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

MASON DISTRICT HOSPITAL

Havana, IL · CCN 141313 · Rates published

2,503 distinct procedures filed
7 distinct payers
62,686 rate rows
2026-08-01 last MRF observed
Data quality

62,678 of 62,686 rate rows are consumer-grade (100.0%)

8 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.masondistricthospital.org/wp-content/uploads/2026/02/ACA-Price-Hospital-Transparency-100125.xls
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-03

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
J2350
HCPCS 		Ocrelizumab (ocrevus) Inj : 300 Mg 7 $10,839.20 $54,196.00 $43,356.80 nat. median
$331
outlier · 131.1×
J3245
HCPCS 		Ilumya Subcutaneous Solution 100mg/1ml 7 $9,432.40 $47,162.00 $37,729.60 nat. median
$256
outlier · 147.3×
J3380
HCPCS 		Vedolizumab (entyvio) Inj: 300 Mg 7 $4,682.60 $23,413.00 $18,730.40 nat. median
$150
outlier · 125.1×
J3101
HCPCS 		Tenecteplase (TNKase) Inj : 50 Mg 7 $4,408.40 $22,042.00 $17,633.60 nat. median
$3,475
outlier · 5.1×
J1162
HCPCS 		Digibind (digoxin Immune Fab) : 40 Mg 7 $2,932.99 $14,664.95 $11,731.96 nat. median
$7,100
1.7× median
74174TC
OTHER 		CTA Abd/pelvis 7 $2,313.40 $11,567.00 $9,253.60 nat. median
$704
outlier · 13.1×
15273
CPT 		Skin Sub Graft T/arm/lg Child 20-29min 7 $1,838.60 $9,533.00 $7,455.20 nat. median
$3,152
outlier · 2.4×
74178TC
OTHER 		CT Abd/pelvis W/wo 7 $1,703.70 $8,682.00 $6,880.20 nat. median
$671
outlier · 10.3×
74177TC
OTHER 		CT Abd/pelvis With IV 7 $1,586.70 $8,657.00 $6,605.13 nat. median
$592
outlier · 11.2×
70543TC
OTHER 		MRI Orbit/face/st Neck Without W Contrast 7 $1,637.60 $8,188.00 $6,550.40 nat. median
$657
outlier · 10.0×
74176TC
OTHER 		CT Abd/pelvis Without Cont 7 $1,499.20 $8,227.50 $6,371.60 nat. median
$310
outlier · 20.5×
78816TC
OTHER 		PET Skull Vertex To Toes 7 $1,530.60 $7,653.00 $6,122.40 nat. median
$2,134
outlier · 2.9×
58563
CPT 		Hysterosocpy Ablation 7 $1,517.10 $7,585.50 $6,068.40 nat. median
$5,175
1.2× median
63650
CPT 		O/r Implant Neuroelectrodes 7 $1,504.20 $7,521.00 $6,016.80 nat. median
$7,255
0.8× median
6365059
OTHER 		O/r Implant Neuroelectrodes 7 $1,504.20 $7,521.00 $6,016.80 nat. median
$6,017
1.0× median
63650XS
OTHER 		O/r Implant Neuroelectrodes 7 $1,504.20 $7,521.00 $6,016.80 nat. median
$6,017
1.0× median
72198TC
OTHER 		MRA Pelvis 7 $1,490.30 $7,451.50 $5,961.20 nat. median
$391
outlier · 15.2×
71550TC
OTHER 		MRI Chest Without 7 $1,476.10 $7,380.50 $5,904.40 nat. median
$428
outlier · 13.8×
72158TC
OTHER 		MRI L-spine Without W/contrast 7 $1,461.60 $7,308.00 $5,846.40 nat. median
$625
outlier · 9.4×
72156TC
OTHER 		MRI C-spine Without W/contrast 7 $1,461.60 $7,308.00 $5,846.40 nat. median
$686
outlier · 8.5×
72157TC
OTHER 		MRI T-spine Without W/contrast 7 $1,461.60 $7,308.00 $5,846.40 nat. median
$670
outlier · 8.7×
70546
CPT 		MRA Head W Without Contrast Angio 7 $1,412.40 $7,062.00 $5,649.60 nat. median
$1,051
outlier · 5.4×
71555TC
OTHER 		MRA Chest 7 $1,348.50 $7,451.50 $5,648.70 nat. median
$428
outlier · 13.2×
73723TC
OTHER 		MRI Joint Lower Ext Without And W 7 $1,352.70 $6,763.50 $5,410.80 nat. median
$442
outlier · 12.2×
72196TC
OTHER 		MRI Pelvis With Contrast 7 $1,350.90 $6,754.50 $5,403.60 nat. median
$398
outlier · 13.6×
74182TC
OTHER 		MRI Abdomen W Contrast 7 $1,350.90 $6,754.50 $5,403.60 nat. median
$428
outlier · 12.6×
74183TC
OTHER 		MRI Abdomen Without W Contrast 7 $1,350.90 $6,754.50 $5,403.60 nat. median
$766
outlier · 7.1×
72197TC
OTHER 		MRI Sacrum Without W Contrast 7 $1,350.90 $6,754.50 $5,403.60 nat. median
$671
outlier · 8.0×
74181TC
OTHER 		MRI Abdomen Without Contrast 7 $1,350.90 $6,754.50 $5,403.60 nat. median
$341
outlier · 15.8×
72142TC
OTHER 		MRI C-spine W/contrast 7 $1,348.50 $6,742.50 $5,394.00 nat. median
$327
outlier · 16.5×
72149TC
OTHER 		MRI L-spine W/contrast 7 $1,348.50 $6,742.50 $5,394.00 nat. median
$366
outlier · 14.7×
71552TC
OTHER 		MRI Chest Without W Contr 7 $1,348.50 $6,742.50 $5,394.00 nat. median
$620
outlier · 8.7×
72147TC
OTHER 		MRI T-spine W/contrast 7 $1,348.50 $6,742.50 $5,394.00 nat. median
$337
outlier · 16.0×
72141TC
OTHER 		MRI C-spine Without Contrast 7 $1,348.50 $6,742.50 $5,394.00 nat. median
$398
outlier · 13.5×
72146TC
OTHER 		MRI T-spine Without (routine) 7 $1,348.50 $6,742.50 $5,394.00 nat. median
$412
outlier · 13.1×
71551TC
OTHER 		MRI Chest W/contrast 7 $1,348.50 $6,742.50 $5,394.00 nat. median
$453
outlier · 11.9×
70552TC
OTHER 		MRI Head/brain W/contrast 7 $1,348.50 $6,742.50 $5,394.00 nat. median
$428
outlier · 12.6×
72148TC
OTHER 		MRI L-spine Without Cont (rout) 7 $1,348.50 $6,742.50 $5,394.00 nat. median
$408
outlier · 13.2×
70553TC
OTHER 		MRI Head/brain Without W/contrast 7 $1,345.50 $6,727.50 $5,382.00 nat. median
$722
outlier · 7.5×
72195TC
OTHER 		MRI Pelvis Wo Cont 7 $1,308.90 $6,754.50 $5,319.60 nat. median
$429
outlier · 12.4×
95811
CPT 		Cpap/bipap Titration 7 $1,302.40 $6,512.00 $5,209.60 nat. median
$1,923
outlier · 2.7×
73720TC
OTHER 		Do Not Use 7 $1,290.90 $6,455.50 $5,164.00 nat. median
$403
outlier · 12.8×
70552
CPT 		MRI Brain W/contrast 7 $1,278.80 $6,394.00 $5,115.20 nat. median
$970
outlier · 5.3×
70336TC
OTHER 		MRI Temporomandibular Joint 7 $1,278.80 $6,394.00 $5,115.20 nat. median
$331
outlier · 15.5×
70482TC
OTHER 		MRI Orbit Face Wo W Cont 7 $1,278.80 $6,394.00 $5,115.20 nat. median
$269
outlier · 19.0×
70540TC
OTHER 		MRI Orbit/face/st Neck Without Contrast 7 $1,278.80 $6,394.00 $5,115.20 nat. median
$334
outlier · 15.3×
70551TC
OTHER 		MRI Brain Without Contrast 7 $1,278.80 $6,394.00 $5,115.20 nat. median
$429
outlier · 11.9×
73223TC
OTHER 		MRA Upper Extremity Without And With 7 $1,274.50 $6,372.50 $5,098.00 nat. median
$444
outlier · 11.5×
73719TC
OTHER 		MRI Lower Extremity With 7 $1,274.50 $6,372.50 $5,098.00 nat. median
$300
outlier · 17.0×
73221TC
OTHER 		MRI Upper Extremity Joint Without 7 $1,274.50 $6,372.50 $5,098.00 nat. median
$244
outlier · 20.9×

Other procedures at this hospital

Browse this hospital's 2,503 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q5108 HCPCS Pegfilgrastim (fulphila) Inj: 6 Mg/0.6ml 13 7 $4,738.00 $3,790.40 20% off $947.60 $4,738.00 $3,790.40 2026-08-01
Q4235 HCPCS Aminorepair 2x3cm 52 7 $3,315.50 $2,652.40 20% off $267.80 $3,910.00 $1,278.74 2026-08-01
P9035TC OTHER Bb Platelets Pheresed, Leukodepleted 13 7 $1,742.00 $1,393.60 20% off $348.40 $1,742.00 $1,393.60 2026-08-01
J9395 HCPCS Fulvestrant (faslodex) Inj: 250mg/5ml 13 7 $1,644.45 $1,315.56 20% off $328.89 $1,644.45 $1,315.56 2026-08-01
J9351 HCPCS Topotecan (hycamtin) Inj : 4 Mg 13 7 $1,507.70 $1,206.16 20% off $301.54 $1,507.70 $1,206.16 2026-08-01
J9312 HCPCS Rituximab (ruxience) Inj: 100 Mg 26 7 $4,409.62 $3,527.70 $205.85 $7,790.00 $1,293.62 2026-08-01
J9305 HCPCS Pemetrexed (alimta)inj: 500 Mg Vial 13 7 $5,260.00 $4,208.00 20% off $1,052.00 $5,260.00 $4,208.00 2026-08-01
J9293 HCPCS Mitoxantrone (novantrone) Inj: 20 Mg 13 7 $3,107.00 $2,485.60 20% off $621.40 $3,107.00 $2,485.60 2026-08-01
J9217 HCPCS Eligard (leuprolide) Inj:45 Mg (6month) 13 7 $1,856.00 $1,484.80 20% off $371.20 $1,856.00 $1,484.80 2026-08-01
J9171 HCPCS Docetaxel (taxotere) Inj: 80mg/2ml 13 7 $3,187.00 $2,549.60 20% off $637.40 $3,187.00 $2,549.60 2026-08-01
J7296 HCPCS Levonorgestrel (kyleena) Iud: 19.5 Mg-nf 13 7 $3,482.90 $2,786.32 20% off $696.58 $3,482.90 $2,786.32 2026-08-01
J7168 HCPCS Kcentra 1000 Unit Inj 26 7 $3,837.50 $3,070.00 20% off $512.50 $5,112.50 $2,242.19 2026-08-01
J3424 HCPCS Hydroxocobalamin (cyanokit) Inj: 5 Gram 13 7 $3,156.20 $2,524.96 $631.24 $3,156.20 $2,524.96 2026-08-01
J3380 HCPCS Vedolizumab (entyvio) Inj: 300 Mg 13 7 $23,413.00 $18,730.40 $4,682.60 $23,413.00 $18,730.40 2026-08-01
J3245 HCPCS Ilumya Subcutaneous Solution 100mg/1ml 13 7 $47,162.00 $37,729.60 20% off $9,432.40 $47,162.00 $37,729.60 2026-08-01
J3101 HCPCS Tenecteplase (TNKase) Inj : 50 Mg 13 7 $22,042.00 $17,633.60 20% off $4,408.40 $22,042.00 $17,633.60 2026-08-01
J2997 HCPCS Tpa Injection : 100 Mg 39 7 $11,651.00 $9,320.80 20% off $120.50 $22,014.00 $4,402.80 2026-08-01
J2357 HCPCS Omalizumab (xolair) Inj: 150 Mg 13 7 $2,671.00 $2,136.80 $534.20 $2,671.00 $2,136.80 2026-08-01
J2350 HCPCS Ocrelizumab (ocrevus) Inj : 300 Mg 13 7 $54,196.00 $43,356.80 $10,839.20 $54,196.00 $43,356.80 2026-08-01
J1950 HCPCS Lupron 3.75 Mg Injection 39 7 $4,808.00 $3,846.40 20% off $392.40 $10,594.00 $2,118.80 2026-08-01
J1602 HCPCS Golimumab (simponi Aria) Inj: 50mg/4ml 13 7 $5,318.00 $4,254.40 20% off $1,063.60 $5,318.00 $4,254.40 2026-08-01
J1573 HCPCS Hepatitis B Immune Globulin 5 Ml Vial 13 7 $2,108.50 $1,686.80 20% off $421.70 $2,108.50 $1,686.80 2026-08-01
J1459 HCPCS Immune Globulin : 10 Gram Vial/100 Ml 39 7 $2,922.00 $2,337.60 20% off $157.46 $11,648.00 $2,329.60 2026-08-01
J1451 HCPCS Fomepizole (antizol) Inj: 1.5 Gram/1.5ml 13 7 $1,806.05 $1,444.84 20% off $361.21 $1,806.05 $1,444.84 2026-08-01
J1438 HCPCS Nf-etanercept (enbrel) Inj 50mg/1ml 13 7 $1,821.25 $1,457.00 20% off $364.25 $1,821.25 $1,457.00 2026-08-01
J1162 HCPCS Digibind (digoxin Immune Fab) : 40 Mg 13 7 $14,664.95 $11,731.96 20% off $2,932.99 $14,664.95 $11,731.96 2026-08-01
J0897 HCPCS Denosumab (prolia) Inj: 60 Mg 13 7 $4,936.00 $3,948.80 $987.20 $4,936.00 $3,948.80 2026-08-01
J0875 HCPCS Dalbavancin (dalvance) Inj : 500 Mg - Nf 13 7 $5,614.00 $4,491.20 20% off $1,122.80 $5,614.00 $4,491.20 2026-08-01
J0630 HCPCS Calcitonin Inj: 400 Unit/ 2 Ml 13 7 $3,643.95 $2,915.16 20% off $728.79 $3,643.95 $2,915.16 2026-08-01
J0585 HCPCS Botox Therapeutic 100 Units 13 7 $2,216.50 $1,773.20 20% off $443.30 $2,216.50 $1,773.20 2026-08-01
J0248 HCPCS Remdesivir Inj: 100 Mg 13 7 $1,917.05 $1,533.64 $383.41 $1,917.05 $1,533.64 2026-08-01
J0129 HCPCS Abatacept (orencia) Inj: 250 Mg 13 7 $3,926.45 $3,141.16 20% off $785.29 $3,926.45 $3,141.16 2026-08-01
A9504 HCPCS Tc-99m Accutect 13 7 $2,262.00 $1,809.60 20% off $452.40 $2,262.00 $1,809.60 2026-08-01
A0434QN OTHER Special Care Transport 26 7 $2,285.25 $1,828.20 20% off $452.60 $2,307.50 $1,828.20 2026-08-01
A0433QN OTHER Als2 Emergency 26 7 $2,330.50 $1,864.40 $452.60 $2,398.00 $1,864.40 2026-08-01
A0432QN OTHER Paramedic/als Intercept 13 7 $1,701.00 $1,360.80 20% off $340.20 $1,701.00 $1,360.80 2026-08-01
A0429QN OTHER Bls Emergency 26 7 $1,984.75 $1,587.80 20% off $385.40 $2,042.50 $1,587.80 2026-08-01
A0428QN OTHER Bls Non-emergency 13 7 $1,475.50 $1,180.40 $295.10 $1,475.50 $1,180.40 2026-08-01
A0427 HCPCS Als1 Emergency 13 7 $2,083.00 $1,666.40 $416.60 $2,083.00 $1,666.40 2026-08-01
9929125 OTHER ER Room Critical Care 13 7 $1,937.50 $1,550.00 20% off $387.50 $1,937.50 $1,550.00 2026-08-01
9928525 OTHER ER Room High Level Medical Decisiono Mak 13 7 $1,530.50 $1,224.40 $306.10 $1,530.50 $1,224.40 2026-08-01
99223 CPT M/s Hospitalist Level 3 I/p 13 7 $2,049.00 $1,639.20 20% off $409.80 $2,049.00 $1,639.20 2026-08-01
96374QZ OTHER Ans I.v. Regional Blk 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
95816 CPT EEG 13 7 $1,560.50 $1,248.40 $312.10 $1,560.50 $1,248.40 2026-08-01
95811 CPT Cpap/bipap Titration 13 7 $6,512.00 $5,209.60 $1,302.40 $6,512.00 $5,209.60 2026-08-01
95810 CPT Psg/split Night 13 7 $5,890.50 $4,712.40 20% off $1,178.10 $5,890.50 $4,712.40 2026-08-01
95808TC OTHER Psg Only 13 7 $5,743.50 $4,594.80 $1,148.70 $5,743.50 $4,594.80 2026-08-01
95165 CPT Antigen Therapy X150 Units 39 7 $3,240.00 $2,592.00 20% off $480.00 $4,000.00 $2,160.00 2026-08-01
93990 CPT U Arterial Doppler/hemodialysis Access 13 7 $1,839.50 $1,471.60 20% off $367.90 $1,839.50 $1,471.60 2026-08-01
93975TC OTHER U Renal Artery 26 7 $12,097.00 $9,677.60 20% off $336.40 $22,512.00 $3,092.20 2026-08-01
93970TC OTHER U Follow Up Vascular Studies 26 7 $2,164.75 $1,731.80 $318.70 $2,736.00 $1,394.32 2026-08-01
93930TC OTHER U Upper Arterial Duplex 13 7 $1,593.50 $1,274.80 20% off $318.70 $1,593.50 $1,274.80 2026-08-01
93925TC OTHER U Lower Arterial Duplex 13 7 $1,973.50 $1,578.80 20% off $394.70 $1,973.50 $1,578.80 2026-08-01
93924TC OTHER U Lower Arterial Exercise/reactive 13 7 $2,927.00 $2,341.60 20% off $585.40 $2,927.00 $2,341.60 2026-08-01
93923TC OTHER U Lower Arterial Doppler Bilat Comp 26 7 $2,193.00 $1,754.40 $367.90 $2,546.50 $1,609.57 2026-08-01
93922TC OTHER U Lower Arterial Doppler Bilat Limited 39 7 $1,839.50 $1,471.60 20% off $318.70 $1,974.00 $1,434.15 2026-08-01
93880TC OTHER U Carotid Doppler 13 7 $2,561.00 $2,048.80 $512.20 $2,561.00 $2,048.80 2026-08-01
93356TC OTHER E Echocardiogram With Strain 26 7 $2,479.75 $1,983.80 20% off $480.20 $2,558.50 $1,980.82 2026-08-01
93307 CPT E Echocardiogram Outside Reading 13 7 $2,042.00 $1,633.60 20% off $408.40 $2,042.00 $1,633.60 2026-08-01
93306TC OTHER E Echocardiogram-osf 13 7 $2,558.50 $2,046.80 20% off $511.70 $2,558.50 $2,046.80 2026-08-01
93303TC OTHER E Echocardiogram Limited 13 7 $2,068.00 $1,654.40 $413.60 $2,068.00 $1,654.40 2026-08-01
88377TC OTHER Fish Panel Mm 88377 13 7 $1,894.50 $1,515.60 20% off $378.90 $1,894.50 $1,515.60 2026-08-01
88368TC OTHER Fish Panel Mm 88368 13 7 $1,894.50 $1,515.60 20% off $378.90 $1,894.50 $1,515.60 2026-08-01
88348TC OTHER 88348 Surg. Path 13 7 $1,979.50 $1,583.60 20% off $395.90 $1,979.50 $1,583.60 2026-08-01
88261 CPT 88261 Chrom Analys 5 Cell 13 7 $1,566.00 $1,252.80 20% off $313.20 $1,566.00 $1,252.80 2026-08-01
87903TC OTHER HIV Phenotype Comprehensive 13 7 $1,957.50 $1,566.00 20% off $391.50 $1,957.50 $1,566.00 2026-08-01
87902TC OTHER Hepatitis C Genotype 13 7 $1,600.50 $1,280.40 $320.10 $1,600.50 $1,280.40 2026-08-01
86711TC OTHER Stratify Jcv Ab With Index/reflex 13 7 $2,284.00 $1,827.20 20% off $456.80 $2,284.00 $1,827.20 2026-08-01
86651TC OTHER Meningoencephalitis Panel 13 7 $1,484.50 $1,187.60 20% off $296.90 $1,484.50 $1,187.60 2026-08-01
81479TC OTHER .familial Hypercholesterolemia Snager Se 13 7 $3,511.00 $2,808.80 $702.20 $3,511.00 $2,808.80 2026-08-01
81408TC OTHER .aml Ngs 4 Marker Panel 13 7 $1,894.50 $1,515.60 20% off $378.90 $1,894.50 $1,515.60 2026-08-01
81407TC OTHER .cacna1a (mol 033) 13 7 $1,522.00 $1,217.60 20% off $304.40 $1,522.00 $1,217.60 2026-08-01
81383TC OTHER .celiac Disease Hla Screen 13 7 $1,809.00 $1,447.20 20% off $361.80 $1,809.00 $1,447.20 2026-08-01
81301 CPT 81301 Mis Analysis Of Marhers 13 7 $1,566.00 $1,252.80 20% off $313.20 $1,566.00 $1,252.80 2026-08-01
813 OTHER Ans Egd/colonoscopy Combo 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
81256TC OTHER Hemochromatosis Gene Mutate 13 7 $1,502.00 $1,201.60 20% off $300.40 $1,502.00 $1,201.60 2026-08-01
81229TC OTHER Chromosome (genomic) Microarry 13 7 $1,957.50 $1,566.00 20% off $391.50 $1,957.50 $1,566.00 2026-08-01
81210TC OTHER 81210 Braf, Gene Analysis 13 7 $1,566.00 $1,252.80 20% off $313.20 $1,566.00 $1,252.80 2026-08-01
81206TC OTHER .bcr/abl Quant B2a2 26 7 $1,681.75 $1,345.40 $300.40 $1,861.50 $1,314.25 2026-08-01
81201TC OTHER .familial Adenomatous Polyposis 13 7 $1,522.00 $1,217.60 20% off $304.40 $1,522.00 $1,217.60 2026-08-01
81162TC OTHER .brca1 And Brca2 13 7 $6,025.50 $4,820.40 20% off $1,205.10 $6,025.50 $4,820.40 2026-08-01
810 OTHER Ans Intes. Endoscopy 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
78816TC OTHER PET Skull Vertex To Toes 13 7 $7,653.00 $6,122.40 20% off $1,530.60 $7,653.00 $6,122.40 2026-08-01
78815TC OTHER PET Skull Base To Mid-thigh 13 7 $6,280.00 $5,024.00 20% off $1,256.00 $6,280.00 $5,024.00 2026-08-01
78806TC OTHER N In-111 Leukocyte Scan 13 7 $1,881.50 $1,505.20 20% off $376.30 $1,881.50 $1,505.20 2026-08-01
78802TC OTHER N Gallium Scan 13 7 $3,298.00 $2,638.40 20% off $659.60 $3,298.00 $2,638.40 2026-08-01
78761TC OTHER N Testicular Scan 13 7 $1,756.50 $1,405.20 20% off $351.30 $1,756.50 $1,405.20 2026-08-01
78740TC OTHER N Nuclear Voiding Cystogram 13 7 $1,988.00 $1,590.40 $397.60 $1,988.00 $1,590.40 2026-08-01
78709TC OTHER N Captopril Renal Study 13 7 $3,604.50 $2,883.60 20% off $720.90 $3,604.50 $2,883.60 2026-08-01
78701TC OTHER N Renal Scan 13 7 $2,763.50 $2,210.80 $552.70 $2,763.50 $2,210.80 2026-08-01
78582TC OTHER N V/q Scan 13 7 $4,285.50 $3,428.40 20% off $857.10 $4,285.50 $3,428.40 2026-08-01
78481TC OTHER N Cardiac First Pass Rest 13 7 $1,458.00 $1,166.40 $291.60 $1,458.00 $1,166.40 2026-08-01
78473TC OTHER N Cardiac Muga Stress 13 7 $1,458.00 $1,166.40 $291.60 $1,458.00 $1,166.40 2026-08-01
78472TC OTHER N Cardiac First Pass Stress 26 7 $2,197.50 $1,758.00 20% off $305.70 $2,866.50 $1,337.44 2026-08-01
78465TC OTHER N Spect Thallium Study 13 7 $2,542.50 $2,034.00 20% off $508.50 $2,542.50 $2,034.00 2026-08-01
78464TC OTHER N Cardiac Spect Stress Or Rest 13 7 $1,729.00 $1,383.20 20% off $345.80 $1,729.00 $1,383.20 2026-08-01
78461 CPT N Cardiac Scan (planar) 13 7 $1,458.00 $1,166.40 $291.60 $1,458.00 $1,166.40 2026-08-01
78456TC OTHER N Dvt Scan 13 7 $4,429.50 $3,543.60 20% off $885.90 $4,429.50 $3,543.60 2026-08-01
78452TC OTHER N *dont Use Thallium Scan Stress & Rest 26 7 $5,853.50 $4,682.80 $203.80 $10,688.00 $1,578.30 2026-08-01
78315TC OTHER N Bone Scan 3 Phase 13 7 $2,776.00 $2,220.80 $555.20 $2,776.00 $2,220.80 2026-08-01
78306TC OTHER N Bone Scan Whole Body 13 7 $3,110.00 $2,488.00 20% off $622.00 $3,110.00 $2,488.00 2026-08-01
78290TC OTHER N Meckels Scan 13 7 $1,783.00 $1,426.40 $356.60 $1,783.00 $1,426.40 2026-08-01
78227TC OTHER N Hepatobiliary Scan With Cck 13 7 $2,926.00 $2,340.80 $585.20 $2,926.00 $2,340.80 2026-08-01
78226TC OTHER N Hepatobiliary Scan Without Cck 13 7 $2,926.00 $2,340.80 $585.20 $2,926.00 $2,340.80 2026-08-01
78215TC OTHER N Liver/spleen Scan 13 7 $2,926.00 $2,340.80 $585.20 $2,926.00 $2,340.80 2026-08-01
78070TC OTHER N Parathyroid Imaging 13 7 $2,206.00 $1,764.80 20% off $441.20 $2,206.00 $1,764.80 2026-08-01
77075TC OTHER X Bone Survey Complete 13 7 $2,429.00 $1,943.20 20% off $485.80 $2,429.00 $1,943.20 2026-08-01
76881TC OTHER U Extremity Sono 13 7 $1,966.00 $1,572.80 20% off $393.20 $1,966.00 $1,572.80 2026-08-01
76872TC OTHER U Prostate Sono 13 7 $1,792.00 $1,433.60 20% off $358.40 $1,792.00 $1,433.60 2026-08-01
76856TC OTHER U Pelvic Transabdominal Only 26 7 $2,040.00 $1,632.00 20% off $340.90 $2,375.50 $1,491.44 2026-08-01
76811TC OTHER U OB Comp With Detail 13 7 $1,836.50 $1,469.20 20% off $367.30 $1,836.50 $1,469.20 2026-08-01
76775TC OTHER U Abd For Ascites 13 7 $1,638.00 $1,310.40 $327.60 $1,638.00 $1,310.40 2026-08-01
76770TC OTHER U Abdomen Aorta Complete 39 7 $1,656.00 $1,324.80 20% off $318.70 $2,273.00 $1,354.48 2026-08-01
76706TC OTHER U Abdomen Aorta Screening 13 7 $1,593.50 $1,274.80 20% off $318.70 $1,593.50 $1,274.80 2026-08-01
76360TC OTHER CT Needle Biopsy 13 7 $4,009.00 $3,207.20 20% off $801.80 $4,009.00 $3,207.20 2026-08-01
75822TC OTHER X Venogram Bilateral 13 7 $1,611.50 $1,289.20 20% off $322.30 $1,611.50 $1,289.20 2026-08-01
75820TC OTHER X Venogram 13 7 $1,676.00 $1,340.80 20% off $335.20 $1,676.00 $1,340.80 2026-08-01
75635TC OTHER CTA Aorto-iliofemoral Run Off 13 7 $5,994.00 $4,795.20 20% off $1,198.80 $5,994.00 $4,795.20 2026-08-01
74185TC OTHER MRA Renal 13 7 $3,325.00 $2,660.00 20% off $665.00 $3,325.00 $2,660.00 2026-08-01
74183TC OTHER MRI Abdomen Without W Contrast 13 7 $6,754.50 $5,403.60 $1,350.90 $6,754.50 $5,403.60 2026-08-01
74182TC OTHER MRI Abdomen W Contrast 13 7 $6,754.50 $5,403.60 $1,350.90 $6,754.50 $5,403.60 2026-08-01
74181TC OTHER MRI Abdomen Without Contrast 13 7 $6,754.50 $5,403.60 $1,350.90 $6,754.50 $5,403.60 2026-08-01
74178TC OTHER CT Abd/pelvis W/wo 26 7 $8,600.25 $6,880.20 $1,703.70 $8,682.00 $6,880.20 2026-08-01
74177TC OTHER CT Abd/pelvis With IV 26 7 $8,295.25 $6,636.20 $1,586.70 $8,657.00 $6,605.13 2026-08-01
74176TC OTHER CT Abd/pelvis Without Cont 39 7 $8,063.50 $6,450.80 20% off $1,499.20 $8,227.50 $6,371.60 2026-08-01
74175TC OTHER CTA Abd 13 7 $4,536.00 $3,628.80 $907.20 $4,536.00 $3,628.80 2026-08-01
74174TC OTHER CTA Abd/pelvis 13 7 $11,567.00 $9,253.60 $2,313.40 $11,567.00 $9,253.60 2026-08-01
74170TC OTHER CT Abdomen W/wo 13 7 $5,912.50 $4,730.00 20% off $1,182.50 $5,912.50 $4,730.00 2026-08-01
74160TC OTHER CT Abdomen With/iv And Oral 13 7 $4,691.50 $3,753.20 20% off $938.30 $4,691.50 $3,753.20 2026-08-01
74150TC OTHER CT Abdomen Without Cont 26 7 $4,273.75 $3,419.00 20% off $852.20 $4,286.50 $3,419.00 2026-08-01
73725TC OTHER MRA Leg Run Offs 13 7 $3,325.00 $2,660.00 20% off $665.00 $3,325.00 $2,660.00 2026-08-01
73723TC OTHER MRI Joint Lower Ext Without And W 13 7 $6,763.50 $5,410.80 20% off $1,352.70 $6,763.50 $5,410.80 2026-08-01
73721TC OTHER MRI Joint Lower Extremity Without 13 7 $6,372.50 $5,098.00 20% off $1,274.50 $6,372.50 $5,098.00 2026-08-01
73720TC OTHER Do Not Use 26 7 $6,455.00 $5,164.00 20% off $1,290.90 $6,455.50 $5,164.00 2026-08-01
73719TC OTHER MRI Lower Extremity With 13 7 $6,372.50 $5,098.00 20% off $1,274.50 $6,372.50 $5,098.00 2026-08-01
73718TC OTHER MRI Lower Extremity Without 13 7 $6,372.50 $5,098.00 20% off $1,274.50 $6,372.50 $5,098.00 2026-08-01
73706TC OTHER CTA Iliac Femorals Without Runoff 13 7 $3,794.50 $3,035.60 20% off $758.90 $3,794.50 $3,035.60 2026-08-01
73701TC OTHER CT Lower Extrem With Contrast 13 7 $3,819.50 $3,055.60 20% off $763.90 $3,819.50 $3,055.60 2026-08-01
73700TC OTHER CT Lower Extrem Wo 13 7 $3,662.00 $2,929.60 20% off $732.40 $3,662.00 $2,929.60 2026-08-01
73521TC OTHER X Hip Bilat W Ap Pelvis 13 7 $1,584.50 $1,267.60 20% off $316.90 $1,584.50 $1,267.60 2026-08-01
73223TC OTHER MRA Upper Extremity Without And With 13 7 $6,372.50 $5,098.00 20% off $1,274.50 $6,372.50 $5,098.00 2026-08-01
73222TC OTHER MRI Upper Extremity Joint With 26 7 $5,046.75 $4,037.40 20% off $987.30 $5,157.00 $4,037.40 2026-08-01
73221TC OTHER MRI Upper Extremity Joint Without 13 7 $6,372.50 $5,098.00 20% off $1,274.50 $6,372.50 $5,098.00 2026-08-01
73218TC OTHER MRI Upper Extremity Without 13 7 $6,372.50 $5,098.00 20% off $1,274.50 $6,372.50 $5,098.00 2026-08-01
73206TC OTHER CTA Upper Extrem 13 7 $4,393.50 $3,514.80 $878.70 $4,393.50 $3,514.80 2026-08-01
73202TC OTHER CT Upper Extrem Wo/with 13 7 $4,725.00 $3,780.00 20% off $945.00 $4,725.00 $3,780.00 2026-08-01
73201TC OTHER CT Upper Extrem With 13 7 $4,432.00 $3,545.60 20% off $886.40 $4,432.00 $3,545.60 2026-08-01
73200TC OTHER CT Upper Extrem Without 13 7 $4,261.00 $3,408.80 $852.20 $4,261.00 $3,408.80 2026-08-01
731 OTHER Ans Upr.gi Endoscopy 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
72198TC OTHER MRA Pelvis 13 7 $7,451.50 $5,961.20 20% off $1,490.30 $7,451.50 $5,961.20 2026-08-01
72197TC OTHER MRI Sacrum Without W Contrast 13 7 $6,754.50 $5,403.60 $1,350.90 $6,754.50 $5,403.60 2026-08-01
72196TC OTHER MRI Pelvis With Contrast 13 7 $6,754.50 $5,403.60 $1,350.90 $6,754.50 $5,403.60 2026-08-01
72195TC OTHER MRI Pelvis Wo Cont 26 7 $6,649.50 $5,319.60 $1,308.90 $6,754.50 $5,319.60 2026-08-01
72194TC OTHER CT Pelvis Wo/w IV Contrast* 13 7 $5,684.50 $4,547.60 $1,136.90 $5,684.50 $4,547.60 2026-08-01
72193TC OTHER CT Pelvis W/iv (routine) 13 7 $4,691.50 $3,753.20 20% off $938.30 $4,691.50 $3,753.20 2026-08-01
72192TC OTHER CT Pelvis Without IV Contrast 13 7 $4,060.50 $3,248.40 20% off $812.10 $4,060.50 $3,248.40 2026-08-01
72191TC OTHER CTA Pelvis 13 7 $4,536.00 $3,628.80 $907.20 $4,536.00 $3,628.80 2026-08-01
72158TC OTHER MRI L-spine Without W/contrast 13 7 $7,308.00 $5,846.40 20% off $1,461.60 $7,308.00 $5,846.40 2026-08-01
72157TC OTHER MRI T-spine Without W/contrast 13 7 $7,308.00 $5,846.40 20% off $1,461.60 $7,308.00 $5,846.40 2026-08-01
72156TC OTHER MRI C-spine Without W/contrast 13 7 $7,308.00 $5,846.40 20% off $1,461.60 $7,308.00 $5,846.40 2026-08-01
72149TC OTHER MRI L-spine W/contrast 13 7 $6,742.50 $5,394.00 20% off $1,348.50 $6,742.50 $5,394.00 2026-08-01
72148TC OTHER MRI L-spine Without Cont (rout) 13 7 $6,742.50 $5,394.00 20% off $1,348.50 $6,742.50 $5,394.00 2026-08-01
72147TC OTHER MRI T-spine W/contrast 13 7 $6,742.50 $5,394.00 20% off $1,348.50 $6,742.50 $5,394.00 2026-08-01
72146TC OTHER MRI T-spine Without (routine) 13 7 $6,742.50 $5,394.00 20% off $1,348.50 $6,742.50 $5,394.00 2026-08-01
72142TC OTHER MRI C-spine W/contrast 13 7 $6,742.50 $5,394.00 20% off $1,348.50 $6,742.50 $5,394.00 2026-08-01
72141TC OTHER MRI C-spine Without Contrast 13 7 $6,742.50 $5,394.00 20% off $1,348.50 $6,742.50 $5,394.00 2026-08-01
72133TC OTHER CT Ls Spine W/wo Contrast 13 7 $4,992.50 $3,994.00 20% off $998.50 $4,992.50 $3,994.00 2026-08-01
72132TC OTHER CT Ls Spine With Contrast 13 7 $4,851.00 $3,880.80 $970.20 $4,851.00 $3,880.80 2026-08-01
72131TC OTHER CT Ls Spine Without 13 7 $4,666.50 $3,733.20 20% off $933.30 $4,666.50 $3,733.20 2026-08-01
72130TC OTHER CT Thoracic Spine W/wo 13 7 $4,934.00 $3,947.20 20% off $986.80 $4,934.00 $3,947.20 2026-08-01
72129TC OTHER CT Thoracic Spine With 13 7 $4,773.50 $3,818.80 $954.70 $4,773.50 $3,818.80 2026-08-01
72128TC OTHER CT Thoracic Spine Without 13 7 $4,666.50 $3,733.20 20% off $933.30 $4,666.50 $3,733.20 2026-08-01
72126TC OTHER CT Cerv Spine With 13 7 $5,313.00 $4,250.40 20% off $1,062.60 $5,313.00 $4,250.40 2026-08-01
72125TC OTHER CT Cerv Spine Without 13 7 $5,061.00 $4,048.80 $1,012.20 $5,061.00 $4,048.80 2026-08-01
71555TC OTHER MRA Chest 26 7 $7,097.00 $5,677.60 $1,348.50 $7,451.50 $5,648.70 2026-08-01
71552TC OTHER MRI Chest Without W Contr 13 7 $6,742.50 $5,394.00 20% off $1,348.50 $6,742.50 $5,394.00 2026-08-01
71551TC OTHER MRI Chest W/contrast 13 7 $6,742.50 $5,394.00 20% off $1,348.50 $6,742.50 $5,394.00 2026-08-01
71550TC OTHER MRI Chest Without 13 7 $7,380.50 $5,904.40 20% off $1,476.10 $7,380.50 $5,904.40 2026-08-01
71275TC OTHER CT Pe Study 26 7 $5,014.25 $4,011.40 20% off $959.70 $5,230.00 $3,992.77 2026-08-01
71270TC OTHER CT Chest W/wo IV Cont* 13 7 $4,717.00 $3,773.60 20% off $943.40 $4,717.00 $3,773.60 2026-08-01
71260TC OTHER CT Chest W IV Cont 13 7 $5,086.50 $4,069.20 20% off $1,017.30 $5,086.50 $4,069.20 2026-08-01
71250TC OTHER CT Chest/thorax Without 13 7 $4,261.00 $3,408.80 $852.20 $4,261.00 $3,408.80 2026-08-01
70553TC OTHER MRI Head/brain Without W/contrast 13 7 $6,727.50 $5,382.00 20% off $1,345.50 $6,727.50 $5,382.00 2026-08-01
70552TC OTHER MRI Head/brain W/contrast 13 7 $6,742.50 $5,394.00 20% off $1,348.50 $6,742.50 $5,394.00 2026-08-01
70552 CPT MRI Brain W/contrast 13 7 $6,394.00 $5,115.20 20% off $1,278.80 $6,394.00 $5,115.20 2026-08-01
70551TC OTHER MRI Brain Without Contrast 13 7 $6,394.00 $5,115.20 20% off $1,278.80 $6,394.00 $5,115.20 2026-08-01
70549TC OTHER MRA Neck/carotids Without W Contrast 13 7 $3,325.00 $2,660.00 20% off $665.00 $3,325.00 $2,660.00 2026-08-01
70548TC OTHER MRA Neck/carotids W Contrast 13 7 $3,325.00 $2,660.00 20% off $665.00 $3,325.00 $2,660.00 2026-08-01
70547TC OTHER MRA Neck/carotids Without Contrast 13 7 $3,325.00 $2,660.00 20% off $665.00 $3,325.00 $2,660.00 2026-08-01
70546TC OTHER MRA Angio Head Without W Contrast 13 7 $3,325.00 $2,660.00 20% off $665.00 $3,325.00 $2,660.00 2026-08-01
70546 CPT MRA Head W Without Contrast Angio 13 7 $7,062.00 $5,649.60 $1,412.40 $7,062.00 $5,649.60 2026-08-01
70545TC OTHER MRA Angiography Head W/contrast 13 7 $3,325.00 $2,660.00 20% off $665.00 $3,325.00 $2,660.00 2026-08-01
70544TC OTHER MRA Angiography Head Without Contrast 13 7 $3,325.00 $2,660.00 20% off $665.00 $3,325.00 $2,660.00 2026-08-01
70543TC OTHER MRI Orbit/face/st Neck Without W Contrast 13 7 $8,188.00 $6,550.40 20% off $1,637.60 $8,188.00 $6,550.40 2026-08-01
70542TC OTHER MRI Orbit/face/st Neck W/contrast 13 7 $5,416.00 $4,332.80 $1,083.20 $5,416.00 $4,332.80 2026-08-01
70540TC OTHER MRI Orbit/face/st Neck Without Contrast 13 7 $6,394.00 $5,115.20 20% off $1,278.80 $6,394.00 $5,115.20 2026-08-01
70498TC OTHER CTA Neck 13 7 $5,994.00 $4,795.20 20% off $1,198.80 $5,994.00 $4,795.20 2026-08-01
70496TC OTHER CTA Head 13 7 $5,383.00 $4,306.40 20% off $1,076.60 $5,383.00 $4,306.40 2026-08-01
70492TC OTHER CT Neck Soft Tissue Without W/iv Cont (rout) 26 7 $6,178.25 $4,942.60 $1,122.00 $6,746.50 $4,904.07 2026-08-01
70491TC OTHER CT Neck Soft Tissue W/iv Cont (rout) 13 7 $5,428.00 $4,342.40 20% off $1,085.60 $5,428.00 $4,342.40 2026-08-01
70490TC OTHER CT Neck Soft Tissue Without Cont 13 7 $5,117.50 $4,094.00 20% off $1,023.50 $5,117.50 $4,094.00 2026-08-01
70488TC OTHER CT Facial Bones/sinus Without & W 13 7 $3,314.50 $2,651.60 20% off $662.90 $3,314.50 $2,651.60 2026-08-01
70487TC OTHER CT Facial Bones W/contrast 13 7 $3,977.00 $3,181.60 20% off $795.40 $3,977.00 $3,181.60 2026-08-01
70486TC OTHER CT Facial Bones Without 26 7 $3,473.50 $2,778.80 $657.00 $3,662.00 $2,763.88 2026-08-01
70482TC OTHER MRI Orbit Face Wo W Cont 13 7 $6,394.00 $5,115.20 20% off $1,278.80 $6,394.00 $5,115.20 2026-08-01
70482 CPT CT Inner Ear/mastoids W/0 & W IV Cont 13 7 $6,315.50 $5,052.40 20% off $1,263.10 $6,315.50 $5,052.40 2026-08-01
70481TC OTHER CT Inner Ear/mastoids W/iv Cont 13 7 $4,286.50 $3,429.20 20% off $857.30 $4,286.50 $3,429.20 2026-08-01
70480TC OTHER CT Temporal, Inner Ear, Mastoid Without IV 13 7 $4,261.00 $3,408.80 $852.20 $4,261.00 $3,408.80 2026-08-01
70470TC OTHER CT Head Without And W Cont 13 7 $5,269.50 $4,215.60 $1,053.90 $5,269.50 $4,215.60 2026-08-01
70460TC OTHER CT Head W IV Cont 13 7 $4,242.00 $3,393.60 20% off $848.40 $4,242.00 $3,393.60 2026-08-01
70450TC OTHER CT Head Without Contrast 13 7 $3,817.50 $3,054.00 20% off $763.50 $3,817.50 $3,054.00 2026-08-01
70336TC OTHER MRI Temporomandibular Joint 13 7 $6,394.00 $5,115.20 20% off $1,278.80 $6,394.00 $5,115.20 2026-08-01
64635RT OTHER O/r Destroy Lumb/sac Facet Jnt 13 7 $1,460.50 $1,168.40 $292.10 $1,460.50 $1,168.40 2026-08-01
64635LT OTHER O/r Destroy Lumb/sac Facet Jnt 13 7 $1,460.50 $1,168.40 $292.10 $1,460.50 $1,168.40 2026-08-01
6463550 OTHER O/r Destroy Lumb/sac Facet Jnt 13 7 $1,460.50 $1,168.40 $292.10 $1,460.50 $1,168.40 2026-08-01
64625RT OTHER O/r Rf Abltj Nrv Nrvtg Si Jt 13 7 $1,562.50 $1,250.00 20% off $312.50 $1,562.50 $1,250.00 2026-08-01
63663XS OTHER O/r Revise Spine Eltrd Perq Aray 13 7 $2,989.50 $2,391.60 20% off $597.90 $2,989.50 $2,391.60 2026-08-01
63663 CPT O/r Revise Spine Eltrd Perq Aray 13 7 $2,989.50 $2,391.60 20% off $597.90 $2,989.50 $2,391.60 2026-08-01
63662 CPT O/r Remove Spine Eltrd Plate 13 7 $2,861.50 $2,289.20 20% off $572.30 $2,861.50 $2,289.20 2026-08-01
63661 CPT O/r Remove Spine Eltrd Perq Aray 13 7 $2,270.50 $1,816.40 $454.10 $2,270.50 $1,816.40 2026-08-01
63650XS OTHER O/r Implant Neuroelectrodes 13 7 $7,521.00 $6,016.80 20% off $1,504.20 $7,521.00 $6,016.80 2026-08-01
6365059 OTHER O/r Implant Neuroelectrodes 13 7 $7,521.00 $6,016.80 20% off $1,504.20 $7,521.00 $6,016.80 2026-08-01
63650 CPT O/r Implant Neuroelectrodes 13 7 $7,521.00 $6,016.80 20% off $1,504.20 $7,521.00 $6,016.80 2026-08-01
62319QZ OTHER Ans Epidural Cath Insertion 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
62318QZ OTHER Ans Cont Spinal Cath Insertion 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
62270QZ OTHER Ans Dx Lumbar Puncture 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
59409 CPT ER Dr Vag Delivery 13 7 $1,732.50 $1,386.00 20% off $346.50 $1,732.50 $1,386.00 2026-08-01
58661 CPT Laparoscopic Tubal Ligation 13 7 $2,303.00 $1,842.40 $460.60 $2,303.00 $1,842.40 2026-08-01
58563 CPT Hysterosocpy Ablation 13 7 $7,585.50 $6,068.40 20% off $1,517.10 $7,585.50 $6,068.40 2026-08-01
58260 CPT Vaginal Hysterectomy 13 7 $2,967.00 $2,373.60 20% off $593.40 $2,967.00 $2,373.60 2026-08-01
56620 CPT Vulvectomy 13 7 $2,077.50 $1,662.00 20% off $415.50 $2,077.50 $1,662.00 2026-08-01
46040 CPT ER Dr I&d Perirectal Abscess 13 7 $1,695.50 $1,356.40 $339.10 $1,695.50 $1,356.40 2026-08-01
40650 CPT ER Dr Repair Lip Vermilion Only 13 7 $2,333.00 $1,866.40 $466.60 $2,333.00 $1,866.40 2026-08-01
37618 CPT ER Dr Angioaccess Arteriovenous Ext 13 7 $2,309.00 $1,847.20 20% off $461.80 $2,309.00 $1,847.20 2026-08-01
31605 CPT ER Dr Trach-cricothyroid 13 7 $1,501.50 $1,201.20 20% off $300.30 $1,501.50 $1,201.20 2026-08-01
31500QZ OTHER Ans Intubation Oral 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
28192 CPT ER Dr Removal Foreign Body Foot Deep 13 7 $1,915.00 $1,532.00 20% off $383.00 $1,915.00 $1,532.00 2026-08-01
27818 CPT ER Dr S Reduc Trimalleolar Ankle 13 7 $2,302.50 $1,842.00 20% off $460.50 $2,302.50 $1,842.00 2026-08-01
27810 CPT ER Dr S Reduc Bimalleolar Ankle 13 7 $2,161.00 $1,728.80 20% off $432.20 $2,161.00 $1,728.80 2026-08-01
27786 CPT ER Dr S Reduc Distal Fibular Ankle 13 7 $2,161.00 $1,728.80 20% off $432.20 $2,161.00 $1,728.80 2026-08-01
27562 CPT ER Dr Tx Dislocation Kneecap 13 7 $1,909.00 $1,527.20 20% off $381.80 $1,909.00 $1,527.20 2026-08-01
27552 CPT ER Dr Clsd Tx Knee Dislocation W/anes 13 7 $3,102.00 $2,481.60 20% off $620.40 $3,102.00 $2,481.60 2026-08-01
27550 CPT ER Dr Tx Knee Dislocation 13 7 $2,333.00 $1,866.40 $466.60 $2,333.00 $1,866.40 2026-08-01
27520 CPT ER Dr Cl Tx Patellar Fx Without Manipulation 13 7 $1,634.50 $1,307.60 20% off $326.90 $1,634.50 $1,307.60 2026-08-01
27265 CPT ER Dr C Reduc Post Hip 13 7 $2,035.50 $1,628.40 $407.10 $2,035.50 $1,628.40 2026-08-01
27252 CPT ER Dr C Reduc Hip W/anes 13 7 $2,273.00 $1,818.40 $454.60 $2,273.00 $1,818.40 2026-08-01
27240 CPT ER Dr C Reduc Femoral 13 7 $2,124.50 $1,699.60 20% off $424.90 $2,124.50 $1,699.60 2026-08-01
26775 CPT ER Dr Reduc Inter Phala W/block 13 7 $1,998.00 $1,598.40 $399.60 $1,998.00 $1,598.40 2026-08-01
25650 CPT ER Dr S Reduc Distalulna 13 7 $1,732.50 $1,386.00 20% off $346.50 $1,732.50 $1,386.00 2026-08-01
25624 CPT ER Dr S Reduc Scaphoid 13 7 $1,732.50 $1,386.00 20% off $346.50 $1,732.50 $1,386.00 2026-08-01
25605 CPT ER Dr S Reduc Colles W/manipulation 13 7 $1,732.50 $1,386.00 20% off $346.50 $1,732.50 $1,386.00 2026-08-01
25565 CPT ER Dr C Reduc Rad/ulna 26 7 $3,167.25 $2,533.80 $511.00 $3,779.50 $2,235.62 2026-08-01
25535 CPT ER Dr C Reduc Ulna 13 7 $1,732.50 $1,386.00 20% off $346.50 $1,732.50 $1,386.00 2026-08-01
25505 CPT ER Dr C Reduc Radius 26 7 $1,928.50 $1,542.80 20% off $346.50 $2,124.50 $1,515.94 2026-08-01
24650 CPT ER Dr S Reduc Distal Rad 13 7 $1,732.50 $1,386.00 20% off $346.50 $1,732.50 $1,386.00 2026-08-01
24605 CPT ER Dr Tx Elbow Disclo W/anes 13 7 $2,566.50 $2,053.20 20% off $513.30 $2,566.50 $2,053.20 2026-08-01
24071 CPT ER Dr Exc Tumor Sft Tissue Upper Arm/elb 13 7 $2,030.00 $1,624.00 20% off $406.00 $2,030.00 $1,624.00 2026-08-01
15839 CPT Labial Reduction 13 7 $3,151.00 $2,520.80 $630.20 $3,151.00 $2,520.80 2026-08-01
15275 CPT Skin Sub Graft Face/nk/hg/g 20-29min 39 7 $5,256.00 $4,204.80 $1,026.00 $5,470.00 $4,204.80 2026-08-01
15273 CPT Skin Sub Graft T/arm/lg Child 20-29min 39 7 $9,319.00 $7,455.20 20% off $1,838.60 $9,533.00 $7,455.20 2026-08-01
15271 CPT Skin Sub Graft Trnk/arm/leg 20-29min 39 7 $5,256.00 $4,204.80 $1,026.00 $5,470.00 $4,204.80 2026-08-01
01930QZ OTHER Ans Transven. Unbrela 26 7 $2,527.50 $2,022.00 20% off $312.30 $3,493.50 $1,366.32 2026-08-01
01610QZ OTHER Ans Nmtfb Shoulder & Axilla 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
01360QZ OTHER Ans Opn. Low. 1/3 Femur 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
01232QZ OTHER Ans Amputation Ak 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
01230QZ OTHER Ans Open Up2/3 Femur 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
01210QZ OTHER Ans Open Hip Proced 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
01173QZ OTHER Ans Integ Post Pelvis 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
01112QZ OTHER Ans Bone Marrow Bx 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00944QZ OTHER Ans Vag Hysterectomy 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
00916QZ OTHER Ans Post-tur Bleeding 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00914QZ OTHER Ans Tur-prostate 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00912QZ OTHER Ans Tur-bladder Tum 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00873QZ OTHER Ans Lithotripsy 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00870QZ OTHER Ans Cystolithotomy 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00862QZ OTHER Ans Renal + 1/3 Ureter 13 7 $2,180.00 $1,744.00 20% off $436.00 $2,180.00 $1,744.00 2026-08-01
00860QZ OTHER Ans Extraperitoneal 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
00846QZ OTHER Ans Rad Hysterectomy 13 7 $2,491.00 $1,992.80 20% off $498.20 $2,491.00 $1,992.80 2026-08-01
00840QZ OTHER Ans Low Intra-abdomn 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
00832QZ OTHER Ans Low Vent Hernia 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
00820QZ OTHER Ans Low Post Abd. Wall 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00794QZ OTHER Ans Pancreatectomy 13 7 $2,491.00 $1,992.80 20% off $498.20 $2,491.00 $1,992.80 2026-08-01
00790QZ OTHER Ans Laparoscopy 26 7 $2,024.25 $1,619.40 $373.70 $2,180.00 $1,608.35 2026-08-01
00756QZ OTHER Ans Diaphrag. Hernia 13 7 $2,180.00 $1,744.00 20% off $436.00 $2,180.00 $1,744.00 2026-08-01
00752QZ OTHER Ans Up Vent Hernia 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
00740QZ OTHER Ans Upr.gi Endoscopy 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00730QZ OTHER Ans Up.post.abd.wall 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00540QZ OTHER Ans Thoracotomy 13 7 $4,036.50 $3,229.20 20% off $807.30 $4,036.50 $3,229.20 2026-08-01
00528QZ OTHER Ans: Mediastinoscopy 13 7 $2,491.00 $1,992.80 20% off $498.20 $2,491.00 $1,992.80 2026-08-01
00520QZ OTHER Ans Cls.chest+oscopy 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
00450QZ OTHER Ans Clavical/scapula 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00404QZ OTHER Ans Rad/mod.radical 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00352QZ OTHER Ans:simp Lig. Vessel 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00320QZ OTHER Ans:eso/thry/lar/tra 13 7 $1,868.50 $1,494.80 20% off $373.70 $1,868.50 $1,494.80 2026-08-01
00300QZ OTHER Ans Integ Neck 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00170QZ OTHER Ans Intraoral Proced 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00160QZ OTHER Ans For Nose 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00140QZ OTHER Ans. Eye Procedure 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00120QZ OTHER Ans. Ear Procedure 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
00100QZ OTHER Ans Integ Head 13 7 $1,561.50 $1,249.20 20% off $312.30 $1,561.50 $1,249.20 2026-08-01
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