Hospital

BAPTIST HEALTH MEDICAL CENTER-STUTTGART

Stuttgart, AR · CCN 040072 · Rates published

1,133 distinct procedures filed

24 distinct payers

25,316 rate rows

2026-05-09 last MRF observed

Data quality

22,085 of 25,316 rate rows are consumer-grade (87.2%)

3,231 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	3,027
per-diem day rate — not a per-procedure price	88
placeholder amount (≤ $0.02) — excluded from medians	85
exceeds 10× this hospital's gross charge — excluded from medians	31

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://app-bhns01saas32d4fp001.cms.optimizely.com/globalassets/documents/hospital-charges/611570855_bhmc-stuttgart_standardcharges.csv
Found on page	https://www.baptist-health.com/billing-insurance-financial-assistance/hospital-charges-and-negotiated-rates/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	1b6998e7ffe33158… · 3,070,698 bytes · first seen 2026-05-09

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
300 OTHER	Peripheral Vascular Disorders With Cc	1	$40,534.30	$40,534.30	$40,534.30	nat. median $61 outlier · 664.5×
443 OTHER	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…	1	$31,944.30	$31,944.30	$31,944.30	nat. median $7,405 outlier · 4.3×
192 OTHER	Chronic Obstructive Pulmonary Disease Without Cc/mcc	1	$28,583.70	$28,583.70	$28,583.70	nat. median $6,927 outlier · 4.1×
418 OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Cc	1	$23,274.72	$23,274.72	$23,274.72	nat. median $16,499 1.4× median
698 OTHER	Other Kidney And Urinary Tract Diagnoses With Mcc	1	$22,070.22	$22,070.22	$22,070.22	nat. median $16,061 1.4× median
871 OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	1	$20,848.45	$20,848.45	$20,848.45	nat. median $16,181 1.3× median
C9781 OTHER	C9781 - Arthro-shoul Surg; W-spacer	4	$18,384.00	$18,384.00	$18,384.00	nat. median $13,000 1.4× median
419 OTHER	Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc	1	$17,300.09	$17,300.09	$17,300.09	nat. median $11,973 1.4× median
818 OTHER	Other Antepartum Diagnoses With O.r. Procedures With Cc	1	$16,911.44	$16,911.44	$16,911.44	nat. median $10,033 1.7× median
371 OTHER	Major Gastrointestinal Disorders And Peritoneal Infections With Mcc	1	$16,858.96	$16,858.96	$16,858.96	nat. median $16,993 1.0× median
768 OTHER	Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c	1	$15,937.97	$15,937.97	$15,937.97	nat. median $8,058 2.0× median
784 OTHER	Cesarean Section With Sterilization With Cc	1	$14,725.55	$14,725.55	$14,725.55	nat. median $8,280 1.8× median
787 OTHER	Cesarean Section Without Sterilization With Cc	4	$14,099.31	$15,436.44	$14,530.28	nat. median $10,422 1.4× median
872 OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	3	$9,254.22	$19,662.99	$14,185.53	nat. median $8,903 1.6× median
602 OTHER	Cellulitis With Mcc	1	$14,170.01	$14,170.01	$14,170.01	nat. median $14,934 0.9× median
312 OTHER	Syncope And Collapse	2	$11,305.00	$16,991.55	$14,148.27	nat. median $381 outlier · 37.1×
682 OTHER	Renal Failure With Mcc	1	$13,780.58	$13,780.58	$13,780.58	nat. median $14,531 0.9× median
556 OTHER	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	1	$13,727.84	$13,727.84	$13,727.84	nat. median $8,672 1.6× median
758 OTHER	Infections, Female Reproductive System With Cc	1	$13,311.46	$13,311.46	$13,311.46	nat. median $9,849 1.4× median
805 OTHER	Vaginal Delivery Without Sterilization Or D&c With Mcc	1	$13,221.48	$13,221.48	$13,221.48	nat. median $7,886 1.7× median
581 OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	1	$13,070.81	$13,070.81	$13,070.81	nat. median $13,994 0.9× median
788 OTHER	Cesarean Section Without Sterilization Without Cc/mcc	7	$7,645.24	$29,520.02	$12,457.75	nat. median $9,119 1.4× median
291 OTHER	Heart Failure And Shock With Mcc	3	$12,352.74	$15,165.29	$12,408.60	nat. median $13,078 0.9× median
193 OTHER	Simple Pneumonia And Pleurisy With Mcc	2	$12,209.80	$12,329.50	$12,269.65	nat. median $12,881 1.0× median
177 OTHER	Respiratory Infections And Inflammations With Mcc	2	$11,163.16	$13,105.87	$12,134.51	nat. median $16,359 0.7× median
689 OTHER	Kidney And Urinary Tract Infections With Mcc	1	$12,032.90	$12,032.90	$12,032.90	nat. median $11,307 1.1× median
372 OTHER	Major Gastrointestinal Disorders And Peritoneal Infections With Cc	1	$11,963.24	$11,963.24	$11,963.24	nat. median $10,312 1.2× median
189 OTHER	Pulmonary Edema And Respiratory Failure	3	$10,628.80	$14,381.91	$11,934.37	nat. median $12,533 1.0× median
481 OTHER	Hip And Femur Procedures Except Major Joint With Cc	3	$11,454.50	$11,454.50	$11,454.50	nat. median $11,210 1.0× median
446 OTHER	Disorders Of The Biliary Tract Without Cc/mcc	1	$11,382.82	$11,382.82	$11,382.82	nat. median $8,508 1.3× median
178 OTHER	Respiratory Infections And Inflammations With Cc	2	$8,642.44	$13,489.58	$11,066.01	nat. median $10,321 1.1× median
200 OTHER	Pneumothorax With Cc	1	$10,942.28	$10,942.28	$10,942.28	nat. median $10,206 1.1× median
392 OTHER	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	3	$7,527.54	$13,445.68	$10,736.15	nat. median $8,098 1.3× median
806 OTHER	Vaginal Delivery Without Sterilization Or D&c With Cc	5	$9,500.87	$20,924.40	$10,557.64	nat. median $6,102 1.7× median
603 OTHER	Cellulitis Without Mcc	2	$8,994.59	$11,976.24	$10,485.42	nat. median $9,288 1.1× median
190 OTHER	Chronic Obstructive Pulmonary Disease With Mcc	5	$8,880.85	$22,589.70	$10,289.71	nat. median $10,954 0.9× median
194 OTHER	Simple Pneumonia And Pleurisy With Cc	6	$8,487.58	$15,643.90	$10,148.60	nat. median $8,630 1.2× median
202 OTHER	Bronchitis And Asthma With Cc/mcc	3	$9,436.55	$11,235.65	$9,749.85	nat. median $9,777 1.0× median
785 OTHER	Cesarean Section With Sterilization Without Cc/mcc	2	$7,890.33	$11,508.49	$9,699.41	nat. median $7,405 1.3× median
552 OTHER	Medical Back Problems Without Mcc	1	$9,644.08	$9,644.08	$9,644.08	nat. median $9,816 1.0× median
203 OTHER	Bronchitis And Asthma Without Cc/mcc	1	$9,144.39	$9,144.39	$9,144.39	nat. median $7,370 1.2× median
683 OTHER	Renal Failure With Cc	2	$8,663.28	$9,266.06	$8,964.67	nat. median $9,135 1.0× median
638 OTHER	Diabetes With Cc	1	$8,897.97	$8,897.97	$8,897.97	nat. median $9,351 1.0× median
103 OTHER	Headaches Without Mcc	1	$8,787.09	$8,787.09	$8,787.09	nat. median $7,617 1.2× median
807 OTHER	Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc	6	$3,955.50	$9,352.67	$8,716.99	nat. median $5,707 1.5× median
832 OTHER	Other Antepartum Diagnoses Without O.r. Procedures With Cc	1	$8,686.80	$8,686.80	$8,686.80	nat. median $7,350 1.2× median
49329 OTHER	49329 - Unlisted Laparoscopy Px Abd Pertoneum And Omentum	19	$6,024.81	$12,219.40	$8,454.98	nat. median $6,428 1.3× median
389 OTHER	Gastrointestinal Obstruction With Cc	1	$8,415.84	$8,415.84	$8,415.84	nat. median $8,319 1.0× median
191 OTHER	Chronic Obstructive Pulmonary Disease With Cc	2	$7,781.30	$8,900.05	$8,340.67	nat. median $8,914 0.9× median
641 OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	1	$8,245.75	$8,245.75	$8,245.75	nat. median $8,198 1.0× median

Other procedures at this hospital

Browse this hospital's 1,133 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

300	OTHER	Peripheral Vascular Disorders With Cc	1	1	$42,155.67	$10,538.92 75% off	$40,534.30	$40,534.30	$40,534.30	2026-05-09
443	OTHER	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…	1	1	$33,222.07	$8,305.52 75% off	$31,944.30	$31,944.30	$31,944.30	2026-05-09
192	OTHER	Chronic Obstructive Pulmonary Disease Without Cc/mcc	1	1	$32,409.42	$8,102.36 75% off	$28,583.70	$28,583.70	$28,583.70	2026-05-09
418	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Cc	1	1	$142,156.88	$35,539.22 75% off	$23,274.72	$23,274.72	$23,274.72	2026-05-09
698	OTHER	Other Kidney And Urinary Tract Diagnoses With Mcc	1	1	$25,734.16	$6,433.54 75% off	$22,070.22	$22,070.22	$22,070.22	2026-05-09
871	OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	1	1	$42,729.48	$10,682.37 75% off	$20,848.45	$20,848.45	$20,848.45	2026-05-09
C9781	OTHER	C9781 - Arthro-shoul Surg; W-spacer	4	4	$494.53	$123.63 75% off	$18,384.00	$18,384.00	$18,384.00	2026-05-09
419	OTHER	Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc	1	1	$83,273.64	$20,818.41 75% off	$17,300.09	$17,300.09	$17,300.09	2026-05-09
818	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Cc	1	1	$79,296.38	$19,824.10 75% off	$16,911.44	$16,911.44	$16,911.44	2026-05-09
371	OTHER	Major Gastrointestinal Disorders And Peritoneal Infections With Mcc	1	1	$46,789.34	$11,697.34 75% off	$16,858.96	$16,858.96	$16,858.96	2026-05-09
768	OTHER	Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c	1	1	$22,473.57	$5,618.39 75% off	$15,937.97	$15,937.97	$15,937.97	2026-05-09
784	OTHER	Cesarean Section With Sterilization With Cc	1	1	$49,310.97	$12,327.74 75% off	$14,725.55	$14,725.55	$14,725.55	2026-05-09
787	OTHER	Cesarean Section Without Sterilization With Cc	4	4	$47,022.97	$11,755.74 75% off	$14,099.31	$15,436.44	$14,530.28	2026-05-09
872	OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	3	3	$30,878.12	$7,719.53 75% off	$9,254.22	$19,662.99	$14,185.53	2026-05-09
602	OTHER	Cellulitis With Mcc	1	1	$36,524.73	$9,131.18 75% off	$14,170.01	$14,170.01	$14,170.01	2026-05-09
312	OTHER	Syncope And Collapse	2	2	$14,714.21	$3,678.55 75% off	$11,305.00	$16,991.55	$14,148.27	2026-05-09
682	OTHER	Renal Failure With Mcc	1	1	$29,533.58	$7,383.40 75% off	$13,780.58	$13,780.58	$13,780.58	2026-05-09
556	OTHER	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	1	1	$15,448.73	$3,862.18 75% off	$13,727.84	$13,727.84	$13,727.84	2026-05-09
758	OTHER	Infections, Female Reproductive System With Cc	1	1	$29,678.95	$7,419.74 75% off	$13,311.46	$13,311.46	$13,311.46	2026-05-09
805	OTHER	Vaginal Delivery Without Sterilization Or D&c With Mcc	1	1	$24,403.50	$6,100.88 75% off	$13,221.48	$13,221.48	$13,221.48	2026-05-09
581	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	1	1	$16,552.48	$4,138.12 75% off	$13,070.81	$13,070.81	$13,070.81	2026-05-09
788	OTHER	Cesarean Section Without Sterilization Without Cc/mcc	7	7	$41,768.68	$10,442.17 75% off	$7,645.24	$29,520.02	$12,457.75	2026-05-09
291	OTHER	Heart Failure And Shock With Mcc	3	3	$26,082.21	$6,520.55 75% off	$12,352.74	$15,165.29	$12,408.60	2026-05-09
193	OTHER	Simple Pneumonia And Pleurisy With Mcc	2	2	$39,227.68	$9,806.92 75% off	$12,209.80	$12,329.50	$12,269.65	2026-05-09
177	OTHER	Respiratory Infections And Inflammations With Mcc	2	2	$32,886.20	$8,221.55 75% off	$11,163.16	$13,105.87	$12,134.51	2026-05-09
689	OTHER	Kidney And Urinary Tract Infections With Mcc	1	1	$29,353.04	$7,338.26 75% off	$12,032.90	$12,032.90	$12,032.90	2026-05-09
372	OTHER	Major Gastrointestinal Disorders And Peritoneal Infections With Cc	1	1	$23,058.78	$5,764.70 75% off	$11,963.24	$11,963.24	$11,963.24	2026-05-09
189	OTHER	Pulmonary Edema And Respiratory Failure	3	3	$29,369.38	$7,342.35 75% off	$10,628.80	$14,381.91	$11,934.37	2026-05-09
481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	3	3	$791.44	$197.86 75% off	$11,454.50	$11,454.50	$11,454.50	2026-05-09
446	OTHER	Disorders Of The Biliary Tract Without Cc/mcc	1	1	$18,149.38	$4,537.35 75% off	$11,382.82	$11,382.82	$11,382.82	2026-05-09
178	OTHER	Respiratory Infections And Inflammations With Cc	2	2	$37,251.81	$9,312.95 75% off	$8,642.44	$13,489.58	$11,066.01	2026-05-09
200	OTHER	Pneumothorax With Cc	1	1	$30,498.05	$7,624.51 75% off	$10,942.28	$10,942.28	$10,942.28	2026-05-09
392	OTHER	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	3	3	$18,709.82	$4,677.46 75% off	$7,527.54	$13,445.68	$10,736.15	2026-05-09
806	OTHER	Vaginal Delivery Without Sterilization Or D&c With Cc	5	5	$26,381.78	$6,595.45 75% off	$9,500.87	$20,924.40	$10,557.64	2026-05-09
603	OTHER	Cellulitis Without Mcc	2	2	$26,477.80	$6,619.45 75% off	$8,994.59	$11,976.24	$10,485.42	2026-05-09
190	OTHER	Chronic Obstructive Pulmonary Disease With Mcc	5	5	$32,899.76	$8,224.94 75% off	$8,880.85	$22,589.70	$10,289.71	2026-05-09
194	OTHER	Simple Pneumonia And Pleurisy With Cc	6	6	$26,710.99	$6,677.75 75% off	$8,487.58	$15,643.90	$10,148.60	2026-05-09
202	OTHER	Bronchitis And Asthma With Cc/mcc	3	3	$30,813.45	$7,703.36 75% off	$9,436.55	$11,235.65	$9,749.85	2026-05-09
785	OTHER	Cesarean Section With Sterilization Without Cc/mcc	2	2	$44,747.92	$11,186.98 75% off	$7,890.33	$11,508.49	$9,699.41	2026-05-09
552	OTHER	Medical Back Problems Without Mcc	1	1	$25,587.33	$6,396.83 75% off	$9,644.08	$9,644.08	$9,644.08	2026-05-09
203	OTHER	Bronchitis And Asthma Without Cc/mcc	1	1	$27,322.33	$6,830.58 75% off	$9,144.39	$9,144.39	$9,144.39	2026-05-09
683	OTHER	Renal Failure With Cc	2	2	$28,146.50	$7,036.63 75% off	$8,663.28	$9,266.06	$8,964.67	2026-05-09
638	OTHER	Diabetes With Cc	1	1	$24,965.12	$6,241.28 75% off	$8,897.97	$8,897.97	$8,897.97	2026-05-09
103	OTHER	Headaches Without Mcc	1	1	$29,562.88	$7,390.72 75% off	$8,787.09	$8,787.09	$8,787.09	2026-05-09
807	OTHER	Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc	6	6	$23,998.84	$5,999.71 75% off	$3,955.50	$9,352.67	$8,716.99	2026-05-09
832	OTHER	Other Antepartum Diagnoses Without O.r. Procedures With Cc	1	1	$9,387.25	$2,346.81 75% off	$8,686.80	$8,686.80	$8,686.80	2026-05-09
49329	OTHER	49329 - Unlisted Laparoscopy Px Abd Pertoneum And Omentum	19	19	$21,026.72	$5,256.68 75% off	$6,024.81	$12,219.40	$8,454.98	2026-05-09
389	OTHER	Gastrointestinal Obstruction With Cc	1	1	$28,411.63	$7,102.91 75% off	$8,415.84	$8,415.84	$8,415.84	2026-05-09
191	OTHER	Chronic Obstructive Pulmonary Disease With Cc	2	2	$30,725.82	$7,681.46 75% off	$7,781.30	$8,900.05	$8,340.67	2026-05-09
641	OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	1	1	$25,929.20	$6,482.30 75% off	$8,245.75	$8,245.75	$8,245.75	2026-05-09
29828	OTHER	29828 - Surgical Arthroscopy Shoulder Biceps Tenodesis	20	20	$12,579.14	$3,144.79 75% off	$533.61	$14,666.50	$8,113.61	2026-05-09
439	OTHER	Disorders Of Pancreas Except Malignancy With Cc	1	1	$21,152.75	$5,288.19 75% off	$7,911.13	$7,911.13	$7,911.13	2026-05-09
29827	OTHER	29827 - Surgical Arthroscopy Shoulder W-rotator Cuff Rpr	20	20	$9,950.54	$2,487.64 75% off	$533.61	$14,666.50	$7,627.99	2026-05-09
27792	OTHER	27792 - Open Tx Distal Fibular Fracture Lat Malleolus	20	20	$16,306.16	$4,076.54 75% off	$533.61	$14,666.50	$7,518.08	2026-05-09
23410	OTHER	23410 - Open Repair Of Rotator Cuff Acute	20	20	$13,862.16	$3,465.54 75% off	$436.59	$14,666.50	$7,518.08	2026-05-09
690	OTHER	Kidney And Urinary Tract Infections Without Mcc	1	1	$31,270.95	$7,817.74 75% off	$7,249.89	$7,249.89	$7,249.89	2026-05-09
833	OTHER	Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc	2	2	$17,476.45	$4,369.11 75% off	$6,085.00	$6,824.97	$6,454.99	2026-05-09
195	OTHER	Simple Pneumonia And Pleurisy Without Cc/mcc	3	3	$27,140.37	$6,785.09 75% off	$3,955.50	$51,931.85	$6,444.26	2026-05-09
58662	OTHER	58662 - Laps Fulg-exc Ovary Viscera-peritoneal Surface	20	20	$24,232.00	$6,058.00 75% off	$533.61	$12,219.40	$6,355.27	2026-05-09
49594	OTHER	49594 - Rpr Aa Hernia 1st 3-10 Cm Ncrc8-strangulated	20	20	$17,657.82	$4,414.46 75% off	$533.61	$12,219.40	$6,355.27	2026-05-09
47562	OTHER	47562 - Laparoscopy Surg Cholecystectomy	20	20	$23,660.44	$5,915.11 75% off	$533.61	$12,219.40	$6,355.27	2026-05-09
49592	OTHER	49592 - Rpr Aa Hernia 1st Less Than 3 Cm Ncrc8-strangulated	20	20	$19,500.00	$4,875.00 75% off	$533.61	$12,219.40	$6,355.27	2026-05-09
59151	OTHER	59151 - Laps Tx Ectopic Preg W-salpingand-oophorectomy	20	20	$20,446.40	$5,111.60 75% off	$533.61	$12,219.40	$6,355.27	2026-05-09
58661	OTHER	58661 - Laparoscopy W-rmvl Adnexal Structures	20	20	$19,453.20	$4,863.30 75% off	$533.61	$12,219.40	$6,355.27	2026-05-09
47563	OTHER	47563 - Laps Surg Cholecystectomy W-cholangiography	20	20	$27,248.00	$6,812.00 75% off	$533.61	$12,219.40	$6,355.27	2026-05-09
44970	OTHER	44970 - Laparoscopic Appendectomy	20	20	$29,718.00	$7,429.50 75% off	$533.61	$12,219.40	$6,275.97	2026-05-09
49320	OTHER	49320 - Laps Abd Prtmandomentum Dx W-wo Spec Br-wa Spx	20	20	$19,500.00	$4,875.00 75% off	$533.61	$12,219.40	$6,263.69	2026-05-09
13133	OTHER	13133 - Repair Complex F-c-c-m-n-ax-g-h-f Ea Addl 5 Cm-less Than	6	6	$2,627.04	$656.76 75% off	$698.00	$10,533.00	$5,615.50	2026-05-09
13102	OTHER	13102 - Repair Complex Trunk Each Additional 5 Cm-less Than	6	6	$3,442.82	$860.71 75% off	$698.00	$10,533.00	$5,615.50	2026-05-09
13122	OTHER	13122 - Repair Complex Scalp-arm-leg Ea Addl 5 Cm-less Than	6	6	$6,154.20	$1,538.55 75% off	$698.00	$10,533.00	$5,615.50	2026-05-09
58563	OTHER	58563 - Hysteroscopy Endometrial Ablation	20	20	$9,030.32	$2,257.58 75% off	$533.61	$16,082.00	$5,479.93	2026-05-09
776	OTHER	Postpartum And Post Abortion Diagnoses Without O.r. Procedures	1	1	$5,675.70	$1,418.93 75% off	$5,202.40	$5,202.40	$5,202.40	2026-05-09
793	OTHER	Full Term Neonate With Major Problems� Level IV Intensive Care Nursery	16	16	$18,112.12	$4,528.03 75% off	$4,665.00	$4,665.00	$4,665.00	2026-05-09
789	OTHER	Neonates, Died Or Transferred To Another Acute Care Facility� Level IV Intensive…	16	16	$15,599.77	$3,899.94 75% off	$4,665.00	$4,665.00	$4,665.00	2026-05-09
792	OTHER	Prematurity Without Major Problems� Level IV Intensive Care Nursery	16	16	$28,992.32	$7,248.08 75% off	$4,665.00	$4,665.00	$4,665.00	2026-05-09
49591	OTHER	49591 - Rpr Aa Hernia 1st Less Than 3 Cm Reducible	20	20	$15,237.66	$3,809.42 75% off	$533.61	$11,316.00	$4,590.75	2026-05-09
49505	OTHER	49505 - Rpr 1st Ingun Hrna Age 5 Yrs-greater Than Reducible	20	20	$21,284.09	$5,321.02 75% off	$533.61	$11,316.00	$4,590.75	2026-05-09
49507	OTHER	49507 - Rpr 1st Ingun Hrna Age 5 Yrs-greater Than Incarcerated	20	20	$28,064.40	$7,016.10 75% off	$533.61	$16,082.00	$4,590.75	2026-05-09
760	OTHER	Menstrual And Other Female Reproductive System Disorders With Cc/mcc	3	3	$372.36	$93.09 75% off	$4,378.00	$4,378.00	$4,378.00	2026-05-09
762	OTHER	0762 - Specialty Services - Observation Hours	3	3	$346.17	$86.54 75% off	$4,163.50	$4,163.50	$4,163.50	2026-05-09
29881	OTHER	29881 - Arthrs Knee Surg W-meniscectomy Med-lat W-shvg	20	20	$14,750.04	$3,687.51 75% off	$436.59	$11,316.00	$4,088.14	2026-05-09
29880	OTHER	29880 - Arthrs Knee Surg Meniscectomy Medandlat W-shaving	20	20	$14,287.52	$3,571.88 75% off	$436.59	$11,316.00	$4,088.14	2026-05-09
25073	OTHER	25073 - Exc Tumor Sft Tiss Forearmand-wrist Subfasc 3cm-greater Than	23	23	$11,082.24	$2,770.56 75% off	$470.40	$8,528.00	$4,082.76	2026-05-09
38510	OTHER	38510 - Bx-exc Lymph Node Open Deep Cervical Node	23	23	$16,517.28	$4,129.32 75% off	$436.59	$7,914.01	$4,077.61	2026-05-09
49520	OTHER	49520 - Rpr Recrt Inguinal Hernia Any Age Reducible	23	23	$41,708.16	$10,427.04 75% off	$533.61	$7,236.84	$3,885.22	2026-05-09
52282	OTHER	52282 - Cystourethroscopy Insertion Perm Urethral Stent	20	20	$6,576.96	$1,644.24 75% off	$470.40	$16,082.00	$3,705.58	2026-05-09
55150	OTHER	55150 - Resection Scrotum	20	20	$9,549.28	$2,387.32 75% off	$470.40	$10,533.00	$3,652.18	2026-05-09
13160	OTHER	13160 - Secondary Closure Surg Wound-dehsn Xtnsv-comp	22	22	$17,074.72	$4,268.68 75% off	$367.50	$7,162.70	$3,584.56	2026-05-09
29822	OTHER	29822 - Surgical Arthroscopy Shoulder Lmtd Dbrdmt 1-2	23	23	$10,852.75	$2,713.19 75% off	$533.61	$6,613.49	$3,573.55	2026-05-09
795	OTHER	Normal Newborn� Level Ii Intermediate Nursery	16	16	$20,187.91	$5,046.98 75% off	$3,514.50	$3,514.50	$3,514.50	2026-05-09
794	OTHER	Neonate With Other Significant Problems	16	16	$21,238.74	$5,309.69 75% off	$3,514.50	$3,514.50	$3,514.50	2026-05-09
791	OTHER	Prematurity With Major Problems	16	16	$5,656.56	$1,414.14 75% off	$3,514.50	$3,514.50	$3,514.50	2026-05-09
27337	OTHER	27337 - Excison Tumor Soft Tissue Thigh-knee Subq 3 Cm-greater Than	23	23	$7,392.32	$1,848.08 75% off	$470.40	$8,528.00	$3,487.00	2026-05-09
27043	OTHER	27043 - Excision Tumor Soft Tissue Pelvisandhip Subq 3cm-greater Than	23	23	$14,720.37	$3,680.09 75% off	$533.61	$8,528.00	$3,487.00	2026-05-09
21554	OTHER	21554 - Exc Tumor Soft Tissue Neck-thorax Subfasc 5 Cm-greater Than	23	23	$9,510.80	$2,377.70 75% off	$470.40	$8,528.00	$3,487.00	2026-05-09
21552	OTHER	21552 - Exc Tumor Soft Tis Neck-ant Thorax Subq 3 Cm-greater Than	23	23	$7,527.52	$1,881.88 75% off	$470.40	$8,528.00	$3,487.00	2026-05-09
26951	OTHER	26951 - Amp F-th 1-2 Jt-phalanx W-neurect W-dir Clsr	22	22	$16,323.84	$4,080.96 75% off	$367.50	$6,613.49	$3,479.38	2026-05-09
28289	OTHER	28289 - Hallux Rigidus W-cheilectomy 1st Mp Jt W-o Implt	23	23	$11,360.96	$2,840.24 75% off	$367.50	$6,613.49	$3,471.76	2026-05-09
27347	OTHER	27347 - Excision Lesion Meniscus-capsule Knee	20	20	$13,590.72	$3,397.68 75% off	$367.50	$11,316.00	$3,439.65	2026-05-09
57522	OTHER	57522 - Conization Cervix W-wo Dandc Rpr Eltrd Exc	23	23	$8,086.52	$2,021.63 75% off	$470.40	$6,542.99	$3,434.75	2026-05-09
58558	OTHER	58558 - Hysteroscopy Bx Endometriumand-polypc W-wo Dandc	23	23	$6,963.84	$1,740.96 75% off	$533.61	$6,542.99	$3,434.75	2026-05-09
56440	OTHER	56440 - Marsupialization Bartholins Gland Cyst	23	23	$10,803.52	$2,700.88 75% off	$436.59	$6,542.99	$3,434.75	2026-05-09
59812	OTHER	59812 - Tx Incomplete Abortion Any Trimester Surgical	20	20	$9,436.96	$2,359.24 75% off	$470.40	$11,316.00	$3,402.97	2026-05-09
56620	OTHER	56620 - Vulvectomy Simple Partial	20	20	$12,615.20	$3,153.80 75% off	$367.50	$11,316.00	$3,402.97	2026-05-09
57460	OTHER	57460 - Colposcopy Cervix Vag Loop Eltrd Bx Cervix	20	20	$10,246.08	$2,561.52 75% off	$367.50	$10,533.00	$3,402.97	2026-05-09
59820	OTHER	59820 - Tx Missed Abortion First Trimester Surgical	20	20	$6,063.54	$1,515.89 75% off	$470.40	$11,316.00	$3,402.97	2026-05-09
56700	OTHER	56700 - Partial Hymenectomy Or Revision Hymenal Ring	20	20	$6,576.96	$1,644.24 75% off	$367.50	$10,533.00	$3,365.60	2026-05-09
36556	OTHER	36556 - Insj Non-tunneled Central Venous Cath Age 5 Yr-greater Than	20	20	$5,270.72	$1,317.68 75% off	$367.50	$10,533.00	$3,271.43	2026-05-09
24071	OTHER	24071 - Exc Tumor Soft Tissue Upper Arm-elbow Subq 3cm-greater Than	20	20	$11,016.72	$2,754.18 75% off	$470.40	$10,533.00	$3,221.03	2026-05-09
11772	OTHER	11772 - Excision Pilonidal Cyst-sinus Complicated	23	23	$29,557.84	$7,389.46 75% off	$470.40	$5,871.12	$3,170.76	2026-05-09
11450	OTHER	11450 - Excision Hidradenitis Axillary Smpl-intrm Rpr	23	23	$17,824.56	$4,456.14 75% off	$436.59	$5,871.12	$3,153.86	2026-05-09
46280	OTHER	46280 - Tx Anal Fstl Trans-supra-xtrasphnctrc Incl Seton	20	20	$22,626.24	$5,656.56 75% off	$436.59	$11,316.00	$3,152.56	2026-05-09
11451	OTHER	11451 - Excision Hidradenitis Axillary Complex Repair	23	23	$21,631.30	$5,407.83 75% off	$367.50	$5,871.12	$3,119.31	2026-05-09
11426	OTHER	11426 - Exc B9 Lesion Mrgn Xcp Sk Tg S-n-h-f-g Greater Than 4.0cm	23	23	$6,313.51	$1,578.38 75% off	$367.50	$5,871.12	$3,119.31	2026-05-09
46250	OTHER	46250 - Hemorrhoidectomy Xtrnl 2-greater Than Column-group	23	23	$9,393.28	$2,348.32 75% off	$436.59	$5,610.25	$3,023.42	2026-05-09
46260	OTHER	46260 - Hemorrhoidectomy Int And Xtrnl 2-greater Than Column-gro	23	23	$18,400.02	$4,600.01 75% off	$436.59	$5,610.25	$3,023.42	2026-05-09
46270	OTHER	46270 - Surg Tx Anal Fistula Subq	23	23	$6,237.92	$1,559.48 75% off	$367.50	$5,610.25	$2,988.88	2026-05-09
45990	OTHER	45990 - Anrct Xm Surg Req Anes General Spi-edrl Dx	22	22	$9,094.80	$2,273.70 75% off	$367.50	$5,610.25	$2,967.00	2026-05-09
81162	OTHER	81162 - Brca1 Brca2 Gene Alys Full Seq Full Dup-del Alys	23	23	$4,744.48	$1,186.12 75% off	$1,824.88	$3,984.81	$2,904.84	2026-05-09
29826	OTHER	29826 - Surgical Arthroscopy Sho W-coracoacrm Ligm Rls	6	6	$10,539.02	$2,634.76 75% off	$698.00	$4,769.00	$2,733.50	2026-05-09
897	OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	23	23	$29,071.85	$7,267.96 75% off	$2,497.00	$8,306.95	$2,497.00	2026-05-09
894	OTHER	Alcohol, Drug Abuse Or Dependence, Left Ama	23	23	$12,012.62	$3,003.16 75% off	$2,497.00	$2,497.00	$2,497.00	2026-05-09
884	OTHER	Organic Disturbances And Intellectual Disability	23	23	$58,163.77	$14,540.94 75% off	$2,497.00	$2,497.00	$2,497.00	2026-05-09
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	23	23	$23,859.94	$5,964.99 75% off	$2,497.00	$2,497.00	$2,497.00	2026-05-09
23071	OTHER	23071 - Excision Tumor Soft Tissue Shoulder Subq 3 Cm-greater Than	23	23	$10,508.50	$2,627.13 75% off	$470.40	$8,528.00	$2,432.53	2026-05-09
21931	OTHER	21931 - Excision Tumor Soft Tis Back-flank Subq 3 Cm-greater Than	23	23	$7,342.22	$1,835.56 75% off	$470.40	$8,528.00	$2,432.53	2026-05-09
52310	OTHER	52310 - Cysto W-simple Removal Stone And Stent	21	21	$6,783.92	$1,695.98 75% off	$533.61	$4,225.17	$2,379.39	2026-05-09
99292	OTHER	99292 - Critical Care Ill-injured Patient Addl 30 Min	6	6	$2,080.00	$520.00 75% off	$2,200.00	$2,340.00	$2,270.00	2026-05-09
14000	OTHER	14000 - Adjacent Tissue Transfer-reargmt Trunk 10 Sqcm-less Than	22	22	$14,472.64	$3,618.16 75% off	$470.40	$4,170.37	$2,254.82	2026-05-09
64721	OTHER	64721 - Neuroplasty And-transpos Median Nrv Carpal Tunne	23	23	$9,832.42	$2,458.11 75% off	$470.40	$3,946.92	$2,208.66	2026-05-09
54150	OTHER	54150 - Circumcision W-clamp-oth Dev W-block	19	19	$3,892.72	$973.18 75% off	$367.50	$10,533.00	$2,184.00	2026-05-09
43246	OTHER	43246 - Egd Percutaneous Placement Gastrostomy Tube	22	22	$22,890.40	$5,722.60 75% off	$436.59	$3,878.56	$2,157.57	2026-05-09
43251	OTHER	43251 - Egd Removal Tumor Polyp-other Lesion Snare Tech	22	22	$2,768.48	$692.12 75% off	$367.50	$3,878.56	$2,123.03	2026-05-09
43270	OTHER	43270 - Egd Ablate Tumor Polyp-lesion W-dilationand Wire	19	19	$7,425.60	$1,856.40 75% off	$367.50	$10,533.00	$2,036.06	2026-05-09
43215	OTHER	43215 - Esophagoscopy Flexible Removal Foreign Body	19	19	$17,365.92	$4,341.48 75% off	$367.50	$10,533.00	$2,036.06	2026-05-09
21012	OTHER	21012 - Excision Tumor Soft Tiss Face-scalp Subq 2 Cm-greater Than	23	23	$10,782.72	$2,695.68 75% off	$470.40	$3,487.00	$1,978.70	2026-05-09
24075	OTHER	24075 - Exc Tumor Soft Tiss Upper Arm-elbow Subq Less Than 3cm	22	22	$3,646.38	$911.60 75% off	$436.59	$3,487.00	$1,961.80	2026-05-09
11406	OTHER	11406 - Exc B9 Lesion Mrgn Xcp Sk Tg T-a-l Greater Than 4.0 Cm	22	22	$5,401.76	$1,350.44 75% off	$367.50	$3,487.00	$1,927.25	2026-05-09
32551	OTHER	32551 - Tube Thoracostomy Includes Water Seal	23	23	$2,251.60	$562.90 75% off	$367.50	$3,487.00	$1,927.25	2026-05-09
27327	OTHER	27327 - Excision Tumor Soft Tissue Thigh-knee Subq Less Than 3cm	23	23	$9,854.00	$2,463.50 75% off	$367.50	$3,487.00	$1,927.25	2026-05-09
26115	OTHER	26115 - Exc Tum-vasc Mal Sft Tiss Hand-fngr Subq Less Than 1.5cm	22	22	$14,984.32	$3,746.08 75% off	$367.50	$3,487.00	$1,927.25	2026-05-09
26055	OTHER	26055 - Tendon Sheath Incision	22	22	$6,443.14	$1,610.79 75% off	$367.50	$3,487.00	$1,927.25	2026-05-09
25075	OTHER	25075 - Exc Tumor Soft Tissue Forearm And-wrist Subq Less Than 3cm	22	22	$3,442.82	$860.71 75% off	$367.50	$3,487.00	$1,927.25	2026-05-09
11424	OTHER	11424 - Exc B9 Lesion Mrgn Xcp Sk Tg S-n-h-f-g 3.1-4.0cm	22	22	$6,656.00	$1,664.00 75% off	$367.50	$3,487.00	$1,927.25	2026-05-09
21555	OTHER	21555 - Exc Tumor Soft Tissue Neck-ant Thorax Subq Less Than 3cm	22	22	$8,817.12	$2,204.28 75% off	$367.50	$3,487.00	$1,927.25	2026-05-09
11404	OTHER	11404 - Exc B9 Lesion Mrgn Xcp Sk Tg T-a-l 3.1-4.0 Cm	19	19	$6,865.04	$1,716.26 75% off	$367.50	$10,533.00	$1,752.43	2026-05-09
21550	OTHER	21550 - Biopsy Soft Tissue Neck-thorax	19	19	$11,860.16	$2,965.04 75% off	$367.50	$10,533.00	$1,752.43	2026-05-09
11423	OTHER	11423 - Exc B9 Lesion Mrgn Xcp Sk Tg S-n-h-f-g 2.1-3.0cm	19	19	$6,656.00	$1,664.00 75% off	$367.50	$10,533.00	$1,752.43	2026-05-09
26011	OTHER	26011 - Drainage Finger Abscess Complicated	19	19	$2,399.28	$599.82 75% off	$367.50	$10,533.00	$1,752.43	2026-05-09
11422	OTHER	11422 - Exc B9 Lesion Mrgn Xcp Sk Tg S-n-h-f-g 1.1-2.0cm	20	20	$10,317.14	$2,579.29 75% off	$367.50	$10,533.00	$1,736.22	2026-05-09
45385	OTHER	45385 - Colsc Flx W-rmvl Of Tumor Polyp Lesion Snare Tq	22	22	$3,037.84	$759.46 75% off	$367.50	$3,487.00	$1,734.08	2026-05-09
45388	OTHER	45388 - Colonoscopy Flx Ablation Tumor Polyp-other Les	22	22	$7,064.72	$1,766.18 75% off	$367.50	$6,256.00	$1,734.08	2026-05-09
45384	OTHER	45384 - Colsc Flx W-removal Lesion By Hot Bx Forceps	22	22	$2,581.28	$645.32 75% off	$367.50	$3,487.00	$1,734.08	2026-05-09
45381	OTHER	45381 - Colsc Flx With Directed Submucosal Njx Any Sbst	22	22	$2,581.28	$645.32 75% off	$367.50	$3,487.00	$1,734.08	2026-05-09
45380	OTHER	45380 - Colonoscopy W-biopsy Single-multiple	22	22	$2,991.10	$747.78 75% off	$367.50	$3,487.00	$1,734.08	2026-05-09
10140	OTHER	10140 - Iandd Hematoma Seroma-fluid Collection	19	19	$2,399.28	$599.82 75% off	$367.50	$10,533.00	$1,720.01	2026-05-09
23700	OTHER	23700 - Mnpj W-anes Shoulder Jt Appl Fixation Apparatus	19	19	$2,457.52	$614.38 75% off	$367.50	$10,533.00	$1,706.16	2026-05-09
27810	OTHER	27810 - Closed Tx Bimalleolar Ankle Fracture W-manj	20	20	$2,374.32	$593.58 75% off	$367.50	$10,533.00	$1,690.38	2026-05-09
36590	OTHER	36590 - Rmvl Tun Ctr Vad W-subq Port-pmp Ctr-prph Insj	19	19	$11,221.60	$2,805.40 75% off	$436.59	$10,533.00	$1,670.26	2026-05-09
720	OTHER	0720 - Labor Room-delivery - General Classification	5	5	$1,659.32	$414.83 75% off	$1,572.00	$1,572.00	$1,572.00	2026-05-09
391	OTHER	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	5	5	$1,881.36	$470.34 75% off	$1,469.00	$1,469.00	$1,469.00	2026-05-09
390	OTHER	Gastrointestinal Obstruction Without Cc/mcc	6	5	$16,411.74	$4,102.94 75% off	$1,469.00	$7,484.90	$1,469.00	2026-05-09
81229	OTHER	81229 - Cytog Alys Chrmoml Abnor Cpy Numberandsnp Vrnt Cgh	23	23	$2,288.00	$572.00 75% off	$919.49	$2,532.98	$1,454.64	2026-05-09
920	OTHER	Complications Of Treatment With Cc	4	4	$2,985.31	$746.33 75% off	$1,400.00	$1,400.00	$1,400.00	2026-05-09
G0121	OTHER	G0121 - Colon Ca Scrn Not Hi Rsk Ind	19	19	$2,670.36	$667.59 75% off	$926.77	$3,487.00	$1,398.03	2026-05-09
G0105	OTHER	G0105 - Colorectal Scrn; Hi Risk Ind	19	19	$2,581.28	$645.32 75% off	$926.77	$3,487.00	$1,398.03	2026-05-09
G0104	OTHER	G0104 - Ca Screen;flexi Sigmoidscope	18	18	$1,547.52	$386.88 75% off	$926.77	$1,879.67	$1,373.05	2026-05-09
62322	OTHER	62322 - Njx Dx-ther Sbst Intrlmnr Lmbr-sac W-o Img Gdn	23	23	$2,433.60	$608.40 75% off	$436.59	$3,487.00	$1,346.84	2026-05-09
45378	OTHER	45378 - Colonoscopy Flx Dx W-collj Spec When Pfrmd	22	22	$4,678.27	$1,169.57 75% off	$367.50	$3,487.00	$1,330.76	2026-05-09
49083	OTHER	49083 - Abdom Paracentesis Dx-ther W-imaging Guidance	22	22	$13,660.40	$3,415.10 75% off	$367.50	$3,487.00	$1,321.92	2026-05-09
43239	OTHER	43239 - Egd Transoral Biopsy Single-multiple	22	22	$4,772.72	$1,193.18 75% off	$436.59	$3,487.00	$1,321.92	2026-05-09
99291	OTHER	99291 - Critical Care Ill-injured Patient Init 30-74 Min	19	19	$4,732.00	$1,183.00 75% off	$823.20	$2,907.00	$1,308.08	2026-05-09
46606	OTHER	46606 - Anoscopy W-bx Single-multiple	19	19	$6,313.49	$1,578.37 75% off	$367.50	$10,533.00	$1,269.70	2026-05-09
46320	OTHER	46320 - Exc Thrombosed Hemorrhoid Xtrnl	19	19	$9,393.28	$2,348.32 75% off	$367.50	$10,533.00	$1,269.70	2026-05-09
46030	OTHER	46030 - Removal Anal Seton Other Marker	19	19	$6,237.92	$1,559.48 75% off	$367.50	$10,533.00	$1,269.70	2026-05-09
81420	OTHER	81420 - Fetal Chromosomal Aneuploidy Genomic Seq Analys	23	23	$2,439.84	$609.96 75% off	$759.05	$1,657.46	$1,208.26	2026-05-09
46050	OTHER	46050 - Iandd Perianal Abscess Superficial	20	20	$2,003.04	$500.76 75% off	$367.50	$10,533.00	$1,150.08	2026-05-09
45331	OTHER	45331 - Sigmoidoscopy Flx W-biopsy Single-multiple	20	20	$6,576.96	$1,644.24 75% off	$367.50	$10,533.00	$1,150.08	2026-05-09
45330	OTHER	45330 - Sigmoidoscopy Flx Dx W-collj Spec Br-wa If Pfrmd	20	20	$8,344.26	$2,086.07 75% off	$367.50	$10,533.00	$1,150.08	2026-05-09
64415	OTHER	64415 - Injection Aaand-strd Brachial Plexus W-img Gdn	20	20	$8,488.18	$2,122.05 75% off	$367.50	$10,533.00	$1,134.06	2026-05-09
95811	OTHER	95811 - Polysom 6-greater Than Yrs Sleep W-cpap 4-greater Than Addl Param Attnd	22	22	$4,173.52	$1,043.38 75% off	$301.89	$1,900.00	$1,100.94	2026-05-09
57500	OTHER	57500 - Biopsy Cervix Single-mult-excision Of Lesion Spx	20	20	$6,576.96	$1,644.24 75% off	$367.50	$10,533.00	$1,044.55	2026-05-09
56605	OTHER	56605 - Biopsy Vulva-perineum 1 Lesion Spx	20	20	$14,431.04	$3,607.76 75% off	$367.50	$10,533.00	$1,044.55	2026-05-09
95810	OTHER	95810 - Polysom 6-greater Than Yrs Sleep 4-greater Than Addl Param Attnd	22	22	$3,761.68	$940.42 75% off	$179.34	$1,900.00	$1,039.67	2026-05-09
10080	OTHER	10080 - Incision And Drainage Pilonidal Cyst Simple	23	23	$1,561.04	$390.26 75% off	$367.50	$3,487.00	$1,025.69	2026-05-09
54160	OTHER	54160 - Circumcision Neonate	23	23	$3,892.72	$973.18 75% off	$367.50	$3,487.00	$1,014.40	2026-05-09
C8929	OTHER	C8929 - Tte W Or Wo Fol Wcondoppler	14	14	$1,649.44	$412.36 75% off	$781.23	$1,584.48	$1,005.14	2026-05-09
99285	OTHER	99285 - Emergency Department Visit High Mdm	19	19	$4,212.00	$1,053.00 75% off	$593.49	$2,721.00	$979.61	2026-05-09
43235	OTHER	43235 - Esophagogastroduodenoscopy Transoral Diagnostic	19	19	$2,003.04	$500.76 75% off	$367.50	$10,533.00	$962.36	2026-05-09
81351	OTHER	81351 - Tp53 Gene Analysis Full Gene Sequence	23	23	$1,669.20	$417.30 75% off	$641.85	$1,401.54	$943.52	2026-05-09
13101	OTHER	13101 - Repair Complex Trunk 2.6-7.5 Cm	23	23	$4,818.46	$1,204.62 75% off	$367.50	$4,769.00	$918.18	2026-05-09
12044	OTHER	12044 - Repair Intermediate N-h-f-xtrnl Gent 7.6-12.5cm	23	23	$2,581.28	$645.32 75% off	$367.50	$3,487.00	$918.18	2026-05-09
11403	OTHER	11403 - Exc B9 Lesion Mrgn Xcp Sk Tg T-a-l 2.1-3.0 Cm	20	20	$12,963.60	$3,240.90 75% off	$367.50	$10,533.00	$888.53	2026-05-09
11402	OTHER	11402 - Exc B9 Lesion Mrgn Xcp Sk Tg T-a-l 1.1-2.0 Cm	20	20	$12,085.63	$3,021.41 75% off	$367.50	$10,533.00	$888.53	2026-05-09
62273	OTHER	62273 - Injection Epidural Blood-clot Patch	20	20	$2,003.04	$500.76 75% off	$367.50	$10,533.00	$883.66	2026-05-09
64445	OTHER	64445 - Injection Aaand-strd Sciatic Nerve W-img Gdn	20	20	$10,239.84	$2,559.96 75% off	$367.50	$10,533.00	$883.66	2026-05-09
52000	OTHER	52000 - Cystourethroscopy	20	20	$6,374.49	$1,593.62 75% off	$367.50	$10,533.00	$864.10	2026-05-09
81307	OTHER	81307 - Palb2 Gene Analysis Full Gene Sequence	23	23	$1,758.64	$439.66 75% off	$282.88	$1,477.21	$848.33	2026-05-09
331	OTHER	Major Small And Large Bowel Procedures Without Cc/mcc	6	6	$488.80	$122.20 75% off	$608.00	$998.00	$803.00	2026-05-09
94002	OTHER	94002 - Ventilation Assist And Mgmt Inpatient 1st Day	17	17	$2,085.20	$521.30 75% off	$615.67	$1,248.71	$771.54	2026-05-09
G0379	OTHER	G0379 - Direct Refer Hospital Observ	17	17	$1,782.01	$445.50 75% off	$593.49	$1,203.71	$759.62	2026-05-09
99284	OTHER	99284 - Emergency Department Visit Moderate Mdm	19	19	$3,457.86	$864.47 75% off	$415.83	$2,021.00	$758.78	2026-05-09
81321	OTHER	81321 - Pten Gene Analysis Full Sequence Analysis	23	23	$1,560.00	$390.00 75% off	$600.00	$1,310.16	$752.40	2026-05-09
P9037	OTHER	P9037 - Plate Pheres Leukoredu Irrad	17	17	$2,242.24	$560.56 75% off	$680.61	$1,346.51	$738.61	2026-05-09
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	5	5	$162.29	$40.57 75% off	$737.00	$737.00	$737.00	2026-05-09
731	OTHER	0731 - EKG-ECG (electrocardiogram) - Holter Monitor	5	5	$202.34	$50.59 75% off	$698.00	$698.00	$698.00	2026-05-09
93306	OTHER	93306 - Echo Tthrc R-t 2d W-wom-mode Compl Specandcolr D	21	21	$1,923.33	$480.83 75% off	$378.54	$1,104.44	$679.12	2026-05-09
P9073	OTHER	P9073 - Platelets Pheresis Path Redu	17	17	$1,947.92	$486.98 75% off	$607.43	$1,201.72	$668.83	2026-05-09
87507	OTHER	87507 - Iadna-DNA-RNA Gi Pthgn Multiplex Probe Tq 12-25	23	23	$1,404.00	$351.00 75% off	$416.78	$910.08	$663.43	2026-05-09
93303	OTHER	93303 - Complete Tthrc Echo Congenital Cardiac Anomaly	21	21	$1,722.24	$430.56 75% off	$217.57	$1,104.44	$661.00	2026-05-09
0202U	OTHER	0202u - Nfct Ds 22 Trgt Sars-cov-2	15	15	$1,301.04	$325.26 75% off	$416.78	$910.08	$646.01	2026-05-09
13132	OTHER	13132 - Repair Complex F-c-c-m-n-ax-g-h-f 2.6-7.5 Cm	23	23	$9,155.64	$2,288.91 75% off	$405.12	$4,769.00	$628.94	2026-05-09
13121	OTHER	13121 - Repair Complex Scalp-arm-leg 2.6-7.5 Cm	23	23	$9,371.72	$2,342.93 75% off	$367.50	$4,769.00	$628.94	2026-05-09
99283	OTHER	99283 - Emergency Department Visit Low Mdm	19	19	$3,146.00	$786.50 75% off	$272.04	$1,745.00	$623.00	2026-05-09
42809	OTHER	42809 - Removal Foreign Body Pharynx	23	23	$2,003.04	$500.76 75% off	$367.50	$2,184.00	$612.48	2026-05-09
36680	OTHER	36680 - Placement Needle Intraosseous Infusion	23	23	$862.16	$215.54 75% off	$367.50	$902.93	$612.48	2026-05-09
921	OTHER	Complications Of Treatment Without Cc/mcc	5	5	$902.25	$225.56 75% off	$608.00	$608.00	$608.00	2026-05-09
12005	OTHER	12005 - Smpl Rpr Scalp-neck-ax-genit-trunk 12.6-20.0cm	23	23	$2,581.28	$645.32 75% off	$367.50	$3,487.00	$605.17	2026-05-09
11401	OTHER	11401 - Exc B9 Lesion Mrgn Xcp Sk Tg T-a-l 0.6-1.0 Cm	23	23	$4,774.64	$1,193.66 75% off	$367.50	$3,487.00	$605.17	2026-05-09
13131	OTHER	13131 - Repair Complex F-c-c-m-n-ax-g-h-f 1.1-2.5 Cm	23	23	$2,581.28	$645.32 75% off	$367.50	$3,487.00	$605.17	2026-05-09
12034	OTHER	12034 - Repair Intermediate S-a-t-e 7.6-12.5 Cm	23	23	$5,541.12	$1,385.28 75% off	$405.12	$3,487.00	$605.17	2026-05-09
12041	OTHER	12041 - Repair Intermediate N-h-f-xtrnl Gent 2.5cm-less Than	23	23	$1,840.28	$460.07 75% off	$367.50	$3,487.00	$605.17	2026-05-09
10120	OTHER	10120 - Incision And Removal Foreign Body Subq Tiss Simple	23	23	$854.88	$213.72 75% off	$367.50	$3,487.00	$605.17	2026-05-09
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	5	5	$2,334.80	$583.70 75% off	$400.00	$800.00	$600.00	2026-05-09
612	OTHER	0612 - Magnetic Resonance Technology (mrt) - MRI - Spinal Cord-spine	5	5	$2,334.80	$583.70 75% off	$400.00	$800.00	$600.00	2026-05-09
611	OTHER	0611 - Magnetic Resonance Technology (mrt) - MRI - Brain-brainstem	5	5	$2,334.80	$583.70 75% off	$400.00	$800.00	$600.00	2026-05-09
610	OTHER	0610 - Magnetic Resonance Technology (mrt) - General Classification	5	5	$555.36	$138.84 75% off	$400.00	$800.00	$600.00	2026-05-09
615	OTHER	Adrenal And Pituitary Procedures Without Cc/mcc	5	5	$2,334.80	$583.70 75% off	$400.00	$800.00	$600.00	2026-05-09
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	5	5	$183.75	$45.94 75% off	$594.00	$594.00	$594.00	2026-05-09
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	5	5	$1,908.99	$477.25 75% off	$558.00	$558.00	$558.00	2026-05-09
36430	OTHER	36430 - Transfusion Blood-blood Components	20	20	$1,881.36	$470.34 75% off	$367.50	$10,533.00	$556.28	2026-05-09
73723	OTHER	73723 - MRI Any Jt Lower Extrem W-o And W-contrast Matrl	22	22	$2,334.80	$583.70 75% off	$347.68	$1,400.84	$532.11	2026-05-09
73223	OTHER	73223 - MRI Any Jt Upper Extremity W-o And W-contr Matrl	22	22	$2,334.80	$583.70 75% off	$347.68	$1,400.84	$532.11	2026-05-09
71552	OTHER	71552 - MRI Chest W-o And W-contrast Material	22	22	$2,334.80	$583.70 75% off	$347.68	$1,393.14	$532.11	2026-05-09
72157	OTHER	72157 - MRI Spinal Canal Thoracic W-o And W-contr Matrl	22	22	$2,334.80	$583.70 75% off	$347.68	$849.66	$532.11	2026-05-09
70546	OTHER	70546 - MRA Head W-o And W-contrast Material	22	22	$2,334.80	$583.70 75% off	$347.68	$1,253.64	$532.11	2026-05-09
70543	OTHER	70543 - MRI Orbit Face And Neck W-o And W-contrast Matrl	22	22	$2,334.80	$583.70 75% off	$347.68	$1,400.84	$532.11	2026-05-09
74183	OTHER	74183 - MRI Abdomen W-o Contrast Flwd By W-contrast	22	22	$2,334.80	$583.70 75% off	$347.68	$1,404.14	$532.11	2026-05-09
72158	OTHER	72158 - MRI Spinal Canal Lumbar W-o And W-contr Matrl	22	22	$2,334.80	$583.70 75% off	$347.68	$849.66	$532.11	2026-05-09
72156	OTHER	72156 - MRI Spinal Canal Cervical W-o And W-contr Matrl	22	22	$2,334.80	$583.70 75% off	$347.68	$849.66	$532.11	2026-05-09
72197	OTHER	72197 - MRI Pelvis W-o And W-contrast Material	22	22	$2,334.80	$583.70 75% off	$347.68	$1,404.14	$532.11	2026-05-09
70553	OTHER	70553 - MRI Brain Brain Stem W-o W-contrast Material	22	22	$2,334.80	$583.70 75% off	$347.68	$849.66	$532.11	2026-05-09
70552	OTHER	70552 - MRI Brain Brain Stem W-contrast Material	22	22	$2,334.80	$583.70 75% off	$347.68	$727.65	$531.06	2026-05-09
72149	OTHER	72149 - MRI Spinal Canal Lumbar W-contrast Material	22	22	$2,334.80	$583.70 75% off	$347.68	$727.65	$531.06	2026-05-09
74174	OTHER	74174 - CTA Abdandplvs W-cntrst And Img Postprocessing	22	22	$1,537.12	$384.28 75% off	$347.68	$705.15	$525.44	2026-05-09
73220	OTHER	73220 - MRI Upper Extrem Other Than Jt W-o And W-contras	22	22	$2,334.80	$583.70 75% off	$347.68	$705.15	$525.44	2026-05-09
73720	OTHER	73720 - MRI Lower Extrem Oth-thn Jt W-o And W-contr Matr	22	22	$2,334.80	$583.70 75% off	$347.68	$705.15	$525.44	2026-05-09
99282	OTHER	99282 - Emergency Department Visit Straightforward Mdm	19	19	$2,626.00	$656.50 75% off	$153.02	$1,600.00	$518.26	2026-05-09
87633	OTHER	87633 - Iadna Respiratry Probe And Rev Trnscr 12-25 Target	23	23	$1,110.72	$277.68 75% off	$356.30	$910.08	$515.77	2026-05-09
12031	OTHER	12031 - Repair Intermediate S-a-t-e 2.5 Cm-less Than	20	20	$2,818.40	$704.60 75% off	$405.12	$10,533.00	$513.11	2026-05-09
37195	OTHER	37195 - Thrombolysis Cerebral IV Infusion	23	23	$2,003.04	$500.76 75% off	$329.17	$2,184.00	$511.03	2026-05-09
12042	OTHER	12042 - Repair Intermediate N-h-f-xtrnl Gent 2.6-7.5 Cm	20	20	$2,679.27	$669.82 75% off	$367.50	$10,533.00	$510.48	2026-05-09
12032	OTHER	12032 - Repair Intermediate S-a-t-e 2.6-7.5 Cm	20	20	$2,353.61	$588.40 75% off	$367.50	$10,533.00	$510.48	2026-05-09
352	OTHER	Inguinal And Femoral Hernia Procedures Without Cc/mcc	5	5	$1,537.12	$384.28 75% off	$400.00	$600.00	$500.00	2026-05-09
351	OTHER	Inguinal And Femoral Hernia Procedures With Cc	5	5	$1,537.12	$384.28 75% off	$400.00	$600.00	$500.00	2026-05-09
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	5	5	$82.34	$20.59 75% off	$400.00	$600.00	$500.00	2026-05-09
730	OTHER	Other Male Reproductive System Diagnoses Without Cc/mcc	5	5	$129.99	$32.50 75% off	$500.00	$500.00	$500.00	2026-05-09
81405	OTHER	81405 - Molecular Pathology Procedure Level 6	23	23	$783.12	$195.78 75% off	$301.35	$706.60	$482.16	2026-05-09
460	OTHER	0460 - Pulmonary Function - General Classification	5	5	$355.34	$88.84 75% off	$470.00	$470.00	$470.00	2026-05-09
81406	OTHER	81406 - Molecular Pathology Procedure Level 7	23	23	$735.28	$183.82 75% off	$282.88	$1,385.00	$452.61	2026-05-09
20552	OTHER	20552 - Injection Single-mlt Trigger Point 1-2 Muscles	23	23	$2,003.04	$500.76 75% off	$305.90	$3,487.00	$441.07	2026-05-09
81404	OTHER	81404 - Molecular Pathology Procedure Level 5	23	23	$714.48	$178.62 75% off	$274.83	$600.12	$437.48	2026-05-09
0241U	OTHER	0241u - Nfct Ds Vir Resp RNA 4 Trgt	1	1	$445.12	$111.28 75% off	$428.00	$428.00	$428.00	2026-05-09
87506	OTHER	87506 - Iadna-DNA-RNA Gi Pthgn Multiplex Probe Tq 6-11	23	23	$684.32	$171.08 75% off	$262.99	$574.26	$418.62	2026-05-09
87902	OTHER	87902 - Nfct Agent Genotype Alys Nucleic Acd Hep C Virus	23	23	$1,031.68	$257.92 75% off	$257.45	$562.17	$409.81	2026-05-09
74177	OTHER	74177 - CT Abdomen And Pelvis W-contrast Material	22	22	$1,537.12	$384.28 75% off	$303.21	$875.00	$406.55	2026-05-09
74178	OTHER	74178 - CT Abdandplv W-o Cntrst 1-bth Flwd Cntrst 1-bth	22	22	$1,537.12	$384.28 75% off	$347.68	$875.00	$406.55	2026-05-09
73201	OTHER	73201 - CT Upper Extremity W-contrast Material	22	22	$1,537.12	$384.28 75% off	$199.92	$705.15	$406.55	2026-05-09
20610	OTHER	20610 - Arthrocentesis Aspirand-inj Major Jt-bursa W-o US	20	20	$1,872.00	$468.00 75% off	$305.90	$10,533.00	$398.62	2026-05-09
58301	OTHER	58301 - Removal Intrauterine Device IUD	20	20	$6,576.96	$1,644.24 75% off	$35.78	$5,571.00	$390.73	2026-05-09
92950	OTHER	92950 - Cardiopulmonary Resuscitation	18	18	$1,185.60	$296.40 75% off	$215.18	$698.00	$389.19	2026-05-09
94060	OTHER	94060 - Brncdilat Rspse Spmtry Preandpost-brncdilat Admn	21	21	$621.92	$155.48 75% off	$57.33	$754.23	$388.13	2026-05-09
P9034	OTHER	P9034 - Platelets Pheresis	17	17	$1,809.60	$452.40 75% off	$308.96	$611.25	$386.53	2026-05-09
81323	OTHER	81323 - Pten Gene Analysis Duplication-deletion Variant	23	23	$780.00	$195.00 75% off	$96.52	$655.08	$375.80	2026-05-09
31500	OTHER	31500 - Intubation Endotracheal Emergency Procedure	23	23	$2,427.36	$606.84 75% off	$236.04	$3,487.00	$375.07	2026-05-09
88184	OTHER	88184 - Flow Cytometry Cell Surf Marker Techl Only 1st	21	21	$55.73	$13.93 75% off	$63.47	$554.57	$369.47	2026-05-09
90675	OTHER	90675 - Rabies Vaccine Intramuscular	23	23	$1,004.19	$251.05 75% off	$319.75	$698.20	$367.71	2026-05-09
26770	OTHER	26770 - Cltx Iphal Jt Dislc W-manj W-o Anes	19	19	$862.16	$215.54 75% off	$245.82	$806.00	$367.50	2026-05-09
26725	OTHER	26725 - Cltx Phlngl Fx Prox-middle Px-f-t W-manj Ea	23	23	$862.16	$215.54 75% off	$245.82	$4,769.00	$367.50	2026-05-09
26670	OTHER	26670 - Cltx Carpo-metacarpl Dislc Thmb Manj Ea W-o Anes	19	19	$807.04	$201.76 75% off	$245.82	$806.00	$367.50	2026-05-09
23650	OTHER	23650 - Clsd Tx Shoulder Dislc W-manipulation W-o Anes	20	20	$2,003.04	$500.76 75% off	$245.82	$10,533.00	$367.50	2026-05-09
86870	OTHER	86870 - Antibody Id Rbc Antibodies Ea Panel Ea Serum Tq	19	19	$463.84	$115.96 75% off	$16.17	$724.50	$367.43	2026-05-09
86902	OTHER	86902 - Blood Type Antigen Donor Reagent Serum Each	19	19	$463.84	$115.96 75% off	$6.35	$724.50	$367.43	2026-05-09
86905	OTHER	86905 - Blood Typing Rbc Antigens Oth-thn Abo-rh D Each	19	19	$463.84	$115.96 75% off	$3.83	$724.50	$367.43	2026-05-09
72141	OTHER	72141 - MRI Spinal Canal Cervical W-o Contrast Matrl	22	22	$2,334.80	$583.70 75% off	$237.78	$875.00	$363.92	2026-05-09
73721	OTHER	73721 - MRI Any Jt Lower Extrem W-o Contrast Matrl	22	22	$2,334.80	$583.70 75% off	$237.78	$875.00	$363.92	2026-05-09
71550	OTHER	71550 - MRI Chest W-o Contrast Material	22	22	$2,334.80	$583.70 75% off	$237.78	$596.82	$363.92	2026-05-09
70551	OTHER	70551 - MRI Brain Brain Stem W-o Contrast Material	22	22	$2,334.80	$583.70 75% off	$237.78	$592.41	$363.92	2026-05-09
70547	OTHER	70547 - MRA Neck W-o Contrst Material	22	22	$2,334.80	$583.70 75% off	$237.78	$640.60	$363.92	2026-05-09
70544	OTHER	70544 - MRA Head W-o Contrst Material	22	22	$2,334.80	$583.70 75% off	$237.78	$640.60	$363.92	2026-05-09
70540	OTHER	70540 - MRI Orbit Face And-neck W-o Contrast	22	22	$2,334.80	$583.70 75% off	$237.78	$592.41	$363.92	2026-05-09
74181	OTHER	74181 - MRI Abdomen W-o Contrast Material	22	22	$2,334.80	$583.70 75% off	$237.78	$601.23	$363.92	2026-05-09
73221	OTHER	73221 - MRI Any Jt Upper Extremity W-o Contrast Matrl	22	22	$2,334.80	$583.70 75% off	$237.78	$875.00	$363.92	2026-05-09
73718	OTHER	73718 - MRI Lower Extrem Oth-thn Jt W-o Contr Matrl	22	22	$2,334.80	$583.70 75% off	$237.78	$592.41	$363.92	2026-05-09
73218	OTHER	73218 - MRI Upper Extremity Oth Than Jt W-o Contr Matrl	22	22	$2,334.80	$583.70 75% off	$237.78	$631.23	$363.92	2026-05-09
72195	OTHER	72195 - MRI Pelvis W-o Contrast Material	22	22	$2,334.80	$583.70 75% off	$237.78	$633.99	$363.92	2026-05-09
72148	OTHER	72148 - MRI Spinal Canal Lumbar W-o Contrast Material	22	22	$2,334.80	$583.70 75% off	$237.78	$875.00	$363.92	2026-05-09
72146	OTHER	72146 - MRI Spinal Canal Thoracic W-o Contrast Matrl	22	22	$2,334.80	$583.70 75% off	$237.78	$655.62	$363.92	2026-05-09
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	4	4	$540.80	$135.20 75% off	$350.00	$350.00	$350.00	2026-05-09
28630	OTHER	28630 - Cltx Metatarsophlngl Jt Dislc W-o Anes	15	15	$862.16	$215.54 75% off	$245.82	$806.00	$335.81	2026-05-09

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