Hospital

PERRY COUNTY MEMORIAL HOSPITAL

Tell City, IN · CCN 151322 · Rates published

5,949 distinct procedures filed

23 distinct payers

1,070,690 rate rows

2026-01-02 last MRF observed

Data quality

1,064,791 of 1,070,690 rate rows are consumer-grade (99.4%)

5,899 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	5,795
per-diem day rate — not a per-procedure price	104

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	not_modified · 2026-05-16
Content fingerprint	8866e294430fe235… · 57,262,825 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
3300240 CDM	Implant Neuroreciever Simultr	23	$12,580.77	$54,699.00	$33,765.69	nat. median $14,222 outlier · 2.4×
J1162 CPT	Digifab 40mg Vial	23	$4,252.93	$18,491.00	$11,414.49	nat. median $7,316 1.6× median
3300239 CDM	Revise Spine Eltrd Perq Aray	23	$3,377.32	$14,684.00	$9,064.43	nat. median $3,818 outlier · 2.4×
3300233 CDM	Percuteneous Diskectomy	23	$2,612.80	$11,360.00	$7,012.52	nat. median $2,954 outlier · 2.4×
3300000 CDM	Operating Room 1hr	23	$2,400.28	$10,436.00	$6,442.14	nat. median $6,442 1.0× median
3300298 CDM	Or Level 5	23	$2,391.31	$10,397.00	$6,418.06	nat. median $6,110 1.1× median
4050066 CDM	Xpansion Graft Appl	23	$2,171.20	$9,440.00	$5,827.31	nat. median $2,454 outlier · 2.4×
4050069 CDM	Skin Sub Apply Trk	23	$2,171.20	$9,440.00	$5,827.31	nat. median $3,021 1.9× median
4050065 CDM	Xpansion Graft Appl	23	$2,171.20	$9,440.00	$5,827.31	nat. median $2,454 outlier · 2.4×
3300300 CDM	Or Level 4	23	$2,125.89	$9,243.00	$5,705.70	nat. median $5,706 1.0× median
4050190 CDM	Biopsy Bone Deep	23	$2,094.38	$9,106.00	$5,621.13	nat. median $4,553 1.2× median
4050189 CDM	Biopsy Bone	23	$2,090.93	$9,091.00	$5,611.87	nat. median $2,364 outlier · 2.4×
4050187 CDM	Bone Biopsy Excisional Facility	23	$2,090.93	$9,091.00	$5,611.87	nat. median $4,546 1.2× median
4050055 CDM	Skin Sub Trunk	23	$2,056.89	$8,943.00	$5,520.51	nat. median $4,472 1.2× median
3905609 CDM	Ventralight Mesh 10x15 Cm Oval	23	$1,999.16	$8,692.00	$5,365.57	nat. median $5,366 1.0× median
3905561 CDM	Single Use Duodenoscope	23	$1,834.25	$7,975.00	$4,922.96	nat. median $4,923 1.0× median
J3240 CPT	Thyrotropin Alfa 0.9 Mg Injection	23	$1,738.80	$7,560.00	$4,666.78	nat. median $2,976 1.6× median
3900030 CDM	Tubing IV Mini-drip	23	$1,720.40	$7,480.00	$4,617.40	nat. median $4,617 1.0× median
3300241 CDM	Revise/remove Neuroreciever	23	$1,622.42	$7,054.00	$4,354.43	nat. median $3,527 1.2× median
3300302 CDM	Or Level 3	23	$1,594.36	$6,932.00	$4,279.12	nat. median $4,074 1.1× median
4901109 CDM	Antivenin Crotalidae	23	$1,556.18	$6,766.00	$4,176.65	nat. median $1,962 outlier · 2.1×
78816 CPT	Mn PET Image Without Whole Body	23	$1,457.28	$6,336.00	$3,911.21	nat. median $2,707 1.4× median
4050140 CDM	Surgical Prep Legs, Trunk,arms	23	$1,451.76	$6,312.00	$3,896.39	nat. median $3,156 1.2× median
4050073 CDM	Skin Sub Apply Feet	23	$1,433.59	$6,233.00	$3,847.63	nat. median $3,663 1.1× median
4050063 CDM	Cellutome Applicat	23	$1,433.59	$6,233.00	$3,847.63	nat. median $1,621 outlier · 2.4×
4050064 CDM	Celltome Applicat	23	$1,433.59	$6,233.00	$3,847.63	nat. median $3,116 1.2× median
12037 CPT	Phys Repair Wound	23	$1,428.53	$6,211.00	$3,834.05	nat. median $1,995 1.9× median
78815 CPT	Mn PET Img W/ct Skull Bs Mid	23	$1,423.70	$6,190.00	$3,821.08	nat. median $2,794 1.4× median
3300231 CDM	Tx Spinal Cord Lesion Cer/thor	23	$1,410.13	$6,131.00	$3,784.66	nat. median $1,594 outlier · 2.4×
3300232 CDM	Inj Neurolyt;epid Lumb/caudal	23	$1,410.13	$6,131.00	$3,784.66	nat. median $1,594 outlier · 2.4×
3300234 CDM	Inject Into Disk Lesion	23	$1,410.13	$6,131.00	$3,784.66	nat. median $3,066 1.2× median
3905560 CDM	Wallflex 10 Mm X 60mm Fully	23	$1,405.99	$6,113.00	$3,773.55	nat. median $3,774 1.0× median
3300304 CDM	Or Level 2	23	$1,328.48	$5,776.00	$3,565.52	nat. median $3,566 1.0× median
78452 CPT	Myocardial Spect Mul	23	$1,310.77	$5,699.00	$3,517.99	nat. median $1,765 2.0× median
3905613 CDM	Ventralex St Hernia Patch Lg	23	$1,269.83	$5,521.00	$3,408.11	nat. median $3,408 1.0× median
3902847 CDM	Surgimest Tintra E 2226	23	$1,267.76	$5,512.00	$3,402.55	nat. median $3,403 1.0× median
3300283 CDM	Destroy Paravertebral Nrv L/s	23	$1,235.33	$5,371.00	$3,315.51	nat. median $2,686 1.2× median
3300281 CDM	Destr Paravertebral Nerve CT	23	$1,235.33	$5,371.00	$3,315.51	nat. median $2,686 1.2× median
3300295 CDM	Xps Laser	23	$1,212.10	$5,270.00	$3,253.17	nat. median $3,253 1.0× median
3905537 CDM	Xps Laser	23	$1,212.10	$5,270.00	$3,253.17	nat. median $3,253 1.0× median
4050191 CDM	Biopsy Bone Needle	23	$1,205.20	$5,240.00	$3,234.65	nat. median $1,677 1.9× median
3380004 CDM	Birthing Room	23	$1,199.91	$5,217.00	$3,220.45	nat. median $3,220 1.0× median
3901993 CDM	Port MRI Groshw/cath	23	$1,179.44	$5,128.00	$3,165.51	nat. median $3,166 1.0× median
3400342 CDM	Unlist Proc Abd/periton/omentm	23	$1,171.62	$5,094.00	$3,144.52	nat. median $3,145 1.0× median
3905608 CDM	Ventralight Mesh 11.4 Cm Round	23	$1,153.22	$5,014.00	$3,095.14	nat. median $3,095 1.0× median
3905614 CDM	Ventralex St Hernia Patch Md	23	$1,140.57	$4,959.00	$3,061.19	nat. median $3,061 1.0× median
3905539 CDM	Xps Moxyfiber	23	$1,135.51	$4,937.00	$3,047.61	nat. median $3,048 1.0× median
3300297 CDM	Xps Moxy Fiber	23	$1,135.28	$4,936.00	$3,046.99	nat. median $1,283 outlier · 2.4×
3300278 CDM	Destr W Neurolyn Intercost Nrv	23	$1,128.38	$4,906.00	$3,028.47	nat. median $2,453 1.2× median
3300288 CDM	Nerve Tx Inj Of Celiac Plexus	23	$1,128.38	$4,906.00	$3,028.47	nat. median $2,453 1.2× median

Other procedures at this hospital

Browse this hospital's 5,949 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

3300240	CDM	Implant Neuroreciever Simultr	159	23	$54,699.00	$38,289.30 30% off	$12,580.77	$54,699.00	$33,765.69	2026-01-02
J1162	CPT	Digifab 40mg Vial	159	23	$18,491.00	$12,943.70 30% off	$4,252.93	$18,491.00	$11,414.49	2026-01-02
3300239	CDM	Revise Spine Eltrd Perq Aray	159	23	$14,684.00	$10,278.80 30% off	$3,377.32	$14,684.00	$9,064.43	2026-01-02
3300233	CDM	Percuteneous Diskectomy	159	23	$11,360.00	$7,952.00 30% off	$2,612.80	$11,360.00	$7,012.52	2026-01-02
3300000	CDM	Operating Room 1hr	159	23	$10,436.00	$7,305.20 30% off	$2,400.28	$10,436.00	$6,442.14	2026-01-02
3300298	CDM	Or Level 5	159	23	$10,397.00	$7,277.90 30% off	$2,391.31	$10,397.00	$6,418.06	2026-01-02
4050069	CDM	Skin Sub Apply Trk	159	23	$9,440.00	$6,608.00 30% off	$2,171.20	$9,440.00	$5,827.31	2026-01-02
4050065	CDM	Xpansion Graft Appl	159	23	$9,440.00	$6,608.00 30% off	$2,171.20	$9,440.00	$5,827.31	2026-01-02
4050066	CDM	Xpansion Graft Appl	159	23	$9,440.00	$6,608.00 30% off	$2,171.20	$9,440.00	$5,827.31	2026-01-02
3300300	CDM	Or Level 4	159	23	$9,243.00	$6,470.10 30% off	$2,125.89	$9,243.00	$5,705.70	2026-01-02
4050190	CDM	Biopsy Bone Deep	159	23	$9,106.00	$6,374.20 30% off	$2,094.38	$9,106.00	$5,621.13	2026-01-02
4050187	CDM	Bone Biopsy Excisional Facility	159	23	$9,091.00	$6,363.70 30% off	$2,090.93	$9,091.00	$5,611.87	2026-01-02
4050189	CDM	Biopsy Bone	159	23	$9,091.00	$6,363.70 30% off	$2,090.93	$9,091.00	$5,611.87	2026-01-02
4050055	CDM	Skin Sub Trunk	159	23	$8,943.00	$6,260.10 30% off	$2,056.89	$8,943.00	$5,520.51	2026-01-02
3905609	CDM	Ventralight Mesh 10x15 Cm Oval	159	23	$8,692.00	$6,084.40 30% off	$1,999.16	$8,692.00	$5,365.57	2026-01-02
3905561	CDM	Single Use Duodenoscope	159	23	$7,975.00	$5,582.50 30% off	$1,834.25	$7,975.00	$4,922.96	2026-01-02
J3240	CPT	Thyrotropin Alfa 0.9 Mg Injection	159	23	$7,560.00	$5,292.00 30% off	$1,738.80	$7,560.00	$4,666.78	2026-01-02
3900030	CDM	Tubing IV Mini-drip	159	23	$7,480.00	$5,236.00 30% off	$1,720.40	$7,480.00	$4,617.40	2026-01-02
3300241	CDM	Revise/remove Neuroreciever	159	23	$7,054.00	$4,937.80 30% off	$1,622.42	$7,054.00	$4,354.43	2026-01-02
3300302	CDM	Or Level 3	159	23	$6,932.00	$4,852.40 30% off	$1,594.36	$6,932.00	$4,279.12	2026-01-02
4901109	CDM	Antivenin Crotalidae	159	23	$6,766.00	$4,736.20 30% off	$1,556.18	$6,766.00	$4,176.65	2026-01-02
78816	CPT	Mn PET Image Without Whole Body	159	23	$6,336.00	$4,435.20 30% off	$1,457.28	$6,336.00	$3,911.21	2026-01-02
4050140	CDM	Surgical Prep Legs, Trunk,arms	159	23	$6,312.00	$4,418.40 30% off	$1,451.76	$6,312.00	$3,896.39	2026-01-02
4050064	CDM	Celltome Applicat	159	23	$6,233.00	$4,363.10 30% off	$1,433.59	$6,233.00	$3,847.63	2026-01-02
4050063	CDM	Cellutome Applicat	159	23	$6,233.00	$4,363.10 30% off	$1,433.59	$6,233.00	$3,847.63	2026-01-02
4050073	CDM	Skin Sub Apply Feet	159	23	$6,233.00	$4,363.10 30% off	$1,433.59	$6,233.00	$3,847.63	2026-01-02
12037	CPT	Phys Repair Wound	159	23	$6,211.00	$4,347.70 30% off	$1,428.53	$6,211.00	$3,834.05	2026-01-02
78815	CPT	Mn PET Img W/ct Skull Bs Mid	159	23	$6,190.00	$4,333.00 30% off	$1,423.70	$6,190.00	$3,821.08	2026-01-02
3300234	CDM	Inject Into Disk Lesion	159	23	$6,131.00	$4,291.70 30% off	$1,410.13	$6,131.00	$3,784.66	2026-01-02
3300232	CDM	Inj Neurolyt;epid Lumb/caudal	159	23	$6,131.00	$4,291.70 30% off	$1,410.13	$6,131.00	$3,784.66	2026-01-02
3300231	CDM	Tx Spinal Cord Lesion Cer/thor	159	23	$6,131.00	$4,291.70 30% off	$1,410.13	$6,131.00	$3,784.66	2026-01-02
3905560	CDM	Wallflex 10 Mm X 60mm Fully	159	23	$6,113.00	$4,279.10 30% off	$1,405.99	$6,113.00	$3,773.55	2026-01-02
3300304	CDM	Or Level 2	159	23	$5,776.00	$4,043.20 30% off	$1,328.48	$5,776.00	$3,565.52	2026-01-02
78452	CPT	Myocardial Spect Mul	159	23	$5,699.00	$3,989.30 30% off	$1,310.77	$5,699.00	$3,517.99	2026-01-02
3905613	CDM	Ventralex St Hernia Patch Lg	159	23	$5,521.00	$3,864.70 30% off	$1,269.83	$5,521.00	$3,408.11	2026-01-02
3902847	CDM	Surgimest Tintra E 2226	159	23	$5,512.00	$3,858.40 30% off	$1,267.76	$5,512.00	$3,402.55	2026-01-02
3300281	CDM	Destr Paravertebral Nerve CT	159	23	$5,371.00	$3,759.70 30% off	$1,235.33	$5,371.00	$3,315.51	2026-01-02
3300283	CDM	Destroy Paravertebral Nrv L/s	159	23	$5,371.00	$3,759.70 30% off	$1,235.33	$5,371.00	$3,315.51	2026-01-02
3905537	CDM	Xps Laser	159	23	$5,270.00	$3,689.00 30% off	$1,212.10	$5,270.00	$3,253.17	2026-01-02
3300295	CDM	Xps Laser	159	23	$5,270.00	$3,689.00 30% off	$1,212.10	$5,270.00	$3,253.17	2026-01-02
4050191	CDM	Biopsy Bone Needle	159	23	$5,240.00	$3,668.00 30% off	$1,205.20	$5,240.00	$3,234.65	2026-01-02
3380004	CDM	Birthing Room	159	23	$5,217.00	$3,651.90 30% off	$1,199.91	$5,217.00	$3,220.45	2026-01-02
3901993	CDM	Port MRI Groshw/cath	159	23	$5,128.00	$3,589.60 30% off	$1,179.44	$5,128.00	$3,165.51	2026-01-02
3400342	CDM	Unlist Proc Abd/periton/omentm	159	23	$5,094.00	$3,565.80 30% off	$1,171.62	$5,094.00	$3,144.52	2026-01-02
3905608	CDM	Ventralight Mesh 11.4 Cm Round	159	23	$5,014.00	$3,509.80 30% off	$1,153.22	$5,014.00	$3,095.14	2026-01-02
3905614	CDM	Ventralex St Hernia Patch Md	159	23	$4,959.00	$3,471.30 30% off	$1,140.57	$4,959.00	$3,061.19	2026-01-02
3905539	CDM	Xps Moxyfiber	159	23	$4,937.00	$3,455.90 30% off	$1,135.51	$4,937.00	$3,047.61	2026-01-02
3300297	CDM	Xps Moxy Fiber	159	23	$4,936.00	$3,455.20 30% off	$1,135.28	$4,936.00	$3,046.99	2026-01-02
3300275	CDM	Destr W Neurolyt Trigem Nerve	159	23	$4,906.00	$3,434.20 30% off	$1,128.38	$4,906.00	$3,028.47	2026-01-02
3300278	CDM	Destr W Neurolyn Intercost Nrv	159	23	$4,906.00	$3,434.20 30% off	$1,128.38	$4,906.00	$3,028.47	2026-01-02
3300288	CDM	Nerve Tx Inj Of Celiac Plexus	159	23	$4,906.00	$3,434.20 30% off	$1,128.38	$4,906.00	$3,028.47	2026-01-02
4050225	CDM	Tumor/vasc Soft Tissue Hand Or Finger	159	23	$4,877.00	$3,413.90 30% off	$1,121.71	$4,877.00	$3,010.57	2026-01-02
4050057	CDM	Skin Sub Feet	159	23	$4,876.00	$3,413.20 30% off	$1,121.48	$4,876.00	$3,009.95	2026-01-02
4050059	CDM	Skin Sub Feet	159	23	$4,876.00	$3,413.20 30% off	$1,121.48	$4,876.00	$3,009.95	2026-01-02
4050053	CDM	Skin Sub Truck	159	23	$4,875.00	$3,412.50 30% off	$1,121.25	$4,875.00	$3,009.33	2026-01-02
3902445	CDM	Vascular Graft	159	23	$4,872.00	$3,410.40 30% off	$1,120.56	$4,872.00	$3,007.48	2026-01-02
73721	CPT	MRI Low Ext Jt Without C	318	23	$4,321.00	$3,024.70 30% off	$794.88	$5,186.00	$2,909.95	2026-01-02
A9569	CPT	Tc 99m Exametazime	159	23	$4,684.00	$3,278.80 30% off	$1,077.32	$4,684.00	$2,891.43	2026-01-02
3902340	CDM	Schanz Clamp 4.0 Adj	159	23	$4,633.00	$3,243.10 30% off	$1,065.59	$4,633.00	$2,859.95	2026-01-02
3300306	CDM	Or Level 1	159	23	$4,621.00	$3,234.70 30% off	$1,062.83	$4,621.00	$2,852.54	2026-01-02
3901941	CDM	Titan Dome Impl Port	159	23	$4,503.00	$3,152.10 30% off	$1,035.69	$4,503.00	$2,779.70	2026-01-02
J1826	CPT	Avonex 30mcg Inj	159	23	$4,478.00	$3,134.60 30% off	$1,029.94	$4,478.00	$2,764.26	2026-01-02
3300289	CDM	Nerve Relieve Pressure	159	23	$4,393.00	$3,075.10 30% off	$1,010.39	$4,393.00	$2,711.79	2026-01-02
A2025	CPT	Miro 3d 8cm	318	23	$3,998.00	$2,798.60 30% off	$848.01	$4,309.00	$2,659.94	2026-01-02
3900987	CDM	Prost Hip Thomp 48mm	159	23	$4,295.00	$3,006.50 30% off	$987.85	$4,295.00	$2,651.30	2026-01-02
72156	CPT	Mr Cerv-sp W/without Con	159	23	$4,283.00	$2,998.10 30% off	$985.09	$4,283.00	$2,643.89	2026-01-02
72158	CPT	Mr Lum-sp W/without Con	159	23	$4,283.00	$2,998.10 30% off	$985.09	$4,283.00	$2,643.89	2026-01-02
70542	CPT	MRI O/f/n W/cont Pit	159	23	$4,283.00	$2,998.10 30% off	$985.09	$4,283.00	$2,643.89	2026-01-02
70543	CPT	MRI O/face/n W/wo	159	23	$4,283.00	$2,998.10 30% off	$985.09	$4,283.00	$2,643.89	2026-01-02
72157	CPT	Mr Tho-sp W/without Con	159	23	$4,283.00	$2,998.10 30% off	$985.09	$4,283.00	$2,643.89	2026-01-02
70553	CPT	MRI Brain/iac W/wo	159	23	$4,283.00	$2,998.10 30% off	$985.09	$4,283.00	$2,643.89	2026-01-02
3901493	CDM	Pros St115/1649mmdis	159	23	$4,280.00	$2,996.00 30% off	$984.40	$4,280.00	$2,642.04	2026-01-02
3900931	CDM	Prosth Thom St 46mm	159	23	$4,275.00	$2,992.50 30% off	$983.25	$4,275.00	$2,638.95	2026-01-02
3901276	CDM	Prosthesis St 41 Mm	159	23	$4,275.00	$2,992.50 30% off	$983.25	$4,275.00	$2,638.95	2026-01-02
3902028	CDM	Prothesis Hip St43mm	159	23	$4,275.00	$2,992.50 30% off	$983.25	$4,275.00	$2,638.95	2026-01-02
A0434	CPT	Specialty Care Trans	159	23	$4,272.00	$2,990.40 30% off	$982.56	$4,272.00	$2,637.10	2026-01-02
3905523	CDM	Shoulder Repair Speed Bridge	159	23	$4,219.00	$2,953.30 30% off	$970.37	$4,219.00	$2,604.38	2026-01-02
3901739	CDM	Hernia Kit Lko36	159	23	$4,195.00	$2,936.50 30% off	$964.85	$4,195.00	$2,589.57	2026-01-02
3901715	CDM	Kit Hernia Lap Disp	159	23	$4,186.00	$2,930.20 30% off	$962.78	$4,186.00	$2,584.01	2026-01-02
4050024	CDM	Debridement, Bone	159	23	$4,161.00	$2,912.70 30% off	$957.03	$4,161.00	$2,568.58	2026-01-02
4050035	CDM	Removal Of Fb	159	23	$4,161.00	$2,912.70 30% off	$957.03	$4,161.00	$2,568.58	2026-01-02
3905615	CDM	Ventralex St Hernia Patch Sm	159	23	$4,138.00	$2,896.60 30% off	$951.74	$4,138.00	$2,554.38	2026-01-02
95810	CPT	Polsy 6yrs, 4 Or > Param	318	23	$4,038.50	$2,826.95 30% off	$690.69	$5,074.00	$2,537.00	2026-01-02
95811	CPT	Polys 6yrs+4/>param Cpap	318	23	$4,038.50	$2,826.95 30% off	$690.69	$5,074.00	$2,537.00	2026-01-02
4050216	CDM	Tenotomy, Toe Multiple Tendons	159	23	$4,071.00	$2,849.70 30% off	$936.33	$4,071.00	$2,513.02	2026-01-02
4050214	CDM	Tenotomy Open Tendon Flexor Toe Single	159	23	$4,071.00	$2,849.70 30% off	$936.33	$4,071.00	$2,513.02	2026-01-02
3903471	CDM	Speed Bridge Sys	159	23	$4,035.00	$2,824.50 30% off	$928.05	$4,035.00	$2,490.80	2026-01-02
74185	CPT	MRA Abdomen W/without Co	159	23	$4,024.00	$2,816.80 30% off	$925.52	$4,024.00	$2,484.01	2026-01-02
74183	CPT	MRI Abdomen W/without Co	159	23	$4,024.00	$2,816.80 30% off	$925.52	$4,024.00	$2,484.01	2026-01-02
73223	CPT	MRI Up Ext Jt W/without	159	23	$4,012.00	$2,808.40 30% off	$922.76	$4,012.00	$2,476.60	2026-01-02
73723	CPT	MRI Low Ext Jt W/without	159	23	$4,012.00	$2,808.40 30% off	$922.76	$4,012.00	$2,476.60	2026-01-02
3901176	CDM	Prosthesis 54mm St	159	23	$3,983.00	$2,788.10 30% off	$916.09	$3,983.00	$2,458.70	2026-01-02
3901357	CDM	Curved Ceea 25 Disp	159	23	$3,979.00	$2,785.30 30% off	$915.17	$3,979.00	$2,456.23	2026-01-02
3901358	CDM	Curved Ceea 28 Disp	159	23	$3,979.00	$2,785.30 30% off	$915.17	$3,979.00	$2,456.23	2026-01-02
J9185	CPT	Fludara 50mg Vl	159	23	$3,955.00	$2,768.50 30% off	$909.65	$3,955.00	$2,441.42	2026-01-02
3900986	CDM	Prosthesis 44mm Ster	159	23	$3,941.00	$2,758.70 30% off	$906.43	$3,941.00	$2,432.77	2026-01-02
70549	CPT	MRA Neck W/without Con	318	23	$3,685.50	$2,579.85 30% off	$794.88	$3,915.00	$2,416.72	2026-01-02
78582	CPT	Nm Vq Quan W/vent	318	23	$3,463.50	$2,424.45 30% off	$685.86	$3,945.00	$2,382.61	2026-01-02
3901086	CDM	Prot Thomp Hip 2" St	159	23	$3,856.00	$2,699.20 30% off	$886.88	$3,856.00	$2,380.30	2026-01-02
3300238	CDM	Remove Neuro Electrode Leads	159	23	$3,821.00	$2,674.70 30% off	$878.83	$3,821.00	$2,358.70	2026-01-02
3902740	CDM	Uphold Vaginal Support	159	23	$3,780.00	$2,646.00 30% off	$869.40	$3,780.00	$2,333.39	2026-01-02
3901348	CDM	Curved Ceea 31 Disp	159	23	$3,659.00	$2,561.30 30% off	$841.57	$3,659.00	$2,258.70	2026-01-02
3901256	CDM	Prosthesis Hip St 38	159	23	$3,615.00	$2,530.50 30% off	$831.45	$3,615.00	$2,231.53	2026-01-02
3901660	CDM	Stapler Ems 30	159	23	$3,588.00	$2,511.60 30% off	$825.24	$3,588.00	$2,214.87	2026-01-02
3200000	CDM	Telemetry ICU Rm	159	23	$3,555.00	$2,488.50 30% off	$817.65	$3,555.00	$2,194.50	2026-01-02
73201	CPT	CT Up Ext W/con	159	23	$3,526.00	$2,468.20 30% off	$810.98	$3,526.00	$2,176.59	2026-01-02
J7298	CPT	Mirena 52mg System	159	23	$3,504.00	$2,452.80 30% off	$805.92	$3,504.00	$2,163.01	2026-01-02
74181	CPT	MRI Abdomen Without Con	159	23	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$2,133.38	2026-01-02
72149	CPT	Mr Lumbar-spi W/con	159	23	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$2,133.38	2026-01-02
72142	CPT	MRI Cerv-spin W/con	159	23	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$2,133.38	2026-01-02
71550	CPT	MRI Chest Without Con	159	23	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$2,133.38	2026-01-02
72196	CPT	MRI Pelvis W/con	159	23	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$2,133.38	2026-01-02
73720	CPT	MRI Low Ext Njt W/wo	159	23	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$2,133.38	2026-01-02
70540	CPT	MRI O/f/n Without Pit	159	23	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$2,133.38	2026-01-02
72147	CPT	MRI Thorac-sp W/con	159	23	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$2,133.38	2026-01-02
73221	CPT	MRI Up Ext Jt Without Co	159	23	$3,456.00	$2,419.20 30% off	$794.88	$3,456.00	$2,133.38	2026-01-02
3901719	CDM	Stapler Crvd Cir 25m	159	23	$3,369.00	$2,358.30 30% off	$774.87	$3,369.00	$2,079.68	2026-01-02
4903186	CDM	Regranex 0.01% Gel	159	23	$3,356.00	$2,349.20 30% off	$771.88	$3,356.00	$2,071.65	2026-01-02
78451	CPT	Myocard Spect Sgl	159	23	$3,351.00	$2,345.70 30% off	$770.73	$3,351.00	$2,068.57	2026-01-02
3300027	CDM	Surg. Treatment Room	159	23	$3,342.00	$2,339.40 30% off	$768.66	$3,342.00	$2,063.01	2026-01-02
3902685	CDM	Novasure Ablation Device	159	23	$3,328.00	$2,329.60 30% off	$765.44	$3,328.00	$2,054.37	2026-01-02
3902792	CDM	Essure Coil Catheter	159	23	$3,326.00	$2,328.20 30% off	$764.98	$3,326.00	$2,053.13	2026-01-02
3902392	CDM	Sing Lunsen Cath Kit	159	23	$3,309.00	$2,316.30 30% off	$761.07	$3,309.00	$2,042.64	2026-01-02
3903245	CDM	3.5 Lcp Prox Hum Pi	159	23	$3,304.00	$2,312.80 30% off	$759.92	$3,304.00	$2,039.55	2026-01-02
3901721	CDM	Stapler Skin Crvd 33	159	23	$3,288.00	$2,301.60 30% off	$756.24	$3,288.00	$2,029.68	2026-01-02
3902451	CDM	Ash Split Cath - 28	159	23	$3,281.00	$2,296.70 30% off	$754.63	$3,281.00	$2,025.36	2026-01-02
15100	CPT	Phys Xpansion Appl	159	23	$3,272.00	$2,290.40 30% off	$752.56	$3,272.00	$2,019.80	2026-01-02
3440161	CDM	Phy Exp Postopr Hemo	159	23	$3,264.00	$2,284.80 30% off	$750.72	$3,264.00	$2,014.86	2026-01-02
15115	CPT	Phys Celltome Appl	159	23	$3,254.00	$2,277.80 30% off	$748.42	$3,254.00	$2,008.69	2026-01-02
3200001	CDM	R&b Intensive Care	159	23	$3,211.00	$2,247.70 30% off	$738.53	$3,211.00	$1,982.15	2026-01-02
3903244	CDM	3.5 Lcp Prox Hum Plt Std 3h 590	159	23	$3,196.00	$2,237.20 30% off	$735.08	$3,196.00	$1,972.89	2026-01-02
15120	CPT	Phys Xpansion Appl	159	23	$3,190.00	$2,233.00 30% off	$733.70	$3,190.00	$1,969.18	2026-01-02
70552	CPT	MRI Brain/iac With	159	23	$3,176.00	$2,223.20 30% off	$730.48	$3,176.00	$1,960.54	2026-01-02
3400129	CDM	Exc H-f-nk-sp B9+mar	159	23	$3,172.00	$2,220.40 30% off	$729.56	$3,172.00	$1,958.07	2026-01-02
3901720	CDM	Stapler Cir 29mm	159	23	$3,169.00	$2,218.30 30% off	$728.87	$3,169.00	$1,956.22	2026-01-02
3905607	CDM	Capsure Tacker	159	23	$3,169.00	$2,218.30 30% off	$728.87	$3,169.00	$1,956.22	2026-01-02
3902139	CDM	Laproscopic Cholecys	159	23	$3,169.00	$2,218.30 30% off	$728.87	$3,169.00	$1,956.22	2026-01-02
15110	CPT	Phys Cellutome Appl	159	23	$3,158.00	$2,210.60 30% off	$726.34	$3,158.00	$1,949.43	2026-01-02
3905579	CDM	Implant System Meniscal Repair	159	23	$3,143.00	$2,200.10 30% off	$722.89	$3,143.00	$1,940.17	2026-01-02
72197	CPT	MRI Pelvis W/without Con	159	23	$3,141.00	$2,198.70 30% off	$722.43	$3,141.00	$1,938.93	2026-01-02
3901895	CDM	Plate Supracon 11x90	159	23	$3,121.00	$2,184.70 30% off	$717.83	$3,121.00	$1,926.59	2026-01-02
94002	CPT	Vent Mgmt Inpt Initday	159	23	$3,120.00	$2,184.00 30% off	$717.60	$3,120.00	$1,925.97	2026-01-02
J2355	CPT	Oprelvekin 5mg Inj	159	23	$3,109.00	$2,176.30 30% off	$715.07	$3,109.00	$1,919.18	2026-01-02
3100007	CDM	ICU Room Charge	159	23	$3,087.00	$2,160.90 30% off	$710.01	$3,087.00	$1,905.60	2026-01-02
74177	CPT	CT Abd/pelvis With Contrast	159	23	$3,079.00	$2,155.30 30% off	$708.17	$3,079.00	$1,900.66	2026-01-02
73202	CPT	CT Up Ext Ww Co Bilateral	318	23	$2,784.00	$1,948.80 30% off	$573.16	$3,076.00	$1,898.81	2026-01-02
95805	CPT	Mult Sleep Latency Test (mslt)	159	23	$3,043.00	$2,130.10 30% off	$699.89	$3,043.00	$1,878.44	2026-01-02
3902074	CDM	Endo/artic Ctr Stnd	159	23	$3,033.00	$2,123.10 30% off	$697.59	$3,033.00	$1,872.27	2026-01-02
3902073	CDM	Endo/artic Ctr Vas	159	23	$3,033.00	$2,123.10 30% off	$697.59	$3,033.00	$1,872.27	2026-01-02
3901665	CDM	Cholecysteg Kit Disp	159	23	$3,021.00	$2,114.70 30% off	$694.83	$3,021.00	$1,864.86	2026-01-02
73220	CPT	MRI Up Ext Non Jt W/without Con	477	23	$3,456.00	$2,419.20 30% off	$426.19	$6,283.00	$1,853.00	2026-01-02
3902428	CDM	Mesh Composix 4x8	159	23	$2,977.00	$2,083.90 30% off	$684.71	$2,977.00	$1,837.70	2026-01-02
74170	CPT	CT Abd Ww Con	159	23	$2,963.00	$2,074.10 30% off	$681.49	$2,963.00	$1,829.05	2026-01-02
78803	CPT	Bone Scan W Spect	477	23	$2,739.00	$1,917.30 30% off	$612.72	$2,953.00	$1,822.88	2026-01-02
3901207	CDM	Suction Lectrova Dsp	159	23	$2,944.00	$2,060.80 30% off	$677.12	$2,944.00	$1,817.33	2026-01-02
73219	CPT	MRI Up Ext Non Jt W/cont	159	23	$2,936.00	$2,055.20 30% off	$675.28	$2,936.00	$1,812.39	2026-01-02
70336	CPT	MRI Tmj	159	23	$2,936.00	$2,055.20 30% off	$675.28	$2,936.00	$1,812.39	2026-01-02
70548	CPT	MRA Carotid W/contrast	318	23	$2,614.00	$1,829.80 30% off	$527.16	$2,936.00	$1,812.39	2026-01-02
93306	CPT	Tte W/doppler Complete	318	23	$2,683.50	$1,878.45 30% off	$493.81	$3,220.00	$1,807.77	2026-01-02
A9547	CPT	Indium In 11 Qxyquinoline	159	23	$2,896.00	$2,027.20 30% off	$666.08	$2,896.00	$1,787.70	2026-01-02
3300308	CDM	Pain Management Level 10	159	23	$2,888.00	$2,021.60 30% off	$664.24	$2,888.00	$1,782.76	2026-01-02
71270	CPT	CT Chest Ww C	159	23	$2,888.00	$2,021.60 30% off	$664.24	$2,888.00	$1,782.76	2026-01-02
3901894	CDM	Plate Supracon 8x90	159	23	$2,882.00	$2,017.40 30% off	$662.86	$2,882.00	$1,779.05	2026-01-02
J1212	CPT	Rimso-50	159	23	$2,877.00	$2,013.90 30% off	$661.71	$2,877.00	$1,775.97	2026-01-02
3400398	CDM	Delivery Of Infant	159	23	$2,870.00	$2,009.00 30% off	$660.10	$2,870.00	$1,771.65	2026-01-02
3901973	CDM	Cv Cath/groshong Val	159	23	$2,868.00	$2,007.60 30% off	$659.64	$2,868.00	$1,770.41	2026-01-02
3902734	CDM	Solyx Sling	159	23	$2,848.00	$1,993.60 30% off	$655.04	$2,848.00	$1,758.07	2026-01-02
3901640	CDM	Stapler Gia 30-35	159	23	$2,816.00	$1,971.20 30% off	$647.68	$2,816.00	$1,738.31	2026-01-02
73719	CPT	MRI Lower Ext Nonjt W/contrast	159	23	$2,804.00	$1,962.80 30% off	$644.92	$2,804.00	$1,730.90	2026-01-02
70547	CPT	Mr Angiography Carotids Without Contrast	159	23	$2,804.00	$1,962.80 30% off	$644.92	$2,804.00	$1,730.90	2026-01-02
72194	CPT	CT Pelvis Ww Co	159	23	$2,801.00	$1,960.70 30% off	$644.23	$2,801.00	$1,729.05	2026-01-02
3901909	CDM	Stapler 55 4.8	159	23	$2,788.00	$1,951.60 30% off	$641.24	$2,788.00	$1,721.03	2026-01-02
3902284	CDM	Sp Pin Washer,bx/10	159	23	$2,756.00	$1,929.20 30% off	$633.88	$2,756.00	$1,701.27	2026-01-02
78601	CPT	Brain Imaging W Spec	159	23	$2,739.00	$1,917.30 30% off	$629.97	$2,739.00	$1,690.78	2026-01-02
4200134	CDM	Rp Loc Of Inf Proc S	159	23	$2,739.00	$1,917.30 30% off	$629.97	$2,739.00	$1,690.78	2026-01-02
72132	CPT	CT L-sp W Con	159	23	$2,725.00	$1,907.50 30% off	$626.75	$2,725.00	$1,682.14	2026-01-02
3400406	CDM	Explore/drain Eye Socket	159	23	$2,725.00	$1,907.50 30% off	$626.75	$2,725.00	$1,682.14	2026-01-02
J9015	CPT	Proleukin Vl	159	23	$2,693.00	$1,885.10 30% off	$619.39	$2,693.00	$1,662.38	2026-01-02
73218	CPT	MRI Up Ext Non Jt Wo	159	23	$2,668.00	$1,867.60 30% off	$613.64	$2,668.00	$1,646.95	2026-01-02
3300235	CDM	Inject Into Spinal Artery	159	23	$2,658.00	$1,860.60 30% off	$611.34	$2,658.00	$1,640.78	2026-01-02
70544	CPT	MRA Head Without Con	159	23	$2,655.00	$1,858.50 30% off	$610.65	$2,655.00	$1,638.93	2026-01-02
3400346	CDM	Insert Uro/ves Nck Sphincter	159	23	$2,643.00	$1,850.10 30% off	$607.89	$2,643.00	$1,631.52	2026-01-02
72148	CPT	Mr Lumba-sp Without Con	159	23	$2,628.00	$1,839.60 30% off	$604.44	$2,628.00	$1,622.26	2026-01-02
72146	CPT	Mr Thora-sp Without Con	159	23	$2,628.00	$1,839.60 30% off	$604.44	$2,628.00	$1,622.26	2026-01-02
72141	CPT	MRI Cerv Spine Without C	159	23	$2,628.00	$1,839.60 30% off	$604.44	$2,628.00	$1,622.26	2026-01-02
70551	CPT	MRI Brain/iac No Cont	159	23	$2,628.00	$1,839.60 30% off	$604.44	$2,628.00	$1,622.26	2026-01-02
3902724	CDM	Monarch Sling	159	23	$2,613.00	$1,829.10 30% off	$600.99	$2,613.00	$1,613.00	2026-01-02
3901641	CDM	Stapler Gia 30v	159	23	$2,603.00	$1,822.10 30% off	$598.69	$2,603.00	$1,606.83	2026-01-02
3902713	CDM	Mesh C-qur 8 X 10	159	23	$2,602.00	$1,821.40 30% off	$598.46	$2,602.00	$1,606.21	2026-01-02
3300003	CDM	Surgery/1/4hr	159	23	$2,600.00	$1,820.00 30% off	$598.00	$2,600.00	$1,604.98	2026-01-02
3300025	CDM	Or Add 1/4 Hr	159	23	$2,600.00	$1,820.00 30% off	$598.00	$2,600.00	$1,604.98	2026-01-02
3902845	CDM	Surgimesh Tintra C15	159	23	$2,574.00	$1,801.80 30% off	$592.02	$2,574.00	$1,588.93	2026-01-02
3901771	CDM	Linear Cut White Dsp	159	23	$2,569.00	$1,798.30 30% off	$590.87	$2,569.00	$1,585.84	2026-01-02
74160	CPT	CT Abd W Con	159	23	$2,548.00	$1,783.60 30% off	$586.04	$2,548.00	$1,572.88	2026-01-02
J9217	CPT	Eligard 45mg (bills Per 7.5mg)	636	23	$2,036.00	$1,425.20 30% off	$442.29	$5,742.00	$1,566.83	2026-01-02
3902399	CDM	Esophageal Cath 1518	159	23	$2,535.00	$1,774.50 30% off	$583.05	$2,535.00	$1,564.85	2026-01-02
3400285	CDM	Arthrtmy Knee, W/exp/drn/rem Fb	159	23	$2,528.00	$1,769.60 30% off	$581.44	$2,528.00	$1,560.53	2026-01-02
72127	CPT	CT C-sp W Cont	159	23	$2,519.00	$1,763.30 30% off	$579.37	$2,519.00	$1,554.97	2026-01-02
3400360	CDM	Rmvl Fb Intraoc Ant Chmb Eye	159	23	$2,513.00	$1,759.10 30% off	$577.99	$2,513.00	$1,551.27	2026-01-02
3902390	CDM	Perifix Plug Med	159	23	$2,494.00	$1,745.80 30% off	$573.62	$2,494.00	$1,539.54	2026-01-02
72133	CPT	CT L-sp Ww Con	159	23	$2,492.00	$1,744.40 30% off	$573.16	$2,492.00	$1,538.31	2026-01-02
72130	CPT	CT T-sp Ww Con	159	23	$2,492.00	$1,744.40 30% off	$573.16	$2,492.00	$1,538.31	2026-01-02
73702	CPT	CT Low Ext Ww Con	159	23	$2,492.00	$1,744.40 30% off	$573.16	$2,492.00	$1,538.31	2026-01-02
66982	CPT	Cataract Surgery Complex	159	23	$2,489.00	$1,742.30 30% off	$572.47	$2,489.00	$1,536.45	2026-01-02
74182	CPT	MRI Abdomen W/con	159	23	$2,483.00	$1,738.10 30% off	$571.09	$2,483.00	$1,532.75	2026-01-02
72193	CPT	CT Pelvis W Co	159	23	$2,476.00	$1,733.20 30% off	$569.48	$2,476.00	$1,528.43	2026-01-02
73701	CPT	CT Low Ext W C	159	23	$2,476.00	$1,733.20 30% off	$569.48	$2,476.00	$1,528.43	2026-01-02
3400335	CDM	Repair Stomach Opening	159	23	$2,456.00	$1,719.20 30% off	$564.88	$2,456.00	$1,516.08	2026-01-02
70488	CPT	CT Max/fac Ww	159	23	$2,455.00	$1,718.50 30% off	$564.65	$2,455.00	$1,515.47	2026-01-02
70482	CPT	CT In Ear Ww C	159	23	$2,455.00	$1,718.50 30% off	$564.65	$2,455.00	$1,515.47	2026-01-02
70470	CPT	CT Head Ww Con	159	23	$2,455.00	$1,718.50 30% off	$564.65	$2,455.00	$1,515.47	2026-01-02
3902611	CDM	Gynecare Uterne Cath	159	23	$2,453.00	$1,717.10 30% off	$564.19	$2,453.00	$1,514.23	2026-01-02
3120000	CDM	Private-swing Bed	159	23	$2,451.00	$1,715.70 30% off	$563.73	$2,451.00	$1,513.00	2026-01-02
J2506	CPT	Neulasta 6mg/0.6ml (bills Per 0.5mg)	159	23	$2,414.00	$1,689.80 30% off	$555.22	$2,414.00	$1,490.16	2026-01-02
70492	CPT	CT St Neck Ww	159	23	$2,413.00	$1,689.10 30% off	$554.99	$2,413.00	$1,489.54	2026-01-02
72195	CPT	MRI Pelvis Without Con	159	23	$2,406.00	$1,684.20 30% off	$553.38	$2,406.00	$1,485.22	2026-01-02
73718	CPT	MRI Low Ext N.jt Without	159	23	$2,406.00	$1,684.20 30% off	$553.38	$2,406.00	$1,485.22	2026-01-02
3902844	CDM	Surgimesh Tintra C12	159	23	$2,403.00	$1,682.10 30% off	$552.69	$2,403.00	$1,483.37	2026-01-02
70491	CPT	CT St Neck W C	159	23	$2,397.00	$1,677.90 30% off	$551.31	$2,397.00	$1,479.66	2026-01-02
71260	CPT	CT Chest W Con	159	23	$2,393.00	$1,675.10 30% off	$550.39	$2,393.00	$1,477.19	2026-01-02
72129	CPT	CT T-sp W Cont	159	23	$2,351.00	$1,645.70 30% off	$540.73	$2,351.00	$1,451.27	2026-01-02
J1742	CPT	Corvert 1mg/10ml (bills Per 1mg)	159	23	$2,350.00	$1,645.00 30% off	$540.50	$2,350.00	$1,450.65	2026-01-02
3902391	CDM	Perifix Plug Lg	159	23	$2,341.00	$1,638.70 30% off	$538.43	$2,341.00	$1,445.09	2026-01-02
V2632	CPT	Eye Lens	159	23	$2,331.00	$1,631.70 30% off	$536.13	$2,331.00	$1,438.92	2026-01-02
3901893	CDM	Plate Hole 8 X 150	159	23	$2,327.00	$1,628.90 30% off	$535.21	$2,327.00	$1,436.45	2026-01-02
3901891	CDM	Plate Hole 8 X 140	159	23	$2,327.00	$1,628.90 30% off	$535.21	$2,327.00	$1,436.45	2026-01-02
3901890	CDM	Plate Hole 8 X 135	159	23	$2,327.00	$1,628.90 30% off	$535.21	$2,327.00	$1,436.45	2026-01-02
3901892	CDM	Plate Hole 8 X 145	159	23	$2,327.00	$1,628.90 30% off	$535.21	$2,327.00	$1,436.45	2026-01-02
J9202	CPT	Zoladex 3.6mg Inj	159	23	$2,326.00	$1,628.20 30% off	$534.98	$2,326.00	$1,435.83	2026-01-02
70546	CPT	MRA Head W/wo Contrast	159	23	$2,320.00	$1,624.00 30% off	$533.60	$2,320.00	$1,432.13	2026-01-02
3900766	CDM	Comp Plate 6x135 Z	159	23	$2,316.00	$1,621.20 30% off	$532.68	$2,316.00	$1,429.66	2026-01-02
3900805	CDM	Supracond Pl 6 Disp	159	23	$2,309.00	$1,616.30 30% off	$531.07	$2,309.00	$1,425.34	2026-01-02
3902375	CDM	Collagraft	159	23	$2,309.00	$1,616.30 30% off	$531.07	$2,309.00	$1,425.34	2026-01-02
3902070	CDM	Endo/linear Ctr Stnd	159	23	$2,301.00	$1,610.70 30% off	$529.23	$2,301.00	$1,420.40	2026-01-02
3900806	CDM	Supracond Pl 8 Disp	159	23	$2,299.00	$1,609.30 30% off	$528.77	$2,299.00	$1,419.17	2026-01-02
3100005	CDM	Room Med/surg Telemetry	159	23	$2,298.00	$1,608.60 30% off	$528.54	$2,298.00	$1,418.55	2026-01-02
4200090	CDM	Liver Image W Spect	159	23	$2,289.00	$1,602.30 30% off	$526.47	$2,289.00	$1,412.99	2026-01-02
4200133	CDM	Rp Loc Inf Proc Wb	159	23	$2,289.00	$1,602.30 30% off	$526.47	$2,289.00	$1,412.99	2026-01-02
78709	CPT	Kidney Flo/fu W/ph M	159	23	$2,289.00	$1,602.30 30% off	$526.47	$2,289.00	$1,412.99	2026-01-02
73200	CPT	CT Up Ext Without Con	159	23	$2,282.00	$1,597.40 30% off	$524.86	$2,282.00	$1,408.67	2026-01-02
C8929	CPT	Adult Echo W/contrast	159	23	$2,274.00	$1,591.80 30% off	$523.02	$2,274.00	$1,403.74	2026-01-02
64615	CPT	Chemo Denervation Muscle	159	23	$2,274.00	$1,591.80 30% off	$523.02	$2,274.00	$1,403.74	2026-01-02
G0260	CPT	Injection Sacrolliac Joint	159	23	$2,274.00	$1,591.80 30% off	$523.02	$2,274.00	$1,403.74	2026-01-02
3902308	CDM	Endo Clip 5mm	159	23	$2,263.00	$1,584.10 30% off	$520.49	$2,263.00	$1,396.94	2026-01-02
3902337	CDM	Suture Quick Anchor	159	23	$2,262.00	$1,583.40 30% off	$520.26	$2,262.00	$1,396.33	2026-01-02
78306	CPT	Bone Scan Wholebody	159	23	$2,260.00	$1,582.00 30% off	$519.80	$2,260.00	$1,395.09	2026-01-02
3900751	CDM	Comp Plate 7x145 Z	159	23	$2,242.00	$1,569.40 30% off	$515.66	$2,242.00	$1,383.98	2026-01-02
3900747	CDM	Comp Plate 7x150 Z	159	23	$2,242.00	$1,569.40 30% off	$515.66	$2,242.00	$1,383.98	2026-01-02
3900759	CDM	Comp Plate 7x140 Z	159	23	$2,242.00	$1,569.40 30% off	$515.66	$2,242.00	$1,383.98	2026-01-02
78472	CPT	Cardiac Bd Pool Muga	159	23	$2,241.00	$1,568.70 30% off	$515.43	$2,241.00	$1,383.36	2026-01-02
81229	CPT	Snp Microarray	210	23	$5,288.00	$3,701.60 30% off	$540.00	$5,288.00	$1,374.88	2026-01-02
73206	CPT	CTA Upper Ext W/wo	159	23	$2,222.00	$1,555.40 30% off	$511.06	$2,222.00	$1,371.64	2026-01-02
72191	CPT	CTA Pelvis W/wo Cont	159	23	$2,222.00	$1,555.40 30% off	$511.06	$2,222.00	$1,371.64	2026-01-02
71275	CPT	CTA Chest W/wo Contr	159	23	$2,222.00	$1,555.40 30% off	$511.06	$2,222.00	$1,371.64	2026-01-02
75635	CPT	CTA Aorta Without Runoff	159	23	$2,222.00	$1,555.40 30% off	$511.06	$2,222.00	$1,371.64	2026-01-02
74175	CPT	CTA Abd Wwo	159	23	$2,222.00	$1,555.40 30% off	$511.06	$2,222.00	$1,371.64	2026-01-02
74174	CPT	CTA Abdomen/pelvis	159	23	$2,222.00	$1,555.40 30% off	$511.06	$2,222.00	$1,371.64	2026-01-02
73706	CPT	CTA Lower Ext W/wo	159	23	$2,222.00	$1,555.40 30% off	$511.06	$2,222.00	$1,371.64	2026-01-02
3902542	CDM	Endo Proximate Pph03	159	23	$2,217.00	$1,551.90 30% off	$509.91	$2,217.00	$1,368.55	2026-01-02
71250	CPT	CT Chest Wo Co	159	23	$2,216.00	$1,551.20 30% off	$509.68	$2,216.00	$1,367.93	2026-01-02
73700	CPT	CT Low Ext Wo Con	159	23	$2,216.00	$1,551.20 30% off	$509.68	$2,216.00	$1,367.93	2026-01-02
78227	CPT	Nm Hida With Ef	159	23	$2,213.00	$1,549.10 30% off	$508.99	$2,213.00	$1,366.08	2026-01-02
3901773	CDM	Linear Cut Blue Disp	159	23	$2,211.00	$1,547.70 30% off	$508.53	$2,211.00	$1,364.85	2026-01-02
3902025	CDM	Screw Cann Bone 22mm	159	23	$2,208.00	$1,545.60 30% off	$507.84	$2,208.00	$1,362.99	2026-01-02
A0433	CPT	Als2	201	23	$2,724.00	$1,906.80 30% off	$612.30	$2,724.00	$1,362.00	2026-01-02
3902426	CDM	Mesh Composix 2x4	159	23	$2,203.00	$1,542.10 30% off	$506.69	$2,203.00	$1,359.91	2026-01-02
3901278	CDM	Aspira Cutter20 Disp	159	23	$2,187.00	$1,530.90 30% off	$503.01	$2,187.00	$1,350.03	2026-01-02
74150	CPT	CT Abd Wo Con	159	23	$2,187.00	$1,530.90 30% off	$503.01	$2,187.00	$1,350.03	2026-01-02
78264	CPT	Gastric Empty. Study	159	23	$2,184.00	$1,528.80 30% off	$502.32	$2,184.00	$1,348.18	2026-01-02
3300266	CDM	Paravertebral L/s Facet	159	23	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-01-02
3300259	CDM	Foramen Epidural Inj C/t	159	23	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-01-02
3300263	CDM	Paravertebral C/t Facet	159	23	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-01-02
70487	CPT	CT Max/face W	159	23	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-01-02
70481	CPT	CT In Ear W Co	159	23	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-01-02
70460	CPT	CT Head W Cont	159	23	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-01-02
3300261	CDM	Foramen Epidural Inj L/s	159	23	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-01-02
3300279	CDM	Nerve Treatment Inj Of Pudenda	159	23	$2,179.00	$1,525.30 30% off	$501.17	$2,179.00	$1,345.09	2026-01-02
3905621	CDM	Ureteroscope	159	23	$2,178.00	$1,524.60 30% off	$500.94	$2,178.00	$1,344.47	2026-01-02
3901985	CDM	Stent Set 6fr 24cm	159	23	$2,174.00	$1,521.80 30% off	$500.02	$2,174.00	$1,342.01	2026-01-02
3901986	CDM	Stent Set 6fr 28cm	159	23	$2,174.00	$1,521.80 30% off	$500.02	$2,174.00	$1,342.01	2026-01-02
3902325	CDM	Plate Buttress T 4h	159	23	$2,174.00	$1,521.80 30% off	$500.02	$2,174.00	$1,342.01	2026-01-02
3901984	CDM	Stent Set 6fr 26cm	159	23	$2,174.00	$1,521.80 30% off	$500.02	$2,174.00	$1,342.01	2026-01-02
4903676	CDM	Forteo Pen 750mcg	159	23	$2,173.00	$1,521.10 30% off	$499.79	$2,173.00	$1,341.39	2026-01-02
3902436	CDM	Mesh 3d Max Left	159	23	$2,157.00	$1,509.90 30% off	$496.11	$2,157.00	$1,331.51	2026-01-02
70498	CPT	CTA Neck W/wo Contra	159	23	$2,152.00	$1,506.40 30% off	$494.96	$2,152.00	$1,328.42	2026-01-02
70496	CPT	CTA Head W/wo Contra	159	23	$2,152.00	$1,506.40 30% off	$494.96	$2,152.00	$1,328.42	2026-01-02
3300284	CDM	Destroy Paravertebral Nrv L/s Add On	159	23	$2,149.00	$1,504.30 30% off	$494.27	$2,149.00	$1,326.57	2026-01-02
3901556	CDM	Endoclip Disp	159	23	$2,143.00	$1,500.10 30% off	$492.89	$2,143.00	$1,322.87	2026-01-02
3905555	CDM	Urolift 2 Implaint Cartridge	159	23	$2,136.00	$1,495.20 30% off	$491.28	$2,136.00	$1,318.55	2026-01-02
3905556	CDM	Urollift Cartridge Handle Kit	159	23	$2,136.00	$1,495.20 30% off	$491.28	$2,136.00	$1,318.55	2026-01-02
3900764	CDM	Comp Plate 4x135 Z	159	23	$2,131.00	$1,491.70 30% off	$490.13	$2,131.00	$1,315.46	2026-01-02
3300274	CDM	Nerve Block Inj Celiac Pelus	159	23	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-01-02
3300255	CDM	Nerve Block Inj Pudenal	159	23	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-01-02
3300253	CDM	Nerve Block Inj Intercost Mult	159	23	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-01-02
3300273	CDM	Nerve Block Lumb/thoracic	159	23	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-01-02
3300256	CDM	Nerve Block Inj Sciatic	159	23	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-01-02
3300271	CDM	Nerve Block Stellate Gangloin	159	23	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-01-02
3300285	CDM	Neurolysis Lumbar	159	23	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-01-02
3300272	CDM	Hypogastric Plexus Block	159	23	$2,128.00	$1,489.60 30% off	$489.44	$2,128.00	$1,313.61	2026-01-02
3900772	CDM	Kw Ky Co Sc Pl 5x130	159	23	$2,117.00	$1,481.90 30% off	$486.91	$2,117.00	$1,306.82	2026-01-02

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