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

CLINCH MEMORIAL HOSPITAL

Homerville, GA · CCN 111308 · Rates published

1,564 distinct procedures filed
14 distinct payers
106,157 rate rows
2026-09-21 last MRF observed
Data quality

74,716 of 106,157 rate rows are consumer-grade (70.4%)

31,441 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
per-diem day rate — not a per-procedure price 31,230
percent-of-charges filed in the dollar field — excluded from medians 211
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://clinchmh.org/wp-content/uploads/2025/10/586011853_Clinch-Memorial-Hospital_StandardCharges.csv
Found on page https://clinchmh.org/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 65c688eba6ab5d55… · 5,020,737 bytes · first seen 2026-05-05

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
J2997
HCPCS 		50242-0085-27 - Alteplase 100 Mg Intravenous Injection [clmh] 14 $6,605.30 $31,681.29 $27,879.53 nat. median
$428
outlier · 65.1×
45347
CPT 		45347 Sigmoidoscopy, Flexible; With Placement Of Endoscopic Stent 14 $6,605.30 $13,075.00 $11,506.00 nat. median
$5,246
outlier · 2.2×
J0840
HCPCS 		50633-0110-12 - Antivenin (Crotalidae Ovine) Polyvalent Intravenous Injection [c… 14 $6,605.30 $11,512.80 $10,131.26 nat. median
$3,496
outlier · 2.9×
42367-0540-32
NDC 		42367-0540-32 - Dantrolene 250 Mg Intravenous Injection [clmh] 14 $2,497.69 $11,256.30 $9,680.42 nat. median
$9,906
1.0× median
31625
CPT 		31625 Brnchsc/endobrncl Bx 1+ Sites Charge 14 $6,605.30 $10,474.73 $9,217.76 nat. median
$2,048
outlier · 4.5×
31623
CPT 		31623 Brnchsc Brushing/protected Brushings Charge 14 $6,605.30 $10,474.73 $9,217.76 nat. median
$2,048
outlier · 4.5×
31622
CPT 		31622 Brnchsc Incl Fluor Gdnce Dx W/cell Washg Charge 14 $6,605.30 $10,474.73 $9,217.76 nat. median
$1,893
outlier · 4.9×
31624
CPT 		31624 Brnchsc W/brncl Alveolar Lavage Charge 14 $6,605.30 $10,474.73 $9,217.76 nat. median
$2,076
outlier · 4.4×
J0897
HCPCS 		55513-0730-01 - Denosumab 120 Mg/1.7 Ml Subcutaneous Solution 1.7 Ml [clmh] 14 $5,411.74 $6,764.68 $6,426.44 nat. median
$86
outlier · 74.7×
J0875
HCPCS 		57970-0100-01 - Dalbavancin 500 Mg Intravenous Injection [clmh] 14 $5,123.89 $6,404.87 $6,084.62 nat. median
$49
outlier · 123.0×
G0105
HCPCS 		G0105 Colorectal Ca Screen High Risk 14 $4,653.82 $5,817.28 $5,526.41 nat. median
$1,190
outlier · 4.6×
J0129
HCPCS 		00003-2187-13 - Abatacept 250 Mg Intravenous Injection [clmh] 14 $4,113.21 $5,141.52 $4,884.44 nat. median
$122
outlier · 40.0×
J9217
HCPCS 		62935-0223-05 - Leuprolide 22.5 Mg/3 Months Subcutaneous Injection, Extended Rel… 14 $3,902.59 $4,878.24 $4,634.32 nat. median
$2,144
outlier · 2.2×
44363
CPT 		44363 Small Endo With Remove Foreign Bdy Charge 14 $3,404.00 $4,255.00 $4,042.25 nat. median
$2,023
2.0× median
44360
CPT 		44360 Endoscopy Upper Small Intestine Charge 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$2,049
2.0× median
43255
CPT 		43255 Egd Bleeding Control Any Method 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$1,955
outlier · 2.1×
44373
CPT 		44373 Small Endo Conv Gstrst Tube Charge 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$2,031
2.0× median
43246
CPT 		43246 Egd Flex Transoral W/directed Plcmnt Perc Gastrostomy Tube 14 $2,557.00 $4,225.00 $4,013.75 nat. median
$2,046
2.0× median
43250
CPT 		43250 Egd Cautery Tumor Polyp Charge 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$2,004
outlier · 2.0×
43244
CPT 		43244 Egd Flex Transoral W/band Ligation Esophageal/gastric Varices 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$2,046
2.0× median
43251
CPT 		43251 Egd Remove Lesion Snare Charge 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$2,031
2.0× median
44372
CPT 		44372 Small Endo W/perq Jej Plc Charge 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$2,077
1.9× median
44364
CPT 		44364 Small Bowel Endoscopy/ Snare Polyp Charge 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$2,004
outlier · 2.0×
44361
CPT 		44361 Endoscopy Upper Small Intestine W/biopsy Charge 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$1,991
outlier · 2.0×
44366
CPT 		44366 Small Bowel Endoscop With Control Of Bleed Charge 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$2,077
1.9× median
44369
CPT 		44369 Small Bwl Endo W/ablation Tumor Poly Charge 14 $3,380.00 $4,225.00 $4,013.75 nat. median
$2,104
1.9× median
43249
CPT 		43249 Esophagogastroduodenoscopy, Flexible, Transoral; With Transendoscopic Ball… 14 $2,557.00 $4,225.00 $4,013.75 nat. median
$1,996
outlier · 2.0×
74177
CPT 		CT Abdomen And Pelvis With Contrast 14 $1,630.00 $4,134.00 $3,927.29 nat. median
$501
outlier · 7.8×
13120
CPT 		13120-scalp/arms/legs 1.1-2.5 Cm 14 $3,253.32 $4,066.65 $3,863.31 nat. median
$629
outlier · 6.1×
13121
CPT 		13121-scalp/arms/legs 2.6-7.5 Cm 14 $3,253.32 $4,066.65 $3,863.31 nat. median
$697
outlier · 5.5×
95782
CPT 		95782 Psg Pediatric Charge 14 $2,061.00 $3,405.00 $3,234.75 nat. median
$1,310
outlier · 2.5×
95783
CPT 		95783 Pediatric Mslt Charge 14 $2,061.00 $3,405.00 $3,234.75 nat. median
$1,198
outlier · 2.7×
95714
CPT 		95714 - Unmonitored EEG With Video 14 $2,707.20 $3,384.01 $3,214.80 nat. median
$929
outlier · 3.5×
95715
CPT 		95715 12-26 Hrs Video Eeg, IM 14 $2,707.20 $3,384.01 $3,214.80 nat. median
$940
outlier · 3.4×
31615
CPT 		31615 Tracheobronchoscopy Through Established Tracheostomy Incision Charge 14 $2,533.21 $3,166.52 $3,008.19 nat. median
$651
outlier · 4.6×
95717
CPT 		95717 EEG Video Recording Each 24 Hours Charge 14 $1,816.00 $3,000.00 $2,850.00 nat. median
$187
outlier · 15.2×
74178
CPT 		CT Abdomen And Pelvis With + Without Contrast 14 $1,712.00 $2,829.00 $2,687.54 nat. median
$539
outlier · 5.0×
45350
CPT 		45350 Sigmoidoscopy, Flexible; With Band Ligation(s) 14 $2,156.00 $2,695.00 $2,560.25 nat. median
$1,532
1.7× median
44392
CPT 		44392 Colonoscopy Stoma Rmvl Hot Biopsy Forcep Charge 14 $2,156.00 $2,695.00 $2,560.25 nat. median
$1,459
1.8× median
45340
CPT 		45340 Sigmoidoscopy, Flexible With Transendoscopic Balloon Dilation 14 $2,156.00 $2,695.00 $2,560.25 nat. median
$1,314
1.9× median
45334
CPT 		45334 Sigmoidoscopy, Flexible With Control Of Bleeding, Any Method 14 $2,156.00 $2,695.00 $2,560.25 nat. median
$1,412
1.8× median
45381
CPT 		45381 Colonoscopy, Flexible; With Directed Submucosal Injection, Any Substance 14 $1,631.00 $2,695.00 $2,560.25 nat. median
$1,388
1.8× median
45338
CPT 		45338 Sigmoidoscopy, Flexible; With Removal Of Tumor(s), Polyp(s), Or Other Lesi… 14 $2,156.00 $2,695.00 $2,560.25 nat. median
$1,350
1.9× median
45380
CPT 		45380 Colonoscopy W/bx Single/multiple 14 $609.00 $2,695.00 $2,560.25 nat. median
$1,441
1.8× median
45382
CPT 		45382 Colonoscopy, Flexible With Control Of Bleeding, Any Method 14 $2,156.00 $2,695.00 $2,560.25 nat. median
$1,532
1.7× median
45385
CPT 		45385 Colonoscopy W/rem Lesion Snare Technique Tech Fee 14 $1,631.00 $2,695.00 $2,560.25 nat. median
$1,486
1.7× median
45384
CPT 		45384 Colonoscopy, Flexible; With Removal Of Tumor(s), Polyp(s), Or Other Lesion… 14 $437.78 $2,695.00 $2,560.25 nat. median
$1,532
1.7× median
J0457
HCPCS 		63323-0401-20 - Aztreonam 1 G Injection 20mL/10EA[CLMH] 14 $1,897.92 $2,597.76 $2,253.78 nat. median
$64
outlier · 35.5×
74176
CPT 		CT Abdomen And Pelvis Without Contrast 14 $1,065.00 $2,288.00 $2,173.60 nat. median
$333
outlier · 6.5×
95807
CPT 		95807 Pap-nap Charge 14 $1,816.00 $2,270.00 $2,156.50 nat. median
$570
outlier · 3.8×

Other procedures at this hospital

Browse this hospital's 1,564 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
             
J2997 HCPCS 50242-0085-27 - Alteplase 100 Mg Intravenous Injection [clmh] 44 14 $31,681.29 $31,681.29 $6,605.30 $31,681.29 $27,879.53 2026-09-21
45347 CPT 45347 Sigmoidoscopy, Flexible; With Placement Of Endoscopic Stent 44 14 $13,075.00 $6,537.50 50% off $6,605.30 $13,075.00 $11,506.00 2026-09-21
J0840 HCPCS 50633-0110-12 - Antivenin (Crotalidae Ovine) Polyvalent Intravenous Injection [c… 44 14 $11,512.80 $11,512.80 $6,605.30 $11,512.80 $10,131.26 2026-09-21
42367-0540-32 NDC 42367-0540-32 - Dantrolene 250 Mg Intravenous Injection [clmh] 45 14 $11,256.30 $11,256.30 $2,497.69 $11,256.30 $9,680.42 2026-09-21
31625 CPT 31625 Brnchsc/endobrncl Bx 1+ Sites Charge 44 14 $10,474.73 $5,237.36 50% off $6,605.30 $10,474.73 $9,217.76 2026-09-21
31622 CPT 31622 Brnchsc Incl Fluor Gdnce Dx W/cell Washg Charge 44 14 $10,474.73 $5,237.36 50% off $6,605.30 $10,474.73 $9,217.76 2026-09-21
31623 CPT 31623 Brnchsc Brushing/protected Brushings Charge 44 14 $10,474.73 $5,237.36 50% off $6,605.30 $10,474.73 $9,217.76 2026-09-21
31624 CPT 31624 Brnchsc W/brncl Alveolar Lavage Charge 44 14 $10,474.73 $5,237.36 50% off $6,605.30 $10,474.73 $9,217.76 2026-09-21
J0897 HCPCS 55513-0730-01 - Denosumab 120 Mg/1.7 Ml Subcutaneous Solution 1.7 Ml [clmh] 44 14 $6,764.68 $6,764.68 $5,411.74 $6,764.68 $6,426.44 2026-09-21
J0875 HCPCS 57970-0100-01 - Dalbavancin 500 Mg Intravenous Injection [clmh] 44 14 $6,404.87 $6,404.87 $5,123.89 $6,404.87 $6,084.62 2026-09-21
G0105 HCPCS G0105 Colorectal Ca Screen High Risk 45 14 $5,817.28 $2,908.64 50% off $4,653.82 $5,817.28 $5,526.41 2026-09-21
J0129 HCPCS 00003-2187-13 - Abatacept 250 Mg Intravenous Injection [clmh] 44 14 $5,141.52 $5,141.52 $4,113.21 $5,141.52 $4,884.44 2026-09-21
J9217 HCPCS 62935-0223-05 - Leuprolide 22.5 Mg/3 Months Subcutaneous Injection, Extended Rel… 44 14 $4,878.24 $4,878.24 $3,902.59 $4,878.24 $4,634.32 2026-09-21
44363 CPT 44363 Small Endo With Remove Foreign Bdy Charge 44 14 $4,255.00 $2,127.50 50% off $3,404.00 $4,255.00 $4,042.25 2026-09-21
43244 CPT 43244 Egd Flex Transoral W/band Ligation Esophageal/gastric Varices 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
44364 CPT 44364 Small Bowel Endoscopy/ Snare Polyp Charge 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
43255 CPT 43255 Egd Bleeding Control Any Method 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
44360 CPT 44360 Endoscopy Upper Small Intestine Charge 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
44361 CPT 44361 Endoscopy Upper Small Intestine W/biopsy Charge 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
43251 CPT 43251 Egd Remove Lesion Snare Charge 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
44369 CPT 44369 Small Bwl Endo W/ablation Tumor Poly Charge 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
43250 CPT 43250 Egd Cautery Tumor Polyp Charge 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
44366 CPT 44366 Small Bowel Endoscop With Control Of Bleed Charge 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
44372 CPT 44372 Small Endo W/perq Jej Plc Charge 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
44373 CPT 44373 Small Endo Conv Gstrst Tube Charge 44 14 $4,225.00 $2,112.50 50% off $3,380.00 $4,225.00 $4,013.75 2026-09-21
43249 CPT 43249 Esophagogastroduodenoscopy, Flexible, Transoral; With Transendoscopic Ball… 45 14 $4,225.00 $2,112.50 50% off $2,557.00 $4,225.00 $4,013.75 2026-09-21
43246 CPT 43246 Egd Flex Transoral W/directed Plcmnt Perc Gastrostomy Tube 45 14 $4,225.00 $2,112.50 50% off $2,557.00 $4,225.00 $4,013.75 2026-09-21
74177 CPT CT Abdomen And Pelvis With Contrast 48 14 $4,134.00 $2,067.00 50% off $1,630.00 $4,134.00 $3,927.29 2026-09-21
13121 CPT 13121-scalp/arms/legs 2.6-7.5 Cm 44 14 $4,066.65 $2,033.32 50% off $3,253.32 $4,066.65 $3,863.31 2026-09-21
13120 CPT 13120-scalp/arms/legs 1.1-2.5 Cm 44 14 $4,066.65 $2,033.32 50% off $3,253.32 $4,066.65 $3,863.31 2026-09-21
95782 CPT 95782 Psg Pediatric Charge 45 14 $3,405.00 $1,702.50 50% off $2,061.00 $3,405.00 $3,234.75 2026-09-21
95783 CPT 95783 Pediatric Mslt Charge 45 14 $3,405.00 $1,702.50 50% off $2,061.00 $3,405.00 $3,234.75 2026-09-21
95715 CPT 95715 12-26 Hrs Video Eeg, IM 44 14 $3,384.01 $1,692.00 50% off $2,707.20 $3,384.01 $3,214.80 2026-09-21
95714 CPT 95714 - Unmonitored EEG With Video 44 14 $3,384.01 $1,692.00 50% off $2,707.20 $3,384.01 $3,214.80 2026-09-21
31615 CPT 31615 Tracheobronchoscopy Through Established Tracheostomy Incision Charge 44 14 $3,166.52 $1,583.26 50% off $2,533.21 $3,166.52 $3,008.19 2026-09-21
95717 CPT 95717 EEG Video Recording Each 24 Hours Charge 45 14 $3,000.00 $1,500.00 50% off $1,816.00 $3,000.00 $2,850.00 2026-09-21
74178 CPT CT Abdomen And Pelvis With + Without Contrast 46 14 $2,829.00 $1,414.50 50% off $1,712.00 $2,829.00 $2,687.54 2026-09-21
45340 CPT 45340 Sigmoidoscopy, Flexible With Transendoscopic Balloon Dilation 44 14 $2,695.00 $1,347.50 50% off $2,156.00 $2,695.00 $2,560.25 2026-09-21
45385 CPT 45385 Colonoscopy W/rem Lesion Snare Technique Tech Fee 46 14 $2,695.00 $1,347.50 50% off $1,631.00 $2,695.00 $2,560.25 2026-09-21
45338 CPT 45338 Sigmoidoscopy, Flexible; With Removal Of Tumor(s), Polyp(s), Or Other Lesi… 44 14 $2,695.00 $1,347.50 50% off $2,156.00 $2,695.00 $2,560.25 2026-09-21
45384 CPT 45384 Colonoscopy, Flexible; With Removal Of Tumor(s), Polyp(s), Or Other Lesion… 46 14 $2,695.00 $1,347.50 50% off $437.78 $2,695.00 $2,560.25 2026-09-21
44392 CPT 44392 Colonoscopy Stoma Rmvl Hot Biopsy Forcep Charge 44 14 $2,695.00 $1,347.50 50% off $2,156.00 $2,695.00 $2,560.25 2026-09-21
45350 CPT 45350 Sigmoidoscopy, Flexible; With Band Ligation(s) 44 14 $2,695.00 $1,347.50 50% off $2,156.00 $2,695.00 $2,560.25 2026-09-21
45382 CPT 45382 Colonoscopy, Flexible With Control Of Bleeding, Any Method 44 14 $2,695.00 $1,347.50 50% off $2,156.00 $2,695.00 $2,560.25 2026-09-21
45380 CPT 45380 Colonoscopy W/bx Single/multiple 45 14 $2,695.00 $1,347.50 50% off $609.00 $2,695.00 $2,560.25 2026-09-21
45381 CPT 45381 Colonoscopy, Flexible; With Directed Submucosal Injection, Any Substance 45 14 $2,695.00 $1,347.50 50% off $1,631.00 $2,695.00 $2,560.25 2026-09-21
45334 CPT 45334 Sigmoidoscopy, Flexible With Control Of Bleeding, Any Method 44 14 $2,695.00 $1,347.50 50% off $2,156.00 $2,695.00 $2,560.25 2026-09-21
J0457 HCPCS 63323-0401-20 - Aztreonam 1 G Injection 20mL/10EA[CLMH] 46 14 $2,485.08 $2,485.08 $1,897.92 $2,597.76 $2,253.78 2026-09-21
74176 CPT CT Abdomen And Pelvis Without Contrast 48 14 $2,288.00 $1,144.00 50% off $1,065.00 $2,288.00 $2,173.60 2026-09-21
95811 CPT 95811 Cpap Titration 45 14 $2,270.00 $1,135.00 50% off $1,374.00 $2,270.00 $2,156.50 2026-09-21
95810 CPT 95810 Polysomnography Charge 47 14 $2,270.00 $1,135.00 50% off $1,374.00 $2,270.00 $2,156.50 2026-09-21
95805 CPT 95805 Multiple Sleep Latency Or Maintenance Of Wakefulness Testing, Recording, A… 44 14 $2,270.00 $1,135.00 50% off $1,816.00 $2,270.00 $2,156.50 2026-09-21
95807 CPT 95807 Pap-nap Charge 44 14 $2,270.00 $1,135.00 50% off $1,816.00 $2,270.00 $2,156.50 2026-09-21
43239 CPT 43239 Egd W/biopsy Sngle/multiple 46 14 $2,105.00 $1,052.50 50% off $846.60 $2,105.00 $1,999.75 2026-09-21
43236 CPT 43236 Egd W Submucosal Injection 44 14 $2,105.00 $1,052.50 50% off $1,684.00 $2,105.00 $1,999.75 2026-09-21
43235 CPT 43235 Egd Transoral Diagnostic Tech Fee 45 14 $2,105.00 $1,052.50 50% off $321.00 $2,105.00 $1,999.75 2026-09-21
43248 CPT 43248 Egd W/insert Guide Wire 44 14 $2,105.00 $1,052.50 50% off $1,684.00 $2,105.00 $1,999.75 2026-09-21
43450 CPT 43450 Dilate Esoph 1/mult Pass Charge 46 14 $2,105.00 $1,052.50 50% off $570.16 $14,735.00 $1,999.75 2026-09-21
43247 CPT 43247 Esophagogastroduodenoscopy, Flexible, Transoral; With Removal Of Foreign B… 46 14 $2,105.00 $1,052.50 50% off $1,274.00 $2,105.00 $1,999.75 2026-09-21
45335 CPT 45335 Sigmoidoscopy, Flexible; With Directed Submucosal Injection(s), Any Substa… 44 14 $2,065.00 $1,032.50 50% off $1,652.00 $2,065.00 $1,961.75 2026-09-21
45331 CPT 45331 Sigmoidoscopy, Flexible With Biopsy, Single Or Multiple 44 14 $2,065.00 $1,032.50 50% off $1,652.00 $2,065.00 $1,961.75 2026-09-21
45333 CPT 45333 Sigmoidoscopy, Flexible; With Removal Of Tumor(s), Polyp(s), Or Other Lesi… 44 14 $2,065.00 $1,032.50 50% off $1,652.00 $2,065.00 $1,961.75 2026-09-21
45337 CPT 45337 Sigmoidoscopy, Flexible; With Decompression, Including Placement Of Decomp… 44 14 $2,065.00 $1,032.50 50% off $1,652.00 $2,065.00 $1,961.75 2026-09-21
45378 CPT 45378 Colonoscopy Flexible Diagnostic4 46 14 $2,065.00 $1,032.50 50% off $294.14 $2,065.00 $1,961.75 2026-09-21
45330 CPT 45330 Sigmoid Flex Without Biopsy Charge 44 14 $2,065.00 $1,032.50 50% off $1,652.00 $2,065.00 $1,961.75 2026-09-21
56405 CPT 56405 Inc. &drain Abscess Ed Tech Fee 44 14 $2,043.72 $1,021.86 50% off $1,634.97 $2,043.72 $1,941.53 2026-09-21
95712 CPT 95712 - Intermittently Monitored EEG With Video 44 14 $1,960.42 $980.21 50% off $1,568.33 $1,960.42 $1,862.39 2026-09-21
64450 CPT 64450-injection Nerve Block Peripheral 44 14 $1,933.02 $966.51 50% off $1,546.41 $1,933.02 $1,836.36 2026-09-21
74170 CPT CT Abdomen With + Without Contrast 45 14 $1,886.00 $943.00 50% off $1,141.00 $1,886.00 $1,791.69 2026-09-21
J0248 HCPCS 61958-2901-02 - Remdesivir 100 Mg Intravenous Injection [clmh] 44 14 $1,872.00 $1,872.00 $1,497.60 $1,872.00 $1,778.39 2026-09-21
71270 CPT CT Chest With + Without Contrast 45 14 $1,804.00 $902.00 50% off $1,092.00 $1,804.00 $1,713.80 2026-09-21
74160 CPT CT Abdomen With Contrast 46 14 $1,796.00 $898.00 50% off $1,087.00 $1,796.00 $1,706.19 2026-09-21
J9155 HCPCS 55566-8303-01 - Degarelix 80 Mg Subcutaneous Injection [clmh] 44 14 $1,758.42 $1,758.42 $1,406.73 $1,758.42 $1,670.49 2026-09-21
49884-0768-54 NDC 49884-0768-54 - Tolvaptan 15 Mg Tab [clmh] 45 14 $1,685.34 $1,685.34 $1,348.27 $2,497.69 $1,601.07 2026-09-21
95722 CPT 95722-electroencephalogram (eeg), Continuous Recording, Physician 44 14 $1,672.09 $836.04 50% off $1,337.67 $1,672.09 $1,588.48 2026-09-21
71275 CPT CT Angio Chest Pe Protocol 48 14 $1,620.00 $810.00 50% off $980.00 $1,620.00 $1,539.00 2026-09-21
71260 CPT CT Chest With Contrast 48 14 $1,600.00 $800.00 50% off $968.00 $1,600.00 $1,520.00 2026-09-21
95812 CPT 95812 EEG 45 14 $1,500.00 $750.00 50% off $908.00 $1,500.00 $1,425.00 2026-09-21
95816 CPT 95816 EEG W/rec Awake&drowsy Charge 44 14 $1,500.00 $750.00 50% off $1,200.00 $1,500.00 $1,425.00 2026-09-21
99236 CPT 99236 Same Day Admit/Discharge - Level 3 18 12 $1,420.37 $710.18 50% off $1,420.37 $1,420.37 $1,420.37 2026-07-18
26670 CPT 26670-carpometacarpal Other Than Thumb 44 14 $1,473.50 $736.75 50% off $1,178.80 $1,473.50 $1,399.82 2026-09-21
95720 CPT 95951 EEG Monitoring/videorecord Charge 87 14 $3,000.00 $1,500.00 50% off $1,102.92 $3,000.00 $1,378.65 2026-09-21
71250 CPT CT Chest Without Contrast 48 14 $1,440.00 $720.00 50% off $741.00 $1,440.00 $1,368.00 2026-09-21
J0878 HCPCS 63323-0371-19 - DAPTOmycin 500 Mg Intravenous Injection [clmh] 132 14 $1,486.83 $1,486.83 $86.40 $1,603.74 $1,334.62 2026-09-21
72125 CPT CT Spine Cervical Without Contrast 48 14 $1,378.00 $689.00 50% off $642.00 $1,378.00 $1,309.10 2026-09-21
81256 CPT Hereditary Hemochromatosis, DNA Lc 44 14 $1,371.00 $685.50 50% off $1,096.80 $1,371.00 $1,302.45 2026-09-21
70492 CPT CT Neck Soft Tissue With + Without Contrast 46 14 $1,367.00 $683.50 50% off $827.00 $1,367.00 $1,298.64 2026-09-21
49281-0250-51 NDC 49281-0250-51 - Rabies Vaccine, Human Diploid Cell 2.5 Intl Units Intramuscular … 45 14 $1,347.00 $1,347.00 $1,077.60 $2,497.69 $1,279.64 2026-09-21
72131 CPT CT Spine Lumbar Without Contrast 47 14 $1,280.00 $640.00 50% off $716.00 $1,280.00 $1,216.00 2026-09-21
94060 CPT 94060 Evaluation Of Wheezing 63 14 $1,425.39 $712.69 50% off $296.12 $1,425.39 $1,204.74 2026-09-21
12005 CPT 12005 Simple Repair Of Superficial Wounds Of Scalp, Neck, Axillae, External Geni… 44 14 $1,258.45 $629.22 50% off $1,006.76 $1,258.45 $1,195.52 2026-09-21
70470 CPT CT Brain/Head With + Without Contrast 45 14 $1,257.00 $628.50 50% off $761.00 $1,257.00 $1,194.14 2026-09-21
72133 CPT CT Spine Lumbar With + Without Contrast 45 14 $1,257.00 $628.50 50% off $761.00 $1,257.00 $1,194.14 2026-09-21
72130 CPT CT Spine Thoracic With + Without Contrast 45 14 $1,257.00 $628.50 50% off $761.00 $1,257.00 $1,194.14 2026-09-21
72127 CPT CT Spine Cervical With + Without Contrast 44 14 $1,257.00 $628.50 50% off $1,005.60 $1,257.00 $1,194.14 2026-09-21
93306 CPT US Echo 2d Complete 66 14 $1,407.90 $703.95 50% off $168.95 $1,407.90 $1,193.34 2026-09-21
72194 CPT CT Pelvis With + Without Contrast 44 14 $1,246.00 $623.00 50% off $996.80 $1,246.00 $1,183.70 2026-09-21
70491 CPT CT Neck Soft Tissue With Contrast 46 14 $1,246.00 $623.00 50% off $754.00 $1,246.00 $1,183.70 2026-09-21
95819 CPT 95819 EEG Awake And Asleep Charge 44 14 $1,200.00 $600.00 50% off $960.00 $1,200.00 $1,140.00 2026-09-21
95806 CPT 95800 Home Sleep Test W/interpetation 46 14 $1,200.00 $600.00 50% off $726.00 $1,200.00 $1,140.00 2026-09-21
70488 CPT CT Maxillofacial With + Without Contrast 45 14 $1,157.00 $578.50 50% off $925.60 $1,157.00 $1,099.14 2026-09-21
70460 CPT CT Brain/Head With Contrast 44 14 $1,145.00 $572.50 50% off $916.00 $1,145.00 $1,087.75 2026-09-21
99235 CPT 99235 Same Day Admit/Discharge - Level 2 18 12 $1,083.11 $541.55 50% off $1,083.11 $1,083.11 $1,083.11 2026-07-18
72193 CPT CT Pelvis With Contrast 44 14 $1,110.00 $555.00 50% off $888.00 $1,110.00 $1,054.50 2026-09-21
86923 CPT Xm Ahg Tube Interp 44 14 $1,100.75 $550.37 50% off $880.60 $1,100.75 $1,045.71 2026-09-21
72128 CPT CT Spine Thoracic Without Contrast 46 14 $1,086.00 $543.00 50% off $657.00 $1,086.00 $1,031.70 2026-09-21
70480 CPT CT Orbits Sella Without Contrast 45 14 $1,086.00 $543.00 50% off $657.00 $1,086.00 $1,031.70 2026-09-21
36011 CPT Selective Catheter Placement, Venous System 36011 44 14 $1,057.54 $528.77 50% off $846.03 $1,057.54 $1,004.66 2026-09-21
70482 CPT CT Orbits Sella With + Without Contrast 44 14 $1,057.00 $528.50 50% off $845.60 $1,057.00 $1,004.15 2026-09-21
70486 CPT CT Maxillofacial Without Contrast 47 14 $1,040.00 $520.00 50% off $494.00 $1,040.00 $988.00 2026-09-21
70481 CPT CT Orbits Sella With Contrast 44 14 $1,030.75 $515.37 50% off $824.60 $1,030.75 $979.21 2026-09-21
70487 CPT CT Maxillofacial With Contrast 45 14 $1,030.75 $515.37 50% off $624.00 $1,030.75 $979.21 2026-09-21
J1610 HCPCS 00548-5850-00 - Glucagon 1 Mg Injection [clmh] 89 14 $1,008.00 $1,008.00 $202.00 $1,008.00 $956.92 2026-09-21
J0561 HCPCS 60793-0701-10 - Penicillin G Benzathine 1,200,000 Units/2 Ml Intramuscular Suspe… 44 14 $998.14 $998.14 $798.51 $998.14 $948.23 2026-09-21
86225 CPT Ana Comprehensive Panel Lc 165092 55 14 $1,100.26 $550.13 50% off $17.63 $1,100.26 $946.22 2026-09-21
70490 CPT CT Neck Soft Tissue Without Contrast 48 14 $995.00 $497.50 50% off $602.00 $995.00 $945.25 2026-09-21
74150 CPT CT Abdomen Without Contrast 47 14 $995.00 $497.50 50% off $602.00 $995.00 $945.25 2026-09-21
72192 CPT CT Pelvis Without Contrast 47 14 $995.00 $497.50 50% off $602.00 $995.00 $945.25 2026-09-21
87798 CPT Myco Genitalium Ur Naa Lc 44 14 $987.00 $493.50 50% off $789.60 $987.00 $937.65 2026-09-21
70450 CPT CT Brain/Head Without Contrast 48 14 $985.60 $492.80 50% off $657.00 $985.60 $936.31 2026-09-21
00005-2000-02 NDC 00005-2000-02 - Pneumococcal 20-valent Conjugate Vaccine [clmh] 45 14 $968.44 $968.44 $774.75 $2,497.69 $920.01 2026-09-21
J0885 HCPCS 59676-0310-01 - Epoetin Alfa 10,000 units/mL Preservative-free Injectable Soluti… 44 14 $962.10 $962.10 $769.68 $962.10 $913.99 2026-09-21
87799 CPT Bk Quant Pcr Ur Lc 45 14 $919.00 $459.50 50% off $713.00 $919.00 $873.05 2026-09-21
95718 CPT 95718 - EEG Reports 44 14 $891.66 $445.83 50% off $713.32 $891.66 $847.07 2026-09-21
87497 CPT Cmv Quant DNA Pcr Lc 45 14 $867.00 $433.50 50% off $525.00 $867.00 $823.65 2026-09-21
73202 CPT CT Elbow With + Without Contrast Left 44 14 $845.00 $422.50 50% off $676.00 $845.00 $802.75 2026-09-21
73702 CPT CT Ankle With + Without Contrast Left 44 14 $845.00 $422.50 50% off $676.00 $845.00 $802.75 2026-09-21
99291 CPT 99291 - Critical Care, 30-74 18 12 $800.00 $400.00 50% off $800.00 $800.00 $800.00 2026-07-18
10061 CPT 10061 Incision & Drainage Abscess Complicated/multiple TechFee 88 14 $1,598.12 $799.06 50% off $247.20 $1,598.12 $793.75 2026-09-21
88230 CPT Chromosome, Blood, Routine Lc 44 14 $815.43 $407.71 50% off $146.49 $815.43 $774.65 2026-09-21
54643-5649-01 NDC 54643-5649-01 - Multiple Vitamins Intravenous Solution 5 Ml [clmh] 45 14 $793.80 $793.80 $635.04 $2,497.69 $754.10 2026-09-21
63323-0522-77 NDC 63323-0522-77 - Heparin 50 Units/ml-d5% Sol [clmh] 24 14 $791.43 $791.43 $633.14 $2,497.69 $751.86 2026-09-21
73701 CPT CT Ankle With Contrast Left 45 14 $775.00 $387.50 50% off $469.00 $775.00 $736.25 2026-09-21
73201 CPT CT Elbow With Contrast Left 45 14 $775.00 $387.50 50% off $469.00 $775.00 $736.25 2026-09-21
60505-0575-01 NDC 60505-0575-01 - Olopatadine 0.1% Ophthalmic Solution 5 Ml [clmh] 45 14 $769.50 $769.50 $615.60 $2,497.69 $731.02 2026-09-21
94727 CPT 94727 Pulm Function Test By Gas 45 14 $752.17 $376.08 50% off $591.00 $752.17 $714.56 2026-09-21
58160-0823-11 NDC 58160-0823-11 - Zoster Vaccine, Inactivated Adjuvanted Intramuscular Injection [… 45 14 $712.42 $712.42 $569.93 $2,497.69 $676.79 2026-09-21
99234 CPT 99234 Same Day Admit/Discharge - Level 1 18 12 $672.42 $336.21 50% off $672.42 $672.42 $672.42 2026-07-18
43752 CPT Nasogastric (ng) Tube Insertion 45 14 $705.00 $352.50 50% off $427.00 $705.00 $669.75 2026-09-21
65220 CPT 65220 Remove Fb Corneal Without TechFee 44 14 $696.84 $348.42 50% off $557.47 $696.84 $661.99 2026-09-21
43763 CPT 43763 Perq Repl Gtube Req Revj Gstrst Trc Charge 44 14 $690.00 $345.00 50% off $552.00 $690.00 $655.50 2026-09-21
28515 CPT 28515 Closed Treatment Of Fracture; Phalanx Or Phalanges Other Than Big With Manip… 44 14 $684.53 $342.26 50% off $547.62 $684.53 $650.30 2026-09-21
99244 CPT 99244 Office Consultation, Level 4 18 12 $650.00 $325.00 50% off $650.00 $650.00 $650.00 2026-07-18
12034 CPT 12034 Repair Intermediate S/a/t/e 7.6-12.5 Cm TechFee 45 14 $683.21 $341.60 50% off $546.56 $683.21 $649.04 2026-09-21
51672-3007-01 NDC 51672-3007-01 - Acetic Acid-hydrocortisone 2%-1% Otic Solution 10 Ml [clmh] 45 14 $677.31 $677.31 $541.84 $2,497.69 $643.44 2026-09-21
87522 CPT .hcv Rt-pcr, Quant (non-graph) Lc 550362 45 14 $672.00 $336.00 50% off $289.00 $672.00 $638.40 2026-09-21
87507 CPT Gi Panel (BioFire) 90 14 $780.00 $390.00 50% off $340.09 $780.00 $630.00 2026-09-21
10081 CPT 10081 Incision & Drainage Pilonidal Cyst Complicated TechFee 45 14 $645.28 $322.64 50% off $516.22 $645.28 $613.01 2026-09-21
93880 CPT US Carotid Duplex Bilateral 47 14 $626.00 $313.00 50% off $75.12 $626.00 $594.69 2026-09-21
73200 CPT CT Elbow Without Contrast Left 44 14 $622.00 $311.00 50% off $497.60 $622.00 $590.90 2026-09-21
24640 CPT 24640-nursemaid Elbow 88 14 $685.95 $342.98 50% off $329.90 $959.52 $590.00 2026-09-21
12002 CPT 12002-scalp/neck/trunk/genital/extremity 2.6-7.5 Cm 89 14 $178.10 $89.05 50% off $83.00 $731.53 $585.22 2026-09-21
73700 CPT CT Ankle Without Contrast Left 44 14 $602.00 $301.00 50% off $481.60 $602.00 $571.90 2026-09-21
93975 CPT US Renal Artery Duplex Bilateral 44 14 $600.00 $300.00 50% off $480.00 $600.00 $570.00 2026-09-21
76811 CPT US OB Greater Than 14 Weeks 44 14 $600.00 $300.00 50% off $480.00 $600.00 $570.00 2026-09-21
62332-0423-05 NDC 62332-0423-05 - Acyclovir Topical 5% Cre [clmh] 45 14 $600.00 $600.00 $480.00 $2,497.69 $570.00 2026-09-21
J0695 HCPCS 67919-0030-01 - Ceftolozane-tazobactam 1 G-0.5 G Pow [clmh] 23 14 $571.14 $571.14 $456.91 $571.14 $542.58 2026-09-21
13122 CPT 13122-scalp/arms/legs Each Addl 5 Cm 44 14 $559.65 $279.82 50% off $447.72 $559.65 $531.66 2026-09-21
59409 CPT 59409-vaginal Delivery Only 18 12 $522.00 $261.00 50% off $522.00 $522.00 $522.00 2026-07-18
00904-6553-04 NDC 00904-6553-04 - Linezolid 600 Mg Oral Tablet [clmh] 45 14 $549.00 $549.00 $439.20 $2,497.69 $521.55 2026-09-21
16025 CPT 16025 Burn Dressings/Debridement Medium 44 14 $541.74 $270.87 50% off $433.39 $541.74 $514.65 2026-09-21
99443 CPT 99443 Telephone Eval 21-30 Minutes 18 12 $500.00 $250.00 50% off $500.00 $500.00 $500.00 2026-07-18
30901 CPT 30901 Control Nasal Hemorrhage Anterior Simple Any Method 44 14 $524.38 $262.19 50% off $419.50 $524.38 $498.16 2026-09-21
84145 CPT Procalcitonin Lc 45 14 $522.00 $261.00 50% off $316.00 $522.00 $495.90 2026-09-21
84999 CPT Osmolality Fecal Lc 45 14 $517.00 $258.50 50% off $135.00 $517.00 $491.15 2026-09-21
J1160 HCPCS 70515-0261-10 - Digoxin 250 mcg/mL (0.25 mg/mL) Injectable Solution 2 Ml [clmh] 44 14 $515.61 $515.61 $412.48 $515.61 $489.82 2026-09-21
99285 CPT 99285 - Level 5 48 14 $520.00 $260.00 50% off $229.00 $520.00 $487.88 2026-09-21
28660 CPT 28660 Closed Treatment Of Interphalangeal Joint Dislocation; Without Anesthesia 44 14 $513.50 $256.75 50% off $410.80 $513.50 $487.82 2026-09-21
24208-0635-62 NDC 24208-0635-62 - Hydrocortisone/neomycin/polymyxin B 1%-0.35%-10,000 units/mL Oti… 45 14 $511.95 $511.95 $409.56 $2,497.69 $486.35 2026-09-21
24208-0631-10 NDC 24208-0631-10 - Hydrocortisone/neomycin/polymyxin B Otic 1%-0.35%-10000 units/mL… 45 14 $511.95 $511.95 $409.56 $2,497.69 $486.35 2026-09-21
80145 CPT Adalimumab Drug Level Lc 45 14 $508.00 $254.00 50% off $307.00 $508.00 $482.59 2026-09-21
36430 CPT Blood Product Administration 47 14 $503.10 $251.55 50% off $223.00 $503.10 $477.94 2026-09-21
94621 CPT 94621 Pulm Stress Test Complete Charge 44 14 $498.00 $249.00 50% off $398.40 $498.00 $473.09 2026-09-21
94003 CPT Rt Ventilator Services Subsequent Charge 44 14 $489.91 $244.95 50% off $391.92 $489.91 $465.41 2026-09-21
12053 CPT 12053-face/ear/eye/nose/lip 5.1-7.5 Cm 44 14 $488.00 $244.00 50% off $390.40 $488.00 $463.59 2026-09-21
95913 CPT 95913 Ncv Test 13+ Studies Charges 44 14 $487.78 $243.89 50% off $390.22 $487.78 $463.39 2026-09-21
95912 CPT 95912 Ncv Test 11-12 Studies Charges 44 14 $487.78 $243.89 50% off $390.22 $487.78 $463.39 2026-09-21
95911 CPT 95911 Ncv Test 9-10 Studies Charges 44 14 $487.78 $243.89 50% off $390.22 $487.78 $463.39 2026-09-21
95708 CPT 95708 EEG Without Vido 12-26 Hr Unmonitored Charge 44 14 $485.61 $242.80 50% off $388.48 $485.61 $461.32 2026-09-21
76812 CPT US OB Greater Than 14 Weeks Multi 44 14 $485.00 $242.50 50% off $388.00 $485.00 $460.75 2026-09-21
P9016 HCPCS E0382 Rbc Cp2d As3 500 Lr 47 14 $478.40 $239.20 50% off $223.00 $822.85 $454.47 2026-09-21
61958-1901-01 NDC 61958-1901-01 - Cobicistat/elvitegravir/emtricitabine/tenofovir Alafenamide 150 … 45 14 $477.74 $477.74 $382.19 $2,497.69 $453.85 2026-09-21
G0379 HCPCS Direct To Obs Charge 90 14 $533.27 $266.63 50% off $91.00 $533.27 $450.72 2026-09-21
99243 CPT 99243 Office Consultation, Level 3 18 12 $450.00 $225.00 50% off $450.00 $450.00 $450.00 2026-07-18
76881 CPT US Groin Bilateral 88 14 $516.58 $258.29 50% off $228.00 $748.16 $441.76 2026-09-21
74400 CPT Xr Ivp 44 14 $465.00 $232.50 50% off $372.00 $465.00 $441.75 2026-09-21
74230 CPT Xr Modified Barium Swallow 46 14 $465.00 $232.50 50% off $281.00 $465.00 $441.75 2026-09-21
81240 CPT Factor Ii, DNA Analysis Lc 44 14 $459.83 $229.91 50% off $367.86 $459.83 $436.83 2026-09-21
81291 CPT Mthfr Lc 44 14 $457.39 $228.69 50% off $365.91 $457.39 $434.52 2026-09-21
M0245 HCPCS M0245 Treatment IV Therapy Bamlaniv-etesevimab Charge 44 14 $450.00 $225.00 50% off $360.00 $450.00 $427.50 2026-09-21
M0243 HCPCS M0243 IV Inf & Adm Casirivimab & Imdevimab 45 14 $450.00 $225.00 50% off $272.00 $450.00 $427.50 2026-09-21
M0247 HCPCS M0247 Sotrovimab Infusion Charge 45 14 $450.00 $225.00 50% off $272.00 $450.00 $427.50 2026-09-21
J1756 HCPCS 00517-2310-05 - Iron Sucrose 20 mg/mL Intravenous Solution 10 Ml [clmh] 44 14 $440.75 $440.75 $352.60 $440.75 $418.71 2026-09-21
80307 CPT 10+ Mdma Bund Lc 45 14 $434.98 $217.49 50% off $43.00 $434.98 $413.23 2026-09-21
82397 CPT Anti-adalimumab Antibody Lc 44 14 $423.00 $211.50 50% off $338.40 $423.00 $401.84 2026-09-21
99284 CPT 99284 - Level 4 48 14 $416.00 $208.00 50% off $70.00 $416.00 $395.20 2026-09-21
51702 CPT 51702 Tech Foley Catheter 46 14 $412.91 $206.45 50% off $37.00 $412.91 $392.26 2026-09-21
87517 CPT Hbv Rt Pcr, Quant Lc 46 14 $405.30 $202.65 50% off $187.00 $405.30 $385.03 2026-09-21
P9047 HCPCS 44206-0251-10 - Albumin Human 25% Intravenous Solution 100 Ml [clmh] 88 14 $433.20 $433.20 $278.40 $518.40 $381.36 2026-09-21
77066 CPT Mg Mammo Addl Projections Bilat. 48 14 $390.00 $195.00 50% off $236.00 $390.00 $370.50 2026-09-21
99204 CPT 99204 Office Visit New Pt. Level 4 36 12 $370.00 $185.00 50% off $140.00 $600.00 $370.00 2026-07-18
63323-0624-61 NDC 63323-0624-61 - Lvp Solution Dextrose 5% In Water Sol 45 14 $388.80 $388.80 $311.04 $2,497.69 $369.36 2026-09-21
94375 CPT 94375 Pft - Flow Volume Loop Charge 44 14 $383.46 $191.73 50% off $306.76 $383.46 $364.28 2026-09-21
84140 CPT Pregnenolone, Ms Lc 45 14 $382.00 $191.00 50% off $231.00 $382.00 $362.90 2026-09-21
81270 CPT Jak2 Mutation Analysis, Qual Lc 44 14 $378.00 $189.00 50% off $302.40 $378.00 $359.09 2026-09-21
94642 CPT 94642 Rt Pentamidine Charge 44 14 $374.00 $187.00 50% off $299.20 $374.00 $355.30 2026-09-21
82375 CPT Carbon Monoxide, Blood Lc 44 14 $373.25 $186.62 50% off $298.60 $373.25 $354.58 2026-09-21
72266-0140-01 NDC 72266-0140-01 - Bimatoprost 0.03% Ophthalmic Solution 5 Ml [clmh] 45 14 $372.12 $372.12 $297.69 $2,497.69 $353.51 2026-09-21
83521 CPT Fr Kappa Lt Chains Lc 47 14 $372.00 $186.00 50% off $297.60 $706.80 $353.40 2026-09-21
83883 CPT Interpretations: Lc 46 14 $372.00 $186.00 50% off $17.44 $372.00 $353.40 2026-09-21
12032 CPT 12032-scalp/trunk/extremity 2.6-7.5cm 89 14 $353.00 $176.50 50% off $214.00 $2,167.54 $353.00 2026-09-21
73564 CPT Xr Knee Complete 4+ Views Left 45 14 $370.50 $185.25 50% off $172.00 $370.50 $351.97 2026-09-21
99442 CPT 99442 Telephone Eval 11-20 Minutes 18 12 $350.00 $175.00 50% off $350.00 $350.00 $350.00 2026-07-18
42571-0147-26 NDC 42571-0147-26 - Dorzolamide-timolol 2.23%-0.68% (2%-0.5% Base) Ophthalmic Soluti… 45 14 $366.00 $366.00 $292.80 $2,497.69 $347.70 2026-09-21
69209 CPT 69209 Removal Impacted Cerumen, Irrigation/lavage, Unilateral 88 14 $374.85 $187.42 50% off $289.78 $387.46 $344.12 2026-09-21
99226 CPT 99226 Sbsq Obs Stay 25 Min ProFee 18 12 $344.00 $172.00 50% off $67.00 $344.00 $344.00 2026-07-18
99233 CPT 99233 Level 3 Visit Unstable Major Complication 50 Min ProFee 18 12 $344.00 $172.00 50% off $67.00 $344.00 $344.00 2026-07-18
99223 CPT 99223 Level 3 Highly Complex 70 Min ProFee 18 12 $344.00 $172.00 50% off $67.00 $344.00 $344.00 2026-07-18
72110 CPT Xr Spine Lumbosacral 4+ Views 48 14 $370.50 $185.25 50% off $112.86 $370.50 $342.71 2026-09-21
83970 CPT Pth, Intact Lc 48 14 $357.50 $178.75 50% off $166.00 $357.50 $339.62 2026-09-21
60505-0823-06 NDC 60505-0823-06 - Calcitonin 200 Intl Units/inh Nasal Spray 3.7 Ml [clmh] 45 14 $355.62 $355.62 $284.49 $2,497.69 $337.83 2026-09-21
94669 CPT 94669 Mechanical Chest Wall Oscillation 54 14 $373.00 $186.50 50% off $100.00 $373.00 $335.70 2026-09-21
99220 CPT 99220 Obs Level 3: Comp Hx/exam: High 70 Min ProFee 18 12 $335.00 $167.50 50% off $65.00 $335.00 $335.00 2026-07-18
87902 CPT .Hepatitis C Genotype Lc 550486 44 14 $351.00 $175.50 50% off $280.80 $351.00 $333.45 2026-09-21
80203 CPT Zonisamide Lc 45 14 $351.00 $175.50 50% off $14.76 $351.00 $333.45 2026-09-21
J1439 HCPCS 00517-0650-01 - Ferric Carboxymaltose (as Elemental Iron) 50 mg/mL Sol [clmh] 44 14 $347.01 $347.01 $277.60 $347.01 $329.65 2026-09-21
42385-0915-30 NDC 42385-0915-30 - Efavirenz/emtricitabine/tenofovir Disoproxil Fumarate 600 Mg-200… 45 14 $341.40 $341.40 $273.12 $2,497.69 $324.33 2026-09-21
32551 CPT 32551-insertion Chest Tube 44 14 $341.00 $170.50 50% off $272.80 $341.00 $323.95 2026-09-21
99214 CPT 99214 Office Visit Established Pt. Level 4 36 12 $323.50 $161.75 50% off $147.00 $500.00 $323.50 2026-07-18
86146 CPT Anti-beta2 Glycoprotein I IgG Lc 45 14 $340.00 $170.00 50% off $272.00 $340.00 $323.00 2026-09-21
G0480 HCPCS Drug Test Def 1-7 Classes 48 14 $343.52 $171.76 50% off $68.00 $343.52 $322.30 2026-09-21
J2248 HCPCS 42023-0229-10 - Micafungin 50 Mg Intravenous Injection [clmh] 132 14 $336.60 $336.60 $215.42 $538.56 $319.77 2026-09-21
27808-0033-01 NDC 27808-0033-01 - Theophylline 80 Mg/15 Ml Oral Solution 473 Ml [clmh] 45 14 $335.25 $335.25 $268.20 $2,497.69 $318.48 2026-09-21
61314-0637-10 NDC 61314-0637-10 - prednisoLONE Acetate 1% Ophthalmic Suspension 10 Ml [clmh] 45 14 $331.62 $331.62 $265.29 $2,497.69 $315.03 2026-09-21
86360 CPT Cd4/cd8 Ratio Profile Lc 44 14 $328.86 $164.43 50% off $263.08 $328.86 $312.41 2026-09-21
97545 CPT Pt Work Hardening Initial 2 Hours Units 44 14 $328.00 $164.00 50% off $262.40 $328.00 $311.59 2026-09-21
93970 CPT US Lower Ext Venous Duplex Bilateral 46 14 $327.00 $163.50 50% off $198.00 $327.00 $310.65 2026-09-21
92523 CPT Slp Eval Lang Comprehension,Express Unit 44 14 $326.48 $163.24 50% off $261.18 $326.48 $310.15 2026-09-21
80177 CPT Levetiracetam (Keppra), S Lc 46 14 $325.00 $162.50 50% off $197.00 $325.00 $308.75 2026-09-21
12007 CPT 12007-scalp/neck/trunk/genital/extremity Greater Than 30 Cm 44 14 $323.00 $161.50 50% off $258.40 $323.00 $306.84 2026-09-21
77067 CPT Mg Mammo Digital Screening Bilateral. 126 14 $315.00 $157.50 50% off $49.14 $409.50 $305.83 2026-09-21
99283 CPT 99283 - Level 3 49 14 $338.00 $169.00 50% off $70.00 $338.00 $304.20 2026-09-21
42023-0104-01 NDC 42023-0104-01 - Tuberculin Purified Protein Derivative 5 Tuberculin Units/0.1 Ml… 45 14 $319.80 $319.80 $255.84 $2,497.69 $303.81 2026-09-21
86870 CPT Ref Antibody Id 44 14 $318.00 $159.00 50% off $254.40 $318.00 $302.09 2026-09-21
82024 CPT Acth Lc 46 14 $318.00 $159.00 50% off $192.00 $318.00 $302.09 2026-09-21
29515 CPT 29515 Apply Short Leg Splint Charge 88 14 $363.25 $181.62 50% off $75.20 $632.50 $300.00 2026-09-21
49281-0122-65 NDC 49281-0122-65 - Influenza Virus Vaccine, Inactivated High-dose Preservative-free… 45 14 $315.52 $315.52 $252.41 $2,497.69 $299.74 2026-09-21
61314-0646-10 NDC 61314-0646-10 - Hydrocortisone/neomycin/polymyxin B 1%-0.35%-10,000 units/mL Oti… 45 14 $314.64 $314.64 $251.71 $2,497.69 $298.90 2026-09-21
J0834 HCPCS 00548-5900-00 - Cosyntropin 0.25 Mg Injection [clmh] 88 14 $336.21 $336.21 $230.97 $383.69 $297.84 2026-09-21
82787 CPT IgG, Subclass 4 Lc 44 14 $312.00 $156.00 50% off $249.60 $312.00 $296.40 2026-09-21
76705 CPT 76705 US Abdomen Limited 88 14 $285.00 $142.50 50% off $172.00 $370.50 $296.40 2026-09-21
77065 CPT Mg Mammo Addl Projections Lt. 45 14 $310.00 $155.00 50% off $160.00 $310.00 $294.50 2026-09-21
83993 CPT Calprotectin, Fecal Lc 46 14 $309.84 $154.92 50% off $25.17 $309.84 $294.34 2026-09-21
M0239 HCPCS M0239 IV Inf & Adm Bambianivimab 44 14 $309.00 $154.50 50% off $247.20 $309.00 $293.55 2026-09-21
82652 CPT Calcitriol (1,25 Di-oh Vit D) Lc 45 14 $306.00 $153.00 50% off $185.00 $306.00 $290.70 2026-09-21
84154 CPT Psa Free Lc 45 14 $306.00 $153.00 50% off $185.00 $306.00 $290.70 2026-09-21
82306 CPT 25-hydroxyvitamin D Lcms D2+d3 Lc 48 14 $305.50 $152.75 50% off $37.22 $305.50 $290.22 2026-09-21
99205 CPT 99205 Vst New Pat Compre/high/compl ProFee 18 12 $289.00 $144.50 50% off $289.00 $289.00 $289.00 2026-07-18
99306 CPT 99306 Nursing Facility Care, Init- Non Part A 18 12 $289.00 $144.50 50% off $57.00 $289.00 $289.00 2026-07-18
81596 CPT Hcv FibroSure Lc 45 14 $300.00 $150.00 50% off $182.00 $300.00 $285.00 2026-09-21
82653 CPT Pancreatic Elastase, Fecal Lc 46 14 $294.00 $147.00 50% off $18.75 $294.00 $279.30 2026-09-21
94729 CPT 94729 Dlco (diffusion) Charge - Profee 63 14 $290.14 $145.07 50% off $228.00 $376.81 $275.63 2026-09-21
86341 CPT Antipancreatic Islet Cells Lc 45 14 $288.00 $144.00 50% off $104.00 $288.00 $273.59 2026-09-21
99222 CPT 99222 Level 2 Admit Moderate 50 Min ProFee 18 12 $272.00 $136.00 50% off $53.00 $272.00 $272.00 2026-07-18
70260 CPT Xr Skull Complete 46 14 $285.00 $142.50 50% off $139.00 $285.00 $270.75 2026-09-21
70250 CPT Xr Skull < 4 Views 45 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
77076 CPT Xr Osseous Survey Infant 44 14 $285.00 $142.50 50% off $228.00 $285.00 $270.75 2026-09-21
77075 CPT Xr Osseous Survey Complete 44 14 $285.00 $142.50 50% off $228.00 $285.00 $270.75 2026-09-21
70200 CPT Xr Orbits Complete 45 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
77073 CPT Xr Bone Length Studies Scanograms 44 14 $285.00 $142.50 50% off $228.00 $285.00 $270.75 2026-09-21
77072 CPT Xr Bone Age Studies 46 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
70150 CPT Xr Facial Bones 3+ Views 45 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
70110 CPT Xr Mandible Complete 4+ Views 45 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
76882 CPT US Axilla Left 44 14 $285.00 $142.50 50% off $228.00 $285.00 $270.75 2026-09-21
76870 CPT US Scrotum (Contents) 46 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
76857 CPT US Bladder Scan 44 14 $285.00 $142.50 50% off $228.00 $285.00 $270.75 2026-09-21
76856 CPT US Pelvic Complete 45 14 $285.00 $142.50 50% off $181.00 $285.00 $270.75 2026-09-21
76817 CPT US OB Transvaginal 46 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
76801 CPT US OB Less Than 14 Weeks Single 45 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
76776 CPT US Kidney Transplant With Doppler 45 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
76775 CPT US Renal Left 45 14 $285.00 $142.50 50% off $146.00 $285.00 $270.75 2026-09-21
76770 CPT US Aorta 47 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
76706 CPT US Aaa Screening 45 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
76700 CPT US Abdomen Complete 46 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
76641 CPT US Breast Complete Left. 44 14 $285.00 $142.50 50% off $228.00 $285.00 $270.75 2026-09-21
76536 CPT US Soft Tissue Head 48 14 $285.00 $142.50 50% off $34.20 $285.00 $270.75 2026-09-21
76604 CPT US Chest 45 14 $285.00 $142.50 50% off $34.20 $285.00 $270.75 2026-09-21
74022 CPT Xr Abdomen Series + Chest 1 View 46 14 $285.00 $142.50 50% off $122.00 $285.00 $270.75 2026-09-21
74019 CPT Xr Abdomen 2 Views 46 14 $285.00 $142.50 50% off $99.00 $285.00 $270.75 2026-09-21
73521 CPT Xr Hips 2 Views W/ap Pelvis Bilat 47 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
73120 CPT Xr Hand 2 Views Left 44 14 $285.00 $142.50 50% off $228.00 $285.00 $270.75 2026-09-21
73092 CPT Xr Upper Extremity Infant 2 Views Left 44 14 $285.00 $142.50 50% off $228.00 $285.00 $270.75 2026-09-21
73010 CPT Xr Scapula Left 44 14 $285.00 $142.50 50% off $228.00 $285.00 $270.75 2026-09-21
72202 CPT Xr Sacroiliac Joints 3+ Views 46 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
72170 CPT Xr Pelvis 1 Or 2 Views 46 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
72114 CPT Xr Spine Lumbosacral With Bending 6+ Views 46 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
72072 CPT Xr Spine Thoracic 3 Views 48 14 $285.00 $142.50 50% off $172.00 $285.00 $270.75 2026-09-21
72084 CPT Xr Spine Scoliosis 6+ Views 44 14 $285.00 $142.50 50% off $228.00 $285.00 $270.75 2026-09-21
72052 CPT Xr Spine Cervical Flexion + Extension 45 14 $285.00 $142.50 50% off $61.00 $285.00 $270.75 2026-09-21
72050 CPT Xr Spine Cervical 4 Or 5 Views 48 14 $285.00 $142.50 50% off $59.40 $285.00 $270.75 2026-09-21
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