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

TETON VALLEY HOSPITAL

Driggs, ID · CCN 131313 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,140 across 24 payers · range $60-$2,376

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbTetonValley&type=CDMWithoutLabel&fileType=CSV · observed 2026-04-16

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

6,287 distinct procedures filed
36 distinct payers
145,808 rate rows
2026-04-16 last MRF observed
Data quality

145,441 of 145,808 rate rows are consumer-grade (99.7%)

367 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 104
percent-of-charges filed in the dollar field — excluded from medians 95
exceeds 10× this hospital's gross charge — excluded from medians 90
per-diem day rate — not a per-procedure price 76
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbTetonValley&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Teton_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-17
Content fingerprint 8a474108561c66c6… · 49,885,862 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
7020040_1
CDM 		Insert/replace Spinal Nuerostimulator, Pulse Generator 20 $21,711.86 $46,255.71 $42,479.73 —
4178504_1
CDM 		Lemtrada 12 Mg 20 $18,259.39 $38,900.43 $35,724.89 —
4056270_1
CDM 		Wavewriter Alpha 32 Ipg Kit 20 $14,462.40 $30,811.20 $28,296.00 —
4026020_1
CDM 		Operating Room Services - General Classification 20 $13,197.40 $28,116.20 $25,821.00 —
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 21 $53.02 $24,104.08 $22,136.40 nat. median
$133
outlier · 166.5×
4026015_1
CDM 		Operating Room Services - General Classification 20 $11,148.22 $23,750.55 $21,811.73 —
4026010_1
CDM 		Operating Room Services - General Classification 20 $11,072.12 $23,588.43 $21,662.85 —
4026014_1
CDM 		Operating Room Services - General Classification 20 $10,492.44 $22,353.46 $20,528.69 —
4026013_1
CDM 		Operating Room Services - General Classification 20 $9,836.66 $20,956.37 $19,245.65 —
4026012_1
CDM 		Operating Room Services - General Classification 20 $9,180.89 $19,559.28 $17,962.61 —
62360
HCPCS 		Insertion Of Spinal Canal Drug Infusion Device Beneath Skin 21 $264.01 $18,473.00 $16,965.00 nat. median
$13,929
1.2× median
4026011_1
CDM 		Operating Room Services - General Classification 20 $8,525.11 $18,162.19 $16,679.57 —
7020033_1
CDM 		Implant Neuroelectrodes 20 $7,583.10 $16,155.30 $14,836.50 —
C2626
HCPCS 		Infusion Pump, Non-programmable, Temporary (implantable) 20 $7,321.59 $15,598.17 $14,324.85 nat. median
$442
outlier · 32.4×
C1891
HCPCS 		Infusion Pump, Non-programmable, Permanent (implantable) 20 $7,321.59 $15,598.17 $14,324.85 nat. median
$7,512
1.9× median
C1772
HCPCS 		Infusion Pump, Programmable (implantable) 20 $7,321.59 $15,598.17 $14,324.85 nat. median
$18,271
0.8× median
4026009_1
CDM 		Operating Room Services - General Classification 20 $7,213.55 $15,368.01 $14,113.48 —
4026008_1
CDM 		Operating Room Services - General Classification 20 $6,557.77 $13,970.91 $12,830.43 —
4026007_1
CDM 		Operating Room Services - General Classification 20 $5,902.01 $12,573.84 $11,547.41 —
L8683_2
CDM 		External Transmitter - Wau 20 $5,824.98 $12,409.74 $11,396.70 —
4026006_1
CDM 		Operating Room Services - General Classification 20 $5,246.23 $11,176.75 $10,264.37 —
4056378_1
CDM 		Comp Rvs 2.7mm Dia Drl 20 $4,850.70 $10,334.10 $9,490.50 —
22514
HCPCS 		Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device 24 $389.57 $28,389.62 $9,108.14 nat. median
$7,967
1.1× median
4026005_1
CDM 		Operating Room Services - General Classification 20 $4,590.46 $9,779.67 $8,981.33 —
22513
HCPCS 		Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using… 24 $416.38 $27,562.50 $8,926.36 nat. median
$7,738
1.2× median
7020027_1
CDM 		Implant Neuroelectodes (these Are Removed After Trial) 20 $4,546.64 $9,686.32 $8,895.60 —
7020030_1
CDM 		Implant Neuroelectodes (these Are Removed After Trial) 20 $4,546.64 $9,686.32 $8,895.60 —
7020039_1
CDM 		Revision Including Replacement Of Electrodes Percutaneous 20 $4,546.58 $9,686.18 $8,895.47 —
0200T
OTHER 		Injections Of One Side Of Sacrum For Enlargement, 1 Or More Needles, Accessed Th… 20 $4,140.00 $8,820.00 $8,100.00 nat. median
$8,487
1.0× median
0201T
OTHER 		Injections Of Both Sides Of Sacrum For Enlargement, 2 Or More Needles, Accessed… 20 $4,140.00 $8,820.00 $8,100.00 nat. median
$8,108
1.0× median
63650
HCPCS 		Insertion Of Spinal Neurostimulator Electrode Array Through Skin 24 $352.22 $19,525.52 $6,794.66 nat. median
$6,691
1.0× median
C1764
HCPCS 		Event Recorder, Cardiac (implantable) 20 $3,190.77 $6,923.70 $6,300.66 nat. median
$7,993
0.8× median
4178315_1
CDM 		Palivizumab (100mg) Inj 20 $2,979.24 $6,347.07 $5,828.94 —
7020018_1
CDM 		Infinion Cs Lead Kit 20 $2,944.00 $6,272.00 $5,760.00 —
4026004_1
CDM 		Operating Room Services - General Classification 20 $2,861.58 $6,096.40 $5,598.74 —
4058971_1
CDM 		External Fix Tibial 20 $2,845.10 $6,061.30 $5,566.50 —
J9217
HCPCS 		Leuprolide Acetate (for Depot Suspension), 7.5 Mg 21 $180.66 $11,033.76 $5,291.70 nat. median
$2,144
outlier · 2.5×
47532
HCPCS 		Injection Of Bile Duct For X-ray Through New Skin Access Using Imaging Guidance… 20 $720.31 $7,353.96 $5,211.07 nat. median
$3,747
1.4× median
4056267_1
CDM 		Precision Charging System 20 $2,640.40 $5,625.20 $5,166.00 —
7020014_1
CDM 		Infinion Trial Lead Kit 50cm 20 $2,599.92 $5,538.96 $5,086.80 —
4059818_1
CDM 		Sugimesh Xb C-15 20 $2,574.39 $5,484.57 $5,036.85 —
4059167_1
CDM 		Solyx Sis System 20 $2,505.16 $5,337.08 $4,901.40 —
C1897
HCPCS 		Lead, Neurostimulator Test Kit (implantable) 20 $2,392.00 $9,847.04 $4,780.80 nat. median
$1,214
outlier · 3.9×
7020042_1
CDM 		Revision (pocket Rev) Or Removal Of Implantable Pulse Generator 20 $2,416.29 $5,147.74 $4,727.52 —
4056346_1
CDM 		Implant System, Cpr Mini Scorpion Dx 20 $2,410.40 $5,135.20 $4,716.00 —
4026003_1
CDM 		Operating Room Services - General Classification 20 $2,384.65 $5,080.35 $4,665.63 —
63663
HCPCS 		Revision Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance 24 $380.81 $54,774.16 $4,591.30 nat. median
$6,287
0.7× median
4020055_1
CDM 		Operating Room Services - General Classification 20 $2,318.40 $4,939.20 $4,536.00 —
4056239_1
CDM 		Lapiplasty Speedplate Anatomic Quad A?? 28x13x11mm 20 $2,286.20 $4,870.60 $4,473.00 —
64555
HCPCS 		Insertion Of Peripheral Nerve Neurostimulator Electrode Through Skin 24 $276.77 $9,272.76 $4,447.61 nat. median
$6,392
0.7× median

Other procedures at this hospital

Browse this hospital's 6,287 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
             
7020040_1 CDM Insert/replace Spinal Nuerostimulator, Pulse Generator 20 20 $47,199.70 $37,759.76 $21,711.86 $46,255.71 $42,479.73 2026-04-16
4178504_1 CDM Lemtrada 12 Mg 20 20 $39,694.32 $31,755.46 $18,259.39 $38,900.43 $35,724.89 2026-04-16
4056270_1 CDM Wavewriter Alpha 32 Ipg Kit 20 20 $31,440.00 $25,152.00 20% off $14,462.40 $30,811.20 $28,296.00 2026-04-16
4026020_1 CDM Operating Room Services - General Classification 20 20 $28,690.00 $22,952.00 20% off $13,197.40 $28,116.20 $25,821.00 2026-04-16
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 21 21 $24,596.00 $19,676.80 20% off $53.02 $24,104.08 $22,136.40 2026-04-16
4026015_1 CDM Operating Room Services - General Classification 20 20 $24,235.25 $19,388.20 20% off $11,148.22 $23,750.55 $21,811.73 2026-04-16
4026010_1 CDM Operating Room Services - General Classification 20 20 $24,069.83 $19,255.86 20% off $11,072.12 $23,588.43 $21,662.85 2026-04-16
4026014_1 CDM Operating Room Services - General Classification 20 20 $22,809.65 $18,247.72 20% off $10,492.44 $22,353.46 $20,528.69 2026-04-16
4026013_1 CDM Operating Room Services - General Classification 20 20 $21,384.05 $17,107.24 $9,836.66 $20,956.37 $19,245.65 2026-04-16
4026012_1 CDM Operating Room Services - General Classification 20 20 $19,958.45 $15,966.76 20% off $9,180.89 $19,559.28 $17,962.61 2026-04-16
62360 HCPCS Insertion Of Spinal Canal Drug Infusion Device Beneath Skin 21 21 $18,850.00 $15,080.00 20% off $264.01 $18,473.00 $16,965.00 2026-04-16
4026011_1 CDM Operating Room Services - General Classification 20 20 $18,532.85 $14,826.28 $8,525.11 $18,162.19 $16,679.57 2026-04-16
7020033_1 CDM Implant Neuroelectrodes 20 20 $16,485.00 $13,188.00 20% off $7,583.10 $16,155.30 $14,836.50 2026-04-16
C1772 HCPCS Infusion Pump, Programmable (implantable) 20 20 $15,916.50 $12,733.20 $7,321.59 $15,598.17 $14,324.85 2026-04-16
C2626 HCPCS Infusion Pump, Non-programmable, Temporary (implantable) 20 20 $15,916.50 $12,733.20 $7,321.59 $15,598.17 $14,324.85 2026-04-16
C1891 HCPCS Infusion Pump, Non-programmable, Permanent (implantable) 20 20 $15,916.50 $12,733.20 $7,321.59 $15,598.17 $14,324.85 2026-04-16
4026009_1 CDM Operating Room Services - General Classification 20 20 $15,681.64 $12,545.31 20% off $7,213.55 $15,368.01 $14,113.48 2026-04-16
4026008_1 CDM Operating Room Services - General Classification 20 20 $14,256.03 $11,404.82 20% off $6,557.77 $13,970.91 $12,830.43 2026-04-16
4026007_1 CDM Operating Room Services - General Classification 20 20 $12,830.45 $10,264.36 20% off $5,902.01 $12,573.84 $11,547.41 2026-04-16
L8683_2 CDM External Transmitter - Wau 20 20 $12,663.00 $10,130.40 20% off $5,824.98 $12,409.74 $11,396.70 2026-04-16
4026006_1 CDM Operating Room Services - General Classification 20 20 $11,404.85 $9,123.88 20% off $5,246.23 $11,176.75 $10,264.37 2026-04-16
4056378_1 CDM Comp Rvs 2.7mm Dia Drl 20 20 $10,545.00 $8,436.00 20% off $4,850.70 $10,334.10 $9,490.50 2026-04-16
22514 HCPCS Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device 40 24 $28,969.00 $23,175.20 20% off $389.57 $28,389.62 $9,108.14 2026-04-16
4026005_1 CDM Operating Room Services - General Classification 20 20 $9,979.25 $7,983.40 20% off $4,590.46 $9,779.67 $8,981.33 2026-04-16
22513 HCPCS Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using… 40 24 $28,125.00 $22,500.00 20% off $416.38 $27,562.50 $8,926.36 2026-04-16
7020030_1 CDM Implant Neuroelectodes (these Are Removed After Trial) 20 20 $9,884.00 $7,907.20 20% off $4,546.64 $9,686.32 $8,895.60 2026-04-16
7020027_1 CDM Implant Neuroelectodes (these Are Removed After Trial) 20 20 $9,884.00 $7,907.20 20% off $4,546.64 $9,686.32 $8,895.60 2026-04-16
7020039_1 CDM Revision Including Replacement Of Electrodes Percutaneous 20 20 $9,883.86 $7,907.09 $4,546.58 $9,686.18 $8,895.47 2026-04-16
0200T OTHER Injections Of One Side Of Sacrum For Enlargement, 1 Or More Needles, Accessed Th… 20 20 $9,000.00 $7,200.00 20% off $4,140.00 $8,820.00 $8,100.00 2026-04-16
0201T OTHER Injections Of Both Sides Of Sacrum For Enlargement, 2 Or More Needles, Accessed … 20 20 $9,000.00 $7,200.00 20% off $4,140.00 $8,820.00 $8,100.00 2026-04-16
63650 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Through Skin 121 24 $9,962.00 $7,969.60 $352.22 $19,525.52 $6,794.66 2026-04-16
C1764 HCPCS Event Recorder, Cardiac (implantable) 40 20 $7,000.73 $5,600.58 20% off $3,190.77 $6,923.70 $6,300.66 2026-04-16
4178315_1 CDM Palivizumab (100mg) Inj 20 20 $6,476.60 $5,181.28 20% off $2,979.24 $6,347.07 $5,828.94 2026-04-16
7020018_1 CDM Infinion Cs Lead Kit 20 20 $6,400.00 $5,120.00 20% off $2,944.00 $6,272.00 $5,760.00 2026-04-16
4026004_1 CDM Operating Room Services - General Classification 20 20 $6,220.82 $4,976.66 $2,861.58 $6,096.40 $5,598.74 2026-04-16
4058971_1 CDM External Fix Tibial 20 20 $6,185.00 $4,948.00 20% off $2,845.10 $6,061.30 $5,566.50 2026-04-16
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 61 21 $8,444.18 $6,755.34 20% off $180.66 $11,033.76 $5,291.70 2026-04-16
47532 HCPCS Injection Of Bile Duct For X-ray Through New Skin Access Using Imaging Guidance … 20 20 $7,581.40 $6,065.12 20% off $720.31 $7,353.96 $5,211.07 2026-04-16
4056267_1 CDM Precision Charging System 20 20 $5,740.00 $4,592.00 20% off $2,640.40 $5,625.20 $5,166.00 2026-04-16
7020014_1 CDM Infinion Trial Lead Kit 50cm 20 20 $5,652.00 $4,521.60 $2,599.92 $5,538.96 $5,086.80 2026-04-16
4059818_1 CDM Sugimesh Xb C-15 20 20 $5,596.50 $4,477.20 20% off $2,574.39 $5,484.57 $5,036.85 2026-04-16
4059167_1 CDM Solyx Sis System 20 20 $5,446.00 $4,356.80 $2,505.16 $5,337.08 $4,901.40 2026-04-16
C1897 HCPCS Lead, Neurostimulator Test Kit (implantable) 40 20 $7,624.00 $6,099.20 20% off $2,392.00 $9,847.04 $4,780.80 2026-04-16
7020042_1 CDM Revision (pocket Rev) Or Removal Of Implantable Pulse Generator 20 20 $5,252.80 $4,202.24 20% off $2,416.29 $5,147.74 $4,727.52 2026-04-16
4056346_1 CDM Implant System, Cpr Mini Scorpion Dx 20 20 $5,240.00 $4,192.00 20% off $2,410.40 $5,135.20 $4,716.00 2026-04-16
4026003_1 CDM Operating Room Services - General Classification 20 20 $5,184.03 $4,147.22 20% off $2,384.65 $5,080.35 $4,665.63 2026-04-16
63663 HCPCS Revision Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance 61 24 $9,672.00 $7,737.60 $380.81 $54,774.16 $4,591.30 2026-04-16
4020055_1 CDM Operating Room Services - General Classification 20 20 $5,040.00 $4,032.00 20% off $2,318.40 $4,939.20 $4,536.00 2026-04-16
4056239_1 CDM Lapiplasty Speedplate Anatomic Quad A?? 28x13x11mm 20 20 $4,970.00 $3,976.00 20% off $2,286.20 $4,870.60 $4,473.00 2026-04-16
64555 HCPCS Insertion Of Peripheral Nerve Neurostimulator Electrode Through Skin 60 24 $9,462.00 $7,569.60 $276.77 $9,272.76 $4,447.61 2026-04-16
4054771_1 CDM Distal Radius Fixator 20 20 $4,845.85 $3,876.68 20% off $2,229.09 $4,748.93 $4,361.27 2026-04-16
4178391_1 CDM Xgeva 120mg/1.7ml 20 20 $4,782.13 $3,825.70 20% off $2,199.78 $4,686.49 $4,303.92 2026-04-16
7020043_1 CDM Affirm Vcf Kit 20 20 $4,781.50 $3,825.20 20% off $2,199.49 $4,685.87 $4,303.35 2026-04-16
4058464_1 CDM Mesh Hernia 5.4"x7.0" 20 20 $4,633.00 $3,706.40 20% off $2,131.18 $4,540.34 $4,169.70 2026-04-16
4056205_1 CDM Comp Primary Stem 16mm Micro 20 20 $4,590.00 $3,672.00 20% off $2,111.40 $4,498.20 $4,131.00 2026-04-16
4056268_1 CDM Infinion Pro Lead Kit 70 Cm 20 20 $4,585.00 $3,668.00 20% off $2,109.10 $4,493.30 $4,126.50 2026-04-16
4055772_1 CDM Biocomposite Meniscal Root Repair Kit 20 20 $4,449.38 $3,559.50 20% off $2,046.71 $4,360.39 $4,004.44 2026-04-16
C1776 HCPCS Joint Device (implantable) 80 20 $4,791.00 $3,832.80 20% off $1,115.50 $10,912.30 $3,997.28 2026-04-16
4055848_1 CDM Stapler, Purple, Medium Thick, 28 Mm 20 20 $4,386.71 $3,509.37 $2,017.89 $4,298.98 $3,948.04 2026-04-16
4054973_1 CDM Bone Allograft 5cc W/ccc 20 20 $4,309.70 $3,447.76 $1,982.46 $4,223.51 $3,878.73 2026-04-16
4059919_1 CDM Ar Ligament Repair Kit 20 20 $4,290.65 $3,432.52 $1,973.70 $4,204.84 $3,861.59 2026-04-16
4054104_1 CDM 4.0 Prox Humerus Plat3l 20 20 $4,243.20 $3,394.56 20% off $1,951.87 $4,158.34 $3,818.88 2026-04-16
4054105_1 CDM 4.0 Prox Humerus Plat 3r 20 20 $4,243.20 $3,394.56 20% off $1,951.87 $4,158.34 $3,818.88 2026-04-16
4058463_1 CDM Mesh Hernia 7.7"x9.7" 20 20 $4,149.00 $3,319.20 20% off $1,908.54 $4,066.02 $3,734.10 2026-04-16
4026002_1 CDM Operating Room Services - General Classification 20 20 $4,147.22 $3,317.78 $1,907.72 $4,064.28 $3,732.50 2026-04-16
4056202_1 CDM Versa-dial 50x21x57 Hum Head 20 20 $4,140.00 $3,312.00 20% off $1,904.40 $4,057.20 $3,726.00 2026-04-16
4056203_1 CDM 4 Peg Mod Glen Sz 5 20 20 $4,140.00 $3,312.00 20% off $1,904.40 $4,057.20 $3,726.00 2026-04-16
4055908_1 CDM Powerport MRI Implantable Port, Silicone Catheter, 9.6 Fr 20 20 $4,134.56 $3,307.65 $1,901.90 $4,051.87 $3,721.10 2026-04-16
4024022_1 CDM Operating Room Services - General Classification 20 20 $4,120.00 $3,296.00 20% off $1,895.20 $4,037.60 $3,708.00 2026-04-16
4055902_1 CDM Vicryl Mesh, Woven, 6" X 6""" 20 20 $4,108.32 $3,286.66 $1,889.83 $4,026.15 $3,697.49 2026-04-16
4056456_1 CDM Knotless Ac Tightrope Repair System 20 20 $4,065.00 $3,252.00 20% off $1,869.90 $3,983.70 $3,658.50 2026-04-16
4055791_1 CDM 10mm (m/l) Clip Applier 20 20 $3,948.96 $3,159.17 $1,816.52 $3,869.98 $3,554.06 2026-04-16
4059946_1 CDM Graftlink 20 20 $3,868.50 $3,094.80 $1,779.51 $3,791.13 $3,481.65 2026-04-16
36557 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years) 20 20 $5,000.00 $4,000.00 20% off $993.27 $4,850.00 $3,436.75 2026-04-16
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 20 20 $5,000.00 $4,000.00 20% off $714.09 $4,850.00 $3,436.75 2026-04-16
20969 HCPCS Placement Of Skin And Bone Flap With Microvascular Connection 20 20 $6,222.00 $4,977.60 $2,096.33 $6,288.80 $3,358.84 2026-04-16
4056266_1 CDM Myscs Go Therapy Controller Kit (us) 20 20 $3,730.00 $2,984.00 20% off $1,715.80 $3,655.40 $3,357.00 2026-04-16
71552 HCPCS MRI Scan Of Chest Before And After Contrast 21 21 $3,705.00 $2,964.00 20% off $93.81 $3,630.90 $3,334.50 2026-04-16
4058547_1 CDM Deflux Prefill Syr 1ml 20 20 $3,702.00 $2,961.60 20% off $1,702.92 $3,627.96 $3,331.80 2026-04-16
4056345_1 CDM Forefoot Ib Implant Sys, Peek 20 20 $3,650.00 $2,920.00 20% off $1,679.00 $3,577.00 $3,285.00 2026-04-16
4055927_1 CDM Med Tri-stapler, Thick 20 20 $3,635.40 $2,908.32 20% off $1,672.28 $3,562.69 $3,271.86 2026-04-16
J7165 HCPCS Injection, Prothrombin Complex Concentrate, Human-lans, Per I.u. Of Factor Ix Ac… 20 20 $3,634.80 $2,907.84 20% off $1,708.36 $3,562.10 $3,271.32 2026-04-16
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 95 24 $3,546.00 $2,836.80 $166.47 $14,125.72 $3,267.64 2026-04-16
4055746_1 CDM Quadlink Implant System 20 20 $3,625.00 $2,900.00 20% off $1,667.50 $3,552.50 $3,262.50 2026-04-16
4054287_1 CDM Plate Lcp 16h 296mm 4.5mm 20 20 $3,598.30 $2,878.64 20% off $1,655.22 $3,526.33 $3,238.47 2026-04-16
4056509_1 CDM Proximal Posteromedial Tibia Plate, R 3.5mm, 82mm/5 Holes 20 20 $3,595.00 $2,876.00 20% off $1,653.70 $3,523.10 $3,235.50 2026-04-16
4059817_1 CDM Surgimesh Xb C-10 20 20 $3,587.50 $2,870.00 20% off $1,650.25 $3,515.75 $3,228.75 2026-04-16
4055905_1 CDM Ligasure Small Jaw Instrument, Sterile 20 20 $3,585.35 $2,868.28 $1,649.26 $3,513.64 $3,226.82 2026-04-16
4055685_1 CDM Knotless Speedbridge Implant System With Scorpion 20 20 $3,584.00 $2,867.20 20% off $1,648.64 $3,512.32 $3,225.60 2026-04-16
4059874_1 CDM Ar Dual Syndesmosis Sys 20 20 $3,542.00 $2,833.60 20% off $1,629.32 $3,471.16 $3,187.80 2026-04-16
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 21 21 $3,511.00 $2,808.80 $90.70 $3,440.78 $3,159.90 2026-04-16
4054298_1 CDM Plate-t Lcp 8h 147mm 4.5m 20 20 $3,489.10 $2,791.28 $1,604.99 $3,419.32 $3,140.19 2026-04-16
4054972_1 CDM Bone Allograft 5cc 20 20 $3,468.45 $2,774.76 $1,595.49 $3,399.08 $3,121.61 2026-04-16
4054295_1 CDM Plate Lcp 14h 260mm 4.5mm 20 20 $3,453.70 $2,762.96 $1,588.70 $3,384.63 $3,108.33 2026-04-16
4059761_1 CDM Stapler Gia 80mm 20 20 $3,439.57 $2,751.66 $1,582.20 $3,370.78 $3,095.61 2026-04-16
36555 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (younger Than 5 Years… 20 20 $4,493.00 $3,594.40 20% off $161.74 $4,358.21 $3,088.26 2026-04-16
4059142_1 CDM Sn 250mm Titananium Plate 20 20 $3,427.00 $2,741.60 20% off $1,576.42 $3,358.46 $3,084.30 2026-04-16
64595 HCPCS Removal Or Revision Of A Peripheral, Sacral, Or Gastric Neurostimulator Pulse Ge… 81 24 $5,032.00 $4,025.60 20% off $193.34 $6,738.48 $3,004.20 2026-04-16
4024023_1 CDM Operating Room Services - General Classification 20 20 $3,296.00 $2,636.80 $1,516.16 $3,230.08 $2,966.40 2026-04-16
22515 HCPCS Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment 40 24 $7,300.00 $5,840.00 20% off $172.55 $7,154.00 $2,943.76 2026-04-16
4055767_1 CDM Allograft Graftlink Implant System 20 20 $3,259.00 $2,607.20 20% off $1,499.14 $3,193.82 $2,933.10 2026-04-16
4058147_1 CDM Lynx Sling System 20 20 $3,250.00 $2,600.00 20% off $1,495.00 $3,185.00 $2,925.00 2026-04-16
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 21 21 $3,203.00 $2,562.40 20% off $83.44 $3,138.94 $2,882.70 2026-04-16
4054293_1 CDM Plate Lcp 11h 206mm 4.5mm 20 20 $3,197.20 $2,557.76 $1,470.71 $3,133.26 $2,877.48 2026-04-16
4055903_1 CDM Absorbatack Abs Wound Closure Fixation Device, 15 20 20 $3,183.66 $2,546.93 $1,464.48 $3,119.99 $2,865.29 2026-04-16
4026001_1 CDM Operating Room Services - General Classification 20 20 $3,110.43 $2,488.34 20% off $1,430.80 $3,048.22 $2,799.39 2026-04-16
4054294_1 CDM Plate Lcp 12h 224mm 4.5mm 20 20 $3,102.40 $2,481.92 20% off $1,427.10 $3,040.35 $2,792.16 2026-04-16
70553 HCPCS MRI Scan Of Brain Before And After Contrast 21 21 $3,074.00 $2,459.20 20% off $95.15 $3,012.52 $2,766.60 2026-04-16
4059141_1 CDM Sn 200mm Titananium Plate 20 20 $3,071.00 $2,456.80 $1,412.66 $3,009.58 $2,763.90 2026-04-16
4055868_1 CDM Ventralexst Mesh Hernia Patch With Strap, Medium 20 20 $3,042.97 $2,434.38 $1,399.77 $2,982.11 $2,738.67 2026-04-16
4054297_1 CDM Plate-t Lcp 6h 115mm 4.5m 20 20 $3,019.75 $2,415.80 $1,389.09 $2,959.36 $2,717.78 2026-04-16
4054292_1 CDM Plate Lcp 10h 188mm 4.5mm 20 20 $3,003.50 $2,402.80 $1,381.61 $2,943.43 $2,703.15 2026-04-16
4055816_1 CDM 8.0 Cm Hernia Patch 20 20 $2,971.02 $2,376.82 $1,366.67 $2,911.60 $2,673.92 2026-04-16
4055869_1 CDM Ventralexst Mesh Hernia Patch With Strap, Large Circle 20 20 $2,971.02 $2,376.82 $1,366.67 $2,911.60 $2,673.92 2026-04-16
4056515_1 CDM Screwdriver Bit, Ao T15, 93mm 20 20 $2,950.00 $2,360.00 20% off $1,357.00 $2,891.00 $2,655.00 2026-04-16
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 21 21 $2,923.00 $2,338.40 $61.61 $2,864.54 $2,630.70 2026-04-16
4026000_1 CDM Operating Room Services - General Classification 20 20 $2,917.56 $2,334.05 $1,342.08 $2,859.21 $2,625.80 2026-04-16
4055906_1 CDM Endo Gia Articulating Stapler Device, Medium To Thick Staple, Purple, 45 Mm 20 20 $2,912.07 $2,329.66 $1,339.55 $2,853.83 $2,620.86 2026-04-16
4055599_1 CDM Speedbrg Imp Sys W/bio-comp Swvlk 20 20 $2,900.00 $2,320.00 20% off $1,334.00 $2,842.00 $2,610.00 2026-04-16
4055831_1 CDM 6.4 Cm Hernia Patch 20 20 $2,896.63 $2,317.30 20% off $1,332.45 $2,838.70 $2,606.97 2026-04-16
J7296_2 CDM Kyleena IUD 20 20 $2,892.00 $2,313.60 20% off $1,359.24 $2,834.16 $2,602.80 2026-04-16
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 21 21 $2,890.00 $2,312.00 20% off $74.98 $2,832.20 $2,601.00 2026-04-16
4054296_1 CDM Plate-t Lcp 4h 83mm 4.5mm 20 20 $2,883.95 $2,307.16 20% off $1,326.62 $2,826.27 $2,595.56 2026-04-16
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 21 21 $2,875.00 $2,300.00 20% off $75.88 $2,817.50 $2,587.50 2026-04-16
4055899_1 CDM Rigiflex Ii Single Use Abd 35mm 20 20 $2,874.22 $2,299.38 $1,322.14 $2,816.74 $2,586.80 2026-04-16
70552 HCPCS MRI Scan Of Brain With Contrast 21 21 $2,862.00 $2,289.60 20% off $74.09 $2,804.76 $2,575.80 2026-04-16
4054675_1 CDM Volar Narrow L 20 20 $2,860.08 $2,288.06 20% off $1,315.64 $2,802.88 $2,574.07 2026-04-16
4054674_1 CDM Volar Narrow R 20 20 $2,860.08 $2,288.06 20% off $1,315.64 $2,802.88 $2,574.07 2026-04-16
4054688_1 CDM Univ Volar Narrow Xlong 20 20 $2,860.08 $2,288.06 20% off $1,315.64 $2,802.88 $2,574.07 2026-04-16
4054690_1 CDM Univ Volar Wide Xlong 20 20 $2,860.08 $2,288.06 20% off $1,315.64 $2,802.88 $2,574.07 2026-04-16
4054678_1 CDM Volar Narrow Long R 20 20 $2,860.08 $2,288.06 20% off $1,315.64 $2,802.88 $2,574.07 2026-04-16
4054691_1 CDM Dorsal Stand Right 20 20 $2,860.00 $2,288.00 20% off $1,315.60 $2,802.80 $2,574.00 2026-04-16
4054693_1 CDM Dorsal Wide Right 20 20 $2,860.00 $2,288.00 20% off $1,315.60 $2,802.80 $2,574.00 2026-04-16
4054681_1 CDM Volar Stand Long L 20 20 $2,860.00 $2,288.00 20% off $1,315.60 $2,802.80 $2,574.00 2026-04-16
4054679_1 CDM Volar Narrow Long L 20 20 $2,860.00 $2,288.00 20% off $1,315.60 $2,802.80 $2,574.00 2026-04-16
4054680_1 CDM Volar Stand Long R 20 20 $2,860.00 $2,288.00 20% off $1,315.60 $2,802.80 $2,574.00 2026-04-16
4054692_1 CDM Dorsal Stand Left 20 20 $2,860.00 $2,288.00 20% off $1,315.60 $2,802.80 $2,574.00 2026-04-16
7020038_1 CDM Removal Of Neurostimulator Electrode 20 20 $2,815.50 $2,252.40 $1,295.13 $2,759.19 $2,533.95 2026-04-16
4054291_1 CDM Plate Lcp 9h 170mm 4.5mm 20 20 $2,793.60 $2,234.88 $1,285.06 $2,737.73 $2,514.24 2026-04-16
63661 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance 80 24 $3,566.50 $2,853.20 20% off $282.84 $9,478.56 $2,478.60 2026-04-16
4056553_1 CDM Gelpoint Path Transanal Access Platform, 4 X 5.5 Cm 20 20 $2,750.00 $2,200.00 20% off $1,265.00 $2,695.00 $2,475.00 2026-04-16
4059503_1 CDM Dorsal Wide Left 20 20 $2,733.00 $2,186.40 $1,257.18 $2,678.34 $2,459.70 2026-04-16
63688 HCPCS Removal Or Revision Of Spinal Neurostimulator Generator Or Receiver 61 24 $5,142.00 $4,113.60 $229.87 $5,302.78 $2,440.91 2026-04-16
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 20 20 $3,528.00 $2,822.40 20% off $1,642.39 $3,422.16 $2,424.97 2026-04-16
58146_2 CDM Rev - Fs-rural/clinic 16 16 $2,653.00 $2,122.40 $255.25 $2,573.41 $2,387.70 2026-04-16
3070070_1 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,513.00 $2,010.40 $672.98 $2,462.74 $2,387.35 2026-04-16
4059983_1 CDM 4.3 Cm Hernia Patch 20 20 $2,649.78 $2,119.82 20% off $1,218.90 $2,596.78 $2,384.80 2026-04-16
27279 HCPCS Fusion Of Pelvic Joint Using Imaging Guidance 82 24 $25,660.00 $20,528.00 20% off $620.40 $50,294.58 $2,384.60 2026-04-16
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 21 21 $2,646.00 $2,116.80 $91.40 $2,593.08 $2,381.40 2026-04-16
4054100_1 CDM 3.0 Distal Rad Volar 3 L 20 20 $2,635.01 $2,108.01 $1,212.10 $2,582.31 $2,371.51 2026-04-16
4054103_1 CDM 3.0 Distal Rad Volar 4 L 20 20 $2,635.00 $2,108.00 20% off $1,212.10 $2,582.30 $2,371.50 2026-04-16
4054101_1 CDM 3.0 Distal Radvo 4 Hole L 20 20 $2,635.00 $2,108.00 20% off $1,212.10 $2,582.30 $2,371.50 2026-04-16
4054102_1 CDM 3.0 Distal Rad Volar 4 R 20 20 $2,635.00 $2,108.00 20% off $1,212.10 $2,582.30 $2,371.50 2026-04-16
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 21 21 $2,613.00 $2,090.40 $91.13 $2,560.74 $2,351.70 2026-04-16
44207 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 20 20 $4,076.00 $3,260.80 $1,374.94 $4,847.48 $2,348.72 2026-04-16
4026132_1 CDM Operating Room Services - General Classification 20 20 $2,606.00 $2,084.80 $1,198.76 $2,553.88 $2,345.40 2026-04-16
4055847_1 CDM Endo Gia Stapler, Medium Tan 60 Mm 20 20 $2,600.17 $2,080.14 $1,196.08 $2,548.17 $2,340.15 2026-04-16
4054689_1 CDM Univ Volar Stand Xlong 20 20 $2,589.60 $2,071.68 20% off $1,191.22 $2,537.81 $2,330.64 2026-04-16
4054683_1 CDM Univ Volar Narrow Long 20 20 $2,589.60 $2,071.68 20% off $1,191.22 $2,537.81 $2,330.64 2026-04-16
4054685_1 CDM Univ Volar Stand Long 20 20 $2,589.60 $2,071.68 20% off $1,191.22 $2,537.81 $2,330.64 2026-04-16
4054684_1 CDM Univ Volar Stand Short 20 20 $2,589.60 $2,071.68 20% off $1,191.22 $2,537.81 $2,330.64 2026-04-16
4054687_1 CDM Univ Volar Wide Short 20 20 $2,589.60 $2,071.68 20% off $1,191.22 $2,537.81 $2,330.64 2026-04-16
4054682_1 CDM Univ Volar Narrow Short 20 20 $2,589.60 $2,071.68 20% off $1,191.22 $2,537.81 $2,330.64 2026-04-16
4056474_1 CDM Metatarsal Reamer, 18mm 20 20 $2,585.00 $2,068.00 20% off $1,189.10 $2,533.30 $2,326.50 2026-04-16
4056475_1 CDM Phalangeal Reamer, 18mm 20 20 $2,585.00 $2,068.00 20% off $1,189.10 $2,533.30 $2,326.50 2026-04-16
3070081_1 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,446.00 $1,956.80 20% off $655.04 $2,397.08 $2,323.70 2026-04-16
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 21 21 $2,575.00 $2,060.00 20% off $52.88 $2,523.50 $2,317.50 2026-04-16
4059816_1 CDM Surgimesh Xb Ck-7 20 20 $2,575.00 $2,060.00 20% off $1,184.50 $2,523.50 $2,317.50 2026-04-16
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 21 21 $2,564.00 $2,051.20 20% off $95.15 $2,512.72 $2,307.60 2026-04-16
73219 HCPCS MRI Scan Of Arm With Contrast 42 21 $2,533.00 $2,026.40 $67.73 $2,482.34 $2,279.70 2026-04-16
73202 HCPCS CT Scan Of Arm Before And After Contrast 42 21 $2,524.00 $2,019.20 20% off $50.65 $2,473.52 $2,271.60 2026-04-16
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 21 21 $2,517.00 $2,013.60 20% off $95.15 $2,466.66 $2,265.30 2026-04-16
4056265_1 CDM Fixate Suturing Device 20 20 $2,510.00 $2,008.00 20% off $1,154.60 $2,459.80 $2,259.00 2026-04-16
4054281_1 CDM Plate Lcp 8h 152mm 4.5mm 20 20 $2,508.70 $2,006.96 $1,154.00 $2,458.53 $2,257.83 2026-04-16
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 21 21 $2,502.00 $2,001.60 20% off $98.30 $2,451.96 $2,251.80 2026-04-16
73222 HCPCS MRI Scan Of Arm Joint With Contrast 42 21 $2,500.00 $2,000.00 20% off $68.01 $2,450.00 $2,250.00 2026-04-16
4059140_1 CDM Sn 150mm Titananium Plate 20 20 $2,500.00 $2,000.00 20% off $1,150.00 $2,450.00 $2,250.00 2026-04-16
72196 HCPCS MRI Scan Of Pelvis With Contrast 21 21 $2,499.00 $1,999.20 20% off $71.98 $2,449.02 $2,249.10 2026-04-16
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 21 21 $2,496.00 $1,996.80 20% off $75.61 $2,446.08 $2,246.40 2026-04-16
4058202_1 CDM Stapler Intraluminal 33mm 20 20 $2,493.00 $1,994.40 $1,146.78 $2,443.14 $2,243.70 2026-04-16
73702 HCPCS CT Scan Of Leg Before And After Contrast 42 21 $2,486.00 $1,988.80 20% off $50.65 $2,436.28 $2,237.40 2026-04-16
74181 HCPCS MRI Scan Of Abdomen Without Contrast 21 21 $2,484.00 $1,987.20 20% off $60.71 $2,434.32 $2,235.60 2026-04-16
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 21 21 $2,474.00 $1,979.20 20% off $95.15 $2,424.52 $2,226.60 2026-04-16
74182 HCPCS MRI Scan Of Abdomen With Contrast 21 21 $2,467.00 $1,973.60 20% off $71.98 $2,417.66 $2,220.30 2026-04-16
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 21 21 $2,462.00 $1,969.60 20% off $52.75 $2,412.76 $2,215.80 2026-04-16
71551 HCPCS MRI Scan Of Chest With Contrast 21 21 $2,456.00 $1,964.80 20% off $71.98 $2,406.88 $2,210.40 2026-04-16
4058213_1 CDM Stapler Intraluminal 25mm 20 20 $2,447.00 $1,957.60 20% off $1,125.62 $2,398.06 $2,202.30 2026-04-16
4058212_1 CDM Stapler Intraluminal 29mm 20 20 $2,447.00 $1,957.60 20% off $1,125.62 $2,398.06 $2,202.30 2026-04-16
4055573_1 CDM Quadpro Harvester, 10 Mm 20 20 $2,446.05 $1,956.84 20% off $1,125.18 $2,397.13 $2,201.45 2026-04-16
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 21 21 $2,433.00 $1,946.40 $89.02 $2,384.34 $2,189.70 2026-04-16
4058277_1 CDM Port-a-cath W/insertion 8 20 20 $2,429.00 $1,943.20 20% off $1,117.34 $2,380.42 $2,186.10 2026-04-16
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 21 21 $2,420.00 $1,936.00 20% off $74.36 $2,371.60 $2,178.00 2026-04-16
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 21 21 $2,410.00 $1,928.00 20% off $62.51 $2,361.80 $2,169.00 2026-04-16
27487 HCPCS Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 40 20 $2,305.50 $1,844.40 20% off $636.00 $4,070.40 $2,153.36 2026-04-16
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 21 21 $2,385.00 $1,908.00 20% off $52.88 $2,337.30 $2,146.50 2026-04-16
4054280_1 CDM Plate Lcp 7h 134mm 4.5mm 20 20 $2,367.55 $1,894.04 20% off $1,089.07 $2,320.20 $2,130.80 2026-04-16
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 21 21 $2,365.00 $1,892.00 20% off $74.16 $2,317.70 $2,128.50 2026-04-16
23474 HCPCS Revision Of Total Shoulder Repair, Total Shoulder 40 20 $2,289.00 $1,831.20 20% off $631.00 $4,048.00 $2,127.80 2026-04-16
71550 HCPCS MRI Scan Of Chest Without Contrast 21 21 $2,363.00 $1,890.40 $60.71 $2,315.74 $2,126.70 2026-04-16
73722 HCPCS MRI Scan Of Leg Joint With Contrast 62 21 $2,357.00 $1,885.60 20% off $68.01 $3,105.62 $2,121.30 2026-04-16
4055917_1 CDM 2.6mm Knotless Fibertak Anchor With #5 Suture 20 20 $2,355.00 $1,884.00 20% off $1,083.30 $2,307.90 $2,119.50 2026-04-16
93306TC_2 CDM Echo Tthrc R-t 2d W/wom-mode Compl Spec&colr D 20 20 $2,354.00 $1,883.20 20% off $1,082.84 $2,306.92 $2,118.60 2026-04-16
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 63 21 $2,353.00 $1,882.40 $89.57 $2,305.94 $2,117.70 2026-04-16
73720 HCPCS MRI Scan Of Leg Before And After Contrast 42 21 $2,347.00 $1,877.60 20% off $89.29 $2,300.06 $2,112.30 2026-04-16
72126 HCPCS CT Scan Of Upper Spine With Contrast 21 21 $2,344.00 $1,875.20 20% off $50.65 $2,297.12 $2,109.60 2026-04-16
73220 HCPCS MRI Scan Of Arm Before And After Contrast 42 21 $2,340.00 $1,872.00 20% off $89.57 $2,293.20 $2,106.00 2026-04-16
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 21 21 $2,329.00 $1,863.20 20% off $58.30 $2,282.42 $2,096.10 2026-04-16
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 21 21 $2,329.00 $1,863.20 20% off $75.06 $2,282.42 $2,096.10 2026-04-16
11960_2 CDM Rev - Fs-rural/clinic 16 16 $2,324.00 $1,859.20 20% off $255.25 $2,254.28 $2,091.60 2026-04-16
70551 HCPCS MRI Scan Of Brain Without Contrast 21 21 $2,323.00 $1,858.40 $61.61 $2,276.54 $2,090.70 2026-04-16
4054289_1 CDM Plate Lcp 7h 134mm 4.5mm 20 20 $2,320.70 $1,856.56 $1,067.52 $2,274.29 $2,088.63 2026-04-16
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 21 21 $2,305.00 $1,844.00 20% off $49.75 $2,258.90 $2,074.50 2026-04-16
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 21 21 $2,300.00 $1,840.00 20% off $72.60 $2,254.00 $2,070.00 2026-04-16
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 21 21 $2,299.00 $1,839.20 20% off $74.09 $2,253.02 $2,069.10 2026-04-16
4024025_1 CDM Operating Room Services - General Classification 20 20 $2,297.00 $1,837.60 20% off $1,056.62 $2,251.06 $2,067.30 2026-04-16
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 42 21 $2,285.00 $1,828.00 20% off $89.29 $2,239.30 $2,056.50 2026-04-16
4059747_1 CDM Ac Tightrope Twin Tail 20 20 $2,280.48 $1,824.38 20% off $1,049.02 $2,234.87 $2,052.43 2026-04-16
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 21 21 $2,270.00 $1,816.00 20% off $50.03 $2,224.60 $2,043.00 2026-04-16
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 21 21 $2,264.00 $1,811.20 20% off $72.30 $2,218.72 $2,037.60 2026-04-16
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 21 21 $2,261.00 $1,808.80 20% off $78.09 $2,215.78 $2,034.90 2026-04-16
72132 HCPCS CT Scan Of Lower Spine With Contrast 21 21 $2,244.00 $1,795.20 20% off $50.65 $2,199.12 $2,019.60 2026-04-16
4056361_1 CDM Iassist Pin & Screw Pck Str 20 20 $2,240.00 $1,792.00 20% off $1,030.40 $2,195.20 $2,016.00 2026-04-16
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 21 21 $2,225.00 $1,780.00 20% off $72.60 $2,180.50 $2,002.50 2026-04-16
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 20 20 $3,450.00 $2,760.00 20% off $1,164.65 $4,112.40 $2,001.66 2026-04-16
3070000_1 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,101.00 $1,680.80 20% off $562.65 $2,058.98 $1,995.95 2026-04-16
43281 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 20 20 $3,470.00 $2,776.00 20% off $1,155.29 $4,141.84 $1,995.91 2026-04-16
4058163_1 CDM Port-a-cath 20 20 $2,193.00 $1,754.40 $1,008.78 $2,149.14 $1,973.70 2026-04-16
4058461_1 CDM Port A Cath 8fr 20 20 $2,193.00 $1,754.40 $1,008.78 $2,149.14 $1,973.70 2026-04-16
4054288_1 CDM Plate Lcp 6h 116mm 4.5mm 20 20 $2,185.80 $1,748.64 20% off $1,005.47 $2,142.08 $1,967.22 2026-04-16
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 21 21 $2,184.00 $1,747.20 20% off $50.65 $2,140.32 $1,965.60 2026-04-16
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 21 21 $2,171.00 $1,736.80 20% off $269.69 $2,127.58 $1,953.90 2026-04-16
71270 HCPCS CT Scan Of Chest Before And After Contrast 21 21 $2,170.00 $1,736.00 20% off $52.13 $2,126.60 $1,953.00 2026-04-16
19084 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, Each Additio… 21 21 $2,162.50 $1,730.00 20% off $328.70 $2,119.25 $1,946.25 2026-04-16
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 21 21 $2,161.15 $1,728.92 20% off $52.75 $2,117.93 $1,945.04 2026-04-16
4059603_1 CDM T Reg 7h 20 20 $2,156.06 $1,724.85 $991.79 $2,112.94 $1,940.45 2026-04-16
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 21 21 $2,152.49 $1,721.99 20% off $78.68 $2,109.44 $1,937.24 2026-04-16
73719 HCPCS MRI Scan Of Leg With Contrast 42 21 $2,147.00 $1,717.60 20% off $67.46 $2,104.06 $1,932.30 2026-04-16
3070080_1 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $2,034.00 $1,627.20 20% off $544.71 $1,993.32 $1,932.30 2026-04-16
4054563_1 CDM 8.0mm Cannulated Drill 20 20 $2,144.45 $1,715.56 $986.45 $2,101.56 $1,930.01 2026-04-16
4055834_1 CDM Versa Jet Exact Handpiece 15 Degree-14mm 20 20 $2,139.00 $1,711.20 20% off $983.94 $2,096.22 $1,925.10 2026-04-16
4059509_1 CDM Ulnar Long L 20 20 $2,126.98 $1,701.58 20% off $978.41 $2,084.44 $1,914.28 2026-04-16
4059505_1 CDM Radial Long 20 20 $2,126.98 $1,701.58 20% off $978.41 $2,084.44 $1,914.28 2026-04-16
4059507_1 CDM Ulnar Short L 20 20 $2,126.98 $1,701.58 20% off $978.41 $2,084.44 $1,914.28 2026-04-16
4059508_1 CDM Ulnar Long R 20 20 $2,126.98 $1,701.58 20% off $978.41 $2,084.44 $1,914.28 2026-04-16
4059506_1 CDM Ulnar Short R 20 20 $2,126.98 $1,701.58 20% off $978.41 $2,084.44 $1,914.28 2026-04-16
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 21 21 $2,126.00 $1,700.80 20% off $56.06 $2,083.48 $1,913.40 2026-04-16
4058406_1 CDM Ventralex Patch 6.4 X 6.4 20 20 $2,122.00 $1,697.60 20% off $976.12 $2,079.56 $1,909.80 2026-04-16
70336 HCPCS MRI Scan Of Jaw Joint 21 21 $2,121.00 $1,696.80 20% off $61.34 $2,078.58 $1,908.90 2026-04-16
58140_2 CDM Rev - Fs-rural/clinic 16 16 $2,120.00 $1,696.00 20% off $255.25 $2,056.40 $1,908.00 2026-04-16
C8930 HCPCS Transthoracic Echocardiography, With Contrast, Or Without Contrast Followed By W… 21 21 $2,119.55 $1,695.64 20% off $613.69 $2,077.16 $1,907.60 2026-04-16
26410 HCPCS Repair Of Tendon On Top Of Hand 21 21 $2,113.50 $1,690.80 20% off $505.21 $2,120.00 $1,902.15 2026-04-16
73701 HCPCS CT Scan Of Leg With Contrast Material 42 21 $2,105.00 $1,684.00 20% off $48.25 $2,062.90 $1,894.50 2026-04-16
27486 HCPCS Revision Of Component Of Total Knee Joint Prosthesis 21 20 $2,578.00 $2,062.40 $1,081.61 $3,254.40 $1,884.04 2026-04-16
4055907_1 CDM Med Tri-stapler, Thick 20 20 $2,089.56 $1,671.65 $961.20 $2,047.77 $1,880.60 2026-04-16
4059613_1 CDM V R 5h 20 20 $2,089.20 $1,671.36 20% off $961.03 $2,047.42 $1,880.28 2026-04-16
4059612_1 CDM Y L 5h 20 20 $2,089.20 $1,671.36 20% off $961.03 $2,047.42 $1,880.28 2026-04-16
70488 HCPCS CT Scan Of Face Before And After Contrast 21 21 $2,088.00 $1,670.40 $52.75 $2,046.24 $1,879.20 2026-04-16
81201 HCPCS Gene Analysis (adenomatous Polyposis Coli), Full Gene Sequence 21 21 $2,087.00 $1,669.60 20% off $702.00 $16,278.60 $1,878.30 2026-04-16
4059611_1 CDM Rotation 5h 20 20 $2,074.61 $1,659.69 $954.32 $2,033.12 $1,867.15 2026-04-16
4059504_1 CDM Radial Short 20 20 $2,070.00 $1,656.00 20% off $952.20 $2,028.60 $1,863.00 2026-04-16
4054118_1 CDM 4.0 Recon Plate 10 Hole 20 20 $2,051.35 $1,641.08 20% off $943.62 $2,010.32 $1,846.22 2026-04-16
4054279_1 CDM Plate Lcp 6h 116mm 4.5mm 20 20 $2,047.45 $1,637.96 20% off $941.83 $2,006.50 $1,842.71 2026-04-16
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 21 21 $2,035.00 $1,628.00 20% off $67.34 $1,994.30 $1,831.50 2026-04-16
4058283_1 CDM Forcep Cutting 3005pk 20 20 $2,023.00 $1,618.40 $930.58 $1,982.54 $1,820.70 2026-04-16
4055919_1 CDM Achalasia Balloon 30mm 20 20 $2,018.25 $1,614.60 20% off $928.40 $1,977.89 $1,816.43 2026-04-16
4055920_1 CDM Achalasia Balloon 35mm 20 20 $2,018.25 $1,614.60 20% off $928.40 $1,977.89 $1,816.43 2026-04-16
44202 HCPCS Partial Removal And Reconnection Of Small Bowel Using An Endoscope 20 20 $3,109.00 $2,487.20 20% off $1,050.12 $3,711.28 $1,814.78 2026-04-16
4056273_1 CDM Burr, Straight, 13mm Diam. 2.0 Mm 20 20 $2,015.00 $1,612.00 20% off $926.90 $1,974.70 $1,813.50 2026-04-16
4056353_1 CDM Compr Ft Scrw,2.5 Micro,24mm Lgth 20 20 $2,015.00 $1,612.00 20% off $926.90 $1,974.70 $1,813.50 2026-04-16
72129 HCPCS CT Scan Of Middle Spine With Contrast 21 21 $2,012.00 $1,609.60 20% off $50.92 $1,971.76 $1,810.80 2026-04-16
71555 HCPCS MRI Scan Of Blood Vessels Of Chest 21 21 $2,011.00 $1,608.80 20% off $74.75 $1,970.78 $1,809.90 2026-04-16
73201 HCPCS CT Scan Of Arm With Contrast 42 21 $2,005.00 $1,604.00 20% off $47.98 $1,964.90 $1,804.50 2026-04-16
72195 HCPCS MRI Scan Of Pelvis Without Contrast 21 21 $2,004.00 $1,603.20 20% off $60.98 $1,963.92 $1,803.60 2026-04-16
4054117_1 CDM 4.0 Recon Plate 8 Hole 20 20 $1,987.35 $1,589.88 $914.18 $1,947.60 $1,788.62 2026-04-16
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 41 20 $2,835.72 $2,268.58 $526.00 $3,358.40 $1,783.26 2026-04-16
54162 HCPCS Removal Of Scar Tissue After Foreskin Removal 21 21 $1,978.00 $1,582.40 $215.66 $1,938.44 $1,780.20 2026-04-16
4056228_1 CDM Convex Reamer -022 20 20 $1,975.00 $1,580.00 20% off $908.50 $1,935.50 $1,777.50 2026-04-16
4056226_1 CDM Concave Reamer - 022 20 20 $1,975.00 $1,580.00 20% off $908.50 $1,935.50 $1,777.50 2026-04-16
4056227_1 CDM Convex Reamer - 020 20 20 $1,975.00 $1,580.00 20% off $908.50 $1,935.50 $1,777.50 2026-04-16
4056225_1 CDM Concave Reamer - 020 20 20 $1,975.00 $1,580.00 20% off $908.50 $1,935.50 $1,777.50 2026-04-16
4059604_1 CDM Y N 7h 20 20 $1,955.33 $1,564.26 20% off $899.45 $1,916.22 $1,759.80 2026-04-16
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 21 21 $1,954.00 $1,563.20 20% off $74.09 $1,914.92 $1,758.60 2026-04-16
3200007_1 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $1,849.00 $1,479.20 20% off $495.16 $1,812.02 $1,756.55 2026-04-16
4058201_1 CDM Cath Groshong Cv 9.5fr 20 20 $1,942.00 $1,553.60 20% off $893.32 $1,903.16 $1,747.80 2026-04-16
44205 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 20 20 $3,002.00 $2,401.60 20% off $1,013.58 $3,571.44 $1,741.72 2026-04-16
4054278_1 CDM Plate Lcp 5h 98mm 4.5mm 20 20 $1,933.87 $1,547.10 $889.58 $1,895.19 $1,740.48 2026-04-16
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 21 21 $1,933.58 $1,546.86 20% off $613.69 $1,894.91 $1,740.22 2026-04-16
71260 HCPCS CT Scan Of Chest With Contrast 21 21 $1,932.00 $1,545.60 20% off $48.25 $1,893.36 $1,738.80 2026-04-16
4054561_1 CDM 5.6mm Cannulated Drill 20 20 $1,914.55 $1,531.64 $880.69 $1,876.26 $1,723.10 2026-04-16
4054560_1 CDM 4.9 Cannulated Drill 20 20 $1,914.55 $1,531.64 $880.69 $1,876.26 $1,723.10 2026-04-16
28420 HCPCS Treatment Of Broken Heel Bone With Graft 20 20 $2,962.00 $2,369.60 20% off $1,000.78 $2,968.00 $1,721.49 2026-04-16
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 20 20 $2,500.00 $2,000.00 20% off $249.95 $2,425.00 $1,718.38 2026-04-16
42999 HCPCS Other Procedure On Throat, Adenoids, Or Tonsils 20 20 $1,899.45 $1,519.56 20% off $873.75 $2,120.00 $1,709.51 2026-04-16
4055843_1 CDM Fiberstitch 1.5, Straight 20 20 $1,897.50 $1,518.00 20% off $872.85 $1,859.55 $1,707.75 2026-04-16
74160 HCPCS CT Scan Of Abdomen With Contrast 21 21 $1,891.00 $1,512.80 20% off $53.03 $1,853.18 $1,701.90 2026-04-16
7020012_1 CDM Fixate Suture Device 20 20 $1,884.00 $1,507.20 20% off $866.64 $1,846.32 $1,695.60 2026-04-16
4059969_1 CDM Ar Tightrope Graftlink 20 20 $1,880.25 $1,504.20 20% off $864.92 $1,842.65 $1,692.23 2026-04-16
4055552_1 CDM Perc Kit For 3.9mm Knotless Corkscrew 20 20 $1,869.90 $1,495.92 20% off $860.15 $1,832.50 $1,682.91 2026-04-16
72193 HCPCS CT Scan Of Pelvis With Contrast 21 21 $1,868.00 $1,494.40 $48.25 $1,830.64 $1,681.20 2026-04-16
4058968_1 CDM Mesh Hernia Large 20 20 $1,866.00 $1,492.80 20% off $858.36 $1,828.68 $1,679.40 2026-04-16
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