Hospital

PERRY COUNTY MEMORIAL HOSPITAL

Tell City, IN · CCN 151322 · Rates published

6,130 distinct procedures filed

24 distinct payers

1,164,089 rate rows

2026-10-13 last MRF observed

Data quality

1,163,639 of 1,164,089 rate rows are consumer-grade (100.0%)

450 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
exceeds 10× this hospital's gross charge — excluded from medians	279
per-diem day rate — not a per-procedure price	114
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	57

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

Source MRF file	https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/24038e54-d9a2-4236-9081-ad3af29792c7/351121699_PERRY-COUNTY-MEMORIAL-HOSPITAL_standardcharges.zip
Found on page	https://www.yourcareeverywhere.com/content/medhost/your-care-everywhere/pricing-estimator-page.html?facility_id=24038e54-d9a2-4236-9081-ad3af29792c7
Discovered via	Discovered by HANK
Last fetch	success · 2026-10-14
Content fingerprint	b8e3df3a50312117… · 69,522,121 bytes · first seen 2026-10-14

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
3300240 CDM	Implant Neuroreciever Simultr	24	$12,580.77	$54,699.00	$33,765.69	nat. median $15,316 outlier · 2.2×
J1162 HCPCS	Digifab 40mg Vial	24	$4,252.93	$18,491.00	$11,414.49	nat. median $7,098 1.6× median
3300239 CDM	Revise Spine Eltrd Perq Aray	24	$3,377.32	$14,684.00	$9,064.43	nat. median $4,112 outlier · 2.2×
3300233 CDM	Percuteneous Diskectomy	24	$2,612.80	$11,360.00	$7,012.52	nat. median $3,181 outlier · 2.2×
3300000 CDM	Operating Room 1hr	24	$2,400.28	$10,436.00	$6,442.14	nat. median $6,442 1.0× median
3300298 CDM	Or Level 5	24	$2,391.31	$10,397.00	$6,418.06	nat. median $6,110 1.1× median
4050066 CDM	Xpansion Graft Appl	24	$2,171.20	$9,440.00	$5,827.31	nat. median $2,643 outlier · 2.2×
4050069 CDM	Skin Sub Apply Trk	24	$2,171.20	$9,440.00	$5,827.31	nat. median $3,115 1.9× median
4050065 CDM	Xpansion Graft Appl	24	$2,171.20	$9,440.00	$5,827.31	nat. median $2,643 outlier · 2.2×
3300300 CDM	Or Level 4	24	$2,125.89	$9,243.00	$5,705.70	nat. median $5,706 1.0× median
4050190 CDM	Biopsy Bone Deep	24	$2,094.38	$9,106.00	$5,621.13	nat. median $4,553 1.2× median
4050189 CDM	Biopsy Bone	24	$2,090.93	$9,091.00	$5,611.87	nat. median $2,545 outlier · 2.2×
4050187 CDM	Bone Biopsy Excisional Facility	24	$2,090.93	$9,091.00	$5,611.87	nat. median $4,546 1.2× median
4050055 CDM	Skin Sub Trunk	24	$2,056.89	$8,943.00	$5,520.51	nat. median $4,472 1.2× median
3905609 CDM	Ventralight Mesh 10x15 Cm Oval	24	$1,999.16	$8,692.00	$5,365.57	nat. median $5,366 1.0× median
3905561 CDM	Single Use Duodenoscope	24	$1,834.25	$7,975.00	$4,922.96	nat. median $4,923 1.0× median
3900030 CDM	Tubing IV Mini-drip	24	$1,720.40	$7,480.00	$4,617.40	nat. median $4,617 1.0× median
3300241 CDM	Revise/remove Neuroreciever	24	$1,622.42	$7,054.00	$4,354.43	nat. median $2,705 1.6× median
3300302 CDM	Or Level 3	24	$1,594.36	$6,932.00	$4,279.12	nat. median $4,074 1.1× median
4901109 CDM	Antivenin Crotalidae	24	$1,556.18	$6,766.00	$4,176.65	nat. median $2,815 1.5× median
J3240 HCPCS	Thyrotropin Alfa 0.9 Mg Injection	24	$1,738.80	$7,560.00	$4,111.51	nat. median $2,974 1.4× median
4050140 CDM	Surgical Prep Legs, Trunk,arms	24	$1,451.76	$6,312.00	$3,896.39	nat. median $3,156 1.2× median
4050063 CDM	Cellutome Applicat	24	$1,433.59	$6,233.00	$3,847.63	nat. median $1,745 outlier · 2.2×
4050064 CDM	Celltome Applicat	24	$1,433.59	$6,233.00	$3,847.63	nat. median $2,855 1.3× median
4050073 CDM	Skin Sub Apply Feet	24	$1,433.59	$6,233.00	$3,847.63	nat. median $3,116 1.2× median
3300231 CDM	Tx Spinal Cord Lesion Cer/thor	24	$1,410.13	$6,131.00	$3,784.66	nat. median $1,717 outlier · 2.2×
3300232 CDM	Inj Neurolyt;epid Lumb/caudal	24	$1,410.13	$6,131.00	$3,784.66	nat. median $1,717 outlier · 2.2×
3300234 CDM	Inject Into Disk Lesion	24	$1,410.13	$6,131.00	$3,784.66	nat. median $2,351 1.6× median
3905560 CDM	Wallflex 10 Mm X 60mm Fully	24	$1,405.99	$6,113.00	$3,773.55	nat. median $3,774 1.0× median
63650 CPT	Par Implant Neu	24	$1,531.80	$6,660.00	$3,622.04	nat. median $7,236 0.5× median
3300304 CDM	Or Level 2	24	$1,328.48	$5,776.00	$3,565.52	nat. median $3,566 1.0× median
78816 CPT	Mn PET Image Without Whole Body	24	$1,457.28	$6,336.00	$3,445.83	nat. median $2,784 1.2× median
3905613 CDM	Ventralex St Hernia Patch Lg	24	$1,269.83	$5,521.00	$3,408.11	nat. median $3,408 1.0× median
3902847 CDM	Surgimest Tintra E 2226	24	$1,267.76	$5,512.00	$3,402.55	nat. median $3,403 1.0× median
12037 CPT	Phys Repair Wound	24	$1,428.53	$6,211.00	$3,377.85	nat. median $1,946 1.7× median
78815 CPT	Mn PET Img W/ct Skull Bs Mid	24	$1,423.70	$6,190.00	$3,366.43	nat. median $2,810 1.2× median
3300283 CDM	Destroy Paravertebral Nrv L/s	24	$1,235.33	$5,371.00	$3,315.51	nat. median $2,060 1.6× median
3300281 CDM	Destr Paravertebral Nerve CT	24	$1,235.33	$5,371.00	$3,315.51	nat. median $2,060 1.6× median
3905537 CDM	Xps Laser	24	$1,212.10	$5,270.00	$3,253.17	nat. median $3,253 1.0× median
3300295 CDM	Xps Laser	24	$1,212.10	$5,270.00	$3,253.17	nat. median $3,253 1.0× median
4050191 CDM	Biopsy Bone Needle	24	$1,205.20	$5,240.00	$3,234.65	nat. median $1,703 1.9× median
3380004 CDM	Birthing Room	24	$1,199.91	$5,217.00	$3,220.45	nat. median $3,220 1.0× median
3901993 CDM	Port MRI Groshw/cath	24	$1,179.44	$5,128.00	$3,165.51	nat. median $3,166 1.0× median
3400342 CDM	Unlist Proc Abd/periton/omentm	24	$1,171.62	$5,094.00	$3,144.52	nat. median $3,145 1.0× median
78452 CPT	Myocardial Spect Mul	24	$1,095.24	$5,699.00	$3,099.40	nat. median $1,797 1.7× median
3905608 CDM	Ventralight Mesh 11.4 Cm Round	24	$1,153.22	$5,014.00	$3,095.14	nat. median $3,095 1.0× median
3905614 CDM	Ventralex St Hernia Patch Md	24	$1,140.57	$4,959.00	$3,061.19	nat. median $3,061 1.0× median
3905539 CDM	Xps Moxyfiber	24	$1,135.51	$4,937.00	$3,047.61	nat. median $3,048 1.0× median
3300297 CDM	Xps Moxy Fiber	24	$1,135.28	$4,936.00	$3,046.99	nat. median $1,382 outlier · 2.2×
3300275 CDM	Destr W Neurolyt Trigem Nerve	24	$1,128.38	$4,906.00	$3,028.47	nat. median $2,883 1.1× median

Other procedures at this hospital

Browse this hospital's 6,130 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

12036	CPT	Phys Repair Wound 20.1-30	194	24	$1,888.00	$1,321.60 30% off	$434.24	$1,888.00	$1,567.04	2026-10-13
12037	CPT	Phys Repair Wound	194	24	$6,211.00	$4,347.70 30% off	$1,428.53	$6,211.00	$3,377.85	2026-10-13
15100	CPT	Phys Xpansion Appl	194	24	$3,272.00	$2,290.40 30% off	$752.56	$3,272.00	$1,825.87	2026-10-13
15110	CPT	Phys Cellutome Appl	194	24	$3,158.00	$2,210.60 30% off	$726.34	$3,158.00	$1,792.37	2026-10-13
15115	CPT	Phys Celltome Appl	194	24	$3,254.00	$2,277.80 30% off	$748.42	$3,254.00	$1,820.58	2026-10-13
15120	CPT	Phys Xpansion Appl	194	24	$3,190.00	$2,233.00 30% off	$733.70	$3,190.00	$1,801.78	2026-10-13
20245	CPT	Biopsy Bone Deep	194	24	$1,550.00	$1,085.00 30% off	$356.50	$1,905.42	$1,286.50	2026-10-13
3100005	CDM	Room Med/surg Telemetry	164	24	$2,298.00	$1,608.60 30% off	$528.54	$2,298.00	$1,418.55	2026-10-13
3100007	CDM	ICU Room Charge	164	24	$3,087.00	$2,160.90 30% off	$710.01	$3,087.00	$1,905.60	2026-10-13
3120000	CDM	Private-swing Bed	164	24	$2,451.00	$1,715.70 30% off	$563.73	$2,451.00	$1,513.00	2026-10-13
3200000	CDM	Telemetry ICU Rm	164	24	$3,555.00	$2,488.50 30% off	$817.65	$3,555.00	$2,194.50	2026-10-13
3200001	CDM	R&b Intensive Care	164	24	$3,211.00	$2,247.70 30% off	$738.53	$3,211.00	$1,982.15	2026-10-13
3300000	CDM	Operating Room 1hr	164	24	$10,436.00	$7,305.20 30% off	$2,400.28	$10,436.00	$6,442.14	2026-10-13
3300003	CDM	Surgery/1/4hr	164	24	$2,600.00	$1,820.00 30% off	$598.00	$2,600.00	$1,604.98	2026-10-13
3300025	CDM	Or Add 1/4 Hr	164	24	$2,600.00	$1,820.00 30% off	$598.00	$2,600.00	$1,604.98	2026-10-13
3300027	CDM	Surg. Treatment Room	164	24	$3,342.00	$2,339.40 30% off	$768.66	$3,342.00	$2,063.01	2026-10-13
3300231	CDM	Tx Spinal Cord Lesion Cer/thor	164	24	$6,131.00	$4,291.70 30% off	$1,410.13	$6,131.00	$3,784.66	2026-10-13
3300232	CDM	Inj Neurolyt;epid Lumb/caudal	164	24	$6,131.00	$4,291.70 30% off	$1,410.13	$6,131.00	$3,784.66	2026-10-13
3300233	CDM	Percuteneous Diskectomy	164	24	$11,360.00	$7,952.00 30% off	$2,612.80	$11,360.00	$7,012.52	2026-10-13
3300234	CDM	Inject Into Disk Lesion	164	24	$6,131.00	$4,291.70 30% off	$1,410.13	$6,131.00	$3,784.66	2026-10-13
3300235	CDM	Inject Into Spinal Artery	164	24	$2,658.00	$1,860.60 30% off	$611.34	$2,658.00	$1,640.78	2026-10-13
3300238	CDM	Remove Neuro Electrode Leads	164	24	$3,821.00	$2,674.70 30% off	$878.83	$3,821.00	$2,358.70	2026-10-13
3300239	CDM	Revise Spine Eltrd Perq Aray	164	24	$14,684.00	$10,278.80 30% off	$3,377.32	$14,684.00	$9,064.43	2026-10-13
3300240	CDM	Implant Neuroreciever Simultr	164	24	$54,699.00	$38,289.30 30% off	$12,580.77	$54,699.00	$33,765.69	2026-10-13
3300241	CDM	Revise/remove Neuroreciever	164	24	$7,054.00	$4,937.80 30% off	$1,622.42	$7,054.00	$4,354.43	2026-10-13
3300253	CDM	Nerve Block Inj Intercost Mult	164	24	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-10-13
3300255	CDM	Nerve Block Inj Pudenal	164	24	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-10-13
3300256	CDM	Nerve Block Inj Sciatic	164	24	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-10-13
3300259	CDM	Foramen Epidural Inj C/t	164	24	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-10-13
3300261	CDM	Foramen Epidural Inj L/s	164	24	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-10-13
3300263	CDM	Paravertebral C/t Facet	164	24	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-10-13
3300266	CDM	Paravertebral L/s Facet	164	24	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-10-13
3300271	CDM	Nerve Block Stellate Gangloin	164	24	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-10-13
3300272	CDM	Hypogastric Plexus Block	164	24	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-10-13
3300273	CDM	Nerve Block Lumb/thoracic	164	24	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-10-13
3300274	CDM	Nerve Block Inj Celiac Pelus	164	24	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-10-13
3300275	CDM	Destr W Neurolyt Trigem Nerve	164	24	$4,906.00	$3,434.20 30% off	$1,128.38	$4,906.00	$3,028.47	2026-10-13
3300278	CDM	Destr W Neurolyn Intercost Nrv	164	24	$4,906.00	$3,434.20 30% off	$1,128.38	$4,906.00	$3,028.47	2026-10-13
3300279	CDM	Nerve Treatment Inj Of Pudenda	164	24	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-10-13
3300281	CDM	Destr Paravertebral Nerve CT	164	24	$5,371.00	$3,759.70 30% off	$1,235.33	$5,371.00	$3,315.51	2026-10-13
3300283	CDM	Destroy Paravertebral Nrv L/s	164	24	$5,371.00	$3,759.70 30% off	$1,235.33	$5,371.00	$3,315.51	2026-10-13
3300284	CDM	Destroy Paravertebral Nrv L/s Add On	164	24	$2,149.00	$1,504.30 30% off	$494.27	$2,149.00	$1,326.57	2026-10-13
3300285	CDM	Neurolysis Lumbar	164	24	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-10-13
3300288	CDM	Nerve Tx Inj Of Celiac Plexus	164	24	$4,906.00	$3,434.20 30% off	$1,128.38	$4,906.00	$3,028.47	2026-10-13
3300289	CDM	Nerve Relieve Pressure	164	24	$4,393.00	$3,075.10 30% off	$1,010.39	$4,393.00	$2,711.79	2026-10-13
3300295	CDM	Xps Laser	164	24	$5,270.00	$3,689.00 30% off	$1,212.10	$5,270.00	$3,253.17	2026-10-13
3300297	CDM	Xps Moxy Fiber	164	24	$4,936.00	$3,455.20 30% off	$1,135.28	$4,936.00	$3,046.99	2026-10-13
3300298	CDM	Or Level 5	164	24	$10,397.00	$7,277.90 30% off	$2,391.31	$10,397.00	$6,418.06	2026-10-13
3300300	CDM	Or Level 4	164	24	$9,243.00	$6,470.10 30% off	$2,125.89	$9,243.00	$5,705.70	2026-10-13
3300301	CDM	Or Level 4 Additional 15 Minutes	164	24	$2,079.00	$1,455.30 30% off	$478.17	$2,079.00	$1,283.36	2026-10-13
3300302	CDM	Or Level 3	164	24	$6,932.00	$4,852.40 30% off	$1,594.36	$6,932.00	$4,279.12	2026-10-13
3300303	CDM	Or Level 3 Additional 15 Minutes	164	24	$2,079.00	$1,455.30 30% off	$478.17	$2,079.00	$1,283.36	2026-10-13
3300304	CDM	Or Level 2	164	24	$5,776.00	$4,043.20 30% off	$1,328.48	$5,776.00	$3,565.52	2026-10-13
3300305	CDM	Or Level 2 Additional 15 Minutes	164	24	$2,079.00	$1,455.30 30% off	$478.17	$2,079.00	$1,283.36	2026-10-13
3300306	CDM	Or Level 1	164	24	$4,621.00	$3,234.70 30% off	$1,062.83	$4,621.00	$2,852.54	2026-10-13
3300307	CDM	Or Level 1 Additional 15 Minutes	164	24	$2,079.00	$1,455.30 30% off	$478.17	$2,079.00	$1,283.36	2026-10-13
3300308	CDM	Pain Management Level 10	164	24	$2,888.00	$2,021.60 30% off	$664.24	$2,888.00	$1,782.76	2026-10-13
3380004	CDM	Birthing Room	164	24	$5,217.00	$3,651.90 30% off	$1,199.91	$5,217.00	$3,220.45	2026-10-13
3400129	CDM	Exc H-f-nk-sp B9+mar	164	24	$3,172.00	$2,220.40 30% off	$729.56	$3,172.00	$1,958.07	2026-10-13
3400257	CDM	Expl Penetr Wnd;neck	164	24	$2,106.00	$1,474.20 30% off	$484.38	$2,106.00	$1,300.03	2026-10-13
3400285	CDM	Arthrtmy Knee, W/exp/drn/rem Fb	164	24	$2,528.00	$1,769.60 30% off	$581.44	$2,528.00	$1,560.53	2026-10-13
3400335	CDM	Repair Stomach Opening	164	24	$2,456.00	$1,719.20 30% off	$564.88	$2,456.00	$1,516.08	2026-10-13
3400342	CDM	Unlist Proc Abd/periton/omentm	164	24	$5,094.00	$3,565.80 30% off	$1,171.62	$5,094.00	$3,144.52	2026-10-13
3400346	CDM	Insert Uro/ves Nck Sphincter	164	24	$2,643.00	$1,850.10 30% off	$607.89	$2,643.00	$1,631.52	2026-10-13
3400360	CDM	Rmvl Fb Intraoc Ant Chmb Eye	164	24	$2,513.00	$1,759.10 30% off	$577.99	$2,513.00	$1,551.27	2026-10-13
3400398	CDM	Delivery Of Infant	164	24	$2,870.00	$2,009.00 30% off	$660.10	$2,870.00	$1,771.65	2026-10-13
3400406	CDM	Explore/drain Eye Socket	164	24	$2,725.00	$1,907.50 30% off	$626.75	$2,725.00	$1,682.14	2026-10-13
3440161	CDM	Phy Exp Postopr Hemo	164	24	$3,264.00	$2,284.80 30% off	$750.72	$3,264.00	$2,014.86	2026-10-13
3900030	CDM	Tubing IV Mini-drip	164	24	$7,480.00	$5,236.00 30% off	$1,720.40	$7,480.00	$4,617.40	2026-10-13
3900747	CDM	Comp Plate 7x150 Z	164	24	$2,242.00	$1,569.40 30% off	$515.66	$2,242.00	$1,383.98	2026-10-13
3900751	CDM	Comp Plate 7x145 Z	164	24	$2,242.00	$1,569.40 30% off	$515.66	$2,242.00	$1,383.98	2026-10-13
3900759	CDM	Comp Plate 7x140 Z	164	24	$2,242.00	$1,569.40 30% off	$515.66	$2,242.00	$1,383.98	2026-10-13
3900764	CDM	Comp Plate 4x135 Z	164	24	$2,131.00	$1,491.70 30% off	$490.13	$2,131.00	$1,315.46	2026-10-13
3900766	CDM	Comp Plate 6x135 Z	164	24	$2,316.00	$1,621.20 30% off	$532.68	$2,316.00	$1,429.66	2026-10-13
3900772	CDM	Kw Ky Co Sc Pl 5x130	164	24	$2,117.00	$1,481.90 30% off	$486.91	$2,117.00	$1,306.82	2026-10-13
3900776	CDM	Kw Ky Co Sc Pl 2x135	164	24	$2,073.00	$1,451.10 30% off	$476.79	$2,073.00	$1,279.66	2026-10-13
3900805	CDM	Supracond Pl 6 Disp	164	24	$2,309.00	$1,616.30 30% off	$531.07	$2,309.00	$1,425.34	2026-10-13
3900806	CDM	Supracond Pl 8 Disp	164	24	$2,299.00	$1,609.30 30% off	$528.77	$2,299.00	$1,419.17	2026-10-13
3900931	CDM	Prosth Thom St 46mm	164	24	$4,275.00	$2,992.50 30% off	$983.25	$4,275.00	$2,638.95	2026-10-13
3900986	CDM	Prosthesis 44mm Ster	164	24	$3,941.00	$2,758.70 30% off	$906.43	$3,941.00	$2,432.77	2026-10-13
3900987	CDM	Prost Hip Thomp 48mm	164	24	$4,295.00	$3,006.50 30% off	$987.85	$4,295.00	$2,651.30	2026-10-13
3901086	CDM	Prot Thomp Hip 2" St"	164	24	$3,856.00	$2,699.20 30% off	$886.88	$3,856.00	$2,380.30	2026-10-13
3901176	CDM	Prosthesis 54mm St	164	24	$3,983.00	$2,788.10 30% off	$916.09	$3,983.00	$2,458.70	2026-10-13
3901207	CDM	Suction Lectrova Dsp	164	24	$2,944.00	$2,060.80 30% off	$677.12	$2,944.00	$1,817.33	2026-10-13
3901256	CDM	Prosthesis Hip St 38	164	24	$3,615.00	$2,530.50 30% off	$831.45	$3,615.00	$2,231.53	2026-10-13
3901276	CDM	Prosthesis St 41 Mm	164	24	$4,275.00	$2,992.50 30% off	$983.25	$4,275.00	$2,638.95	2026-10-13
3901278	CDM	Aspira Cutter20 Disp	164	24	$2,187.00	$1,530.90 30% off	$503.01	$2,187.00	$1,350.03	2026-10-13
3901348	CDM	Curved Ceea 31 Disp	164	24	$3,659.00	$2,561.30 30% off	$841.57	$3,659.00	$2,258.70	2026-10-13
3901357	CDM	Curved Ceea 25 Disp	164	24	$3,979.00	$2,785.30 30% off	$915.17	$3,979.00	$2,456.23	2026-10-13
3901358	CDM	Curved Ceea 28 Disp	164	24	$3,979.00	$2,785.30 30% off	$915.17	$3,979.00	$2,456.23	2026-10-13
3901493	CDM	Pros St115/1649mmdis	164	24	$4,280.00	$2,996.00 30% off	$984.40	$4,280.00	$2,642.04	2026-10-13
3901556	CDM	Endoclip Disp	164	24	$2,143.00	$1,500.10 30% off	$492.89	$2,143.00	$1,322.87	2026-10-13
3901590	CDM	Stapler Ta 90 4.8	164	24	$2,101.00	$1,470.70 30% off	$483.23	$2,101.00	$1,296.94	2026-10-13
3901640	CDM	Stapler Gia 30-35	164	24	$2,816.00	$1,971.20 30% off	$647.68	$2,816.00	$1,738.31	2026-10-13
3901641	CDM	Stapler Gia 30v	164	24	$2,603.00	$1,822.10 30% off	$598.69	$2,603.00	$1,606.83	2026-10-13
3901660	CDM	Stapler Ems 30	164	24	$3,588.00	$2,511.60 30% off	$825.24	$3,588.00	$2,214.87	2026-10-13
3901665	CDM	Cholecysteg Kit Disp	164	24	$3,021.00	$2,114.70 30% off	$694.83	$3,021.00	$1,864.86	2026-10-13
3901715	CDM	Kit Hernia Lap Disp	164	24	$4,186.00	$2,930.20 30% off	$962.78	$4,186.00	$2,584.01	2026-10-13
3901719	CDM	Stapler Crvd Cir 25m	164	24	$3,369.00	$2,358.30 30% off	$774.87	$3,369.00	$2,079.68	2026-10-13
3901720	CDM	Stapler Cir 29mm	164	24	$3,169.00	$2,218.30 30% off	$728.87	$3,169.00	$1,956.22	2026-10-13
3901721	CDM	Stapler Skin Crvd 33	164	24	$3,288.00	$2,301.60 30% off	$756.24	$3,288.00	$2,029.68	2026-10-13
3901739	CDM	Hernia Kit Lko36	164	24	$4,195.00	$2,936.50 30% off	$964.85	$4,195.00	$2,589.57	2026-10-13
3901771	CDM	Linear Cut White Dsp	164	24	$2,569.00	$1,798.30 30% off	$590.87	$2,569.00	$1,585.84	2026-10-13
3901773	CDM	Linear Cut Blue Disp	164	24	$2,211.00	$1,547.70 30% off	$508.53	$2,211.00	$1,364.85	2026-10-13
3901882	CDM	Plate Hole 4 X 145	164	24	$2,079.00	$1,455.30 30% off	$478.17	$2,079.00	$1,283.36	2026-10-13
3901883	CDM	Plate Hole 4 X 150	164	24	$2,079.00	$1,455.30 30% off	$478.17	$2,079.00	$1,283.36	2026-10-13
3901888	CDM	Plate Hole 6 X 135	164	24	$2,079.00	$1,455.30 30% off	$478.17	$2,079.00	$1,283.36	2026-10-13
3901890	CDM	Plate Hole 8 X 135	164	24	$2,327.00	$1,628.90 30% off	$535.21	$2,327.00	$1,436.45	2026-10-13
3901891	CDM	Plate Hole 8 X 140	164	24	$2,327.00	$1,628.90 30% off	$535.21	$2,327.00	$1,436.45	2026-10-13
3901892	CDM	Plate Hole 8 X 145	164	24	$2,327.00	$1,628.90 30% off	$535.21	$2,327.00	$1,436.45	2026-10-13
3901893	CDM	Plate Hole 8 X 150	164	24	$2,327.00	$1,628.90 30% off	$535.21	$2,327.00	$1,436.45	2026-10-13
3901894	CDM	Plate Supracon 8x90	164	24	$2,882.00	$2,017.40 30% off	$662.86	$2,882.00	$1,779.05	2026-10-13
3901895	CDM	Plate Supracon 11x90	164	24	$3,121.00	$2,184.70 30% off	$717.83	$3,121.00	$1,926.59	2026-10-13
3901909	CDM	Stapler 55 4.8	164	24	$2,788.00	$1,951.60 30% off	$641.24	$2,788.00	$1,721.03	2026-10-13
3901941	CDM	Titan Dome Impl Port	164	24	$4,503.00	$3,152.10 30% off	$1,035.69	$4,503.00	$2,779.70	2026-10-13
3901973	CDM	Cv Cath/groshong Val	164	24	$2,868.00	$2,007.60 30% off	$659.64	$2,868.00	$1,770.41	2026-10-13
3901984	CDM	Stent Set 6fr 26cm	164	24	$2,174.00	$1,521.80 30% off	$500.02	$2,174.00	$1,342.01	2026-10-13
3901985	CDM	Stent Set 6fr 24cm	164	24	$2,174.00	$1,521.80 30% off	$500.02	$2,174.00	$1,342.01	2026-10-13
3901986	CDM	Stent Set 6fr 28cm	164	24	$2,174.00	$1,521.80 30% off	$500.02	$2,174.00	$1,342.01	2026-10-13
3901987	CDM	Plate Hole 6 X 130	164	24	$2,079.00	$1,455.30 30% off	$478.17	$2,079.00	$1,283.36	2026-10-13
3901993	CDM	Port MRI Groshw/cath	164	24	$5,128.00	$3,589.60 30% off	$1,179.44	$5,128.00	$3,165.51	2026-10-13
3902025	CDM	Screw Cann Bone 22mm	164	24	$2,208.00	$1,545.60 30% off	$507.84	$2,208.00	$1,362.99	2026-10-13
3902028	CDM	Prothesis Hip St43mm	164	24	$4,275.00	$2,992.50 30% off	$983.25	$4,275.00	$2,638.95	2026-10-13
3902070	CDM	Endo/linear Ctr Stnd	164	24	$2,301.00	$1,610.70 30% off	$529.23	$2,301.00	$1,420.40	2026-10-13
3902073	CDM	Endo/artic Ctr Vas	164	24	$3,033.00	$2,123.10 30% off	$697.59	$3,033.00	$1,872.27	2026-10-13
3902074	CDM	Endo/artic Ctr Stnd	164	24	$3,033.00	$2,123.10 30% off	$697.59	$3,033.00	$1,872.27	2026-10-13
3902139	CDM	Laproscopic Cholecys	164	24	$3,169.00	$2,218.30 30% off	$728.87	$3,169.00	$1,956.22	2026-10-13
3902267	CDM	Gii Quick Anchor	164	24	$2,070.00	$1,449.00 30% off	$476.10	$2,070.00	$1,277.81	2026-10-13
3902284	CDM	Sp Pin Washer,bx/10	164	24	$2,756.00	$1,929.20 30% off	$633.88	$2,756.00	$1,701.27	2026-10-13
3902308	CDM	Endo Clip 5mm	164	24	$2,263.00	$1,584.10 30% off	$520.49	$2,263.00	$1,396.94	2026-10-13
3902325	CDM	Plate Buttress T 4h	164	24	$2,174.00	$1,521.80 30% off	$500.02	$2,174.00	$1,342.01	2026-10-13
3902337	CDM	Suture Quick Anchor	164	24	$2,262.00	$1,583.40 30% off	$520.26	$2,262.00	$1,396.33	2026-10-13
3902340	CDM	Schanz Clamp 4.0 Adj	164	24	$4,633.00	$3,243.10 30% off	$1,065.59	$4,633.00	$2,859.95	2026-10-13
3902375	CDM	Collagraft	164	24	$2,309.00	$1,616.30 30% off	$531.07	$2,309.00	$1,425.34	2026-10-13
3902390	CDM	Perifix Plug Med	164	24	$2,494.00	$1,745.80 30% off	$573.62	$2,494.00	$1,539.54	2026-10-13
3902391	CDM	Perifix Plug Lg	164	24	$2,341.00	$1,638.70 30% off	$538.43	$2,341.00	$1,445.09	2026-10-13
3902392	CDM	Sing Lunsen Cath Kit	164	24	$3,309.00	$2,316.30 30% off	$761.07	$3,309.00	$2,042.64	2026-10-13
3902399	CDM	Esophageal Cath 1518	164	24	$2,535.00	$1,774.50 30% off	$583.05	$2,535.00	$1,564.85	2026-10-13
3902400	CDM	Esophageal Cath 1820	164	24	$2,083.00	$1,458.10 30% off	$479.09	$2,083.00	$1,285.83	2026-10-13
3902406	CDM	Perifix Plug Small	164	24	$2,090.00	$1,463.00 30% off	$480.70	$2,090.00	$1,290.15	2026-10-13
3902426	CDM	Mesh Composix 2x4	164	24	$2,203.00	$1,542.10 30% off	$506.69	$2,203.00	$1,359.91	2026-10-13
3902428	CDM	Mesh Composix 4x8	164	24	$2,977.00	$2,083.90 30% off	$684.71	$2,977.00	$1,837.70	2026-10-13
3902436	CDM	Mesh 3d Max Left	164	24	$2,157.00	$1,509.90 30% off	$496.11	$2,157.00	$1,331.51	2026-10-13
3902445	CDM	Vascular Graft	164	24	$4,872.00	$3,410.40 30% off	$1,120.56	$4,872.00	$3,007.48	2026-10-13
3902451	CDM	Ash Split Cath - 28	164	24	$3,281.00	$2,296.70 30% off	$754.63	$3,281.00	$2,025.36	2026-10-13
3902542	CDM	Endo Proximate Pph03	164	24	$2,217.00	$1,551.90 30% off	$509.91	$2,217.00	$1,368.55	2026-10-13
3902611	CDM	Gynecare Uterne Cath	164	24	$2,453.00	$1,717.10 30% off	$564.19	$2,453.00	$1,514.23	2026-10-13
3902685	CDM	Novasure Ablation Device	164	24	$3,328.00	$2,329.60 30% off	$765.44	$3,328.00	$2,054.37	2026-10-13
3902713	CDM	Mesh C-qur 8 X 10	164	24	$2,602.00	$1,821.40 30% off	$598.46	$2,602.00	$1,606.21	2026-10-13
3902724	CDM	Monarch Sling	164	24	$2,613.00	$1,829.10 30% off	$600.99	$2,613.00	$1,613.00	2026-10-13
3902734	CDM	Solyx Sling	164	24	$2,848.00	$1,993.60 30% off	$655.04	$2,848.00	$1,758.07	2026-10-13
3902740	CDM	Uphold Vaginal Support	164	24	$3,780.00	$2,646.00 30% off	$869.40	$3,780.00	$2,333.39	2026-10-13
3902792	CDM	Essure Coil Catheter	164	24	$3,326.00	$2,328.20 30% off	$764.98	$3,326.00	$2,053.13	2026-10-13
3902844	CDM	Surgimesh Tintra C12	164	24	$2,403.00	$1,682.10 30% off	$552.69	$2,403.00	$1,483.37	2026-10-13
3902845	CDM	Surgimesh Tintra C15	164	24	$2,574.00	$1,801.80 30% off	$592.02	$2,574.00	$1,588.93	2026-10-13
3902847	CDM	Surgimest Tintra E 2226	164	24	$5,512.00	$3,858.40 30% off	$1,267.76	$5,512.00	$3,402.55	2026-10-13
3903244	CDM	3.5 Lcp Prox Hum Plt Std 3h 590	164	24	$3,196.00	$2,237.20 30% off	$735.08	$3,196.00	$1,972.89	2026-10-13
3903245	CDM	3.5 Lcp Prox Hum Pi	164	24	$3,304.00	$2,312.80 30% off	$759.92	$3,304.00	$2,039.55	2026-10-13
3903471	CDM	Speed Bridge Sys	164	24	$4,035.00	$2,824.50 30% off	$928.05	$4,035.00	$2,490.80	2026-10-13
3905479	CDM	Desara Blue 22 Femincon Sling	164	24	$2,097.00	$1,467.90 30% off	$482.31	$2,097.00	$1,294.47	2026-10-13
3905523	CDM	Shoulder Repair Speed Bridge	164	24	$4,219.00	$2,953.30 30% off	$970.37	$4,219.00	$2,604.38	2026-10-13
3905537	CDM	Xps Laser	164	24	$5,270.00	$3,689.00 30% off	$1,212.10	$5,270.00	$3,253.17	2026-10-13
3905539	CDM	Xps Moxyfiber	164	24	$4,937.00	$3,455.90 30% off	$1,135.51	$4,937.00	$3,047.61	2026-10-13
3905555	CDM	Urolift 2 Implaint Cartridge	164	24	$2,136.00	$1,495.20 30% off	$491.28	$2,136.00	$1,318.55	2026-10-13
3905556	CDM	Urollift Cartridge Handle Kit	164	24	$2,136.00	$1,495.20 30% off	$491.28	$2,136.00	$1,318.55	2026-10-13
3905560	CDM	Wallflex 10 Mm X 60mm Fully	164	24	$6,113.00	$4,279.10 30% off	$1,405.99	$6,113.00	$3,773.55	2026-10-13
3905561	CDM	Single Use Duodenoscope	164	24	$7,975.00	$5,582.50 30% off	$1,834.25	$7,975.00	$4,922.96	2026-10-13
3905579	CDM	Implant System Meniscal Repair	164	24	$3,143.00	$2,200.10 30% off	$722.89	$3,143.00	$1,940.17	2026-10-13
3905607	CDM	Capsure Tacker	164	24	$3,169.00	$2,218.30 30% off	$728.87	$3,169.00	$1,956.22	2026-10-13
3905608	CDM	Ventralight Mesh 11.4 Cm Round	164	24	$5,014.00	$3,509.80 30% off	$1,153.22	$5,014.00	$3,095.14	2026-10-13
3905609	CDM	Ventralight Mesh 10x15 Cm Oval	164	24	$8,692.00	$6,084.40 30% off	$1,999.16	$8,692.00	$5,365.57	2026-10-13
3905613	CDM	Ventralex St Hernia Patch Lg	164	24	$5,521.00	$3,864.70 30% off	$1,269.83	$5,521.00	$3,408.11	2026-10-13
3905614	CDM	Ventralex St Hernia Patch Md	164	24	$4,959.00	$3,471.30 30% off	$1,140.57	$4,959.00	$3,061.19	2026-10-13
3905615	CDM	Ventralex St Hernia Patch Sm	164	24	$4,138.00	$2,896.60 30% off	$951.74	$4,138.00	$2,554.38	2026-10-13
3905621	CDM	Ureteroscope	164	24	$2,178.00	$1,524.60 30% off	$500.94	$2,178.00	$1,344.47	2026-10-13
4050024	CDM	Debridement, Bone	164	24	$4,161.00	$2,912.70 30% off	$957.03	$4,161.00	$2,568.58	2026-10-13
4050030	CDM	Biopsy Of Skin Lsn	164	24	$3,175.00	$2,222.50 30% off	$730.25	$3,175.00	$1,959.92	2026-10-13
4050035	CDM	Removal Of Fb	164	24	$4,161.00	$2,912.70 30% off	$957.03	$4,161.00	$2,568.58	2026-10-13
4050053	CDM	Skin Sub Truck	164	24	$4,875.00	$3,412.50 30% off	$1,121.25	$4,875.00	$3,009.33	2026-10-13
4050055	CDM	Skin Sub Trunk	164	24	$8,943.00	$6,260.10 30% off	$2,056.89	$8,943.00	$5,520.51	2026-10-13
4050057	CDM	Skin Sub Feet	164	24	$4,876.00	$3,413.20 30% off	$1,121.48	$4,876.00	$3,009.95	2026-10-13
4050059	CDM	Skin Sub Feet	164	24	$4,876.00	$3,413.20 30% off	$1,121.48	$4,876.00	$3,009.95	2026-10-13
4050063	CDM	Cellutome Applicat	164	24	$6,233.00	$4,363.10 30% off	$1,433.59	$6,233.00	$3,847.63	2026-10-13
4050064	CDM	Celltome Applicat	164	24	$6,233.00	$4,363.10 30% off	$1,433.59	$6,233.00	$3,847.63	2026-10-13
4050065	CDM	Xpansion Graft Appl	164	24	$9,440.00	$6,608.00 30% off	$2,171.20	$9,440.00	$5,827.31	2026-10-13
4050066	CDM	Xpansion Graft Appl	164	24	$9,440.00	$6,608.00 30% off	$2,171.20	$9,440.00	$5,827.31	2026-10-13
4050069	CDM	Skin Sub Apply Trk	164	24	$9,440.00	$6,608.00 30% off	$2,171.20	$9,440.00	$5,827.31	2026-10-13
4050073	CDM	Skin Sub Apply Feet	164	24	$6,233.00	$4,363.10 30% off	$1,433.59	$6,233.00	$3,847.63	2026-10-13
4050140	CDM	Surgical Prep Legs, Trunk,arms	164	24	$6,312.00	$4,418.40 30% off	$1,451.76	$6,312.00	$3,896.39	2026-10-13
4050187	CDM	Bone Biopsy Excisional Facility	164	24	$9,091.00	$6,363.70 30% off	$2,090.93	$9,091.00	$5,611.87	2026-10-13
4050189	CDM	Biopsy Bone	164	24	$9,091.00	$6,363.70 30% off	$2,090.93	$9,091.00	$5,611.87	2026-10-13
4050190	CDM	Biopsy Bone Deep	164	24	$9,106.00	$6,374.20 30% off	$2,094.38	$9,106.00	$5,621.13	2026-10-13
4050191	CDM	Biopsy Bone Needle	164	24	$5,240.00	$3,668.00 30% off	$1,205.20	$5,240.00	$3,234.65	2026-10-13
4050214	CDM	Tenotomy Open Tendon Flexor Toe Single	164	24	$4,071.00	$2,849.70 30% off	$936.33	$4,071.00	$2,513.02	2026-10-13
4050216	CDM	Tenotomy, Toe Multiple Tendons	164	24	$4,071.00	$2,849.70 30% off	$936.33	$4,071.00	$2,513.02	2026-10-13
4050225	CDM	Tumor/vasc Soft Tissue Hand Or Finger	164	24	$4,877.00	$3,413.90 30% off	$1,121.71	$4,877.00	$3,010.57	2026-10-13
4200133	CDM	Rp Loc Inf Proc Wb	164	24	$2,289.00	$1,602.30 30% off	$526.47	$2,289.00	$1,412.99	2026-10-13
4200134	CDM	Rp Loc Of Inf Proc S	164	24	$2,739.00	$1,917.30 30% off	$629.97	$2,739.00	$1,690.78	2026-10-13
4901109	CDM	Antivenin Crotalidae	164	24	$6,766.00	$4,736.20 30% off	$1,556.18	$6,766.00	$4,176.65	2026-10-13
4903186	CDM	Regranex 0.01% Gel	164	24	$3,356.00	$2,349.20 30% off	$771.88	$3,356.00	$2,071.65	2026-10-13
4903676	CDM	Forteo Pen 750mcg	164	24	$2,173.00	$1,521.10 30% off	$499.79	$2,173.00	$1,341.39	2026-10-13
63650	CPT	Par Implant Neu	194	24	$6,660.00	$4,662.00 30% off	$1,531.80	$6,660.00	$3,622.04	2026-10-13
66982	CPT	Cataract Surgery Complex	194	24	$2,489.00	$1,742.30 30% off	$572.47	$4,315.74	$2,065.87	2026-10-13
70336	CPT	MRI Tmj	194	24	$2,936.00	$2,055.20 30% off	$675.28	$2,936.00	$1,596.74	2026-10-13
70470	CPT	CT Head Ww Con	194	24	$2,455.00	$1,718.50 30% off	$378.38	$2,455.00	$1,335.15	2026-10-13
70482	CPT	CT In Ear Ww C	194	24	$2,455.00	$1,718.50 30% off	$564.65	$2,455.00	$1,335.15	2026-10-13
70488	CPT	CT Max/fac Ww	194	24	$2,455.00	$1,718.50 30% off	$564.65	$2,455.00	$1,335.15	2026-10-13
70491	CPT	CT St Neck W C	194	24	$2,397.00	$1,677.90 30% off	$478.84	$2,397.00	$1,303.61	2026-10-13
70492	CPT	CT St Neck Ww	194	24	$2,413.00	$1,689.10 30% off	$554.99	$2,413.00	$1,312.31	2026-10-13
70540	CPT	MRI O/f/n Without Pit	194	24	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$1,879.55	2026-10-13
70542	CPT	MRI O/f/n W/cont Pit	194	24	$4,283.00	$2,998.10 30% off	$901.06	$4,283.00	$2,329.31	2026-10-13
70543	CPT	MRI O/face/n W/wo	194	24	$4,283.00	$2,998.10 30% off	$985.09	$4,283.00	$2,329.31	2026-10-13
70544	CPT	MRA Head Without Con	194	24	$2,655.00	$1,858.50 30% off	$610.65	$2,655.00	$1,443.92	2026-10-13
70546	CPT	MRA Head W/wo Contrast	194	24	$2,320.00	$1,624.00 30% off	$533.60	$2,320.00	$1,410.16	2026-10-13
70547	CPT	Mr Angiography Carotids Without Contrast	194	24	$2,804.00	$1,962.80 30% off	$644.92	$2,804.00	$1,524.95	2026-10-13
70548	CPT	MRA Carotid W/contrast	358	24	$2,292.00	$1,604.40 30% off	$527.16	$2,936.00	$1,468.00	2026-10-13
70549	CPT	MRA Neck W/without Con	358	24	$3,456.00	$2,419.20 30% off	$794.88	$3,915.00	$2,133.38	2026-10-13
70551	CPT	MRI Brain/iac No Cont	194	24	$2,628.00	$1,839.60 30% off	$464.37	$2,628.00	$1,429.24	2026-10-13
70552	CPT	MRI Brain/iac With	194	24	$3,176.00	$2,223.20 30% off	$661.44	$3,176.00	$1,727.26	2026-10-13
70553	CPT	MRI Brain/iac W/wo	194	24	$4,283.00	$2,998.10 30% off	$756.13	$4,283.00	$2,329.31	2026-10-13
71260	CPT	CT Chest W Con	194	24	$2,393.00	$1,675.10 30% off	$480.79	$2,393.00	$1,301.43	2026-10-13
71270	CPT	CT Chest Ww C	194	24	$2,888.00	$2,021.60 30% off	$597.68	$2,888.00	$1,570.63	2026-10-13
71550	CPT	MRI Chest Without Con	194	24	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$1,879.55	2026-10-13
71552	CPT	MRI Chest W/wo Con	194	24	$1,995.00	$1,396.50 30% off	$458.85	$1,995.00	$1,303.89	2026-10-13
72127	CPT	CT C-sp W Cont	194	24	$2,519.00	$1,763.30 30% off	$579.37	$2,519.00	$1,369.95	2026-10-13
72129	CPT	CT T-sp W Cont	194	24	$2,351.00	$1,645.70 30% off	$483.68	$2,351.00	$1,278.59	2026-10-13
72130	CPT	CT T-sp Ww Con	194	24	$2,492.00	$1,744.40 30% off	$573.16	$2,492.00	$1,355.27	2026-10-13
72132	CPT	CT L-sp W Con	194	24	$2,725.00	$1,907.50 30% off	$481.77	$2,725.00	$1,481.99	2026-10-13
72133	CPT	CT L-sp Ww Con	194	24	$2,492.00	$1,744.40 30% off	$573.16	$2,492.00	$1,355.27	2026-10-13
72141	CPT	MRI Cerv Spine Without C	194	24	$2,628.00	$1,839.60 30% off	$457.59	$2,628.00	$1,429.24	2026-10-13
72142	CPT	MRI Cerv-spin W/con	194	24	$3,456.00	$2,419.20 30% off	$665.30	$3,456.00	$1,879.55	2026-10-13
72146	CPT	Mr Thora-sp Without Con	194	24	$2,628.00	$1,839.60 30% off	$457.59	$2,628.00	$1,429.24	2026-10-13
72147	CPT	MRI Thorac-sp W/con	194	24	$3,456.00	$2,419.20 30% off	$656.60	$3,456.00	$1,879.55	2026-10-13
72148	CPT	Mr Lumba-sp Without Con	194	24	$2,628.00	$1,839.60 30% off	$457.59	$2,628.00	$1,429.24	2026-10-13
72149	CPT	Mr Lumbar-spi W/con	194	24	$3,456.00	$2,419.20 30% off	$652.74	$3,456.00	$1,879.55	2026-10-13
72156	CPT	Mr Cerv-sp W/without Con	194	24	$4,283.00	$2,998.10 30% off	$757.11	$4,283.00	$2,329.31	2026-10-13
72157	CPT	Mr Tho-sp W/without Con	194	24	$4,283.00	$2,998.10 30% off	$758.04	$4,283.00	$2,329.31	2026-10-13
72158	CPT	Mr Lum-sp W/without Con	194	24	$4,283.00	$2,998.10 30% off	$752.27	$4,283.00	$2,329.31	2026-10-13
72193	CPT	CT Pelvis W Co	194	24	$2,476.00	$1,733.20 30% off	$480.79	$2,476.00	$1,346.57	2026-10-13
72194	CPT	CT Pelvis Ww Co	194	24	$2,801.00	$1,960.70 30% off	$583.21	$2,801.00	$1,523.32	2026-10-13
72195	CPT	MRI Pelvis Without Con	194	24	$2,406.00	$1,684.20 30% off	$553.38	$2,406.00	$1,308.50	2026-10-13
72196	CPT	MRI Pelvis W/con	194	24	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$1,879.55	2026-10-13
72197	CPT	MRI Pelvis W/without Con	194	24	$3,141.00	$2,198.70 30% off	$722.43	$3,141.00	$1,708.23	2026-10-13
73201	CPT	CT Up Ext W/con	194	24	$3,526.00	$2,468.20 30% off	$475.96	$3,526.00	$1,917.62	2026-10-13
73202	CPT	CT Up Ext Ww Co Bilateral	358	24	$2,492.00	$1,744.40 30% off	$573.16	$3,076.00	$1,538.31	2026-10-13
73218	CPT	MRI Up Ext Non Jt Wo	194	24	$2,668.00	$1,867.60 30% off	$613.64	$2,668.00	$1,450.99	2026-10-13
73219	CPT	MRI Up Ext Non Jt W/cont	194	24	$2,936.00	$2,055.20 30% off	$675.28	$2,936.00	$1,596.74	2026-10-13
73220	CPT	MRI Up Ext Non Bilat	522	24	$3,456.00	$2,419.20 30% off	$426.19	$6,283.00	$1,759.24	2026-10-13
73221	CPT	MRI Up Ext Jt Without Co	194	24	$3,456.00	$2,419.20 30% off	$503.96	$3,456.00	$1,879.55	2026-10-13
73223	CPT	MRI Up Ext Jt W/without	194	24	$4,012.00	$2,808.40 30% off	$922.76	$4,012.00	$2,181.93	2026-10-13
73701	CPT	CT Low Ext W C	194	24	$2,476.00	$1,733.20 30% off	$483.68	$2,476.00	$1,346.57	2026-10-13
73702	CPT	CT Low Ext Ww Con	194	24	$2,492.00	$1,744.40 30% off	$573.16	$2,492.00	$1,355.27	2026-10-13
73718	CPT	MRI Low Ext N.jt Without	194	24	$2,406.00	$1,684.20 30% off	$553.38	$2,406.00	$1,308.50	2026-10-13
73719	CPT	MRI Lower Ext Nonjt W/contrast	194	24	$2,804.00	$1,962.80 30% off	$644.92	$2,804.00	$1,524.95	2026-10-13
73720	CPT	MRI Low Ext Njt W/wo	194	24	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$1,879.55	2026-10-13
73721	CPT	MRI Low Ext Jt Bilat	358	24	$3,456.00	$2,419.20 30% off	$504.93	$5,186.00	$2,593.00	2026-10-13
73723	CPT	MRI Low Ext Jt W/without	194	24	$4,012.00	$2,808.40 30% off	$922.76	$4,012.00	$2,181.93	2026-10-13
74160	CPT	CT Abd W Con	194	24	$2,548.00	$1,783.60 30% off	$478.84	$2,548.00	$1,385.72	2026-10-13
74170	CPT	CT Abd Ww Con	194	24	$2,963.00	$2,074.10 30% off	$562.93	$2,963.00	$1,611.42	2026-10-13
74177	CPT	CT Abd/pelvis With Contrast	194	24	$3,079.00	$2,155.30 30% off	$632.46	$3,079.00	$1,674.51	2026-10-13
74181	CPT	MRI Abdomen Without Con	194	24	$3,456.00	$2,419.20 30% off	$717.48	$3,456.00	$1,879.55	2026-10-13
74182	CPT	MRI Abdomen W/con	194	24	$2,483.00	$1,738.10 30% off	$571.09	$2,483.00	$1,350.38	2026-10-13
74183	CPT	MRI Abdomen W/without Co	194	24	$4,024.00	$2,816.80 30% off	$925.52	$4,024.00	$2,188.45	2026-10-13
74185	CPT	MRA Abdomen W/without Co	194	24	$4,024.00	$2,816.80 30% off	$901.06	$4,024.00	$2,188.45	2026-10-13
78451	CPT	Myocard Spect Sgl	194	24	$3,351.00	$2,345.70 30% off	$761.28	$3,351.00	$1,822.44	2026-10-13
78452	CPT	Myocardial Spect Mul	194	24	$5,699.00	$3,989.30 30% off	$1,095.24	$5,699.00	$3,099.40	2026-10-13
78582	CPT	Nm Vq Quan W/vent	358	24	$3,945.00	$2,761.50 30% off	$685.86	$3,945.00	$1,972.50	2026-10-13
78601	CPT	Brain Imaging W Spec	194	24	$2,739.00	$1,917.30 30% off	$525.56	$2,739.00	$1,489.61	2026-10-13
78803	CPT	Bone Scan W Spect	522	24	$2,739.00	$1,917.30 30% off	$612.72	$2,953.00	$1,690.78	2026-10-13
78815	CPT	Mn PET Img W/ct Skull Bs Mid	194	24	$6,190.00	$4,333.00 30% off	$1,423.70	$6,190.00	$3,366.43	2026-10-13
78816	CPT	Mn PET Image Without Whole Body	194	24	$6,336.00	$4,435.20 30% off	$1,457.28	$6,336.00	$3,445.83	2026-10-13
81162	CPT	Brca 1 And 2	248	24	$2,500.00	$1,750.00 30% off	$575.00	$2,500.00	$1,824.88	2026-10-13
81229	CPT	Snp Microarray	248	24	$5,288.00	$3,701.60 30% off	$540.00	$5,288.00	$1,480.64	2026-10-13
90377	CPT	Kedrab 300iu/2ml (bills Per 150iu)	194	24	$1,730.00	$1,211.00 30% off	$397.90	$1,730.00	$1,393.63	2026-10-13
90675	CPT	Rabavert Vaccine	194	24	$1,750.00	$1,225.00 30% off	$402.50	$1,750.00	$1,452.50	2026-10-13
93306	CPT	Complete Echo W/strain Imaging	328	24	$2,683.50	$1,878.45 30% off	$493.81	$3,220.00	$1,782.01	2026-10-13
94002	CPT	Vent Mgmt Inpt Initday	164	24	$3,120.00	$2,184.00 30% off	$717.60	$3,120.00	$1,925.97	2026-10-13
95805	CPT	Mult Sleep Latency Test (mslt)	194	24	$3,043.00	$2,130.10 30% off	$553.92	$3,043.00	$1,654.93	2026-10-13
95810	CPT	Polsy 6yrs, 4 Or > Param	358	24	$5,074.00	$3,551.80 30% off	$690.69	$5,074.00	$2,612.61	2026-10-13
95811	CPT	Polys 6yrs+4/>param Cpap	358	24	$5,074.00	$3,551.80 30% off	$690.69	$5,074.00	$2,612.61	2026-10-13
A0434	HCPCS	Specialty Care Trans	164	24	$4,272.00	$2,990.40 30% off	$982.56	$4,272.00	$2,637.10	2026-10-13
A2025	HCPCS	Miro 3d 18cm	358	24	$3,687.00	$2,580.90 30% off	$48.68	$4,309.00	$2,275.98	2026-10-13
A9547	HCPCS	Indium In 11 Qxyquinoline	164	24	$2,896.00	$2,027.20 30% off	$666.08	$2,896.00	$1,787.70	2026-10-13
A9569	HCPCS	Tc 99m Exametazime	164	24	$4,684.00	$3,278.80 30% off	$1,077.32	$4,684.00	$2,891.43	2026-10-13
C8929	HCPCS	Adult Echo W/contrast	164	24	$2,274.00	$1,591.80 30% off	$523.02	$2,274.00	$1,403.74	2026-10-13
G0260	HCPCS	Injection Sacrolliac Joint	164	24	$2,274.00	$1,591.80 30% off	$523.02	$2,274.00	$1,403.74	2026-10-13
J1162	HCPCS	Digifab 40mg Vial	164	24	$18,491.00	$12,943.70 30% off	$4,252.93	$18,491.00	$11,414.49	2026-10-13
J1212	HCPCS	Rimso-50	194	24	$2,877.00	$2,013.90 30% off	$661.71	$2,877.00	$1,564.65	2026-10-13
J1742	HCPCS	Corvert 1mg/10ml (bills Per 1mg)	194	24	$2,350.00	$1,645.00 30% off	$313.22	$2,350.00	$1,278.05	2026-10-13
J1826	HCPCS	Avonex 30mcg Inj	194	24	$4,478.00	$3,134.60 30% off	$1,029.94	$4,478.00	$2,435.36	2026-10-13
J2355	HCPCS	Oprelvekin 5mg Inj	164	24	$3,109.00	$2,176.30 30% off	$715.07	$3,109.00	$1,919.18	2026-10-13
J2506	HCPCS	Neulasta 6mg/0.6ml (bills Per 0.5mg)	194	24	$2,414.00	$1,689.80 30% off	$555.22	$2,414.00	$1,312.85	2026-10-13
J3240	HCPCS	Thyrotropin Alfa 0.9 Mg Injection	194	24	$7,560.00	$5,292.00 30% off	$1,738.80	$7,560.00	$4,111.51	2026-10-13
J7298	HCPCS	Mirena 52mg System	194	24	$3,504.00	$2,452.80 30% off	$805.92	$3,504.00	$1,905.65	2026-10-13
J9015	HCPCS	Proleukin Vl	164	24	$2,693.00	$1,885.10 30% off	$619.39	$2,693.00	$1,662.38	2026-10-13
J9185	HCPCS	Fludara 50mg Vl	194	24	$3,955.00	$2,768.50 30% off	$99.23	$3,955.00	$2,150.93	2026-10-13
J9202	HCPCS	Zoladex 3.6mg Inj	164	24	$2,326.00	$1,628.20 30% off	$534.98	$2,326.00	$1,435.83	2026-10-13
J9217	HCPCS	Eligard 22.5mg (bills Per 7.5mg)	686	24	$1,961.00	$1,372.70 30% off	$442.29	$5,742.00	$1,607.76	2026-10-13
Q4160	HCPCS	Nushield 1.6 Cm Disc	686	24	$2,599.00	$1,819.30 30% off	$48.68	$4,494.00	$1,291.00	2026-10-13
V2632	HCPCS	Eye Lens	164	24	$2,331.00	$1,631.70 30% off	$536.13	$2,331.00	$1,438.92	2026-10-13

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