Hospital

MEMORIAL HOSPITAL

Chester, IL · CCN 141338 · Rates published

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You selected 93306 (CPT)

Mmrl echo pro fee

This hospital’s price: $706 across 8 payers · range $119-$746

Source: https://cdn.accureg.net/trans/memorialhospitalchester/37-6020801_Memorial-Hospital---Chester_standardcharges.json · observed 2026-06-04

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.

1,889 distinct procedures filed

23 distinct payers

63,830 rate rows

2026-06-04 last MRF observed

Data quality

63,792 of 63,830 rate rows are consumer-grade (99.9%)

38 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
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	38

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

Source MRF file	https://cdn.accureg.net/trans/memorialhospitalchester/37-6020801_Memorial-Hospital---Chester_standardcharges.json
Found on page	https://pricetransparency.accureg.net/memorialhospitalchester
Discovered via	Discovered by HANK (automated)
Last fetch	success · 2026-10-09
Content fingerprint	11e8843b2249206a… · 68,559,148 bytes · first seen 2026-10-09

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
11603 CPT	Exc Tr-ext Mal+marg 2.1-3 Cm	23	$317.84	$84,988.63	$84,988.63	nat. median $793 outlier · 107.1×
11606 CPT	Exc Tr-ext Mal+marg >4 Cm	23	$343.12	$84,988.63	$84,988.63	nat. median $1,804 outlier · 47.1×
11601 CPT	Exc Tr-ext Mal+marg 0.6-1 Cm	23	$84,988.63	$84,988.63	$84,988.63	nat. median $717 outlier · 118.5×
43880 CPT	Repair Stomach-bowel Fistula	23	$52,266.99	$52,266.99	$52,266.99	nat. median $3,063 outlier · 17.1×
44605 CPT	Repair Of Bowel Lesion	23	$52,266.99	$52,266.99	$52,266.99	nat. median $2,768 outlier · 18.9×
44615 CPT	Intestinal Stricturoplasty	23	$52,266.99	$52,266.99	$52,266.99	nat. median $2,756 outlier · 19.0×
44604 CPT	Suture Large Intestine	23	$52,266.99	$52,266.99	$52,266.99	nat. median $2,688 outlier · 19.4×
50526 CPT	Close Nephrovisceral Fistula	23	$52,266.99	$52,266.99	$52,266.99	nat. median $3,284 outlier · 15.9×
44227 CPT	Lap Close Enterostomy	23	$52,266.99	$52,266.99	$52,266.99	nat. median $3,187 outlier · 16.4×
45550 CPT	Repair Rectum/remove Sigmoid	23	$40,620.27	$40,620.27	$40,620.27	nat. median $3,059 outlier · 13.3×
58240 CPT	Removal Of Pelvis Contents	23	$40,620.27	$40,620.27	$40,620.27	nat. median $4,508 outlier · 9.0×
J9274 HCPCS	80446-0401-01 - Tebentafusp Tebn 100 Mcg/0.5 Ml Sol	23	$37,192.76	$37,192.76	$37,192.76	nat. median $418 outlier · 89.0×
11600 CPT	Exc Tr-ext Mal+marg 0.5 Cm/<	23	$35,273.44	$35,273.44	$35,273.44	nat. median $726 outlier · 48.6×
36406 CPT	Bl Draw <3 Yrs Other Vein	23	$35,130.00	$35,130.00	$35,130.00	nat. median $54 outlier · 650.6×
36410 CPT	Non-routine Bl Draw 3/> Yrs	23	$35,130.00	$35,130.00	$35,130.00	nat. median $105 outlier · 334.6×
37609 CPT	Temporal Artery Procedure	23	$33,511.07	$33,511.07	$33,511.07	nat. median $1,884 outlier · 17.8×
24363 CPT	Replace Elbow Joint	23	$32,321.34	$32,321.34	$32,321.34	nat. median $16,397 2.0× median
44238 CPT	Laparoscope Proc Intestine	23	$31,221.23	$31,221.23	$31,221.23	nat. median $6,514 outlier · 4.8×
23472 CPT	Reconstruct Shoulder Joint	23	$30,757.88	$30,757.88	$30,757.88	nat. median $16,660 1.8× median
49412 CPT	Ins Device For Rt Guide Open	23	$30,379.13	$30,379.13	$30,379.13	nat. median $1,410 outlier · 21.5×
44160 CPT	Removal Of Colon	23	$30,048.73	$30,048.73	$30,048.73	nat. median $2,834 outlier · 10.6×
45121 CPT	Removal Of Rectum And Colon	23	$30,048.73	$30,048.73	$30,048.73	nat. median $3,346 outlier · 9.0×
44137 CPT	Remove Intestinal Allograft	23	$28,823.43	$28,823.43	$28,823.43	nat. median $4,274 outlier · 6.7×
44155 CPT	Removal Of Colon/ileostomy	23	$27,243.58	$27,243.58	$27,243.58	nat. median $3,577 outlier · 7.6×
11200 CPT	Removal Of Skin Tags <w/15	23	$25,343.42	$25,343.42	$25,343.42	nat. median $238 outlier · 106.5×
15999 CPT	Removal Of Pressure Sore	23	$25,343.42	$25,343.42	$25,343.42	nat. median $973 outlier · 26.0×
11201 CPT	Remove Skin Tags Add-on	23	$25,343.42	$25,343.42	$25,343.42	nat. median $77 outlier · 329.1×
45100 CPT	Biopsy Of Rectum	23	$23,938.15	$23,938.15	$23,938.15	nat. median $2,750 outlier · 8.7×
36500 CPT	Insertion Of Catheter Vein	23	$22,894.16	$22,894.16	$22,894.16	nat. median $933 outlier · 24.5×
J9042 HCPCS	51144-0050-01 - Brentuximab Vedotin 50 Mg Pow [mmrl]	23	$22,456.22	$22,456.22	$22,456.22	nat. median $951 outlier · 23.6×
44206 CPT	Lap Part Colectomy W/stoma	23	$22,356.37	$22,356.37	$22,356.37	nat. median $3,752 outlier · 6.0×
44204 CPT	Laparo Partial Colectomy	23	$22,356.37	$22,356.37	$22,356.37	nat. median $3,592 outlier · 6.2×
44208 CPT	L Colectomy/coloproctostomy	23	$22,356.37	$22,356.37	$22,356.37	nat. median $4,027 outlier · 5.6×
44207 CPT	L Colectomy/coloproctostomy	23	$22,356.37	$22,356.37	$22,356.37	nat. median $3,934 outlier · 5.7×
49596 CPT	Rpr Aa Hrn 1st > 10 Ncr/strn	23	$20,782.09	$20,782.09	$20,782.09	nat. median $3,803 outlier · 5.5×
15787 CPT	Abrasion Lesions Add-on	23	$19,867.73	$19,867.73	$19,867.73	nat. median $250 outlier · 79.6×
15783 CPT	Dermabrasion Suprfl Any Site	23	$19,867.73	$19,867.73	$19,867.73	nat. median $612 outlier · 32.5×
15782 CPT	Dermabrasion Other Than Face	23	$19,867.73	$19,867.73	$19,867.73	nat. median $2,820 outlier · 7.0×
15786 CPT	Abrasion Lesion Single	23	$19,867.73	$19,867.73	$19,867.73	nat. median $262 outlier · 75.9×
J9022 HCPCS	50242-0917-01 - Atezolizumab 1200 Mg/20 Ml Sol [mmrl]	23	$19,485.65	$19,485.65	$19,485.65	nat. median $6,785 outlier · 2.9×
44110 CPT	Excise Intestine Lesion(s)	23	$2,103.63	$19,477.19	$19,477.19	nat. median $2,437 outlier · 8.0×
44322 CPT	Colostomy With Biopsies	23	$19,477.19	$19,477.19	$19,477.19	nat. median $2,760 outlier · 7.1×
44145 CPT	Partial Removal Of Colon	23	$19,477.19	$19,477.19	$19,477.19	nat. median $3,023 outlier · 6.4×
44140 CPT	Partial Removal Of Colon	23	$19,477.19	$19,477.19	$19,477.19	nat. median $2,756 outlier · 7.1×
44626 CPT	Repair Bowel Opening	23	$19,477.19	$19,477.19	$19,477.19	nat. median $3,019 outlier · 6.5×
45119 CPT	Remove Rectum W/reservoir	23	$19,477.19	$19,477.19	$19,477.19	nat. median $3,619 outlier · 5.4×
44111 CPT	Excision Of Bowel Lesion(s)	23	$19,477.19	$19,477.19	$19,477.19	nat. median $2,759 outlier · 7.1×
44147 CPT	Partial Removal Of Colon	23	$19,477.19	$19,477.19	$19,477.19	nat. median $3,309 outlier · 5.9×
44141 CPT	Partial Removal Of Colon	23	$19,477.19	$19,477.19	$19,477.19	nat. median $3,120 outlier · 6.2×
44139 CPT	Mobilization Of Colon	23	$19,477.19	$19,477.19	$19,477.19	nat. median $450 outlier · 43.3×

Other procedures at this hospital

Browse this hospital's 1,889 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

11603	CPT	Exc Tr-ext Mal+marg 2.1-3 Cm	34	23	$113,318.17	$90,654.54	$317.84	$84,988.63	$84,988.63	2026-06-04
11606	CPT	Exc Tr-ext Mal+marg >4 Cm	34	23	$113,318.17	$90,654.54	$343.12	$84,988.63	$84,988.63	2026-06-04
11601	CPT	Exc Tr-ext Mal+marg 0.6-1 Cm	34	23	$113,318.17	$90,654.54	$84,988.63	$84,988.63	$84,988.63	2026-06-04
43880	CPT	Repair Stomach-bowel Fistula	34	23	$69,689.32	$55,751.46	$52,266.99	$52,266.99	$52,266.99	2026-06-04
44605	CPT	Repair Of Bowel Lesion	34	23	$69,689.32	$55,751.46	$52,266.99	$52,266.99	$52,266.99	2026-06-04
44615	CPT	Intestinal Stricturoplasty	34	23	$69,689.32	$55,751.46	$52,266.99	$52,266.99	$52,266.99	2026-06-04
44604	CPT	Suture Large Intestine	34	23	$69,689.32	$55,751.46	$52,266.99	$52,266.99	$52,266.99	2026-06-04
50526	CPT	Close Nephrovisceral Fistula	34	23	$69,689.32	$55,751.46	$52,266.99	$52,266.99	$52,266.99	2026-06-04
44227	CPT	Lap Close Enterostomy	34	23	$69,689.32	$55,751.46	$52,266.99	$52,266.99	$52,266.99	2026-06-04
45550	CPT	Repair Rectum/remove Sigmoid	34	23	$54,160.36	$43,328.29	$40,620.27	$40,620.27	$40,620.27	2026-06-04
58240	CPT	Removal Of Pelvis Contents	34	23	$54,160.36	$43,328.29	$40,620.27	$40,620.27	$40,620.27	2026-06-04
J9274	HCPCS	80446-0401-01 - Tebentafusp Tebn 100 Mcg/0.5 Ml Sol	34	23	$49,590.35	$39,672.28 20% off	$37,192.76	$37,192.76	$37,192.76	2026-06-04
11600	CPT	Exc Tr-ext Mal+marg 0.5 Cm/<	34	23	$47,031.25	$37,625.00 20% off	$35,273.44	$35,273.44	$35,273.44	2026-06-04
36406	CPT	Bl Draw <3 Yrs Other Vein	34	23	$46,840.00	$37,472.00 20% off	$35,130.00	$35,130.00	$35,130.00	2026-06-04
36410	CPT	Non-routine Bl Draw 3/> Yrs	34	23	$46,840.00	$37,472.00 20% off	$35,130.00	$35,130.00	$35,130.00	2026-06-04
37609	CPT	Temporal Artery Procedure	34	23	$44,681.43	$35,745.14 20% off	$33,511.07	$33,511.07	$33,511.07	2026-06-04
24363	CPT	Replace Elbow Joint	34	23	$43,095.12	$34,476.10	$32,321.34	$32,321.34	$32,321.34	2026-06-04
44238	CPT	Laparoscope Proc Intestine	34	23	$41,628.30	$33,302.64 20% off	$31,221.23	$31,221.23	$31,221.23	2026-06-04
23472	CPT	Reconstruct Shoulder Joint	34	23	$41,010.50	$32,808.40	$30,757.88	$30,757.88	$30,757.88	2026-06-04
49412	CPT	Ins Device For Rt Guide Open	34	23	$40,505.50	$32,404.40	$30,379.13	$30,379.13	$30,379.13	2026-06-04
44160	CPT	Removal Of Colon	34	23	$40,064.97	$32,051.98	$30,048.73	$30,048.73	$30,048.73	2026-06-04
45121	CPT	Removal Of Rectum And Colon	34	23	$40,064.97	$32,051.98	$30,048.73	$30,048.73	$30,048.73	2026-06-04
44137	CPT	Remove Intestinal Allograft	34	23	$38,431.24	$30,744.99 20% off	$28,823.43	$28,823.43	$28,823.43	2026-06-04
44155	CPT	Removal Of Colon/ileostomy	34	23	$36,324.77	$29,059.82	$27,243.58	$27,243.58	$27,243.58	2026-06-04
11200	CPT	Removal Of Skin Tags <w/15	34	23	$33,791.23	$27,032.98 20% off	$25,343.42	$25,343.42	$25,343.42	2026-06-04
15999	CPT	Removal Of Pressure Sore	34	23	$33,791.23	$27,032.98 20% off	$25,343.42	$25,343.42	$25,343.42	2026-06-04
11201	CPT	Remove Skin Tags Add-on	34	23	$33,791.23	$27,032.98 20% off	$25,343.42	$25,343.42	$25,343.42	2026-06-04
45100	CPT	Biopsy Of Rectum	34	23	$31,917.53	$25,534.02 20% off	$23,938.15	$23,938.15	$23,938.15	2026-06-04
36500	CPT	Insertion Of Catheter Vein	34	23	$30,525.55	$24,420.44 20% off	$22,894.16	$22,894.16	$22,894.16	2026-06-04
J9042	HCPCS	51144-0050-01 - Brentuximab Vedotin 50 Mg Pow [mmrl]	34	23	$29,941.62	$23,953.30	$22,456.22	$22,456.22	$22,456.22	2026-06-04
44206	CPT	Lap Part Colectomy W/stoma	34	23	$29,808.49	$23,846.79 20% off	$22,356.37	$22,356.37	$22,356.37	2026-06-04
44204	CPT	Laparo Partial Colectomy	34	23	$29,808.49	$23,846.79 20% off	$22,356.37	$22,356.37	$22,356.37	2026-06-04
44208	CPT	L Colectomy/coloproctostomy	34	23	$29,808.49	$23,846.79 20% off	$22,356.37	$22,356.37	$22,356.37	2026-06-04
44207	CPT	L Colectomy/coloproctostomy	34	23	$29,808.49	$23,846.79 20% off	$22,356.37	$22,356.37	$22,356.37	2026-06-04
49596	CPT	Rpr Aa Hrn 1st > 10 Ncr/strn	34	23	$27,709.45	$22,167.56 20% off	$20,782.09	$20,782.09	$20,782.09	2026-06-04
15787	CPT	Abrasion Lesions Add-on	34	23	$26,490.30	$21,192.24	$19,867.73	$19,867.73	$19,867.73	2026-06-04
15783	CPT	Dermabrasion Suprfl Any Site	34	23	$26,490.30	$21,192.24	$19,867.73	$19,867.73	$19,867.73	2026-06-04
15782	CPT	Dermabrasion Other Than Face	34	23	$26,490.30	$21,192.24	$19,867.73	$19,867.73	$19,867.73	2026-06-04
15786	CPT	Abrasion Lesion Single	34	23	$26,490.30	$21,192.24	$19,867.73	$19,867.73	$19,867.73	2026-06-04
J9022	HCPCS	50242-0917-01 - Atezolizumab 1200 Mg/20 Ml Sol [mmrl]	34	23	$25,980.86	$20,784.69	$19,485.65	$19,485.65	$19,485.65	2026-06-04
44110	CPT	Excise Intestine Lesion(s)	34	23	$25,969.58	$20,775.66 20% off	$2,103.63	$19,477.19	$19,477.19	2026-06-04
44322	CPT	Colostomy With Biopsies	34	23	$25,969.58	$20,775.66 20% off	$19,477.19	$19,477.19	$19,477.19	2026-06-04
44145	CPT	Partial Removal Of Colon	34	23	$25,969.58	$20,775.66 20% off	$19,477.19	$19,477.19	$19,477.19	2026-06-04
44140	CPT	Partial Removal Of Colon	34	23	$25,969.58	$20,775.66 20% off	$19,477.19	$19,477.19	$19,477.19	2026-06-04
44626	CPT	Repair Bowel Opening	34	23	$25,969.58	$20,775.66 20% off	$19,477.19	$19,477.19	$19,477.19	2026-06-04
45119	CPT	Remove Rectum W/reservoir	34	23	$25,969.58	$20,775.66 20% off	$19,477.19	$19,477.19	$19,477.19	2026-06-04
44111	CPT	Excision Of Bowel Lesion(s)	34	23	$25,969.58	$20,775.66 20% off	$19,477.19	$19,477.19	$19,477.19	2026-06-04
44147	CPT	Partial Removal Of Colon	34	23	$25,969.58	$20,775.66 20% off	$19,477.19	$19,477.19	$19,477.19	2026-06-04
44141	CPT	Partial Removal Of Colon	34	23	$25,969.58	$20,775.66 20% off	$19,477.19	$19,477.19	$19,477.19	2026-06-04
44139	CPT	Mobilization Of Colon	34	23	$25,969.58	$20,775.66 20% off	$19,477.19	$19,477.19	$19,477.19	2026-06-04
44146	CPT	Partial Removal Of Colon	34	23	$25,969.58	$20,775.66 20% off	$19,477.19	$19,477.19	$19,477.19	2026-06-04
11010	CPT	Debride Skin At Fx Site	34	23	$25,847.22	$20,677.78	$19,385.42	$19,385.42	$19,385.42	2026-06-04
23532	CPT	Treat Clavicle Dislocation	34	23	$25,847.22	$20,677.78	$19,385.42	$19,385.42	$19,385.42	2026-06-04
28043	CPT	Exc Foot/toe Tum Sc < 1.5 Cm	34	23	$25,847.22	$20,677.78	$19,385.42	$19,385.42	$19,385.42	2026-06-04
23552	CPT	Treat Clavicle Dislocation	34	23	$25,847.22	$20,677.78	$19,385.42	$19,385.42	$19,385.42	2026-06-04
28345	CPT	Repair Webbed Toe(s)	34	23	$25,847.22	$20,677.78	$19,385.42	$19,385.42	$19,385.42	2026-06-04
28062	CPT	Removal Of Foot Fascia	34	23	$25,847.22	$20,677.78	$19,385.42	$19,385.42	$19,385.42	2026-06-04
11043	CPT	Deb Musc/fascia 20 Sq Cm/<	34	23	$25,847.22	$20,677.78	$942.82	$19,385.42	$19,385.42	2026-06-04
28046	CPT	Resect Foot/toe Tumor < 3 Cm	34	23	$25,847.22	$20,677.78	$19,385.42	$19,385.42	$19,385.42	2026-06-04
28047	CPT	Resect Foot/toe Tumor 3 Cm/>	34	23	$25,847.22	$20,677.78	$19,385.42	$19,385.42	$19,385.42	2026-06-04
28039	CPT	Exc Foot/toe Tum Sc 1.5 Cm/>	34	23	$25,847.22	$20,677.78	$19,385.42	$19,385.42	$19,385.42	2026-06-04
28060	CPT	Partial Removal Foot Fascia	34	23	$25,847.22	$20,677.78	$19,385.42	$19,385.42	$19,385.42	2026-06-04
J9119	HCPCS	61755-0008-01 - Cemiplimab 350 Mg/7 Ml Sol [mmrl]	34	23	$24,598.35	$19,678.68	$18,448.76	$18,448.76	$18,448.76	2026-06-04
28106	CPT	Remove/graft Foot Lesion	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28107	CPT	Remove/graft Foot Lesion	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28120	CPT	Part Removal Of Ankle/heel	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28171	CPT	Resect Tarsal Tumor	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
20969	CPT	Bone/skin Graft Microvasc	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
20902	CPT	Removal Of Bone For Graft	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
20900	CPT	Removal Of Bone For Graft	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28130	CPT	Removal Of Ankle Bone	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28238	CPT	Revision Of Foot Tendon	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28100	CPT	Removal Of Ankle/heel Lesion	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28118	CPT	Removal Of Heel Bone	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28102	CPT	Remove/graft Foot Lesion	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28119	CPT	Removal Of Heel Spur	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
11047	CPT	Deb Bone Add-on	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28103	CPT	Remove/graft Foot Lesion	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28122	CPT	Partial Removal Of Foot Bone	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
20962	CPT	Other Bone Graft Microvasc	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
28104	CPT	Removal Of Foot Lesion	34	23	$23,809.42	$19,047.54	$17,857.07	$17,857.07	$17,857.07	2026-06-04
43251	CPT	Egd Remove Lesion Snare	34	23	$23,683.31	$18,946.65	$406.27	$17,762.48	$17,762.48	2026-06-04
43360	CPT	Gastrointestinal Repair	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43248	CPT	Egd Guide Wire Insertion	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43250	CPT	Egd Cautery Tumor Polyp	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43653	CPT	Laparoscopy Gastrostomy	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43245	CPT	Egd Dilate Stricture	34	23	$23,683.31	$18,946.65	$413.95	$17,762.48	$17,762.48	2026-06-04
43610	CPT	Excision Of Stomach Lesion	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43772	CPT	Lap Rmvl Gastr Adj Device	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43270	CPT	Egd Lesion Ablation	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43210	CPT	Egd Esophagogastrc Fndoplsty	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43255	CPT	Egd Control Bleeding Any	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43257	CPT	Egd W/thrml Txmnt Gerd	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43240	CPT	Egd W/transmural Drain Cyst	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43773	CPT	Lap Replace Gastr Adj Device	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43237	CPT	Endoscopic US Exam Esoph	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43775	CPT	Lap Sleeve Gastrectomy	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43254	CPT	Egd Endo Mucosal Resection	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43645	CPT	Lap Gastr Bypass Incl Smll I	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43770	CPT	Lap Place Gastr Adj Device	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43266	CPT	Egd Endoscopic Stent Place	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43644	CPT	Lap Gastric Bypass/roux-en-y	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43771	CPT	Lap Revise Gastr Adj Device	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43253	CPT	Egd US Transmural Injxn/mark	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43659	CPT	Laparoscope Proc Stom	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43774	CPT	Lap Rmvl Gastr Adj All Parts	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43611	CPT	Excision Of Stomach Lesion	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43244	CPT	Egd Varices Ligation	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43246	CPT	Egd Place Gastrostomy Tube	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
43243	CPT	Egd Injection Varices	34	23	$23,683.31	$18,946.65	$17,762.48	$17,762.48	$17,762.48	2026-06-04
J9144	HCPCS	57894-0503-01 - Daratumumab-hyaluronidase 1800 Mg-30000 Units/15 Ml Sol	34	23	$23,664.68	$18,931.74 20% off	$17,748.51	$17,748.51	$17,748.51	2026-06-04
11423	CPT	Exc H-f-nk-sp B9+marg 2.1-3	34	23	$22,430.24	$17,944.19 20% off	$16,822.68	$16,822.68	$16,822.68	2026-06-04
11426	CPT	Exc H-f-nk-sp B9+marg >4 Cm	34	23	$22,430.24	$17,944.19 20% off	$16,822.68	$16,822.68	$16,822.68	2026-06-04
11424	CPT	Exc H-f-nk-sp B9+marg 3.1-4	34	23	$22,430.24	$17,944.19 20% off	$16,822.68	$16,822.68	$16,822.68	2026-06-04
11421	CPT	Exc H-f-nk-sp B9+marg 0.6-1	34	23	$22,430.24	$17,944.19 20% off	$16,822.68	$16,822.68	$16,822.68	2026-06-04
36010	CPT	Place Catheter In Vein	34	23	$22,381.82	$17,905.46	$16,786.37	$16,786.37	$16,786.37	2026-06-04
43233	CPT	Egd Balloon Dil Esoph30 Mm/>	34	23	$22,288.35	$17,830.68	$16,716.26	$16,716.26	$16,716.26	2026-06-04
43239	CPT	Egd Biopsy Single/multiple	34	23	$22,288.35	$17,830.68	$380.74	$16,716.26	$16,716.26	2026-06-04
3130F	CPT	Upper Gi Endoscopy Performed	34	23	$22,288.35	$17,830.68	$16,716.26	$16,716.26	$16,716.26	2026-06-04
43259	CPT	Egd US Exam Duodenum/jejunum	34	23	$22,288.35	$17,830.68	$16,716.26	$16,716.26	$16,716.26	2026-06-04
43252	CPT	Egd Optical Endomicroscopy	34	23	$22,288.35	$17,830.68	$16,716.26	$16,716.26	$16,716.26	2026-06-04
43238	CPT	Egd US Fine Needle Bx/aspir	34	23	$22,288.35	$17,830.68	$16,716.26	$16,716.26	$16,716.26	2026-06-04
43242	CPT	Egd US Fine Needle Bx/aspir	34	23	$22,288.35	$17,830.68	$16,716.26	$16,716.26	$16,716.26	2026-06-04
43241	CPT	Egd Tube/cath Insertion	34	23	$22,288.35	$17,830.68	$16,716.26	$16,716.26	$16,716.26	2026-06-04
43236	CPT	Uppr Gi Scope W/submuc Inj	34	23	$22,288.35	$17,830.68	$16,716.26	$16,716.26	$16,716.26	2026-06-04
36000	CPT	Place Needle In Vein	34	23	$21,346.70	$17,077.36 20% off	$16,010.03	$16,010.03	$16,010.03	2026-06-04
27829	CPT	Treat Lower Leg Joint	34	23	$21,166.82	$16,933.46	$15,875.12	$15,875.12	$15,875.12	2026-06-04
36560	CPT	Insert Tunneled Cv Cath	34	23	$20,941.16	$16,752.93	$15,705.87	$15,705.87	$15,705.87	2026-06-04
36556	CPT	Insert Non-tunnel Cv Cath	34	23	$20,941.16	$16,752.93	$15,705.87	$15,705.87	$15,705.87	2026-06-04
36565	CPT	Insert Tunneled Cv Cath	34	23	$20,941.16	$16,752.93	$15,705.87	$15,705.87	$15,705.87	2026-06-04
36563	CPT	Insert Tunneled Cv Cath	34	23	$20,941.16	$16,752.93	$15,705.87	$15,705.87	$15,705.87	2026-06-04
36012	CPT	Place Catheter In Vein	34	23	$20,941.16	$16,752.93	$15,705.87	$15,705.87	$15,705.87	2026-06-04
36566	CPT	Insert Tunneled Cv Cath	34	23	$20,941.16	$16,752.93	$15,705.87	$15,705.87	$15,705.87	2026-06-04
36572	CPT	Insj Picc Rs&i <5 Yr	34	23	$20,662.67	$16,530.14	$15,497.00	$15,497.00	$15,497.00	2026-06-04
36573	CPT	Insj Picc Rs&i 5 Yr+	34	23	$20,662.67	$16,530.14	$1,503.42	$15,497.00	$15,497.00	2026-06-04
4168F	CPT	Pt Care Icu&vent W/in 24hrs	34	23	$20,639.17	$16,511.34	$15,479.38	$15,479.38	$15,479.38	2026-06-04
36568	CPT	Insj Picc <5 Yr Without Imaging	34	23	$20,181.16	$16,144.93	$15,135.87	$15,135.87	$15,135.87	2026-06-04
36571	CPT	Insert Picvad Cath	34	23	$20,096.72	$16,077.38	$15,072.54	$15,072.54	$15,072.54	2026-06-04
36570	CPT	Insert Picvad Cath	34	23	$20,096.72	$16,077.38	$15,072.54	$15,072.54	$15,072.54	2026-06-04
36569	CPT	Insj Picc 5 Yr+ Without Imaging	34	23	$20,096.72	$16,077.38	$15,072.54	$15,072.54	$15,072.54	2026-06-04
23675	CPT	Treat Dislocation/fracture	34	23	$19,729.65	$15,783.72 20% off	$14,797.24	$14,797.24	$14,797.24	2026-06-04
23665	CPT	Treat Dislocation/fracture	34	23	$19,729.65	$15,783.72 20% off	$14,797.24	$14,797.24	$14,797.24	2026-06-04
23655	CPT	Treat Shoulder Dislocation	34	23	$19,729.65	$15,783.72 20% off	$14,797.24	$14,797.24	$14,797.24	2026-06-04
43197	CPT	Esophagoscopy Flex Dx Brush	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
43206	CPT	Esoph Optical Endomicroscopy	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
44376	CPT	Small Bowel Endoscopy	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
43195	CPT	Esophagoscopy Rigid Balloon	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
44360	CPT	Small Bowel Endoscopy	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
44385	CPT	Endoscopy Of Bowel Pouch	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
43212	CPT	Esophagoscop Stent Placement	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
44380	CPT	Small Bowel Endoscopy Br/wa	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
43200	CPT	Esophagoscopy Flexible Brush	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
43211	CPT	Esophagoscop Mucosal Resect	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
43231	CPT	Esophagoscop Ultrasound Exam	34	23	$19,498.44	$15,598.75 20% off	$14,623.83	$14,623.83	$14,623.83	2026-06-04
J9301	HCPCS	50242-0070-01 - Obinutuzumab 25 Mg/ml IV Sol 40ml [mmrl]	34	23	$19,387.54	$15,510.03 20% off	$14,540.66	$14,540.66	$14,540.66	2026-06-04
32555	CPT	Aspirate Pleura With Imaging	34	23	$18,914.56	$15,131.65	$14,185.92	$14,185.92	$14,185.92	2026-06-04
J9299	HCPCS	00003-3734-13 - Nivolumab 10 Mg/ml Sol [mmrl]	34	23	$18,765.03	$15,012.02 20% off	$14,073.77	$14,073.77	$14,073.77	2026-06-04
29846	CPT	Wrist Arthroscopy/surgery	34	23	$18,484.60	$14,787.68	$13,863.45	$13,863.45	$13,863.45	2026-06-04
27888	CPT	Amputation Of Foot At Ankle	34	23	$18,402.34	$14,721.87 20% off	$13,801.76	$13,801.76	$13,801.76	2026-06-04
28805	CPT	Amputation Thru Metatarsal	34	23	$18,402.34	$14,721.87 20% off	$13,801.76	$13,801.76	$13,801.76	2026-06-04
28800	CPT	Amputation Of Midfoot	34	23	$18,402.34	$14,721.87 20% off	$13,801.76	$13,801.76	$13,801.76	2026-06-04
11000	CPT	Debride Infected Skin	34	23	$18,088.63	$14,470.90 20% off	$13,566.47	$13,566.47	$13,566.47	2026-06-04
11001	CPT	Debride Infected Skin Add-on	34	23	$18,088.63	$14,470.90 20% off	$13,566.47	$13,566.47	$13,566.47	2026-06-04
16025	CPT	Dress/debrid P-thick Burn M	34	23	$18,088.63	$14,470.90 20% off	$13,566.47	$13,566.47	$13,566.47	2026-06-04
47564	CPT	Laparo Cholecystectomy/explr	34	23	$18,022.37	$14,417.90	$13,516.78	$13,516.78	$13,516.78	2026-06-04
47562	CPT	Laparoscopic Cholecystectomy	34	23	$18,022.37	$14,417.90	$13,516.78	$13,516.78	$13,516.78	2026-06-04
36430	CPT	Blood Transfusion Service	34	23	$17,554.81	$14,043.85	$259.36	$13,166.11	$13,166.11	2026-06-04
36440	CPT	Bl Push Transfuse 2 Yr/<	34	23	$17,554.81	$14,043.85	$13,166.11	$13,166.11	$13,166.11	2026-06-04
25390	CPT	Shorten Radius Or Ulna	34	23	$17,248.23	$13,798.58 20% off	$12,936.17	$12,936.17	$12,936.17	2026-06-04
33986	CPT	Ecmo/ecls Rmvl Ctr Cannula	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
36581	CPT	Replace Tunneled Cv Cath	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
36583	CPT	Replace Tunneled Cv Cath	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
36815	CPT	Insertion Of Cannula	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
36578	CPT	Replace Tunneled Cv Cath	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
36584	CPT	Compl Rplcmt Picc Rs&i	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
33984	CPT	Ecmo/ecls Rmvl Prph Cannula	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
36580	CPT	Replace Cvad Cath	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
33985	CPT	Ecmo/ecls Rmvl Ctr Cannula	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
36585	CPT	Replace Picvad Cath	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
33969	CPT	Ecmo/ecls Rmvl Perph Cannula	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
36582	CPT	Replace Tunneled Cv Cath	34	23	$16,650.15	$13,320.12 20% off	$12,487.61	$12,487.61	$12,487.61	2026-06-04
44970	CPT	Laparoscopy Appendectomy	34	23	$16,548.45	$13,238.76 20% off	$12,411.34	$12,411.34	$12,411.34	2026-06-04
J2327	HCPCS	00074-5015-01 - Risankizumab Rzaa 60 Mg/ml Sol 600mg/10ml [mmrl]	34	23	$15,885.59	$12,708.47 20% off	$11,914.19	$11,914.19	$11,914.19	2026-06-04
J9043	HCPCS	00024-5824-11 - Cabazitaxel 60 Mg/1.5 Ml Sol [mmrl]	34	23	$15,833.48	$12,666.78 20% off	$11,875.11	$11,875.11	$11,875.11	2026-06-04
36455	CPT	Bl Exchange/transfuse Non-nb	34	23	$15,727.93	$12,582.34 20% off	$11,795.95	$11,795.95	$11,795.95	2026-06-04
36450	CPT	Bl Exchange/transfuse Nb	34	23	$15,727.93	$12,582.34 20% off	$11,795.95	$11,795.95	$11,795.95	2026-06-04
36456	CPT	Prtl Exchange Transfuse Nb	34	23	$15,727.93	$12,582.34 20% off	$11,795.95	$11,795.95	$11,795.95	2026-06-04
45005	CPT	Drainage Of Rectal Abscess	34	23	$15,695.67	$12,556.54	$11,771.75	$11,771.75	$11,771.75	2026-06-04
4169F	CPT	No Pt Care Icu/vent In 24hrs	34	23	$15,646.57	$12,517.26	$11,734.93	$11,734.93	$11,734.93	2026-06-04
38525	CPT	Biopsy/removal Lymph Nodes	34	23	$14,980.12	$11,984.10	$11,235.09	$11,235.09	$11,235.09	2026-06-04
11102	CPT	Tangntl Bx Skin Single Les	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11057	CPT	Trim Skin Lesions Over 4	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11055	CPT	Trim Skin Lesion	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11626	CPT	Exc S/n/h/f/g Mal+mrg >4 Cm	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11624	CPT	Exc S/n/h/f/g Mal+mrg 3.1-4	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11106	CPT	Incal Bx Skn Single Les	34	23	$13,887.79	$11,110.23 20% off	$127.04	$10,415.84	$10,415.84	2026-06-04
11623	CPT	Exc S/n/h/f/g Mal+mrg 2.1-3	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11622	CPT	Exc S/n/h/f/g Mal+mrg 1.1-2	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11621	CPT	Exc S/n/h/f/g Mal+mrg 0.6-1	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11620	CPT	Exc H-f-nk-sp Mal+marg 0.5/<	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
15050	CPT	Skin Pinch Graft	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
17315	CPT	Mohs Surg Addl Block	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
17312	CPT	Mohs Addl Stage	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
17311	CPT	Mohs 1 Stage H/n/hf/g	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11308	CPT	Shave Skin Lesion >2.0 Cm	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11307	CPT	Shave Skin Lesion 1.1-2.0 Cm	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11306	CPT	Shave Skin Lesion 0.6-1.0 Cm	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11305	CPT	Shave Skin Lesion 0.5 Cm/<	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
15040	CPT	Harvest Cultured Skin Graft	34	23	$13,887.79	$11,110.23 20% off	$10,415.84	$10,415.84	$10,415.84	2026-06-04
11104	CPT	Punch Bx Skin Single Lesion	34	23	$13,887.79	$11,110.23 20% off	$88.52	$10,415.84	$10,415.84	2026-06-04
49591	CPT	Rpr Aa Hrn 1st < 3 Cm Rdc	34	23	$13,784.24	$11,027.39 20% off	$1,394.56	$10,338.18	$10,338.18	2026-06-04
J9271	HCPCS	00006-3026-02 - Pembrolizumab 25 Mg/ml Sol [mmrl]	34	23	$13,276.95	$10,621.56 20% off	$9,957.71	$9,957.71	$9,957.71	2026-06-04
J3380	HCPCS	64764-0300-20 - Vedolizumab 300 Mg/5 Ml IV Inj [mmrl]	34	23	$12,917.00	$10,333.60 20% off	$9,687.75	$9,687.75	$9,687.75	2026-06-04
J9228	HCPCS	00003-2327-11 - Ipilimumab 5 Mg/ml 10ml Sol [mmrl]	34	23	$12,824.97	$10,259.98	$9,618.73	$9,618.73	$9,618.73	2026-06-04
19307	CPT	Mast Mod Rad	34	23	$12,779.71	$10,223.77	$9,584.78	$9,584.78	$9,584.78	2026-06-04
19306	CPT	Mast Rad Urban Type	34	23	$12,779.71	$10,223.77	$9,584.78	$9,584.78	$9,584.78	2026-06-04
19305	CPT	Mast Radical	34	23	$12,779.71	$10,223.77	$9,584.78	$9,584.78	$9,584.78	2026-06-04
J2323	HCPCS	64406-0008-01 - Natalizumab 300 Mg/15 Ml Con [mmrl]	34	23	$12,751.52	$10,201.22	$9,563.64	$9,563.64	$9,563.64	2026-06-04
45381	CPT	Colonoscopy Submucous Njx	34	23	$12,702.29	$10,161.83 20% off	$530.60	$9,526.72	$9,526.72	2026-06-04
46060	CPT	Incision Of Rectal Abscess	34	23	$12,673.92	$10,139.14	$9,505.44	$9,505.44	$9,505.44	2026-06-04
J2329	HCPCS	73150-0150-06 - Ublituximab Xiiy 150 Mg/6 Ml Sol [mmrl]	34	23	$12,029.88	$9,623.90 20% off	$9,022.41	$9,022.41	$9,022.41	2026-06-04
42831	CPT	Removal Of Adenoids	34	23	$11,844.08	$9,475.26 20% off	$8,883.06	$8,883.06	$8,883.06	2026-06-04
30520	CPT	Repair Of Nasal Septum	34	23	$11,535.69	$9,228.55 20% off	$455.29	$8,651.77	$8,651.77	2026-06-04
581	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	4	4	$17,033.73	$13,626.98 20% off	$8,573.42	$8,744.88	$8,573.42	2026-06-04
419	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc	6	6	$16,217.25	$12,973.80 20% off	$2,600.00	$8,744.88	$8,573.42	2026-06-04
331	MS_DRG	Major Small And Large Bowel Procedures Without Cc/mcc	8	8	$37,501.29	$30,001.03 20% off	$3,180.00	$13,117.32	$8,380.06	2026-06-04
29893	CPT	Scope Plantar Fasciotomy	34	23	$10,903.65	$8,722.92	$8,177.74	$8,177.74	$8,177.74	2026-06-04
31242	CPT	Nsl/sinus Ndsc Rf Abltj Pnn	34	23	$10,721.32	$8,577.06	$8,040.99	$8,040.99	$8,040.99	2026-06-04
49505	CPT	Prp I/hern Init Reduc >5 Yr	34	23	$10,629.90	$8,503.92	$7,972.43	$7,972.43	$7,972.43	2026-06-04
10160	CPT	Puncture Drainage Of Lesion	34	23	$10,534.42	$8,427.54	$116.12	$7,900.82	$7,900.82	2026-06-04
10140	CPT	Drainage Of Hematoma/fluid	34	23	$10,534.42	$8,427.54	$167.03	$7,900.82	$7,900.82	2026-06-04
10060	CPT	Drainage Of Skin Abscess	34	23	$10,534.42	$8,427.54	$147.93	$7,900.82	$7,900.82	2026-06-04
J2506	HCPCS	55513-0190-01 - Pegfilgrastim 6 Mg/0.6 Ml Subq Inj [mmrl]	34	23	$10,094.31	$8,075.45	$7,570.73	$7,570.73	$7,570.73	2026-06-04
J3101	HCPCS	50242-0120-47 - Tenecteplase 50 Mg Pow [mmrl]	34	23	$10,074.55	$8,059.64	$7,555.91	$7,555.91	$7,555.91	2026-06-04
J9306	HCPCS	50242-0145-01 - Pertuzumab 420 Mg/14 Ml Sol [mmrl]	34	23	$9,604.23	$7,683.38 20% off	$7,203.17	$7,203.17	$7,203.17	2026-06-04
42821	CPT	Remove Tonsils And Adenoids	34	23	$9,230.60	$7,384.48 20% off	$297.15	$6,922.95	$6,922.95	2026-06-04
31541	CPT	Larynscop W/tumr Exc + Scope	34	23	$9,139.26	$7,311.41	$6,854.45	$6,854.45	$6,854.45	2026-06-04
64721	CPT	Carpal Tunnel Surgery	34	23	$9,100.72	$7,280.58	$6,825.54	$6,825.54	$6,825.54	2026-06-04
J9309	HCPCS	50242-0103-01 - Polatuzumab Vedotin 30 Mg Pow [mmrl]	34	23	$8,973.38	$7,178.70 20% off	$6,730.04	$6,730.04	$6,730.04	2026-06-04
14041	CPT	Tis Trnfr F/c/c/m/n/a/g/h/f	34	23	$8,935.81	$7,148.65	$6,701.86	$6,701.86	$6,701.86	2026-06-04
J2783	HCPCS	00024-5151-75 - Rasburicase 7.5 Mg Pow [mmrl]	34	23	$8,448.43	$6,758.74 20% off	$6,336.32	$6,336.32	$6,336.32	2026-06-04
J9025	HCPCS	00781-9253-94 - Azacitidine 100 Mg Inj [mmrl]	34	23	$8,392.87	$6,714.30	$6,294.65	$6,294.65	$6,294.65	2026-06-04
69705	CPT	Nps Surg Dilat Eust Tube Uni	34	23	$8,293.77	$6,635.02	$6,220.33	$6,220.33	$6,220.33	2026-06-04
J1826	HCPCS	59627-0002-05 - Interferon Beta-1a 30 Mcg/0.5 Ml IM Kit [mmrl]	34	23	$8,155.08	$6,524.06 20% off	$6,116.31	$6,116.31	$6,116.31	2026-06-04
617	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	16	16	$23,080.43	$18,464.34 20% off	$5,700.00	$26,234.64	$6,030.00	2026-06-04
J9047	HCPCS	76075-0101-01 - Carfilzomib 60 Mg Pow Inj [mmrl]	34	23	$7,963.79	$6,371.03 20% off	$3,742.98	$5,972.84	$5,972.84	2026-06-04
26951	CPT	Amputation Of Finger/thumb	34	23	$7,853.81	$6,283.05	$5,890.36	$5,890.36	$5,890.36	2026-06-04
J1306	HCPCS	00078-1000-60 - Inclisiran 284 Mg/1.5 Ml Sol [mmrl]	34	23	$7,630.00	$6,104.00 20% off	$5,722.50	$5,722.50	$5,722.50	2026-06-04
49593	CPT	Rpr Aa Hrn 1st 3-10 Rdc	34	23	$7,535.79	$6,028.63 20% off	$5,651.84	$5,651.84	$5,651.84	2026-06-04
399	MS_DRG	Appendix Procedures Without Cc/mcc	8	8	$16,548.45	$13,238.76 20% off	$2,120.00	$8,744.88	$5,586.71	2026-06-04
28810	CPT	Amputation Toe & Metatarsal	34	23	$7,422.41	$5,937.93	$5,566.81	$5,566.81	$5,566.81	2026-06-04
J2353	HCPCS	00480-9259-08 - Octreotide 20 Mg Pwd [mmrl]	34	23	$7,104.48	$5,683.58 20% off	$5,328.36	$5,328.36	$5,328.36	2026-06-04
66984	CPT	Xcapsl Ctrc Rmvl Without Ecp	34	23	$7,014.98	$5,611.98 20% off	$1,116.42	$5,261.24	$5,261.24	2026-06-04
49613	CPT	Rpr Aa Hrn Rcr < 3 Rdc	34	23	$6,938.50	$5,550.80 20% off	$5,203.88	$5,203.88	$5,203.88	2026-06-04
Q5115	HCPCS	63459-0104-50 - Rituximab Abbs 10 Mg/ml Sol [mmrl]	34	23	$6,903.96	$5,523.17	$5,177.97	$5,177.97	$5,177.97	2026-06-04
12007	CPT	Rpr S/n/ax/gen/trnk >30.0 Cm	34	23	$6,731.12	$5,384.90	$5,048.34	$5,048.34	$5,048.34	2026-06-04
12005	CPT	Rpr S/n/a/gen/trk12.6-20.0cm	34	23	$6,731.12	$5,384.90	$98.33	$5,048.34	$5,048.34	2026-06-04
12002	CPT	Rpr S/n/ax/gen/trnk2.6-7.5cm	34	23	$6,731.12	$5,384.90	$66.83	$5,048.34	$5,048.34	2026-06-04
44650	CPT	Repair Bowel Fistula	34	23	$6,731.12	$5,384.90	$5,048.34	$5,048.34	$5,048.34	2026-06-04
854	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Cc	16	16	$40,505.50	$32,404.40	$4,750.00	$21,862.20	$5,025.00	2026-06-04
504	MS_DRG	Foot Procedures With Cc	16	16	$23,809.42	$19,047.54	$4,750.00	$21,862.20	$5,025.00	2026-06-04
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	16	16	$58,701.21	$46,960.97	$4,750.00	$21,862.20	$5,025.00	2026-06-04
21931	CPT	Exc Back Les Sc 3 Cm/>	34	23	$6,558.98	$5,247.18 20% off	$4,919.24	$4,919.24	$4,919.24	2026-06-04
28585	CPT	Repair Foot Dislocation	34	23	$6,458.62	$5,166.90	$4,843.97	$4,843.97	$4,843.97	2026-06-04
44144	CPT	Colectomypart With Ileostomy/colos	34	23	$6,438.00	$5,150.40 20% off	$4,828.50	$4,828.50	$4,828.50	2026-06-04
15240	CPT	Skin Full Grft Face/genit/hf	34	23	$6,372.61	$5,098.09	$4,779.46	$4,779.46	$4,779.46	2026-06-04
J0896	HCPCS	59572-0711-01 - Luspatercept 25 Mg Pow [mmrl]	34	23	$6,090.13	$4,872.10 20% off	$4,567.60	$4,567.60	$4,567.60	2026-06-04
11772	CPT	Remove Pilonidal Cyst Compl	34	23	$5,893.83	$4,715.06 20% off	$4,420.37	$4,420.37	$4,420.37	2026-06-04
28113	CPT	Part Removal Of Metatarsal	34	23	$5,884.89	$4,707.91 20% off	$4,413.67	$4,413.67	$4,413.67	2026-06-04
45385	CPT	Colonoscopy W/lesion Removal	34	23	$5,882.52	$4,706.02	$250.72	$4,411.89	$4,411.89	2026-06-04
28092	CPT	Removal Of Toe Lesions	34	23	$5,847.12	$4,677.70	$4,385.34	$4,385.34	$4,385.34	2026-06-04
46255	CPT	Remove Int/ext Hem 1 Group	34	23	$5,802.84	$4,642.27 20% off	$4,352.13	$4,352.13	$4,352.13	2026-06-04
44143	CPT	Colectomy Part With Colostomy (hartma	34	23	$5,785.00	$4,628.00 20% off	$4,338.75	$4,338.75	$4,338.75	2026-06-04
J9297	HCPCS	00781-3519-90 - Pemetrexed 25 Mg/ml Sol [mmrl]	34	23	$5,740.47	$4,592.38	$4,305.35	$4,875.92	$4,305.35	2026-06-04
20240	CPT	Bone Biopsy Open Superficial	34	23	$5,631.47	$4,505.18	$4,223.60	$4,223.60	$4,223.60	2026-06-04
45330	CPT	Diagnostic Sigmoidoscopy	34	23	$5,617.06	$4,493.65	$4,212.80	$4,212.80	$4,212.80	2026-06-04
Q5116	HCPCS	00069-0305-01 - Trastuzumab Qyyp 420 Mg Pow [mmrl]	34	23	$5,548.56	$4,438.85	$4,161.42	$4,161.42	$4,161.42	2026-06-04
21933	CPT	Exc Back Tum Deep 5 Cm/>	34	23	$5,465.35	$4,372.28 20% off	$519.16	$4,099.01	$4,099.01	2026-06-04
43281	CPT	43281 Laparoscopy Surgical Repair Of Paraesophageal Hernia Includes Fundoplasty …	34	23	$5,416.00	$4,332.80	$4,062.00	$4,062.00	$4,062.00	2026-06-04
11406	CPT	Exc Tr-ext B9+marg >4.0 Cm	34	23	$5,369.82	$4,295.86	$4,027.37	$4,027.37	$4,027.37	2026-06-04
949	MS_DRG	Aftercare With Cc/mcc	16	16	$113,712.17	$90,969.74	$3,800.00	$17,489.76	$4,020.00	2026-06-04
189	MS_DRG	Pulmonary Edema And Respiratory Failure	16	16	$26,170.27	$20,936.22	$3,800.00	$17,489.76	$4,020.00	2026-06-04
J7171	HCPCS	64764-0140-05 - Apadamtase Alfa Recombinant Krhn 500 Intl Units Kit [mmrl]	34	23	$5,313.01	$4,250.41	$3,984.76	$8,691.05	$3,984.76	2026-06-04
45305	CPT	Proctosigmoidoscopy W/bx	34	23	$5,269.12	$4,215.30	$3,951.84	$3,951.84	$3,951.84	2026-06-04
J1437	HCPCS	73594-9310-01 - Ferric Derisomaltose 100 Mg/ml Sol [mmrl]	34	23	$5,259.76	$4,207.81	$3,944.82	$3,944.82	$3,944.82	2026-06-04
J0630	HCPCS	42023-0205-01 - Calcitonin 200 Intl Units/ml Sol	34	23	$5,072.22	$4,057.78	$3,804.17	$3,804.17	$3,804.17	2026-06-04
44388	CPT	Colonoscopy Thru Stoma Spx	34	23	$4,981.11	$3,984.89	$3,735.83	$3,735.83	$3,735.83	2026-06-04
28825	CPT	Partial Amputation Of Toe	34	23	$4,897.45	$3,917.96	$3,673.09	$3,673.09	$3,673.09	2026-06-04
46221	CPT	Ligation Of Hemorrhoid(s)	34	23	$4,881.56	$3,905.25	$349.82	$3,661.17	$3,661.17	2026-06-04
J3247	HCPCS	00078-1168-61 - Secukinumab 25 Mg/ml 125mg/5ml Sol [mmrl]	34	23	$4,868.53	$3,894.82 20% off	$3,651.40	$3,651.40	$3,651.40	2026-06-04
64420	CPT	Njx Aa&/strd Ntrcost Nrv 1	34	23	$4,756.41	$3,805.13	$3,567.31	$3,567.31	$3,567.31	2026-06-04
45398	CPT	Colonoscopy W/band Ligation	34	23	$4,668.92	$3,735.14	$3,501.69	$3,501.69	$3,501.69	2026-06-04
J3032	HCPCS	67386-0130-51 - Eptinezumab Jjmr (vyepti) 100 Mg/ml Sol 1ml [mmrl]	34	23	$4,583.16	$3,666.53	$3,437.37	$3,437.37	$3,437.37	2026-06-04
42999	CPT	Throat Surgery Procedure	34	23	$4,565.59	$3,652.47 20% off	$3,424.19	$3,424.19	$3,424.19	2026-06-04
42720	CPT	Drainage Of Throat Abscess	34	23	$4,565.59	$3,652.47 20% off	$3,424.19	$3,424.19	$3,424.19	2026-06-04
42700	CPT	Drainage Of Tonsil Abscess	34	23	$4,565.59	$3,652.47 20% off	$3,424.19	$3,424.19	$3,424.19	2026-06-04
23350	CPT	Injection For Shoulder X-ray	34	23	$4,504.86	$3,603.89	$3,378.65	$3,378.65	$3,378.65	2026-06-04
45378	CPT	Diagnostic Colonoscopy	34	23	$4,408.18	$3,526.54 20% off	$183.42	$3,306.14	$3,306.14	2026-06-04
78452	CPT	Myocardial Perfusion/mult Stdy	34	23	$4,273.00	$3,418.40 20% off	$1,638.78	$3,204.75	$3,204.75	2026-06-04
21932	CPT	Exc Back Tum Deep < 5 Cm	34	23	$4,182.64	$3,346.11 20% off	$3,136.98	$3,136.98	$3,136.98	2026-06-04

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