Price Transparencybeta 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

CALHOUN-LIBERTY HOSPITAL

Blountstown, FL · CCN 101304 · Rates published

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You selected 93306 (HCPCS)

US ECHOCARDIOGRAM COMPLETE

This hospital’s price: $283 across 12 payers · range $156-$798

Source: https://www.calhounlibertyhospital.com/wp-content/uploads/2025/10/593051173_calhoun-liberty-hospital_standardcharges.csv · observed 2026-08-12

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,774 distinct procedures filed
22 distinct payers
68,066 rate rows
2026-08-12 last MRF observed
Data quality

65,523 of 68,066 rate rows are consumer-grade (96.3%)

2,543 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,630
placeholder amount (≤ $0.02) — excluded from medians 847
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 46
per-diem day rate — not a per-procedure price 15
exceeds 10× this hospital's gross charge — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.calhounlibertyhospital.com/wp-content/uploads/2026/08/593051173_calhoun-liberty-hospital-association_standardcharges.csv
Found on page https://www.calhounlibertyhospital.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-16
Content fingerprint 16a58db5749ab9cb… · 40,883,691 bytes · first seen 2026-08-17

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 		Tnkase IV Soln Kit 50mg 13 $86.63 $14,935.00 $9,367.23 nat. median
$3,787
outlier · 2.5×
0310
RC 		Cadasil (notch 3) 1 $8,276.40 $8,276.40 $8,276.40 nat. median
$175
outlier · 47.2×
J9218
HCPCS 		Leuprolide Acetate Inj : 30 Mg 12 $8.73 $12,325.00 $7,730.24 nat. median
$326
outlier · 23.7×
J0596
HCPCS 		Ruconest 2100 Units Inj 12 $33.97 $9,351.00 $5,864.95 nat. median
$52
outlier · 113.4×
J2993
HCPCS 		Retavase 100mg 19 $2,245.24 $4,736.00 $3,490.62 nat. median
$3,427
1.0× median
J0840
HCPCS 		Crotalidae Polyvalen 20 $1,744.05 $5,756.40 $3,067.99 nat. median
$3,452
0.9× median
J1306
HCPCS 		Leqvio Inj 284mg/1.5ml 12 $12.03 $4,826.25 $3,027.02 nat. median
$44
outlier · 69.2×
130
OTHER 		Clinic No Show 6 $2,958.20 $2,958.20 $2,958.20 nat. median
$3,231
0.9× median
J7169
HCPCS 		Andexxa 200mg/vial 19 $1,706.69 $3,600.00 $2,653.34 nat. median
$278
outlier · 9.5×
81406
CPT 		Cadasil (notch 3) 12 $277.22 $4,702.50 $2,489.86 nat. median
$359
outlier · 6.9×
81162
CPT 		Brca Panel (brca1, Brca2) 12 $1,491.52 $3,547.50 $2,372.34 nat. median
$1,825
1.3× median
81406
HCPCS 		Cadasil (notch 3) 11 $277.22 $4,702.50 $2,359.61 nat. median
$359
outlier · 6.6×
81412
HCPCS 		Ashkenazi Jewish Panel 11 $1,277.65 $3,183.13 $2,314.99 nat. median
$2,522
0.9× median
81412
CPT 		Ashkenazi Jewish Panel 12 $1,305.67 $3,183.13 $2,244.40 nat. median
$2,522
0.9× median
81229
CPT 		Chromosomal Microarray Postnatal Oligo 12 $1,136.80 $3,630.00 $2,105.40 nat. median
$1,323
1.6× median
81162
HCPCS 		Brca Panel (brca1, Brca2) 11 $1,491.52 $3,547.50 $2,080.36 nat. median
$1,825
1.1× median
81229
HCPCS 		Chromosomal Microarray Postnatal Oligo 11 $1,136.80 $3,630.00 $2,052.16 nat. median
$1,323
1.6× median
74174
HCPCS 		CTA Abdomen/pelvis 11 $337.00 $3,578.31 $1,957.65 nat. median
$998
2.0× median
81420
CPT 		Qnatal Advanced 12 $743.87 $3,291.75 $1,909.22 nat. median
$786
outlier · 2.4×
J0875
HCPCS 		Dalvance 500 Mg Vial 12 $15.28 $3,018.62 $1,834.12 nat. median
$435
outlier · 4.2×
J3488
HCPCS 		Re-clast 19 $1,160.78 $2,448.50 $1,804.64 nat. median
$217
outlier · 8.3×
81420
HCPCS 		Qnatal Advanced 11 $743.87 $3,291.75 $1,789.18 nat. median
$786
outlier · 2.3×
J0897
HCPCS 		Denosumab 60mg/ml Syr 12 $27.11 $3,375.00 $1,569.19 nat. median
$1,982
0.8× median
110
OTHER 		Private Room And Board 8 $357.50 $2,076.95 $1,426.42 nat. median
$1,500
1.0× median
71275
HCPCS 		CTA Lower Extremity 11 $267.91 $3,096.43 $1,352.77 nat. median
$759
1.8× median
Q0138
HCPCS 		Feraheme 510mg/17ml 12 $0.35 $2,149.00 $1,347.23 nat. median
$175
outlier · 7.7×
J1745
HCPCS 		Remicade Powder For Inj 100mg 12 $29.91 $2,102.00 $1,318.37 nat. median
$405
outlier · 3.3×
0483
RC 		US Echocardiogram All 1 $1,166.99 $1,166.99 $1,166.99 nat. median
$832
1.4× median
25260
CPT 		Repair Forearm Tendon-muscle 12 $450.00 $1,638.52 $1,044.26 nat. median
$3,452
outlier · 0.3×
25260
HCPCS 		Repair Forearm Tendon-muscle 11 $152.18 $1,638.52 $1,027.69 nat. median
$3,452
outlier · 0.3×
90377
CPT 		Rabies Immune Globulin 300iu/2ml 12 $245.51 $6,125.30 $948.53 nat. median
$562
1.7× median
J1459
HCPCS 		Privigen Inj : 10 Gm 12 $48.29 $1,907.50 $914.22 nat. median
$1,371
0.7× median
36578
HCPCS 		Central Venous Access Without Blood Draw 11 $424.95 $1,430.83 $912.65 nat. median
$3,295
outlier · 0.3×
36578
CPT 		Central Venous Access Without Blood Draw 12 $381.80 $1,430.83 $906.32 nat. median
$3,295
outlier · 0.3×
74178
HCPCS 		CT Abd/pelvis W- Wo Cont 11 $315.61 $1,465.00 $897.67 nat. median
$1,027
0.9× median
74178
CPT 		CT Abd/pelvis W- Wo Cont 12 $312.61 $1,465.00 $888.80 nat. median
$1,027
0.9× median
27266
HCPCS 		Post Hip Arthr Dislo 11 $562.52 $1,219.08 $874.46 nat. median
$2,037
outlier · 0.4×
90377
HCPCS 		Rabies Immune Globulin 300iu/2ml 11 $235.33 $6,125.30 $841.70 nat. median
$562
1.5× median
12020
HCPCS 		Close Dehisc Wound W/packing 11 $99.91 $1,494.50 $804.90 nat. median
$780
1.0× median
27266
CPT 		Post Hip Arthr Dislo 9 $659.53 $874.89 $767.21 nat. median
$2,037
outlier · 0.4×
74174
CPT 		CT Angio Pelvis& Abdomen W-without 12 $337.00 $1,195.00 $766.00 nat. median
$998
0.8× median
74177
HCPCS 		CT Abd/pelvis With Contrast 11 $286.20 $1,224.50 $761.68 nat. median
$976
0.8× median
74177
CPT 		CT Abd/pelvis With Contrast 12 $279.31 $1,224.50 $751.90 nat. median
$976
0.8× median
12020
CPT 		Close Dehisc Wound W/packing 12 $102.10 $1,494.50 $724.06 nat. median
$780
0.9× median
43249
HCPCS 		Egd W Tans Baloon Dialtat 11 $385.19 $1,115.00 $713.05 nat. median
$2,124
outlier · 0.3×
46040
HCPCS 		I&d Ischiorectal&/perirectal Abscess Spx 11 $462.70 $976.00 $692.59 nat. median
$1,690
outlier · 0.4×
87507
CPT 		Gastrointestinal Pathogen Pnl, Pcr Feces 12 $340.31 $1,417.84 $686.92 nat. median
$552
1.2× median
73223
CPT 		MRI Up/ext Jnt W&wo 12 $355.23 $998.00 $676.62 nat. median
$1,158
0.6× median
J1441
HCPCS 		Filgrastim Inj : 480 Mcg 19 $433.07 $913.50 $673.28 nat. median
$699
1.0× median
24605
HCPCS 		Tx Of Closed Elbow Dislocation, Req Anes 11 $450.00 $979.00 $664.26 nat. median
$1,894
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 2,774 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J3101 HCPCS Tnkase IV Soln Kit 50mg 17 13 $29,870.00 $29,870.00 $86.63 $14,935.00 $9,367.23 2026-08-12
0310 RC Cadasil (notch 3) 1 1 $9,405.00 $9,405.00 $8,276.40 $8,276.40 $8,276.40 2026-07-31
J9218 HCPCS Leuprolide Acetate Inj : 30 Mg 16 12 $24,650.00 $17,255.00 30% off $8.73 $12,325.00 $7,730.24 2026-08-12
J0596 HCPCS Ruconest 2100 Units Inj 16 12 $18,702.00 $18,702.00 $33.97 $9,351.00 $5,864.95 2026-08-12
J2993 HCPCS Retavase 100mg 26 19 $9,472.00 $6,630.40 30% off $2,245.24 $4,736.00 $3,490.62 2026-08-12
J0840 HCPCS Crotalidae Polyvalen 41 20 $8,692.00 $6,084.40 30% off $1,744.05 $5,756.40 $3,067.99 2026-08-12
J1306 HCPCS Leqvio Inj 284mg/1.5ml 16 12 $9,652.50 $9,652.50 $12.03 $4,826.25 $3,027.02 2026-08-12
130 OTHER Clinic No Show 6 6 — — $2,958.20 $2,958.20 $2,958.20 2026-05-08
J7169 HCPCS Andexxa 200mg/vial 26 19 $7,200.00 $5,040.00 30% off $1,706.69 $3,600.00 $2,653.34 2026-08-12
81406 CPT Cadasil (notch 3) 13 12 $9,405.00 $6,583.50 30% off $277.22 $4,702.50 $2,489.86 2026-05-08
81162 CPT Brca Panel (brca1, Brca2) 13 12 $7,095.00 $4,966.50 30% off $1,491.52 $3,547.50 $2,372.34 2026-05-08
81406 HCPCS Cadasil (notch 3) 14 11 $9,405.00 $9,405.00 $277.22 $4,702.50 $2,359.61 2026-08-12
81412 HCPCS Ashkenazi Jewish Panel 14 11 $5,390.00 $5,390.00 $1,277.65 $3,183.13 $2,314.99 2026-08-12
81412 CPT Ashkenazi Jewish Panel 13 12 $5,390.00 $3,773.00 30% off $1,305.67 $3,183.13 $2,244.40 2026-05-08
81229 CPT Chromosomal Microarray Postnatal Oligo 13 12 $7,260.00 $5,082.00 30% off $1,136.80 $3,630.00 $2,105.40 2026-05-08
81162 HCPCS Brca Panel (brca1, Brca2) 14 11 $7,095.00 $7,095.00 $1,491.52 $3,547.50 $2,080.36 2026-08-12
81229 HCPCS Chromosomal Microarray Postnatal Oligo 14 11 $7,260.00 $7,260.00 $1,136.80 $3,630.00 $2,052.16 2026-08-12
74174 HCPCS CTA Abdomen/pelvis 14 11 $7,156.62 $7,156.62 $337.00 $3,578.31 $1,957.65 2026-08-12
81420 CPT Qnatal Advanced 13 12 $6,583.50 $4,608.45 30% off $743.87 $3,291.75 $1,909.22 2026-05-08
J0875 HCPCS Dalvance 500 Mg Vial 30 12 $5,364.00 $3,754.80 30% off $15.28 $3,018.62 $1,834.12 2026-08-12
J3488 HCPCS Re-clast 26 19 $4,896.99 $3,427.89 30% off $1,160.78 $2,448.50 $1,804.64 2026-08-12
81420 HCPCS Qnatal Advanced 14 11 $6,583.50 $6,583.50 $743.87 $3,291.75 $1,789.18 2026-08-12
J0897 HCPCS Denosumab 60mg/ml Syr 30 12 $6,251.88 $4,376.32 30% off $27.11 $3,375.00 $1,569.19 2026-08-12
110 OTHER Private Room And Board 12 8 $825.00 $577.50 30% off $357.50 $2,076.95 $1,426.42 2026-05-08
71275 HCPCS CTA Lower Extremity 21 11 $4,313.68 $4,313.68 $267.91 $3,096.43 $1,352.77 2026-08-12
Q0138 HCPCS Feraheme 510mg/17ml 16 12 $4,296.00 $4,296.00 $0.35 $2,149.00 $1,347.23 2026-08-12
J1745 HCPCS Remicade Powder For Inj 100mg 16 12 $4,204.00 $4,204.00 $29.91 $2,102.00 $1,318.37 2026-08-12
0483 RC US Echocardiogram All 1 1 $1,282.41 $1,282.41 $1,166.99 $1,166.99 $1,166.99 2026-07-31
25260 CPT Repair Forearm Tendon-muscle 13 12 $3,277.05 $2,293.94 30% off $450.00 $1,638.52 $1,044.26 2026-05-08
25260 HCPCS Repair Forearm Tendon-muscle 21 11 $3,277.05 $3,277.05 $152.18 $1,638.52 $1,027.69 2026-08-12
90377 CPT Rabies Immune Globulin 300iu/2ml 20 12 $2,684.00 $1,878.80 30% off $245.51 $6,125.30 $948.53 2026-05-08
J1459 HCPCS Privigen Inj : 10 Gm 30 12 $3,815.00 $2,670.50 30% off $48.29 $1,907.50 $914.22 2026-08-12
36578 HCPCS Central Venous Access Without Blood Draw 14 11 $2,861.66 $2,861.66 $424.95 $1,430.83 $912.65 2026-08-12
36578 CPT Central Venous Access Without Blood Draw 13 12 $2,861.66 $2,003.16 30% off $381.80 $1,430.83 $906.32 2026-05-08
74178 HCPCS CT Abd/pelvis W- Wo Cont 14 11 $2,930.00 $2,930.00 $315.61 $1,465.00 $897.67 2026-08-12
74178 CPT CT Abd/pelvis W- Wo Cont 13 12 $2,930.00 $2,051.00 30% off $312.61 $1,465.00 $888.80 2026-05-08
27266 HCPCS Post Hip Arthr Dislo 14 11 $2,438.16 $2,438.16 $562.52 $1,219.08 $874.46 2026-08-12
90377 HCPCS Rabies Immune Globulin 300iu/2ml 21 11 $2,684.00 $2,684.00 $235.33 $6,125.30 $841.70 2026-08-12
12020 HCPCS Close Dehisc Wound W/packing 22 11 $2,989.00 $2,989.00 $99.91 $1,494.50 $804.90 2026-08-12
27266 CPT Post Hip Arthr Dislo 10 9 — — $659.53 $874.89 $767.21 2026-05-08
74174 CPT CT Angio Pelvis& Abdomen W-without 13 12 $2,390.00 $1,673.00 30% off $337.00 $1,195.00 $766.00 2026-05-08
74177 HCPCS CT Abd/pelvis With Contrast 14 11 $2,449.00 $2,449.00 $286.20 $1,224.50 $761.68 2026-08-12
74177 CPT CT Abd/pelvis With Contrast 13 12 $2,449.00 $1,714.30 30% off $279.31 $1,224.50 $751.90 2026-05-08
12020 CPT Close Dehisc Wound W/packing 21 12 $2,989.00 $2,092.30 30% off $102.10 $1,494.50 $724.06 2026-05-08
43249 HCPCS Egd W Tans Baloon Dialtat 14 11 $1,625.02 $1,625.02 $385.19 $1,115.00 $713.05 2026-08-12
46040 HCPCS I&d Ischiorectal&/perirectal Abscess Spx 14 11 $1,952.00 $1,952.00 $462.70 $976.00 $692.59 2026-08-12
87507 CPT Gastrointestinal Pathogen Pnl, Pcr Feces 13 12 $2,835.69 $1,984.98 30% off $340.31 $1,417.84 $686.92 2026-05-08
73223 CPT MRI Up/ext Jnt W&wo 13 12 $1,996.00 $1,397.20 30% off $355.23 $998.00 $676.62 2026-05-08
J1441 HCPCS Filgrastim Inj : 480 Mcg 26 19 $1,827.00 $1,278.90 30% off $433.07 $913.50 $673.28 2026-08-12
24605 HCPCS Tx Of Closed Elbow Dislocation, Req Anes 14 11 $1,958.00 $1,958.00 $450.00 $979.00 $664.26 2026-08-12
43249 CPT Egd W Tans Baloon Dialtat 13 12 $1,625.02 $1,137.51 30% off $393.65 $923.76 $654.89 2026-05-08
73223 HCPCS MRI Up/ext Jnt W&wo 14 11 $1,996.00 $1,397.20 30% off $364.64 $998.00 $653.63 2026-08-12
46040 CPT I&d Ischiorectal&/perirectal Abscess Spx 13 12 $1,952.00 $1,366.40 30% off $472.86 $976.00 $638.55 2026-05-08
99291 HCPCS ER Critical Care 31-74 Min 23 11 $2,078.04 $2,078.04 $125.39 $1,039.02 $635.22 2026-08-12
74176 HCPCS CT Abd/pelvis Without Contras 14 11 $2,113.00 $2,113.00 $175.90 $1,056.50 $631.45 2026-08-12
74175 CPT CT Angio Abdomen W-without 13 12 $1,950.00 $1,365.00 30% off $283.05 $975.00 $629.02 2026-05-08
87903 CPT HIV-1 Phenotype(10 Drugs) 13 12 $1,688.50 $1,181.95 30% off $409.02 $844.25 $626.63 2026-05-08
74175 HCPCS CT Angio Abdomen W-without 14 11 $1,950.00 $1,950.00 $290.13 $975.00 $622.04 2026-08-12
27818 HCPCS Cl Tx Trimal Ank Fc W/man 22 11 $1,974.50 $1,974.50 $208.59 $987.25 $619.20 2026-08-12
72127 HCPCS CT Cerv Spine W-without 14 11 $2,090.00 $2,090.00 $187.08 $1,045.00 $616.04 2026-08-12
74176 CPT CT Abd/pelvis Without Contras 13 12 $2,113.00 $1,479.10 30% off $171.55 $1,056.50 $614.02 2026-05-08
70498 HCPCS CT Angio Neck W-without Cont 22 11 $1,956.00 $1,956.00 $261.21 $978.50 $613.72 2026-08-12
72127 CPT CT Cerv Spine W-without 13 12 $2,090.00 $1,463.00 30% off $181.94 $1,045.00 $613.47 2026-05-08
87507 HCPCS Gastrointestinal Pathogen Pnl, Pcr Feces 14 11 $2,835.69 $2,835.69 $340.31 $1,417.84 $606.99 2026-08-12
59409 HCPCS Vaginal Delivery Procedure 21 11 $1,646.24 $1,646.24 $390.22 $1,900.75 $606.67 2026-08-12
70498 CPT CT Angio Neck W-without Cont 20 12 $1,956.00 $1,369.20 30% off $255.76 $978.50 $605.71 2026-05-08
70496 HCPCS CT Angio Head W-without Cont 23 11 $1,892.00 $1,892.00 $261.21 $975.00 $603.61 2026-08-12
43251 CPT Egd Snare Tech 13 12 $1,625.02 $1,137.51 30% off $393.65 $812.51 $603.08 2026-05-08
43250 CPT Egd Removal W Cautery 13 12 $1,625.02 $1,137.51 30% off $393.65 $812.51 $603.08 2026-05-08
0352 RC CT Abdomen Without Cont 21 2 $2,287.47 $2,287.47 $369.98 $1,456.36 $602.07 2026-07-31
71275 CPT CT Angio Chest W-without Con 13 12 $1,884.00 $1,318.80 30% off $261.59 $942.00 $601.79 2026-05-08
72133 HCPCS CT Lumbar Spine W-without 14 11 $2,030.00 $2,030.00 $187.71 $1,015.00 $601.36 2026-08-12
70546 CPT MRI Head W & Without Con 13 12 $1,795.00 $1,256.50 30% off $303.82 $897.50 $600.66 2026-05-08
27818 CPT Cl Tx Trimal Ank Fc W/man 21 12 $1,974.50 $1,382.15 30% off $213.17 $987.25 $599.86 2026-05-08
72133 CPT CT Lumbar Spine W-without 13 12 $2,030.00 $1,421.00 30% off $182.24 $1,015.00 $598.62 2026-05-08
70496 CPT CT Angio Head W-without Cont 20 12 $1,892.00 $1,324.40 30% off $256.06 $975.00 $596.72 2026-05-08
81329 CPT Sma (spiral Muscular Atrophy) 13 12 $2,079.00 $1,455.30 30% off $134.26 $1,039.50 $586.88 2026-05-08
70546 HCPCS MRI Head W & Without Con 14 11 $1,795.00 $1,256.50 30% off $311.20 $897.50 $583.63 2026-08-12
73701 HCPCS CT Lower Ext W/cont- 51 11 $1,959.00 $1,959.00 $31.06 $1,350.00 $569.13 2026-08-12
73701 CPT CT Lower Ext W/cont- 48 12 $1,959.00 $1,371.30 30% off $31.74 $1,350.00 $566.98 2026-05-08
43251 HCPCS Egd Snare Tech 14 11 $1,625.02 $1,625.02 $385.19 $812.51 $561.01 2026-08-12
73722 HCPCS MRI Low/ext Joint With 14 11 $1,621.00 $1,134.70 30% off $299.33 $810.50 $554.91 2026-08-12
43250 HCPCS Egd Removal W Cautery 14 11 $1,625.02 $1,625.02 $385.19 $812.51 $554.23 2026-08-12
70492 HCPCS CT Soft Tiss Neck W-without 14 11 $1,792.00 $1,792.00 $209.97 $896.00 $552.99 2026-08-12
87903 HCPCS HIV-1 Phenotype(10 Drugs) 14 11 $1,688.50 $1,688.50 $400.24 $844.25 $550.57 2026-08-12
70492 CPT CT Soft Tiss Neck W-without 13 12 $1,792.00 $1,254.40 30% off $204.82 $896.00 $550.41 2026-05-08
70470 HCPCS CT Head & Brain W-without Con 14 11 $1,869.00 $1,869.00 $165.49 $934.50 $550.00 2026-08-12
70482 HCPCS CT Orbit Sella Fossa W-without 14 11 $1,800.00 $1,800.00 $199.29 $900.00 $549.64 2026-08-12
73722 CPT MRI Low/ext Joint With 13 12 $1,621.00 $1,134.70 30% off $287.83 $810.50 $549.16 2026-05-08
70470 CPT CT Head & Brain W-without Con 13 12 $1,869.00 $1,308.30 30% off $161.08 $934.50 $547.79 2026-05-08
70482 CPT CT Orbit Sella Fossa W-without 13 12 $1,800.00 $1,260.00 30% off $194.16 $900.00 $547.08 2026-05-08
36584 HCPCS Treatment Room Repla 14 11 $1,575.00 $1,102.50 30% off $292.22 $787.50 $539.86 2026-08-12
81329 HCPCS Sma (spiral Muscular Atrophy) 14 11 $2,079.00 $2,079.00 $134.26 $1,039.50 $539.85 2026-08-12
12047 HCPCS Intermed Rep Over 30cm 22 11 $1,715.36 $1,715.36 $178.61 $857.68 $537.94 2026-08-12
36584 CPT Treatment Room Repla 13 12 $1,575.00 $1,102.50 30% off $282.76 $787.50 $535.13 2026-05-08
90675 CPT Rabies Vaccine 1 Ml 13 12 $1,490.00 $1,043.00 30% off $321.22 $745.00 $533.11 2026-05-08
72129 HCPCS CT Thoracic Spine W/cont 14 11 $1,800.00 $1,800.00 $161.97 $900.00 $530.99 2026-08-12
45382 CPT Colon-to Control Bleeding 13 12 $1,430.00 $1,001.00 30% off $346.40 $715.00 $530.70 2026-05-08
72126 HCPCS CT Cerv Spine W Cont 14 11 $1,800.00 $1,800.00 $161.04 $900.00 $530.52 2026-08-12
70488 HCPCS CT Maxillofacial W-without 14 11 $1,770.00 $1,770.00 $175.82 $885.00 $530.41 2026-08-12
72129 CPT CT Thoracic Spine W/cont 13 12 $1,800.00 $1,260.00 30% off $158.01 $900.00 $529.00 2026-05-08
72126 CPT CT Cerv Spine W Cont 13 12 $1,800.00 $1,260.00 30% off $156.35 $900.00 $528.17 2026-05-08
70488 CPT CT Maxillofacial W-without 13 12 $1,770.00 $1,239.00 30% off $170.62 $885.00 $527.81 2026-05-08
45382 HCPCS Colon-to Control Bleeding 14 11 $1,430.00 $1,430.00 $338.97 $715.00 $526.99 2026-08-12
73202 HCPCS CT Upper Extrem W-without Bilat 42 11 $1,617.00 $1,617.00 $233.96 $924.00 $521.23 2026-08-12
12047 CPT Intermed Rep Over 30cm 21 12 $1,715.36 $1,200.75 30% off $182.53 $857.68 $521.12 2026-05-08
90675 HCPCS Rabies Vaccine 1 Ml 14 11 $1,564.59 $1,564.59 $142.25 $782.30 $519.25 2026-08-12
72132 HCPCS CT Lumbar Spine W Cont 14 11 $1,750.00 $1,750.00 $161.36 $875.00 $518.18 2026-08-12
73202 CPT CT Upper Extrem W-without Bilat 39 12 $1,617.00 $1,131.90 30% off $226.84 $924.00 $517.67 2026-05-08
25605 CPT Cl Tmt Dr & US Fx W/manip 21 12 $1,392.35 $974.65 30% off $213.17 $774.62 $516.73 2026-05-08
72132 CPT CT Lumbar Spine W Cont 13 12 $1,750.00 $1,225.00 30% off $156.95 $875.00 $515.98 2026-05-08
36589 HCPCS Tmt Rm Picc Removal 14 11 $1,732.50 $1,732.50 $165.30 $866.25 $515.77 2026-08-12
73201 HCPCS CT Upper Extrem W Cont Bilat 42 11 $1,676.00 $1,676.00 $190.05 $838.00 $514.02 2026-08-12
19000 HCPCS Aspiration Injestion And Drain, Breast 14 11 $1,865.91 $1,865.91 $93.28 $932.96 $513.12 2026-08-12
25605 HCPCS Cl Tmt Dr & US Fx W/manip 22 11 $1,392.35 $1,392.35 $208.59 $836.08 $513.11 2026-08-12
19000 CPT Aspiration Injestion And Drain, Breast 13 12 $1,865.91 $1,306.14 30% off $90.32 $932.96 $511.64 2026-05-08
36589 CPT Tmt Rm Picc Removal 13 12 $1,732.50 $1,212.75 30% off $156.32 $866.25 $511.29 2026-05-08
73201 CPT CT Upper Extrem W Cont Bilat 39 12 $1,676.00 $1,173.20 30% off $184.54 $838.00 $511.27 2026-05-08
73718 HCPCS MRI Low/ext No Jnt W 14 11 $1,621.00 $1,134.70 30% off $211.92 $810.50 $511.21 2026-08-12
88120 HCPCS Bladder Cancer, Fish 9 7 $1,485.00 $1,485.00 $33.85 $742.50 $510.46 2026-08-12
73718 CPT MRI Low/ext No Jnt W 13 12 $1,621.00 $1,134.70 30% off $205.63 $810.50 $508.06 2026-05-08
70544 HCPCS MRI Head Without Contras 14 11 $1,621.00 $1,134.70 30% off $204.68 $810.50 $507.97 2026-08-12
73221 HCPCS MRI Up/ext Jnt Without C 14 11 $1,621.00 $1,134.70 30% off $195.65 $810.50 $505.71 2026-08-12
71270 HCPCS CT Thorax W-without Cont 14 11 $1,649.00 $1,649.00 $186.74 $824.50 $505.62 2026-08-12
73721 HCPCS MRI Low/ext Joint With 14 11 $1,621.00 $1,134.70 30% off $195.02 $810.50 $505.56 2026-08-12
0110 RC — 12 2 $880.00 $684.75 22% off $289.00 $1,851.68 $505.24 2026-08-12
59409 CPT Vaginal Delivery Procedure 20 12 $840.26 $588.18 30% off $203.54 $1,900.75 $505.10 2026-05-08
70544 CPT MRI Head Without Contras 13 12 $1,621.00 $1,134.70 30% off $199.09 $810.50 $504.80 2026-05-08
70551 HCPCS MRI Brain Stem Without C 14 11 $1,621.00 $1,134.70 30% off $186.93 $810.50 $503.53 2026-08-12
99291 CPT ER Critical Care 31-74 Min 21 12 $2,078.04 $1,454.63 30% off $128.14 $1,039.02 $503.38 2026-05-08
74181 HCPCS MRI Abdomen Without Cont 14 11 $1,621.00 $1,134.70 30% off $185.15 $810.50 $503.09 2026-08-12
71270 CPT CT Thorax W-without Cont 13 12 $1,649.00 $1,154.30 30% off $181.60 $824.50 $503.05 2026-05-08
88120 CPT Bladder Cancer, Fish 9 8 $1,485.00 $1,039.50 30% off $33.85 $742.50 $502.83 2026-05-08
72148 HCPCS MRI L-spine Canal With 14 11 $1,621.00 $1,134.70 30% off $183.49 $810.50 $502.67 2026-08-12
72141 HCPCS MRI C-spine Canal With 14 11 $1,621.00 $1,134.70 30% off $182.54 $810.50 $502.44 2026-08-12
73221 CPT MRI Up/ext Jnt Without C 13 12 $1,621.00 $1,134.70 30% off $188.82 $810.50 $499.66 2026-05-08
73721 CPT MRI Low/ext Joint With 13 12 $1,621.00 $1,134.70 30% off $188.52 $810.50 $499.51 2026-05-08
73702 HCPCS CT Lower Ext W/wo Cont Bilat 42 11 $1,617.00 $1,617.00 $185.76 $808.50 $497.13 2026-08-12
71550 HCPCS MRI Chest Without Contra 14 11 $1,355.00 $948.50 30% off $315.82 $677.50 $496.66 2026-08-12
70551 CPT MRI Brain Stem Without C 13 12 $1,621.00 $1,134.70 30% off $182.51 $810.50 $496.50 2026-05-08
74181 CPT MRI Abdomen Without Cont 13 12 $1,621.00 $1,134.70 30% off $181.57 $810.50 $496.04 2026-05-08
73702 CPT CT Lower Ext W/wo Cont Bilat 39 12 $1,617.00 $1,131.90 30% off $180.49 $808.50 $494.50 2026-05-08
72148 CPT MRI L-spine Canal With 13 12 $1,621.00 $1,134.70 30% off $177.74 $810.50 $494.12 2026-05-08
72141 CPT MRI C-spine Canal With 13 12 $1,621.00 $1,134.70 30% off $177.14 $810.50 $493.82 2026-05-08
71550 CPT MRI Chest Without Contra 13 12 $1,355.00 $948.50 30% off $308.08 $677.50 $492.79 2026-05-08
45385 CPT Colon With Polypectomy 13 12 $1,320.00 $924.00 30% off $319.76 $660.00 $489.88 2026-05-08
J0248 HCPCS Remdesivir 100mg 16 12 $1,560.00 $1,092.00 30% off $6.22 $780.00 $489.22 2026-08-12
45385 HCPCS Colon With Polypectomy 14 11 $1,320.00 $1,320.00 $312.90 $660.00 $486.45 2026-08-12
87633 CPT Respiratory Viral Panel, Pcr 13 12 $1,310.00 $917.00 30% off $317.34 $655.00 $486.17 2026-05-08
10121 HCPCS Incision & Removal Foreign Body Subq Tis 14 11 $1,407.00 $1,407.00 $268.50 $703.50 $486.00 2026-08-12
36569 CPT Picc Insertion 36 12 $1,575.00 $1,102.50 30% off $6.30 $866.25 $478.85 2026-05-08
36569 HCPCS Picc Insertion 37 11 $1,575.00 $1,102.50 30% off $6.16 $866.25 $477.78 2026-08-12
10121 CPT Incision & Removal Foreign Body Subq Tis 13 12 $1,407.00 $984.90 30% off $248.62 $703.50 $476.06 2026-05-08
23655 HCPCS Shoulder Dislocation 14 11 $1,355.39 $1,355.39 $321.28 $677.70 $474.75 2026-08-12
13121 HCPCS Repair Lac Cpx 2.6-7.5 Cm 22 11 $1,581.00 $1,581.00 $143.65 $790.50 $472.90 2026-08-12
70460 HCPCS CT Head & Brain W Cont 14 11 $1,606.00 $1,606.00 $142.14 $803.00 $472.57 2026-08-12
78306 CPT Bone Scan 15 12 $1,550.00 $1,085.00 30% off $64.17 $775.00 $470.89 2026-05-08
70460 CPT CT Head & Brain W Cont 13 12 $1,606.00 $1,124.20 30% off $138.00 $803.00 $470.50 2026-05-08
55100 HCPCS Incision On Scrotum 14 11 $1,407.00 $1,407.00 $242.75 $703.50 $461.56 2026-08-12
55100 CPT Incision On Scrotum 13 12 $1,407.00 $984.90 30% off $218.36 $703.50 $460.93 2026-05-08
70481 HCPCS CT Orbit Sella Fossa W 14 11 $1,485.00 $1,485.00 $171.55 $742.50 $457.02 2026-08-12
87902 CPT Hcv Genotyping 16 12 $1,488.50 $1,041.95 30% off $217.37 $1,029.44 $456.24 2026-05-08
70481 CPT CT Orbit Sella Fossa W 13 12 $1,485.00 $1,039.50 30% off $166.90 $742.50 $454.70 2026-05-08
70491 HCPCS CT Soft Tiss Neck W Cont 14 11 $1,458.00 $1,458.00 $175.35 $729.00 $452.18 2026-08-12
13121 CPT Repair Lac Cpx 2.6-7.5 Cm 21 12 $1,581.00 $1,106.70 30% off $146.80 $790.50 $450.00 2026-05-08
70491 CPT CT Soft Tiss Neck W Cont 13 12 $1,458.00 $1,020.60 30% off $170.82 $729.00 $449.91 2026-05-08
81220 CPT Cystic Fibrosis 13 12 $722.50 $505.75 30% off $175.02 $723.58 $449.30 2026-05-08
36556 HCPCS Ins Non-tunneled Central Venous Cath >5y 14 11 $1,338.00 $1,338.00 $229.39 $669.00 $449.19 2026-08-12
45380 CPT Colon With Cold Biopsy 13 12 $1,210.00 $847.00 30% off $293.11 $605.00 $449.06 2026-05-08
81220 HCPCS Cystic Fibrosis 14 11 $722.50 $722.50 $171.26 $723.58 $447.42 2026-08-12
45380 HCPCS Colon With Cold Biopsy 14 11 $1,210.00 $1,210.00 $286.82 $605.00 $445.91 2026-08-12
87633 HCPCS Respiratory Viral Panel, Pcr 14 11 $1,310.00 $1,310.00 $310.52 $655.00 $445.60 2026-08-12
J0714 HCPCS Avycaz Inj 2.5g 27 20 $1,570.00 $1,570.00 $98.72 $785.00 $443.81 2026-08-12
G0105 HCPCS Colon Ca Screen High Risk 27 20 $1,320.00 $1,320.00 $225.00 $660.00 $442.50 2026-08-12
26011 HCPCS Drain Finger Absces/cpx 23 11 $1,407.00 $1,407.00 $111.06 $703.50 $441.24 2026-08-12
10140 HCPCS I&d Hematoma Seroma 22 11 $1,407.00 $1,407.00 $46.70 $703.50 $436.41 2026-08-12
72128 HCPCS CT Thoracic Spine Without 14 11 $1,485.00 $1,485.00 $102.89 $742.50 $433.60 2026-08-12
0351 RC CT Head & Brain Without Cont 9 2 $1,660.43 $1,660.43 $64.20 $603.29 $431.71 2026-07-31
72128 CPT CT Thoracic Spine Without 13 12 $1,485.00 $1,039.50 30% off $120.44 $742.50 $431.47 2026-05-08
36556 CPT Ins Non-tunneled Central Venous Cath >5y 13 12 $1,338.00 $936.60 30% off $192.34 $669.00 $430.67 2026-05-08
45384 CPT Colon With Hot Biopsy 13 12 $1,155.00 $808.50 30% off $279.78 $577.50 $428.64 2026-05-08
26011 CPT Drain Finger Absces/cpx 21 12 $1,407.00 $984.90 30% off $113.49 $703.50 $427.45 2026-05-08
45384 HCPCS Colon With Hot Biopsy 14 11 $1,155.00 $1,155.00 $273.78 $577.50 $425.64 2026-08-12
68400 HCPCS Incision Procedure Lacrimal System 14 11 $1,134.43 $1,134.43 $268.90 $567.22 $418.06 2026-08-12
27301 CPT Drainage Of Knee Abc 13 12 $288.00 $201.60 30% off $69.77 $766.14 $417.95 2026-05-08
0346U CPT Quest Ad-detect(r) Beta-amyloid 42/40 Ra 13 12 $1,485.00 $1,039.50 30% off $91.39 $742.50 $416.94 2026-05-08
Q0247 HCPCS Sotrovimab Infusion 13 10 $1,351.50 $1,351.50 $150.00 $675.75 $412.88 2026-08-12
M0245 HCPCS Bamlanivimab& Ete Infusion 26 19 $1,350.00 $1,147.50 $150.00 $675.00 $412.50 2026-08-12
78315 CPT 3 Phase Bone Scan 13 12 $1,312.00 $918.40 30% off $169.00 $656.00 $412.50 2026-05-08
78315 HCPCS 3 Phase Bone Scan 14 11 $1,312.00 $1,312.00 $169.00 $656.00 $411.97 2026-08-12
87912 HCPCS Hbv Drug Resist, Geno Bcp Precore Mutat 14 11 $2,058.87 $2,058.87 $212.33 $1,029.44 $411.36 2026-08-12
90651 CPT Gardasil 9 Intramuscular Suspension 13 12 $1,107.00 $774.90 30% off $268.16 $553.50 $410.83 2026-05-08
10140 CPT I&d Hematoma Seroma 21 12 $1,407.00 $984.90 30% off $47.72 $703.50 $408.03 2026-05-08
90651 HCPCS Gardasil 9 Intramuscular Suspension 13 10 $1,107.00 $1,107.00 $262.40 $553.50 $407.95 2026-08-12
27301 HCPCS Drainage Of Knee Abc 14 11 $288.00 $201.60 30% off $68.26 $747.01 $407.63 2026-08-12
J1442 HCPCS Neupogen 300mcg Inj 16 12 $1,201.00 $1,201.00 $0.96 $755.62 $407.44 2026-08-12
90677 HCPCS Pneumococcal 20 Val/conj Vac 0.5ml 14 11 $1,077.00 $1,077.00 $255.30 $538.50 $396.90 2026-08-12
73200 HCPCS CT Upper Extrem Without Bilat 42 11 $1,267.00 $1,267.00 $102.89 $633.50 $393.43 2026-08-12
70490 HCPCS CT Soft Tiss Neck Without 14 11 $1,281.00 $1,281.00 $102.89 $640.50 $391.96 2026-08-12
73200 CPT CT Upper Extrem Without Bilat 39 12 $1,267.00 $886.90 30% off $148.62 $633.50 $391.06 2026-05-08
70490 CPT CT Soft Tiss Neck Without 13 12 $1,281.00 $896.70 30% off $139.78 $640.50 $390.14 2026-05-08
12055 HCPCS Intmd Repair Of Face, 12.6-20cm 14 11 $1,037.52 $1,037.52 $245.94 $533.40 $389.67 2026-08-12
81599 CPT Liver Fibrosis 13 12 $1,048.50 $733.95 30% off $253.99 $524.25 $389.12 2026-05-08
81599 HCPCS Liver Fibrosis 13 10 $1,048.50 $1,048.50 $248.54 $524.25 $386.39 2026-08-12
25675 HCPCS Closed Tx Distal Radioulnar Dislocation 14 11 $844.92 $844.92 $200.28 $570.34 $385.31 2026-08-12
12055 CPT Intmd Repair Of Face, 12.6-20cm 13 12 $1,037.52 $726.26 30% off $251.33 $518.76 $385.05 2026-05-08
81206 CPT Bcr-abl1 Gene Rearrang Qn 13 12 $1,589.50 $1,112.65 30% off $134.21 $794.75 $385.04 2026-05-08
M0243 HCPCS Casirivimab And Imdevimab Infusion 40 19 $1,238.40 $899.57 27% off $150.00 $619.20 $384.60 2026-08-12
M0239 HCPCS Bamlanivimab Infusion 26 19 $1,238.40 $1,052.64 $150.00 $619.20 $384.60 2026-08-12
90710 HCPCS Measles Mumps Rubella Varicella Vacc Liv 13 10 $1,039.00 $1,039.00 $246.29 $519.50 $382.89 2026-08-12
J2997 HCPCS Alteplase 100mg Inj 30 12 $27,358.60 $19,151.02 30% off $89.65 $13,679.30 $376.55 2026-08-12
12037 HCPCS Repair Intermediate S/a/t/e >30.0 Cm 14 11 $923.00 $923.00 $218.78 $528.44 $373.61 2026-08-12
78201 CPT Liver Imaging Static 13 12 $1,173.44 $821.41 30% off $158.28 $586.72 $372.50 2026-05-08
78201 HCPCS Liver Imaging Static 14 11 $1,173.44 $821.41 30% off $162.53 $586.72 $371.31 2026-08-12
88121 HCPCS Fish, Bladder Cancer 9 7 $1,485.00 $1,485.00 $33.85 $742.50 $371.07 2026-08-12
26755 CPT Frac/dislo Hand Fingers 10 9 — — $318.51 $422.51 $370.51 2026-05-08
78306 HCPCS Bone Scan 23 11 $1,550.00 $1,085.00 30% off $24.89 $775.00 $367.41 2026-08-12
88121 CPT Fish, Bladder Cancer 9 8 $1,485.00 $1,039.50 30% off $33.85 $742.50 $364.91 2026-05-08
93306 CPT US Echocardiogram Complete 27 12 $903.00 $632.10 30% off $159.15 $798.50 $363.91 2026-05-08
73700 HCPCS CT Lower Ext Without Cont Rt,right Side 51 11 $1,206.00 $1,206.00 $29.86 $603.00 $363.85 2026-08-12
13152 CPT Rpr Lac Cpx 2.6-7.5 Cm 18 12 $942.50 $659.75 30% off $228.31 $487.73 $362.85 2026-05-08
92950 HCPCS Cardiopulm Resuscitation 30 11 $852.00 $852.00 $57.00 $879.50 $361.55 2026-08-12
90649 CPT Human Papilloma Virus Vaccine Quadriv 3 13 12 $967.00 $676.90 30% off $234.25 $483.50 $358.88 2026-05-08
43239 HCPCS Edg W Biop Sing Or Mult 14 11 $880.00 $880.00 $208.59 $506.00 $357.30 2026-08-12
12037 CPT Repair Intermediate S/a/t/e >30.0 Cm 13 12 $923.00 $646.10 30% off $223.58 $490.57 $357.07 2026-05-08
90649 HCPCS Human Papilloma Virus Vaccine Quadriv 3 13 10 $967.00 $967.00 $229.22 $483.50 $356.36 2026-08-12
28190 HCPCS Removal Foreign Body Foot Subcutaneous 14 11 $964.00 $964.00 $228.50 $482.00 $355.25 2026-08-12
43239 CPT Edg W Biop Sing Or Mult 13 12 $880.00 $616.00 30% off $213.17 $506.00 $354.64 2026-05-08
93306 HCPCS US Echocardiogram Complete 28 11 $1,250.00 $1,250.00 $155.74 $798.50 $352.07 2026-08-12
36430 HCPCS Blood Transfusion Administration 28 11 $1,121.00 $1,121.00 $44.97 $595.59 $351.55 2026-08-12
43247 HCPCS Egd W/fb Removal 14 11 $825.00 $825.00 $195.56 $506.00 $350.78 2026-08-12
13152 HCPCS Rpr Lac Cpx 2.6-7.5 Cm 20 11 $942.50 $942.50 $223.41 $478.11 $350.76 2026-08-12
28190 CPT Removal Foreign Body Foot Subcutaneous 13 12 $964.00 $674.80 30% off $219.02 $482.00 $350.51 2026-05-08
43247 CPT Egd W/fb Removal 13 12 $825.00 $577.50 30% off $199.85 $506.00 $350.20 2026-05-08
90710 CPT Measles Mumps Rubella Varicella Vacc Liv 13 12 $942.75 $659.93 30% off $228.37 $471.38 $349.88 2026-05-08
73700 CPT CT Lower Ext Without Cont Rt,right Side 47 12 $1,206.00 $844.20 30% off $30.52 $603.00 $349.74 2026-05-08
90677 CPT Pneumococcal 20 Val/conj Vac 0.5ml 13 12 $941.50 $659.05 30% off $228.07 $470.75 $349.41 2026-05-08
43235 HCPCS Egd- Panendoscopy 14 11 $825.00 $825.00 $195.56 $506.00 $346.99 2026-08-12
87902 HCPCS Hep C Viral RNA Genotype 1 Ns5b Drug Res 14 11 $1,488.50 $1,488.50 $217.37 $744.25 $343.75 2026-08-12
92950 CPT Cardiopulm Resuscitation 29 12 $852.00 $596.40 30% off $57.00 $879.50 $343.36 2026-05-08
43200 HCPCS Esophagoscopy 14 11 $809.60 $809.60 $191.90 $506.00 $342.87 2026-08-12
78014 CPT Thyroid Img W/uptake 13 12 $979.00 $685.30 30% off $192.95 $489.50 $341.23 2026-05-08
36430 CPT Blood Transfusion Administration 27 12 $1,121.00 $784.70 30% off $38.94 $595.59 $340.56 2026-05-08
31603 HCPCS Emer Tracheostomy Ttrach 14 11 $922.66 $922.66 $218.70 $461.33 $340.01 2026-08-12
45378 HCPCS Colon Ca Screen 28 11 $793.65 $793.65 $130.37 $577.50 $338.61 2026-08-12
13120 HCPCS Complex Rep 1.1-2.5 Cm 22 11 $1,074.00 $1,074.00 $108.45 $537.00 $336.81 2026-08-12
43235 CPT Egd- Panendoscopy 13 12 $825.00 $577.50 30% off $199.85 $506.00 $332.48 2026-05-08
90620 CPT Bexsero IM Suspension 175mcg/0.5ml 13 12 $895.00 $626.50 30% off $216.81 $447.50 $332.15 2026-05-08
90620 HCPCS Bexsero IM Suspension 175mcg/0.5ml 13 10 $895.00 $895.00 $212.15 $447.50 $329.82 2026-08-12
J0132 HCPCS Acetylcysteine IV Soln 200mg/1ml 16 12 $1,050.00 $1,050.00 $0.36 $525.00 $329.28 2026-08-12
13132 CPT Rpr Lac Cmpx 2.6-7.5 Cm 18 12 $842.50 $589.75 30% off $204.09 $450.00 $329.26 2026-05-08
13120 CPT Complex Rep 1.1-2.5 Cm 21 12 $1,074.00 $751.80 30% off $110.82 $537.00 $327.79 2026-05-08
43200 CPT Esophagoscopy 13 12 $809.60 $566.72 30% off $196.12 $506.00 $326.27 2026-05-08
78014 HCPCS Thyroid Img W/uptake 14 11 $979.00 $685.30 30% off $199.42 $489.50 $325.74 2026-08-12
99149 CPT Moderate Sed 1st 30 Min 13 12 $876.50 $613.55 30% off $212.32 $438.25 $325.29 2026-05-08
13132 HCPCS Rpr Lac Cmpx 2.6-7.5 Cm 20 11 $842.50 $842.50 $199.70 $450.00 $324.59 2026-08-12
12034 HCPCS Repair Int 7.6 - 12.5 Cm 22 11 $1,033.00 $1,033.00 $99.56 $516.50 $323.95 2026-08-12
46050 CPT Incision Of Anal Abscess 13 12 $793.65 $555.56 30% off $192.26 $450.00 $319.84 2026-05-08
45378 CPT Colon Ca Screen 27 12 $793.65 $555.56 30% off $133.23 $577.50 $319.84 2026-05-08
46050 HCPCS Incision Of Anal Abscess 14 11 $793.65 $793.65 $188.13 $450.00 $319.06 2026-08-12
78226 CPT Liver Function Study 13 12 $853.00 $597.10 30% off $206.63 $426.50 $316.56 2026-05-08
78223 CPT Hepatobiliary Imagin 13 12 $853.00 $597.10 30% off $206.63 $426.50 $316.56 2026-05-08
78227 CPT Hepatobiliary Imagin 13 12 $853.00 $597.10 30% off $206.63 $426.50 $316.56 2026-05-08
12044 CPT Repair Int 7.6-12.5cm 21 12 $844.00 $590.80 30% off $108.16 $450.00 $316.51 2026-05-08
78223 HCPCS Hepatobiliary Imagin 13 10 $853.00 $597.10 30% off $202.19 $426.50 $314.35 2026-08-12
78227 HCPCS Hepatobiliary Imagin 14 11 $853.00 $597.10 30% off $202.19 $426.50 $314.35 2026-08-12
J0878 HCPCS Daptomycin Inj : 500mg 44 12 $997.25 $997.25 $0.03 $1,070.25 $312.74 2026-08-12
27560 HCPCS Cl Tx Frac/disloc Femur And Knee 14 11 $694.74 $694.74 $164.68 $459.05 $311.87 2026-08-12
12034 CPT Repair Int 7.6 - 12.5 Cm 21 12 $1,033.00 $723.10 30% off $101.74 $516.50 $309.85 2026-05-08
75989 HCPCS US Paracentesis Drainage 14 11 $1,015.00 $1,015.00 $108.74 $507.50 $308.12 2026-08-12
37195 HCPCS Thrombolytic Therapy, Stroke 13 10 $931.50 $931.50 $150.00 $465.75 $307.88 2026-08-12
37195 CPT Thrombolytic Therapy, Stroke 13 12 $931.50 $652.05 30% off $150.00 $465.75 $307.88 2026-05-08
75989 CPT US Paracentesis Drainage 13 12 $1,015.00 $710.50 30% off $102.53 $507.50 $305.01 2026-05-08
90670 CPT Pneumococcal Conj Vaccine 13 Valent IM 13 12 $814.75 $570.33 30% off $197.37 $407.38 $302.38 2026-05-08
87517 CPT Hep B DNA By Pcr Quant 13 12 $1,241.00 $868.70 30% off $36.17 $620.50 $300.62 2026-05-08
90670 HCPCS Pneumococcal Conj Vaccine 13 Valent IM 14 11 $814.75 $814.75 $193.13 $407.38 $300.25 2026-08-12
84182 CPT MaTa 22 7 $830.50 $581.35 30% off $15.20 $627.00 $298.17 2026-05-08
78226 HCPCS Liver Function Study 14 11 $853.00 $597.10 30% off $202.19 $426.50 $297.67 2026-08-12
90734 CPT Meningococcal Conj Vaccine Tetravalent I 20 12 $801.00 $560.70 30% off $194.03 $417.50 $297.26 2026-05-08
81206 HCPCS Bcr-abl1 Gene Rearrang Qn 14 11 $1,589.50 $1,589.50 $134.21 $794.75 $294.96 2026-08-12
45333 CPT Flex Sigmoid W Polypectom 13 12 $793.65 $555.56 30% off $192.26 $396.82 $294.54 2026-05-08
45331 CPT Flexible Sig Bx W Forceps 13 12 $793.65 $555.56 30% off $192.26 $396.82 $294.54 2026-05-08
12035 HCPCS Intermed Rep 12.6-20 Cm 14 11 $583.00 $583.00 $138.19 $450.00 $292.80 2026-08-12
45331 HCPCS Flexible Sig Bx W Forceps 14 11 $793.65 $793.65 $188.13 $396.82 $292.48 2026-08-12
45333 HCPCS Flex Sigmoid W Polypectom 14 11 $793.65 $793.65 $188.13 $396.82 $292.48 2026-08-12
26770 HCPCS Intrphalnge Dislc W/manip 22 11 $564.00 $564.00 $104.77 $465.26 $291.85 2026-08-12
12035 CPT Intermed Rep 12.6-20 Cm 13 12 $583.00 $408.10 30% off $141.22 $450.00 $291.50 2026-05-08
23650 CPT Shoulder Dislocation 18 12 $546.50 $382.55 30% off $132.38 $460.88 $291.19 2026-05-08
23650 HCPCS Shoulder Dislocation 20 11 $546.50 $546.50 $129.54 $555.54 $289.77 2026-08-12
0921 RC US Dup Scan Carotid Artery 4 2 $891.54 $891.54 $155.87 $373.48 $288.96 2026-07-31
81327 HCPCS Colovantage(tm) 14 11 $934.00 $934.00 $188.16 $467.00 $288.59 2026-08-12
12045 HCPCS Intermed Rep 12.6-20 Cm 22 11 $524.17 $524.17 $124.09 $450.00 $287.12 2026-08-12
27250 HCPCS Hip Dislo Without Anesthesia 22 11 $779.04 $779.04 $184.66 $1,225.00 $287.09 2026-08-12
J1611 HCPCS Glucagon 1mg Inj 27 20 $909.50 $909.50 $109.67 $454.75 $285.22 2026-08-12
90716 CPT Varicella Virus Vaccine Live Subq 13 12 $767.25 $537.08 30% off $185.86 $383.62 $284.74 2026-05-08
10 OTHER Inpatient Room Charge 34 12 $825.00 $577.50 30% off $140.02 $467.00 $283.75 2026-05-08
G0104 HCPCS Flex Sig - Ca Screen 27 20 $793.65 $793.65 $169.28 $396.82 $283.05 2026-08-12
90716 HCPCS Varicella Virus Vaccine Live Subq 13 10 $767.25 $767.25 $181.87 $383.62 $282.75 2026-08-12
26770 CPT Intrphalnge Dislc W/manip 21 12 $564.00 $394.80 30% off $107.07 $450.00 $282.00 2026-05-08
56405 HCPCS I & D Of Vulva-perineum 14 11 $638.70 $638.70 $143.49 $450.00 $281.22 2026-08-12
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