Price Transparency 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

LANAI COMMUNITY HOSPITAL

Lanai City, HI · CCN 121305 · Rates published

3,511 distinct procedures filed
10 distinct payers
37,451 rate rows
2026-05-08 last MRF observed
Data quality

28,907 of 37,451 rate rows are consumer-grade (77.2%)

8,544 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8,425
placeholder amount (≤ $0.02) — excluded from medians 73
per-diem day rate — not a per-procedure price 43
exceeds 10× this hospital's gross charge — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/maui-health-site-309/media/r/1804f4bca2e04b1e81befcb4375e7864/811559375-lanaicommunityhospital-standardcharges.csv
Found on page https://www.mauihealth.org/patients-and-visitors/billing-information/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint fa581eba28575063… · 4,086,959 bytes · first seen 2026-05-08

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
99999015807
OTHER 		Yttrium Y 90-ibritumomab Tiuxetan Soln 1 Each 1 $84,496.28 $84,496.28 $84,496.28 nat. median
$42,278
2.0× median
30237890006
OTHER 		Sipuleucel-t In Lr 50 Million Cell/250 Ml Susp 250 Ml Bag 2 $55,015.23 $67,974.05 $65,447.83 nat. median
$62,565
1.0× median
67979000201
OTHER 		Histrelin 50 Mg (65 Mcg/day) Kit 1 Each Kit 2 $45,350.22 $54,606.00 $50,887.71 nat. median
$45,560
1.1× median
99207024005
OTHER 		Edetate Calcium Disodium 200 mg/mL Soln 5 Ml Ampul 2 $5,708.59 $10,069.96 $8,306.00 nat. median
$6,539
1.3× median
50633012011
OTHER 		Digoxin Immune Fab 40 Mg Recon Soln 1 Each Vial 2 $4,888.10 $6,913.00 $6,192.06 nat. median
$11,227
0.6× median
78033184
OTHER 		Basiliximab 20 Mg Recon Soln 1 Each Vial 2 $4,588.77 $6,477.16 $6,115.00 nat. median
$4,673
1.3× median
78039361
OTHER 		Basiliximab 10 Mg Recon Soln 1 Each Vial 2 $4,588.77 $6,477.16 $6,115.00 nat. median
$4,673
1.3× median
67979050001
OTHER 		Histrelin 50 Mg (50 Mcg/day) Kit 1 Each Kit 2 $5,166.29 $5,838.00 $5,743.19 nat. median
$9,618
0.6× median
75710
OTHER 		Angiography Extremity Unilateral Rs&i 3 $435.57 $10,394.00 $4,893.89 nat. median
$3,267
1.5× median
75605
OTHER 		Aortography Thoracic Serialography Rs&i 3 $435.57 $10,394.00 $4,893.89 nat. median
$4,948
1.0× median
81450
OTHER 		Hematolymphoid Neo/do Gsap 5-50dna/dna&rna Alys 10 $1,012.06 $4,884.95 $4,884.95 nat. median
$813
outlier · 6.0×
87903
OTHER 		Nfct Phexyp Resist Tiss Cul HIV First 1-10 Drugs 10 $486.21 $4,738.60 $4,738.60 nat. median
$508
outlier · 9.3×
87507
OTHER 		Iadna-dna/rna Gi Pthgn Multiplex Probe Tq 12-25 10 $886.17 $4,661.30 $4,661.30 nat. median
$500
outlier · 9.3×
9722402
OTHER 		Lymphocyte,anti-thymocyte Immunoglobulin (equine) 50 mg/mL Soln 5 Ml Ampul 2 $2,589.73 $5,197.00 $4,582.65 nat. median
$4,434
1.0× median
75630
OTHER 		Aortography Abdl Bi Iliofem Low Extrem Cath Rs&i 10 $454.04 $8,507.00 $4,480.52 nat. median
$3,017
1.5× median
75726
OTHER 		Angiography Visceral Slctv/supraslctv Rs&i 10 $435.57 $8,507.00 $4,471.28 nat. median
$5,356
0.8× median
P9052
OTHER 		Platlts Hla-matchd Leukocytes Rduc Apheres/phere 10 $1,268.96 $4,254.98 $4,254.98 nat. median
$792
outlier · 5.4×
81317
OTHER 		Pms2 Gene Analysis Full Sequence 10 $468.77 $4,185.84 $4,185.84 nat. median
$712
outlier · 5.9×
99291
OTHER 		Critical Care Ill/injured Patient Init 30-74 Min 10 $722.00 $4,077.00 $4,077.00 nat. median
$887
outlier · 4.6×
86891
OTHER 		Autol Bld/component Collj Storage Salvage 10 $792.95 $3,960.97 $3,960.97 nat. median
$818
outlier · 4.8×
16025
OTHER 		Drs&/dbrdmt Prtl-thkns Burns 1st/sbsq Medium 4 $69.98 $5,885.00 $3,857.00 nat. median
$222
outlier · 17.3×
75741
OTHER 		Angiography Pulmonary Unilateral Slctv Rs&i 10 $435.57 $4,893.89 $3,679.28 nat. median
$2,702
1.4× median
75625
OTHER 		Aortography Abdominal Serialography Rs&i 10 $435.57 $4,893.89 $3,679.28 nat. median
$3,104
1.2× median
P9053
OTHER 		Platlts Pheres Leukocytes Rduc Cmv-neg Irradatd 10 $1,063.75 $3,567.38 $3,567.38 nat. median
$528
outlier · 6.8×
99999015266
OTHER 		Palivizumab In Sterile Diluent 100 Mg/ml Inj 1 Ml Syringe 1 $3,505.48 $3,505.48 $3,505.48 nat. median
$3,505
1.0× median
60574411301
OTHER 		Palivizumab 100 mg/mL Soln 1 Ml Vial 1 $3,505.48 $3,505.48 $3,505.48 nat. median
$4,272
0.8× median
60574411401
OTHER 		Palivizumab 50 Mg/0.5 Ml Soln 0.5 Ml Vial 1 $3,505.48 $3,505.48 $3,505.48 nat. median
$2,622
1.3× median
81292
OTHER 		Mlh1 Gene Analysis Full Sequence Analysis 10 $387.74 $3,463.12 $3,463.12 nat. median
$709
outlier · 4.9×
58468020001
OTHER 		Alemtuzumab 12 Mg/1.2 Ml Soln 1.2 Ml Vial 2 $2,337.69 $3,363.32 $3,246.03 nat. median
$2,786
1.2× median
26605
OTHER 		Cltx Metacarpal Fx W/manipulation Each Bone 3 $166.50 $5,885.00 $3,241.00 nat. median
$323
outlier · 10.0×
G0379
OTHER 		Direct Admission Patient Hospital Observ Care 10 $3,220.65 $3,220.65 $3,220.65 nat. median
$671
outlier · 4.8×
P9036
OTHER 		Platelet Pheresis Irradiated 10 $950.60 $3,206.30 $3,206.30 nat. median
$706
outlier · 4.5×
24535
OTHER 		Cltx Sprcndylr/transcndylr Humeral Fx W/manj 10 $375.67 $5,885.00 $3,130.34 nat. median
$1,485
outlier · 2.1×
27818
OTHER 		Cltx Trimalleolar Ankle Fx W/manipulation 10 $343.72 $5,885.00 $3,114.36 nat. median
$1,534
outlier · 2.0×
25605
OTHER 		Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Perf 10 $320.44 $5,885.00 $3,102.72 nat. median
$1,617
1.9× median
81370
OTHER 		Hla Class I&ii Low Hla-a -b -c -drb1/3/4/5&dqb 10 $329.16 $2,939.73 $2,939.73 nat. median
$422
outlier · 7.0×
50633011012
OTHER 		Crotalidae Polyvalent Immune Fab (ovine) Recon Soln 1 Each Vial 2 $1,762.35 $4,806.43 $2,821.77 nat. median
$2,832
1.0× median
88348
OTHER 		Electron Microscopy Diagnostic 10 $273.83 $2,810.41 $2,810.41 nat. median
$804
outlier · 3.5×
87901
OTHER 		Nfct Gexyp Nucleic Acid HIV Rev Trnscr&proteas 10 $355.78 $2,783.84 $2,783.84 nat. median
$293
outlier · 9.5×
81406
OTHER 		Molecular Pathology Procedure Level 7 9 $2,781.50 $2,781.50 $2,781.50 nat. median
$309
outlier · 9.0×
99285
OTHER 		Facility Use-emergency Room, Level 5 10 $722.00 $2,683.50 $2,683.50 nat. median
$692
outlier · 3.9×
75731
OTHER 		Angiography Adrenal Unilateral Slctv Rs&i 10 $435.57 $4,893.89 $2,664.73 nat. median
$1,980
1.3× median
75746
OTHER 		Angrph Pulmonary Nonslctv Cath/ven Njx Rs&i 10 $435.57 $4,893.89 $2,664.73 nat. median
$1,975
1.3× median
75872
OTHER 		Venography Epidural Rs&i 10 $435.57 $4,893.89 $2,664.73 nat. median
$558
outlier · 4.8×
75810
OTHER 		Splenoportograpy Rs&i 10 $367.45 $4,893.89 $2,630.67 nat. median
$2,951
0.9× median
81378
OTHER 		Hla I&ii High Resolution Hla-a -b -c And -drb1 10 $282.86 $2,525.53 $2,525.53 nat. median
$363
outlier · 7.0×
110
OTHER 		Room & Board-private 3 $2,453.62 $2,453.62 $2,453.62 nat. median
$1,680
1.5× median
81379
OTHER 		Hla Class I Typing High Resolution Complete 10 $274.52 $2,451.16 $2,451.16 nat. median
$352
outlier · 7.0×
87506
OTHER 		Iadna-dna/rna Gi Pthgn Multiplex Probe Tq 6-11 10 $453.79 $2,386.55 $2,386.55 nat. median
$289
outlier · 8.2×
24477004001
OTHER 		Reteplase 10 Unit Kit 1 Each Kit 2 $2,376.72 $4,143.44 $2,377.00 nat. median
$2,377
1.0× median

Other procedures at this hospital

Browse this hospital's 3,511 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
             
81541 OTHER Onc Prst8 Mrna Gene Xprsn Prfl Rt-pcr 46 Genes 1 1 $57,721.00 $22,511.19 61% off $2,323.80 $2,323.80 $2,323.80 2026-05-08
81521 OTHER Onc Breast Mrna Microra Gene Xprsn Prfl 70 Genes 1 1 $57,721.00 $22,511.19 61% off $2,323.80 $2,323.80 $2,323.80 2026-05-08
81520 OTHER Onc Breast Mrna Gene Xprsn Prfl Hybrd 58 Genes 1 1 $46,186.00 $18,012.54 61% off $1,859.41 $1,859.41 $1,859.41 2026-05-08
75842 OTHER Venography Adrenal Bilateral Selective Rs&i 5 3 $22,377.00 $8,727.03 61% off $435.57 $4,893.89 $916.00 2026-05-08
75893 OTHER Venous Sampling Thru Cath W/wo Angiography Rs& 5 3 $22,377.00 $8,727.03 61% off $425.32 $4,893.89 $916.00 2026-05-08
75733 OTHER Angiography Adrenal Bilateral Slctv Rs&i 5 3 $14,957.00 $5,833.23 61% off $435.57 $4,893.89 $916.00 2026-05-08
75705 OTHER Angiography Spinal Selective Rs&i 5 3 $14,918.00 $5,818.02 61% off $435.57 $4,893.89 $916.00 2026-05-08
75840 OTHER Venography Adrenal Unilateral Selective Rs&i 5 3 $13,461.00 $5,249.79 61% off $435.57 $4,893.89 $916.00 2026-05-08
75885 OTHER Prq Transhepatc Portograpy Hemodyn Eval Rs&i 5 3 $13,461.00 $5,249.79 61% off $425.32 $4,893.89 $916.00 2026-05-08
75831 OTHER Venography Renal Unilateral Selective Rs&i 5 3 $13,461.00 $5,249.79 61% off $435.57 $4,893.89 $916.00 2026-05-08
75860 OTHER Venography Venous Sinus/jugular Cath Rs&i 5 3 $13,461.00 $5,249.79 61% off $435.57 $4,893.89 $916.00 2026-05-08
75889 OTHER Hepatc Vngrph Wdg/fr Hemodyn Eval Rs&i 5 3 $13,461.00 $5,249.79 61% off $425.32 $4,893.89 $916.00 2026-05-08
75833 OTHER Venography Renal Bilateral Selective Rs&i 5 3 $13,461.00 $5,249.79 61% off $435.57 $4,893.89 $916.00 2026-05-08
75600 OTHER Aortography Thoracic Without Serialography Rs&i 5 3 $13,461.00 $5,249.79 61% off $435.08 $4,893.89 $916.00 2026-05-08
75756 OTHER Angiography Internal Mammary Rs&i 5 3 $13,461.00 $5,249.79 61% off $435.57 $4,893.89 $916.00 2026-05-08
75825 OTHER Venography Caval Inferior Serialography Rs&i 5 3 $13,461.00 $5,249.79 61% off $435.57 $4,893.89 $916.00 2026-05-08
75891 OTHER Hepatc Vngrph Wdg/fr Without Hemodyn Eval Rs&i 5 3 $13,461.00 $5,249.79 61% off $425.32 $4,893.89 $916.00 2026-05-08
80418 OTHER Combined Rapid Ant Pituitary Evaluation Panel 5 4 $11,848.00 $4,620.72 61% off $485.86 $1,934.35 $1,375.00 2026-05-08
75605 OTHER Aortography Thoracic Serialography Rs&i 5 3 $11,177.00 $4,359.03 61% off $435.57 $10,394.00 $4,893.89 2026-05-08
75716 OTHER Angiography Extremity Bilateral Rs&i 5 3 $11,177.00 $4,359.03 61% off $435.57 $4,893.89 $916.00 2026-05-08
75743 OTHER Angiography Pulmonary Bilateral Slctv Rs&i 5 3 $11,177.00 $4,359.03 61% off $435.57 $4,893.89 $916.00 2026-05-08
75736 OTHER Angiography Pelvic Slctv/supraslctv Rs&i 5 3 $11,177.00 $4,359.03 61% off $435.57 $4,893.89 $916.00 2026-05-08
81175 OTHER Asxl1 Gene Analysis Full Gene Sequence 3 2 $10,536.00 $4,109.04 61% off $424.21 $1,082.39 $1,082.00 2026-05-08
87903 OTHER Nfct Phexyp Resist Tiss Cul HIV First 1-10 Drugs 18 10 $9,990.00 $3,896.10 61% off $486.21 $4,738.60 $4,738.60 2026-05-08
81450 OTHER Hematolymphoid Neo/do Gsap 5-50dna/dna&rna Alys 16 10 $9,731.00 $3,795.09 61% off $1,012.06 $4,884.95 $4,884.95 2026-05-08
87507 OTHER Iadna-dna/rna Gi Pthgn Multiplex Probe Tq 12-25 18 10 $9,374.00 $3,655.86 61% off $886.17 $4,661.30 $4,661.30 2026-05-08
87633 OTHER Iadna Respiratry Probe & Rev Trnscr 12-25 Target 5 4 $9,374.00 $3,655.86 61% off $343.75 $1,390.99 $987.80 2026-05-08
81321 OTHER Pten Gene Analysis Full Sequence Analysis 5 4 $9,001.00 $3,510.39 61% off $360.42 $1,469.51 $832.20 2026-05-08
81259 OTHER Hba1/hba2 Gene Analysis Full Gene Sequence 3 2 $8,942.00 $3,487.38 61% off $360.00 $832.20 $832.00 2026-05-08
81249 OTHER G6pd Gene Analysis Full Gene Sequence 3 2 $8,942.00 $3,487.38 61% off $360.00 $832.20 $832.00 2026-05-08
81238 OTHER F9 Full Gene Sequence 3 2 $8,942.00 $3,487.38 61% off $360.00 $832.20 $832.00 2026-05-08
81317 OTHER Pms2 Gene Analysis Full Sequence 18 10 $8,781.00 $3,424.59 61% off $468.77 $4,185.84 $4,185.84 2026-05-08
75726 OTHER Angiography Visceral Slctv/supraslctv Rs&i 19 10 $8,280.00 $3,229.20 61% off $435.57 $8,507.00 $4,471.28 2026-05-08
99291 OTHER Critical Care Ill/injured Patient Init 30-74 Min 19 10 $8,000.00 $3,120.00 61% off $722.00 $4,077.00 $4,077.00 2026-05-08
P9052 OTHER Platlts Hla-matchd Leukocytes Rduc Apheres/phere 15 10 $7,794.00 $3,039.66 61% off $1,268.96 $4,254.98 $4,254.98 2026-05-08
86891 OTHER Autol Bld/component Collj Storage Salvage 15 10 $7,674.00 $2,992.86 61% off $792.95 $3,960.97 $3,960.97 2026-05-08
75710 OTHER Angiography Extremity Unilateral Rs&i 5 3 $7,452.00 $2,906.28 61% off $435.57 $10,394.00 $4,893.89 2026-05-08
75630 OTHER Aortography Abdl Bi Iliofem Low Extrem Cath Rs&i 19 10 $7,452.00 $2,906.28 61% off $454.04 $8,507.00 $4,480.52 2026-05-08
75625 OTHER Aortography Abdominal Serialography Rs&i 19 10 $7,452.00 $2,906.28 61% off $435.57 $4,893.89 $3,679.28 2026-05-08
75741 OTHER Angiography Pulmonary Unilateral Slctv Rs&i 19 10 $7,452.00 $2,906.28 61% off $435.57 $4,893.89 $3,679.28 2026-05-08
81292 OTHER Mlh1 Gene Analysis Full Sequence Analysis 18 10 $7,265.00 $2,833.35 61% off $387.74 $3,463.12 $3,463.12 2026-05-08
80412 OTHER Corticotropic Releasing Horm Stimj Panel 5 4 $6,739.00 $2,628.21 61% off $276.30 $1,100.10 $781.96 2026-05-08
P9053 OTHER Platlts Pheres Leukocytes Rduc Cmv-neg Irradatd 15 10 $6,535.00 $2,548.65 61% off $1,063.75 $3,567.38 $3,567.38 2026-05-08
81370 OTHER Hla Class I&ii Low Hla-a -b -c -drb1/3/4/5&dqb 18 10 $6,167.00 $2,405.13 61% off $329.16 $2,939.73 $2,939.73 2026-05-08
P9036 OTHER Platelet Pheresis Irradiated 15 10 $5,879.00 $2,292.81 61% off $950.60 $3,206.30 $3,206.30 2026-05-08
87901 OTHER Nfct Gexyp Nucleic Acid HIV Rev Trnscr&proteas 18 10 $5,791.00 $2,258.49 61% off $355.78 $2,783.84 $2,783.84 2026-05-08
88348 OTHER Electron Microscopy Diagnostic 19 10 $5,756.00 $2,244.84 61% off $273.83 $2,810.41 $2,810.41 2026-05-08
24535 OTHER Cltx Sprcndylr/transcndylr Humeral Fx W/manj 18 10 $5,748.00 $2,241.72 61% off $375.67 $5,885.00 $3,130.34 2026-05-08
23665 OTHER Cltx Shoulder Dislc W/fx Humeral Tubrst W/manj 5 4 $5,748.00 $2,241.72 61% off $265.46 $5,885.00 $2,077.00 2026-05-08
23655 OTHER Clsd Tx Shoulder Dislc W/manipulation Req Anes 5 4 $5,748.00 $2,241.72 61% off $239.70 $3,097.00 $2,077.00 2026-05-08
81378 OTHER Hla I&ii High Resolution Hla-a -b -c And -drb1 18 10 $5,298.00 $2,066.22 61% off $282.86 $2,525.53 $2,525.53 2026-05-08
G0379 OTHER Direct Admission Patient Hospital Observ Care 16 10 $5,241.00 $2,043.99 61% off $3,220.65 $3,220.65 $3,220.65 2026-05-08
81379 OTHER Hla Class I Typing High Resolution Complete 18 10 $5,142.00 $2,005.38 61% off $274.52 $2,451.16 $2,451.16 2026-05-08
27818 OTHER Cltx Trimalleolar Ankle Fx W/manipulation 18 10 $5,117.00 $1,995.63 61% off $343.72 $5,885.00 $3,114.36 2026-05-08
99285 OTHER Facility Use-emergency Room, Level 5 19 10 $5,000.00 $1,950.00 61% off $722.00 $2,683.50 $2,683.50 2026-05-08
36556 OTHER Insj Non-tunneled Central Venous Cath Age 5 Yr/> 5 4 $4,945.00 $1,928.55 61% off $79.28 $3,097.00 $2,077.00 2026-05-08
87506 OTHER Iadna-dna/rna Gi Pthgn Multiplex Probe Tq 6-11 18 10 $4,799.00 $1,871.61 61% off $453.79 $2,386.55 $2,386.55 2026-05-08
81263 OTHER Igh@ Variable Region Somatic Mutation Analysis 18 10 $4,515.00 $1,760.85 61% off $241.07 $2,152.28 $2,152.28 2026-05-08
81301 OTHER Microsatellite Instab Anal Mismatch Repair Def 18 10 $4,440.00 $1,731.60 61% off $237.02 $2,116.51 $2,116.51 2026-05-08
P9034 OTHER Platelets, Pheresis 16 10 $4,351.00 $1,696.89 61% off $575.00 $2,308.50 $2,308.50 2026-05-08
75746 OTHER Angrph Pulmonary Nonslctv Cath/ven Njx Rs&i 19 10 $4,335.00 $1,690.65 61% off $435.57 $4,893.89 $2,664.73 2026-05-08
81406 OTHER Molecular Pathology Procedure Level 7 14 9 $4,217.00 $1,644.63 61% off $2,781.50 $2,781.50 $2,781.50 2026-05-08
74174 OTHER CT Angio Abd&plvis Cntrst Mtrl W/wo Cntrst Img 19 10 $4,095.00 $1,597.05 61% off $381.03 $2,092.51 $2,092.51 2026-05-08
P9039 OTHER Rbc Deglycerolized 15 10 $4,050.00 $1,579.50 61% off $684.58 $2,223.29 $2,223.29 2026-05-08
25605 OTHER Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Perf 18 10 $4,024.00 $1,569.36 61% off $320.44 $5,885.00 $3,102.72 2026-05-08
81268 OTHER Chimerism W/comp To Baseline W/cell Selection Ea 18 10 $3,997.00 $1,558.83 61% off $213.47 $1,905.38 $1,905.38 2026-05-08
75731 OTHER Angiography Adrenal Unilateral Slctv Rs&i 19 10 $3,901.00 $1,521.39 61% off $435.57 $4,893.89 $2,664.73 2026-05-08
75872 OTHER Venography Epidural Rs&i 19 10 $3,901.00 $1,521.39 61% off $435.57 $4,893.89 $2,664.73 2026-05-08
75810 OTHER Splenoportograpy Rs&i 19 10 $3,901.00 $1,521.39 61% off $367.45 $4,893.89 $2,630.67 2026-05-08
75870 OTHER Venography Superior Sagittal Sinus Rs&i 19 10 $3,901.00 $1,521.39 61% off $435.57 $2,029.79 $2,029.79 2026-05-08
75827 OTHER Venography Caval Superior Serialography Rs&i 19 10 $3,901.00 $1,521.39 61% off $435.57 $2,029.79 $2,029.79 2026-05-08
75887 OTHER Prq Transhepatc Portograpy Without Hemodyn Evl Intrp 19 10 $3,901.00 $1,521.39 61% off $377.02 $2,000.51 $2,000.51 2026-05-08
71270 OTHER Diagnostic Computed Tomography Thorax C-/c+ 19 10 $3,800.00 $1,482.00 61% off $316.52 $1,923.26 $1,923.26 2026-05-08
81235 OTHER Egfr Gene Analysis Common Variants 18 10 $3,711.00 $1,447.29 61% off $198.01 $1,768.95 $1,768.95 2026-05-08
81371 OTHER Hla I&li Low Resolution Hla-a -b&-drb1 18 10 $3,691.00 $1,439.49 61% off $197.02 $1,759.46 $1,759.46 2026-05-08
70498 OTHER CT Angiography Neck W/contrast/noncontrast 19 10 $3,623.00 $1,412.97 61% off $334.94 $1,850.47 $1,850.47 2026-05-08
99284 OTHER Facility Use-emergency Room, Level 4 19 10 $3,600.00 $1,404.00 61% off $722.00 $2,033.00 $2,033.00 2026-05-08
0042T OTHER Cerebral Perfusion Analys CT W/blood Flow&volume 14 9 $3,590.00 $1,400.10 61% off $2,367.50 $2,367.50 $2,367.50 2026-05-08
81298 OTHER Msh6 Gene Analysis Full Sequence Analysis 18 10 $3,589.00 $1,399.71 61% off $172.70 $1,701.40 $1,701.40 2026-05-08
75574 OTHER CTA Hrt Cornry Art/bypass Grfts Contrst 3d Post 19 10 $3,492.00 $1,361.88 61% off $243.98 $1,743.99 $1,743.99 2026-05-08
70496 OTHER CT Angiography Head W/contrast/noncontrast 19 10 $3,441.00 $1,341.99 61% off $334.94 $1,765.97 $1,765.97 2026-05-08
L1832 OTHER Knee Orthosis Immoblizer Adjustable Joint Prefab 18 10 $3,416.00 $1,332.24 61% off $342.56 $1,708.48 $1,708.48 2026-05-08
110 OTHER Room & Board-private 4 3 $3,413.00 $1,331.07 61% off $2,453.62 $2,453.62 $2,453.62 2026-05-08
81372 OTHER Hla Class I Typing Low Resolution Complete 18 10 $3,387.00 $1,320.93 61% off $180.82 $1,614.56 $1,614.56 2026-05-08
81375 OTHER Hla Ii Low Resolution Hla-drb1/3/4/5 And -dqb1 18 10 $3,386.00 $1,320.54 61% off $180.69 $1,614.05 $1,614.05 2026-05-08
74175 OTHER CT Angiography Abdomen W/contrast/noncontrast 19 10 $3,370.00 $1,314.30 61% off $372.30 $1,751.65 $1,751.65 2026-05-08
81265 OTHER Comparative Anal Str Markers Patient&comp Spec 18 10 $3,297.00 $1,285.83 61% off $176.03 $1,571.66 $1,571.66 2026-05-08
81208 OTHER Bcr/abl1 Other Breakpnt Qualitative/quantitative 18 10 $3,289.00 $1,282.71 61% off $304.00 $1,632.05 $1,632.05 2026-05-08
81225 OTHER Cyp2c19 Gene Analysis Common Variants 18 10 $3,278.00 $1,278.42 61% off $175.08 $1,562.64 $1,562.64 2026-05-08
32551 OTHER Tube Thoracostomy Includes Water Seal 4 3 $3,231.00 $1,260.09 61% off $92.62 $2,077.00 $1,473.05 2026-05-08
81340 OTHER Trb@ Rearrangement Anal Amplification Method 18 10 $3,204.00 $1,249.56 61% off $171.01 $1,527.31 $1,527.31 2026-05-08
72130 OTHER CT Thoracic Spine Without & W/contrast Material 19 10 $3,200.00 $1,248.00 61% off $316.52 $1,644.76 $1,644.76 2026-05-08
70470 OTHER CT Head/brain Without & W/contrast Material 19 10 $3,200.00 $1,248.00 61% off $253.12 $1,613.06 $1,613.06 2026-05-08
71260 OTHER Diagnostic Computed Tomography Thorax W/contrast 19 10 $3,200.00 $1,248.00 61% off $253.12 $1,613.06 $1,613.06 2026-05-08
81267 OTHER Chimerism W/comp To Baseline Without Cell Selection 18 10 $3,180.00 $1,240.20 61% off $169.82 $1,515.91 $1,515.91 2026-05-08
81315 OTHER Pml/raralpha Common Breakpoints Qual/quant 18 10 $3,178.00 $1,239.42 61% off $169.70 $1,514.95 $1,514.95 2026-05-08
72191 OTHER CT Angiography Pelvis W/contrast/noncontrast 19 10 $3,150.00 $1,228.50 61% off $369.74 $1,647.87 $1,647.87 2026-05-08
72127 OTHER CT Cervical Spine Without &w/contrast Material 19 10 $3,150.00 $1,228.50 61% off $316.52 $1,621.26 $1,621.26 2026-05-08
72133 OTHER CT Lumbar Spine Without & W/contrast Material 19 10 $3,150.00 $1,228.50 61% off $316.52 $1,621.26 $1,621.26 2026-05-08
72194 OTHER CT Pelvis Without & W/contrast Material 19 10 $3,150.00 $1,228.50 61% off $303.49 $1,614.74 $1,614.74 2026-05-08
73202 OTHER CT Upper Extremity Without & W/contrast Material 19 10 $3,150.00 $1,228.50 61% off $267.75 $1,596.88 $1,596.88 2026-05-08
73702 OTHER CT Lower Extremity Without & W/contrast Matrl 19 10 $3,150.00 $1,228.50 61% off $265.57 $1,595.79 $1,595.79 2026-05-08
70482 OTHER CT Orbit Sella/post Fossa/ear Without & W/contr Matr 19 10 $3,150.00 $1,228.50 61% off $253.12 $1,589.56 $1,589.56 2026-05-08
70488 OTHER CT Maxillofacial Without & W/contrast Material 19 10 $3,150.00 $1,228.50 61% off $253.12 $1,589.56 $1,589.56 2026-05-08
70492 OTHER CT Soft Tissue Neck Without & W/contrast Material 19 10 $3,150.00 $1,228.50 61% off $253.12 $1,589.56 $1,589.56 2026-05-08
75635 OTHER CTA Abdl Aorta&bi Iliofem W/contrast&postp 19 10 $3,112.00 $1,213.68 61% off $426.35 $1,658.67 $1,658.67 2026-05-08
86971 OTHER Pretx Rbc Antibody Incubat W/enzymes Each 15 10 $3,110.00 $1,212.90 61% off $185.44 $1,537.22 $1,537.22 2026-05-08
81342 OTHER Trg@ Gene Rearrangement Analysis 18 10 $3,090.00 $1,205.10 61% off $164.94 $1,472.97 $1,472.97 2026-05-08
81261 OTHER Igh@ Rearrange Abnormal Clonal Pop Amplified 18 10 $3,037.00 $1,184.43 61% off $162.07 $1,447.68 $1,447.68 2026-05-08
88235 OTHER Tiss Cul Non-neo Disorders Amniotic/chornc Cells 18 10 $3,010.00 $1,173.90 61% off $146.52 $1,427.76 $1,427.76 2026-05-08
72129 OTHER CT Thoracic Spine W/contrast Material 19 10 $3,000.00 $1,170.00 61% off $253.12 $1,520.06 $1,520.06 2026-05-08
74160 OTHER CT Abdomen W/contrast Material 19 10 $3,000.00 $1,170.00 61% off $245.18 $1,516.09 $1,516.09 2026-05-08
73701 OTHER CT Lower Extremity W/contrast Material 19 10 $3,000.00 $1,170.00 61% off $211.43 $1,499.21 $1,499.21 2026-05-08
70491 OTHER CT Soft Tissue Neck W/contrast Material 19 10 $3,000.00 $1,170.00 61% off $202.46 $1,494.73 $1,494.73 2026-05-08
P9054 OTHER Blood, L/r, Froz/degly/wash 15 10 $2,910.00 $1,134.90 61% off $578.30 $1,640.65 $1,640.65 2026-05-08
87906 OTHER Nfct Gexyp Dna/rna HIV 1 Other Region 18 10 $2,895.00 $1,129.05 61% off $181.44 $1,393.47 $1,393.47 2026-05-08
87505 OTHER Nfct Agent Dna/rna Gastrointestinal Pathogen 18 10 $2,886.00 $1,125.54 61% off $272.77 $1,435.20 $1,435.20 2026-05-08
71275 OTHER CT Angiography Chest W/contrast/noncontrast 19 10 $2,885.00 $1,125.15 61% off $382.28 $1,531.14 $1,531.14 2026-05-08
73706 OTHER CT Angiography Lower Extremity 19 10 $2,850.00 $1,111.50 61% off $345.26 $1,496.63 $1,496.63 2026-05-08
73206 OTHER CT Angiography Upper Extremity 19 10 $2,850.00 $1,111.50 61% off $342.45 $1,495.22 $1,495.22 2026-05-08
72132 OTHER CT Lumbar Spine W/contrast Material 19 10 $2,850.00 $1,111.50 61% off $253.12 $1,450.56 $1,450.56 2026-05-08
72126 OTHER CT Cervical Spine W/contrast Material 19 10 $2,850.00 $1,111.50 61% off $253.12 $1,450.56 $1,450.56 2026-05-08
73201 OTHER CT Upper Extremity W/contrast Material 19 10 $2,850.00 $1,111.50 61% off $211.43 $1,429.71 $1,429.71 2026-05-08
70460 OTHER CT Head/brain W/contrast Material 19 10 $2,850.00 $1,111.50 61% off $202.46 $1,425.23 $1,425.23 2026-05-08
70481 OTHER CT Orbit Sella/post Fossa/ear W/contrast Matrl 19 10 $2,850.00 $1,111.50 61% off $202.46 $1,425.23 $1,425.23 2026-05-08
72128 OTHER CT Thoracic Spine Without Contrast Material 19 10 $2,800.00 $1,092.00 61% off $202.48 $1,401.74 $1,401.74 2026-05-08
70450 OTHER CT Head/brain Without Contrast Material 19 10 $2,800.00 $1,092.00 61% off $169.03 $1,385.02 $1,385.02 2026-05-08
81310 OTHER Npm1 Nucleophosmin Gene Anal Exon 12 Variants 18 10 $2,778.00 $1,083.42 61% off $148.28 $1,324.24 $1,324.24 2026-05-08
74262 OTHER CT Colonogrphy Dx Image Postprocess W/contrast 19 10 $2,735.00 $1,066.65 61% off $243.88 $1,392.44 $1,392.44 2026-05-08
81380 OTHER Hla Class I Typing High Resolution One Locus Ea 18 10 $2,718.00 $1,060.02 61% off $145.09 $1,295.64 $1,295.64 2026-05-08
74170 OTHER CT Abdomen Without & W/contrast Material 19 10 $2,706.00 $1,055.34 61% off $303.49 $1,408.74 $1,408.74 2026-05-08
P9058 OTHER Rbcs Leukocytes Reduced Cmv-neg Irradatd Ea Unit 15 10 $2,642.00 $1,030.38 61% off $448.61 $1,451.31 $1,451.31 2026-05-08
81227 OTHER Cyp2c9 Gene Analysis Common Variants 18 10 $2,622.00 $1,022.58 61% off $242.55 $1,301.17 $1,301.17 2026-05-08
P9037 OTHER Plate Pheres Leukoredu Irrad 15 10 $2,603.00 $1,015.17 61% off $1,155.33 $1,716.50 $1,716.50 2026-05-08
99283 OTHER Facility Use-emergency Room, Level 3 19 10 $2,600.00 $1,014.00 61% off $722.00 $1,568.50 $1,568.50 2026-05-08
74150 OTHER CT Abdomen Without Contrast Material 19 10 $2,600.00 $1,014.00 61% off $202.46 $1,308.73 $1,308.73 2026-05-08
73700 OTHER CT Lower Extremity Without Contrast Material 19 10 $2,600.00 $1,014.00 61% off $177.42 $1,296.21 $1,296.21 2026-05-08
87153 OTHER Cultyp Nucleic Acid Sequencing Meth Ea Isolate 18 10 $2,596.00 $1,012.44 61% off $165.22 $1,250.81 $1,250.81 2026-05-08
72270 OTHER Myelograpy 2/more Regions Rs&i 19 10 $2,564.00 $999.96 61% off $218.30 $1,300.15 $1,300.15 2026-05-08
72240 OTHER Myelography Cervical Rs&i 19 10 $2,564.00 $999.96 61% off $156.47 $1,269.23 $1,269.23 2026-05-08
72255 OTHER Myelography Thoracic Rs&i 19 10 $2,564.00 $999.96 61% off $149.75 $1,265.88 $1,265.88 2026-05-08
72265 OTHER Myelograpy Lumbosacral Rs&i 5 3 $2,564.00 $999.96 61% off $140.91 $3,857.00 $1,202.27 2026-05-08
P9022 OTHER Washed Red Blood Cells Unit 16 10 $2,545.00 $992.55 61% off $145.00 $1,254.50 $1,254.50 2026-05-08
81206 OTHER Bcr/abl1 Major Breakpnt Qualitative/quantitative 18 10 $2,515.00 $980.85 61% off $134.21 $1,198.86 $1,198.86 2026-05-08
81319 OTHER Pms2 Gene Analysis Duplication/deletion Variants 18 10 $2,491.00 $971.49 61% off $133.00 $1,187.45 $1,187.45 2026-05-08
72131 OTHER CT Lumbar Spine Without Contrast Material 19 10 $2,481.00 $967.59 61% off $202.48 $1,253.74 $1,253.74 2026-05-08
70490 OTHER CT Soft Tissue Neck Without Contrast Material 19 10 $2,462.00 $960.18 61% off $169.03 $1,228.02 $1,228.02 2026-05-08
72125 OTHER CT Cervical Spine Without Contrast Material 19 10 $2,436.00 $950.04 61% off $202.48 $1,232.74 $1,232.74 2026-05-08
88230 OTHER Tiss Cul Non-neo Disorders Lymphocyte 18 10 $2,381.00 $928.59 61% off $161.00 $1,151.95 $1,151.95 2026-05-08
70487 OTHER CT Maxillofacial W/contrast Material 19 10 $2,355.00 $918.45 61% off $202.46 $1,195.23 $1,195.23 2026-05-08
88367 OTHER M/phmtrc Alys Ish Cptr-asst Tech 1st Probe Stain 19 10 $2,332.00 $909.48 61% off $117.97 $1,141.98 $1,141.98 2026-05-08
P9038 OTHER Rbc Irradiated 15 10 $2,312.00 $901.68 61% off $370.48 $1,259.24 $1,259.24 2026-05-08
81264 OTHER Igk@ Gene Rearrange Detect Abnormal Clonal Pop 18 10 $2,291.00 $893.49 61% off $122.23 $1,092.07 $1,092.07 2026-05-08
120 OTHER Room & Board-semiprivate 4 3 $2,275.00 $887.25 61% off $2,311.38 $2,311.38 $2,311.38 2026-05-08
L3980 OTHER Up Extrem Fx Orthotic Hum Prefabr Incl Fit&adj 18 10 $2,267.00 $884.13 61% off $232.34 $1,136.32 $1,136.32 2026-05-08
11760 OTHER Repair Nail Bed 4 3 $2,246.00 $875.94 61% off $85.15 $2,077.00 $1,424.30 2026-05-08
13152 OTHER Repair Complex Eyelid/nose/ear/lip 2.6-7.5 Cm 5 4 $2,246.00 $875.94 61% off $279.51 $5,885.00 $807.00 2026-05-08
36450 OTHER Exchng Transfusion Blood Newborn 16 10 $2,235.00 $871.65 61% off $105.23 $1,090.62 $1,090.62 2026-05-08
88262 OTHER Chrmsm Count 15-20 Cll 2karyotyp Banding 18 10 $2,235.00 $871.65 61% off $124.02 $1,067.76 $1,067.76 2026-05-08
81207 OTHER Bcr/abl1 Minor Breakpnt Qualitative/quantitative 18 10 $2,220.00 $865.80 61% off $118.55 $1,058.28 $1,058.28 2026-05-08
81275 OTHER Kras Gene Analysis Variants In Exon 2 18 10 $2,219.00 $865.41 61% off $118.49 $1,057.80 $1,057.80 2026-05-08
72193 OTHER CT Pelvis W/contrast Material 19 10 $2,217.00 $864.63 61% off $245.18 $1,152.59 $1,152.59 2026-05-08
71250 OTHER Diagnostic Computed Tomography Thorax Without Cntrst 19 10 $2,200.00 $858.00 61% off $202.48 $1,123.24 $1,123.24 2026-05-08
P9057 OTHER Red Blood Cells, Frozen/deglycerolized/washed, Leukocytes Reduced, Irradiated, 15 10 $2,191.00 $854.49 61% off $366.03 $1,200.52 $1,200.52 2026-05-08
P9051 OTHER Whole Bld/rbcs Leukocytes Rduc Cmv-neg Ea Unit 15 10 $2,180.00 $850.20 61% off $360.83 $1,192.91 $1,192.91 2026-05-08
77013 OTHER CT Guidance &monitoring Visc Tiss Ablation 17 9 $2,155.00 $840.45 61% off $317.42 $1,159.71 $1,159.71 2026-05-08
81294 OTHER Mlh1 Gene Analysis Duplication/deletion Variants 18 10 $2,144.00 $836.16 61% off $114.41 $1,022.00 $1,022.00 2026-05-08
0638T OTHER CT Brst W/3d Rendering Bi Wo Cntrst Flwd Cntrst 16 10 $2,096.00 $817.44 61% off $1,287.90 $1,287.90 $1,287.90 2026-05-08
0637T OTHER CT Breast W/3d Rendering Bi With Contrast 16 10 $2,096.00 $817.44 61% off $1,287.90 $1,287.90 $1,287.90 2026-05-08
77012 OTHER CT Guidance Needle Placement 18 9 $2,076.00 $809.64 61% off $232.54 $1,080.77 $1,080.77 2026-05-08
72192 OTHER CT Pelvis Without Contrast Material 19 10 $2,045.00 $797.55 61% off $202.48 $1,051.24 $1,051.24 2026-05-08
81210 OTHER Braf Gene Analysis V600 Variant(s) 18 10 $2,016.00 $786.24 61% off $107.55 $960.98 $960.98 2026-05-08
P9035 OTHER Platelet Pheres Leukoreduced 16 10 $1,989.00 $775.71 61% off $580.00 $1,214.00 $1,214.00 2026-05-08
70480 OTHER CT Orbit Sella/post Fossa/ear Without Contrast Matrl 19 10 $1,953.00 $761.67 61% off $169.03 $991.51 $991.51 2026-05-08
73200 OTHER CT Upper Extremity Without Contrast Material 19 10 $1,938.00 $755.82 61% off $177.42 $988.71 $988.71 2026-05-08
70486 OTHER CT Maxillofacial Without Contrast Material 19 10 $1,935.00 $754.65 61% off $169.03 $983.51 $983.51 2026-05-08
49083 OTHER Abdom Paracentesis Dx/ther W/imaging Guidance 4 3 $1,915.00 $746.85 61% off $66.52 $2,077.00 $1,473.05 2026-05-08
87536 OTHER Iadna HIV-1 Quant & Reverse Transcription 18 10 $1,914.00 $746.46 61% off $117.59 $920.10 $920.10 2026-05-08
81382 OTHER Hla Class Ii Typing High Resolution One Locus Ea 18 10 $1,896.00 $739.44 61% off $101.24 $903.82 $903.82 2026-05-08
180 OTHER Room & Board, Loa, Private, Snf 2 2 $1,895.00 $739.05 61% off $1,185.32 $1,185.32 $1,185.32 2026-05-08
77014 OTHER CT Guidance Radiation Therapy Flds Placement 18 9 $1,881.00 $733.59 61% off $105.71 $926.36 $926.36 2026-05-08
81376 OTHER Hla Class Ii Typing Low Resolution One Locus Ea 18 10 $1,874.00 $730.86 61% off $100.04 $893.32 $893.32 2026-05-08
81245 OTHER Flt3 Gene Analysis Internal Tandem Dup Variants 18 10 $1,866.00 $727.74 61% off $99.55 $889.48 $889.48 2026-05-08
81300 OTHER Msh6 Gene Analysis Duplication/deletion Varia 18 10 $1,817.00 $708.63 61% off $97.01 $866.15 $866.15 2026-05-08
P9032 OTHER Platelets, Irradiated 15 10 $1,768.00 $689.52 61% off $286.36 $964.18 $964.18 2026-05-08
86977 OTHER Pretx Serum Rbc Antb Id Incubation Inhibitors Ea 15 10 $1,755.00 $684.45 61% off $185.44 $907.72 $907.72 2026-05-08
86950 OTHER Leukocyte Transfusion 15 10 $1,755.00 $684.45 61% off $185.44 $907.72 $907.72 2026-05-08
86972 OTHER Pretx Rbc Antibody Incubat W/density Grad Sep 15 10 $1,755.00 $684.45 61% off $185.44 $907.72 $907.72 2026-05-08
P9033 OTHER Platelets Leukoreduced Irrad 15 10 $1,713.00 $668.07 61% off $291.74 $941.37 $941.37 2026-05-08
81373 OTHER Hla Class I Typing Low Resolution One Locus Each 18 10 $1,708.00 $666.12 61% off $91.16 $814.18 $814.18 2026-05-08
81297 OTHER Msh2 Gene Analysis Duplication/deletion Variants 18 10 $1,705.00 $664.95 61% off $91.03 $812.76 $812.76 2026-05-08
88381 OTHER Microdissection Prep Identified Target Manual 18 9 $1,679.00 $654.81 61% off $82.12 $821.06 $821.06 2026-05-08
20606 OTHER Arthrocentesis Aspir&/inj Interm Jt/burs W/us 4 3 $1,677.00 $654.03 61% off $32.21 $2,077.00 $1,239.88 2026-05-08
74261 OTHER CT Colonogrphy Dx Image Postprocess Without Contrast 19 10 $1,675.00 $653.25 61% off $189.09 $872.54 $872.54 2026-05-08
81383 OTHER Hla Ii High Resolution 1 Allele/allele Group 18 10 $1,673.00 $652.47 61% off $89.33 $797.51 $797.51 2026-05-08
P9010 OTHER Whole Blood For Transfusion 16 10 $1,642.00 $640.38 61% off $94.00 $809.50 $809.50 2026-05-08
75774 OTHER Angrph Slctv Ea Vsl Studied After Basic Xm Rs&i 18 9 $1,607.00 $626.73 61% off $428.91 $960.96 $960.96 2026-05-08
99292 OTHER Critical Care Ill/injured Patient Addl 30 Min 19 10 $1,600.00 $624.00 61% off $722.00 $1,055.00 $1,055.00 2026-05-08
83013 OTHER Hpylori Breath Anal Urease Act Non-radact Istope 18 10 $1,583.00 $617.37 61% off $93.09 $758.89 $758.89 2026-05-08
81161 OTHER Dmd Duplication/deletion Analysis 16 10 $1,577.00 $615.03 61% off $167.40 $793.35 $793.35 2026-05-08
77054 OTHER Mammary Ductogram Or Galactogram Multiple 19 10 $1,574.00 $613.86 61% off $105.53 $783.76 $783.76 2026-05-08
74415 OTHER Urography Nfs Drip &/bolus W/nephrotomography 19 10 $1,574.00 $613.86 61% off $76.04 $769.02 $769.02 2026-05-08
70371 OTHER Cplx Dynamic Pharyngeal&sp Eval C/v Rec 19 10 $1,574.00 $613.86 61% off $75.32 $768.66 $768.66 2026-05-08
77053 OTHER Mammary Ductogram Or Galactogram Single 19 10 $1,574.00 $613.86 61% off $73.33 $767.66 $767.66 2026-05-08
24600 OTHER Treatment Closed Elbow Dislocation Without Anes 5 4 $1,545.00 $602.55 61% off $225.39 $5,885.00 $2,077.00 2026-05-08
76936 OTHER US Cmprn Rpr Artl Pseudoarysm/arven Fstl 19 10 $1,545.00 $602.55 61% off $222.70 $828.85 $828.85 2026-05-08
83951 OTHER Oncoprotein Des-gamma-carboxy-prothrombin Dcp 17 10 $1,514.00 $590.46 61% off $136.96 $749.80 $749.80 2026-05-08
84112 OTHER Eval C/v Amniotic Fluid Protein Qual Ea Specimen 18 10 $1,514.00 $590.46 61% off $90.64 $726.62 $726.62 2026-05-08
82731 OTHER Ftl Fibronectin Cervicovag Secretions Semi-quan 18 10 $1,514.00 $590.46 61% off $89.01 $725.80 $725.80 2026-05-08
P9021 OTHER Red Blood Cells Unit 16 10 $1,505.00 $586.95 61% off $94.00 $746.00 $746.00 2026-05-08
36430 OTHER Transfusion Blood/blood Components 4 3 $1,490.00 $581.10 61% off $33.38 $2,077.00 $1,352.72 2026-05-08
88307 OTHER Level V Surg Pathology Gross&microscopic Exam 19 10 $1,490.00 $581.10 61% off $81.42 $732.71 $732.71 2026-05-08
74420 OTHER Urography Retrograde With/wo Kub 19 10 $1,462.00 $570.18 61% off $93.99 $726.00 $726.00 2026-05-08
12041 OTHER Repair Intermediate N/h/f/xtrnl Gent 2.5cm/< 18 10 $1,450.00 $565.50 61% off $92.51 $719.75 $719.75 2026-05-08
12031 OTHER Repair Intermediate S/a/t/e 2.5 Cm/< 18 10 $1,450.00 $565.50 61% off $84.41 $715.71 $715.71 2026-05-08
81381 OTHER Hla I Typing High Resolution 1 Allele/allele Grp 18 10 $1,448.00 $564.72 61% off $77.42 $690.31 $690.31 2026-05-08
88374 OTHER M/phmtrc Alys Ish Quant/semiq Cptr Each Multiprb 19 10 $1,447.00 $564.33 61% off $139.61 $741.80 $741.80 2026-05-08
26725 OTHER Cltx Phlngl Fx Prox/middle Px/f/t W/manj Ea 16 10 $1,439.00 $561.21 61% off $174.41 $755.71 $755.71 2026-05-08
49465 OTHER Contrast Injection Perq Radiologic Eval Gi Tube 4 3 $1,431.00 $558.09 61% off $16.81 $2,077.00 $1,129.12 2026-05-08
81377 OTHER Hla Ii Low Resolution One Antigen Equivalent Ea 18 10 $1,409.00 $549.51 61% off $75.15 $671.62 $671.62 2026-05-08
81270 OTHER Jak2 Gene Analysis P.val617phe Variant 18 10 $1,406.00 $548.34 61% off $75.04 $670.22 $670.22 2026-05-08
P9011 OTHER Blood Split Unit 15 10 $1,393.00 $543.27 61% off $184.50 $739.25 $739.25 2026-05-08
26605 OTHER Cltx Metacarpal Fx W/manipulation Each Bone 3 3 $1,382.00 $538.98 61% off $166.50 $5,885.00 $3,241.00 2026-05-08
80439 OTHER Thyrotropin Releasing Hormone Stmlj Panel 2 Hr 18 10 $1,376.00 $536.64 61% off $92.84 $665.62 $665.62 2026-05-08
23650 OTHER Clsd Tx Shoulder Dislc W/manipulation Without Anes 3 3 $1,341.00 $522.99 61% off $180.50 $5,885.00 $1,526.00 2026-05-08
P9031 OTHER Platelets Leukocytes Reduced 15 10 $1,329.00 $518.31 61% off $209.38 $722.19 $722.19 2026-05-08
P9056 OTHER Whole Blood, Leukocytes Reduced, Irradiated, Each Unit 15 10 $1,315.00 $512.85 61% off $229.34 $725.67 $725.67 2026-05-08
0636T OTHER CT Breast W/3d Rendering Bi Without Contrast 16 10 $1,310.00 $510.90 61% off $805.00 $805.00 $805.00 2026-05-08
41800 OTHER DRG Absc Cst Hmtma From Dentoalveolar Struxs 5 4 $1,263.00 $492.57 61% off $61.25 $5,885.00 $2,077.00 2026-05-08
36680 OTHER Placement Needle Intraosseous Infusion 4 3 $1,245.00 $485.55 61% off $61.78 $2,077.00 $1,120.56 2026-05-08
94775 OTHER Pediatric Apnea Monitor Attachment 15 10 $1,206.00 $470.34 61% off $233.55 $676.77 $676.77 2026-05-08
94776 OTHER Pediatric Apnea Monitor Analyses Computer 15 10 $1,206.00 $470.34 61% off $233.55 $676.77 $676.77 2026-05-08
99282 OTHER Facility Use-emergency Room, Level 2 19 10 $1,200.00 $468.00 61% off $722.00 $791.50 $791.50 2026-05-08
64400 OTHER Injection Aa&/strd Trigeminal Nerve Each Branch 4 3 $1,191.00 $464.49 61% off $39.26 $2,077.00 $1,239.88 2026-05-08
115 OTHER Room & Board-private, Hospice 4 3 $1,184.00 $461.76 61% off $2,175.00 $2,175.00 $2,175.00 2026-05-08
64450 OTHER Injection Aa&/strd Other Peripheral Nerve/branch 4 3 $1,173.00 $457.47 61% off $45.03 $2,077.00 $1,239.88 2026-05-08
81266 OTHER Comparative Anal Str Markers Ea Addl Specimen 14 9 $1,143.00 $445.77 61% off $754.00 $754.00 $754.00 2026-05-08
27788 OTHER Cltx Dstl Fibular Fx Lat Malls W/manj 5 4 $1,141.00 $444.99 61% off $232.65 $5,885.00 $2,077.00 2026-05-08
P9040 OTHER Rbc Leukoreduced Irradiated 15 10 $1,084.00 $422.76 61% off $481.73 $715.00 $715.00 2026-05-08
99409 OTHER Alcohol/substance Screen & Intervention >30 Min 15 9 $1,073.00 $418.47 61% off $659.45 $659.45 $659.45 2026-05-08
13132 OTHER Repair Complex F/c/c/m/n/ax/g/h/f 2.6-7.5 Cm 5 4 $1,049.00 $409.11 61% off $252.72 $5,885.00 $902.01 2026-05-08
20611 OTHER Arthrocentesis Aspir&/inj Major Jt/bursa W/us 4 3 $1,033.00 $402.87 61% off $37.89 $2,077.00 $1,239.88 2026-05-08
24640 OTHER Cltx Rdl Head Sublxtj Chld Nursemaid Elbw W/manj 4 3 $990.00 $386.10 61% off $76.75 $2,077.00 $1,252.25 2026-05-08
31500 OTHER Intubation Endotracheal Emergency Procedure 4 3 $969.00 $377.91 61% off $93.64 $2,077.00 $1,154.86 2026-05-08
92950 OTHER Cardiopulmonary Resuscitation 4 3 $956.00 $372.84 61% off $168.25 $3,857.00 $2,126.82 2026-05-08
77002 OTHER Fluoroscopic Guidance Needle Placement Add On 4 2 $726.00 $283.14 61% off $46.81 $2,077.00 $1,065.16 2026-05-08
16025 OTHER Drs&/dbrdmt Prtl-thkns Burns 1st/sbsq Medium 5 4 $723.00 $281.97 61% off $69.98 $5,885.00 $3,857.00 2026-05-08
58340 OTHER Cath & Saline/contrast Sonohyster/hysterosalpi 3 2 $672.00 $262.08 61% off $38.69 $2,077.00 $2,077.00 2026-05-08
97597 OTHER Debridement Open Wound 20 Sq Cm/< 4 3 $576.00 $224.64 61% off $37.07 $2,077.00 $1,241.49 2026-05-08
94640 OTHER Pressurized/nonpressurized Inhalation Treatment 4 3 $550.00 $214.50 61% off $13.32 $2,077.00 $1,173.01 2026-05-08
20610 OTHER Arthrocentesis Aspir&/inj Major Jt/bursa Without US 4 3 $536.00 $209.04 61% off $48.79 $2,077.00 $1,239.88 2026-05-08
51703 OTHER Insj Temp Ndwellg Bladder Catheter Complicated 4 3 $355.00 $138.45 61% off $58.37 $2,077.00 $1,155.28 2026-05-08
99999015807 OTHER Yttrium Y 90-ibritumomab Tiuxetan Soln 1 Each 1 1 — — $84,496.28 $84,496.28 $84,496.28 2026-05-08
30237890006 OTHER Sipuleucel-t In Lr 50 Million Cell/250 Ml Susp 250 Ml Bag 4 2 — — $55,015.23 $67,974.05 $65,447.83 2026-05-08
67979000201 OTHER Histrelin 50 Mg (65 Mcg/day) Kit 1 Each Kit 4 2 — — $45,350.22 $54,606.00 $50,887.71 2026-05-08
99207024005 OTHER Edetate Calcium Disodium 200 mg/mL Soln 5 Ml Ampul 4 2 — — $5,708.59 $10,069.96 $8,306.00 2026-05-08
50633012011 OTHER Digoxin Immune Fab 40 Mg Recon Soln 1 Each Vial 4 2 — — $4,888.10 $6,913.00 $6,192.06 2026-05-08
78039361 OTHER Basiliximab 10 Mg Recon Soln 1 Each Vial 4 2 — — $4,588.77 $6,477.16 $6,115.00 2026-05-08
78033184 OTHER Basiliximab 20 Mg Recon Soln 1 Each Vial 4 2 — — $4,588.77 $6,477.16 $6,115.00 2026-05-08
67979050001 OTHER Histrelin 50 Mg (50 Mcg/day) Kit 1 Each Kit 4 2 — — $5,166.29 $5,838.00 $5,743.19 2026-05-08
9722402 OTHER Lymphocyte,anti-thymocyte Immunoglobulin (equine) 50 mg/mL Soln 5 Ml Ampul 4 2 — — $2,589.73 $5,197.00 $4,582.65 2026-05-08
99999015266 OTHER Palivizumab In Sterile Diluent 100 Mg/ml Inj 1 Ml Syringe 1 1 — — $3,505.48 $3,505.48 $3,505.48 2026-05-08
60574411401 OTHER Palivizumab 50 Mg/0.5 Ml Soln 0.5 Ml Vial 1 1 — — $3,505.48 $3,505.48 $3,505.48 2026-05-08
60574411301 OTHER Palivizumab 100 mg/mL Soln 1 Ml Vial 1 1 — — $3,505.48 $3,505.48 $3,505.48 2026-05-08
58468020001 OTHER Alemtuzumab 12 Mg/1.2 Ml Soln 1.2 Ml Vial 4 2 — — $2,337.69 $3,363.32 $3,246.03 2026-05-08
50633011012 OTHER Crotalidae Polyvalent Immune Fab (ovine) Recon Soln 1 Each Vial 4 2 — — $1,762.35 $4,806.43 $2,821.77 2026-05-08
24477004001 OTHER Reteplase 10 Unit Kit 1 Each Kit 3 2 — — $2,376.72 $4,143.44 $2,377.00 2026-05-08
44206053211 OTHER Cytomegalovirus Immune Globulin 50 mg/mL Soln 50 Ml Vial 4 2 — — $1,814.94 $2,616.00 $2,321.89 2026-05-08
65483011607 OTHER Aldesleukin 22 Million Unit Recon Soln 1 Each Vial 3 2 — — $2,263.00 $5,521.75 $2,263.08 2026-05-08
99999015549 OTHER Aldesleukin In Sterile Water 18,000,000 unit/mL Inj 1 Ml Syringe 3 2 — — $2,263.00 $5,521.75 $2,263.08 2026-05-08
53270012502 OTHER Varicella-zoster Immune Globulin 125 Unit Recon Soln 1 Each Vial 1 1 — — $2,215.76 $2,215.76 $2,215.76 2026-05-08
53270012601 OTHER Varicella-zoster Immune Globulin-maltose 125 Unit/1.2 Ml Soln 1.2 Ml Vial 1 1 — — $2,215.76 $2,215.76 $2,215.76 2026-05-08
74210803 OTHER Leuprolide 7.5 Mg (Ped) Kit 1 Each Kit 4 2 — — $1,617.65 $2,264.00 $2,066.82 2026-05-08
74366303 OTHER Leuprolide (3 Month) 11.25 Mg Syringe Kit 1 Each Kit 4 2 — — $1,617.65 $2,264.00 $2,066.82 2026-05-08
74228203 OTHER Leuprolide 11.25 Mg Kit 1 Each Kit 4 2 — — $1,617.65 $2,264.00 $2,066.82 2026-05-08
74244003 OTHER Leuprolide 15 Mg Kit 1 Each Kit 4 2 — — $1,617.65 $2,264.00 $2,066.82 2026-05-08
74969403 OTHER Leuprolide (Pediatric 3 Month) 30 Mg Syringe Kit 1 Each Kit 4 2 — — $1,617.65 $2,264.00 $2,066.82 2026-05-08
74377903 OTHER Leuprolide (3 Month) 11.25 Mg Syringe Kit 1 Each Kit 4 2 — — $1,617.65 $2,264.00 $2,066.82 2026-05-08
74364103 OTHER Leuprolide 3.75 Mg Syringe Kit 1 Each Kit 4 2 — — $1,617.65 $2,264.00 $2,066.82 2026-05-08
99999015806 OTHER Indium In 111-capromab Pendetide Soln 1 Each 1 1 — — $1,855.00 $1,855.00 $1,855.00 2026-05-08
67979000101 OTHER Valrubicin 40 mg/mL Soln 5 Ml Vial 4 2 — — $1,437.08 $2,067.71 $1,670.86 2026-05-08
17156052401 OTHER Strontium-89 Chloride 1 mCi/mL Soln 4 Ml Vial 2 2 — — $892.46 $2,306.50 $1,599.48 2026-05-08
2714001 OTHER Abciximab 10 Mg/5 Ml Soln 5 Ml Vial 3 1 — — $1,429.07 $1,589.13 $1,589.00 2026-05-08
58468008001 OTHER Anti-thymocyte Glob (rabbit) 25 Mg Recon Soln 1 Each Vial 4 2 — — $956.74 $1,344.31 $1,293.76 2026-05-08
61755000502 OTHER Aflibercept 2 Mg/0.05 Ml Soln 0.05 Ml Vial 4 2 — — $821.98 $1,764.83 $1,247.86 2026-05-08
50419042101 OTHER Levonorgestrel 21 Mcg/24hr (up To 8 Yrs) 52 Mg IUD 1 Each Box 3 1 — — $1,156.79 $1,157.00 $1,156.79 2026-05-08
55390030803 OTHER Amifostine 500 Mg Recon Soln 3 Each Vial 4 2 — — $749.75 $1,135.69 $1,101.15 2026-05-08
51285020401 OTHER Copper 380 Square Mm IUD 1 Each Packet 3 1 — — $1,085.00 $1,085.00 $1,085.00 2026-05-08
67457017750 OTHER Dimethyl Sulfoxide 50 % Soln 50 Ml Bottle 4 2 — — $715.90 $985.15 $926.25 2026-05-08
13533063402 OTHER Tetanus Immune Globulin (pf) 250 unit/mL Syringe 1 Ml Syringe 4 2 — — $581.78 $837.25 $808.25 2026-05-08
61958010101 OTHER Cidofovir 75 mg/mL Soln 5 Ml Vial 4 2 — — $528.00 $998.06 $801.95 2026-05-08
68782000102 OTHER Pegaptanib 0.3 Mg/90microliter Syringe 0.09 Ml Syringe 4 2 — — $785.50 $1,898.46 $793.20 2026-05-08
54092070001 OTHER Idursulfase 6 Mg/3 Ml Soln 3 Ml Vial 4 2 — — $537.93 $939.67 $785.81 2026-05-08
47783010101 OTHER Ecallantide 10 mg/mL (1 Ml) Soln 3 Ml Vial 4 2 — — $565.83 $780.41 $749.61 2026-05-08
57665033101 OTHER Cytarabine Liposome (pf) 50 Mg/5 Ml (10 mg/mL) Susp 5 Ml Vial 4 2 — — $628.37 $1,072.37 $727.16 2026-05-08
61570026010 OTHER Quinupristin-dalfopristin 500 Mg Recon Soln 1 Each Vial 4 2 — — $493.97 $744.34 $718.87 2026-05-08
310095130 OTHER Goserelin 10.8 Mg Implant 1 Each Packet 4 2 — — $588.82 $746.04 $710.38 2026-05-08
310095036 OTHER Goserelin 3.6 Mg Implant 1 Each Packet 4 2 — — $588.82 $746.04 $710.38 2026-05-08
67871479006 OTHER Ethanolamine 5 % Soln 2 Ml Ampul 4 2 — — $491.68 $727.36 $685.89 2026-05-08
68135002001 OTHER Galsulfase 5 Mg/5 Ml Soln 5 Ml Vial 4 2 — — $484.75 $670.00 $662.95 2026-05-08
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