Hospital

NORTHWEST FLORIDA COMMUNITY HOSPITAL

Chipley, FL · CCN 101308 · Rates published

10,299 distinct procedures filed

12 distinct payers

61,868 rate rows

2026-05-09 last MRF observed

Data quality

61,472 of 61,868 rate rows are consumer-grade (99.4%)

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

Excluded — reason	Rows
exceeds 10× this hospital's gross charge — excluded from medians	197
percent-of-charges filed in the dollar field — excluded from medians	195
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	4

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

Source MRF file	https://northwestfloridacommunityhospital.pg.quadax.revenuemasters.com/cdm-files/596002711_northwest-florida-community-hospital_standardcharges.csv
Found on page	https://northwestfloridacommunityhospital.pg.quadax.revenuemasters.com/disclaimer?
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-18
Content fingerprint	fa08716d6ceb2486… · 20,803,695 bytes · first seen 2026-05-09

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
10085414 OTHER	Cage Lordotic X-pac Tlif 10x28mm	5	$22,456.14	$117,020.00	$85,424.60	nat. median $85,425 1.0× median
25395946 OTHER	Ravulizumab(ultomiris)inj:1100mg	5	$22,061.71	$94,845.80	$83,924.16	nat. median $83,924 1.0× median
6000002 OTHER	Spinal Cord Stimulator - Implant	5	$14,325.14	$74,649.00	$54,493.77	nat. median $180 outlier · 302.9×
25394407 OTHER	Andexxa Vial(5) :1000mg	5	$10,794.38	$46,406.25	$41,062.50	nat. median $41,062 1.0× median
120 OTHER	Car T-cell Immunotherapy	5	$38,738.61	$39,900.77	$38,738.61	nat. median $1,852 outlier · 20.9×
10085382 OTHER	MicroFiber Flowable Allograft 10.0cc	5	$10,019.10	$52,210.00	$38,113.30	nat. median $38,113 1.0× median
10085166 OTHER	Ventana L - 18mm X 40mm X 6Deg Cage, 8m	5	$9,852.15	$51,340.00	$37,478.20	nat. median $37,478 1.0× median
246 OTHER	Class IV Therapeutic Radiopharmaceuticals	5	$32,931.04	$33,918.97	$32,931.04	nat. median $2,106 outlier · 15.6×
3060 OTHER	Ventricular Assist Device Procedures	5	$29,613.42	$30,501.83	$29,613.42	nat. median $21,258 1.4× median
25386794 OTHER	Alteplase (activase)inj: 100 Mg	5	$7,196.25	$30,937.50	$27,375.00	nat. median $27,375 1.0× median
250 OTHER	Cochlear Device Implantation	5	$23,210.42	$23,906.74	$23,210.42	nat. median $54 outlier · 432.5×
466 OTHER	Class Xiv Combined Chemotherapy And Pharmacotherapy	5	$23,203.67	$23,899.78	$23,203.67	nat. median $45,566 0.5× median
25391921 OTHER	Entyvio(vedolizumab):300mg	5	$6,073.64	$26,111.25	$23,104.50	nat. median $23,104 1.0× median
25395945 OTHER	Ravulizumab(ultomiris)inj:300mg	5	$6,016.83	$25,867.05	$22,888.42	nat. median $22,888 1.0× median
25394835 OTHER	TENECTEPLASE(TNKase)INJ: 50 Mg	6	$7,004.35	$30,112.50	$22,447.50	nat. median $22,448 1.0× median
97 OTHER	Aicd And Related Cardiac Device Insertion Or Replacement	5	$21,272.59	$21,910.77	$21,272.59	nat. median $32,614 0.7× median
10085620 OTHER	Cage 24mmx10x8x13mm 3deg	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085504 OTHER	Cage 28mmx8x9x13mm 3deg	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085508 OTHER	Cage 24mmx10x7x11mm 3deg	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085499 OTHER	Cage 28x10x9x14mm 6deg	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085161 OTHER	Ti-bond 10mm X 27mm X 8mm, 10-15 Degree	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085480 OTHER	Cage 10mm X 24mm X 8mm, 5-10 Degree	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085483 OTHER	Cage 9x10x32	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085185 OTHER	Ti-bond 10mm X 24mm X 7mm, 5-10 Degree	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085284 OTHER	Cage 7mm X 27mm X 10mm	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085186 OTHER	Ti-bond 10mm X 24mm X 8mm, 10-15 Degree	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085585 OTHER	Cage 24mmx10x9x14mm 6deg	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085432 OTHER	Cage 8x10x32	5	$5,407.74	$28,180.00	$20,571.40	nat. median $20,571 1.0× median
10085516 OTHER	4 Web Two Hole Plate	6	$6,012.23	$31,330.00	$19,267.95	nat. median $19,268 1.0× median
10085540 OTHER	4 Web Short Two Hole Plate	6	$6,012.23	$31,330.00	$19,267.95	nat. median $19,268 1.0× median
10085482 OTHER	MicroFiber Flowable Allograft 5.0cc	5	$5,010.51	$26,110.00	$19,060.30	nat. median $19,060 1.0× median
10085544 OTHER	Cage 18x45x10mm	5	$4,926.07	$25,670.00	$18,739.10	nat. median $18,739 1.0× median
10085545 OTHER	Cage 18x40x10mm	5	$4,926.07	$25,670.00	$18,739.10	nat. median $18,739 1.0× median
10086540 OTHER	Cage Acuity 18x40x7% 16-18401007-sp	5	$4,926.07	$25,670.00	$18,739.10	nat. median $18,739 1.0× median
10085623 OTHER	Cage Acuity 18x52x7 16-18500707-sp	5	$4,926.07	$25,670.00	$18,739.10	nat. median $18,739 1.0× median
10085543 OTHER	Cage 18x50x10mm	5	$4,926.07	$25,670.00	$18,739.10	nat. median $18,739 1.0× median
10085423 OTHER	Spinal Elecage 8x18x45mm	5	$4,926.07	$25,670.00	$18,739.10	nat. median $18,739 1.0× median
10085624 OTHER	Cage, 18x55x7mm 41855-607	5	$4,926.07	$25,670.00	$18,739.10	nat. median $18,739 1.0× median
10085502 OTHER	Cage 8x18x50	5	$4,926.07	$25,670.00	$18,739.10	nat. median $18,739 1.0× median
10085503 OTHER	Cage 7x18x50	5	$4,926.07	$25,670.00	$18,739.10	nat. median $18,739 1.0× median
10085173 OTHER	3d Lumbar Interbody, 10x 27x7mm 5	5	$4,872.34	$25,390.00	$18,534.70	nat. median $18,535 1.0× median
224 OTHER	Level Ii Neurostimulator And Related Device Implantation	5	$18,498.40	$19,053.35	$18,498.40	nat. median $16,458 1.1× median
82 OTHER	Comprehensive Cardiac Electrophysiologic Procedures With Ablation	5	$16,929.18	$17,437.05	$16,929.18	nat. median $22,182 0.8× median
6063685 OTHER	Insertion/replacement Spinal Neuro Pulse	6	$1,319.85	$55,361.00	$16,654.03	nat. median $16,654 1.0× median
10085159 OTHER	Orios Xt, 10cc - Syringe Delivery	6	$3,661.45	$26,712.00	$16,504.20	nat. median $16,504 1.0× median
25394770 OTHER	Gamunex-c 10%(ivig) 40 Gram: 400 Ml	5	$4,289.92	$18,442.88	$16,319.15	nat. median $16,319 1.0× median
465 OTHER	Class Xiii Combined Chemotherapy And Pharmacotherapy	5	$16,140.83	$16,625.06	$16,140.83	nat. median $17,778 0.9× median
10085579 OTHER	Demineralized Bone Fibers 10cc	5	$4,175.74	$21,760.00	$15,884.80	nat. median $15,885 1.0× median
10085630 OTHER	Cage Astura 18x45x10x7deg	5	$4,175.74	$21,760.00	$15,884.80	nat. median $15,885 1.0× median
57 OTHER	Level Iii Spine Procedures	5	$15,694.72	$16,165.56	$15,694.72	nat. median $12,957 1.2× median

Other procedures at this hospital

Browse this hospital's 10,299 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

10085414	OTHER	Cage Lordotic X-pac Tlif 10x28mm	5	5	$117,020.00	$93,616.00 20% off	$22,456.14	$117,020.00	$85,424.60	2026-05-09
25395946	OTHER	Ravulizumab(ultomiris)inj:1100mg	5	5	$114,964.60	$91,971.68 20% off	$22,061.71	$94,845.80	$83,924.16	2026-05-09
6000002	OTHER	Spinal Cord Stimulator - Implant	5	5	$74,649.00	$59,719.20 20% off	$14,325.14	$74,649.00	$54,493.77	2026-05-09
25394407	OTHER	Andexxa Vial(5) :1000mg	5	5	$56,250.00	$45,000.00 20% off	$10,794.38	$46,406.25	$41,062.50	2026-05-09
120	OTHER	Car T-cell Immunotherapy	5	5	—	—	$38,738.61	$39,900.77	$38,738.61	2026-05-09
10085382	OTHER	MicroFiber Flowable Allograft 10.0cc	5	5	$52,210.00	$41,768.00 20% off	$10,019.10	$52,210.00	$38,113.30	2026-05-09
10085166	OTHER	Ventana L - 18mm X 40mm X 6Deg Cage, 8m	5	5	$51,340.00	$41,072.00 20% off	$9,852.15	$51,340.00	$37,478.20	2026-05-09
246	OTHER	Class IV Therapeutic Radiopharmaceuticals	5	5	—	—	$32,931.04	$33,918.97	$32,931.04	2026-05-09
3060	OTHER	Ventricular Assist Device Procedures	5	5	—	—	$29,613.42	$30,501.83	$29,613.42	2026-05-09
25386794	OTHER	Alteplase (activase)inj: 100 Mg	5	5	$37,500.00	$30,000.00 20% off	$7,196.25	$30,937.50	$27,375.00	2026-05-09
250	OTHER	Cochlear Device Implantation	5	5	—	—	$23,210.42	$23,906.74	$23,210.42	2026-05-09
466	OTHER	Class Xiv Combined Chemotherapy And Pharmacotherapy	5	5	—	—	$23,203.67	$23,899.78	$23,203.67	2026-05-09
25391921	OTHER	Entyvio(vedolizumab):300mg	5	5	$31,650.00	$25,320.00 20% off	$6,073.64	$26,111.25	$23,104.50	2026-05-09
25395945	OTHER	Ravulizumab(ultomiris)inj:300mg	5	5	$31,354.00	$25,083.20 20% off	$6,016.83	$25,867.05	$22,888.42	2026-05-09
25394835	OTHER	TENECTEPLASE(TNKase)INJ: 50 Mg	6	6	$36,500.00	$29,200.00 20% off	$7,004.35	$30,112.50	$22,447.50	2026-05-09
97	OTHER	Aicd And Related Cardiac Device Insertion Or Replacement	5	5	—	—	$21,272.59	$21,910.77	$21,272.59	2026-05-09
10085504	OTHER	Cage 28mmx8x9x13mm 3deg	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085585	OTHER	Cage 24mmx10x9x14mm 6deg	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085508	OTHER	Cage 24mmx10x7x11mm 3deg	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085186	OTHER	Ti-bond 10mm X 24mm X 8mm, 10-15 Degree	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085620	OTHER	Cage 24mmx10x8x13mm 3deg	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085499	OTHER	Cage 28x10x9x14mm 6deg	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085284	OTHER	Cage 7mm X 27mm X 10mm	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085480	OTHER	Cage 10mm X 24mm X 8mm, 5-10 Degree	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085185	OTHER	Ti-bond 10mm X 24mm X 7mm, 5-10 Degree	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085161	OTHER	Ti-bond 10mm X 27mm X 8mm, 10-15 Degree	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085483	OTHER	Cage 9x10x32	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085432	OTHER	Cage 8x10x32	5	5	$28,180.00	$22,544.00 20% off	$5,407.74	$28,180.00	$20,571.40	2026-05-09
10085540	OTHER	4 Web Short Two Hole Plate	6	6	$31,330.00	$25,064.00 20% off	$6,012.23	$31,330.00	$19,267.95	2026-05-09
10085516	OTHER	4 Web Two Hole Plate	6	6	$31,330.00	$25,064.00 20% off	$6,012.23	$31,330.00	$19,267.95	2026-05-09
10085482	OTHER	MicroFiber Flowable Allograft 5.0cc	5	5	$26,110.00	$20,888.00 20% off	$5,010.51	$26,110.00	$19,060.30	2026-05-09
10085624	OTHER	Cage, 18x55x7mm 41855-607	5	5	$25,670.00	$20,536.00 20% off	$4,926.07	$25,670.00	$18,739.10	2026-05-09
10085502	OTHER	Cage 8x18x50	5	5	$25,670.00	$20,536.00 20% off	$4,926.07	$25,670.00	$18,739.10	2026-05-09
10085545	OTHER	Cage 18x40x10mm	5	5	$25,670.00	$20,536.00 20% off	$4,926.07	$25,670.00	$18,739.10	2026-05-09
10085623	OTHER	Cage Acuity 18x52x7 16-18500707-sp	5	5	$25,670.00	$20,536.00 20% off	$4,926.07	$25,670.00	$18,739.10	2026-05-09
10085544	OTHER	Cage 18x45x10mm	5	5	$25,670.00	$20,536.00 20% off	$4,926.07	$25,670.00	$18,739.10	2026-05-09
10085423	OTHER	Spinal Elecage 8x18x45mm	5	5	$25,670.00	$20,536.00 20% off	$4,926.07	$25,670.00	$18,739.10	2026-05-09
10085543	OTHER	Cage 18x50x10mm	5	5	$25,670.00	$20,536.00 20% off	$4,926.07	$25,670.00	$18,739.10	2026-05-09
10085503	OTHER	Cage 7x18x50	5	5	$25,670.00	$20,536.00 20% off	$4,926.07	$25,670.00	$18,739.10	2026-05-09
10086540	OTHER	Cage Acuity 18x40x7% 16-18401007-sp	5	5	$25,670.00	$20,536.00 20% off	$4,926.07	$25,670.00	$18,739.10	2026-05-09
10085173	OTHER	3d Lumbar Interbody, 10x 27x7mm 5	5	5	$25,390.00	$20,312.00 20% off	$4,872.34	$25,390.00	$18,534.70	2026-05-09
224	OTHER	Level Ii Neurostimulator And Related Device Implantation	5	5	—	—	$18,498.40	$19,053.35	$18,498.40	2026-05-09
82	OTHER	Comprehensive Cardiac Electrophysiologic Procedures With Ablation	5	5	—	—	$16,929.18	$17,437.05	$16,929.18	2026-05-09
6063685	OTHER	Insertion/replacement Spinal Neuro Pulse	6	6	$48,140.00	$38,512.00 20% off	$1,319.85	$55,361.00	$16,654.03	2026-05-09
10085159	OTHER	Orios Xt, 10cc - Syringe Delivery	6	6	$19,080.00	$15,264.00 20% off	$3,661.45	$26,712.00	$16,504.20	2026-05-09
25394770	OTHER	Gamunex-c 10%(ivig) 40 Gram: 400 Ml	5	5	$22,355.00	$17,884.00 20% off	$4,289.92	$18,442.88	$16,319.15	2026-05-09
465	OTHER	Class Xiii Combined Chemotherapy And Pharmacotherapy	5	5	—	—	$16,140.83	$16,625.06	$16,140.83	2026-05-09
10085630	OTHER	Cage Astura 18x45x10x7deg	5	5	$21,760.00	$17,408.00 20% off	$4,175.74	$21,760.00	$15,884.80	2026-05-09
10085579	OTHER	Demineralized Bone Fibers 10cc	5	5	$21,760.00	$17,408.00 20% off	$4,175.74	$21,760.00	$15,884.80	2026-05-09
57	OTHER	Level Iii Spine Procedures	5	5	—	—	$15,694.72	$16,165.56	$15,694.72	2026-05-09
104	OTHER	Major Open Coronary Artery Procedures Including Cabg	5	5	—	—	$15,560.62	$16,027.44	$15,560.62	2026-05-09
10085381	OTHER	Acupac X Tissue	5	5	$21,200.00	$16,960.00 20% off	$4,068.28	$21,200.00	$15,476.00	2026-05-09
10086510	OTHER	Cage 45mm X 18mm X 10mmx 120	5	5	$21,080.00	$16,864.00 20% off	$4,045.25	$21,080.00	$15,388.40	2026-05-09
25391648	OTHER	Rituxan(rituximab)500mg:50ml	5	5	$21,000.00	$16,800.00 20% off	$4,029.90	$17,325.00	$15,330.00	2026-05-09
25130071	OTHER	Retavase(reteplase)inj:20 Units(2 Vial)	5	5	$20,847.00	$16,677.60 20% off	$4,000.54	$17,198.78	$15,218.31	2026-05-09
6000360	OTHER	Surgery 6 Hours	5	5	$20,023.00	$16,018.40 20% off	$3,842.41	$16,518.98	$14,616.79	2026-05-09
10085632	OTHER	Cervical Disc Prosthesis 15x17h6	6	6	$23,500.00	$18,800.00 20% off	$4,509.65	$23,500.00	$14,452.50	2026-05-09
10085598	OTHER	Ifuse Torq 10.x75mm Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085568	OTHER	Ifuse Bedrock 10.5x70mm Granite Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085591	OTHER	Ifuse Torq 10.x80mm Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085501	OTHER	Ifuse Bedrock 9.5x90mm Granite Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085487	OTHER	Ifuse Bedrock 9.5x60mm Granite Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10086518	OTHER	Ifuse Bedrock 10.5mmx90mmgranite Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085523	OTHER	Ifuse Bedrock 9.5x50mm Granite Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085590	OTHER	Ifuse Torq 10.x70mm Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085567	OTHER	Ifuse Bedrock 10.5x60mm Granite Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085621	OTHER	Ifuse Torq 10x45mm Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085610	OTHER	Ifuse Torq 10x65mm Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085587	OTHER	Ifuse Bedrock 10.5x80mm Granite Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085563	OTHER	Ifuse Bedrock 11.5x90mm Granite Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085524	OTHER	Ifuse Bedrock 9.5x45mm Granite Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085609	OTHER	Ifuse Bedrock 9.5x40mm Granite Implant	5	5	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$14,293.40	2026-05-09
10085488	OTHER	FiberTak Achilles SpeedBridge	6	6	$23,170.00	$18,536.00 20% off	$4,446.32	$23,170.00	$14,249.55	2026-05-09
25395904	OTHER	TEZSPIRE(tezepelumab)INJ:210MG	5	5	$19,500.00	$15,600.00 20% off	$3,742.05	$16,087.50	$14,235.00	2026-05-09
10086503	OTHER	Fracture Stem Sz 9 L. 130mm	6	6	$23,130.00	$18,504.00 20% off	$4,438.65	$23,130.00	$14,224.95	2026-05-09
25393495	OTHER	Privigen 10%(ivig) 40 Gram: 400 Ml	5	5	$19,125.00	$15,300.00 20% off	$3,670.09	$15,778.13	$13,961.25	2026-05-09
122	OTHER	Percutaneous Intra-abdominal Or Intrathoracic Vascular Procedures	5	5	—	—	$13,775.39	$14,188.65	$13,775.39	2026-05-09
121	OTHER	Level Ii Percutaneous Coronary And Intracardiac Interventional Procedures	5	5	—	—	$13,710.40	$14,121.71	$13,710.40	2026-05-09
6000330	OTHER	Surgery 5-1/2 Hours	5	5	$18,355.00	$14,684.00 20% off	$3,522.32	$15,142.88	$13,399.15	2026-05-09
182	OTHER	Insertion Of Penile Prosthesis	5	5	—	—	$13,216.69	$13,613.19	$13,216.69	2026-05-09
265	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	5	5	—	—	$13,193.42	$13,589.22	$13,193.42	2026-05-09
245	OTHER	Class Iii Therapeutic Radiopharmaceuticals	5	5	—	—	$12,956.49	$13,345.19	$12,956.49	2026-05-09
25392891	OTHER	Inclisiran(leqvio) 284mg:1.5ml	5	5	$17,220.00	$13,776.00 20% off	$3,304.52	$14,206.50	$12,570.60	2026-05-09
3051	OTHER	Heart And/or Lung Transplant	5	5	—	—	$12,477.00	$12,851.31	$12,477.00	2026-05-09
25390288	OTHER	Rituximab-abbs(truxima)500mg:50ml	5	5	$17,000.00	$13,600.00 20% off	$3,262.30	$14,025.00	$12,410.00	2026-05-09
6000300	OTHER	Surgery 5 Hours	5	5	$16,686.00	$13,348.80 20% off	$3,202.04	$13,765.95	$12,180.78	2026-05-09
10086509	OTHER	Ifuse Torq 10.x60mm Implant	6	6	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$12,041.70	2026-05-09
10085640	OTHER	Ifuse Bedrock 9.5x70mm Granite Implant	6	6	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$12,041.70	2026-05-09
10085428	OTHER	Ifuse Bedrock 9.5x80mm Granite Implant	6	6	$19,580.00	$15,664.00 20% off	$3,757.40	$19,580.00	$12,041.70	2026-05-09
3030	OTHER	Spinal Implantation Of Drug Infusion Device	5	5	—	—	$11,956.25	$12,314.94	$11,956.25	2026-05-09
10085374	OTHER	Orthospace Inspace System Lareg 0132	5	5	$16,010.00	$12,808.00 20% off	$3,072.32	$16,010.00	$11,687.30	2026-05-09
10085058	OTHER	Ortho Expandable Cage Pro Lift Zimmer	5	5	$16,010.00	$12,808.00 20% off	$3,072.32	$16,010.00	$11,687.30	2026-05-09
10085421	OTHER	Orthospace Inspace System Med 0131	5	5	$16,010.00	$12,808.00 20% off	$3,072.32	$16,010.00	$11,687.30	2026-05-09
10085158	OTHER	Orios Xt, 5cc - Syringe Delivery	6	6	$13,230.00	$10,584.00 20% off	$2,538.84	$26,712.00	$11,443.95	2026-05-09
105	OTHER	Major Open Cardiac And Cardiac Valve Procedures	5	5	—	—	$11,399.02	$11,740.99	$11,399.02	2026-05-09
25110430	OTHER	Alteplase (activase)inj: 50 Mg	5	5	$15,380.00	$12,304.00 20% off	$2,951.42	$12,688.50	$11,227.40	2026-05-09
10081148	OTHER	Bone Graft Kit Infuse Medium	5	5	$15,350.00	$12,280.00 20% off	$2,945.67	$15,350.00	$11,205.50	2026-05-09
337	OTHER	Class Iii Brachytherapy Sources	5	5	—	—	$11,179.01	$11,514.39	$11,179.01	2026-05-09
55	OTHER	Level Ii Hip And Femur Procedures	5	5	—	—	$10,999.56	$11,329.54	$10,999.56	2026-05-09
6000270	OTHER	Surgery 4-1/2 Hours	5	5	$15,017.00	$12,013.60 20% off	$2,881.76	$12,389.03	$10,962.41	2026-05-09
85	OTHER	Level Iii Peripheral Endovascular And Transcatheter Procedures	5	5	—	—	$10,677.66	$10,997.99	$10,677.66	2026-05-09
10081234	OTHER	Stryker Long Humeral Nail Leftdia 7x230m	6	6	$16,590.00	$13,272.00 20% off	$1,628.00	$16,590.00	$10,202.85	2026-05-09
10081132	OTHER	Ortho Total Disk Replacement	5	5	$13,510.00	$10,808.00 20% off	$2,592.57	$11,145.75	$9,862.30	2026-05-09
10081142	OTHER	Ortho Mobi-c Cervical Disk Prostheeis	5	5	$13,510.00	$10,808.00 20% off	$2,592.57	$13,510.00	$9,862.30	2026-05-09
29	OTHER	Level Ii Spine Procedures	5	5	—	—	$9,861.88	$10,157.73	$9,861.88	2026-05-09
6000240	OTHER	Surgery 4 Hours	5	5	$13,349.00	$10,679.20	$2,561.67	$11,012.93	$9,744.77	2026-05-09
10085399	OTHER	Cage 6mm X 16mm X 13mm 7 Ventana	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10085518	OTHER	Cage Cervical 7% 15x12x6mm	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10085395	OTHER	Cervical Interbody 6x14mm X 11mm 7	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10085578	OTHER	Cage Cervical 15x12x5mm	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10086123	OTHER	Cage 16.5x14mm X 7	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10085530	OTHER	Cage Cervical 7% 14x12x7mm	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10086120	OTHER	Cage 14.5x12mm X 7	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10085531	OTHER	Cage Cervical 7% 14x12x8mm	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10085519	OTHER	Cage Cervical 7% 15x12x7mm	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10085149	OTHER	Cervical Interbody 14x11mm X 07mm 7	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10085577	OTHER	Cage Cervical 15x12x7mm	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10085534	OTHER	Cage Cervical 7deg 14x12x6mm	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
10085172	OTHER	Cage 16mm X 13mm X 07mm 7 Ventana	5	5	$13,060.00	$10,448.00 20% off	$2,506.21	$13,060.00	$9,533.80	2026-05-09
58	OTHER	Level Ii Shoulder And Upper Arm Procedures	5	5	—	—	$9,513.54	$9,798.95	$9,513.54	2026-05-09
25390497	OTHER	Octagam 10%(ivig) 30 Gram: 300 Ml	5	5	$12,900.00	$10,320.00 20% off	$2,475.51	$10,642.50	$9,417.00	2026-05-09
25394455	OTHER	Evenity(romosozumab):210mg	5	5	$12,618.80	$10,095.04	$2,421.55	$10,410.51	$9,211.72	2026-05-09
47	OTHER	Level Ii Arthroplasty	5	5	—	—	$9,088.28	$9,360.93	$9,088.28	2026-05-09
25391594	OTHER	Xolair(omalizumab)300mg Syr:2ml	5	5	$12,400.00	$9,920.00 20% off	$2,379.56	$10,230.00	$9,052.00	2026-05-09
10085574	OTHER	Awl And Awl Stylet 8ga Sur-awl-01	5	5	$12,190.00	$9,752.00 20% off	$2,339.26	$10,056.75	$8,898.70	2026-05-09
10085288	OTHER	Sapphire Two-level Plate 35mm	6	6	$12,920.00	$10,336.00 20% off	$2,479.35	$12,920.00	$8,631.80	2026-05-09
10085613	OTHER	S&n Legion Posterior Stabil Sz 3-4 9mm	5	5	$11,700.00	$9,360.00 20% off	$2,245.23	$11,700.00	$8,541.00	2026-05-09
3011	OTHER	Bone Conduction Hearing Device Implantation	5	5	—	—	$8,534.16	$8,790.19	$8,534.16	2026-05-09
6000210	OTHER	Surgery 3-1/2 Hours	5	5	$11,680.00	$9,344.00 20% off	$2,241.39	$9,636.00	$8,526.40	2026-05-09
99	OTHER	Level I Percutaneous Coronary And Intracardiac Interventional Procedures	5	5	—	—	$8,507.31	$8,762.53	$8,507.31	2026-05-09
106	OTHER	Major Open Abdominal And Thoracic Vascular Procedures	5	5	—	—	$8,266.74	$8,514.74	$8,266.74	2026-05-09
10086501	OTHER	Preform Insert 3/4 36mm Dia +0 Ret	6	6	$11,660.00	$9,328.00 20% off	$2,237.55	$11,660.00	$8,171.90	2026-05-09
10085608	OTHER	Drf With Bone Pins And Reflective Spher	6	6	$11,530.00	$9,224.00 20% off	$2,212.61	$11,530.00	$8,124.45	2026-05-09
10085724	OTHER	Demineralized Bone Fibers 5cc	5	5	$10,880.00	$8,704.00 20% off	$2,087.87	$10,880.00	$7,942.40	2026-05-09
10085145	OTHER	Hero Dbm Putty, 10 Cc	6	6	$9,140.00	$7,312.00 20% off	$1,753.97	$26,712.00	$7,906.10	2026-05-09
25100025	OTHER	Neulasta(pegfilgrastim)inj:6 Mg	5	5	$10,829.00	$8,663.20	$2,078.09	$8,933.93	$7,905.17	2026-05-09
10085641	OTHER	Si Implant 60mm	6	6	$10,880.00	$8,704.00 20% off	$2,087.87	$10,880.00	$7,887.20	2026-05-09
3070	OTHER	Extracorporeal Membrane Oxygenation (ecmo) Procedures	5	5	—	—	$7,694.81	$7,925.66	$7,694.81	2026-05-09
10081235	OTHER	Stryker Humeral Nail Rt Dia8mmx130mm	6	6	$12,450.00	$9,960.00 20% off	$1,628.00	$12,450.00	$7,656.75	2026-05-09
25395362	OTHER	Gammagard 10%(ivig) 20 Gram: 200 Ml	5	5	$10,475.00	$8,380.00 20% off	$2,010.15	$8,641.88	$7,646.75	2026-05-09
25130070	OTHER	Retavase(reteplase)inj:10 Units(1 Vial)	5	5	$10,430.00	$8,344.00 20% off	$2,001.52	$8,604.75	$7,613.90	2026-05-09
86	OTHER	Pacemaker And Other Cardiovascular Device Insertion And Replacement	5	5	—	—	$7,556.72	$7,783.43	$7,556.72	2026-05-09
52	OTHER	Level Ii Knee And Lower Leg Procedures	5	5	—	—	$7,459.88	$7,683.68	$7,459.88	2026-05-09
10086505	OTHER	Arthrex Amnion Matrix Cord 3cmx6cm	5	5	$10,180.00	$8,144.00 20% off	$1,953.54	$10,180.00	$7,431.40	2026-05-09
22	OTHER	Level Ii Mastectomy And Reconstructive Breast Procedures	5	5	—	—	$7,425.63	$7,648.40	$7,425.63	2026-05-09
10086536	OTHER	Crystal Ti-bond 16 X 13 X 6mm,	6	6	$9,600.00	$7,680.00 20% off	$1,842.24	$9,600.00	$7,420.00	2026-05-09
10085446	OTHER	Cage 7x16x13mm	6	6	$9,600.00	$7,680.00 20% off	$1,842.24	$9,600.00	$7,420.00	2026-05-09
10085156	OTHER	Crystal Ti-bond 16 X 13 X 7mm, 7 Degree	6	6	$9,600.00	$7,680.00 20% off	$1,842.24	$9,600.00	$7,420.00	2026-05-09
3052	OTHER	Kidney Transplant	5	5	—	—	$7,416.05	$7,638.53	$7,416.05	2026-05-09
6010600	OTHER	Implant	5	5	$10,075.00	$8,060.00 20% off	$1,933.39	$8,311.88	$7,354.75	2026-05-09
6000180	OTHER	Surgery 3 Hours	5	5	$10,012.00	$8,009.60	$1,921.30	$8,259.90	$7,308.76	2026-05-09
464	OTHER	Class Xii Combined Chemotherapy And Pharmacotherapy	5	5	—	—	$7,177.01	$7,392.32	$7,177.01	2026-05-09
10085645	OTHER	Crystal Ti-bond 9x 16 X 13mm, Cage	5	5	$9,600.00	$7,680.00 20% off	$1,842.24	$9,600.00	$7,008.00	2026-05-09
10085287	OTHER	Crystal Ti-bond 8 X 16 X 13mm, Cage	5	5	$9,600.00	$7,680.00 20% off	$1,842.24	$9,600.00	$7,008.00	2026-05-09
10085181	OTHER	Sapphire Four-level Plate 68mm	6	6	$8,460.00	$6,768.00 20% off	$1,623.47	$8,460.00	$7,003.90	2026-05-09
6000001	OTHER	Spinal Cord Stimulator - Trial	5	5	$9,579.00	$7,663.20 20% off	$1,838.21	$9,579.00	$6,992.67	2026-05-09
10085180	OTHER	Crystal Ti-bond 14 X 11 X 7mm, 7 Degree,	6	6	$8,410.00	$6,728.00 20% off	$1,613.88	$8,410.00	$6,985.65	2026-05-09
172	OTHER	Level Iii Kidney And Ureteral Procedures	5	5	—	—	$6,959.00	$7,167.77	$6,959.00	2026-05-09
10085148	OTHER	Orios Xt, 2.5cc - Syringe Delivery	6	6	$8,010.00	$6,408.00 20% off	$1,537.12	$26,712.00	$6,928.65	2026-05-09
10085179	OTHER	Sapphire Three-level Plate 57mm	6	6	$7,940.00	$6,352.00 20% off	$1,523.69	$7,940.00	$6,814.10	2026-05-09
10085412	OTHER	Sapphire Four-level Plate 85mm	6	6	$7,810.00	$6,248.00 20% off	$1,498.74	$7,832.00	$6,755.65	2026-05-09
25150690	OTHER	Crofab(crotalidae Antivenin):2 Ml Vial	5	5	$9,254.00	$7,403.20 20% off	$1,775.84	$7,634.55	$6,755.42	2026-05-09
10086508	OTHER	Plate, 45mm Spinal Elements	6	6	$7,780.00	$6,224.00 20% off	$1,492.98	$7,832.00	$6,729.70	2026-05-09
10085548	OTHER	Plate, 42mm Bi Level Spinal Elements	6	6	$7,780.00	$6,224.00 20% off	$1,492.98	$7,832.00	$6,729.70	2026-05-09
79	OTHER	Level Ii Peripheral Endovascular And Transcatheter Procedures	5	5	—	—	$6,669.48	$6,869.57	$6,669.48	2026-05-09
10081194	OTHER	Arthrex Patella Sutplt Ii Star M Strl	5	5	$9,090.00	$7,272.00 20% off	$1,744.37	$9,090.00	$6,635.70	2026-05-09
73	OTHER	Diaphragmatic Procedures And Related Hernia Repair	5	5	—	—	$6,596.80	$6,794.70	$6,596.80	2026-05-09
10085079	OTHER	Arthrex Fibulock Nail 3.8x130mm Right	6	6	$10,700.00	$8,560.00 20% off	$1,628.00	$10,700.00	$6,580.50	2026-05-09
87	OTHER	Removal Or Revision Of Pacemakers And Other Cardiovascular Devices	5	5	—	—	$6,488.62	$6,683.28	$6,488.62	2026-05-09
96	OTHER	Cardiac Electrophysiologic Procedures Including Pacing And Recording	5	5	—	—	$6,484.97	$6,679.52	$6,484.97	2026-05-09
25392233	OTHER	Simponi Aria(golimumab) 50mg Vial:4ml	5	5	$8,850.00	$7,080.00 20% off	$1,698.32	$7,301.25	$6,460.50	2026-05-09
10085642	OTHER	Plate 72mm Zavation	6	6	$7,360.00	$5,888.00 20% off	$1,412.38	$7,832.00	$6,366.40	2026-05-09
10085396	OTHER	Sapphire Four-level Plate 64mm	6	6	$7,360.00	$5,888.00 20% off	$1,412.38	$7,832.00	$6,366.40	2026-05-09
10085286	OTHER	Sapphire Four-level Plate 72mm	6	6	$7,360.00	$5,888.00 20% off	$1,412.38	$7,832.00	$6,366.40	2026-05-09
10085592	OTHER	Sapphire Four-level Plate 66mm	6	6	$7,360.00	$5,888.00 20% off	$1,412.38	$7,832.00	$6,366.40	2026-05-09
10085647	OTHER	Sapphire X 2-level, 38mm Anterior Cer Pl	6	6	$7,350.00	$5,880.00 20% off	$1,410.47	$7,832.00	$6,357.75	2026-05-09
10085385	OTHER	Hero Dbm Putty, 5 Cc	6	6	$7,310.00	$5,848.00 20% off	$1,402.79	$26,712.00	$6,323.15	2026-05-09
10081250	OTHER	Arthrex Fibertak Dx Implant Kit	6	6	$7,300.00	$5,840.00 20% off	$1,400.87	$7,832.00	$6,314.50	2026-05-09
267	OTHER	Other Craniotomy Procedures Including Cranioplasty	5	5	—	—	$6,308.92	$6,498.19	$6,308.92	2026-05-09
6063650	OTHER	Percutaneous Implantation Neurostimulato	6	6	$18,167.00	$14,533.60 20% off	$1,319.85	$20,892.05	$6,284.88	2026-05-09
25390498	OTHER	Octagam 10%(ivig) 20 Gram: 200 Ml	5	5	$8,600.00	$6,880.00 20% off	$1,650.34	$7,095.00	$6,278.00	2026-05-09
25380199	OTHER	Prolia(denosumab)inj:60mg	5	5	$8,550.00	$6,840.00 20% off	$1,640.75	$7,053.75	$6,241.50	2026-05-09
10085397	OTHER	Crystal Ti-bond 14 X 11 X 8mm, 7 Degree,	5	5	$8,410.00	$6,728.00 20% off	$1,613.88	$8,410.00	$6,139.30	2026-05-09
10085479	OTHER	Crystal Ti-bond Cage 14X11X6mm, 7	5	5	$8,410.00	$6,728.00 20% off	$1,613.88	$8,410.00	$6,139.30	2026-05-09
6000150	OTHER	Surgery 2-1/2 Hours	5	5	$8,343.00	$6,674.40 20% off	$1,601.02	$6,882.98	$6,090.39	2026-05-09
10085535	OTHER	Plate 52mm Captiva Spined	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085607	OTHER	Plate 44mm Captiva Spined	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085157	OTHER	Sapphire X One-level Plate, 12mm	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085489	OTHER	Sapphire Three-level Plate 45mm	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085520	OTHER	Plate 74mm Captiva Spined	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085249	OTHER	Plate 37mm Zavation	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085599	OTHER	Plate 36mm Captiva Spined	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085576	OTHER	Plate 48mm Captiva Spined	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085725	OTHER	Sapphire X One-level Plate, 16mm	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085532	OTHER	Plate 67mm Captiva Spined	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085575	OTHER	Sapphire X One-level Plate, 13mm	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10085184	OTHER	Sapphire Three-level Plate 54mm	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10086513	OTHER	Plate 20mm Captiva Spined Lvl1	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10086538	OTHER	Sapphire X One-level Plate, 10mm	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
10086537	OTHER	Sapphire X One-level Plate, 11mm	6	6	$6,910.00	$5,528.00 20% off	$1,326.03	$7,832.00	$5,977.15	2026-05-09
223	OTHER	Level I Neurostimulator And Related Device Implantation	5	5	—	—	$5,939.49	$6,117.68	$5,939.49	2026-05-09
10081349	OTHER	Bone Graft Proteios Growth Factor	5	5	$8,130.00	$6,504.00 20% off	$1,560.15	$8,130.00	$5,934.90	2026-05-09
167	OTHER	Level Ii Urethral Procedures	5	5	—	—	$5,883.73	$6,060.24	$5,883.73	2026-05-09
10085631	OTHER	Dilator Astura 8x13mm X18mm	5	5	$8,050.00	$6,440.00 20% off	$1,544.80	$6,641.25	$5,876.50	2026-05-09
206	OTHER	Level Ii Hysterectomy And Myomectomy Procedures	5	5	—	—	$5,806.40	$5,980.59	$5,806.40	2026-05-09
36	OTHER	Level Ii Foot Procedures	5	5	—	—	$5,802.46	$5,976.53	$5,802.46	2026-05-09
268	OTHER	Cranial And Spinal Shunt Procedures	5	5	—	—	$5,734.30	$5,906.32	$5,734.30	2026-05-09
24	OTHER	Level Ii Forearm And Wrist Procedures	5	5	—	—	$5,601.32	$5,769.36	$5,601.32	2026-05-09
10085150	OTHER	Sapphire Two-level Plate 32mm	6	6	$6,460.00	$5,168.00 20% off	$1,239.67	$7,832.00	$5,587.90	2026-05-09
10086516	OTHER	Plate 32mm Zavation	6	6	$6,460.00	$5,168.00 20% off	$1,239.67	$7,832.00	$5,587.90	2026-05-09
10081209	OTHER	Depuy Olecranon Plate 4 Hole Right	6	6	$6,370.00	$5,096.00 20% off	$1,222.40	$7,832.00	$5,510.05	2026-05-09
152	OTHER	Level Ii Hepatobiliary And Pancreas Procedures	5	5	—	—	$5,504.24	$5,669.37	$5,504.24	2026-05-09
189	OTHER	Level Ii Perineal And Vaginal Gynecological Procedures	5	5	—	—	$5,496.49	$5,661.38	$5,496.49	2026-05-09
10086542	OTHER	Bioinductive Implant W/arthro Del Pk Med	5	5	$7,510.00	$6,008.00 20% off	$1,441.17	$7,510.00	$5,482.30	2026-05-09
3050	OTHER	Other Transplant Procedures	5	5	—	—	$5,477.21	$5,641.53	$5,477.21	2026-05-09
25385003	OTHER	Dalbavancin(dalvance)inj:500mg	5	5	$7,500.00	$6,000.00 20% off	$1,439.25	$6,187.50	$5,475.00	2026-05-09
38	OTHER	Level Ii Arthroscopy	5	5	—	—	$5,471.98	$5,636.14	$5,471.98	2026-05-09
43	OTHER	Open Or Percutaneous Treatment Of Fractures	5	5	—	—	$5,405.94	$5,568.11	$5,405.94	2026-05-09
10081249	OTHER	Arthrex Brace Implant System, Ligament A	6	6	$6,240.00	$4,992.00 20% off	$1,197.46	$7,832.00	$5,397.60	2026-05-09
70	OTHER	Level Ii Thoracic And Chest Procedures	5	5	—	—	$5,293.88	$5,452.69	$5,293.88	2026-05-09
6010500	OTHER	Disc Replacement; Fusion	5	5	$7,200.00	$5,760.00 20% off	$1,381.68	$5,940.00	$5,256.00	2026-05-09
25152940	OTHER	Antivenin Polyvalent Crotalidae	5	5	$7,156.00	$5,724.80 20% off	$1,373.24	$5,903.70	$5,223.88	2026-05-09
228	OTHER	Level Ii Craniofacial Bone Procedures	5	5	—	—	$5,208.03	$5,364.27	$5,208.03	2026-05-09
123	OTHER	Peripheral Vascular Bypass Procedures	5	5	—	—	$5,164.84	$5,319.78	$5,164.84	2026-05-09
218	OTHER	Level Ii Peripheral Nerve Procedures	5	5	—	—	$5,069.76	$5,221.86	$5,069.76	2026-05-09
129	OTHER	Esophagogastric Restrictive Procedures And Gastric Fundoplication	5	5	—	—	$5,046.67	$5,198.07	$5,046.67	2026-05-09
10087181	OTHER	Podiatry - Plate 4 Hole 2omm	5	5	$6,910.00	$5,528.00 20% off	$1,326.03	$5,700.75	$5,044.30	2026-05-09
10087230	OTHER	Rods, 5.5mm X500mm	6	6	$8,150.00	$6,520.00 20% off	$1,563.99	$8,150.00	$5,012.25	2026-05-09
28	OTHER	Level I Spine Procedures	5	5	—	—	$4,969.22	$5,118.30	$4,969.22	2026-05-09
10086118	OTHER	Plate 12mm Zavation	6	6	$5,740.00	$4,592.00 20% off	$1,101.51	$7,832.00	$4,965.10	2026-05-09
10086119	OTHER	Plate 16mm Zavation	6	6	$5,740.00	$4,592.00 20% off	$1,101.51	$7,832.00	$4,965.10	2026-05-09
25393860	OTHER	Abatacept(orencia)inj:250mg	5	5	$6,800.00	$5,440.00 20% off	$1,304.92	$5,610.00	$4,964.00	2026-05-09
346	OTHER	Radiosurgery	5	5	—	—	$4,923.62	$5,071.33	$4,923.62	2026-05-09
10085009	OTHER	Crosslinks Medium Astura	6	6	$5,660.00	$4,528.00 20% off	$1,086.15	$7,832.00	$4,895.90	2026-05-09
6029828	OTHER	Arthroscopy, Shoulder, Biceps Tendon	6	6	$6,284.00	$5,027.20 20% off	$1,205.90	$7,226.60	$4,885.81	2026-05-09
6000120	OTHER	Surgery 2 Hours	5	5	$6,674.00	$5,339.20 20% off	$1,280.74	$5,506.05	$4,872.02	2026-05-09
175	OTHER	Level Iii Bladder And Ureteral Procedures	5	5	—	—	$4,845.35	$4,990.71	$4,845.35	2026-05-09
25170022	OTHER	Actemra 400 Mg In 100 Ml Ns	5	5	$6,630.00	$5,304.00 20% off	$1,272.30	$5,469.75	$4,839.90	2026-05-09
25170021	OTHER	Actemra 800 Mg In 100 Ml Ns	5	5	$6,630.00	$5,304.00 20% off	$1,272.30	$5,469.75	$4,839.90	2026-05-09
10084841	OTHER	Podiatry - 12mm Evans Wedge	5	5	$6,630.00	$5,304.00 20% off	$1,272.30	$5,469.75	$4,839.90	2026-05-09
25170020	OTHER	Actemra 400 Mg Inj	5	5	$6,630.00	$5,304.00 20% off	$1,272.30	$5,469.75	$4,839.90	2026-05-09
10085691	OTHER	Gortex Dualmesh 20x30cm	5	5	$6,570.00	$5,256.00 20% off	$1,260.78	$6,570.00	$4,796.10	2026-05-09
266	OTHER	Open Intracranial And Extracranial Vascular Procedures	5	5	—	—	$4,722.07	$4,863.73	$4,722.07	2026-05-09
280	OTHER	Level Iii Vascular Radiological Procedures	5	5	—	—	$4,701.86	$4,842.91	$4,701.86	2026-05-09
184	OTHER	Level Ii Prostate Procedures	5	5	—	—	$4,638.92	$4,778.09	$4,638.92	2026-05-09
10085078	OTHER	Arthrex Tightrope Xp Implant Ssteel	6	6	$5,350.00	$4,280.00 20% off	$1,026.67	$7,832.00	$4,627.75	2026-05-09
25387771	OTHER	Nf-zemaira Iv:6664mg	5	5	$6,284.00	$5,027.20 20% off	$1,205.90	$5,184.30	$4,587.32	2026-05-09
10085059	OTHER	Nutech Sifix Cortical Sacroilliac Allogr	5	5	$6,260.00	$5,008.00 20% off	$1,201.29	$5,164.50	$4,569.80	2026-05-09
10085116	OTHER	Arthrex Syndesmosis TightRope Xp, Titani	5	5	$6,240.00	$4,992.00 20% off	$1,197.46	$6,240.00	$4,555.20	2026-05-09
6010300	OTHER	Laminectomy And/or Discectomy	5	5	$6,000.00	$4,800.00 20% off	$1,151.40	$4,950.00	$4,380.00	2026-05-09
153	OTHER	Level Ii Ercp And Related Endoscopic Procedures	5	5	—	—	$4,368.62	$4,499.68	$4,368.62	2026-05-09
263	OTHER	Thyroid And Parathyroid Procedures	5	5	—	—	$4,366.62	$4,497.62	$4,366.62	2026-05-09
255	OTHER	Level IV Ear, Nose, Mouth And Throat Procedures	5	5	—	—	$4,366.51	$4,497.50	$4,366.51	2026-05-09
208	OTHER	Level Ii Other Uterine And Adnexa Gynecological Procedures	5	5	—	—	$4,358.34	$4,489.09	$4,358.34	2026-05-09
463	OTHER	Class Xi Combined Chemotherapy And Pharmacotherapy	5	5	—	—	$4,331.72	$4,461.67	$4,331.72	2026-05-09
10081348	OTHER	Bone Graft Profiniti Bloactive	5	5	$5,880.00	$4,704.00 20% off	$1,128.37	$5,880.00	$4,292.40	2026-05-09
25390471	OTHER	Anavip(crotalidae Immune F):10 Ml Vial	5	5	$5,856.00	$4,684.80	$1,123.77	$4,831.20	$4,274.88	2026-05-09
155	OTHER	Level Iii Blood Product Exchange Services	5	5	—	—	$4,249.51	$4,377.00	$4,249.51	2026-05-09
10089787	OTHER	Kugel Oval Large (6.1 X10.1 ) Ventrio	5	5	$5,710.00	$4,568.00 20% off	$1,095.75	$5,710.00	$4,168.30	2026-05-09
174	OTHER	Level Ii Bladder And Ureteral Procedures	5	5	—	—	$4,153.49	$4,278.10	$4,153.49	2026-05-09
10085605	OTHER	Crosslinks, Adjustable Crosslink X-small	6	6	$4,790.00	$3,832.00 20% off	$919.20	$7,832.00	$4,143.35	2026-05-09
10085481	OTHER	Crosslinks 54mm	6	6	$4,790.00	$3,832.00 20% off	$919.20	$7,832.00	$4,143.35	2026-05-09
10085430	OTHER	Crosslinks 41mm	6	6	$4,790.00	$3,832.00 20% off	$919.20	$7,832.00	$4,143.35	2026-05-09
10085472	OTHER	Crosslinks, Adjustable Crosslink 30-34	6	6	$4,790.00	$3,832.00 20% off	$919.20	$7,832.00	$4,143.35	2026-05-09
10085147	OTHER	Crosslinks, Adjustable Crosslink 42-58	6	6	$4,790.00	$3,832.00 20% off	$919.20	$7,832.00	$4,143.35	2026-05-09
10085478	OTHER	Crosslinks, Adjustable Crosslink 54-80mm	6	6	$4,790.00	$3,832.00 20% off	$919.20	$7,832.00	$4,143.35	2026-05-09
10085513	OTHER	Crosslinks, Adjustable Crosslink	6	6	$4,790.00	$3,832.00 20% off	$919.20	$7,832.00	$4,143.35	2026-05-09
10085570	OTHER	Crosslinks, Adjustable Crosslink Medium	6	6	$4,790.00	$3,832.00 20% off	$919.20	$7,832.00	$4,143.35	2026-05-09
10085474	OTHER	Crosslinks, Adjustable Crosslink 34-42	6	6	$4,790.00	$3,832.00 20% off	$919.20	$7,832.00	$4,143.35	2026-05-09
204	OTHER	Level I Hysterectomy And Myomectomy Procedures	5	5	—	—	$4,135.51	$4,259.58	$4,135.51	2026-05-09
462	OTHER	Class X Combined Chemotherapy And Pharmacotherapy	5	5	—	—	$4,114.42	$4,237.85	$4,114.42	2026-05-09
10087189	OTHER	Podiatry - Plate Fib 9 Hole	5	5	$5,620.00	$4,496.00 20% off	$1,078.48	$4,636.50	$4,102.60	2026-05-09
25394771	OTHER	Gamunex-c 10%(ivig) 10 Gram: 100 Ml	5	5	$5,588.00	$4,470.40 20% off	$1,072.34	$4,610.10	$4,079.24	2026-05-09
297	OTHER	Magnetocephalography	5	5	—	—	$4,070.58	$4,192.70	$4,070.58	2026-05-09
71	OTHER	Level Ii Lower Airway Endoscopy	5	5	—	—	$4,052.07	$4,173.63	$4,052.07	2026-05-09
264	OTHER	Major Craniotomy And Craniectomy Surgical Procedures	5	5	—	—	$4,035.97	$4,157.05	$4,035.97	2026-05-09
154	OTHER	Level Iii Upper Gi Endoscopy	5	5	—	—	$4,007.18	$4,127.39	$4,007.18	2026-05-09
128	OTHER	Level Ii Small And Large Intestine Surgical Procedures	5	5	—	—	$3,983.20	$4,102.70	$3,983.20	2026-05-09
10089775	OTHER	Kugel Oval Xlg (10.8 X 13.7 ) Composix	5	5	$5,420.00	$4,336.00 20% off	$1,040.10	$5,420.00	$3,956.60	2026-05-09
10085162	OTHER	Phantom Xl Insulated Dilators, Set Of 3	6	6	$5,060.00	$4,048.00 20% off	$971.01	$7,832.00	$3,934.15	2026-05-09
11020102	OTHER	Exploration Pen Wnd Abd/flank/back	6	6	$5,011.00	$4,008.80	$961.61	$5,762.65	$3,896.06	2026-05-09
10085529	OTHER	Drf Clamp Navtl0002	5	5	$5,330.00	$4,264.00 20% off	$1,022.83	$5,330.00	$3,890.90	2026-05-09
3035	OTHER	Abdominal Hernia Repair	5	5	—	—	$3,884.19	$4,000.72	$3,884.19	2026-05-09
77	OTHER	Level I Peripheral Endovascular And Transcatheter Procedures	5	5	—	—	$3,882.02	$3,998.48	$3,882.02	2026-05-09
25388914	OTHER	Injectafer(ferric Carboxy.)inj: 750mg	5	5	$5,312.00	$4,249.60	$1,019.37	$4,382.40	$3,877.76	2026-05-09
10081242	OTHER	Ortho Rooi-c Lordtic Implant Plate	6	6	$4,470.00	$3,576.00 20% off	$857.79	$7,832.00	$3,866.55	2026-05-09
10081229	OTHER	Ortho Rooi-c Plate	6	6	$4,470.00	$3,576.00 20% off	$857.79	$7,832.00	$3,866.55	2026-05-09
10081130	OTHER	Ortho Rooi-c Plate	6	6	$4,470.00	$3,576.00 20% off	$857.79	$7,832.00	$3,866.55	2026-05-09
10081258	OTHER	Ortho Rooi-c Plate	6	6	$4,470.00	$3,576.00 20% off	$857.79	$7,832.00	$3,866.55	2026-05-09
27	OTHER	Level I Hip And Femur Procedures	5	5	—	—	$3,838.89	$3,954.05	$3,838.89	2026-05-09
3033	OTHER	Inguinal, Femoral And Umbilical Hernia Repair	5	5	—	—	$3,815.73	$3,930.21	$3,815.73	2026-05-09
91	OTHER	Level Ii Peripheral Vascular Repair, Ligation Or Reconstruction	5	5	—	—	$3,785.30	$3,898.85	$3,785.30	2026-05-09
25120015	OTHER	Torisel(temsirolimus)inj: 25mg	5	5	$5,179.00	$4,143.20 20% off	$993.85	$4,272.68	$3,780.67	2026-05-09
179	OTHER	Ectopic Pregnancy Procedures	5	5	—	—	$3,772.02	$3,885.18	$3,772.02	2026-05-09
10086053	OTHER	Ortho Bone Graft	5	5	$5,140.00	$4,112.00 20% off	$986.37	$5,140.00	$3,752.20	2026-05-09
126	OTHER	Level Ii Esophageal And Gastric Surgical Procedures	5	5	—	—	$3,732.47	$3,844.44	$3,732.47	2026-05-09
10089786	OTHER	Kugel Oval X-large (8.7 X10.7 ) Ventrio	5	5	$5,100.00	$4,080.00 20% off	$978.69	$5,100.00	$3,723.00	2026-05-09
225	OTHER	Other Intracranial Neurosurgery Procedures	5	5	—	—	$3,709.85	$3,821.14	$3,709.85	2026-05-09
10085653	OTHER	Screw 7.5x55mm Astura	6	6	$6,030.00	$4,824.00 20% off	$1,157.16	$6,030.00	$3,708.45	2026-05-09
10085651	OTHER	Screw 6.5x60mm Astura	6	6	$6,030.00	$4,824.00 20% off	$1,157.16	$6,030.00	$3,708.45	2026-05-09

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