.09 nat. median
$15,670
1.6× median
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 1 $25,388.89 $25,388.89 $25,388.89 nat. median
$15,626
1.6× median

Other procedures at this hospital

Browse this hospital's 2,723 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 6 6 $98,763.40 $59,258.04 40% off $64,196.21 $83,948.89 $82,467.44 2026-02-24
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 $82,114.64 $49,268.78 40% off $79,174.98 $79,174.98 $79,174.98 2026-02-24
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 $38,170.80 $22,902.48 40% off $78,400.28 $78,400.28 $78,400.28 2026-02-24
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 $67,607.78 $40,564.67 40% off $72,969.44 $72,969.44 $72,969.44 2026-02-24
L8690 HCPCS Auditory Osseointegrated Device, Includes All Internal And External Components 6 6 $82,360.73 $49,416.44 40% off $53,534.47 $70,006.62 $68,771.21 2026-02-24
L8614 HCPCS Cochlear Device, Includes All Internal And External Components 6 6 $82,360.73 $49,416.44 40% off $53,534.47 $70,006.62 $68,771.21 2026-02-24
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 6 6 $81,228.95 $48,737.37 40% off $52,798.82 $69,044.61 $67,826.18 2026-02-24
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $70,108.52 $42,065.11 40% off $55,362.48 $55,362.48 $55,362.48 2026-02-24
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 $150,106.21 $90,063.73 40% off $48,152.05 $48,152.05 $48,152.05 2026-02-24
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 $59,270.94 $35,562.56 40% off $46,232.76 $46,232.76 $46,232.76 2026-02-24
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 $82,143.32 $49,285.99 40% off $45,564.43 $45,564.43 $45,564.43 2026-02-24
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 $35,105.33 $21,063.20 40% off $45,251.69 $45,251.69 $45,251.69 2026-02-24
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 $78,064.95 $46,838.97 40% off $44,003.91 $44,003.91 $44,003.91 2026-02-24
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 $109,395.70 $65,637.42 40% off $43,624.50 $43,624.50 $43,624.50 2026-02-24
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 $46,858.65 $28,115.19 40% off $40,260.59 $40,260.59 $40,260.59 2026-02-24
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 $21,251.56 $12,750.94 40% off $39,028.69 $39,028.69 $39,028.69 2026-02-24
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 $63,895.01 $38,337.01 40% off $38,055.55 $38,055.55 $38,055.55 2026-02-24
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 $50,513.05 $30,307.83 40% off $36,917.31 $36,917.31 $36,917.31 2026-02-24
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 $48,691.13 $29,214.68 40% off $33,996.31 $33,996.31 $33,996.31 2026-02-24
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 $65,134.19 $39,080.51 40% off $33,618.49 $33,618.49 $33,618.49 2026-02-24
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 $58,322.59 $34,993.55 40% off $33,475.61 $33,475.61 $33,475.61 2026-02-24
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 $75,891.82 $45,535.09 40% off $33,250.19 $33,250.19 $33,250.19 2026-02-24
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 $22,380.76 $13,428.46 40% off $33,102.55 $33,102.55 $33,102.55 2026-02-24
E0749 HCPCS Osteogenesis Stimulator, Electrical, Surgically Implanted 6 6 $39,525.53 $23,715.32 40% off $25,691.59 $33,596.70 $33,003.82 2026-02-24
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 1 $69,688.12 $41,812.87 40% off $31,853.19 $31,853.19 $31,853.19 2026-02-24
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 $55,357.71 $33,214.63 40% off $31,719.84 $31,719.84 $31,719.84 2026-02-24
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 $38,897.18 $23,338.31 40% off $31,673.80 $31,673.80 $31,673.80 2026-02-24
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 $31,076.70 $18,646.02 40% off $31,245.18 $31,245.18 $31,245.18 2026-02-24
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 $17,805.87 $10,683.52 40% off $30,837.19 $30,837.19 $30,837.19 2026-02-24
592 MS_DRG Skin Ulcers With Mcc 1 1 $40,158.32 $24,094.99 40% off $30,722.89 $30,722.89 $30,722.89 2026-02-24
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 $71,447.86 $42,868.71 40% off $30,621.29 $30,621.29 $30,621.29 2026-02-24
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 $13,494.04 $8,096.42 40% off $29,959.30 $29,959.30 $29,959.30 2026-02-24
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 $19,954.99 $11,972.99 40% off $29,605.29 $29,605.29 $29,605.29 2026-02-24
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 $22,578.82 $13,547.29 40% off $29,067.13 $29,067.13 $29,067.13 2026-02-24
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 $19,272.98 $11,563.79 40% off $28,951.24 $28,951.24 $28,951.24 2026-02-24
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 $19,801.65 $11,880.99 40% off $28,490.86 $28,490.86 $28,490.86 2026-02-24
199 MS_DRG Pneumothorax With Mcc 1 1 $15,484.67 $9,290.80 40% off $28,005.09 $28,005.09 $28,005.09 2026-02-24
91 MS_DRG Other Disorders Of Nervous System With Mcc 1 1 $43,218.10 $25,930.86 40% off $27,879.68 $27,879.68 $27,879.68 2026-02-24
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 $20,858.18 $12,514.91 40% off $27,703.46 $27,703.46 $27,703.46 2026-02-24
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 $26,529.03 $15,917.42 40% off $27,432.00 $27,432.00 $27,432.00 2026-02-24
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 1 $28,030.60 $16,818.36 40% off $26,854.15 $26,854.15 $26,854.15 2026-02-24
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 1 1 $39,533.97 $23,720.38 40% off $26,716.04 $26,716.04 $26,716.04 2026-02-24
551 MS_DRG Medical Back Problems With Mcc 1 1 $37,242.37 $22,345.42 40% off $26,608.09 $26,608.09 $26,608.09 2026-02-24
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 $16,049.50 $9,629.70 40% off $26,263.60 $26,263.60 $26,263.60 2026-02-24
786 MS_DRG Cesarean Section Without Sterilization With Mcc 1 1 $30,290.08 $18,174.05 40% off $26,185.81 $26,185.81 $26,185.81 2026-02-24
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 1 1 $45,260.78 $27,156.47 40% off $25,892.13 $25,892.13 $25,892.13 2026-02-24
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 1 1 $13,915.39 $8,349.23 40% off $25,879.43 $25,879.43 $25,879.43 2026-02-24
884 MS_DRG Organic Disturbances And Intellectual Disability 1 1 $13,754.44 $8,252.66 40% off $25,541.29 $25,541.29 $25,541.29 2026-02-24
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 $20,222.46 $12,133.47 40% off $25,465.09 $25,465.09 $25,465.09 2026-02-24
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 $10,535.51 $6,321.31 40% off $25,388.89 $25,388.89 $25,388.89 2026-02-24
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 1 1 $13,462.00 $8,077.20 40% off $24,898.35 $24,898.35 $24,898.35 2026-02-24
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 $12,719.31 $7,631.58 40% off $24,807.86 $24,807.86 $24,807.86 2026-02-24
186 MS_DRG Pleural Effusion With Mcc 1 1 $19,004.29 $11,402.57 40% off $24,741.19 $24,741.19 $24,741.19 2026-02-24
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 $23,118.37 $13,871.02 40% off $24,504.65 $24,504.65 $24,504.65 2026-02-24
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 1 $28,817.74 $17,290.64 40% off $24,395.11 $24,395.11 $24,395.11 2026-02-24
398 MS_DRG Appendix Procedures With Cc 1 1 $43,995.64 $26,397.38 40% off $24,028.40 $24,028.40 $24,028.40 2026-02-24
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 1 1 $13,841.85 $8,305.11 40% off $23,604.54 $23,604.54 $23,604.54 2026-02-24
682 MS_DRG Renal Failure With Mcc 1 1 $17,387.01 $10,432.21 40% off $23,510.88 $23,510.88 $23,510.88 2026-02-24
637 MS_DRG Diabetes With Mcc 1 1 $22,028.77 $13,217.26 40% off $22,807.61 $22,807.61 $22,807.61 2026-02-24
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 $20,856.89 $12,514.13 40% off $22,618.70 $22,618.70 $22,618.70 2026-02-24
L8680 HCPCS Implantable Neurostimulator Electrode, Each 6 6 $26,866.18 $16,119.71 40% off $17,463.02 $22,836.25 $22,433.26 2026-02-24
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 $31,626.37 $18,975.82 40% off $22,293.26 $22,293.26 $22,293.26 2026-02-24
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 1 1 $34,142.88 $20,485.73 40% off $22,191.66 $22,191.66 $22,191.66 2026-02-24
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 $21,475.53 $12,885.32 40% off $21,805.90 $21,805.90 $21,805.90 2026-02-24
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 1 1 $25,665.66 $15,399.40 40% off $21,366.16 $21,366.16 $21,366.16 2026-02-24
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 $21,458.43 $12,875.06 40% off $21,202.65 $21,202.65 $21,202.65 2026-02-24
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 $15,170.35 $9,102.21 40% off $20,866.10 $20,866.10 $20,866.10 2026-02-24
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 1 1 $24,682.80 $14,809.68 40% off $20,839.11 $20,839.11 $20,839.11 2026-02-24
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $15,349.75 $9,209.85 40% off $20,380.33 $20,380.33 $20,380.33 2026-02-24
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 1 $17,832.43 $10,699.46 40% off $20,134.26 $20,134.26 $20,134.26 2026-02-24
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 $18,369.67 $11,021.80 40% off $19,611.98 $19,611.98 $19,611.98 2026-02-24
64628 HCPCS Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower … 6 6 $22,278.90 $13,367.34 40% off $14,481.29 $18,937.07 $18,602.89 2026-02-24
C9364 HCPCS Porcine Implant, Permacol, Per Square Centimeter 6 6 $22,156.44 $13,293.86 40% off $14,401.69 $18,832.97 $18,500.62 2026-02-24
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 $12,985.62 $7,791.37 40% off $18,419.76 $18,419.76 $18,419.76 2026-02-24
399 MS_DRG Appendix Procedures Without Cc/mcc 1 1 $20,558.15 $12,334.89 40% off $18,172.11 $18,172.11 $18,172.11 2026-02-24
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 1 $26,465.86 $15,879.52 40% off $17,876.84 $17,876.84 $17,876.84 2026-02-24
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 1 1 $11,475.93 $6,885.56 40% off $17,584.74 $17,584.74 $17,584.74 2026-02-24
381 MS_DRG Complicated Peptic Ulcer With Cc 1 1 $10,374.63 $6,224.78 40% off $17,200.56 $17,200.56 $17,200.56 2026-02-24
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 $58,248.19 $34,948.91 40% off $16,946.56 $16,946.56 $16,946.56 2026-02-24
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 $12,438.48 $7,463.09 40% off $16,363.95 $16,363.95 $16,363.95 2026-02-24
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 1 $9,831.88 $5,899.13 40% off $16,244.89 $16,244.89 $16,244.89 2026-02-24
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 $15,043.49 $9,026.09 40% off $16,208.38 $16,208.38 $16,208.38 2026-02-24
C1763 HCPCS Connective Tissue, Non-human (includes Synthetic) 60 6 $22,120.21 $13,272.12 40% off $2,272.15 $84,892.05 $16,147.59 2026-02-24
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 $8,020.48 $4,812.29 40% off $16,113.13 $16,113.13 $16,113.13 2026-02-24
202 MS_DRG Bronchitis And Asthma With Cc/mcc 1 1 $15,302.97 $9,181.78 40% off $15,417.80 $15,417.80 $15,417.80 2026-02-24
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 1 1 $13,509.15 $8,105.49 40% off $15,324.14 $15,324.14 $15,324.14 2026-02-24
315 MS_DRG Other Circulatory System Diagnoses With Cc 1 1 $24,583.04 $14,749.82 40% off $15,292.39 $15,292.39 $15,292.39 2026-02-24
552 MS_DRG Medical Back Problems Without Mcc 1 1 $23,228.92 $13,937.35 40% off $15,260.64 $15,260.64 $15,260.64 2026-02-24
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 1 1 $23,045.08 $13,827.05 40% off $15,220.95 $15,220.95 $15,220.95 2026-02-24
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 1 1 $18,411.50 $11,046.90 40% off $15,205.08 $15,205.08 $15,205.08 2026-02-24
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 1 1 $12,147.81 $7,288.69 40% off $14,939.96 $14,939.96 $14,939.96 2026-02-24
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 $8,546.63 $5,127.98 40% off $14,854.24 $14,854.24 $14,854.24 2026-02-24
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 1 1 $16,997.00 $10,198.20 40% off $14,541.50 $14,541.50 $14,541.50 2026-02-24
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 $11,887.95 $7,132.77 40% off $14,216.06 $14,216.06 $14,216.06 2026-02-24
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 1 $11,209.06 $6,725.43 40% off $14,014.45 $14,014.45 $14,014.45 2026-02-24
683 MS_DRG Renal Failure With Cc 1 1 $10,657.23 $6,394.34 40% off $13,903.33 $13,903.33 $13,903.33 2026-02-24
312 MS_DRG Syncope And Collapse 1 1 $32,494.90 $19,496.94 40% off $13,836.65 $13,836.65 $13,836.65 2026-02-24
603 MS_DRG Cellulitis Without Mcc 1 1 $11,950.75 $7,170.45 40% off $13,825.54 $13,825.54 $13,825.54 2026-02-24
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 1 1 $8,193.80 $4,916.28 40% off $13,606.46 $13,606.46 $13,606.46 2026-02-24
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 1 1 $18,776.58 $11,265.95 40% off $13,354.05 $13,354.05 $13,354.05 2026-02-24
103 MS_DRG Headaches Without Mcc 1 1 $6,538.39 $3,923.03 40% off $13,276.26 $13,276.26 $13,276.26 2026-02-24
C1778 HCPCS Lead, Neurostimulator (implantable) 6 6 $15,600.00 $9,360.00 40% off $10,140.00 $13,260.00 $13,026.00 2026-02-24
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 1 1 $19,932.21 $11,959.33 40% off $12,850.81 $12,850.81 $12,850.81 2026-02-24
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 $20,347.29 $12,208.37 40% off $12,793.66 $12,793.66 $12,793.66 2026-02-24
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 $19,243.34 $11,546.00 40% off $12,779.38 $12,779.38 $12,779.38 2026-02-24
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 1 1 $17,494.40 $10,496.64 40% off $12,709.53 $12,709.53 $12,709.53 2026-02-24
948 MS_DRG Signs And Symptoms Without Mcc 1 1 $15,768.90 $9,461.34 40% off $12,707.94 $12,707.94 $12,707.94 2026-02-24
69 MS_DRG Transient Ischemia Without Thrombolytic 1 1 $27,463.34 $16,478.00 40% off $12,680.95 $12,680.95 $12,680.95 2026-02-24
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 $12,470.84 $7,482.50 40% off $12,538.08 $12,538.08 $12,538.08 2026-02-24
52441 HCPCS Insertion Of Implant In Urethra Within Prostate Gland Using An Endoscope, 1 Impl… 6 6 $14,826.08 $8,895.65 40% off $9,636.95 $12,602.17 $12,379.78 2026-02-24
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 1 $12,316.02 $7,389.61 40% off $12,376.15 $12,376.15 $12,376.15 2026-02-24
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 1 1 $11,481.14 $6,888.68 40% off $12,353.93 $12,353.93 $12,353.93 2026-02-24
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 1 1 $12,328.03 $7,396.82 40% off $11,969.75 $11,969.75 $11,969.75 2026-02-24
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 1 1 $11,073.95 $6,644.37 40% off $11,679.24 $11,679.24 $11,679.24 2026-02-24
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 1 1 $4,171.94 $2,503.16 40% off $11,479.21 $11,479.21 $11,479.21 2026-02-24
538 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc 1 1 $9,734.86 $5,840.92 40% off $11,434.76 $11,434.76 $11,434.76 2026-02-24
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 1 1 $24,389.19 $14,633.51 40% off $10,864.85 $10,864.85 $10,864.85 2026-02-24
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 1 1 $11,960.19 $7,176.11 40% off $10,702.93 $10,702.93 $10,702.93 2026-02-24
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 1 1 $11,826.30 $7,095.78 40% off $10,302.88 $10,302.88 $10,302.88 2026-02-24
C1776 HCPCS Joint Device (implantable) 72 6 $13,564.53 $8,138.72 40% off $1,049.63 $38,250.00 $9,984.69 2026-02-24
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 1 1 $12,959.15 $7,775.49 40% off $9,864.73 $9,864.73 $9,864.73 2026-02-24
639 MS_DRG Diabetes Without Cc/mcc 1 1 $11,360.45 $6,816.27 40% off $9,861.55 $9,861.55 $9,861.55 2026-02-24
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 $20,324.94 $12,194.96 40% off $9,793.29 $9,793.29 $9,793.29 2026-02-24
81302 HCPCS Gene Analysis (methyl CpG Binding Protein 2) Full Sequence Analysis 6 6 $11,662.98 $6,997.79 40% off $7,580.94 $9,913.53 $9,738.58 2026-02-24
L8699 HCPCS Prosthetic Implant, Not Otherwise Specified 12 6 $13,188.14 $7,912.88 40% off $7,102.08 $13,132.50 $9,664.92 2026-02-24
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 1 1 $13,760.88 $8,256.53 40% off $8,986.84 $8,986.84 $8,986.84 2026-02-24
293 MS_DRG Heart Failure And Shock Without Cc/mcc 1 1 $11,366.41 $6,819.85 40% off $8,985.25 $8,985.25 $8,985.25 2026-02-24
951 MS_DRG Other Factors Influencing Health Status 1 1 $3,118.49 $1,871.09 40% off $8,826.50 $8,826.50 $8,826.50 2026-02-24
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 1 1 $12,474.46 $7,484.68 40% off $8,636.00 $8,636.00 $8,636.00 2026-02-24
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 12 6 $12,390.90 $7,434.54 40% off $3,695.64 $16,231.77 $8,622.65 2026-02-24
81413 HCPCS Test For Detecting Genes Associated With Heart Disease, Genomic Sequence Analysi… 6 6 $10,201.61 $6,120.97 40% off $6,631.05 $8,671.37 $8,518.35 2026-02-24
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 60 6 $9,571.28 $5,742.77 40% off $549.69 $60,392.33 $6,966.10 2026-02-24
1110806 CDM Operating Room Services - General Classification 6 6 $7,712.48 $4,627.49 40% off $5,013.11 $6,555.61 $6,439.92 2026-02-24
1110826 CDM Operating Room Services - General Classification 6 6 $7,712.48 $4,627.49 40% off $5,013.11 $6,555.61 $6,439.92 2026-02-24
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 6 6 $7,514.64 $4,508.78 40% off $4,884.52 $6,387.44 $6,274.72 2026-02-24
J2993 HCPCS Injection, Reteplase, 18.1 Mg 6 6 $7,511.30 $4,506.78 40% off $4,882.35 $6,384.61 $6,271.94 2026-02-24
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 6 6 $7,058.30 $4,234.98 40% off $4,587.90 $5,999.56 $5,893.69 2026-02-24
C1883 HCPCS Adapter/extension, Pacing Lead Or Neurostimulator Lead (implantable) 6 6 $6,757.58 $4,054.55 40% off $4,392.43 $5,743.94 $5,642.58 2026-02-24
1110825 CDM Operating Room Services - General Classification 6 6 $6,747.49 $4,048.49 40% off $4,385.87 $5,735.37 $5,634.15 2026-02-24
1110805 CDM Operating Room Services - General Classification 6 6 $6,747.49 $4,048.49 40% off $4,385.87 $5,735.37 $5,634.15 2026-02-24
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 6 6 $6,484.62 $3,890.77 40% off $4,215.00 $5,511.93 $5,414.66 2026-02-24
282813 CDM Labor Room/delivery - Delivery Room 6 6 $6,274.06 $3,764.44 40% off $4,078.14 $5,332.95 $5,238.84 2026-02-24
L8606 HCPCS Injectable Bulking Agent, Synthetic Implant, Urinary Tract, 1 Ml Syringe, Includ… 6 6 $6,100.18 $3,660.11 40% off $3,965.12 $5,185.15 $5,093.65 2026-02-24
C1771 HCPCS Repair Device, Urinary, Incontinence, With Sling Graft 6 6 $6,094.72 $3,656.83 40% off $3,961.57 $5,180.51 $5,089.09 2026-02-24
315164 CDM Room & Board - Other - Sterile Environment 6 6 $6,022.43 $3,613.46 40% off $3,914.58 $5,119.07 $5,028.73 2026-02-24
115164 CDM Room & Board - Other - Sterile Environment 6 6 $6,022.43 $3,613.46 40% off $3,914.58 $5,119.07 $5,028.73 2026-02-24
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 6 6 $5,885.67 $3,531.40 40% off $3,825.69 $5,002.82 $4,914.53 2026-02-24
95808 HCPCS Sleep Study In Sleep Lab 6 6 $5,885.67 $3,531.40 40% off $3,825.69 $5,002.82 $4,914.53 2026-02-24
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 6 6 $5,885.67 $3,531.40 40% off $3,825.69 $5,002.82 $4,914.53 2026-02-24
1110824 CDM Operating Room Services - General Classification 6 6 $5,784.36 $3,470.62 40% off $3,759.83 $4,916.71 $4,829.94 2026-02-24
1110804 CDM Operating Room Services - General Classification 6 6 $5,784.36 $3,470.62 40% off $3,759.83 $4,916.71 $4,829.94 2026-02-24
72128 HCPCS CT Scan Of Middle Spine Without Contrast 6 6 $5,772.05 $3,463.23 40% off $3,751.83 $4,906.24 $4,819.66 2026-02-24
335200 CDM Intensive Care Unit - General Classification 6 6 $5,734.25 $3,440.55 40% off $3,727.26 $4,874.11 $4,788.10 2026-02-24
315200 CDM Intensive Care Unit - General Classification 6 6 $5,734.25 $3,440.55 40% off $3,727.26 $4,874.11 $4,788.10 2026-02-24
1160134 CDM Gastro - Intestinal (gi) Services - General Classification 6 6 $5,733.97 $3,440.38 40% off $3,727.08 $4,873.87 $4,787.86 2026-02-24
1160114 CDM Gastro - Intestinal (gi) Services - General Classification 6 6 $5,733.97 $3,440.38 40% off $3,727.08 $4,873.87 $4,787.86 2026-02-24
72131 HCPCS CT Scan Of Lower Spine Without Contrast 6 6 $5,701.60 $3,420.96 40% off $3,706.04 $4,846.36 $4,760.84 2026-02-24
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 6 6 $5,672.24 $3,403.34 40% off $3,686.96 $4,821.40 $4,736.32 2026-02-24
70553 HCPCS MRI Scan Of Brain Before And After Contrast 6 6 $5,571.93 $3,343.16 40% off $3,621.75 $4,736.14 $4,652.56 2026-02-24
1110874 CDM Operating Room Services - General Classification 6 6 $5,459.00 $3,275.40 40% off $3,548.35 $4,640.15 $4,558.26 2026-02-24
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 12 6 $6,356.65 $3,813.98 40% off $2,754.50 $7,204.26 $4,555.59 2026-02-24
73720 HCPCS MRI Scan Of Leg Before And After Contrast 12 6 $6,356.65 $3,813.98 40% off $2,754.50 $7,204.26 $4,555.59 2026-02-24
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 6 6 $5,454.44 $3,272.66 40% off $3,545.39 $4,636.27 $4,554.45 2026-02-24
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 6 6 $5,439.05 $3,263.43 40% off $3,535.38 $4,623.19 $4,541.60 2026-02-24
75710 HCPCS Review By Radiologist Of Arm Or Leg Artery Image 6 6 $5,420.87 $3,252.52 40% off $3,523.57 $4,607.74 $4,526.42 2026-02-24
282812 CDM Labor Room/delivery - Delivery Room 6 6 $5,377.78 $3,226.67 40% off $3,495.56 $4,571.11 $4,490.44 2026-02-24
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 6 6 $5,373.23 $3,223.94 40% off $3,492.60 $4,567.25 $4,486.65 2026-02-24
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 6 6 $5,373.23 $3,223.94 40% off $3,492.60 $4,567.25 $4,486.65 2026-02-24
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 6 6 $5,288.86 $3,173.32 40% off $3,437.76 $4,495.53 $4,416.20 2026-02-24
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 6 6 $5,271.74 $3,163.04 40% off $3,426.63 $4,480.98 $4,401.90 2026-02-24
70552 HCPCS MRI Scan Of Brain With Contrast 6 6 $5,254.95 $3,152.97 40% off $3,415.72 $4,466.71 $4,387.89 2026-02-24
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 6 6 $5,207.76 $3,124.66 40% off $3,385.04 $4,426.60 $4,348.48 2026-02-24
73719 HCPCS MRI Scan Of Leg With Contrast 12 6 $6,034.21 $3,620.53 40% off $2,669.65 $6,767.08 $4,332.95 2026-02-24
C8908 HCPCS Magnetic Resonance Imaging Without Contrast Followed By With Contrast, Breast; B… 6 6 $5,134.43 $3,080.66 40% off $3,337.38 $4,364.27 $4,287.25 2026-02-24
282811 CDM Labor Room/delivery - Delivery Room 6 6 $5,124.69 $3,074.81 40% off $3,331.05 $4,355.99 $4,279.12 2026-02-24
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 12 6 $5,964.91 $3,578.94 40% off $2,584.77 $6,760.26 $4,274.84 2026-02-24
73718 HCPCS MRI Scan Of Leg Without Contrast 12 6 $5,964.91 $3,578.94 40% off $2,584.77 $6,760.26 $4,274.84 2026-02-24
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 6 6 $5,116.82 $3,070.09 40% off $3,325.93 $4,349.30 $4,272.55 2026-02-24
73220 HCPCS MRI Scan Of Arm Before And After Contrast 12 6 $5,953.60 $3,572.16 40% off $2,230.33 $7,204.54 $4,212.97 2026-02-24
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 6 6 $5,008.17 $3,004.90 40% off $3,255.31 $4,256.94 $4,181.82 2026-02-24
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 6 6 $5,008.17 $3,004.90 40% off $3,255.31 $4,256.94 $4,181.82 2026-02-24
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 6 6 $5,008.17 $3,004.90 40% off $3,255.31 $4,256.94 $4,181.82 2026-02-24
73722 HCPCS MRI Scan Of Leg Joint With Contrast 12 6 $5,758.39 $3,455.03 40% off $2,669.65 $6,298.19 $4,153.67 2026-02-24
70551 HCPCS MRI Scan Of Brain Without Contrast 6 6 $4,937.93 $2,962.76 40% off $3,209.65 $4,197.24 $4,123.17 2026-02-24
59412 HCPCS Turning Of Fetus Through External Manipulation 6 6 $4,918.30 $2,950.98 40% off $3,196.90 $4,180.56 $4,106.78 2026-02-24
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 12 6 $5,775.42 $3,465.25 40% off $2,230.33 $6,901.62 $4,097.15 2026-02-24
1110823 CDM Operating Room Services - General Classification 6 6 $4,821.17 $2,892.70 40% off $3,133.76 $4,097.99 $4,025.68 2026-02-24
1110803 CDM Operating Room Services - General Classification 6 6 $4,821.17 $2,892.70 40% off $3,133.76 $4,097.99 $4,025.68 2026-02-24
71260 HCPCS CT Scan Of Chest With Contrast 6 6 $4,809.66 $2,885.80 40% off $3,126.28 $4,088.21 $4,016.07 2026-02-24
77047 HCPCS MRI Scan Of Both Breasts Without Contrast 6 6 $4,776.21 $2,865.73 40% off $3,104.54 $4,059.78 $3,988.14 2026-02-24
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 6 6 $4,669.57 $2,801.74 40% off $3,035.22 $3,969.13 $3,899.09 2026-02-24
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 6 6 $4,669.57 $2,801.74 40% off $3,035.22 $3,969.13 $3,899.09 2026-02-24
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 12 6 $5,518.18 $3,310.90 40% off $1,999.81 $6,765.76 $3,894.48 2026-02-24
73218 HCPCS MRI Scan Of Arm Without Contrast 12 6 $5,514.60 $3,308.76 40% off $1,999.81 $6,759.68 $3,892.15 2026-02-24
95940 HCPCS Continuous Monitoring Of Nervous System During Operation, Each 15 Minutes 6 6 $4,635.00 $2,781.00 40% off $3,012.75 $3,939.75 $3,870.22 2026-02-24
72125 HCPCS CT Scan Of Upper Spine Without Contrast 6 6 $4,631.73 $2,779.04 40% off $3,010.62 $3,936.97 $3,867.49 2026-02-24
73219 HCPCS MRI Scan Of Arm With Contrast 12 6 $5,369.20 $3,221.52 40% off $2,163.53 $6,298.42 $3,822.84 2026-02-24
1160113 CDM Gastro - Intestinal (gi) Services - General Classification 6 6 $4,540.45 $2,724.27 40% off $2,951.29 $3,859.38 $3,791.28 2026-02-24
1160133 CDM Gastro - Intestinal (gi) Services - General Classification 6 6 $4,540.45 $2,724.27 40% off $2,951.29 $3,859.38 $3,791.28 2026-02-24
C1783 HCPCS Ocular Implant, Aqueous Drainage Assist Device 6 6 $4,508.83 $2,705.30 40% off $2,930.74 $3,832.51 $3,764.88 2026-02-24
72126 HCPCS CT Scan Of Upper Spine With Contrast 6 6 $4,488.55 $2,693.13 40% off $2,917.56 $3,815.27 $3,747.94 2026-02-24
73222 HCPCS MRI Scan Of Arm Joint With Contrast 12 6 $5,246.80 $3,148.08 40% off $2,163.53 $6,090.34 $3,743.27 2026-02-24
50590 HCPCS Shock Wave Crushing Of Kidney Stones 6 6 $4,429.00 $2,657.40 40% off $2,878.85 $3,764.65 $3,698.22 2026-02-24
99291 HCPCS Critical Care, First 30-74 Minutes 6 6 $4,424.94 $2,654.96 40% off $2,876.21 $3,761.20 $3,694.82 2026-02-24
72132 HCPCS CT Scan Of Lower Spine With Contrast 6 6 $4,418.41 $2,651.05 40% off $2,871.97 $3,755.65 $3,689.38 2026-02-24
71270 HCPCS CT Scan Of Chest Before And After Contrast 6 6 $4,409.86 $2,645.92 40% off $2,866.41 $3,748.38 $3,682.24 2026-02-24
L2580 HCPCS Addition To Lower Extremity, Pelvic Control, Pelvic Sling 6 6 $4,287.51 $2,572.51 40% off $2,786.88 $3,644.38 $3,580.07 2026-02-24
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 6 6 $4,135.09 $2,481.05 40% off $2,687.81 $3,514.83 $3,452.80 2026-02-24
355206 CDM Intensive Care Unit - Intermediate ICU 6 6 $4,105.98 $2,463.59 40% off $2,668.89 $3,490.08 $3,428.49 2026-02-24
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 6 6 $4,075.48 $2,445.29 40% off $2,649.06 $3,464.16 $3,403.02 2026-02-24
96413 HCPCS Administration Of Chemotherapy Into Vein, 1 Hour Or Less 6 6 $4,057.46 $2,434.48 40% off $2,637.35 $3,448.84 $3,387.98 2026-02-24
2811320 CDM Operating Room Services - General Classification 6 6 $4,022.01 $2,413.21 40% off $2,614.31 $3,418.71 $3,358.38 2026-02-24
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 6 6 $3,994.38 $2,396.63 40% off $2,596.35 $3,395.22 $3,335.30 2026-02-24
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 6 6 $3,924.30 $2,354.58 40% off $2,550.80 $3,335.66 $3,276.80 2026-02-24
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 6 6 $3,922.88 $2,353.73 40% off $2,549.87 $3,334.45 $3,275.61 2026-02-24
1110802 CDM Operating Room Services - General Classification 6 6 $3,856.24 $2,313.74 40% off $2,506.56 $3,277.80 $3,219.96 2026-02-24
1110822 CDM Operating Room Services - General Classification 6 6 $3,856.24 $2,313.74 40% off $2,506.56 $3,277.80 $3,219.96 2026-02-24
795 MS_DRG Normal Newborn 1 1 $4,052.88 $2,431.73 40% off $3,171.83 $3,171.83 $3,171.83 2026-02-24
74182 HCPCS MRI Scan Of Abdomen With Contrast 6 6 $3,791.39 $2,274.83 40% off $2,464.40 $3,222.68 $3,165.81 2026-02-24
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 6 6 $3,791.08 $2,274.65 40% off $2,464.20 $3,222.42 $3,165.56 2026-02-24
72196 HCPCS MRI Scan Of Pelvis With Contrast 6 6 $3,790.40 $2,274.24 40% off $2,463.76 $3,221.84 $3,164.99 2026-02-24
2811824 CDM US-brst Bx Loc Clp A 6 6 $3,789.74 $2,273.84 40% off $2,463.33 $3,221.28 $3,164.44 2026-02-24
93503 HCPCS Insertion Of Tube In Pulmonary Artery For Monitoring 6 6 $3,706.32 $2,223.79 40% off $2,409.11 $3,150.37 $3,094.77 2026-02-24
C1768 HCPCS Graft, Vascular 6 6 $3,702.78 $2,221.67 40% off $2,406.81 $3,147.36 $3,091.82 2026-02-24
1417091 CDM Stapler/reload 7 6 6 $3,670.23 $2,202.14 40% off $2,385.65 $3,119.70 $3,064.64 2026-02-24
72195 HCPCS MRI Scan Of Pelvis Without Contrast 6 6 $3,661.65 $2,196.99 40% off $2,380.07 $3,112.40 $3,057.48 2026-02-24
74181 HCPCS MRI Scan Of Abdomen Without Contrast 6 6 $3,659.91 $2,195.95 40% off $2,378.94 $3,110.92 $3,056.03 2026-02-24
165113 CDM Room & Board - Private (one Bed) - Pediatric 6 6 $3,625.26 $2,175.16 40% off $2,356.42 $3,081.47 $3,027.09 2026-02-24
81229 HCPCS Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 6 6 $3,616.09 $2,169.65 40% off $2,350.46 $3,073.68 $3,019.43 2026-02-24
C8914 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower… 12 6 $4,113.03 $2,467.82 40% off $2,213.97 $4,096.97 $3,014.08 2026-02-24
1160132 CDM Gastro - Intestinal (gi) Services - General Classification 6 6 $3,583.96 $2,150.38 40% off $2,329.57 $3,046.37 $2,992.61 2026-02-24
1160112 CDM Gastro - Intestinal (gi) Services - General Classification 6 6 $3,583.96 $2,150.38 40% off $2,329.57 $3,046.37 $2,992.61 2026-02-24
93351 HCPCS Ultrasound Of Heart With Continuous Electrocardiogram (ecg) During Rest, Exercis… 6 6 $3,536.34 $2,121.80 40% off $2,298.62 $3,005.89 $2,952.85 2026-02-24
64629 HCPCS Heat Destruction Of Intraosseous Basivertebral Nerve In Additional Bone Of Spine… 6 6 $3,527.49 $2,116.49 40% off $2,292.87 $2,998.37 $2,945.45 2026-02-24
72129 HCPCS CT Scan Of Middle Spine With Contrast 6 6 $3,506.68 $2,104.01 40% off $2,279.34 $2,980.68 $2,928.08 2026-02-24
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 6 6 $3,492.65 $2,095.59 40% off $2,270.22 $2,968.75 $2,916.36 2026-02-24
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 6 6 $3,492.65 $2,095.59 40% off $2,270.22 $2,968.75 $2,916.36 2026-02-24
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 6 6 $3,492.65 $2,095.59 40% off $2,270.22 $2,968.75 $2,916.36 2026-02-24
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 6 6 $3,492.65 $2,095.59 40% off $2,270.22 $2,968.75 $2,916.36 2026-02-24
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 6 6 $3,492.65 $2,095.59 40% off $2,270.22 $2,968.75 $2,916.36 2026-02-24
2811426 CDM Operating Room Services - General Classification 6 6 $3,490.65 $2,094.39 40% off $2,268.92 $2,967.05 $2,914.69 2026-02-24
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 6 6 $3,471.12 $2,082.67 40% off $2,256.23 $2,950.45 $2,898.39 2026-02-24
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 6 6 $3,436.98 $2,062.19 40% off $2,234.04 $2,921.43 $2,869.88 2026-02-24
395003 CDM Operating Room Services - General Classification 6 6 $3,419.62 $2,051.77 40% off $2,222.75 $2,906.68 $2,855.39 2026-02-24
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 6 6 $3,391.81 $2,035.09 40% off $2,204.68 $2,883.04 $2,832.16 2026-02-24
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 6 6 $3,385.22 $2,031.13 40% off $2,200.39 $2,877.44 $2,826.66 2026-02-24
1621627 CDM US-brst Bx Loc Clp 1 6 6 $3,368.67 $2,021.20 40% off $2,189.64 $2,863.37 $2,812.84 2026-02-24
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 6 6 $3,304.15 $1,982.49 40% off $2,147.70 $2,808.53 $2,758.97 2026-02-24
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 6 6 $3,258.45 $1,955.07 40% off $2,117.99 $2,769.68 $2,720.80 2026-02-24
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 6 6 $3,258.45 $1,955.07 40% off $2,117.99 $2,769.68 $2,720.80 2026-02-24
225207 CDM Intensive Care Unit - Intermediate ICU 6 6 $3,242.05 $1,945.23 40% off $2,107.33 $2,755.74 $2,707.11 2026-02-24
115207 CDM Intensive Care Unit - Intermediate ICU 6 6 $3,242.05 $1,945.23 40% off $2,107.33 $2,755.74 $2,707.11 2026-02-24
225206 CDM Intensive Care Unit - Intermediate ICU 6 6 $3,242.05 $1,945.23 40% off $2,107.33 $2,755.74 $2,707.11 2026-02-24
315206 CDM Intensive Care Unit - Intermediate ICU 6 6 $3,242.05 $1,945.23 40% off $2,107.33 $2,755.74 $2,707.11 2026-02-24
115206 CDM Intensive Care Unit - Intermediate ICU 6 6 $3,242.05 $1,945.23 40% off $2,107.33 $2,755.74 $2,707.11 2026-02-24
215206 CDM Intensive Care Unit - Intermediate ICU 6 6 $3,242.05 $1,945.23 40% off $2,107.33 $2,755.74 $2,707.11 2026-02-24
1414507 CDM Drill Bit/blade Lvl8 6 6 $3,223.92 $1,934.35 40% off $2,095.55 $2,740.33 $2,691.97 2026-02-24
2811471 CDM Operating Room Services - General Classification 6 6 $3,219.15 $1,931.49 40% off $2,092.45 $2,736.28 $2,687.99 2026-02-24
71552 HCPCS MRI Scan Of Chest Before And After Contrast 6 6 $3,213.52 $1,928.11 40% off $2,088.79 $2,731.49 $2,683.29 2026-02-24
C8902 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 6 6 $3,211.99 $1,927.19 40% off $2,087.79 $2,730.19 $2,682.01 2026-02-24
70488 HCPCS CT Scan Of Face Before And After Contrast 6 6 $3,196.48 $1,917.89 40% off $2,077.71 $2,717.01 $2,669.06 2026-02-24
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 6 6 $3,151.75 $1,891.05 40% off $2,048.64 $2,678.99 $2,631.72 2026-02-24
1217467 CDM Isoproter.2mg/ml 5ml 6 6 $3,095.86 $1,857.52 40% off $2,012.31 $2,631.48 $2,585.05 2026-02-24
95783 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (younger Than 6 Years) 6 6 $3,016.63 $1,809.98 40% off $1,960.81 $2,564.14 $2,518.89 2026-02-24
76380 HCPCS Limited Or Follow-up CT Scan 6 6 $2,944.54 $1,766.72 40% off $1,913.95 $2,502.86 $2,458.69 2026-02-24
245191 CDM Nursery - Other Nursery 6 6 $2,923.40 $1,754.04 40% off $1,900.21 $2,484.89 $2,441.04 2026-02-24
C1886 HCPCS Catheter, Extravascular Tissue Ablation, Any Modality (insertable) 6 6 $2,919.34 $1,751.60 40% off $1,897.57 $2,481.44 $2,437.65 2026-02-24
70450 HCPCS CT Scan Head Or Brain Without Contrast 6 6 $2,918.27 $1,750.96 40% off $1,896.88 $2,480.53 $2,436.76 2026-02-24
1110821 CDM Operating Room Services - General Classification 6 6 $2,893.08 $1,735.85 40% off $1,880.50 $2,459.12 $2,415.72 2026-02-24
1110801 CDM Operating Room Services - General Classification 6 6 $2,893.08 $1,735.85 40% off $1,880.50 $2,459.12 $2,415.72 2026-02-24
2811433 CDM Operating Room Services - General Classification 6 6 $2,870.71 $1,722.43 40% off $1,865.96 $2,440.10 $2,397.04 2026-02-24
81420 HCPCS Test For Detecting Genes Associated With Fetal Disease, Aneuploidy Genomic Seque… 6 6 $2,865.73 $1,719.44 40% off $1,862.72 $2,435.87 $2,392.89 2026-02-24
P9033 HCPCS Platelets, Leukocytes Reduced, Irradiated, Each Unit 6 6 $2,865.73 $1,719.44 40% off $1,862.72 $2,435.87 $2,392.89 2026-02-24
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 6 6 $2,854.21 $1,712.53 40% off $1,855.24 $2,426.08 $2,383.26 2026-02-24
C8912 HCPCS Magnetic Resonance Angiography With Contrast, Lower Extremity 12 6 $3,230.57 $1,938.35 40% off $1,738.95 $3,217.96 $2,367.40 2026-02-24
C8911 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest… 6 6 $2,790.95 $1,674.57 40% off $1,814.12 $2,372.31 $2,330.44 2026-02-24
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 6 6 $2,790.91 $1,674.55 40% off $1,814.09 $2,372.27 $2,330.41 2026-02-24
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 6 6 $2,790.91 $1,674.55 40% off $1,814.09 $2,372.27 $2,330.41 2026-02-24
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 6 6 $2,790.91 $1,674.55 40% off $1,814.09 $2,372.27 $2,330.41 2026-02-24
72192 HCPCS CT Scan Of Pelvis Without Contrast 6 6 $2,789.24 $1,673.54 40% off $1,813.01 $2,370.85 $2,329.01 2026-02-24
1110866 CDM Operating Room Services - General Classification 6 6 $2,781.00 $1,668.60 40% off $1,807.65 $2,363.85 $2,322.14 2026-02-24
C2629 HCPCS Introducer/sheath, Other Than Guiding, Other Than Intracardiac Electrophysiologi… 6 6 $2,760.26 $1,656.16 40% off $1,794.17 $2,346.22 $2,304.81 2026-02-24
74160 HCPCS CT Scan Of Abdomen With Contrast 6 6 $2,733.62 $1,640.17 40% off $1,776.85 $2,323.58 $2,282.57 2026-02-24
72193 HCPCS CT Scan Of Pelvis With Contrast 6 6 $2,732.59 $1,639.55 40% off $1,776.18 $2,322.70 $2,281.71 2026-02-24
2811828 CDM US-plc Loc Dvce Add 6 6 $2,729.32 $1,637.59 40% off $1,774.06 $2,319.92 $2,278.98 2026-02-24
215111 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 6 6 $2,725.85 $1,635.51 40% off $1,771.80 $2,316.97 $2,276.09 2026-02-24
215112 CDM Room & Board - Private (one Bed) - Obstetrics (ob) 6 6 $2,725.85 $1,635.51 40% off $1,771.80 $2,316.97 $2,276.09 2026-02-24
115120 CDM Room & Board - Semi-private (two Beds) - General Classification 6 6 $2,725.85 $1,635.51 40% off $1,771.80 $2,316.97 $2,276.09 2026-02-24
165110 CDM Room & Board - Private (one Bed) - General Classification 6 6 $2,725.85 $1,635.51 40% off $1,771.80 $2,316.97 $2,276.09 2026-02-24
115110 CDM Room & Board - Private (one Bed) - General Classification 6 6 $2,725.85 $1,635.51 40% off $1,771.80 $2,316.97 $2,276.09 2026-02-24
115111 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 6 6 $2,725.85 $1,635.51 40% off $1,771.80 $2,316.97 $2,276.09 2026-02-24
245173 CDM Nursery - Newborn - Level Iii 6 6 $2,725.85 $1,635.51 40% off $1,771.80 $2,316.97 $2,276.09 2026-02-24
315110 CDM Room & Board - Private (one Bed) - General Classification 6 6 $2,725.85 $1,635.51 40% off $1,771.80 $2,316.97 $2,276.09 2026-02-24
215122 CDM Room & Board - Semi-private (two Beds) - Obstetrics (ob) 6 6 $2,725.85 $1,635.51 40% off $1,771.80 $2,316.97 $2,276.09 2026-02-24
2811826 CDM Br-plc Loc Dvce Add 6 6 $2,721.72 $1,633.03 40% off $1,769.12 $2,313.46 $2,272.64 2026-02-24
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 6 6 $2,721.26 $1,632.76 40% off $1,768.82 $2,313.07 $2,272.25 2026-02-24
J1451 HCPCS Injection, Fomepizole, 15 Mg 6 6 $2,689.97 $1,613.98 40% off $1,748.48 $2,286.47 $2,246.12 2026-02-24
C1787 HCPCS Patient Programmer, Neurostimulator 6 6 $2,689.64 $1,613.78 40% off $1,748.27 $2,286.19 $2,245.85 2026-02-24
C8920 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi… 6 6 $2,685.76 $1,611.46 40% off $1,745.74 $2,282.90 $2,242.61 2026-02-24
J0897 HCPCS Injection, Denosumab, 1 Mg 6 6 $2,668.44 $1,601.06 40% off $1,734.49 $2,268.17 $2,228.14 2026-02-24
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