Hospital

MEMORIAL HOSPITAL

Carthage, IL · CCN 141305 · Rates published

2,201 distinct procedures filed

51 distinct payers

325,195 rate rows

2026-05-22 last MRF observed

Data quality

251,369 of 325,195 rate rows are consumer-grade (77.3%)

73,826 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	73,351
placeholder amount (≤ $0.02) — excluded from medians	410
percent-of-charges filed in the dollar field — excluded from medians	58
exceeds 10× this hospital's gross charge — excluded from medians	6
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	1

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

Source MRF file	https://www.mhtlc.org/wp-content/uploads/2025/09/370684691_Memorial-Hospital-Association_StandardCharges.csv
Found on page	https://www.mhtlc.org/patients-visitors/charges/
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-23
Content fingerprint	fbcfd8c514f60d91… · 18,528,419 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
52648 CPT	Laser Vaporization Surgery Prostate, Complete	50	$1,358.09	$10,961.00	$8,761.90	nat. median $5,538 1.6× median
J1162 HCPCS	Digoxin Immune Fab Solr 1 Each Vial	32	$2,809.94	$10,035.50	$8,028.40	nat. median $7,098 1.1× median
0278 RC		32	$34.72	$39,598.00	$7,319.13	nat. median $1,530 outlier · 4.8×
74178 CPT	CT Abd & Pelvis W Wo Contr 1+ Reg/sec	50	$1,258.40	$7,871.00	$6,517.19	nat. median $1,023 outlier · 6.4×
66991 CPT	Xcapsl Ctrc Rmvl Insj 1+	50	$1,358.09	$7,387.00	$6,278.95	nat. median $5,622 1.1× median
71552 CPT	MRI Chest W Wo Contrast	50	$1,358.09	$7,352.00	$6,249.20	nat. median $1,089 outlier · 5.7×
74177 CPT	CT Abdomen & Pelvis W Contrast	50	$1,258.40	$7,538.00	$6,241.46	nat. median $970 outlier · 6.4×
66982 CPT	Xcapsl Ctrc Rmvl Cplx Wo Ecp	50	$1,358.09	$7,439.00	$6,159.49	nat. median $2,938 outlier · 2.1×
27447 CPT	Pr Total Knee Arthorplasty	38	$4,365.48	$15,591.00	$6,080.49	nat. median $12,793 outlier · 0.5×
72197 CPT	MRI Pelvis W Wo Contrast	50	$1,358.09	$6,965.00	$5,920.25	nat. median $1,058 outlier · 5.6×
73223 CPT	MRI Up Extr Any Joint W Wo Contr	50	$1,358.09	$6,965.00	$5,920.25	nat. median $1,166 outlier · 5.1×
70543 CPT	MRI Orbit Face Neck W Wo Contrast	50	$1,358.09	$6,965.00	$5,920.25	nat. median $1,080 outlier · 5.5×
73720 CPT	MRI Low Extr Not Joint W Wo Contr	50	$1,358.09	$6,965.00	$5,920.25	nat. median $1,123 outlier · 5.3×
73723 CPT	MRI Low Extr Any Joint W Wo Contr	50	$1,358.09	$6,965.00	$5,920.25	nat. median $1,191 outlier · 5.0×
73220 CPT	MRI Up Extr Not Joint W Wo Contr	50	$1,358.09	$6,965.00	$5,920.25	nat. median $1,122 outlier · 5.3×
72156 CPT	MRI Spine Cervical W Wo Contrast	50	$1,358.09	$6,965.00	$5,767.02	nat. median $1,096 outlier · 5.3×
72158 CPT	MRI Spine Lumbar W Wo Contrast	50	$1,358.09	$6,965.00	$5,767.02	nat. median $1,083 outlier · 5.3×
74183 CPT	MRI Abdomen W Wo Contrast	50	$1,358.09	$6,965.00	$5,767.02	nat. median $1,096 outlier · 5.3×
70553 CPT	MRI Brain W Wo Contrast	50	$1,358.09	$6,965.00	$5,767.02	nat. median $1,122 outlier · 5.1×
72157 CPT	MRI Spine Thoracic W Wo Contrast	50	$1,358.09	$6,965.00	$5,767.02	nat. median $1,099 outlier · 5.2×
50590 CPT	Lithotripsy Extracorporeal Shock Wave	50	$1,358.09	$10,220.00	$5,703.50	nat. median $4,379 1.3× median
66984 CPT	Xcapsl Ctrc Rmvl Without Ecp	50	$1,358.09	$7,439.00	$5,460.00	nat. median $2,910 1.9× median
66174 CPT	Trluml Dil Aq O/f Can Without St	50	$1,358.09	$6,295.00	$5,350.75	nat. median $4,660 1.1× median
70549 CPT	MRA Neck W Wo Contrast	50	$1,358.09	$6,074.00	$5,162.90	nat. median $1,042 outlier · 5.0×
27130 CPT	Pr Total Hip Arthorplasty	39	$4,951.52	$17,684.00	$5,050.55	nat. median $13,117 outlier · 0.4×
J7168 HCPCS	Prothrombin Complex Conc Human 1000 Units Kit 1,000 Units Box	32	$1,693.30	$6,047.50	$5,007.33	nat. median $22 outlier · 226.3×
78452 CPT	Nm Heart Muscle Spect Mult	50	$1,342.00	$6,000.00	$4,968.00	nat. median $1,797 outlier · 2.8×
74176 CPT	CT Abd & Pelvis Wo Contrast	50	$1,258.40	$5,822.00	$4,820.62	nat. median $691 outlier · 7.0×
95811 CPT	Pss W 4/> Param W Cpap/bipap 6+ Yrs	50	$150.42	$5,667.00	$4,692.28	nat. median $1,887 outlier · 2.5×
72196 CPT	MRI Pelvis W Contrast	50	$1,358.09	$5,354.00	$4,550.90	nat. median $941 outlier · 4.8×
74182 CPT	MRI Abdomen W Contrast	50	$1,358.09	$5,354.00	$4,550.90	nat. median $964 outlier · 4.7×
72149 CPT	MRI Spine Lumbar W Contrast	50	$1,358.09	$5,354.00	$4,550.90	nat. median $974 outlier · 4.7×
72142 CPT	MRI Spine Cervical W Contrast	50	$1,358.09	$5,354.00	$4,550.90	nat. median $965 outlier · 4.7×
72147 CPT	MRI Spine Thoracic W Contrast	50	$1,358.09	$5,354.00	$4,550.90	nat. median $954 outlier · 4.8×
73722 CPT	MRI Low Extr Any Joint W Contrast	50	$1,358.09	$5,354.00	$4,550.90	nat. median $1,282 outlier · 3.5×
70552 CPT	MRI Brain W Contrast	50	$1,358.09	$5,354.00	$4,550.90	nat. median $956 outlier · 4.8×
74175 CPT	CT Angiography Abdomen W Wo Contrast	50	$1,258.40	$5,137.00	$4,366.45	nat. median $714 outlier · 6.1×
72191 CPT	CT Angiography Pelvis W Wo Contrast	50	$1,258.40	$5,137.00	$4,366.45	nat. median $630 outlier · 6.9×
73222 CPT	MRI Up Extr Any Joint W Contrast	50	$1,358.09	$5,101.00	$4,335.84	nat. median $1,282 outlier · 3.4×
J3262 HCPCS	Tocilizumab 400 Mg/20ml Soln 20 Ml Vial	32	$7.65	$5,399.14	$4,319.31	nat. median $1,424 outlier · 3.0×
71555 CPT	MRA Chest W Contrast	50	$1,358.09	$5,021.00	$4,267.84	nat. median $1,139 outlier · 3.7×
72198 CPT	MRA Pelvis W Contrast	50	$1,358.09	$5,021.00	$4,267.84	nat. median $1,119 outlier · 3.8×
70548 CPT	MRA Neck W Contrast	50	$1,358.09	$5,021.00	$4,267.84	nat. median $916 outlier · 4.7×
73725 CPT	MRA Low Extr W Contrast	50	$1,358.09	$5,021.00	$4,267.84	nat. median $1,235 outlier · 3.5×
71275 CPT	CT Angiography Chest W Wo Contrast	50	$1,258.40	$5,137.00	$4,253.44	nat. median $753 outlier · 5.6×
70498 CPT	CT Angiography Neck W Wo Contrast	50	$1,258.40	$5,137.00	$4,253.44	nat. median $735 outlier · 5.8×
75635 CPT	CT Angiography Aorta Iliofemoral Runoff	50	$1,244.00	$5,137.00	$4,253.44	nat. median $725 outlier · 5.9×
70496 CPT	CT Angiography Head W Wo Contrast	50	$1,258.40	$5,137.00	$4,253.44	nat. median $741 outlier · 5.7×
78451 CPT	Nm Heart Muscle Spect Sgl	50	$1,358.09	$5,000.00	$4,250.00	nat. median $1,542 outlier · 2.8×
95805 CPT	Mslt/mwt; Global	50	$69.66	$4,980.00	$4,233.00	nat. median $1,232 outlier · 3.4×

Other procedures at this hospital

Browse this hospital's 2,201 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

0278	RC	—	1,056	32	$13,613.00	$10,890.40 20% off	$34.72	$39,598.00	$7,319.13	2026-04-22
0119	RC	—	22	20	$2,925.00	$2,340.00 20% off	$70.00	$2,925.00	$2,603.25	2026-04-22
0722	RC	—	134	32	$3,143.00	$2,514.40 20% off	$169.00	$4,571.00	$2,514.40	2026-04-22
0173	RC	—	22	20	$2,484.00	$1,987.20 20% off	$70.00	$2,484.00	$2,210.76	2026-04-22
0164	RC	—	55	20	$2,484.00	$1,987.20 20% off	$70.00	$3,048.00	$2,185.92	2026-04-22
0112	RC	—	22	20	$2,378.00	$1,902.40	$70.00	$2,378.00	$2,116.42	2026-04-22
0113	RC	—	22	20	$2,378.00	$1,902.40	$70.00	$2,378.00	$2,116.42	2026-04-22
0750	RC	—	205	32	$2,580.00	$2,064.00 20% off	$169.00	$3,123.00	$1,874.40	2026-04-22
19084	CPT	Bx Breast Add Lesion US Imag	105	50	$3,129.00	$2,503.20 20% off	$876.12	$3,129.00	$2,659.65	2026-05-22
19083	CPT	Bx Breast W Device 1st Lesion Ultrasound Guide	154	50	$4,127.00	$3,301.60 20% off	$639.24	$4,127.00	$2,054.70	2026-05-22
93015	CPT	Cardiovascular Stress Test (global)	105	50	$2,054.00	$1,643.20 20% off	$87.55	$2,054.00	$1,745.89	2026-05-22
92960	CPT	Cardioversion	107	50	$1,800.00	$1,440.00 20% off	$418.00	$1,800.00	$1,530.00	2026-05-22
93880	CPT	Carotid Duplex Scan; Bilat	109	50	$2,150.00	$1,720.00 20% off	$47.10	$2,150.00	$1,827.50	2026-05-22
27842	CPT	Cl Tx Ankle Disloc W Anesth	105	50	$2,402.00	$1,921.60 20% off	$672.56	$2,402.00	$2,041.70	2026-05-22
25675	CPT	Cl Tx Dstl Radioulnar Disloc W Manip	154	50	$2,094.00	$1,675.20 20% off	$586.32	$2,099.00	$1,679.20	2026-05-22
24620	CPT	Cl Tx Monteggia Elb Fx W Manip	105	50	$2,389.00	$1,911.20 20% off	$668.92	$2,389.00	$2,030.64	2026-05-22
27562	CPT	Cl Tx Patellar Dislocation W Anesth	105	50	$2,241.00	$1,792.80 20% off	$627.48	$2,241.00	$1,904.85	2026-05-22
25565	CPT	Cl Tx Radial/ulna Fx W Manip	154	50	$1,719.00	$1,375.20 20% off	$481.32	$2,579.00	$1,461.14	2026-05-22
23655	CPT	Cl Tx Shldr Disl W Manip W Anesth	156	50	$2,048.00	$1,638.40	$521.36	$2,048.00	$1,638.40	2026-05-22
27818	CPT	Cl Tx Trimall Ankle Fx W Manip	105	50	$2,079.00	$1,663.20 20% off	$582.12	$2,079.00	$1,767.14	2026-05-22
92950	CPT	Cpr	107	50	$2,200.00	$1,760.00 20% off	$552.00	$2,200.00	$1,870.00	2026-05-22
13151	CPT	Crep E/n/e/l 1.1-2.5 Cm	154	50	$2,251.00	$1,800.80 20% off	$570.36	$2,251.00	$1,800.80	2026-05-22
13131	CPT	Crep F/g/h/f 1.1-2.5 Cm	105	50	$1,691.00	$1,352.80 20% off	$473.48	$1,691.00	$1,437.35	2026-05-22
13132	CPT	Crep F/g/h/f 2.6-7.5 Cm	105	50	$1,861.00	$1,488.80 20% off	$521.08	$1,861.00	$1,581.85	2026-05-22
13133	CPT	Crep F/g/h/f Ea Add 5 Cm/<	105	50	$2,048.00	$1,638.40	$573.44	$2,048.00	$1,740.80	2026-05-22
74178	CPT	CT Abd & Pelvis W Wo Contr 1+ Reg/sec	109	50	$7,871.00	$6,296.80 20% off	$1,258.40	$7,871.00	$6,517.19	2026-05-22
74176	CPT	CT Abd & Pelvis Wo Contrast	109	50	$5,822.00	$4,657.60	$1,258.40	$5,822.00	$4,820.62	2026-05-22
74177	CPT	CT Abdomen & Pelvis W Contrast	109	50	$7,538.00	$6,030.40 20% off	$1,258.40	$7,538.00	$6,241.46	2026-05-22
74160	CPT	CT Abdomen W Contrast	105	50	$4,185.00	$3,348.00 20% off	$1,171.80	$4,185.00	$3,557.25	2026-05-22
74170	CPT	CT Abdomen W Wo Contrast	109	50	$4,378.00	$3,502.40 20% off	$1,184.00	$4,378.00	$3,721.29	2026-05-22
74150	CPT	CT Abdomen Wo Contrast	109	50	$3,423.00	$2,738.40 20% off	$906.00	$3,423.00	$2,909.54	2026-05-22
74174	CPT	CT Angio Abd And Pelv Wo W Contrast	105	50	$3,221.00	$2,576.80	$901.88	$3,221.00	$2,737.85	2026-05-22
74175	CPT	CT Angiography Abdomen W Wo Contrast	105	50	$5,137.00	$4,109.60	$1,258.40	$5,137.00	$4,366.45	2026-05-22
75635	CPT	CT Angiography Aorta Iliofemoral Runoff	109	50	$5,137.00	$4,109.60	$1,244.00	$5,137.00	$4,253.44	2026-05-22
71275	CPT	CT Angiography Chest W Wo Contrast	109	50	$5,137.00	$4,109.60	$1,258.40	$5,137.00	$4,253.44	2026-05-22
70496	CPT	CT Angiography Head W Wo Contrast	109	50	$5,137.00	$4,109.60	$1,258.40	$5,137.00	$4,253.44	2026-05-22
70498	CPT	CT Angiography Neck W Wo Contrast	109	50	$5,137.00	$4,109.60	$1,258.40	$5,137.00	$4,253.44	2026-05-22
72191	CPT	CT Angiography Pelvis W Wo Contrast	105	50	$5,137.00	$4,109.60	$1,258.40	$5,137.00	$4,366.45	2026-05-22
73206	CPT	CT Angiography Upper Extr W Wo Contrast	105	50	$1,990.00	$1,592.00 20% off	$557.20	$1,990.00	$1,691.50	2026-05-22
72126	CPT	CT Cervical Spine W Contrast	105	50	$4,185.00	$3,348.00 20% off	$1,171.80	$4,185.00	$3,557.25	2026-05-22
72127	CPT	CT Cervical Spine W Wo Contrast	105	50	$4,378.00	$3,502.40 20% off	$1,225.84	$4,378.00	$3,721.29	2026-05-22
72125	CPT	CT Cervical Spine Wo Contrast	109	50	$3,042.00	$2,433.60 20% off	$805.00	$3,042.00	$2,585.70	2026-05-22
71260	CPT	CT Chest W Contrast Diag	109	50	$4,185.00	$3,348.00 20% off	$1,107.00	$4,185.00	$3,557.25	2026-05-22
71270	CPT	CT Chest W Wo Contrast Diag	109	50	$4,378.00	$3,502.40 20% off	$1,136.00	$4,378.00	$3,721.29	2026-05-22
71250	CPT	CT Chest Wo Contrast Diag	109	50	$3,042.00	$2,433.60 20% off	$805.00	$3,042.00	$2,585.70	2026-05-22
70460	CPT	CT Head Or Brain W Contrast	105	50	$4,185.00	$3,348.00 20% off	$1,171.80	$4,185.00	$3,557.25	2026-05-22
70470	CPT	CT Head Or Brain W Wo Contrast	109	50	$4,378.00	$3,502.40 20% off	$1,158.00	$4,378.00	$3,721.29	2026-05-22
70450	CPT	CT Head Or Brain Wo Contrast	109	50	$3,042.00	$2,433.60 20% off	$774.00	$3,042.00	$2,585.70	2026-05-22
73701	CPT	CT Lower Extr W Contrast	105	50	$3,234.00	$2,587.20 20% off	$905.52	$3,234.00	$2,748.90	2026-05-22
73702	CPT	CT Lower Extr W Wo Contrast	105	50	$3,711.00	$2,968.80	$1,039.08	$3,711.00	$3,154.35	2026-05-22
73700	CPT	CT Lower Extr Wo Contrast	105	50	$2,283.00	$1,826.40	$639.24	$2,283.00	$1,940.55	2026-05-22
72132	CPT	CT Lumbar Spine W Contrast	105	50	$4,185.00	$3,348.00 20% off	$1,171.80	$4,185.00	$3,557.25	2026-05-22
72133	CPT	CT Lumbar Spine W Wo Contrast	105	50	$4,378.00	$3,502.40 20% off	$1,225.84	$4,378.00	$3,721.29	2026-05-22
72131	CPT	CT Lumbar Spine Wo Contrast	109	50	$3,042.00	$2,433.60 20% off	$805.00	$3,042.00	$2,585.70	2026-05-22
70487	CPT	CT Maxillofacial W Contrast	109	50	$3,234.00	$2,587.20 20% off	$839.00	$3,234.00	$2,748.90	2026-05-22
70488	CPT	CT Maxillofacial W Wo Contrast	109	50	$3,603.00	$2,882.40 20% off	$916.00	$3,603.00	$3,062.54	2026-05-22
70486	CPT	CT Maxillofacial Wo Contrast	109	50	$2,093.00	$1,674.40	$554.00	$2,093.00	$1,779.05	2026-05-22
70481	CPT	CT Orbit Sella Mid Inner Ear W Contr	105	50	$4,184.00	$3,347.20 20% off	$1,171.52	$4,184.00	$3,556.40	2026-05-22
70482	CPT	CT Orbit Sella Mid Inner Ear W Wo Contr	105	50	$4,185.00	$3,348.00 20% off	$1,171.80	$4,185.00	$3,557.25	2026-05-22
70480	CPT	CT Orbit Sella Mid Inner Ear Wo Contr	109	50	$3,042.00	$2,433.60 20% off	$805.00	$3,042.00	$2,585.70	2026-05-22
72193	CPT	CT Pelvis W Contrast	105	50	$4,185.00	$3,348.00 20% off	$1,171.80	$4,185.00	$3,557.25	2026-05-22
72194	CPT	CT Pelvis W Wo Contrast	105	50	$4,378.00	$3,502.40 20% off	$1,225.84	$4,378.00	$3,721.29	2026-05-22
72192	CPT	CT Pelvis Wo Contrast	109	50	$3,042.00	$2,433.60 20% off	$805.00	$3,042.00	$2,585.70	2026-05-22
70491	CPT	CT Soft Tissue Neck W Contrast	109	50	$3,804.00	$3,043.20 20% off	$987.00	$3,804.00	$3,233.40	2026-05-22
70492	CPT	CT Soft Tissue Neck W Wo Contrast	105	50	$3,995.00	$3,196.00 20% off	$1,118.60	$3,995.00	$3,395.75	2026-05-22
70490	CPT	CT Soft Tissue Neck Wo Contrast	105	50	$3,042.00	$2,433.60 20% off	$851.76	$3,042.00	$2,585.70	2026-05-22
72129	CPT	CT Thoracic Spine W Contrast	105	50	$4,185.00	$3,348.00 20% off	$1,171.80	$4,185.00	$3,557.25	2026-05-22
72130	CPT	CT Thoracic Spine W Wo Contrast	105	50	$4,378.00	$3,502.40 20% off	$1,225.84	$4,378.00	$3,721.29	2026-05-22
72128	CPT	CT Thoracic Spine Wo Contrast	109	50	$3,042.00	$2,433.60 20% off	$805.00	$3,042.00	$2,585.70	2026-05-22
73201	CPT	CT Upper Extr W Contrast	105	50	$3,729.00	$2,983.20 20% off	$1,044.12	$3,729.00	$3,169.65	2026-05-22
73202	CPT	CT Upper Extr W Wo Contrast	105	50	$4,185.00	$3,348.00 20% off	$1,171.80	$4,185.00	$3,557.25	2026-05-22
73200	CPT	CT Upper Extr Wo Contrast	109	50	$2,283.00	$1,826.40	$10.00	$2,283.00	$1,940.55	2026-05-22
J0875	HCPCS	Dalbavancin 500 Mg Solr 1 Each Vial	35	32	$3,645.76	$2,916.61	$20.24	$3,645.76	$2,916.61	2026-04-22
J1162	HCPCS	Digoxin Immune Fab Solr 1 Each Vial	35	32	$10,035.50	$8,028.40 20% off	$2,809.94	$10,035.50	$8,028.40	2026-04-22
P9073	HCPCS	Dir Ph,leuko,treat	33	32	$2,120.00	$1,696.00 20% off	$593.60	$2,120.00	$1,755.36	2026-04-22
93971	CPT	Duplex Ext Veins Unil/limit	105	50	$1,776.00	$1,420.80 20% off	$26.03	$1,776.00	$1,509.60	2026-05-22
93970	CPT	Duplex Ext Veins; Bilat	109	50	$2,793.00	$2,234.40	$40.39	$2,793.00	$2,374.04	2026-05-22
26080	CPT	Expl/rem Fb Iph Joint Ea	154	50	$1,873.00	$1,498.40	$524.44	$2,646.00	$1,592.05	2026-05-22
C1889	HCPCS	Implant/insert Device Noc Lvl 9	103	50	$2,696.00	$2,156.80	$754.88	$2,696.00	$2,291.60	2026-05-22
J1745	HCPCS	inFLIXimab 100 Mg Solr 1 Each Vial	35	32	$2,423.14	$1,938.51 20% off	$39.68	$2,423.14	$1,938.51	2026-04-22
36569	CPT	Ins Picc Age 5 Yrs/>	156	50	$2,085.00	$1,668.00 20% off	$549.00	$3,173.00	$1,772.25	2026-05-22
J7296	HCPCS	Kyleena, 19.5 Mg	103	50	$2,735.00	$2,188.00 20% off	$765.80	$2,735.00	$2,324.75	2026-05-22
52648	CPT	Laser Vaporization Surgery Prostate, Complete	156	50	$10,961.00	$8,768.80 20% off	$1,358.09	$10,961.00	$8,761.90	2026-05-22
50590	CPT	Lithotripsy Extracorporeal Shock Wave	156	50	$10,220.00	$8,176.00 20% off	$1,358.09	$10,220.00	$5,703.50	2026-05-22
74185	CPT	MRA Abdomen Wo Contrast	299	50	$5,021.00	$4,016.80	$1,261.96	$6,074.00	$4,056.30	2026-05-22
71555	CPT	MRA Chest W Contrast	105	50	$5,021.00	$4,016.80	$1,358.09	$5,021.00	$4,267.84	2026-05-22
70544	CPT	MRA Head Wo Contrast	105	50	$4,507.00	$3,605.60 20% off	$1,261.96	$4,507.00	$3,830.95	2026-05-22
73725	CPT	MRA Low Extr W Contrast	105	50	$5,021.00	$4,016.80	$1,358.09	$5,021.00	$4,267.84	2026-05-22
70548	CPT	MRA Neck W Contrast	105	50	$5,021.00	$4,016.80	$1,358.09	$5,021.00	$4,267.84	2026-05-22
70549	CPT	MRA Neck W Wo Contrast	105	50	$6,074.00	$4,859.20 20% off	$1,358.09	$6,074.00	$5,162.90	2026-05-22
70547	CPT	MRA Neck Wo Contrast	105	50	$4,507.00	$3,605.60 20% off	$1,261.96	$4,507.00	$3,830.95	2026-05-22
72198	CPT	MRA Pelvis W Contrast	105	50	$5,021.00	$4,016.80	$1,358.09	$5,021.00	$4,267.84	2026-05-22
74182	CPT	MRI Abdomen W Contrast	105	50	$5,354.00	$4,283.20 20% off	$1,358.09	$5,354.00	$4,550.90	2026-05-22
74183	CPT	MRI Abdomen W Wo Contrast	109	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,767.02	2026-05-22
74181	CPT	MRI Abdomen Wo Contrast	109	50	$4,645.00	$3,716.00 20% off	$1,191.00	$4,645.00	$3,948.25	2026-05-22
70552	CPT	MRI Brain W Contrast	105	50	$5,354.00	$4,283.20 20% off	$1,358.09	$5,354.00	$4,550.90	2026-05-22
70553	CPT	MRI Brain W Wo Contrast	109	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,767.02	2026-05-22
70551	CPT	MRI Brain Wo Contrast	109	50	$4,645.00	$3,716.00 20% off	$1,126.00	$4,645.00	$3,948.25	2026-05-22
71552	CPT	MRI Chest W Wo Contrast	105	50	$7,352.00	$5,881.60	$1,358.09	$7,352.00	$6,249.20	2026-05-22
71550	CPT	MRI Chest Wo Contrast	105	50	$4,645.00	$3,716.00 20% off	$1,300.60	$4,645.00	$3,948.25	2026-05-22
73722	CPT	MRI Low Extr Any Joint W Contrast	105	50	$5,354.00	$4,283.20 20% off	$1,358.09	$5,354.00	$4,550.90	2026-05-22
73723	CPT	MRI Low Extr Any Joint W Wo Contr	105	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,920.25	2026-05-22
73721	CPT	MRI Low Extr Any Joint Wo Contrast	105	50	$4,645.00	$3,716.00 20% off	$1,300.60	$4,645.00	$3,948.25	2026-05-22
73720	CPT	MRI Low Extr Not Joint W Wo Contr	105	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,920.25	2026-05-22
73718	CPT	MRI Low Extr Not Joint Wo Contrast	105	50	$4,645.00	$3,716.00 20% off	$1,300.60	$4,645.00	$3,948.25	2026-05-22
70543	CPT	MRI Orbit Face Neck W Wo Contrast	105	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,920.25	2026-05-22
70540	CPT	MRI Orbit Face Neck Wo Contrast	105	50	$4,645.00	$3,716.00 20% off	$1,300.60	$4,645.00	$3,948.25	2026-05-22
72196	CPT	MRI Pelvis W Contrast	105	50	$5,354.00	$4,283.20 20% off	$1,358.09	$5,354.00	$4,550.90	2026-05-22
72197	CPT	MRI Pelvis W Wo Contrast	105	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,920.25	2026-05-22
72195	CPT	MRI Pelvis Wo Contrast	105	50	$4,645.00	$3,716.00 20% off	$1,300.60	$4,645.00	$3,948.25	2026-05-22
72142	CPT	MRI Spine Cervical W Contrast	105	50	$5,354.00	$4,283.20 20% off	$1,358.09	$5,354.00	$4,550.90	2026-05-22
72156	CPT	MRI Spine Cervical W Wo Contrast	109	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,767.02	2026-05-22
72141	CPT	MRI Spine Cervical Wo Contrast	109	50	$4,645.00	$3,716.00 20% off	$1,284.00	$4,645.00	$3,948.25	2026-05-22
72149	CPT	MRI Spine Lumbar W Contrast	105	50	$5,354.00	$4,283.20 20% off	$1,358.09	$5,354.00	$4,550.90	2026-05-22
72158	CPT	MRI Spine Lumbar W Wo Contrast	109	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,767.02	2026-05-22
72148	CPT	MRI Spine Lumbar Wo Contrast	109	50	$4,645.00	$3,716.00 20% off	$1,188.00	$4,645.00	$3,948.25	2026-05-22
72147	CPT	MRI Spine Thoracic W Contrast	105	50	$5,354.00	$4,283.20 20% off	$1,358.09	$5,354.00	$4,550.90	2026-05-22
72157	CPT	MRI Spine Thoracic W Wo Contrast	109	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,767.02	2026-05-22
72146	CPT	MRI Spine Thoracic Wo Contrast	105	50	$4,645.00	$3,716.00 20% off	$1,300.60	$4,645.00	$3,948.25	2026-05-22
73222	CPT	MRI Up Extr Any Joint W Contrast	105	50	$5,101.00	$4,080.80	$1,358.09	$5,101.00	$4,335.84	2026-05-22
73223	CPT	MRI Up Extr Any Joint W Wo Contr	105	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,920.25	2026-05-22
73221	CPT	MRI Up Extr Any Joint Wo Contrast	105	50	$4,645.00	$3,716.00 20% off	$1,300.60	$4,645.00	$3,948.25	2026-05-22
73220	CPT	MRI Up Extr Not Joint W Wo Contr	105	50	$6,965.00	$5,572.00 20% off	$1,358.09	$6,965.00	$5,920.25	2026-05-22
73218	CPT	MRI Up Extr Not Joint Wo Contrast	105	50	$4,645.00	$3,716.00 20% off	$1,300.60	$4,645.00	$3,948.25	2026-05-22
95805	CPT	Mslt/mwt; Global	105	50	$4,980.00	$3,984.00 20% off	$69.66	$4,980.00	$4,233.00	2026-05-22
78315	CPT	Nm Bone Imaging 3 Phase	109	50	$3,030.00	$2,424.00 20% off	$760.00	$3,030.00	$2,575.50	2026-05-22
78306	CPT	Nm Bone Imaging Whole Body	109	50	$2,500.00	$2,000.00 20% off	$528.00	$2,500.00	$2,125.00	2026-05-22
78472	CPT	Nm Cardiac Blood Pool Sgl	105	50	$2,447.00	$1,957.60 20% off	$685.16	$2,447.00	$2,079.95	2026-05-22
78278	CPT	Nm Gi Bleed Study	105	50	$2,556.00	$2,044.80 20% off	$715.68	$2,556.00	$2,172.60	2026-05-22
78452	CPT	Nm Heart Muscle Spect Mult	109	50	$6,000.00	$4,800.00 20% off	$1,342.00	$6,000.00	$4,968.00	2026-05-22
78451	CPT	Nm Heart Muscle Spect Sgl	105	50	$5,000.00	$4,000.00 20% off	$1,358.09	$5,000.00	$4,250.00	2026-05-22
78227	CPT	Nm Hepatobil Syst Image W/drug	105	50	$2,434.00	$1,947.20 20% off	$681.52	$2,434.00	$2,068.90	2026-05-22
78226	CPT	Nm Hepatobiliary System Imaging	109	50	$2,434.00	$1,947.20 20% off	$673.00	$2,434.00	$2,068.90	2026-05-22
78708	CPT	Nm Kidney Flow Funct W Drug	105	50	$2,768.00	$2,214.40	$775.04	$2,768.00	$2,352.79	2026-05-22
78707	CPT	Nm Kidney Flow Funct Wo Drug	105	50	$2,776.00	$2,220.80	$777.28	$2,776.00	$2,359.60	2026-05-22
78580	CPT	Nm Lung Perfusion Imaging	105	50	$2,090.00	$1,672.00 20% off	$585.20	$2,090.00	$1,776.50	2026-05-22
78582	CPT	Nm Lung Ventilat&perfus Imaging	105	50	$3,012.00	$2,409.60 20% off	$843.36	$3,012.00	$2,560.20	2026-05-22
78290	CPT	Nm Meckels Divert Exam	105	50	$1,894.00	$1,515.20 20% off	$530.32	$1,894.00	$1,609.89	2026-05-22
78761	CPT	Nm Testicular Imaging W/flow	105	50	$1,976.00	$1,580.80 20% off	$553.28	$1,976.00	$1,679.60	2026-05-22
C1783	HCPCS	Ocular Imp Aqueous Drain Lvl 8	105	50	$3,455.00	$2,764.00 20% off	$169.00	$3,455.00	$2,936.75	2026-05-22
J2426	HCPCS	Paliperidone Palmitate ER 117 Mg/0.75ml Susy 0.75 Ml Syringe	35	32	$3,566.16	$2,852.93	$19.16	$3,566.16	$2,852.93	2026-04-22
19285	CPT	Perq Dev Breast 1st Les US Imag	105	50	$1,923.00	$1,538.40	$538.44	$1,923.00	$1,634.55	2026-05-22
27590	CPT	Pr Amputate Thigh-femur Any Level	49	39	$6,710.00	$5,368.00 20% off	$1,878.80	$6,710.00	$1,916.38	2026-05-22
57240	CPT	Pr Anterior Colporrhaphy Rep Cystocele	47	38	$4,408.00	$3,526.40 20% off	$1,234.24	$4,408.00	$1,719.12	2026-05-22
44960	CPT	Pr Appy For Rupt Appendix W Peritonitis	49	39	$5,922.00	$4,737.60	$1,658.16	$5,922.00	$1,691.32	2026-05-22
23472	CPT	Pr Arthropl Ghj Tot Shldr Repl	49	39	$6,954.00	$5,563.20 20% off	$1,947.12	$6,954.00	$1,986.06	2026-05-22
29888	CPT	Pr Arthroscopic Ant Cruciate Lig Rep/augm	49	39	$13,730.00	$10,984.00 20% off	$3,844.40	$13,730.00	$3,921.29	2026-05-22
29828	CPT	Pr Arthroscopy Biceps Tenodesis	49	39	$5,480.00	$4,384.00 20% off	$1,534.40	$5,480.00	$1,565.09	2026-05-22
29875	CPT	Pr Arthroscopy Knee; Lim Synovectomy	49	39	$5,024.00	$4,019.20 20% off	$1,406.72	$5,024.00	$1,434.85	2026-05-22
29880	CPT	Pr Arthroscopy/surgery Knee W Meniscectomy M/l	47	38	$9,424.00	$7,539.20 20% off	$2,638.72	$9,424.00	$3,675.36	2026-05-22
27030	CPT	Pr Arthrotomy Hip W Drainage	49	39	$5,224.00	$4,179.20 20% off	$1,462.72	$5,224.00	$1,491.97	2026-05-22
43605	CPT	Pr Biopsy Stomach; By Laparotomy	49	39	$5,563.00	$4,450.40 20% off	$1,557.64	$5,563.00	$1,588.79	2026-05-22
27236	CPT	Pr Bipolar Hip Replacement	49	39	$9,465.00	$7,572.00 20% off	$2,650.20	$9,465.00	$2,703.20	2026-05-22
59514	CPT	Pr Cesarean Delivery Only	47	38	$6,990.00	$5,592.00 20% off	$1,957.20	$6,990.00	$2,726.10	2026-05-22
47600	CPT	Pr Cholecystectomy	49	39	$6,464.00	$5,171.20 20% off	$1,809.92	$6,464.00	$1,846.12	2026-05-22
47605	CPT	Pr Cholecystectomy W Cholangiography	49	39	$6,179.00	$4,943.20 20% off	$1,730.12	$6,179.00	$1,764.72	2026-05-22
47610	CPT	Pr Cholecystectomy W Expl Cbd	49	39	$7,809.00	$6,247.20 20% off	$2,186.52	$7,809.00	$2,230.25	2026-05-22
44620	CPT	Pr Close Enterostomy Lg/sm Intestine	49	39	$5,161.00	$4,128.80	$1,445.08	$5,161.00	$1,473.98	2026-05-22
44626	CPT	Pr Close Enterostomy W Resect & Cr Anast	49	39	$9,728.00	$7,782.40 20% off	$2,723.84	$9,728.00	$2,778.32	2026-05-22
44640	CPT	Pr Close Intestinal Cutaneous Fistula	49	39	$6,026.00	$4,820.80 20% off	$1,687.28	$6,026.00	$1,721.03	2026-05-22
57308	CPT	Pr Close Rectovag Fistula Transves & Vag	49	39	$4,875.00	$3,900.00 20% off	$1,365.00	$4,875.00	$1,392.30	2026-05-22
43880	CPT	Pr Closure Of Gastrocolic Fistula	49	39	$8,046.00	$6,436.80 20% off	$2,252.88	$8,046.00	$2,297.94	2026-05-22
44143	CPT	Pr Colectomy Partial (hartmann Type)	49	39	$8,486.00	$6,788.80 20% off	$2,376.08	$8,486.00	$2,423.60	2026-05-22
44140	CPT	Pr Colectomy Partial W Anastomosis	49	39	$8,339.00	$6,671.20 20% off	$2,334.92	$8,339.00	$2,381.62	2026-05-22
44160	CPT	Pr Colectomy Partial W Rem Ilium	47	38	$6,139.00	$4,911.20 20% off	$1,718.92	$6,139.00	$2,394.21	2026-05-22
45385	CPT	Pr Colonoscopy Flex W Rem Lesion By Snare	47	38	$3,912.00	$3,129.60 20% off	$1,095.36	$3,912.00	$1,525.68	2026-05-22
44320	CPT	Pr Colostomy	49	39	$5,835.00	$4,668.00 20% off	$1,633.80	$5,835.00	$1,666.48	2026-05-22
44025	CPT	Pr Colotomy Explore Bx Or Fb Rem	49	39	$6,277.00	$5,021.60	$1,757.56	$6,277.00	$1,792.71	2026-05-22
57260	CPT	Pr Comb Anteroposterior Colporrhaphy	49	39	$6,125.00	$4,900.00 20% off	$1,715.00	$6,125.00	$1,749.30	2026-05-22
27132	CPT	Pr Conv To Tot Hip Arthropl	49	39	$10,287.00	$8,229.60	$2,880.36	$10,287.00	$2,937.97	2026-05-22
52224	CPT	Pr Cysto W Fulg Of Minor Lesions <0.5cm	47	38	$4,968.00	$3,974.40 20% off	$1,391.04	$4,968.00	$1,937.52	2026-05-22
11005	CPT	Pr Debr Necrotiz Sc Tiss Abd Wall	49	39	$5,097.00	$4,077.60 20% off	$1,427.16	$5,097.00	$1,455.70	2026-05-22
11004	CPT	Pr Debr Necrotiz Sc Tiss Genitals/perineum	49	39	$4,721.00	$3,776.80	$1,321.88	$4,721.00	$1,348.32	2026-05-22
49062	CPT	Pr Drain Extraperitoneal Lymphocele	49	39	$4,877.00	$3,901.60 20% off	$1,365.56	$4,877.00	$1,392.87	2026-05-22
49020	CPT	Pr Drain Peritoneal Abscess Or Cyst Open	49	39	$5,598.00	$4,478.40 20% off	$1,567.44	$5,598.00	$1,598.79	2026-05-22
44130	CPT	Pr Enteroenterostomy Anastom Of Intest	49	39	$7,604.00	$6,083.20 20% off	$2,129.12	$7,604.00	$2,171.70	2026-05-22
44005	CPT	Pr Enterolysis	49	39	$6,354.00	$5,083.20 20% off	$1,779.12	$6,354.00	$1,814.70	2026-05-22
44021	CPT	Pr Enterotomy Sm Intestine Decompress	49	39	$5,772.00	$4,617.60	$1,616.16	$5,772.00	$1,648.48	2026-05-22
24073	CPT	Pr Ex Arm/elbow Tum Deep 5 Cm/>	47	38	$3,508.00	$2,806.40 20% off	$982.24	$3,508.00	$1,368.12	2026-05-22
21933	CPT	Pr Exc Back Tum Deep 5 Cm/>	47	38	$3,590.00	$2,872.00 20% off	$1,005.20	$3,590.00	$1,400.10	2026-05-22
15830	CPT	Pr Exc Skin Abd	49	39	$13,931.00	$11,144.80 20% off	$3,900.68	$13,931.00	$3,978.69	2026-05-22
44110	CPT	Pr Excise Intestine 1+ Lesion(s)	49	39	$6,044.00	$4,835.20 20% off	$1,692.32	$6,044.00	$1,726.17	2026-05-22
27310	CPT	Pr Expl Knee W Drain/rem Fb	47	38	$5,447.00	$4,357.60	$1,525.16	$5,447.00	$2,124.33	2026-05-22
49000	CPT	Pr Expl Laparotomy, Celiotomy	49	39	$5,488.00	$4,390.40 20% off	$1,536.64	$5,488.00	$1,567.37	2026-05-22
35840	CPT	Pr Expl Postop Hemor/thromb/inf; Abdomen	49	39	$5,345.00	$4,276.00 20% off	$1,496.60	$5,345.00	$1,526.53	2026-05-22
26121	CPT	Pr Fasciectomy Palm Only	49	39	$7,697.00	$6,157.60	$2,155.16	$7,697.00	$2,198.26	2026-05-22
43820	CPT	Pr Gastrojejunostomy; Wo Vagotomy	49	39	$6,833.00	$5,466.40 20% off	$1,913.24	$6,833.00	$1,951.50	2026-05-22
58558	CPT	Pr Hysteroscopy; W Bx Endom Or Polypect	47	38	$3,676.00	$2,940.80	$1,029.28	$3,676.00	$1,433.64	2026-05-22
58563	CPT	Pr Hysteroscopy; W Endometrial Ablation	49	39	$6,523.00	$5,218.40 20% off	$1,826.44	$6,523.00	$1,862.97	2026-05-22
44310	CPT	Pr Ileostomy/jejunostomy	49	39	$6,377.00	$5,101.60	$1,785.56	$6,377.00	$1,821.27	2026-05-22
36563	CPT	Pr Ins Tunnel Cvad W Sq Pump	49	39	$11,960.00	$9,568.00 20% off	$3,348.80	$11,960.00	$3,415.78	2026-05-22
36561	CPT	Pr Ins Tunneled Cvad W Port Age 5 Yrs/>	49	39	$5,412.00	$4,329.60	$1,515.36	$5,412.00	$1,545.67	2026-05-22
32557	CPT	Pr Insert Cath Pleura With Image	49	39	$4,920.00	$3,936.00 20% off	$1,377.60	$4,920.00	$1,405.15	2026-05-22
44615	CPT	Pr Intestinal Stricturoplasty For Obstruct	49	39	$7,173.00	$5,738.40 20% off	$2,008.44	$7,173.00	$2,048.61	2026-05-22
29873	CPT	Pr Knee Arthroscopy W Lat Rls	49	39	$5,976.00	$4,780.80 20% off	$1,673.28	$5,976.00	$1,706.75	2026-05-22
29881	CPT	Pr Knee Arthroscopy/surgery	47	38	$7,796.00	$6,236.80 20% off	$2,182.88	$7,796.00	$3,040.44	2026-05-22
47564	CPT	Pr Lap Chole W Expl Comm Duct	47	38	$8,729.00	$6,983.20 20% off	$2,444.12	$8,729.00	$3,404.31	2026-05-22
47563	CPT	Pr Lap Cholecystectomy W Cholangiogr	47	38	$8,146.00	$6,516.80 20% off	$2,280.88	$8,146.00	$3,176.94	2026-05-22
49320	CPT	Pr Lap Dx Abd/perit/omentum	47	38	$4,166.00	$3,332.80	$1,166.48	$4,166.00	$1,624.74	2026-05-22
44180	CPT	Pr Lap Enterolysis	49	39	$6,254.00	$5,003.20 20% off	$1,751.12	$6,254.00	$1,786.14	2026-05-22
58548	CPT	Pr Lap Radical Hyst	49	39	$7,335.00	$5,868.00 20% off	$2,053.80	$7,335.00	$2,094.88	2026-05-22
59151	CPT	Pr Lap Tx Ect Preg W Salping/oophor	47	38	$6,228.00	$4,982.40 20% off	$1,743.84	$6,228.00	$2,428.92	2026-05-22
58662	CPT	Pr Lap W Exc/destr Ovary/pelv/perit Les	47	38	$6,847.00	$5,477.60	$1,917.16	$6,847.00	$2,670.33	2026-05-22
58661	CPT	Pr Lap W Rem Adnexal Structures	47	38	$6,635.00	$5,308.00 20% off	$1,857.80	$6,635.00	$2,587.65	2026-05-22
51992	CPT	Pr Lap; Sling Op For Stress Incontinence	49	39	$5,963.00	$4,770.40 20% off	$1,669.64	$5,963.00	$1,703.03	2026-05-22
38570	CPT	Pr Lap; W Retrop Ln Bx Single/multiple	49	39	$6,152.00	$4,921.60	$1,722.56	$6,152.00	$1,757.01	2026-05-22
58552	CPT	Pr Laparo-vag Hyst Incl T/o =<250 Gm	47	38	$8,527.00	$6,821.60	$2,387.56	$8,527.00	$3,325.53	2026-05-22
58554	CPT	Pr Laparo-vag Hyst W/t/o Compl >250 Gm	49	39	$7,194.00	$5,755.20 20% off	$2,014.32	$7,194.00	$2,054.61	2026-05-22
47379	CPT	Pr Laparoscope Procedure Liver	49	39	$5,026.00	$4,020.80	$1,407.28	$5,026.00	$1,435.43	2026-05-22
44970	CPT	Pr Laparoscopy Appendectomy	47	38	$5,400.00	$4,320.00 20% off	$1,512.00	$5,400.00	$2,106.00	2026-05-22
47562	CPT	Pr Laparoscopy Cholecystecomy	49	39	$7,370.00	$5,896.00 20% off	$2,063.60	$7,370.00	$2,104.87	2026-05-22
52317	CPT	Pr Litholapaxy; In Blad&rem Frag; <2.5cm	49	39	$6,784.00	$5,427.20 20% off	$1,899.52	$6,784.00	$1,937.51	2026-05-22
52318	CPT	Pr Litholapaxy; In Blad&rem Frag; >2.5cm	49	39	$4,999.00	$3,999.20 20% off	$1,399.72	$4,999.00	$1,427.71	2026-05-22
19307	CPT	Pr Mastectomy Mod Radical	49	39	$10,214.00	$8,171.20 20% off	$2,859.92	$10,214.00	$2,917.12	2026-05-22
19305	CPT	Pr Mastectomy Radical	49	39	$10,974.00	$8,779.20	$3,072.72	$10,974.00	$3,134.17	2026-05-22
19303	CPT	Pr Mastectomy Simple Complete	49	39	$4,710.00	$3,768.00 20% off	$1,318.80	$4,710.00	$1,345.18	2026-05-22
64708	CPT	Pr Neuroplasty Maj Periph Nrv Arm/leg; Nos	47	38	$5,979.00	$4,783.20 20% off	$1,674.12	$5,979.00	$2,331.81	2026-05-22
64721	CPT	Pr Neuroplasty Median Nerve Carp Tunnel	47	38	$4,684.00	$3,747.20 20% off	$1,311.52	$4,684.00	$1,826.76	2026-05-22
64718	CPT	Pr Neuroplasty Ulnar Nerve At Elbow	49	39	$5,277.00	$4,221.60	$1,477.56	$5,277.00	$1,507.11	2026-05-22
27506	CPT	Pr Op Tx Fem Sft Fx W Ins IM Impl	49	39	$6,571.00	$5,256.80 20% off	$1,839.88	$6,571.00	$1,876.68	2026-05-22
27507	CPT	Pr Op Tx Fem Shaft Fx W Plate/screws	49	39	$4,920.00	$3,936.00 20% off	$1,377.60	$4,920.00	$1,405.15	2026-05-22
27759	CPT	Pr Op/perc Tx Tib Shaft Fx By IM Impl	49	39	$5,000.00	$4,000.00 20% off	$1,400.00	$5,000.00	$1,428.00	2026-05-22
47010	CPT	Pr Open Drainage Liver Lesion	49	39	$5,772.00	$4,617.60	$1,616.16	$5,772.00	$1,648.48	2026-05-22
27511	CPT	Pr Open Tx Femoral Supra/transcondylar Fx Wo Xtn	49	39	$7,955.00	$6,364.00 20% off	$2,227.40	$7,955.00	$2,271.95	2026-05-22
27828	CPT	Pr Open Tx Fracture Distal Tibia & Fibula	49	39	$5,526.00	$4,420.80	$1,547.28	$5,526.00	$1,578.23	2026-05-22
27540	CPT	Pr Open Tx Intercondylar Spine/tubrst Fract Knee	49	39	$5,691.00	$4,552.80	$1,593.48	$5,691.00	$1,625.35	2026-05-22
27536	CPT	Pr Open Tx Tibial Fx Proxim; Bicondylar	49	39	$5,430.00	$4,344.00 20% off	$1,520.40	$5,430.00	$1,550.81	2026-05-22
27823	CPT	Pr Open Tx Trimalleolar Ankle Fx W Fix Pst Lip	49	39	$5,747.00	$4,597.60	$1,609.16	$5,747.00	$1,641.34	2026-05-22
27822	CPT	Pr Open Tx Trimalleolar Ankle Fx Wo Fix Post Lip	47	38	$4,142.00	$3,313.60 20% off	$1,159.76	$4,142.00	$1,615.38	2026-05-22
50693	CPT	Pr Plmt Ureteral Stent Prq	49	39	$5,077.00	$4,061.60 20% off	$1,421.56	$5,077.00	$1,449.99	2026-05-22
57250	CPT	Pr Posterior Colporrhaphy Rep Rectocele	47	38	$3,857.00	$3,085.60 20% off	$1,079.96	$3,857.00	$1,504.23	2026-05-22
45110	CPT	Pr Proctectomy Cplt Abdominoperineal	49	39	$11,034.00	$8,827.20	$3,089.52	$11,034.00	$3,151.31	2026-05-22
45111	CPT	Pr Proctectomy; P Resect Rectum Transabd	49	39	$7,351.00	$5,880.80 20% off	$2,058.28	$7,351.00	$2,099.45	2026-05-22
23420	CPT	Pr Reconstr Rc Avulsion Chronic	49	39	$8,806.00	$7,044.80 20% off	$2,465.68	$8,806.00	$2,514.99	2026-05-22
27091	CPT	Pr Rem Hip Prosth; Complicated	49	39	$8,572.00	$6,857.60	$2,400.16	$8,572.00	$2,448.16	2026-05-22
27488	CPT	Pr Rem Tot Knee Prosth Methylmeth	49	39	$5,714.00	$4,571.20 20% off	$1,599.92	$5,714.00	$1,631.92	2026-05-22
49002	CPT	Pr Reopen Recent Laparotomy	49	39	$5,402.00	$4,321.60	$1,512.56	$5,402.00	$1,542.81	2026-05-22
49553	CPT	Pr Rep Init Fem Hernia Reduc Incarc/strang	49	39	$4,721.00	$3,776.80	$1,321.88	$4,721.00	$1,348.32	2026-05-22
29807	CPT	Pr Rep Shldr Slap Les	49	39	$5,000.00	$4,000.00 20% off	$1,400.00	$5,000.00	$1,428.00	2026-05-22
35206	CPT	Pr Repair Blood Vessel Direct; Upr Extrem	49	39	$8,845.00	$7,076.00 20% off	$2,476.60	$8,845.00	$2,526.13	2026-05-22
49505	CPT	Pr Repair I/hern Init Reduc 5+ Yr	47	38	$4,307.00	$3,445.60 20% off	$1,205.96	$4,307.00	$1,679.73	2026-05-22
49507	CPT	Pr Repair Init Ing Hernia Block 5+ Yr	49	39	$5,297.00	$4,237.60	$1,483.16	$5,297.00	$1,512.82	2026-05-22
49521	CPT	Pr Repair Recurr Ing Hernia Incarc/strang	49	39	$5,499.00	$4,399.20 20% off	$1,539.72	$5,499.00	$1,570.51	2026-05-22
49520	CPT	Pr Repair Recurr Inguinal Hernia Any Age	47	38	$4,728.00	$3,782.40 20% off	$1,323.84	$4,728.00	$1,843.92	2026-05-22
23077	CPT	Pr Resect Shoulder Tumor < 5 Cm	49	39	$4,836.00	$3,868.80	$1,354.08	$4,836.00	$1,381.16	2026-05-22
44120	CPT	Pr Resect Sm Intest Sgl Resect & Anast	49	39	$7,786.00	$6,228.80 20% off	$2,180.08	$7,786.00	$2,223.68	2026-05-22
27487	CPT	Pr Rev Total Knee Arthropl Fem & Tib	49	39	$10,357.00	$8,285.60	$2,899.96	$10,357.00	$2,957.96	2026-05-22
23474	CPT	Pr Revis Reconst Shoulder Joint	49	39	$8,823.00	$7,058.40 20% off	$2,470.44	$8,823.00	$2,519.85	2026-05-22
23473	CPT	Pr Revis Reconst Shoulder Joint	49	39	$8,157.00	$6,525.60	$2,283.96	$8,157.00	$2,329.64	2026-05-22
27138	CPT	Pr Revise Total Hip Arthropl; Femoral	49	39	$7,144.00	$5,715.20 20% off	$2,000.32	$7,144.00	$2,040.33	2026-05-22
27134	CPT	Pr Revise Total Hip Arthroplasty Both Comp	49	39	$10,715.00	$8,572.00 20% off	$3,000.20	$10,715.00	$3,060.20	2026-05-22
27486	CPT	Pr Revise/replace Knee Joint 1 Comp	49	39	$6,858.00	$5,486.40 20% off	$1,920.24	$6,858.00	$1,958.64	2026-05-22
29827	CPT	Pr Rotator Cuff Rep Arthroscopy	49	39	$6,397.00	$5,117.60	$1,791.16	$6,397.00	$1,826.98	2026-05-22
59610	CPT	Pr Routin OB Care After Vag Deliv	49	39	$9,234.00	$7,387.20 20% off	$2,585.52	$9,234.00	$2,637.23	2026-05-22
59400	CPT	Pr Routine OB Care	47	38	$8,516.00	$6,812.80 20% off	$2,384.48	$8,516.00	$3,321.24	2026-05-22
59510	CPT	Pr Routine OB Care Incl Ap C-sect Pp	49	39	$9,953.00	$7,962.40 20% off	$2,786.84	$9,953.00	$2,842.58	2026-05-22
58720	CPT	Pr Salpingo-oophor Coml/part Unil/bil	49	39	$5,279.00	$4,223.20 20% off	$1,478.12	$5,279.00	$1,507.68	2026-05-22
29806	CPT	Pr Shldr Capsulor Arthrosc	49	39	$5,142.00	$4,113.60	$1,439.76	$5,142.00	$1,468.56	2026-05-22
15120	CPT	Pr Skin Splt A-grft Fac/nck/hf/g 100 Sq Cm/1% Ba	49	39	$4,843.00	$3,874.40 20% off	$1,356.04	$4,843.00	$1,383.16	2026-05-22
58180	CPT	Pr Subtotal Abd Hysterectomy	47	38	$7,440.00	$5,952.00 20% off	$2,083.20	$7,440.00	$2,901.60	2026-05-22
59120	CPT	Pr Surg Tx Ect Preg; Tub/ovar Req Salp/ooph	49	39	$6,116.00	$4,892.80 20% off	$1,712.48	$6,116.00	$1,746.73	2026-05-22
51865	CPT	Pr Suture Bladder Wound Injury; Complica	49	39	$7,898.00	$6,318.40 20% off	$2,211.44	$7,898.00	$2,255.67	2026-05-22
44604	CPT	Pr Suture Li For Wnd Inj Wo Colostomy	49	39	$7,051.00	$5,640.80 20% off	$1,974.28	$7,051.00	$2,013.77	2026-05-22
58570	CPT	Pr Tlh Uterus 250 G Or Less	49	39	$5,031.00	$4,024.80	$1,408.68	$5,031.00	$1,436.85	2026-05-22
58571	CPT	Pr Tlh W/t/o 250 G Or Less	47	38	$4,538.00	$3,630.40 20% off	$1,270.64	$4,538.00	$1,769.82	2026-05-22
58573	CPT	Pr Tlh W/t/o Uterus Over 250 G	47	38	$6,823.00	$5,458.40 20% off	$1,910.44	$6,823.00	$2,660.97	2026-05-22
58150	CPT	Pr Total Abdominal Hysterectomy	47	38	$8,255.00	$6,604.00 20% off	$2,311.40	$8,255.00	$3,219.45	2026-05-22
27130	CPT	Pr Total Hip Arthorplasty	49	39	$17,684.00	$14,147.20	$4,951.52	$17,684.00	$5,050.55	2026-05-22
27447	CPT	Pr Total Knee Arthorplasty	47	38	$15,591.00	$12,472.80 20% off	$4,365.48	$15,591.00	$6,080.49	2026-05-22
60225	CPT	Pr Total Thyroid Lobectomy Unil; W Csl	49	39	$8,679.00	$6,943.20 20% off	$2,430.12	$8,679.00	$2,478.72	2026-05-22
52601	CPT	Pr Transur Electr Resection Of Prostate	49	39	$6,114.00	$4,891.20 20% off	$1,711.92	$6,114.00	$1,746.16	2026-05-22
23515	CPT	Pr Treat Clavicle Fracture	49	39	$4,890.00	$3,912.00 20% off	$1,369.20	$4,890.00	$1,396.58	2026-05-22
24635	CPT	Pr Treat Elbow Fracture	49	39	$6,003.00	$4,802.40 20% off	$1,680.84	$6,003.00	$1,714.46	2026-05-22
24546	CPT	Pr Treat Humerus Fracture Wo Extn	49	39	$6,141.00	$4,912.80 20% off	$1,719.48	$6,141.00	$1,753.87	2026-05-22
26615	CPT	Pr Treat Metacarpal Fracture	47	38	$3,861.00	$3,088.80	$1,081.08	$3,861.00	$1,505.79	2026-05-22
27513	CPT	Pr Treatment Of Thigh Fracture	49	39	$8,286.00	$6,628.80 20% off	$2,320.08	$8,286.00	$2,366.48	2026-05-22
27758	CPT	Pr Treatment Of Tibia Fracture	49	39	$4,709.00	$3,767.20 20% off	$1,318.52	$4,709.00	$1,344.89	2026-05-22
27244	CPT	Pr Tx Inter/peri/subtrochanteric Fem Fx Screw Implt	49	39	$5,857.00	$4,685.60	$1,639.96	$5,857.00	$1,672.76	2026-05-22
27245	CPT	Pr Tx Inter/pr/subtrchntric Fem Fx Imed Impltscrew	49	39	$5,857.00	$4,685.60	$1,639.96	$5,857.00	$1,672.76	2026-05-22
22999	CPT	Pr Unlisted Abdomen Musculoskel Op	49	39	$5,453.00	$4,362.40 20% off	$1,526.84	$5,453.00	$1,557.38	2026-05-22
58999	CPT	Pr Unlisted Procedure Female Genital Sys	49	39	$6,827.00	$5,461.60	$1,911.56	$6,827.00	$1,949.79	2026-05-22
27299	CPT	Pr Unlisted Procedure Pelvis Or Hip Joint	49	39	$4,718.00	$3,774.40 20% off	$1,321.04	$4,718.00	$1,347.46	2026-05-22
58262	CPT	Pr Vag Hyst Including T/o =<250 Gm	47	38	$8,854.00	$7,083.20 20% off	$2,479.12	$8,854.00	$3,453.06	2026-05-22
59409	CPT	Pr Vaginal Delivery Only	47	38	$5,182.00	$4,145.60	$1,450.96	$5,182.00	$2,020.98	2026-05-22
58260	CPT	Pr Vaginal Hysterectomy =<250 Gm	47	38	$7,599.00	$6,079.20 20% off	$2,127.72	$7,599.00	$2,963.61	2026-05-22
J7168	HCPCS	Prothrombin Complex Conc Human 1000 Units Kit 1,000 Units Box	33	32	$6,047.50	$4,838.00 20% off	$1,693.30	$6,047.50	$5,007.33	2026-04-22
95811	CPT	Pss W 4/> Param W Cpap/bipap 6+ Yrs	109	50	$5,667.00	$4,533.60	$150.42	$5,667.00	$4,692.28	2026-05-22
95810	CPT	Pss W 4/> Param W Tech 6+ Yrs	108	50	$4,856.00	$3,884.80	$1,189.00	$4,856.00	$4,127.59	2026-05-22
55250	CPT	Removal Of Sperm Duct(s)	156	50	$1,769.00	$1,415.20 20% off	$435.00	$3,714.00	$1,503.64	2026-05-22
J3247	HCPCS	Secukinumab 125 Mg/5ml Soln 5 Ml Vial	33	32	$4,359.80	$3,487.84 20% off	$1,220.74	$4,359.80	$3,609.91	2026-04-22
15273	CPT	Skin Sub Grft T/a/l Child 100 Sq Cm	103	50	$3,250.00	$2,600.00 20% off	$910.00	$3,250.00	$2,762.50	2026-05-22
62328	CPT	Spinal Puncture Lumbar Diag W Fluor/ct	103	50	$2,158.00	$1,726.40	$604.24	$2,158.00	$1,834.30	2026-05-22
A9520	HCPCS	Tc99 Tilmanocept Diag To 0.5 Mci	105	50	$2,113.00	$1,690.40	$169.00	$2,113.00	$1,796.05	2026-05-22
A9562	HCPCS	Tc99m Mag3 To 15 Mci	105	50	$1,645.00	$1,316.00 20% off	$169.00	$1,645.00	$1,398.25	2026-05-22
J3262	HCPCS	Tocilizumab 400 Mg/20ml Soln 20 Ml Vial	35	32	$5,399.14	$4,319.31 20% off	$7.65	$5,399.14	$4,319.31	2026-04-22
66174	CPT	Trluml Dil Aq O/f Can Without St	105	50	$6,295.00	$5,036.00 20% off	$1,358.09	$6,295.00	$5,350.75	2026-05-22
93306	CPT	Tte With Doppler Complete	109	50	$3,124.00	$2,499.20 20% off	$83.66	$3,124.00	$2,655.40	2026-05-22
66982	CPT	Xcapsl Ctrc Rmvl Cplx Wo Ecp	109	50	$7,439.00	$5,951.20 20% off	$1,358.09	$7,439.00	$6,159.49	2026-05-22
66991	CPT	Xcapsl Ctrc Rmvl Insj 1+	105	50	$7,387.00	$5,909.60	$1,358.09	$7,387.00	$6,278.95	2026-05-22
66984	CPT	Xcapsl Ctrc Rmvl Without Ecp	158	50	$6,825.00	$5,460.00 20% off	$1,358.09	$7,439.00	$5,460.00	2026-05-22

See an error in this hospital's data? Submit a correction