Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

RIO GRANDE HOSPITAL

Del Norte, CO · CCN 061301 · Rates published

5,402 distinct procedures filed
9 distinct payers
76,051 rate rows
2026-05-08 last MRF observed
Data quality

74,963 of 76,051 rate rows are consumer-grade (98.6%)

1,088 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 701
per-diem day rate — not a per-procedure price 348
placeholder amount (≤ $0.02) — excluded from medians 22
exceeds 10× this hospital's gross charge — excluded from medians 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://riograndehospital.pg.revenuemasters.com/cdm-files/841276376_rio-grande-hospital_standardcharges.csv
Found on page https://riograndehospital.pg.revenuemasters.com/disclaimer?
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9333d6db42b56f61… · 6,761,366 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
6132
OTHER 		Or Pain Spine Stim W Pt Programmer 9 $17,015.64 $41,643.54 $35,016.40 nat. median
$18,768
1.9× median
5908
OTHER 		Or Si Joint Arthrodesis -perc, Bone Allo Bilat 9 $16,279.20 $39,841.20 $33,500.88 nat. median
$1,211
outlier · 27.7×
5907
OTHER 		Or Si Joint Arthrodesis -perc, Bone Allo Bilat 9 $16,279.20 $39,841.20 $33,500.88 nat. median
$986
outlier · 34.0×
6112
OTHER 		Or Spinal Stim Generator-nr Wavewriter 9 $15,697.80 $38,418.30 $32,304.42 nat. median
$19,402
1.7× median
ACT1003205
OTHER 		Alteplase 100 Mg IV Injection 9 $5,046.74 $12,351.24 $10,385.67 nat. median
$10,386
1.0× median
6044
OTHER 		Or-dest Io L/s Vert Intracept-2 Level Vert 9 $4,651.20 $11,383.20 $9,571.68 nat. median
$688
outlier · 13.9×
465878
OTHER 		Z* TNKase 9 $3,529.98 $8,639.17 $7,264.34 nat. median
$7,264
1.0× median
5960
OTHER 		Or-remove Knee Prosth Inc Spacer-fac 9 $3,290.59 $8,053.29 $6,771.69 nat. median
$2,167
outlier · 3.1×
6115
OTHER 		Zimmer Femur Cr Cmt 9 $3,162.82 $7,740.58 $6,508.74 nat. median
$1,211
outlier · 5.4×
6128
OTHER 		Verilast Np TIp 9 $3,024.44 $7,401.93 $6,223.99 nat. median
$200
outlier · 31.2×
5999
OTHER 		Or Fac Pvp 9 $2,980.22 $7,293.70 $6,132.99 nat. median
$1,871
outlier · 3.3×
767
OTHER 		Dislocation Tx-jaw[package] 1 $5,920.00 $5,920.00 $5,920.00 nat. median
$98
outlier · 60.6×
5975
OTHER 		Or Arthro W Meniscectomy-fac 9 $2,837.25 $6,943.81 $5,838.77 nat. median
$78
outlier · 74.6×
5959
OTHER 		Total Knee Arthroplasty 9 $2,781.62 $6,807.66 $5,724.29 nat. median
$2,782
outlier · 2.1×
5973
OTHER 		Or Chondroplasty - Facility 9 $2,619.01 $6,409.67 $5,389.64 nat. median
$65
outlier · 83.1×
6060
OTHER 		Or Fac Penetrating Keratoplasty 9 $2,523.37 $6,175.63 $5,192.84 nat. median
$881
outlier · 5.9×
5990
OTHER 		Or Fac Lithotripsy 9 $2,503.77 $6,127.66 $5,152.51 nat. median
$116
outlier · 44.4×
6007
OTHER 		Or Fac Partial Amp Of Penis 9 $2,496.65 $6,110.23 $5,137.85 nat. median
$110
outlier · 46.9×
6154
OTHER 		Or Fac Corneal Tissue 9 $2,363.07 $5,783.30 $4,862.94 nat. median
$536
outlier · 9.1×
6062
OTHER 		Or Fac Ocular Surface Reconstruct With Amniotic Membrane 9 $2,339.91 $5,726.63 $4,815.30 nat. median
$465
outlier · 10.4×
6120
OTHER 		Femoral Implant With Antibiotic 9 $2,262.28 $5,536.63 $4,655.53 nat. median
$445
outlier · 10.5×
3964
OTHER 		Biomontor Iii 9 $2,262.28 $5,536.63 $4,655.53 nat. median
$2,574
1.8× median
5974
OTHER 		Arthroscopy- Lat-med Meniscctomy -facility 9 $2,182.50 $5,341.39 $4,491.36 nat. median
$21
outlier · 216.8×
5932
OTHER 		Excise Oleocranon Bursa-fac 9 $2,139.71 $5,236.65 $4,403.30 nat. median
$67,086
outlier · 0.1×
5933
OTHER 		Or Fac Arthrotomy Elbow With Debridement 9 $2,095.01 $5,127.27 $4,311.32 nat. median
$87,090
outlier · 0.0×
6027
OTHER 		Or Fac Tvt, OB Sling, Mini Arc 9 $2,064.73 $5,053.16 $4,249.01 nat. median
$542
outlier · 7.8×
5971
OTHER 		Or Fac Orif Dip Joint Toe 9 $1,946.30 $4,763.31 $4,005.28 nat. median
$95
outlier · 42.2×
5934
OTHER 		Or Fac Fasciotomy Lower Arm 9 $1,946.30 $4,763.31 $4,005.28 nat. median
$129,842
outlier · 0.0×
3719
OTHER 		MRI L Spine W/wo, With Amb To Ala 9 $1,613.00 $6,558.11 $3,984.23 nat. median
$1,076
outlier · 3.7×
6080
OTHER 		Or Fac Vitrectomy, Mechanical 9 $1,913.34 $4,682.65 $3,937.45 nat. median
$2,250
1.7× median
CRO23264
OTHER 		CroFab Intravenous Injection 9 $1,888.61 $4,622.12 $3,886.56 nat. median
$3,887
1.0× median
5786
OTHER 		Vq Scan With Ambulance To Slvh 9 $1,887.08 $4,618.37 $3,883.40 nat. median
$384
outlier · 10.1×
5989
OTHER 		Or Fac Herniorrhaphy, Inguinal (sliding) 9 $1,876.38 $4,592.20 $3,861.40 nat. median
$1,871
outlier · 2.1×
5987
OTHER 		Or Fac Herniorrhaphy, Inguinal (initial) 9 $1,876.38 $4,592.20 $3,861.40 nat. median
$1,871
outlier · 2.1×
5988
OTHER 		Or Fac Herniorraphy, Inguinal (recurrent) 9 $1,876.38 $4,592.20 $3,861.40 nat. median
$1,871
outlier · 2.1×
6079
OTHER 		Or Fac Anterior Vitrectomy 9 $1,868.82 $4,573.69 $3,845.84 nat. median
$1,869
outlier · 2.1×
6123
OTHER 		Femoral Implant 9 $1,814.10 $4,439.76 $3,733.22 nat. median
$36,276
outlier · 0.1×
5955
OTHER 		Or Removal Kneecap Bursa-t 9 $1,779.08 $4,354.07 $3,661.17 nat. median
$3,980
0.9× median
6021
OTHER 		Or Fac Bilateral Hydrocele 9 $1,778.43 $4,352.47 $3,659.82 nat. median
$25,275
outlier · 0.1×
6097
OTHER 		Or Single Use Probe Kit 9 $1,744.20 $4,268.70 $3,589.38 nat. median
$2,688
1.3× median
6116
OTHER 		Femoral Size E-uni 9 $1,722.47 $4,215.51 $3,544.66 nat. median
$87
outlier · 40.6×
5958
OTHER 		Knee Arthroplasty -uni Fac 9 $1,711.77 $4,189.32 $3,522.64 nat. median
$17,798
outlier · 0.2×
6059
OTHER 		Or Fac Pterygium Exc. With Graft 9 $1,703.62 $4,169.39 $3,505.87 nat. median
$478
outlier · 7.3×
559
OTHER 		Fbr Pelvis/Hip; Deep - Fac 9 $1,698.08 $4,155.82 $3,494.47 nat. median
$18,760
outlier · 0.2×
6085
OTHER 		Or Fac Brow Ptosis Repair 9 $1,692.93 $4,143.22 $3,483.88 nat. median
$163
outlier · 21.4×
3742
OTHER 		MRI Bi-lateral Knee W Contrast 9 $1,613.00 $5,725.55 $3,478.43 nat. median
$2,198
1.6× median
3740
OTHER 		MRI Bi-lateral Knee W Contrast 9 $1,613.00 $5,725.55 $3,478.43 nat. median
$2,339
1.5× median
3741
OTHER 		MRI Bi-lateral Knee W Contrast 9 $1,613.00 $5,725.55 $3,478.43 nat. median
$2,198
1.6× median
6133
OTHER 		Or-inracept Device 2vb 9 $1,689.94 $4,135.90 $3,477.71 nat. median
$40,287
outlier · 0.1×
5950
OTHER 		Or Fac Orif Metacarpal Dislocation 9 $1,635.05 $4,001.56 $3,364.75 nat. median
$536
outlier · 6.3×

Other procedures at this hospital

Browse this hospital's 5,402 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
768 OTHER Inpatient Bed Charges 6 5 $1,593.07 $1,194.80 25% off $1,333.40 $1,481.56 $1,433.76 2026-05-08
6102 OTHER Blood Conservation W Pvc Drain 14 9 $1,654.10 $1,240.58 25% off $628.56 $1,538.31 $1,293.51 2026-05-08
6006 OTHER Or Fac Penis - Biopsy 14 9 $1,660.41 $1,245.31 25% off $630.96 $1,544.18 $1,298.44 2026-05-08
676 OTHER Peritoneal Lavage - Fac 14 9 $1,674.60 $1,255.95 25% off $636.35 $1,557.38 $1,309.53 2026-05-08
677 OTHER Peritoneal Lavage - Fac 14 9 $1,674.60 $1,255.95 25% off $636.35 $1,557.38 $1,309.53 2026-05-08
6031 OTHER Or Spinal Implant Percutaneous Epidural-fac 14 9 $1,683.00 $1,262.25 25% off $639.54 $1,565.19 $1,316.11 2026-05-08
653 OTHER Thrombolytic -cerebral Fac 14 9 $1,689.24 $1,266.93 25% off $641.91 $1,570.99 $1,320.99 2026-05-08
5983 OTHER Or Fac Colonoscopy-diagnostic 14 9 $1,742.43 $1,306.82 25% off $662.12 $1,620.46 $1,362.58 2026-05-08
6137 OTHER Zimmer Psi Psn Dr Pin 14 9 $1,744.20 $1,308.15 25% off $662.80 $1,622.11 $1,363.97 2026-05-08
5976 OTHER Or Fac Bronch Flex W/biopsy 14 9 $1,745.95 $1,309.46 25% off $663.46 $1,623.73 $1,365.33 2026-05-08
6071 OTHER Or Fac Yag-capsulotomy -bilateral 14 9 $1,761.17 $1,320.88 25% off $669.24 $1,637.89 $1,377.24 2026-05-08
6070 OTHER Or Fac Yag-capsulotomy -bilateral 14 9 $1,761.17 $1,320.88 25% off $669.24 $1,637.89 $1,377.24 2026-05-08
660 OTHER Fbo Dental-alveolar-fac 14 9 $1,791.95 $1,343.96 25% off $680.94 $1,666.51 $1,401.31 2026-05-08
4257 OTHER Deb Bone Add-on [Package] 15 8 $1,809.94 $1,357.46 25% off $687.78 $1,683.24 $1,473.29 2026-05-08
4256 OTHER Deb Bone Add-on [Package] 13 8 $1,809.94 $1,357.46 25% off $687.78 $1,683.24 $1,357.46 2026-05-08
712 OTHER Fbr - Eye Epithelium - Fac 14 9 $1,821.02 $1,365.77 25% off $691.99 $1,693.55 $1,424.04 2026-05-08
6049 OTHER Or Rfa Facet Nerve L/s Addt 14 9 $1,836.00 $1,377.00 25% off $697.68 $1,707.48 $1,435.75 2026-05-08
5210 OTHER Prenatal/Postpartum:Antepartum Care; 7> Visits 13 8 $1,838.51 $1,378.88 25% off $698.63 $1,709.81 $1,378.88 2026-05-08
577 OTHER Dis-knee (w/anesth)-fac 14 9 $1,876.93 $1,407.70 25% off $713.23 $1,745.54 $1,467.76 2026-05-08
5977 OTHER Or Fac Egd-diagnostic 14 9 $1,895.32 $1,421.49 25% off $720.22 $1,762.65 $1,482.14 2026-05-08
670 OTHER I & D Thrombosed Hemorrhoid -fac 14 9 $1,899.92 $1,424.94 25% off $721.97 $1,766.93 $1,485.74 2026-05-08
6072 OTHER Or Fac Cataract Removal, Aspiration 14 9 $1,917.03 $1,437.77 25% off $728.47 $1,782.84 $1,499.12 2026-05-08
5781 OTHER Barium Swallow w/Ambulance 14 9 $1,921.71 $1,441.28 25% off $730.25 $1,787.19 $1,502.78 2026-05-08
4231 OTHER Wnd I & D Complex Post Op-fac 13 9 $1,931.05 $1,448.29 25% off $733.80 $1,795.88 $1,448.29 2026-05-08
3732 OTHER MRI Upper Extrem Jt. (Shoulder, Elbow, Wrist W/cont) 14 9 $1,933.23 $1,449.92 25% off $734.63 $1,797.90 $1,511.79 2026-05-08
3723 OTHER MRI Upper Extrem Other Than Jt 14 9 $1,933.43 $1,450.07 25% off $734.70 $1,798.09 $1,511.94 2026-05-08
3728 OTHER MRI Upper Ext Jt. Wo (Shoulder, Elbow, Wrist) 14 9 $1,933.43 $1,450.07 25% off $734.70 $1,798.09 $1,511.94 2026-05-08
6005 OTHER Or Fac Penis - Destr. Of Lesions 14 9 $1,934.60 $1,450.95 25% off $735.15 $1,799.18 $1,512.86 2026-05-08
5930 OTHER Or Fac Exc. Malignant Lesion 4cm 14 9 $1,940.46 $1,455.35 25% off $737.37 $1,804.63 $1,517.44 2026-05-08
6015 OTHER Or Fac Testis, Reduction Of Torsion 14 9 $1,948.68 $1,461.51 25% off $740.50 $1,812.27 $1,523.87 2026-05-08
5923 OTHER Incision-breast Mastotomy With Drainage 14 9 $1,992.01 $1,494.01 25% off $756.96 $1,852.57 $1,557.76 2026-05-08
6067 OTHER Or Fac Yag-iridotomy-bilateral 14 9 $1,999.06 $1,499.30 25% off $759.64 $1,859.13 $1,563.26 2026-05-08
6068 OTHER Or Fac Yag-iridotomy-bilateral 14 9 $1,999.06 $1,499.30 25% off $759.64 $1,859.13 $1,563.26 2026-05-08
5978 OTHER Or Fac Egd-diagnostic W/biopsy 14 9 $2,011.94 $1,508.96 25% off $764.54 $1,871.10 $1,573.34 2026-05-08
274 OTHER I&d Hematoma/fluid-fac 14 9 $2,057.64 $1,543.23 25% off $781.90 $1,913.61 $1,609.08 2026-05-08
3799 OTHER Wnd I&d Hematoma/fluid-fac 13 9 $2,057.64 $1,543.23 25% off $781.90 $1,913.61 $1,543.23 2026-05-08
3733 OTHER MRI Upper Extrem Jt (Shoulder, Elbow, Wrist W/wo Cont) 14 9 $2,067.63 $1,550.72 25% off $785.70 $1,922.90 $1,581.86 2026-05-08
VIV7469 OTHER Vivitrol 380 Mg Intramuscular Injection, Extended Release 14 9 $2,072.64 $1,554.48 25% off $787.60 $1,927.56 $1,620.81 2026-05-08
6001 OTHER Or Fac Urethral Biopsy 14 9 $2,075.20 $1,556.40 25% off $788.58 $1,929.94 $1,622.81 2026-05-08
6010 OTHER Or Fac Circumcision, Repair Incomplete 14 9 $2,075.20 $1,556.40 25% off $788.58 $1,929.94 $1,622.81 2026-05-08
6000 OTHER Or Fac Meatotomy 14 9 $2,075.20 $1,556.40 25% off $788.58 $1,929.94 $1,622.81 2026-05-08
6008 OTHER Or Fac Circumcision 14 9 $2,075.20 $1,556.40 25% off $788.58 $1,929.94 $1,622.81 2026-05-08
5953 OTHER Or Exc Thigh/knee Les SQ<3c Fac 14 9 $2,080.80 $1,560.60 25% off $790.70 $1,935.14 $1,627.18 2026-05-08
6113 OTHER Zimmer Patella 32mm 14 9 $2,080.80 $1,560.60 25% off $790.70 $1,935.14 $1,627.18 2026-05-08
5944 OTHER Or Removal -finger Lesion Fac 14 9 $2,080.80 $1,560.60 25% off $790.70 $1,935.14 $1,627.18 2026-05-08
178 OTHER Derm Exc Mal Lesion Tr/a/l>4cm-fac 13 9 $2,096.10 $1,572.08 25% off $796.52 $1,949.37 $1,572.08 2026-05-08
3694 OTHER MRI Temporomandibular Jts 14 9 $2,097.49 $1,573.12 25% off $797.05 $1,950.67 $1,593.06 2026-05-08
5985 OTHER Or Fac Colonoscopy-w/biopsy, Hot Forceps/cautery 14 9 $2,098.65 $1,573.99 25% off $797.49 $1,951.74 $1,641.14 2026-05-08
6018 OTHER Or Fac Spermatocelectomy 14 9 $2,098.65 $1,573.99 25% off $797.49 $1,951.74 $1,641.14 2026-05-08
667 OTHER I&d - Perirectal - Fac 14 9 $2,109.30 $1,581.98 25% off $801.53 $1,961.65 $1,649.47 2026-05-08
MON21501 OTHER Monovisc 88 Mg/4 Ml Intra-articular Solution 14 9 $2,111.40 $1,583.55 25% off $802.33 $1,963.60 $1,651.12 2026-05-08
PRO18486 OTHER Prolia 60 mg/mL Subcutaneous Solution 14 9 $2,120.34 $1,590.26 25% off $805.73 $1,971.92 $1,658.11 2026-05-08
6061 OTHER Or Fac Lri, Limbal Relaxing Incision 14 9 $2,138.48 $1,603.86 25% off $812.62 $1,988.79 $1,672.29 2026-05-08
5940 OTHER Or Fac Tenovaginotomy Finger 14 9 $2,181.84 $1,636.38 25% off $829.10 $2,029.11 $1,706.20 2026-05-08
6108 OTHER OXFanatbrg Lt Size6 14 9 $2,182.80 $1,637.10 25% off $829.46 $2,030.00 $1,706.95 2026-05-08
5937 OTHER Or Excise Wrist Tendon Sheath Without Anes Facility 14 9 $2,208.17 $1,656.13 25% off $839.10 $2,053.60 $1,726.79 2026-05-08
650 OTHER Central Line Insertion-fac 14 9 $2,214.04 $1,660.53 25% off $841.34 $2,059.06 $1,731.38 2026-05-08
5920 OTHER Or Fac Blepharoplasty, Lower Eyelid 14 9 $2,224.03 $1,668.02 25% off $845.13 $2,068.35 $1,739.19 2026-05-08
6019 OTHER Or Fac Epididyectomy-unilateral 14 9 $2,224.03 $1,668.02 25% off $845.13 $2,068.35 $1,739.19 2026-05-08
181 OTHER Derm Exc Mal Lesion Inc Margins, S, Ne, H, F, G - Fac 13 9 $2,228.54 $1,671.41 25% off $846.85 $2,072.54 $1,671.41 2026-05-08
6106 OTHER Oxf Uni Tib Tray 14 9 $2,233.80 $1,675.35 25% off $848.84 $2,077.43 $1,746.83 2026-05-08
6073 OTHER Removal Of Lens Material By Frag 14 9 $2,252.33 $1,689.25 25% off $855.89 $2,094.67 $1,761.33 2026-05-08
5922 OTHER Or Fac Blepharoplasty, Upper Eyelid 14 9 $2,263.88 $1,697.91 25% off $860.27 $2,105.41 $1,770.36 2026-05-08
5921 OTHER Or Fac Blepharoplasty, Upper Eyelid 14 9 $2,263.88 $1,697.91 25% off $860.27 $2,105.41 $1,770.36 2026-05-08
510 OTHER Soft Tissue Fb Removal - Upper Arm-fac 14 9 $2,277.10 $1,707.83 25% off $865.30 $2,117.70 $1,780.69 2026-05-08
601 OTHER Fbr Foot Complicated - Fac 14 9 $2,277.10 $1,707.83 25% off $865.30 $2,117.70 $1,780.69 2026-05-08
690 OTHER I&d - Scrotal Wall Abcess - Fac 14 9 $2,277.10 $1,707.83 25% off $865.30 $2,117.70 $1,780.69 2026-05-08
501 OTHER Soft Tissue Fb Removal - Shoulder - Deep-fac 14 9 $2,277.10 $1,707.83 25% off $865.30 $2,117.70 $1,780.69 2026-05-08
5984 OTHER Or Fac Colonoscopy-w/biopsy 14 9 $2,279.10 $1,709.33 25% off $866.06 $2,119.56 $1,782.26 2026-05-08
5986 OTHER Or Fac Colonoscopy-w/biopsy, Snare 14 9 $2,279.10 $1,709.33 25% off $866.06 $2,119.56 $1,782.26 2026-05-08
586 OTHER Closed Frx Red Posterior Mall. (w/manip)-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
525 OTHER Closed Fracture Reduction - Ulnar-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
503 OTHER Closed Fracture Reduction- Clavicular-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
584 OTHER Closed Frx Red Medial Mall. (w/manip)-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
572 OTHER Closed Frx. Red. Femoral Distal (w/manip)-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
592 OTHER Closed Frx Red. Bimalleolar (w/manip)-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
506 OTHER Closed Frx Red-prox Hum (w/man.) - Fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
569 OTHER Closed Frx. Red. Femoral Shft. (w/manip.)-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
595 OTHER Closed Frx Red. Wt. Bear. Art. Dt-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
582 OTHER Closed Frx Red.Tibial Shaft (w/manip)-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
588 OTHER Closed Frx Red. Prox. Fibula (w/manip)-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
515 OTHER Closed Fracture Reduction - Supracondylar-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
570 OTHER Closed Frx. Red. Supracond. (w/manip) - Fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
594 OTHER Closed Frx Red. Trimalleolar (w/manip)-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
523 OTHER Closed Fracture Reduction - Radial Head-fac 14 9 $2,280.49 $1,710.37 25% off $866.59 $2,120.86 $1,783.34 2026-05-08
6055 OTHER Or Fac Corneal Repair Wound 14 9 $2,282.62 $1,711.97 25% off $867.40 $2,122.84 $1,785.01 2026-05-08
5980 OTHER Or Fac Egd-w/hot Forceps Or Cautery 14 9 $2,300.20 $1,725.15 25% off $874.08 $2,139.19 $1,798.76 2026-05-08
5981 OTHER Or Fac Egd-w/snare 14 9 $2,300.20 $1,725.15 25% off $874.08 $2,139.19 $1,798.76 2026-05-08
5979 OTHER Or Fac Egd-w/band Ligation 14 9 $2,300.20 $1,725.15 25% off $874.08 $2,139.19 $1,798.76 2026-05-08
5915 OTHER Secondary (add) Wound Closure 14 9 $2,328.90 $1,746.68 25% off $884.98 $2,165.88 $1,821.20 2026-05-08
599 OTHER Fb Removal From Foot/deep-fac 14 9 $2,345.88 $1,759.41 25% off $891.43 $2,181.67 $1,834.48 2026-05-08
600 OTHER Fb Removal From Foot/deep-fac 14 9 $2,345.88 $1,759.41 25% off $891.43 $2,181.67 $1,834.48 2026-05-08
5998 OTHER Or Fac Transurethral Resection, Bladder Neck 14 9 $2,350.59 $1,762.94 25% off $893.22 $2,186.05 $1,838.16 2026-05-08
6013 OTHER Or Fac Orchiectomy,simple 14 9 $2,376.37 $1,782.28 25% off $903.02 $2,210.02 $1,858.32 2026-05-08
4220 OTHER I&d Hematoma/fluid [Package] 13 8 $2,404.49 $1,803.37 25% off $913.71 $2,236.18 $1,803.37 2026-05-08
5894 OTHER Polysomnography Baseline Facility 14 9 $2,413.86 $1,810.40 25% off $917.27 $2,244.89 $1,887.64 2026-05-08
DAL21572 OTHER Dalvance 500 Mg Intravenous Injection 14 9 $2,435.47 $1,826.60 25% off $925.48 $2,264.99 $1,904.53 2026-05-08
6130 OTHER Or Fac Mini Arc Precise Sling 14 9 $2,438.48 $1,828.86 25% off $926.62 $2,267.79 $1,906.89 2026-05-08
169 OTHER Derm Excis Benign (sc, N, Ha, Fe, G); 2.1 To 3.0cm - Fac 13 9 $2,440.78 $1,830.59 25% off $927.50 $2,269.93 $1,830.59 2026-05-08
5948 OTHER Fac Tendon Rep Ext Fing 14 9 $2,444.33 $1,833.25 25% off $928.85 $2,273.23 $1,911.47 2026-05-08
5947 OTHER Fac Tendon Rep Ext Fing 14 9 $2,444.33 $1,833.25 25% off $928.85 $2,273.23 $1,911.47 2026-05-08
185 OTHER Derm Exc Mal+mar 2.1-3 F/e/e/n/l - Fac 13 9 $2,448.00 $1,836.00 25% off $930.24 $2,276.64 $1,836.00 2026-05-08
5945 OTHER Repair Extensor Tendon-hand-fac 14 9 $2,450.17 $1,837.63 25% off $931.06 $2,278.66 $1,916.04 2026-05-08
5946 OTHER Repair Extensor Tendon-hand-fac 14 9 $2,450.17 $1,837.63 25% off $931.06 $2,278.66 $1,916.04 2026-05-08
3707 OTHER MRI Chest Without Contrast 14 9 $2,548.60 $1,911.45 25% off $968.47 $2,370.20 $1,762.22 2026-05-08
5961 OTHER Or Fac Exc. Lesion Leg 14 9 $2,574.39 $1,930.79 25% off $978.27 $2,394.18 $2,013.17 2026-05-08
5916 OTHER Or Fac Adjacent Tissue Transfer, Eyelids, Nose, Etc 14 9 $2,613.06 $1,959.80 25% off $992.96 $2,430.15 $2,043.41 2026-05-08
5919 OTHER Or Fac Full Thickness Skin Graft Eyelids, Nose, Etc 14 9 $2,613.06 $1,959.80 25% off $992.96 $2,430.15 $2,043.41 2026-05-08
3747 OTHER Mrcp - Alamosa 14 9 $2,618.40 $1,963.80 25% off $994.99 $2,435.11 $1,788.40 2026-05-08
6074 OTHER Or Fac Extra Cap Cataract-no Iol 14 9 $2,623.60 $1,967.70 25% off $996.97 $2,439.95 $2,051.66 2026-05-08
6086 OTHER Or Fac Rep Of Blepharoptosis 14 9 $2,635.31 $1,976.48 25% off $1,001.42 $2,450.84 $2,060.81 2026-05-08
3734 OTHER MRI Lower Ext., Without Contrast 14 9 $2,643.53 $1,982.65 25% off $1,004.54 $2,458.48 $1,797.83 2026-05-08
5994 OTHER Or Fac Cystourethroscopy Bladder Dilation 14 9 $2,655.24 $1,991.43 25% off $1,008.99 $2,469.37 $2,076.40 2026-05-08
5942 OTHER Or Fac Exc. Tumor, Mal, Soft Hand <1.5cm 14 9 $2,655.24 $1,991.43 25% off $1,008.99 $2,469.37 $2,076.40 2026-05-08
3695 OTHER MRI Face, Neck Or Orbits Without Contrast 14 9 $2,658.76 $1,994.07 25% off $1,010.33 $2,472.65 $1,803.53 2026-05-08
3720 OTHER MRI Pelvis Without Contrast 14 9 $2,669.31 $2,001.98 25% off $1,014.34 $2,482.46 $1,807.49 2026-05-08
3714 OTHER MRI L-spine Without Contrast 14 9 $2,682.19 $2,011.64 25% off $1,019.23 $2,494.44 $1,812.32 2026-05-08
3712 OTHER MRI T-spine Without Contrast 14 9 $2,682.19 $2,011.64 25% off $1,019.23 $2,494.44 $1,812.32 2026-05-08
3700 OTHER MRI MRA Neck Without Contrast 14 9 $2,689.22 $2,016.92 25% off $1,021.90 $2,500.97 $1,814.96 2026-05-08
5918 OTHER Or Fac Full Thickness Graft 14 9 $2,690.39 $2,017.79 25% off $1,022.35 $2,502.06 $2,103.89 2026-05-08
3710 OTHER MRI C-spine Without Contrast 14 9 $2,692.73 $2,019.55 25% off $1,023.24 $2,504.24 $1,816.28 2026-05-08
6117 OTHER Tib Base Uni 14 9 $2,702.80 $2,027.10 25% off $1,027.06 $2,513.60 $2,113.59 2026-05-08
6057 OTHER Or Fac Exc. Corneal Lesion 14 9 $2,731.42 $2,048.57 25% off $1,037.94 $2,540.22 $2,135.98 2026-05-08
6032 OTHER Or Ins/Rep Spinal Stimulator Perm-fac 14 9 $2,754.00 $2,065.50 25% off $1,046.52 $2,561.22 $2,153.63 2026-05-08
6114 OTHER Tibial Base Plate 14 9 $2,758.00 $2,068.50 25% off $1,048.04 $2,564.94 $2,156.76 2026-05-08
6002 OTHER Or Fac Urethromeatoplasty 14 9 $2,765.39 $2,074.04 25% off $1,050.85 $2,571.81 $2,162.53 2026-05-08
5943 OTHER Or Fac Exc. Lesion Tendon Sheath/joint Hand/finger 14 9 $2,815.40 $2,111.55 25% off $1,069.85 $2,618.32 $2,201.64 2026-05-08
5993 OTHER Or Fac Cystourethroscopy W/biopsy 14 9 $2,819.29 $2,114.47 25% off $1,071.33 $2,621.94 $2,204.68 2026-05-08
5963 OTHER Or Fac Exc. Morton's Neuroma 14 9 $2,822.80 $2,117.10 25% off $1,072.66 $2,625.20 $2,207.43 2026-05-08
5949 OTHER Or Fac Repair Extensor Tendon-insertion 14 9 $2,827.48 $2,120.61 25% off $1,074.44 $2,629.56 $2,211.09 2026-05-08
5995 OTHER Or Fac Cysto w/Calibration 14 9 $2,827.48 $2,120.61 25% off $1,074.44 $2,629.56 $2,211.09 2026-05-08
5996 OTHER Cystoscopy With Stent Removal 14 9 $2,835.68 $2,126.76 25% off $1,077.56 $2,637.18 $2,217.50 2026-05-08
6088 OTHER Or Fac Ectropion Repair 14 9 $2,840.36 $2,130.27 25% off $1,079.34 $2,641.53 $2,221.16 2026-05-08
6082 OTHER Or Fac Exc Chalazion W Anesthesia 14 9 $2,840.36 $2,130.27 25% off $1,079.34 $2,641.53 $2,221.16 2026-05-08
3708 OTHER MRI Chest With Contrast 14 9 $2,843.91 $2,132.93 25% off $1,080.69 $2,644.84 $1,872.96 2026-05-08
5939 OTHER Or Fac Decompress Fasciotomy Hand 14 9 $2,854.44 $2,140.83 25% off $1,084.69 $2,654.63 $2,232.17 2026-05-08
5965 OTHER Or Fac Osteotomy Calcaneous 14 9 $2,869.65 $2,152.24 25% off $1,090.47 $2,668.77 $2,244.07 2026-05-08
5997 OTHER Or Fac Cysto Ureteral Stent 14 9 $2,896.62 $2,172.47 25% off $1,100.72 $2,693.86 $2,265.16 2026-05-08
5941 OTHER Or Fac Lesion Exc 14 9 $2,896.62 $2,172.47 25% off $1,100.72 $2,693.86 $2,265.16 2026-05-08
689 OTHER I&d Epididymis, Testis And/or Scrotal Space (abscess/hematoma)-fac 14 9 $2,925.91 $2,194.43 25% off $1,111.85 $2,721.10 $2,288.06 2026-05-08
1076 OTHER BRCAvantage, Comp. 14 9 $2,936.86 $2,202.65 25% off $1,116.01 $2,731.28 $2,296.62 2026-05-08
6093 OTHER Or Fac Biopsy Lacrimal Gland 14 9 $2,952.86 $2,214.65 25% off $1,122.09 $2,746.16 $2,309.14 2026-05-08
6090 OTHER Or Fac Rep Of Entrop 14 9 $2,955.21 $2,216.41 25% off $1,122.98 $2,748.35 $2,310.97 2026-05-08
3696 OTHER MRI Face, Neck Or Orbits With Contrast 14 9 $2,957.54 $2,218.16 25% off $1,123.87 $2,750.51 $1,915.58 2026-05-08
5928 OTHER Or Fac Removal Hardware 14 9 $2,970.43 $2,227.82 25% off $1,128.76 $2,762.50 $2,322.88 2026-05-08
6063 OTHER Or Fac Inject Anterior Chamber Eye 14 9 $2,977.47 $2,233.10 25% off $1,131.44 $2,769.05 $2,328.38 2026-05-08
697 OTHER Incomplete Abortion-fac 14 9 $2,977.47 $2,233.10 25% off $1,131.44 $2,769.05 $2,328.38 2026-05-08
5926 OTHER Pin Removal - Distal Plalanx-facility 14 9 $2,986.58 $2,239.94 25% off $1,134.90 $2,777.52 $2,335.51 2026-05-08
6009 OTHER Or Fac Lysis Preputal Adhesions 14 9 $3,018.51 $2,263.88 25% off $1,147.03 $2,807.21 $2,360.48 2026-05-08
3698 OTHER MRI MRA Head Without Contrast 14 9 $3,018.51 $2,263.88 25% off $1,147.03 $2,807.21 $1,938.44 2026-05-08
6014 OTHER Or Fac Orchiectomy, Inguinal Approach 14 9 $3,041.93 $2,281.45 25% off $1,155.93 $2,828.99 $2,378.79 2026-05-08
6020 OTHER Or Fac Hydrocele, Excision, Unilateral 14 9 $3,041.93 $2,281.45 25% off $1,155.93 $2,828.99 $2,378.79 2026-05-08
6053 OTHER Or Fac Decompress Nerve 14 9 $3,044.26 $2,283.20 25% off $1,156.82 $2,831.16 $2,380.61 2026-05-08
5895 OTHER Polysomnography Sleep Staging-facility 14 9 $3,051.31 $2,288.48 25% off $1,159.50 $2,837.72 $2,386.12 2026-05-08
470 OTHER Fbr-from Finger/deep Complicated-fac 14 9 $3,053.65 $2,290.24 25% off $1,160.39 $2,839.89 $2,387.95 2026-05-08
3739 OTHER MRI Lower Extremity Jt. (Knee, Hip, Ankle Wo) 14 9 $3,078.25 $2,308.69 25% off $1,169.74 $2,862.77 $1,960.85 2026-05-08
3721 OTHER MRI Pelvis With Contrast 14 9 $3,080.59 $2,310.44 25% off $1,170.62 $2,864.95 $1,961.72 2026-05-08
3743 OTHER MRI Lower Extrem Jt., (Hip, Knee, Ankle W/cont) 14 9 $3,101.45 $2,326.09 25% off $1,178.55 $2,884.35 $1,969.55 2026-05-08
6119 OTHER Zimmer Psn Mc 16mm 14 9 $3,121.20 $2,340.90 25% off $1,186.06 $2,902.72 $2,440.78 2026-05-08
3711 OTHER MRI C-spine With Contrast 14 9 $3,128.63 $2,346.47 25% off $1,188.88 $2,909.63 $1,979.73 2026-05-08
6087 OTHER Or Fac Reduction Of Overcorrection Of Ptosis 14 9 $3,140.36 $2,355.27 25% off $1,193.34 $2,920.53 $2,455.76 2026-05-08
3703 OTHER MRI Brain Without Contrast 14 9 $3,148.58 $2,361.44 25% off $1,196.46 $2,928.18 $1,987.22 2026-05-08
6122 OTHER Zimmer Psn Str Hyb 14x+30mm 14 9 $3,162.00 $2,371.50 25% off $1,201.56 $2,940.66 $2,472.68 2026-05-08
696 OTHER Delivery Placenta-fac 14 9 $3,164.97 $2,373.73 25% off $1,202.69 $2,943.42 $2,475.01 2026-05-08
695 OTHER Vaginal Delivery Only-fac 14 9 $3,164.97 $2,373.73 25% off $1,202.69 $2,943.42 $2,475.01 2026-05-08
6052 OTHER Or Fac Carpal Tunnel, Med Rep 14 9 $3,181.37 $2,386.03 25% off $1,208.92 $2,958.67 $2,487.84 2026-05-08
6064 OTHER Or Repair Of Surg Wound-fac 14 9 $3,183.62 $2,387.72 25% off $1,209.78 $2,960.77 $2,489.59 2026-05-08
3715 OTHER MRI L-spine With Contrast 14 9 $3,201.28 $2,400.96 25% off $1,216.49 $2,977.19 $2,006.98 2026-05-08
6089 OTHER Or Fac Rep Ectop. Ext. 14 9 $3,202.44 $2,401.83 25% off $1,216.93 $2,978.27 $2,504.31 2026-05-08
3870 OTHER Skin Graft App Trnk/arm/leg Up To 100sq Cm Fac 14 9 $3,202.93 $2,402.20 25% off $1,217.11 $2,978.72 $2,504.69 2026-05-08
499 OTHER I&d Shoulder Area; Deep Abscess Or Hematoma-fac 14 9 $3,203.62 $2,402.72 25% off $1,217.38 $2,979.37 $2,505.23 2026-05-08
509 OTHER I&d Upper Arm Or Elbow Area; Deep Abscess Or Hematoma-fac 14 9 $3,203.62 $2,402.72 25% off $1,217.38 $2,979.37 $2,505.23 2026-05-08
CAL4342 OTHER Calcitonin 200 Intl units/mL IV 14 9 $3,213.66 $2,410.25 25% off $1,221.19 $2,988.70 $2,513.09 2026-05-08
3744 OTHER MRI Lower Extrem Jt. (Hip, Knee, Ankle W/wo Cont) 14 9 $3,216.33 $2,412.25 25% off $1,222.21 $2,991.19 $2,012.62 2026-05-08
3713 OTHER MRI T-spine With Contrast 14 9 $3,223.56 $2,417.67 25% off $1,224.95 $2,997.91 $2,015.34 2026-05-08
3745 OTHER MRI Abd Without Contrast 14 9 $3,224.72 $2,418.54 25% off $1,225.39 $2,998.99 $2,015.77 2026-05-08
6065 OTHER Or Fac Suture Of Iris 14 9 $3,229.41 $2,422.06 25% off $1,227.18 $3,003.35 $2,525.40 2026-05-08
6054 OTHER Or Fac Ocular Implant-reinsertion 14 9 $3,256.37 $2,442.28 25% off $1,237.42 $3,028.42 $2,546.49 2026-05-08
6109 OTHER Oxf Twin-peg Fem Lg 14 9 $3,264.00 $2,448.00 25% off $1,240.32 $3,035.52 $2,552.45 2026-05-08
6048 OTHER Or Rfa Facet Nerve L/s Single 14 9 $3,264.00 $2,448.00 25% off $1,240.32 $3,035.52 $2,552.45 2026-05-08
6091 OTHER Or Fac Rep Entrop Ext 14 9 $3,265.74 $2,449.31 25% off $1,240.98 $3,037.14 $2,553.81 2026-05-08
3701 OTHER MRI MRA Neck W/contrast 14 9 $3,280.96 $2,460.72 25% off $1,246.76 $3,051.29 $2,036.86 2026-05-08
6118 OTHER Zimmer Psn Tib Stm5 14 9 $3,329.28 $2,496.96 25% off $1,265.13 $3,096.23 $2,603.49 2026-05-08
5967 OTHER Or Fac Capsulotomy Toe 14 9 $3,330.17 $2,497.63 25% off $1,265.46 $3,097.06 $2,604.20 2026-05-08
3727 OTHER MRI Upper Ext; W/wo Contrast 14 9 $3,358.30 $2,518.73 25% off $1,276.15 $3,123.22 $2,065.86 2026-05-08
5969 OTHER Or Fac Hammer Toe Correction 14 9 $3,393.45 $2,545.09 25% off $1,289.51 $3,155.91 $2,653.68 2026-05-08
5835 OTHER Skin Graft App Trnk/arm/leg Up To 100sq cm[Package] 15 8 $3,418.23 $2,563.67 25% off $1,298.93 $3,178.95 $2,782.44 2026-05-08
5836 OTHER Skin Graft App Trnk/arm/leg Up To 100sq cm[Package] 14 9 $3,418.23 $2,563.67 25% off $1,298.93 $3,178.95 $2,673.06 2026-05-08
5834 OTHER Skin Graft App Trnk/arm/leg Up To 100sq cm[Package] 13 8 $3,418.23 $2,563.67 25% off $1,298.93 $3,178.95 $2,563.67 2026-05-08
5837 OTHER Skin Graft App Trnk/arm/leg Up To 100sq cm[Package] 23 9 $3,418.23 $2,563.67 25% off $83.71 $3,178.95 $1,298.93 2026-05-08
6056 OTHER Or Fac Corneal Lac 14 9 $3,448.52 $2,586.39 25% off $1,310.44 $3,207.12 $2,696.74 2026-05-08
556 OTHER Open Tuft Fracture (phalange) Splinting & Sutures-fac 14 9 $3,457.91 $2,593.43 25% off $1,314.01 $3,215.86 $2,704.09 2026-05-08
3748 OTHER MRI Abd With Contrast 14 9 $3,461.43 $2,596.07 25% off $1,315.34 $3,219.13 $2,104.53 2026-05-08
3699 OTHER MRI MRA Head W/wo Contrast 14 9 $3,517.67 $2,638.25 25% off $1,336.71 $3,271.43 $2,125.62 2026-05-08
6026 OTHER Or Fac Tvt, OB Sling, Mini Arc Abdominal Approach 14 9 $3,529.38 $2,647.04 25% off $1,341.16 $3,282.32 $2,759.98 2026-05-08
3705 OTHER MRI Brain With Contrast 14 9 $3,531.73 $2,648.80 25% off $1,342.06 $3,284.51 $2,130.90 2026-05-08
6051 OTHER Or Fac Ulnar Nerve Tranposition Elbow 14 9 $3,583.89 $2,687.92 25% off $1,361.88 $3,333.02 $2,802.61 2026-05-08
221 OTHER Derm Exc Tumor Soft tissN.T.F<5cm Fac 13 9 $3,621.00 $2,715.75 25% off $1,375.98 $3,367.53 $2,715.75 2026-05-08
5935 OTHER Or Fac Inc. Extensor Tendon Sheath 14 9 $3,621.95 $2,716.46 25% off $1,376.34 $3,368.41 $2,832.36 2026-05-08
5938 OTHER Or Fac Open Red Internal Fixation-radius 14 9 $3,621.95 $2,716.46 25% off $1,376.34 $3,368.41 $2,832.36 2026-05-08
5968 OTHER Or Fac Syndactilization Toe 14 9 $3,650.07 $2,737.55 25% off $1,387.03 $3,394.57 $2,854.36 2026-05-08
138 OTHER CT Abd/Pelvis, W/wo Contrast 14 9 $3,658.28 $2,743.71 25% off $500.00 $3,402.20 $1,390.15 2026-05-08
6043 OTHER Or Rfa Genicular Nervex3(knee) 14 9 $3,672.00 $2,754.00 25% off $1,395.36 $3,414.96 $2,871.51 2026-05-08
6078 OTHER Or Fac Exchange Of Iol 14 9 $3,678.19 $2,758.64 25% off $1,397.71 $3,420.72 $2,876.35 2026-05-08
6076 OTHER Or Fac Cataract Removal 14 9 $3,734.44 $2,800.83 25% off $1,419.09 $3,473.03 $2,920.33 2026-05-08
6075 OTHER Or Fac Cataract Removal, Complex 14 9 $3,734.44 $2,800.83 25% off $1,419.09 $3,473.03 $2,920.33 2026-05-08
6077 OTHER Or Fac Insertion Of Iol Without Cataract Removal 14 9 $3,734.44 $2,800.83 25% off $1,419.09 $3,473.03 $2,920.33 2026-05-08
5964 OTHER Or Fac Exc. Bone Cyst Or Tumor 14 9 $3,749.67 $2,812.25 25% off $1,424.87 $3,487.19 $2,932.24 2026-05-08
6003 OTHER Or Fac Dorsal Slit Of Prepuce 14 9 $3,777.53 $2,833.15 25% off $1,435.46 $3,513.10 $2,954.03 2026-05-08
5962 OTHER Or Fac Plantar Fascia Fasciectomy 14 9 $3,784.83 $2,838.62 25% off $1,438.24 $3,519.89 $2,959.73 2026-05-08
5936 OTHER Or Fac Exc. Ganglion Wrist 14 9 $3,798.90 $2,849.18 25% off $1,443.58 $3,532.98 $2,970.74 2026-05-08
6046 OTHER Or Rfa C Or T Per Joint 14 9 $3,800.00 $2,850.00 25% off $1,444.00 $3,534.00 $2,971.60 2026-05-08
XOL088002 OTHER Xolair 300mg/2mL Subcutaneous Inj 14 9 $3,822.49 $2,866.87 25% off $1,452.55 $3,554.92 $2,989.19 2026-05-08
3726 OTHER MRI Bi-lateral Upper Extem Other Than Jt 14 9 $3,866.86 $2,900.15 25% off $1,469.41 $3,596.18 $2,256.57 2026-05-08
3724 OTHER MRI Bi-lateral Upper Extem Other Than Jt 14 9 $3,866.86 $2,900.15 25% off $1,469.41 $3,596.18 $2,256.57 2026-05-08
3729 OTHER MRI Bi-lateral Upper Ext Without Contrast 14 9 $3,866.86 $2,900.15 25% off $1,469.41 $3,596.18 $2,256.57 2026-05-08
3725 OTHER MRI Bi-lateral Upper Extem Other Than Jt 14 9 $3,866.86 $2,900.15 25% off $1,469.41 $3,596.18 $2,256.57 2026-05-08
3730 OTHER MRI Bi-lateral Upper Ext Without Contrast 14 9 $3,866.86 $2,900.15 25% off $1,469.41 $3,596.18 $2,256.57 2026-05-08
3731 OTHER MRI Bi-lateral Upper Ext Without Contrast 14 9 $3,866.86 $2,900.15 25% off $1,469.41 $3,596.18 $2,256.57 2026-05-08
5966 OTHER Or Fac Hemiphalenectomy 14 9 $3,913.73 $2,935.30 25% off $1,487.22 $3,639.77 $3,060.54 2026-05-08
511 OTHER Soft Tissue Fb Removal - Upper Arm - Deep-fac 14 9 $3,926.93 $2,945.20 25% off $1,492.23 $3,652.04 $3,070.86 2026-05-08
6023 OTHER Or Fac Removal/foreign Body Scrotum 14 9 $3,937.17 $2,952.88 25% off $1,496.12 $3,661.57 $3,078.87 2026-05-08
6022 OTHER Or Fac Scrotal Exploration 14 9 $3,937.17 $2,952.88 25% off $1,496.12 $3,661.57 $3,078.87 2026-05-08
139 OTHER CT Urogram 14 9 $3,941.57 $2,956.18 25% off $500.00 $3,665.66 $1,497.80 2026-05-08
5931 OTHER Or Fac Excision Tumor Soft Tissue Shoulder-3cm 14 9 $3,974.66 $2,981.00 25% off $1,510.37 $3,696.43 $3,108.18 2026-05-08
6017 OTHER Or Fac Exc, Local Lesion Epididymus 14 9 $4,023.87 $3,017.90 25% off $1,529.07 $3,742.20 $3,146.66 2026-05-08
6129 OTHER Or Lead Neuro Stim Imp 14 9 $4,080.00 $3,060.00 25% off $1,550.40 $3,794.40 $3,190.56 2026-05-08
3702 OTHER MRI MRA Neck W/wo Contrast 14 9 $4,112.91 $3,084.68 25% off $1,562.91 $3,825.01 $2,348.84 2026-05-08
5972 OTHER Or Arthro Diagnostic Fac 14 9 $4,161.60 $3,121.20 25% off $1,581.41 $3,870.29 $3,254.37 2026-05-08
4986 OTHER Total Knee Arthroplasty Asst Pro 14 9 $4,161.60 $3,121.20 25% off $1,300.97 $3,745.44 $1,300.97 2026-05-08
4987 OTHER Total Knee Arthroplasty Asst Pro 14 9 $4,161.60 $3,121.20 25% off $1,300.97 $3,745.44 $1,300.97 2026-05-08
4984 OTHER Total Knee Arthroplasty-pro 14 9 $4,161.60 $3,121.20 25% off $1,300.97 $3,745.44 $1,300.97 2026-05-08
4985 OTHER Total Knee Arthroplasty-pro 14 9 $4,161.60 $3,121.20 25% off $1,300.97 $3,745.44 $1,300.97 2026-05-08
149 OTHER Derm I&d Complex Post Op - Fac 13 9 $4,244.83 $3,183.62 25% off $1,613.04 $3,947.69 $3,183.62 2026-05-08
2240 OTHER Meningoencephalitis Comprehensive Panel Csf 14 9 $4,262.55 $3,196.91 25% off $1,619.77 $3,964.17 $3,333.31 2026-05-08
3738 OTHER MRI Lower Ext; Other/Than Jt. W/wo Contrast 14 9 $4,291.05 $3,218.29 25% off $1,613.00 $3,990.68 $2,424.44 2026-05-08
3749 OTHER MRI Abd W, Without Contrast 14 9 $4,299.26 $3,224.45 25% off $1,613.00 $3,998.31 $2,429.09 2026-05-08
5950 OTHER Or Fac Orif Metacarpal Dislocation 14 9 $4,302.75 $3,227.06 25% off $1,635.05 $4,001.56 $3,364.75 2026-05-08
3940 OTHER Insertion Of Cardiac Monitor Sq 13 9 $4,329.73 $3,247.30 25% off $1,645.30 $4,026.65 $3,247.30 2026-05-08
6133 OTHER Or-inracept Device 2vb 14 9 $4,447.20 $3,335.40 25% off $1,689.94 $4,135.90 $3,477.71 2026-05-08
6085 OTHER Or Fac Brow Ptosis Repair 14 9 $4,455.08 $3,341.31 25% off $1,692.93 $4,143.22 $3,483.88 2026-05-08
559 OTHER Fbr Pelvis/Hip; Deep - Fac 14 9 $4,468.62 $3,351.47 25% off $1,698.08 $4,155.82 $3,494.47 2026-05-08
6059 OTHER Or Fac Pterygium Exc. With Graft 14 9 $4,483.21 $3,362.41 25% off $1,703.62 $4,169.39 $3,505.87 2026-05-08
5958 OTHER Knee Arthroplasty -uni Fac 14 9 $4,504.65 $3,378.49 25% off $1,711.77 $4,189.32 $3,522.64 2026-05-08
6116 OTHER Femoral Size E-uni 14 9 $4,532.81 $3,399.61 25% off $1,722.47 $4,215.51 $3,544.66 2026-05-08
3709 OTHER MRI Chest W, Without Contrast 14 9 $4,571.09 $3,428.32 25% off $1,613.00 $4,251.11 $2,582.66 2026-05-08
6097 OTHER Or Single Use Probe Kit 14 9 $4,590.00 $3,442.50 25% off $1,744.20 $4,268.70 $3,589.38 2026-05-08
3697 OTHER MRI Face, Neck Or Orbits W, Without Contrast 14 9 $4,591.00 $3,443.25 25% off $1,613.00 $4,269.63 $2,593.91 2026-05-08
3722 OTHER MRI Pelvis W, Without Contrast 14 9 $4,602.73 $3,452.05 25% off $1,613.00 $4,280.54 $2,600.55 2026-05-08
3717 OTHER MRI T-spine W, Without Contrast 14 9 $4,660.16 $3,495.12 25% off $1,613.00 $4,333.95 $2,632.99 2026-05-08
3718 OTHER MRI L-spine W, Without Contrast 14 9 $4,660.16 $3,495.12 25% off $1,613.00 $4,333.95 $2,632.99 2026-05-08
3716 OTHER MRI C-spine W, Without Contrast 14 9 $4,660.16 $3,495.12 25% off $1,613.00 $4,333.95 $2,632.99 2026-05-08
3706 OTHER MRI Brain W, Without Contrast 14 9 $4,660.16 $3,495.12 25% off $1,613.00 $4,333.95 $2,632.99 2026-05-08
6021 OTHER Or Fac Bilateral Hydrocele 14 9 $4,680.08 $3,510.06 25% off $1,778.43 $4,352.47 $3,659.82 2026-05-08
5955 OTHER Or Removal Kneecap Bursa-t 14 9 $4,681.80 $3,511.35 25% off $1,779.08 $4,354.07 $3,661.17 2026-05-08
6123 OTHER Femoral Implant 14 9 $4,773.94 $3,580.46 25% off $1,814.10 $4,439.76 $3,733.22 2026-05-08
6079 OTHER Or Fac Anterior Vitrectomy 14 9 $4,917.95 $3,688.46 25% off $1,868.82 $4,573.69 $3,845.84 2026-05-08
5989 OTHER Or Fac Herniorrhaphy, Inguinal (sliding) 14 9 $4,937.85 $3,703.39 25% off $1,876.38 $4,592.20 $3,861.40 2026-05-08
5988 OTHER Or Fac Herniorraphy, Inguinal (recurrent) 14 9 $4,937.85 $3,703.39 25% off $1,876.38 $4,592.20 $3,861.40 2026-05-08
5987 OTHER Or Fac Herniorrhaphy, Inguinal (initial) 14 9 $4,937.85 $3,703.39 25% off $1,876.38 $4,592.20 $3,861.40 2026-05-08
5786 OTHER Vq Scan With Ambulance To Slvh 14 9 $4,965.99 $3,724.49 25% off $1,887.08 $4,618.37 $3,883.40 2026-05-08
CRO23264 OTHER CroFab Intravenous Injection 14 9 $4,970.02 $3,727.52 25% off $1,888.61 $4,622.12 $3,886.56 2026-05-08
6080 OTHER Or Fac Vitrectomy, Mechanical 14 9 $5,035.11 $3,776.33 25% off $1,913.34 $4,682.65 $3,937.45 2026-05-08
5934 OTHER Or Fac Fasciotomy Lower Arm 14 9 $5,121.84 $3,841.38 25% off $1,946.30 $4,763.31 $4,005.28 2026-05-08
5971 OTHER Or Fac Orif Dip Joint Toe 14 9 $5,121.84 $3,841.38 25% off $1,946.30 $4,763.31 $4,005.28 2026-05-08
3704 OTHER MRI Brain Without Contrast+ Ambulance Slvh 14 9 $5,189.52 $3,892.14 25% off $1,613.00 $4,826.25 $2,932.08 2026-05-08
3736 OTHER MRI Bi-lateral Lower Ext, Wo Contrast 14 9 $5,287.03 $3,965.27 25% off $1,613.00 $4,916.94 $2,987.17 2026-05-08
3737 OTHER MRI Bi-lateral Lower Ext, Wo Contrast 14 9 $5,287.03 $3,965.27 25% off $1,613.00 $4,916.94 $2,987.17 2026-05-08
3735 OTHER MRI Bi-lateral Lower Ext, Wo Contrast 14 9 $5,287.03 $3,965.27 25% off $1,613.00 $4,916.94 $2,987.17 2026-05-08
3746 OTHER Mrcp W Amb To Slvh 14 9 $5,410.31 $4,057.73 25% off $1,613.00 $5,031.59 $3,056.82 2026-05-08
6027 OTHER Or Fac Tvt, OB Sling, Mini Arc 14 9 $5,433.51 $4,075.13 25% off $2,064.73 $5,053.16 $4,249.01 2026-05-08
5933 OTHER Or Fac Arthrotomy Elbow With Debridement 14 9 $5,513.19 $4,134.89 25% off $2,095.01 $5,127.27 $4,311.32 2026-05-08
5932 OTHER Excise Oleocranon Bursa-fac 14 9 $5,630.81 $4,223.11 25% off $2,139.71 $5,236.65 $4,403.30 2026-05-08
5974 OTHER Arthroscopy- Lat-med Meniscctomy -facility 14 9 $5,743.43 $4,307.57 25% off $2,182.50 $5,341.39 $4,491.36 2026-05-08
6120 OTHER Femoral Implant With Antibiotic 14 9 $5,953.37 $4,465.03 25% off $2,262.28 $5,536.63 $4,655.53 2026-05-08
3964 OTHER Biomontor Iii 14 9 $5,953.37 $4,465.03 25% off $2,262.28 $5,536.63 $4,655.53 2026-05-08
3740 OTHER MRI Bi-lateral Knee W Contrast 14 9 $6,156.51 $4,617.38 25% off $1,613.00 $5,725.55 $3,478.43 2026-05-08
3741 OTHER MRI Bi-lateral Knee W Contrast 14 9 $6,156.51 $4,617.38 25% off $1,613.00 $5,725.55 $3,478.43 2026-05-08
3742 OTHER MRI Bi-lateral Knee W Contrast 14 9 $6,156.51 $4,617.38 25% off $1,613.00 $5,725.55 $3,478.43 2026-05-08
6062 OTHER Or Fac Ocular Surface Reconstruct With Amniotic Membrane 14 9 $6,157.67 $4,618.25 25% off $2,339.91 $5,726.63 $4,815.30 2026-05-08
6154 OTHER Or Fac Corneal Tissue 14 9 $6,218.60 $4,663.95 25% off $2,363.07 $5,783.30 $4,862.94 2026-05-08
6007 OTHER Or Fac Partial Amp Of Penis 14 9 $6,570.14 $4,927.61 25% off $2,496.65 $6,110.23 $5,137.85 2026-05-08
5990 OTHER Or Fac Lithotripsy 14 9 $6,588.88 $4,941.66 25% off $2,503.77 $6,127.66 $5,152.51 2026-05-08
6060 OTHER Or Fac Penetrating Keratoplasty 14 9 $6,640.46 $4,980.35 25% off $2,523.37 $6,175.63 $5,192.84 2026-05-08
5973 OTHER Or Chondroplasty - Facility 14 9 $6,892.12 $5,169.09 25% off $2,619.01 $6,409.67 $5,389.64 2026-05-08
3719 OTHER MRI L Spine W/wo, With Amb To Ala 14 9 $7,051.73 $5,288.80 25% off $1,613.00 $6,558.11 $3,984.23 2026-05-08
5959 OTHER Total Knee Arthroplasty 14 9 $7,320.06 $5,490.05 25% off $2,781.62 $6,807.66 $5,724.29 2026-05-08
5975 OTHER Or Arthro W Meniscectomy-fac 14 9 $7,466.46 $5,599.85 25% off $2,837.25 $6,943.81 $5,838.77 2026-05-08
5999 OTHER Or Fac Pvp 14 9 $7,842.69 $5,882.02 25% off $2,980.22 $7,293.70 $6,132.99 2026-05-08
6128 OTHER Verilast Np TIp 14 9 $7,959.06 $5,969.30 25% off $3,024.44 $7,401.93 $6,223.99 2026-05-08
6115 OTHER Zimmer Femur Cr Cmt 14 9 $8,323.20 $6,242.40 25% off $3,162.82 $7,740.58 $6,508.74 2026-05-08
5960 OTHER Or-remove Knee Prosth Inc Spacer-fac 14 9 $8,659.45 $6,494.59 25% off $3,290.59 $8,053.29 $6,771.69 2026-05-08
465878 OTHER Z* TNKase 14 9 $9,289.43 $6,967.07 25% off $3,529.98 $8,639.17 $7,264.34 2026-05-08
6044 OTHER Or-dest Io L/s Vert Intracept-2 Level Vert 14 9 $12,240.00 $9,180.00 25% off $4,651.20 $11,383.20 $9,571.68 2026-05-08
ACT1003205 OTHER Alteplase 100 Mg IV Injection 14 9 $13,280.90 $9,960.68 25% off $5,046.74 $12,351.24 $10,385.67 2026-05-08
6112 OTHER Or Spinal Stim Generator-nr Wavewriter 14 9 $41,310.00 $30,982.50 25% off $15,697.80 $38,418.30 $32,304.42 2026-05-08
5907 OTHER Or Si Joint Arthrodesis -perc, Bone Allo Bilat 14 9 $42,840.00 $32,130.00 25% off $16,279.20 $39,841.20 $33,500.88 2026-05-08
5908 OTHER Or Si Joint Arthrodesis -perc, Bone Allo Bilat 14 9 $42,840.00 $32,130.00 25% off $16,279.20 $39,841.20 $33,500.88 2026-05-08
6132 OTHER Or Pain Spine Stim W Pt Programmer 14 9 $44,778.00 $33,583.50 25% off $17,015.64 $41,643.54 $35,016.40 2026-05-08
767 OTHER Dislocation Tx-jaw[package] 1 1 — — $5,920.00 $5,920.00 $5,920.00 2026-05-08
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