Hospital

SOUTHWEST ARKANSAS REGIONAL MEDICAL CENTER LLC

Hope, AR · CCN 040153 · Rates published

9,119 distinct procedures filed

12 distinct payers

39,746 rate rows

2026-08-01 last MRF observed

Data quality

32,780 of 39,746 rate rows are consumer-grade (82.5%)

6,966 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	6,966

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

Source MRF file	https://www.swarmc.org/wp-content/uploads/2026/05/994554436_southwest-arkansas-regional-medical-center_standardcharges.csv
Found on page	https://www.swarmc.org/price-transparency
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-11
Content fingerprint	fe7b3a9b83689307… · 1,691,303 bytes · first seen 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
J3101 HCPCS	Tenecteplase (tnkase) Per 50 Mg Inj	11	$37,572.50	$37,572.50	$37,572.50	nat. median $3,820 outlier · 9.8×
J1162 HCPCS	Digoxin Immune Fab Per Inj	11	$22,075.20	$22,075.20	$22,075.20	nat. median $7,141 outlier · 3.1×
33210 CPT	Transvenous Pacer	11	$18,522.72	$18,522.72	$18,522.72	nat. median $8,289 outlier · 2.2×
27087 CPT	Soft Tissue Fb Remvl-pelvis Or Hip-deep	11	$9,733.83	$9,733.83	$9,733.83	nat. median $3,420 outlier · 2.8×
27096 CPT	Sterile Ndl Inject W/us-sacroiliac Joint	11	$9,733.83	$9,733.83	$9,733.83	nat. median $875 outlier · 11.1×
59414 CPT	Delivery Of Placenta	11	$9,538.59	$9,538.59	$9,538.59	nat. median $2,862 outlier · 3.3×
59409 CPT	Vaginal Delivery	11	$9,538.59	$9,538.59	$9,538.59	nat. median $3,153 outlier · 3.0×
57415 CPT	Fb Remove Body	11	$9,538.59	$9,538.59	$9,538.59	nat. median $3,180 outlier · 3.0×
36555 CPT	Centralline Plcmt<5yr	11	$9,442.50	$9,442.50	$9,442.50	nat. median $2,691 outlier · 3.5×
36556 CPT	Centralline Plcmt>5yr	11	$9,442.50	$9,442.50	$9,442.50	nat. median $2,483 outlier · 3.8×
27086 CPT	Soft Tissue Fb Removal - Pelvis Or Hip	11	$8,586.15	$8,586.15	$8,586.15	nat. median $2,697 outlier · 3.2×
24201 CPT	Rmvl Fb Upper Arm/elbw Deep	11	$8,586.15	$8,586.15	$8,586.15	nat. median $2,870 outlier · 3.0×
23333 CPT	Remove Shoulder Fb Deep	11	$8,586.15	$8,586.15	$8,586.15	nat. median $2,918 outlier · 2.9×
32550 CPT	CT Insert Cath Pleura W Ima	11	$1,376.78	$9,889.02	$5,632.90	nat. median $4,089 1.4× median
12047 CPT	Inter 30cm Or Greate	11	$5,487.69	$5,487.69	$5,487.69	nat. median $1,824 outlier · 3.0×
12037 CPT	Intermediate >30cm	11	$5,487.69	$5,487.69	$5,487.69	nat. median $1,948 outlier · 2.8×
59300 CPT	Episiotomy	11	$5,345.58	$5,345.58	$5,345.58	nat. median $3,069 1.7× median
23330 CPT	Remove Shoulder Foreign Body	11	$4,860.72	$4,860.72	$4,860.72	nat. median $1,639 outlier · 3.0×
10121 CPT	Soft Tissue Fb Removal -subcu - Complex	11	$4,860.72	$4,860.72	$4,860.72	nat. median $1,665 outlier · 2.9×
55100 CPT	I&d Scrotal	11	$4,860.72	$4,860.72	$4,860.72	nat. median $1,662 outlier · 2.9×
11044 CPT	Debrid - Bone <20cm	11	$4,860.72	$4,860.72	$4,860.72	nat. median $1,751 outlier · 2.8×
28193 CPT	Soft Tissue Fb Removal-foot-complicated	11	$4,860.72	$4,860.72	$4,860.72	nat. median $1,893 outlier · 2.6×
26011 CPT	Incision & Drainage - Finger	11	$4,860.72	$4,860.72	$4,860.72	nat. median $1,701 outlier · 2.9×
24200 CPT	Rmvl Fb Upper Arm/elbw Subq	11	$4,860.72	$4,860.72	$4,860.72	nat. median $1,545 outlier · 3.1×
28192 CPT	Soft Tissue Fb Removal - Foot - Deep	11	$4,860.72	$4,860.72	$4,860.72	nat. median $1,857 outlier · 2.6×
G0390 HCPCS	Trauma Team Act With Critc	11	$4,844.24	$4,844.24	$4,844.24	nat. median $3,197 1.5× median
27502 CPT	Cl Fx Reduct - Femoral Shaft	11	$4,801.23	$4,801.23	$4,801.23	nat. median $2,007 outlier · 2.4×
27510 CPT	Cl Fx Reduct - Femoral, Distal End	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,703 outlier · 2.8×
27552 CPT	Knee Dislocation Reduct W Sedation	11	$4,801.23	$4,801.23	$4,801.23	nat. median $2,032 outlier · 2.4×
27503 CPT	Cl Fx Reduct - Supracondylar	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,774 outlier · 2.7×
26705 CPT	Dislocated Finger Reduct W Sedation	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,672 outlier · 2.9×
27842 CPT	Ankle Dislocation Reduct With Sedation	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,963 outlier · 2.4×
25605 CPT	Cl Fx Reduct - Distal Radial	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,668 outlier · 2.9×
28635 CPT	Dislocated Toe Reduct - Metatarsophalang	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,761 outlier · 2.7×
25505 CPT	Cl Fx Reduct - Radial Shaft	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,668 outlier · 2.9×
24655 CPT	Cl Fx Reduct - Radial Head	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,596 outlier · 3.0×
25565 CPT	Cl Fx Reduct - Radial & Ulnar Shaft	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,661 outlier · 2.9×
26410 CPT	Wound Repair - Tendon - Hand	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,973 outlier · 2.4×
24505 CPT	Cl Fx Reduct - Humeral Shaft	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,630 outlier · 2.9×
27768 CPT	Cl Fx Reduct - Posterior Malleolus	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,613 outlier · 3.0×
24535 CPT	Cl Fx Reduct - Supracondylar	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,680 outlier · 2.9×
24675 CPT	Cl Fx Reduct - Ulnar	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,645 outlier · 2.9×
27762 CPT	Cl Fx Reduct - Medial Malleolus	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,854 outlier · 2.6×
26010 CPT	Simple Drainage By Needle Ï¿½ï¿½ï¿½ No Incision	11	$4,801.23	$4,801.23	$4,801.23	nat. median $328 outlier · 14.6×
27781 CPT	Cl Fx Reduct - Proximal Fibular	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,926 outlier · 2.5×
23505 CPT	Cl Fx Clavicular Fx W/mnpj	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,613 outlier · 3.0×
27810 CPT	Cl Fx Reduct - Bimalleolar	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,642 outlier · 2.9×
23605 CPT	Cl Fx Prx Hmrl Fx Mnpj+-tract	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,871 outlier · 2.6×
24605 CPT	Elbow Dislocation Reduct W Sedation	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,894 outlier · 2.5×
27752 CPT	Cl Fx Reduct - Tibial Shaft	11	$4,801.23	$4,801.23	$4,801.23	nat. median $1,773 outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 9,119 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

1000024	LOCAL	—	11	11	$1,106.18	$442.47 60% off	$1,106.18	$1,106.18	$1,106.18	2026-08-01
1000025	LOCAL	—	11	11	$1,630.12	$652.05 60% off	$1,630.12	$1,630.12	$1,630.12	2026-08-01
10061	CPT	I&d Abscess Comp/multiple	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
10080	CPT	I&d Pilonidal Cyst Simple	11	11	$2,110.77	$844.31 60% off	$2,110.77	$2,110.77	$2,110.77	2026-08-01
10081	CPT	I&d Pilonidal Cyst Comp	11	11	$2,110.77	$844.31 60% off	$2,110.77	$2,110.77	$2,110.77	2026-08-01
10120	CPT	Inc&rmvl Fb Subq Tiss Smpl	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
10121	CPT	Inc&rmvl Fb Subq Tiss Comp	11	11	$4,860.72	$1,944.29 60% off	$4,860.72	$4,860.72	$4,860.72	2026-08-01
10160	CPT	Pnxr Aspir Absc Hmtma Bulla	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
11042	CPT	Dbrdmt Subq Tis 1st 20sqcm/<	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
11043	CPT	Dbrdmt Musc&/fsca 1st 20/<	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
11044	CPT	Dbrdmt Bone 1st 20 Sq Cm/<	11	11	$4,860.72	$1,944.29 60% off	$4,860.72	$4,860.72	$4,860.72	2026-08-01
11750	CPT	Excision Nail&nail Matrix	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
11760	CPT	Repair Of Nail Bed	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
12005	CPT	Rpr S/n/a/gen/trk12.6-20.0cm	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12006	CPT	Rpr S/n/a/gen/trk20.1-30.0cm	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12016	CPT	Rpr Fe/e/en/l/m 12.6-20.0 Cm	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12017	CPT	Rpr Fe/e/en/l/m 20.1-30.0 Cm	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12031	CPT	Intmd Rpr S/a/t/ext 2.5 Cm/<	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12032	CPT	Intmd Rpr S/a/t/ext 2.6-7.5	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12034	CPT	Intmd Rpr S/tr/ext 7.6-12.5	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12035	CPT	Intmd Rpr S/a/t/ext 12.6-20	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12036	CPT	Intmd Rpr S/a/t/ext 20.1-30	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
12037	CPT	Intmd Rpr S/tr/ext >30.0 Cm	11	11	$5,487.69	$2,195.08 60% off	$5,487.69	$5,487.69	$5,487.69	2026-08-01
12041	CPT	Intmd Rpr N-hf/genit 2.5cm/<	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12042	CPT	Intmd Rpr N-hf/genit2.6-7.5	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12044	CPT	Intmd Rpr N-hf/genit7.6-12.5	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
12045	CPT	Intmd Rpr N-hf/genit12.6-20	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
12046	CPT	Intmd Rpr N-hf/genit20.1-30	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
12047	CPT	Intmd Rpr N-hf/genit >30.0cm	11	11	$5,487.69	$2,195.08 60% off	$5,487.69	$5,487.69	$5,487.69	2026-08-01
12051	CPT	Intmd Rpr Face/mm 2.5 Cm/<	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12052	CPT	Intmd Rpr Face/mm 2.6-5.0 Cm	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12053	CPT	Intmd Rpr Face/mm 5.1-7.5 Cm	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12054	CPT	Intmd Rpr Face/mm 7.6-12.5cm	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12055	CPT	Intmd Rpr Face/mm 12.6-20 Cm	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12056	CPT	Intmd Rpr Face/mm 20.1-30.0	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
12057	CPT	Intmd Rpr Face/mm >30.0 Cm	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
13100	CPT	Cmplx Rpr Trunk 1.1-2.5 Cm	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
13101	CPT	Cmplx Rpr Trunk 2.6-7.5 Cm	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
13120	CPT	Cmplx Rpr S/a/l 1.1-2.5 Cm	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
13121	CPT	Cmplx Rpr S/a/l 2.6-7.5 Cm	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
13131	CPT	Cmplx Rpr F/c/c/m/n/ax/g/h/f	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
13132	CPT	Cmplx Rpr F/c/c/m/n/ax/g/h/f	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
13151	CPT	Cmplx Rpr E/n/e/l 1.1-2.5 Cm	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
13152	CPT	Cmplx Rpr E/n/e/l 2.6-7.5 Cm	11	11	$1,836.39	$734.56 60% off	$1,836.39	$1,836.39	$1,836.39	2026-08-01
16030	CPT	Dress/debrid P-thick Burn L	11	11	$1,198.59	$479.44 60% off	$1,198.59	$1,198.59	$1,198.59	2026-08-01
19083	CPT	Bx Breast 1st Lesion US Imag	22	11	$2,766.48	$1,106.59 60% off	$898.70	$4,634.25	$2,766.48	2026-08-01
19085	CPT	Bx Breast 1st Lesion Mr Imag	22	11	$3,000.06	$1,200.02 60% off	$1,365.86	$4,634.25	$3,000.06	2026-08-01
19281	CPT	Perq Device Breast 1st Imag	22	11	$2,542.88	$1,017.15 60% off	$451.50	$4,634.25	$2,542.88	2026-08-01
19285	CPT	Perq Dev Breast 1st US Imag	22	11	$1,334.16	$533.66 60% off	$657.24	$2,011.08	$1,334.16	2026-08-01
20553	CPT	Njx 1/mlt Trigger Points 3/>	11	11	$885.57	$354.23 60% off	$885.57	$885.57	$885.57	2026-08-01
20604	CPT	Drain/inj Joint/bursa W/us	11	11	$885.57	$354.23 60% off	$885.57	$885.57	$885.57	2026-08-01
20605	CPT	Drain/inj Joint/bursa Without US	11	11	$885.57	$354.23 60% off	$885.57	$885.57	$885.57	2026-08-01
20606	CPT	Drain/inj Joint/bursa W/us	11	11	$2,077.56	$831.02 60% off	$2,077.56	$2,077.56	$2,077.56	2026-08-01
20610	CPT	Drain/inj Joint/bursa Without US	11	11	$885.57	$354.23 60% off	$885.57	$885.57	$885.57	2026-08-01
20611	CPT	Drain/inj Joint/bursa W/us	11	11	$885.57	$354.23 60% off	$885.57	$885.57	$885.57	2026-08-01
23330	CPT	Remove Shoulder Foreign Body	11	11	$4,860.72	$1,944.29 60% off	$4,860.72	$4,860.72	$4,860.72	2026-08-01
23333	CPT	Remove Shoulder Fb Deep	11	11	$8,586.15	$3,434.46 60% off	$8,586.15	$8,586.15	$8,586.15	2026-08-01
23505	CPT	Cltx Clavicular Fx W/mnpj	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
23605	CPT	Cltx Prx Hmrl Fx Mnpj+-tract	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
24200	CPT	Rmvl Fb Upper Arm/elbw Subq	11	11	$4,860.72	$1,944.29 60% off	$4,860.72	$4,860.72	$4,860.72	2026-08-01
24201	CPT	Rmvl Fb Upper Arm/elbw Deep	11	11	$8,586.15	$3,434.46 60% off	$8,586.15	$8,586.15	$8,586.15	2026-08-01
24505	CPT	Cltx Humrl Shft Fx W/mnpj	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
24535	CPT	Cltx Sprcndylr Humeral Fx With	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
24605	CPT	Tx Clsd Elbow Dislc Req Anes	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
24655	CPT	Cltx Rdl Head/nck Fx W/mnpj	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
24675	CPT	Cltx Ulnar Fx Prox W/mnpj	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
25505	CPT	Cltx Rdl Shft Fx W/mnpj	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
25565	CPT	Cltx Rdl&uln Shft Fx W/mnpj	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
25605	CPT	Cltx Dst Rdl Fx/ephys Sep With	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
2580191	LOCAL	—	11	11	$1,577.00	$630.80 60% off	$1,577.00	$1,577.00	$1,577.00	2026-08-01
26010	CPT	Drainage Of Finger Abscess	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
26011	CPT	Drainage Of Finger Abscess	11	11	$4,860.72	$1,944.29 60% off	$4,860.72	$4,860.72	$4,860.72	2026-08-01
26410	CPT	Repair Hand Tendon	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
26418	CPT	Repair Finger Tendon	11	11	$4,800.42	$1,920.17 60% off	$4,800.42	$4,800.42	$4,800.42	2026-08-01
26705	CPT	Treat Knuckle Dislocation	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
27086	CPT	Remove Hip Foreign Body	11	11	$8,586.15	$3,434.46 60% off	$8,586.15	$8,586.15	$8,586.15	2026-08-01
27087	CPT	Remove Hip Foreign Body	11	11	$9,733.83	$3,893.53 60% off	$9,733.83	$9,733.83	$9,733.83	2026-08-01
27096	CPT	Inject Sacroiliac Joint	11	11	$9,733.83	$3,893.53 60% off	$9,733.83	$9,733.83	$9,733.83	2026-08-01
27502	CPT	Treatment Of Thigh Fracture	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
27503	CPT	Treatment Of Thigh Fracture	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
27510	CPT	Treatment Of Thigh Fracture	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
27552	CPT	Treat Knee Dislocation	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
27752	CPT	Treatment Of Tibia Fracture	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
27762	CPT	Cltx Med Ankle Fx W/mnpj	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
27768	CPT	Cltx Post Ankle Fx W/mnpj	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
27781	CPT	Treatment Of Fibula Fracture	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
27810	CPT	Treatment Of Ankle Fracture	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
27842	CPT	Treat Ankle Dislocation	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
28190	CPT	Removal Of Foot Foreign Body	11	11	$2,110.77	$844.31 60% off	$2,110.77	$2,110.77	$2,110.77	2026-08-01
28192	CPT	Removal Of Foot Foreign Body	11	11	$4,860.72	$1,944.29 60% off	$4,860.72	$4,860.72	$4,860.72	2026-08-01
28193	CPT	Removal Of Foot Foreign Body	11	11	$4,860.72	$1,944.29 60% off	$4,860.72	$4,860.72	$4,860.72	2026-08-01
28635	CPT	Treat Toe Dislocation	11	11	$4,801.23	$1,920.49 60% off	$4,801.23	$4,801.23	$4,801.23	2026-08-01
32550	CPT	Insert Pleural Cath	22	11	$5,632.90	$2,253.16 60% off	$1,376.78	$9,889.02	$5,632.90	2026-08-01
32551	CPT	Insertion Of Chest Tube	33	11	$3,293.52	$1,317.41 60% off	$2,062.77	$4,660.32	$3,293.52	2026-08-01
32554	CPT	Aspirate Pleura Without Imaging	11	11	$1,854.78	$741.91 60% off	$1,854.78	$1,854.78	$1,854.78	2026-08-01
32555	CPT	Aspirate Pleura With Imaging	22	11	$1,537.98	$615.19 60% off	$575.96	$2,500.00	$1,537.98	2026-08-01
33210	CPT	Insert Electrd/pm Cath Sngl	11	11	$18,522.72	$7,409.09 60% off	$18,522.72	$18,522.72	$18,522.72	2026-08-01
36400	CPT	Vnpnxr<3yrs Phy/qhp Fem/jug	11	11	$1,197.12	$478.85 60% off	$1,197.12	$1,197.12	$1,197.12	2026-08-01
36405	CPT	Vnpnxr<3yrs Phy/qhp Scalp Vn	11	11	$1,197.12	$478.85 60% off	$1,197.12	$1,197.12	$1,197.12	2026-08-01
36406	CPT	Vnpnxr<3yrs Phy/qhp Other Vn	11	11	$1,197.12	$478.85 60% off	$1,197.12	$1,197.12	$1,197.12	2026-08-01
36410	CPT	Vnpnxr 3yr/> Phy/qhp Dx/ther	11	11	$1,197.12	$478.85 60% off	$1,197.12	$1,197.12	$1,197.12	2026-08-01
36425	CPT	Venipuncture Cutdown 1 Yr/>	11	11	$1,197.12	$478.85 60% off	$1,197.12	$1,197.12	$1,197.12	2026-08-01
36430	CPT	Transfusion Bld/bld Compnt	11	11	$1,311.54	$524.62 60% off	$1,311.54	$1,311.54	$1,311.54	2026-08-01
36555	CPT	Insert Non-tunnel Cv Cath	11	11	$9,442.50	$3,777.00 60% off	$9,442.50	$9,442.50	$9,442.50	2026-08-01
36556	CPT	Insert Non-tunnel Cv Cath	11	11	$9,442.50	$3,777.00 60% off	$9,442.50	$9,442.50	$9,442.50	2026-08-01
36568	CPT	Insj Picc <5 Yr Without Imaging	11	11	$4,660.32	$1,864.13 60% off	$4,660.32	$4,660.32	$4,660.32	2026-08-01
36569	CPT	Insj Picc 5 Yr+ Without Imaging	11	11	$4,660.32	$1,864.13 60% off	$4,660.32	$4,660.32	$4,660.32	2026-08-01
36572	CPT	Insj Picc Rs&i <5 Yr	11	11	$1,854.78	$741.91 60% off	$1,854.78	$1,854.78	$1,854.78	2026-08-01
36573	CPT	Insj Picc Rs&i 5 Yr+	11	11	$4,660.32	$1,864.13 60% off	$4,660.32	$4,660.32	$4,660.32	2026-08-01
36680	CPT	Insert Needle Bone Cavity	11	11	$1,197.12	$478.85 60% off	$1,197.12	$1,197.12	$1,197.12	2026-08-01
37195	CPT	Thrombolytic Therapy Stroke	11	11	$995.07	$398.03 60% off	$995.07	$995.07	$995.07	2026-08-01
38220	CPT	Dx Bone Marrow Aspirations	11	11	$3,387.48	$1,354.99 60% off	$3,387.48	$3,387.48	$3,387.48	2026-08-01
40652	CPT	Rpr Lip Fth<half Ver Height	11	11	$1,540.84	$616.34 60% off	$1,540.84	$1,540.84	$1,540.84	2026-08-01
40654	CPT	Rpr Lip Fth>1half Ver Ht/cpx	11	11	$3,813.56	$1,525.42 60% off	$3,813.56	$3,813.56	$3,813.56	2026-08-01
40804	CPT	Removal Foreign Body Mouth	11	11	$2,812.68	$1,125.07 60% off	$2,812.68	$2,812.68	$2,812.68	2026-08-01
40805	CPT	Removal Foreign Body Mouth	11	11	$1,527.75	$611.10 60% off	$1,527.75	$1,527.75	$1,527.75	2026-08-01
41250	CPT	Repair Tongue Laceration	11	11	$1,197.12	$478.85 60% off	$1,197.12	$1,197.12	$1,197.12	2026-08-01
42809	CPT	Remove Pharynx Foreign Body	11	11	$1,054.44	$421.78 60% off	$1,054.44	$1,054.44	$1,054.44	2026-08-01
45915	CPT	Remove Rectal Obstruction	11	11	$3,537.27	$1,414.91 60% off	$3,537.27	$3,537.27	$3,537.27	2026-08-01
46040	CPT	I&d Ischiorct&/perirct Absc	11	11	$3,537.24	$1,414.90 60% off	$3,537.24	$3,537.24	$3,537.24	2026-08-01
46050	CPT	I&d Perianal Abscess Supfc	11	11	$2,735.10	$1,094.04 60% off	$2,735.10	$2,735.10	$2,735.10	2026-08-01
46320	CPT	Removal Of Hemorrhoid Clot	11	11	$3,537.24	$1,414.90 60% off	$3,537.24	$3,537.24	$3,537.24	2026-08-01
46608	CPT	Anoscopy Remove For Body	11	11	$2,735.13	$1,094.05 60% off	$2,735.13	$2,735.13	$2,735.13	2026-08-01
49082	CPT	Abd Paracentesis	11	11	$2,812.68	$1,125.07 60% off	$2,812.68	$2,812.68	$2,812.68	2026-08-01
49083	CPT	Abd Paracentesis W/imaging	22	11	$1,674.27	$669.70 60% off	$535.86	$2,812.68	$1,674.27	2026-08-01
49084	CPT	Peritoneal Lavage	11	11	$2,812.68	$1,125.07 60% off	$2,812.68	$2,812.68	$2,812.68	2026-08-01
49999	CPT	Unlisted Px Abd Pertm&omn	11	11	$2,812.68	$1,125.07 60% off	$2,812.68	$2,812.68	$2,812.68	2026-08-01
5080170	LOCAL	—	11	11	$3,880.76	$1,552.30 60% off	$3,880.76	$3,880.76	$3,880.76	2026-08-01
51100	CPT	Drain Bladder By Needle	11	11	$1,104.00	$441.60 60% off	$1,104.00	$1,104.00	$1,104.00	2026-08-01
51710	CPT	Change Of Bladder Tube	11	11	$2,002.41	$800.96 60% off	$2,002.41	$2,002.41	$2,002.41	2026-08-01
5341001	LOCAL	—	11	11	$4,695.01	$1,878.00 60% off	$4,695.01	$4,695.01	$4,695.01	2026-08-01
55100	CPT	Drainage Of Scrotum Abscess	11	11	$4,860.72	$1,944.29 60% off	$4,860.72	$4,860.72	$4,860.72	2026-08-01
56405	CPT	I&d Vulva/perineal Abscess	33	11	$912.57	$365.03 60% off	$274.44	$916.98	$912.57	2026-08-01
57415	CPT	Remove Vaginal Foreign Body	11	11	$9,538.59	$3,815.44 60% off	$9,538.59	$9,538.59	$9,538.59	2026-08-01
59300	CPT	Episiotomy Or Vaginal Repair	11	11	$5,345.58	$2,138.23 60% off	$5,345.58	$5,345.58	$5,345.58	2026-08-01
59409	CPT	Obstetrical Care	11	11	$9,538.59	$3,815.44 60% off	$9,538.59	$9,538.59	$9,538.59	2026-08-01
59414	CPT	Deliver Placenta	11	11	$9,538.59	$3,815.44 60% off	$9,538.59	$9,538.59	$9,538.59	2026-08-01
60100	CPT	Biopsy Of Thyroid	22	11	$1,184.00	$473.60 60% off	$211.56	$2,156.44	$1,184.00	2026-08-01
62270	CPT	Dx Lmbr Spi Pnxr	33	11	$1,976.70	$790.68 60% off	$271.54	$2,077.74	$1,976.70	2026-08-01
62302	CPT	Myelography Lumbar Injection	22	11	$1,380.14	$552.06 60% off	$471.64	$2,288.64	$1,380.14	2026-08-01
62303	CPT	Myelography Lumbar Injection	22	11	$1,384.08	$553.63 60% off	$479.52	$2,288.64	$1,384.08	2026-08-01
62304	CPT	Myelography Lumbar Injection	22	11	$1,378.43	$551.38 60% off	$468.22	$2,288.64	$1,378.43	2026-08-01
62305	CPT	Myelography Lumbar Injection	22	11	$1,505.13	$602.05 60% off	$510.26	$2,500.00	$1,505.13	2026-08-01
6400034	LOCAL	—	11	11	$3,646.92	$1,458.77 60% off	$3,646.92	$3,646.92	$3,646.92	2026-08-01
6400104	LOCAL	—	11	11	$3,646.92	$1,458.77 60% off	$3,646.92	$3,646.92	$3,646.92	2026-08-01
64421	CPT	Njx Aa&/strd Ntrcost Nrv Ea	11	11	$2,252.20	$900.88 60% off	$2,252.20	$2,252.20	$2,252.20	2026-08-01
64450	CPT	Njx Aa&/strd Other Pn/branch	22	11	$1,308.76	$523.50 60% off	$796.88	$1,820.64	$1,308.76	2026-08-01
65210	CPT	Remove Foreign Body From Eye	11	11	$1,197.12	$478.85 60% off	$1,197.12	$1,197.12	$1,197.12	2026-08-01
65220	CPT	Remove Foreign Body From Eye	22	11	$1,061.42	$424.57 60% off	$1,017.12	$1,105.72	$1,061.42	2026-08-01
67938	CPT	Remove Eyelid Foreign Body	11	11	$896.79	$358.72 60% off	$896.79	$896.79	$896.79	2026-08-01
70460	CPT	CT Head/brain With Contrast	22	11	$1,250.57	$500.23 60% off	$284.24	$2,216.91	$1,250.57	2026-08-01
70470	CPT	CT Head/brain Without & With Contrast	22	11	$1,543.74	$617.49 60% off	$331.56	$2,755.92	$1,543.74	2026-08-01
70480	CPT	CT Orbit/ear/fossa Without Contrast	33	11	$1,076.74	$430.70 60% off	$304.92	$1,759.80	$1,076.74	2026-08-01
70482	CPT	CT Orbit/ear/fossa W/o&with Contrast	22	11	$1,079.41	$431.76 60% off	$399.02	$1,759.80	$1,079.41	2026-08-01
70488	CPT	CT Maxillofacial Without & With Contrast	33	11	$1,183.88	$473.55 60% off	$351.02	$1,759.80	$1,183.88	2026-08-01
70492	CPT	CT Sft Tsue Nck Without & With Contrast	22	11	$1,030.48	$412.19 60% off	$422.32	$1,638.63	$1,030.48	2026-08-01
70496	CPT	CT Angiography Head	22	11	$1,068.55	$427.42 60% off	$499.10	$1,638.00	$1,068.55	2026-08-01
70498	CPT	CT Angiography Neck	22	11	$1,068.55	$427.42 60% off	$499.10	$1,638.00	$1,068.55	2026-08-01
70542	CPT	MRI Orbit/face/neck With Contrast	22	11	$1,093.89	$437.56 60% off	$507.78	$1,680.00	$1,093.89	2026-08-01
70543	CPT	MRI Orbt/fac/nck Without &with Contrast	22	11	$1,372.16	$548.87 60% off	$644.32	$2,100.00	$1,372.16	2026-08-01
70545	CPT	Mr Angiography Head With Contrast	22	11	$1,055.58	$422.23 60% off	$431.16	$1,680.00	$1,055.58	2026-08-01
70546	CPT	Mr Angiograph Head W/o&with Contrast	22	11	$1,361.12	$544.45 60% off	$622.24	$2,100.00	$1,361.12	2026-08-01
70547	CPT	Mr Angiography Neck Without Contrast	22	11	$923.65	$369.46 60% off	$409.88	$1,437.42	$923.65	2026-08-01
70548	CPT	Mr Angiography Neck With Contrast	22	11	$1,074.14	$429.65 60% off	$468.28	$1,680.00	$1,074.14	2026-08-01
70549	CPT	Mr Angiograph Neck W/o&with Contrast	22	11	$1,377.18	$550.87 60% off	$654.36	$2,100.00	$1,377.18	2026-08-01
70551	CPT	MRI Brain Stem Without Contrast	33	11	$1,260.00	$504.00 60% off	$375.96	$1,885.44	$1,260.00	2026-08-01
70552	CPT	MRI Brain Stem With Contrast	33	11	$1,680.00	$672.00 60% off	$515.80	$3,151.64	$1,680.00	2026-08-01
70553	CPT	MRI Brain Stem Without & With Contrast	33	11	$2,100.00	$840.00 60% off	$608.98	$3,358.46	$2,100.00	2026-08-01
71250	CPT	CT Thorax Dx C-	22	11	$1,064.21	$425.69 60% off	$255.42	$1,873.00	$1,064.21	2026-08-01
71260	CPT	CT Thorax Dx C+	22	11	$1,294.78	$517.91 60% off	$318.56	$2,271.00	$1,294.78	2026-08-01
71270	CPT	CT Thorax Dx C-/c+	22	11	$1,390.16	$556.06 60% off	$373.32	$2,407.00	$1,390.16	2026-08-01
71275	CPT	CT Angiography Chest	22	11	$1,071.99	$428.80 60% off	$505.98	$1,638.00	$1,071.99	2026-08-01
71550	CPT	MRI Chest Without Contrast	22	11	$925.95	$370.38 60% off	$591.90	$1,260.00	$925.95	2026-08-01
71552	CPT	MRI Chest Without & With Contrast	22	11	$977.60	$391.04 60% off	$883.80	$1,071.39	$977.60	2026-08-01
72126	CPT	CT Neck Spine With Contrast	22	11	$1,191.49	$476.60 60% off	$322.20	$2,060.79	$1,191.49	2026-08-01
72127	CPT	CT Neck Spine Without & With Contrast	22	11	$1,322.06	$528.83 60% off	$374.12	$2,270.00	$1,322.06	2026-08-01
72128	CPT	CT Chest Spine Without Contrast	22	11	$1,164.71	$465.88 60% off	$248.80	$2,080.61	$1,164.71	2026-08-01
72129	CPT	CT Chest Spine With Contrast	22	11	$1,297.50	$519.00 60% off	$325.00	$2,270.00	$1,297.50	2026-08-01
72130	CPT	CT Chest Spine Without & With Contrast	22	11	$1,629.49	$651.79 60% off	$378.38	$2,880.61	$1,629.49	2026-08-01
72131	CPT	CT Lumbar Spine Without Contrast	22	11	$1,176.59	$470.63 60% off	$248.18	$2,105.00	$1,176.59	2026-08-01
72132	CPT	CT Lumbar Spine With Contrast	22	11	$1,422.49	$569.00 60% off	$323.40	$2,521.58	$1,422.49	2026-08-01
72133	CPT	CT Lumbar Spine Without & With Contrast	22	11	$1,205.76	$482.31 60% off	$374.74	$2,036.79	$1,205.76	2026-08-01
72141	CPT	MRI Neck Spine Without Contrast	22	11	$1,312.51	$525.00 60% off	$365.02	$2,260.00	$1,312.51	2026-08-01
72142	CPT	MRI Neck Spine With Contrast	22	11	$1,552.04	$620.81 60% off	$523.82	$2,580.26	$1,552.04	2026-08-01
72146	CPT	MRI Chest Spine Without Contrast	22	11	$1,841.09	$736.44 60% off	$365.60	$3,316.58	$1,841.09	2026-08-01
72147	CPT	MRI Chest Spine With Contrast	22	11	$1,249.43	$499.77 60% off	$518.86	$1,980.00	$1,249.43	2026-08-01
72148	CPT	MRI Lumbar Spine Without Contrast	22	11	$1,313.11	$525.25 60% off	$366.22	$2,260.00	$1,313.11	2026-08-01
72149	CPT	MRI Lumbar Spine With Contrast	22	11	$1,752.35	$700.94 60% off	$514.70	$2,990.00	$1,752.35	2026-08-01
72156	CPT	MRI Neck Spine Without & With Contrast	22	11	$1,847.91	$739.16 60% off	$610.82	$3,085.00	$1,847.91	2026-08-01
72157	CPT	MRI Chest Spine Without & With Contrast	22	11	$1,356.02	$542.41 60% off	$612.04	$2,100.00	$1,356.02	2026-08-01
72158	CPT	MRI Lumbar Spine Without & With Contrast	22	11	$1,792.30	$716.92 60% off	$609.60	$2,975.00	$1,792.30	2026-08-01
72191	CPT	CT Angiograph Pelv W/o&with Contrast	22	11	$1,330.34	$532.13 60% off	$503.10	$2,157.58	$1,330.34	2026-08-01
72192	CPT	CT Pelvis Without Contrast	22	11	$1,055.33	$422.13 60% off	$255.50	$1,855.15	$1,055.33	2026-08-01
72193	CPT	CT Pelvis With Contrast	22	11	$1,283.74	$513.50 60% off	$429.18	$2,138.30	$1,283.74	2026-08-01
72194	CPT	CT Pelvis Without & With Contrast	22	11	$1,700.32	$680.13 60% off	$448.62	$2,952.02	$1,700.32	2026-08-01
72195	CPT	MRI Pelvis Without Contrast	33	11	$1,242.23	$496.89 60% off	$434.10	$1,260.00	$1,242.23	2026-08-01
72196	CPT	MRI Pelvis With Contrast	22	11	$1,074.81	$429.92 60% off	$511.06	$1,638.56	$1,074.81	2026-08-01
72197	CPT	MRI Pelvis Without & With Contrast	22	11	$1,372.78	$549.11 60% off	$640.56	$2,105.00	$1,372.78	2026-08-01
73200	CPT	CT Upper Extremity Without Contrast	55	11	$1,048.71	$419.48 60% off	$293.50	$1,444.35	$1,048.71	2026-08-01
73201	CPT	CT Upper Extremity With Contrast	33	11	$1,099.26	$439.70 60% off	$379.34	$2,198.52	$1,099.26	2026-08-01
73202	CPT	CT Uppr Extremity W/o&with Contrast	33	11	$1,444.35	$577.74 60% off	$448.38	$2,300.00	$1,444.35	2026-08-01
73206	CPT	CT Angio Upr Extrm W/o&with Contrast	33	11	$2,198.52	$879.41 60% off	$502.84	$2,600.00	$2,198.52	2026-08-01
73218	CPT	MRI Upper Extremity Without Contrast	44	11	$2,288.71	$915.48 60% off	$567.94	$3,051.97	$2,288.71	2026-08-01
73219	CPT	MRI Upper Extremity With Contrast	33	11	$1,675.98	$670.39 60% off	$623.26	$3,351.97	$1,675.98	2026-08-01
73220	CPT	MRI Uppr Extremity W/o&with Contrast	22	11	$2,212.44	$884.98 60% off	$772.92	$3,651.97	$2,212.44	2026-08-01
73221	CPT	MRI Joint Upr Extrem Without Contrast	55	11	$2,240.08	$896.03 60% off	$388.04	$4,294.61	$2,240.08	2026-08-01
73222	CPT	MRI Joint Upr Extrem With Contrast	66	11	$2,270.14	$908.06 60% off	$58.00	$4,577.28	$2,270.14	2026-08-01
73223	CPT	MRI Joint Upr Extr W/o&with Contrast	44	11	$1,788.90	$715.56 60% off	$728.80	$4,877.28	$1,788.90	2026-08-01
73701	CPT	CT Lower Extremity With Contrast	44	11	$1,201.62	$480.64 60% off	$317.96	$1,917.76	$1,201.62	2026-08-01
73706	CPT	CT Angio Lwr Extr W/o&with Contrast	33	11	$1,917.16	$766.86 60% off	$511.64	$2,397.42	$1,917.16	2026-08-01
73718	CPT	MRI Lower Extremity Without Contrast	44	11	$1,029.98	$412.00 60% off	$422.92	$3,051.97	$1,029.98	2026-08-01
73719	CPT	MRI Lower Extremity With Contrast	33	11	$1,885.44	$754.18 60% off	$499.28	$3,612.58	$1,885.44	2026-08-01
73720	CPT	MRI Lwr Extremity W/o&with Contrast	33	11	$3,015.44	$1,206.18 60% off	$640.66	$5,777.72	$3,015.44	2026-08-01
73721	CPT	MRI Jnt Of Lwr Extre Without Contrast	33	11	$2,491.42	$996.57 60% off	$387.42	$4,316.98	$2,491.42	2026-08-01
73722	CPT	MRI Joint Of Lwr Extr With Contrast	66	11	$2,479.30	$991.72 60% off	$591.06	$4,577.28	$2,479.30	2026-08-01
73723	CPT	MRI Joint Lwr Extr W/o&with Contrast	33	11	$2,972.03	$1,188.81 60% off	$726.96	$5,458.74	$2,972.03	2026-08-01
73725	CPT	Mr Ang Lwr Ext W Or Without Contrast	22	11	$1,041.00	$416.40 60% off	$637.66	$1,444.35	$1,041.00	2026-08-01
74160	CPT	CT Abdomen W/contrast	22	11	$974.76	$389.90 60% off	$437.32	$1,512.20	$974.76	2026-08-01
74170	CPT	CT Abd Wo Cntrst Flwd Cntrst	22	11	$1,054.68	$421.87 60% off	$465.36	$1,644.00	$1,054.68	2026-08-01
74174	CPT	CTA Abd&plvs W/contrast	33	11	$1,449.00	$579.60 60% off	$720.92	$4,600.00	$1,449.00	2026-08-01
74176	CPT	CT Abd & Pelvis Without Contrast	22	11	$1,617.30	$646.92 60% off	$354.60	$2,880.00	$1,617.30	2026-08-01
74177	CPT	CT Abd & Pelvis W/contrast	22	11	$1,824.34	$729.74 60% off	$573.68	$3,075.00	$1,824.34	2026-08-01
74178	CPT	CT Abd&plv Wo Cntr Flwd Cntr	22	11	$2,261.09	$904.44 60% off	$642.18	$3,880.00	$2,261.09	2026-08-01
74182	CPT	MRI Abdomen W/contrast	22	11	$1,082.94	$433.18 60% off	$573.04	$1,592.84	$1,082.94	2026-08-01
74183	CPT	MRI Abd Without Cntr Flwd Cntr	22	11	$1,321.49	$528.60 60% off	$642.98	$2,000.00	$1,321.49	2026-08-01
75635	CPT	CT Angio Abdominal Arteries	22	11	$2,534.81	$1,013.93 60% off	$557.42	$4,512.20	$2,534.81	2026-08-01
76942	CPT	Echo Guide For Biopsy	44	11	$1,138.18	$455.27 60% off	$113.26	$1,285.62	$1,138.18	2026-08-01
78012	CPT	Thyroid Uptake Measurement	11	11	$1,207.65	$483.06 60% off	$1,207.65	$1,207.65	$1,207.65	2026-08-01
78013	CPT	Thyroid Imaging W/blood Flow	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
78014	CPT	Thyroid Imaging W/blood Flow	11	11	$1,267.01	$506.80 60% off	$1,267.01	$1,267.01	$1,267.01	2026-08-01
78070	CPT	Parathyroid Planar Imaging	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
78195	CPT	Lymph System Imaging	11	11	$1,614.81	$645.92 60% off	$1,614.81	$1,614.81	$1,614.81	2026-08-01
78215	CPT	Lvr&spleen Img Static Only	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
78226	CPT	Hepatobiliary System Imaging	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
78227	CPT	Hepatobil Syst Image W/drug	11	11	$1,614.81	$645.92 60% off	$1,614.81	$1,614.81	$1,614.81	2026-08-01
78264	CPT	Gastric Emptying Img Study	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
78278	CPT	Acute Gi Blood Loss Imaging	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
78300	CPT	Bone Imaging Limited Area	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
78305	CPT	Bone Imaging Multiple Areas	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
78306	CPT	Bone Imaging Whole Body	11	11	$1,500.00	$600.00 60% off	$1,500.00	$1,500.00	$1,500.00	2026-08-01
78315	CPT	Bone Imaging 3 Phase	11	11	$1,330.00	$532.00 60% off	$1,330.00	$1,330.00	$1,330.00	2026-08-01
78320	CPT	—	11	11	$1,028.72	$411.49 60% off	$1,028.72	$1,028.72	$1,028.72	2026-08-01
78451	CPT	Ht Muscle Image Spect Sing	11	11	$3,916.44	$1,566.58 60% off	$3,916.44	$3,916.44	$3,916.44	2026-08-01
78452	CPT	Ht Muscle Image Spect Mult	11	11	$3,916.44	$1,566.58 60% off	$3,916.44	$3,916.44	$3,916.44	2026-08-01
78472	CPT	Gated Heart Planar Single	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
78580	CPT	Lung Perfusion Imaging	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
78707	CPT	K Flow/funct Image Without Drug	11	11	$1,614.81	$645.92 60% off	$1,614.81	$1,614.81	$1,614.81	2026-08-01
78708	CPT	K Flow/funct Image W/drug	11	11	$1,614.81	$645.92 60% off	$1,614.81	$1,614.81	$1,614.81	2026-08-01
78761	CPT	Testicular Imaging W/flow	11	11	$1,205.49	$482.20 60% off	$1,205.49	$1,205.49	$1,205.49	2026-08-01
81420	CPT	Fetal Chrmoml Aneuploidy	11	11	$1,200.00	$480.00 60% off	$1,200.00	$1,200.00	$1,200.00	2026-08-01
86353	CPT	Lymphocyte Transformation	11	11	$1,134.73	$453.89 60% off	$1,134.73	$1,134.73	$1,134.73	2026-08-01
87507	CPT	Iadna-dna/rna Probe Tq 12-25	11	11	$1,157.73	$463.09 60% off	$1,157.73	$1,157.73	$1,157.73	2026-08-01
87633	CPT	Resp Virus 12-25 Targets	11	11	$1,300.00	$520.00 60% off	$1,300.00	$1,300.00	$1,300.00	2026-08-01
87902	CPT	Nfct Agt Gntyp Alys Hep C	11	11	$1,189.44	$475.78 60% off	$1,189.44	$1,189.44	$1,189.44	2026-08-01
90010294	LOCAL	—	11	11	$2,744.00	$1,097.60 60% off	$2,744.00	$2,744.00	$2,744.00	2026-08-01
90080191	LOCAL	—	11	11	$1,577.00	$630.80 60% off	$1,577.00	$1,577.00	$1,577.00	2026-08-01
90080331	LOCAL	—	11	11	$3,537.00	$1,414.80 60% off	$3,537.00	$3,537.00	$3,537.00	2026-08-01
90080359	LOCAL	—	11	11	$1,410.00	$564.00 60% off	$1,410.00	$1,410.00	$1,410.00	2026-08-01
90080391	LOCAL	—	11	11	$1,200.00	$480.00 60% off	$1,200.00	$1,200.00	$1,200.00	2026-08-01
92950	CPT	Heart/lung Resuscitation Cpr	11	11	$2,300.00	$920.00 60% off	$2,300.00	$2,300.00	$2,300.00	2026-08-01
92953	CPT	Temporary External Pacing	11	11	$1,963.14	$785.26 60% off	$1,963.14	$1,963.14	$1,963.14	2026-08-01
92960	CPT	Cardioversion Electric Ext	11	11	$2,969.06	$1,187.62 60% off	$2,969.06	$2,969.06	$2,969.06	2026-08-01
92977	CPT	Dissolve Clot Heart Vessel	22	11	$996.06	$398.42 60% off	$995.07	$997.04	$996.06	2026-08-01
93017	CPT	Cv Stress Test Tracing Only	11	11	$1,410.31	$564.12 60% off	$1,410.31	$1,410.31	$1,410.31	2026-08-01
93225	CPT	Xtrnl ECG Rec<48 Hrs Rec	11	11	$1,807.13	$722.85 60% off	$1,807.13	$1,807.13	$1,807.13	2026-08-01
93306	CPT	Tte W/doppler Complete	22	11	$1,005.40	$402.16 60% off	$365.90	$1,644.90	$1,005.40	2026-08-01
93312	CPT	Echo Transesophageal	11	11	$3,505.28	$1,402.11 60% off	$3,505.28	$3,505.28	$3,505.28	2026-08-01
93350	CPT	Stress Tte Only	22	11	$995.18	$398.07 60% off	$345.46	$1,644.90	$995.18	2026-08-01
93351	CPT	Stress Tte Complete	11	11	$1,644.90	$657.96 60% off	$1,644.90	$1,644.90	$1,644.90	2026-08-01
93880	CPT	Extracranial Bilat Study	33	11	$1,231.23	$492.49 60% off	$347.32	$1,666.81	$1,231.23	2026-08-01
93882	CPT	Extracranial Uni/ltd Study	11	11	$1,248.05	$499.22 60% off	$1,248.05	$1,248.05	$1,248.05	2026-08-01
93925	CPT	Lower Extremity Study	33	11	$1,231.23	$492.49 60% off	$435.86	$1,658.50	$1,231.23	2026-08-01
93930	CPT	Upper Extremity Study	33	11	$1,231.23	$492.49 60% off	$363.86	$1,401.83	$1,231.23	2026-08-01
93970	CPT	Extremity Study	44	11	$978.19	$391.27 60% off	$341.12	$1,936.61	$978.19	2026-08-01
94002	CPT	Vent Mgmt Inpat Init Day	22	11	$1,992.71	$797.09 60% off	$1,983.30	$2,002.12	$1,992.71	2026-08-01
94003	CPT	Vent Mgmt Inpat Subq Day	11	11	$1,983.30	$793.32 60% off	$1,983.30	$1,983.30	$1,983.30	2026-08-01
94060	CPT	Evaluation Of Wheezing	11	11	$1,896.41	$758.56 60% off	$1,896.41	$1,896.41	$1,896.41	2026-08-01
94070	CPT	Evaluation Of Wheezing	11	11	$1,358.48	$543.39 60% off	$1,358.48	$1,358.48	$1,358.48	2026-08-01
94375	CPT	Respiratory Flow Volume Loop	11	11	$934.20	$373.68 60% off	$934.20	$934.20	$934.20	2026-08-01
94660	CPT	Cpap Initiation&mgmt	11	11	$1,024.78	$409.91 60% off	$1,024.78	$1,024.78	$1,024.78	2026-08-01
94662	CPT	Neg Press Ventilation Cnp	11	11	$1,983.30	$793.32 60% off	$1,983.30	$1,983.30	$1,983.30	2026-08-01
94726	CPT	Plethysmography Lung Volumes	11	11	$934.20	$373.68 60% off	$934.20	$934.20	$934.20	2026-08-01
99283	CPT	Emergency Dept Visit Low Mdm	11	11	$966.08	$386.43 60% off	$966.08	$966.08	$966.08	2026-08-01
99284	CPT	Emergency Dept Visit Mod Mdm	11	11	$1,596.09	$638.44 60% off	$1,596.09	$1,596.09	$1,596.09	2026-08-01
99285	CPT	Emergency Dept Visit Hi Mdm	11	11	$1,839.30	$735.72 60% off	$1,839.30	$1,839.30	$1,839.30	2026-08-01
99291	CPT	Critical Care First Hour	22	11	$3,579.06	$1,431.62 60% off	$3,579.05	$3,579.06	$3,579.06	2026-08-01
99292	CPT	Critical Care Addl 30 Min	11	11	$2,100.00	$840.00 60% off	$2,100.00	$2,100.00	$2,100.00	2026-08-01
999999	LOCAL	—	11	11	$1,658.00	$663.20 60% off	$1,658.00	$1,658.00	$1,658.00	2026-08-01
A9557	HCPCS	Tc99m Bicisate	22	11	$1,142.32	$456.93 60% off	$800.00	$1,484.63	$1,142.32	2026-08-01
A9562	HCPCS	Tc99m Mertiatide	22	11	$2,295.67	$918.27 60% off	$1,500.00	$3,091.34	$2,295.67	2026-08-01
C8902	HCPCS	—	22	11	$1,353.51	$541.40 60% off	$500.00	$2,207.02	$1,353.51	2026-08-01
C8914	HCPCS	—	22	11	$1,321.98	$528.80 60% off	$500.00	$2,143.97	$1,321.98	2026-08-01
G0390	HCPCS	Trauma Respons W/hosp Criti	11	11	$4,844.24	$1,937.70 60% off	$4,844.24	$4,844.24	$4,844.24	2026-08-01
J0841	HCPCS	Inj Crotalidae IM F(ab')2 Eq	11	11	$3,788.49	$1,515.40 60% off	$3,788.49	$3,788.49	$3,788.49	2026-08-01
J1162	HCPCS	Digoxin Immune Fab (ovine)	11	11	$22,075.20	$8,830.08 60% off	$22,075.20	$22,075.20	$22,075.20	2026-08-01
J1610	HCPCS	Glucagon Hydrochloride/1 Mg	11	11	$1,344.00	$537.60 60% off	$1,344.00	$1,344.00	$1,344.00	2026-08-01
J2760	HCPCS	Phentolaine Mesylate Inj	11	11	$2,351.85	$940.74 60% off	$2,351.85	$2,351.85	$2,351.85	2026-08-01
J3101	HCPCS	Tenecteplase Injection	11	11	$37,572.50	$15,029.00 60% off	$37,572.50	$37,572.50	$37,572.50	2026-08-01
P9034	HCPCS	Platelets, Pheresis	11	11	$1,939.49	$775.80 60% off	$1,939.49	$1,939.49	$1,939.49	2026-08-01
Q5106	HCPCS	Inj Retacrit Non-esrd Use	11	11	$2,117.80	$847.12 60% off	$2,117.80	$2,117.80	$2,117.80	2026-08-01

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