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

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Hospital

SOUTHEAST COLORADO HOSPITAL DISTRICT

Springfield, CO · CCN 061311 · Rates published

1,667 distinct procedures filed
6 distinct payers
10,530 rate rows
2026-03-17 last MRF observed
Data quality

10,530 of 10,530 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/5f8756768b/machine-readable/840592527_southeast-colorado-hospital-district_standardcharges.json
Found on page https://www.sechosp.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 8f81ccc8a58b1379… · 71,122 bytes · first seen 2026-05-19

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
64635
CPT 		64635 Bilat L/s Rf Ablation 6 $7,257.00 $7,582.00 $7,582.00 nat. median
$2,352
outlier · 3.2×
32550
CPT 		32550 Insertion Of Indwelling Tunneled Pleural Catheter With Cuff 6 $7,051.00 $7,368.00 $7,368.00 nat. median
$4,089
1.8× median
27087
CPT 		27087pelvis Or Hip; Deep 6 $5,971.00 $6,239.00 $6,239.00 nat. median
$3,517
1.8× median
21320
CPT 		21320-nasal Bone With Stabilization 6 $5,883.00 $6,148.00 $6,148.00 nat. median
$3,129
2.0× median
59409
CPT 		59409-vaginal Delivery Only 6 $5,534.00 $5,782.00 $5,782.00 nat. median
$3,185
1.8× median
59414
CPT 		59414delivery Of Placenta 6 $5,534.00 $5,782.00 $5,782.00 nat. median
$2,876
outlier · 2.0×
71552
CPT 		MRI Chest With + Without Contrast 6 $5,189.00 $5,422.00 $5,422.00 nat. median
$1,093
outlier · 5.0×
70543
CPT 		MRI Face Neck Orbit With + Without Contrast 6 $5,171.00 $5,403.00 $5,403.00 nat. median
$1,077
outlier · 5.0×
64495
CPT 		64495 Bilat Third Level 6 $5,077.00 $5,305.00 $5,305.00 nat. median
$760
outlier · 7.0×
27086
CPT 		27086pelvis Or Hip; Subcutaneous Tissue 6 $4,999.00 $5,223.00 $5,223.00 nat. median
$2,771
1.9× median
23333
CPT 		23333shoulder; Deep 6 $4,999.00 $5,223.00 $5,223.00 nat. median
$2,907
1.8× median
24201
CPT 		24201upper Arm/elbow Deep 6 $4,999.00 $5,223.00 $5,223.00 nat. median
$2,892
1.8× median
10180
CPT 		10180-i&d Postop Wound Infection Complex 6 $4,891.00 $5,111.00 $5,111.00 nat. median
$2,867
1.8× median
72158
CPT 		MRI Spine Lumbar With + Without Contrast 6 $4,815.00 $5,031.00 $5,031.00 nat. median
$1,080
outlier · 4.7×
72156
CPT 		MRI Spine Cervical With + Without Contrast 6 $4,815.00 $5,031.00 $5,031.00 nat. median
$1,092
outlier · 4.6×
72157
CPT 		MRI Spine Thoracic With + Without Contrast 6 $4,815.00 $5,031.00 $5,031.00 nat. median
$1,093
outlier · 4.6×
64636
CPT 		64636 Bilat Add Levels 6 $4,643.00 $4,851.00 $4,851.00 nat. median
$1,235
outlier · 3.9×
64494
CPT 		64494 Bilat Second Level 6 $4,615.00 $4,823.00 $4,823.00 nat. median
$772
outlier · 6.2×
70542
CPT 		MRI Face Neck Orbit With Contrast 6 $4,493.00 $4,695.00 $4,695.00 nat. median
$905
outlier · 5.2×
70549
CPT 		MRA Neck With + Without Contrast 6 $4,463.00 $4,663.00 $4,663.00 nat. median
$1,050
outlier · 4.4×
24655
CPT 		24655radial Head/neck With Manipulation 6 $4,405.00 $4,603.00 $4,603.00 nat. median
$1,605
outlier · 2.9×
74183
CPT 		MRI Abdomen With + Without Contrast 6 $4,175.00 $4,362.00 $4,362.00 nat. median
$1,101
outlier · 4.0×
73720
CPT 		MRI Foot With + Without Contrast Left 6 $3,735.00 $3,902.00 $3,902.00 nat. median
$1,189
outlier · 3.3×
73220
CPT 		MRI Upper Extremity With + Without Cnt Left 6 $3,735.00 $3,902.00 $3,902.00 nat. median
$1,185
outlier · 3.3×
70548
CPT 		MRA Neck With Contrast 6 $3,720.00 $3,887.00 $3,887.00 nat. median
$917
outlier · 4.2×
64625
CPT 		64625 Radiofrequency Abltj Nrv Nrvtg Si Jt W/img Gdn 6 $3,628.00 $3,791.00 $3,791.00 nat. median
$2,553
1.5× median
64633
CPT 		64633 Cervical/thoracic Ablation 6 $3,628.00 $3,791.00 $3,791.00 nat. median
$2,311
1.6× median
64624
CPT 		64624 Dstrj Nulyt Agt Gnclr Nrv 6 $3,628.00 $3,791.00 $3,791.00 nat. median
$2,319
1.6× median
12037
CPT 		12037-scalp/trunk/extremity Greater Than 30.0 Cm 6 $3,618.00 $3,781.00 $3,781.00 nat. median
$1,995
1.9× median
AE-4700
CDM 		Broselow Resuscitation Kit 6 $3,618.00 $3,781.00 $3,781.00 nat. median
$3,781
1.0× median
70540
CPT 		MRI Face Neck Orbit Without Contrast 6 $3,535.00 $3,694.00 $3,694.00 nat. median
$784
outlier · 4.7×
12047
CPT 		12047-neck/hand/feet/genital Greater Than 30.0 Cm 6 $3,446.00 $3,601.00 $3,601.00 nat. median
$1,846
2.0× median
36561
CPT 		36561 Tc Insertion Of Tunneled Central Line With Port 6 $3,374.00 $3,525.00 $3,525.00 nat. median
$3,693
1.0× median
43233
CPT 		43233 Egd Balloon Dil Esoph30 Mm/> 6 $3,360.00 $3,511.00 $3,511.00 nat. median
$2,157
1.6× median
43245
CPT 		43245 Tc Egd Dilation Gastric/duodenal Stricture 6 $3,221.00 $3,365.00 $3,365.00 nat. median
$2,228
1.5× median
43250
CPT 		43250 Tc Egd Flex Removal Lesion(s) By Hot Biopsy Forceps 6 $3,221.00 $3,365.00 $3,365.00 nat. median
$2,087
1.6× median
74182
CPT 		MRI Abdomen With Contrast 6 $3,183.00 $3,326.00 $3,326.00 nat. median
$990
outlier · 3.4×
24200
CPT 		24200-upper Arm/elbow Subcutaneous 6 $2,968.00 $3,101.00 $3,101.00 nat. median
$1,588
2.0× median
11044
CPT 		11044bone, First 20 Cm Or Less 6 $2,968.00 $3,101.00 $3,101.00 nat. median
$1,747
1.8× median
CRKA-17-75-5.5
CDM 		Coolief 75mm X 5.5mm (Thoracic) 6 $2,954.00 $3,087.00 $3,087.00 nat. median
$3,087
1.0× median
MCK2A-17-100-4
CDM 		Coolief 100mm X 4mm (Lumbar, Sij) 6 $2,954.00 $3,087.00 $3,087.00 nat. median
$3,087
1.0× median
CRKA-17-75-2
CDM 		Coolief 75mm X 2mm (Cervical) 6 $2,954.00 $3,087.00 $3,087.00 nat. median
$3,087
1.0× median
CRKA-17-75-4
CDM 		Coolief 75mm X 4mm (Lumbar,sij,knee) 6 $2,954.00 $3,087.00 $3,087.00 nat. median
$3,087
1.0× median
CRKA-17-50-2
CDM 		Coolief 50mm X 2mm (Cervical) 6 $2,954.00 $3,087.00 $3,087.00 nat. median
$3,087
1.0× median
CRKA-17-50-4
CDM 		Coolief 50mm X 4mm (Knee) 6 $2,954.00 $3,087.00 $3,087.00 nat. median
$3,087
1.0× median
28192
CPT 		28192foot Deep 6 $2,953.00 $3,086.00 $3,086.00 nat. median
$1,917
1.6× median
28193
CPT 		28193foot Complicated 6 $2,953.00 $3,086.00 $3,086.00 nat. median
$1,944
1.6× median
27552
CPT 		27552-knee With Anesthesia 6 $2,943.00 $3,075.00 $3,075.00 nat. median
$2,068
1.5× median
27257
CPT 		27257hip With Manipulation & Anesthesia 6 $2,938.00 $3,069.00 $3,069.00 nat. median
$1,857
1.7× median
27768
CPT 		27768-posterior Malleolus With Manipulation 6 $2,938.00 $3,069.00 $3,069.00 nat. median
$1,608
1.9× median

Other procedures at this hospital

Browse this hospital's 1,667 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
             
64635 CPT 64635 Bilat L/s Rf Ablation 6 6 $7,737.00 $6,190.00 $7,257.00 $7,582.00 $7,582.00 2026-03-17
32550 CPT 32550 Insertion Of Indwelling Tunneled Pleural Catheter With Cuff 6 6 $7,518.00 $6,014.00 20% off $7,051.00 $7,368.00 $7,368.00 2026-03-17
27087 CPT 27087pelvis Or Hip; Deep 6 6 $6,366.00 $5,093.00 $5,971.00 $6,239.00 $6,239.00 2026-03-17
21320 CPT 21320-nasal Bone With Stabilization 6 6 $6,273.00 $5,018.00 20% off $5,883.00 $6,148.00 $6,148.00 2026-03-17
59414 CPT 59414delivery Of Placenta 6 6 $5,900.00 $4,720.00 20% off $5,534.00 $5,782.00 $5,782.00 2026-03-17
59409 CPT 59409-vaginal Delivery Only 6 6 $5,900.00 $4,720.00 20% off $5,534.00 $5,782.00 $5,782.00 2026-03-17
71552 CPT MRI Chest With + Without Contrast 6 6 $5,533.00 $4,426.00 20% off $5,189.00 $5,422.00 $5,422.00 2026-03-17
70543 CPT MRI Face Neck Orbit With + Without Contrast 6 6 $5,513.00 $4,410.00 20% off $5,171.00 $5,403.00 $5,403.00 2026-03-17
64495 CPT 64495 Bilat Third Level 6 6 $5,413.00 $4,330.00 20% off $5,077.00 $5,305.00 $5,305.00 2026-03-17
24201 CPT 24201upper Arm/elbow Deep 6 6 $5,330.00 $4,264.00 20% off $4,999.00 $5,223.00 $5,223.00 2026-03-17
27086 CPT 27086pelvis Or Hip; Subcutaneous Tissue 6 6 $5,330.00 $4,264.00 20% off $4,999.00 $5,223.00 $5,223.00 2026-03-17
23333 CPT 23333shoulder; Deep 6 6 $5,330.00 $4,264.00 20% off $4,999.00 $5,223.00 $5,223.00 2026-03-17
10180 CPT 10180-i&d Postop Wound Infection Complex 6 6 $5,215.00 $4,172.00 20% off $4,891.00 $5,111.00 $5,111.00 2026-03-17
72157 CPT MRI Spine Thoracic With + Without Contrast 6 6 $5,134.00 $4,107.00 20% off $4,815.00 $5,031.00 $5,031.00 2026-03-17
72158 CPT MRI Spine Lumbar With + Without Contrast 6 6 $5,134.00 $4,107.00 20% off $4,815.00 $5,031.00 $5,031.00 2026-03-17
72156 CPT MRI Spine Cervical With + Without Contrast 6 6 $5,134.00 $4,107.00 20% off $4,815.00 $5,031.00 $5,031.00 2026-03-17
64636 CPT 64636 Bilat Add Levels 6 6 $4,950.00 $3,960.00 20% off $4,643.00 $4,851.00 $4,851.00 2026-03-17
64494 CPT 64494 Bilat Second Level 6 6 $4,921.00 $3,937.00 $4,615.00 $4,823.00 $4,823.00 2026-03-17
70542 CPT MRI Face Neck Orbit With Contrast 6 6 $4,791.00 $3,833.00 $4,493.00 $4,695.00 $4,695.00 2026-03-17
70549 CPT MRA Neck With + Without Contrast 6 6 $4,758.00 $3,806.00 20% off $4,463.00 $4,663.00 $4,663.00 2026-03-17
24655 CPT 24655radial Head/neck With Manipulation 6 6 $4,697.00 $3,758.00 $4,405.00 $4,603.00 $4,603.00 2026-03-17
74183 CPT MRI Abdomen With + Without Contrast 6 6 $4,451.00 $3,561.00 $4,175.00 $4,362.00 $4,362.00 2026-03-17
73220 CPT MRI Upper Extremity With + Without Cnt Left 6 6 $3,982.00 $3,186.00 $3,735.00 $3,902.00 $3,902.00 2026-03-17
73720 CPT MRI Foot With + Without Contrast Left 6 6 $3,982.00 $3,186.00 $3,735.00 $3,902.00 $3,902.00 2026-03-17
70548 CPT MRA Neck With Contrast 6 6 $3,966.00 $3,173.00 $3,720.00 $3,887.00 $3,887.00 2026-03-17
64624 CPT 64624 Dstrj Nulyt Agt Gnclr Nrv 6 6 $3,868.00 $3,094.00 20% off $3,628.00 $3,791.00 $3,791.00 2026-03-17
64625 CPT 64625 Radiofrequency Abltj Nrv Nrvtg Si Jt W/img Gdn 6 6 $3,868.00 $3,094.00 20% off $3,628.00 $3,791.00 $3,791.00 2026-03-17
64633 CPT 64633 Cervical/thoracic Ablation 6 6 $3,868.00 $3,094.00 20% off $3,628.00 $3,791.00 $3,791.00 2026-03-17
AE-4700 CDM Broselow Resuscitation Kit 6 6 $3,858.00 $3,086.00 20% off $3,618.00 $3,781.00 $3,781.00 2026-03-17
12037 CPT 12037-scalp/trunk/extremity Greater Than 30.0 Cm 6 6 $3,858.00 $3,086.00 20% off $3,618.00 $3,781.00 $3,781.00 2026-03-17
70540 CPT MRI Face Neck Orbit Without Contrast 6 6 $3,769.00 $3,015.00 20% off $3,535.00 $3,694.00 $3,694.00 2026-03-17
12047 CPT 12047-neck/hand/feet/genital Greater Than 30.0 Cm 6 6 $3,674.00 $2,939.00 20% off $3,446.00 $3,601.00 $3,601.00 2026-03-17
36561 CPT 36561 Tc Insertion Of Tunneled Central Line With Port 6 6 $3,597.00 $2,878.00 $3,374.00 $3,525.00 $3,525.00 2026-03-17
43233 CPT 43233 Egd Balloon Dil Esoph30 Mm/> 6 6 $3,583.00 $2,866.00 20% off $3,360.00 $3,511.00 $3,511.00 2026-03-17
43250 CPT 43250 Tc Egd Flex Removal Lesion(s) By Hot Biopsy Forceps 6 6 $3,434.00 $2,747.00 20% off $3,221.00 $3,365.00 $3,365.00 2026-03-17
43245 CPT 43245 Tc Egd Dilation Gastric/duodenal Stricture 6 6 $3,434.00 $2,747.00 20% off $3,221.00 $3,365.00 $3,365.00 2026-03-17
74182 CPT MRI Abdomen With Contrast 6 6 $3,394.00 $2,715.00 20% off $3,183.00 $3,326.00 $3,326.00 2026-03-17
11044 CPT 11044bone, First 20 Cm Or Less 6 6 $3,164.00 $2,531.00 20% off $2,968.00 $3,101.00 $3,101.00 2026-03-17
24200 CPT 24200-upper Arm/elbow Subcutaneous 6 6 $3,164.00 $2,531.00 20% off $2,968.00 $3,101.00 $3,101.00 2026-03-17
CRKA-17-75-4 CDM Coolief 75mm X 4mm (Lumbar,sij,knee) 6 6 $3,150.00 $2,520.00 20% off $2,954.00 $3,087.00 $3,087.00 2026-03-17
CRKA-17-75-5.5 CDM Coolief 75mm X 5.5mm (Thoracic) 6 6 $3,150.00 $2,520.00 20% off $2,954.00 $3,087.00 $3,087.00 2026-03-17
CRKA-17-75-2 CDM Coolief 75mm X 2mm (Cervical) 6 6 $3,150.00 $2,520.00 20% off $2,954.00 $3,087.00 $3,087.00 2026-03-17
CRKA-17-50-2 CDM Coolief 50mm X 2mm (Cervical) 6 6 $3,150.00 $2,520.00 20% off $2,954.00 $3,087.00 $3,087.00 2026-03-17
MCK2A-17-100-4 CDM Coolief 100mm X 4mm (Lumbar, Sij) 6 6 $3,150.00 $2,520.00 20% off $2,954.00 $3,087.00 $3,087.00 2026-03-17
CRKA-17-50-4 CDM Coolief 50mm X 4mm (Knee) 6 6 $3,150.00 $2,520.00 20% off $2,954.00 $3,087.00 $3,087.00 2026-03-17
28193 CPT 28193foot Complicated 6 6 $3,149.00 $2,519.00 20% off $2,953.00 $3,086.00 $3,086.00 2026-03-17
28192 CPT 28192foot Deep 6 6 $3,149.00 $2,519.00 20% off $2,953.00 $3,086.00 $3,086.00 2026-03-17
27552 CPT 27552-knee With Anesthesia 6 6 $3,138.00 $2,510.00 20% off $2,943.00 $3,075.00 $3,075.00 2026-03-17
27825 CPT 27825-distal Tibia With Traction Or Manipulation 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
24675 CPT 24675-ulna Proximal End With Manipulation 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
27266 CPT 27266-hip Post Arthroplasty W/anesthesia 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
28635 CPT 28635metatarsophalangeal Joint 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
27503 CPT 27503-femoral W/manipulation 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
24605 CPT 24605-elbow With Anesthesia 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
23605 CPT 23605-proximal Humeral With Manipulation 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
27768 CPT 27768-posterior Malleolus With Manipulation 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
27510 CPT 27510-femoral Distal With Manipulation 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
27842 CPT 27842ankle With Anesthesia 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
26705 CPT 26705metacarp W/manip & Anesthesia 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
27257 CPT 27257hip With Manipulation & Anesthesia 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
27502 CPT 27502-femoral Shaft With Manipulation 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
27252 CPT 27252hip Traumatic With Anesthesia 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
25505 CPT 25505-radial Shaft With Manipulation 6 6 $3,132.00 $2,506.00 $2,938.00 $3,069.00 $3,069.00 2026-03-17
36590 CPT 36590 Tc Removal Of Tunneled Central Venous Access Device, With Subcutaneous Por… 6 6 $3,124.00 $2,499.00 20% off $2,930.00 $3,062.00 $3,062.00 2026-03-17
27818 CPT 27818-trimalleolar Ankle With Manipulation 6 6 $3,048.00 $2,438.00 20% off $2,859.00 $2,987.00 $2,987.00 2026-03-17
27752 CPT 27752-tibial Shaft With Manipulation 6 6 $3,048.00 $2,438.00 20% off $2,859.00 $2,987.00 $2,987.00 2026-03-17
25565 CPT 25565-radial&ulnar Shaft With Manipulation 6 6 $3,048.00 $2,438.00 20% off $2,859.00 $2,987.00 $2,987.00 2026-03-17
27810 CPT 27810-bimalleolar Ankle With Manipulation 6 6 $3,048.00 $2,438.00 20% off $2,859.00 $2,987.00 $2,987.00 2026-03-17
27762 CPT 27762-medial Malleolus With Manipulation 6 6 $3,048.00 $2,438.00 20% off $2,859.00 $2,987.00 $2,987.00 2026-03-17
70547 CPT MRA Neck Without Contrast 6 6 $3,043.00 $2,434.00 20% off $2,854.00 $2,982.00 $2,982.00 2026-03-17
11406 CPT 11406 Tc Excision, Benign Lesion Including Margins, Except Skin Tag (Unless List… 6 6 $3,027.00 $2,422.00 $2,839.00 $2,966.00 $2,966.00 2026-03-17
25605 CPT 25605-distal Radial With Manipulation 6 6 $3,012.00 $2,410.00 $2,825.00 $2,952.00 $2,952.00 2026-03-17
A0434 HCPCS A0434 Advanced Life Support Speciality Emergent 1 Hour Transport Techfee 24 6 $3,054.00 $2,443.00 20% off $2,736.00 $3,157.00 $2,948.00 2026-03-17
72148 CPT MRI Scan Of Lower Spinal Canal 6 6 $2,931.00 $2,345.00 $2,749.00 $2,872.00 $2,872.00 2026-03-17
72146 CPT MRI Spine Thoracic Without Contrast 6 6 $2,931.00 $2,345.00 $2,749.00 $2,872.00 $2,872.00 2026-03-17
74175 CPT CT Angio Abdomen 6 6 $2,861.00 $2,289.00 $2,683.00 $2,804.00 $2,804.00 2026-03-17
73721 CPT MRI Scan Of Leg Joint 12 6 $2,861.00 $2,289.00 $2,618.00 $2,872.00 $2,742.00 2026-03-17
A0433 HCPCS A0433 Advanced Life Support Type Ii Emergent 1 Hour Transport Techfee 24 6 $2,750.00 $2,200.00 20% off $2,508.00 $2,769.00 $2,680.00 2026-03-17
27372 CPT 27372deep, Thigh Region/knee Area 6 6 $2,712.00 $2,170.00 $2,544.00 $2,658.00 $2,658.00 2026-03-17
11426 CPT 11426 Tc Excision, Benign Lesion Including Margins, Except Skin Tag (Unless List… 6 6 $2,712.00 $2,170.00 $2,544.00 $2,658.00 $2,658.00 2026-03-17
64492 CPT 64492 Third Level 6 6 $2,707.00 $2,166.00 $2,539.00 $2,653.00 $2,653.00 2026-03-17
46260 CPT 46260 Tc Hemorrhoidectomy, Internal And External, 2 Or More Columns/groups; 6 6 $2,698.00 $2,158.00 20% off $2,530.00 $2,644.00 $2,644.00 2026-03-17
46250 CPT 46250 Tc Hemorrhoidectomy, External, Complete 6 6 $2,698.00 $2,158.00 20% off $2,530.00 $2,644.00 $2,644.00 2026-03-17
95811 CPT 95811 Attend Split Night Sleep Study With Interp 6 6 $2,656.00 $2,125.00 $2,491.00 $2,603.00 $2,603.00 2026-03-17
95810 CPT Sleep Study 6 6 $2,656.00 $2,125.00 $2,491.00 $2,603.00 $2,603.00 2026-03-17
74174 CPT CT Angio Abdomen And Pelvis 6 6 $2,633.00 $2,106.00 20% off $2,469.00 $2,580.00 $2,580.00 2026-03-17
71270 CPT CT Chest With + Without Contrast 6 6 $2,603.00 $2,082.00 20% off $2,441.00 $2,551.00 $2,551.00 2026-03-17
73718 CPT MRI Lower Extremity Without Contrast Left 6 6 $2,565.00 $2,052.00 20% off $2,406.00 $2,514.00 $2,514.00 2026-03-17
74178 CPT 74176 CT Abdomen And Pelvis Without Contrast: Addon 6 6 $2,485.00 $1,988.00 20% off $2,331.00 $2,435.00 $2,435.00 2026-03-17
72141 CPT MRI Spine Cervical Without Contrast 6 6 $2,474.00 $1,979.00 20% off $2,320.00 $2,425.00 $2,425.00 2026-03-17
64491 CPT 64491 Bilat Second Level 6 6 $2,461.00 $1,969.00 $2,308.00 $2,412.00 $2,412.00 2026-03-17
J7307 HCPCS J7307 Etonogestrel (Contraceptive) Implant System, Including Implant And Supplie… 6 6 $2,454.00 $1,963.00 20% off $2,302.00 $2,405.00 $2,405.00 2026-03-17
73221 CPT MRI Elbow Without Contrast Left 6 6 $2,442.00 $1,954.00 $2,290.00 $2,393.00 $2,393.00 2026-03-17
72197 CPT MRI Pelvis With + Without Contrast 6 6 $2,432.00 $1,946.00 $2,281.00 $2,383.00 $2,383.00 2026-03-17
11404 CPT 11404 Tc Excision Of Benign Lesion On Trunk,arms,leg 3.1-4.0 6 6 $2,421.00 $1,937.00 $2,271.00 $2,373.00 $2,373.00 2026-03-17
64634 CPT 64634 Cervical Thoracic Ablation Additional Level 6 6 $2,418.00 $1,934.00 20% off $2,268.00 $2,370.00 $2,370.00 2026-03-17
74170 CPT CT Abdomen With + Without Contrast 6 6 $2,402.00 $1,922.00 $2,253.00 $2,354.00 $2,354.00 2026-03-17
CRKA-17-150-4 CDM Coolief 150mm X 4mm (Hip, Sij) 6 6 $2,375.00 $1,900.00 20% off $2,228.00 $2,328.00 $2,328.00 2026-03-17
46320 CPT 46320-excision External Thrombosed Hemorrhoid 6 6 $2,332.00 $1,866.00 $2,187.00 $2,285.00 $2,285.00 2026-03-17
DC0010302 CDM Patch Hernia Med Circle 6 6 $2,305.00 $1,844.00 20% off $2,162.00 $2,259.00 $2,259.00 2026-03-17
46999 CPT 46999 Tc Hemorrhoidectomy, External, Single 6 6 $2,286.00 $1,829.00 $2,144.00 $2,240.00 $2,240.00 2026-03-17
65435 CPT 65435removal Of Corneal Epithelium 6 6 $2,276.00 $1,821.00 $2,135.00 $2,230.00 $2,230.00 2026-03-17
64530 CPT 64530 Celiac Plexus 6 6 $2,267.00 $1,814.00 $2,126.00 $2,222.00 $2,222.00 2026-03-17
64430 CPT 64430 Bil Njx Aa&/strd Pudenal Nerve 6 6 $2,267.00 $1,814.00 $2,126.00 $2,222.00 $2,222.00 2026-03-17
64640 CPT 64640 Neurolytic Destruction Other Nerve Or Nerves 6 6 $2,267.00 $1,814.00 $2,126.00 $2,222.00 $2,222.00 2026-03-17
64510 CPT 64510 Stellate Ganglion 6 6 $2,267.00 $1,814.00 $2,126.00 $2,222.00 $2,222.00 2026-03-17
3210011 CDM Room/bed: Private With Telemetry 6 6 $2,262.00 $1,810.00 $2,122.00 $2,217.00 $2,217.00 2026-03-17
64493 CPT 64493 Bilat Lumbar Single 6 6 $2,237.00 $1,790.00 $2,098.00 $2,192.00 $2,192.00 2026-03-17
64490 CPT 64490 Cervical/thoracic Facet/medial Branch 6 6 $2,237.00 $1,790.00 $2,098.00 $2,192.00 $2,192.00 2026-03-17
64421 CPT 64421 Intercostal (Multiple) 6 6 $2,237.00 $1,790.00 $2,098.00 $2,192.00 $2,192.00 2026-03-17
46050 CPT 46050-i&d Perianal Abscess Superficial 6 6 $2,231.00 $1,785.00 $2,092.00 $2,186.00 $2,186.00 2026-03-17
99291 CPT 99291critical Care, 30-74 6 6 $2,219.00 $1,775.00 20% off $2,081.00 $2,175.00 $2,175.00 2026-03-17
45384 CPT 45384 Tc Colsc Flx W/removal Lesion By Hot Bx Forceps 6 6 $2,214.00 $1,771.00 20% off $2,077.00 $2,170.00 $2,170.00 2026-03-17
46040 CPT 46040-i&d Ischiorectal/perirectal Abscess 6 6 $2,214.00 $1,771.00 20% off $2,077.00 $2,170.00 $2,170.00 2026-03-17
74181 CPT MRI Abdomen Without Contrast 6 6 $2,211.00 $1,769.00 $2,074.00 $2,167.00 $2,167.00 2026-03-17
73218 CPT MRI Forearm Without Contrast Left 12 6 $2,255.50 $1,804.50 $1,825.00 $2,514.00 $2,156.50 2026-03-17
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 6 6 $2,183.00 $1,746.00 20% off $2,047.00 $2,139.00 $2,139.00 2026-03-17
46221 CPT 46221 Tc Hemorrhoidectomy By Banding 6 6 $2,181.00 $1,745.00 $2,046.00 $2,137.00 $2,137.00 2026-03-17
45330 CPT 45330 Tc Flexible Sigmoidoscopy 6 6 $2,181.00 $1,745.00 $2,046.00 $2,137.00 $2,137.00 2026-03-17
49083 CPT 49083-abdominal Paracentesis With Imaging Guide 6 6 $2,167.00 $1,734.00 $2,032.00 $2,124.00 $2,124.00 2026-03-17
49082 CPT 49082 Tc Abdominal Paracentesis (Diagnostic Or Therapeutic); Without Imaging Gui… 6 6 $2,167.00 $1,734.00 $2,032.00 $2,124.00 $2,124.00 2026-03-17
72191 CPT CT Angio Pelvis 6 6 $2,165.00 $1,732.00 20% off $2,031.00 $2,122.00 $2,122.00 2026-03-17
64517 CPT 64517 Injection, Anesthetic Agent; Superior Hypogastric Plexus. 6 6 $2,159.00 $1,727.00 20% off $2,025.00 $2,116.00 $2,116.00 2026-03-17
64520 CPT 64520 Injectionanesthetic Agent; Lumbar Or Thoracic Techfee 6 6 $2,159.00 $1,727.00 20% off $2,025.00 $2,116.00 $2,116.00 2026-03-17
64479 CPT 64479 Injection(s), Anesthetic Agent(s) And/or Steroid; Transforaminal Epidural,… 6 6 $2,159.00 $1,727.00 20% off $2,025.00 $2,116.00 $2,116.00 2026-03-17
64417 CPT 64417 Injection, Anesthetic Agent; Axillary Nerve Techfee 6 6 $2,159.00 $1,727.00 20% off $2,025.00 $2,116.00 $2,116.00 2026-03-17
72194 CPT CT Pelvis With + Without Contrast 6 6 $2,144.00 $1,715.00 20% off $2,011.00 $2,101.00 $2,101.00 2026-03-17
70553 CPT MRI Scan 6 6 $2,143.00 $1,714.00 20% off $2,010.00 $2,100.00 $2,100.00 2026-03-17
71275 CPT CT Angio Chest 6 6 $2,124.00 $1,699.00 20% off $1,992.00 $2,082.00 $2,082.00 2026-03-17
45331 CPT 45331 Tc Sigmoidoscopey And Biopsy 6 6 $2,106.00 $1,685.00 $1,975.00 $2,064.00 $2,064.00 2026-03-17
G0121 HCPCS G0121 Tc Colorectal Screen-low Risk 6 6 $2,106.00 $1,685.00 $1,975.00 $2,064.00 $2,064.00 2026-03-17
G0105 HCPCS G0105 Tc Colorectal Screen High Risk 6 6 $2,106.00 $1,685.00 $1,975.00 $2,064.00 $2,064.00 2026-03-17
44388 CPT 44388 Tc Colonoscopy Thru Stoma 6 6 $2,106.00 $1,685.00 $1,975.00 $2,064.00 $2,064.00 2026-03-17
70552 CPT MRI Brain With Contrast 6 6 $2,080.00 $1,664.00 20% off $1,951.00 $2,038.00 $2,038.00 2026-03-17
70470 CPT CT Brain/head With + Without Contrast 6 6 $2,078.00 $1,662.00 20% off $1,949.00 $2,036.00 $2,036.00 2026-03-17
5950040 CDM Patch Ventrio Md Oval 6 6 $2,070.00 $1,656.00 20% off $1,941.00 $2,029.00 $2,029.00 2026-03-17
70551 CPT MRI Brain Without Contrast 6 6 $2,017.00 $1,614.00 $1,892.00 $1,977.00 $1,977.00 2026-03-17
13152 CPT 13152-eye/ear/nose/lip 2.6-7.5 Cm 6 6 $2,012.00 $1,610.00 $1,887.00 $1,972.00 $1,972.00 2026-03-17
73722 CPT MRI Ankle With Contrast Left 6 6 $2,003.00 $1,602.00 20% off $1,879.00 $1,963.00 $1,963.00 2026-03-17
73222 CPT MRI Elbow With Contrast Left 6 6 $2,003.00 $1,602.00 20% off $1,879.00 $1,963.00 $1,963.00 2026-03-17
71260 CPT CT Chest With Contrast 6 6 $2,002.00 $1,602.00 $1,878.00 $1,962.00 $1,962.00 2026-03-17
73219 CPT MRI Forearm With Contrast Left 12 6 $2,051.50 $1,641.00 20% off $1,082.00 $2,890.00 $1,948.50 2026-03-17
73719 CPT MRI Femur With Contrast Left 12 6 $2,051.50 $1,641.00 20% off $1,082.00 $2,890.00 $1,948.50 2026-03-17
70544 CPT MRA Brain/head Without Contrast 6 6 $1,986.00 $1,589.00 $1,863.00 $1,946.00 $1,946.00 2026-03-17
70492 CPT CT Neck Soft Tissue With + Without Contrast 6 6 $1,967.00 $1,574.00 $1,845.00 $1,928.00 $1,928.00 2026-03-17
3210010 CDM Room/bed: Private 6 6 $1,967.00 $1,574.00 $1,845.00 $1,928.00 $1,928.00 2026-03-17
CP17737775273885792 CDM Room/bed: Private 6 6 $1,967.00 $1,574.00 $1,845.00 $1,928.00 $1,928.00 2026-03-17
70487 CPT CT Maxillofacial With Contrast 6 6 $1,955.00 $1,564.00 20% off $1,834.00 $1,916.00 $1,916.00 2026-03-17
72196 CPT MRI Pelvis With Contrast 6 6 $1,946.00 $1,557.00 $1,825.00 $1,907.00 $1,907.00 2026-03-17
74160 CPT CT Abdomen With Contrast 6 6 $1,922.00 $1,538.00 $1,803.00 $1,884.00 $1,884.00 2026-03-17
73702 CPT CT Ankle With + Without Contrast Left 6 6 $1,888.00 $1,510.00 20% off $1,771.00 $1,850.00 $1,850.00 2026-03-17
74176 CPT 74178 CT Abdomen And Pelvis With + Without Contrast: Addon 6 6 $1,879.00 $1,503.00 20% off $1,762.00 $1,841.00 $1,841.00 2026-03-17
12057 CPT 12057-face/ear/eye/nose/lip Greater Than 30.0 Cm 6 6 $1,871.00 $1,497.00 $1,755.00 $1,834.00 $1,834.00 2026-03-17
3150001 CDM Room/bed: Swing Bed 6 6 $1,868.00 $1,494.00 20% off $1,752.00 $1,831.00 $1,831.00 2026-03-17
73223 CPT MRI Elbow With + Without Contrast Left 12 6 $1,900.50 $1,520.50 $1,082.00 $2,594.00 $1,807.00 2026-03-17
32551 CPT 32551-insertion Chest Tube 6 6 $1,834.00 $1,467.00 20% off $1,720.00 $1,797.00 $1,797.00 2026-03-17
43249 CPT 43249 Tc Egd Balloon Dilation Esophagus <30 Mm Diam 6 6 $1,829.00 $1,463.00 20% off $1,715.00 $1,792.00 $1,792.00 2026-03-17
32555 CPT 32555-thoracentesis With Imaging Guidance 6 6 $1,827.00 $1,462.00 $1,714.00 $1,790.00 $1,790.00 2026-03-17
69000 CPT 69000-drainage External Ear Abscess/hematoma 6 6 $1,789.00 $1,431.00 20% off $1,678.00 $1,753.00 $1,753.00 2026-03-17
20606 CPT 20606arthrocentesis Aspiration/inj W/us 6 6 $1,784.00 $1,427.00 20% off $1,673.00 $1,748.00 $1,748.00 2026-03-17
287200 CDM Dressing Mepilex 4x8 Ag 6 6 $1,772.00 $1,418.00 $1,662.00 $1,737.00 $1,737.00 2026-03-17
12036 CPT 12036-scalp/trunk/extremity 20.1-30.0 Cm 6 6 $1,768.00 $1,414.00 20% off $1,658.00 $1,733.00 $1,733.00 2026-03-17
99285 CPT 99285level 5 6 6 $1,764.00 $1,411.00 20% off $1,654.00 $1,729.00 $1,729.00 2026-03-17
72129 CPT CT Spine Thoracic With Contrast 6 6 $1,756.00 $1,405.00 $1,647.00 $1,721.00 $1,721.00 2026-03-17
64450 CPT 64450-injection Nerve Block Peripheral 6 6 $1,749.00 $1,399.00 20% off $1,640.00 $1,714.00 $1,714.00 2026-03-17
23330 CPT 23330removal Foreign Body In Shoulder 6 6 $1,749.00 $1,399.00 20% off $1,640.00 $1,714.00 $1,714.00 2026-03-17
62329 CPT 62329 Therapeutic Spinal Pnxr Drainage Csf W/fluor/ct 6 6 $1,749.00 $1,399.00 20% off $1,640.00 $1,714.00 $1,714.00 2026-03-17
64454 CPT 64454 Njx Aa&/strd Gnclr Nrv Brnch 6 6 $1,749.00 $1,399.00 20% off $1,640.00 $1,714.00 $1,714.00 2026-03-17
64418 CPT 64418 Bil Njx Aa&/strd Sprscap Nrv 6 6 $1,749.00 $1,399.00 20% off $1,640.00 $1,714.00 $1,714.00 2026-03-17
62328 CPT 62328 Dx Lumbr Spi Pnxrw/flour/ct 6 6 $1,749.00 $1,399.00 20% off $1,640.00 $1,714.00 $1,714.00 2026-03-17
10081 CPT 10081 Tc Drainage Of Pilonidal Cyst Complex 6 6 $1,715.00 $1,372.00 20% off $1,608.00 $1,681.00 $1,681.00 2026-03-17
10080 CPT 10080-i&d Pilonidal Cyst Simple 6 6 $1,715.00 $1,372.00 20% off $1,608.00 $1,681.00 $1,681.00 2026-03-17
11976 CPT 11976 Removal Implantable Contraceptive Capsules 6 6 $1,704.00 $1,363.00 20% off $1,598.00 $1,670.00 $1,670.00 2026-03-17
11442 CPT 11442 Tc Excision Benign Les F/e/e/n/l/m 1.1-2.0cm 6 6 $1,704.00 $1,363.00 20% off $1,598.00 $1,670.00 $1,670.00 2026-03-17
28190 CPT 28190-foot Subcutaneous 6 6 $1,704.00 $1,363.00 20% off $1,598.00 $1,670.00 $1,670.00 2026-03-17
11400 CPT 11400 Tc Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 0.5 Cm/< 6 6 $1,704.00 $1,363.00 20% off $1,598.00 $1,670.00 $1,670.00 2026-03-17
12056 CPT 12056-face/ear/eye/nose/lip 20.1-30.0 Cm 6 6 $1,701.00 $1,361.00 $1,595.00 $1,667.00 $1,667.00 2026-03-17
62270 CPT 62270 Lumbar Puncture, Diagnost Techfee 12 6 $1,725.00 $1,380.00 20% off $1,563.00 $1,748.00 $1,653.00 2026-03-17
12046 CPT 12046-neck/hand/feet/genital 20.1-30.0 Cm 6 6 $1,684.00 $1,347.00 20% off $1,579.00 $1,650.00 $1,650.00 2026-03-17
12045 CPT 12045-neck/hand/feet/genital 12.6-20.0 Cm 6 6 $1,684.00 $1,347.00 20% off $1,579.00 $1,650.00 $1,650.00 2026-03-17
13151 CPT 13151-eyes/ears/nose/lip 1.1-2.5 Cm 6 6 $1,677.00 $1,342.00 $1,573.00 $1,643.00 $1,643.00 2026-03-17
13132 CPT 13132-face/neck/hand/feet/genital 2.6-7.5 Cm 6 6 $1,677.00 $1,342.00 $1,573.00 $1,643.00 $1,643.00 2026-03-17
64451 CPT 64450 Lesser Occipital N 12 6 $1,707.50 $1,366.00 20% off $1,563.00 $1,714.00 $1,636.50 2026-03-17
62321 CPT 62321 Interlaminarcervical Or Thoracic 6 6 $1,666.00 $1,333.00 $1,563.00 $1,633.00 $1,633.00 2026-03-17
64461 CPT 64461 Injection, Anesthetic Agent; Diagnostic; Therapeutic 6 6 $1,666.00 $1,333.00 $1,563.00 $1,633.00 $1,633.00 2026-03-17
64445 CPT 64445 Injection, Anesthetic Agent; Sciatic Nerve, Single Techfee 6 6 $1,666.00 $1,333.00 $1,563.00 $1,633.00 $1,633.00 2026-03-17
64420 CPT 64420-injection(s), Anesthetic Agent(s) And/or Steroid; Intercostal Nerve, Singl… 6 6 $1,666.00 $1,333.00 $1,563.00 $1,633.00 $1,633.00 2026-03-17
72193 CPT CT Scan Of Pelvis With Contrast 6 6 $1,638.00 $1,310.00 20% off $1,536.00 $1,605.00 $1,605.00 2026-03-17
13101 CPT 13101-trunk 2.6-7.5 Cm 6 6 $1,622.00 $1,298.00 $1,521.00 $1,590.00 $1,590.00 2026-03-17
75635 CPT CT Angio Abdominal Aorta With Runoff 6 6 $1,613.00 $1,290.00 20% off $1,513.00 $1,581.00 $1,581.00 2026-03-17
87150 CPT Blood Culture Id (Biofire) 2 6 6 $1,580.00 $1,264.00 20% off $1,482.00 $1,548.00 $1,548.00 2026-03-17
92953 CPT 92953temporary Transcutaneous Pacing 6 6 $1,580.00 $1,264.00 20% off $1,482.00 $1,548.00 $1,548.00 2026-03-17
92960 CPT 92960cardioversion; Elective 6 6 $1,580.00 $1,264.00 20% off $1,482.00 $1,548.00 $1,548.00 2026-03-17
92961 CPT 92961cardioversion, Elective; Internal 6 6 $1,580.00 $1,264.00 20% off $1,482.00 $1,548.00 $1,548.00 2026-03-17
10140 CPT 10140-i&d Hematoma/seroma/fluid 6 6 $1,575.00 $1,260.00 20% off $1,477.00 $1,544.00 $1,544.00 2026-03-17
10121 CPT 10121-subcutaneous Tissue Complex 6 6 $1,575.00 $1,260.00 20% off $1,477.00 $1,544.00 $1,544.00 2026-03-17
20520 CPT 20520-removal Body Muscle Sheath; Simple 6 6 $1,575.00 $1,260.00 20% off $1,477.00 $1,544.00 $1,544.00 2026-03-17
20103 CPT 20103-explore Penetrating Wound Extremity 6 6 $1,575.00 $1,260.00 20% off $1,477.00 $1,544.00 $1,544.00 2026-03-17
72126 CPT CT Spine Cervical With Contrast 6 6 $1,564.00 $1,251.00 20% off $1,467.00 $1,533.00 $1,533.00 2026-03-17
72195 CPT MRI Pelvis Without Contrast 6 6 $1,557.00 $1,246.00 $1,460.00 $1,526.00 $1,526.00 2026-03-17
11983 CPT 11983 Removal W/re-insertion Non-biodegradable Implant 6 6 $1,557.00 $1,246.00 $1,460.00 $1,526.00 $1,526.00 2026-03-17
12055 CPT 12055-face/ear/eye/nose/lip 12.6-20.0 Cm 6 6 $1,546.00 $1,237.00 $1,450.00 $1,515.00 $1,515.00 2026-03-17
74150 CPT CT Abdomen Without Contrast 6 6 $1,537.00 $1,230.00 $1,442.00 $1,506.00 $1,506.00 2026-03-17
76700 CPT Ultrasound Of Abdomen 6 6 $1,530.00 $1,224.00 20% off $1,435.00 $1,499.00 $1,499.00 2026-03-17
40805 CPT 40805vestivule Of Mouth; Complicated 6 6 $1,528.00 $1,222.00 20% off $1,433.00 $1,497.00 $1,497.00 2026-03-17
12044 CPT 12044-neck/hand/feet/genital 7.6-12.5 Cm 6 6 $1,525.00 $1,220.00 20% off $1,430.00 $1,495.00 $1,495.00 2026-03-17
11000 CPT 11000-extensive Eczematous/infected Skin Less Than 10% 6 6 $1,525.00 $1,220.00 20% off $1,430.00 $1,495.00 $1,495.00 2026-03-17
L1940 CDM Molded Brace 6 6 $1,507.00 $1,206.00 $1,413.00 $1,477.00 $1,477.00 2026-03-17
23665 CPT 23665-shoulder Dislocation With Humeral Fx 6 6 $1,506.00 $1,205.00 $1,412.00 $1,476.00 $1,476.00 2026-03-17
23655 CPT 23655-shoulder With Anesthesia 6 6 $1,506.00 $1,205.00 $1,412.00 $1,476.00 $1,476.00 2026-03-17
72128 CPT CT Spine Thoracic Without Contrast 6 6 $1,501.00 $1,201.00 $1,408.00 $1,471.00 $1,471.00 2026-03-17
Daily IV CDM Daily IV Charge 6 6 $1,500.00 $1,200.00 20% off $1,407.00 $1,470.00 $1,470.00 2026-03-17
JJ1955 CDM Hemostat Surgicel 1/2x2 6 6 $1,493.00 $1,194.00 20% off $1,400.00 $1,463.00 $1,463.00 2026-03-17
G32193 CDM Emergency Cricothyrotomy Catheter Set 6 6 $1,491.00 $1,193.00 $1,398.00 $1,461.00 $1,461.00 2026-03-17
11043 CPT 11043-sq Tissue/muscle Less Than/equal To 1st 20 Sq Cm 6 6 $1,474.00 $1,179.00 20% off $1,382.00 $1,445.00 $1,445.00 2026-03-17
13153 CPT 13153-eye/ear/nose/lip Each Addl 5 Cm 6 6 $1,474.00 $1,179.00 20% off $1,382.00 $1,445.00 $1,445.00 2026-03-17
13102 CPT 13102-trunk Each Addl 5 Cm 6 6 $1,474.00 $1,179.00 20% off $1,382.00 $1,445.00 $1,445.00 2026-03-17
13100 CPT 13100-trunk 1.1-2.5 Cm 6 6 $1,474.00 $1,179.00 20% off $1,382.00 $1,445.00 $1,445.00 2026-03-17
G0379 HCPCS Direct To Obs Charge 6 6 $1,470.00 $1,176.00 20% off $1,379.00 $1,441.00 $1,441.00 2026-03-17
94003 CPT Rt Ventilator Services Subsequent Charge 6 6 $1,461.00 $1,169.00 $1,370.00 $1,432.00 $1,432.00 2026-03-17
94002 CPT Rt Ventilator Services Initial Charge 6 6 $1,461.00 $1,169.00 $1,370.00 $1,432.00 $1,432.00 2026-03-17
41805 CPT 41805-dentoalveolar Structures 6 6 $1,458.00 $1,166.00 20% off $1,367.00 $1,429.00 $1,429.00 2026-03-17
70496 CPT CT Angio Brain And Neck 6 6 $1,456.00 $1,165.00 $1,366.00 $1,427.00 $1,427.00 2026-03-17
12018 CPT 12018-face/ear/eyelid/nose/lip Greater Than 30.0 Cm 6 6 $1,413.00 $1,130.00 20% off $1,325.00 $1,385.00 $1,385.00 2026-03-17
72132 CPT CT Spine Lumbar With Contrast 6 6 $1,407.00 $1,126.00 $1,320.00 $1,379.00 $1,379.00 2026-03-17
12054 CPT 12054-face/ear/eye/nose/lip 7.6-12.5 Cm 6 6 $1,406.00 $1,125.00 $1,319.00 $1,378.00 $1,378.00 2026-03-17
72125 CPT CT Spine Cervical Without Contrast 6 6 $1,403.00 $1,122.00 20% off $1,316.00 $1,375.00 $1,375.00 2026-03-17
5950030 CDM Patch Ventrio Sm Oval 6 6 $1,402.00 $1,122.00 $1,315.00 $1,374.00 $1,374.00 2026-03-17
40804 CPT 40804vestibule Of Mouth; Simple 6 6 $1,375.00 $1,100.00 20% off $1,290.00 $1,348.00 $1,348.00 2026-03-17
26605 CPT 26605-metacarpal With Manipulation 6 6 $1,369.00 $1,095.00 20% off $1,284.00 $1,342.00 $1,342.00 2026-03-17
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 12 6 $1,409.50 $1,127.50 20% off $612.00 $2,123.00 $1,335.50 2026-03-17
64484 CPT 64484 Additional Level Transforaminal Lumbar Steroid Injection 6 6 $1,360.00 $1,088.00 20% off $1,276.00 $1,333.00 $1,333.00 2026-03-17
A0429 HCPCS A0429 Basic Life Support Emergent 1 Hour Transport Techfee 24 6 $1,383.00 $1,106.50 $1,197.00 $1,638.00 $1,324.50 2026-03-17
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 12 6 $1,396.50 $1,117.00 20% off $543.00 $2,170.00 $1,322.00 2026-03-17
36430 CPT 36430 Blood Administration Transfusion 6 6 $1,348.00 $1,078.00 20% off $1,264.00 $1,321.00 $1,321.00 2026-03-17
73701 CPT CT Ankle With Contrast Left 6 6 $1,348.00 $1,078.00 20% off $1,264.00 $1,321.00 $1,321.00 2026-03-17
A0427 HCPCS A0427 Advanced Life Support Treatment Transport To Airlife At Airport Techfee 30 6 $1,337.00 $1,070.00 $524.00 $1,728.00 $1,310.00 2026-03-17
71271 CPT CT Thorax Without Contrast Low Dose 6 6 $1,336.00 $1,069.00 $1,253.00 $1,309.00 $1,309.00 2026-03-17
71250 CPT CT Chest Without Contrast 6 6 $1,335.00 $1,068.00 20% off $1,252.00 $1,308.00 $1,308.00 2026-03-17
99284 CPT 99284level 4 6 6 $1,333.00 $1,066.00 20% off $1,250.00 $1,306.00 $1,306.00 2026-03-17
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 12 6 $1,372.50 $1,098.00 20% off $498.00 $2,170.00 $1,298.50 2026-03-17
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 12 6 $1,370.50 $1,096.50 $539.00 $2,123.00 $1,297.50 2026-03-17
70450 CPT CT Scan 6 6 $1,323.00 $1,058.00 20% off $1,241.00 $1,297.00 $1,297.00 2026-03-17
64480 CPT 64480 Inj Ea Add, Anesthetic Agent(s) And/or Steroid; Transforaminal Epidural, W… 6 6 $1,295.00 $1,036.00 20% off $1,215.00 $1,269.00 $1,269.00 2026-03-17
12035 CPT 12035-scalp/trunk/extremity 12.6-20.0 Cm 6 6 $1,294.00 $1,035.00 20% off $1,214.00 $1,268.00 $1,268.00 2026-03-17
12017 CPT 12017-face/ear/eyelid/nose/lip 20.1-30.0 Cm 6 6 $1,284.00 $1,027.00 20% off $1,204.00 $1,258.00 $1,258.00 2026-03-17
12053 CPT 12053-face/ear/eye/nose/lip 5.1-7.5 Cm 6 6 $1,278.00 $1,022.00 20% off $1,199.00 $1,252.00 $1,252.00 2026-03-17
31577 CPT 31577laryngoscopy; W/removal Of Foreign Body 6 6 $1,275.00 $1,020.00 20% off $1,196.00 $1,250.00 $1,250.00 2026-03-17
76705 CPT US Abdomen Limited 6 6 $1,275.00 $1,020.00 20% off $1,196.00 $1,250.00 $1,250.00 2026-03-17
70481 CPT CT Orbit Sella Etc. Or Iac With + Without Cont 12 6 $1,299.50 $1,039.50 20% off $517.00 $2,007.00 $1,230.50 2026-03-17
70498 CPT 70498 CT Angio Neck: Addon 6 6 $1,252.00 $1,002.00 $1,174.00 $1,227.00 $1,227.00 2026-03-17
70460 CPT CT Brain/head With Contrast 6 6 $1,252.00 $1,002.00 $1,174.00 $1,227.00 $1,227.00 2026-03-17
70491 CPT CT Neck Soft Tissue With Contrast 6 6 $1,252.00 $1,002.00 $1,174.00 $1,227.00 $1,227.00 2026-03-17
70486 CPT CT Maxillofacial Without Contrast 6 6 $1,252.00 $1,002.00 $1,174.00 $1,227.00 $1,227.00 2026-03-17
72131 CPT CT Spine Lumbar Without Contrast 6 6 $1,251.00 $1,001.00 $1,173.00 $1,226.00 $1,226.00 2026-03-17
10021 CPT 10021 Fine Needle Aspiration Biopsy, Without Imaging Guidance; First Lesion 6 6 $1,225.00 $980.00 20% off $1,149.00 $1,201.00 $1,201.00 2026-03-17
32554 CPT 32554-thoracentesis Without Imaging Guidance 6 6 $1,217.00 $974.00 $1,141.00 $1,193.00 $1,193.00 2026-03-17
A0426 HCPCS A0426 Advanced Life Support Non Emergent 1 Hour Transport Techfee 24 6 $1,246.00 $996.50 20% off $884.00 $1,608.00 $1,191.50 2026-03-17
93306 CPT 93306 Echo Complete 2d Interpretation And Reporting 6 6 $1,206.00 $965.00 $1,131.00 $1,182.00 $1,182.00 2026-03-17
36556 CPT 36556-central Line Greater Than/equal To 5 Years 6 6 $1,198.00 $958.00 20% off $1,124.00 $1,174.00 $1,174.00 2026-03-17
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 12 6 $1,240.00 $992.00 20% off $351.00 $2,064.00 $1,171.00 2026-03-17
93351 CPT 93351 Echo, Trans, W/image, M-mode, Stress Test, Induced Stress, With Interp; Cont… 12 6 $1,204.50 $963.50 20% off $1,119.00 $1,192.00 $1,169.00 2026-03-17
64483 CPT Injection(s) Of Anesthetic Into Lower Spine Using Imaging Guidance 12 6 $1,240.00 $992.00 20% off $200.00 $2,222.00 $1,167.50 2026-03-17
41250 CPT 41250-mouth Floor/tongue Ant 2/3 Less Than/equal To 2.5cm 6 6 $1,189.00 $951.00 20% off $1,115.00 $1,165.00 $1,165.00 2026-03-17
65220 CPT 65220-corneal Without Slit Lamp 6 6 $1,189.00 $951.00 20% off $1,115.00 $1,165.00 $1,165.00 2026-03-17
65210 CPT 65210external Eye 6 6 $1,189.00 $951.00 20% off $1,115.00 $1,165.00 $1,165.00 2026-03-17
11982 CPT 11982 Removal Non-biodegradable Drug Delivery Implant 6 6 $1,189.00 $951.00 20% off $1,115.00 $1,165.00 $1,165.00 2026-03-17
81596 CPT Liver Fibrosis, Fibrotest Actitest Qst 6 6 $1,188.00 $950.00 20% off $1,114.00 $1,164.00 $1,164.00 2026-03-17
76770 CPT US Retroperitoneal Complete 6 6 $1,184.00 $947.00 20% off $1,110.00 $1,160.00 $1,160.00 2026-03-17
12051 CPT 12051 Intermed Repair Of Wounds; Face, Ears, Eyelids, Nose, Lips, Mucous Membra;… 6 6 $1,175.00 $940.00 20% off $1,102.00 $1,152.00 $1,152.00 2026-03-17
12042 CPT 12042-neck/hand/feet/genital 2.6-7.5 Cm 6 6 $1,175.00 $940.00 20% off $1,102.00 $1,152.00 $1,152.00 2026-03-17
12041 CPT 12041-neck/hand/feet/genital Less Than/equal To 2.5 Cm 6 6 $1,175.00 $940.00 20% off $1,102.00 $1,152.00 $1,152.00 2026-03-17
97607 CPT 97607 Neg Pressure Wound Therapy <= 50sq Cm Charge 6 6 $1,175.00 $940.00 20% off $1,102.00 $1,152.00 $1,152.00 2026-03-17
11104 CPT 11104-biopsy Single Skin Lesion 6 6 $1,175.00 $940.00 20% off $1,102.00 $1,152.00 $1,152.00 2026-03-17
12016 CPT 12016-face/ear/eyelid/nose/lip 12.6-20.0 Cm 6 6 $1,168.00 $934.00 20% off $1,095.00 $1,145.00 $1,145.00 2026-03-17
11042 CPT 11042 Debride Subq Tissue 20 Sq Cm/< Charge 6 6 $1,167.00 $934.00 $1,095.00 $1,144.00 $1,144.00 2026-03-17
16030 CPT 16030-burn Dressings/debridement Large 6 6 $1,167.00 $934.00 $1,095.00 $1,144.00 $1,144.00 2026-03-17
12006 CPT 12006-scalp/neck/trunk/genital/extremity 20.1-30 Cm 6 6 $1,167.00 $934.00 $1,095.00 $1,144.00 $1,144.00 2026-03-17
72192 CPT CT Pelvis Without Contrast 6 6 $1,163.00 $930.00 20% off $1,091.00 $1,140.00 $1,140.00 2026-03-17
12052 CPT 12052-face/ear/eye/nose/lip 2.6-5.0 Cm 6 6 $1,162.00 $930.00 $1,090.00 $1,139.00 $1,139.00 2026-03-17
73201 CPT CT Elbow With Contrast Left 6 6 $1,161.00 $929.00 $1,089.00 $1,138.00 $1,138.00 2026-03-17
74185 CPT MRA Abdomen With + Without Contrast 6 6 $1,160.00 $928.00 20% off $1,088.00 $1,137.00 $1,137.00 2026-03-17
73723 CPT MRI Ankle With + Without Contrast Left 6 6 $1,154.00 $923.00 20% off $1,082.00 $1,131.00 $1,131.00 2026-03-17
26600 CPT 26600clsd Tx Metacarpal Fracture Without Manip 6 6 $1,141.00 $913.00 $1,070.00 $1,118.00 $1,118.00 2026-03-17
13121 CPT 13121-scalp/arms/legs 2.6-7.5 Cm 6 6 $1,118.00 $894.00 20% off $1,049.00 $1,096.00 $1,096.00 2026-03-17
36593 CPT 36593 Declot Vascular Device 6 6 $1,100.00 $880.00 20% off $1,032.00 $1,078.00 $1,078.00 2026-03-17
3216593 CDM 36593 Declotting Thrombolytic Vas Device Charge 6 6 $1,100.00 $880.00 20% off $1,032.00 $1,078.00 $1,078.00 2026-03-17
25622 CPT 25622carpal Scaphoid Without Manipulation 6 6 $1,099.00 $879.00 20% off $1,031.00 $1,077.00 $1,077.00 2026-03-17
12034 CPT 12034-scalp/trunk/extremity 7.6-12.5 Cm 6 6 $1,078.00 $862.00 20% off $1,011.00 $1,056.00 $1,056.00 2026-03-17
13131 CPT 13131-face/neck/hand/feet/genital 1.1-2.5 Cm 6 6 $1,078.00 $862.00 20% off $1,011.00 $1,056.00 $1,056.00 2026-03-17
A0428 HCPCS A0428 Basic Life Support Non Emergent 1 Hour Transport Techfee 24 6 $1,094.00 $875.00 20% off $798.00 $1,399.00 $1,047.00 2026-03-17
73700 CPT CT Ankle Without Contrast Left 6 6 $1,064.00 $851.00 20% off $998.00 $1,043.00 $1,043.00 2026-03-17
37195 CPT 37195-thrombolysis Cerebral 6 6 $1,048.00 $838.00 20% off $983.00 $1,027.00 $1,027.00 2026-03-17
71550 CPT MRI Chest Without Contrast 6 6 $1,044.00 $835.00 20% off $979.00 $1,023.00 $1,023.00 2026-03-17
70490 CPT CT Misc 6 6 $1,042.00 $834.00 $977.00 $1,021.00 $1,021.00 2026-03-17
12020 CPT 12020-treatment Superficial Wound Dehiscence 6 6 $1,040.00 $832.00 20% off $975.00 $1,019.00 $1,019.00 2026-03-17
73200 CPT CT Elbow Without Contrast Left 6 6 $993.00 $794.00 20% off $931.00 $973.00 $973.00 2026-03-17
76775 CPT US Retroperitoneal Limited 6 6 $987.00 $790.00 $926.00 $967.00 $967.00 2026-03-17
DC9210A CDM Tube Blakemore 6 6 $983.00 $786.00 20% off $922.00 $963.00 $963.00 2026-03-17
1608062 CDM Power Port Clearvue 8fr 6 6 $960.00 $768.00 20% off $900.00 $941.00 $941.00 2026-03-17
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