Hospital

OSCEOLA COMMUNITY HOSPITAL

Sibley, IA · CCN 161345 · Rates published

Your selected procedure

You selected 93306 (CPT)

TTE W Doppler Complete

This hospital’s price: $1,493 across 6 payers · range $199-$2,105

Source: https://www.avera.org/app/files/public/83b97162-5f3e-4665-a0b6-66c67c72bd5e/420890973_osceola-regional-health-center_standardcharges.csv · observed 2026-07-15

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.

985 distinct procedures filed

6 distinct payers

18,890 rate rows

2026-07-15 last MRF observed

Data quality

18,836 of 18,890 rate rows are consumer-grade (99.7%)

54 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
placeholder amount (≤ $0.02) — excluded from medians	26
exceeds 10× this hospital's gross charge — excluded from medians	16
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	10
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2

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

Source MRF file	https://www.avera.org/app/files/public/83b97162-5f3e-4665-a0b6-66c67c72bd5e/420890973_osceola-regional-health-center_standardcharges.csv
Found on page	https://osceolacommunityhospital.org/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-10
Content fingerprint	1f34c0bace4ceb85… · 3,868,555 bytes · first seen 2026-06-08

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
J2350 HCPCS	Ocrelizumab 300 Mg/10 Ml	6	$6.09	$67,995.87	$43,461.28	nat. median $414 outlier · 104.9×
J3245 HCPCS	Tildrakizumab-asmn 100Mg/Ml Sy	6	$5.04	$42,763.96	$27,333.67	nat. median $256 outlier · 106.7×
563 MS_DRG	Ms-DRG 563	1	$21,941.42	$21,941.42	$21,941.42	nat. median $9,158 outlier · 2.4×
J1930 HCPCS	Lanreotide Acet 120mg/0.5ml Sy	6	$2.24	$32,496.94	$20,771.24	nat. median $5,088 outlier · 4.1×
4633 APR_DRG	Apr-DRG 4633	1	$20,468.94	$20,468.94	$20,468.94	nat. median $7,359 outlier · 2.8×
J3380 HCPCS	Vedolizumab 300 Mg Vial	6	$21.16	$30,465.79	$19,472.98	nat. median $155 outlier · 126.0×
J9144 HCPCS	Daratumumab Hyaluronida 1800Mg	6	$57.99	$29,599.71	$18,919.41	nat. median $211 outlier · 89.5×
J3101 HCPCS	Tenecteplase 50 Mg/10 Ml Syrng	6	$0.41	$23,749.79	$15,180.28	nat. median $3,787 outlier · 4.0×
193 MS_DRG	Ms-DRG 193	1	$12,507.06	$12,507.06	$12,507.06	nat. median $12,877 1.0× median
183 MS_DRG	Ms-DRG 183	1	$12,507.06	$12,507.06	$12,507.06	nat. median $15,036 0.8× median
J0717 HCPCS	Certolizumab Pegol 400 Mg Kit	6	$3.42	$19,450.60	$12,432.35	nat. median $1,635 outlier · 7.6×
J1932 HCPCS	Lanreotide Acet 120mg/0.5ml Sy	6	$2.12	$19,081.64	$12,196.51	nat. median $115 outlier · 106.4×
J9271 HCPCS	Pembrolizumab 100 Mg/4 Ml Vial	6	$13.37	$16,880.77	$10,789.77	nat. median $275 outlier · 39.3×
J1306 HCPCS	Inclisiran 284mg/1.5ml Syringe	6	$5.81	$11,658.84	$7,452.04	nat. median $44 outlier · 170.4×
2833 APR_DRG	Apr-DRG 2833	1	$6,864.37	$6,864.37	$6,864.37	nat. median $9,033 0.8× median
J3111 HCPCS	Romosozumab-aqqg 210 Mg/2.34Ml	6	$1.56	$8,489.63	$5,426.36	nat. median $696 outlier · 7.8×
J2426 HCPCS	Paliperidone Palmit 156 Mg/ml	6	$14.74	$9,743.13	$4,718.72	nat. median $2,498 1.9× median
74178 CPT	CT Abd & Pelv Wwo Contrast	6	$479.88	$7,214.63	$4,611.41	nat. median $1,027 outlier · 4.5×
J1459 HCPCS	Immune Glob Privige 20gr/200ml	6	$0.29	$7,199.78	$4,601.92	nat. median $1,371 outlier · 3.4×
J0349 HCPCS	Rezafungin 200 Mg Vial	6	$3.78	$6,824.51	$4,362.06	nat. median $18 outlier · 237.3×
Q5122 HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Syr	6	$134.25	$6,349.56	$4,058.48	nat. median $561 outlier · 7.2×
95810 CPT	Polysomnogram	6	$517.07	$5,015.54	$3,883.17	nat. median $1,827 outlier · 2.1×
Q5116 HCPCS	Trastuzumab Qyyp 420Mg Vial	6	$24.93	$6,073.58	$3,882.08	nat. median $429 outlier · 9.0×
J9034 HCPCS	Bendamustine 100 Mg/4 Ml Vial	6	$14.86	$6,002.34	$3,836.55	nat. median $89 outlier · 42.9×
74174 CPT	CTA Abd&Pelv Wwo Dye	6	$501.65	$5,016.45	$3,767.35	nat. median $998 outlier · 3.8×
74177 CPT	CT Abd & Pelv W Contrast	6	$227.52	$5,783.72	$3,696.81	nat. median $976 outlier · 3.8×
J1602 HCPCS	Golimumab 50 Mg/4 Ml Vial	6	$10.77	$5,683.93	$3,633.03	nat. median $261 outlier · 13.9×
J0897 HCPCS	Denosumab 60 Mg/ml Syringe	6	$9.69	$5,645.79	$3,608.65	nat. median $1,982 1.8× median
J3262 HCPCS	Tocilizumab 200 Mg/10 Ml Vial	6	$2.72	$9,050.46	$3,477.38	nat. median $1,413 outlier · 2.5×
95811 CPT	Polysomnogram W CPap	6	$517.07	$5,015.54	$3,438.49	nat. median $1,894 1.8× median
J0129 HCPCS	Abatacept 250 Mg Vial	6	$43.38	$5,311.88	$3,395.22	nat. median $902 outlier · 3.8×
70543 CPT	MRI Orbit Face Neck Wwo Cont	6	$335.45	$4,945.77	$3,161.21	nat. median $1,087 outlier · 2.9×
70553 CPT	MRI Brain Wwo Contrast	6	$509.87	$4,945.77	$3,161.21	nat. median $1,136 outlier · 2.8×
72156 CPT	MRI Neck Spine Wwo Dye	6	$340.05	$4,945.77	$3,161.21	nat. median $1,110 outlier · 2.8×
72157 CPT	MRI Chest Spine Wwo Dye	6	$509.87	$4,945.77	$3,161.21	nat. median $1,114 outlier · 2.8×
72158 CPT	MRI Lumbar Spine Wwo Dye	6	$340.97	$4,945.77	$3,161.21	nat. median $1,097 outlier · 2.9×
73720 CPT	MRI Le Wwo Dye Lt	6	$233.96	$4,945.77	$3,161.21	nat. median $1,135 outlier · 2.8×
74176 CPT	CT Abd & Pelvis Wo Contrast	6	$95.04	$4,769.01	$3,048.24	nat. median $694 outlier · 4.4×
74183 CPT	MRI Abdomen Wwo Dye	6	$490.64	$4,759.19	$3,041.96	nat. median $1,105 outlier · 2.8×
Q4186 HCPCS	Graft Sft Tissue 12SqCm Epifix	6	$274.44	$9,285.23	$3,005.70	nat. median $448 outlier · 6.7×
70544 CPT	MRA Head Wo Contrast	6	$408.12	$4,230.43	$2,703.99	nat. median $829 outlier · 3.3×
59409 CPT	Obstetrical Care	6	$595.60	$5,777.32	$2,697.28	nat. median $3,148 0.9× median
15275 CPT	Skin Substitute Graft 25 Sq Cm	6	$347.87	$3,374.30	$2,612.47	nat. median $1,713 1.5× median
72148 CPT	MRI Lumbar Spine Wo Dye	6	$315.18	$3,844.23	$2,457.13	nat. median $807 outlier · 3.0×
73221 CPT	MRI Joint Ue Wo Dye Rt	6	$396.31	$3,844.23	$2,457.13	nat. median $844 outlier · 2.9×
72146 CPT	MRI Chest Spine Wo Dye	6	$390.63	$3,844.23	$2,457.13	nat. median $800 outlier · 3.1×
70551 CPT	MRI Brain Wo Contrast	6	$396.31	$3,844.23	$2,457.13	nat. median $787 outlier · 3.1×
73218 CPT	MRI Ue Wo Dye Rt	6	$79.40	$3,844.23	$2,457.13	nat. median $866 outlier · 2.8×
73721 CPT	MRI Joint Le Wo Dye Lt	6	$315.18	$3,844.23	$2,457.13	nat. median $856 outlier · 2.9×
72141 CPT	MRI Neck Spine Wo Dye	6	$233.96	$3,844.23	$2,457.13	nat. median $785 outlier · 3.1×

Other procedures at this hospital

Browse this hospital's 985 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

J2350	HCPCS	Ocrelizumab 300 Mg/10 Ml	15	6	$70,098.00	$56,079.07	$6.09	$67,995.87	$43,461.28	2026-07-15
J3245	HCPCS	Tildrakizumab-asmn 100Mg/Ml Sy	15	6	$44,086.00	$35,269.25	$5.04	$42,763.96	$27,333.67	2026-07-15
563	MS_DRG	Ms-DRG 563	1	1	—	—	$21,941.42	$21,941.42	$21,941.42	2026-07-15
J1930	HCPCS	Lanreotide Acet 120mg/0.5ml Sy	15	6	$33,502.00	$26,801.60 20% off	$2.24	$32,496.94	$20,771.24	2026-07-15
4633	APR_DRG	Apr-DRG 4633	2	1	—	—	$20,468.94	$20,468.94	$20,468.94	2026-07-15
J3380	HCPCS	Vedolizumab 300 Mg Vial	16	6	$31,408.00	$25,126.42	$21.16	$30,465.79	$19,472.98	2026-07-15
J9144	HCPCS	Daratumumab Hyaluronida 1800Mg	15	6	$30,515.00	$24,412.14	$57.99	$29,599.71	$18,919.41	2026-07-15
J3101	HCPCS	Tenecteplase 50 Mg/10 Ml Syrng	16	6	$24,484.00	$19,587.46	$0.41	$23,749.79	$15,180.28	2026-07-15
183	MS_DRG	Ms-DRG 183	2	1	—	—	$12,507.06	$12,507.06	$12,507.06	2026-07-15
193	MS_DRG	Ms-DRG 193	2	1	—	—	$12,507.06	$12,507.06	$12,507.06	2026-07-15
J0717	HCPCS	Certolizumab Pegol 400 Mg Kit	15	6	$20,052.00	$16,041.74	$3.42	$19,450.60	$12,432.35	2026-07-15
J1932	HCPCS	Lanreotide Acet 120mg/0.5ml Sy	15	6	$19,671.00	$15,737.43	$2.12	$19,081.64	$12,196.51	2026-07-15
J9271	HCPCS	Pembrolizumab 100 Mg/4 Ml Vial	15	6	$17,402.00	$13,922.29	$13.37	$16,880.77	$10,789.77	2026-07-15
J1306	HCPCS	Inclisiran 284mg/1.5ml Syringe	15	6	$12,019.00	$9,615.54	$5.81	$11,658.84	$7,452.04	2026-07-15
2833	APR_DRG	Apr-DRG 2833	2	1	—	—	$6,864.37	$6,864.37	$6,864.37	2026-07-15
J3111	HCPCS	Romosozumab-aqqg 210 Mg/2.34Ml	15	6	$8,752.00	$7,001.76	$1.56	$8,489.63	$5,426.36	2026-07-15
J2426	HCPCS	Paliperidone Palmit 156 Mg/ml	24	6	$6,196.00	$4,957.29	$14.74	$9,743.13	$4,718.72	2026-07-15
74178	CPT	CT Abd & Pelv Wwo Contrast	13	6	$7,437.00	$5,950.21	$479.88	$7,214.63	$4,611.41	2026-07-15
J1459	HCPCS	Immune Glob Privige 20gr/200ml	15	6	$7,422.00	$5,937.96	$0.29	$7,199.78	$4,601.92	2026-07-15
J0349	HCPCS	Rezafungin 200 Mg Vial	15	6	$7,035.00	$5,628.46	$3.78	$6,824.51	$4,362.06	2026-07-15
Q5122	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Syr	15	6	$6,545.00	$5,236.75	$134.25	$6,349.56	$4,058.48	2026-07-15
95810	CPT	Polysomnogram	11	6	$5,170.00	$4,136.53	$517.07	$5,015.54	$3,883.17	2026-07-15
Q5116	HCPCS	Trastuzumab Qyyp 420Mg Vial	15	6	$6,261.00	$5,009.14	$24.93	$6,073.58	$3,882.08	2026-07-15
J9034	HCPCS	Bendamustine 100 Mg/4 Ml Vial	15	6	$6,187.00	$4,950.38	$14.86	$6,002.34	$3,836.55	2026-07-15
74174	CPT	CTA Abd&Pelv Wwo Dye	13	6	$5,016.00	$4,013.16	$501.65	$5,016.45	$3,767.35	2026-07-15
74177	CPT	CT Abd & Pelv W Contrast	16	6	$5,962.00	$4,770.08	$227.52	$5,783.72	$3,696.81	2026-07-15
J1602	HCPCS	Golimumab 50 Mg/4 Ml Vial	15	6	$5,859.00	$4,687.78	$10.77	$5,683.93	$3,633.03	2026-07-15
J0897	HCPCS	Denosumab 60 Mg/ml Syringe	15	6	$5,820.00	$4,656.32	$9.69	$5,645.79	$3,608.65	2026-07-15
J3262	HCPCS	Tocilizumab 200 Mg/10 Ml Vial	24	6	$4,566.00	$3,653.19	$2.72	$9,050.46	$3,477.38	2026-07-15
95811	CPT	Polysomnogram W CPap	13	6	$5,170.00	$4,136.53	$517.07	$5,015.54	$3,438.49	2026-07-15
J0129	HCPCS	Abatacept 250 Mg Vial	15	6	$5,476.00	$4,380.93	$43.38	$5,311.88	$3,395.22	2026-07-15
73720	CPT	MRI Le Wwo Dye Lt	30	6	$5,098.00	$4,078.98	$233.96	$4,945.77	$3,161.21	2026-07-15
72157	CPT	MRI Chest Spine Wwo Dye	15	6	$5,098.00	$4,078.98	$509.87	$4,945.77	$3,161.21	2026-07-15
72158	CPT	MRI Lumbar Spine Wwo Dye	13	6	$5,098.00	$4,078.98	$340.97	$4,945.77	$3,161.21	2026-07-15
70553	CPT	MRI Brain Wwo Contrast	16	6	$5,098.00	$4,078.98	$509.87	$4,945.77	$3,161.21	2026-07-15
70543	CPT	MRI Orbit Face Neck Wwo Cont	13	6	$5,098.00	$4,078.98	$335.45	$4,945.77	$3,161.21	2026-07-15
72156	CPT	MRI Neck Spine Wwo Dye	15	6	$5,098.00	$4,078.98	$340.05	$4,945.77	$3,161.21	2026-07-15
74176	CPT	CT Abd & Pelvis Wo Contrast	16	6	$4,916.00	$3,933.21	$95.04	$4,769.01	$3,048.24	2026-07-15
74183	CPT	MRI Abdomen Wwo Dye	16	6	$4,906.00	$3,925.10	$490.64	$4,759.19	$3,041.96	2026-07-15
Q4186	HCPCS	Graft Sft Tissue 12SqCm Epifix	46	6	$4,784.00	$3,827.52	$274.44	$9,285.23	$3,005.70	2026-07-15
70544	CPT	MRA Head Wo Contrast	13	6	$4,361.00	$3,489.02	$408.12	$4,230.43	$2,703.99	2026-07-15
59409	CPT	Obstetrical Care	20	6	$5,956.00	$4,764.80	$595.60	$5,777.32	$2,697.28	2026-07-15
15275	CPT	Skin Substitute Graft 25 Sq Cm	11	6	$3,478.00	$2,782.93	$347.87	$3,374.30	$2,612.47	2026-07-15
70551	CPT	MRI Brain Wo Contrast	15	6	$3,963.00	$3,170.50	$396.31	$3,844.23	$2,457.13	2026-07-15
72146	CPT	MRI Chest Spine Wo Dye	13	6	$3,963.00	$3,170.50	$390.63	$3,844.23	$2,457.13	2026-07-15
73721	CPT	MRI Joint Le Wo Dye Lt	30	6	$3,963.00	$3,170.50	$315.18	$3,844.23	$2,457.13	2026-07-15
72141	CPT	MRI Neck Spine Wo Dye	15	6	$3,963.00	$3,170.50	$233.96	$3,844.23	$2,457.13	2026-07-15
73718	CPT	MRI Le Wo Dye Lt	26	6	$3,963.00	$3,170.50	$56.39	$3,844.23	$2,457.13	2026-07-15
72148	CPT	MRI Lumbar Spine Wo Dye	15	6	$3,963.00	$3,170.50	$315.18	$3,844.23	$2,457.13	2026-07-15
73218	CPT	MRI Ue Wo Dye Rt	13	6	$3,963.00	$3,170.50	$79.40	$3,844.23	$2,457.13	2026-07-15
73221	CPT	MRI Joint Ue Wo Dye Rt	27	6	$3,963.00	$3,170.50	$396.31	$3,844.23	$2,457.13	2026-07-15
47605	CPT	Remove Gallbladder	9	6	$3,460.00	$2,768.11	$2,169.67	$3,034.11	$2,406.64	2026-07-15
71270	CPT	CT Thorax Wwo Contrast	13	6	$3,719.00	$2,975.20 20% off	$82.17	$3,607.43	$2,305.78	2026-07-15
70492	CPT	CT Soft Tissue Neck Wwo Cont	13	6	$3,719.00	$2,975.20 20% off	$371.90	$3,607.43	$2,305.78	2026-07-15
74170	CPT	CT Abdomen Wwo Dye	15	6	$3,719.00	$2,975.20 20% off	$58.22	$3,607.43	$2,305.78	2026-07-15
J1439	HCPCS	Ferric Carboxymalt 750mg/15ml	15	6	$3,540.00	$2,832.34	$1.13	$3,434.22	$2,195.07	2026-07-15
70488	CPT	CT Maxillofac Wwo Contrast	13	6	$3,487.00	$2,789.99	$319.79	$3,382.87	$2,162.24	2026-07-15
C8929	HCPCS	Echo M Mode 2d W Contrast	14	6	$2,708.00	$2,167.00	$270.88	$2,627.49	$1,917.80	2026-07-15
71275	CPT	CTA Chest Wwo Contrast	14	6	$2,981.00	$2,385.05	$298.13	$2,891.87	$1,893.13	2026-07-15
C9809	HCPCS	Tip Crysg G2 Iovera 2309 1x8.5	14	6	$2,476.00	$1,980.80 20% off	$247.60	$2,401.72	$1,885.47	2026-07-15
74160	CPT	CT Abdomen W Dye	13	6	$2,981.00	$2,385.05	$298.13	$2,891.87	$1,848.41	2026-07-15
72193	CPT	CT Pelvis W Dye	15	6	$2,981.00	$2,385.05	$298.13	$2,891.87	$1,848.41	2026-07-15
70491	CPT	CT Soft Tissue Neck W Cont	13	6	$2,981.00	$2,385.05	$298.13	$2,891.87	$1,848.41	2026-07-15
71260	CPT	CT Thorax W Contrast	15	6	$2,981.00	$2,385.05	$80.31	$2,891.87	$1,848.41	2026-07-15
J9217	HCPCS	Leuprolide Acetate 45 Mg Syr	42	6	$2,729.00	$2,183.38	$1.47	$4,016.00	$1,782.37	2026-07-15
78315	CPT	Bone Scan 3 Phase	11	6	$2,323.00	$1,859.14	$232.39	$2,254.21	$1,745.27	2026-07-15
J0585	HCPCS	Botul Tox Type A 100 Unit Vial	24	6	$2,278.00	$1,822.80	$6.48	$4,114.74	$1,735.08	2026-07-15
70460	CPT	CT Head/Brain W Contrast	13	6	$2,750.00	$2,200.02	$61.91	$2,667.52	$1,705.01	2026-07-15
70486	CPT	CT Maxillofacial Wo Contrast	16	6	$2,656.00	$2,125.40	$187.95	$2,577.05	$1,647.19	2026-07-15
360	CDM	Ag Capsulotomy	77	6	$2,235.00	$1,788.50	$95.81	$4,646.91	$1,634.56	2026-07-15
129	CDM	Room Swing Bed Skilled	9	6	$2,161.00	$1,728.86	$216.11	$2,096.25	$1,622.97	2026-07-15
70498	CPT	CT Angiography Neck W Cont	15	6	$2,608.00	$2,087.00	$260.88	$2,530.49	$1,617.43	2026-07-15
27691	CPT	Revise Lower Leg Tendon Lt	9	6	$1,666.00	$1,333.20	$1,458.70	$2,059.99	$1,612.47	2026-07-15
70496	CPT	CT Angiography Head W Cont	15	6	$2,600.00	$2,080.39	$246.84	$2,522.48	$1,612.30	2026-07-15
72128	CPT	CT Thoracic Spine Wo Contrast	15	6	$2,458.00	$1,966.70	$107.93	$2,458.38	$1,597.95	2026-07-15
72131	CPT	CT Lumbar Spine Wo Contrast	15	6	$2,458.00	$1,966.70	$234.87	$2,458.38	$1,597.95	2026-07-15
21554	CPT	Excision Lesion IM 5 Cm	9	6	$1,635.00	$1,308.32	$1,427.30	$1,987.05	$1,577.71	2026-07-15
70450	CPT	CT Head/Brain Wo Contrast	14	6	$2,458.00	$1,966.70	$245.84	$2,384.63	$1,561.08	2026-07-15
47563	CPT	Lap Cholecystectomy/Graph	9	6	$2,198.00	$1,758.52	$1,391.27	$1,935.98	$1,543.40	2026-07-15
74150	CPT	CT Abdomen Wo Dye	13	6	$2,458.00	$1,966.61	$245.83	$2,384.51	$1,524.12	2026-07-15
72192	CPT	CT Pelvis Wo Dye	13	6	$2,458.00	$1,966.61	$245.83	$2,384.51	$1,524.12	2026-07-15
72125	CPT	CT Cervical Spine Wo Contrast	16	6	$2,458.00	$1,966.61	$172.21	$2,384.51	$1,524.12	2026-07-15
73700	CPT	CT Le Wo Dye Lt	30	6	$2,458.00	$1,966.61	$76.65	$2,384.51	$1,524.12	2026-07-15
71250	CPT	CT Thorax Wo Contrast	16	6	$2,458.00	$1,966.61	$71.13	$2,384.51	$1,524.12	2026-07-15
70490	CPT	CT Soft Tissue Neck Wo Cont	13	6	$2,458.00	$1,966.61	$245.83	$2,384.51	$1,524.12	2026-07-15
70480	CPT	CT Orbit Wo Contrast	13	6	$2,458.00	$1,966.61	$192.56	$2,384.51	$1,524.12	2026-07-15
93306	CPT	Tte W Doppler Complete	15	6	$1,988.00	$1,590.82	$198.85	$2,105.00	$1,493.38	2026-07-15
J0881	HCPCS	Darbepoe Alfa 200mcg/0.4ml Syr	15	6	$2,232.00	$1,786.12	$2.92	$2,669.46	$1,451.22	2026-07-15
47562	CPT	Laparoscopic Cholecystectomy	9	6	$2,023.00	$1,618.54	$1,281.27	$1,779.51	$1,421.08	2026-07-15
78306	CPT	Bone Scan Whole Body	11	6	$1,889.00	$1,511.84	$188.98	$1,833.11	$1,419.24	2026-07-15
J0174	HCPCS	Lecanemab-irmb 500 Mg/5Ml Vial	15	6	$2,247.00	$1,797.66	$0.08	$2,179.66	$1,393.18	2026-07-15
49520	CPT	Rerepair Ing Hernia Reduce Rt	9	6	$1,849.00	$1,479.90	$1,230.57	$1,707.97	$1,365.60	2026-07-15
90375	CPT	Rabies Imm Glob (Human) 300u/m	15	6	$2,200.00	$1,760.69	$146.90	$2,134.83	$1,364.53	2026-07-15
J0248	HCPCS	Remdesivir 100 Mg Vial	15	6	$2,142.00	$1,713.88	$6.35	$2,078.08	$1,328.26	2026-07-15
12037	CPT	Repair Lac Interm >30.0 Cm	11	6	$1,737.00	$1,390.02	$173.75	$1,685.40	$1,304.89	2026-07-15
73200	CPT	CT Ue Wo Dye Lt	13	6	$2,044.00	$1,635.63	$70.19	$1,983.20	$1,267.61	2026-07-15
49525	CPT	Repair Ing Hernia Sliding Lt	9	6	$1,676.00	$1,340.91	$1,119.02	$1,552.52	$1,240.33	2026-07-15
C8924	HCPCS	Tte 2d W Contrast Limited	11	6	$1,627.00	$1,301.66	$162.71	$1,578.27	$1,221.94	2026-07-15
73701	CPT	CT Le W Dye Lt	13	6	$1,889.00	$1,511.86	$188.98	$1,833.14	$1,171.69	2026-07-15
111	CDM	Room Medical Unit Priv	9	6	$1,554.00	$1,243.90	$155.49	$1,508.22	$1,167.71	2026-07-15
49505	CPT	Prp I/Hern Init Reduc >5 Yr Lt	18	6	$1,600.00	$1,280.03	$1,022.06	$1,412.24	$1,130.78	2026-07-15
Q5121	HCPCS	Infliximab-axxq 100 Mg Vial	15	6	$1,679.00	$1,343.30	$35.88	$4,302.83	$1,091.43	2026-07-15
92960	CPT	Cardioversion Electric Ext	13	6	$1,400.00	$1,120.00 20% off	$140.00	$1,497.96	$1,080.80	2026-07-15
93975	CPT	Vascular Study	11	6	$1,405.00	$1,124.36	$140.55	$1,363.29	$1,055.49	2026-07-15
46260	CPT	Remove In/Ext Hem Groups 2	9	6	$1,456.00	$1,165.22	$942.10	$1,319.84	$1,041.40	2026-07-15
80285	CPT	Voriconazole	11	6	$1,373.00	$1,098.98	$137.37	$1,332.51	$1,031.66	2026-07-15
P9037	HCPCS	Platelet Pheresis Leuk Red Irr	11	6	$1,344.00	$1,075.97	$134.50	$1,304.61	$1,010.07	2026-07-15
J1745	HCPCS	Infliximab (Gen) 100 Mg Vial	15	6	$1,628.00	$1,303.10	$1.46	$1,580.00	$1,009.90	2026-07-15
G0390	HCPCS	Trauma Team Level 4	13	6	$1,304.00	$1,043.58	$130.45	$1,304.47	$1,007.05	2026-07-15
78227	CPT	Hida With Ef w/Pharm	13	6	$1,443.00	$1,154.83	$144.35	$1,400.23	$994.99	2026-07-15
0202U	CPT	Respir Path 22 Targets Biofire	11	6	$1,321.00	$1,056.81	$132.10	$1,281.38	$992.08	2026-07-15
27687	CPT	Gastrocnemius Recession Lt	9	6	$1,021.00	$817.52	$894.00	$1,264.00	$988.19	2026-07-15
J0740	HCPCS	Cidofovir 375 Mg/5 Ml Vial	15	6	$1,548.00	$1,238.55	$2.48	$1,501.74	$959.88	2026-07-15
22903	CPT	Exc Soft Tissue Abd Wall <3 Cm	9	6	$1,482.00	$1,185.60 20% off	$863.80	$1,191.48	$954.85	2026-07-15
87522	CPT	Hep C RNA Pcr Quant	11	6	$1,244.00	$995.86	$124.48	$1,207.48	$934.86	2026-07-15
93880	CPT	Extracranial Bilat Study	15	6	$1,231.00	$985.58	$123.20	$1,195.01	$925.21	2026-07-15
55250	CPT	Vasectomy	20	6	$1,940.00	$1,552.53	$194.07	$1,882.44	$920.09	2026-07-15
93970	CPT	Venous Duplex	13	6	$1,376.00	$1,101.34	$137.67	$1,335.37	$915.49	2026-07-15
27337	CPT	Exc Tumor Thigh/Knee >3cm Lt	9	6	$1,446.00	$1,156.80 20% off	$825.90	$1,139.43	$913.00	2026-07-15
11760	CPT	Repair Nailbed	11	6	$1,196.00	$957.44	$119.68	$1,160.90	$898.80	2026-07-15
49613	CPT	Rpr Aa Hrn Rcr <3 Rdc	9	6	$793.00	$635.04	$803.72	$1,157.18	$891.29	2026-07-15
19120	CPT	Excision Breast Cyst Rt	9	6	$1,498.00	$1,198.70	$756.50	$1,123.84	$890.00	2026-07-15
24071	CPT	Excise Tumor Upper Arm 3+ Cmlt	9	6	$1,823.00	$1,458.72	$797.70	$1,105.50	$881.78	2026-07-15
Q5104	HCPCS	Infliximab-abda 100 Mg Vial	15	6	$1,353.00	$1,083.03	$27.85	$5,119.19	$879.96	2026-07-15
81479	CPT	Rapid Pain Panel	11	6	$1,158.00	$926.90	$115.86	$1,123.86	$870.12	2026-07-15
87154	CPT	Culture Id By Amp Prb 6 Or 6+	13	6	$1,296.00	$1,037.03	$129.63	$1,257.40	$862.03	2026-07-15
93925	CPT	Arterial Duplex Le Bi	11	6	$1,133.00	$906.97	$113.37	$1,099.70	$851.42	2026-07-15
J0666	HCPCS	Bupivac Liposome 1.3% Pf 20 Ml	15	6	$1,307.00	$1,045.84	$1.42	$1,713.62	$849.75	2026-07-15
93971	CPT	Extremity Study Lt	26	6	$1,271.00	$1,016.89	$127.11	$1,232.98	$845.29	2026-07-15
93356	CPT	Myocardial Strain Image Speckl	14	6	$1,095.00	$876.12	$109.52	$1,062.30	$775.37	2026-07-15
46255	CPT	Remove Int/Ext Hem 1 Group	9	6	$808.00	$646.64	$692.40	$981.43	$765.44	2026-07-15
27788	CPT	Fx Distal Fibula W Man Rt	20	6	$811.00	$649.28	$81.16	$1,066.10	$759.68	2026-07-15
85240	CPT	Factor 8 Ref	11	6	$1,003.00	$803.01	$100.38	$973.65	$753.82	2026-07-15
84305	CPT	Somatomedin	11	6	$1,000.00	$800.65	$100.08	$970.79	$751.61	2026-07-15
710	CDM	Recovery Phase 1 Per 15 Min	44	6	$1,260.00	$1,008.00 20% off	$15.37	$2,444.40	$744.66	2026-07-15
11043	CPT	Debride Muscle/Fascia 20 Cm	22	6	$1,198.00	$958.43	$119.80	$1,225.75	$742.78	2026-07-15
46200	CPT	Removal Anal Fissure	9	6	$773.00	$618.88	$664.90	$924.42	$737.08	2026-07-15
C1781	HCPCS	Mesh Hernia Umb Spr Md Crc 2.5	72	6	$1,095.00	$876.35	$41.00	$3,514.89	$728.90	2026-07-15
49591	CPT	Rpr Aa Hrn 1st <3 Cm Rdc	9	6	$859.00	$687.96	$653.22	$938.11	$723.00	2026-07-15
25111	CPT	Excision Ganglion Wrist Prim	9	6	$971.00	$777.57	$652.00	$892.84	$720.75	2026-07-15
28315	CPT	Remove Sesamoid Bone Lt	9	6	$730.00	$584.32	$640.50	$915.29	$710.83	2026-07-15
87801	CPT	Broad Range Bacterial DNA Pcr	22	6	$1,004.00	$803.20	$74.90	$1,221.23	$707.81	2026-07-15
87551	CPT	Mycobacterium Pcr	11	6	$924.00	$739.20	$92.40	$896.28	$693.92	2026-07-15
54840	CPT	Remove Epididymis Lesion Bi	9	6	$1,077.00	$861.60 20% off	$615.30	$898.44	$692.37	2026-07-15
25075	CPT	Excise Tumor Forearm <3 Cm Lt	9	6	$1,447.00	$1,157.60 20% off	$625.70	$868.11	$691.67	2026-07-15
90675	CPT	Rabies Vax Pcec/Pf 2.5Unit Vl	15	6	$1,115.00	$892.19	$111.52	$1,081.78	$691.45	2026-07-15
84252	CPT	Vitamin B2 (Riboflavin)	11	6	$918.00	$734.61	$91.83	$890.71	$689.61	2026-07-15
P9040	HCPCS	Rbc Packed Leuko-reduc Irrad	11	6	$914.00	$731.20	$91.40	$886.58	$686.41	2026-07-15
82024	CPT	Acth Adrenocorticotropic Hor	13	6	$1,016.00	$813.57	$91.38	$986.45	$676.28	2026-07-15
28090	CPT	Excision Cyst Foot Rt	9	6	$692.00	$554.08	$606.50	$862.26	$673.04	2026-07-15
76942	CPT	US Guide For Needle Placement	22	6	$1,080.00	$864.51	$51.89	$1,080.64	$670.00	2026-07-15
93308	CPT	Echo Limited	13	6	$866.00	$693.46	$86.68	$993.43	$669.19	2026-07-15
110	CDM	Room Custodial Care	9	6	$882.00	$706.27	$88.28	$856.35	$663.01	2026-07-15
87581	CPT	Mycoplasma Pneum Pcr	11	6	$854.00	$683.56	$85.45	$828.82	$641.69	2026-07-15
36430	CPT	Blood Administration	13	6	$827.00	$661.78	$82.72	$827.22	$638.61	2026-07-15
450	CDM	Dissolve Clot Heart Vessel	22	6	$1,159.00	$927.44	$66.30	$1,605.93	$626.54	2026-07-15
84597	CPT	Vitamin K	11	6	$827.00	$661.67	$82.71	$802.28	$621.14	2026-07-15
36569	CPT	Insert Picc Line >5 Without Guide	20	6	$1,525.00	$1,220.74	$152.59	$1,480.15	$605.23	2026-07-15
85302	CPT	Protein C Antigen	11	6	$801.00	$640.82	$80.10	$776.99	$601.57	2026-07-15
85303	CPT	Protein C Activity	11	6	$801.00	$640.82	$80.10	$776.99	$601.57	2026-07-15
82652	CPT	Vitamin D 125 Dihydroxy	11	6	$796.00	$637.33	$79.67	$772.76	$598.29	2026-07-15
71271	CPT	Ldct For Lung Cancer Screen	13	6	$956.00	$765.28	$95.66	$927.90	$593.09	2026-07-15
115	CDM	Room Hospice Respite Care	9	6	$787.00	$629.86	$78.73	$763.71	$591.28	2026-07-15
J9155	HCPCS	Degarelix 80 Mg Vial	15	6	$950.00	$760.10	$4.77	$921.63	$589.08	2026-07-15
83993	CPT	Calprotectin	13	6	$870.00	$696.20	$65.68	$844.14	$578.72	2026-07-15
80235	CPT	Lacosamide	11	6	$750.00	$600.34	$75.04	$727.91	$563.57	2026-07-15
85300	CPT	Antithrombin Activity	11	6	$737.00	$590.34	$73.79	$715.79	$554.19	2026-07-15
C1726	HCPCS	Cath Balloon EZDilate	12	6	$723.00	$578.56	$72.32	$701.50	$543.12	2026-07-15
37195	CPT	Thrombolytic Therapy Stroke	20	6	$664.00	$531.55	$64.11	$1,550.90	$542.06	2026-07-15
84482	CPT	Reverse T3	13	6	$811.00	$649.50	$27.34	$787.51	$539.89	2026-07-15
71111	CPT	X-ray Ribs Bilateral 4 Views	11	6	$826.00	$660.95	$63.74	$801.40	$537.02	2026-07-15
11462	CPT	Ex Hidradenitis Ing Sim Lt	9	6	$1,355.00	$1,084.00 20% off	$455.90	$668.14	$536.40	2026-07-15
85307	CPT	Protein C Resistance	11	6	$712.00	$570.06	$71.26	$691.19	$535.14	2026-07-15
45385	CPT	Colonoscopy W Lesion Removal	9	6	$1,529.00	$1,223.75	$482.00	$709.52	$532.76	2026-07-15
74300	CPT	X-ray Bile Ducts/Pancreas	11	6	$683.00	$546.92	$68.37	$965.04	$527.78	2026-07-15
11406	CPT	Exc Ben Lesion >4.0 Trunk	9	6	$897.00	$717.74	$447.60	$675.58	$526.60	2026-07-15
82653	CPT	Pancreatic Elastase	13	6	$776.00	$621.29	$67.95	$753.31	$516.45	2026-07-15
73523	CPT	X-ray Hips 5 Views Bi	14	6	$683.00	$546.70	$68.34	$690.20	$513.21	2026-07-15
81291	CPT	Mthfr Mutation	11	6	$681.00	$544.86	$68.11	$660.65	$511.49	2026-07-15
81517	CPT	Enhanced Liver Fibrosis	13	6	$766.00	$613.19	$76.65	$743.50	$509.72	2026-07-15
76805	CPT	OB US >14 Wk Tvta Single Fetus	11	6	$677.00	$542.11	$67.76	$657.31	$508.91	2026-07-15
81256	CPT	Hemochromat Mutation	13	6	$759.00	$607.88	$75.99	$737.05	$505.30	2026-07-15
93926	CPT	Arterial Duplex Le Lt	11	6	$671.00	$536.80 20% off	$67.10	$650.87	$503.92	2026-07-15
A9585	HCPCS	Gadobutrol Inj 10 Mm/10 Ml Vl	26	6	$800.00	$640.00 20% off	$0.56	$776.00	$503.90	2026-07-15
Q0138	HCPCS	Ferumoxy 510mg/17ml (non-esrd)	15	6	$809.00	$647.56	$0.33	$785.17	$501.86	2026-07-15
45398	CPT	Colonoscopy W Band Ligation	9	6	$2,773.00	$2,218.40	$447.30	$650.58	$494.45	2026-07-15
96125	CPT	Cognitive Performance Test St	11	6	$645.00	$516.56	$64.57	$626.33	$484.92	2026-07-15
94660	CPT	CPap/BiPap First Day	11	6	$645.00	$516.43	$64.55	$626.17	$484.80	2026-07-15
P9016	HCPCS	Red Blood Cells Lekoreduced	14	6	$619.00	$495.33	$61.92	$1,238.32	$483.56	2026-07-15
12034	CPT	Repair Lac Interm 7.6-12.5 Cm	22	6	$759.00	$607.87	$75.98	$1,115.27	$482.50	2026-07-15
43233	CPT	Egd Balloon Dil Esoph30 Mm/>	9	6	$766.00	$612.80 20% off	$435.70	$632.55	$481.68	2026-07-15
45384	CPT	Colonoscopy W Lesion Removal	9	6	$1,600.00	$1,280.03	$434.50	$631.18	$480.26	2026-07-15
93226	CPT	ECG Monit/Report Up To 48 Hour	15	6	$637.00	$510.01	$63.75	$618.38	$478.77	2026-07-15
76856	CPT	Ultrasound Pelvic Complete	14	6	$675.00	$540.28	$67.54	$655.09	$478.15	2026-07-15
82088	CPT	Aldosterone	13	6	$715.00	$572.33	$45.69	$693.95	$475.75	2026-07-15
G0379	HCPCS	Observation Assess Direct Adm	13	6	$611.00	$489.59	$61.20	$611.99	$472.46	2026-07-15
27786	CPT	Fx Distal Fibula Rt	13	6	$611.00	$489.24	$61.16	$1,824.26	$472.12	2026-07-15
11045	CPT	Debride Skin Subq Addl 20 Cm	22	6	$760.00	$608.51	$43.90	$1,967.49	$471.60	2026-07-15
12052	CPT	Repair Lac Interm 2.6-5.0 Cm	20	6	$759.00	$607.87	$75.98	$737.04	$471.10	2026-07-15
12042	CPT	Repair Lac Interm 2.6-7.5 Cm	20	6	$759.00	$607.87	$75.98	$737.04	$471.10	2026-07-15
11042	CPT	Debride Skin Subq 20 Cm	22	6	$759.00	$607.87	$75.98	$737.04	$471.10	2026-07-15
11044	CPT	Debride Bone 20 Cm	9	6	$961.00	$768.80 20% off	$399.00	$622.02	$469.40	2026-07-15
92950	CPT	Heart/Lung Resuscitation Cpr	20	6	$823.00	$658.84	$82.36	$798.84	$468.45	2026-07-15
54700	CPT	Drainage Scrotum Lt	9	6	$569.00	$455.20 20% off	$408.50	$594.47	$459.69	2026-07-15
92522	CPT	Eval St Speech Production	14	6	$645.00	$516.56	$64.57	$626.33	$457.15	2026-07-15
96413	CPT	Chemotherapy Inf Initial	14	6	$645.00	$516.56	$64.57	$626.33	$457.15	2026-07-15
V2632	HCPCS	Iol Clareon Aspheric Uv 17.5d	37	6	$600.00	$480.00 20% off	$60.00	$592.00	$456.61	2026-07-15
V2787	HCPCS	Iol Clareon Asph Uv 12.5d	11	6	$608.00	$486.40 20% off	$60.80	$589.76	$456.61	2026-07-15
84207	CPT	Vitamin B6	13	6	$590.00	$472.31	$59.04	$590.39	$455.78	2026-07-15
G0378	HCPCS	Observation 1st Hour	28	6	$1,260.00	$1,008.12	$8.63	$2,049.34	$453.65	2026-07-15
80197	CPT	Tacrolimus	13	6	$585.00	$468.44	$58.56	$585.55	$452.04	2026-07-15
76770	CPT	Ultrasound Abdo Back Wall Comp	14	6	$637.00	$510.35	$63.79	$618.80	$451.66	2026-07-15
77080	CPT	Dexa Scan	14	6	$710.00	$568.46	$71.06	$689.25	$451.21	2026-07-15
31500	CPT	Insert Emergency Airway	20	6	$821.00	$657.42	$82.18	$797.12	$450.19	2026-07-15
32554	CPT	Thoracentesis Wo Guide	11	6	$598.00	$478.84	$59.86	$580.59	$449.51	2026-07-15
88184	CPT	Flow Cytometry First Mark	11	6	$598.00	$478.73	$59.84	$580.46	$449.41	2026-07-15
82523	CPT	Cross Linked C Teleop	11	6	$595.00	$476.09	$59.51	$577.26	$446.93	2026-07-15
99291	CPT	Critical Care 1st 30-74 Min	23	6	$1,981.00	$1,585.18	$198.15	$1,922.04	$444.51	2026-07-15
23650	CPT	Dislocation Shoulder Wo AnesRT	22	6	$449.00	$359.50	$44.94	$802.00	$442.64	2026-07-15
12041	CPT	Repair Lac Interm <2.5 Cm	20	6	$759.00	$607.87	$75.98	$737.04	$440.14	2026-07-15
74250	CPT	Gastrografin Challenge	11	6	$676.00	$541.18	$67.65	$656.19	$439.71	2026-07-15
C1751	HCPCS	Tray Cath Powermidline 20cm 4f	22	6	$597.00	$477.99	$46.51	$707.94	$439.54	2026-07-15
82157	CPT	Androstenedione	11	6	$582.00	$465.89	$58.24	$564.89	$437.35	2026-07-15
92523	CPT	Speech Sound Lang Comprehen	13	6	$645.00	$516.56	$64.57	$626.33	$429.39	2026-07-15
99284	CPT	Emergency Room Visit Level 4	26	6	$977.00	$782.06	$97.76	$948.24	$427.59	2026-07-15
87305	CPT	Aspergillus Galact Antigen	13	6	$551.00	$440.80 20% off	$55.10	$551.00	$425.37	2026-07-15
83835	CPT	Metanephrines Urine	24	6	$526.00	$421.54	$27.34	$664.65	$424.83	2026-07-15
27840	CPT	Treat Ankle Dislocation	20	6	$449.00	$359.50	$44.94	$1,037.29	$424.66	2026-07-15
93325	CPT	Echo Color Doppler	11	6	$565.00	$452.35	$56.54	$548.48	$424.65	2026-07-15
45380	CPT	Colonoscopy W Biopsy(s)	9	6	$1,458.00	$1,166.40	$382.50	$558.91	$422.80	2026-07-15
85598	CPT	Hexagonal Phospholipid Neu	11	6	$557.00	$445.99	$55.75	$540.77	$418.68	2026-07-15
46221	CPT	Ligation Hemorrhoid(s)	9	6	$367.00	$294.00	$378.00	$537.38	$417.84	2026-07-15
86480	CPT	Tbint Quantiferon	13	6	$623.00	$498.82	$62.35	$604.82	$414.65	2026-07-15
64635	CPT	Destroy Lumb/Sac Facet Jnt Bi	27	6	$977.00	$781.84	$370.30	$621.35	$410.45	2026-07-15
64633	CPT	Destroy Cerv/Thor Facet Inj Lt	18	6	$423.00	$338.40 20% off	$370.30	$629.16	$409.92	2026-07-15
76536	CPT	Ultrasound Head And Neck	14	6	$576.00	$461.39	$57.67	$559.44	$408.33	2026-07-15
76817	CPT	Transvaginal US Obstetrical	11	6	$538.00	$430.67	$53.83	$522.19	$404.29	2026-07-15
72074	CPT	X-ray Spine Thoracic 4 Views	11	6	$621.00	$496.80 20% off	$45.35	$602.37	$403.65	2026-07-15
84591	CPT	Niacin Vit B3	11	6	$536.00	$429.38	$53.67	$520.63	$403.08	2026-07-15
82668	CPT	Erythropoietin	11	6	$535.00	$428.25	$53.53	$519.25	$402.02	2026-07-15
76801	CPT	OB US < 14 Wks Single Fetus	13	6	$594.00	$475.38	$59.42	$576.40	$395.16	2026-07-15
82104	CPT	Alpha 1 Antitrypsin Pheno	11	6	$523.00	$418.44	$52.31	$507.36	$392.81	2026-07-15
12032	CPT	Repair Lac Interm 2.6-7.5 Cm	22	6	$430.00	$344.18	$43.02	$534.49	$391.44	2026-07-15
81268	CPT	Chimer Post Trans Sorted Cells	11	6	$520.00	$416.17	$52.02	$504.60	$390.68	2026-07-15
45378	CPT	Colonoscopy Diagnostic	9	6	$1,179.00	$943.90	$351.70	$514.44	$388.75	2026-07-15
76830	CPT	Ultrasound Transvaginal	14	6	$547.00	$437.66	$54.71	$530.67	$387.34	2026-07-15
72110	CPT	X-ray Lumbosacral 4 Views	13	6	$621.00	$497.22	$62.15	$602.88	$385.35	2026-07-15
76870	CPT	Ultrasound Scrotum	15	6	$576.00	$461.39	$57.67	$559.44	$383.53	2026-07-15
93321	CPT	Doppler Echo Exam Heart	11	6	$506.00	$405.18	$50.65	$491.28	$380.36	2026-07-15
99236	CPT	Admit/Discharge Same Day High	9	6	$548.00	$438.86	$322.41	$436.48	$380.07	2026-07-15
10120	CPT	I&r Foreign Body Simple	20	6	$759.00	$607.87	$75.98	$737.04	$379.95	2026-07-15
82140	CPT	Ammonia	13	6	$489.00	$391.27	$48.91	$489.09	$377.58	2026-07-15
76775	CPT	Ultrasound Aorta	13	6	$559.00	$447.64	$55.96	$542.76	$372.10	2026-07-15
93922	CPT	Ankle Arm Screen	12	6	$494.00	$395.34	$49.42	$479.35	$371.13	2026-07-15
80203	CPT	Zonisamide	11	6	$493.00	$394.58	$49.32	$478.42	$370.41	2026-07-15
76705	CPT	Ultrasound Abdomen Limited	13	6	$550.00	$440.30	$55.04	$533.86	$366.00	2026-07-15
94060	CPT	Evaluation Wheezing	13	6	$473.00	$379.18	$47.40	$488.50	$365.91	2026-07-15
83970	CPT	Pth	13	6	$548.00	$438.62	$54.83	$531.83	$364.61	2026-07-15
82530	CPT	Cortisol Free Urine	11	6	$485.00	$388.06	$48.51	$470.52	$364.29	2026-07-15
80177	CPT	Levetiracetam	13	6	$546.00	$436.94	$40.23	$529.78	$363.20	2026-07-15
99285	CPT	Emergency Room Visit Level 5	25	6	$1,738.00	$1,390.70	$173.84	$1,686.23	$360.63	2026-07-15
76000	CPT	Fluoroscope Examination	11	6	$466.00	$373.55	$46.69	$753.11	$360.48	2026-07-15
86300	CPT	Ca 27-29	11	6	$477.00	$381.92	$47.74	$463.08	$358.53	2026-07-15
84425	CPT	Vitamin B1	11	6	$476.00	$381.07	$47.63	$462.05	$357.73	2026-07-15
76700	CPT	Ultrasound Abdomen Complete	15	6	$459.00	$367.77	$45.97	$445.92	$354.90	2026-07-15
51705	CPT	Suprapubic Cath Change	11	6	$470.00	$376.77	$47.10	$456.83	$353.69	2026-07-15
51700	CPT	Irrigation Bladder Simple	11	6	$470.00	$376.77	$47.10	$456.83	$353.69	2026-07-15
11404	CPT	Exc Ben Lesion 3.1-4.0 Trunk	9	6	$622.00	$497.85	$298.20	$448.53	$353.56	2026-07-15
G0121	HCPCS	Screen Colonoscopy Not Hi Risk	9	6	$1,099.00	$879.31	$171.02	$514.81	$352.30	2026-07-15
76706	CPT	Aaa Screening Medicare	11	6	$468.00	$374.71	$46.84	$454.34	$351.76	2026-07-15
G0105	HCPCS	Screening Colonoscopy Hi Risk	9	6	$1,142.00	$913.98	$170.90	$514.08	$351.70	2026-07-15
93798	CPT	Cardiac Rehab Ii Monitored	16	6	$430.00	$344.57	$43.07	$504.00	$351.65	2026-07-15
87517	CPT	Hep B Na Quan	11	6	$468.00	$374.47	$46.81	$454.05	$351.54	2026-07-15
93225	CPT	Holter Monitor Hook Up <48 Hrs	15	6	$467.00	$373.80	$46.73	$453.23	$350.90	2026-07-15
84590	CPT	Vitamin A	11	6	$466.00	$373.43	$46.68	$452.79	$350.56	2026-07-15
85246	CPT	Factor Viii Rel Agn	11	6	$466.00	$373.34	$46.67	$452.67	$350.47	2026-07-15
86015	CPT	Smooth Muscle Antibody	11	6	$466.00	$373.06	$46.63	$452.33	$350.21	2026-07-15
20553	CPT	Inject Trigger Points 3 Mus	22	6	$564.00	$451.52	$56.44	$564.40	$349.93	2026-07-15
90716	CPT	Varicella SubQ	15	6	$536.00	$429.50	$53.69	$520.76	$348.97	2026-07-15
81241	CPT	Factor V Leiden Mutation	13	6	$450.00	$360.51	$45.06	$450.64	$347.89	2026-07-15
77002	CPT	Needle Localization By X-ray	11	6	$534.00	$427.82	$53.48	$518.73	$347.60	2026-07-15
85245	CPT	Ristocetin CoFactor	11	6	$462.00	$370.13	$46.27	$448.78	$347.46	2026-07-15
25600	CPT	Fx Distal Radius Lt	24	6	$449.00	$359.20 20% off	$44.90	$2,009.51	$341.91	2026-07-15
Q5110	HCPCS	Filgrastim-aafi 480 Mcg/0.8 Ml	15	6	$525.00	$420.20	$0.29	$927.00	$341.41	2026-07-15
71046	CPT	X-ray Chest 2v PA/Lateral	17	6	$399.00	$319.56	$39.95	$783.14	$340.73	2026-07-15
82232	CPT	Beta 2 Microglobulin	11	6	$451.00	$360.98	$45.12	$437.69	$338.87	2026-07-15
26720	CPT	Fx Finger/Thumb Wo Man	11	6	$450.00	$360.00 20% off	$45.00	$436.50	$337.95	2026-07-15
26750	CPT	Fx Distal Finger/Thumb Wo Man	11	6	$449.00	$359.50	$44.94	$435.90	$337.48	2026-07-15
27824	CPT	Fx Distal Tibia Lt	11	6	$449.00	$359.20 20% off	$44.90	$435.53	$337.20	2026-07-15
99283	CPT	Emergency Room Visit Level 3	25	6	$543.00	$434.96	$54.37	$545.14	$337.09	2026-07-15
82384	CPT	Catecholamines Fract	11	6	$447.00	$357.78	$44.72	$433.80	$335.86	2026-07-15
72050	CPT	X-ray Spine Cervical 4-5 Views	11	6	$433.00	$346.92	$43.37	$746.06	$334.78	2026-07-15
82627	CPT	Dheas	13	6	$496.00	$397.11	$49.63	$481.50	$330.10	2026-07-15
12005	CPT	Repair Lac Simple 12.6-20.0 Cm	22	6	$759.00	$607.87	$75.98	$737.04	$328.80	2026-07-15
90620	CPT	MenB 2 Dose IM	15	6	$502.00	$402.19	$50.27	$487.66	$326.78	2026-07-15
90710	CPT	Mmrv Subq	15	6	$500.00	$400.68	$50.09	$566.42	$325.55	2026-07-15
12031	CPT	Repair Lac Intermed <2.5 Cm	20	6	$430.00	$344.18	$43.02	$423.98	$324.20	2026-07-15
43752	CPT	Nasal/Orogastric W Tube Plmt	11	6	$431.00	$345.04	$43.13	$418.36	$323.91	2026-07-15
11403	CPT	Exc Ben Lesion 2.1-3.0 Trunk	9	6	$574.00	$459.37	$270.90	$409.56	$323.86	2026-07-15
92610	CPT	Swallow Eval Non Radiol	11	6	$430.00	$344.66	$43.08	$417.90	$323.55	2026-07-15

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