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

MONROE COUNTY HOSPITAL

Forsyth, GA · CCN 111318 · Rates published

3,972 distinct procedures filed
15 distinct payers
51,097 rate rows
2026-05-06 last MRF observed
Data quality

50,924 of 51,097 rate rows are consumer-grade (99.7%)

173 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
percent-of-charges filed in the dollar field — excluded from medians 161
exceeds 10× this hospital's gross charge — excluded from medians 9
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://monroecountyhospital.pg.quadax.revenuemasters.com/cdm-files/586010602_monroe-county-hospital_standardcharges.csv
Found on page https://monroecountyhospital.pg.quadax.revenuemasters.com/disclaimer
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-02
Content fingerprint e01b0ba0bf1be063… · 10,672,168 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
4033264
OTHER 		Rmvl & Replcmt Dfb En Mlt Ld 14 $38.71 $89,250.00 $54,573.75 nat. median
$54,574
1.0× median
3006052
OTHER 		Reconstructive Tissue Matrix 20x20 Firm 13 $4,930.00 $65,586.00 $39,698.82 nat. median
$39,699
1.0× median
3009201
OTHER 		Gallant Hf Crt-d 14 $4,930.00 $55,080.00 $32,872.50 nat. median
$38
outlier · 863.1×
4033249
OTHER 		Insj/rplcmt Defib W/leads 14 $40.66 $39,780.00 $24,324.30 nat. median
$24,324
1.0× median
3009205
OTHER 		Gallant Dr Icd 14 $4,930.00 $39,780.00 $23,741.25 nat. median
$28
outlier · 860.8×
3009204
OTHER 		Gallant Vr Icd 14 $4,930.00 $33,660.00 $20,088.75 nat. median
$72
outlier · 280.7×
4033208
OTHER 		Insrt Heart Pm Artrial & Vent 14 $34.03 $29,070.00 $17,775.45 nat. median
$17,775
1.0× median
4033262
OTHER 		Rmvl& Replc Pulse Gen 1 Lead 14 $38.71 $28,050.00 $17,151.75 nat. median
$17,152
1.0× median
4033228
OTHER 		Remvl&replc Pm Gen Dual Lead 14 $44.16 $20,400.00 $12,474.00 nat. median
$12,474
1.0× median
10016493
OTHER 		Vedolizumab 300mg/20ml Vial 12 $21.67 $25,272.00 $10,670.40 nat. median
$10,670
1.0× median
3009202
OTHER 		Durata Df4 - Active Tbp Single 58cm 14 $4,200.00 $12,240.00 $7,305.00 nat. median
$38
outlier · 191.8×
3009203
OTHER 		Durata Df4 - Active Tbp Single 65cm 14 $4,200.00 $12,240.00 $7,305.00 nat. median
$223
outlier · 32.8×
3009200
OTHER 		MRI Pacemaker Dr-rf Pm2272 14 $4,095.00 $11,934.00 $7,122.38 nat. median
$22
outlier · 323.7×
1036561
OTHER 		Insert Tunneled Cv Cath 14 $84.22 $12,750.00 $6,323.75 nat. median
$6,324
1.0× median
3003107
OTHER 		Encompass 12mm Ha Coated Implant 13 $3,552.50 $10,353.00 $6,266.61 nat. median
$6,267
1.0× median
3003103
OTHER 		Hemi Great Toe Implant 13 $2,756.25 $8,032.50 $4,930.00 nat. median
$4,930
1.0× median
4228296
OTHER 		Correction Hallux Valgus 14 $52.15 $7,930.50 $4,849.27 nat. median
$4,849
1.0× median
3003105
OTHER 		Hemi Great Toe Implant 13 $2,598.75 $7,573.50 $4,677.75 nat. median
$254
outlier · 18.4×
10000197
OTHER 		Nf-crofab (snake Bite) 13 $2,572.50 $7,497.00 $4,630.50 nat. median
$4,630
1.0× median
449587
OTHER 		Repair Um Bil Hernia 14 $38.71 $7,395.00 $4,521.82 nat. median
$4,522
1.0× median
3006046
OTHER 		Hyprocure Tarsi Implant #8 13 $2,488.50 $7,252.20 $4,479.30 nat. median
$5
outlier · 843.6×
3006043
OTHER 		Hyprocure Tarsi Implant #10 13 $2,488.50 $7,252.20 $4,479.30 nat. median
$4,479
1.0× median
10016306
OTHER 		Rabies Immune Globulin 1500 Unit Vial 12 $2,362.50 $6,885.00 $4,396.78 nat. median
$4,397
1.0× median
10010531
OTHER 		Tenecteplase 50mg Kit 12 $2,188.55 $6,378.06 $4,073.05 nat. median
$4,073
1.0× median
3003104
OTHER 		Hemi Great Toe Implant - Large 13 $2,143.75 $6,247.50 $3,858.75 nat. median
$3,859
1.0× median
3001001
OTHER 		L Plate (stryker) 13 $2,139.48 $6,235.06 $3,851.06 nat. median
$32
outlier · 120.4×
10010306
OTHER 		Nf-aranesp Inj Soln 0.3mg/0.6ml 13 $2.97 $5,541.19 $3,504.50 nat. median
$3,504
1.0× median
10015790
OTHER 		Nf Pegfilgrastim 6mg/0.6ml Syringe 13 $1,846.60 $5,381.52 $3,323.88 nat. median
$3,324
1.0× median
1036569
OTHER 		Insj Picc 5yr Without Imaging 13 $107.26 $5,100.00 $3,150.00 nat. median
$3,150
1.0× median
7000555
OTHER 		Hysterosalpingography 14 $23.30 $4,876.62 $2,981.91 nat. median
$2,982
1.0× median
3003106
OTHER 		Hemi Great Toe Implant - Extra Small 13 $1,610.00 $4,692.00 $2,898.00 nat. median
$1,748
1.7× median
10016500
OTHER 		Denosumab 60mg/1ml Syringe 13 $27.66 $6,076.80 $2,565.76 nat. median
$2,566
1.0× median
400130
OTHER 		Or Level 4 First Hour 14 $33.94 $3,993.30 $2,441.78 nat. median
$1,690
1.4× median
10012610
OTHER 		Nf-golimumab (simponi Aria) 50mg/4ml 13 $10.54 $3,671.10 $2,321.77 nat. median
$2,322
1.0× median
400160
OTHER 		Endoscopy Level Iii 14 $57.82 $3,468.00 $2,120.58 nat. median
$1,311
1.6× median
7501002
OTHER 		MRI T-spine W/wo Contrast 14 $31.78 $4,335.00 $2,119.47 nat. median
$2,119
1.0× median
7500988
OTHER 		MRI Pelvis W/wo Contrast 14 $102.82 $4,335.00 $2,119.47 nat. median
$2,119
1.0× median
7501003
OTHER 		MRI L-spine W/wo Contrast 14 $22.66 $4,335.00 $2,119.47 nat. median
$2,119
1.0× median
7500972
OTHER 		MRI Brain W/wo Contrast 14 $20.69 $4,335.00 $2,119.47 nat. median
$2,119
1.0× median
7501001
OTHER 		MRI C-spine W/wo Contrast 14 $22.73 $4,335.00 $2,119.47 nat. median
$2,119
1.0× median
7500971
OTHER 		MRI Lspine W/wo Contrast 14 $17.95 $4,335.00 $2,119.47 nat. median
$2,119
1.0× median
400150
OTHER 		Endoscopy Level Ii 14 $57.86 $3,426.18 $2,095.01 nat. median
$766
outlier · 2.7×
5081490
OTHER 		Auto Immune Rheumatoid 13 $840.65 $3,264.00 $2,016.00 nat. median
$2,016
1.0× median
7501005
OTHER 		MRA Head Without Contrast 14 $20.69 $4,080.00 $1,994.80 nat. median
$1,995
1.0× median
7500956
OTHER 		MRI L-spine Without Contrast 14 $17.95 $4,080.00 $1,994.80 nat. median
$1,995
1.0× median
7500962
OTHER 		MRI Lwr Ext-rt W/wo Contrast 14 $49.10 $4,080.00 $1,994.80 nat. median
$1,995
1.0× median
7500958
OTHER 		MRI Pelvis Without Contrast 14 $28.75 $4,080.00 $1,994.80 nat. median
$1,995
1.0× median
7500954
OTHER 		MRI T-spine Without Contrast 14 $28.75 $4,080.00 $1,994.80 nat. median
$1,995
1.0× median
7500961
OTHER 		MRI Joint Upr Ext-rt Without Contrast 14 $20.69 $4,080.00 $1,994.80 nat. median
$1,995
1.0× median
7500952
OTHER 		MRI C-spine Without Contrast 14 $22.66 $4,080.00 $1,994.80 nat. median
$1,995
1.0× median

Other procedures at this hospital

Browse this hospital's 3,972 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
10000197 OTHER Nf-crofab (snake Bite) 13 13 $7,350.00 $5,512.50 25% off $2,572.50 $7,497.00 $4,630.50 2026-05-06
10000905 OTHER Nf-rabies Immune Globulin 300 Iu/2ml Inj 12 12 $1,961.00 $1,470.75 25% off $0.20 $2,000.22 $1,223.08 2026-05-06
10001698 OTHER Rabies Vaccine 2.5units/1ml Vaccine 12 12 $1,636.00 $1,227.00 25% off $327.78 $1,472.40 $815.88 2026-05-06
10001806 OTHER Collagenase 250unit/1g Ointment 13 13 $930.00 $697.50 25% off $325.50 $948.60 $585.90 2026-05-06
10004423 OTHER Calcitonin 400units/2ml Vial 12 12 $1,754.00 $1,315.50 25% off $666.52 $1,578.60 $1,172.63 2026-05-06
10010101 OTHER Nf-neupogen Inj Soln 300mcg/1ml 12 12 $1,149.76 $862.32 25% off $0.11 $1,034.78 $436.91 2026-05-06
1001013 OTHER ER Visit Level 3 15 15 $864.50 $648.38 25% off $30.91 $881.79 $533.74 2026-05-06
1001014 OTHER ER Visit Level 4 15 15 $1,049.75 $787.31 25% off $12.53 $1,070.75 $648.12 2026-05-06
1001015 OTHER ER Visit Level 5 15 15 $1,200.00 $900.00 25% off $12.53 $1,224.00 $756.00 2026-05-06
1001016 OTHER ER Visit Critical Care 15 15 $1,600.00 $1,200.00 25% off $12.53 $1,632.00 $987.84 2026-05-06
10010196 OTHER Nf-neupogen Injection 300mcg/ml 12 12 $1,149.76 $862.32 25% off $0.11 $1,034.78 $436.91 2026-05-06
10010212 OTHER Nf-neupogen Inj Soln 300mcg/0.5ml 12 12 $1,149.76 $862.32 25% off $0.11 $1,034.78 $436.91 2026-05-06
10010306 OTHER Nf-aranesp Inj Soln 0.3mg/0.6ml 13 13 $6,156.88 $4,617.66 25% off $2.97 $5,541.19 $3,504.50 2026-05-06
10010531 OTHER Tenecteplase 50mg Kit 12 12 $6,253.00 $4,689.75 25% off $2,188.55 $6,378.06 $4,073.05 2026-05-06
1001054 OTHER Temp External Pacing 14 14 $1,078.00 $808.50 25% off $1.21 $1,099.56 $672.35 2026-05-06
1001056 OTHER Cardioversion External 14 14 $1,544.00 $1,158.00 25% off $64.27 $1,574.88 $963.00 2026-05-06
1001058 OTHER Emerg Trach/transtracheal 14 14 $2,394.00 $1,795.50 25% off $38.57 $2,441.88 $1,493.14 2026-05-06
1001060 OTHER Emerg Trach/cricothyroid 14 14 $981.00 $735.75 25% off $38.57 $1,000.62 $611.85 2026-05-06
1001104 OTHER Change Gastrostomy Tube 13 13 $771.00 $578.25 25% off $12.53 $786.42 $485.73 2026-05-06
10011078 OTHER Nf-zirgan 0.15% Ophthalmic Gel/jelly 13 13 $726.16 $544.62 25% off $254.16 $740.68 $457.48 2026-05-06
1001108 OTHER Intestinal Bleeding Tube 14 14 $1,564.00 $1,173.00 25% off $21.26 $1,595.28 $975.47 2026-05-06
1001136 OTHER Cvl Percu Age < 5 Yrs 14 14 $2,068.00 $1,551.00 25% off $12.53 $2,109.36 $1,289.81 2026-05-06
1001138 OTHER Cvl Percu Age > 5 Yrs 14 14 $658.00 $493.50 25% off $12.53 $671.16 $410.39 2026-05-06
1001140 OTHER Cvl Cutdown Age < 5 Yrs 14 14 $1,289.00 $966.75 25% off $104.63 $1,314.78 $803.95 2026-05-06
1001142 OTHER Cvl Cutdown Age > 5 Yrs 14 14 $2,068.00 $1,551.00 25% off $28.92 $2,109.36 $1,289.81 2026-05-06
10011999 OTHER Alteplase 2mg/2ml Vial (catheter Only) 12 12 $734.00 $550.50 25% off $256.90 $748.68 $478.11 2026-05-06
10012447 OTHER Methylene Blue 10mg/1ml Vial 12 12 $825.00 $618.75 25% off $288.75 $841.50 $537.38 2026-05-06
10012503 OTHER Nf-premarin Vaginal Cream 12 12 $600.00 $450.00 25% off $210.00 $612.00 $390.82 2026-05-06
10012516 OTHER Phentolamine 5mg/2ml Vial 12 12 $1,189.00 $891.75 25% off $416.15 $1,212.78 $774.49 2026-05-06
1001256 OTHER Bone Marrow Biopsy 14 14 $2,836.00 $2,127.00 25% off $40.87 $2,892.72 $1,768.82 2026-05-06
1001260 OTHER Vaginal Delivery 13 13 $1,819.00 $1,364.25 25% off $42.96 $1,855.38 $1,145.97 2026-05-06
10012610 OTHER Nf-golimumab (simponi Aria) 50mg/4ml 13 13 $4,079.00 $3,059.25 25% off $10.54 $3,671.10 $2,321.77 2026-05-06
10012855 OTHER Nf Epoetin Alfa 20000 Units/1ml Vial 12 12 $984.00 $738.00 25% off $6.46 $885.60 $490.72 2026-05-06
10014042 OTHER Nf Tolvaptan 15mg Tablet 12 12 $700.00 $525.00 25% off $245.00 $714.00 $455.97 2026-05-06
10014478 OTHER Remdesivir 100mg Vial 12 12 $2,398.00 $1,798.50 25% off $6.35 $2,158.20 $1,195.88 2026-05-06
10014479 OTHER Remdesivir 100mg/100ml Ivpb 12 12 $2,080.00 $1,560.00 25% off $6.35 $1,872.00 $1,037.30 2026-05-06
10014502 OTHER Remdesivir 200mg/200ml Ivpb 12 12 $3,120.00 $2,340.00 25% off $6.35 $2,808.00 $1,555.94 2026-05-06
10014942 OTHER Nf Ferric Carboxymaltose 750mg Vial 12 12 $3,456.00 $2,592.00 25% off $1.11 $3,110.40 $1,723.51 2026-05-06
10015488 OTHER Nf Ferumoxytol 510mg/100ml Ivpb 12 12 $1,060.00 $795.00 25% off $371.00 $1,081.20 $690.46 2026-05-06
10015489 OTHER Nf-ferumoxytol (feraheme) 510mg Vial 13 13 $1,060.00 $795.00 25% off $0.11 $954.00 $402.80 2026-05-06
10015790 OTHER Nf Pegfilgrastim 6mg/0.6ml Syringe 13 13 $5,276.00 $3,957.00 25% off $1,846.60 $5,381.52 $3,323.88 2026-05-06
10016306 OTHER Rabies Immune Globulin 1500 Unit Vial 12 12 $6,750.00 $5,062.50 25% off $2,362.50 $6,885.00 $4,396.78 2026-05-06
10016493 OTHER Vedolizumab 300mg/20ml Vial 12 12 $28,080.00 $21,060.00 25% off $21.67 $25,272.00 $10,670.40 2026-05-06
10016500 OTHER Denosumab 60mg/1ml Syringe 13 13 $6,752.00 $5,064.00 25% off $27.66 $6,076.80 $2,565.76 2026-05-06
1012005 OTHER Rpr/s/n/a/gen/trk 12.6-20.0cm 14 14 $1,600.00 $1,200.00 25% off $14.42 $1,632.00 $997.92 2026-05-06
1036000 OTHER Nonselective Cath Placement In Vein 14 14 $3,500.00 $2,625.00 25% off $10.22 $3,570.00 $1,745.45 2026-05-06
1036561 OTHER Insert Tunneled Cv Cath 14 14 $12,500.00 $9,375.00 25% off $84.22 $12,750.00 $6,323.75 2026-05-06
1036569 OTHER Insj Picc 5yr Without Imaging 13 13 $5,000.00 $3,750.00 25% off $107.26 $5,100.00 $3,150.00 2026-05-06
1036620 OTHER Arterial Line Insertion With Kit 14 14 $950.00 $712.50 25% off $28.92 $969.00 $592.51 2026-05-06
1200143 OTHER Fistulotomy Subcutaneous 10 10 $4,871.00 $3,653.25 25% off $194.06 $2,947.21 $436.43 2026-05-06
1200144 OTHER Perirectal Abscess 10 10 $1,970.00 $1,477.50 25% off $62.50 $1,191.95 $465.22 2026-05-06
1200159 OTHER Reduce Elbow 10 10 $452.00 $339.00 25% off $112.98 $396.33 $381.11 2026-05-06
1200160 OTHER Reduce Patella 10 10 $452.00 $339.00 25% off $211.72 $392.25 $376.52 2026-05-06
1200169 OTHER Vag Delivery W/wo Forceps 10 10 $4,781.00 $3,585.75 25% off $797.43 $2,892.75 $896.82 2026-05-06
1200196 OTHER Pericardiocentesis 2 2 $2,068.00 $1,551.00 25% off $86.17 $1,251.25 $668.71 2026-05-06
1200227 OTHER Layer Closure Over 30 Cm 10 10 $3,299.00 $2,474.25 25% off $221.67 $1,996.07 $386.00 2026-05-06
1200232 OTHER Layer Closure 20.1 To 30 Cm 10 10 $654.00 $490.50 25% off $295.50 $431.10 $414.22 2026-05-06
1200233 OTHER Layer Closure Over 30 Cm 10 10 $654.00 $490.50 25% off $309.95 $472.31 $453.25 2026-05-06
2610244 OTHER Casirivi And Imdevi Infusion 13 13 $900.00 $675.00 25% off $12.94 $918.00 $555.66 2026-05-06
2610247 OTHER Sotrovimab Infusion 13 13 $1,200.00 $900.00 25% off $84.22 $1,224.00 $740.88 2026-05-06
3000109 OTHER Seldinger Cricothyrotomy Set 13 13 $1,435.62 $1,076.71 25% off $502.47 $1,464.33 $904.44 2026-05-06
3000122 OTHER Cricothyrotomy - Adult 13 13 $631.89 $473.92 25% off $221.16 $644.53 $398.09 2026-05-06
3000235 OTHER Articulating Endo Linear Cutter 45m 13 13 $823.11 $617.33 25% off $288.09 $839.57 $518.56 2026-05-06
3001001 OTHER L Plate (stryker) 13 13 $6,112.80 $4,584.60 25% off $2,139.48 $6,235.06 $3,851.06 2026-05-06
3001003 OTHER Locking Screw 3.0 14mm 13 13 $823.50 $617.63 25% off $288.23 $839.97 $518.81 2026-05-06
3001004 OTHER Locking Screw 3.0 16mm 13 13 $823.50 $617.63 25% off $288.23 $839.97 $518.81 2026-05-06
3001005 OTHER Locking Screw 3.0 18mm 13 13 $823.50 $617.63 25% off $288.23 $839.97 $518.81 2026-05-06
3001010 OTHER Locking Screw 3.0 20mm 13 13 $823.50 $617.63 25% off $288.23 $839.97 $518.81 2026-05-06
3001015 OTHER Fixios 34 - Temporary Pin 13 13 $1,163.40 $872.55 25% off $407.19 $1,186.67 $732.94 2026-05-06
3001530 OTHER Peg Tray 20 Fr 6646 13 13 $744.00 $558.00 25% off $260.40 $758.88 $468.72 2026-05-06
3001531 OTHER Peg Tray 24 Fr 6648 13 13 $622.50 $466.88 25% off $217.88 $634.95 $392.18 2026-05-06
3001911 OTHER Proceed Small Hernia Patch 4.3x4.3 13 13 $987.10 $740.33 25% off $345.49 $1,006.84 $621.87 2026-05-06
3003103 OTHER Hemi Great Toe Implant 13 13 $7,875.00 $5,906.25 25% off $2,756.25 $8,032.50 $4,930.00 2026-05-06
3003104 OTHER Hemi Great Toe Implant - Large 13 13 $6,125.00 $4,593.75 25% off $2,143.75 $6,247.50 $3,858.75 2026-05-06
3003105 OTHER Hemi Great Toe Implant 13 13 $7,425.00 $5,568.75 25% off $2,598.75 $7,573.50 $4,677.75 2026-05-06
3003106 OTHER Hemi Great Toe Implant - Extra Small 13 13 $4,600.00 $3,450.00 25% off $1,610.00 $4,692.00 $2,898.00 2026-05-06
3003107 OTHER Encompass 12mm Ha Coated Implant 13 13 $10,150.00 $7,612.50 25% off $3,552.50 $10,353.00 $6,266.61 2026-05-06
3004284 OTHER Mesh Hernia Gore Christie Plug 13 13 $675.00 $506.25 25% off $236.25 $688.50 $425.25 2026-05-06
3005001 OTHER Power Port Isp Implant 6fr 13 13 $1,039.50 $779.63 25% off $363.83 $1,060.29 $654.89 2026-05-06
3005025 OTHER Mesh Hernia Gore Christie 13 13 $1,494.00 $1,120.50 25% off $522.90 $1,523.88 $941.22 2026-05-06
3005035 OTHER Do Not Use 13 13 $626.40 $469.80 25% off $219.24 $638.93 $394.63 2026-05-06
3006024 OTHER Plate Hook 3.5 Mm Lcp 13 13 $1,800.00 $1,350.00 25% off $630.00 $1,836.00 $1,134.00 2026-05-06
3006043 OTHER Hyprocure Tarsi Implant #10 13 13 $7,110.00 $5,332.50 25% off $2,488.50 $7,252.20 $4,479.30 2026-05-06
3006046 OTHER Hyprocure Tarsi Implant #8 13 13 $7,110.00 $5,332.50 25% off $2,488.50 $7,252.20 $4,479.30 2026-05-06
3006052 OTHER Reconstructive Tissue Matrix 20x20 Firm 13 13 $64,300.00 $48,225.00 25% off $4,930.00 $65,586.00 $39,698.82 2026-05-06
3007002 OTHER Proceed Med Hernia Patch 6.4x6.4 13 13 $1,180.58 $885.43 25% off $413.20 $1,204.19 $743.77 2026-05-06
3009106 OTHER Hi-torque Whisper .014 190cm Guidewire 13 13 $1,206.00 $904.50 25% off $422.10 $1,230.12 $759.78 2026-05-06
3009108 OTHER Wireless Cell Dapter Ex1151 13 13 $1,050.00 $787.50 25% off $367.50 $1,071.00 $661.50 2026-05-06
3009109 OTHER Ultipace Pacemaker Lead 52cm 13 13 $1,290.00 $967.50 25% off $451.50 $1,315.80 $812.70 2026-05-06
3009110 OTHER Ultipace Pacemaker Lead 58cm 13 13 $1,290.00 $967.50 25% off $451.50 $1,315.80 $812.70 2026-05-06
3009200 OTHER MRI Pacemaker Dr-rf Pm2272 14 14 $11,700.00 $8,775.00 25% off $4,095.00 $11,934.00 $7,122.38 2026-05-06
3009201 OTHER Gallant Hf Crt-d 14 14 $54,000.00 $40,500.00 25% off $4,930.00 $55,080.00 $32,872.50 2026-05-06
3009202 OTHER Durata Df4 - Active Tbp Single 58cm 14 14 $12,000.00 $9,000.00 25% off $4,200.00 $12,240.00 $7,305.00 2026-05-06
3009203 OTHER Durata Df4 - Active Tbp Single 65cm 14 14 $12,000.00 $9,000.00 25% off $4,200.00 $12,240.00 $7,305.00 2026-05-06
3009204 OTHER Gallant Vr Icd 14 14 $33,000.00 $24,750.00 25% off $4,930.00 $33,660.00 $20,088.75 2026-05-06
3009205 OTHER Gallant Dr Icd 14 14 $39,000.00 $29,250.00 25% off $4,930.00 $39,780.00 $23,741.25 2026-05-06
400050 OTHER Or Minor Procedure 14 14 $1,239.00 $929.25 25% off $122.06 $1,263.78 $772.77 2026-05-06
400100 OTHER Or Level 1 - First Hour 14 14 $879.00 $659.25 25% off $15.53 $896.58 $548.23 2026-05-06
400110 OTHER Or Level 2 First Hour 14 14 $2,478.00 $1,858.50 25% off $32.95 $2,527.56 $1,545.53 2026-05-06
400115 OTHER Or Level 2 Ea Addl 15 Min 14 14 $651.00 $488.25 25% off $32.95 $664.02 $406.03 2026-05-06
400120 OTHER Or Level 3 First Hour 14 14 $2,915.00 $2,186.25 25% off $61.13 $2,973.30 $1,818.09 2026-05-06
400125 OTHER Or Level 3 Ea Addl 15 Min 14 14 $730.00 $547.50 25% off $32.95 $744.60 $455.30 2026-05-06
400130 OTHER Or Level 4 First Hour 14 14 $3,915.00 $2,936.25 25% off $33.94 $3,993.30 $2,441.78 2026-05-06
400135 OTHER Or Level 4 Ea Addl 15 Min 14 14 $980.00 $735.00 25% off $33.94 $999.60 $611.22 2026-05-06
400140 OTHER Endoscopy Level I 14 14 $3,094.00 $2,320.50 25% off $12.24 $3,155.88 $1,929.73 2026-05-06
400150 OTHER Endoscopy Level Ii 14 14 $3,359.00 $2,519.25 25% off $57.86 $3,426.18 $2,095.01 2026-05-06
400160 OTHER Endoscopy Level Iii 14 14 $3,400.00 $2,550.00 25% off $57.82 $3,468.00 $2,120.58 2026-05-06
4033208 OTHER Insrt Heart Pm Artrial & Vent 14 14 $28,500.00 $21,375.00 25% off $34.03 $29,070.00 $17,775.45 2026-05-06
4033228 OTHER Remvl&replc Pm Gen Dual Lead 14 14 $20,000.00 $15,000.00 25% off $44.16 $20,400.00 $12,474.00 2026-05-06
4033249 OTHER Insj/rplcmt Defib W/leads 14 14 $39,000.00 $29,250.00 25% off $40.66 $39,780.00 $24,324.30 2026-05-06
4033262 OTHER Rmvl& Replc Pulse Gen 1 Lead 14 14 $27,500.00 $20,625.00 25% off $38.71 $28,050.00 $17,151.75 2026-05-06
4033264 OTHER Rmvl & Replcmt Dfb En Mlt Ld 14 14 $87,500.00 $65,625.00 25% off $38.71 $89,250.00 $54,573.75 2026-05-06
4092960 OTHER Cardioversion Electric Ext 14 14 $1,850.00 $1,387.50 25% off $74.35 $1,887.00 $1,153.85 2026-05-06
4228296 OTHER Correction Hallux Valgus 14 14 $7,775.00 $5,831.25 25% off $52.15 $7,930.50 $4,849.27 2026-05-06
4436589 OTHER Removal Tunneled Cv Cath 14 14 $1,800.00 $1,350.00 25% off $151.35 $1,836.00 $1,122.66 2026-05-06
4451705 OTHER Change Bladder Tube 14 14 $695.00 $521.25 25% off $33.17 $708.90 $433.47 2026-05-06
449587 OTHER Repair Um Bil Hernia 14 14 $7,250.00 $5,437.50 25% off $38.71 $7,395.00 $4,521.82 2026-05-06
5001812 OTHER Cystic Fib Analy Pcr 13 13 $215.00 $161.25 25% off $132.74 $1,575.18 $556.60 2026-05-06
5001817 OTHER Cystic Fibrosis Carrier Screen 13 13 $215.00 $161.25 25% off $132.74 $1,575.18 $556.60 2026-05-06
5001881 OTHER Menorrhagia Panel 13 13 $687.00 $515.25 25% off $23.45 $700.74 $432.81 2026-05-06
5002015 OTHER Path Level Vi 14 14 $1,138.00 $853.50 25% off $52.70 $1,024.20 $440.47 2026-05-06
5002076 OTHER Phenosense Gt 14 14 $3,691.00 $2,768.25 25% off $81.46 $2,952.80 $488.66 2026-05-06
5003137 OTHER Path Cytologic Exam (touch Prep, Squash) 14 14 $1,138.00 $853.50 25% off $19.44 $1,024.20 $432.44 2026-05-06
5003215 OTHER Path Bone Marrow Diff 11 11 $1,138.00 $853.50 25% off $34.97 $1,024.20 $702.60 2026-05-06
5003714 OTHER Path Myeloperox Stain 14 14 $1,138.00 $853.50 25% off $25.34 $1,024.20 $432.44 2026-05-06
5081490 OTHER Auto Immune Rheumatoid 13 13 $3,200.00 $2,400.00 25% off $840.65 $3,264.00 $2,016.00 2026-05-06
5081517 OTHER Liver Ds Alys 3 Bmrk Srm Alg 13 13 $525.00 $393.75 25% off $176.19 $498.62 $402.72 2026-05-06
5087633 OTHER Resp Virus Multibe Types 12-25 14 14 $1,482.00 $1,111.50 25% off $23.74 $1,185.60 $416.78 2026-05-06
5200001 OTHER Bb Admin Rbc Bld 14 14 $974.41 $730.81 25% off $29.93 $993.90 $607.74 2026-05-06
5200003 OTHER Bb Platelet Pheresis 13 13 $1,076.00 $807.00 25% off $30.62 $1,097.52 $677.88 2026-05-06
5200006 OTHER Bb Blood-directed Donation 14 14 $974.41 $730.81 25% off $42.88 $993.90 $607.74 2026-05-06
5200008 OTHER Bb Rbc Ea Unit 13 13 $727.00 $545.25 25% off $27.67 $741.54 $458.01 2026-05-06
5200016 OTHER Bb Rbc Washed 13 13 $864.00 $648.00 25% off $29.93 $881.28 $544.32 2026-05-06
5200029 OTHER Bb Rbc Deglycero 13 13 $950.00 $712.50 25% off $27.67 $969.00 $598.50 2026-05-06
5200035 OTHER Bb Therapeutic Plasma Pheresis 14 14 $2,570.00 $1,927.50 25% off $13.44 $2,621.40 $1,602.91 2026-05-06
5587507 OTHER Gastrointestinal Profile 14 14 $1,200.00 $900.00 25% off $13.87 $1,179.49 $416.78 2026-05-06
600001 OTHER Recovery First Hour 13 13 $1,533.00 $1,149.75 25% off $536.55 $1,563.66 $1,000.27 2026-05-06
600002 OTHER Recovery Ea Addl 15 Min 13 13 $1,533.00 $1,149.75 25% off $12.94 $1,563.66 $965.79 2026-05-06
7000145 OTHER Skull Complete Series 14 14 $636.00 $477.00 25% off $46.43 $648.72 $396.68 2026-05-06
7000221 OTHER Ribs Bi W/pa Chest 4 14 14 $636.00 $477.00 25% off $15.53 $648.72 $396.68 2026-05-06
7000545 OTHER IV Pyelogram Urography 14 14 $773.00 $579.75 25% off $19.66 $788.46 $482.12 2026-05-06
7000555 OTHER Hysterosalpingography 14 14 $4,781.00 $3,585.75 25% off $23.30 $4,876.62 $2,981.91 2026-05-06
7000655 OTHER Cholangiogram Operative 13 13 $806.00 $604.50 25% off $16.82 $822.12 $507.78 2026-05-06
7000780 OTHER Bone Survey,osseous,limited 14 14 $904.00 $678.00 25% off $31.87 $922.08 $563.83 2026-05-06
7000788 OTHER Bone Survey, Complete 14 14 $1,500.00 $1,125.00 25% off $31.87 $1,530.00 $935.55 2026-05-06
7000810 OTHER Fluoroscopy,up To 1 Hr 14 14 $783.00 $587.25 25% off $10.15 $798.66 $488.36 2026-05-06
7000931 OTHER US Head & Neck Soft Tissues Real Time 14 14 $829.92 $622.44 25% off $44.74 $846.52 $517.62 2026-05-06
7300003 OTHER US Testicle 14 14 $672.00 $504.00 25% off $28.92 $685.44 $419.12 2026-05-06
7300009 OTHER US Venous Doppler/duplex Rt/upp Ext/ltd 14 14 $617.50 $463.13 25% off $16.03 $629.85 $385.13 2026-05-06
7300010 OTHER US OB Greater/= 14 Wks,transabdominal 14 14 $672.00 $504.00 25% off $61.08 $685.44 $419.12 2026-05-06
7300014 OTHER US Venous Doppler/duplex Lt Upp Ext/ltd 14 14 $617.50 $463.13 25% off $16.03 $629.85 $385.13 2026-05-06
7300016 OTHER US OB Transvaginal 14 14 $672.00 $504.00 25% off $43.54 $685.44 $419.12 2026-05-06
7300017 OTHER US OB Less Than 14 Wks,transabdominal 14 14 $672.00 $504.00 25% off $36.70 $685.44 $419.12 2026-05-06
7300019 OTHER US Ob, Limited 14 14 $672.00 $504.00 25% off $40.44 $685.44 $419.12 2026-05-06
7300027 OTHER US Arter Dup Lwr Ext Bilat Complete 14 14 $749.00 $561.75 25% off $84.22 $763.98 $467.15 2026-05-06
7300913 OTHER US Testicu Duplex Art/ven Abd Pelv Retro 14 14 $1,520.00 $1,140.00 25% off $19.39 $1,550.40 $948.03 2026-05-06
7300930 OTHER US Pelvic Non-OB 14 14 $672.00 $504.00 25% off $40.44 $685.44 $419.12 2026-05-06
7300935 OTHER US Echocardiography 13 13 $641.00 $480.75 25% off $16.03 $653.82 $403.83 2026-05-06
7300942 OTHER US Breast Rt Complete 14 14 $951.00 $713.25 25% off $81.26 $970.02 $593.14 2026-05-06
7300943 OTHER US Breast Lt Complete 14 14 $951.00 $713.25 25% off $32.50 $970.02 $593.14 2026-05-06
7300944 OTHER US Breast Bilat Complete 14 14 $951.00 $713.25 25% off $32.50 $970.02 $593.14 2026-05-06
7300945 OTHER US Echo Complete With Doppler 14 14 $1,341.00 $1,005.75 25% off $32.21 $1,367.82 $836.38 2026-05-06
7300970 OTHER US Gb,ruq,spleen,single Organ/quad/ltd 14 14 $1,067.04 $800.28 25% off $41.06 $1,088.38 $665.51 2026-05-06
7300974 OTHER US Aaa Screening 14 14 $630.00 $472.50 25% off $32.50 $642.60 $392.93 2026-05-06
7393971 OTHER US Venous Doppler/duplex Lt Low Ext/ltd 14 14 $617.50 $463.13 25% off $21.36 $629.85 $385.13 2026-05-06
7393972 OTHER US Venous Doppler/duplex Rt/low Ext/ltd 14 14 $617.50 $463.13 25% off $21.36 $629.85 $385.13 2026-05-06
7400800 OTHER CT Angiography Head W/wo Contrast 14 14 $2,059.00 $1,544.25 25% off $36.12 $2,100.18 $1,026.83 2026-05-06
7400805 OTHER CT Angiography Neck W/wo Contrast 14 14 $1,969.00 $1,476.75 25% off $20.26 $2,008.38 $981.94 2026-05-06
7400810 OTHER CT Angiography Lower Ext W/wo Contrast 14 14 $1,097.00 $822.75 25% off $52.78 $1,118.94 $547.08 2026-05-06
7400811 OTHER CT Angiography Runoff Bil Le/abd Aorta 14 14 $1,161.00 $870.75 25% off $57.82 $1,184.22 $578.99 2026-05-06
7400815 OTHER CT Angiography Chest 14 14 $1,557.33 $1,168.00 25% off $48.53 $1,588.48 $776.64 2026-05-06
7400820 OTHER CT Angiography Abdomen 14 14 $1,261.00 $945.75 25% off $111.14 $1,286.22 $628.86 2026-05-06
7400822 OTHER CT Angiography Abd/pelvis 14 14 $1,309.00 $981.75 25% off $13.87 $1,335.18 $652.80 2026-05-06
7400823 OTHER CT Angiography Pelvis 14 14 $875.00 $656.25 25% off $35.30 $892.50 $450.21 2026-05-06
7400824 OTHER CT Thoracic, Limited 14 14 $1,036.17 $777.13 25% off $44.14 $1,056.89 $516.74 2026-05-06
7400827 OTHER CT Lumbar, Limited 14 14 $1,719.12 $1,289.34 25% off $27.86 $1,753.50 $857.33 2026-05-06
7400888 OTHER CT Guidance, Needle Placement 14 14 $847.00 $635.25 25% off $65.33 $863.94 $441.56 2026-05-06
7400902 OTHER CT Brain With And Without Contrast 14 14 $2,055.00 $1,541.25 25% off $13.87 $2,096.10 $1,024.83 2026-05-06
7400904 OTHER CT Abdomen Without IV Or Po Contrast 14 14 $1,468.00 $1,101.00 25% off $8.59 $1,497.36 $732.09 2026-05-06
7400905 OTHER CT Abdomen W/contrast 14 14 $1,608.00 $1,206.00 25% off $8.59 $1,640.16 $801.91 2026-05-06
7400906 OTHER CT Abdomen W/wo Contrast 14 14 $1,907.00 $1,430.25 25% off $36.72 $1,945.14 $951.02 2026-05-06
7400907 OTHER CT Body Scan 15-19 Views 13 13 $971.00 $728.25 25% off $40.66 $990.42 $599.50 2026-05-06
7400908 OTHER CT Upper Et W/wo C Rt 14 14 $1,440.00 $1,080.00 25% off $34.75 $1,468.80 $718.13 2026-05-06
7400909 OTHER CT Low Ext W/wo Con Rt 14 14 $1,392.00 $1,044.00 25% off $23.18 $1,419.84 $694.19 2026-05-06
7400910 OTHER CT Facial Bones Without Contr 14 14 $997.88 $748.41 25% off $31.01 $1,017.84 $497.64 2026-05-06
7400911 OTHER CT Orbits W/contrast 14 14 $779.00 $584.25 25% off $114.74 $794.58 $420.56 2026-05-06
7400912 OTHER CT Orbits Without Contrast 14 14 $748.00 $561.00 25% off $10.15 $762.96 $411.00 2026-05-06
7400913 OTHER CT Orbits W/wo Contrast 14 14 $970.00 $727.50 25% off $15.86 $989.40 $483.74 2026-05-06
7400914 OTHER CT Pelvis W/contrast 14 14 $1,178.00 $883.50 25% off $9.60 $1,201.56 $587.47 2026-05-06
7400915 OTHER CT Pelvis Without Contrast 14 14 $1,265.87 $949.40 25% off $9.60 $1,291.19 $631.29 2026-05-06
7400916 OTHER CT Pelvis W/wo Contrast 14 14 $1,360.00 $1,020.00 25% off $70.10 $1,387.20 $678.23 2026-05-06
7400917 OTHER CT Chest W/contrast 14 14 $2,114.32 $1,585.74 25% off $11.42 $2,156.61 $1,054.41 2026-05-06
7400918 OTHER CT Chest Without Contrast 14 14 $1,422.72 $1,067.04 25% off $35.02 $1,451.17 $709.51 2026-05-06
7400919 OTHER CT Chest W/wo Contrast 14 14 $2,031.00 $1,523.25 25% off $49.61 $2,071.62 $1,012.86 2026-05-06
7400920 OTHER CT Cervical Spine W/cont 14 14 $960.00 $720.00 25% off $11.35 $979.20 $478.75 2026-05-06
7400921 OTHER CT Cervical Spine Without Con 14 14 $1,817.92 $1,363.44 25% off $11.35 $1,854.28 $906.60 2026-05-06
7400922 OTHER CT Cer Spine W/wo Cont 14 14 $1,026.00 $769.50 25% off $11.42 $1,046.52 $511.67 2026-05-06
7400923 OTHER CT Thoracic Spine W/cont 14 14 $1,030.00 $772.50 25% off $44.74 $1,050.60 $513.66 2026-05-06
7400924 OTHER CT Thoracic Spine Without Con 14 14 $1,036.17 $777.13 25% off $46.34 $1,056.89 $516.74 2026-05-06
7400925 OTHER CT Thoracic Spine W/wo Con 14 14 $1,356.00 $1,017.00 25% off $44.14 $1,383.12 $676.24 2026-05-06
7400926 OTHER CT Lumbar Spine W/cont 14 14 $960.00 $720.00 25% off $42.79 $979.20 $478.75 2026-05-06
7400927 OTHER CT Lumbar Spine Without Cont 14 14 $1,719.12 $1,289.34 25% off $25.78 $1,753.50 $857.33 2026-05-06
7400928 OTHER CT Lumbar Spine W/wo Cont 14 14 $1,007.00 $755.25 25% off $42.79 $1,027.14 $502.19 2026-05-06
7400929 OTHER CT Low Ext W/wo Con Lt 14 14 $1,392.00 $1,044.00 25% off $46.51 $1,419.84 $694.19 2026-05-06
7400930 OTHER CT Upper Et W/wo C Lt 14 14 $1,440.00 $1,080.00 25% off $44.16 $1,468.80 $718.13 2026-05-06
7400931 OTHER CT Upper Et Wo C Lt 14 14 $835.00 $626.25 25% off $35.04 $851.70 $437.86 2026-05-06
7400932 OTHER CT Upper Et Wo C Rt 14 14 $835.00 $626.25 25% off $20.83 $851.70 $437.86 2026-05-06
7400933 OTHER CT Low Ext Wo Con Lt 14 14 $1,067.04 $800.28 25% off $8.81 $1,088.38 $532.13 2026-05-06
7400934 OTHER CT Low Ext Wo Con Rt 14 14 $1,067.04 $800.28 25% off $28.82 $1,088.38 $532.13 2026-05-06
7400935 OTHER CT Upp Ext With Con Lt 14 14 $1,100.00 $825.00 25% off $99.07 $1,122.00 $548.57 2026-05-06
7400936 OTHER CT Upp Ext With Con Rt 14 14 $1,100.00 $825.00 25% off $99.07 $1,122.00 $548.57 2026-05-06
7400937 OTHER CT Low Ext W/con Lt 14 14 $1,100.00 $825.00 25% off $50.06 $1,122.00 $548.57 2026-05-06
7400938 OTHER CT Low Ext W/con Rt 14 14 $1,100.00 $825.00 25% off $64.06 $1,122.00 $548.57 2026-05-06
7400939 OTHER CT Sinuses Without Contrast 14 14 $997.88 $748.41 25% off $16.37 $1,017.84 $497.64 2026-05-06
7400940 OTHER CT Soft Tissue Neck W/contrast 14 14 $1,368.38 $1,026.29 25% off $34.68 $1,395.75 $682.41 2026-05-06
7400941 OTHER CT Soft Tissue Neck Without Contrast 14 14 $898.00 $673.50 25% off $44.74 $915.96 $457.30 2026-05-06
7400942 OTHER CT Soft Tissue Neck W/wo Contrast 14 14 $1,375.00 $1,031.25 25% off $27.67 $1,402.50 $685.71 2026-05-06
7400948 OTHER CT Maxillofacial W/contrast 14 14 $870.00 $652.50 25% off $31.01 $887.40 $448.66 2026-05-06
7400949 OTHER CT Maxillofacial W/wo Contrast 14 14 $992.00 $744.00 25% off $44.83 $1,011.84 $494.71 2026-05-06
7400953 OTHER CT Abd/pelv W/out Oral Or IV Contrast 14 14 $1,663.54 $1,247.65 25% off $55.13 $1,696.81 $829.61 2026-05-06
7400954 OTHER CT Abd/pelv With Oral And IV Contrast 14 14 $1,909.31 $1,431.98 25% off $99.07 $1,947.50 $952.17 2026-05-06
7400955 OTHER CT Abd/pelvis W/wo Contrast 14 14 $1,927.00 $1,445.25 25% off $155.71 $1,965.54 $961.00 2026-05-06
7400956 OTHER CT Stone Search 14 14 $1,663.54 $1,247.65 25% off $157.66 $1,696.81 $829.61 2026-05-06
7400957 OTHER CT Abd/pelv With Oral Contrast Only 14 14 $1,663.54 $1,247.65 25% off $198.28 $1,696.81 $829.61 2026-05-06
7400958 OTHER CT Abd/pelv With IV Contrast Only 14 14 $1,909.31 $1,431.98 25% off $99.07 $1,947.50 $952.17 2026-05-06
7400967 OTHER Inactive Code CT Abdomen W/nonionic 14 14 $1,608.00 $1,206.00 25% off $27.67 $1,640.16 $801.91 2026-05-06
7400994 OTHER CT Pelvis With Oral Contrast Only 14 14 $1,265.87 $949.40 25% off $8.81 $1,291.19 $631.29 2026-05-06
7400995 OTHER CT Pelvis With IV Contrast Only 14 14 $1,178.00 $883.50 25% off $9.60 $1,201.56 $587.47 2026-05-06
7400996 OTHER CT Abdomen With Oral Contrast Only 14 14 $1,468.00 $1,101.00 25% off $11.38 $1,497.36 $732.09 2026-05-06
7400997 OTHER CT Abdomen With IV Contrast Only 14 14 $1,608.00 $1,206.00 25% off $33.02 $1,640.16 $801.91 2026-05-06
7401004 OTHER CT Brain With Contrast 14 14 $1,608.00 $1,206.00 25% off $13.87 $1,640.16 $801.91 2026-05-06
7401010 OTHER CT Maxillofacial Without Contr 14 14 $997.88 $748.41 25% off $31.01 $1,017.84 $497.64 2026-05-06
7470450 OTHER CT Brain Without Stroke Protocol 14 14 $1,150.00 $862.50 25% off $13.87 $1,173.00 $573.50 2026-05-06
7471260 OTHER CT Chest/abdomin/pelvis Oral And IV Cont 14 14 $1,909.31 $1,431.98 25% off $144.00 $1,947.50 $952.17 2026-05-06
7474177 OTHER CT Chest/abd/pelvis With IV Contr Only 14 14 $1,909.31 $1,431.98 25% off $39.82 $1,947.50 $952.17 2026-05-06
7474178 OTHER Ct/chest/abdomin/pelvis With And Without 14 14 $1,927.00 $1,445.25 25% off $37.82 $1,965.54 $961.00 2026-05-06
7500940 OTHER MRI Chest W/wo Contrast 14 14 $2,406.00 $1,804.50 25% off $19.39 $2,454.12 $1,199.87 2026-05-06
7500948 OTHER MRI Brain Without Contrast 14 14 $3,500.00 $2,625.00 25% off $20.69 $3,570.00 $1,745.45 2026-05-06
7500949 OTHER MRI Brain W/contrast 14 14 $2,410.00 $1,807.50 25% off $48.48 $2,458.20 $1,201.87 2026-05-06
7500950 OTHER MRI Chest Without Contrast 14 14 $1,171.00 $878.25 25% off $25.92 $1,194.42 $730.36 2026-05-06
7500951 OTHER MRI Chest W/contrast 14 14 $1,434.00 $1,075.50 25% off $19.39 $1,462.68 $870.65 2026-05-06
7500952 OTHER MRI C-spine Without Contrast 14 14 $4,000.00 $3,000.00 25% off $22.66 $4,080.00 $1,994.80 2026-05-06
7500953 OTHER MRI C-spine W/contrast 14 14 $1,279.00 $959.25 25% off $20.69 $1,304.58 $797.71 2026-05-06
7500954 OTHER MRI T-spine Without Contrast 14 14 $4,000.00 $3,000.00 25% off $28.75 $4,080.00 $1,994.80 2026-05-06
7500955 OTHER MRI T-spine W/contrast 14 14 $1,279.00 $959.25 25% off $84.22 $1,304.58 $797.71 2026-05-06
7500956 OTHER MRI L-spine Without Contrast 14 14 $4,000.00 $3,000.00 25% off $17.95 $4,080.00 $1,994.80 2026-05-06
7500957 OTHER MRI L-spine W/contrast 14 14 $1,446.00 $1,084.50 25% off $16.03 $1,474.92 $874.36 2026-05-06
7500958 OTHER MRI Pelvis Without Contrast 14 14 $4,000.00 $3,000.00 25% off $28.75 $4,080.00 $1,994.80 2026-05-06
7500959 OTHER MRI Pelvis With Contrast 14 14 $1,279.00 $959.25 25% off $12.43 $1,304.58 $797.71 2026-05-06
7500960 OTHER MRI Upr Ext Rt-w/wo Contrast 14 14 $2,180.00 $1,635.00 25% off $20.69 $2,223.60 $1,100.94 2026-05-06
7500961 OTHER MRI Joint Upr Ext-rt Without Contrast 14 14 $4,000.00 $3,000.00 25% off $20.69 $4,080.00 $1,994.80 2026-05-06
7500962 OTHER MRI Lwr Ext-rt W/wo Contrast 14 14 $4,000.00 $3,000.00 25% off $49.10 $4,080.00 $1,994.80 2026-05-06
7500963 OTHER MRI Joint Lwr Ext-rt Without Contrast 14 14 $4,000.00 $3,000.00 25% off $47.38 $4,080.00 $1,994.80 2026-05-06
7500964 OTHER MRI Joint Lwr Ext-lt Without Contrast 14 14 $4,000.00 $3,000.00 25% off $20.69 $4,080.00 $1,994.80 2026-05-06
7500965 OTHER MRI Orbit Face & Neck W/out Contrast 14 14 $1,678.00 $1,258.50 25% off $19.42 $1,711.56 $945.98 2026-05-06
7500966 OTHER MRI Joint Upr Ext-lt Without Contrast 14 14 $4,000.00 $3,000.00 25% off $13.37 $4,080.00 $1,994.80 2026-05-06
7500967 OTHER MRI Lwr Ext-lt W/wo Contrast 14 14 $4,000.00 $3,000.00 25% off $20.69 $4,080.00 $1,994.80 2026-05-06
7500968 OTHER MRI Upr Ext Lt-w/wo Contrast 14 14 $2,180.00 $1,635.00 25% off $24.77 $2,223.60 $1,100.94 2026-05-06
7500969 OTHER MRI Orbit Face Neck With Contrast 14 14 $2,096.00 $1,572.00 25% off $22.66 $2,137.92 $1,075.01 2026-05-06
7500970 OTHER MRI Orbit Face Neck W & Without Contrast 14 14 $3,633.00 $2,724.75 25% off $46.94 $3,705.66 $1,811.78 2026-05-06
7500971 OTHER MRI Lspine W/wo Contrast 14 14 $4,250.00 $3,187.50 25% off $17.95 $4,335.00 $2,119.47 2026-05-06
7500972 OTHER MRI Brain W/wo Contrast 14 14 $4,250.00 $3,187.50 25% off $20.69 $4,335.00 $2,119.47 2026-05-06
7500973 OTHER MRI Lwr Ext Ot Joint Without Contrast 14 14 $3,500.00 $2,625.00 25% off $20.69 $3,570.00 $1,745.45 2026-05-06
7500978 OTHER MRI Upr Ext Other Than Jnt Without Contrast 14 14 $1,007.00 $755.25 25% off $18.50 $1,027.14 $628.07 2026-05-06
7500988 OTHER MRI Pelvis W/wo Contrast 14 14 $4,250.00 $3,187.50 25% off $102.82 $4,335.00 $2,119.47 2026-05-06
7501000 OTHER MRA Abdomen With Or Without Contrast 14 14 $1,384.00 $1,038.00 25% off $84.22 $1,411.68 $855.22 2026-05-06
7501001 OTHER MRI C-spine W/wo Contrast 14 14 $4,250.00 $3,187.50 25% off $22.73 $4,335.00 $2,119.47 2026-05-06
7501002 OTHER MRI T-spine W/wo Contrast 14 14 $4,250.00 $3,187.50 25% off $31.78 $4,335.00 $2,119.47 2026-05-06
7501003 OTHER MRI L-spine W/wo Contrast 14 14 $4,250.00 $3,187.50 25% off $22.66 $4,335.00 $2,119.47 2026-05-06
7501004 OTHER MRA Head W/wo Contrast 14 14 $3,633.00 $2,724.75 25% off $81.26 $3,705.66 $1,811.78 2026-05-06
7501005 OTHER MRA Head Without Contrast 14 14 $4,000.00 $3,000.00 25% off $20.69 $4,080.00 $1,994.80 2026-05-06
7501006 OTHER MRI Pituitary 14 14 $3,633.00 $2,724.75 25% off $62.57 $3,705.66 $1,811.78 2026-05-06
7501007 OTHER MRI Joint Lwr Ext W/wo Contrast 14 14 $2,507.00 $1,880.25 25% off $20.69 $2,557.14 $1,250.24 2026-05-06
7501008 OTHER MRI Joint Lwr Ext W/contrast 14 14 $1,434.00 $1,075.50 25% off $24.77 $1,462.68 $870.65 2026-05-06
7501009 OTHER MRI Abdomen Without Contrast 14 14 $1,007.00 $755.25 25% off $15.91 $1,027.14 $628.07 2026-05-06
7501010 OTHER MRI Abdomen W/wo Contrast 14 14 $4,000.00 $3,000.00 25% off $123.14 $4,080.00 $1,994.80 2026-05-06
7501011 OTHER MRA Neck Without Contrast 14 14 $1,930.00 $1,447.50 25% off $84.79 $1,968.60 $1,023.76 2026-05-06
7501012 OTHER MRA Neck With Contrast 14 14 $2,306.00 $1,729.50 25% off $102.82 $2,352.12 $1,150.00 2026-05-06
7501013 OTHER MRA Neck W/wo Contrast 14 14 $3,996.00 $2,997.00 25% off $342.31 $4,075.92 $1,992.81 2026-05-06
7501020 OTHER MRI Abdomen With Contrast 14 14 $1,279.00 $959.25 25% off $28.75 $1,304.58 $797.71 2026-05-06
7601050 OTHER Mm Dx Bilat, Digital, Cad+ 14 14 $750.00 $562.50 25% off $52.70 $765.00 $467.77 2026-05-06
7677065 OTHER Mm Dx Mammo Incl Cad Uni 14 14 $650.00 $487.50 25% off $13.34 $663.00 $405.40 2026-05-06
8000038 OTHER Endotracheal Intubation 14 14 $750.00 $562.50 25% off $5.69 $765.00 $467.77 2026-05-06
8000039 OTHER Trach Care 14 14 $750.00 $562.50 25% off $22.66 $765.00 $467.77 2026-05-06
8000074 OTHER Ventilator Management Inital 14 14 $969.00 $726.75 25% off $24.43 $988.38 $483.24 2026-05-06
8000076 OTHER Ventilator Management Subsequent 14 14 $969.00 $726.75 25% off $24.43 $988.38 $483.24 2026-05-06
8594060 OTHER Pr Evaluation Of Wheezing 14 14 $1,200.00 $900.00 25% off $10.30 $1,224.00 $748.44 2026-05-06
8594375 OTHER Pr Respiratory Flow Volume Loop T 14 14 $1,200.00 $900.00 25% off $6.10 $1,224.00 $748.44 2026-05-06
8594621 OTHER Pr Cardiopulmonary Stress Test Comp 14 14 $1,200.00 $900.00 25% off $10.75 $1,224.00 $748.44 2026-05-06
8594640 OTHER Pr Airway Inhalation Treatment 14 14 $825.00 $618.75 25% off $8.18 $841.50 $514.56 2026-05-06
8594660 OTHER Pr Positive Airway Pressure Initiation/m 14 14 $825.00 $618.75 25% off $9.58 $841.50 $514.56 2026-05-06
8594662 OTHER Pr Negative Pressure Ventilation Initiat 14 14 $1,600.00 $1,200.00 25% off $15.53 $1,632.00 $997.92 2026-05-06
8594664 OTHER Pr Demonstration & Evaluation Use Of Inh 14 14 $825.00 $618.75 25% off $18.35 $841.50 $514.56 2026-05-06
8594669 OTHER Pr Mechanical Chest Wall Oscillat 14 14 $825.00 $618.75 25% off $14.42 $841.50 $514.56 2026-05-06
8594681 OTHER Pr Expired Gas Analysis & Oxygen Uptake 14 14 $1,200.00 $900.00 25% off $10.30 $1,224.00 $748.44 2026-05-06
8594728 OTHER Pr Airway Resistance By Impulse Oscillme 14 14 $625.00 $468.75 25% off $15.67 $637.50 $389.81 2026-05-06
8594799 OTHER Pr Pulmonary Service/procedure/h 13 13 $600.00 $450.00 25% off $55.06 $612.00 $378.00 2026-05-06
9600044 OTHER Nerve Conduction Studies; 9-10 Studies 14 14 $935.00 $701.25 25% off $31.80 $953.70 $583.16 2026-05-06
9600045 OTHER Nerve Conduction Studies; 11-12 Studies 14 14 $935.00 $701.25 25% off $15.91 $953.70 $583.16 2026-05-06
9600046 OTHER Nerve Conduction Studies; 13 Or More 14 14 $935.00 $701.25 25% off $40.34 $953.70 $583.16 2026-05-06
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