Hospital

BAPTIST HEALTH MEDICAL CENTER-HOT SPRINGS COUNTY

Malvern, AR · CCN 040076 · Rates published

841 distinct procedures filed

24 distinct payers

18,759 rate rows

2026-05-09 last MRF observed

Data quality

16,729 of 18,759 rate rows are consumer-grade (89.2%)

2,030 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	1,913
placeholder amount (≤ $0.02) — excluded from medians	79
exceeds 10× this hospital's gross charge — excluded from medians	28
per-diem day rate — not a per-procedure price	10

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

Source MRF file	https://www.baptist-health.com/wp-content/uploads/2024/12/710236856_bhmc-hsc_standardcharges.csv
Found on page	https://www.baptist-health.com/billing-insurance-financial-assistance/hospital-charges-and-negotiated-rates/
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18

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
871 OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	3	$8,259.14	$32,297.50	$25,765.00	nat. median $16,181 1.6× median
177 OTHER	Respiratory Infections And Inflammations With Mcc	2	$7,465.03	$32,777.10	$20,121.06	nat. median $16,359 1.2× median
305 OTHER	Hypertension Without Mcc	1	$18,690.45	$18,690.45	$18,690.45	nat. median $56 outlier · 332.3×
280 OTHER	Acute Myocardial Infarction, Discharged Alive With Mcc	1	$15,350.40	$15,350.40	$15,350.40	nat. median $15,420 1.0× median
640 OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	2	$12,675.67	$13,947.26	$13,311.47	nat. median $12,223 1.1× median
193 OTHER	Simple Pneumonia And Pleurisy With Mcc	4	$11,021.88	$19,693.05	$13,257.58	nat. median $12,881 1.0× median
605 OTHER	Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc	1	$12,128.18	$12,128.18	$12,128.18	nat. median $9,340 1.3× 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
300 OTHER	Peripheral Vascular Disorders With Cc	1	$10,478.87	$10,478.87	$10,478.87	nat. median $61 outlier · 171.8×
637 OTHER	Diabetes With Mcc	1	$10,020.56	$10,020.56	$10,020.56	nat. median $91 outlier · 110.2×
158 OTHER	Dental And Oral Diseases With Cc	1	$9,788.99	$9,788.99	$9,788.99	nat. median $9,098 1.1× median
885 OTHER	Psychoses	23	$2,497.00	$18,750.17	$9,270.24	nat. median $10,423 0.9× median
190 OTHER	Chronic Obstructive Pulmonary Disease With Mcc	1	$9,158.71	$9,158.71	$9,158.71	nat. median $10,954 0.8× median
683 OTHER	Renal Failure With Cc	3	$8,029.43	$9,250.92	$8,928.13	nat. median $9,135 1.0× median
178 OTHER	Respiratory Infections And Inflammations With Cc	1	$8,844.37	$8,844.37	$8,844.37	nat. median $10,321 0.9× median
291 OTHER	Heart Failure And Shock With Mcc	3	$6,983.78	$11,693.78	$8,832.04	nat. median $13,078 0.7× median
312 OTHER	Syncope And Collapse	2	$7,868.77	$9,742.92	$8,805.85	nat. median $381 outlier · 23.1×
439 OTHER	Disorders Of Pancreas Except Malignancy With Cc	3	$8,598.90	$8,952.25	$8,683.20	nat. median $8,342 1.0× median
191 OTHER	Chronic Obstructive Pulmonary Disease With Cc	1	$8,673.81	$8,673.81	$8,673.81	nat. median $8,914 1.0× median
176 OTHER	Pulmonary Embolism Without Mcc	1	$8,434.07	$8,434.07	$8,434.07	nat. median $8,622 1.0× median
194 OTHER	Simple Pneumonia And Pleurisy With Cc	2	$7,830.04	$8,415.77	$8,122.91	nat. median $8,630 0.9× median
603 OTHER	Cellulitis Without Mcc	3	$6,965.25	$23,407.45	$7,863.79	nat. median $9,288 0.8× median
872 OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	2	$6,978.72	$8,616.19	$7,797.45	nat. median $8,903 0.9× median
690 OTHER	Kidney And Urinary Tract Infections Without Mcc	2	$7,213.10	$8,330.78	$7,771.94	nat. median $8,286 0.9× median
281 OTHER	Acute Myocardial Infarction, Discharged Alive With Cc	1	$7,457.09	$7,457.09	$7,457.09	nat. median $9,942 0.8× median
433 OTHER	Cirrhosis And Alcoholic Hepatitis With Cc	1	$7,241.35	$7,241.35	$7,241.35	nat. median $9,802 0.7× median
641 OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	2	$6,471.49	$7,029.48	$6,750.48	nat. median $8,198 0.8× median
689 OTHER	Kidney And Urinary Tract Infections With Mcc	2	$6,598.44	$6,770.24	$6,684.34	nat. median $11,307 0.6× median
195 OTHER	Simple Pneumonia And Pleurisy Without Cc/mcc	1	$6,656.24	$6,656.24	$6,656.24	nat. median $6,715 1.0× median
951 OTHER	Other Factors Influencing Health Status	1	$5,717.50	$5,717.50	$5,717.50	nat. median $6,107 0.9× median
760 OTHER	Menstrual And Other Female Reproductive System Disorders With Cc/mcc	3	$4,378.00	$4,378.00	$4,378.00	nat. median $7,126 0.6× median
762 OTHER	0762 - Specialty Services - Observation Hours	3	$4,163.50	$4,163.50	$4,163.50	nat. median $204 outlier · 20.4×
36556 OTHER	36556 - Insj Non-tunneled Central Venous Cath Age 5 Yr-greater Than	20	$464.63	$10,533.00	$3,139.48	nat. median $2,933 1.1× median
880 OTHER	Acute Adjustment Reaction And Psychosocial Dysfunction	23	$2,497.00	$12,586.42	$2,497.00	nat. median $7,332 outlier · 0.3×
881 OTHER	Depressive Neuroses	23	$2,497.00	$12,002.13	$2,497.00	nat. median $7,053 outlier · 0.4×
886 OTHER	Behavioral And Developmental Disorders	23	$2,497.00	$16,601.28	$2,497.00	nat. median $17,985 outlier · 0.1×
896 OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	23	$2,497.00	$16,085.97	$2,497.00	nat. median $13,577 outlier · 0.2×
884 OTHER	Organic Disturbances And Intellectual Disability	23	$2,497.00	$15,596.20	$2,497.00	nat. median $12,103 outlier · 0.2×
897 OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	23	$2,497.00	$48,329.80	$2,497.00	nat. median $9,577 outlier · 0.3×
883 OTHER	Disorders Of Personality And Impulse Control	23	$2,497.00	$19,293.84	$2,497.00	nat. median $13,265 outlier · 0.2×
882 OTHER	Neuroses Except Depressive	23	$2,497.00	$20,673.80	$2,497.00	nat. median $7,758 outlier · 0.3×
894 OTHER	Alcohol, Drug Abuse Or Dependence, Left Ama	23	$2,497.00	$12,158.43	$2,497.00	nat. median $5,314 outlier · 0.5×
99292 OTHER	99292 - Critical Care Ill-injured Patient Addl 30 Min	6	$2,200.00	$2,340.00	$2,270.00	nat. median $156 outlier · 14.5×
25605 OTHER	25605 - Cltx Dstl Rdl Fx-epiphysl Sep W-mnpj	23	$464.63	$4,769.00	$2,267.22	nat. median $1,617 1.4× median
23665 OTHER	23665 - Cltx Shoulder Dislc W-fx Humeral Tubrst W-mnpj	23	$551.97	$3,487.00	$2,019.48	nat. median $1,490 1.4× median
J0840 OTHER	J0840 - Crotalidae Poly Immune Fab	19	$1,826.52	$3,988.38	$1,981.60	nat. median $2,112 0.9× median
25565 OTHER	25565 - Closed Tx Radialandulnar Shaft Fractures W-mnpj	23	$464.63	$3,487.00	$1,975.82	nat. median $1,541 1.3× median
32551 OTHER	32551 - Tube Thoracostomy Includes Water Seal	23	$464.63	$3,487.00	$1,975.82	nat. median $1,576 1.3× median
27752 OTHER	27752 - Cltx Tibial Shaft Fx W-manj W-wo Skel Tracj	19	$464.63	$10,533.00	$1,637.34	nat. median $1,548 1.1× median
482 OTHER	Hip And Femur Procedures Except Major Joint Without Cc/mcc	5	$1,534.00	$1,534.00	$1,534.00	nat. median $14,209 outlier · 0.1×

Other procedures at this hospital

Browse this hospital's 841 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

0086U	OTHER	0086u - Nfct Ds Bactandfng Org Id Bld Cul Rrna Fish 6+trgt	19	19	$468.00	$117.00 75% off	$200.00	$436.72	$252.68	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
0865T	OTHER	0865t - Quan MRI Alys Brain W-o Diagnostic MRI Same Sess	14	14	$555.36	$138.84 75% off	$228.19	$482.27	$317.19	2026-05-09
0866T	OTHER	0866t - Quan MRI Alys Brain With Diagnostic MRI	14	14	$555.36	$138.84 75% off	$228.19	$482.27	$317.19	2026-05-09
10060	OTHER	10060 - Incision And Drainage Abscess Simple-single	23	23	$862.16	$215.54 75% off	$191.88	$3,487.00	$317.72	2026-05-09
10061	OTHER	10061 - Incision And Drainage Abscess Complicated-multiple	20	20	$2,003.04	$500.76 75% off	$388.78	$10,533.00	$527.12	2026-05-09
10080	OTHER	10080 - Incision And Drainage Pilonidal Cyst Simple	23	23	$1,561.04	$390.26 75% off	$464.63	$3,487.00	$1,025.69	2026-05-09
10120	OTHER	10120 - Incision And Removal Foreign Body Subq Tiss Simple	23	23	$854.88	$213.72 75% off	$388.78	$3,487.00	$605.17	2026-05-09
11730	OTHER	11730 - Avulsion Nail Plate Partial-complete Simple 1	23	23	$862.16	$215.54 75% off	$191.88	$806.00	$317.72	2026-05-09
12001	OTHER	12001 - Simple Repair Scalp-neck-ax-genit-trunk 2.5cm-less Than	23	23	$810.16	$202.54 75% off	$191.88	$806.00	$317.72	2026-05-09
12002	OTHER	12002 - Smpl Repair Scalp-neck-ax-genit-trunk 2.6-7.5cm	23	23	$862.16	$215.54 75% off	$191.88	$806.00	$317.72	2026-05-09
12004	OTHER	12004 - Simple Rpr Scalp-neck-ax-genit-trunk 7.6-12.5cm	19	19	$862.16	$215.54 75% off	$191.88	$806.00	$301.62	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	$388.78	$3,487.00	$605.17	2026-05-09
12006	OTHER	12006 - Smpl Rpr Scalp-neck-ax-genit-trunk 20.1-30.0cm	23	23	$2,581.28	$645.32 75% off	$388.78	$3,487.00	$605.17	2026-05-09
12011	OTHER	12011 - Simple Repair F-e-e-n-l-m 2.5cm-less Than	23	23	$810.16	$202.54 75% off	$191.88	$806.00	$317.72	2026-05-09
12013	OTHER	12013 - Simple Repair F-e-e-n-l-m 2.6cm-5.0 Cm	23	23	$862.16	$215.54 75% off	$191.88	$806.00	$317.72	2026-05-09
12014	OTHER	12014 - Simple Repair F-e-e-n-l-m 5.1cm-7.5 Cm	19	19	$862.16	$215.54 75% off	$191.88	$806.00	$301.62	2026-05-09
12031	OTHER	12031 - Repair Intermediate S-a-t-e 2.5 Cm-less Than	19	19	$862.16	$215.54 75% off	$388.78	$821.66	$551.97	2026-05-09
12032	OTHER	12032 - Repair Intermediate S-a-t-e 2.6-7.5 Cm	19	19	$862.16	$215.54 75% off	$388.78	$821.66	$464.63	2026-05-09
12034	OTHER	12034 - Repair Intermediate S-a-t-e 7.6-12.5 Cm	23	23	$2,581.28	$645.32 75% off	$388.78	$3,487.00	$605.17	2026-05-09
12041	OTHER	12041 - Repair Intermediate N-h-f-xtrnl Gent 2.5cm-less Than	23	23	$862.16	$215.54 75% off	$388.78	$3,487.00	$605.17	2026-05-09
12042	OTHER	12042 - Repair Intermediate N-h-f-xtrnl Gent 2.6-7.5 Cm	19	19	$862.16	$215.54 75% off	$388.78	$821.66	$464.63	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	$464.63	$3,487.00	$918.18	2026-05-09
12051	OTHER	12051 - Repair Intermediate F-e-e-n-land-muc 2.5 Cm-less Than	19	19	$862.16	$215.54 75% off	$388.78	$821.66	$464.63	2026-05-09
13121	OTHER	13121 - Repair Complex Scalp-arm-leg 2.6-7.5 Cm	23	23	$10,528.96	$2,632.24 75% off	$388.78	$4,769.00	$628.94	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	$388.78	$3,487.00	$605.17	2026-05-09
13132	OTHER	13132 - Repair Complex F-c-c-m-n-ax-g-h-f 2.6-7.5 Cm	23	23	$10,528.96	$2,632.24 75% off	$388.78	$4,769.00	$628.94	2026-05-09
13151	OTHER	13151 - Repair Complex Eyelid-nose-ear-lip 1.1-2.5 Cm	23	23	$10,528.96	$2,632.24 75% off	$464.63	$4,769.00	$918.18	2026-05-09
158	OTHER	Dental And Oral Diseases With Cc	1	1	$25,207.16	$6,301.79 75% off	$9,788.99	$9,788.99	$9,788.99	2026-05-09
176	OTHER	Pulmonary Embolism Without Mcc	1	1	$28,928.67	$7,232.17 75% off	$8,434.07	$8,434.07	$8,434.07	2026-05-09
177	OTHER	Respiratory Infections And Inflammations With Mcc	2	2	$24,290.08	$6,072.52 75% off	$7,465.03	$32,777.10	$20,121.06	2026-05-09
178	OTHER	Respiratory Infections And Inflammations With Cc	1	1	$39,822.69	$9,955.67 75% off	$8,844.37	$8,844.37	$8,844.37	2026-05-09
190	OTHER	Chronic Obstructive Pulmonary Disease With Mcc	1	1	$26,469.38	$6,617.35 75% off	$9,158.71	$9,158.71	$9,158.71	2026-05-09
191	OTHER	Chronic Obstructive Pulmonary Disease With Cc	1	1	$27,303.60	$6,825.90 75% off	$8,673.81	$8,673.81	$8,673.81	2026-05-09
193	OTHER	Simple Pneumonia And Pleurisy With Mcc	4	4	$28,076.67	$7,019.17 75% off	$11,021.88	$19,693.05	$13,257.58	2026-05-09
194	OTHER	Simple Pneumonia And Pleurisy With Cc	2	2	$31,123.22	$7,780.81 75% off	$7,830.04	$8,415.77	$8,122.91	2026-05-09
195	OTHER	Simple Pneumonia And Pleurisy Without Cc/mcc	1	1	$20,020.16	$5,005.04 75% off	$6,656.24	$6,656.24	$6,656.24	2026-05-09
20552	OTHER	20552 - Injection Single-mlt Trigger Point 1-2 Muscles	23	23	$2,003.04	$500.76 75% off	$293.56	$3,487.00	$464.63	2026-05-09
23650	OTHER	23650 - Clsd Tx Shoulder Dislc W-manipulation W-o Anes	20	20	$2,003.04	$500.76 75% off	$235.91	$10,533.00	$376.23	2026-05-09
23665	OTHER	23665 - Cltx Shoulder Dislc W-fx Humeral Tubrst W-mnpj	23	23	$2,581.28	$645.32 75% off	$551.97	$3,487.00	$2,019.48	2026-05-09
24600	OTHER	24600 - Treatment Closed Elbow Dislocation W-o Anes	20	20	$2,003.04	$500.76 75% off	$235.91	$10,533.00	$376.23	2026-05-09
24640	OTHER	24640 - Cltx Rdl Head Sublxtj Chld Nursemaid Elbw W-mnpj	23	23	$2,003.04	$500.76 75% off	$235.91	$2,184.00	$390.62	2026-05-09
25565	OTHER	25565 - Closed Tx Radialandulnar Shaft Fractures W-mnpj	23	23	$2,581.28	$645.32 75% off	$464.63	$3,487.00	$1,975.82	2026-05-09
25600	OTHER	25600 - Cltx Dstl Radial Fx-epiphysl Sep W-o Mnpj	23	23	$862.16	$215.54 75% off	$235.91	$806.00	$390.62	2026-05-09
25605	OTHER	25605 - Cltx Dstl Rdl Fx-epiphysl Sep W-mnpj	23	23	$10,528.96	$2,632.24 75% off	$464.63	$4,769.00	$2,267.22	2026-05-09
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	5	5	$156.26	$39.07 75% off	$737.00	$737.00	$737.00	2026-05-09
26010	OTHER	26010 - Drainage Finger Abscess Simple	23	23	$862.16	$215.54 75% off	$191.88	$806.00	$317.72	2026-05-09
26605	OTHER	26605 - Cltx Metacarpal Fx W-manipulation Each Bone	23	23	$807.04	$201.76 75% off	$235.91	$3,487.00	$390.62	2026-05-09
26700	OTHER	26700 - Cltx Metacarpophalangeal Dislc W-manj W-o Anes	19	19	$862.16	$215.54 75% off	$235.91	$806.00	$370.82	2026-05-09
26770	OTHER	26770 - Cltx Iphal Jt Dislc W-manj W-o Anes	19	19	$862.16	$215.54 75% off	$235.91	$806.00	$370.82	2026-05-09
27752	OTHER	27752 - Cltx Tibial Shaft Fx W-manj W-wo Skel Tracj	19	19	$2,389.92	$597.48 75% off	$464.63	$10,533.00	$1,637.34	2026-05-09
280	OTHER	Acute Myocardial Infarction, Discharged Alive With Mcc	1	1	$27,287.52	$6,821.88 75% off	$15,350.40	$15,350.40	$15,350.40	2026-05-09
281	OTHER	Acute Myocardial Infarction, Discharged Alive With Cc	1	1	$20,743.42	$5,185.86 75% off	$7,457.09	$7,457.09	$7,457.09	2026-05-09
28190	OTHER	28190 - Removal Foreign Body Foot Subcutaneous	20	20	$2,003.04	$500.76 75% off	$464.63	$10,533.00	$873.38	2026-05-09
28510	OTHER	28510 - Cltx Fx Phlx-phlg Oth-thn Grt Toe W-o Manj	19	19	$807.04	$201.76 75% off	$235.91	$806.00	$370.82	2026-05-09
28660	OTHER	28660 - Cltx Interphalangeal Joint Dislocation W-o Anes	19	19	$862.16	$215.54 75% off	$235.91	$806.00	$370.82	2026-05-09
291	OTHER	Heart Failure And Shock With Mcc	3	3	$25,013.54	$6,253.39 75% off	$6,983.78	$11,693.78	$8,832.04	2026-05-09
29105	OTHER	29105 - Application Long Arm Splint Shoulder To Hand	23	23	$862.16	$215.54 75% off	$155.41	$806.00	$257.33	2026-05-09
29125	OTHER	29125 - Application Short Arm Splint Forearm-hand Static	23	23	$806.00	$201.50 75% off	$127.24	$806.00	$210.69	2026-05-09
29505	OTHER	29505 - Application Long Leg Splint Thigh To Ankle-toes	23	23	$862.16	$215.54 75% off	$155.41	$806.00	$257.33	2026-05-09
29515	OTHER	29515 - Application Short Leg Splint Calf To Foot	23	23	$862.16	$215.54 75% off	$155.41	$806.00	$257.33	2026-05-09
300	OTHER	Peripheral Vascular Disorders With Cc	1	1	$42,447.24	$10,611.81 75% off	$10,478.87	$10,478.87	$10,478.87	2026-05-09
30300	OTHER	30300 - Removal Foreign Body Intranasal Office Procedure	23	23	$862.16	$215.54 75% off	$127.24	$806.00	$210.69	2026-05-09
305	OTHER	Hypertension Without Mcc	1	1	$19,524.58	$4,881.15 75% off	$18,690.45	$18,690.45	$18,690.45	2026-05-09
30901	OTHER	30901 - Control Nasal Hemorrhage Anterior Simple	23	23	$806.00	$201.50 75% off	$127.24	$806.00	$210.69	2026-05-09
30905	OTHER	30905 - Ctrl Nsl Hemrrg Pst Nasal Packsand-cautery 1st	20	20	$2,003.04	$500.76 75% off	$127.24	$10,533.00	$202.94	2026-05-09
312	OTHER	Syncope And Collapse	2	2	$35,044.65	$8,761.16 75% off	$7,868.77	$9,742.92	$8,805.85	2026-05-09
31500	OTHER	31500 - Intubation Endotracheal Emergency Procedure	23	23	$2,427.36	$606.84 75% off	$226.52	$3,487.00	$375.07	2026-05-09
31720	OTHER	31720 - Catheter Aspiration Nasotracheal Spx	19	19	$758.16	$189.54 75% off	$209.42	$2,184.00	$329.20	2026-05-09
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	4	4	$335.88	$83.97 75% off	$300.00	$300.00	$300.00	2026-05-09
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	4	4	$179.22	$44.81 75% off	$300.00	$300.00	$300.00	2026-05-09
32551	OTHER	32551 - Tube Thoracostomy Includes Water Seal	23	23	$2,251.60	$562.90 75% off	$464.63	$3,487.00	$1,975.82	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
335	OTHER	Peritoneal Adhesiolysis With Mcc	6	6	$234.00	$58.50 75% off	$608.00	$998.00	$803.00	2026-05-09
351	OTHER	Inguinal And Femoral Hernia Procedures With Cc	5	5	$1,537.11	$384.28 75% off	$400.00	$600.00	$500.00	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
36430	OTHER	36430 - Transfusion Blood-blood Components	20	20	$1,895.72	$473.93 75% off	$421.93	$10,533.00	$554.54	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	$464.63	$10,533.00	$3,139.48	2026-05-09
36591	OTHER	36591 - Collect Blood From Implant Venous Access Device	19	19	$810.16	$202.54 75% off	$127.24	$806.00	$200.02	2026-05-09
36592	OTHER	36592 - Collect Blood From Catheter Venous Nos	19	19	$758.16	$189.54 75% off	$127.24	$806.00	$200.02	2026-05-09
36600	OTHER	36600 - Arterial Puncture Withdrawal Blood Dx	19	19	$819.66	$204.92 75% off	$127.24	$806.00	$200.02	2026-05-09
37195	OTHER	37195 - Thrombolysis Cerebral IV Infusion	23	23	$2,003.04	$500.76 75% off	$315.90	$2,184.00	$511.03	2026-05-09
390	OTHER	Gastrointestinal Obstruction Without Cc/mcc	5	5	$607.85	$151.96 75% off	$1,469.00	$1,469.00	$1,469.00	2026-05-09
391	OTHER	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	6	6	$1,895.72	$473.93 75% off	$1,469.00	$12,184.95	$1,469.00	2026-05-09
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	4	4	$689.25	$172.31 75% off	$350.00	$350.00	$350.00	2026-05-09
403	OTHER	0403 - Other Imaging Services - Screening Mammography	4	4	$386.97	$96.74 75% off	$250.00	$250.00	$250.00	2026-05-09
410	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	6	6	$519.01	$129.75 75% off	$213.00	$457.00	$335.00	2026-05-09
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	7	7	$233.25	$58.31 75% off	$213.00	$252.00	$232.50	2026-05-09
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	7	7	$270.72	$67.68 75% off	$213.00	$252.00	$232.50	2026-05-09
433	OTHER	Cirrhosis And Alcoholic Hepatitis With Cc	1	1	$28,776.80	$7,194.20 75% off	$7,241.35	$7,241.35	$7,241.35	2026-05-09
43762	OTHER	43762 - Perq Replacement Gtube Not Req Revj Gstrst Trc	20	20	$2,003.04	$500.76 75% off	$238.95	$10,533.00	$381.08	2026-05-09
439	OTHER	Disorders Of Pancreas Except Malignancy With Cc	3	3	$30,199.68	$7,549.92 75% off	$8,598.90	$8,952.25	$8,683.20	2026-05-09
440	OTHER	Disorders Of Pancreas Except Malignancy Without Cc/mcc	8	8	$25,934.94	$6,483.74 75% off	$213.00	$6,591.37	$241.25	2026-05-09
444	OTHER	Disorders Of The Biliary Tract With Mcc	7	7	$400.40	$100.10 75% off	$213.00	$252.00	$232.50	2026-05-09
460	OTHER	0460 - Pulmonary Function - General Classification	5	5	$413.05	$103.26 75% off	$470.00	$470.00	$470.00	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
482	OTHER	Hip And Femur Procedures Except Major Joint Without Cc/mcc	5	5	$707.20	$176.80 75% off	$1,534.00	$1,534.00	$1,534.00	2026-05-09
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	5	5	$1,845.29	$461.32 75% off	$558.00	$558.00	$558.00	2026-05-09
49465	OTHER	49465 - Contrast Injection Perq Radiologic Eval Gi Tube	19	19	$810.16	$202.54 75% off	$228.19	$806.00	$377.84	2026-05-09
51701	OTHER	51701 - Insj Non-ndwellg Bladder Catheter	23	23	$810.16	$202.54 75% off	$127.24	$806.00	$210.69	2026-05-09
51702	OTHER	51702 - Insj Temp Ndwellg Bladder Catheter Simple	23	23	$810.16	$202.54 75% off	$127.24	$806.00	$210.69	2026-05-09
51703	OTHER	51703 - Insj Temp Ndwellg Bladder Catheter Complicated	20	20	$2,003.04	$500.76 75% off	$123.06	$3,487.00	$232.87	2026-05-09
54220	OTHER	54220 - Irrigation Corpora Cavernosa Priapism	20	20	$2,003.04	$500.76 75% off	$238.95	$10,533.00	$381.08	2026-05-09
56420	OTHER	56420 - Iandd Of Bartholins Gland Abscess	20	20	$2,003.04	$500.76 75% off	$193.35	$10,533.00	$308.37	2026-05-09
603	OTHER	Cellulitis Without Mcc	3	3	$27,100.17	$6,775.04 75% off	$6,965.25	$23,407.45	$7,863.79	2026-05-09
605	OTHER	Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc	1	1	$30,797.13	$7,699.28 75% off	$12,128.18	$12,128.18	$12,128.18	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
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
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
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
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
618	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	5	5	$2,334.80	$583.70 75% off	$400.00	$800.00	$600.00	2026-05-09
637	OTHER	Diabetes With Mcc	1	1	$26,447.90	$6,611.98 75% off	$10,020.56	$10,020.56	$10,020.56	2026-05-09
640	OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	2	2	$32,294.47	$8,073.62 75% off	$12,675.67	$13,947.26	$13,311.47	2026-05-09
641	OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	2	2	$25,888.01	$6,472.00 75% off	$6,471.49	$7,029.48	$6,750.48	2026-05-09
64450	OTHER	64450 - Injection Aaand-strd Other Peripheral Nerve-branch	20	20	$2,003.04	$500.76 75% off	$464.63	$10,533.00	$868.56	2026-05-09
65220	OTHER	65220 - Rmvl Fb Xtrnl Eye Corneal W-o Slit Lamp	23	23	$862.16	$215.54 75% off	$427.24	$902.93	$612.48	2026-05-09
683	OTHER	Renal Failure With Cc	3	3	$22,809.32	$5,702.33 75% off	$8,029.43	$9,250.92	$8,928.13	2026-05-09
689	OTHER	Kidney And Urinary Tract Infections With Mcc	2	2	$27,460.35	$6,865.09 75% off	$6,598.44	$6,770.24	$6,684.34	2026-05-09
690	OTHER	Kidney And Urinary Tract Infections Without Mcc	2	2	$22,466.52	$5,616.63 75% off	$7,213.10	$8,330.78	$7,771.94	2026-05-09
69200	OTHER	69200 - Rmvl Fb Xtrnl Auditory Canal W-o Anes	23	23	$862.16	$215.54 75% off	$127.24	$806.00	$210.69	2026-05-09
70450	OTHER	70450 - CT Head-brain W-o Contrast Material	22	22	$1,537.11	$384.28 75% off	$99.98	$875.00	$159.46	2026-05-09
70470	OTHER	70470 - CT Head-brain W-o And W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$875.00	$267.52	2026-05-09
70480	OTHER	70480 - CT Orbit Sella-post Fossa-ear W-o Contrast Matrl	22	22	$1,537.12	$384.28 75% off	$99.98	$338.25	$159.46	2026-05-09
70482	OTHER	70482 - CT Orbit Sella-post Fossa-ear W-o And W-contr Matr	22	22	$1,537.12	$384.28 75% off	$167.75	$477.63	$267.52	2026-05-09
70486	OTHER	70486 - CT Maxillofacial W-o Contrast Material	22	22	$1,537.12	$384.28 75% off	$99.98	$330.81	$159.46	2026-05-09
70487	OTHER	70487 - CT Maxillofacial W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$354.97	$261.36	2026-05-09
70488	OTHER	70488 - CT Maxillofacial W-o And W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$516.66	$267.52	2026-05-09
70490	OTHER	70490 - CT Soft Tissue Neck W-o Contrast Material	22	22	$1,537.12	$384.28 75% off	$99.98	$349.40	$159.46	2026-05-09
70491	OTHER	70491 - CT Soft Tissue Neck W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$423.74	$267.52	2026-05-09
70492	OTHER	70492 - CT Soft Tissue Neck W-o And W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$354.53	$261.14	2026-05-09
70496	OTHER	70496 - CT Angiography Head W-contrast-noncontrast	22	22	$1,537.12	$384.28 75% off	$167.75	$522.06	$267.52	2026-05-09
70498	OTHER	70498 - CT Angiography Neck W-contrast-noncontrast	22	22	$1,537.12	$384.28 75% off	$167.75	$522.06	$267.52	2026-05-09
70540	OTHER	70540 - MRI Orbit Face And-neck W-o Contrast	22	22	$2,334.80	$583.70 75% off	$228.19	$748.98	$363.92	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	$333.65	$1,771.06	$532.11	2026-05-09
70544	OTHER	70544 - MRA Head W-o Contrst Material	22	22	$2,334.80	$583.70 75% off	$228.19	$809.90	$363.92	2026-05-09
70549	OTHER	70549 - MRA Neck W-o Andw-contrast Material	22	22	$2,334.80	$583.70 75% off	$333.65	$1,584.96	$532.11	2026-05-09
70551	OTHER	70551 - MRI Brain Brain Stem W-o Contrast Material	22	22	$2,334.80	$583.70 75% off	$228.19	$875.00	$363.92	2026-05-09
70553	OTHER	70553 - MRI Brain Brain Stem W-o W-contrast Material	22	22	$2,334.80	$583.70 75% off	$333.65	$1,074.21	$532.11	2026-05-09
71250	OTHER	71250 - Diagnostic Computed Tomography Thorax W-o Cntrst	22	22	$1,537.12	$384.28 75% off	$99.98	$875.00	$159.46	2026-05-09
71260	OTHER	71260 - Diagnostic Computed Tomography Thorax W-contrast	22	22	$1,537.12	$384.28 75% off	$167.75	$490.64	$267.52	2026-05-09
71270	OTHER	71270 - Diagnostic Computed Tomography Thorax C--c+	22	22	$1,537.12	$384.28 75% off	$167.75	$613.31	$267.52	2026-05-09
71275	OTHER	71275 - CT Angiography Chest W-contrast-noncontrast	22	22	$1,537.12	$384.28 75% off	$167.75	$634.26	$267.52	2026-05-09
72070	OTHER	72070 - Radex Spine Thoracic 2 Views	23	23	$290.16	$72.54 75% off	$44.60	$211.31	$120.83	2026-05-09
72072	OTHER	72072 - Radex Spine Thoracic 3 Views	23	23	$370.24	$92.56 75% off	$52.04	$211.31	$120.83	2026-05-09
72082	OTHER	72082 - Radex Entir Thrc Lmbr Crv Sac Spi W-skull 2-3 Vw	23	23	$218.40	$54.60 75% off	$79.61	$211.31	$120.83	2026-05-09
72100	OTHER	72100 - Radex Spine Lumbosacral 2-3 Views	23	23	$414.96	$103.74 75% off	$52.04	$211.31	$120.83	2026-05-09
72110	OTHER	72110 - Radex Spine Lumbosacral Minimum 4 Views	23	23	$481.52	$120.38 75% off	$74.34	$211.31	$120.83	2026-05-09
72114	OTHER	72114 - Radex Spine Lumbscrl Compl W-bending Views Min 6	23	23	$499.20	$124.80 75% off	$83.63	$211.31	$120.83	2026-05-09
72120	OTHER	72120 - Radex Spine Lumbosacral Only Bending 2-3 Views	23	23	$332.80	$83.20 75% off	$61.33	$211.31	$120.83	2026-05-09
72125	OTHER	72125 - CT Cervical Spine W-o Contrast Material	22	22	$1,537.10	$384.28 75% off	$99.98	$399.58	$159.46	2026-05-09
72127	OTHER	72127 - CT Cervical Spine W-o Andw-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$600.30	$267.52	2026-05-09
72128	OTHER	72128 - CT Thoracic Spine W-o Contrast Material	22	22	$1,537.12	$384.28 75% off	$99.98	$399.58	$159.46	2026-05-09
72131	OTHER	72131 - CT Lumbar Spine W-o Contrast Material	22	22	$1,537.12	$384.28 75% off	$99.98	$399.58	$159.46	2026-05-09
72133	OTHER	72133 - CT Lumbar Spine W-o And W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$600.30	$267.52	2026-05-09
72141	OTHER	72141 - MRI Spinal Canal Cervical W-o Contrast Matrl	22	22	$2,334.80	$583.70 75% off	$228.19	$754.55	$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	$228.19	$828.89	$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	$228.19	$875.00	$363.92	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	$333.65	$1,074.21	$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	$333.65	$1,074.21	$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	$333.65	$1,074.21	$532.11	2026-05-09
72170	OTHER	72170 - Radiologic Examination Pelvis 1-2 Views	23	23	$339.04	$84.76 75% off	$39.03	$211.31	$120.83	2026-05-09
72190	OTHER	72190 - Radiologic Exam Pelvis Compl Minimum 3 Views	23	23	$354.64	$88.66 75% off	$61.33	$211.31	$120.83	2026-05-09
72192	OTHER	72192 - CT Pelvis W-o Contrast Material	22	22	$1,537.12	$384.28 75% off	$99.98	$423.74	$159.46	2026-05-09
72193	OTHER	72193 - CT Pelvis W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$472.06	$267.52	2026-05-09
72194	OTHER	72194 - CT Pelvis W-o And W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$576.14	$267.52	2026-05-09
72195	OTHER	72195 - MRI Pelvis W-o Contrast Material	22	22	$2,334.80	$583.70 75% off	$228.19	$801.54	$363.92	2026-05-09
72197	OTHER	72197 - MRI Pelvis W-o And W-contrast Material	22	22	$2,334.80	$583.70 75% off	$333.65	$1,775.24	$532.11	2026-05-09
730	OTHER	Other Male Reproductive System Diagnoses Without Cc/mcc	5	5	$129.96	$32.49 75% off	$500.00	$500.00	$500.00	2026-05-09
73010	OTHER	73010 - Radex Scapula Complete	23	23	$308.88	$77.22 75% off	$33.45	$211.31	$120.83	2026-05-09
73092	OTHER	73092 - Radex Upper Extremity Infant Minimum 2 Views	23	23	$315.12	$78.78 75% off	$59.47	$211.31	$120.83	2026-05-09
731	OTHER	0731 - EKG-ECG (electrocardiogram) - Holter Monitor	5	5	$510.64	$127.66 75% off	$698.00	$698.00	$698.00	2026-05-09
73120	OTHER	73120 - Radex Hand 2 Views	23	23	$254.78	$63.70 75% off	$31.59	$211.31	$120.83	2026-05-09
73200	OTHER	73200 - CT Upper Extremity W-o Contrast Material	22	22	$1,537.12	$384.28 75% off	$99.98	$343.82	$159.46	2026-05-09
73201	OTHER	73201 - CT Upper Extremity W-contrast Material	22	22	$1,537.12	$384.28 75% off	$252.76	$705.15	$406.55	2026-05-09
73202	OTHER	73202 - CT Upper Extremity W-o And W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$354.53	$261.14	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	$228.19	$798.06	$363.92	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	$333.65	$748.98	$532.11	2026-05-09
73221	OTHER	73221 - MRI Any Jt Upper Extremity W-o Contrast Matrl	22	22	$2,334.80	$583.70 75% off	$228.19	$875.00	$363.92	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	$333.65	$1,771.06	$532.11	2026-05-09
73521	OTHER	73521 - Radex Hips Bilateral With Pelvis 2 Views	23	23	$218.40	$54.60 75% off	$48.64	$211.31	$120.83	2026-05-09
73522	OTHER	73522 - Radex Hips Bilateral With Pelvis 3-4 Views	23	23	$240.24	$60.06 75% off	$57.93	$211.31	$120.83	2026-05-09
73564	OTHER	73564 - Radiologic Exam Knee Complete 4-more Views	23	23	$374.40	$93.60 75% off	$68.76	$211.31	$120.83	2026-05-09
73700	OTHER	73700 - CT Lower Extremity W-o Contrast Material	22	22	$1,537.12	$384.28 75% off	$99.98	$338.25	$159.46	2026-05-09
73701	OTHER	73701 - CT Lower Extremity W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$354.53	$252.76	2026-05-09
73702	OTHER	73702 - CT Lower Extremity W-o And W-contrast Matrl	22	22	$1,537.12	$384.28 75% off	$167.75	$354.53	$261.14	2026-05-09
73706	OTHER	73706 - CT Angiography Lower Extremity	22	22	$1,537.12	$384.28 75% off	$167.75	$535.99	$267.52	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	$228.19	$748.98	$363.92	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	$333.65	$748.98	$532.11	2026-05-09
73721	OTHER	73721 - MRI Any Jt Lower Extrem W-o Contrast Matrl	22	22	$2,334.80	$583.70 75% off	$228.19	$875.00	$363.92	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	$333.65	$1,771.06	$532.11	2026-05-09
740	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc	5	5	$1,375.66	$343.92 75% off	$664.00	$664.00	$664.00	2026-05-09
74150	OTHER	74150 - CT Abdomen W-o Contrast Material	22	22	$1,537.12	$384.28 75% off	$99.98	$405.15	$159.46	2026-05-09
74160	OTHER	74160 - CT Abdomen W-contrast Material	22	22	$1,537.12	$384.28 75% off	$167.75	$485.07	$267.52	2026-05-09
74170	OTHER	74170 - CT Abdomen W-o Contrast Flwd By Contrast Matrl	22	22	$1,537.12	$384.28 75% off	$167.75	$589.14	$267.52	2026-05-09
74174	OTHER	74174 - CTA Abdandplvs W-cntrst And Img Postprocessing	22	22	$1,537.12	$384.28 75% off	$333.65	$797.60	$532.11	2026-05-09
74175	OTHER	74175 - CTA Abdomen W-contrastandimg Postprocessing	22	22	$1,537.12	$384.28 75% off	$167.75	$609.87	$267.52	2026-05-09
74176	OTHER	74176 - CT Abdomen And Pelvis W-o Contrast Material	22	22	$1,537.12	$384.28 75% off	$201.28	$875.00	$248.12	2026-05-09
74177	OTHER	74177 - CT Abdomen And Pelvis W-contrast Material	22	22	$1,537.11	$384.28 75% off	$333.65	$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	$333.65	$875.00	$507.28	2026-05-09
74181	OTHER	74181 - MRI Abdomen W-o Contrast Material	22	22	$2,334.80	$583.70 75% off	$228.19	$760.13	$363.92	2026-05-09
74183	OTHER	74183 - MRI Abdomen W-o Contrast Flwd By W-contrast	22	22	$2,334.80	$583.70 75% off	$333.65	$1,775.24	$532.11	2026-05-09
74185	OTHER	74185 - MRA Abdomen W-wo Contrast Material	12	12	$2,334.80	$583.70 75% off	$307.25	$831.51	$569.38	2026-05-09
75635	OTHER	75635 - CTA Abdl Aortaandbi Iliofem W-contrastandpostp	22	22	$1,537.12	$384.28 75% off	$167.75	$609.87	$267.52	2026-05-09
760	OTHER	Menstrual And Other Female Reproductive System Disorders With Cc/mcc	3	3	$354.24	$88.56 75% off	$4,378.00	$4,378.00	$4,378.00	2026-05-09
762	OTHER	0762 - Specialty Services - Observation Hours	3	3	$336.12	$84.03 75% off	$4,163.50	$4,163.50	$4,163.50	2026-05-09
76706	OTHER	76706 - US Abdominal Aorta Real Time Screen Study Aaa	23	23	$216.32	$54.08 75% off	$99.98	$211.31	$133.87	2026-05-09
76830	OTHER	76830 - US Transvaginal	23	23	$660.40	$165.10 75% off	$99.98	$317.50	$126.38	2026-05-09
77067	OTHER	77067 - Screening Mammography Bi 2-view Breast Inc Cad	23	23	$505.44	$126.36 75% off	$101.56	$243.17	$172.37	2026-05-09
77080	OTHER	77080 - Dxa Bone Density Study 1-greater Than Sites Axial Skel	23	23	$414.96	$103.74 75% off	$99.98	$288.21	$161.75	2026-05-09
86078	OTHER	86078 - Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt	19	19	$473.20	$118.30 75% off	$92.94	$344.36	$181.99	2026-05-09
86581	OTHER	86581 - Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan	22	22	$573.04	$143.26 75% off	$92.03	$715.08	$302.26	2026-05-09
86870	OTHER	86870 - Antibody Id Rbc Antibodies Ea Panel Ea Serum Tq	19	19	$463.84	$115.96 75% off	$20.44	$724.50	$354.57	2026-05-09
86900	OTHER	86900 - Blood Typing Serologic Abo	20	20	$206.96	$51.74 75% off	$2.99	$268.93	$130.69	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	$354.57	2026-05-09
86920	OTHER	86920 - Compatibility Each Unit Immediate Spin Technique	23	23	$238.16	$59.54 75% off	$63.19	$344.36	$173.48	2026-05-09
86922	OTHER	86922 - Compatibility Each Unit Antiglobulin	23	23	$273.52	$68.38 75% off	$70.36	$344.36	$173.48	2026-05-09
871	OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	3	3	$29,767.28	$7,441.82 75% off	$8,259.14	$32,297.50	$25,765.00	2026-05-09
87154	OTHER	87154 - Culture Typing Id Bld Pthgnandresist Typing 6+trgt	19	19	$566.80	$141.70 75% off	$218.06	$476.16	$275.49	2026-05-09
872	OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	2	2	$21,595.09	$5,398.77 75% off	$6,978.72	$8,616.19	$7,797.45	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
87507	OTHER	87507 - Iadna-DNA-RNA Gi Pthgn Multiplex Probe Tq 12-25	23	23	$1,404.00	$351.00 75% off	$416.78	$1,054.10	$666.85	2026-05-09
87536	OTHER	87536 - Iadna HIV-1 Quant And Reverse Transcription	23	23	$458.64	$114.66 75% off	$85.10	$225.83	$136.16	2026-05-09
87631	OTHER	87631 - Iadna Respiratry Probe And Rev Trnscr 3-5 Targets	23	23	$732.16	$183.04 75% off	$142.63	$311.45	$227.04	2026-05-09
87633	OTHER	87633 - Iadna Respiratry Probe And Rev Trnscr 12-25 Target	23	23	$1,110.72	$277.68 75% off	$416.78	$910.08	$515.77	2026-05-09
87637	OTHER	87637 - Iadna Sarscov2 And Inf Aandb And Rsv Mult Amp Probe Tq	22	22	$374.40	$93.60 75% off	$142.60	$360.00	$224.05	2026-05-09
880	OTHER	Acute Adjustment Reaction And Psychosocial Dysfunction	23	23	$19,305.91	$4,826.48 75% off	$2,497.00	$12,586.42	$2,497.00	2026-05-09
881	OTHER	Depressive Neuroses	23	23	$25,899.12	$6,474.78 75% off	$2,497.00	$12,002.13	$2,497.00	2026-05-09
882	OTHER	Neuroses Except Depressive	23	23	$26,628.91	$6,657.23 75% off	$2,497.00	$20,673.80	$2,497.00	2026-05-09
883	OTHER	Disorders Of Personality And Impulse Control	23	23	$26,518.08	$6,629.52 75% off	$2,497.00	$19,293.84	$2,497.00	2026-05-09
884	OTHER	Organic Disturbances And Intellectual Disability	23	23	$19,139.83	$4,784.96 75% off	$2,497.00	$15,596.20	$2,497.00	2026-05-09
885	OTHER	Psychoses	23	23	$35,002.48	$8,750.62 75% off	$2,497.00	$18,750.17	$9,270.24	2026-05-09
886	OTHER	Behavioral And Developmental Disorders	23	23	$24,693.94	$6,173.49 75% off	$2,497.00	$16,601.28	$2,497.00	2026-05-09
894	OTHER	Alcohol, Drug Abuse Or Dependence, Left Ama	23	23	$15,013.25	$3,753.31 75% off	$2,497.00	$12,158.43	$2,497.00	2026-05-09
896	OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	23	23	$27,525.02	$6,881.26 75% off	$2,497.00	$16,085.97	$2,497.00	2026-05-09
897	OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	23	23	$25,120.30	$6,280.08 75% off	$2,497.00	$48,329.80	$2,497.00	2026-05-09
90375	OTHER	90375 - Rabies Immune Globulin Rig Human IM-subq	92	23	$561.92	$140.48 75% off	$279.95	$611.30	$321.94	2026-05-09
90675	OTHER	90675 - Rabies Vaccine Intramuscular	23	23	$811.17	$202.79 75% off	$319.75	$698.20	$367.71	2026-05-09
918	OTHER	Poisoning And Toxic Effects Of Drugs Without Mcc	5	5	$193.44	$48.36 75% off	$353.00	$353.00	$353.00	2026-05-09
920	OTHER	Complications Of Treatment With Cc	4	4	$3,342.78	$835.70 75% off	$1,400.00	$1,400.00	$1,400.00	2026-05-09
921	OTHER	Complications Of Treatment Without Cc/mcc	5	5	$862.01	$215.50 75% off	$608.00	$608.00	$608.00	2026-05-09
92523	OTHER	92523 - Eval Speech Sound Product Language Comprehension	20	20	$453.44	$113.36 75% off	$91.88	$464.02	$252.10	2026-05-09
92610	OTHER	92610 - Eval Oralandpharyngeal Swlng Funcj	17	17	$347.36	$86.84 75% off	$78.88	$172.24	$125.56	2026-05-09
92950	OTHER	92950 - Cardiopulmonary Resuscitation	18	18	$1,185.60	$296.40 75% off	$206.50	$698.00	$389.19	2026-05-09
93017	OTHER	93017 - Cv Strs Tst Xersand-rx Cont ECG Trcg Only W-o Iandr	21	21	$707.20	$176.80 75% off	$113.37	$436.44	$274.90	2026-05-09
93225	OTHER	93225 - Xtrnl ECG Recless Than 48 Hrs Recording	21	21	$510.64	$127.66 75% off	$81.77	$268.93	$156.73	2026-05-09
93306	OTHER	93306 - Echo Tthrc R-t 2d W-wom-mode Compl Specandcolr D	21	21	$1,918.97	$479.74 75% off	$478.58	$1,104.44	$679.12	2026-05-09
93308	OTHER	93308 - Echo Transthorc R-t 2d W-wo M-mode Rec F-up-lmtd	21	21	$1,265.68	$316.42 75% off	$109.65	$482.27	$295.96	2026-05-09
93351	OTHER	93351 - Echo Tthrc R-t 2d W-wo M-mode Restandstrs Cont ECG	21	21	$1,415.44	$353.86 75% off	$406.14	$1,104.44	$679.12	2026-05-09
93880	OTHER	93880 - Duplex Scan Extracranial Art Compl Bi Study	22	22	$1,164.80	$291.20 75% off	$130.10	$482.27	$306.19	2026-05-09
93922	OTHER	93922 - Non-invas Physiologic Std Extremity Art 2 Level	22	22	$626.08	$156.52 75% off	$50.74	$268.93	$158.28	2026-05-09
93970	OTHER	93970 - Dup-scan Xtr Veins Complete Bilateral Study	22	22	$626.08	$156.52 75% off	$78.06	$482.27	$280.17	2026-05-09
93971	OTHER	93971 - Dup-scan Xtr Veins Unilateral-limited Study	22	22	$838.24	$209.56 75% off	$99.98	$403.00	$146.19	2026-05-09
93975	OTHER	93975 - Dup-scan Artl Flo Abdl-pel-scrotand-rpr Orgn Com	22	22	$928.72	$232.18 75% off	$169.12	$482.27	$319.42	2026-05-09
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	5	5	$189.27	$47.32 75% off	$594.00	$594.00	$594.00	2026-05-09
94002	OTHER	94002 - Ventilation Assist And Mgmt Inpatient 1st Day	17	17	$2,085.20	$521.30 75% off	$590.84	$1,248.71	$771.54	2026-05-09
94010	OTHER	94010 - Spmtry W-vc Expiratory Flo W-wo Mxml Vol Vntj	21	21	$622.96	$155.74 75% off	$44.60	$436.44	$213.58	2026-05-09
94060	OTHER	94060 - Brncdilat Rspse Spmtry Preandpost-brncdilat Admn	21	21	$621.92	$155.48 75% off	$72.48	$754.23	$379.97	2026-05-09
942	OTHER	0942 - Other Therapeutic Services (also See 095x An Extension Of 094x) - Educat…	5	5	$100.60	$25.15 75% off	$232.00	$232.00	$232.00	2026-05-09
94375	OTHER	94375 - Respiratory Flow Volume Loop	21	21	$423.28	$105.82 75% off	$24.16	$436.44	$230.30	2026-05-09
94618	OTHER	94618 - Pulmonary Stress Testing	21	21	$197.60	$49.40 75% off	$23.53	$268.93	$146.23	2026-05-09
94640	OTHER	94640 - Pressurized-nonpressurized Inhalation Treatment	17	17	$314.08	$78.52 75% off	$11.15	$442.60	$218.84	2026-05-09
94660	OTHER	94660 - Cpap Ventilation Cpap Initiationandmgmt	17	17	$346.32	$86.58 75% off	$209.42	$442.60	$265.40	2026-05-09
94664	OTHER	94664 - Demoand-eval Pt Utiliz Aersl Gen Neb Inhlr-ippb	17	17	$350.48	$87.62 75% off	$11.15	$442.60	$218.84	2026-05-09
94667	OTHER	94667 - Manipulation Chest Wall 1st Demonstrationand-eval	17	17	$275.60	$68.90 75% off	$127.24	$268.93	$160.92	2026-05-09
94668	OTHER	94668 - Manipulation Chest Wall Subsequent	17	17	$180.96	$45.24 75% off	$127.24	$268.93	$160.92	2026-05-09
94669	OTHER	94669 - Mechanical Chest Wall Oscillation Lung Function	17	17	$346.32	$86.58 75% off	$209.42	$442.60	$265.40	2026-05-09
94727	OTHER	94727 - Gas Dil-wshot Deter Lng Vol Dstrbj Vntjandclsg Vol	21	21	$231.92	$57.98 75% off	$59.27	$436.44	$213.58	2026-05-09
951	OTHER	Other Factors Influencing Health Status	1	1	$10,429.63	$2,607.41 75% off	$5,717.50	$5,717.50	$5,717.50	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	$226.74	$1,900.00	$1,063.37	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	$381.68	$1,900.00	$1,140.84	2026-05-09
95813	OTHER	95813 - EEG Extended Monitoring 61-119 Minutes	21	21	$2,416.96	$604.24 75% off	$192.37	$436.44	$314.40	2026-05-09
95816	OTHER	95816 - Electroencephalogram W-rec Awakeanddrowsy	21	21	$1,306.24	$326.56 75% off	$46.46	$436.44	$241.45	2026-05-09
96158	OTHER	96158 - Health Behavior Ivntj Indiv F2f 1st 30 Min	17	17	$184.08	$46.02 75% off	$102.38	$358.76	$180.73	2026-05-09
96360	OTHER	96360 - IV Infusion Hydration Initial 31 Min-1 Hour	17	17	$479.44	$119.86 75% off	$203.42	$429.93	$286.28	2026-05-09
96365	OTHER	96365 - IV Infusion Therapy-prophylaxis -dx 1st To 1 Hr	21	21	$538.66	$134.67 75% off	$168.34	$429.93	$259.00	2026-05-09
96374	OTHER	96374 - Ther Proph-dx Njx IV Push Single-1st Sbst-drug	17	17	$423.26	$105.82 75% off	$203.42	$429.93	$286.28	2026-05-09
97161	OTHER	97161 - Physical Therapy Evaluation Low Complex 20 Mins	20	20	$261.04	$65.26 75% off	$91.20	$241.00	$146.40	2026-05-09
97162	OTHER	97162 - Physical Therapy Evaluation Mod Complex 30 Mins	20	20	$369.20	$92.30 75% off	$91.20	$275.65	$150.80	2026-05-09
97163	OTHER	97163 - Physical Therapy Evaluation High Complex 45 Mins	20	20	$491.92	$122.98 75% off	$91.20	$367.54	$150.80	2026-05-09
99195	OTHER	99195 - Phlebotomy Therapeutic Separate Procedure	17	17	$224.64	$56.16 75% off	$127.24	$268.93	$160.92	2026-05-09
99281	OTHER	99281 - Emergency Department Visit May Not Req Phys-qhp	19	19	$1,820.00	$455.00 75% off	$80.65	$1,196.00	$170.44	2026-05-09
99282	OTHER	99282 - Emergency Department Visit Straightforward Mdm	19	19	$2,626.00	$656.50 75% off	$146.85	$1,600.00	$518.26	2026-05-09
99283	OTHER	99283 - Emergency Department Visit Low Mdm	19	19	$3,146.00	$786.50 75% off	$261.07	$1,745.00	$623.00	2026-05-09
99284	OTHER	99284 - Emergency Department Visit Moderate Mdm	19	19	$3,457.67	$864.42 75% off	$399.06	$2,021.00	$758.78	2026-05-09
99285	OTHER	99285 - Emergency Department Visit High Mdm	19	19	$4,207.13	$1,051.78 75% off	$569.55	$2,721.00	$979.61	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	$789.99	$2,907.00	$1,308.08	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
C8929	OTHER	C8929 - Tte W Or Wo Fol Wcondoppler	14	14	$1,649.44	$412.36 75% off	$749.72	$1,584.48	$1,167.10	2026-05-09
G0379	OTHER	G0379 - Direct Refer Hospital Observ	17	17	$1,788.80	$447.20 75% off	$569.55	$1,203.71	$759.62	2026-05-09
G0399	OTHER	G0399 - Home Sleep Test-type 3 Porta	18	18	$1,942.72	$485.68 75% off	$196.29	$1,900.00	$272.24	2026-05-09
G0463	OTHER	G0463 - Hospital Outpt Clinic Visit	14	14	$532.48	$133.12 75% off	$127.33	$269.09	$198.21	2026-05-09
G0480	OTHER	G0480 - Drug Test Def 1-7 Classes	19	19	$297.44	$74.36 75% off	$114.43	$249.87	$146.50	2026-05-09
J0840	OTHER	J0840 - Crotalidae Poly Immune Fab	57	19	$7,025.86	$1,756.47 75% off	$1,826.52	$3,988.38	$1,981.60	2026-05-09
J1610	OTHER	J1610 - Glucagon Hydrochloride-1 Mg	23	23	$555.05	$138.76 75% off	$71.65	$359.99	$175.53	2026-05-09
J1611	OTHER	J1611 - Inj Glucagon Hcl Fresenius	23	23	$499.78	$124.95 75% off	$143.25	$312.81	$164.74	2026-05-09
J3101	OTHER	J3101 - Tenecteplase Injection	115	23	$319.37	$79.84 75% off	$76.31	$408.27	$199.07	2026-05-09
P9016	OTHER	P9016 - Rbc Leukocytes Reduced	17	17	$347.36	$86.84 75% off	$184.91	$365.83	$218.99	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
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

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