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

SOUTHEAST HEALTH MEDICAL CENTER

Dothan, AL · CCN 010001 · Rates published

7,138 distinct procedures filed
26 distinct payers
194,973 rate rows
2026-05-08 last MRF observed
Data quality

172,316 of 194,973 rate rows are consumer-grade (88.4%)

22,657 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 14,012
per-diem day rate — not a per-procedure price 4,512
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,872
exceeds 10× this hospital's gross charge — excluded from medians 261
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.southeasthealth.org/wp-content/uploads/636004476_Southeast-Health-Medical-Center-_standardcharges.csv
Found on page https://www.southeasthealth.org/financial-information-price-transparency/
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint b0dba188567b74e0… · 56,234,923 bytes · first seen 2026-11-03

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
018
OTHER 		15 $202,634.85 $610,142.95 $329,807.00 nat. median
$297,123
1.1× median
001
OTHER 		15 $149,042.30 $396,867.61 $214,523.03 nat. median
$214,523
1.0× median
927
OTHER 		15 $144,972.85 $302,977.44 $163,771.59 nat. median
$2
outlier · 96906.3×
003
OTHER 		15 $117,261.65 $301,214.54 $162,818.67 nat. median
$165,355
1.0× median
004
OTHER 		15 $80,850.00 $197,470.22 $106,740.66 nat. median
$118,265
0.9× median
007
OTHER 		15 $67,465.20 $184,790.93 $99,886.99 nat. median
$93,583
1.1× median
014
OTHER 		15 $63,034.95 $171,674.12 $92,796.82 nat. median
$85,837
1.1× median
002
OTHER 		15 $67,342.55 $162,021.17 $87,579.01 nat. median
$92,830
0.9× median
209
OTHER 		15 $83,106.13 $161,838.26 $87,480.14 nat. median
$5,722
outlier · 15.3×
426
OTHER 		14 $80,956.05 $157,651.27 $85,216.90 nat. median
$74,561
1.1× median
212
OTHER 		15 $59,238.85 $155,581.63 $84,098.18 nat. median
$78,761
1.1× median
005
OTHER 		15 $56,925.00 $147,652.16 $79,811.98 nat. median
$78,930
1.0× median
215
OTHER 		15 $56,181.40 $142,678.68 $77,123.61 nat. median
$75,013
1.0× median
216
OTHER 		15 $53,379.15 $140,227.80 $75,798.81 nat. median
$73,813
1.0× median
429
OTHER 		14 $66,422.66 $129,349.39 $69,918.59 nat. median
$62,705
1.1× median
850
OTHER 		15 $63,893.28 $124,423.75 $67,256.08 nat. median
$400
outlier · 168.2×
231
OTHER 		15 $44,633.60 $121,193.43 $65,509.96 nat. median
$67,297
1.0× median
456
OTHER 		15 $46,361.70 $120,820.60 $65,308.43 nat. median
$72,707
0.9× median
020
OTHER 		15 $46,488.20 $113,299.14 $61,242.78 nat. median
$71,035
0.9× median
219
OTHER 		15 $42,411.60 $110,618.94 $59,794.02 nat. median
$65,520
0.9× median
233
OTHER 		15 $42,897.80 $110,153.24 $59,542.29 nat. median
$61,143
1.0× median
957
OTHER 		15 $39,778.75 $109,797.30 $59,349.89 nat. median
$63,621
0.9× median
427
OTHER 		14 $53,483.08 $104,151.26 $56,297.98 nat. median
$48,922
1.2× median
010
OTHER 		15 $26,474.80 $103,547.70 $55,971.73 nat. median
$51,079
1.1× median
928
OTHER 		15 $38,058.35 $103,505.48 $55,948.91 nat. median
$2
outlier · 30407.0×
019
OTHER 		15 $43,964.25 $102,969.46 $55,659.17 nat. median
$51,413
1.1× median
275
OTHER 		15 $38,696.90 $102,910.34 $55,627.21 nat. median
$20,020
outlier · 2.8×
870
OTHER 		15 $38,306.95 $99,834.81 $53,964.76 nat. median
$724
outlier · 74.5×
268
OTHER 		15 $37,700.85 $99,357.84 $53,706.94 nat. median
$65,442
0.8× median
955
OTHER 		15 $33,496.10 $97,292.46 $52,590.52 nat. median
$61,896
0.8× median
317
OTHER 		15 $49,638.77 $96,664.98 $52,251.34 nat. median
$46,556
1.1× median
447
OTHER 		15 $49,603.38 $96,596.05 $52,214.08 nat. median
$53,412
1.0× median
217
OTHER 		15 $35,009.15 $95,100.47 $51,405.66 nat. median
$59,013
0.9× median
218
OTHER 		15 $31,331.85 $95,100.47 $51,405.66 nat. median
$48,723
1.1× median
573
OTHER 		15 $34,199.55 $94,764.20 $51,223.89 nat. median
$50,190
1.0× median
207
OTHER 		15 $37,994.00 $93,122.34 $50,336.40 nat. median
$64,908
0.8× median
266
OTHER 		15 $34,353.55 $88,812.88 $48,006.96 nat. median
$60,180
0.8× median
969
OTHER 		15 $37,799.30 $88,712.99 $47,952.97 nat. median
$245
outlier · 195.7×
232
OTHER 		15 $32,717.30 $87,887.14 $47,506.56 nat. median
$52,548
0.9× median
028
OTHER 		15 $33,143.55 $87,123.16 $47,093.60 nat. median
$44,210
1.1× median
276
OTHER 		15 $34,156.10 $87,099.24 $47,080.67 nat. median
$1,920
outlier · 24.5×
457
OTHER 		15 $33,414.15 $86,487.24 $46,749.86 nat. median
$51,221
0.9× median
790
OTHER 		15 $33,000.55 $86,211.50 $46,600.81 nat. median
$3,991
outlier · 11.7×
016
OTHER 		15 $33,973.50 $86,017.34 $46,495.86 nat. median
$46,630
1.0× median
235
OTHER 		15 $32,343.30 $85,157.70 $46,031.19 nat. median
$54,692
0.8× median
820
OTHER 		15 $33,256.85 $85,104.22 $46,002.28 nat. median
$325
outlier · 141.5×
430
OTHER 		14 $42,996.31 $83,729.65 $45,259.27 nat. median
$86
outlier · 528.3×
023
OTHER 		15 $31,178.40 $83,211.91 $44,979.41 nat. median
$44,979
1.0× median
213
OTHER 		15 $42,561.37 $82,882.66 $44,801.44 nat. median
$38,974
1.1× median
463
OTHER 		15 $31,150.35 $82,778.56 $44,745.17 nat. median
$44,740
1.0× median

Other procedures at this hospital

Browse this hospital's 7,138 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
             
001 OTHER — 17 15 — — $149,042.30 $396,867.61 $214,523.03 2026-05-08
002 OTHER — 17 15 — — $67,342.55 $162,021.17 $87,579.01 2026-05-08
003 OTHER — 17 15 — — $117,261.65 $301,214.54 $162,818.67 2026-05-08
004 OTHER — 17 15 — — $80,850.00 $197,470.22 $106,740.66 2026-05-08
005 OTHER — 17 15 — — $56,925.00 $147,652.16 $79,811.98 2026-05-08
006 OTHER — 17 15 — — $26,602.95 $67,829.90 $36,664.81 2026-05-08
007 OTHER — 17 15 — — $67,465.20 $184,790.93 $99,886.99 2026-05-08
008 OTHER — 17 15 — — $28,939.35 $81,443.36 $44,023.44 2026-05-08
010 OTHER — 17 15 — — $26,474.80 $103,547.70 $55,971.73 2026-05-08
011 OTHER — 17 15 — — $28,359.65 $79,325.93 $42,878.88 2026-05-08
012 OTHER — 17 15 — — $22,026.95 $61,906.72 $33,463.09 2026-05-08
013 OTHER — 17 15 — — $14,771.35 $43,135.45 $23,316.46 2026-05-08
014 OTHER — 17 15 — — $63,034.95 $171,674.12 $92,796.82 2026-05-08
016 OTHER — 17 15 — — $33,973.50 $86,017.34 $46,495.86 2026-05-08
017 OTHER — 17 15 — — $33,973.50 $79,019.25 $42,713.11 2026-05-08
018 OTHER — 17 15 — — $202,634.85 $610,142.95 $329,807.00 2026-05-08
019 OTHER — 17 15 — — $43,964.25 $102,969.46 $55,659.17 2026-05-08
020 OTHER — 17 15 — — $46,488.20 $113,299.14 $61,242.78 2026-05-08
021 OTHER — 17 15 — — $33,777.70 $77,070.65 $41,659.81 2026-05-08
022 OTHER — 17 15 — — $19,121.85 $47,294.34 $25,564.51 2026-05-08
023 OTHER — 17 15 — — $31,178.40 $83,211.91 $44,979.41 2026-05-08
0238T CPT Catheter Removal Of Plaque From Groin Artery; Accessed Through The Skin Or Open … 28 23 $30,041.32 $12,016.53 60% off $7,252.20 $32,510.98 $19,881.59 2026-05-08
024 OTHER — 17 15 — — $20,838.40 $57,628.26 $31,150.41 2026-05-08
025 OTHER — 17 15 — — $24,288.00 $66,559.47 $35,978.09 2026-05-08
026 OTHER — 17 15 — — $16,242.05 $46,334.80 $25,045.84 2026-05-08
027 OTHER — 17 15 — — $13,380.95 $38,085.95 $20,587.00 2026-05-08
028 OTHER — 17 15 — — $33,143.55 $87,123.16 $47,093.60 2026-05-08
029 OTHER — 17 15 — — $18,855.10 $50,589.38 $27,345.61 2026-05-08
030 OTHER — 17 15 — — $12,754.50 $33,475.45 $18,094.84 2026-05-08
031 OTHER — 17 15 — — $22,641.30 $65,628.07 $35,474.63 2026-05-08
034 OTHER — 17 15 — — $21,457.70 $57,048.58 $30,837.07 2026-05-08
035 OTHER — 17 15 — — $12,647.25 $36,223.18 $19,580.10 2026-05-08
037 OTHER — 17 15 — — $18,565.80 $48,908.10 $26,436.81 2026-05-08
040 OTHER — 17 15 — — $21,177.75 $56,914.94 $30,764.83 2026-05-08
041 OTHER — 17 15 — — $12,268.85 $33,524.70 $18,121.46 2026-05-08
056 OTHER — 17 15 — — $13,167.00 $35,274.91 $19,067.52 2026-05-08
061 OTHER — 17 15 — — $15,415.40 $41,381.00 $22,368.11 2026-05-08
082 OTHER — 17 15 — — $12,530.65 $34,747.31 $18,782.33 2026-05-08
085 OTHER — 17 15 — — $12,500.40 $34,554.58 $18,678.15 2026-05-08
094 OTHER — 17 15 — — $19,924.85 $52,106.05 $28,165.43 2026-05-08
095 OTHER — 17 15 — — $13,113.10 $38,878.08 $21,015.18 2026-05-08
096 OTHER — 17 15 — — $11,988.35 $38,878.08 $21,015.18 2026-05-08
097 OTHER — 17 15 — — $20,002.95 $53,406.06 $28,868.14 2026-05-08
098 OTHER — 17 15 — — $11,849.75 $34,878.18 $18,853.07 2026-05-08
113 OTHER — 17 15 — — $13,790.15 $35,668.87 $19,280.47 2026-05-08
140 OTHER — 17 15 — — $20,779.55 $62,600.34 $33,838.02 2026-05-08
141 OTHER — 17 15 — — $11,394.35 $33,277.08 $17,987.61 2026-05-08
143 OTHER — 17 15 — — $18,290.80 $55,302.59 $29,893.29 2026-05-08
163 OTHER — 17 15 — — $25,924.80 $65,646.36 $35,484.52 2026-05-08
164 OTHER — 17 15 — — $14,027.20 $38,101.45 $20,595.38 2026-05-08
166 OTHER — 17 15 — — $22,317.90 $55,177.36 $29,825.60 2026-05-08
173 OTHER — 17 15 — — $16,912.50 $44,466.40 $24,035.89 2026-05-08
207 OTHER — 17 15 — — $37,994.00 $93,122.34 $50,336.40 2026-05-08
208 OTHER — 17 15 — — $14,870.90 $41,262.83 $22,304.23 2026-05-08
209 OTHER — 15 15 — — $83,106.13 $161,838.26 $87,480.14 2026-05-08
212 OTHER — 17 15 — — $59,238.85 $155,581.63 $84,098.18 2026-05-08
213 OTHER — 15 15 — — $42,561.37 $82,882.66 $44,801.44 2026-05-08
215 OTHER — 17 15 — — $56,181.40 $142,678.68 $77,123.61 2026-05-08
216 OTHER — 17 15 — — $53,379.15 $140,227.80 $75,798.81 2026-05-08
217 OTHER — 17 15 — — $35,009.15 $95,100.47 $51,405.66 2026-05-08
218 OTHER — 17 15 — — $31,331.85 $95,100.47 $51,405.66 2026-05-08
219 OTHER — 17 15 — — $42,411.60 $110,618.94 $59,794.02 2026-05-08
220 OTHER — 17 15 — — $28,845.30 $77,619.36 $41,956.41 2026-05-08
221 OTHER — 17 15 — — $25,567.30 $73,502.66 $39,731.17 2026-05-08
22633 OTHER — 54 23 $17,730.57 $7,092.23 60% off $10,689.60 $48,121.90 $29,405.75 2026-05-08
228 OTHER — 17 15 — — $27,712.85 $72,197.03 $39,025.42 2026-05-08
22856 OTHER — 27 23 $18,044.91 $7,217.96 60% off $5,335.62 $31,096.04 $18,215.83 2026-05-08
229 OTHER — 17 15 — — $17,487.80 $46,901.81 $25,352.33 2026-05-08
231 OTHER — 17 15 — — $44,633.60 $121,193.43 $65,509.96 2026-05-08
232 OTHER — 17 15 — — $32,717.30 $87,887.14 $47,506.56 2026-05-08
233 OTHER — 17 15 — — $42,897.80 $110,153.24 $59,542.29 2026-05-08
234 OTHER — 17 15 — — $28,588.45 $79,446.96 $42,944.30 2026-05-08
23472 OTHER — 54 23 $49,365.19 $19,746.07 60% off $7,252.20 $31,096.04 $19,174.12 2026-05-08
235 OTHER — 17 15 — — $32,343.30 $85,157.70 $46,031.19 2026-05-08
236 OTHER — 17 15 — — $22,226.60 $61,524.04 $33,256.24 2026-05-08
239 OTHER — 17 15 — — $26,437.40 $71,835.44 $38,829.97 2026-05-08
240 OTHER — 17 15 — — $15,450.60 $42,695.10 $23,078.43 2026-05-08
242 OTHER — 17 15 — — $19,003.05 $47,511.02 $25,681.63 2026-05-08
245 OTHER — 17 15 — — $24,922.70 $66,780.32 $36,097.47 2026-05-08
250 OTHER — 17 15 — — $12,929.40 $33,296.76 $17,998.25 2026-05-08
252 OTHER — 17 15 — — $18,445.90 $51,668.48 $27,928.91 2026-05-08
253 OTHER — 17 15 — — $14,031.05 $39,108.82 $21,139.90 2026-05-08
255 OTHER — 17 15 — — $15,110.70 $40,541.08 $21,914.10 2026-05-08
258 OTHER — 17 15 — — $14,897.30 $46,797.71 $25,296.06 2026-05-08
260 OTHER — 17 15 — — $18,233.60 $48,355.19 $26,137.94 2026-05-08
263 OTHER — 17 15 — — $15,538.60 $45,606.03 $24,651.91 2026-05-08
264 OTHER — 17 15 — — $17,963.00 $49,590.45 $26,805.65 2026-05-08
265 OTHER — 17 15 — — $19,437.55 $53,496.12 $28,916.82 2026-05-08
266 OTHER — 17 15 — — $34,353.55 $88,812.88 $48,006.96 2026-05-08
267 OTHER — 17 15 — — $26,841.10 $69,571.69 $37,606.32 2026-05-08
268 OTHER — 17 15 — — $37,700.85 $99,357.84 $53,706.94 2026-05-08
269 OTHER — 17 15 — — $22,872.30 $62,008.06 $33,517.87 2026-05-08
270 OTHER — 17 15 — — $27,812.95 $76,824.43 $41,526.72 2026-05-08
271 OTHER — 17 15 — — $19,009.10 $52,625.19 $28,446.05 2026-05-08
272 OTHER — 17 15 — — $13,417.25 $38,509.43 $20,815.91 2026-05-08
273 OTHER — 17 15 — — $21,433.50 $60,633.44 $32,774.83 2026-05-08
274 OTHER — 17 15 — — $17,824.40 $48,902.46 $26,433.76 2026-05-08
275 OTHER — 17 15 — — $38,696.90 $102,910.34 $55,627.21 2026-05-08
276 OTHER — 17 15 — — $34,156.10 $87,099.24 $47,080.67 2026-05-08
277 OTHER — 17 15 — — $26,303.20 $67,569.62 $36,524.12 2026-05-08
278 OTHER — 17 15 — — $24,532.20 $80,903.13 $43,731.42 2026-05-08
279 OTHER — 17 15 — — $17,603.30 $53,330.08 $28,827.07 2026-05-08
286 OTHER — 17 15 — — $11,855.80 $33,723.10 $18,228.70 2026-05-08
288 OTHER — 17 15 — — $14,261.50 $40,664.89 $21,981.02 2026-05-08
317 OTHER — 16 15 — — $49,638.77 $96,664.98 $52,251.34 2026-05-08
318 OTHER — 15 15 — — $18,830.14 $36,669.22 $19,821.20 2026-05-08
319 OTHER — 17 15 — — $23,990.45 $65,380.42 $35,340.77 2026-05-08
320 OTHER — 17 15 — — $12,243.00 $36,431.40 $19,692.65 2026-05-08
321 OTHER — 17 15 — — $15,810.85 $40,870.29 $22,092.05 2026-05-08
323 OTHER — 17 15 — — $22,770.00 $63,474.06 $34,310.30 2026-05-08
324 OTHER — 17 15 — — $16,327.30 $46,922.88 $25,363.72 2026-05-08
325 OTHER — 17 15 — — $14,543.65 $47,758.64 $25,815.48 2026-05-08
326 OTHER — 17 15 — — $27,934.50 $72,759.80 $39,329.62 2026-05-08
327 OTHER — 17 15 — — $13,735.70 $36,978.74 $19,988.51 2026-05-08
329 OTHER — 17 15 — — $24,842.40 $67,260.14 $36,356.83 2026-05-08
330 OTHER — 17 15 — — $13,046.55 $36,317.46 $19,631.06 2026-05-08
332 OTHER — 17 15 — — $19,951.80 $53,531.27 $28,935.82 2026-05-08
33221 OTHER — 27 23 $52,913.22 $21,165.29 60% off $7,252.20 $34,160.42 $20,706.31 2026-05-08
33229 OTHER — 81 23 $54,746.92 $21,898.77 60% off $7,252.20 $34,160.42 $20,706.31 2026-05-08
33231 OTHER — 27 23 $20,704.84 $8,281.94 60% off $17,561.34 $55,667.83 $36,614.58 2026-05-08
33240 OTHER — 27 23 $30,402.95 $12,161.18 60% off $17,561.34 $39,448.75 $28,505.04 2026-05-08
33249 OTHER — 27 23 $92,471.31 $36,988.52 60% off $17,561.34 $55,667.83 $36,614.58 2026-05-08
33262 OTHER — 27 23 $68,135.44 $27,254.18 60% off $17,561.34 $39,448.75 $28,505.04 2026-05-08
33263 OTHER — 27 23 $68,135.44 $27,254.18 60% off $17,561.34 $39,448.75 $28,505.04 2026-05-08
33264 OTHER — 27 23 $94,971.92 $37,988.77 60% off $17,561.34 $55,667.83 $36,614.58 2026-05-08
33270 OTHER — 27 23 $95,245.45 $38,098.18 60% off $17,561.34 $55,667.83 $36,614.58 2026-05-08
33274 OTHER — 54 23 $47,009.72 $18,803.89 60% off $12,221.64 $34,160.42 $23,191.03 2026-05-08
333 OTHER — 17 15 — — $11,437.25 $35,543.66 $19,212.79 2026-05-08
335 OTHER — 17 15 — — $19,662.50 $52,830.64 $28,557.10 2026-05-08
344 OTHER — 17 15 — — $15,072.20 $38,928.72 $21,042.55 2026-05-08
347 OTHER — 17 15 — — $14,020.05 $34,888.02 $18,858.39 2026-05-08
350 OTHER — 17 15 — — $13,200.00 $37,649.83 $20,351.26 2026-05-08
353 OTHER — 17 15 — — $16,083.65 $43,419.65 $23,470.08 2026-05-08
356 OTHER — 17 15 — — $23,532.85 $64,394.19 $34,807.67 2026-05-08
357 OTHER — 17 15 — — $12,082.40 $35,308.69 $19,085.78 2026-05-08
359 OTHER — 15 15 — — $26,173.38 $50,969.22 $27,550.93 2026-05-08
360 OTHER — 15 15 — — $18,773.05 $36,558.05 $19,761.11 2026-05-08
37182 OTHER — 12 12 $1,351.99 $540.80 60% off $7,252.20 $19,881.59 $19,881.59 2026-05-08
37184 OTHER — 81 23 $17,241.25 $6,896.50 60% off $5,335.62 $32,510.98 $18,923.30 2026-05-08
37242 OTHER — 28 23 $30,248.23 $12,099.29 60% off $7,252.20 $32,510.98 $19,881.58 2026-05-08
37271 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
37273 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
37275 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
37277 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
37284 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
37286 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
37288 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
37290 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
37292 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
37294 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
397 OTHER — 17 15 — — $12,356.30 $36,285.10 $19,613.57 2026-05-08
402 OTHER — 16 15 — — $30,377.50 $59,156.19 $31,976.32 2026-05-08
405 OTHER — 17 15 — — $30,278.60 $79,556.72 $43,003.63 2026-05-08
406 OTHER — 17 15 — — $15,880.70 $43,394.34 $23,456.40 2026-05-08
407 OTHER — 17 15 — — $11,830.50 $33,818.74 $18,280.40 2026-05-08
408 OTHER — 17 15 — — $20,472.10 $52,756.04 $28,516.78 2026-05-08
411 OTHER — 17 15 — — $15,842.75 $49,065.70 $26,522.00 2026-05-08
414 OTHER — 17 15 — — $19,388.60 $52,713.83 $28,493.96 2026-05-08
417 OTHER — 17 15 — — $12,747.90 $36,165.48 $19,548.91 2026-05-08
420 OTHER — 17 15 — — $17,604.40 $50,526.05 $27,311.38 2026-05-08
423 OTHER — 17 15 — — $21,509.95 $61,020.34 $32,983.97 2026-05-08
424 OTHER — 16 15 — — $11,480.15 $33,372.80 $18,039.35 2026-05-08
426 OTHER — 15 14 — — $80,956.05 $157,651.27 $85,216.90 2026-05-08
427 OTHER — 15 14 — — $53,483.08 $104,151.26 $56,297.98 2026-05-08
428 OTHER — 15 14 — — $41,947.99 $81,688.19 $44,155.78 2026-05-08
429 OTHER — 15 14 — — $66,422.66 $129,349.39 $69,918.59 2026-05-08
430 OTHER — 15 14 — — $42,996.31 $83,729.65 $45,259.27 2026-05-08
447 OTHER — 16 15 — — $49,603.38 $96,596.05 $52,214.08 2026-05-08
448 OTHER — 16 15 — — $31,969.11 $62,255.63 $33,651.69 2026-05-08
450 OTHER — 16 15 — — $39,835.47 $77,574.33 $41,932.07 2026-05-08
451 OTHER — 16 15 — — $24,669.21 $48,040.04 $25,967.59 2026-05-08
456 OTHER — 17 15 — — $46,361.70 $120,820.60 $65,308.43 2026-05-08
457 OTHER — 17 15 — — $33,414.15 $86,487.24 $46,749.86 2026-05-08
458 OTHER — 17 15 — — $24,920.50 $61,296.12 $33,133.04 2026-05-08
461 OTHER — 17 15 — — $37,501.75 $80,295.33 $43,402.88 2026-05-08
462 OTHER — 17 15 — — $15,654.65 $40,014.87 $21,629.66 2026-05-08
463 OTHER — 17 15 — — $31,150.35 $82,778.56 $44,745.17 2026-05-08
464 OTHER — 17 15 — — $16,507.70 $46,412.21 $25,087.68 2026-05-08
466 OTHER — 17 15 — — $28,526.30 $75,826.91 $40,987.52 2026-05-08
467 OTHER — 17 15 — — $19,174.65 $52,207.35 $28,220.19 2026-05-08
468 OTHER — 17 15 — — $14,682.80 $41,253.00 $22,298.92 2026-05-08
469 OTHER — 18 15 — — $18,313.90 $45,265.54 $24,467.86 2026-05-08
471 OTHER — 17 15 — — $27,054.50 $70,527.01 $38,122.71 2026-05-08
472 OTHER — 17 15 — — $16,254.70 $44,040.10 $23,805.46 2026-05-08
473 OTHER — 17 15 — — $13,533.30 $36,937.91 $19,966.44 2026-05-08
474 OTHER — 17 15 — — $23,665.40 $62,988.67 $34,047.93 2026-05-08
475 OTHER — 17 15 — — $11,795.85 $34,608.06 $18,707.06 2026-05-08
477 OTHER — 17 15 — — $18,529.50 $51,194.37 $27,672.63 2026-05-08
478 OTHER — 17 15 — — $13,110.35 $37,189.75 $20,102.57 2026-05-08
480 OTHER — 16 15 — — $16,218.95 $43,564.56 $23,548.41 2026-05-08
483 OTHER — 17 15 — — $13,663.10 $41,589.24 $22,480.67 2026-05-08
485 OTHER — 17 15 — — $18,117.00 $47,993.61 $25,942.49 2026-05-08
492 OTHER — 17 15 — — $19,041.55 $54,247.38 $29,322.91 2026-05-08
493 OTHER — 17 15 — — $13,209.35 $38,271.69 $20,687.40 2026-05-08
495 OTHER — 16 15 — — $19,696.60 $53,601.62 $28,973.85 2026-05-08
498 OTHER — 17 15 — — $14,360.50 $45,034.79 $24,343.13 2026-05-08
500 OTHER — 17 15 — — $17,835.40 $47,117.06 $25,468.68 2026-05-08
503 OTHER — 17 15 — — $14,750.45 $41,859.34 $22,626.67 2026-05-08
510 OTHER — 17 15 — — $14,963.30 $45,086.87 $24,371.28 2026-05-08
515 OTHER — 17 15 — — $17,388.25 $47,428.01 $25,636.76 2026-05-08
518 OTHER — 17 15 — — $20,084.90 $55,171.72 $29,822.55 2026-05-08
521 OTHER — 16 15 — — $16,468.10 $42,972.23 $23,228.23 2026-05-08
53445 OTHER — 17 15 $17,704.44 $7,081.78 60% off $580.00 $36,757.56 $19,868.95 2026-05-08
53447 OTHER — 17 15 $55,610.10 $22,244.04 60% off $580.00 $36,757.56 $19,868.95 2026-05-08
54405 OTHER — 17 15 $31,323.24 $12,529.30 60% off $780.00 $36,757.56 $19,868.95 2026-05-08
54410 OTHER — 17 15 $37,451.70 $14,980.68 60% off $780.00 $36,757.56 $19,868.95 2026-05-08
54416 OTHER — 17 15 $34,047.00 $13,618.80 60% off $780.00 $36,757.56 $19,868.95 2026-05-08
545 OTHER — 17 15 — — $13,712.60 $37,506.31 $20,273.68 2026-05-08
570 OTHER — 17 15 — — $16,072.10 $43,969.76 $23,767.44 2026-05-08
573 OTHER — 17 15 — — $34,199.55 $94,764.20 $51,223.89 2026-05-08
574 OTHER — 17 15 — — $18,731.90 $51,430.74 $27,800.40 2026-05-08
576 OTHER — 17 15 — — $31,257.05 $71,547.03 $38,674.07 2026-05-08
577 OTHER — 17 15 — — $14,570.05 $39,884.06 $21,558.95 2026-05-08
579 OTHER — 17 15 — — $18,382.10 $48,154.02 $26,029.20 2026-05-08
614 OTHER — 17 15 — — $12,388.20 $33,427.63 $18,068.99 2026-05-08
616 OTHER — 17 15 — — $21,767.35 $51,655.81 $27,922.06 2026-05-08
61624 OTHER — 27 23 $3,353.63 $1,341.45 60% off $7,252.20 $32,510.98 $19,881.59 2026-05-08
619 OTHER — 17 15 — — $14,236.75 $43,214.24 $23,359.05 2026-05-08
622 OTHER — 17 15 — — $21,040.80 $52,666.00 $28,468.11 2026-05-08
625 OTHER — 17 15 — — $16,066.60 $45,081.24 $24,368.24 2026-05-08
628 OTHER — 17 15 — — $22,079.75 $55,024.03 $29,742.72 2026-05-08
629 OTHER — 17 15 — — $12,445.40 $33,244.74 $17,970.13 2026-05-08
63655 OTHER — 27 23 $11,236.89 $4,494.76 60% off $7,252.20 $34,405.89 $20,829.04 2026-05-08
63685 OTHER — 17 15 $11,236.89 $4,494.76 60% off $725.00 $54,725.81 $29,581.52 2026-05-08
64590 OTHER — 34 15 $8,852.22 $3,540.89 60% off $725.00 $34,405.89 $18,597.78 2026-05-08
650 OTHER — 17 15 — — $24,736.25 $68,735.99 $37,154.59 2026-05-08
651 OTHER — 17 15 — — $19,021.20 $54,728.59 $29,583.02 2026-05-08
652 OTHER — 17 15 — — $16,524.20 $48,027.35 $25,960.73 2026-05-08
653 OTHER — 17 15 — — $29,774.80 $75,700.32 $40,919.09 2026-05-08
654 OTHER — 17 15 — — $15,056.25 $41,974.74 $22,689.05 2026-05-08
656 OTHER — 17 15 — — $17,256.80 $47,384.38 $25,613.18 2026-05-08
659 OTHER — 17 15 — — $14,238.95 $38,339.18 $20,723.88 2026-05-08
662 OTHER — 17 15 — — $16,481.85 $45,663.68 $24,683.07 2026-05-08
665 OTHER — 17 15 — — $16,990.05 $46,503.65 $25,137.11 2026-05-08
668 OTHER — 17 15 — — $15,499.00 $43,672.88 $23,606.96 2026-05-08
673 OTHER — 17 15 — — $20,339.00 $61,704.12 $33,353.58 2026-05-08
674 OTHER — 17 15 — — $13,102.10 $35,492.99 $19,185.40 2026-05-08
709 OTHER — 17 15 — — $11,660.00 $35,331.21 $19,097.95 2026-05-08
715 OTHER — 17 15 — — $12,141.25 $34,067.77 $18,415.01 2026-05-08
736 OTHER — 17 15 — — $21,379.60 $52,881.27 $28,584.47 2026-05-08
739 OTHER — 17 15 — — $19,889.65 $52,998.04 $28,647.59 2026-05-08
749 OTHER — 17 15 — — $13,844.60 $38,714.88 $20,926.96 2026-05-08
783 OTHER — 16 15 — — $9,744.90 $37,132.07 $20,071.39 2026-05-08
790 OTHER — 17 15 — — $33,000.55 $86,211.50 $46,600.81 2026-05-08
791 OTHER — 17 15 — — $22,537.35 $59,697.85 $32,269.11 2026-05-08
792 OTHER — 17 15 — — $13,598.75 $37,049.06 $20,026.52 2026-05-08
793 OTHER — 17 15 — — $23,151.15 $61,253.93 $33,110.23 2026-05-08
799 OTHER — 17 15 — — $27,250.30 $66,309.03 $35,842.72 2026-05-08
800 OTHER — 17 15 — — $15,497.35 $42,116.86 $22,765.87 2026-05-08
802 OTHER — 17 15 — — $18,646.65 $58,644.06 $31,699.49 2026-05-08
808 OTHER — 17 15 — — $12,045.55 $33,654.15 $18,191.43 2026-05-08
817 OTHER — 17 15 — — $12,402.50 $34,691.03 $18,751.91 2026-05-08
820 OTHER — 17 15 — — $33,256.85 $85,104.22 $46,002.28 2026-05-08
821 OTHER — 17 15 — — $12,276.55 $34,086.05 $18,424.89 2026-05-08
823 OTHER — 17 15 — — $24,760.45 $67,095.50 $36,267.84 2026-05-08
824 OTHER — 17 15 — — $12,280.95 $34,465.94 $18,630.24 2026-05-08
826 OTHER — 17 15 — — $24,138.40 $68,403.94 $36,975.10 2026-05-08
827 OTHER — 17 15 — — $12,744.60 $35,107.51 $18,977.03 2026-05-08
829 OTHER — 17 15 — — $17,345.90 $47,049.53 $25,432.18 2026-05-08
834 OTHER — 17 15 — — $30,794.50 $79,829.66 $43,151.17 2026-05-08
837 OTHER — 17 15 — — $26,161.30 $70,183.71 $37,937.14 2026-05-08
840 OTHER — 17 15 — — $17,188.60 $48,103.31 $26,001.79 2026-05-08
846 OTHER — 17 15 — — $13,442.00 $39,065.19 $21,116.32 2026-05-08
849 OTHER — 17 15 — — $14,802.70 $40,711.32 $22,006.12 2026-05-08
850 OTHER — 16 15 — — $63,893.28 $124,423.75 $67,256.08 2026-05-08
853 OTHER — 17 15 — — $27,496.15 $72,073.23 $38,958.50 2026-05-08
856 OTHER — 17 15 — — $24,356.20 $66,587.57 $35,993.28 2026-05-08
870 OTHER — 17 15 — — $38,306.95 $99,834.81 $53,964.76 2026-05-08
876 OTHER — 17 15 — — $20,523.25 $56,966.99 $30,792.97 2026-05-08
901 OTHER — 17 15 — — $23,802.90 $61,633.80 $33,315.57 2026-05-08
904 OTHER — 17 15 — — $17,909.10 $54,268.49 $29,334.32 2026-05-08
907 OTHER — 17 15 — — $20,457.25 $56,606.82 $30,598.28 2026-05-08
927 OTHER — 17 15 — — $144,972.85 $302,977.44 $163,771.59 2026-05-08
928 OTHER — 17 15 — — $38,058.35 $103,505.48 $55,948.91 2026-05-08
929 OTHER — 17 15 — — $17,685.25 $47,904.94 $25,894.56 2026-05-08
92930 OTHER — 26 23 $44,150.08 $17,660.03 60% off $17,573.50 $32,510.97 $24,163.56 2026-05-08
92933 OTHER — 27 23 $47,704.45 $19,081.78 60% off $5,335.62 $32,510.98 $18,923.30 2026-05-08
933 OTHER — 17 15 — — $16,676.00 $57,379.25 $31,015.81 2026-05-08
934 OTHER — 17 15 — — $11,508.75 $33,692.11 $18,211.95 2026-05-08
93653 OTHER — 27 23 $57,955.96 $23,182.38 60% off $10,689.60 $46,355.23 $28,522.42 2026-05-08
93654 OTHER — 27 23 $59,451.39 $23,780.56 60% off $10,689.60 $46,355.23 $28,522.42 2026-05-08
93656 OTHER — 54 23 $35,534.11 $14,213.65 60% off $10,689.60 $46,355.23 $28,522.42 2026-05-08
939 OTHER — 17 15 — — $17,684.15 $53,641.01 $28,995.14 2026-05-08
940 OTHER — 17 15 — — $11,916.30 $35,469.05 $19,172.46 2026-05-08
955 OTHER — 17 15 — — $33,496.10 $97,292.46 $52,590.52 2026-05-08
956 OTHER — 17 15 — — $21,330.10 $55,533.36 $30,018.03 2026-05-08
957 OTHER — 17 15 — — $39,778.75 $109,797.30 $59,349.89 2026-05-08
958 OTHER — 17 15 — — $22,246.40 $61,877.19 $33,447.13 2026-05-08
959 OTHER — 17 15 — — $13,928.20 $44,011.96 $23,790.25 2026-05-08
963 OTHER — 17 15 — — $15,038.65 $41,053.22 $22,190.93 2026-05-08
969 OTHER — 17 15 — — $37,799.30 $88,712.99 $47,952.97 2026-05-08
970 OTHER — 17 15 — — $13,224.20 $39,696.91 $21,457.79 2026-05-08
974 OTHER — 17 15 — — $16,040.75 $43,194.54 $23,348.40 2026-05-08
981 OTHER — 17 15 — — $26,072.20 $68,600.94 $37,081.59 2026-05-08
982 OTHER — 17 15 — — $13,673.00 $37,179.93 $20,097.26 2026-05-08
987 OTHER — 17 15 — — $18,571.85 $50,825.75 $27,473.38 2026-05-08
C2616 HCPCS Brachytherapy Source; Non-stranded; Yttrium-90; Per Source 26 23 $44,706.90 $17,882.76 60% off $17,683.93 $32,715.27 $24,315.40 2026-05-08
C9602 HCPCS Perc D-e Cor Stent Ather S 54 23 $47,009.72 $18,803.89 60% off $7,252.20 $32,510.98 $19,881.59 2026-05-08
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion; Coronary… 108 23 $47,009.72 $18,803.89 60% off $7,252.20 $32,510.98 $19,881.59 2026-05-08
C9765 HCPCS Revasc Intra Lithotrip-stent 27 23 $43,489.20 $17,395.68 60% off $7,252.20 $32,510.98 $19,881.59 2026-05-08
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